AU GUST 2007 ■ VO LU M E 17, NUMBER 8

Imaging Critical as BiomarkersDrive Personalized Medicine

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Also Inside:■ PACS Reaches Near Saturation in Healthcare Market■ Radiology Resident Debt, Board Exam Timing Questioned■ PAD Treatment Safe for Arteries Below the Knee■ Chicago Events and Attractions Sure to Please During RSNA 2007

Register Online for RSNA 2007 Courses

RSNA2007.RSNA.org

AU GUST 2007

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 RLynn Tefft Hoff

E X E C U T I V E E D I T O RNatalie Olinger Boden

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

Executive DirectorRoberta 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 DBruce L. McClennan, M.D.,

ChairSilvia D. Chang, M.D.Colin P. Derdeyn, M.D.Richard T. Hoppe, M.D.David M. Hovsepian, M.D.Valerie P. Jackson, M.D.Jonathan B. Kruskal, M.D., Ph.D.Steven M. Larson, M.D.Hedvig Hricak, M.D., Ph.D.,

Board LiaisonSarah S. Donaldson, M.D.,

Board Liaison

C O N T R I B U T I N G W R I T E R SArnold Q. Collins, M.A.Joan DrummondAmy Jenkins, M.S.C.Locke PeterseimRachelle Treiber

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

2 0 0 7 R S N A B O A R D O F D I R E C T O R SGary J. Becker, M.D.,

ChairmanHedvig Hricak, M.D., Ph.D.,

Liaison for Publications andCommunications

Burton P. Drayer, M.D., Liaison for Annual Meeting and Technology

George S. Bisset III, M.D., Liaison for Education

Sarah S. Donaldson, M.D., Liaison for Publications andCommunications

N. Reed Dunnick, M.D.,Liaison for Science

R. Gilbert Jost, M.D.,President

Theresa C. McLoud, M.D., President-elect

RSNA NewsAugust 2007 • Volume 17, Number 8

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

POSTMASTER: Send address correction“changes” to: RSNA News, 820 Jorie Blvd., Oak Brook, IL 60523-2251.

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Contents of RSNA News copyrighted ©2007 bythe Radiological Society of North America, Inc.

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RSNA Membership 1-877-RSNA-MEM

1 Announcements

3 People in the News

4 Board of Directors Report

5 My Turn

Feature Articles

6 Imaging Critical as Biomarkers Drive PersonalizedMedicine

8 PACS Reaches Near Saturation in HealthcareMarket

10 Radiology Resident Debt, Board Exam TimingQuestioned

12 PAD Treatment Safe for Arteries Below the Knee

14 Chicago Events and Attractions Sure to PleaseDuring RSNA 2007

Funding Radiology’s Future®

18 R&E Foundation Donors

19 Journal Highlights21 Radiology in Public Focus23 RSNA: Working for You

24 Program and Grant Announcements25 Meeting Watch27 Exhibitor News28 Product News29 RSNA.org

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

ANNOUNCEMENTS

RSNA Editorial Fellows ChosenRSNA has named Johannes T. Hever-hagen, M.D., Ph.D., of Philipps Uni-versity Hospital in Marburg, Germany,as the 2007 William R. Eyler EditorialFellow; and Christopher T. Whitlow,M.D., Ph.D., of the Diagnostic Radiol-ogy Residency Program at the WakeForest University School of Medicinein Winston-Salem, N.C., as the TraineeEditorial Fellow.

Dr. Heverhagen is also a past recip-ient of RSNA’s Research TraineeAward (2003) and has received theRadiology Editor’s Recognition Awardin 2004, 2005 and 2006.

Both fellows will work closely withRadiology Editor Anthony V. Proto,M.D., in Richmond, Va., and Radio-Graphics editor William W. Olmsted,

M.D., in Bethesda, Md. The Eylerfellowship lasts for one month andthe trainee fellowship lasts for oneweek. Each fellow will also visitRSNA Headquarters in Oak Brook,Ill., and meet with members ofRSNA’s Publications and Commu-nications Division. The Eyler Fel-low spends the final week of thefellowship working with the RSNAeditorial team at RSNA 2007.

Dr. Heverhagen said he looks for-ward to the experience as an opportu-nity to share specialized knowledgewith others in the field. “I anticipatethat this outstanding program will helpme gain more insight into an editorialprocess unknown to most authors,reviewers and readers,” he says. “This

will enable me to provide better serviceto Radiology and the journals I amreviewing, and to pass that knowledgeon to colleagues in Europe.”

For more information about theRSNA Editorial Fellow program, go toRSNA.org/publications/editorial_fellowships.html.

NCI Seeks Director for Cancer Imaging Program

APPLICATIONS are being acceptedthrough Sept. 5 for the position of

associate director of the Cancer Imag-ing Program at the National CancerInstitute (NCI) in Washington. TheCancer Imaging Program has approxi-mately 25 employees and contractorsand administers a research budget ofapproximately $180 million.

The associate director will overseea broad range of national and interna-

tional laboratory and clinical researchprograms aimed at developing newimaging approaches for cancer diagno-sis and treatment. The position alsooversees research activities in onco-logic molecular imaging and providesleadership for imaging technologydevelopment programs and pre-clinicaland clinical efforts in support of NCI’sImaging Drug Group. The associatedirector is also responsible for estab-

lishing partnerships with academia,industry and other federal agencies.

To view complete informationregarding the vacancy, go towww.usajobs.gov and search using theterm “Associate Director, Cancer Imag-ing Program (Medical Officer), (NCI).”More information about the NCI Can-cer Imaging Program is available atimaging.cancer.gov.

Johannes T. Heverha-gen, M.D., Ph.D.

Christopher T. Whitlow,M.D., Ph.D.

RSNA Publications Garner AwardsThe RSNA Corporate Brochure and an RSNAResearch & Education (R&E) Foundationbrochure were recently honored in The Com-municator Awards 2007 Print Competition.

The RSNA Corporate Brochure, “A Soci-ety with Vision,” won an Award of Distinctionin the company overview category. The R&EFoundation brochure, “Yesterday, Today,Tomorrow,” won an Award of Distinction inthe fundraising category.

Presented for projects that exceed industrystandards in production or communicationskills, the Award of Distinction is the secondhighest honor presented by The CommunicatorAwards.

MyRSNA to Debut at AnnualMeetingRSNA will unveil MyRSNA, a new toolallowing members to customize theRSNA Web page to display content ofspecific interest to them, at RSNA 2007.

MyRSNA will be similar to offeringsfrom Yahoo!® and Google™ in that mem-bers will be able to decide the contentand services they want displayed eachtime they go to the RSNA Web site.

More details about MyRSNA,including demonstrations at RSNA 2007,will be available online at RSNA.org andin future editions of RSNA News.

2 R S N A N E W S A U G U S T 2 0 0 7

ANNOUNCEMENTS

NIH Awards Nearly $21 Million to Fund Cutting-Edge Research EquipmentVanderbilt University in Nashville, Tenn., and TheUniversity of Texas Health Science Center in SanAntonio will receive 7 Tesla MR imaging scannersas part of 14 high-end instrumentation (HEI) grants,totaling $20.65 million, funded recently by theNational Center for Research Resources (NCRR).

The one-time grants support the purchase ofequipment costing more than $750,000. This roundof grants will enable research on the diagnosis andtreatment of diseases including epilepsy, psychi-atric disorders, autism, cardiovascular disordersand cancer.

Among other equipment funded by the grantswere 3 Tesla MR imaging scanners, nuclear MRspectrometers and high-performance, hybrid linear

ion trap-Fourier transformmass spectrometers.

NCRR is part of theNational Institutes of Health(NIH). To qualify for an HEIaward, institutions must iden-tify three or more NIH-fundedinvestigators whose researchrequires the requested instru-ment. More information on theHEI awards is available atwww.ncrr.nih.gov/biomedical_technology/highend_instrumentation/hei_awards_12june2007.asp.

FDA Requests Warning on Gadolinium-based Contrast Agents

THE U.S. Food and Drug Adminis-tration (FDA) has asked manufac-turers to include a boxed warning

on the product labeling of all gadolin-ium-based contrast agents used in MRimaging.

The requested warning states thatpatients with severe kidney insuffi-ciency who receive gadolinium-basedagents are at risk for developing thedebilitating and potentially fatal diseasenephrogenic systemic fibrosis (NSF). Inaddition, the warning would state thatpatients, just before or just after livertransplantation or those with chronicliver disease, are also at risk for devel-

oping NSF if they are experiencing kid-ney insufficiency of any severity.

FDA first notified healthcare profes-sionals and the public about gadolin-ium-related risks for NSF in June 2006.Five gadolinium-based contrast agentshave been approved for use in the U.S.:• Magnevist® (gadopentetate dimeglu-

mine), manufactured by Bayer Scher-ing Pharma of Berlin

• Omniscan™ (gadodiamide), manufac-tured by GE Healthcare of ChalfontSt. Giles, U.K.

• OptiMARK® (gadoversetamide), man-ufactured by Mallinckrodt, Inc. ofHazelwood, Mo.

• MultiHance® (gadobenate dimeglu-mine) and ProHance® (gadoteridol),manufactured by Bracco DiagnosticsInc. of Princeton, N.J.

More information is available atwww.fda.gov/medwatch/safety/2007/safety07.htm#Gadolinium.

Similar action has been taken inEurope. In late June, the Commissionon Human Medicines and EuropeanPharmacovigilance Working Party(PhVWP) recommended that Magnevistshould also not be used in patients withsevere kidney impairment. The organi-zations made the same recommendationregarding Omniscan in February.

Settlement Reached in Lawsuit over Physics Consultations PaymentsA settlement reached in Bardmoor v. Aetna, a lawsuit in which theplaintiff sought to have the healthcare benefits company pay fordenied CPT 77336 claims for physics consultations, includes a claimsprocess through which providers may seek lost reimbursement.

Any provider who had a physics consultation performed for anAetna member between October 1, 2003 and April 1, 2005, butwhose CPT 77336 claim was deemed incidental to other services anddenied, can participate in the claims process. For each 77336 claimapproved, Aetna will pay 100 percent of what should have been paidat the time the claim was filed, without deductions. Providers havefive months to file a claim. Those interested in filing a claim shouldcontact:

Hanzman, Criden & Love, P.A.7301 SW 57th Ct, Suite 515South Miami, FL 331431-305-357-9010

New Group for Clinician-Educators Needs MembersThe Alliance of Clinician-Educators in Radiology (ACER), approvedby the board of directors of the Association of University Radiolo-gists (AUR) at its recent annual meeting, is looking for foundingmembers.

ACER will provide a forum for year-round information exchangeand offer programming at the annual AUR meeting targeted towardsthe needs of clinician-educators. Topics to be addressed include peer-to-peer review and mentoring and development of a teaching portfolio.

The ACER president is Eric J. Stern, M.D., of the Department ofRadiology at Harborview Medical Center in Seattle. For more infor-mation, including how to join AUR and ACER, go towww.AUR.org/acer.htm. AUR can also be contacted at 1-630-368-3730 or AUR@rsna.org.

MEDICAL IMAGING COMPANY NEWS

Abbott, GE Nix Deal■ Abbott Laboratories of AbbottPark, Ill., and GE Healthcare ofChalfont St. Giles, U.K.,announced last month the ter-mination of the contract to sellAbbott’s core laboratory andpoint-of-care diagnostics busi-nesses to GE. The companiesreported they were unable toagree on final terms and condi-tions of the proposed sale,which had been valued at morethan $8 billion.

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

Husband Receives High British HonorsJanet Husband, F.Med.Sci., F.R.C.P., F.R.C.R., a professor of radiology at The Royal MarsdenNational Health Service Foundation Trust and Institute of Cancer Research in London, has receivedthe award of Dame Commander of the Most Excellent Order of the British Empire.

Dr. Husband was the first woman in the UK to train part-time in radiology and is recognized forundertaking pioneering clinical research in cancer imaging over the last 30 years. President of theRoyal College of Radiologists, she is the first woman to serve in that role. She was made an honorarymember of RSNA in 2005.

PEOPLE IN THE NEWS

Janet Husband, F.Med.Sci.,F.R.C.P., F.R.C.R.

Upright MR Imaging Designer NamedInventor of the Year The developer of the Upright™ MR imaging scanner,Raymond V. Damadian, M.D., was named theNational Inventor of the Year by the Intellectual Prop-erty Owners Education Foundation.

Dr. Damadian said he designed the scanner sophysicians could view a patient’s tissues and bonesunder the strain of normal use, rather than in a horizon-tal position like traditional MR imaging machines. Thedevice is also designed to allow physicians to bettermap the cardiovascular system when a patient is stand-ing up and blood is moving against gravity.

Dr. Damadian is president and founder of FONAR,maker of the Upright MR imaging scanner.

Baert Retiring as European RadiologyEditorAlbert L. Baert, M.D., Ph.D.,has announced he will retire aseditor-in-chief of EuropeanRadiology on December 31,after 12 years in the position.

Dr. Baert is an emeritus pro-fessor of radiology at the Uni-versity of Leuven in Belgium.His successor at the journal will be Adrian K. Dixon,M.D., F.R.C.P., F.R.C.R., a professor of radiology at theUniversity of Cambridge.

Albert L. Baert, M.D.,Ph.D.

Pressman Elected ACR President Barry D. Pressman, M.D., is the newpresident of the American College ofRadiology (ACR). At Cedars-Sinai Med-ical Center in Los Angeles, Dr. Pressmanis chair of the S. Mark Taper FoundationImaging Department and Center andchief of the center’s section of neuroradi-ology and head and neck radiology.

Also named to the ACR board were: • Jeffrey C. Weinreb, M.D., New Haven, Conn., vice-president• David C. Kushner, M.D., Virginia Beach, Va., speaker• Alan D. Kaye, M.D., Bridgeport, Conn., vice-speaker

Barry D. Pressman, M.D.

