A UGUST 2009 ■ VOLUME 19, NUMBER 8

® Image courtesy of Almon S. Shiu, Ph.D. Stereotactic Body Radiotherapy Effective for Treating Spine Tumors

Also Inside: ■ Revised Pediatric Guidelines Aid Radiologists in Detecting Child Abuse ■ Early Radiology Exposure Could Lure Medical Students to Specialty ■ Robotic System Aids CT-Guided Needle Biopsy ■ Chicago Events and Attractions Shine at RSNA 2009 RSNA.org/register Register atnow for RSNA 2009 courses A UGUST 2009

EDITOR Bruce L. McClennan, M.D. DEPUTY EDITOR ® David M. Hovsepian, M.D. CONTRIBUTING EDITOR Robert E. Campbell, M.D. 1 Announcements EXECUTIVE EDITORS 2 People in the News Natalie Olinger Boden Lynn Tefft Hoff 4 Board of Directors Report MANAGING EDITOR 5 My Turn Beth Burmahl EDITORIAL ADVISORS Feature Articles Mark G. Watson Executive Director 6 Stereotactic Body Radiotherapy Effective for Treating Karen E. Bresson, C.A.E. Spine Tumors Assistant Executive Director Marketing and Membership 8 Revised Pediatric Guidelines Aid Radiologists in Detecting Child Abuse EDITORIAL BOARD Bruce L. McClennan, M.D. 10 Early Radiology Exposure Could Lure Medical Chair Students to Specialty David M. Hovsepian, M.D. Vice-Chair 12 Robotic System Aids CT-Guided Needle Biopsy Silvia D. Chang, M.D. 14 Chicago Events and Attractions Shine at Colin P. Derdeyn, M.D. Richard T. Hoppe, M.D. RSNA 2009 Jonathan B. Kruskal, M.D., Ph.D. Kerry M. Link, M.D. Barry A. Siegel, M.D. 18 R&E Foundation Donors Gary J. Whitman, M.D. Sarah S. Donaldson, M.D. 20 Journal Highlights Board Liaison 21 Radiology in Public Focus GRAPHIC DESIGNER Adam Indyk 22 RSNA: Working for You COPYWRITER 23 Program and Grant Announcements Evonne Acevedo Johnson, M.F.A. CONTRIBUTING WRITERS 24 Meeting Watch Joan Drummond 28 Product News Amy Jenkins, M.S.C. Paul LaTour 29 RSNA.org Marilyn Idelman Soglin 2009 RSNA BOARD OF DIRECTORS Burton P. Drayer, M.D. Chair George S. Bisset III, M.D. RSNA News Letters to the Editor Liaison for Education August 2009 • Volume 19, Number 8 E-mail: [email protected] Sarah S. Donaldson, M.D. Published monthly by the Radiological Society Fax: 1-630-571-7837 Liaison for Publications and of North America, Inc., 820 Jorie Blvd., Oak RSNA News Communications Brook, IL 60523-2251. Printed in the USA. 820 Jorie Blvd. Oak Brook, IL 60523 N. Reed Dunnick, M.D. POSTMASTER: Send address correction Liaison for Science Subscriptions “changes” to: RSNA News, 820 Jorie Blvd., Ronald L. Arenson, M.D. Oak Brook, IL 60523-2251. Phone: 1-888-600-0064 1-630-590-7770 Liaison for Annual Meeting and Nonmember subscription rate is $20 per year; E-mail: [email protected] Technology $10 of active members’ dues is allocated to a subscription of RSNA News. Reprints and Permissions Richard L. Baron, M.D. Phone: 1-630-571-7831 Liaison-designate for Education Contents of RSNA News copyright ©2009. RSNA Fax: 1-630-590-7724 Gary J. Becker, M.D. is a registered trademark of the Radiological E-mail: [email protected] Society of North America, Inc. President RSNA Membership 1-877-RSNA-MEM Hedvig Hricak, M.D., Ph.D., Dr. h.c. President-elect and Secretary-Treasurer

b RSNA NEWS SF EPTEMBEREBRUARY 2003 2007 ANNOUNCEMENTS

AAPM President Stresses Need for Medical Imaging Physics Residences OLLOWING the American Associa- to 24, with 12 more under review, Dr. a critical need to appropriately train tion of Physicists in Medicine’s Giger reported. However, the number medical physicists and to make sure all F(AAPM) second 2012 Summit, of CAMPEP-accredited residency pro- graduates can obtain clinical training AAPM President Maryellen L. Giger, grams in imaging only increased from via residencies.” Ph.D., called for academic institu- two to three, with only one more under Residences could be connected tions, hospitals and private practices to review. AAPM is now work- with academic hospitals, work toward creating more residency ing with various academic clinical practice groups or programs for medical imaging phys- programs and private practice private imaging groups that ics graduates. The summit focused on imaging physics groups to could sponsor residents, Dr. American Board of Radiology require- potentially create “hub and Giger noted. AAPM is also ments for graduate education that will spoke” residencies, in which developing a Web-based be implemented for 2012–2014. medical physics residents program that will enable “In their future jobs, graduating could rotate through differ- residents to track their train- medical physicists will have various ent groups to gain experience ing and check off requisites clinical physics responsibilities includ- across a wide range of instrumentation as they complete rotation in different ing the acceptance of imaging systems, and procedures and to help residencies departments and centers. performance of quality assurance for attain CAMPEP accreditation. The pro- “This need must be recognized image quality and dose,” said Dr. fession needs additional support if it is and addressed,” said Dr. Giger. “We Giger. “In order to be trained appro- to achieve a sufficient number of resi- encourage academic institutions, hos- priately, they need not only the didac- dency slots to accommodate graduating pitals and private practices to support tic training that they receive in their medical imaging physicists, she added. medical physics residencies, noting that graduate education programs, but also “It is estimated that approximately having a resident costs less than some- ‘on-the-job’ clinical experiences similar 200 master’s-level and 100 Ph.D.-level one who might work as an apprentice. to radiology residents. They need to medical physics students graduate per “During residency training, the work with clinical medical physicists in year in this country,” said Dr. Giger. institution/practice can assess the resi- diagnostic radiology departments and/ “For those who pursue a clinical medi- dent as someone who might be a good or freestanding imaging practices. To cal physics career, necessary clinical candidate for a position later,” Dr. do so, they need the support of both the training via medical physics residency Giger continued. “In addition, when an department and the institution.” programs needs to be available. It is institution/practice does hire a medical In the past year, the number of extremely important to have a strong physicist who has been through a resi- therapy residency programs accredited supply of properly trained, clinically dency, they will be more confident in by the Commission on Accreditation qualified medical physicists to serve the candidate as he/she will have been of Medical Physics Educational Pro- the clinical practice of radiology/imag- clinically trained in all aspects of medi- grams (CAMPEP) increased from 20 ing/nuclear medicine. Thus there is cal imaging physics.”

Image Gently Campaign Named to Associations Advance America Honor Roll The Alliance for Radiation Safety in Pediatric Imaging has been named to the 2009 American Society of Association Executives’ Associations Advance America Honor Roll in recognition of its Image Gently campaign. The Alliance for Radiation Safety is a coalition of 41 organizations, including RSNA, dedicated to raising awareness and promoting education about radiation protection for children during medical imaging examinations. The Image Gently Web site offers educational materials for practitioners, including protocols for optimizing pediatric CT techniques, and information and tools for parents to keep track of their children’s imaging records. For more information, or to join the more than 2,700 providers who have taken the Image Gently pledge, visit imagegently.org.

RSNANEWS. ORG RSNA NEWS 1 ANNOUNCEMENTS

2009 Editorial Fellows Selected RSNA has named José María García to Radiology and changing tech- Santos, M.D., of Morales Meseguer RadioGraphics. nology which University Hospital in Murcia, Spain, She majored in could then be as the 2009 William R. Eyler Editorial history and lit- used to improve Fellow. Samantha Lynn Heller, M.D., erature at Harvard understanding Ph.D., of New York University Medical University and of disease.” Center, is the Trainee Editorial Fellow. completed her Both fellows Dr. García is editor-in-chief of doctorate in Eng- will work with Radiología, the official journal of the lish literature at Radiology Edi- Spanish Society of Medical Radiology Columbia Univer- tor Herbert Y. (SERAM) and serves as an interna- sity in New York, José María García Samantha Lynn Heller, Kressel, M.D., tional liaison for the editorial board of focusing her dis- Santos, M.D. M.D., Ph.D. in Boston and the American Journal of Roentgenol- sertation on changing perceptions of RadioGraphics Editor William W. Olm- ogy. He said he hopes the fellowship science and technology in Renaissance sted, M.D., in Bethedsa, Md. The Eyler will help him promote relationships England. “Over time, however, I found fellowship lasts one month and trainee between Spanish- and English-language that understanding the cultural implica- fellowship lasts one week. Each fellow journals and enhance the quality of tions of science was no longer enough,” will also visit the RSNA Publications Radiología. “I will dedicate the knowl- she said. “I wanted to understand the and Public Information Division at edge and experience gained from this science itself and this interest ulti- RSNA Headquarters in Oak Brook, Ill. fellowship to increase links between mately encouraged me to start a career During the final weeks of fellowship, Spanish and English radiologic journal- in medicine.” Dr. García will work with the RSNA ism, help forthcoming editors in Spain, Part of her decision to choose editorial team at RSNA 2009. improve education of Spanish-speaking radiology as a specialty came from For more information about the radiologists interested in medical jour- witnessing the crucial need for a radi- RSNA Editorial Fellow program, go to nalism and improve the professionalism ologist’s insight and expertise prior to RSNA.org/Publications/Editorial_ of Radiología,” Dr. García said. a medical decision, Dr. Heller said. “I fellowships.cfm. Dr. Heller brings a unique back- also loved the idea of always being ground in language and the humanities able to—indeed, needing to—master

PEOPLE IN THE NEWS

AUR Gold Medals Awarded to Sullivan, Kazerooni HE Association of University Radiologists (AUR) awarded its 2009 gold medals to Daniel C. Sullivan, M.D., and Ella Annabelle E. TKazerooni, M.D., M.S. Dr. Sullivan, a professor in the Department of Radiology at Duke University, serves as RSNA Science Advisor and heads RSNA’s Quantitative Imaging Biomarkers Alliance (QIBA). Dr. Kazerooni is a professor in the Department of Radiology at the University of Michigan in Ann Arbor as well as the director of cardiothoracic radiology and vice-chair for clinical affairs.

Daniel C. Sullivan, M.D. Ella Annabelle E. Kazerooni, M.D., M.S.

2 RSNA NEWS A UGUST 2009 PEOPLE IN THE NEWS

SNM Names Officers, Bestows Awards SNM has named Michael M. Gra- at the University of Michigan Dr. Davison is a professor ham, M.D., Ph.D., as its 2009–2010 Medical School in Ann Arbor, emeritus of chemistry at president. Dr. Graham is a professor for his accomplishments in the Massachusetts Institute of radiology and director of nuclear advancing radiochemistry and of Technology in Cam- medicine at the University of Iowa radiopharmaceutical develop- bridge and Dr. Jones is a Carver College of Medicine in Iowa ment. The award recognizes professor of radiology at City. SNM also named Dominique outstanding achievement Harvard Medical School Delbeke, M.D., Ph.D., of Nashville, in basic science applied to and Brigham and Women’s Tenn., as president-elect and George nuclear medicine. Hospital in Boston. Dr. Segall, M.D., of Palo Alto, Calif., as Alan Davison, Ph.D., Abrams, of Custer, Wash., vice president-elect. Alun G. Jones, Ph.D., and Michael M. Graham, has been active in the SNM also awarded its 2009 Paul C. Michael J. Abrams, Ph.D., M.D., Ph.D. research, discovery and Aebersold Award to Michael R. Kil- received SNM’s 2009 Georg Charles development of pharmaceuticals for bourn, Ph.D., a professor of radiology de Hevesy Nuclear Pioneer Award. more than 25 years.

Costello Named UMA Lawrence Awarded President ASTRO Gold Medal Philip Costello, M.D., a professor Theodore Lawrence, M.D., Ph.D., and chair of the Department of Radi- will receive the 2009 gold medal ology at the Medical University of from the American Society for South Carolina in Charleston, was Radiation Oncology (ASTRO). Dr. elected president of University Medi- Lawrence is the Isadore Lampe cal Associates (UMA), a group of 663 Professor and chair of radiation physicians providing specialty care oncology at the University of on campus and at multiple outpatient Philip Costello, M.D. Michigan Medical School in Ann Theodore Lawrence, clinics. Dr. Costello serves on the Arbor. Dr. Lawrence delivered M.D., Ph.D. editorial board for the Daily Bulletin, the official newspaper the Annual Oration in Radiation for RSNA’s annual meeting. UMA supports the university’s Oncology at RSNA 2006. educational, medical and research purposes.

