From Antiques to Arachnids, CT Unravels Ancient Secrets

August 2011 Volume 21, Number 8 Image courtesy of North Shore University Hospital University of North Shore Image courtesy

also Inside: Neuroimaging Aids in Identifying Early-onset Alzheimer Disease CD-based Image Transfer Reduces Utilization, Bolsters Case for Web-based Sharing 90Y Radioembolization is Safe, Effective Liver Cancer Treatment See Chicago Sizzle During RSNA 2011

EDITOR David M. Hovsepian, M.D. R&E Foundation For more than 20 years, RSNA News has provided high- Contributing Editor quality, timely coverage of radiology research and education C. Leon Partain, M.D., Ph.D. and critical issues facing the specialty, along with compre- Executive Editors hensive information about RSNA programs, products and Lynn Tefft Hoff Marijo Millette other member benefits. Managing Editor Beth Burmahl Editorial Advisors Mark G. Watson 5 First Impression Executive Director Roberta E. Arnold, M.A., M.H.P.E. 1 Announcements Assistant Executive Director Publications and Communications 3 RSNA Board of Directors Report Editorial Board David M. Hovsepian, M.D. 4 My Turn Chair Colin P. Derdeyn, M.D. WHERE THE FINEST IN 7 Kavita Garg, M.D. Radiological Society of North America Features Bruce G. Haffty, M.D. SCIENCE, EDUCATION AND 97th Scientific Assembly and Annual Meeting 5 Technology Forum: CD-based Image Transfer Reduces Nazia Jafri, M.D. Utilization, Bolsters Case for Web-based Sharing Bonnie N. Joe, M.D., Ph.D. November 27 – December 2 Edward Y. Lee, M.D., M.P.H. McCormick Place, Chicago TECHNOLOGY CONVERGE. 7 90Y Radioembolization is Safe, Effective Liver Cancer Kerry M. Link, M.D. Barry A. Siegel, M.D. Treatment Gary J. Whitman, M.D. 9 William T. Thorwarth Jr., M.D. • New sessions, including India Presents and special 11 From Antiques to Arachnids, CT Unravels Ancient Board Liaison programming for residents, fellows and hospital Secrets Graphic designer administrators. Adam Indyk 14 See Chicago Sizzle During RSNA 2011 Contributing Writers • Networking with professionals from more than Richard Dargan Mary Henderson 100 countries. Radiology’s Future 11 Amy Jenkins 9 Neuroimaging Aids in Identifying Early-onset Alzheimer Evonne Acevedo Johnson • A technical exhibition featuring nearly 700 companies Disease 2011 RSNA BOARD OF DIRECTORS with the latest equipment and services in the medical Sarah S. Donaldson, M.D. industry. 18 R&E Foundation Donors Chair N. Reed Dunnick, M.D. • Numerous educational offerings to maintain your Liaison for Science News You Can Use Ronald L. Arenson, M.D. certification. This live activity has been approved for 14 Liaison for Annual Meeting AMA PRA Category 1 Credit™. 20 Journal Highlights and Technology Richard L. Baron, M.D. 21 Radiology in Public Focus Liaison for Education William T. Thorwarth Jr., M.D. Liaison for Publications and 23 Education and Funding Opportunities Communications Course Richard L. Ehman, M.D. 24 Annual Meeting Watch Liaison-designate for Science Burton P. Drayer, M.D. Enrollment 26 For Your Benefit President George S. Bisset III, M.D. Open 27 Residents & Fellows Corner President-elect and Secretary-Treasurer 28 RSNA.org FREE advance registration for RSNA and AAPM members. Follow us for exclusive news, annual meeting RSNA2011.RSNA.org offers and more!

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R&E Foundation Receives Numbers in Full-content Apps, Mobile Access Available for Radiology the News and RadioGraphics; RSNA News tablet app available Download Radiology and RadioGraphics from the App Store on iTunes to get full content, $1.5 Million Donation experience rich image viewing and move easily within articles and references on your The RSNA Research & Education (R&E) Foundation has received iPhone®, iPod touch® and iPad®. Not an Apple device user? Read the journals on our a $1.5 million donation from the Ralph Schlaeger Charitable Foun- 6.066 mobile-optimized sites, m.radiology.rsna.org and m.radiographics.rsna.org. In addition, tablet PC users can now download the RSNA News tablet edition on the dation, created by radiologist Ralph Schlaeger, M.D. (1921-2007). Impact factor for Radiology, accord- Android Market or iTunes, or go directly to: Dr. Schlaeger specialized in gastrointestinal radiology and was ing to the recently released 2010 ® • Android Market: market.android.com/details?id=air.org.rsna.rsnanews a radiologist at Presbyterian Hospital and professor of radiology at Journal Citation Reports from the • iTunes: itunes.apple.com/us/app/ Columbia University College of Physicians and Surgeons in New York Thomson/Institute for Scientific for 51 years. Dr. Schlaeger was published in Radiology and presented Information Annual Citation. Read at RSNA annual meetings. His obituary noted: “A lifelong bachelor, Dr. the latest statistics for both RSNA journals on Page 21. Schlaeger devoted his life to the practice and teaching of radiology.” “Ralph was extremely well-respected,” said Philip O. Alderson, M.D., former chair of radiology at Columbia University. “He was very accommodating with clinicians and always took the time for courteous consultation, 24 which is too often missing from rushed healthcare practices today.” R&E Foundation Board of Trustees Chair Theresa C. McLoud, M.D., noted: “This Median survival, in months, of patients with neuroendocrine can- truly remarkable gift will be a lasting tribute to Dr. Schlaeger’s passion for radiol- cer whose liver metastases were ogy and service to the profession. What greater gift could a radiologist leave, than to treated with 90Y radioemboliza- enable future generations to contribute to the research and educational endeavors in tion, according to a recent study. this great specialty?” Colorectal cancer patients survived The endowment will be used to support R&E Research Seed, Fellow and Scholar an overall median of 9.4 months. grants for young researchers beginning their careers in radiology. Schlaeger Learn more about 90Y radioembolization—which researchers say is well-tolerated as well as effective— on Page 7. QIBA Meeting Draws Record Attendance The fourth annual Quantitative Imaging Biomarkers Alliance (QIBA) meeting drew a record number of stakeholders from the clinical community, imaging equipment manufacturers, the pharmaceutical industry, 49 NIH Honors Zerhouni government agencies and medical informatics companies. Age, in millions of years, of a spider The National Institutes of Health (NIH) honored former NIH Director Elias A. Zerhouni, M.D., with trapped inside a fossil, recently More than 85 participants attended the • QIBA’s five Technical RSNA by the National an official portrait unveiled at a ceremony held in May in Washington, D.C. From left, Dr. Zerhouni, imaged with CT. Turn to Page 11 to meeting held in May in Washington, D.C. Committees worked Institute of Biomedical 2010 RSNA President Hedvig Hricak, M.D., Ph.D., Dr. h.c., and current NIH Director Francis S. read more about how the evolution Collins, M.D., Ph.D. Dr. Zerhouni received the RSNA Gold Medal in 2010. Highlights included: in breakout sessions to Imaging and Bioengi- of technology—primarily in terms of • Invited speakers from a number of gov- further develop QIBA neering. spatial resolution and speed—has ernment agencies including the U.S. Profiles and/or conduct For more information established the role of CT in such ACR Bestows Honors project planning for on QIBA and to access research as examining priceless Food and Drug Administration (FDA)/ Lawrence W. Bassett, M.D., Leonard Berlin, M.D., antiques and evaluating skeletal Center for Devices and Radiological groundwork studies to provide the data the QIBA Quarterly newsletter, updates and Arl Van Moore Jr., M.D., were awarded gold Health and the FDA/Center for Drug needed to establish or reinforce Profile from Technical Committees and presenta- remains of prehistoric Australian aborigines. medals at the American College of Radiology’s Evaluation and Research updated attend- claims. tions from the QIBA Annual Meeting, go (ACR) recent annual meeting in Washington, D.C. ees on mechanisms for biomarker qualifi- • Technical Committee spokespeople to RSNA.org/Research/QIBA. Andreas Adam, M.B.B.S., F.R.C.R, was named an cation and progress made in the imaging provided updates on ongoing projects honorary fellow. biomarker arena. funded from contract monies awarded to 1,487 dr. Bassett is the Iris Cantor Professor of Breast Imaging, David Geffen School of Medicine Number of emergency depart- at the University of California, Los Angeles. He RSNA News Reader Satisfaction High, According to Survey ment patient records analyzed by is a former RSNA News Editorial Board member researchers studying whether CD and a current member of RSNA’s Public Informa- Respondents to a recent good.” One respondent ture articles on new technology, continu- import of outside examinations into RSNA News survey gave the noted, “I enjoy the two ing education and new research ranked tion Advisors Network (PIAN). Dr. Berlin is a Bassett PACS decreased imaging utilization professor of radiology at Rush University’s Col- magazine high marks for its versions of the news. The highest among respondents. rates in the subsequent 24 hours. lege of Medicine in Chicago and vice-chair of the Patients with successfully imported appearance, readability and electronic form allows me to The survey was sent between March Department of Radiology at NorthShore University CDs had a 17 percent decrease in Berlin quality of writing. More than email other members of our and July 2011 to 4,000 randomly selected HealthSystem, Skokie Hospital in Illinois. A for- three-fourths of RSNA News department.” RSNA members. Of the 377 who imaging rates during the subsequent 24 hours and a 16 percent mer chair of RSNA’s Professionalism Committee, readers responding to a recent Journal Highlights and responded, almost 62 percent work in Dr. Berlin is a current PIAN member. Dr. Moore survey rate the appearance Radiology in Public Focus, academic/teaching hospitals. Another 27 decrease in subsequent CT scans, according to the study. Read more is president of Charlotte Radiology in Charlotte, and readability as “excellent” featuring news from the percent work in community hospitals and on Page 5. N.C., a past ACR president and past member of or “very good” and about 70 RSNA journals, are the most 8 percent in imaging centers. More RSNA RSNA’s Public Communications Committee. percent similarly graded the frequently read sections of News survey outcomes, including how dr. Adam is a professor of interventional ra- quality of writing. the magazine, according to 2011 results compare to those from past diology at the University of London and honorary Just over 60 percent of respondents the survey. Other frequently read sections surveys, will be published in an upcoming consultant radiologist at Guy’s and St. Thomas’ rated the usefulness and navigation of are Announcements, annual meeting news issue of the magazine. Hospital. Dr. Adam received RSNA honorary RSNA News online as “excellent” or “very and updates from the RSNA website. Fea- membership in 2006. Adam Moore

