January 2013 Volume 23, Number 1

Radiologists Worldwide Face Similar Training and Staffing Issues

also Inside: Understanding Common Athletic Injury is Key to Prevention RSNA 2012’s Patient-Centered Focus Sets Course for ’s Future In the Spotlight: RSNA 2012 Radiologists Need SMART Strategies to Battle Stress

Meet RSNA 2013 Officers, New Board Member See Page 1 RSNA 2012 Call for Abstracts Journal Ad.eps 1 9/11/12 10:12 AM

January 2013 • volume 23, Number 1

EDITOR David M. Hovsepian, M.D. R&E Foundation RSNA MISSION Contributing Editor R. Gilbert Jost, M.D. The RSNA promotes excellence in patient care and Executive Editor healthcare delivery through education, research Lynn Tefft Hoff and technologic innovation. Managing Editor Beth Burmahl Editorial Advisors Mark G. Watson 5 UP FRONT Executive Director Roberta E. Arnold, M.A., M.H.P.E. 1 First Impression Assistant Executive Director Publications and Communications 4 My Turn Marijo Millette Director: Public Information and Communications Features 7 Editorial Board 5 Radiologists Worldwide Face Similar Training David M. Hovsepian, M.D. Chair and Staffing Issues Kavita Garg, M.D. Bruce G. Haffty, M.D. 7 Understanding Common Athletic Injury Nazia Jafri, M.D. is Key to Prevention Bonnie N. Joe, M.D., Ph.D. Edward Y. Lee, M.D., M.P.H. 9 11 In the Spotlight: RSNA 2012 Kerry M. Link, M.D. DO YOU WANT TO PRESENT AT RSNA 2013? SUBMIT ABSTRACTS FOR Laurie A. Loevner, M.D. 13 Radiologists Need SMART Strategies to Battle Stress Barry A. Siegel, M.D. SCIENTIFIC PRESENTATIONS, APPLIED SCIENCE, EDUCATION EXHIBITS, Gary J. Whitman, M.D. William T. Thorwarth Jr., M.D. QUALITY STORYBOARDS, AND QUANTITATIVE IMAGING READING ROOM Radiology’s Future Board Liaison SHOWCASE. 11 9 RSNA 2012’s Patient-Centered Focus Graphic designerS Sets Course for Radiology’s Future Adam Indyk Ken Ejka 15 R&E Foundation Donors Contributing Writers Mike Bassett Richard Dargan DEADLINE: WEDNESDAY, APRIL 10, 2013 News You Can Use Felicia Dechter, M.A. Eveonne Acevedo Johnson, M.F.A. 13 18 Education and Funding Opportunities 12:00 NOON CHICAGO TIME Paul LaTour 19 Journal Highlights 2013 RSNA BOARD OF DIRECTORS Ronald L. Arenson, M.D. SUBMIT ONLINE: RSNA.ORG/ABSTRACTS Chairman 20 The Value of Membership Richard L. Baron, M.D. Liaison for International Affairs 20 Residents & Fellows Corner William T. Thorwarth Jr., M.D. Liaison for Publications and 21 Radiology in Public Focus Communications Richard L. Ehman, M.D. 23 Annual Meeting Watch Liaison for Science Access the RSNA Vijay M. Rao, M.D. News tablet edition Liaison for Information Technology on the App Store 24 RSNA.org and Annual Meeting and Google play. Valerie P. Jackson, M.D. Liaison for Education Sarah S. Donaldson, M.D. President N. Reed Dunnick, M.D. Follow us for exclusive President-elect/Secretary-Treasurer Questions? Call 1-877-776-2227 (within U.S.) or 1-630-590-7774 (outside U.S.) news, annual meeting Includes sessions in joint sponsorship with the American Association of Physicists in DECEMBER 1–6 | McCORMICK PLACE, CHICAGO offers and more! firstnews youimp rcanession use

jackson Joins RSNA BOARD OF DIRECTORS Arenson Becomes Board Chairman Ronald L. Arenson, M.D., the Alexander R. Margulis Distinguished Professor and chair of the Department of Radiology and Biomedical From left: Imaging at the University of California San Francisco, is chairman of N. Reed Dunnick, M.D. the RSNA Board of Directors for 2013. President-elect/Secretary-Treasurer As chairman, Dr. Arenson will support RSNA’s mission to promote excellence in patient care through education, research and technological innovation. “I am hopeful that during the coming year, we can William T. Thorwarth Jr., M.D. Liaison for Publications and focus attention on informatics, especially on providing RSNA members with useful informatics tools to Communications help them in their careers,” he said. Dr. Arenson’s research achievements include the development of a catheter that can be steered in a Sarah S. Donaldson, M.D. President magnetic field, allowing interventional radiologists to reach further into smaller blood vessels. He and fel- low researchers filed a patent on the invention in 2001. The patent was recently nominated for a national Richard L. Baron, M.D. fair on technology and Dr. Arenson is now working with faculty on the next stage prototype. Liaison for International Affairs An RSNA member since 1974, Dr. Arenson has served on numerous committees including Public Information Advisors Network, Valerie P. Jackson, M.D. Research Development Committee and the Radiology Informatics Committee (formerly Electronic Communications Committee), of Liaison for Education which he served as chairman from 1999 to 2005. In 2007, he was elected to the RSNA Board of Directors and served as the liaison for Richard L. Ehman, M.D. the annual meeting and informatics from 2007 to 2012. Liaison for Science Dr. Arenson has served on the editorial boards of several journals, including Radiology, Investigative Radiology, Journal of Digital Imaging, Academic Radiology and Journal of the American College of Radiology. He also has been an active member of several medical Vijay M. Rao, M.D. Liaison for Information Technology societies and organizations including the American Association for Medical Systems and Informatics, American College of Medical and Annual Meeting Informatics and the American College of Radiology. Ronald L. Arenson, M.D. Chairman Dunnick is President-elect Jackson Named to RSNA Board N. Reed Dunnick, M.D., the Fred Jenner Valerie P. Jackson, M.D., an expert in 2013 RSNA OFFICERS Hodges Professor and chair of the Department breast imaging and radiology resident Sarah S. Donaldson, M.D. Richard T. Hoppe, M.D. Gerardo Perdigon Castaneda, M.D. of Radiology at the University of Michigan education, is the newest member of President, Stanford, Calif. First Vice-President, Stanford, Calif. Third Vice-President, Mexico City Health System in Ann Arbor, Mich., is the the RSNA Board of Directors. She will N. Reed Dunnick, M.D. James D. Fraser, M.D. Ronald L. Arenson, M.D. serve as Board Liaison for Education. President-elect /Secretary-Treasurer, Second Vice-President, Halifax, Nova Scotia Chairman, San Francisco RSNA president-elect for 2013. As president-elect, Dr. Dunnick will focus on scientific research and Richard L. Baron, M.D., is now Board Liaison for Ann Arbor, Mich. education initiatives at the Society’s annual meeting and throughout the International Affairs (see Page 6). year. “Advances in healthcare, especially medical imaging and image- Dr. Jackson is the Eugene C. Klatte Professor and guided , enable to deliver better quality care than ever Chair of the Department of Radiology and Imaging Sci- Donaldson is RSNA President before,” he said. “The RSNA is proud of its role in advancing our field ences at the Indiana University School of Medicine in Sarah S. Donaldson, M.D., is RSNA President for 2013. Dr. Donaldson is the Catharine by sponsoring research, supporting education and providing a venue for Indianapolis. the presentation and discussion of these new concepts.” A co-presenter of the RSNA Faculty Development and Howard Avery Professor of Radiation at Stanford University School of Dr. Dunnick has authored or coauthored Workshop, Dr. Jackson is com- Medicine in Stanford, Calif. She serves as associate residency program director of radiation over 300 peer-reviewed scientific articles, 62 mitted to upholding RSNA’s oncology at Stanford Hospital and Clinics and is chief of radiation oncology service at book chapters and 10 books. He has served on reputation by helping the Society the editorial boards of 14 journals, including capitalize on digital education Lucile Salter Packard Children’s Hospital at Stanford. Radiology, American Journal of Roentgenology, opportunities. “There is so much As president, Dr. Donaldson will help shape America. Dr. Donaldson presented the Annual Ora- Academic Radiology and Journal of the American innovation going on right now— and implement RSNA’s vision and strategic goals tion in Radiation Oncology at the 1995 RSNA annual College of Radiology. to be able to facilitate the integra- to advance the radiologic sciences and embrace the meeting. A member of RSNA since 1987, Dr. Dun- tion of new technologies is really model of patient-centered care. “I am proud to pro- As a longtime member of RSNA, Dr. Donaldson nick has served on many committees including exciting.” mote the RSNA mission around the world,” she said. has served on the Board of Trustees of the Research the Scientific Program Committee, Research An RSNA member since 1982, “My goal is to enhance collaborations and partner- and Education Foundation, the Scientific Exhibits Development Committee, Education Council Dr. Jackson has served as chair of ships amongst the radiologic sciences worldwide to Committee and the Public Information Advisors Net- and the Grants Program Committee. In 2006, the Refresher Course Committee provide efficient, safe and cost-effective use of imag- work. She was elected second vice president in 2003. he was elected to the RSNA Board of Directors and served as the liaison and the Breast Imaging Subcommittee of the Scientific ing. I will work with the Board of Directors and the In 2005, she was elected to the RSNA Board of Direc- for publications and communications and the liaison for science. He Program Committee and as a member of the RSNA News many loyal RSNA member volunteers to promote our tors and served as the liaison for publications and served as chairman from 2011 to 2012. Editorial Board. She is a member of the RSNA Centen- strategic plan and to emphasize patient-centered communications from 2007 to 2010, chairman from Dr. Dunnick’s service to other medical societies and organizations nial Committee, has been active on many committees of radiology.” 2010 to 2011, and president-elect from 2011 to 2012. includes the American Board of Radiology Foundation and the Ameri- the RSNA Research & Education (R&E) Foundation and Dr. Donaldson has authored or coauthored more Dr. Donaldson was recently awarded the Dean’s can College of Radiology, which he served as vice-president. He is serves on the R&E Foundation Board of Trustees. than 220 peer-reviewed scientific articles, 81 book chapters and Medal of the Stanford School of Medicine and received the Marie past-president of the American Roentgen Ray Society, Society of Chair- “RSNA has been instrumental in giving me opportuni- review articles and two books. She has been invited to lecture Curie Award of the American Association for Women Radiolo- men of Academic Radiology Departments, Society of Computed Body ties throughout my career—it is the single organization at more than 200 institutions and meetings throughout North gists in 1998 and the Elizabeth Blackwell Award of the American Tomography, Academy of Radiology Research, Society of Uroradiology, that has enabled me to get to where I am today,” Dr. Jack- America, Japan, Europe and Australia and is a popular visiting Medical Women’s Association in 2005. Radiology Research Alliance, American Board of Radiology, Association son said. professor at many universities and medical schools across North of University Radiologists and the Michigan Radiological Society.

