Groundbreaking Alzheimer Disease Neuroimaging Trial BeginsAPRIL 2005 VOLUME 15, NUMBER 4 Groundbreaking Alzheimer Disease Neuroimaging Trial Begins Also Inside: MRS Supports “Energy

AP R I L 2005 ■ VO LU M E 15, NUMBER 4

Groundbreaking Alzheimer DiseaseNeuroimaging Trial Begins

Also Inside:■ MRS Supports “Energy Starvation” Hypothesis in Heart Failure■ Handheld Technology for Radiology on the Brink of Big Expansion ■ Taking Care of Your Financial Health: Estate Planning for Physicians—Part 3■ Competition Drives Need for Marketing at Outpatient Academic Centers■ RSNA Research Scholar Sets New Standard of GU Care

Advance Registration for RSNA 2005

Begins April 25

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AP R I L 2005

1 People in the News2 Announcements

Feature Articles 4 Groundbreaking Alzheimer Disease Neuroimaging

Trial Begins6 MRS Supports “Energy Starvation” Hypothesis in

Heart Failure7 Handheld Technology for Radiology on the Brink

of Big Expansion 9 Competition Drives Need for Marketing at

Outpatient Academic Centers10 Taking Care of Your Financial Health: Estate

Planning for Physicians—Part 3

Funding Radiology’s Future19 RSNA Research Scholar Sets New Standard of GU

Care20 R&E Foundation Donors

12 Journal Highlights13 Radiology in Public Focus14 Product News16 Program and Grant Announcements18 RSNA: Working for You22 Meeting Watch24 Exhibitor News25 RSNA.org

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

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

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

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

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

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

Executive 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 DSusan D. Wall, M.D.

ChairBruce L. McClennan, M.D.

Vice-ChairSilvia D. Chang, M.D.Richard T. Hoppe, M.D.Jonathan B. Kruskal, M.D., Ph.D.Stephen J. Swensen, M.D.William T.C. Yuh, M.D., M.S.E.E.Hedvig Hricak, M.D., Ph.D.

Board Liaison

C O N T R I B U T I N G W R I T E R SDennis ConnaughtonBruce DixonAmy Jenkins, M.S.C.Mary E. NovakMarilyn Idelman SoglinLydia Steck, M.S.

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

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

2 0 0 5 R S N A B O A R D O F D I R E C T O R SR. Gilbert Jost, M.D.

ChairmanTheresa C. McLoud, M.D.

Liaison for EducationGary J. Becker, M.D.

Liaison for ScienceHedvig 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-designate for Education

David H. Hussey, M.D.President

Robert R. Hattery, M.D.President-elect

RSNA NewsApril 2005 • Volume 15, Number 4

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

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

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

Contents of RSNA News copyrighted ©2005 bythe Radiological Society of North America, Inc.

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

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

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

RSNA Membership: (877) RSNA-MEM

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

SMRI Honors The Sociedad Mexicana de Radiologíae Imagen honored four people duringits February meeting in Mexico City.The awards and the recipients are:AWARD FOR ACADEMIC EXCELLENCE • Pablo R. Ros, M.D., M.P.H. • Pedro Salmerón Suevos, M.D. HONORARY MEMBERSHIP • Felipe Vázquez Guzmán, M.D.• Ing. Federico Hollander

SMRI also presented RSNA with a silver tray to recognize 10 years of collaborationbetween the two societies.

SUR/SGR AwardsTHE Society of Uroradiology

(SUR) presented two gold medalsduring its 30th scientific assembly inSan Antonio.

The distinguished recipientswere RSNA president-elect RobertR. Hattery, M.D., from Tucson,Ariz., and John R. Thornbury,M.D., from Castle Rock, Colo.

The Society of GastrointestinalRadiologists (SGR) held its 34thannual meeting concurrently.Charles A. Rohrmann Jr., M.D.,from Seattle, received the Walter B.Cannon Medal and Albert L. Baert,M.D., Ph.D., from Leuven, Bel-gium, was named distinguishedinternational member.

PEOPLE IN THE NEWS

The Society of Interventional Radiology(SIR) presented two gold medals during itsannual meeting in New Orleans. They wereawarded to:• Frederick S. Keller, M.D., who special-

izes in embolotherapy and the diagnosisand treatment of gastrointestinal bleeding.He is a past-president of SIR.

• John Abele, the co-founder and chairmanof Boston Scientific Corporation, and co-founder of the SIR Foundation.

Peter R. Mueller, M.D., presented theDr. Charles T. Dotter Lecture. KurtAmplatz, M.D., received the 2005 Leadersin Innovation Award.

SIR Gold Medals

Robert R. Hattery, M.D.

Frederick S.Keller, M.D. John Abele Peter R. Mueller, M.D. Kurt Amplatz, M.D.

Boston MedicalLibrary AppointsSood as Trustee Ajay Sood, M.D., a fellowin interventional radiologyat Beth Israel DeaconessMedical Centerin Boston, hasbeen appointeda trustee of theBoston Med-ical Library.

The libraryserves as aresource forthe studentsand faculty ofHarvard Medical School,Boston University MedicalSchool, Tufts UniversitySchool of Medicine and theUniversity of Massachu-setts Medical School.

McArthur Joins Stentor BoardJohn H. McArthur,D.B.A., M.B.A., has beennamed to the Stentor boardof directors. McArthur is aformer chair of Brigham &Women’s Hospital and former board co-chair forPartners Healthcare System.

Ajay Sood, M.D.

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

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

2 R S N A N E W S A P R I L 2 0 0 5

ANNOUNCEMENTS

PEOPLE IN THE NEWS

Ophthalmology Joins IHERSNA’s Integrating theHealthcare Enterprise (IHE)initiative continues to growand expand to include moremedical specialties.

The American Academyof Ophthalmology has joinedthe effort to improve the waycomputer systems in health-

care share information, andwill host an IHE demonstra-tion this fall. The ophthal-mology domain is called“IHE Eyecare.”

Since RSNA and theHealthcare Information andManagement Systems Soci-ety launched IHE in 1998,

the initiative hasexpanded from radi-ology and IT infra-structure to includenuclear medicine, radiationoncology, clinical laboratoryand pathology, cardiologyand now ophthalmology.

IHE is also a main partic-

ipant in the dia-log to create anational healthinformation net-

work. See the March issue ofRSNA News for more details.

IN MEMORIAM:

John S. Laughlin, Ph.D.

AFOUNDER of the AmericanAssociation of Physicists

in Medicine and a pioneer inthe field of radiation therapyhas died from complicationsof acute myelogenousleukemia. John S. Laughlin,Ph.D., was 86.

He chaired the Depart-ment of Medical Physics atMemorial Sloan-Kettering

Cancer Center from 1952until 1989. There he installedthe first betatron dedicated tomedical use and one of thefirst cyclotrons used in amedical research center. Hewas recognized for seminalwork in treatment planning,including initial applicationsof computers and the designof small ionization chambers

for bone marrowand soft tissuedose measurementin the diagnostic x-ray range.

Dr. Laughlinbecame an RSNAmember in 1954and was a thirdvice-president of the Societyin 1992. He earned many

awards includinga gold medalfrom the Ameri-can Society forTherapeutic Radi-ology and Oncol-ogy and theAmerican Collegeof Radiology.

John S. Laughlin, Ph.D.

ACR Gold MedalsThe American College of Radi-ology (ACR) presented twogold medals during its annualmeeting this month in Wash-ington. The recipients are:• Robert W. Holden, M.D.,

an interventional radiologist,who is dean emeritus of theIndiana University (IU)School of Medicine and aprofessor emeritus at IU.

• Kay H. Vydareny, M.D.,who is a professor in theDepartment of DiagnosticRadiology at Emory Univer-sity.

ACR also presented hon-orary fellowship to FranciscoArredondo, M.D., Jens Over-gaard, M.D., and Rolf Gun-ther, M.D.

Robert W. Holden, M.D.

Kay H. Vydareny, M.D.

BerlinEarns CRSHonorLeonardBerlin, M.D.,chairman ofthe Departmentof Radiology atRush NorthShore MedicalCenter inSkokie, Ill., will receive the 2004-2005 Distinguished Service Awardfrom the Chicago Radiological Society(CRS).

The award will be presented thismonth by Jonathan W. Berlin, M.D.,his son and a fellow radiologist.

Leonard Berlin is a CRS past-pres-ident and will become the president-elect of the Illinois Radiological Society on May 1st.

Leonard Berlin, M.D.

Hobert New Kodak PresidentEastman Kodak Com-pany has appointedKevin J. Hobert aspresident of Kodak’sHealth Group. He pre-viously served as vice-president of the division.

Kevin J. Hobert


ANNOUNCEMENTS

Radiology Articles Cited as “Classic”

ANEW BOOK, Classic Papers in Mod-ern Diagnostic Radiology

(Springer-Verlag Berlin Heidelberg2005), highlights a selection of themost important articles in diagnosticradiology since a similar book waspublished in the 1960s.

Ten papers from Radiology areamong the 61 papers listed. They

include four papers onmammography, three paperson digital imaging, and oneeach on CT, PACS andangiography and interven-tional radiology.

“The editors have had avery difficult task in selecting the keydiscoveries and descriptions,” wrote

Willi A. Kalendar, Ph.D.,in the forward of thebook. “The radiologicalliterature is very large.Medical imaging contin-ues to develop rapidlyand these papers are the

foundations of our current practice.”

AAA Screening for MenThe U.S. Preventive Services Task Force (USPSTF) has recommended one-time ultrasound screening for abdominalaortic aneurysm (AAA) inmen age 65 to 75 yearswho smoke or who haveever smoked.

The recommendationappears in the February 1issue of the Annals ofInternal Medicine, avail-able at www.annals.org/cgi/content/full/142/ 3/198.

Complete information,including evidence tablesand references, is alsoavailable on the USPSTFWeb site at www.ahrq.gov/ clinic/uspstf/uspsaneu.htm.

Draft Guidance on Medical Products toTreat Radiation ContaminationThe Food and Drug Administration (FDA) is acceptingcomments until mid-April on its draft “Guidance forIndustry: Internal Radioactive Contamination-Develop-ment of Decorporation Agents.”

The guidance providesadvice on what studies sponsorsneed to perform to evaluatenew decorporation agents in the hopes of getting theseproducts approved by the FDA. It also provides guid-ance to industry on the development of decorporationagents for which evidence is needed to demonstrateeffectiveness but for which human efficacy studies areunethical or not feasible.

For more information, go to www.fda.gov/bbs/topics/news/2005/NEW01157.html. To review the draftguidance, go to www.fda.gov/cder/guidance/6394dft.pdf.