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My Turn RSNA Board of Directors Report Radiology Residency Training: Crucial Elements to At its June meeting, the RSNA Board of Directors approved the Society’s 2011-2012 budget, continued planning for the annual meeting and committed RSNA’s expertise and Meet Today’s Challenges experience to a number of intersociety collaborations. To earn and maintain accreditation from the ACOs from the Centers for Medicare future radiologists must be prepared to the Accreditation Council for Graduate & Medicaid Services for meeting cost and take active and leading roles. A proper Abstract Submission Strong for ogy/diagnostic radiology dual icaid Services (CMS) as part Medical Education (ACGME), residency quality targets. foundation, established during residency RSNA 2011 certificate from ABR. of the 2009 American Rein- programs must demonstrate compliance The need for radiologists to assume training, is crucial to the success of the Planning continues for RSNA 2011, with The Society also continues vestment and Recovery Act. with a broad range of requirements span- leadership roles in these new organiza- specialty. the RSNA Scientific Program Commit- its contributions to the Image RSNA will collaborate with ning from the institutional level to medical tions cannot be over-emphasized. Given Jannette Collins, M.D., M.Ed., tee and its subcommittees choosing from Wisely campaign. Task force the research firm KLAS on a specialties and beyond. Programs are the central function of imaging services granted leeway in how they may fulfill in healthcare, radiologists are the natu- is the Ben Felson Professor the more than 12,000 abstracts submitted members from RSNA, the joint survey regarding criteria and Chair of Radiology and a these requirements and much is not stan- ral choice to manage an ACO’s imaging this year to design the meeting program. American College of Radiol- to be used in developing reg- professor of medicine at the Among the new offerings is the Pediatric ogy, the American Association ulations on meaningful use in dardized. enterprise and the information technology University of Cincinnati Col- Traditionally, core residency train- infrastructure that supports it. Promot- lege of Medicine. Dr. Collins Campus, a special area of McCormick of Physicists in Medicine radiology practice. A random is a member of the RSNA Place which will house all refresher and the American Society sample of RSNA members ing for radiology has focused on clinical ing safety, quality and best practices also content and procedural skills in nine falls within that mission. Education Council and chairs courses, scientific papers and presentations of Radiologic Technologists will be included in the survey. the Grant Program Commit- in the pediatric subspecialty. More details have developed criteria for subspecialty areas, but many programs In the current fee-for-service environ- tee and the Medical Student an Image Wisely-compliant RSNA Publications have begun to include nontraditional con- ment, these unpaid services are viewed Grant Review Panel of the RSNA Research & will be available in the Pocket Guide and Education Foundation. Meeting Program. practice. The criteria—cover- Capitalize on New Media tent in an attempt to fulfill the goal of the as a distraction from the “real work” of Sarah S. Donaldson, M.D. ACGME’s six core competencies. image interpretation. In order to receive With RSNA 2012 already on the ing such areas as CT dose Chairman, 2011 RSNA Board Look for RSNA on the cut- Especially for Residents: The new Residents and A new challenge to radiology educa- horizon, RSNA has announced that the optimization and reduction of Directors ting edge as the Society brings a share of an ACO’s revenues in com- Fellows Symposium at RSNA 2011 will feature abstract submission deadline will be March methodologies and consulta- its publications to readers in tion is preparing for the proposed addition pensation for managerial and administra- such topics as where and when to look for a job to the healthcare delivery system of what tive duties, radiologists will need to be and how to analyze different types of job offers. 31 again next year. tion with referring practitioners—will be ever-expanding formats. Radiology and Learn more and register at RSNA.org/register. published later this year. The Image Wisely RadioGraphics are now available as mobile Washington policy makers are calling involved in negotiating employment con- “accountable care organizations” (ACOs). tracts with hospitals, participate in their Collaborations Strengthen Radiology campaign, launched in 2010 to increase websites and as full-text apps available on For information on RSNA’s recent Resident and Education, Policy awareness of radiation issues in adult the App Store. A multimedia mobile ver- These new groups will be charged hospital’s medical staff governance and be Fellows Committee meeting, see Residents & RSNA will sponsor a session on pediatric medical imaging, is now widening its focus sion of RSNA News, known as the RSNA with the care of defined populations of knowledgeable about business practices. Fellows Corner on Page 27. cardiovascular imaging and additional to include nuclear medicine procedures. News tablet edition, made its debut with patients. The promise is that there will Success in the new ACO environment speakers at the 27th International Con- After this year’s successful inaugural the July issue and can be downloaded from be a return of any shared savings back to will require a huge cultural shift and gress of Radiology (ICR), to be held in “Cancer Imaging and Radiation Therapy” the App Store and Android Market. conjunction with the 42nd Sao Paulo symposium emphasizing the interaction RSNA journals also continue to reach In Memoriam: In Memoriam: Radiological Meeting, May 3-6, 2012, in between diagnostic radiology and radiation more readers worldwide. Selected articles Rosalyn S. Yalow, Ph.D. Renan P. Uflacker, M.D. Sao Paulo, Brazil. oncology, RSNA and the American Society from Radiology are now available in Chi- Rosalyn S. Yalow, Ph.D., a medical physicist who was only Renan P. Uflacker, M.D., known worldwide for his RSNA is now a sponsor of the Commis- for Radiation Oncology have agreed to nese and from RadioGraphics in German. the second woman to receive the Nobel Prize in Medicine, died accomplishments in interventional radiology, died sion on Accreditation of Medical Physics offer another symposium in 2013. In addition, Radiology will now offer spe- May 30, 2011. She was 89. At her death, she June 12, 2011. He was 62. Educational Programs (CAMPEP). In cial collections, beginning with a volume was senior medical investigator emeritus at born in Porto Alegre, Brazil, Dr. addition, RSNA has expressed its sup- Meaningful Use a Hot Topic on lung nodules in January 2012. The spe- the James J. Peters VA Medical Center in the Uflacker attended medical school port to the American Board of Radiology RSNA is helping to define radiology’s cial collections will be available online in Bronx and the Solomon A. Berson Distinguished and residency in his native country (ABR) for a combined training program response to federal meaningful use policy, print-on-demand and e-book formats. Professor-at-Large at Mount Sinai School of and completed interventional radi- leading to a primary interventional radiol- issued by Centers for Medicare & Med- Medicine in New York. ology fellowships in Oslo, Norway, R&E Foundation Celebrates In the 1950s Dr. Yalow co-discovered the and Pittsburgh. After practicing The RSNA R&E Foundation is pleased radioimmunoassay, “which brought a revolution radiology in Brazil, Dr. Uflacker to report its fifth straight year of $1 mil- in biological and medical research,” the Karolin- joined the faculty of the Depart- lion in individual donations, allowing the ska Institute said in awarding her the Nobel Prize in Physiology ment of Radiology at the Medical University of South Foundation to ever expand its efforts to or Medicine in 1977. Dr. Yalow was also noted for overcoming Carolina (MUSC) in 1993, where he remained a pro- support the next generation of radiologic numerous rejections to break into the male-dominated medical fessor and director of Vascular and Interventional science and education. physics field. Among Dr. Yalow’s career accomplishments was Radiology until his death. Credited with transform- using the radioimmunoassay to determine that people with Type ing the division of interventional radiology at MUSC 2 diabetes produced more insulin than non-diabetics, providing into a major national center, Dr. Uflacker conducted This is a busy and productive time of year early evidence that an inability to use insulin caused the disease. pioneering research in the areas of liver disease, for the RSNA Board of Directors. We dr. Yalow was elected to the National Academy of Sciences in portal hypertension, peripheral vascular disease, are pleased to offer new programs, col- 1975 and received the Albert Lasker Medical Research Award in aneurysms and interventional oncology, and held laborations and opportunities to Society 1976. RSNA awarded her its Gold Medal in 1994. multiple patents for medical devices. members.

Sarah S. Donaldson, M.D. RSNA News Letters to the Reprints and advertising Editor Permissions hairman August 2011 • Volume 21, Number 8 Postmaster: Send address correction Contents of RSNA News copy- [email protected] C , 2011 RSNA Board of [email protected] [email protected] Published monthly by the Radiological “changes” to: RSNA News, 820 Jorie Blvd., righted ©2011, RSNA. RSNA Jim Drew, Director 1-630-571-7837 fax 1-630-571-7829 Directors 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 820 Jorie Blvd., Oak Brook, IL Non-member subscription rate is $20 per Radiological Society of North Subscriptions RSNA Membership 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 RSNA continues its contribution to the Image Wisely campaign launched at RSNA 2010. 1-630-590-7770

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CD-based Image Transfer Reduces Utilization, Bolsters Case for Web-based Sharing CDs not only offer patients access to prior imaging studies but also may decrease subsequent imaging utilization, according to new research published in Radiology. Driving the adoption of standards-based interoperability to improve patient care through innova- tion, standards profiling, testing, education and While healthcare is moving toward Internet- collaboration is the mission of the Integrating the based solutions for image sharing and universal Healthcare Enterprise (IHE®), which holds its an- electronic health records (EHR)—a primary goal nual North American connectathon (shown here) of federal meaningful use provisions as well as the —a weeklong interoperability testing event—each RSNA/National Institutes of Health/National Insti- year in Chicago. tute of Biomedical Imaging Technology and Bioengineering (NIBIB) “This is an important lesson as we design and “Direct Internet sharing negates the need to Image Sharing Project—the Forum web extras implement Internet-based solutions intended to rely on physical media—the CD,” Dr. Mendel- For more information on in- data contained on CDs will provide valuable insight provide a seamless workflow,” Dr. Mendelson said. son said. “Thus, problems created by defective teroperability in health systems— during the lengthy transition process, experts say. “It is essential that we encourage the adoption of CDs and needing to have the media in your and to discover free software “The reality is that, until we have fairly robust a set of standards not only for image and report possession should disappear, resulting in a more tools and templates to improve transfer networks or image repositories in place, content such as DICOM3 and HL7, but also for care at your institution—visit streamlined workflow.” RSNA.org/Informatics. we’re likely to be dealing with CDs for many more transmission protocols.” That said, CDs aren’t disappearing anytime To access the Radiology study, years,” said Aaron Sodickson, M.D., Ph.D., director soon, noted Drs. Mendelson and Sodickson. “Outside Imaging in Emergency of emergency radiology at Brigham and Women’s RSNA Oversees Image Sharing Network Observing existing standards like those Department Transfer Patients: Hospital in Boston and lead author of “Outside That is the goal of RSNA’s Image Sharing Project, defined by IHE can improve their usefulness in CD Import Reduces Rates of Imaging in Emergency Department Transfer created in 2009 through a $4.7 million contract healthcare facilities in the meantime, they said. Subsequent Imaging Utilization,” go to RSNA.org/Radiology. Patients: CD Import Reduces Rates of Subsequent Sodickson Mendelson with NIBIB to build a secure, patient-centric medi- “Ultimately, implementing universal elec- Imaging Utilization,” published in the April 2011 cal imaging sharing network based on a common Access the PowerPoint tronic medical records, image repositories or presentations “Outside Imag- issue of Radiology. “There are vendors working on CD import solu- open-standards architecture. robust image transfer networks would stream- ing in Emergency Department Dr. Sodickson serves on the Emergency Radiol- tions that decode those proprietary formats and convert RSNA is overseeing development of a Web-based line image transfer between various sites, Transfers” presented by by Aaron ogy Subcommittee of the RSNA Scientific Program them to DICOM to be imported into PACS,” he said. network for sharing images and reports at five aca- obviating the need to send CDs with transfer Sodickson, M.D., Ph.D., at RSNA Committee. “I think our 78 percent success rate could be a lot demic institutions. Patients will control access to patients,” Dr. Sodickson said. “However, CDs 2010, and “Image Sharing: 2011 Review and Update,” presented higher using some of the new software tools out there.” their information through personal health records will likely remain the prevalent means of by David S. Mendelson, M.D., at Data Transfer Reduces Unnecessary Tests The 22 percent failed import rate reflected in Dr. (PHRs), said Dr. Mendelson, chief investigator for image transfer for the foreseeable future.”  the 2011 Integrating the Health- Dr. Sodickson and colleagues reviewed the medical Sodickson’s research is testament to the relatively slow the project. He also serves on the RSNA Radiology care Enterprise (IHE) Connec- records of 1,487 consecutive emergency department pace of standards adoption in medical institutions—a Informatics Committee (RIC), chairs the RIC sub- tathon, at rsnanews.RSNA.org. patients to identify whether CD import of outside gradually changing scenario that once fully embraced, committee for Integrating the Healthcare Enterprise examinations into PACS decreased imaging utiliza- will change the face of healthcare, said David S. Men- (IHE®) and serves on the RIC subcommittee for tion rates in the subsequent 24 hours. Data imports delson, M.D., chief of clinical informatics at Mount Structured Reporting. learn “What the referring physician were successful for 78 percent of patients. As for Sinai Medical Center in New York. “RSNA Image Sharing will allow patients to take needs to know” cases that could not be imported, “sometimes the “While Dr. Sodickson and colleagues dealt with control of their medical imaging information and CD was just not functional, but more commonly issues specific to the use of CDs as a sharing mecha- securely share it via an internet-based network,” Dr. Radiologists looking to strengthen their relationships with referring physi- the data were in a non-standard, proprietary for- nism, their observations can help us understand how to Mendelson said. cians won’t want to miss RSNA 2011 course RC316, “What the Referring mat,” Dr. Sodickson said. optimize image sharing and its benefits in the Internet Investigators are now recruiting patients to use Physician Needs to Know.” This panel discussion will help attendees Patients with successfully imported CDs had a 17 era,” Dr. Mendelson said. In the interim, he said, work- the network, which employs profiles created by understand: percent decrease in imaging rates during the subse- ing toward better interoperability between systems and IHE, an initiative among medical leaders, software • What referring physicians need from radi- quent 24 hours (2.7 versus 3.3 exams per patient) software will improve communication across healthcare developers, societies and vendors to improve com- ologists at various stages of patient care and a 16 percent decrease (1.2 versus 1.4 scans per sites, no matter what transfer method is used. munication between healthcare equipment, systems • Referring physicians’ preferences in patient) in subsequent CT scans, results showed. and software. communication methods “CDs are the most commonly available tool for “Use of IHE profiles is essential in defining the • Referring physicians’ needs regarding structured reporting and appro- image sharing and are one of the most important The reality is, that until we have standards that make exchange accessible to all in a priateness criteria components of the patient handoff during transfers “ safe, secure fashion at a reasonable cost,” Dr. Men- • How to improve communications and work more effectively with refer- between hospitals. Access to the contained imaging fairly robust transfer networks delson said. ring physicians to enhance patient care exams allows us to reduce unnecessary and redun- • Opportunities to improve/expand interactions with referring physicians dant imaging,” Dr. Sodickson said. or image repositories in place, CDs a Necessary Conduit the course is sponsored by the RSNA Public Information Commit- While the RSNA project focuses on patient control tee (PIC) and the discussion will be moderated by PIC Chair Mary C. Universal Standards will Optimize of image distribution through PHRs, the underly- Mahoney, M.D. Panelists: are Mary Mulcahy, M.D., oncologist; Jeffrey Image Sharing we’re likely to be dealing with ing technology applies to other forms of data shar- Graff, M.D., emergency department physician; and Jory Natkin, D.O., While those findings are promising, universal adop- ing such as health information exchange (HIE) tion of the Digital Imaging and Communications in CDs for many more years.” and point-to-point solutions when these methods family practice physician. the course is scheduled for Tues., Nov. 29, 8:30–10:00 a.m. Course Medicine (DICOM) standard would improve data Aaron Sodickson, M.D., Ph.D. are appropriate for data exchange, Dr. Mendelson transfer rates, Dr. Sodickson said. noted. enrollment for RSNA 2011 is under way at RSNA.org/register.

