|
1
|
Wood ML, Fanburg-Smith JC, Brian JM, White JC, Powell JL, Freiberg AS. Successful Crizotinib-targeted Therapy of Pediatric Unresectable ERC1::ALK Fusion Sarcoma. J Pediatr Hematol Oncol 2024; 46:e184-e187. [PMID: 38099690 PMCID: PMC10898542 DOI: 10.1097/mph.0000000000002777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 10/01/2023] [Indexed: 02/28/2024]
Abstract
Anaplastic lymphoma kinase ( ALK )-fusion sarcomas are rare part of the emerging theoretically targetable tyrosine kinase RAS::MAPK pathway fusion myopericytic-ovoid sarcomas. We report our clinicopathologic and treatment experience with an ALK fusion sarcoma. A novel ELKS/RAB6-interacting/CAST family member 1 - unaligned ALK fusion infiltrative nonmetastatic low-grade sarcoma of the right hand of a 15-month-old male was treated with crizotinib, an ALK tyrosine kinase inhibitor as oral monotherapy, inducing complete radiographic and clinical resolution by 10 months and sustained response now over 12 months after elective discontinuation. Crizotinib can successfully be used to treat unresectable novel ALK fusion sarcomas.
Collapse
Affiliation(s)
- Megan L Wood
- Department of Obstetrics and Gynecology, Stony Brooke University, New York, NY
| | | | | | - Jason C White
- Department of Pediatric Oncology, St. Christopher's Hospital for Children, Philadelphia, PA
| | - Jonathan L Powell
- Department of Pediatric Hematology and Oncology, Nemours Children's Health, Wilmington, DE
| | - Andrew S Freiberg
- Pediatric Hematology/Oncology, Penn State College of Medicine, Hershey
| |
Collapse
|
|
2
|
Morin CE, Karakas P, Vorona G, Sreedher G, Brian JM, Chavhan GB, Chung T, Griffin LM, Kaplan SL, Moore M, Schenker K, Subramanian S, Aquino M. The Society for Pediatric Radiology Magnetic Resonance Imaging and Emergency and Trauma Imaging Committees' consensus protocol recommendation for rapid MRI for evaluating suspected appendicitis in children. Pediatr Radiol 2024; 54:12-19. [PMID: 38049531 DOI: 10.1007/s00247-023-05819-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 11/15/2023] [Accepted: 11/17/2023] [Indexed: 12/06/2023]
Abstract
The imaging evaluation of acute abdominal pain in children with suspected appendicitis has evolved to include rapid abdominopelvic MRI (rMRI) over recent years. Through a collaborative effort between the Magnetic Resonance Imaging (MRI) and Emergency and Trauma Imaging Committees of the Society for Pediatric Radiology (SPR), we conducted a survey on the utilization of rMRI to assess practice specifics and protocols. Subsequently, we present a proposed consensus rMRI protocol derived from the survey results, literature review, and discussion and consensus between committee members.
Collapse
Affiliation(s)
- Cara E Morin
- Department of Radiology, Cincinnati Children's Hospital and University of Cincinnati College of Medicine, 3333 Burnet Ave, Cincinnati, OH, 45229, USA.
| | | | - Gregory Vorona
- Department of Radiology, The Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, USA
| | | | - James M Brian
- Department of Radiology, Penn State Children's Hospital, Penn State Health, Penn State College of Medicine, Hershey, USA
| | - Govind B Chavhan
- Diagnostic Imaging Department, The Hospital for Sick Children and Department of Medical Imaging, University of Toronto, Toronto, Canada
| | - Taylor Chung
- UCSF Benioff Children's Hospital Oakland, Oakland, USA
| | | | - Summer L Kaplan
- Department of Radiology Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA
| | - Michael Moore
- Department of Radiology, Nemours Children's Health, Wilmington, DE, USA
| | - Kathleen Schenker
- Department of Radiology, Nemours Children's Hospital, Wilmington, DE, USA
| | | | - Michael Aquino
- Section of Pediatric Imaging, Cleveland Clinic Imaging Institute and Cleveland Clinic Lerner College of Medicine of Case Western University, Cleveland, USA
| |
Collapse
|
|
3
|
Spilseth B, McKnight CD, Li MD, Park CJ, Fried JG, Yi PH, Brian JM, Lehman CD, Wang XJ, Phalke V, Pakkal M, Baruah D, Khine PP, Fajardo LL. AUR-RRA Review: Logistics of Academic-Industry Partnerships in Artificial Intelligence. Acad Radiol 2022; 29:119-128. [PMID: 34561163 DOI: 10.1016/j.acra.2021.08.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 07/29/2021] [Accepted: 08/07/2021] [Indexed: 12/27/2022]
Abstract
The Radiology Research Alliance (RRA) of the Association of University Radiologists (AUR) convenes Task Forces to address current topics in radiology. In this article, the AUR-RRA Task Force on Academic-Industry Partnerships for Artificial Intelligence, considered issues of importance to academic radiology departments contemplating industry partnerships in artificial intelligence (AI) development, testing and evaluation. Our goal was to create a framework encompassing the domains of clinical, technical, regulatory, legal and financial considerations that impact the arrangement and success of such partnerships.
