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O CTOBER 2004 V OLUME 14, N UMBER 10 RSNA 2004 Meeting Preview and Restaurant Guide Also Inside: RSNA 2004 to Feature Focus Session on Medical Simulators Scientific Program Reflects RSNA 2004’s Role as a Global Forum Diagnostic Radiology Earns Highest Four-Year Pay Increase Scientists Reach Important Milestone in Nanoscale MR Research HHS Launches “Decade of Health Information Technology” Final Advance Registration for RSNA 2004 November 12

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  • OCTOBER 2004 ■ VO LU M E 14, NUMBER 10

    RSNA 2004 Meeting Previewand Restaurant Guide

    Also Inside:■ RSNA 2004 to Feature Focus Session on Medical Simulators■ Scientific Program Reflects RSNA 2004’s Role as a Global Forum■ Diagnostic Radiology Earns Highest Four-Year Pay Increase ■ Scientists Reach Important Milestone in Nanoscale MR Research■ HHS Launches “Decade of Health Information Technology”

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  • RSNA NewsOctober 2004 • Volume 14, Number 10

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

    POSTMASTER: Send address correction“changes” to: RSNA News, 820 Jorie Blvd., OakBrook, 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 ©2004 bythe Radiological Society of North America, Inc.

    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]

    RSNA Membership: (877) RSNA-MEM

    OCTOBER 2004

    1 People in the News2 Announcements3 Letter to the Editor3 Erratum

    Feature Articles 5 RSNA 2004 to Feature Focus Session on Medical

    Simulators7 HHS Launches “Decade of Health Information

    Technology”9 Diagnostic Radiology Earns Highest Four-Year Pay

    Increase 11 Scientists Reach Important Milestone in Nanoscale

    MR Research

    RSNA 2004 Preview13 Scientific Program Reflects RSNA 2004’s Role as a

    Global Forum17 Gold Medalists19 Honorary Members21 Sessions/Exhibits/Special Information

    Funding Radiology’s Future35 R&E Foundation Donors

    36 Program and Grant Announcements37 Radiology in Public Focus38 Journal Highlights39 RSNA: Working for You40 Product News41 Meeting Watch44 Exhibitor News45 RSNA.org46 Chicago Restaurants Dish Up Something for Everyone

    at RSNA 2004

    E D I T O RSusan D. Wall, M.D.

    D E P U T Y E D I T O RBruce L. McClennan, M.D.

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

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

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

    E D I T O R I A L A D V I S O R SDave Fellers, C.A.E.

    Executive Director

    Roberta E. Arnold, M.A., M.H.P.E.Assistant Executive DirectorPublications and Communications

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

    Chair

    Bruce L. McClennan, M.D.Vice-Chair

    Lawrence W. Bassett, M.D.Richard H. Cohan, M.D.David S. Hartman, M.D.Richard T. Hoppe, M.D.William T.C. Yuh, M.D., M.S.E.E.Hedvig Hricak, M.D., Ph.D.

    Board Liaison

    C O N T R I B U T I N G W R I T E R SStephen BarlasBruce K. DixonJoan DrummondAmy Jenkins, M.S.C.Mary E. Novak

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

    W E B M A S T E R SJames GeorgiKen Schulze

    2 0 0 4 R S N A B O A R D O F D I R E C T O R SRobert R. Hattery, M.D.

    Chairman

    R. Gilbert Jost, M.D.Liaison for Annual Meeting and Technology

    Theresa C. McLoud, M.D.Liaison for Education

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

    Hedvig Hricak, M.D., Ph.D.Liaison for Publications and Communications

    Burton P. Drayer, M.D.Liaison-designate for Annual Meeting andTechnology

    Brian C. Lentle, M.D.President

    David H. Hussey, M.D.President-elect

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

    Radiology Welcomes New Perspectives EditorJames H. Thrall, M.D., has been appointedPerspectives Editor for Radiology. Dr.Thrall is the Juan M. Taveras Profes-sor of Radiology at Harvard MedicalSchool and radiologist-in-chief atMassachusetts General Hospital.Perspectives is a bimonthly com-mentary on the social, economic andpolitical changes affecting medicine.

    Dr. Thrall replaces Richard M.Friedenberg, M.D., who is retiring from theposition after serving for more than 11 years.

    In his final article as Perspective’s Editor, Dr. Friedenberg reviews some of his previous

    articles, indicating whether his predic-tions and speculations have provedcorrect.

    RSNA members and subscriberscan read Dr. Friedenberg’s valedictoryarticle in the August issue of Radiol-ogy at rsna.org/radiologyjnl. Click onSelect an Issue from the Archive, click

    on August 2004 in the top center of the page,then click on Perspectives.

    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.

    Gooding EarnsAOSR GoldMedalCharles A. Good-ing, M.D., a profes-sor of radiology andpediatrics at the Uni-versity of California,San Francisco, hasbeen awarded thegold medal of theAsian & Oceanian Society of Radiol-ogy (AOSR) for his contributions toglobal medical education.

    Dr. Gooding is a past-president ofthe Society for Pediatric Radiology andis the founder and past-president of theRadiology Outreach Foundation, whichhas contributed $10 million in radiol-ogy education materials to developingcountries.

    Hitoshi Katayama, M.D., of Tokyo,also received an AOSR gold medal.

    PEOPLE IN THE NEWS

    The American Society for TherapeuticRadiology and Oncology (ASTRO) willaward its 2004 gold medal to three distin-guished scientists during the ASTROannual meeting this month in Atlanta. Theyare Eli J. Glatstein, M.D., Luka Milas,M.D., Ph.D., and Paul Wallner, D.O.

    “I’m very proud of our three outstand-ing gold medalists,” said ASTRO ChairJoel E. Tepper, M.D. “It is a testament to

    the high caliber of physicians and scientistswho are members of our society.”

    ASTRO has also elected three newofficers. They are: • K. Kian Ang, M.D., Ph.D. – President-

    elect• Albert L. Blumberg, M.D. – Govern-

    ment Relations Council Vice-Chair• Anthony L. Zietman, M.D. – Education

    Council Vice-Chair

    James H. Thrall, M.D.

    Charles A. Gooding, M.D.Eli J. Glatstein, M.D. Luka Milas, M.D., Ph.D. Paul Wallner, D.O.

    Berman Joins CompuMed BoardMedical informatics company Com-puMed, Inc., has appointed PhillipM. Berman, M.D., to its board ofdirectors.

    Dr. Berman, from Coronado,Calif., founded three successful radi-ology practices, served as chairman of

    three radiology departments andfounded two successful for-profitimaging centers.

    “We are pleased to add Dr.Berman to CompuMed’s board,” saidRobert Stuckelman, the company’sfounder and chairman. “His business

    and medical expertise will comple-ment the experience of our existingpersonnel, and open new opportuni-ties for CompuMed in the rapidlyexpanding medical imaging industry.”

    ASTRO Names 2004 Gold Medalists

  • 2 R S N A N E W S O C T O B E R 2 0 0 4

    ANNOUNCEMENTS

    PEOPLE IN THE NEWS

    The Society of Nuclear Medi-cine’s (SNM) Image of the Yearreflects the theme of the 2004SNM annual meeting—creating life-time images of health and disease.

    The image is actually a series ofimages from a study performed byHamamatsu Medical Imaging Centerin Japan, the University of Washing-ton in Seattle and the University ofMichigan in Ann Arbor. The study istitled, “Brain FDG PET Imaging in aPopulation-Based Cohort of Asymp-tomatic Subjects: Initial Findings.”

    SNM Past-President Henry N.Wagner Jr., M.D., tied the image tohis vision of healthcare for the futureduring the Highlights Lecture at theSNM annual meeting. “I envision anInternational Health ManifestationDatabase (IHMD) where everyone willhave a periodically updated portableelectronic record that contains lifetimemanifestations of his or her state ofhealth,” he said. “Rather than trying togive a name to a patient’s disease, put-ting him or her in a disease ‘box,’ theperson’s electronic health record will

    reveal all the ‘manifestations’ of thepatient’s health and illness. The mani-festations on a patient’s ‘health chip’can be automatically compared to theIHMD to characterize illness, predictwhat is likely to happen and suggestpossible treatment.”

    The images in the Image of theYear are composites of brain scans of31 Alzheimer’s disease patients and

    551 normal patients. Because they arecomposites, the images reveal commonfunctional characteristics of the brain-wasting disease. They form anAlzheimer’s disease database that can be compared with an individualpatient’s brain scan to see if that person’s brain is exhibiting similarcharacteristics.

    Image Demonstrates Future of Medicine

    Mayr Joins Ohio State Nina A. Mayr, M.D., is the newchair of the Department of Radi-ation Oncology at Ohio StateUniversity in Columbus. Dr.Mayr previously was a professorand chief of the Section of Radi-ation Therapy and vice-chair-man of the Department of Radi-ological Sciences at the Univer-sity of Oklahoma HealthSciences Center.

    CIR Announces New Boardof DirectorsThe InterAmerican College of Radiol-ogy (CIR) has named its 2004-2006Board of Directors. They are: • Miguel E. Stoopen, M.D.

    – President, México City• Pablo R. Ros, M.D., M.P.H.

    – President-elect, Boston• Francisco A. Quiroz, M.D.

    – Secretary-General, Milwaukee• Ricardo D. García Mónaco, M.D.

    – Treasurer, Buenos Aires

    Miguel E. Stoopen, M.D.

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

    ANNOUNCEMENTS

    RSNA 2004 Logo Wins Design AwardThe logo for the 90th RSNA Scientific Assembly and Annual Meetingis the winner of a 2004 American Graphic Design Award.

    Of all the entries submitted, a national panel of judges choseonly 12 percent to receive specialrecognition.

    The American GraphicDesign competition is sponsoredby Graphic Design USA, a monthly business-to-business magazine forprofessional graphic designers and related creative and production professionals.

    RSNA 2004 DedicationsRSNA President BrianC. Lentle, M.D., hasannounced the followingdedications for the 90thRSNA Scientific Assem-bly and Annual Meeting:

    The RSNA MeetingProgram will be dedi-cated to the memory ofSir Godfrey Hounsfield, D.Sc.,the father of computed tomogra-phy, who died in August at theage of 84.

