asnr 54th annual meeting & the foundation of the asnr ... · may 21-26, 2016 washington...

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REGISTRATION BROCHURE May 21-26, 2016 Washington Marriott Wardman Park Washington, D.C. Left Photo (cropped) © Mark Fischer https://www.flickr.com/photos/fischerfotos/; Center Photo © Destination DC; Right Photo © www.JasonHawkes.com — Washington, DC Convention & Tourism Corporation (WCTC) www.washington.org ASNR 54 th Annual Meeting & The Foundation of the ASNR Symposium 2016

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REGISTRATION BROCHURE

May 21-26, 2016 Washington Marriott Wardman Park Washington, D.C.

Left Photo (cropped) © Mark Fischer https://www.flickr.com/photos/fischerfotos/; Center Photo © Destination DC; Right Photo © www.JasonHawkes.com — Washington, DC Convention & Tourism Corporation (WCTC) www.washington.org

ASNR 54th Annual Meeting &The Foundation of the ASNR Symposium 2016

It is a pleasure to invite you to the ASNR 54th Annual Meeting in our Nation’s Capitol, Washington, D.C., from May 21 – 26, 2016. An exceptional Symposium and Annual Meeting has been planned at the newly renovated Washington Marriott Wardman Park. The venue is conveniently located in a charming neighborhood in the

heart of Washington, D.C. filled with amazing restaurants and quaint shops.

The Foundation of the ASNR Symposium 2016 held May 21-22 will feature world-renowned speakers providing a comprehensive review of Emergency Neuroradiology and neuroimaging issues in critical care. Neuroimaging has become an indispensable tool for triage and management of both adults and children in emergency settings. Efficient and appropriate use of CT and MRI are critical to the urgent management of brain, spine, head & neck, and neurovascular emergencies, all of which will be highlighted by expert faculty. Best practices for traumatic and non-traumatic emergencies will be discussed, including methods to ensure optimal workflow, image post-processing, PACS integration, telemedicine, safety, and quality. Challenges and solutions for providing 24/7 coverage will be presented and debated.

Dear ASNR Members, Visitors, and Neuroscience Colleagues:The Annual Meeting will continue May 23-26 and is expected to draw over 1,700 physicians and medical professionals worldwide who are interested in the latest products and services to deliver the highest quality care in the realm of Neuroradiology and allied professions. The Annual Meeting will provide informative updates on general Neuroradiology and showcase specialty programming from the ASFNR, ASHNR, ASPNR, ASSR, and SNIS. The heart of the meeting will be the invited lectures, original presentations, scientific posters and educational exhibits.

There will be approximately 45 hours of continuing medical education credit available including at least (12) Self-Assessment Module (SAM) Sessions. We will again feature valuable non CME “How-To-Sessions” sponsored by our commercial partners, updating you on the capabilities and use of their hardware and software.

Among its most valuable functions, the Annual Meeting will be the ideal opportunity to stay connected with friends and colleagues and learn the latest in brain, spine, and head & neck imaging. We invite you to visit the ASNR 2016 Annual Meeting website to review the program. We look forward to a great meeting and seeing you in Washington, D.C.!

Howard A. Rowley, MDASNR 2016 Program Chair and President-Elect

© Destination DC

© Destination DC

SOCIAL PROGRAMMING

CLOSING RECEPTION OF THE FOUNDATION OF THE ASNR SYMPOSIUM 2016: EMERGENCY NEURORADIOLOGY

Washington Marriott Wardman Park Sunday, May 22 Reception: 5:15pm – 6:15pm, Executive Corridor (Lobby Level) Capitol Steps Performance: 6:30pm – 7:20pm, Marriott Ballroom (Lobby Level)

All exhibitor representatives are invited to mix, mingle, and network with Symposium attendees for a reception followed by a fun performance by The Capitol Steps. They are a Washington D.C.-based comedy troupe that began as a group of Senate Staffers, who will present a

show based on songs from their current album “Mock the Vote.”

The comedy troupe has been a Washington, D.C. institution for over thirty years, providing a unique blend of musical and political comedy to our Nation’s Capitol and more. Since 1981, they have appeared on “The Today Show,” “Nightline,” “CBS Evening News” and for many years in specials for National Public Radio.

Each show is constantly changing, strenuously bi-partisan and consists of tasteful lampooning guaranteed to leave both sides of the political spectrum laughing.

WELCOME RECEPTION WITH TECHNICAL EXHIBITORS

Washington Marriott Wardman Park Monday, May 23 Reception: 6:00pm – 7:30pm, Exhibit Hall C (Exhibition Level)

All attendees are invited to network and meet Technical Exhibitors at a pre-dinner reception. Our evening’s performance will include ASNR physician members’ jazz quartet led by Drs. Bruce Wasserman and Jonathan Lewin, followed by an informal jam session in the exhibit hall. We look forward to a fun evening!

