limits on resident duty hours have initial positive impact · the mark o. hatfield clinical...

NOVEM B ER 2004 ■ VO LU M E 14, NUMBER 11

Limits on Resident Duty HoursHave Initial Positive Impact

Also Inside:■ Radiologists Take Steps to Curtail Inappropriate Imaging Utilization■ Landmark Study Compares Renal Artery Interventions to Medications ■ Imaging is Prominent in Year One of NIH Roadmap■ RSNA Fellowship Gives Interventional Radiologist a Chance

to Build Foundation RSNA 2004

November 28 – December 3

RSNA NewsNovember 2004 • Volume 14, Number 11

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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NOVEM B ER 2004

1 People in the News2 Announcements3 Letters to the Editor4 RSNA Board of Directors Report

Feature Articles 5 Radiologists Take Steps to Curtail Inappropriate

Imaging Utilization7 Landmark Study Compares Renal Artery

Interventions to Medications 9 Imaging is Prominent in Year One of NIH Roadmap

11 Limits on Resident Duty Hours Have Initial PositiveImpact

Funding Radiology’s Future18 RSNA Fellowship Gives Interventional Radiologist

a Chance to Build Foundation19 R&E Foundation Donors

13 RSNA: Working for You14 Program and Grant Announcements15 Journal Highlights16 Radiology in Public Focus20 Product News21 RSNA 2004 Lecture Preview23 Meeting Watch24 Exhibitor News25 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.

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 SStephen BarlasBruce K. DixonJoan DrummondMarilyn Idelman Soglin

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

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

Emory Names New Radiology Chair

Send your submissions for People in the News to rsnanews@rsna.org, (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.

IN MEMORIAM:

Richard H. Greenspan, M.D.A memorial service was held at YaleUniversity in October for RichardH. Greenspan, M.D., a long-timechairman of Yale’s Diagnostic Radi-ology Department. Dr. Greenspandied in February after a long strugglewith Alzheimer’s disease. He was 78.

“Dick Greenspan was a physi-cian, a teacher and a mentor to manyacademic radiologists, several chair-men and deans,” says James A.Brink, M.D., interim chairman ofdiagnostic radiology at Yale. “Dickhad a lifelong interest in music and

was an enthusiastic violinist, an avidgolfer and tennis player.”

Dr. Greenspan’s career at Yalespanned nearly 20 years. He waschairman from 1973 to 1986, andwas associate dean for clinicalaffairs from 1986 to 1991. In 1994,Dr. Greenspan was named professoremeritus. He retired from activepractice in 1999.

Dr. Greenspan was a foundingmember and president of the Fleis-chner Society, and was a member ofRSNA for nearly 40 years.

PEOPLE IN THE NEWS

IN MEMORIAM:

William B. Seaman, M.D.Accomplished researcher and respectedradiology leader William B. Seaman,M.D., has died at the age of 87.

Dr. Seaman, an RSNA member formore than 50 years, was a past-presidentof many radiology organiza-tions, including the AmericanCollege of Radiology, Ameri-can Roentgen Ray Society,Association of UniversityRadiologists, Society of Chair-man of Academic RadiologyDepartments, and Society ofGastrointestinal Radiologists.He was chairman of theColumbia University Depart-ment of Radiology from 1956to 1982, where he spent agreat deal of time educating and nurturinghis residents.

“The residents who have graduatedfrom Dr. Seaman’s program have all hadhighly satisfying careers, and many haveemulated him by rising to positions ofleadership throughout academic and pri-vate radiology,” says Jeffrey H. New-house, M.D., a professor of radiology atColumbia. “But the most important memo-ries of him must be personal: those whoknew him remember him as unfailinglykind, welcoming to all, constantly good-humored and as the essential gentleman.”

Sanjay Saini, M.D.

William B. Seaman, M.D.

Janjan Appointed to Prominent CMS CommitteeNora A. Janjan, M.D., has been appointed to theMedicare Coverage Advisory Committee (MCAC)for the Centers for Medicare and Medicaid Services(CMS). MCAC advises CMS on whether specificmedical items and services are reasonable and nec-essary under Medicare law.

Dr. Janjan is a professor of radiation oncology atthe University of Texas M.D. Anderson Cancer Cen-ter in Houston. She is the co-founder of the Multi-disciplinary Metastatic Bone Pain Clinic, and is apast-chair of the American Society for TherapeuticRadiology and Oncology.

Dr. Janjan is a long-time RSNA volunteer, currently serving on the RSNAPublic Information Advisors Network.

To view the MCAC appointees, including radiologists and radiationoncologists, go to www.cms.hhs.gov/mcac/roster.asp.

Sanjay Saini, M.D., has beenappointed the William Patter-son Timmie Professor and

chair of the Department of Radiol-ogy at Emory University School ofMedicine in Atlanta.

Dr. Saini, who specializes ingastrointestinal imaging, had previ-ously spent 23 years on the facultyat Harvard Medical School. He was

also the director of computedtomography and vice-chair of radi-ology for health systems affairs atMassachusetts General Hospital inBoston.

Dr. Saini succeeds WilliamCasarella, M.D., who will continueas executive associate dean for clini-cal affairs at Emory.

Nora A. Janjan, M.D.

2 R S N A N E W S N O V E M B E R 2 0 0 4

Clinical Trials Methodology Workshop Planned for 2006RSNA is planning a Clinical TrialsMethodology Workshop in January2006. Thirty imaging scientists areexpected to be chosen to train in devel-opment of clinical trials protocolthrough workshop didactic sessions,one-on-one mentoring, discussion ses-sions, self-study and protocol synthesis.

A subcommittee of the RSNAResearch Development Committee ishandling the intensive course prepara-tion, application and selection process.

The subcommittee is headed by DanielSullivan, M.D., from the National Can-cer Institute, and Constantine A. Gatso-nis, Ph.D., from Brown University.

The RSNA course was inspired bythe annual American Association forCancer Research-American Society ofClinical Oncology (AACR-ASCO)workshop held in Vail, Colo. Four radi-ologists participated as students in themost recent workshop. Three radiolo-gists were on the faculty.

Topics to be covered by the RSNAcourse include:• Clinical study design• Biostatistics• Multi-institutional studies• Human subjects investigation• Ethics• Regulatory processes

More detailed information will beincluded in future editions of RSNANews.

ANNOUNCEMENTS

RSNA members should havereceived their 2005 dues notices.Because online access to Radiol-ogy and RadioGraphics is tied tomembership status, payment notreceived by December 31, 2004,will trigger an automatic inacti-vation of online subscriptions.

Members can quickly andeasily renew their membershiponline. Go to www.rsna.org/renew. Enter your member num-

ber (found on your RSNA Newsaddress label) and password, andthen click on Renew Member-ship.

For more information or torenew by phone, contact theRSNA Membership and Sub-scriptions Department toll free at (877) RSNA-MEM or at (630)571-7873, or send an e-mail tomembership@rsna.org.

Membership Renewal Available Online 2005 Membership DuesNORTH AMERICA NORTH AMERICA

Membership Dues $325 $415(print and online journals)

Membership Dues N/A $325(online journals only)

Retired Members Free Free(online journals only)(Print journals available at a reduced subscription rate)

Members-In-Training Free Free(online journals)

(reduced subscription rate $80 $190for print journals)

NIH Opens New Clinical Research HospitalThe National Institutes of Health hasopened a new hospital dedicated solely toclinical research. The Mark O. HatfieldClinical Research Center is an 870,000-square-foot facility that connects to theexisting NIH Clinical Center.

In the 50 years that the NIH ClinicalCenter has been opened, more than350,000 people have participatedin clinical studies. Among theaccomplishments:• First cure of a solid tumor

with chemotherapy• First chemotherapy for child-

hood leukemia and Hodgkin’s disease• Discovery of evidence of a genetic com-

ponent in schizophrenia• First use of nitroglycerin for acute

myocardial infarction• First use of hydroxyurea to treat sickle

cell anemia• First gene therapy

• First successful replace-ment of a mitral valve

• First use of AZT to treatAIDS

• Development of screen-ing tests for AIDS andhepatitis which reducedthe transmission rate of

transfusion-transmit-ted hepatitis from 30percent to near zero

More than 1,000clinical studies will be conducted in

the new clinical research center. NIHsays the new hospital will continue to set

the pace for developing the most promis-ing medical advances and providing asynthesis of medical knowledge to radi-cally improve human health.

More information is available atwww.cc.nih.gov/index.cgi.

OUTSIDE

ANNOUNCEMENTS

TO THE EDITOR:The feature, “Patients and PhysiciansUninformed About CT risks, StudySays,” in the August issue of RSNANews illustrates the need for more edu-cation regarding radiation dose andrisks associated with CT. The studyestimates the radiation dose from oneCT ranges from 100 to 250 chest radi-ographs. Recently, a table published inRadiology Today (July 19, 2004) sum-marized doses from a European Com-mission report. This table lists the typi-cal effective dose in mSv for CT head

and CT abdomen proce-dures as 2 and 10 mSv,equaling 100 and 500 PAchest radiographs,respectively. Also, thetime period for the sameequivalent effective dosefrom natural backgroundradiation (based on 3mSv/yr) ranged from 243 days to 3.3years. This table also lists other proce-dures compared to an effective dose of0.023 mSv for a PA film.

While effective dose may vary

according to procedure,patient variables, imagingsystem and operating tech-nique, the increasing preva-lence of CT scanning sug-gests imaging professionalswill need a more sophisti-cated understanding of thedosimetry and potential risks

associated with this modality. JAMES BRADLEY SUMMERS, M.D.UNIVERSITY OF SOUTH ALABAMA,MOBILE

TO THE EDITOR: Regarding your item in the Augustissue of RSNA News concerning theappointment of Kaori Togashi, M.D.,Ph.D., as the first woman to chair aradiology department at a national uni-versity in Japan (Kyoto University’sGraduate School of Medicine), I wouldalso like to recognize the accomplish-ments of RSNA member Atsuko Hes-hiki, M.D.

Dr. Heshiki has been a female chairof a radiology department at a privateJapanese medical school (SaitamaMedical School) for some 17 years.

Dr. Heshiki completed her resi-dency in diagnostic radiology at JohnsHopkins Hospital in the mid ‘60s, atwhich time I was radiologist-in-chargeof the Division of Diagnostic Radiol-ogy there. We have been very proud ofDr. Heshiki’s accomplishments. She

recently became president-elect of theMedical Women’s International Associ-ation and, in that capacity, was at theUnited Nations in New York this fall.

