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- Plastic Bowing Fracture Ulna
8 Year Old Male With Trauma Due To A Fall. Diagnosis? • Xray of the Week Figure 1. What is the important finding? Figure 2 A: AP view radiograph of right forearm. Acute transverse fracture of distal radius visualized (green arrow). B: Lateral radiograph view of right forearm. Angulation of ulna visualized (red arrows). Discussion: The above imaging findings occurred in an 8-year-old child with a trauma after a fall. An angulated fracture of the distal midshaft radius is also visualized, but there is also bowing of the ulna that is more appreciated on the lateral radiograph view. Forearm fractures are common in pediatric populations, likely due to the intrinsic elasticity and uniquely thinner cortex as compared to adult bones [1]. Radiographically, bowing fractures may show visible bending on radiographic imaging, however, as in this case if the bending occurs within the same plane of the radiograph, there may be no visible deformities on radiographic imaging [2]. Unlike other fractures, plastic bowing fractures do not produce a characteristic fracture line, but rather can produce subtle angular changes that appear as “bending” of the bone [3]. Additionally, in contrast to other fractures, the subsequent healing process for a bowing fracture does not involve a periosteal reaction [4]. As seen in this patient, bowing fractures can also be associated with a conventional fracture in the paired bone. The fracture often manifests in children who present with localized symptoms of pain and swelling after falls on an outstretched hand, and in many cases, the child is playing or participating in common childhood activities like climbing monkey bars or jumping. Plastic bowing fractures most commonly occur in the forearm, but may also be found in the clavicle, fibula, and other long bones. The mechanism of injury often entails an angulated force on the bone producing longitudinal compression, that exceeds the intrinsic elasticity of the bone [4] . Most fractures that disrupt the cortical makeup of a bone exceed intrinsic plasticity, which produces classical fractures [4]. However, due to the natural growth patterns of the bone in pediatric populations, the response of the bone to a force exceeding the elastic injury is a response of bowing, which occurs proportionally to the force [4]. Microscopically, there are microfractures occurring along the bowing edge of the bone, but this is often not appreciated on the radiograph [3]. The bowing often appears fluid-like. Intervention is often not required in most cases, unless when angulation is measured to more than 10 degrees or in children older than 10 years [5, 6]. The decision for reduction may be a dilemma for clinicians, as increased angulation and older age of children may be associated with long-term osteoarthritis [7]. Other differentials that may be considered are buckle fractures, physiological bowing, stress fractures, and greenstick fractures. Due to the subtle presentations of these fractures on radiographs, clinicians need to maintain a high index of suspicion for these injuries in susceptible pediatric populations. References: Kalkwarf HJ, Laor T, Bean JA. Fracture risk in children with a forearm injury is associated with volumetric bone density and cortical area (by peripheral QCT) and areal bone density (by DXA). Osteoporos Int. 2011;22(2):607-616. doi:10.1007/s00198-010-1333-z Sawkar, A.; Swischuk, L; Jadhav, S. Plastic Bending Fractures in Children, Contemporary Diagnostic Radiology: 2011; (34): 1-6. doi:10.1097/01.CDR.0000406379.59531.8d Crowe JE, Swischuk LE. Acute bowing fractures of the forearm in children: a frequently missed injury. AJR Am J Roentgenol. 