    The Annual Orationin Radiation Oncologywill be dedicated toHywel Madoc-Jones,M.D., Ph.D., a formerradiation oncologist-in-chief at Tufts-NewEngland Medical Cen-ter, who died in Janu-

    ary from pancreatic cancer at theage of 65.

    2004 Introduction to Research forInternational Young Academics The RSNA Board of Directors has approved 17participants for this year’s Introduction toResearch for International Young Academics pro-gram, administered by RSNA’s Committee onInternational Relations and Education (CIRE).The participants are:

    The focus of the Introduction to Research forInternational Young Academics program is toencourage young radiologists from countries out-side of the United States and Canada to pursuecareers in academic radiology.

    The program consists of a special seminarthat is held during the RSNA Scientific Assemblyand Annual Meeting. The participant receivescomplimentary annual meeting registration and a$1,000 grant is provided to the individual’sdepartment to help advance their academic career.

    Deadline for nominations each year is April15. For more information, go to www.rsna.org/international/CIRE/iyaseminar.html or contactFiona Miller at (630) 590-7741 or [email protected]

    International Young Academic Country

    Diego A. Aguirre Matallana, M.D. Columbia

    Cyrillo Araujo Jr., M.D. Brazil

    Carmen Caballero, M.D. Mexico

    Sorana Daniela Bolboaca, M.D. Romania

    Maia Gagua, M.D. Republic ofGeorgia

    Fabricio G. Goncalves, M.D. Brazil

    Gurpreet Singh Gulati, M.D. India

    Aki Kido, M.D. Japan

    Chan Kyo Kim, M.D. South Korea

    Eric T. Kimura Hayama, M.D. Mexico

    C. George Koshy, M.D. India

    Ana Carolina Motta, M.D. Brazil

    Petri Sipola, M.D. Finland

    Kushaljit Singh Sodhi, M.D. India

    Aija Teibe, M.D. Latvia

    Marina Ulla, M.D. Argentina

    Winfried A. Willinek, M.D. GermanyNIH LaunchesAnnual StudentLoan RepaymentProgramThe National Institutesof Health (NIH) isaccepting applicationsuntil December 15 forits 2004 student loanrepayment program.

    The program pro-vides up to $35,000 forrepayment of qualified educational debt from health profes-sionals pursuing careers in clinical, pediatric, contraceptionand infertility, or health disparities research. The program alsoprovides coverage for Federal and state tax liabilities.

    Details and the online application are available atwww.lrp.nih.gov.

  • 4 R S N A N E W S O C T O B E R 2 0 0 4

    ERRATUM

    In the article, “RSNAExpands Interactive Edu-cation Opportunities,”featured in the July 2004issue of RSNA News, wewant to point out that inthe photo Dr. Jost isusing the Electronic Pre-sentation Online System™(EPOS), which debutedat the 2003 EuropeanCongress of Radiology(ECR). See page 31 foran update on EPOS.

    NIBIB Convenes Panel on IntramuralResearchThe National Institute of Biomedical Imaging andBioengineering (NIBIB) has established a Blue Rib-bon Panel on Intramural Research. The panel willmeet this fall to provide recommendations to theNational Advisory Council on Biomedical Imagingand Bioengineering and NIBIB Director Roderic I.Pettigrew, Ph.D., M.D., on the planning and devel-opment of an intramural research program withinNIBIB.

    Specifically, the panel will provide recommenda-tions on scientific directions, unique research oppor-tunities and possibilities for collaboration. Co-chairsof the panel are John Linehan, Ph.D., P.E., vice-presi-dent for bioengineering for The Whitaker Foundation,and James Thrall, M.D., radiologist-in-chief in theDepartment of Radiology at Massachusetts GeneralHospital and Harvard Medical School in Boston.

    ANNOUNCEMENTS

    The NIBIB Blue Ribbon Panel on Intramural Research will meet this fallat the William H. Natcher Building—the gateway to the NIH campus.

    RSNA Advance Coursein Grant WritingA dozen people participated inthe RSNA Advance Course inGrant Writing, held in Septem-ber at RSNA Headquarters inOakbrook, Ill. It was the firstof four sessions for the group.Janet S. Rasey, Ph.D. (left inphoto at right), a professor ofradiation oncology and directorof research funding at the Uni-versity of Washington in Seat-tle, was the course instructor.For more information on theprogram, go to www.rsna.org/research/grantwriting/.

  • 5R S N A N E W SR S N A N E W S . O R G

    Picture this: Medical students standaround a patient in an emergencyroom setting. The patient com-plains of severe abdominal pain. Fol-lowing a diagnosis of sigmoid volvu-lus, a student injects a bolus of 10 mgmorphine. The patient develops respira-tory arrest and nearly dies. The patientis reprogrammed for the next lesson.

    The patient isn’t real. It is a high-fidelity medical simulator that talks,blinks, breathes and moves just like areal patient. Physiologic data, includingheartbeat, oxygenation and blood pres-sure are displayed on a real-time car-diac monitor, alongside customized lab-oratory results and imaging studies.This particular scenario is part of aneducational module created in the late1990s by Harvard anesthesiologistsJohn Pawlowski and Marty Gallagherat the Center for Medical Simulation inBoston.

    Working with the Center, James A.Gordon, M.D., M.P.A., an emergencyphysician at Massachusetts GeneralHospital, now directs the new G.S.Bechwith Gilbert and Katharine S.Gilbert Medical Education Program inMedical Simulation at Harvard MedicalSchool.

    “Simulation is to medical educationwhat the microscope was to science,”says Nancy Oriol, M.D., Harvard’sassociate dean for student affairs. Orig-inally costing up to $200,000, full-bodypatient simulators are now available forunder $50,000.

    Gary J. Becker, M.D., RSNABoard Liaison for Science and branchchief of image-guided intervention forthe Cancer Imaging Program at theNational Cancer Institute, agrees thatmedical simulators represent thefuture of medical education. “Follow-

    ing the exercise previously described,the students learned that they shouldhave applied book knowledge in theemergency room,” he says. “In theheat of battle, no one thought toreverse the effects of morphine sulfatewith IV Narcan. This example of atangible experience, with failure torecall and implement a life-savingtreatment, is arguably a much betterteaching method than a textbook.”

    At RSNA 2004 a hot topic focussession will be held on Wednesday,December 1 to highlight the use of med-ical simulators to educate radiologists—especially interventional radiologists.The session will also demonstrate howto use medical simulators to problem-solve in various medical scenarios.

    One of the presenters, Anthony G.Gallagher, Ph.D., from Emory Univer-sity, co-authored the first randomized,double-blinded study of virtual reality

    simulation in the training of surgicalresidents. The 2002 study demonstratedthat residents trained on simulators toperform laparoscopic cholecystectomyperformed 30 percent faster and weresix times less likely to have intraopera-tive errors. Dr. Gallagher says a follow-up study with more complete data willbe presented this month at the AmericanCollege of Surgeons clinical congress.

    “Minimally invasive procedures,especially image-guided interventions,are changing medicine,” says Dr. Gal-lagher. “What we’re seeing in carotidstenting is the convergence of interven-tional radiology, interventional cardiol-ogy, and vascular and neurovascularsurgery. The FDA says that in order toperform procedures such as carotidstenting, you have to demonstrate acertain level of proficiency. The way toincrease your proficiency is through

    RSNA 2004 to Feature Focus Session on Medical Simulators

    FEATURE HOT TOPIC

    Continued on next page

    Steven L. Dawson, M.D. (left), helps a student learn how to place a chest tube intoa simulated patient. The monitor shows a representation of the internal positionof the tube on an augmented display.

  • 6 R S N A N E W S O C T O B E R 2 0 0 4

    medical simulation. This is a huge para-digm shift in medicine.”

    Focus session moderator Steven L.Dawson, M.D., an associate professorof radiology at Harvard, says medicaleducation must be modernized. “Medi-cine is using the same teaching modelthat Egyptians used 4,000 years ago. IfI’m a doctor in a teaching hospital anda sick person comes in, I learn whiletreating that person. If I need to learnhow to treat a particular disease and noone with that disease shows up, I’m outof luck.”

    He adds that the system may haveworked fine for many years, but timeshave changed. “We are in a crucial timein medical education where revolutionsin computing, mathematics, engineeringand education surround us,” Dr. Daw-son says. “Our challenge is to grab thebest of these revolutions and create anew way of medical learning. Prototyp-ing new procedures in silico gives awhole new meaning to the phrase, ‘thepractice of medicine.’”

    Dr. Gordon will also participate inthe focus session. His educationalmodel of “full-body, immersive simula-tion” strives to replicate a full clinicalencounter between a physician and apatient. He and his colleagues workwith a robot-mannequin named “Stan,”short for standard patient.

    “The purpose of full-body patientsimulation in my own work is to recre-ate a provider’s emotional reaction tothe care process,” explains Dr. Gordon,who is an inaugural member of theBoard of Overseers of the new Societyfor Medical Simulation. “In doing so,students using the simulator can inte-grate and remember material in a pow-

    erfully instructive way. Imagine a grouptaking care of Stan, who is having aheart attack and complains, ‘Doctor, mychest hurts.’ In the midst of theencounter, you could show the studentsa coronary angiogram to demonstratethe blocked artery. Byjuxtaposing ‘real-time’diagnostic imagesalongside simulatedclinical encounters, Ithink students can moreeasily integrate relevantanatomy and radiologywith overall patientcare.”

    The RSNA 2004focus session will famil-iarize attendees with thestate of the art of simu-lation and raise aware-ness of the concept’s full potential.

    “As a trustee for the AmericanBoard of Radiology (ABR), I envisionthe possibility of assessing a physician’sability to do a procedure,” says Dr.Becker. “When a radiologist comes infor an oral exam, instead of showing animage and discussing how the patientwould be managed, we could have theradiologist actually care for the patient.”

    Dr. Becker says medical simulationtraining also can help to counter theeffects of the 80-hour workweek limitsfor residents. “There’s a substantial andmeasurable decrease in the experiencethat residents are now getting,” says Dr.Becker, who cites information fromBoston Children’s Hospital that there’sbeen a 33 percent decline in the numberof procedures performed by otolaryn-gology residents since the new workrules took effect. “Medical simulatorscould play a role to help this situation.”

