Thomas Jefferson University Jefferson Digital Commons
Department of Radiology Administrative Documents and Reports Department of Radiology
1988
Department of Radiology - Annual Report July 1, 1987-June 30, 1988
David C. Levin Thomas Jefferson University Hospital, [email protected]
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Recommended Citation Levin, David C., "Department of Radiology - Annual Report July 1, 1987-June 30, 1988" (1988). Department of Radiology Administrative Documents and Reports. Paper 4. https://jdc.jefferson.edu/radiologyadmin/4
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DEPARTMENT OF RADIOLOGY ANNUAL EITORT JULY 1, 1987 - JUNE 30, 1988
DAVID C. LEVIN, M.D. PROFESSOR AND CHAIRMAN 1
TABLE OF CONTENTS
Name of Department and Chairman 1 Department Divisions and Directors 1 Department Faculty 2 Radiology Residents and Fellows 6 Departmental Committees and Memberships 7 Department Organization Charts 9
State of the Department 11
Teaching Programs 23
A. Teaching Programs for Medical Students and Non-Radiology House Staff 23 B. Residency Program for Residents in Radiology 25 C. Training Programs for Fellows 27
Continuing Medical Education (CME) Programs 28 Radiology Grand Rounds 30 Radiology Research Conferences 32
Research Programs and Grants: 1987-1988 34
Publications 44
Scientific Presentations 60
Honors, Editorial Activities, Service for National or Regional Radiological Organizations . 88
ADDENDUM: Office of Radiation Safety - 1987 Annual Report 98
- 1 - We wish to gratefully acknowledge the contributions of Saundra Ehrlich, Linda Vitale, and Elizabeth Rehmann, who compiled material for, organized, and edited large portions of this report. DEPARTMENT OF RADIOLOGY
David C. Levin, M.D Professor and Chairman
DEPARTMENT DIVISIONS AND DIRECTORS
General Diagnostic Radiology - Robert M. Steiner, M.D. - Esmond M. Mapp, M.D.
Mammography/ Ambulatory - Stephen A. Feig, M.D. Radiology
Body CT Radiology - Richard J. Wechsler, M.D.
Neuroradiology/ENT Radiology - Carlos Gonzalez, M.D. - Vijay M. Rao, M.D.
Cardiovascular/Interventional - Geoffrey A. Gardiner, M.D. Radiology
Ultrasound - Barry B. Goldberg, M.D.
Magnetic Resonance Imaging - Matthew D. Rifkin, M.D.
Pediatric Radiology - George W. Gross, M.D.
Radiation Biology - Robert L. Brent, M.D., Ph.D.
Radiological Physics - Robert 0. Gorson, M.S.
Office of Radiation Safety - Benjamin Galkin, M.S.
* * * * * * * * * * * * * * * * * * * * DEPARTMENT FACULTY
PROFESSORS ASSOCIATE PROFESSORS
David C. Levin, M.D., Chairman Peter Burns, Ph.D. Stephen A. Feig, M.D. David Karasick, M.D. Benjamin Galkin, M.S. Stephen Karasick, M.D. Barry B. Goldberg, M.D. Vijay M. Rao, M.D. Carlos Gonzales, M.D. Richard J. Wechsler, M.D. Robert 0 Gorson, M.S. Alfred B. Kurtz, M.D. Esmond M. Mapp, M.D. RESEARCH ASSOCIATE PROFESSORS Matthew Rifkin, M.D. Robert M. Steiner, M.D. P. Macke Consigny, Ph.D. Yen Wang, M.D., D.Sc. (Med.) Simon Vinitski, Ph.D.
RESEARCH PROFESSOR ASSISTANT PROFESSORS
Gary S. Shaber, M.D. John M. Boone, Ph.D. D. Lawrence Burk, Jr., M.D. Wolfgang Dahnert, M.D. CLINICAL PROFESSOR Geoffrey A. Gardiner, Jr., M.D. George W. Gross, M.D. Mark M. Mishkin, M.D. Pamela Hilpert, M.D. Philip A. Katz, Ph,.D. David W. Levy, M.D. Donald Mitchell, M.D. Laurence A. Needleman, M.D. Rebecca Pennell, M.D. PROFESSORS EMERITI Marcelle J. Shapiro, M.D. Paul W. Spirn, M.D. Jack Edeiken, M.D. Kevin L. Sullivan, M.D. Philip J. Hodes, M.D.
HONORARY PROFESSOR CLINICAL ASSISTANT PROFESSOR
A. Edward O'Hara, M.D. Joseph Bonn, M.D.
INSTRUCTORS
Ashokkumar Babaria, M.D. Lorna Blum, M.D. Huynh T. Doan, M.D. Ricky Ian Feld, M.D. Irene P. Raisis, M.D. C. Amy Wilson, M.D. Elaine Wolk, M.D.
2 FACULTY WITH SECONDARY APPOINTMENTS IN RADIOLOGY
Demetrius H. Bagley, M.D., Associate Professor of Urology [primary] Associate Professor of Radiology [secondary]
Robert L. Brent, M.D., Ph.D., Professor of Pediatrics [primary] Professor of Radiology (Radiation Biology) [secondary] Professor of Anatomy [secondary]
Ralph A. Carabasi, M.D., Associate Professor of Surgery [primary] Associate Professor of Radiology [secondary]
Ronald J. Jensh, Ph.D., Professor of Anatomy [primary] Professor of Radiology [secondary]
Donald Myers, M.D., Clinical Assistant Professor of Neurosurgery [primary] Instructor in Radiology [secondary]
Chan Hee Park, M.D., Professor of Radiation Therapy and Nuclear Medicine [primary] Professor of Radiology [secondary]
Joel S. Raichlen, M.D., Clinical Assistant Professor of Medicine [primary] Clinical Assistant Professor of Radiology [secondary]
Stanton N. Smullens, M.D., Associate Professor of Surgery [primary] Associate Professor of Radiology [secondary]
Nagalingam Suntharalingam, Ph.D., Professor of Radiation Therapy and Nuclear Medicine (Medical Physics) [primary] Professor of Radiology (Medical Physics) [secondary]
Jerome J. Vernick, M.D., Clinical Professor of Surgery [primary] Clinical Associate Professor of Radiology [secondary]
Paul Walinsky, M.D., Professor of Medicine [primary] Professor of Radiology [secondary]
Ronald J. Wapner , M.D. , Associate Professor of Obstetrics and Gynecology [primary] Associate Professor of Radiology [secondary]
3 VOLUNTEER AND AFFILIATED FACULTY
CLINICAL PROFESSORS
Morton G. Murdock, M. D. (Graduate Hospital) David J. Ritchie, M.D. (Mercy Catholic Medical Center)
HONORARY CLINICAL PROFESSOR
Mortimer B. Hermel, M.D.
ADJUNCT PROFESSORS
Dov Jaron Ph.D. (Drexel University) Vernon L. Newhouse, Ph.D. (Drexel University) John Mitchell Reid, Ph.D. (Drexel University) Joseph L. Rose, Ph.D. (Drexel University)
ASSOCIATE PROFESSORS
Richard P. Cancelmo, M.D. (Bryn Mawr Hospital) Matthew E. Pasto, M.D. (Mercy Catholic Medical Center) John Wills, M.D. (Wilmington Medical Center)
CLINICAL ASSOCIATE PROFESSORS
Albert Arouh, M.D. (Lankenau Hospital) William J. Elwell, M.D. (Mercy Catholic Medical Center) Geraldine E. Hamilton, M.D. (Mercy Catholic Medical Center) Chul Kyun Kwak, M.D. (Our Lady of Lourdes Hospital) Milton Margulies, M.D. (Lankenau Hospital) James E. McGrath, M.D. (Our Lady of Lourdes Hospital) Herbert C. Perlman, M.D. (Carlisle Hospital) Gordon S. Perlmutter, M.D. (Reading Hospital and Medical Center) Stephen Pripstein, M.D. (Abington Hospital) Hugo R. Rodriguez, M.D. (Lankenau Hospital) Daniel M. Scotti, M.D. (Methodist Hospital) Gustav Seliger, M.D. (Mercy Catholic Medical Center) Noble L. Thompson, Jr., M.D. (Bryn Mawr Hospital) Alan H. Wolson, M.D. (Lehigh Valley Hospital Center)
VISMNG CLINICAL ASSOCIATE PROFESSORS
Donald D. Cameron, M.D. Christopher W. Canino, M.D.
HONORARY CLINICAL ASSOCIATE PROFESSORS
Leonard S. Ellenbogen, M.D. John L. McClenahan, M.D. ADJUNCT ASSOCIATE PROFESSOR
Henrietta Kotlus Rosenberg, M.D. (Childrens Hospital of Pennsylvania)
ASSISTANT PROFESSOR
Carl S. Rubin, D.O. (Frankford Hospital)
CLINICAL ASSISTANT PROFESSORS
Olin S. Allen, II, M.D. (Medical Center of Delaware) Wahib Bichara, M.D. (Mercy Catholic Medical Center) Virginia D. Balmarcich, M.D. (Mercy Catholic Medical Center) John Breckenridge, M.D. (Abington Hospital) Raphael Caccese, M.D. (Our Lady of Lourdes Hospital) Joel I. Cossrow, M.D. (Pittsburgh) David M. Danoff, M.D. (Bryn Mawr Hospital) Simplicio E. Evangelista, M.D. (Bryn Mawr Hospital) Arnold H. Levine, M.D. (private practice) Cynthia L. Miller, M.D. (Methodist Hospital) Harry E. Morgan, M.D. (private practive) Joseph T. Murphy, M.D. (Bryn Mawr Hospital) Hayler H. Osborn, M.D. (Bryn Mawr Hospital) Arthur J. Press, M.D. (Lankenau Hospital) Donald E. Red, M.D. (Lankenau Hosptial)
ADJUNCT ASSISTANT PROFESSORS
Paul A. Dubbins, M.S.S.B., F.R.C.R. (Plymouth, England) Stephanie B. Flicker, M.D. (Deborah Heart Hospital) Peder C. Pedersen, Ph.D. (Drexel University) Armand Saragovi, M.D. (Rolling Hill Hospital) Harry Zegel, M.D. (St. Agnes Hospital)
INSTRUCTORS
Joseph H. Becker, M.D. (Methodist Hospital) John H. Garafola, M.D. (Lancaster) Arthur S. Haber, M.D. (Mercy Catholic Medical Center) Helen Leibowitz, M.D. (Mercy Catholic Medical Center) Anthony J. Limberakis, M.D. (private practice) Gerald A. Nissenbaum, M.D. (Our Lady of Lourdes Hospital) Edward M. Podgorski, Jr., M.D. (private practice) Emanual M. Renzi, M.D. (Wilmington Medical Center) David Weiss, M.D. (Chestnut Hill Hospital)
CLINICAL INSTRUCTORS
Mark Cooper, M.D. (Methodist Hospital) Yen-Zen Kuo, M.D. (Veterans Administration Medical Center, Wilmington) Lillian H. Stern, M.D. (Methodist Hospital) RADIOLOGY RESIDENTS
Flavius Guglielmo, M.D., Chief Resident Michael Harned, M.D., Chief Resident
FIRST YEAR RESIDENTS SECOND YEAR RESIDENTS
Steven F. Domiano, M.D. Mark 0. Cosentino, M.D. Andrew S. Gallant, M.D. Valerie T. Greco-Hunt, M.D. Kenneth Kaplan, M.D. Deborah Rubin, M.D. Jonathan Shapiro, M.D. THIRD YEAR RESIDENTS FOURTH YEAR RESIDENTS
Thomas S. Chang, M.D. Paul Davis, M.D. Mark DeLaurentis, M.D. Pamela Hendricks, M.D. Flavius Guglielmo, M.D. Ilan Kinori, M.D. Michael E. Harned, M.D. David March, M.D. Richard Shlansky-Goldberg, M.D. Robert Traflet, M.D.
RADIOLOGY FELLOWS Cardiovascular/Interventional Radiology Neuroradiology/ENT Radiology
Bennett Kashdan, M.D. Adam E. Flanders, M.D. Stephen Klein, M.D. Gerald L. Helinek M.D. Edgar S. Moser, Jr., M.D. Harry E. Pinkus, M.D.
laInumnclICILMEI
Steve M. Cohen, M.D. Alan U. Glazer, M.D. Keith R. Haidet, M.D. Ellen O'Mara, D.O. Catherine W. Piccoli, M.D. Ruth Zodkevitch, M.D.
* * * * * * * * * * * * * * * * * * * *
6 DEPARTMENTAL COMMITTEES AND MEMBERSHIPS
Advisory Committee Chairman: Alfred Kurtz, M.D. Members: Barry B. Goldberg, M.D. Esmond Mapp, M.D. Mark Mishkin, M.D. Vijay Rao, M.D. Matthew Rifkin, M.D.
Education Committee Chairman: Vijay Rao, M.D. Members: D. Lawrence Burk, M.D. Stephen Feig, M.D. Ricky Ian Feld, M.D. Geoffrey Gardiner, Jr., M.D. Barry Goldberg, M.D. David Karasick, M.D. Esmond Mapp, M.D. Donald Mitchell, M.D. Robert Steiner, M.D. Richard Wechsler, M.D.
Research Committee Chairman: Matthew Rifkin, M.D. Members: Joseph Bonn, M.D. John M. Boone, Ph.D. Peter Burns, Ph.D. P. Macke Consigny, Ph.D. Saundra Ehrlich Benjamin Galkin, M.S. Barry Goldberg, M.D. Mark Mishkin, M.D. Donald Mitchell, M.D. Gary Shaber, M.D. Marcelle Shapiro, M.D. Kevin Sullivan, M.D. Simon Vinitski, Ph.D. Richard Wechsler, M.D. Residency Selection Committee Chairman: Alfred Kurtz, M.D. Members: Joseph Bonn, M.D. George Gross, M.D. David Karasick, M.D. Stephen Karasick, M.D. David Levy, M.D. Esmond Mapp, M.D. Mark Mishkin, M.D. Vijay Rao, M.D. Matthew Rifkin, M.D.
Support Services Committee Chairman: Yen Wang, M.D. Members: Carlos Gonzalez, M.D. David Karasick, M.D. Esmond Mapp, M.D. George McArdle Gary Shaber, M.D. Paul W. Spirn, M.D. Robert Steiner, M.D.
Computer Committee Chairman: Gary Shaber, M.D. Members: John M. Boone, Ph.D. Geoffrey Gardiner, Jr., M.D. Robert Gorson, M.S. Charles Lockard George McArdle Laurence Needleman, M.D. Robert M. Steiner, M.D. Larry Waldroup Yen Wang, M.D.
* * * * * * * * * * * * * * * * * * * *
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- 10 - CHAIRMAN'S REPORT ON THE STATE OF THE DEPARTMENT
INTRODUCTION AND DEPARTMENT ORGANIZATION
Our department has had a very good year. In all three of our major mandates - clinical care, research, and teaching - our programs have moved ahead successfully and we have been able to expand our activities. As Chairman, I am very proud of the accomplishments of our faculty, who have worked diligently and efficiently as a team despite the fact that we are a large department which is dispersed throughout a number of different areas of the campus. Our eight clinical divisions functioned cohesively, which was a challenging task because it was necessary to mesh together the activities of many physicians who work in several different divisions of the department. Our divisional structure is as follows:
(1) General Diagnostic Radiology - Co-directed by Drs. Robert Steiner and Esmond Mapp. This division has sections of Pulmonary Radiology, Gastrointestinal Radiology, Genitourinary Radiology , and Musculoskeletal Radiology.
(2) Pediatric Radiology - Directed by Dr. George Gross.
(3) Breast Imaging - Directed by Dr. Stephen Feig.
(4) Cardiovascular/Interventional Radiology - Directed by Dr. Geoffrey A. Gardiner, Jr.
(5) Neuroradiology/ENT Radiology - Co-directed by Drs. Carlos Gonzalez and Vijay Rao.
(6) Ultrasound - Directed by Dr. Barry Goldberg.
(7) Body CT - Directed by Dr. Richard Wechsler.
(8) MRI - Directed by Dr. Matthew Rifkin.
In addition, there are two other divisions which do not have clinical responsibilities. These are the divisions of Radiological Physics, headed by Mr. Robert Gorson, and Radiation Biology, headed by Dr. Robert Brent.
Aside from the clinical divisions, there are six standing departmental committees, set up to take care of specific functions. The departmental Advisory Committee is charged with evaluating promotions and appointments and discussing major departmental issues and policies with the Chairman. The Advisory Committee for the past two years has been headed by Dr. Stephen Feig and also included Drs. Alfred Kurtz, Matthew Rifkin, Gary Shaber, Esmond Mapp, and Mark Mishkin. A new Advisory Committee was selected after the June 1988 staff meeting; the new members are Drs. Alfred Kurtz, Mark Mishkin, Esmond Mapp, Vijay Rao, Matthew Rifkin and Barry Goldberg. Dr. Kurtz has been named Chairman of this new Advisory Committee. The Computer Committee is headed by Dr. Gary Shaber and is charged with overseeing all computer operations within the department and bringing new computerized functions on-line. The Education Committee is headed by Dr. Vijay Rao and is charged with overseeing the educational programs we provide for medical students, residents and fellows as well as post-graduate continuing education programs. Dr. Rao has written a separate report on departmental educational activities over the past year; her report will immediately follow this one. The Residency Selection Committee is headed by Dr. Alfred Kurtz and is charged with reviewing all applications for our residency program, setting up interviews after screening the original applications , conducting the interviews, and finally, ranking the candidates. The Research Committee is headed by Dr. Matthew Rifkin and is charged with overall monitoring of the numerous research activities of the department. They organize the bi-weekly departmental research conferences and review requests for seed-money support of specific projects by the departmental research fund. The Support Services Committee is headed by Dr. Yen Wang and is responsible for some of the logistics of department operations and overseeing our quality assurance program.
The administrative organization of the department is under the overall supervision of Mr. George McArdle, our departmental administrator. Mr. McArdle is one of the best administrators in the entire field of radiology and has continued to do a superb job of helping to run a very complex organization. The supervisory personnel working under Mr. McArdle are all performing at a very high level, and this is certainly one of the major reasons why we have been so successful this past year. The administrative organization of the department is shown on the charts on pages 9 and 10.
Aside from the performance of our faculty and that of Mr. McArdle's administrative team, there is another major reason for our success of the past year. This is the strength of the leadership of the institution as a whole. In my opinion, President Lewis W. Bluemle, Jr., Dean Joseph Gonnella, Senior Associate Dean Robert Blacklow, Executive Director Michael J. Bradley, and Associate Executive Director Thomas J. Lewis are providing outstanding leadership for the University , the Medical College, and the Hospital. Despite the numerous and well-known problems currently confronting major health care institutions, Jefferson remains in solid financial shape, with almost full occupancy of the hospital, with active and growing teaching programs and research support, and with plans to expand. Much of the credit for this excellent state of affairs goes to the aforementioned individuals, and all of us in the Department of Radiology express our appreciation to them.
The remainder of this report will deal with nine specific areas: I. New faculty recruitments. II. Overview of clinical activities. III. Developments in clinical services, new clinical programs, and new facilities. IV. Planned new facilities for the future. V. Research accomplishments. VI. Future research plans. VII. Long range goals of the department. VIII. Problems and future challenges. IX. Issues for the University.
I. NEW FACULTY RECRUITMENTS
Turnover is inevitable on academic faculties. During the past year, Drs. Rebecca Pennell, Harry Cooperman, Cynthia Miller, David Levy, and Oksana Baltarowich (part-time) submitted their resignations and will be entering private practice. Dr. Maria Vilaro also left, having completed the 2 year commitment she originally made to the department. Aside from replacing these physicians, we have also added a new staff position to provide increased support at the Breast Imaging Center, and another new position for a Director of Physiological Research. Recruitment efforts consumed a good bit of time this past year but this has proven to be time well spent, as we have been able to attract an outstanding group of new faculty members for these positions. In alphabetical order, they are:
• Lorna Blum, M.D. - Dr. Blum graduated from the Medical College of Pennsylvania, then did her residency at Pennsylvania Hospital, followed by a fellowship in CT/US/MRI at the Hospital of the University of Pennsylvania. She will be working primarily in our Ultrasound and Breast Imaging Divisions and will also have some responsibilities in Body CT.
• Paul Macke Consigny Ph.D. - Dr. Consigny received his Ph.D. in physiology from Southern Illinois University. He did a post-doctoral fellowship at the world-renowned Cardiovascular Research Institute of the University of California, San Francisco. He then held faculty appointments at the University of Nebraska and Medical College of Pennsylvania. He is our new Director of Physiological Research, and I anticipate that his joining the department will provide a major impetus for basic research activities.
- 1 2 - • Rick Feld, M.D. - Dr. Feld graduated from Mt. Sinai School of Medicine in New York City. He is board-certified in Internal Medicine, and did his radiology residency at Mt. Sinai Hospital. This was followed by an US/CT/MRI fellowship in our department. He will be working primarily in our Ultrasound Division and will also have some Body CT responsibilities.
• Pamela Hilpert, M.D., Ph.D. - Dr. Hilpert is a graduate of the Albert Einstein College of Medicine. She has a Ph.D. in developmental neurophysiology from the University of Rochester. She did her radiology residency at Temple University Hospital, followed by an imaging fellowship at the University of California, San Diego. She will work primarily in our Ultrasound Division and will also have some Body CT responsibilities.
• Irene Raisis, M.D. - Dr. Raisis is a graduate of Jefferson Medical College and the radiology residency program in our department. She was one of our chief residents during her third year. Dr. Raisis will be working primarily at the Breast Imaging Center, and will also have some responsibilities in General Diagnostic Radiology.
• Sharon Segal, D.O. - Dr. Segal is a graduate of the Philadelphia College of Osteopathic Medicine. She did her radiology residency at the same institution, and then came to Jefferson for a fellowship in US/CT/MRI. She is working half-time and will be a member of the Ultrasound Division.
• Paul Spirn, M.D. - Dr. Spirn received his M.D. from the University of Pennsylvania and did his radiology residency at the Massachusetts General Hospital. He was a colleague of mine on the radiology faculty at Harvard Medical School and the Brigham and Women's Hospital, and has more recently been a member of the faculty at Hahnemann University Hospital. He is an outstanding thoracic radiologist and will be working exclusively in this area.
• C. Amy Wilson, M.D. - Dr. Wilson graduated from the Medical College of Pennsylvania. She did her radiology residency at Pennsylvania Hospital, followed by a year in a junior staff position there. She will divide her time between breast imaging, general diagnostic radiology, and ultrasound.
I think these 8 new faculty members are an outstanding group who will add great strength to our department. In addition to these newly recruited people, 7 other faculty radiologists are completing their first full year at Jefferson. Drs. Joseph Bonn, Marcelle Shapiro, and Kevin Sullivan joined the Division of Cardiovascular/Interventional Radiology (CVIR). All three have done outstanding jobs. Under the leadership of Dr. Geoffrey Gardiner, Jr., that division has now completely turned itself around. They have worked very well together and have rapidly upgraded our clinical capabilities and research activities in Interventional Radiology. Drs. Wolfgang Dahnert and David Levy were added to the Division of Diagnostic Ultrasound, and Dr. Levy also became part of our MRI division. The two of them have also done outstanding work and have added great strength to our ultrasound and MRI activities. Unfortunately, Dr. Levy has elected to enter private practice, and we certainly regret his departure. Dr. D. Lawrence Burk has been another superb addition to the department. He is a highly qualified musculoskeletal radiologist with great expertise in MRI. The latter is of course an extremely complex technology and his in-depth knowledge and understanding of it is of great value. Finally, Dr. Elaine Wolk has joined the Breast Imaging Center on a half-time basis. Dr. Wolk trained thoroughly with Dr. Feig before assuming this faculty position. Two Ph.D. physicists also joined us during 1987-88. Dr . John Boone came from the University of Missouri as our new head of image processing physics, and Dr. Peter Burns came from Yale as head of ultrasound physics. Both have outstanding qualifications and will provide research strength in these two important areas of radiology.
- / 3 - IL OVERVIEW OF CLINICAL ACTIVITIES
One year ago in this report, I pointed out that during the 1986-87 academic year, our department had enjoyed a healthy growth rate in procedure volume of 5%. For 1987-88, our growth has been nothing short of spectacular - approximately a 17% increase in procedure volume over 1986-87. We made the provision of excellent patient care one of our primary goals, and I feel this rapid rise in referrals demonstrates success in accomplishing that goal. Our services have improved in a number of ways. Our reception areas have become more efficient. Studies are obtained and processed more rapidly. Radiologists are reading them more rapidly. Better consultative services are being provided. Transcription and editing of reports is being speeded up. Our system of hand delivery of reports to offices around the Jefferson campus has proven effective. Numerous favorable comments have been received from patients, referring physicians, and hospital administration on the helpfulness, friendliness, and positive attitude of our non-physician staff - receptionists, technologists, nurses, secretaries, word processing personnel, etc. This is largely attributable to the spirit and dedication of Mr. McArdle and his senior supervisors.
In the area of computer support, Messrs. Charles Lockard and Bryan Budzynski completed the installation of our new PDP 11-84 computer. One very important new function this has allowed us to implement is a patient tracking system. This system, which uses bar coding technology, allows us to monitor the exact time patients spend at different stages as they go through the process of obtaining their imaging studies. The tracking begins when the patient comes in the front door and ends only when he/she leaves. By monitoring the various time intervals while the patient remains in the department, we can determine if bottlenecks or delays are occurring and where they are, so that prompt action can be taken to remedy the problem. It also allows us to know precisely where any patient is at any moment, should we receive an inquiry about his/her whereabouts. In addition, it helps us monitor utilization of rooms, equipment, and technologists.
We have continued to monitor report turnaround time. This is the time it takes, after the completion of a patient's study , to produce a completed report and send it out to the referring physician's office. Since April 1986, we have been able to reduce our mean turnaround time by more than one-third. Part of this improvement can be traced to an improved program of training of word processing and film library personnel. The leadership of Lisa Massanova (word processing) and Ellen Blank (film library) has been outstanding. In many other large departments of radiology around the country, the typing of reports and the filing of films are chronic problems, but here at Jefferson these two important functions are very effectively performed.
Finally, we have continued our active collaboration with the hospital's excellent Division of Planning and Marketing, headed by Mr. Trevor Fisk. Glossy brochures have been sent out to referring physicians throughout the Delaware Valley describing our Breast Imaging Center, Neurosciences Imaging Center, and new MRI unit. We are actively marketing some of our new services and techniques through articles in New Directions and Contemporary Medicine. Periodically we are sending marketing letters to everyone on the active medical staff, informing them of new programs in the department. We are continuing to survey patients at random as they come through the department to find out whether they are satisfied with our services. We are presently working with the Marketing group to develop a questionnaire which will be sent to referring physicians to ascertain their level of satisfaction with our services.
