Andrew Trout MD, FSPR
@andrewtrout.bsky.social
PedRad | PedNucMed | Radiology | Research | ClinicalTrials | Theranostics | Mentorship
#medsky #radsky #pedrad #pedsrad #nucmed #radiology
#medsky #radsky #pedrad #pedsrad #nucmed #radiology
Reposted by Andrew Trout MD, FSPR
Are we unnecessarily withholding IV contrast from patients with kidney disease?
- Risk of contrast-induced nephropathy may be overstated
- Withholding contrast can delay diagnosis
This may be a #TWDFNR!
🔗 doi.org/10.1002/jhm.70063
🖼️ Visual Abstract by C Coleman + JHM Team
- Risk of contrast-induced nephropathy may be overstated
- Withholding contrast can delay diagnosis
This may be a #TWDFNR!
🔗 doi.org/10.1002/jhm.70063
🖼️ Visual Abstract by C Coleman + JHM Team
November 6, 2025 at 6:15 PM
Are we unnecessarily withholding IV contrast from patients with kidney disease?
- Risk of contrast-induced nephropathy may be overstated
- Withholding contrast can delay diagnosis
This may be a #TWDFNR!
🔗 doi.org/10.1002/jhm.70063
🖼️ Visual Abstract by C Coleman + JHM Team
- Risk of contrast-induced nephropathy may be overstated
- Withholding contrast can delay diagnosis
This may be a #TWDFNR!
🔗 doi.org/10.1002/jhm.70063
🖼️ Visual Abstract by C Coleman + JHM Team
So this is kinda cool…
We know #AI built for adults struggles in #pediatrics
Metadata spoofing (tricking the algo to think its seeing an adult size patient) improves segmentation performance
Simple but effective - kudos to Jon Dudley for thinking of this
#radsky
www.ajronline.org/doi/abs/10.2...
We know #AI built for adults struggles in #pediatrics
Metadata spoofing (tricking the algo to think its seeing an adult size patient) improves segmentation performance
Simple but effective - kudos to Jon Dudley for thinking of this
#radsky
www.ajronline.org/doi/abs/10.2...
Metadata Resolution Spoofing for Pediatric Application of Adult-Trained Deep-Learning Models for Pancreas Segmentation on CT | AJR
www.ajronline.org
October 16, 2025 at 1:57 AM
So this is kinda cool…
We know #AI built for adults struggles in #pediatrics
Metadata spoofing (tricking the algo to think its seeing an adult size patient) improves segmentation performance
Simple but effective - kudos to Jon Dudley for thinking of this
#radsky
www.ajronline.org/doi/abs/10.2...
We know #AI built for adults struggles in #pediatrics
Metadata spoofing (tricking the algo to think its seeing an adult size patient) improves segmentation performance
Simple but effective - kudos to Jon Dudley for thinking of this
#radsky
www.ajronline.org/doi/abs/10.2...
Reposted by Andrew Trout MD, FSPR
A novel clavicle fracture dating atlas significantly improved radiologists' performance and agreement in dating not only clavicle fractures but also humeral and femoral fractures in infants, offering a valuable tool in suspected child abuse cases.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
October 5, 2025 at 3:20 PM
A novel clavicle fracture dating atlas significantly improved radiologists' performance and agreement in dating not only clavicle fractures but also humeral and femoral fractures in infants, offering a valuable tool in suspected child abuse cases.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
Reposted by Andrew Trout MD, FSPR
A new generation of radiotherapies promises a more targeted attack on cancer.
www.science.org/content/arti...
www.science.org/content/arti...
New radioactive isotope therapies promise more targeted attacks on cancer
Recent clinical successes, and profits, have prompted a rush among pharma companies to try new isotopes and targeting strategies
www.science.org
October 5, 2025 at 1:21 AM
A new generation of radiotherapies promises a more targeted attack on cancer.
www.science.org/content/arti...
www.science.org/content/arti...