Patlas Awarded CAR Young PET Investigator Award The Canadian Association of Radiologists (CAR) has awarded Michael Patlas, M.D., Tip of the Month its Young Investigator Award. Dr. Patlas, an Avoid placing a gamma camera near a PET associate professor of radiology at McMas- scanner or near PET patients. The 511 keV ter University and fellowship program photons used in PET will interfere with the director and staff radiologist at Hamilton proper functioning of the gamma camera. General Hospital, both in Ontario, Canada, American Association of Physicists in Medicine is credited with single-handedly developing Michael Patlas, M.D. a unique MR imaging research fellowship at Hamilton.

Send news about yourself, a colleague or your department to [email protected], 1-630-571-7837 fax, or RSNA News, 820 Jorie Blvd., Oak Brook, IL 60523. Please include your full name and telephone number. You may also include a non-returnable color photo, 3x5 or larger, or electronic photo in high-resolution (300 dpi or higher) TIFF or JPEG format (not embedded in a document). RSNA News maintains the right to accept information for print based on membership status, newsworthiness and available print space.

RSNANEWS. ORG RSNA NEWS 3 RSNA NEWS RSNA Board of Directors Report

T ITS June meeting, the RSNA radiography, fluoroscopy, mammog- Board of Directors approved a raphy, CT, ultrasound, MR imaging, A number of collaborations with nuclear medicine and radiation biology. other societies, focusing on such issues The modules are designed to improve as adult radiation dose and interna- the basic science education of radiology tional radiology education. The Board residents and will also benefit practicing also looked ahead to RSNA 2009 and radiologists. The Board has approved approved the Society’s 2009–2010 development of the Phase 2 modules, budget. which will address basic science prin- ciples and special considerations. Collaborations Advance Radiologic Science RSNA will work with the European and Education Society for Therapeutic Radiology and RSNA has teamed up with the Ameri- Oncology to present a March 2010 can College of Radiology (ACR) on conference, “Imaging for Treatment several initiatives, including formation Assessment and Radiation Therapy.” of a task force for an adult radiation Also next March, RSNA will co- protection program. The task force will sponsor the GU Cancer Symposium, an Burton P. Drayer, M.D. Chairman, 2009 RSNA Board of address issues of dose management and American Society of Clinical Oncol- Directors reduction similar to those tackled by the ogy program focusing on genitourinary Image Gently pediatric campaign, of radiology and oncology. raphy Training and Self-Assessment which RSNA and ACR are members. Workshop, which will also address RSNA and ACR also will collabo- RSNA 2009 Just Months Away breast tomosynthesis and breast MR. rate on an international observership Plans continue for RSNA 2009 ses- In other annual meeting business, program, with each organization spon- sions, including one featuring repre- the Board approved making the Trainee soring an international radiologist as he sentatives from the National Institutes Research Prize available to recipients or she spends six weeks of Health Small Business from anywhere in the world. The prize, learning at an institu- Innovation Research recognizing an outstanding scientific tion in the U.S. The first (SBIR) program. Annual presentation in each subspecialty pre- radiologists to participate meeting attendees can sented by a resident/physics trainee, in the program later this learn about the avail- fellow or medical student, formerly year will be from Iraq. ability of SBIR funding was restricted to only North American At this year’s annual for researchers in the abstract submissions. Recipients receive meeting, RSNA will pro- advancement of medical a certificate and a $1,000 check during mote the Face of Radiol- imaging technologies. their designated presentation periods. ogy campaign, developed SBIR aims to strengthen RSNA will collaborate with the by ACR to inform the the role of small busi- Society of Chairs in Academic Radiol- public about who radiologists are and nesses in meeting federal research ogy Departments to provide space at how they fit into a patient’s healthcare. and development needs and increases RSNA 2009 to department representa- RSNA and ACR will also host a joint private sector commercialization of tives wanting to interview prospective Residents Reception at RSNA 2009. innovations developed through its pro- candidates for radiology fellowships. RSNA and the American Associa- gram. In a separate session, past SBIR Starting with RSNA 2010, attend- tion of Physicists in Medicine are set recipients will discuss their experiences ees will be able to view materials from to unveil the first phase of Web-based with the program. all scientific presentations—including physics teaching modules at RSNA Also planned for RSNA 2009 is those presented orally in scientific 2009. Phase 1 includes modules on an expansion of the Digital Mammog- sessions—at the computers in the Lake-

4 RSNA NEWS A UGUST 2009 side Learning Center along with elec- García Santos, M.D., of Morales More information about the change tronic education exhibits. Meseguer University Hospital in Mur- and the research and education grants cia, Spain, is the 2009 William R. Eyler offered by the R&E Foundation can be RSNA Journals Expand Reach Editorial Fellow. Samantha Lynn Hel- found on Page 19. RSNA will participate in Global Out- ler, M.D., Ph.D., of New York Univer- I look forward to seeing all of you reach Radiology, or GO-RAD, a new sity Medical Center, is the Trainee Edi- at RSNA 2009. virtual journal launched by the Interna- torial Fellow. More information about tional Society of Radiology. Radiology Drs. García and Heller can be found BURTON P. DRAYER, M.D. Editor Herbert Y. Kressel, M.D., and on Page 2. CHAIRMAN, 2009 RSNA BOARD OF RadioGraphics Editor William W. Olm- At its June meeting, the Board also DIRECTORS sted, M.D., will select articles from their approved a change to the eligibility ■ Note: In our continuing efforts to keep respective journals to contribute to GO- requirements for RSNA Research & RSNA members informed, the chairman of RAD, where they will be available free Education (R&E) Foundation grants— the RSNA Board of Directors will provide a to radiologists in developing nations. starting with the next round of grant brief report in RSNA News following each The Board approved the journal applications, due in January 2010, all board meeting. The next RSNA Board Meet- editorial fellows for 2009. José María applicants must be members of RSNA. ing is in September 2009.

MY TURN Our Past as Prologue: 1991–2010

HEN I mention 1991, it doesn’t Contributing Editor, charged part of your everyday pro- Wseem like such a long time ago. with overseeing publica- fessional lives. However, when considered in the con- tion of activities of the now There is plenty of which text of a seemingly endless cascade of 25-year-old RSNA Research to be proud. Each month, technological advances—like PACS, & Education Foundation. as a new issue is sent to high-field strength MR, multidetector Dr. Campbell has been the more than 40,000 people CT and molecular imaging—the two “glue” of the Editorial Board worldwide, you’ll find decades since RSNA News was first ever since—such a consistent some of the best news from published have been amazingly full. publication history brings us throughout RSNA history— Born in 1991 at the behest of the to our 20-year celebration, handpicked by the RSNA RSNA Board of Directors as a quarterly which we will showcase Bruce L. McClennan, News Editorial Board—to printed newsletter, the purpose of RSNA throughout 2010. M.D. remind us all that our first News was improving the Society’s com- Think back to your life and practice two decades are a striking prologue for munication with its membership. Lack- in 1991 and then look ahead as RSNA the present day and a template for even ing widespread electronic News shares the specialty’s brighter times ahead for RSNA. means of communication, My Turn success with past stories, Bruce L. McClennan, M.D., is a professor of

RSNA relied on a Radiol- ONE including annual meeting diagnostic radiology at Yale University School ogy section called “Bulletin RADIOLOGIST’S chronicles—did you know of Medicine and an attending at Yale New VIEW Haven Hospital. Dr. McClennan finishes a six- Board” to disseminate infor- we first made use of the year term as RSNA News editor at the end of mation. A new outreach vehicle was North Building at McCormick Place in this year. sorely needed. 1991? You’ll easily recognize that the RSNA tapped Robert E. Camp- people, clinical advances and techno- bell, M.D., to serve as RSNA News logical milestones we detailed are now

RSNANEWS. ORG RSNA NEWS 5 FEATURE RADIATION ONCOLOGY Stereotactic Body Radiotherapy Effective for Treating Spine Tumors

TEREOTACTIC BODY RADIOTHERAPY (SBRT) is a highly effective alter- Snative treatment for some cancer patients with spinal metastases, accord- ing to new research from The Univer- sity of Texas in Houston. For patients treated with SBRT, researchers found that the six-month and one-year progression-free survival rates for spinal metastasis were 90 percent and 84 percent respectively, according to the study’s lead author Eric L. Chang, M.D., an associate pro- fessor in the Department of Radiation Oncology and director of the central nervous system stereotactic radia- tion program at the university’s M.D. Eric L. Chang, M.D. Dwight E. Heron, M.D. The University of Texas in Houston University of Pittsburgh Cancer Institute Anderson Cancer Center. Patients involved in the trial also reported body frame system consisting of a 84 percent had no progression of spinal reductions in pain, fatigue and sleep whole-body vacuum cushion and plas- tumors, researchers found. disturbances. tic fixation sheet used to immobilize The method also proved to be The study was presented at the patients for the treatment period, which effective in terms of pain control. American Association lasts approximately At the trial’s baseline, 27 percent of Neurological Sur- SBRT offers patients a one hour. of patients were pain-free. At three geons annual meeting minimally invasive treat- The team per- months, 50 percent reported being in San Diego. formed MR imaging pain-free and at six months, 59 percent “SBRT offers ment option they previously of the spine within reported being completely pain-free. patients a minimally did not have. We are also 30 days of patient “We were surprised at how quickly invasive treatment enrollment, every the treatment began working,” said Dr. option they previously able to offer patients a three months for the Chang. “Within two to four weeks we did not have,” said Dr. degree of pain control first year and every could already see the reduction of pain Chang. “We are also and to decrease their pain six months after pretty dramatically across the board in able to offer patients a that. Patients also the patients we treated. degree of pain control medications, minimizing evaluated their own “The other surprising finding is that and to decrease their the side effects from those pain and other dis- other areas of symptomatology were pain medications, comfort using instru- affected by this intervention as well,” minimizing the side medications. ments including the Dr. Chang continued. “Patients reported effects from those Eric L. Chang, M.D. validated Brief Pain reduction in fatigue, drowsiness and medications.” Inventory and the sleep disturbances. No damage to the In the study, researchers evaluated M.D. Anderson Symptom Inventory. spinal cord was reported.” 121 cancer patients with metastases Dr. Chang said it is particularly to the spine who underwent intensity- Technique Controls Tumor Progression, Pain encouraging to have SBRT as an option modulated, near simultaneous, CT Six months after treatment with SBRT, for patients who suffer from certain image-guided SBRT, said Dr. Chang. 90 percent of the patients were progres- melanomas or renal cell tumors that Researchers used a stereotactic sion-free and one year after treatment often do not respond to conventional

6 RSNA NEWS A UGUST 2009 ON THE COVER Typical multiple co-planar beam arrangement utilized for delivery of Using CT image-guided stereotactic body radiotherapy (SBRT), the six-month and one-year progression-free SBRT for spinal metastases. survival rates for spinal metastasis were 90 percent and 84 percent respectively, researchers found. Previ- ously irradiated T12 spinal metastasis from lung cancer showing biopsy-proven progression (note biopsy tract through the pedicle of the axial image of spine on the left). The re-irradiation treatment plan to deliver SBRT is shown in the axial, sagittal and coronal images. Images courtesy of Almon S. Shiu, Ph.D radiation therapy or for patients who Treatment Applications Could “Explode” in the more traditional approach.” have previously undergone radiation Drs. Chang and Heron feel the next Dr. Chang predicts a growing and are not candidates for further radia- step in this research is to collect more demand for the use of SBRT in clinical tion treatments. medical evidence so that insurance application. “I think application of this “The findings here are quite inter- companies will consider SBRT a reli- treatment could explode in the future esting and important, especially in the able treatment option. because there is a large unmet need for subgroup of patients who had prior radi- The case for using SBRT is best this type of treatment.” ation therapy to the spine,” said Dwight made in a certain subset of patients In contrast to the relative inef- E. Heron, M.D., an associate professor whose histologies, like tumors from fectiveness of conventional therapies, of radiation oncology at the University kidneys or certain skin cancers such Dr. Chang said he and his team were of Pittsburgh Cancer Institute (UPCI). as melanomas, tend to be a bit more encouraged to see a reduction in pain “We know in excess of 50 to 60 resistant to conventional radiation, Dr. and growth in the so-called radio- percent of patients who have cancer will Heron said. resistant tumors. develop bone metastasis over their life- “In those cases, these higher doses “Our team has been frustrated in time,” said Dr. Heron. “It can be fairly of radiation may actually be more effi- the past by how these radioresistant challenging, particularly if a patient has cacious as the first attempt to control cancers can continue to grow after had radiation that is commonly used these tumors and offer patients pain treatment with conventional radiation,” to treat the spine for palliation. If they relief,” he said. “We need to show he said. “When a particular treatment have had radiation before, it’s difficult insurance companies that using this fails, patients want to know what to retreat the same or adjacent area a more expensive technology upfront options they have. If this technique is second time because the spinal cord can before using the cheaper approach is not available, they really don’t have only tolerate a certain dose of radiation better because you don’t have to do a another option except surgery or pal- without significant toxicity. second course of radiation and because liative medicine. That’s why we apply “Our options after patients have patients get pain relief. We can get it to the most difficult cases to get the failed a course of radiation are lim- them off narcotics and possibly avoid maximum benefit for patients.” ited,” Dr. Heron concluded. “We can some spinal complications that we see Continued on Page 9 treat them with a nerve block and then ❚ perhaps prescribe narcotics, but that usually has an adverse impact on the Radiation Oncology at RSNA 2009 patient’s overall quality of life.” N RSNA 2009 refresher course, “What Diagnostic Radiologists Need Dr. Heron said he believes the A to Know about Radiation Oncology (RC118),” will include a section M.D. Anderson prospective study cor- on “Radiosurgery in the Head and Body,” presented by Dwight E. Heron, roborates the findings UPCI researchers M.D. Other presentations include, “Basic Concepts in Radiation Oncol- have gathered retrospectively in their ogy” by Stephanie A. Terezakis, M.D., “Radiation Therapy Techniques,” by Ruth F. Lavigne, use of SBRT for spinal metastases in M.D., and “Applications of PET in Radiation Oncology,” by Billy W. Loo Jr., MD., Ph.D. more than 750 patients. Registration for these and all RSNA 2009 courses is under way. For more information, go to RSNA2009.RSNA.org.