DEVELOPMENTS IN CLINICAL SERVICES, NEW PROGRAMS AND NEW FACILITIES
A. Division of General Diagnostic Radiology: Growth in procedure volume has not been confined only to some of the newer imaging modalities. Solid growth also occurred in some of the more traditional types of radiographic studies. For example, plain films of the abdomen increased by 24% this past year. Bone films increased by 12%, chest films by 10%, portable chest films by 17%, and upper GI series by 11%. We completed the installation of a badly needed new fluoroscopic unit in room D in Core 3. At the present time, room A in that same core is undergoing renovation with
- 1 4 - installation of another new fluoroscopy unit. When that is completed, we will have completely upgraded our fluoroscopy capabilities. A new radiographic room was opened up in Jefferson's sports medicine complex in the Edison Building. We completely redecorated and reorganized the administrative and office area on NH-3. We also began sprucing up the appearance of the patient care areas by adding colorful framed prints. We will continue our efforts to improve the environment during this coming year.
B. Pediatric Radiology: Pediatric films were up by 10% during this past year. The new pediatric fluoroscopy unit has completed its first full year of operation in Core 1. Although our overall volume of pediatric examinations is not that large, Dr. George Gross has certainly maximized his use of those studies for teaching purposes. His "pediatric case of the week" is a very popular part of our teaching program, and he received the A. Edward O'Hara Award from the residents as outstanding teacher in the department. Dr. Gross has also managed to develop an excellent collaboration with clinicians at the Children's Rehabilitation Hospital, and this should expand as that facility becomes incorporated into Jefferson Park Hospital.
C. Breast Imaging: The Breast Imaging Center has continued to grow rapidly. During the past year, we have installed a fifth mammography unit and a breast ultrasound unit. We have recruited a sixth x-ray technologist. One year ago, we reported that the Breast Imaging Center was doing approximately 5C .0.1J0:;es per day. In the past year, our mammography volume has increased by 44%. The numbers of needle localizations, consultations on outside films, breast ultrasound studies, and plain radiographic exams have increased as well, and the Center is now averaging about 75 total studies per day, with some days above 80. It became apparent last year that one of the limiting factors in our ability to provide services there was inadequate physician staffing. With the addition this year of Drs. Irene Raisis, Lorna Blum, and Amy Wilson, the understaffing problem should be alleviated. The services of the Breast Imaging Center have been very well received by the medical community throughout the Delaware Valley. This results from several factors - Dr. Feig's excellent reputation in the field, the beautifully designed facilities, the hospitable and sympathetic attitude of the technologists, and the fact that patient studies are tailored to resolve all diagnostic problems during a single visit without requiring the patient to make another appointment.
D. Cardiovascular/Interventional Radiology: The CVIR Division has been hampered in recent months by extensive construction in its area on NH-5. This is necessary because of the need to replace antiquated equipment and inefficient patient care and office areas. Despite the physical limitations presently being encountered, the CVIR group has rapidly expanded its capabilities. Procedure volume is up 33% over last year. The volume of diagnostic angiograms, biliary drainage procedures, percutaneous nephrostomies and stent placements, and intra-arterial thrombolysis procedures is expanding rapidly. We feel our capabilities in the area of balloon angioplasty are still not being fully utilized; hopefully an expansion of the vascular surgery service will occur in the future to allow this. Several important new "cutting edge" techniques have been employed during the past year. Laser thermal angioplasty continues to be applied to certain patients, particularly those with total obstruction of the superficial femoral arteries. The Division was the first in the Delaware Valley (and one of the first in the country) to percutaneously implant arterial stents. This technique is one which hopefully will reduce or eliminate restenosis following balloon angioplasty. Eleven of these stents have been placed at the present time, all successfully. The group has also begun percutaneously inserting inferior vena cava filters. The CVIR and Ultrasound Divisions have begun closely collaborating in percutaneous drainage of abscesses. Administratively, angiographic and interventional radiology billing codes have been revised and charges have been updated to better reflect the time and effort involved in such procedures.
E. Neuroradiology/ENT Radiology: This division has also had a busy year. The volume of head and spine CT exams increased by 10%. 2200 MRI examinations were performed, all of which of course represents new volume since this service was not offered in previous years. Although some have predicted that MRI would obviate the need for myelography, our volume of myelograms has shown a 17% increase during the past year. The operation of our two CT units on Main-10 for 15
- 1 5 - hours per day on weekdays and 12 hours per day on Saturdays and Sundays has reduced the waiting time for head and spine CT's to essentially zero. The installation of the new Philips angiographic unit with an ADAC digital subtraction system completes the Neurosciences Imaging Center on Main-10. We are working to develop good interventional neuroradiology capability - specifically the treatment by catheter techniques of intracranial aneurysms and arteriovenous malformations, and the treatment of impending or acute strokes by angioplasty or thrombolysis. Drs. Gonzalez and Doan have recently spent time working with European neuroradiologists to increase their experience in these areas. One new program that has recently gotten underway is the use of Gadolinium-DTPA in MRI studies of the brain. This agent recently received FDA approval and should enhance our capability to detect subtle abnormalities. Administratively, a central film filing operation has been set up on Main-10 to better serve referring neurologists, neurosurgeons, and orthopaedists. This file room is coordinating the handling of all studies on patients with head or spine disease. Incorporation of Drs. Vijay Rao and Larry Burk into Neurosciences Imaging Center operations on Main-10 has strengthened the division, and improved both patient care and teaching.
F. Division of Diagnostic Ultrasound: Two important new collaborative arrangements have commenced during the past year. In conjunction with the Department of Obstetrics and Gynecology, we have opened an Antenatal Evaluation Center, co-headed by Dr. Alfred Kurtz from our department and Dr. Ronald Wapner of the Department of OB/GYN. This center focuses on the care of women with high-risk pregnancies. With the Department of Surgery, we have begun operating a conjoint Non-invasive Peripheral Vascular Laboratory, co-headed by Dr. Larry Needleman of our department and Dr. Anthony Carabasi of the Department of Surgery. Both facilities represent important clinical services and should grow considerably in the future. Other rapidly growing areas in ultrasound are color Doppler, prostate imaging, and invasive ultrasound (percutaneous biopsies and abscess drainages done under ultrasound guidance). Dr. Matthew Rifkin continues to head our prostate imaging operation, while Dr. Wolfgang Dahnert has been newly appointed as head of invasive ultrasound. One of the most exciting developments has been the introduction of lithotripsy. The new Technomed kidney stone lithotriptor has been in operation for approximately one year and the gallstone lithotriptor manufactured by the same firm has just recently commenced operation. Both these units rely on ultrasound for localization of the stones and appropriate focusing of the extracorporeal shockwave generators. They are presently located on Main-5 and members of our Ultrasound Division are involved in every lithotripsy procedure. Overall, ultrasound examination volume increased last year by approximately 17%.
G. Division of Body CT: Our new dedicated Body CT facility opened on NH-3 in the fall of 1987. This has enabled us to achieve an 18% increase in Body CT volume during the past year. Backlogs are still between 1-2 weeks and to try and shorten this, the Body CT group has taken over some evening and weekend scanning slots on the CT units on Main-10 (these units remain open evenings and weekends, whereas the one on NH-3 does not). The availability of the dedicated unit has enabled Dr. Wechsler and his colleagues to make greater use of dynamic incremental scanning techniques to better differentiate blood vessels from other structures. They have also produced 3-dimensional reconstruction of CT scans, which has been particularly useful for studies of facial bone abnormalities, hip trauma, and several other musculoskeletal problems. Another new service is the use of quantitative analysis of pulmonary nodule calcification using a standardized phantom.
H. Division of MRI: Our MRI unit on Main-10 opened in the spring of 1987 and performed over 2750 MRI examinations during 1987-88. 21% of these were body examinations; the remainder were studies of the head, spine, and ENT structures. There is tremendous demand for MRI services at Jefferson. On the one hand, this is gratifying, but it is also very frustrating, since we are not able to meet the demand with only one unit. Many patients are being referred elsewhere. In January 1988, we secured hospital approval for a second MRI and much time this spring has been devoted to space planning for the second unit, working out administrative details as they pertain to the state regulations on MRI, negotiating with commercial vendors, etc. I am very pleased with the way our MRI and neuroradiology divisions have met the difficult challenge of mastering the complexities of MRI technology and applying it to routine patient care. The contributions of Simon Vinitski, Ph.D., head of MRI physics, have been extremely important in this regard. In addition to
- 1 6 - physician and physicist expertise, we have also organized an outstanding group of MRI technologists, under the very capable leadership of Lucille Aquilone, R.T. Their spirit, knowledge, and dedication have resulted in outstanding support for our clinical unit.
IV. PLANNED NEW FACILITIES
Despite the fact that a number of major renovations and installations of new equipment have been accomplished during the past two years, more remains to be done. The following projects are either in the planning stages or under construction.
On NH-5, construction of the two new procedure rooms is just about complete. Installation of the new Philips angiographic systems with ADAC digital subtraction units will commence shortly. These should become operational by early fall. Thereafter, construction of the Sansom Street side of the 5th floor will begin. This will create new office space and a conference room for the CVIR Division.
We are now actively planning for the installation of our second MRI unit. This will be an ambulatory facility on Walnut Street between 9th and 10th Streets. The MRI unit will be ordered shortly, upon conclusion of final negotiations with GE. The building itself is currently being designed. The administrative details of complying with state regulations are being worked out. It is hoped this unit will be operational by early 1989.
Jefferson Orthopaedic Associates is building a large new office and examining area on NH-8. This will contain two new radiographic rooms which will be part of our department and will focus on musculoskeletal radiography.
As part of the PACE project, a temporary emergency room is being constructed on 1st floor Pavilion. A new radiographic room will be installed there. When the new emergency room is opened several years hence in Main and Thompson, we will have two radiographic rooms there.
A new chest radiographic unit will be installed on NH-3. Also on NH-3, a pneumatic tube station will soon be installed to allow immediate transport of films between our department and the emergency room.
Several renovations of ancillary space will also be carried out this year. The reception area in Ultrasound on Thompson- 7 is neither attractive nor efficient, and is now being redesigned. In Core 4 on NH-3, the head unit and polytomographic unit will both be relocated. Core 4 will then be completely rebuilt, to create a much larger and more attractive library, storage space, and several additional offices. A major renovation of the Ballroom had been planned for this past spring, but the cost of this project proved to be much higher than anticipated. For this reason, we redesigned the area once again, but in such a way as to reduce construction costs. As part of this project, a large amount of additional storage space for teaching file films will be created in the consultation room. On Main-10, a new personnel lounge will be built, along with four small new offices and a secretarial area.
Finally, our new animal research laboratory on Curtis-12 is now under construction, and we anticipate that the lab will be functional by this fall. Dr. Consigny is also in the process of setting up a cell culture and in vitro vascular experimental laboratory in Jefferson Alumni Hall in space provided to him by the Department of Physiology.
V. RESEARCH ACCOMPLISHMENTS
Research productivity was again maintained at a high level this past year. This is quite apparent from looking at the long list of publications and scientific presentations in which our faculty members were involved and which is included in this report. At the annual meeting of the RSNA in December 1987, the largest radiology meeting in the world, Jefferson had no fewer than 24
- / 7 - presentations. This was one of the largest representations among all university radiology departments. At the AUR meeting this past April in New Orleans, our department had 14 presentations - again, an outstanding performance among academic departments, given the fact that the AUR meeting is considerably smaller than the RSNA.
In the area of grant funding, we had a very successful year. Dr. Matthew Rifkin's prostate imaging grant was approved and funded by NIH as part of the National Collaborative Diagnostic Imaging Project on prostate disease. Dr. Larry Needleman's large grant to study Doppler screening in pregnancy-induced hypertension was approved and funded by NIH. Dr. Barry Goldberg was successful in establishing a collaboration with the Biomedical Engineering and Science Institute of Drexel University to develop a "Center of Excellence in Biomedical Imaging". This project received funding by the Ben Franklin Partnership of Pennsylvania. It will bridge the biomedical engineering resources at Drexel with the medical and clinical resources of our department to carry out diagnostic imaging research. Dr. Goldberg's NIH grant to study the effects of prenatal ultrasound on postnatal development is continuing, as are subcontracts through Drexel University to study techniques for characterization of atherosclerotic plaques and ultrasonic tissue characterization. Dr. Peter Burns has been funded to study Doppler detection of breast cancer. Dr. Macke Consigny has several grants in the areas of angioplasty-induced release of arterial mitogens, factors responsible for restenosis after angioplasty, and the effects of both balloon and laser thermal angioplasty on atherosclerotic arteries.
At the present time, our department has total external grant funding commitments of $2,360,309 (direct plus indirect). This does not include various types of support we are also receiving from equipment manufacturers. Drs. Larry Needleman, Matthew Rifkin, and Barry Goldberg are certainly to be complimented for their successful efforts in securing federal and state funding for their grant proposals. It is a well known fact that radiologists, without an NIH-based imaging institute, are at a definite disadvantage in securing grant support. Most of the funding that does go to support imaging research goes to Ph.D. scientists, rather than physicians. I would especially like to congratulate Dr. Needleman on his accomplishment in getting his grant proposal on Doppler screening in pregnancy-induced hypertension funded by NIH. The total amount of support for this project is over $1,000,000, and it is almost unheard of for a junior faculty radiologist without a long history of grant funding to have this type of project federally supported. I look for further efforts at securing NIH and other agency funding in the future, particularly from our Ph.D. scientists.
Internal funding for research is also available through the departmental research fund. Within the past year, the Research Committee has approved seed money from the fund for start-up support and equipment for projects by Drs. Boone, Burns, Goldberg, Vinitski, Rao, Rifkin, Sullivan, and Gardiner. The fund also supports a relatively large number of departmental personnel whose primary responsibilities are in the research sphere. These include 2 research coordinators, 2 physicists, 2 photographers, MRI and ultrasound research technologists, a computer programmer, a film librarian, a research technician, and a research secretary. With the departure of Steve Mervis for a position with the Philadelphia office of the American College of Radiology, Hilary Stavetski was recruited as Assistant Administrator of the department. Working in close concert with George McArdle, Ms. Stavetski has an important role in departmental research. She will help in the preparation of future grants, particularly the budgeting and administrative aspects, and has already re-organized and computerized the bookkeeping of the various grant accounts. In addition to this role, Ms. Stavetski also has responsibility for overseeing some personnel working on Main-7 and Main-8.
A final accomplishment has been the organization of functioning research laboratories for 3 of our Ph.D. scientists. An MRI laboratory has been established on Main-10 by Dr. Vinitski. Dr. Boone is in the process of setting up an image processing laboratory on Main-8. Dr. Burns is setting up an ultrasound experimental laboratory, also on Main-8. As in the past, Professor Ben Galkin continues to operate a laboratory with a scanning electron microscope and an experimental breast imaging unit in the Curtis Building. These research laboratories contain, in their aggregate, a rather small
- 1 8 - amount of floor space, but hopefully additional research space will be made available to the department when the new research building becomes a reality.
VI. FUTURE RESEARCH PLANS
The growth in imaging technology during the past 15 years has been one of medicines most striking events. One of our overall research goals is to continue to contribute to these technological advances and to study their applications both in the experimental and clinical spheres. Technology assessment is another broad goal. We now have at hand a variety of imaging modalities with which to approach various clinical problems. It is of great importance to learn which techniques to apply for a given clinical problem, and in what sequence. For example, does a patient with suspected prostate disease need ultrasound, MRI, and CT? Does a patient with low back pain need myelography, CT, and MRI? A third broad area of research interest is in the development of interventional radiology. Almost every division of our department is applying interventional techniques either as an adjunct to surgery or a substitution for surgery. Not too long ago the sum total of interventional radiology was the treatment of gastrointestinal bleeding. Now we are opening obstructed arteries with angioplasty balloons, dissolving blood clots by the administration of thrombolytic drugs, draining abscesses, biopsying lesions in virtually every part of the body, decompressing obstructions of the bile ducts and urinary tracts, fragmenting kidney and gallstones, percutaneously inserting vena cava filters, and contemplating the use of new devices such as lasers, stents, and atherectomy catheters. Most of these techniques need to be studied critically in terms of indications, design of devices, treatment of complications, long-term results, etc.
Aside from these broad general goals, the various divisions of our department have more specific research plans for the near future. The General Diagnostic Division and the Pediatric Radiology Division will both focus on digital radiography and image processing in the study of pulmonary nodules, bronchopulmonary dysplasia, and necrotizing enterocolitis. Radiographic patterns of relapse in sarcoidosis will also be studied. The Breast Imaging Division will study various parameters of image quality in facilities accredited by the American College of Radiology. Dr. Feig and his colleagues will also compare benefits and risks of mammography screening using a relative risk model for radiation carcinogenesis, and will evaluate mammographic criteria for detecting tumor recurrence following radiotherapy. In the Division of Cardiovascular/Interventional Radiology, Drs. Gardiner, Bonn, Shapiro, and Sullivan will study techniques for percutaneous ablation of the gallbladder, the use of tissue plasminogen activator in treating deep vein thrombosis, and improved methods of angioplasty using lasers and intra-arterial stents. In conjunction with Dr. Consigny, they will develop and work with an animal model for studying restenosis after angioplasty and possible means of preventing it. Dr. Gardiner and I will pursue efforts to set up a regional registry of peripheral and renal angioplasty patients. This will be carried out in conjunction with the American College of Radiology and will hopefully lead to a broad database which will provide long-term information about patients undergoing these procedures. In the Division of Neuroradiology/ENT Radiology, Dr. Mishkin is organizing our department's collaboration with several other institutions in prospectively comparing the incidence of adverse reactions using non-ionic contrast agents and standard agents with steroid pre-treatment. The division will also attempt to evaluate the comparative roles of myelography, CT, and MRI in patients with low back pain. They are working with members of the Neurology Department to set up a clinical trial of thrombolytic therapy in acute stroke. They are also involved in MRI studies, such as the stereotactic localization of thalamic lesions, imaging in temporo-mandibular joint disease, and the effects of MRI on metallic otic prostheses. In conjunction with members of our MRI group, they will also attempt to study the application of MRI to altered cerebral blood flow states. The Division of Diagnostic Ultrasound will of course continue to pursue projects that have outside grant funding. These include Doppler evaluation of pregnancy-induced hypertension, bio-effects of ultrasound, characterization of atherosclerotic plaques, and prostate ultrasound. Dr. Barry Goldberg has submitted a grant proposal to evaluate ultrasonic contrast agents, and Dr. Matthew Rifkin has submitted 2 others - on the quantitative assessment of prostate carcinoma and staging of colorectal carcinoma. Dr. Peter Burns has submitted a proposal dealing with Doppler evaluation of splanchnic blood flow. Areas of unfunded research include color
- 1 9 - Doppler studies of the newborn brain, studies of patients who have undergone ECMO, comparison of endovaginal and transabdominal ultrasound scanning in pregnancy, and standardization of measurements in obstetrical ultrasound. The Division of Body CT will study CT and ultrasound in the evaluation of Greenfield filters, CT findings in liver transplantation, and CT evaluation of axillary lymph nodes in stage II and III breast carcinoma. They will also study normal axillary anatomy using both CT and MRI. The Division of MRI has a number of projects planned. They will study the application of different MR pulse sequences to detect bone marrow changes in patients with sickle cell anemia, a comparison of MRI and ultrasound with arthrography in patients with shoulder joint derangement, fat and water suppression techniques in MRI, surface coil development (in conjunction with Medical Advances, Inc. of Milwaukee), improving contrast to noise ratio by changes in flip angle and bandwidth, and 3-dimensional MRI. They will also continue to evaluate the clinical potential of MRI in a variety of other organs. An important aspect of these studies will be a comparison of MRI with other imaging technologies. In the Division of Radiological Physics, Drs. Vinitski and Burns will participate in the MRI and ultrasound studies listed above. Dr. Boone will study various aspects of artificial intelligence, particularly the use of computers to combine clinical information and radiographic findings to aid in diagnosis. He will also study scatter effects in digital imaging, true color radiography using dual energy images, and motion compensation in digital subtraction angiography.
VII. LONG-RANGE GOALS
In the clinical sphere, many of our goals remain the same as they were last year. We must continue to provide high quality and rapid service to referring physicians. It is not clear whether we will be able to outdo the striking growth rate in procedure volume that we experienced this past year, but we must certainly make every effort to see that sustained and healthy growth occurs. To this end, we must also continue vigorous marketing efforts. We must make sure that our space and equipment are modern and efficient. As the PACE project unfolds over the next several years, we must work closely with the hospital administration and the Division of Emergency Medicine to ensure that we are providing them with the best possible radiological support. Our departmental computer system is an excellent one and many management functions have successfully been computerized; others should be in the future. An important, yet unfulfilled, goal is securing the radiology contract at the Wills Eye Hospital. This is proving to be a difficult issue, but I am confident that if it is given to us, we can provide Wills with the best possible imaging studies in patients with ophthalmologic diseases. Finally, we must not lose site of the fact that people are our most important asset. There is a major shortage of radiologic technologists in this country. As a department and as a hospital, we must continue to ensure that the salaries, fringe benefits, and working environment we provide for our technologists are highly competitive. On the M.D. and Ph.D. level, we must continue vigorous recruiting efforts whenever they become necessary. I am very proud of the quality of our faculty at this time and we must do everything possible to keep it that way.
In the teaching sphere, we must continue to maintain the high standards already established in our training programs for medical students, residents, fellows, and practicing radiologists. We must try to expand our preceptorship program, wherein practicing radiologists who want to update their knowledge can spend 1-4 weeks in our department working with our clinical radiologists in particular areas of interest. Attractive preceptorship programs could probably be developed in breast imaging, MRI, neuroradiology, cardiovascular/interventional radiology, and ultrasound. We have recently set up an international visiting professorship program funded by the departmental research fund, and we must try to expand and publicize the existence of this program.
In the research sphere, we must continue our efforts to seek grant funding from NIH and other federal and state agencies. We must also continue our efforts to obtain equipment and personnel support from commercial manufacturers. With the addition to our faculty of Ph.D. basic scientists like Drs. Simon Vinitski, John Boone, Peter Burns, and Macke Consigny, we are well on our way to building an excellent basic research capability. We must do everything possible to foster their efforts by providing them with space, financial support, equipment, and personnel support. Much
- 20 - of this will of course depend upon their own abilities to obtain grant funding; we must also help them in that endeavor as well. One of the remaining "frontiers" of imaging research is magnetic resonance spectroscopy. This fascinating and potentially valuable technique is still in its infancy. We must develop research capability in this area by seeking institutional support for an MR spectroscopist position and recruiting an outstanding individual to fill it. Finally, there are a number of new diagnostic imaging and interventional techniques with which various members of our department are now becoming familiar. They include xenon cerebral blood flow determination, CT analysis of vertebral mineral content, kidney stone and gallstone lithotripsy, fast imaging in MRI, MR spectroscopy, the use of lasers and stents in treating arterial obstructions, insertion of inferior vena caval filters, color Doppler, the spectrum of interventional neuroradiological technique, MRI of the heart and blood vessels, and digital radiography. These techniques have the potential to become useful tools, but need to be carefully evaluated through clinical research programs.
VIII. PROBLEMS
Like virtually every other department, we are faced with certain problems, not all of which can be easily solved. First of all, a service department like Radiology must be able to efficiently provide all services needed by referring clinicians. We are not able to do this at the present time with only a single MRI unit in operation. The pace at which planning for the second MRI unit is progressing is slower than I would like. Part of this is the inevitable result of requirements of the state bureaucracy. We in the department and hospital administration must make every possible effort to get our second MRI unit up and running as quickly as possible. We do not have an MR spectroscopy program here, in part due to lack of available magnet time. As a developing academic department, we must build such a program, although time constraints will continue to create difficulties.
Another problem is laboratory space. If we are to increase our basic research output, additional space will be needed. At the moment, it is unclear where this will come from.
As indicated earlier, there is a shortage of trained radiologic technologists throughout the country. Through close cooperation between Mr. McArdle and Jefferson's Department of Human Resources, we have been able to maintain a competitive position as a prospective employer for technologists seeking new jobs. Although this is not a serious problem at the moment, it could become one if economic conditions change.
Geographic dispersion of the department remains a problem. We are currently operating on NH-3, NH-5, Main-7 and Thompson-7, Main-8, Main-10, the Breast Imaging Center, the Emergency Room, and the Jefferson Sports Medicine Facility. Shortly, we will also begin operating in the orthopaedic area on NH-8, and the new ambulatory MRI building on Walnut Street. Obviously it is very difficult to maintain economies of scale or efficient use of personnel under these conditions.
Finally, our departmental library is in extremely poor shape. Not only is this area dingy and dark and overcrowded, but there are also many missing volumes and journals. This certainly hampers the development of a good teaching program, although we do have plans in the works for trying to rectify the situation.
IX. ISSUES FOR THE UNIVERSITY
In his instructions to chairmen on the preparation of this section of departmental reports, the Dean requested that we address the question of broad issues confronting the University. One of these, in my opinion, is controlled growth. Within the past year, the hospital has concluded negotiations creating alliances with both Jefferson Park and Methodist hospitals. It is not entirely clear to me what benefits these provide to the University. If these institutions made strong contributions to Jefferson's clinical, teaching, and research programs, the benefits would be self-evident. But do they? One possible negative effect is dilution of effort of our hospital administration. As I stated
- 21 - earlier in this report, Jefferson is fortunate to have outstanding administrative leadership. However, there are only so many hours in the day, and only so many things that even the best administrator can focus upon. If our leadership is forced to spend too much time solving the problems of Jefferson Park and Methodist Hospitals, they may not be able to devote the proper amount of time to solving problems here on campus.
Another broad issue is the provision of the proper amount of research space to clinical departments. Plans are now underway for the development of a large new research building on Locust Street between 9th and 10th Streets. When the project was first proposed, the implication was that many or even all departments would have space in this building. Radiology and other departments were asked to submit requests for space. Now we've heard that only 2 or 3 of the basic science departments are to get space there. What happens to the rest of us? The clinical departments bring in the lion's share of revenues to support the university, and it seems to me that we certainly ought to share in the fruits of its expansion.
A final broad issue is the appropriate evaluation and introduction of expensive new technology. With a seemingly endless stream of new devices (mostly very expensive) constantly being developed, knowing what to invest in is often a difficult challenge and one which must be met in a thoughtful and careful manner if scarce resources are not to be squandered.
X. CONCLUSION
1987-88 has been an excellent year for the Department of Radiology. Our clinical referrals have risen dramatically. Our teaching programs remain strong. Grant funding and research productivity have increased. All of us on the faculty can collectively take great pride in these achievements. We also wish to express our gratitude to the many other people, both inside and outside the department, who have helped make this progress possible. These include our technical, clerical, and administrative personnel within the department, as well as Messers. Bradley, Lewis, and Murtaugh in the hospital administration and Dean Gonnella and his associates at the Medical College. It is no secret that hospitals and physicians face cutbacks and other restraints in the funding of medical care, but the quality of people we have here at Jefferson makes for a unique set of circumstances which should allow us to prosper even in the face of these obstacles.
