underwater medical mission uses radiology telementoring

DECEM B ER 2004 ■ VO LU M E 14, NUMBER 12

Underwater Medical Mission UsesRadiology Telementoring

Also Inside:■ Radiology Should Assume Leadership Role in Cardiac Imaging, Experts Say■ Radiologists Can Help Patients Avoid Triggering Security Detectors■ RSNA Visiting Professors Share Experiences with Argentine Radiologists■ Private Practice Radiation Oncologist Promotes Strong Research Base■ iPod Helps Radiologists Manage Medical Images

Discounts o

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DECEM B ER 2004

1 People in the News2 Announcements

Feature Articles 4 Radiology Should Assume Leadership Role

in Cardiac Imaging, Experts Say6 Radiologists Can Help Patients Avoid Triggering

Security Detectors8 RSNA Visiting Professors Share Experiences

with Argentine Radiologists10 iPod Helps Radiologists Manage Medical Images 12 Underwater Medical Mission Uses Radiology

Telementoring

15 Publisher Partners

Funding Radiology’s Future22 Private Practice Radiation Oncologist Promotes

Strong Research Base 23 R&E Foundation Donors

19 Journal Highlights20 Radiology in Public Focus21 RSNA: Working for You24 Program and Grant Announcements25 Product News25 Meeting Watch27 Exhibitor News28 RSNA.org

E D I T O RSusan D. Wall, M.D.

D E P U T Y E D I T O RBruce L. McClennan, M.D.

C O N T R I B U T I N G E D I T O RRobert E. Campbell, M.D.

M A N A G I N G E D I T O RNatalie Olinger Boden

E X E C U T I V E E D I T O RJoseph Taylor

E D I T O R I A L A D V I S O R SDave Fellers, C.A.E.

Executive Director

Roberta E. Arnold, M.A., M.H.P.E.Assistant Executive DirectorPublications and Communications

E D I T O R I A L B O A R DSusan D. Wall, M.D.

Chair

Bruce L. McClennan, M.D.Vice-Chair

Lawrence W. Bassett, M.D.Richard H. Cohan, M.D.David S. Hartman, M.D.Richard T. Hoppe, M.D.William T.C. Yuh, M.D., M.S.E.E.Hedvig Hricak, M.D., Ph.D.

Board Liaison

C O N T R I B U T I N G W R I T E R SJoan DrummondAmy Jenkins, M.S.C.Mary E. NovakMarilyn Idelman SoglinLydia Steck, M.S.

G R A P H I C D E S I G N E RAdam Indyk

W E B M A S T E R SJames GeorgiKen Schulze

2 0 0 4 R S N A B O A R D O F D I R E C T O R SRobert R. Hattery, M.D.

Chairman

R. Gilbert Jost, M.D.Liaison for Annual Meeting and Technology

Theresa C. McLoud, M.D.Liaison for Education

Gary J. Becker, M.D.Liaison for Science

Hedvig Hricak, M.D., Ph.D.Liaison for Publications and Communications

Burton P. Drayer, M.D.Liaison-designate for Annual Meeting andTechnology

Brian C. Lentle, M.D.President

David H. Hussey, M.D.President-elect

RSNA NewsDecember 2004 • Volume 14, Number 12

Published monthly by the Radiological Societyof North America, Inc., at 820 Jorie Blvd., Oak Brook, IL 60523-2251. Printed in the USA.

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1R S N A N E W SR S N A N E W S . O R G

Som ReceivesASHNR GoldMedalThe American Societyof Head and Neck Radi-ology (ASHNR) hasawarded its 2004 goldmedal to Peter M. Som,M.D., a professor ofradiology, otolaryngol-ogy and radiation oncol-ogy at Mount Sinai Hospital in New York City.

Dr. Som, recognized as one of the world’sforemost head and neck radiologists, is a found-ing member of ASHNR.

Two Radiology Residents HonoredJulia J. Choo, M.D., and StephanieH. Swope, M.D., have been awardedthe inaugural Steven M. Pinsky,M.D., Resident Research Awards.

Presented by the Illinois Radio-logical Society (IRS) at its annualmeeting in September, the award isdesigned to encourage radiology andradiation oncology members-in-train-ing to do research, to enhance theiracademic careers and to promote an

inter-institutional exchange of infor-mation.

Dr. Choo is a radiation oncologyresident at Rush University MedicalCenter in Chicago. Dr. Swope is adiagnostic radiology resident atSouthern Illinois University Hospi-tals in Springfield.

A committed educator and formerIRS president, Dr. Pinsky died lastApril.

Fritzsche Calls for Involvement

2003 RSNA President Peggy J.Fritzsche, M.D., is calling on her med-ical colleagues to get involved in poli-tics to help protect patients and themedical profession.

In a cover story in the Septemberissue of Southern California Physician,Dr. Fritzsche said: “I have observedfirsthand, on visits to legislators’ localoffices and to Sacramento, the impor-

tance of educating our legis-lators on issues related tomedicine. They honestly donot understand our viewunless we make the effort toinform them.”

Dr. Fritzsche sits on theexecutive committee of the CaliforniaMedical Association (CMA) PoliticalAction Committee, is the RSNA

delegate to theAmerican MedicalAssociation, and isa member of theKey Contact Pro-gram for CMA andfor the American

College of Radiology.To read the article, go to

www.socalphys.com/sep04/feature1.pdf.

Peter M. Som, M.D.

Julia J. Choo, M.D. Stephanie H. Swope,M.D.

PEOPLE IN THE NEWS

Michael W. Vannier, M.D., a pio-neer in the collection and presenta-tion of medical images, has beenappointed professor of radiology atthe University of Chicago.

A member of the NASA/U.S.Space Foundation Hall of Fame,Dr. Vannier was previously a pro-

fessor of radiology and industrialengineering at the University ofIowa.

He holds six image-processingpatents, including one for amethod of gastrointestinal tractunraveling and two for computer-based upper-extremity evaluation.

Vannier Earns Faculty Post at University of Chicago

Robert F. Phlegar, M.D., has lefthis post as chief of radiology atErlanger Medical Center in Chat-tanooga, Tenn., and as presidentand CEO of Associates in Diag-nostic Radiology (ADR).

“For the last four years I havebeen going to meetings early inthe mornings and at night. Now Iwill be spending more time withmy family,” said Dr. Phlegar, whorecently turned 61.

Phlegar Steps Down at Erlanger, ADR

Send your submissions for People in the News to [email protected], (630) 571-7837 fax, or RSNA News, 820 Jorie Blvd., OakBrook, IL 60523. Please include your full name and telephone number. You may also include a non-returnable color photo, 3x5 or

larger, or electronic photo in high-resolution (300 dpi or higher) TIFF or JPEG format (not embedded in a document). RSNA News maintains the right toaccept information for print based on membership status, newsworthiness and available print space.

(as of 12/1/04)

2 R S N A N E W S D E C E M B E R 2 0 0 4

NIH Awards 1,400 New Student Loan RepaymentContractsIn fiscal year 2004, the National Insti-tutes of Health (NIH) awarded studentloan repayment contracts, totaling nearly$68 million to more than 1,400 healthresearchers.

More than half of the awards were toresearchers who completed their doctoraldegrees within the past five years. Inaddition, more than 40 percent of theawardees hold M.D. degrees, 34 percenthold Ph.D. degrees, nine percent M.D.,Ph.D. degrees, and seven percent otherdoctoral degrees.

For more information, go towww.lrp.nih.gov.

The National Cancer Institute (NCI) isproviding $14.9 million in funding fora new Integrative Cancer Biology Pro-gram (ICBP).

ICBP is a unique initiativedesigned to gain new insights into thedevelopment and progression of cancerthrough a systems-wide approach. Themulti-disciplinary effort will incorpo-rate new technologies such asgenomics, proteomics and molecularimaging to generate computer andmathematical models that could predictthe cancer process.

Nine ICBP centers will serve astraining and outreach programs,enabling developing technologies to be

communicated to other scientists in thecancer research community. The ICBPcenters also will interact and collabo-rate with other NCI programs andexternal groups. NCI’s Cancer Bio-medical Information Grid (caBIG,cabig.nci.nih.gov) program will coordi-nate all the bioinformatics softwareneeded by the ICBP as part of caBIG’songoing effort to simplify and integratethe sharing and usage of data by pro-viding access to NCI’s cancer researchcommunities.

Fore more information on this proj-ect, go to www.nih.gov/news/pr/oct2004/nci-26.htm.

NCI Launches New Integrative Cancer Biology Program

Van Houten to Head UMass RadiologyFrancis X. Van Houten, M.D., is thenew director of radiology services forthe Memorial and Hahnemann Cam-puses of the University of Massachu-setts Memorial Medical Center.

Dr. Van Houten is also an associ-ate professor of clinical radiology atthe University of MassachusettsMedical School.

Francis X. Van Houten,M.D.

ANNOUNCEMENTS

PEOPLE IN THE NEWS

John Becomes First FemaleUT ChairSusan D. John, M.D., has beennamed the John S. Dunn Sr. Distin-guished Chair of Radiology at theUniversity of Texas Houston MedicalSchool. Her appointment makes herthe first female chair in the history ofthe medical school.

Dr. John is also the chief of pediatric radiology for MemorialHermann Hospital in Houston.

Susan D. John, M.D.

RSNA MembershipApproaches 37,000


DR. GOLDBERG has been an influential and respectededucator and mentor for more than 30 years. He hasearned numerous teaching awards from the Univer-

sity of California, San Francisco (UCSF) School of Medi-cine, including “Teacher of the Year” and several clinicalteaching awards.

Former residents and fellows strongly credit Dr. Gold-berg for enhancing their educational experiences, andmany former medical students have cited Dr. Goldberg asthe influencing factor for their decision to pursue careers inradiology. His teaching methods and curricula develop-ment are innovative and effective. One former residentrecalls Dr. Goldberg using a Japanese kite to explain thewindsock sign seen in duodenal diverticulum, “He showedme how to describe this case as a case report and that aca-demic writing can be fun.”

Dr. Goldberg’s CD-ROM, “Introduction to ClinicalImaging,” and his Radiology 100 syllabus are examples ofenduring educational materials that have been widely usedat his institution and at several other medical schools in thecountry. Additionally, he has authored at least 160 originalreports, 51 chapters and four electronic publications.

A leader in medical education at both the undergradu-ate and continuing medical education levels, Dr. Goldbergcurrently serves as director of the Radiology LearningCenter at the UCSF School of Medicine and has beendirector of all medical student radiology teaching since1994.

He is a founding member and past-president of theAlliance of Medical Student Educators in Radiology, and isa charter member of the Haile T. Debas Academy of Med-ical Educators at UCSF—an honor society and serviceorganization to promote excellence in teaching, to fosterinnovation in the medical school curriculum and to supportand reward outstanding teachers. He is one of only threeradiologists who are surveyors for the Accreditation Coun-cil for Continuing Medical Education.

DR. LARSON IS one of the world’s foremost experts intargeted radiotherapy and molecular imaging. Hisresearch, which spans three decades, has resulted in

many novel findings especially in understanding cancer.Using carbon-14 labeled media and a sensitive radiodetec-tor system, Dr. Larson was able to rapidly identify bacterialand cell growth, a technology that is used widely today fordetecting mycobacterium tuberculosis.

Dr. Larson has successfully tackled the problems ofantibody production, radiolabeling, humanization of theantibody, minimizing host immune response and develop-ing methodologies to quantify response. His research indetection of colorectal cancer has been successfully appliedin the treatment of patients with advanced tumors.

He also has made significant contributions to theadvancement of positron emission tomography (PET) as aclinical tool for oncology. He was recruited to the NationalInstitutes of Health (NIH) in 1983, in part to establish astate-of-the-art PET center for NIH researchers. His successin this endeavor led to an NIH Directors Medal in 1987 forhim and his colleagues.

While conducting cutting-edge research in targetedtherapy and related molecular imaging, Dr. Larson contin-ues to be heavily involved in teaching, administration andclinical care. Dr. Larson currently serves as chief of thenuclear medicine service at Memorial Sloan-Kettering Can-cer Center (MSKCC), director of radiology research anddirector of the PET Center at MSKCC. He is also a profes-sor of radiology at Cornell University Medical College.