RSNANEWS. ORG RSNA NEWS 7 FEATURE HOT TOPIC Revised Pediatric Guidelines Aid Radiologists in Detecting Child Abuse

ADIOLOGISTS facing the grim task of assessing potential Rchild abuse now have newly revised imaging guidelines as part of a new policy statement from the American Academy of Pediatrics (AAP) that more closely mirror rec- ommendations from the American College of Radiology (ACR). The 2009 AAP policy state- ment, “Diagnostic Imaging of Child Abuse,” published in the May issue of the AAP journal, Pediatrics, was Paul K. Kleinman, M.D. Alan S. Brody, M.D. Caroline L. Hollingsworth, updated from the association’s 2000 Harvard Medical School University of Cincinnati College M.D., M.P.H. policy based on newer research and of Medicine Duke University Medical Center clinical experience, according to lead author Paul K. Kleinman, M.D., an alternative diagnosis. The guidelines head trauma, CT for potential abdomi- a professor of radiology at Harvard also emphasize the importance of close nal trauma and the pros and cons of Medical School and director of mus- collaboration between clinician and radiographs, CT and MR imaging for culoskeletal imaging at Children’s radiologist. spine injuries. The review also discusses Hospital, both in Boston. For example, “Doctors are obligated to check for guidelines for radionuclide bone scans. new research was the impetus for new abuse,” said AAP statement co-author, recommendations to include oblique Alan S. Brody, M.D., a professor of Digital Impact Acknowledged views of the ribs to check for fractures, radiology and pediatrics at the Univer- One major change between 2000 and said Dr. Kleinman. sity of Cincinnati College of Medicine 2009 has been the migration from “A major objec- and Cincinnati’s radiographs to PACS. While there were tive of the updated Radiologists see patterns of Children’s Hospital fundamental principles guiding the version is to bring injury that correlate with and Medical Center. radiographic skeletal survey with film the views and recom- “Questions about screen technique, “there are many more mendations in line abuse. We can offer a very radiation exposure variations with digital, such as adjust- with those of the important piece of the puzzle. may come up. The ing the blackness or the whiteness of ACR so that there decision to use ion- the picture, which was not something is consistency,” said Caroline L. Hollingsworth, M.D., M.P.H. izing radiation is you could do with film screen radio- Dr. Kleinman, an internationally recog- a risk/benefit decision. The risk of graphs,” Dr. Kleinman said. nized expert in pediatric radiology and cancer from a series of radiographs is The newly revised AAP recom- the detection of child abuse. extremely small. Determining whether mendations, that mirror ACR standards The revised document also serves or not someone is physically harming and appropriateness criteria, charge as a reminder of the importance of a child is a huge and potentially life- radiology departments with providing imaging in identifying the extent of saving benefit.” an adequate level of diagnostic detail at physical injury when abuse is present Specifically, the updated AAP the lowest radiation dose possible. and the necessity of elucidating all of guidelines examine the use of CT, “Digital offers attractive options the imaging findings that may point to ultrasonography and MR imaging for when it comes to brightness, magnifi-

8 RSNA NEWS A UGUST 2009 cation and the ability to share pictures of the pediatrics subcommittee of the imaging of suspected inflicted injury with colleagues, but there is also more RSNA Education Exhibits Committee. in infancy and childhood should be latitude in deciding on an appropriate “We can offer a very important piece of performed with at least the same rigor technique,” Dr. Kleinman said. the puzzle.” used in evaluating accidental trauma Dr. Brody said using PACS does Imaging can play an important role and naturally occurring disease. not change the requirement for high- in what she said is an underreported “To be confident that the imaging detail images. This allows radiologists issue. For example, radiology can help studies are acquired and interpreted in to identify and interpret injuries cor- with general dating of some injuries. a thorough and informed manner, clini- rectly so that a child is not put back When radiologists are asked to estimate cians charged with reporting and provid- into an abusive situation and caretakers when an injury occurred, “We can say: ing evidence in cases of suspected abuse are not falsely accused of abuse. ‘It’s older than two weeks,’ but we should work in close collaboration with can’t say ‘Last Thursday,’” said Dr. radiologists experienced in pediatric Radiology is Important Piece of Hollingsworth. imaging,” the authors concluded. Complex Puzzle Radiologists must remind others of Dr. Brody said he thinks the revised Dr. Kleinman said the revised AAP the judicious use of CT and try not to AAP document is so important that it guidelines enhance radiology’s con- over-image children when the suspicion should be posted on radiologists’ walls nection to a new subspecialty recently of child abuse is low, Dr. Hollingsworth so they can refer to it on a regular basis. approved by AAP, child abuse pedia- said. Radiologists also must be aware “These are guidelines for events tricians, which “has given us a new of potential diseases that mimic abuse, that, happily, don’t come up that often opportunity to build consensus,” he as in cases of bone disease, and exclude in general practice. They should be said. “Working closely with radiolo- them. “We can help clinicians guide handy when needed,” he said. ■ gists, these physicians strive to find an those parents,” Dr. Hollingsworth said. Learn More accurate diagnosis for the protection ■ An online version of “Diagnostic Imag- of children at risk and assist social and Clinician, Radiologist Collaboration Urged ing of Child Abuse” is available at: legal bodies of assessment. In the revised guidelines, researchers pediatrics.aappublications.org/cgi/content/ “Child abuse is a complex prob- emphasize the importance of close full/123/5/1430. lem,” Dr. Kleinman added. “It is chal- collaboration between clinician and lenging to be able to make an accurate radiologist and stress that diagnostic diagnosis and differentiate from condi- ❚ tions that may simulate or mimic it, as in cases of bone disease, and exclude Pediatric Radiology Series Planned for RSNA 2009 them.” Pediatric Radiology Series will be among the multisession courses offered at “Radiologists see patterns of injury ARSNA 2009. The courses, to be held Sunday, Nov. 29, through Tuesday, that correlate with abuse,” said Caro- Dec. 1, include presentations on imaging of pediatric spine trauma, head line L. Hollingsworth, M.D., M.P.H., and neck emergencies in children, pediatric chest trauma and pediatric an assistant professor of radiology and CT angiography. pediatrics at Duke University Medi- Registration for this and all RSNA 2009 courses is under way. For more information, go to RSNA2009.RSNA.org. cal Center in Durham, N.C., and chair

Stereotactic Body Radiotherapy Effective for Treating Spine Tumors Continued from Page 7 “I think as the technology gets bet- of careful deliberation for each team Utilization Barriers Remain ter and the cost comes down, we may considering SBRT for spinal metastases. Along with convincing insurance start looking at this as the primary way “I’m always cautious here,” said companies of its efficacy, cost and the to treat radioresistant tumors,” said Dr. Dr. Heron. “It’s great to have great small number of well-trained teams Heron. technology. At the same time, just performing SBRT on the spine are cur- Drs. Chang and Heron agreed that because you have a hammer, doesn’t rent barriers to increased utilization changes involving increased use of mean everything you see is a nail.” ■ of the methodology, Dr. Chang said. SBRT must be considered thoughtfully. Learn More However, both he and Dr. Heron said Dr. Chang said he believes having a ■ For more information on stereotactic body they believe research results like those well-trained staff is essential to replicat- radiotherapy, visit the International Radio- presented by M.D. Anderson and UPCI ing the outcomes seen at M.D. Ander- Surgery Association at www.irsa.org teams will create demand. son. Dr. Heron stressed the importance

RSNANEWS. ORG RSNA NEWS 9 FEATURE RESIDENT ISSUES Early Radiology Exposure Could Lure Medical Students to Specialty

MPROVING perceptions and increas- ing early efforts to expose medical Istudents to radiology could help counteract recent waning interest in the specialty, according to radiology professors. “Some of the shift has to do with students’ misperceptions about what radiologists actually do and the central role that we often play in patient care,” said David M. Hovsepian, M.D., a pro- fessor of radiology at Stanford Univer- sity Medical Center and vice-chair of the RSNA News Editorial Board. “We can’t expect them to choose a career in radiol- ogy if we don’t make this clear to them from the very start of their training.” David M. Hovsepian, M.D. Terry Desser, M.D. Stanford University Medical Center Stanford University Medical Center While radiology remains in the top 10 specialty choices, it has fallen from ogy specifically. From the standpoint Subspecialization is Asset and Liability number five in 2007 to number eight in of maintaining robust programs, we Drs. Hovsepian and Desser agree that 2009, according to the National Resi- lose some vitality as well, since our subspecialization adds credibility to dency Matching Program. The private, residents now come from a less diverse a radiologist’s work, but expressed nonprofit corporation’s 2009 report pool as a result of that limitation.” concern about the impact on appeal to includes nearly 37,000 applicants and It is, in fact, the perception of a students. “Training in radiology can’t 4,000 graduate programs. better lifestyle that keeps radiology be lengthened in perpetuity,” said Dr. Dr. Hovsepian said the ebb is among the top specialties, said Terry Desser. “We’re competing with special- partly due to limited Desser, M.D., residency ties where the entire length of training federal funding for We need to be the ones program director of is three years.” postgraduate medi- teaching them anatomy Stanford’s radiology Another concern, Dr. Desser said, cal education which department. is the compartmentalizing of emerging pays for training and about imaging and “They’re looking radiologists. Medical students often say up to five years, the manifestations of for what’s going to be they are attracted to radiology because discouraging poten- pathophysiology on imaging intellectually stimulat- of the broad knowledge base required tial applicants who ing, emotionally fulfill- to interact with multiple specialties, might discover radi- early in their training, so ing and lucrative,” Dr. she said. “If radiologists are seen as ology while training they recognize what we do Desser said. “Many pigeonholed and subspecialized, then in other programs. students seem to be that appeal potentially goes away.” “It used to be and what we contribute. starting families at an Subspecialization is a trend driven that you could com- Terry Desser, M.D. earlier age and they all by the market, and private practices plete a residency have massive amounts attach a higher value to fellowship- in medicine, for instance, and then do of debt, so they make a very practical trained radiologists, said Howard P. radiology and the government would calculation. They look at the income Forman, M.D., M.B.A., a professor of keep paying for your training,” Dr. potential and lifestyle and radiology diagnostic radiology and management Hovsepian said. “Now you have to winds up pretty high on their list.” at Yale University School of Medicine choose your career path to do radiol- and chair of the American College of