Titles Lead Author CitationChapter 1: CT• Spiral volumetric CT with single-breath-hold technique, continuous transport, and Kalender, WA Radiology 1990;176:181-183

continuous scanner rotation

Chapter 4: Digital Imaging• Computerized fluoroscopy in real time for noninvasive visualization of the Kruger, RA Radiology 1979;130:49-57

cardiovascular system. Preliminary studies• Computed radiography utilizing scanning laser stimulated luminescence Sonoda, M Radiology 1983;148:833-838• Digital radiography of the chest: clinical experience with a prototype unit Fraser, RG Radiology 1983;148:1-5

Chapter 5: PACS• An all-digital nuclear medicine department Parker, JA Radiology 1983;147:237-240

Chapter 7: Angiography and Interventional Radiology• Selective coronary arteriography Judkins, MP Radiology 1967;89:815-824

Chapter 8: Mammography• Experience with mammography in tumor institution: evaluation of 1000 studies Egan, RL Radiology 1960;75:894-900• Mammographic microcalcifications: detection with xerography, screen- film, and Smathers, RL Radiology 1986;159:673-677

digitized film display• Breast imaging: dual-energy projection radiography with digital radiography Asaga, T Radiology 1987;164:869-870• Stereotactic breast biopsy with a biopsy gun Parker, SH Radiology 1990;176:741-747

4 R S N A N E W S A P R I L 2 0 0 5

IMAGING IS leading the way in agroundbreaking study designed toestablish Alzheimer disease (AD)

biomarkers and to better understand ADdiagnosis and therapeutic response.

The Alzheimer’s Disease Neu-roimaging Initiative (ADNI)—a $60million, five-year public and privatepartnership—will study the combina-tion of serial MR imaging, positronemission tomography (PET), biologicalmarkers, and clinical and neuropsycho-logical assessment in measuring theprogression of mild cognitive impair-ment (MCI) and early AD.

“Imaging is a promising tool fordiagnosing early AD and following dis-ease progress and treatment effect,”said Susan Molchan, M.D., programdirector for AD clinical trials at theNational Institute on Aging (NIA).“The AD associated changes in thebrain happen decades before symptomsare evident. The hope is that eventually,treatments will be developed that canprevent or slow the disease early in itscourse.”

Because of that, time is critical. Theseven- to 10-year wait for results ofclinical trials is too long. “Markersneed to be established now to lessen thecost and time of trials,” Dr. Molchansaid. “Some of the most promising bio-markers are from imaging.”

More than four million Americanshave AD and countless others have

dementia, resulting in a cost of morethan $100 billion annually to the U.S.economy, according to government sta-tistics. By 2025, the incidence ofdementia is expected to double.

Although existing treatments arenot known to slow the progression ofAD, many new therapies are beingdeveloped. When effective AD treat-ments are available, subjects at risk forcognitive decline and dementia willneed to be identified at the earlieststage possible.

The information on disease courseand biomarkers collected in ADNI areexpected to help develop new AD treat-ments by monitoring their effective-ness. NIA said the project is the mostcomprehensive effort to date to find

neuroimaging and other biomarkers forthe cognitive changes associated withmild cognitive impairment and AD.

The three goals of initiative are to: 1 Establish uniform standards for acquiring

longitudinal, multi-site MR imaging andPET data on patients with AD, MCI and elderly controls.

2 Develop an accessible data repository thatdescribes longitudinal changes in brainstructure and metabolism while acquiringclinical, cognitive and biomarker data forvalidation of imaging surrogates.

3 Determine which methods provide maxi-mum power to study treatment effects intrials involving these patient groups.

ADNI will compare neuroimaging,biological and clinical information from800 participants to find correlations that

Groundbreaking Alzheimer DiseaseNeuroimaging Trial Begins

PET scans of a normal brain (left) and an Alzheimer disease brain (right).

Imag

es c

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IA

The ASVPA atlas wasobtained by merging alarge family of AD sub-jects' MRI volumes intoa common referencespace using stereo-tac-ticaffine registration.

Then to every voxelwithin the ASVPA atlasa probability value isassigned to representthe chance this voxelbelongs to a particularanatomical region of

interest across theentire family of ADsubjects. White matter,gray matter and CSFare modeled separatelywithin the 180 regionsof interest. The green

and blue colors on thissnapshot indicate theaverage distribution ofthe CSF and gray mat-ter, respectively, acrossthe AD population.

Anterior view of the anatomical sub-volume probabilistic atlas (ASVPA) of the Alzheimer disease (AD) population

ON THE COVER:

Courtesy of Dr. Arthur W. Toga, Laboratory of Neuro Imaging

FEATURE SCIENCE

track memory loss progression from theearliest stages. Approximately 50 sitesacross the United States and Canadawill participate. Enrollment ofpatients—adults ages 55 to 90 years—begins in mid-May.

“We hope to learn which imagingmodalities have the greatest power todetect the rates of change in the brain inhealthy aging, mild cognitive impair-ment and the transition to Alzheimerdisease,” said ADNI principal investiga-tor Michael W.Weiner, M.D. “We aredeveloping improvedmethods for imagingin AD clinical trials.ADNI will provide ahuge amount of clini-cal biomarker andimaging data forfuture analysis.”

The ultimate goal,he said, is to establishvalidated biomarkersfor AD treatment trialsthat will speed con-duction of studies and reduce the num-ber of subjects required.

“Most radiologists are involved inlooking at scans and making diag-noses,” explained Dr. Weiner, who isdirector of the MR unit at the VA Med-ical Center in San Francisco and profes-sor of medicine, radiology, psychiatryand neurology at the University of Cali-fornia, San Francisco. “ADNI estab-lishes standards for obtaining images,and all images will be quantitativelymeasured. Ultimately, radiologists maybecome more and more involved in

quantitative analysis of images, andADNI is another step in that direction.”

Dr. Weiner is urging RSNA mem-bers who are located at a site and areinvolved in imaging research to developprojects that use the ADNI data.

Collaborative Study is First of Its KindThis type of study is going to be thewave of the future, according to Dr.Molchan. “I think that with many com-plex diseases we are going to need

more than one bio-marker,” she said.“Heart disease is anexcellent example—blood pressure, as wellas cholesterol levels,homocystine and C-reactive protein affectrisk. We think a batteryof tests will be neededto definitively diagnoseAD and follow treat-ment. Neuroimaging isa valuable tool for thistype of assessment.”

Several pharmaceutical companies,the National Institute of BiomedicalImaging and Bioengineering (NIBIB),Food and Drug Administration (FDA),Alzheimer’s Association, Institute forthe Study of Aging, and the NationalInstitutes of Health (NIH) Foundationhave partnered with NIA on the initia-tive. The NIH Foundation has receivedmore than $20 million in corporatecommitments for ADNI. The federalgovernment is funding about two-thirdsof the study and private partners willfund the remaining third. Additional

NIH grants will fund ancillary studies.“The public/private partnership

component is important,” said Dr.Molchan. “We have been very happywith it and think it’s a great model forpublic/private partnership. We’ve beenworking with pharmaceutical compa-nies, universities, the FDA and NIH toget everyone in this field involved inthe neuroimaging initiative.”

NIBIB Deputy Director BelindaSeto, Ph.D., agreed about the impor-tance of the partnership.“ADNI has a compo-nent on neuroimagingthat lends itself to thisinstitute’s expertise andmission, which isfocused on biomedicalimaging. NIBIB doesnot have an emphasis onclinical trials or large-scale human subjectstudies. We are typicallyinvolved in technologydevelopment and maysupport research in earlyphase feasibility stud-ies.”

Dr. Seto said NIBIBis reaching out to otherinstitutes and researchcommunities to partnerand leverage resources—both intellectual andmaterial—to do things that NIBIB can-not do on its own.

For more information on ADNI, goto www.loni.ucla.edu/ADNI. ■■


We hope to learn which

imaging modalities have

the greatest power to detect

the rates of change in the

brain in healthy aging,

mild cognitive impairment

and the transition to

Alzheimer disease.

Michael W. Weiner, M.D.

AD TangleOver the last few years,scientists have beengiving an increasingamount of attention totau, another hallmarkof AD. This protein iscommonly found innerve cells throughoutthe brain. In AD, tauundergoes changesthat cause it to gathertogether abnormally intangled filaments inneurons.Image courtesy of NIA

Illustrations of the various stages of AD. The blue indicates affected areas.

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Preclinical AD Mild to Moderate AD Severe AD

USING MR spectroscopy (MRS),researchers at Johns Hopkins Uni-versity School of Medicine have

directly measured the rate at which thehuman heart produces adenosinetriphosphate (ATP) through the creatinekinase (CK) reaction.

Writing in the January 18 issue ofthe Proceedings of the National Acad-emy of Sciences, the research team con-cluded that “these direct measures ofATP synthesis through CK in thehuman heart demonstrate a deficit inenergy supply in clinical heart failure.This reduction ... is cardiac specific andoccurs in mild to moderate heart failurebefore a significant reduction in ATPcan be detected.”

These findings support the “energystarvation” hypothesis of heart failureand could lead to new therapies forheart failure patients, said seniorauthor, Paul A. Bottomley, Ph.D., direc-tor of the Division of MR Research inthe Russell H. Morgan Department ofRadiology and Radiological Science atJohns Hopkins.

In a group of 14 healthy controls,four angle saturation transfer (FAST)studies revealed that the rate of ATPflux remained constant, regardless ofexercise status. “We did a pharmaceuti-cal stress at 200 percent of the work-load of the heart, doubling the heartrate and blood pressure, and the energyflux stayed the same. This means thatthe supply of ATP from CK is notunlimited,” said Dr. Bottomley.

He compared these in vivoprocesses to gasoline reaching an auto-mobile engine. “When you put yourfoot to the floor, the engine will chokeif it’s not getting enough fuel or energy.Similarly, you can’t just keep ratchetingup exercise,” he explained. “In our

group of patients with heart failurestudied at rest, we found that theenergy supply was reduced by abouthalf, which was quite surprising. So ifthe energy supply is halved, could it bethat there would not be enough energyto meet demand? When we did the cal-culations it appears that energy supplycould well be limited during stress orexercise in patients with mild-to-mod-erate heart failure, or even at rest invery severe cases.”

This would be another explanationwhy patients live longer when they’regiven ACE inhibitors and β-blockersthat inhibit humoral response andreduce energy needs, said Dr. Bottom-ley, who is anxious to begin furtherresearch into the effects of linkingimprovement in energy supply withimprovement in clinical symptoms.

