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

Sonography of the Neck: Update on Thyroid, Parathyroid, Salivary Glands and Lymph Nodes

May 24, 2017 10:00am ‐ May 24, 2017 12:00pm

Identification: ACR2017VM51

The purpose of this session is to provide a review of established principles and update of new developments in neck sonography. It will emphasize the clinical knowledge necessary to provide valuable information in patients with neck disease. This session will focus on the use of ultrasound to determine initial management, guide fine needle aspiration, and follow-up of thyroid nodules. The session will discuss the growing role that ultrasound plays in the evaluation of extrathyroidal neck structures. It will highlight the role of sonography and the sonographic findings and accuracy in imaging the cervical lymph nodes, the parathyroid glands, and the salivary glands. This session will provide strategies for improving the recognition, description, and analysis of thyroid and extrathyroidal neck disease.

Developed in conjunction with Society of Radiologists in Ultrasound.

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

  • Recognize, describe, and report sonographic findings of thyroid nodules and recommend appropriate further management.
  • Interpret ultrasound examinations of the cervical lymph nodes and distinguish nodes that are likely to be benign from those that are likely to be malignant.
  • Discuss the use of ultrasound in the evaluation of patients with hyperparathyroidism and salivary gland disease.

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

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

  • Sharlene Teefey, MD, FACR - This speaker has nothing to disclose

  • William Middleton, MD, FACR - Royalty Income - Elsevier

  • Franklin Tessler, MD - This speaker has nothing to disclose

  • Jason Wagner, MD - This speaker has nothing to disclose


Preview Available

Understanding Unconscious Bias in the Health Professions

May 24, 2017 10:00am ‐ May 24, 2017 12:00pm

Identification: ACR2017VM52

The purpose of this session will provide participants with an understanding of unconscious bias and the role it plays in the healthcare professions and other key areas. Participants will understand the science and research of unconscious bias, identify how unconscious bias can impact healthcare decisions and results, understand the filters through which one views and interprets oneself and others, and learn about promising practices to mitigate the effects of bias in order to improve individual and collective decision making abilities.

Learning Objectives:

  1. Describe what unconscious bias is.
  2. Identify the role of unconscious bias in the decision making process and how it can impact health care.
  3. Discuss promising practices to mitigate the effects of unconscious bias.

Speaker(s): Disclosures
  • Laura Castillo-Page, Ph.D - This speaker has nothing to disclose

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

  • Diana Lautenberger, MA - This speaker has nothing to disclose


Preview Available

JACR and Other ACR Academic Publications A Reviewer's Primer

May 24, 2017 1:30pm ‐ May 24, 2017 3:00pm

Identification: ACR2017VM53

The purpose of this session is to serve as an editor's forum to discuss publishing opportunities at ACR as well as a primer on becoming an effective and efficient reviewer of the JACR through its newly established reviewer mentorship program. Attendees will learn how to apply this information to any scholarly journal or publication.

Learning Objectives:

  1. Identify appropriate outlets in which radiologists can submit articles and cases.
  2. Demonstrate improved skills as a JACR reviewer.
  3. Recognize and engage in the JACR reviewer mentorship program.

Speaker(s): Disclosures
  • Bruce Hill man, MD, FACR - This speaker has nothing to disclose

  • Ruth Carlos, MD, MS, FACR - This speaker has nothing to disclose

  • Harris Cohen, MD, FACR - This speaker has nothing to disclose

  • Brett Carter, MD - Royalty Income-Amirsys, Inc.


Preview Available

Making the EMR Work for the Radiologist

May 24, 2017 1:30pm ‐ May 24, 2017 3:00pm

Identification: ACR2017VM54

The purpose of this session is to address the different aspects of EMR-radiology integration to improve practice. The session will highlight the ordering process including clinical decision support, protocoling, interpretation and reporting/critical results.

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

  • Describe the different potential ways of EMR integration with radiology systems.
  • Discuss how EMR data can improve ordering and protocoling, interpretation, and results reporting.
  • Identify how different EMR data can be utilized to provide a higher quality practice.