10 RSNA NEWS A UGUST 2009 Stereotypes Drive Perception of Radiology ADIOLOGISTS are more than Wen said he believes it is clink-clink “sound of counting Dr. Hovsepian. “Somebody’s Rfamiliar with the stereotypes important that students work gold dubloons.” going to outsource you to surrounding their specialty. one-on-one with radiologists to “That’s not an appealing another specialty or will quickly David Wen, a student finishing better understand their role and model, especially for women,” Dr. move in to fill the gap.” his first year at the University dispel current stereotypes. Desser said. “Now that women Naturally, radiology’s allure of Minnesota Medical School in “To some extent medical make up such a large percentage also depends on the current job Minneapolis, admits much of his students still think radiologists of medical students, we need to market. “If there’s worry that knowledge of radiology stems are antisocial geeks,” said Terry be cognizant of the fact that we those jobs are going to disap- from rumor. Desser, M.D., residency program can’t just appeal to students with pear, the turnaround is pretty “It seems the day-to-day director of Stanford University’s our cool technology.” quick in terms of drop-off appli- routine of a radiologist entails sit- radiology department. She For radiologists who want to cations and people leaving the ting around waiting for someone referred to “The 12 Medical survive in a competitive market, specialty,” Dr. Desser said. “We to ask you to interpret films,” Specialty Stereotypes,” a 2007 the days of “easy hours” are saw this in the 1990s during the said Wen, who is considering comic series by then-medical over, said David M. Hovsepian, Clinton healthcare reform. It’ll specializing in cardiothoracic sur- student Michelle Au, now an M.D., a professor of radiology at be interesting to see how spe- gery. “There’s perhaps a lack of anesthesiologist in Atlanta. A Stanford University Medical Cen- cialty choices play out next year social interaction with colleagues panel labeled “Radiology: Rich ter and vice-chair of the RSNA vis-à-vis the Obama healthcare in other fields because radiolo- in the Dark” depicts two white News Editorial Board. changes.” gists are not meandering around, eyeballs in a black room with an “You can’t sit there waiting but waiting to be consulted.” X-ray image accompanied by the for the phone to ring,” said

Radiology (ACR) Committee on Radi- vice-chair of research for radiology at and the specialty. “Students may not ologist Resources. “As long as that Northwestern and an RSNA Research fully understand what it is we do until trend continues, we’ll continue to see & Education (R&E) Foundation grant they rotate with us,” said Dr. Vadla- residents doing one or two fellowships recipient who has mentored Eifler since mudi, who helped staff RSNA’s booth at a minimum,” he said. the student’s undergraduate years. at AMA’s Medical Specialty Showcase “Without question, I wouldn’t in June. “Outreach from the radiology Campus Charisma a Necessity have the success or productivity I’ve community will allow us to continue to Immensely important to students’ had without Dr. Omary and my co- attract the best and the brightest to this exposure are radiologist role models, mentor [C. Shad Thaxton, M.D., Ph.D., dynamic field.” Dr. Desser said. “I see some extremely an assistant professor of urology],” Radiologists face an uphill battle in strong radiology departments that for said Eifler. “Visibility on campus is getting face time in the medical student some reason don’t get many applicants, extremely important. If you have a curriculum, said Dr. Desser, but the while other schools, where there is a great lecturer in a certain specialty, fight is worth the effort. “We need to particularly charismatic individual or you might try to get involved and do be the ones teaching them anatomy and two, have huge numbers of radiology research with that person.” about imaging and the manifestations applicants.” Venu Vadlamudi, M.D., a diag- of pathophysiology on imaging early in Aaron Eifler, a second-year student nostic radiology resident at Michigan their training, so they recognize what at Northwestern University’s Fein- State University’s College of Human we do and what we contribute.” ■ berg School of Medicine in Chicago, Medicine in Flint, is using his status as Learn More attributes his current career path to his a resident and leader within organiza- ■ The National Residency Matching Pro- mentors’ guidance. Eifler’s work in tions, including the Michigan State gram’s 2009 Main Residency Match report interventional radiology, investigating Medical Society and the American is available at www.nrmp.org. a novel treatment for pancreatic cancer Medical Association (AMA), to recruit that combines intraarterial catheter- medical students on behalf of RSNA targeted delivery, MR perfusion moni- ❚ toring and a functionalized gold nano- Resident Recruitment Explored at RSNA 2009 particle, earned him a 2009–10 Howard Hughes Medical Institute Research N RSNA 2009 refresher course, “The Life Cycle of Radiology Resident Training Fellowship. A Recruitment (RC702),” offers insight into the ebb and flow of interest in radiology residencies. Janet E. Bailey, M.D., will present a section “Awareness of prestigious research on recruitment and Felix S. Chew, M.D., will speak on current trends. opportunities like this might help induce Registration for this and all RSNA 2009 courses is under way. more medical students to consider this For more information, go to RSNA2009.RSNA.org. path,” said Reed A. Omary, M.D., M.S.,

RSNANEWS. ORG RSNA NEWS 11 FEATURE TECHNOLOGY Robotic System Aids CT-Guided Needle Biopsy

UNG BIOPSIES and ablations are just some of the proce- L dures that could become less complicated and more pre- cise if a newly designed robotic system that aids in CT-guided percutaneous medical procedures earns FDA approval and makes its way into clinical practice. The robotic biopsy device, called Robopsy, has the potential to impact the healthcare industry far beyond lung procedures, said Rajiv Gupta, M.D., Ph.D., a radiologist at Massachusetts General Hospital (MGH) in Boston. Dr. Gupta has been collaborating on the project since 2004 with Conor Walsh and Nevan Hanumara, doctoral candidates at the Massachusetts Institute of Technology (MIT), Inventors of Robopsy (left to right) Nevan Hanumara, Alexander Slocum, Ph.D., Rajiv Gupta, M.D., and Conor Walsh, pictured with the robotic system (forefront) that aids in CT-guided percutaneous and Alex Slocum, Ph.D., a pro- procedures. Designed to sit over a patient’s chest during a CT scan, the device grips, orients and fessor in MIT’s Department of inserts a biopsy needle or ablation probe while that patient remains inside the CT gantry. Mechanical Engineering. Photo courtesy of Stuart Garfield. “Robopsy has the potential to “Currently these are manual pro- Intrigued by Dr. Gupta’s presenta- change how a number of image-guided cedures that are performed in what are tion, students Walsh and Hanumara procedures are performed,” said Dr. essentially blind steps,” said Dr. Gupta. began creating a prototype for the Gupta. “It can also open new ways to “It would be much easier if the probe device during the course. approach procedures that are currently could be placed under the command of “We thought that it sounded like performed through open surgery.” the physician while imaging is under a great problem we could work on,” For example, with minor modifica- way. A real-time feedback loop is pos- Hanumara said. “Three months later we tion, the device could aid in the place- sible with a device like this.” decided to file the provisional applica- ment of ventricular drainage catheters tion for a patent and we’ve been mov- in the head, said Dr. Gupta. MIT Students Create Prototype ing ahead with it ever since.” Designed to sit over a patient’s chest The device has been under develop- Hanumara and Walsh hope the during a CT scan, the device grips, ment since Dr. Gupta made a presenta- device will eventually have many use- orients and inserts a biopsy needle or tion to Dr. Slocum’s mechanical engi- ful applications for radiologists. ablation probe while that patient remains neering class at MIT about five years “We tried to design the system to inside the CT gantry. The small, light- ago. The class was held in conjunction be as general as possible,” said Walsh. weight and disposable actuator can tar- with the Center for Integration of “We initially focused on percutaneous get lesions as small as 5 millimeters and Medicine and Innovative Technology needle insertions guided by CT, but significantly cut procedure times, saving (CIMIT), a non-profit consortium of they could potentially be guided by MR the patient time under anesthesia and Boston teaching hospitals and engineer- imaging or ultrasound as well.” cost per procedure, said Dr. Gupta. ing schools.

12 RSNA NEWS A UGUST 2009 This image of the Robopsy prototype shows the lightweight, patient-mounted device attached to the box housing electronics for controlling the motors. Photo courtesy of Robopsy team.

A CT scan of the Robopsy prototype demonstrates minimal distortion to the images, which allows the needle to be clearly visualized. Image courtesy of Robopsy team.

Physicians Aid Design Process determines all the necessary equations. before it can be marketed to the health- Along with Dr. Gupta, the team has All the doctor is really left to do is just care industry. As a step in that direc- worked closely with physicians includ- point and click.” tion, the team has formed a manufac- ing Joanne Shepard, M.D., division chief The group also had to be careful in turing partnership to prepare the device of chest radiology at MGH, from whom assuring doctors that the device is not for production. The prototypes that they sought input on designing the intended to replace them, but to serve come from that process will be used in device to better suit physicians’ needs. as a time-saving aid that also benefits seeking FDA approval. Although Robopsy was originally patients by enabling “The device is designed to be controlled with a joy- earlier diagnoses and Robopsy has the potential to fairly close, but the stick, designers discovered radiologists reducing the risk of change how a number of process of bringing a preferred using 2D scans and were complications through device to the FDA is more comfortable working off a com- more precise probe image-guided procedures expensive,” said Dr. puter screen. placement. are performed. It can also Gupta, who added that “As one doctor said to us, ‘I work At RSNA 2006, further testing is also in a 2D environment. My son might Hanumara and Dr. open new ways to approach under way. enjoy using a joystick like he does in Gupta privately dem- procedures that are The team, which a video game, but I don’t want it,’” onstrated the system currently performed has raised $300,000 so Hanumara said. “We got rid of that. to about 30 interven- far from CIMIT, the We made that transition from think- tional radiologists— through open surgery. Department of Radiol- ing, ‘Let’s add all the cool engineering some who were resis- Rajiv Gupta, M.D., Ph.D. ogy at MGH and the features’ to ‘Let’s just include what the tant to the technology, Massachusetts Tech- doctors need.’” fearing they would be replaced by a nology Transfer Center, estimates it Another key was making sure the machine. will need $3 million to bring Robopsy device actually aided doctors without “That was a very small minority,” to market. hindering them in the process. Hanumara said. “The majority was “Our primary goal is to try to get “It has to be fast,” Walsh said. favorably impressed by Robopsy’s this device out as quickly as possible so “Anything that slows a physician down simplicity, size and functionality and it can be used by physicians and assist at all is realistically not going to get expressed willingness to try it. Many patients,” Walsh said. ■ suggested other soft tissue procedures adopted. The way our device works, all Learn More the doctor has to do is follow the same where they could envision the device ■ For more information on Robopsy, go to steps that are currently performed. being useful.” www.robopsy.com. They place the robot on the patient and once the device is scanned, we Prototypes Prepared for FDA Approval have software that semi-automatically Despite the generally positive recep- figures out where the needle is and tion, Robopsy needs FDA approval

RSNANEWS. ORG RSNA NEWS 13 FEATURE CHICAGO 2009 Chicago Events and Attractions Shine at RSNA 2009

ROM ITS world-class museums and bustling theater scene to its delectable dining and family-friendly activities, Chicago offers a stellar lineup of attractions sure to Fplease everyone attending RSNA 2009. In keeping with our economy-conscious times, be sure to check out our Insider’s Guide to Chicago’s Best Deals. RSNA Tours & Events RSNA is sponsoring a series of tours and events during RSNA 2009. The RSNA Tours & Events brochure is available at RSNA2009.RSNA.org. Click Tours & City Events in the left-hand column. Please look for the RSNA TOUR icon next to event listings in this article, signify- ing that a pre-arranged RSNA package is available. Enroll for tours and events online when registering for the annual meeting or while adding courses. Museums Art Institute of Chicago HE Art Institute’s world-renowned permanent cago, the first Arts and Crafts exhibition at the Tcollection includes a noteworthy exhibition of museum in more than 30 years. It includes designs American surrealistic paintings and Impressionist art now from the movement’s notables such as Frank Gothic, 1930, RSNA TOUR 20 by Grant Wood, showcased in the stunning Modern Wing, Lloyd Wright, William Morris and Gustav is part of the which opened in 2009. The 264,000 square foot Stickley. Another special exhibition this winter is permanent col- addition elevates the Art Institute of Chicago to Playing with Pictures: The Art of Victorian Photo lection at the Art Institute of the position of second largest U.S. art museum Collage. Chicago. and allows the museum to exhibit a larger portion ■ 111 S. Michigan Ave. of its vast collection. Tickets: 1-312-930-4040 In November, visitors can explore Apostles www.artic.edu www.ticketmaster.com of Beauty: Arts and Crafts from Britain to Chi- Field Museum RSNA TOUR 13 While visiting The Field Museum, The recently opened Ernst & Young 3-D The- say hello to Sue, the largest, most complete and best ater, Chicago’s only completely digital 3-D theater, preserved Tyrannosaurus rex fossil ever discovered. helps bring favorite museum topics to life. Movie Sue is only one of the many tickets are $5 per person plus noteworthy specimens in the basic museum admission. Field’s permanent collection. The Nature of Diamonds The Evolving Planet exhibit examines the uniqueness of the explores four billion years of gem as it journeys from diamond evolution, allowing visitors to touch a real dino- mine to dealer. The exhibit includes noteworthy saur bone and the teeth of a mastodon and a wooly pieces by Fulco di Vedura, Cartier and Boucheron mammoth. Families may be interested in the new and works from Tiffany & Co. designed by Frank Crown Family Play Lab for children, which fea- Gehry and Elsa Peretti. tures interactive exhibits exploring science, anthro- ■ 1400 S. Lake Shore Dr. pology, technology, nature, art and music, complete 1-312-922-9410 with a soundproof drum room. www.fmnh.org

