Newsletter December 2020

Radiology Newsletter – Winter 2020

Jorge A Soto, MD

Letter from the Chair 

The holiday season is the time when we usually reflect on the events of the year that comes to a close and prepare, with optimism, for the year that lies ahead. In some ways (perhaps just a few), the holidays in 2020 feel like any other year, but in many more ways they do not. In December 2019 we started to hear about a virus that was spreading in a seemingly distant part of the world, but we knew that no distance is too far and that it was only a matter of time before all would be affected. Fast forward one year, and we are now in the midst of the long forecasted second surge. But we are also starting to see the glimpse of some light at the end of the long tunnel, and this hint of optimism is appropriate for the holidays. 

Our department closes 2020 with much to be proud of. The resilience of our residents, staff and faculty has been tested all year long and we responded admirably. We are particularly thankful for the courage and commitment of the many members of our department who were, and continue to be, directly involved in the care of patients affects by the deadly virus. At the same time that we battled the pandemic, we made significant progress in many areas such that we are well positioned to face the challenges that lie ahead. Some of these enhancements are highlighted in this Newsletter. In 2021, we will improve and modernize our systems and technology further, we will graduate a remarkable group of senior residents and welcome new faculty and the residency class of 2025. We also hope to bring back many of our traditional department events that we missed this year. 

As we gather in some way with our families to close the 2020 chapter, grateful that we are still together, I urge you to take a moment to remember the many lives that we lost this year, including close relatives and friends. Many of them passed without the comfort of being surrounded by their family. 

I wish all a healthy, peaceful, and bright 2021. Thank you for all you do for our institution and, more importantly, for our patients. 

Kudos 

The Radiology Department at Boston University Medical Center has once again significantly contributed to the advancement of radiology both locally, regionally, and nationally. Please congratulate the following individuals for their accomplishments: 

Dr. Leah Schafer was appointed Co-Director of the Massachusetts Quality and Safety Council. This volunteer organization meets monthly and organizes state-wide efforts to address issues related to quality and safety in a variety of practice settings. 

Drs. Asim Mian, Casey Bishop and Priscilla J. Slanetz collaborated with radiologists from the University of Massachusetts, Vanderbilt University, Staten Island Hospital/Northwell Health, and Mt. Sinai Medical Center on the development of a standardized health- care disparities curriculum for radiology residents in the United States. This curriculum will be dissemina- ted to programs in early winter 2021. 

Drs. Sara Meibom and Gustavo Mercier were both recently promoted to Clinical Associate Professor at Boston University Chobanian & Avedisian School of Medicine. 

Dr. Rachel Powsner was recently promoted to Clinical Professor of Radiology at Boston University Chobanian & Avedisian School of Medicine. 

Drs. Anna Rives and Priscilla J. Slanetz contributed didactic presentations to the breast imaging section of the AUR Core Curriculum Lecture Series. This curriculum was created by an AUR Strategic Alignment grant awarded to Dr. Nancy Feffernan at New York University who collaborated with several other radiologists across the country to coordinate this feat, including our own Dr. Harprit Bedi. The curriculum can be found at: https://www.aur.org/resources/core-curriculum . 

Photo Contest

November 2020 – Sun Photo Contest

December 2020 – Fall Photo Contest

RoaR 

Minh-Thuy Nguyen, MS4, and Ashley Davidoff are creating a student-led enrichment opportunity called the RoaR Club. 

This club will provide an environment for medical students at all levels, to interact with each other and with radiology residents. The mission is to promote radiology interests, as well as to promote the personal outside interests of the students. Student to student guidance and resident to student guidance will be moderated by the faculty advisor. 

Radiology programs will for example include; case discussions, “must know” topics in radiology, and how to prepare for a career in radiology. It will also provide a think tank to in- novate educational methods to teach radiology to medical students. 

The social aspect may take the form of a zoom social gathering with discussion of personal interests, hobbies, poetry readings, musical evening or even a night of philosophical discussion. 

We believe this program is a unique innovation, and hope it will provide a forum for education, enrichment, and personal well being 

If you are interested to join this club, please email mtnguyen@bu.edu  or ashley.davidoff@bmc.org. 

Ashley Davidoff 

Clinical Operations 

Epic Radiant  

Background – Radiant is Epic’s Radiology specific module (similar to Cupid for Cardiology, Beaker for Lab, OpTime for Surgery) that will be replacing GE Centricity across our department. This is a massive IT lift, that will provide many great operational and clinical workflow enhancements to all areas of our department. Also, it means that we will finally be “on Epic” as the rest of the hospital is and we will no longer be burdened by RIS’s dated workflows and reporting. 

Workgroups: Clinical, Operational, IT and Senior Leadership stakeholders have been participating in Workgroups, based on a segment of related topics or work areas. Examples include Diagnostic Imaging, Breast Imaging, Incidental Findings and Interventional Radiology. These workgroups meet to provide all of the BMC specific components that need to be reflected in our version of Radiant, or incorporated “into the build” as the IT lingo goes. Technologist workflows, Ordering Provider interaction, how we charge and bill for our services, and how our Radiologists interact with Radiant while protocoling and reading are all examples of topics tackled in a workgroup. 