ASNR 54th Annual Meeting & The Foundation of the ASNR Symposium 2016

The ASNR Executive Committee invites you to participate in our 54th Annual Meeting & The Foundation of the ASNR Symposium, May 21 – 26, 2016. Our meeting venue for the week is the beautiful Washington Marriott Wardman Park, a convenient location in the Woodley Park neighborhood that provides easy access to shopping and dining.

Food Service:• Saturday: ASNR will provide an Afternoon

Beverage Break, & Lunch service with concession stand vouchers.

• Sunday: ASNR will provide Morning & Afternoon Beverage Breaks, Breakfast & Lunch service with concession stand vouchers.

• Monday through Thursday: ASNR will provide Morning & Afternoon Beverage Breaks, Breakfast & Lunch service with concession stand vouchers.

Registration Fee also includes:• ASNR Annual Meeting Proceedings on the Cloud.

• Complimentary Food Service.

• Sunday evening Closing Reception of the Symposium and Capitol Steps performance.

• Monday evening Welcome Reception with Technical Exhibitors to include our own ASNR talented physician members with a lively performance.

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Highlights• General Neuroradiology, Interventional,

Functional, Spine, Head and Neck, & Pediatrics.

• Advanced Imaging Seminar Programming.

• Sessions with expanded “Hands-On” experiences with image analysis and review on vendor specific workstations.

• Socioeconomic Programming and CSI: DC (Computer Science and Informatics Programming).

• Sessions in collaboration with AOSNHNR, ESNR, and SILAN.

• Young Professionals Programming.

• Case of the Day.

• Electronic Scientific Posters, Educational Exhibit Posters, Electronic Educational Exhibits (eEdE’s), and Guided Poster Tours.

• Technical Exhibits showcasing new technologies and equipment, offering a full range of service and equipment providers dedicated to the field of neuroradiology.

• Self-Assessment Module (SAM) Session Programming throughout the week.

• Earn approximately 45 credit hours of Continuing Medical Education (CME) hours.

• New this year: Turbo Talks: Brief oral presentations followed by an in-depth electronic poster tour by the authors.

Target AudienceThe Foundation of the ASNR 2016 Symposium: Emergency Neuroradiology will focus on neuroradiology emergencies in practice. The audience will include practicing neuroradiologists, other radiologists charged with interpreting urgent CNS studies, emergency department physicians, neuroscientists interested in the latest imaging advances, and clinical colleagues who order and use CT and MRI in the emergency setting. Dedicated topic areas will include head and neck, pediatric central nervous system, spine, central nervous system hemorrhage, acute ischemic stroke, head trauma, and non-traumatic emergencies. Stroke sessions will include the latest developments in triage and endovascular treatment for acute brain ischemia. Both didactic lectures and case-based material will be presented to facilitate learning and recall. Related clinical workflow issues including a session on best models for 24/7 coverage will be presented and debated.

The Foundation of the ASNR Symposium 2016: Emergency Neuroradiology

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The Foundation of the ASNR Symposium 2016

Accreditation StatementThe American Society of Neuroradiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Society of Neuroradiology takes responsibility for the content, quality, and scientific integrity of the CME activity.

Credit Designation StatementThe American Society of Neuroradiology designates this live activity for a maximum of 12.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Objectives• Appraise state-of-the-art imaging and intervention for

ischemic and hemorrhagic stroke.• Compare and critique systems of 24/7 emergency

Neuroradiology exam reading room coverage.• Describe and recognize clinical, pathophysiologic, and

imaging findings of traumatic brain injury.• Design efficient, fast neuroimaging protocols for brain,

spine, and head & neck emergencies.• Detect crucial imaging features of non-traumatic

emergencies of the brain and spine.• Identify imaging abnormalities on emergency

Neuroradiology CT and MRI exams in adults and children.• Integrate new techniques in CT and MRI to enable lower

radiation, safer exams, and optimize image quality.• Practice key differential diagnostic skills to ensure

accurate emergency diagnosis in the CNS.

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Target AudienceASNR 54th Annual Meeting will assemble domestic and international radiologists, neuroradiologists, neuroscientists, and policy makers to learn about best practices and cutting-edge updates and provide an intense overview in the field of neuroradiology. This comprehensive meeting will include dedicated specialty programming in the areas of head and neck imaging, pediatric neuroimaging, stroke and vascular imaging, spinal imaging, neurodegenerative diseases, imaging physics and advanced neuroimaging techniques, neurovascular intervention, healthcare policy, and relevant associated socioeconomic and practice management topics.