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Numbers in My Turn the News 130 A Tribute to the R&E Foundation Estimated number in millions of dollars con- tributed to Chicago’s economy by RSNA 2012 As I begin my tenure as RSNA president, I find myself in the unique position to have an 8-year pan- attendees. Get an early update on RSNA 2013 oramic perspective of RSNA programs. I am most proud of the RSNA Research and Education (R&E) on Page 23. “A United Nations of Radiologists” Gathers in Chicago Foundation. The idea of RSNA providing research funding emerged in the early 1980s, when the RSNA At the invitation of Chicago-area radiologist Leonard Berlin, M.D., radiologists from distant nations gathered in the Windy City for a Thanksgiving feast before attending RSNA 2012. Board of Directors recognized the need to help young investigators jumpstart their academic research Calling it a “United Nations of Radiologists,” Dr. Berlin said the group “experienced careers in the radiologic sciences—radiology research money was virtually nonexistent at this time. wonderful camaraderie, friendship and conversation the entire afternoon and evening.” 45-60 The Board of Directors convened an ad to over $1 billion of funding stemming from From left: Dr. Moshe Graif (Israel); Dr. Tufik Bauab (Brazil); Dr. Selma Bauab (Brazil); Dr. Berlin and wife, Phyllis (U.S.), Dr. Eamann Breatnach (Ireland); Mrs. Laura Ramirez Percentage of patients who said they would hoc Strategic Planning Committee, which Foundation grants. (Mexico); Dr. Jose Luis Ramirez-Arias (Mexico); Dr. Hassen Gharbi (Tunisia); Dr. Najoua like to receive results of radiology reports in turn defined the scope and charge of the Grant recipients have become depart- Gharbi (Tunisia); Mrs. Tricia Berlin (U.S.); Dr. Jonathan Berlin (U.S.). For more on the immediately. Learn more about the results of “R&E Scholarship Fund” and received an ment chairs and leaders in organized radiol- gathering, see the online edition of RSNA News at RSNA.org/NewsLandingPage.aspx and the survey presented at RSNA 2012 on Page 9. initial $1,000,000 endowment from RSNA. ogy. They have served RSNA as volunteers, the tablet edition available on the App Store and Android Market. This scholarship fund ultimately became the some as members of the Foundation Board RSNA R&E Foundation. of Trustees and Board of Directors. Many My introduction to the Foundation came grant recipients now mentor their own resi- Borgstede is R&E Chair 6 in 1993, when I first served as a grant dents, fellows and junior faculty through the reviewer. Subsequently I was invited by R&E process. Grant recipients also support James P. Borgstede, M.D., is the new chair of the RSNA Number of physicians per 1,000 inhabitants in the late Helen Redman, M.D., 1995 RSNA the Foundation by serving as grant review- Research & Education (R&E) Foundation Board of Trustees. Cuba, one of the countries discussed by pre- President, to join the Foundation Board of ers and committee members and through Dr. Borgstede is a professor of radiology and vice-chair senters of an RSNA 2012 International Trends meeting focusing on the global radiology work- Trustees. I’ve now been involved with the their generous donations. for professional services, clinical operations and quality at force. Read more on Page 5. Foundation continuously for 20 years and Clearly the vision of the RSNA Board the University of Colorado, Denver. He has served on the have witnessed first-hand its remarkable of Directors has benefited all of radiol- R&E Board of Trustees since 2008 and on the R&E Corpo- evolution. Some statistics illustrate the ogy, much more so than seemed imagin- rate Giving and Public Relations committees. He also served incredible growth. able 25-plus years ago. For my own part, on the RSNA Quality Improvement Committee. Sarah S. Donaldson, M.D., is 2013 RSNA In 1985, an eight-member team of R&E I encourage every department chair and “The R&E Foundation is vital because today’s research 18 President and serves as a trustee of the Board of Trustee members served as program director, of every diagnostic radi- R&E Foundation Board of Trustees. Dr. is tomorrow’s practice,” Dr. Borgstede said. “Supporting the Number of videos in the new Patient Safety in grant reviewers, with help from expert ology and radiation oncology department, Donaldson is the Catharine and Howard Foundation is an excellent opportunity to advance our spe- Imaging app recently launched by Radiology Borgstede consultants as needed. Compare this to to join RSNA and become familiar with Avery Professor of Radiation Oncology at cialty for the benefit of our patients.” Info.org, the RSNA/American College of Radiol- Stanford University School of Medicine, 2012, when more than 60 RSNA members the Foundation grant programs. I encour- Dr. Borgstede serves as the president of the American Board of Radiology and ogy (ACR) public information website. Read associate residency program director of reviewed applications as part of the radiol- age academic departments and community is president-elect of the International Society of Radiology. more about the app on Page 22. radiation oncology at Stanford Hospital ogy research, radiation oncology research practices to donate to the Foundation, as a and Clinics and chief of radiation oncology and education study sections or the medical group or as individuals. Nothing is a more service at Lucile Salter Packard Children’s Hospital. She is a Presidents Circle Donor. In Memoriam In Memoriam student research review panel. important investment in the future of radiol- Robert E. Wise, M.D. Carl B. Puylaert, M.D. During the first funding year, 1986, 11 ogy and the radiologic sciences. grant applications were received; in 2012, Past-RSNA President Robert E. Wise, imaging and CT scanning. RSNA Honorary Member Carl B. Puy- that number was 196! In 1986, two grants M.D., died August 12, 2012. He was dr. Wise chaired the departments laert, M.D., died June were funded; in 2012, the number of new 94. of radiology at New England Baptist 19, 2012. He was 89. projects funded was 72! As of 2012, the the r&e foundation: then and now during his nearly 60 years at Lahey Hospital in Boston and Brooks Hospital dr. Puylaert was a Foundation has awarded $37.3 million to Clinic, in Burlington, Mass., Dr. and was a staff member of the radiologist in Tilburg, Wise assumed numerous man- Department of Radiology at the Netherlands, before support 957 projects, supporting nearly as 1986 agement and medical roles. He the former New England Dea- he started his career as many -scientists investigating the radiologic sciences. GRANT first joined the clinic in 1953 as coness Hospital in Boston. He professor of radiology in GRANT GRANTS APPLICATIONS a staff member in the Depart- served as a clinical professor the University Hospital A 2008 survey confirmed that, on aver- REVIEWERS FUNDED ment of Radiology. He was ap- of radiology at Boston Univer- of Utrecht until 1986. age, each Foundation dollar awarded had RECEIVED pointed chairman of the board sity School of Medicine and His scientific contributions focused on generated more than 30 dollars in subse- of governors, chairman of the held visiting professorships at Dotter Procedures on renal arteries. quent grants from other sources, largely the 2012 board of trustees, and assumed medical schools in Houston, dr. Puylaert was chair of the Radio- NIH. This return on investment translates the duties of chief executive officer, a Pittsburgh and Toronto. logical Society of the Netherlands and position he held until his retirement in Dr. Wise served as president of also an honorary member of the soci- 1991. the American College of Radiology, ety. He was recognized with honorary dr. Wise served as chair of the Massachusetts Radiological Society, membership of the Cardiovascular and RSNA News Letters to the Reprints and advertising Editor Permissions January 2013 • Volume 23, Number 1 Postmaster: Send address correction Contents of RSNA News copy- [email protected] Lahey Clinic’s Department of Radiol- Eastern Radiological Society and the Interventional Radiological Society of [email protected] [email protected] Published monthly by the Radiological “changes” to: RSNA News, 820 Jorie Blvd., righted ©2013, RSNA. RSNA Jim Drew, Director 1-630-571-7837 fax 1-630-571-7829 ogy, authored several research papers New England Roentgen Ray Society. Europe and of the national radiological Society of North America, Inc. Oak Brook, IL 60523-2251 is a registered trademark of the 1-630-571-7819 1-630-590-7724 fax and two medical textbooks. In addi- Dr. Wise served as RSNA president societies of Portugal, Luxemburg and 820 Jorie Blvd., Oak Brook, IL Non-member subscription rate is $20 per Radiological Society of North Subscriptions RSNA Membership tion, he was an early adopter of many in 1974 and received the RSNA Gold Thailand. Dr. Puylaert was an RSNA 60523-2251. Printed in the USA. year; $10 of active members’ dues is allo- America, Inc. [email protected] 1-877-rsna-mem cated to a subscription of RSNA News. 1-888-600-0064 technologies including ultrasound, MR Medal in 1979. Honorary Member in 1984. 1-630-590-7770

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The discussion of the radiol- ogy workplace included an Radiologists Worldwide Face Similar assessment of the expanded role radiographers are playing in Europe and turf battles with other specialties over Training and Staffing Issues image-guided interventional procedures and vascular/ , as Assessing the state of the global radiology workforce involves a number of factors, including well as diagnostic imaging of regional differences in who can call themselves radiologists and the number of public versus coronary CT, in Asia. private radiology practices, according to radiologists from around the globe who gathered for an “International Trends” meeting at RSNA 2012.

Latin America, comprising 20 diverse countries with a total population of nearly 586 million, is “the most unequal region of the world,” said Gloria Soto Giordani, M.D., a radiologist with the Depart- ment of Radiology, Clinica Alemana de Santiago, Chile. Physicians per 1,000 inhabitants in each country range from just 0.25 in Nicaragua to 3.5 in Uruguay and 6 in Cuba. Radiologists in Latin American countries are scarcer, with the radiologist per 100,000 inhabit- ants ratio ranging from 89 in Honduras and 96 in El Salvador to 5.7 in Cuba and 4.99 in Argentina. “There are great differences among and within countries in issues related to radiology,” Dr. Soto Giordani said. countries have organized university training while others have Sachio Kuribayashi, M.D., of Keio University of Medicine in Radiology workforce information was obtained a vocational organization. Finally, the question of the balance Tokyo. E. Stephen Amis, Jr., M.D., professor and chairman of the from a survey sent by e-mail to the presidents of between radiologists and radiographers and the equilibrium seems Department of Radiology at the Einstein College of Medicine/ the national radiology societies of the countries that Leading radiologists from around the world gathered to discuss concerns about to be different from one country to another.” Montefiore University Hospital in Bronx, N.Y., talked of similar make up the Colegio Interamericano de Radiologia, workplace issues at the RSNA 2012 “International Trends” meeting. In the U.S., the ratio of technologists to radiologists is conflicts in the U.S., with radiology performed by non- Daily Bulletin (Inter-American College of Radiology), all Latin seven to one (225,000 technologists to 32,000 radiolo- radiologists. American countries except Paraguay. Expanded Role of Radiographers Sparks Debate coverage of gists), according to Edward I. Bluth, M.D., chairman of RSNA 2012 “We’re losing the battle,” Dr. Amis said, noting that “Many countries don’t know the exact number Yves Menu, M.D., meanwhile, noted that while there are the Department of Radiology at Ochsner Health System radiologists are now paid less than non-radiologists for of radiologists they have,” Dr. Soto Giordani said. is available at between 80,000 and 100,000 radiographers in Europe, few in New Orleans, La. RSNA.org/ noninvasive imaging, a figure of $4.8 billion as opposed to Confusion is created because of non-associated are members of a national or international society. Radiog- “The U.S. offers a very significant educational system bulletin. $4.6 billion annually. members and physicians performing as radiologists raphers from the north are more likely to join a society than that is very robust for technologists,” Dr. Bluth said. That “A lot of people who aren’t radiologists claim imaging with no formal training. In most countries, radi- those from the south, added Dr. Menu, a professor and system includes accredited, educational programs by recognized as part of their practice,” Dr. Amis said. “It’s very competitive. It’s ologists work both in private and public practice, chairman of radiology at Saint Antoine Hospital, Pierre and organizations that offer competency-based educational programs a tough turf. As the reimbursement goes down, doctors will do although Cuba has no private practice, Dr. Soto Marie Curie University, Paris. That same latitudinal bound- and certification exams, Dr. Bluth said. things to try and keep their income level stable.” Giordani added. ary seems to drive differences in extending sonography Turf battles with other specialties over image-guided interven- Free-standing clinics and private practices are losing ground, Of note is the fact that many public practices responsibilities to radiographers, he said—radiologists in tional procedures and vascular/interventional radiology, as well according to Dr. Amis. “It’s not uncommon for other doctors to have no radiologists at night, Dr. Soto Giordani some countries strongly favor such an expanded role, while as diagnostic imaging of coronary CT, are occurring in Asia, said get first preference over radiologists,” he said.  said. “In those that have a residency program, resi- in other countries there is strong opposition. dents do the night work, which is validated by a “There is a debate based on the training curriculum that staff the next morning,” she said. poorly prepares technologists to perform extended tasks In Europe, the European Society of Radiology is today, at least in Southern Europe,” Dr. Menu said. “Some “trying to harmonize training” across countries, said Baron is Board Liaison for International Affairs Luís Donoso-Bach, M.D., director of the Centre de Richard L. Baron, M.D., who Chicago Pritzker School this capacity, Dr. Baron Diagnòstic per la Imatge Clínic at the University of served the RSNA Board of of Medicine. In his will chair the Board Barcelona. Included in that effort is the European Many countries don’t Training Charter for Clinical Radiology and Euro- Directors as liaison for education new position with the Committee on Interna- pean Diploma in Radiology (EDiR). “know the exact number from 2009 to 2012, is the new RSNA Board, he will tional Affairs, and will Board Liaison for International have responsibility for serve as Board Liaison

on the cover of radiologists they have.” Affairs. Valerie P. Jackson, M.D., the development of a to the Committee on Despite their geographic Gloria Soto Giordani, M.D. replaces Dr. Baron as education comprehensive interna- International Radiol- differences, radiologists liaison (see Page 2). tional strategy and will ogy Education and the from across the world discussed common work- Dr. Baron is dean for clini- facilitate Board direc- International Advisory force issues at RSNA 2012. cal practice and a professor of tion and oversight of all Baron Committee. radiology at the University of international related activities. In

