BackTable MSK

In this BackTable MSK episode, host Dr. Jacob Fleming interviews interventional radiologist Dr. Alan Sag about techniques and advancements in bone cryoablation. Dr. Sag discusses his current practice and collaboration with orthopedic surgeons. He highlights IlluminOss, a new photodynamic bone stabilization system that uses similar concepts to endovascular balloons. Then, the doctors move onto discussing cryoablation, which was recently cleared by the FDA for use in pain palliation in bone metastases. Dr. Sag describes the procedural steps of cryoablation, pneumodissection with carbon dioxide, when to use polymethylmethacrylate (PMMA) augmentation, the value of same session biopsy, and education for referrers and patients. Cryoneurolysis and intrathecal pain pumps are also discussed, as they can offer additional pain relief for patients and reduce opioid dependence. Full Episode: https://ow.ly/R2EE50SusPL #MSK43 #Cryoablation #MSK #MSKRadiology #Orthopedics #BoneHealth #InterventionalPain #Cryoneurolysis #PainManagement #BackTable

On this week's BackTable Brief: Jacob Fleming and Olivier Clerk, MD, FIPP discuss the often overlooked basivertebral nerve, its anatomy, and its critical role in vertebral pain. Dr. Clerk explains the difference between myelinated and non-myelinated nerves, focusing on the basivertebral nerve’s unique characteristics that make it a prime target for ablation therapy. The discussion also covers the use of MRI and physical examinations in diagnosing vertebrogenic pain, Modic changes, and the application of anesthetic discogram as a diagnostic tool. Dr. Clerk provides insight into selecting patients for basivertebral ablation and delineates the procedures, emphasizing the importance of differentiating vertebral pain from other sources such as discogenic pain. Listen below to learn more! #msk #minimallyinvasive #musculoskeletal #paininterventions #interventionalradiology #interventionalmsk #podcast https://lnkd.in/eM2F59_F

In this episode, Dr. Jacob Fleming hosts an on-site interview with Dr. Muneeb Ahmed, president of the Society of Interventional Oncology (SIO) at the annual conference. Dr. Ahmed also serves as the Chief of IR at Beth Israel Deaconess Medical Center. They discuss the development of interventional oncology (IO) as a subspecialty of interventional radiology and how the SIO conference has rapidly grown in the past few years. Dr. Ahmed highlights the annual conference as a way to expose trainees to interventional oncology early in their careers. The doctors focus on the MSK masterclass and the first breast cryoablation masterclass. Dr. Ahmed emphasizes that master class topics are chosen based on what the IO community needs, and they aim to provide comprehensive training so doctors can implement the procedures and increase patient access. Additional discussion highlights include the advancement of robotics, the growth of IO across the globe, and exciting new research presented at SIO 2024. https://ow.ly/21bH50RNigF #InterventionalOncology #SIO2024 #Cancer #Oncology #Cryoablation #MinimallyInvasive #InterventionalRadiology #MSK42

Today on BackTable MSK: Dr. Jacob Fleming and Dr. Douglas Beall discuss the challenges and advancements in treating sacral insufficiency fractures (SIF), the importance of real-world data in evaluating treatment efficacy, and the need to increase awareness of sacral fractures and sacroplasty. Stay tuned for Part II tomorrow! #medEd #minimallyinvasive #interventionalradiology #MSK #radiology #podcast Thank you to our sponsor for this episode Stryker Interventional Spine! https://lnkd.in/eN7MtZ3N

In this episode of the BackTable MSK Podcast, Dr. Dana Dunleavy interviews Professor Erich Osterberg, a climate scientist and geologist. Dr. Osterberg is a Professor of Climate Science at Dartmouth College. His current work is centered around ways to reduce carbon emissions associated with the practice of medicine. Through his experience with advising local decision makers, he has seen a shift from top-down initiatives to bottom-up action in industries such as healthcare. He highlights the power of medical professionals in demanding sustainable initiatives and reducing emission. https://ow.ly/ClK450RNi5u #ClimateChange #SustainableHealthcare #Environment #CarbonEmissions #Geology #MSK41

In this episode, Dr. Aron Chary provides an in-depth look into endovascular and minimally invasive treatments for pain management, specifically focusing on cryoneurolysis. He shares his experience of implementing the technology for both benign and malignant conditions in an independent private practice setting. Listen here: https://ow.ly/znj250RNhU8 #Cryoneurolysis #MinimallyInvasive #PainManagement #PainMedicine #InterventionalPain #MSK #InterventionalRadiology #MSK49

High-intensity focused ultrasound (HIFU) continues to have growing therapeutic potential as a non-invasive medical treatment for essential tremor, Parkinson’s disease, and bone metastases. However, as HIFU gains traction, it becomes increasingly important to outline the conditions for which HIFU is indicated as well as the best patient-candidates for such a treatment. This article delves into the specific conditions and patient groups suited for HIFU. Dr. Bhavya Shah maintains that HIFU belongs to a multidisciplinary field that prioritizes patient care. Read the full article: https://lnkd.in/e2J8sfCz #MinimallyInvasive #Neurology #Neuromodulation #Neuroradiology #Ultrasound #MSK16

This week's BackTable Brief: Desmoid Tumors II with Dr. Jack Jennings. In this brief 10 min clip Dr. Jennings shares insights into his use of multiple cryoprobe techniques, managing rhabdomyolysis risks, patient care, and postoperative pain. He discusses challenging cases, the duration of tumor diminishment post-ablation, and the importance of a multidisciplinary approach in the treatment of sarcomas and desmoid tumors. Dr. Jennings emphasizes the necessity of collaboration across medical disciplines to ensure comprehensive patient care. Listen below to learn more! #medEd #msk #musculoskeletal #collaborativelearning #interventionaloncology https://lnkd.in/ex2tqGuF

Image-guided bone marrow biopsy, while a relatively basic procedure in interventional radiology, can be optimized for efficiency and effectiveness with the proper preparation. This article provides essential insights into effective communication with cytotechnologists and adherence to standardized bone marrow biopsy sample protocols, citing the experiences of Dr. Aaron Fritts and Dr. Christopher Beck. It also covers potential bone marrow biopsy complications and emphasizes the importance of proper technique and awareness of anatomical structures. Finally, the doctors share their post-procedural considerations, including sedation management and discharge protocols. Read more: https://ow.ly/Tsjl50RNgEo #BoneMarrowBiopsy #InterventionalRadiology #MinimallyInvasive #MSK #MSK39