August 2012 Volume 22, Number 8

Mobile Apps Gain New Ground in Radiology

also Inside: Post-residency Success Means Leaving the Reading Room Prostatic Artery Embolization Promising for Treating Enlarged Prostate PET/MR Leads to Potential Biomarkers for Autism Spectrum Disorders Experience the Best of during RSNA 2012

RSNA 2012 Course Enrollment Now Under Way—See Page 25 august 2012 • volume 22, Number 8 The finest breakthroughs

EDITOR David M. Hovsepian, M.D. in medical imaging R&E Foundation For more than 20 years, RSNA News has provided high- Contributing Editor quality, timely coverage of radiology research and education C. Leon Partain, M.D., Ph.D. and critical issues facing the specialty, along with compre- Executive Editor emerge here. hensive information about RSNA programs, products and Lynn Tefft Hoff Managing Editor other member benefits. Beth Burmahl Editorial Advisors Mark G. Watson Executive Director 5 UP FRONT Roberta E. Arnold, M.A., M.H.P.E. Assistant Executive Director 1 First Impression Publications and Communications Marijo Millette 4 My Turn Director: Public Information and Communications 4 MOC NEWS Editorial Board David M. Hovsepian, M.D. 7 Chair Features Colin P. Derdeyn, M.D. Kavita Garg, M.D. 5 Mobile Apps Gain New Ground in Radiology Bruce G. Haffty, M.D. Nazia Jafri, M.D. 7 PET/MR Leads to Potential Biomarkers Bonnie N. Joe, M.D., Ph.D. for Autism Spectrum Disorders Edward Y. Lee, M.D., M.P.H. 9 Kerry M. Link, M.D. 9 residents & fellows corner: Post-residency Success Barry A. Siegel, M.D. • FREE advance registration Registration, Means Leaving the Reading Room Gary J. Whitman, M.D. for RSNA/AAPM members. William T. Thorwarth Jr., M.D. 14 Experience the Best of Chicago during RSNA 2012 Board Liaison Housing Graphic designerS Unparalleled continuing • 11 Adam Indyk education opportunities. and Course Radiology’s Future Ken Ejka 11 Prostatic Artery Embolization Promising for Contributing Writers • Technical exhibition showcasing Enrollment Treating Enlarged Prostate Mike Bassett nearly 700 exhibitors. Richard Dargan Now Open 19 R&E Foundation Donors Mary Henderson Amy Jenkins • Networking with professionals 13 Paul LaTour from more than 125 countries. News You Can Use 2012 RSNA BOARD OF DIRECTORS N. Reed Dunnick, M.D. 21 Journal Highlights Chair • Magnificent Chicago entertainment, Ronald L. Arenson, M.D. dining and shopping experiences. Register online at 22 Radiology in Public Focus Liaison for Annual Meeting and Technology RSNA.org/register 23 Education and Funding Opportunities Richard L. Baron, M.D. RSNAFANS #RSNA12 Liaison for Education 24 Technology Forum William T. Thorwarth Jr., M.D. Liaison for Publications and This live activity has been approved for AMA PRA Category 1 Credit™ Communications 25 Annual Meeting Watch Richard L. Ehman, M.D. RSNA2012.RSNA.org Access the RSNA Liaison for Science News tablet edition on the App Store and 27 The Value of Membership Vijay M. Rao, M.D. Android Market. Liaison-designate for Annual 28 RSNA.org Meeting and Technology Radiological Society of North America George S. Bisset III, M.D. 98th Scientific Assembly and Annual Meeting President Sarah S. Donaldson, M.D Follow us for exclusive President-elect and November 25–30 news, annual meeting Secretary-Treasurer McCormick Place, Chicago offers and more!

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Numbers in RSNA Editorial Fellows Announced the News Birgit Ertl-Wagner, M.D., a professor of radiology and section chief for MR imaging at the University of Munich, has been named the 2012 RSNA Eyler Editorial Fellow. Mai-Lan Ho, M.D., a fourth-year resident and clinical fellow in the Department of Radiology at Beth Israel Deaconess Medical Center, is the 2012 10 Trainee Editorial Fellow. Percent of their workday radiologists should Professor Ertl-Wagner, whose work Dr. Ho’s work focuses devote to activities that don’t involve image focuses on neuroradiology and head and on neuroradiology and MR interpretation, according to some experts. neck radiology, has published more than imaging. She has served See Page 9 to learn how undertaking activ- 60 original articles, including 28 as first or on the editorial board of ities such as utilization management and senior author. She has written 21 review the International Journal of quality initiatives can help both residents articles and book chapters and is the Stroke Research, as a section and senior radiologists increase their value main author of five textbooks. She serves editor for Radiopaedia.org in a tight job market. as associate international editor for the and as a reviewer for the Journal of the American College of Radiology Journal of Pediatric Neuro- and has served as a reviewer for other jour- radiology. Among the 11 nals including Investigative Radiology and funded projects on which ACR Officers, back row, left to right: Howard B. Fleishon, M.D., M.M.M., Anne C. Rob- European Radiology. Dr. Ho serves as principal erts, M.D., Kimberly E. Applegate, M.D., M.S., Paul A. Larson, M.D. Front row, left to 78 Current chair of the education com- investigator is “Sodium-23 right: John A. Patti, M.D., Paul H. Ellenbogen, M.D., Bibb Allen, Jr., M.D. Increase in estimates of autism spectrum mittee of the European Society of Radiol- MRI for Seizure Focus disorder (ASD) prevalence in the over- ogy, Professor Ertl-Wagner chaired the Localization in Epileptic Ertl-Wagner Ho all population between 2002 and 2008, European Training Assessment Program Patients,” funded by a 2011 ACR Names New Officers according to a recent report by the Centers (ETAP) from 2009 to 2012. She received Bracco Diagnostics Research Resident to radiology research and practice.” Paul H. Ellenbogen, M.D., was recently elected chair of the American College of for Disease Control and Prevention. Turn a grant from the RSNA Research & Edu- Grant from the RSNA R&E Foundation. Both fellows will work with Radiology Radiology (ACR) Board of Chancellors, and Bibb Allen, Jr., M.D., was elected to to Page 7 to learn how researchers using cation (R&E) Foundation in 2001. Transforming patient care through Editor Herbert Y. Kressel, M.D., in Boston serve as vice-chair. Dr. Ellenbogen is a senior attending radiologist at Texas Health MR and PET have discovered potential “Due to my activities in radiologic research and educational innovation is and RadioGraphics Editor Jeffrey S. Klein, Presbyterian Hospital Dallas, a partner in Radiology Associates of North Texas, and biomarkers that may lead to earlier ASD publishing and in radiologic societies both her ultimate goal, Dr. Ho said. “During M.D., in Burlington, Vt. The Eyler fellow- a clinical professor of radiology at the University of Texas Southwestern Medical diagnosis and improved treatments. on a national and on a European and residency and medical school, I have pub- ship lasts one month and the trainee fellow- School in Dallas. Dr. Allen is a diagnostic radiologist in the Birmingham Radiologi- international level, I believe I would be in lished several original and review articles ship lasts one week. Each fellow will also cal Group in Alabama. an excellent position to transfer and trans- and pursued initiatives in medical educa- visit the RSNA Publications Department John A. Patti, M.D., was elected as president and Paul A. Larson, M.D., as late the knowledge and skills gained from tion and leadership,” she said in her appli- at RSNA Headquarters in Oak Brook, Ill. vice-president. Immediate past-chair of the ACR Board of Chancellors, Dr. Patti is a the fellowship into the advancement of cation. “The RSNA Trainee fellowship Professor Ertl-Wagner will also work with thoracic radiologist at Massachusetts General Hospital in Boston and serves on the 165 radiologic scholarship and deepen mutual will be an amazing opportunity for me to the Radiographics editorial board at RSNA faculty at Harvard Medical School. Dr. Larson is in private practice as a general radi- RSNA Research & Education Founda- ties between the countries,” Professor Ertl- broaden my experiences in medical jour- 2012. ologist in Oshkosh, Wis. tion Roentgen Resident/Fellow Research Wagner said in her application. nalism, thus enhancing my contributions Awards presented this year. Roentgen Awards recognize and encourage residents and fellows, nominated by their program QIBA Meeting Focuses on Clinical directors or department chairs, who have Omary Named Chair at Vanderbilt played active and outstanding roles in Samson Receives University Value of Quantitative Imaging radiologic research. See RSNA.org/Roent- Reed Omary, M.D., M.S., has been The fifth annual Quantitative Imaging Biomarkers Alliance gen_Research_Award.aspx for a list of CAR Gold Medal appointed a professor and chair of the awardees. Department of Radiology and Radio- (QIBA) meeting drew more than 75 stakeholders from the clinical Award logical Sciences at community, imaging equipment manufacturers, the pharmaceuti- The Canadian Association of Vanderbilt University cal industry, government agencies and medical informatics com- Radiologists (CAR) presented Medical Center in panies. Held in May in Rosemont, Ill., highlights of the meeting Nashville, Tenn. Dr. its Gold Medal Award to Louise Omary previously included: 260 Number, in thousands, of pieces in the Art M. Samson, M.D., head of the served as a profes- • QIBA’s Modality Committee leaders and their short-term project goals. sor of radiology and provided updates concerning ongoing • Modality and Technical Committees Institute of Chicago collection. The Institute Department of Radiology at the is just one of dozens of Chicago museums, biomedical engineer- projects funded from a contract awarded worked in breakout sessions to fur- University of Montreal. A revered theatrical performances and other attrac- ing and vice-chair to RSNA by the National Institute of ther develop QIBA Profiles and plan tions featured in RSNA News’ annual guide educator, Dr. Samson is the first of research for the Biomedical Imaging and Bioengineering. for groundwork studies to provide to the Windy City. See Page 13. radiologist to serve as president Department of Ra- • Invited panelists from pharmaceutical, the data needed to establish or rein- Canadian Association of Radiologists diology at the Northwestern University equipment and informatics companies force Profile claims. of the Royal College of Physi- (CAR) President James Fraser, M.D. Feinberg School of Medicine in Chi- and academia provided their perspec- For more information on QIBA cians and Surgeons of Canada. (left) and Louise M. Samson, M.D. cago. Dr. Omary is a past recipient of tive on the clinical value of quantitative and to access the QIBA Newsletter and She is a former RSNA second (right) two RSNA R&E Foundation grants and imaging and engaged attendees in a presentations from the 2012 QIBA remains active in Foundation activities. vice-president and was a member of both the Education and He has served as a manuscript editor question-and-answer session afterwards. Annual Meeting, go to RSNA.org/ the Maintenance of Certification/Education Councils. • Co-chairs of the newly formed Ultra- QIBA_.aspx for Radiology. sound Technical Committee met to dis- cuss the organization of subcommittees

