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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Sessions

Preview Available

Deep Learning, Clinical Data Science and Radiology

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

Identification: ACR2017VM31

The purpose of this session is to explain what are machine and deep learning, their role in radiology research and practice, and how to prepare for them. This session will emphasize how radiologists can approach machine learning and deep learning, separating hype from reality. It will demonstrate how these self-improving algorithms will help radiologists, and the challenges of producing valid and useful computer models. Finally, it will present a roadmap for machine and deep learning in radiology, and ACR's roles as this technology evolves.

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

  • Describe the basics of machine learning and deep learning.
  • Discuss the roles these software tools will play in radiology, and how they can help radiologists.
  • Identify what is needed to bring valid and useful machine and deep learning algorithms into widespread clinical practice, and ACR's roles as this technology evolves.

Speaker(s): Disclosures
  • Garry Choy, MD - This speaker has nothing to disclose

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

  • Raym Geis, MD, FACR - Stock Options - (Spouse/Partner)Montage


Preview Available

Mammography Case Review (MCR)

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

Identification: ACR2017VM32

The purpose of this session is to demonstrate peer-to-peer interaction and state-of-the art technology from ACR's Mammography Case Review (MCR) program, which offers a blended learning approach, utilizing online case simulation. The MCR program is designed for radiologists to enhance practice competency and improve breast imaging skills. This session provides attendees with the opportunity to interact with select MCR cases individually, with guidance from expert faculty.

Learning Objectives:

  1. Explain the benefits of standardized terminology for breast imaging findings, report organization, and the assessment classification system provided by BI-RADS® Version 5.
  2. Interpret mammography, ultrasound, and MRI cases using BI-RADS® Version 5.
  3. Utilize the ACR Mammography Case Review (MCR) program to interpret cases, using MCR's simulated detection features.

Speaker(s): Disclosures
  • Edward Sickles, MD, FACR - This speaker has nothing to disclose


Preview Available

Overdiagnosis: Facts, Fight and Fallacies

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

Identification: ACR2017VM33

The purpose of this session to discuss the epistemic basis of overdiagnosis, make a distinction between overdiagnosis and false positives, explain why overdiagnosis in screening mammography is controversial and discuss prescriptions for overdiagnosis. Overdiagnosis is a controversial subject which tears through a lot of radiology. Whether radiologists like it or not, we are implicated in diagnosis and, therefore, overdiagnosis. However, coverage of this controversy in radiology meetings has been tepid. During this session we will bridge the knowledge gap and overcome the hesitancy.

Learning Objectives:

  1. Discuss the epistemic basis of overdiagnosis.
  2. Explain the difference between overdiagnosis and false positive.
  3. Recognize the controversy behind overdiagnosis and discuss prescriptions.

Speaker(s): Disclosures
  • Saurabh Jha, MBBS - Honorari - Toshiba Medical Systems

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

  • Suyash Mohan, MBBS,MD,PDCC - Research Grants - Galileo|NovoCure


Preview Available

Practical Quality Initiatives You Can and Want to Use in Your Practice (Radiology Quality Officer Series)

May 23, 2017 10:00am ‐ May 23, 2017 11:30am

Identification: ACR2017VM34

The purpose of the series of lectures is to provide specific tools to gather quality input data from a radiology practice. Development and implementation of the tools will advance skills to improve practice. Note: The Quality and Safety Program is formatted in five parts to provide attendees interested in quality and safety a comprehensive program that can be used to train and nurture specific individuals to serve their institutions as the Radiology Quality Officer.

Learning Objectives:

  1. Describe how a Radiology Quality Officer can align a multi-disciplinary team for improving quality in a specific health discipline.
  2. Describe the steps in a QI project for improved practice performance.
  3. Improve radiologist productivity using a modified RVU system/methodology.