(Shameless plug: If you would like to get involved in a workgroup, please let me know!) 

Training: With over 250 end users, we recognize that training is going to be a major component of this implementation. Between now and May an extensive training program, featuring virtual learning and hands on Radiant use will be developed by the eMerge team with our department’s input. Currently we are working on Clinical Review Board meetings, which are used to make sure training curriculum matches our own day to day workflows and future clinical use of Radiant. 

IT Hardware Review: This new system comes with different required hardware. In progress is a department wide review of all existing printers, computers, workstations, network coverage hubs etc. to make sure they will all seamlessly connect at Go-Live. We are also reviewing new or enhanced workflows, and making sure we have the necessary hardware to make them successful. Examples of this include patient facing tablets for patient consents and additional WOWs for patient and provider use. 

 Go Live Readiness Assessment Planning: As May draws nearer, large Go Live Readiness Assessment (GLRA) sessions will be held at 120, 90, 60 and 30 days out. We are currently planning these large group meetings to make sure each session has the correct agendas, checklists, representation from external departments, internal stakeholders, and Epic leadership. These meetings give everyone involved, from each portion of the project to a time to pause, level set, and make sure everyone is on the same page and meeting project plan milestones in order to ensure success on the big day. 

In summary, this is a big deal for our department – an event of the decade! It has been and will continue to be a lot of work for all involved but the end result will be more than worth the effort. Everyone should be 10/10 excited to soon be on a new, modern, best of breed, integrated platform that will seamlessly connect with the health system’s EHR. May is just around the corner! 

Clinical Service- Breast Imaging 

BMC’s Belkin Breast Imaging Center offers state-of-the-art breast imaging services, designated as a Breast Imaging Center of Excellence by the American College of Radiology. Our center is open for patients six days a week, 12 hours a day, performing more than 700 exams/week ranging from screening mammography to diagnostic exams (mammography, digital breast tomosynthesis, and ultrasound), and interventions (US and stereotactic core biopsy, US cyst aspiration/ FNA, pre-operative localization). Since October 2019, we partnered with surgical oncology and transitioned from needle localization to SaviScout reflector localization for pre-operative planning, a major shift in clinical practice. Our breast MR imaging is performed on a 3.0 T magnet and includes screening and diagnostic MRI as well as breast MRI interventions (biopsy, needle localization). Our breast imaging program partners with multiple community health centers (Codman Square, South Boston, Dorchester House, Mattapan, Uphams Corner, East Boston) for screening mammography interpretation. Since July 2020, we also now manage breast imaging at Lemuel Shattuck Hospital, providing screening and diagnostic mammography and diagnostic breast ultrasound services. 

Our growing team includes 12 technologists, 6 breast imaging radiologists, 2 tech aides, 3 schedulers, 1 primary film librarian, 4 registration staff, and operations manager. The team continues to expand as we are adding two new breast imaging radiologists in 2021 (Dr. Donna-Lee Selland and Dr. Laura Semine Misbach) due to continued access demands and growth of clinical services. 

In addition, since late 2019, we are proud to offer Breast Imaging Nurse Navigator and Patient Navigator services to guide patients on their journey by providing them with support and by answering questions, particularly for our biopsy patients. A navigator’s primary role and focus is on the patient, as well as family and support members. In addition to meeting with patients during the initial phases of screening and possible cancer diagnosis, our Breast Imaging Navigators: 

• Provide information, helping to reduce stress and anxiety involved during care
• Educate patients about additional breast imaging studies they may need
• Improve patients’ understanding of diagnostic plans
• Communicate with providers should patients need further diagnostic evaluation and/or breast biopsy
• Empower patients to participate in their own personal care
• Ensure patients complete all exams as prescribed
• Ensure patients receive timely access to a diagnostic evaluation and biopsy, if needed
• Connect patients and their family with helpful resources in and beyond the BMC network when necessary
• Connect patients with a Breast Clinic Nurse Navigator and coordinate care in the Breast clinic, as needed

As of October 2020, Breast Imaging is in the process of a major system upgrade, including a new Hologic server and improved software for our 

Mammography units and reading room workstations, allowing for faster speed, enhanced functionality, and stability. The next stage includes installation of the most cutting-edge breast imaging software, including synthetic mammography, high-definition digital breast tomosynthesis, and advanced technology that utilizes AI powered analytics to expedite reading time by reducing number of images to review. Additionally, we installed lateral arm attachment for stereotactic core biopsies that optimizes our approach and helps targeting challenging lesions, especially standard approach is limited by breast compression thickness or superficial lesions. Lastly, we are excited to start planning expansion of our services to include contrast mammography and tomosynthesis in the near future. 

In terms of research, we have participated in the multicenter ECOG-ACRIN sponsored Tomosynthesis Mammographic Imaging Screening Trial (TMIST), the first randomized controlled trial that seeks to identify women in which digital breast tomosynthesis (DBT) may outperform (2D) digital mammography in reducing advanced breast cancer development. 

