ISSUE 71 SEPT 2016

What a summer! According to the National Oceanic and Atmospheric Administration (NOAA), for the 15th consecutive month, the global land and ocean temperature departure from average was the highest since global temperature records began in 1880. This marks the longest such streak in NOAA's 137 years of record keeping. July 2016 was absolutely the hottest month since the instrumental records began. The July 2016 combined average temperature over global land and ocean surfaces was 0.87°C above the 20th century average, besting the previous July record set in 2015 by 0.06°C. It was hot in Ontario, but we cannot complain too much, it could have been worse had we been in Mitribah, Kuwait where the highest maximum temperature during July 2016 was recorded at 52.5°C on July 22. For those who don’t believe in global warming…

The impact on our department has been limited, a chiller and condenser broke on our MR at MUMC, but fortunately, our creative engineering team kept it cool and has been able to keep the MR going.

Burning issues and opportunities for the coming months will be the release of our long awaited Critical Test Results Policy, the deployment of the new standardized HNHB LHIN CT and MR requisition, and the implementation of the prospective multisite Peer Review system that we tested and which should happen soon.

INS IDE THIS EDITION

A hot topic is artificial intelligence and machine learning. Brad Erickson gave a very interesting lecture at our last MIIT conference in June, showing the vast potential of this technology which has seen an increasing interest with the fast growing processing speed of the new computers. Avicenna, a software developed by IBM and running on Watson, can identify abnormalities on CT images and therefore can help radiologists to improve accuracy and productivity. Now that IBM has entered into a collaboration agreement with HHS, we may hope to see more research coming our way, and us being part of the exciting Watson adventure.

As the heat wave settles, all administration at HHS is moving downtown, in the Stelco Tower on King Street, as they are leaving MUMC and Chedoke.

I would like to extend a warm welcome to our new staff, residents and fellows, I wish them a profitable and enjoyable experience in our department.

David Koff Chief of Diagnostic Imaging, HHS Chair, Department of Radiology, FHS

Educational News 2

Rounds Calendar 3

2016-17 Residents 4

Graduation 2016 5 –6

Golf Day 2016 7

Retirements at St. Joseph’s Healthcare

8-9

Radiologist News 10-11

Foundation Thank

You

12

Research Corner 13

THE LAST PAGE 14

2 2

M E D I C A L I M A G I N G B U L L E T I N

Visit our Visiting Professor Program web page to view all of Visiting Professor group photos with our Radiology Residents at: http://www.fhs.mcmaster.ca/radiology/vpp/

VISITING PROFESSOR SERIES

EDUCATIONAL NEWS

Tuesday, November 1st and Wednesday November 2nd, 2016

Dr. Joseph S Yu—Emergency Radiology

Tuesday, January 10th and Wednesday, January 11th, 2017 Dr. Peter Pokieser—Abdomen

Tuesday, February 7th and Wednesday, February 8th, 2017

Dr. Edward Sickles—Mammography

Tuesday, March 7th and Wednesday, March 8th, 2017 Dr. Stephanie Wilson—Ultrasound

Tuesday April 4th and Wednesday April 5th, 2017 Dr. Tan Lucien H Mohammed—Cardiopulmonary

Tuesday, May 9th and Wednesday May 10th, 2017

Annual W Peter Cockshott Lecture Dr. Linda Probyn—MSK

Tuesday October 4th and Wednesday October 5th , 2016

Dr. Phillippe Grenier

Professor of Radiology Chairman of Department of Radiology (General Diagnosis)

Hôpital Pitié-Salpêtrière, Faculté Pitié-Salpêtrière Université Pierre et Marie Curie, Paris, France

Tuesday, October 4th, 2016

6:00 p.m.

CT Patterns in Tracheobronchial Disease

St. Joseph’s Healthcare Hamilton CAMPBELL Auditorium—Level 2—Room T2202,

Juravinski Tower

Wednesday, October 5th 2016

7: 30 a.m. Diagnosis and Management of a Small Pulmonary Nodule of Incidental Discovery

12:00 p.m. CT in Phenotyping Chronic Obstructive

Pulmonary Disease (COPD)

West 5th Auditorium

Dr. Zehava Rosenberg was the speaker at the Annual W. Peter Cockshott Lecture in May. She is pictured here with Dr. Sat Somers, the residents and fellows.