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90Y Radioembolization is Safe, Effective Liver Cancer Treatment Yttrium 90 radioembolization—infusing yttrium 90 (90Y) microspheres through a catheter into the hepatic artery—is safe, well tolerated and may slow disease progression in patients with inoperable liver cancer who are not responding to chemotherapy, according to research presented recently at the Society of Interventional Radiology (SIR) 2011 Annual Scientific Meeting.

90Y radioembolization takes advantage of the fact that liver tumors get most of their blood supply from the hepatic artery, while the liver draws the majority of its blood from the portal vein, said lead researcher Riad Salem, M.D., M.B.A., a professor of radiology and director of interventional oncology at Northwestern University in Chicago. “The microspheres blanket the tumors,” said Dr. Salem, who began studying radioembolization with Yttrium 90 radioembolization—infusing yttrium 90 (90Y) microspheres through a catheter into TheraSpheres—glass-coated microbeads loaded with the hepatic artery—is considered one of the best methods for treating metastatic disease in 90Y—in 1999, after the FDA approved the proce- the liver when chemotherapy has failed, according to researcher Riad Salem, M.D., M.B.A., of dure. “And because they concentrate at the tumors, Northwestern University in Chicago. Above: Dr. Salem’s colleague, Richard Chen, D.O., leads there is limited damage to surrounding normal the interventional radiology team during a procedure at Northwestern. Left: A PowerPoint tissue.” slide by Dr. Salem details TheraSphere therapy, in which millions of microscopic, radioactive glass microspheres are infused into the arteries that feed liver tumors. Survival Rates are Promising Dr. Salem and colleagues studied 151 patients, average age 63 years, with metastatic cancer that Salem Wertman had spread to their livers and was resistant to chemotherapy. Between 2006 and 2010, patients underwent two 90Y radioembolization treatment “It’s an angiography-intense procedure,” said Dr. At IUSM, Dr. Wertman and colleagues found that 90Y radio- sessions, five weeks apart. Each patient received Wertman, who has performed more than 100 90Y embolization staves off liver failure and improve patients’ quality RSNA/ESR Oncology Symposium approximately 120 gy and researchers tracked their radioembolization procedures since joining IUSM in of life. The technique is also useful in improving the condition of Offered at RSNA 2011 progress every 90 days for nine months and every October 2006. “It’s important to block off any acces- patients waiting for liver transplants and even cures some small six months thereafter. sory branches arising from the hepatic arteries that tumors, Dr. Wertman said. Back to the annual meeting for its second year Ninety-six percent of the adverse events related to could cause non-target injury.” “Right now, 90Y radioembolization is the best method for treat- is Essentials in Oncologic Imaging: What Radi- the treatment were mild and included fatigue, pain Most importantly, radioembolization offers new ing metastatic disease in the liver when chemotherapy has failed,” ologists Need to Know, presented jointly by and hyperbilirubinemia. There were no unexpected hope for patients facing a bleak prognosis, experts say. Dr. Wertman said. “There have been a number RSNA and the European Society of Radiology 90 major adverse events. Survival among patients Aggressive surgery is often the first treatment option for of prospective trials with Y radioemboliza- Web Extras on Weds., Nov. 30. Sessions are: varied depending on where the cancer originated; liver cancer, but only 10 to 20 percent of hepatocellular tion and we can say that this treatment is safe To view a video of Riad and effective in a high enough percentage of Salem, M.D., M.B.A., presenting • Principles of Oncologic Imaging and colorectal cancer patients survived an overall median carcinomas—the most common type of liver cancer— the PowerPoint, “Safety, Re- of 9.4 months, whereas those with neuroendocrine can be removed completely with surgery, according to patients that it is worth performing. Of all the sponse and Survival Outcomes Reporting tumors fared better, with a median survival of 24 the National Institutes of Health. If the cancer can- embolization techniques, this appears to be the of 90Y Microsphere Radioem- • Lung Cancers (Primary, Metastases) months. not be completely removed, the disease is usually fatal least toxic with the fewest side effects.” bolization for Liver Metastases: • Lymphoma “The definition of ‘cure’ varies,” Dr. Salem said. within three to six months. Results from a 151 Patient In- vestigational Device Exemption • Kidney Cancer Further Studies Under Way “But we have seen many patients in other studies Multi-Institutional Study,” at the • Ovarian Cancer survive longer than five years and research has also 90 “I see a future role for this treatment in com- recent Society of Interventional shown lengthy periods of time-to-disease-progres- Right now, Y radioemboli- bination with systemic agents, such as the oral Radiology annual meeting, go • Prostate Cancer sion.” “ drug sorafenib used to treat hepatocellular to rsnanews.RSNA.org. • Colon Cancer zation is the best method for carcinoma,” added Dr. Salem. “When we use • Liver Cancer Treatment Can Stave Off Liver Failure them in combination, we may see better response rates, longer • Chemo and Radiation Therapy-induced Detailed treatment planning is important to the treating metastatic disease in times to progression and improved survival.” Toxicity success of 90Y radioembolization, according to Dan- Dr. Salem is continuing his research through EPOCH and iel E. Wertman Jr., M.D., co-chief of interventional the liver when chemotherapy STOP-HCC, international, multicenter phase III studies that • MSK radiology and an assistant professor of clinical radi- use 90Y in combination with other standards of care. EPOCH is • Pancreatic Cancer ology at the Indiana University School of Medicine has failed.” focused on metastatic colon cancer in the liver, while STOP-HCC enrollment for RSNA 2011 courses (IUSM) in Indianapolis. Using CT to determine is a primary liver cancer trial.  is under way at tumor volume and angiography to assess the blood Daniel E. Wertman Jr., M.D. RSNA.org/register. supply to the tumor is essential, Dr. Wertman said.

7 RSNA News | August 2011 August 2011 | RSNA News 8 rnewsadiology’ you cans futuuse re

Neuroimaging Aids in Identifying

Early-onset Alzheimer Disease M.D. of Patrick J. Peller, Images courtesy New research and recently updated diagnostic guidelines make it clear that neuroimaging will play an increasingly critical role in battling Alzheimer disease (AD), particularly in its early stages.

“Traditionally, our role as radiologists has been Early Alzheimer disease (AD). Mild Alzheimer disease (AD). quite limited in evaluating dementia, using MR or This image of a 52-year-old male with a tenth-grade education depicts a This image of a 62-year-old male college professor depicts mild cogni- CT to rule out uncommon, potentially treatable normal MR of the brain but mild cognitive impairment. PET images dem- tive impairment. MR imaging demonstrates mild generalized atrophy. PET causes such as mass lesions, subdural hematomas onstrate minor temporoparietal hypometabolism. Quantitative PET images demonstrates a bilateral temporoparietal hypometabolism, worse on the left or normal pressure hydrocephalus,” said Jeffrey R. demonstrate mild posterior cingulate gyrus hypometabolism indicative of than on the right. Notably, this patient’s symptoms are very similar to those Petrella, M.D., an associate professor of radiology early AD. of the 52-year-old patient, but his PET reveals a more severe disease . and director of the Alzheimer’s Disease Imaging Research Laboratory at Duke University School of Medicine in Durham, N.C. “Now, imaging is at the hub of Alzheimer’s research.” MR May Identify Cognitive Decline memory decline with a high degree of accuracy. Alzheimer Disease For the first time in 27 years, clinical diagnos- Two recently published studies demonstrated that They analyzed volumes across a number tic criteria for AD have been revised and research MR also may aid in identifying biomarkers of of regions in the temporal and parietal lobes. is Subject of guidelines for earlier stages of the disease have been cognitive decline. Twenty-five of the 149 subjects (17 percent) Annual Oration characterized to reflect a deeper understanding of the In the first study, published in the April 2011 experienced significant memory decline. A com- at RSNA 2011 disorder. In April, the National Institute on Aging issue of Neurology, researchers at Massachusetts puter model incorporating eight brain regions and the Alzheimer’s Association issued new clini- General Hospital in Boston determined that thin- enabled researchers to discriminate between cog- Jeffrey R. Petrella, M.D., cal diagnostic criteria and research guidelines that ning brain areas associated with AD may serve as nitively normal people and subjects with memory will present the Annual reflect three distinct disease stages: pre-clinical AD, Petrella Hodge a biomarker for cognitive decline. They found the decline with 81 percent accuracy. Oration in Diagnostic Radi- mild-cognitive impairment (MCI) due to AD and risk of developing AD was three times greater for Findings illuminated how interaction between ology, “Neuroimaging and dementia due to AD. The guidelines will establish a individuals for whom areas of the cerebral cortex these brain regions may play a key role in mem- framework for eventually adding biomarker bench- more severe hypo-metabolism and greater brain associated with AD in previous studies were thin- ory loss. the Search for a Cure for marks to the diagnosis of AD in all of its stages. (See pathology. nest, compared to those with above-average thick- “Previous models have Alzheimer Disease,” on Web Extras) “Our research indicates that higher education ness. included regions of the brain Tuesday, Nov. 29, at RSNA “The new guidelines recognize that Alzheimer’s decreases the expression of symptoms in early-onset Their technique was to use MR to measure as isolated variables,” said lead 2011. Two of Dr. Petrella’s has a protracted pathophysiologic course in the AD adults just as it does in late-onset AD,” said Dr. cortical thickness in two groups of 32 cognitively author Gloria C. Chiang, brain, following a continuum from a preclinical to Peller, a consultant in Mayo Clinic’s Department of normal adults in their late 60s and 70s, scanning M.D., a radiology resident at early studies, “fMRI Assess- prodromal to dementia phase,” Dr. Petrella said. Radiology. 10 brain regions to produce a composite cortical UCSF. “Our study showed ment of Frontal Lobe FDG-PET is also leading researchers to new bio- thickness score. that volume loss in multiple Dysfunction in Alzheimer “Cognitive Reserve” Identified in markers for all phases of AD. For example, quantita- In the first group, eight adults were diagnosed regions that may be intercon- Disease” and “fMRI in Early-onset AD Chiang tion of FDG-PET can detect very mild decreases in with AD at an average of 11.1 years later; in the nected had a greater impact Early Alzheimer Disease,” In findings presented at the 2011 American Roent- glucose uptake, Dr. Peller said. second group, seven adults developed AD after an on memory decline. We found that automated gen Ray Society Annual Meeting, researchers at the “Quantitation allows us to compare a patient to a average of 7.1 years. In both groups, the scores of temporal and parietal volumes identified those at were funded by the RSNA Mayo Clinic in Rochester, Minn., used PET/CT normal cohort so that abnormalities are more con- the adults who went on to develop AD were .2 risk for future memory decline with high accu- Research & Education to help identify cognitive reserve in early-onset AD spicuous,” Dr. Peller said. “It allows the radiologist mm lower than the adults who remained cogni- racy.” Foundation. patients. to report that a patient is, for example, three stan- tively normal. Adults with low cortical thickness Previous studies have shown that the higher a dard deviations below the mean, which adds to the parameters characteristic of AD developed the dis- Neuroimaging Critical in Treating AD patient’s education level, the longer a patient is degree of certainty.” ease at a rate of 55 percent, compared to 0 percent By identifying individuals at risk for cognitive web extras able to forestall the symptoms of AD. Mayo Clinic rate among the adults in the study with higher- decline, neuroimaging techniques will become To access the research cited in this researchers Jacob R. Hodge, M.D., Patrick J. Peller, than-average cortical thickness. integral to the search for effective therapies to article, go to rsnanews.RSNA.org. M.D., and Christopher H. Hunt, M.D., used fluo- If we can identify Alzheimer “By focusing on cortical regions known to be stop or slow the progression of AD and other To hear a Podcast discussion rine 18 fluorodeoxyglucose (FDG)-PET to deter- dementias, experts say. of the Radiology study, “Identifying “ affected in AD dementia, subtle but reliable atro- Cognitively Healthy Elderly Individuals mine whether patients with early-onset AD, a more with certainty earlier in the phy is identifiable in asymptomatic individuals “Radiologists play a huge role in identify- with Subsequent Memory Decline by aggressive subset of the disease, demonstrate the nearly a decade before dementia, making this mea- ing enriched populations for clinical trials,” Dr. Using Automated MR Temporoparietal “cognitive reserve” associated with highly educated disease process, there is oppor- sure a potentially important imaging biomarker of Petrella said. Volumes,” moderated by Radiology Edi- AD patients. The study comprised 91 patients under tor Herbert Y. Kressel, M.D., and Deputy early neurodegeneration,” researchers concluded. “If we can identify Alzheimer’s with certainty Editor David F. Kallmes, M.D., go to 65 and is the first to use imaging to investigate cog- tunity for disease modification In the second study, published in the June 2011 earlier in the disease process, there is opportunity RSNA.org/Radiology. nitive reserve in this subset of patients. issue of Radiology, a University of California, San for disease modification or ameliorating treat- PET confirmed that adults with higher education, or ameliorating treatment.” Francisco (UCSF) study of 149 healthy elderly ment,” Dr. Peller added.  when matched with a less-educated control group people found that automated brain volume mea- with the same clinical severity of disease, showed Patrick J. Peller, M.D. surements on MR imaging could predict future