RSNA Editorial Fellow Named Journal EditorGiuseppe Guglielmi, M.D., an RSNAEditorial Fellow in 2003, has beennamed deputy editor of La RadiologiaMedica, the official journal of the ItalianSociety of Medical Radiology.

Specializing in musculoskeletal radiology, particularly metabolic bonedisease, Dr. Guglielmi is a professor ofradiology at the University of Foggia inItaly and the Scientific Institute Hospitalin San Giovanni Rotondo. He was alsorecently named a subspecialty editor in musculoskeletal radiol-ogy for EuroRad, a teaching database facilitating searches ofWeb-based radiologic documents.

Giuseppe Guglielmi, M.D.

Send news about yourself, a colleague or your department to rsnanews@rsna.org, 1-630-571-7837 fax, or RSNA News, 820 JorieBlvd., Oak Brook, IL 60523. Please include your full name and telephone number. You may also include a non-returnable color

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4 R S N A N E W S A U G U S T 2 0 0 7

RSNA Board of Directors Report

AT ITS June meeting, the RSNABoard of Directors approved theRSNA 2007-2008 budget.

Included was funding for major newinitiatives related to imaging biomark-ers and quantitative imaging, as well assupport for enhancements to the RSNAjournals and the Society’s collaborationwith societies in the U.S. and abroad.

Imaging Biomarkers and Quantitative ImagingThe discovery, development, testingand deployment of imaging biomark-ers, for use in the assessment and clini-cal application of new therapies, fig-ured prominently in not only theBoard’s budget considerations but alsoin discussions of RSNA’s mission. TheBoard approved an addition to RSNA’sfive-year vision statement and six newprojects proposed by RSNA’s new sci-ence advisor, Daniel C. Sullivan, M.D.,all aimed at establishing theSociety as an internationalleader and partner in theimaging biomarker area.

The actions also reflectRSNA’s intent to helptransform radiology froma qualitative to quantita-tive science in order to helppatients benefit from accelerated devel-opment and dissemination of new phar-macologic, biologic and interventionaldiagnosis and treatment approaches.More information about RSNA’s newprojects and the latest developments inimaging and other biomarkers can befound on Page 6.

RSNA JournalsAs Herbert Y. Kressel, M.D., preparesto take over as editor of Radiology inJanuary, the Board appointed fourdeputy editors to serve under him: Deb-orah Levine, M.D., ultrasound/women’s imaging; Alexander A.

Bankier, M.D., thoracic imaging;Robert Sheiman, M.D., vascular/inter-ventional and Michael H. Lev, M.D.,neuroradiology. Radiology EditorAnthony V. Proto, M.D., will retire atthe end of the year.

The Board also approved adding 16more pages, devoted to qualityimprovement topics, to Radio-Graphics starting with the January-Feb-ruary 2008 issue. The new section willbe edited by Associate Editor JonathanB. Kruskal, M.D., Ph.D. (See My Turn,next page).

Editorial, Research Support Also approved by the Board at the Junemeeting were recipients of RSNA pro-grams that support individuals pursuingradiology editorial experience. Johan-nes T. Heverhagen, M.D. was namedthe 2007 recipient of the William R.Eyler Editorial Fellowship and

Christopher T. Whit-low, M.D., Ph.D.,was approved as the2007 EditorialTrainee. More infor-mation about Drs.Heverhagen andWhitlow can befound on Page 1.

The Revitalizing the RadiologyResearch Enterprise (RRRE) pro-gram is designed to help academicradiology and radiation oncologydepartments improve their ability tosupport and conduct radiologicresearch. Approved by the Board forRRRE site visits this year were theradiology department at Case WesternUniversity/University Hospitals inCleveland and the radiation oncologydepartments at the University of Penn-sylvania in Philadelphia and the Uni-versity of Virginia in Charlottesville.

In recognition of the value ofreports created by the International

Commission on Radiation Units andMeasurements to radiologists, theBoard authorized RSNA becoming an affiliated organization of the com-mission.

International ProgramsAs part of RSNA’s commitment to fos-ter relationships with internationalphysicians and societies, the Boardapproved 18 participants for the Intro-duction to Research for InternationalYoung Academics (IRIYA) program in2007. This special seminar held duringthe annual meeting encourages youngradiologists from countries outsideNorth America to pursue careers in aca-demic radiology.

The Board also approved the 2007International Visiting Professor (IVP)teams that will travel to Nigeria, Vietnamand China. The IVP program, whichsends imaging professionals to lecture atthe national radiology meetings ofemerging nations, as well as local hospi-tals and teaching institutions in the hostcountries, also sends a team to Mexicoeach year. Information about IRIYA andIVP participants will be published in anupcoming issue of RSNA News.

Board actions reflect

RSNA’s intent to help

transform radiology

from a qualitative to a

quantitative science.

RSNA NEWS

Gary J. Becker, M.D.Chairman, 2007 RSNA Board of Directors

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

In addition, RSNA President R.Gilbert Jost, M.D., and ExecutiveDirector Dave Fellers, C.A.E., will rep-resent RSNA for the first time at theChinese Congress of Radiology meet-ing in Nanjing in October. RSNA Presi-dent-elect Theresa C. McLoud, M.D.,will teach a refresher course and RSNAwill also have a booth at the meeting.RSNA’s presence at the meeting is partof its outreach to colleagues in China,whose scientific submissions to theRSNA annual meeting have beenincreasing.

As part of RSNA’s communities oflearning program, William E. Brandt,M.D., will serve as an “e-mentor” tosix radiology residents at a hospital inNairobi, Kenya.

RSNA Annual MeetingsAt RSNA 2007, RSNA will track atten-dance in the Technical Exhibit Hallsand Lakeside Learning Center usingradiofrequency identification, alsoknown as RFID. RFID badge scanningis a noninvasive way to track atten-dance and exhibit booth participation.No personal information is stored onthe RFID chip, only an identificationnumber. Badges will be scanned toobtain total attendance counts, exhibitbooth participation and exhibit floortraffic flow through the entrances.

For RSNA 2008, the Boardapproved a new scientific exhibit cate-gory to be added to the Call forAbstracts. The new category is expectedto feature submissions of applied science

that demonstrate non-hypothesis-basedwork not yet generally accepted enoughto be considered an education exhibit.

GARY J. BECKER, M.D.CHAIRMAN, 2007 RSNA BOARD OF

DIRECTORS

■ Note: In our continuing efforts to keepRSNA members informed, the chairman ofthe RSNA Board of Directors will provide abrief report in RSNA News following eachboard meeting. The next RSNA Board Meet-ing is in September 2007.

Time Has Come to Embrace Quality

AS REGULATORY demands for qualitymetrics begin to permeate ourpractices, radiologists have been

slowly introduced to quality assuranceconcepts and processes. However, as thepace quickens, processesmust be made transparentand embraced with passionand enthusiasm.

In an Innovation Serieswhite paper issued this year, “EngagingPhysicians in a Shared Quality Agenda,”the Institute of Healthcare Improvementaddressed ways of doing just that. Toeffect this cultural change, we must iden-tify and activate “champions” and makeradiologists visible partners, rather thancustomers, in the process. Equally impor-tant, we must produce evidence that par-ticipating in seemingly bureaucraticprocesses actually improves the qualityof our practices and patient safety.

While it may not be too challengingto meet many regulatory demands—such as contributing to a peer-reviewprocess, exceeding pay-for-performance

thresholds, completing theAmerican Board of Radiology’sPractice Quality Improvementproject to receive Maintenanceof Certification or fulfilling the

practice-based learn-ing requirements ofthe AccreditationCouncil for GraduateMedical Education—

the major hurdle is convincingradiologists of the many bene-fits of quality and safety. To achievethis, we must advocate both system andindividual responsibility and accounta-bility and implement evidence-basedprotocols to limit variability in the manyprocesses related to radiology practice.

We, along with our patients andreferring colleagues, are all partners inthe quality improvement process andmust align quality and safety initiativeswith the missions of our institutions anddepartments. Lastly, the educationalaspects of quality improvement cannotbe overemphasized—we must publicize

successes and analyze fail-ures, disclose errors andinspire colleagues to reportadverse events, seek rootcauses and implementmeasurable changes, estab-lish processes to identifyand prevent situationswhere errors are just nar-rowly avoided and involvetrainees in these processesso that quality and safety

methodologies become essential compo-nents of our practices, rather than anonerous administrative burden.

My TurnONE RADIOLOGIST’S VIEW

Jonathan B. Kruskal,M.D., Ph.D.

MY TURN

Jonathan B. Kruskal, M.D., Ph.D., is an asso-ciate professor in the Department of Radiologyat Harvard Medical School and associate chiefof radiology for quality and director of abdom-inal imaging at Beth Israel Deaconess MedicalCenter in Boston. He was recently named anassociate editor of RadioGraphics and willfocus on a new quality improvement section.Dr. Kruskal is a member of the RSNA NewsEditorial Board.

6 R S N A N E W S A U G U S T 2 0 0 7

INCREASING reports throughout medi-cine of newly identified biomarkersare an indicator of the escalating and

essential role that biomarkers play in thedeveloping world of molecular medi-cine. RSNA is helping establish radiol-ogy’s role in the personalized medicinerevolution.

“A new generation of imagingexperts will add value to personalizedmedicine through quantitative imaging,by sorting responders from non-respon-ders before treatment, rapidly assessingresponse to therapy already initiated,verifying targeting of theragnostics,measuring longer-term response totherapy and rendering critical prognos-tic information,” said RSNA BoardChairman Gary J. Becker, M.D.

Preparing for this revolution willrequire attention to everything fromharmonized image acquisition protocolsand validated software algorithms tostandardized ontologiesand structured reporting,said Dr. Becker, a profes-sor of vascular and inter-ventional radiology at theUniversity of Arizona andassociate executive direc-tor of the American Boardof Radiology in Tucson.

Professional radiologysocieties are particularly well poised tohelp, he said, by convening and facili-tating consensus among stakeholders,providing forums for presentations ofthe latest science, training clinicalinvestigators and globalizing biomarkerefforts.

RSNA endeavors will be organizedin large part by its new science advisor,Daniel C. Sullivan, M.D. At its Junemeeting, the RSNA Board of Directorsapproved six projects proposed by Dr.

Sullivan, including separate forums forrepresentatives of professional soci-eties, industry and academic programs.RSNA also plans to offer annual meet-ing sessions related to quantitativeimaging and biomarkers, as well aseventually creating a separate confer-ence called “Toward QuantitativeImaging.” RSNA will also co-sponsorworkshops with the National CancerInstitute (NCI) and U.S. Food and DrugAdministration to identify disease-spe-cific approaches to quantitative assess-ment of tumors.

“All aspects of healthcare arebecoming more objective and less sub-jective,” said Dr. Sullivan. “Radiologymust therefore move aggressively inthe direction of becoming more quanti-tative. This requires active involvementfrom radiologists, physicists, chemists,molecular biologists, computer scien-tists, imaging device manufacturers and

a variety of usersincluding clinicians,regulators and payers.”

Imaging a Fast-GrowingBiomarker ClassDr. Becker emphasizedthat imaging is just oneclass of potential bio-markers among a broad

variety of measures—including physicalfindings such as blood pressure andblood levels of key substances such astumor markers and cholesterol—that canexpress disease probability, presence,severity and location, as well as likeli-hood of and actual response to a particu-lar therapy and disease recurrence.

“Today there are already examplesof imaging biomarkers that can tellwhether a patient will or will notrespond to therapy after 24 to 48 hours

of treatment using some newer cancertherapeutic agents,” said Dr. Becker.Use of dynamic contrast-enhanced(DCE) MR imaging at baseline andafter 48 hours of therapy with antian-giogenic agents in certain cancers isjust one example, he said.

Imaging biomarkers also figureprominently into changing standardsfor diagnosing Alzheimer disease. Aninternational panel of 19 physicians, inan article published online by the jour-nal The Lancet Neurology on July 9,2007, advocate that an Alzheimer diag-nosis require that a person “suffermemory loss that gets worse over a six-month period” and then the presence of“at least one physical biomarker” forconfirmation. Along with genetic ones,imaging biomarkers could include MRevidence of shrinking of a particularpart of the brain and a PET scan show-ing brain activity tied to the disease ordeposits of amyloid protein in thebrain, the researchers write.

Progress on other biomarker frontsincludes discoveries unveiled earlier

Imaging Critical as BiomarkersDrive Personalized Medicine

A new generation of

imaging experts will

add value to personal-

ized medicine through

quantitative imaging.

Gary J. Becker, M.D.

Daniel C. Sullivan, M.D. RSNA Science Advisor

RSNA HOT TOPIC

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

this year at the annual meeting of theAmerican Association for CancerResearch (AACR). Investigators pre-sented gene expression signatures thatcould serve as biomarkers in predictinghow women will respond to breast can-cer drugs, as well as genetic mutationsthat could predict lack of drug responsein patients with colorectal cancer. Alsointroduced were two new methods foridentifying biomarkers—a peptidelibrary and a high-throughput geneticanalysis technique.

Another effort to stimulate paralleldiscoveries of imaging biomarkers wasthe first RSNA-organized invitationalbiomarkers methodology workshop,Imaging as a Biomarker for Planningand Monitoring Therapy, held May3–4. Representatives from governmentagencies, industry and medicinedefined the contributions of imagingbiomarkers to clinical decision-makingand drug development, identified studydesigns and research methods for dis-covering these biomarkers and dis-cussed the establishment of shared ter-minology.

One important outcome of the meet-ing, said Dr. Becker, was agreementamong the participants that there is muchto be accomplished and that a series oftopical workshops on the methodologyof imaging biomarkers will be an impor-tant way to work through the challenges.“There was widely expressed enthusiasmamong the participants for RSNA’s seri-ous interest and involvement in thisfield,” he said.