3 3

M E D I C A L I M A G I N G B U L L E T I N

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

JURAVINSKI HOSPITAL & CANCER CENTRE

0800 Resident Rounds (all rounds in DI Conf. Rm.)

1200 Rad/Path Breast Rds (Rm 106 E Wing)

0800 MSK Rounds

1200 Resident Rounds

0800 Resident Rounds 0800 Multidisciplinary Breast Rounds

0730 Hepatobiliary Rounds

1200 Resident Rds 1310 Sarcoma Rounds - (3rd floor conference room)

1200 Interesting Case Rounds

HAMILTON GENERAL

1200 Radiology Teaching Rounds

0700 Spine Rds 0800 Regional Cardiology Rds (David Braley Centre, General Campus, Auditorium) 1200 Radiology Teaching Rounds 1200 Combined Stroke Rounds, DI Classroom, Rm 2-158 1600 Trauma Rds (Theatre Auditorium) M&M Rounds 1st Tues. of mo.

0730 Vascular Rounds (5N Teaching Room)

0800 Arrhythmia Rds. (Theatre Auditorium, HGH)

1230 M&M Rds. (DI Classroom), set once a month

0800 Stroke Rds.(David Braley Centre, General Campus, Auditorium) 0800 CNS Tumor Rds. HGH (DI Classroom) once a month 1200 Radiology Rds. Interesting Cases 1200 Dr. Bradley’s Rds, every 3rd Thurs. each month. (notify residents call Dr. Bradley & Med. Resident on 8 South)

0800 Neuroscience Rds. David Braley Centre, General Campus, Auditorium)

1200 Radiology Teaching Rounds

MUMC

0800 Resident Rds 0800 Tumor Brd (3F) 1200 OB Rds (Dr. Mohide) Rm 2S32 1200 Neuroradiology Rds Rm 3N50

0800 Resident Rds 1230 Neurooncology Rds 3F 1445 Neonatal (US) Rds Rm 2S32

0800 Resident Rounds (TBA) 0800 Adult GI Rounds, Rm.2S32 0800 RPC (3rd Wed ea. mo.) Rm 2S32

0800 Resident Rounds 0800 Surg/Rad/ Path (SRP) Rds – 4th Thurs. of ea. mo. Rm 2S32 1130 Rheumatology - ev.other wk Rm TBA 15:00 Clinical Teaching Unit (CTU) Every 4th Thursday, Room 2S32

0800 Resident Rounds

1200 GI Ped Rounds Room 2S32

ST. JOSEPH’S HEALTHCARE HAMILTON

(All rounds in DI Conference Room T0102, unless otherwise specified)

1200 – 1300 Resident Hot Seat Rounds (Rad Residents, Students, PA Clerks) 12:00 SJHH Ultrasound Rounds

0700 – 0800 ENT Rds. last Tues.of each mo. Dr.J.Coret-Simon 0730 – 0800 Small Renal Tumour Board Rounds - 1st Tues. of each mo. 0800 – 0900 Vascular Difficult Access Rounds – 1st Tues. of ea mo.. 1200 – 1300 Interesting Case Rounds presented by Fellows for Residents, Students, PA Clerks & Radiologists – 1st, 3rd & 4th Tues. of the mo. 1200 – 1300 – QA Rounds, Radiologists only – 2nd

Tues. each mo. 1300 – 1400 Resident Hot Seat Rounds – Rad Residents/Students /PA Clerks, Radiologists’ Reporting Rm. Indicated by an (*) asterisk on the weekly rad schedule

