P R E S I D E N T ’ S L E T T E R

Welcome to RSNA 2014I am pleased to wel-come you to this truly historic occasion—our 100th Scientific Assem-bly and Annual Meeting. In many ways this meeting is different from those in our past. It’s bigger, with near record-breaking atten-dance and sessions on an ever increasing num-ber of modalities and applications. And this meeting is supported by technology that our predecessors could not even imag-ine—some of you are reading this greet-ing, after all, on your smartphone or tablet via the RSNA 2014 app. Some things are unchanged, however. We gather, as those before us did, to wit-ness the very latest in radiologic science. We are here to experience new technology, learn from one another’s experiences and focus our collective energy on the opportu-nities we have as a specialty. I urge you to take advantage of all this milestone event has to offer. The Daily Bulletin can help. Watch each day’s edition for coverage of the cutting-edge science and new clinical applications being pre-sented at the meeting, as well as news and product announcements from the Technical Exhibits area. And don’t miss the Commemorative Centennial Edition, Sunday through Wed-nesday, with a combination of historical features and coverage of the many Cen-tennial activities happening during RSNA 2014. More than anything, this meeting gives you the opportunity to network with your colleagues. Ninety-nine years of these discussions have brought us to where we are today, with advances that would make our predecessors proud and a strong radio-logic community that continues to change healthcare for the better. This year’s theme is “A Century of Transforming Medicine,” and throughout the week we will have many opportunities to reflect and reminisce. At the same time, we do what our predecessors did—invigo-rate our commitment to moving our spe-cialty forward. On behalf of the RSNA Board of Direc-tors, I wish you an inspiring week.

N. Reed duNNick, M.d.2014 RsNa pResIdeNt

Online at RSNA.oRg/bulletiN

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Reflection Can Provide MomentumIn order to successfully move forward, often it is necessary to reflect upon the past. That is what 2014 RSNA President N. Reed Dunnick, M.D., hopes to make clear during the President’s Address, “Reflect on the Past, Prepare for the Future.”

RsNa Is pleased to welcome National Institutes of Health (NIH) Director Francis S. Collins, M.D.,

Ph.D., to the Arie Crown Theater stage this morning to present a Special Lecture, “Exceptional Opportunities in Biomedical Research.” Dr. Collins’ lecture is part of the RSNA 2014 Opening Session begin-ning at 8:30 a.m. Those exceptional opportunities, says Dr. Collins, come from scientific and technological breakthroughs. With par-ticular focus on NIH-supported imaging research, Dr. Collins will detail recent advances in fundamental knowledge about biology and highlight the ways in which that expanded knowledge is serving to improve human health. NIH projects that serve as examples include the Brain Research through Advancing Innovative Neurotechnologies (BRAIN)

Initiative and the Accelerating Medi-cines Partnership (AMP), as well as affordable technolo-gies to extend imag-ing insights to low-resource settings. Dr. Collins will also address future challenges, such as training the next generation of researchers and supporting the development of innovative research, programs and partnerships. He will also talk about how to encourage broader appreciation and support for the biomedi-cal research enterprise. As NIH director, Dr. Collins over-sees the work of the largest supporter of biomedical research in the world, span-

ning the spectrum from basic to clinical research. He is a physician-geneticist noted for his landmark discoveries of disease genes and his leadership of the international Human Genome Project, which culminated in April 2003 with the completion of a finished sequence of the human DNA instruction book. He served as director of the National Human Genome Research Institute at the NIH from 1993 to 2008. Before coming to the NIH, Dr. Collins was a Howard Hughes Medical Institute investigator at the University of Michi-gan. He is an elected member of the Insti-tute of Medicine and the National Acad-emy of Sciences, was awarded the Presi-dential Medal of Freedom in November 2007 and received the National Medal of Science in 2009.

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Collins to Detail “Exceptional” Opportunities

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T he occasIoN of the 100th RSNA annual meeting and its theme, “A Century of Transforming Medicine,”

offered the perfect opportunity to look back while also focusing on the future and radiology’s continued integral role in healthcare, Dr. Dunnick said. “We certainly don’t want to dwell on the past, but it is often helpful to look back and reflect on things that worked well, and those that didn’t,” said Dr. Dun-nick, the Fred Jenner Hodges Professor and chair of the Department of Radiol-ogy at the University of Michigan Health System in Ann Arbor. “In my opinion, we have been most successful when we focused on what we can do to provide better medical care for our patients.” One need not look far to find examples of suc-cess, Dr. Dunnick said. Since Wilhelm Roentgen announced his discovery of the X-ray in 1895 and certainly since RSNA was founded in 1915 as the Western Roentgen Society, diagnostic radiologists, radiation

oncologists and medi-cal physicists have led the way with enormous advances in medical imaging. Included are newer cross-sectional imaging modalities such as ultrasound, CT and MR imaging that allow radiologists to not only diagnose medical ill-ness, but also to guide treatment. Throughout all the changes, radiography and fluoroscopy have been refined and made safer. More recently radiologists and equip-ment manufacturers have worked to

develop new imaging modalities and protocols to dramatically reduce radiation dose for patients as con-cerns from the general public have increased attention on the subject.

Use Past to Empower FutureAmid the celebration there must also be a look forward to ensure radiology’s place in the ever-changing healthcare landscape

of the present and future, Dr. Dunnick said. Radiology has shown its value in the overall healthcare picture—medical imaging has become so good, an imaging study is almost a given for any healthcare encounter. With that popularity, radiol-ogy has become a target for cost-cutting measures due to the expenses associated with imaging for patients and insurance companies. “Radiologists must lead the effort to utilize medical imaging appropriately and to perform the studies as safely as possi-ble,” Dr. Dunnick said. “When considered

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Get More Daily Bulletin OnlineThe Daily Bulletin online edition fea-tures stories from our main news section and is offered in a mobile-optimized format for smartphones and other mobile

devices. Read news on the go, access additional information and share via social media. Go online now by using your smartphone to scan the QR code or go to RSNA.org/bulletin.

Korea, Canada HonoredCardiovascular imaging courses highlight research, other contri-butions. 6A

Incidentalomas are Focus of Mock TrialLearn about the judicial process and jury deliberations. 13A

N. Reed Dunnick, M.D.

Francis S. Collins, M.D., Ph.D.

“Reflect on the Past, Prepare for the Future” 8:30 a.m. in the Arie Crown Theater.

Technology

Tip of the DayEnsure the battery is fully charged on mobile X-ray units. Inadequate power supply may result in poor quality images.

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8:30–10:15 Opening Session (Arie Crown Theater)RSNA Outstanding Educator and Out-standing Researcher Awards PresentedDedication of 2014 RSNA Meeting ProgramPresident’s Address N. Reed Dunnick, M.D.Reflect on the Past, Prepare for the FutureSpecial Lecture Francis S. Collins, M.D., Ph.D.Exceptional Opportunities in Biomedical Research10:15–10:35 Business Session (Arie Crown Theater)

10:30–3:30Mock Jury Trial10:45–12:15Pediatric Radiology SeriesOncodiagnosis PanelScientific Paper Sessions11:00Technical Exhibits Grand Opening11:00–12:30Informatics Courses12:30–1:30Scientific Poster, Quality Storyboard and Education Exhibit Presentations Infor-matics Courses (Learning Center)

1:30–5:15Interventional Oncology Series2:00-3:30Refresher/Informatics CoursesPediatric Radiology Series4:00–5:45 Plenary Session (Arie Crown Theater)Report of the RSNA Research & Education Foundation James P. Borgstede, M.D.Image Interpretation Session Simulcast in Room E353B

Sunday At a GlanceSunday © 2014 RSNA

The RSNA 2014 Daily Bulletin is the official publication of the 100th Scientific Assembly and Annual Meeting of the Radiological Society of North America. Pub-lished Sunday, November 30–Thursday, December 4..

Salomao Faintuch, M.D., ChairHarald Brodoefel, M.D.Philip Costello, M.D.Abraham H. Dachman, M.D.Karen Hoffman, M.D.Joseph G. Mammarappallil, M.D., Ph.D.Edith M. Marom, M.D.Tejas S. Mehta, M.D., M.P.H.Michael L. Richardson, M.D.Elizabeth L. Hipp, Ph.D., AAPM LiaisonMary C. Mahoney, M.D., Board Liaison

Beth Burmahl

Lynn Tefft Hoff, M.C.M.