Reposted by Andrew Trout MD, FSPR
Reposted by Andrew Trout MD, FSPR
This multi-institutional study finds that ultrasound has excellent diagnostic performance for midgut malrotation and volvulus in children, supporting its use as a first-line imaging modality for these conditions.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
September 16, 2025 at 6:41 PM
This multi-institutional study finds that ultrasound has excellent diagnostic performance for midgut malrotation and volvulus in children, supporting its use as a first-line imaging modality for these conditions.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
Reposted by Andrew Trout MD, FSPR
#CoRaX demonstrated potential to aid radiologists in detecting abnormalities on CXRs by identifying & correcting perceptual errors https://doi.org/10.1148/ryai.240277 @uh.edu #CIRSE2025 #IRad #CVRad #radiology
September 15, 2025 at 7:15 AM
#CoRaX demonstrated potential to aid radiologists in detecting abnormalities on CXRs by identifying & correcting perceptual errors https://doi.org/10.1148/ryai.240277 @uh.edu #CIRSE2025 #IRad #CVRad #radiology
Reposted by Andrew Trout MD, FSPR
The GOP said its overhaul of Medicaid was aimed at reducing fraud and getting more adult beneficiaries to work. Among the likely side effects: fewer services and doctors for treating sick children.
Trump's Medicaid cuts will hurt children's hospitals
The GOP said its overhaul of Medicaid was aimed at reducing fraud and getting more adult beneficiaries to work. Among the likely side effects: fewer services and doctors for treating sick children.
n.pr
September 9, 2025 at 11:39 AM
The GOP said its overhaul of Medicaid was aimed at reducing fraud and getting more adult beneficiaries to work. Among the likely side effects: fewer services and doctors for treating sick children.
Reposted by Andrew Trout MD, FSPR
CLAIM: the Checklist for AI in Medical Imaging
#guideline #checklist https://rsna.org/claim #MachineLearning #DeepLearning #Radiomics
#guideline #checklist https://rsna.org/claim #MachineLearning #DeepLearning #Radiomics
September 7, 2025 at 2:16 PM
CLAIM: the Checklist for AI in Medical Imaging
#guideline #checklist https://rsna.org/claim #MachineLearning #DeepLearning #Radiomics
#guideline #checklist https://rsna.org/claim #MachineLearning #DeepLearning #Radiomics
Reposted by Andrew Trout MD, FSPR
Academic radiologists are increasingly withdrawing discretionary effort—engaging only in their baseline duties—a phenomenon known as "quiet quitting".
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
Ghosts in the Reading Room: The Present-Yet-Absent, Mid-Career Academic Radiologist | AJR
Academic radiologists are increasingly withdrawing discretionary effort—engaging only in their baseline duties—a phenomenon known as “quiet quitting.” In this Viewpoint, opinion synthesis with supporting evidence from literature is used to explore how burnout, lack of leadership opportunity, favoritism, and pursuit of financial independence exacerbate this trend. Institutions must realign reward systems, promote equity, and restore flexibility to retain engaged faculty.
www.ajronline.org
September 2, 2025 at 7:05 PM
Academic radiologists are increasingly withdrawing discretionary effort—engaging only in their baseline duties—a phenomenon known as "quiet quitting".
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
Reposted by Andrew Trout MD, FSPR
A first-rate review of MASH (fatty liver disease) @nejm.org www.nejm.org/doi/full/10....
August 13, 2025 at 10:47 PM
A first-rate review of MASH (fatty liver disease) @nejm.org www.nejm.org/doi/full/10....
Both #EUS & #MRI are acceptable imaging modalities for diagnosis of chronic #pancreatitis in #children - we wanted to understand how findings on these modalities might match up (or not)
=the modalities agree on duct findings but less so on parenchymal findings
www.sciencedirect.com/science/arti...
=the modalities agree on duct findings but less so on parenchymal findings
www.sciencedirect.com/science/arti...
Associations between MRI and endoscopic ultrasound findings in the pancreas in children and young adults with suspected chronic pancreatitis
Endoscopic ultrasound (EUS) and magnetic resonance imaging (MRI) are both used to diagnose pancreatitis but how findings relate across modalities has …
www.sciencedirect.com
July 20, 2025 at 11:48 PM
Both #EUS & #MRI are acceptable imaging modalities for diagnosis of chronic #pancreatitis in #children - we wanted to understand how findings on these modalities might match up (or not)
=the modalities agree on duct findings but less so on parenchymal findings
www.sciencedirect.com/science/arti...
=the modalities agree on duct findings but less so on parenchymal findings
www.sciencedirect.com/science/arti...
Reposted by Andrew Trout MD, FSPR
Tips for asking ?s as moderator #ISTH2025
Clinical talk: what future directions do you see this work taking?