B.G. BROGDON, M.D.UNIVERSITY DISTINGUISHED

PROFESSOR EMERITUS

DEPARTMENT OF RADIOLOGY

UNIVERSITY OF SOUTH ALABAMA

MEDICAL CENTER, MOBILE

The Centers for Medicare & MedicaidServices (CMS) says it will expand

coverage of percutaneous transluminalangioplasty (PTA) of the carotid arterywith placement of an FDA-approvedcarotid stent. This will allow coveragefor participants in a large FDA-mandatedpost-approval study for the newlyapproved device.“We are increasing Medicare benefici-

aries’ access to innovative treatment toprevent strokes and supporting the devel-opment of better evidence on how ourbeneficiaries can best use this new treat-ment,” said CMS Administrator Mark B.McClellan, M.D., Ph.D.

Previously, CMS covered only PTAof the carotid artery concurrent withstent placement in clinical trials beingconducted prior to FDA approval.

CMS is also evaluating a separaterequest for a broader coverage expansionof PTA of the carotid artery concurrentwith stent placement for patients at highrisk for carotid endarterectomy. TheCMS evidence-based review, which willinvolve public comment on a draft cov-erage decision, is scheduled to be com-pleted in early 2005.

For more information, go towww.cms.hhs.gov/media/press/release.asp?Counter=1184.

Medicare Expands Coverage of PET Scansfor Alzheimer’s DiseaseCMS has expanded Medicare cov-erage of positron emission tomog-raphy (PET) to include someMedicare beneficiaries with sus-pected Alzheimer’s disease and toinclude other beneficiaries at riskfor Alzheimer’s disease who areenrolled in a large and easilyaccessible clinical trial.

For more information, go towww.cms.hhs.gov/media/press/release.asp?Counter=1200.

Medicare to Cover Carotid Artery Stenting in FDA Study

LETTERS TO THE EDITOR

RSNA News welcomes Letters to the Editor. Let us know what’s on your mind. Send your letter by mail to RSNA News, 820Jorie Blvd., Oak Brook, IL 60523, by fax to (630) 571-7837, or by e-mail to rsnanews@rsna.org. Please include your full nameand telephone number. Letters may be edited for purposes of clarity and space.

As RSNA and many of our mem-bers prepare for the Society’s90th Scientific Assembly and

Annual Meeting in Chicago, RSNAcommittees and staff are already dis-cussing ways to improve the annualmeeting educational experience and tohelp members create educational planscustomized for their needs in mainte-nance of certification (MOC).

MOC and Continuing Medical EducationRSNA is working with the AmericanCollege of Radiology (ACR) and someother radiology organizations to launcha continuing medical education (CME)gateway. This gateway provides mem-bers with a single point to access all ofthe CME credits they have earnedthrough the participating organizations.

The gateway will be available bythe end of 2004. Members are urged toaccess the gateway as an online tool forkeeping professional CME data.

Meanwhile, RSNA members havedirect access to the RSNA CME Repos-itory at rsna.org/cme.The RSNA CMERepository allowsmembers to keep trackof their CME creditsearned throughRSNA. Members willalso be able to createrecords of their MOCactivity, including acustomized educa-tional plan based on their professionalprofile. These records can be used togauge progress toward meeting MOCrequirements.

MOC and Peer GroupsNetworking with imaging professionalswho have similar practices and educa-

tional needs is an important educationalexperience itself.

RSNA is working with John Par-boosingh, M.D., an internationallyknown leader in developing enhancedlearning activities for physicians. Dr.Parboosingh will help RSNA developnew CME programs and reorganizeexisting ones to meet and exceed theprofessional needs of RSNA members.

MOC and Self-AssessmentThe RSNA Board has approved a pro-posal to create a general self-assess-ment module (SAM). A SAM is a toolthat can help members assess theirknowledge in various general cate-gories or subspecialty areas. By identi-fying their strengths and weaknesses,members can further customize theirprofessional development plans to meetMOC requirements.

RSNA 2004As it has throughout RSNA meetings inthe past, state-of-the-art technology will

help enhance theeducational experi-ence at RSNA 2004.In addition to elec-tronic exhibits andposters, audienceresponse systemswill help tailorcourse material tothe audience knowl-edge level for CME.

A pilot is being done using radiofre-quency identification to track atten-dance at case-based review courses.

The RSNA Board has hired an out-side firm to analyze how attendeesspend their time at the meeting so thatthe Society can better understand atten-dees’ needs and how to meet them.

Attendee feedback will also beimportant.

Membership Directory OnlineThe RSNA Membership Directory willsoon be available online at rsna.org/directory. Members can log in usingtheir member ID. They will then beable to customize their search for otherRSNA members by name, institution orgeographic area.

The online directory will always beup to date.

Members who still want a printedcopy of the directory can request one.A postcard will be mailed this monthwith specific instructions. Requests willbe taken until January 7, 2005, byphone, fax, mail, e-mail or online atrsna.org/requestdirectory.

R&E FoundationAs the RSNA Research & EducationFoundation celebrates its 20th anniver-

RSNA Board of Directors Report

Robert R. Hattery, M.D.Chairman, 2004 RSNA Board of Directors

RSNA NEWS

Continued on page 8

90th Scientific Assembly and Annual Meeting

November 28 – December 3, 2004McCormick Place, Chicago

Despite federal legislation againstit, self-referral—mainly by non-radiologists—remains a major

force behind inappropriate imaging uti-lization, according to David C. Levin,M.D. “If we’re going to control thecosts of imaging in this country, some-thing has to be done to control self-referral,” says the professor and chair-man emeritus of the Department ofRadiology at Thomas Jefferson Univer-sity Hospital (TJUH) in Philadelphia.

Dr. Levin and his colleagues, TJUH chairman Vijay Rao, M.D.,Andrea Maitino, M.S., and LarryParker, Ph.D., will present 10 new studies on the subject at RSNA 2004 in Chicago. Their research providesfurther evidence of the role of self-referral in rising utilization.

“For example, we looked atchanges in utilization of cardiac nuclearscans between 1998 and 2002. It turnsout that the overall utilization rate perthousand Medicare beneficiaries wentup by 43 percent, a sharp rise for thisprocedure,” explains Dr. Levin. “Sepa-rating that out, we find that the utiliza-tion rate among radiologists went up bytwo percent, while among cardiologistsit rose by 78 percent—this is all newvolume generated primarily by self-referral.”

Other findings by the TJUH team:• Cardiovascular imaging (CVI) repre-

sents 29 percent of the total noninva-sive diagnostic imaging (NDI) mar-ket. Between 1993 and 2002, the CVIworkload grew more than twice asrapidly as all other non-CVI NDI.

• Cardiologists now predominate inCVI, primarily as a result of theirhigh utilization of echocardiographyand CV nuclear medicine.

• Among radiologists, the utilization

rate of NDI (Medicare) droppedalmost four percent from 1993 to1999, but it subsequently rose almost12 percent from 1999 to 2002. Uti-lization by non-radiologists grewabout twice as rapidly as utilizationby radiologistsbetween 1999 and2002.

• Between 1997 and2002, interventionalradiologists’ share ofthe percutaneousperipheral vascularintervention marketdeclined substantially, but their totalprocedure volume continued to grow.This, therefore, continues to be anexpanding field for radiologists.

• Rates of growth in reimbursements toorthopedic surgeons for total MRimaging, musculoskeletal MR imag-ing and spine MR imaging were farhigher than the rates of growth forradiologists, according to Medicare

Part B data for 1997 through 2002. “Since MR imaging by orthopedic

surgeons is performed in a largely self-referred setting, this raises the concernthat if the trend continues, it couldbecome a significant cost driver for the

Medicare program,”writes the TJUHgroup.

“Orthopedic sur-geons really don’tbelong in the busi-ness of owning MRscanners,” says Dr.Levin. “That’s a

weakness in the Stark laws and in thehealthcare system as a whole. Orthope-dic surgeons have no training in how tooperate an MR unit, but one of themajor problems is that once physiciansare licensed to practice medicine in anygiven state, they can pretty much dowhatever they want, even if they’venever been trained.”

If we’re going to control the

costs of imaging in this

country, something has to be

done to control self-referral.

David C. Levin, M.D.

Radiologists Take Steps to CurtailInappropriate Imaging Utilization

David C. Levin, M.D.Thomas Jefferson University Hospital

Vijay Rao, M.D. Thomas Jefferson University Hospital

FEATURE HOT TOPIC

Continued on next page

The Stark LawStark II, introduced by CongressmanPete Stark (D–Calif.), prohibits a physi-cian from referring a Medicare or Med-icaid patient to an entity in which thatphysician has a financial interest,whether it’s an investment interest or acompensation arrangement, absent reg-ulatory exceptions. One such exemp-tion is the “in-office ancillary serviceexception,” which allows physicians tolegally self-refer patients for imaging intheir own offices and bill Medicareunder their group practice numberunder specified conditions.

“One of the things that has con-fused and confounded radiologists isthe fact that if the Stark anti-self refer-ral law was adopted for the purpose oftrying to curtail the abuse of self-refer-ral, then why does this in-office ancil-lary service exception exist?” asksThomas Greeson, J.D., of Reed Smith,LLP, in Falls Church, Va.

“The reason,” he explains, “is thatCongressman Stark chose to curtail thepassive investor/referring physician. Anexample at the time the law wasadopted was the orthopedic surgeonwith a limited partnership interest in animaging center across town or in thesame office building where he refershis patients for imaging. The limitedpartnership interest produced a returnmerely from the referral of the patientto that imaging center in which theorthopedic physician had an investmentinterest. This profit solely from a pas-sive referral of patients is what Con-gressman Stark was trying to prevent.What has transpired, of course, is theproliferation of many imaging arrange-ments designed to meet the in-officeancillary service exception—hence thegrowing debate as to whether furthersteps should be taken to close the in-office ancillary services loophole.”

Dr. Levin says he believes it’shighly unlikely that Stark II will betoughened soon because there are toomany physicians and medical groupswho benefit from self-referral who

want to keep the loopholes open. The only way to counter the influ-

ence of special interest groups on Capi-tol Hill, says Dr. Levin, is for insurersand employers to step up to the plateand take action to limitself-referral. “Thisresponsibility doesn’tfall solely on the healthplans that keep raisingpremiums. It also fallson those who are ulti-mately paying—busi-nesses.”