The study will create the world’s largest curated dataset of breast cancer screening clinical data, images and bio-specimens to help researchers tailor future screening to a woman’s individual risk. TMIST is enrolling 165,000 healthy women ages 45 to 74 at 130 sites throughout North America and Argentina. Currently nearly 35,000 patients are enrolled worldwide. At BMC, we partnered with the Cancer Clinical Trials Office for implementation and onsite the study is championed by Samhita Joshi, our amazing clinical research coordinator, and Dr. Fishman, the site Primary Investigator. Over the past 18 months, Samhita successfully enrolled 883 patients, making TMIST the highest enrolling cancer clinical trial at BMC and the 8th highest enrolling for TMIST worldwide! 

Future research on breast imaging artificial intelligence tools from Zebra Medical Vision (mammography) and KOIOS (ultrasound) is slated to begin by the end of 2020. In addition, on-going research continues on social determinants of health and their impact on breast imaging patients, strengthening intradepartmental partnerships as well as inter-departmental partnerships with colleagues in Computer Engineering on Charles River Campus. 

Despite the challenges and uncertainty this year, 2020 has been a year of growth and promise for breast imaging. We are fortunate for the resiliency and positive attitude of our team, allowing us to stand strong through this pandemic, keep our doors open, and provide care for our patients. We are very grateful and proud to be a part of such a wonderful team! 

Anya Patrusheva, MHA, PMP, ICGB Operations Manager, Breast Imaging 

Michael Fishman, MD, Section Chief, Breast Imaging 

Residency Update 

Hello all! 

Happy December. 2020 has been a difficult year on many fronts and I for one am looking forward to 2021 with a return back to a semblance of “normal”. Our residents, faculty and all the staff and techs have been inspiring with their hard work in the face of the COVID pandemic. We all move, however, move forward. 

We are deep in the interview season albeit virtual. While we miss meeting the applicants in person, it has still been wonderful to meet so many exceptional and qualified candidates from all over the country and the world. A major THANK YOU to Dionne and Albert for their incredible work making the interview days go seamlessly in these zoom days. They have also been hard at work putting together some creative care packages to be mailed to our applicants. They, along with our great chiefs, Ashwin and Prashanth, organized some fun activities including a pumpkin carving contest and small holiday gift packages for our resi- dents. I didn’t realize there were some incredible pumpkin carving artists in our program! 

Alex and Patrick have been our first residents to rotate through Boston Childrens Hospital and as expected, they have had a fantastic experience. Patrick enjoyed it so much that he will be doing his pediatric radiology fellowship there after graduation! Many of our 3rd years are in the midst of fellowship applications and have received interview invites from some outstanding programs around the country. 

Finally, I wanted to say how proud I am to be part of the radiology family and grateful to work with all of you. Merry Christmas, Happy Hannukah and happy new year to all and please stay safe and healthy! 

(pic description: William Biche, Curtis HonShideler, Neha Khemani 

2nd Year Residents pose infront of their pumpkin creation, “Scary Potter”, during a beautiful fall day) 

Dr. Asim Mian 

Faculty Development 

In the Department of Radiology at Boston Medical Center, much attention is paid to developing the academic careers of its faculty given the strong research and educational missions. The faculty development program consists of several components: 1) One-on-one mentoring with the Vice Chair of Academic Affairs and other academically accomplished faculty who hold national and international leadership roles; 2) Annual CV Review by the Vice Chair of Academic Affairs and CV review by the department Promotions Committee every other year; and 3) Ongoing didactic programming to develop research and educational skills through a variety of mechanisms, including didactic presentations, interactive workshops, formal BUSM-sponsored career development programs, and contributions to the quarterly departmental newsletter. 

Given all of the challenges in 2020, it is clear that for many of us, advancing our academic careers took a backseat to providing timely and high-quality care to our patients, especially those afflicted by COVID-19. However, the commitment of the department, Boston Medical Center and the Boston University School of Medicine to support career development has not wave- red. 

Below is a list of the local options that are available to faculty: 

• Career Consultations & CV Reviews with Dr. Angelique Harris, and Dr. Emelia Benjamin.
• CTSI programs to accelerate research careers at https://www.bu.edu/ctsi/
• Early career K grant writing program and PRIME K to R transition program.
• Narrative Writing program and Women’s leadership program for all career levels
• Early Career and Mid-Career Faculty LeadershipProgram (accepting applications in February 2021)

 In addition, several of the national radiology organizations offer faculty development programs as well. The Association of University Radiologists offers three programs for its members: the AUR Radiology Resident Academic Leadership Development (ARRALD) Program and RRA/RAHSR Research Scholar Program for residents and fellows; the AUR Faculty development one-day program for early-career faculty; and the AUR Radiology Management program for early and mid-career faculty who aspire to or may be assuming leadership roles in their departments. In addition, starting January 2021, AUR will be sponsoring an invited lectureship program for early and mid-career faculty. This program aims to increase the national visibility of selected AUR members and to help them expand their academic network. For more information about these programs, please visit: https://www.aur.org/ annual-meeting. 

The American Roentgen Ray Society also offers the Clinician Educator Development Program for early-career faculty. This one-day program aims to develop teaching skills and expose participants to new teaching methods. More information about this program can be found at: https://www.arrs.org/ARRSLIVE/CEDP . 

Finally, the Radiological Society of North America sponsors an education track at the annual meeting where those interested in developing their teaching skills can learn about innovative techniques and educational theory, and participate in interactive workshops. RSNA also offers numerous career development workshops which cover clinical trial methodology, grant writing and research (https://www.rsna.org/en/education/workshops/introduction-to-academic-radiology ). 