Dr. Larson has authored or co-authored 430 manu-scripts in major peer-reviewed journals, including Science,Nature Medicine, Nature Biotechnology, Radiology, TheNew England Journal of Medicine, and Journal of NuclearMedicine.

He has also served on several governmental advisorycommittees and study sections at NIH, the Department ofEnergy and the U.S. Food and Drug Administration (FDA).

2004 RSNA

Outstanding Educator and Outstanding ResearcherAt RSNA 2004, the Society honored two individuals for their commitment to educationor research. ■■ The 2004 RSNA OutstandingEducator award was presented to Henry I.Goldberg, M.D. The 2004 RSNA OutstandingResearcher was Steven M. Larson, M.D.

Henry I. Goldberg, M.D. Steven M. Larson, M.D.

ANNOUNCEMENTS


EXTRAORDINARY technologicaladvancements and increasing inter-est in cardiac imaging present a

unique opportunity for radiologists. Arethey prepared for the challenge?

“Radiologists are as prepared ascardiologists for CT studies of coronarycalcium and for coronary angiograms.Radiologists must simply learn aboutcholesterol, Framingham risk score, andthe National Cholesterol Education Pro-tection Guidelines APT III,” saysMelvin E. Clouse, M.D., vice-chairmanand director of research at Beth IsraelDeaconess Medical Center and profes-sor of radiology at Harvard MedicalSchool. Dr. Clouse was a panelist dur-ing a focus session on cardiac imagingat RSNA 2004.

“Radiologists need to study andapply what we’ve learned in practice.The technology and the patients arehere,” he says.

The session, “Cardiac Imaging inthe 21st Century: Is Radiology Readyfor Prime Time?,” was moderated byMartin J. Lipton, M.D.

“Interest in cardiac imaging hasaccelerated over the last few yearsbecause of scanners that are now ableto provide high-speed, ECG-gatedimages of good diag-nostic quality,” saysDr. Lipton, a profes-sor of radiology atBrigham andWomen’s Hospital inBoston.

In the past, radiologists wereinvolved in cardiac imaging but timeshave changed. “In the last two to threedecades, cardiologists have takenresponsibility for nearly all of the car-diac imaging, including angiocardiogra-

phy, echocardiography andat least half of nuclear med-icine exams. These are theestablished diagnosticimaging tools for patientmanagement,” says Dr. Lip-ton, who is educated in bothcardiology and radiology.

Now that cardiac CTand MR imaging are feasi-ble, Dr. Lipton suggestsradiology departmentsbecome vigorouslyinvolved. “This is a veryserious issue for radiology,”he says. “Cardiac imagingis an enormous field andwill continue to grow.”

Incidents such as formerPresident Clinton’s heartsurgery bring a heightenedawareness to the detectionof subclinical disease incompletely asymptomaticindividuals or those withminor symptoms previouslythought not to be life threat-ening.

“New technologies are largelyfocused on the evaluation of very early

disease before peo-ple have heartattacks and strokes.Good examples ofthat are evaluationsof coronary arterydisease using MRangiography depict-ing plaque to iden-

tify the buildup of atheroscleroticlesions,” adds focus session panelistDavid Bluemke, M.D., Ph.D.

Hot Topics in Cardiac ImagingCardiac CT is not just a hot topic in

cardiac imaging, it is also one of thehottest topics in medicine. Cardiac CTallows the entire heart to be scanned inapproximately 10 to 15 seconds with abolus injection of contrast material,which generates remarkable images ofthe coronary anatomy. Radiologists canexamine cardiac function and coronaryartery plaque while assessing cardiacstructure for other diseases.

“It’s a unique exam,” says focussession panelist Thomas J. Brady, M.D.,director of the cardiac MR/CT programat Massachusetts General Hospital andthe Robbins Professor of Radiology atHarvard Medical School. “Cardiologistsat Massachusetts General have usedcardiac CT extensively and have signif-icantly altered management of patients

Radiology Should Assume LeadershipRole in Cardiac Imaging, Experts Say

This is a very serious issue

for radiology. Cardiac imaging

is an enormous field and will

continue to grow.

Martin J. Lipton, M.D.

RSNA HOT TOPIC

Melvin E. Clouse, M.D. Martin J. Lipton, M.D.

David Bluemke, M.D.,Ph.D.

Thomas J. Brady, M.D.

with coronary artery disease. They pre-dict cardiac CT will replace diagnosticcoronary angiography in the next sev-eral years. I believe that in the right sit-uation with the right patient population,we can actually get patients to thecatheter lab earlier and perhaps savemore lives.”

Another hot area is cardiac MRimaging. “It is in prime time right now,especially in the areas such as the eval-uation of left and right ventricle func-tion and myocardial viability,” says Dr.Bluemke, an associate professor andclinical director of MRI at the JohnsHopkins Medical School in Baltimore,Md. “In the future, I believe that theseMR imaging applications will be cen-tral within the realm of patient manage-ment for coronary disease.”

Heart imaging is highly complex.Currently, 3D imaging of the heart canbe performed within a breath hold. Leftventricle function can be rapidly deter-mined and areas of myocardial viabilitycan be established during one or morebreath holds, avoiding more compli-cated diagnostic procedures.

In a very short period of time, via-bility imaging has become the goldstandard for assessing myocardial via-bility using standard MR imaging con-trast agents. Dr. Bluemke predicts thatother novel approaches, such as MRassessment of unstable plaque, are soonto be developed and evaluated. “MR isthe best noninvasive method for identi-fying substructure within atheroscle-rotic plaque and has been used to showregression of plaque after statin ther-apy,” he says.

Contrast materials used in cardiacMR imaging are also being improvedand used in novel ways. Dr. Bluemkesays that the latest generation ofintravascular contrast agents for MRimaging provides prolonged imagingperiods of 10 to 15 minutes allowingmuch higher potential resolution of vas-cular detail, while existing contrastagents are being used to evaluate stemcell therapy of myocardial infarctionand cardiomyopathy.

Calcium Scoring The coronary calcium score is also acontroversial topic in cardiac imaging.Previously, it was thought that variabil-ity and reproducibility made the scoreunreliable. Dr. Clouse says this technol-ogy has now been validated for bothelectron beam and multidetector CT.

“The reproducibility and variabilityare such that radiologists should beginusing it to detect early or asymptomaticdisease so that patients can be treated toprevent progression,” says Dr. Clouse,adding that the negative predictivevalue of a zero calcium score is approx-imately 97 percent.

He says total plaque burden is themost important predictor for futuremyocardial events. “Recently publishedresearch in The Journal of the AmericanMedical Association indicates that thecalcium score is additive to the Fram-ingham risk score—the gold standardfor predicting future myocardial

events,” says Dr. Clouse. “This provesthe calcium score is an important pre-dictor for future myocardial events. Ithink it should be used in those patientsthat are at intermediate and high risk.”

Educating Residents in Cardiac ImagingMajor issues facing chairs of radiologydepartments today include recruitingand/or training the necessary cardiacimaging faculty and adequately educat-ing residents. “Cardiac imaging is verycomplex,” says Dr. Lipton. “Manyaspects of cardiac diagnosis and manage-ment are clouded by the self-referral pat-terns of cardiologists. Radiologistsshould not use this as an excuse to deterthem from participating and offeringimaging services to referring physicians.”

All the experts in the focus sessionagree that radiology must take an activerole in cardiac imaging or run the riskof being left out of this burgeoningfield. ■■


CVI FellowshipsSeveral cardiovascular imaging fellowships are available through programs established asa result of grants from the RSNA Research & Education Foundation. See page 24 for moreinformation.


AFTER UNDERGOING certain nuclearmedicine procedures, patients can trigger radiation detectors for up

to three months—something radiolo-gists must discuss with their patients,according to a scientific paper presenta-tion at RSNA 2004.

Lionel Zuckier, M.D., a professorof radiology at the University of Medi-cine and Dentistry of New Jersey, andcolleagues found that patients whoundergo exams, such as bone and thy-roid scans, cardiac exams and iodinetherapy, are at risk of setting off Home-land Security detectors for much longerperiods than previously imagined.

“The nuclear medicine communityhas known for some time that thesepatients can set off radiation detectors.It’s becoming a more common occur-rence with the increasing number ofvery sensitive portable Homeland Secu-rity radiation detectors given to policeofficers, airport security personnel andborder patrols,” says Dr. Zuckier, whois also the director of nuclear medicineand PET at University Hospital inNewark.

He supports recommendationsmade by the Society of Nuclear Medi-cine (SNM) and the U.S. Nuclear Reg-ulatory Commission (NRC) that radiol-ogists and hospitals should provideofficial documentation to the more than18-million patients who undergonuclear medicine and therapeutic pro-cedures each year. His study suggestsguidelines as to how long this docu-mentation should be retained.

Not a New ProblemDr. Zuckier says initial reports ofnuclear medicine patients setting offradiation detectors came almost twodecades ago. A 1986 letter to the editor

of The New England Journal of Medi-cine, “Problems on PennsylvaniaAvenue,” described how, in two sepa-rate incidents, nuclear medicinepatients set off detectors at the WhiteHouse.

More recently, the NRC has alertedusers to an event wherea patient who hadundergone a nuclearmedicine procedureignored written safetyinstructions not totravel for two days.The patient boarded abus traveling fromNew York City to Atlantic City. Thebus was subsequently pulled over whena radiation alarm sounded in a tunnel.While there was no danger to those onthe bus, this incident did cause unnec-essary concern for travelers and lawenforcement officials.

With today’s state of heightened

security, Dr. Zuckier and his colleagueswondered how long patients undergo-ing diagnostic and therapeutic nuclearmedicine procedures could potentiallyset off detectors—such as those usedby Homeland Security personnel. Theresearchers tested the sensitivity of a

panel of detectors to vari-ous radionuclides and,making the assumptionthat personal radiationdetectors worn by securityofficers could be posi-tioned as close as onemeter away from apatient, calculated the

threshold of radionuclides that wouldtrigger these devices.

In collaboration with Michael G.Stabin, Ph.D., from Vanderbilt Univer-sity in Nashville, Tenn., who providedexpertise regarding rates of excretion ofradiopharmaceuticals from the body,the authors then calculated how long it

We found that even

miniscule amounts of

radionuclides could set

off the detectors.

Lionel Zuckier, M.D.

Radiologists Can Help Patients Avoid Triggering Security Detectors

RSNA HOT TOPIC

Lionel Zuckier, M.D., participated in a press conference at RSNA 2004 duringwhich he urged patients to talk with their doctors about getting official documen-tation when undergoing certain medical procedures such as bone and thyroidscans, cardiac exams and iodine therapy.


would take for the patient to dropbelow the thresholds needed to triggerthe alarms.

“In our experimental measure-ments, we found that even minisculeamounts of radionuclides could set offthe detectors,” says Dr. Zuckier. “Con-sequently, the length of time it took forthe human body to excrete the radio-pharmaceuticals to below threshold lev-els was much longer than expected.”

As indicated by the study, tracequantities of radionuclides remaining inthe body can set off radiation detectorsfor variable periods of time:PET scan. . . . . . . . . . . . . . . Less than one

dayBone and thyroid scan . . . . Three daysCardiac thallium exams. . . . Up to 30 daysIodine or Bexxar* therapy . . Up to 95 days

*Bexxar therapy involves an antibody conjugatedto radiolabeled iodine.

What Should Radiologists Do?SNM says radiologists can helppatients and security personnel by pro-viding patients who will be traveling onpublic transportation (such as airplanes,trains and rapid transit) or visitingsecure facilities with a letter that con-tains the following information:• Patient name• Name and date of nuclear medicine

procedure• Radionuclide• Half-life• Administered activity• 24-hour contact information

SNM says the letter should alsoprovide specific details about whoshould be contacted, if necessary, for

verification. Outside of normalworking hours, the contact personshould have access to an appropri-ate source of information such as ahospital or radiology informationsystem, so that the letter can beindependently confirmed.