Basic science: how do you envision this translating to the clinic?
Next level pro tip: contact author beforehand to see what they didn’t have time to present that they’d like you to ask
Clinical talk: what future directions do you see this work taking?
Basic science: how do you envision this translating to the clinic?
Next level pro tip: contact author beforehand to see what they didn’t have time to present that they’d like you to ask
June 23, 2025 at 4:09 AM
Tips for asking ?s as moderator #ISTH2025
Clinical talk: what future directions do you see this work taking?
Basic science: how do you envision this translating to the clinic?
Next level pro tip: contact author beforehand to see what they didn’t have time to present that they’d like you to ask
Clinical talk: what future directions do you see this work taking?
Basic science: how do you envision this translating to the clinic?
Next level pro tip: contact author beforehand to see what they didn’t have time to present that they’d like you to ask
Reposted by Andrew Trout MD, FSPR
If we want a stronger Ohio tomorrow, we have to invest in our children today. That starts with supporting our teachers, investing in our schools, and giving every child a chance to succeed.
June 16, 2025 at 3:07 PM
If we want a stronger Ohio tomorrow, we have to invest in our children today. That starts with supporting our teachers, investing in our schools, and giving every child a chance to succeed.
Reposted by Andrew Trout MD, FSPR
NIH staff write urgent open letter to the NIH Director:
"We urge you as NIH Director to restore grants delayed or terminated for political reasons so that life-saving science can continue."
www.standupforscience.net/bethesda-dec...
"We urge you as NIH Director to restore grants delayed or terminated for political reasons so that life-saving science can continue."
www.standupforscience.net/bethesda-dec...
Bethesda Declaration — STAND UP FOR SCIENCE
Support NIH Staff Now!
www.standupforscience.net
June 9, 2025 at 12:45 PM
NIH staff write urgent open letter to the NIH Director:
"We urge you as NIH Director to restore grants delayed or terminated for political reasons so that life-saving science can continue."
www.standupforscience.net/bethesda-dec...
"We urge you as NIH Director to restore grants delayed or terminated for political reasons so that life-saving science can continue."
www.standupforscience.net/bethesda-dec...
Reposted by Andrew Trout MD, FSPR
Absolutely! Editors need to make faster decisions (even if desk reject) and not let authors wait for months
Dear editors, your publication delays are damaging our careers
www.nature.com/articles/d41...
Dear editors, your publication delays are damaging our careers
www.nature.com/articles/d41...
Dear editors, your publication delays are damaging our careers
Chia-Hsuan Hsu waited 18 months before chasing an editor for a decision on a paper. The answer surprised him.
www.nature.com
May 16, 2025 at 11:18 AM
Absolutely! Editors need to make faster decisions (even if desk reject) and not let authors wait for months
Dear editors, your publication delays are damaging our careers
www.nature.com/articles/d41...
Dear editors, your publication delays are damaging our careers
www.nature.com/articles/d41...
Reposted by Andrew Trout MD, FSPR
Learn how we are battling #Cancer at Cincinnati Children’s with innovations to accelerate treatments for #Leukemia, develop #CancerImmuneTherapies, and more. #RAR24 #MedSky #PedsSky #SciSky Check out our latest Research Annual Report: scienceblog.cincinnatichildrens.org/research-exc...
Research Excellence, Outstanding Care, Advanced Technologies Drive Cancer Leadership - Research Horizons
scienceblog.cincinnatichildrens.org
May 9, 2025 at 6:51 PM
Learn how we are battling #Cancer at Cincinnati Children’s with innovations to accelerate treatments for #Leukemia, develop #CancerImmuneTherapies, and more. #RAR24 #MedSky #PedsSky #SciSky Check out our latest Research Annual Report: scienceblog.cincinnatichildrens.org/research-exc...
Reposted by Andrew Trout MD, FSPR
Things We Do For No Reason: Avoiding IV iodinated contrast in AKI or CKD
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
April 23, 2025 at 3:17 PM
Things We Do For No Reason: Avoiding IV iodinated contrast in AKI or CKD
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
Reposted by Andrew Trout MD, FSPR
New in The Journal of Nuclear Medicine: Thyroid cancer patients who receive radioiodine (RAI) therapy after surgery have increased relative survival rates compared to patients who do not. The benefit is observed in patients from low to high-risk subgroups. 🧵
jnm.snmjournals.org/content/66/4...
jnm.snmjournals.org/content/66/4...