N. Reed Dunnick,M.D., professor andchairman of the Uni-versity of MichiganDepartment of Radiol-ogy, says a solutionmust be found soonbefore over-utilizationbankrupts the entirehealthcare system. “Wedon’t want to withholdmedical care from peo-ple,” he says. “We wantto eliminate thoseexaminations that don’tneed to be performed inthe first place. Our fieldis changing rapidly and we need tocommunicate to our colleagues aboutthe appropriate use of our tools. TheAmerican College of Radiology (ACR)has done a great job of creating appro-priateness criteria, but we all have aresponsibility to educate ourselves, our

colleagues and our referring physicians.I think academic medical centersshould take the lead on this.”

Dr. Dunnick, who also chairs theIntersociety Committee, adds that if

minimum standardsexisted, it might help todecrease inappropriateutilization, especially thatwhich has been encour-aged by self-referral.

“The MammographyQuality Standards Act(MQSA) is an excellentmodel,” he says. “MQSAhas improved the qualityof mammography. As anunintended consequence,many who had beendoing mammography intheir offices or as a side-line voluntarily gave upmammography as theydid not meet MQSA stan-dards. I believe the pur-suit of quality is what isimportant here.”

The Intersociety Committee is preparing a report on inappropriateimaging utilization as a

result of discussion at its annual meet-ing in July. The report will make recommendations on such things aseducation, generating data, mandatingaccreditation and extending oversightto outpatient imaging. It is expected tobe released in 2005. ■■

Steps to Curtail Inappropri-ate Self-ReferralDr. Levin proposes severalstrategies for combating self-referral by non-radiologists:• Lobby for the creation of new

federal regulations to makeself-referral more difficult.

• Convince insurance companiesand other payers that non-radi-ologists who perform imagingservices must be accreditedand/or site-inspected to ensurequality.

• Impose privilege limitations onthe performance of imaging bynon-radiologists.

• Convince payers to reimbursenon-radiologists less for imag-ing than they reimburse radiol-ogists. This makes sense,according to Dr. Levin, becausetheir training is far less.

• Require pre-certification of allself-referred high-tech imagingprocedures.

To search for a schedule ofthe TJUH team sessions, or

any of the sessions at RSNA2004, go to rsna2004.rsna.organd click on Meeting Programin the left-hand column. Forpress releases, click on Mediain the left-hand column.

RSNA 2004 Sessions

Continued from previous page

Enrollment is about to begin forthe Cardiovascular Outcomes inRenal Atherosclerosis Lesions

(CORAL) trial, an unprecedentednational effort that will involve radiol-ogy, cardiology and nephrology.

The $28 million trial, fundedlargely by the National Heart, Lungand Blood Institute, will study 1,080patients with renal artery stenosis.These patients will be randomizedover about 100 sites. Each will be fol-lowed for three-and-a-half years.

“Half the cohort will get medica-tions and the rest will get non-drugeluting stents plus medications,” saysone of the eight co-principal investiga-tors, Timothy P. Murphy, M.D., aninterventional radiologist at RhodeIsland Hospital and Brown UniversityMedical School in Providence. “We’regoing to see who has alower incidence ofheart attacks, heartfailure, strokes andkidney failure. Withthat study design, weshould be able to telldefinitively whetherthere’s any benefit toadding the stent proce-dure.”

Dr. Murphy says three randomizedtrials of renal artery angioplasty(RAA) surprisingly found no increasedbenefit when compared with medica-tions. “At the same time, there hasbeen a 2.4-fold increase in the numberof procedures done,” he explains. “So,if a procedure isn’t shown to do anygood, why are we dramatically increas-

ing the number of procedures we per-form? That’s the impetus for theCORAL study. Instead of looking at asingle surrogate endpoint—blood pres-sure—we’ll examine hard, clinicalendpoints.”

Separate studies already underway are gathering similar data forcarotid artery stenting. A peripheralartery stenting trial is in the planningstages.

Louis Martin, M.D., a professor inthe Department of Radiology atEmory University, will lead the studyat his site. “CORAL is an extremelyimportant study,” he says. “RAA andstenting have supplanted surgery.Ninety-five percent of renal arteriesthat are primarily treated for stenosisare treated by these interventions.There are millions of people in this

patient population.Hopefully,CORAL will giveus an idea of whowe should treatand when.”

Radiology’s Leading RoleDr. Murphy is alsoexcited about the

role radiology is playing in CORAL.“This is one of the few multicenter,randomized clinical trials of diseasetherapy that has had radiology repre-sented from the beginning. In CORAL,radiology is working with cardiologyand nephrology as peers to answer thisquestion,” he says. “Many radiologistswere integral to getting this study off

the ground, from planning and design-ing to funding and implementation.Radiologists should be encouraged thatobtaining NIH funding for randomizedclinical trials of disease management isfeasible. We should be encouraged toscientifically evaluate our technologiesand therapies through NIH fundingmechanisms.”

In the September 2004 issue of theAmerican Journal of Roentgenology,Dr. Murphy is the lead author of astudy showing a dramatic increase inthe number of renal revascularizationsprocedures performed between 1996and 2000 among Medicare beneficiar-ies. The total volume increased 62 per-cent to nearly 22,000 procedures. Atthe same time, cardiologists increasedtheir annual volume by nearly four-fold.

FEATURE SCIENCE

Landmark Study Compares Renal Artery Interventions to Medications

Timothy P. Murphy, M.D.CORAL Co-Principal Investigator

Radiologists should be

encouraged that obtaining

NIH funding for randomized

clinical trials of disease

management is feasible.

Timothy P. Murphy, M.D.

The abstract of the article,“Increase in Utilization of Percuta-neous Renal Artery Interventions byMedicare Beneficiaries, 1996–2000,”is available online at www.ajronline.org/cgi/content/abstract/183/3/561.

See RSNA News pages 5-6 for otherinformation on imaging utilization.

For more information on theCORAL trial, go to www.coralclinicaltrial.org. ■■

(left) Renal artery stenoses before treatment and (right) after stenting procedure.Images courtesy of Timothy P. Murphy, M.D.

sary, the RSNA Board, FoundationTrustees and RSNA staff are develop-ing plans to increase the impact of the Foundation.

One way willbe to increase theamount of grantmoney the Foun-dation is able toaward each year.

The Foundation will announcesome new programs at RSNA 2004 thatwill help achieve this goal.

Other Board Action• RSNA will jointly administer and

finance an effort to identify a researchagenda for imaging, along with theAcademy of Radiology Research,

American College of Radiology andAmerican Roentgen Ray Society.

• RSNA is working with the Society ofNuclear Medicine on a molec-ular imaging summit.• RSNA is collaborating with

the Society for ComputerApplications in Radiologyon collaborative educationalprograms on digitizing yourpractice.

• RSNA will participate in the fourthBiomedical Imaging Research Oppor-tunities Workshop, designed to inte-grate the findings of the first threeworkshops.

• Three members of the RSNA Elec-tronic Communications Committeewill participate in the ACR ImageQuality Taskforce.

• The 2005 RSNA media briefing willfocus on neuroradiology.

ROBERT R. HATTERY, M.D.CHAIRMAN, 2004 RSNA BOARD OF

DIRECTORS

Continued from page 4

RSNA Board of Directors Report

Note: In our continuing efforts to keep RSNAmembers informed, the chair of the RSNABoard of Directors will provide a brief report inRSNA News following each board meeting.The next RSNA Board Meeting is in December.

One year after National Institutes ofHealth (NIH) Director Elias Zer-houni, M.D., unveiled his innova-

tive NIH Roadmap, several researchinitiatives are under way.

Dr. Zerhouni, a radiologist, devel-oped the Roadmap as a way to acceler-ate bench-to-bedside developments.Extramural grants and intramural pro-grams following the Roadmap stressinterdisciplinary efforts and innovative,high-risk, high-impact, groundbreakingresearch.

Under the Roadmap, funding isdivided into three themed researchareas:

Molecular Libraries and Imaging New Pathways includes areas of mostinterest to radiologists—molecularlibraries and imaging.

Roderic I. Pettigrew, Ph.D., M.D.,director of the National Institute ofBiomedical Imaging and Bioengineer-ing (NIBIB), is one of the three co-chairs of the molecular libraries andimaging implementation group.Through molecular imaging, it is hopedthat personalized profiles of cell andtissue function can be developed lead-ing to individualized approaches todiagnosing and treating disease.

Belinda Seto, Ph.D., deputy direc-tor of NIBIB, says the molecularlibraries and imaging implementationgroup received the most funding in FY2004. Major initiatives in this area are:

• Developing high-specificity/high-sen-sitivity molecular imaging probes.They are highly specific agents thatreport on a single molecular event.Molecular imaging probes are alsoreferred to as beacons, reports, trac-ers, nanoparticles, smart probes andcontrast agents. The goal is toimprove probe detection sensitivity10- to 100-fold withinfive years.

• Creating an imagingprobe database describ-ing the specificities,activities and applica-tions of imagingprobes for a widerange of diseases andbiological functions.

• Opening an imagingprobe developmentcenter that will produce known imag-ing probes for the research commu-nity in cases where there is no viablecommercial supplier. The center willalso generate novel imaging probesfor biomedical research and clinicalapplications.

“From our perspective, the

Roadmap is a positive development,”says Ed Nagy, executive director of theAcademy of Radiology Research.“Imaging will be competitive for alarge number of Roadmap awards, andinnovative imaging techniques andtechnologies will be essential toprogress in the broad range of multidis-ciplinary research supported by the

Roadmap. Takingadvantage of theseopportunities should bea high priority for theradiology and imagingscience communities.”

Some radiologistsare doing just that. Thefirst round of grants forthe development ofimaging probes for invitro use was awarded

last summer. Applications for the sec-ond round are due this month. The sec-ond-round research projects will focuson the development of novel anduntested “high-risk” approaches tomolecular probes.

“We want to fund research that

Imaging is Prominent in Year One of NIH Roadmap

Taking advantage

of these opportunities

should be a high priority

for the radiology

and imaging science

communities.

Ed Nagy

FEATURE NIH

Elias Zerhouni, M.D.NIH Director

Belinda Seto, Ph.D.NIBIB Deputy Director

Roderic I. Pettigrew, Ph.D.,M.D.NIBIB Director

THEME FUNDING IN RESEARCH AREA FISCAL YEAR 2004

New Pathways $64 millionto Discovery

Research Teams $27 millionof the Future

Re-Engineering the $38 million Clinical ResearchEnterprise

none of the individual NIH instituteswould be able to fund on their own,”explains Dr. Seto. “The Roadmap cre-ates opportunities for researchers tothink outside the box.”

