Jacob Fleming, MD

And we’re just getting started. What started as a podcast has grown into a community of physicians, innovators, and learners pushing the MSK field forward one episode at a time. 🎧🎙️🚀⚡️🦴💪🏾 Thank you to every host, guest, listener, and contributor who has helped make BackTable MSK what it is today. Cheers to the next 100. 🥂✨ #BackTableMSK #MSK #InterventionalRadiology #OrthopedicIR #Embolization #PainManagement #Orthopedics #SportsMedicine #MedicalPodcast #HealthcareInnovation

Implementation of AI assistance for screening mammography did not improve real-world performance of radiologists

Not all hip dysplasia looks the same. Acetabular deficiency can be found in many places, and can often look like impingement, pincer related anatomy! Anterosuperior deficiency, global deficiency and posterosuperior deficiency #hipdysplasia #teamhip pmc.ncbi.nlm.nih.gov/articles/PMC53…

Keep an eye out for subtle facet fractures! This tiny superior articular process fracture at C6 is classified as an F1 in the AOS system. F1 fractures are typically stable. F2 fractures are potentially unstable; these are characterised by fracture fragments larger than 1 centimetre (or involving more than 40% of the lateral mass). The presence of an F2 fracture can affect management as a non-operative approach may not be successful.

@WillyRontgen Sectra is great and I would say best I’ve used. Our group is moving from Fuji to Visage soon, fingers crossed. Fuji and Phillips (iSite) tied for last. McKesson/Change I always thought was surprisingly decent, especially compared to iSite.

Quick survey of rads. What is the best PACS you have ever used? Reply and I will tally results and post follow up.

@linemonkeymd @tayjrobin @MiraMalavia @Jonas__Kruse @VISLAMDSCAIP @KPVISLA @Subhash_Gutti @ashleylambaMD @brittanyj_b Nobody has done as much for engagement of the next generation in clinical IR. Future SIR Gold Medal recipient 👑🏅

@MiraMalavia @Jonas__Kruse @VISLAMDSCAIP @KPVISLA @Subhash_Gutti @ashleylambaMD @brittanyj_b Modern Dotter. VIR=Vatakencherry

Every SIR, Dr. V sightings just hit ✨different ✨ #VIRad #SIR2026 #irad #sir26tor @VISLAMDSCAIP @KPVISLA #mentor

@DoctorCliffyy @UMN_IRad Nice!! @bkeyMD

73M prostate ADCA s/p RT with recent trauma resulting B/L 3-column acetabular frxs and sacral frxs #ILLUMINOSS implantable devices tripod within each hip (any post and SAC) totaling 6 implants and single S1 #TNT #SIBONE TransIliac trans sacral screw @UMN_IRad #MSK

@dougbeall Great concept for a new course! What devices/techniques will be covered?

Join us at the Seattle Science Foundation on Friday and Saturday, July 31, and August 2 for the Master Class course with hands-on training from the experts. seattlesciencefoundation.org/products/cours…

Joseph A. Abboud, MD, FAAOS, of @RothmanOrtho, discussed results presented at #AAOS2026 that showed GLP-1 use in adults with concurrent type 2 diabetes and obesity was associated with increased risk for osteoporosis, gout and osteomalacia. @AAOS1 vist.ly/4vsga

@dougbeall Any code for interspinous bursitis injections or just unlisted/on the house?

Interesting case of C1 – 2 interspinous bursitis treated with an injection of local anesthetic and steroid anti-inflammatory. Very effective treatment in this case.

Paging @kevinsealsmd @guessing_lupus

In case anybody was curious what a Corgi's L-spine and hips look like under x-ray. I was. #CorgiRad

@jkhmlf Yes. Auto=self i.e. self fusion (without hardware). Some call it spontaneous fusion but I think that that is a misnomer. There’s not really much spontaneous about it, it’s due to a process occurring over years if not decades.

@JacobFlemingMD Are they actually called auto fusion?

Radiologists: please be sure to mention autofusions on cross-sectional imaging studies. This typically indicates a seronegative spondyloarthropathy. That was the case in this patient with neck pain but no mention on the radiology report.

@ChengaziMD Underappreciated masterpiece

@JacobFlemingMD @clotsheadtotoe @t_intheleadcoat @ElmasriFakhir @drochohan @kmadass @JayMathewsMD @keithppereira @DrJayMohan @Watts_IR This sent me down the memory lane of Kung Pow quotes - several are strangely relevant to thrombectomy Ex “I am a great magician, now your clothes are red”

Want to learn about everything CLOTS? Come join an excellent multidisciplinary panel at @clotsheadtotoe in Orlando this January hmpglobalevents.com/clotsheadtotoe

@dougbeall AetNO doing the most to keep their patients debilitated instead of approving one of the most effective procedures available.

Aetna health insurance making up criteria for denying #kyphoplasty for a very painful and debilitating vertebral fracture. See #6…there’s no such contraindication or medical literature basis for denying kyphoplasty for a fracture extending through the posterior vertebral cortex

I like big blocky fills and I cannot lie. #SirCementalot

Just released! Stay up to date on the latest insights, education, and advancements shaping the field of interventional spine.Grab your copy now: aspnpain.com/aspn-newslette… @‌doctdeer @‌Scorah_ssmb

Fantastic work by @docroc99 & #superstar @OchsnerHealth #radiology resident Dr. Frantz highlighting the challenges health systems and providers face dealing with #MedicareAdvantage. Seems like @DOJCrimDiv (& others) R taking notice! @reh3md #jnis @ASIPP @TheASNR @SNISinfo