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Understanding Common Athletic Injury is Key to Prevention

An improved understanding of potential athletic pubalgia injuries—a clinical spectrum of disease associated with lower abdominal and groin injuries affecting both high performance and recreational athletes—could lead to better training techniques and regimens to reduce occurrences, according to findings presented at RSNA 2012. “Athletic pubalgia can be very debilitating,” said Arvin Kheterpal, M.D., whose RSNA 2012 research on football players showed distinct injury patterns on MR. Dr. Kheterpal concluded that pubalgia could be prevented with focused core-strengthening training. Arvin Kheterpal, M.D., a third-year resident at Thomas Jefferson University Hospital in Philadel- Pubalgia recently received attention when a National Football phia, conducted a retrospective study of 70 Ameri- League player suffered a groin injury and was forced to leave a We know there are can football players treated at his facility. Players nationally televised game on Thanksgiving Day. The player, a line- “ averaged about 22 years old and ranged in playing backer for the Houston Texans, was expected to miss three to four distinct patterns of level from professional to college to high school and weeks of playing time. some recreational. “Athletic pubalgia can be very debilitating,” Dr. Kheterpal said. injury that we see “Nobody had actually looked to see whether spe- “It can lead to loss of playing time or prematurely cut short careers. We’re pretty excited about what we found, but cific lesions and injury patterns are correlated with Daily Bulletin on MR, but we don’t any specific activity,” Dr. Kheterpal said. “We know there’s actually quite a bit of work that needs to be coverage of there are distinct patterns of injury that we see on done. For us this is only the tip of the iceberg.” RSNA 2012 know if there are MR, but we don’t know if there are any reproduc- Dr. Kheterpal said his group has anecdotally is available at ible patterns in football, in particular. That’s why we noted similar distinct injury patterns in other sports RSNA.org/ wanted to take a look at it.” and within football. For example, a linebacker often bulletin. any reproducible Dr. Kheterpal learned that 41.4 percent of the generates lateral motion, as the position dictates, and pubalgia cases occurred in the midline section, and is more likely to suffer a unilateral injury. A quarterback, however, patterns in football, in 44 percent had unilateral aponeurosis injury, leading Kheterpal doesn’t generate as much lateral motion, and would be more likely him to conclude that pubalgia could be prevented to receive a midline injury. He added the same could be true for particular. That’s why with focused core-strengthening training. other sports and specific positions as well, including baseball hitters Pubalgia is often referred to as “sports hernia” pal’s presentation, produced more than 1.7 million and pitchers, hockey goalies and defensemen, soccer forwards and we wanted to take a by media and has become well-known by people results. Dr. Kheterpal hastened to add, however, lacrosse attackmen. who play or follow football, as it occurs regularly to that the term is technically incorrect—rarely does “We have a feeling that depending on the position you play and athletes throughout a season. A Google search on an actual hernia occur. sport you play, you may be predisposed to a different injury,” Dr. look at it.” the term “sports hernia,” included in Dr. Kheter- Kheterpal said.  Arvin Kheterpal, M.D.

differences in clinical outcomes for intermediate-risk sometimes cost and Prostate Cancer Outcomes Worse for Arab Americans patients in biomedical control and overall survival, (with access) to Arab and Chaldean Americans had reduced cause- transportation,” he said. Significant differences in mortality and incidence exist among ethnicities when it specific survival rates and a trend towards reduced In addition, Arab and disease-free survival. Finally, in high-risk patients, Chaldean Americans comes to prostate cancer, and it appears that Arab or Chaldean (Iraqi Catholic) Arab and Chaldean Americans had significantly have significantly lower Americans in Southeastern Michigan have worse outcomes for the disease than other reduced rates of disease-free survival, according to follow up rates than their ethnic groups, said Ovidiu Marina, M.D., during an RSNA 2012 session. researchers. white and African “Outcomes were worse for Arab and Chaldean American counterparts. There is an imperative to this kind of research in areas like who were treated with definitive (brachy- Americans than for white and African Americans, but According to Dr. metropolitan Detroit, which is, according to Dr. Marina, home therapy, external beam therapy, and brachytherapy boost) we don’t know why that is,” said Dr. Dabjan although Dabjan, more investiga- to 320,000 Arab and Chaldean Americans (the largest concen- between 1991 and 2011. Patients were categorized by ethnicity Dr. Marina suggested there could be several reasons. tion will be needed to tration of Arab Americans in the U.S.) as well as Dr. Marina’s into European Americans (2,248 patients), He pointed out, for example, that the African Ameri- assess the impact of diet, institution, William Beaumont Hospital. African Americans (287 patients) and Arab and Daily Bulletin can community in the area in which the study took socioeconomic and coverage of According to co-investigator Mohamad Dabjan, M.D., also of Chaldean Americans (137 patients). Research- place is more affluent than the Arab and Chaldean cultural factors on Marina RSNA 2012 American community. outcomes, but it is clear Beaumont Hospital, while there have been studies on out- ers then compared clinical outcomes by is available at comes of prostate cancer treatment for African Americans and ethnicity according to biochemical control, In addition, said Dr. Marina, there could be that many Arab and Chaldean Americans “don’t web extras RSNA.org/ To view a video of Hispanic Americans, “there has been no large study of Arab or disease-free survival, cause-specific survival bulletin. socioeconomic issues associated with the differences screen well” for prostate cancer. “We need to Mohamad Dabjan, M.D., Chaldean Americans, and we need to see if there is any differ- and overall survival in outcomes. “This is largely an immigrant popula- educate the population about the benefits of discussing his research, ence in outcomes.” Researchers found no difference in clinical outcomes by tion,” Dr. Marina said. “So in ways they still do have early screening and detection,” he said.  go to rsnanews.RSNA.org. This study followed 2,672 patients with prostate cancer ethnicity for low-risk patients. But, while there were no barriers to care due to difficulty with language,

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of a window. Doctors followed guidelines stating that CT scans Dr. McCollough cited are typically only performed when a child loses consciousness many clinical scenarios RSNA 2012’s Patient-Centered Focus after hitting his or her head, and that “a CT scan exposes a for which ACR expert child to radiation equal to 300 X-rays, and can require seda- panels considered CT as tion, which is risky.” one of the most or the Sets Course for Radiology’s Future Doctors discharged the child without performing a CT; he single most appropriate died hours later from a subdural hematoma. imaging modality. In tandem with the message delivered by 2012 RSNA President George S. Bisset, III, M.D., in “The long and short of it is that the head CT would have Published research his President’s Address, patient-centered programming kept RSNA 2012 attendees engaged detected bleeding in his brain, likely saving his life,” Dr. McCol- cited by Dr. McCol- lough said. “Head CT finds these kinds of things everyday.” lough includes, “Acute and informed throughout the week. RSNA 2012 initiatives-including the new Radiology Cares Such incidents are likely rooted in public fear generated Appendicitis: A Meta- campaign challenging radiologists to take a more vis- by media reports relaying the hypothetical risks of radiation Analysis of Diagnostic ible and active role throughout their patients’ radiologic dosage without giving equal coverage to the overwhelming Performance CT and care—put patients front and center and established a benefits provided by CT. By contrast, the media rarely focuses Graded Compression on risks involved with not receiving a necessary CT scan. US Related to Preva- course for the future. Dr. Bisset challenged attendees “Our goal as imaging professionals is to put this informa- lence of Disease,” in to maintain this focus long after the meeting ends. “Remember that we exist to serve our tion into perspective,” Dr. McCollough said. Radiology and “Accuracy of Non-focused Helical patients...not the other way around.” Highlights of Daily Bulletin coverage include: McCollough Data Proves Efficacy of CT CT for the Diagnosis of While the risks associated with CT will continue to remain Acute Appendicitis: A 5-Year Review,” in the American Journal controversial, the benefits of medically appropriate CT are not, of Roentgenology. according to Dr. McCollough. She also recommends citing observational/retrospective Significant Benefits of CT Reflected in Literature, “We must not continue to discuss small hypothetical studies in which the clinician/surgeon determines a risks without emphasizing large, well-documented ben- Daily Bulletin management plan without CT and then re-evaluates coverage of efits,” Dr. McCollough said. “Personal experience and the plan incorporating CT results. Results quantify the Not Media Reports RSNA 2012 anecdotal stories are not enough. Consensus guidelines is available at number of changed diagnoses/management plans and Anyone who needs a reminder of the tremendous daily benefits provided by CT need and outcome studies must be cited.” RSNA.org/ the significance of those changes. Prospective, blinded, randomized trials are the gold bulletin. Above all, she stresses maximizing the benefit-to- only imagine going any length of time without the modality. standard for demonstrating the efficacy of CT, she said, risk ratio whenever possible. The goal is always to keep pointing out that such research is available for new applica- doses as low as reasonably achievable, eliminate unneces- After decades of relying on CT for everything from common stories focusing only on potential risks—however slight. tions including CT colonography and coronary CT angiographs. sary exams/phases, commit to Image Gently and Image Wisely everyday conditions to life-threatening ailments, can any of “The benefits tend to get lost, so it’s important not only to “These new applications used to be the new kids on the block, campaigns and invest in dose reduction technology. us imagine what the world would be like without CT—even for refresh our memories, but to make sure we tell patients and so in order to get accepted, researchers performed blinded, “While we can increase the benefit-to-risk ratio by de- two weeks? referring physicians of the importance of CT as well,” said Dr. randomized studies to prove their efficacy in quantitative creasing the risk (i.e. decreasing dose), the deciding factor on That was the question—and the wakeup call—issued by McCollough, a professor of medical physics and biomedical ways,” Dr. McCollough said. whether or not the exam is justified is always dominated by Cynthia H. McCollough, Ph.D., in her RSNA 2012 session, engineering at the Mayo Clinic in Rochester, Minn. The American College of Radiology (ACR) Appropriateness the benefit discussion,” Dr. McCollough said. “Radiation Dose in Medical Imaging: What Do the Numbers The benefit-to-risk ratio is often misunderstood, Dr. Mc- Criteria offers evidence-based guidelines to assist referring Really Mean?” that served as a reminder of the critical, often Collough said. She relayed the story of a small child brought to physicians and other providers in making the most appropriate life-saving benefits CT provides despite the alarmist media an emergency room crying, pale and vomiting after falling out imaging or treatment decision for a specific clinical condition.