RSNA has continued conveningmeetings with industry representativesand is also a contributing member ofThe Biomarkers Consortium, a public-private partnership to advance knowl-edge about specific biomarkers andtheir clinical applications.

All Radiologists Urged to Get InvolvedAt the Frontiers of Biomedical ImagingScience conference held at VanderbiltUniversity in Nashville, Tenn., in June,sessions addressed the obligation of allradiologists and radiation oncologists to

advance quantitative imaging andimaging biomarkers. C. Carl Jaffe,M.D., chief of the Diagnostic ImagingBranch of NCI’s Cancer Imaging Pro-gram, urged attendees to examine theimportance of participating in clinicaltrials regardless of where their practicesare located.

“The irony is that at any given timethere are about 400,000 people withcancer, and only 2 percent of them areon clinical trials,” Dr. Jaffe said in aninterview. “So we can infer that thoseother 98 percent are being taken care ofunder circumstances in which we knowwhat their treatment and outcome willbe. Is that true? I don’t think so. In only2 percent of cases are we admitting ourlack of knowledge and participating ina way designed to explore the frontiersof that knowledge.”

As biomarker research evolves, sowill the role of the imager, said Dr.Jaffe. “Imaging has been treated as if itstands by itself and as if it is its owntruth,” he said. “The value of imagingis on the individual patient level. It isvery common for the imager, when hesees the tumor shrinking, to say, ‘Oh,what we’re doing is good for the

patient. He has a shrinking tumor. He’sgoing to do better.’ We know that’s notalways the case, but the problem weface is people have to look at disease asa statistical problem, rather than anindividual problem.”

Dr. Jaffe said he wanted his mes-sage promoting research to resonatewith all attendees, from all types ofradiology settings. “They have to rec-ognize that all therapies in cancer areexperimental,” he said. “You can’t con-centrate simply on your own local envi-ronment and contribute to the knowl-edge base about choosing the appropri-ate therapies. Physicians shouldrecognize their role in the larger frame-work of the testing of therapies anddrugs. That role is a formal role. It islarger than the day-to-day events thatoccur when you’re dealing with anindividual patient.” ■■

Learn More■ For additional information about imagingbiomarkers, including validation for pre-clinical and clinical applications and clinicaltrial design, visit the Massachusetts GeneralHospital Center for Biomarkers in Imagingonline at www.biomarkers.org.

An RSNA 2007 refresher course, “Imaging as aBiomarker,” will look at the role of imaging in clin-ical trials, methods for quantitative imaging andchange detection in medical imaging. For moreinformation and to register now for RSNA 2007 courses, go to RSNA2007.RSNA.org.

❚

Imaging Biomarkers at RSNA 2007

ON THE COVERPatient with gastric can-cer, metastatic to the liver(arrows). FDG-PET/CTscans show that both theprimary tumor and theliver metastasisresponded well tochemotherapy.Images courtesy of David W.Townsend, Ph.D., University of Tennessee Medical Center.

Pre-therapy Post-therapy

8 R S N A N E W S A U G U S T 2 0 0 7

PACS Reaches Near Saturationin Healthcare Market

ABOUT 90 percent of major medicalinstitutions use picture archivingand communication systems

(PACS), up from 40 percent just a fewyears ago, according to a recent reportreleased by a London-based businessanalysis company. The report points tolower costs and new modalities as rea-sons for the increased utilization.

“The main finding is that PACS isgoing to become the standard in hospi-tals within a few years, and in somecountries it’s already the standard,” saidJustin Davidson, an associate analystwith the Datamonitor firm and authorof “Digital Imaging: Reducing MedicalError and Improving Diagnostics,” amarket study released earlier this year.

The Datamonitor report found thelargest areas of PACS growth to be inthe Nordic countries, U.K. and NorthAmerica. “It’s a technology that’s hardto argue against,” said Davidson.“PACS really is sort of a no-brainer.The benefits far outweigh any negativefeatures that may exist.”

In some European nations, saidDavidson, the rapidspread of PACS usageover the past three tofive years was driven bygovernmental health ini-tiatives such as Britain’sNational Health Service,which worked to link the country’smedical records electronically.

“PACS has shown a pretty classictechnology adoption curve,” said JamesH. Thrall, M.D., co-author of PACS: AGuide to the Digital Revolution, origi-nally published in 2002 and updatedlast year. Dr. Thrall is radiologist-in-chief at Massachusetts General Hospi-tal in Boston and the Juan M. TaverasProfessor of Radiology at Harvard

Medical School. He traces the currentPACS boom back to the mid-1990s,when a few systems were being usedby leading academic medical centers,“with a few adventurous private prac-tices joining in.”

One factor in the spread of PACSusage, said Dr. Thrall, was the avail-ability of Web-based solutions which

substantially loweredcosts. “When we firststarted implementingPACS technology inabout 1995, it cost us$40,000 to $50,000 perworkstation,” he said.

Today, he noted, institutions benefitfrom the use of software licenses,decreases in the cost of flat-panel dis-plays and “astonishing” increases incomputing power per dollar spent—both in terms of processing power andarchiving. “We’re spending perhaps$5,000 to $10,000 per workstation,”said Dr. Thrall, “and less than 5 percentof the original expense for archivingstudies. So it’s really been a series of

tipping points over a period of time.”

“Seeing is Believing” Effect InfluencedSomeThe falling costs of data storage andcomputer equipment are helping withthe continued spread of PACS, butthere are other factors as well, saidDavidson, pointing to the “seeing isbelieving” effect. In North America, hesaid, “it’s very much up to the hospitalsto see the benefit of PACS and startimplementing them.” He added thatwhile administrators of some smallerhospitals initially lacked the capital toinvest in PACS, they’re now witnessingfirsthand how well the systems work inthe larger facilities.

The report also indicates a shortageof radiologists in the U.S. contributedto increased PACS usage. “With PACS,industry estimates are that a radiologistcan see 10 percent more patients in aday,” Davidson said. He added that theever-increasing versatility of PACS,allowing radiologists to access imagesfrom their home PCs or even download

PACS has shown a

pretty classic technology

adoption curve.

James H. Thrall, M.D.

James H. Thrall, M.D.Harvard Medical School

Justin DavidsonDatamonitor

FEATURE TECHNOLOGY

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

them onto their personal digital assis-tants (PDAs), has also helped spurgrowth.

The advent of multidetector CTscanners around the year 2000 added tothe PACS boom by substantiallyincreasing the number of images thatradiologists had to handle, said Dr.Thrall. “Even the most technophobicand recalcitrant radiologists began torealize they could not work with hard-copy images when a complicated CTangiogram might have 2,000 images,”he said. “The number of images hasjust skyrocketed.”

The use of PACS has not onlyincreased how many images radiolo-gists can easily examine, but also howwell they examine them, Dr. Thralladded. PACS has allowed radiologiststo extract more value from images, hesaid, by facilitating image post-process-ing, 3D rendering and extraction ofquantitative parameters. “That’s a hugepart of the value we’ve pushed,” hesaid. “Computer-aided diagnosis, refor-matting of the transaxial images intocoronal images, volumetric renderingsand surgical planning are all advan-tages of the PACS era.”

The Datamonitor report also high-lights how healthcare professionals areseeing opportunities for PACS beyondradiology, with uses in departmentssuch as cardiology, pathology and der-matology.

Tech Support, Integration Remain ChallengesThere are some speed bumps on theroad to total PACS saturation, said Dr.Thrall. The costs of purchasing newPACS equipment, software and storagehave been overcome, he said, but nowthere is a shortage of technology sup-port for PACS systems in smaller insti-tutions. “Probably the majority of radi-ology departments do not have some-one trained to manage a PACS,” hesaid. He noted that the Society forImaging Informatics in Medicine(SIIM) offers certification for PACSadministrators, but “there’s still a sort

of mismatch between the level ofsophistication you would like to havefrom a PACS administrator and thepool of available people.” This “humanresource gap,” he said, has “put thebrakes on the spread of PACS.”

Still, Dr. Thrall added, “for largerinstitutions, it’s not a question ofwhether you want PACS or not, you’vegot to have PACS to stay in business.You just can’t practice radiology onany large scale without electronicimage management.”

Dr. Thrall said he sees other imme-diate challenges as PACS becomenearly ubiquitous in most U.S. hospi-tals. With many hospital administratorsnow beginning to plan the purchases oftheir second or third generation ofPACS, they must think about how thesenew PACS, with images in the digitalimaging and communications in medi-cine (DICOM) format, are going toconverge with the digital infrastructureof the rest of the hospital, which typi-

cally uses HL7 standards to formatinformation, he said.

“One of the things we’re going tosee in the next five to 10 years is thefirst and second generation of PACS,that were departmental and closed intheir design for use by radiologists,replaced with Web-based enterprisePACS solutions that converge with theentire hospital’s digital system,” saidDr. Thrall. “This is a 20-year revolu-tion, and we’re now about three-quar-ters of the way through it.” ■■

Learn More■ The American Board of Imaging Infor-matics (ABII), founded earlier this year bythe Society for Imaging Informatics in Med-icine (SIIM) and American Registry of Radi-ologic Technologists (ARRT®), overseesImaging Informatics Professional certifica-tion for PACS administrators. More infor-mation is available at www.siimweb.org.

Picture archiving and communication systems(PACS) will be the focus of Part 2 of the “PracticalInformatics for the Practicing Radiologist” refreshercourse at RSNA 2007. Among the topics to beaddressed are orphaned workstations and how to integrate advanced image processing (3Dand computer-aided diagnosis) into PACS workflow. For more information and to registernow for RSNA 2007 courses, go to RSNA2007.RSNA.org.

❚

PACS at RSNA 2007

0

1,000

2,000

3,000

4,000

5,000

6,000

201120102009200820072006

Total PACS Market Size in North America, 2006 – 2011

U.S.

$ (m

illio

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Source: Datamonitor

10 R S N A N E W S A U G U S T 2 0 0 7

THE debt burden carried by resi-dents, as well as the timing oftheir oral board examinations and

study, call and other responsibilitiesthat intensify in their senior year, arethe subjects of renewed debate withinthe radiology community.

“They’re all parts of an unfair edu-cation process…greatly out of whack,”said Stephen R. Baker, M.D., presidentof the Society of Chairmen of Acade-mic Radiology Departments (SCARD).While Dr. Baker and others call forchange, the possible solutions seemelusive and controversial.

Dr. Baker, who chairs the radiologydepartment at the New Jersey MedicalSchool at the University of Medicineand Dentistry of New Jersey (UMDNJ)in Newark, said he’s distressed aboutthe debt, mostly from medical school,that residents carry—$130,000 on aver-age in 2006, according to the Associa-tion of American Medical Colleges.“When their children are going to col-lege they’ll still be pay-ing off their own educa-tional loans,” said Dr.Baker. “That’s crazy.”

It’s unacceptablethat career choicesbased on finances forcemany residents to turn away from aca-demic radiology, said Dr. Baker.

Without prior earning years, a salaryapproximating $50,000 and oral boardslooming, residents encounter sharplyescalating costs in the fourth year, Dr.Baker said. Board review, ArmedForces Institute of Pathology (AFIP)RadPath courses, travel, housing, inter-views and board exam fees can add upto $7,500 of personal educationexpense, according to a recent study ini-tiated by Dr. Baker and colleague Gauri

Tilak, M.D. This personal outlay repre-sents about 15 percent of senior resi-dents’ salaries on top of their ponderousmedical school debt, said Drs. Bakerand Tilak, who reported their study atthe annual meeting of the AmericanRoentgen Ray Society in May.

“No one wants to live with thatmuch debt,” said Vladimir Sheynzon,M.D., a third-year resident at theUMDNJ-New Jersey Medical School.“You learn to live with it, we’re notcrying about it, but everyone wants tolive a little,” he said. Third-year col-league Basil Hubbi, M.D., called med-ical debt “a stressor.” While he enjoysteaching and likes the idea of academicpractice, he said he can understand whymany choose private practice to repaytheir debt. Choosing a fellowship oracademic practice means accepting “thehuge opportunity cost,” said Dr. Hubbi,adding that he hasn’t decided yet whathe will do.

Most agree that while Medicare isfooting the bill for resi-dencies, there’s no easyavenue to greater com-pensation. Paying resi-dents more would meanlosing resident slots, saidDr. Baker. “It’s a hybrid

situation, being both student andemployee,” he said, “and I don’t thinkmany institutions would want to investin higher salaries.”

Gregory Galdino, M.D., immediatepast-chair of the Resident Fellows Sec-tion of the American College of Radiol-ogy (ACR), agreed. “Residents areseverely underpaid for their level ofresponsibility, but it’s a complex issuewhile Medicare supports the system,”said Dr. Galdino, who just began pri-vate practice in Tennessee.

Responsiblities Grow Rapidly in Fourth YearMeanwhile, fourth-year resident respon-sibilities climb toward a crescendo inwhat Dr. Baker called “the most accel-erated seniority system in the history ofemployment.” The approaching oralboards and senior year study, he said,impact resident programs and the juniorresidents who fill the gap, as study sapsthe time and energies of fourth-year res-idents. As a result, Dr. Baker and othershave called for oral boards to bedelayed two years to accommodatefourth-year responsibilities.

Lori Goodhartz, M.D., director ofradiology education at the FeinbergSchool of Medicine of NorthwesternUniversity, said she sees increasingmomentum for change and attributes itin part to “senioritis,” inordinate studyconcerns by seniors. “Most of them willpass anyway,” added Dr. Goodhartz,who said she favors moving the boards.

Dr. Galdino said he is absolutelyopposed to delaying the boards. Fourth-

Radiology Resident Debt, Board Exam Timing Questioned

[It’s] an unfair educa-

tion process…greatly

out of whack.

