ACR 2017 The Crossroads of Radiology

May 21, 2017 ‐ May 25, 2017

To Register for the 2017 Crossroads of Radiology or the MSK Categorical Course

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Preview Available

Controversies and Opportunities in Comparative and Cost Effectiveness Research in Radiation Oncology

May 22, 2017 1:30pm ‐ May 22, 2017 3:00pm

Identification: ACR2017VM21

The purpose of this session will be to highlight opportunities within the radiation oncology community for conducting comparative and cost-effectiveness research as well as methodological designs that can be used to conduct comparative effectiveness research. The session will also highlight potential downsides and ethical concerns related to comparative and cost effectiveness research.

Learning Objectives:

1. Describe the differences between comparative effectiveness research from traditional efficacy studies.
2. Discuss the different methodological designs for conducting comparative effectiveness research.
3. Identify challenges with conducting comparative effectiveness research for radiation oncology.

Speaker(s):

• Mark Mishra, MD
• Timothy Showalter, MD,MPH
• Alexander Louie, MD,PhD,MSc, FRCPC

Disclosures

• Mark Mishra, MD - This speaker has nothing to disclose

• Timothy Showalter, MD, MPH - This speaker has nothing to disclose

• Alexander Louie, MD,PhD,MSc, FRCPC - Honorari - Varian Medical Systems Inc. ; Speakers Bureau - Varian Medical Systems Inc.

Preview Available

Economics Forum Part I

May 22, 2017 1:30pm ‐ May 22, 2017 3:00pm

Identification: ACR2017VM22

The purpose of this session is to focus on the efforts of the ACR Commission to ensure the economic viability of the field of radiology. The session will highlight three key payment arenas:

1. Fee for service, using payment challenges to mammography as the example
2. Valuation of services, using the RVS Update Committee (RUC) as the forum where the shift to value based care is especially evident
3. Future payment models, with focus on MACRA and the implications for radiologists.

Learning Objectives
Upon completion of the session, participants will be able to:

• Describe the new coding and payment structure for breast imaging services.
• Understand how value based activities impact per unit valuation of radiology services.
• Apply tools for success under future payment systems such as MACRA and the MIP.

Speaker(s):

• Ezequiel Silva, MD, FACR
• Gregory N. Nicola, MD
• Kurt Schoppe, MD
• Dana Smetherman, MD, MPH, FACR

Disclosures

• Ezequiel Silva, MD, FACR - This speaker has nothing to disclose

• Gregory Nicola, MD - This speaker has nothing to disclose

• Kurt Schoppe, MD - This speaker has nothing to disclose

• Dana Smetherman, MD, MPH FACR - This speaker has nothing to disclose

Preview Available

Introducing TBI-RADS: Reporting Standardization for Traumatic Brain Injury*

May 22, 2017 1:30pm ‐ May 22, 2017 3:00pm

Identification: ACR2017VM23

The purpose of this session is to introduce the Traumatic Brain Injury-Reporting and Data System (TBI-RADS). TBI-RADS is a system to standardize the reporting and management of imaging in patients with Traumatic Brain Injury (TBI). It allows the radiology community to apply consistent terminology related to the diagnosis and reporting of TBI, reduce imaging interpretation variability and errors, enhance communication with referring clinicians, facilitate quality assurance and research and, in the long run, improve patient outcome by standardizing management using evidence-based medicine. In this session we will introduce the classification system and focus on the uses of TBI-RADS for diagnosis and management, research, and interpretation.

Learning Objectives
Upon completion of this session, participants will be able to:

• List the major classifications in TBI-RADS and define their meaning.
• Describe how TBI-RADS can be used for research and machine learning.
• Identify imaging features associated with TBI-RADS common data elements related to intracranial injuries including epidural hematoma, subdural hematoma, non-aneurysmal SAH, contusion, and herniation.

Speaker(s):

• Alexander Norbash, MD, FACR
• Sumit Narayan Niogi, MD, PhD
• Apostolos J. Tsiouris, MD
• Erin S. Schwartz, MD
• Elisabeth Wilde, PhD

Disclosures

• Alexander Norbash, MD, FACR - Consultant - GE Healthcare|Stryker Inc. ; Ownership/Partnership - Boston Imaging Core Laboratories

• Sumit Narayan Niogi, MD, PhD - Royalty Income - Athlemetrics; Non-Royalty - Athlemetrics

• Apostolos Tsiouris, MD - This speaker has nothing to disclose

• Erin Schwarts, MD - This speaker has nothing to disclose

• Elisabeth Wilde, PhD - This speaker has nothing to disclose

Preview Available

Tips They Didn't Teach You in Residency

May 22, 2017 1:30pm ‐ May 22, 2017 3:00pm

Identification: ACR2017VM24

The purpose of this session is to gain skills to be able to participate in an interview as a prospective employer or employee and learn some basic insight into negotiation and how to maximize opportunities while still recognizing the opposing point of view and reaching a successful outcome. Attendees will acquire insights in dealing with difficult situations and facilitating conflict resolution between themselves and another individual or as a leader tasked with resolving a conflict as the third party involved. All of these skills are essential not only for the workplace but in life. Developed in conjunction with American Association for Women Radiologists.