David C. Levin, M.D. Professor and Chairman
- 22 - TEACHING PROGRAMS
Vijay M. Rao, M.D.
Introduction
The Department of Radiology is highly active in the teaching of medical students, radiology residents, fellows, and the clinical house staff. Several continuing medical education (CME) courses traditionally offered by the Department of Radiology continued to be received with great enthusiasm. The new teaching programs introduced a year ago, namely the Radiology Grand Rounds, Research Conferences, Radiology-Pathology Correlation Conferences and a radiologic anatomy course for the freshman medical students were a great success and will be continued this year.
A. Teaching Programs for Medical Students and Non-Radiology House Staff
Freshmen Medical Students Under the direction of Vijay M. Rao, M.D., a new course in Radiological Anatomy which was introduced a year ago for the first year students continued to be very popular. The course emphasizes cross-sectional anatomy as it relates to the newer imaging modalities, namely computed tomography and magnetic resonance imaging. Designed in conjunction with Dr. Edward Masters from the Department of Anatomy, the Anatomy course allows a departmental radiologist who may be either a faculty member, fellow or senior resident to be available as a consultant in the dissection laboratory for two hours per week throughout the length of the course. Junior and Senior Medical Students
General Radiology Elective RAD 401-01: This elective is also under the direction of Vijay M. Rao, M.D. It is a structured course but has the flexibility of accommodating the special needs of any particular student. The objectives of this course are described below.
1. To teach the basic elements involved in the radiology of emergency care. This includes radiology of trauma, acute abdomen and common chest diseases such as pneumothorax, pleural effusions, pneumonia, etc.
2. To teach the principles of X-rays, fluoroscopy, computed tomography, ultrasound, nuclear medicine and magnetic resonance imaging. This enables the students to better understand the factors affecting patient preparation, patient cooperation, and the sequence in which diagnostic tests should be performed.
3. To teach the effective use of the Radiology Department. The appropriate use of new technologies is emphasized.
The maximum number of students accepted per block is 12. These students are divided into small groups of 3 to 4 students. At any given time, they are assigned to different areas such as general diagnostic radiology (which includes thoracic, skeletal, genitourinary, and gastrointestinal radiology), neuroradiology, body CT, ultrasound, nuclear medicine, and cardiovascular/interventional radiology. Students have the opportunity to interact on a one-to-one basis with faculty members, fellows and residents.
- 2 3 - The radiology elective was taken by approximately 143 junior and senior class members of Jefferson Medical College. Of these, 101 completed the RAD 401-01 elective at Thomas Jefferson University Hospital and the remaining 42, at affiliated hospitals or outside institutions. Students enrolled in RAD 401-01 have rated this course as one of the most enjoyable learning experiences of their senior year, with many commenting that it should be a requirement for all medical students. The 26 House Staff officers from the Department of Medicine who have taken this elective have also found it a fruitful and worthwhile experience.
Neuroradiology Elective RAD 403-01: This elective is supervised by Carlos Gonzales, M.D.. The students are exposed to the entire gamut of neuroradiological procedures including angiograms, myelograms, computed tomography, and magnetic resonance imaging. They also participate in the interpretation of extracranial head and neck imaging studies. The students are given the opportunity to attend and participate in all neuroradiological and otolaryngological radiology conferences. A teaching file of outstanding cases is available for their use.
Pediatric Radiology Elective RAD 405-01: This elective is supervised by George Gross, M.D. The students participate in plain film interpretation and observe special diagnostic procedures on pediatric patients. They attend all teaching conferences of the Department of Pediatrics where the pediatric radiologist is consultant. A pediatric radiology teaching file is available. New Teaching Programs
The following new elective courses for medical students were approved by the JMC Curriculum Committee and are being offered effective July 1, 1988.
Cross Sectional Imaging (Ultrasound, Computed Tomography, and Magnetic Resonance) Elective RAD 406-01: This elective will be supervised by Barry Goldberg , M.D. and Rick Feld, M.D. Each medical student will rotate for an interval of two weeks in ultrasound, one week in CT, and one week in MR. The students will participate in the ongoing daily morning conferences and combined US/CT/MR conference from 8-8:30 a.m., which is held three times a week. Use will also be made of the extensive videotape library on cross sectional imaging.
In addition, the students will rotate within the various areas of CT and MR. During this time the students will observe many different procedures being performed by the technologist and review cases with the physicians. It is anticipated that medical students going through this rotation will come away with a basic understanding of the usefulness of ultrasound, CT and MR in the diagnosis, and a knowledge of how these procedures are performed.
Cardiovascular/Interventional Radiology Elective RAD-407: This elective will be supervised by Geoffrey A. Gardiner, M.D. During their month in Cardiovascular/Interventional Radiology, students will become familiar with the wide range of procedures performed by the radiologist by first-hand observation of cases. They will participate in case review sessions held every morning with the residents and fellows. The students will accompany the residents and fellows on morning rounds for follow-up evaluation of patients who have had both vascular and non-vascular procedures. Students will have an opportunity to review the wide collection of cases in the teaching files, and may assist with various research projects which are in progress during that time. By the end of the month, the students will have a much better understanding of both the diagnostic and interventional capabilities of this section of the Department of Radiology, and will be more familiar with the management of patients with vascular disease and biliary or renal obstruction.
- 24 - Interdepartmental Radiology Conferences for Junior and Senior Medical Students and Non-Radiology House staff: During rotation on clinical services, the junior and senior medical students and house staff receive frequent exposure to radiology through a number of interdepartmental conferences:
i) Weekly combined neurology/neurosurgery/radiology conferences ) Weekly lectures in radiology for junior students in medicine i i i) Bi-weekly conferences in orthopedic radiology for students on orthopedics iv) Bi-weekly radiology conferences for house staff and students on otolaryngology v) Weekly combined radiotherapy/otolaryngology/radiology/oncology head and neck tumor conference vi) Lectures to students on Emergency Room rotation vii) Weekly combined pulmonary/radiology and pathology conferences viii) Monthly conference for students and house staff in thoracic surgery ix) Bi-weekly combined pulmonary/radiology/surgery/radiotherapy lung tumor conference x) Bi-weekly pediatric radiology conference for students on pediatrics xi) Monthly neonatal imaging conference for Intensive Care Nursery faculty, residents and medical students
Unknown Case of the Week for Medical Students and Non-Radiology House Staff
Radiology residents present imaging studies accompanied by clinical information for medical students and non-radiology house staff. The purpose of this weekly case conference is to introduce and teach interpretation of radiographic findings, given a minimal knowledge of a patient's history.
Unknown Pediatric Case of the Week for Pediatric House Staff
This was initiated by George W. Gross, M.D. Various image studies of children accompanied by clinical information and one or more questions are presented weekly. A diagnosis, explanation and discussion are then provided for teaching purposes.
B. Residency Program for Residents in Radiology
The American Board of Radiology requires four years of training in diagnostic radiology, regardless of prior post-graduate training. Because of the increasing demand for sub-specialization among radiology trainees, the residency training program recently underwent a major restructuring. One addition was the introduction of elective time in the fourth year. Under the restructured program, there is a core curriculum of 3 years. During that time, all residents are assigned 3 months in each of the following areas: thoracic radiology, skeletal radiology, genitourinary radiology, gastrointestinal radiology, body CT, cardiovascular/interventional radiology, neuroradiology/ENT, mammography, outpatient radiology and pediatric radiology. The residents spend 2 months in magnetic resonance imaging and 4 months in nuclear medicine. In the fourth year, they have the option of taking additional elective in one or several of these areas.
During the first year, residents learn the basic concepts and interpretation of diagnostic studies as applicable to each subspecialty. In addition to mastering the principles of the various imaging modalities, they also learn the technical aspects of the various diagnostic and therapeutic procedures performed in the Department, especially in the cardiovascular/interventional, neuroradiology, ultrasound and body computed tomography areas.
During the second and third years, the residents again spend one month each year in each of these areas, thus enabling them to refresh their knowledge and polish their technical skills. Having achieved basic competence in diagnostic and interventional procedures, residents are prepared to tackle more difficult and challenging procedures. Furthermore, the continued exposure each year to every area helps prepare them better for the written board examinations in Radiology, taken at the beginning of the fourth year. Residents are encouraged to participate in ongoing research activities within the department. - 2 5 -
The fourth year residency is largely an elective year. The residents can spend a block of time in one or more areas of radiology. This gives them an opportunity to acquire additional expertise in the subspecialty of their interest. Our residency program aims at producing radiologists well-trained in all aspects of diagnostic imaging who will feel comfortable in either an academic or a private practice environment.
A distinctive feature of our residency program is that during each work day, all studies are reviewed by the resident and staff together prior to dictation. Thus, each case becomes a teaching exercise. This type of review demands additional effort from radiology staff physicians, but is worthwhile for good residency training and patient care.
Our residents are actively involved in the ongoing research projects in the department. Twelve scientific papers including oral presentation, posters and exhibits were presented by the residents at national meetings, namely RSNA, AUR and ARRS.
I am pleased to report that the restructured residency program is working well. During the past year, the residency training program maintained its tradition of academic excellence. Our four graduating residents passed the written board examination given by ABR and have obtained excellent fellowship or staff positions for the year beginning July 1, 1988. Brad Dick, M.D. will be a fellow in cardiovascular/interventional Radiology at the University of California, San Francisco. Cathy Piccoli, M.D. will be a fellow in US/CT/MRI with us at Thomas Jefferson University itself. Irene Raisis, M.D. will be staying with us as a junior staff faculty member. Horatio Yeung, M.D. will be joining a private practice group in Baltimore, Maryland. It is gratifying to note that 6 out of 12 graduating residents and fellows have been accepted into academic positions.
Resident Selection: The Radiology Residency Program at Jefferson is much sought after. Over 300 applications were received last year, from which 53 were selected for interviews. Of these, nearly 30 were within top 10% of their class. Each of these candidates were interviewed by at least three members of the Residency Selection Committee which is chaired by Alfred B. Kurtz, M.D. Four first year residents were selected from this group.
The first year residents beginning July 1, 1988 are listed below with their medical schools: 1. Steven Domiano - State University of New York, AOA 2. Andrew Gallant - Emory University 3. Kenneth Kaplan - New York Medical College, AOA 4. Jonathan Shapiro - New York Medical College
The total number of residents for the year 1987-88 were 17, with distribution as follows: Fourth year - 4 Third year - 6 Second year - 4 First year - 3
Resident Teaching and Conferences: Throughout the four years of residency, our residents attend 2 hours of conferences in diagnostic interpretation given daily by attending staff. These conferences are a mixture of didactic lectures and case presentation conferences where residents have the opportunity to discuss the radiographic findings and differential diagnosis.
Radiologic Physics Course (RAD 521) for Residents in Radiology: This course which until last year consisted of some 140 lecture hours presented over a two year period was condensed into a one year course of 80 lecture hours for 1987-88. Also,the lecture schedule was changed from the noon hour to 7 am. By February 1988 it became increasingly apparent that the early lecture hour was not popular with the residents as evident by their declining attendance. Accordingly, upon the recommendation of the medical physics faculty, the course was terminated in March 1988 and a new course was drafted by Dr. John Boone to be presented daily at the noon hour from mid June to early September primarily for the second, third and fourth year residents. This course, approximately 55 lecture hours, is off to a good start with good attendance. Radiology residents from Pennsylvania Hospital also attend the classes. - 2 6 - A much shorter introductory physics course is planned for the new first year residents during August 1988.
Radiology-Pathology Conference: Interdepartmental radiologic-pathologic correlation conferences continued to be very popular. Moderated by Vijay M. Rao, M.D., interesting cases are discussed by the senior residents, followed by final pathologic diagnosis presented by the pathologist.
Postgraduate Review Course for Radiology Residents: A citywide bi-annual refresher course in cardiac radiology was presented to the residents by Drs. Levin and Steiner in 1987. The course was held for 2-hour nightly sessions, one per week for 8 weeks, and was attended by approximately 75 residents. The second course is again being planned for the spring of 1989.
Pediatric Case of the Week for Radiology Residents: Under the direction of George Gross, M.D., various imaging studies of children accompanied by clinical information and one or more questions are presented weekly for the radiology residents. A diagnosis, explanation, and discussion of findings are then provided for teaching purposes.
Philadelphia Roentgen Ray Society Meeting: Our residents are encouraged to attend the monthly conferences held by PRRS at the College of Physicians. The meeting consists of a lecture and a panel discussion followed by a business dinner, sponsored for the residents by the Radiology Department.
Blue Ribbon LeOure_s: This city wide course is designed for the Radiology residents in the Delaware Valley by the Blue Ribbon Graduate Course Committee, a chapter of the Philadelphia Roentgen Ray Society. The lectures are given by well-known authorities within the city and are held monthly.
Orthopedic Radiologic-Pathologic Conferences (ORP): Residents are also encouraged to attend these city wide conferences held monthly. Interesting orthopedic cases are discussed by a panel of distinguished radiologists.
C. Training Program for Fellows
The Department of Radiology offers 1, 1-1/2, and 2 year fellowships in each of the following areas: Cardiovascular/ Interventional Radiology, Neuroradiology/ENT, and Ultrasound/CT/MRI. Candidates must be board certified or in the certification process.
Cardiovascular/Interventional Fellowships: The Cardiovascular/Interventional Fellowship has been extended to three fellowship positions offered yearly for a one or two year period. This fellowship is under the direction of Geoffrey Gardiner, M.D. The first year consists of three months in cardiac angiography and nine months on the combined vascular/interventional service. On cardiac rotation, the fellow works in the Cardiac Catheterization Laboratory performing cardiac catheterization and coronary angiography. Radiographic interpretation of cardiac studies is enhanced by combined conference with the cardiologists. A nine month rotation through the vascular/ interventional service exposes the fellow to a wide variety of vascular and non-vascular interventional and diagnostic procedures. Daily ward rounds and morning work conferences are held, during which time all cases are reviewed. There are monthly conferences with the vascular surgeons. Resident teaching conferences are presented by the staff. Both the teaching file and computerized patient database are carefully maintained and updated. Since the two-year program is intended for fellows with academic interests, ample research time is allotted during the second year with additional experience offered in pediatric vascular and non-vascular procedures and in cardiac imaging (using digital technique, echocardiography and MRI) and congenital heart disease.
Neuroradiology/ENT Fellowship: The Neuroradiology/ENT Fellowship is a two year program with two fellows appointed each year for a total of four fellows. This fellowship is under the direction of Carlos Gonzalez, M.D. The Division has state-of-the-art angiography (including digital subtraction), myelography, CT and MRI equipment all located adjacent to dedicated Neuroradiology/ENT film interpretation and consultation areas. Extensive training is received in interpretation of plain films, tomograms, CT and MRI examinations as well as in the technical aspects and interpretation of myelograms, neuroangiograms and in interventional neuroradiologic procedures. Daily film - 2 7 - interpretation and reporting is done with the Neuroradiology Staff. Consultation with referring physicians from neurology, neurosurgery, orthopedic surgery, head and neck surgery, medical oncology and radiation oncology is an ongoing responsibility and learning opportunity. There is weekly active participation in Neurosurgery Grand Rounds, Neurology Grand Rounds, ENT Grand Rounds, Head and Neck Tumor Conference as well as two weekly Neuroradiology Conferences for residents and a weekly conference with the clinical staff of the Regional Spinal Cord Trauma Center based at TJUH. There are regular working conferences with the neuropathologists for neuroradiology-neuropathology correlation. There is an extensive teaching file of proven examples of neurologic abnormalities. Ample opportunities exist for research at the clinical and basic science level and are strongly encouraged.
Ultrasound/CT/MRI Fellowship: The Ultrasound/CT/MRI fellows participate in one of two programs: 1) a one-year program consisting of seven months of ultrasound, and two-and-a-half months each of Body CT and MRI, and 2) a 1-1/2 year program consisting of rotating in ultrasound, Body CT and Body MRI, and 2 months of research. This fellowship is under the direction of Barry B. Goldberg, M.D. The Ultrasound portion of this program offers training in adult and pediatric abdomen and pelvis, neonatal brain, obstetrics and gynecology, small parts (including testes, neck and breast), peripheral vascular, echocardiography, endosonography, intra-operative ultrasound, and aspiration-biopsy and abscess drainage techniques. In Body CT, training is given in chest, abdomen and extremities. Aspiration-biopsy and abscess drainage techniques are taught during the Body CT rotation. MRI training consists of all aspects of body and extremity studies and the physics involved with image production. Additionally, an introduction to spectroscopy and neuro MRI is available. Morning conferences are held daily in the Ultrasound, CT, and MRI divisions during which time interesting cases from the previous day are reviewed. Monthly research meetings and specialty conferences with the perinatologists, neonatologists, orthopedists and the Division of Nuclear Medicine (Department of Radiation Therapy and Nuclear Medicine) are held. Research is encouraged.
Research and Clinical Fellowship-Division of Radiation Biology: Under the direction of Robert Brent, M.D., Ph.D., this training program provides the opportunity to obtain research training in experimental embryology, radiation biology, teratology, developmental immunology, genetics and developmental biochemistry. The training program is conducted by a multidisciplinary research team. Trainees in both the basic medical and clinical sciences are accepted into the program and are expected to function in the basic science or the clinical departments as developmental biologists. Developmental biological input in the fields of pharmacology, biochemistry, physiology, anatomy, microbiology, obstetrics and pediatrics is important for education, the discovery of new information, and in providing special expertise in obstetrics, pediatrics and genetic counseling. Individuals with this background can also be expected to be of value in the pharmaceutical industry and in government regulatory agencies. The trainees receive broad enough training to prepare them for a position in teaching and/or research in a basic science or clinical department or to function in industry or government as a specialist in these fields.
The training program includes: 1) assignment of all trainees to a preceptor; 2) exposure of all trainees to a basic spectrum of techniques and tools necessary to run a developmental biology laboratory --from animal handling to biochemical and physiological procedures; 3) weekly research work conferences, seminars and journal clubs; 4) exposure to the developmental biological aspects of drug testing and the multiple aspects of meeting the legal and moral commitments to complications of human malformations; 5) courses in teratology, embryology, radiation biology that are available to all trainees, plus 24 related elective courses available for the trainees. The training program is personalized with extensive contract between supervisors and trainees. A collegial relationship is developed that persists long after the trainee leaves the program.
CONTINUING MEDICAL EDUCATION (CME) PROGRAMS
Radiology Grand Rounds: Grand Rounds in Radiology, were held biweekly and covered topics of interest in all radiology subspecialties. 18 Grand Rounds sessions were given during the year; 12 were presented by invited speakers and 6 were by the department faculty. A listing of speakers and their topics is presented at the end of this section.
- 2 8 - Eighth Annual Leading Edge in Diagnostic Ultrasound Courses: The Ultrasound division's eighth annual Leading Edge in Diagnostic Ultrasound, held in Atlantic City, was a major success. This year's meeting featured a pre-conference tutorial on cerebrovascular imaging and Doppler. The whole program was approved for 7.5 to 24.5 CME Category I hours, depending on dates of attendance. In addition to approximately 150 biomedical engineers, scientists, nurses, administrators, business managers and sales representatives, 450 course participants qualified for CME hours.
During this academic year, the Division of Ultrasound also offered 40 two to five day courses in ultrasound applications for the abdomen, obstetrics and gynecology, non-invasive vascular diagnosis, urologic and prostate ultrasound, neonatal brain, ultrasound in surgery, physics and instrumentation, cross-sectional anatomy, and echocardiography. These courses are approved for 1.5 to 31 AMA Category I hours.
Research Conferences: Another major feature this year was the continuation of bi-weekly Radiology Research Conferences, under the direction of Matthew Rifkin, M.D. This allowed everyone in the department the opportunity to present the results of their research activities. Residents are encouraged to become involved in research projects, to write abstracts and papers, and to present their work at local and national meetings. A listing of the research conference topics and their presenters is included at the end of this section.
- 2 9 - RADIOLOGY GRAND ROUNDS
Sept. 15, 1987 Roentgenographic Workup of the Dr. Nagi Khouri Pulmonary Nodule: The Value of John Hopkins Hospital the Percutaneous Aspiration Biopsy Baltimore
Sept. 29, 1987 CT of the GI Tract Dr. Emil Balthazar New York University Medical Center
Oct. 13, 1987 Hysterosalpingography Dr. Stephen Karasick TJUH Radiology
Oct. 27, 1987 MRI of Bone and Soft Tissue Tumors Dr. D. Lawrence Burk TJUH Radiology
Nov. 10, 1987 Why Image Suspected Lung Cancer? Dr. Robert Pugatch Harvard Medical School Boston
Nov. 24, 1987 The Role of MRI in Evaluation of Dr. George Krol Central Nervous System Neoplasm Cornell University New York
Dec. 8, 1987 Extracorporeal Membranous Dr. George Gross Oxygenation: Radiologic Appearances TJUH Radiology and Complications
Jan. 5, 1988 Coordinated Breast Imaging Dr. Daniel Kopans Massachusetts General Hospital, Boston
Jan. 19, 1988 Fast Imaging of the Body Dr. David Stark Massachusetts General Hospital, Boston
Feb. 2, 1988 Infertility and Ovarian Follicular Dr. Harvey Neiman Development Western Pennsylvania Hospital, Pittsburgh
Feb. 16, 1988 Imaging of Laryngeal Carcinoma Dr. Hugh Curtin Eye & Ear Hospital Pittsburgh
Mar. 1, 1988 Dilatation of GI Stents Dr. Julio Palmez Univ. of Texas Health Science Center San Antonio
Mar. 15, 1988 Treatment of Congenital Heart Dr. Kenneth Fellows Disease in the Catherization Lab Childrens Hospital of Philadelphia - 3 0 - Mar. 29, 1988 Radionuclide Bone Imaging in Dr. Larry Holder the Evaluation of Athletic Injuries The Union Memorial Hospital, Baltimore Apr. 12, 1988 Endorectal Prostate Ultrasound Dr. Matthew Rifkin TJUH Radiology Apr 26, 1988 Trauma to the Cervical Spine Dr. Murray Dalinka HUP Radiology May 3,1988 The First Annual Philip J. Hodes Dr. Herbert L. Abrams Lecture: Magnetic Resonance Stanford University School Imaging: The Development of a of Medicine, California National Consensus May 24, 1988 Color Doppler: Its Place in Diagnostic Dr. Donald Mitchell Ultrasound TJUH Radiology June 7, 1988 Cross-Sectional Imaging of the Dr. Richard Wechsler Chest Wall TJUH Radiology
- 3 / - RADIOLOGY RESEARCH CONFERENCES
October 6, 1987 1.5T Gradient Echo MRI of the Knee D. Lawrence Burk, Jr., M.D
Biliary-Hepatic Venous Fistulae Han Kinori, M.D.
November 3, 1987 Comparison of Digital and Conventional Robert Steiner, M.D. Portal Chest Radiology
Comparison of Cl. and Endorectal Matthew Rifkin, M.D. Ultrasound in Staging Rectal Cancer
November 17, 1987 Prospective Evaluation of Umbilical David Levy, M.D. Artery Waveforms in High Risk Pregnancy
Gradient Moment Nulling versus Donald Mitchell, M.D. Respiratory-Sorted Phase Encoding for Motion Artifact Reduction in the Upper Abdomen
Pathways to the Scrotum Bradley Dick, M.D.
December 15, 1987 Federal Research Support in the Late Samuel Herman, P.h.D. 1980's
January 12, 1988 Normal Detailed Embryonic Oksana Baltarowich, M.D. Anatomy with Endovaginal Sonography
Evaluation of the Complementary Maria Vilaro, M.D. Role of Hand-Held and Water Path Sonomammography to X-Ray Mammography
Potential Retroperitoneal Recess Cynthia Miller, M.D. Anterior to the Stomach: The Omental Fossa of the Anterior Pararenal Space
January 26, 1988 Percutaneous Embolization of Spinal Edward Podgorski, M.D. Hemangiomas
Chemical Shift Artifact Bradley Dick, M.D.
- 3 2 - February 9, 1988 Long-Term Results of Balloon Marcelle Shapiro, M.D. Catheter Dilatation of Ureteroenteral Strictures Massive Hemoptysis Associated with Marcelle Shapiro, M.D. Pulmonary Aspergilloma - A New Percutaneous Treatment
February 23, 1988 Moyamoya Disease: Clinical Kim Koo, M.D. Manifestations, Radiographic Findings, Classification and Treatment
March 2, 1988 Quality Control in Mammography Benjamin Galkin, Ph.D. Stephen Feig, M.D.
March 8, 1988 Marrow Infarction in SCA: Correlation Vijay M. Rao, M.D. with Marrow Type and Distribution by MRI
Oblique Plane MR Imaging of the Brachial Ashok Babaria, M.D. Plexus
April 5, 1988 MRI of Paranasal Sinuses: Normal Paul Davis, M.D. and Pathologic Appearance at 1.5T
CT Appearance of Villus Adenoma Pamela Hendricks, M.D.
Patterns of Clinical and Radiographic Robert Steiner, M.D. Relapse in Pulmonary Sarcoidosis
May 17, 1988 Thoracic CT in the Preoperative David March, M.D. Staging of Breast Cancer
Reduced Flip Angle Spin Echo Donald Mitchell, M.D. Imaging: Faster T2 Weighted Images
May 31, 1988 Basic Statistics for the Academically Thomas Pajak, Ph.D. Oriented Radiologist
. - 3 3 - RESEARCH PROGRAMS AND GRANTS : 1987- 1988
Title of Project Investigator II Source of Support Period of Co-Investigator(s) (Amount) Support
Protein Metabolism D. Beckman, Ph.D. // National Institutes Apr 1987 in Rat Embryo and Yolk R. Brent, M.D., of Health ($54,176) to Sac Ph.D.,D.Sc. Mar 1988 T. Koszalka, Ph.D. M. Jensen, M.A.
Stroke Research R. Bell, M.D. (non-funded) Ongoing R. Schwartzman M.D. // Project with TJUH Clinical H. Doan, M.D. Department of Research Neurology
Image Processing Computer J. Boone, Ph.D. Radiology Research Sept 1987 System Fund to June 19&8
Developmental Biology R. Brent, M.D. National Institutes July 1987 Training Program Ph.D., D.Sc. of Health ($76,406) to June 1988
Short-Term Training: Students R. Brent, M.D. , Ph.D. // National Institutes May 1987 in Professional Schools A. Erslev, M.D. of Health ($41,949) to J. Sherwin, Ph.D. Apr 1988
Cytokinetic Effects of Prenatal R. Brent, M.D. , National Institutes July 1987 Radiation in the Rat Ph.D., D.Sc. // of Health ($91,295) to D. Beckman, Ph.D. June 1988
Nutritional Role of the Placenta R. Brent, M.D., National Institutes Sept 1987 in Maldevelopment Ph.D.,D.Sc // of Health ($93,821) to T. Koszalka, Ph.D. Aug 1988 I. Damjanov, Ph.D. M. Jensen, M.A.
