2nd PCR Lady President - Philippine College of Radiologyphilippinecollegeofradiology.org.ph/wppcr/wp-content/uploads/... · 2nd PCR Lady President ... She obtained her elementary

JOIE CANAL 2nd PCR Lady PresidentMalou B. Lacanilao, MD

Johanna Patricia A. Cañal, fondly called Joie or Doc Joie, hails from Manila. She is the youngest president of the Philippine College of Radiology and the second lady president, after Dr. Catherine Jessica Mercado-Lazaro, who ironically was the Annual Lecturer and the Inducting Officer of the 2015 PCR Induction Night last February 28, 2015. She obtained her elementary and high school education from Colegio San Agustin and was admitted at a young age of 17 at the UP College of Medicine as an INTARMED (Integrated Arts and Medicine) student. She completed her medical education by age 23 then proceeded to join the Department of Radiology at the Philippine General Hospital for her three-year residency followed by a two-year fellowship in Radiation Oncology. During fellowship, she also enrolled herself at the UP College of Public Health to pursue her Master’s degree on Hospital Administration from 1999-2004.

Further training in radiation oncology was received in National University Hospital Singapore in 2004 and Akita University Japan, Medical Simulation Center in 2013. She is now completing her second masters’ course in Medical Anthropology.

She is a fellow of Philippine Society of Radiation Oncology, Philippines Society of Oncologists; a lifetime member of the UP Medical Alumni Society, international member of the American Society for Therapeutic Radiology and Oncology, PMA and member-adviser of the Mu Sigma Phi Sorority. Joie / Page 8

2015 PCR Annual Convention:Heart and Mind RadiologyMaria Kristine S. Mendoza and Betsy Grace G. Cheng

The Philippine College of Radiology continues its tradition of providing educational opportunities for Radiologists, Radiology trainees and allied health care professionals to improve their abilities as practitioners by way of comprehensive selection of innovative but applicable topics for discussion during its annual convention. During the Society’s 67th Annual Convention with the theme “Heart and Mind Radiology 2015”, held at the SMX Convention Center, Mall of Asia Complex, last February 26-28, 2015, world-renowned experts in Cardiac imaging and Neuroimaging kept us abreast with the latest trends in these specialty fields. PCR / Page 8

By -Laws And Articles Of Incorporation UpdatesStephanie Pe, MD

The proposed By-Laws for the Philippine College of Radiology as well as the Articles of Incorporation was voted upon by the general membership at the 2015 Annual Convention held in February. By-Laws / Page 8

2 PCR Newsletter / July 2015

This year’s newsletter comes in a new size, the 8.5 x 11 inches or the equivalent short bond size compared to tabloid size of the previous years. We thought of using this size because it would be easier to read, store in the shelves and handy to carry. It required less effort to lay out compared to the tabloid type, albeit pictures may be smaller in size. In decreasing the size of this newsletter, we were able to cut costs a little that allowed us to upgrade the pictures from black and white to colored ones and add in graphic designs to make it appealing to the eye. Hope you would like the changes we adapted this year.

This issue contains what transpired in the 2015 Annual convention including articles of the Research Contest, Battle of the Brains and Induction night and the result of the membership voting on the proposed amendments to the constitution. Dr. Manalaysay also shared documents which the previous board (2014-2015 BOD) accomplished like the Professional Fees Guidelines, Teleradiology Guidelines and Subspecialty Guidelines to name a few.

Updates from the recent and forthcoming Chapter and Specialty societies’ activities were also included. Finally, announcement of the 2016 PCR Annual Convention at the Marriott Hotel is posted this early. So read on and find out who and what brings us good news in our college.

Gracias, MALOU B. LACANILAO, MD Editor-In-Chief

EDITOR-IN-CHIEF: Maria Lourdes Bernardo - Lacanilao, MDMANAGING EDITOR: Ronald de Castro, MDLAYOUT & GRAPHICS: Cubie Graphic DesignsPHOTOGRAPHY: Al Joannes del Mindo, MD

CONTRIBUTORS: Johanna Patricia Cañal / Jerome Gaerlan / Leandro Manalaysay / Yvette Bernabe-Datu-Ramos / Stephanie Pe / Imarzen Elepano / Emily Dizon / Bernie Laya / Maria Kristine S. Mendoza / Betsy Grace G. Cheng / Ronald de Castro / Menchie de Guzman / Malou Lacanilao / Kathleen Baldivia / Jon Cris Arcillas / Francis Aaron D. Dizon / Mariaem Andres / Kathryn M. Ladia / the late Paul Duma

The Philippine College of Radiology Newsletter is the official biannual publication of the PCR, Incorporated. It is printed in Metro Manila, distributed to the PCR members throughout the Philippines. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical without the permission in writing from the Publisher. We welcome writers, artists, photographers, graphic and written contributions. For comments and suggestions, please email: [email protected].

Editor’s Note

PCR Newsletter Editorial Board

�PCR Newsletter / July 2015

Former President Catherine Jessica Mercado-Lazaro, Pres. Leandro Manalaysay, Board members of the Philippine College of Radiology and subspecialty societies, Examiners of the Philippine Boards of Radiology and Radiation Oncology, the soon-to-be diplomates, PCR fellows and guests, Good afternoon!

I find it quite amusing that my family was asked to witness this ceremony... the four most important people in my life. As if giving them a picture of what kind of year I am going to have. Though they are quite used to me, Randy, Franco, Rio and Luna: Consider yourselves warned. To the officers of the Philippine Radiation Oncology Society, my sincerest apologies. I promise, soon.

I feel particularly honored that I am assuming this office 10 years after the first female president took office. If I could hash tag this it would read “privileged”.

The times, they are a-changing.

I come in at a time when the PCR is in a good place. Our Society has come a long way. We have 67 years of history. We have 52 training institutions. Our residents number in the hundreds. We have built our coffers. We are respected in the world of Radiology in Asia and America.

I make special mention of Drs. Gaudencio Vega, Justo Danguilan, Cesar Co, Jaime Tomas, Antonio Garcia and Vicente Romano, all past presidents of the PCR, for their wisdom. We have learned so much from their vast experience and fatherly advice. They have laid the groundwork for us.

We are supremely grateful for Drs. Manalaysay, Danilo Sacdalan, Ernesto Pulido, Lino Pabillo, Catherine Lazaro, Emmanuel Almazan, Pedro Danilo Lagamayo and Rene Reyes, all of whom I have worked with and respect highly. They have made our society flourish.

But, yes, the times, they are a-changing.

We’ve been preparing for this a long time. Now is the time to take our place on the world stage.

President Joie Canal Inaugural Speech

It may be ironic that when ASEAN integration and teleradiology are happening and we are expecting to throw our doors open, I am choosing to look inward and enhance the “us”. We know that we have to keep our membership involved and we have to (Dare I say it?) make our members happy. Of what use is a PCR whose members are grumbling? You can bet on this board being one of the most consultative boards ever.

We need to enhance the “us”. Learn something new everyday. We have to elevate ourselves to a level of practice that will bring pride to ourselves and our country. We ALL have to elevate ourselves to a level of competency that will make the world stop and listen.

We must become the collegial body that our Magnificent Seven intended for us to be. Academic, ground breaking, ethical, patient-centric.

These are exciting times and there is much that we can do.

These are challenging times. Bring it on.

To our senior members, we greatly appreciate that you have not let go of the PCR. We hope you don’t mind if we continue to call on you. To our active members, thank you for loving the PCR. May I ask you to continue the love affair? To the newest members, congratulations and welcome to the fold! You have seen a little of the PCR over the past 4 years; grow with it. Nurture it. Contribute your time and effort to it. As with many things in this world, if you love it, it will love you back.

Thank you. Happy weekend!

Joie CañalMD, MHA, FPCRPCR President

� PCR Newsletter / July 2015

Seventy three (73) Philippine Board of Radiology (PBR) board passers (70 for the Diagnostic Radiology and 3 for the Radiation Oncology) took their oaths as new Diplomates during the Candle and Induction Ceremonies held last February 28, 2015 at the SMX Convention Hall, Mall of Asia Complex, Pasay City. The oath taking was led by Dr. Leandro C. Manalaysay (Philippine College of Radiology, PCR, president), Dr. Ma. Teresa U. Benedicto (Chair, PBR in Radiation Oncology) and Dr. Reza Maria K. Sales (Chair, PBR in Diagnostic Radiology).

By Francis Aaron D. Dizon, MD

Seventy (70) radiologists were also inducted as new Fellows of the Philippine College of Radiology (PCR) during the said ceremonies led by Dr. Maureen Emily S. Salarda (Chair of the PCR Membership Committee and Member of the Board of Directors) and Dr. Manalaysay.

7� Diplomates, 70 Fellows Inducted

This year witnessed another milestone for the college as the Board of Directors and officers of the PCR wore during the ceremonies for the first time the official yellow and red toga, representing the colors of the college. Another unique part of this year’s program was the delivery of an Inductee’s Reflection by the 3 new diplomates namely: Dr. Elaine Johanna C. Limkin from the Radiation Oncology, Dr. Neilson

5PCR Newsletter / July 2015

C. Tinio and Dr. Leonardo H. Labanon, both from the Diagnostic Radiology. Plaques of Merit were later awarded to the outgoing board examiners namely Dr. Ma. Teresa U. Benedicto (Radiation Oncology), Dr. Ann M. Co (Diagnostic Radiology), Dr. Jocelyn B. Cuyos (Diagnostic Radiology) and Dr. Reza Maria K. Sales (Diagnostic Radiology). Induction of the incoming board examiners followed shortly. The incoming board of examiners are Dr. Conchitina O. Mendoza (Radiation Oncology), Melodia B. Geslani (Diagnostic Radiology), Dr. Dondee Jules Mojica (Diagnostic Radiology), and Dr. Danilo Philip R. Torres (Diagnostic Radiology).