Stephen R. Baker, M.D.

Stephen R. Baker, M.D.University of Medicine and Dentistry ofNew Jersey

FEATURE RESIDENT ISSUES

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

year residents are, he said, “the mostprimed and attuned to the core compe-tence of radiology.” He added thatstudy and resident availability issuesare local concerns well managed inmany major institutions. A resolution,proposed by the ACR Resident FellowsSection and passed by the ACR councilat this year’s annual meeting, estab-lished a panel to study the impact thatmoving the boards would have on theprofession.

Some Question Need for AFIPMeanwhile, Dr. Baker has set his sightson still other issues. He has also sug-gested a pricing structure that allowsresidents to pay less for their firstAmerican Board of Radiology (ABR)exam and more as their incomesincrease, as well as finding work forresidents in richer institutions.

Earlier this year, Dr. Bakerannounced he will no longer send resi-dents to the AFIP course. He said heconsiders it a poor educational format,with resident performance inadequatelytracked and Medicare reimbursementnow curtailed for their time away atAFIP. Instead, he said, radiology-pathology correlation is adequately per-formed in-house at his institution and,in light of new requirements from theDiagnostic Radiology ResidencyReview Committee of the AccreditationCouncil for Graduate Medical Educa-tion, he has instituted a course inmolecular pathology. The course willbe offered to other training programsthis year as well.

His decision startled many. “AFIP’sgreat,” said Dr. Goodhartz. “It’s likegoing back to school and people teach-ing you everything you need to knowand showing you cases that you couldnever see because there’s only one ortwo in the country. It’s just wonderful.”

RSNA Board Liaison for Science N.Reed Dunnick, M.D., noted that remoteInternet learning makes the case forAFIP dubious. Dr. Dunnick is the FredJenner Hodges Professor and chair ofthe Department of Radiology at the

University of Michigan Health Systemand ABR president-elect. Dr. Dunnicksaid he agrees, however, with much ofthe argument against delaying the oralboards. He said that in a rapidlyexpanding specialty where no one canmaster it all, a better solution may be toreduce the size of the residency core,increase subspecialty training and post-pone the clinical year until residentshave selected their area of practice.

“Do that and you would change thenature of the examination and make

this argument about the timing of theoral exam moot,” said Dr. Dunnick.

Dr. Baker said that no matter howthe individual issues turn out, this isclearly a period of uncertainty in radi-ology education. “It’s going to be dis-quieting to those people who are accus-tomed to the current paradigm,” hesaid. ■■

SEVERAL RSNA 2007 courses focus on issues ofimportance to residents, their mentors andfaculty. “Resident Training: Hot Topics,” will

focus on education in cardiac imaging and medicalphysics and also address restructuring the radiology residency program, while “Sustaining aRadiology Residency Program: The Roles of the Chair, Program Director and Resident” looksat essential qualities for each position.

During “Mentoring Medical Students, Residents and Faculty,” lecturers will distinguishadvising from mentoring, describe different types of mentoring for radiology residents andidentify resources to improve resident mentoring.

In addition, the Residents Lounge at RSNA 2007 will offer RSNA members-in-trainingand non-member residents a place to relax and network while enjoying complimentaryrefreshments. The lounge, located in the Lakeside Center Ballroom, Level 3, in McCormickPlace, is open Sunday through Thursday from 8 a.m. to 6 p.m. during the annual meeting.

On Monday, Nov. 26, from 4 to 5 p.m. at the Hyatt Regency McCormick Place, residentsare invited to a reception with RSNA President R. Gilbert Jost, M.D. RSNA presidents andother leaders value the recep-tion as a time to reach out tothe specialty’s next generation,hear their ideas and concernsand share advice. More than300 residents have attendedthe event in past years.

❚

Education, Relaxation Await Residents at RSNA 2007

Anne G. Osborn, M.D., (topphoto, second from right), anRSNA Gold Medalist and cur-rent chair of the RSNAResearch & Education Foun-dation Board of Trustees, wasone of many RSNA leaderswho visited with radiologyresidents at the RSNA 2006Residents Reception.

(Bottom photo) The Resi-dents Lounge at the annualmeeting is always a busyplace, as residents take timeto relax and network.

12 R S N A N E W S A U G U S T 2 0 0 7

PAD Treatment Safe for ArteriesBelow the Knee

WHILE angioplasty and stentinghave proven effective in pre-venting amputation by restor-

ing blood flow to the main arteries ofthe lower extremities of patients withadvanced stage peripheral arterial dis-ease (PAD), a new study indicates thesesame methods can also be used suc-cessfully on the small, hard-to-treatarteries below the knee.

A study presented at the Society ofInterventional Radiology annual meet-ing in March included patients who hadeither no blood flow to the lower leg orhad developed gangrene.

“These patients were at the pointwhere they were going to require anamputation. Studies had not focused onthat before,” said lead author NaelSaad, M.B.B.Ch., an interventionalradiologist at the University ofRochester Medical Center in Rochester,N.Y. “Angioplasty and/or stenting wereable to restore blood flow to the limbs,thus saving these patients from life-altering amputation.”

Between 8 million and 12 millionpeople have PAD, according to theAmerican Heart Association.

Vessels Formerly Overlooked Due to Size The smaller blood vessels below theknee typically have had poorer treat-ment results because of their size andtheir tendency to re-clog more easilythan larger vessels, said Dr. Saad. Hisstudy, conducted between August 2000and February 2007, proved otherwise,he said.

“We treated 57 patients and wereable to open the artery in 97 percent,”said Dr. Saad. The arteries below theknee remained open in 91 percent ofpatients at 18-months post-treatmentand the success rate was consistent in

all patients consecu-tively enrolled overthe six-year period, hesaid.

“The long-termclinical results arecomparable to bypasssurgery in the leg, witha much lower risk ofmorbidity and mortal-ity,” said Dr. Saad. Headded that patientsrecover more easilyfrom angioplasty andstenting and the proce-dures are also muchsimpler to perform than bypass surgery.

“Everything is done with a needleinserted in an artery in the upper leg,”he said. “There is no incision; we justput a Band-Aid over it. The patientstays overnight and goes home the next

day. There is really no recovery, justseveral hours of lying still.”

For many patients with PAD, whoare an average age of 72 years, bypasswould not be an option, said Dr. Saad.“For many of these people with PAD

Images show a patient’s lower leg before (left) and after angioplasty and stenting. In theirstudy of 57 patients with advanced stage peripheral arterial disease (PAD), Nael Saad,M.B.B.Ch., and colleagues were able to open the artery in 97 percent. The arteries belowthe knee remained open in 91 percent of patients at 18-months post-treatment.Images courtesy of Nael Saad, M.B.B.Ch., University of Rochester Medical Center.

FEATURE MEDICINE IN PRACTICE

Nael Saad, M.B.B.Ch.University of Rochester Medical Center

Stephen P. Johnson, M.D.University of Colorado HealthSciences Center

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

below the knee, bypass wouldn’t workbecause you need to use veins and, atthis point, they don’t have vein materialto do the procedure,” he said. “Also,because these people areoften older and haveserious comorbiditieslike diabetes and hyper-tension, they are poorcandidates for bypasssurgery.”

Endovascular tech-niques such as angio-plasty and stenting canalso be repeated as necessary, said Dr.Saad. “If the artery does re-clog, youcan go back and do it again,” he said.

Technology Advancing QuicklyStephen P. Johnson, M.D., chief ofinterventional radiology at the Univer-sity of Colorado Health Sciences Cen-ter in Denver, said technology to treatbelow-the-knee arterial disease hasadvanced significantly in the past fiveyears.

“This is one of the most encourag-

ing studies,” said Dr. Johnson. “Tenyears ago we only received referrals forpatients when they were high surgicalrisks or they did not have the veins for

bypass. Studies likethis have shown thatthe risk of losing alimb followingendovascular tech-niques is very smalland the success rateis high.“About 10 to 15 per-cent of patients with

PAD will progress to a point wheretheir limb is threatened,” Dr. Johnsoncontinued. “Not everyone who getsPAD will progress to such a threatpoint, but if they continue to smoke, orhave hypertension or diabetes, the dis-ease can progress to this point.”

Dr. Johnson said his own clinicalexperience mirrors the results of Dr.Saad’s study. “For many years therehas been interest in something lessinvasive then bypass therapy. Endovas-cular techniques are now first-line ther-

apy and are becoming the standard ofpractice,” he said. “That’s a significantchange and a great improvement inpatient care. I think it’s a very excitingand interesting time in the treatment ofthis disease.” ■■Studies like this have shown

that the risk of losing a

limb with endovascular

techniques is very small

and the success is high.

Stephen P. Johnson, M.D.

Learn More■ The Society of Interventional Radiologyfounded the Legs For Life® national screen-ing and public information program in 1997for peripheral arterial disease, abdominalaortic aneurysm, carotid stroke and venousdisease. More information is available atwww.legsforlife.org.

AMONG the interventional radiology offerings at RSNA 2007 is “Imagingof Peripheral Arterial Occlusive Dis-

ease,” a refresher course that will examine thespectrum of the disease and the role of digitalsubtraction angiography, MR angiographyand CT angiography in imaging.

Also offered will be a multisession course,Case-based Review of Interventional Radiol-ogy. The course, offered in conjunction withthe Society ofInterventionalRadiology,examines oncologic and nonvascular inter-ventions as well as vascular diagnosis andinterventions.

Other RSNA 2007 refresher coursesaddressing interventional radiology issuesinclude “PACS in Procedural Areas: Inter-ventions for the Interventional Radiologist,”which looks what works and what doesn’t,including angiography-specific needs andPACS in the operating room.

“Interventional Radiology in the Era ofMolecular Medicine” provides an overviewof molecular medicine for interventionalistsand looks at meth-ods to enhance andmonitor delivery ofmolecular therapiesand contrast agents.

Interventionalradiology is also thesubject of arefresher course forradiologist assis-tants, while theEssentials of Radi-ology course ininterventional radi-ology is designed togive an overview ofthe topic to gener-alists and trainees.For more informa-tion and to register

now for RSNA 2007 courses, go toRSNA2007.RSNA.org.

❚

Interventional Radiology at RSNA 2007

A participant in theCase-based Review ofInterventional Radiol-ogy at RSNA 2006uses the audience-response system,designed to helpinstructors tailorcourses to the com-petency level of theaudience. Instructorsask questions, viewaudience answers ona screen and thenalter course materialbased on theresponses. Studieshave shown that thislevel of audienceinvolvement and feed-back helps peoplelearn more.

MUS

EUM

S

14 R S N A N E W S A U G U S T 2 0 0 7

Art Institute of Chicago

THE ART INSTITUTE’S world-renowned permanent collection includes a noteworthy exhibition of surre-

alistic paintings and Impressionist art. This winter, aspecial exhibit will feature the work of Jasper Johns,one of the 20th century’s most important living artists.This 100-work exhibit focuses on Johns’ use of graythroughout his career in drawings, paintings, prints andsculptures. A second exhibit, Splendor and Intimacy:Mughal and Rajput Courtly Life, celebrates India andPakistan’s 60 years of independence with a small dis-play of decorative arts and miniature paintings.■ 111 S. Michigan Ave.

Tickets: 1-312-930-4040Membership: 1-312-575-8000

Field Museum

WHILE VISITING The Field Museum, say hello to Sue,the largest, most complete and best preserved

Tyrannosaurus rex fossil ever discovered. Sue is onlyone of the many noteworthy specimens in the Field’spermanent collection. The Evolving Planet exhibitexplores 4 billion years of evolution, allowing visitorsto touch a real dinosaur bone and the teeth of amastodon and a wooly mammoth.

A special exhibit, Maps: Finding Our Place in theWorld, includes more than 100 maps from around theglobe. Some of the “greatest maps ever made” will befeatured. Not only does this exhibit tell the story of theevolution of mapmaking and technology’s role, but italso examines the human aspect of map design. Maps ispart of the citywide Festival of Maps, which unites 25cultural and scientific institutions in a collaboration fea-

turing art, globes and maps from ancient to modern times. The Field Museum anchors theMuseum Campus, which also includes theShedd Aquarium and Adler Planetarium, onSouth Lake Shore Drive at Soldier Field.■ 1400 S. Lake Shore Dr.

1-312-922-9410 www.fmnh.org

Chicago Events and Attractions Sure to Please During RSNA 2007DURING THE HOLIDAY SEASON, Chicago is one of the most vibrant cities in the country.It sparkles with festivities that include art, music and theater, as well as once-in-a-life-time special museum exhibits. Regardless of age and interest, Chicago will offersomething for everyone attending RSNA 2007. RSNA Tours & Events RSNA is sponsoring a series of toursand events during RSNA 2007. TheRSNA Tours & Events brochure isavailable at RSNA2007.RSNA.org.Click Tours & City Events in the left-hand column.

Look for the “RSNA Tour” icon next toevent listings in this article, signifying that apre-arranged RSNA package is available.Enroll for tours and events online when reg-istering for the annual meeting or while

adding courses.Tours

Target, 1958Conte crayon onpaper, 151/2" x 15"sheet.Collection Mr. and Mrs.Andrew Saul.Art © JasperJohns/Licensed byVAGA, New York, NY

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www.artic.eduwww.ticketmaster.com

FEATURE CHICAGO 2007

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

Museum of Contemporary Art

THE MCA’s three special exhibitsoffer an interesting experience thiswinter. Sympathy for the Devil: Art

and Rock and Roll Since 1967, exploresthe revolving relationship between visualart and the rock-and-roll culture throughalbum covers, music videos and otherrelated works of art. Twentieth centuryartist Alexander Calder’s work holds aplace in many a heart with his colorfulmobiles and stabiles. Alexander Calderin Focus is a small exhibit of his works from 1927 to 1968.Mapping the Self is the MCA’s contribution to the citywideFestival of Maps. Through drawing, photography, sound andvideo, the exhibit studies how mapmaking has been employedby artists to provide context to their world.