(UPenn) Health System in Philadelphia before a patient portal cluded a “summary” of the report written in addition to the ra- Most Patients Favor Direct Access to Radiology Reports was implemented in June of this year. diologist’s full report, condensed and explained in layperson’s “Physicians were concerned that seeing reports would terms. Writing such a summary would be time-consuming for A survey of a small cohort of patients shows that the majority favor direct access to cause unnecessary anxiety for patients, and that this was not radiologists, Dr. Johnson said, but radiologists can also opt to a compassionate way to communicate with them,” said Dr. embed hyperlinks in the report to provide information on terms their radiology reports—via an online portal immediately after the study is read— Langlotz, vice-chair for informatics in the Department of Radi- that might require additional definition. according to presenters an RSNA 2012 session. ology at UPenn and a member of RSNA’s Radiology Informatics “The hyperlinks would direct patients to a credible source, Committee. “They were also concerned that they would be which those surveyed really appreciated,” Dr. Johnson said. “I am now convinced that patients want our input as radiolo- their doctor most likely had not had a chance to review them. overwhelmed with calls and questions and that patients might Asked about discrepancies between the “layperson’s” sum- gists, and that’s good news,” said Annette J. Johnson, M.D., “Those surveyed overwhelmingly thought faster would be even figure out how to call the radiologists directly.” mary and the radiologist’s full report, co-presenter Leonard M.S., a co-presenter of “Providing Reports Directly to Patients: better,” Dr. Johnson said. “Patients clearly believe that they’re However, Dr. Langlotz added, “we had 85,000 activated Berlin, M.D., was quick to respond. “There’s no reason there Should You Do It?” Dr. Johnson is an associate professor of more anxious waiting for results.” accounts, and a grand total of four patient calls.” should be discrepancies,” said Dr. Berlin, a radiologist at radiology at Wake Forest Baptist Medical Center in Winston- The results did not vary significantly according to age, gen- Richard Taxin, M.D., president of Southeast Radiology, Ltd., Skokie Hospital, Illinois, and a professor of radiology at Rush Salem, N.C. der or scenario, even when the results were indeterminate or in Pennsylvania, noted a legislative program proposed about University and the University of Illinois, Chicago. “The infor- Dr. Johnson’s team performed simulation- and focus seriously abnormal, Dr. Johnson said. Respondents frequently four years ago that would have made radiologists responsible mation should be the same, just condensed for the patient’s group-based research with a small cohort of patients, asking if answered that, given results before the opportunity to speak for providing “summary reports” directly to patients, which understanding. If the two summaries have different informa- they would like to receive results via an online portal. For the with their physicians, they would seek out information on their was dismissed as “an unfunded mandate with potentially huge tion, you’ve got a problem.” simulation, they were asked to imagine that they had under- own or seek support from a knowledgeable family member, costs.” “It’s the information age, and people are no longer satisfied gone spinal MR imaging to investigate leg weakness and back friend or fellow churchgoer. “More communication might improve patient care by mak- with someone telling them, ‘Oh, your MRI was fine,’” Dr. pain, with the results being potentially “normal,” “indetermi- The notion of providing a radiology report to a layperson ing radiologists more visible to patients, but some radiolo- Johnson concluded. “Many physicians are concerned that nate” or “seriously abnormal” (possible cancer). naturally raises concerns among radiologists, said session gists don’t want to be seen,” Dr. Taxin said. “It could reduce patients won’t understand our reports. I think we underesti- The majority of patients—45 to 60 percent—responded co-presenter Curtis P. Langlotz, M.D., Ph.D, who discussed malpractice lawsuits, but maybe we’re just kidding ourselves.” mate them.”  that they would want to see the results immediately, even if apprehensions that arose at the University of Pennsylvania Proposals to optimize communication with patients in-

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In the Spotlight:

Along with a stellar lineup of world-renowned presenters and lecturers, a full roster of cutting-edge research, technical exhibits and popular programs—many focused on patient- centered care—kept the more than 53,000 RSNA 2012 attendees on-the-go all week. Technology once again played a pivotal role with the return of the RSNA Virtual Meeting and RSNA-DxLive™ sessions and the launch of all-new Mobile Connect area staffed with RSNA experts answering attendees’ tech-related questions. Also new in 2012: attendees hit the road for RSNA’s first Annual Meeting 5k fun run, raising $20,250 for the RSNA Research & Education (R&E) Foundation. 1 5

2 6

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3 4

1 A ttendees traversed the bridge between the Lake- 6 The all-new RSNA Mobile Connect kept RSNA staff side Center and the Grand Concourse throughout busy helping attendees with tech issues ranging the week. from using QR Codes and downloading apps to posting a Tweet and participating 2 Poster presentations and education exhibits were in RSNA-DxLive™ sessions. Daily Bulletin popular attractions in the Lakeside Learning Center. coverage of 7 S panning three halls, the RSNA 3 The familiar “i” icon led attendees to Help Centers RSNA 2012 2012 Technical Exhibition featured stationed throughout McCormick Place. is available at more than 700 exhibitors. 4 2012 RSNA President George S. Bisset III, M.D., RSNA.org/  8 opened RSNA 2012 with his President’s Address fo- N ew this year, the RSNA Studio bulletin. cusing on the importance of patient-centered care. invited attendees to videotape congratulatory messages to help RSNA prepare for 5 R SNA’s first Annual Meeting 5k fun run along its 2014-2015 centennial celebration. Lake Michigan raised more than $20,000 for the Research & Education Foundation.

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For example, when most of us wake “With PACs, there is no reason to have a up, we immediately think about the central core reading site and the impact Radiologists Need SMART Strategies tasks that lie ahead or the enormity of of the satellite arrangement is totally our workload. Instead, Dr. Sood suggests isolating.” consciously beginning each day with a Isolation is compounded by what Dr. to Battle Stress thought of gratitude—one exercise in Cronan calls “volume creep,” in which what he calls “attention training.” declining reimbursement rates require “Think of five people you are grateful radiologists to read more studies each day Although radiologists pour a significant amount of energy into every aspect of their for,” he says. “Picture each person indi- to maintain their current salary. “In a way careers, few invest the time necessary to manage—or offset—the resulting stress and vidually and think about the blessings you become a hamster on a treadmill,” each offers you. Doing this every morn- he said. “You don’t realize that reading an burnout that has been shown to hit radiology harder than some specialties. ing provides an immediate alternative to extra 20 percent a year is taking a toll. As negative ruminations that often fill our fast as your read them, more will pop up. Declining reimbursement, increased exam head before we are even out of bed.” And you’re in a room by yourself.” volume, growing isolation and the threat of mal- Repeat this exercise multiple times dur- practice greatly contribute to the specialty’s risk for ing the day. “When you’re waiting for the Technology Offers Stress Relief stress and create a real need to develop a strategy to computer to boot up or your mind is in Although technology is something of a combat such stressors, according to nationally rec- wandering mode, learn to choose your double-edged sword for radiologists, it is ognized experts. Along with therapy-based training sensory input,” he said. “The more you also forging new ground in easing stress. programs, radiology departments are changing their do it, the easier it will become.” Dr. Sood’s research was the basis for work environment and embracing new technology He also suggests taking a walk in the Mayo Clinic startup, mRemedy, offering easy-access to stress-reduction methods, nature each day if possible. “Look closely which launched the Mayo Clinic Medita- among other strategies. at the details of a tree trunk, the pet- tion app for iPhone or iPod Touch and “Forty to 50 percent of physicians experience als of a wild flower, listen closely to the iPad in 2010. The app teaches users burnout nationally,” said Amit Sood, M.D., M.Sc., sounds,” Dr. Sood said. “Just by being relaxation and breathing techniques and chair of the Mayo Mind Body Initiative and an Cronan in nature you are engaging a part of the features Healing Thoughts, or gentle associate professor of medicine at the Mayo Clinic brain associated with joy.” reminders that help users stay focused on in Rochester, Minn. That data was reflected in an The Mayo Clinic study yielded prom- the positive that can be shared via e-mail, October 2012 Archives of study ising results. Of the 22 physicians who text, Facebook or Twitter. demonstrating that nearly half of radiologists completed the study, results showed a On another front, research in the reported at least one symptom of burnout. Only statistically significant improvement in October 2012 issue of the Journal of Sood , general internal medicine, perceived stress, anxiety, overall quality of Digital Imaging explores the viability of and were at equal or life and mindfulness at 12 weeks in the voice stress analysis, which can be directly greater risk of this problem, results showed. study arm compared to the wait-list con- implemented through existing speech rec- Dr. Sood was the lead author on the RSNA 2012 trol arm. ognition technology and has been proven presentation, “Stress Management and Resiliency And radiologists aren’t the only bene- to be effective in stress measurement and Training (SMART) Program Among Department factors. “I believe addressing staff well- Research by Amit Sood, M.D., M.Sc., was the analysis outside of medicine. of Radiology Faculty: A Pilot Randomized Clini- being is the best way to serve the needs of basis for the Mayo Clinic Meditation app that Despite such inroads, Dr. Sood said cal Trial,” presented by co-author Brian Gorman, Gorman patients,” Dr. Gorman said. teaches users relaxation and breathing tech- the demand for stress reduction methods M.B.B.Ch., M.B.A., a consultant in the radiology niques. The app, available for iPhone or iPod continues to grow. “For every 10 patients department at the Mayo Clinic. Reducing Isolation Can Cut Stress Touch and iPad, also features Healing Thoughts referred to us, we are only able to see that help users stay focused on the positive. “Having observed some of the negative effects of Researchers focused on building resiliency, or the ability Because some stressors are a sign of the two,” he said. Image courtesy of the Mayo Clinic. stress in our radiology department, I asked Dr. Sood to handle stress and bounce back. Because stress primarily times—growing isolation due to tech- Those not able to access his program to lead this project for us,” Dr. Gorman said. “His results from the interaction between actual events and our nological advances, for example—one directly have another option: Dr. Sood’s program of training in attention and interpretation perception of them, Dr. Sood works to retrain the mind— university is hoping to decrease stress and improve the work envi- 2010 book, “Train Your Brain....Engage Your Heart....Transform seemed well suited to the challenges facing radiolo- which often goes directly to the negative—to develop percep- ronment by taking a page from a simpler era. Your Life: A Course in Attention & Interpretation Therapy gists.” tions and responses that are positive and empowering. At Brown University in Providence, R.I., John Cronan, M.D., (AIT),” available for purchase. “We want to help radiologists understand that spearheaded an effort to minimize isolation by joining two emer- Whatever route radiologists take, Dr. Sood suggests choos- their situation is not unique and it’s not their fault,” gency room (ER) radiologists in one room instead of separating ing a strategy that helps reestablish that necessary connection to said Dr. Sood, also director of research and practice them—an arrangement common prior to the advent of PACs. all parts of your world—beyond radiology. “It’s one thing to be for Mayo’s Complementary and Integrative Medi- We want to help Launched in October 2012, the initiative is extremely popular blessed and another thing to remember you’ve been blessed,” Dr. cine Program. “Circumstances combined with the “ with radiologists who previously didn’t favor the ER rotation, pri- Sood said. q way our minds work makes stress unavoidable in radiologists understand marily because of the isolation factor, Dr. Cronan said. the age we live in.” The university has also joined its ultrasound, body CT and Web Extras In the study, 26 radiologists at the Mayo Clinic that their situation is body MR imaging into one large “body room” where four radi- To access an abstract of the Archives of Internal Medicine study, go to were randomized in a single-blind, wait-list con- ologists and four residents work together—also very popular, said archinte.jamanetwork.com/article.aspx?articleid=1351351. trolled clinical trial to either the SMART interven- not unique and it’s not Dr. Cronan, a professor of diagnostic imaging at Brown. To access an abstract of the Journal of Digital Imaging study, go to link. tion or a wait-list control group for 12 weeks. Radi- “In the old days, when radiologists were clustered together, you springer.com/article/10.1007%2Fs10278-012-9540-0. ologists participated in a 90-minute group session their fault.” could take a break, ask someone a question or get a consensus on Access the Mayo Clinic Meditation app at itunes.apple.com/us/app/mayo- in the SMART program with two follow-up phone a case and you interacted with your colleagues,” Dr. Cronan said. clinic-meditation/id348265081?mt=8. calls. Amit Sood, M.D., M.Sc.