While this is an extremelyimportant matter, Dr. Zuckier sayshis study should not alarm the pub-lic nor should patients avoidneeded procedures for fear of trig-gering radiation alarms. Theamount of radiation a patientreceives from a typical nuclearmedicine procedure is minimal, buthe says under the current climateof security consciousness, patientsshould be provided with a notefrom their doctors.

In addition to presenting thescientific paper at RSNA 2004, Dr.Zuckier also participated in anRSNA press conference in whichhe discussed his findings with themedical news media. To view thenews releases from the annualmeeting, go to rsna.org/press04.

To view the abstract of Dr.Zuckier’s scientific paper, go torsna2004.rsna.org/rsna2004/V2004/conference/event_display.cfm?em_id=4407767.

For more information on develop-ing a letter for patients, see the SNMWeb site at www.snm.org. Type theterm “security authorities” in the searchbox and hit Enter. Click on the article,“SNM Working With Security Authori-ties To Develop Procedures To Expe-dite Radiation Monitoring.” ■■

DR. ZUCKIER’S press confer-ence was among 20 held

during RSNA 2004. Six of thepress conferences were offeredvia Webcast.

To view the press confer-ences, go to rsna.org, click onMedia in the left-hand naviga-tion bar, click on RSNA 2004

and then click on Access theWebcast Archive.

Press conferences include:• Thyroid Treatment Can Trig-

ger Homeland Security Detec-tors – Lionel Zuckier, M.D.

• Patients’ Own Stem CellsUsed to Cure Incontinence –Ferdinand Frauscher, M.D.

• Imaging Tool May HelpPhysicians Diagnose BipolarDisorder – John DeWitt Port,M.D.

• Brain Remapping May Be Keyto Recovery from Stroke –Kristine M. Mosier, D.M.D.,Ph.D.

• Brain Imaging with MRICould Replace Lie Detector –Scott H. Faro, M.D.

• CT Helps Find Cause of Puz-zling Cough in WTC RescueWorkers – David S. Mendel-son, M.D.

❚

Webcasts of RSNA 2004 Press Conferences

➊

To search for presentations from RSNA2004, go to rsna2004.rsna.org ➊ , clickon Meeting Program ➋ in the left-handcolumn, then click on search ➌ withinthe course type.

➋ ➌


ARGENTINA OFTEN conjures upvisions of the tango, gauchos orEva Peron. But after participating

in this year’s RSNA International Visit-ing Professor (IVP) Program and see-ing the country firsthand, three RSNAmembers will remember other images.

“As we were leaving for the airport,we saw families having picnics on themedian strips of the highway to enjoywhat greenery there was in the city,”says Theodore Dubinsky, M.D., one ofthree visiting professors who attendedthe 50th Argentine Congress of Radiol-ogy in Buenos Aires this September.The team saw both the beauty of SouthAmerica’s second largest nation as wellas the devastating impact Argentina’seconomic crisis has had on its citizensand their healthcare.

Dr. Dubinsky is an associate pro-fessor of radiology at the University ofWashington School of Medicine, andserves as director of the Body ImagingCenter at Harborview Medical Centerin Seattle. The team also includedWilliam Brant, M.D., a professor andacting chairman of the Department ofRadiology at the University of Virginia,Charlottesville, and Gia DeAngelis,M.D., an associate professor of clinicalradiology at the University of Virginia.The IVP Program allows small teamsof imaging professionals to lecture atthe national radiology meeting ofemerging nations, as well as at the hostinstitution.

All three physicians attending thecongress made presentations to well-attended sessions. “Overall, my impres-sion is of wonderful people and, for themost part, the physicians are very well-

trained. But they are being challengedby their economy,” says Dr. Dubinsky.“Costs are difficult to manage and theirequipment is not as up to date as ours.”

The Argentine economy collapsedin December 2001. After several days ofviolent street protests that left 27 peopledead, Argentine President Fernando dela Rúa resigned and a state of emer-gency was declared. The value of thepeso plummeted and has stayed lowwhile unemployment and poverty haveincreased. For the medical community,the impact has meant less of every-thing—training, equipment and space toperform exams and medical tests.

Dr. Dubinsky says the state of theeconomy was a popular topic of con-versation at the congress, noting thatsome physicians fear their perceivedwealth makes them targets for crimi-

nals. “I heard one story of a doctor’schild being held at gunpoint while heand his family were forced to drive to abank and withdraw money,” he says.“The child and his parents escapedunharmed when the robbers ran offwith the cash.”

Despite the uncertain economic cli-mate, Argentine physicians warmlywelcomed the RSNA contingent andtreated them very well. “It’s an honorbeing a visiting professor representingRSNA,” says Dr. Brant.

In return, Drs. Dubinsky, Brant andDeAngelis say they worked hard duringtheir visit, doing extra lectures, teach-ing conferences and making hospitalvisits to regions outside the meetingsite in Buenos Aires. Dr. Brant’s hosttook him around the city of Mendoza,near the Andes Mountains, to medical

RSNA Visiting Professors Share Experiences with Argentine Radiologists

RSNA’s three International Visiting Professors to Argentina are pictured withSociedad Argentina de Radiologica (SAR) President Ricardo García Mónaco at the50th Argentine Congress of Radiology in Buenos Aires. (from left to right) WilliamBrant, M.D., Gia DeAngelis, M.D., Theodore Dubinsky, M.D., and Professor GarcíaMónaco.

FEATURE EDUCATION


facilities at the National University ofCuyo.

In the region’s central hospital, hesaw how physicians and students copewith a lack of sufficient medical fund-ing and outdated equipment. “It’s likeseeing a county or public hospital here.There are large numbers of ill, indigentpatients, but the situation is magnified,”Dr. Brant says.

He saw radiology residents act astechnicians, performing ultrasounds andother scans, but Dr. Brant says that mayhave had a positive effect on patientcare. “The tests were tai-lored to the patient’sproblem and the residentwas right there to make adecision,” he explains.“The quality of the equip-ment is some generationsbehind what we have. Forinstance, they’re usingsingle-slice CT units butthe quality of the studieswas high. They push thescanner for quality.”

At the region’s centralhospital, thousands ofpatients are seen eachyear in the one room where fluoroscopystudies can be done. Dr. DeAngelisfound similar conditions at a publichospital in Cordoba, a major city out-side of Buenos Aires.

“They have a CT scanner that hasnot been used for two years since the

tube burned out. A new tube wouldneed to be imported and the hospital isdependent on public funds, so they can-not afford to get another one,” she says.“The radiologists have to make do.They perform angiography with equip-ment that had been dedicated to cardiacimaging and adapt their technique toobtain high-quality images.”

A physician surplus in Argentina hascreated fierce competition for medicalresidency spots—especially in the bet-ter-equipped private practices. “Thereare only about 500 paid medical resi-

dency opportunities forapproximately 8,000graduates a year,” saysDr. Brant. “There areabout 1,000 moreunpaid residency slots.So residents in theunpaid programs com-pete for the chance totake night call forextra money.”

Because the valueof the Argentine pesois so low, only a fewwealthy students cango abroad for training.

While most of the faculty at medicalschools is devoted to training youngphysicians, the professional surpluswith the concurrent lack of adequatespecialty training could make somephysicians reluctant to train residentsfor fear of the competition.

“Ultimately, some patients haveless access to medical treatment,” saysDr. DeAngelis, who adds that part ofthe solution may be to train more radi-ologists in subspecialties. “We take somuch for granted. One prominent radi-ologist I met considered it one of thehighlights of her career to get a posteraccepted at the RSNA annual meeting.They’re so appreciative when theyreceive an accolade from a radiologysociety or have a chance to speak or bepublished.”

As part of the IVP Program,RSNA’s Committee on InternationalRelations and Education provides fordonation of educational materials to thehost institutions.

Also this fall, an IVP team visitedRomania, and in a separate but similarprogram, a team of visiting professorstraveled to Mexico City.

Next year, IVP teams will go toBrazil, Thailand and Sri Lanka. Dr.Brant says it’s important for U.S. radi-ologists to play a role as internationalteachers. “RSNA is very highlyrespected in Argentina. Physicians lookat it as the standard of where radiologyis going,” he says.

The 2004 RSNA IVP program wasfunded through an endowment from theAgfa Corporation. In 2005, the IVPprogram will be funded through endow-ments from Agfa and FUJIFILM Med-ical Systems. ■■

They have a CT scanner

that has not been used

for two years since the

tube burned out. A new

tube would need to be

imported and the hospital

is dependent on public

funds, so they cannot

afford to get another one.

Gia DeAngelis, M.D.

(left) The ruins of a hotel destroyed in an avalancheat 9,000 feet in the Andes. (above) The most colorfulbarrio in La Boca, Buenos Aires, was settled by Ital-ian immigrants to Argentina. It is currently anartists colony and a home of the tango.

Images courtesy of William Brant, M.D.


THE IPOD is not just for music anymore. Radiologists from the Uni-versity of California, Los Angeles

(UCLA), and their colleagues at otherinstitutions from as far away as Europeand Australia are now using iPoddevices to store medical images.

“This is what we call using off theshelf, consumer market technology,”says Osman Ratib, M.D., Ph.D., profes-sor and vice-chairman of radiologicservices at UCLA. “Technology com-ing from the consumer market ischanging the way we do things in theradiology department.”

Dr. Ratib and Antoine Rosset,M.D., a radiologist in Geneva, Switzer-land, recently developed OsiriX, Mac-intosh-based software for display andmanipulation of complex medicalimage data.

“We chose to do it on the Macin-tosh because of the high performanceof Mac graphics,” Dr. Ratib says. “Thepurpose is to be able to quickly andinteractively manipulate very large datasets in 3D, 4D and even 5D. It’s amaz-ing how much perform-ance we get.”

How did the devel-opers go from a musicplayer to a medicalstorage device? “Webasically wanted some-thing that everybodycould use,” explains Dr.Ratib. “That’s why OsiriX can be usedwith the iPod, iChat and other tools.”

“Radiologists deal with a very largeamount of medical imaging data,” Dr.Ratib explains. “I never have enoughspace on my disk, no matter how bigmy disk is—I always need more space.One day I realized, I have an iPod thathas 40 gigabytes of storage on it. It’s

twice as big as my disk on my laptopand I’m using only 10 percent of it formy music. So, why don’t I use it as ahard disk for storing medical images?”

Dr. Rosset set up the OsiriX soft-ware to automatically recognize and

search for medicalimages on theiPod. When itdetects theimages, they auto-matically appearon the list ofimage data avail-able—similar to

the way music files are accessible bythe iTune music application.

“It’s easy to use and you don’t haveto worry about how to load and unloadit from the iPod,” Dr. Ratib says. “Butthe real beauty of it is that I can use theimages directly on the iPod. I don’thave to take the time to copy them tomy computer. The iPod allows me to

copy data from work to my laptop, butI don’t have to do it if I don’t want to.”

Dr. Ratib sees the iPod as a kind ofgiant memory stick, “The performanceis amazing.”

Large data sets can be transferreddirectly to the iPod through the firewireconnection. “I use my software todownload images from the PACS orfrom any imaging source,” Dr. Ratibsays. “OsiriX follows the most univer-sal way of accessing any image and itcovers virtually every DICOM formatpossible. It’s very, very flexible.”

Once the images are on the iPod,they can be carried from one machineto another, as long as the computer is aMacintosh. “You can see the imagesand display them as you would do withany other file that’s on your hard disk,”Dr. Ratib says.

OsiriX allows users to uploadimages to the Internet. It also supportsiChat instant messaging, which is com-

iPod Helps Radiologists ManageMedical Images

Technology coming from the

consumer market is changing

the way we do things in the

radiology department.

Osman Ratib, M.D., Ph.D.

FEATURE TECHNOLOGY

The authors of the Osirix Software, Osman Ratib, M.D., Ph.D. (front), and AntoineRosset, M.D. (back), review images stored on the iPod portable device.Images courtesy of Osman Ratib, M.D., Ph.D.


This teleradiology setting shows an inserted livevideo image (upper right corner of the screen) of avideoconference session using iChat software forinstant messaging that is available on all Macintoshplatforms.

patible with AOL instant messaging.This allows the user to take advantageof the video-conferencing capability.But instead of seeing the user’s face ona Webcam, it is modified to show theuser’s screen at the other end of theconversation.

