Tag Archives: Radiology

Celebrating lives saved by TMC lung cancer screening

Dr. Justin Stowell, a radiology resident at Truman Medical Center, talked about the success of an early lung cancer screening program he leads.

The UMKC Health Sciences District marked Lung Cancer Awareness Month on Thursday with “Smokin’ Out Lung Cancer,” a midday event that outlined the district’s early lung cancer screening, treatment and prevention efforts, led by Truman Medical Centers.

TMC’s screening program emphasizes early detection and treatment for longtime smokers and ex-smokers. The event Thursday celebrated its patients’ and doctors’ success in committing to healthy living and saving lives. The screening program uses low-dose CT scans and is the only one in the nation to be driven by resident physicians, who are supervised by faculty from the UMKC School of Medicine.

Among the speakers at the event was Dr. Justin Stowell, the radiology resident who started the screening program and who has compiled statistics on its early success. When lung cancer is detected in its early stage, he said, cure rates of 70 to 80 percent are possible.

And besides catching lung cancer early, Stowell said TMC’s  program has had success in getting more than one-fifth of the people tested to quit smoking.

Lung cancer is responsible for 155,000 U.S. deaths a year, more than breast, prostate and colon cancer combined, which emphasizes the need for awareness events such as “Smokin’ Out Lung Cancer.” Stowell also noted that Medicare covers the early screening for many longtime smokers, and insurance companies have been adding coverage as the success of the screenings has been demonstrated.

The event, which included a barbecue lunch, was attended by some lung cancer survivors who had benefited from the screenings and subsequent treatment or surgery to remove their cancer. A video was shown that told the survival story of Thaddus Owens, who was at the luncheon.

The event also drew some smokers whose doctors had encouraged them to attend. One of them was 64-year-old Carl Kendall, who said he had tapered off in recent years but still smoked at least half a pack a day.

“I started smoking in 1968,” he said. “I have a doctor’s appointment next week, and I’m going to ask about this screening.”

Charlie Shields, TMC president and CEO, kicked off the presentations. Besides highlighting the screening program’s success, he noted that “Smokin’ Out Lung Cancer” was the first event sponsored by the UMKC Health Sciences District—a newly formed, premier academic health district made up of collaborating health care institutions on Hospital Hill.

Representatives of the School of Pharmacy presented information on smoking and lung cancer.

 “Truman Medical Centers is proud to be part of this exciting partnership,” Shields said. “The UMKC Health Sciences District is proving to do what it was intended, and that is to improve the health of the community in a variety of ways.”

The UMKC Health Sciences District is a cooperative partnership formed by 12 neighboring health care institutions on Hospital Hill: University of Missouri- Kansas City and its School of Medicine, School of Nursing and Health Studies, School of Pharmacy and School of Dentistry; Truman Medical Centers; Children’s Mercy; Kansas City, Missouri, Health Department; Missouri Department of Mental Health Center for Behavioral Medicine; Jackson County Medical Examiner; Diastole Scholars’ Center; and Ronald McDonald House Charities of Kansas City. 


“Smokin’ Out Lung Cancer”

The UMKC Health Sciences District kicked off November’s Lung Cancer Awareness Month by hosting “Smokin’ Out Lung Cancer.” Truman Medical Centers took the lead in the BBQ luncheon event, which raised awareness about lung cancer and lung cancer screening for trainees, faculty, staff, students and patients from across Hospital Hill. It also doubled as a celebration of the initial successes of TMC’s lung cancer screening program — the only resident-driven program in the country. For photos of the event, check our events page.

In the first 18 months after forming the multidisciplinary lung screening program, residents and fellows from UMKC successfully screened over 470 patients — a number that continues to grow. The cancer detection rate based on preliminary data is 27 cancers/1000 scans, which is more than five times the detection rate reported nationally in the ACR National Radiology Data Registry. Moreover, the majority of the lung cancers identified through the TMC program have been found at early, treatable stages, which is the ultimate goal of the screening CT.

The Radiology Department also saw more than half of the screened patients enter the path to living smoke-free. More than 22 percent of these patients QUIT SMOKING and the remainder decreased their habit — all within 18 months of screening.

For more information on the event and lung cancer awareness month, click here and check out the following interview with KSHB.com

Students win awards in Missouri ACP poster competition

Gaurav Anand won the student poster presentation competition at a recent meeting of the Missouri chapter of the American College of Physicians.