    Dr. Becker proposes that radiologycreate a strategic approach to medicalsimulation with help from educators,RSNA staff and volunteers, academics,the simulation industry and ABR repre-sentatives. “Without a high level of

    commitment and an over-arching approach, radiol-ogy is in danger of beingleft in the dust of othermedical specialties,” saysDr. Becker. “Emergencymedicine, anesthesia andsurgery embraced thetopic a long time ago.Interventional cardiologyis now on board as well.Although they are aheadof us, there is so muchstill to be done that wecan certainly catch up if

    we seize the opportunity. But we willneed a significant investment of time,energy and resources, as well as athoughtful strategic approach that makessense for the entire discipline.”

    RSNA’s belief that medical simula-tor technology will play an increasinglyimportant role in radiology educationhas resulted in a collaborative work-group involving RSNA and the Societyof Interventional Radiology.

    A hands-on exhibit on medical sim-ulation will be featured at RSNA 2004in the infoRAD area. For more infor-mation about the exhibit or about thehot topic focus session, “Is MedicalSimulation a Part of Your Future? Edu-cation in the Era of Patient Safety,” goto rsna2004.rsna.org and click onMeeting Program in the left-hand col-umn. Also see page 45 for a mini-tuto-rial on how to use the online RSNAMeeting Program. ■■

    In order to perform pro-

    cedures such as carotid

    stenting, you have to

    demonstrate a certain

    level of proficiency. The

    way to increase your

    proficiency is through

    medical simulation.

    Anthony G. Gallagher, Ph.D.

    Continued from previous page

    • Medical student education• Aptitude testing for specialty

    training• Specialty-specific clinical scenar-

    ios in residency training (e.g.,response to life-threatening con-trast reactions in radiology)

    • Procedure training—impartingessential skills, impacting thelearning curve, reducing errors

    • Addition of advanced skills tobasic ones already acquired(e.g., learning new procedures,such as carotid stenting, on a

    background of basic skills inangiography, angioplasty,stenting, etc.)

    • Re-credentialing in hospitals• Assessment (e.g., board exam-

    inations)

    • Maintenance of skills (practicehours logged in, as on a flight)

    • Practice improvement/qualityassurance

    Dr. Becker says medical simulators can be beneficial in:

  • 7R S N A N E W SR S N A N E W S . O R G

    Health and Human Services (HHS)Secretary Tommy Thompson dideverything but wear a train con-ductor’s hat and toot a whistle when heunveiled the first outline of a 10-yearplan to transform the delivery ofhealthcare by building a new healthinformation infrastructure.

    At a secretarial summit on healthinformation technology on July 21 inWashington, D.C., Thompson excitedlyannounced, “The train is leaving thestation!”

    Thompson’s exhilaration seemed tostem from the fact that people arefinally listening to him. He noted thathe has been talking about digitalhealthcare records for the past threeyears—and few have seemed to listen.But on that morning, more than 1,400people attended the summit.

    “America needs to move muchfaster to adopt information technologyin the healthcare system,” he said.“Electronic health information will pro-vide a quantum leap in patient power,doctor power and effective healthcare.”

    With Thompson at the podium wasRobert Goldszer, M.D., M.B.A., associ-ate chief medical officer and director ofprimary care in the Department ofMedicine at Brigham and Women’sHospital (BWH) in Boston. Dr. Gold-szer had actually hopped aboard thetrain a decade ago. He says the 10 pri-mary care sites in his network havealready established electronic medicalrecords for every patient.

    Dr. Goldszer says that in his net-work, physicians can order an imagingstudy through the radiology site on thehome portal page. The physician’s andpatient’s contact information and otherdata are automatically entered as partof the request, he says, adding that

    improved accuracy saves money, asdoes the radiology department’s print-ing of imaging studies on CD asopposed to film. The availability ofdigitized imaging studies online, withthe exception of mammography, alsoallows primary care physicians to viewthose studies whenever and whereverthey want.

    BWH is apparently the exception.The overwhelming majority of hospi-tals and physician practices have beenslow to accept computerization. Hospi-tal use of electronic health records(EHRs) in 2002 was reported at 13 per-cent, according to an HHS fact sheet.Adoption by physicians’ practices var-ied from 14 percent to a possible highof 28 percent, depending on the size ofthe practice.

    Just as adoption of EHRs has beenslow, so will efforts to translate thestrategic vision presented at the sum-mit. David J. Brailer, M.D., Ph.D., thenew national coordinator for HealthInformation Technology (HIT) candidly

    admitted as much. Dr. Brailer prepared the report,

    “The Decade of Health InformationTechnology: Delivering Consumer-cen-tric and Information-Rich HealthCare,” that was released at the summit.The report says federal leadership canhelp hasten efforts to be carried out bythe private sector. The report identifiesfour major goals with strategic actionareas for each:• Goal 1 - Inform Clinical Practice: Bringing

    information tools to the point of care,especially by investing in EHR sys-tems in physician offices and hospitals.

    • Goal 2 - Interconnect Clinicians: Building aninteroperable health information infra-structure, so that records follow thepatient and clinicians have access tocritical healthcare information whentreatment decisions are being made.

    • Goal 3 - Personalize Care: Using healthinformation technology to give con-sumers more access and involvementin health decisions.

    HHS Launches “Decade of HealthInformation Technology”

    FEATURE TECHNOLOGY

    Continued on next page

    Tommy ThompsonHealth and Human Services Secretary

    David J. Brailer, M.D., Ph.D.National Coordinator for HealthInformation Technology

  • 8 R S N A N E W S O C T O B E R 2 0 0 4

    • Goal 4 - Improve Population Health:Expanding capacity for public healthmonitoring, quality of care measure-ment, and bringing research advancesmore quickly into medical practice.

    The framework lists a number ofactions HHS will begin over the nextyear to accelerate medicine’s embraceof electronic records, but Dr. Braileremphasized: “This is a framework. It isnot a full-blown strategic plan. It isintended to stimulate dialogue.”

    Cost of the InitiativeWhile cost didn’t come up during thesummit, cost implications were dis-cussed after the summit. “Dr. Brailer’splan relies on strategies that the Ameri-can College of Physicians (ACP) haspreviously identified as crucial for suc-cess, such as providing incentives forthe adoption of HIT and promulgatinginteroperable standards,” says JohnTooker, M.D., M.B.A., chief executiveofficer of ACP. “Approximately half ofthe practicing physicians in the UnitedStates work in practices with six orfewer physicians. The average cost foran EHR system is $30,000 per physi-

    cian. This initial cost, combined withthe expense for transferring patientrecords and maintaining the system,often puts these systems out of thereach of small physician practices.”

    Thompson has saidhe would appoint anHIT Leadership Panel,composed mostly ofindustry executives,who will report to himby the end of this fallon specific options forreaching general objec-tives of the strategicframework.

    Thompson also says HHS isexploring ways to work with the pri-vate sector to develop product stan-dards for EHR functionality, interoper-ability and security.

    Integrating the Healthcare Enterprise InitiativeSix years ago, RSNA and the Health-care Information and ManagementSystems Society (HIMSS) launchedthe Integrating the Healthcare Enter-prise (IHE) initiative. Under IHE,RSNA and HIMSS are helping tech-

    nology professionals and healthcareindustry leaders improve the way com-puter systems in healthcare share criti-cal information. This involves estab-lishing a common language so that

    images and patient datacan be easily and effi-ciently communicatedacross the healthcareenterprise.

    “IHE was a corner-stone of several propos-als that came out of thebreakout sessions at thesummit,” says David S.

    Channin, M.D., a member of theRSNA Electronic CommunicationsCommittee. “RSNA can be very proudthat the IHE initiative is at the leadingedge in the development of EHR.”

    HIMSS President H. StephenLieber, C.A.E., was also at the summit.“HIMSS will work closely with Dr.Brailer and his office to enhance theirunderstanding of IHE and to demon-strate how IHE meets their present andfuture interoperability goals,” he says,adding that RSNA and HIMSS willalso seek federal endorsement and

    Continued from previous page

    RSNA can be very proud

    that the IHE initiative is

    at the leading edge in the

    development of the

    electronic health record.

    David S. Channin, M.D.

    Showcase Exhibit at RSNA 2004The infoRAD showcase exhibitat RSNA 2004 will highlightIHE stories from users whohave successfully implementedvarious aspects of IHE. Therewill also be a hands-on exhibitshowing an advanced filmlessenvironment based on IHEcapabilities.

    For more information oninfoRAD at RSNA 2004, seepage 26.

    The RSNA 2003 Showcase Exhibit was titled “Pathway to Progress.”

    Continued on page 10

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

    Anew survey by the AmericanMedical Group Association(AMGA) shows diagnostic radi-ologists in group practices remainamong the highest-paid specialists inthe United States. Not only did diag-nostic radiologists enjoy strong com-pensation increases in 2003, but also,over the past four years, they have seenlarger percentage and dollar increasesthan any of the other 27 medical spe-cialties studied.

    In 2003 the median compensationfor a diagnostic interventional radiolo-gist was $410,250—the second highestin the survey. Cardiac/thoracic sur-geons took the top spot at $416,896. In2002, median income for a diagnosticinterventional radiologist was at$401,000, slightly higher than the$400,500 reported for cardiac/thoracicsurgeons.

    Diagnostic non-interventional radi-ologists maintained fifth-ranked statusin median compensation in 2003 at$345,619, behind catheter lab cardiolo-gists ($368,938) and orthopedic sur-geons ($354,495).

    Four-Year EvaluationEvaluation of radiology salaries overthe past four years demonstrates con-tinuing demand in the specialty. Since2000, diagnostic interventional radiolo-gists have seen a 34 percent increase inmedian salary; diagnostic non-inter-ventional radiologists saw an increaseof nearly 32 percent. That translates toa $104,250 jump in median compensa-tion for interventional radiologists andan $83,040 increase for non-interven-tional radiologists since 2000.

    “The single biggest driver ofsalaries is the availability of specialiststhat medical groups are looking for.

    There is still a shortage of availableradiologists and this is driving up theirmarket value,” says Donald W. Fisher,Ph.D., AMGA president and CEO.

    The AMGA salary survey, releasedin July 2004, came from204 multispecialtygroups. But Dr. Fishersays the data are relevantfor single specialtygroups, who are, in mostcases, paid more.

    “We think it’s appro-priate and valuable to dothis kind of benchmarking. It’s impor-tant for physicians to take a look attheir compensation strategy and to seewhat changes need to be made to beattractive to members of their profes-sion,” he says. “We also do productiv-ity measures. It allows our members tosee if they are working as hard as theirpeer group. We like to see how we’redoing.”

