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Mark your ASHNR calendars for the N ASHNR 42nd SPRING 2008 Annual Meeting E VOL 8, NO. 1 September 1 0–14, 2008 Hilton Hotel W Toronto, , Canada S

AMERICAN SOCIETY OF HEAD AND NECK RADIOLOGY

message from the PRESIDENT Upcoming Patient Safety Initiatives Request for ASHNR Membership Input

Timothy L. Larson, MD

The Institute of Medicine’s publica - formed consent might need to be One can expect that ACR “standards” tions “To Err is Human” and obtained before imaging. will evolve out of this meeting. “Crossing the Quality Chasm” began a One of the roles of the ASHNR In early August the ABR will hold a cascade of safety and quality initiatives president is to build relationships with Maintenance of Certification and that continues today. It is only natural other imaging societies and to repre - Practice Quality Improvement that since Radiology places a central sent the ASHNR. The emphasis at Summit. The purpose is to develop ra - role in patient care that many of these several of these meetings for the last diation safety-related Practice Quality changes have or will affect us daily. few years has been on quality and pa - Improvement projects. I can recall 5 years ago the novelty tient safety and that emphasis will con - This June, the RSNA is initiating of the “safety pause.” It’s become such tinue this summer. This brief message a consensus process involving com - an ingrained part of me now that I has two purposes. First, to inform mittees of clinical experts to create even pause before deciding to “sign” ASHNR members of these initiatives; best-practices templates for radiology or “send to editor!” It used to be ade - secondly, to allow the ASHNR mem - reports based on standard terminol - quate to know the patient’s creatinine. bership an opportunity for input to ogy. Before embarking on this Five years ago, I wouldn’t have been mold and shape these initiatives. process, the RSNA intends to pro - able to define the eGFR but we now This year’s ACR Intersociety pose a standard format in which these calculate it on every patient before ad - Summer Conference will be held in reports will be stored, transmitted, ministering contrast in CT or MR. late July. The program, “Ensuring and rendered. This past year there have been Patient Safety,” reflects the desire to These meetings bring to mind re - many front page articles in the lay perform imaging examinations in a safe curring challenges and questions. How press on radiation safety. It has become manner while still providing diagnostic is quality to be defined? Should there common for patients to inquire about information. Specific safety topics will be standards for image interpretation? the risk and benefits of procedures include the safe use of contrast agents, Can outcomes be improved while em - using ionizing radiation. Several re - minimizing radiation dose, avoiding phasizing meaningless process mea - cent articles even suggest that in - imaging labeling errors and MR safety. surements? How will productivity be

Message From the President continued on page 4

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Message from President-Elect/Program Chair

