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

ACR-Derived Initiatives for Excellence in Radiology Quality and Safety (Radiology Quality Officer Series)*

May 23, 2017 3:30pm ‐ May 23, 2017 5:00pm

Identification: ACR2017VM41

The purpose of the series of lectures is to build on proven ACR initiatives that enhance quality within individual practices. The session discusses the Diagnostic Imaging Centers of Excellence (DICOE), RADPEER and Registries and describes specific examples of the implementation of these programs. Quality initiatives based on a specific patient safety program will also be presented.


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
Upon completion of the session, participants will be able to:
  • Identify requirements and benefits of becoming a Diagnostic Imaging Center of Excellence (DICOE).
  • Define ways to utilize ACR registries for quality improvement activities.
  • Debate the pros and cons of commonly used peer learning methods, including RADPEER.
  • Describe the most important processes in a patient safety program.

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

  • Hani Abujudeh, MD, FACR - Non-Royalty - oxford university press

  • Michael Bruno, MD, MS, FACR - Royalty Income - Elsevier

  • Mythreyi Chatfield, PhD - This speaker has nothing to disclose

  • Zeeshaan Bhatti, MD - This speaker has nothing to disclose


Preview Available

AIRP: Sino-Naso-Orbital Tumors & Tumor-Like Conditions: Radiologic-Pathologic Correlation

May 23, 2017 3:30pm ‐ May 23, 2017 5:00pm

Identification: ACR2017VM42

The purpose of this session is to share interesting cases of sino-naso-orbital tumors and tumor-like conditions, selected from the AIRP archives, with radiologic-pathologic correlation. While many of these diseases require biopsy for definitive diagnosis, any radiologist who deals with face or neck imaging can benefit from a review of the differential diagnosis for sino-naso-orbital masses and characteristic radiologic features that may help to narrow the differential diagnosis, as well as an opportunity to learn about characteristic histologic features that our pathologist colleagues use to make the final diagnosis. Developed in conjunction with American Institute For Radiologic Pathology.

Learning Objectives:

  1. Describe the legislative issues/challenges and how it impacts radiology.
  2. Articulate the impact these issues/challenges to Members of Congress, congressional staff and to colleagues back home.
  3. Describe necessary role of radiologists in legislative process.

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

  • Robert Foss, MS, DDS, MS - This speaker has nothing to disclose


Preview Available

Legislative Update and Capitol Hill Prep

May 23, 2017 3:30pm ‐ May 23, 2017 5:00pm

Identification: ACR2017VM43

The purpose of this session is to equip radiologists and other imaging stakeholders with the information they need to educate Members of Congress and congressional staff on legislative and regulatory issues impacting the radiology practice.

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

  • Describe the legislative issues/challenges and how it impacts radiology.
  • Articulate the impact these issues/challenges to Members of Congress, congressional staff and to colleagues back home.
  • Describe necessary role of radiologists in legislative process.

Speaker(s): Disclosures
  • Joshua Cooper, BA - This speaker has nothing to disclose

  • Rebecca Spangler, BS - This speaker has nothing to disclose

  • Christopher Sherin, MA - This speaker has nothing to disclose

  • Stephen Ferrara, MD - This speaker has nothing to disclose


Preview Available

Making the Right Decisions for the Practice

May 23, 2017 3:30pm ‐ May 23, 2017 5:00pm

Identification: ACR2017VM44

The purpose of this session is to introduce quantitative financial and qualitative frameworks to facilitate effective decision making when managing radiology practices, particularly within the context of a large healthcare organization, where radiology must compete for resources. Because there are many uncertainties when projecting future performance, the learners will be introduced to stochastic modeling using Monte Carlo Simulation to enhance the effectiveness of financial models and better understand both upside and downside risks. Sources of cognitive biases will be discussed and a framework presented to help decision makers recognize biases and facilitate decisions that are aligned with broader organizations priorities. Finally, the role of the radiologist as an expert consultant and advocate for imaging services with the hospital requires finesse and planning. Effective engagement in this critical role will be discussed with case examples. Developed in conjunction with Radiology Leadership Institute.

Learning Objectives:

  1. Discuss the fundamental differences and commonalities between IR and DR in terms of medicolegal risk.
  2. Describe procedure-related findings commonly missed on diagnostic imaging studies that have clinical and medicolegal implications.
  3. Review procedural techniques and the supportive roles of diagnostic radiologists to help avoid, identify, and manage IR complications.

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

  • Carolyn Meltzer, MD, FACR - This speaker has nothing to disclose

  • Bhavik Patel, MD, MBA - Consultant - GE Healthcare


Preview Available

Mitigating the Risks Related to the Performance of Radiological Procedures

May 23, 2017 3:30pm ‐ May 23, 2017 5:00pm

Identification: ACR2017VM45

The purpose of this session is to focus on the mitigation of clinical and medicolegal risk related to performance of procedures through sectional, departmental, and institutional efforts and resources. Since almost all radiology subspecialists perform procedures, the session directly impacts the practice of both interventional radiologists and diagnostic radiologists, and it provides information relevant to radiology technologists and nurses. It provides a broad perspective regarding the contribution of procedure-related complications to institutional and departmental risk. It also reviews morbidity and mortality cases that impact both diagnostic radiology practice as a result of missed findings and IR practice as a result of issues of recognition, response, communication, documentation, and follow-through.

Learning Objectives:

  1. Describe bundled payment models potentially applicable to radiology practices.
  2. Examine sundry stakeholder interests and needs in a manner that optimize the success of new payment models designed to coordinate patient care.
  3. Identify the cultural and operational changes necessary in radiology practices to succeed under new society mandated delivery models.