1977;128(6):981-984. doi:10.2214/ajr.128.6.981 Borden S 4th. Roentgen recognition of acute plastic bowing of the forearm in children. Am J Roentgenol Radium Ther Nucl Med. 1975;125(3):524-530. doi:10.2214/ajr.125.3.524 Vorlat P, De Boeck H. Bowing fractures of the forearm in children: a long-term followup. Clin Orthop Relat Res. 2003;(413):233-237. doi:10.1097/01.blo.0000072901.36018.25 Vervaecke AJ, Nuyts R, Sys J. The importance of adequate diagnosis of pediatric forearm bowing fractures: A case report. Trauma Case Rep. 2021;34:100508. doi:10.1016/j.tcr.2021.100508 Dhillon PS, Currall V, Shannon MN. Traumatic plastic deformation of the tibia: case report and literature review. Ann R Coll Surg Engl. 2012;94(1):e30-e32. doi:10.1308/003588412X13171221498947 Usha Trivedi is a medical student at Rutgers New Jersey Medical School with aspirations to become a diagnostic radiologist. She completed her undergraduate education at The College of New Jersey with a major in Biology and a minor in Art History. She is drawn to radiology due its unique blend of technology, art and medicine that is rooted in patient care. Her first exposure to radiology was through clerkships in medical school, where she saw how crucial imaging can be for patient care. She is currently involved as a director for one of her medical school’s student-run clinics and with her medical school’s humanities-themed magazine for her medical school. She aspires to become a radiologist with specific interests in mentorship, education and advocacy. In her spare time, she enjoys hiking, reading, art and board games. Follow Usha Trivedi on Twitter @UshaTrivedi11. All posts by Usha Trivedi Kevin M. Rice, MD is the president of Global Radiology CME Dr. Rice is a radiologist with Renaissance Imaging Medical Associates and is currently the Vice Chief of Staff at Valley Presbyterian Hospital in Los Angeles, California. Dr. Rice has made several media appearances as part of his ongoing commitment to public education. Dr. Rice's passion for state of the art radiology and teaching includes acting as a guest lecturer at UCLA. In 2015, Dr. Rice and Natalie Rice founded Global Radiology CME to provide innovative radiology education at exciting international destinations, with the world's foremost authorities in their field. In 2016, Dr. Rice was nominated and became a semifinalist for a "Minnie" Award for the Most Effective Radiology Educator. Follow Dr. Rice on Twitter @KevinRiceMD All posts by Kevin M. Rice, MD
- Dr. Ella Kazerooni to Speak on Cardiothoracic Radiology at Imaging in Dublin 2020
Global Radiology CME is honored to announce Ella Kazerooni,MD will be speaking at this year's Global Radiology CME course in Dublin, Ireland - Imaging in Dublin 2022. Ella Kazerooni, MD MS is a Professor of Radiology & Internal Medicine, Associate Chair for Clinical Affairs & Director of Cardiothoracic Radiology at the University of Michigan. With a Master’s degree in Clinical Research Design & Statistical Analysis, her research focuses on the development and evaluation of advanced imaging technologies applied to the heart and lungs, including lung cancer, coronary artery and aortic disease, pulmonary embolism, and diffuse lung disease. She has given over 400 lectures, has over 300 peer-reviewed manuscripts, 30 book chapters and 4 books. She began the Radiology Service Excellence Program at U of M, with the department achieving the highest patient satisfaction scores in the health system. She is a frequently invited speaker on the topics of patient centered care & service excellence, lung cancer screening and lung disease, and is passionate about mentoring and coaching faculty and trainees as clinicians & scientists and as leaders. She is past president of the American Roentgen Ray Society, Association of University Radiologists, Society of Thoracic Radiology and Radiology Alliance for Health Services Research and past Trustee of the American Board of Radiology. Dr. Kazerooni currently Chairs the American Cancer Society’s National Lung Cancer Roundtable, is Vice Chair of the National Comprehensive Cancer Center’s Lung Cancer Screening panel, and Chairs the American College of Radiology’s Lung-RADS committee and the Lung Cancer Screening Registry (LCSR). These efforts are focused on bringing quality lung cancer screening to high risk individuals, and reduce the mortality from the #1 cancer killer.
