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No Longer Just a Skeleton Crew!Wake Radiology Expands its Number of Musculoskeletal Radiologists and ServicesWilliam J. Vanarthos, MDIn a dedicated effort to better serve our patients andreferring physicians, Wake Radiology is expandingits musculoskeletal (MSK) section once again withthe addition of Peter Leuchtmann in August 2006.Dr. Leuchtmann is currently completing an MSKfellowship at the University of North Carolina atChapel Hill. He earned his medical degree from theIndiana University School of Medicine inIndianapolis, IN, and completed his Radiologyresidency at the University of Maryland. Beforebeginning his MSK fellowship at UNC, Dr.Leuchtmann completed a fellowship in InterventionalRadiology at The Johns Hopkins Hospital. Dr.Leuchtmann joins Drs. Pope, Melamed, Vanarthos,Jordan, and Wilson to round out the MSK section.To ease scheduling and to provide the best qualityand efficient care, two MSK radiologists will beassigned daily to our Rexwoods office located onLake Boone Trail across from the main entranceto Rex Hospital. The Rexwoods office will serve asthe center for the interpretation of most MSKexaminations including CT, US, MRI and bonedensitometry (DEXA), and for virtually all MSKinterventional procedures. Now with two highlytrained, dedicated MSK radiologists at one locationeach day, we can accommodate a greater numberof patients with orthopedic needs.SUMMER 2006 Musculoskeletal Radiologistsand Services Breast Imaging RIS/PACS Managed Care Update Annual Symposium onMetastatic Liver Tumors 2006 Relay For Life Data Center Ground Breaking Off-Site Film StorageIn addition to routine interventional procedures suchas arthrography (including CT and MR arthrography)and peripheral joint injections for pain management,possible future installation of a c-arm fluoroscopy unitwill allow our physicians to perform injections of thelumbar facet joints and epidural injections throughthe sacral hiatus with much greater ease and accuracy.The latter procedure has proven remarkably helpfulin alleviating pain associated with the sacral plexus.Discography will continue to be performed athospital locations only.Currently, we utilize ultrasound to evaluate therotator cuff and to serve as a guidance tool for cystaspirations and other miscellaneous procedures.We are now equipped and trained to expand ourultrasound services beyond current applicationsto include evaluation of ligaments and tendons ofthe wrist, elbow, ankle, and foot.We trust that these changes in manpower andequipment will enhance our practice and meetthe expectations of our referring physicians andtheir patients.Meet our team!CHARLES V. POPE, MDMedical School: University of NC,Chapel Hill, NCRadiology Residency: Duke University Hospital,Durham, NCJOSEPH W. MELAMED, MDMedical School: Yale University,New Haven, CTRadiology Residency: Duke University HospitalMSK Fellowship: Duke University HospitalDurham, NCWILLIAM J. VANARTHOS, MDMedical School: New York Medical College,Valhalla, NYRadiology Residency: Jackson Memorial Hospital,Miami, FLMSK Fellowship: NC Baptist Hospital,Winston-Salem, NCLYNDON K. JORDAN III, MDMedical School: Duke University, Durham, NCRadiology Residency: Duke University HospitalMSK Fellowship: Duke University HospitalDurham, NCRUSSELL C. WILSON, MDMedical School: Duke University, Durham, NCRadiology Residency: Brigham & Women’s Hospital,Boston, MAMSK Fellowship: University of California SF,San Francisco, CAPETER L. LEUCHTMANN, MDMedical School: Indiana University School of MedicineRadiology Residency: University of Maryland,Baltimore, MDCardiovascular/Interventional Radiology Fellowship:The Johns Hopkins HospitalMSK Fellowship: University of NC, Chapel Hill
gy breast imagin,gelouiogdaalleRoCkeraaDees in the Wts.f several chang tter serve you and your patienouyormfoinWe would like to made these changes to beatch readveices are now b f radiologistsffohigleaRservice. We harupool ot any of oexams done a g day by one of a very limitedginnerescethAll ofllowinmography.nditions) the fo(under ideal co cial interest in screening mamined aser are now exam ssion viewsecnacstawho have a sprebompreistory ofith a personal h obtain routine magnification/c ns are postwtsntieapllaAlmosts us toexceptioies. This enableainingd risk. The onlydiagnostic stud who have a known increase tty replacement of their rem forminfanin these wome nts who have (almost) total tes for screening, and we willtieaaidpdynptable camastectommen are acce em.owseeTh.stainbres for screening phy,e encounter thwtesaaidhdncasucfolebthemceptammograimplants are ac lants needs a diagnostic maithwnemowpticnt with imAsymptomaIf we feel a patie , the referring doctor.s.seacllastdyoalmwith either blooatient and