Prior to the induction ceremonies proper, Dr. Catherine Jessica M. Lazaro, delivered her PCR Annual Lecture and was followed by the Valedictory Address of the outgoing PCR president, Dr. Leandro C. Manalaysay.

Dr. Danilo R. Sacdalan, head of the PCR COMELEC, announced and led the oath taking of the newly elected PCR board of directors and officers for the year 2015-2016. Dr. Johanna Patricia A. Cañal was proclaimed as this year’s new PCR president and later

gave her inaugural address. The other officers of the PCR are as follows: Dr. Jerome A. Gaerlan (1st Vice President), Dr. Eugene C. Dy (2nd Vice President), Dr. Eva De Leon (Secretary), Dr. Primo F. Laforteza (Treasurer) and Dr. Maria Lourdes B. Lacanilao

(P.R.O.). Other board members include Dr. Yvette Eve I. Bernabe-Datu Ramos, Dr. Imarzen V. Elepaño, Dr. Stephanie Jennifer H. Pe, Dr. Rene N. Reyes and Dr. Rey Anthony N. Leung.

� PCR Newsletter / July 2015

�7th PCR Annual Convention

SMX Convention Center, Mall of Asia, Metro Manila February 2� - 28, 2015

OpeningSpeakers & LecturersResearch Competition

Left: Delegates fall in line at the registration area. Middle: Dr. Marilyn Siegel receives a plaque and token of appreciation from PCR President Dr. Leandro Manalaysay after delivering the Dr. Paulino J. Garcia memorial lecture. Right: Ribbon cutting ceremony with Annual convention committee chairperson Dr. Ma. Elsie Dimaano, members of the board, renowned lecturers and distinguished guests.

Research competition awarding ceremony with Research Committee head Dr. Malou B. Lacanilao, judges and oral competition winners and finalists.

Invited lecturers and speakers: (left to right from top): Dr. Marilyn Siegel, PMA President Dr. Ma. Minerva P. Calimag, Dr. Jose Y. Cueto, Dr. Catherine Jessica M. Lazaro, Dr. Jill Jacobs, Dr., Howard Rowley, Dr. Irma D. Kintanar, Dr. Claro Ison and Dr. Ron C. Pilotin


Fellowship NightWorkshop

Induction Ceremony

Fellowship Night Disney Themed Competition participated-in by (L-R from top) Visayas-Northern Mindanao Chapter (Hercules), Central and Northern Luzon Chapter (Lion King), PROS (Mulan - Second Place), USP (Frozen - First Place), CT-MRI Society (The Little Mermaid - Best in Poster), Southern Mindanao (Aladdin - Third Place) and PSVIR (Pocahontas).

Induction of new board of trustees, board examiners, diplomates and fellows of the Philippine College of Radiology.

Cardiac and Advanced Neuroimaging Workshop


The HeartThe sessions were jumpstarted by none other thanDr. Marilyn J. Siegel, Professor of Radiology and Pediatrics and an active pediatric radiologist at the Washington University School of Medicine in St. Louis, Missouri. In her Paulino J. Garcia Memorial Lecture entitled “Utility of Plain Radiographs for Cardiac Disease Detection in the Era of Cross-sectional Imaging”, Dr. Siegel emphasized the role of our basic Chest Radiograph in the detection and diagnosis of even the most complex cardiac diseases. In her following session, she then put into perspective the utility of cross-sectional imaging methods such as CT and MRI in further evaluating these abnormalities, particularly of Congenital Heart Diseases, which is especially important

It was discussed during the Business Meeting by the members present and agreed upon on the floor to pass the provisions of the By-Laws that garner a greater than two-third majority vote of those members who voted. This is in accordance with the provisions of the By-Laws of the PCR. The canvassing was overseen by the Membership Committee for impartiality. The results of their tally show that each provision of the By-Laws garnered a greater than two-thirds affirmative vote. The date for implementation of these By-Laws provisions is one year after the ratification which will fall after the 2016 PCR Annual Convention.

On the other hand, the proposed amendments to the Articles of Incorporation (AOI) that were also submitted for ratification was not passed due to the failure to achieve the required quorum under the Corporation Code of the Philippines (Batas Pambansa Blg. 68). The amendment of AOI of a corporation requires a much greater number of member votes. There must be present in person and by proxy at least two-thirds of the members in good standing and entitled to vote and the ratification must be approved by two-thirds of the members in good standing

and entitled to vote. Thus, the proposed Articles of Incorporation, which simply increases the number of the members of the Board of Directors from 11 to 15, will be again submitted to the general membership for voting. The meeting called specifically for this purpose will be during the October 2015 CT-MRI and USP Annual Convention.

The increase in the members of the PCR Board of Directors contained in the Articles of Incorporation will provide for a more democratic and well-represented Board of Directors, aimed to greater benefit the growing number of PCR members.

All of the members of the Philippine College of Radiology in good standing are again encouraged to cast their vote either in person or by proxy for the Articles of Incorporation. The current members of the Board of Directors, the Presidents of the Regional Chapter Societies, and the Presidents of the Subspecialty Societies are campaigning for this increase in the number of members of the Board of Directors.

A PCR member in good standing may personally cast his vote at Manila Hotel during the October 2015 CT-MRI and USP Annual Convention, or choose to vote by proxy. Those who are voting by proxy may do so by filling up the Proxy Form. This is available for download at the PCR website. The filled up form may be submitted or emailed as PDF to the secretariat. All are enjoined to participate.

She became a faculty of the UP College of Medicine starting from a Clinical Associate Professor in 2001; Associate Professor 3 by 2006; Associate Professor 5 in 2008 then presently Professor 4. She held also the position of Asst. Chair for the undergraduate Programs for UP-PGH from 2001-2014. She was cited as one of the UPMASA Outstanding Teacher Award in 2012-13. PCR related activities were PCR PRO, 2013-14; Editor in Chief, PCR Newsletter 2013-2014 and 2001-2004, PCR Website Coordinator, 2013-2014, 2nd Vice President, PCR, 2012-2013, PCR representative to PMA/PhilHealth, 2012-2013; Chair, Scientific Committee, 65th or 2013 PCR Annual Convention and PCR Secretary 2011-2013 and in 2004-2007. She also served as Board Examiner, Philippine Board of Radiation Oncology in 2008-2010.

Currently, she is the Department Chair of the Radiology Department of the University of the Philippines-Philippine General Hospital.

Joie / From Page 1

By -Laws / From Page 1

P CR / From Page 1

�PCR Newsletter / July 2015

in treatment planning, management and follow-up of patients. On the second day of the meeting, Dr. Siegel touched on the often overlooked radiation issues in cardiothoracic imaging. She capped her series of lectures with a review of the more common vascular anomalies of the aorta, pulmonary vessels and systemic veins in the chest, mostly found in children, but sometimes discovered later in adulthood.

Dr. Jill E. Jacobs is another renowned expert who joined us in this year’s convention to discuss a myriad of topics on Adult Cardiac Imaging. She is currently the Vice President of the North American Society for Cardiovascular Imaging and a Professor of Radiology at the New York University School of Medicine. Dr. Jacobs’ lectures revolved on the optimization of cardiac CT and coronary CT angiography studies in the diagnosis and evaluation of coronary artery diseases. She underlined the importance of improving imaging protocols such as data acquisition, contrast administration, and image reconstruction in order to produce excellent CT images of the coronary arteries. Dr. Jacobs also discussed how this sophisticated imaging method not only provide information about coronary arterial plaques but also becomes a tool in the evaluation of myocardial contractility and valve function. Beyond her extensive discussion on the cross-sectional assessment of coronary artery occlusions, stenosis, and identification of calcified and soft intra-arterial plaque, Dr. Jacobs also touched on the role of imaging in the assessment of coronary artery bypass grafts and stents and how we, as Radiologists, can help in the optimization of the use of these devices by meaningful dialogue with the clinicians.

The lectures on Cardiac imaging were reinforced by relevant workshops facilitated by our local experts, Dr. Jolinda Almazan, Dr. Harold Tan and Dr. Rico Lodronio. Introductory demos and hands-on sessions on Calcium Scoring, CT Coronary Angiography and Cardiac MRI were held simultaneous to the plenary sessions on the second day of the convention.

The MindDr. Howard A. Rowley, is a professor of radiology, neurosurgery and neurology. He is also a Joseph F. Sackett Professor of Radiology at the University of Wisconsin School of Medicine and Public Health in Madison, WI. Dr. Rowley opened the discussion in neuroimaging with essential updates on stroke imaging

followed by imaging in epilepsy and MR techniques in neuro-oncology, topics that are relevant in our radiology practice. On the final day of the convention, Dr. Rowley shared his insights and extensive research on dementia imaging. He capped off the day with a series of neuroradiology cases that tickled our neurons and taught us the value of creating meaningful differential diagnoses to help our neuroclinician colleagues.

Radioneurologic manifestations of metabolic diseases were extensively discussed by Dr. Claro B. Ison, a Neuroradiologist at UERMMMCI. Dr. Ison presented a practical approach on these diseases, outlining them according to involvement of the cortical matter, deep gray matter and white matter and providing ample cases to differentiate one disease from another.

The challenging topic of CNS infections was beautifully executed by Dr. Irma D. Kintanar, former president of CT-MRI society and a well-respected neuroradiologist at St. Luke’s Medical Center, Quezon City and Global City. She began with a basic diagnostic approach and supplied this with numerous cases to sharpen the delegates’ eyes on recognizing these infections.

Dr. Ron C. Pilotin skillfully delivered a lecture on MR spectroscopy, a difficult yet very relevant topic. Dr. Pilotin is a consultant neuroradiologist at St. Luke’s Medical Center, Quezon City and Global City. In his lecture, he emphasized the importance of proper acquisition of MR sequences and voxel placement on target lesions and normal brain parenchyma. Dr. Pilotin wrapped up his lecture with interpretation of the different metabolites that aid in the diagnosis of tumors and their mimics.