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

  • Steven Zangan, MD - This speaker has nothing to disclose


Preview Available

Bundles of Care: Preserving Quality and Compensation

May 24, 2017 8:00am ‐ May 24, 2017 9:30am

Identification: ACR2017VM46

The purpose of this session is to focus on leadership and management issues particularly relevant to implementing radiology practice change aligned with new payment models. CMS and other payers are rapidly steering providers from providing volume-incentivized to value-incentivized care. One increasingly popular mechanism--now codified by recent MACRA legislation--is advanced alternative payment models. Bundled payments for episodes of care will comprise many of these. To date, those models have focused on primary care and, more recently, surgical encounters. Recent work by the Neiman Health Policy Institute has resulted in several frameworks for which bundled payments could be crafted for radiologists.. Since MACRA indicates that as much as 20% of physicians' pay will be influenced by their participation in new payment models, this topic has considerable financial relevancy to all radiology practice stakeholders. Developed in conjunction with Radiology Leadership Institute.

Learning Objectives:

  1. Describe bundled payment models potentially applicable to radiology practices.
  2. Examine sundry stakeholder interests and needs in a manner that optimize the success of new payment models designed to coordinate patient care.
  3. Identify the cultural and operational changes necessary in radiology practices to succeed under new society mandated delivery models.

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

  • Charles McRae, MBA - Ownership/Partnership - Radiology Partners; Salary - Radiology Partners


Preview Available

How Can ACR Registries Help Answer the Biggest Questions Facing Radiology

May 24, 2017 8:00am ‐ May 24, 2017 9:30am

Identification: ACR2017VM47

The purpose of this session is to review existing projects on registries, such as the Lung Cancer Screening registry, as well as other quality and safety and research registries. The session will highlight how participation in the registries will positively impact the radiology practice.

Learning Objectives:

  1. Discuss the impact registries have in the radiology practices.
  2. Describe the lessons learned from the Lung Cancer Screening registry.
  3. Identify how to use ACR registries to answer questions important to practicing radiologists and researchers.

Speaker(s): Disclosures
  • Ella Kazerooni, MD, MS, FACR, FSCBTMR - This speaker has nothing to disclose

  • Jenny Hoang, MBBS - This speaker has nothing to disclose

  • Etta Pisano, MD, FACR - Research Grants - Phillips Corporation - contract w/my employer for research|Fuji Film - contract w/my employer for research|Alan Penn Associates - SBIR subcontract|Nextray, Inc -Board Chair


Preview Available

Transcatheter Valve Replacement and Utilization Trends in Cardiovascular Disease

May 24, 2017 8:00am ‐ May 24, 2017 9:30am

Identification: ACR2017VM48

The purpose of this hybrid session (didactic plus interactive round table components) is to enhance the clinical knowledge and improve the practice of cardiac imaging by radiologists as well as other healthcare providers. Developed in conjunction with North American Society for Cardiovascular Imaging.

Learning Objectives:

  1. Review imaging in post-procedure transcatheter valve replacement.
  2. Describe imaging trends in heart disease.
  3. Discuss the use of the Coronary Artery Disease Reporting and Data System (CAD-RADS).

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

  • David Levin, MD, FACR - Consultant- HealthHelp, LLC ; Officer, Director - Board of directors, Outpatient Imaging Affiliates, LLC

  • Suhny Abbara: Consultant - Phillips Healthcare ; Royalty Income - Elsevier

  • Paul Peterson, MD - This speaker has nothing to disclose

  • Gregory Kicska, MD, PhD - This speaker has nothing to disclose


Preview Available

Transitioning to Value: Building Collaboration Around Evidence-Based Imaging (Radiology Quality Officer Series)*

May 24, 2017 8:00am ‐ May 24, 2017 9:30am

Identification: ACR2017VM49

The purpose of the series of lectures is to provide an overview of creating evidence-based imaging guidelines such as the ACR Appropriateness Criteria, as well as an examination of educational approaches and best practices for teaching appropriate imaging utilization. The R-SCAN program and ACR Select clinical decision support will be highlighted.


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
Upon completion of the session, participants will be able to:
  • Describe evidence-based radiology.
  • Discuss successful collaborations and improved radiology processes that improved imaging care.
  • Describe multiple tools for clinical decision support to encourage appropriate imaging.

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

  • E. Kent Yucel, MD, FACR - Consultant - Guerbet

  • Marc Willis, DO - This speaker has nothing to disclose

  • Pari Pandharipande, MD, MPH - Research Grants - Medical Imaging and Technology Alliance

  • Sabiha Raoof, MD - This speaker has nothing to disclose


Preview Available

Clinical MR Safety

May 24, 2017 10:00am ‐ May 24, 2017 11:30am

Identification: ACR2017VM50

MR Safety programs are not only an important practice to protect patients and staff, but are now required by some accreditation programs. Often, the responsibility for MR safety programs is that of the lead interpreting radiologist and/or the qualified medical physicist with support from technologists and administrators. The purpose of this session is to cover approaches to development and maintenance of a MR safety program from a radiologist, medical physicist, and an assistant director of imaging services, each with unique experiences establishing MR Safety programs.

Learning Objectives:

  1. Discuss the need and components of a MR safety program.
  2. Describe three different facilities have implemented MR safety programs in their clinical environments.
  3. Identify the various accreditation program requirements related to MR safety.

Speaker(s): Disclosures
  • Richard Geise, PhD, FACR - This speaker has nothing to disclose

  • Heidi Edmonson, PhD - This speaker has nothing to disclose

  • Robert Watson, MD, PhD - This speaker has nothing to disclose

  • Wendy Stirnkorb, BS - This speaker has nothing to disclose