9 RSNA News | August 2011 August 2011 | RSNA News 10 fneewsatu yoreu can use

The spider, housed in the Berlin Natural His-

tory museum, was trapped inside fossilized amber Ghysels, M.D. of Marc Images courtesy From Antiques to Arachnids, resin, barely visible under a microscope. Working with colleagues in Germany, researchers imaged the spider using phase contrast and conventional attenuation contrast to better examine low-contrast CT Unravels Ancient Secrets features. Results were published in the April 2011 edition of Naturwissenschaften. Long before there was Lady Gaga, there lived Lady Gautseshenu—a young woman born “Phase contrast is an interference effect based on to a prominent family of Egyptian priests more than 2,600 years ago. the shift in phase of the X-rays as they pass through an object,” said Robert Bradley, a research associate at the Henry Moseley Facility, who imaged the fossil When she died as a teenager, her family took great along with doctoral student Andrew McNeil. “Phase care to bury her remains in a beautifully painted contrast is an exciting development, making CT cartonnage—or coffin—housed at the Brooklyn suitable for new applications including soft tissue, Museum since 1934. Recently, researchers began polymers, insects, wood, graphite as well as fossils in to unravel details of Lady Gautseshenu’s life using amber.” a tool that would have astounded even the greatest Researchers, who determined that the amber minds in ancient Egypt: 3DCT. fossil is a member of the living genus of Hunts- Rivaling the photo frenzy created by modern-day man spiders, were astonished by the level of detail Lady G., physicians at North Shore University Hos- revealed by CT, said David Penney, Ph.D., a visiting pital in Manhasset, N.Y., took more than 10,000 scientist with Manchester’s Faculty of Life Sciences images of Lady Gautseshenu using 64-slice multi- Ghysels Laboratory. detector CT (MDCT) that afforded an incredible “Several people have tried CT scanning of fossils level of detail. in amber, but none have recovered details like this,” Without disturbing the delicate remains, Dr. Penney said. “Until now, I had only seen images researchers determined that Lady Gautseshenu was of this quality from synchrotron scans.” at least 16 years old and stood about 4 feet 6 inches Along with documenting the oldest Huntsman tall. Her body showed signs of osteoarthritis in the spider on record, researchers created a short film pelvis and backbone, her brain and other internal revealing all of the astounding details (See Web organs were removed and her heart and lungs were Extras). in place. Her teeth were in pristine condition. “Personally I find the spider’s 5 micron-sized The level of detail did not surprise researchers, “hairs” striking,” Dr. Withers said. who say CT has yet to scratch the surface in terms Penney Withers of unlocking secrets of ancient relics. Scans See Inside Antiques “Evaluation of relics using CT scanning is rapidly A growing fascination with MDCT and 3D imag- becoming the norm, because it allows researchers to ing led interventional radiologist Marc Ghysels, analyze the objects without touching or damaging “Ten microns was state-of-the-art 10 years ago; now M.D., to establish a private radiology practice in them in any way,” said project researcher Amgad 50 nanometers is possible,” said Philip Withers, Ph.D., Brussels where he analyzes antiquities from various N. Makaryus, M.D., director of echocardiography, who in 2009 established the Henry Moseley X-ray cultures. Specialists around the world rely on Dr. cardiac CT and MR imaging at North Shore Uni- Imaging Facility at Manchester University, U.K. “Each Ghysels radiology skills and knowledge to authenti- versity Hospital. tomograph contains more than a thousand individual cate antiquities. projections taken at different observation angles. This “CT scanning is an absolutely non-destructive CT Reveals Astonishing Details of takes time in the lab. Using synchrotron X-rays, we can test that has the advantage of describing the inner Ancient Spider collect thousands of radiographs in a second, creating state of the object, examined this time as a whole,” CT has come a long way since the late Derek 3D movies at three images per second.” said Dr. Ghysels, who comes from a family of art- Harwood-Nash, M.B., Ch.B., D.Sc., published the ists, art historians and collectors. first article on his use of CT to study an Egyptian Dr. Ghysels lends his expertise to develop meth- mummy in 1979. Since then, CT has been used The noninvasive evaluation ods to create artwork and expose forgeries designed for everything from examining priceless antiques to to deceive collectors. Among its capabilities, CT can evaluating skeletal remains of prehistoric Australian “ of these relics will become reveal an object’s contents, determine how the piece aborigines to creating a stunning 3D image of a was made and expose the nature and extent of resto- 49-million-year-old spider trapped inside a fossil. more common and even the ration work—often revealing forgeries. The evolution of CT technology—primarily in Materials that respond well to CT include wood, terms of spatial resolution and speed—has fueled ivory, bone and terra cotta. In one instance, a CT such research. norm as it allows for their scan of a terracotta sculpture from China’s Tang Dynasty (A.D. 618-907) revealed that metal, glue Marc Ghysels, M.D., uses his radiology skills and knowledge to analyze antiqui- On the cover evaluation without invading and resin were used to assemble terracotta pieces of ties from various cultures. Top: a CT scan of a Yaka figurine collected in the North Shore University Hospital Congo “was not designed to dissipate doubts about its authenticity but to shed researcher Amgad Makaryus, varying density and that the head had been carved light on its very structure and try to pierce the secrets of its inner life when it M.D., center, and CT staff mem- or damaging them.” from plaster. The sculpture was a modern construc- first came into being,” Dr. Ghysels said. Middle: CT slices and 3D reconstruction bers Joann Aydin (left) and Karen tion created with old materials, Dr. Ghysels said. of a Burmese ivory stupa reveal a standing statue of Buddha; bottom: The CT Lisk examine the 2,600-year-old Amgad N. Makaryus, M.D. (See Web Extras). scan of Peruvian whistling bottles highlights one of the many innovations devel- Lady Gauteseshenu mummy from Continued on next page oped by ancient Peruvian potters during a more than 3,000-year period. the Brooklyn Museum.

11 RSNA News | August 2011 August 2011 | RSNA News 12 feature See Chicago Sizzle During RSNA 2011 Brimming with vitality year-round, Chicago simply sparkles during the holiday season with a full spectrum of festivities sure to please everyone attending RSNA 2011. Below, our annual roster of Chicago events includes our Insider’s Guide to Chicago’s Best Deals featuring the many free activities available in the Windy City. Museums Art Institute of Chicago Renowned for its Impressionist and Post-Impressionist collection RSNA Tour as well as its Depression-era American paintings, the Art Institute boasts a 260,000 piece-collection representing 5,000 years of art from around the globe. Don’t miss the A radiograph of a 49-million-year-old spider trapped inside a fossil (above) was among the CT images captured by researchers at the recently opened Modern Wing, which Henry Moseley X-ray Imaging Facility at Manchester University, exhibits early 20th Century European Art. U.K. Researchers, who used phase contrast and conventional at- the special winter exhibition is Bertrand Explore the world of sea jellies at the Shedd Aquarium’s Jellies exhibit. tenuation contrast to better examine low-contrast features, were Goldberg: Architecture of Invention. astonished by the level of detail (right) revealed by CT. “Person- • 111 S. Michigan Ave. ally, I find the spider’s 5-micron-sized ‘hairs’ striking,” said Philip Smith Museum of Shedd Aquarium 1-877-307-4242 Withers, Ph.D. Stained Glass Windows The world’s largest indoor marine animal Images courtesy of Andrew McNeil/Henry Moseley X-ray Imaging Facility, Manches- www.artic.edu ter University, U.K. www.ticketmaster.com When visiting Navy Pier, enjoy the largest facility offers an array of exhibits from collection of Tiffany stained glass windows, adorable sea otters to vicious piranhas and Field Museum of Natural History which are displayed along the interior public allows visitors the chance to pet a sea star. Upon entering, visitors will encounter Sue, walkway at the east end of the pier building. The popular dolphin and Beluga whale show the world’s largest and most complete The collection contains more than 150 takes place in the Oceanarium amphitheater Tyrannosaurus Rex fossil. The natural stained glass works by artists such as Louis and sharks can be found in the Wild Reef. A history museum has something for Comfort Tiffany and Frank Lloyd Wright. temporary exhibit, Jellies, demonstrates how everyone from taxidermy animals and Admission is free and public tours are sea jellies hunt and grow exponentially. Continued from previous page dioramas to Egyptian mummies and a said. “On a slightly smaller scale, we examined a Web Extras offered on most Thursdays at 2 p.m. • 1200 S. Lake Shore Dr. Along with authenticating artwork, Dr. Ghysels, Tyranousaurus Rex brain case.” To view the video, memorable dinosaur exhibit. Stop by this • 600 E. Grand Ave. (Navy Pier) 1-312-939-2438 whose awards from RSNA include the 2004 Excel- CT scanning of ancient relics even offers poten- “Huntsman Spider in Baltic year’s special exhibits Chocolate: Around the 1-312-595-7437 www.sheddaquarium.org Amber Imaged Using Phase lence in Design Award for his exhibit, “CT in Art tial for modern-day medicine. In research presented World and Abbott Hall of Conservation www.navypier.com Contrast X-Ray Tomogra- Adler Planetarium Work Appraisal,” uses CT to shed new light on the at the 2010 meeting of the North American Society Restoring Earth. phy,” by Andrew McNeil at Museum of Contemporary Art work of artists whose secrets were buried with them. for Cardiovascular Imaging, Dr. Markaryus and col- the Henry Moseley X-Ray • 1400 S. Lake Shore Dr. A National Historic Landmark, the Adler “As a radiologist, my goal is to make the piece leagues used 64 MDCT to study atherosclerosis in Imaging Facility, Univer- 1-312-922-9410 The largest museum of contemporary art in opened in 1930 and is the world’s oldest ‘speak’ from its internal content and then to inter- five mummies. This research disclosed that, despite sity of Manchester, go to the world, the MCA displays a variety of planetarium. A variety of astronomical rsnanews.RSNA.org. www.fieldmuseum.org pret these messages/signs/anomalies ... to decide if primarily vegetarian diets, non-sedentary lifestyles Post-World War II art including paintings, adventures await visitors, from visiting the they are consistent with the original piece and its and no tobacco use, “Egyptian remains still showed For more information on the Henry Moseley X-ray RSNA Tours & Events sculptures, photographs and video installa- restored Gemini 12 spacecraft to landing the natural history over the centuries,” he said. evidence of often significant vessel calcification, Imaging Facility at Man- tions. In its history, the museum has hosted Lunar Module simulator on the face of the indicating that vascular disease is not a modern phe- chester University, U.K., go RSNA is sponsoring a noteworthy and controversial exhibits moon. Planetarium shows play continuously Potential of CT is Boundless nomenon but a product of the interplay between to xray-imaging.org.uk. series of tours and events including Christo’s first U.S. building wrap; throughout the day in three theaters. Where will the ever-expanding capabilities of CT human genetic predisposition and environmental To view the six-stage during RSNA 2011. The video progression of the Andres Serrano’s work with statuettes • 1300 S. Lake Shore Dr. lead? The possibilities are endless, investigators say. factors.” RSNA Tours & Events CT scanning process of submerged in urine, milk or blood; and 1-312-922-7827 “It is opening up a whole new world,” Dr. Pen- The technology may even help unravel more “Woman Playing the Flute,” brochure is available at www.adlerplanetarium.org ney said. “Fossils that would have been considered complex mysteries of the heritage of life on earth, a terracotta sculpture RSNA2011.RSNA.org/ Tours and Events Robert Mapplethorpe’s The Perfect Moment. Advance Registration Deadline – November 4

from the Tang Dynasty, Radiological Society of North America November 27 – December 2 of no real scientific value—because they are pre- experts say. attendees/tours_and_ 97th Scientific Assembly and Annual Meeting McCormick Place, Chicago RSNA2011.RSNA.org this winter, MCA will feature three Peggy Notebaert Nature Museum served in ways that obscure important features—can “Because of CT, we can expect to see a greater China, 618-907 A.D., go to special exhibits—Iain Baxter&: Works rsnanews.RSNA.org. Mark events.cfm. The Notebaert welcomes children of all now be examined in fine detail.” And not just the incorporation of paleontological data in neontologi- 1959-2009; MCA Screen: David Hartt; and Ghysels, M.D., detected Please look for the RSNA Tour icon next to ages to explore nature in unusual and external appearance. “We can also see internal cal studies in coming years, which may help refine some 50 disparate ter- Ron Terada: Being There. racotta elements assembled event listings in this article, innovative ways. Permanent exhibits include details of preserved fossils,” he added. our understanding of the evolutionary tree of life on RSNA Tour • 220 E. Chicago Ave.  by means of glue, resin and signifying that a pre-arranged The Birds of Chicago, Extreme Green House, Researchers at the Moseley X-ray Imaging Facility earth,” Dr. Penney said. 1-312-280-2660 metal pins. RSNA package is available. Enroll for tours Istock Family Look-in Animal Lab, Judy continue to create 3D images of ancient objects of www.mcachicago.org all sizes. “The biggest fossil was encased in over a and events online when registering for the Istock Butterfly Haven, Mysteries of the annual meeting or while adding courses. ton of rock and was meters in length,” Dr. Withers Continued on next page