The neuroimaging plenary lectures were also strategically supplemented with hands-on workshops on advanced neuroimaging techniques facilitated by Drs. Irma D. Kintanar, Ron C. Pilotin and Mercedes D. Dizon.

An interesting discussion regarding ASEAN integration and its impact on residency training was also given by Dr. Jose Y. Cueto Jr. who is a member of the Professional Regulatory Board of Medicine and a representative to the ASEAN Mutual Recognition Arrangement Joint Coordinating Committee on Medical Practitioners.

All in all, the 67th Annual Convention certainly delivered three days of lectures and cases that fed both the hearts and minds of its delegates.


New PCR Board Of Trustees Elected

A t the 67th Annual Convention of the Philippines College of Radiology, the members held its annual election of officers at SMX Convention Center, Mall of Asia Complex, February 26-28, 2015. There were eleven elected Board of Trustees who took their oath of office during the Annual Induction Ceremony of the PCR held last February 28, 2015.

Convention - Jerome Gaerlan • External Affairs - Eugene Dy • Secretariat - Eva de Leon Finance - Primo Laforteza • Publications / Website / Research - Maria Lourdes LacanilaoAccreditation - Yvette Bernabe-Datu-Ramos • Constitution and By-Laws - Stephanie Pe

Residency Training - Imarzen Elepano • Membership - Rey Anthony Leung • Ethics - Leandro Manalaysay

Johanna Patricia A. CañalPresident

Jerome A. GaerlanFirst Vice President

Eugene C. DySecond Vice President

Eva C. De LeonSecretary

Board of Trustees

Primo F. Laforteza, Jr.Treasurer

Ma. Lourdes B. LacanilaoPRO

Imarzen V. ElepanoTrustee

Rene N. ReyesTrustee

Yvette Eve I. Bernabe-Datu-Ramos

Trustee

Stephanie Jennifer H. PeTrustee

Rey Anthony N. LeungTrustee

Leandro C. ManalaysayImmediate Past President

2015 - 201� Committee Heads


PCR Accredited Training Centers andAccredited Research Ethics Committees/Boards

By Yvette Eve Bernabe-Datu-Ramos, MD, FPCRAs of July 16, 2015

ARECB UTZ CTMRI ACCREDITATION PERIOD – – AFP MEDICAL CENTER Jan 2013 - Dec 16 � � AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER Jan 2014 - Dec 31, 2017 OK – – BAGUIO GENERAL HOSPITAL & MEDICAL CENTER May 2014 - Apr 31 2018 – – BATANGAS REGIONAL HOSPITAL Jan 2015 - Dec 31, 2018 – – BICOL MEDICAL CENTER Jul 2014 - Jun 30, 2018 � � CAPITOL MEDICAL CENTER Jan 2013 - Dec 31, 2016 � � CARDINAL SANTOS MEDICAL CENTER Jan 2013 - Dec 31, 2016 � � CEBU DOCTORS’ UNIVERSITY HOSPITAL, INC. Nov 2012 - Oct 31, 2016 � � CHINESE GENERAL HOSPITAL & MEDICAL CENTER Jan 2015 - Dec 31, 2018 OK � � CHONG HUA HOSPITAL Jan 2013 - Dec 31, 2016 � � CORAZON LOCSIN MONTELIBANO MEMORIAL HOSPITAL Jan 2012 - Dec 31, 2015 OK � � DAVAO DOCTORS’ HOSPITAL Jan 2015 - Dec 31, 2018 � � DE LA SALLE UNIVERSITY MEDICAL CENTER Jan 2015 - Dec 31, 2018 � � DR. VICTOR R. POTENCIANO MEDICAL CENTER May 2014 - April 2018 � � EAST AVENUE MEDICAL CENTER May 1, 2015 - April 30, 2019 OK � � FEU–NRMF MEDICAL CENTER Jan 2013 - Dec 31, 2016 – – ILOCOS TRAINING & REGIONAL MEDICAL CENTER Jun 2014 - May 2018 � � ILOILO DOCTORS’ HOSPITAL Jan 2012 - Dec 31, 2015 � � JOSE R. REYES MEMORIAL MEDICAL CENTER Jan 2013 - Dec 31, 2016 OK � – MANILAMed (Medical Center Manila) Jan 2012 - Dec 31, 2015 OK � � MAKATI MEDICAL CENTER Jan 2012 - Dec 31, 2015 OK � � MANILA DOCTORS HOSPITAL Jan 2012 - Dec 31, 2015 – – MCU-FILEMON D. TANCHOCO MEDICAL FOUNDATION pending � � METROPOLITAN MEDICAL CENTER Jan 2012 - Dec 31, 2015 OK � � NATIONAL KIDNEY & TRANSPLANT INSTITUTE Jan 2012 - Dec 31, 2015 – – NORTHERN MINDANAO MEDICAL CENTER Jan 2015 - Dec 31, 2018 � � OSPITAL NG MAKATI Jan 2012 - Dec 31, 2015 � � OUR LADY of LOURDES HOSPITAL Jan 2012 - Dec 31, 2015 – – PERPETUAL SUCCOUR HOSPITAL Jan 1, 2015 - Dec 31, 2018 OK � � PHILIPPINE HEART CENTER Jan 2012 - Dec 31, 2015 – – QUEZON CITY GENERAL HOSPITAL Apr 2014 - May 2018 � � QUIRINO MEMORIAL MEDICAL CENTER Jan 2013 - Dec 31, 2016 � � RIZAL MEDICAL CENTER Jan 2012 - Dec 31, 2015 – – REGION I MEDICAL CENTER Jul 2013 - June 30, 2017 � � ST. PAUL’S HOSPITAL Jan 2012 - Dec 31, 2015 � � SAN PEDRO HOSPITAL of DAVAO CITY Jul 2013 - June 31, 2017 OK � � SOUTHERN PHILIPPINES MEDICAL CENTER Jul 2013 - June 31, 2017 – – ST. LOUIS UNIVERSITY HOSPITAL of the SACRED HEART Jan 2013 - Dec 31, 2016 OK � � ST. LUKE’S MEDICAL CENTER- Q. C. Jul 16, 2015 - Jul 15, 2018 OK � � ST. LUKE’S MEDICAL CENTER- Global City Jan 2013 - Dec 31, 2016 OK � � THE MEDICAL CITY Jan 2012 - Dec 31, 2015 � � UNITED DOCTORS MEDICAL CENTER Jan 2012 - Dec 31, 2015 OK � � UNIVERSITY OF PERPETUAL HELP DALTA MEDICAL CENTER Jan 2013 - Dec 31, 2016 � � UNIVERSITY OF SANTO TOMAS HOSPITAL Jan 2015 - Dec 31, 2018 OK � � UE–RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER Jan 2012 - Dec 31, 2015 OK � � UP–PHILIPPINE GENERAL HOSPITAL Jan 1, 2015 - Dec 31, 2018 OK – – VETERANS MEMORIAL MEDICAL CENTER May 1, 2015 - Apr 30, 2019 � � VICENTE SOTTO MEMORIAL MEDICAL CENTER Jan 2013 - Dec 31, 2016 � � WEST VISAYAS STATE UNIVERSITY HOSPITAL Jan 2012 - Dec 31, 2015 – – WESTERN VISAYAS MEDICAL CENTER Jan 2013 - Dec 31, 2016 � � WORLD CITI MEDICAL CENTER 2011 - 2014 OK DOH XI Cluster Ethics Review Committee OK LUNG CENTER OF THE PHILIPPINES ETHICS REVIEW BOARD OK MARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER ETHICS REVIEW COMMITTEE OK RESEARCH INSTITUTE FOR TROPICAL MEDICINE - INSTITUTIONAL REVIEW BOARD Legend: ( – ) without fellowship, ( � ) with fellowship, (OK) Accredited Research Ethics Committees/Boards (Based on DOH Circular 2015-0059 dated February 2015) Hospitals with payment and requiring for inspection: World Citi Medical Center, United Doctors Medical Center, Ospital Ng Makati, Makati Medical Center PHREB Level 2 Accredited ERCs: Our Lady of Fatima University Institutional Ethics Review Committee, Pacific Eye and Laser Institute Institutional Review Board, Asian Eye Institute - Ethics Review Committee


By Imarzen Elepano, MD, FPCRBattle Of The Brains 2015

The finals round of the Battle of the Brains (BOB) of the Philippine College of Radiology - Residency Training Council (PCR-RTC) was held last February 27, 2015 at the Plenary Hall of the SMX convention Center. It was participated by seven groups which included De La Salle University and Medical Center (DLSUMC), East Avenue and Medical Center (EAMC), Makati Medical Center (MMC), National Kidney and Transplant Institute (NKTI), St. Luke’s Medical Center QC (SLMC), Southern Mindanao Group and the University of the Philippines-Philippine General Hospital (UPPGH).

The first place was bagged by the NKTI group composed of Dr. Marky Jod Pandes, Dr. Joie Gaytano, Dr. Mia Alvarez Chacon and Dr. Regina Morabe Dy. The Training Officer of NKTI is Dr. Maureen Emily Salarda.

The second place was grabbed by the EAMC group and the third place was cupped by the UPPGH.

The 1st prize winner received a trophy and a cash prize and the 2nd and 3rd place winners received a cash prize.

The elimination round of the BOB was held last January 31, 2015 and was joined by nineteen (19) hospitals from Metro Manila and Cavite. Their respective training officers and assistant training officers also attended the competition to give support and to serve as advisers when questions arise.

“The man who gets the most satisfactory results is not always the man with the most brilliant single mind, but rather the man who can best coordinate the brains and talents of his associates,” W. Alton Jones.

