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S EPTEMBER 2003 V OLUME 13, N UMBER 9 MIRC Unveils Electronic Teaching File System Also Inside: AMA Takes Action on Commercialized Medical Screening Routine Screening Recommended for AAA FDA Announces Goal for Quicker Approval of Medical Devices RSNA Grant Leads to Ultrasound Centers Opening in Africa Northwestern Radiologist Advises Residents to Find Their Niche Register Now for RSNA 2003 www.rsna.org/register

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Page 1: MIRC Unveils Electronic Teaching File System · MIRC Unveils Electronic Teaching File System ... of clinical radiology at the State University of New York ... Weissman is the director

SE P T E M B E R 2003 ■ VO LU M E 13, NUMBER 9

MIRC Unveils Electronic Teaching File System

Also Inside:■ AMA Takes Action on Commercialized Medical Screening■ Routine Screening Recommended for AAA■ FDA Announces Goal for Quicker Approval of Medical Devices■ RSNA Grant Leads to Ultrasound Centers Opening in Africa■ Northwestern Radiologist Advises Residents to Find Their Niche

Register Now for RSNA 2003

www.rsna.org/registe

r

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RSNA NewsSeptember 2003 • Volume 13, Number 9

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

Periodicals postage paid in Oak Brook, IL60523, and additional mailing offices (USPS021601). POSTMASTER: Send address correc-tion “changes” to: RSNA News, 820 Jorie Blvd.,Oak Brook, IL 60523-2251.

Nonmember subscription rate is $20 per year;$10 of active members’ dues is allocated to asubscription of RSNA News.

Contents of RSNA News copyrighted ©2003 bythe Radiological Society of North America, Inc.

RSNA Membership: (877) RSNA-MEM[776-2636]

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

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

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

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

Chair

Lawrence W. Bassett, M.D.Richard H. Cohan, M.D.Nancy A. Ellerbroek, M.D.David S. Hartman, M.D.Bruce L. McClennan, M.D.William T.C. Yuh, M.D., M.S.E.E.Robert R. Hattery, M.D.

Board LiaisonHedvig Hricak, M.D., Ph.D.

Board Liaison-designate

C O N T R I B U T I N G W R I T E R SStephen BarlasBruce K. DixonAmy Jenkins, M.S.C.Marilyn Idelman SoglinKen Schulze

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

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

2 0 0 3 R S N A B O A R D O F D I R E C T O R SDavid H. Hussey, M.D.

Chairman

Robert R. Hattery, M.D.Liaison for Publications andCommunications

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-designate for Publications andCommunications

Peggy J. Fritzsche, M.D.President

Brian C. Lentle, M.D.President-elect

Letters to the EditorE-mail: [email protected]: (630) 571-7837RSNA News820 Jorie Blvd.Oak Brook, IL 60523

SubscriptionsPhone: (630) 571-7873 E-mail: [email protected]

Reprints and PermissionsPhone: (630) 571-7829Fax: (630) 590-7724E-mail: [email protected]

AdvertisingPhone: (630) 571-7819E-mail: [email protected]/advertising/ratecardrsnanews.html

SE P T E M B E R 2003

1 People in the News3 Announcements

Feature Articles 5 AMA Takes Action on Commercialized Medical

Screening7 Routine Screening Recommended for AAA9 FDA Announces Goal for Quicker Approval of

Medical Devices11 MIRC Unveils Electronic Teaching File System 13 RSNA Grant Leads to Ultrasound Centers

Opening in Africa

Funding Radiology’s Future20 Northwestern Radiologist Advises Residents to

Find Their Niche10 Program and Grant Announcements22 R&E Foundation Donors

19 RSNA: Working for You24 Radiology in Public Focus24 Meeting Watch25 Exhibitor News26 www.rsna.org

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PEOPLEINTHENEWS

Jaffe Joins CIPCarl Jaffe, M.D., has joined the CancerImaging Program of the National CancerInstitute as chief of the Diagnostic Imag-ing Branch. He will be responsible forplanning and implementing programs toadvance research across the entire spec-trum of imaging modalities and theirclinical application in cancer patients. Inparticular, he will have administrativeresponsibility for the American Collegeof Radiology Imaging Network.

Dr. Jaffe had been on the faculty of Yale University Schoolof Medicine since 1976.

Guglielmi Named RSNA Editorial FellowGiuseppe Guglielmi, M.D., of San Giovanni Rotondo, Italy, isthe 2003 RSNA Editorial Fellow.

During his one-month fellowship, Dr. Guglielmi will workclosely with Radiology Editor Anthony V. Proto, M.D., at theRadiology office in Richmond, Va., withRadioGraphics Editor William W. Olm-sted, M.D., at the RadioGraphics officein Bethesda, Md., and with the publica-tions, advertising, and marketing andcommunications staff at RSNA Head-quarters in Oak Brook, Ill. Dr. Guglielmiwill also work with the RSNA editors atRSNA 2003 in Chicago.

Dr. Guglielmi specializes in bonedensitometry and osteoporosis. He is anassociate professor of radiology at theScientific Institute Hospital in San Giovanni Rotondo, Italy. Heis also a research associate with the Osteoporosis and ArthritisResearch Group in the Department of Radiology at the Univer-sity of California, San Francisco.

Two New Deputy Editors for RadiologyDouglas S. Katz, M.D., fromMineola, Long Island, N.Y., andJane L. Weissman, M.D., fromPortland, Ore., have beenappointed deputy editors forRSNA’s peer-reviewed sciencejournal, Radiology.

“Our deputy editors providean invaluable service for thejournal,” says Radiology EditorAnthony V. Proto, M.D. “Theyadvise the editor regarding manu-script decision-making, reviewrevised manuscripts for adequacyof revisions made by the authorsand advise the editor on othermatters. I am delighted that Drs.Katz and Weissman haveaccepted the duties of deputy edi-tor and know that they will con-tribute immensely to the qualityof Radiology, just has been thecase for Panos P. Fatouros,Ph.D., who has been a deputy editor for our journalsince 1998.”

Dr. Katz is the director of body computed tomogra-phy and vice-chair for clinical research and education in

the Department of Radiologyat Winthrop-University Hos-pital, and associate professor

of clinical radiology at the State University of New Yorkat Stony Brook School of Medicine. Dr. Weissman is thedirector of head and neck imaging and a professor in theDepartments of Diagnostic Radiology and Otolaryngol-ogy at Oregon Health and Science University.

Swiss Group Honors Gourtsoyiannis, FritzscheEuropean Congress of Radiology President Nicholas C. Gourtsoyiannis,M.D., was honored with the 2003 Schinz Medal during the annual meet-ing of the Swiss Society of Radiology. At the meeting, Dr. Gourtsoyiannisalso delivered the H.R. Schinz lecture on “Small Bowel Imaging: Impor-tant Lessons from the Past and New Concepts for the Future.”

In addition, RSNA President Peggy J. Fritzsche, M.D., provided attendees with information about the benefits of RSNA membership, andwas elected a corresponding member.

Nicholas C. Gourt-soyiannis, M.D.

Peggy J. Fritzsche,M.D.

Douglas S. Katz, M.D.

Giuseppe Guglielmi, M.D.

Carl Jaffe, M.D.

Jane L. Weissman, M.D.

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PEOPLEINTHENEWS

Thorwarth Appointed toCPT Editorial PanelWilliam T. Thorwarth Jr.,M.D., from Catawba Radiologi-cal Associates in Hickory, N.C.,has been appointed to a full seaton the American Medical Associ-ation CPT Editorial Panel. Dr.Thorwarth had previously held arotating seat on the panel, whichis responsible for developing andassigning Current ProceduralTechnology (CPT) codes—descriptive terms and identifyingcodes used to report medical pro-cedures and services under publicand private health insurance programs.

He is also president of the Amer-ican College of Radiology (ACR)and chairman of the ACR Commis-sion on Economics.

C.A.E. DesignationRSNA Assistant Executive Directorfor Research and Education, LindaB. Bresolin, Ph.D., M.B.A., hasearned a Certified Association Exec-utive (C.A.E.) designation from theAmerican Society of AssociationExecutives.

This designation is conferredupon executives who demonstratehigh levels of association manage-ment knowledge, ethics and leader-ship. Prior to certification, applicantsare rated on their experience andaccomplishments in the associationmanagement profession and mustsuccessfully complete a comprehen-sive exam.

ACR General Counsel/AssistantExecutive Director Bill Shields alsoreceived a C.A.E. designation.

ASTRO Announces Award WinnersThe American Society for TherapeuticRadiology and Oncology has releasedthe names of its 2003 Gold Medalists.They are Lester J. Peters, M.D., from

the Peter MacCallum Cancer Institute in Melbourne,Australia; J. Frank Wilson, M.D., from the MedicalCollege of Wisconsin in Milwaukee; and MichaelGoitein, Ph.D., from Harvard Medical School inBoston.

ASTRO has also announced that it will bestowhonorary membership on Fred Eilber, M.D., from the School of Medi-cine at the University of California, Los Angeles, and LaSalle D. LeffallJr., M.D., from Howard University in Washington, D.C.

The awards ceremony will be held during the ASTRO annual meetingin Salt Lake City in October.

Lester J. Peters, M.D. J. Frank Wilson, M.D. Michael Goitein, Ph.D.

William T. ThorwarthJr., M.D.

Linda B. Bresolin,Ph.D., M.B.A., C.A.E.

Bill Shields, C.A.E.

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

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

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Cancer researchers nowhave a powerful online toolthat provides instant accessto information on ongoingcancer research supported bycancer funding organizationswithin the United States andthe United Kingdom.

The International CancerResearch Portfolio (ICRP),www.cancerportfolio.org,allows scientists to identifypossible collaborators, plantheir next research applica-tions based on currentresearch, and facilitate a dia-logue among cancer

researchers. “Cancer knows no bor-

ders and with our interna-tional partnerships, neitherdoes our research effort,”said Andrew von Eschen-bach, M.D., director of theNational Cancer Institute.“ICRP will greatly facilitateinternational research,encourage complementaryand collaborative researchpartnerships, and move uscloser to our common goalof eliminating many cancersand controlling others so thatpeople can live with—not

die from—cancer.”ICRP currently holds

nearly 13,000 records, pro-viding information on thefunding organization,

awardee institution, principalinvestigator and a detailedabstract of the research.

3R S N A N E W SR S N A N E W S . O R G

ANNOUNCEMENTS

The Society of Nuclear Medicine (SNM)has chosen a whole-body scan using 3D-LSO PET/CT technology as its 2003Image of the Year. The scan, which tookonly seven minutes, shows cancer in a 60-year-old patient. SNM called the image anexample of technological improvementsin the quality of whole-body scans.

The image was submitted byresearchers at the Ahmanson BiologicalImaging Clinic at the UCLA School ofMedicine. They include JohannesCzernin, M.D., and Benjamin Halpern,M.D., who produced the image as part ofa study examining the impact of acquisi-

tion time onimage quality.Also contributingto the study wereMagnus Chalbom,M.D., an associateprofessor ofmolecular andmedical pharma-cology, andOsman Ratib,M.D., a professor and vice-chair of infor-mation systems in the Department ofRadiology.

SNM 2003 Image of the Year

Radiology #1 Cited Diagnostic Radiology JournalThomson/Institute for Scien-tific Information (ISI) hasreleased its annual JournalCitation Reports. For 2002,Radiology retained the high-est impact factor amongdiagnostic imaging journalsand is also the most fre-quently cited. The Thom-son/ISI report recorded 36,704 citations for Radiology, followed by 18,762 for the AmericanJournal of Roentgenology, and 10,868 for Magnetic Resonance in Medicine.

BIROW Report Available on Radiology OnlineIn mid-August, Radiology Online posted theofficial report from the 2003 Biomedical Imag-ing Research Opportunities Workshop(BIROW). The report includes an introductionand summaries from the breakout committees.To view the report, go to radiology.rsnajnls.org/cgi/content/full/2292030807v1.

The goal of BIROW is to identify andexplore opportunities for basic science researchand engineering development in biomedicalimaging as well as related diagnosis and therapy.

The next workshop in the series of five will be organized byRSNA. It will be held February 25-26 at the Bethesda Marriott. Infor-mation about this year’s workshop can be found at www.birow.org.

New Online Tool for Cancer Research

Osman Ratib, M.D.

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NIH Establishes Steering Committee toStreamline Decision MakingNational Institutes of Health (NIH) Director Elias A. Zer-houni, M.D., has announced the formation of an NIHSteering Committee with a rotating membership of 10directors derived from and representing the 27 NIH Insti-tutes and Centers.

“Leading the NIH requires a team approach thatadvances the agency’s mission as efficiently as possible,”Dr. Zerhouni said. “Over the past nine months, throughextensive consultation with all of the Institute and CenterDirectors at NIH, we have looked carefully at how to bet-ter organize ourselves. As a result, I established the steer-ing committee to address the complex issues facing us.”

With Dr. Zerhouni as chair, the three largest instituteswill have permanent seats. They are the National CancerInstitute, the National Heart, Lung, and Blood Instituteand the National Institute of Allergy and Infectious Dis-eases. The other seven seats will be filled on a three-year,staggered, rotating basis by the directors of the remaininginstitutes.

ANNOUNCEMENTS

Responses Posted to FDA Warning Letters The Food and Drug Administration (FDA) begins a six-month pilot program this month to post on its Web site(www.fda.gov) recipients’ responses toFDA warning letters. In some cases, theFDA may decline to post the responsesif the agency determines that the response could misleadthe public. For more information, go to www.fda.gov/bbs/topics/ANSWERS/2003/ANS01237.html.

w w w . n e m o u r s . o r g

Staff RadiologistJacksonville, Florida

The Nemours Foundation, one of the nation’s largest pediatricsubspecialty practices, operates the Nemours Children’s Clinicsthroughout Florida and Delaware and the Alfred I. duPontHospital for Children in Wilmington, DE.