Regulation of Normal and R. Brent, M.D., Foerderer Foundation Feb 1988 Abnormal Bone Growth Ph.D., DSc. // ($64,090) to in Utero J. Carbone, Ph.D. Jan 1989 T . Koszalka, Ph.D
Rotator Cuff Tears: L. Burk, M.D. // (non-funded) Ongoing Evaluation With MRI, A. Kurtz, M.D. Clinical US, and Arthrography D. Karasick, M.D. Research
- 34 - Title of Project Investigator II Source of Support Period of Co-Investigator(s) (Amount) Support
Light Scan Oriented Doppler P. Burns, Ph.D. National Institutes Feb 1988 Detection of Breast Cancer of Health ($50,000) to Aug 1988
Development of Novel Transducer P. Burns, Ph.D State of Pennsylvania Mar 1988 Systems for Doppler Measurement Center of Excellence in to of Blood Flow Rate in Splanchnic Biomedical Engineering Sept 1988 Vessels ($9,150)
Calibration of Acoustic Intensity P. Burns, Ph.D. State of Pennsylvania Mar 1988 and Beam Shape in Ultrasound Center of Excellence in to Imaging and Doppler Instruments Biomedical Engineering Sept 1988 ($13,245) Radiology Research Fund
Effects of Balloon Angioplasty P. Consigny, Ph.D. American Health Apr 1988 and Laser Thermal Angioplasty G. Gardiner Jr., M.D. Assistance to on Atherosclerotic Arteries Foundation Mar 1989 ($24,000)
Back Muscle Atrophy Due to H. Doan, M.D. // (non-funded) Ongoing Denervation C. Gonzalez, M.D. Clinical J. Osterholm, M.D. Research
An Independent Evaluation of the Technical Quality of B. Galkin, M.S. // (non-funded) Ongoing Mammography in Centers S. Feig, M.D Physics Accredited by the Research American College of Radiology
Elemental Composition of B. Galkin, M.S. // National Institutes Sept 1986 Breast Calcifications S. Feig, M.D of Health ($21,350) to A. Patchefsky, M.D. Sept 1987 H. Muir
- 3 5 - Title of Project Investigator II Source of Support Period of Co-Investigator(s) (Amount) Support
Fractal Imaging of B. Galkin, M.S. // (non-funded) Ongoing Breast Calcifications C. Miller Physics S. Feig, M.D. Research
Formation of a Regional G. Gardiner, M.D. // (non-funded) Ongoing Peripheral and Renal D. Levin, M.D Clinical Angioplasty Registry (With Physicians- Research Univ of Penna)
Assessment of Ultrasonic B. Goldberg, M.D. // National Institutes of Apr 1981 B-Scan Imaging for Detection A. Kurtz, M.D. Health ($295,000) to and Quantification of M. Rifkin, M.D. Nov 1987 Atherosclerotic Lesions in S. Smullens, M.D Human Carotid and Ilio-femoral C. Gonzalez, M.D. Arteries and in Arteries of Animals
Minimally Invasive Techniques B. Goldberg, M.D. // National Institutes Jan 1986 for Characterization of J. Reid, Ph.D. (Drexel) of Health ($100,179) to Atherosclerotic Plaque V. Newhouse, Ph.D. Dec 1987 P. Pederson, Ph.D.
Effects of Prenatal Ultrasound B. Goldberg, M.D. // National Institutes Apr 1986 on Postnatal Development R. Jensh, Ph.D. of Health ($449,800) to Mar 1989
In Vitro and In Vivo Evaluation B. Goldberg, M.D. // State of Pennsylvania Mar 1988 of Ultrasound Contrast Agents P. Burns, Ph.D. Ben Franklin to (Subcontract under Center of J. Raichlen, M.D. Partnership ($21,025) Sept 1988 Excellence in Biomedical Engineering)
Evaluation of an Ultrasound B. Goldberg, M.D. // Radiology Research June 1987 Contrast Agent A. Carabasi, M.D. Fund to J. Raichlen, M.D. Berlex Laboratories Apr 1988 P. Lewin, Ph.D. (supply of contrast H. Ortega, M.D. agents)
- 3 6 - Title of Project Investigator II Source of Support Period of Co-Investigator(s) (Amount) Support
Techniques for characterization B. Goldberg, M.D.// National Institutes Sept 1985 of Atherosclerotic Plaque M. Rifkin, M.D of Health ($34,464) to H. Choi, M.D. Sept 1988
Center of Excellence in Bio- B. Goldberg, M.D. // State of Pennsylvania Sept 1987 medical Engineering D. Jaron, Ph.D. (Drexel) Ben Franklin to Partnership ($57,320) Aug 1988
The Use of fluorocarbon Emulsion C. Gonzalez, M.D. // Johnson & Johnson Ongoing as a Contrast Media in the Central J. Osterholm, M.D. Cerebral Ischemia Clinical Nervous System R. Bell, M.D. Study (sub-project) Research with TJUH Department of Neurosurgery (non-funded)
Balloon Occlusion of the Carotid C. Gonzalez, M.D. // (non-funded) Ongoing Artery in Patients with Neck J. Moret, M.D. Clinical Neoplasms (Rothschild Foundation - Research Paris, France)
NMR Studies of Cerebral A. McLaughlin, Ph.D. // The Council for Dec 1985 Metabolites C. Gonzalez, M.D. Tobacco Research- USA to R. Schwartzman, M.D. ($65,761) Nov 1989 J. Osterholm, M.D. B. Northrup, M.D.
Clinical Studies in Stroke R. Schwartzman, M.D. // National Institutes of Dec 1984 Patients Using Spectroscopy C. Gonzalez, M.D. Health ($2,700.00) to NMR (Collaborative Project) G. Alexander, M.D. Nov 1989 A. McLaughlin, M.D. J. Haselgrove, M.D.
Measurement of Cerebral R. Bell, M.D. // (non-funded) Ongoing Vascular Row with Use of Xenon R. Schwartzman, M.D. Clinical A. Babaria, M.D. Research M. Mishkin, M.D. C. Gonzalez, M.D.
- 3 7 - Title of Project Investigator // Source of Support Period of Co-Investigator(s) (Amount) Support
Ultrasound and Developmental L. Graziani, M.D. // National Institutes Aug 1987 Studies in Preterm Infants B. Goldberg, M.D. of Health ($102,303) to D. Mitchell, M.D. July 1988 H. Desai, M.D. F. Pidcock, M.D.
Development of Software for G. Gross, M.D. // (non-funded) Ongoing Optimal Imaging - Chest, R. Steiner, M.D. Clinical Abdomen, Bone G. Shaber, M.D. Research Y. Wang, M.D.
Combination Digital Processing G. Gross, M.D. // (non-funded) Ongoing for Pediatric Chest Images Y. Wang, M.D. Clinical Research
Digital Images for G. Gross, M.D. // (non-funded) Ongoing Bronchopulmonary Dysplasia Y. Wang, M.D. Clinical in Children Research
A Digital Imaging System G. Gross, M.D. // (non-funded) Ongoing for Routine Radiographic Y. Wang, M.D. Clinical Examination of Pediatric Patients Research
Survey of Radiological Practice D. Levin, M.D. (non-funded) Ongoing Patterns in Academic Institutions Clinical Research
Evaluation of a New D. Levin, M.D. // Thomson -CGR Jan 1988 Mammography Unit S. Feig, M.D. Medical Corporation to B. Galkin, MS ($40, 000) Dec 1988
Coronary Stenosis Morphology D. Levin, M.D. // (non-funded) Ongoing G. Gardiner, Jr., M.D Clinical S. Goldberg, M.D. Research
- 38 - Title of Project Investigator II Source of Support Period of Co-Investigator(s) (Amount) Support
Magnetic Resonance Imaging of D. Levy, M.D. // (non-funded) Ongoing Experimental Pulmonary Emboli M. Thakur, M.D. Clinical S. Vinitski, Ph.D. Research M. Rifkin, M.D.
Defecography E. Mapp, M.D. (non-funded) Ongoing Clinical Research
Rotator Cuff Tears: C. Miller, M.D. // (non-funded) Ongoing Ultrasound Sensitivity A. Kurtz, M.D. Clinical D. Karasick, M.D. Research J. Fenlin, M.D.
Regional Cerebral Blood Flow M. Mishkin, M.D. // Radiology Research Apr 1988 Utilizing MRI S. Vinitski, Ph.D Fund to J. Osterholm, M.D. Apr 1989
MRI of Central Cord Injury M. Mishkin, M.D. // Radiology Research Apr 1988 J. Osterholm,M.D. Fund to S. Vinitski, Ph.D. Apr 1989
MRI of Patient with Spinal M. Mishkin, M.D. // (non-funded) Ongoing Cord Injury; A Comparison with A. Flanders, M.D. Clinical Myelography and Computed A. Babaria, M.D. Research Tomography L. Burk, M.D. J. Osterholm, M.D. P. Gorsuch, M.D.
Perisellar Meningiomas M. Mishkin, M.D. (non-funded) Ongoing Clinical Research
Phase IV Post Marketing Survey M. Mishkin, M.D. // Winthrop June 1988 of Non-ionic Contrast Agents S. Karasick, M.D. Pharmaceuticals to Compared with Ionic Contrast R. Wechsler, M.D. ($500,000 of Dec 1988 Agents Plus Steroids contrast agents)
- 3 9 - Title of Project Investigator // Source of Support Period of Co-Investigator(s) (Amount) Support
Angiodynography of the D. Mitchell, M.D. // (non-funded) Ongoing Neonatal Brain B. Goldberg, M.D. Clinical L. Needleman, M.D. Research G. Gross, M.D. H. Desai, M.D.
Ultrasound and CT of the L. Needleman, M.D. // (non-funded) July 1987 Liver Transplant A. Kurtz, M.D. to S. Munoz, M.D. June 1988
Fat Back Syndrome J. Osterholm , M.D. // (non-funded) Ongoing H. Doan, M.D. Project with TJUH Clinical Department of Research Neurosurgery
Cyclic Endometrial Changes: R. Pennell, M.D. // Radiology Research July 1987 Evaluation with Vaginal D. Mitchell, M.D. Fund to Sonography and MR Imaging M. Rifkin, M.D. June 1988 L. Schonholz, M.D.
Clinical and Radiologic D. Prince, M.D. // (non-funded) Ongoing Assessment of Atypical R. Steiner, M.D Clinical Myobacterium in Normal P. Spiro, M.D. Research and Immunosuppressed Patients D. Peterson, M.D
Clinical and Radiologic R. Steiner, M.D. // (non-funded) Ongoing Assessment of Relapse in V. Rao, M.D. Clinical Pulmonary Sarcoidosis H. Israel, M.D. Research J. Gottlieb, M.D. H. Patrick, M.D. P. Davis, M.D
Magnetic Resonance V. Rao, M.D. // Radiology Research Ongoing Imaging: Its Effects on Metallic J. Stark, M.D. Fund Clinical Otic Prosthesis D. Mikaelian, M.D Research
Magnetic Resonance Imaging V. Rao, M.D. // (non-funded) Ongoing of Salivary Gland Tumors J. Stark, M.D. Clinical J. Spiegel, M.D. Research
- 4 0 - Title of Project Investigator II Source of Support Period of Co-Investigator(s) (Amount) Support
Incidence of Carotid Artery V. Rao, M.D. // Radiology Research Ongoing Disease Following Cervical L. Needleman, M.D. Fund Clinical Irradiation A. Carabasi, M.D. Research L. Tupchong, M.D L. Lowry, M.D
MRI in Sickle Cell Anemia V. Rao, M.D. // (non-funded) Ongoing R. Steiner, M.D. Clinical M. Rifkin, M.D. Research L. Burk, M.D. D. Mitchell, M.D. S. Gallas, M.D.
Triple Correlation in TMJ V. Rao, M.D. // (non-funded) Ongoing Dysfunction: MR Imaging with A. Farole, M.D. Clinical Arthroscopy, Arthrography and D. Karasick, M.D. Research Open Surgery
National Collaborative M. Rifkin, M.D. // National Institute July 1987 Diagnostic Imaging D. Mitchell, M.D. of Health ($196,914) to Project (Prostate Cancer) G. Mulholland, M.D. June 1991 H. Choi, M.D.
MRI Rectal Coil Development M. Rifkin, M.D. Radiology Research Ongoing Fund Clinical Research
Evaluation of a Filmless G. Shaber, M.D. // (non-funded) Ongoing Digital Radiographic Y. Wang, M.D. Research System A. D'Adamo J. Boone, Ph.D.
High Resolution CCD G. Shaber, M.D. // Radiology Research Ongoing Planar Array Digital C. Lockard Fund Research Radiography E. Nerlinger J. Boone, Ph.D
- 4 1 - Title of Project Investigator // Source of Support Period of Co-Investigator(s) (Amount) Support
Evaluation of Magnetic Resonance R. Steiner, M.D. // (non-funded) Ongoing Imaging in Hematological D. Mitchell, M.D. Clinical Diseases V. Rao, M.D. Research M. Rifkin, M.D. S. Murphy, M.D. S. Shapiro, M.D. L. Burk, M.D. D. Levy, M.D. S. Vinitski, Ph.D.
Intravascular Embolization K. Sullivan, M.D. // Radiology Research 1987 with Fibrin Sealant. G. Gardiner Jr., M.D. Fund to P . Consigny,Ph.D 1988
Acceleration of Arterial K. Sullivan, M.D. // (non-funded) Ongoing Thrombolysis Using High Dose G. Gardiner Jr., M.D. Clinical Transthrombus Bolus Technique Research
Ultrasonographic Evaluation of M. Vilaro, M.D. // (non-funded) Ongoing the Normal and Abnormal Infant G. Gross, M.D. Clinical Hip P. Pizzutillo, M.D. Research B. Goldberg, M.D.
Flow Evaluation and Plaque S. Vinitski, Ph.D. // State of Pennsylvania Mar 1988 Characterization by MRI and V. Newhouse, Ph.D. Center of Excellence to Doppler Ultrasound • (Drexel) in Biomedical Aug 1988 D. Mitchell, M.D. Engineering ($12,000) M. Rifkin, M.D.
Computerized Turnaround Time Y. Wang, M.D. // (non-funded) Ongoing Studies C. Lockard Clinical G. McArdle Research R. Steiner, M.D. G. Shaber, M.D. D. Levin, M.D.
T1 Profile of Human Tissues Y. Wang, M.D. // (non-funded) Ongoing V. Rao, M.D. Clinical R. Steiner, M.D. Research
- 4 2 - Title of Project Investigator II Source of Support Period of Co-Investigator(s) (Amount) Support
Radiology Research 1987 MR Imaging of the Normal R. Wechsler, M.D. // Axilla V. Rao, M.D. Fund to A. Babaria, M.D. 1989 M. Rifkin, M.D.
- 43 - PUBLICATIONS
1. Allen KS, Glickstein M, Arger PH, Bilaniuk L, Levy DW: Cryptococcosis associated with sarcoidosis: CT & MR findings. J Comp Asst Tomog 12(3):420-422, 1988.
2. Anderson SH, Gantzer CJ, Boone JM, Tully RJ: Rapid nondestructive determination of soil water content and bulk density by computed tomography. Soil Science Soc. Am J 52:35-40,1988.
3. Baltarowich OH, Kurtz AB: The sonographic evaluation of renal masses. Urol Radiol 9(2): 79-87, 1987.
4. Beckman DA, Brent RL: Etiology of human malformations. (in) Kretchmer N, Quilligan EJ, Johnson JD (eds) PRENATAL AND PERINATAL BIOLOGY AND MEDICINE, (Vol 2). New York: Harwood Academic Publishers , 1987:112-154.
5. Bezzi M, Mitchell DG, Kurtz AB, Ronkin SL, Goldberg BB: Prominent fetal breasts: A normal variant. J Ultrasound Med 6:655-658, 1987.
6. Boone, JM: The three parameter equivalent spectrum as an index of beam quality. Med Phys 15:304-310, 1988.
7. Boxt LM, Meyerovitz MF, Taus RH, Ganz I', Friedman PL, Levin DC: Use of digital video coronary arteriography in performance of percutaneous transluminal coronary angioplasty. Cardiovas Interven Radiol 10:55-58, 1987.
8. Brent RL, Beckman DA, Jensh RP: Relative radiosensitivity of fetal tissues (in) Lett JT, Altman KI (eds): RELATIVE RADIATION SENSITIVITIES OF HUMAN ORGAN SYSTEMS, (Vol 12). Orlando, FL: Academic Press, 1987: 239-256.
9. Brent RL: Ionizing radiation. (in) Queenan JT, Hobbins JC (eds) PROTOCOLS FOR HIGH-RISK PREGNANCIES, (2nd Ed). Ordell, NJ: Medical Economics Co., Inc, 1987:21-31.
10. Brent RL: Microwaves and ultrasound. Contemp OB/GYN 30:19-25, 1987.
11. Brent RL: Ionizing radiation. Contemp OB/GYN 30:20-29,1987.
12. Brent RL: Malpractice experience and issues (in) Medical-legal issues in pediatrics, Report of the eighteenth Ross Roundtable : 20-25, 1987.
13. Brent RL: The application of basic developmental biology data to clinical teratological problems (in) Welsch W (ed) APPROACHES TO ELUCIDATE MECHANISMS IN TERATOGENESIS. Philadelphia, PA: Hemisphere Publishing Corp, 1987:255-267.
14. Brent RL: Etiology of human birth defects: What are the causes of the large group of birth defects of unknown etiology? (in) McLachlan JA, Pratt RM, Markert CL (eds) DEVELOPMENTAL TOXICOLOGY: MECHANISMS AND RISK. Cold Spring Harbour, NY: Cold Spring Harbour Laboratory, 1987: 3-362.
15. Brunberg JA, Latchaw RE, Kanal E, Burk DL, Albright L: Magnetic resonance imaging of spinal dysraphism. Radiol Clin North Am 26 (2): 181-205, 1988.
- 44 - 16. Burk DL, Dalinka MK, Kanal E, Schiebler ML, Cohen EK, Prorok RJ, Gefter WB, Kressel HY: Meniscal and ganglion cysts of the knee: MR evaluation. AJR 150:331-336, 1988.
17. Burk DL, Dalinka MK, Kanal E, Brunberg JA: High resolution MR imaging of the knee (in) Kressel HY (ed) MAGNETIC RESONANCE ANNUAL. New York: Raven Press, 1988.
18. Burk DL, Dalinka MK, Schiebler ML, Cohen EK, Kressel HY: Strategies for musculoskeletal M. Radiol Clin of North Am 26 (3):663-672, 1988.
19. Burns PN, Taylor KJW, Blei AT: Doppler flowmetry and portal hypertension. Gasteroenterology 92:824-826, 1987.
20. Burns PN, Grannum PAT: Fetal-maternal blood flow: The role of Doppler ultrasound. (in) Hobbins J, Reece A (eds) DIABETES IN PREGNANCY. New York: Churchill Livingston, 1988.
21. Burns PN: Doppler flow estimations in the fetal and maternal circulations: Principles, techniques and some limitations. (in) Maulik D, McNellis D. (eds) DOPPLER ULTRASOUND MEASUREMENT AND MATERNAL-FETAL HEMODYNAMICS. Perinatology Press 1987:43-79.
22. Burns PN: Physical principles of Doppler ultrasound and spectral analysis. J Clin Ultrasound 15:567-590, 1987.
23. Burns PN, Hammers L: FM ultrasonography: A revolution promised? Hepatology 7:1382-1384, 1987.
24. Cohen EK, Kressel HY, Perosio T, Burk DL, Dalinka MK, Kanal E, Schiebler ML, Fallon MD: MR imaging of soft-tissue hemangiomas: Correlation with pathologic findings. AJR 150:1079-1081, 1988.
25. Cohen EK, Kressel HY, Frank TS, Fallon M, Burk DL, Dalinka MK, Schiebler ML: Hyaline cartilage-origin bone and soft-tissue neoplasms: MR appearance and histologic correlation. Radiology 167:477-481, 1988.
26. Dahnert WF: Ultrasonography of carcinoma of the prostate: A critical review. Appl Radiology 17(4):39-44, 1988.
27. Davis PS, Wechsler RJ, Feig SA, March DE: Migration of breast biopsy localization wire. AJR 150:787-788, 1988.
28. Doemeny JM, Banner MP, Shapiro MJ, Amendola MA, Pollack HM: Technical note. Percutaneous extraction of renal fungus ball. AJR 150: 1331-1332, 1988.
29. Edeiken J, Karasick D: Imaging in bone cancer. CA- Journal for Clinicians July-Aug, 1987, 37(4):239-245. Reissued in Imaging Cancer 103-109, 1987.
30. Feig SA: Methods and equipment for prebiopsy localization of non-palpable breast lesions (in) Syllabus, Diagnostic Categorical Course in Breast Imaging (ed by) Moskowitz M. Presented at the 72nd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL 30 Nov- 5 Dec 1986, 53-60.
- 45 - 31. Feig SA: Screening mammography. Benefits and risks (in) Syllabus, Diagnostic Categorical Course in breast imaging (ed by) Moskowitz M. Presented at the 72nd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago Il, 30 Nov- 5 Dec 1986. Radiological Society of North America: Oak Brook IL, 1986, 75-84.
32. Feig SA: Imaging techniques and guidelines for evaluation and follow-up of breast cancer patients. Crit Rev Diagn Imag 27: 1-16, 1987.
33. Feig SA, Galkin BM, Muir HD: Clinical considerations in selection of dedicated mammography units (in) Breast Cancer, Present Perspective of Early Diagnosis. Recent Results in Cancer Research. Vol. 105 (ed by) Brunner S, Langfeldt B. New York: Springer-Verlag, 1987, 15-18.
34. Feig SA: Projected benefits and risks from mammographic screening (in) Breast Cancer, Present Perspective of Early Diagnosis. Recent Results in Cancer Research. Vol. 105 (ed by) Brunner S, Langfeldt B. New York: Springer-Verlag, 1987, 25-30.
35. Feig SA: Mammography screening: Published guidelines and actual practice (in) Breast Cancer, Present Perspective of Early Diagnosis. Recent Results in Cancer Research, Vol. 105 (ed by) Brunner S, Langfeldt B. New York: Springer-Verlag, 1987, 25-30.
36. Feig SA, Galkin BM, Muir HD: Evaluation of breast microcalcifications by means of optically magnified tissue specimen radiographs (in) Breast Cancer, Present Perspective of Early Diagnosis. Recent Results in Cancer Research, Vol. 105 (ed by) Brunner S, Langfeldt B. New York: Springer-Verlag, 1987, 111-123.
37. Feig SA: Xeromammography (in) Breast Cancer Detection: Mammography and Other Methods of Breast Imaging, (ed by) Bassett LW, Gold RH. Orlando, FL: Grune and Stratton, 1987, 89-109.
38. Feig SA: (Ed) BREAST IMAGING, ARRS Categorical Course Syllabus. Reston, VA: American Roentgen Ray Society, 1988.
39. Feig SA: Xero and screen-film: Mammography's rival systems. Diagnostic Imaging 9(9): 112-118, 201, 1987.
40. Feig SA: Mammography equipment: Principles, features, selection. Radiol Clin North America 25:897-911, 1987.
41. Feig SA: Current status of screening mammography. Revista Interamericana de Radiologia 12:315-320, 1988.
42. Feig SA: Screen-film mammography: Principles, equipment, technique and quality control (in) Breast Imaging, ARRS Categorical Course Syllabus (ed by) Feig SA. Reston, VA: American Roentgen Ray Society, 9-26, 1988. 43. Feig SA: Writing the mammographic report (in) Breast Imaging, ARRS Categorical Course Syllabus (ed by) Feig SA. Reston, VA: American Roentgen Ray Society, 117-120, 1988.
44. Feig SA: Decreased breast cancer mortality through mammographic screening: Results of clinical trials. Radiology 167:659-666, 1988.
45. Feig SA: The importance of supplementary mammographic views to diagnostic accuracy. AJR 151:40-41, 1988.
- 4 6 - 46. Feldman M, Lowry LD, Rao VM, Kelly M, Flanagan J: Mucoceles of the paranasal sinuses. Transactions: The Pennsylvania Academy of Ophthalmology and Otolaryngology 39:614-617, 1987.
47. Fobbin ES, Dalinka MK, Schiebler ML, Burk DL, Fallon MD, Schmidt RG, Kressel HY: The magnetic resonance imaging appearance at 1.5 Tesla of cartilaginous tumors involving the epiphysis. Skel Radiol 16:647-651, 1987.
48. Fornage BD, Rifkin, MD: Ultrasound examination of the hand and foot . Radiol Clin North Am 26(1):109-129, 1988.
49. Fornage BD, Rifkin MD: Ultrasound examination of tendons. Radiol Clin North Am 26(1): 87-107, 1988.
50. Friedman AC, Johns T, Levy DW, Rindsberg S, Markle BM: Cirrhosis, other diffuse diseases, portal hypertension and vascular diseases. (in) Friedman, AC (ed) RADIOLOGY OF THE LIVER, BILIARY TRACT, PANCREAS AND SPLEEN. Baltimore: Williams and Wilkins, 1987.
51. Galkin BM, Feig SA, Muir HD: The technical quality of mammography in centers participating in a regional breast cancer awareness program. RadioGraphics 8(1):133-145, 1988.
52. Gardiner GA: Thrombolysis of the occluded arterial bypass grafts. Cardiovas Interven Radiol 11:S58-59, 1988.
53. Goldberg BB: The future of ultrasound from a clinical outlook. Medical Review (Toshiba Medical Systems, Twentieth Commemorative Issue) 20:5, 1987.
54. Goldberg BB: The pancreas - an update. (in) Kurtz AB, Goldberg BB (eds) GASTROINTESTINAL ULTRASOUND, CLINICS IN DIAGNOSTIC ULTRASOUND SERIES. New York: Churchill Livingston, 165-193: 1988.
55. Gorson RO et al: Ionizing radiation exposure of the population of the United States. National Committee Radiation Physics (NCRP) Report No. 93:September 1, 1987.
56. Guglielmo FP, Rao VM, Prestipino AJ, Steiner RM: Recurrent submandibular pleomorphic adenoma with metastasis. A rare manifestation. J Comp Asst Tomog 11(6):1098-1100, 1987.
57. Hamper UM, Goldblum LE, Hutchins GM, Sheth S, Dahnert WF, Bartlett JG, Sanders RC: Renal involvement in AIDS: Sonographic-pathologic correlation. AJR 150:1321-1325, 1988.
58. Hertzberg BS, Kurtz AB, Choi HY, Kaczmarczy JM, Warren W, Wapner RJ, Needleman L, Baltarowich OH, Pasto ME, Rifkin MD, Pennell RG, Goldberg BB: The significance of membrane thickness in the sonographic evaluation of twin gestations. AIR 148:151-153, 1987.
59. Horii SC, Lehr JL, Lodwick G, Wang Y, Zielonka J, Hoffman J, Hunt W: The ACR-NEMA exchange media standards: Progress and future directions. SPIE Med Imag 767:272-280, 1987.