This summer, the initial workbegan on the establishment of a probedatabase. This is a common database ofliterature and experimental datathrough PubChem, which is freelyavailable to scientists in the public andprivate sectors.

Initial work is also under way todevelop an intramural center dedicatedto producing the probes. “We now havelocated a building and we are going tolease space in Rockville, Md.,” says Dr. Seto.

Other Imaging ProjectsRadiology has followed the Roadmap’sdirection into other research areas. Forexample, in September, the Universityof Texas (UT) Southwestern MedicalCenter at Dallas was awarded a plan-ning grant to study the causes of obe-sity and associated metabolic diseaseswithin an interdisciplinary researchcenter.

The team is lead by Jay D. Horton,M.D., from the Departments of InternalMedicine and Molecular Genetics.Radiologists are among the 24 UTSouthwestern team members participat-ing in the study.

“We will use MR methods to quan-tify fat distribution, particularly in theliver, because liver fat may play a rolein causing diabetes,” explains Craig R.Malloy, M.D., a professor of radiologyand internal medicine at UT Southwest-ern. He is trained in cardiology withresearch interests in diabetes, he says.“Ultrasound and CT give qualitativeestimates of liver fat, but MR allowsradiologists to quantify fat content.This is important because standard MRscanners can be used for these meas-urements. Now that MR technology iswidely-available, it is important tounderstand if fat measurements predictthe development of type II diabetes orcan be used to monitor drug therapytargeting liver fat.”

Imaging will also play a role in atleast one of the four newly fundedNational Centers for Biomedical Com-puting. These centers will create inno-vative software programs and other

tools that will permit researchers tointegrate and analyze data of differenttypes and sources, opening new path-ways for understanding biologicalprocesses and human diseases. TheNational Alliance for Medical ImageComputing will develop software pro-grams that integrate analysis and imag-ing data.

“We know that today’s scientificlandscape demands new ways of think-ing, and we know we need to introducenew paradigms for the conduct of med-ical research,” says Dr. Zerhouni.“That’s what the Roadmap is allabout—creating a supportive fundingenvironment for scientists and theirideas to come together in ways we’venever seen before.”

Future initiatives include regionalcenters for translational research andspecialized nanomedicine facilities. Inaddition, several of the currentlyfunded Roadmap initiatives will bereannounced so that researchers whomissed the first opportunity can applyfor the next round of Roadmap funds.

For more information on the NIHRoadmap, go to nihroadmap.nih.gov. ■■

Roadmap Webcast

On October 14, NIH Director Elias Zerhouni,M.D., and senior NIH staff held a press con-

ference on the progress of the Roadmap overthe past year.

The press conference has been archivedand is available as a Webcast at videocast.nih.gov/PastEvents.asp?c=998.

Scroll down to Thursday, October 14 andclick on the globe next to Roadmap for MedicalResearch Briefing. The total running time of theWebcast is 1:12:28.

Residency programs across thecountry are using innovativescheduling and changes in staffing

to meet new duty hour standards setforth in July 2003 by the AccreditationCouncil for Graduate Medical Educa-tion (ACGME). The guidelines limit thenumber of resident duty hours in thehospital, including time spent on call, to80 hours per week averaged over fourweeks. ACGME hopes this change willprotect patients and reduce residentfatigue.

This summer, ACGME reportedthat most teaching programs are incompliance with the standards. “TheCouncil is gratified by the response ofthe teaching hospitals in the UnitedStates as they met the challenge ofimplementing the duty hour reforms forresidents,” says ACGME ExecutiveDirector David C. Leach, M.D. “Majorredesign of the healthcare system is stillneeded and we have a long way to gobefore we get it right. However, muchhas been learned in the last year.”

Effect on RadiologyWhile interventional radiology depart-ments have had to deal with both theduty hour limits and the 24+6 rule, mostdiagnostic radiology departments havehad to make only minor adjustments inthe way they handle residency programs.“People have generally been in compli-ance,” says Carol Rumack, M.D., chairof ACGME’s Diagnostic Radiology Res-idency Review Committee.

When the new rules came into play,cost had been a major concern but Dr.Rumack says she hasn’t heard radiol-ogy departments complain about budg-etary woes as a result. “Because theworkload has increased dramatically,people are having to come up with

plans for call,” she says. “The mainimpact is the increase in the number ofprograms using a night float system.With the new rules, residents will be onfive or six nights in a row, with no day-time responsibilities, no educationalresponsibilities and nopeer interaction whenthey add night floatrotations to cover call.My concern is that theprograms need to payattention so the resi-dent doesn’t lose toomuch education andpeer interaction.”

The new duty hourstandards require thatresidents work no more than 80 hours aweek on average, and get a 10-hour restperiod between assigned shifts. Dr.Rumack says some programs may lookat moving noon lectures and confer-ences to an earlier or later time. Thatway, residents who cover the night shiftcan review their cases with the attend-

ing radiologist and still attend educa-tional conferences with other residentsbefore they have to leave the hospital tocomply with ACGME standards.

Brian Steele, M.D., chief resident inthe radiology program at Loyola Uni-

versity School of Medicinein suburban Chicago,believes faculty and physi-cians take work hour limitsseriously. “I think they’realmost hypersensitive to it.I was in the hospital onone occasion and wasalmost borderline late, andone of the faculty gotangry with me for beingthere,” he explains. “She

was clear that I was not to be in thehospital.”

Dr. Steele says Loyola’s radiologydepartment was already in compliancebefore the standards were put in place.“I think residents generally like thereforms,” he says. “The only problem I

Limits on Resident Duty HoursHave Initial Positive Impact

My concern is that

the programs need

to pay attention

so the resident doesn’t

lose too much education

and peer interaction.

Carol Rumack, M.D.

FEATURE RESIDENTS

Brian Steele, M.D., chief radiology resident at Loyola University Medical Center,participates in teaching younger colleagues about imaging of the shoulder.Photo courtesy of Laurie Lomasney, M.D.

see is when a test is ordered. I’m on at8 p.m. and by the time the test is doneand interpreted, the person who ordered

it might have to leavebecause of duty hours.If I’m not told whomto contact with theresults, I have to doextra legwork—andthat can be annoying.”

Dr. Steele’s resi-dency program direc-tor, Laurie Lomasney,M.D., agrees with hisassessment. “We arehaving to make moreof an effort to find theresponsible referringphysician,” she says.“We also have to cre-ate a better method ofdocumentation so thatwe know who’s avail-able and who’s goinghome.”

When new stan-dards were beingdebated, most con-cerns were for smallerradiology programsthat depended on resi-dents for night cover-age. Santa Barbara

Cottage Hospital is a program that hadto make some changes. “Our residentsused to work a night float in whichthey’d get off at 10 a.m. and come backat 5 p.m.,” explains Arthur Lee, M.D.,director of the hospital’s diagnosticradiology residency program. “To meetthe required 10-hour rest period, wespread the late duty hours among thestaff. We have a staff person stay until8 p.m. until a resident comes. It’s notthat bad. It only comes up once ortwice a month.”

Dr. Lee says the duty hour ruleshave improved morale among the resi-dents and haven’t really impacted thequality or quantity of cases they get tosee. “In fact, the staff in the emergencyroom and other departments like havingan attending here at 7:30 p.m. They getmore definitive readings,” he says.“And that’s better service.”

Yale-New Haven Hospital wasalready in compliance before ACGMEstandards were instituted. It’s one of afew departments featuring 24/7 radiol-ogy coverage. “We were under pressurefrom trauma surgeons and emergencyphysicians to provide a comparablelevel of service around the clock, so wewere almost completely unaffected bythe new standards,” says James Brink,M.D., interim chairman of the Depart-ment of Diagnostic Radiology.

Dr. Brink says there is increasingpressure on hospitals to prove that radi-ology services billed were actually per-formed at the time of the patient’s treat-ment. He believes that trend may againchange the dynamics in radiology resi-dency programs with more programscovering with attending physicians whocan bill for nighttime services.

Dr. Brink and other faculty agreethat the changes in ACGME standardshighlight the balancing act residencyprograms must perform. They mustprotect patients and physicians frommistakes made due to fatigue, whilegiving tomorrow’s medical profession-als experience interpreting diagnostictests.

“The experience of reading on yourown is invaluable,” says Dr. Lomasney.“That’s when we have to make deci-sions and depend on our colleagues inthe hospital. It’s not isolated learning.Radiology is a consultative service andlearning that method of communicationis critical.”

ACGME is hoping its newest stan-dards make sure that education takesplace while residents and fellows arerested and ready to learn. ■■

Terrence Demos, M.D., shares the stage with the Residency ProgramDirector Laurie Lomasney, M.D., and a skeleton in a teaching conferenceabout anatomy of the upper extremity for radiology residents at LoyolaUniversity Medical Center.Photo courtesy of Laurie Lomasney, M.D.

Third-year resident Robert Demayo, M.D. (left),consults on a case with Robert Goodman, M.D.,assistant professor of pediatric radiology at theYale University School of Medicine.Photo courtesy of James Brink, M.D.

ACGME Duty Hour Limits for RadiologyResidents and Fellows• 80 hours per week

• Call no more than everythird night

• Continuous time in thehospital not more than 24 hours with six hoursgrace time to “catch up”and attend to educationalactivities but not to carefor new patients

• One full day (24 hours)off per week

• 10 hours rest out of thehospital between dutyperiods

• An educational programinvolving faculty and resi-dents regarding the signsof fatigue

• A monitoring programand system to respond toresident fatigue

• Pre-approval by the pro-gram director for moon-lighting (moonlightingwithin the institutioncounts toward the 80hour limit)

Working For You

RSNA MEMBER BENEFITS

SERVICE TO MEMBERS:In addition to being managing editor of RSNANews, I am also the assistant director of theMarketing & Communications Department.My specific responsibilities include oversee-ing the writing and production of RSNA News,annual report, membership directory and theDaily Bulletin—the official dailynewspaper of the RSNA ScientificAssembly and Annual Meeting. Ialso contribute to the RSNA MeetingProgram and write and edit a substantial num-ber of print and electronic communicationsoriginating in my department.

I have more than 25 years of experience incommunications. I spent 16 years as a radionews reporter in Chicago before joining theAmerican Medical Association as a seniorpublic information officer in charge of pro-

moting The Journal of the American MedicalAssociation, the Archives family of specialtyjournals, and other science news. I was alsothe director of public relations and marketingfor a video production/distribution companythat specializes in educational programmingand novelty television programs, such as The

Honeymooners and Dark Shadows.These past experiences help me

provide a unique perspective andmake tangible contributions to the

Marketing & Communications Departmentand its mission to promote RSNA as theworld’s premier source of radiology scienceand education.WORK PHILOSOPHY:

Work hard, maintain your integrity, be flexibleand find enjoyment in both your personal andprofessional experiences.