“For us, it’s a way of doingvery cheap, very convenient telera-diology,” Dr. Ratib explains. “Icould be chatting with one of mybuddies and he can see my screen,so I can show him what I’m doingwith an image.”

“I can also send him thatimage at high resolution as anattachment,” he continues. “He’llimmediately receive it, open it andwe can continue to talk about it.”

The software is free, distrib-uted under Open Source Licens-ing, and has found users around theworld. “I want everybody to partici-pate,” Dr. Ratib says.

A recent survey of OsiriX usersfound that it has been very wellreceived. One thousand people down-loaded the software within the firstmonth of distribution. Dr. Ratib

believes actual usage is about three tofive times that number.

Among the respondents to the sur-vey, more than one quarter of theOsiriX users were radiologists, half ofthem at university hospitals. Forty-onepercent of the total survey respondents

said they use OsiriX daily, while 46percent use it weekly. The most fre-quent usage was for research (53 per-cent), followed by presentations (37percent), PACS at home (34 percent),PACS at work (29 percent), 3D station(26 percent) and fun (24 percent).

Free Software DownloadOsiriX software can be downloaded athomepage.mac.com/rossetantoine/osirix/.

The software was featured at RSNA2004 on 30-inch, high-definition colorscreens during two presentations in the

infoRAD area. The presentationswere titled, “OsiriX: Multimodal-ity Open Source Image Displayand Navigation Software,” and“Navigating the Fifth Dimen-sion—Innovative Interface forMultidimensional MultimodalityImage Navigation.”

OsiriX was also featured in thescientific poster, “Merging Imag-ing Modalities: Practical Applica-tions,” and in the scientific paper,“Display and Interpretation ofMultidimensional and Multi-

modality Images.” “We’re not trying to reinvent some-

thing that’s completely different,” Dr.Ratib concludes. “We’re trying to adaptto the very rapidly changing environ-ment, and provide ourselves with toolsthat industry would take years to giveus.” ■■

OsiriX converts virtually everyDICOM format possible.

PET-CT reconstruction on theiPod Photo as displayed on a TVthrough the S-Video interface


Underwater Medical Mission Uses Radiology Telementoring

RECENTLY, a Canadian radiologistsuccessfully drained a patient’sabscess. Sound routine? Maybe,

but in this case, the patient was hun-dreds of miles away lying 19 metersbeneath the surface of the waters offKey Largo, Fla.

It was all in a days work for JulianDobranowski, M.D., and the crew ofNEEMO 7, otherwise known as theNational Aeronautics and SpaceAdministration (NASA) Extreme Envi-ronment Mission Operation.

The goal of this joint venture byNASA, the Canadian Space Agency(CSA) and the Centre for MinimalAccess Surgery (CMAS), a surgicalcenter affiliated with McMaster Uni-versity that develops techniques to beused in remote medical care, was totest and evaluate the latest in remotemedical diagnostic and therapeutictechnologies.

“We want to be able to deliver thehighest quality diagnostic and surgicalcare to remote areas of the world aswell as in space,” says Dr. Dobra-nowski, chief of the Department ofDiagnostic Imaging and medical direc-tor of the Imaging Research Centre atSt. Joseph’s Healthcare in Hamilton,Ontario.

The CrewThe crew for the 10-day October mis-sion was split into two teams—a land-based team and the underwater team.

St. Joseph’s Healthcare was thebase for the land crew. The team com-prised a number of experts includingDr. Dobranowski, NASA astronaut BillTodd, who was the mission director,and Mehran Anvari, M.D., CMASfounder and director. Dr. Anvari isworld renowned for having performed

the very first hospital-to-hospitalremote surgery in 2003.

The underwater crew included mis-sion commander and CSA astronautBob Thirsk, M.D.,NASA astronauts MikeBarratt, M.D., andCady Coleman, Cana-dian surgeon CraigMcKinley, M.D., andhabitat techniciansJames Talacek andBilly Cooksey. Theunderwater team con-ducted their work fromthe Aquarius Undersea Laboratory inthe Florida Keys Marine Sanctuary.The steel cylinder Aquarius habitat issimilar in size to that of the servicemodule for the International Space Sta-tion.

“The extreme conditions of a longunderwater mission are similar to thoseof space. The NEEMO 7 mission

afforded aquanauts, astronauts andmedical professionals an unprecedentedopportunity to test state-of-the-artremote medical techniques in real-time

and real-life situations.Someday, these tech-niques could be used inlong-duration, mannedspace flights to theMoon and Mars,” saysDave Williams, M.D.,CSA astronaut/ aqua-naut and trauma physi-cian, who was slated tobe mission commander

of the Aquarius before a last-minutesurgery prevented him from making thetrip.

Mission ObjectivesThe mission had two diagnostic imag-ing objectives. The first objective wasto experiment with telementoring byhaving Dr. Dobranowski and his team

We want to be able to

deliver the highest quality

diagnostic and surgical

care to remote areas of the

world as well as in space.

Julian Dobranowski, M.D.

FEATURE SCIENCE

Julian Dobranowski, M.D., in the telerobotics lab at St. Joseph’s Healthcare inHamilton, Ontario.

guide medical and non-medical person-nel aboard the Aquarius through anevaluation of the abdomen and neckusing a portable ultrasound unit.

The second objective was telemen-toring of a percutaneous drainage of asimulated abscess under ultrasoundguidance. Other mission objectivesincluded telementoring the crewthrough various procedures includingintubation, suturing of a nerve andartery, and laparoscopic cholo-appen-dectomy or nephroscopy.

The mission was successful andproved that medical and non-medicalpersonnel could successfully locate keyorgans and perform accurate and repro-ducible ultrasound-guided tasks. It alsoshowed that educational manuals

designed to help non-medical personneluse the ultrasound machine and identifykey organs in an emergency situationwere effective and valuable.

Mission ComplicationsIn the past, signal delay has been anarea of concern for remote surgicalapplications. However, Dr. Anvari’sresearch has shown a delay of up tothree-quarters of a second is tolerableduring surgical procedures as long asit’s constant. But, with the signal delayto the International Space Station esti-mated at one second and the delay tothe Moon thought to be about threeseconds, how long is too long?

“In many ways we are trying topush the edge of the envelope and take

technology to its limits to find outwhere it begins to fail and break downso that we can learn how to develop thenext generation of technology,” saysDr. Williams. “We truly believe that weare changing the face of how wedeliver healthcare. In so doing, we arereducing or eliminating the geographicdisparity in healthcare.”

From radiology’s perspective, sig-nal delay has not been as much of anissue. “We didn’t find that the delayimpeded our mission objectives what-soever. It was all quite fluid and wentvery smoothly,” says Dr. Dobranowski.

The only real complication for themission arose when St. Joseph’s tem-porarily lost real-time visual contact


Continued on next page

Julian Dobranowski, M.D. (topphoto, left), and registered diag-nostic medical sonographersPatty Harkness (top photo, center)and Terry Popowicz (top photo,right) guide the NEEMO 7 crewthrough an ultrasound procedure.


and was unable to see into the Aquar-ius. “At that point we communicatedinstructions to the astronauts using ourcell phones and they were able to per-form their duties successfully even inthat scenario,” says Dr. Dobranowski.

In the end, the team successfullycompleted all surgical and radiologicobjectives.

What’s Next?As telecommunications and robotictechnologies continue to improve andexpand, so to will telehealth capabilities.

For now, Dr. Dobranowski feelsthat a logical next step might be pursu-ing research with other imaging tech-niques. “We’re very limited with ultra-

sound as a modality,” he says. “Experi-mentation with digital radiography inthese types of extreme environmentsand at the space station would be animportant step.”

With the NEEMO 7 mission firmlyunder their belts, the crew is satisfiedthat the information collected will helpto further refine medical technique,equipment and resources needed for thedelivery of medical care in remotelocations now and in the future.

A NEEMO 9 mission to furtherexplore telehealth is tentatively sched-uled for next fall. ■■

The first journal manuscript submittedfrom the International Space Station isnow available on Radiology Online(rsna.org/radiologyjnl). See page 20 formore information.

Continued from previous page

(top left photo) Mehran Anvari, M.D. (right),demonstrates laparoscopic techniques on amedical dummy with NEEMO 7 Mission Com-mander Bob Thirsk, M.D. (top right photo) CraigMcKinley, M.D., prepares to splash down intothe Aquarius Habitat in the waters off KeyLargo, Fla. (left) Drs. Anvari and McKinley. Photos courtesy of NEEMO 7.

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3D model of the hand, wrist, fore-arm and elbow that can be rotatedand layers of anatomy added orstripped away. 3D model is supple-mented by text, MRI, clinical slides,video clips and 3D animations.RSNA Member Price: $250.00

C D - R O MSports Injuries: The KneePaul Aichroth, Roger Wolman, TracyMaunder, Andrew Amis, Anthony Bull

3D model of the knee that can berotated and layers of anatomy addedor stripped away. 3D model is supple-mented by sports injuries, rehabilita-tion and biomechanics text, clinicalslides, video clips and 3D animations.RSNA Member Price: $250.00

C D - R O MOrthopaedics In Action: Primary Hip ArthroplastyT.W.R. Briggs, M.Ch. (Orth) FRCS,Consultant Orthopaed, S.R. Cannon, J. Skinner

3D model of the hip that can berotated and layers of anatomy addedor stripped away. It covers all aspectsrequired for primary Total Hip Arthro-plasty, from patients first visit to out-patients clinic through pre-operativeplanning phase and the surgical pro-cedure itself, utilizing both lateral andposterior approaches. Descriptive textis supplemented by live surgery videoclips and 3D animations.RSNA Member Price: $250.00


C D - R O MInteractive Spine Chiropractic EditionAlexandra Webb, Guy Gosselin, JonathanCook, Dana J. Lawrence, Roger Soames

Detailed and labeled 3D model ofthe entire spine that can be rotatedand layers of anatomy added orstripped away. 3D model is supple-mented by chiropractic examination,conditions and treatment sectionsincluding text, clinical slides, videoclips of tests and treatment.RSNA Member Price: $250.00

ProScan MRI EducationFoundation, Inc.■ 5400 Kennedy Ave.

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B O O KMRI of the Foot & Ankle: Pearls, Pitfalls & PathologyR.J. Rolfes, M.D., S.J. Pomeranz, M.D., T.W. Kim, M.D.

This 200+ page textbook is brokendown into chapters on ligaments, tendons, fractures, arthropathy, coali-tions, oesteochondral defects, osteo-necrosis, impingement, tarsal tunneland neural entrapment, achilles,masses, infections, plantar fasciitisand parts & accessories. Fully indexedfor ease of use, the hard cover vol-ume is built to assist readily in dailypractice and study of this complexand often difficult area. 200+ pp. RSNA Member Price: $112.50

B O O KMRI Total Body Atlas Vols. 1-3 SetStephen J. Pomeranz, M.D.

Complete set of the definitive,comprehensive anatomic referencenot only commonly referenced struc-tures throughout the body, but alsospaces, areas between joints and lessfrequently imaged anatomic locations.768 pp. RSNA Member Price: $630.00

B O O KMRI Total Body Atlas Vol I NeuroStephen J. Pomeranz, M.D.

Definitive, comprehensive anatomicreference detailing not only commonlyreferenced structures in the brain andspine, but also the larynx, neckspaces, and cranial nerves. 229 pp.RSNA Member Price: $225.00

B O O KMRI Total Body Atlas Vol II OrthoStephen J., Pomeranz, M.D.

Definitive, comprehensive anatomicreference detailing not only commonlyreferenced structures in the muscu-loskeletal axis, but also areasbetween the joints in the extremities.326 pp.RSNA Member Price: $225.00

B O O KMRI Total Body Atlas Vol III BodyStephen J. Pomeranz, M.D.