Two students received awards for their research posters at the Missouri chapter of the American College of Physicians annual meetings at Osage Beach. The meetings took place Sept. 15-18.

Fifth-year student Gaurav Anand captured the first prize and Danielle Cunningham, also a fifth-year student, placed third in the student poster presentations.

Danielle Cunningham

Anand conducted his research at the Vision Research Center with Peter Koulen, Ph.D., Director of Basic Research and Felix and Carmen Sabates Missouri Endowed Chair in Vision Research, and Christa Montgomery, Ph.D., Research Scientist at the Vision Research Center. He titled his winning poster, Pharmacological control of oxidative stress-mediated effects on endocannabinoid signaling pathways.

“I was interested in the field of neuroscience and ophthalmology,” Anand said. “I wanted to start conducting basic science research in order to further explore my interest in these areas before attempting to conduct clinical research.”

With his first place award, Anand is now eligible to take part in the poster competition at the national ACP meeting next March in San Diego.

“Working alongside two outstanding mentors, Dr. Koulen and Dr. Montgomery, I have gained an immense amount of experience and have learned everything from performing basic science techniques to using complex imaging and data analysis programs,” Anand said. “I have also become familiar with the process of compiling data, graphs, and other information in order to create a presentable research poster. All in all, the experience I have gained will be very beneficial for the research projects I conduct in the future.”

Cunningham placed third with her poster, Neuroradiologic characteristics of astrobastoma and systemic review of the literature: 2 new cases and 125 cases reported in 59 publications.

At the meeting, five students and 13 residents from the School of Medicine presented posters. The Missouri ACP competition drew 20 student posters and 80 posters from residents of medical schools throughout the state.

Collaborate with Radiology, virtually anywhere

Polycom ‘Real Presence’ provides accessibility, efficiency

Doug Rivard, DO, Radiology Department Chair, tests the Real Presence collaboration tool with Steven Shapiro, MD, MDSA, Director-Division of Child Neurology. (Dr. Shapiro is visible on the screen to the left.) Doug Rivard, DO, Radiology Department Chair, tests the Real Presence collaboration tool with Steven Shapiro, MD, MDSA, Director-Division of Child Neurology. (Dr. Shapiro is visible on the screen to the left.)

Dr. Doug Rivard and his Radiology team can’t be in person everywhere at once to read images, but the Polycom “Real Presence” tool installed on every Children’s Mercy Hospital PC makes radiologists available to collaborate with providers virtually anywhere, anytime.

“We want to make subspecialty radiology expertise more available for our referring physicians,” said Dr. Rivard, Radiology Department Chair. “We’ve adopted the ‘Real Presence’ tool so that providers can connect with the radiologist who interpreted their patient’s study regardless of their respective locations to view diagnostic images and collaborate in real time.”

Radiology has collaborated mostly with CM orthopaedic surgeons by scrolling through images on monitors and discussing the imaging findings in real time while the patient and surgeon are in the operating room.

“We’ve proven it works,” Dr. Rivard said.

Radiology_polycom2 Doug Rivard, DO, Radiology Department Chair, tests the Real Presence collaboration tool with Steven Shapiro, MD, MDSA, Director-Division of Child Neurology. (Dr. Shapiro is visible on the screen to the left.)

Richard Schwend, MD, FAAP, Orthopaedic Surgery, Director-Orthopaedic Research Program and Chair of the American Academy of Pediatrics Section on Orthopaedics, described the benefits of collaborating with Radiology via Real Presence.

“We have been collaborating with our Radiology colleagues in the operating room with the O arm (surgical imaging system) during spine surgery,” Dr. Schwend said. “Patients with scoliosis may have a very distorted spine, making it most important to accurately place pedicle screws during surgery as fixation points for connecting the rods. After the screws are placed and the O arm is used to image the accuracy of the screws, our radiologist has been able to review with us in real time the actual O arm images. By doing this, we are able to examine the placement and accuracy of each screw.

“By having our radiologist going through each image with us, we get the benefit of their experienced eyes and an immediate second opinion,” Dr. Schwend added. “This way we can continue attending to the surgery but still be assured that we have thoroughly looked at the radiographic images. Any screws not in the optimal position can be replaced or removed before the rods are connected. This makes for more successful and safer surgery and decreases chance of needing to revise the implants later.”

Dr. Rivard said, “We’re confident that collaborating with other providers will be just as beneficial and successful as our work with Orthopaedics. The Polycom Real Presence tool will greatly enhance efficiency for specialty providers and for the Department of Radiology. We encourage our colleagues to take advantage of this resource to provide even better care for our patients.”