Learning Objectives:

1. Discuss topics critical to career advancement in academics or private practice but which are not formally taught in medical school or residency.
2. Describe successful ways to interview for a positive outcome.
3. Identify strategies to be better able to negotiate.

Speaker(s):

• Maria D. Kelly, MD, FACR
• Julia R. Fielding, MD, FACR
• Susan J. Ackerman, MD, FACR

Disclosures

• Maria D. Kelly, MD FACR - This speaker has nothing to disclose

• Julia R. Fielding, MD, FACR - Royalty - Income Elsevier

• Susan J. Ackerman, MD, FACR - This speaker has nothing to disclose

Preview Available

Dealing with the Problematic Radiologist: Academic and Private*

May 22, 2017 3:30pm ‐ May 22, 2017 5:00pm

Identification: ACR2017VM25

The purpose of this session is to deal with the problematic radiologist. Presentations will be made that deal with issues impacting private practice and those specific to academics. Department/practice policies will be discussed and contracts between radiologists and their groups will be covered. Strategies of how to deal with the problematic radiologist and why it is important will be highlighted.

Developed in conjunction with Radiology Leadership Institute.

Speaker(s):

• Lawrence R. Muroff, MD, FACR
• Giles Boland, MB, BS, FACR

Disclosures

• Lawrence R. Muroff, MD, FACR - Salary - Imaging Consultants, Inc

• Giles Boland, MB, BS, FACR - This speaker has nothing to disclose

Preview Available

Economics Forum Part II

May 22, 2017 3:30pm ‐ May 22, 2017 5:00pm

Identification: ACR2017VM26

The purpose of this session is to discuss the importance of understanding payment policy across the spectrum from volume to value driven care. This session will focus on collaboration including how economic policy translates to success at the hospital system level, using ACOs and risk based contracting as examples. It will also focus on the informatics tools which will be critical to the meaningful participation of radiologists in future payment models.

Learning Objectives
Upon completion of the session, participants will be able to:

• Discuss where Accountable Care Organizations (ACOs) fall under the payment structure of MACRA.
• Describe how ACOs are structured under Medicare but also within private payor contracts.
• Apply informatics tools to the implementation of quality programs.
• Describe the elements which may be included in a risk based contract.

Speaker(s):

• Ezequiel Silva, MD, FACR
• James Rawson, MD, FACR
• Sanjay Shetty, MD, MBA
• Mark Bernardy, MD, FACR
• Keith Dreyer, DO, PhD, FACR

Disclosures

• Ezequiel Silva, MD, FACR - This speaker has nothing to disclose

• James Rawson, MD, FACR - This speaker has nothing to disclose

• Sanjay Shetty, MD, MBA - This speaker has nothing to disclose

• Mark Bernardy, MD, FACR - This speaker has nothing to disclose

• Keith Dreyer, DO, PhD, FACR - This speaker has nothing to disclose

Preview Available

Imaging That Informs Treatment Decision Making That Enables Improvement in Clinical Outcomes

May 22, 2017 3:30pm ‐ May 22, 2017 5:00pm

Identification: ACR2017VM27

The purpose of this session is to focus on recent large scale commonly randomized trial data that has documented scenarios where imaging has been shown to help inform clinical decision making that reduced hard clinical events. For too long the focus of medical imaging has been the detection of disease based on traditional markers of sensitivity and accuracy. Unfortunately, this has been rarely linked to clinical outcomes. Developed in conjunction with Canadian Association of Radiologists.

Learning Objectives:

1. Review recent largescale randomized trials that have documented the clinical utility of coronary CT Angiography.
2. Discuss the role of imaging in the modern management of acute stroke and how it is enabling improved clinical outcomes.
3. Describe recent randomized therapeutic treatment trials in interstitial lung disease and how these data have changed the importance of morphological classification on CT.