1 RSNA News | August 2012 August 2012 | RSNA News 2 newsfirst you imp canressio usen

My Turn Getting Started with Your First Job Search

In today’s changing healthcare system, know about tracking down a position. dents and fellows feel the pressure to the process of finding a job has become Your current residency and/or fellow- find the perfect job, but factors like prac- a challenging task. The perfect posi- ship program can be great starting point. tice profile and salary projection can be tion you envisioned at the start of your Radiology meetings and conferences are artificial measures of success. Find the residency may no longer exist. With the also fantastic places to meet potential job you like, with people you trust, and country in a sluggish economic recovery, employers. give it your best shot. If it doesn’t work RSNA Assists at AMA Medical Student Showcase fewer positions are open to finishing Still not enough leads? Call the prac- out, you will have other opportunities. residents and fellows and the competition tices in your target area and ask them Your first job is not necessarily your last RSNA was represented at the American Medical Association Medical Student Showcase (AMA-MSS) held in June in Chicago, where hundreds of medical students learned about various medical disciplines. RSNA personnel answered questions and offered free membership to students is intense for a smaller number of quality if they are in need of a physician with job. For more insight on career develop- pursuing radiology. RSNA employees were joined by Andrew Moriarty, M.D., (above, left) a radiology resident at Henry Ford Hospital in positions. However, the situation may not your unique skills. Remember that being ment, join us at the Resident and Fellow Detroit, who offered professional insight and touted the benefits of RSNA membership. Right: RSNA membership assistant Betsy Albelo assists seem as bleak if you approach your job able to perform the core duties of your Symposium at RSNA 2012. an attendee completing an application. search with a reasonable strategy. position is just the start. Sometimes it is While it would be ideal to find a job your additional non-patient care abilities Aparna Annam, D.O., that matches your specific interests, that can benefit the prospective employer is a fellow in pediatric what drives most of us to choose one and get you hired. For some, specializa- interventional radiology at position over another is often location. tion in informatics or a business back- Texas Children’s Hospital in AAPM Award Recipients You may need to be in the same city as a ground may be the skills that are critical Houston. Dr. Annam chairs the RSNA Resident and The American Association of Physicists in Medicine (AAPM) spouse or stay in a large urban environ- to a specific practice. For others, it may Fellow Committee. awarded Stephen Thomas, Ph.D., the William D. Coolidge Award ment, as opposed to a rural community. If be serving as a liaison for the community this is a factor, then focus your search in to improve patient care. Read “Post-residency at the Society’s recent annual meeting in Charlotte, N.C. A past- job banks to a few select areas. Most importantly, be patient but per- Success Means Leaving AAPM president, Dr. Thomas is a professor emeritus of radiology at Don’t be disheartened if you don’t see sistent. The process may take longer the Reading Room” on Page 9. To access RSNA Career Connect™, the comprehensive job search the University of Cincinnati Medical Center. Dr. Thomas has served a multitude of postings since many jobs than it has in prior years, but you will site for the radiology profession, go to careers. are unadvertised. Talk to everyone you eventually find the right position. All resi- rsna.org. as an RSNA third vice-president and as a reviewer for RadioGraph- Thomas Mistretta ics. He will receive the RSNA Gold Medal at RSNA 2012. Charles Mistretta, Ph.D., Edward Sternick is a medical physicist-in-chief, Sternick, Ph.D., and Kenneth Vanek, professor and vice-chair of radiation Ph.D., received the Edith H. Qui- oncology at Rhode Island Hospital/ MOC News mby Lifetime Achievement Award. Brown University Medical School in Dr. Mistretta is a medical physics and Providence. Dr. Vanek is a professor ABMS Launches Public Reporting of Physicians’ MOC Status radiology professor at the University of radiation oncology at the Medi- of Wisconsin School of Medicine in cal University of South Carolina in The American Board of Medical Spe- each diplomate’s status will be provided. is accurate for each member,” said Dr. Madison. He was named the RSNA Charleston. cialties (ABMS) on Aug. 31 will begin ABR diplomates enrolled in MOC and Becker, who served as RSNA president reporting on its public website whether in 2009. Outstanding Researcher in 2010. Dr. Sternick Vanek meeting MOC requirements will be able physicians certified by its member to direct individuals and organizations to The initiative coincides with ABR’s boards—including the American Board the ABMS website or the ABR website new method of MOC status verification of Radiology (ABR)—are meeting MOC as proof of their MOC status. ABR lead- known as “Continuous Certification.” Guiberteau and Ibbott Elected to ABR Board of Trustees requirements. ers stress that physicians with lifetime All new and maintained certificates ABR-certified diagnostic radiolo- certification status need not “meet the will move to the new model this year. The American Board of Radiology (ABR) Board of Trustees has gists, radiation oncologists and medical requirements” of MOC to retain their Certificates will not display an end date elected Milton J. Guiberteau, M.D., as president-elect and physicists will be reported as “meeting valid ABR certification. but will instead state that ongoing cer- Geoffrey S. Ibbott, Ph.D., as secretary-treasurer in terms that requirements of MOC,” “not meeting ABR Executive Director Gary Becker, tification is contingent on meeting MOC requirements of MOC” or “not required M.D., stressed the need for each diplo- requirements. MOC requirements will started July 2012. to participate in MOC.” The ABMS web- mate to visit his or her personal database not change. Dr. Guiberteau is chief of nuclear medicine and academic chief in the Depart- site (www.certificationmatters.org) will to make sure their information is up to A full report on the ABMS-ABR initia- ment of Medical Imaging at St. Joseph Medical Center and a clinical professor of provide a link to the ABR website (www. date. “This is a huge data operation and tives will appear in the September issue radiology and nuclear medicine at the University of Texas medical school, both theabr.org) where further clarification of we want to make sure that information of RSNA News. in Houston. A past-American College of Radiology president, Dr. Guiberteau is a member of the RSNA Public Information Advisors Network (PIAN). Dr. Guiberteau replaces James P. Borgstede, M.D., who became president of the Board of Trust- Guiberteau Ibbott RSNA News Letters to the Reprints and advertising ees on July 1. August 2012 • Volume 22, Number 8 Postmaster: Send address correction Contents of RSNA News copy- Editor Permissions [email protected] [email protected] [email protected] Published monthly by the Radiological “changes” to: RSNA News, 820 Jorie Blvd., righted ©2012, RSNA. RSNA Jim Drew, Director Dr. Ibbott is a professor and chair in the Department of Radiation Physics, Divi- 1-630-571-7837 fax 1-630-571-7829 Society of North America, Inc. Oak Brook, IL 60523-2251 is a registered trademark of the 1-630-571-7819 1-630-590-7724 fax sion of Radiation Oncology, at the University of Texas MD Anderson Cancer Center in Houston. Dr. Ibbott is a 820 Jorie Blvd., Oak Brook, IL Non-member subscription rate is $20 per Radiological Society of North Subscriptions RSNA Membership past-president of the American Association of Physicists in Medicine. He will replace Richard L. Morin, Ph.D., 60523-2251. Printed in the USA. year; $10 of active members’ dues is allo- America, Inc. [email protected] 1-877-rsna-mem cated to a subscription of RSNA News. 1-888-600-0064 who has served as secretary-treasurer since 2008. 1-630-590-7770

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Mobile Apps Gain New Ground in Radiology From helping to demonstrate the meaningful use of electronic healthcare records (EHRs) to improving workflow in the MR imaging suite, ever-evolving mobile devices are well on their way to becoming embedded in the daily routine of many radiologists.

Along with tapping into mobile apps for their of Elliot K. Fishman, M.D. Images courtesy convenience and potential for collaboration, con- sultation and teaching, radiologists are using them to strengthen relationships with referring physicians who are adopting the technology in greater num- Advancements in the iPad make it easier for radiologists to review images, potentially moving medical imaging closer to using mobile devices bers and to improve relationships with patients who for diagnostic purposes. Above, from left: a 3D volume rendered image (left) of carotid circulation in coronal plane and 3D MIP image (right) appreciate the acessibility mobile apps afford. of same dataset with bone removal with dual energy CT presented in oblique projection on WebViewer on the iPad; right: A 3D volume “Now I can do my job better because I am always rendered image (left) and MIP image (right) of the intracranial circulation from dual energy dataset with bone removal as displayed using available to answer questions on a CT study,” said WebViewer on the iPad. Elliot K. Fishman, M.D., director of diagnostic imaging and body CT at Johns Hopkins University Medical Center in Baltimore. Dr. Fishman was PACS Plug-in Tracks Patient Follow-up System in Detroit. “If I schedule a follow-up, this plug-in will named RSNA Outstanding Educator in 2009 and Introduced at RSNA 2011, another app allows radiologists to alert me if that patient has or has not been seen at our healthcare is vice co-chair of the RSNA-American College track patient follow-up through their EHRs, potentially creating system. This not only helps the primary care physician but also of Radiology (ACR) Public Information Website closer relationships with referring physicians. the continuity of patient care.” Committee and serves on RSNA’s Public Informa- Utilizing Softek’s Illuminate PACS plug-in application with The app also makes it easier for radiologists to learn whether tion Committee and Public Information Advisors Fishman Halabi their Philips Healthcare software, users can tag the studies they their initial interpretations were correct. For example, a radiolo- Network. “Because you are always available, it really want to follow and select a time window for the follow-up. The gist who interprets a lesion on a chest X-ray as abnormal could improves patient care.” system automatically sends an alert when the follow-up study ultimately learn it was benign. “If I do that 20 times and continue As tablets continue to offer greater image clarity, “If you have an X-ray that is 4,000 by 4,000 pixels, you might not is performed and when the time window for follow-up expires. to get that negative feedback, it may help me avoid making that resolution and functionality, mobile devices will be able to see the whole image at once, but you can see large portions Alerts can also be created so radiologists know if a particular recommendation in the future, or vice-versa,” Dr. Halabi said. move beyond a consultative role to a diagnostic one, of it at a time and you don’t have to pan over it as much,” Cain said. patient has returned for the recommended follow-up test. The app also helps guard against frivolous recommendations experts say. Full-volume rendering is also possible on the iPad 3 using the “This is a whole new area,” said app developer Safwan Halabi, and add to the value of the radiology service, Dr. Halabi said. syngo®.via WebViewer application created by Siemens Medical Solu- M.D., of the Department of Radiology at the Henry Ford Health Continued on page 13 Apps Move Toward Diagnosis tions and used at Johns Hopkins. By loading a data set at full resolu- Introduced this spring, Apple’s iPad 3 makes it tion, the application allows the user to interact in real time, essentially easier for radiologists to review images, potentially turning the iPad 3 into a mobile workstation, Dr. Fishman said. moving medical imaging closer to using mobile “All the typical things you associate with the workstation we are RSNA Offers Access and Apps for Your Mobile Device devices for diagnostic purposes. Mobile MIM able to do in real time on the iPad 3 without sacrificing quality,” Dr. Along with the ultra-readable RSNA News tablet edition, RSNA offers other member-exclusive Software was one of the first apps for diagnostic Fishman said. “In fact, the iPad 3 is faster.” radiology approved by the U.S. Food and Drug “must-have” apps free to iPhone, iPod touch and iPad users, including: Administration (FDA), opening the way for other • Radiology and RadioGraphics: Access m.rsna.org from your smart- • myR SNATM: Instantly access the companies. Access full-text content of current phone or other mobile device to find files and bookmarks you’ve saved. “Due to recent innovations in computer hard- and recent issues, jump to sections select content in a mobile-optimized Coming soon, RSNA’s new- ware and software, the iPad and other tablet devices All the typical things within articles, perform full-text format: est app will offer patient have emerged as the newest forms of mobile com- “ searches, store and share articles • RadiologyInfo.org: Check out the safety content from puting with a role in image interpretation,” Dr. you associate with the and more. latest patient education materials, RadiologyInfo.org Fishman said. • Radiology Select: Access this con- including images and video. for tablets and With a retina display of 2,048 by 1,536 pixels, workstation we are iPad 3 features more than four times the number tinuing series of selected Radiology • Annual Meeting: Check in through- smartphones. of pixels offered by iPad 2 and a million more than able to do in real time articles highlighting developments out the year for updates on new For more informa- a high-definition television, said Mark Cain, chief in imaging science, techniques and content to be featured at RSNA tion on RSNA mobile technology officer at MIM Software. clinical practice. 2012, as well as information about features, go to RSNA. on the iPad 3 without • R SNA Suite: One app offers esteemed lecturers and honorees org/Mobile_Options.aspx. on the cover instant access to current informa- and other announcements. 3D volume rendered images showing a sacrificing quality.” tion on the RSNA Annual Meeting, • Radiology and RadioGraphics: right aortic sided aortic arch with aber- Radiology, RadioGraphics and Radi- Browse Tables of Contents for rant left subclavian artery as displaced Elliot K. Fishman, M.D. on Webviewer on the iPad. Image ologyInfo.org. Find and connect to RSNA’s peer-reviewed science and courtesy of Elliot K. Fishman, M.D. interrelated apps at the App Center. education journals and read articles.