NAME:Natalie Olinger BodenPOSITION:Managing Editor, RSNA NewsWITH RSNA SINCE:February 7, 2001

Workingfor you

PROFILE

Retired Member StatusRSNA members can request retiredstatus if they are retired from thepractice of medicine or other activeinvolvement in radiology or relatedfields. To qualify, a member mustalso have been in good standing withthe Society for at least 10 years.

Retired members do not pay duesor assessments. They can still attendthe RSNA annual meeting for freewith advance registration. They will

also continue to receive a printedcopy of RSNA News and have freeonline access to Radiology andRadioGraphics. Print subscriptionsto the journals are offered at a subsi-dized rate to retired members.

Requests for retired status maybe made online at rsna.org/retired, ormay be made in writing to the RSNASecretary-Treasurer at 820 JorieBlvd., Oak Brook, IL 60523.

RSNA Public Service Announcements To coincide with breast cancerawareness month in October, RSNAprovided public service announce-ments to radio stations throughoutthe United States about how med-ical imaging plays a role in thediagnosis and treatment of breastcancer. As part of the announce-ments, listeners were instructed to

go to RadiologyInfo.org to learnmore about mammography, radia-tion therapy and other related radio-logic procedures.

Public service announcementson virtual colonoscopy will beoffered in March 2005 to coincidewith national colorectal cancerawareness month.

Special Member RecognitionLast month, RSNA mailed special member recog-nition ribbons to more than 6,400 people whohave been RSNA members for at least 25 years.

The teal and gold ribbons can be attached tothe RSNA annual meeting badge so that long-time members are easily recognizable at RSNA2004.

YEARS OF MEMBERSHIP NUMBER OF MEMBERS

25–29 years 2,638 people

30–39 years 2,395 people

40–49 years 960 people

70+ years 6 people

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

RSNA EDUCATION

Program and Grant Announcements

RSNA MEMBER BENEFITS

Grants Available for Biological Scientists of the Future

The Howard Hughes Medical Insti-tute (HHMI) and the National

Institute of Biomedical Imaging andBioengineering (NIBIB) are joiningforces to provide start-up funds andsustain support for graduate trainingprograms that integrate the biomed-ical sciences with the physical sci-ences and engineering.

HHMI will award up to 10three-year grants of as much as $1 million each to support the devel-opment and early phases of the inter-disciplinary programs. NIBIB will pro-vide five additional years of support tothe HHMI grantees through peer-reviewed institutional training grants.

“NIBIB is excited to enter into thishistoric alliance with HHMI to supporttraining of the biomedical scientist ofthe future, one skilled in interdiscipli-nary research,” says NIBIB Director

Roderic I. Pettigrew, Ph.D., M.D.“These scientists will be betterequipped to meet the complex chal-lenges of 21st century medicine.”

The grants will be awarded inNovember 2005. HHMI is now accept-ing applications from U.S. institutionsthat grant Ph.D. degrees.

For more information, go towww.hhmi.org or to www.nih.gov/news/pr/sep2004/nibib-27.htm.

Registration Open for BIROW 3Register online for the third BiomedicalImaging Research Opportunities Work-shop (BIROW 3), scheduled March 11–12,2005, in Bethesda, Md.

The goal of the workshop is to identifyand explore new opportunities for basicscience research and engineering develop-ment in biomedical imaging, as well asrelated diagnosis and therapy. This year’stopics include:• Cell Trafficking• Informatics Solutions

in Imaging• Guiding Therapy by

Multimodality Imaging• Medical Imaging Tech-

nology: From Conceptto Clinic

Category 1 continuing medical educa-tion (CME) credits are available and anapplication for medical physics continuingeducation credits (MPCEC) has been sub-mitted. For program information or to reg-ister, go to www.birow.org.

BIROW 3 is sponsored by RSNA,Academy of Radiology Research, Ameri-can Association of Physicists in Medicine,American Institute for Medical and Bio-logical Engineering, and Biomedical Engi-neering Society.

Reminder:The RSNA Research & Education Foundation grant deadlines are:• Education Grants: January 10• Research Grants: January 15

For more information, go to www.rsna.org/research/foundation or contact ScottWalter at (630) 571-7816 or at swalter@rsna.org.

RSNA members who cannot attendRSNA 2004 can still participate in oneof the most popular sessions at theannual meeting—the Sunday ImageInterpretation Session.

Registration is now open to view thelive Webcast on Sunday, November 28,2004, at 4:00 p.m. (Central Time). Go torsna.org/sunday and click on the regis-tration area in the lower right-hand box.

This year’s moderator is Burton P.Drayer, M.D., from New York City.The panelists are George S. Bisset III,M.D., from Durham, N.C.; Michael N.Brant-Zawadzki, M.D., from NewportBeach, Calif.; Elliot K. Fishman, M.D.,from Baltimore; Nancy M. Major,M.D., from Durham, N.C.; andGeorgeann McGuinness, M.D., fromNew York City.

The live Webcast offers 1.75 con-tinuing medical education (CME) cred-its toward the AMA Physician’s Recog-nition Award.

Last year, viewers in more than 30countries watched the live session.

The Webcast will be archived forlater viewing, but CME will not beoffered.

Webcast of the Sunday Image Interpretation Session

Cancer Risks among Radiologists and RadiologicTechnologists: Review of Epidemiologic Studies

Large numbers of professional andtechnical personnel in medicine,

dentistry, and veterinary medicine areexposed to radiation while administer-ing various radio-logic procedures.

In a review article in the Novemberissue of Radiology (rsna.org/radiologyjnl), Shinji Yoshinaga, Ph.D., and col-leagues from the Division of CancerEpidemiology and Genetics at theNational Cancer Institute, discuss thecancer risks to workers as a result ofexposure to human-made sources ofradiation.

While they found an increased riskof mortality from leukemia amongworkers employed before 1950 whenradiation exposures were high, theyfound no clear evidence of an increasedcancer risk in medical radiation work-ers exposed to current levels of radia-

tion doses. They write: “Given a relatively

short period of time for which the mostrecent workers have been followed upand in view of the increasing uses ofradiation in modern medical practices,it is important to continue to monitor

the health status of medical radiationworkers.”

This article also includes “Essen-tials” or highlighted points to help busyreaders recognize important informa-tion at a glance.

CT Angiography of PulmonaryEmbolism: Diagnostic Criteriaand Causes of Misdiagnosis

Pulmonary embolism is the thirdmost common acute cardiovascular

disease after myocardial infarction andstroke, and results in thousands ofdeaths each year because it often goesundetected.Pulmonaryangiography is the diagnostic standardof reference for confirming or refutinga diagnosis of pulmonary embolism,but while the technique remains under-

Journal Highlights

Relative Risk of Mortality due to Selected Cancers According to Number of Years Worked in Specified Calendar Year Periods AmongU.S. Radiologic Technologists Data are relative risk, with number of deaths in parentheses. NS = not significant.P < .05. Excluding chronic lymphocytic leukemia.(Radiology 2004;232: 313-321) © 2004 RSNA. All rights reserved. Printed with permission.

RSNA JOURNALS

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

Acute Central Pulmonary Embolism in Asymptomatic 87-Year-Old Woman(left) Unenhanced CT scan demonstrates subtle regions of hyperattenuation(arrow). (right) Confirmatory CT pulmonary angiogram demonstrates acute pul-monary embolism within the right main and left interlobar pulmonary arteries.(RadioGraphics 2004;1219-1238) © 2004 RSNA. All rights reserved. Printed with permission.Continued on page 17

RSNA JOURNALS

A press release has been sent to the medical news media for the following itemsappearing in the November issue of Radiology (radiology.rsnajnls.org):

Radiology in Public Focus

MR-guided PercutaneousSclerotherapy of Low-FlowVascular Malformations:Qualitative and QuantitativeAssessment of Therapy and Outcome

MR imaging can improve treat-ment of low-flow vascular

malformations.Daniel T. Boll, M.D., formerly of

Case Western Reserve University inCleveland, and colleagues analyzed

76 percutaneoussclerotherapy treat-ments performed byone radiologistunder real-time MRguidance on 15patients with vascu-lar malformations inthe head and neck.

All procedureswere completed

successfully, the patients reportedminimal discomfort and reported animprovement in cosmetic appear-ance, especially a decrease in facialswelling and skin discoloration.

The researchers write, “MR-guided sclerotherapy succeeds intreating predominant symptoms ofcongenital low-flow vascular malfor-mations in a safe and efficient man-ner and allows the quantitative veri-fication of therapeutic success during follow-up examinations.”

Images obtained in a 34-year-old man with congenital vascular malformation in theright upper lip. (a) Initial preinterventional photograph shows extension of initialskin discoloration (arrow) and cosmetic disfigurement. (b) Preinterventional trans-verse T 2-weighted MR fast SE shows the cavernous anterior portion (arrow) and thelateral portion (arrowhead) of the vascular malformation with high signal intensityand without apparent flow voids. (c) Photograph obtained 6 weeks after interventionshows decrease in size in the low-flow vascular malformation and partial regaining ofphysiologic lip vermilion (arrow). (d) Follow-up transverse T 2-weighted MR fast SEimage shows intravascular thrombus (*) within the larger portion of the vascularmalformation (arrow) and complete thrombosis of smaller portion (arrowhead) withsubstantial overall shrinkage.(Radiology 2004;233:377-385) © 2004 RSNA. All rights reserved. Printed with permission.

RSNA JOURNALS

RSNA press releases are available at www.rsna.org/media.

Multiple Magnet Ingestion Alert

Swallowing more than one magnet poses a serious health threatand may require emergency surgery, according to Alan E.

Oestreich, M.D., from Cincin-nati Children’s Hospital Med-ical Center.

In a letter to the editor ofRadiology, Dr. Oestreichexpressed his concern: “Allradiologists should be on thealert. Moreover, if the possi-bility of magnets in theabdomen exists, MRI is to bestringently avoided lest dam-age be done.”

He explains that when twomagnets lie in adjacent bowelloops, they may attract each other across the walls, leading tonecrosis and eventually perforation and peritonitis.