Definitive, comprehensive anatomicreference detailing not only commonlyreferenced structures in the chest,abdomen and pelvis, but also thebrachial plexus, uterus and testes. 213 pp.RSNA Member Price: $225.00

B O O KGamuts & Pearls Ortho MRIStephen J. Pomeranz, M.D.; contributingauthors: Timothy J. Jenkins, N. Judge KingIII, Mark J. Paluszny and R. Eric Shields

Subdivided into shoulder, elbow,hand & wrist, hip & thigh, knee, foot& ankle, musculoskeletal system andprotocols & predicaments chapters,there is a wealth of information herefor the busy imager at an extremelyaffordable price. 396 pp.RSNA Member Price: $85.50

B O O KGamuts & Pearls Neuro MRIStephen J. Pomeranz, M.D. and Peter J.Smith

Subdivided into brain, spine, head& neck and protocols & predicamentschapters, there is a wealth of infor-mation here for the busy imager at anextremely affordable price. 398 pp.RSNA Member Price: $85.50

D V DCardiac MRI Conference Series:Cardiovascular MRI TechniquesWojciech Mazur, M.D.

Dr. Mazur addresses such topics asthe anatomy of an MRI scanner, howto image the heart, cardiac analysisand spin tagging. The viewer istreated to coverage of stress modali-ties, rest-stress MR perfusion and spi-ral CT coronary angiography. Dr.Mazur also discusses the sizing spinalCT coronary angiography.RSNA Member Price: $135.00

C D - R O M , V H SConference Series 23 LectureSetStephen J. Pomeranz, M.D. and JohnReeder, M.D.

This video recorded lecture seriesinvites you into our state-of-the-artstheatre for lectures regarding muscu-loskeletal anatomy and pathology,subdivided into knee, foot & ankle,hip, shoulder, elbow, and hand & wrist.RSNA Member Price: $2,430.00

Martin Dunitz Ltd.Taylor & Francis Group plc■ 29 W. 35th St.

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B O O KBreast MRI in PracticeEdited by Ruth Warren and Alan Coulthard

This book provides practical andpragmatic guidance in breast MRI forall professionals involved in breastimaging or in the care of patients withbreast disease. 269 pp. RSNA Member Price $119.00

B O O KCross-Sectional DiagnosticImaging: Cases for Self-AssessmentNicola Strickland and Preeti Gupta

Specifically aimed at candidatestaking their higher exam in clinicalmedicine (such as the Boards Exami-nation in the US), Cross SectionalDiagnostic Imaging focuses on cross-sectional imaging (CT, MR, US andalso includes nuclear medicine iso-tope imaging) since these techniqueshave become integral to modern clini-cal medicine. 448 pp.RSNA Member Price $40.50

B O O KEndocavitary MRI of the PelvisEdited by Nandita M. deSouza

MR imaging has become a cruciallyimportant investigative tool in pelvicdisease where the soft tissue contrastenables more accurate diagnosticinformation to be obtained. Endocavi-tary MRI of the Pelvis puts the newdevelopments in this area into per-spective. 184 pp.RSNA Member Price $54.00

B O O KExercises in Clinical NuclearMedicineGary Cook and Jane Dutton

Exercises in Clinical Nuclear Medi-cine provides 10 mock papers forthose preparing for the reporting section of higher examinations in radiology. 160 pp.RSNA Member Price $49.50

B O O KHandbook of TransrectalUltrasound and Biopsy of theProstateUday Patel and David Richards

The highly illustrated Handbook ofTransrectal Ultrasound and Biopsy ofthe Prostate presents in simple andlogical manner the fundamentals oftransrectal sonography and focuseson the practical aspects of prostatescanning and biopsy. 136 pp.RSNA Member Price $34.00

B O O KImaging of the ProstateEdited by Ethan J. Halpern, Dennis Cochlinand Barry B. Goldberg

Imaging of the Prostate has beenedited and written by some of world’sleading experts and addresses theproblems encountered during patientexamination. Superb quality radiologi-cal images – ultrasound, MRI and CTillustrate the chapters. 232 pp.RSNA Member Price $135.00

B O O KImaging of the Scrotum and Penis Matthew Rifkin and Dennis L. Cochlin

Imaging of the Scrotum and Penis isa problem solving text. It employs asymptom related approach, startingwith the clinical history and physicalexamination, progressing to the imag-ing modalities. The main imagingmodality used in the scrotum is ultra-sound and discussion of ultrasoundimages including Doppler comprisesthe greatest portion of the book. 304 pp.RSNA Member Price $157.50

B O O KNuclear Medicine in Radiological DiagnosisA. Michael Peters

This new clinical reference providesan essential resource for all thoseworking in the field of nuclear medi-cine and clinical imaging. The empha-sis is on the role of nuclear medicinetechnology as part of an integral radi-ological approach to clinical problems.832 pp.RSNA Member Price $260.00

B O O KTextbook of Diagnostic Imagingin the ElderlyMario Impallomeni, Pauline Smiddy, WalterL. Curati, Martin Lipton and David Allison

Textbook of Diagnostic Imaging inthe Elderly is the first authoritativetextbook on the subject of geriatricimaging. This text allows the physicianto maximize the unique and essentialcontribution that imaging can bring toclinical diagnosis of disease in the elderly patient. 432 pp.RSNA Member Price $202.00

B O O KMRI Manual of Pelvic Cancer Edited by P.A. Hulse and B.M. Carrington

This title will be an essential refer-ence for all radiologists using magnetic resonance imaging to iden-tify and diagnose pelvic cancer.Intended for those new to pelvic can-cer staging, the book starts with threeintroductory chapters focusing onbasic pelvic anatomy, imaging andreporting. Subsequent chapters focuson each of the major groups of pelviccancer using a consistent format toaid understanding. 200 pp.RSNA Member Price $86.00

Medical Interactive■ 370 Calle La Montana

Moraga, CA 94549(925) 284-1024www.medinter.com/rsna.htm

C D - R O MGamuts in Radiology Version 4.0By Maurice M. Reeder, M.D., with MRIGamuts by William G. Bradley Jr. and Ultra-sound Gamuts by Christopher R. Merritt

The innovative and versatileGamuts In Radiology 4.0 contains theentire Gamuts in Radiology 4th Edi-tion textbook, plus more than 5,000radiographic images. Gamuts 4.0covers every modality of radiologicimaging, including ultrasound, CT,MRI, mammography, angiography andplain films.• A 19-member expert editorial

board has reviewed, expanded andupdated the existing gamuts,including references, and thenadded over 300 new gamuts (primarily in ultrasound, MRI andCT). Gamuts 4.0 now has morethan 1,700 lists of differential diagnoses!

• Over 4,000 new images have been


PLEASE NOTE: RSNA merely facilitates communication between its members and publishers participating in the program. RSNA has not reviewed and does not recommendor endorse the content of any materials offered for sale by those publishers. RSNA does not participate in any way in the sale of those materials by the publishers. There-fore, RSNA disclaims any responsibility for the content or use of any materials purchased through the Publisher Partners program.

R S N A P u b l i s h e r P a r t n e r s

added. Gamuts 4.0 now totals over5,000 teaching images, making itthe ultimate teaching resource forradiologist and resident training,and board review.

• Using its exhaustive database ofover 6,500 individual diagnosesand disease entities, Gamuts 4.0combines the strengths of artificialand human intelligence. The highlyinnovative Computer-Assisted Radiological Diagnosis System contained on the CD allows theradiologist to accurately make diagnoses or suggest a very limiteddifferential diagnosis in problemcases. Gamuts 4.0 is an essentialcomponent of any PACS or RIS sys-tem for solving complex cases andmaking diagnoses at the viewbox.

RSNA Member Price: $247.00

C D - R O MEssentials of RadiologyBy Judith Korek Amorosa, M.D.

The Essentials of Radiology isdesigned to teach the basics of current radiology practice. It is usefulfor medical students (starting at anylevel), residents of all specialties, clinical colleagues, physician assis-tants, nurse practitioners, nurses,technologists, hospital administrators,managed care administrators, lawyersand lay support groups. This CD-ROMcontains over 330 interactive casesusing the well-established teachingmethods of Dr. Lucy Squire. In all,there are over 900 questionsincluded in the course and over2,300 images (including x-ray, CT,HRCT, MRI, nuclear imaging, staticultrasound, real-time ultrasound andreal-time fluoroscopy). This is truly acomprehensive overview of the essen-tials of radiology and represents over50 hours of radiology instruction forthe beginning student.RSNA Member Price: $125.00

ICON Learning Systems■ 295 North St.

Teterboro, NJ 07608www.netterart.com(800) 631-1181Fax: (267) 685-2954

B O O KAtlas of Radiologic Anatomy, 7th EditionLothar Wicke

This new edition of this classicatlas incorporates the latest techno-logical advances in radiologicanatomy, including increased resolu-

tion and numerous new images incomputed tomography and magneticresonance. It features 232 copies ofline drawings that can be placed astransparent overlays on the imagesfor direct identification of the anatom-ical structures.

Students and healthcare profes-sionals alike will find this authoritativeatlas indispensable for its unique bal-ance of historical insight, detailedimages and drawings, and techniquesfor practical application. Table of Contents: • Conventional Radiography • Angiography • Lymphography • Gynecologic Radiography • Sonography • Computed Tomography (CT) • Magnetic Resonance Imaging (MRI) • Scintigraphy Paperback, 362 pp., 2004RSNA Member Price $44.00

B O O KAtlas of Human Anatomy, Third Edition

The ultimate anatomy atlas formedical study, clinical reference, andpatient education, this updated mas-terpiece offers the power of over 500precise visual images that teach with-out an overwhelming amount of con-fusing text. Chosen by more studentsfor their anatomy coursework thanany other human anatomy atlas pub-lished today. Paperback, 2003RSNA Member Price $55.16

B O O K & C D - R O MAtlas of Human Anatomy, Third Edition

The ultimate anatomy atlas formedical study, clinical reference, andpatient education, this updated mas-terpiece offers the power of over 500precise visual images that teach with-out an overwhelming amount of con-fusing text. Casebound editionincludes the FREE CD (InteractiveAtlas of Human Anatomy, v3.0) pack-aged with the book.RSNA Member Price $103.96

B O O KNetter’s Atlas of HumanPhysiology

This new systems-based illustrativeatlas of human physiology adds a con-cise, mechanistic and conceptualdescription to each Netter illustra-tion—300 in all. These key conceptswill serve as a review of the broad,clinical applications to medical, den-tal, allied health and undergraduatephysiology courses. RSNA Member Price $31.96

B O O KNetter’s Atlas of HumanNeuroscience

This clinically-relevant atlas givesboth students and practitioners inte-grated coverage of the peripheral andcentral aspects of the nervous sys-tem. Updated information, along with325 Netter and Netter-style illustra-tions, provide comprehensive neuro-

sciences foundations for history andphysical examination, and for under-standing diagnosis and diseases. Out-standing guide for USMLE and otherlicensure examinations.RSNA Member Price $36.76

B O O KNetter’s Concise Atlas ofOrthopaedic Anatomy

This concise, easy-to-use atlas oforthopedic anatomy utilizes Netterimages from both the Atlas of HumanAnatomy and the 13-volume NetterCollection of Medical Illustrations.Each image includes key informationon bones, joints, muscles, nerves,and surgical approaches. Each chap-ter contains clinical material showingtrauma, minor procedures, historyand physical exam, disorders, andradiology.RSNA Member Price $34.80

B O O KNetter’s Obstetrics, Gynecologyand Women’s Health

This comprehensive clinical guideuses a quick-reference tabular formatto present the major diseases andconditions traditionally seen in thepractice of obstetrics and gynecology,as well as general medical conditionscommonly seen in women. Includesmore than 200 topics and over 300Netter illustrations.RSNA Member Price $51.96

B O O KNetter’s Internal Medicine

Designed to help practitionersmanage everyday medical problemswith confidence and authority, thissuperior reference is also invaluableto students, residents, and specialistswho need quick access to reliableclinical information. Combines over450 Netter images and the most cur-rent knowledge on common dis-eases/conditions, diagnostics, treat-ments and protocols into a single,easy-to-use guide.RSNA Member Price $67.96

B O O KAtlas of Palpatory Anatomy ofLimbs and TrunkSerge Tixa

Palpation anatomy is based on themanual inspection of surface forms—a visual and instructive method ofinvestigating anatomic structures. Inthis new atlas, each structure isshown with a photo and is accompa-nied by a description of the techniqueused. Netter illustrations are used tointroduce each section of the atlasand highlight key anatomical struc-tural features.RSNA Member Price $44.00