younpeemthowrmdfoteincilllewe wduct.y) for sehy (ductograph serous discharge from a single r nipplepragtoclaagrfotaneous,etiologyWe now offer copious, spon asound can fail to reveal an onsultation isoergahcisdleltrlcnippography and u lly, galactography or surgica ally galactographymmamthoblinicaSinces. Initiis concerning cay,p in some casedischarge that ssary to complete the work-u is available (usually Wednesdesometimes nec d by Dr. Richard Bird when he ill expand this service.ermwe wow. Wewill be perfdetect a needewif;y)at one of us kno nts.idleFrdsenaaley,pas,dnrsiouThyour patier suggestnts, questions o ible service for both you and e service toemmocynabest possIf you havee to providto providing the e past and hope to continudeittmmocrethayour support inWe appreciate tients in the future.ayou and your pSincerely,r, MDKerry ChandlePhone: 787-7411 r@wakerad.comleEmail: kchand, MD, FACRRichard E. BirdPhone: 782-8200 kerad.comaE-mail: rbird@wRichardr, MDKerry ChandleSCANNINGS2E. Bird, MD, FACR
Wake Radiology’s Advanced RIS/PACSFacility IntroducedWake Radiology Diagnostic Services has implemented a newRadiology Information System with an integrated PictureArchiving and Communications System (RIS/PACS).The new system provides clinical information at the fingertipsof all caregivers within the practice, including automaticscheduling of appointments, tracking of patients, and routingof exams to the radiologists. The system is paperless and, fornearly all modalities, filmless.Images are presented on medical grade monitors forinterpretation, diagnostic reports are signed electronically andautomatically faxed to referring physicians.“This new system will allow us to provide improved patient careand achieve additional efficiencies,” stated Ron Mitchell,Wake Radiology Chief Information Officer. “It is a majorimplementation that gives us a firm foundation for enhancedservices including providing images to referring physicians,integrating with hospital electronic medical records, onlineorder entry, improving report turn around time through speechrecognition and many others.”MANAGED CARE UPDATECIGNA patients CAN come to Wake RadiologyIt has come to our attention that MedSolutions,the pre-certification company for CIGNA, hasbeen informing offices that are trying to refertheir CIGNA patients to us for MRI’s and/or CT’sthat Wake Radiology/Raleigh MRI does notparticipate. While it is true that Wake Radiologydoes not directly participate with MedSolutions,it does participate with CIGNA. Therefore, CIGNApatients can come to Wake Radiology/RaleighMRI for all procedures without any penalty.Wake Radiology Diagnostic Imaging, Inc.,Wake Radiology Oncology Servicesand Raleigh MRI Center participatewith the following plans: Aetna – (all plans) AHA (American Healthcare Alliance they use MedCost’s network) Alliance PPO – (formerly OneNet PPO,a UnitedHealthcare Company)The system, developed by GE Healthcare, replaces a blizzard ofpaper previously used to track each exam and communicatevital clinical information. Now Wake Radiology staff relies onelectronic dashboards to signify when a patient has arrived,when an exam has begun, when the images are ready fordiagnostic interpretation and so on. Clinical information isentered and updated on-line and available in real time for theradiologists and other caregivers. This includes images andreports of relevant prior exams that were performed in ouroffices and, in some cases, images for comparison fromexams performed at area hospitals and other locations. Blue Cross and Blue Shield – (all plans)“This has been in planning for over a year. There has beentremendous enthusiasm and dedication by all members ofthe Wake Radiology community to making this a success,”said Mitchell. PARTNERS Medicare Choice (HMO) CIGNA – (all plans) Health Care Savings Humana Gold Choice (Medicare Product) MedCost – (all plans) Medicare Medicaid Net PPO, LLC – (formerly Alliance PPO) PARTNERS Medicare Options (PPO) TRICARE for Life (secondary to Medicare only) UnitedHealthcare of North Carolina, Inc.Scheduling Updates forRetroperitoneal UltrasoundChanges in CPT code language require that we redefine ourRetroperitoneal US examination protocols in order to meetcurrent guidelines. There are now two distinct “complete”Retroperitoneal (CPT 76770) US examinations: Upperretroperitoneum: Kidneys, Aorta, Common iliac arteries,IVC Urinary Tract: Kidneys and Bladder.A sonogram of the abdominal aorta alone constitutes a“limited” Retroperitoneal (CPT 76775) US, which generally includesa brief assessment of renal size but not a comprehensiveexamination of the upper retroperitoneum or of the urinary tract. UnitedHealthcare Insurance Company United Medicare Choice (HMO & PPO) WellPath/Coventry ***Wake Radiology Oncology Services only:TRICARE (regular)Note: Patients who are in a plan that we do not participate with can be seenon an out-of-network basis. A patient can choose this option with a higherdeductible and/or higher co-payment. We will be glad to contactthe insurer to get eligibility and benefit coverage if requested.Wake Radiology continues to align its managed care contracts with those ofits referring physicians. If there are additional plans that we should consider,please call Michele Jackson at (919) 788-7904, fax to (919) 789-4461,or e-mail mjackson@wakeradiology.com.3SCANNINGS