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Hyson, M.D. Tucson, Ariz. Imaging, Rosangela F. Costa, M.D. Ayca Gazelle, M.D. & Andrea Diaz De Vivar & The RSNA R&E Foundation provides the research In Memory of Charles Putman, M.D. and G. Scott Gazelle, M.D., M.P.H., Ph.D. Phoenix R. Edward Coleman, M.D. J. Jesus G. Covarrubias, M.D. Juan J. Ibarra-Rovira, M.D. and development that keeps radiology in the forefront Sarah & Christian W. Cox, M.D. Daghild Dencker & Yumi & Mitsuru Ikeda, M.D. Peter D. Arfken, M.D. Jonn-Terje Geitung, M.D. of medicine. Support your future—donate today at William F. Arndt III, M.D. Gordon L. Cross, M.D. Muhammad Illyyas, B.S.C. Grace Keating Crotty & Mercedes & Miguel Gelman, M.D. Luciane & Klaus L. Irion, M.D., Ph.D. RSNA.org/donate. Christian Arseneau, M.D. Christiane Lechner & Gunter J. Augustin, M.D. James M. Crotty, M.D. Nanaka Ishida, M.D. & University Radiology, Michael Gerber, M.D. Masaki Ishida, M.D., Ph.D. Ronny Bactrach Pauline Crowley East Brunswick, N.J. Anthony P. Giauque, M.D. Shoko & Katsuhide Ito, M.D. Kenneth M. Bailey, M.D. Helio R. Cruz Jr., M.D. David S. Gierada, M.D. Tae Iwasawa, M.D. Carolina N. Baldoni, M.D. Barry D. Daly, M.D. Phyllis Glanc, M.D. Geraldine M. Jacobson, M.D., M.P.H. & Eamonn C. Bannan, M.D. Thuan T. Dang, M.D. Jason Godenir, M.D. Monroe Reed In honor of William P. Bannen Paxton H. Daniel, M.D. Kenneth N. Goldberg, M.D. Gail & Jeffrey G. Jarvik, M.D., M.P.H. Ian D. Baronofsky, M.D. Bonnie C. Davis, M.D. Individual Donors Richard S. Goldenson, M.D. Pamela G. & James S. Jelinek, M.D. Ricardo Barros, M.D. Wayne L. Davis, M.D. Trevor N. Golding, M.D. Kim Jensen Donors who give $1,500 or more per year qualify for the RSNA Presidents Circle. Their names are shown in bold face. Prabhakar Battu, M.D. Daniel M. de Godoy, M.D. Francisco De La Cruz, M.D. Steven J. Goldstein, M.D. Valerie L. Jewells, D.O. & $2,500 - $5,000 Martha & Carlos Bazan III, M.D. Elisabeth Cohen & Martin R. Prince, M.D., Ph.D. Stephen J. Beningfield, M.B.Ch.B. In memory of John C. Stears, M.D. John Summers Jayson L. Benjert, D.O. Francesca & Eduard E. De Lange, M.D. Paul E. Berger, M.D. H. Scott Beasley, M.D. Robert I. Grossman, M.D. Donna B. & Lee F. Rogers, M.D. Carlos F. De Pierris, M.D. Warren D. Goldstein, M.D. Takeshi Johkoh, M.D., Ph.D. Rosalind B. Dietrich, M.D. & Maria Vittoria Chiechi, M.D. Linda M. Gruener, D.O. Carol A. Diamond, M.D. & Nahid Taheri & Gholam R. Berenji, M.D. Alberto F. Goldszal, Ph.D., M.B.A. Bradley A. Johnson, M.D. Mark O. Bernardy, M.D. Brenda S. Foreman & William G. Bradley Jr., M.D., Ph.D. In memory of Michele Antonio Chiechi, Milton J. Guiberteau, M.D. Howard A. Rowley, M.D. Anthony J. De Raimo, M.D. Anna C. Gomez, M.B.B.Chir. Peter B. Johnson, M.B.B.S. Andrew K. Best, M.D. Marian U. & Melvin E. Clouse, M.D. M.D. Anton N. Hasso, M.D. In honor of Victor M. Haughton, M.D. Nele De Ruyter, M.D. Marisa Goncalves, R.T. Deana Jones-Braswell, M.D. & David R. Bishop, M.D. Karen E. & Glendon G. Cox, M.D. Eun-Kyung Lee & Diane & Robert Hattery, M.D. Bernard A. Sakowicz, M.D. Michael D.F. Deck, M.D. Sharon & Eric T. Goodman, M.D. John Braswell Missy & Philip A. Blaustein, M.D. Margaret C. & R. Gilbert Jost, M.D. Byung Ihn Choi, M.D., Ph.D. Claudia I. Henschke, Ph.D., M.D., M.S. In memory of George S. Naifeh Jr., M.D. Gerard J. Den Heeten, M.D., Ph.D. Jennifer & Benjamin H. Gordon, M.D. George L. Jordan, D.O. Gustav A. Blomquist, M.D. Judy S. & C. Leon Partain, M.D., Ph.D. Sandra W. Cohen, M.D. & Gregory C. Karnaze, M.D. Jeno I. Sebes, M.D. Thaworn Dendumrongsup, M.D. Robert A. Goren, M.D. Inger Lisbeth K. Josephson, M.D. Sarah A. Bochar, M.D. In honor of Herbert Y. Kressel, M.D. Harris L. Cohen, M.D. Judith & Barry T. Katzen, M.D. Arlyne T. Shockman, M.D. Kristen K. DeStigter, M.D. Albert G. Grabb, M.D. Cathy Velenchik & Lucia d. Boechat Sandy & Aslam R. Siddiqui, M.D. Michael J. Cooney, M.D. Dale & Walter Kucharczyk, M.D. William P. Shuman, M.D. Paola Devis, M.D. & Agustin Trevino Michael F. Grantham, M.D. Christopher R. Joy, M.D. Gunilla & Hugo G. Bogren, M.D., Ph.D. Lisa L. Jones, M.D. & Beth M. Deutch, M.D. Constance D. Lehman, M.D., Ph.D. In memory of Laurence A. Mack, M.D. Yvonne N. Fokkema & Dana A. Gray, M.D. William T. Joyce III, M.D. Ian Boiskin, M.D. J. Keith Smith, M.D., Ph.D. Sarah S. Donaldson, M.D. Huong (Carisa) Le-Petross, M.D. Susan & Stephen M. Smith, M.D. Cees Devries, M.D. Tamela S. & Steven M. Greenberg, M.D. Cecilia M. Jude, M.D. James P. Borgstede, M.D. & Scott S. White, M.D. Debbie & Richard Duszak Jr., M.D. Drs. Jonathan & Linda Lewin Susan K. Stevens, M.D. Thomas J. DeWind, M.D. Stuart M. Grieve, M.B.B.S., D.Phil. Bonnie Barnett & Robert L. Kagan, M.D. Martha Borgstede $1,500 - $2,499 Maxine & Paul H. Ellenbogen, M.D. In memory of Ralph J. Alfidi, M.D. In honor of Hedvig Hricak, M.D., Ph.D., Whitney & Jon J. DeWitte, M.D. Mirela A. Gurgel, M.D. & Heather J. & Jessica Vieira & Marcos P. Botelho, M.D. Jack G. Andersen, R.T. In honor of John A. Patti, M.D. Doug & Mary Anne Maynard Dr(hc) Jamie L. DiFiori, M.D. Fernando V. Gurgel, M.D. Charles E. Kahn Jr., M.D., M.S. Susi Bottger, M.B.Ch.B. & Terry Willis Teresita L. Angtuaco, M.D. & Lori Gottlieb, M.D. & Martha M. Munden, M.D. & Craig P. Thiessen, M.D. Paula M. & William I. Dittman, M.D. Lorel Gutthardt Divya & Bobby T. Kalb, M.D. Victoria & Edgardo J. Angtuaco, M.D. Elliot K. Fishman, M.D. Reginald F. Munden, M.D., D.M.D. Annamarie & Mark G. Watson William A. Guyette, M.D. Robert E. Kamieniecki, M.D. Michael N. Brant-Zawadzki, M.D. Mary A. & William D. Dockery III, M.D. Shirley Baron, Ph.D. & Jean & David B. Fraser, M.D. In memory of W.B. Munden III and E.R. Alaine & Brian C. Ying, M.B.B.S. Kelly Kormaromy, M.D. & Jacqueline & Paul D. Kamin, M.D. Andrew C. Breiterman, M.D. Elaine & Paul L. Dratch, M.D. Richard L. Baron, M.D. Mappus Ellen & Robert D. Zimmerman, M.D. Jeffrey A. Haithcock, M.D. Continued on Next Page

