ISSUE KU Radiology
04
DEC
2015
KU Faculty this issue
Philip Johnson, MD Letter from the Chairman P.1
Chairman Clinical Advances P.2
Ryan Ash, MD Update on Research P.3
Vice Chairman Imaging in the Ozarks P.4
Medical Director Update on Education P.5
Judson Bertsch, MD Letter from the Chairman
Shaun Best, MD
“Even if you are on the right track, you will get run
Kevin Brown, MD over if you just sit there.” -Will Rogers
Zachary Collins, MD The practice of medicine has undergone dramatic change Philip Johnson, MD, Chairman
Interventional Section Head over the past twenty years and increasingly we are seeing
integration of business and medicine. This is a national, if not The challenges of radiology will undoubtedly continue as
Glendon Cox, MD global phenomenon, and radiologists will not be immune to it. we struggle to navigate a complex and ever changing health
We find ourselves at the crossroads of becoming either care landscape. Developing the next generation of leaders and
Joy Darrah, MD engaged stakeholders or displaced bystanders. Engage or equipping them with the skills necessary to succeed is essential
disengage, get moving or just sit there, there is only one choice. to our future and the delivery of optimal patient care. Our faculty
Reginald Dusing, MD The future of our specialty demands that we take on leadership remains committed to providing high quality patient centered
Nuclear Medicine Section Head roles in areas outside our traditional domains of expertise. One care, teaching, discovery and mentoring future leaders. I am
of the biggest challenges is developing expertise in business, thankful for the opportunity to work with such a talented and
Brian Everist, MD finance and operations. There is a large gap in our training that dedicated group. As always, I thank you for your thoughts,
hobbles our ability to meet this challenge. comments and/or suggestions and hope to see many of you in
Thomas Fahrbach, MD the near future.
To address this need the KUMC Department of Radiology
Shelby Fishback, MD in partnership with the Radiology Leadership Institute (RLI) has
Residency Program Director introduced a new business and leadership curriculum for our
trainees, the first of its kind in the nation. The purpose of the
Jason Gatewood, MD curriculum is to provide training on critical topics related to
radiology business and leadership competencies. The
Crosby Gernon, MD curriculum is a two year-rotation with eight sessions per year for
a total of 16 sessions in five domains: Legal/Regulatory,
Jacqueline Hill, MPH, CHES Business Strategy/Finance, Leadership/Mentorship, Quality
Director of Research Improvement and Professionalism. The program so far has
been very well received and we have enlisted nationally and
Gary Hinson, MD internationally known speakers. I want to thank Jacque Hill,
Musculoskeletal Section Head Shelby Fishback, Glen Cox, and Mac Everist for their innovation
and hard work developing this critically important program. See
Marc Inciardi, MD page 4 for additional information about KU’s RLI curriculum.
Breast Imaging Section Head
Neville Irani, MD
Director of Quality
Luke Ledbetter, MD
John Leever, MD
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
Onalisa Winblad, MD
Wendell Yap, MD
Dual Energy Scanning Clinical Advances in Interventional Radiology
for Gout Helps Patients
Zachary Collins, MD, Section Head-Interventional, Class of 2008
Mac Everist, MD, Asst Program
Director We are pleased to announce that the KU IR department interventions to being an integral part of a multidisciplinary
has completed a comprehensive renovation as of August oncology team. The three main techniques, CT guided
Few things in medicine produce 2015. With this remodeling, it has brought great growth in microwave ablation, transarterial chemoembolization with
as much pain and apprehension as capacity for IR. We have gone from having only a handful of drug-eluting beads and Y-90 radioembolization have been able
active gout. Often times this is a pre/post bays to now 23 semi-private pre/post bays. This to help hundreds of patients. Being a large liver transplant
clinically evident diagnosis, however includes remodeling the core area within IR and brand new center it is critical to bridge patients or keep them within MILAN
the gold standard of diagnosis includes reading rooms. We now have a new CT scanner with criteria for transplant and these techniques play an important
the even more painful arthrocentesis to fluoroscopy capabilities and a C-arm room that allows for a role.