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PET to identify protein synthesis abnormalities in disorders related to autism. PET/MR Leads to Potential Biomarkers Previously, researchers have detected unusual increases in the synthesis of dendritic proteins, which make up the branched projections of neu- for Autism Spectrum Disorders rons that conduct electrochemical stimulation from other nerves in conditions like Fragile X syndrome and tuberous sclerosis. Researchers using MR and PET to study autism spectrum disorders (ASD) in children In research originally presented at RSNA 2011 have discovered potential biomarkers that may lead to earlier diagnosis and improved and published in the November 2011 issue of the Journal of Child Neurology, Dr. Shandal and col- treatments. leagues used PET with the radiotracer Carbon-11 leucine—an amino-acid-tagged radioisotope—to ASD—sometimes also referred to as pervasive measure protein synthesis in 16 children with developmental disorder (PDD)—is characterized developmental delays. Eight of the children had by deficits in social interaction, verbal and nonver- PDD. bal communication and engagement in repetitive Researchers generated time activity curves for behaviors or interests. The Centers for Disease leucine concentration in the blood and leucine Control and Prevention (CDC) estimates that one uptake in the brain and found higher rates of cere- in approximately 88 children has been identified bral protein synthesis in developmentally delayed as having some form of ASD, with autism being children with PDD. Higher rates of protein syn- the most common and debilitating type. There is thesis correlated with more severe and pervasive no cure for ASD but behavior and communication autistic features, Dr. Shandal said. therapies and medication can help control symp- “This increase in dendritic protein synthesis toms. causes defects in synaptic connections and alters Diffusion-weighted MR imaging (DW-MRI) the normal development of brain functions such as is giving researchers insight into the connection language and cognition,” Dr. Shandal said. between autism and irregularities involving signal Abnormal protein synthesis in the language cen- pathways in the white matter. Jeong-Won Jeong, ters of the brain may offer an imaging biomarker Recent research by Jeong-Won Jeong, Ph.D., assessed whether the dentatorubroth- Jeong Shandal in assessing the severity of autism, according to alamic tract is altered in Autism Spectrum Disorders (ASD) using diffusion-weighted Ph.D., an assistant professor in the departments of MRI. Q-ball imaging tractography was performed in 13 children with high-functioning Pediatrics and Neurology at Wayne State University study co-author Senthil K. Sundaram, M.D., an ASD (HFA), 11 children with low-functioning ASD (LFA), and 14 typically developing School of Medicine in Detroit, and colleagues used assistant professor of pediatrics and neurology at children (TD). Fiber-tract fractional anisotropy (FA) was estimated from tract-based DW-MRI to study differences among children In current research, Dr. Jeong and colleagues are studying how Wayne State University. “Right now, leucine helps morphometry (TBM) analysis for right ventro-caudal dentate (VCDN) pathway. (a) with ASD in research first presented at RSNA the reduced white matter integrity of the dentatorubrothalamic us see differences in the two groups of children,” The group mean and standard deviation of FA at each common arc-length coordinate 2011 and later published in the April 2012 issue of pathway affects serotonin synthesis in the cerebellum of children Dr. Sundaram said. “We need more studies to see if are plotted at the respective common coordinates, (left) TD vs. HFA and (right) TD The Cerebellum. with LFA and HFA. it’s clinically useful.” vs. LFA. Block asteroids and brackets indicate the coordinates and their clusters Focusing on the brain’s dentatorubrothalamic ASD research has taken on increased urgency in showing significant difference, p<0.05. (b) For the comparison of the TD group FA tract—which has been implicated in the deficits in Carbon-11 PET Identifies Abnormal Protein Synthesis the face of a rapid rise in prevalence. According to is greater than in the HFA group (1: left) and the LFA group (2: right), the p-value communication and motor skills found in autism In a first-of-its-kind study, Varun Shandal, M.B.B.S., a research a CDC report released in March 2012, ASD preva- for the group difference at each common arc-length coordinate is overlaid on a pro- assistant at Children’s Hospital of Michigan, Wayne State Univer- lence estimates in the overall population increased totype fiber. Researchers define the first common arc-length coordinate (s = 0 mm) patients—researchers examined children with high- at right VCDN. 3D cross-sectional images show exact locations of s=0 coordinate functioning autism (HFA), who have typical cog- sity of Medicine in Detroit, and colleagues have used Carbon-11 23 percent between 2006 and 2008 and 78 percent showing the highest significance (marked by black arrows) in SUIT space whose nitive function, and with low-functioning autism between 2002 and 2008. Hybrid imaging with FA is significantly reduced in HFA (left) and LFT (right) compared to TD. The FA (LFA), who have impaired cognitive function. PET and MR is likely to play an important role in values reduced in TBM segments of right VC pathways were significantly correlated Researchers imaged 13 HFA children, 11 LFA the research because it offers major advantages for with the reduced communication skills in HFA/LFA group (p value = 0.005). children and 14 typically developing children. We discovered that the brain imaging of pediatric patients, Dr. Shandal Results showed decreased white matter integrity in said. web extras HFA and LFA children, Dr. Jeong said. “We found “ “Brain PET alone is not that useful when To view a video discussion by Jeong-Won Jeong, Ph.D., and that the reduction of axonal integrity measured by reduction of axonal integrity you have to look for subtle details, but the finer Varun Shandal, M.B.B.S., of their RSNA 2011 research, go to DW-MRI correlates highly with the reduction of anatomical resolution provided by MR imaging rsnanews.RSNA.org. communication and living skills in children with measured by DW-MRI perfectly complements the functional imaging of To view an abstract of the study “Altered White Matter high- and low-functioning autism,” he said. PET,” Dr. Shandal said. Structure of the Dentatorubrothalamic Pathway in Children DW-MRI has the potential to highlight imag- correlates highly with the “PET and MR should be performed at the same with Autistic Spectrum Disorders,” by Dr. Jeong, in the April time, and ideally on the same scanner, to avoid the 2012 issue of The Cerebellum, go to www.ncbi.nlm.nih.gov/ ing biomarkers that can help diagnose children pubmed/22477362. with HFA and LFA, Dr. Jeong said. “A child with reduction of communication potential problem of co-registering brain images of unequal sizes, which is possible if the scans are per- To view an abstract of the study, “Abnormal Brain Protein high-functioning autism receives an entirely differ- Synthesis in Language Areas of Children With Pervasive Devel- ent treatment than a child with low-functioning and living skills in children formed weeks or months apart,” Dr. Shandal con- opmental Disorder A L-[1-11C]-Leucine PET Study,” in the Octo- autism,” he said. “A low-functioning child could tinued. Another advantage would be that the child ber 2011 edition of Journal of Child Neurology by Dr. Shandal, go not tolerate the sensory input that a high-function- would only undergo sedation once for both exams, to jcn.sagepub.com/content/26/11/1347. ing child could. Thus, early distinction between the with high- and low- he added. q two is critical to curing or managing the disorders.” functioning autism.” Jeong-Won Jeong, Ph.D.

7 RSNA News | August 2012 August 2012 | RSNA News 8 fenewsatu youre can use

Post-residency Success Means Leaving the Reading Room While radiology residents and fellows seeking their first position in today’s tight job market find themselves having to be flexible on issues like salary, vacation and geographic location, they’re also likely to discover they need to bring more skills to the table, according to experts.

Candidates can increase their marketability by offering more than interpretive skills, said William T. Thorwarth Jr., M.D., a nationally recognized expert on radiology economics and reimbursement who serves as the RSNA Board Liaison for Publica- tions and Communications. “New residents need to show employers that they have done more than just pass the boards,” said Dr. Thorwarth. “Getting involved beyond clinical care will have an impact both on an individual’s career and on the future of the profession.” Dr. New radiologists are urged to spend 10 percent of their workday on non-interpretive activities such as utilization management and quality Thorwarth is a radiologist with Catawba Radiologi- initiatives and to become involved in committees, take on leadership roles and work with local medical societies. Getting involved beyond cal Associates in Hickory, Residents & clinical care will have an impact both on the individual’s career and on the future of the profession, experts say. N.C., where he also serves the Frye Regional Medi- Fellows Corner Standing Out From the Crowd cal Center, Catawba Valley Medical Center and well as to influence. “Serving in leadership positions Web Extras Thorwarth Annam Allen Caldwell Memorial Hospital. within your healthcare institution heightens the Aparna Annam, D.O., a fourth-year radiology Resident/Fellow Symposium Calling it a “cultural shift in radiology,” the profile of radiology and gains respect and credibility resident at Baylor College of Medicine in Houston, Offered at RSNA 2012 Designed to provide useful American College of Radiology (ACR) is working for the profession,” he said. is fully cognizant of the value of non-interpretive While speaking across the country, Dr. Thor- skills. information to residents and on a number of initiatives to promote the value of fellows as they begin their radiologists in various capacities throughout health- “I think the days of reading out a batch of exams and being warth stresses the importance of radiologists partici- “I’m a strong believer in the idea of participat- career paths, the RSNA 2012 care. ACR President John A. Patti, M.D., suggests finished for the workday is over,” said Dr. Hazenfield, who is pating on medical staff credentialing committees, ing,” said Dr. Annam, who also has great perspec- Resident/Fellow Symposium that radiologists devote 10 percent of their workday completing his residency at the University of Cincinnati. in professional radiology and medical societies and tive on assessing job opportunities: after completing will focus on topics including within local community organizations. a pediatric residency in 2005, she worked for three employment options, the job- to non-interpretive activities such as utilization searching process and legal management and quality initiatives. More than Reading: Serving and Leading “It’s important to be around the people whose years as a neotnatal hospitalist in New York City. aspects of radiology. decisions impact our practice,” Dr. Thorwarth said. “Willingness to be involved is a requirement,” A radiology leader for the entirety of his career, Dr. Thorwarth “It’s not the same market that it was then,” Dr. For more information on said Bibb Allen Jr., M.D., vice-chair of the ACR stressed that committee work and leadership positions provide Serving on the Medicare Contractor Advisory Com- Annam said. “It’s definitely a buyer’s market now.” this and other RSNA 2012 ses- Board of Chancellors and a presenter at the RSNA radiologists with the opportunity to be seen and heard—as mittee and working alongside local business leaders In her next position as a fellow in pediatric inter- sions, go to RSNA.org/Annu- al_Meeting.aspx. Enrollment for 2011 session, “Critical Issues Facing the Profession responsible for evaluating healthcare contracts are ventional radiology at Texas Children’s Hospital, two simple examples of ways to become involved, Dr. Annam expects to be actively involved in vari- RSNA 2012 courses is under of Radiology: An ACR Leadership Perspective.” way at RSNA.org/register. he said. ous aspects of healthcare. “We don’t want to be an “We have to be able to prove that our value is more For more information on the than just productivity,” Dr. Allen said. It is important for practicing radiologists to work invisible partner who doesn’t have a say in the issues American Board of Radiology’s The American Board of Radiology (ABR) also The economy has made it and partner with every physician group they can, we face,” she said. “Unless we put in face time with newly revised Certifying Exam, stresses the importance of non-interpretive skills. “ Dr. Allen added. “We need to make ourselves indis- our colleagues, we will become isolated from other go to www.theabr.org. To ensure new radiologists are knowledgeable on tough, but focusing exclusively pensable to our institutions and the communities physicians. They won’t know or rely on us. The Academy of Radiology a wide range of issues, ABR has devoted an entire we serve, not be a faceless name on a report,” he “Ultimately, academic institutions and radiology Leadership and Management said. practices will hire based on their individual needs. If (ARLM), sponsored by five module in the newly revised Certifying Exam to on income generation is a radiology education societies topics including radiation safety, error prevention Newly trained radiologists with an energy and you demonstrate that you are willing to contribute including RSNA, offers the and privacy issues (See sidebar). By incorporating short-term gain in productivity enthusiasm for such initiatives have an opportunity beyond your clinical skills, there will be a place for opportunity to gain knowledge these topics on the board examination, the hope is to help mold the future of the profession, accord- you,” Dr. Annam said.q and skills essential to serve ing to Dr. Thorwarth. But he advises graduates to as a leader in your practice or that these topics will play a greater role in the resi- at the risk of long-term institution. For more informa- dency curriculum. be discriminating when it comes to choosing where tion, go to www.radleaders.org. The need for radiologist involvement in patient sustainability.” they practice. safety and community awareness is already on “Residents and fellows should assess what a work- the radar for many residents and fellows planning William T. Thorwarth Jr., M.D. place values,” Dr. Thorwarth said. “Is it just reading careers. When he becomes a practicing radiologist, and generating revenue, or does the practice reward second-year resident Mike Hazenfield, M.D., also and promote people who participate? The economy expects to be involved in initiatives such as radiation has made it tough, but to focus exclusively on dose reduction and test appropriateness. income generation is a short-term gain in produc- tivity at the risk of long-term sustainability.”