Last February 26, 2015 the PCR Research Committee held its annual oral and poster presentation contest during the 67th Annual PCR Convention held at SMX Convention Center, Pasay, Metro Manila.

The judges for the oral presentation were MARITA V. TOLENTINO, MD; JOHANNA PATRICIA A. CAÑAL, MD, MHA; and BERNARDO F. LAYA MD, DO, FPCR.

MARITA V. TOLENTINO REYES, MD is the current Chair of the DOST-PCASTRD Biotechnology Technical Panel since October 1992; DOST-PCHRD National Ethics Committee 1997 – present; Past Dean of the College of Medicine, UP Manila, 01 May 1988 – 30 April

1991; Past Faculty Regent, Board of Regents, UP System, Jan – December 2001 Past Chancellor, University of the Philippines Manila, 1 Nov 2002 – 31 Oct 2005 Professor, UP College of Medicine, Dept. of Biochemistry and Molecular Biology, 1975-2007 Past Chair, Philippine Health Research Ethics Board, March 2006 – 2010 Past Co-Chair, Philippine Health Research Ethics Board, July 2010 – 2013 Medicine: UP College of Medicine, 1964

JOHANNA PATRICIA A. CAÑAL, MD, MHA is the current Chair of the Radiology Department of the UP-PGH, 2nd Vice-President – Philippine College of Radiology 2012 – 2013, Board Examiner – Philippine Board of Radiation Oncology – 2007 to 2010 and Editor-in-Chief – Philippine College of Radiology – 2001 to

2015 Annual Oral & Poster Research ContestBy Malou B. Lacanilao, MD

1�PCR Newsletter / July 2015

2004. Medicine: UP-PGH, INTARMED program. Rest of Dr. Canal’s credentials were mentioned in the front page article. BERNARD F. LAYA, MD, DO, FPCR received his medical education from the University of Health Sciences College of Oesteopathic Medicine in 1989 – 1994, and at the SLMC-WHQM in 2006 – 2008. Underwent residency training in Radiology at Ohio University followed by Fellowship in Pediatric Radiology: Combined Program of The Cleveland Clinic Children’s Hospital and of Children’s Hospital and Medical Center of Cincinnati (1999 – 2000). Currently the Director of the Institute of Radiology: St. Luke’s Medical Center, Bonifacio Global City, (2009 to present), Head, Pediatric Radiology Section: St. Luke’s Medical Center, Quezon City. (July 2004 to present); Associate Professor of Radiology: St. Luke’s College of Medicine-WHQM (June 2006 – present)

Academic Profile: Board Member, World Federation of Pediatric Imagers, (2012 to present); Asian Oceanic School of Radiology (2014 to present); Asian Oceanic Society for Pediatric Radiology (2011 to present); Editorial Board, Journal of American College of Osteopathic Radiology; Reviewer, Pediatric Radiology Journal and European Journal of Radiology; Research Chair Holder in Radiology, St. Luke’s Medical Center (2009 – present, 6 consecutive years); Outstanding Researcher and Mentor of the Year, St. Luke’s Medical Center 2012, 2014. Experienced lecturer and has more than 100 invited lectures on various topics in Pediatric Radiology (Philippines, Indonesia, Malaysia, Thailand, Sri Lanka, Cambodia, Myanmar, Korea, Hong Kong, Japan, Brazil, Australia and the United States).

Multiple Journal Publications in the Philippines and Internationally.

The winners for the oral contest were:

Correlation of Epicardial Adipose Tissue Thickness and Radiodensity with Coronary Artery Calcium Score in Assessing Cardiovascular Disease Ivy Adan Riel MD, DPBR, Philippine Heart Center – 1st Place.

Treatment Duration of Rectal Cancer Cases Managed with Neoadjuvant Chemoradiotherapy and Its Impact on Histopathologic Outcomes by Jon Cris G. Arcillas, MD and Joanne Marie L. Balbuena MD, UP- Philippine General Hospital – 2nd Place.

Ultrasound Features of Thyroid Nodules Predictive of Thyroid Malignancy as Determined by Fine Needle Aspiration Biopsy by Jasmin Arzadon MD, Mari Patricia G. Puno-Ramos, et.al., The Medical City – 3rd Place.

FINALISTS

Reviewing the Validity of Giving Test Dose IV Contrast to Patients Having CT imaging in The Medical City to Prevent More Severe Contrast Reaction by Mark H. Ner, MD, DPBR, The Medical City.

Hepatic Lesion Characterization on Multi-Detector Computed Tomography (MDCT): Evaluation of Liver Imaging Reporting and Data System (LIRADS) with Histopathologic Correlation by Ryan Irvin S. Tan, MD, DPBR, Metropolitan Medical Center.

The judges for the poster presentation were Drs Beverly Lazaro, radiologist from General Santos City, Mariaem Andres from The Medical City and Dr. Enrico Tangco, the 2013 – 2015 PROS President.

The top five best posters were the following:

A Validity Study On The Accuracy Of Abdomen/Chest Ct Scans Done For Other Indications In Detecting Osteoporosis by Carie Anne L. Banate, MD, DPBR, Cardinal Santos Medical Center.

Feasibility of Peak Kilovoltage Dose Modulation for Reduction of Radiation Dose in Patients of Different Body Mass Index Classification as applied in MDCT Whole Abdominal Examination by Ginalyn Fincale MD, DPBR.

Revalidation Study of the Predictive value of Malignant Sonographic Features of Breast Lesions Among Premenopausal, Perimenopausal and Postmenopausal Patients of St. Paul’s Hospital Iloilo from 2006 – 2013 by May Connie Joy C. Leda-Panaligan, MD, DPBR.

Clobetasol Propionate: Prevention and Treatment of Acute Dermatitis on Locally Advanced Breast Cancer Patients Undergoing Radiation Therapy by Cynthia Tan-Pusag MD, DPBR, Cardinal Santos Medical Center.

Indirect Plain Film Signs in Predicting Anterior Cruciate Ligament Injury Among Patients Suspected of Internal Derangement using Magnetic Resonance Imaging as Reference Standard by Fuentes, Riavic MD, DPBR.

1� PCR Newsletter / July 2015

15th C T-MRI Teaching Seminar WorkshopPhotos By Kathryn M. Ladia, MD

Hot Topics in C T-MR Imaging Be Resorts Mactan Cebu – April 1 7 to 1 �, 2015

The participants of the 2015 Teaching Seminar Workshop received their certificate of attendance and had a souvenir photo at the conclusion of the seminar.

Arrival. Participants together with friends and family pose for a quick picture taking.

Opening Ceremony. Dr. Francis R. Villanueva (CT-MRISP President) officially opened the 2015 CT-MRI Teaching Seminar Workshop, Dr. Robert A. Sales (PCR Cebu Chapter President) delivered a Welcome Address and Dr. Johanna Patricia A. Cañal (PCR President) gave an Inspirational Message during the Opening Ceremony.

Invited Faculty. The faculty of the 2015 Teaching Seminar Workshop comprised of Dr. Rafael S. Joson, Dr. Gil M. Maglalang, Jr., Dr. Benigno R. Santi II and Dr. Manuel C. Mejia, Jr., who delivered hot topic lectures in CT-MR Imaging that can be applied to day-to-day practice as radiologists.

CT-MRISP Board of Trustees and Organizing Committees.

Fellowship Night by the Beach. Good food shared with colleagues and family while showcasing talents from this year’s participants.

Awarding Ceremony. Recognition to the previous CT-MRISP Past Presidents and Board Examiners (Dr. Manuel C. Mejia, Jr and Dr. Benigno R. Santi II) and winners of this year’s workshop contest.


The Philippine Radiation Oncology Society hosted another successful ESTRO educational meeting on “Advanced Treatment Planning” last May 16 to 19, 2015 at the Henry Sy, Sr. Hall of De La Salle University Manila.

The ESTRO faculty was composed of Dr. Gert Meijer (University Medical Center, Utrecht), Dr. Neil Burnet (Dept of Oncology, University of Cambridge, England), Dr. Nicola Dinapoli (Policlinico A. Gemelli, Rome), and Dr. Michael Sharpe (Princess Margaret Hospital, Toronto). This was Dr. Sharpe’s second visit to Manila, the first one being in 2012 during the PROS 2012 annual convention.

By Kathleen H. Baldivia, MDEST RO -PROS-SEAROG 2015 Educational Course

This is the second time for PROS to collaborate with both ESTRO and the South East Asia Radiation Oncology Group (SEAROG) to bring a meeting of this calibre to this part of the world. These academic collaborations are valuable opportunities for the exchange of knowledge and experience in radiotherapy and oncology on an international scale. This year’s meeting was also special as it gave PROS the opportunity to interact closely with the physics community of both POMP and DLSU Manila, enriching the learning experience of its members and graduate students.

The course emphasis was on comprehensive treatment planning strategies to obtain optimal treatment plans for cancer patients for both IMRT and non-IMRT treatment planning techniques. This was augmented by expert lectures focusing on integrating clinical, imaging, biological and technological skills to achieve individualized treatment plans for various challenging clinical cases. Attendees were given a unique opportunity


to appreciate in depth the parts of the treatment planning process, with useful tips for critical plan evaluation.

Aside from the lectures delivered by top notch ESTRO faculty, a highlight of the course were the daily hands-on practical treatment planning sessions held in break-out rooms. Selected treatment plans for challenging cases (breast, lung, and head/neck cancer) were presented for discussion which proved to be quite a lively and interesting activity.

The academic interaction and thought-provoking discussions that ensued between the audience and the faculty provided a rich source of ideas from which to draw on in the course of daily clinical practice. The hands-on workshops also provided opportunities to do treatment planning on systems that were not native to the participant. The vendors who generously provided treatment planning workstations for each of the hands-on workshops included Accuray (Tomotherapy Treatment Planning), Brainlab (iPlan), Elekta (CMS, Monaco and Oncentra External Beam), Philips (Pinnacle), and Varian (Eclipse and RapidArc).