prove crystals by polarized light total of 7 procedural rooms with plans to open an eighth room
microscopy. KU Radiology now offers on January 1, 2016. New techniques are contributing to growth in IR. Tenex,
the use of dual energy CT technology a ultrasound device used for plantar fascitis, and other related
to identify monosodium urate crystals, On the horizon, the Cambridge North tower is well conditions has been successfully used with great results.
sparing patient and clinicians the underway in construction. This will make available 3 bi-plane Sphenocath, a small humble catheter for treating migraine
unpleasant needle aspiration of an IR suites and allow the complete shift of Neuro IR to the North headaches, has helped scores of patients with intractable
already painful joint. tower. Doing so will free up the old room “34” for IR body use. headaches.
Indian Creek Campus (ICC), our outpatient IR facility was
Dual energy scanning and post- opened in summer of 2012 and continues to grow. A large The IR fellowship was expanded last year from one fellow
processing technology allows precise ICC expansion is planned to double the IR capacity and we to two fellows which has gone quite well and provided for
characterization of soft tissue mineral hope to break ground soon on that project. better learning opportunities. The concept of the combined
deposition based on the differential IR/DR residency continues to mature. The ACGME just had
attenuation of the target element. Not The practice of Interventional Oncology (IO) continues to their site visit in August to certify KUMC as one of the first sites
only can this technology be used to grow and redefine the face of IR. We have gone over the last in the country to offer a combined IR/DR six year residency.
identify urate crystal deposits, but it decade from focusing on primarily vascular work and arterial
can also be used to monitor therapy
with quantification of crystal amount Faculty Spotlight
between exams.
Stanton Rosenthal, MD, FACR, Class of 1977
instructive experience. During that time, I learned a great deal
“I know him, he’s been here donkey’s years!” That’s what a about the way complex organizations work and the means
long time KUMC employee told my then new wife 30 years ago. necessary to mobilize resources to meet the organization’s
I have no idea how long donkey’s years are but it has been an needs.
interesting period since I returned here to start radiology
residency in our department in 1974. During that time, evolving Nevertheless, I was very pleased to be able to return to
in one place from a very junior to very senior radiologist I have fulltime clinical work and teaching four years ago. Teaching is
had the opportunity to observe and participate in the growth of the most satisfying aspect of my work here and the one which
our department, specialty and the medical center. continues to make me look forward to coming to work each day
now for over 40 years. The chance to help radiology residents,
An academic practice has allowed me to maintain a medical students, ultrasound technology students and staff
subspecialty focus on ultrasound throughout most of my career. understand how to use a noninvasive technology like ultrasound
I started in sono with articulated arm scanners with very little real to make a positive difference in our patients’ lives through
time and no transvaginal or Doppler capacity. It’s been accurate and effective diagnosis is by far the best part of
fascinating to help expand the reach of the subspecialty both working here.
clinically and by working with industry to facilitate computer
based ultrasound, extended field of view and harmonic imaging.
Our department did pioneering research in ultrasound
elastography which is now a commercially available technology
which gives the capacity to extend the clinical application of that
work from breast imaging to image guided noninvasive
evaluation of fibrosis in chronic liver disease patients.
I never aspired to an administrative career, but having
become the chair of Radiology suddenly because of the illness
of my predecessor, I found it a privilege to lead the department
for nine years and participate in its growth. It was a highly
P.2
Welcome New Research Team Members
Jacque Hill, CHES, Director of Research
Carissa Walter is a new Research Coordinator assisting in the development and management of departmental research projects. She recently moved
to Kansas City from Washington, DC where she worked in global health and received a Master’s in Public Health (MPH) degree from The George
Washington University. In her spare time, Carissa enjoys urban walking, running an occasional 10K, reading, and traveling.