9 RSNA News | August 2012 August 2012 | RSNA News 10 ranewsdiolo yougy can’s futuuse re

Prostatic Artery Embolization Promising for Treating Enlarged Prostate

Prostatic artery embolization (PAE) offers a potential breakthrough for treating prostatic hypertrophy while potentially avoiding some of the debilitating side effects that often accompany transurethral resection of the prostate (TURP). Figure 2 In findings presented at the recent Society of Interventional Radiology (SIR) 2012 annual meet- ing, Francisco Cesar Carnevale, M.D., Ph.D., a professor and chief of interventional radiology at the University of São Paulo Medical School in Brazil, said that results of a four-year study suggest that PAE is “safe, effective, and has a low rate of complications.” Men over 50 are more susceptible to benign pros- tatic hyperplasia (BPH), which can seriously impact quality of life. With PAE, clinicians use a catheter to inject small microspheres into the arteries that Pisco nourish the prostate, blocking the arteries and starving the prostate of its blood supply, eventually Figure 1 Figure 3 shrinking it. One advantage of PAE is that it can treat even Offering a potential breakthrough in treating contrast media into the prostate gland) after very large prostates, which may limit those who are enlarged prostate glands, prostatic artery selective catheterization of the prostatic good candidates for TURP, the current gold stan- Carnevale embolization (PAE) is “safe, effective, and arteries with a microcatheter 1 mm in di- dard for BPH treatment. And potential side effects has a low rate of complications” according ameter (black arrows point to the urethral associated with TURP have not been seen with to researcher Francisco Cesar Carnevale, arteries; white arrows point to capsular PAE, Dr. Carnevale said. M.D., Ph.D. arteries). The hemi-prostate (one side of the prostate) is shown in the middle of the “We haven’t seen impotence, ejaculatory disorders Figure 1: Pre-embolization MR imaging. arrows. Microspheres are injected into these or urinary incontinence in our patients after pros- Enlarged prostate due to central gland Spies vessels until their occlusion. tatic artery embolization,” said Dr. Carnevale, who nodules. Note the presence of the urethral heads a group of physicians performing the proce- catheter (white arrow) due to acute urinary Figure 4: MR imaging before PAE. An dure in Brazil. retention. enlarged prostate protruding (white arrows) into the bladder. Note the presence of the Figure 2: One-month post-PAE MR imag- urethral catheter (red arrows) before treat- PAE Yields Clinical Success, Improves ing. Bilateral avascular areas (black areas ment due to acute urinary retention. Quality of Life mainly on the left side) in the central part of Figure 4 Dr. Carnevale’s study included 11 men with acute If we can demonstrate that it’s the prostate (white arrows) and reduction of Figure 5: MR imaging 30 days after PAE. urinary retention due to BPH who had been man- the prostate size by 40 percent. Black areas Reduction of the prostate size with minimal “ mean no blood supply to the prostate due protrusion into the bladder (white arrows). aged with medical treatment and indwelling ure- safe, we can expand PAE to a to infarction of the prostate after emboliza- Note the urethral catheter was removed thral catheters and were waiting to undergo surgery. tion (occlusion of the prostate arteries). The after treatment and the patient is voiding Using a micro-catheter threaded into the pros- larger number of patients and catheter was removed after reduction of the normally. tatic arteries, interventional radiologists performed prostate size and patient is voiding normally. Images courtesy of Francisco Cesar Carnevale, M.D., 12 PAE procedures under local anesthesia in 11 begin to look at preliminary Figure 3: Microcatheter into the prostatic Ph.D. patients using resin microspheres as embolizing arteries. Prostate arteriogram (injection of agents. The men ranged from 59 to 78 years of age, data to determine the actual with a mean age of 68.5 years. Researchers used MR imaging and ultrasound to study the exact anatomy “After treatment, we assessed quality of life and evaluated how well the urinary system of the prostate arteries. therapeutic impact.” was working,” Dr. Carnevale said. “Technical success (bilateral prostatic artery embo- lization) was 75 percent and clinical success (Foley catheter removal and symptoms Patient follow-up ranged from 16 months to James B. Spies, M.D., M.P.H. almost four years. Results showed a 30 percent improvement) was 91 percent.” Figure 5 reduction in prostate size in these men at final fol- In research also presented at the 2012 SIR annual meeting, a group of research- low-up, a result “supported by urodynamic findings ers from the New University of Lisbon in Portugal, led by Joao Martins Pisco, M.D., and symptom relief,” Dr. Carnevale said. Patients reported similar results in performing PAE. reported having “mild” symptoms and an improved Dr. Pisco reported that 84 men treated with PAE after an average follow-up of nine quality of life, he said. months showed “significant” clinical improvement. Treatment was technically success- fully in 98.5 percent of the cases, with 77 men showing “excellent” improvement, he said. Continued on next page

11 RSNA News | August 2012 August 2012 | RSNA News 12 ranewsdiolo yougy can’s futuuse re

Continued from previous page

Safety Trials of PAE Necessary cystoscopy and anoscopy to evaluate whether those Web Extras Experience the Best of Chicago As a radiologist who has traveled to Portugal and organs have suffered any damage after PAE, he said. To view a video by Brazil to observe the procedure, Dr. James B. Spies, In terms of using the treatment in clinical prac- Francisco Cesar Carnevale, M.D., M.P.H., said the potential for PAE will be tice, Drs. Carnevale and Spies both stressed that M.D., Ph.D., discussing his research on prostatic artery significant if the procedure is deemed safe for clini- PAE requires advanced expertise and stressed that embolization at SIR 2012, go during RSNA 2012 cal use. training will be necessary if the technique is to be to rsnanews.RSNA.org. “If we can demonstrate that it’s safe, we can adopted on a wider scale. To access Dr. Carnevale’s No matter what your passion or interest, Chicago has something for everyone attending RSNA expand PAE to a larger number of patients and “Only experienced physicians trained in inter- study, “Quality of Life and begin looking at preliminary data to determine its ventional radiology techniques as well as someone Symptoms Relief Support 2012. Peruse our annual roster of Chicago events for everything from world-class museums and Prostatic Artery Embo- actual therapeutic impact,” said Dr. Spies, a profes- who has a strong understanding of pelvic vascular restaurants to dazzling architecture and artwork and much more. We also include Our Insider’s anatomy should perform the procedure,” Dr. Car- lization for Patients with sor and chair of the Department of Radiology at Acute urinary Retention Georgetown University Hospital in Washington, nevale said. Due to Benign Prostatic Guide to Chicago’s Best Deals, featuring the many free activities available in the Windy City. D.C. Dr. Spies hopes to begin treating patients in com- Hyperplasia,” in the March Dr. Spies said he plans to perform a safety trial ing months and said it’s likely that comparative tri- 2012 issue of the Journal of on the procedure and has submitted an investiga- als will be under way by next year. In the meantime, Vascular and Interventional Radiology, go to JVIR.org/ar- Museums tional device exemption application to the U.S. prospective patients have called him after reading ticle/S1051-0443(11)01656- Food and Drug Administration (FDA). about the procedure and its promising results. 3/fulltext. “Because PAE takes an embolic approved for “Potentially, this has a great future in this country Art Institute of Chicago another purpose and applies it to a new organ and around the world,” Dr. Spies said. “There cer- Renowned for its Impressionist and system, there are some associated risks such as tainly is the skill set out there for people to do this, Post-Impressionist collection as well as its potential injury to the bladder or rectum,” Dr. Spies but it’s not quite ready for primetime yet.” q Depression-era American paintings, the Art said. His research team plans to perform both office Institute boasts a 260,000 piece-collection representing 5,000 years of art from around the globe. Don’t miss the Modern Wing, which exhibits early 20th Century European Mobile Apps Gain New Ground in Radiology Art. Continued from Page 6 Artist and director Steve McQueen’s film and moving image installations are among MR Imaging App Improves Workflow Although HP is no longer involved in the manu- the highlights of the special winter exhibits Web Extras which also include Allen Ruppersberg: The While its use is so far confined to his institu- facturing of tablet PCs with webOS, the project has To access an abstract of The Beluga whale show is one of the many popular attractions offered Birth and Death of Rock ‘n’ Roll. tion, a Stanford University moved beyond the dependence on this operating the study, “The iPad as a at the Shedd Aquarium. researcher has developed an system. Dr. Holbrook is now developing applica- Mobile Device for CT Display • 111 S. Michigan Ave. and Interpretation: Diagnostic 1-877-307-4242 app that improves workflow tions using modern, cross-platform web technologies Accuracy for Identification Image courtesy of ©Shedd Aquarium/Brenna Hernandez. in the MR imaging suite. that can run on a myriad of devices including PCs of Pulmonary Embolism,” www.artic.edu Andrew Holbrook, Ph.D., and tablets, regardless of vendor. by Elliot K. Fishman, M.D., www.ticketmaster.com in the March 2012 edition of which are displayed along the interior public This winter, MCA will feature two developed the app using Field Museum of Natural Mobile Devices Offer “Best of Both Worlds” Emergency Radiology, go to walkway at the east end of the pier building. special exhibits—MCA DNA: John Cage and webOS software to operate www.springerlink.com. History on a modified mobile phone Challenges remain and radiologists aren’t likely to The collection contains more than 150 Martin Creed Plays Chicago. and a Hewlett-Packard (HP) abandon traditional workstations overnight, but To access an abstract of Upon entering, visitors will encounter Sue, stained glass works by artists such as Louis • 220 E. Chicago Ave. Dr. Fishman’s study, “How to the world’s largest and most complete 1-312-280-2660 TouchPad tablet, allowing experts say the industry is definitely moving in that Develop, Submit, and Get an Comfort Tiffany and Frank Lloyd Wright. users to control an MR direction. iPad Application Accepted to Tyrannosaurus Rex fossil. The natural • 600 E. Grand Ave. (Navy Pier) www.mcachicago.org Holbrook imaging scanner. Dr. Hol- In fact, in a study published in the March 2012 the Apple Store,” in the June history museum has something for 1-312-595-7437 Shedd Aquarium brook removed most of the metal components so issue of Emergency Radiology, Dr. Fishman and other 2012 issue of the Journal everyone from taxidermal animals and www.navypier.com of the American College of the user can operate the devices more safely in the Johns Hopkins researchers found no difference dioramas to Egyptian mummies and a The world’s largest indoor marine animal Radiology, www.ncbi.nlm.nih. Museum of Contemporary Art MR imaging room. between the use of an iPad and a PACS workstation gov/pubmed/22632674. memorable dinosaur exhibit. Stop by this facility offers an array of exhibits from “The big advantage is that the physician perform- in terms of diagnostic accuracy for detecting pulmo- year’s special exhibits Extreme Mammals The largest museum of contemporary art in adorable sea otters to vicious piranhas and ing an intervention can also be the ‘driver’ of the nary embolism. and Images of the Afterlife, featuring the world, the MCA displays a variety of allows visitors the chance to pet a sea star. imaging,” said Dr. Holbrook, a research associate The device “has the potential to expand radi- sculpted portraits of mummies imaged with Post-World War II art including paintings, The popular dolphin and Beluga whale in the Department of Radiology at Stanford. “For ologists’ availability for consultation and expedite CT. sculptures, photographs and video show takes place in the Oceanarium example, every issue does not need to be communi- emergency patient management,” according to the installations. In its history, the museum has amphitheater and sharks can be found in authors. • 1400 S. Lake Shore Dr. cated back to someone in the control room. With hosted noteworthy and controversial the Wild Reef. Enjoy the new, high-tech 4D intuitive multi-touch gestures, radiologists can make “It’s the best of both worlds—the application pro- 1-312-922-9410 exhibits including Christo’s first U.S. Experience in the Phelps Auditorium. A changes themselves.” vides everything you need,” Dr. Fishman added. q www.fieldmuseum.org building wrap; Andres Serrano’s work with temporary exhibit, Jellies, demonstrates Smith Museum of Stained Glass statuettes submerged in urine, milk or how sea jellies hunt and grow exponentially. Windows blood; and Robert Mapplethorpe’s The • 1200 S. Lake Shore Dr. When visiting Navy Pier, enjoy the largest Perfect Moment. 1-312-939-2438 collection of Tiffany stained glass windows, www.sheddaquarium.org Continued on next page