Speaker(s): Disclosures
  • Frank Rybicki, MD, Ph.D, FACR - This speaker has nothing to disclose

  • David Paushter, MD, FACR - This speaker has nothing to disclose

  • Emily Sedgwick, MD - This speaker has nothing to disclose

  • Cynthia Walsh, BS, MD - This speaker has nothing to disclose

  • Santanu Chakraborty, MBBS,MD,DMRD, FRCR, FRCP(C) - This speaker has nothing to disclose


Preview Available

Understanding Costs in Radiology and Healthcare

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

Identification: ACR2017VM35

The purpose of this session will focus on how cost is defined as the surrendering of resources. The cost of imaging is a value that is unique to the person or entity that is surrendering those resources, be they the patient, the radiologist, the healthcare system, the payer, or society as a whole. The concept of cost is often confused with price or charge values, but there is little relationship between these values and cost. This session will directly investigate the sources of confusion and refine the definitions of cost, price, and charge in radiology. Because cost is a critical element in defining value, the methods by which the aforementioned stakeholders of radiology determine and perceive costs will be explored in relation to the perceived value of radiology. Faculty representing diverse stakeholder domains will provide a rich and at times conflicting perspective on understanding the costs of radiology, framing the challenges of establishing radiology's value to diverse stakeholders. Developed in conjunction with Radiology Leadership Institute.

Learning Objectives:

  1. Describe how the cost of imaging can be very different for the same episode of care, depending upon the perspective of who is experiencing the cost.
  2. Discuss how costs are determined and perceived for different stakeholders.
  3. Identify the perspectives of imaging value and cost for key entities across the imaging value chain.
  4. Describe the change of payment policy and structure from fee for service to value based outcomes and it's impact on cost and reimbursement.

Speaker(s): Disclosures
  • Geoffrey Rubin, MBA, MD, FACR - Consultant - GE Healthcare|Fovia, Inc.; Stock Options - HeartFlow

  • Danny Hughes, Ph.D - This speaker has nothing to disclose

  • Howard Forman, MBA, MD, FACR - This speaker has nothing to disclose

  • Michael Cuffe, MBA, MD - Stock Options - HCA; Officer, Director - HCA; Salary - HCA

  • Roy Beveridge, MD - Stock Options - Humana; Salary - Humana

  • Lewis Golden, R.T. (R) - This speaker has nothing to disclose


Preview Available

From Images to Dollars: The Basics of How You Get Paid For What You Do

May 23, 2017 1:30pm ‐ May 23, 2017 3:00pm

Identification: ACR2017VM36

The purpose of this session is to introduce the vocabulary and acronyms of payment policy. The session will provide information on how to better understand how an imaging study progresses from an order in the medical record to actual reimbursement. Highlights include an introduction to CPT codes, and how these codes get assigned values (RVUs via the RUC and CMS). The session will explore the larger payers and how we to interact with them as radiology group and within hospital departments. In addition, the next frontier of payments models will be explored, such as ACOs, shared risk strategies, and bundled payments.

Learning Objectives:

  1. Discuss how a dollar value is assigned to the work of interpreting imaging exams.
  2. Identify and define key vocabulary and acronyms within the healthcare payment policy lexicon.
  3. Describe the important of advocacy with regards to both current and future payment policy.

Speaker(s): Disclosures
  • Sanjay Shetty, MD, MBA - This speaker has nothing to disclose

  • C. Matthew Hawkins, MD - This speaker has nothing to disclose

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

  • Kirt Woolsey, BS, CPA - This speaker has nothing to disclose


Preview Available

Partnering With Your Health System to Select and Implement Clinical Decision Support for Imaging

May 23, 2017 1:30pm ‐ May 23, 2017 3:00pm

Identification: ACR2017VM37

The purpose of this session is to help radiologists who are employed by, contracted with, or otherwise affiliated with systems planning to implement clinical decision support (CDS) in the near future and ensure that they are able to understand and contribute to the process wherever possible. It includes an in-depth discussion of the legislation, evidence for and against the efficacy of imaging CDS, considerations for selecting a CDS vendor, tips for configuring CDS in a fashion consistent with departmental goals, and pointers for implementation and change management. Recent legislation mandates the documentation of appropriateness criteria consultation when ordering advanced imaging for medicare patients to remain eligible for reimbursement. Implementation of imaging CDS is a solution adopted by many systems to automate compliance with the new requirements.

Learning Objectives:

  1. Explain what clinical decision support is and how it can be used to help reduce inappropriate utilization.
  2. Describe an insightful and effective high-level project plan for deploying CDS within their health system(s).
  3. Identify referring providers from other specialties in order to facilitate CDS deployment.

