Dennis K Bielecki, MD
Dr. Bielecki is a academic diagnostic radiologist with over 30 years experience in bone and joint radiology. His strengths include teaching radiology and high volume plain film interpretation with a strong interest in bone diseases, particularly inflammatory and non inflammatory diseases of the joints and spine, chest and abdomen. He uses structured VR reporting to streamline the process.
His specific interests include inflammatory and non-inflammatory arthridites, crystal deposition diseases, and the sero-negative spondyloarthropathies.
Dr Bielecki is Senior MSK Specialist Radiologist, at King's College Hospital, a 1600-bed tertiary care academic and research hospital directly affiliated with Guy's St Thomas Hospital. He also is Senior Lecturer (Associate Professor) in Imaging Sciences at King's College, London. He is also a member of the Arthritis, Pediatric MSK, and Osteoporosis/Metabolic Subcommittees of the European Skeletal Society (ESSR), member of the Polish Medical Radiology Society, a member of the British Society of Skeletal Radiology, and Editor-in-Chief of Radiology Online Journal.
Dr. Bielecki loves to teach MSK radiology and anatomy and has or can develop conference or seminar presentations on any major osseous disease process. He has given over 200 various lectures in his career.
As part of his training, he was a research fellow at UCSD working under the tutelage of Donald Resnick, and as a research fellow was involved in the publication of 6 peer-reviewed research papers. In total, he has published over 45 papers in peer-reviewed journals. In 2020-21, he has supervised the publication of 18 peer-reviewed Educational Exhibits at major musculoskeletal meetings in the world.
His specific interests include inflammatory and non-inflammatory arthridites, crystal deposition diseases, and the sero-negative spondyloarthropathies.
Dr Bielecki is Senior MSK Specialist Radiologist, at King's College Hospital, a 1600-bed tertiary care academic and research hospital directly affiliated with Guy's St Thomas Hospital. He also is Senior Lecturer (Associate Professor) in Imaging Sciences at King's College, London. He is also a member of the Arthritis, Pediatric MSK, and Osteoporosis/Metabolic Subcommittees of the European Skeletal Society (ESSR), member of the Polish Medical Radiology Society, a member of the British Society of Skeletal Radiology, and Editor-in-Chief of Radiology Online Journal.
Dr. Bielecki loves to teach MSK radiology and anatomy and has or can develop conference or seminar presentations on any major osseous disease process. He has given over 200 various lectures in his career.
As part of his training, he was a research fellow at UCSD working under the tutelage of Donald Resnick, and as a research fellow was involved in the publication of 6 peer-reviewed research papers. In total, he has published over 45 papers in peer-reviewed journals. In 2020-21, he has supervised the publication of 18 peer-reviewed Educational Exhibits at major musculoskeletal meetings in the world.
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Papers by Dennis K Bielecki, MD
change in the various articulations evident on plain radiographs or CT scans. SUBJECTS AND METHODS. Anesthetic arthrography was performed in 18 patients
with posttraumatic hindfoot pain. In all, 32 joints were assessed: 15 talocalcaneonavicular, 11 subtalar, five ankle, and one calcaneocuboid. Following intraarticular injection of a mixture of equal amounts of meglumine diatrizoate 60%, lidocaine 1%, and
bupivacaine 0.25%, patients were asked to grade the degree of pain relief they experienced on a scale from 0% to lOO%. The degree of degenerative changes seen on preliminary radiographs and CT scans was graded blindly and retrospectively by an
experienced musculoskeletal radiologist using a 3-point scale (grade 0 Indicated a normal joint, grade 1 indicated mild to moderate degenerative change, and grade 2
indicated severe degenerative change). The value of findings on both routine radiographs and CT scans as predictors of the degree of symptomatic relief obtained from
specific joint injections was determined. Arthrodesis was performed in nine patients on the basis of the results of anesthetic injections.
RESULTS. The degree of pain relief experienced after intraarticular injection of anesthetic correlated with the severity of degenerative change as assessed by routine radiography In 15 of 32 joints and as assessed by CT in eight of 18 joints. In 14 of 32 joInts
assessed by routine radiography and in seven of 18 joints assessed by CT, the amount
of pain relief achieved by anesthetic arthrography was less than that predicted by imaging evidence of degenerative disease. In five of 32 joints judged normal on plain film
radiographs, significant pain relief was experienced following anesthetic Injection,
resulting In a change in the proposed surgical procedure. Long-term follow-up indicated
satisfactory results in eight of the nine patients in whom arthrodesis was performed.
CONCLUSION. Selective intraarticular anesthetic injections afford a direct method
of confirming the site of hindfoot pain and may aid in surgical planning, because plain
film radiography or CT may underestimate or poorly indicate the most symptomatic
articulations.
AJR 1995;164:1473-1
Educational Presentations by Dennis K Bielecki, MD
change in the various articulations evident on plain radiographs or CT scans. SUBJECTS AND METHODS. Anesthetic arthrography was performed in 18 patients
with posttraumatic hindfoot pain. In all, 32 joints were assessed: 15 talocalcaneonavicular, 11 subtalar, five ankle, and one calcaneocuboid. Following intraarticular injection of a mixture of equal amounts of meglumine diatrizoate 60%, lidocaine 1%, and
bupivacaine 0.25%, patients were asked to grade the degree of pain relief they experienced on a scale from 0% to lOO%. The degree of degenerative changes seen on preliminary radiographs and CT scans was graded blindly and retrospectively by an
experienced musculoskeletal radiologist using a 3-point scale (grade 0 Indicated a normal joint, grade 1 indicated mild to moderate degenerative change, and grade 2
indicated severe degenerative change). The value of findings on both routine radiographs and CT scans as predictors of the degree of symptomatic relief obtained from
specific joint injections was determined. Arthrodesis was performed in nine patients on the basis of the results of anesthetic injections.
RESULTS. The degree of pain relief experienced after intraarticular injection of anesthetic correlated with the severity of degenerative change as assessed by routine radiography In 15 of 32 joints and as assessed by CT in eight of 18 joints. In 14 of 32 joInts
assessed by routine radiography and in seven of 18 joints assessed by CT, the amount
of pain relief achieved by anesthetic arthrography was less than that predicted by imaging evidence of degenerative disease. In five of 32 joints judged normal on plain film
radiographs, significant pain relief was experienced following anesthetic Injection,
resulting In a change in the proposed surgical procedure. Long-term follow-up indicated
satisfactory results in eight of the nine patients in whom arthrodesis was performed.
CONCLUSION. Selective intraarticular anesthetic injections afford a direct method
of confirming the site of hindfoot pain and may aid in surgical planning, because plain
film radiography or CT may underestimate or poorly indicate the most symptomatic
articulations.
AJR 1995;164:1473-1