Evidence-Based Insights on Transthoracic Needle Biopsy

*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "request-WEB:e5fd8283-e54f-448f-b002-d3203624b2a4-0" data-testid= "conversation-turn-2" data-scroll-anchor="true" data-turn= "assistant"> Dr. Venkat Katapatna breaks down the newly adopted MASLD nomenclature and its implications for diagnosing and managing metabolic dysfunction–associated steatotic liver disease. He highlights updated AASLD guidelines, the expanding role of advanced imaging, and how radiologists are central to early detection, treatment selection, and longitudinal disease monitoring. Current Update on Nomenclature, Diagnosis,and Management of Metabolic Dysfunction–associated Steatotic Liver Disease:Radiologists' Perspective. Osta et al. RadioGraphics 2025; 45(12):e240221.   

Dr. Mary-Louise Greer and Dr. Caroline Rutten explore 23 years of data on pediatric playground trauma, highlighting clear injury patterns, the unique features of the growing skeleton, and the diagnostic pitfalls radiologists must watch for. They discuss why equipment like monkey bars contributes so disproportionately to upper-extremity fractures and share practical insights to improve confidence in interpreting these cases. Pediatric Playground Trauma.  Rutten et al. RadioGraphics 2025; 45(11):e250078.

Dr. Refky Nicola speaks with Dr. Sudhakar Venkatesh from Mayo Clinic about the imaging manifestations of alcohol use disorder and its widespread impact on the brain, liver, heart, lungs, and musculoskeletal system. The discussion highlights key radiologic findings, from Wernicke's encephalopathy to hepatic fibrosis, and explores how advanced MRI techniques aid in diagnosis and management. Imaging Manifestations of AlcoholUse–associated Disorders and Diseases. Venkatesh et al. RadioGraphics 2025; 45(7):e240189. 

Host Dr. Lily Wang speaks with Dr. Aakanksha Sriwastwa about the clinical and imaging features of motor neuron diseases and CNS tractopathies. They explore how careful neuroanatomic understanding and MRI patterns help narrow the differential and guide diagnosis. Motor Neuron Diseases and Central Nervous System Tractopathies: Clinical-Radiologic Correlation and Diagnostic Approach. Desai et al. RadioGraphics 2025; 45(1):e240067.

*]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "request-WEB:670da000-bede-4b08-a9ed-aa555b7eaf6c-4" data-testid= "conversation-turn-10" data-scroll-anchor="true" data-turn= "assistant"> Dr. Bahar Mansoori explores how musculoskeletal complications from radiation therapy and immunotherapy can mimic metastatic disease and pose diagnostic challenges. She discusses key imaging patterns, pitfalls, and strategies radiologists can use to improve accuracy and patient care.   Musculoskeletal Complications of RadiationTherapy and Immunotherapy. Azhideh and Haseli et al. RadioGraphics 2025; 45(10):e250014. 

Dr. Cecil Wood discusses the RadioGraphics article "Internal Hernias after Roux-en-Y Gastric Bypass: Clues to a Challenging Diagnosis", highlighting why these complex and potentially dangerous complications remain difficult to identify. He explains surgical anatomy, risk factors, and key CT signs, offering a systematic approach to improve diagnostic accuracy for radiologists. Internal Hernias after Roux-en-Y Gastric Bypass:Clues to a Challenging Diagnosis. Wood et al. RadioGraphics 2025; 45(10):e240197.  

Dr. Jack Jennings from Washington University in St. Louis discusses thermoprotection techniques for musculoskeletal ablation, highlighting strategies to safeguard vital structures during image-guided procedures. Drawing on nearly two decades of experience, he emphasizes both passive and active protective approaches that enhance safety and effectiveness in treating benign and malignant lesions. Thermal Protection Techniques for Image-guided Musculoskeletal Ablation. Thurlow et al. RadioGraphics 2025; 45(4):e240078.

Dr. Shravan Sridhar explores the evidence-based approach to transthoracic needle biopsy, covering indications, performance metrics, complications, and risk mitigation strategies. Listeners will gain practical insights on patient selection, technical considerations, and navigating controversial scenarios to optimize outcomes in clinical practice. Evidence-based Approach to Transthoracic Needle Biopsy: Procedural Techniques, Risks, and Controversies. Sridhar et al. RadioGraphics 2025; 45(9):e240094.

Drs. Sophia O'Brien Austin Pantel, explore the role of 18F-Fluoroestradiol (FES) PET-CT in the diagnosis and management of ER-positive breast cancer. They review key findings from their RadioGraphics article, discuss updates to national guidelines, and highlight how FES imaging improves patient care by assessing estrogen receptor expression across all sites of disease. 18F-Fluoroestradiol: Current Applications and Future Directions. O'Brien et al. RadioGraphics 2023; 43(3):e220143

Host Dr. Refky Nicola summarizes a recent review article from RadioGraphics. Find out how to stand out from the crowd and create your own outstanding exhibit.  Creating an Award-winning RSNA Education Exhibit. Albasha and Burkett et al. RadioGraphics 2022; 42:E106-E108.