14 RSNA NEWS A UGUST 2009 Museums Smith Museum of Stained Museum of Contemporary Art Glass Windows HE MCA’s permanent collection represents Located on the east end of Ttrends in art after 1945, with a special empha- Navy Pier, this free museum sis on Surrealism (1940s and 1950s), Minimalism houses the nation’s largest (1960s), conceptual art and photography (1960s permanent collection of Tiffany to the present), installation art and art by local stained glass windows. The artists. The collection includes paintings, sculp- museum has more than 150 stained glass works—some ture, photography, video, film and installations. dating back to the 1890s—by This winter, MCA will host the most signifi- artists including John LaFarge, cant American exhibition of British artist Liam Louis Sullivan, Louis Comfort Gillick’s work. The various media and formats Tiffany, Frank Lloyd Wright, consider how art and architecture influence Franz Mayer and F.X. Zettler. Admission is free and public interpersonal communication and vice versa. A Michelangelo Pistoletto, Le trombe del giudizio, 1968. tours are offered at no extra complementary exhibit, curated by Liam Gillick Collezione Cittadellarte-Fondazione Pistoletto Collection, Biella. charge most Thursdays at 2 p.m. himself, provides context for the artist’s work. work holds a place in many hearts with his col- ■ 600 E. Grand Ave. Italics: Italian Art Between Tradition and orful mobiles and stabiles. Alexander Calder in 1-312-595-5024 Revolution explores Italian art and expression Focus is a small exhibit of his works from 1927 Peggy Notebaert Nature from the late 1960s to the present and demon- to 1968. Museum strates how these 75 Italian artists have forged ■ 220 E. Chicago Ave. Perched on the edge of a new identities from their country’s history. 1-312-280-2660 Lincoln Park lagoon, this Twentieth century artist Alexander Calder’s www.mcachicago.org museum welcomes children of all ages to explore nature in unusual and innovative ways. Shedd Aquarium Permanent exhibits include the THE AQUARIUM is home to aquatic and seals. Penguin petting is a Look-in Animal Lab, Extreme life from around the world, with must. Watch a diver hand feed a Green House, Mysteries of the a special emphasis on crowd variety of species in the Caribbean Marsh and the Butterfly Haven. favorites such as sharks—The Reef, a 360-degree tour of a 90,000 ■ 2430 N. Cannon Dr. 1-773-755-5100 Wild Reef offers one of the most gallon underwater reef community. www.chias.org diverse displays of sharks in North The Shedd, a principal part of the America. See Chicago’s treasured Museum Campus, is a tasteful Chicago History Museum Beluga whales, dolphins and penguins in Fanta- blend of contemporary and 1930s architecture The Chicago Historical Society has created an urban museum, sea, located in the newly renovated Oceanarium. situated on the shore of Lake Michigan. which presents the fascinating ■ A 15-foot, walk-in yellow submarine has been 1200 S. Lake Shore Dr. multicultural RSNA TOUR 33 1-312-939-2438 added to the greatly enhanced under water view- heritage of the region in cre- www.sheddnet.org ing level. Visitors can also enjoy seahorses, otters ative, up-to-date exhibits. The museum’s collection includes over 22 million artifacts and Adler Planetarium documents. Check the Web site LANETARIUM visitors now can view the newly for neighborhood tours, lec- Prestored Gemini 12 spacecraft in the Shoot for tures, performances and events. the Moon exhibit, where cutting-edge technology ■ 1601 N. Clark St. helps tell the story of America’s part in the space 1-312-642-4600 www.chicagohs.org race. Planetarium shows play continuously through- out the day in two theaters. The StarRider Theater Lincoln Park Conservatory provides a virtual reality experience, while the Sky A tropical oasis features green- ery from around the world. Theater depicts stars and other nighttime wonders The Adler Planetarium is located on a scenic Seasonal features include a projected on Adler’s distinctive dome. Telescopes: section of the Museum Campus jutting into Lake Christmas show in December. Through the Looking Glass, is a special exhibit cel- Michigan. ■ 2391 N. Stockton Dr. ebrating the 400th birthday of the telescope. Learn 1-312-742-7736 ■ 1300 S. Lake Shore Dr. how these amazing instruments have changed our www.chicagoparkdistrict.com/ 1-312-922-7827 index.cfm concepts of the universe and our place in it. www.adlerplanetarium.org

RSNANEWS. ORG RSNA NEWS 15 FEATURE CHICAGO 2009

Museum of Science and Industry Photo Credit: JB Spector, Museum of Science and Industry HE Museum of Science and Industry is one of the most popular tour- Tist destinations in Chicago and is the only remaining building from the 1893 World’s Columbian Exposition. RSNA TOUR 30 Permanent exhibits include the U-505 World War II submarine, the fascinating Coal Mine and Colleen Moore’s Fairy Castle. The recently redesigned Henry Crown Space Center features the Apollo 8 Command Module. The newest exhibit, You! The Experience provides interactive opportunities to inspire us all to optimize our personal health and well being. In Smart Home: Green + Wired, ecofriendly living is demon- strated in a three-story, sustainable “green” home that has been erected on the museum’s property. The special exhibit Art + Science = Architecture features unbeliev- able likenesses of many of the world’s most famous buildings that are completely fabricated with oversized LEGO blocks. Annual seasonal exhibits include the Christmas Earth Revealed is one of the permanent exhibits at Around the World and Holidays of Light. the Museum of Science The museum’s Omnimax theater is a five-story, domed, wraparound theatre. Check the Web site and Industry. for current showings. ■ 57th St. and Lake Shore Dr. 1-773-684-1414 www.msichicago.org The Insider’s Guide to Chicago’s Best Deals Take advantage of the many great deals and free activities available at many of the city’s most popular destinations. Here is a rundown of the best free attractions in town along with their “free” days and times. • Chicago History Museum, Always free: McDonald’s Thanksgiving Parade 1601 N. Clark St. (Monday) • Chicago ArchiCenter, Santa Claus, Ronald McDonald, and many other characters and person- • Museum of Contemporary Art, 224 S. Michigan Ave. alities will march down State Street on Thanksgiving Day for the annual 220 E. Chicago (Tuesday) • Chicago Cultural Center, parade from 8:30–11 a.m. • Charnley-Persky House Museum, 78 E. Washington St. Macy’s Holiday Windows 1365 N. Astor St. (Wednesday) • City Gallery at the Historic • Clarke House Museum, 1827 S. Water Tower, 806 N. Michigan A winter favorite for many is to take the Indiana Ave. (Wednesday) Ave. family to view the animated window • Glessner House Museum, • Lincoln Park Conservatory, displays installed for the holidays at the 1800 S. Prairie Ave. (Wednesday) 2391 N. Stockton Dr. Macy’s store at 111 N. State Street. • Art Institute of Chicago, • Lincoln Park Zoo, 2200 N. 11 S. Michigan Ave. (Thursday Cannon Dr. evenings, 5–9 p.m.) • Millennium Park Welcome Christkindlmarket Chicago and • Notebaert Nature Museum, Center, 201 E. Randolph St. the Santa House 2430 N. Cannon Dr. (Thursday) • Museum of Contemporary • Chicago Children’s Museum at Photography, 600 S. Michigan Opening November 26, Christkindl- Navy Pier, 700 E. Grand Ave. Ave. market Chicago is the largest and (Sunday, Dec. 6, admission is free • Navy Pier, 600 E. Grand Ave. most renowned German winter for those 15 and under) • Smith Museum of Stained holiday market in the U.S. attracting • Field Museum, 1400 S. Lake Shore Glass Windows, 600 E. Grand visitors from the city and around the Dr. (Dec. 2) Ave. world. Christkindlmarket is located • Shedd Aquarium, 1200 S. Lake on Daley Plaza between Washington Shore Dr. (Nov. 30) and Dearborn Streets.

Save Money, Avoid Ticket Lines with CityPass A CityPass ticket booklet containing admission tickets to the Shedd Aquarium, Adler Planetarium, Field Museum and Museum of Science and Industry, as well as the Hancock Observatory, is available for $69.00 and can save you up to 40 percent on all admissions and allow you to skip ticket lines at each venue. Once you start using the CityPass, you have nine days to visit all of the included attractions. Visit www.citypass.com/city/chicago.html.

16 RSNA NEWS A UGUST 2009 Theater Family Activities American Girl Place RSNA TOUR 27 The Second City Family Performances Shoppers at American Girl Place The Addams Family The Main Stage of Chicago’s favorite may choose among the beautiful A Christmas Carol Enjoy the family dynamics of this comedy venue features well- dolls. Call to make a reservation famous monster family, which may established actors and skits and a This production of the famous for lunch, tea or dinner. resemble yours. smaller ETC stage features up-and- Dickens tale makes even ■ Water Tower Place Scrooge seem magical. ■ Ford Center for the Performing Arts coming Chicago comics. 835 N. Michigan Ave. Oriental Theatre ■ Main Stage and ETC stage ■ Goodman Theatre 1-877-247-5223 24 W. Randolph St. 1616 N. Wells St. 170 N. Dearborn St. www.americangirl.com 1-312-443-3800 1-312-902-1400 1-312-337-3992 Chicago Children’s Museum www.ticketmaster.com www.secondcity.com www.goodman-theatre.org More than 12 interactive exhibits American Buffalo Rewired and new programs offer hours of Tension and humor ripple through by Blue Man Group creative play. Hands-on exhibits playwright David Mamet’s simple Performance art and comedy are creatively focused on science, dialogue. meet music. Certainly not con- literacy, humanities and the arts. ■ Steppenwolf Theatre ventional theater, the perfor- 1650 N. Halsted Ave. mance is furiously paced and loud. Blue Man has a well- 1-312-335-1650 The Snow Queen www.steppenwolf.org earned position as one of the Hans Christian Andersen’s popular most popular performances in Cirque du Soleil winter tale will be performed for a the city. Vaudeville and Cirque du Soleil come fourth holiday season. ■ Briar Street Theatre together in Chicago for this one-of-a- ■ Victory Gardens Mainstage 3133 N. Halsted kind performance. at the Biograph 1-773-348-4000 ■ The Chicago Theatre 2433 N. Lincoln Ave. www.blueman.com 175 N. State St. 1-773-871-3000 www.ticketmaster.com “Snow Much Fun” offers a winter 1-312-902-1500 www.victorygardens.org wonderland of fun including an www.ticketmaster.com Young Frankenstein – The New “ice rink” where children can www.thechicagotheatre.com Mel Brooks Musical skate in their stocking feet to fes- Late Nite Catechism This live-on-stage comedy is as tive, wintry music. This witty performance examining the hilarious and scary as the film ver- ■ 700 E. Grand Ave. (on Navy Pier) Baby Boomer parochial school experi- sion but with singing and dancing. 1-312-527-1000 ence is a longtime favorite among Winner of the 2008 Outer Critics www.chichildrensmuseum.org those taught by nuns and also serves Circle Award and the Broadway.com Navy Pier IMAX Theatre as a wry introduction to Catholicism. Audience Award for Best Musical. The Navy Pier IMAX theatre will ■ Royal George Theatre ■ Cadillac Palace Theatre announce its complete holiday 1641 N. Halsted St. 151 W. Randolph St. film schedule in late autumn. 1-312-902-1400 1-312-902-1400 Included will be “A Christmas www.ticketmaster.com www.ticketmaster.com Carol” in 3D. ■ 700 E. Grand Ave. Symphony and Opera 1-312-595-5629 www.imax.com/chicago Lyric Opera of Chicago Chicago Symphony Lincoln Park Zoo RSNA TOUR 28 The world renowned Lyric Orchestra The Lincoln Park Zoo is the old- Opera of Chicago performs in one of North December 3 RSNA TOUR 40 est zoological garden in the coun- Photo credit: Lauri Eriksson. America’s most beautiful opera houses, the Conductor: Markus Stenz try, as well as one of the most Civic Opera House, which opened in 1929. Program: Mendelssohn: Violin modern. Casting a festive glow on the zoo grounds, the Zoo- Tickets go on sale in August. Concerto, Mahler: Symphony No. 4 Lights Festival is a popular night- Katya Kabanova Karita Mattila sings December 4 time activity. This event is open December 1 and 4 the title role of Friday through Sunday evenings. Katya Kabanova Conductor: Markus Stenz A poignant story of a young Russian wom- Mahler: Symphony No. 4 ■ 2200 N. Cannon Dr. an’s decision to pursue love at all costs. ■ 220 S. Michigan Ave. 1-312-742-2000 By Leoš Janáček; Conductor: Markus Stenz with Karita 1-312-294-3000 www.lpzoo.com Mattila, Judith Forst and Brandon Jovanovich www.cso.org ■ 20 N. Wacker Dr., 1-312-332-2244 x5600 www.lyricopera.org

RSNANEWS. ORG RSNA NEWS 17 R&E FOUNDATION DONORS

Research & Education Foundation Donors HE Board of Trustees of the RSNA Research & Education Foundation and recipients of Foundation grants gratefully acknowledge the contributions made Tto the Foundation May 16 – June 19, 2009. Thanks to the support of individuals, corporations and private practices, the Silver Anniversary Campaign has reached $14.35 million of its $15 million goal.