The MCA’s permanent collection represents trends in artafter 1945, with a special emphasis on Surrealism (1940s and1950s), Minimalism (1960s), conceptual art and photography(1960s to the present), installation art and art by local artists.The collection includes paintings, sculpture, photography,video, film and installations.■ 220 E. Chicago Ave.

1-312-280-2660www.mcachicago.org

Sympathy for the Devil: Artand Rock and Roll Since1967, explores the relation-ship between visual art andthe rock-and-roll culture.Shown is Destroy All Mon-sters Collective, AmazingFreaks of the Motor City,2001. Courtesy of Patrick Painter, Los Angeles

Adler Planetarium

PLANETARIUM visitors now can view the newlyrestored Gemini 12 spacecraft in the Shoot for

the Moon exhibit, where cutting-edge technologyhelps tell the storyof America’s partin the space race.

Planetariumshows play con-tinuously throughout the day. Scheduled in thevirtual reality StarRider Theater are Zulu Patrol:Under the Weather, Black Holes: The OtherSide of Infinity and TimeSpace, where timetravelers quickly flip through the highlights of14 billion years of our universe’s history. TheSky Theater depicts stars and other nighttimewonders projected on Adler’s distinctive dome.Sky Theater presentations include EgyptianNights: Secrets of the Sky Gods and Night SkyLive! The Adler Planetarium is located on a sce-nic section of the Museum Campus jutting intoLake Michigan.■ 1300 S. Lake Shore Dr.

1-312-922-7827www.adlerplanetarium.org

Shedd AquariumLizards and the Komodo King is aspecial exhibit featuring lizards of allshapes and sizesfrom around theworld. A favoriteamong children,Komodos cangrow up to eightfeet long, weigh as much as 300pounds and eat a pig in 20 minutes.

The aquarium is home to aquaticlife from around the world. The WildReef exhibit offers one of the mostdiverse displays of sharks in NorthAmerica. Visitors can also enjoy sea-horses, otters, seals, dolphins, pen-guins and whales. The Shedd, a prin-cipal part of the Museum Campus, isa tasteful blend of contemporary and1930s architecture situated on theshore of Lake Michigan. ■ 1200 S. Lake Shore Dr.

1-312-939-2438www.sheddnet.org

Smith Museum of Stained Glass WindowsLocated on the east end of Navy Pier, this freemuseum houses the nation’s largest permanentcollection of Tiffany stained glass windows.This tranquil exhibit offers a wonderful reposefrom the recreational chaos of Navy Pier. Themuseum has more than 150 stained glassworks—some dating back to the 1890s—byartists including John LaFarge, Louis Sullivan,Frank Lloyd Wright, Franz Mayer and F.X.Zettler. Free guided tours are also available byappointment. ■ 600 E. Grand Ave.

1-312-595-5024

Peggy Notebaert Nature MuseumPerched on the edge of a Lincoln Park lagoon,this Chicago museum welcomes children of allages to explore nature. Visitors should be sureto enjoy the beauty of the Butterfly Haven.Other permanent exhibits include the Look-inAnimal Lab, Extreme Green House, Mysteries ofthe Marsh, RiverWorks, Water Lab, WildernessWalk and Hands on Habitat for visitors ageseven and younger.■ 2430 N. Cannon Dr.

1-773-755-5100www.chias.org

Chicago Historical SocietyThe Society has created an urban museum,which presents the fascinating multiculturalheritage of the region in creative, up-to-dateexhibits. Check the Web site for neighborhoodtours, lectures, performances and events.■ 1601 N. Clark St.

1-312-642-4600www.chicagohs.org

Lincoln Park ConservatoryA tropical oasis features greenery from aroundthe world. Seasonal features include a chrysan-themum show in November and a Christmasshow in December. ■ 2391 N. Stockton Dr.

1-312-742-7736

Garfield Park ConservatoryA holiday flowershow is pre-sented by theGarfield ParkConservatory,which was builtin 1907. Theconservatorywas designed by architect Jens Jensen and isone of the world’s largest gardens under glass.■ 300 N. Central Park Ave.

1-312-746-5100www.garfield-conservatory.org

FEATURE CHICAGO 2007

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Lyric Opera of Chicago

THE world renowned Lyric Operaof Chicago performs in one ofNorth America’s most beautiful

opera houses, the Civic OperaHouse, that opened in 1929. Ticketsgo on sale in August.■ 20 N. Wacker Dr.

1-312-332-2244 x5600www.lyricopera.org

Chicago Symphony OrchestraNovember 27Conductor: John WilliamsProgram: Williams: Fanfare for a Festive Occasion Williams: Tributes! (for Seiji) Williams: The Five Sacred Trees (Bassoon Concerto) Williams: Four Pieces from American Journey Williams: Selections from The Witches of Eastwick Williams: Sayuri’s Theme from Memoirs of a Geisha Williams: Adventures on Earth from E.T. The Extra-Terrestrial

November 29 and 30 Conductor: Semyon BychkovPiano: Yundi-LiProgram: Ravel: Piano Concerto in G MajorShostakovich: Symphony No. 7 (Leningrad)

■ Chicago Symphony Orchestra220 S. Michigan Ave.1-312-294-3000www.cso.org

Die Frau Ohne Schatten (TheWoman Without a Shadow)November 26 and 30A fairytale of epic proportions.by Richard StraussConductor: Sir Andrew Daviswith Christine Brewer, RobertDean Smith and Deborah Voigt

Julius Caesar November 28Cleopatra’s seduction of Caesar by Charles GounodConductor: EmmanuelleHaïm with DavidDaniels and Danielle de Niese

Museum of Science and Industry

THE Museum of Science andIndustry is one of the mostpopular tourist destinations

in the city of Chicago andamong seven of the most visitedmuseums in the U.S. Opened in1933, it was the first museum inNorth America to develop hands-on, interactive exhibits.

Permanent exhibits includethe U-505 World War II subma-rine, Colleen Moore’s Fairy Cas-tle and the Apollo 8 CommandModule. Of particular interest toRSNA 2007 attendees maybe IMAGING: Tools of Sci-ence, an exhibit featuring theuse of computer-based imag-ing technology in the fields ofmedicine, science, law enforce-ment and entertainment.

A special exhibit, StarWars: Where Science MeetsImagination, explores thetechnology behind the fan-tasy and applies it to realityof the future. More than 80costumes, models andprops from the movie aredisplayed along with videointerviews with engineers,filmmakers and scientists.

Annual exhibits includethe Christmas Around the Worldand Holidays of Light. Also on

display in a special exhibitare more than 200 robotsand space toys from theRobert Lesser collection.

Robots Like Us explores howthese delightful toys once illus-trated a generation’s fantasies

and fears of the future. The Omnimax theater at the

Museum of Science and Industrypresents Dinosaur Hunters andthe new 3-D Theater in the WestPavilion offers 20-minute 3-Dfilms.■ 57th St. and Lake Shore Dr.

1-773-684-1414www.msichicago.org

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Save Money, AvoidTicket Lines with CityPass

ACityPass ticket bookletcontaining admission

tickets to the SheddAquarium, Adler Planetar-ium, Field Museum andMuseum of Science andIndustry, as well as theHancock Observatory, isavailable for $49.50 byvisiting www.citypass.com/city/chicago.html.Once you start using theCityPass, you have ninedays to visit all of theincluded attractions.

In the Star Wars:Where ScienceMeets Imagina-tion exhibit, Luke Skywalker’sLandspeeder ison display for thefirst time.© 2006 Lucasfilm Ltd. & TM

Landspeeder

Tour 3

Tour 45November 29 performance

FEATURE CHICAGO 2007

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FAMILY ACTIVITIES

THEATER

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Lincoln Park ZooThe Lincoln Park Zoo is the oldest zoologicalgarden in the country, as well as one of themost modern. Casting a festive glow on thezoo grounds, the ZooLights Festival is anightly event during the holiday season.■ 2200 N. Cannon Dr.

1-312-742-2000www.lpzoo.com

Chicago Children’s Museum

CHICAGO Children’s Museum is commit-ted to creating a community where playand learning connect. More than 12

interactive exhibits and new programs offerhours of creative play. Hands-on exhibits arecreatively focused on science, literacy,humanities and the arts. As part of themuseum’s winter theme, children can skate intheir stocking feet to festive, wintry music inthe “ice rink.” Call in November to reserve aplace in one of the gingerbread workshopsbeing offered in partnership with the Culinaryand Hospitality Institute of Chicago.■ 700 E. Grand Ave. (on Navy Pier)

1-312-527-1000www.chichildrensmuseum.org

American Girl PlaceShoppers at American GirlPlace may choose amongthe beautiful dolls and catchAmerican Girls Review in thetheater. Lunch, tea and din-ner are served at The Café.Reservations are recom-mended.■ 111 E. Chicago Ave.

1-877-247-5223www.americangirl.com

Navy Pier IMAX TheatreThe Navy Pier IMAX theatrewill announce its holidayfilm schedule in late autumn.■ 700 E. Grand Ave.

1-312-595-5629www.imax.com/chicago

FEATURE CHICAGO 2007

Altar BoyzAn award winning musicalcomedy, Altar Boyz followsa Catholic “boy band” withone Jewish member. ■ Drury Lane Theatre

Water Tower Place175 E. Chestnut Street1-312-642-2000www.drurylanewatertower.com

Behind the Emerald CurtainPerformers from Wicked:The Untold Story of theWitches of Oz (see descrip-tion, this page) guide thisbackstage tour of the block-buster musical’s set. ■ Ford Center for the

Performing ArtsOriental Theatre24 W. Randolph St.1-312-902-1400www.ticketmaster.com

Forbidden Broadway: Special Victims UnitThis witty musical spoofswell-known Broadwayshows in a rowdy spectacle. ■ Royal George Theatre

1641 N. Halsted St1-312-902-1400www.ticketmaster.com

Jersey Boys This award-winning bestmusical about the life of Rockand Roll Hall of Famers TheFour Seasonschronicleshow FrankieValli, BobGaudio, Tommy DeVito andNick Massi became one of thegreatest successes in popmusic history.■ LaSalle Bank Theatre

18 W. Monroe St.1-312-977-1710www.ticketmaster.com

A Park in Our HouseIn Castro’s Cuba, hopes fade todreams for a family in 1970.■ Victory Gardens Greenhouse

2257 N. Lincoln Ave.1-773-871-3000www.victorygardens.org

The Phantom of the Opera Chicago welcomes Broad-way’s longest running show—Andrew LloydWebber’s extraor-dinary love storywith sumptuoussets and costumes. ■ Cadillac Palace Theatre

151 W. Randolph St.1-312-902-1400www.ticketmaster.com

Put the Nuns in Charge In this sequel to Late Nite Cate-chism, a hit among those whowanted more nuns, rules of astrict Catholic upbringing areapplied to today’s modern life.■ Royal George Theatre

1641 N. Halsted St1-312-902-1400www.ticketmaster.com

The Second City Chicago’s favorite comedy venue,the venerable Second City, hasspawned stars such asJohn Belushi, BillMurray and MikeMyers. The ETC stagefeatures up-and-coming Chicagocomics.■ Mainstage and ETC stage

1616 N. Wells St.1-312-337-3992www.secondcity.com

Wicked: The Untold Story ofthe Witches of Oz This smash hit examines thefriendship betweenGilda the GoodWitch and theWicked Witch of the West.■ Ford Center for the Performing Arts

Oriental Theatre24 W. Randolph St.1-312-902-1400www.ticketmaster.com

Making Wavesby Blue Man GroupPerformance art and comedy meetmusic. Certainly not traditional theater, but fantastically popular.■ Briar Street Theatre

3133 N. Halsted 1-773-348-4000www.blueman.comwww.ticketmaster.com

Tour 6

Tour 30

Tours 41 & 44

Tours 5 & 31 A Christmas CarolThis production of thefamous Dickens tale makeseven Scrooge seem magical.■ Goodman Theatre

170 N. Dearborn St.1-312-443-3800www.goodman-theatre.org

Navy Pier

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RESEARCH & EDUCATION OUR FUTURE

Research & Education Foundation Donors

THE BOARD OF TRUSTEES of the RSNAResearch & Education Foundation and itsrecipients of research and education grants

gratefully acknowledge the contributions made tothe Foundation May 19–June 15, 2007.

Donors who achieve milestones with theircumulative giving are recognized through theFoundation’s Visionary Donor Program.

For more information on Foundation activi-ties, go to RSNA.org/foundation.

$1,500 – $4,999Lise & D. Ian Hammond, M.D.Hedvig Hricak, M.D., Ph.D. & Alexander Margulis, M.D.

Diana ParkerIn memory of Robert G. Parker, M.D.

Sherry & Michael M. Raskin, M.D., J.D.Katherine A. Shaffer, M.D. & William Shaffer

Judith S. & Peter M. Som, M.D.Jean M. & James H. Thrall, M.D.Donna & William A. Weidner, M.D.

$501 – $1,499Martha & Carlos Bazan III, M.D.Gabrielle K. & William C. Black, M.D.Robert W. Hartung, M.D.John R. Hesselink, M.D.John, Thomas, Mary & David McCort In memory of James J. McCort, M.D.

Donna & Lee F. Rogers, M.D.In memory of Reynold F. Brown, M.D.

Rebecca R. & Wilbur L. Smith Jr., M.D.Renate L. Soulen, M.D. & Richard SoulenIn honor of Patricia Borns, M.D.

$251 – $500Marjorie G. & Stephen R. Baker, M.D.Charles J. Savoca, M.D.