15 RSNA News | January 2013 January 2013 | RSNA News 16 radionews youlogy’ cans fuseuture

Alice S. & Neil B. Kappelman, M.D. Jonathan E. McConathy, M.D., Ph.D. Paul A. Neese, M.D. Krishna R. Pillai, M.D. Medical Meetings Radha Bodagala & Scott McCrimmon Edsa Negussie, M.D. Katja Pinker, M.D. Education and Funding Venkata S. Katabathina, M.D. Maura & Vincent G. McDermott, M.D. Richard S. Nenoff, M.D. Rohan V. Piyasena, M.D. Junko Kato, M.D. & Katsuhiko Kato, M.D. David McDonald, M.D. Charlene & Randy L. Niblett, M.D. James N. Place, M.D. Opportunities January-March Maria & Dennis Kay, M.D. Archie R. McGowan, M.D. Sally Nikkel Rainer N. Poley, M.D. Mary Keenan, D.Sc. Jennelle & Evaldo D. Nobrega, M.D. Kristin H. & Kent W. Powley, M.D. 2013 Judith & Howard Kessler, M.D. Alexander M. McKinney IV, M.D. Hiroshi Nobusawa, M.D., Ph.D. Rupinder Kang & January 24-27 Pawandeep S. Khanna, M.B.B.S. Brian McNamee, M.D. Munenobu Nogami, M.D., Ph.D. Vikramaditya Prabhudesai, M.B.B.S. Society of and Nathalie Boileau, M.D. & Jeanine A. McNeill, M.D. Margaret J. & John D. Noonan, M.D. Vikash Prasad, M.D. Molecular Imaging (SNMMI), 2013 Ramin Khorasani, M.D. Jean & John J. Meehan, D.O. Lois & Earl J. Nudelman, M.D. Elizabeth H. & Ethan A. Prince, M.D. Mid-winter Meeting, New Orleans Ania Z. Kielar, M.D. Stephen B. Meisel, M.D. Terence D. O’Connor, M.D. Christine & Robert M. Quencer, M.D. • www.snmmi.org Chung S. & Sung M. Kim, M.D. Gustavo A. Mercier Jr., M.D., Ph.D. Ryosuke Okumura, M.D., Ph.D. Lisa & Steven B. Quin, M.D. RSNA Education Products Available Online Tae Woo Kim, M.D. Janet M. Merfeld, M.D. Christine E. & John O. Olsen, M.D. Michael J. Quinn, M.D. January 28-February 2 Hirohiko Kimura, M.D., Ph.D. Lori W. & Cristopher A. Meyer, M.D. Matthew L. Olson Dmitry J. Rabkin, M.D., Ph.D. RSNA thanks those who visited the RSNA Store at this year’s annual Integrating the Healthcare Enter- Hal D. Kipfer, M.D. Philip M. Meyers, M.D. Satomi & Hiroaki Onaya, M.D. Habib Rahbar, M.D. prise (IHE®) North American John C. Kirby, D.O. Vera & Duane G. Mezwa, M.D. Judith A. Operchal, M.D. Gerardo Ramon meeting. Your patronage and support of RSNA through the purchase Connectathon, Hyatt Regency Judy K. Tam, M.D. & Demos Michaelides, M.B.B.Ch. Wendy D. & Bolar R. Rao, M.D. Jeffrey S. Klein, M.D. Christophe Michel Robert G. Oppenheimer, M.D. Sheshagiri A. Rao, M.D. of education products helps support the Research & Education (R&E) Chicago Kolleen Klein Alina Mihai Michael D. Orsi, M.D. Vijay M. Rao, M.D. & A.K. Rao, M.D. • www.ihe.net/Connectathon In memory of Barbara Hanson Sirimana R. Ratanaprakarn, M.D. Foundation’s mission to provide grants in research. February 1-3 Friedrich D. Knollmann, M.D., Ph.D. Yagnesh R. Raval, M.D. Did you know that RSNA members can view Kuwait International Neuroimag- Dorthe Ulrik Knudsen Your Donations in Action Amy Wisnewski, M.D. the CME credit earned at the annual meeting ing Conference (KINIC), Sheikha Meera Kollara & Maria Caldas Vasquez & Pyarelal C. Kollara, M.B.B.S. Roy F. Riascos, M.D. by logging into the online CME Repository? A Salwa Al-Sabah Hall, Marina- Uwe Kostendt By providing the necessary academic time Stanley E. Rich, M.D. member-only benefit, the repository tracks all Hotel, Salmiya, Kuwait Joseph G. Koza, M.D. to pursue his research, Moritz F. Kircher, Christine Caldwell & CME credits earned through RSNA, providing • www.neuroimaging-kw.com Herbert Y. Kressel, M.D. Michael L. Richardson, M.D. February 7-9 Elizabeth A. Krupinski, Ph.D. & M.D., Ph.D., of Memorial Hospital Paul A. Richardson, M.D. Roberto a convenient and safe way to track your CME European Society for Radiother- Michel M. Rogulski, Ph.D. Research Laboratories, Memorial Sloan-Ket- Rivera, M.D. credits. If you’ve never used the CME Repository Beth D. Kruse, M.D. & Thomas Moore Russell L. Roberts Jr., M.D. apy & Oncology (ESTRO), 4th — Elizabeth L. Kulwiec, M.D. tering Cancer Center in New York, says two Hugh J. Robertson, M.D. before, find out what you’ve been missing go to International Conference on Inno- Patrick Kupelian, M.D. RSNA grants he received “were absolutely Stephanie & Jon M. Robins, M.D. RSNA.org/CME.aspx and click “CME Repository vative Approaches in Head and Karen A. Kurdziel, M.D. & Brad Kurdziel essential for my career development.” Lisa & Neil M. Rofsky, M.D. Tutorial.” If you are missing credits or have questions regarding your CME Repository Credit, Neck Oncology, Barcelona, Spain Ruediger Kutz, M.D. Clinton Rogers, M.D. • www.estro.org Annie P. Lai, M.D. Dr. Kircher received the 2008 Philips Moises Roizental, M.D. contact the Education Center at [email protected] or call1-800-272-2920. Kent T. Lancaster, M.D. Medical Systems/RSNA Research Resident Steven J. Rooney, M.D. All RSNA education products are also available at RSNA.org/education/search. Browse hundreds February 8-9 Heleen Brody-Lang & Grant for the project, “Noninvasive In Vivo Mark A. Rosovsky, M.D. of CME opportunities, ranging from online Refresher Courses to Cases of the Day. RSNA, ASTRO, Co-sponsored Jeffrey N. Lang, M.D. Allen J. Rovner, M.D. Cancer Imaging and Radiation Bradley G. Langer, M.D. Imaging of Pleiotropic Statin Effects on Monocyte Trafficking to Jeremy T. Royal, M.D. Not familiar with RSNA’s online education search feature? Let us show you just how quick and Therapy Symposium, The Hilton Inga Langner, M.D. & Atherosclerotic Plaques” and the 2011 Bayer Healthcare/RSNA Sudipta Roychowdhury, M.D. simple it is to earn CME and SAM credit. Go to RSNA.org/Education_Offerings.aspx and click on Walt Disney World Resort, Soenke Langner, M.D. Research Scholar Grant for the project, “A Dual-Modality MRI- Lynne Ruess, M.D. “Online Education Tutorial.” Orlando, Fla. Eu-Meng Law, M.B.B.S. Leon D. Rybak, M.D. Sena Leach SERS Nanoparticle for Molecular Imaging of Brain Tumors.” Muriel & Patrick Sabbah, Ph.D. Our CD collections are priced at a 25 percent savings as compared to buying each CD indi- • www.cancerimagingandrtsympo Elizabeth H. & David A. Lee, M.D. “The RSNA scholar grant was my first extramural grant as a Alberto Sahagun, M.D. vidually. This year we’ve added two new collections: sium.org Bruno B. Leite, M.D. junior faculty member and resulted in 10 additional successful Fumikazu Sakai, M.D., Ph.D. • Pediatric Gastrointestinal Collection: Explore CT and MR imaging strategies for pediatric gas- February 9-14 Darlene & Keith D. Lemay, M.D. Noriko Salamon-Murayama, M.D. & International Society for Optics Robert E. Lenkinski, Ph.D. grant applications in the first year, with a total grant budget now Georges Salamon, M.D. trointestinal concerns, including liver disease, gynecological anomalies, renal disease and other and Phototonics (SPIE), Medical Michael L. Lester, M.D. totaling more than $2.7 million,” Dr. Kircher said. Jason P. Salber, M.D. acute gastrointestinal conditions; includes two CDs offering 2.75 AMA PRA Category 1 Credits™. Imaging 2013, Disney’s Coronado Beth Ladisla & Gary F. Leung, M.D. The funding allowed Dr. Kircher to build a research labora- David C. Sallee, M.D. • Abdominal Collection: A comprehensive review of great cases in abdominal imaging, including Christopher S. Levey, M.D. Martha R. Young & Springs Resort, Lake Buena Vista, Deborah Levine, M.D. & tory focusing on the development of novel multimodal nanopar- Dmitri E. Samoilov, M.D. identification and characterization of malignancies of the liver, kidneys, biliary tract and pan- Fla. Alex Jesurum, Ph.D. ticles for combined pre- and intraoperative imaging of cancer Laura M. Sanchez, M.D. creas; includes three CDs offering 4.50 AMA PRA Category 1 Credits™. • www.spie.org Lauren S. Levy, M.D. & Cynthia J. Sandberg, M.D. & Ronald Aboody, M.D. resulting in research published in journals including Radiology. Scott A. Sandberg, M.D. For more information or to purchase the CD collections, go to RSNA.org/education/search or February 21-24 Errol Lewis, M.D. “We have filed two patent applications and are currently plan- Mark J. Sands, M.D. call the Education Center at 1-800-272-2920. American Society of Spine Rosina & King C. Li, M.D. ning to create a company around our Raman nanoparticles,” Dr. Joseph P. Santoro, M.D. Radiology (ASSR), Annual Sym- Timothy W. Lillick, M.D. Kircher said. Sheila Velloso & posium, JW Marriott Camelback Jay Lin, M.D. Leonardo V. Santos, M.D. Inn Scottsdale Resort & Spa, Ariz. Spencer Lister, M.D. Pedro C. Santos, M.D. • www.theassr.org Alan M. Litwin, M.D. Agnes C. Santosa, M.D. & RSNA Introduction to Research for International Young Academics Yuen Chi Liu, M.D. Nadia A. Millan, M.D. & Hugo E. Tejeida Wendy & Robert Orth, M.D., Ph.D. Jonathan M. Gurney, M.D. February 24-March 1 Jorge Llanos, M.D. Silvia Millan, M.D., Ph.D. Hayler H. Osborn, M.D. Hamia Hamal & Deadline for nomi- The RSNA Committee on International Radiology and Society of Abdominal Radiology Veronica Llorens, M.D. Sharon & Robert M. Miller, M.D. Joseph P. O’Sullivan, M.D. Bassam W. Sawwaf, M.D. nations—April 15 (SAR), Annual Meeting, Grand Sheri Saltzman & Robert J. Min, M.D. Carolina K. Otani Ee-Loon Tham & Simon S. Lo, M.D. Richard R. Saxon, M.D. Education (CIRE) seeks nominations for the 2013 Wailea Resort, Maui, Hawaii Jerrold H. Mink, M.D. Randolph K. Otto, M.D. Nicole Lebon-Scagnelli & Peter C. Loessl, M.D. • www.abdominalradiology.org Annika Loft Carol & Anthony J. Minotti, M.D. John Paganini Thomas Scagnelli, M.D. program that encourages young radiologists from countries outside Kay D. Lozano, M.D. & John Lozano Shachi & Malay K. Mody, M.D. Robyn & Nick K. Pang, M.B.B.S. Mary H. Scanlon, M.D. North America to pursue careers in academic radiology by: March 3-7 Cheemun Lum, M.D. Johnny U. Monu, M.D. Stanley L. Parker, M.D. Anna Scheurecker, M.D. Healthcare Information and Vincent A. Magnotta, Ph.D. In honor of Andrew A. De Smet, M.D. Erki Parri, M.D. Jose Luiz d. Schiavon, M.D. • Introducing residents and fellows to research early in their training Management Systems Society David E. Moody, M.D. Dakshesh B. Patel, M.D. W. Jamie Malone, D.O. Sari R. & Neil F. Schneider, M.D. • Demonstrating the importance of research to the practice and future of radiology (HIMSS), Annual Conference and Bruce B. Moor, M.D. Jash I. Patel, M.D. Stefan H. Schneider, M.D. Shella Manansala • Sharing the excitement and satisfaction of research careers in radiology Exhibition, Ernest N. Morial Daniel J. Margolis, M.D. Christopher C. Moore, M.D., Ph.D. Jay U. Patel, M.D. Barbara & Lloyd B. Schnuck Jr., M.D. Camila & Jefferson R. Marques, M.D. Alexandre F. Morin, M.D. Nisha R. Patel, M.D. Joelle M. Schoonjans, M.D. & • Introducing residents to successful radiology researchers, future colleagues and potential mentors Convention Center, New Orleans Diego R. Martin, M.D., Ph.D. David Motiuk, B.S. Sean D. Paulsen, M.D. Jean Pascal Machiels The program consists of a special four-day seminar held during the RSNA Scientific Assembly • www.himssconference.org Melissa C. Martin, M.S. & Maureen L. Mulcahy, M.D. Alison Smith & David M. Paushter, M.D. Alejandro Schroeder March 7-11 In memory of Charles E. Metz, Ph.D. Jennifer & Don R. Schroeder, M.D. and Annual Meeting. CIRE recommends 15 international young academics for consideration by Donald Martin, Ph.D. Christiane Mullins, M.D. The European Society of Radiol- In Ki Mun, Ph.D. David R. Payne, M.D. Michel Schupak, M.D. the RSNA Board of Directors each year. Complimentary registration, shared hotel accommoda- Sandra B. Martin, M.D. & ogy (ESR), European Congress of John H. Martin Jr. Akira M. Murakami, M.D. David R. Pede Anthony J. Scuderi, M.D. tion for the duration of the program and a stipend to help defray travel expenses are awarded to Samira & Silvio G. Marugg, M.D. Roel D. Mus, M.D. Avanee Shah Peel, M.D. Clark L. Searle, M.D. Radiology (ECR), Austria Center Sandi & Terence A. Matalon, M.D. Jennifer & Lennard A. Nadalo, M.D. Judith Castillo-Perez & Leanne L. Seeger, M.D. & successful candidates. Vienna Queneau Mathieu Raja & Surya P. Nadimpalli, M.D. Juan Carlos L. Perez Lozada, M.D. Rudi Foorman Eligible candidates are residents and fellows currently in radiology training programs or radi- • www.ecr.org Renato A. Matsumoto, M.D. Grace & James B. Naidich, M.D. Elisabeth & Jed R. Peterson, M.D. Ted A. Seltman, B.S. ologists not more than two years out of training who are beginning or considering an academic Constance K. Maves, M.D. & Abdelmohsen E. Nakhi, M.D. Jeffrey R. Petrella, M.D. Kitt Shaffer, M.D., Ph.D. & Find more events at Scott S. Maves Marvin S. Nathens, M.D. Bragan D. & W. Banks Petrey, M.D. Timothy Titcomb career. Nominations must be made by the candidate’s department chairperson or training director. RSNA.org/calendar.aspx. Emma B. & H. Page McAdams, M.D. Miguel E. Nazar, M.D. Nuala & Douglas E. Pfeiffer, M.S. Rohini & Rajiv R. Shah, D.O. Fluency in English is required. Mark J. Pfleger, M.D. Blake M. McClarty, M.D. Stacy & Steven D. Needell, M.D. Continued on Page 23 Nomination forms are available at RSNA.org/IRIYA.

