KU Radiology - Alumni Newsletter Issue 6

ISSUE KU Radiology

06

DEC

2016

KU Faculty this issue

Philip Johnson, MD Letter from the Chairman P.1
Chairman Residency Education P.2
Update on Research P.3
Ryan Ash, MD Update on Education P.4
Vice Chairman Update on Faculty P.5
Alumni Events P.6
Judson Bertsch, MD
Shaun Best, MD Letter from the Chairman

Kevin Brown, MD Happy Holidays! We continue to see steady increases in patient and exam
volumes. For fiscal year 2016, we saw 317,569 patients and we
Zachary Collins, MD I hope everyone has enjoyed the holiday season. I want to thank all performed 365,814 exams. This is a 5% increase compared to last
Interventional Section Head of my colleagues within the radiology department for their hard work year. The new Cambridge North tower located at the corner of 39th
and dedication. These exceptional people are who make our street and State line is now less than a year from completion. The
Glendon Cox, MD department so special and why it is such a privilege to work here. I tower will add 124 beds, 28 ICUs, and 11 operating rooms. There
also want to give thanks to our alumni for supporting our efforts to will be a fully functioning radiology department within the tower
Joy Darrah, MD enhance our department and foster our commitment to excellence in including two Bi-plane angiography suites, two 3-0 Tesla magnets
clinical care, teaching, and research. This steadfast commitment will (one of which will be an intra-operative MRI), and a GE Revolution
Reginald Dusing, MD enable us to achieve our goal of becoming one of the premier scanner. The Westwood campus will welcome a new GE PET/CT
academic radiology departments in the nation. just after the New Year. We also anticipate completion of the Indian
Brian Everist, MD Creek expansion project located at Nall and I-435 in the fall of 2017.
As we come to end of 2016, it is a good time to reflect on the We will be adding two angiography suites, MR, CT, Ultrasound, and
Thomas Fahrbach, MD past year. Our department has been very busy. We added two additional mammography services at this location.
additional faculty members to our staff. Dr. Jill Jones joined our
Shelby Fishback, MD ultrasound and body imaging sections after completion of residency We are making progress with fund-raising efforts for the Glen
Residency Program Director and fellowship at KUMC. Dr. Vanessa Williams joined our faculty in and Karen Cox Endowed Radiology Professorship for Quality and
the body imaging section last fall after completing residency and Outcomes. Interest gained from such an endowed chair will be a
Jason Gatewood, MD fellowship at Northwestern University. We are thrilled to have such critically important source of revenue to fund our academic mission
high caliber and talented individuals join the team. We are also around quality and healthcare outcomes research. I hope that you
Crosby Gernon, MD currently interviewing candidates for faculty positions in will consider making a contribution to this important initiative (for
Interventional Radiology and Musculoskeletal Radiology to more information, please see page 5). As always, I thank you for
Jacqueline Hill, MPH, CHES accommodate clinical growth. I want to congratulate Zach Collins your thoughts, comments and/or suggestions and hope to see many
Director of Research (interventional radiology) and Marc Inciardi (breast radiology) who of you in the near future.
were both promoted to Associate Professor this year. In addition,
Gary Hinson, MD congratulations to our director of research, Jacque Hill, who earned
Musculoskeletal Section Head a Doctorate degree in Health Policy and Management this year. I
would also like to acknowledge two of our faculty, who are working
Marc Inciardi, MD on additional post-graduate degrees. Ryan Ash who is working on a
master’s degree in Health Care Management from Harvard School
Neville Irani, MD of Public Health and Mac Everist is working on a master’s in
Director of Quality Business Administration from the University of Chicago. Lou Wetzel
was re-elected for another three-year term as the Chief of the
Jill Jones, MD Medical Staff. On September 10th, Glen Cox received this year’s
Leadership Luminary Award for his exceptional service to the field of
Luke Ledbetter, MD radiology by the Radiology Leadership Institute of the American
College of Radiology.
John Leever, MD
Neuroradiology Section Head

Steven Lemons, MD

John Madarang, MD

Bradford McCrary, MD

Lucas Meek, MD
Cardiothoracic Section Head

Kirk Miller, DO
Pediatric Section Head

Douglas Nelson, MD

Mark Perry, MD
Oncology Section Head

Kristen Pope, MD

Mark Redick, MD
Alan Reeves, MD

Neuroradiology Section Head

Stanton Rosenthal, MD
Ultrasound Section Head

Pauline Sleder, MD

John Vadaparampil, MD
Louis Wetzel, MD

Body Imaging Section Head
Vanessa Williams, MD
Onalisa Winblad, MD

Breast Imaging Section Head

Wendell Yap, MD
Nuclear Medicine Section Head

New Clinical Resident Education: New Contrast Simulation
Experiences
Research for
Shelby Fishback, MD – Class of 2010
Radiologists
Jessica Peterson, MD, PGY3, Kristin Williams, MD, PGY4 and Jayden Spencer, MD,
Course PGY3 (clockwise) take their turn with the biopsy simulation.