$250 OR LESSMonzer M. Abu-Yousef, M.D.Alvin A. Almodovar, M.D.Lynn K. Arcara, M.D. & Alan ArcaraJeffrey R. Bessette, M.D.Ophelia B. Chang, M.D. & Constantine P. Brocoum, M.D.

Veronica Gonzalez & Raul A. Cantella, M.D.Jacqueline & Laurence S. Chaise, M.D.Silvia D. Chang, M.D.Daniel T. Cohen, M.D.Thomas E. Conturo, M.D., Ph.D.Georgia & James A. Corwin, M.D.Robert L. Delapaz, M.D.Peter E. Doris, M.D.Tova & James P. Eisenberg, M.D., Ph.D.Joseph Wayne Eke Jr., M.D.Genevieve & Daniel W. Eurman, M.D.Margaret & Melvin M. Figley, M.D.Mikihiko Fujimura, M.D.George S. Fultz, M.D.Hilary W. GentileIn honor of Mary & Richard E. Buenger, M.D.

Dietrich A. Gerhardt, M.D.Deborah S. Granke, M.D. & Kenneth GrankeMarcia S. Lawrence, M.B.B.S. & Frederick Greer

Alexander S.R. Guimaraes, M.D., Ph.D.Sue E. Hanks, M.D.Lars Hannerz, M.D.

Anne Marie & David S. Hartman, M.D.Chia-Sing Ho, M.D.Steven M. Huang, M.D.Herbert Illiasch M.D.Richard M. Kafka, M.D.Heather J. & Charles E. Kahn Jr., M.D.Elizabeth & Jeffrey P. Kanne, M.D.In memory of Scott J. Schulte, M.D.

Haldi Svanberg & Juri V. Kaude, M.D.Eileen C. Kenny, M.D. & Bob KennyBirgitt Kling, M.D.John D. Knudtson, M.D.Elizabeth L. Kulwiec, M.D.Shilpa Vidyadhar Lad, M.D.Gretchen E. Green, M.D. & Paul LantosRudolph Y. Lin, M.D.Howard I. Lopata, M.D.Gautham K. Mallampati, M.D.John G. Mardiat, M.D.Srinivasan Mukundan Jr., Ph.D., M.D.Thomas W. Peltola, M.D.

James B. Philipps, M.D.Vanessa M. Zayas-Colon, M.D. & Walter M. Radosta

Connie S. & Norman H. Rahn III, M.D.In memory of David M. Witten, M.D.

Judith & Joseph G. Rusnak, M.D.Erica & Michael A. San Dretto, M.D.James F. Schmutz, M.D.John E. Shick, M.D.William L. Simpson, M.D.Julie H. Song, M.D.Ester P.J. Van der Wal, M.D. & Djavid Hadian, M.D.

Cornelis F. van Dijke, M.D., Ph.D.Miriam & Robert Villani, M.D.Pat & Charles D. Williams, M.D.

Donors who give $1,500 or more inthe giving year qualify for member-ship in the Presidents Circle. Theirnames are shown in bold face.

VANGUARD PROGRAM

Philips Medical SystemsHitachi Medical Systems

$15,000A Vanguard company since 2000

EXHIBITORS CIRCLE PROGRAM

Intelerad MedicalSystems, Inc.BRONZE VISIONARY DONORS ($5,000 CUMULATIVE)

Martha & Carlos Bazan III, M.D.Hillel A. Ben-Avi, M.D.Gabrielle K. & William C. Black, M.D.

Lori L. Barr, M.D. & Steven R. Dent, Ph.D.Michael B. Martin, M.D.Lisa & Charles V. Wiseman, M.D.

$15,000A Vanguard company since 1990

Amirsys

PLATINUM LEVEL ($10,000)

GOLD LEVEL ($5,000) SILVER LEVEL ($2,500)

BRONZE LEVEL ($1,500)

Emageon

Staff Care U-SystemsRT Temps

New Web Site Highlights Silver Anniversary Campaign As part of its Silver Anniversary celebra-tion, the RSNA Research & Education(R&E) Foundation has created a Website to track the progress of the $15 mil-lion Fund Radiology’s Future campaign.

Web site visitors can learn about theimpact of 25 years of grant funding inradiology, as well as questions posed forthe future of biomedical imaging. Pro-files of grant recipients, updates on

research projects and recognition ofdonors are designed to bring the entireradiology community together in supportof the profession.

To watch campaign progress anddonate online to help the Foundationreach its $15 million goal by RSNA2009, go to RSNA.org/campaign.

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

Journal HighlightsThe following are highlights from the current issues of RSNA’s twopeer-reviewed journals.

RSNA JOURNALS

Postoperative Complications of Lung Transplantation: Radiologic Findings along aTime Continuum

RADIOLOGIC IMAGING, particularlychest radiography, CT and high-reso-

lution CT, is critical for the early detec-tion, evaluation and diagnosis of com-plicationsafter lungtransplantation. Complications rangefrom a size mismatch between the donorlung and recipient thoracic cage to

Bronchial dehiscence in apatient with a right lungtransplant for a1-antitrypsindeficiency. Axial chest CT image,obtained more than fourweeks after lung transplanta-tion, shows a crescent of airoutside the airway (blackarrow), medial to the rightmain bronchus. This findingwas due to an anastomoticleak. A small pneumothorax(white arrow) represents abronchopleural fistula.(RadioGraphics 2007;27:957–974) © RSNA,2007. All rights reserved. Printed with per-mission.

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Standard dynamic protocol for bilateral dynamic subtracted breast MR imaging in a 53-year-old patient with invasive ductal cancer. Images were obtained with transverse 2D gradient-echo (GRE) pulse sequence before andafter bolus injection of contrast material. The same section is displayed throughout thedynamic series, from 69 seconds after injection (a) to four minutes 36 seconds after injec-tion (d). Contrast between cancer (arrow) and normal fibroglandular tissue (arrowheads) onboth sides is best on a, very early in postcontrast phase. Owing to strong washout effect ofthe cancer and progressive signal intensity increase of normal parenchyma, the cancer mayeven be overlooked on d, and assessment of fine morphologic details will not be feasible onthis delayed postcontrast image.(Radiology 2007;244:356–378) © RSNA, 2007. All rights reserved. Printed with permission.

The Current Status of BreastMR Imaging, Part I: Choice ofTechnique, Image Interpreta-tion, Diagnostic Accuracy, andTransfer to Clinical Practice

AFTER AN enthusiastic start to clinicalbreast MR imaging in the early

1990s, a variety of obstacles—lack ofstandardization regarding image acquisi-tion and interpretation guidelines, lackof MR-compatibleinterventionalmaterials and lack of evidence regardingits diagnostic accuracy and sensitivityfor ductal carcinoma in situ—hamperedits transfer into clinical practice.

The first of two State of the Art arti-cles on the current status of breast MRimaging appears in the August issue ofRadiology (RSNA.org/radiologyjnl).Christiane Kuhl, M.D., of the Depart-ment of Radiology at the University ofBonn, Germany, reviews the pathophys-iologic basis of breast MR and itseffects on acquisition technique anddiagnostic accuracy, as well as the

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RSNA JOURNALS

pulmonary embolism.In an article in the July-August

issue RadioGraphics (RSNA.org/radio-graphics), Mayil S. Krishnam, M.D., ofthe Department of Radiological Sci-ences in the David Geffen School ofMedicine at the University of Califor-nia, Los Angeles, and colleagues notethat to enable selection of effective andrelevant therapy and ultimatelydecrease morbidity and mortalityamong lung transplant recipients, radi-ologists must be able to recognize andunderstand the imaging manifestationsof posttransplantation complications.

Describing the pulmonary compli-cations that may occur after lung trans-plantation, Dr. Krishnam and colleaguesidentify relevant imaging features andpoint out temporal relationships andpathologic processes. Noting that com-plications are best classified inrelation to the point at whichthey occur along the postoper-ative time continuum to help cliniciansnarrow the differential diagnosis, theauthors address such complications as:• Immediate (less than 24 hours)• Early (24 hours to one week)• Intermediate (eight days to two

months)

• Primary late (two to four months)• Secondary late (more than four

months)• Transbronchial biopsy-associated

“By recognizing the relevant radio-logic manifestations and identifying

their temporal relationshipsto transplantation, radiolo-gists can help clarify the

wide spectrum of nonspecific, overlap-ping and sometimes confusing clinicaland imaging findings of complicationsafter lung transplantation,” they con-clude.

Postoperative Complications of Lung Transplantation: Radiologic Findings along a Time ContinuumContinued from previous page

diverging demands of high spatial andtemporal resolution and different acqui-sition approaches. In addition, Dr. Kuhldetails:• Advantages and disadvantages of dif-

ferent pulse sequence parameters• Imaging findings in common benign

and malignant changes

• Current concepts for differential diag-nosis

• Recent progress, particularly withregard to the development of guide-lines, procedural standardization andMR-guided interventions

Better integrating MR into breastimaging fellowship programs will fur-ther promote its use in clinical practice,

Dr. Kuhl concludes. “Breast imagingfellowship programs should embraceMR as a natural component of the con-temporary breast imaging armamentar-ium and train breast radiologists tobecome competent MR users—not onlyas far as breast imaging is concerned,but in the broadest sense of the word,”she writes.

The Current Status of Breast MR Imaging, Part I: Choice of Technique, Image Interpretation, Diagnostic Accuracy,and Transfer to Clinical PracticeContinued from previous page

Latest Report Shows Radiology Leads in Impact Factor, CitationsRadiology has the highest impact factoramong general diagnostic imaging jour-nals, while the impact factor for Radio-Graphics continues to rise and is secondonly to Radiologyamong widelyread radiologyjournals, accord-ing to 2006 Cita-tions Reports®

from the Thom-son/Institute forScientific Infor-mation Annual Citation.

The data also show that Radiologyhas more citations than any other radiol-ogy journal. Citations Reports coversmore than 7,500 of the world’s peer-reviewed journals in approximately 200disciplines.

ANEW SECTION of RadioGraphics devotedto quality improvement topics will

debut in the January–February 2008issue of RadioGraphics. The section will beedited by recently appointed Associate EditorJonathan B. Kruskal, M.D., Ph.D.

The new section will support all radiolo-gists in meeting practice quality improvement(PQI) requirements of the American Board ofRadiology maintenance of certification(MOC) program, said Dr. Kruskal. “The newquality improvement section aims to be thepremier educational and practical referencetool in radiology for improving the qualityand safety of patient care by educating radiol-ogists, including those still in training, in themethodologies and practical applications ofcontinuous quality improvement,” he said.

Potential topics to be covered in the new

section include establishing and maintaininga comprehensive radiology quality improve-ment program, radiology peer review, qualityimprovement terminology and the impact ofergonomics and reader fatigue. Award-win-ning quality improvement projects fromnational society meetings and quality out-comes projects conducted by residents arealso forecast as content for the new section.

“By educating radiologists in the method-ologies for practical implementation of qual-ity improvement, we will help satisfy our pri-mary goal of improved patient care andsafety,” said RadioGraphics Editor William W.Olmsted, M.D.

Authors interested in submitting unso-licited work on quality topics should do sovia RSNA.org/rgxpress.

❚

New RadioGraphics Quality Section to Launch in 2008

This article meets thecriteria for 1.0 AMAPRA Category 1 Credit™.

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

RSNA JOURNALS

Press releases have been sent to the medical news media for the following articlesappearing in the August issue of Radiology (RSNA.org/radiologyjnl):

in Public Focus

Chronic Auditory Hallucina-tions in SchizophrenicPatients: MR Analysis of theCoincidence between Func-tional and MorphologicAbnormalities

IN schizophrenic patients with chronicauditory hallucinations, coincidence

maps of functional abnormalities asso-ciated with auditory emotional stimuliand focal brain density reductions maybe useful for post-treatment follow-up.

Luis Martí-Bonmatí, M.D., Ph.D.,of the University of Valencia School ofMedicine in Valencia, Spain, and col-leagues studied morphologic and func-tional MR brain images of 21 patientsdiagnosed with schizophrenia whoexperienced chronic auditory hallucina-tions that persisted after the use ofantipsychotic medication. Theresearchers found large coinciding brainclusters in the left and right middle tem-poral and superior temporal gyri, aswell as smaller coinciding clusters inthe left posterior and right anterior cin-

gular gyri, left inferior frontal gyrus andmiddle occipital gyrus. These areas arerelated to the abnormal neural networkinvolved in the auditory emotional dys-function seen in these patients, theresearchers note.

Dr. Martí-Bonmatí and colleaguesreport that all patients experienced hal-lucinations during image acquisition,with hallucinations activating structures

usually involved in the perception ofexternal voices, with additional activa-tion of areas responsible for emotionprocessing. This activation “mayexpress the adoption of a modifiedstrategy to perform adequately by usingdifferent cognitive skills and engagingdifferent brain regions,” according tothe researchers.

Cancer Yield of Mammography, MR, and US in High-Risk Women: Prospective Multi-InstitutionBreast Cancer Screening Study

MRIMAGING is an important com-plement to mammography in

screening women at high risk for breastcancer, according to researchers.

Constance D. Lehman, M.D.,Ph.D., of the Department of Radiologyat the University of Washington, andcolleagues note that while aggressivesurveillance consisting of a mammo-gram and physical examination every 6or 12 months is recommended forwomen at high risk for breast cancer,there is little evidence to support that

mammographic screening of this popu-lation has an impact on breast cancermortality. In addition, mammographicsensitivity is lower in young womenand women with dense breast tissue,they note.

Dr. Lehman and colleaguesprospectively studied 171 women whounderwent MR, ultrasound and mam-mography at six facilities throughoutthe U.S. Sixteen subsequent biopsieswere performed and six cancers weredetected. MR enabled detection of all

six cancers; mammography, two; andultrasound one. The team concludedthat though MR had a higher biopsyrate, it also helped detect more cancersthan the other methods.