Mark G. Watson

Roberta E. Arnold, M.A., M.H.P.E.

Marijo Millette

Jim Drew

Adam Indyk

Nicole Cooper Ken EjkaLucinda FoulkeErick JuradoDeborah KingSera Stack

Rachel BenoitJames Georgi

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Managing Editor

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The RSNA 2014 Daily Bulletin is owned and published by the Radiological Society of North America, Inc., 820 Jorie Blvd., Oak Brook, IL 60523.

Need a fresh new headshot for your CV or social media profiles? Have one taken for free by a professional photographer. The studio, located in the RSNA Services area in the Lakeside Center, Level 3 Ballroom, is open Sunday through Thursday from 10 a.m. until 5 p.m.

ProfeSSional Portrait Studio Reflection Can Provide Momentumin light of the information gained from medical imaging compared with the cost, we provide great value.” Research is another key area where radi-ologists and other imaging scientists must take the lead, Dr. Dunnick added. “We must translate discoveries made in the laboratory into clinical practice,” he said. “The Clini-cal Trials Workshop presented by RSNA each January is an effort to train radiologists to run clinical trials that demonstrate the value of imaging. “In order for radiology examinations to become accepted as imaging biomarkers, we must become more quantitative,” Dr. Dunnick continued. “If we can do that, we

have the potential to facilitate new drug evaluations and markedly decrease the cost to bring new treatments to clinical practice.” Dr. Dunnick stressed that the future is bright for radiology as long as radiologists remain committed to maintaining intel-lectual leadership in the field, just as those who came before them did. “I would like all radiologists to reflect on our wonderful history and how we have transformed medical care around the world,” Dr. Dunnick said. “But we cannot rest on our laurels and must continue to advance our field by supporting research and delivering quality patient care.”

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Welcome to RSNA 2014 from the RSNA Board of Directors

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Richard L. Baron, M.D. Chairman

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Valerie P. Jackson, M.D. Liaison for Education

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Ronald L. Arenson, M.D. President-elect/Secretary-TreasurerMa

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Mary C. Mahoney, M.D. Liaison for Publications and Communications

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E ach 90-minute special course —Korea on Monday, Dec. 1, and Canada on Tuesday, Dec. 2— features presentations by the country’s top researchers.

RSNA is partnering with the Canadian Association of Radiologists (CAR) and Korean Society of Radiology (KSR) to celebrate each country’s contributions to radiologic discovery. “Canada has been a longstanding part-ner that we wanted to honor during our 100th meeting,” said N. Reed Dunnick, M.D., 2014 RSNA President. “We chose to highlight the Republic of Korea for their consistent and growing contributions to our community.”

Jongmin Lee, M.D., Ph.D., interna-tional liaison for KSR, said the RSNA annual meeting offers an important oppor-tunity to experience other researchers’

presentations and results. “When we come back from the meeting, we usually have a wish list for further research as well as new knowledge and expanded networks,” he said. The large numbers of Canadians attend-ing and presenting at the RSNA annual meeting over the years demonstrate the strong relationship between American and Canadian radiologists, said Jacques Levesque, M.D., CAR President. “We are very proud to be chosen for ‘Canada Presents,’ especially in RSNA’s centennial year,” he said. “I think it’s an indication of how closely our two societies have worked together.”

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Courses Offer ARLM, RLI Credit

Korea, Canada Honored at RSNA 2014Attendees of the RSNA 2014 “Country Presents” courses will have the opportu-nity to hear the latest in cardiovascular imaging from top radiologists in the two countries spotlighted at this year’s meeting: Canada and the Republic of Korea.

R Sna 2014 attendeeS looking to maximize their meeting productiv-ity will want to check out annual

meeting courses offering credit toward the Academy of Radiology Leadership and Management (ARLM) Certificate of Achievement and the Radiology Leader-ship Institute® (RLI) programs. The ARLM is a joint initiative of RSNA and the Associa-tion of Administrators in Academic Radiology, Association of Univer-sity Radiologists (AUR), American Roentgen Ray Society and Society of Chairs of Academic Radiology Depart-ments. Medical imaging professionals can earn a Certificate of Achievement from ARLM by earning education cred-its across a spectrum of core learning domains including Financial Skills, Human Resources, Professionalism, Legal/Contracting, Academic Mission and General Management. More details are available at www.radleaders.org. The RLI is an initiative of the Ameri-can College of Radiology (ACR) offer-ing the opportunity for participants to earn certificates as they graduate through four progressive levels of leadership training. RLI content is developed by

leading radiologists in conjunction with business experts and influencers from leading institutions like Harvard, Kel-logg, and Babson College. More infor-mation about RLI can be found at www.radiologyleaders.org. “RSNA and ACR agree that leader-ship education in radiology is critical,” said William G. Bradley, M.D., Ph.D.,

the AUR representa-tive to ARLM. “We are pleased to be able to collaborate to help radiologists pursue this kind of training.” Added Cynthia S.

Sherry, M.D., M.M.M., chief medi-cal officer with the RLI: “The RLI and ARLM joint effort allows us to bring the best possible leadership development experiences to all radiology profession-als. Leadership development promotes individual career advancement and ensures the future success of our profes-sion.” RSNA 2014 courses offering ARLM and RLI credit can be found using the ARLM filter under “Advanced Filters” in the online RSNA Meeting Program or looking for the ARLM icon ARLM in the printed RSNA Meeting Program in Brief.

Korea Presents: “exPloring evidence in cardiovascular imaging”MONDAY, DEC. 1, 10:30 A.M. - NOON • ROOM E353C

• Opening Remarks: 2014 RSNA President N. Reed Dunnick, M.D., KSR President Tae-Hwan Lim, M.D., Ph.D., and Jongmin Lee, M.D., Ph.D.

• “What are Risk Factors for Stroke? Imaging Assessment of Cardiovascular Risk in Stroke,” Jin Hur, M.D.

• “Is Screening of Coronary Heart Disease with Coronary CT Angiography (CTA) Necessary? Coronary CTA in Asymptomatic Patients,” Sang II Choi, M.D.

• “Is CT Stress Perfusion Comparable to FFR in Assessing Ischemic Heart Disease? Multicenter Trial PERFUSE,” Byoung Wook Choi, M.D., Ph.D.

• Closing Remarks: James P. Borgstede, M.D., RSNA Board Liaison for International Affairs, and Byung-Ihn Choi, M.D., Ph.D., Korean Society of Radiology

Learn more at “Presents” BoothsLearn more about the history of Korea’s and Canada’s relationships with RSNA by visiting the Korea Pres-ents booth (South Building, Hall A: 1119) and Canada Presents booth (South Building, Hall A: 1219). In addition, first-time RSNA attendees from Canada and Korea can learn how to make the most of their time in Chicago at Navigating RSNA 2014—get tips from veteran attendees about the meeting pro-gram, networking opportunities and exploring the city. A discussion will be held at the Korea Presents booth in Korean today at 11:00 a.m. Discussions will be held today at the Canada Presents booth in English at 1:00 p.m. and in French at 2:00 p.m.

T heSe exciting expert-moderated sessions feature a series of interactive case studies to challenge radiolo-

gists’ diagnostic skills. Submit and discuss your responses with your colleagues in a fast-paced game format. Monday’s ses-sion from 4:30 to 6:00 p.m. will feature chest, abdomen and neuroradiology cases;

Tuesday’s and Wednesday’s sessions from 7:15 to 8:15 a.m. will feature a potpourri of body, cardiac, musculoskeletal, neuro-radiology, and ear/nose/throat cases; and Thursday’s session from 3:00 to 4:00 p.m. will feature musculoskeletal, pediatric, and interventional radiology cases. All ses-sions will be held in Room E451B.

canada Presents: “Beyond diagnosis: How cardiovascular imaging researcH in canada is imProving clinical outcomes”TUESDAY, DEC. 2, 10:30 A.M. - NOON • ROOM E353C

• Opening Remarks: 2014 RSNA President N. Reed Dunnick, M.D.