Edward E. Kassel, MD

On page 3 of this issue of ASHNR of ASHNR News as a final reminder. on the ASHNR website as well as in News , you will find a listing of the The ASHNR has kept the meeting the registration brochure to be mailed head and neck programming to be registration fees unchanged since 2005, out shortly. presented at the NER Foundation despite increasing costs and a program Meeting registration payments Symposium 2008 and ASNR 46th this year expected to be approved for should be directed to the ASHNR Annual Meeting in New Orleans, 33.25 hours of CME. This year’s pro - 42nd Annual Meeting , P.O. Box 380, Louisiana May 31-June 5, 2008. On gram offers an additional 5 hours (in - Springville, Alabama 35146. For page 6, you will find further informa - cluding the Study Club) more than the more information, contact Ron Ryals, tion about Toronto, the host city for previous programs. The deadline for Ryals and Associates, Inc. at 205-467- the ASHNR 42nd Annual Meeting , submission of scientific papers and ed - 3158 ext. 103 or [email protected]. September 10-14, 2008 to allow you ucational exhibit abstracts is July 15, In addition, Ken Cammarata, to best plan for and enjoy the city and 2008. To allow the most appropriate ASHNR Business Manager (kcam - all that it has to offer. feedback on submissions at the earliest [email protected] or 630-574-0220, In the Fall 2007 issue of this possible time, the assigned committee ext. 226) and I ([email protected] newsletter, I previewed the ASHNR has agreed to review submissions at or 416-586-4800, ext 5959#) are 42nd Annual Meeting and our host regular intervals, with early submis - available to assist or direct your en - hotel, The Hilton Toronto sions offering the potential advantage quiries. We look forward to seeing (www.toronto.hilton.com). Since that of early acceptance. The Call for you in New Orleans in May-June and time, we have confirmed our speakers Abstracts Form will soon be available in Toronto in September. and program, continuing the trend to - ward increased interactivity, including more extensive Panel Discussions, Case Review Sessions and Case of the Day presentations. ASHNR MEMBERS Realizing that many registrants/faculty may need to arrive on Tuesday evening in the news in order to be present for the Wednesday early afternoon start, we The January 2008 issue of RSNA to an individual who has made an have organized an informal Early Bird News included articles featuring outstanding contribution to the Temporal Bone Study Club for two ASHNR members. field of radiology. 10:45am on Wednesday morning The “People In The News” sec - In the same section it was also September 10, 2008. If you can attend this special session, you are encouraged tion featured Katherine A. Shaffer, mentioned that Christine M. to bring your interesting cases on USB M.D. from Froedtert Memorial Glastonbury, M.B.B.S. from the or CD for easy downloading (no hard Lutheran Hospital in Milwaukee, University of California, San copy film). For more details, visit the Wisconsin who received the Marie Francisco was presented with the ASHNR website (www.ashnr.org) to Sklodowska-Curie Award given by 2007 AAWR Early-Career Award view the program schedule and the meeting registration brochure, and to the American Association for from the AAWR Research & reserve your hotel room now via a di - Women Radiologists. This award Education Foundation. This award rect link to the Hilton Toronto, thanks was presented to Dr. Shaffer at the is presented to an individual who is to the efforts of Richard Wiggins and AAWR luncheon during RSNA working toward a position of leader - the website team. I encourage every - 2007. The Marie Sklodowska- ship within academic medicine. one to get hotel registrations in early- the hotel will sell out for sure. The Curie Award is presented annually complete program schedule will also be presented in the Summer 2008 issue

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Head and Neck Radiology Programming at NER Foundation Symposium 2008 and ASNR 46th Annual Meeting

Following is the head and neck radiology portion of the Symposium 2008 and ASNR 46th Annual Meeting . scientific program schedule at the NER Foundation