- Dr. Sylvia O'Keeffe to Speak at Imaging in Dublin 2022
Dr O’Keeffe MB, MRCP(UK), FFR RCSI, FRCR (UK) is a consultant radiologist in St James’s Hospital Dublin since 2010. She completed her undergraduate medical training in Trinity College Dublin and her postgraduate Radiology training in St James’s Hospital in Dublin before undertaking fellowships in Oncology Imaging in the Mater Hospital, Dublin and Breast Radiology and Women’s Imaging in Cambridge, UK. She was appointed as a Senior Lecturer in Trinity College in 2010. She has since spent two years as a Consultant Radiologist in St Bartholomew’s Hospital, London with a special interest in Breast Radiology including breast screening. Her other special interest is in Women’s Imaging including infertility and gynaecological cancer. She serves on university and national bodies including the National Cancer Control Programme.
- Dr. Niall Sheehy to Speak at Imaging in Dublin 2022
Global Radiology CME is pleased to announce Niall Sheehy, FFR RCSIwill be speaking at this year's Global Radiology CME course in Dublin, Ireland - Imaging in Dublin 2022. Dr. Niall Sheehy is a consultant radiologist in St James's Hospital Dublin. He trained in radiology as part of the Faculty of Radiologists Radiology Training Scheme between 2002 and 2006. He did fellowships in PET/CT and Nuclear Medicine in The Dana Farber Cancer Institute and the Joint Programme in Nuclear Medicine in Harvard Medical School. He is a Clinical Senior Lecturer in Trinity College Dublin and the current Dean of the Faculty of Radiologists of the Royal College of Surgeons in Ireland.
- Dr. James Meaney to Speak at Imaging in Dublin 2022
James Meaney FRCP, FFR RCSI, FRCPI is a Radiologist at St. James’s Hospital and a Clinical Professor in Trinity College Dublin. After undergraduate training in NUI Galway, he specialized in Radiology working in Liverpool, UK, University of Michigan, Ann Arbor and University of Leeds, UK before returning to Dublin in 2001. Prof. Meaney is director of the Thomas Mitchell Centre for Advanced Medical Imaging, which hosts a 3T MRI research scanner. His clinical and research interests span all areas of body CT and MRI, particularly magnetic resonance angiography. He has published over 80 papers in peer reviewed international journals and owns 8 patents related to MRI technology, is a former Trustee of the ISMRM and has been awarded Fellowship of the ISMRM. He is a former president of the MRA Club (now The Society4MRA). He has published 2 textbooks, numerous chapters and two radiology educational Apps.
- Dr. Martina Morrin to Speak at Imaging in Dublin 2022
Dr. Martina Morrin FFR RCSI, FRCR is a Consultant Radiologist in Beaumont Hospital Dublin. She trained in Radiology at the Mater Misericordiae hospital Dublin as part of the Faculty of Radiologists Radiology Training Scheme between 1994 and 1997. She did a fellowship in Abdominal Imaging at Beth Israel Deaconess Medical Center, Harvard Medical School(1997-1999) and subsequently spent 7 years on staff at that institution. She is associate Clinical Professor in radiology in the Royal College of Surgeons in Ireland. Her main research interests are in the field of abdominal imaging particularly CT colonography, gastrointestinal and urinary tract imaging.Dr. Morrin has lectured extensively at national and international conferences (including ESGAR, SGR, ARRS and RSNA) on a range of topics including CT colonography,rectal cancer and hepatobiliary imaging. She has authored and co-authored numerous articles and book chapters. She has contributed to national and international guideline development for colorectal cancer management, CT colonography and perianal fistula imaging. She acted as Irish National Coordinator Radiology training scheme 2009-2011. She acted as National Radiology Lead for Irish Bowel Screen colorectal cancer screening programme (2014-17). She acts as reviewer for several radiology and clinical journals.