• “The Impact of Integration of a Multidetector CT Annulus Area Sizing Algorithm on Outcomes of Transcatheter Aortic Valve Replacement: A Prospective, Multicenter, Controlled Trial,” Jonathon A. Leipsic, M.D., Vancouver

• “Refining the Phenotype of Genetic Hypertrophic Cardio-myopathy with Cardiac MRI,” Andrew M. Crean, M.D., Toronto

• “A New Paradigm for Cardiac CT Imaging: Quantitative Assessment of Perfusion and Late Enhancement,” Ting-Yim Lee, M.Sc., Ph.D., London

• “Modeling of Abdominal Aortic Aneurysm Before, Dur-ing and After Endovascular Repair: Potential Impact on Patient Management,” Gilles P. Soulez, M.D., Montreal

• “Fast and Furious: Imaging to Recanalization in Acute Stroke,” Mayank Goyal, M.D., Calgary

• “Prevalence of Extracranial Venous Narrowing on Catheter Venography in People with Multiple Sclero-sis, Their Siblings, and Unrelated Healthy Controls: A Blinded, Case-control Study,” Darren Klass, M.D., Ph.D., Vancouver

• Closing Remarks: James P. Borgstede, M.D., RSNA Board Liaison for International Affairs

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Now, more than 50,000 gather at McCor-mick Place for the 100th meeting. We honor the vision of the RSNA founders and we cel-ebrate an annual gathering that has grown to a scope, size and impact far beyond what our forerunners could have dreamed. At the 99 meetings that preceded this one, radiologic innovation was supported, medical imaging research was sparked, radiology education was transformed. Per-haps most importantly, a medical imag-

ing community was created—by meeting attendees, just like all of us here at RSNA 2014. We invite you to take in everything that RSNA’s 100th annual meeting and scientific assembly has to offer. You will find in the stories of our meeting the stories of radi-ology itself, and you will know these are powerful footsteps in which we follow. The RSNA annual meeting is a legacy we can all be proud to carry on.

ON DECEMBER 15 AND 16, 1915, 30 charter members held the first meeting of the Western Roentgen Society—predecessor to RSNA—at the Hotel Sherman in Chicago.

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100 Years in the MakingRSNA AD-HOC CENTENNIAL COMMIT TEERSNA President N. Reed Dunnick, M.D., Co-chairRSNA President-elect Ronald L. Arenson, M.D., Co-chairLeonard Berlin, M.D.William G. Bradley Jr., M.D., Ph.D.James S. Donaldson, M.D.Milton J. Guiberteau, M.D.David H. Hussey, M.D.*Valerie P. Jackson, M.D.C. Douglas Maynard, M.D.Stephen R. Thomas, Ph.D.Kay H. Vydareny, M.D.J. Frank Wilson, M.D.* Committee member from 2010 until his death in 2013.

By Richard S. DarganWhen more than 6,000 attendees converged on the Palmer House Hotel in Chicago for RSNA 1972, much of the attention centered on a technical exhibitor named Electrical and Musical Industries (EMI). While the British company was best known for recording the music of the Beatles, EMI had commandeered one of the Palmer House ballrooms to unveil a new imaging device called a computed axial tomographic scanner. Developed by Sir Godfrey Hounsfield, D.Sc., the device combined rotating X-ray tubes and computer-based image reconstruction to offer a new level of imaging power. 2007 RSNA President R. Gilbert Jost, M.D., was a first-year medical resident at the Mallinckrodt Institute of Radiology in St. Louis, and among the radiologists in attendance at the event. As Dr. Jost and the others watched, company representatives maneuvered a subject into the machine’s circular opening and

had him rest his head on a plastic water bag for stability. The machine whirred to life and, within a few minutes, an image appeared on the monitor. “The resolution was very crude, but you could see cerebral ventricles in the brain,” said Dr. Jost, now the Elizabeth Mallinckrodt Professor of Radiology, chair of the Depart-ment of Radiology at Washington University School of Medicine and director of the Mallinckrodt Institute of Radiology in St. Louis. “It was a stunning demonstration, and everyone

there realized that this was an enormous breakthrough.” Hounsfield’s machine—the progenitor of today’s sophisti-cated CT scanners—provides but one striking example of how the technical exhibits at the RSNA annual meeting have served as a launching pad for historic advances in medicine. From modest beginnings, the technical exhibits have grown into a significant component of one of world’s largest medical

“Stunning” “Extensive” “Glittering”

RSNA Technical Exhibits Have Never Ceased to Amaze

TECHNICAL E XHIBITS GR AND OPENING TODAYThe RSNA 2014 technical exhibits will open at 11:00 a.m. today with a ceremony where leaders and industry partners will celebrate a century of the technology and innovation that changed the world of radiology.

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Attendees of the RSNA meeting in December 1922 in Detroit pose for a photo during their banquet.

2013

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meetings, with approximately 700 exhibitors occupying around 500,000 square feet in two halls of McCormick Place.

1918: The First ExhibitionThe technical exhibits date back to the years following the formation of the Western Roentgen Society—predecessor to RSNA—when the society began soliciting manufactur-ers to display their items at the annual meeting in exchange for a rental fee. In 1918—a year before the Western Roentgen Society changed its name to the Radiological Society of North America—exhibitors gathered to show their wares at Chicago’s opulent Hotel Sherman. The technical exhibits grew steadily throughout the 1920s as diagnosis and therapy began to develop into separate disciplines. A 235,000-volt therapy machine from the Standard X-Ray Company starred at the 1923 meeting. In 1928, when the meeting moved to the Drake Hotel on Chicago’s Gold Coast, 27 exhibitors in the grand dining salon displayed everything from film drying cabinets to an X-ray generator from Acme International that, with its spheres, pipes and meters, looked like something out of Dr. Frankenstein’s lab. Through the Great Depression and World War II, the annual meeting moved among

different cities across the country, including Atlantic City, Pittsburgh and Memphis. After the war forced the cancellation of the 1943 meetings of the American Roentgen Ray Society and RSNA, the two societies held a joint meeting in November 1944 in Chicago. Of that meeting Commercial Exhibit Committee Chair Walter R. Scott, M.D., wrote in Radiol-ogy: “Your roving reporter attempted to make notes on all the exhibits, but the material was so extensive that it was impossible not to miss some points of interest.”

Exhibitors Seen as AlliesThe meeting moved back to the Palmer House Hotel in Chicago in 1950 and remained there for all but two of the next 25 meetings. Important exhibits during the era included the first cobalt beam therapy machine, medical ultrasound, image intensifiers and X-ray television. At the Society’s 50th anniversary in 1964, RSNA President Robert P. Barden, M.D.,

was quoted: “As veteran conventioneers know, Technical Exhibits are not just an arena in which to see, hear, and touch all that’s new and glittering in radiologic technology. Here it is we meet our friends again, those interesting and usually charming persons in research, manufacture, and distribution who steadfastly

stand behind us and may help us look like better radiologists than we are.” In the early 1960s the Palmer House added 3,000 square feet of exhibition space to accom-modate the demand for space in the early 1960s, but continued growth meant that nearly

30 potential technical exhibitors were excluded from the 1968 meeting. After the sensational 1972 debut of CT, the meeting quickly outgrew the confines of the hotel.

Move to McCormick Place Enables ExpansionThe meeting moved to McCormick Place in 1975 and has remained there since, with a few exceptions. Major developments like MRI, PET and computer-based picture archiving and communication systems (PACS) came along, helping to fill space even as McCormick Place expanded with the addition of the North Building in 1986. By 1989, the technical exhibits occupied 305,000 square feet. The largest technical exhibitor took up 15,000 square feet, more than twenty times the space required of the largest exhibitor at the Palmer House 15 years earlier. The early 1990s were a transformative time for the technical exhibits, according to Dr. Jost, who served as RSNA Board Liaison for the Annual Meeting and Technology before assuming the presidency. Imaging’s shift from film to electronic media was being stifled by a point-to-point communication protocol revolving around a 50-pin plug. “In 1990, manufacturers demonstrated products that called for electronic transfer and

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RSNA Technical Exhibits Have Never Ceased to Amaze

RSNA’s Roots Flourish in Chicago TraditionBy Evonne Acevedo JohnsonSince its seminal 1915 meeting in the Hotel Sherman—the site of which is just a few miles from McCormick Place, though the hotel is long gone—RSNA has returned again and again to its Windy City origins. The meeting has in many respects become synonymous with the Chicago experience. Until 1926, RSNA held both a mid-annual meeting, spanning cities from San Francisco to Boston, and an annual meeting later in the year, generally returning to the Midwest. The September 1928 issue of Radiology included an invite to “Chicago’s Greatest Radio-logical Session” at the down-town Drake Hotel. Attendees were encouraged to explore the city courtesy of their Chicago hosts. “The wives of all Chicago members are banded together into an efficient Ladies’ Committee, and entertainment is assured,” the announcement promised. “Strangers who wish to go about Chicago will find someone glad to direct or to accompany them. Newspa-per stories to the contrary notwithstanding, human life is comparatively safe in Chicago.” Of the 1942 meeting, Sydney J. Hawley, M.D., wrote, “Neither shortage of tires and gas nor crowded railroad trains could keep the Radiologists of North America from gathering to hear the splendid program, see the fine exhibits, attend the valuable refresher courses, and enjoy the delight of reunions.”