“From the viewpoint of research,

we think this is a major step forward inlinking reduced energy supply andheart failure,” he said. “A lot of MRstudies just involve development andapplications of techniques in directclinical, diagnostic or therapeutic stud-ies. Of course, that’s a very worthy andvalid approach to radiology research,but in addition, we can also use suchtechniques to find some new under-standing of disease and its underlyingcauses.”

To view the abstract of the article,go to www.pnas.org, click on Archivesand then choose the January 18, 2005,issue pages 808-813. ■■

6 R S N A N E W S A P R I L 2 0 0 5

MRS Supports “Energy Starvation”Hypothesis in Heart Failure

Cardiac MR imaging and 31-P spectra from FAST studies of a normal subjectacquired at rest (a and b) and during dobutamine stress (c); and of a 37-year-oldpatient with NYHA class III heart failure at rest (d and e).Images courtesy of Paul A. Bottomley, Ph.D. © 2005 by The National Academy of Sciences, U.S.A.

FEATURE SCIENCE


PERSONAL DIGITAL ASSISTANTS

(PDAs) and other handhelddevices are soon expected to

become even more valuable to radiolo-gists. Recent advances in PDA technol-ogy, including high-resolution screens,increased storage capacity and wirelessnetworking, are leading to the develop-ment of more sophisticated radiology-specific applications.

“I think we’re at a turning pointwhere the applications are just startingto catch up with the technology that’savailable,” said William W. Boonn,M.D., a radiology resident at the Hospi-tal of the University of Pennsylvania inPhiladelphia and also the founder of theWeb sites MedicalPocketPC.com andMedicalTabletPC.com.

Dr. Boonn and Adam E. Flanders,M.D., a neuroradiologist from theDepartment of Radiology at ThomasJefferson University Hospital inPhiladelphia, conducted a survey ofRSNA members togauge the use of PDAsin radiology and com-pare it with other med-ical specialties. Theirarticle appears in theMarch-April issue ofRadioGraphics.

Of the 528 RSNAmembers who partici-pated in the survey, 238(45.1 percent) reportedowning a PDA or usinga PDA on a daily basis. The most com-mon use was for the address book andcalendar functions.

“The surprising thing was that lessthan a quarter of the respondents use

these devices for radiology-specificapplications—that’s lower than the per-centage for other physicians, such asinternal medicine physicians, who usetheir PDAs for medicine-specific appli-

cations,” Dr. Boonnreported.

He suggestedtwo reasons for thefinding. “One, Ithink clinicians areoften more on thego and may nothave access to aPC. Therefore, it’smuch more conven-ient for them to beable to access infor-

mation on a portable handheld,” heexplained. “That’s in contrast to theradiologist who often works in front ofa full PACS workstation and desktopcomputer.”

The second reason involves thetechnology itself. “For a while, PDAsreally were not powerful enough tohandle a lot of the tasks that wererequired by radiologists,” he said. “Forexample, viewing radiology imagesrequires a fairly high-resolution screen.Only the more recent PDAs have hadthe capability of displaying thesehigher resolution images.”

The storage requirement for imagesis also much higher than for text dataor applications like drug databases.“Previously, PDAs did not have thememory capability to store sufficientimages to be really useful,” Dr. Boonnsaid. “But at this point, the newer, morepowerful PDAs can carry up to a giga-byte or more of memory. Therefore, theapplications that are designed for theradiologist can be much more useful.”

The survey also showed that

Handheld Technology for Radiology on the Brink of Big Expansion

We’re at the cusp right now

where a lot of the applications

that we may use on a daily

basis as radiologists will be

able to reside on a handheld

device or a device slightly

larger than a handheld.

Adam E. Flanders, M.D.

William W. Boonn, M.D.Hospital of the University of Pennsylvania

Adam E. Flanders, M.D.Thomas Jefferson University Hospital

Continued on next page

FEATURE TECHNOLOGY

Use of PDAs

8 R S N A N E W S A P R I L 2 0 0 5

residents and fellows were more likelyto own PDAs than were attendingphysicians. The residents and fellowswere also more likely to have radiologysoftware installed on their PDAs.

“I think younger trainees are muchmore comfortable with the devices.And, in a lot of ways, they have agreater need for radiology-based appli-cations than radiologists who arealready in practice,” said Dr. Boonn.

Radiology Applications on the Horizon?The researchers also found a relativelack of PDA software designed forradiology, compared with other medicalspecialties.

Dr. Flanders suggests two applica-tions that could be useful for radiolo-gists. “I think it would be really com-pelling for radiologists to be able todictate into their PDA directly into aspeech recognition engine,” he said.“Sometimes radiologists are in a proce-dure room or the operating room andhave to dictate a report. It would beeasier if they could just dictate into adevice they have in their pocket and thereport could be immediately uploadedinto the radiology information systemfor the clinician or whomever needs toview the report.”

Dr. Flanders also suggested beingable to monitor a radiology practice viaa PDA. “Today’s radiology practicesare often decentralized and typicallyown multiple imaging centers,” heexplained. “Even with soft copy read-

ing, many radiologists find that theyare splitting time between two or moresites each day. Using a Web-enabledcell phone/PDA, radiologists canpotentially have instant access to infor-mation from anywhere about their prac-tice that normally would have requireda few phone calls and more time.”

He said valuable practice metricscould include: • Up-to-date information about the

patient schedule to identify delays orbacklogs

• Monitoring workflow for volume ofundictated studies or unsigned reports

• Access to the protocol engine at amodality to make up-to-the-minutechanges in study design

Dr. Boonn said several radiologyapplications are being developed forthe PDA that take advantage of wire-less networking. “These include theability to protocol studies or to monitorthe workflow parameters on the net-work,” he said, pointing to a number ofposters and demonstrations of novelprojects involving PDAs in radiologythat he saw at RSNA 2004 in theMobile Computing Pavilion and in theinfoRAD area.

Is there any other technology thatmight compete with or even eclipse thePDA for use among radiologists? Drs.Boonn and Flanders agree it is theTablet PC.

“The Tablet PC is a full-featuredWindows XP system that allows you torun desktop applications on a fairlyportable device,” Dr. Boonn said.

“Almost any application that you canrun on your desktop computer, such asyour Web-based PACS, RIS or speechrecognition program can be run on aTablet PC. The advantage of thesedevices is the ability to use a stylus forpen-based input. The screen resolutionon the Tablet PC is also much higherand, as a result, may replace the PDAfor some people. The downside is thatthese devices are more expensive andare not as mobile as PDAs.”

Although their study showed thatthe number of radiology applicationsand radiology-specific use are bothfairly low at this time, Drs. Boonn andFlanders said that will soon change.

“With the advent of more powerfulPDAs, the growth in development ofsoftware applications and the fact thatmore and more trainees are coming intopractice comfortable using PDAs, Ithink the future is pretty bright for theexciting use of PDAs in radiology,” Dr.Boonn emphasized.

“We’re at the cusp right now wherea lot of the applications that we mayuse on a daily basis as radiologists willbe able to reside on a handheld deviceor a device slightly larger than a hand-held,” Dr. Flanders added. “Get ready.There are a lot of exciting things tolook for in the next few years.”

To view the RadioGraphics article,go to rsna.org/radiographics and clickon the journal cover for the currentissue articles. ■■

Continued from previous page

Survey DemographicsOf 1,658 randomly selected active and training RSNAmembers within North America, 528 (32.4 percent) completed the survey.

■ 417 Men (79.0%)■ 104 Women (19.7%)■ 181 Academic Practice (34.3%)■ 319 Private Practice (60.4%)■ 91 Trainees (17.2%)■ 413 Attending or Board-certified Radiologists

(78.2%)

290 (54.9%) did not use a PDA■ Never really found a need for one

(83.3%)■ Poor screen readability (19.7%)■ Too awkward to use (16.7%)■ Not enough applications (13.3%)■ Not enough radiology software

available (12.9%)

238 (45.1%) on a daily basis■ Address book and calendar (98.3%) ■ Drug references (31.2%) ■ Radiology applications (24.6%) ■ General medical references (21.7%)■ E-mail/internet access (13.6%)


OUTPATIENT ACADEMIC radiologycenters face increasing competi-tion for imaging services from

private radiology practices and for-profit MR imaging facilities.

To survive in this highly competi-tive environment, academic radiologycenters need to develop sophisticatedmarketing strategies to maintain refer-rals and revenues, according to John A.Pezzullo, M.D., from Brown Univer-sity Medical School in Providence, R.I.

Speaking at a scientific paper ses-sion on health services, policy andresearch at RSNA 2004, Dr. Pezzullodescribed an effective marketing strat-egy adopted by his academic practicethat employs 50 radiologists workingin four hospitals.

“Fourteen years ago in the state ofRhode Island, there were 12 magnets(MR imaging machines) serving a pop-ulation of one million people, mostsplit between hospitaland private-practicegroups,” Dr. Pezzullosaid. “Currently, thereare 49 magnets in ourstate with the same pop-ulation. Most of thoseare divided among for-profit imaging centersand non-radiologists.The impact is twofold—potential large losses inoutpatient revenue and increased mar-ketplace competition.”

A number of factors are drivingincreased competition, he noted, suchas higher reimbursement for MR andCT services compared with otherimaging modalities, direct marketing

by equipment manufacturers and aninflux of for-profit imaging companiesthat have their own marketing depart-ments.

“In order to effectively compete inthis market, we developed an overallmarketing strategy,” he said. The prac-tice hired an external marketing con-sultant, created an internal marketingdepartment and developed strategies ofdirect-to-patient and direct-to-physi-cian marketing.

The marketing consultant per-formed a market analysis of severalfactors including patient and physiciandemographics, the location of competi-tors and patterns of referral. The con-sultant used focus groups of referringphysicians to determine the reasonswhy physicians chose one providerover another.

“We then developed a comprehen-sive marketing plan to increase name

recognition and toeducate the con-sumer, both physi-cians and patients,”Dr. Pezzulloexplained. The prac-tice hired four indi-viduals who work inthe in-house market-ing department andserve as liaisonsbetween the referring

community and the practice.As part of a direct-to-patients mar-

keting strategy, the practice developeda new logo and slogan, placed ads onbillboards and in local newspapers andmagazines, created brochures availablein the office that described the prac-

tice’s services and developed a Website.

As part of the direct-to-physicianseffort, the practice held radiology case-review breakfasts for referring physi-cians once a week and one-on-onelunches with referring physicians threeor four times a week, gave continuingmedical education lectures and devel-oped a promotion package for physi-cians with an ordering form, biogra-phies of physicians in the practice andinformation about services.