Speaker(s):

• Carole Dennie, MD
• Elsie Nguyen, BS,MD,FRCPC
• Jai Shankar, MD
• Andrew Sherrick, MD

Disclosures

• Carole Dennie, MD - This speaker has nothing to disclose

• Elsie Nguyen, BS, MD, FRCPC - This speaker has nothing to disclose

• Jai Shankar, MD - Consultant - Balt|Microvention; Research Grants - Microvention

• Andrew Sherrick, MD - This speaker has nothing to disclose

Preview Available

Radiation Oncology: Learning from Medical Errors

May 22, 2017 3:30pm ‐ May 22, 2017 5:00pm

Identification: ACR2017VM28

The purpose of this session is to review the impact of medical errors in the radiation oncology practice. The session will highlight the economic case for transparency and disclosure for preventable medical errors and how physicians can learn from medical errors. The value of transparency for patients and their families will also be discussed.

Learning Objectives:

1. Describe the frequency and impact of medical errors.
2. Discuss the need for transparency.
3. Explain what you can do as a clinician to disclose and learn from medical errors.

Speaker(s):

• Abhishek Solanki, MD, MS
• Deepak Khuntia, MD
• Leilani Schweitzer, BA
• Todd Pawlicki, PhD

Disclosures

• Abhishek Solanki, MD, MS - This speaker has nothing to disclose

• Deepak Khuntia, MD - Stock Options -Varian Medical Systems; Salary -Varian Medical Systems; Intellectual Property Rights - Varian Medical Systems

• Leilani Schweltzer, BA - This speaker has nothing to disclose

• Todd Pawlicki, PhD - Stock Options - VisionRT, Ltd; Royalty Income - Taylor and Francis for a textbook; Ownership/Partnership - TreatSafely Foundation [501(c)(3)]; Salary - University of California, San Diego

Preview Available

Moreton Lecture

May 23, 2017 8:00am ‐ May 23, 2017 9:30am

Identification: ACR2017VM29

Learning Objectives

Upon completion of the session, participants will be able to:

• Describe and apply conceptual differences and significant strategic implications of foretelling the future via predicting (extrapolating change from historical trends) and forecasting (assessing the probabilities of possibilities).
• Identify and evaluate implications of four key external forces-scientific, technological, economic, and political-that that are redefining society's demands on health care in general and radiology in particular.
• Identify and evaluate the internal forces that are reshaping the medical marketplace and compelling radiologists to assume new and different roles in the delivery of medical care.
• Develop market-specific strategic alternatives for creatively reallocating financial resources and professional activity in response to external and internal forces

Speaker(s):

• Jeffrey (Jeff) Bauer, PhD

Disclosures

• Jeffrey Bauer, PhD - This speaker has nothing to disclose

Preview Available

Contrast Enhanced Ultrasound Examination of the Abdomen: A Game Changer

May 23, 2017 10:00am ‐ May 23, 2017 12:00pm

Identification: ACR2017VM30

The purpose of this session is to review the role of contrast enhanced ultrasound (CE US) in the abdomen. Despite the wide-spread use of CE US throughout the world, CE US was only approved this past spring by the FDA for the evaluation of liver masses in the United States. Hence, the practicalities of performing CE US will not be familiar to many practicing radiologists who wish to incorporate this significant advance in technology into their clinical practice. This session will highlight the logistics of how to introduce CE US in a clinical radiology practice outside of the research setting and will review the diagnostic criteria for interpreting CEUS evaluation of liver and renal masses. In addition, the course will review the role of CE US in evaluation of liver and renal masses in comparison to other imaging modalities such as CT and MR and the potential departmental financial impact of using CE US. Developed in conjunction with Society of Radiologists in Ultrasound.

Learning Objectives:

1. Discuss appropriate protocols for performance of contrast enhanced ultrasound examination of hepatic and renal masses.
2. Interpret contrast enhanced ultrasound examinations of hepatic and renal masses.
3. Describe the roles of contrast enhanced ultrasound, MR and CT in the evaluation of hepatic and renal masses.

Speaker(s):

• Leslie Scoutt, MD, FACR
• Edward Grant, MD, FACR
• Richard Barr, MD, Ph.D, FACR, FSRU
• Stephanie Wilson, MD
• Michelle Robbin, MD,MS, FACR, FSRU,FAIUM

Disclosures

• Leslie Scoutt, MD, FACR - Honorari - Phillips Healthcare

• Edward Grant, MD, FACR - Research Grants - GE Healthcare

• Richard Barr, MD, Ph.D, FACR, FSRU - This speaker has nothing to disclose

• Stephanie Wilson, MD - Consultant - Lantheus Medical Imaging, Inc

• Michelle Robbin, MD,MS, FACR, FSRU,FAIUM - Research Grants - Phillips Healthcare