The Nemours Children’s Clinic-Jacksonville is currently seeking aStaff Radiologist to join 4 other Radiologists with a CAQ in pediatric radiology. The Nemours Children’s Clinic is a pediatrictertiary care subspecialty clinic, located in Jacksonville, Florida.The position involves full-time responsibilities as an attendingRadiologist at the Nemours Children’s Clinic, a freestanding out-patient facility, and Wolfson Children’s Hospital. Wolfson’s is a200-bed pediatric hospital where all imaging modalities are utilized. An opportunity for academic appointment to the Mayo Medical School is available. Jacksonville is Florida’s River City by the Sea. With 840 squaremiles, it is the largest city in the United States. It is a city that stillhas a small town atmosphere, but has grown to become a sophis-ticated business city with a penchant for culture, sports and anexceptional quality of life. The ALLTEL Stadium, home of theJacksonville Jaguars, will host the 2005 Super Bowl. Often referredto as a “Gracious Southern Lady,” Jacksonville is blessed with anatural beauty, located on the northeast tip of Florida. Tucked inand around boundless acres of water, this is Florida’s First Coast. The area is home to over 35 miles of sandy white beaches; morethan 55 world-class golf courses, including the Stadium Course atSawgrass, home of the legendary 17th hole; beautiful state parks,luxurious spas and resorts. Cultural attractions include theJacksonville Symphony; the Florida Theatre, which offers nationalperformers on stage nearly every night of the year; touring BroadwayShows; and the Museum of Science and History. With a mild year-round climate, Jacksonville offers a wide array of leisure activities foreveryone to enjoy, including golf, tennis, boating, deep-sea fishing,kayaking, horseback riding, shopping and much more! Certificate of Added Qualification in Pediatric Radiology is pre-ferred, but not required. Send your CV to: Jan Roberts-Jolly, Nemours Children’s Clinic,1600 Rockland Rd., Suite 3B-372, Wilmington, DE 19803; Fax: 302-651-6100; E-mail: [email protected]. EOE

Imaging at NCI Gets New NameThe National Cancer Institute’s Biomedical Imaging Program has been renamed the Cancer Imaging Program(CIP).

“The name change reflects our focus on imagingresearch that is related to diagnosing and treating cancer,”says CIP Associate Director Daniel C. Sullivan, M.D.

CIP has funded a wide range of imaging research,including the examination of biological interactions at thecellular and molecular level, monitoring a drug’s effect ina live animal, enhancing imaging by developing and vali-dating promising devices and contrast agents, and conduct-ing a variety of clinical imaging studies, including screen-ing trials of digital mammography for breast cancer andspiral CT for lung cancer.

CIP will continue to fund a broad spectrum of imagingresearch directed at cancer. More information about currentfunding priorities can be found at cip.cancer.gov.

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Hardly a day passes without aradio, television or print adver-tisement offering a screening test

to “determine your risk for cancer orheart disease.” The tests being pro-moted may be electron beam CT todetect coronary artery calcifications,spiral CT to detect lung cancer, or CTcolonography to detect colon cancer.The proliferation and direct marketingof medical screening tests that have anundetermined evidence base or thatmisrepresent the true risks and benefitshave troubled the medical communityfor years.

At its 2003 annual meeting in June,the American Medical Association(AMA) adopted recommendations fromits Council on Scientific Affairs (CSA)to launch a three-pronged campaign todeal with the scientific, clinical andethical concerns raised by commercial-ized medical screening.

Scientific ConcernsThe AMA is urging appropriate med-ical institutions and societies to con-tinue research to evaluate these screen-ing procedures that are advertiseddirectly to the public. It also wantsthese evaluations made available to thebroader physician community so thatprimary care physicians can advisetheir patients of the risks and benefitsof these procedures.

Clinical ConcernsThe AMA is urging government fund-ing agencies to continue to fund well-designed, large-scale clinical trialsaimed at determining the safety, valueand cost-effectiveness of screeningimaging procedures.

Ethical ConcernsThe AMA House of Delegates hasdirected the AMA Council on Ethicaland Judicial Affairs to further considerthe ethical ramifications of commer-cialized medical screening.

“The fundamental underpinning isthat science ought to rule the day, notemotion, not payment mechanisms, notthe ability to market,” says AMA Presi-dent-elect John C. Nelson, M.D.,M.P.H., an obstetrician/gynecologistfrom Salt Lake City. “CT is a wonder-ful science-based modality, which weuse every day in clinical medicine. Thisparticular modality is being selectedout because it appears, at least in mycity for example, that it is being sold asthe answer to all that is good and true.That is an overstatement. Science doesnot suggest that is true. We think thereare some serious ethical concerns in theway that CT screening is being sold.”

RSNA Board Liaison for Science

Gary J. Becker, M.D., says radiologistsneed to take note about what’s beingsaid in this report. “We need to payattention to what the broader commu-nity of physicians thinks about com-mercialized screening and its potentialimpact on the public and the healthcaresystem, including costs,” he says.“There’s a great deal of trepidationamong radiologists, physicians in otherspecialties and the public about whatscreening means. There are manyimplications. What we need to know iswho should be screened, for what dis-ease entities, and with what specificrecommendations.”

Those questions can be answeredby broad-based studies, but the prob-lem is, those studies take time. “Ifyou’re a patient who quits smokingafter 20 to 25 pack years of smokingand you want to know today if CT lungscreening is for you, and if so, with

AMA Takes Action on Commercialized Medical Screening

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

John C. Nelson, M.D., M.P.H.AMA President-elect

Continued on next page

FEATURE:HOTTOPIC

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what frequency—nobody can give youthe right answer,” says Dr. Becker,assistant medical director at the MiamiCardiac and Vascular Institute at Bap-tist Hospital. “One of the bestresponses is to encourage the con-cerned patient to participate in thescreening trials. But there’s a problemif you have someone who is 49 or 50years old and the screening trials areonly for patients older than 55 or 60.For those patients, I think you have tostart individualizing patient manage-ment. And that is to be expected. Wesimply can’t have today, on demand, allof the answers we need to questionsabout screening.”

Dr. Nelson adds that as we awaitthe results of broad-based scientificstudies, the public should be aware thatthe scientific and clinical efficacy ofCT screening exams has not beendetermined. “If someone wishes to payfor a particular test, such as virtualcolonoscopy, knowing that it may ormay not pick up what that person wantsto know, knowing that it may ormay not be the most effectiveway to look for colon cancer,then we have no argument withthat. But to suggest to the pub-lic, as some groups are, that it isthe better way, the only way orthe most efficient way, thenthere are some serious ethicalquestions,” he says.

RSNA Assistant ExecutiveDirector for Research and Edu-cation Linda B. Bresolin, Ph.D.,M.B.A., C.A.E., says the AMA actionis a good first step toward resolving theheated debate over CT screening. “Thisis a very active, unresolved issue that isbeing used in an entrepreneurial way. Itis important to look at the science apartfrom commercial values,” she says.“It’s through a consensus process, suchas this, that the field of medicine movesforward. There will always be people

who are going to operate outside of thatconsensus. But without the process,we’ll never know where the boundariesare.”

Total Body CTWhile the CSA Report did not evaluatetotal body scans, it did make referenceto a statement from last September bythe American College of Radiology(ACR) that said, “to date, there is noevidence that total body CT screeningis cost-effective or effective in prolong-ing life. In addition, the ACR is con-cerned that this procedure will lead tothe discovery of numerous findings thatwill not ultimately affect patients’health but will result in unnecessaryfollow-up examinations and treatmentand significant wasted expense.”

Cost to the Healthcare SystemThe cost of commercialized screeninghas Dr. Becker concerned. “One side ofthe argument is that if people want topay out of their pockets to get a testdone, then they have the right to do

so,” he says. “But the other side is thatonce a positive finding comes out of ascreening examination, society’sbroader healthcare system must absorbthe costs of the ensuing work-up andmanagement.”

“Even then, some would argue thatthe individual’s right to know his or herhealth status and to act upon findingsmust prevail. Many healthcare econo-

metricians would disagree,” he adds.“Such controversy points to our criticalneed for information that is importantto public health and society. The infor-mation will derive only from well-designed, well-funded and well-con-ducted screening trials.”

In addition, there is a movementtoward third-party reimburse-ment for this type of screening.Dr. Nelson says peer-reviewedscience will be the determiningfactor. “We are not opposed tothird-party reimbursement foranything that is evidence-based. We are not asking forany different standard for radi-ologists and others who do thisthan we are for any other partof medicine. We want to con-tinue to work with our col-

leagues in radiology to make sure thereis an evidence-base for all that we doin medicine.” ■■

There’s a great deal of trepidation among

radiologists, physicians in other specialties

and the public about what screening means.

… What we need to know is who should be

screened, for what disease entities and with

what specific recommendations.

—Gary J. Becker, M.D.

Continued from previous page

Linda B. Bresolin, Ph.D., M.B.A., C.A.E.RSNA Assistant Executive Director forResearch and Education

Editor’s Notes: For more information on theCSA report, go to www.ama-assn.org/ama/pub/article/2036-7820.html. For a full copy ofthe CSA Report on Commercialized MedicalScreening, call the AMA at (312) 464-5000.

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Routine Screening Recommended for AAA

About 15,000 Americans, mainlythe elderly, will die this year dueto ruptured abdominal aortic

aneurysms (AAAs), yet a nationwideultrasound screening program couldsave two thirds of these patients,according to David M. Williams, M.D.,professor of radiology and director ofthe Division of Angiography/Interven-tional Radiology at the University ofMichigan Medical Center in Ann Arbor.

Dr. Williams says technologicalprogress has made both screening andtreatment more widely available, andrecent studies bring good news aboutthese advances. Abdominal ultrasoundcan reliably detect AAAs and image-guided endoluminal graft repair is apromising alternative for patientsunable to undergo open surgical repairof these anatomical time bombs.

Two recent British studies under-score the effectiveness of AAA screen-ing. Reporting in The Lancet and TheBritish Medical Journal, researcherscompared death rates among about30,000 elderly men who were screenedusing ultrasound with an unscreenedcontrol group. Death rates fromaneurysm rupture were 50 percent lowerin the screened men, leading the scien-tists to conclude that routine screeningis justified in men over age 64.

Endovascular vs. Surgical TreatmentEndovascular treatment is proving to bea good alternative for frail patients.Five-year follow-up data on the EVT/Guidant bifurcated graft were publishedin the July issue of the Journal of Vas-cular Surgery and show that long-termsurvival is comparable to open surgicalrepair.

“We looked at the five-year follow-up of patients who underwent endovas-

cular repair of the AAA with theAncure stent graft system. We com-pared it with a concurrent non-random-ized control group of patients undergo-ing open repair,” says lead authorWesley Moore, M.D., a professor ofsurgery in the Division of VascularSurgery at the University of California,Los Angeles. “We found that thepatients who underwent endovascularrepair had a lower morbidity rate thanthe controls, but mortality was similarbetween the two groups. At 60 months,32 of 43 patients were free of endo-leak.” Only type II endoleak, retrogradeflow into the aneurysms via patient aortic branch arteries, remained.Aneurysm sac diameter decreased orremained stable in 41 of 42 patientsand increased in only one patient.

Dr. Moore says he has placed 250endografts since 1993 and has had tosurgically repair only four due to leakwith sac expansion.

EVT/Guidant voluntarily recalledthe Ancure Endograft System in March

2001 to address certain regulatory com-pliance deficiencies. The product wasreintroduced in August 2001 followingFDA approval.

In June 2003, EVT announced thatit had entered into an agreement withthe U.S. Department of Justice aboutmatters relating to the Ancure Endo-graft System. Under the terms of theagreement, listed on the company’sWeb site (www.guidant.com), EVT hasagreed to pay the government $43.4million and an additional $49 millioncivil settlement. EVT has also agreed toplead guilty to 10 felony counts,including nine for making false state-ments to the government.

“The issues outlined in the pleaagreement pertain only to the deliverysystem of the Ancure device prior tothe company’s voluntary recall and donot relate to the Ancure graft once ithas been implanted,” the Web sitenotes. “No patient with the AncureEndograft implant is at risk as a result

Katharine Krol, M.D., performs an abdominal aortic aneurysm screening at CorVasc MDs in Indianapolis.

Continued on next page

FEATURE:MEDICINEINPRACTICE

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of this matter and the implant continuesto demonstrate excellent long-termclinical results.”

Dr. Williams points out that whilespecific devices may be anatomicallysuited to specific patients, endografts in

general represent a majoradvance in the treatment ofAAA. “As many as three-million Americans over theage of 60 have AAA. Inmen over 60 it’s the thirdleading cause of death, andthe larger the aneurysm, thegreater the chance it willrupture at follow-up,” saysDr. Williams, adding thatnearly 80 percent of rup-tures result in death.

For more than 40 years,open surgical repair has

been the gold standard of treatment.“We know it excludes aneurysm andprevents sac growth in over 95 percentof patients, but there are complications.The operative mortality in electiverepair is between one and five percent,”says Dr. Williams. “The endograft pro-cedure simulates surgical placement ofthe graft. Rather than opening thepatient and opening the aneurysm, thisdevice is compressed in a tube andentered into the patient through a littlecut in the groin. The device is broughtinto place in the aneurysm and isopened, which forces blood inside thedevice and out the iliac artery and cir-culation to the aneurysm is excluded.”

Dr. Williams emphasizes that whilethis less invasive technique getspatients out of the hospital sooner andproduces fewer post-operative compli-cations, it does have drawbacks.