    ProductivityDiagnostic radiologists also showedstrong results in gross charges—ameasure of a physician’s productivity.Non-interventional diagnostic radiolo-gists saw a 32 percent increase in

    median gross charges from 2000 to2003, while interventional radiologistssaw an increase of nearly 11 percent.The top three specialties finishing thefour-year survey period with the high-

    est percentage changesin gross charges arepathology (43 percent),urology (42 percent)and gastroenterology(38 percent).

    AMGA says grosscharges are importantto measure, not just for

    productivity data, but also because thenumbers are used in determiningphysician compensation.

    Work RVUsA third category reviewed by AMGA iswork RVUs, or technical relative valueunits. The numbers are established byMedicare and are used in its fee for-mula, along with practice and malprac-tice expenses. The work RVU indicatesthe professional value of services pro-vided by a physician.

    “RVUs take into account calcula-tions involving patients and proceduresperformed, along with the skill of the

    There is still a shortage of

    available radiologists

    and this is driving up

    their market value.

    Donald W. Fisher, Ph.D.

    Diagnostic Radiology EarnsHighest Four-Year Pay Increase

    FEATURE WORKFORCE

    Continued on next page

    2003 Median Physician Compensation

    Cardiac/thoracic surgeon $416,896

    Diagnostic radiologist (interventional) $410,250

    Catheter lab cardiologist $368,938

    Orthopedic surgeon $354,495

    Diagnostic radiologist (non-interventional) $345,619

    Source: AMGA

    ■ To view the entire Median Physician Compensation 2000–2003 chart developed by AMGA,go to rsna.org/publications/rsnanews/oct04/salary-2.html.

  • 10 R S N A N E W S O C T O B E R 2 0 0 4

    physician and the risk of the proce-dure,” says Brad Vaudrey, a managerwith RSM McGladrey, Inc., the firmAMGA hires to conduct the yearly sur-vey. “The Centers for Medicare &Medicaid Services (CMS) provides thevalue for each procedure, and we’vefound that 40 percent of physicians ingroup practices use RVUs as a measurefor compensation decisions.”

    In analyzing the RVU data,McGladrey found interventional radiol-ogists at the top of the list with amedian 8,726 work RVUs in 2003—down slightly from 2002. In secondplace were the cardiac/thoracic sur-geons with 8,107 work RVUs, followedby gastroenterologists (7,219), ophthal-mologists (7,200) and non-interven-tional radiologists with 7,183 workRVUs—an increase from 2002.

    Catheter lab cardiologists saw thelargest single-year decline in medianwork RVU productivity at 12.39 per-cent.

    Baby Boomer Impact?While demand for radiologists contin-ues to be strong, the changes in com-pensation figures demonstrate a slightshift in the recruiting landscapereflected in this year’s data from theMerritt, Hawkins and AssociatesReview of Physician Recruiting Incen-tives. In 2003, radiologists were themost highly recruited of the medicalspecialties. The 2004 study of incomeoffered to the top 15 recruited special-ties showed the strong demand fororthopedic surgeons just edged radiolo-gists into second place. Average incomeoffers to recruited radiologists rosefrom $317,000 in 2003 to $336,000 thisyear, reflecting a strong and steadydemand in the profession. The averageincome of newly recruited orthopedicsurgeons is slightly lower than radiolo-gists at $330,000, but the number ofsearches conducted in the specialty hasgrown from 140 in 2001, to 210 in2004. The number of searches MerrittHawkins conducted for radiologists fellfrom 230 last year to 202 this year.

    “We attribute this to the natural

    cycle of physician recruitment in whichefforts tend to focus on certain areas ofhigh demand which, over a period ofseveral years, are eventually addressedby many providers,” analysts for Mer-ritt Hawkins reported in their annualsurvey. The company also attributesstrong demand for radiologists andorthopedic surgeons to an aging popu-lation that wants to remain active.

    “Older patients utilize x-rays andother imaging modalities at a rate threetimes higher than younger people,” saidthe Merritt report. “Demand (for ortho-pedic surgeons) is being driven by the‘active elderly’ and aging babyboomers who are seeking to maintainvibrant lifestyles and often requireorthopedic surgery to do so.”

    This information should make radi-ologists feel positive about their futureearning power. “Based on these num-bers and our experience, radiology isstill going to be a high-demand spe-cialty and practitioners should expectabove-inflationary compensationincreases,” says Vaudrey. ■■

    Continued from previous page

    support of the IHE initiative.“With many organizations now

    vying for the available federal dollarsfor this new plan, RSNAand HIMSS will continueto work with Dr. Brailerto move his agenda for-ward,” Lieber says. “Thekey will be for the gov-ernment to provide ade-quate support to drive industry towardaccomplishment of Dr. Brailer’sagenda.”

    Dr. Channin adds, “The very suc-cessful IHE process is being recognized

    as one way to organize the monstroustask of developing an electronic healthrecord. IHE has solved some very com-plex technical problems as to how to

    get heterogeneous informa-tion systems to interoperateto get the job done.Although IHE has its rootsin radiology, it is nowaddressing needs in intra-and inter-institutional situa-

    tions. RSNA and HIMSS, as co-devel-opers of IHE, must now lead the wayin developing standardized content forthe radiology components of the EHR.”

    Since IHE was established in 1998,

    it has expanded from radiology and ITinfrastructure to cardiology and clinicallaboratory and pathology. The Ameri-can College of Cardiology recentlyagreed to sponsor the IHE work in car-diology. IHE has also grown interna-tionally with activities under way inAsia, Europe and North America. ■■

    Notes: To view the HIT Report At-A-Glancefrom HHS, go to www.hhs.gov/news/press/2004pres/20040721.html. To view the newsrelease from HHS on the summit, go towww.hhs.gov/news/press/2004pres/20040721a.html.

    Continued from page 8

    HHS Launches “Decade of Health Information Technology”

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

    Using magnetic reso-nance technology 10million times moresensitive than medical MRimaging devices, scientistscan detect the faint magneticsignal from a single electronburied inside a solid sample.This discovery is an impor-tant step in the quest toachieve three-dimensionalimaging of the atomic struc-ture of molecules.

    The technique, devel-oped at IBM’s AlmadenResearch Center in SanJose, Calif., is called MRforce microscopy (MRFM).It shares some characteris-tics with MR imaging, butuses a very different type ofsensor.

    “MR imaging is a verypowerful technique becauseit can look below surfacesand view three-dimensionalstructures,” says DanielRugar, Ph.D., manager of nanoscalestudies at IBM. “The one disadvantagewith MR imaging is that it takesaround a million trillion protons inorder to generate a detectable signal.Thus each pixel, or voxel, in an MRimage requires this very large numberof hydrogen atoms. Because so manyhydrogen atoms are required, spatialresolution is limited.”

    Even the most specialized MRmicroscopes require at least a trillionprotons, he says, which limits the spa-tial resolution to about one micrometer.

    Dr. Rugar’s team is trying to over-

    come this sensitivity limitation. Theyeventually hope to be able to detect anindividual proton, which would openup the possibility that an MR imaging-like technique could someday be ableto display 3D images of the atomicstructure of molecules.

    The detection of the magnetic sig-nal from an individual electron spin isan important intermediate milestone.“Spin” is a term physicists often use torefer to the fundamental magnetism ofindividual atomic particles, such asprotons or electrons. An electron spinis easier to detect than a proton spin

    because the magnetism of an electronis about 650 times larger than the mag-netism of a proton.

    The key to this detection is thedevelopment of a much more sensitivemethod to detect the weak magneticsignal. “Instead of using a coil todetect a voltage induced by the motionof the spin, we use detection based onmagnetic force,” says Dr. Rugar.

    “Our apparatus uses a tiny,nanoscopic bar magnet—the magnetictip—mounted on a microscopic can-tilever. The cantilever is like a tiny

    Scientists Reach Important Milestone in Nanoscale MR Research

    FEATURE MILESTONE

    IBM Almaden’s MRFM Research Team(left to right) Raffi Budakian, John Mamin, Dan Rugar, Ph.D., and Benjamin Chui (not shown)developed and used the MR force microscope to detect the magnetic signal from a single electron.Image courtesy of IBM

    Continued on next page

  • 12 R S N A N E W S O C T O B E R 2 0 0 4

    silicon diving board and is responsiveto the very small magnetic force that isexerted by the electron on the magnetictip,” he explains. “To see the signal,we vibrate the tip and use a high fre-quency magnetic field, much like MRimaging, to manipulate the magneticorientation of the electron.”

    As the electron flips back and forthin orientation, the magnetic force onthe cantilever flipsbetween attraction andrepulsion. The net resultis that the vibration fre-quency of the cantileverchanges slightly, aboutone part per million.

    “To get to the dreamof 3D molecular imag-ing, we need to improvethe sensitivity of the technique so thatwe can see individual protons,” saysDr. Rugar. “To image the positions ofhydrogen atoms within a biomoleculewill require at least 650 times improve-ment in sensitivity.”

    He says his team is also trying tofurther improve spatial resolution.“While our current 25 nm spatial reso-lution is 40 times better than the bestMR image, it is still a factor of 250from being able to resolve individualatoms in a molecule.”

    Medical ImplicationsThomas R. McCauley, M.D., a privatepractitioner who is also an assistant

    clinical professorof diagnostic radi-ology at the YaleSchool of Medi-cine, suggests theIBM breakthroughmay be a poten-tially importantadvance as aresearch technique

    for analysis of the microscopic struc-ture of samples. “Possible changes inthe technique allowing application tohuman imaging are always possible,”he says, reflecting upon the fact thatMR analysis of samples occurred

    decades before MR imaging ofhumans.

    William G. Bradley Jr., M.D.,Ph.D., professor and chairman of theDepartment of Radiology at the Uni-versity of California-San Diego Med-ical Center, sees potential for the newtechnique. “Right now, I think it’sgoing to have applications in basicchemistry—showing the structure ofproteins,” he says. “This may revealcertain molecular structures in a waythat’s never been possible before andthat could conceivably help us indesign of new molecular therapies.”