“The physician lunches were keyto the strategy because they allowed usto develop loyalty in our relationshipwith the local medical community,” hesaid. “As a result of the marketingeffort, we had a dramatic increase inour volume of imaging studies between2001 and 2004.”

Competition Drives Need forMarketing at Outpatient Academic Centers

The physician lunches were

key to the strategy because

they allowed us to develop

loyalty in our relationship

with the local medical

community.

John A. Pezzullo, M.D.

Continued on page 13

John A. Pezzullo, M.D.Brown University Medical School,Providence, R.I.

FEATURE PRACTICE MANAGEMENT

10 R S N A N E W S A P R I L 2 0 0 5

What would happen to your family ifyou died? How would your spouse andchildren make up for the loss ofincome? What would happen to yourmedical practice? “People buy lifeinsurance out of a sense of necessity,”according to Alan L. Cates, J.D., the2004 president of the Chattanooga BarAssociation and a shareholder with thefirm of Shumacker, Witt,Gaither & Whitaker inChattanooga, Tenn.

He said people buylife insurance to createan estate, to create a fundof money to pay estatetaxes and/or to fund busi-ness arrangements.

Life insurance is particularly important for sole practitioners andphysicians with youngfamilies. They shouldpurchase it as early as possible, accord-ing to Brian T. Whitlock, J.D., C.P.A.,partner-in-charge of the Wealth Trans-fer Service Group at Blackman Kallick,a C.P.A. firm in Chicago. He is also thechairman of the Illinois C.P.A. Society.

“My rule of thumb for life insur-ance is multiply your current annualtake-home salary by 10. That is theminimum amount your family willneed to recover and support itself afteryour death, especially if you have

young children and future collegeexpenses,” Whitlock said. “Theyounger you are, the more life insur-ance you need.”

Types of Life InsuranceThere are two general types of lifeinsurance—term and permanent. Whit-lock said term insurance is essentially a

year-to-year betwith the insurancecompany as towhether or not youare going to die. Itis the cheapestform of life insur-ance because itdoes not buildfinancial value. Asyou age, the costof the premiumincreases.

Permanent lifeinsurance costs more, but it buildsvalue at the end of each year. There arethree types of permanent life insurance: • whole life• universal life• universal variable life

Whole life is the most expensive ofthe three choices, Whitlock said, but itis also the safest. The insurance com-pany invests the money in long-termbonds and guarantees the premium willnever increase.

Whitlock said universal life isessentially a term policy with a sidefund attached. Funds are invested inshort-term, interest-sensitive instru-ments. Income generated accumulatestax-free and helps defray future pre-mium increases, but premiums are notguaranteed. The risk is on you, ratherthan on the insurance company.

With universal variable life, sidefunds are invested in mutual funds.Again, the consumer assumes the riskthat premiums may be higher in thefuture.

Life Insurance and Planned GivingWhitlock said as your children age andyour pension fund increases in value,you may decide that your life insuranceis more than you need. If that happens,you have several choices:• Surrender a permanent life insurance

policy and get its cash value. • Stop paying your premiums, let the

insurance lapse and lose the entirevalue.

• Transfer the life insurance policy to acharity.

“Your policy may be worth muchmore to a charity than the cash today,”Whitlock said. “If you sell that policy,you’ll have taxable income. But if youdonate it to a charity and they sell it,it’s tax free,” he continued.

Cates agreed. “Transferring owner-

Taking Care of Your Financial HealthEstate Planning for Physicians

FEATURE ESTATE PLANNING SERIES

IN THE FIRST TWO PARTS of this series, two experts discussed ways you can plan forthe financial future of your loved ones using stocks, pension plans, wills and trusts.This third and final part of our series on estate planning focuses on how insurance

and planned giving benefit you, your loved ones and the work of charitable organiza-tions you support.

PART 3 OF 3

Sometimes a person wants to

make a donation, but he or

she doesn’t have the capital.

You can name a charity as

the owner and beneficiary.

The premium you continue

to pay is tax deductible.

Alan L. Cates, J.D.


ship of your life insurance policy to acharity is a good way to provide ongo-ing support to a charity you supportedduring your lifetime. There is also afavorable income tax benefit—themoney is not included in your estate, so there is no tax on the proceeds,” hesaid.

There are also options if you areunsure if your family may need themoney. “You can name a charity as abeneficiary and give that charity a cer-tain percentage of the life insuranceproceeds,” Cates explained. “Again,there will be no estate taxes for thecharity.”

Another option is donating your lifeinsurance policy to a charity on adeferred basis. “Sometimes a personwants to make a donation, but he or shedoesn’t have the capital,” said Cates.“You can name a charity as the ownerand beneficiary. The premium you con-tinue to pay is tax deductible.”

Charitable Remainder TrustCates and Whitlock said there is onemore option, called a charitableremainder trust that balances objectivesfor continued income with your charita-ble objectives. You can make a substan-tial capital gift of land, marketablesecurities or hard assets to a charity andreceive an annuity during your lifetime.

You keep a right to the income and

the use of the assets during your life.The remainder goes to the charity ofyour choice upon your death.

Planned Giving“There are smart ways to make a chari-table gift,” Whitlock said. “Try tomatch your desire tomake a gift with theassets in your holdingsthat offer the best taxadvantages to you. Inthe way you give it,you may be able tokeep the benefit. Ialways recommend youfirst talk to a planned giving officerabout what assets you may be able todonate and then talk to your tax advi-sor. The conversation you have with theplanned giving officer is free. Themeter is always running when you talkto your tax advisor,” Whitlock added.

Gifts to the RSNA Research & EducationFoundationCareful financial planning can enableyou to provide lifetime income for youand your beneficiaries. It can offer sig-nificant tax savings and can also allowyou to leave a legacy in the form of a

contribution to anorganization, such asthe RSNA Research& Education Founda-tion, to benefit thefuture of radiology.For more informa-tion on donating tothe R&E Foundation,

contact Deborah Kroll at (630) 368-3742 or [email protected]. ■■

❚

More InformationAmerican Council of Life Insurers www.acli.com/ACLI/Consumer/Life+Insurance/Default.htm

National Association of Insurance Commissionerswww.naic.org/consumer/life/index.htm

IN ADDITION to speaking with an insurance agent,financial planner or tax advisor, several Web sites are

available that can provide you with information aboutlife insurance, including tips on how to buy life insur-ance and how to figure out how much you need:

12 R S N A N E W S A P R I L 2 0 0 5

MR Arthrography of RotatorInterval, Long Head of theBiceps Brachii, and Biceps Pulley of the Shoulder

MR ARTHROGRAPHY appears to be apromising imaging modality for

evaluation of the rotator interval throughthe distention of the capsule and depic-tion of the associated ligaments.

Because orthopedic surgeons areactively pursuingrotator intervalabnormalities with the intention to treatthem as part of shoulder instability sur-gery, rotator cuff repair or as a solitaryfinding, it is important for radiologists tobe aware of this region.

In a review article in the April issue

of Radiology (rsna.org/radiologyjnl),Yoav Morag, M.D., and colleagues fromthe University of Michigan MedicalCenter in Ann Arbor discuss the

anatomy and biomechanics of thestructures that compose the rota-tor interval, and present examplesof pathologic conditions.

The article also includes “Essentials”or highlighted points to help busy read-ers recognize important information at aglance.

Pitfalls in 16-Detector Row CTof the Coronary Arteries

RECENTLY DEVELOPED 16-detector rowCT has been introduced as a reliable

noninvasive imaging modality for eval-uating the coronary arteries.

In most cases, with appropriate pre-medication that includes β-blockers andnitroglycerin, ideal data sets can beacquired from which to obtain excellent-quality coronary CT angiograms, mostoften with multiplanar reformation, thin-slab maximum intensity projection, andvolume rendering. However, variousartifactsassociatedwith data creation and reformation, post-processing methods, and image interpre-tation can hamper accurate diagnosis.

In a review article in the March-April issue of RadioGraphics(rsna.org/radiographics), TadashiNakanishi, M.D., and colleagues fromMazda Hospital in Hiroshima, Japan,

describe and illustrate the pitfalls ofcoronary CT angiography that areattributable to artifacts associated withreformation and postprocessing meth-ods and image interpretation.

Journal Highlights

Partial volumeaveraging effect. (a, b) Coronarycatheter angiogramsshow wall irregularityof the LAD artery(arrowheads in a)without significantstenosis. (c, d) Onthin-slab MIP (c) andcurved MPR (d)images, the patencyof the vessel lumen inthe coronary arteriesis difficult to appreci-ate due to diffuse anddense calcification.This blooming effectcan lead to the cre-ation of nonassessablesegments or to pseu-dostenosis, dependingon interpretation.(RadioGraphics 2005;25:425-440) © 2005 RSNA. All rights reserved.Printed with permission.

RSNA JOURNALS

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

Illustration of rotatorinterval anatomy. Frontal view depicts anatomicboundaries of rotator interval. B = long head of biceps brachiitendon, C = coracohumeral ligament, SSC = subscapularistendon, SST = supraspinatus tendon, T = transverse humeralligament.(Radiology 2005;235:21-30) © 2005 RSNA. All rightsreserved. Printed with permission.

ba

c d


A press release has been sent to the medical news media for the followingarticle appearing in the April issue of Radiology (rsna.org/radiologyjnl):

Radiology in Public Focus

CT Screening for Lung Cancer: 5-Year Prospective Experience

CT SCREENING for lung cancer maynot help reduce mortality from lung

cancer and may, in fact, do more harmthan good because of false-positiveresults and over-diagnosis.

Stephen J. Swensen, M.D., from theMayo Clinic in Rochester, Minn., andcolleagues prospectively studied 1,520

people at high-riskfor lung cancer.Each agreed toundergo an annuallow-dose helicalchest CT scan.

After fiveannual CT scans,the researchers

identified 3,356 uncalcified lung nod-ules in 1,118 participants (73.6 per-cent), and 68 lung cancers in 66 partici-pants (4.3 percent).

Forty-eight participants died of allcauses since enrollment. The lung can-cer mortality rate for the incidence por-

tion of the trial was 1.6/1,000 person-years, which was not significantly dif-ferent than lung cancer mortality ratesin the Mayo Lung Project.

The researchers write:“The ramifications ofwidespread CT screening for lung can-cer are mostly unknown. Our findingsanswer some questions and raise manyothers. … The National Lung Screen-ing Trial (NLST), funded by the

National Cancer Institute, is a random-ized control trial that will determinewhether there is a disease-specific mor-

tality benefit. Beforethe NLST is com-pleted, screening

should be performed in the setting of aclinical trial or only after informed con-sent by a fiduciary without a financialinterest.”(Radiology 2005;235:259-265)

RSNA JOURNALS

RSNA press releases are available atwww.rsna.org/media.