A study at the Cleveland ClinicFoundation, published in the May issueof the Journal of Vascular Surgery,reported that “current endovasculardevices are associated with a relativelyhigh rate of complications over mid-term follow-up, culminating in frequentneed for secondary remedial proce-dures.” However, the risk for rupture

and aneurysm-related deathwas “exceedingly low,” aslong as strict follow-upimaging was carried out. Inseparate data, the ClevelandClinic group found “signifi-cant differences in the fre-quency of limb occlusionsand endoleak betweengroups with differentendovascular devices,”which goes to Dr. Williams’point that the technology isin its infancy and great carehas to be taken to matchpatients with the right device.

“There are two primary require-ments as to who gets an endograft,” Dr.Williams told reporters in June at theRSNA Image-guided Therapy MediaBriefing in New York. “Number one,the anatomy of the aneurysm and thearteries has to be suitable to get thedevice in place and to have it staythere. Number two is what’s going onin the patient. What sort of medical riskdoes he or she have? One way of put-ting it is, endografts are good for great-grandpa’s aneurysm, but in general,

they’re not so good for grandpa’saneurysm.” He further explained to thereporters that if you have a healthy 55-year old whose lungs, heart and kid-neys are all in great shape and whomay live another 30 years, you choosesurgery, “You don’t want to be worriedabout what’s going to happen to thisdevice in 15 years and the possibility ofre-operation when he’s less healthy.”

Screening for AAABecause aneurysms usually don’tannounce themselves, the trick is tofind and fix them before it’s too late.

Dr. Williams saysAAA screening shouldbe given the samecachet as heart diseaseand stroke prevention.“We estimate that wecould save about $50million a year byscreening patients overage 55—especiallythose with such riskfactors as smoking,hypertension, athero-sclerosis and familyhistory,” he says.

Both the Society of InterventionalRadiology (SIR) and the Society ofVascular Surgery are incorporatingAAA detection in their general screen-ing programs. SIR’s Legs For Life®

Campaign will once again offer AAAscreening this fall. SIR selected eightsites for a pilot in 2000, and the AAAscreening module was launched nation-ally in 2001. At CorVasc MDs in Indi-anapolis, about 1,000 men over age 40and women over age 50 were deter-mined to be at risk for AAA duringLegs For Life screenings.

Katharine Krol, M.D., director ofvascular and interventional radiologyfor CorVasc, which participated as aLegs For Life AAA pilot site, says inthe two years of screening, 12 aneur-ysms were detected. Of those, six werelarger than five centimeters andrequired immediate repair. This yearCorVasc MDs screening sessions willinclude carotid disease along with AAAand peripheral vascular disease.

Dr. Krol agrees that the importanceof AAA ultrasound screening remainswidely under appreciated. “The issue ishow do we educate the public? We alsoneed to talk to primary care doctors andeducate them more to teach them thatthere are ways to screen for abdominalaortic aneurysm,” she says. ■■

Editor’s Notes: For more information on Dr.Williams’ presentation at the RSNA media brief-ing, go to www.rsna.org/media/briefings/2003/.

For more information on SIR’s Legs For Lifecampaign, go to www.legsforlife.org.

Continued from previous page

AAA Special Focus SessionManagement of AAAswill be the subject ofa special focus ses-sion at RSNA 2003 on Monday, Dec. 1,from 4:30 – 6:30 p.m. For more information,see the Advance Reg-istration brochure atwww.rsna.org/rsna/advanceregistration/pdf/AdvanceRegistra-tion2_online.pdf.

David M. Williams, M.D.University of Michigan

As many as three-million

Americans over the age of 60

have AAA. In men over 60 it’s the

third leading cause of death.

— David Williams, M.D.

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9R S N A N E W SR S N A N E W S . O R G

For the first time, the Food and DrugAdministration (FDA) has publiclycommitted to reducing the total

review time for medical device productsthat can be approved. In early August,the FDA announced that it was commit-ted to reducing its review time by 30days for the fastest 50 percent of theexpedited and traditional Pre-MarketApproval Applications (PMAs) approvedfor Fiscal Years 2005 through 2007.

The latest statistics show the aver-age time to approval for expeditedPMA applications, used for the mostcutting-edge devices, was 360 FDAreview days. The average time toapproval for traditional PMA applica-tions was 320 days.

Each year, the FDA receives about50 PMA applications. That compares to5,000 510(k) applications submittedannually. Most radiologic devices fallunder the 510(k) category and reviewtime for 510(k)s averages about 80days, according to the FDA.

The FDA says improved reviewtimes will be possible because of theuser fees imposed under the MedicalDevice User Fee and ModernizationAct of 2002. Collection of user feesbegan late last year as part of the appli-cation process. The agency has a rev-enue target of $25 million for FY 2003,although the actual amount collected byJune 1 has been about $14 million. InFY 2004, which begins October 1, theFDA hopes to collect nearly $34 mil-lion in user fees.

Also beginning with the new fiscalyear, there will be a two-tier fee rate for510(k) applications. Small busi-nesses—those with revenues of $30million a year or less—will pay a loweruser fee than larger companies.

Dual Device-Drug Systems The FDA has also embarked on an ini-tiative to speed up approval of innova-tive medical devices that are used todeliver drug therapy. One step towardthis objective was the establishment ofan Office of Combination Productswithin the FDA, which is to focus onthe premarket approval of such combi-nation technologies. There are a num-ber of radiologic combinations, such asinnovating imaging systems used inconjunction with contrast agents, thatwill likely fall under the purview ofthis new office.

In July, the FDA held a workshopon dual device-drug systems. Theemphasis at the agency is finding a wayto approve innovative device-drugcombinations more quickly. Thesewould be things such as: • Novel, specialized catheters to permit

localized delivery of drugs or biolog-ics (e.g., chemotherapeutic agents,thrombolytics, cells/biologics)

• Lasers or other energy deliverydevices for delivery or enhancementof drug or biologic effectiveness (e.g., electroporetic or laser systemsto enhance the transport of drugs tothe target site)

• Device/drug or device/biologic com-binations that permit new routes ofadministration for drugs (e.g., devicesfor inhalation of drugs formerlyadministered intravenously)

• Devices that activate drugs in thebody (e.g., photodynamic therapy)

One of the presenters at the work-shop was Jonathan Kruskal, M.D.,Ph.D., section chief of abdominalimaging at Beth Israel Deaconess Med-ical Center and associate professor ofradiology at Harvard Medical School inBoston. Dr. Kruskal described, as he

had at an RSNA Image-guided Thera-pies Media Briefing in June, the use ofradiofrequency ablation (RFA) pluschemotherapy on liver tumors.

Dr. Kruskal’s partner at Beth Israelis another radiologist, Nahum Gold-berg, M.D., director of the tumor abla-tion program and the Minimally Inva-sive Tumor Therapy Laboratory. Dr.Goldberg says that while both the RFdevice and the chemotherapy agent areapproved separately for use in humansby the FDA, he has to use the agent“off label” when it is combined withRFA. Presumably, if chemotherapyagent manufacturers became convincedthat the FDA would approve thesecombinations without them having tospend millions in regulatory costs, theywould apply for FDA approval.

The FDA’s new goals are importantbecause many researchers view theFDA as inhospitable to aggressivelyapproving rapid innovation. “This isGoldberg’s maxim,” explains Dr. Gold-berg. “In terms of a great laboratory

Continued on next page

FDA Announces Goal for QuickerApproval of Medical Devices

FEATURE:HOTTOPIC

Mark B. McClellan, M.D., Ph.D.FDA Commissioner

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10 R S N A N E W S S E P T E M B E R 2 0 0 3

development or device—the fame goesto the researcher, the fortune goes tothe drug company, the benefit goes tothe patient and the blame goes to theFDA if something goes wrong. That iswhy the FDA is so conservative.”

That conservatism is felt across arange of radiologic possibilities. InMay, Yuko Kono, M.D., from the Uni-versity of California, San Diego(UCSD) Medical Center, complainedabout the FDA’s refusal to approvecontrast-enhanced ultrasound (CEUS)in the United States despite numerousapprovals by European, Canadian andAsian regulatory bodies.

Dr. Kono discussed UCSD’s fouryears of experience with ultrasound

contrast agents in radio-logic applications dur-ing a presentation at theLeading Edge in Diag-nostic Ultrasound con-ference in Philadelphia.UCSD has performedmore than 200 suchstudies under institu-tional review boardapproval for off-label

use. CEUS can add critically valuableinformation without adding patient riskin applications such as detecting andcharacterizing liver and extrahepatic

tumors, evaluating focalliver tumor therapy andvascular problems, anddiagnosing solid organinjury. “We need approvalfor radiologic applicationsof ultrasound contrastagents in the U.S.,” Dr.Kono said at the confer-ence.

FDA CommissionerMark B. McClellan,M.D., Ph.D., is trying tospeed up approval ofdual device-drug combi-nations. He announced a much broaderinitiative last January when he releaseda report called, Improving Innovationin Medical Technology: Beyond 2002.“FDA approved a variety of importantnew medical products last year, andFDA largely met its user fee reviewgoals,” said Dr. McClellan. “However,we also noted a decline in productapplications from manufacturers insome key areas, which contributed toan increase in average and medianreview times. There is some evidencethat this finding is a result of technol-ogy development becoming morecostly, and reorienting to new areas as aresult of breakthroughs in basicresearch. These results call for decisiveaction now, so that the trends of the

future are not towardfewer products withhigher developmentcosts.”

Dr. McClellan did notaddress then, nor has hesince, specific categoriesof devices. But it isworth noting that thefirst two meetings sched-uled for 2003 of theRadiological DevicesPanel, an advisory com-mittee to the Center forDevices and Radiologic

Health, were cancelled. The FDA holdsmeetings of that advisory committeewhen it needs advice on a PMA appli-cation for an innovative radiologicdevice which raises regulatory ques-tions the agency has not dealt withbefore, or when the clinical evidence onbehalf of the device is unclear. The nextmeeting is scheduled for November.

“From a PMA point of view, actionat the radiological devices level hasbeen on the slower side, compared toother advisory committees,” saysRobert Phillips, Ph.D., chief of theradiology branch at the FDA’s office ofdevice evaluation. This issue under-scores the importance of radiologistscontinuing to participate in the debateover radiological devices. ■■

Continued from previous page

More FDA Information■ User Fees

www.fda.gov/bbs/topics/ANSWERS/2003/ANS01244.html.

■ Center for Devices and Radiologic Healthwww.fda.gov/cdrh

■ Office of Combination Productswww.fda.gov/oc/ combination

RSNA:PROGRAM&GRANTANNOUNCEMENTS

The Fogarty International Center (FIC)of the National Institutes of Health(NIH) has announced a new programthat funds international collaborationsbetween the United States and low- andmiddle-income countries to create infor-matics training programs in support ofglobal health research. FIC has issued aRequest for Applications (RFA) for theInformatics Training for Global Health(ITGH) Program with three NIH part-ners, the National Library of Medicine,the National Human Genome Research

Institute, and the National Institute ofBiomedical Imaging and Bioengineer-ing. The current combined financialcommitment from FIC and its partnersis approximately $1.5 million in thefirst year to support up to six five-yeartraining programs, subject to the avail-ability of funds.

Applications for Informatics Train-ing for Global Health are due by Oct.23, 2003. The Request for Applicationsis available at grants1.nih.gov/grants/guide/rfa-files/RFA-TW-03-008.html.

NEW!

Global Health Informatics Training Program

Jonathan Kruskal, M.D., Ph.D.Beth Israel Deaconess MedicalCenter

Call for RequestsThe Interagency Council on BiomedicalImaging in Oncology will hold its nextmeeting on November 24, 2003. TheCouncil has issued a Call for Requeststo any company or academic investiga-tor developing a device or technologyrelevant to biomedical imaging in cancerwho seeks the perspectives of a multi-agency assessment and discussion.

The deadline for requests is October13, 2003.

For more information or for an appli-cation, go to www3.cancer.gov/dctd/icbio.

Continued on page 21

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11R S N A N E W SR S N A N E W S . O R G

FEATURE:MEMBERBENEFIT

MIRC Debuts Its ElectronicTeaching File System

RSNA’s Medical Imaging ResourceCenter (MIRC) is now offeringaccess to a wide variety of inde-

pendent digital teaching files throughone central point—mirc.rsna.org. Thismonth, MIRC will unveil an authoringtool that will further expand the abilityto create, share and access medicalinformation for research and education.

“MIRC makes it possible for allinstitutions and even individuals todevelop and share their informationbeyond their current capabilities,” saysEliot L. Siegel, M.D., chairman of theMIRC subcommittee of the RSNAElectronic Communications Committee(ECC).

The goal of MIRC is to enable themedical imaging community to shareimages and information for education,research and clinical practice. Origi-nally conceived as a central point ofstorage for such information, MIRC hasevolved into a community of librariessearchable via the Internet. This linkingof materials will encourage conver-gence on standard formats for teachingfiles and other research documents.

In addition to having access to agroup of independentteaching file sites,MIRC also indexesdocuments containingimages, graphics,audio and video ele-ments in a standardMIRC format whichcan be displayed onstandard Webbrowsers. It can alsoprovide an index of presentations andscientific and technical papers in anyformat.

In its initial implementation, sixinstitutions supplied more than 4,000

cases to MIRC, including medicalimages, scientific and technical docu-ments, and research data, which thenbecame available to any Internet user tobrowse through a single interface.

“Our early implementers havedemonstrated that MIRC can intercon-nect and share information among mul-

tiple libraries inmultiple formatsand can respond inparallel to a singleMIRC searchquery,” says Dr.Siegel, who is alsovice-chairman ofinformation sys-tems at the Univer-sity of Maryland

School of Medicine and chief of imag-ing for the VA Maryland HealthcareSystem. “The new tools will make itpossible for all institutions, and evenindividuals, to share their images and

related information with the rest of theMIRC community.”