Jacque Hill, PhD In Fall 2016, residents participated designed for groups of 3-4 residents simulation training utilizing real-life
in two simulation projects – and 1 nurse/tech responding to contrast reaction scenarios.
The Introduction to Clinical contrast reaction management and various contrast reactions. Two
Research for Radiologists ultrasound biopsy. The simulation faculty members observe in the In addition to the contrast
Course was taught for the first projects were created to improve control booth and feed situational reaction simulation, Drs. Tom
time this fall in the Radiology training in contrast reaction information to the nurse/tech to Fahrbach and Onnie Winblad
Department. The course was management, something that all provide variables to the simulation. A recently developed and led our first
designed to provide a basic radiologists should be familiar with patient “dummy” is programmed with ever ultrasound biopsy simulation
overview of clinical research and to provide controlled simulated specific details for each simulation. training. Residents received hands-
activities for the department’s biopsy experiences earlier in Residents are provided a pre-brief on experience biopsying “lesions” in
seven PGY-2 residents. The residency. Both simulation projects and simulation instruction card to Jell-O molds using ultrasound. This
Director of Clinical Research, were hosted in the beautiful help immerse the residents in the experience also included a session
Jacqueline Hill, PhD, MPH and new Zamierowski Institute for experience. Each simulation is on interventional radiology equipment
Research Coordinator, Carissa Experiential Learning (ZIEL). followed by a short de-brief to including the various biopsy systems.
Walter, MPH taught the classes. discuss the major teaching points
Over the course of 14 weeks, Drs. Mac Everist, Jill Jones, and residents are given a helpful Based on the positive feedback
participants improved their Shaun Best and Shelby Fishback contrast reaction pocket card to received from resident participants,
understanding of how to develop developed the new Contrast carry. The Program expects we look forward to developing
clinical research questions and Reaction Management Simulation residents to complete yearly additional simulation experiences in
design studies with appropriate Curriculum. Each simulation is Diagnostic and Interventional
methodological considerations of Radiology in the future!
outcome measurement, study
populations, data management
techniques, biostatistical
analyses, and regulatory
administration. Participants also
gained experience in
interpretation and presentation of
analysis results, including
abstract, poster, and manuscript
development. As part of the
course, each participant
developed a major research
project and will apply their newly-
learned skills in the coming
months to launch and complete
their projects.

Kristin Williams, MD, PGY4 (left) and (right clockwise) Aaron Frenette, MD, Sam Hund, MD, Kyle Werth, MD, and Luke Frager, MD, all practice
biopsies with ultrasound.

P.2

Sampling of 2016 Department Manuscript Publications

x Aripoli A, Meek L, Lemons S, Spikes L. A 29-Year-Old Woman with Severe Sepsis and Hemoptysis. Chest, 2016; 150(2): e53-57.
x Aripoli A, Fishback S, Morgan R, Hill J, Robinson A. Rounding Radiologists: Clinical Collaboration Between Radiology Residents and Internal Medicine Teams.

Journal of the American College of Radiology, 2016; 13(5): 562-565.
x Best SR, Romine LE, Brown MA. “Magnetic Resonance Imaging of Acute Abdominal and Pelvic Pain in Pregnancy,” in MRI of Fetal and Maternal Diseases in

Pregnancy, 1st Edition, 2016 by Masselli.
x Brown JK, Timm W, Bodeen G, Chason A, Perry M, Vernacchia F, DeJournett R. Asynchronously Calibrated Quantitative Bone Densitometry. Journal of Clinical

Densitometry, 2016; in press.
x Fontana S, Borgstadt A, Fraga G, Reeves A, Andrews B. Angiolymphoid Hyperplasia With Eosinophilia Within a Vascular Malformation: Case Report and Review of

the Literature. Annals of Otology, Rhinology & Laryngology, 2016; 125(9): 775-778.
x Giger M, Inciardi M, Edwards A, Papaioannou J, Drukker K, Jiang Y, Brem R, Brown J. Automated Breast Ultrasound in Breast Cancer Screening of Women With

Dense Breasts: Reader Study of Mammography Negative and Mammography-Positive Cancers. American Journal of Roentgenology, 2016; 206(6): 1341-1350.
x James T, Hill J, Johnson P, Fahrbach T, Collins Z. Differences in Radiation Activity between Glass and Resin Yittrium-90 (Y-90) Microspheres in Treating

