Brian Welch

Interventional Oncologist and US/CT/MR Radiologist at Mayo Clinic. Girl Dad and Husband. Suffering Arsenal fan.

[Mayo Clinic @MayoClinic]

Most lumps or nodules in the thyroid are not harmful and don't need treatment. But sometimes, they can grow bigger and cause problems.

There's a treatment called radiofrequency ablation (RFA), which uses heat to make the nodules smaller. Learn more: https://t.co/Ipl3xvkX8d

[Wendaline VanBuren @WendalineVB]

We’ve had very promising results from image-guided cryoablation of Abdominal Wall #Endometriosis https://t.co/zn1h0agrK6 @MayoRadiology @MayoGynecology

[RadioGraphics_Editor @RadG_Editor]

Radiofrequency Ablation of Benign & Malignant Thyroid Nodules
Navin PJN et al
New Tools & Procedures
https://t.co/7GU9eyn52Y

@patrickjnavin
@ANKurupMD
@MayoRadiology
@MayoClinicEndo
@Welch_IO
@mrcastro123
@mattcallstrom
#RGphx
15/20

[Brian Welch @Welch_IO]

@WBrinjikji Range @DavidEpstein
Loonshots @SafiBahcall

[Brian Welch @Welch_IO]

@ajgunnmd @VarianMedSys @swstav @danbrownIO @DrCliffWeiss @StevenSRaman_MD @DHidlayVIR @masi_zachary @FiveNada @GarnonJulien @GeorgiadesMD @AustinBourgeois @TheRealDoctorOs Great case. @JayMorris_MD led the way with the V probes in our practice. Very helpful in bone/soft tissue cases where backstop is critical. Also can help in kidney if patient is thin to avoid subcostal/intercostal nerve injury and associated risk for flank bulge/hernia.

[JVIR @JVIRmedia]

Percutaneous Image-Guided Thermal Ablation of Adrenal Metastasis from Melanoma: A Single-Institution Experience. https://t.co/61P8h6vZVn @MayoRadiology #irad @Welch_IO

[Brian Welch @Welch_IO]

Superstar @WBrinjikji @danieladamoMD @MayoRadiology @MayoClinicSOM @JayMorris_MD @MayoMN_IRadRes @ecehman

[Mayo Clinic @MayoClinic]

A Mayo Clinic doctor has pioneered a new procedure to treat a medical problem that causes positional headaches, among other symptoms. And he took a "novel" approach to find the solution. https://t.co/FSKstf00Fp

[Brian Welch @Welch_IO]

@ajgunnmd @xraytatum @DaveJohnsonMD @bonesz @AbhiKumar47 @masi_zachary @DHidlayVIR @StevenSRaman_MD @dcmadoff @bsc_io @shiv_smith @SIR_ECS @TimMcClureMD @FiveNada @swstav @agraif @NCCN @ASCO @AmerUrological Alot of heterogeneity out there now--thermal modality, operator technique (lap vs perc, number of needles), and method of intraprocedural monitoring. Hopefully continuing to develop good data will only help.

[Brian Welch @Welch_IO]

@ajgunnmd @xraytatum @DaveJohnsonMD @bonesz @AbhiKumar47 @masi_zachary @DHidlayVIR @StevenSRaman_MD @dcmadoff @bsc_io @shiv_smith @SIR_ECS @TimMcClureMD @FiveNada @swstav @agraif @NCCN @ASCO @AmerUrological Good discussion and agree. Its a slow process similar to the T1a journey (i.e. early 2010s AUA guidelines vs today) but promising data with longer term follow up emerging from experienced centers for both cryoablation and MWA.

[Brian Welch @Welch_IO]

@ajgunnmd @xraytatum @DaveJohnsonMD @bonesz @AbhiKumar47 @masi_zachary @DHidlayVIR @StevenSRaman_MD @dcmadoff @bsc_io @shiv_smith @SIR_ECS @TimMcClureMD @FiveNada @swstav @agraif The literature signal is pretty clear/strong. 1 probe per cm tumor, work with a collaborative multidisciplinary team (Urology, Anesthesia, etc), and liberal use of adjunctive techniques (stent, embo, hydrodisplacment) --> great oncologic outcomes. Don't think T1b a mystery.

[Brian Welch @Welch_IO]

@DrMJoyner @kncukier @antonioregalado @edcaesar @mer__edith @GaryMarcus No ‘skin in the game’ @WBrinjikji @nntaleb

[Mayo Clinic Radiology Residency Rochester @MayoMN_RadRes]

Body intervention spotlight: We have an amazing ablation in practice with world leaders in the field including @JayMorris_MD, neurointerventionalist extraordinare! Residents can rotate through this booming practice that does 10-20 cases per week in our hybrid suite. #radres #irad

[Brian Welch @Welch_IO]

@frbaffour @WBrinjikji I’m afraid 2041 more realistic for that matchup in the final 😰

[Brian Welch @Welch_IO]

@frbaffour @WBrinjikji Arsenal 3 Bayern 1?

[JVIR @JVIRmedia]

Safety and Efficacy of Retrograde Pyeloperfusion for Ureteral Protection during Renal Tumor Cryoablation | https://t.co/Wtg9oT1emN #irad @JoeTMarion

[AJ Gunn @ajgunnmd]

Interventional radiology (#IRad) can help control local sites of metastatic #cancer, helping keep patients off #chemotherapy.

This #patient with ovarian cancer in the liver was treated by image-guided microwave ablation @uab_ir.

Do you think we got it? #nocancerleftbehind

[Brian Welch @Welch_IO]

@JuliusChapiro @ajgunnmd @SIO_Central @dcmadoff @freez_IR @md_rogue Great discussion and agree. While guidelines still restrictive (esp EAU), we have had some success in the Urology literature.

https://t.co/i7WkFuDhWB

"For cT1a patients, clinically relevant differences between PN and ablation are unlikely"

Interesting T1b data too

[Brian Welch @Welch_IO]

@DrJnotJulius Agree with @danieladamoMD. Great technique we use frequently. Initial CT images can also help with localization/get you in the ballpark given some of these are highly mobile and small. Nice case.

[Mayo Clinic Department of Anesthesiology @MayoAnesthesia]

Safety Update: COVID-19 Convalescent Plasma in 20,000 Hospitalized Patients
#MayoAnesResearch in @MayoProceedings by @DrMJoyner et al.

Earlier admin in #COVID-19 is may reduce mortality & is safe

@amklompas @JuanGRipoll1 @MSextonMD @ACasadevall1
https://t.co/xxsYSbflNf