MIRCatThe MIRC authoring tool, called MIR-Cat, is an open-source, multi-platformsoftware package that users will run ontheir personal computers or networkedservers. It allows users to import andmanipulate images from picture archiv-ing and communication systems(PACS) and modalities. It also allowsthem to create and edit teaching filecases and scientific documents. Thesedocuments could then be submitted to aMIRC site, where they will be indexedand made available via the Internet.

MIRCat features the ability toinclude interactive quizzes, self-evalua-tion, continuing medical educationcredit reporting, and references to otherMIRC documents.

RSNA will provide the teaching fileContinued on next page

To download a copy of the

MIRCat software package, go to

mirc.rsna.org and view the

MIRC Documentation page,

which links to instructions

for installation.

A MIRC technical review meeting was held at RSNA Headquarters in July

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MIRC Sessions at RSNA 2003A number of MIRC sessions will be available in the infoRAD area at RSNA 2003. Seating is limited to 90 people. CME credit is available.

12 R S N A N E W S S E P T E M B E R 2 0 0 3

authoring and indexing software to theentire imaging community at no costwith the expectation that institutionsand individuals will enhance the soft-ware and share their improvements.The software can be used to developquestions, quizzes, conference presen-tations and teaching modules.

To download a copy of the MIRCatsoftware package, go to mirc.rsna.organd view the MIRC Documentationpage, which links to instructions forinstallation.

“We conducted MIRC demonstra-tions at RSNA 2002 and the project wascertainly well received,” says Ronald L.Arenson, M.D., chairman of the ECC,and professor and chairman of theDepartment of Radiology at the Univer-sity of California, San Francisco. “TheRSNA Board of Directors considersMIRC to be a wise research and teach-ing investment and has consistentlysupported expansion of the project.”

“Before MIRC, practicing radiolo-gists could not access teaching materialor case files in a readily available for-mat,” explains Dr. Arenson. “BecauseMIRC enables people to access many

libraries at once, it helps radiologistsresearch similar findings when readingproblem cases. This is both a uniqueand valuable resource for radiologistsin private practice.”

As the number of radiologists usingMIRC begins to grow, new uses andapplications for the site are expected to

develop. Dr. Siegel says he wouldn’t besurprised if the majority of the imagingcommunity eventually uses MIRC insome form or another, “The MIRCproject expansion will bring the imag-ing community closer together.” ■■

Continued from previous page

StorageService A

Server

Index

Internet

StorageService B

Server

Index

RSNAMIRC Site

Server

Index

Index

QueryService

User

Medical Imaging Resource Center

A Tour of the MIRC Community

Learning Objectives: • Learn how to find MIRC sites

on the Web• Learn how to query individual

MIRC sites • Learn how to query the entire

MIRC community • Learn how to construct a

complex query to limit queryresults

How to Author MIRC TeachingFile Documents

Learning Objectives:• Download and install the MIRC

authoring tool on your laptopcomputers during the class

• Use the authoring tool to access and manipulate imagesfrom a PACS and create ateaching file case using the images

• Learn to submit cases to aMIRC site

Inside the RSNA MIRC Software

Learning Objective:• Learn the internal structure of

the MIRC software and how tomodify both the software andthe configuration files.

Recommended Prerequisite:How to Set Up a Personal Teach-ing File System.

How to Build a Database-drivenMIRC Teaching File System

Learning Objective:• Learn how to interface the

MIRC teaching file software toan existing database-driventeaching file system.

Recommended Prerequisite:Inside the RSNA MIRC Software

For more information or the classroom schedule, go to www.rsna.org/rsna/advanceregistration/pdf/AdvanceRegistration2_online.pdf.

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13R S N A N E W SR S N A N E W S . O R G

Three ultrasound centers haveopened in Africa—one in Ugandaand two in Nigeria—and five

additional centers are moving throughthe application and contract process asa result of a grant from the RSNAResearch & Education Foundation.

Barry B. Goldberg, M.D., is spear-heading the initiative for ultrasoundtraining in Africa through the JeffersonUltrasound Research and EducationInstitute (JUREI)—an institute hefounded at Thomas Jefferson Univer-sity in Philadelphia. Dr. Goldberg is thedirector of the Division of Ultrasoundand a professor of radiology at ThomasJefferson University Medical Centerand Hospital.

In 2001, Dr. Goldberg was awardeda three-year, $300,000 RSNA Interna-tional Radiology Education ProgramGrant to “Teach the Teachers” fromEmerging Nations, which he has usedto bring radiologists from Sub-SaharanAfrica to learn in Philadelphia.

To date, 12 radiology professorsfrom Sub-Saharan Africa have com-pleted JUREI’s intensive 12-weekcourse in diagnosticultrasound. The profes-sors returned to theirrespective countries toset up ultrasound edu-cation centers and totrain others. In additionto the course work andclinical experience, theprofessors were pro-vided with donated ultrasound equip-ment, educational materials, videotapes,books and educational CD-ROMs tohelp them teach physicians back home.

The improvements in radiologypractice in Uganda are readily apparent.“There is a better understanding of

medical physics, ultrasound anatomyand instrumentation, and how theserelate to the day-to-day practice ofultrasound,” says Michael G. Kawooya,M.M.Ch.B., M.Med.(Rad), institutemanager at the Ernest Cook UltrasoundResearch and Education Institute atMengo Hospital in Kampala, Uganda,in cooperation with the RadiologyDepartment at the Makerere UniversityMedical School Mengo Hospital.

Ultrasound is themodality of choice indeveloping countriesbecause CT and MRimaging units are notwidely available. Dr.Kawooya says areas ofultrasound, such as mus-culoskeletal, interven-tional and vascular imag-

ing, were not practiced a few years ago.“Now they are becoming routine,” hesays. “The radiologists and sonogra-phers are more careful, systematic andobservant while performing examina-tions, in addition, we now have a bettertheoretical understanding of sono-

graphic patterns and this has resulted inmore accurate diagnoses.”

Kathryn M. James, M.B.A.,R.D.M.S., a clinical instructor at JUREIand technical coordinator for educationin the Department of Radiology atThomas Jefferson, says the programhas clearly made a difference: “TheAfrican radiologists are quite good atultrasound. They can perform a broadspectrum of ultrasound imaging.”

Dr. Kawooya was among threeradiologists from Uganda who weretrained in Philadelphia under Dr. Gold-berg. Dr. Kawooya says the opening ofthe Ugandan institute was a major vic-tory for radiology. The first ultrasoundclass had 10 students who passed theJUREI examinations. Currently, thereare 45 students utilizing the facilities atthe Ernest Cook Ultrasound Researchand Education Institute.

“I think the Ugandan institute issuccessful because we hit the rightcombination,” says Dr. Goldberg, whois also chairman of the RSNA Commit-tee on International Relations and Edu-

RSNA Grant Leads to UltrasoundCenters Opening in Africa

It is exciting to have a

global effort focused on

us that is improving our

training and practice.

— Michael G. Kawooya, M.M.Ch.B., M.Med.(Rad)

Continued on next page

FEATURE:EDUCATION

The faculty andstudents of theErnest Cook Ultra-sound Researchand EducationInstitute in Ugandawith ultrasoundequipment receivedthrough a donationfrom the JeffersonUltrasoundResearch and Education Institutein Philadelphia.

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14 R S N A N E W S S E P T E M B E R 2 0 0 3

Radiologists in the Congo saythat their recent ultrasound train-ing helps them to more easilydiagnose tropical diseases andsuccessfully treat patients.

Last year, Michel TshikwelaLelo, M.D., completed the three-month ultrasound training pro-gram at JUREI. Upon his returnto the Congo, Dr. Lelo establishedthe Institute d’echographie deKinshasa at Kinshasa UniversityHospital, where he is the directorand ultrasound instructor.

“Before my training atThomas Jefferson, many patients

at the hospital were referred toprivate ultrasound practitioners,”says Dr. Lelo. “Our doctors nowhave appropriate training andequipment. Our patients are verysatisfied and are no longer sentaway.”

The Institute d’echographiede Kinshasa trains radiology resi-dents and practicing radiologists,as well as other interested physi-cians. This past spring, the insti-tute offered ophthalmologists anocular ultrasound course, whichwas well received. Gynecology,obstetrics and breast ultrasound

will be offered to gynecologiststhis summer.

Civil War Impacts Country’sHealthThe Congo’s hospitals are over-crowded and many patients diebecause of a lack of money oraccess to care, says Dr. Lelo. “Thecivil war, with its many catastro-phes and traumas, has greatlyincreased the number of patientswho need ultrasound check ups.Unfortunately, the civil war inour country focuses the govern-mental budget on acquiring

weapons and not on purchasingultrasound equipment,” he says.

“There are many medicaldoctors who do not live in theCongo’s capital city, Kinshasa,but are willing to travel for ultra-sound training. Unfortunately,many cannot reach the schoolbecause of the war. Even in Kin-shasa, medical doctors cannotafford to pay the tuition, which isreasonable for a country that is ina civil war. Consequently, organ-izing the ultrasound course ses-sions is difficult, but we aredoing our best,” he says.

❚Radiology Training Program Takes Root in the Congo

cation. “Our program selects goodphysicians who like to teach and whohave the drive and energy and the cir-cumstances to succeed. We try to pickindividuals who are in places that havesome infrastructure to allow for devel-opment of an ultrasound training pro-gram. Plus, we work with the WorldHealth Organization (WHO) and localorganizations to help us select the bestteachers for training. The radiologistsfrom Uganda learned a lot and wentback and applied the program’s infor-mation. They followed our format andhave been very successful.”

Dr. Kawooya says educational pro-grams like this are making a differencefor patients, radiologists and otherphysicians. “In my opinion, our diag-noses are now more accurate and this iscreating more confidence in physicianswho refer patients to us,” he says. “Ithink positive patient outcomes aremost apparent in obstetrics and gyne-cology, interventional radiology andmusculoskeletal diagnosis. We areusing ultrasound for diagnosing andstudying abdominal trauma, abdominalaneurysms, shoulder rotator cuffs,abdominal tumor staging and almost allimage-guided abdominal studies.”

The radiologists from the Africancenters will attend a month-long train-ing session in Philadelphia in Novem-

ber and will then attendtheir first RSNA annualmeeting. They will alsohave the opportunity tomeet with members of theR&E Foundation to discussthe profound impact theR&E grant to Dr. Goldberghas had on their lives.

“I would like to thankthe RSNA members forgiving us such an opportu-nity,” says Dr. Kawooya.“It is exciting to have aglobal effort focused on usthat is improving our train-ing and practice.”

Despite the success of the program,the Ugandan institute still faces manychallenges and difficulties. There arevery few ultrasound machines for train-ing and only limited teaching aids. Theprogram does not have an LCD projec-tor or enough textbooks, and between12 to15 students share one ultrasoundunit, according to Dr. Kawooya. Dr.Goldberg is working to obtain addi-tional ultrasound equipment and educa-tional materials.

JUREI has been training educatorsfor more than a decade and now has 56affiliated centers around the worldincluding Afghanistan, China, India andMongolia, with a current focus onAfrica.

JUREI is the only center recog-nized for general training in diagnosticultrasound by WHO. The institute has21 scanning rooms and three confer-ence rooms as well as an audiovisualcenter. A review of the pre- and post-examinations given to the studentsshows the participants have essentiallydoubled their ultrasound knowledgeduring the training program at JUREI.

At RSNA 2003, Dr. Goldberg andsome of his colleagues will presentinformation on the effectiveness of theR&E funded program in comparison tothe previously established educationalprograms. ■■

Continued from previous page

Barry B. Goldberg, M.D., received an RSNA Outstanding EducatorAward at RSNA 2001 from Society President Jerry P. Petasnick, M.D.

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RSNA Publisher Partners

B O O KThe Expanding Role of MedicalPhysics in Diagnostic ImagingG. Donald Frey and Perry Sprawls, eds.

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B O O KPractical Digital Imaging andPACSAnthony Seibert, Larry Filipow andKatherine Andriole, eds.

Emphasizes the new advances inimaging technology, covering all of theinherently digital imaging modalitiessuch as computed radiography, CT,MRI, ultrasound and nuclear medi-cine. 577 pp. RSNA Member Price $50.00

B O O KGeneral Practice of RadiationOncology Physics in the 21stCenturyAlmon Shiu and David Mellenberg, eds.

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B O O KAccreditation Programs and theMedical PhysicistRobert Dixon, Priscilla Butler and WladSobol, eds.

Provides a broad overview of theaccreditation programs currently avail-able, as well as some programs indevelopment. Illustrates the physicalprinciples related to an image andwhat is required to provide acceptableimages. 364 pp.RSNA Member Price $65.00

B O O KIntravascular Brachytherapy /Fluoroscopically GuidedInterventionsStephen Butler, Rosanna Chan, ThomasShope, eds.

Explores the techniques involved inthe use of fluoroscopic guidance inminimally invasive therapeutic proce-dures, using intravascular brachyther-apy as an example of such a proce-dure. 930 pp.RSNA Member Price $95.00

B O O KBiological & Physical Basis ofIMRT & TomotherapyBhudatt Paliwal, et. al., eds.

Presents the current status of thebiological, physical/technical and clinicalaspects of volume effects on time, doseand fractionation schemes for radiationtreatment of cancer patients and theseveral parametric models (Bothexplanatory and predictive) of theeffects thereof, with regard to optimiza-tion of treatment planning. 390 pp.RSNA Member Price $80.00

B O O KRecent Developments inAccurate Radiation DosimetryJan Seuntjens and Paul Mobit, eds.

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their application in accurate radia-tion dosimetry are summarized. 365 pp.RSNA Member Price $70.00

B O O KClinical Ultrasound Physics:Workbook for Physicists,Residents, and StudentsJames Kofler Jr., et. al.