Session formats will be varied to allow for individual learning preference, with a mixture of parallel session offerings in traditional didactic lectures, original scientific papers, electronic and traditional posters, and Self-Assessment Module (SAM) sessions offering web-based interactive audience response enabled lectures. There will be a rich international presence with dedicated programming from societies around the world as well as targeted sessions of interest to young professionals in training or early in practice.

Accreditation StatementThe American Society of Neuroradiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Society of Neuroradiology takes responsibility for the content, quality, and scientific integrity of the CME activity.

Credit Designation StatementThe American Society of Neuroradiology designates this live activity for a maximum of 32.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The ASNR 54th Annual Meeting

ASNR 54th Annual Meeting

Objectives• Analyze imaging patterns and imaging-based

interventions in neurodegenerative disorders.

• Debate and assess the merits of different models for providing 24/7 readings in Neuroradiology in academic and community practice.

• Define the basis for and applications of evidence-based medicine as applied to Neuroradiology.

• Design non-invasive CT and MRI protocols for the pre- and post-intervention assessment of aneurysms and vascular malformations.

• Develop a rigorous data-driven approach to incidental findings discovered on neuro CT and MR exams.

• Discuss and explore optimal protocols for pediatric brain, spine, and head & neck imaging.

• Examine structural and functional techniques used for pre- and post-operative brain tumor assessment.

• Examine the physiologic basis and emerging clinical applications of resting state functional MRI.

• Explain the roles of standardized nomenclature, structured reporting, and report macros in spine and brain imaging.

• Explore how key agencies develop regulations and policies and how they interact with Neuroradiologists.

• Illustrate advances in digital workflow, PACS, information technology integration, and informatics.

• Implement practical strategies in day-to-day neuroradiology services to remain at the cutting edge.

• Implement value-based Neuroradiology and expand its role in delivery of clinical care.

• Integrate and successfully apply new funds flow and reimbursement models emerging in practice.

• Review best practices for order-entry decision support tools in clinical Neuroradiology.

• Review advances in orbital, temporal bone, and cranial nerve imaging.

• Review new brain tumor classification schemes blending genetic, molecular, and structural metrics.

• Summarize and critically assess recent acute ischemic stroke trial results and their implications for advanced imaging triage and interventional coverage.

• Summarize ways to build branding for Neuroradiologists.

Imaging Genomics Study GroupWednesday, May 25 | 4:45pm – 6:00pm

The ASNR Imaging Genomics Study Group serves as a unified voice and body for advancing the clinical and research applications of imaging genomics. For this mission the study group is working on the development and validation of imaging genomics biomarkers and biomarker signatures. We will be opening an Image-Guided, Image-Registered (IGIR) Stereotactic Brain Biopsy Multi-center Clinical Trial that seeks to validate imaging genomics and subsequently metabolomics and proteomics using standardized IGIR biopsies, imaging protocols and molecular data analysis. We are also focusing on the need for standardization of imaging across vendors, software platforms, postprocessing techniques, etc., and on enhancing awareness and multidisciplinary collaboration among the imaging and non-imaging communities to advance imaging genomic analyses within these fields. The ASNR Imaging Genomics Study Group has finalized for publication the ASNR Imaging Genomics White Paper exploring the current state and future directions of imaging genomics in brain tumors.

Clinical Translation of Functional Diffusion MRI Study GroupMonday, May 23 | 4:45pm – 6:00pm

The ASNR Study Group for the Clinical Translation of Functional and Diffusion MRI represents an international multidisciplinary endeavor to identify critical knowledge gaps that must be addressed to translate these advanced neuroimaging techniques into sensitive/specific clinical tools for the diagnosis of diseases affecting the brain. The study group is comprised of representatives from neuroradiology, neurology, neurosurgery, psychiatry, pediatrics, and the neurosciences, thereby leveraging a broad interdisciplinary perspective to develop a strategic framework of key action items to address these knowledge gaps. To this end, the group has been organized to focus on two primary aims: 1) To investigate the reproducibility of functional and advanced diffusion MRI techniques, which is necessary for translation of these methods into robust diagnostic imaging tools, and 2) To review and disseminate the current evidence to date supporting the use of functional and advanced diffusion MRI methods in clinical practice. Additional manuscripts are being developed to review the methodological breadth of advanced diffusion imaging, as well as the evidence supporting the clinical use of functional and advanced diffusion imaging techniques, as applied to a variety of clinical entities (e.g., psychiatric disease, preterm birth, brain tumors, multiple sclerosis, etc).