Palmer House Became Longtime HomeIn 1944, RSNA moved its Chicago meeting to the Palmer House hotel, with periodic departures to Boston, San Francisco, Cleveland, Los Angeles and Cincinnati in subsequent years. For the entire span between 1961 and 1974, the meeting was hosted exclusively at the Palmer House. “Many of the radiologists chose to stay in other hotels, and the wives of many of them

were granted charge accounts at Marshall Field’s and other major Chicago department stores,” recalled Otha Linton, M.S.J., retired associate executive director of the American College of Radiology. Toward the late 1960s the Palmer House was so crowded that exhibit viewing became difficult. As attendance neared 7,000, hotel managers were willing to expand meeting areas and clear space on the third floor for the placement of commercial exhibits. Leaders joked that even Chicago Mayor Richard J. Daley couldn’t get a room at the Palmer House unless he negotiated with RSNA. M. Paul Capp, M.D., who chaired the Scientific Program Committee, recalled the relative quiet inside the scientific exhibits. “At that time the scientific exhibits were all in individual rooms. It was unique because we would sit on the couches and comfortable chairs, and you didn’t have masses of people around you.” Dr. Capp noted that he had originally lobbied for the meeting to remain at the Palmer House, “but the Board wisely prevailed, and moved the meeting to McCor-mick Place.”

By the end of 1978, RSNA had convened at Chicago’s McCormick Place four consecutive times. But in response to requests from members living outside the Midwest, RSNA explored other host cities. With subsequent meetings in Atlanta and Dallas hampered by security concerns and weather, respectively, all signs seemed to point back to Chicago, where RSNA hosted its 1981, 1982 and 1983 meetings. McCormick Place was booked the next year, so the 1984 meeting took place in Washington, D.C. Going forward, RSNA leaders concluded Chicago was the best place for its annual meeting and scientific assembly. By the late 1980s, the RSNA meeting had grown so much it seemed it might outgrow McCormick Place. After the city expanded the convention center, however, RSNA scheduled every annual meeting in McCormick Place through the end of the century. RSNA’s close relationship with McCormick Place and Chicago city officials has helped to enrich the experience for attendees and exhibitors. In 2002, RSNA presented a Special Presidential Award to Mayor Richard M. Daley for his

efforts in providing an efficient and affordable meeting.

Chicago Thanks RSNARSNA now works closely with the city’s tourism organization, Choose Chicago, to showcase the city’s diverse offerings for attendees. In 2013, RSNA attendees contrib-uted more than $135 million to Chicago’s economy. “On behalf of Chicago’s visitor industry, it is my sincere pleasure to congratulate RSNA on its 100th annual meeting,” said current Chicago Mayor Rahm Emanuel. “You have and will continue to deliver a significant impact on Chicago’s visitor industry. Chicago and McCor-mick Place is fortunate to have hosted such a respected organization and one that is synony-mous with Chicago, for so many decades. We look forward to your partnership as you continue with critical advancements within the medical industry, while celebrating your well-deserved significant milestones.”

2007 RSNA President R. Gilbert Jost, M.D., was a resident when CT was first demonstrated at the RSNA annual meeting in 1972. “It was a stunning demonstration.”

RSNA outgrew its longtime Chicago home, the Palmer House Hotel, after holding many of its meetings there between 1944 and 1974. Since 1981, all but one RSNA annual meeting has been held at McCormick Place.

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Image Interpretation Session Popular From the StartBy Paul LaTourWhen Gerald D. Dodd III, M.D., agreed to moderate the Image Interpretation session at RSNA 2013, he didn’t realize it was another example of him following in his internationally renowned father’s footsteps. Gerald D. Dodd Jr., M.D., past-president of the American College of Radiology and RSNA gold medalist in 1986, moderated the session in 1978. “I didn’t remember him being a moderator, but my father was very active in academic radiology during his career,” said Dr. Dodd III, chair of the Department of Radiology at the University of Colorado School of Medicine. “We’ve had a number of similarities, and I take satisfaction in having done some of the same things he did.” Dr. Dodd III ascended to the moderator position after having first served as a panelist in 2002. That’s the path taken by all the moderators of the Image Interpretation Session, which has never lost its status as one of the meeting’s most popular offerings after its debut in 1938. “The sessions are entertaining and educa-tional at the same time. They are usually lively and the audience gets to test its own knowledge,” Dr. Dodd III said about what makes the sessions so irresistible. Each year the session is held on Sunday, the first full day of the annual meeting. In recent years, demand has been so high among attendees that the session is simulcast in an overflow room to accommodate the crowds that don’t fit into the Arie Crown Theater. The basic format of the Image Interpreta-tion Session has remained the same from its inception—the moderator selects 10 cases to

present to the panelists, who are then asked to submit their diagnoses. Audience members can also participate via audience-response system. There are four learning objectives: Identify key abnormal findings on radiologic studies that are critical to making a specific diagnosis; construct a logical list of differential diagnoses based on the radiologic findings, focusing on

the most probable differential diagnoses; determine which, if any, additional radiologic studies or procedures are needed in order to make a specific final diagnosis; and choose the most likely diagnosis based on the clinical and the radiologic information. “Finding the right cases is difficult,” said C. Daniel Johnson, M.D., the

2007 moderator. “You need a case that can be solved, of wide interest to the audience and difficult enough that their diagnostic skills are really tested.” Moderators want to challenge the panelists, but they don’t want to embarrass them by

selecting cases that are too difficult to solve. Still, part of the session’s popularity stems from the possibility an expert may stumble in making a diagnosis. “Part of the draw is watching the experts in action, and part of it is waiting to see if an expert screws up,” said 2011 moderator William G. Bradley, Jr., M.D., Ph.D. “It’s not exactly a bloodfest, but there might be some of that. It is good for the younger radiologists in the audience to see how we approach the cases, hopefully honing in on the correct diagnosis.” While an entertaining atmosphere always plays a factor in attracting attendees, some-times the fun can actually exceed expecta-tions. That was the case when Barbara N. Weissman, M.D., served as moderator in 1996. “I think we were the only group to do the Macarena with the audience during a break in the middle of the cases,” Dr. Weissman said. “I learned a lot preparing for the panels and really enjoyed the presentation part. It was a great experience.” The session is valued so highly that some

attendees specifically plan to arrive at the meeting in time for it. Joel E. Lichtenstein, M.D., the 1995 moderator, attended more than 30 meetings during his career and tried to never miss the session. “If I couldn’t travel for the entire meeting, I always tried to get there for the first part of the week because I like the film panels so much,” Dr. Lichtenstein said. “I thought they were great fun and that it was a great show. I suppose that enthusiasm got me on the panel one year and moderating the next.” Going from the audience to the panel and then to moderator gives participants the full perspective of the session. It also can be a scary experience for a radiologist to be up on that stage with all eyes trained on him or her. “Being on the film panel was one of the highlights of my career,” Dr. Lichtenstein said. “It was intimidating, but relatively easy compared to running the thing. There were so many little details involved, never mind the intimidation of getting up in front of an audience that size.”

IMAGE INTERPRE TAT ION SESSION IS TODAYThe Image Interpretation Session has been held at every RSNA annual meeting since 1938. See for yourself why this session has remained one of the meeting’s most popular. The RSNA 2014 Image Interpretation Session starts at 4 p.m. today in the Arie Crown Theater.

Gerald D. Dodd Jr., M.D., and Gerald D. Dodd III, M.D., both have served as moderators of the Image Interpretation session.

storage of information, but they were all proprietary, so the technical exhibits remained primarily film-based,” Dr. Jost recalled. RSNA urged manufacturers to set aside the 50-pin plug in favor of the Digital Imaging and Communications in Medicine (DICOM) standard. To hasten the transition, the Society put together a major exhibit at the 1992 annual meeting, featuring 25 booths with electronic display systems set up in a large oval. Participating companies were able to communicate with each other over the platform and the well-promoted exhibit was a rousing success. “The amount of information exchanged was trivial, but the symbolism was stunning,” Dr. Jost recalled.