 Dr. Priscilla Slanetz 

Teaching Tips 

Teaching radiology poses some unique challenges. Depending on how the section is staffed, it can be challenging to teach trainees while keeping up with the clinical workload. In addition, rarely do you as an attending work with the same trainee over an extended period of time. In reality, most faculty work with trainees for either a half-day or at most one day at a time. Given this somewhat sporadic interaction and the inherent lack of continuity due to scheduling, it can be difficult to create an effective learning environment. However, as teaching is one of our primary missions, we need to be cognizant of this challenge and implement some simple strategies to enhance the teaching of our trainees. Below you will find some ideas from several people in our department: 

1. Share your thought process during readouts. Due to increasing clinical demands, often teaching does not happen as the focus is on “getting through the list”. Although trainees do help substantially with getting the clinical work done, faculty must remember that we are training the next generation of radiologists. Find something interesting to point out in nearly every case; share your thought process on how you came to the conclusion that you did – it only takes a few extra seconds and it will be greatly appreciated. 

1. Ask the trainee if there is something specific that they would like you to give them feedback. Given that faculty often work with a trainee for only a half-day or day at a time, it can be difficult to know what specific areas the trainee might need to improve upon. Therefore, by asking the trainee at the beginning of the day, it becomes much easier to provide useful feedback on specific areas. It also encourages the trainee to reflect on their strengths and areas for growth. 

1. Assign trainee interesting and instructive cases on PACS. Especially for those who interpret radiographs, many of the cases we encounter have special teaching value for trainees. If the attending simply reads the case, the trainee cannot learn from this educational opportunity. Therefore, consider assigning the case to the trainee by putting their number on it. This permits the trainee to have a much higher percentage of positive and instructive cases than randomly picking up cases from the worklist. It also makes the readout sessions more stimulating and valuable for both trainee and attending alike. 

1. Share best case(s) throughout the day. Everyone needs to get the work done by the end of the shift, and all of us want to be able to leave on time. However, it is important to encourage all team members – attending, fellow, resident, medical student – to identify interesting cases so as to create daily “teaching moments.” Imagine if everyone shared something each session — there would be at least 4-8 “teaching moments” every day. These meaningful conversations might even spark trainee interest in learning more about a topic or possibly be the start of a new research project. It definitely would make for a more interesting day! 

1. Create a weekly interesting case conference in your section. Although we are all busy, who doesn’t like to see the best cases of the week? Identify a half hour each week for the conference and ask each faculty and trainee to bring at least one case to share with the group. 

1. For trainees: Think of 1-2 specific questions to ask the attending during readout. Before readout begins, think of at least one specific question related to the studies that you have read. When your service is very busy, the time for workstation teaching can become scarce. In coming up with targeted questions for your attending related to studies that you have read that day, you will ensure that you learn about some key teaching points even on the busiest of days. 

Dr. Priscilla Slanetz 

RSNA 2020 

Boston University once again had a strong presence at RSNA 2020. The highlights of the meeting included a session on “Exposing our blindside and overcoming unconscious bias” moderated by Dr. Jorge Soto, a session on “Artificial Intelligence and Radiomics” with the Interamerican College of Radiology moderated by Dr. Jorge Soto, a Fast 5 talk by Dr. Michael Fishman on “Why Radiology Practice Culture Matters More than Ever”, a Case based review of the abdomen by Dr. Christina LeBedis, a case review of adult trauma CT by Dr. Jorge Soto, an oral presentation on the “ACR membership workplace culture survey 2019” by Dr. Michael Fishman, and a refresher course presentation on “Normal sinus and maxillofacial anatomy” by Dr. Harprit Bedi. 

 In addition, three educational exhibits received the Certificate of Merit Award: 

• Leah Schafer, Hannah Perry, Michael DC Fish- man, BernadetteJakomin, Priscilla J Slanetz. “Incorporating peer learning into breast imaging practice”. 
• NehaKhemani, Priscilla J Slanetz, Michael Cassidy, Naomi Ko, Anna F Rives. “Breast health in the elderly”. 
• Kotaro Ito,Naohisa Hirahara, Hirotaka Mu- raoka, Okada Shunya, Takumi Kondo, Vanessa Carlota Andreu Arasa, Osamu Sakai, Takashi Kaneda. “Normal variants of the maxillofacial region: mimics to confuse radiologists.” 

In addition, scientific abstracts focused on health care disparities were presented: 

• DonghoonShin, Christina LeBedis, Michael DC Fishman, Michael Ngo, Jeffrey Wang. The impact of social determinants of health on lung cancer screening utilization 
• NehaKhemani, Anuradha Rebello, Hristina Natcheva, Katrina Steiling, Kei Suzuki. Review of lung-RADS 4A and 4B nodules on lung cancer screening CTs at an urban safety-net hospital: is there a role for further risk stratification? 

Finally, two oral presentations on social determinants of health received attention in the media and in the RSNA Daily Bulletin. Student doctor Aaron Afran gave an oral scientific presentation at RSNA on his project, “The impact of social determinants of health on breast imaging utilization”. Collaborating with Drs. 