B O O KNetter Anatomy Charts

With 20 charts, and more comingin 2004, this growing series of rich,full-color anatomical charts is basedon the same medical art and imagesfound in Netter’s Atlas of HumanAnatomy, Third Edition. They’re gener-

ously sized at 20" x 26" for easy view-ing on a classroom, lab, or examroom wall and laminated for easycleaning and years of durability. 2003Single ChartRSNA Member Price $13.56 eachTwo Chart Set RSNA Member Price $23.96 each

Radiology BusinessManagement Association■ 65 Enterprise

Aliso Viejo, CA 92656(888) 224-RBMAwww.rbma.org

N E W S L E T T E RThe RBMA Bulletin

Your premier resource when itcomes to radiology education. TheRBMA Bulletin includes featured sto-ries written by industry professionalsas well as pertinent articles on prac-tice management, compliance issuesand legislation, HIPAA and ACRupdates. You will also find up-to-dateinformation on RBMA educationalseminars, conferences, networkingopportunities and products. Publishedsix times per year.RSNA Member Price: $90.00

B O O KThe HIPAA Workbook for Privacyand Security

The HIPAA Workbook for Privacy andSecurity: A Radiology Guide to Imple-mentation of the Health InsurancePortability and Accountability Act is aradiology-specific guide to implement-ing the HIPAA Privacy and SecurityStandards that includes sample poli-cies and procedures, consent andauthorization forms, sample business associate and chain of trust agree-ments, planning and implementationguidelines, and much more.RSNA Member Price: $995.00



Techniques and Applications of Automatic Tube CurrentModulation for CT

Currently available automatic tubecurrent modulation (ATCM) tech-

niques can be usedto maintain accept-able image quality while reducing radi-ation exposure on the basis of patientgeometry and clinical indications.

In the December issue of Radiology(rsna.org/radiologyjnl), Mannudeep K.Kalra, M.D., D.N.B., from Massachu-setts General Hospital and HarvardMedical School, and colleagues reviewthe principles, clinical use and limita-tions of different ATCM techniques.

They write: “ATCM techniques represent an exciting recent technologicinnovation toward radiation dose opti-mization. Further research is needed tostandardize these techniques and defineappropriate protocols for differentpatient sizes and indications.”

This article also includes “Essentials” orhighlighted points to help busy readers rec-ognize important information at a glance.

Z-axis modulation withReal E.C. technique. (a) Attenuation is measuredon a digital radiograph(left) and is converted towater-equivalent thickness(right), allowing user tospecify image quality bychoosing different noiselevels. (b) After user selectstube current or, moreappropriately, desired noiselevel for the examination

(left), the soft-ware displays theautomatic modu-lation of tube cur-rent that will beused to achieveselected imagequality.(Radiology 2004;233:649-657)© 2004 RSNA. All rightsreserved. Printed with permission.

a

b

Differential Diagnosis of Polypoid Lesions Seen at CT Colonography (Virtual Colonoscopy)

CT colonography, also referred to asvirtual colonoscopy, holds significant

promise for effective large-scale colorec-tal cancer screening. 2D and 3D displaysof the CT data are employed, both ofwhich are critical for proper evaluation.Although many radiologists continue touse the 2D images for polyp detection,more emphasis on the 3D images for pri-mary detection ofpolyps has yielded thebest results for screening detection.

In an article in the November-

December issue of Radio-Graphics (rsna.org/radio-

graphics), Perry J. Pickhardt, M.D.,from the University of Wisconsin Med-

ical School in Madison and UniformedServices University of the Health Sci-ences in Bethesda, Md., provides a

Journal Highlights

Flat adenoma. (a) Endoluminal 3D view from CT colonography shows a relatively subtleflat lesion (arrowheads) near the anal verge. This adenoma was missed at prospectivecolonoscopy before the CT colonographic results were revealed. (b) Corresponding axial 2Dimage helps confirm a flat rectal lesion (arrow).

(RadioGraphics 2004;1535-1559) © 2004RSNA. All rightsreserved. Printed withpermission.

RSNA JOURNALS

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


a b


A press release has been sent to the medical news media for the followingspecial report appearing in Radiology (rsna.org/radiologyjnl):

Radiology in Public Focus

Evaluation of ShoulderIntegrity in Space: First Reportof Musculoskeletal US on theInternational Space Station

THE ABILITY to provide medical careaboard a spacecraft is challenging

because of limitations in crew medicaltraining, medical equipment and envi-ronmental constraints in microgravity.

Documentation of the first shoulderultrasound examination ever performed

in microgravity of space-flight will appear as aspecial report in the Feb-ruary 2005 issue of Radi-ology, and is availableonline now at radiology.rsnajnls.org/cgi/content/full/2342041680v1, alongwith audio, video andphotographs.

E. Michael Fincke, M.S., from theNational Aeronautics and SpaceAdministration (NASA) at the JohnsonSpace Center in Houston, and col-leagues aboard the International SpaceStation found that the medical imagesacquired by the astronaut were ofexcellent content and quality, and in a“real” medical scenario, would haveprovided essential information to guideclinical decision making.

They write: “The remotely guidedultrasound concept, with crew medicalofficers or comparably trained firstresponders as operators, is an importantand clinically relevant advancement inspace medicine, with profound ramifi-

cations for emergency or clinical medicine.”(Radiology 2004, 10.1148/radiol.2342041680)

RSNA press releases are available atwww.rsna.org/media.

RSNA JOURNALS

Cabin view obtained with a still camera of the Human Research Facility (HRF) on the International Space Station. Commander Gennady Palalka performs a musculoskeletal US examination on Mike Fincke by using an HRF US unit (blueflat-screen monitor and keyboard).© 2004 RSNA. All rights reserved. Printed with permission.

variety of useful techniques and obser-vations that can be used to increase thespecificity of CT colonography for dis-tinguishing false polyps from truepolyps.

This article allows readers to:

• Provide a differential diagnosis forpolypoid lesions seen at CT colon-ography.

• Describe techniques and findings thatimprove specificity for polypoidlesions seen at CT colonography.

• Discuss the diagnostic advantages and

limitations for CT colonography as acolorectal screening tool.


Differential Diagnosis of Polypoid Lesions Seen at CT Colonography (Virtual Colonoscopy)

This article meets the criteriafor 1.0 category 1 CME credit.


Working For You

If you have a colleague who would like to become an RSNA member, you can download an application at rsna.org/mbrapp or contact the RSNA Membershipand Subscription Department at (877) RSNA-MEM [776-2636] (U.S. and Canada), (630) 571-7873 or [email protected].

RSNA MEMBER BENEFITS

New Services on RadiologyInfo™

RadiologyInfo.org, the patient education Web site cosponsored byRSNA and the American College of Radiology, has recently beenupdated to provide additional serv-ices to patients and physicians:• A comments box was added to the

end of each procedure for userfeedback with the option to com-plete a longer evaluation.

• A Download for Physicians linkwas added to the homepage tomake it easier for physicians tofind available resources and down-loads.

• Links to the Society of Interven-tional Radiology were added tothe interventional procedures.

• The News page now includeslinks to Radiology press releasesand two government informationresources on radiation threats.

Six new procedures have alsobeen added to the site:• Carotid ultrasound • Chest MR• CT of the sinuses• Myelography• Needle biopsy of lung nodules• RFA of lung lesions

SERVICE TO MEMBERS:I am responsible for adminis-tering the activities and pro-grams of the Department ofResearch. Our very simplystated but extremely broadpurpose is to promote researchin radiology. The departmentdoes so mainly through oursupport to the Research Devel-opment Committee. We over-see courses including Intro-duction to Grantsmanship,Introduction to Research,Advanced Course in GrantWriting, and the NIH Grants-manship Workshop. We pro-vide staff support on the Revi-talizing the RadiologyResearch Enterprise Program(RRRE), which, through aseries of site visits and an edu-cational workshop, is designedto increase the quality and

quantity of research conductedin academic departments ofradiology and radiation oncol-ogy. We are also heavilyinvolved with the BiomedicalImaging Research Opportuni-ties Workshops (BIROW),which are a joint effort bymany medical researchers, sci-entific researchers, engineer-ing researchers, societies andgovernmental agencies toidentify and explore opportu-nities for research in biomed-ical imaging.WORK PHILOSOPHY:My work philosophy revolvesaround the basics of flexibil-ity, collaboration and clarity. I try to be flexible in provid-ing the varying levels andtypes of support that eachmember, committee and proj-ect might require. I strive to

balance the need to be proac-tive and yet maintain a collab-orative atmosphere in proj-ects. Finally, I attempt to clar-ify expectations. This includesthe deliverables, specific rolesand responsibilities, as well astimelines expected for a givensituation or project.

Working for youPROFILE

NAME:Tracy Schmidt, M.S.POSITION:Managing Director,Department ofResearchWITH RSNA SINCE:July 2004


Private Practice Radiation Oncologist Promotes StrongResearch Base

WHEN Nina Fukunaga Johnson,M.D., started practicing medi-cine, she says prostate-specific

antigen tests were not available to testfor prostate cancer. If you said “anti-angiogenesis” to someone, they mighthave thought you were talking aboutsomething out of science fiction.

It sounds like Dr. Johnson beganher career in the 1960s. Actually, itwas in 1988.

She says she’s amazed by the rapidchanges in medicine—particularly inradiation oncology. “Today, we haveimproved 3D conformal treatmentplanning, intensity-modulated radiationtherapy, CT-PET fusion, MR fusion,tomotherapy and stereotactic radio-surgery. We have genetic markers. Wehave anti-angiogenesis,” she says.

Dr. Johnson is a radiation oncolo-gist in private practicewith Radiology, Inc.,in South Bend, Ind.She’s been on staffthere since 1997.

Dr. Johnsonreceived a bachelor ofscience degree inchemical engineeringfrom Purdue Univer-sity in 1983 and hermedical degree from the Indiana Uni-versity School of Medicine in 1987.

She conducted her internship atMount Carmel Hospital in Columbus,Ohio, and then her residency at theUniversity of Michigan Medical Cen-ter in Ann Arbor. Between 1992 and1997, she was a lecturer and then anassistant professor in the Department

of Radiation Oncology at the Univer-sity of Michigan, where she alsoworked in a basic science research lab-oratory.

In 1992, Dr. Johnson received anRSNA Research & Education Founda-tion Research Fellowship. Her project,“Effect of Ionizing Radiation on Topoi-somerase I,” showed her early interestin what she described as, “X-rayinducible gene transcription responsesin human cells and their effect(s) uponDNA repair.”

“Any award is a positive thing,”Dr. Johnson says. “The RSNAResearch Fellow award helped me toestablish myself as a scientist at theUniversity of Michigan Medical Cen-ter, and it helped establish my credibil-ity.” She maintains her ties to RSNAby attending the annual meeting.

Her clinical intereststoday include pedi-atric oncology, breastcancer, stereotacticbrain radiosurgeryand 3D conformalradiation.In addition to the

RSNA Research Fel-low award, Dr. John-son received the

American Society for TherapeuticRadiology and Oncology (ASTRO)Research Fellowship Award. A one-year sabbatical during her residency in1990 gave her the time to pursue aclinical laboratory project.

Decision-MakingDr. Johnson says her choice to leave

the University of Michigan MedicalCenter was not an easy one. “It was afamily decision to go into private prac-tice. I needed to be closer to my familyand my in-laws,” she explains. “Mypriorities changed. I had a great careerat the University of Michigan. I sur-rounded myself with a lot of smartpeople there. However, it’s very hardto be a good scientist and a good clini-cian while maintaining a strong familylife.” Dr. Johnson has three childrenranging in age from five to nine.

Currently, she holds an academicappointment with the Department ofRadiation Oncology at Indiana Uni-versity.

For young researchers consideringa career in radiation oncology, Dr.Johnson has some advice: “Get a verysound base of knowledge. Knowledge

Everything we do in basic

science and clinical research

has an impact on patient

care. Research always

improves patient care.

Nina Fukunaga Johnson, M.D.