False-Positive Rates for Lung Cancer

Note: Data are number of nodules,unless indicated otherwise. Calculationsare based on one or more nodulesdetected at prevalence or incidence CTexamination only. * Excludes the three interval cancers.

Two patients with cancer detected atprevalence CT examination had a newprimary lung cancer detected on anincidence CT scan and were excludedfrom incidence analyses.© 2005 RSNA. All rights reserved. Printed with permission.

Marketing Your Outpatient Academic Center■ Hire an in-house marketing staff■ Develop strategies for direct-to-patient marketing

• Create a new logo and slogan• Advertise on billboards and in local newspapers and

magazines• Create brochures describing your practice’s services• Develop a Web site

■ Develop strategies for direct-to-physicians marketing• Hold radiology case-review breakfasts for referring

physicians• Host one-on-one lunches with referring physicians• Give continuing medical education lectures• Develop a promotion package for physicians

Competition Drives Need for Marketing at Outpatient Academic Centers

In 2001, the practice’s MRand CT volumes were 803 and1,099 exams per month, respec-tively, at its outpatient imagingcenters. After implementing themarketing strategy, MR volumeincreased 16 percent to 951exams per month in 2002 and 30percent to 1,154 exams per monthin 2003, despite the fact that sixcompeting MR sites opened inthe area in the same time period.CT volume increased 1.4 percentin 2002 and 14 percent in 2003.

In addition, the number of first-time referrals rose 20 percent inthe same period.

“Our conclusion is that mar-keting may be necessary in out-patient academic centers to allowthem to remain profitable inincreasingly competitive environ-ments, and physician-to-physicianinteraction may be a key compo-nent of this marketing strategy,”Dr. Pezzullo said. ■■

Continued from page 9

14 R S N A N E W S A P R I L 2 0 0 5

THE Food and Drug Administrationhas provided 510(k) clearance to

Siemens Medical Solutions (www.med-ical. siemens.com) for DynaCT, anenhancement for C-arm angiographysystems that allows soft tissue imagingin the angiography suite.

DynaCT is the first application inthe industry that enables clinicians toperform angiographic CT (ACT) withthe AXIOM Artis flat panel detector(FD) technology systems.

“The DynaCT enhance-ment for our AXIOM Artisproduct line is expected tohave a significant impact onclinicians’ ability to diagnoseand treat stroke patients when time is ofthe essence,” said Manfred Fink, vice-president of the Siemens angiographyand x-ray division. “The technologywill also benefit patients for body-inter-ventional procedures and image-guidedtumor therapy. Physicians and hospitals

will be able to obtainCT-like images withoutthe additional need ofstandard CT systems tobe used as interventionaltools.”

DynaCT utilizesACT to obtain images

through DYNAVISION-based rotationalangiography, which is provided by theAXIOM Artis FD systems. Imageacquisition can be achieved with a 10-second C-arm spin. The volume set isthen quickly reconstructed on Siemens’LEONARDO workstation.

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 [email protected]. Information may be edited for purposes of clarity and space.

NEW PRODUCTS

Assessment Tool and e-RadiologySolution for Medical-Grade NetworkCisco Systems, Inc. (www.cisco.com) hasannounced two new additions to its Med-ical-Grade Network initiative—the CiscoMedical-Grade Network Assessment tooland Cisco e-Radiology solution.

The assessment tool enables healthcareexecutives to objectively evaluate their net-work capacity and capabilities against thedelivery of their current and future health-care services and business objectives. Thee-radiology solution is a suite of Cisco-powered offerings that combines PACSapplications with a converged network tohelp optimize the transfer, access and stor-age of medical images and patient data toenhance consultation, time to diagnosis andtime to treatment.

“With the help of an intelligent, inte-grated network, care can be provided any-where/anytime to help improve patienttreatments and increase caregiver produc-tivity,” said Pierre-Paul Allard, vice-presi-dent of enterprise marketing for Cisco.

NEW PRODUCT

Medical Archiving Solution Hewlett-Packard (www.hp.com)has released its HP Medical

Archiving Solution thatwill allow physicians tohave quick, immediateretrieval of patient studies.

It was designed forradiology practices facedwith the challenges ofgrowing volumes of imagedata. Regardless of thesource—CT, MR, mam-mography, digital x-raysor PACS—the solutionprovides the flexibility tomanage data distributedacross tiers of storage andthe ability to rapidlyaccess patient studies.

The HP Medical ArchivingSolution also helps hospitals andother healthcare organizationscomply with HIPAA requirementsguiding the storage, transmissionand protection of patient data.

FDA CLEARANCE

Enhancement Allows Angiographic CT

RADIOLOGY PRODUCTS

NEW PRODUCT

Essential Foundation for Electronic Health RecordsOptio Software (www.optiosoftware.com) has launched the Optio Quick-Record® Suite, a secure, cost-effectiveway to provide physicians and othercaregivers with real-time access topatient information.

The Optio QuickRecord Suite pro-vides a universal hub and Web-enabledaccess point for all patient documentsand information whether they originateas printed documents, online forms ordata streams. The system providesseamless integration with all existinghealthcare systems, ranging from ADT(Admission Discharge Transfer), laband radiology to transcription, cardiol-ogy, PACS and imaging.

“QuickRecord Suite helps health-care organizations reduce errors, waste,delays and inefficiencies in clinical andbusiness processes, while improvingpatient safety and the quality of care,”said Steve Kaye, senior vice-presidentof marketing and product managementfor Optio Software.

16 R S N A N E W S A P R I L 2 0 0 5

Program and GrantAnnouncements

RSNA Outstanding Researcher,Educator AwardsThe deadline is June 15, 2005, to submitan application for the 2005 OutstandingResearcher and Outstanding Educatorawards. These awards recognize andhonor senior physicians or scientists whohave made a career of significant contri-butions to the field of radiology or radio-logic sciences through research and/oreducation. The awardees will beannounced during the opening session ofRSNA 2005.

To download nomination forms, go towww.rsna.org/research/foundation/application.html.

EDUCATION RESEARCH

Business Strategies for Radiology Leaders

REGISTER ONLINE at www.rsna.org/education/shortcourses for this three-day,RSNA course designed for radiologists in leader-

ship positions and for radiology business managers.The course will be held July 29–31 at the Hotel InterContinental Chicago.

Topics include: • Strategic Planning• Radiology Department Budgeting • Business Infrastructure • Contracting with Managed Care Entities • Contracts Between Radiology Groups and

Their Group Members and Hospitals

• Turf Battles in Radiology• Joint Ventures Between Hospitals and

Radiology Groups • Self-Referral in Diagnostic Radiology • Marketing a Radiology Practice

The course, directed by Lawrence R. Muroff, M.D., also explores obstaclesfacing today’s radiology practices—financial issues, strategic planning, billing,compliance, contracts and legal matters—and ways to successfully navigatethese challenges.

For more information, contact the RSNA Education Center at (800) 381-6660 x3747 or at [email protected].

Planning for the Filmless TransitionRSNA and the Society for ComputerApplications in Radiology (SCAR) aresponsoring thisone-day coursethat will be held on June 1 at theOrlando World Center Marriott inFlorida. Topics include:• Changing Expectations• Workflow Analysis• Assembling the PACS Team• Practical Guide to Vendor Selection and

PACS Purchase• Design Considerations for the Filmless

Imaging Department• Survival Guide for Teleradiology and PACS Security• Developing an Enterprise-wide PACS Solution

For more information, go to www.scarnet.net/2005RadiologyCourse.html.

21 CME credits available

6.5 CME credits available


The Image-Guided Interventions(IGI) Branch of the Cancer Imag-ing Program (CIP) at the NationalCancer Institute (NCI) hasteamed up with the NCI CancerCenters Program and SpecializedPrograms of Research Excellence(SPOREs) to offer IGI supple-mental awards aimed at stimulat-ing translational research in onco-logic image-guided interventionsat the Cancer Centers and

SPOREs. The awards are avail-able to cancer center investigatorsand SPORE directors, as well astheir co-investigators and clinicaland basic scientists in otherdepartments.

The deadline is May 1, 2005,to submit a letter of intent. Appli-cations are due June 1, 2005.

For more information, con-tact: Keyvan Farahani, Ph.D., [email protected].

Methods in Clinical Cancer ResearchThis limited-attendance workshop provides theessentials of effective clinical trial design. Spon-sored by the AmericanSociety of Clinical Oncology and the AmericanAssociation for Cancer Research, the workshop isdesigned for clinical fellows and junior faculty clinical researchers in all subspecialties includingradiology and radiation and surgical oncology. Theworkshop will be held July 30-August 5 at the VailMarriott Mountain Resort in Vail, Colorado.

For more information, go to www.vailworkshop.org.

31.5 CME credits available

IGI Supplemental Awards

BIROW 3About 150 people attended the third Biomedical ImagingResearch and Opportunities Workshop (BIROW 3) held lastmonth in Bethesda, Md. BIROW is designed to identify andexplore new opportunities for basic science research andengineering development in biomedical imaging, as well as

related diagnosis and therapy. Topics of the third workshopincluded cell trafficking, informatics solutions in imaging,guiding therapy by multimodality and medical imagingtechnology. Additional information about the workshops isavailable at www.birow.org.

18 R S N A N E W S A P R I L 2 0 0 5

RSNA Program Services

Department

UNDER THE LEADERSHIP ofDirector Betty L. Rohr, theProgram Services department

works with physician committees to develop thescientific program for the RSNA annual meeting.This includes refresher courses, scientific papers,scientific posters, education exhibits, specialfocus sessions and plenary sessions. Program Ser-

vices is one of the departmentsresponsible for meeting the strictrequirements of the Accreditation

Council for Continuing Medical Education.The department reports to RSNA Assistant

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

Working For You

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 Subscription Department at (877) RSNA-MEM [776-2636] (U.S. and Canada), (630) 571-7873 or [email protected].

RSNA MEMBER BENEFITS

Total AwardsInstitution Department(s) 1998 – 2004

Washington University Mallinckrodt Institute of Radiology $1,033,000University of Texas Radiology, Radiation Oncology, $835,000

MD Anderson Cancer Center Nuclear Medicine Columbia University Radiology, Radiation Oncology $588,000Thomas Jefferson University Radiology, Radiation Oncology $575,000University of Pennsylvania Radiology, Radiation Oncology $540,000University of Michigan Medical School Radiology, Radiation Oncology $525,000Massachusetts General Hospital Radiology, Radiation Oncology $505,000Stanford University Radiology, Radiation Oncology $505,000University of California, San Francisco Radiology, Radiation Oncology $484,000University of Virginia Radiology $430,000

(seated from left)Karen Hamm,Betty L. Rohr,director, andAndrea Perr. (standing from left)Barbara Liby, Kelly Bennett,Annette Savageand Beatrice Carcelli.