Intracranial and Cervical Vessel Wall Imaging Study GroupTuesday, May 24 | 4:45pm – 6:00pm

With the recent success of high-resolution cervical vessel wall imaging for defining stroke risk beyond that achievable by angiography, we have now turned our attention to the intracranial vessel wall, a new frontier in neurovascular imaging. Recognizing this, the ASNR has supported the formation of the Intracranial and Cervical Vessel Wall Imaging Study Group mandated to take a leading role in advancing both clinical applications and research in this new and growing field. The group is composed of a multidisciplinary team organized to develop methodologies and share clinical expertise for redefining our knowledge of both cervical and intracranial vasculopathies. Our primary goals are to establish uniform imaging protocols, promote multi-institutional research, and develop educational programs and materials. Since the effort is just beginning, there is a tremendous opportunity for making seminal and impactful contributions in this field.

Study Groups

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ASNR Study GroupsThe Study Groups target areas of critical importance to the field of Neuroradiology and are composed of neuroradiologists, neuroscientists, and investigators from associated disciplines, who are united in their interest in higher level, sophisticated investigations of these target areas. These sessions will be offered during the Annual Meeting. They are open to all attendees on a first-come, first-serve basis. No CME credit will be awarded for these sessions.

The International Hydrocephalus Imaging Working Group — CSF Flow GroupThursday, May 26, 2016 | 1:00pm – 5:30pmFriday, May 27, 2016 | 8:00am – 4:30pm

The IHIWG (International Hydrocephalus Imaging Working Group) consists of Neuroradiologists, Neurologists, Neurosurgeons, Bioengineers, and basic scientists who meet twice a year in conjunction with ASNR and the ISHCSF (International Society for Hydrocephalus and CSF Disorders). During our meeting we address all forms of hydrocephalus with emphasis on imaging NPH. We discuss phase contrast techniques to measure aqueductal CSF flow, DESH (Disproportionately Enlarged Subarachnoid Space Hydrocephalus), and TimeSLIP to predict response to shunting. We also compare these noninvasive MR-based techniques to the more invasive intracranial pressure monitoring, saline infusion, high volume tap test and external lumbar drainage. We review CSF production and resorption, role of aquaporins, and CSF flow measurements to study Chiari I malformations as well as potential sources of error in our measurements. Recent meetings have had focused sessions on MRI measurement of connectivity, tractography, elastography and evolving concepts such as the “glymphatic system” and the VIIP (Visual Impairment and Intracranial Pressure) syndrome experienced by astronauts spending time on the space station.

We discuss infantile hydrocephalus and benign external hydrocephalus and the role of the latter as a potential cause of NPH later in life. We examine changes in DTI and MR elastography in NPH and discuss related topics such as aqueductal stenosis and pseudotumor cerebri.

To learn more about the IHIWG’s mission, members, and previous meetings, please visit their webpage at www.ihiwg.org.

IHIWG — CSF Flow Group

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Additional registration fees will apply for the IHIWG/CSF Flow Group. If you are interested in more details about the IHIWG/CSF Flow Group,

please visit www.asnr.org/2016.

The International Hydrocephalus Imaging Working Group – CSF Flow Group

Register for the IHIWG/CSF Flow Group on Thursday, May 26 and Friday, May 27.

Thursday Only: Member $25 Non-member $50

Friday Only: Member $75 Non-member $100

Thursday/Friday: Member $100 Non-member $150

North American Neuroradiology Fellows, Residents, Graduate Students, And Medical Students

Become an ASNR Member-In-Training and register for the meeting at the REDUCED ASNR Member-In-Training Fee.

1. Select ‘Join ASNR’ under the “Membership” tab at www.asnr.org, complete and submit the online Member-in-Training application form.

2. You will be notified via email by the ASNR Membership Department regarding your membership status.

3. Upon receiving email confirmation that you are an ASNR Member-In-Training you may register at the reduced registration fee.

Membership dues are waived for ASNR Members- In-Training who are currently in an ACGME (U.S.) or RCPSC (Canadian) Neuroradiology fellowship or Radiology residency training program, medical or graduate (Ph.D.) students or post-doctoral fellow within three years of their doctoral degree.

Young Professionals Programming and Reception(Fellows, Residents, Graduate Students, Medical Students, and/or Neuroradiologists in their first three years of practice)

Young Professionals Programming SessionsOpen to all ASNR Attendees

Young Professionals Reception

Sunday, May 22, 2016 | 7:30-8:30pmWashington Marriott Wardman Park at Stone Throw’s Restaurant (Lobby Level)

If you are an ASNR Member-in-Training or Young Professional within 3 years out of fellowship training, we invite you to join us at the Young Professionals Evening Reception on Sunday, May 22, 2016 at the Washington Marriott Wardman Park at Stone Throw’s Restaurant (Lobby Level). The leadership of the ASNR and The Foundation of the ASNR will also attend. Enjoy visiting with other trainees, fellows, and recent graduates, as well as with some of the leaders of ASNR. The evening reception will include beverages and appetizers. We hope to see you there!

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Meet and mingle with the leadership of The Foundation

of the ASNR.

