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Radiology / Diagnostic - Pediatric

Robert C. McKinstry, III, MD, PhD

Current Position
Professor, Radiology
Division of Diagnostic Radiology
Pediatric Radiology and Neuroradiology Sections
Chief, Pediatric Radiology
Professor, Pediatrics

Specialty Areas
Pediatric Neuroradiology
Neuro Oncology
Pediatric Radiology

Patients Seen At
Mallinckrodt Institute of Radiology
510 South Kingshighway Boulevard
St. Louis , MO  63110
Fax:   314-362-4886
View Driving Directions

Mailing Address
Washington University School of Medicine, Department of Radiology
660 South Euclid Avenue, Campus Box 8131
St. Louis, MO  63110

Areas of Clinical Interest
Magnetic resonance imaging, MRI, MR imaging of brain development, diffusion tensor imaging, perfusion MR imaging and functional MR imaging, functional neuroimaging with magnetic resonance

Board Certification
Radiology -- Certified
Neuroradiology -- Certified

Medical Education
B.S.: Boston University, Boston, Massachusetts, 1984
Ph.D.: Radiological Sciences, Massachusetts Institute of Technology, Boston, Massachusetts, 1991
Medical Degree: Harvard-MIT Division of Health Sciences & Technology, Harvard Medical School, Boston, Massachusetts, 1992
Residency: Mallinckrodt Institute of Radiology and Barnes-Jewish Hospital, St. Louis, Missouri, 1997
Fellowship: Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri, 1999
Hospital Affiliations
Barnes-Jewish Hospital
Barnes-Jewish West County Hospital
St. Louis Children's Hospital

Honors and Awards
Listed in Best Doctors in America, 2008-2013 (Best Doctors, Inc.)
RSNA Roentgen Resident/Fellow Research Award, Mallinckrodt Institute of Radiology, 1997
Distinguish Teacher Award, Mallinckrodt Institute of Radiology, Washington University, 2002-2005
Diagnostic Radiology Teacher of the Year, Mallinckrodt Institute of Radiology, Washington University, 2007
Fellow, American College of Radiology, 2014

Disclosure of Financial Interests with Industry
Washington University and its physicians are committed to ensuring integrity and objectivity in medical decision-making. Some of our physicians work collaboratively with pharmaceutical or medical device companies to develop innovative ideas and products that can improve health care delivery and clinical outcomes for patients. In some instances, our faculty physicians are paid by these commercial companies to provide advice on product design or to speak about the use of medications, devices, equipment or procedures. These payments may include: a) compensation for consulting and speaking engagements, b) equity, and/or c) royalties for products invented by our faculty. Any payments to Washington University physicians must be based on tangible services and may not exceed fair market value for their work. In addition to disclosure on this web site, physicians earning more than $10,000 per year must disclose their corporate financial relationship in writing to patients when prescribing or using that company's products.

Dr. Robert C. McKinstry reported the following earned financial interests during calendar year 2013. Move your mouse over a header for more info.
Royalties: When a faculty member invents or conceives a new or improved process or product, the company that manufactures the product will make royalty payments to the faculty member. Royalty payments usually are a small percentage of the company’s revenue related to that product.
Consulting &
Advisory Boards
Consulting and Advisory Boards: Faculty may be paid to provide expertise to a company by being their consultant, or by serving on an advisory board.
Speaker Fees
Speaker Fees: Companies may pay faculty to speak to professional audiences about their products.
Siemans  $10,001-$25,000  
To learn more about Washington University's policies on collaborations with industry, click here.

Selected or Recent Journal Articles
Ragan DK, McKinstry R, Benzinger T, Leonard JR, Pineda JA. Alterations in cerebral oxygen metabolism after traumatic brain injury in children. J Cereb Blood Flow Metab. 2013 Jan.

Linscott LL, Kessler MM, Kitchin DR, Quayle KS, Hildebolt CF, McKinstry RC, Don S. CT for Pediatric, Acute, Minor Head Trauma: Clinician Conformity to Published Guidelines. AJNR Am J Neuroradiol. 2012 Dec 6.