60. Israel HL, Patrick H, Gottlieb JE, Steiner RM: Marked elevation of serum angiotensin converting enzyme: Clinical correlates. Grassi C, Rizzato G, Pozzi E. ( eds) Sarcoidosis and other granulomatous disorders. Exerpta Medica Amsterdam, 599-600, 1988.
61. Israel HL, Gottlieb JE, Patrick H, Steiner RM: Activity assessment and treatment decisions. Grassi C, Rizzato G, Pozzi E. (eds) Sarcoidosis and other granulomatous disorders. Exerpta Medical: Amsterdam, 605-617, 1988.
- 4 7 - 62. Kanal E, Burk DL, Brunberg JA, Johnson ND, Wood BP, Horn L: Pediatric musculoskeletal magnetic resonance imaging. Radiol Clin North Am 26 (2):211-239, 1988. 63. Kandarpa K, David N, Gardiner GA, Harrington DP, Selwyn A, Levin DC: Hemodynamic evaluation of arterial stenosis by computer simulation. Invest Radiol 22:393-403, 1987.
64. Kinori I, Rifkin MD: A truly wandering spleen. J Ultrasound Med 7:101-105, 1988. 65. Koltun WA, Gardiner GA, Harrington DP, Couch NP, Mannick JA, Whittemore AD: Thrombolysis in the treatment of peripheral arterial occlusions. Arch of Surg 122:901-905, 1987.
66. Kurtz AB, Rifkin MD: The transplanted kidney (in) Coleman, BG (ed) GENITOURINARY ULTRASOUND: A TEXT/ATLAS. Tokyo /New York: Igaku-Shoin Medical Publishers, 321-362:1988.
67. Kurtz AB, Goldberg BB: OBSTETRICAL MEASUREMENTS IN ULTRASOUND; A REFERENCE MANUAL. Chicago: Year Book Medical Publishers, 1988.
68. Kurtz AB: Ultrasound of the spleen (in) Kurtz AB, Goldberg BB (eds) GASTROINTESTINAL ULTRASOUND, CLINICS IN DIAGNOSTIC ULTRASOUND. New York: Churchill Livingston, 139-164:1988.
69. Kurtz AB, Goldberg BB (eds): GASTROINTESTINAL ULTRASOUND, CLINICS IN DIAGNOSTIC ULTRASOUND. New York: Churchill Livingston, 1988.
70. Levin DC, Gardiner GA: Complex and simple coronary artery stenoses: A new way to interpret coronary angiograms based on morphologic features of lesions. Radiology 164:675-680, 1987. 71. Levin DC, Gardiner GA: Coronary arteriography. (in) Braunwald, E (ed) HEART DISEASE, 3rd Ed. Philadelphia: W.B. Saunders, 1988.
72. Levin DC: Issues for negotiation by prospective chairmen of academic radiology departments. Invest Radiol 23:400-403, 1988.
73. Levy DW, Mintz MC: The left ventricular echogenic focus: A normal finding. AJR 150:85-86, 1988.
74. Mapp E, Karasick S, Pollack H, Wechsler RJ, Karasick D: Uroradiological manifestations of S-hemoglobinopa thy. Semin Roentgenol 22(3):186-194, 1987.
75. Doan H, Powell J: Exostosis in internal auditory canal. J Larry Otology 102(2)173-175, 1988. 76. Marx M, Levin DC: Review: Coronary thrombolytic therapy. AJR 147:1-8, 1987.
77. McDiarmid T, Burns PN: Clinical applications of therapeutic ultrasound. Physiotherapy 73:(4)155-162, 1987
78. Miller CL, Feig SA, Fox JW IV: Mammographic changes after reduction manunoplasty. AJR 149:35-38, 1987.
79. Milner SH, Feig SA, McArdle GH: A successful breast imaging center: Design to reality. Admin Radiol, 7(3):35-38, 1988.
80. Mintz, MC, Levy DW, Axel L, Kressel HY, Arger PH, Coleman BG, Mennuth M: Puerperal ovarian vein thrombosis: MR diagnosis. AJR 149:1273-1274, 1987.
- 4 8 - 81. Mitchell DG, Needleman L. Frauenhoffer S, Lutz M, Wechsler RF: Gas-containing gallstones: The sonographic "double echo sign". J Ultrasound Med 7:39-43, 1988.
82. Mitchell DG, Needleman L, Bezzi M, Goldberg BB, Kurtz A13, Pennell RG, Rifkin MD, Vilaro M, Baltarowich 0: Femoral artery psuedoaneurysm: Diagnosis by conventional duplex and color Doppler US. Radiology 165:687-690, 1987.
83. Mitchell DG, Merton D, Needleman L, Kurtz AB, Goldberg BB, Levy D, Rifkin MD, Pennell R, Vilaro M, Baltarowich 0, Dahnert W, Graziani L, Desai H: Neonatal brain: Color Doppler imaging. Part I. Technique and vascular anatomy. Radiology 167:303-306, 1988.
84. Mitchell DG, Merton D, Desai H, Needleman L, Kurtz AB, Goldberg BB, Graziani L, Wolfson P: Neonatal brain: Color Doppler imaging. Part II Altered flow patterns from extracorporeal membrane oxygenation. Radiology 167:307-310, 1988.
85. Mitchell DG, Tobin M, LeVeen R, Tomaczewski J, Alavi A, Staum M, Dundel H: Induced renal artery stenosis in rabbits: Magnetic resonance imaging, angiography and radionuclide determination of blood volume and blood flow. Magn Reson Imag 6:113-124, 1988.
86. Mitchell DG: Understanding the normal and ischemic hip with MRI (in) Kressel HY (ed) MAGNETIC RESONANCE ANNUAL. New York: Raven Press, 1988:37-69.
87. Mitchell DG: Magnetic resonance imaging of the adenexa. Semin Ultrasound, CT, MR 9:143-157, 1988.
88. Mitchell DG: MRI of AVN: Questions and Answers. Diag Imag 10:120-125, 174,1988.
89. Mitchell DG, Burk DL, Vinitski S, Rifkin MD: The biophysical basis of tissue contrast in extracranial MR imaging. AJR 149:831-837, 1987.
90. Mitchell DG, Friedman AC, Hill MC, Oertel YC, Rosen SE, Radecki PD: Incidentally discovered carcinoma of the pancreas: A potentially indolent lesion. Am J Gastroenterol 82:906-909, 1987.
91. Needleman L, Gardiner GA, Levin DC: Hypertrophic cardiomyopathy: Changing concepts over the last two decades. AJR 150:1219-1222, 1988.
92. Needleman L, Kurtz AB: Doppler evaluation of the renal transplant. J Clin Ultrasound 15:661-673, 1987.
93. Needleman L: Sonography of diffuse benign liver disease (in) Callen, PW (ed) ULTRASONOGRAPHY IN OBSTETRICS AND GYNECOLOGY, (2nd ed). Philadelphia: W.B. Saunders, 1988.
94. Newhouse VL, Censor D, Vontz T, Cisneros JA, Goldberg BB: Ultrasound Doppler probing of flows transverse with respect to beam axis. IEEE Trans Biomed Eng BME-34(10):779-789, 1987.
95. O'Leary DH, Bryan FA, Goodison MW, Rifkin MD, Gramiak R, Ball M, Bond MG, Dunn RA, Goldberg BB, Toole JF, Wheeler HG, Gustafson NF, Ekholm S, Raines J: Measurement variability of carotid atherosclerosis: Real-Time (B-Mode) ultrasound and angiography. Stroke 18:1011-1017, 1987.
96. O'Leary DH, Bryan FA, Goodison MW, Goldberg BB, Gramiak RA, Ball M, Bond MG, Dunn RA, Rifkin MD, et al: Multicenter validation of real-time (B-Mode) ultrasound: Repeatability/variability assessment (in) EVOLUTION OF THE HUMAN ATHERO- SCLEROTIC PLAQUE. New York: Springer-Verlag, 1987.
- 4 9 - 97. Pasto ME, Goldberg BB: Sonography. (in) Kricun ME (ed) IMAGING MODALITIES IN SPINAL DISORDERS. Philadelphia: W.B. Saunders, 1988: 598-614.
98. Patriquin H, Lafortune M, Burns PN, Dauzat M: Duplex examination of children and adults with portal hypertension: Technique and anatomy. AJR 149:299-303, 1987.
99. Pennell RG, Baltarowich OH, Kurtz AB, Vilaro M, Rifkin MD, Needleman L, Mitchell DG, Mervis SA, Goldberg BB: Complicated first trimester pregnancies: Evaluation with endovaginal US versus transabdominal technique. Radiology 165:79-83, 1987.
100. Piccirillo M, Taylor KJW, Rye MW, Burns PN, True LD, Weltin G: Investigation of Doppler waveforms in porcine renal allografts: Doppler-pathologic correlation. Ultrasound in Medicine and Biology 14:111-117, 1988.
101. Rafto SE, Dalinka MK, Schiebler ML, Burk DL, Kricun ME: Spondyloarthropathy of the cervical spine in long-term hemodialysis. Radiology 166:201-204, 1988.
102. Rao VM, Mapp E, Wechsler RJ: Gastrointestinal manifestations of sickle cell anemia. Semin Roentgenol 22:199-204,1987.
103. Rao VM, Melnick H, Wechsler RJ, Mikaelian DO, Lowry LD: Teflon paste implant in unilateral vocal cord paralysis: CT characteristics. J Comp Asst Tomog 11 (4):624-626, 1987.
104. Recht MP, Burk DL, Dalinka MK: Radiography of hand and wrist injuries in athletes. (in) CLINICS IN SPORTS MEDICINE 6(4), Philadelphia: W.B. Saunders, 1987.
105. Rifkin MD, Schwartz GF, Pasto ME, Vilaro M, Needleman L, Kurtz AB, Mitchell DG, Pennell R, Baltarowich OH, Goldberg BB: Ultrasound for guidance of breast mass removal. J Ultrasound Med 7(5)261-264,1988.
106. Rifkin MD, Needleman L, Pasto ME, Kurtz AB, Foy PM, McGlynn E, Canino C, Baltarowich OH, Pennell RG, Goldberg BB: Evaluation of renal transplant rejection by duplex Doppler examination: Benefits of utilizing the resistive index. AJR 148:759-762, 1987.
107. Rifkin MD, Kurtz AB: Bladder, seminal vesicles and prostate. (in) Coleman BG (ed) GENITOURINARY ULTRASOUND: A TEXT/ATLAS. Tokyo/New York: Igaku-Shoin Medical Publishers, 363-405:1988.
108. Rifkin MD: Endoscopic ultrasound of the gastrointestinal tract. Clin Diag Ultrasound 22:167-190, 1987.
109. Rifkin MD: Intraoperative and endoscopic ultrasound of the genitourinary system. Clin Diag Ultrasound 22:191-218, 1987.
110. Rifkin MD: Sonography of the rectal wall. Semi Ultrasound, CT, MR 8(4): 424-431, 1987.
111. Rifkin MD, Choi H: Endorectal prostate ultrasound: Implications of the small peripherally placed hypoechoic lesion. Radiology 166:619-622, 1988.
112. Rifkin MD: Obstetrical Doppler Ultrasound (in) Gosink, BB (ed) RADIOLOGICAL SOCIETY OF NORTH AMERICA CATEGORICAL COURSE SYLLABUS. American College of Radiology: 15-21:1987.
113. Rifkin, MD: Prostate ultrasound (in) Gosink, BB (ed) RADIOLOGICAL SOCIETY OF NORTH AMERICA CATEGORICAL COURSE SYLLABUS. American College of Radiology: 95-99, 1987.
- 5 0 - 114. Rifkin MD (ed): INTRAOPERATIVE AND ENDOSCOPIC ULTRASOUND. New York: Churchill Livingston, 1987.
115. Rifkin MD: ULTRASOUND OF THE PROSTATE. New York: Raven Press, 1988.
116. Rigsby CM, Burns PN, Wetlin G, et al: Quantitation of Doppler signals in renal allografts: Comparison of normal and rejecting transplants with pathologic correlation. Radiology 162:39-42, 1987.
117. Rosenfeld DJ, Berenholz L, Glasgold M, Rao VM, Spiegel J: Malignant neoplasms of the sphenoid sinus. Transactions: The Pennsylvania Academy of Ophthalmology and Otolaryngology 39: 618-621, 1987.
118. Sagalow BR, Miller CL, Wechsler RJ: Pancreatic sarcoidosis mimicking pancreatic cancer. J Clin Ultrasound 16:131-134, 1988.
119. Sanders RC, Hamper UM, Dahnert WF: Update on prostatic ultrasound. Urol Radiol 9:110-118, 1987.
120. Schenk EA, Bond MG, Aretz TI-I, Angelo JN, Choi HY, Rynalski T, Gustafson NF, Berson AS, Ricotta JJ, Goodison MW, Bryan FA, Goldberg BB, Toole JF, O'Leary DH: Multicenter validation study of real-time ultrasonography, arteriography, and pathology: Pathologic evaluation of carotid endarterectomy specimens. Stroke 19(3):289-296, 1988.
121. Schulman ES, Steiner RM, et al: Diffuse contralateral pulmonary metastasis in malignant mesothelioma: An unusual radiographic presentation. Chest 93:433-434, 1988.
122. Schwartz GF, Feig SA, Patchefsky AS: Significance and staging of non-palpable carcinomas of the breast. Surg Gyn Obstet 166:6-10, 1988.
123. Seibert JA, Boone JM: Medical image scatter suppression by inverse filtering. Proc Soc of Photo Optical Eng 914:742-750, 1988.
124. Shaber GS, Lockard C, Boone, JM: High resolution digital radiography utilizing CCD planar array. Proc Soc of Photo Optical Eng 914:262-269, 1988.
125. Shaber GS, Shlansky-Goldberg, R, D'Adamo AJ: ROC detectability evaluation of a filmless digital radiographic system. Proc Soc of Photo Optical Eng 914:560-564, 1988.
126. Shlansky-Goldberg RD, Rao VM, Choi HY, March DE, Davis PS: Hodgkin Disease of the maxillary sinus. J Comp Asst Tomog 12 (3):507-509, 1988.
127. Spirn PW, Gross GW, Wechsler RJ, Steiner RM: Radiology of the chest after thoracic surgery. Semin Roentgenol 23:9-31, 1988.
128. Squadrito JF, Rifkin MD, Mulholland SG: Ureteral ectopia presenting as epididymitis and infertility. Urology 30:67-69, 1987
129. Steiner RM, Raichlen JS, Mintz G, et al: The radiology of cardiac prosthetic valves. RadioGraphics 8:277-298, 1988.
130. Sullivan KL, Minken SL, White RI: Treatment of a case of thromboembolism secondary to thoracic outlet syndrome with intra-arterial urokinase infusion. J Vas Surg 7:568-571, 1988.
131. Sullivan KL, Steiner RM, Smullens SN, Griska L, Meister SG: Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest 93:138-143, 1988.
- 51 - 132. Taylor KJW, Burns PN, Wells PNT: CLINICAL APPLICATIONS OF DOPPLER ULTRASOUND. New York: Raven Press, 1988.
133. Vilaro MM, Rifkin MD, Pennell RG, Baltarowich OH, Needleman L, Kurtz AB, Goldberg BB: Endovaginal ultrasound - A technique for evaluation of non-follicular pelvic masses. J Ultrasound Med 6(12):697-701, 1987.
134. Vinitski S, Griffey R, Fuka M, Matwiyoff N, Prost R: Effects of the sampling rate on MRI. Magn Reson Med 5:278-285, 1987.
135. Vinitski S, Fuka M, Griffey RH, Matwiyoff NA, Rifkin MD: Imaging efficiency and contrast enhancement in the fast gradient refocusing techniques. IEEE Trans Nuclear Sci 34(4):1085-1088, 1987.
136. Vinitski S, Fuka MZ, Boone JM, D'Adamo A, Rifkin MD, Griffey RH, Wicks JD, Orrison WW, Matwiyoff NA: Contrast in variable flip angle fast MR imaging. IEEE Trans Nucl Sci 34:1110-1115, 1987.
137. Wald L, Rifkin MD: Scrotal Masses (in) Eisenberg, RL. (ed) ALGORITHMIC APPROACH TO RADIOLOGY. Philadelphia: J.B. Lippincott Co, 1988:401-411.
138. Wang Y, Best DE, Hoffman J, Horii SC, Lehr J, Lodwick G: A summary for compatibility of the ACR-NEMA imaging and communication standard. SPIE Med Imag 767:819-822, 1987.
139. Wang Y, Best DE, Hoffman J, Horii S, Lehr JL, Lodwick GS, Nelson OL: ACR-NEMA digital imaging and communication standards: Minimal requirements. Radiology 166:529-532, 1988. 140. Wang Y: Critical Reviews - Breast calcifications in renal hyperparathyroidism. Invest Radiol 23:331-332, 1988.
141. Wechsler RJ, Munoz SJ, Needleman L, Kurtz AB, Miller CL, Yang SL, Maddrey WC, Jarrell BE: The periportal collar: A CT sign of liver transplant rejection. Radiology 165:57-60, 1987.
142. Wechsler RJ, Steiner RM, Kinori I: Monitoring the monitors: The radiology of catheters, wires and tubes. Semin Roentgenol 23:61-84, 1988.
- 52 - ABSTRACTS
1. Albelda SM, Shaprio MJ, McLean GK, Mayock RL: Treatment of severe hemoptysis associated with pulmonary aspergilloma by percutaneous intracavitary instillation of Amphotericin-B and N-acetylcysteine. Am Rev Respir Dis 137(4):359, 1988.
2. Babaria A, Rao VM, Wechsler RJ, Rifkin MD, Doan HT, Mishkin MM, Gonzalez CF: Oblique plane MR imaging of the brachial plexus. Magn Reson Imag 6 (1),:57, 1988.
3. Baltarowich OH, Kurtz AB, Pennell RG, Needleman L, Vilaro M, Mitchell DG, Goldberg BB, Rifkin MD: Normal detailed embryonic anatomy with endovaginal sonography. Radiology 165(P):158, 1987.
4. Beckman DA, Pugarelli JE, Koszalka TR, Jensen M, Lloyd JB, Brent RL: The effects of teratogenic antisera on protein synthesis and degradiation by cultured rat conceptus. Teratology 35:70A, 1987.
5. Boone JM, Seibert JA, Shaber GS: X-ray spectroscopic imaging. Med Phys 15:437, 1988.
6. Boone JM, Seibert JA: The scatter point spread function in diagnostic radiology. Med Phys 15:455, 1988.
7. Boone JM: Three parameter equivalent spectrum as a measure of beam quality. Med Phys 15:461, 1988.
8. Boone JM, Seibert JA, Shaber GS: Spectroscopic imaging with color display. Radiology 165 (suppl):338, 1987.
9. Brent RL, Polifka JE, Jensh RP, Beckman D: The risk of mental retardation from low level radiation exposure. Teratology 35:77A, 1987.
10. Brent RL, Ornoy A, Koszalka TR, Jensen M, Beckman DA: Pathologic ultrastructural changes in the yolk sac produced by teratogenic antirat yolk sac polyclonal and monoclonal sera. Pediat Res 23:266A, 1988.
11. Burk DL, Kanal E, Brunberg J, Johnstone GF, Swensen HE, Wolf GL: Critical Review: 1.5-T surface-coil MRI of the knee. Invest Radiol 22(10):847-848, 1987.
12. Burk DL, Dalinka MK, Kanal EK, Schiebler ML, Cohen EK, Prorok RJ, Kressel HY: Spin-echo and gradient-echo MR imaging of meniscal cysts of the knee. Radiology 165(P):336, 1987.
13. Burk DL, Scheibler M, Dalinka M, Axel L, Lenkinski R, Kressel H: 1.5 T multislice interleaved gradient echo MRI of the knee. Proceedings of the Society of Magnetic Resonance in Medicine, New York, NY, 1987.
14. Burns PN: Doppler ultrasound of the breast: A review. Proceedings of the 5th International Congress for Ultrasonic Examination of the Breast, New Orleans, LA, 1987.
15. Burns PN: Doppler physics and instrumentations. Proceedings of the 32nd Annual Meeting of the American Institute for Ultrasound in Medicine, New Orleans, LA, 1987.
- 53 - 16. Burns PN: Deep Doppler. Proceedings of the non-invasive techniques in vascular diagnosis, Scripps Clinic, San Diego, CA 1988.
17. Burns PN, Rigsby CM: Duplex Doppler in renal transplantation. Proceedings of the non-invasive techniques in vascular diagnosis, Scripps Clinic, San Diego, CA, 1988.
18. Cohen EK, Kressel HY, Burk DL, Fallon M, Dalinka M, Scheibler M, Axel L, Gefter W: Distinctive MRI appearance of chondroid bone and soft tissue neoplasms with histologic correlation. Society of Magnetic Resonance in Medicine, Book of Abstracts 2:716, 1987.
19. Consigny PM, Teitelbaum GP, Gardiner GA, Kerns WD: Effects of thermal laser angioplasty on arterial contractility and mechanics. Proceedings of the 73rd Scientific Assembly and Annual Meeting of the Radiologic Society of North America, Chicago, IL, 1987.
20. Davis PS, Rao VM: Magnetic resonance imaging of the paranasal sinuses: Normal and pathologic appearance at 1.5T. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
21. Dick B, Mitchell D, Burk DL, Levy DW, Vinitski S, Rifkin M: Erroneous cortical bone signal void thickness due to chemical shift misrepresentation. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, April, 1988.
22. Doan H, Flanders A, Burk DL, Babaria A, Mishkin M , Gonzales C: MRI scans using grass technique to evaluate cerebral aneurysms. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA. 1988.
23. Feig SA: Principles of screen-film mammography (in) Syllabus, Symposium on Breast Disease: Diagnostic Imaging and Current Management. University of Michigan Medical School, Ann Arbor, MI, 25-32, 1987.
24. Feig SA: Xeromammography technique and quality control (in) Syllabus, Symposium on Breast Disease: Diagnostic Imaging and Current Management. University of Michigan Medical School, Ann Arbor, MI, 75-86, 1987.
25. Feig SA: Methods for localizing nonpalpable breast lesions prior to biopsy (in) Syllabus, Symposium on Breast Disease: Diagnostic Imaging and Current Management. University of Michigan Medical School, Ann Arbor, MI, 125-134, 1987.
26. Feig SA: A current assessment of the benefits and risks of screening mammography (in) Syllabus, Symposium on Breast Disease: Diagnostic Imaging and Current Management. University of Michigan, Ann Arbor, MI, 217-226, 1987.
27. Feig SA: Mammographic interpretation: Problems, pearls and pitfalls. Refresher Course No 816. Radiology 165: 266-267, 1987.
28. Feig SA: An overview of mammography (Keynote address). Proceedings of Symposium Mammographicum '87. Br J Radiol 61:430, 1988.
29. Feig SA: Benefits and risks of mammography. Proceedings of Symposium Mammographicum '87. Br J Radiol 61:435,1988.
30. Gardiner GA, Harrington DP, Koltun W, Whittemore AR, Levin DC: Graft thrombolysis: Long term results. Proceedings of the 73rd Scientific Assembly and Annual Meeting of the Radiologic Society of North America, Chicago, IL,1987.
- 54 - 31. Goldberg B, Mitchell D, Bezzi M, Kurtz A, Needleman L, Baltarowich 0, Pennell R, Rifkin M, Vilaro M: Evaluation of iatrogenic pseudoaneurysms using color Doppler imaging. Proceedings of the 32nd Annual Convention of the American Institute of Ultrasound in Medicine, New Orleans, LA,1987.
32. Goldberg BB, Schwartz GF: Ultrasound: An alternative to X-ray guided needle localization of non-palpable breast masses. Proceedings of the 5th International Congress on the Ultrasonic Examination of the Breast, New Orleans, LA, 1987.
33. Goldberg BB, Carabasi RA, Darby J, Kennedy SL: An ultrasound contrast agent: Its evaluation and potential uses. Proceedings of the 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, 1987.
34. Goldberg BB, Mitchell DG, Bezzi M: The usefulness of two-dimensional color Doppler in the evaluation of iatrogenic pseudoaneurysms. Proceedings of the 6th Congress of the European Federation of Societies for Ultrasound in Medicine and Biology, EUROSON 87, Helsinki, Finland, 1987.
35. Graziani LJ, Pidcock FS, Pasto ME, Mitchell DG, Stanley C, Desai S, Desai H, Branca P, Goldberg BB: Neurosonographic studies in preterm infants: Relationship of neonatal periventricular echodensities to outcome. Neurology 38 (S1):291-292, 1988.
36. Graziani LJ, Gross MJ, Streletz LJ, Kornhauser MS, Gilbert PL, Hardison HH, Branca PA, Wolfson PJ, Mitchell DG, Robinson NB, Bhat AM, Desai SA: Electroencephalographic and cranial ultrasound evaluation of neonates with extracorporeal membrane oxygenation. Pediat Res 23:552A, 1988.
37. Guglielmo FF, Steiner RM, Rao VM, Ballas S: Spine abnormalities in sickle cell anemia: Correlation with number of alpha genes. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
38. Hartfield PJ, Jensen M, Williams KE, Brent RL, Lloyd JB: Glycogen content of the rat visceral yolk sac and the effect of a teratogenic antiserum. Teratology 35:71A, 1987.
39. Herman S, Mitchell DG, Needleman L, Kurtz AB, Goldberg BB: Enhanced sonographic diagnosis of deep vein thrombosis using color Doppler imaging. Proceedings of the 88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, 1988.
40. Igidbashian V, Mitchell DB, Needleman L, Kurtz AB, Goldberg BB: Color Doppler imaging of iatrogenic femoral arterial injuries. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
41. Jensen M, Damjanov I, Koszalka, RT, Brent, RL: Congenital malformations induced by monoclonal antibodies against rat visceral yolk sac antigens. Teratology 35:71A, 1987.
42. Kanal E, Curtin H, Brunberg JA, Burk DL, Latchaw RE, Wolf GL: High-resolution 1.5 T MR imaging of acoustic neuromas and cerebellopontine angle tumors. Radiology 165(P):402, 1987.
43. Kurtz AB: US of the liver, bile ducts, and pancreas: US of the pancreas. Proceedings of the 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, 1987.
44. Levin DC: Diagnostic and interventional coronary angiography. Radiology 165 (P):165, 1987.
- 55 - 45. Levy DW, Brunner J, Arger PH, Coleman BG, Mintz MC, Grumbach K: Prospective Doppler evaluation of umbilical artery waveforms in presumed abnormal pregnancies. Proceedings of the 73rd Scientific Assembly and Annual Meeting of the Radiologic Society of North America, Chicago, IL, 1988. 46. Lewin PA, Poczobutt MT, Schafer ME, Goldberg BB, Jensh R: Improved measurement system for quality control and ultrasound bioeffects studies. American Institute of Ultrasound in Medicine, New Orleans, LA, 1987. 47. March DE, Wechsler RJ, Rosenberg AL: Thoracic CT in the preoperative staging of breast carcinoma. Proceedings of the 36th Annual Meeting of Association of University Radiologists, New Orleans, LA, 1988. 48. Miller CL, Wechsler RJ, Needleman L, Kurtz AB: Potential retroperitoneal recess anterior to the stomach: The "omental fossa" of the anterior pararenal space. Radiology 165 (P):327, 1987.