1200 – 1300 No rounds 1st Wed. of Oct/Nov/Jan/Feb/Mar/ Apr/May - MSK Radiology Rheumatology Rounds, MSK Fellows, Residents,Rads, Rheumatologists Vasculitis Rounds – 3rd Wed. of each mo. 16:30 -17:30 Gen Surg/ Radiology Colorectal Rds – 1st Wed of each mo. Surg.rads, residents, Fellows, Students, PA Clerks 1200 – 1700 Radiology Residents’ Half Day Presentation/Rds/Journal Club-Rotating sites- Juravinski/MUMC/St. Joe’s/Hamilton General

0700 Hepatobiliary Rounds, Surgeons, Rads, Residents, Fellows, Elective Students - Juravinski 0800 – 0900 Monthly Neuroradiology Rds,

nd 2 Thu ea mo. 1200 – 1300 Breast – Pathology Rounds, Rads, Residents, Pathologists, Techs, Breast Fellows 1300 – 1400 Sarcoma DST Rounds, via videoconference DI Conf Rm (T0102) 1300 – 1400 Resident Hot Seat Rounds, Rad Residents / Students/ PA Clerks, Rads’ Reporting Rm. Indicated by (*) on weekly rad schedule

0730 – 0830 (2nd Fri. of ea. month) Radio / Respirology Rds, Fellows, Residents, Rads, Respirologists, Students, Thoracic Surg., Fellows Residents, PA Clerks 1200 – 1300 US Rds. Fellows, Residents, Techs,Nurses, Rads, Elect. Students, Firestone Clinic Conf. Rm. T1152 (Tower) 1200 – 1300 Lung DST Rds,1st,2nd,4th Fri ea mo. Videocon. JCC/DIConf. T0102 1300 – 1400 Resident Hot Seat Rds, Rad Residents Elect Students,Rads’ Reporting Rm. Indicated by (*) on wkly rad schedule

ROUNDS CALENDAR

4 4

M E D I C A L I M A G I N G B U L L E T I N

5 5

2016 Diagnostic Radiology Graduation

Congratulations to:

M E D I C A L I M A G I N G B U L L E T I N

The examination results are in for our PGY5 group. I am pleased to announce ALL passed their examinations.

Please join me in congratulating Alex, Abdullah, Bret, Crystal, Luigi and Chad!!

David Landry, Program Director, Diagnostic Radiology

Department Award Winners for 2016

Excellence in Clinical Teaching Award Best Teaching on a Rotation Award

Dr. Arun Mensinkai SJH MRI

Best Academic Half-day Teaching Award Best Rounds Award Dr. Scott Tsai “Approach to the Spine” Dr. Shauna Kennedy

Resident Teacher and Mentorship Award RSNA Resident Research Award

Dr. Abdullah Alabousi Dr. Basma Al-Arnawoot

6 6

M E D I C A L I M A G I N G B U L L E T I N

Grad Dinner 2016

7 7

M E D I C A L I M A G I N G B U L L E T I N

McMaster Radiology Golf Day

Our program’s annual golf day was another great success! This year we had 30 residents, fellows, and staff come out for fun in the sun at a new venue, Copetown Woods Golf Club. Golf day has been an opportunity for resident comradery for many years now, only made possible by generous donations provided by the radiology groups at Hamilton General Hospital, Juravinski Hospital, McMaster University Medical Centre, and St. Joseph’s Healthcare Hamilton. Financial advisor Greg Muldoon also provided sponsorship and was able to come out and join us once again. The residents would like to extend our sincere thanks to Kim Harper, who prepared and donated gift bags for each golfer filled with hydration, snacks, and knick-knacks. She also continued a new tradition with the second annual Putt-O-Potamus Contest… it was a real gas! Now for the big winners! 1st Place Team: Patrick Kennedy, Josh Halperin, Yoan Kagoma, Devang Odedra 2nd Place Team: Nigel Munce, Prasa Gopee-Ramanan, Greg Muldoon 3rd Place Team: Ian Moffatt, Crystal Fong, Akeel Al Ali, Natasha Larocque Most Honest Team: Kathy Zhao, Cory Ozimok, Kate Hames, Zonia Ghumman Long Drive (Ladies): Kathy Zhao Long Drive (Men): David Landry Closest to the Pin (Ladies): Jane Meng Closest to the Pin (Men): Patrick Kennedy Putt-O-Potamus Contest Winner: Cory Ozimok Thanks again to everyone who made this event possible. Hope to see you out there next year… FORE! Submitted by Dr. Patrick Kennedy

8 8

M E D I C A L I M A G I N G B U L L E T I N

9 9

M E D I C A L I M A G I N G B U L L E T I N

10 10

Fellowship trained at Sick Kids in Paediatric General and Neuro Radiology, Dr Claudia Martinez Rios joined the group of radiologists at MUMC on July 1st.

