Shows
Frame by Frame: Rethink ImagingRadiology AI Reality Check: Automated Reports, Implementation Failures and Agentic FutureIn this episode of Frame by Frame: Rethink Imaging, host Chris St John welcomes Dr. Woojin Kim, an expert at the intersection of radiology and AI innovation, to discuss the future of generative AI in medical imaging. As Chief Strategy Officer at HOPPR and Chief Medical Officer at the ACR Data Science Institute, Dr. Kim draws from deep experience in both clinical practice and healthcare entrepreneurship.Together, they explore the growing capabilities of AI in radiology, from automated draft reporting for chest X-rays and CT scans to the emerging potential of Agentic AI as a true assistant within clinical...2025-07-3047 min
Frame by Frame: Rethink ImagingThe Missing Piece in Medical Imaging Safety with Dr. Madan RehaniIn this episode of Frame by Frame: Rethink Imaging, host Chris St John welcomes Dr. Madan Rehani, a globally recognized expert in radiation protection, to examine the complexities of cumulative radiation dose tracking in diagnostic imaging.With a career spanning Harvard Medical School, Massachusetts General Hospital, and more than a decade at the International Atomic Energy Agency, Dr. Rehani brings unparalleled insight into how the medical community can better manage radiation risk. He discusses how uncertainty in radiation effects should inspire prudent safeguards—not paralysis—especially when balancing clinical benefits with long-term exposure concerns.Together, they expl...2025-07-1538 min
Frame by Frame: Rethink ImagingBalancing Crisis & Care: Life as a Medical Physicist with William BreedenIn this episode of Frame by Frame: Rethink Imaging, host Chris St John speaks with Dr. William Breeden, a board-certified radiation physicist whose decades of experience span nuclear medicine, diagnostic medical physics, and clinical consulting.Together, they delve into the often-unseen world of medical physics. From rapid-response crisis management during trauma events to rigorous quality control protocols across CT, MRI, X-ray, PET, and nuclear medicine. Dr. Breeden discusses how physicists are not only technical experts but also trusted collaborators across departments, helping shape policy, maintain compliance, and support clinical excellence.The conversation also touches on regulatory...2025-07-0135 min
Frame by Frame: Rethink ImagingWhy All Medicine is Educated Guessing with Dr. Ehsan Samei (Re-release)In this episode of Frame by Frame: Rethink Imaging, host Chris St John revisits Dr. Ehsan Samei, Duke University's Chief Imaging Physicist, to explore the nuanced intersection of quantitative analytics and human judgment in the field of medical imaging.Dr. Samei shares his unique perspective on how imaging combines the exactness of physics and data science with the subtle art of interpretation, shedding light on why even the most advanced technologies require human oversight. From the philosophy behind diagnostic uncertainty to the evolving role of AI in radiology, the conversation spans critical themes such as patient-centered c...2025-06-1742 min
Frame by Frame: Rethink ImagingWhat We’re Missing While Obsessing Over AI: The Forgotten Future of RadiologyIn this episode of Frame by Frame: Rethink Imaging, host Chris St. John speaks with Ari Goldberg, Director of Thoracic and Abdominal Imaging at Loyola University Medical Center, to explore how radiology practices can adapt to growing workloads, workforce shortages, and the slow rollout of AI solutions.Dr. Goldberg shares actionable strategies to reimagine radiology practice management, including rethinking traditional reporting models, expanding the use of radiologist extenders, and evolving leadership structures to support a sustainable future. Together, they discuss how to maintain clinical excellence while improving operational efficiency, and what the future might hold for remote work, education...2025-05-2933 min
Frame by Frame: Rethink ImagingWhy Gonadal Shielding in X-rays Actually Increases Radiation DoseIn 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...2025-05-1532 min
Frame by Frame: Rethink ImagingPost-Mortem CT: How Radiology Is Rewriting the AutopsyIn 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 fo...2025-05-0112 min
Medical Imaging MattersWhat Radiology Leaders Need to Know About Upcoming CMS MeasuresIn this episode of Medical Imaging Matters, we’re sharing an episode from Frame by Frame: Rethink Imaging, a podcast from our partners at Imalogix. Tune in as Olav Christianson, vice president of clinical strategy at Imalogix, joins host Chris St. John to break down upcoming mandatory reporting measures for CT radiation dose and image quality. With deep experience in medical physics and direct involvement in the foundations of this CMS measure, Olav shares expert insight on steps to ensure your practice is ready for mandatory reporting in 2027, translation software needs, and implementation strategies.2025-04-3037 min
