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Frame by Frame: Rethink Imaging

Frame by Frame: Rethink Imaging

Imalogix

Frame by Frame: Rethink Imaging is a podcast that delves into the fascinating world of radiology, offering a fresh perspective on medical imaging and its impact on patient care and healthcare outcomes. The podcast, hosted by Chris St John, aims to bridge the gap between complex radiological concepts and the curious mind, from seasoned professionals to radiology enthusiasts. Each episode features engaging discussions with leading experts in medical imaging, including radiologists, medical physicists, radiologic technologists, world-leading academics, and industry thought leaders. Through inspiring interviews, the podcast explores a wide range of topics, from advancements in imaging technology and diagnostic practices to the future of radiology in healthcare.
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Top 10 Frame by Frame: Rethink Imaging Episodes

Goodpods has curated a list of the 10 best Frame by Frame: Rethink Imaging episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Frame by Frame: Rethink Imaging for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Frame by Frame: Rethink Imaging episode by adding your comments to the episode page.

In this episode of the Frame by Frame: Rethink Imaging podcast, host Chris St. John sits down with Dr. Donald Frush to explore the complexities of cumulative radiation dose and its impact on patient care.
Dr. Donald Frush is a renowned expert in radiation safety and dose optimization and serves as a Radiologist at Duke University Medical Center. Here, he shares his wisdom with Chris from his extensive experience spanning over 25 years in advancing radiation protection in medical imaging.
The discussion explores the delicate balance between minimizing radiation exposure and ensuring high-quality imaging, emphasizing the critical role of optimization and justification in modern radiology.
Dr. Frush also shares his insights into managing recurrent imaging in both acute and chronic conditions, highlighting the importance of balancing diagnostic accuracy with radiation safety. The conversation later moves into pediatric considerations, both on a technical and emotional level, with the pair covering the development of imaging protocols and the emerging role of AI in dose management.
Tune in to discover how modern technologies are reshaping radiology, reducing radiation exposure, and improving patient outcomes.
Chapters

00:00 - Intro02:02 - How Doctor Frush Entered Radiology04:17 - Basics of Radiation in Medical Imaging08:07 - The ALARA Principle: Keeping Radiation Low10:16 - The Evolution of Radiation Dose Management12:04 - Key Technologies in Dose Management15:35 - Balancing Image Quality with Radiation Dose
17:36 - The Team Approach to Radiation Protection
20:41 - Resources for Healthcare Providers on Radiation Safety26:20 - Recurrent Imaging and Cumulative Risk28:05 - Acute vs. Chronic Needs32:43 - Real-World Examples and Challenges in Recurrent Imaging35:32 - Optimizing Imaging Protocols42:33 - The Future of AI in Pediatric Imaging44:36 - Effective Communication about Radiation Risks47:05 - The Emotional Impact of Radiation Decisions in Pediatrics51:34 - Sincerity Goes a Long Way53:43 - Why Say: “It’s Nice to See You”?59:14 - The Thankless Yet Vital Task of Radiation Protection01:05:43 - Highlighting the Value of Imaging01:08:24 - Outro Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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Frame by Frame: Rethink Imaging - Could Our Obsession with Dose Be Risking Lives?
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04/17/25 • 37 min

In this illuminating episode of Frame by Frame, host Chris St John continues his in-depth conversation with Dr. Ehsan Samei to explore how we define and measure quality in medical imaging. Dr. Samei emphasizes that radiation dose, while important, tells only part of the story. Instead, quality should be viewed through a multi-dimensional lens that includes task-based performance, image clarity, contrast, and diagnostic relevance.
Drawing on examples like breast and lung cancer screening, Dr. Samei shows how imaging can improve outcomes when guided by validated metrics and clinical collaboration. He also highlights the challenges of creating standardized measurements that can be applied across institutions, stressing the importance of stakeholder involvement—from physicists to clinicians and regulatory bodies.
Whether you're navigating imaging guidelines, optimizing protocols, or advocating for patient-centered care, this episode delivers the tools to help you rethink what makes imaging truly valuable.
Chapters:

[00:00] Intro: Understanding Medical Imaging Benefits[01:49] Measurands vs Measurements: The Science of Quantification[07:15] Beyond Radiation Dose: Why Single Metrics Can Mislead[12:30] Validating Quality Measurements in Radiology[19:24] The Importance of Personalized Imaging Approaches[22:47] Task-Based Performance in Medical Imaging[29:05] Designing Studies to Prove Imaging's Value[32:53] The Real Impact: Mammography Success Story[36:24] Closing Thoughts: Balancing Benefits and Risks
Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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Frame by Frame: Rethink Imaging - The Future of Radiology Technology and Patient Care with James Armbruster
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10/17/24 • 40 min

In this episode of Frame by Frame: Rethink Imaging, host Chris St John engages with James Armbruster, Vice President of Customer Success at Imalogix, to delve into the transformative power of empathy in healthcare. With over 20 years of experience in medical imaging, James shares invaluable insights drawn from his extensive career, emphasizing the critical role of patient-centered care in enhancing outcomes.
The discussion explores James's journey through the ever-evolving landscape of radiology, highlighting his strategies for addressing workflow challenges and improving team dynamics.
Listeners will discover actionable insights for fostering supportive environments that combat burnout among healthcare professionals, as well as the imperative of adapting to the unique workflows of different healthcare settings.
This episode offers a profound look at the intersection of technology, compassion, and teamwork in modern medical imaging, providing practical takeaways for professionals navigating this dynamic field.
Chapters

06:13 - Beginnings in Radiology and Patient Care09:57 - Enhancing Patient Experience with Communication12:00 - The Role of Workflow in Radiology Efficiency16:17 - Addressing Workflow Bottlenecks18:23 - Mitigating Burnout in Technologists24:24 - The Future of Technology in Radiology27:43- The Human Touch in Technology
30:53 - Integrating New Technologies: The Power of Workflow
32:41 - Scheduling Challenges: The Hidden Complexity
36:24 - Training and Retaining Techs: The Human Connection
40:46 - The Gratifying Role of Healthcare Workers
43:11 - Humanizing the Process: Breaking Administrative Barriers46:28 - Advice for the Next Generation of Technologists
48:53 - The Power of Communication to Solve Multiple Issues52:04 - How Can Vendors Support Radiology Departments?Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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Frame by Frame: Rethink Imaging - Why Gonadal Shielding in X-rays Actually Increases Radiation Dose
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05/15/25 • 32 min

In this episode of Frame by Frame: Rethink Imaging, host Chris St. John is joined by Dr. Summer Kaplan, Associate Professor of Clinical Radiology at the University of Pennsylvania and pediatric radiologist at Children’s Hospital of Philadelphia, to examine a major shift in radiation safety protocols—why gonadal shielding is being reconsidered in modern radiology.Dr. Kaplan discusses the findings of groundbreaking research showing how traditional shielding can actually increase patient radiation exposure due to interactions with automatic exposure controls in advanced imaging systems. Together, they explore how modern equipment, data-driven protocols, and AI have revolutionized imaging safety, and what this means for radiology professionals and patients alike.This episode is a must-listen for anyone working in diagnostic imaging, medical physics, or patient safety, offering a forward-thinking perspective on how to communicate, implement, and trust in evolving best practices in radiation protection.
What You’ll Learn:

  • Why gonadal shielding may increase radiation exposure with today’s imaging systems
  • How automatic exposure controls respond to shielding—and the unintended consequences
  • The science behind moving away from routine gonadal protection in X-rays
  • How to educate patients and families about updated radiation safety protocols
  • The role of organ sensitivity in radiation risk assessment
  • Advances in imaging technology and AI that reduce exposure without the need for shielding
  • Why pediatric imaging requires unique safety considerations
  • How professional guidelines and institutional policies are changing nationwide
Chapters:

[00:00] Intro & Welcome[01:38] Origins of the Gonadal Shielding Research[04:13] How Modern X-ray Sensors Changed Radiation Protection[06:20] Understanding Radiation Sensitivity in Different Organs[14:25] Why Staff Need Protection But Patients Don't[17:05] Pediatric Radiation Safety: Lower Doses for Smaller Bodies[22:37] Implementing Change in Radiology Departments[24:34] Future Technologies in Radiation Protection[28:03] Modern Understanding of Radiation Risk[31:16] Key Takeaways: Evolving Beyond Traditional Practices
Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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Frame by Frame: Rethink Imaging - The Psychology Behind Radiologist Errors with Elizabeth Krupinski
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01/23/25 • 34 min

In this episode of Frame by Frame: Rethink Imaging, host Chris St John welcomes Dr. Elizabeth Krupinski, a pioneering expert in the psychology of medical imaging and Vice Chair for Research in the Department of Radiology and Imaging Sciences at Emory University. This is Part 1 of a two-part series exploring how psychology intersects with radiology.
Dr. Krupinski's research delves into the cognitive and perceptual mechanisms that influence how radiologists interpret medical images. Her work is particularly relevant to the podcast's focus on the psychology behind radiologist errors, as she explores the challenges of burnout and the application of psychological principles to enhance both accuracy and well-being in radiology practice.
Notably, Dr. Krupinski has conducted extensive research on the impact of fatigue on diagnostic performance, revealing significant drops in accuracy after prolonged work hours. Her innovative studies and insights into the intersection of psychology and radiology make her a vital voice in understanding and improving the field.
Chapters:

[00:00] Intro [00:02:25] Chance Encounter with Radiology [00:07:17] Understanding Radiologist Errors [00:15:29] Impact of Fatigue on Diagnostic Performance [00:22:05] Environmental Factors in Radiology [00:25:03] Challenges of Remote Reading [00:33:59] Innovative Training TechniquesFrame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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Frame by Frame: Rethink Imaging - Automating Radiology: The Impact of AI with Dr. Jason Adleberg
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01/09/25 • 33 min

In this episode of Frame by Frame Rethink Imaging, host Chris Saint John is joined by Dr. Jason Adelberg, a radiology resident and AI researcher at Mount Sinai in New York City. Together, they explore the fascinating intersection of technology and medicine, discussing the challenges and innovations in radiology, the importance of patient safety, and how AI is reshaping the future of medical imaging. Tune in for insights that will inspire both professionals and curious minds alike!This episode is a fascinating exploration of how technology is reshaping the field of radiology, and Jason's insights provide a hopeful perspective on the future of medical imaging. Tune in to discover how AI can enhance patient care and the role of radiologists in this transformative era.Dr. Jason Adelberg is a radiology resident and AI researcher at Mount Sinai in New York City. With a background as a software engineer, Jason transitioned into medicine, discovering his passion for radiology during medical school. He has authored multiple papers on artificial intelligence and serves on the editorial board for the Radiology AI journal. Notably, he led a workshop at the Radiological Society of North America (RSNA) on building AI models without coding experience, which is also available on YouTube. In this episode, Jason shares his insights on the intersection of AI and radiology, emphasizing the importance of patient safety and the complexities of integrating technology into healthcare. His unique perspective as both a radiologist and AI developer positions him as a key voice in the ongoing conversation about the future of medical imaging and the role of AI in enhancing radiological practices.Chapters:

[00:00] Intro [00:02:50] The Journey from Tech to Radiology [00:10:20] AI as an Enhancer, Not a Replacement [00:12:49] Automating Tedious Tasks with AI [00:18:36] The Importance of Diverse Data in AI Training [00:24:00] Navigating Regulatory Challenges in AI [00:32:11] A Bright Future for AI in RadiologyFrame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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Frame by Frame: Rethink Imaging - Empowering Radiology: How AI is Redefining Patient Care with Eliot Siegel
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10/31/24 • 59 min