Christina LeBedis, Michael DC Fishman and Donghoon Shin, the study identified that food and housing insecurity were found to be associated with longer lapses between both diagnostic imaging and biopsy and screening mammography and diagnostic imaging. Dr. 

Donghoon Shin, a current third-year radiology resident, also gave an oral presentation on “The impact of social determinants of health on lung cancer screening utilization”. This work showed that transportation insecurity and Medicaid insurance type were associated with missed lung cancer screening CT appointments. Both studies highlight the need to address these specific factors as one way to reduce disparities in cancer care. 

Publications 

Abdalkader M, Sathya A, Malek AM, Fifi JT, Norbash AM, Wakhloo AK, Nguyen TN. Roadmap for Resuming Elective Neuroendovascular Procedures Following the First COVID-19 Surge. Journal of Stroke and Cerebrovascular Diseases. 2020 

Abdalkader M, Ma A, Cohen M, Aliphas A, Sakai O, Nguyen TN. Endovascular coiling of large mastoid emissary vein causing pulsatile tinnitus. Interv Neuroradiol. 2020 May 14; 1591019920926333. 

Abdalkader M, Guermazi A, Engebretsen L, Roemer FW, Jarraya M, Hayashi D, Crema MD, Mian AZ. MRI-detected spinal degenerative disc changes in athletes participating in the Rio de Janeiro 2016 Summer Olympics games. BMC Musculoskeletal Disorders. 2020; in press. 

Behbahani S, Raseman J, Orlowski H, Sharma A, Eldaya R. Renal Excretion of Contrast on CT Myelography: A Specific Marker of CSF Leak, accepted (in print) AJNR 2020 

Catanzano TM, Slanetz PJ, Schaefer PW, Chetlen AL, Naeger DM, Mohammed RL, Agarwal V, Mullins ME. Vice chair for education – twelve roles to pro- vide a framework for success. Acad Radiol. 2020: 2020 Apr 1. pii: S1076-6332(20)30108-2. doi: 10.1016/j.acra.2020.02.022. [Epub ahead of print]. PMID: 32247724. 

Chang GH, Felson DT, Qiu S, Guermazi A, Capellini TD, Kolachalama VB. Correction to: Assessment of knee pain from MR imaging using a convolutional Siamese network. 

Eur Radiol. 2020 Jul 22. doi: 10.1007/s00330-020-07073-4. Online ahead of print. 

Cheema H, Mehta R, Slanetz PJ. Imaging and management of fibroepithelial breast lesions on percutaneous core needle biopsy. Breast J. 2020: Jan 10. doi: 10.1111/tbj.13749. [Epub ahead of print]. PMID: 31925856. 

Chang KJ. When the Radiologist Becomes the Patient: My Colorectal Cancer Screening. ACR’s The Voice of Radiology Blog March 5, 2020. http://voiceo- fradiologyblog.org/2020/03/05/when-the-radiologist-becomes-the–patient-my-colorectal-cancer-screening/. 

Dao KA, Rives AF, Quintana EM, Kritselis MA, Fishman MDC, Sarangi R, Slanetz PJ. BIRADS 5 – more than cancer. RadioGraphics. 2020: Sep- Oct;40(5):1203-1204. 

Diamond M, Shin D, Wang J, Samuelsen B, LeBedis C.Imaging of Nontraumatic Upper Urinary Tract Emergencies. Semin Roentgenol. 2020 Apr;55(2):180-196. 

Dório M, Hunter DJ, Collins JE, Asher R, Eckstein F, Guermazi A, Roemer FW, Deveza LA. Association of baseline and change in tibial and femoral carti- lage thickness and development of widespread full-thickness cartilage loss in knee osteoarthritis – data from the Osteoarthritis Initiative. Osteoarthritis Cartilage. 2020 Jun;28(6):811-818. 

Ford T, Curiale G, Nguyen TN, Aparicio H, Hamlyn EK, Gangadhara S, Cervantes-Arslanian AM, Greer D, Romero JR, Shulman JG. Optimization of resour- ces and modifications in acute ischemic stroke care in response to the global COVID-19 pandemic. J Stroke Cerebrovasc Dis. 2020 Aug; 29(8):104980 

Fujima N, Andreu-Arasa VC, Meibom SK, Mercier GA, Salama A,Truong MT, Sakai O. Deep learning analysis using FDG-PET to predict treatment outcome in patients with oral cavity squamous cell carcinoma. Eur Radiol. 2020. In Press. 

Fujima N, Andreu-Arasa VC, Meibom SK, Mercier GA, Truong MT, Sakai O. Prediction of the human papillomavirus status in patients with orophary- ngeal squamous cell carcinoma by FDG-PET imaging dataset using deep learning analysis: A hypothesis-generating study. Eur J Radiol. 2020 Mar 5;126:108936. 

Fujima N, Carlota Andreu-Arasa V, Barest GD, Srinivasan A, Sakai O. Magnetic Resonance Spectroscopy of the Head and Neck: Principles, Applications, and Challenges. Neuroimaging Clin N Am. 2020 Aug;30(3):283-293. 