Balancing optimal therapeutic tumor dose and normal tissue toxicity requires a healthy mix of good clinical sense which can be aided by the judicious use of optimization tools that current treatment planning software can provide.

As always, one comes away from these meetings with new friendships formed and a better perspective of the diversity that exists in both local and worldwide radiotherapy practice. The scientific program certainly gave the participants a wealth of ideas that can be used in treatment planning to meet international standards in radiation oncology.



By Menchie de Guzman, MDPCR-CNL Annual Convention

The members of the PCR-CNL once again gathered last May 30, 2015 for their annual convention, “Highlights in Imaging of Trauma Related Injuries”. It was participated by colleagues from the nearby provinces, our own Radiology Technologists, and friends from our Pharmaceutical partners.

Immediate Past President, Dr. Allan Manalaysay, also graced the occasion. Past Presidents of the Central and Nothern Luzon Chapter Drs. Paul Sistoza, Lamberto Castillo, Carlos David , Danilo Torres, Jerome Gaerlan and Immediate Past President Dr. Carla Segui were likewise present.

The night was highlighted by the lectures of Dr. Danilo R. Sacdalan, Past President of the PCR (Fast Ultrasound Protocol for Major Trauma), Dr. Francis R. Villanueva, President of the CT-MRI Society of the Philippines (CT in Blunt Abdominal Trauma - A Practical Insight) and I Gede Ketut Kusumasuganda (CT Specialist from Siemens Singapore).

A new member of the chapter was inducted by Dr Jerome Gaerlan, First Vice President of the Philippine College of Radiology and Past President of the Chapter, in the person of Dr. Euselyne Q. Narcise.

The night wouldn’t have been possible without words from our sponsors – Health Solutions and Siemens. They were truly the wind beneath our wings.

The chapter members decided that the venue for the Annual Convention be held was Bauang, La Union, tagged as the Beach Capital and Fruit Basket of the North. One of the newest hotels in the municipality is Ariana Hotel, the best choice for the venue.

The Annual Convention took off with a sumptuous dinner, which was overpowered by Bauang’s famous Lechon Baka, filling everyone’s stomachs to their heart’s content.

Bauang, La Union’s local talents. the renowned Don Eulogio De Guzman Memorial National High School Anklung Ensemble and the Bauang Aweng Iloko Quartet serenaded everyone during the dinner.

The program proper formally opened with an Invocation and the singing of the Philippine National Anthem led by our very own Bauang Baggak Choir followed by my Opening Remarks and a message from our Philippine College of Radiology President, Dr. Johanna Patricia A. Cañal, which was delivered by Dr. Yvetter Bernabe-Datu-Ramos, Member of the Board of Trustees of the Philippine College of Radiology.

It was also a privileged moment of being able to rub shoulders with PCR’s prominent personalities. PCR’s

The Bauang Baggak Band brought the house down as the colleagues danced the night away to the tunes of both our young generation and of yesteryears.

Angell Technology, Ltd. sponsored the following day’s breakfast business meeting which was held at the White House Beach Resort. It was truly a day of renewing the bonds of friendship and camaraderie among the Chapter members.


The PCR-CNL 2015 Annual Convention was not only a learning experience, but also an unforgettable moment we will always remember.

Kudos to all the officers and members of our chapter who made this event possible especially to the different Committee Chairpersons, Dr. Jocelyn De Sola-Baltazar (Scientific), Dr. Carla Avena–Segui (Ways and Means. Publication), Drs. Lyzel Anne Seballos-Quinio and Rachelle Alegado-Abrena (Audio Visuals), Drs. Edwin Beltran Angeles and Brendell Itliong Fabia (Registration) and Drs. Susan Resultan-Rosario and Mahdelyn Timmalog-Fernandez (Socials and Awards). For the voluntary and untiring support of our friends form Health Solutions, Siemens and Angell Technology, Ltd., thank you very much.

To Dr. Mahdelyn Timmalog-Fernandez (PCR-CNL Vice Presidnet) and Dr. Carla Avena-Segui ( PCR-CNL Immediate Past President) … job well done for being very good emcees during the convention.

To all that has been and will be … To God be the Glory!

The rest of the day gave way to other colleagues to explore La Union – The Surfing Capital, San Juan, the world-class Thunderbird Resort in the City of San Fernando, and the vineyards of Bauang, La Union.

Crystal BallroomTHE PINNACLE HOTEL AND SUITES

Sta. Ana Avenue, Davao CityAUGUST 23, 2015 (Sunday)

8:00 AM - 5:00 PM

Emerging basic practices in vascular,interventional and breast imaging for equipping

the general Radiologist.

PHILIPPINE COLLEGE OF RADIOLOGYSOUTHERN MINDANAO CHAPTER

invites you to its14TH ANNUAL CONVENTION


PCR Guidelines On Teleradiology 201�

The purpose of establishing a Teleradiology Guideline was to set the minimum requirements of sending images to a different location outside of the radiology facility were the images were obtained. It was envisioned to safeguard the patient’s interest. This was intended as a guide for the technical requirements. It does not intend to deal with the practice of radiology nor ethical issues nor the regulation of the medical practice.

This guideline was based on the teleradiology guidelines of the ACR, Canadian Association of Radiologists, Singapore College of Radiologists and The Royal Australian and New Zealand College of Radiologists. If one looks at all of these guidelines, none of them deals with the practice of radiology or ethical issues. They only deal with the technical issues to ensure quality images for the correct diagnosis.

While the committee was working on the guidelines, we learned that the DOH was also in the process in creating its own guidelines in line with their eHealth program. When we informed DOH that we were already finishing our own guidelines, they asked us (PCR) to submit it to them so that they can consider it as part of their guideline. This is the reason for the sense of urgency for the approval of the guidelines.

Other reasons for the urgency in approving the guideline are:

1. Technology is fast developing and becoming more accessible. More radiologists are going into teleradiology. Presently, there are even foreigners doing teleradiology in the Philippines.

2. The ASEAN integration is upon us and it is possible that teleradiology companies from other ASEAN countries may come to the Philippines.

3. The need of specialized radiologic skills in many areas of the country.

4. The need for quicker results of readings in large hospitals and other medical facilities.

5. Increasing competition in the local and international setting.

The solution to most of these is to level up and compete in the market.

This is just the first version of the guidelines. As the need arises, there will sure to be revisions to adapt to changing technology, needs and requirements in the healthcare system in the country.

Chair: Catherine M. Lazaro, MD Co-chair: Irma D. David-Kintanar, MDMembers: Erwin T. Carpio, MD Jay P. Pauig, MD Enrico Tangco, MD Phoebe Jade E. Tongson, MD Jellena Faye B. Uy, MD Francis R. Villanueva, MD

I. IntroductionII. Definition of termsIII. General guidelines A. Manpower E. Quality Assurance B. End-users F. Professional fees C. Facility G. Recommendations D. Data Management

I. Introduction

The teleradiology task force was formed and mandated by the Philippine College of Radiology (PCR) to set guidelines on the practice of teleradiology in the country. Its role is to lay down recommendations for the ideal teleradiology setup in the country. Parameters that are essential in the practice of teleradiology are defined and described in this guideline. The utilization of digital imaging, improvements in data storage and availability of high-speed internet have all paved the way for teleradiology practice in the Philippines. There are two predominant models by which teleradiology practice runs in the country today – one is an organized teleradiology company, and another is a stand-alone model where a solo radiologist or group of radiologists is involved in the practice.

PCR Task Force On Teleradiology


For the first model, companies employ local radiologists to interpret outsourced radiologic studies from international and local end-users. Preliminary interpretation is being done by the local radiologists and finalized by locally and/or internationally certified radiologists.

In the second model, a solo or group of radiologists is employed by local end-users to interpret imaging examinations in a remote location. This stand-alone model generally aims to address shortage of general radiologists and subspecialist radiologists in remote sites. This also allows for access to interpretive services by general radiologists and subspecialists whenever added opinion and/or expertise are needed by on-site practitioners. This collaboration with on-site radiologists is a variation of the stand-alone model on the premise that on-site radiologists are not displaced.

The main goal of teleradiology is to link the expertise of on-site and off-site practitioners to ensure access to imaging interpretive services by health care facilities in the country and abroad in order to help achieve delivery of optimum patient care.

Scope and limitations

This guideline will define the basic components of teleradiology as well as the minimum technical requirements applicable to teleradiology practice. These standards are limited to the following modalities: digital radiography, computed tomography and magnetic resonance imaging. Fluoroscopy, mammography and ultrasound are not included. Comprehensive discussion regarding technical standards on digital radiography applicable in structured hospital setting and diagnostic centers are beyond the scope of this guideline.

This paper will serve as an initial guideline and will remain open for review and necessary revisions as utilization of teleradiology services in medical practice increases and evolves.

Ethical and professional standards on competence, interprofessional and professional-patient relationships and organization of medical services are beyond the scope of this guideline as formulation of such will require thorough discussion and consensus of a larger group where key stakeholders are well represented.

II. Definition Of TermsA. Teleradiology

Teleradiology is the transmission of imaging studies electronically or through digital storage media from one location to another for the purposes of interpretation and/or consultation. It allows more timely and efficient interpretations of radiological images give greater access to secondary consultations and improve continuing education.

Teleradiology does not include interpretive consultations where images acquired using photographic cameras are sent electronically (i.e. multimedia messaging services (MMS) and email) and viewed using regular image viewers not designed for teleradiology.

B. Teleradiologist

A PCR-certified radiologist who is remotely providing image interpretation services.