Young Professional Programming I: Adding Value to Your PracticeModerators: Mark D. Mamlouk, MD Joshua A. Hirsch, MD, FACR, FSIR

Radiology’s Role in Value-Based Care Arun Krishnaraj, MD, MPH

Value-Based Care and Fiscal Ramifications Frank J. Lexa, VII, MD

Utilizing Midlevel Professionals Falgun H. Chokshi, MD

Discussion

Young Professional Programming II: Utilizing Advanced Imaging in Your PracticeModerators: Falgun H. Chokshi, MD William P. Dillon, MD

Vessel Wall Imaging Mahmud Mossa-Basha, MD

A Practical Guide to Developing a Clinical fMRI Service Amit M. Saindane, MD

Interventional Vinil N. Shah, MD

Discussion

Young Professional Programming III: Practical Post-Treatment NeuroimagingModerators: Ramon F. Barajas, Jr., MD Patricia A. Hudgins, MD

Post-Treatment Brain Soonmee Cha, MD

Post-Treatment Neck Suresh K. Mukherji, MD, FACR, MBA

Post-Treatment Spine Lubdha M. Shah, MD

Discussion

Monday, May 23, 2016

Young Professional/Social Media Programming IV: Building A Brand: Leadership, Career and Social MediaModerators: Amy L. Kotsenas, MD Jennifer E. Nathan, MDBecoming a Leader in Private Practice Robert M. Barr, MD, FACRBecoming a Leader in Academics Christine M. Glastonbury, MBBSWhy all Radiologists Should Use Social Media Professionally Jenny K. Hoang, MBBSThe Nuts and Bolts of Social Media: AKA: How Do I Use This Stuff? Neil U. Lall, MDSocial Media Super-Users Panel: Geraldine B. McGinty, MD Ryan. T. Fitzgerald, MD Falgun H. Chokshi, MD Alireza Radmanesh, MD

Tuesday, May 24, 2016

Advance Housing Deposit

Why is it Required?ASNR has incurred attrition charges for rooms in our hotel block where reservations were cancelled or “no-shows” at the last minute at several of our recent annual meetings. This is not a small amount of money. ASNR is charged the room rate plus tax for every room below our contracted numbers. As a part of ASNR’s plan for eliminating attrition, the Advanced Housing Deposit policy was implemented in 2002 along with review of all future hotel contracts, reductions in the contracted hotel room blocks to better reflect current use patterns, and weekly monitoring of hotel reservations for the current year’s meeting.

This plan has been successful in helping ASNR limit the financial burden resulting from high attrition fees. The amount of the last-minute cancellations and no-shows has decreased significantly in recent years. As a result, the amount of attrition fees charged to ASNR has also decreased. The forfeited funds resulting from the Advanced Housing Deposit policy has enabled ASNR to pay incurred attrition fees.

If you should have any questions concerning these policies in effect for the ASNR 54th Annual Meeting, please contact:

Lora Tannehill, CMP-HCASNR Director of Scientific Meetings630-574-0220 ext. 229

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2016 Accommodations

Washington Marriott Wardman ParkLocated in the heart of the city’s vibrant Woodley Park neighborhood, the Washington Marriott Wardman Park is just steps away from the Metro and the world-renowned National Zoo and Rock Creek Park. As visitors arrive at the Washington Marriott Wardman Park, you will find a charming neighborhood in the heart of Washington, D.C. filled with amazing restaurants and quaint shops. Just a few steps away, you will discover eclectic stores and ethnic cuisine of Adams Morgan or the exciting night life of Dupont Circle. The Washington Marriott Wardman Park is an important landmark in the city’s development, it was added to the National Register of Historic Places on January 31, 1984. Visitors will find everything they’re seeking, whether it be a taste of the quintessential D.C. lifestyle, or easy access to all the grandeur our nation’s capitol has to offer.

Guest AccommodationsThe Washington Marriott Wardman Park (non-smoking) guest rooms are newly renovated featuring the newly branded Revive plush bedding package with modern in room upgrades including coffee maker, hair dryer and complimentary weekday newspaper delivery.

Check-in time is 4:00pm and check-out time is 12:00pm. The negotiated conference rate offers in-room complimentary high-speed internet (a savings of $12.95 USD/per day). The hotel offers several on-site dining options including Stone’s Throw Restaurant offering American cuisine with steaks, chops and seafood fare, Illy’s Woodley Market coffee house and gourmet deli offering daily breakfast and lunch items and Harry’s Pub featuring an Old English menu with a modern twist offering sandwiches, soups, pizzas, and microbrews.

Room Type Rate Per Night Advance Room Deposit*

Single/Double $282 $323

Daily in-room internet access and health club admission are INCLUDED in the room rate. * As of 12/11/2015, total of 14.5% sales and hotel tax per room/per night.