Guermazi A, Jarraya M, Lynch JA, Felson DT, Clancy M, Nevitt M, Lewis CE, Torner J, Neogi T. Reliability of a new scoring system for intraarticular minera- lization of the knee: Boston University Calcium Knee Score (BUCKS). Osteoarthritis Cartilage. 2020 Jun;28(6):802-810. 

Guglielmo FF, Anupindi SA, Fletcher JG, Al-Hawary MM, Dillman JR, Grand DJ, Bruining DH, Chatterji M, Darge K, Fidler JL, Gandhi NS, Gee MS, Grajo JR, Huang C, Jaffe TA, Park SH, Rimola J, Soto JA, Taouli B, Taylor SA, Baker ME.Small Bowel Crohn Disease at CT and MR Enterography: Imaging Atlas and Glossary of Terms. RadioGraphics. 2020 Mar-Apr;40(2):354-375. 

Harfouch N, Grunhut J, Hsu A, Pinsky S, Chacko J, Raden M, Slanetz PJ, Sarkany D. MD and DO: Differing Medical Degrees and the Associated Percep- tions. Curr Probl Diagn Radiol. 2020 Aug 26:S0363-0188(20)30146-8. 

Hashemi S, Oda M, Onoue K, Basa K, Rubin SJ, Sakai O, Salama A, Ezzat WH.Determining the optimal osteotomy distance with the fibula free flap in mandibular reconstruction. Am J Otolaryngol. 2020 May-Jun;41(3):102436. 

Hayashi D, Roemer FW, Eckstein F, Samuels J, Guermazi A. Imaging of OA – from disease modification to clinical utility. Best Pract Res Clin Rheuma- tol. 2020 Sep 14:101588. doi: 10.1016/j.berh.2020.101588. Online ahead of print. 

Hsu MJ, Dinh DC, Shah NA, Bernal-Fernandez MC, Soto JA, Anderson SW, Ramalingam V. Time to conventional angiography in gastrointestinal bleeding: CT angiography compared to tagged RBC scan. Abdom Radiol (NY). 2020 Feb;45(2):307-311. 

Johnson VL, Guermazi A, Roemer FW, Hunter DJ.Association between radiographic anterior cruciate ligament tear and joint symptoms: Data from the osteoarthritis initiative. 

Int J Rheum Dis. 2020 Apr;23(4):576-581. 

Kariimi Z, Phillips J, Slanetz PJ, Lotfi P, Dialani V, Karimova EJ, Mehta TS. Factors associated with background parenchymal enhancement on con- trast-enhanced mammography. Am J Roentgenol. 2020: Jul 8. doi: 10.2214/AJR.19.22353. Online ahead of print. 

Karimova EJ, Slanetz PJ. Charged with discharge: a case-based review of nipple discharge using the ACR Appropriateness Guidelines. J Breast Imaging. 2020;2(3):275-284 

Krishnan V, Xu J, Mendoza AG, Koretsky A, Anderson SA, Pelled G. High-resolution MEMRI characterizes laminar specific ascending and descending spinal cord pathways in rats. Neurosci Methods. 2020 Jul 1;340:108748. 

LeBedis, Christina, Ayoob, Andres R, Lee, James T, Herr, Keith, Jain, Ashwin, Soto, Jorge A, .Pancreatic Trauma: Imaging Review and Mangement Update. 2020 Nov 27;200077.doi.10.1148/rg.2021200077. PMID: 33245670 

Lee J, Higgins MCSS. What Interventional Radiologists Should Know About Managing Severe Frostbite: A Meta-Analysis of Thrombolytic Therapy. American Journal of Roentgenology. 2020; in press. 

Levin SR, McAneny D, Durfee JK, Soto JA, Siracuse JJ, Farber A. Open resection of inferior vena caval leiomyomatosis invading an intravascular filter. J Vasc Surg Venous Lymphat Disord. 2020 Mar;8(2):285-286. 

Li B, Pomerleau M, Gupta A, Soto JA, Anderson SW. Accuracy of Dual-Energy CT Virtual Unenhanced and Material-Specific Images: A Phantom Study. AJR Am J Roentgenol. 2020 Sep 2:1-9. 

Luff D, Bell SG, Slanetz PJ, Brown SD. Radiology trainees’ perceptions of speaking up culture related to safety and unprofessional behavior in their work environments. Am J Roentgenol. 2020:in press. 

Manhas NS, Salehi S, Joyce P, Guermazi A, Ahmadzadehfar H, Gholamrezanezhad A. PET/Computed tomography scans and PET/MR imaging in the diagnosis and management of musculoskeletal diseases. A. PET Clin. 2020 Oct;15(4):535-545. 

Minaeva O, Hua N, Franz ES, Lupoli N, Mian AZ, Farris CW, Hildebrandt AM, Kiernan PT, Evers LE, Griffin AD, Liu X, Chancellor SE, Babcock KJ, Moncaster JA, Jara H, Alvarez VE, Huber BR, Guermazi A, Latour LL, McKee AC, Soto JA, Anderson SW, Goldstein LE. Nonhomogeneous Gadoli- nium Retention in the Cerebral Cortex after Intravenous Administration of Gadolinium-based Contrast Agent in Rats and Humans. Radiology. 2020 Feb;294(2):377-385. 