C. Teleradiology Company

An entity that manages image acquisition, data management and image distribution and employs or contracts the services of a radiologist or multiple radiologists to provide image interpretation services. D. Transmitting site

Site where images are acquired.

E. Reviewing site

Site where images are viewed and interpreted.

III. General Guidelines

Existing teleradiology guidelines made by the American College of Radiology (ACR), Canadian Association of Radiologists (CAR), College of Radiologists Singapore (CRS) and Royal Australian and New Zealand College of Radiologists (RANZCR) were reviewed and sections that are applicable to current setup are incorporated in this paper. These guidelines are formulated to set a standard in the management of digital images for proper interpretation. The decision of the medical practitioner is always dependent on the uniqueness of the circumstances and not completely controlled by


these guidelines. In the same way it is stated in some reference guidelines, the contents of this paper are not to be interpreted as a legal standard of care.

A. Manpower

The Teleradiologist

The teleradiologist is a PCR-certified radiologist. He is expected to be equipped with knowledge of the technical aspects of teleradiology. He is to assume responsibility along with health facility operators, radiologic technologist, and information technologist in setting proper protocols required for optimum image production as well as in ensuring adequate image quality. Interpretation of images must be accurate and must equal on-site radiologic interpretation. Workload must be optimum and should not compromise the accuracy of reports.

Partnership of teleradiologists with local radiologists may be established to share responsibility, assure quality interpretation, patient rapport and real time clinical correlation.

Cases requiring immediate interpretation should be determined by the radiologist and should be coordinated accordingly.

Radiologic Technologist

The radiologic technologist is a Philippine Regulatory Commission (PRC)-certified professional.

Under the supervision of a radiologist, he operates the machine/equipment and assures the quality of images. He should have undergone hands-on training from the experts in the field. Continuing medical education is encouraged.

Information technologist

The information technologist is a trained professional who assists, trouble-shoots system-related problems, and does maintenance tasks to assure continued high image quality and data management.

B. The End-Users

The largest group of end users is the hospital and clinics. The teleradiology company is able to offer adequate teleradiology service and specialty coverage.

C. Facility

It is recommended that the transmitting and reviewing sites meet the technical standards as will be discussed below. The transmitting site must comply with the requirements and be duly licensed by the Department of Health (DOH).

D. Technical Standards And Data Mgmt

(Adapted from Teleradiology Guidelines by ACR, CAR, CRS and RANZCR)

The digital images used in teleradiology will be managed using a Picture Archiving Communications System (PACS) system and other secure media archiving device. If PACS is not available in the transmitting site, digitization of previous films for comparison may be required. In this instance, the scanned images must meet the recommended resolution as will be described in the subsequent section.

1. Specific standards

Equipment specifications will depend on the needs of the facility as long as it is able to capture images that are of adequate quality for interpretation. Compliance with (DICOM) and PCR standard is suggested for acquisition of new and upgrading of existing equipment.

There are two basic categories of teleradiology taken into account in setting the equipment guidelines and they are as follows:

Minimum Minimum Applications size/resolution pixel depth

CT, MRI, ultrasound, small 512 x 512 8-bit nuclear matrix matrix size medicine, digital fluorography, digital angiography

digital large 2.5 lp/mm 8-bit* radiography matrix spatial digitized resolution radiographic films

*Although there is still no evidence showing the diagnostic advantage of using higher than 8-bit systems, use of 10-bit system for large matrix images is also recommended, if available.


2. Acquisition or Digitization

Initial image acquisition must comply with the appropriate PCR modality or examination guideline or standard.

a. Direct image capture

The entire image data set produced by the digital modality will be transferred to the PACS / teleradiology system in DICOM format.

b. Secondary image capture

Small-matrix images: Each analogue image will be converted to digital form with a matrix size that is as or larger than the original image. Minimum pixel depth is set at 8 bits.

Large-matrix images: These images will be converted to digital form with a matrix size of 2.5 lp/mm or greater, measured in the original detector plane. Minimum pixel depth is set at 8 bits.

*Although there is still no evidence showing the diagnostic advantage of using higher than 8-bit systems, use of 10-bit system for large matrix images is also recommended, if available.

3. General standards

a. Image management

Data sets in teleradiology are to be managed using the PACS systems and other secure media archiving and transmitting systems. Standards are set to ensure the integrity of data transferred from the transmitting site to the receiving site. Other requirements in image management are as follows:

1. Capacity to transmit and display all images sequences at the reviewing sites

2. Intactness of patient information including the following:

• Name • ID number • Date and time of examination • Film markers

• Name of institution • Type of examination • Degree of image compression, if applicable • Brief patient history

3. Capability to retrieve previous examinations and reports

4. Capacity to ensure protection of patient confidentiality at both the acquisition and reviewing sites

5. Preservation of image quality during file transfer ensuring similar quality received at the reviewing sites

b. Transmission of images and patient data

Communication protocols as well as file format and compression will have to abide by the existing DICOM and International image quality standards. There should be a constant aim to improve rates of file transfer and reduce archiving requirements while preserving image quality.

c. Display capabilities

Display workstations used for teleradiology / PACS systems must meet the following:

1. Luminance of the gray-scale monitors of at least 1 cd/m2 and maximum of 350 cd/m2

2. Display stations must accurately reproduce the original study and must include:

• Brightness and contrast adjustment • Magnification function • Capability of rotating and flipping the displayed images • Capability of linear measurements and determination of CT Hounsfield units • Capability of inverting gray-scale values of the displayed images • Capability to display clinically relevant parameters

3. Use of regular image viewers not specifically designed for digital radiology is strongly discouraged.


d. Patient database

The database transmitted along with the images must contain the following information:

• Patient name, identification number • Date of examination • Type of examination • Modality • Number of images • Image acquisition site • Date and time of acquisition and availability for review

e. Reports

The contents of the reports must be of similar quality and follow the same standard as those generated on-site. Use of programs that allow for data encryption and electronic signing and/or validation of reports are encouraged to ensure privacy and security of medical information. Incorporation of these reports to the patients’ health records must be done once received in the transmitting site.

f. Security

Network and software protocols ensuring the confidentiality of patient records, images and reports must be incorporated in the teleradiology systems. Option to anonymize will depend upon the discretion of the parties’ involved not withstanding violation of confidentiality of patient’s medical information.

We recognize the involvement of the radiologist and the transmitting site in ensuring confidentiality however; the specifics on patient privacy are beyond the scope of this paper. Please refer to the Philippine Medical Association (PMA) Declaration on the Rights and Obligations of the Patient, section on Rights, number 9 for the discussion on patient privacy and confidentiality. We recommend that a separate practice guideline discussing privacy and security of electronic medical information be formulated in collaboration with the National Telehealth Center and experts on health/imaging informatics.

g. Reliability and redundancy

Internal redundancy checks, backup telecommunication links and contingency plan must be in place to ensure adequate turnaround time in image transfer, interpretation and generation of reports.

h. Storage of records

Storage of digital images and reports in the PACS system and other secure media archiving device must conform to the legal requirements in the locality/country.

E. QUALITY ASSURANCE

A set of operating guidelines / policies in both the acquisition and reviewing sites should be available for effective management, safety, proper performance of imaging, transmitting, receiving and display equipment. The working condition of the equipment is monitored at intervals consistent with proper quality control.

It is the responsibility of the teleradiologist to ensure that the quality of the images being interpreted is of acceptable standard. Hence, the images at the reviewing site should have similar quality as the images generated at the acquisition site.

Part of the responsibility of the teleradiologist is to visit the acquisition site on a scheduled basis to properly guide the managers, radiologic technologists and other personnel in the radiology unit to ensure that the equipment are in proper working condition.

F. PROFESSIONAL FEES

Professional fees pertaining to teleradiology should abide by the guidelines set by the PCR.

G. RECOMMENDATIONS

For a comprehensive discussion on digital radiography, we recommend that a separate guideline be made to lay down the standards that will guide hospitals and diagnostic centers in providing optimum radiologic care for patients.


We recommend that a practice guideline discussing privacy and security of electronic medical information be formulated in collaboration with the National Telehealth Center and experts on health/imaging informatics.

We recognize the role of PCR as the central body that can govern radiologists who practice teleradiology. We recommend that ethical and professional standards concerning teleradiology practice be set after thorough discussion and consensus of key stakeholders are made.

As mentioned in the scope and limitations, this paper serves as an initial guideline and will remain open for review and necessary revisions as utilization of teleradiology services in medical practice increases, evolves and as other pertinent issues surrounding the teleradiology practice are identified.

References

1. Norweck, J., Seibert, JA., Andriole, K., Clunie, D., Curran., Curran, B., Flynn, MJ., Krupinski, E., Lieto, R., Peck, D., Mian, T. (2012). ACR–AAPM–SIIM Technical Standard for Electronic Practice of Medical Imaging. Journal of Digital Imaging, 26, 38–52.

2. Silva III, E., Breslau, J., Barr, R., Liebscher, L., Bohl, M., Hoffman, T., Shah, S., Tilkin, M. (2013) ACR White Paper on Teleradiology Practice: A Report From the Task Force on Teleradiology Practice. Journal of American College of Radiology, 10, 575-585.

3. Canadian Association of Radiologists. (2008). CAR Standards for Teleradiology. Ontario, Canada: Cramer, B., Butler, G., Chalaoui, J., Silverthorn, K., Lepanto, L., Koff, D.

4. Singapore College of Radiologists. (2007). Teleradiology Guidelines. Singapore.

5. The Royal Australian and New Zealand College of Radiologists. (2001). Position on Teleradiology. Sydney NSW, Australia.

The purpose of establishing a Teleradiology Guideline was to set the minimum requirements of sending images to a different location outside of the radiology facility were the images were obtained. It was envisioned to safeguard the patient’s interest. This was intended as a

guide for the technical requirements. It does not intend to deal with the practice of radiology nor ethical issues nor the regulation of the medical practice. Again, it deals only with the technical aspects of teleradiology.