NER Foundation Symposium 2008 – Emergency Neuroradiology Sunday, June 1, 2008 7:40am-9:40am Head and Neck Emergencies Moderator: Suresh K. Mukherji, MD 7:40am-8:05am Orbital-Ocular Emergencies – Kristine M. Mosier, DMD, PhD 8:05am-8:45am Head and Neck (ENT) Emergencies – Suresh K. Mukherji, MD 8:45am-9:00am Pediatric Temporal Bone Emergencies – Susan I. Blaser, MD 9:00am-9:40am Craniofacial Trauma and Post-Traumatic Deformities—What the Surgeon Needs to Know and Why? – Oleh Antonyshyn, MD, FRCSC ASNR 46th Annual Meeting Monday, June 2, 2008 1:30pm-3:00pm Neoplastic Diseases in the Head and Neck- Self-Assessment Module (SAM) (AR+) Moderator: Laurie A. Loevner, MD 1:30pm-2:00pm Nasopharynx: Anatomy and Patterns of Cancer Spread – Nancy J. Fischbein, MD 2:00pm-2:30pm The Larynx: Anatomy and Patterns of Cancer Spread – Laurie A. Loevner, MD 2:30pm-3:00pm Head and Neck Neoplasms in Children – Caroline D. Robson, MB, ChB 3:30pm-5:00pm Parallel Scientific Papers Head and Neck: Orbital, Faces and New Techniques 5:00pm-6:30pm Skull Base and Cranial Nerves Moderator – Wendy R.K. Smoker, MD 5:00pm-5:30pm The Pediatric Skull Base – Gary L. Hedlund, DO 5:30pm-6:00pm The Patient Presenting with a Motor Cranial Neuropathy – Wendy R.K. Smoker, MD 6:00pm-6:30pm Complex Cranial Neuropathies: The Intersection of Anatomy and Pathology – Christine M. Glastonbury, MBBS Tuesday, June 3, 2008 7:45am-8:45am Maintenance of Certification (MOC)-ENT and Adult Spine Review Session (AR+) Moderator: Christine M. Glastonbury, MBBS 7:45am-8:15am ENT – Christine M. Glastonbury, MBBS 3:30pm-5:00pm Parallel Scientific Papers Head and Neck: Pharynx, Larynx, Soft Tissue, Sinonasal and Other 5:00pm- 6:30pm Pitfalls and Challenges in Head and Neck Moderator: Edward E. Kassel, MD 5:00pm- 5:35pm Pitfalls in CT/PET – Peter M. Som, MD 5:35pm- 6:05pm Challenges in Imaging the Post-Treatment Head and Neck Oncology Patient – Lawrence E. Ginsberg, MD 6:05pm- 6:30pm Pitfalls in Sinonasal Imaging – Edward E. Kassel, MD Wednesday, June 4, 2008 1:15pm-2:00pm Post-Operative Neck – Lawrence E. Ginsberg, MD Thursday, June 5, 2008 1:30pm-3:00pm General Session: How I do it… Thyroid Lesions and Venous Thrombosis Moderator: Laurie A. Loevner, MD 1:30pm-2:15pm How I Deal With Thyroid Lesions – Laurie A. Loevner, MD 3 ASHNR N E AMERICAN SOCIETY OF HEAD AND NECK RADIOLOGY W S

ASHNR 41st Annual Meeting Outstanding Presentation Awards

A number of high-quality scientific papers and educational exhibits were presented at the held September 26 –30, 2007, in Seattle, Washington. Congratulations AtoSHthNeRaw4a1rsd t rAencnipuiaelnMtseaentidng to everyone who submitted presentations.

Radiologist–in–Training Award Nila H. Alsheik, MD Maxillofacial Trauma Presenting to a Level 1 Trauma Center: Imaging Findings, Classification, and Complications in 1,000 Consecutive Patients University of Wisconsin Hospital and Clinic, Madison, Wisconsin

Educational Exhibit Awards

First Place M Kang, MD; E Escott, MD; W Rothfus, MD; A Kassam, MD MRI Appearance of Vascular Pedicle Nasoseptal Flap University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Second Place A Khorsandi, MD; P Kang, MD; JE Silberzweig, MD; M Ghesani, MD; V Maccarrone, MD; RA Holliday, MD All That Glitters Is Not Gold: Pitfalls in PET/CT Scanning of the Extracranial Head and Neck Beth Israel Albert Einstein of Medicine, New York, New York

Third Place JJ Baima, MD; WRK Smoker, MD; LR Gentry, MD; MA Michel, MD; DR Reede, MD Don’t Talk With Your Mouth Full (of Your Tongue): Causes of Macroglossia University of Iowa Hospitals, Iowa City, Iowa

Message From the President continued from page 1 affected? What will be the incentive are your concerns? What safety ini - ership of the ACR, ABR and RSNA for compliance – a carrot or a stick? tiatives have you developed in your to know? Feel free to email me at Before attending these meetings I practices that aren’t “common knowl - [email protected]. would like to hear from you. What edge?” What would you like the lead -

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Members Demonstrate Support by Contributing to Core Curriculum Fund

The ASHNR wishes to acknowledge and thank the follow - 2008. The funds collected will be used by the Society to ing members who have contributed to the ASHNR Core provide quality benefits and educational programs. Curriculum Fund from November 1, 2007 through April 15,

