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Our recent paper shows increased success of facet synovial cyst rupture when the indirect technique can be followed by direct fenestration in cases of failure - a flexibility afforded by CT guidance. #spine Interventional Pain Medicine Troy Hutchins Lubdha Shah sciencedirect.com/science/articl…

Join me tomorrow morning to review “Chronic Cord: Intrinsic Pathologies Causing Myelopathy” in this awesome session curated by Wende Gibbs ! We’ll take a pattern-based approach through demyelination and infection/inflammation. After all, the S in #RSNA2024 is for “Spine,” right?

Not much more important than keeping your cord out of hot water 😓 Join us tomorrow to learn about the many dangers to your cord and how to diagnose them right! #RSNA24 RSNA Tim Amrhein, MD Miriam Peckham Mahmud MBMD American Society of Spine Radiology (ASSR)

Beware the insidious wave of dextrocardia

Physical examination showed “right-sided pulsatile mass in the back of the throat.” Any #RadRes know the culprit? #neurorad

Recapped this well-designed trial from Fenton et al on an educational intervention to decrease low-value LBP imaging. Even with stressing watchful waiting, imaging rates were unchanged. Patient buy-in to skip imaging has shown to be a difficult prospect. ajronline.org/doi/abs/10.221…

🚨 Neiman Institute Grant Application Deadline Extended to March 4! 🚨 We seek proposals for #research projects that will produce actionable results to pave the way for new #healthpolicy or practice advancements that improve patient outcomes & reduce #healthdisparities.

New AJR Accepted Manuscript: "Beyond the AJR: Clinician Educational Interventions May Not Be Enough to Decrease Rates of Low-Value Spinal Imaging" By Dr Miriam Peckham UofURadiology ajronline.org/doi/10.2214/AJ…

Loving the new AJNR website and format! Our team put together a new video article on how to safely perform the C1-C2 facet injection by CT. We've found these to be helpful for our patients and hope this step-by-step guide is helpful for proceduralists ajnr.org/content/46/2/4…

Finishing up day 1 at #ASSR25 Miriam Peckham discusses Biopsy Approaches and Do Not Touch Lesions J. Levi Chazen MD

Our spine vendors are so supportive that they’ll jump in to take group photos. Thank you? #ASSR25

Thank you to Dr. Aaron Paul for this beautiful #ASSR25 lecture yesterday - type 1 CSF leak can cause ALS-like upper extremity weakness due to traction on the ventral nerves. Treated a pt with this and they were able to raise their hand to give me a high five afterwards!

Our talented medical student, Kyril Cole, presents findings of C1/2 facet joint injection effectiveness over 20 years at our institution. We found 27% patients went on to surgery, and 5% had transient procedural side effects with no major adverse events. #assr25 #uofuspine

“Imaging findings consistent with headache.”

Here’s a headache. Maximum intensity projection.

"Performance of the CT-Guided C1–C2 Facet (Lateral Atlantoaxial Joint) Injection" doi.org/10.3174/ajnr.A… Miriam Peckham Lubdha Shah Troy Hutchins American Society of Spine Radiology (ASSR)

"Patient and Provider Characteristics Associated with the Receipt of Image-Guided Interventions for Low Back Pain" doi.org/10.3174/ajnr.A… Miriam Peckham American Society of Spine Radiology (ASSR)

Miriam Peckham American Society of Spine Radiology (ASSR) "URM patients had more severe LBP on presentation but received IGI less often than WNH patients. Chart analysis indicates that noncompletion of referral visits with a specialist is a key barrier to receipt of IGI in this cohort."

When you’ve got obstructive sinus disease on your mind 🫣 What is the name for this frontal subperiosteal abscess extending intracranially and into the soft tissues? #neurorad

We’ll miss her so! But proud of her and happy for Columbia Radiology !