- Donald Resnick - MSK Radiology Legend Presenting at Imaging in Dublin 2022
"I look forward to the meeting and traveling to Dublin." - Donald Resnick, MD, FACR Global Radiology CME is honored to have ACR Gold Medalist, Donald Resnick, join us in Dublin for Imaging in Dublin 2019. Donald L. Resnick, MD, Professor Emeritus of Radiology and Former Chief of Osteoradiology at the University of California, San Diego (UCSD), has devoted more than 30 years to musculoskeletal radiology education. Dr. Resnick has written over 1100 scientific and educational articles (more than 100 published in Radiology), 72 book chapters, and 16 books on musculoskeletal radiology. Dr Resnick is a renowned lecturer, having given over 50 named lectures throughout the world including the Wilhelm Conrad Roentgen Honorary Lecture at the European Congress of Radiology and the Ho Hung Chiu Medical Education Foundation Lecture in Hong Kong. His list of dozens of awards and honors includes the American Roentgen Ray Gold Medal, Diagnostic Imaging Magazine’s 20 Most Influential People in Radiology, Medical Imaging Industry’s Top 10 Radiologists, twice-awarded AuntMinnie.com Most Effective Radiology Educator, and an Honorary Doctorate from the University of Zurich.Dr Resnick is a member of 9 radiology societies, and is a past president of the International Skeletal Society. In addition, he is an Honorary Fellow of 6 radiology societies in Europe and Asia. He serves on a multitude of departmental, hospital/medical school, and national committees. He has served on editorial boards and as a manuscript reviewer for 18 leading journals including AJR, Radiology, and RadioGraphics. More than 150 clinical fellows and 400 international research fellows, from over 20 countries throughout the world, have received one-on-one training through his fellowship programs. Amazingly, 70% of these fellows pursued academic careers after their training. More than 1000 visitors have come to his base of operations, formerly known as “The Bone Pit”, and now aptly dubbed "The Bone Palace." Dr. Resnick presenting the Global Radiology CME Resnick MSK Quiz Award to Andrew Kingzett Taylor from New Zealand at Imaging in Prague 2019
- Prof. John Thornton to Speak at Imaging in Dublin 2022
PROF. JOHN THORNTON MB Bch BAO FRCSI FRCR FFRRCSI Prof. John Thornton is a Consultant Diagnostic and Interventional Neuroradiologist in Beaumont Hospital, Dublin. He completed medical training in University Hospital Dublin. He obtained surgical fellowship with Royal College of Surgeons Ireland. His radiology training was also through Royal College of Surgeons Ireland. He completed training in Neuroradiology in University of Illinois at Chicago and Northwestern University in Chicago. He has a special interest in neurovascular imaging and endovascular intervention for cerebral aneurysms, AVMs, vascular stenosis and acute ischaemic stroke. He has ongoing participation in clinical research and was the Co-Principal Investigator for the ESCAPE (Endovascular Treatment for Small Core and Anterior Circulation Proximal occlusion with Emphasis on minimizing CT to recanalization times) trial in Ireland. He recently co-authored several papers on aspects of endovascular treatment of acute stroke. He is currently Director of the National Thrombectomy Service, Joint Clinical Lead for Stroke in Beaumont Hospital and Head of Governance Group. He has led the development of emergency endovascular treatment of stroke in Ireland, establishing a nationwide network and works to promote the development with the Health Service Executive/Department of Health. He leads on the National Quality Improvement Programme involving hospitals admitting acute stroke patients throughout Ireland aiming to improve hyper-acute stroke care. This includes the introduction of many interventions to improve efficiency.