Hyo S. Ahn, MD Fernando H. Duran, MD Laurie A. Loevner, MD George F. Ascherl, JR, MD Lawrence E. Ginsberg, MD Alexander S. Mark, MD Jerome A. Barakos, MD Julian P.N. Goh, MBBS Michelle A. Michel, MD Jeffrey A. Bennett, MD Roy A. Holliday, MD C. Douglas Phillips, MD Mario Campos Coy, MD Patricia A. Hudgins, MD Justo Rodriguez, MD Barbara L. Carter-Moore, MD Edward E. Kassel, MD Bradley S. Strimling, MD Hugh D. Curtin, MD Bernadette L. Koch, MD Ellen K. Tabor, MD Thomas F. Decker, MD Timothy L. Larson, MD Lorna S. Williams, MD

To make a tax deductible donation to the fund, please send Fund , to: ASHNR Core Curriculum Fund, 2210 Midwest your check, made payable to the ASHNR Core Curriculum Road, Suite 207, Oak Brook, Illinois 60523-8205.

Welcome New Society Members!

The following eight Active members and thirteen In-Training members joined the Society since the 41st Annual Meeting in Seattle in September 2007. Active Achala S. Vagal Ellen Parker University Hospital University of California, San Francisco Michael D. Baker University of Cincinnati School of San Francisco, CA Wake Forest University Medicine Baptist Medical Center Cincinnati, OH Eric A. Roberge Winston-Salem, NC Madigan Army Medical Center Tacoma, WA Scott D. Didier In-Training MSIT-Baptist Memorial Hospital Avanti Ambekar Kara M. Schwartz Memphis, TN University of California, San Francisco Mayo Clinic San Francisco, CA Rochester, MN John K. Hopkins Los Angeles, CA Brenton L. Harris Rathan M. Subramaniam University of Iowa Mayo Clinic Puneet S. Pawha Iowa City, IA Rochester, MN School of Medicine New Haven, CT Vaios Hatzoglou Huy (Brandon) Tran Beth Israel Medical Center Brigham and Women’s Hospital Varadareddy T. Reddy New York, NY Boston, MA Golder C.A.T. Scan and MRI Center Odessa, TX Howard S.H. Liu Eric Wandler Yale New-Haven Hospital Beth Israel Medical Center Reuben Rock New Haven, CT New York, NY Jefferson Radiology Hartford, CT Kevin T. Ng Robert Yeung University of Toronto Komal B. Shah Toronto, Ontario, Canada Toronto, Ontario, Canada UTMD Anderson Cancer Center Houston, TX Hakmin Park Henry Ford Hospital Detroit, MI

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What To Do in Toronto During the ASHNR 42nd Annual Meeting