Thangarajh M, Yang G, Fuchs D, Ponisio MR, McKinstry RC, Jaju A, Noetzel MJ, Casella JF, Barron-Casella E, Hooper WC, Boulet SL, Bean CJ, Pyle ME, Payne AB, Driggers J, Trau HA, Vendt BA, Rodeghier M, DeBaun MR. Magnetic resonance angiography-defined intracranial vasculopathy is associated with silent cerebral infarcts and glucose-6-phosphate dehydrogenase mutation in children with sickle cell anaemia. Br J Haematol. 2012 Nov.

Yuan W, McKinstry RC, Shimony JS, Altaye M, Powell SK, Phillips JM, Limbrick DD Jr, Holland SK, Jones BV, Rajagopal A, Simpson S, Mercer D, Mangano FT. Diffusion Tensor Imaging Properties and Neurobehavioral Outcomes in Children with Hydrocephalus. AJNR Am J Neuroradiol. 2012 Aug 16.

Buckley RT, Yuan W, Mangano FT, Phillips JM, Powell S, McKinstry RC, Rajagopal A, Jones BV, Holland S, Limbrick DD Jr. Longitudinal comparison of diffusion tensor imaging parameters and neuropsychological measures following endoscopic third ventriculostomy for hydrocephalus. J Neurosurg Pediatr. 2012 Jun.

Jagadeesan BD, Cross DT 3rd, Delgado Almandoz JE, Derdeyn CP, Loy DN, McKinstry RC, Benzinger TL, Moran CJ. Susceptibility-weighted imaging: a new tool in the diagnosis and evaluation of abnormalities of the vein of Galen in children. AJNR Am J Neuroradiol. 2012 Oct.

Ragan DK, McKinstry R, Benzinger T, Leonard J, Pineda JA. Depression of whole-brain oxygen extraction fraction is associated with poor outcome in pediatric traumatic brain injury. Pediatr Res. 2012 Feb.

White DA, Connor LT, Nardos B, Shimony JS, Archer R, Snyder AZ, Moinuddin A, Grange DK, Steiner RD, McKinstry RC. Age-related decline in the microstructural integrity of white matter in children with early- and continuously-treated PKU: a DTI study of the corpus callosum. Mol Genet Metab. 2010.

Sheline YI, Pieper CF, Barch DM, Welsh-Bohmer K, McKinstry RC, MacFall JR, D'Angelo G, Garcia KS, Gersing K, Wilkins C, Taylor W, Steffens DC, Krishnan RR, Doraiswamy PM. Support for the vascular depression hypothesis in late-life depression: results of a 2-site, prospective, antidepressant treatment trial. Arch Gen Psychiatry. 2010 Mar.

Darken RS, Bogitch R, Leonard J, Perry A, McKinstry RC, Gutmann DH, Rubin JB. Brainstem glioma presenting as pruritus in children with neurofibromatosis-1. J Pediatr Hematol Oncol. 2009 Dec.

Shimony JS, Sheline YI, D'Angelo G, Epstein AA, Benzinger TL, Mintun MA, McKinstry RC, Snyder AZ. Diffuse microstructural abnormalities of normal-appearing white matter in late life depression: a diffusion tensor imaging study. Biol Psychiatry. 2009 Aug 1.

Araujo GC, Christ SE, Steiner RD, Grange DK, Nardos B, McKinstry RC, White DA. Response monitoring in children with phenylketonuria. Neuropsychology. 2009 Jan.

Frei-Jones M, McKinstry RC, Perry A, Leonard JR, Park TS, Rubin JB. Use of thalidomide to diminish growth velocity in a life-threatening congenital intracranial hemangioma. J Neurosurg Pediatr. 2008 Aug.

Vendt BA, McKinstry RC, Ball WS, Kraut MA, Prior FW, Barton B, Casella JF, DeBaun MR. Silent Cerebral Infarct Transfusion (SIT) trial imaging core: application of novel imaging information technology for rapid and central review of MRI of the brain. J Digit Imaging. 2009 Jun.

Sheline YI, Price JL, Vaishnavi SN, Mintun MA, Barch DM, Epstein AA, Wilkins CH, Snyder AZ, Couture L, Schechtman K, McKinstry RC. Regional white matter hyperintensity burden in automated segmentation distinguishes late-life depressed subjects from comparison subjects matched for vascular risk factors. Am J Psychiatry. 2008 Apr.

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Copyright 2015 Washington University School of Medicine