RSNA Unites Users, ManufacturersAttendance and exhibitor space climbed throughout the 1990s, and McCormick Place’s South Building opened in 1997. Innovations like the first hybrid PET-CT scanner in 1999 and the first PET-MRI scanner in 2010 helped push exhibitor space to record levels. “In the old days, I could get around

and see all the technical exhibits in a matter of hours,” Dr. Jost said. “Today, I have no hope of doing that.” As radiology moves into new frontiers, the next big technological breakthroughs will likely make their debut at the technical exhibits. “The RSNA is an example of how a professional organization can influence the direction of a specialty,” Dr. Jost said. “Rather than just host the meeting, they bring users and manufacturers together to develop solutions.”

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RSNA thanks our 2014 Corporate Partners who are helping to keep radiology at the forefront

of science and technology.G O L D

B R O N Z E

S I L V E R

TEG Corp Partners Ad.indd 2 11/14/14 1:58 PM

MR—a modality that now dominates the practice of radiology and continues to deliver promising new applications. In the 1980s, C. Douglas Maynard, M.D., and Richard L. Ehman, M.D., began evaluating the nascent technology along with other medical specialists, including neurologists. “The field of MR was eventually taken over by radiologists only because radiologists started doing MR research,” said Dr. Maynard, 2000 RSNA president and professor emeritus of radiology and former chairman of the division of radiological sciences at Wake Forest University. As one of the R&E Foundation’s first research scholar grant recipients, Dr. Ehman began studying MR elastography, eventually receiving an NIH R01 grant to

continue interrogating the technique. Today, MR elastography has been commercialized and is being used to non-invasively evaluate the liver for fibrosis. “When we first started working with MR, we didn’t know what the images meant,” said Dr. Ehman, RSNA Board Liaison for Science and R&E Foundation Board member. “Now we are doing things with MR that we never could have imagined.”

Recipients Prominent in RSNA HistoryDr. Ehman is just one of the 1,000 physician researchers who have received R&E funding since the Foundation was established in 1984. To date, the Foundation has awarded $37 million to radiologist investigators, providing hard-to-find seed money to researchers at all career levels—from medical students and residents to fellows to junior faculty. Dr. Ehman also exemplifies how R&E grant recipients quite often go on to serve larger roles in RSNA history. In addition to Dr. Ehman serving on the RSNA Board, Mary C. Mahoney, M.D., RSNA Board Liaison for Publications and Communications, is an R&E grant recipient, as are dozens of RSNA committee chairs and presenters of RSNA refresher courses, scientific papers and other annual meeting sessions. Thirty years ago, few radiologists served

as principal investigators and fewer still were funded by the NIH. With the help of the R&E Foundation, those numbers have increased. In a recent survey of R&E grant recipients, 40 percent reported receiving funding from the NIH and 73 percent received extramural funding—$3 million on average. “R&E grantees are successful academic researchers and department chairmen,” Dr. Maynard said. “Many become academic radiology stars.”

Imaging Research Translates QuicklyR&E-funded research has also proven to be highly translational—resulting in 299 patents and 81 licenses to date—providing donors with a good return on their investment. “When you donate to medical research you can expect it to take 10 years or more for that research to enter clinical practice,” Dr. Ehman said. “But imaging research translates much quicker, leading to solutions that improve patient care and contribute to the economy.” In 1998, the R&E Foundation expanded its focus to include an education grant program. Since then, $7 million in education grants have been awarded to programs that bring radiology training to medical practitioners around the world and improve the education of young physicians. “R&E educational grants have had a great impact on radiology resident training,” said Ernest J. Ferris, M.D., 1996 RSNA president. Over the years, the demand for R&E grants has dramatically increased: the number of applicants jumped from 101 in 2008 to 264 in 2014. Using a rigorous peer-review process based on NIH standards, the Foundation awarded a record $3.6 million to 94 grantees this year. “Radiology is a young medical specialty that has evolved into a magnificent one,” added Dr. Ferris. “In order to stay strong, radiology needs continuous R&E.”

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Experience History of RSNA and Radiology in Centennial ShowcaseThe Centennial Showcase, located adjacent to the Learning Center in Hall D, is a not-to-be-missed opportunity to see, hear and discover the advancements that shaped radiology. Open today through Thursday, 7:30 a.m. - 6:00 p.m., and Friday, 7:30 a.m. - 12:30 p.m.

Influence of R&E Foundation Felt Throughout Annual MeetingBy Mary HendersonChances are, at some point during the annual meeting, you’ll hear from someone who has received a grant from the RSNA Research & Education (R&E) Foundation. You might not know—the recipient won’t identify themselves as such, the topic won’t be the Foundation—but the fact is recipients are integral parts of the meeting, from volunteer program planners and refresher course lecturers to presenters of scientific papers and education exhibit authors. The history of the R&E Foundation is woven into the history of the annual meeting. In 1927, RSNA member Walter W. Wasson, M.D., established the Memorial Fund, asking members to contribute “to encourage better and more advanced work for the upbuilding of radiology.” In 1956, Dr. Wasson, who served as RSNA president in 1941, wanted to renew interest in the Fund and created the Memorial Fund Lecture (forerunner to the present-day New Horizons Lecture).

MR is Example of Radiology-led ResearchThese early efforts of Dr. Wasson and others laid the groundwork for what is now the R&E Foundation. Established in 1984, the Foundation has gone on to change the field of radiology. Researchers and educators funded by the Foundation have discovered and refined new imaging techniques that are now routinely used in radiology practices around the world, improving the diagnosis, assessment and

treatment of patients. “The R&E Foundation is one of the greatest things RSNA has ever done, and they’ve done a lot of great things,” said David C. Levin, M.D., professor and chairman emeritus of the department of radiology at Jefferson Medical College and Thomas Jefferson University Hospital. “I’m a great believer in today’s research is tomorrow’s clinical practice.” There is no better example of the impact of radiology-led research than the evolution of

Walter W. Wasson, M.D.

NEW CAMPAIGN UNVE ILED TODAYIn his Report of the R&E Foundation today, Board of Trustees Chair James P. Borgstede, M.D., will ann-ounce a new $17.5 million fundraising campaign, “Inspire-Innovate-Invest: The Campaign to Fund Radiology’s Future®.” Dr. Borgstede will present his report at 4 p.m. in the Arie Crown Theater. See Page 16A.

R&E Foundation grant recipients are integral to the RSNA annual meeting. At RSNA 2013, the Annual Oration in Radiation Oncology was delivered by Paul M. Harari, M.D., who received a Research Scholar Grant in 1993 for his study, “Altered Radiotherapy Frac-tionation and Human Tumor Kinetics.”

By Paul LaTour

A Mock Jury Trial being conducted at RSNA 2014 involves a case bridg-ing the 100th annual meeting’s theme

of “A Century of Transforming Medicine” and the future—the dilemma radiologists face regarding incidental findings on images, known colloquially as “inciden-talomas.” Because of the advances in technology in CT scans, radiologists are now able to see higher-quality images that show much more than in the past. This has led to uncer-tainty about what findings are important enough to report to a referring physician. “The resolution of CT scans today is so much better than it was 10 years ago, so we’re seeing all these tiny densities that we never saw before,” said Leonard Berlin, M.D., the event’s moderator. “This presents a dilemma for the radi-ologist who must decide whether to note it and perhaps suggest it is benign, or ignore it because the statistical likelihood of it developing into cancer is no more than 1 percent.” The Mock Jury Trial will be held today from 10:30 a.m. until 3:30 p.m. in Room S406A. It focuses on a hypothetical allegation of negligence against a radiolo-gist who observed an incidentaloma on an abdominal CT scan that was obtained for reasons unrelated to the finding. The radiologist evaluated the finding and deter-mined that it was insignificant and clini-cally unimportant, and thus reported that the finding can be ignored by the referring physician. The finding was forgotten until 18 months later, when it was determined that

the incidentaloma had in fact been an early carcinoma. By that time the patient was inoperable, and despite treatment, died eight months later. The deceased patient’s family filed a malpractice lawsuit against the defendant-radiologist, alleging negli-gence because the radiologist had failed to raise the suspicion of malignancy and sug-gest additional studies. “This is a very hot topic right now,” Dr. Berlin said. “There have been several white

papers with certain criteria for incidentalomas, trying to edu-cate the radiologist community about it. The problem is there is no consensus.” For the mock trial, Dr. Berlin assembled a team that includes a judge who presides over actual malpractice suits, and two prominent Chicago practicing attorneys: Judge Clare E. McWilliams, a Cook County circuit judge, will pre-

side; Keith A. Hebeisen is the attorney for the plaintiff; and Timothy G. Nickels is the attorney for the defendant, who is being portrayed by Dr. Berlin’s son, Jonathan W. Berlin, M.D. Two expert witnesses—Lincoln L. Ber-land, M.D., for the defendant, and Mark E. Baker, M.D., for the plaintiff—will provide testimony. The jury consists of 12 layper-sons with no connection to radiology to heighten the real-life aspect of the trial. When testimony concludes, the audience will be able to watch the jury deliberations via video and audio feed. Following the rendering of a verdict, participants and the audience will be invited to take part in an open discussion. “It’s a learning opportunity for everybody involved,” Dr. Berlin said.