Speaker(s): Disclosures
  • Cree GAskin, MD - Royalty Income - Thieme Publishing|Oxford University Press; Research Grants- Carestream Health

  • Keith Hentel, MD - This speaker has nothing to disclose

  • Alexander Towbin, MD - Royalty Income- Elsevier ; Research Grants- Siemens Healthcare|Guerbet|Cystic Fibrosis Foundation


Preview Available

SPECT, SPECT-CT and PET-MR: Game Changers for Your Nuclear Medicine Practice

May 24, 2017 1:30pm ‐ May 24, 2017 3:00pm

Identification: ACR2017VM55

The purpose of this session is to discuss the current status of bone and lung scintigraphy. Bone scintigraphy has been a mainstay of MSK imaging for over four decades. While predominately used for evaluating bone metastases, there is also great utility in the assessment of MSK injuries. The recent introduction of hybrid imaging has further enhanced the diagnostic value of bone scintigraphy. Therefore, the diagnostic role of SPECT and SPECT-CT in the many athletic related injuries will be reviewed to include concordant correlation with MRI. PET/MRI is the newest hybrid modality combining the most advanced functional and anatomic imaging technologies. However, PET/MRI scanners are expensive and the process of ordering, protocoling, scanning, and interpretation is complicated. Nonetheless, the capability of simultaneously acquiring PET and MR information can provide important unique clinical information. Challenges and approaches to providing a clinical PET/MRI service will be presented, as well as potential target clinical applications that will most benefit from this new technology. Lung scintigraphy and probabilistic reporting have traditionally been used in the evaluation of pulmonary embolism (PE), this practice however, changed with the introduction of CT pulmonary angiography (CTPA). CTPA is now the procedure of choice in pulmonary embolism evaluation. To address this shift, lung scintigraphy evolved to include improved scan techniques, tomographic acquisition and a definitive reporting style (PE or no PE). This improved technology, however, created the concerns of overdiagnosis and overtreatment of the small PE. Developed in conjunction with Society of Nuclear Medicine and Molecular Imaging.

Learning Objectives:

  1. Discuss the pros and cons of planar, SPECT and SPECT-CT bone scintigraphy in musculoskeletal (MSK) injuries and infection, and describe the value of scintigraphic and hybrid imaging that best identifies MSK disease, particularly in the athlete.
  2. Identify the challenges for bringing PET/MRI into routine clinical practice and describe clinical applications where PET/MRI is preferable to PET/CT.
  3. Explain the transition from probabilistic to definitive pulmonary embolism (PE) reporting for V/Q scans.
  4. Discuss the pros and cons of V/Q planar versus tomographic and hybrid imaging and understand the concerns of overdiagnosis and overtreatment of the small PE.

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

  • Bennett Greenspan, MD, MS, FACR, FACNM - This speaker has nothing to disclose

  • Kevin Banks, MD - This speaker has nothing to disclose

  • Terence Wong, MD, PhD - This speaker has nothing to disclose


Preview Available

The General Radiologist: Current and Future Status

May 24, 2017 1:30pm ‐ May 24, 2017 3:00pm

Identification: ACR2017VM56

The purpose of this session is to debate the current and future state of the general radiologist. With increasing radiologist specialization, what types of practices will need a general radiologist? The session will highlight some of the following issues – how successful is recruiting for a general radiologist, how many graduating residents go directly into practice as general radiologists, and what is the role of teleradiology in regard to general radiologists. In addition the role of a general radiologist in the VA, academia, small/rural and medium sized urban practices will be discussed.

Learning Objectives:

  1. Describe how general radiology workload is being managed in various practice scenarios.
  2. Discuss why there are changes occurring in the performance of general radiology.
  3. Identify opportunities for radiologists seeking to work as general radiologists.

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

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

  • Robert Pyatt, MD, FACR - This speaker has nothing to disclose

  • Eric Friedberg, MD, FACR - This speaker has nothing to disclose

  • Benjamin Strong, MD - Stock Options - Mednax; Salary - Virtual Radiologic

  • Raymond Bozman, MD, FACR - This speaker has nothing to disclose


Preview Available

AIRP: Pediatrics Radiologic-Pathologic Correlation

May 24, 2017 3:30pm ‐ May 24, 2017 5:00pm

Identification: ACR2017VM57

The purpose of this session is to review sporadic and genetic cystic renal disease in children through the new lens of a more complete understanding of the underlying pathophysiology and pathogenesis of these conditions. The correlation of imaging findings and pathologic features will be emphasized. Also in this session, hepatobiliary tumors unique to children will be reviewed with emphasis on radiologic-pathologic correlation and distinguishing features that narrow the differential diagnosis. Developed in conjunction with American Institute For Radiologic Pathology.