While swallowing magnets is not nearly as common as swal-lowing coins, jewelry or toy parts, there have been a number ofreported cases of multiple magnet ingestion over the past fiveyears. According to information gathered during the press releaseprocess, nine incidents have been reported in the United King-dom involving children who swallowed industrial-strength mag-nets worn to resemble body piercings. (Radiology 2004;233:615)

used, CT pulmonary angiography isbecoming the standard of care at manyinstitutions.

In an article in the September-October issue of RadioGraphics(rsna.org/radiographics), Conrad Wit-tram, M.B.,Ch.B., and colleagues fromMassachusetts General Hospital andHarvard Medical School in Boston: • Describe the technique of CT pul-

monary angiography

• Explain the diagnostic criteria foracute and chronic pulmonaryembolism

• Review the causes of misdiagnosis ofpulmonary embolism, such as patient-related factors, technical factors,anatomic factors and pathologic fac-tors

The authors add: “The radiologistneeds to determine the quality of a CTpulmonary angiographic study andwhether pulmonary embolism is pres-

ent. If the quality of the study is poor,the radiologist should identify whichpulmonary arteries are rendered inde-terminate and whether additional imag-ing is necessary.”

Continued from page 15

CT Angiography of Pulmonary Embolism: Diagnostic Criteria and Causes of Misdiagnosis

This article meets the criteria for 1.0category 1 CME credit.

New Radiology Manuscript ProcedureSaves Time to PublicationUsing a portable document file (PDF) system,manuscript editors for RSNA’s peer-reviewed sci-ence journal Radiology are able to communicatewith manuscript authors more easily and effi-ciently. Instead of faxing or mailing manuscriptrevisions to the authors, the manuscript editors arenow using a PDF system to e-mail the documents.

“This new procedure cuts in half the time ittakes for authors to receive, review and returncopyedited manuscripts,” says Radiology Manag-ing Editor John Humpal, M.A. “The PDF system,combined with other time-saving measures andthe immediacy of the Internet, means more cut-ting-edge scientific information is published onRadiology Online prior to the release of theprinted journal.”

When Richard Shlansky-Gold-berg, M.D., considered a careerin radiology, he was drawn to

interventional radiology. Why? “I enjoyworking with my hands and playingwith gadgets,” he answers.

Dr. Shlansky-Goldberg is an associ-ate professor of radiology at the Hospi-tal of the University of Pennsylvania.He is certified in radiology and inter-ventional radiology. His areas of inter-est include uterine artery embolization,uterine fibroid embolization, thrombol-ysis and pharmacology in interventionalradiology.

He was a 1990 RSNA Research &Education Foundation Research Fellowfor his work on “Temporary VascularStenting.”

Early in his career, Dr. Shlansky-Goldberg was interested in stent technol-ogy and what causes restenosis. In fact,on his fellowship application, he wrote,“My career goals are to become an aca-demic radiologist at a major universityteaching center dividing my timebetween my clinical practice andresearch interests in cardiovascular andinterventional radiology.”

But when he saw cardiologists per-forming angioplasties and insertingstents, he switched his focus. “I like alot of patient contact, the camaraderiewith other physicians, and involvementin clinical trials,” he says. “Workingwith such a large group in an academiccenter, I can always talk to a colleague ifI need more information on an unfamil-iar medical topic.”

Dr. Shlansky-Goldberg graduatedcum laude in biology and psychology atthe University of Rochester in NewYork, where he also received his med-

ical degree. He interned in surgery atMount Sinai Hospital in New York Cityand completed his radiology residency atThomas Jefferson University Hospital inPhiladelphia. He was a fellow in cardio-vascular and interventional radiologyand an instructor in the Department ofRadiology at the Hospital of the Univer-sity of Pennsylvania before his RSNAfellowship.

Why did he intern in surgery?“From the start, I planned to go intointerventional radiol-ogy,” Dr. Shlansky-Goldberg explains. “Igot the surgery intern-ship because I havealways enjoyed per-forming procedures.Plus it gave me addi-tional training in inter-ventional radiology.”

Dr. Shlansky-Gold-berg says he likes thecreativity of interven-tional radiology. Healso likes being able tocollect data, test his hypothesis and thenactually perform the procedure, “I cansee how the procedure changes the out-come.”

RSNA FellowshipOne reason Dr. Shlansky-Goldberg isgrateful for his RSNA fellowship is thatit gave him the opportunity to build onhis education. “It gave me an additionalyear to study basic clinical and labresearch,” he says. “I was able to dothings like take a physics course—whichI probably could not have done withoutthe fellowship.”

RSNA continues to play a role in his

career. He attends the annual meetingand attends refresher courses. “It helpskeep me aware of what is going on inradiology,” he says.

Dr. Shlansky-Goldberg is a fellow ofthe Society of Interventional Radiology(SIR) and is the 1996 SIR recipient ofthe Dr. Gary J. Becker Young Investiga-tor Award.

In May 2004, Dr. Shlansky-Gold-berg was named to Philadelphia Maga-zine’s Top Docs issue. He’s also been

recognized in CastleConnolly’s America’sTop Doctors in 2003and 2004.

Vision for the FutureHis advice to medicalstudents, residents,interns and fellows is totake time early in theircareers to build a foun-dation. “Take the yearoff to reflect, hone youreducation and yourresearch skills,” he says.

Dr. Shlansky-Goldberg plans to con-tinue what he’s doing in interventionalradiology, but hopes to build acceptanceof uterine artery embolization and uter-ine fibroid embolization within thegynecology community. “There has beena lot of good press about fibroidembolization procedures, but the gyne-cologists aren’t as accepting. They’reskeptical and concerned about the lossof turf. It is one of my goals to makethis a more accepted procedure andbuild referrals,” he says.

He also says he hopes to discovernew techniques to make thrombolysismore widely available. ■■

RSNA Fellowship Gives Interventional Radiologist a Chance to Build Foundation

RESEARCH & EDUCATION PROFILE

There has been a lot of

good press about fibroid

embolization procedures,

but the gynecologists aren’t

as accepting. … It is one

of my goals to make this

a more accepted procedure

and build referrals.

Richard Shlansky-Goldberg, M.D.

Research & Education Foundation Donors

PLATINUM ($1,000 - $4,999)Nora A. Janjan, M.D. & Jack CalvinKaren E. & Glendon G. Cox, M.D.David C. McMurray, M.D.

GOLD ($500 - $999)Jose A. Bauza, M.D.Shobha P. Desai, M.D. & PareshDesai, M.D.

Robert C. Gibbs, M.D.James S. Jelinek, M.D.Charles H. Kuntz, M.D.Constance Lehman, M.D., Ph.D.Linda & Alan Pollack, M.D., Ph.D.Barry A. Sacks, M.D.Jean M. Weigert, M.D.

SILVER ($200 - $499)Algis Babusis, M.D.Harold F. Bennett, M.D., Ph.D.Karen S. & Scott Burstein, M.D.Elizabeth T. Cancroft, M.D.Yoon Oh Chang, M.D.Anthony J. De Raimo, M.D.Tony M. Deeths, M.D.Daniel W. Eurman, M.D.Christopher D. Goeser, D.C., M.D.Phyllis & Barry B. Goldberg, M.D.Wayne D. Harrison, M.D.Eric A. Hyson, M.D.John B. Kamp, M.D.Karsten F. Konerding, M.D.

John W. Laude, M.D.Ellen & Michael J. Levitt, M.D.Jean & Joel E. Lichtenstein, M.D.Angelique & James L. Lowry, M.D.John J. McIntyre IV, M.D.David R. Payne, M.D.Fanny & Bruce A. Porter, M.D.Erica & Michael A. San Dretto, M.D.Sari & Neil F. Schneider, M.D.Ann & Lester D. Shook, M.D.Alan H. Stolpen, M.D., Ph.D.Risa Kent, M.D. & Jeffrey C.Weinreb, M.D.

Andrej J. Zajac, M.D.Darryl A. Zuckerman, M.D.

BRONZE ($1 - $199)Eugene C. Anandappa, M.D.A. Rhett Austin, M.D.Kyongtae T. Bae, M.D., Ph.D.Maurice L. Bogdonoff, M.D.Melvin V. Boule, M.D.Charles W. Bower, M.D.Lamont D. Brown, M.D.Sandra & Philip Cascade, M.D.Jack P. Fink, M.D.Richard B. Gunderman, M.D., Ph.D.Diane G. & R.S. Lyle Hillman, M.D.John A. Hodak, M.D.George F. Hogan, M.D.Barry D. Julius, M.D.

Richard A. Kiszonas, D.O.Lois & Arthur C. Kittleson, M.D.Elizabeth & Jay L. Korach, M.D.Erich K. Lang, M.D.Alison & Herman I. Libshitz, M.D.Diana & Otha W. Linton, M.S.J.Takayuki Masui, M.D.Sharon & Guy R. Matthew, M.D.Edward M. Miller, M.D.Seyed-Ali Mousavi, M.D.Pamela A. Nugent, M.D.Seth D. O’Brien, M.D.Paul F. Pizzella, M.D.Michelle & Kurian J. Puthenpurayil,M.D.

Douglas J. Quint, M.D.

RSNAPRESIDENT’SCIRCLE MEMBERS$1,500 per year

Alice & Ernest J. Ferris, M.D.Peter C. Hentzen, M.D., Ph.D.Jose T. Medina, M.D.Claudia & Levon N. Nazarian, M.D.

A. Orlando Ortiz, M.D., M.B.A.Diana & Robert G. Parker, M.D.Sharon Schubach, M.D. & Gregg Schubach, M.D.

COMMEMORATIVE GIFTSSindy & Mark Alson, M.D.In honor of Dennis Alsofrom, M.D. & Gary Alsofrom, M.D.

Beatriz Amendola, M.D. & Marco Amendola, M.D.In memory of Howard Pollack, M.D.

Samuel Cade, M.D.In honor of Drs. Jerome H. Arndt, William Greenough,Joseph Hawkins, G.E. Plum, Roger Rian and A.D. Sears

Nancy J. & Robert E. Campbell, M.D.In memory of Mary Jane McCort

Stephen Chan, M.D.In memory of Sadek K. Hilal, M.D.

Alice & Ernest J. Ferris, M.D.In memory of Zamia Ferris

Theodore C. Larson III, M.D.In honor of O. Wayne Houser, M.D.

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

Thomas C. Mick, M.D.In honor of Theodore Keats, M.D.

Patricia A. Randall, M.D.In memory of Betty Heitzman

Renate Soulen, M.D.In honor of Mary Fisher, M.D. & Patricia Borns, M.D.