UMKC Student receives Sarah Morrison Scholarship for “Neuroradiologic Characteristics of Astroblastoma” research project

October 2015 Sarah Morrison Student Research Award recipients with Dr. Agostino Molteni, Director of Student Research. (L-R: Tarana Gill, Brooks Gimmis, Ravali Gummi, Danielle Cunningham, Dr. Molteni, Omar Qayum, Nidhi Reddy, and Megan Lilley)
The Office of Student Research has selected seven students to receive the October 2015 Sarah Morrison Student Research Awards. Among the recipients is Danielle Cunningham, who completed a month of research working on a project with UMKC faculty members Lisa Lowe, MD, and Natasha Acosta, MD. The project entitled “Neuroradiologic Characteristics of Astroblastoma and Systematic Review of the Literature: 2 New Cases and 125 Cases Reported in 59 Publications,” was presented at the Society for Neuro-Oncology by Ms. Cunningham and has been accepted for publication in the journal, Pediatric Radiology. Sarah Morrison awards of up to $1,500 are given to UMKC School of Medicine students twice a year to provide funding to help students learn the value and application of research in the study of medicine. Students who receive awards are expected to present results of their research at the UMKC Student Research Summit and may be invited to present at other similar venues. For further information on this year’s awardees, or if you are interested in applying for the award (April 1 and Oct. 1 deadlines each year), visit the Office of Research Administration’s student research website at http://med.umkc.edu/ora/student_awards/.

Walker to chair case-based review course for national radiology conference

The American Roentgen Ray Society has honored Chris Walker, M.D., assistant professor of radiology. He will serve as the thoracic imaging section chair for the organization’s case-based review course at next spring’s 2016 national meeting in Los Angeles.

The course provides diagnostic imaging cases in 11 subspecialties that help prepare residents for upcoming exams and private practice. It also helps practicing radiologists refine their skills with an in-depth approach to learning.

In addition to his administrative role as section chair, Walker will facilitate a case review focused on pulmonary fibrosis. He was selected to lead a chest imaging case review on pleura/diaphragm in 2014.

The society is the oldest radiology society in the world and the organization’s annual meeting is the second-largest radiology meeting each year. School of Medicine professor of radiology and a past president of the society, Melissa Rosado de Christenson, M.D., initiated the case-based review courses at the national meetings.

Cunningham receives student scholarship in interventional radiology

4 sno up close

Fourth-year medical student Danielle Cunningham recently received a student travel scholarship to attend the next Society of Interventional Radiology Annual Scientific Meeting.

The award provides funding for selected medical students to take part in sessions of the organization’s upcoming meetings in April 2016 in Vancouver, British Columbia. Student training programs will focus on topics ranging from the history of interventional radiology to cutting-edge clinical approaches and procedures in vascular disease, pediatrics, liver disease and research.

“The Society of Interventional Radiology scholarship will help me learn about how to succeed in the residency match process, as well as the newest techniques in interventional radiology,” Cunningham said. “I’m especially excited for the classes about interventional oncology, which uses interventional radiology techniques to treat cancer.”

Students are selected to receive the scholarship based on applications that include their CV, short essays on interventional radiology questions and recommendations by mentors or instructors.

Local study wins Best Paper Award at international meeting

L to R: Doug C. Rivard, D.O., Brent Reading, M.D., & Brent Culley

A report by School of Medicine faculty on tPA (tissue plasminogen activator) as a treatment for abscesses following perforated appendicitis received the “Best Paper Award” at the combined British Association of Pediatric Surgeons (BAPS) and International Pediatric Endosurgery Group (IPED) meeting July 22-26 in Edinburgh, Great Britain.

Shawn St. Peter, M.D., professor of surgery and Director of the Children’s Mercy Hospital Center for Prospective Clinical Trials, coordinated the study and presented the paper. Doug C. Rivard, D.O., associate professor and chair of radiology at CMH, was a senior author.

The paper evaluated the effectiveness of tPA in resolving abscesses that developed following perforated appendicitis. The study found no advantage to using tPA over saline for irrigation of the abscess cavity, and that there was actually increased drainage and additional cost with use of the tPA.

Other authors included Sohail Shah, M.D., assistant professor of surgery, David Juang, M.D., assistant professor of surgery, Brent Reading, M.D., assistant professor of radiology, Brent Culley, George W. Holcomb III, M.D./MBA, professor of surgery, and Susan Sharp, Ph.D., the study’s clinical coordinator.