Fellowship trained at Juravinski Hospital in Breast & Cross Sectional Body Imaging, Dr. Faten Al-Douri joined the group of radiologists at St. Joseph’s Hospital.

Fellowship trained at McGill University Health Centre in Abdominal Imaging and Interventional Radiology, Dr. Mohamed El-Khodary has joined the St. Joseph’s Hospital group of radiologists.

Fellowship trained at University of Toronto in Cardiac Thoracic Imaging, Dr. Daniel Walker had joined the group of radiologists at the Hamilton General Hospital.

New radiologists have joined our Department. We wish them all a warm welcome.

M E D I C A L I M A G I N G B U L L E T I N

Fellowship trained at University of Toronto in Cross-Sectional Body Imaging, Dr. Vincent Leung, has joined the St. Joseph’s Hospital group of radiologists.

Radiologists

11 11

M E D I C A L I M A G I N G B U L L E T I N

Juravinski DI said farewell to their Fellows: Dr. Nasim Tolami-Hemmati Dr. John Hanna Dr. Malek Meshki Dr. Mathias Van Borsel

Hamilton General DI said farewell to: Chrystal Church, Business Co-ordinator

2016 –2017 Fellows

Almer Alaref—Breast/Cross Sectional Nishigandha Burute—Breast/Cross Sectional

Shaheen Cader—Cross Sectional Steffan Frosi Stella—Interventional Anahi Goransky—Cross Sectional Hillel Maresky—Cross Sectional

Alex Omiccioli—MSK—Trauma/Sports Medicine Vital Rangashamanna—MSK

Michael Roth—MSK Michelle Walcott-Bremmer—Cross Sectional

Chad Wherry—Breast/Cross Sectional

12 12

M E D I C A L I M A G I N G B U L L E T I N

As part of the fourth consecutive year of a partnership between the Juravinski Hospital and Cancer Centre (JHCC) Foundation and the Canadian Cancer Society, 33 Juravinski Hospital and Cancer Centre teams (onsite and community-based) accepted the baton to participate in Relay for Life Hamilton on June 10, 2016 at F.H. Sherman Recreation & Learning Centre (Dofasco Recreation Park) and fundraise in support of the redevelopment of the Interventional Radiology (IR) suites in The Juravinski’s Diagnostic Imaging (DI) department Of those 33 teams, three DI/IR teams named Good Vibrations, Rays of Hope and Team Beam recruited 51 team members to plan and execute fundraisers that, combined, raised over $40,000. These DI/IR teams led by captains Judy Baranowski, Lisa Pala, Lisa Falletta, Kathie Lock and Dana Petrucelli ranked #1, #2 and #3 in the Top 10 fundraising teams in Hamilton! They were well supported by admin staff Osy Amaral and Andja Macesic and their DI/IR co workers. While the final achievement is yet to be announced, JHCC Relay teams enthusiastically took up the challenge to meet the goal of $125,000.

Dr. Erik Jurriaans and Lisa Pala, this year’s JHCC Relay champions, went above and beyond to engage JHCC Relay teams and “give voice” to the project being supported. (See https://youtu.be/nMan_tYamtk). Leading by example, Dr. Jurriaans raised over $20,000 to become top Relay for Life Hamilton individual fundraiser overall. The Juravinski Hospital and Cancer Centre Foundation extends sincere thanks to Dr. Erik Jurriaans, Lisa Pala and the entire DI/IR department for “accepting the baton” and contributing to the success of this year’s Relay for Life - all in support of quality cancer care for patients and families across the region.