13 RSNA News | August 2012 August 2012 | RSNA News 14 display houses: Fern Room, Orchid House, Theater Family Performances Palm House and Show House, where the Christmas show is hosted. Failure: A Love Story Cocktails and food are served during A Christmas Carol • 2391 N. Stockton Dr. performances. 1-312-742-7736 A tale of love and loss following three For more than 30 years, the Goodman • Main Stage and ETC stage www.chicagoparkdistrict.com/index.cfm Chicago sisters through the 1920s. Theatre has presented this timeless Dickens • Victory Gardens 1616 N. Wells St. classic during the holiday season. 1-312-337-3992 Garfield Park Conservatory 2433 N. Lincoln Ave. • www.secondcity.com Enjoy the holiday flower show in one of the 1-773-871-3000 170 N. Dearborn St. www.victorygardens.org world’s largest gardens under glass, built at Sister Act RSNA TOUR 1-312-443-3800 www.goodman-theatre.org the turn of the last century. The conserva- James Joyce’s “The Dead” Deloris Van Cartier, a diva in witness tory is famous for its prairie waterfall set Part of the Science Storms exhibit at the Museum of Science and Classic Irish tale told through a family protection, turns the convent that is The Blue Man Group among stone and water landscapes. Industry, the Tesla Coil discharges lightning strikes using more gathering in Dublin on the Feast of the sheltering her upside down. A vibrant event blending flashing lights, • 300 N. Central Park Ave. • The Auditorium Theater of than 1.2 million volts of electricity. 1-312-746-5100 Epiphany. comedy, loud music—and yes, blue men— • Court Theatre Roosevelt University for one unique experience. Shows are Image by J.B. Spector, Museum of Science and Industry, Chicago. www.garfield-conservatory.org 5535 S. Ellis Ave. 50 E. Congress Pkwy. unique to each city. Children under five not 1-312-902-1400 Continued from previous page Millennium Park Ice Rink 1-773-753-4472 admitted. www.ticketmaster.com The McCormick Tribune Plaza & Ice Rink is www.courttheatre.org • Briar Street Theatre Adler Planetarium a sustainable “green” home. Annual located just off Michigan Avenue in the Tommy Gun’s Garage 3133 N. Halsted St. A National Historic Landmark, the Adler seasonal exhibits include the Christmas Late Nite Catechism shadow of the Cloud Gate sculpture, This interactive dinner theatre set in the 1-773-348-4000 opened in 1930 and is the world’s oldest Around the World and Holidays of Light. This witty performance examining the Baby www.blueman.com affectionately called “The Bean.” The Roaring Twenties features Prohibition-era planetarium. A variety of astronomical • 57th St. and Lake Shore Dr. Boomer parochial school experience is a www.ticketmaster.com windows of the Park Grill restaurant look gangsters and flappers in a musical comedy adventures await guests, from visiting the 1-773-684-1414 longtime favorite among those taught by out on the rink. Skating is free and skate show. Knuffle Bunny: a Cautionary restored Gemini 12 spacecraft to landing www.msichicago.org nuns and also serves as a wry introduction rental is available. Musical the Lunar Module simulator on the face of to Catholicism. • Tommy Gun’s Garage Chicago History Museum • East side of Michigan Avenue between 2114 S. Wabash St. Dad saves the day when Trixie loses her the moon. Planetarium shows play • Royal George Theatre This collection dates from 1856, approxi- Washington and Madison streets 1-312-225-0273 lovey in this classic Mo Willems tale. continuously throughout the day in three 1641 N. Halsted St. mately 25 years after the founding of 1-312-742-1168 www.tommygunsgarage.com • The Apollo Theater theaters. 1-312-988-9000 Chicago, and was started with the intent to www.millenniumpark.org 2540 N. Lincoln Ave. www.ticketmaster.com Up Comedy Club • 1300 S. Lake Shore Dr. help to research and interpret the city’s 1-773-935-6100 1-312-922-7827 Daley Bicentennial Plaza history. The museum helps bring to life Les Miserables RSNA TOUR Catch the best of stand-up comedy or see www.emeraldcitytheatre.com www.adlerplanetarium.org Ice Rink many aspects of Chicago’s past, including The 25th anniversary production of this an improve show created by Second City Located across Millennium Park’s snake- Continued on next page Peggy Notebaert Nature the Great Chicago Fire of 1871, the rise of much-loved musical features sets inspired producers at the new Up Comedy Club. like BP Pedestrian Bridge is a secluded ice Museum Chicago’s Chinatown and the life and times by author Victor Hugo’s paintings. Cocktails and food are served during the rink with far fewer skaters than the The Notebaert welcomes children of all of Abraham Lincoln. Details on neighbor- • Cadillac Palace Theatre performance. well-known Millennium Park rink. The ages to explore nature in unusual and hood tours, lectures, performances and 151 W. Randolph St. • Piper’s Alley facility offers free skating, skate rental and a innovative ways. Permanent exhibits include events are available on the website. 1-312-902-1400 230 W. North Ave., Third Floor warming building. 1-312-662-4562 The Birds of Chicago, Extreme Green • 1601 N. Clark St. www.ticketmaster.com • South side of East between www.upcomedyclub.com House, Istock Family Look-in Animal Lab, 1-312-642-4600 Columbus Drive and Lake Shore Drive The Santaland Diaries Judy Istock Butterfly Haven, Mysteries of www.chicagohs.org Wasteland 1-312-742-7650 David Sedaris’ witty account of his the Marsh, Nature’s LunchBox, RiverWorks, DuSable Museum of African www.chicagoparkdistrict.com experience as a Macy’s Christmas Elf. Two Vietnam POWs from distinctly different Water Lab and the Wilderness Walk. Visitors American History • Theater Wit backgrounds forge a friendship of hope seven years of age and younger are invited A special museum dedicated to collecting 1229 W. Belmont Ave. while spending two years in adjacent to enjoy the Hands-on Habitat. and preserving the history of African 1-773-975-8150 underground cells. • 2430 N. Cannon Dr. RSNA Tours & Events Americans, this nearly 50-year-old www.theaterwit.org • TimeLine Theatre 1-773-755-5100 615 W. Wellington Ave.

Radiological Society of North America November 25–30 RSNA2012.RSNA.org institution is the first of its kind in the U.S. It RSNA is sponsoring a 98th Scientific Assembly and Annual Meeting McCormick Place, Chicago www.chias.org The School for Lies 1-773-281-8463 features exhibits on salient historical topics series of tours and Tours and Events Enjoy this raunchy adventure based on www.timelinetheatre.com Museum of Science such as civil rights as well as work by events during RSNA Magnificent entertainment, Molière’s The Misanthrope. and Industry African-American artists. 2012. The RSNA Tours & dining and shopping. Zanies Comedy Night Club • Chicago Shakespeare Theater The only remaining building from the 1893 • 740 East 56th Pl. Events brochure is avail- Chicago’s favorite for stand-up comedy. Advance Registration Deadline - November 2 800 E Grand Ave. World’s Columbian Exposition, the museum 1-773-947-0600 able at RSNA2012.RSNA. 1-312-595-5600 Enjoy comedians from Comedy Central, is packed with one-of-a-kind exhibits: one www.dusablemuseum.org org/attendees/tours_ www.chicagoshakes.com HBO and the Tonight Show in Zanies’ of two U-505 German submarines captured and_events.cfm. RSNA TOUR Ildebrando D’Arcangelo will sing the title Lincoln Park Conservatory intimate atmosphere. Look for the RSNA Tour icon next to event RSNA TOUR during World War II; a realistic coal mine; • Zanies role of Don Pasquale at the Lyric Opera Built in the late 1800s, the conservatory listings in this article, signifying that a the multilevel Science of Storms exhibit, Second City is the comedic training ground 1548 N Wells St. of Chicago. originally provided visitors a chance to view pre-arranged RSNA package is available. complete with a vapor tornado and tsunami for many of today’s favorite comedians. 1-312-337-4027 exotic plants while growing most of the Enroll for tours and events online when tank; and the Henry Crown Space Center Shows are scheduled on both the Main www.chicago.zanies.com Image by Axel Zeininger/Wiener Staatsoper specialized horticulture for Chicago’s parks. registering for the annual meeting or while featuring Apollo 8. A temporary exhibit, Stage and the smaller ETC stage, combining Today, visitors can stroll among the four adding courses. Smart Home: Green + Wired, demonstrates short comedy sketches and improvisation.