Emily Amaro is a new Research Coordinator helping to administer departmental research activities. She previously worked as a research assistant
for the KU Cancer Center’s Biospecimen Repository Core Facility for over two years. Though she was born here at KUMC, Emily grew up in the
suburbs of Dallas and Houston, and went on to receive her Bachelor’s of Science (BS) degree in Biology from the University of Iowa in Iowa City. Her
hobbies include reading, writing, music, and hanging out with her husband, Joe, and her dog, Doug.
John Barker is a new Research Operations Fellow working to improve patient and information workflows, develop strategies to obtain and validate
patient information for clinical trials, and assure regulatory and institutional compliance within Radiology Research. John completed law school at KU
in 2012 and is currently finishing his final year of the Master’s of Health Services Association (MHSA) degree at KUMC. John enjoys traveling,
cooking, and gardening in his spare time.
Angela Barton has been a Research Coordinator in the Radiology Department since April 2013. She received a Bachelor’s of Science (BS) in
Chemistry & Biology from Sterling College and trained in Nuclear Medicine technology at Wesley Medical Center in Wichita. She received her Master’s
of Science (MS) degree from KU in 2008 and completed the Computed Tomography (CT) board certification in 2013 (30 years after taking the Nuclear
Medicine boards!) Angie previously worked in California and Utah, but returned to Kansas City 21 years ago to raise two kids and currently lives in
Shawnee with her husband, Bob, and their two Welsh Corgis.
Rosanne Hoover has been a Research Coordinator in the Radiology Department since November 2014. She assists in the administration of clinical
research studies, including data collection, documentation, image processing, electronic image uploading, and patient scanning. Rose is a registered
technologist in radiography, Computed Tomography (CT), and Nuclear Medicine, and has over 30 years experience as a technologist. In her free time,
she enjoys knitting, volunteering at her church, and spending time with her two grandchildren.
Angie and Rose initially worked together in Nuclear Medicine at KUMC in 1985 when Dr. Arch Templeton was the Chair of Radiology and Dr. Ralph
Robinson was Director of Nuclear Medicine. Together, they perform PET scans for research studies that utilize investigational radiopharmaceuticals,
such as the Carbon-11 acetate and Fluorine-18 Amyvid and Tau. They also coordinate the deidentification and digital submission of clinically acquired
imaging on patients in clinical trials across the institution.
o V Shah, A Rixey, Reginald Dusing. Prostate Cancer Metastases to Inguinal Lymph Nodes Detected by 11C-acetate PET/CTAC. J Nucl Med Technol. 2015 Jun 25.
o Eid AJ, John Leever, Husmann K. Compartmentalized Histoplasma capsulatum Infection of the Central Nervous System. Case Rep Infect Dis. 2015;2015:581415.
o Smith KA, John Leever, Chamoun RB. Predicting Consistency of Meningioma by Magnetic Resonance Imaging. J Neurol Surg B Skull Base. 2015 Sep;76(5):340-3.
o Joe Vavricek, Saad Iqbal, Aaron Rohr, L Rock, B Lang, S Hunt, J Wick, A Robinson, Sarah Schroeppel DeBacker, Trent James, Jacqueline HIll and Zach Collins.
Treatment Response in Glass Versus Resin Radioembolization of Nonresectable Hepatic Metastasis. Annual International Symposium of Endovascular Therapy (ISET).
2015.
o Zach Collins, Sarah Schroeppel-DeBacker, M Smith, A Robinson, K Werth, T Brown, Trent James, Jacqueline Hill. Survival Differences in Glass versus Resin
Radioembolization of Hepatic Malignancies. Oral presentation at the World Conference on Interventional Oncology. May 2015.
o M Wingfiled, Ryan Ash, Jacqueline Hill, A Robinson, S Hunt, J Wick. Quantification of Computed Tomography (CT) Imaging of Trauma Patients Transferred to a Tertiary
Care Teaching Institution. RSNA 2015.
o Allison Aripoli, Shelby Fishback, Jacqueline Hill, A Robinson. Rounding Radiologists: Does Clinical Collaboration Strengthen the Relationship Between Radiology
Residents and Internal Medicine Teams? RSNA 2015.