Nina Fukunaga Johnson, M.D.1992 RSNA Research Fellow

RESEARCH & EDUCATION OUR FUTURE

Continued on page 24


PLATINUM ($1,000 - $4,999)Linda Covillon-Gaylord & Gregg M. Gaylord, M.D.

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SILVER ($200 - $499)Flora & Edwin T. Dailey, M.D.Maryann & Richard L. Dobben, M.D.Ronelle A. Du Brow M.D.Robert P. Eichelberger, M.D.Jack I. Eisenman, M.D.Cynthia & James L. Ellis Jr., M.D.Erwin H. Engert Jr., M.D.Susan W. Fan, M.D.M. Bruce Farkas, M.D.Margaret & Melvin M. Figley, M.D.William A. Finger, M.D.Mary Ellen Fisher, M.D. & Don FisherRuth & Gerhardt R. Fitz, D.O.Steven W. Fitzgerald, M.D.Jon M. Foran, M.D.Keith B. Ford, M.D.James M. Forde, M.D.Sidney E. Foster, M.D.Robert J. Foust, M.D.Evan K. Fram, M.D.Roger A. Francis, M.D.Robert A. Francis, M.D.Sharon & E. Edward Franco M.D.Karen Fried, M.D.David J. Frolich, M.D.Andrew F. Giesen Jr., M.D.Anna & Raphael C. Giobbe, M.D.Betsy & Peter E. Giustra, M.D.Gittelle & Richard H. Gold, M.D.David B. Goldenberg, M.D.Lori & Monte E. Golditch, M.D.Sharon & Irwin Grossman, M.D.Sudhir B. Guthikonda, M.D.Delbert H. Hahn Jr., M.D.Bernice & Eric J. Hall, D.Phil, D.Sc.Ulrike M. Hamper, M.D., M.B.A. & John Frost

Jennifer E. Hamrick-Turner, M.D.James L. Hanna, M.D.Robert C. Hannon, M.D.John V. Hanson, M.D.Joseph H. Harpole Jr., M.D.Barbara & Wayne D. Harrison, M.D.

Robert W. Hartung M.D.Joel D. Hassien, M.D.James B. Haswell, M.D.Jeanie & Malcolm K. Hatfield, M.D.Helmut W. Heep, M.D.Karen & Kenneth B. Heithoff, M.D.Lizabeth & Samuel L. Hissong, M.D.Adelaide & John R. Hodgson, M.D.Maryanne & David C. Holman, M.D.Abi Raymer & Brooks A. Horsley, M.D.Keith M. Horton, M.D.David R. Hunter, M.D.Mary & Eric A. Hyson, M.D.Roger J. Jackman, M.D.Hamsaveni & Subbia G. Jagannathan, M.D.John T. James, D.O.Jeffrey Gil Jarvik, M.D., M.P.H.Sharada Jayagopal, M.D. & SalemJayagopal

Peter H. Jeffrey, M.D.Kathleen M. Johnson, M.D.Thomas H. Johnson Jr., M.D.David W. Johnson, M.D.Michele & Michael D. Jokich, M.D.Ronit & Aron M. Judkiewicz, M.D.Charles A. Jungreis, M.D.Ekramul Kabir, M.D.Erm & Donald L. Kahle, M.D.Carl L. Kalbhen, M.D.Vidya Kamath, M.D. & Suren KamathElla A. Kazerooni, M.D. & Charles Nino,M.D.

James A. Kenney Jr., M.D.Helen & James G. Kereiakes, Ph.D.Matthew A. Ketelaar, M.D.Maged F. Khalil, M.D.Paul T. Khoury, M.D.Won S. Kim, M.D.Anita Bernhardt-King & Michael E. King,M.D.

Mary Anne King, M.D.Klaus-Jochen Klose, M.D., Ph.D.Richard T. Knepper, M.D.Mary & Edmond A. Knopp, M.D.Edwin F. Koch Jr., M.D.Sukehiko Koga, M.D.Cynthia & Kelly J. Krizan, M.D.Harold L. Kundel, M.D. Corinne H. Dyke, M.D. & Paul ThiessenLorraine Vazquez de Corral, M.D.

BRONZE ($1 - $199)Thuan T. Dang, M.D.Mary & Raymond L. Del Fava, M.D.Calvin B. Delaplain, M.D.Steven B. Edson, M.D.Terril A. Efird, M.D.Maxine & Paul H. Ellenbogen, M.D.Robert J. Entel, M.D.Irma & Eli A. Etscovitz, M.D.Genevieve & Daniel W. Eurman, M.D.Ronald G. Evens, M.D.Janet & Daniel A. Feeney, D.V.M.Martin J. Fine, M.D.James B. Fitzgerald, M.D.Sander F. Fleisher, M.D.Stasia J. Frank, M.D.Rose & Ezekiel Freed, M.D.Judith & G. Donald Frey, Ph.D.Hajime Fujimoto, M.D.Fay & Vicente T. Garciano M.D.Erika & Felix Garfunkel M.D.Vijayalaxmi & Ramesh S. Gaud, M.D.Peter J. Georgis, M.D.Bernard Gero, M.D.David J. Giles, M.D.Vera & Peter G. Gleason, M.D.Claudia A. Goodwin, M.D.Allison A. Griffiths, M.D.

Robert L. Haley Jr., M.D.Isis S. Hannallah, M.D. & RaafatHannallah

Raymond A. Hansen, M.D.John S. Harding, M.D.Donald A. Harper, M.D.Kelly Z. Hart, M.D.Kathryn A. Evers, M.D. & Allen HaasNobushige Hayashi, M.D., Ph.D.Tamara M. Haygood, Ph.D., M.D.Bruce R. Hebdon, M.D.Norinari Honda, M.D.Michele & Reed M. Horwitz, M.D.Joan & Howard L. Hudson, M.D.Kathleen T. Hudson, M.D.Marlys & Kenneth A. Hurst, M.D.Karen & Thomas M. Jamison, M.D.Mark C. Johannsen, M.D.William P. Jones, M.D.Lester Kalisher, M.D.Michael M. Kayne, M.D.Cathrine E. Keller, M.D.Judith & Howard Kessler, M.D.Patricia & Brock T. Ketcham, M.D.David M. Kirshy, M.D.Sandra C. Kochanski, M.D.Cynthia Reese & Keith Y. Kohatsu, M.D.Marjorie B. Kossoff, M.D.Sambasiva R. Kottamasu, M.D.Madonna Leigh Kral, M.D.Stewart W. Kribs, M.D.Peter M. Krook Jr., M.D.Judith & Arnold J. Krubsack, Ph.D., M.D.Jerome Krumpelman, M.D.

RSNA PRESIDENT’SCIRCLE MEMBERS$1,500 per year

Thomas R. Fuller, M.D.

Dr. & Mrs. Mark AlsonIn honor of Dennis Alsofrom, M.D., and Gary Alsofrom, M.D.

Jeffrey C. Blum, M.D.In honor of James T. Chen, M.D.

Dan P. Butcher, M.D.In memory of Frank Alcorn, M.D.

Maria Vittoria Chiechi, M.D.In memory of Michele Antonio Chiechi, M.D.

Joseph J. Darlak II, M.D.In memory of John & Stephania Darlak

Ajay R. Malpani, M.D.In memory of Radhakisan R. Malpani

Vernon L. Medlin, M.D.In honor of Robert Sloan, M.D.

Leslie N. Nishimi, M.D.In memory of Ethel J. Finck, M.D.

Harry L. Stein, M.D.In memory of John A. Evans, M.D.

Bobby M. Thomas, M.D.In honor of Luke Clements, M.D.

Lorraine Vazquez de Corral, M.D.In honor of Heriberto Pagan-Saez, M.D.

VANGUARD GROUP

Tyco Healthcare/Mallinckrodt

$25,000A Vanguard Company since 1990

Philips Medical Systems

$15,000A Vanguard Company since 1990

COMMEMORATIVE GIFTS

Online donations can be made atwww.rsna.org/research/foundation/donation.

RESEARCH & EDUCATION OUR FUTURE

Research & Education Foundation Donors

THE BOARD OF TRUSTEES of the RSNA Research & Education Foundation and itsrecipients of research and educational grant support gratefully acknowledge the

contributions made to the Foundation September 30–October 28, 2004.For more information on Foundation activities, a quarterly newsletter, Foundation X-aminer, is

available online at www.rsna.org/research/foundation/newsletters/x-aminer/x-aminer.pdf.

EXHIBITOR’S CIRCLE

R2 Technology

BRONZE $1,000

is power. A strong background willhelp you be a good academician (clini-cian or scientific), or a doctor in privatepractice. Also remember that every-thing we do in basic science and clini-cal research has an impact on patientcare. Research always improves patientcare.”

As for her future, Dr. Johnson saysshe plans to stay in private practice.

“I also want to qualify for the

Hawaii Ironman race,” she says. TheIronman is a triathlon made up of a2.4-mile swim, a 112-mile bike rideand a full 26.2-mile marathon. It isvery difficult to qualify for the HawaiiIronman, the original Ironman compe-tition. Dr. Johnson recently ran in anIronman competition in Wisconsin.The top three of her age group quali-fied for the Hawaii Ironman. Dr. John-son came in fourth place. She saysshe’ll try again. ■■


Program and Grant Announcements

CVI Fellowships Through a grant from the RSNAR&E Foundation, the ClevelandClinic Foundation is acceptingapplications for its 2006-2007clinical fellowship in cardiovas-cular imaging (CVI). This posi-tion will be within the currentone-year cardiovascular tomog-raphy fellowship program. Thefellowship experience willemphasize integrated non-inva-sive cardiovascular imaging withstate-of-the-art MR imaging andmultidetector CT within a busyclinical service.

For more information, con-tact Richard D. White, M.D., at(216) 444-2740 or at

[email protected] through a grant from

the R&E Foundation, StanfordUniversity is accepting applica-tions for its 2005-2006 and2006-2007 one-year fellowshipsin non-invasive CVI. Fellowswill receive detailed training inthe principles and use of multi-detector row CT and cardiovas-cular MR imaging systemswithin the context of a busyclinical cardiovascular imagingservice.

For more information, con-tact Geoffrey D. Rubin, M.D., at(650) 723-7647 or at [email protected].

New Grant for 2005The deadline is January 10 to apply for a new grant cosponsored byRSNA, Association of University Radiologists (AUR), Association ofProgram Directors in Radiology (APDR) and Society of Chairmen ofAcademic Radiology Departments (SCARD).

The RSNA/AUR/APDR/SCARD Radiology EducationalResearch Development Grant is designed to encourage innovationand improvement in health sciences education.

For more information or an application, go to www.rsna.org/research/foundation/erd.html.

RSNA EDUCATION

Register Now for BIROW 3Register online for the third Biomedical ImagingResearch Opportunities Workshop (BIROW 3),March 11–12, 2005, in Bethesda, Md.

The goal of the workshop is to identify andexplore new opportunities for basic scienceresearch and engineer-ing developments inbiomedical imaging, aswell as related diagno-sis and therapy. Thisyear’s topics include:• Cell Trafficking• Informatics Solutions

in Imaging• Guiding Therapy

by MultimodalityImaging

• Medical ImagingTechnology: From Concept to Clinic

Category 1 continuing medical education(CME) credits are available and an application formedical education physics continuing educationcredits (MPCEC) has been submitted. For programinformation or to register, go to www.birow.org.

BIROW 3 is sponsored by RSNA, Academy ofRadiology Research, American Association ofPhysicists in Medicine, American Institute forMedical and Biological Engineering, and Biomed-ical Engineering Society.

Continued from page 22

Private Practice Radiation Oncologist Promotes Strong Research Base

For more information about RSNAResearch & Education Foundation grantprograms, go to www.rsna.org/research/foundation/programs.html, or contact Scott Walter at (630) 571-7816 or at [email protected].


The U.S. Food and Drug Administra-tion has approved the ExAblate 2000®

by InSightec, the world’s first MRimage-guided focused ultrasound sys-tem designed to target and destroy uter-ine fibroids.