An instructor’s manual to assistphysicists in teaching ultrasoundphysics concepts to non-physics per-sonnel (residents, sonographers,graduate students, etc.) 85 pp.RSNA Member Price $40.00

B O O KNuclear MedicineInstrumentation LaboratoryExercises for RadiologyResidency TrainingR.J. Van Tuinen, et. al.

These exercises provide residentswith insight into each instrument, itscapabilities and limitations and thevalue of quality control testing. 88 pp.RSNA Member Price $30.00

B O O KWorkbook on Dosimetry andTreatment Planning for RadiationOncology ResidentsR.K. Wu, et. al.

Provides a guide for second andthird-year residents in radiation oncol-ogy for their one-month physics anddosimetry training. 32 pp.RSNA Member Price $6.00

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

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

• A 19-member expert editorial boardhas reviewed, expanded andupdated the existing gamuts,including references, and thenadded over 300 new gamuts (pri-marily in ultrasound, MRI and CT).Gamuts 4.0 now has more than1,700 lists of differential diag-noses!

• Over 4,000 new images have beenadded. Gamuts 4.0 now totals over5,000 teaching images, making itthe ultimate teaching resource forradiologist and resident training,and board review.

• Using its exhaustive database ofover 6,500 individual diagnosesand disease entities, Gamuts 4.0combines the strengths of artificialand human intelligence. The highlyinnovative Computer-Assisted Radi-ological Diagnosis System con-tained on the CD allows the radiolo-gist to accurately make diagnosesor suggest a very limited differentialdiagnosis in problem cases.Gamuts 4.0 is an essential compo-nent of any PACS or RIS system forsolving complex cases and makingdiagnoses at the viewbox.

RSNA Member Price: $247.00

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

The Essentials of Radiology isdesigned to teach the basics of cur-

rent radiology practice. It is useful formedical students (starting at anylevel), residents of all specialties, clin-ical colleagues, physician assistants,nurse practitioners, nurses, technolo-gists, hospital administrators, man-aged care administrators, lawyers andlay support groups. This CD-ROMcontains over 330 interactive casesusing the well-established teachingmethods of Dr. Lucy Squire. In all,there are over 900 questionsincluded in the course and over2,300 images (including x-ray, CT,HRCT, MRI, nuclear imaging, staticultrasound, real-time ultrasound andreal-time fluoroscopy). This is truly acomprehensive overview of the essen-tials of radiology and represents over50 hours of radiology instruction forthe beginning student.RSNA Member Price: $125.00

RSNA Publisher PartnersMembership Book Discount Program■ The following publishers are pleased to offer discounts of at least 10 percent to RSNAMembers on the purchase of popular medical books and products. Specific discountsand direction on obtaining the discount are indicated in the Publisher-Partners section ofRSNA Link (www.rsna.org).

The product descriptions have been submitted by the publishers.

Medical Interactive■ 370 Calle La Montana

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

Medical Physics Publishing (Distributor of AAPM Books and Reports)■ 4513 Vernon Blvd.

Madison, WI 53705-4964(800) 442-5778 or (608) 262-4021

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Oxford University Press■ 2001 Evans Rd.

Cary, NC 27513(800) 451-7556www.oup-usa.org

B O O KBone Dysplasias, 2e(0195214749)Jurgen Spranger

The long-awaited new edition ofthis 1974 classic is now available!Perfect to aid in the evaluation ofpatients with skeletel dysplasias. 600pp. RSNA Member Price: $131.30

B O O KInterventional RadiologyJames Byrne

This new book describes a range ofimaging techniques used in the regionof the head, neck, and spine. 368pp. RSNA Member Price: $168.80

B O O KRadiation PathologyLuis Felipe Fajardo

Up-to-date coverage of the effectsof ionizing radiation on human tis-sues. 472 pp. RSNA Member Price: $131.30

B O O KImaging in RheumatologyDavid Isenberg & Peter Renton

This book provides a unique reviewof all modalities in imaging that canassist the clinician in diagnosingrheumatological diseases. 560 pp. RSNA Member Price: $134.60

B O O KPrinciples and Practice ofBrachytherapyC.A. Joslin, A. Flynn and E.J. Hall

This highly effective treatment isgiven complete coverage in this book.464 pp. RSNA Member Price: $112.10

B O O KPractical Radiation Protection inHealthcareColin J. Martin and David G. Sutton

Includes general radiation princi-ples, coverage of both ionizing andnon-ionizing radiations, and guidanceon which methods to follow. 384 pp.RSNA Member Price: $52.50

B O O KFunctional MRIAn Introduction to MethodsPeter Jezzard, Paul M. Matthews andStephen M. Smith, eds.

This book provides a comprehen-sive introduction to functional mag-netic resonance imaging (fMRI), thescanning technique which allowsmapping of active processes withinthe brain. These maps are used byneuroscientists to learn how the nor-mal human brain works and by clini-cians to study the diseased state.432 pp.RSNA Member Price $85.00

B O O KDiseases of the LymphaticsSir Norman Browse, Kevin G. Burnand, andPeter S. Mortimer

This comprehensive and authorita-tive book covers all aspects of the lym-phatic system and its diseases. Dividedinto two sections, the book first dis-cusses in detail the anatomy, physiol-ogy, pathology and investigation of thelymphatic system as well as the princi-ples underlying medical and surgicaltreatment. The second section coversthe clinical management of specificconditions. Throughout, the book com-bines both surgical and non-invasivetherapeutic approaches. 416 pp.RSNA Member Price $198.50

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

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

B O O KThe HIPAA Workbook for Privacyand Security

The HIPAA Workbook for Privacy andSecurity: A Radiology Guide to Imple-mentation of the Health InsurancePortability and Accountability Act is a

radiology-specific guide to implement-ing the HIPAA Privacy and SecurityStandards that includes sample poli-cies and procedures, consent andauthorization forms, sample business associate and chain of trust agree-ments, planning and implementationguidelines, and much more.RSNA Member Price: $995.00

T O O L K I TRBMA ComplianceImplementation Toolkit™

The RBMA Compliance Implemen-tation Toolkit™ was designed for andwritten by RBMA members ClaudiaMurray and Hilary Huebsch Cohen,J.D. Designed as a turnkey Toolkitsolution for radiology and radiationoncology practices to customize acompliance plan for their practice. RSNA Member Price: $895.00

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

C D - R O MInteractive Head & NeckBarry Berkovitz, Claudia Kirsch, Bernard J.Moxham, Ghassan Alusi, Tony Cheeseman

Detailed and labeled 3D model ofthe head and neck that can be rotatedand layers of anatomy added orstripped away. 3D model is supple-mented by text, MRI, clinical slides,video clips and 3D animations.RSNA Member Price: $250.00

C D - R O MInteractive SpineHilali Noordeen, Hazem Elsebaie, AlanCrockard, Robert B. Winter, John Lonstein,Ben Taylor, Roger Soames, Peter Renton,Stewart Tucker, Lester Wilson, Joseph J.Crisco

Detailed and labeled 3D model ofthe entire spine that can be rotatedand layers of anatomy added orstripped away. 3D model is supple-mented by text, MRI, clinical slides,video clips and 3D animations.RSNA Member Price: $250.00

C D - R O MInteractive ShoulderStephen Copeland, Louis U. Bigliani, RogerEmery, Andrew Amis, Andrew Chippindale,David W. Stoller

Detailed and labeled 3D model ofthe shoulder, forearm and elbow thatcan be rotated and layers of anatomyadded or stripped away. 3D model issupplemented by text, MRI, clinicalslides, video clips and 3D animations.RSNA Member Price: $250.00

C D - R O MInteractive HipAndrew Chippindale, Fares Haddad, JorgeGallante, Marchi Maheson, Sarah Muirhead-Allwood, Edmund Chao, David W. Stoller

Detailed and labeled 3D model ofthe hip joint and upper leg that can berotated and layers of anatomy addedor stripped away. 3D model is supple-mented by text, MRI, clinical slides,video clips and 3D animations.RSNA Member Price: $250.00

C D - R O MInteractive KneePaul Aichroth, Vishy Mahadevan, Justin M.Harris, David W. Stoller

Detailed and labeled 3D model ofthe knee that can be rotated and lay-ers of anatomy added or strippedaway. 3D model is supplemented bytext, MRI, clinical slides, video clipsand 3D animations. RSNA Member Price: $250.00

C D - R O MInteractive Foot & AnkleVishy Mahadevan, Robert Anderson, LloydWilliams, Penny Renwick, David W. Stoller

3D model of the foot and ankle thatcan be rotated and layers of anatomyadded or stripped away. 3D model issupplemented by text, MRI, clinicalslides, video clips and 3D animations.RSNA Member Price: $250.00

C D - R O MInteractive HandD.A. McGrouther, Judy C. Colditz, Justin M.Harris, David W. Stoller

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

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

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

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

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

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

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

Primal Pictures Ltd■ 2nd Floor Tennyson House

159/165 Great Portland St.London W1W 5PA United Kingdom44 (0)20 7637 1010www.primalpictures.com

Radiology BusinessManagement Association65 EnterpriseAliso Viejo, CA 92656(888) 224-RBMAwww.rbma.org

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

This 200+ page textbook is brokendown into chapters on ligaments, ten-dons, fractures, arthropathy, coali-tions, oesteochondral defects,osteonecrosis, impingement, tarsaltunnel and neural entrapment,achilles, masses, infections, plantarfasciitis and parts & accessories. Fullyindexed for ease of use, the hardcover volume is built to assist readilyin daily practice and study of this com-plex and often difficult area. 200+ pp. RSNA Member Price: $112.50

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

Complete set of the definitive, com-prehensive anatomic reference notonly commonly referenced structures

throughout the body, but also spaces,areas between joints and less fre-quently imaged anatomic locations.768 pp. RSNA Member Price: $630.00

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

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

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

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

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

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

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

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

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

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

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

Dr. Mazur addresses such topics asthe anatomy of an MRI scanner, howto image the heart, cardiac analysisand spin tagging. The viewer is treatedto coverage of stress modalities, rest-stress MR perfusion and spiral CTcoronary angiography. Dr. Mazur alsodiscusses the sizing spinal CT coronaryangiography.RSNA Member Price: $135.00

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

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

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

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

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

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

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

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

B O O KExercises in Clinical NuclearMedicineGary Cook and Jane Dutton

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

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

The highly illustrated Handbook ofTransrectal Ultrasound and Biopsy ofthe Prostate presents in simple andlogical manner the fundamentals oftransrectal sonography and focuses onthe practical aspects of prostate scan-ning and biopsy. 136 pp.RSNA Member Price $34.00

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

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

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

Imaging of the Scrotum and Penis isa problem solving text. It employs asymptom related approach, starting withthe clinical history and physical exami-nation, progressing to the imagingmodalities. The main imaging modalityused in the scrotum is ultrasound anddiscussion of ultrasound images includ-ing Doppler comprises the greatest portion of the book. 304 pp.RSNA Member Price $157.50

B O O KNuclear Medicine in RadiologicalDiagnosisA. Michael Peters

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

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

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

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

This title will be an essential refer-ence for all radiologists using mag-netic resonance imaging to identifyand diagnose pelvic cancer. Intendedfor those new to pelvic cancer staging,the book starts with three introductorychapters focusing on basic pelvicanatomy, imaging and reporting. Subsequent chapters focus on each of the major groups of pelvic cancerusing a consistent format to aidunderstanding. 200 pp.RSNA Member Price $86.00

ProScan MRI EducationFoundation, Inc.■ 5400 Kennedy Ave.

Cincinnati, Ohio 45213(513) 281-3400 x197www.proscan.com

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

New York, NY 10001(212) 216-7842

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

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

B O O KA Clinician’s Guide to NuclearMedicineAndrew Taylor, M.D., David M. Schuster,M.D. and Naomi Alazraki, M.D.

This book builds on and expandsthe basic concepts found in Funda-mentals of Nuclear Medicine. Thisintroduction to the diagnostic andtherapeutic uses of nuclear medicineprocedures is a must have for clini-cians, residents, interns, medical stu-dents and referring physicians. Itreviews nuclear medicine procedures,available alternatives, advantages andlimitations of each, and providespatient information to aid in preparingpatients. Softcover, 410 pp., 2000RSNA member price: $40.50

B O O KSelf-Study Program III: NuclearMedicine CardiologySeries Editor: Elias H. Botvinick

Whether you’re a nuclear medicineresident preparing for your boardexams or a veteran clinician, theNuclear Medicine Self-Study ProgramSeries in Nuclear Medicine Cardiologywill meet your self-assessment needs.Each book includes an extensive listof annotated references, questionsand answers with critiques, along withan authoritative syllabus review of thetopic.Topic 1: Physical and Technical Aspectsof Nuclear CardiologySoftcover, 95 pp., 1997RSNA member price: $31.50Topic 2: Pharmacologic StressSoftcover, 195 pp., 1998RSNA member price: $56.70Topic 3: Cardiac PET Imaging and Topic 4: Radionuclide Assessment ofCongenital Heart DiseaseSoftcover, 127 pp., 1998RSNA member price: $44.10Topic 5: Myocardial Perfusion Scintigra-phy—Technical AspectsSoftcover, 218 pp., 2001RSNA member price: $107.10Topic 6: Myocardial Perfusion Scintigra-phy—Clinical AspectsSoftcover, 396 pp., 2001RSNA member price: $163.80

B O O KSelf-Study Program IV: OncologySeries Editor: Thomas P. Haynie, M.D.