VANGUARD GROUP

Philips Medical Systems

$100,000A Vanguard Company since 1990

THE BOARD OF TRUSTEES of the RSNA Research & Education Foundation and its recipientsof research and educational grant support gratefully acknowledge the contributions made to

the Foundation August 31–September 29, 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

DeJarnette Research Systems

BRONZE $1,000

RESEARCH & EDUCATION OUR FUTURE

Richard D. Redvanly, M.D.C. Santiago Restrepo, M.D.Leroy S. Safian, M.D.Robert E. Schaefer, M.D.Alan Schlesinger, M.D.Bernice & Joseph Selman, M.D.Heather & Justin P. Smith, M.D.Spencer M. Smith, M.D.Edward E. Tennant, M.D.Lorellen & Stephan M. Ticich, M.D.Scott WalterAlfred F. Weitzman, M.D.Luanne & Alan L. Williams, M.D.Vanessa M. Zayas-Colon, M.D.Allan Zellis, M.D.

Online donations can be made atwww.rsna.org/donate

FDA APPROVAL

MR Technology forTargeted ImagingStudiesThe Food and DrugAdministration (FDA)has given marketingclearance to GE Healthcare to expand its EXCITE™

data pipeline to include an advanced MR imagingtechnology.

This new technology, for GE Signa® 1.5 T and3.0 T MR systems, increases speed and power to helpclinicians gather more data in shorter periods of time.It also allows a greater range of targeted MR studies,such as of the heart, brain, liver and lower legs.

“These exams, in many cases, will exposepatients to lower doses of contrast than are typicallyrequired for x-ray or CT studies,” said Dennis Cooke,vice-president of global MR for GE Healthcare.

The new EXCITE release will enable new tar-geted studies including high-clarity vascular imagesof the lower legs, extremely high-resolution imagesof the liver with shorter breath holds and better organcoverage than was previously possible, and Real-CARD real-time imaging of the heart with the reso-lution of MR at the speed of ultrasound, without theneed for breath holding or ECG gating.

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 rsnanews@rsna.org. Information may be edited for purposes of clarity and space.

NEW PRODUCT

Molecular Imaging ToolSiemens has introduced a newwork-in-progress tool for molec-ular medicine. Developed in collaboration with the Center forMolecular Imaging Research(CMIR) at Massachusetts Gen-eral Hospital in Boston, theMIPortal* is an informationtechnology platform designed toprovide molecular imagingresearch laboratories with accessto archiving and processing ofimaging and non-imaging data.

“We expect the researchbeing conducted at CMIR tolead to the discovery of newways to detect and diagnose dis-ease,” said Mohammad Naraghi,senior vice-president of business

development at Siemens Med-ical Solutions. “Because we areintegrated into the researchprocess, Siemens will be able tobring new molecular imagingsolutions to the market morequickly, allowing physicians toimplement these advanced tech-nologies in clinical practice, ulti-mately benefiting patient care.”*MIPortal is not commercially avail-able in the U.S.

NEW PRODUCT

Disposable Endocavity NeedleGuide CIVCO Medical Instru-ments has introduced anew disposable endo-cavity needle guide for use with Siemens BE9-4 trans-ducers on the G60 S and G50 ultrasound systems.

The needle guide fastens securely into the locatingfeatures of the transducer, directing instrumentsaccording to on-screen guidelines. Because the needleguide is disposable, it helps reduce the risks associ-ated with cross-contamination.

FDA APPROVAL

Carotid Stent SystemThe FDA has also cleared thefirst carotid stent systemdesigned to reduce the risk ofstroke.

Guidant Corporation’s RXACCULINK™ carotid stent system and RX ACCUNET™ embolic protection system wereapproved for use in patients who have had symptoms of a stroke orwhose carotid artery is at least 80 percent blocked, and who are notgood candidates for the surgical alternative.

“Stenting is an established therapy that has been used success-fully for years to treat heart and peripheral vascular disease. Theapproval of a carotid stent represents a minimally invasive break-through therapy for patients at risk of stroke who are ineligible or athigh risk for traditional surgery,” said Beverly Huss, president ofendovascular solutions for Guidant.

The FDA is requiring Guidant to conduct post-approval studiesto confirm the stent’s performance and to assess its long-term safetyand effectiveness in preventing strokes.

RADIOLOGY PRODUCTS

RSNA 2004Lecture/Oration Preview

RSNA 2004 Lecture/Oration Preview

Eugene P. Pendergrass New Horizons Lecture

Michael E.Phelps, Ph.D.,along with hiscolleague, thelate EdwardHoffman, Ph.D.,helped bringradiology intothe 21st centurythrough theirinvention of the positron emission tomog-raphy (PET) scanner.

This scanner was the first device to allownoninvasive measurement of the biochem-istry and biology of normal organ functionand for molecular diagnostics of disease—from cancer to neurologic and vasculardiseases.

Dr. Phelps will deliver the New HorizonsLecture on Monday, November 29, on“Molecular Imaging: From Nanotechnol-ogy to Patients.”

In his presentation, Dr. Phelps will dis-cuss the revolutionary changes that areoccurring through the merger of physical,biological and medical sciences that focuson new approaches to molecular diagnos-tics and therapeutics and the benefit theywill provide to molecular imaging.

He will describe molecular and structuralimaging techniques, including PET, MR,CT and optical imaging, that are helpingphysicians and scientists gain access tothe molecular basis of disease for diagnos-tics and to guide the discovery and assess-ment of drugs. He will also describe themerger of multiple imaging technologies

into single devices to consolidate struc-tural and biological information for molec-ular imaging diagnostics.

Dr. Phelps is the Norton Simon Professorand chairman of the Department of Molec-ular & Medical Pharmacology at the Uni-versity of California, Los Angeles (UCLA)School of Medicine, where he is also thedirector of the Institute for MolecularMedicine and director of the Crump Insti-tute for Molecular Imaging. Dr. Phelps isthe founder of the Academy of MolecularImaging and is a member of the Instituteof Medicine of the National Academies.

He has published more than 640 peer-reviewed scientific articles, books andbook chapters, has been principal investi-gator of more than $225 million in grants,and has been recognized through numer-ous national, international and Presiden-tial awards.

Annual Oration in DiagnosticRadiology

Harry K.Genant, M.D.,a world-renowned expertin osteoporosisassessment, bonedensitometry andmusculoskeletalimaging, willdeliver theAnnual Oration in Diagnostic Radiologyon “The Future of Bone Imaging in Osteo-porosis,” on Tuesday, November 30.

Dr. Genant will describe the considerable

RSNA 2004 PREVIEW

Three respected medicalleaders will deliver honored

lectures at RSNA 2004. They are Michael E. Phelps,

Ph.D., from Los Angeles,Harry K. Genant, M.D., from

San Francisco, and BrianO’Sullivan, M.D., from

Toronto.

RSNA 2004 Lecture/Oration Preview

progress made in advancing bone imagingfor osteoporosis assessment. He’ll alsooutline the challenges that remain.

Standard bone mineral densitometry(BMD) provides important informationabout osteoporosis diagnosis and fracturerisk assessment; however, considerableevidence indicates that BMD only par-tially explains bone strength and fractureresistance.

Imaging the bone’s macro and microstruc-ture can provide information beyondBMD, leading to improved fracture riskprediction, clarification of the pathophysi-ology of skeletal disease, defining theskeletal response to therapy, and improv-ing the assessment of biomechanical rela-tionships.

Dr. Genant is president of the Interna-tional Skeletal Society and chair of theWorld Health Organization Task Force onOsteoporosis. He is a professor emeritusat the University of California San Fran-cisco (UCSF), and is the founder andexecutive director of the UCSF Osteoporo-sis and Arthritis Research Group. He isalso a cofounder and board chairman ofSynarc, Inc., a global contract researchorganization specializing in managementof quantitative imaging and biomarkers inmulticenter, multinational, pharmaceuticaldrug trials.

Dr. Genant has been editor or co-editor ofmore than 30 books. He has been authoror co-author of more than 170 chapters orinvited articles, nearly 500 articles inpeer-reviewed scientific and medical jour-nals, and more than 1,000 abstracts pre-sented at national and international scien-tific and professional gatherings.

Annual Oration in RadiationOncology

Brian O’Sullivan,M.D., broke newground when hebecame the firstradiation oncolo-gist practicingoutside of theUnited States toexamine in theAmerican Board of Radiology.

On Wednesday, December 1, Dr. O’Sulli-van will deliver the Annual Oration inRadiation Oncology on groundbreakingefforts in the treatment of soft-tissue sar-coma. His lecture, “Redefining Therapeu-tic Targets in the Treatment of Soft TissueSarcoma,” will describe research effortsover the past 15 years in the managementof soft-tissue sarcoma and how sarcomaresearch is at the forefront of molecular-target intervention for solid tumors.

He’ll also describe new approaches tomultidisciplinary management, includinghow expertise in diagnostic imaging,pathology, surgical oncology, radiationoncology, and medical oncology provide amodel for many cancers.

Dr. O’Sullivan is the Bartley-Smith/Whar-ton Chair in Radiation Oncology and aprofessor in the Department of RadiationOncology at Princess Margaret Hospital atthe University of Toronto. He is the vice-chair of the Sarcoma Disease Site Com-mittee of the American College of Sur-geons Oncology Group (ACOSOG) and ofthe Group Radiation Oncology Committeefor the ACOSOG clinical trials.

An international expert in cancer staging,Dr. O’Sullivan is a member of the CoreTNM Committee of the International

Union Against Cancer (UICC) in Geneva,where he is also the domain expert for sar-coma and head and neck cancer. In thiscapacity, he represents the UICC for theseanatomic disease sites at the AmericanJoint Committee on Cancer.

Some of his recent research emphasis hasbeen on volume delineation and targetingfor conformal radiotherapy and intensitymodulated radiotherapy (IMRT) for bothhead and neck cancers and sarcomas. Hehas also been working on the incorpora-tion of image-guided techniques intoenhanced radiotherapy delivery platformsto achieve higher precision and to mini-mize uncertainty in treatment delivery.

Dr. O’Sullivan has been the author or co-author of more than 130 peer-reviewedarticles and nearly 80 scientific papers orbook chapters. He has presented nearly100 invited lectures at national and inter-national medical meetings.

The RSNA 2004 Daily Bulletin will beonline! Go to rsna.org each day,Sunday– Thursday, of the annualmeeting to read about the latest newsfrom the largest medical meeting inthe world.