Frame by Frame: Rethink ImagingCould Our Obsession with Dose Be Risking Lives?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...2025-04-1737 min
Frame by Frame: Rethink Imaging'The Real Harm Is in Missing the Diagnosis' with Dr. Ehsan SameiIn this episode of Frame by Frame, host Chris St John is joined by Dr. Ehsan Samei, a leading medical physicist and advocate for patient-centered imaging.Dr. Samei challenges long-held assumptions about radiation risk, urging a shift away from fear-based thinking. He critiques the limitations of population-based radiation thresholds and emphasizes why shared decision-making should drive medical imaging practices.Through accessible examples, Dr. Samei explains why delayed or denied imaging can often pose a greater risk than the radiation itself. He also breaks down the widely debated Linear No-Threshold model and how it’s frequently misunderstood in...2025-04-0338 min
Frame by Frame: Rethink ImagingRadiation Optimization: Dr. Kanal’s Legacy with the Dose Index RegistryIn this episode of Frame by Frame, host Chris St. John welcomes Dr. Kalpana Kanal, a diagnostic medical physicist specializing in CT imaging and radiation safety. Dr. Kanal shares her journey from pure physics to medical imaging, highlighting her pivotal role in establishing diagnostic reference levels for adult and pediatric CT scans. She discusses the impact of the ACR Dose Index Registry (DIR) in standardizing radiation dose management across healthcare facilities and the importance of balancing dose reduction with maintaining high-quality diagnostic images.Dr. Kanal also delves into her groundbreaking work in forensic CT i...2025-03-2035 min
Frame by Frame: Rethink ImagingCMS Measures Explained: What Radiology Leaders Need to KnowIn this episode of Frame by Frame, host Chris St. John sits down with Olav Christianson, VP of Clinical Strategy at Imologix, to demystify the upcoming mandatory reporting measures for CT radiation dose and image quality. Learn about translation software requirements, implementation strategies, and how to prepare your practice for 2027 compliance. Whether you're a radiology administrator, medical physicist, or healthcare IT professional, this episode provides clear guidance on meeting CMS standards while optimizing patient care. Discover why starting early could give your facility a competitive advantage in reimbursement and quality measures.Olav Christianson is the Vice President o...2025-03-0634 min
Frame by Frame: Rethink ImagingLegislating Change: How Dr. Amy Patel is Shaping the Future of Breast ImagingIn 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, th...2025-02-2030 min
Frame by Frame: Rethink ImagingAddressing Burnout and Enhancing Radiologist Health with Elizabeth KrupinskiIn part 2 of 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 a professor at Emory University School of Medicine. With a pioneering focus on the psychology of medical imaging. Dr. Krupinski has dedicated her research to understanding the cognitive load and stress that radiologists face, particularly in relation to burnout. In this episode, she shares her insights on the psychological factors contributing to radiologist burnout and discusses the implications for both individual performance and patient care. Notably, she emphasizes the need f...2025-02-0625 min
Frame by Frame: Rethink ImagingThe Psychology Behind Radiologist Errors with Elizabeth KrupinskiIn 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...2025-01-2334 min
Frame by Frame: Rethink ImagingAutomating Radiology: The Impact of AI with Dr. Jason AdlebergIn 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...2025-01-0933 min
Frame by Frame: Rethink ImagingRethinking Medical Imaging: Frame by Frame Holiday SpecialIn this special year-end episode of Frame by Frame: Rethink Imaging, host Chris St. John presents a carefully curated collection of the most profound and insightful conversations from 2024. The episode features seven distinguished voices who have helped shape the dialogue around medical imaging this year. From Dr. Tom Griglock's personal journey into medical physics to Dr. Ehsan Samei's philosophical take on the intersection of physics and medicine, each segment offers unique perspectives on the field's evolution.Listeners will hear crucial discussions about AI integration with Dr. Eliot Siegel, workflow optimization with James Armbruster, healthcare policy insights from Dr. L...2024-12-2737 min