2016 Housing and Meeting Registration Policies

Attendee hotel reservations for the ASNR 54th Annual Meeting must be made by booking online at www.asnr.org/2016 or by fax at (630) 574-0661.

Online:1. Before you can make a hotel reservation you

must register for the ASNR Annual Meeting2. Provide ASNR with the advance housing deposit

of $323 USD for a room at the Washington Marriott Wardman Park

3. At that time you will also provide your arrival and departure dates along with any special room requests

4. Once you have paid the advance housing deposit and have confirmed your housing details, you will receive an acknowledgement from the Washington Marriott Wardman Park. Your housing reservation will not be complete unless you have received the confirmation.

5. The deposit will appear as a credit on your room account folio upon arrival check-in

Fax:1. Fax your reservation form to ASNR

(630) 574-06612. ASNR will charge you the advance housing

deposit of $323 USD for a room at the Washington Marriott Wardman Park

3. Once you have paid the advance housing deposit and have confirmed your housing details, you will receive an acknowledgement from the Washington Marriott Wardman Park. Your housing reservation will not be complete unless you have received the confirmation.

4. The deposit will appear as a credit on your room account folio upon arrival check-in

Refunds:• All ASNR reduction and cancellation penalties

apply upon payment of the advance housing deposit

• Refunds will be issued 6–8 weeks after the close of the meeting

• Refunds will not be issued for no-shows

Reminders:• CANCELLATIONS made in writing BEFORE

5:00pm PST on Friday, April 8, 2016 will result in a $100 USD fee

• CANCELLATIONS made AFTER 5:00pm PST on Friday, April 8, 2016 will result in NO REFUND

• CHANGES in Housing Reservations made AFTER 5:00pm on Friday, April 22, 2016 can be made directly with the Washington Marriott Wardman Park

Booking Your Housing Reservation

Housing Reservation Deadline: Friday, April 8, 2016

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1. Online www.asnr.org/2016

2. Fax (630) 574-0661 Attention:

Meetings Department

3. Mail ASNR 800 Enterprise Drive,

Suite 205 Oak Brook, IL 60523-4216 U.S.A.

Questions? Please contact the Meetings Department at (630) 574-0220 ext. 231 or by e-mail at [email protected]

Enclose money order or check for the Advance Housing Deposit or guarantee to a major credit card.

3 Easy Ways To Register and Reserve a Hotel Room

Badges• Name badges will be picked up onsite• Requests for a new badge are subject to a

$15 USD replacement fee

ChangesAll Registration changes and cancellations must be made in writing by Friday, April 8, 2016. There is an administration fee of $25 USD for changes.• Fax all requests for changes to:

(630) 574-0661• Email all requests for changes to:

[email protected]• Send all requests for changes to:

ASNR 54th Annual Meeting800 Enterprise Drive, Suite 205Oak Brook, Illinois 60523-4216 U.S.A.

Cancellations• Cancellations made prior to 5:00pm PST

Friday, April 8, 2016 will result in a $100 USD cancellation fee

• Cancellations made after 5:00pm PST Friday, April 8, 2016 will NOT BE REFUNDED

• Cancellations will not be accepted by phone!

Refunds• Refunds will be issued 6-8 weeks after the

close of the meeting• Refunds will not be issued for no-shows

Phone Inquiries: Canada and International: +1 (630) 574-1376U.S.A. (Toll-Free): 1 (888) 734-7300Email Inquiries: [email protected]

PLEASE NOTE: Payment must be made in U.S. funds, drawn on a U.S. bank only and made payable to ASNR. IMPORTANT: If registering by FAX please remember to fax BOTH PAGES OF THIS FORM.

3 Easy Ways To Register

1. Online* at: 2. Fax: 3. Mail:

www.asnr.org/2016*Credit card payments only

(630) 574-0661Fax completed form toAttention: MeetingRegistration

ASNRAttention: Meetings Department800 Enterprise Drive, Suite 205Oak Brook, Illinois 60523-4216 U.S.A.

2016 Registration Policies

Before 5:00pm PSTFriday, April 8, 2016

After 5:00pm PSTFriday, April 8, 2016

Registration Fee Stated Registration Fee $100 USD

Registration Changes $25 USD $25 USD

Registration Cancellations $100 USD No Refunds

Meeting Registration

Please make sure that your handwriting is legible. If not, please type or complete the form online.

First Name: ___________________________________________Initial: ___________________________

Last/Family Name: ______________________________________________________________________

Degree: _________________________ Badge (First Name/Nickname): ___________________________

Institution: _____________________________________________________________________________

Department: _____________________________ Preferred Mailing Address: Work Home

Street Address: _________________________________________________________________________

______________________________________________________________________________

City: _________________________________________________State/Province:____________________

Zip (Postal) Code: ______________________________________Country: _________________________

Office Phone: __________________________________________Home Phone: _____________________

Cell Phone: ____________________________________________Fax: _____________________________

E-mail: ________________________________________________________________________________

Emergency Contact:

Name: _______________________________________________Relationship: ______________________

Telephone: _____________________________________________________________________________

Special Needs:Please check here if you have any special needs or requirements and an ASNR representative will contact you.