Edward E. Kassel, MD President-Elect/Program Chair

oronto, Canada's most populous Major Downtown Tourist for Tcity (5th largest in North Attractions Performing Arts America) and the world's most multi - These include the Art Gallery of Located directly across the street from cultural city, sparkles with exciting Ontario (AGO) (www.ago.net); the the Hilton Toronto Hotel, The Four , interesting neighborhoods, Royal Ontario (ROM) Seasons Centre, a world-class facility good theaters, and a lively waterfront. (www.rom.on.ca); and its new Michael recently completed in 2007, was built The temperature in September is Lee-Chin Crystal; specifically for opera and ballet perfor - ideal for daily strolls. Exploring the of Ceramic Art, located one-half block mances and is home to the Canadian nearby neighborhoods by foot or from the ROM, (www.gardinermu - Opera Company. Hour-long tours public transit is safe. Visit boutiques seum.on.ca); the , provide the opportunity to show its ar - and cafes along West, one of the world’s finest chitecture and innovative acoustic de - or Front Street East to St Lawrence (www.batashoemuseum.com); Textile sign, the unique glass system used on Market, or the . Museum of Canada (TMC), one of the facades, the remarkable engineer - Travel to the lakefront and Queen's only eight worldwide; CN Tower, ing for the world’s longest suspended Quay shops and jogging paths, or Toronto's tallest and most defining glass staircase and the phenomenal ad - take a boat trip to Toronto Island landmark (http://www.cntower.ca); vancements in modern engineering parks. Walk a few blocks to the huge and the , which and acoustic design that went into cre - Eaton Centre shopping complex, or contains an outstanding combination ating the horseshoe-shaped European take a 2-minute subway ride to the of treasured artifacts, multi-media ex - style auditorium. Bloor-Yorkville shops and restau - hibits, and interactive games. Try your rants, as well as to the museums. The slapshot, assess your goalie skills, or Concert Halls city's cultural diversity is just around your play-by-play broadcasting abili - These include the Roy Thompson the corner-Chinatown, Greektown ties (http://www.hhof.com.) Hall and (www.toronto- and Little Italy. theatre.com) and the Sony Centre for The theatre and financial districts Arts and Entertainment Performing Arts (http://www.sony - are adjacent to the Hilton Toronto, as Toronto is the undisputed entertain - centre.ca.) are the CN Tower and major sports ment capital of Canada, offering lavish and entertainment venues. The city Broadway-style musicals, traveling Toronto International Film offers depth and quality in its theatre road shows, classical concerts, comedy Festival (TIFF) and sports entertainment options, but clubs, and sporting venues, all located Now in its 32nd year, TIFF is widely the city's greatest strength is its local in the downtown area. recognized as the most important neighborhoods and inner city vitality (formerly the SkyDome) is the home film festival after Cannes, and is the with unique shopping and dining es - of the Toronto Blue Jays of major most successful public film festival in tablishments. In addition, the ac - league baseball and offers an excellent the world, and the dominant North claimed Toronto International Film one-hour, behind-the-scenes guided American Film festival. The festival Festival (TIFF), the most successful tour of the facility (http://www.roger - dates coincide with our meeting public film festival in the world, will scentre.com.) Air Canada Centre is dates, creating an exciting time to be coincide with our annual meeting the relatively new home of the in Toronto. The 2007 Festival dates (September 10-14, 2008), greatly of the National screened 349 films over ten days augmenting your entertainment and Hockey League, and the Toronto (http://www.tiff08.ca.) star-gazing options. Bring a camera- Rock of the National Lacrosse League you never know! as well as concerts by famous individ - ual entertainers and musical groups/bands (http://www.aircanada - centre.com.)