News about RSNA 2004

MEETING WATCH RSNA 2004

Press Conferences at RSNA 2004

About 200 members of the medicalnews media typically attend theRSNA annual meeting. More than

15 press conferences will be held high-lighting scientific papers and posters.

Some of the scientific paper titles thatwill be included are:• The Added Cancer Yield of MRI in

Screening Women at High Risk forBreast Cancer: Results of the Interna-tional Breast Magnetic Resonance Consortium (IBMC) Trial

• Air Trapping Detected on End-Expira-tory High-Resolution CT in Sympto-matic World Trade Center (WTC) Rescue and Recovery Workers

• Complications of Image-guided Percu-taneous Lung Radiofrequency Ablation:Experience with 126 Patients (Total of163 Lesions Treated) in 6 Years

• Ultrasound Guided Transurethral Injec-tion of Adult Stem Cells for Treatment

of Urinary Incontinence:First Clinical Results

• Limited by Body Habitus —Economic and Quality Con-trol Issues in the Ability of aRadiology Department toProvide Diagnostic Imagingto a Fattening Population

• Payments to Orthopedic Surgeons for Magnetic Resonance Imaging

• Imaging Markers of BipolarDisease: Evaluation of Pro-ton Magnetic Resonance SpectroscopicImaging at 3 T

• Sensitivity of Personal Homeland Secu-rity Radiation Detectors to MedicalRadionuclides and Implications forCounseling of Nuclear MedicinePatients

• Protected Carotid Artery Angioplastyand Stenting: Acute and Long Term

Outcomes in 180 Patients • Functional MRI of Deception and

Truth with Polygraph Correlation Press releases from the annual meet-

ing will be available beginning Novem-ber 29. To view them, go to rsna2004.rsna.org and click on Media in the left-hand column.

Registration FeesBY 11/12 ONSITE

$0 $100 RSNA Member, AAPM Member$0 $0 Member Presenter$0 $0 RSNA Member-in-Training, RSNA

Student Member and Technical Student$0 $0 Non-Member Refresher Course

Instructor, Paper Presenter, Poster Presenter, Education or Electronic(infoRAD) Exhibitor

$110 $210 Non-Member Resident/Trainee$110 $210 Radiology Support Personnel$520 $620 Non-Member Radiologist, Physicist or

Physician$520 $620 Hospital Executive, Commercial

Research and Development Personnel,Healthcare Consultant, Industry Personnel

$300 $300 One-day badge registration to viewonly the Technical Exhibits area

For more information about registration at RSNA 2004, visit www.rsna.org, e-mail reginfo@rsna.org, or call (800) 381-6660 x7862.

Meeting Highlights in RSNA NewsThe October issue of RSNA News containsan extensive listing of highlights and otherimportant information for RSNA 2004, aswell as a Chicago restaurant guide. Theissue is available on the Internet atrsnanews.org.

Badge WalletsBadge wallets will be mailedto North American attendeeswho registered by November12 and to attendees from out-side of North America whoregistered by October 29.

The badge wallet contains aname badge, course tickets, atten-dance vouchers and a couponbook that includes about a dozenpromotional offers from RSNAand from the technical exhibitors.

International attendees whoregistered after October 29 arerequired to pick up their badgewallet at McCormick Place,Lakeside Center, Level 2, Hall E, Desk A.

■ For more information, contact RSNA Technical Exhibits at (800) 381-6660 x7851 or e-mail: exhibits@rsna.org.

RSNA 2004 Exhibitor News

Important Exhibitor Dates for RSNA 2004November 22 Target move-in assignments

begin at 5:00 a.m.

November 24 Hands-on Computer Workshopmove-in begins

November 26 General move-in begins at 7:00 a.m.

November 28 Hands-on Computer Workshopsopen at 8:00 a.m.Technical Exhibits must be setby 9:00 a.m.Technical Exhibits open at 10:00 a.m.

Nov. 28–Dec. 3 RSNA 90th Scientific Assemblyand Annual Meeting

EXHIBITOR NEWS RSNA 2004

MEETING WATCH RSNA 2004

RSNA Annual Meeting Great $$ ValueIn addition to being the premier educational event in radiology, the RSNA annual meeting is also a great dollar value.

ORGANIZATION ANNUAL MEETING MEMBER RATES NON-MEMBER RATES 2004 MEMBERSHIP DUESPRE-REG ONSITE PRE-REG ONSITE

RSNA Nov. 28–Dec. 3, 2004 $0 $100 $520 $620 $315Chicago

American Academy October 9-13, 2004 $450 $600 $640 $790 $470of Pediatrics San Francisco

American Academy October 13–17, 2004 $295/395 $495 $595/695 $795 $305 national of Family Physicians Orlando + state and local dues

(if applicable)

American College March 6–9, 2005 $185 $235 $695 $745 $390of Cardiology Orlando

American College October 10–14, 2004 $0 $0 $590 $640 $440of Surgeons New Orleans

Sources: www.aap.org, www.aafp.org, www.acc.org and www.facs.org/clinicon2004 accessed September 17, 2004.

Meeting GuideThe RSNA 2004 Daily Bulletin will havean expanded center section called theMeeting Guide. This guide will includedetailed floor maps of McCormick Place,a layout of the technical exhibit areasand a listing of the exhibitors, their con-tact information and booth number.

The Daily Bulletin is distributed to attendees throughout McCormickPlace. The Meeting Guide will also be distributed at Help Centers.

The online Exhibitor List is an expanded listing that includes companycontact information, a company profile and a detailed product list. Go torsna2004.rsna.org. In the bottom right-hand box called TechnicalExhibitors, click on Exhibitor List 2004.

One-Day Badge A one-day badge is available to view the technicalexhibits area only. The badge can be purchased inadvance or onsite for $300 at the Exhibitor Regis-tration Desk in the Grand Concourse betweenHalls A and B. Attendance for more than one dayrequires a full conference purchase at ProfessionalRegistration, Lakeside Center, Hall E, Level 2.

Onsite RegistrationAttendees who need to reg-ister at McCormick Placeshould go to the LakesideCenter. Onsite registrationis on Level 2, Hall E.

Saturday (Nov. 27) 12:00 p.m.– 6:00 p.m.

Sunday–Monday 7:00 a.m. – 6:00 p.m.(Nov. 28–29)

Tuesday–Thursday 7:00 a.m. – 5:00 p.m.(Nov. 30–Dec. 2)

Friday (Dec. 3) 7:30 a.m. – 12:00 p.m.(Lakeside Center, Level 3,Ballroom Help Center)

RSNA.org

RSNA ON THE WEB

RSNA Medical Imaging Resource Center

The RSNA MedicalImaging ResourceCenter (MIRC) is an

online system that enablesthe medical imaging com-munity to share imagesand information for educa-tion, research and clinicalpractice.

To learn more aboutMIRC, go to rsna.org/mirc.There you will find links todownload the MIRC soft-ware and begin using theRSNA MIRC site. ➊

The RSNA MIRC siteprovides access to teachingfiles and other materialsfrom a large set of research

institutions. If you want tosee all of the imagesrelated to pulmonaryembolism, for example,click on Select All ➋ at theright side of the page, typein pulmonary embolismunder Free Text Query ➌ ,and then click on SubmitQuery ➍ at the left side ofthe page.

MIRC will search theindex of all the affiliatedsites and will display theresults ➎ from each site.

Current participants inMIRC include the RSNAEducation Center, IndianaUniversity, Mallinckrodt,

Thomas Jefferson Univer-sity Hospital and the Uni-versity of California, SanFrancisco.

➊➌➍

ec o n n e c t i o n s Your online links to RSNA

RSNA.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 Connectionsrsna.org/careersRadiologyInfo™

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

Medical Meetings November 2004 – May 2005

NOVEMBER 27RSNA Personal Financial Management Strategies Sessions,McCormick Place, Chicago • www.rsna.org/education/shortcourses/index.html

NOVEMBER 28–DECEMBER 3RSNA 2004, 90th Scientific Assembly and Annual Meeting,McCormick Place, Chicago • www.rsna.org

DECEMBER 4–7American Medical Association, AMA Interim Meeting, HyattRegency, Atlanta • www.ama-assn.orgJANUARY 20–23Radiation Therapy Oncology Group, RTOG Meeting, SheratonWild Horse Pass Resort & Spa, Phoenix • www.rtog.orgFEBRUARY 2–6Mexican Society of Radiology (SMRI), Annual Meeting, Mexico City • www.smri.org.mxFEBRUARY 27–MARCH 4Society of Gastrointestinal Radiologists (SGR) and Society ofUroradiology (SUR), Abdominal Radiology Course 2005, Hyatt Regency Hill Country Resort, San Antonio • www.sgr.orgMARCH 4–8European Congress of Radiology, ECR 2005, Austria CenterVienna, Austria • www.ecr.orgMARCH 11–12Biomedical Imaging Research Opportunities Workshop 3(BIROW 3), Hyatt Regency Bethesda, Md. • www.birow.orgMARCH 21–25Society of Computed Body Tomography & Magnetic Reso-nance (SCBT/MR), 28th Annual Meeting, Loews Miami BeachHotel, South Beach, Fla. • www.scbtmr.orgMARCH 31–APRIL 5Society of Interventional Radiology (SIR), 30th Annual Scien-tific Meeting, New Orleans • www.sirweb.orgAPRIL 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 Dis-eases (10th ICORD), Occupational Respiratory Hazards in the21st Century: Best Practices for Prevention and Control, Bei-jing, China • www.ICORD2005.com APRIL 28–30European Society of Gastrointestinal and Abdominal Radiology(ESGAR), 3rd Hands-on Workshop: CT-Colonography, Brugge,Belgium • www.esgar.orgMAY 3–7Society for Pediatric Radiology (SPR), 48th Annual Meeting,Sheraton New Orleans, New Orleans • meeting.pedrad.orgMAY 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.jpMAY 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.orgMAY 25–2856th Nordic Radiological Congress, 17th Nordic Congress ofRadiographers, 33rd Annual Meeting of Nordic Society of Neu-roradiology, Radisson SAS Scandinavia Hotel, Oslo, Norway • www.congrex.no/radio2005MAY 25–28Society of Breast Imaging (SBI), 7th Postgraduate Course, Vancouver Convention and Exhibition Centre, Vancouver,British Columbia • www.sbi-online.org

NONPROFIT ORG.U.S. POSTAGE

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RSNA News820 Jorie Blvd.Oak Brook, IL 60523(630) 571-2670Fax: (630) 571-7837E-mail: rsnanews@rsna.org

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