Working for youDEPARTMENT PROFILE

R&E Foundation Awards by InstitutionSince 1998, the RSNA Research & Education Foundation has awarded more than$11.7 million to 65 institutions in the United States. The 10 institutions receivingthe largest awards are:

Educating Radiologists in Emerging NationsOne goal of the RSNA Committeeon International Relations and Edu-cation (CIRE) is to help enhanceradiology education in emergingnations. In 2004, CIRE provided 39complimentary subscriptions toRadiology and RadioGraphics toinstitutions in 20 countries.

In addition, education programscaptured at RSNA 2002 were dis-tributed to 39 radiology institutions.For information about this and otherinternational programs, send an e-mail to [email protected].


NOTHING CAN strike fear in a patientfaster than discovering blood intheir urine. Termed hematuria, it

is one of the most common reasons fora visit to the urologist. It can signal aproblem as benign as a bladder infec-tion to an illness as deadly as cancer.

Historically, a workup for hema-turia has involved subjecting patients toa series of costly and time-consumingimaging tests with varying degrees ofsuccess. These tests would include plainfilm radiography, ultrasound, CT andexcretory urography (EU), which untilrecently was considered by many urolo-gists to be the gold standard. But whileEU proved useful in evaluating forrenal and ureteral stones, it provided acursory examination of the renalparenchyma and bladder.

In recent years, radiologists havesought a more comprehensive screeningtest for urinary tract disease. Significantprogress has been made by ElaineCaoili, M.D., an assistant professor ofradiology, Richard H. Cohan, M.D., aprofessor of radiology, and a team ofradiologists and urologists atthe University of MichiganHealth Systems, who havedeveloped an innovative exami-nation for early detection ofrenal and urothelial disease—multidetector CT urography(MDCTU).

“Our research was aimed atrefining MDCTU to make it abetter and more comprehensive examfor detecting urothelial cancer and otherurinary tract abnormalities,” she said.

Armed with an Agfa Corporation/RSNA Research Scholar grant in 2001,Dr. Caoili set her sights on defining andimplementing new CT technology thatenables radiologists to generate high-

resolution images of the entire renalcollecting system in a single helicalrun. MDCTU lends itself to the creationof detailed 3D urograms which, whencombined with axial data, provide acomprehensive examination of theentire genitourinary tract.

“Dr. Caoili has developed a tech-nique which has combined the qualitiesof CT and EU in a way that exceeds thevalue of either test alone,” said N. ReedDunnick, M.D., Fred Jenner HodgesProfessor and chair of the Departmentof Radiology at the University ofMichigan.

Dr. Caoili’s research successfullyundertook three objectives: 1 Compare MDCTU to EU in the eval-

uation of patients with hematuria.2 Establish optimal techniques for the

MDCTU. 3 Compare MDCTU to CT scout radi-

ographs to determine the best CTmethod for displaying the collectingsystem anatomy.

The goal was to improve the abilityof CT to detect urothelial abnormalities

yet provide patients with a single com-prehensive examination.

“Urologists cannot evaluate theureters as easily as they can the bladderwith endoscopy and so we knew thatMDCTU could play a critical role indetecting abnormalities in the renal col-lecting system and ureters,” said Dr.

Caoili. “This technology allows us toview the whole urinary tract systemnon-invasively, and we have been ableto improve the exam to such a degreethat we can detect tumors smaller thanfive millimeters in size. It’s really quiteremarkable given that these tumors arenot easily detected by other exams.”

Her preliminary findingswere presented at severalRSNA annual meetings.

“MDCTU has made EUobsolete. Not only can smalllesions be detected, butMDCTU provides a valuableroadmap to guide surgical inter-vention,” said Dr. Dunnick.

Dr. Caoili is excited by theexplosive growth and potential forMDCTU and plans to continue herwork in this area. Currently she isdeveloping different imaging algorithmsthat will further refine the MDCTUtechnique by reducing the number ofimages needed for each exam. She is

RSNA Research Scholar SetsNew Standard of GU Care

My mentors…have taught me that to be the

best clinician, the best doctor, the best radiologist

you can possibly be means that you are always

asking research questions and using your

research to be a better clinician.

Elaine Caoili, M.D.

Elaine Caoili, M.D.University of Michigan Health Systems

Continued on page 21

RESEARCH & EDUCATION PROFILE

20 R S N A N E W S A P R I L 2 0 0 5

GOLD ($500 - $999)Carmen M. Bonmati, M.D.Kay H. Vydareny, M.D. & William J.Casarella, M.D.

Ann M. Lewicki, M.D.Philip C. Pieters, M.D.

SILVER ($200 - $499)Hani H. Abdel-Nabi, M.D., Ph.D.Louise & Robert I. Appelman, M.D.Mohammad Athar, M.D.Brett L. Austin, M.D.Ada & Michael V.U. Azodo, M.D.Michelle & Robert W. Babbel, M.D.Jodi L. Bailey, M.D.John H. Bair, M.D.Samuel H. Baird, M.D.Michael R. Baker, M.D.Michael H. Baldwin, M.D.Paul A. Bilow, M.D.Ian Boiskin, M.D.Anna M. De Gaetano, M.D. &Giuseppe Boldrini

A. Joseph Borelli Jr., M.D.Lawrence M. Boxt, M.D.Cecilia M. Brennecke, M.D.Mara & Steven H. Brick, M.D.Holly & James A. Brink, M.D.Nancy L. Brown, M.D. & WilliamBrown

Laurette & Donald M. Bryan, M.D.Donald R. Buxton Jr., M.D.Antonio A. Cavalcanti, M.D.Helen H.L. Chan, M.B.Ch.B.Veena Chandler, M.D.Nancy & John R. Charters, M.D.John V. Cholankeril, M.D.Wui K. Chong, M.D.Gregory A. Christoforidis, M.D.Winston F.B. Clarke, M.D.Durval C. Costa, M.D., Ph.D.Carol & Vincent G. Cotroneo, M.D.Ritsuko U. Komaki, M.D. & James D.Cox, M.D.

Stephen C. Dalton, M.D.Ghanteswara R. Dasari, M.D.

Marian Demus, M.D.Ana & Rene Dietrich, M.D.Carol A. Dolinskas, M.D.Kathleen G. Draths-Hanson, M.D.& Larry Hanson

John J. Duda Jr., M.D.Henry J. Duffrin, M.D.Steven M. Eberly, M.D.Teresa Ecker, M.D.Diane L. Edge, M.D.Carmen Endress, M.D.James M. Eyster, M.D.Joseph Fakhry, M.D.Marcos Flajszer, M.D.Tse Chen Fong, M.D.Indra & Mark S. Frank, M.D.Pablo A. Gamboa, M.D.Ravindra V. Ginde, M.D.Craig S. Glick, M.D.Steven J. Goldstein, M.D.Robert B. Golson, M.D.David C. Graumlich Sr., M.D.Joel E. Gray, Ph.D.Charles K. Grimes, M.D.Kenneth T. Grimes, M.D.Julie A. Gubernick, M.D.Jesus D. Guerra, M.D.Daniel E. Harris, M.D.Donald R. Hawes, M.D.Charles I. Heller, M.D.Michael W. Hill, M.D.Samuel Hill IV, M.D.Alan D. Hoffman, M.D.Mary Hu, M.D., M.S.Ann Yoshida & Milton W.Hummel, M.D.

Mark H. Jaffe, M.D.Makoto Kajihara, M.D.Kevin M. Kelly, M.D.John C. Kirby, D.O.Jan & Donald R. Kirks, M.D.Sheldon A. Kleiman, M.D.Mark E. Klein, M.D.Stephen E. Kuehne, M.D.William P. Lawrence, M.D.David M. Lefkowitz, M.D.

Henri E.A.S.J. Lemmers, M.D.Gary Loh, M.D.Deborah G. Longley, M.D. &Kirkham Wood, M.D.

Dale M. MacCurdy, M.D.Liaquat N. Malik, M.D.Mylon W. Marshall, M.D.Adelson A. Martins, M.D.Manuel F.D.E.C. Matias, M.D.Steven T. McCormack M.D.Charles H. McDonnell III, M.D.John R. McNair Jr., M.D.James F.M. Meaney, M.B.Rudolph H. Miller III, M.D.Alexandria L. Muschenheim, M.D.Medha M. Naik, M.D.Jeffrey H. Newhouse, M.D.Mark D. Novick, M.D.Njideka H. Nyako, M.B.B.S.Eliezer L. Offenbacher, M.D.Rosanna & Donald E. Olofsson, D.O.Hernando G. Ortiz, M.D.Lorcan A. O’Tuama, M.D.Jyotsnaben & Chandrakant K.Patel, M.D.

Marvin Platt, M.D.JoAnn & Thomas B. Poulton, M.D.Marlene & Anthony V. Proto, M.D.Dawn & James M. Provenzale, M.D.Bryan B. Quinn, M.D.Vathsala T. Raghavan, M.D.Rukhsana K. Rahman, M.D.Charles A. Raybaud, M.D.Deloris E. Rissling, M.D.William J. Romano, M.D.Leora B. Sachs, M.D.Prateek Sahgal, M.D.Sadayuki Sakuma, M.D., Ph.D.Rafael Sales, M.D.David J. Schengber, M.D.Ingrid K. Schneider, M.D.Steven M. Schonfeld, M.D.Hassan B. Semaan, M.D.Sadashiv S. Shenoy, M.D.Becky & Gregory B. Smith, M.D.W. Sean Smith, M.D.

Eric R. Sover, D.O.Rowena G. Tena, M.D., M.P.H.Edward E. Tennant, M.D.Sabah S. Tumeh, M.D.David D. Vaughn, M.D.Rommel G. Villacorta, M.D.Mark R. Walters, M.D.Steven F. Waslawski, M.D.Jerold B. Weinberg M.D.Edward H. Welles III, M.D.Mark S. Wenzel, M.D.Joan & Donald C. White, M.D.David M. Widlus, M.D.Carl S. Winalski, M.D.Wakako Yamamoto, M.D.Huei-mei & Wen C. Yang, M.D.Ahsan U. Zafar, M.D.Hope & Jack A. Ziffer, M.D., Ph.D.Darryl A. Zuckerman, M.D.Edith & Carl J. Zylak, M.D.