VANGUARD PROGRAM Siemens Healthcare Philips Healthcare Toshiba America Medical Systems

$150,000 $100,000 $25,000 A Founding Vanguard company since 1990 A Founding Vanguard company since 1990 A Founding Vanguard company since 1990

EXHIBITORS CIRCLE PROGRAM VISIONARY DONOR PROGRAM

GOLD CIRCLE ($5,000) BRONZE CIRCLE ($1,500) SILVER VISIONARY ($10,000) Amirsys Resonance Technology Radiology OneSource Judith S. & Peter M. Som, M.D. Jean M. & James H. Thrall, M.D. Jack Wittenberg, M.D.

BRONZE VISIONARY ($5,000) Bernice M. Capusten, M.D. Joan M. Mack, M.D. Ultrasonix Ziosoft Joan P. & James A. McGee, M.D. Jaap Valk, M.D., Ph.D.

SILVER CIRCLE ($2,500) DeJarnette Research Systems Zotec Partners Celebrating 25 years, the RSNA R&E Foun- dation provides the R&D that keeps radi- VISIONARIES IN PRACTICE PROGRAM ology in the forefront PLATINUM LEVEL ($75,000) SILVER LEVEL ($25,000) BRONZE LEVEL ($10,000) of medicine. Support Austin Radiological Association Radiological Associates of Sacramento Johns Hopkins Medicine Austin, Texas Medical Group, Inc. Baltimore your future, donate Sacramento, Calif. today at RSNA.org/ campaign.

Donors who give $1,500 or more Andrew C. Mason, M.B.B.Ch. $501 – $1,499 John H. Harris Jr., M.D., D.Sc. in the giving year qualify for In memory of Stephen Robert Mason Patricia G. Becker, M.D. & In memory of Henry P. Pendergrass, M.D. membership in the Presidents Joan P. & James A. McGee, M.D. Gary J. Becker, M.D. Mary & Peter R. Hulick, M.D., M.S. Circle. Their names are shown in Jose T. Medina, M.D. Joan Eliasoph, M.D. In memory of Peter V. Hulick, M.D. bold face. Diana Parker Paul J. Friedman, M.D. Danalyn & Anil A. Kilpadikar, M.D. In memory of Robert G. Parker, M.D. Barbara & Thomas S. Harle, M.D. In memory of Dr. Bharat B. Sharma $10,000 – $24,999 Barbara & Jerry P. Petasnick, M.D. In memory of Henry P. Pendergrass, M.D. Helen & James M. Moorefield, M.D. Gittelle & Richard H. Gold, M.D. Martin R. Prince, M.D., Ph.D. Nargis S. Patel, M.D. & In memory of Henry P. Pendergrass, M.D. In honor of Hooshang Kangarloo, M.D. Vijay M. Rao, M.D. & A.K. Rao, M.D. Suresh K. Patel, M.D. Patricia & William W. Olmsted, M.D. $1,500 – $4,999 Carol A. Diamond, M.D. & In memory of Leo G. Rigler, M.D. $251 – $500 Nicholas Papanicolaou, M.D. H. Scott Beasley, M.D. Howard A. Rowley, M.D. Lillian W. Cavin, M.D. & Wylie Cavin David M. Widlus, M.D. In memory of R. Todd Beasley In memory of Henry I. Goldberg, M.D. Aslam R. Siddiqui, M.D. In honor of Paul E. Berger, M.D. Jack Wittenberg, M.D. Phyllis & Leonard Berlin, M.D. Hans G. Dransfeld, M.D. Sallie & Michael H. Bleshman, M.D. Marilyn J. Siegel, M.D. & $250 OR LESS Barry A. Siegel, M.D. In memory of Hans W. Dransfeld, M.D. Bernice M. Capusten, M.D. In memory of Mrs. Doreen Mackie Jesus D. Guerra, M.D. Stephen C. Ashe, D.O. Marian U. & Melvin E. Clouse, M.D. Judith S. & Peter M. Som, M.D. Mary & Donald P. Harrington, M.D. Rhonda K. & Craig E. Barnes, M.D. In memory of Robert D. Moreton, M.D. Jean M. & James H. Thrall, M.D. Catherine C. & Steven C. Basinski, M.D. Jhon & Jeffrey T. Hall, M.D. Jaap Valk, M.D., Ph.D. Robert R. Beskin, M.D. Diane & Robert Hattery, M.D. Laura J. & Dennis S. Yutani, M.D. J.D. Biegert, M.D. Joan M. Mack, M.D.

18 RSNA NEWS A UGUST 2009 R&E FOUNDATION DONORS

Changes Announced for R&E Foundation Grant Programs The RSNA Research & Education ship status or become a member. ects that can be funded. (R&E) Foundation has made several • The amount of the Research Seed RSNA membership is free for medi- changes to its grant programs. Most Grant has increased from $30,000 to cal students, radiology residents and notably, RSNA membership is required $40,000 for a one-year project. The fellows. Applicants who are members- for all applicants. grants enable young researchers to in-training or are in another non-dues New elements of R&E grant pro- begin pilot study projects that often paying category must name a scientific grams include: lead to substantial subsequent funding. advisor or co-investigator who is an • RSNA membership will be required • Eligibility, project scope and budget RSNA member. for all grant applicants. Those con- for the Education Scholar Grant have For more information on becoming sidering applying for an R&E grant been restructured to allow great flex- a member, visit RSNA.org/Membership. should confirm their RSNA member- ibility in the types of education proj-

What R&E Has to Offer R&E Foundation offers grants up to $150,000, with something for everyone from medical stu- dents to full-time faculty. Understanding the scope of R&E grants and awards can help ensure that deserving individuals benefit from available funding. Posters outlining the purpose, nature of projects and amount and eligibility of various grant programs (see right) can be downloaded at RSNA.org/Foundation/grantposters.cfm. EDUCATION GRANTS RESEARCH GRANTS investigators throughout the world Deadline—Jan 10 Deadline—Jan 15 to gain experience in defining • Education Scholar Grant: • Research Resident/Fellow objectives and testing hypotheses Provides funding opportunities Grant: Gives young investigators in preparation for major grant for individuals with an active not yet professionally estab- applications to corporations, foun- interest in radiologic educa- lished in the radiologic sciences dations and governmental agen- tion. Part-time salary support an opportunity to develop com- cies. Supports the preliminary or and educational expenses for petence in research techniques pilot phase of scientific projects. up to two years. Open to inter- and methods. To be used for Open to international applicants. national applicants. salary and/or non-personnel RESEARCH MEDICAL • RSNA/AUR/APDR/SCARD research expenses. STUDENT GRANT More Information Radiology Education • Research Scholar Grant: For Deadline—Feb. 1 Applicants for R&E research and education Research Development Grant: junior faculty members who • Makes radiology research oppor- grants can begin preparing their applications Provides one-year research have completed conventional tunities possible for medical stu- starting in October. For more information project opportunities for indi- resident/fellowship training dents and encourages them early on all Foundation grant and recognition viduals seeking to advance the programs but have not yet been in their medical careers to consider programs, including current and past grant science of radiologic educa- recognized as independent academic radiology as an option projects, go to RSNA.org/Foundation or con- tion. Open to international investigators. Provides salary for their future. Provides stipend tact Scott Walter, M.S., Assistant Director, applicants. support for two years. for students to complete three- Grant Administration at 1-630-571-7816 or • Research Seed Grant: Enables month research projects. [email protected].

Gunilla & Hugo G. Bogren, M.D., Ph.D. Steven W. Hetts, M.D. & Margaret E. Mones, M.D. Julie H. Song, M.D. Robert E. Brantley, M.D. Gloria L. Hwang, M.D. In memory of A. Francis Summa, Ph.D. Sally & Robert J. Stanley, M.D. Brian D. Briscoe, M.D. Joffre M. Hew, M.D. Demetrius K. Morros, M.D. Karen & Michael A. Sullivan, M.D. In memory of Julia Maria Briscoe Tyre K. Jones IV, M.D. Terence D. O’Connor, M.D. Kenneth B. Tennyson, M.D. Stephen B. Brown, M.D. Mary A. King, M.D. & Robert E. O’Mara, M.D. James H. Timmons, M.D., Ph.D. Peter G. Canaday, M.D. Terence E. Kilroy, M.D. Julita Orozco, M.D. Neera Ummat, M.D. Linda & Donald W. Chakeres, M.D. In memory of Mary Garrett King Timothy Ozburn, M.D. Cornelis F. van Dijke, M.D., Ph.D. Tilden L. Childs III, M.D. Ellen G. & Michael J. Levitt, M.D. Reena & Bidyut K. Pramanik, M.D. Laurie W. Veilleux, M.D. Ramona R. Clark, M.D. Rodolfo E. Lim, M.D. Maurice M. Reeder, M.D. Phillip W. Voltz Jr., M.D. Aine M. Kelly, M.D. & Steven R. Lindemann, M.D. In memory of Henry P. Pendergrass, M.D. Robert A. Wahlbrink, M.D. Paul P. Cronin, M.B.B.Ch. Jesse T. Littleton III, M.D. Stanley B. Reich, M.D. John L. Wood, M.D. Sharon H. & John F. Dotter, M.D. In memory of Henry P. Pendergrass, M.D. Catherine & Robert J. Rienzo, M.D. Barbara M. Kadell, M.D. & Dana Erickson, M.D. & George B. Lott, M.D. Guelay Bilen-Rosas & Devere G. Wootton, M.D. Bradley J. Erickson, M.D., Ph.D. Thomas J. Luttenegger, M.D. Humberto G. Rosas, M.D. Alan J. Woronoff, M.D. Rose & Ezekiel Freed, M.D. Vaishali & Ajay R. Malpani, M.D. Barbara A. Sandefur, M.D. Beverly & Steven Zuckerman, D.O. Judith & G. Donald Frey, Ph.D. In memory of Radhakisan R. Malpani Robert J. Schmall, M.D. Martin Garcia, M.D. Cynthia & Michael D. Massey, D.O. Carl L. Schultz, M.D. Ellyn T. & Bruce C. Gilbert, M.D. Bruce L. McClennan, M.D. William Silverstein, M.D. Karen & Alan C. Glowczwski, M.D. Peter Mildenberger, M.D. Heather Hooper & Justin P. Smith, M.D. Kristine Hatcher, D.O. & Daniel Hatcher Rudolph H. Miller III, M.D. Deborah Hall & Ronald P. Smith, M.D.

RSNANEWS. ORG RSNA NEWS 19 RSNA JOURNALS Journal Highlights The following are highlights from the current issues of RSNA’s two peer-reviewed journals.

Triple-Rule-Out CT Angiography for Evaluation of Acute Chest Pain and Possible Acute Coronary Syndrome HILE diagnosing chest pain is a Wcomplex problem for the emer- gency department physician, triple rule-out CT can be a powerful tool for evaluating and triaging patients with a low to moderate risk of acute coronary syndrome (ACS) where diagnostic catheterization is not indicated. In a review article in the August issue of Radiology, (RSNA.org/radi- ology), Ethan J. Halpern, M.D., of Thomas Jefferson University in Phila- delphia, details how an optimized triple rule-out protocol provides excel- lent image quality for evaluating aortic and coronary and pulmonary arteries while minimizing contrast agent dose a b and radiation exposure. Specifically, Triple-rule-out (TRO) CT angiogram of a 79-year-old woman with recent onset of vague the author addresses: chest discomfort. TRO CT demonstrates type B aortic dissection extending from distal aortic arch to the • The clinical role of triple rule-out CT descending aorta. (a) Oblique slab maximum intensity projection (MIP) image shows the • Hardware and radiation issues entire aortic arch with dissection flap extending into the abdomen. (b) Coronal slab MIP image • Triple rule-out CT technique and again demonstrates the dissection with asymmetric enhancement of true and false lumina. image quality (Radiology 2009;252:332-345) © RSNA, 2009. All rights reserved. Printed with permission. • Patient selection, preparation and “Triple rule-out CT precludes the provide a cost-effective evaluation with monitoring need for additional diagnostic testing reduced diagnostic time, lower costs, • Setting up the triple rule-out scan in more than 75 percent of patients and fewer repeat evaluations for recur- • Contrast agent injection and timing of with low to intermediate risk of ACS,” rent chest pain as compared with stan- image acquisition Dr. Halpern concludes. “In a properly dard diagnostic evaluation.” • Image interpretation selected population, coronary CT can

RSNA Journals Celebrate Impact Factor Increases Impact factors for RSNA’s peer-reviewed journals continue to rise. According to the recently released 2008 Citations Reports® from the Thomson/Insti- tute for Scientific Information Annual Citation, Radiology has an impact factor of 5.996 (up from 5.561 in 2007) and RadioGraphics has an impact factor of 3.095 (up from 2.542). Radiology continues to have the highest impact factor among general diagnostic imaging journals and leads all imaging journals in total citations—44,847 in 2008. Citations Reports covers more than 7,500 of the world’s peer-reviewed journals in approxi- mately 200 disciplines.