THANK YOU

13 13

M E D I C A L I M A G I N G B U L L E T I N

RESEARCH CORNER

Health Canada recently completed the first Canadian Computed Tomography (CT) Survey, which provides national Diagnostic Reference Levels (DRLs) for CT imaging in Canada. The primary goal of the Canadian CT Survey was to collect CT dose index data in order to establish national DRLs for commonly performed CT examinations of adults and pediatric patients. The survey was conducted by Health Canada, in collaboration with provincial and territorial governments as well as medical associations. Of the 510 CT units in Canada, participation was high with 381 survey booklets were entered into the database. National DRLs were determined for seven commonly performed CT imaging examinations including: Adult Head, Chest, Abdomen/Pelvis, and Chest/Abdomen/Pelvis, and Pediatric Head, Chest, and Abdomen. In addition, the National CT Survey provides a current snap-shot of CT equipment technology and CT imaging practices in Canada. The national DRLs will help promote optimization of CT clinical protocols in Canada and ultimately contribute to national and international efforts to minimize medical exposures to ionizing radiation from CT. This initiative coincides with the initiatives of Canada Safe Imaging, which is hosted at McMaster University and Chaired by Dr. David Koff. For more information regarding this and to view the full report, please go to: http://healthycanadians.gc.ca/publications/security-securite/canadian-computed-tomography-survey-2016-sondage-canadien-tomodensitometrie/index-eng.php#a5.0 Jane Castelli

14 14

THE BACK PAGE

M E D I C A L I M A G I N G B U L L E T I N

UPCOMING DATES OF INTEREST

Sept 21-24, 2016—ICR , Buenos Aires Argentina Sept 29—Oct 1, 2016, SCARD, Annapolis, Maryland USA

Oct 11—17, 2016—Journées Francaises de Radiologie

2016, Paris , France Nov 27—Dec 2, 2016—RSNA Annual Meeting, Chicago USA

What are Canadian coins made of?

All denominations of the Canadian coins, namely

the 1c, 5c, 10c, 25c, 50c, $1, and $2, are mostly

made up of steel, copper, and nickel in various

percentage compositions.

Submissions to: Marguerite Jackson

McMaster Site, HSC - Room 4N-49 jacksonmar@hhsc.ca

Nickel and ferrous materials (such as steel) are magnetic. Thus, most Canadian coins with a P (plated on steel blanks) and RCM (Royal Canadian Mint) mintmarks are picked up by the magnet. Canada has one of the world’s top precious metal reserves. The Canadian government utilizes this natural resource to produce silver and gold coins. Today, Canada ranks among the top nations to produce bullion coins and commemorative coins. Canadian coins less than a loonie (Canadian $1) have steel cores. In the history of Canadian coins, the dimes minted between the year 1968 and 1999 were made of nickel. In year 2000, all Canadian coins have 90-95% steel as an intrinsic (base) metal and plated with nickel, zinc or copper to add color. Newer Canadian nickels are now made from cheaper metals affecting their magnetic properties. However, most Canadian pennies do not stick to the magnet because of their copper content. It is also the same with 1858 to 1868 silver and gold Canadian coins. Numismatists find the interesting magnetic qualities of the Canadian coins useful when segregating a hoard of mixed coin with different currencies. US coins and most other coinages are non-magnetic.

Learn about the intrinsic composition and Canadian coin metal content

Denomination Composition

1 cents (penny) 94% steel, 1.5% nickel,

4.5% copper plating or

copper plated zinc

5 cents (nickel) 94.5% steel, 3.5% copper,

2% nickel plating

10 cents (dime) 92% steel, 5.5% copper,

2.5% nickel

25 cents (quarter) 94% steel, 3.8% copper,

2.2% nickel plating

50 cents (half-

dollar)

93.15% steel, 4.75%

copper, 2.1% nickel

plating

$1 (loonie) 91.5% nickel, 8.5%

bronze plating

$2 (toonie) outer ring 99% nickel,

inner core 92% copper,

6% aluminum, 2% nickel