Wake Radiology Oncology ServicesSponsors Second Annual Symposium forMetastatic Liver TumorsWake Radiology Oncology Services, in collaboration with Sirtex(developer of targeted cancer therapies) and Medical EducationCollaborative based in Golden, CO, sponsored the second annualsymposium on Liver-Directed Microsphere Therapy, on April 27-28,at the Westin Kierland Resort and Spa in Scottsdale, Arizona. Morethan 31 faculty and 54 professional clinicians attended fromthroughout the world.The symposium served as a clinical exchange forum and featured thelatest clinical data on microsphere therapy for treating advanced livercancer. Sirtex’s SIR-Spheres microspheres are the only FDA approvedradioactive microspheres for treatment of metastatic liver tumors.Speakers included: Dr. Andrew Kennedy of Wake Radiology OncologyServices; Douglas Coldwell, MD, PhD, Professor of Radiology, Universityof Texas Southwestern Medical Center, Dallas, TX; David Liu, MD,Interventional Radiology, Providence Hospital, Portland, OR; BrunoSangro, MD, PhD, Consultor, Liver Unit, Secretary, Digestive Diseases,Clinica Universitaria, Universidad de Nevarra, Pamplona, Spain andJames Welsh, MS, MD, Radiation Oncology, University of Wisconsin,Madison, WI.“It is exciting to see the growing amount of clinical research andpublished articles on microsphere therapy,” said Dr. Andrew Kennedy,radiation oncologist and co-medical director of Wake RadiologyOncology. “The symposium expanded our knowledge of microspheretherapy and our ability to treat advanced liver tumors.”Sirtex’s SIR-Spheres microspheres are radioactive polymer spheres thatemit beta radiation. Physicians insert a catheter through the groin intothe hepatic artery and deliver millions of SIR-Spheres microspheresdirectly to the tumor site. The SIR-Spheres microspheres target the livertumors sparing healthy liver tissue. The minimally invasive procedureis performed on an outpatient basis with minor side effects. Clinicalresearch shows that use of SIR-Spheres microspheres increases patientsurvival rates by an average five to six months.Symposium sessions included the latest clinical data on microspheretherapy for advanced metastatic colorectal cancer, breast cancer,carcinoid tumors and other metastatic liver disease.Wake Radiology Oncology Services has committed to co-sponsoringnext year’s symposium. Dates and location to be announced.
4,000 Plus Participants Join Wake Radiology Oncology Servicesto Raise Funds for Cancer Research400 Triangle survivors walk in Relay For Life eventsThousands of cancer survivors, care-givers, supporters and organizationteams joined Wake Radiology Oncology Services (WROS) during April andMay to raise approximately 600,000 for the American Cancer Society’s(ACS) Relay For Life events throughout the Triangle.In it’s ongoing role as the ACS Community Healthcare Outreach Partner,WROS sponsored teams, provided a participant information tent andrefreshments for survivor receptions. Wake Radiology Oncology Serviceswas honored to be a part of five Wake County events including the RaleighRelay April 21/22, Southern Wake County’s (Fuquay Varina/Holly Springs)Relay April 21/22, the Garner Relay April 28/29, Cary/Apex/Morrisville(CAM) on April 29/30, and the North Raleigh/Wake Forest Relay onMay 19/20.Each Relay For Life is a twenty-four hour celebration that begins with aninspirational twilight luminary candle ceremony honoring those who havesuffered from cancer. For the next 24 hours, teams, sponsored byorganizations and individuals walk the track wherever the particularevent is held.“Our commitment to the cancer community and the fight to save livesthrough research, prevention and advanced treatment never wavers,” saidDr. Andrew Kennedy, co-director for Wake Radiology Oncology Services.“We have come to know and deeply respect those dealing with cancer everyday at our radiation oncology center. Taking an integral role in the Relays isour way of both dedicating resources to the fight, and celebrating the lives ofthose who teach us the most about the disease – the survivors.”WROS will again assume the role of Community Healthcare OutreachPartner with the ACS for 2007 with planning already underway.