Patricia Carson & Paul Carson,Ph.D. In memory of Frederic Lizzi,Eng, Sc.D.

Bruce L. McClennan, M.D.In memory of Harald O. Stolberg,M.D.

Ronald B. Port, M.D.In memory of SamuelSilverstein, M.D., and CarolynCohen

COMMEMORATIVE GIFTS

RESEARCH & EDUCATION OUR FUTURE

Research & Education Foundation Donors

THE BOARD OF TRUSTEES of the RSNA Research & Education Foundation and itsrecipients of research and educational grant support gratefully acknowledge the

contributions made to the Foundation January 29 – February 28, 2005.For more information on Foundation activities, a quarterly newsletter, Foundation X-aminer, is

available online at www.rsna.org/research/foundation/newsletters/x-aminer/x-aminer.pdf.

RSNA PRESIDENT’S CIRCLE

Nancy & John Aufderheide, M.D.Patricia Becker, M.D. & Gary J.Becker, M.D.

Victoria & Michael N. Brant-Zawadzki, M.D.

Betty & Robert J. Douglas, M.D.Claudia I. Henschke, Ph.D., M.D.Helen & James G. Kereiakes, Ph.D.Hedvig Hricak, M.D., Ph.D. &Alexander Margulis, M.D.

Theresa C. McLoud, M.D.Barbara Carter, M.D. & JefferyMoore, M.D.

Anne & Walter L. Robb, Ph.D.Jack Wittenberg, M.D.

EXHIBITOR’S CIRCLE

Dynamic Imaging

$25,000Silver level

ATS Laboratories

$1,000Bronze level

Vidar Systems Corporation

$1,000Bronze level

$1,500 per year


BRONZE ($1 - $199)Melissa Moore & T. Chris Alewine,M.D.

Jason M. Asheim, M.D.William E. Ashley, M.D.Gunter J. Augustin, M.D.Nami R. Azar, M.D.Carol & Corning Benton Jr., M.D.Nancy & Robert C. Berlin, M.D.George A. Binder, M.D.Mary & James P. Blakely, M.D.Kathleen & A’Delbert Bowen III, M.D.Eugene W. Brown, M.D.Jeffrey C. Buchsbaum, M.D., Ph.D.Alma Rosa Rodriguez-Garcia &Ignacio Cano-Munoz, M.D.

Kedar N. Chintapalli, M.D.F. Spencer Chivers, M.D.David H. Cohn, M.D.Daniel L. Croteau, M.D.Francisco O. Cruz, M.D.Rutledge W. Currie, M.D.Mary & William D. Dockery III, M.D.Val D. Dunn, M.D.Masahiro Endo, M.D.Eleni S. Eracleous, M.D.Peter T. Evangelista, M.D.Hans Fischer Sr., M.D.Anne M. Curtis, M.D. & JamesFischer

Susan & James D. Fraser, M.D.James Friedland, M.D.Judy & James B. Frost, M.D.Paula Y. George, M.D.Raymond A. Gibney, M.D.Kristina & Rimvydas P. Gilvydis, M.D.Laura & Alberto L. Gomez DelCampo, M.D.

Nigel C. Graham, M.B.Ch.B.W. Lawrence Greif, M.D.Jim Greve, M.D.Dale W. Gunn, M.D.

Jacquelyn & Roger K. Harned,M.D.

Hiroto Hatabu, M.D., Ph.D.Jeannie & William R. Hendee, Ph.D.Patricia & Robert J. Herfkens, M.D.Jose D. Herrera, M.D.Naofumi Hisa, M.D.Laura A. Hotchkiss, M.D. & BruceHotchkiss

Gilles J.J. Hudon, M.D.Joseph M. Hunt, M.D.Marcy B. Jagust, M.D.Ronald C. Joseph, M.D.Junichi Kageyama, M.D.Leora & Joseph D. Kalowsky, D.O.Vasavi Rajagopal & SaravananKasthuri, M.D.

Melanie & Mark W. Keenan, M.D.Maka N. Kekelidze, M.D., Ph.D.Ruben Kier, M.D.Tracy & Steven B. Knight, M.D.Elizabeth & Jay L. Korach, M.D.George S. Krol, M.D.Peter C. P. Lau, M.D.Jacques J. Levesque, M.D.Jeannette & E. Mark Levinsohn,M.D.

Mary Jo & Herbert M. Loyd, M.D.Frances S. Maeda, M.D.Maria D. Martinez Gudino M.D.Sharon & Guy R. Matthew, M.D.James E. McGill M.D.Jane A. McMillan, M.D.Joel R. Meyer, M.D.Linda S. Michalson, M.D.Sheila G. Moore, M.D.Christian Morin, M.D.Martina M. Morrin, M.D.Dan Nir, M.D.Gloria & Tulio L. Ortiz, M.D.Virginia S. Owen, M.D.Dieu H. Pham, M.D.

Miriam Pilgrim, M.D.Thomas F. Pugh Jr., M.D.Betty & Lee R. Radford, M.D.Kalpana Ramakrishna, M.D.M.V.R. Rao, M.D.Ginette & Pasteur Rasuli, M.D.Eva-Marlis Lang-Poelkow, M.D. &Stefan Poelkow

Gary L. Robbins, M.D.Catherine C. Roberts, M.D.Davene & Berthland S. Rodney,M.B.B.S.

Klaus Ruedisser, M.D.David J. Ryder, M.D.Fernando G. Salmon, M.D.Dipakkumar S. Shah, M.D.Diana & Alfred Shaplin, M.D.William E. Shiels II, D.O.Richard Shoenfeld, M.D.Jean-Marc Starc, M.D.Jody & Michael G. Stebbins, M.D.George E. Streubert, M.D.Steven J. Strober, M.D.Jalal Tabatabaie, M.D.Yasuo Takehara, M.D.

William B. Tannehill, M.D.Sharon Taylor, M.D.Satoru Tazawa, M.D.Orania & Adrian Tigaieru, M.D.Harry S.L. Tjiong, M.D.Eva Tlusty, M.D.George H. Wakefield III, M.D.James H. Watt, M.D.James T. Webber, M.D.Michael J. Weiner, M.D.Martine Wever-Koorevaar, M.D.Stephanie R. Wilson, M.D. & KenWilson

John S. Wong, M.D.Shahriar Yaghoubi, Ph.D.Tomohiro Yamashita, M.D.Mary E. Zelenik, M.D.Olga & Christoph L. Zollikofer, M.D.Salvina Zrinzo, M.D.

RESEARCH & EDUCATION OUR FUTURE

also looking into computer-aided detec-tion in an effort to find subtle tumors.

“My research efforts have beenhighly rewarding and have taught meimportant lessons,” said Dr. Caoili, whocredits the RSNA Research Scholargrant with helping her to become a bet-ter researcher by allowing her to pursuework on MDCTU while also obtaininga master’s degree in statistical analysisand clinical research.

She dreams of being a leader in thefield as a clinician, researcher and edu-

cator. Although it is still relatively earlyin her career, Dr. Caoili’s work hasshown great promise as proven by hernumerous honors, including the NewInvestigator Award from the AmericanInstitute of Ultrasound in Medicine.

“My mentors, particularly RichardCohan, have taught me that to be thebest clinician, the best doctor, the bestradiologist you can possibly be meansthat you are always asking researchquestions and using your research to bea better clinician,” she said.

Dr. Caoili received her undergradu-

ate and medical degrees from the Uni-versity of Michigan in Ann Arborwhere she joined the staff in 1999. Shecompleted an internship in internalmedicine at the University of Pennsyl-vania and her radiology residency atthe University of California, San Fran-cisco. She also completed an abdomi-nal imaging fellowship at Duke Univer-sity Medical Center. ■■

Continued from page 19

RSNA Research Scholar Sets New Standard of GU Care

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

22 R S N A N E W S A P R I L 2 0 0 5

Important Dates for RSNA 2005

April 15 Deadline for abstract submission

April 25 Registration and housing opens for RSNA and AAPM members

May 23 General registration and housing opens

June 20 Course enrollment opens

Nov. 11 Final advance registration deadline

Nov. 27–Dec. 2 RSNA 91st Scientific Assembly and Annual Meeting

News about RSNA 2005

MEETING WATCH RSNA 2005

91st Scientific Assembly and Annual Meeting

November 27 — December 2, 2005

McCormick Place, Chicago

International DelegatesInvitation Letters Personalized invitation letters areavailable at RSNA.org listed under bothAnnual Meeting and International.

Apply Early for Your Visa! Visa applicants are advised to apply as soon as they decide to travel to theUnited States and at least three to fourmonths in advance of their travel date.That means international attendeesshould start the visa process by July or August.

The following Web sites have additional information on applying fora visa:• unitedstatesvisas.gov• travel.state.gov/visa• www.nationalacademies.org/visas

Accessing a Brochure

The Advance Registration and Housing brochure will be available inelectronic format only.

Go to RSNA.org/register and clickon the PDF file.

How to RegisterThere are four ways to register for the RSNA 2005:

➊ InternetGo to www.rsna.org/registerUse your member ID#from the RSNA News labelor meeting flyer sent toyou. If you have questions,send an e-mail to [email protected].

➋ Fax (24 hours)(800) 521-6017(847) 940-2386

➌ Telephone (Monday – Friday, 8:00 a.m.–5:00 p.m. CT)(800) 650-7018(847) 940-2155

➍ MailITS/RSNA 2004108 Wilmot Rd., Suite 400Deerfield, IL 60015-0825USA

Advance Registration and Housing Opens April 25RSNA 2005 advance registration and housing opens April 25 for RSNA and AAPM members.General registration and housing opens May 23.

Registration FeesBY 11/11 ONSITE

$0 $100 RSNA Member, AAPM Member$0 $0 Member Presenter$0 $0 RSNA Member-in-Training, RSNA Student Member and

Technical Student$0 $0 Non-Member Presenter

$120 $220 Non-Member Resident/Trainee$120 $220 Radiology Support Personnel$570 $670 Non-Member Radiologist, Physicist or Physician$570 $670 Hospital Executive, Research and Development Personnel, Healthcare

Consultant, Industry Personnel$300 $300 One-day registration to view only the Technical Exhibits area

For more information about registration at RSNA 2005, visit www.rsna.org, [email protected], or call (800) 381-6660 x7862.