Management of cancer patientshas significantly grown with betterdiagnostic techniques and chemother-apeutic agents. Learn about theseexciting advances in nuclear oncologicimaging and therapy with SNM’s Self-Study Program Series in Oncology.Each book includes an extensive listof annotated references, questionsand answers with critiques, along withan authoritative syllabus review of thetopic. This series is ideal either forresidents preparing for board exami-nations or for veteran clinicians seek-ing to enhance their knowledge.Topic 1: An Overview of Nuclear OncologySoftcover, 50 pp., 1997RSNA member price: $18.00Topic 2: Conventional Tumor ImagingSoftcover, 74 pp., 1997RSNA member price: $31.50Topic 3: Antibody Tumor ImagingSoftcover, 49 pp., 1998RSNA member price: $18.00Topic 4: PET Tumor ImagingSoftcover, 88 pp., 1999RSNA member price: $25.20Topic 5: Bone Cancer Therapy and Topic 6: RadioimmunotherapySoftcover, 83 pp., 2000RSNA member price: $18.00

B O O KA Tabulated Summary of the FDGPET LiteratureSanjiv S. Gambhir, M.D., Ph.D., JohannesCzernin, M.D., Judy Schwimmer, M.B.A.,M.A., Daniel H.S. Silverman, M.D., Ph.D.,R. Edward Coleman, M.D. and Michael E.Phelps, Ph.D.

This supplement to The Journal ofNuclear Medicine provides a compre-hensive literature review of the use ofFDG PET in oncology, cardiology andneurology. This supplement hasproven useful for healthcareproviders, administrators and healtheconomists who wish to better under-stand the role of FDG PET in themedical management of patients.Softcover, 93 pp., 2001RSNA member price: $13.50

B O O KSNM Procedure GuidelinesManualCommission on Health Care Policy andPractice Guidelines and CommunicationsCommittee

The guidelines were developed inresponse to requests for standardizedprotocols for nuclear medicine proce-dures and will keep your departmentup to date on the latest technologiesand recently approved radiopharma-ceuticals used in nuclear medicine.Softcover, 180 pp.RSNA member price: $67.50

B O O KGuide for Diagnostic NuclearMedicineJeffry Siegel, Ph.D.New SNM/ACNP Guidance on Revised10 CFR Part 35

The newly published Guide forDiagnostic Nuclear Medicine is a one-stop reference for nuclear medicineprofessionals who want to bring their

departments and institutions intocompliance with the recently revisedrequirements of 10 CFR Part 35.Working closely with representativesfrom the Nuclear Regulatory Commis-sion (NRC), Jeffry A. Siegel, Ph.D.,compiled this useful resource thatcovers all pertinent regulations,addresses compliance concerns andstandards, and provides “At a Glance”and summary features. Siegel is chairof the Joint Government RelationsCommittee of the American Collegeof Nuclear Physicians and the Societyof Nuclear Medicine (SNM), whichrecognized the need for such a vol-ume and initiated its preparation. Thebook is intended to serve as a usefulbridge between the new regulationsand nuclear medicine practitionerswho want to ensure continued com-pliance and thereby maintain thesecurity and safety of licensed materi-als in clinical and research settings.Softcover, 86 pp., 2002RSNA member price: $39.60

C D - R O MBasic Science Module

The Basic Science Module CD-ROM offers 22 hours of educationtoward the requirement mandated bythe Nuclear Regulatory Commissionfor program requirements for resi-dency education in nuclear medicine.This training module covers the basicscience associated with the field ofnuclear medicine including radiationscience, radiation detection andinstrumentation, the operation of thegamma camera, emission tomogra-phy, radiochemistry and radiophar-macy, radiation biology and radiationsafety.RSNA member price: $17.95

Society of Nuclear Medicine1850 Samuel Morse Dr.Reston, VA 20190(703) 326-1186www.snm.orgRSNA members call (800) 513-6853 or (703) 326-1186 and mentioncoupon #136479 to receive a 10% discount on these books.

J O U R N A LInternational Medical Devices(IMD)

International Medical Devices(IMD) furnishes China’s healthcarefield with vital information on the lat-est developments in this vibrantindustry. IMD is distributed to generaland military hospitals across China. Itis supported by the Department ofPharmaceutical Administration ofState Economic and Trade Commis-sion and the Bureau of Drugs andMedical Instruments of HealthDepartment of General LogisticsDepartment of the PLA, etc. (12 issues)RSNA Member Price: $58.80

J O U R N A LConventional Clinical Equipment(CCE)

Conventional Clinical Equipment(CCE), launched in 2002, providesvital information on conventionalmedical equipment to serve theneeds of small- and medium-sizehospitals in China. With innovatedfriendly design, the magazine reportsthe latest development directions andtechnological advancements of vari-ous medical devices. (6 issues)RSNA Member Price: $29.40

J O U R N A LChina Now: Medical Products(CN:MP)

China Now: Medical Productskeeps foreign marketers abreast ofChina’s medical device industrydevelopments. It reports on the coun-try’s latest policy and regulations,market trends, technologies, productsand other relevant information.(Spring & Autumn issues)RSNA Member Price: $14.00

Technology Exchange Ltd.Suite 1102Fo Tan Industrial Center26-28 Au Pui Wan StreetFo Tan, Shatin, Hong KongOrder online at: app.tech-ex.com/share/RSNASubform2003E.pdf

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Robert Hope19R S N A N E W SR S N A N E W S . O R G

RSNA:MEMBERBENEFITS

Working For You

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

WORKING FOR YOU PROFILE

NAME:Robert HopePOSITION:Managing DirectorMeetings Department:Housing, Registration &Travel ServicesWITH RSNA SINCE:February, 1998

RadiologyInfo™ Poster to be Available at RSNA 2003More than 4,500 hospitals anddiagnostic facilities have receivedthe new RadiologyInfo™ posterfor display in patient waitingareas. The posters direct patientsto www.RadiologyInfo.org, wherethey can access information onvarious radiologic tests and treat-ments.

Because RSNA has receiveda number of requests by phonefor these posters, they now will be available for $10 each atwww.rsna.org/practice/index.html# radinfo-postr or at RSNA 2003 atthe Education Center Store. A smaller version is available as a freedownload from RadiologyInfo.org.

More Lounge Space at RSNA 2003Attendees of the RSNA Scientific Assembly andAnnual Meeting will find more places to sit andrelax as they travel between the exhibits, scientificsessions and meetings. Lounge space will increaseby 50 percent. In addition, lounge furniture, tablesand chairs will be added where space permits.

For residents, RSNA will again provide a Res-idents Lounge in the Lakeside Center Ballroom,Level 3. RSNA Members-in-Training and non-member residents will be able to relax and net-work while enjoying complimentary refreshments.

The RSNA Research & Education FoundationDonor Lounge will also be in the Lakeside CenterBallroom, Level 3. Complimentary beverages,light refreshments, access to computer systems,coat racks and comfortable furniture for relaxationare available for donors to the R&E Foundation.

SERVICE TO MEMBERS:

The Meetings Department managesthe registration and housing processfor RSNA’s annual meeting. Thisincludes the negotiation of all hoteland travel supplier contracts. Over59,000 people attended RSNA 2002,accounting for 90,000 room nights at64 Chicago hotels. In addition, theMeetings Department oversees travelcontracts and hotel negotiations forindividual meetings across the coun-try for the RSNA Board of Directors,association staff, committees andrelated societies.

WORK PHILOSOPHY:

Prior to joining RSNA, I held direc-tor positions in meetings and conven-tion departments at Hyatt Hotels andHilton Hotels Corporation for 16years. I supervised the orchestrationof large meetings for international

corporations and associations including FordMotor Company, American Medical Associa-tion and American College ofSurgeons. Therefore, I under-stand the lodging industry’s busi-ness-client approach and how itapplies to RSNA.

My primary goal is to lever-age this hotel experience to bene-fit RSNA’s members. My pri-mary objectives are to secureattractive hotel rates and toensure a seamless advance andonsite meeting registration for all attendees.Another objective is to elevate the profile ofRSNA in the meetings and travel industries toenhance our association’s negotiating position.

The Meetings Department, in concert withother RSNA departments, works to craft astreamlined, enjoyable and productive meetingexperience for all attendees—an experience wehope incites them to return year after year.

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20 R S N A N E W S S E P T E M B E R 2 0 0 3

To Reed A. Omary,M.D., M.S., vinylrecords, the Hip-Hopartist Eminem and acareer in academic

radiology have a lot in common.Today, Dr. Omary is an assistant

professor of radiology in the Divisionof Vascular and Interventional Radiol-ogy at the Feinberg School of Medicineat Northwestern University in Chicago.He is also the director of the Interven-tional Radiology Research Laboratoryat Northwestern’s Medical School, amember of the Feinberg CardiovascularResearch Institute and a practicinginterventional radiologist at Northwest-ern Memorial Hospital.

He has received two grants from theRSNA Research & Education Founda-tion—the 1999 Bracco Diagnostics/RSNA Scholar Award for “Real-TimeMagnetic Resonance-Guided Endovas-cular Treatment of Renal Artery Stenosisin a Swine Model,” and a 1993 RSNAResearch Resident Grant for “Stereotac-tic Magnetic Resonance-Guided Irradia-tion to Rat Brain and Gamma Knife Irra-diation-Induced Changes to Rat BrainUsing MRI and 1H-Magnetic ResonanceSpectroscopy (MRS).”

“The RSNA Scholar Award allowedme to develop a career in academicradiology. The award gave me time forresearch and time to focus on a particu-lar niche,” he says.

In addition, the award allowed Dr.Omary to participate in RSNA’s grantwriting course, a nine-day program,held two or three days at a time overthe course of a year at RSNA’s head-quarters in Oakbrook, Ill. Dr. Omarysays this program taught him writingskills and introduced him to other jun-ior faculty. He keeps in touch with the

colleagues he met during the course.“We are each others’ references as weseek tenure and promotions,” he says.

“I attribute a lot of Dr. Omary’ssuccess to his RSNA activities, includ-ing the grant writing skills he learned,”says Eric J. Russell, M.D., chairman ofradiology at the Northwestern Univer-sity School of Medicine.

Vinyl RecordsWhen Dr. Omary was a medical studentat Northwestern, he attended a lectureon interventional radiology presentedby Robert L. Vogelzang, M.D. By theend of the lecture, Dr. Omary knewwhere his career path would lead him.

“I went into radiology because of Dr.Vogelzang. He is my role model. I com-pleted my fellowship in interventionalradiology under his direction. Later, herecruited me back to Northwestern tobecome one of his partners in interven-tional radiology,” Dr. Omary says.

It wasn’t just medicine that bonded

them. Dr. Omary says he and Dr.Vogelzang often exchanged vinylrecords. “I could connect with him. Healways believed in me,” Dr. Omary adds.

In addition to the strong support ofDrs. Russell and Vogelzang, the entireinterventional radiology team gives Dr. Omary the time he needs to do hisresearch.

Dr. Russell says while Dr. Omarygets quite a bit of academic time, it’sworth it. “He’s a tremendous talent.He’s one of the most expert physiciansin the country in MR-guided endovas-cular interventions, a key area ofresearch in our department. Dr. Omaryis also a very effective role model forradiology fellows, residents and facultymembers who don’t have his back-ground,” he adds.

Dr. Omary received his bachelor’sand medical degrees from NorthwesternUniversity as part of a six-year honorsprogram. He then completed an intern-ship in internal medicine at the Univer-

RSNA Scholar Reed A. Omary, M.D., M.S. (center), stands with his colleagues and men-tors, Eric J. Russell, M.D. (left), chairman of radiology at the Northwestern UniversitySchool of Medicine, and Robert L. Vogelzang, M.D. (right), professor of radiology andchief of vascular and interventional radiology.

RESEARCH&EDUCATION:OURFUTURE

Northwestern Radiologist AdvisesResidents to Find Their Niche

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21R S N A N E W SR S N A N E W S . O R G

sity of New Mexico. He later earned amaster’s degree in epidemiology fromthe University of Virginia and thencompleted a residency in diagnosticradiology and a fellowship in radiologyresearch at the University of Virginiaunder the direction of Bruce J. Hillman,M.D. After completing a second fel-lowship, one in cardiovascular andinterventional radiology at Northwest-ern, he accepted a position as assistantprofessor of radiol-ogy at the Universityof Wisconsin Med-ical School in Madi-son before returningto Northwestern.

EminemOne of the manypositive aspects ofthe RSNA ScholarAward is the oppor-tunity to work with mentors. Dr.Omary’s advice for younger radiolo-gists has a Hip-Hop beat to it. “TheRap artist Eminem has followed acareer path from which many residentsand fellows in radiology could learn.Eminem focused on a musical niche.Those interested in academic radiologyalso should focus on a specific area,and make sure it is something thatinterests them. Eminem hooked up withDr. Dre early in his career. Dr. Drehelped Eminem get up on his feet. Sim-ilarly, radiologists should find an envi-ronment where they can get the support

of mentors. Find people you enjoyworking with,” Dr. Omary advises.

Dr. Omary says he’s lucky to be atNorthwestern. “I work with the bestgroup of people. They are fun to bearound and very supportive of me. Ulti-mately, academic radiology is fun. Youhave to choose a career that makes youwant to get up in the morning and go toa job you enjoy. For me, I get paid todo something I enjoy. I feel really, truly

privileged,” he says.

What’s Next?On his application forhis RSNA ScholarAward, Dr. Omarywrote, “My long-termgoal is to become aNIH-funded radiolo-gist. The RSNAScholars proposal rep-resents an important

step toward achieving this goal.” Hereceived NIH funding just as his RSNAScholar Award ended. Dr. Omary sayssimply, “I was fortunate.” He is therecipient of two NIH grants, one as aprincipal investigator for “MRI-GuidedAngioplasty of Renal Artery Stenosis”and the other as a co-investigator for“MRI-Guided Angioplasty of CoronaryArtery Stenosis.” His primary collabora-tor on these projects is Debiao Li,Ph.D., director of cardiovascular MRresearch at Northwestern.