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The following theatres are within a M5V 9G9 Niagara-on-the-Lake and the Niagara few minutes walk from the Hotel: Box office: (416) 343-0011 wineries. This may be arranged for our planned free afternoon to enjoy Murder Mystery Toronto.com the City, or even better, arrive a day (Broadway Hits) 55 John St., Toronto ON early to spend a more leisurely day en - 260 King St. West, Toronto ON Box office: (416) 397-7173 joying this world famous site. M5V 1H9 Box office: (416) 872-1212 Major Toronto attractions more dis - Additional Resources: or 1-800-461-3333 tant within the city include: The What to see/do? Where to eat/shop? (The Royal Alexandra is the oldest , The Toronto Toronto weather, public transit, operating theatre in North America) Zoo, (a lakefront enter - maps, currency conversion, special tainment and playground complex) events, etc. Princess of Wales Theatre and, just north of the city, the www.torontotourism.com (Musicals) McMichael Art Gallery, featuring www.torontocitytourist.com 300 King St. West, Toronto ON Canada’s Group of Seven artists, and M5V 1J2 Canada’s Wonderland. www.mytorontomeeting.com/ Box office: (416) 872-1212 visitor or 1-800-461-3333 Niagara Falls www.torontoplus.ca Located approximately 90 minutes www.toronto.com Canon Theatre from , Niagara www.ashnr.org (Broadway Hits) Falls is a wonderful excursion for the [email protected] 244 Victoria St., Toronto ON greater part of a day, and can be [email protected] M5B 1V8 arranged through Tour operators in www.toronto.hilton.com Box office: (416) 872-1212 Toronto. Visit the Falls along the [email protected] or 1-800-461-3333 scenic Niagara Parkway, stand just a and, addresses as listed for individual few feet from the fall-line, and/or sites The Second City enjoy the beauty and majesty from (Comedy) water level on the Maid of the Mist 51 Mercer St., Toronto ON boat ride. Visit the historic town of Resources available at www.ashnr.org ASHNR 2008 We encourage you to visit the ASHNR website, www.ashnr.org. Radiologist-in-Training Award Soon, you will find complete infor - For the eleventh consecutive year, the ASHNR will sponsor the Radiologist- mation on the ASHNR 42nd in-Training Award at the 42nd Annual Meeting in Toronto. The award was Annual Meeting . You will be able to established in 1998 to promote interest and research in head and neck register online and make your imaging from among residents and fellows in radiology. hotel reservations, as well as down - load the complete registration Encourage your residents and fellows to apply for this award. You will be brochure that includes the pro - able to download a copy of the Call For Abstracts form from the ASHNR gram schedule. You will also find a website, www.ashnr.org. The form will also be included in the registration link to the American Journal of brochure that will be mailed to members and posted on the website. To be Neuroradiology , ASHNR’s official considered for the Award, an individual must: journal, and a membership applica - 1. Complete and submit a Call For Abstracts Form by July 15, 2008 tion. Invite a colleague to apply. 2. Indicate the desire to be considered for the award (oral presentation only) In the Members Only section, you 3. Include a letter from the principal author’s Program Director confirming can access the online membership the principal author is a current resident or fellow in radiology. directory, and past issues of ASHNR News . To access the Following the submission of their manuscript to the American Journal of Members Only section, use the fol - Neuroradiology (AJNR) , the award recipient will receive a $1,000 hono - lowing User Name and Password: rarium and reimbursement of their meeting registration payment. The sub - mission of the manuscript does not guarantee publication; the AJNR has User Name: ashnrmember first rights of publication of the winning paper. Password: world

7 AMERICAN SOCIETY OF HEAD AND NECK RADIOLOGY PRESORTED FIRST CLASS 2210 MIDWEST ROAD, SUITE 207 U.S. POSTAGE OAK BROOK, IL 60523-8205 PAID PERMIT NO. 335 FOX VALLEY, IL

ASHNR N E AMERICAN SOCIETY OF HEAD AND NECK RADIOLOGY W S

ASHNR 2007–2008 Executive Committee ASHNR Administrative Office 2210 Midwest Road, Suite 207 Timothy L. Larson, MD Oak Brook, IL 60523-8205 President Phone: (630) 574-0220, x226 or 234 Fax: (630) 574-0661 Edward E. Kassel, MD E-mail: [email protected] or President-Elect [email protected] Website: www.ashnr.org Laurie A. Loevner, MD Vice-President ASHNR Meeting Planner’s Office Ryals & Associates, Inc. Lawrence E. Ginsberg, MD 6438 U.S. Highway 11 Treasurer P.O. Box 380 Springville, AL 35746 Suresh K. Mukherji, MD Phone: (205) 467-3158, x103 Secretary Fax: (205) 467-3199 E-mail: [email protected] H. Ric Harnsberger, MD Website: www.ryalsmeet.com Immediate Past President Lindell R. Gentry, MD 42nd Annual Meeting September 10–14, 2008 Rules Committee Chair Hilton Toronto Hotel C. Douglas Phillips, MD Toronto, Ontario, Canada Member-at-Large 43rd Annual Meeting ACR Councilor September 9–13, 2009 Sharaton New Orleans Hotel Michelle A. Michel, MD (ex officio) New Orleans, Louisiana Education Committee Chair

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