Noting that cancer onset occurs at ayounger age in women at high risk, theresearchers write, “it is worrisome thatscreening mammography alone may beinsufficient to detect breast cancer at anearly stage in this population.” (Radiology 2007; 244:381–388)

Functional MR images showing coincidence maps. Highlighted areas indicate increased activation associated with emotional auditory stimuli anddecreased gray matter volume. Yellow areas represent greater values for functional and morphometricstatistical source images. Selected clusters can appear in white matter by partial volume effects afterspatial smoothing.(Radiology 2007;244:549–556) © RSNA, 2007. All rights reserved. Printed with permission.

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22 R S N A N E W S A U G U S T 2 0 0 7

Media Coverage of Radiology

IN June, media outlets carried 136news stories generated by articles

appearing in Radiology. These storiesreached an estimated 99 million people.

News releases promoted findingsfrom studies on ultrasound-focused sur-gery to treat uterine fibroids (Radiology2007;243:885-893), virtual autopsy todiagnose drowning (Radiology2007;243:862-868) and the use of MRto gauge prognosis after spinal cordinjury (Radiology 2007;243:820-827).

Coverage included print placementsin The Times (London), Baltimore Sun,Deseret Morning News (Salt LakeCity), Modern Healthcare andFidelity+. Broadcast placementsinclude WGN-TV (Chicago supersta-tion) and WFTV-TV (Orlando). Promi-nent Web placements included Yahoo!News, Medscape, washingtonpost.com,cnn.com, ajc.com, drkoop.com andhealthcentral.com.

Public Information ActivitiesFeature Women’s ImagingIn August, RSNA’s 60-SecondCheckup radio program focuses onimaging during pregnancy and toinvestigate infertility in women. Top-ics will be 3D obstetric ultrasound,use of MR during pregnancy, hys-terosalpingography to detect tubalpatency and ultrasound to assessfibroids and other uterine diseases.

Intracranial Aneurysms: Role of Multidetector CT Angiography in Diagnosis and EndovascularTherapy Planning

THE performance of multidetector CTangiography (MDCTA) in diagnos-

ing intracranial aneurysms is equivalentto that of selective digital subtractionangiography (DSA), without the risksof morbidity and mortality, researchershave found.

Karsten Papke, M.D., of the Depart-ments of Radiology and Neuroradiol-ogy at Klinikum Duisburg in Duisburg,Germany, and colleagues studied thesensitivity, specificity, positive predic-tive value and negative predictive value

of MDCTA. They found MDCTA cor-rectly identified 80 of 84 aneurysms in62 of 63 patients, with accuracy nearlyidentical to that of DSA. They alsofound that endovascular coiling ofintracranial aneurysms can be reliablydetected with MDCTA data.

The advent of MDCTA has over-come past technical limitations of CTangiography to enhance the virtuallyunlimited viewing angles in 3D views,Dr. Papke and colleagues note.

“We conclude that MDCTA—if

available—can be used as the first stepin the diagnostic workup of subarach-noid hemorrhage,” they conclude. Theresearchers add that while DSAremains necessary to demonstrate alter-native bleeding sources or to rule outaneurysms after an MDCTA study isnegative, a diagnostic-only DSA can beavoided when MDCTA demonstratesthe ruptured aneurysm, especially thosethat appear at MDCTA to be good can-didates for coiling.(Radiology 2007; 244:532–540)

RSNA MEMBER BENEFITS

RSNA at AHRARSNA Manuscript EditorKimberly Franks (left, inleft photo) and AdvertisingSenior Manager Judy Kapi-cak promoted RSNA at theAmerican Healthcare Radi-ology Administrators meet-ing in Orlando last month.More than 600 visitors tothe tradeshow boothlearned about the RSNAannual meeting and CareerConnection Web site(RSNA.org/career).

RSNA JOURNALS

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

RSNA MEMBER BENEFITS

Working For YouRSNA CommitteesRSNA News continues its series highlighting the work of RSNA’s volunteercommittees with a look at the Technical Exhibits Committee.

Technical Exhibits Committee

WITH HUNDREDS of companies seeking exhibit space atthe RSNA annual meeting, the Technical ExhibitsCommittee’s task of reviewing and approving appli-

cations is essential. The committee helps to ensure that onlyproducts and services directly related to theteaching or practice of radiology are eligi-ble to exhibit. Members work closely withexhibiting companies, seeking to understand their needs andhelp them attain the best exposure while applying RSNApolicies and regulations in order to bring attendees the mostbeneficial educational experience.

Dennis Kay, M.D., committee chair, said the success ofthe technical exhibition has a lot to do with the committee’sresponsiveness. “We try to listen to what our customers haveto say and understand what they face as they plan for such alarge event,” he said. “We make improvements and adjust-ments to benefit both our participating companies and ourmembers.”

The committee’s high standardsand attention to the interests of bothexhibitors and attendees have notgone unnoticed. Last year the RSNA

Technical Exhibitionwas ranked #1 byTradeshow Week among

medical trade shows in the U.S. andCanada. For many years, it has alsobeen consistently ranked among thetop 200 trade shows in the country.Exhibiting firms come from as far away as Sweden, Australiaand the Republic of Korea to display their products and serv-ices. Exhibitors include large multimodality equipment ven-dors, film image management firms and medical publishers,as well as a number of small companies demonstrating a sin-gle product. Enrollment and exhibit space for the technicalexhibition continue to increase steadily each year.

Dennis Kay, M.D.

Working for youCOMMITTEE PROFILE

If you have a colleague who would like to become an RSNA member, you can download an application at RSNA.org/mbrapp or contact the RSNA Membershipand Subscriptions Department at 1-877-RSNA-MEM [776-2636] (U.S. and Canada), 1-630-571-7873 or membership@rsna.org.

Updated Radiation Biology Syllabus Available OnlineA free PDF of the 2007 Syllabus: Radia-tion Biology for Diagnostic and Interven-tional Radiologists (5th edition) is nowavailable online. The syllabus retains thegeneral format of the fourth edition, withvarious topics updated. Informationalcontent has been expanded to include MRimaging and ultra-sound. The conver-sion to a Web-basedinstructional publica-tion will facilitate more frequent revi-sions. Wayne R. Hedrick, Ph.D., is theeditor, with Mahadevappa Mahesh,Ph.D., as a contributor. To access the syl-labus, go to RSNA.org/Education/upload/Syllabus_RadiationBiology_2007.pdf.

Rhode Island, China are Next Stops for RSNA

RSNA staff will promote its researchand education programs, RSNA jour-nals and the benefits of RSNA mem-bership at meetings this fall in theU.S. and abroad.

Sept. 7–11, the RSNA tradeshowbooth will be at the Academy of Mol-ecular Imaging (AMI) and Society forMolecular Imaging (SMI) joint con-

ference in Providence, R.I. The boothwill also be present for Imaging inMolecular Medicine 2007, a pre-con-ference symposium sponsored byAMI, RSNA, SNM and SMI.

RSNA then travels to Nanjing,China, Oct. 19–21 for the 14th AnnualChinese Congress of Radiology.

24 R S N A N E W S A U G U S T 2 0 0 7

Financial Planning Opportunities at RSNA 2007RSNA will offer two informative investment seminars on Saturday,November 24, at McCormick Place just prior to RSNA 2007. In sim-ple and direct language, these educational courses will help attendeesreach their financial goals and plan a sound financial future. The seminars include no salespitch and each comes with its own specific textbook.

Effective Retirement Plans and DistributionStrategiesPresented by Barry Rubenstein, B.S., J.D.,L.L.M.This course will demonstrate how to eval-uate and manage existing plans, includingwhether to terminate, and how to identifythe advantages and disadvantages of dif-ferent plan maintenance, withdrawal, andtermination strategies, including theimpact of recent tax legislation.

Effective Real Estate InvestmentStrategiesPresented by J. Michael Moody,M.B.A.This fast-paced course willfocus on finding, evaluating,financing, acquiring and sellinginvestment real estate.

Register for these seminars online atRSNA.org/register or use Registration andHousing Form 1 included in the AdvanceRegistration, Housing and Course Enroll-ment brochure. Annual meeting registrationis required to enroll in these seminars. Theseseminars do not qualify for AMA PRA Cate-gory 1 Credit™. For more information, con-tact the RSNA Education Center at 1-800-381-6660 x7772 or email ed-ctr@rsna.org.

EDUCATION RESEARCH

Program and Grant Announcements

Academy of Molecular Imaging (AMI)/RSNA/SNM/Society for Molecular Imaging (SMI) Pre-Conference Symposium: Imaging in Molecular Medicine 2007September 7–8 • Providence, R.I.

Registration continues for this symposium immediately preceding theAMI/SMI Joint Molecular Imaging Conference. The symposium comprisestwo clinical tracks:• Molecular Imaging Fundamentals in Medicine—introduction and overview

of molecular imaging • Clinical PET/CT Imaging—essentials of clinical PET/CTMore information is available at www.molecularimaging.org or by contactingFiona Miller at fmiller@rsna.org or 1-630-590-7741.

Tools for Success in thePractice of RadiologyHeld June 29-30 at RSNAHeadquarters in Oak Brook,Ill., this seminar paired vitalcomponents of effectiveleadership with establishedtechniques that create andsustain success in radiologypractices. Sessions on leadership, planning, staffdevelopment and quality and safety were designedto help current and future radiology leaders confi-dently manage day-to-day leadership issues onthe job.

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

MEETING WATCH RSNA 2007

News about RSNA 2007

International VisitorsPersonalized invitation letters areavailable by going to RSNA2007.RSNA.org and clicking Interna-tional Visitors. This section of theannual meeting Web site alsoincludes important informationabout visa applications. Visaapplicants are advised to apply assoon as they decide to travel tothe United States an at least three to fourmonths in advance of their travel date. It isrecommended that international visitors startthe visa process now.

For more information, go to:• www.unitedstatesvisas.gov• travel.state.gov/visa• nationalacademies.org/visas

Enroll for Courses, Tours and Events

SPACE remains in many of the courses to beoffered at RSNA 2007. Online registrationoccurs instantly, while faxed or mailed reg-

istration forms are processed in the order ofreceipt. The Advance Registration, Housing andCourse Enrollment brochure, as well as onlineregistration, are available at RSNA.org/register.

Openings are also still available for many

Chicago tours and events offered during RSNA2007. The RSNA Tours & Events brochure isavailable by clicking Tours & City Events inthe left-hand column at RSNA2007.RSNA.org.Registration for RSNA 2007 is required inorder to enroll for courses, tours and events.More information about Chicago events andattractions is available on Page 14.

■ For more information about registering for RSNA 2007, visit RSNA2007.RSNA.org, e-mail reginfo@rsna.org or call 1-800-381-6660 x7862.

Registration FeesBY 11/5 ONSITE

$0 $100 RSNA Member, AAPM Member

$0 $0 Member Presenter

$0 $0 RSNA Member-in-Training, RSNA Student Member andNon-Member Student

$0 $0 Non-Member Presenter

$130 $230 Non-Member Resident/Trainee

$130 $230 Radiology Support Personnel

$620 $720 Non-Member Radiologist, Physicist or Physician

$620 $720 Hospital or Facility Executive, Commercial Research andDevelopment Personnel, Healthcare Consultant, IndustryPersonnel

$300 $300 One-day registration to view only the Technical Exhibitsarea

Registering for RSNA 2007There are four ways to register for RSNA 2007:

➊ InternetGo to RSNA.org/register. Use yourmember ID number from the RSNA News label ormeeting flyer sent to you. If you have questions,send an e-mail to rsna@experient-inc.com.

➋ Fax (24 hours)1-800-521-60171-847-940-2386➌ Telephone (Monday–Friday, 8:00 a.m.–5:00 p.m. CT)1-800-650-70181-847-940-2155

➍ MailExperient/RSNA 2007108 Wilmot Rd., Suite 400Deerfield, IL 60015-5124USA

Fastest wayto register!

Important Dates for RSNA 2007Oct. 26 International deadline to have full-conference badge and tickets

mailed in advance

Nov. 5 Final advance registration, housing and course enrollment deadline

Nov. 25–30 RSNA 93rd Scientific Assembly and Annual Meeting

Arrange ChildcareChildren under the age of 16 will be allowedto ride the RSNA shuttle buses; however,they will not be allowed to attend the meet-ing. Onsite childcare is available for childrensix months to 12 years through ACCENT onChildren’s Arrangements, Inc. Online regis-tration and application forms are available atRSNA2007.RSNA.org. Click Childcare Ser-vices in the left-hand column under AdvanceRegistration.

26 R S N A N E W S A U G U S T 2 0 0 7

MEETING WATCH RSNA 2007

Receive Registration Materials Before MeetingRSNA will mail registration materials inadvance of the annual meeting to allNorth American attendeeswho register by November5. RSNA will mail materi-als in advance of the meet-ing to international atten-dees who register by October 26.

Materials enclosed in the registrationwallet include:• Name badge and holder—At RSNA

2007, RSNA will track attendance inthe Technical Exhibit Halls and Lake-

side Learning Center usingradiofrequency identifica-tion, also known as RFID.RFID badge scanning is anoninvasive way to track

attendance and exhibit booth participa-tion. No personal information is storedon the RFID chip, only an identifica-tion number. Badges will be scanned to

obtain total attendance counts, exhibitbooth participation and exhibit floortraffic flow through the entrances.

• Course and tour tickets (asrequested)

• Attendance vouchers• Free pass for the Chicago Metra

train system• Airport shuttle discount coupon

Registration materials also includean ExpoCard™ and Pocket Guide.

ExpoCard™

ExpoCard™ is an electronically-personalizedbusiness card attendees can use at the tech-nical exhibition to request exhibitor infor-mation. The card is encoded with theholder’s name, institution,address, e-mail, address,phone/fax numbers and radio-logic specialty. Attendees who prefer thatexhibitors contact them at a differentaddress than the one used during advanceregistration should provide alternate infor-mation directly to the exhibitor at the pointof contact. Attendees may also visit eitherHelp Center at McCormick Place to changethe registration and ExpoCard detail.