- Dr. Neil Rofsky to Direct the Scientific Program at Imaging in Dublin 2022
Global Radiology CME is honored to announce the appointment of Neil Rofsky, MD, MHA, FSCBTMR, FISMRM, FACR, Professor and Chair of UT Southwestern's Department of Radiology and the Effie and Wofford Cain Distinguished Chair in Diagnostic Imaging as the Scientific Director of this year's Global Radiology CME course in Dublin, Ireland - Imaging in Dublin 2022. A word from our Scientific Director: "I am delighted to serve as the Scientific Director of this year's annual Global Radiology CME course. It is indeed my privilege to be leading a meeting in Dublin, Ireland, where I look forward to catching up with many friends, former trainees, and valued colleagues. Global Radiology blends the highest quality CME with an incredibly fun social agenda, a variety of engaging educational activities and, uniquely, an expanding and accessible scientific component. With a relaxed and friendly vibe this organization delivers on your educational needs. Your time with Global Radiology is time well spent! I look forward to seeing you in Dublin." Neil Rofsky, MD, MHA, FSCBTMR, FISMRM, FACR, is Professor and Chair of UT Southwestern’s Department of Radiology and holder of the Effie and Wofford Cain Distinguished Chair in Diagnostic Imaging. Dr. Rofsky also serves as Director of Translational Research for the Advanced Imaging Research Center (AIRC), a collaboration of UT Southwestern and the University of Texas at Dallas. A native of New York, Dr. Rofsky received his medical degree from New York Medical College and then completed an internship in internal medicine at Middlesex University Hospital. He received advanced training through a nuclear medicine fellowship program at the University of Utah Medical Center; a radiology residency program at the New York University Medical Center; and fellowships in abdominal imaging and magnetic resonance imaging at New York University Medical Center. Dr. Rofsky served as Co-Director of the Clinical Imaging Steering Committee (CISC) of the NCI for 2 terms, and completed his responsibilities in November, 2018. He was recently awarded a Masters Degree in Healthcare Administration from Columbia University’s Mailman School of Public Health. Previously, he served on the Board of Directors for the International Society for Magnetic Resonance in Medicine (ISMRM) and the Society of Computed Body Tomography & Magnetic Resonance (SCBTMR) also fulfilling the role of President of the SCBTMR. His research interests have focused on Body MRI/MRA having previously been awarded an R01 NCI grant on prostate cancer. He has authored more than 180 peer-reviewed publications, numerous review articles and editorials, several textbooks, and presents regularly at such medical societies as the Radiological Society of North America, the ISMRM and the SCBTMR.
- Join Global Radiology CME in Dublin June 2022
Welcome back to Global Radiology CME Live on site June 5 - 8th, 2022 in Dublin, Ireland - the city Lonely Planet has named one of the 10 best cities to visit in 2022. Our venue, The Banking Hall in the historic Westin Dublin, is located directly across the street from Trinity College which was established in 1592 by Queen Elizabeth I and is home of the Book of Kells. The extravagant illustrations and ornamentation of the Book of Kells is considered unsurpassed. With figures of humans, animals and mythical beasts in vibrant colors this illuminated manuscript is the treasure of the Library at Trinity College Dublin. The Westin is also a short walk to the Temple Bar District, known for its trendy restaurants and vibrant music scene. A trip to Dublin would not be complete without a pint of Guinness, or a shot of Irish Whisky, while listening to traditional Celtic music. With close to 17 hours of daylight in June you will have ample time to explore prehistoric castles, and hike or drive along the rugged coastline of Ireland's Wild Atlantic Way. For those who are ready to travel, Ireland is currently in the process of lifting many Covid restrictions as case numbers have fallen dramatically thanks to a high vaccination rate and an excellent healthcare system. We are committed to providing a safe and healthy environment and will be strictly adhering to government policies. On December 7, 2021 according to The Government of Ireland over 90% of the population over age 12 were fully vaccinated, with almost 92% of the eligible population aged 12 and over having received at least 1 dose. On January 24, 2022 over 82 percent of the population over age 5 were fully vaccinated, with over 85 percent of the eligible population above age 5 having received at least 1 dose. https://covid19ireland-geohive.hub.arcgis.com/pages/vaccinations Global Radiology CME is ready to welcome back our old friends and meet new ones. Ireland is ready to welcome back tourists to the birthplace of Oscar Wilde and Bono and to let you discover for yourself why James Joyce wrote "when I die Dublin will be written in my heart!" We understand there are a lot of uncertainties. If Covid restrictions force us to cancel you will have the option to receive a full refund for your registration fees or rollover to our 2023 conference. When booking air or hotels we strongly urge you to check the cancellation policies and highly recommend you explore travel insurance options that best suit your needs. For more information on Imaging in Dublin please click here: www.globalradiologycme.com/imagingindublin2022 or feel free to contact Natalie directly. This is a unique opportunity to meet radiologists from all corners of the globe in an intriguing location, and learn from some of the best specialists in their field. Indulge all your senses and join Global Radiology CME for the trip of a lifetime to Dublin, Ireland in June, 2022! We have had registrants from: Australia, Austria, Belgium, Brazil, Bulgaria, Canada, China, Denmark, France, Germany, Greece, Hong Kong, Hungary, India, Indonesia, Ireland, Israel, Lithuania, Malaysia, Netherlands, New Zealand, Norway, Philippines, Saudi Arabia, Singapore, Slovenia, South Africa, Spain, Sweden, Switzerland, Thailand, Turkey, Uruguay, United Kingdom, United States of America, and Zambia.