13 RSNA News | August 2011 August 2011 | RSNA News 14 Millennium Park Ice Rink nuns and also serves as a wry introduction The McCormick Tribune Plaza & Ice Rink is to Catholicism. Family "Boris Gudunov" will be performed at located just off Michigan Avenue in the • Royal George Theatre Performances the Lyric Opera of Chicago. shadow of the Cloud Gate RSNA Tour 1641 N. Halsted St. sculpture, affectionately called “The Bean.” 1-312-988-9000 A Christmas Carol www.ticketmaster.com The Park Grill’s windows look out on the For more than 30 years, the Goodman rink. Skating is free and skate rental is Memphis Theatre has presented this timeless Dickens classic during the holiday season. available. A story of forbidden love in RSNA Tour • East side of Michigan Avenue between the underground clubs of Memphis in the • Goodman Theatre 170 N. Dearborn St. Washington and Madison streets ‘50s comes alive through song and dance. 1-312-443-3800 1-312-742-1168 • Cadillac Palace Theatre www.goodman-theatre.org www.millenniumpark.org 151 W. Randolph St. The Blue Man Group Daley Bicentennial Plaza Ice Rink 1-312-902-1400 www.ticketmaster.com A vibrant event blending flashing lights, Located across Millennium Park’s snake- comedy, loud music—and yes, blue men— like BP Pedestrian Bridge is a secluded ice Penelope for one unique experience. Shows are rink with far fewer skaters than the A U-505 German submarine is among the one-of-a-kind exhibits at A modern take on the competition among unique to each city. Children under five not well-known Millennium Park rink. The the Museum of Science and Industry. Penelope’s suitors during Odysseus’ long admitted. facility offers free skating, skate rental and a absence. • Briar Street Theatre Continued from previous page warming building. • Steppenwolf Theatre 3133 N. Halsted Marsh, Nature’s LunchBox, RiverWorks, • 1601 N. Clark St. • South side of East Randolph Street between 1650 N. Halsted Ave. 1-773-348-4000 Columbus Drive and Lake Shore Drive Water Lab and the Wilderness Walk. Visitors 1-312-642-4600 1-312-335-1650 www.blueman.com 1-312-742-7650 www.steppenwolf.org seven years of age and younger are invited www.chicagohs.org www.ticketmaster.com www.chicagoparkdistrict.com to enjoy the Hands-on Habitat. DuSable Museum of African The Pitmen Painters Junie B. Jones in Jingle Bells, • 2430 N. Cannon Dr. American History Lee Hall, the gifted writer who brought us Batman Smells! 1-773-755-5100 A special museum dedicated to collecting Theater Billy Elliott, is once again working his magic This Emerald City Theater adaptation is www.chias.org on the story of miners in Northern England. and preserving the history of African Ann: An Affectionate Portrait of appropriate for children of all ages. • TimeLine Theatre Museum of Science and Industry Americans, this nearly 50-year-old Ann Richards • The Apollo Theater Davis with Raymond Aceto, Stefan Margita The only remaining building from the 1893 institution is the first of its kind in the U.S. 615 W. Wellington Ave. 2540 N. Lincoln Ave. and Andrea Silvestrelli. Emmy®-award winning actress Holland 1-773-281-8463 World’s Columbian Exposition, the museum It features exhibits on salient historical 1-773-935-6100 • 20 N. Wacker Dr. Taylor brings this Texas icon to life. www.timelinetheatre.com is packed with one-of-a-kind exhibits: one topics such as civil rights as well as work www.emeraldcitytheatre.com 1-312-332-2244 x5600 • Bank of America Theatre www.lyricopera.org of two U-505 German RSNA Tour by African-American artists. 24 W. Randolph St. The Second City submarines captured during World War II; a • 740 East 56th Pl. 1-312-902-1400 Second City is the comedic training ground Chicago Symphony Orchestra 1-773-947-0600 Symphony and realistic coal mine; the multilevel Science of www.ticketmaster.com for many of today’s favorite comedians. Dec. 1, 2 & 3 Storms exhibit, complete with a vapor www.dusablemuseum.org Shows are scheduled on both the Main Elizabeth Rex Opera Conductor: Jaap van Zweden tornado and tsunami tank; and the Henry Lincoln Park Conservatory Stage and the smaller ETC stage, combining Program: Stucky: Rhapsodies for Orchestra; Crown Space Center featuring Apollo 8. A This tale of love and death centers on Lyric Opera of Chicago Built in the late 1800s, the conservatory short comedy sketches and improvisation. Mozart: Bassoon Concerto; Mahler: temporary exhibit, Smart Home: Green + Queen Elizabeth’s interlude with a The historic and renovated art-deco Civic originally provided visitors a chance to view Cocktails and food are served during Symphony No. 1 Wired, demonstrates a sustainable “green” Shakespearean actor the night before Opera House is the perfect setting to see exotic plants, while growing most of the performances. • 220 S. Michigan Ave. home. Annual seasonal exhibits include the beheading her assumed lover, the Earl of the renowned Lyric Opera of Chicago. Free specialized horticulture for Chicago’s parks. • Main Stage and ETC stage 1-312-294-3000 Christmas Around the World and Holidays Essex, for treason. 1616 N. Wells St. lectures are offered one hour before every Today, visitors can stroll among the four www.cso.org of Light. • Chicago Shakespeare Theater 1-312-337-3992 performance. Tickets go on sale Aug. 1. display houses: Fern Room, Orchid House, 800 E Grand Ave. Symphony tours also include RSNA Tour • 57th St. and Lake Shore Dr. www.secondcity.com Productions include: Palm House and Show House, where the 1-312-595-5600 Vienna Boys Choir and Mahler. 1-773-684-1414 Ariadne auf Naxos Christmas show is hosted. www.chicagoshakes.com Tommy Gun’s Garage www.msichicago.org Nov. 28 and Dec. 2 Continued on next page • 2391 N. Stockton Dr. This interactive dinner theatre set in the [U505Submarine] Home “Tragedy surrounded by comedy” is one 1-312-742-7736 Roaring Twenties features Prohibition-era Enjoy the rich history of the Chicago Chicago History Museum www.chicagoparkdistrict.com Set during the turbulent ‘60s and ‘70s, gangsters and flappers in a musical comedy way to describe this clever RSNA Tour Home was originally performed by the production staring larger than life charac- Symphony Orchestra. This collection dates from 1856, approxi- Garfield Park Conservatory show. mately 25 years after the founding of Negro Ensemble Company. • Tommy Gun’s Garage ters. By Richard Strauss; Conductor: Sir Enjoy the holiday flower show in one of the Chicago, and was started with the intent to • Court Theatre 2114 S. Wabash St. Andrew Davis with Anna Christy, Alice world’s largest gardens under glass, built at help to research and interpret the city’s 5535 S. Ellis Ave. 1-312-225-0273 Coote, Brandon Jovanovich and Deborah the turn of the last century. The conserva- 1-773-753-4472 history. The museum helps bring to life www.tommygunsgarage.com Voigt. tory is famous for its prairie waterfall set www.courttheatre.org many aspects of Chicago’s past, including Boris Godunov among stone and water landscapes. the Great Chicago Fire of 1871, the rise of Late Nite Catechism Nov. 29 • 300 N. Central Park Ave. Chicago’s Chinatown and the life and times This witty performance examining the Baby Enjoy the grandiose tale of a tormented 1-312-746-5100 Russian Czar who must RSNA Tour of Abraham Lincoln. Details on neighbor- www.garfield-conservatory.org Boomer parochial school experience is a hood tours, lectures, performances and longtime favorite among those taught by persevere during the worst of times. By events are available on the website. Modest Mussorgsky; Conductor: Sir Andrew

15 RSNA News | August 2011 August 2011 | RSNA News 16 radiology's future

Continued from previous page Family Activities Research & Education Chicago Children’s Museum Foundation Donors Fifteen permanent hands-on exhibits range from dinosaurs to art, water play to fire safety, climbing to commerce. Daily The R&E Foundation thanks the following donors for gifts made activities offer even more focused learning May 7 – June 10, 2011. opportunities. • 700 E. Grand Ave. (on Navy Pier) 1-312-464-7732 Vanguard Program Visionaries in Practice Program www.chichildrensmuseum.org Companies supporting endowments and term funding for named grants A giving program for private practices and academic departments Navy Pier IMAX Theatre Bronze Level ($10,000) The Navy Pier IMAX theatre will announce its complete holiday film schedule in late Canon U.S.A. Hitachi Medical Systems autumn. $10,000 $15,000 • 700 E. Grand Ave. The Willis Skydeck A Vanguard company since 1999 A Vanguard company since 1999 1-312-595-5MAX Johns Hopkins Medicine Radiology Associates, P.A. www.imax.com/chicago Baltimore Little Rock, Ark. Lincoln Park Zoo Skydeck Chicago at Willis Tower John Hancock Observatory One of the nation’s last free zoos, and one At 1,353 feet above the ground, Skydeck This observatory experience on the 94th of its oldest, the Lincoln Park Zoo is Chicago (above) in Willis Tower, the tallest Philips Healthcare Toshiba America Medical Systems floor begins with a ride on the fastest conveniently located in nearby Lincoln Park. building in the Western Hemisphere, offers $100,000 $25,000 elevator in North America and includes an A founding Vanguard company since 1990 A founding Vanguard company since 1990 TRA Medical Imaging Walk through the zoo at night with the views up to 60 miles. If you RSNA Tour Tacoma, Wash. The RSNA R&E open-air skywalk, free multimedia sky tour holiday-themed ZooLights festival on Friday dare, venture out onto a Ledge, four glass- Foundation provides and the first interactive telescopes in through Sunday evenings. enclosed—and glass-bottomed—boxes Exhibitors Circle Program the research and the U.S. • 2200 N. Cannon Dr. outside the building. development that Companies who give annual unrestricted gifts at four levels from $1,500 to $10,000 • 875 N. Michigan Avenue 1-312-742-2000 • 233 S. Wacker Dr. (Enter Skydeck on Jackson) keeps radiology 1-888-875-VIEW www.lpzoo.com 1-312-875-9447 Bronze Circle ($1,500) in the forefront of jhochicago.com www.theskydeck.com medicine. Support your future—donate The Insider’s Guide to Chicago’s Best Deals today at RSNA.org/ donate. InfiMed NORAS MRI products GmbH Parascript Ziosoft Many Chicago museums offer free admission on select days. With some smart scheduling, you can visit many of the city’s top attractions for little to no money. Here is a rundown of Legacy Donor Individual Donors some of the best deals in town. Program Donors who give $1,500 or more per year qualify for the RSNA Presidents Circle. Free as indicated: Always free: Macy’s Holiday Windows Individuals recognized for Their names are shown in bold face. planned gifts • Chicago History Museum (Monday) • Chicago ArchiCenter, 224 S. Michigan Ave. Walk outside alongside the Macy’s store $1,500,000 Dr. & Mrs. Marvin D. Nelson $500 - $999 Ralph Schlaeger Charitable Foundation In memory of Peggy J. Fritzsche, M.D. Eric A. Bogner, M.D. at 111 N. State St. to view animated Galaxy Legacy ($1,000,000+) • Museum of Contemporary Art, 220 E. Chicago • Chicago Cultural Center, 78 E. Washington St. $5,000 – $10,000 Nargis S. Patel, M.D. & Janet M. & Daniel A. Feeney, D.V.M. holiday scenes. Ralph Schlaeger Charitable Foundation Suresh K. Patel, M.D. (Tuesday) Sandy & Aslam R. Siddiqui, M.D. Jerome J. Gehl, M.D. • City Gallery at the Historic Water Tower, 806 In memory of Richard E. Buenger, M.D. Debra A. Gervais, M.D. McDonald’s Thanksgiving Parade $2,500 – $4,999 • Charnley-Persky House Museum, 1365 N. Astor St. N. Michigan Ave. Diana Parker Jennifer A. Harvey, M.D. & Visionary Donor American Association of Physicists in In memory of Robert G. Parker, M.D. Robert M. Granger Spend Thanksgiving morning with Medicine (AAPM) (Wednesday) • Lincoln Park Conservatory, 2391 N. Stockton Carol A. Diamond, M.D. & William M. Green, M.D. marching bands, enormous inflatables, Program Marjorie A. Bowman, M.D. & Howard A. Rowley, M.D. Cathrine E. Keller, M.D. • Clarke House Museum, 1827 S. Indiana Ave. Dr. Robert H. Choplin, M.D. floats, and Santa Claus and Ronald Individuals recognized for In honor of Michael S. Huckman, M.D. Solveig & Seymour H. Levitt, M.D. Marian U. & Melvin E. Clouse, M.D. (Free tours on Wednesday) • Lincoln Park Zoo, 2200 N. Cannon Dr. McDonald. This annual parade travels cumulative lifetime donations Arlyne T. Shockman, M.D. Paul D. Radecki, M.D. Margaret D. Gore, M.D. & Susan & Stephen M. Smith, M.D. Richard M. Gore, M.D. George C. Ramsay, M.D. • DuSable Museum of African American History • Millennium Park Welcome Center, 201 E. down State Street from 8 to 11 a.m. Platinum Visionary ($25,000) Rebecca R. & Wilbur L. Smith Jr., M.D. Julia R. Fielding, M.D. & Patricia A. Randall, M.D. (Sunday) Randolph St. Diana Parker Judith S. & Peter M. Som, M.D. Amanda J. Ferrell, M.D. & E.W. Swan Christkindlmarket Chicago and the Keith P. Mankin, M.D. Sandralee & William M. Thompson, M.D. • Glessner House Museum, 1800 S. Prairie Ave. Faith & Theodore A. Tristan, M.D. Amy & Shawn D. Teague, M.D. • Museum of Contemporary Photography, 600 Santa House $1,500 – $2,499 In memory of Charles Moreau Thompson, Richard A. Vanbergen, M.D. Gold Visionary ($15,000) M.D. (Free tours on Wednesday) One of Chicago’s most popular holiday Marjorie G. & Stephen R. Baker, M.D. Shirley B. & Robert A. Woolfitt, M.D. S. Michigan Ave. Claudia P. & Levon N. Nazarian, M.D. Martha & Carlos Bazan III, M.D. Jean M. & James H. Thrall, M.D. • Art Institute of Chicago, 11 S. Michigan Ave. events is Christkindlmarket Chicago, a Dr. & Mrs. Marvin D. Nelson Carmen M. Bonmati, M.D. & Donna & William A. Weidner, M.D. $251 – $449 • National Museum of Mexican Art, 1852 W. Nancy J. & Robert E. Campbell, M.D. (First and second Wednesday of the month) traditional German open air market Benjamin N. Conner, M.D. $1,000 - $1,499 19th St. Silver Visionary ($10,000) Sarah S. Donaldson, M.D. In memory of Mrs. Sally Campbell offering authentic German food, drink Julia R. Fielding, M.D. & Patricia G. Becker, M.D. & Reinartz • Chicago Children’s Museum at Navy Pier, 700 E. • Navy Pier, 600 E. Grand Ave. Maxine & Paul H. Ellenbogen, M.D. Gary J. Becker, M.D. and wares. Christkindlmarket is free and Keith P. Mankin, M.D. In honor of Manuel L. Brown, M.D. Nicholas J. Ferris, M.B.B.S. Grand Ave. (Thursday, 5–8 p.m. and first Sunday of Ricardo D. Garcia-Monaco, M.D., Ph.D. Ayca Gazelle, M.D. & • Smart Museum of Art, 5550 S. Greenwood is located on Daley Plaza between Bronze Visionary ($5,000) Phyllis & Barry B. Goldberg, M.D. Ingrid E. & Stephen R. Thomas, Ph.D. each month) Sharon & Irwin Grossman, M.D. G. Scott Gazelle, M.D., M.P.H., Ph.D. Ave. Washington and Dearborn Streets from Maxine & Paul H. Ellenbogen, M.D. Faith Tristan Mary A. & Rakhi Ram, M.D. • Notebaert Nature Museum, 2430 N. Cannon Dr. Jerome J. Gehl, M.D. Margaret C. & R. Gilbert Jost, M.D. In memory of Theodore A. Tristan, M.D. November 23 to December 24. Helen & James Kereiakes Sally & Joseph M. Yee, M.D. Margaret D. Gore, M.D. & In honor of Nancy B. Genieser, M.D. (Thursday) Richard M. Gore, M.D. Paul & Laureen Mirabella Claudia P. & Levon N. Nazarian, M.D. Continued on next page