20 RSNA NEWS A UGUST 2009 Appearance of Normal Cranial Nerves on Steady-State Free Precession MR Images HEREAS traditional MR imaging Specifically the authors: Wsequences may lack the spatial • Identify the expected course of resolution necessary to define smaller each of the 12 cranial nerves structures such as cranial nerves, • Differentiate cranial nerves from steady-state free precession (SSFP) other curvilinear structures visible sequences allow much on high-resolution MR higher spatial resolution images and clearer depiction of tiny intracra- • Describe pitfalls in the diagnosis of nial structures. cranial nerve abnormalities In an article in the July-August “SSFP sequences depict these issue of RadioGraphics (RSNA.org/ nerve segments in greater detail and radiographics), Sujay Sheth, B.A., can provide important information Barton F. Branstetter IV, M.D., and about the relationship of the nerves Edward J. Escott, M.D., of the Uni- to pathologic processes,” the authors versity of Pittsburgh School of Medi- conclude. cine, describe how SSFP sequences “To take full advantage of this allow precise differentiation between information, radiologists must be branches of the facial and vestibulo- familiar with the expected nerve Optic nerve. cochlear nerves, accurate detection anatomy and relevant anatomic Axial oblique 0.8-mm-thick steady-state free pre- of small masses in the cerebello- landmarks.” cession (SSFP) MR image shows three of four segments of the optic nerve: the retinal (black pontine angles and internal auditory This article meets the criteria for arrow), orbital (black arrowheads) and canalicular 1.0 AMA PRA Category 1 Credit™. canals and detailed evaluation of the (white arrowhead) segments. The infundibulum of endolymph and perilymph within the the pituitary gland (white arrow) is also seen. The inner ear. fourth (cisternal) segment of the optic nerve would be visible on superior images. (RadioGraphics 2009;29:1045–1055) © RSNA, 2009. All rights reserved. Printed with permission.

in Public Focus

Media Coverage of Radiology August Outreach In June, media outlets carried 331 news sto- Calif.), KION-TV (Monterey, Calif.), Activities Focus on ries generated by articles appearing in print KRDO-TV (Colorado Springs, Colo.), Brain Imaging and online editions of Radiology. These sto- WREX-TV (Rockford, Ill.), WTXL-TV In August, RSNA’s ries reached an estimated 94 million people. (Tallahassee, Fla.), WOI-TV (Des Moines), 60-Second Checkup June coverage included New York Maga- WBAY-TV (Green Bay, Wis.), KVIA-TV (El radio program will focus zine, Archeology Magazine, Press-Enterprise Paso), KVOA-TV (Tucson, Ariz.), WFTX- on imaging of the brain, (Riverside, Calif.), Daily News (Salt Lake TV (Fort Myers, Fla.), WATE-TV (Knox- including the role of imag- City), Bismarck Tribune (N.D.), Diagnostic ville, Tenn.), WTVF-TV (Nashville, Tenn.), ing in the management of Imaging, Radiology Today, Health & Medi- KTRV-TV (Boise, Idaho), Yahoo!, nydaily- acute stroke. cine Week, Women’s Health Weekly, WTOL- news.com, Canada.com, and guardian.co.uk. TV (Toledo), KESQ-TV (Palm Springs,

RSNANEWS. ORG RSNA NEWS 21 RSNA MEMBER BENEFITS Working For You

Resident Learning Portfolio Now Available via myRSNA® RSNA’s free Web-based Resident on myRSNA after log-in. Learning Portfolio, customizable Additionally, all files with an institution’s individual uploaded to myPortfolio program materials, is now avail- will be integrated into able via myRSNA®, the free myFiles. Users will find personal homepage for RSNA a myPortfolio folder near members. Residents can add their the root of their myFiles information and files to create a tree and can drag and drop personalized learning record. files into their portfolio. The Resident Learning Port- Administrators and pro- folio can now be accessed in two gram directors can upload ways: from Resources for Resi- files for multiple residents. dents in the RSNA education portal at RSNA.org/my_portfolio Institutions must be registered to use the Resident Learn- and via myRSNA at RSNA.org/myRSNA. By using the direct ing Portfolio. To get involved, e-mail residents_portfolio@ links, residents will be taken directly to the myPortfolio tab rsna.org.

New Online Educational Offerings on InteractEd® Several new Refresher Course pro- • Diffuse Liver Disease: Deposition ucts, contact the Education Center at grams from RSNA 2008 are now avail- Disorders and Vascular Abnormalities 1-800-381-6660 ext 3753 or 1-800- able online for AMA PRA Category 1 • CT Imaging – Dose Assessment in 272-2920. Credits™ as an RSNA member benefit: Clinical Practice • Meeting Technical Aspects While • Optimize Your Body MR Practice: Sustaining a Successful Breast MR Cutting-Edge Breast MR imaging. Imaging Program To view these new programs, visit • Pediatric Trauma? Accidental or RSNA.org/education. For additional Inflicted information on other available prod-

RSNA Discusses Membership at SNM Annual Meeting RSNA representatives, including Susan M. Anderson, M.L.S., assistant director: scientific affairs (right), were on hand in June to discuss RSNA membership benefits at SNM’s 2009 annual meeting in Toronto. The technical exhibits area at the meeting drew an estimated 3,438 attendees.

22 RSNA NEWS A UGUST 2009 EDUCATION RESEARCH

Program and Grant Announcements

Writing a Competitive Grant Proposal January 29–30, 2010 • RSNA Headquarters, Oak Brook, Ill. • Registration Deadline—December 15

EGISTRATIONS are being accepted proposal. Topics to be covered the NIH ton, Robert Nordstrom, Ph.D., of the for the Writing a Competi- grant review process, developing spe- National Cancer Institute in Bethesda, Rtive Grant Proposal workshop cific aims and funding opportunities. Md., Ruth Carlos, M.D. of the Univer- designed for researchers in radiology, Guided by a faculty of leading sity of Michigan Health System in Ann radiation oncology, nuclear medicine researchers with extensive Arbor and Elizabeth Burnside, and related sciences who are interested experience in all aspects of M.D., M.P.H., of the Univer- in actively pursuing federal funding. grant applications and fund- sity of Wisconsin in Madison. A limited number of slots are ing, the program will focus The course fee is $175. Reg- available for this 1½-day intermediate- on developing realistic expectations istration forms can be found at RSNA. level program that combines didactic and provide tools for getting started. org/CGP. Contact Fiona Miller at and small group interactive sessions Faculty includes G. Scott Gazelle, 1-630-590-7741 or [email protected] designed to help radiologic researchers M.D., Ph.D., M.P.H., of Massachusetts for further information. understand and apply the key compo- General Hospital in Boston, King C. Li, nents of writing a competitive grant M.D., of Methodist Hospital in Hous-

Revitalizing the Radiology Research Enterprise Application Deadline—September 11 Representatives from radiology, radia- to identify, develop, mentor and reward • Radiology research training tion oncology and nuclear medicine are radiologic and radiation oncologic • Case presentations of research pro- invited to attend a 1½-day workshop on scientists for research in imaging and gram initiatives: impact of internal strategies for developing and expand- image-guided therapy. The workshop and external reviews ing research programs in radiology and will focus topics of general interest but • Funding sources radiation oncology departments. Pre- is especially directed toward academic Limited space is available. Down- sentations, case studies and group dis- radiology departments not currently in load registration forms at RSNA.org/ cussions will be used to nurture radiol- the top tier relative to existing extramu- rrre2009. For more information, con- ogy cultures that highly value research ral funding. tact Fiona Miller at 1-630-590-7741 or and educate radiology leaders in devel- Proposed topics include: [email protected]. oping research programs and methods • Image research: strategy and models

New Days for Financial Seminars at RSNA 2009 Two investment seminars will be offered at RSNA 2009. to achieve real estate and investment goals. “Effective Real Estate Investment Strategies,” will be pre- To register, go to RSNA.org/register or use the Registra- sented by J. Michael Moody, M.B.A. on Saturday, Nov. 28, tion and Housing Form 1 included in the Advance Registra- and “Asset Protection and Retirement Planning in tion, Housing and Course Enrollment Brochure. the New (Stimulus?) Era,” will be presented by Additional fees apply for these seminars and you Barry Rubenstein, B.S., J.D., L.L.M., on Monday, must be registered for the annual meeting to sign up. Nov. 30. This year’s new two-day format offers These seminars do not qualify for AMA PRA Cat- attendees more flexibility. egory 1 Credit™. For more information, contact the RSNA In challenging financial times, these simple and direct Education Center at 1-800-381-6660 x7772 or e-mail educational seminars specifically tailored for the medical [email protected]. professional will provide attendees with the tools necessary

RSNANEWS. ORG RSNA NEWS 23 MEETING WATCH RSNA 2009 News about RSNA 2009

Enroll Now for Courses OURSE ENROLLMENT for RSNA 2009 is under way. Online enrollment occurs instantly, while faxed or mailed registration forms are processed in the order Cthey are received. The RSNA 2009 Advance Registration, Housing and Course Enrollment brochure was mailed in late June and is also available at RSNA.org/ register. You must be registered for RSNA 2009 in order to enroll for courses.

CME Update: Earn up to 90.75 AMA PRA Category 1 CME Credits™ at RSNA 2009

INTERNATIONAL VISITORS Important dates for RSNA 2009 International Letters Available— October 23 International deadline to have full-conference materials Act Now for Visa mailed in advance Personalized letters of invitation to RSNA 2009 are November 6 Final discounted advance registration, housing and available for request at RSNA2009.RSNA.org. Click course enrollment deadline, to have full-conference International Visitors. This section of the annual materials mailed in advance meeting Web site also includes important information Nov. 29 – Dec. 4 RSNA 95th Scientific Assembly and Annual Meeting about the visa application process. Visa applicants are Register by Nov. 6 to receive the discounted registration fee and full conference materials mailed to you in advance. International visitors must register by Oct. 23 to advised to apply as soon as they decide to travel to receive these materials in advance. Registrations received after Nov. 6 will be pro- the U.S. and at least three to four months in advance cessed at the increased fee and conference materials must be obtained at the McCor- of their travel date. International visitors are advised mick Place Convention Center. No hotel reservations will be accepted after Nov. 6. to being the visa process now. Registration Fees Registering for RSNA 2009 BY 11/6 ONSITE $0 $100 RSNA/AAPM Member There are four ways to register for RSNA 2009: $0 $0 RSNA/AAPM Member Presenter ➊ ➌ Internet—Fastest Telephone $0 $0 RSNA Member-in-Training, RSNA Student Member and way to register! (Monday–Friday, Non-Member Student Go to RSNA.org/ 8:00 a.m.–5:00 p.m. CT) $0 $0 Non-Member Presenter register 1-800-650-7018 $150 $250 Non-Member Resident/Trainee ➋ Fax (24 hours) 1-847-996-5876 $150 $250 Radiology Support Personnel 1-800-521-6017 ➍ Mail $680 $780 Non-Member Radiologist, Physicist or Physician 1-847-996-5401 Experient/RSNA 2009 $680 $780 Hospital or Facility Executive, Commercial Research and 568 Atrium Dr. Development Personnel, Healthcare Consultant and Vernon Hills, IL 60061 Industry Personnel USA $300 $300 One-day registration to view only the Technical Exhibits ■ For more information about registering for RSNA 2009, visit RSNA2009. RSNA.org, e-mail [email protected] or call 1-800-381-6660 x7862.