The meeting was the first joint meeting of the BAPS and IPEG and drew more than 700 pediatric surgeons from around the world.

7th year in a row; UMKC faculty students and residents receive Awards at RSNA


Members of the Radiology Department at UMKC had another strong showing at RSNA in Chicago, IL. RSNA was attended by more than 40,000 this year, and more than 1200 posters were displayed. Awards ranged from Magna Cum Laude, which is given to only about 30 posters, to 4 Certificate of Merits and requests to publish in RadioGraphics. Several persons co-authored more than one poster. A variety posters authored by UMKC facultyresidents and *medical students are as follows.

  • Magna Cum Laude, Radiol Soc Amer (RSNA) meeting. Chicago, Il. Hemorrhagic and Vascualar Complications in Lung Infections: High-Resolutaion CT and Pathological Findings. Franquet TC, Rosado De Christenson ML, Kanne JP, Marchiori E, Martinez-Jimenez S, Gimenez A.
  • Certificate of Merit, Radiol Soc N Amer (RSNA) meeting. Chicago, IL. Bronchial Arteries: Anatomy, Function, Hypertrophy and Interventions. Rosado De Christenson ML, Martinez-Jimenez S, Walker CM, Kunin JR, Wible BC.
  • Certificate of Merit, Radiol Soc N Amer (RSNA) meeting. Chicago, IL. Thoracic Metastases from Gynecological Neoplasms: How They Differ from Other Metastases, Specific Patterns of Spread, and Pitfalls in Imaging Interpretation. Martinez-Jimenez S, Rosado De Christenson ML, Walker CM, Kunin JR, Betancourt Cuellar SL, Pettavel PP.
  • Certificate of Merit, Radiol Soc N Amer (RSNA). Chicago, IL. Sacroplasty: “A Remedy for Pains in the Butt?” *Bhatt M, Adler K, Strand LA, Wible BC.
  • Certificate of Merit, Radiol Soc N Amer(RSNA). Chicago, IL. MRI of pediatric liver masses. *Loeb JV, *Collard MD, Keup CLowe LHKnowlton JQ.

Prof Savvas Andronikou: First UMKC Department of Radiology International Visiting Professor

andronikou2_12413The University of Missouri-Kansas City School of Medicine Department of Radiology had the honor of hosting its first international visiting professor on Dec 4 and 5, 2013. Dr. Savvas Andronikou, the only pediatric radiologist in South Africa, spent two days in the Departments of Radiology at Children’s Mercy and Saint Luke’s Hospital teaching and learning radiology. Dr. Andronikou spoke on international radiology outreach opportunities and imaging of Tuberculosis in children in South Africa.

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Professor Andronikou was trained at Witwatersrand Medical School in South Africa. He did his radiology training at Whittington and Great Ormond Street Hospitals in London, UK and received his PhD from the Univ of Cape Town. He is full professor, is currently President of the College of Radiologists of South Africa and Chairman of the South African Society of Pediatric Imaging. He has published more than 200 papers, books and book chapters, has delivered in excess of 165 visiting talks all over the world, is on the editorial board of Pediatric Radiology, was Chief Editor of the South African Journal of Radiology for 3 years, and has organized several radiology courses and meetings in South Africa. He has been a recipient of the Derek Harwood-Nash Scholarship (‘01), the Maurice Weibren Award from the College of Radiology (‘02), was the Derek Harwood Nash fellow (‘07), and received awards for his research from the University of Stellenbosch(’07) and the University of Witwatersrand (‘12). Most recently, the Society for Pediatric Radiology selected Dr. Andronikou to receive the prestigious distinction of 2013 Honorary Member.

Currently, Dr. Andronikou is the Chairman of Outreach for the World Federation of Pediatric Imaging (WFPI). In this role he has relentlessly worked to arrange training in pediatric radiology in Africa and has helped establish service opportunities in Africa through teleradiology connections between various institutions across the world. Perhaps one of his greatest accomplishments is the time he gives to numerous types and levels of mentees at multiple South African universities helping them perform research with very limited support in the face of extensive public health challenges.  He inspires learners near and far with a dynamic lecture style that is engaging, energetic and humorous all at the same time. Further, he has the knack of using his experience to make complex subjects seem simple. The Department of Radiology at UMKC SOM is fortunate to have Prof. Savvas Andronikou as its 1st International Visiting Professor.