17 RSNA News | July 2011 August 2011 | RSNA News 18 radiology’s future

Become a VIP Donor by Sept. 30 to Receive Full Benefits at RSNA 2011 2012 R&E Grant Journal Highlights More than 20 private practices and academic departments across the country are investing in Application Process RSNA Research & Education (R&E) Foundation grant programs to fund a critical research and Opens Soon The following are highlights from the current issues of RSNA’s two development pipeline for the specialty. Individuals interested in The Visionaries in Practice (VIP) Program recognizes the link between today’s research and obtaining RSNA Research & peer-reviewed journals. tomorrow’s practice, as well as the importance of strong residency and fellowship training pro- Education (R&E) Foundation grams to build tomorrow’s workforce. By investing in the R&E Foundation, VIP groups fund radio- grants for 2012 can begin logic research to sustain the advancements that built their practices. In appreciation for funding New Techniques in Lumbar Spinal Instrumentation: submitting their applications support, the R&E Foundation provides special recognition and benefits to VIP practices and prac- What the Radiologist Needs to Know starting in October. For more tice members. RSNA 2011 benefits include: Recent advances in spinal surgery seek to minimize morbidity through minimally inva- • Access to the R&E Donor Lounge information, go to RSNA.org/ Foundation or contact Scott sive approaches, the use of osteoinductive materials and methods to reduce adjacent-level • Practice name and logo recognition in the R&E Foundation Booth disease. • Discounts at the RSNA Education Store Walter, M.S., Assistant Direc- tor, Grant Administration at Radiologists should be aware of the imaging features of these • Priority taxi boarding methods, the devices utilized and their potential complications, For more information to share with your practice, see the VIP video at RSNA.org/Foundation/ 1-630-571-7816 or swalter@ rsna.org. according to a review article by Ryan D. Murtagh, M.D., M.B.A., VIPgiving.cfm or contact Robert Leigh at 1-630-590-7760 or [email protected]. of the Moffitt Cancer Center in Tampa, Fla., and colleagues in the August issue of Radiology (RSNA.org/Radiology). Specifically, the authors discuss: R&E Foundation Individual Donors • Minimally invasive spine surgery • Osteoinductive bone graft substitutes Continued from previous page Verena S. & Basil J. Grieco, M.D. Pritee & Harish Patel, M.D. Andrea & Gregory S. Stacy, M.D. In honor of John P. Tampas, M.D. • Motion preservation $250 or less David R. Payne, M.D. Ralph L. Stevens, M.D. Andre R. Grivegnee, M.D. Denise R. Aberle, M.D. & John S. Adams Heather F. Penney, M.D. Margaret A. Stull, M.D. & Gregory J. Stull • Total disk replacement procedures Amos Q. Habib, M.D. In memory of Naomi Adams Clare M. Tempany-Afdhal, M.D. & John H. Penuel, M.D. • Partial disk replacement Anterior fusion at L4-5 and L5-S1 with Lynwood W. Hammers, D.O. Nancy K. Plourde, M.D. Sallie & Thomas D. Suby-Long, M.D. Nezam Afdhal, M.D. • Interspinous devices transpedicular fusion from L4-S1. Frontal In honor of Ferenc A. Jolesz, M.D. William S. Hare, M.D. Kristin H. & Kent W. Powley, M.D. In memory of Franklin O. Long radiograph shows that the XLIF cage has mi- Stacy & Scott B. Harter, M.D. Elmarie & Wynand J. Pretorius, M.B.Ch.B. Mark W. Sykes, M.D. • Posterior pedicle fixation-based dynamic stabilization devices In memory of Leon Love, M.D. grated laterally from the disk space (arrow). Pedro S. Aleixo, M.D. Gwen & J. Bruce Hauser, M.D. Le-Ping Pu, M.D., Ph.D. Ruth H. & Richard A. Szucs, M.D. • Facet replacement devices Harold L. Atkins, M.D. Yun-Soo Kim & Adnan A. Qalbani, M.D. Doug B. Tait, M.D. Note the characteristically long, rectangular Gunter J. Augustin, M.D. Hyun-Sook Hong, M.D., Ph.D. Stanley B. Reich, M.D. In memory of Frances B. Toomey, M.D. • Graft Substitutes shape of the device, which is designed to Teresa M. & Edward A. Behnke, M.D. Sandra & David W. Hunter, M.D. Robert E. Roth, M.D. Eddy C. Tong, M.D. “While it would be difficult to become familiar with the imaging characteristics of maximize contact with the epiphyseal rings of Daniela B. Husarik, M.D. Jodie K. Van Wyhe, M.D. In honor of Dustin E. Thompson, M.D. Allen J. Rovner, M.D. each device, it is imperative that the radiologist be aware of the increasing popularity of both endplates. Pamela & Geoffrey T. Benness, M.D. Barbara P. Huss, M.D. & David J. Ryder, M.D. Julita O. Vazquez, M.D. (Radiology 2011;260;2:317-330) ©RSNA, 2011. All rights In memory of Melvin M. Figley, M.D. Richard G. Huss, M.D. Mary H. Scanlon, M.D. Patricia & Richard I. Vigran, M.D. these devices and have a basic understanding of the rationale and basic function associ- reserved. Printed with permission. Jessica F. Berkowitz, M.D. & Diana T. Jucas, M.D. Carl L. Schultz, M.D. David L. Wadley, M.D. ated with each device category,” the authors conclude. Kenneth A. Berkowitz, M.D. Donna & John P. Karis, M.D. Clark L. Searle, M.D. Darlene & James C. Walker Jr., M.D. Ann Sweeney & Douglas S. Katz, M.D. Veronica Selinko, M.D. Risa H. Kent, M.D. & Michael A. Blake, M.B.B.Ch. In honor of Ms. Darienne A. Segura William J. Shea Jr., M.D. Jeffrey C. Weinreb, M.D. Sanfurd G. Bluestein, M.D. Loren H. Ketai, M.D. Neil H. Siegel, M.D. Douglas J. Wester Jr., M.D. Mammographic Signs of Systemic Gunilla & Hugo G. Bogren, M.D., Ph.D. Maged F. Khalil, M.D. In honor of Burton P. Drayer, M.D. Paul R. White, M.D. Jaime Bonilla, M.D. Ania Z. Kielar, M.D. Cicero J. Silva, M.D. Rolla Ella Wilson, M.D. Disease Jack L. Bridges, M.D. Jean & Arthur F. Kriner, M.D. Patricia & Stuart G. Silverman, M.D. Paul W. Wong, M.D. Virginia G. & Leonard J. Bristol, M.D. Anita I. Busquets & William A. Ladd, M.D. MaryAnn & Frank J. Simone, M.D. Jean K. Yi, M.D. While mammography is primarily used for the Laurette M. & Donald M. Bryan, M.D. Kent T. Lancaster, M.D. Gail B. Carney & David L. Spizarny, M.D. Shahnaz & Amir A. Zamani, M.D. detection of breast cancer, it occasionally reveals evi- Irma & Louis J. Bujnoch, M.D. Phyllis & Philip H. Lapidus, M.D. Judith & Duncan C. Burdick, M.D. Linda L. Gray, M.D. & Mark E. Leithe dence of systemic disease. Diseases affecting the breast Edward C. Callaway, M.D. Joseph L. Lenkey, M.D. Your Donations in Action can originate from almost Patsy Capps Alan F. Lobo, M.D. any organ system in the In memory of Julian H. Capps II, M.D. Angelique & James L. Lowry, M.D. Sandra & Philip N. Cascade, M.D. Thomas J. Luttenegger, M.D. body and the correspond- Katia P. Miranda & Mary I. & Denton E. MacCarty, M.D. ing mammographic abnormalities can be vascular, Jose F. Castro Santos, M.D. In memory of Robert R. Dahamel, M.D. lymphatic, cutaneous or parenchymal in nature. Rohini N. Nadgir, M.D. & Herbert R. Madry Jr., M.D. Kevin J. Chang, M.D. Renee & Milton Margulies, M.D. It is the radiologist’s responsibility to determine Michael A. Crews, M.D. In memory of Harry Z. Mellins, M.D. if mammographic abnormalities are adequately Barry D. Daly, M.D. Stuart J. Masters, M.D. Hans G. Dransfeld, M.D. Charles C. Matthews, M.D. explained by the systemic disease process or if they Sarah Mark-Drasin & Todd E. Drasin, M.D. Mark D. McCaslin, M.D. are suspicious for primary malignancy and therefore Geeta Iyengar & Jose T. Medina, M.D. warrant tissue diagnosis. In review in the July-August Vinay A. Duddalwar, M.B.B.S. Stephen B. Meisel, M.D. Michael J. Esposito, M.D. Mitchell A. Miller, M.D. issue of RadioGraphics (RSNA.org/RadioGraphics), Joshua M. Farber, M.D. Sharon & Robert M. Miller, M.D. Mailan M. Cao, M.D., of the David Geffen School In memory of Dr. & Mrs. H.R. Farber Julie Herteau-Miller, M.D. & Metastatic sarcoma in a 64-year-old woman with a Katelyn Atkins, B.S. (center) with scientific advisor Gary of Medicine at the University of California, Los Angeles, and colleagues: Lynne & Michael P. Federle, M.D. William D. Miller, M.D. palpable right breast mass. The patient had a history Jaylynn K. & Michael J. Milstein, M.D. Thomas, Ph.D. (left) and Department Chair Charles R. Thomas, • Describe the mammographic changes that occur in the breast vasculature, David P. Fessell, M.D. of clear cell sarcoma of the right arm, which had been Leanne L. Seeger, M.D. & Rudi Foorman Robert G. Mitchell, M.D. Jr., M.D. lymphatic vessels, skin and parenchyma in various systemic diseases Rose Honig Freed & Ezekiel Freed, M.D. Desiree E. Morgan, M.D. • Discuss the systemic diseases that can mimic primary breast malignancy at treated with radiation therapy and axillary lymph node Karen S. Frush, M.D. & Seyed-Ali Mousavi, M.D. With an RSNA R&E Foundation grant, dissection. Fused PET/CT scan shows multiple hyper- Donald P. Frush, M.D. Martha M. Munden, M.D. & mammography metabolic foci in the right breast. The results of biopsy Glenn C. Gaviola, M.D. Reginald F. Munden, M.D., D.M.D. Katelyn Atkins, B.S., is working to under • List the systemic diseases that are thought to be associated with an increased confirmed metastatic sarcoma. Monica Ghoshhajra, M.D. & In memory of William B. Munden III risk of breast cancer Brian B. Ghoshhajra, M.D. Grace & James B. Naidich, M.D. stand the molecular basis of how cells respond (RadioGraphics 2011;30;1085–1100) ©RSNA, 2011. All rights reserved. Grace & Kalyanmay Ghoshhajra, M.D. In memory of Mitchell A. Goldman, M.D. “Knowledge of the mammographic findings of various systemic diseases also Printed with permission. Ronald B. Glass, M.D. In memory of Roger A. Hyman, M.D. to acute radiation. Such understanding is gives the radiologist a better sense of the overall health status of the patient,” Diane Pappas, M.D. & Cheri L. Canon, M.D. & Malcolm R. Nelson Laurence D. Goldstein, M.D. Paolo Nucifora, M.D., Ph.D. critical to the development of targeted adjunct the authors conclude. “Some systemic diseases, such as Cowden syndrome, are Antoinette S. Gomes, M.D. Terence D. O’Connor, M.D. therapies to increase the effectiveness of associated with an increased risk of breast cancer, and awareness of these diseases Rhadames Gomez Reyes, M.D. Vincent Palumbo, M.D. aids the interpreting physician in making follow-up recommendations.” Dana A. Gray, M.D. Kimberly E. Applegate, M.D., M.S. & radiation therapy in cancer treatment. Todd D. Greenberg, M.D. George F. Parker, M.D. In memory of Peggy J. Fritzsche, M.D.