    More information on MRFM isavailable at www.research.ibm.com/resources/news/20040714_nanoscale.shtml. The new development is alsodetailed in the July 15 issue of thejournal Nature (Vol. 430 No. 6997 p. 300). ■■

    To get to the dream of 3D

    molecular imaging, we need

    to improve the sensitivity of

    the technique so that we can

    see individual protons.

    Daniel Rugar, Ph.D.

    Continued from previous page

    MRFM uses an ultrathin silicon cantilever(yellow) with a nanometer-size magnetictip (blue) to detect the magnetic signal from anindividual electron buried below the surface ofthe sample. Because the electron has a quantummechanical property called “spin,” it acts like atiny bar magnet and can either attract or repel themagnetic tip. The interaction between the spinand the tip is localized to the bowl-shaped regionin the sample called the “resonant slice,” whichmoves as the cantilever vibrates. With the aid of ahigh-frequency magnetic field generated by a coil(right, background), the orientation of the elec-tron (green arrow) flips as the resonant slicepasses through. The magnetic force between theelectron and magnetic tip alternates betweenattraction and repulsion every time the electronflips its orientation, causing the cantilever fre-quency to change slightly. A laser beam (left) isused to measure precisely the variations in can-tilever vibration frequency.

    How an MRFM works

    Resonant Slice

    RF Coil

    Electron Spin

    Magnetic Tip

    Laser Interferometer

    Cantilever

    Imag

    e co

    urte

    sy o

    f IB

    M

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

    Scientific Program Reflects RSNA 2004’s Roleas a Global Forum

    RSNA 2004 Scientific Program

    The RSNA 2004 scientific program pro-vides cutting-edge research in everyaspect of the art and science of medicalimaging and reflects research trends thatwill affect the future of radiology.

    George S. Bisset III, M.D., RSNA Scien-tific Program Committee chairman andvice-chair of the Department of Radiologyat Duke University Medical Center inDurham, N.C., says the abstracts submit-ted for presentation this year show severalimportant trends:

    • The use of functional MR imaging(fMRI) to evaluate areas of the bodyother than the brain, including the heartand abdomen.

    • Expanded use of ablation techniquesoutside the liver, furthermoving radiology beyonda diagnostic tool to atreatment modality. “Inthe past, ablation wasused to treat primary livertumors and liver metas-tases, and now we see itused for tumors in thegenitourinary tract and forpatients with breast, lungand bone tumors,” saysDr. Bisset. “It used to bemostly radiofrequency(RF) ablation, but nowother ablation techniques are also beingemployed, including cryoablation andlaser thermal ablation.”

    • Greater use of hybrid imaging withpositron emission tomography (PET)combined with CT or MR to provideboth functional and anatomic informa-tion for the diagnosis and evaluation oftumors.

    • New research on angiogenesis imagingto evaluate tumor activity and identifyearly tumor growth.

    The members of the RSNA Scientific Pro-gram Committee and its 16 subcommitteesreviewed more than 6,400 scientificabstracts submitted for presentation atRSNA 2004. Over the summer, committeemembers accepted for presentation about1,600 scientific papers and 500 scientificposters.

    Subspecialty AbstractsNew this year is a subcommittee of theScientific Program Committee devoted toemergency radiology. “A lot of papersdealt with the use of multislice CT to

    replace radiography inapplications where radi-ography has tradition-ally been used, such asto evaluate multipletrauma in the spine,lumbar and thoracicregion, chest andpelvis,” says Stuart E.Mirvis, M.D., subcom-mittee chairman.

    “Multislice is faster andmore sensitive thanradiography, and it canbe reformatted to pro-

    vide better image quality,” he adds.“Another trend is greater use of multisliceCT angiography in assessing acute traumain the aorta, cervical vessels, extremitiesand abdomen, thus eliminating the needfor angiography.”

    Valerie P. Jackson, M.D., chair of thebreast imaging subcommittee, points to

    RSNA 2004 PREVIEW

    Reflecting this year’s theme,“Radiology’s Global Forum,”

    the scientific program forRSNA 2004 will include

    more than 2,100 scientificpaper and poster

    presentations by researchersfrom around the world.

    Continued on next page

    In the past, ablationwas used to treatprimary liver tumorsand liver metastases,and now we see it usedfor tumors in thegenitourinary tract andfor patients with breast,lung and bone tumors.— George S. Bisset III, M.D.

    90th Scientific Assembly and Annual Meeting

    November 28 – December 3, 2004McCormick Place, Chicago

  • 14 R S N A N E W S O C T O B E R 2 0 0 4

    RSNA 2004 Scientific Program

    a study of ultrasound-guided cryotherapyfor the treatment of breast cancer. Thestudy found that cryotherapy completelydestroyed tumors smaller than 15 mm indiameter. “Cryotherapy has potential fortreatment of breast lesions without theneed for surgery,” she notes.

    Another study she finds noteworthy is onedescribing the use of ultrasound-guidedfine-needle aspiration to preoperativelystage the axilla in women diagnosed withbreast cancer. “Axillary staging for breastcancer patients has become less and lessinvasive over the years,” she says. “Ultra-sound-guided fine-needle aspiration maybe an accurate method for assessing axil-lary lymph nodes and could help deter-mine which patients need axillary nodesurgery.”

    In the realm of cardiac imaging, sub-committee chair Melvin E. Clouse, M.D.,

    notes an abstract describing MR planime-try to quantify aortic valve stenoses usingsteady-state free precession and gradient-echo fast low angle sequences. “This fastMR imaging technique for measuring theaortic valve area offers a fast, noninvasivetechnique to evaluate the degree of aorticstenosis, and it avoids the more invasivemethod of transesophageal echo,” Dr.Clouse says.

    He also highlights an abstract looking atthe use of multidetector CT (MDCT) toassess the morphology of coronary arterylesions in patients who recently hadunstable angina or a myocardial infarc-tion. “MDCT was able to detect non-calci-fied plaque,” he explains. “This is anexciting advance in comparison with inva-sive intracoronary ultrasound. MDCT wasable to measure the length of the plaque,the remodeling index of the coronaryartery and the degree of stenosis at thesite of the obstructing plaque.”

    The chair of the subcommittee on chestradiology, John Mayo, M.D., says oneimportant abstract in his area is on theuse of low-dose CT as a screening tool forlung cancer. The study, called the Interna-tional Early Lung Cancer Action Project,conducted at 33 institutions around theworld since 1993, concludes that withannual CT screening, a high percentage ofStage I lung cancers are discovered.

    Dr. Mayo also identifies as important anabstract describing the use of percuta-neous RF ablation alone or in conjunctionwith chemotherapy and radiation therapyto treat primary or metastatic lung tumors.The researchers concluded that the tech-nique appears to be safe and technicallyfeasible.

    In the subspecialty of gastrointestinalradiology, subcommittee chair Jay P.Heiken, M.D., identifies studies using RFablation to treat liver metastases. “Theselarge-scale studies demonstrate that RF

    RSNA

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    RSNA 2004 Scientific Program Committee(Back row, from left) Jay P. Heiken, M.D., Anne C. Roberts, M.D., Donald P. Frush, M.D., Gerald D. Dodd III, M.D., Vice-Chairman, George S.Bisset III, M.D., Chairman, Robert M. Quencer, M.D., Myron A. Pozniak, M.D., David R. Pickens III, Ph.D., AAPM Liaison, Jack A. Ziffer, M.D.,Ph.D., Georges Y. El-Khoury, M.D., John R. Mayo, M.D., and Stuart E. Mirvis, M.D. (Front row, from left) Valerie P. Jackson, M.D., Chul Soo Ha,M.D., Kimberly E. Applegate, M.D., M.S., and H. Hugh Hawkins Jr., M.D. Not pictured: Melvin E. Clouse, M.D., Maryellen L. Giger, Ph.D., andPhilip J. Kenney, M.D.

    Continued from previous page

  • 15R S N A N E W SR S N A N E W S . O R G

    RSNA 2004 Scientific Program

    ablation of liver metastases in patientswith colon cancer is an effective treat-ment. In patients with small solitarylesions, the results are equivalent to thosereported for surgical resection,” he says.

    Dr. Heiken also notes a paper showingthat RF ablation of small hepatocellularcarcinomas may be as effective as surgicalresection in prolonging patient survival.He also highlights a paper demonstratingthe feasibility of performing CT colonogra-phy, or virtual colonoscopy, without bowelpreparation.

    The chair of the subcommittee on geni-tourinary radiology, Philip J. Kenney,M.D., identifies as important a large study,funded by the National Institute of Diabetes& Digestive & Kidney Diseases, of the useof MR imaging to assess the progression ofpolycystic kidney disease. “This is the firstreal demonstration of volumetric measure-ments by MR imaging of diseased organs,”says Dr. Kenney. “It demonstrates the accu-racy and ability of MR imaging to tracksmall changes in the cyst size as a measureof disease progression.”

    He also finds significant a study showingpercutaneous RF ablation of solid renaltumors to be a promising minimally inva-sive treatment for patients with high-riskmedical conditions. The study’s authorsconcluded that long-term follow-up of thetreated patients is necessary to confirmthe results of this therapy.

    Kimberly Applegate, M.D., M.S., chair ofthe subcommittee on health services,policy and research, says a study of thecauses of malpractice suits in radiologyshould be of great interest to radiologists.Researchers examined the records of5,497 radiologists from 42 states andfound that 51 percent of the radiologistshad a history of at least one malpracticesuit and that the vast majority of the suitsinvolved a failure to diagnose.

    Dr. Applegate also highlights a study onhow the obesity epidemic in the UnitedStates impacts the ability of radiologydepartments to provide diagnostic imag-ing. The authors of the study concludedthat changes in the American body habi-tus over 14 years have increasinglyaffected the ability of departments to pro-vide quality images and accurate imageinterpretations. “We are getting fatter andthat may limit access to imaging,” Dr.Applegate says.

    George Y. El-Khoury, M.D., chair of thesubcommittee on musculoskeletal radi-ology, points out a study using MDCT toperform a virtual autopsy for cases ofunnatural deaths andto compare the resultswith subsequentautopsies. MDCT wasshown to have a highcorrelation withautopsy results andwas able to provideadditional informa-tion, such as the dis-tribution of gases fromsmall pneumotho-races, in free abdomi-nal air and after openskull trauma.