- Imaging in Dublin Scheduled for June 5-8, 2022
Ireland welcomed back vaccinated tourists just under 2 weeks ago and Dublin is returning to normal. Take a live peek at The Temple Bar Pub in Dublin, just a 5 minute walk from the Global Radiology conference venue, The Westin Dublin Hotel. As of July 31, 2021 over 86% of adult population in Ireland have received at least one dose and 71% of eligible adults are now fully vaccinated. Join our outstanding faculty along with radiologists from around the world June 5-8, 2022 on the Emerald Island at Imaging in Dublin 2022! Link to a live webcam of the Temple Bar: https://www.earthcam.com/world/ireland/dublin/?cam=templebar
- Pediatric Optic Nerve Drusen
10 year old with right eye pain • Xray of the Week Name the condition and clinical significance. Figure 1. Axial CT scan of the orbits. Figure 2. Axial CT scan of the orbits. A: Punctate calcification at the right optic nerve head junction (red arrow) and normal left optic nerve head junction (green arrow).B: Magnified view of the right orbit showing punctate calcification at the right optic nerve head junction (red arrow). Discussion: Introduction: Optic nerve drusen are abnormal collections of mucoprotein matrix, acid mucopolysccharides, and ribonucleic acids that accumulate within the optic nerve, on the surface of the optic disc, and in the peripapillary retina [1]. Drusen are initially “buried” within these locations but become more visible as they calcify and nerve fibers atrophy [1]. They occur in 0.4% of children and become visible at 12 years of age, on average [1]. A correct diagnosis of optic nerve drusen is important because this condition can be easily misdiagnosed as papilledema, which leads to unnecessary imaging and procedures such as lumbar punctures [1]. Pathogenesis: There are three theories on the formation of optic nerve drusen. One theory is that a disturbance in axonal metabolism results in reduced axoplasmic flow [1]. Another theory is that congenitally dysplastic discs have a predisposition towards drusen formation [1]. Finally, it is possible that a small scleral canal compresses the optic nerve, leading to ganglion cell death with calcification of mitochondria [1]. Presentation: Although the majority of optic nerve drusen are asymptomatic, children with symptomatic optic nerve drusen can present with headache, vomiting, or seizures [1]. Optic nerve drusen can also cause visual field defects, especially if they are superficial rather than buried. Visual field constriction is also seen in 50% of eyes with superficial drusen, but only 17% of eyes with buried drusen [1]. The most common visual field defect is a nasal inferior arcuate scotoma, making up about a third of all visual field defects associated with optic nerve drusen [1]. On ophthalmologic exam, patients can have an afferent pupillary defect if the optic nerve drusen are asymmetric or unilateral [2]. Complications: If left untreated, optic nerve drusen can lead to a variety of complications, the most important of which is blindness. Optic nerve drusen can rarely lead to retinal vascular abnormalities that lead to anterior ischemic optic neuropathy and eventual vision loss [4]. Figure 3. CT scan of the orbits. A: Sagittal oblique view of the right orbit showing the punctate calcification at the optic nerve head junction (red arrow). B: Sagittal oblique view of the left orbit showing the normal optic nerve head junction (green arrow). Diagnosis: Superficial optic nerve drusen can be seen on fundoscopic exam as an elevated, nodular optic disc with blurred margins [3]. The drusen appear as multiple whitish-yellow granules and are often bilateral [2]. Buried optic nerve