RSNA remains an important part ofDr. Omary’s career. “RSNA is the pre-

mier organization in radiology, withrespect to Radiology and the annualmeeting,” he says. He is a reviewer forRadiology and the RSNA R&E Foun-dation Research Study Section. He isone of 30 people to be named to thisprestigious group. “I get to meet moresenior level people. It is very stimulat-ing,” he says.

At Northwestern, Dr. Russell saysDr. Omary is also collaborating withinterventional neuroradiologists. Dr.Omary has access to an animal angio-graphic suite next to the 3 T wholebody research magnet, and he is work-ing on novel techniques and devices forendovascular MR-guided interventions.“We hope that his research will help topave the way for this developing fieldand enable interventionalists to monitororgan function during procedures andeliminate or reduce the amount of radi-ation patients get during certain inter-ventions,” Dr. Russell says.

Dr. Omary is planning to expandhis research area of MR guidance forperforming procedures. “I hope totranslate my research from the animallab into clinically relevant proceduresthat help patients. Just as I have bene-fited from the guidance and support ofothers, I also want to help train futuregenerations of researchers and clini-cians,” he says. ■■

For more information on RSNAResearch & Education Foundation Grantprograms, contact Scott Walter at (630)571-7816 or at [email protected].

Academic radiology is fun.

You have to choose a career

that makes you want to get

up in the morning and go to

a job you enjoy. For me, I get

paid to do something I enjoy.

— Reed A. Omary, M.D., M.S.

HIPAA in Perspective: What it Means in Real Life RadiologyRSNA, in conjunction with the Radiology Business Manage-ment Association (RBMA), is sponsoring a one-day courseon October 11, 2003, in Oak Brook, Ill., during which atten-dees will learn about issues relevant to implementing HIPAAPrivacy and Security Rules in a radiologic setting.

Session topics include:• An Introduction to the Security Standards• HIPAA’s Regulatory and Legal Risks

• Making HIPAA Real• Balancing Security with Reality• Hot Topics and Breaking News

Registration is $199 for RSNA/RBMA members, $119for RSNA Members-in-Training and $235 for non-members.Register online at www.rsna.org/education/shortcourses. Formore information, contact the RSNA Education Center at(800) 381-6660 x3747 or [email protected].

RSNA:PROGRAM&GRANTANNOUNCEMENTS

RegisterOnline!

Continued from page 10

Continued on page 25

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RESEARCH&EDUCATION:OURFUTURE

Research & Education Foundation Donors

Anthony F. Massi, M.D.Bruce L. McClennan, M.D.John J. McIntyre, M.D.Janice R & John M. McMurray, M.D.Wrophas Meeks, M.D.Carlos R. Mendez-Bryan, M.D.Edward F. Morris, M.D.Demetrius K. Morros, M.D.William S. Morrow, M.D.Jonathan S. Moulton, M.D.Zivojin Pavlovic, M.D.Sue & Steven M. Pinsky, M.D.Alan Pollack, M.D., Ph.D.Martin R. Prince, M.D., Ph.D.George C. Ramsay, M.D.Elke Reiser, M.D. & MaximilianReiser, M.D

Deloris E. Rissling, M.D.Stephen B. Rupp, M.D.Floyd E. Scales, M.D.James H. Scatliff, M.D.Herbert Schunk, M.D.Leo Sheiner, D.O.Lester D. Shook, M.D.Wendy R.K. Smoker, M.D.Peter K. Spiegel, M.D.Dale W. Sponaugle, M.D.Leonard Stanton, M.S.Herbert L. Steinbach Jr., M.D.Joel D. Swartz, M.D.Sayoko & Mutsumasa Takahashi,M.D.

Donald L. Thomas Jr., M.D.Amy S. Thurmond, M.D.Cheryl Train Patsy A. Uken, M.D.Theodore L. Vander Velde II, M.D.Jeffrey C. Weinreb, M.D.Joseph F. Wepfer, M.D.Douglas J. Wester Jr., M.D.

Francis W. Willi, M.D.K.C. & Eric M. Williams, M.D.John S. Wills, M.D.Randall S. Winn, M.D.

BRONZE ($1 - $199)Kenneth H. Abbott II, M.D.Peter H. Arger, M.D.Ronald Arildsen, M.D.Carolina M. Azevedo, M.D.Eugene L. Balter, M.D.Craig M. Banull, M.D.Terry S. Becker, M.D.Cynthia L. Blount, D.O.Stefan G. Bodensteiner, M.D.Marjorie R. & Carl W. Boyer Jr.,M.D.

Barbara & R. James Brenner, M.D.Virginia G. & Leonard J. Bristol,M.D.

Jeffrey C. Buchsbaum, M.D., Ph.D.Richard R. Byrne, M.D.Bruce W. Cardone, M.D.Lynn N. Carlton, M.D.John W. Carrier, M.D.Richard L. Clark, M.D.Adrian M. Cordoba, M.D.Richard L. Cronemeyer, M.D.Timothy J. Dalsaso, M.D.Peter E. Doris, M.D.Hans G. Dransfeld, M.D.Ronelle A. Du Brow, M.D.Robert Einhorn, M.D.James L. Ellis Jr., M.D.Steven M. Epstein, M.D.Dr. & Mrs. Andrew M. EvanchoJanet M. & Daniel A. Feeney,D.V.M.

William A. Finger, M.D.Tanya Atagi, M.D. & Andrew J.Fisher, M.D.

Barry H. Davidson, M.D.John De Carlo Jr., M.D.Terrence C. Demos, M.D.Peter J. Dempsey, M.D.Anne S. & Garth R. Drewry, M.D.James L. Ellis Jr., M.D.Eugenio Erquiaga, M.D.Genevieve M. & Daniel W. Eurman,M.D.

Eric J. Fielding, M.D.Karen Frush, M.D. & Donald Frush,M.D.

Cyndi & Leonard M. Glassman, M.D.Cyndi A. & Christopher D. Goeser,D.C., M.D.

Marc J. Gollub, M.D.Richard M. Gore, M.D.Michael J. Gothelf, M.D.Edward G. Grant, M.D.M.D. Greenaway, M.B.B.S.Larry A. Grissom, M.D.Seiki Hamada, M.D., Ph.D.James B. Haswell, M.D.Jean & Ian Isherwood, M.D.Patricia C. Davis, M.D. & CurtisJohnson Saravanan Kasthuri, M.D.

Cathrine E. Keller, M.D.Mary M. Kelly, M.D.Paul Hyung-Wook Kim, M.D.Karl K. Kish, M.D.David B. Kispert, M.D.Meng Law, M.B.B.S.Lilian Leong, M.D. & C.H. Leong,M.D.

David C. Levin, M.D.Ellen G. & Michael J. Levitt, M.D.Richard Lichtenberg, M.D.Daniel E. Lucas, M.D.Steven P. Lukancic, M.D.Mary Ann & Ferdinand L. Manlio,D.O.

PLATINUM ($1,000 - $4,999)Singing River Radiology GroupKaren & Michael A. Sullivan, M.D.Edward H. Welles III, M.D.

GOLD ($500 - $999)Alice R. & Howard Adler, M.D.Karen E. & Glendon G. Cox, M.D.William A. Guyette, M.D.Linda O’Connell Judge, M.D.Deborah Levine, M.D.Zhongxing Liao, M.D.Mark S. Schechter, M.D.Anna Scheurecker, M.D.Judith S. Peter M. Som, M.D.Sheila A. & Frederic E. Vanbastelaer,M.D.

Stephen A. Zinn, M.D.

SILVER ($200 - $499)Hani H. Abdel-Nabi, M.D., Ph.D.Yoshimi Anzai, M.D.Mary P. & Gerald W. Arney, M.D.Delano Z. Arvin, M.D.Richard J. Baker Jr., M.D.Robert M. Barr, M.D.Harley S. Beasley, M.D.Beryl R. Benacerraf, M.D.Jeffrey R. Bessette, M.D.Marcia & Kenneth A. Buckwalter,M.D.

Louis J. Bujnoch, M.D.Joseph J. Burch, M.D.Dorr H. Burns, M.D.Oscar F. Carbonell, M.D.Helen H.L. Chan, M.B.Ch.B.Dr. & Mrs. Tilden L. Childs IIIJames A. Corwin, M.D.Michael A. Crews, M.D.James H. Cuykendall, M.D.

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 between June 27, 2003 and July 31, 2003.

Linda Bresolin, Ph.D., M.B.A. & Michael Bresolin, Ph.D.Gilda Cardenosa, M.D.Betty & O. Wayne Houser, M.D. Margaret & Paul A. Larson, M.D.Patrick D. Lester, M.D.Hedvig Hricak, M.D., Ph.D. & Alexander Margulis, M.D.Katherine A. Shaffer, M.D. & William Shaffer

RSNAPRESIDENT’S CIRCLE MEMBERS$1,500 per year

VANGUARD GROUP

FONAR Corporation

EXHIBITOR’S CIRCLE

R2 Technology

$1,000

$108,000A Vanguard Company since 2000

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23R S N A N E W SR S N A N E W S . O R G

COMMEMORATIVE GIFTS

John J. Fitzpatrick, M.D.Rose Honig Freed & Ezekiel Freed,M.D.

Judith & G. Donald Frey, Ph.D.Vicente T. Garciano, M.D.Erika & Felix Garfunkel, M.D.Vijayalaxmi & Ramesh S. Gaud, M.D.Susan B. Giesecke, M.D.Carol & Larry D. Greenfield, M.D.Moses A. Greenfield, Ph.D.Gary R. Hansen, M.D.Roger K. Harned, M.D.Anne Marie & David S. Hartman,M.D.

Tamara M. Haygood, Ph.D., M.D.Francine & Jay P. Heiken, M.D.Steven W. Hetts, M.D. & GloriaHwang, M.D.

Diane G. & R.S. Lyle Hillman, M.D.Steven Min-Yang Huang, M.D.Walter Huda, Ph.D.Patricia Hudgins, M.D. & RogerHudgins, M.D.

Howard L. Hudson, M.D.Tunc A. Iyriboz, M.D.William K. Johnson, M.D.Donald L. Kahle, M.D.Motoyuki Katayama, M.D.Maria & Dennis Kay, M.D.Volker Keil, M.D.

Eamonn C. Bannan, M.D.In memory of Dr. William Bannan

Gayle H. Bickers, M.D.In honor of Fred N. Silverman, M.D.

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

Victoria & Michael Brant-Zawadzki, M.D.In honor of Peggy J. Fritzsche, M.D.

Brian D. Briscoe, M.D.In memory of Tulia Maria Briscoe

Linda M. Bykowski-Gruener, D.O.In memory of John & Virginia Bykowski and in honor of Michael John Gruener

Gilda Cardenosa, M.D.In memory of Gilda Cardenosa

Kenneth G. Carter, M.D.In memory of James M. Packer, M.D.

Sandra W. Cohen, M.D. & Harris Cohen, M.D.In memory of the crew of the SpaceshipColumbia

Mary & Raymond Del Fava, M.D.In memory of William Meszaros, M.D.

Maxine & Paul Ellenbogen, M.D.In honor of William T. Thorwarth Jr., M.D.

Nancy Ellerbroek, M.D. & David NeillIn memory of William Powers, M.D.

Eli Glatstein, M.D.In memory of Henry S. Kaplan, M.D.

Phyllis & Barry B. Goldberg, M.D.In memory of Dr Baldev Sahai Madan

Brian Holtan, M.D.In memory of T. Craig Ferrill

Dragan V. Jezic, M.D.In memory of Robert L. Hirschfeld, M.D.

Theodore C. Larson III, M.D.In honor of Thomas S. Harle, M.D.

Patrick D. Lester, M.D.In honor of R. Gilbert Jost, M.D.

Rosanne & Alvin LevittIn honor of Seymour H. Levitt, M.D.

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

Dr. & Mrs. M.P. McNamaraIn memory of Edith McNamara

Vernon Medlin, M.D.In memory of Robert Surratt, M.D.

Dr. & Mrs. Craig S. MitchellIn memory of John Gwinn, M.D.

Reginald F. Munden, D.M.D., M.D.In memory of William B. Munden III

Grace & James Naidich, M.D.In memory of Roger A. Hyman, M.D.

Allen B. Nalbandian, M.D.In memory of Barkev Nalbandian

Hiroaki Onaya, M.D.In memory of Tuji Itai

Charles Edward Parke, M.D.In honor of Dr. James C. Parke Jr.

Ronald B. Port, M.D.In memory of Bettie Byron Port

Albert R. Porter, M.D.In honor of Theodore A. Tristan, M.D.

James M. Provenzale, M.D.In memory of Juan Taveras, M.D.

Norman H. Rahn III, M.D.In honor of Robert Stanley, M.D.

Joseph C. Rush, M.D.In memory of Don Weir, M.D.

Janet Hope Sherman, M.D.In honor of Alyssa Zisk

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

Margaret A. Stull, M.D.In memory of my beloved mother, Edith Arlene Stull

Glenn A. Tuckman, M.D.In memory of Michael Goldman

A. Aria Tzika, Ph.D.In honor of Donald R. Kirks, M.D.

Prasad Vasireddy, M.D.In honor of Oscar C. Zink, M.D.

William L. Walls, M.D.In memory of Elias G. Theros, M.D.

Daniel J. Walz, M.D.In memory of Walter Kushner & Walter Walz

Charles D. Williams, M.D.In honor of Brad Short

Ira S. Wolke, M.D.In honor of Cheryl Grigorian, M.D.

Corine A. Yee, M.D.In memory of Mr. & Mrs. William Yee

Howard Kessler, M.D.Loren H. Ketai, M.D.Patricia & Brock T. Ketcham, M.D.Hal D. Kipfer, M.D.Stephen Klein, M.D.Cynthia Reese & Keith Y. Kohatsu,M.D.