In this episode of Frame by Frame: Rethink Imaging, host Chris St John welcomes Eliot Siegel, a pioneer in the field of radiology and a leading voice in the integration of AI in healthcare. Drawing from his extensive experience, Eliot discusses the groundbreaking development of the National Cancer Imaging Archive and its impact on cancer research.
The conversation delves into the evolving landscape of medical imaging, highlighting the importance of continuous learning through self-annotation and AI’s role in enhancing diagnostic accuracy. Eliot emphasizes the necessity of leveraging historical data to inform treatment decisions and the transformative potential of AI to streamline workflows in radiology.
Listeners will gain insights into the future of medical imaging, including the significance of training the next generation of radiologists to effectively utilize AI technologies while maintaining a healthy skepticism towards its capabilities. This episode offers a compelling exploration of how innovation, collaboration, and a commitment to patient care are reshaping the future of radiology, providing valuable guidance for professionals navigating this rapidly changing field.
Chapters

00:00 - Preamble05:16 - Meet Dr. Eliot Siegel: A Pioneer in Medical Imaging06:43 - AI and Radiology: A Childhood Dream Meets Reality09:29 - A Defining Moment: The First Filmless Radiology Department13:38 - The Challenge of Any Image, Anywhere, Anytime15:12 - AI Integration in Radiology: Overcoming Modern-Day Hurdles19:03- Mammography: AI's Brightest Success Story
23:03 - AI's Performance in the Wild: Generalizability and Drift
25:45 - Embracing Bias for Personalized Healthcare28:04 - The Ethical Dilemma of AI in Radiology30:47 - Bias in AI Training: Hidden Risks and Ethical Concerns32:44 - Privacy and Data Ethics in AI Training36:43 - Decision Support and Human Judgment: The Future of Radiology39:50 - AI and the Radiologist’s New Role: Coordinating Care42:24 - Human-Machine Collaboration: The Key to Better Medicine48:19 - The Birth of a Database53:02 - AI in Learning and Practice58:52 - Addressing Understaffing in Radiology01:03:30 - Maintaining Skepticism and Trust01:07:17 - The Future of AI in Diagnostic Radiology Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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In this episode of the Frame by Frame: Rethink Imaging podcast, host Chris St. John welcomes Dr. David Larson, an esteemed leader in radiology and a passionate advocate for healthcare improvement. David is the Acting Chair and Executive Vice Chair of the Department of Radiology at Stanford University, and among many other points, he lays out the three pillars of CT radiation dose optimization in this episode.
The show also covers the evolution from peer review to peer learning in radiology, the complexities of size-adjusted dose optimization, and the role of multi-disciplinary collaboration in creating sustainable radiology practices.
In terms of improving the field as a whole, the pair share ideas around moving beyond merely hitting acceptable ranges with dose optimization and instead, setting targets and hitting them with absolute consistency.
The discussion focuses on the development of imaging protocols, emphasizing the importance of balancing technological advancements with effective management strategies.
Tune in to learn how innovative approaches and a target-based mindset are crucial for advancing radiology practices in today's evolving landscape.
Chapters

00:00 - Intro02:59 - Demystifying Socio-Technical Systems in Healthcare05:17 - From Peer Review to Peer Learning07:27 - Why Dose Matters in Radiology11:56 - The Importance of Size-Adjusted Dose14:22 - Real-World Dose Optimization18:09 - Automated Tube Current Modulation
20:52 - Enhancing Dose Control
22:29 - The Collaborative Equation: Radiologists, Physicists, and Technologists26:43 - Fine-Tuning Image Quality Across Use Cases29:54 - Dose Optimization for Smaller Hospitals33:02 - The Key to Effective Training in Radiology39:18 - Process Control: The Heart of Optimization44:12 - Preparing for New Radiology Technologies46:11 - Navigating Regulatory Changes49:25 - Misconceptions in CT Optimization51:25 - The Role of Administrators in Dose Optimization54:14 - A Lover’s Quarrel: Professional Debates in Radiology55:39 - OutroFrame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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Frame by Frame: Rethink Imaging - Post-Mortem CT: How Radiology Is Rewriting the Autopsy
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05/01/25 • 12 min