o Maryam Niroumand, Reginald Dusing, Jacqueline Hill, A Robinson, X Shen, C McClinton. Utilization of C-11 Acetate Positron Emission Tomography/Computed
Tomography (PET/CT) in Detecting Prostate Cancer Lymph Node Metastases. RSNA 2015.
o Luke Ledbetter. Spinal Neuropathy - What Radiologists Need to Know to Make a Difficult Diagnosis. Radiographics. May/June 2016.
o Allison Aripoli, Rustain Morgan, Jacqueline Hill, Shelby Fishback. Radiology Rounds: Clinical Collaboration Between Radiology Residents and Internal Medicine
Teams. JACR. 2016.
o Aaron Rohr. Thyroid Arterial Embolization as an Adjunctive Therapy in a Patient with Thyroid Storm. JVIR. 2016.
o Kaley Pippin. Midterm Outcomes of Type II Endoleaks after Endovascular Abdominal Aortic Aneurysm Repair. Manuscript in submission to JVIR.
P.3
SAVE
THE DATE!!
Sponsored by the University of Kansas Department of Radiology and University of Kansas Medical Center Continuing Education & Professional Development
KU Radiology Leadership Institute Lecture Series
Sponsored by the University of Kansas Department of Radiology in conjunction with the American College of Radiology – Radiology Leadership Institute
All lectures are hosted at the Beller Conference Center, 3901 Rainbow Blvd, Kansas City, KS 66160.
Corner of 39th Street & Rainbow, Hemenway Building, 1st Floor.
9/15/15 – 7-8AM 1/26/16 – 7-8AM
Frank Lexa, MD Nancy McCullough
Volume to Value Reimbursement Financial Statements
9/15/15 – 12-1PM 2/2/16 – 7-8AM
Frank Lexa, MD Alexander Norbash, MD
Financial Basics Strategic Practice Management
10/6/15 – 7-8AM 3/1/16 – 7-8AM
Lawrence Muroff, MD Robert Lee, PhD
Radiology Contracts Health Economics
10/6/15 – 12-1PM 4/7/16 – 7-8AM
Lawrence Muroff, MD Norman Beauchamp, MD
Evaluating Job Offers Importance of Leadership
5/26/16 – 7-8AM
Rick Leffke
Leadership Styles
P.4
Exceptional Emeritus Faculty - Solomon Batnitzky, MD Update on
Resident Education
Dr. Batnitzky was born in Johannesburg,
South Africa, where he received his Mac Everist, MD, Asst
medical degree and completed his post- Program Director
graduate training in Diagnostic Radiology
at the University of Witwatersrand in KU Radiology is delighted
Johannesburg. He immigrated to the United to announce that we are among
States in 1971 with his wife and two daughters. the first eight programs in the
He was awarded a two-year Special Fellow- country to be approved for a
ship in Neuroradiology by the National position in the new integrated
Institutes of Neurological Diseases and IR/DR (interventional radiology/
Stroke, which he completed at the Albert diagnostic radiology) residency.
Einstein College of Medicine in New York
City. In 1974, he joined the Department of As many of you know, the
Radiology at Indiana School of Medicine traditional one-year IR fellowship
as Chief of Neuroradiology. His youngest program will end nationwide in
daughter was born in Indianapolis. “I am June 2020. After completion of
very grateful to Indiana who gave the Batnitzky family their first American-born citizen and who is eligible to be President of the the conventional diagnostic
U.S.A.” The rest of his family are naturalized citizens of the U.S. In 1977, Dr. Arch Templeton recruited Dr. Batnitzky to come to radiology residency program,
Kansas City, where he was appointed Chief of Neuroradiology and Professor of Radiology at the University of Kansas Medical postgraduate IR training will
Center. In 1997, after a national search, he was appointed Chairman of the Department of Radiology at KU Medical Center. become an additional
Later he was awarded the first Arch W. Templeton Distinguished Professor of Radiology at the University of Kansas. “independent residency,” and will
consist of an additional two-year
Dr. Batnitzky believes one of the great benefits of his academic career has been the privilege of travelling all over the training program.
world. His motto could have been “have slide will travel” after Paladin of the popular T.V. and radio series “have gun will travel.”