CME Update: Earn up to 80.5 AMA PRA category 1 CME credits at RSNA 2005


MEETING WATCH RSNA 2005

Lunch Break12:00–1:00

AAPM/RSNA Physics Tutorial forResidents12:00–2:00 PS10

Protecting Assets from CreditorClaims, Including MalpracticeClaims*10:00–12:00 PS01

Effective Real Estate Investment Strategies*1:00–5:00 PS11

NIH Grantsmanship Workshop*1:00–5:00 PS12

AAPM/RSNA Physics Tutorial on Equipment Selection2:15–5:15 PS20

Lunch & Poster Sessions 12:15–2:00

Opening Session and President’s Address8:30–10:15 PS30

Image Interpretation Panel4:00–5:45 PS40

Refresher Courses2:00–3:30 RC100

Scientific Sessions10:45–12:15 SSA

Lunch &VisitEducationExhibits12:00–12:45


Oncology: Image-Guided Intervention Program8:30–12:00

Scientific Sessions10:30–12:00 SST

Image Symposium12:45–3:15 PS90

Lunch & PosterSessions12:00–1:30

Focus Sessions3:00–4:00 SFS

RSNA/AAPMSymposium** 1:30–2:45 PS80

Scientific Sessions10:30–12:00 SSQ












ScientificSessions3:00–4:00 SSM

Oncodiagnosis Panel andFocus Sessions4:30–6:00 SFN

Case-Based Review PED3:30–5:00 RC980


Annual Oration inRadiation Oncology**1:30–2:45 PS70



Associated Sciences Symposium8:30–12:00 ASK

Scientific Sessions10:30–12:00 SSK


Essentials Course3:00–4:30 RC998





Case-Based Review IV8:30–10:00 RC970




Associated Sciences Refresher Courses8:30–12:00







Scientific Sessions10:30–12:00 SSG

Annual Oration inDiagnostic Radiology**1:30–2:45 PS60

ScientificSessions3:00–4:00 SSJ





Scientific Sessions10:30–12:00 SSC

New HorizonsLecture**1:30–2:45 PS50

ScientificSessions3:00–4:00 SSE

Focus Sessions4:30–6:00 SFF

Physics Symposium1:30–3:30 PS52

Physics Symposium3:45–5:45 PS52


AAPM/RSNA BasicPhysics Lecture for theRT1:30–2:45 PS51

Case-Based Review: NR10:30–12:00 RC960




Case-Based Review: RO10:30–12:00 RC950




Technical Exhibits 10:00–5:00





9:00 a.m. 10:00 a.m. 11:00 a.m. 12:00 p.m. 1:00 p.m. 2:00 p.m. 3:00 p.m. 4:00 p.m. 5:00 p.m. 6:00 p.m.

Sat11/26

Sun11/27

Mon11/28

Tue11/29

Wed11/30

Thu12/1

Fri12/2

* An additional fee is charged for this course. ** Awards/Ceremonies to open Plenary Session (1:30–1:45).

Preliminary Program Grid

24 R S N A N E W S A P R I L 2 0 0 5

■ For more information, contact RSNA Technical Exhibits at (800) 381-6660 x7851 or e-mail: [email protected].

RSNA 2005 Exhibitor News

Important Exhibitor Dates for RSNA 2005May 6 First-round space

assignment deadline

June 28 Exhibitor Planning/BoothAssignment Meeting

July 5 Technical Exhibitor Service Kit availableonline

Nov. 4 Exhibitor advance badgerequest deadline

Nov. 27–Dec. 2 RSNA 91st ScientificAssembly and AnnualMeeting

Exhibitor Prospectus

THE RSNA 2005 Exhibitor Prospectus wasmailed in late March. RSNA awards spaceassignment priority points to its exhibitors.

It is beneficial to submit the exhibit space appli-cation quickly to earn the most priority pointspossible and to ensure the best possible exhibitbooth position.

To achieve the maximum available spaceand assignment points, your completed applica-tion must have been received by RSNA by April 11, 2005. The first-round space assignmentdeadline is May 6.

June Exhibitor PlanningMeetingBooth assignments will be released onJune 28 at the Exhibitor PlanningMeeting and Luncheon. All exhibitorsfor RSNA 2005 are invited to attend atRosewood Restaurant and Banquetsnear Chicago’s O’Hare InternationalAirport.

EXHIBITOR NEWS RSNA 2005

Advertising at RSNA 2005Many opportunities exist for companiesto promote their exhibit at RSNA 2005—the world’s largest annual medicalmeeting. For more information, go towww.rsna.org/advertising/index.html or contact:

■ Jim DrewDirector of Advertising(630) [email protected]

■ Judy KapicakSenior Advertising Manager(630) [email protected]

91st Scientific Assembly and Annual Meeting

November 27 — December 2, 2005

McCormick Place, Chicago


RSNA.org

RSNA ON THE WEB

➊

➋

➍

➎

➌

ec o n n e c t i o n s Your online links to RSNARSNA.org www.rsna.orgRadiology Onlinersna.org/radiologyjnlRadiology Manuscript Centralrsna.org/radiologyjnl/submitRadioGraphics Onlinersna.org/radiographics

RSNA News rsnanews.orgEducation Portalrsna.org/educationCME Credit Repositoryrsna.org/cmeCME GatewayCMEgateway.org

RSNA Medical ImagingResource Centerrsna.org/mircRSNA Career Connectionsrsna.org/careersRadiologyInfo™

RSNA-ACR patient informationWeb siteradiologyinfo.org

RSNA Press Releasesrsna.org/mediaRSNA Online Products andServicesrsna.org/memberservicesRSNA Research & EducationFoundationMake a Donationrsna.org/donate

Community of Sciencersna.org/cosMembership Applicationsrsna.org/mbrappRSNA Membership Directoryrsna.org/directory

Register for RSNA 2005rsna.org/register

OTHER WEB NEWS:

New Site Explains FDA’s Regulation of Nanotechnology FDA’s Office of Science and HealthCoordination has created a Web site(www.fda.gov/nanotechnology)devoted to the agency’s regulation ofproducts that utilize nanotechnology,an emerging field defined as researchand development at the atomic,

molecular or macromolecular level.The site links to numerous nanotech-nology resources and offers slideshows and other presentations on thetopic.

Online Scientific Posters and Education Exhibits

ABOUT 500 scientific posters andeducation exhibits from RSNA2004 are available online. Go to

rsna2004.rsna.org ➊ and click onMeeting Program ➋ in the left-handcolumn.

Click on the Online Presentationstab ➌, then on a specialty, such as Car-diac Radiology ➍ and then click on thepresentation you would like to view ➎.

Various icons indicate special honors:• Magna Cum Laude • Cum Laude • Certificate of Merit • Excellence in Design • Selected for RadioGraphics

NEW

Medical Meetings May – June 2005

NONPROFIT ORG.U.S. POSTAGE

PAIDPERMIT #186

EASTON, PA 18042

RSNA News820 Jorie Blvd.Oak Brook, IL 60523(630) 571-2670Fax: (630) 571-7837E-mail: [email protected]

CALENDAR

MAY 3–7Society for Pediatric Radiology (SPR), 48th Annual Meeting,Sheraton New Orleans, New Orleans • meeting.pedrad.orgMAY 4–7Association of University Radiologists (AUR), 53rd Annual Meeting, Fairmont Queen Elizabeth Hotel, Montreal, Quebec • www.aur.org MAY 4–7Deutscher Röntgenkongress 2005, 86th German Radiology Congress, Berlin, Germany • www.drg.deMAY 6–8Section for Magnetic Resonance Technologists (SMRT), 14th Annual Meeting, Miami Beach Convention Center • www.ismrm.org/smrtMAY 7–13International Society for Magnetic Resonance in Medicine(ISMRM), 13th Scientific Meeting and Exhibition, MiamiBeach Convention Center • www.ismrm.orgMAY 11–14Japanese Society of Angiography & Interventional Radiology,34th Annual Meeting and 9th International Symposium on Inter-ventional Radiology & New Vascular Imaging, Awaji YumebutaiInternational Conference Center, Hyogo, Japan • www.isir-jsair2005.jpMAY 15–20American Roentgen Ray Society (ARRS), 105th Annual Meet-ing, New Orleans Hilton Riverside Hotel and Towers, NewOrleans • www.arrs.org MAY 21–26American College of Medical Physics (ACMP), Annual Meet-ing, Wyndham Orlando Resort, Orlando • www.acmp.org MAY 21–27American Society of Neuroradiology (ASNR), 43rd Annual Meeting, Metro Toronto Convention Centre, Toronto, Ontario • www.asnr.orgMAY 25–28Society of Breast Imaging (SBI), 7th Postgraduate Course, Vancouver Convention and Exhibition Centre, Vancouver,British Columbia • www.sbi-online.org

MAY 25–2856th Nordic Radiological Congress, 17th Nordic Congress ofRadiographers, 33rd Annual Meeting of Nordic Society of Neu-roradiology, Radisson SAS Scandinavia Hotel, Oslo, Norway • www.congrex.no/radio2005MAY 28–31European Society of Gastrointestinal and Abdominal Radiology(ESGAR), 16th Annual Meeting and Postgraduate Course,Palazzo dei Congressi, Florence, Italy • www.esgar.orgJUNE 1–3American Brachytherapy Society (ABS), Annual Meeting, HyattRegency, San Francisco • www.americanbrachytherapy.orgJUNE 1Planning for the Filmless Transition, RSNA/Society forComputer Applications in Radiology (SCAR), OrlandoWorld Center Marriott, Orlando, Fla. • www.scarnet.orgJUNE 2–5SCAR Annual Meeting, Orlando World Center Marriott,Orlando, Fla. • www.scarnet.orgJUNE 2–5European Society of Medical Oncology (ESMO), Scientific &Educational Conference, Novotel Congress Center, Budapest,Hungary • www.esmo.orgJUNE 5–8 Radiology Business Management Association (RBMA), 2005 Radiology Summit, Paris Las Vegas • www.rbma.orgJUNE 6–8UK Radiological Congress 2005, G-MEX Manchester International Convention Center, Manchester, United Kingdom • www.ukrc.org.ukJULY 29–31Business Strategies for Radiology Leaders, RSNA, HotelInter-Continental in Chicago • www.rsna.org/education/offerings/index.html

NOVEMBER 27–DECEMBER 2RSNA 2005, 91st Scientific Assembly and Annual Meeting,McCormick Place, Chicago • rsna2005.rsna.org

Documents

Groundbreaking Alzheimer Disease Neuroimaging Trial BeginsAPRIL 2005 VOLUME 15, NUMBER 4 Groundbreaking Alzheimer Disease Neuroimaging Trial Begins Also Inside: MRS Supports “Energy