Unresectable Hepatic Cancer. Health Physics Journal, 2016; in press.
x Ledbetter L, Salzman K, Sanders R, Shah L. Spinal Neuroarthropathy: Pathophysiology, Clinical and Imaging Features, and Differential Diagnosis. Radiographics,

2016; 36(3): 783-799.
x Ledbetter L, Salzman K, Shah L. Imaging Psoas Sign in Lumbar Spinal Infections: Evaluation of Diagnostic Accuracy and Comparison with Established Imaging

Characteristics. American Journal of Neuroradiology, 2016; 37(4): 736-741.
x Ledbetter L. 23 Chapters in Diagnostic Imaging: Health and Neck, 3rd Edition, 2016 by Koch, Hamilton, Judgins, Harnsberger.
x Mattlage A, Redlin S, Rosterman L, Harn N, Sisante J, Abraham M, Billinger S. Use of a Non-Exercise Estimate for Pre-Stroke Peak VO2 during the Acute Stroke

Hospital Stay. Cardiopulumnary Physical Therapy Journal, 2016; 27(3): 96-103.
x Pippin K, Hill J, He W, Johnson P. Outcomes of Type II Endoleaks after Endovascular Abdominal Aortic Aneurysm (AAA) Repair: A Single Center, Retrospective

Study. Clinical Imaging, 2016; 40(5): 875-879.
x Prochaska L, Damjanov I, Ash R, Olson J, Khan Q, Sharma P. Trastuzumab Emtansine associated Nodular Regenerative Hyperplasia: A Case Report and Review

of Literature. Cancer Treatment Communications, 2016; 5: 26-30.
x Rohr A, Ash R, Vadaparampil J, Hill J, Wetzel L. Disseminated Cat-Scratch Disease in an Adult with Selective IgA Deficiency. Radiology Case Reports, 2016;

11(2): 54-57.
x Rohr A, Best S, Sugumar A, Ash R. The Duplicated Pancreas: Imaging Evaluation of a Rare Anomaly Presenting as Acute Pancreatitis. OMICS Journal of

Radiology, 2016; 5(6): 1-3.
x Rohr A, Kovaleski A, Hill J, Johnson P. Thyroid Embolization as an Adjunctive Therapy in a Patient with Thyroid Storm. Journal of Vascular and Interventional

Radiology, 2016 27(3): 449-451.
x Shah V, Rixey A, Dusing R. Prostate Cancer Metastases To Inguinal Lymph Nodes Detected By Attenuation-Corrected 11C-Acetate PET/CT. Journal of Nuclear

Medicine Technology, 2016; 43(2): 115.
x Smith J, Jack M, Harn N, Bertsch J, Arnold P. Screw Placement Accuracy and Outcomes Following O-Arm Navigated Atlantoaxial Fusion - A Feasibility Study.

Global Spine Journal, 2016; 6(4): 344-349.
x Smith K, Leever J, Hylton P, Camarata P, Chamoun R. Meningioma Consistency Prediction Utilizing Magnetic Resonance Imaging Tumor to Cerebellar Peduncle

Intensity on T2-Weighted Sequence: TCTI. Ratio Journal of Neurosurgery, 2016; in press.

Zachary Collins, MD – Class of 2008

Dr. Collins is the Section Head of Interventional Radiology at KUMC and currently serves as
the principal investigator (PI) on two studies investigating the use of yttrium-90 microspheres
(Y-90) to treat hepatic malignancies. One study is an industry-sponsored study, known as the
“RESiN Registry,” which documents tumor response and survival outcomes of patients receiving Y-
90 resin microspheres at multiple medical centers throughout the U.S. Currently, KUMC enrolled 23
patients.

The other research project is an investigator-initiated study that compares delivered radiation
activity, tumor response, and survival outcomes after radioembolization of hepatic malignancies using
glass or resin Y-90 microspheres. Results suggest that both glass and resin groups have similar
tumor response outcomes, but that resin microspheres deliver a lower radiation dose and may have
slightly longer survival outcomes than glass microspheres. Recently, a manuscript on the differences
in delivered radiation activity between the two types of treatment was accepted for publication in
Health Physics Journal. Other manuscripts are currently in progress comparing tumor response and
survival outcomes.