Moreno C, Yee J, Ahmed FS, Barish MA, Brewington C, Dachman AH, Gollub MJ, Kim DH, McFarland E, Packhardt PJ, Reddy S, Zalis M, Chang KJ, CT Colonography’s Role in the COVID-19 Pandemic: A safe(r), socially-distanced total colon examination. Abdominal Radiology. 2020. doi.org/10.1007/ s00261-020-02674-5. 

Nguyen TN, Jadhav AP, Dasenbrock H, Nogueira RG, Abdalkader M, Ma A, Cervantes-Arslanian A, Greer DM, Daneshmand A, Yavagal DR, Jovin TG, Zaidat OO, Chou SH. Subarachnoid hemorrhage in the era of COVID-19. An opinion to mitigate exposure and conserve personal protective equipment. J Stroke and Cerebrovasc Dis. 2020; 29 

Patterson B, Culvenor AG, Barton CJ, Guermazi A, Stefanik J, Morris HG, Whitehead TS, Crossley KM. Poor functional performance 1 year after ACL reconstruction increases the risk of early osteoarthritis progression. Br J Sports Med. 2020 May;54(9):546-553. 

Perry H, Fang AJ, Tsai EM, Slanetz PJ. Imaging services for transgender patients: a primer for radiology practices to improve care. JACR. 2020: in press. 

Roemer FW, Demehri S, Omoumi P, Link TM, Kijowski R, Saarakkala S, Crema MD, Guermazi A. State of the art: imaging of osteoarthritis – revisited 2020. Radiology. 2020 Jul;296(1):5-21. 

Roemer FW, Eckstein F, Duda G, Guermazi A, Maschek S, Sharma L, Wirth W. Is Laminar Cartilage Composition as Determined by T2 Relaxometry Asso- ciated with Incident and Worsening of Cartilage or Bone Marrow Abnormalities? Cartilage. 2020 Jun 12:1947603520932197 

Roemer FW, Collins JE, Neogi T, Crema MD, Guermazi A. Association of knee OA structural phenotypes to risk for progression: a secondary analysis from the Foundation for National Institutes of Health Osteoarthritis Biomarkers study (FNIH). Osteoarthritis Cartilage. 2020 Sep;28(9):1220-1228. 

Roemer FW, Kraines J, Aydemir A, Wax S, Hochberg MC, Crema MD, Guermazi A. Evaluating the structural effects of intra-articular sprifermin on cartila- ge and non-cartilaginous tissue alterations, based on sqMRI assessment over 2 years. Osteoarthritis Cartilage. 2020 Sep;28(9):1229-1234. 

Rozenshtein A, Griffith BD, Slanetz PJ, DeBenedectis CM, Gould JE, Kohr JR, Mohammed TL, Paladin AM, Rochon PJ, Sheth M, Wiggins Iii EF, Swanson JO. “What Program Directors Think” V: Results of the 2019 Spring Survey of the Association of Program Directors in Radiology (APDR). Acad Radiol. 2020 Aug 7:S1076-6332(20)30416-5. doi: 10.1016/j.acra.2020.06.035. Online ahead of print 

Sayre EC, Esdaile JM, Kopec JA, Singer J, Wong H, Thorne A, Guermazi A, Nicolaou S, Cibere J. Specific manifestations of knee osteoarthritis predict depression and anxiety years in the future: Vancouver Longitudinal Study of Early Knee Osteoarthritis. 

BMC Musculoskelet Disord. 2020 Jul 16;21(1):467. 

Serner A, Weir A, Tol JL, Thorborg K, Yamashiro E, Guermazi A, Roemer FW, Hölmich P. Associations between initial clinical examination and imaging findings and return-to-sport in male athletes with acute adductor injuries: a prospective cohort study. Am J Sports Med. 2020 Apr;48(5):1151-1159. 

Sharmeen F, Dialani V, Slanetz PJ. Pseudoangiomatous stromal hyperplasia. J Breast Imaging. 2020: in press. 

Sheth MM, Samreen N, Rapoport I, Slanetz PJ, Fornari A, Lewis P. Harnessing the power of low-tech collaborative learning. J Breast Imaging. 2020; In press. 

Shin D, Rahimi H, Haroon S, Merritt A, Vemula A, Noronha A, LeBedis CA. Imaging of Gastrointestinal Tract Perforation. Radiol Clin North Am. 2020 Jan;58(1):19-44. 

Shulman JG, Jara H, Qureshi MM, Lau H, Finn B, Abbas S, Cervantes-Arslanian AM, Mercado M, Greer D, Chapman M, Mian AZ, Takahashi CE. Perihema- tomal edema surrounding spontaneous intracerebral hemorrhage by CT: Ellipsoidal versus morphometric volumetry. Medicine (Baltimore). 2020 Jul 10;99(28):e20951. 

Shyu JY, Khurana B, Soto JA, Biffl WL, Camacho MA, Diercks DB, Glanc P, Kalva SP, Khosa F, Meyer BJ, Ptak T, Raja AS, Salim A, West OC, Lockhart ME. ACR Appropriateness Criteria® Major Blunt Trauma. Expert Panel on Major Trauma Imaging,.J Am Coll Radiol. 2020 May;17(5S):S160-S174. 