Learning Objectives:

  1. Describe the underlying cause of cystic renal dysplasia, briefly explain the term ciliopathy and how inherited cystic diseases are related, and distinguish between different types of cystic renal diseases on imaging.
  2. Describe the imaging approach to a child with a suspected liver mass.
  3. List the distinguishing features of common pediatric liver tumors, and recognize and apply those features to provide an appropriate imaging diagnosis of pediatric hepatobiliary tumors.

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

  • Dorothy Bulas, MD, FACR - This speaker has nothing to disclose


Preview Available

Image Exchange: Review and a Practical Guide

May 24, 2017 3:30pm ‐ May 24, 2017 5:00pm

Identification: ACR2017VM58

The purpose of this session is to provide a review and a practical guide regarding image exchange. There continues to be a need for efficient, safe and secure exchange of imaging exams to enhance the care of our patients. The session will highlight current efforts for internet based exchange and review efforts directed at increasing healthcare interoperability in the United States. Attendees will learn of solutions that go beyond CD exchange. Internet based solutions are emerging and vendors are implementing standards based applications. The RSNA Image Share Validation program and the IHE Conformity Assessment program are directed at providing customers with assurance that a vendors product complies with accepted standards. These standards will be reviewed and a path of evolution will be discussed indicating how these standards will accommodate new IT technologies.

Learning Objectives:

  1. Describe the existing standards governing image exchange.
  2. Discuss the importance of observing standards.
  3. Identify how the standards are likely to evolve over the near future.

Speaker(s): Disclosures
  • David Mendelson - Salary (Spouse/Partner) - Novartis Pharmaceutical

  • Richard Ruchman, MD, FACR - This speaker has nothing to disclose

  • Steven Posnack, MS, MHS - This speaker has nothing to disclose

  • Mariann Yeager, MBA - This speaker has nothing to disclose


Preview Available

Managing Change: Theory and Practice

May 24, 2017 3:30pm ‐ May 24, 2017 5:00pm

Identification: ACR2017VM59

The purpose of this session is to introduce concepts and theories of change management. This session will change management concepts, discuss why they are vital to radiology practices and then expand on examples both in industry and radiology. Curriculum will emphasize change management as a discipline and critical skill for leadership and management. The rapid changes internal and external to radiology will be highlighted and the requirement for radiology leaders to be able to effectively manage change within their organizations will be discussed.

Developed in conjunction with Radiology Leadership Institute.

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

  • Describe the importance of change management to their organizations and the role that all stakeholders play.
  • Identify theories regarding managing change in organizations.
  • Discuss complementary perspectives regarding changes and change management in radiology and other industries.

Speaker(s): Disclosures
  • Howard Fleishon, MD, MMM, FACR - This speaker has nothing to disclose

  • Jonathan Breslau, MD, FACR - This speaker has nothing to disclose

  • Charles Powell, PhD - This speaker has nothing to disclose

  • Shawn Yates, BA - Salary - Phillips Healthcare


Preview Available

MSK Boot Camp - Part 1

May 25, 2017 8:00am ‐ May 25, 2017 9:30am

Identification: ACR2017VM60

The purpose of this session is to provide practical insights in the technique and interpretation of MR imaging of the ankle, knee and shoulder. In addition, diagnostic dilemmas in imaging of musculoskeletal tumors will be highlighted.

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

  • Discuss the MR imaging appearance of commonly injured structures about the ankle, shoulder, hip and knee.
  • Describe the MR imaging appearance of common internal derangement patterns affecting the ankle, shoulder, hip and knee.
  • Identify the MR imaging appearance of normal and significant internal derangement.

Speaker(s): Disclosures
  • This speaker has nothing to disclose