Collapse
Affiliation(s)
- Benjamin Spilseth
- Department of Radiology, University of Minnesota Medical School, Minneapolis, Minnesota
| | - Colin D McKnight
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Matthew D Li
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Christian J Park
- Department of Radiology, Penn State Health, Milton S. Hershey Center, Hershey, Pennsylvania
| | - Jessica G Fried
- Department of Radiology, University of Michigan, Ann Arbor, Michigan
| | - Paul H Yi
- Department of Radiology and Diagnostic Imaging, University of Maryland Intelligent Imaging (UMII) Center, University of Maryland School of Medicine & Malone Center for Engineering in Healthcare, Johns Hopkins University Whiting School of Engineering, Baltimore, Maryland
| | - James M Brian
- Department of Radiology, Penn State Health, Penn State Children's Hospital, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
| | - Constance D Lehman
- Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
| | | | - Vaishali Phalke
- Department of Radiology, University of Florida, Gainesville, Florida
| | - Mini Pakkal
- Department of Radiology, University of Toronto, Toronto, Canada
| | - Dhiraj Baruah
- Department of Radiology and Radiological Science; Medical University of South Carolina, Charleston, South Carolina
| | - Pwint Phyu Khine
- Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - Laurie L Fajardo
- Department of Radiology and Radiological Sciences, University of Utah, 1950 Circle of Hope - 3rd floor Breast Imaging Clinic, Salt Lake City, UT 84112.
| |
Collapse
|
|
4
|
Chetlen AL, Chan TL, Ballard DH, Frigini LA, Hildebrand A, Kim S, Brian JM, Krupinski EA, Ganeshan D. Addressing Burnout in Radiologists. Acad Radiol 2019; 26:526-533. [PMID: 30711406 DOI: 10.1016/j.acra.2018.07.001] [Citation(s) in RCA: 98] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 07/03/2018] [Accepted: 07/05/2018] [Indexed: 01/01/2023]
Abstract
Burnout is a global health problem affecting physicians across all medical specialties. Radiologists, in particular, experience high rates of burn out, and this trend has only continued to worsen. The "Promoting Health and Wellness for Radiologists Task Force of the Association of University Radiologists-Radiology Research Alliance" presents a review of the prevalence, causes, and impact of burnout among radiology faculty and trainees, and a discussion on strategies for overcoming burnout and promoting overall health and well-being among radiologists.
Collapse
Affiliation(s)
- Alison L Chetlen
- Penn State Health, Milton S. Hershey Medical Center, Department of Radiology, Division of Breast Imaging, 30 Hope Drive, Suite 1800 EC 008, Hershey, PA 17033.
| | - Tiffany L Chan
- Penn State Health, Milton S. Hershey Medical Center, Department of Radiology, Hershey, PA 17033
| | - David H Ballard
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | | | | | - Shannon Kim
- Eastern Virginia Medical School, Department of Radiology, Norfolk, VA 23501
| | - James M Brian
- Penn State Health, Milton S. Hershey Medical Center, Department of Radiology, Division of Pediatric Radiology, Hershey, PA 17033
| | | | - Dhakshinamoorthy Ganeshan
- University of Texas, Department of Diagnostic Radiology, MD Anderson Cancer Center, Houston, TX 77030-4009
| |
Collapse
|
|
5
|
Moore MM, Brian JM, Methratta ST, Hulse MA, Choudhary AK, Eggli KD, Boal DKB. MRI for clinically suspected pediatric appendicitis: case interpretation. Pediatr Radiol 2014; 44:605-12. [PMID: 24442340 DOI: 10.1007/s00247-013-2866-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Revised: 10/28/2013] [Accepted: 12/19/2013] [Indexed: 12/01/2022]
Abstract
As utilization of MRI for clinically suspected pediatric appendicitis becomes more common, there will be increased focus on case interpretation. The purpose of this pictorial essay is to share our institution's case interpretation experience. MRI findings of appendicitis include appendicoliths, tip appendicitis, intraluminal fluid-debris level, pitfalls of size measurements, and complications including abscesses. The normal appendix and inguinal appendix are also discussed.
Collapse
Affiliation(s)
- Michael M Moore
- Division of Pediatric Radiology, Department of Radiology, Penn State Milton S. Hershey Medical Center, Mail Code H066, 500 University Drive, P.O. Box 850, Hershey, PA, 17033-0850, USA,
| | | | | | | | | | | | | |
Collapse
|