This guideline was based on the teleradiology guidelines of the ACR, Canadian Association of Radiologists, Singapore College of Radiologists and The Royal Australian and New Zealand College of Radiologists. If one looks at all of these guidelines, none of them deals with the practice of radiology or ethical issues. They only deal with the technical issues to ensure quality images for the correct diagnosis.

While the committee was working on the guidelines, we learned that the DOH was also in the process in creating its own guidelines in line with their eHealth program. When we informed DOH that we were already finishing our own guidelines, they asked us (PCR) to submit it to them so that they can consider it as part of their guideline. This is the reason for the sense of urgency for the approval of the guidelines.

Other reasons for the urgency in approving the guideline are:

1. Technology is fast developing and becoming more accessible. More radiologists are going into teleradiology. Presently, there are even foreigners doing teleradiology in the Philippines.

2. The ASEAN integration is upon us and it is possible that teleradiology companies from other ASEAN countries may come to the Philippines.

3. The need of specialized radiologic skills in many areas of the country.

4. The need for quicker results of readings in large hospitals and other medical facilities.

5. Increasing competition in the local and international setting.

The solution to most of these is to level up and compete in the market.

This is just the first version of the guidelines. As the need arises, there will sure to be revisions to adapt to changing technology, needs and requirements in the healthcare system in the country.

SIDEBAR


PCR Guidelines On Professional Fees 2014

IntroductionRadiology has expanded in the past decades into a highly subspecialized field of medicine very much dependent on the newer technologies that evolved namely the Digital Radiography / Fluoroscopy, Ultrasonography, Computed Tomography, Magnetic Resonance Imaging, Mammography, PET, Brachytherapy / Linear Accelerator.

The Philippine College of Radiology upholds the board resolution dated 15 May 2007 stating, “RESOLVED that the minimum fair compensation of radiologists for diagnostic radiologic examinations / procedures is 25% of the gross rate of the radiologic examination / procedure.”

“All medical practitioners are, of course, and should at time regard themselves as being free and indeed duty bound, to make their own judgment as to what fees they will charge for any service. Medical practitioners should satisfy themselves in each individual case as to a fair and reasonable fee having regard to their own practice cost experience and the particular circumstances of the case and the patient.” Online in the Australian Medical Association website.

Hand in hand with this statement is the standardized list of Medical Services and Fees are published in different countries worldwide and this is meant to provide members costing assistance and guidance only. The United States also published Professional Services Fee Schedule (Radiology Fees).

The committee assigned by the board of directors of the Philippine College of Radiology is composed of a committee chair, presidents of the subspecialty societies which includes the Ultrasound Society of the Philippines (USP), CT-MRI Society of the Philippines (CTMRISP), Philippine Society of Vascular and Interventional Radiology (PSVIR) and Philippine Radiation Oncology Society (PROS) and invited Past Presidents.

The committee thus recommends the following:

1. In General Radiology, that the minimum 25% gross rate compensation be in effect in the usual radiography, ultrasound, CT, MRI, Nuclear Medicine studies.

2. PSVIR and PROS follow a previously set procedure case rates. This is subject to periodic review by the subspecialty society. USP and CTMRISP also provided standardized list of fees for each procedure. The approved procedure case rate of PhilHealth is also provided. Please find the attached annexes.

3. For salaried radiologists. (Definition of a salaried worker is one paid on a regular schedule who receives a

predetermined amount on each pay date. The payment the worker receives can be part or the entire predetermined amount. This amount cannot be changed no matter how many days or hours the employee works or the quality of the work performed. This employee must receive the agreed-upon portion of his salary each week.) Regular salaries are usually being paid to the radiologist on a predetermined work scheme and may be separate from the clinical services provided in interpreting studies such as in managing the department. The government provides fixed salaries either in full or part time status. There is minimal variance as to the amount whether the funding comes from either the local or national government. The Medical Specialist positions are usually given to certified radiologists.

4. In Teleradiography, same schedule of fees are recommended. This is encouraged as it will enable the highly specialized radiologist to provide quality services to more remote areas at the same time providing an avenue for teaching the radiologists practicing in the rural areas.

5. In certain cases where limited service of a radiologist is needed, proper negotiations should be done similar to the salaried radiologist. SIGNING FEE or RADIATION PROTECTION OFFICER FEE may be included under this condition. (An amount equivalent to the licensing fee may be charged)

6. In cases of second opinion or re-reading. This is strongly discouraged as it becomes an avenue for more critic and possibly complaints/legal suits thus a repeat examination should be done instead. (Ethics committee)

7. Fee splitting is unethical and is prohibited. It represents conflict of interest which may adversely affect patient care. Appropriate referral should be done instead.

8. In emergency cases for interpretation, additional stat fee can be applied. This should at least be equivalent to a clinician performing an emergency room or intensive care unit visit. The medical specialist rate is recommended.

9. The fee corresponding to the Professional service rendered by a Radiologist shall not be lower than 25% of their current rate, whichever is higher, of whatever procedure they performed.

10. Be it provided that services personally/delivered as well as those done, through teleradiography shall be treated equally and will carry same professional fees in accordance to stated.

PCR Professional Fee Guidelines Committee

Chair & PSVIR Representative: Ma. Lourdes S. Badion Members: Honorato H. Piedad Alfredo Villarosa - USPJaime G. Tomas, Jr. Enrico D. Tangco - PROSIrma D. Kintanar - CTMRISP


The development of organ-based and special fields of interest sub-specialties in Radiology is important to help keep up with the advances in Radiological Sciences and in Medicine as a whole. This will further strengthen the practice of Radiology by promoting expertise in each subspecialized field.

List of Organ-based and Special Fields of Interest Subspecialties:

Pediatric RadiologyNeuroradiologyHead and Neck ImagingChest ImagingCardiovascular Imaging (could be under Chest Imaging)Body Imaging • Gastrointestinal Imaging • Genitourinary ImagingMusculoskeletal ImagingWomen’s Imaging (may include Breast Imaging)* Other Societies maybe established in the future* PROS, CT-MRI, USP, PSVIR, and Breast Imaging

Society (are already established subspecialty Societies)

The proposed roles of the subspecialties would include but are not limited to the following:

1. To promote the subspecialty

2. To disseminate knowledge and information through continued medical education

3. Standardization of Practice through development of practice guidelines

4. Creation of own bylaws specific to the subspecialty

5. Creation of Subspecialty Fellowship training programs

6. Assess competency of its members

7. Links with the PCR and other subspecialties of Radiology in the Philippines and internationally

8. Liaises with the same subspecialty in other clinical fields of subspecialty (eg. neuroradiology with the neurosurgeons and neurologists, pediatric radiology with the pediatricians)

9. It is important to note that it is not the intention of the subspecialty societies to limit the practice of other radiologists who chooses not to be a member of the subspecialty society

Specific Guidelines:

1. At least a group of five (5) Radiologists who are Fellows of the Philippine College of Radiology (FPCR) and are experts on a particular organ-based subspecialty or specific field of interest in Radiology shall contact PCR stating their intent to form a subspecialty group.

• The PCR, realizing the need for sub specialization in Radiology shall participate in the active search for radiologists with organ system based or special fields of interest expertise in radiology. The PCR can also designate these experts to help form new subspecialty groups.

• A minimum of 5 people is important for it to be considered an organization by the Securities and Exchange Commission (SEC).

• Accreditation with SEC is important but is not crucial in the early formative years of the subspecialty groups.

• Radiation oncology or Nuclear medicine physicians who wish to form a subspecialty group but do not have the minimum number of members can align themselves with the organ based subspecialty group of the counterpart in Diagnostic Radiology. (eg. Pediatric Radiation Oncology with the Pediatric Radiology)

2. The PCR shall determine if there are other applications or interests in forming that specific subspecialty elsewhere in the country and shall help liaise and consolidate all of these applications.

PCR Guidelines For The Formation of Radiology Subspecialty Groups 201�


3. The PCR’s designated committee determines the veracity of the application and evaluates the expertise of the core / pioneer / founding members.• An expert is perceived as someone who

underwent subspecialty training, has worked in that specific field, and participated in academic and research endeavors in that particular field.

4. The PCR approves or disapproves the creation of the subspecialty depending the need or current state of radiology practice.

5. The approved subspecialty can organize and elect their officers.

6. The approved subspecialty shall create their own bylaws which will be aligned with the policies of PCR

7. The approved subspecialty can now recruit members. The recruitment process shall be published in the PCR website and newsletter.a. The subspecialty group shall be encompassing

and inclusive and shall be open to all FPCR members who has an interest in a particular subspecialty.

b. The applicant to the subspecialty group shall submit an application form, letter of intent and a curriculum vitae (CV).

c. There will be a three-tiered membership as determined by the core members. i. Full membership (subspecialty trained

locally or abroad, along with experience, academic and research work in the field)

ii. Associate membership (has been practicing the same field without formal training)

iii. Affiliate membership (radiologists who have interest in the field but has limited training or practice in the field)

d. The core / pioneer / founding members shall assess the competency of the applicant members if they are to be accepted as a Full, Associate, or Affiliate member.

e. The membership classification will be similar in the various subspecialties but due to uniqueness of practice, variations are expected. Guidelines for classification of membership will be developed by each subspecialty.

f. It is the objective of the subspecialty group to guide its members, enhance their education, and help the Affiliate and Associate members to become Full members. This can be achieved through a point system assigned each time members attend conferences / conventions, years of practice in the field, academic and research work, etc. The Associate and Affiliate members can also attend mini-fellowships and observerships established by the subspecialty, which could all be taken into account for promotion to a higher level of membership.