In this episode of Frame by Frame: Rethink Imaging, host Chris St. John is joined by Dr. Kalpana Kanal, Diagnostic Medical Physics Trustee at the American Board of Radiology and professor at the University of Washington, to discuss how CT scanning is transforming the field of forensic pathology.
Dr. Kanal highlights her pioneering work developing a forensic CT program that can eliminate the need for traditional autopsies in nearly 50% of cases. From our first episode with her, she explains how CT imaging offers a non-invasive, culturally sensitive alternative to conventional post-mortem procedures—helping address the growing shortage of forensic pathologists while improving diagnostic accuracy.
Beyond her innovations in forensics, Dr. Kanal also highlights the unique imaging protocols and physiological considerations required in post-mortem scans, the global trends in forensic CT adoption, and the collaborative work between radiologists and forensic pathologists.
This episode is a must-listen for medical imaging professionals, pathologists, and educators interested in how imaging continues to push the boundaries of medicine, investigation, and care for the deceased.
Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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In this episode of Frame by Frame: Rethink Imaging, host Chris St. John welcomes Dr. Amy Patel, Associate Professor of Radiology at the University of Missouri Kansas City and Medical Director of the Breast Care Center at Liberty Hospital. They discuss Dr. Patel’s journey from rural healthcare aspirations to becoming a leader in breast imaging advocacy, highlighting key legislative achievements in Missouri that expanded mammography access. The conversation explores innovative programs addressing healthcare disparities, challenges in advocating for federal legislation, and the crucial role of coalition building and digital platforms in mobilizing public support. Through powerful patient success stories, the episode underscores how dedicated advocacy can transform breast cancer care access and outcomes.
This discussion offers valuable insights for healthcare professionals and policymakers, emphasizing the impact of legislative advocacy on healthcare access. Dr. Patel’s work exemplifies how medical professionals can drive systemic change while maintaining a personal connection to patient care. A passionate advocate for women's health, she has spearheaded major legislative efforts in Missouri to improve access to mammography services.
Her journey from a small rural town to becoming a key voice in breast imaging advocacy showcases her dedication to addressing healthcare disparities. As president of the Missouri Radiological Society and an affiliate member of the University of Kansas Cancer Center, she continues to shape health policy and expand public education through digital platforms.
Chapters:

[00:00] Intro: Meet Dr. Amy Patel[01:31] From Rural to Imaging[03:58] Building Healthcare Advocacy[06:09] Legislative Wins in Missouri[09:25] Breaking Barriers in Access[13:53] Engaging with Legislators[16:19] High-Risk Breast Cancer Awareness[19:31] Path to Federal Legislation[23:30] Digital Advocacy for Change[25:19] Future Reforms & Coverage Gaps[27:35] Patient Impact & AdvocacyFrame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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FAQ

How many episodes does Frame by Frame: Rethink Imaging have?

Frame by Frame: Rethink Imaging currently has 21 episodes available.

What topics does Frame by Frame: Rethink Imaging cover?

The podcast is about Life Sciences, Radiology, Podcasts, Education, Science and Healthcare.

What is the most popular episode on Frame by Frame: Rethink Imaging?

The episode title 'The Evolution of Medical Imaging Technology with Dr. Tom Griglock of Oregon Health and Science University' is the most popular.

What is the average episode length on Frame by Frame: Rethink Imaging?

The average episode length on Frame by Frame: Rethink Imaging is 36 minutes.

How often are episodes of Frame by Frame: Rethink Imaging released?

Episodes of Frame by Frame: Rethink Imaging are typically released every 14 days.

When was the first episode of Frame by Frame: Rethink Imaging?

The first episode of Frame by Frame: Rethink Imaging was released on Sep 17, 2024.

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