Speaker(s): Disclosures
  • Daniel Durand, MD - Consultant - NDSC

  • Sarah Reimer, MD - This speaker has nothing to disclose

  • Brent Savoie, MD - Consultant - Evolent Health

  • Bruce Berlanstein, MBA, MD - This speaker has nothing to disclose


Preview Available

Pediatric MRI - How to Deal With the Moving Child!

May 23, 2017 1:30pm ‐ May 23, 2017 3:00pm

Identification: ACR2017VM38

The purpose of the session is to enable radiologists imaging children to be successful in imaging children, despite challenges posed by motion. The session will highlight strategies for the imaging the moving child, including emphasizing Imaging 3.0 and patient centered care which include radiologists as team leaders. Currently, over half of pediatric studies are performed by 'adult' radiologists with only basic pediatric imaging training. Not only is the pathology often unique, but the acquisition of MR images can be fraught with difficulty due to an uncooperative child or crying infant. Developed in conjunction with Society for Pediatric Radiology.

Learning Objectives:

  1. Discuss imaging protocols for imaging of the body and central nervous system in children who are prone to move.
  2. Describe the relative merits and indications of sedation vs. child life intervention for the imaging of children who may move during imaging.
  3. Define practical imaging strategies that may reduce the need for sedation and decrease image degradation due to motion.

Speaker(s): Disclosures
  • Kassa Darge, MD, PhD - This speaker has nothing to disclose

  • Kimberly Applegate, MD, MS, FACR - This speaker has nothing to disclose

  • Kate Guilfoyle, CCLS - This speaker has nothing to disclose

  • Matthew Whitehead, MD - This speaker has nothing to disclose

  • Raymond Sze, MD - This speaker has nothing to disclose


Preview Available

Prostate MRI in Clinical Practice: Update on PI-RADS V2 and MRI-Targeted Prostate Biopsy*

May 23, 2017 1:30pm ‐ May 23, 2017 3:00pm

Identification: ACR2017VM39

The purpose of this session is to review the framework of PI-RADS V2 for standardization in image acquisition and analysis, and communication of imaging findings from the multiparametric MRI (mpMRI) of the prostate. Cases illustrating normal anatomy of the prostate, benign prostatic entities, and malignancies ranging from low-grade to clinically significant cancers will be discussed along with challenging cases with false positive and false negative imaging features. The session will also include an update on MRI-targeted biopsy of the prostate.


Learning Objectives
Upon completion of this session, participants will be able to:
  • Describe the principles of PI-RADS V2 to achieve the optimal imaging quality of mpMRI of the prostate and utilize the scoring system for image interpretation and reporting.
  • Recognize false positive imaging findings and understand the limitations of prostate MRI.
  • Discuss the role of MRI-targeted prostate biopsy in diagnosis of clinically significant prostate cancer.

Speaker(s): Disclosures
  • Jeffrey Weinreb, MD, FACR - This speaker has nothing to disclose

  • Katarzyna Macura, MD, Ph.D, FACR - This speaker has nothing to disclose
  • Peter Choyke, MD, FACR - This speaker has nothing to disclose


Preview Available

Teamwork: The Critical Enabler of Transformational Change (No CME)

May 23, 2017 1:30pm ‐ May 23, 2017 3:00pm

Identification: ACR2017VM40

The purpose of this session is to highlight three important characteristics on teamwork that are helping companies all over the world achieve better results. They include – TRUST as an incredible enabler to empower and inspire employees, the ideal team player attributes that make up productive teams and organization climate of teams for better decision making, higher creativity and change transformation. The pace of change continues to accelerate to unprecedented levels and strong teamwork is more important than ever to engage employees, leverage their skills and experiences and achieve positive and sustainable outcomes. Developed in conjunction with Radiology Leadership Institute.

Learning Objectives:

  1. Identify requirements and benefits of becoming a Diagnostic Imaging Center of Excellence (DICOE).
  2. Define ways to utilize ACR registries for quality improvement activities.
  3. Debate the pros and cons of commonly used peer learning methods, including RADPEER.
  4. Describe the most important processes in a patient safety program.

Speaker(s): Disclosures
  • Robert Cancalosi, MBA - This speaker has nothing to disclose

  • Arl Moore, MD, FACR - This speaker has nothing to disclose