Wheelchair/Mobility Access Vision/Hearing

Other special needs: ___________________________________________________________________

______________________________________________________________________________

Cancellation Policy/Registration Changes:All registration changes and cancellations must be made in writing.• Cancellations made prior to Friday, April 8, 2016 will result in a $100.00 USD cancellation fee• Cancellations made after Friday, April 8, 2016 will result in NO REFUND

• Any registration changes will result in a $25.00 USD administration fee• Cancellation changes will not be accepted by phone!

Meeting Registration Form: Part I

Guest fee for Sunday, May 22, 2016 Closing Reception of the Foundation of the ASNR Symposium 2016: Emergency Neuroradiology (includes reception and Capitol Steps Performance) ($75 USD)

Guest fee for Monday, Monday, May 23, ASNR 54th Annual Meeting Welcome Reception ($50 USD)

First Name: _______________________________ Initial: ____________________

Last/Family Name: ____________________________________________________If you would like to register more than one guest(s) please contact [email protected]

Are you planning on attending any of the following: (FREE of charge)

Closing Reception of The Foundation of the ASNR Symposium 2016: Emergency Neuroradiology*Closing Reception is included in Meeting Registration fee for ASNR attendeesSunday, May 22, 2016 Reception: 5:15pm – 6:15pm, Executive Corridor (Lobby Level) Capitol Steps Performance: 6:30pm – 7:20pm, Marriott Ballroom (Lobby Level)

Yes No

Young Professionals Reception*Registration fee for the Young Professionals Reception is included in the Meeting Registration fee if you are an ASNR Member-in-Training or a practicing Neuroradiologist within 3 years out of fellowship trainingSunday, May 22, 2016 • 7:30pm – 8:30pm, Stone Throw’s Restaurant (Lobby Level)

Yes No

Annual Meeting Welcome Reception with Technical Exhibitors*Welcome Reception is included in Meeting Registration fee for ASNR attendeesMonday, May 23, 2016 • 6:00pm – 7:30pm, Exhibit Hall C (Exhibition Level)

Yes No

Advance Registration Deadline: 5:00pm PST | Friday, April 8, 2016

Guest Registration

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Meeting Registration Form: Part II

Registration Fees

Classification Member Fee Young Professional Member-in-Training Young Professional Research Scientist – Non Medical Doctor (MD)

Non-Member Fee

International Outreach Member Fee

(Developing Countries under $10,000 GDP,

see description below)

The Foundation of the ASNR Symposium 2016 & ASNR 54th Annual Meeting (Entire Meeting) (6 Days – Sat-Thur)

$1150 $790 $1750 $790

The Foundation of the ASNR Symposium 2016, ASFNR/ASHNR/ASPNR/ General Neuro (4 Days – Sat-Tues)

$800 $590 $1250 $590

ASFNR/ASHNR/ASPNR/ASSR/SNIS/General Neuro (4 Days – Mon-Thur) $950 $690 $1375 $690

ASFNR/ASHNR/ASPNR/ASSR/SNIS/General Neuro (3 Days – Mon-Wed) $750 $570 $1150 $570

ASFNR/ASHNR/ASPNR/ASSR/SNIS/General Neuro (3 Days – Tue-Thur) $750 $570 $1150 $570

The Foundation of the ASNR Symposium 2016 (2 Days – Sat & Sun) $375 $330 $750 $330

Form of Payment

VISA MasterCard American Express Exp. Date: ______/______ Personal Check

Please check here if you have any special needs or requirements and an ASNR representative will contact you.

Credit Card #: _________________________________________________________________________________________________________

Cardholder’s Name: ____________________________________________________________________________________________________

Signature: ____________________________________________________________________________________________________________

Billing Address: ________________________________________________________________________________________________________

By signing this form: I authorize ASNR to charge my credit card for the ASNR 54th Annual Meeting registration, acknowledge that the ASNR Advance Registration policies are in effect, accept the cancellation policies as outlined in this document, and grant to the ASNR the right to use photos taken at the ASNR 54th Annual Meeting that include me in promotional materials for future meetings.

Notes:Member Fee — ASNR members and members of ASNR subspecialty societies (ASFNR, ASHNR, ASPNR, ASSR, and SNIS)Young Professional Fee — the following are eligible to register at the Young Professional Fee:

ASNR Members-in-Training — (Medical Students, Graduate Students, Residents and Fellows)Young Professionals — ASNR Members–in–Training and practicing doctors within 3 years out of fellowship trainingResearch Scientist — (non MD) - Physicists (Ph.D.) or Neuroscientists (MS, Ph.D.)