17 RSNA News | January 2013 January 2013 | RSNA News 18 nnewsews you you can can use use

Journal Highlights The following are highlights from current issues of RSNA’s two peer-reviewed journals.

Gastroenteropancreatic Neuroendocrine Tumors: Role of Imaging in Diagnosis and Management Coronary Artery Disease Focus of Radiology Select, Volume 3 The newest volume of Radiology Select, Volume 3: Coronary Artery Disease, Advances in imaging techniques and the extensive use of endo- Coronal reconstruc- Coronary Artery Disease RSNA.ORG/RADIOLOGYSELECT scopic approaches in clinical practice have led to increased tion contrast-enhanced is now available to RSNA members and non-members for purchase. Volume 3 A continuing series of selected Radiology articles that highlight developments in imaging science, techniques, and clinical detection of gastroenteropancreatric neuroendocrine tumors arterial phase CT image The third in the continuing series of selected Radiology articles focusing on a specific subspe- practice. (GEP-NETs), a heterogeneous and complex group of neoplasms of functioning pancre- cialty topic, Radiology Select, Volume 3, contains 30 Radiology articles on topics including basic atic NET in a young with a wide spectrum of clinical manifestations. image formation and artifacts on cardiac MR, radiation reduction methods, advanced cardiac CT woman shows pancreatic In a State-of-the-Art article in the January issue of Radiology and MR imaging techniques, cardiac viability imaging, multimodality imaging and evidence-based insulinoma (arrow) with clinical applications of diagnostic and prognostic techniques. Volume 1 focused on pulmonary nod- (RSNA.org/Radiology), Dushyant V. Sahani, typical imaging features ules; Volume 2 covered stroke. M.D., of Massachusetts General Hospital such as small size (9 Guest editors: The edition is available in print, online and tablet formats. To purchase and for information on Marc Dewey, MD in Boston, and colleagues discuss recent mm) and avid enhance- Karen G. Ordovas, MD Albert de Roos, MD improvements in morphologic and functional imaging that have ment. Radiology Select, visit RSNA.org/RadiologySelect. contributed to patient care in terms of detecting and character- (Radiology 2013;266;1:38–61) ©RSNA, 2013. All rights izing the primary lesions and in staging and follow-up. reserved. Printed with All neuroendocrine tumors have a malignant potential, but permission. tumor grade and cell differentiation information at histopatho- The Value of Membership logic examination is essential to accurately stratify the patient’s risk for metastases and recurrence, the authors write. Renew Your RSNA Membership Now “Morphologic imaging using contrast-enhanced MDCT and MR imaging are most widely Featured Benefit: RSNA Weekly RSNA membership includes many benefits, such as used in initial evaluation, in monitoring response to treatment and in screening high-risk individuals, RSNA Weekly, a weekly briefing on news affecting your subscription to RSNA News and: while functional imaging techniques are useful both for detecting tumors and selecting patients for • Subscription to Radiology and RadioGraphics receptor-targeted therapy,” according to the authors. the profession, is a free RSNA member benefit. • Access to the myRSNA personalized Web portal Coming soon is a new design. • Free tools to help with Each Tuesday, RSNA Weekly is delivered directly to members continuing medical Spectrum of Critical Imaging Findings in Complex Facial Skeletal Trauma by e-mail and posted at RSNA.org/rsnaweekly/currentissue.html. education 1234 Members may “opt out” of receiving RSNA Weekly by clicking • Free advance registration Multidetector CT (MDCT)—which helps accurately identify and characterize to the RSNA annual the link included at the bottom of each week’s e-mail. John W. Smith, M.D. fractures and associated complications—is the modality of choice for evaluating One of the purposes of RSNA Weekly is to make RSNA meeting MEMBER ID 123456789 Renew online at RSNA. facial trauma. In particular, MDCT clearly depicts clinically relevant fractures in members aware of what their patients, fellow physicians and the eight osseous struts or buttresses that function as an underlying scaffold for org/renew or by mail with the invoice sent to you allied professionals are reading. early in October. For more information, please contact facial structures. Members are encouraged to e-mail their comments regard- In an article in the January-February issue of RadioGraphics (RSNA.org/ [email protected] or 1-877-RSNA-MEM (1-877-776- ing RSNA Weekly to [email protected]. RadioGraphics), Blair A. Winegar, M.D., of the University of Texas Health Science 2636) or 1-630-571-7873 outside the U.S. and Canada. Center at San Antonio, and colleagues provide an overview of the facial skeletal anatomy and describe the system of facial buttresses— helpful in determining the type of fracture and identifying associated soft-tissue injuries that may require urgent care or sur- Residents & Fellows Corner gery. The authors also: • Describe the spectrum of fractures that may be seen in facial skeletal trauma, emphasizing the buttress most likely to be affected by each fracture pattern. New Journal Position Focuses on Resident, Fellow Education • Discuss critical features that may be seen at imaging that are likely to have RadioGraphics a bearing on the clinical management, surgical repair and outcome of facial New Editorial Board Mem- and Fellow Committee on initiatives. “Books are a great place to start learning ber Jennifer A. Harvey, M.D., said she’s “RadioGraphics publishes excellent the basics, but standards can change faster trauma. System of facial buttresses. Three-dimensional • Review surgical management of fractures and their associated complications CT images of an adult skull in frontal orientations excited to bring her love of teach- material at the resident/fellow than books can incorporate the material,” RadioGraphics according to the specific facial buttress involved. with color overlays show the superficial aspects ing to RSNA’s education journal. level, but it is probably a little she said. “ articles are culled Radio- “Accurate classification of facial fractures and identification of related of the horizontal and vertical facial buttresses. Dr. Harvey will work with challenging for a resident or fellow from the highest quality education exhibits The horizontal buttresses are the upper transverse Graphics complications by the radiologist permit prompt surgical management and an Editor Jeffrey S. Klein, to find, unless his or her attending at RSNA and are often more timely in maxillary (yellow), lower transverse maxillary M.D., to develop a resident- happens to know and mentions a the communication of new applications improved clinical outcome of these common traumatic injuries,” the authors (green), upper transverse mandibular (orange), and write. “The facial buttress concept elucidates the structurally meaningful skel- specific component of the journal particular article,” Dr. Harvey said. or modalities than textbooks. In addition, lower transverse mandibular (purple) buttresses. and identify previous and future “My goal is to identify articles that the articles are often written by people etal struts that play a role in facial form and function and helps identify the The vertical buttresses are the medial maxillary regions that are likely to require surgical reconstruction.” content directed at trainees, par- may be particularly good for train- who love to teach, so they make for a good (red), lateral maxillary (blue), posterior maxil- ticularly from exhibits and courses ees and make them easy to find read. lary (magenta), and posterior vertical mandibular Harvey at the RSNA annual meeting. and use.” “I believe this new position, with its This article meets the criteria for AMA PRA Category 1 Credit™. CME is available in print and online. (purple) buttresses. (RadioGraphics 2013;33;in press) ©RSNA, 2013. All rights Dr. Harvey, a professor of radiology and RadioGraphics is an important educa- specific focus on residents and fellows, will reserved. Printed with permission head of the Division of Breast Imaging at tional resource that helps residents and help a lot of trainees become more com- the University of Virginia Health System, fellows keep pace with rapidly changing petent and confident in their skills,” Dr. will also work with the RSNA Resident practice standards, Dr. Harvey added. Harvey added.

19 RSNA News | January 2013 January 20122013 | RSNA News 20 nnewsews you you can can use use

Radiology in Public Focus Press releases were sent to the medical news media for the following articles appearing in recent issues of Radiology.

Default-Mode Network Disruption in Mild Traumatic Brain Injury Assessing Radiologist Performance Using Combined Digital Mammography and Breast Abnormal default-mode network (DMN) Tomosynthesis Compared with Digital Mammography Alone: Results of a Multicenter, connectivity patterns found in patients Multireader Trial with mild traumatic brain injury (MTBI) Tomosynthesis added to digital mam- raphy was superior to that of digital may provide insight into how neuronal mography offers the dual benefit of sig- mammography alone. Two reader communication and information integra- nificantly increased diagnostic accuracy studies demonstrated a consistent and tion are disrupted among DMN key struc- and significantly reduced recall rates for statistically significant gain in diagnostic tures after mild head injury, new research noncancer cases, new research shows. accuracy (6.8 percent and 7.2 percent) shows. Elizabeth A. Rafferty, M.D., of Mas- when breast tomosynthesis was added In a study comparing 23 patients with sachusetts General Hospital in Boston, to conventional digital mammography. MTBI who experienced posttraumatic and colleagues obtained mediolateral A significant reduction in recall rates for symptoms shortly after injury with 18 age- Group t test maps of single-subject ICA results and comparison between patients with MTBI oblique and craniocaudal digital mam- noncancer cases was demonstrated with matched healthy control subjects, Yongxia and control subjects. The difference maps of comparison of MTBI and control groups show mographic and tomosynthesis images the addition of breast tomosynthesis Zhou, Ph.D., of the New York University decreased connectivity regions in blue and increased connectivity regions in yellow. of both breasts from 1,192 subjects for all 12 radiologists in study 1 (mean School of Medicine, and colleagues used (Radiology 2012;265;3:882–892) ©RSNA, 2012. All rights reserved. Printed with permission. recruited from five sites. Two enriched reduction, 38.6 percent) and all 15 resting-state functional MR imaging at with control subjects. The reduced pos- can be used as an additional clinical tool reader studies were performed to com- radiologists in study 2 (mean reduction, 3T to characterize the DMN by using terior connectivity correlated clinically for detecting subtle brain injury that is not pare digital mammography with tomo- 17.1 percent). independent component analysis. Results with neurocognitive dysfunction while the apparent with conventional MR imaging synthesis against digital mammography “Tomosynthesis imaging may showed significantly reduced connectivity increased frontal connectivity correlated and for better understanding the underly- alone. Study 1 comprised 312 cases improve breast cancer detection while in the posterior cingulate cortex (PCC) with posttraumatic symptoms. ing disease pathophysiology of postconcus- (48 cancer cases) with images read by reducing recall rates at mammographic and increased frontal connectivity around “Our results of disrupted DMN syn- sion syndrome (PCS),” the authors write. 12 radiologists; study 2 comprised 312 screening, avoiding unnecessary addi- the medial prefrontal cortex (MPFC) chrony and connectivity in MTBI suggest cases (51 cancer cases) read by 15 radi- tional testing and decreasing attendant Tomosynthesis images of an invasive ductal nodes in patients with MTBI, compared that resting-state functional MR imaging ologists. anxiety, inconvenience and cost for carcinoma. Diagnostic accuracy for combined women,” according to researchers. (Radiology 2013;266;1:104–113) ©RSNA, 2013. All rights reserved. Printed with permission. tomosynthesis and digital mammog- Stereoscopic Digital Mammography: Improved Specificity and Reduced Rate of Recall in a Prospective Clinical Trial RadiologyInfo.org App Media Coverage of RSNA Compared with digital mammography (DM), stereoscopic DM In September and October, media outlets carried 589 significantly improves specificity for detection of cancer while Now Available RSNA-related news stories. These maintaining comparable sensitivity, according to new research. RadiologyInfo.org, the The recall rate was significantly reduced with stereoscopic DM RSNA/American College stories reached an estimated 316 compared with DM. of Radiology public infor- million people. RADIOLOGY.RSNA.ORG JANUARY 2013 VOLUME 266 NUMBER 1 In the study, Carl J. D’Orsi, M.D., of the Emory University mation website, recently Print and broadcast coverage included RADLAX 266 (1) 1–368 School of Medicine and the Winship Cancer Institute at Emory launched its Patient Safety Manchester Times, Imaging Technology News, University in Atlanta, and colleagues compared stereoscopic DM in Imaging app for tablet WOR-AM (New York) and WGN-AM (Chicago). to 2D digital mammography in 779 patients at elevated risk of devices and iPhones. The online coverage included Yahoo! News, developing breast cancer due to family history. Patients received app offers information MSN, U.S. News & World Report, Doctor’s