Advantages of Wake Radiology’sNew RIS/PACSScheduling – can be automatic, with the systemsearching for the first available slot, or manual.Benefits to the patient Tracking system makes sure that exams are performed in anefficient manner and that wait times are kept to a minimum.Patient registration – paper documents that needto be recorded, such as insurance cards or signedconsents, are scanned into the system. On second and subsequent visits, registration is sped up due toinformation and documents retained by the system from earlier visits.Patient tracking – powerful statistical reports allow us toimprove our workflow to reduce wait times.Clinical Information Capture and Display – The RISprovides for the capture of clinical information andthe display of this information to the caregivers.Exam Consultation – During exams, technologists andradiologists are able to confer while viewing the sameset of images taken so far.Exam Completion – Once an exam is completed,the resulting images are immediately available to theradiologist trained and experienced in specific areas.Radiologist Presentation – The RIS/PACS systempresents the radiologist with a rich tool set to reviewthe exam images.Electronic report review, signing and distribution –The moment it is electronically signed, if the referringphysician prefers, the report will be faxed immediately.Speech Recognition – (coming soon)Speech recognition allows for faster report turn-aroundtime since the radiologist can dictate, review, edit andsign the report in one session. Radiologist ability to manipulate images means fewer retakesand improved accuracy of diagnosis. Interpretation by radiologist with expertise in the sub-specialtymeans quicker and more accurate diagnoses. Electronic report review, signing and distribution means fasterdelivery of final reports to the referring physician. Provides ability to sit with the referring doctor and review imagesfrom the exam directly online (in place for Raleigh Neurologypatients, coming soon for others). More accurate billing.Benefits to the referring physician Ability to view reports online. Ability to review images online (in place for Raleigh Neurology,coming soon for others). This can be done while in conference with theradiologist or at anytime. Provision for image manipulation and the availability ofimages and reports for relevant priors makes this a powerfultool for communication with the radiologist or with the patient. Includes speedy method for viewing key images andannotations made by the radiologist. Ability to view history online for patients at Wake Radiology. Ability to view scheduling information for their patientswho are scheduled for future exams at WR offices. Improved report turn-around time. Email when online report is ready (coming soon).
Wake Radiology Advances the State of Information Systemsand Data ManagementGround Broken for New State-of-the-Art Data CenterConstruction has begun on Wake Radiology’s new 9,000 square footinformation technology facility at the practice’s existing administrative andbusiness office at 3949 Browning Place, Raleigh. Once completed, the newtwo-story IT facility will provide advanced information technology thatexpands the practice’s service and support for its referral clients and patients.The new 1,140 foot state-of-the-art centralized data center to be housedin the facility will include data processing equipment, containing diagnosticimages from all Wake Radiology facilities and some area hospitals.“We expect the data center to provide a robust and secure environmentfor data and imaging information,” said Ron Mitchell, Wake Radiology’sChief Information Officer. “This new data center will allow us tooperate in a filmless and paperless capacity.”Pictured from left, Robert Pullen, general contractor; Ron Mitchell,Wake Radiology’s Chief Information Officer; Dr. Robert Schaaf,Wake Radiology President and Managing Partner; Frank Gailor,owner of 3949 Browning Place, where Wake Radiology is located;George Bason, Sr. Vice President, Wachovia Bank; and DaveFisher, Area Vice President, Forsythe Solutions Group.