19 RSNA News | August 2011 August 2011 | RSNA News 20 news you can use

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

Speech Stimulation During Functional MR Imaging as a Potential Indicator of Autism Coronary Atherosclerosis in African-American and White Patients with Acute Chest Pain: Functional MR imaging (fMRI) in Characterization with Coronary CT Angiography response to passive speech stimulation As measured by using coronary CT angiography, atherosclerotic may help differentiate language-impaired plaque burden and composition differ between African-American autistic from control subjects, demonstrat- and white patients with relatively more noncalcified disease in Afri- ing the potential utility of functional MR can Americans and more calcified disease in white individuals. imaging as an objective indicator of lan- In a retrospective study, John W. Nance Jr., M.D., of the Medi- guage impairment in autism. cal University of South Carolina in Charleston, and colleagues In a prospective study, Grace Lai, analyzed CT angiographic data of 301 patients (150 consecutive Ph.D., of Columbia University Medical African-American patients; 151 white control patients; mean age, Center, Neurological Institute, New York, 55 years; 33 percent male) with acute chest pain. Researchers evalu- and colleagues performed fMRI dur- Above: an MR image (left) illustrates anatomic regions of interest (ROI) for primary auditory ated each coronary artery segment for the presence of atheroscle- ing passive presentations of pre-recorded cortex (A1) and the superior temporal gyrus (STG). Activation maps (middle and right) demonstrate greater activity within STG, but not A1, in control subjects compared with nonsedated rotic plaque, plaque composition (calcified, noncalcified or mixed) speech in 15 control subjects (mean age: and stenosis. The noncalcified plaque volume was quantified using 12.1 years) and 12 language-impaired and autistic subjects (control > autism alert, middle image) and greater activation within both STG and A1 in nonsedated compared with sedated autistic subjects (autism alert > sed, right image). a threshold-based automated algorithm. Researchers compared the age-matched autistic children (mean age: (Radiology 2011;260;2:521-530) ©RSNA, 2011. All rights reserved. Printed with permission. presence and extent of atherosclerotic plaque between the groups 12.4 years). The study also included 27 using univariate and multivariate regression analyses. additional autistic children (mean age, 8.4 Although activity in A1 did not dif- tic subjects from control children with 83 Findings indicated a similar overall atherosclerotic burden years) who underwent sedation during fer between autistic and control subjects, percent (10 of 12 subjects) specificity and between symptomatic African-American and white patients, but routine MR exams. The spread (quantified mean amplitude and spread of activity 92 percent (14 of 15 subjects) sensitivity,” differences in plaque composition. Characterization of plaque (arrows) on coronary CT angiograms as number of voxels) and amplitude of in the STG differed between autistic and the authors concluded. “The prevalence of noncalcified plaque, which may be more in curved multiplanar reformations. A–C, Nonstenotic and, D–F, the fMRI activation were then quantified control subjects, researchers discovered. Results suggest that these methods may unstable, was higher among the African Americans after corrections stenotic (³50% luminal narrowing) calcified (A and D), mixed (B within two anatomically specified regions: “Functional MR imaging activation in also apply to sedated patients, the authors for baseline differences; however, the prevalence of calcified plaque, and E), and noncalcified (C and F) plaques are shown. the primary auditory cortex (A1) and the response to passive language stimuli can added. (Radiology 2011;260;2:373-380) ©RSNA, 2011. All rights reserved. Printed with which may represent more stable disease, was lower in this group,” permission. superior temporal gyrus (STG). help differentiate language-impaired autis- the researchers concluded. Outside Imaging in Emergency Department Transfer Patients: CD Import Reduces Rates of Media Coverage of RSNA journal Impact Factors Subsequent Imaging Utilization Announced In June 2011, media outlets carried 1,234 RSNA-related Among emergency department (ED) patient) in subsequent CT scans. The impact factor for Radiology, RSNA’s transfer patients, CD import of outside While implementing universal elec- news stories. These stories reached an estimated 388 mil- peer-reviewed science journal, is now imaging from the sending institution into tronic medical records, image repositories lion people. 6.066, according to the recently released the receiving institution’s PACS signifi- or robust image transfer networks would June print coverage included Exhibitor, Burlington Free Press, Detroit Legal 2010 Journal Citation Reports® from the cantly decreased the rates of subsequent streamline image transfer between sites and News, Sentinel-Record (Little Rock, Ark.), West Central Tribune (Minneapolis- imaging utilization. obviate the need to send CDs with transfer Thomson/Institute for Scientific Information Saint Paul), and Brattleboro Reformer (Boston). Annual Citation. In the study, Aaron Sodickson, M.D., patients, CDs will likely remain the preva- Broadcast coverage included WCBS-TV (New York), KCAL-TV (Los Ange- Ph.D., of Brigham and Women’s Hospital lent means of image transfer for the fore- les), WBBM-TV (Chicago), KCBS-TV (Los Angeles), WMAQ-TV (Chicago), Radiology scored the second highest in Boston, reviewed the medical records of seeable future, according to the authors. WAGA-TV (Atlanta), KTVT-TV (Dallas), WCAU-TV (Philadelphia), KPRC- impact factor in a field of 111 magazines. 1,487 consecutive patients transferred to “Importing these images into the PACS TV (Houston), KING-TV (Seattle), WCCO-TV (Minneapolis), WJBK-TV Citations from the hospital’s ED between February and adds value to patient care by reducing (Detroit) and WSTP-TV (Tampa). Radiology totaled August 2009 with a CD containing medi- costs, streamlining care, and improving Online coverage included Yahoo! News, WebMD, NYTimes.com, CBSNews. 44,706, more than cal images acquired elsewhere. CD import resource utilization. Reducing CT uti- com, USNews.com, Breitbart.com, Philly.com, Newsday, San Francisco Chronicle, to PACS was attempted for all patients lization has the added safety benefits of Graph shows mean number of CT scans per any other imaging patient within 24 hours after a CD import Atlanta Journal Constitution, Seattle Post-Intelligencer, Kansas City Star, Salt Lake and was successful for 1,161, or 78 per- decreased exposure to ionizing radiation Tribune, St. Louis Post-Dispatch, Pittsburgh Post-Gazette, San Diego Union-Tri- journal. cent, of the patients. Incompatible image and to intravenous contrast materials,” the attempt. The pre-implementation cohort is the historical control group before implementation bune, Pittsburgh Tribune-Review, Tampa Tribune and Health Central. RSNA’s peer-reviewed education journal, formats or CD malfunction resulted in authors concluded. of the CD import solution. Blue = examina- RadioGraphics, posted a 2010 impact fac- 326 unsuccessful CD imports. See more coverage of this study and its tions performed in the ED, red = examinations tor of 2.760. Citation Reports covers more Patients with successfully imported clinical implications on Page 5. performed in the inpatient units. August Outreach Activities Focus on Airport Scanners than 7,500 of the world’s peer-reviewed CDs had a 17 percent decrease in imaging (Radiology 2011;260;2:408-413) ©RSNA, 2011. All rights In August, RSNA distributed the “60-Second Checkup” audio program to journals in approximately 200 disciplines. rates during the subsequent 24 hours (2.7 reserved. Printed with permission. nearly 100 radio stations across the U.S. The segments focused on risks and versus 3.3 exams per patient) and a 16 safety related to airport security scanners. complete statistics for Radiology from percent decrease (1.2 versus 1.4 scans per the 2010 Journal Citation Reports is avail- New on RadiologyInfo.org able on the home page under Journal Analysis at Radiology.rsna.org and for New content is continually being posted on RadiologyInfo.org. Visit the site to see the latest patient-directed content on renal scintigraphy. RadioGraphics at Radiographics.rsna.org.

21 RSNA News | August 2011 August 2011 | RSNA News 22 news you can use

Education and Funding Medical Meetings Annual Meeting Watch Opportunities September–October 2011 September 7–10 Academy of Molecular Imaging (AMI), 2011 World Molecular Imaging Congress (WMIC), San Diego Convention Center, Calif. • www.wmicmeeting.org Enroll Now for Courses September 8–11 Australasian Society for Ultra- Course enrollment for RSNA 2011 is under way. Online enroll- sound in Medicine (ASUM), 41st ment occurs instantly, while faxed or mailed registration forms are Annual Congress in Medical processed in the order they are received. The RSNA 2011 Advance Ultrasound, Crown Conference Centre, Melbourne, Australia Registration, Housing and Course Enrollment brochure was mailed in • www.asum.com.au June and is also available at RSNA.org/register. Use this brochure to September 14–17 American Society of Emergency make the most of your RSNA 2011 experience. RSNA has organized Radiology (ASER), Annual Scien- the information in the course brochure to help you complete your tific Meeting, Ritz Carlton, Key enrollment in just a few steps. Find the courses you need, build your Biscayne, Miami • www.erad.org schedule and enroll quickly and easily online or via the print form. September 21–24 You must be registered for RSNA 2011 in order to enroll for courses. International Skeletal Society (ISS), Annual Meeting, Hotel del CORE Workshop Coronado, San Diego Guarantee Your Seat! Reserve Your Room Now • www.internationalskeletal Tell a Colleague: Formerly the Revitalizing the Radiology Research society.com Tickets are required for various RSNA has many hotel rooms available at discounted October 28–29, 2011 Annual Meeting Oak Brook, Ill. Enterprise (RRRE) program, the newly named September 24–27 meeting components, includ- rates. Register for the meeting today and reserve your Registration Deadline North American Society for ing refresher and multisession Admission Free with hotel room. September 23 Creating and Optimizing the Research Enterprise Cardiac Imaging (NASCI), 39th courses, informatics workshops Annual Meeting, Hilton Baltimore RSNA Membership. (CORE) workshop will be held Friday and Satur- and RSNA tours and events. All Book with Gant Travel for a Chance to Win Hotel, Md. ticketed courses must be con- day, Oct. 28 and 29 in Oak Brook, Ill. The workshop will focus on • www.nasci.org Encourage your col- firmed prior to November 23 to Gant Travel has been RSNA’s official domestic travel October 7–8 leagues to become RSNA strategies for developing and expanding research programs in radi- guarantee a seat. RSNA ticketed agency for the past 11 years. Custom travel itineraries American Association of Physi- members and receive free may be booked by phone and e-mail Monday-Friday, 7 ology, radiation oncology and nuclear medicine departments. The cists in Medicine (AAPM), CT courses fill up fast, so ensure CORE program features a combination of presentations, case studies Dose Summit, Westin Denver you get the selections you need admission, with advance a.m. to 6 p.m. CT. Additional taxes and booking fees will • www.aapm.org/meetings/ by enrolling at RSNA.org/register. registration, to RSNA 2011. apply to airline ticket prices and after-hours emergency and group discussions. Register now at RSNA.org/CORE. 2011CTS assistance Onsite course ticketing has been Membership must be October 13–16 eliminated. Registrants without RSNA attendees who book air travel through Gant International Urogenital Radiol- tickets will be allowed entrance obtained by Sept. 1. Go to Travel by September 30, 2011, will be entered into a ogy, joint meeting of European Writing a Competitive Grant Proposal into a course after all ticketed RSNA.org/apply. drawing to receive a $500 (USD) travel credit good Symposium on Urogenital Radiol- toward future travel on United Airlines. Contact Gant Registration is being accepted for the RSNA Writing a Competi- ogy (ESUR) and Society of Urora- registrants have been seated. February 3-4, 2012 at 1-877-613-1192, international +1 011 630-227-3873, or tive Grant Proposal workshop designed for researchers in radiology, diology, Hotel Dubrovnik Palace, RSNA Headquarters [email protected]. Oak Brook, Ill. radiation oncology, nuclear medicine and related sciences who are Croatia Application Deadline interested in actively pursuing federal funding. • www.esur2011.com.hr December 16 A limited number of slots are available for this 1½-day interme- October 16–19 diate-level program that combines didactic and small group interactive sessions designed to Radiology Business Management RSNA 2011 Registration Association (RBMA), Fall Educa- help radiologic researchers understand and apply the key components of writing a competi- tional Conference, Aria Resort & How to Register Registration Fees Important Dates tive grant proposal. Topics to be covered are the NIH grant review process, developing spe- Casino Las Vegas There are four ways to By Nov. 4 after Nov. 4 october 21 International deadline to have cific aims and funding opportunities • www.rbma.org register for RSNA 2011: $ 0 $ 100 RSNA/AAPM Member full-conference materials Guided by a faculty of leading researchers with extensive experience in all aspects of grant October 21–23 1 Internet 0 0 RSNA/AAPM Member Presenter mailed in advance applications and funding, the program will focus on developing realistic expectations and Society of Radiologists in Ultra- Go to RSNA.org/register 0 0 RSNA Member-in-Training, RSNA Student november 4 Final discounted advance reg- provide tools for getting started. Faculty includes: G. Scott Gazelle, M.D., Ph.D., M.P.H, of sound (SRU), 21st Annual Meet- (24 hours) Member and Non-Member Student istration, housing and course ing, the Westin Hotel, Chicago 2 Fax Massachusetts General Hospital in Boston, Ruth Carlos, M.D., of the University of Michi- 1-800-521-6017 0 0 Non-Member Presenter enrollment deadline to have • www.sru.org gan Health System in Ann Arbor, and Elizabeth Burnside, M.D., M.P.H., of the University 1-847-996-5401 165 265 Non-Member Resident/Trainee full-conference materials October 21–25 mailed in advance of Wisconsin in Madison. 3 Telephone 165 265 Radiology Support Personnel Société Française de Radiologie Nov. 27 – Dec. 2 RSNA 97th Scientific The course fee is $175. Registration forms can be found at RSNA.org/CGP. Contact (SFR), Les Journées Françaises (Mon.-Fri. 8:00 a.m. – 5:00 p.m. ct) 750 850 Non-Member Radiologist, Physicist or 1-800-650-7018 Assembly & Annual Meeting Fiona Miller at 1-630-590-7741 or [email protected] for further information. de Radiologie (JFR) 2011, Palais Physician 1-847-996-5876 des Congrès de Paris 750 850 Hospital or Facility Executive, Commercial • www.jfrexpo.com 4 Mail Research and Development Personnel, Experient/RSNA 2011 Healthcare Consultant and Industry Personnel 568 Atrium Drive 300 300 One-day registration to view only the Vernon Hills, IL 60061 USA Technical Exhibits