49. Miller CL, Karasick D, Kurtz AB, Fenlin J: Limited detection of rotator cuff tears by ultrasound. 88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, 1988. 50. Mitchell DG, Vinitski S, Burk DL, Levy DW, Rifkin MD: Gradient moment nulling versus respiratory-sorted phase encoding for motion artifact reduction in the upper abdomen. Radiology 165(P):337, 1987.
51. Mitchell D, Desai H, Graziani L, Goldberg B, Needleman L, Kurtz A, Pennell R, Rifkin M, Vilaro M, Baltarowich 0: The Neonatal Circle of Willis during ECMO; Color Doppler imaging. Proceedings of the 32nd Annual Convention of the American Institute of Ultrasound in Medicine, New Orleans, LA, 1987. 52. Mitchell DG, Merton D, Desai H, Graziani L, Goldberg BB, Needleman L, Kurtz AB, Pennell RG, Rifkin MD, Vilaro M, Baltarowich 0: Color Doppler imaging of the Neonatal Circle of Willis during extracorporeal membrane oxygenation. Radiology 165 (P)101, 1987.
53. Mitchell DG, Vinitski S, Burk DL, Levy D, Rifkin MD: Optimizing long TR/TE images of the upper abdomen at 15 Tesla. Magn Reson Imag 6(S):103, 1988. 54. Needleman L, Rifkin MD: Obstetrical Doppler Ultrasound (in): Syllabus for the Categorical Course on Diagnostic Ultrasound (ed by BB Gosink). American College of Radiology, 1987.
55. Ornoy A, Polifka J, Epstein D, Beckman DA, Carbone JP, Brent, RL: In vivo and in vitro induction of cartilage and bone in brachymorphic mice. Pediat Res 23:249A, 1988.
56. Pasto ME, Ehrlich SM, Graziani L, Kurtz AB, Goldberg BB, Kaltenbach L, Finnegan L: Cerebral sonographic characteristics and maternal and neonatal risk factors in infants of opiate dependent mothers. Proceedings of the Society for Pediatric Research, Washington , DC, 1988. 57. Pidcock FS, Pasto ME, Graziani LJ, Stanley C, Mitchell D, Goldberg BB: Characteristics of periventricular echodensities associated with the development of Cerebral Palsy (CP). Proceedings of the Society for Pediatric Research, Washington, DC, 1987.
58. Polifka JE, Giknis ML, Brent RL: Effects of medroxyprogesterone on the in vitro development of rat embryos. Pediat Res 23:270A, 1988.
- 56 - 59. Rao V, Mitchell DG, Rifkin MD, Steiner R, Burk DL, Levy DW, Ballas SK: Femoral head avascular necrosis in sickle cell anemia; MR characteristics. Proceedings of the 36 Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
60. RaoVM, Steiner RM, Ballas S, Mitchell D, Burk DL, Rifkin MD: Avascular necrosis in sickle cell anemia: MR characteristics. Magn Reson Imag 6:75, 1988.
61. Rao VM, Steiner RM, Ballas SK, Mitchell DG, Burk L, Rifkin MD, Levy D: Marrow infarction in SCA: Correlation with marrow type and distribution by MRI. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
62. Rao VM, Burk DL, Gonzalez CG, Levy D, Mishkin M, Mitchell DG, Matteucci T: Medical audit of the clinical indications of MRI. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
63. Rifkin MD, Wechsler RJ, Marks G: Comparison of CT and endorectal ultrasound in staging rectal cancer. Radiology 165(P):174, 1987.
64. Rifkin MD, Pasto ME, Schwartz GF, Vilaro M, Needleman L, Pennell RG, Baltarowich OH, Mitchell DG, Kurtz AB, Goldberg BB: Intraoperative US to facilitate breast mass resection. Radiology 165 (P):37, 1987.
65. Rifkin MD, Choi H, Goldberg BB: Endorectal prostatic ultrasound. Significance of nonpalpable lesions: The prostate. Proceedings of the 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, 1987.
66. Rifkin MD: Ultrasound of the prostate. Radiology 165(P):257, 1987. 67. Rifkin MD: Prostate imaging. Radiology 165(P):220, 1987.
68. Schwartz EM, Wechsler RJ: Diaphragmatic and paradiaphragmatic tumors and pseudotumors. Proceedings of the Society of Thoracic Radiology Meeting: 227-235, 1988.
69 Schwartz GF, Patchefsky AS, Finkelstein SD, Sohn SH, Prestipino A, Feig SA, Singer L: Nonpalpable in situ ductal (intraductal) carcinoma of the breast: Predictors of multicentricity and implications for treatment. Scientific Program 41st Annual Cancer Symposium. The Society of Surgical Oncology and the Society of Head and Neck Surgeons, 34th Annual Meeting, New Orleans, LA, 1988.
70. Seibert JA, Boone JM: Non-recursive parametric filtration of medical images for scatter rejection. Med Phys 15:445, 1988.
71. Seibert JA, Boone JM: Depth dependent scatter distribution in diagnostic radiology. Radiology 165 (Suppl): 334, 1987.
72. Shaber GS, Boone JM, Shlansky-Goldberg RD, Lockard C, Wang Y: ROC detectability evaluation of a filmless digital radiographic system. Radiology 165(Suppl):359, 1987.
73. Shapiro MJ, Banner MP, Amendola MA, Gordon RL, Pollack HM, Wein AJ: Long-term results of balloon catheter dilatation of ureteroenteral strictures. Radiology 165 (Suppl):179, 1987.
- 5 7 - 74. Shlansky-Goldberg RD, Kurtz AB, Choi HY, Pennell R, Vilaro M, Goldberg BB: The predictive value of ultrasound to determine retained products of conception following spontaneous miscarriage. Proceeding of the 88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, 1988.
75. Steinberg ME, Thickman D, Chen HH, Alavi A, Axel L, Fallon M, Kressel HY, Kundel HL, Steinberg DR, Velchik MG, Mitchell DG: Early diagnosis of avascular necrosis (AVN) by magnetic resonance imaging (MRI). Proceedings of the 4th International symposium on Bone Circulation, Toulouse, France, 1987.
76. Steiner RM, Israel HZ, Patrick H, Gottlieb J, Rao VM, Levy DW: The clinical and radiological patterns of relapse in pulmonary sarcoidosis. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
77. Steiner RM, Israel H, Gottlieb J, Patrick H, Rao VM, Davis P: Patterns of clinical and radiographic relapse in pulmonary sarcoidosis. Proceedings of the 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988.
78. Teitelbaum GP, Ortega HV, Vinitski S, Mitchell DG, Rifkin MD, Bradley WG: Flow phantom and in vivo MR imaging of vena caval filters: Work in progress. Radiology 165(P):295, 1987.
79. Teitelbaum GP, Ortega HV, Vinitski S, Mitchell DG, Rifkin MD, Bradley WG: In vitro MR evaluation of two nitinol intravascular devices. Proceedings of the Association of University Radiologists, New Orleans, LA, 1988.
80. Vilaro M, Kurtz AB, Needleman L, Fleischer AC, Mitchell DG, Rifkin MD, Miller CL, Pennell RG, Baltarowich OH, Goldberg BB: Hand-held and automated sonomammography: Its clinical role relative to X-ray mammography. Radiology 165(P):337, 1987.
81. Vinitski S, Griffey R, Griffey B, Boone JM, D'Adamo A: T1 /T2 contrast in fast MRI as a function of field strength. Med. Phys 15:447, 1988.
82. Vinitski S, Rifkin MD, Burk DL, Mitchell DG: Variable flip angle in fast spin-echo MR imaging. Radiology 165(P):30, 1987.
83. Vinitski S, Prost R, Mitchell DG, Rifkin MD, Burk DL, Levy D: Sampling interval in simultaneous spin-echo and gradient refocusing MRI. Magn Reson Imag 6:70,1988.
84. Vinitski S, Rifkin MD, Mitchell D, Burk L: Optimization of fast gradient refocusing techniques. Proceedings of the 29th Annual Meeting of the American Association of Physicists in Medicine, Detroit, MI, 1987.
85. Vinitski S, Griffey B, Griffey R, Rifkin MD, Mitchell D, Prost R: Optimization of hydrogen and sodium high field MRI. Proceedings of the 6th Annual Meeting of Magnetic Resonance in Medicine, New York, NY, 1987.
86. Wang Y, Feig SA, Dick B, Cooperman H: Incidence and long-term follow-up of breast calcifications on mammograms. Proceedings of the 88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, 1988.
- 58 - 87. Wechsler RJ, Rifkin MD, Dick BW: Pathways to the scrotum: A cross-sectional analysis. Radiology 165(P):327, 1987.
88. Wechsler RJ, Steiner RM: Cross-sectional imaging of the chest wall. Proceedings of the Society of Thoracic Radiology Annual Meeting: 227-235, 1988.
* * * * * * * ****** * * * * * * *
- 59 - SCIENTIFIC PRESENTATIONS
OKSANA H. BALTAROWICH, M.D.
November 29 - December 3, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Normal detailed embryonic anatomy with endovaginal sonography"
JOSEPH BONN, M.D
June 21, 1988 Grand Rounds, Elmer Community Hospital, Elmer, NJ • "Current interventional radiology practice"
JOHN M . BOONE, PhD.
November 29 - December 3, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "X-ray spectroscopic imaging using color display"
ROBERT L. BRENT, M.D., Ph.D,
June 28 - July 1, 1987 Invited Faculty Lecturer, University of Vermont Postgraduate Course in Pediatrics, Sugarbush, Warren, VI • "Causes and prevention of human birth defects" • "Epidemiology for the clinician"
September 15, 1987 Guest Lecturer, Geisinger Medical Center, Danville, PA • "Etiology of human birth defects: Will we ever eliminate this clinical problem?"
September 22, 1987 Visiting Professor, Boston University Medical School, Boston City Hospital, Boston, MA • "The physician as expert witness and defendant"
September 25, 1987 Pediatrics for Pharmacists Conference, The Hospital for Sick Children, Toronto, Ontario, Canada • "Etiology and prevention of human birth defects"
- 6 0 - November 2-5, 1987 "Radionuclides in the food chain", Laxenburg Conference Center, Laxenburg, Austria, Sponsored by International Life Sciences Institute. Invited participant to discuss the impact of Chernobyl Nuclear Disaster
December 4, 1987 Participant in March of Dimes Conference on Environmental Exposure and Fetal Development, Sacramento, CA • "Introduction to teratogenesis: Etiology and prevention of human birth defects" • "Radiation in pregnancy: Fact and fallacy" • "Medicolegal issues in teratology"
January 7, 1988 Visiting Professor, Bay State Medical Center, Springfield, MA • "Physicians function as defendant and expert witness" • "Contributing factors to the present negligence litigation crisis and their eventual resolution"
January 21, 1988 Guest Lecturer, Walter Reed Army Medical Center, Washington, D.C. • "Mutagenic and carcinogenic risks of radiation and other environmental hazards"
March 9-13, 1988 Annual Meeting of the Association of Medical School Pediatric Department Chairmen, Tucson AZ. Chairman: Workshop on Resident and Medical Education
April 12-13, 1988 Developmental Toxicology and Teratology Course, University of North Carolina, Chapel Hill, NC • "Mediolegal aspects of teratology"
April 12-13, 1988 Grand Rounds, University of North Carolina, Chapel Hill, NC. • "Effects of radiation embryology"
April 14, 1988 Guest speaker at symposium honoring Dr. Josef Warkany, Cincinnati, OH • "Etiology and prevention of human birth defects"
April 22, 1988 Guest Speaker, OB Grand Rounds, Greater Baltimore Hospital Medical Center, Baltimore, MD • "Radiation and the embryo"
April 28, 1988 AOMA Meeting, New Orleans, LA • "The application of basic developmental biology principles for estimating the reproductive environmental risks"
- 6 - May 2-5, 1988 American Pediatric Society/Society for Pediatric Research Meeting, Washington, DC • "Pathologic ultrastructural changes in the yolk sac produced by teratogenic antirat yolk sac polyclonal and monoclonal sera" • "In vivo and in vitro introduction of cartilage in bone in brachymorphic mice" • "Effects of medroxyprogesterone on the in vitro development of rat embryos"
May 7, 1988 Guest Speaker, Teratology Conference, "The Patient at Risk for Birth Defects - Physician Responsibility and Liability", Illinois Masonic Medical Center, Chicago, IL • "Radiation effects on the embryo"
June 1-3, 1988 Ionizing Radiation Course, Harvard School of Public Health, Boston, MA • "Effects of radiation on the embryo"
June 13-15, 1988 Teratology Society Meetings, Breakers Hotel, Palm Beach, FL • "Bendectin: Our most famous tortogen-litogen and the best studied human non-teratogen. The absence of a clinical bendectin syndrome" • "Effects of medroxyprogesterone on the in vitro development of rat embryos" • "Scanning electron microscopic (SEM) study of the yolk sac membranes after exposure of rat embryo to teratogenic monoclonal antibodies (MCA)" • "Evaluation of bone mineralization using the brachymorphic mouse (bm/bm) model" • "Prenatal ultrasound exposure and postnatal growth and development" • "A new technique for analyzing behavioral teratologic data"
• "Effects of prenatal x-irradiation on the 14th-18th day on adult behavior in the Wistar rat" • "Physiologic alterations due to x-irradiation on postnatal days 3-7 in the Wistar rat"
D. LAWRENCE BURK, JR.. M.D,
August 1, 1987 MRI for Technologists - A Practical Introduction, Philadelphia, PA • "Optimizing scan protocols " • Musculoskeletal MRI - A Practical Introduction (Workshop)
October 8, 1987 Delaware Valley MRI Society , Philadelphia, PA • "Strategies for musculoskeletal MRI"
- 62 - November 29- December 3, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiologic Society of North America, Chicago, IL • "Spin-echo and gradient-echo MR imaging of meniscal cysts of the knee"
December 10-12, 1987 3-D Imaging in Medicine Course, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA • Speaker: "Pelvic and acetabular fractures" • Moderator: Clinical applications - Part I • Moderator: Clinical experience - Part I • Program Committee
February 18, 1988 The Philadelphia Roentgen Ray Society Blue Ribbon Lecture, Philadelphia, PA • "Imaging of the knees: anatomy and pathology"
February 29, 1988 6th Annual Meeting of the Society of Magnetic Resonance Imaging, Boston, MA • "1.5 T MRI of meniscal and ganglion cysts of the knee"
March 23, 1988 The Cleveland Clinic Foundation, Cleveland OH • Basics of Magnetic Resonance Course: • "Musculoskeletal MRI" • "Knee MRI"
May 22, 1988 The Philadelphia Orthopaedic Review Course, Philadelphia, PA • Orthopedic Imaging
June 16, 1988 First Scientific Meeting , Society of Digital Imaging, Management and Communication Radiological Philadelphia, PA • "Clinical applications of 3-D Imaging"
June 24-25, 1988 MRI for Radiologic Technologists, Hospital of the University of Pennsylvania, Philadelphia, PA • "Optimizing scan protocols" • Workshop Leader: "Imaging of the lower extremities (hips, ankle, knee)" PETER N. BURNS, Ph.D.
July 3, 1987 University of Alabama Southern Medical Center, Department of Radiology, Birmingham AL • "Doppler in obstetrics"
July 22, 1987 Guest Speaker, Minnesota Society of Diagnostic Ultrasound, Annual Meeting, Minneapolis, MN • "Horizons in Doppler ultrasound"
- 63 - September 22-23, 1987 Symposium on Ultrasound Imaging, Drexel University, Philadelphia, PA • "Biomedical tissue characterization using Doppler ultrasound"
September 24, 1987 Andre-Viallet workshop on the hemodynamic aspects of liver disease, University of Montreal, Montreal, Canada • "Non-invasive methods for measurement of hepatic flow"
September 25, 1987 University of Bologna, Conference on recent advances in Rh hemolytic disease, Bologna, Italy • "Doppler ultrasound evaluation of fetuses at risk for Rh disease"
September 26, 1987 University of Bologna, Department of Gasteroenterology Seminar, Bologna, Italy • "Blood flow measurement in splachnic vessels using ultrasound"
October 5, 1987 5th International Conference on the Ultrasonic Examination of the Breast, New Orleans, LA • "Doppler ultrasound of the breast: A review"
October 7-9, 1987 The 32nd Annual Convention of the American Institute of Ultrasound in Medicine Annual Meeting, New Orleans, LA • "Doppler physics and instrumentation" (Categorical course moderator and speaker)
December 12, 1987 Institute for Medical Studies, Washington, DC • "Deep Doppler" (Course faculty Session Chairman)
January 14, 1988 American Association of Physicists in Medicine, Delaware Valley Chapter, Philadelphia, PA • "Doppler ultrasound in clinical blood flow measurement"
February 22-23, 1988 Noninvasive Techniques in Vascular Disease, San Diego, CA • "Deep Doppler principles" (Session chairman and speaker) • "Deep Doppler" (Course Faculty Session Chairman)
March 12, 1988 Iowa Radiological Society, Annual Meeting, Iowa City, IO • "Present and future applications of diagnostic ultrasound"
- 64 - March 19, 1988 Society for Gynecological Investigation, Annual Meeting, Baltimore, MD • "Fetal blood flow measurements: Basic aspects" March 25, 1988 Department of Medical Physics, Temple University, Philadelphia, PA • "Physical basics of artifacts in Doppler ultrasound"
April 23, 1988 Societe Canadienne Francaise de Radiologie, University of Montreal, Montreal, Canada • "Doppler flow measurements"
May 4-6, 1988 The Leading Edge in Diagnostic Ultrasound, Atlantic City, NJ • "Interpretation of the Doppler spectrum" May 23, 1988 International Perinatal Doppler Society, Kansas City • "Perinatal Doppler flow measurements" (Session Chairman and Speaker)
June 11-12,1988 Society for Noninvasive Vascular Technology, Annual Meeting, Chicago, IL • Interpretation of the Doppler spectrum" (Invited Speaker, Education Day) WOLFGANG F. DAHNERT. M.D.
September 18-20, 1987 AUA Course. Ultrasonography in Urology, San Diego, CA • "Transrectal ultrasound of the prostate - equipment and technique." • "Ultrasonography of prostate cancer revisited"
November 18, 1987 Reading General Hospital, Reading, PA • "Sonographic diagnosis of cancer of the prostate"
March 10, 1988 New Jersey Institute of Ultrasound in Medicine, Summit, NJ • "A standardized endorectal prostate examination" March 25, 1988 International Symposium and Workshop Endosonography, Orlando, FL • "Ultrasound of the scrotum" • "A standardized endorectal examination of the prostate"
May 7, 1988 The Leading Edge in Diagnostic Ultrasound, Atlantic City, NJ • "Prostate ultrasound: Normal anatomy"
- 65 - June 30 - July 1, 1988 Segundo Curso Intemacional de Ultrasonido Puebla, Mexico • "Ultrasonografia de escroto y testiculo; de veijiga urinary" • "Ultrasonido del rinon" • "Ultrasonido de la prostata lera. parte (equipo, tecnica y anatomia normal)" • "Ultrasonido del la prostata 2a. parte (pathologia)"
HUYNH T. DOAN. M.13‘
June 9 - June 10, 1988 King's Daughters' Medical Center, Ashland, KY • "Applications of MRI in evaluation of the brain and spinal cord lesions"
• "Technique and limitations of brachial approach for cerebral angiography using a 4-French catheter"
STEPHEN A. FEIG. M.D
July 11-12, 1987 Breast Imaging Seminar, Sponsored by the Los Angeles Radiological Society, Los Angeles, CA • "Positioning, technique and quality control in breast imaging" • "Guidelines and rationale for patient screening" • "Preoperative needle localization"
August 9-14, 1987 Symposium on Breast Disease: Diagnostic Imaging and Current Management, Sponsored by the University of Michigan Medical School, Department of Radiology, Grand Traverse Village, MI • "Principles of screen-film mammography" • "Xeromammography technique and quality control" • "Methods for localizing non-palpable lesions prior to biopsy" • "A current assessment of the benefits and risks of screening mammography"
August 27, 1987 Vanderbilt University School of Medicine, Department of Radiology, Nashville, TN • "Differential diagnosis of breast masses"
August 19-28, 1987 Third Annual Breast Imaging Symposium, Sponsored by Vanderbilt University School of Medicine, Department of Radiology, Nashville, TN • "Technical aspects of optimal mammographic imaging" • "Screening for breast carcinoma"
- 6 6 - September 3-4, 1987 Symposium Mammographicyum '87, Sponsored by the Royal College of Radiologists, Nottingham, England • "An overview of mammography" (Keynote address) • "Benefits and risks of mammography"
September 11-13, 1987 Mammography Symposium, American College of Radiology, Chicago, IL • "Calcifications" • "The mammography report"
October 6, 1987 Radiology Grand Rounds, Department of Radiology, State University of New York Downstate Medical Center Brooklyn, NY • "Imaging breast masses"
October 6, 1987 Brooklyn Radiologic Society, Brooklyn, NY • "Breast cancer screening"
October 9-11, 1987 Workshops in Mammography, Inc. Washington, DC • "Risks and benefits of mammography" • "Evaluation and workup of breast masses" October 30- November 1, 1987 Mammography Symposium, American College of Radiology, San Francisco, CA • "Calcifications" • "The mammography report" • "Localization of non-palpable lesions" November 29 - December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Mammographic interpretation: Problems, pearls and pitfalls", Refresher course No. 816
December 28, 1987 Albert Einstein College of Medicine, Department of Radiology, New York, NY • "Screening mammography"
December 29, 1987 Radiology Grand Rounds, Albert Einstein College of Medicine, Department of Radiology, New York, NY • "Breast calcifications and masses"
January 14, 1988 Radiology Grand Rounds, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Department of Radiology, New Brunswick, NJ • "Breast calcifications and masses"
- 6 7 - February 29 - March 4, 1988 23rd National Conference on Breast Cancer, Sponsored by American College of Radiology, Los Angeles, CA • "Breast cancer risk factors: Radiation" • "Basic xeromammography interpretation" • "Preoperative localization of non-palpable lesions"
March 11-14, 1988 Workshops in Mammography Inc., Key Biscayne, FL • "Risks and benefits of mammography" • "Establishing a quality assurance program for mammography" • "Mammographic interpretation: Problems, pearls , pitfalls"
April 6, 1988 Mercy Catholic Medical Center, Fitzgerald-Mercy Division Department of Diagnostic Radiology, Darby, PA • "Imaging evaluation of breast masses"
May 8-13, 1988 88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, Categorical Course on Breast Imaging • "Screen-film mammography: Principles, equipment, technique, quality control" • "Issues in screening" • "Writing the mammographic report"
June 3-5, 1988 American College of Radiology Symposium on Mammography, Philadelphia, PA • "Calcifications" • "The mammography report"
GEOFFREY A. GARDINER. JR.. M.13‘
October 10, 1987 Park Plaza Hospital and St. Joseph Hospital, Houston, TX • "Thrombolytic therapy in peripheral arterial occlusions"
December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • Graft thrombolysis: "Long term results"
December 11,1987 University of Nevada, Washoe Medical Center, Reno NV • "Overview in treatment of peripheral arterial occlusions"
January 26, 1988 Indiana University Medical Center, Indianapolis, Indiana • "Salvage of occluded arterial bypass grafts using thrombolysis"
- 6 8 - April 8-9, 1988 Tutorial on Percutaneous Intra-arterial thrombolysis, University of Nevada, Washoe Medical Center, Reno, NV • "Overview of thrombolysis and graft thrombolysis"
ROBERT 0. GORSON. M.S.
July 24 -26, 1987 4th Annual Meeting of the American College of Medical Physics, Bay City, MI • "The medical physicist as an expert witness"
BARRY B. GOLDBERG. M.D
September 20-22, 1987 Symposium on Ultrasound Imaging and Tissue Characterization, Bryn Mawr, Pennsylvania, sponsored by Drexel University, Philadelphia, PA • "History of Ultrasound" • "The future of ultrasound from a clinical outlook"
October 5, 1987 5th International Congress on the Ultrasonic Examination of the Breast, New Orleans, LA • "Ultrasound : An alternative to x-ray guided needle localization of non-palpable breast masses"
October 6-9, 1987 The 32nd Annual Convention of the American Institute of Ultrasound in Medicine, New Orleans, LA • "Evaluation of iatrogenic pseudoaneurysms using color Doppler imaging"
October 20, 1987 Visiting Professor, Mallinkrodt Institute of Radiology, St. Louis, MI • "Abdominal Doppler and endorectal ultrasound, including prostate and rectum"
October 20, 1987 42nd Annual Carman Lecture, Co-sponsored by the Greater St. Louis Society of Radiologists and the St. Louis Metropolitan Medical Society, St. Louis MI • "A look into the future of ultrasound"
November 28 - December 3, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America Meeting, Chicago, Il • "Ultrasound contrast agent evaluation and potential uses"
February 4, 1988 Visiting Professor, Long Island Jewish Medical Center, New York, NY • "Endoscanning: Endovaginal and endorectal"
- 69 - February 4, 1988 Radiology Grand Rounds, Long Island Jewish Medical Center, New York, NY • "Advances in diagnostic ultrasound: Color Doppler and contrast agents"
February 24, 1988 Dr. Hector M. Valles Memorial Lecturer, Puerto Rico Chapter of the American College of Radiology, San Juan, Puerto Rico • "Past, present and future of ultrasound"
February 24-28, 1988 Puerto Rico Chapter of the American College of Radiology, San Juan, Puerto Rico • "Ultrasound evaluation of renal obstruction"
March 12-18, 1988 International Association of Medical Specialists Workshop, Beaver Run, Breckenridge, CO • "Diagnostic ultrasound: Its present uses and a look into the future"
March 19, 1988 Pediatric Radiology 1988 Course, The Children's Hospital of Philadelphia, PA • "Contrast agents in ultrasound"
March 19, 1988 15th Anniversary of the Einstein Alumni Society, Bala Cynwyd, PA • "New frontiers in ultrasound"
March 24-27, 1988 Endosonography in Diagnostic Ultrasound, International Symposium and Workshop, sponsored by the International Association for Endosonography, and Co-sponsored by the American Institute of Ultrasound in Medicine, Orlando, FL • "Physical principles of endovaginal scanners" • "Other applications of ultrasound in urologic practice: Kidneys" • "Panel Discussion: "The current and future role of endovaginal scanning" • Panel Discussion: "Should endosperms be used for screening?" • "Endovaginal sonography, instrumentation and technique"
April 21, 1988 Central New York Radiological Society, Syracuse, NY • "New horizons in ultrasonic endoscanning" • "Color Doppler and contrast agents in ultrasound"
April 21-22, 1988 Visiting Professor, State University of New York at Syracuse, Syracuse, NY • "Doppler ultrasound of the abdomen and pelvis" • "Normal ultrasound obstetrical measurements: An update"
- 70 - April 23, 1988 Quantum Medical Systems Course, Philadelphia, PA • "Abdominal color Doppler" • "Pseudoaneurysms" • "Contrast Agents"
May 4-7, 1988 The Leading Edge in Diagnostic Ultrasound, Atlantic City, NJ • "Ultrasound contrast agents"
June 8-10, 1988 Obstetrical and Gynecological Ultrasound:1988, A comprehensive overview, First Kenneth Gottesfeld-Charles Hohier Educational Symposium, New York, NY • "GYN - vaginal probes"
June 22, 1988 11th Annual 1988 Eastern Shore Medical Symposium, sponsored by the University of Delaware and Thomas Jefferson University Hospital, Rehoboth Beach DE • Panel Discussion: "Place of ultrasound compared to MRI and CT"
CARLOS F. GONZALEZ, M.D.