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• RSNA Global Connection: RSNA reach-es out to medical imaging professionals across the globe. See how wide this reach goes and leave your mark by placing a pin on our giant map.

• Career Connect: The place to go if you’re looking for a job or advertising to fill one.

• Journals, News & RadiologyInfo.org: Check out RSNA’s print, online and mobile publications and the RSNA-Amer-ican College of Radiology public informa-tion website.

• Membership: Get answers to questions about membership, journal subscriptions,

dues payments and making the most of your benefits.

• Radiology Cares®: The Art of Patient-Centered Practice: RSNA’s campaign to optimize the patient experience in radiology.

• RSNA Store: Education products including refresher course USBs and Radiology Select. Explore RSNA mobile CME products and find RSNA-branded merchandise and apparel, with special items this year to mark the RSNA Centennial.

• Research & Education (R&E) Foundation: Learn more about R&E activities, including current grant and award recipients as well as individual, private practice and corporate donors.

• The R&E Donor Lounge: Offers com-puters, a coat room and comfortable fur-niture for relaxation and refreshments for those who have received a donor ribbon as well as those who have contributed at least $300 onsite.

• Virtual Meeting: Learn more about and register for the Virtual Meeting.

How to Claim Credit at rSNa 2014RSNA Meeting Central at RSNA2014.RSNA.org is the place to claim credit during RSNA 2014. Click Claim CME Credit to get started. One-on-one help with claiming CME is available in the Mobile Connect area in RSNA Services, Sunday through Thurs-day from 7:30 a.m. to 6:00 p.m. and Friday from 7:30 a.m. to 12:30 p.m. RSNA staff are also available to help at the Internet Kiosks located throughout McCormick Place. Attendees are reminded that they must verify attendance at McCormick Place before claiming CME credit. Verification can be done a number of ways: scanning attendee badge at an attendance verification kiosk; purchasing something at the RSNA Store in RSNA Services; or logging into Meeting Central using a mobile device and McCormick Place WiFi.

Visit RSNA Services for Answers and InformationRSNA staff will demonstrate resources, provide information and answer questions about RSNA’s full array of products and services in RSNA Services. Anchored by the RSNA Plaza, RSNA Services on Level 3 of the Lakeside Center offers:

RSNA 2014 Technology Includes Enhanced AppWhile at RSNA 2014, don’t forget to download the RSNA 2014 App for iPhone, iPad and Android smartphones for accessing the Meeting Program even when offline. The app, sponsored by Siemens, is useful for a variety of other features as well.

Mock Trial Focuses on “Incidentalomas”

Leonard Berlin, M.D.

New To This year’s RSNA 2014 App is a “Discover” page that highlights dif-

ferent events for attendees to explore. App users can also build their calendars through the My Agenda section, and keep up to date on important information through the notification center. The app also includes a list of RSNA 2014 technical exhibitors, a map to help attendees navigate McCor-mick Place, and online help during the annual meeting. The RSNA 2014 App isn’t the only example of the technology offered to make it easier for attendees to navigate the annual meeting. The Meeting Program is available through the app and can also be directly accessed at RSNA2014.RSNA.org/program. The online program offers easy-to-search, detailed information about each of the hundreds of presentations happen-ing at RSNA 2014. In addition to searching for courses by keyword, title and name of the presenter, users can

search the online program by day, type and subspecialty. WiFi is available throughout McCormick Place, but the wire-less networks are not secure and should not be used for sending sensitive information. Internet

Kiosks are also available throughout the convention center. Computers will be available at the kiosks for accessing Meet-ing Central and claiming CME credit (see below). Get the most out of your personal digital devices, including the on-the-go flexibility offered by RSNA’s mobile apps, at the Mobile Connect Booth found in RSNA Services on Level 3 of the Lakeside Center. Tech experts will be on hand in this casual, open environ-ment to help attendees get familiar with the functions of their mobile devices

and introduce them to RSNA apps, the Meeting Program, and Credit Eval.

Stop by anytime during RSNA Services hours for personal-

ized, hands-on help from RSNA experts.

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Residents and Fellows Symposium Explores Career EssentialsSessions in the RSNA 2014 Residents and Fellows Symposium, sponsored in part by RSNA’s Resident and Fellow Committee, offer a wide range of career-related issues including what trainees should know about the job market, keys to financial success and personal advice from recent grads. The symposium will be held Wednesday from 1:30 to 5:00 p.m. in Room E451B. Highlights include:

Special Recognition for In-Kind Support

Algea Therapies*Analogic CorporationArgon Medical Devices, Inc.*B. Braun Medical, Inc.*BD Medical*Bard BiopsyBayer HealthCare Bracco CareFusion*CIVCO Medical SolutionsCook MedicalDfine*EsaoteGalil MedicalGE HealthcareHitachi Aloka MedicalHologic, IncInvivoKonica Minolta Medical Imaging Inc

Laurane MedicalMammotomeMedtronicMerge HealthcareMaterialiseNeuroTherm*NeuWave Medical*Parker Laboratories, IncPhilips HealthcareSiemens HealthcareStratasysStrykerSuperSonic ImagineTeraReconToshiba America Medical SystemsVital, A Toshiba Medical Systems Group CompanyWelch Allyn*ZONARE Medical Systems Inc*Companies not exhibiting

Session 1: What Type of Job is Best for MeDesigned for trainees and those recently having entered the radiologist job force, the course focuses on developing an understand-ing of the job opportunities for radiologists, describes the differences between working in private practice and working in an academic medical center, and provides a question-answer forum on the best job choice.

Session 3: Money Talk: The Veil is LiftedExperts discuss keys to financial success during residency, fellow-ship and early years of practice and answer questions from attendees.

RSNA would like to recognize the following companies for contributing equipment to the Refresher Courses at RSNA 2014:

Additional OfferingsIn addition to Wednesday’s symposium, RSNA 2014 offers other programming and ser-vices for residents as well:Resident/Fellow BrochurePick up this brochure in racks in the Grand Concourse to pinpoint courses and sessions with content of interest to members in training. Residents LoungeLocated in the Learning Center, the lounge offers RSNA members-in-training and non-member residents a place to relax and network while enjoying complimentary refresh-ments. The lounge is open Sunday – Thursday, 8:00 a.m. – 6:00 p.m.Residents ReceptionOffered in conjunction with the American College of Radiology, the reception gives resi-dents a chance to eat, mix and mingle with their peers and network with longtime RSNA members and leaders. The reception is Monday, 4:00–5:00 p.m., in the Hyatt Regency McCormick Place hotel.RSNA R&E FoundationVisit the R&E Foundation area in RSNA Services to explore grants available to residents and fellows. Learn about the work of past grant recipients and the application process.

Session 4: Candid, Frank and Personal Job Advice from Recent Grads The session focuses on essential tools and strategies for optimizing a job search followed by a question-answer session with a panel of young radiologists who recently conducted a job search.

Session 2: Career Essentials from the ExpertsPresenters discuss issues includ-ing what to know about the cur-rent job market and evaluating a potential job, interviewing secrets from the business world, including mistakes and pitfalls, and a question-answer session with career experts.