24 RSNA NEWS A UGUST 2009 News about RSNA 2009

Receive Registration Materials Prior to the Meeting Registration Materials RSNA will mail registration materials in advance of the annual meeting to all North American attend- ees who register by November 6. RSNA will mail materials in advance of to all international attendees whose registration was received by October 23. Registration materials include: Registration materials also include Pocket Guide • Name badge and holder–RSNA will an ExpoCardTM and Pocket Guide: The RSNA 2009 Pocket Guide is an easy-to- track attendance in the Technical use reference guide with two main sections: TM Exhibit Halls ExpoCard Overview of the RSNA Scientific Assem- TM rooms using ExpoCard is bly and Annual Meeting radiofrequency an electronically • Complete A-Z listing of every- identification, personalized thing available to attendees also known as business card • Room assignments for the RFID. No per- attendees can use at the technical exhi- scientific sessions, refresher sonal informa- bition to request exhibitor information. courses and tion is stored The card is encoded with the holder’s plenary sessions on the RFID name, institution, address, e-mail, • Floor plans of each building and badge, only an identification address, phone/fax numbers and each floor of McCormick Place number. RFID is used to obtain radiologic specialty. Attendees who Traveling to and from McCormick Place total attendance counts and prefer that exhibitors contact them at • Shuttle bus schedules, routes and boarding exhibit floor traffic. Attendees a different address than the one used locations wishing to opt out of this pro- during advance registration should • Taxi fees, loading and unloading areas gram should visit an onsite Help provide alternate information directly • Airport transportation service with times, Center. to the exhibitor at the point of contact. costs and boarding information • (as requested) Attendees may also visit either Help Course and tour tickets • Complete Metra Electric Line Train System • Center at McCormick Place to change Attendance vouchers for CME or CE credit schedule outlining station locations, times • the registration and ExpoCard detail. Free pass for the Chicago Metra Electric and drop-off destinations Line train system • Parking lot locations, hours and fees • Airport shuttle discount coupon Transportation information is also avail- able online. Go to RSNA2009.RSNA.org and click Transportation.

“Radiology and the Family Physician” Builds Professional Bridges COURSE co-presented by RSNA and The course will be presented by held Monday, Nov. 30, from 8:30 a.m. A the American Academy of Family AAFP fellow Robert W. Bales, M.D., to 10 a.m. Enrollment for this and all Physicians (AAFP), “Radiology and the M.P.H., assistant professor of clinical RSNA 2009 courses is under way. Family Physician,” will offer the oppor- family medicine at the University of Illi- For more information, see refresher tunity for family physicians and radiolo- nois College of Medicine at Rockford, courses for Monday, Nov. 30 at online gists to learn what they need and can and RSNA presenter Carol M. Rumack, course enrollment at RSNA2009.RSNA. expect from each other. Participants can M.D., a professor of radiology and org/attendees/reg/course_enrollment.cfm. engage in a dialogue to improve com- pediatrics at the University of Colorado munication and optimize patient care. Denver School of Medicine. It will be

RSNANEWS. ORG RSNA NEWS 25 MEETING WATCH RSNA 2009 News about RSNA 2009

Technical Exhibition 2009 Exhibitor List Available HE Technical Exhibition at the RSNA annual Tmeeting, showcasing many new technologies and ideas, will span three exhibit halls and feature approxi- mately 600 confirmed exhibi- tors, including 46 first-time companies. To see a list of participat- ing companies, along with an interactive floor plan, visit RSNA2009.rsna.org/exhibitor_list.cfm.

More than 60 Exhibitors Attend RSNA Planning Meeting John Jaworski, CEM, techni- cal exhibit services manager for RSNA, addressed the more than 60 exhibitors who attended the RSNA Technical Exhibitors Planning Meeting held in June in Rosemont, Ill. Exhibitors were given space assignments and a registration update on RSNA 2009.

Chicago Attractions Headline RSNA 2009 For more information about Chicago events and attractions at RSNA 2009, see the roundup article on Page 14.

26 RSNA NEWS A UGUST 2009 Resident Learning Portfolio makes documenting educational progress easier

Track all of the requirements for your program and the ACGME with RSNA's Resident Learning Portfolio

• Organize a learning plan • Easily access evaluations • Document CME and educational activities • Store credentials • Record exam results • Verify QA/QI projects

Get started today at RSNA.org/myportfolio.

My Portfolio is a free Web-based portfolio for residents developed by RSNA in collaboration with the education committee of the Association of Program Directors in Radiology (APDR). The dual access design of My Portfolio also provides program directors and coordinators the ability to better track residents' development and the overall success of their programs for ACGME.

Questions? Contact us at [email protected] or call 1-800-381-6660 x7772. RADIOLOGY PRODUCTS Product News

NEW PRODUCT Large-Display Multimedia Projectors for Medical Education Canon U.S.A., Inc., (www.usa.canon.com) introduces two new high-resolution REALiS Multimedia Projectors, the REALiS WUX10 Mark II D and REALiS SX80 Mark II D. The products feature a DICOM Simulation mode for compliance with the DICOM Part 14 standardized display function for display of grayscale images. This new mode will provide medical educators with greater flexibility when training and conducting lectures and conferences where a large display is needed. The two projectors are not cleared or approved for medical diagnosis and should not be used for these purposes. Both new multimedia projectors will allow the user to calibrate directly on the projector rather than having to purchase additional equipment.

NEW PRODUCT Multidetector CT Systems Toshiba America Medical Systems (www.medical.toshiba.com) introduces the Aquilion® Premium and Aquilion CX multidetector CT systems. The Aquilion Premium includes 160 detector rows and coverage up to 8 cm in a single rotation. This system is also field-upgradeable to an Aquilion ONE. The Aquilion CX features reconstruction of up to 28 images per second, Quantum Advantage detector technol- ogy and a patient couch that can accommodate up to 660 pounds. The CX features a 72 kW generator for wider mA scanning flexibility, coneXact® software for higher def- inition images for extremities and IACs, SUREExposure™ including QDS and Boost3D™ NEW PRODUCT and double the console storage capacity of a conventional 64-detector CT. Contrast Injection Monitoring Application NEW PRODUCT MEDRAD, Inc. (www.medrad. PACS/DICOM-compatible Multimodality Mammography Viewer com) has launched Manage.Report, Viztek (www.viztek.net) announces a full- an informatics application that featured mammography viewer that seam- enables healthcare professionals lessly integrates with its Opal-RAD PACS to immediately access clinical and solution as well as any PACS-supporting administrative information associ- DICOM Query/Retrieve to deliver high-qual- ated with radiology patients’ contrast ity display of detailed mammography exams. injections from nearly anywhere. The multimodality viewer eliminates the need for a separate mammography worksta- Manage.Report automatically cap- tion and utilizes the same image database as general patient images for streamlined tures and logs in a secure database image management and storage. It supports diagnostic quality viewing of full-field essential patient- and radiology- digital mammography and computed radiography and MR breast images. Specialized management information concerning features include Quad Zoom, chest wall justification with back-to-back breasts and contrast injections delivered by the measurement tools. The viewer supports all major computer aided detection systems MEDRAD Stellant® CT injector. and is configurable for simultaneous grayscale and color monitor capabilities.

Information for Product News came from the manufacturers. Inclusion in this publication should not be construed as a product endorsement by RSNA. To submit product news, send your information and a non-returnable color photo to RSNA News, 820 Jorie Blvd., Oak Brook, IL 60523 or by e-mail to [email protected]. Information may be edited for purposes of clarity and space.

28 RSNA NEWS A UGUST 2009 RSNA ON THE WEB RSNA.org

RSNA 2009 Course Enrollment Online enrollment for RSNA 2009 courses is under way. You must be registered for RSNA 2009 to enroll for courses. Go to RSNA.org/register to get started. ➊ On the 2009 Registration, Housing and Course Enroll- ment page, select New Regis- tration to start a new registra- tion or Already Registered to add courses to an existing registration. From this page ➋ you can also download the Advance Registration, Hous- ing and Course Enrollment brochure. ➋ On the Registration Sum- ➊ mary Page select “add/ edit” under the Completed Purchases section. You will be taken to the course page where you can search courses by date, course code course type or keyword. ➌ After selecting courses, ➌ click Update Cart to add items and continue searching or Next to move to the next page. You will continue to the Tour Page to select city tours ➍ and events and the Bistro- RSNA page to purchase lunch tickets. ➍ Review the Registration Summary screen to complete any transactions involving Click Update Cart or Next at the bottom page for pending courses, tours and fees. A meeting confirmation will appear on of each page to confirm your selections tickets. Click Next at the bottom of the the page and a confirmation will arrive via and/or continue to the next page. page. You will be taken to the payment e-mail within 24-48 hours.

Track RSNA 2009 Registered Courses RNSA members can easily track their RSNA 2009 course enrollment with myRSNA® at RSNA.org. Once logged on, click myRSNA on the top left-hand side of the page. Members who have registered for courses can go to My Profile and select Current Online Enrollments to view their courses schedule as well as course numbers, titles, dates times locations and course descriptions. If you don’t see the Current Online Enrollments category, you can add this widget by selecting Add Stuff on the upper right-hand corner of the myRSNA interface.

RSNANEWS. ORG RSNA NEWS 29 NONPROFIT ORG. U.S. POSTAGE RSNA News PAID 820 Jorie Blvd. PERMIT #186 Oak Brook, IL 60523 EASTON, PA 18042 1-630-571-2670 1-630-571-7837 Fax [email protected]

CALENDAR Medical Meetings August – October 2009

AUGUST 30–SEPTEMBER 3 OCTOBER 2–6 12th World Congress of the World Federation for Ultrasound in North American Society for Cardiac Imaging (NASCI), Medicine and Biology (WFUMB), Sydney Convention and Exhi- 37th Annual Meeting, Omni Orlando Resort at ChampionsGate, bition Center, Darling Harbor, Australia • www.wfumb2009.com Florida • www.nasci.org SEPTEMBER 2–SEPTEMBER 5 OCTOBER 3–4 International Skeletal Society (ISS), 36th Annual Meeting, Society for the Advancement of Women’s Imaging (SAWI), The Capital Hilton, Washington D.C. 2009 Symposium, Westin Chicago River North • www.sawi.org • www.internationalskeletalsociety.com OCTOBER 7–11 SEPTEMBER 10–13 American Society of Head and Neck Radiology (ASHNR), European Society of Urogenital Radiology (ESUR), European 43rd Annual Meeting, Sheraton New Orleans Hotel • www.ashnr.org Symposium on Urogenital Radiology, Royal Olympic Hotel, OCTOBER 8–10 Athens, Greece • www.esur2009.gr American Society for Clinical Oncology (ASCO), Breast Cancer SEPTEMBER 13–17 Symposium: Integrating Emerging Science into Clinical Practice, National Cancer Institute (NCI), Academy of Molecular Imaging San Francisco Marriott • www.breastcasymposium.org (AMI) and the Society for Molecular Imaging (SMI), Imaging in OCTOBER 10–14 2020: A Conference on Molecular Imaging, Jackson Lake Lodge, European Association of Nuclear Medicine (EANM), Annual Jackson Hole, Wyo. • www.Imagingin2020.com Congress, Barcelona International Convention Center, Spain SEPTEMBER 19–23 • eanm09.eanm.org Cardiovascular and Interventional Radiological Society of OCTOBER 11–13 Europe (CIRSE), Annual Scientific and Postgraduate Educational Radiology Business Management Association (RBMA), Fall Edu- Meeting, Lisbon Congress Center, Portugal • www.cirse.org cational Conference, Sheraton Wild Horse Pass, Chandler, Ariz. SEPTEMBER 22–24 • www.rbma.org National Institute of Health (NIH) State-of-the-Science OCTOBER 15–17 Conference: Diagnosis and Management of Ductal Carcinoma Society of Chairs of Academic Radiology Departments (SCARD), In Situ (DCIS), Natcher Conference Center, Bethesda, Md. Annual Meeting, Fairmont Orchid Hawaii, Kohala Coast • consensus.nih.gov/2009/dcis.htm • www.scardweb.org SEPTEMBER 23–26 OCTOBER 15-19 AMI, SMI, the European Society for Molecular Imaging (ESMI) Chinese Society of Radiology (CSR), 16th Chinese Congress of and the Federation of Asian Societies for Molecular Imaging Radiology Annual Meeting, Hangzhou, Zhejiang, China (FASMI), World Molecular Imaging Congress 2009, Palais des • ww.chinaradiology.org/csr/en/ Congress de Montreal • www.wmicmeeting.org OCTOBER 16–20 VISIT THE RSNA BOOTH SEPTEMBER 30–OCTOBER 3 Société Française de Radiologie (SFR), Les Journées Françaises American Society of Emergency Radiology (ASER), Annual de Radiologie (JFR) 2009, Palais des Congrès de Paris Meeting, Loews Royal Pacific Resort, Orlando, Fla. • www.jfrexpo.com • www.erad.org OCTOBER 1–3 NOVEMBER 29–DECEMBER 4 European Society for Magnetic Resonance in Medicine and RSNA 2009, 95th Scientific Assembly and Annual Meeting, Biology (ESMRMB), 26th Annual Meeting, Maritim Pine Beach McCormick Place, Chicago • RSNA2009.RSNA.org Resort, Antalya, Turkey • www.esmrmb.org