Anne E. Kosco, M.D.Karl F. Kreitner, M.D.Marina & Gabriel P. Krestin, M.D.,Ph.D.

Raymond J. Kyriakos, M.D.Timothy L. Larson, M.D.Joseph J. Lawrence, D.O.E. Mark Levinsohn, M.D.Richard D. Lindgren, M.D.Howard I. Lopata, M.D.Brian E. Lundeen, M.D.Alan G. Lurie, D.D.S., Ph.D.Hector Tin Ging Ma, M.D.Takayuki Masui, M.D.Sharon & Guy R. Matthew, M.D.Michael J. McCarthy, M.D.Patricia J. Mergo, M.D.Edward M. Miller, M.D.Peter R. Miller, M.D.Michael J. Milstein, M.D.Jamil Mohsin, M.D.Timothy E. Moore, M.D.Michael J. Morin, M.D.

Seyed-Ali Mousavi, M.D.Jananne & Michael T. Nelson, M.D.Stephen C. O’Connor, M.D.Judith A. Operchal, M.D.Ray C. Otte, M.D.Stuart B. Paster, M.D.David R. Payne, M.D.Krishna R. Pillai, M.D.Paul F. Pizzella, M.D.Marvin Platt, M.D.Dominick J. Principato, M.D.Albert W. Quan, D.O.Douglas J. Quint, M.D.Melvin J. Richards, M.D.Milly & Paul A. Riemenschneider,M.D.

Norman I. Ristin, M.D.David M. Roelke, M.D.Allen J. Rovner, M.D.Leroy S. Safian, M.D.Andre Parwis Sanii, M.D.Gregg D. Schubach, M.D.Clark L. Searle, M.D.Suzanne M. Slonim, M.D.Lloyd H. Smith, M.D.Harold R. Tanenbaum, M.D.Edward E. Tennant, M.D.Nina L.J. Terry, M.D., J.D.Stanford B. Trachtenberg, M.D.

Mary & Allen F. Turcke, M.D.Marla & Paul E. Van Dyke, M.D.Manuel Viamonte Jr., M.D.Scott L. Walker, M.D.Jan R. & Richard J. Wechsler, M.D.Faith A. Weidner, M.D.Stuart D. Weston, M.D.Bruce W. White Jr., M.D.Paul R. White, M.D.Denise S. White, D.O.Charles F. Whitney Jr., M.D.Morgan P. Williamson, M.D.Edward Y. Wong, M.D.Mark Ming-Yi Yeh, M.D., M.S.Anthony M. Zelazny, M.D.Allan Zellis, M.D.Gregg H. Zoarski, M.D.Steven J. Zuckerman, D.O.

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

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MEETINGWATCH:RSNA2003

News about RSNA 2003

Registration Deadline Nears forNon-North American AttendeesInternational registration forms must bereceived by October 10, 2003, for non-North American attendees to receive abadge wallet by mail. Badge wallets con-tain a name badge, tickets and attendancevouchers. International registration formsreceived October 11 – October 31 requirebadge wallets to be picked up at McCorm-ick Place in the new registration area inthe Lakeside Center, Hall E, Level 2.

North American attendees who regis-ter by October 31, 2003, will have theirbadge wallet mailed to them in advance of RSNA 2003.

Free Metra Pass The meeting badge wallet includes a freepass to use the Metra train system to andfrom McCormick Place during the sevendays of RSNA 2003.

In addition to the free Metra pass,Chicago has a new dedicated bus lane.RSNA shuttle buses will use this new buslane, dramatically reducing the travel timefrom Randolph Street to the McCormickPlace South Building to only nine min-utes—even during rush hour.

On Saturday, November 30, and Fri-day, December 5, shuttle bus service willbe available to and from the LakesideCenter only.

■■ Online (24 hours a day)www.rsna.org/register/■■ Fax (24 hours a day)(800) 521-6017 (847) 940-2386 outside the United States and Canada■■ Phone (Monday – Friday, 8:00 a.m. – 5:00 p.m. CT)(800) 650-7018 (847) 940-2155 outside the United States and Canada■■ Mail ExpoExchange/RSNA 2003108 Wilmot Rd., Ste. 400Deerfield, IL 60015-0823

Registration Made EasyFour easy ways to register:

Press releases have been sent to the medical news media for the following scientificarticles appearing in the September issue of Radiology (radiology.rsnajnls.org):

Radiology in Public Focus

“Prognostic Value of Cardiac Risk Factors and Coronary Artery CalciumScreening for All Cause Mortality”

Coronary artery calciumcan independently esti-

mate all cause mortality inasymptomatic individuals.

Leslee J. Shaw, Ph.D.,from the Atlanta Cardiovascu-lar Research Institute in Geor-gia, and colleagues examinedfive-year data from 10,377asymptomatic patients under-going cardiac risk factor eval-uation and coronary calciumscreening with electron beamtomography (EBT).

All individuals were ini-tially screened by their generalinternists and were consideredto be at above-average risk ofcoronary disease due to thepresence of cardiac risk fac-

tors including advanced age,high blood pressure, hyperc-holesterolemia, diabetes, cur-rent smoking and a family his-tory of premature coronarydisease.

“Our results show that sur-vival at five years worsenssubstantially asthe screeningcalcium scoresincrease fromlevels of 10 to>1,000. There-fore, it appearsjustified to uti-lize coronary calcium screen-ing to identify intermediaterisk patients with traditionalrisk factors for whom aggres-sive risk-reducing strategiesfor the treatment of atheroscle-rotic disease should be indi-

cated,” the researchers write.(Radiology 2003; 228:826-833)

“Contrast Digital Mammography: Initial Clinical Experience”

Contrast digital mammog-raphy (CDM) potentially

may be useful in identifyinglesions in the mammo-graphically dense breast.

Roberta A. Jong, M.D.,and colleagues from theDepartment of MedicalImaging at the Universityof Toronto and theWomen’s College Health

Sciences Centre in Toronto,examined the CDM imagesfrom 22 women who werescheduled for biopsy due tosuspicious abnormalities onbreast imaging.

They found that CDM

showed enhancement in eightof the 10 patients with biopsy-proven cancers. One case ofductal carcinoma-in-situ andone invasive ductal carcinomadid not enhance. No enhance-ment was seen in seven of 12lesions considered suspiciouson initial imaging but withbenign results.

“With the increasingavailability of digital mam-mography, CDM will becomeaccessible and relatively inex-pensive compared to currentMR imaging technology.These results encourage fur-ther investigation of CDM asa diagnostic tool for breastcancer,” the researchers write.(Radiology 2003; 228:842-850)

RSNA press releases are availableat www2.rsna.org/pr/pr1.cfm.

JOURNALS

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25R S N A N E W SR S N A N E W S . O R G

RSNA 2003 Exhibitor News

EXHIBITORNEWS:RSNA2003

New Products Submission DeadlineOctober 15All exhibitors can take advantage of a free pro-motional outlet for the new products they willbe displaying at RSNA 2003.

The RSNA Daily Bulletin, the official news-paper of the annual meeting, features a dailyNew Products section.

The deadline to submit materials for theNew Products section is October 15, 2003. Forspecific details and submission forms, see theTechnical Exhibitor Service Kit (www.rsna.org/rsna/te/servicekit.html) in Section 7: Marketingand Promotions.

For more information, contact JohnJaworski at (630) 571-7855 or [email protected]. For submission format requirements,contact Natalie Boden at (630) 590-7734 [email protected].

Important Exhibitor Dates for RSNA 2003Sept. 22 Target Floor Plan assignments released

Block housing deposits and rooming listsdue

Oct. 13 RSNA Block Housing Attrition Clause is applied

Oct. 15 Early Bird deadline for RSNAnet NetworkServiceSubmission deadline to Daily Bulletin’sNew Products Section

Oct. 17 Deadline for EAC request form

Oct. 31 Exhibitor badge deadlineIndividual Exhibitor housing deadline dateSuite Request deadline dateExhibitor Registration closesRSNA housing system closes

Nov. 24 Technical Exhibit Target move-in begins

Nov. 26 Hands-on Computer Workshop move-in begins

Nov. 28 General Technical Exhibit move-in begins

Nov. 30 – RSNA 89th Scientific Assembly and Dec. 5 Annual Meeting

NEW!

Costs Down, Service Up for Network ConnectionsThe deadline is October 15, 2003,to take advantage of the new EarlyBird rates for Internet connectionsat RSNA 2003.

The new rate struc-ture, combined with achoice of Internetbandwidth, meanstechnical exhibitorscan tailor their boothrequirements in a morecost-effective manner.Exhibitors may alsochoose the location of the Internetconnection if they return theirapplication by October 15, 2003.

Applications are available inthe Technical Exhibitor Service Kit(www.rsna.org/rsna/te/ servicekit

.html) in Section 3:McCormick Place andUtility Guide.

For general informa-tion about contracts andservices, contact JohnJaworski at (630) 571-7855 or [email protected]. For technicalinformation about net-

work connections at the meeting,contact Dave Pede at (630) 571-7858 or [email protected].

■ For more information, contact RSNA Technical Exhibits at (630) 571-7851 or e-mail: [email protected].

■ For up-to-date information about technical exhibits at RSNA 2003, go towww.rsna.org/rsna/te/index.html.

Technical Exhibit HoursSun., Nov. 30–Wed., Dec. 3 . . . . . . 10:00 a.m.–5:00 p.m.

Thurs., Dec. 4 . . . . . . . . . . . . . . . . 10:00 a.m.–2:00 p.m.

NEW

More than 70 people from private radiology practices and from academicradiology departments attended RSNA’s course, Strategies for Running aSuccessful Radiology Practice, held in July in Oak Brook, Ill. An updatedcourse will be held next summer.

Handouts from the course will be available for a limited time atwww.rsna.org/education/shortcourses/handouts.

Strategies for Running a Successful Radiology Practice

November 30 – December 5McCormick Place, Chicago

RSNA:PROGRAM&GRANTANNOUNCEMENTS

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26 R S N A N E W S S E P T E M B E R 2 0 0 3

www.rsna.org

RSNA:ONTHEWEB

Become an RSNA VolunteerRSNA members now have an easy way tovolunteer their expertise to the Society. Thenew “Volunteer to Serve on an RSNA Com-mittee” pages on RSNA Link (www.rsna.org/about/volunteer) include a Web submis-sion form as well as committee descriptions,time commitments and qualifications.

On the home page, mouse over theAbout RSNA button and click on Volunteerin the dropdown menu. Twenty-two RSNAcommittees welcome your participation.Questions about volunteering or about theonline call for volunteers itself should beaddressed to [email protected].

International Travelers If you plan to travel from outside theUnited States to Chicago for RSNA 2003,the Chicago Convention and TourismBureau (CCTB) has a Web resource atwww.meetinchicago.com/international_travelers.htm. This International Travelerssection of the CCTB site has pages on cur-rency exchange, tipping, translators andinterpreters, what to pack, average flighttimes to Chicago, weather in the WindyCity and other background information.

Important information is posted atwww.rsna.org/rsna/documents in theAnnual Meeting section for partici-pants or presenters of EducationExhibits, infoRAD Exhibits,Refresher Courses, Scientific Papers,Scientific Posters, Plenary Sessions orFocus Sessions.

The information includes rulesand regulations, guidelines, instruc-tions, diagrams, and audiovisualinformation. Questions about thesematerials or inquiries about the scien-tific program should be addressed toprograms@ rsna.org or (800) 381-6660 x7874.

Materials for RSNA 2003 Presenters

Can’t find what you’re looking for in the Annual Meeting section of RSNALink? Try the Meeting Index A to Z at www.rsna.org/rsna/meeting_index.html.It’s an alphabetical directory of topics, subsections and individual pages relatedto the scientific assembly and annual meeting.

From the home page (www.rsna.org), mouse over the Annual Meeting button in the left-hand navigation column and then select Meeting Index A to Zin the dropdown menu.

Annual Meeting Index

RSNA will sponsor a one-day course,presented by National Tax & InvestmentSeminars, prior to RSNA 2003. Thecourse will be held Saturday, November29, 2003, from 8:30 a.m. – 4:00 p.m., atMcCormick Place in Chicago.

Objective and unbiased, this courseshows investors how to become moreefficient with their money by makinginformed investment decisions. Unlikefinancial planner or stockbroker pro-vided courses, there is absolutely nosales pitch.

Due to last year’s enthusiastic

response, the course has been expandedto six hours.

Topics to be discussed will include:• Online Trading: Appreciate Its Bene-

fits but Watch for the Pitfalls• Why Money Managers Don’t Want

You to Know About Index Funds• Strategies to Protect Profits and Lower

Risk in Volatile Markets• Selecting Mutual Funds Suited to Your

Needs – Not Wall Street’s• Day Trading: If It’s Investing, Why

Isn’t It Called Day Investing• Exchange Traded Funds: Are They

Really Superior to Stock Index Funds?• Funding the High Cost of Your Chil-

dren’s College Education Each attendee will receive a copy of

the Effective Investment Strategies text-book. Written specifically for thiscourse, the textbook is an invaluablepost-seminar resource.

Registration is $169 for RSNA mem-bers, $99 for members-in-training and$189 for non-members. For more infor-mation, contact the RSNA EducationCenter at (800) 381-6660 x3747 or [email protected].

Effective Investment Strategies

RSNA:PROGRAM&GRANTANNOUNCEMENTS

News about RSNA 2003The Annual Meeting menu of RSNALink points to RSNA 2003 Preview, acollection of news items and RSNANews articles that high-light aspects of thisyear’s scientific assembly in Chicago.Among the features here are two RSNANews articles, “Education Innovations

Drive New Course Series at RSNA2003” and “Two Radiologists Set toAttend Their 50th RSNA Meeting.”

Links are added to thissection when relevant news

and articles appear in Radiology,RadioGraphics or RSNA News.

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