P.3

Resident Outings Update on Education

In the fall of 2014, we created a consult
elective month for senior residents.
Participating residents were integrated as
consulting radiologists into internal medicine
rounds by conducting daily “radiology rounds”
with three clinical teams. As part of the original
pilot, we collected pre- and post-pilot survey data
from clinical physicians (residents, fellows, and
staff), as well as the consulting radiology
residents. Our initial feedback and results were
very positive. For instance, significantly more
referring clinician respondents strongly agreed
that incorporating a radiology resident into
rounds was beneficial to patients’ clinical care
(41% pre versus 67% post-pilot). From a
radiology resident perspective, 80% of residents
indicated that incorporating consulting skills into
residency training was beneficial to their
education. Given the positive results and at the
request of participating referring clinicians, we
decided to continue offering the consult elective
to senior residents. It is our hope that “radiology
rounds” will continue to improve relationships
with our referring physicians and enhance our
function as consultants. For more information,
see our brief article published in JACR, May
2016, available at
http://www.jacr.org/article/S1546-1440(15)01130-
8/pdf.

Kristin Williams, MD - Class of 2018

x Graduated Magna Cum Laude from Duke University in 2009
x Currently working on research project with Breast department investigating radiologic and

pathologic features associated with upgrade of ADH to DCIS or invasive cancer
x Future Radiology fellowship in dedicated cancer imaging at Dana-Farber Cancer Institute
x Baseball expert - husband, Matt, formerly played minor league baseball for Chicago Cubs
x Owner of three dogs, including a new 3 pound puppy named Bernard
x PB&J connoisseur

New Residency/Fellowship Co-coordinator

Lacy Bemboom

x From Jefferson City, MO
x Went to college at University of Central Missouri and graduated with a Business

Management degree
x Has a sister who is 10 years older but people frequently mistake them for twins
x Loves doing home renovation projects with my Dad
x Has a Golden doodle puppy named Libby but she goes by Liberace

P.4

Jeffrey James Peterson, MD, grew up in Dr. Peterson has many accolades including the
Independence, Missouri, having graduated RSNA Honored Educator Award in 2012. He is
from Truman High School in 1990. He pursued a prolific researcher and lecturer with over 70
a joint undergraduate and medical degree from peer-reviewed publications, 19 book chapters,
the University of Missouri Kansas City and over 200 national and international scientific
graduated in 1996. After graduating our presentations and invited lectures, and over 90
Diagnostic Radiology program in 2000, he mentored projects with residents and fellows.
received musculoskeletal radiology fellowship Dr. Peterson is currently writing Berquists
training at Mayo Clinic Florida in Jacksonville. Musculoskeletal Imaging Companion
Mayo Clinic Florida offered him a faculty (Lippincott Williams & Wilkens) due for release
position after fellowship where he has at RSNA in 2017.
remained.
When Dr. Peterson is not working, he
Dr. Peterson achieved the academic rank enjoys traveling, spending time on the beach
of Professor in 2010 at the age of 38 and near his home in Neptune Beach, Florida. He is
shortly thereafter was asked to serve as the a car enthusiast, especially for Porsches. He is
Diagnostic Radiology Residency Program an avid sports fan, cheering for the Kansas City
Director. He is currently also serving as Vice Royals, Kansas City Chiefs and the
Chairman of Radiology – Education Chair and Jacksonville Jaquars.
Chairman of the Clinical Equipment Committee
for the institution.

Faculty Spotlight

Luke Ledbetter, MD - Class of 2013

Dr. Luke Ledbetter is the newest member of the Neuroradiology Society as well as moderating head
neuroradiology section, joining in 2015. He and neck focused sessions at several national and
obtained his medical degree from Saint Louis regional meetings. He also contributed multiple
University before returning home to Kansas City to chapters to the recently published 3rd edition of
complete residency at KU. After developing Diagnostic Imaging: Head and Neck text.
interest in education and research during his
residency, he completed a two-year neuroradiology Dr. Ledbetter does not limit his practice to
fellowship at the University of Utah in Salt Lake head and neck radiology as he published two
City. papers on spine imaging in the American Journal of
Neuroradiology and Radiographics during 2016 as
After training with three past presidents of the well as co-authored two chapters for the 3rd edition
American Society of Head and Neck Radiology of Diagnostic Imaging: Brain with Dr. Anne Osborn.
during fellowship, Dr. Ledbetter developed a He is grateful to be a part of the growing Radiology
passion for head and neck imaging which department at the University of Kansas and looks
continues to be his academic focus at KUMC. He is forward to contributing to the mission of clinical,
involved nationally and regionally in the educational, and research excellence.
neuroradiology community holding committee
positions within the ASHNR and the Western Dr. Ledbetter enjoys spending time and
traveling with his wife, Monique, in his free time.

P.5

KU Radiology Issue 06 Dec 2016

3901 Rainbow Boulevard
Mailstop 4032
Kansas City, Kansas 66160
913.588.6805 ph
913.588.7899 fax
www.kumc.edu/rad

891027

RETURN ADDRESS REQUESTED