15 RSNA News | August 2012 August 2012 | RSNA News 16 Continued from previous page Family Activities Symphony and Opera Chicago Symphony Orchestra Chicago Children’s Museum Lincoln Park Zoo Nov. 25 Children of every age experience interactive One of the nation’s last free zoos, and one of The historic and renovated art-deco Civic Special Event: Disney Fantasia learning through 15 permanent hands-on its oldest, the Lincoln Park Zoo is conve- Opera House is the perfect setting to see RSNA TOUR exhibits that range from dinosaurs to art, niently located in nearby Lincoln Park. Walk the renowned Lyric Opera of Chicago. Free Conductor: Ludwig Wicki water play to fire safety, climbing to through the zoo at night with the holiday- lectures are offered one hour before every Program: Dukas: The Sorcerer’s Apprentice; commerce. Daily activities offer even more themed ZooLights festival on Friday through performance. Tickets go on sale Aug. 1. Beethoven: Symphony No. 5; Tchaikovsky: focused learning opportunities. Sunday evenings. Productions include: The Nutcracker Suite. • 700 E. Grand Ave. (Navy Pier) • 2200 N. Cannon Dr. 1-312-464-7732 1-312-742-2000 Don Pasquale RSNA TOUR Nov. 28 www.chichildrensmuseum.org www.lpzoo.com Nov. 25 & 28 Afterwork Masterworks RSNA TOUR Skydeck Chicago at The younger woman turns out to be more Dvorak and Shostakovich John Hancock Observatory Willis Tower than Don Pasquale can handle in this Conductor: Sir Mark Elder This observatory experience on the 94th floor begins with a ride on the fastest At 1,353 feet above the ground, Skydeck operatic comedy. By Gaetano Donizetti; Nov. 29 & 30 and Dec. 1 elevator in North America and includes an Chicago in Willis Tower, the tallest building in Conductor: Stephen Lord with René Barbera, Conductor: Sir Mark Elder open-air skywalk, free multimedia sky tour the Western Hemisphere, offers views up to Ildebrando D’Arcangelo and Marlis Petersen. Program: Dvorák: The Golden Spinning and the first interactive telescopes in the U.S. 60 miles. If you dare, venture out onto The Werther RSNA TOUR Wheel; Berlioz: Les nuits d’été; • 875 N. Michigan Avenue Ledge, four glass-enclosed—and glass- Shostakovich: Symphony No. 1 Nov. 26 1-888-875-VIEW bottomed—boxes outside the building. • 220 S. Michigan Ave. A memorable story of ill-fated love and • 233 S. Wacker Dr. A dazzling display of ornaments is one feature of the Christkindlmarket 1-312-294-3000 heartbreak based on the much loved Goethe Navy Pier IMAX Theatre Enter Skydeck on Jackson Boulevard www.cso.org Chicago, a traditional German open air market. novel, The Sorrows of Young Werther. By The Navy Pier IMAX theatre will announce 312-875-9447 Image by Timmy Samuel Jules Massenet; Conductor: Sir Andrew American Girl Place its complete holiday film schedule in late Davis with Kiri Deonarine, Sophie Koch, autumn. Beyond the shopping frenzy the American Matthew Polenzani and Craig Verm. • 700 E. Grand Ave. Girl experience can include dining, book 1-312-595-5MAX • 20 N. Wacker Dr. signings, cooking classes and the popular 1-312-332-2244 x5600 www.imax.com/chicago doll hair salon. The Insider’s Guide to Chicago’s Best Deals www.lyricopera.org • Water Tower Place 835 N. Michigan Ave. Many Chicago museums offer free admission on select days. With some smart 1-877-247-5223 www.americangirl.com scheduling, you can visit many of the city’s top attractions for little to no money. Here is a rundown of some of the best deals in town: free as indicated: Always free: Macy’s Holiday Windows • Museum of Contemporary Art, • C hicago ArchiCenter, Walk outside alongside the Macy’s store 220 E. Chicago (Tuesday for residents) 224 S. Michigan Ave. at 111 N. State St. to view animated • C harnley-Persky House Museum, • C hicago Cultural Center, holiday scenes. 1365 N. Astor St. (Wednesday) 78 E. Washington St. McDonald’s Thanksgiving • C larke House Museum, • C ity Gallery at the Historic Water Parade 1827 S. Indiana Ave. (Free tours on Wednesday) Tower, 806 N. Michigan Ave. Spend Thanksgiving morning with • D uSable Museum of African American History • Lincoln Park Conservatory, marching bands, enormous inflatables, (Sunday) 2391 N. Stockton Dr. floats, and Santa Claus and Ronald • Glessner House Museum, • L incoln Park Zoo, McDonald. This annual parade travels 1800 S. Prairie Ave. (Free tours on Wednesday) 2200 N. Cannon Dr. down State Street from 8 to 11 a.m. • Art Institute of Chicago, • Millennium Park Welcome Center, 11 S. Michigan Ave. (First and second Wednesdays 201 E. Randolph St. Christkindlmarket Chicago of the month for Illinois residents) • Museum of Contemporary and the Santa House • Chicago Children’s Museum at Navy Pier, Photography, 600 S. Michigan Ave. One of Chicago’s most popular holiday 700 E. Grand Ave. (Thursday, 5–8 p.m. for all and • National Museum of Mexican Art, events is Christkindlmarket Chicago, a first Sunday of each month for ages 15 and 1852 W. 19th St. traditional German open air market younger) • Navy Pier, offering authentic German food, drink and The stunning view of Chicago is one of the many features offered to visitors of Navy Pier. • Notebaert Nature Museum, 600 E. Grand Ave. wares. Christkindlmarket is free and is 2430 N. Cannon Dr. (Thursday for Illinois • S mart Museum of Art, located on Daley Plaza between residents) 5550 S. Greenwood Ave. Washington and Dearborn Streets.

17 RSNA News | August 2012 August 2012 | RSNA News 18 radiology’s future

$500 – $1,499 Karen S. & Scott Burstein, M.D. Paul H. Kim, M.D. Dietrich A. Gerhardt, M.D. Sebastian A. Cook, M.D. Kent T. Lancaster, M.D. The RSNA R&E Research & Education Ann M. Lewicki, M.D. Andrew M. Crean, M.D. Michele Dubreuil & Alfred Leblanc, M.D. Foundation provides Emily Marko-Peterkin & Susan & Colin P. Derdeyn, M.D. Helen & Kenneth S. Lee, M.D. the research and Ian R. Peterkin, M.D. Peter E. Doris, M.D. Xiang Li, Ph.D. G. Craig Ramsay, M.D. Carl J. D’Orsi, M.D. In honor of Yumei Zhang development that Foundation Donors M. Linda Sutherland, M.D. & Kevin S. Dunham, M.D. Zhongxing Liao, M.D. & Xingui Wei keeps radiology James D. Sutherland, M.D. Steven M. Eberly, M.D. Lawrence H. Licht, M.D. Gary W. Swenson, M.D. Tova R. & Rudolph H. Miller III, M.D. in the forefront of The R&E Foundation thanks the following donors for gifts made $251 - $499 James P. Eisenberg, M.D., Ph.D. Johnny U. Monu, M.D. medicine. Support Mary Kay & James A. Junker, M.D. Michael J. Esposito, M.D. In honor of Andrew A. De Smet, M.D. your future—donate April 14 – May 11, 2012. Cande L. Sridhar, M.D. Reza Forghani, M.D., Ph.D. Matthew F. Murray, M.D. Greg Friedel, M.D. $250 or less David D. Pasquale, M.D. today at RSNA.org/ Jean M. & Gerald R. Aben, M.D. Ayca Gazelle, M.D. & Keith A. Phillips, M.D. donate. G. Scott Gazelle, M.D., M.P.H., Ph.D. Sharona & Brad L. Abramson, D.O. Nadeer Pirani, M.D. Exhibitors Circle Program Visionaries in Practice Program Diane Pappas, M.D. & Julia Alegria, M.D. Elisabeth A. Raymakers & Laurence D. Goldstein, M.D. Carl B. Puylaert, M.D. Dorothy J. Shum, M.D. Companies who give annual unrestricted gifts at four levels A giving program for private practices and academic departments Daniele Amato, M.D. Robert L. Haley Jr., M.D. Laura Domene de Ramirez & Mark D. Skolkin, M.D. Anonymous (2) from $1,500 to $10,000 Mary R. & Donald P. Harrington, M.D. Jose Luis Ramirez-Arias, M.D. Kevin L. Sullivan, M.D. Kimberly A. Apker, M.D. bronze Level ($10,000) Martina Szabady Hauser & William D. Reed, M.D. Chihiro Tani, M.D. GOLD Circle ($5,000) Harold L. Atkins, M.D. Markus Hauser, M.D. Anthea & Alexander N. Rhodes, M.B.B.S. James S. Teal, M.D. Richard T. Baker III, M.D. Nancy J. Farmer & Allen J. Rovner, M.D. Stacey & Gavin J. Udstuen, M.D. Thomas M. Bernhardt, M.D. A. Everette James Jr., M.D. Zanda Runkule, M.D. Peter Van Der Meer, M.D. Thomas D. Brandt, M.D. Licia & Wolfram R. Jarisch, Ph.D. Doris & Robert E. Schaefer, M.D. Xiaodong Wang, M.D. Victoria & Greensboro Radiology Jefferson Radiology Jonathan Kahn, M.D. Russ C. Sexton Jr., D.O. Hongwu Zeng, M.D. Medical Insight Resonance Technology Inc. Michael N. Brant-Zawadzki, M.D. Greensboro, N.C. East Hartford, Conn. Haldi U. Svanberg & Juri V. Kaude, M.D. Dee Dee & Casey A. Shaffer, M.D. Earl R. Brown Jr., M.D. William M. Kauffman, M.D. Pranav N. Shah, M.D. silver Circle ($2,500) John T. Burke, M.D. Visionary Donor Program Individuals recognized for cumulative lifetime donations

Ag Medical Systems Naviscan Silver Visionary ($10,000) Bronze Visionary ($5,000) Your Donations in Action Stephen R. Baker, M.D. Judith & G. Donald Frey, Ph.D. Susan B. Giesecke, M.D. Robert J. Schmall, M.D. Bronze Circle ($1,500) Margaret D. Gore, M.D. & With an RSNA Research & Richard M. Gore, M.D. Joseph K.T. Lee, M.D. Education (R&E) Foundation Research Landauer Parascript Medical Student Grant, Lova Sun, B.S., will RSNA Board Chairman Supports R&E Foundation with investigate the use of Charitable Gift Annuity biologically safe gold nanoparticles as a Among the RSNA Research & Education Foundation donors who have established a charitable gift annuity are RSNA Board Chairman N. Reed Dunnick, M.D., and his wife, Marilyn A. Roubidoux, M.D. theranostic agent to to “A charitable gift annuity is a wonderful way to continue to receive income, enhance imaging and yet provide a lasting contribution to the R&E Foundation,” Dr. Dunnick said. radiation therapy of brain “We feel we are receiving more than we are giving.” A charitable gift annuity works like this: through a simple contract, the tumors. donor gives cash or stocks to the R&E Foundation, and then RSNA pays the donor—or someone else, if the donor chooses—a fixed amount each year for the rest of that person’s life. The fixed rates are based on age and do not fluc- tuate with the stock market or interest rates. The gift itself is partially income tax-deductible, as are the payments the donor receives. In the case of a gift of appreciated stock, the donor’s capital gains taxes may be reduced. “The charitable gift annuity is a true win/win—a revenue stream for us and a contribution to the Foundation,” Dr. Dunnick said. For more information, including fixed annuity rates, go to RSNA.org/PlannedGiving. R&E Foundation’s Web Page Gets a New Look Individual Donors Visitors to the R&E Foundation Web page will notice a fresh Donors who give $1,500 or more per year qualify for the RSNA Presidents Circle. Their names are shown in bold face. new look as part of the newly redesigned RSNA.org. Along $2,500 – $5,000 $1,500 - $2,499 Trish & John A. Patti, M.D. $1,000 – $1,499 with the familiar roster of resources, the R&E page offers Karen E. & Glendon G. Cox, M.D. Stephen R. Baker, M.D. Anjum Shariff, M.D. Julia R. Fielding, M.D. & Alice & Ernest J. Ferris, M.D. Joanne & William Chang, M.D. Rebecca R. & Wilbur L. Smith Jr., M.D. Keith P. Mankin, M.D. need-to-know information, a link for donating and access to Margaret D. Gore, M.D. & Judith & G. Donald Frey, Ph.D. Meg & Joseph Stengel, D.O. Renate L. Soulen, M.D. & Richard Soulen R&E’s quarterly newsletter, Foundation Focus. Check out the Richard M. Gore, M.D. Susan B. Giesecke, M.D. Pamela K. Woodard, M.D. & In memory of Patricia F. Borns, M.D. Anne G. Osborn, M.D. Phyllis & Barry B. Goldberg, M.D. Edward O’Donnell In memory of Mary F. Fisher, M.D. new look at RSNA.org/Foundation.aspx. In memory of Ronald E. Poelman Joseph K.T. Lee, M.D. Shirley B. & Robert A. Woolfitt, M.D. Marie V. Spagnoli, M.D. & Robert J. Schmall, M.D. Dr. & Mrs. Marvin D. Nelson Henry L. Maxwell Jr. In honor of Jose Bonmati

19 RSNA News | August 2012 August 2012 | RSNA News 20 nnewsews you you can can use use

Journal Highlights Radiology in Public Focus The following are highlights from the current issues of RSNA’s two Press releases were sent to the medical news media for the following articles peer-reviewed journals. appearing in recent issues of Radiology.