Frame by Frame: Rethink ImagingAddressing the Radiology Tech Shortage: Challenges and Opportunities with Allen GoodeThis episode of the Frame by Frame: Rethink Imaging podcast sees host Chris St. John enjoying a far-reaching conversation with Allen Goode, the Chief Diagnostic Medical Physicist at UVA Health System.Radiology is in the midst of a technologist shortage, and it’s a problem that was only made worse by the ripple effects of COVID. Traditional recruitment methods are just no longer cutting it according to Allen, who is keener on proactive outreach and creative training programs. Listen in to have your eyes opened as to the vast untapped talent pools out there – if only there were...2024-12-1236 min
Frame by Frame: Rethink ImagingTarget-Based Dose Optimization: Enhancing Image Quality and Patient Safety | Dr. David LarsonIn 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...2024-11-2843 min
Frame by Frame: Rethink ImagingUnderstanding Radiation Dosage and the Benefits of Medical Imaging with Dr Donald FrushIn 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...2024-11-1458 min
Frame by Frame: Rethink ImagingBehind the Measures: Understanding CMS Quality Standards with Dr. Lee FleisherDr. Lee Fleisher drops into the latest episode of Frame by Frame: Rethink Imaging podcast. Host Chris St. John shares a dynamic conversation with Dr. Fleisher, a visionary in healthcare policy who has helped shape the standards that impact the care of millions across the United States.From the creation of the National Quality Strategy to groundbreaking decisions on quality measures and patient safety standards, this episode delves into Dr. Fleisher's relentless commitment to raising the bar in healthcare. The pair’s chat also provides a deep dive into the intersections of policy, practice, and patient imp...2024-11-0741 min
Frame by Frame: Rethink ImagingEmpowering Radiology: How AI is Redefining Patient Care with Eliot SiegelIn 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 po...2024-10-3159 min
Frame by Frame: Rethink ImagingThe Future of Radiology Technology and Patient Care with James ArmbrusterIn 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 a...2024-10-1740 min
Frame by Frame: Rethink ImagingQuantitative Data Meets Qualitative Care: Dr. Ehsan Samei on Integrating Technology and Human ExpertiseIn this episode of Frame by Frame: Rethink Imaging, host Chris St John sits down with Dr. Ehsan Samei, PhD, Director at Duke Center for Virtual Imaging Trials, to explore the critical intersection of technology, medicine, and human care. Dr Samei, a renowned expert in radiological sciences, shares insights from his extensive career, including his pioneering work in patient-centred imaging and the integration of AI into medical practice.The conversation delves into Ehsan’s journey through the evolving medical imaging landscape, highlighting his innovative approaches to optimizing patient outcomes and enhancing diagnostic accuracy. He discusses the ethical implications of...2024-10-0346 min
Frame by Frame: Rethink ImagingThe Evolution of Medical Imaging Technology with Dr. Tom Griglock of Oregon Health and Science UniversityIn this episode of Frame by Frame: Rethink Imaging, host Chris St John engages in an enlightening conversation with Dr. Thomas Griglock, PhD, the Chief Diagnostic Imaging Physicist and an Associate Professor at Oregon Health and Science University (OHSU). Dr. Griglock brings a wealth of knowledge from his over-decade-long tenure at OHSU, where he has made significant contributions to clinical imaging physics, advanced imaging technologies, and radiology education.The episode begins with an introduction to Dr. Griglock's impressive background, highlighting his expertise in CT, dosimetry, patient dose optimization, and novel spectral CT imaging techniques. His groundbreaking research...2024-09-1945 min
Frame by Frame: Rethink ImagingFrame by Frame: Rethink Imaging Podcast Trailer!Welcome to Frame by Frame: Rethink Imaging, the podcast where we dive into the transformative world of medical imaging with host Chris St. John!Get a sneak peek into how we’ll explore the powerful impact of imaging on healthcare.Discover the exciting topics we'll cover, including diagnostic accuracy, patient safety, and the latest technological advancements.Meet some of our upcoming guests, from esteemed academics like Dr. Ehsan Samei to industry experts, including radiology techs, hospital administrators, and medical physicists.Whether you’re a healthcare professional or simply fascinated by how imaging technology shapes the futur...2024-09-1701 min