Non-Member Fee — Those who are not an ASNR member or a member of any ASNR subspecialty society listed aboveInternational Outreach Member Fee — Radiologists/Neuroradiologists in countries with an annual Gross Domestic Product (GDP)of $10,000 or less. Click here to view list of eligible countries.

Registration Fee Calculation

Annual Meeting Registration Fee 1. __________

Guest Fees — Symposium 2. __________ Closing Reception

Guest Fees — Welcom Reception 3. __________ with Technical Exhibitors

Print guest name(s) as they should appear on badge:

_________________________________________________

_________________________________________________

IHIWG/CSF Flow Group Fee 4. __________

Donation to the FASNR 5. __________

TOTAL REGISTRATION FEES 6. __________

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The International Hydrocephalus Imaging Working Group – CSF Flow Group*Register for the CSF Flow Group on Thursday, May 26 and Friday, May 27Thursday Only Member $25 Non-member $50Friday Only Member $75 Non-member $100Thursday/Friday Member $100 Non-member $150

Get on the Wall! Donate to The Foundation of the ASNR (FASNR) Invest in the future of Neuroradiology by donating to The Foundation of the ASNR, visit www.asnr.org.

Please make sure that your handwriting is legible. If not, please type or complete the form online.

Housing Reservation Deadline:5:00pm PST | Friday, April 8, 2016

Please make sure that your handwriting is legible. If not, please type or complete the form online.

Name: _________________________________________________________________________________

Share with: _____________________________________________________________________________

Address: _______________________________________________________________________________

_______________________________________________________________________________________

City: ________________________________________________________State/Province:______________

Zip (Postal) Code: _____________________________________________Country: ___________________

Institution: ______________________________________________________________________________

Email: _________________________________________________________________________________

Phone (Office): __________________________________________________________________________

Home: _________________________________________________________________________________

Cell: ___________________________________________________________________________________

Hotel Room Reservation Form

Room Type Rate Per Night Advanced Room Deposit

Standard Room(Single/Double)

$282 USD $323 USD

Daily in-room internet access and health club admission are INCLUDED in the room rate!

As of 12/11/2015, total of 14.5% tax per room/per night

Room Preference# of Rooms_______ # of Adults _______ # of Children _______

Room Type One Bed/King Two Beds/Double Wheelchair Accessible

Arrival Date: _______/_______/2016 Departure Date: _______/_______/2016Estimated Time of Arrival _______:_______ AM PMMarriott Rewards #: ______________________________________________________________________

Special Request (please be specific): Please enter special request for your stay in the space below. Please note that special requests cannot be guaranteed until check-in, but we will do our best to accommodate you.

_______________________________________________________________________________________

If you have any questions, please contact the ASNR Headquarters Office, 630-574-0220 ext. 231 or via email at [email protected]

CANCELLATIONS made in writing BEFORE 5:00pm PST on Friday, April 8, 2016 will result in a $100 USD charge.

CANCELLATIONS made AFTER 5:00pm CST on Friday, April 8, 2016 will result in NO REFUND.

CHANGES in Housing Reservations AFTER Friday, April 22, 2016 can be made directly with the Washington Marriott Wardman Park.

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Form of Payment Check/Money order (must be paid in U.S. funds, drawn on a U.S. bank only and made payable to ASNR)

VISA MasterCard American Express

Credit Card No.: ___________________________________________________________________

Expiration Date: ___________________________________________________________________

Cardholder’s Name: ________________________________________________________________

Billing Address: ____________________________________________________________________

_________________________________________________________________________________

Signature: ________________________________________________________________________

Reservations received after the contracted block of rooms is full or after Friday, April 8, 2016 are subject to rate and space availability.

By signing this form: I authorize ASNR to charge my credit card for the ASNR 54th Annual Meeting registration and/or housing, acknowledge that the ASNR Advance Registration policies are in effect, and grant to the ASNR the right to use photos taken at the ASNR 54th Annual Meeting that include me in promotional materials for future meetings.

ASNR 2017 – 55th Annual MeetingApril 22 - 27 • Long Beach Convention & Entertainment Center • Long Beach, California

American Society of Neuroradiology Future Annual Meetings

ASNR 2019 – 57th Annual MeetingMay 18 - 23 • Hynes Convention Center

Boston, Massachusetts

ASNR 2018 – 56th Annual MeetingJune 2 - 7 • Vancouver Convention Centre

Vancouver, B.C., Canada

Top photo © Long Beach Convention & Visitors Bureau; Middle photo © Tourism Vancouver; Bottom photo © Courtesy of the Greater Boston Convention & Visitors Bureau