    Dr. El-Khoury also notes a study demon-strating the practicality of using 3-Teslaisotropic 3D imaging to evaluate kneeinjuries. “Isotropic proton density 3Dimaging of the knee will likely change theway knee injuries are imaged in thefuture,” he says. “Images are acquired inone plane, but they can be viewed in anyarbitrary plane.”

    Robert M. Quencer, M.D., chair of thesubcommittee on neuroradiology/headand neck imaging, finds noteworthy astudy of MR proton spectroscopy to evalu-ate the impact of highly active antiretrovi-ral therapy (HAART) on the character and

    intensity of metabolic changes in thebrains of HIV-infected patients. “MRspectroscopy can document the effective-ness of HAART on returning brainmetabolites to more normal levels in HIV-positive patients who are not sympto-matic,” he says.

    Another study Dr. Quencer highlights isone showing that fMRI can image varyingresponses to glucose loading in the hypo-thalamus of obese and lean humans.“Given the current obsession with obesityin this country, this paper should havenational recognition,” he says. “To myknowledge, this is the first paper toaddress functional imaging differences

    between obese andnon-obese people.”

    Jack A. Ziffer, M.D.,chair of the subcom-mittee on nuclearmedicine, says themost striking trend inhis area is the use ofPET/CT hybrid imag-ing. “Superb work isbeing done withPET/CT hybrid imag-ing in terms of diag-nosing and stagingcancers,” he says.

    “The number and quality of papers sub-mitted are unbelievable.”

    The importance of this trend is that“nuclear medicine is clearly changing,”says Dr. Ziffer. “Nuclear medicine per-formed in isolation, without the benefit ofcorrelative anatomic imaging, is some-thing of the past. PET scans reveal thephysiology of the cells being studied,whether normal or abnormal. CT tellswhether the cells are normal or abnormalin terms of size and sometimes density.Combining PET with CT gives incrediblesensitivity, particularly in detecting and

    RSNA 2004 PREVIEW

    Continued on next page

    This is the first realdemonstration of volumetricmeasurements by MRimaging of diseased organs.It demonstrates the accuracyand ability of MR imaging totrack small changes in cystsize as a measure of diseaseprogression. — Philip J. Kenney, M.D.

    Scientific Program Reflects RSNA 2004’s Role as a Global Forum

  • localizing cancers, and may cut the imageacquisition time in half.”

    In the field of radiation oncology andradiobiology, subcommittee chair ChulSoo Ha, M.D., says that a significant num-ber of abstracts deal with the use of inten-sity-modulated radiation therapy (IMRT)to treat prostate cancer. “IMRT provides avery localized treatment for prostate can-cer, and data have been accumulating onits effectiveness,” he says.

    Dr. Ha also notes a study of the use ofradioimmunotherapy in the treatment oflymphoma. “More and more data are com-ing out on radiolabeled antibodies that areconjugated with radioactive iodine orradioactive yttrium,” he says. “They areinjected into patients and bind to thetumor cells to help kill them.”

    Donald P. Frush, M.D., acting chair of thesubcommittee on pediatric radiology,points to a study using diffusion tensorimaging (DTI) to evaluate white matter inthe brains of children with attention-deficit hyperactivity disorder(ADHD). “We believe thisstudy is the first DTI study toreport localized hemisphericwhite matter bundle abnormali-ties in ADHD,” the studyauthors wrote.

    Dr. Frush also notes a studycomparing the results ofPET/CT imaging for pediatric cancerswith those of contrast-enhanced CT. Theauthors concluded, “While longer termfollow-up of these patients is required todetermine the accuracy of the method, ourdata suggest that FDG PET/CT offers themost accurate methodology for assessmentof physiologically active pediatric malig-nancies.”

    According to Maryellen Giger, Ph.D., chair

    of the physics subcommittee, one note-worthy abstract reports a new integratedbreast-imaging system that allows simulta-neous acquisition of x-ray and ultrasoundimages during a singlebreast compression. “Thisstudy indicates that thenext generation of breastimaging is multimodality,”Dr. Giger says.

    In addition, she highlightsa study showing the prom-ise of a computer-aideddiagnostic method usingultrasound images fromscanners made by two dif-ferent manufacturers todetect breast lesions. “This paper indi-cates the potential role of computer-aideddiagnosis in ultrasound imaging in thediagnostic workup for breast cancer,” sheexplains.

    As for the subspecialty of radiologyinformatics, subcommittee chair H.Hugh Hawkins, M.D., identifies as impor-

    tant an abstract describingcomputer software thatallows CT colonography tobe done without traditionalbowel-cleansing prepara-tion. The software enablesendoscopic views of thecolon after electroniccleansing of the bowel.

    Dr. Hawkins also high-lights an abstract showing a role for CTand 3D modeling in analyzing art, specifi-cally the structure of a 5,300-year-oldEgyptian mummy mask to help stabilizeand restore the mask. “This is an exampleof applying radiologic technology to art,”he says.

    Myron A. Pozniak, M.D., chair of the sub-committee on ultrasound, notes a num-ber of abstracts on elasticity imaging.

    “Ultrasound elasticity imaging allows oneto look at differences in tissue strain todifferentiate an area of tumor from an areaof normal tissue,” he says. “The technol-

    ogy is being applied tobreast tissue and thethyroid gland.”

    Another area of interestreflected in theabstracts is in dynamiccontrast-enhancedultrasound imaging ofthe liver. “This is by farthe hottest topic inultrasound,” Dr. Poz-niak says. “The studiesare mostly from Europe

    and Asia because the United States stilldoes not have FDA approval for this appli-cation of ultrasound contrast. This tech-nology can be used to differentiate benignfrom malignant lesions in the liver.”

    Finally, in the area of vascular and inter-ventional radiology, subcommittee chairAnne C. Roberts, M.D., comments on theincrease in the number of abstracts devotedto the use of RF ablation to treat malignan-cies in the liver, kidneys, lungs and bones.“This is a new way of treating patients withcancer who have solitary lesions and maynot need full-blown chemotherapy or do nothave surgical options,” she says. “It lookslike a good way to prolong life with minimalmorbidity.”

    A lot of studies in her area also focused onmultidetector CT vascular imaging.“MDCT is being used in particular toevaluate peripheral vascular disease,” shenotes. “It avoids the use of a catheter foran arteriogram to visualize the vascula-ture. There is also a lot of interest in doingthe same kind of imaging with MR, espe-cially in evaluating kidney function.”

    A visual tutorial on how to use the onlineRSNA Meeting Program is on page 45.

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    This studyindicates that thenext generation ofbreast imaging ismultimodality.— Maryellen Giger, Ph.D.

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    Scientific Program Reflects RSNA 2004’s Role as a Global Forum

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    RSNA 2004 Gold MedalistsRSNA 2004 Gold Medalists

    AlexanderGottschalk,M.D., is a pio-neer researcherand author whohas helpedshape modernmedical imag-ing. He workedwith the firstclinically useful prototype Anger scintilla-tion camera and performed the firstdynamic camera studies of the brain andheart using technetium-99m. Dr.Gottschalk also made the first dynamiccamera studies of the kidneys.

    “Alex has made great contributions toradiology and nuclear medicine over along career during which he has consis-tently published textbooks in nuclearmedicine recognized for their great peda-gogical value,” said RSNA PresidentBrian C. Lentle, M.D. “He was alert andrecognized the coming impact of magneticresonance imaging in the early days ofthat technology. As one of the principalinvestigators in the prospective investiga-tion of pulmonary embolism diagnosis(PIOPED) study, Alex greatly helped inour understanding of the natural historyand diagnosis of pulmonary embolism.”

    “It is awesome to become a Gold Medalistin this society, a group that contains manyof my own role models,” said Dr.Gottschalk, who is currently the chair ofthe nuclear medicine working group ofPIOPED II.

    He began his career as a research associ-ate at Donner Laboratory at LawrenceRadiation Lab at the University of Califor-

    nia, Berkeley. He then spent a decade atthe University of Chicago, where hehelped form the university’s first sectionof nuclear medicine.

    As professor of diagnostic radiology, Dr.Gottschalk made the move to Yale Univer-sity School of Medicine in New Haven,Conn., where he worked with colleaguesfrom cardiology to establish a pioneeringcardiovascular nuclear medicine opera-tion. He was also director of the section ofnuclear medicine, vice-chairman of theDepartment of Diagnostic Radiology, anddirector of the diagnostic radiology resi-dency program. Currently, he is professorof diagnostic radiology at Michigan StateUniversity in East Lansing.

    For a decade Dr. Gottschalk was editor-in-chief of the Yearbook of Nuclear Medicine.He has served on committees for theNational Heart, Lung, and Blood Institute,as well as national committees for the U.S.Food and Drug Administration, theNational Institute of General MedicineSciences, and the Accreditation Councilfor Graduate Medical Education.

    An RSNA member since 1965, Dr.Gottschalk has been an RSNA secondvice-president and chairman of thenuclear medicine subcommittee of theRSNA Scientific Program Committee.

    ■ For an expanded version of Dr.Gottschalk’s biography, see the RSNAMeeting Program at rsna2004.rsna.org.Click on Meeting Program in the left-hand column.

    RSNA 2004 PREVIEW

    Three individuals willreceive a Gold Medal—

    RSNA’s highest honor—atthe 90th Scientific Assembly

    and Annual Meeting:Alexander Gottschalk, M.D.,

    from East Lansing, Mich.;Seymour H. Levitt, M.D.,

    from Minneapolis; and JohnG. McAfee, M.D., from

    Chevy Chase, Md.

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    RSNA 2004 Gold Medalists

    RSNA 2004 Gold Medalists

    Seymour H.Levitt, M.D., isa distinguishedradiation oncolo-gist andresearcher wholeads by examplewith unwaveringdedication.

    “Seymour has always given great support toRSNA and to the role of radiation oncologyin the Society,” said RSNA President BrianC. Lentle, M.D. “He was quick to recognizeand seize upon the increasing importance ofimaging to define tumor volumes as radiationoncology became ever more precise in defin-ing cancers and the dose and dose fractiona-tion used to treat them.”

    “This organization has been one of the mostimportant aspects of my professional career,”said Dr. Levitt, who has been an RSNAmember since 1965. “The opportunity toserve the Society as an officer and memberof the Board increased my involvement andmade me aware of RSNA’s outstanding char-acter, commitment, and dedication to the sci-ence and practice of radiology, and to thepatients it serves. I will truly treasure thisaward because of the outstanding nature ofthis society and the award’s significance.”