Slanetz PJ. Digital Breast Tomosynthesis Screening for Breast Cancer: It Is Cost-effective! Radiology. 2020 Oct;297(1):49-50 

Slanetz PJ, Bedi H, Kesler T, Chetlen A.J Optimizing Journal Clubs in the Post-COVID-19 Era. Am Coll Radiol. 2020 Nov;17(11):1496-1498 

Slanetz PJ, Cooke E, Jambhekar K, Chong A.J. Branding Your Radiology Residency and Fellowship Programs in the COVID-19 Era. Am Coll Radiol. 2020 Dec;17(12):1673-1675. 

Slanetz PJ, Gupta SC, Shaffer K, Oates ME. Building resilience one moment at a time. J Am Coll Radiol. 2020;17(4):523-524. PMID: 31173742 Slanetz PJ, Perry H, Kudla A, Soto JA. Building trust in radiology practice. J Am Coll Radiol 2020 Feb;17(2):296-297. PMID: 31563521. 

Slanetz PJ, Pool KL, Vaccaro JA, Elizondo-Riojas G. Maximizing radiology’s global value-add. J Am Coll Radiol. 2020;17(6):824-826. PMID: 31563520 

Slanetz PJ, Omary RA, Mainiero MB, Deitte LA. Educating the next generation of leaders in radiology. J Am Coll Radiol. 2020: Jan 28. pii: S1546- 1440(20)30005-3. doi: 10.1016/j.jacr.2019.12.028. [Epub ahead of print]. PMID: 32004481. 

Slanetz PJ, Parikh U, Chapman T, Motuzas C. Coronavirus disease 2019 (COVID-19) and radiology education – strategies for survival. J Am Coll Radiol. 2020; Apr 23. pii: S1546-1440(20)30371-9. doi: 10.1016/j.jacr.2020.03.034. [Epub ahead of print] . PMID: 32335184. 

Slanetz PJ, Daye D*, Chen PH, Salkowski LR. Artificial intelligence and machine learning in radiology education is ready for prime time. J Am Coll Ra- diol. 2020 May 16:S1546-1440(20)30418-X. doi: 10.1016/j.jacr.2020.04.022. Online ahead of print. PMID: 32428437. 

Slanetz PJ, Spalluto L, Diaz Candamio MJ, Motuzas CL. Strategies to reach gender equity in radiology, JACR 2020; 2020 May 25:S1546-1440(20)30508-1. 

Slanetz PJ, Kurita S, Wright A, Mullins ME.Key Elements to Build and Sustain a Successful Residency Alumni Society. J Am Coll Radiol. 2020 Aug 23:S1546-1440(20)30836-X. doi: 10.1016/j.jacr.2020.07.032. Online ahead of print. 

Slanetz PJ. The power of one small act. J Am Coll Radiol. 2020; Jan 6. pii: S1546-1440(19)31442-5. doi: 10.1016/j.jacr.2019.12.006. [Epub ahead of print]. 

Staziaki PV, Sarangi R, Parikh UN, Brooks JG, LeBedis CA, Shaffer K. An objective structured clinical examination for medical student radiology clerks- hips: reproducibility study. JMIR Med Educ. 2020;6(6)e15444. 

Takumi K, Staziaki PV, Hito R, Nadhir R, Berk J, Andreu-Arasa VC, Chavez W, Sakai O. Amyloidosis in the head and neck: CT findings with clinicopatholo- gical correlation. Eur J Radiol. 2020. Jul:128:109034. 

Tomita H, Kuno H, Sekiya K, Otani K, Sakai O, Li B, Hiyama T, Nomura K, Mimura H, Kobayashi T. Quantitative Assessment of Thyroid Nodules Using Dual-Energy Computed Tomography: Iodine Concentration Measurement and Multiparametric Texture Analysis for Differentiating between Malignant and Benign Lesions. Int J Endocrinol. 2020 Mar 18;2020:5484671. 

Treutlein C, Bäuerle T, Nagel AM, Guermazi A, Kleyer A, Simon D, Schett G, Hepp T, Uder M, Roemer FW. Comprehensive assessment of knee joint syno- vitis at 7T MRI using contrast-enhanced and non-enhanced sequences. BMC Musculoskelet Disord. 2020 Feb 21;21(1):116. 

Verma N, Catanzano T, Mohammed TL, Slanetz PJ. Personalizing the virtual residency program visit. Acad Radiology. 2020: Sep;27(9):1323-1324. doi: 10.1016/j.acra.2020.06.003. Epub 2020 Jul 14. 

Wei CJ, Ghaderi KF, Phillips J, Slanetz PJ, Mehta TS, Fishman MDC, Karimova EJ, Brook A, Dialani V. Are MRI features of estrogen receptor-positive invasi- ve breast cancers predictive of Oncotype DX recurrence scores? Am J Roentgenol. 2020: in press. 

Zhai G, Sun X, Randel E, Liu M, Wang N, Tolstykh I, Rahman P, Torner J, Lewis CE, Nevitt MC, Guermazi A, Roemer F, Felson DT. Phenylalanine is a novel marker for radiographic knee osteoarthritis progression: the MOST study. J Rheumatol. 2020 May 1:jrheum.200054. doi: 10.3899/jrheum.200054.