“Today marks the result of an incredible amount of hard work,dedication and determination by many people who share a vision forWake Radiology’s future,” said Wake Radiology President andManaging Partner, Robert E. Schaaf, MD.Off-Site Film Storage & Electronic Film RequestsAll x-ray and MRI jackets are now being centralized to our state-of-the-art film and recordsstorage facility in Cary. We now require 24-48 hours to prepare film copies and CDs for patientpick up and courier delivery. Please plan ahead if you need film for a patient’s appointment.Three Ways to Request Patient Film:1. If you require film or a CD upon completion of a patient’s exam write “film(or CD) with patient” on the referral form2. Call the Wake Radiology Medical Records Hotline at 919-854-21793. Request film electronically by signing on to https://Online.WakeRadiology.comand click on the new “film request“ taba. You will need the following information when you request filmi. Patient Nameii. Date of Birthiii. Type of Examiv. Your name and phone numberv. If you are requesting film on a study your officedid not initially order, please also fax the patient’s signedmedical release to 919-859-0182https://Online.WakeRadiology.com also allows you to view your patient’s reportselectronically and to request Diagnostic and MRI referral pads as well asany of our patient information brochures.If you have questions concerning these changes or if your office needs a login forhttps://Online.WakeRadiology.com, please contact one of our Referral ServicesRepresentatives.Ceily DavisKim GurleyAmy Aldrich788-7907788-7908788-7909Lee DavisBritt York232-4638942-3196
Dr. David Mintz honored at UNC GraduationWake Radiology physician, Dr. David Mintz, was named the Dr. James H.Scatliff honoree by the 2006 radiology graduates at the University of NorthCarolina School of Medicine for his contribution to their education.Dr. Mintz has taught in the Radiologic Sciences Department at the UNC Schoolof Medicine since 2004. The award is presented annually by the graduatingclass in Radiologic Science to a radiology resident, fellow, or attendingphysician who best exemplifies the characteristics and philosophy ofDr. James H. Scatliff who was key in the creation of the Bachelor of Scienceprogram in Radiologic Sciences and was a staunch supporter of its growthand development over the years.WAKE RADIOLOGY LOCATIONSNORTH HILLS OFFICE:NORTHWEST RALEIGH OFFICE:ONCOLOGY SERVICES:3821 Merton DriveRaleigh, NC 27609919.787.7411fax 919.787.91548025 Creedmoor Road, #200Raleigh, NC 27613919.676.7575fax 919.676.7278300 Ashville Avenue, #110Cary, NC 27518919.854.4588fax 919.854.9950RALEIGH MRI CENTER:GARNER OFFICE:CHAPEL HILL OFFICE:300 Health Park Drive, #100Garner, NC 27529919.662.9500fax 919.662.2244110 S. Estes DriveChapel Hill, NC 27514919.942.3196fax 919.933.9925GARNER MRI:CHAPEL HILL MRI:3811 Merton DriveRaleigh, NC 27609919.782.7666fax 919.783.6330WEST RALEIGH OFFICE:4301 Lake Boone Trail, #103Raleigh, NC 27607919.781.6707fax 919.782.4782WEST RALEIGH MRI:4301 Lake Boone Trail, #104Raleigh, NC 27607919.787.0735fax 919.781.1535WEST RALEIGH MAMMOGRAPHY:4301 Lake Boone Trail, #100Raleigh, NC 27607919.781.6707fax 919.782.4782300 Health Park Drive, #100Garner, NC 27529919.662.9500fax 919.662.2244CARY OFFICE:300 Ashville Avenue, #100Cary, NC 27518919.233.5338fax 919.881.2894CARY INTERVENTIONAL RADIOLOGY:300 Ashville Avenue, #160Cary, NC 27518919.854.2180fax 919.852.1566110 S. Estes DriveChapel Hill, NC 27514919.942.5700fax 919.933.9925APEX OFFICE:1031 W. Williams Street., #102Apex, NC 27502919.387.7214fax 919.387.7216David Mintz, MD1.800.675.2232SCANNINGS is a publication ofWake Radiology, Wake RadiologyOncology Services and Raleigh MRIMEDICAL EDITORWilliam J. Vanarthos, MDWAKE RADIOLOGY MANAGING PARTNERRobert E. Schaaf, MDWAKE RADIOLOGY ADMINISTRATORWilliam H. JohnsonWAKE RADIOLOGY ADMINISTRATIVE OFFICE3949 Browning PlaceRaleigh, NC 27609REFERRAL SERVICESCeily wakeoncology.comwww.wakeinterventional.comPRSRT STDUS PostagePAIDPermit #1Raleigh, NC3949 Browning PlaceRaleigh, NC 27609
LYNDON K. JORDAN III, MD Medical School: Duke University, Durham, NC Radiology Residency: Duke University Hospital MSK Fellowship: Duke University Hospital Durham, NC RUSSELL C. WILSON, MD Medical School: Duke University, Durham, NC Radiology Residency: Brigham & Women's Hospital, Boston, MA MSK Fellowship: University of California SF, San .