November 29 - December 4, 1987 Sociedad Medico del Sur Ponce, Puerto Rico • "Advances in neuro MRI" • "Tumor imaging in neuroradiology" • "Orbital imaging"
May 28-29, 1988 Visiting Professor, University of Dusseldorf, Dusseldorf, Germany • "Imaging in neuroophthalmology"
June 29, 1988 Visiting Professor, University of Marseilles, Marsielles, France • "Fluorocarbons as protecting agents in brain ischemia: radiographic aspects"
GEORGE W. GROSS. M.D.
October 13, 1987 Continuing Education Series, Crozer-Chester Medical Center, Chester, PA • "Newer developments in pediatric imaging"
October 22, 1987 Pediatric Grand Rounds, York Hospital, York, PA • "MRI in pediatrics: Current status"
December 16, 1987 Continuing Education Series, Wernersville State Hospital, Wernersville, PA • "Interpretation of radiographic examinations" (workshop)
- 71 - DAVID KARASICK. M.D,
September 3, 1987 Mercy Catholic Hospital, Department of Radiology, Darby, PA Lecturer - • "Approach to arthritis"
ALFRED B. KURTZ, M.D,
September 19, 1987 Harvard Medical School, Brigham and Women's Hospital, Department of Obstetrics and Gynecology, Course on Fetal Sonography 1987, Cambridge, MA • "Fetal measurements and determination of gestational age"
September 28, 1987 Resident Staff, Department of Obstetrics and Gynecology, Lankenau Hospital Philadelphia, PA • "Prenatal ultrasound: Obstetric measurements"
October 6-9, 1987 The 32nd Annual Convention of the American Institute of Ultrasound in Medicine, New Orleans, LA • "Evaluation of iatrogenic pseudoaneurysms using color Doppler imaging" • "The neonatal Circle of Willis during ECMO: Color Doppler imaging"
October 22, 1987 Department of Radiology, William Beaumont Hospital, Royal Oak, MI • "2nd and 3rd trimester fetal evaluation" • Case presentations to residents October 22, 1987 Michigan Ultrasound Society • "The use of obstetrical measurements in the accurate assessment of fetal age"
December 15, 1987 Greater Delaware Valley Ultrasound Society, Philadelphia, PA • "Obstetrical measurements: Their use in determination of fetal age" • "Obstetrical "small parts" measurements: Their value today and in the future"
January 7, 1988 Department of Medical Imaging, Presbyterian-University of Pennsylvania Medical Center, Philadelphia, PA • "The current state of ultrasonography of the pancreas and spleen"
January 11, 1988 Department of Radiology, Monmouth Medical Center, Long Branch, NJ • "GYN Ultrasound "
- 72 - January 20, 1988 Greater Louisville Radiological Society, Louisville, KY • "Pancreas - Comparison of ultrasound and computed tomography" presented to residents at the University of Louisville, Louisville, KY • "The new standards in obstetrical Ultrasound"
February 7-10, 1988 9th Annual Intermountain Imaging Conference, Steamboat Springs, Colorado • "GYN abnormalities of adnexa" • "GYN abnormalities of uterus" • "Obstetrical measurements" • "The endometrium, normal and abnormal" • "Multiple gestations" • "Growth retardation and biophysical profile" • "Analysis of abnormal fetal anomalies"
March 21, 1988 The Department of Radiology, Montefiore Hospital Medical Center, Bronx, NY • "The uncomplicated obstetrical examination"
April 8-9, 1988 The Second Clinical Seminar in Diagnostic Ultrasound, The Western Pennsylvania Hospital, Pittsburgh, PA • "Ultrasound evaluation of the pancreas" • "Doppler evaluation of the abdomen" • "Multiple gestations" • "Obstetrical measurements : 1988 update."
May 5-7, 1988 The Leading Edge in Diagnostic Ultrasound, Atlantic City, NJ • "Obstetric measurements: 1988 update" • "Selected topics in fetal measurement" • "The fetal thorax"
DAVID C. LEVIN. M.D.
September 16, 1987 North Shore University Hospital Manhasset, NY. • "Stenosis morphology - a new way of looking at the coronary arteriogram"
October 5-6, 1987 Harvard Medical School Course, "Angiography and Interventional Radiology - 1987", Boston, MA • "Understanding digital imaging" • "Current clinical role of digital subtraction angiography" • "Results and advances in renal angioplasty" • "The radiologist and coronary angioplasty"
- 73 - October 14-15, 1987 30th Annual W. Edward Chamberlain Lecture, Temple University Hospital, Philadelphia, PA • "Coronary stenosis morphology - a new way of looking at coronary arteriograms" • "Renal angioplasty - technical aspects and clinical results" • "Thoracic interventional angiography"
December 2, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Diagnostic and interventional coronary angiography"
January 28, 1988 American College of Cardiology Course "Diagnostic and Interventional Cardiac Catheterization - 1988", Bethesda, MD • "Technical and methodological considerations in image acquisition" • "Digital subtraction angiography - present and future use"
March 14-15, 1988 National Visiting Guest Lecturer, Armed Forces Institute of Pathology , Bethesda, MD • "Plain film analysis of acquired heart disease" • "Non-cardiac interventional radiology in the thorax" • "Coronary angiography" - Part I & II • "D- and 1- transposition of the great arteries"
April 18, 1988 Society of Chairmen of Academic Radiology Departments, New Orleans, LA • "Turf in academia"
June 6, 1988 Harvard Medical School Course, "Coronary Angiography - 1988" • "Maximizing cine imaging" • "The complex coronary plaque" • "Major equipment purchase"
June 7, 1988 Grand Rounds, Brigham and Women's Hospital, Boston, MA • "Do radiologists control imaging procedures?"
June 17, 1988 First Scientific Meeting - Society of Digital Imaging Management and Communication. Philadelphia, PA • "Technical aspects of digital angiography"
- 74 - DAVID W. LEVY, M.D.
December 1-4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Prospective Doppler Evaluation of umbilical artery wave forms in presumed abnormal pregnancy"
April 7, 1988 Philadelphia Roentgen Ray Society. Philadelphia, PA • Film Panelist
May 4-7, 1988 The Leading Edge in Diagnostic Ultrasound. Atlantic City, NJ • "Ultrasound case analysis"
ESMOND MAPP. M.D.
August 3-5, 1987 92nd Annual NMA, New Orleans, LA • "GI effects of sickle cell disease" • Moderator: "Multiple imaging and treatment modalities"
January 16-20, 1988 17th Annual Meeting of the Society of Gastrointestinal Radiologists, Nassau, Bahamas • Faculty: Post-graduate course • Panelist: Unknown case panel
April 19, 1988 Grand Rounds, Elmer Community Hospital Elmer, NJ • "CI' and MR imaging correlations"
May 11, 1988 Visiting Professor , Mercy Catholic Medical Center, Darby, PA • "Radiology of the stomach"
CYNTHIA MILLER, M.D
December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Potential retroperitoneal recess anterior to the stomach: the "omental fossa" of the anterior pararenal space"
May 12, 1988 88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA • "Limited sensitivity of ultrasound for the detection of rotator cuff tears"
- 75 - MARK M. MISHKIN. M.D.
October 17, 1987 New York Radiological Society, State University of New York, NY • "Resource-based relative value scale versus experienced-based relative value scale implications for diagnostic radiology"
November 2-6, 1987 Symposium on Diagnostic Imaging, Beijing, China • "Imaging modalities in orbital disease" • "Radiologic evaluation of spinal stenosis" • "Cross-sectional imaging of disease of the liver" • "The socio-economic aspects of the practice of diagnostic radiology in the United States"
February 8, 1988 Lehigh Valley Radiology Society, Allentown, PA • "Ionic versus non-ionic contrast agents—medical, economic, and legal implications"
February 17, 1988 Visiting Professor, Albany Medical College, Albany, NY • "Meningiomas arising from the cavernous sinus"
February 17, 1988 Northeastern New York Radiological Society, Albany, NY • "Alphabet soup - DRG for DOCS, DRG for RAPS, AMA and EBRVS, and HCFA"
May 18, 1988 Visiting Professor, Presbyterian University of Pennsylvania Hospital, Philadelphia, PA • "Cerebral angiography: localization and characterization of supratentorial mass lesions"
DONALD G. MITCHELL. M.D,
September 28-30, 1987 VII Congresso Argentino de Radiolgia Diagnostico por Imagenes y Terapia Radiant, Mendoza, Argentina • "MRI vs ultrasound in gynecology" • "MRI vs ultrasound of pelvic pathology"
October 6-9, 1987 32nd Annual Convention of the American Institute of Ultrasound in Medicine , New Orleans, LA • "The neonatal Circle of Willis during ECMO: Color Doppler imaging"
- 76 - November 13, 1987 The George Washington University Hospital, Washington, DC • "The biologic basis of tissue contrast in extracranial MRI" • "Direct imaging of flow: MRI and Color Doppler imaging"
November 30, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Color Doppler imaging of the neonatal Circle of Willis during extracorporeal membrane oxygenation"
March 1, 1988 Society for Magnetic Resonance Imaging, 6th Annual Meeting, Boston, MA • "Optimizing long TR/TE images of the upper abdomen at 1.5 Tesla"
March 19, 1988 The Children's Hospital of Philadelphia, Philadelphia, PA • "Color Doppler imaging: Pediatric applications"
March 25, 1988 Quantum Angiodynography Advanced Users' Seminar, Orlando, FL • "Radiology applications of color Doppler imaging" • "Color Doppler imaging of the newborn brain" • Pseudoaneruysms: Color Doppler diagnosis"
April 23, 1988 Quantum Medical Systems Conference - Angiography: A New Real-Time Imaging Modality for the Study of Arteries and Veins • "Color Doppler imaging of the newborn brain" • "Deep vein thrombosis: Color Doppler imaging"
May 5, 1988 The Leading Edge in Diagnostic Ultrasound Atlantic City, NJ • "Color Doppler imaging: A 1988 perspective"
June 25,1988 Neonatal Intracranial Ultrasound Washington, DC • "Diagnostic ultrasound: An update" • "Color Doppler Imaging: Non-cardiac applications, Parts I and II"
LAURENCE NEEDLEMAN. M.D,
October 30-31, 1987 Diagnostic Ultrasound Update '87, West Virginia University School of Medicine, Morgantown, WV • "Abdominal Doppler" • "Obstetrical Doppler"
- 7 7 - March 24, 1988 Philadelphia Roentgen Ray Society Blue Ribbon Lecture, Philadelphia, PA • "Doppler ultrasound applications: Carotid and abdominal"
April 15-16, 1988 2nd Annual Meeting of the West Virginia Diagnostic Ultrasound Society, Charleston, WV • "Principles and applications of Doppler in obstetrics"
May 4-7, 1988 The Leading Edge in Diagnostic Ultrasound, Atlantic City, NJ • "Cerebrovascular studies in real time": Case presentations • "Venous ultrasound and its use in deep vein thrombosis" • "High risk pregnancy: Ultrasound - perinatal correlation"
May 27-28, 1988 12th Annual Sonography Symposium, Vanderbilt University School of Medicine, Nashville, TN • "Obstetrical Doppler sonography" • "General applications of Doppler sonography"
June 8-12, 1988 11th Annual Meeting of the Society of Non-Invasive Vascular Technology, Chicago,IL • "Advances in the use of duplex imaging: Obstetrical Doppler"
REBECCA G. PENNELL, M.D.
December 9, 1987 Philadelphia Roentgen Ray Society • Film Panel moderator (Ultrasound)
January 13, 1988 Sponsored by Toshiba Imaging Systems, Airport Marriott Hotel • "Applications of endovaginal sonography"
February 23, 1988 The Greater Delaware Valley Ultrasound Society • "Endovaginal sonography in obstetrics and gynecology"
May 6, 1988 The Leading Edge in Diagnostic Ultrasound, Atlantic City, NJ • "Endovaginal ultrasound: Equipment and techniques" • "Endovaginal sonography in the first trimester of pregnancy" • "Second and third trimester uses of endovaginal ultrasound"
- 78 - VIJAY M. RAO, M.D
February 29, 1988 6th Annual Meeting of the Society for Magnetic Resonance Imaging, Boston, MA • "Avascular necrosis in sickle cell anemia: MR characteristics"
April 17- 21, 1988 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA • "Marrow infarction in SCA: Correlation with marrow type and distribution by MRI" • "Magnetic resonance imaging of the paranasal sinuses: Normal and pathologic appearance at 1.5T"
April 26, 1987 Annual Meeting of the Broncho-Esophageal Association, Fl • "Lateral pharyngeal diverticula"
May 13, 1988 Temporomandibular Joint Arthroscopy - Two Day "Hands-on" Workshop and Symposium, Department of Oral and Maxillofacial Surgery, Thomas Jefferson University Hospital, Philadelphia, PA • "Basic principles of MRI and MRI of the TMJ"
May 27, 1988 Annual Meeting of the American Association of Clinical Anatomists, CA • "Development, use and value of embedded sectioned materials in pre- and postgraduate medical education"
MATTHEW D. RIFKIN. MD.
July 10-11, 1987 5th International Symposium on Endoscopic Ultrasonography, Munich, Germany • "Comparison of CT, MR and endosonography in rectal cancer staging"
September 7-10, 1987 First Copenhagen Symposium on Uroradiology, Copenhagen, Denmark. • "Ultrasonography of the upper urinary tract imaging and intervention" • "Ultrasonography of the transplanted kidney"
September 12, 1987 Advances in Sectional Imaging, San Diego, CA • "Abdominal Doppler applications" • "Endoscopic ultrasound: Prostate applications"
September 17-18, 1987 10th Annual Seminar in Diagnostic Ultrasound, Ann Arbor, MI • "Prostate imaging:" • "Thyroid and parathyroid imaging" • "Doppler ultrasound in the high-risk obstetrical patient"
- 79 - September 22, 1987 Transrectal Ultrasound in the Diagnosis and Management of Prostate Cancer, Detroit, MI • "Transrectal ultrasound in America"
September 26-27, 1987 American College of Radiology 64th Annual Meeting, San Diego, CA • "Doppler applications in obstetrics" • "Sonography of the prostate"
October 6-7, 1987 32nd Annual Convention of the American Institute of Ultrasound in Medicine, New Orleans, LA • "Non-prostatic intracavitary ultrasound • Moderator: Abdominal Scientific Session Update on small parts imaging
October 19, 1987 The New York Roentgen Society, New York, NY • "Ultrasonography of the prostate" • "Scrotal ultrasound"
October 23-25, 1987 The Annual Scientific Meeting of Radiologists in Ultrasound, Denver, CO • "The clinical significance of the peripherally oriented hypoechoic prostate lesions"
November 29- December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Ultrasound of the prostate" • "Prostate imaging" • "Endorectal prostatic ultrasound: Significance of non-palpable lesions" • "Comparison of CT and endorectal ultrasound in staging rectal cancer"
January 15-16, 1988 American Urological Association Meeting, Boston, MA • "Equipment and techniques for general and transrectal ultrasonography" • "Scrotal ultrasonography" • "Equipment and techniques for imaging the prostate" • "Sonographic features of prostate cancer" • "Interpreting sonographic images of the prostate" • "Prostate biopsy under sonographic control: Techniques and complications" • "Ultrasonography of the prostate - equipment, techniques and indications" (Panel Discussion)
February 1-4, 1988 Uroradiology '88, Sponsored by the Society of Uroradiology, Orlando, FL • "Ultrasound of the prostate"
- 8 0 - February 13-20, 1988 Sun Valley Imaging, Sun Valley, IO • "Prostatic sonography" • "Imaging the neck" • Informal case presentations • "The scrotum" • "MRI of the lower urinary tract"
March 24-26, 1988 The International Association of Endosonography Meeting, Orlando, FL • "Acoustic patterns of malignant prostatic disease" • "Prostate biopsy under ultrasound guidance" • "Urinary bladder ultrasound"
April 15-16, 1988 The University of Manitoba Health Sciences Center, Manitoba, Canada • "Interventional ultrasound" • "Prostate sonography - normal abnormal" • "Sonography of the bladder and perivesical spaces" • "Scrotal ultrasound"
May 7, 1988 The Leading Edge in Diagnostic Ultrasound, Atlantic City, NJ • "Prostate ultrasound: Differential diagnosis" • Ultrasound staging of rectal tumors"
May 12, 1988 American Roentgen Ray Instructional Course, San Francisco, CA • "Endoluminal sonography - transvaginal and transrectal"
May 20-21, 1988 12th Annual Spring Symposium in Diagnostic Ultrasound, Brooklyn, NY • "Hepatobiliary ultrasound" • "Current application in small parts sonography" • "Transrectal ultrasound and lower urinary tract" • "Interventional and intraoperative ultrasound"
May 23, 1988 Department of Radiology, Visiting Professor, University of Cincinnati, Cincinnati, OH • "Ultrasound of the scrotum" • "Pelvic MRI"
May 23, 1988 The Greater Cincinnati Radiological Society, Cincinnati, OH • "Ultrasound of the scrotum" • "Pelvic MRI"
- 8 1 - June 22,1988 11th Annual 1988 Eastern Shore Medical Symposium, sponsored by the University of Delaware and Thomas Jefferson University Hospital, Rehoboth Beach, DE • "Clinical indications for MRI" • "Clinical indications for CT"
GARY S. SHABER. M.D.
November 30- December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Improved digital mammography with charge-coupled device planar array" • "High resolution digital mammography utilizing charge-coupled device planar array"
January 31 - February 5, 1988 Annual meeting for the International Society for Photo-Optical Instrumentation Engineers, Newport Beach, CA • "High resolution digital radiography utilizing CCD planar array" • "ROC detectability evaluation of a filmless digital radiographic system"
MARCELLE J. SHAPIRO. M.D.
November 29 - December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Long-term results of balloon catheter dilatation of ureteroenteral strictures"
ROBERT M. STEINER, M.D.
October 3, 1987 Grand Rounds, Latrobe Area Hospital, Latrobe, PA • "The current applications of MRI of the body"
December 9, 1987 Solis -Cohen Medical Society Meeting, Philadelphia, PA • "The current applications of MRI of the body"
January 12, 1988 Mercy Catholic Hospital, Darby, PA • Interesting case conference
February 8, 1988 John Hopkins University, School of Occupational Health, Baltimore, MD • The radiology of asbestosis"
March 8, 1988 Laennec Society of Philadelphia, PA • "The radiology of sarcoidosis - 1988 update"
- 82 - March 25, 1988 The University of Leiden, Departmental Conference, Leiden, The Netherlands • "Magnetic resonance in hematologic disorders"
April 20, 1988 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA • "Clinical and radiologic patterns of relapse in pulmonary sarcoidosis"
June 15, 1988 University of Rome, Departmental Conference, Rome, Italy • "Magnetic resonance imaging in disease of bone marrow"
June 17, 1988 University of Rome, Departmental Conference, Rome, Italy • "Pitfalls in chest radiology"
June 21,1988 University of Rome, Departmental Conference, Rome Italy • "Critical care radiology"
June 28, 1988 University of Rome, Departmental Conference, Rome, Italy • "CT of the chest wall"
July 1, 1988 L'Aquila University, Departmental Conference, L'Aquila, Italy • "Pitfalls of CT of the chest"
July 2, 1988 L'Aquila University, Departmental Conference, L'Aquila, Italy • "MR of bone marrow"
KEVIN L SULLIVAN. M.D
April 18, 1988 36th Annual Meeting of the Association of University Radiologists, New Orleans, LA • "Porcine model for the development of interventional techniques in the
MARIA M. VILARO. M.D.
November 29 - December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Intraoperative US to facilitate breast mass resection" • "Evaluation of the complimentary role of hand-held and waterpath sonomammography to x-ray mammography"
- 83 - SIMON VINITSKL PhD,
July 19-23, 1987 29th Annual Meeting of the American Association of Physicists in Medicine, Detroit, MI • "Optimization of fast gradient refocusing techniques"
November 29 - December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Variable flip angle in fast spin echo MRI"
January 20, 1988 Biomedical Institute, Drexel University • "Fast magnetic resonance imaging"
March 1-4, 1988 6th Annual Meeting of the Society of Magnetic Resonance Imaging, Boston, MA • "Sampling interval in simultaneous gradient refocusing and spin echo imaging"
YEN WANG, M.D.. D.Sc,
December 2, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL • "Tl profiles of human tissues"
February 4, 1988 Annual Meeting for the International Society of Photo-optical Instrumentation Engineers, Newport Beach, CA • "Update ACR-NEMA digital imaging and communication standards"
May 10, 1988 88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA. • "Incidence and long-term follow-up of breast calcification on mammograms"
June 16, 1988 First Scientific Meeting - Society of Digital Imaging, Management and Communication, Philadelphia, PA • "Comparison of analog and digital processed neonatal chest radiographs"
RICHARD J. WECHSLER. M.D.
November 29 - December 4, 1987 The 73rd Scientific Assembly and Annual Meeting of the Radiological Sociiety of North America, Chicago,IL • "Pathways to the scrotum: A cross-sectional analysis"
December 8, 1987 Fitzgerald Mercy Catholic Hospital, Philadelphia, PA • "Anterior cardiophrenic murmur"
- 84 - March 29, 1988 Society of Thoracic Radiology Annual Post-Graduate Course, Washington, DC • "Cross-sectional imaging of the chest wall"
May 5, 1988 The Leading Edge In Diagnostic Ultrasound, Atlantic City, NJ • "Ultrasound and CT: Detection and analysis of abdominal collection".
* * * * * * * * * * * * * * * * * * * *
- 8 5 - EXHIBITS AND POSTER PRESENTATIONS
The 6th Annual Meeting of the Society of Magnetic Resonance in Medicine, New York, NY, 1987
• " 1 S T multislice interleaved gradient echo MRI of the knee." Poster session. (Co-exhibitors: DL Burk, M Scheibler, M Dalinka, L Axel, R Lenkinski, H Kressel)
• "Optimization of hydrogen and sodium high field MRI." Poster session. (Co-exhibitors: S Vinitski , B Griffey, R Griffey , MD Rifkin , DM Mitchell, R Prost )
The 73rd Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, 1987
• "Receiver operating characteristic detectability evaluation of a filmless digital radiographic system." (Co-exhibitors: GS Shaber, JM Boone, RD Shlansky-Goldberg, C Lockard, Y Wang). Award: Honorable Mention
• "High resolution 1.5 T MR imaging of acoustic neuromas and cerebellopontine angle tumors." Poster session.(Co-exhibitors: E Kanal, H Curtin, JA Brunberg, DL Burk, RE Latchaw, GL Wolf)
• "High resolution digital mammography utilizing charged-coupled device planar array." (Co-exhibitors: G Shaber, RE Wallace, C Lockard)
36th Annual Meeting of the Association of University Radiologists, New Orleans, LA, 1988
• "Color Doppler imaging of iatrogenic femoral arterial injuries." (Co-exhibitors: V Igidbashian, DG Mitchell, L Needleman, AB Kurtz, BB Goldberg)
• "Medical audit of the clinical indications for MRI". (Co-exhibitors: VM Rao, DL Burk, C Gonzales, D Levy, M Mishkin, DG Mitchell, T Matteucci)
• "Spine abnormalities in sickle cell anemia: Correlation with number of alpha genes". (Co-exhibitors: FF Guglielmo, RM Steiner, VM Rao, S Ballas)
• "Combination digital processing for optimal chest images." (Co-exhibitors: Y Wang, ME Harried, GS Shaber, A D'Adamo, GW Gross, RM Steiner)
• "Computerized monitoring and analyzing radiology report turnaround time." (Co-Exhibitors: Y Wang, CD Lockard, GS Shaber, GH McArdle, RM Steiner, DC Levin)
• "Thoracic CT in the preoperative staging of breast carcinoma." (Co-exhibitors: DE March, RJ Wechsler, AL Rosenberg)
• "Extension of cancer along the nerve roots." (Co-exhibitors: H Doan, C Gonzalez, T Bergeron)
• "MRI visualization of thrombus in cerebral arteries." (Co-exhibitors: H Doan, A Flanders)
- 8 6 - American Academy of Neurology Meeting, Cincinnati, OH, 1988
• "Neurosonographic studies in preterm infants: Relationship of neonatal periventricular echodensities to outcome." (Co-exhibitors: LJ Graziani, FS Pidcock, ME Pasto, DG Mitchell, C Stanley, H Desai, P Branca, BB Goldberg)
Annual Meeting of the American Thoracic Society, Las Vegas, Nevada, 1988
• "Treatment of severe hemoptysis associated with pulmonary aspergilloma by percutaneous intracavitary instillation of Amphotericin-B and N-acetylcysteine." (Exhibitor: MJ Shapiro)
88th Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, 1988
• "Enhanced sonographic diagnosis of deep vein thrombosis using color Doppler imaging." (Co-exhibitors: SD Herman, DG Mitchell, L Needleman, AB Kurtz, BB Goldberg) Award: Certificate of Merit
• "Chest radiographic appearances in neonates on ECMO (extracorporeal membrane oxygenation)." (Exhibitor: GW Gross,) Award: Certificate of Merit
Annual Meeting of the Pennsylvania Radiological Society, Gettysburg, PA, 1988
• "Color Doppler imaging of iatrogenic femoral arterial injuries." (Co-exhibitors: V Igidbashian, DG Mitchell, L Needleman, AB Kurtz, BB Goldberg)
American Urological Association Meeting, Boston, MA, 1988
• "Ultrasound localization for shockwave fragmentation of renal calculi." (Co-exhibitors: DH Bagley, W Dahnert, BB Goldberg)
Audiovisual Cassette
• Sponsored by Albert Einstein College of Medicine/Montefiore Medical Center, Birmingham AL, May 1988 "Screen-film mammography" (10 Minute audio-visual cassette by Stephen A. Feig, M.D.) Practical reviews in Radiology, Vol. 14, No. 1A and 1B Educational Reviews, Inc.