He has lectured and delivered scientific papers in numerous countries from Canada to Argentina, the United Kingdom to Japan. The IR/DR integrated
He has authored over 200 scientific publications and scientific exhibits, many which won national and international awards, as residency enables medical
well as two textbooks on neuroradiology and numerous book chapters in other textbooks. He has held numerous leadership students who have identified an
positions on local and national radiology and neuroradiologic societies. Dr. Batnitzky’s two greatest honors, besides being Chair early interest in expedited
of Radiology at KU are: training to shave a single year off
the seven years of post-graduate
1. Being a Refresher Course Instructor at the Annual Meeting of the RSNA for nearly ten years. training. Following medical
2. Editor of the American College of Radiology’s Neuroradiology Test and Syllabus. school graduation and an intern
Dr. Batnitzky retired in 2007. In appreciation of his 31 years of “dedicated and distinguished service” to the University of year, the resident will train in
Kansas Medical Center, the University of Kansas awarded him the title of Emeritus Professor of Radiology. Since retiring, he diagnostic imaging for three
has kept busy organizing and cataloging his extensive autograph collection. He has thousands of autographs, signed letters and years (PGY-2 through PGY-4),
documents, which he has been collecting since he was eleven years old. His collection comprises politicians, historical figures, then focus almost entirely on
scientists, movie stars and other entertainers and sports’ personalities. Yet, Dr. Batnitzky still finds time to visit his three interventional radiology for the
daughters and seven grandchildren who live in the east and west coasts of America. In early 2015, he and his wife celebrated remaining two years (PGY-5 and
their 50th wedding anniversary. They celebrated this important event by visiting the cities where they met and lived after getting PGY-6).
married. They also retraced their honeymoon of 50 years ago, visiting three game parks in Botswana and one in South Africa,
which they visited on honeymoon 50 years ago! One word to describe it: “FANTASTIC”. We look forward to
recruiting our first candidate
Resident Highlight (graduation class of 2021) in the
upcoming 2016 National
Aaron Rohr, MD, Class of 2018 Residency Match Program. The
diagnostic radiology program will
x University of Kansas Radiology Resident interested in Interventional Radiology continue to have six residents
x Master’s degree in biomedical research with 3 publications, most recent accepted in per year, and will welcome the
addition of a seventh
Journal of Vascular and Interventional Radiology, 2015-16 trainee (IR/DR integrated
x Interest in automobile restoration, most recently, a 1967 Firebird Convertible resident) joining each
x From Hays, America. Home of Oktoberfest and freedom. subsequent class (for the first
x Yet to appear as “The Bachelor” due to scheduling conflict and male pattern baldness three years) as volumes continue
to climb at KUMC.
P.5
Congratulations Class of 2015 Graduates
Front Row
Rustain Morgan, MD – Nuclear Radiology, Duke University
Jill Jones, MD – Body Imaging Fellowship, University of Kansas
Allison Zupon, MD – Breast Imaging, University of Kansas
Back Row
Curtis Mick, MD – Private Practice, Manhattan, KS
Daniel Hadland, MD – Sports Medicine Fellowship,
University of Alabama – Birmingham
Jordan Chance, MD – Body Imaging Fellowship,
University of Washington
Not Pictured
Tim Manda, MD (Body Fellow) – Private Practice, Tampa Bay, FL
Kelly Kersey, MD (Breast Fellow) – Private Practice, Tupelo, MS
Brain Hamm, MD (Musculoskeletal Fellow) – Private Practice, Fargo, ND
Aaron Kovaleski, MD (Interventional Fellow) – Private Practice, Clearwater, FL
Ben Maertins, MD (Interventional Fellow) – Private Practice, Omaha, NE
P.6
KU Radiology Issue 04 Dec 2015