drusen are more difficult to appreciate but can be seen adjacent to vessels or the optic disc margin. Besides a fundoscopic exam, imaging modalities such as ultrasound, CT scan, or fluorescein angiography can assist in diagnosing optic nerve drusen. Figure 4. Ultrasound of the right globe in a different patient, a 57 year old female with right orbital pain. An optic nerve drusen is seen as a hyperechoic nodule (yellow arrow) with posterior acoustic shadowing (blue arrow). Ultrasonography is superior to other methods for detecting superficial drusen and can identify around 50% of buried drusen due its sensitivity to calcium deposits buried deeply in the optic tissue [2,4]. On ultrasound, the drusen generally appear hyperechoic with posterior shadowing [2] (Fig. 4). They are commonly located on the nasal side of the optic disc [2]. Although CT scan can miss smaller drusen, it is still capable of detecting calcified optic nerve drusen [1]. In this example, a right optic nerve drusen was discovered on CT scan of the orbits as seen in Figures 1-3. Treatment: Currently, there are no effective treatments for optic nerve drusen. If the patient is asymptomatic, they can be observed with serial visual field testing [3]. If visual field defects occur and start to progress, patients can be treated with topical ocular hypotensive therapy. Surgical treatment options include optic nerve sheath fenestration or radial optic neurotomy. Neither are considered the standard of care, but there have been reports of successful treatment [3]. References: Chang MY, Pineles SL. Optic disk drusen in children. Surv Ophthalmol. 2016;61(6):745-758. doi:10.1016/j.survophthal.2016.03.007 Tuğcu B, Özdemir H. Imaging Methods in the Diagnosis of Optic Disc Drusen. Turk J Ophthalmol. 2016;46(5):232-236. doi:10.4274/tjo.66564 Allegrini D, Pagano L, Ferrara M, et al. Optic disc drusen: a systematic review : Up-to-date and future perspective. Int Ophthalmol. 2020;40(8):2119-2127. doi:10.1007/s10792-020-01365-w Kumaev B, Soule E, Rao D, Fiester P. Optic Disc Drusen. Appl Radiol. 2020;49(6):54-55. https://www.appliedradiology.com/communities/CT-Imaging/optic-disc-drusen Leslie Shang is a 6th-year medical student at the University of Missouri – Kansas City Six-Year BA/MD Program and an aspiring radiologist. At UMKC, she serves as the social media coordinator of the Radiology Interest Group. She is also the vice president of the Help a Life Organization (HALO) which serves free meals to patients at the student-run free clinic and provides educational lectures to students on healthy eating and diet counseling for patients. In her free time, she enjoys exploring new restaurants in Kansas City, hiking, and spending time with friends. Follow Leslie on Twitter @LeslieFShang All posts by Leslie Shang Kevin M. Rice, MD is the president of Global Radiology CME Dr. Rice is a radiologist with Renaissance Imaging Medical Associates.He has held many leadership positions including Chair of Radiology, Chief of Staff and Hospital Board member at Valley Presbyterian Hospital in Los Angeles, California. Dr. Rice has made several media appearances as part of his ongoing commitment to public education. Dr. Rice's passion for state of the art radiology and teaching includes acting as a guest lecturer at UCLA. In 2015, Dr. Rice and Natalie Rice founded Global Radiology CME to provide innovative radiology education at exciting international destinations, with the world's foremost authorities in their field. In 2016, Dr. Rice was nominated and became a semifinalist for a "Minnie" Award for the Most Effective Radiology Educator. Follow Dr. Rice on Twitter @KevinRiceMD All posts by Kevin M. Rice, MD














