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Children’s Radiologists Train Military Docs

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Radiologists from Nationwide Children’s Hospital in Columbus, Ohio, are training military physicians in using ultrasound-guided techniques to remove shrapnel from soldiers’ bodies.

William E. Shiels II, DO, developed the ultrasound-guided foreign body removal (USFBR) techniques for use on young patients at Nationwide Children’s. He is chief of the hospital’s radiology department and president of Children’s Radiological Institute.

A Nationwide Children’s news release says:

High resolution ultrasound has been shown to be highly accurate in the detection and localization of civilian soft tissue foreign bodies.

When used on soldiers, it can precisely locate fragments from bombs and other combat-related explosives, both metallic and nonmetallic—even bits of wood, plastic, or clothing. And it can accurately guide their removal in a procedure much less invasive than conventional surgery. If not removed, such shrapnel can cause infection and long-term pain.

Dr. Shiels and his interventional radiology colleagues at Nationwide Children’s created and refined the techniques in order to treat adolescent patients who engage in the self-injury behavior known as self-embedding. He and James Murakami, MD, a pediatric radiologist at Nationwide Children’s, and their team of civilian and military radiologists are training 48 military radiologists and trauma surgeons at four U.S. military medical centers. They use turkey breasts as tissue simulators.

The program came about through a $1 million research grant from the U.S. Army’s Telemedicine & Advanced Technology Research Center.

“The potential to be involved with enhancing the excellent care provided to wounded service members by our military health care providers is immensely gratifying,” said Dr. Shiels, who is also a clinical professor of radiology and pediatrics and a graduate faculty member in biomedical engineering at The Ohio State University College of Medicine. “Our hope is that USFBR will become part of the standard of care for war-related foreign body removal throughout the military health care system.”

Related CME seminar (up to 25.25 AMA PRA Category 1 credits™): UCSF Interventional Radiology Review


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