“[The] approval marks an historicevent for InSightec and underscores theimportance of imaging technologies notonly as diagnostic tools, but also astherapeutic treatment enablers for agrowing range of diseases,” said JacobVortman, Ph.D., company president andCEO. “InSightec is committed to using

focused ultrasound surgery andinnovative MR imaging toadvance the care of patients withserious diseases, and we areexploring the potential applicationof the ExAblate system in otherdiseases such as breast, liver,bone and brain cancer.”

The ExAblate System inte-grates focused ultrasound thermalablation with GE’s MR imaging capa-bilities to provide a non-invasivemethod for destroying targeted tissue.ExAblate 2000 attaches to a standard

1.5 Tesla GE MR imaging system.For more information, go to

www.fda.gov/bbs/topics/ANSWERS/2004/ANS01319.html.

Product News

Information for Product News came from the manufacturers. Inclusion in this publication should not be construed as a productendorsement by RSNA. To submit product news, send your information and a non-returnable color photo to RSNA News, 820 Jorie

Blvd., Oak Brook, IL 60523 or by e-mail to [email protected]. Information may be edited for purposes of clarity and space.

FDA APPROVAL

Dual Lumen Pigtail CatheterVascular Solutions, Inc., hasannounced FDA clearance for itsLangston dual lumen pigtailcatheter. The Langston catheter isa two-lumen diagnostic catheterfor use in the simultaneous meas-urement of pressures from twolocations in the arterial system.

“This clearance and ourimpending launch of theLangston catheter continues Vas-cular Solutions’ strategy of deliv-ering clinically unique productsfor interventional cardiology andinterventional radiology,” saidHoward Root, CEO of VascularSolutions. “The Langston catheteroffers simultaneous accuracy andprecise responsiveness in measur-ing intra-arterial pressure gradi-ents, which is often used in diag-nosing valvular disease.”

Dragon NaturallySpeaking® 8 Medical is a newrelease of Scansoft’s best-selling medical speechrecognition solution. Designed specifically forhealthcare organizations, Dragon Natu-rallySpeaking 8 Medical is used to instantly andautomatically transcribe clinical dictation on aPC with a 99 percent accuracy rate.

The results are reduced cost and turnaroundtime for manual transcription. This new releaseis 20 percent more accurate than the prior ver-sion, and includes an updated and expandedlibrary of medical specialty dictionaries. It canbe used with virtually any Windows-based com-puterized patient records application.

NEW PRODUCT

Innovative MedicalDVD/CD RecordingStationTDK Medical has launched theDMC-2000 DICOM Media Cre-ator, an innovative medicalDVD and CD recording solutionthat incorporates an integratedPC. Connected to any DICOMnetwork, the DMC-2000 net-work appliance enables on-demand recording of patientstudies to DVD or CD, drasti-cally reducing film costs andstreamlining workflow.

TDK’s proprietary BluPrint™

software provides unprece-dented versatility and power inrecording and archiving diag-nostic reports and non-DICOMdata.

FDA APPROVAL

First Non-Invasive Fibroid Treatment

RADIOLOGY PRODUCTS

New Speech Recognition System

NEW PRODUCT


Important Dates for RSNA 2005

April 15 Deadline for abstractsubmission

April 25 Registration and housing open for RSNAand AAPM members

May 23 Registration and housing open for non-RSNA members

June 20 General registration,housing and refreshercourse enrollmentopens

Nov. 11 Final advance registra-tion deadline

Nov. 27–Dec. 2 RSNA 91st ScientificAssembly and AnnualMeeting

Submit Abstracts for RSNA 2005It’s not too early to think about sub-mitting an abstract for RSNA 2005.The online abstract submission sys-tem will be activated in January. Thedeadline is April 15, 2005.

Abstracts are required for scien-tific papers, scientific posters, educa-tion exhibits, infoRAD exhibits andradiology informatics.

To submit an abstract online, goto rsna.org/abstracts.

The online system is easy to useand makes it more efficient for theScientific Program Committee toevaluate submissions.

For more information about theabstract submission process, contactRSNA at (877) 776-2227 within theUnited States or (630) 590-7774 outside of the United States.

News about RSNA 2005

MEETING WATCH RSNA 2005

Total North America 955

*Abstracts transferred from the American Society for Therapeutic Radiology and Oncology

Total International 1,233

TOTAL 2,188

North America Canada 54Mexico 3United States 848ASTRO* 50

International Argentina 3Australia 6Austria 34Belgium 22Brazil 19Chile 2China 91Croatia 1Egypt 5Finland 3France 45Georgia, Rep. of 2Germany 281Greece 9Hong Kong 5Hungary 2India 11Ireland 14Israel 21Italy 132Japan 196

Nepal 1Netherlands 49New Zealand 3Norway 3Pakistan 1Philippines 1Poland 5Portugal 1Qatar 1Russia 2Saudi Arabia 1Singapore 3South Korea 92Spain 22Sweden 5Switzerland 37Taiwan ROC 9Tunisia 2Turkey 19United Kingdom 72Venezuela 1

RSNA 2004 – Scientific Abstracts Accepted by Country


■ For more information, contact RSNA Technical Exhibits at (800) 381-6660 x7851 or e-mail: [email protected].

RSNA 2005 Exhibitor News

Important Exhibitor Dates for RSNA 2005February 22 Exhibitor Planning

Meeting

March 30 Exhibitor ProspectusMails

June 28 Exhibitor Planning/BoothAssignment Meeting

July 5 Technical Exhibitor Ser-vice Kit Available Online

Nov. 27–Dec. 2 RSNA 91st ScientificAssembly and AnnualMeeting

Exhibitor SurveyRSNA 2004 exhibitors should havereceived their Exhibitor Survey. Pleasecomplete this survey and return it toRSNA. Exhibitor feedback is very impor-tant for the continued success of theannual meeting and improving the expe-rience for all those attending the meeting.

Exhibitor MeetingAll RSNA 2004 exhibitors are invited toattend the RSNA 2005 Exhibitor Plan-ning Meeting on February 22 at Rose-wood Restaurants and Banquets nearO’Hare International Airport. The meet-ing is intended to review RSNA 2004 andplan for RSNA 2005. More informationwill be sent to each exhibitor’s officialcontact in mid-January.

Online Exhibitor List Detailed information about the technicalexhibitors at RSNA 2004 will be avail-able online until September 2005.

Go to rsna2004.rsna.org and clickon Exhibitor List on the right-hand sideof the page. You can search by companyname, category or keyword.

EXHIBITOR NEWS RSNA 2005

91st Scientific Assembly and Annual MeetingNovember 27 — December 2, 2005McCormick Place, Chicago


RSNA.org

ec o n n e c t i o n s Your online links to RSNARSNA.org www.rsna.orgRSNA 2004 rsna2004.rsna.orgRadiology Onlinersna.org/radiologyjnlRadiology Manuscript Centralrsna.org/radiologyjnl/submit

RadioGraphics Onlinersna.org/radiographicsRSNA News rsnanews.orgEducation Portalrsna.org/educationCME Credit Repositoryrsna.org/cme

RSNA Medical ImagingResource Centerrsna.org/mircRSNA Career Connectionrsna.org/careerRadiologyInfo™

RSNA-ACR patient informationWeb siteradiologyinfo.org

RSNA Press Releasesrsna.org/mediaRSNA Online Products andServicesrsna.org/memberservicesRSNA Research & EducationFoundationMake a Donationrsna.org/donate

Community of Sciencersna.org/cosMembership Renewalrsna.org/renew

NEWRSNA Membership Directoryrsna.org/directory

RSNA ON THE WEB

RSNA Redesigns Education Portal

THE RSNA Education Portal (rsna.org/educa-tion) has been reorganized to make it easierto navigate and take advantage of the many

educational offerings available, including oppor-tunities to earn AMA PRA category 1 continuingmedical education (CME) credits.

The main page of the Education Portal fea-tures links to:• InteractED (online CME programs)• RSNA CME Credit Repository• Education Center Store• Resources for Continuing Professional

Development• Resources for International CME• Resources for Residents• Resources for Medical Students • Resources from RSNA 2004

For example, if you want to take an onlinebreast imaging refresher course on InteractED,click on the InteractED button ➊ , click onRefresher Courses ➋ and then click on Breast ➌ .

You can then click on the name of the course.Access to course content via InteractED is a free

benefit of RSNA membership.Members can click on the arrowbutton at the bottom of the page ➍ .After you log in using your RSNAmember ID and password ➎ , youare ready to begin viewing thecourse.

Note: Under Resources for InternationalCME, all RSNA online educational activi-ties are valid for Australian RANZCR CPDpoints on a point-for-point basis. CPDpoints accrued from this activity are suitablefor the audit component of AustralianRANZCR CPD.

➊ ➋

➍

➎

➌

Medical Meetings January – May 2005

JANUARY 20–23Radiation Therapy Oncology Group, RTOG Meeting, SheratonWild Horse Pass Resort & Spa, Phoenix • www.rtog.org

FEBRUARY 2–6Mexican Society of Radiology (SMRI), Annual Meeting, Mexico City • www.smri.org.mx

FEBRUARY 16–19International Society for Clinical Densitometry (ISCD), Annual Meeting, The Fairmont, New Orleans • www.iscd.org

FEBRUARY 27–MARCH 4Society of Gastrointestinal Radiologists (SGR) and Society of Uroradiology (SUR), Abdominal Radiology Course 2005, Hyatt Regency Hill Country Resort, San Antonio • www.sgr.org

MARCH 4–8European Congress of Radiology, ECR 2005, Austria CenterVienna, Austria • www.ecr.org

MARCH 11–12Biomedical Imaging Research Opportunities Workshop 3(BIROW 3), Hyatt Regency Bethesda, Md. • www.birow.org

MARCH 21–25Society of Computed Body Tomography & Magnetic Resonance (SCBT/MR), 28th Annual Meeting, Loews MiamiBeach Hotel, South Beach, Fla. • www.scbtmr.org

MARCH 31–APRIL 5Society of Interventional Radiology (SIR), 30th Annual Scientific Meeting, New Orleans • www.sirweb.org

APRIL 9–14American College of Radiology (ACR), Annual Meeting andChapter Leader Conference, Hilton Washington, Washington,D.C. • www.acr.org

APRIL 19–2210th International Conference on Occupational Respiratory Diseases (10th ICORD), Occupational Respiratory Hazards inthe 21st Century: Best Practices for Prevention and Control,Beijing, China • www.ICORD2005.com

APRIL 28–30European Society of Gastrointestinal and Abdominal Radiology(ESGAR), 3rd Hands-on Workshop: CT-Colonography, Brugge,Belgium • www.esgar.org

MAY 3–7Society for Pediatric Radiology (SPR), 48th Annual Meeting,Sheraton New Orleans, New Orleans • meeting.pedrad.org

MAY 4–7Association of University Radiologists (AUR), 53rd AnnualMeeting, Fairmont Queen Elizabeth Hotel, Montreal, Quebec • www.aur.org

MAY 11–14Japanese Society of Angiography & Interventional Radiology,34th Annual Meeting and 9th International Symposium on Interventional Radiology & New Vascular Imaging, AwajiYumebutai International Conference Center, Hyogo, Japan • www.isir-jsair2005.jp

MAY 15–20American Roentgen Ray Society (ARRS), 105th Annual Meeting, New Orleans Hilton Riverside Hotel and Towers, New Orleans • www.arrs.org

MAY 21–27American Society of Neuroradiology (ASNR), 43rd AnnualMeeting, Metro Toronto Convention Centre, Toronto, Ontario • www.asnr.org

MAY 25–2856th Nordic Radiological Congress, 17th Nordic Congress of Radiographers, 33rd Annual Meeting of Nordic Society of Neuroradiology, Radisson SAS Scandinavia Hotel, Oslo, Norway • www.congrex.no/radio2005

MAY 25–28Society of Breast Imaging (SBI), 7th Postgraduate Course, Vancouver Convention and Exhibition Centre, Vancouver,British Columbia • www.sbi-online.org

MAY 28–31European Society of Gastrointestinal and Abdominal Radiology(ESGAR), 16th Annual Meeting and Postgraduate Course,Palazzo dei Congressi, Florence, Italy • www.esgar.org

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