- 8 7 - HONORS,. EDITORIAL ACTIVITIES, SERVICE FOR NATIONAL OR REGIONAL ORGANIZATIONS
JOSEPH BONN. M.D,
• Program Committee, Philadelphia Angiography and Interventional Radiology Society
• Reviewer, RADIOLOGY, INVESTIGATIVE RADIOLOGY
JOHN M. BOONE. PhD,
• Member AAPM Task Force In Image Intensifiers - TV Systems
• Reviewer, MEDICAL PHYSICS
ROBERT L. BREN'T. M.D. • PH.D,
• Committee Member to the Teratogen User Group of the National Library of Medicine ( by appointment)
• Third Annual Dr. Danis Lecturer, Cardinal Glennon Children's Hospital, St. Louis, Missouri
• Honorary Doctor of Science Degree from the University of Rochester, Rochester, New York
PETER N. BURNS. PH.D,
• International Perinatal Doppler Society, elected to Board of Directors
• Radiology Advisory Panel, Advanced Technology Laboratories, Inc.
• Reviewer, AMERICAN JOURNAL OF PHYSIOLOGY
• Reviewer, GASTEROENTEROLOGY
• Reviewer, IEEE TRANSACTIONS ON SONICS AND ULTRASONICS
• Reviewer, INVESTIGATIVE RADIOLOGY
• Reviewer, JOURNAL OF CLINICAL ULTRASOUND
• Reviewer, JOURNAL OF ULTRASOUND IN MEDICINE
- 8 8 - • Reviewer, MEDICAL INSTRUMENTATION
• Reviewer, RADIOLOGY
• Reviewer, ULTRASOUND IN MEDICINE AND BIOLOGY
STEPHEN A. FEIG. M.D,
Serving on the following committees under the Commission of Diagnostic Radiology of the American College of Radiology: • Committee on Breast Imaging • Committee on Professional Self-Evaluation and Continuing Education, Chairman of the Section on Breast Diseases • Committee on ACR Symposia • Committee on Systematized Refresher Courses (Co-Chairman) Faculty on Breast Disease • Breast Task Force
• Expert Witness, Mammography Section, Task Force for Standard Setting in Radiology
• American Roentgen Ray Society: Program Chairman, American Roentgen Ray Society Categorical Course on Breast Imaging, 88th Annual Meeting, San Francisco, CA
• Member, Executive Committee, Society of Breast Imaging
• Editorial Board,THE INTERNATIONAL JOURNAL OF BREAST DISEASE
• Reviewer, AMERICAN JOURNAL OF ROENTGENOLOGY
• Reviewer, INVESTIGATIVE RADIOLOGY
• Reviewer, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
• Reviewer, RADIOGRAPHICS
• Reviewer, CANCER
BENJAMIN M. GALKIN, M.S%
• Member, Publishing Policy Committee, American Institute of Physics
GEOFFREY A. GARDINER. JR.. M.D
• Consulting Editor, JOURNAL of CARDIOVASCULAR and INTERVENTIONAL RADIOLOGY
• Reviewer, RADIOLOGY, (Cardiac, Interventional and Vascular sections)
- 8 9 - BARRY B. GOLDBERG. MD,
• 42nd Annual Carman Lecturer, Greater St. Louis Society of Radiologists and the St. Louis Metropolitan Society
• Dr. Hector M. Valles Memorial Lecturer, Puerto Rico Chapter of the American College of Radiology
• President, Solomon Solis-Cohen Society
• Treasurer, World Federation for Ultrasound in Medicine and Biology
• Treasurer, International Congress on the Ultrasonic Examination of the Breast
• Chairman, Archives Committee, American Institute of Ultrasound in Medicine
• Chairman, Archives Committee, World Federation for Ultrasound in Medicine and Biology
• Co-Chairman, Audit Committee, World Federation for Ultrasound in Medicine and Biology
• Member, International Commission on Radiological Education, Radiological Society of North America
• Member, Advisory Editorial Board and International Liaison Committee, Ultrasound in Medicine and Biology
• Member, Administrative Council, World Federation for Ultrasound in Medicine and Biology
• Member, Committee on Accreditation, American College of Radiology
• Member, Commission on Ultrasound, American College of Radiology
• Member, Committee on Quality Assurance, American College of Radiology
• Member, Channel 10 Medical Advisory Board, WCAU-TV, CBS Television Stations, Philadelphia, PA
• Member, Committee on Radiology Education in the Third World, Radiological Society of North America
• Member, Awards Committee, American Institute of Ultrasound in Medicine
• Member, Executive Committee, International Association for Endosonography
• Coordinator of Ultrasonography for Topics in Radiology, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
• Associate Editor of SURGICAL ENDOSCOPY, ULTRASOUND, AND INTERVENTIONAL TECHNIQUES
• Editorial Advisory Board, CLINICS IN DIAGNOSTIC ULTRASOUND
• Editorial Advisory Board, ULTRASOUND IN MEDICINE AND BIOLOGY
- 9 0 - • Editorial Consultant, AMERICAN JOURNAL OF ROENTGENOLOGY
• Editorial Consultant, APPLIED RADIOLOGY
• Editorial Consultant, JOURNAL OF ULTRASOUND IN MEDICINE
• Editorial Consultant, RADIOLOGY
CARLOS F. GONZALES. M.D.
• Member, American Society of Neuroradiology, Committee on CT and MRI Contrast Media
ROBERT 0. CORSON. MS.
• Member of the Board of Chancellors of the American College of Medical Physics
• Treasurer, American Board of Medical Physics
• Chairman of the Awards Committee of the American College of Medical Physics
• Chairman of the History Committee of the American Association of Physicists in Medicine
• Member of the Committee on Governmental Relations, American College of Radiology
• Member of the Committee on Radiologic Units, Standards and Protection, American College of Radiology
• Representative for the RSNA, American Radium Society and American Academy of Dermatology to the National Council On Radiation Protection
• Member of the National Council on Radiation Protection, Scientific Committee No. 16 on Dental X-Ray protection
• Member of the National Council on Radiation Protection, Scientific Committee No. 9 on X-Ray and Gamma Beam Structural Shielding
• Member of the American College of Radiology Commission on Radiologic Units, Standards and Protection, Committee on Disaster Planning
• Representative of the American College of Radiology to the ANSI Medical Devices Technical Advisory Board
• Member of the Committee on Standards and Protection, Pennsylvania Radiological Society
• Member of National Council on Radiation Protection, Scientific Committee No. 44 on Medical Radiation Exposure
• Reviewer, for RADIOLOGY, MEDICAL PHYSICS and HEALTH PHYSICS
- 9 / - GEORGE W. GROSS. M.D.
• A. Edward O'Hara, M.D. Award for Excellence in Teaching
DAVID KARASICK. M.D.
• Skeletal Examiner - (Oral Boards) American Board of Radiology
• Chairman , Orthopedic-Radiology- Pathology Conference (citywide) 1987-1988
• Participant on WCAU Radio: Dr. Marty Weisberg Show 1-3 p.m.
• Book Reviewer, AMERICAN JOURNAL OF ROENTGENOLOGY
• Consulting Editor, SKELETAL RADIOLOGY
• Reviewer, AMERICAN JOURNAL OF ROENTGENOLOGY, RADIOLOGY RADIOGRAPHICS
STEPHEN
• Examiner , (Oral Boards) , Genito-Urinary Section , American Board of Radiology
• GU Exam Committee , (Written Boards) , American Board of Radiology
ALFRED B. KURTZ. M.D.
• Member, Committee on Biologic Effects of the Commission on Ultrasound, American College of Radiology
• Member, Committee on Education and Training of the Commission on Ultrasound, American College of Radiology
• Examiner, Oral Boards, Ultrasound Category, The American Board of Radiology
• Member, Education Committee of the American Institute of Ultrasound in Medicine
• Secretary, Society of Radiologists in Ultrasound
• Member, Blue Ribbon Ad Hoc Committee on Physician Certification in Ultrasound, American Institute of Ultrasound in Medicine
• Chairman, Constitution Committee, American Institute of Ultrasound in Medicine
• Member, Scientific Exhibits Committee, Radiological Society of North American
• Member, Committee on Ultrasonography, Pennsylvania Radiological Society
• Chairman, Program Committee, Greater Delaware Valley Ultrasound Society
- 92 - • Member, Membership Committee, Greater Delaware Valley Ultrasound Society
• Member, Program Committee, Philadelphia Roentgen Ray Society
• Member, Ultrasound Manuscript Reviewer RADIOLOGY
• Member, Manuscript Review Panel, AMERICAN JOURNAL OF ROENTGENOLOGY
• Member, Editorial Board, JOURNAL OF ULTRASOUND IN MEDICINE
• Reviewer, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
DAVID C. LEVIN. M.D,
• Executive Committee, Association of University Radiologists
• Director-at-Large, North American Society for Cardiac Radiology
• Program Committee, Radiological Society of North America
• Scientific Advisor, RSNA Research and Education Fund, Radiological Society of North America
• Cardiac Radiology Task Force, American College of Radiology
• Vice-Chairman of the Council on Cardiovascular Radiology, American Heart Association
• Board of Trustees, Society for Cardiac Angiography
• Scientific Program Committee, Association of University Radiologists
• Ethics Committee, Society of Cardiovascular and Interventional Radiology
• Training Programs Committee, Society of Cardiovascular and Interventional Radiology
• Associate Editor, RADIOLOGY
• Board of Editors, INVESTIGATIVE RADIOLOGY
• Associate Editor, CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
• Reviewer, AMERICAN JOURNAL OF ROENTGENOLOGY, (Cardiac, Interventional and Vascular Radiology)
• Editorial Board, AMERICAN JOURNAL OF CARDIAC IMAGING
• Reviewer, NEW ENGLAND JOURNAL OF MEDICINE
- 93 - ESMOND MAN', M.D.
• Treasurer, Philadelphia Roentgen Ray Society
• Chairman, Membership Committee, Pennsylvania Radiological Society
• Alternate Counselor, American College of Radiology
• Consultant, Radiologic Devices Panel, Center for Devices and Radiologic Health Food and Drug Administration
• Member, American College of Radiology-Relative Value Scale Project Subpanel Executive Committee Inter-Society Commission
• Member, Committee on Manpower, American College of Radiology
MARK M. MISHKIN. M.D.
• Member, Board of Chancellors , American College of Radiology
• Chairman, Commission on Human Resources, American College of Radiology
• Chairman, Committee on Fellowship Credential , American College of Radiology
• Chairman, Neuroradiology Section Written Examination, American College of Radiology
• Treasurer and Member, Executive Committee, Eastern Radiological Society
• Chairman, Committee on Drugs and Contrast Media, American College of Radiology
• Board of Trustees, American Registry of Pathology
• Member, Board of Trustees, American College of Radiology Foundation
• Member, Committee on Radiologic Units Standards and Protection - American College of Radiology
• Member, Board of Trustees, American College of Radiology Institute
• Member, Committee on Continuing Education of Post Graduate Education, American College of Radiology
• Reviewer, CANCER
- 94 - DONALD G. MITCHELL, M.D
• Certificate of Merit Award, "Enhanced Sonographic Diagnosis of Deep Vein Thrombosis using Color Doppler Imaging. Scientific Exhibit at The American Roentgen Ray Society, 1988. (Co-exhibitors: SD Herman, DG Mitchell, L Needleman, A Kurtz, B Goldberg)
• Reviewer of abstracts for Scientific Papers and Works in Progress, Society for Magnetic Resonance Imaging, 6th Annual Meeting
• 1987 Editor's Recognition Award with Distinction. For review of RADIOLOGY Manuscripts
• Reviewer, OBSTETRICS AND GYNECOLOGY
LAURENCE NEEDLEMAN. M.D
• Member, Small Parts Review Committee, 1988, World Federation for Ultrasound in Medicine and Biology Meeting
• Member , Board of Directors, Joint Review Committee on Education in Cardiovascular Technology (representative of the American College of Radiology)
• Member, Abdominal Doppler Review Committee, 1988, World Federation for Ultrasound in Medicine and Biology Meeting
• 1987 Editor's Recognition Award with Special Distinction from RADIOLOGY
• Occasional Reviewer, ANNALS OF INTERNAL MEDICINE
• Journal Reviewer, RADIOLOGY
REBECCA G. PENNELL, M.D
• Member, American College of Radiology
VIJAY M. RAO, M.D.
• Member, Graduate Course Committee, Blue Ribbon Society, A Chapter of the Philadelphia Roentgen Ray Society
MATTHEW D. RIFKIN. M.D.
• Radiological Society of North America- Member, Refresher (Categorical Course) Committee
• American Institute of Ultrasound in Medicine: Site Surveyor - The Joint Review Committee on Education in Diagnostic Medical Sonography
• Delaware Valley Magnetic Resonance Imaging Society - President
- 9 5 - • Delaware Valley Magnetic Resonance Imaging Society - Executive Committee
• Editorial Board, JOURNAL OF ULTRASOUND IN MEDICINE
• Editorial Board, URORADIOLOGY
• Reviewer, RADIOLOGY
• Reviewer, AMERICAN JOURNAL OF ROENTGENOLOGY
• Reviewer, INVESTIGATIVE RADIOLOGY
• Reviewer, JOURNAL OF ULTRASOUND IN MEDICINE
• Reviewer, JOURNAL OF CLINICAL ULTRASOUND
GARY S. SHABER, M.D,
• Honorable Mention Award, "Receiver Operating Characteristic Detectability Evaluation of a Filmless Digital Radiographic System." Scientific Exhibit at the 73rd Scientific Assembly and Annual Meeting of the radiological Society of North America, 1987. (co-exhibitors: GS Shaber, JM Boone, RD Shlansky-Goldberg, C. Lockard. Y Wang)
• Honorable Mention Award:,"High resolution digital mammography utilizing charge-coupled device planar array". Scientific exhibit at the Annual Meeting of the Radiological Society of North America, 1987. (Co-exhibitors: GS Shaber, RE Wallace, RE Nerlinger, C. Lockard)
MARCELLE J. SHAPIRO. M.D.
• Programming Committee, Philadelphia Angiography-Interventional Radiology Society
• Reviewer , AMERICAN JOURNAL OF ROENTGENOLOGY (Cardiovascular-Interventional Radiology Section)
ROBERT M. STEINER, M.D
• Program Chairman, North American Society of Cardiac Radiology
• Member, Program Committee, Scientific Exhibits Committee, and Committee on Diagnostic Radiology, Pennsylvania Radiological Society
• Member, Scientific Exhibits Committee, Radiological Society of North America,
• Member, Fellowship Training Committee, Society of Thoracic Radiology
• Editorial Board, AMERICAN JOURNAL OF CARDIAC IMAGING
• Editorial Board, HEART AND VESSEL
- 9 6 - • Abstracter and Reviewer, RADIOLOGY
• Reviewer, AMERICAN JOURNAL OF ROENTGENOLOGY
• Editor, RADIOLOGY REPORTS
• Advisory Panel, CRITICAL REVIEWS IN DIAGNOSTIC IMAGING
YEN WANG, M.D
• Chairman, Validation and Implementation Committee, ACR-NEMA Digital Imaging And Communication Standard
• Chairman, American College of Radiology, Digital Radiographic Committee
• Member, ACR-NEMA Digital Imaging And Communication Standards Committee
• Member, ACR-NEMA. RIS/IHS/PACS Committee
• Organizer, Society of Digital Imaging, Management, and Communication and of its 1st Scientific Meeting.
• Editor, CRITICAL REVIEWS IN DIAGNOSTIC IMAGING
• Editorial Reviewer, AMERICAN JOURNAL OF ROENTGENOLOGY
RICHARD J. WECHSLER . M.D.
• Program Committee of Philadelphia Roentgen Ray Society
- 9 7 - ADDENDUM
Office of Radiation Safety
1987 Annual Report
- 98- TABLE OF CONTENTS
Page
I. Personnel Monitoring Program (ALARA) 2-3
II. Radioisotope Statistics 3
Receipt 3
Disposal 3
Inventory Control 3-4
III. Radioisotope Laboratory Survey Program 5
IV. Bioassays 5
Thyroid Uptakes and Urinalysis 5
V. Air Sampling 5
VI. Interactions with the Nuclear Regulatory Commission 5
Misadministrations 5
New NRC License (Cs-137 Animal Irradiator) 6
License Amendment 6
License Renewal 6
VII. X-ray Survey Program 6
VIII. Microwave and Electron Microicope Survey Program 6
IX. New Construction Consultation 6
X. Teaching 6-7
XI. Research 7
Grant 7
XII. Honors 7
XIII. Publications 7
XIV. New Institutional Radioisotope Licenses 8-9 I. SUMMARY OF PERSONNEL MONITORING PROGRAM FOR 1987
ALARA EVALUATION
1987 ANNUAL DOSE RANGES NUMBER OF PERSONS (in rems) Body Hand Eye Other No measurable exposure 480 105 10 1 wrist
0.010 - 0.100 807 31 1 7 collar
0.101 - 0.250 175 8 1 2 collar
0.251 - 0.500 30 11 1 4 collar 0.501 - 0.750 12 8 - 5 collar
0.751 - 1.000 1 5 - 1 collar
1.001 - 2.000 - 7 - 5 collar 2.450 1 collar 3.020 1 4.080 1 4.190 1 leg 4.440 1 collar 5.210 1 collar 6.220 1 7.720 1 collar 11.350 1 leg 12.300 1 leg TOTALS 1,505 178 13 28 collar 1 wrist 3 leg
Whole Body Monitoring Nineteen-thousand, five hundred and forty-eight radiation dosimeters (film badges, ring badges etc.) were issued during calendar 1987 to monitor 1,505 persons who, by the nature of their duties, were oc- cupationally exposed to x-radiation, gamma radiation, and/or energetic beta radiation. This represents a 60.9% increase over 1986 in the use of personnel monitors. Of the 1,505 persons who were monitored ap- proximately 75% were from clinical departments and 25% were from basic science departments. Thirty-two percent of those monitored for whole body exposure received no measurable exposure. Over 99.9 percent received less than 10% of the maximum Remissible whole body dose (MPD). Only one person reacEed 15% of the MPD. 2 Hand Monitoring Of the 1,505 persons monitored for whole body exposure 178 were also monitored for possible exposure to the hands. These people routinely handled milliCurie amounts of gamma emitting radionuclides, energetic beta emitters (P-32) or else routinely performed special x-ray studies. All received less than 9% of the MPD (for hands).
Eye-Head Monitoring
Thirteen physicians who routinely performed special x-ray studies were also monitored for possible exposure to the eyes. None exceeded 10% of the MPD.
II. RADIOISOTOPE STATISTICS FOR 1987
Receipt
The amount of radioactivity received during 1987 was 566.53 Curies compared with 568.73 Curies in 1986, a 1% decrease from 1986. Over 95% of the radioisotopes was for the clinical Nuclear Medicine and Radia- tion Therapy programs.
Disposal (Commercial) During 1987 there was more use of in-house "decay-to-background" disposal of radioactivity resulting in less use of outside commercial services. Compared with 1986 commercial disposal was up by 41% in terms of radioactivity (582 mCi vs. 412 mCi), and down 29% in terms of volume (1050 gallons vs. 1463 gallons). The latter is important since commercial disposal fees are based on volume.
Inventory Control Report
Page 4 contains summary reports of the receipt, disposal and transfer of radioactive materials for calendar 1987.
3 Radioisotope Inventory Control Report Receipt Isotope Amount (mCi) H-3 609.87 C-14 108.69 P-32 331.18 S-35 119.02 Ca-45 2.00 Cr-51 70.15 Co-57 0.15 Fe-59 2.07 Ga-67 1,671.49 Mo-99 215,280.00 Tc-99m 312,248.30 In-111 110.65 1-125 3,021.88 1-131 2,706.29 Xe-133 15,446.74 Ir-192 11,969.30 Au-198 100.00 T1-201 2,729.41 TOTAL 566,527.19
Disposal (in approximate milliCuries)
Isotope via sewer system commercial source released to atmosphere H-3 205.709 331.419 C-14 37.005 61.904 P-32 72.658 28.190 S-35 37.450 50.310 Ca-45 0.035 — Cr-51 13.931 -- Co-57 0.088 0.089 Fe-59 0.183 0.104 1-125 103.952 110.041 0.250 1-131 0.100 Xe-133 -- -- 1156.9* TOTAL 471.111 582.057 1157.15 Estimated loss to atmosphere during clinical use Transfer (outside Jefferson) Isotope Activity (in milliCuries)
H-3 0.080 (to other researchers) S-35 0.015 (to other researchers) 1-125 0.200 (to other researchers) Ir-192 6,964.800 (returned to vendor)
4 III. RADIOISOTOPE LABORATORY SURVEY PROGRAM
During 1987 personnel from the Radiation Safety Office conducted 575 inspections of Jefferson's radioisotope laboratories. This represents an increase of 3.3% over the previous year.
IV. BIOASSAYS
Thyroid Monitoring Program
During 1987, the Radiation Safety staff performed 49 thyroid counting procedures on 16 individuals who could have been exposed to radio- iodine during the course of their work. The results from these procedures indicate that all of these individuals received little or no thyroid dose. All thyroid doses were well below maximum permis- sible limits of 15 rem/yr. Results of the monitoring program are summarized below:
Range of Thyroid Dose Commitment to Each Individual for 1987 Number of Individuals
0.01 rem or less 8 >0.01 to 0.09 rem 5 >0.09 to 0.17 rem 3 >0.17 rem 0
Urinalysis for Tritium
In addition to the urinalyses performed under the supervision of individual licensees, the Office of Radiation Safety performed 1 urinalysis for tritium on 1 individual who handled bulk quantities of tritium (>10 mCi). The measured body burden of tritium was less than 1.0% of permissible limits. Total body dose commitment was estimated to be less than 1 mrem.
V. AIR SAMPLING
Air samples were collected during 26 iodine labelling experiments and 8 iodine therapy drinks, to quantitate the airborne release of radioactivity to controlled and uncontrolled areas. The results indicate that average yearly air borne concentrations were well below permissible limits.
VI. INTERACTION WITH THE U.S. NUCLEAR REGULATORY COMMISSION
Misadministrations of Radioactive Materials
Three diagnostic misadministrations occurred during 1987. All were reported to the NRC as required by regulations, and to the University Radiation Safety Committee. Corrective actions were taken in each instance.
Page 5 New NRC License (Cs-137 Animal Irradiator) License *37-00148-07
An application for use of a 4-5 kilocurie Cs-137 animal irradiator was filed with the NRC in May 1987. The license was issued in September 1987. The unit is located in the Department of Radiation Therapy and Nuclear Medicine and is under the supervision of Dr. Mansfield.
Byproduct Material License Amendment
A request to amend our Radioactive Materials License was filed in March 1987. The amendment was issued in November 1987.
License Renewal
An application to renew the Universities Broad Byproduct Material License was filed in December 1987. The application is still pending.
VII. X-RAY SURVEY PROGRAM
The radiation safety survey program for x-ray equipment in the Medical College, College of Allied Health Sciences and Hospital continued on a regularly scheduled basis throughout the year. These surveys were conducted by or under the supervision of the Medical Physics Division or the Office of Radiation Safety.
VIII. MICROWAVE EQUIPMENT AND ELECTRON MICROSCOPES
The Office of Radiation Safety has an on-going program to check microwave units and electron microscopes.
IX. NEW CONSTRUCTION
Prof. Galkin in consultation with Mr. George McArdle of the Department of Radiology provided the radiation shielding specifications for several new x-ray rooms in the hospital. He also inspected the installation of the shielding during construction.
X. TEACHING
Radiation Safety Indoctrination Sessions
Mr. John Keklak conducted six (6) bi-monthly sessions for isotope users
6 to acquaint them with radiation safety practices and policies at Jefferson. Nine new isotope data and license condition forms were prepared by the Radiation Safety Staff.
Resident and Staff Training
Prof. Benjamin Galkin conducted a 20 hour physics review course for radiology residents preparing to take the American Board of Radiology examination. He also presented 12 hours of radiation safety lectures to first and second year radiology residents.
Numerous other one-on-one and small group sessions were held with the staff from nursing services, cardiac catheterization, radiation therapy, radiology, nuclear medicine, etc.
XI. RESEARCH
Prof. Galkin was the P.I. on a one year NIH grant that expired 9/27/87. The co-investigator was Dr. Stephen Feig, Professor of Radiology. Amount: $34,374 direct and indirect cost. He is also P.I. on two additional grant applications submitted to NIH. The co-investigator is Dr. Feig.
XII. HONORS
Mr. John Keklak was recertified by the American Board of Health Physics through 1991.
XIII. Publications
Prof. Galkin was the principal author on 3 publications and co-author with Dr. Feig on 2 additional publications.
7 XIV. INSTITUTIONAL RADIOISOTOPE LICENSES ISSUED DURING 1987
Licensee & Possession Department Isotope Limit Purpose
T. Bjornsson H-3 100 mCi Plasma protein binding of Pharmacology C-14 50 mCi drugs, enzyme activity and P-32 10 mCi cell proliferation assays, S-35 10 mCi autoradiography. 1-125 10 mCi Cs-137 Sealed Source M. Chu H-3 15 mCi Biochemical experiments: Biochemistry C-14 5 mCi radiolabelling of protein P-32 10 mCi and nucleic acids. S-35 15 mCi 1-125 5 mCi
E. Tan H-3 40 mCi H-3 proline will be used Pathology S-35 30 mCi to label amino acids in collagenous proteins in cell culture. H-3 glucos- amine and S-35 to be used carbohydrate residues in protoglycans and glycos- aminoglycans. M. Denison H- 3 40 mCi Radioactive materials will Microbiology C-14 1 mCi be used in basic research S-35 10 mCi as metabolic precursors studying the replication of viruses in tissue culture or translation of viral RNA in vitro or in vivo (cell cultures).
R. Knowlton P-32 10 mCi Labeling DNA or RNA probes Biochemistry S-35 5 mCi for in vitro hybridization experiments. Labeling DNA for sequensing.
A. Epple H-3 5 mCi Radioenzymatically determine Anatomy the blood and tissue titers of catecholamines (dopamine, norepinephrine, epinephrine, octopamine). In vitro use of radioisotopes only. C. Stubbs H-3 10 mCi Metabolic studies in isolated Pathology C-14 10 mCi cellular systems. P-32 10 mCi
8 M. Shy P-32 2 mCi Prepare nick translated or Neurology primer extended probes for hybridization.
R. Korngold H-3 5 mCi To determine cellular pro- Microbiology Cr-51 20 mCi liferation upon stimulation by incorporation of H-3 thymidine mixed lymphocyte reactions. Label target cells for release cytotoxicity assays.
J.Hoek H-3 10 mCi In vitro experiments with Pathology C-14 10 mCi biological samples pre- P-32 10 mCi pared from rats, rabbits S-35 5 mCi and mice. Ca-45 5 mCi Rb-86 2 mCi 1-125 5 mCi
J. Ditto H-3 25 mCi Nick translation of DNA, DNA Dermatology C-14 5 mCi sequencing reactions, in P-32 10 mCi vitro labeling of cell S-35 10 mCi cultures, enzyme assays, pro- tein labeling.
There were 93 licensees at the end of 1986.
9