8. The core / pioneer / founding members shall assess the competency of its members. This will also aid in promoting its members to full membership status.a. Oral or interview examination can be given

during the early / formative years of the subspecialty.

b. Written competency can be given in the future once the subspecialty has matured and even have an existing training program.

9. The subspecialty encourages the formation of organ-based or special field of interest subspecialty Fellowship training programs.

10. The subspecialty group shall issue a Certificate of Added Qualification (CAQ) to members with Full membership status.

11. The newly formed subspecialty can seek the help of PCR through a seed grant during its formative years. This can help the thriving subspecialty in their academic endeavors.a. The recommended membership fee shall be

minimal during the formative years.

PCR Committee for Establishing Guidelines in the Formation of Radiology Subspecialty Groups 2013

Chair: Bernard F. Laya.

Members:Maria Lourdes S. Badion Rafael JosonAngela U. Crisostomo Irma D. KintanaJulio T. Dumo Primo F. LafortezaEugene Dy Manny LopezRomelito D. Galsim Mercy Go-Santi Gerardo M. Silva Donny GrasparilSarah Lukban-Zampaga Enrico D. Tangco


September 8, 2014

THE HONORABLE MAXIMO B. RODRIGUEZ, JR.Chairman, Technical Working Group on Nuclear BillsHouse of Representatives

THRU: HERMOSA MARITES E. PEMPENA Committee Secretary

Sir:

This is in connection with House Bills No. 147 (An Act Creating the Philippine Nuclear and Radiation Safety Commission) and 3308 (An Act Creating the National Nuclear Radiation Safety Board).

The Philippine College of Radiology (PCR) Board of Directors had its Third Regular Board Meeting last September 6, 2014 and one of the Agenda is the participation of the PCR in the Technical Working Group (TWG) with the Committee on Government Reorganization and the Committee on Science and Technology.

Having discussed the House Bills and the proceedings of the TWG meeting last September 2, 2014, together with the Philippine Radiation Oncology Society, the Philippine College of Radiology wishes to make the following position statements:

1. The Philippine College of Radiology fully supports the intent of the two bills to create an independent body exercising regulatory control over the peaceful uses of nuclear and other radioactive materials, facilities and radiation generating equipment (referred to as ionizing radiation sources).

2. The Philippine College of Radiology recommends that the regulatory system of ionizing radiation sources pertaining to all HUMAN HEALTH and MEDICAL applications be under a single body, logically under the Department of Health (DOH)/Food and Drug Administration (FDA)/ Center for Device Regulation, Radiation Health and Research (CDRRHR). This is also supportive of the position of the Philippine Nuclear Research Institute (PNRI) to devolve itself of regulatory functions and rather to focus on its promoting functions.

The PCR also supports all deliberations and consultations pertaining to the Bills and would be very willing to participate in future discussions and works on the said bills.

Very respectfully yours,

LEANDRO C. MANALAYSAY, MD PresidentPhilippine College of Radiology

House Bill 1�7 PCR Position


Declaration of Support for PHILCAT

The Philippine Coalition Against Tuberculosis (PhilCAT), the recognized umbrella coalition with a vision of a TB-free Philippines, representing all relevant stakeholders including key

medical specialty societies, fully supports the National Tuberculosis Control Program (NTP) of the Department of Health (DOH) by adhering to the provisions of the Revised Manual of Procedures (MOP) and the 21 underlying principles of the International Standards for

Tuberculosis Care (ISTC) which were both released this year.

These standards and policies recommend adopting an optimum level of quality of care which is based on a set of internationally-accepted principles on the diagnosis and treatment of all forms of presumptive and confirmed tuberculosis. It is imperative that all health care providers deliver quality, patient-centered, and standardized TB care to move the country

towards achieving the Post 2015 Global TB Strategy Milestones by 2025 in our realization of a TB-free Philippines.

The Philippine Tuberculosis Society, Inc. (PTSI), through the USAID’s Innovations and Multi-sector Partnerships to Achieve Control of Tuberculosis (IMPACT) Project, shall facilitate the engagement and training of key professional societies to assure the optimal implementation of the

ISTC and NTP MOP among their members.

PhilCAT shall be the main body to monitor our involvement and the interventions that they will undertake in order to concretize their commitment.

We, as recognized organizations of health experts, acknowledge the promulgation of the ISTC and MOP, as it will be formally endorsed to all our members and our respective local chapters, and

pledge our full support to the dissemination and implementation of these standards and policies in the prevention and holistic management of tuberculosis in the Philippines.

Signed this 14th day of August 2014 during the Opening Ceremonies of the 21st Annual Convention of the Philippine Coalition Against Tuberculosis (PhilCAT) at the Crowne Plaza Hotel, Mandaluyong

City, Metro Manila, Philippines.

_____________________________ _____________________________ LALAINE L. MORTERA, MD ZENAIDA Q. AVANCENA National Chair, Philippine Coalition President, Philippine Tuberculosis Society, Against Tuberculosis (PhilCAT) Inc. (PTSI)

�1PCR Newsletter / July 2015

_____________________________ _____________________________ CHAD REY V. CARUNGIN, MD LUDOVICO L. JURAO, MD President, Philippine College of Chest President, Philippine Society for Microbiology Physicians (PCCP) & Infectious Disease (PSMID)

_____________________________ _____________________________ ANTHONY C. LEACHON, MD ALEX J.B. ALIP JR., MD President, Philippine College of President, Philippine Academy of Family Physicians (PCP) Physicians (PAFP)

_____________________________ _____________________________ OSCAR B. SANTIANO, MD LEANDRO C. MANALAYSAY, MD President, Philippine College of President, Philippine College of Radiology Occupational Medicine (PCOM) (PCR)

_____________________________ MILAGROS S. BAUTISTA, MD

President, Philippine Pediatric Society (PPS)

Witnessed by:

_____________________________ _____________________________ MINERVA P. CALIMAG, MD HON. ENRIQUE T. ONA, MD President, Philippine Medical Association Secretary, Department of Health (PMA) (DOH)

Original Signed.

�2 PCR Newsletter / July 2015

Indonesian Society of Radiology was held on May 8-9, 2015 at Bali International Convention Center in Westin Resort, Nusa Dua, Bali, Indonesia. AAR congress is a bi-annual gathering of the ASEAN radiologists from member states namely Cambodia, Brunei, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Vietnam. This is where brilliant and recent innovations and technologies are brought to the forefront of ASEAN imaging practice. The AAR 2015 – 2017 is headed by President Terawan Putranto who is from Indonesia. The theme of the congress is “Future Challenges for Young Radiologist”. Several interesting topics were discussed by keynote speakers and these include 1) role of interventional radiology in GI bleeding, 2) future of neuroimaging, 3) technique and management AVM and TEVAR, 4) current pulmonary, CNS, and GI imaging, and 5) MR enterography.

Dr. Bernard Laya of St. Luke’s Medical Center was among the dis t inguished speakers. He shared his expert ise on the topic “Congeni ta l Lung Malformations: Diagnosis and Strategic Management”.

Philippine College of Radiology (PCR) was among the participants

of the congress lead by Dr. Johanna Patricia Cañal, the PCR President. Philippine delegates from

By Johanna Patricia Canal, MD; Paul Wilson Duma, MD; and Marlaem Andres, MD 2015 ASEAN Association of Radiology Congress

St. Luke’s Medical Center participated in the free paper and e-poster research presentation. Dr. Paul Wilson Duma gave an oral presentation entitled “Characteristic CT and MRI Features of Non-Traumatic Orbital Lesions in Pediatric Population”. E-poster exhibition showcased 30 interesting studies whereby Dr. Mariaem Andres and Dr. Aswin Widjaya presented studies about Rosai-Dorfman Disease and Kallmann Syndrome, respectively.

Bali, IndonesiaMay 8 - �, 2015

Set in the spectacular island of Bali, the entire 2-day congress provided the guests and delegates with an opportunity to abreast about the latest strategies and technologies in radiology, earn CME credit, and savor one of the world’s most exciting destination, that is, Bali. The next AAR convention will be held in August 2017 in Kuala Lumpur, Malaysia. The next president will, therefore, be from Malaysia.

L-R: Drs. Paul Wilson Duma, Aswin Widjaya, Johanna Patricia Cañal (PCR President), Mariaem Andres, and Kenneth Karl Dy

��PCR Newsletter / July 2015

Paul Wilson Duma: In Memoriam

Our dear Dr. Paul was a graduate of BS Medical Technology Batch 2005, Doctor of Medicine Batch 2010 from the University of Sto. Tomas and was a second year Radiology resident in St. Luke’s Medical Center Institute of Radiology - QC. He peacefully joined his Creator last June 1, 2015 and is survived by his parents Orlando and Wilma, and sister, Jane.

Paul was also a team player, m a n y t i m e s c o n s i d e r i n g others welfare before his own. Paul was not afraid to share himself with o t h e r s . H e always had time to chat about his pets and hobbies , and just listen when you need someone to be there for you. To our dearest Paul, you will always be remembered. We are thankful to the Lord that He allowed us to know you. We have been enriched by your life and you will truly be missed.

— St. Luke’s Radiology Family

As a resident, Paul is fondly remembered as a jolly and diligent co-worker. He makes sure that work is done efficiently, yet still takes time to teach his clerks and interns as their responsible monitor. He always had a calm disposition whenever he faced challenges. His love for research was evident last May 8-9, 2015 as the paper he co-authored entitled – “Characteristic CT and MRI findings of Non-traumatic Orbital Lesions” was chosen for oral presentation in the 17th Congress of Asean Association of Radiology in Bali, Indonesia.

Dr. Paul Duma (2nd from the right) with his St. Luke’s Medical Center Batchmates- (starting from right) Dr. Olores, Garcia, Lucero, De Leon, De Castro, Lim, and Jusi.

Dr. Paul Duma with his batchmates at St. Luke’s Medical Center.

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