    A Phi Beta Kappa, Dr. Levitt graduated cumlaude from the University of Colorado, wherehe was elected to Alpha Omega Alpha andearned his bachelor’s and medical degrees.He completed his internship at PhiladelphiaGeneral Hospital and his residencies ininternal medicine and radiology at the Uni-versity of California, San Francisco. He alsowas an American Cancer Society ClinicalFellow.

    Dr. Levitt’s long and distinguished careerincludes positions at the University of Michi-gan in Ann Arbor, the University ofRochester Medical Center in New York, the

    University of Oklahoma Medical Center, andthe Medical College of Virginia in Rich-mond. Since 1970, Dr. Levitt has been inMinneapolis, where he has served as headand clinical chief of the Department of Ther-apeutic Radiology-Radiation Oncology at theUniversity of Minnesota and as chief of thetherapeutic radiology service at the Univer-sity of Minnesota Hospitals. Currently, he isa professor of therapeutic radiology-radiationoncology at the University of Minnesota andis a foreign adjunct professor at KarolinskaInstitutet in Stockholm, Sweden.

    Dr. Levitt has been very active in RSNA,serving on the RSNA Board of Directors andas 1999 RSNA president.

    ■ For an expanded version of Dr. Levitt’sbiography, see the RSNA Meeting Programat rsna2004.rsna.org. Click on MeetingProgram in the left-hand column.

    John G.McAfee, M.D.,is an activeresearcher andscholar innuclear medicinewhose ground-breaking workhas led to signifi-cant medicaladvances, especially in blood cell labeling.

    “John’s commitment to research and teach-ing has been monumental,” said RSNA Pres-ident Brian C. Lentle, M.D. “Working at theState University of New York with Dr. Subra-manian, John developed the first tech-netium-99m-labeled phosphate bone scan-ning agents and, while on sabbatical inGreat Britain, he found other radioactiveagents with Dr. Matthew Thakur, which irre-versibly labeled blood cells for imaging theirorgan distribution. These have becomeamong the most widely used procedures notonly in nuclear medicine, but also in radiol-ogy as a whole.”

    “I am greatly honored to receive such a pres-tigious award from RSNA, an organizationthat I have always respected,” said Dr.McAfee. “I remember attending my firstRSNA meeting when I was a resident. Theprofessionalism of the meeting and of theSociety made a most favorable impression onme. I also remember the thrill of presentingmy first paper at RSNA. It is a privilege tobe recognized by such a prominent group.”

    Born and raised in Canada, Dr. McAfeereceived his medical degree from the Uni-versity of Toronto and completed internshipsat Victoria Hospital and Westminster Hospi-tal, both in London, Ontario. He completedradiology residencies at Victoria Hospitaland The Johns Hopkins Hospital in Balti-more, where he also completed a fellowship.

    Dr. McAfee remained at Johns Hopkins formore than a decade as a staff radiologist,becoming chief of diagnosis and later, incharge of nuclear medicine. He then spent25 years at the State University of New YorkHealth Science Center at Syracuse as chairand director of radiologic sciences. Duringthat time, Dr. McAfee and Henry N. WagnerJr., M.D., imaged the kidneys with radiomer-cury labeled chlormerodrin. This event, in1965, is listed by the Society of NuclearMedicine as an historic moment in nuclearmedicine.

    An RSNA member since 1956, Dr. McAfeehas been a professor of radiology at theGeorge Washington University Medical Cen-ter, a consultant to the National Institutes ofHealth (NIH) Clinical Center in nuclearmedicine, and in 1993, became a full-timestaff member in nuclear medicine at the NIHClinical Center in charge of radiopharma-ceutical research.

    ■ For an expanded version of Dr. McAfee’sbiography, see the RSNA Meeting Programat rsna2004.rsna.org. Click on MeetingProgram in the left-hand column.

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  • Honorary Membership inRSNA is presented for

    significant achievements inthe field of radiology. AtRSNA 2004, Honorary

    Membership will be given toHelen Carty, M.B.B.Ch. from

    Liverpool, U.K.; Guy Frija,M.D., from Paris, France;

    George Klempfner, M.D., fromVictoria, Australia; and BrianS. Worthington, M.D., from

    Derbyshire, U.K.

    19R S N A N E W SR S N A N E W S . O R G

    RSNA 2004 Honorary MembersRSNA 2004 Honorary Members

    An active educa-tor and leader inpediatric radiol-ogy in the UnitedKingdom, Helen Carty,M.B.B.Ch., hasbeen at the fore-front of the useof medical imag-ing to detect child abuse.

    “Helen has always brought a down-to-earth approach to academic and clinicalradiology that also served her well in com-mittee work. Perhaps that is a lesson shelearned from her little patients,” saidRSNA President Brian C. Lentle, M.D.“Above all Helen lived the life she advo-cated—no one can be a good doctor orgood radiologist without also rememberingto be a good human being. She alwaysmade time to enrich her life through herIrish roots and family.”

    “Honorary Membership in RSNA is anaward that, though I am pleased and hon-ored to receive, is something I neverdreamt of,” said Dr. Carty. “For me, it isnot just a personal honor, but it is also atreasured honor for the European Con-gress of Radiology (ECR). Both personallyand as chairman of ECR, I am proud to bethus honored. It enhances the increasinglydeveloping trans-Atlantic bonds in ourdiscipline, and wearing both my hats, Ithank all who have chosen me to receiveit.”

    Dr. Carty graduated from University Col-lege in Dublin. She completed her post-graduate work at Mater Hospital in Dublinand St. Thomas’s Hospital in London.

    For more than 25 years, Dr. Carty wasdirector of radiology services at Royal Liv-erpool Children’s National Health ServiceTrust, Alder Hey Children’s Hospital. Sherecently retired from her position as pro-fessor of pediatric radiology, thesis super-visor, and examiner at the University ofLiverpool in England. She had beenactively involved with the National HealthService and was the ambassador for radi-ology in the Department of Health’s Inter-national Fellowship Recruitment Program.

    Dr. Carty is a prolific writer and editor,and has taken part in numerous coursesdesigned to bring modern radiology to theemerging former eastern bloc countries.She has delivered similar sessions in Cen-tral America, China, India, and SouthAfrica. Dr. Carty has organized 10 post-graduate teaching courses and been aninvited visitor to all academic medicalinstitutions in the United Kingdom.

    ■ For an expanded version of Dr. Carty’sbiography, see the RSNA Meeting Pro-gram at rsna2004.rsna.org. Click onMeeting Program in the left-hand column.

    Guy Frija,M.D., is a talentedresearcher, educator andadministratorwho has helpedtransform theFrench health-care system.

    Dr. Frija has greatly contributed to thefields of MR contrast imaging, MR lym-phography and functional MR imaging ofsolid tumors and the liver. He has also

    RSNA 2004 PREVIEW

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  • 20 R S N A N E W S O C T O B E R 2 0 0 4

    RSNA 2004 Honorary Members

    RSNA 2004 Honorary Members

    focused attention on managing the digitalimaging department at Hôpital EuropéenGeorges Pompidou and participating inthe ongoing transformations of medicalpractice in France.

    “Guy Frija pursued some of his educationin North America and has always been adevoted supporter of RSNA. After movingto France, he rose to leadership positionsin his own department as well as inFrench radiology,” said RSNA PresidentBrian C. Lentle, M.D. “He combinedthese activities with scientific work indeveloping his own subspecialty, whichgained him international recognition.”

    Dr. Frija was born in Morocco. He com-pleted his radiology residency in Paris,but left the country to serve for 16 monthsin the military in Abidjan on the IvoryCoast. He also spent time as a resident atthe University of Montreal.

    He was the chairman of the Department ofRadiology in Garches, France, beforebecoming the chairman of the Departmentof Radiology at Laënnec Hospital in Paris.Currently, he is director of the Laboratoryof Imaging Research and chairman of theDepartment of Radiology at the HôpitalEuropéen Georges Pompidou in Paris.

    In addition to his academic career, Dr.Frija has held a variety of concurrentancillary positions. He is the president ofthe National Commission of MedicalDevices and consultant to the French Min-istry of Health. He served as associatedean of the Necker Faculty and as a con-sultant to the French National Institute forHealth and Medical Research, INSERM,both in Paris.

    An RSNA member since 1989, Dr. Frija isthe current secretary general of the FrenchSociety of Radiology. He is also the presi-dent-elect of the International Society forStrategic Studies in Radiology.

    Dr. Frija is a prolific author. His textbooksare considered to be the best in theFrench radiologic literature.

    ■ For an expanded version of Dr. Frija’sbiography, see the RSNA Meeting Pro-gram at rsna2004.rsna.org. Click onMeeting Program in the left-hand column.

    GeorgeKlempfner,M.D., is a tire-less educatorand researcherdedicated toraising the stan-dards of radiol-ogy on an inter-national level.

    Born in Prague, Czechoslovakia, Dr.Klempfner has spent his entire career pro-moting radiology education, especially indisadvantaged areas including the SouthPacific. Most recently he has dedicatedhis research efforts to radiation protection.His current research interest is radiationexposure from CT.

    “George has always had a great devotionto the need for organized radiology tobecome both strong and international,”said RSNA President Brian C. Lentle,M.D. “He has served as president of theRoyal Australian and New Zealand Col-lege of Radiologists and went on to movethrough the executive ranks of the Interna-tional Society of Radiology (ISR) tobecome its president, completing a two-year term this year.”

    Dr. Klempfner has been an RSNA mem-ber since 1983 and considers the award aspecial tribute. “The yearly RSNA scien-tific assembly is the premier internationalradiology meeting. It provides the mostup-to-date information on radiology edu-cation, technology, and research,” said Dr.Klempfner.

    In 1968, he received his radiology qualifi-cation in Melbourne, Australia. After fin-ishing a fellowship in nuclear medicine atthe Hospital of the University of Pennsyl-vania, he returned to Australia with dualqualifications in radiology and nuclearmedicine. He rose through the medicalranks from junior medical resident tobecome the director of nuclear medicineat Queen Victoria Hospital in Melbourne.Currently, he is director of nuclear medi-cine and mammography at the St. FrancesXavier Cabrini Hospital in Melbourne.