For more information about registering for RSNA 2011, visit RSNA2011.RSNA.org, e-mail [email protected] or call 1-800-381-6660 x7862.

23 RSNA News | August 2011 August 2011 | RSNA News 24

news you can use

RSNA2011.org

97th Scienti c Assembly and Annual Meeting Annual and Assembly Scienti c 97th Radiological Society of North America North of Society Radiological

Annual Meeting Watch Your name badge and meeting materials are enclosed 568 Atrium Drive “Flight Chicago” Takes off at RSNA 2011 Vernon Hills, IL 60061 The newest RSNA-sponsored tour & event will help RSNA 2011 attendees take “flight”— without ever leaving Chicago. Your name badge and meeting materials are enclosed “Flight Chicago” offers attendees a three-hour, Along the way you will also meet mixologists, The Flight Chicago behind-the-scenes glimpse of Chicago’s world- bakers, mongers and other local artisans, and Dining Experience famous food scene. You will visit three sample excellent wine, beer and spirit pairings. will be held from 2:30 Receive Registration Materials different restaurants for an intimate look at Eye on You will also enjoy a nine-course late lunch / to 5:30 p.m., Tuesday, the daily lives of Chicago’s hottest and most early dinner paired with alcoholic beverages November 29. Price Prior to the Meeting Chicago is $125 per person. talked about chefs on their own turf. unique to each venue’s menu and specialties. To register, go to RSNA will mail registration materials in advance of After touring the kitchen or other notable “back The starting point and restaurant names for the RSNA2011.RSNA.org/ of house” spaces to get a sense of how things work, flight will be provided when you pick up your tickets attendees/tours_and_ RSNA 2011 to all North American attendees who you can sit down to sample tastes while engaging in at the Palmer House tour desk. Transportation to events.cfm.

register by November 4. RSNA will mail materials a question-and-answer session with the chef. the restaurants is not included.

10% recycled ber/10% post consumer waste. consumer post ber/10% recycled 10%

in advance to international attendees whose registration was enclosed are materials meeting ur name badge and and badge name ur o received by October 21. Y City of Chicago Offers Chicago Attractions Registration materials include: Headline RSNA 2011 97th Scientific Assembly and Annual Meeting “Sweet Deals” For information about • N ame badge and holder • E xpoCard—Use this electronically personalized November 27 – December 2 I McCormick Place, Chicago RSNA2011.RSNA.org Chicago events and attrac- • Course and tour tickets (as requested) business at the technical exhibition to request The City of Chicago offers RSNA 2011 tions during RSNA 2011, • Attendance vouchers for CME credit exhibitor information. attendees amazing deals on everything see the roundup article on (if applicable) • Pocket Guide—The RSNA 2011 Pocket Guide is ExpoCard Page 14. Expo Card 2011.indd 1 7/6/11 3:53 PM from restaurants and shopping to enter- • Free pass for Chicago Metra Electric an easy-to-use reference guide to everything Line trains meeting related. tainment and attractions. Take advantage • Airport shuttle discount coupon of Sweet Deals, Chicago, and enjoy these exclusive offers when you use any ® International Visitors Annual American Express Card at participating If you must apply for a temporary non-immigrant Meeting Page merchants. For more information, go to visa to attend RSNA 2011, you are advised to apply is One-Stop www.choosechicago.com. as soon as U.S. travel is decided and no later than Shop three to four months in advance of the travel date. To stay on top of The RSNA offers an official letter of invitation for RSNA 2011 informa- RSNA 2011 attendees. For more information go to RSNA2011.RSNA.org/attendees/international.cfm. tion, check out RSNA’s ever-expanding Annual Meeting page at For Your Benefit Arrange Childcare RSNA.2011.RSNA.org, Children under the age of 16 will be allowed to ride offering separate links on the RSNA shuttle buses; however, they will not for attendees, technical be allowed to attend the meeting. Onsite childcare exhibits, the meeting Retired Members Reap Values of RSNA Membership will be available for children six months to 12 years program, past and Although he officially retired four years ago, Dr. Petasnick said. “I always look forward through ACCENT on Children’s Arrangements, Inc. future RSNA meetings, 2001 RSNA President Jerry Petasnick, M.D., to the annual meeting as a time to meet old Online registration and application forms are avail- newsroom highlights remains up-to-date on the latest news of friends and learn what is new.” able at RSNA2011.RSNA.org. Click childcare. and more. his profession through a number The Value of Dr. Petasnick also regularly of resources offered by RSNA. mentors and interacts with resi- Dr. Petasnick, who retired Membership dents at the Residents Reception after 41 years of practice—37 at Rush Uni- held at RSNA annual meetings. versity in Chicago—takes full advantage Even though he is no longer practic- of the following benefits offered to RSNA ing, it is important to stay connected to the members who request retired status. quickly changing specialty for a number • No dues and assessments of other reasons, said Dr. Petasnick, who • Free admission with advance registration received the RSNA Gold Medal in 2006. to the RSNA Annual Meeting “Friends and family frequently seek my • Free online access to RSNA peer- advice about medical matters, making it RSNA 2011 Spotlights reviewed journals, Radiology and Radio- important that I try to stay current on new New Technologies Graphics (printed versions of the journals advances,” Dr. Petasnick said. The Technical Exhibition at may be purchased at a reduced rate) the RSNA annual meeting o to come] t Retired status is offered to RSNA members who will span three exhibit halls [pho “Since my retirement I have continued to attend RSNA annual meetings and have have retired from medical practice or other active and feature nearly 600 involvement (practicing less than 20 hours per exhibitors representing the relied on RadioGraphics for Continuing week) in radiology or related fields and have been a best in radiologic technology Medical Education as well as Radiology to member in good standing for at least 10 years. Fill Petasnick from around the world. keep current on developments in the field,” out an application at RSNA.org under Membership.

25 RSNA News | August 2011 August 2011 | RSNA News 26 nenewsws you you can ca nuse use

& Fellows Corner RSNA.org Residents Residents and Fellows Offer Feedback on Tap into RSNA’s RSNA Programs At a meeting at RSNA Head- quarters in late June, members Informatics Resources of the Resident and Fellow Committee discussed a number A leader in the informatics revolution, RSNA has of RSNA educational offer- always offered a well-stocked library of informat- ings for members in training, including a half-day symposium ics solutions and user-friendly technology-based scheduled for RSNA 2011 and tools to its members. programs in the works for 2012 Those continually expanding resources are more important than and 2013. Committee members ever as healthcare moves rapidly toward Internet-based solu- also made recommendations to tions for image sharing and universal electronic health records. improve RSNA offerings such (See “CD-based Image Transfer Reduces Utilization, Bolsters as the Physics Modules and myPortfolio, and guided devel- Case for Web-based Sharing,” on page 5). opment of a radiology fellowship Fortunately, RSNA members can take advantage of the database soon to be published one-stop informatics portal housed at RSNA.org, with links to on RSNA.org. resources including: • Integrating the Healthcare Enterprise (IHE)®—a worldwide initiative to achieve standards-based interoperability for health information technology across the spectrum of care. • The Medical Imaging Resource Center (MIRC)®—a set of free software tools to support radiology teaching files and imaging clinical trials. • RadLex® comprehensive lexicon—a unified language of radiology terms for standardized indexing and retrieval of radiology information resources. Adopt these RSNA-developed solutions to keep your workplace at the forefront of technology.

Web Tip Coming Next Month India is the latest country to be spot- RSNA Resident and Fellow Committee lighted as part of the “Presents” ses- (from left): Stephanie F. Coquia, M.D., Bisher Tarabishy, M.D., Judith Kaplan, M.D., Jeremy B. Duda, M.D., Lucy B. Spalluto, M.D., Joseph Yacoub, M.D., Daniel C. Barr, M.D., Monique A. Meyer, M.D., Christian E. Shield, M.D., Alexander Ding, M.D., David D. Arrington, M.D., sions at the RSNA annual meeting. RSNA Board Liaison for Science N. Reed Dunnick, M.D., chair, Michael A. Woods, M.D., Jocelyn D. Chertoff, M.D., faculty advisor, Meredith C. Northam, M.D., Jonathan Abelson, M.D., Aparna Annam, D.O., Giustino Albanese, M.D., Richard E. Sharpe Jr., M.D., M.B.A. Next month, RSNA News will pre- Not pictured: Duane G. Mezwa, M.D., faculty advisor, Waseem A. Bhatti, M.D., Christina M. Cinelli, M.D., Sriyesh Krishnan, M.D., view the RSNA 2011 “India Presents” Jennifer Yu, M.D., Ph.D. session, offered in conjunction with For Your Benefit the Indian Radiological & Imaging Association. The session promises RSNA 2010 Refresher Courses Available For Viewing, Purchase a look at the numerous factors driv- Refresher Courses recorded at RSNA 2010 Included among the 20 selections meetings are available at a reduced price. ing significant growth in radiology are now available for viewing online. Mem- from RSNA 2010 are “Malpractice Issues The “Breast Imaging/High-Risk Collection” bers can view selected courses approved in Radiology,” “Obesity: A Challenge for and the “Dosing Collection” are available in India, as well as presentations of for AMA PRA Category 1 Credit™ at no Imaging” and “What Diagnostic Radi- at RSNA.org/Education at 25 percent off charge by logging in at RSNA.org/Education ologists Need to Know about Radiation the original price. Collections are pro- some the latest in radiology research and selecting courses from a wide array Oncology.” Most courses, though, focus duced in a high-quality CD-ROM format from the region, including interven- of subspecialties. Non-members can view on specific imaging challenges and cover and bundled into topical sets. Access RSNA Weekly Archives the courses but do not have the option of a broad range of subspecialty topic areas To order, go to RSNA.org/Education and You might enjoy receiving RSNA Weekly in your e-mail, but you might tion in hemoptysis, MR-PET fusion earning CME credit. from emergency neuroimaging and CT browse RSNA’s new Refresher Courses not want—or have the space—to save every issue. RSNA does it for and MR spectroscopy in intracranial Presented in formats to accommodate a colonography to “Mammography Review” by subspecialty topic area. To learn more, you. Through myRSNA®, access archives of RSNA Weekly dating back variety of practitioners, Essentials, Update and “Pancreatic Imaging.” call the RSNA Education Center at 1-800- to September 2008, when the informational e-newsletter that reviews cystic masses. and Review courses cover topics for vary- For a limited time, CD collections of 272-2920. key issues affecting radiology made its debut. Just like radiology, ing levels of expertise and familiarity. select courses from past RSNA annual RSNA Weekly has covered a lot of ground in three years.

27 RSNA News | August 2011 August 2011 | RSNA News 28 Education CD Collection Ad.pdf 1 4/19/11 9:11 AM

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