Join the Molecular Imaging Scavenger Hunt

A selection of digital scientific and education posters presented at RSNA 2014 offer the answers to questions posed in the “Molecular Imaging Scavenger Hunt.” Obtain an entry form and view posters in the Molecular Imaging area

of the Learning Center or Molecular Imaging Campus. Forms can be returned to sub-mission boxes located in the Learning Center and Campus. Participants answering all questions correctly will be entered into a prize drawing. The Scavenger Hunt starts today and runs through Thursday, Dec. 4 at 12:00 p.m. RSNA thanks Ahlem Bouhlel, Ph.D., Roberto Garcia Figueiras, M.D., Olga Kagna, M.D., Paul E. Kinahan, Ph.D., Antonio Luna, M.D., Abhishek Mahajan, M.D., Yoshi-haru Ohno, M.D., Ph.D., Ali Salavati, M.D., M.P.H., Ahmed Wafaie, M.D., and Lizhi Zhang, M.D., for contributing questions to the scavenger hunt.

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Add the Virtual Meeting for the Best RSNA 2014 ExperienceMeeting attendees who want to make sure they don't miss featured RSNA 2014

sessions, or who want to be able to access additional content at their leisure from their hotel rooms, will want to check out the RSNA Virtual Meeting, available via any computer or mobile device. Attendees can visit RSNA.org/Virtual to add the Virtual Meeting to their registrations and tune in to live sessions during RSNA 2014 and on-demand through December 19. The fee is $100 for RSNA/AAPM members; $300 for non-members. RSNA members-in-training, medical student members and retired members can access the Virtual Meet-ing for free.

Radiation Exposure

Answer[Question on page 6A]

ANo. CTDIvol stands for computed tomography dose index and is a volume measurement that describes your machine output, not dose to your patient. Patient size and scan dimensions are necessary in

addition to CTDIvol to calculate an approximation of patient dose. Q&A courtesy of AAPM.

Virtual Meeting attendees can: • Watch 59 live streaming courses,

including most plenary sessions, image interpretation sessions, refresher courses, Cases of the Day, multisession courses, series courses and scientific sessions.

• Submit diagnoses for Cases of the Day consisting of five cases per subspecialty area throughout the week. Answers will be revealed the following morning.

• Earn Continuing Education credits for live participation.

• View select education exhibits and digi-tal scientific presentations outside of McCormick Place.

• Shop cutting-edge products, equipment and software from RSNA 2014 exhibitors.

• See courses on-demand through December 19.

T oday at 4 p.m. in the Arie Crown Theater, Dr. Borgstede will launch “Inspire-Innovate-Invest; The Campaign for

Funding Radiology’s Future®.” The bold Campaign seeks to raise $17.5 million to fund grants in radiologic research and education, bridging the gaps in funding for promising investiga-tors and educators. “The need is great and the time is now,” Dr. Borgstede said. “If the Foundation reaches its Campaign goal, it will keep pace

with the growing demand and help ensure that critical discoveries by radiologic investiga-tors come to fruition.” For 30 years of RSNA’s 100-year history, the R&E Foundation has played a signifi-cant role in advancing the Society’s mission to promote excellence in patient care and healthcare delivery through education, research and technologic innovation. This year, the Foundation will fund 94 grants totaling $3.6 million—that’s a funding rate of 25

Although he rarely exercises at such an early hour, Håkon H. Hjemly, R.T., M.Sc., not only finished the RSNA 2013 5k Fun Run along Lake Michigan, but he also took first place in the men’s division. “While 6:30 a.m. was early, it turned out to be a brilliant start to the day,” said Hjemly, director of policy, Norsk Radiografforbund, Oslow, Norway, and an avid long-distance runner. “Running always makes me feel good.” Hjemly regularly brings running gear when he travels to conferences and meetings, but rarely

squeezes exercise into his packed agenda. “In the race I tried to push as hard as I could, and my aim was to win. Winning the big medal gave me a lot of attention during the rest of the RSNA meeting!” Although Hjemly isn’t able to attend RSNA 2014 to defend his victory, other runners are encouraged to sign up for the annual 5k Fun Run set for 6:30 a.m., Tuesday, December 2, at Arvey Field, South Grant Park, Chicago. To register, stop by the Fun Run desk (level 2.5 of

McCormick Place) from 10 a.m. to 4 p.m. Sunday and Monday only. Participants can sign up as a

runner or walker. The sign-up donation of $40 is fully tax deductible and includes a

commemorative T-shirt. Proceeds from the 5k Fun Run go to the RSNA Research & Education (R&E) Foundation to help fuel criti-

cal research to enable the best patient care. More than 650 people registered for last year’s Fun Run that raised $26,960 for the R&E Foundation.

R&E Foundation Marks Centennial with Special Announcement

percent, of an ever increasing number of excellent grant applications. “While we should be pleased with these achieve-ments, imagine what the R&E Foundation could fund with additional support from all of us as radiology colleagues,” Dr. Borgstede continued. “We are all the beneficiaries of this research. What will grow from this initial funding? What advances will emanate from it? How can we support these investigators and educators as they pursue their chosen career paths in an effort to make the specialty even stronger?” Visit the R&E Foundation Booth in RSNA Services to learn more about being a part of the Campaign and supporting the R&E Foundation and the future of the radiology specialty.

James P. Borgstede, M.D.

Håkon Hjemly, R.T., M.Sc.

While the chair of the RSNA R & E Foundation Board of Trustees looks forward every year to reporting the state of the Foundation to annual meeting attendees, addressing the audience during this Centennial is a particular honor for Chair James P. Borgstede, M.D.

Register onsite at:• Professional Registration in Hall D• Virtual Meeting booth in

RSNA Services Register online:

• RSNA.org/Virtual

Support the R&E Foundation with 5k Fun Run

Outstanding Educator

T eaching has been the life ambition

for Paula J. Woodward, M.D., which explains why the achievement she takes the most pride in is being named Teacher of the Year a total of six times from three institu-tions during her career. Dr. Woodward, an internationally renowned professor, has focused on the educational aspects of radiology while also contributing to the research side of the field. Dr. Woodward’s repu-tation as a leading expert in obstetrics comes from being the lead author of the book, “Diagnostic Imaging: Obstetrics,” currently in its second edition and con-sidered a standard in the field of fetal imaging. Dr. Woodward has published nearly 30 peer-reviewed journal articles, as well as 10 other books and nearly 200 chapters. She served as a RadioGraphics

contributing editor from 2002 to 2006. Dr. Woodward holds the David G. Bragg, M.D., and Marcia R. Bragg Presidential Endowed Chair in Oncologic Imaging at the University of Utah Medical Center, where she has also been a professor in the Department of Radiology since 2005. Dr. Woodward previously served as a Distinguished Scientist at the Armed Forces

Institute of Pathology (AFIP) in Wash-ington, D.C., as well as Genitourinary Section Chief and Radiologic-Pathologic course director at AFIP. Dr. Woodward received her medical degree from the University of Colorado School of Medicine after earning her undergraduate degree at the Univer-sity of Colorado, Boulder. Upon comple-tion of medical school, Dr. Woodward served with the U.S. Air Force (USAF) for eight years, including as a radiology resident.

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Outstanding Researcher

T heodore s. Lawrence, M.D., Ph.D., established

himself as a world renowned researcher for his pioneering use of radiation for the treat-ment of intrahepatic cancers. In particular, he led a team that developed a model that predicts the maximum safe dose of radiation that can be given to liver tumors, and showed that these higher doses could cure some previ-ously incurable cancers. Dr. Lawrence is the chair of the Depart-ment of Radiation Oncology and the Isa-dore Lampe Professor of Radiation Oncol-ogy at the University of Michigan, and co-chair of the Radiation Sciences Program of the University of Michigan Comprehen-sive Cancer Center. He is president of the Radiation Oncology Institute and the Soci-ety of Chairs of Radiation Oncology. Dr. Lawrence joined the faculty of the University of Michigan in 1987, following a fellowship in medical oncology

and a residency in radiation oncology at the National Cancer Institute. He received his research degree in cell biology from Rockefeller University, followed by his medical degree from Cornell University and an internal medicine residency at Stanford University. Dr. Lawrence is a mem-ber of the Board of Scientific Advisors of the National Can-cer Institute and a member of

the Institute of Medicine of the National Academy of Science. He is an editor of Translational Oncology, The Cancer Journal, Seminars in Radiation Oncol-ogy, and Cancer Research. Dr. Lawrence is past-president of the American Society for Radiation Oncology (ASTRO), and former chair of the National Cancer Insti-tute Board of Scientific Councilors, and a member of the Board of Directors of the American Society of Clinical Oncology (ASCO). He has received the ASTRO gold medal and an ASCO statesman award.