    Dr. Klempfner has lectured and publishedextensively. He has been an enthusiasticteacher and examiner. As secretary gen-eral for ISR, Dr. Klempfner helped estab-lish the South Pacific Liaison Committeeto improve radiologic practice in theregion and assisted in the recent estab-lishment of the Centre of RadiologicalExcellence in Fiji. As ISR president, hedeveloped the World Council of Radiology.This council, which has representationfrom all major continental radiology soci-eties, works toward the worldwide integra-tion of radiology education training andqualifications.

    ■ For an expanded version of Dr. Klemp-fner’s biography, see the RSNA MeetingProgram at rsna2004.rsna.org. Click onMeeting Program in the left-hand column.

    A leader inBritish radiol-ogy, Brian S.Worthington,M.D., hasearned therespect of hispeers for hissignificant con-tributions to MRresearch.

    “Brian pioneered many of the clinicalapplications of MR imaging in Nottingham

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  • University in England,” said RSNA Presi-dent Brian C. Lentle, M.D. “He developedproductive clinical collaborations withbasic scientists. His significance as aninvestigator was recognized when he wasnamed a fellow of the Royal Society(FRS), an honor rarely bestowed except onthe likes of Sir Isaac Newton and AlbertEinstein—and never before on a radiolo-gist. He became professor and head of hisdepartment and served among the leader-ship of British and European radiology aswell as regularly attending RSNA. Dr.Worthington is a renaissance man with apassionate interest in Icelandic literature.”

    In addition to his early pioneering workwith MR, Dr. Worthington later con-tributed greatly to defining the role ofultra-high speed echoplanar imaging inclinical practice.

    Dr. Worthington qualified for his M.B.B.S.in 1963 in London and completed a radi-ology residency at London Hospital,obtaining a Fellowship of the Royal Col-lege of Radiologists. After completing hiseducation, Dr. Worthington moved to Not-tingham, England, where he wasappointed to a newly created post in neu-roradiology. He served nearly two decadesas professor and head of the Departmentof Academic Radiology at the Queen’sMedical Centre at Nottingham University,where he has been professor emeritussince 1998.

    Dr. Worthington is an inexhaustibleresearcher and lecturer, and has been avisiting professor in Ireland, Finland andCanada. He has been an RSNA membersince 1989.

    ■ For an expanded version of Dr. Wor-thington’s biography, see the RSNA Meet-ing Program at rsna2004.rsna.org. Clickon Meeting Program in the left-hand column.

    Plenary Sessions are highlights of the RSNA AnnualMeeting and are open to all registrants.

    Saturday

    12:00–2:00 p.m.

    AAPM/RSNA Physics Tutorial forResidents

    • MR Imaging Physics

    Organized under the direction of Mahadevappa Mahesh, Ph.D.

    1:00–5:00 p.m.

    NIH Grantsmanship Workshop

    2:15–5:15 p.m.

    AAPM/RSNA Tutorial on EquipmentSelection

    • Computed Tomography

    Organized under the direction of Dianna Cody, Ph.D.

    Sunday

    8:30–10:15 a.m.

    President’s Address

    • Radiology: Beyond Borders

    Brian C. Lentle, M.D., RSNA President

    • Dedication of RSNA Meeting Program toSir Godfrey Hounsfield, D.Sc.

    • Special Presentation to William R. Eyler,M.D.

    • Announcement of RSNA OutstandingResearcher and RSNA Outstanding Educator Awards

    Opening Session

    • Globalization of Radiology

    Moderator: George S. Bisset III, M.D.Lecturer: James H. Thrall, M.D.

    10:30 a.m.–3:30 p.m.

    Jury Trial

    Moderator: Leonard Berlin, M.D.

    4:00–4:15 p.m.

    Report of the RSNA Research & EducationFoundation

    Jerry P. Petasnick, M.D., Chairman, RSNAR&E Foundation Board of Trustees

    4:15–5:45 p.m.

    Image Interpretation Session

    Moderator: Burton P. Drayer, M.D.Panelists: George S. Bisset III, M.D.,Michael N. Brant-Zawadzki, M.D., Elliot K.Fishman, M.D., Nancy M. Major, M.D.,Georgeann McGuinness, M.D.

    Monday

    10:30 a.m.–12:00 p.m.

    Associated Sciences: Emergent Trends—Global Perspectives

    • Fusion Imaging: Changes in the Way We See Things

    Moderator: Michael F. Hartshorne, M.D.

    1:30–2:45 p.m.

    Eugene P. Pendergrass New HorizonsLecture

    • Molecular Imaging: From Nanotechnologyto Patients

    Michael E. Phelps, Ph.D.

    Presentation of Honorary Memberships

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

    Plenary SessionsPlenary Sessions

    RSNA 2004 PREVIEW

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    Plenary Sessions

    Plenary Sessions

    • Helen Carty, M.B.B.Ch., Liverpool, United Kingdom

    • Guy Frija, M.D., Paris, France

    • George Klempfner, M.D., Toorak, Victoria, Australia

    • Brian S. Worthington, M.D., Derbyshire, United Kingdom

    (see pages 19-21 for honoree biographies)

    1:30–2:45 p.m.

    RSNA/AAPM Basic Physics Lecture for theRadiologic Technologist

    • Practical Aspects of Digital RadiographicImaging

    Speakers: S. Jeff, M.S., Charles E. Willis,Ph.D.

    1:30–5:45 p.m.

    Physics Symposium

    • Intensity-Modulated Radiation Therapy—State of the Art

    Course Co-Directors: Jatinder R. Palta,Ph.D., T. Rockwell Mackie, Ph.D.

    4:30–6:00 p.m.

    Special Focus Sessions

    • An Approach to the Understanding andTreatment of Lower Extremity Venous Disease

    • Financial Challenges for Radiologists: New Approaches to Reimbursement andMeasuring Value in Our Practice

    • Securing Our Future by Appropriate Risk Management

    • Pediatric Neuroradiology: Functional Neuroimaging of the Brain

    • New Agents for Positron Emission Tomography

    • A Paradigm Shift: ABR 10-Year Time Limited Certifications and the ABR Maintenance of Certification Program

    • Pros and Cons of Expert Witness Review

    • Image-Guided Cancer Therapy: The Present and Future Opportunity

    • Image Perception: Should We Believe Our Eyes?

    • ASTRO Invited Papers

    Tuesday

    10:30 a.m.–12:00 p.m.

    Associated Sciences: Emergent Trends—Global Perspectives

    • Image Guided Therapeutics

    Moderator: John Kovelski, R.T.(R)(MR)

    1:30–2:45 p.m.

    Annual Oration in Diagnostic Radiology

    • The Future of Bone Imaging in Osteoporosis

    Harry K. Genant, M.D.

    Presentation of Gold Medals

    • Alexander Gottschalk, M.D., East Lansing,Mich.

    • Seymour H. Levitt, M.D., Minneapolis

    • John G. McAfee, M.D., Chevy Chase, Md.

    (see pages 17-18 for honoree biograhies)

    Wednesday

    10:30 a.m.–12:00 p.m.

    Associated Sciences: Emergent Trends—Global Perspectives

    • Strategic Considerations in Global Teleradiology

    Moderator: Kathryn J. Canny

    1:30–2:45 p.m.

    Annual Oration in Radiation Oncology

    • Redefining Therapeutic Targets in theTreatment of Soft Tissue Sarcoma

    Brian O’Sullivan, M.D.

    • Dedication of lecture to Hywel Madoc-Jones, M.D., Ph.D.

    4:30–6:00 p.m.

    Oncodiagnosis Panel and Special FocusSessions

    • 3D Imaging: Where are We Headed?

    • Musculoskeletal Ultrasound: Do We Wantto Keep It or Do We Want to Give it Away?

    • MR Imaging Safety and Implants: Update 2004

    • Healthcare Policy: Its Effect on the Practice of Radiology in 2004

    • Cardiac Imaging in the 21st Century: Is Radiology Ready for Primetime?

    • Breast MR Imaging: New Applications

    • SNM Invited Papers

    • Oncodiagnosis Panel: Lymphoma

    • Physicians and the Ethics of Advertising

    • Ischemia: From Head to Toe

    • Is Medical Simulation a Part of YourFuture? Education in the Era of PatientSafety

    Thursday

    1:30–1:40 p.m.

    Inauguration of the 2005 RSNA Board of Directors

    1:40–1:50 p.m.

    Introduction of 2005 AAPM Officers and Council Chairs

    1:50–2:45 p.m.

    RSNA/AAPM Symposium

    • Routine Clinical Proton Spectroscopy: Are We There Yet?

    Moderator: David R. Pickens III, Ph.D.

    3:00–4:00 p.m.

    Special Focus Sessions

    • Role of Imaging in Development of Therapeutic Drugs

    • The Radiologist’s Workload: How Efficientare We?

    • Results of the NIH/NHLBI PIOPED IIStudy: Is Spiral CT the Best and Only Testfor Suspected Pulmonary Embolism?

    • Integration of Imaging and Biomarkersinto Clinical Practice

    • SIR Invited Papers

    • ASNR Invited Papers

    Friday

    12:45–3:15 p.m.

    Friday Imaging Symposium

    • PET/CT: A Practical Approach

    Moderator: Steven M. Larson, M.D.Panelists: Homer A. Macapinlac, M.D.,Dominque Delbeke, M.D., Richard L. Wahl,M.D., Steven M. Larson, M.D.

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    More detailed information on RSNA 2004 is available at rsna2004.rsna.org.

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

    Refresher CoursesRefresher Courses

    RSNA 2004 offers 284 refresher courses coveringtraditional and cutting-edge topics in each subspecialty.

    Refresher Courses Most PopularComponent of Annual Meeting

    A 2003 survey of RSNA members showsrefresher courses are overwhelmingly themost important component of the RSNA Sci-entific Assembly and Annual Meeting.

    When asked to rank a series of activitiesoffered at the meeting, 95.9 percent listedrefresher courses as “very important” or“important,” followed by the Essentials ofRadiology refresher course series (90.5 per-cent), plenary sessions (85.7 percent), cate-gorical courses—a series of eight refreshercourses on the state of the art in a particularsubspecialty—(82.2 percent), and scientificpaper sessions (68.4 percent).

    RSNA 2004 PREVIEW

    RSNA Annual Meeting ComponentsRanked as Very Important or Important

    Refresher Courses 95.9%

    Essentials of Radiology