both exams in a single visit, and two experienced radiologists related to numerous safety 3A This Month in Radiology 3 Communications Guide, Examiner.com, MarketWatch, Science 14 Reviews and Commentary 72 Original Research independently interpreted a total of 1,298 exams. Imaging find- topics including radiation Daily, Diagnostic Imaging and AuntMinnie.com. 355 Diagnosis Please ings were correlated with results of one-year follow up or biopsy. The complete stereo display system used in the study. dose, radiation safety for Compared with DM, stereoscopic DM showed significantly (Radiology 2013;266;1:81–88) ©RSNA, 2013. All rights reserved. Printed with permis- pediatric patients and CT/ higher specificity (91.2 percent vs. 87.8 percent) and accuracy sion. MR during pregnancy. (90.9 percent vs. 87.4 percent) for detection of cancer. Sensitivity The app contains 18 vid- January Outreach Activities Focus for detection of cancer was not significantly different for stereo- improving overall accuracy,” the authors write. “Further study is eos to help illustrate content. on Understanding Radiology scopic DM (68.4 percent) compared with DM (63.2 percent), warranted to determine the efficacy of stereoscopic DM at a total Download the easy-to-navigate app for iPad, iPhone results showed. and Android tablets at: In January, RSNA’s 60-Second Checkup radio program focuses on dose equal to that of DM for breast cancer detection and in a increasing the understanding of radiology among the general public “Use of stereoscopic DM could decrease the number of recalled general, non-high-risk population.” • Google Play: play.google.com/store/apps/details?id=org. findings, while preserving sensitivity for cancer detection and rsna.radiologyinfo and informing listeners of the importance of radiology in modern • iTunes: itunes.apple.com/us/app/radiologyinfo.org/ medicine. id572550481?mt=8

21 RSNA News | January 2013 January 2013 | RSNA News 22 news you can use

RSNA 2012 Call for Abstracts Journal Ad.eps 1 9/11/12 10:12 AM Annual Meeting Watch THE NEW RSNA.org

DO YOU WANT TO PRESENT AT RSNA 2013? SUBMIT ABSTRACTS FOR SCIENTIFIC PRESENTATIONS, APPLIED SCIENCE, EDUCATION EXHIBITS, News about RSNA 2013 QUALITY STORYBOARDS, AND QUANTITATIVE IMAGING READING ROOM SHOWCASE. Boost Your Professionalism IQ with RSNA 2013 Online Abstract Submission Opens mid-January DEADLINE: WEDNESDAY, APRIL 10, 2013 12:00 NOON CHICAGO TIME The online system to submit abstracts for RSNA 2013 will be activated SUBMIT ONLINE: RSNA.ORG/ABSTRACTS RSNA Tools and Resources in mid-January. The submission deadline is 12 Noon Central Time on Wednesday, April 10, 2013. Abstracts are required for scientific presenta- Radiologists planning to stay ahead of the

Questions? Call 1-877-776-2227 (within U.S.) or 1-630-590-7774 (outside U.S.) tions, education exhibits, applied science and quality storyboards. Includes sessions in joint sponsorship with the American Association of Physicists in Medicine DECEMBER 1–6 | McCORMICK PLACE, CHICAGO curve on one of radiology’s core competen- To submit an abstract online, go to RSNA.org/abstracts. cies—professionalism—will find a host of The easy-to-use online system helps the Scientific Program Committee and Education Exhibits Committee evaluate submissions more efficiently. For more information about the abstract submission process, contact the RSNA Program resources and information essential to their Services Department at 1-877-776-2227 within the U.S. or 1-630-590-7774 outside the U.S. practice on newly added professionalism pages on RSNA.org. Located under Education Offerings on the Science & Important Dates for RSNA 2013 Education page, the Ethics and Professionalism Modules April 10: 2013 Call for abstracts deadline 12 Noon CT. and Professionalism Resources pages offer a range of May 8: Member registration and housing open at 8:30 a.m. CT innovative tools and resources designed to help bolster June 5: Non-member registration and housing open at 8:30 a.m. CT your professionalism IQ. July 10: Course enrollment opens at 8:30 a.m. CT A series of Web-based vignettes that provide October 25: International deadline to have full conference badge mailed thought-provoking scenarios in an interactive question- November 8: Final housing and discounted registration deadline at 5 p.m. CT and-answer format are a highlight of the Profession- November 27: Deadline to guarantee a seat for all ticketed courses at 5 p.m. CT alism Page. Designed by the RSNA Professionalism December 1-6: 99th Scientific Assembly & Annual Meeting Committee, each vignette illustrates a real-life situation with a professional dilemma, followed by a series of multiple-choice questions that draw attention to impor- R&E Foundation Individual Donors tant, specific teaching points on professionalism. Continued from Page 17 Leann S. Stokes, M.D. Isabelle Trop, M.D., M.P.H. & Ewa M. Wasilewska, M.D. & Vignette topics include: “Disclosure of Radiologic Jean-Francois Michaud Michael Wasilewska Wales R. Shao, M.D. Janet M. Storella, M.D. David Ulrich, B.A. Kara J. Waters, M.D. & Ken Waters Error” to a patient and “Partner Relationships.” New Deborah R. Shatzkes, M.D. Asmund Straum, M.D. Monica Caicedo & Juan N. Useche, M.D. Faith A. Weidner, M.D. Teri & Jaime M. Sheperd, M.D. Arnold M. Strimling, M.D. vignettes will be added soon. Muhammad U. Usman, M.B.B.S. Christina & Ronald R. Weis, M.D. Cynthia S. Sherry, M.D. Matthew T. Studley, M.D., M.P.H. Jennifer W. Uyeda, M.D. Pamela A. Wells, M.D. & Scott D. Wells Ethics and Professionalism modules are self-guided Gregory S. Shields, M.D. Valmore Suprenant, M.D. Gert J. Van Der Westhuizen, M.B.Ch.B. Donna & Josef C. Wenker, M.D. Mark S. Shiroishi, M.D. Nelly Susanto, M.D. and include self-testing features to help users assess Peter H. VanGeertruyden, M.D. Harold A. White, M.D. Richard Shoenfeld, M.D. David C. Swanson, M.D. Marijn van Stralen, Ph.D. Jennilee & Aaron B. Wickley, M.D. comprehension and application of the principles and practices described in the module. Priscilla M. & Paul J. Shogan, M.D. Ghulam M. Syed, M.B.B.S., Ph.D. Colleen Vandermark, R.T. Jerold S. Wilcox, M.B.A. Debby & Randy R. Sibbitt, M.D. Saam P. Tabar, M.D. The material been approved for AMA PRA Category 1 Credit™ and has been qualified by Prasad Vasireddy, M.D. Benjamin W. Wilkerson, M.D. Ana Sierra, M.D. Doug B. Tait, M.D. Martin J. Willemink, M.D. the American Board of Radiology for SAM credit in fulfillment of MOC requirements. Alberto Pedro R. Silva, M.D. Tainara Lima & Fabio S. Takeda, M.D. In honor of Oscar C. Zink Jr., M.D. Satish Venkataperumal, M.D. Tineke P. Willems, M.D., Ph.D. Erlana Veras & Gayle & James M. Tallman, M.D. Module topics include: “Attributes of Professions and Professionalism,” “Physician- Jose Roberto Silva Jr., M.D. An Tang, M.D. Sayaris B. Vergara, M.D. & Chad R. Williams, M.D. Batista Vergara Physician and Physician-Patient Interaction,” “Personal Behavior,” “Peer Review” and Bruce D. Simonds, M.D. Chihiro Tani, M.D. Heidi Wilson, M.S. & George Wilson Patricia L. Verhulst, M.D. & Sudha P. Singh, M.D. & Lynne F. Taus, M.D. John R. Wohlwend, M.D. “Contract Negotiations with Employers.” Michael E. Dodd Pradumna P. Singh Kathryn Taylor Robert Wolek, M.D. Prasanna Vibhute, M.D. Rolando D. Singson, M.D. Siew K. Teoh, M.D. & Ira S. Wolke, M.D., Ph.D. Patricia & Richard I. Vigran, M.D. Heath Skinner, M.D., Ph.D. Patrick Y. Wen, M.D. Constance & Edward Y. Wong, M.D. Radhika Darapureddy & Suzanne M. Slonim, M.D. Nina L. Terry, M.D., J.D. Alison Wright, M.B.A. Ram K. Vijay, M.B.B.S. Bruce A. Smith, M.B.Ch.B. Ruedi F. Thoeni, M.D. Joseph H. Yacoub, M.D. Roberto L. Villavicencio, M.D. Russel D. Smith, M.D. Graeme Thomas, M.D. Airton Yamada Morten Vinther Emilie Soisson, Ph.D. Moriah E. Thomason, Ph.D. Toshio Yamaguchi, M.D., Ph.D. Kusum Yadav & Kingal Virshni, M.D. Kurubarahalli R. Saroja, M.D. & Norman B. Thomson III, M.D. Richard S. Young, M.D. John D. Wade, M.D. Kudavalli N. Somashekar, M.D. Quinn Thomson, M.S. David M. Yousem, M.D. Coming Next Month Jason M. Wagner, M.D. Tong Oon Soon, M.Med., M.B.A. William E. Tiemann, M.D. Tamsin Knox & E. Kent Yucel, M.D. Kyle R. Walker, D.O. Gilles P. Soulez, M.D. Catherine Tindall June Lee & Ernest M. Yuen, M.D. Sharon K. Wallace, M.D. & Douglas C. Read about the current state of radiology in Brazil, including the latest topics in MR imaging Jenna & Mark R. Southard, M.D. Bill Titus Syed Furqan H. Zaidi, M.D. Wallace, M.D. Cande L. Sridhar, M.D. Michael Toepker, M.D. Andrej J. Zajac, M.D. Claus-Peter Wallner, M.D. presented by RSNA 2012 researchers, in next month’s issue. Prachi P. Agarwal, M.D. & Barbara C. Tomek, M.D. Syed Shan S. Zamir, M.D. Scott Walter, M.S. Ashok Srinivasan, M.D. Marla Sarmiento & Vanessa M. Zayas-Colon, M.D. & Carolyn L. Wang, M.D. & Andrea & Gregory S. Stacy, M.D. Carlos H. Torres, M.D. Walter Radosta George Wang, M.D. Paul T. Stanton, M.D. Georgia D. Tourassi, Ph.D. & Olga & Christoph L. Zollikofer, M.D. Jennifer & Shih-Chang Wang, M.D. Michele & Joseph R. Steele Jr., M.D. Nicholas P. Xenopoulos, M.D. Timothy Zuck Dianne & Phuoc T. Tran, M.D., Ph.D. Denise M. Warner, M.B.B.S. & Roberta Morgado & Jill Steinkeler, M.D. & Bruce Allen Jared Silverstein, M.D. Sophie A. Tremblay-Paquet, M.D. Henrique B. Zuppani, M.D. John J. Stephens, M.D. Martin Zwaan, M.D.

23 RSNA News | January 2013 January 2013 | RSNA News 24 Refer Your Patients to RadiologyInfo.org

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