April 24, 2025 at 1:13 PM
New in The Journal of Nuclear Medicine: Thyroid cancer patients who receive radioiodine (RAI) therapy after surgery have increased relative survival rates compared to patients who do not. The benefit is observed in patients from low to high-risk subgroups. 🧵
jnm.snmjournals.org/content/66/4...
jnm.snmjournals.org/content/66/4...
@cincykidsrad.bsky.social Dr. Rama Ayyala writes about moral distress as a driver of #burnout in #medicine & #radiology - Dr. Ayyala is our Associate Chief of Culture, Quality, & Safety and is working on this & other drivers of #wellness at @cincychildrens.bsky.social
#medsky #radsky
#medsky #radsky
“Moral distress is essentially the feeling that you are uneasy with or unable to perform your job because you don’t have the resources or because it’s not aligned with what you want to do,” said Rama Ayyala, MD. bit.ly/4jl8pL4
April 17, 2025 at 10:01 PM
@cincykidsrad.bsky.social Dr. Rama Ayyala writes about moral distress as a driver of #burnout in #medicine & #radiology - Dr. Ayyala is our Associate Chief of Culture, Quality, & Safety and is working on this & other drivers of #wellness at @cincychildrens.bsky.social
#medsky #radsky
#medsky #radsky
Reposted by Andrew Trout MD, FSPR
When the conference organizers ask if you can send in your slides a week in advance
April 16, 2025 at 3:08 AM
When the conference organizers ask if you can send in your slides a week in advance
Reposted by Andrew Trout MD, FSPR
We’re excited to announce a new partnership with @gehealthcare.bsky.social to create an #innovation hub in Cincinnati.
Through this partnership we will improve child health and change the outcome together!
Through this partnership we will improve child health and change the outcome together!
Today we announced that @cincykidsrad.bsky.social & @cincychildrens.bsky.social are partnering with @gehealthcare.bsky.social to establish a care #innovation hub. Working together we will be able to accelerate advances in #pediatric #imaging across all imaging modalities #ct #mri #nucmed #ultrasound
April 11, 2025 at 6:47 PM
We’re excited to announce a new partnership with @gehealthcare.bsky.social to create an #innovation hub in Cincinnati.
Through this partnership we will improve child health and change the outcome together!
Through this partnership we will improve child health and change the outcome together!
See @auntminnie.bsky.social story about our newly announced collaboration with @gehealthcare.bsky.social
#pedsrad #radiology #medsky #ct #mri #ultrasound #nucmed
@cincykidsrad.bsky.social
www.auntminnie.com/subspecialti...
#pedsrad #radiology #medsky #ct #mri #ultrasound #nucmed
@cincykidsrad.bsky.social
www.auntminnie.com/subspecialti...
GE HealthCare, Cincinnati Children's form pediatric research program
Cincinnati Children’s and GE HealthCare are forming a strategic research program to advance innovation in pediatric imaging.
www.auntminnie.com
April 11, 2025 at 6:40 PM
See @auntminnie.bsky.social story about our newly announced collaboration with @gehealthcare.bsky.social
#pedsrad #radiology #medsky #ct #mri #ultrasound #nucmed
@cincykidsrad.bsky.social
www.auntminnie.com/subspecialti...
#pedsrad #radiology #medsky #ct #mri #ultrasound #nucmed
@cincykidsrad.bsky.social
www.auntminnie.com/subspecialti...
Reposted by Andrew Trout MD, FSPR
Two Powerhouses Team Up: Imaging Collaboration with GE HealthCare Creates First Pediatric Care Innovation Hub. #MRI #CT #MolecularImaging #Ultrasound #Radiology #PedsSky scienceblog.cincinnatichildrens.org/imaging-coll...
Imaging Collaboration with GE HealthCare Creates First Pediatric Care Innovation Hub - Research Horizons
scienceblog.cincinnatichildrens.org
April 10, 2025 at 9:22 PM
Two Powerhouses Team Up: Imaging Collaboration with GE HealthCare Creates First Pediatric Care Innovation Hub. #MRI #CT #MolecularImaging #Ultrasound #Radiology #PedsSky scienceblog.cincinnatichildrens.org/imaging-coll...