Radiation Risks of Medical Imaging: Separating Fact from Fantasy Subacute Default Mode Network Dysfunction in the Prediction of Post-Stroke Predictions of cancers and cancer deaths Depression Severity caused by medical imaging procedures that use Impairment of default mode net- Axial and coronal MR images ionizing radiation are often computed by multi- show correlation between work (DMN) functional connectiv- DMN FC and severity of late plying small and highly speculative risk factors ity involved in emotional control anxiety symptoms. Anxiety by large populations of patients to yield a sub- is associated with the severity of symptom severity measured at stantial impressive number of “cancer victims.” post-stroke depression, new research 3-month follow-up, A, corre- Not infrequently, patients are anxious about lates positively with FC index shows. to DMN in left middle temporal a scheduled imaging procedure because of In the study, Saioa Lassalle-Laga- cortex (R = 0.81; 95% confi- articles they have read in dec, a doctoral student at the Uni- dence interval: 0.58, 0.92; P, the public media, accord- .001) and, B, correlates nega- versité Bordeaux2, France, and col- tively with posterior cingulate ing to the Annual Oration/ Average effective dose per capita to the U.S. population from major sources leagues, examined 24 patients who cortex (R = 20.80; 95% con- Review and Commentary in the August issue underwent resting-state functional fidence interval: 20.91, 20.56; of exposure. (a) Effective dose (percentage of total) in early 1980s. (b) Ef- P, .001). of Radiology (RSNA.org/Radiology), authored MR imaging (fMRI) 10 days after fective dose (percentage of total) in 2006. (Reprinted, with permission, from (Radiology 2012;264;1:218–224) by William R. Hendee, Ph.D., and Michael K. having mild to moderate ischemic reference 1.). ©RSNA, 2012. All rights reserved. O’Connor, Ph.D., of the Mayo Clinic in Roches- stroke. Patients were also clinically Printed with permission. (Radiology 2012;264;2:312–321) ©RSNA, 2012. All rights reserved. Printed with permission. ter, Minn. Along with discussing the basis for evaluated 10 days and three months these predictions, including the data that led to “On some occasions, the fear and anxiety results in reluc- post-stroke to determine the presence and severity of depression three months post- requiring neither patient collaboration these numbers, the reliability of the data, and how much atten- tance to accept imaging procedures, even though the risk of severity of depression and anxiety. stroke. nor sophisticated technical equipment,” tion should be given to this information, the authors discuss: a deferred examination creates a much greater risk than that At three months post-stroke, 10 patients Findings suggest that post-stroke depres- they write. “This method could have a • The Linear No-Threshold Hypothesis related to radiation from the procedures, if any risk exists at had minor to moderate depression and sion involves impairment in resting-state potentially broad translation into clini- • Dose descriptors all,” they write. 14 patients exhibited no depression. networks and their interconnections, cal practice, providing an opportunity to • Risk models/estimates The fMRI exams revealed an association according to the researchers. “Resting- investigate the effects of pharmacologic Publications that estimate cancers and cancer deaths between modifications of connectivity in state fMRI is easier than standard activa- treatments.” caused by medical imaging are frequently sensationalized by the DMN 10 days after stroke and the tion task-related functional MR imaging, electronic and print public media, resulting in considerable pub- lic anxiety and fear about medical imaging, the authors write. Positive Predictive Value of BI-RADS MR Imaging Imaging of the Female Perineum in Adults Standardized terminology of the Breast features most predictive of cancer. Study malignancy were irregular shape (PPV, Imaging and Reporting Data Systems participants included 969 women who had 0.306), spiculated margins (PPV, 0.333) Although a wide array of diseases can affect the female perineum in adults, (BI-RADS) lexicon enables quantification recently received a breast cancer diagnosis and marked internal enhancement (PPV, there are limited articles in the literature describing the intricate imag- of the likelihood of malignancy for MR in one breast and underwent breast MR 0.231); the type of non-masslike enhance- ing anatomy of the female perineum. Understanding of the anatomy and imaging-detected lesions through careful imaging on the other breast. ment (NMLE) most likely to represent diseases of the female perineum allows appropriate utilization of imaging evaluation of lesion features, according to Based on initial MR images, 71.3 cancer was ductal enhancement (PPV, modalities for accurate diagnosis and for guiding treatment. new research. percent had a BI-RADS category 1 or 0.500). In a July-August article in RadioGraphics (RSNA.org/RadioGraphics) Key- Mary C. Mahoney, M.D., of the Uni- 2 assessment; 10.9 percent a category 3 “Careful evaluation of morphologic anoosh Hosseinzadeh, M.D., of the University of Pittsburgh Medical Center, versity of Cincinnati Medical Center, and assessment; 10 percent a category 4 or 5 and kinetic features of breast MR imaging and colleagues use illustrations detailing the colleagues evaluated the positive predictive assessment; and 7.7 percent a category lesions with the BI-RADS lexicon enables structures of the perineum and discuss various values (PPVs) of BI-RADS assessment cat- 0 assessment. Thirty-one cancers were differentiation of most benign and malig- disorders and diseases with characteristic imaging findings encountered egories for breast MR imaging and identi- detected with MR imaging. nant lesions,” the authors write. in the female perineum in adults for each organ or region. Specifically, the fied the BI-RADS MR imaging lesion Mass lesion features most predictive of authors discuss: • The anatomy of the female perineum relevant structures August Outreach Activities Focus on Heart Attack Risks • The disease processes unique to the female perineum Endometrial metastasis to the urethra in a 70-year-old Media Coverage of RSNA In August, RSNA’s 60-Second Checkup radio program focuses on how CT • The strengths and weaknesses of the various imaging modalities for woman who presented with urinary retention and a angiography can show the differences in heart attack risks between men appropriate diagnostic imaging and planning of therapy history of treated endometrial carcinoma. Fused FDG In May, media outlets carried 219 The female perineum is an important anatomic region that traditionally PET/CT image shows intense FDG avidity of the mass RSNA-related news stories. These sto- and women. has been described in the literature in relation to its physiologic contribu- (arrow). Note the Foley catheter traversing the displaced ries reached an estimated 223 million tion to continence, the authors write. urethral lumen (arrowhead). Transvaginal biopsy find- RadiologyInfo.org Posts “Your Radiologist Explains” Videos “However, a wide spectrum of diseases arises within the female ings confirmed metastatic endometrial carcinoma. people. Videos on MR Cholangiopancreatography, Children and Radiation Safety, (RadioGraphics 2012;32;1065–1066) (Expanded abstract for online-only Coverage included Yahoo! News, CNN.com, Buf- Carotid Ultrasound, CT of the Kidneys and 13 other topics are now avail- perineum in adults, and knowledge of the diseases and spatial anatomy article) ©RSNA, 2012. All rights reserved. Printed with permission. allows the radiologist to confidently identify the site of origin and extent of falo News, The Ledger (Tacoma, Wash.), Chapel Hill able on RadiologyInfo.org as part of the “Your Radiologist Explains” series. disease with the appropriate selection of imaging modality. For many dis- News, WOR-AM (New York, NY), FOXNews.com, The video presentations feature PowerPoint slides with images and nar- eases, MR imaging is the preferred modality for diagnosis and definition of This article meets the criteria for AMA PRA Category USNews.com, Medical News Today, Redorbit.com, ration and are intended to help explain various radiology tests and treat- 1 Credit™. CME is available online only. disease extent.” Auntminnie.com and Medscape. ments to patients. Continued on page 24 To access the videos, go to RadiologyInfo.org/vids.

21 RSNA News | August 2012 August 2012 | RSNA News 22 nnewsews you you can can use use

Education and Funding Medical Meetings Technology Forum Opportunities August-September 2012 August 12-15 The Association for Medical Imag- ing Management (AHRA), 40th Annual Meeting and Exposition, Submit Abstracts for the RSNA-ASTRO Gaylord Palms, Orlando, Fla. Open-source Toolkits Create Radiation • www.ahraonline.org August 30 – September 2 Co-sponsored Cancer Imaging and Asian Oceanian Society of Radiol- ogy (AOCR), 14th Congress and Exposure Data Repositories Radiation Therapy Symposium 63rd Royal Australian and New Zea- land College of Radiologists (RAN- Researchers have developed and validated open-source informatics toolkits capable of creating February 8-9, 2013 Abstract submission for the second Cancer ZCR) Annual Scientific Meeting, radiation exposure data repositories from existing CT dose information and nuclear medicine The Hilton Walt Disney World Sydney Convention and Exhibition Resort, Orlando, Fla. Imaging and Radiation Therapy Symposium, Centre report archives. Deadline for abstract submission co-sponsored by ASTRO and RSNA, is now • www.aocr2012.com August 13 Results of two studies conducted by a validation, GROK was used to populate an process that tailored the search patterns open. Submit an abstract by August 13, 2012, September 5-8 2012 World Molecular Imaging Con- research team at Brigham and Women’s exposure repository from a cohort of 54, of the toolkit. Manual validation was then 11:59 p.m. Eastern Time, in one of the following categories: ana- gress (WMIC), The Convention Cen- Hospital in Boston were published in the 549 CT encounters— 29, 948 which had performed on 2,359 reports to assess tomic imaging and normal tissue definition; molecular and biological tre Dublin May issue of Radiology. available dose screens. effectiveness. • www.wmicmeeting.org Led by Aaron Sodickson, M.D., Ph.D., Results showed that dose screen Results showed that the toolkit was imaging (including PET); diagnosis, staging and recurrence; thera- September 6-9 the first study demonstrated that large- retrieval occurred at a rate of 99 percent able to extract data with a recall rate of peutic target definition; and image-guided therapeutic techniques. American Society of Nuclear Cardi- scale anatomy-specific radiation expo- and an anatomic assignment precision of 97.6 percent and precision of 98.7 per- ology (ASNC), 17th Annual Meeting, The symposium will look at cancer staging and Kevin Camphausen, sure data repositories can be created 94 percent. cent. Researchers say the toolkit could Baltimore Convention Center with high fidelity from existing digital “Open-source informatics tools can potentially enhance patient safety efforts continue to focus on the col- treatment, the symposium M.D., and Suresh Mukherji, • www.asnc.org image archives by using open-source be used to create accurate large-scale in nuclear medicine quality assurance laboration between radiation will seek the many points M.D., are co-chairs of the September 12-15 oncologists and clinical radi- of contact between imaging committee planning the sym- American Society of Emergency informatics tools. repositories of anatomy-specific CT radi- and radiation dose monitoring. ologists––treating and radiation posium. Dr. Camphausen is Radiology (ASER), Annual Scientific Researchers created the general- ation exposure data from existing image “In particular, radiopharmaceutical head and neck, oncology from a radiation oncologist at the Meeting, New Orleans Marriott ized radiation observation kit, or GROK, archives, which may be useful in patient administrations can be readily mapped breast, gastroin- diagnosis through National Cancer Institute in • www.erad.org capable of locating and retrieving volume safety initiatives, including radiation to organ doses, opening new avenues testinal and lung the entire course Bethesda, Md. Dr. Mukherji September 12-15 CT dose index and dose-length product exposure monitoring and technique opti- in longitudinal patient-specific dose cancers––in deter- of the patient’s is a professor of radiology at International Skeletal Society (ISS), information from a DICOM image archive mization programs,” the authors write. monitoring and risk assessment and Annual Meeting, Rome, Italy and converting dose screens to text for In a second study, Ichiro Ikuta, M.D., potentially enhancing physician-patient mining the extent disease. The the University of Michigan • www.internationalskeletalsociety. of a patient’s future of biologi- in Ann Arbor. com analysis. and colleagues randomly selected 5,000 communication and informed decision Software was validated by using 150 nuclear medicine reports from Sept. 17, making,” they write. cancer, developing cal imaging and Registration will open September 13-16 the best radia- adaptive therapy in September. To submit European Society of Urogenital randomly selected encounters for each 1985, to Feb. 28, 2011, of which 1,500 To access the full Radiology studies, tion plan and following up will also be addressed from abstracts and for more infor- Radiology, joint meeting of Euro- major CT scanner manufacturer. After were used for an iterative code training go to RSNA.org/Radiology. for response and recurrence. the perspective of both spe- mation, go to www.cancerim pean Symposium on Urogenital Taking a multidisciplinary cialties. agingandrtsymposium.org. Radiology (ESUR) and British Soci- ety of Urogenital Radiology (BSUR) Annual Scientific Meeting, Royal Journal Highlights College of Surgeons in Edinburgh, Continued from page 21 Scotland RSNA Faculty Development Workshop • www.esur2012.org September 15-19 Stroke is Focus of Radiology Select, Volume 2 September 12, 2012 Registration for the RSNA Faculty Development Cardiovascular and Interventional The newest volume of Radiology Select, • Techniques for risk strat- and tablet formats. The online Chicago Workshop, a day-long course on the best techniques Radiological Society of Europe for designing and delivering radiology education, is (CIRSE), Annual Congress and Volume 2: Stroke, is now available to ification, diagnosis and self-assessment module (SAM) now open to all members. The workshop, led by RSNA Refresher Course Postgraduate Course, Centro de members and non-members for pur- therapeutic monitoring in edition features four SAM tests Committee Chair Valerie Jackson, M.D., John A. Campbell Professor Congressos de Lisboa, Lisbon, Por- chase. the internal carotid artery Stroke with the opportunity to earn up RSNA.ORG/RADIOLOGYSELECT tugal Volume 2 The second in the continuing series • MR applications for pre- A continuing series of selected Radiology to 8 SAM credits and 12 CME of Radiology and chair of the Department of Radiology at the Indiana articles that highlight developments in imaging science, techniques, and clinical practice. University School of Medicine in Indianapolis, and David J. DiSantis, • www.cirse.org of selected Radiology articles focusing on dicting infarct growth, credits. Interactive videos and September 19-23 a specific subspecialty topic, Radiology ischemic lesions and podcasts are featured with the M.D., associate residency program director, professor and quality, safety Jackson European Society of Neuroradiology Select, Volume 2, contains 30 Radiology hyperperfusion tablet and online SAM editions. and compliance medical director in the Department of Radiology at the (ESNR), Congress and Advanced University of Kentucky, Lexington, will focus on how adults—especially articles totaling nearly 300 pages of con- • “Mismatch” MR imaging Radiology Select will be Course, Edinburgh, Scotland Guest editors: Michael Lev, MD physicians—best learn and how faculty can use test questions to improve • www.esnr.org tent dedicated to stroke and associated techniques Shervin Kamalian, MD published bi-annually. To pur- their teaching. September 22-25 imaging. Volume 1 focused on pulmonary • Observations on neonatal chase and for information on The workshop will be held September 12, 2012 at the Westin O’Hare Canadian Association of Radiation nodules. intracranial hemorrhage and cerebral Radiology Select, visit RSNA.org/Radiolo- hotel, providing convenient access for attendees flying into Chicago. Most Oncology (CARO), 24th Annual Sci- Volume 2 covers topics including: artery flow in pediatric sickle cell dis- gySelect. participants can fly in and out on the same day. RSNA staff and faculty entific Meeting, Hyatt Regency, Van- • Dual-energy imaging, perfusion imag- ease. couver, BC ing and thrombus detection The edition is available in print, online will be on hand to discuss specific questions with participants. • www.caro-acro.ca The workshop fee is $150. Registration is available at RSNA.org/Fac DiSantis ulty_Development_Workshop.aspx. For more information, contact Jennifer Find more events at Comerford at [email protected] or 1-630-590-7772. RSNA.org/calendar.aspx.