Pocket GuideThe RSNA 2007Pocket Guide is aneasy-to-use referenceguide with two mainsections:Overview of the RSNA Scientific Assembly and Annual Meeting• Complete A-Z listing of everything

available to attendees• Room assignments for the scientific

sessions, refresher courses, multi-session courses and plenary sessions

• Floor plans of each building andeach floor of McCormick Place

Traveling to and from McCormick Place• Shuttle bus schedules, routes and

boarding locations• Taxi fees, loading and unloading

areas• Airport transportation service with

times, costs and boarding information• Complete Metra train schedule out-

lining station locations, times anddrop-off destinations

• Parking lot locations, hours and feesTransportation information is also

available online. Go to RSNA2007.RSNA.org and click TransportationGuide.

93rd Scientific Assemblyand Annual MeetingNovember 25–30, 2007Chicago

Hundreds of RSNA 2007 offerings—plenary sessions, special focus sessions, multises-sion courses, refresher courses and scientific paper sessions, as well as scientificposters, education exhibits and informatics exhibits—offer abundant continuing medicaleducation opportunities. By participating fully in the annual meeting, each physician canearn up to 85.75 AMA PRA Category 1 Credits™.

27R S N A N E W SR S N A N E W S . O R G

View Current ExhibitorList OnlinePlan your participation at RSNA2007 early by using a searchabledatabase of RSNA 2007 technicalexhibitors at RSNA.org/showcase.Updated weekly, this databaseincludes a list of the technicalexhibitors, booth numbers and con-tact and company information, aswell as an interactive floor plan.

Hands-on Computer WorkshopRegistration is Now Open

SIX radiology industry leaders—AgfaHealthcare, Confirma, GE Healthcare,Philips, Siemens Medical Solutions and

U-Systems—have reserved classrooms in theLakeside Learning Center to conduct sessionson their respective proprietary computer sys-tems during RSNA 2007. Each session accom-modates up to 30 participants, so interestedattendees are encouraged to reserve seats assoon as possible. Advance online registrationis required for these workshops. For the com-plete schedule and online registration, go toRSNA2007.RSNA.org.

Publishers Row an RSNA 2007 Must-SeeOne of the most popular destinationswithin the RSNA Technical Exhibitionis Publishers Row, located inside Hall Aof the South Building. More than 20leading publishers, including the RSNAEducation Store, display their medicalbooks and products in Publishers Row.

Attendees should also rememberthe RSNA Publisher Partners programwhen browsing Publishers Row. Partic-

ipating Publisher Partners offer dis-counts of at least 10 percent to RSNAmembers on the purchase of popularmedical books and products. Specificdiscounts and instructions for obtainingthem are indicated in the PublisherPartners section of RSNA.org. ClickMembership in the left-hand sidebar ofthe home page and select PublisherPartners from the drop-down menu.

MEETING WATCH RSNA HIGHLIGHTS ™ 2008

News about RSNA Highlights™

Beginning September 4, register for RSNA Highlights™ 2008 atRSNA.org/Highlights.RSNA Highlights 2008 will be held Feb. 18–20 at the Ritz-Carlton/JW Marriott Orlando, Grande Lakes in Florida. RSNAHighlights will present refresher courses from RSNA 2007, aswell as some new courses. Topics include cardiac imaging,head and neck imaging, thoracic imaging and breast imaging.RSNA Highlights also will feature electronic educationexhibits from RSNA 2007.

Exhibitor News

EXHIBITOR NEWS RSNA 2007

At a planningmeeting in lateJune inChicago,RSNA 2007exhibitorswere able toview maps ofthe technicalexhibit halls,and learn thelocations oftheir booths.

28 R S N A N E W S A U G U S T 2 0 0 7

Product News

Information for Product News came from the manufacturers. Inclusion in this publication should not be construed as a productendorsement by RSNA. To submit product news, send your information and a non-returnable color photo to RSNA News, 820 Jorie

Blvd., Oak Brook, IL 60523 or by e-mail to rsnanews@rsna.org. Information may be edited for purposes of clarity and space.

RADIOLOGY PRODUCTS

FDA CLEARANCE

PillCam for Esophageal ImagingGiven Imaging Ltd. (www.givenimag-ing.com), has received 510(k) clearancefrom the U.S. Food and Drug Adminis-tration for its next generation PillCam®

ESO 2 video capsule for imaging theesophagus. With advanced optics and a21 percent increase in the angle of

view, the new PillCam wasdesigned to give physiciansa more precise view of apatient’s mucosa and suspected pathology and more easilydiagnose disorders such as Barrett’sesophagus and esophageal varices.

Other features include auto-matic light control to provideoptimal illumination for eachimage, an increased capture rate

of 18 frames per second and up to 30 minutes operating time.

PRODUCT UPGRADE

Compatible MR Biopsy SystemEthicon Endo-Surgery, Inc. (www.ethiconendo.com),a Johnson & Johnson company, has launched theUniversal Mammotome® MR biopsy system. Incor-porating all the features of the company’s first Mam-motome MR, the new device is compatible with awider variety of breast coils and magnets and canwork with most grid/cube localization systems forMR lesion targeting. The device employs a uniqueimageable aperture that allows the physician to visu-ally verify placement of the probe relative to the targeted lesions and has a depth locking system toprovide stability and maintain consistent depth dur-ing sampling. The Mammotome MR Biopsy Systemcan be purchased in its entirety or as an upgrade toan existing system.

PRODUCT UPGRADE

Enhanced Speech Recognition ReportingNuance Communications, Inc. (www.nuance.com) has launched itsPowerScribe® Workstation 4.8 speech recognition reporting system.The new version of PowerScribe comes embedded with VocadaVeriphy, which allows physicians to send critical messages to order-ing clinicians instantly via pager, cell phone or e-mail, to help elimi-nate delays and inaccuracies in communication, improve patientsafety and streamline reporting. Also included in the latest versionof PowerScribe is Amirsys STATdx clinical decision support, whichallows users to access evidence-based, point-of-care reference mate-rial with the click of a button or simple voice command while creat-ing reports. PowerScribe has also been upgraded to run on 64-bitpicture archiving and communication systems and radiology infor-mation systems and includes a voice-enabled coding interfaceenabling users to easily enter various codes into reports for suchfunctions as peer review, image quality and risk management.

NEW PRODUCT

Medical Disc Publisher

CODONICS (www.codonics.com) has introduced the Virtua XR Medical Disc Publisher.The Virtua XR can burn a disc per minute—or more than 60 CDs or 30 DVDs in anhour—making it up to five times faster than the competition, according to the com-

pany. Specifically designed for high-volume imaging applications, the Virtua XR includesan embedded computer, robotic disc handler, dual CD/DVD drives and high-speed colorlabel printer. A 15" liquid crystal display touchscreen allows users to configure the unit,control which studies are recorded and monitor the status of the device. Users can selectCDs or DVDs, or the software will automatically select the correct medium based on thesize of the study. In automatic mode, Virtua XR records one or more studies for the samepatient on a single disc without user intervention. Disc-creation logs assist with HIPAAcompliance and automatically generate discs compliant with Integrating the HealthcareEnterprise (IHE®) portable data for imaging (PDI) standards.

29R S N A N E W SR S N A N E W S . O R G

CME Gateway NowIncludes CAMPEP

THE Commission onAccreditation ofMedical Physics

Educational Programs(CAMPEP) has joined theCME Gateway, an aggre-gation of continuing med-ical education and othercredits issued by partici-pating medical societiesincluding RSNA. TheCME Gateway alsoincludes the AmericanCollege of Radiology,SNM, American RoentgenRay Society, Society ofInterventional Radiology,American Society of Neu-roradiology and Societyfor Pediatric Radiology.

To use the CMEGateway, go towww.CMEgateway.org ➊and click Sign Up Now atthe bottom of the page ➋.

Once you create anaccount with your name,e-mail address, usernameand password ➌, you can enter your logininformation for each society of which youare a member and from which you wouldlike CME credit information.

For example, if you want to see yourCME credits from RSNA, click the Orga-

nizations tab at the top of the page ➍.Check the box beside Radiological Societyof North America ➎, enter your RSNAuser name and password ➏ and then clickRegister ➐. This information must beentered only once per organization.

Once you are registered, you can clickthe Reports tab at the top of the page ➑and set the start date and end date for thecredits you would like to view and/or printas certificates.

RSNA ON THE WEB

RSNA.org

Econnections

Your online linksto RSNA

Radiology OnlineRSNA.org/radiologyjnl

Radiology Manuscript CentralRSNA.org/radiologyjnl/submit

RadioGraphics OnlineRSNA.org/radiographics

RSNA News rsnanews.org

Education PortalRSNA.org/education

RSNA CME Credit RepositoryRSNA.org/cme

CME GatewayCMEgateway.org

InterOrganizational ResearchCouncilradresearch.org

RSNA Medical ImagingResource CenterRSNA.org/mirc

RSNA Career ConnectionRSNA.org/career

RadiologyInfo™

RSNA-ACR patient informationWeb siteradiologyinfo.org

RSNA Press ReleasesRSNA.org/media

My RSNA Profile & BenefitsRSNA.org/memberservices

RSNA Research & Education FoundationMake a DonationRSNA.org/donate

Community of ScienceRSNA.org/cos

CQI InitiativeRSNA.org/quality

Membership ApplicationsRSNA.org/mbrapp

RSNA Membership DirectoryRSNA.org/directory

Register for RSNA2007RSNA.org/register

RSNA 2007RSNA2007.RSNA.org

RSNA Highlights™ 2008RSNA.org/Highlights

RSNA.org

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Medical Meetings September – October 2007

NONPROFIT ORG.U.S. POSTAGE

PAIDPERMIT #186

EASTON, PA 18042

RSNA News820 Jorie Blvd.Oak Brook, IL 605231-630-571-26701-630-571-7837 Faxrsnanews@rsna.org

CALENDAR

OCTOBER 3–6American Society of Emergency Radiology (ASER), Annual Scientific Meeting and Postgraduate Course, Hyatt Regency La Jolla, San Diego • www.erad.orgOCTOBER 3–6Society of Chairmen of Academic Radiology Departments(SCARD), Fall Meeting, Fairmont Banff Springs, Alberta,Canada OCTOBER 4–7Royal Australian and New Zealand College of Radiologists(RANZCR), 58th Annual Scientific Meeting, Melbourne Exhibi-tion and Convention Centre, Australia • www.ranzcrasm.com/OCTOBER 4–9North American Society for Cardiac Imaging (NASCI), 35th Annual Meeting, JW Marriott Hotel, Washington • www.nasci.orgOCTOBER 10–11American Healthcare Radiology Administrators (AHRA), Imaging Center Administrators Conference, Westin SavannahHarbor Golf Resort and Spa, Georgia • www.ahraonline.orgOCTOBER 10–13International Skeletal Society, 34th Radiology and PathologyRefresher Courses, InterContinental Hotel Budapest, Hungary • www.internationalskeletalsociety.comOCTOBER 11–13Brazilian College of Radiology, 36th Congress, Salvador daBahia, Brazil • www.radiologia2007.com.brOCTOBER 12–14Uruguay Society of Radiology and Imaging, 6th Congress, Montevideo, Uruguay • www.sriu.org.uyOCTOBER 19–21Chinese Medical Association, 14th Annual Chinese Congress ofRadiology, Nanjing, China • www.chinaradiology.org

NOVEMBER 25–30RSNA 2007, 93rd Scientific Assembly and Annual Meeting,McCormick Place, Chicago • RSNA2007.RSNA.org

FEBRUARY 18–20, 2008RSNA Highlights™, Ritz-Carlton/JW Marriott Orlando,Grande Lakes, Florida • RSNA.org/Highlights

SEPTEMBER 7–8Academy of Molecular Imaging (AMI)/RSNA/SNM/Society forMolecular Imaging (SMI) Pre-Conference Symposium: Imaging in Molecular Medicine 2007, Rhode Island Convention Center,Providence • www.molecularimaging.org/2007jointconf/PreConference.phpSEPTEMBER 8–11AMI/SMI, Joint Molecular Imaging Conference, Rhode Island Convention Center, Providence • www.molecularimaging.org/2007jointconf/ SEPTEMBER 8–12Cardiovascular and Interventional Radiological Society of Europe(CIRSE), Annual Meeting and Postgraduate Course, Megaron Centre, Athens, Greece • www.cirse.orgSEPTEMBER 10–11American Institute for Medical and Biological Engineering, Councilof Societies 2nd Annual Federal Symposium, American Manage-ment Association Executive Conference Center, Washington• www.aimbe.org/fedsymposiumSEPTEMBER 12–16Society for Pediatric Radiology (SPR), 5th Symposium on PediatricCardiovascular MR, Cincinnati Children’s Hospital Medical Center• www.pedrad.orgSEPTEMBER 13–16Australasian Society for Ultrasound in Medicine (ASUM), 37thAnnual Scientific Meeting, Cairns Convention Centre, Australia • www.asum.com.auSEPTEMBER 15–16Society of Computed Body Tomography & Magnetic Resonance(SCBT-MR), 4th Annual MDCT National Symposium, WestinBoston Waterfront Hotel • www.scbtmr.orgSEPTEMBER 19–21Argentine Society of Radiology, 53rd Argentine Congress of Diag-nostic Imaging and Radiation Therapy, Sheraton Hotel and Conven-tion Center, Buenos Aires, Argentina • www.sar.org.arSEPTEMBER 26–30American Society of Head and Neck Radiology (ASHNR), 41st Annual Meeting, The Fairmont Olympic Hotel, Seattle • www.ashnr.org