2014 Outstanding Researcher, Educator Honored TodayTheodore S. Lawrence, M.D., Ph.D., and Paula J. Woodward, M.D., will be honored during the RSNA 2014 Opening Session beginning at 8:30 a.m. in the Arie Crown Theater.

Theodore S. Lawrence, M.D., Ph.D.

Paula J. Woodward, M.D.

RSNA Sessions Showcase Next Generation of Image Sharing H ard copy fiLms, cds … what’s next?

Annual meeting attendees who want to glimpse the future of image sharing will want to visit the Integrating the Healthcare Enterprise (IHE®) Image Sharing Demon-stration in Booth 1336 in South Building, Hall A, where they can learn about state-of-the art methods being deployed today to make medical images and related data available securely and conveniently. Dem-onstrations will detail how radiologic care centers can share images and reports with patients and healthcare providers through image-enabled personal health record accounts, how dose reports can be used to monitor patient radiation exposure, and how clinical image data can be processed and shared for use in clinical trials and teaching files. Demon-strations take place regularly during exhibit hours and feature systems developed for the RSNA Image Share network, vendors and research organizations.

In addition, the refresher course, “The RSNA Image Share Network—How It Operates and How to Put It into Your Office,” on Wednesday from 12:30 to

2:00 p.m. in Room S501ABC, will detail the goals and techni-

cal architecture of the RSNA Image Share project. Attendees interested in implement-ing Image Share at their sites are invited to attend a town hall meeting following the refresher course.

RSNA Meeting Program Dedication

• The committee members who develop the annual meeting program and all RSNA activities

• The faculty and attendees for educational courses

• The investigators and attendees for scientific sessions

• The authors, reviewers, and readers of our journals

• The developers and users of informatics technology

While RSNA typically dedicates its Meeting Program to the memory of one or two individuals to whom the Society wants to pay tribute, this Centennial year the dedication recognizes “all who have gone before us.” At this morning’s Opening Session at 8:30 a.m. in the Arie Crown Theater, RSNA will dedicate the program to those who have established and joined the Society, and helped the Society pursue its mission and realize its vision for the past 100 years:

Read the stories of some of RSNA’s pioneers in the Daily Bulletin Commemorative Centennial Edition, starting on Page 9.

• The grantees who conduct radiologic research and the donors who support them

• The members all over the world who, inspired by our Society’s mission and vision, have spent their lives improving the care of their patients

• The residents and fellows who will pursue our Society’s mission and help realize its vision into its next century

Stop by ARR Booth to Support NIH Imaging Research A ttendees can help preserve the future of National Institutes of Health (NIH) research by visiting the Academy of Radiol-ogy Research (ARR) booth throughout RSNA 2014 to send critical emails to members of Congress.

N ih has Long supported the basic science foundations of imag-ing science, including the physics,

chemistry and engineering advances that have unlocked the power of imaging diag-nostics. Over the past decade, translational imaging has built upon these efforts to deliver meaningful clinical solutions that are saving lives and improving healthcare. However, Congressional budget cuts to NIH threaten the institutes’ record of scien-tific progress and innovation—in radiology and in all other areas of medicine. “The NIH is the world's premier medi-cal research institution, but its record of scientific progress and innovation is cur-rently threatened by unprecedented funding cuts,” said Renee Cruea, M.P.A., executive director of ARR, which serves as the imag-ing community’s voice in Washington. “At RSNA 2014, imaging scientists can help reverse this deeply troubling trend.”

Emails from constituents are an impor-tant part of the ARR's virtual grassroots advocacy campaign to support medical research. “Attendees can simply scan their badge and our system will determine their representatives in Congress and send a let-ter to each of their three legislators here in Washington,” Cruea said. “A large number of letters from RSNA attendees would have a large impact on Capitol Hill.” Attendees are invited to stop by the ARR booth and scan their badge, or use a laptop, iPad or their own mobile device to email members of Congress in support of NIH imaging research. Attendees can also contact Congress via the Acad-emy's grassroots advocacy website, action.imagingcoalition.org. The ARR booth is located in McCor-mick Place’s Grand Concourse, near the Starbucks and help desk.

Visit ACR booth #3123 South Building | Hall A

McCormick Place, ChicagoNov. 30 – Dec. 4, 2014

11.14

Visit the booth to find out what’s new from ACR Lung Cancer Screening Center — earn the designation ACR BI-RADS® Atlas 5th Edition — print and e-book Image Wisely® — Fluoroscopy

Three ways to win a $1,000 gift card1. Renew your ACR membership2. Register for ACR 2015 (members) 3. Join and Save — register for ACR 2015 and join ACR for free!

ACR at RSNA 2014 Leading Radiology Into the Future

18A D A I L Y B U L L E T I N • S U N D A Y , N O V E M B E R 3 0 , 2 0 1 4

R SNA 2014 is an excellent opportunity for meeting

attendees to add to their quality credentials. Attendees of the Qual-ity Multisession Symposium on Tuesday, Dec. 2, will have a chance to earn up to three Quality Essen-tials Certificates (QEC) designed to recognize those who demonstrate a threshold level of knowledge in quality improvement domains. A QEC is awarded to partici-pants who earn 80 percent or higher on the related SAM test.

RSNA 2014 Abstracts by Subspecialty

AbstrAct submissions by subspeciAlty Scientific Presentation (paper or poster)

Breast Imaging . . . . . . . . . . . . . . . . . . . . . . . 700

Cardiac . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 671

Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 546

Emergency . . . . . . . . . . . . . . . . . . . . . . . . . . 158

Gastrointestinal . . . . . . . . . . . . . . . . . . . . 1,041

Genitourinary . . . . . . . . . . . . . . . . . . . . . . . . 589

Health Services, Policy and Research . . . . . . . . . . . . . . . . . . . . . . . . 182

Informatics . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Molecular Imaging . . . . . . . . . . . . . . . . . . . 195

Musculoskeletal . . . . . . . . . . . . . . . . . . . . . 661

Neuroradiology/Head and Neck . . . . . . . . 195

Nuclear Medicine . . . . . . . . . . . . . . . . . . 1,040

Pediatric Radiology . . . . . . . . . . . . . . . . . . . 360

Physics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 604

Radiation Oncology and Radiobiology . . 342

Vascular and Interventional . . . . . . . . . . . 662

TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,357

Education Exhibit

Breast Imaging . . . . . . . . . . . . . . . . . . . . . . 374

Cardiac . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394

Emergency . . . . . . . . . . . . . . . . . . . . . . . . . . 265

Gastrointestinal . . . . . . . . . . . . . . . . . . . . . . 646

Informatics . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Molecular Imaging . . . . . . . . . . . . . . . . . . . . 30

Multisystem/Special Interest . . . . . . . . . . 634

Musculoskeletal . . . . . . . . . . . . . . . . . . . . . 240

Neuroradiology . . . . . . . . . . . . . . . . . . . . . . 125

Nuclear Medicine . . . . . . . . . . . . . . . . . . . 735

Obstetrics/Gynecology . . . . . . . . . . . . . . . 231

Pediatric Radiology . . . . . . . . . . . . . . . . . . 299

Physics and Other Basic Sciences . . . . . . 86

Policy and Practice . . . . . . . . . . . . . . . . . . 107

Radiation Oncology . . . . . . . . . . . . . . . . . . . 23

Uroradiology (Genitourinary) . . . . . . . . . . 261

Vascular/Interventional . . . . . . . . . . . . . . . 372

TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,110

NORTH AMERICA

38,579EUROPE

6,798 ASIA

3,782

SOUTH AMERICA

3,459 AUSTRALIA

838

AFRICA

834

TOTAL

54,290 (as of December 2014)

tuesdAy, december 28:30-10:00 A .M . (MSQI31)

Fundamentals of Lean: What, How and Why Now?( Satisfies domain: Quality Improvement in Your Practice)

10:30 A .M .-12:00 P .M . (MSQI32)

Implementing Lean in Your Practice( Satisfies domain: Radiologist Performance Improvement)

1:30-3:00 P .M . (MSQI33)

The Lean Toolbox in Practice(Satisfies domain: Staff and Patient Safety)

Quality Certificates Can Be Earned at RSNA 2014

rsnA membership exceeds 54,000A record 13,467 abstracts were submitted for consideration for presentation at RSNA 2014.

T he final selections for scientific presentations were made in mid-July; 1,754 scientific papers and 949 posters were accepted. Notices for education exhibits

were sent in mid-June; 2,151 were accepted.