23 RSNA News | August 2012 August 2012 | RSNA News 24 news you can use

Radiological Society of North America November 25–30 RSNA2012.RSNA.org Annual Meeting Watch 98th Scientific Assembly and Annual Meeting McCormick Place, Chicago Registration, Housing & Course Enrollment Enroll Now for Courses Guarantee Your Seat! Course enrollment for RSNA 2012 is under way. Online Tickets are required for various meeting components, including refresher and multisession courses, informatics enrollment occurs instantly, while faxed or mailed registra- workshops and RSNA tours and events. tion forms are processed in the order they are received. The RSNA 2012 Advance Registration, Housing & Course Enroll- All ticketed courses must be confirmed by November ment brochure is available at RSNA.org/register. Use this 21 to guarantee a seat. RSNA ticketed courses fill up fast, Registration is Open! so ensure you get the courses you need by enrolling at brochure to make the most of your RSNA 2012 experience. Register and book your hotel room at RSNA.org/register RSNA has organized the information in the course brochure RSNA.org/register. There is no onsite course ticketing. to help you complete your enrollment in just a few steps. Find Registrants without tickets will be allowed entrance into a the courses you need, build your schedule and enroll quickly course after all ticketed registrants have been seated. and easily online or via the print form. You must be registered for RSNA 2012 in order to enroll for courses. Book with Gant Travel for a

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North America North of ty Arrange Childcare Socie Radiological New! “Patients First” Prior to the Meeting Travel by September 28 will be entered into a drawing To uphold the professional and educational standards of the to receive a $500 (USD) travel credit good toward 568 Atrium Drive RSNA will mail registration Vernon Hills, IL 60061 5K Fun Run RSNA annual meeting, children under 16 years of age are not future airfare on United Airlines. permitted in the exhibit halls or sessions or issued a badge. materials in late October / benefits of using Gant Travel for RSNA 2012 Tuesday, November 27, 6:30 a.m. Onsite childcare will be available for children six months to early November to all full- include: Arvey Field, South Grant Park, Chicago 12 years through ACCENT on Children’s Arrangements, Inc. Your name badge and • Fare-checker technology (checking for lower fares conference registrants meeting materials until your return flight home) Online registration and application forms are available at are enclosed Enjoy a 5k event with enrolled by November 2 • Seat-checker technology (checking for the best avail- RSNA2012.RSNA.org (click childcare). your colleagues along (October 19 for International able seats per your preference)

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Chicago’s beautiful registrants). Technical exhib- waste. consumer post ber/10% recycled 10% • Flight monitoring alerts ur name badge and and badge name ur Lake Michigan shore International Visitors its-only registrants must pick up badges on the day of Yo For more information, contact Gant Travel at If you must apply for a temporary non-immigrant visa to 1-877-613-1192, international +1 011 630-227-3873 or and help fuel critical the exhibit attendance at McCormick Place. [email protected]. research to enable the attend RSNA 2012, you are advised to apply as soon as U.S. travel is decided and no later than three to four months in best care for our patients. During online reg- advance of the travel date. The RSNA offers an official letter istration or onsite at McCormick Place, sign of invitation for RSNA 2012 attendees. For more information RSNA 2012 Registration go to RSNA2012.RSNA.org/attendees/international.cfm. up as a runner or walker for the “Patients How to Register Registration Fees Important Dates for RSNA 2012 First” 5k Fun Run. The sign-up donation of There are four ways to By Nov. 2 after Nov. 2 oct 19 Deadline for international $30 will benefit the RSNA R&E Founda- Reserve Your Room Now register for RSNA 2012: $ 0 $ 100 RSNA/AAPM Member badge mailing tion and is fully tax deductible. Participants 1 Internet—Fastest way 0 0 RSNA/AAPM Member Presenter Nov 2 Deadline for housing and RSNA has many hotel rooms available at discounted rates. to register! 0 0 RSNA Member-in-Training, RSNA Student discounted registration receive a commemorative T-shirt. Register for the meeting today and reserve yours. Go to RSNA.org/register Member and Non-Member Student Nov 21 Deadline for guaranteed seat- 2 Fax (24 hours) 0 0 Non-Member Presenter ing to all ticketed courses 1-888-772-1888 165 265 Non-Member Resident/Trainee Nov. 25 – 30 RSNA 98th Scientific 1-301-694-5124 165 265 Radiology Support Personnel Assembly & Annual Meeting  3 Telephone 750 850 Non-Member Radiologist, Physicist or Spouse/Family Member Badge: News for 2012 (Mon.-Fri. 8 a.m. – 5 p.m. ct) Physician Full-conference professional registrants are entitled to one complimentary spouse/family member badge; each additional 1-800-650-7018 750 850 Hospital or Facility Executive, Commercial badge is $50. This badge is intended for use by a spouse or family member (over the age of 16) accompanying a full- 1-847-996-5876 Research and Development Personnel, conference professional registrant to the meeting. It allows access to technical exhibit halls, Lakeside Learning Center and 4 Mail Healthcare Consultant and Industry Personnel classrooms—space permitting—after all professional registrants have been seated. CME credit is not tracked or awarded. Experient/RSNA 2012 300 300 One-day registration to view only the A co-worker or industry associate is not eligible for this badge and must register as a professional and pay the applicable P.O Box 4088 Technical Exhibits Frederick, MD 21705 USA registration fee. For more information about registering for RSNA 2012, visit RSNA.org, e-mail [email protected] or call 1-800-381-6660 x7862.

25 RSNA News | August 2012 August 2012 | RSNA News 26 news you can use

The Value of Membership THE NEW RSNA.org

RSNA Offers One-Stop-Shopping for Members Across the Globe Stay Current MOC Needs through International Portal Meet Maintenance of Certification (MOC) needs with the newest RSNA online self-assessment modules (SAMs) produced in conjunction with several refresher courses recorded at RSNA 2011. Ever-committed to serving members around the globe, RSNA now offers a Web portal devoted exclusively to the news, events and resources most critical to its international members. Each SAM course has been approved for AMA PRA Cat- With one click, visitors to the international portal on the redesigned RSNA.org can access everything from RSNA egory 1 Credit™ and qualifies for SAM credit by the American Board of Radiology (ABR). Online SAM refresher courses are 2012 visa information and a library of international resources to RSNA education initiatives like the Introduction to available free to all members; nonmembers pay $50 to access Research for International Young Academics program. each course. Accessible on the top menu above the search field, RSNA currently offers more than 80 online SAMs in the international portal is your all-access pass to the nearly every radiology subspecialty news and information you want most. area. Check out the newest titles Maintenance of Highlights include: added to the online SAMs library: Certification • Acute Aortic Disorders O International News: International news: Visitors • Brachytherapy can access RSNA 2012 travel and visa informa- • Controversies in Oncologic Imaging tion, peruse a calendar of international events • Eye and Orbit and stay plugged into regularly updated news and • Lower Extremity Venous Imaging and Intervention information. • Patient and Staff Safety with Focus on Radiation Dose Reduction O International Resources: • Practical Oncologic MR Imaging Applications in the Abdomen and Pelvis P rograms, Fellowships and Grants: Find infor- • Pulmonary Infections mation on international programs, fellowships • Spinal Injuries: Surgical or Nonsurgical? A Fresh Look and grants for young investigators across the at Injury Assessment world. • Tailored Breast Cancer Screening To view the available courses, visit RSNA.org/education/search/sam or call Membership: Join RSNA’s global community 1-800-272-2920, extension 3733 for more information. and enjoy exclusive benefits, including free registration to the RSNA Annual Meeting. E ducation Offerings: Keep your skills sharp Explore RSNA’s New Online Education Search Page throughout your career with the finest online education resources. RSNA members can enhance their professional knowledge and earn CME/Self assessment modules (SAMs) credit online with RSNA’s new education search page. With this free benefit, Journals: Access the two top peer-reviewed journals in the field—Radiology and RadioGraphics. RSNA members can easily browse hundreds of online education opportunities custom-built Annual Meeting: As an RSNA member, you can receive free advance registration to the world’s premier annual event in medical imaging. for radiology. Tailor searches through pre-defined rent course enrollments by using the “My have already been completed will auto- Radiology Organizations: Explore a comprehensive list of national and international organizations in the content areas specific to radiologists’ Enrollments” button at any time. matically appear with a green check- radiologic sciences. areas of interest or narrow searches RSNA members will find vetted and mark. Look for the blue “NEW” tag next Additional icons at the bottom of the page direct you to essential tools and interactive content relevant to further by browsing customized search to activities that have just been added to your online experience. a pre-populated list results automati- the growing collection of RSNA educa- of activity types. cally populated based tional activities. Enter an author’s name or keyword to on their subspecialty designation in Visit RSNA.org/education/search. further define search results. View cur- myRSNA. Additionally, activities that Coming Next Month In next month’s RSNA News, experts will provide an update on the second phase of the federal Meaningful Use incentives set to take effect in 2014, and discuss radiology’s progress in complying with the laws and what they can expect when the new rule takes hold.

27 RSNA News | August 2012 August 2012 | RSNA News 28 MaKe an IMPacT

YOUR GIFT can lead TO bIG ResUlTs

For every $1 the R&E Foundation provides in grants, recipients go on to receive over $30 in additional funding for projects that advance the field of radiology.

To make a gift, visit RSNA.org/donate or call 1-630-590-7760.

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