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A teaching hospital ofHravard Medical SchoolOctober 1, 2009Volume 1, Number 8Radical Views.from the Department of Radiology October 2009Mon3:00 - 4:00ED meeting [W ED annex] (checkwith Sheila Blalock 4-2506)Tues1:00 - 2:00MRI meeting (weekly)TCC-484REMINDER:RSNA participants: pleasenotrify (send your acceptanceletters to) Donna Wolfe forinclusion in the BIDMC programguide57:30-9:00Abdominal Conference (Tyagi)Wed11:00-12:00 MSK clinicalconference (weekly)Thurs17:30 - 8:15MSK Infection (Yablon)8:15 - 9:0012:00-1:00 (weekly)MSK Infection II (Yablon)Thoracic Imaging meetingGI Oncology/GU Oncology meeting 12:00 - 1:30Abd meeting (weekly) WCC-354Fri27:30 - 9:00 No Grand Rounds12:00 - 1:00No Resident Case ConferenceEVENT:3:45 - 6:45NERRS: Emergency Imaging12:00-1:00MSK meeting (weekly)67:30 - 8:15Biliary Interventions (Perry)8:15-9:00Radiology Conference (Reddy)10:30-11:30Nuc Med meeting (GZ-103)77:30 - 8:15Ultrasound Cases (Romero)8:30-9:00Brain Scintigraphy (Hill)87:30 - 8:15Advanced Stroke Imaging(Hackney)8:15 - 9:00Chest Conference (Romero)97:30-9:00 Grand Rounds: QA12:00 - 1:00Resident Case Conference (Rojas)[Clouse Conf Rm]12:00-1:00US section meeting bdominal Conference (Pedrosa)7:30 - 9:00Abdominal Conference(Raptopoulos)7:30 - 8:15Breast Conference: DiagnosticWork-up (Roberts-Klein)8:15-9:00Breast Cases (Roberts-Klein)10:30-11:30Nuc Med meeting (GZ-103)7:30 - 8:15IR Mgmt of Acute Bleeding(Collares)8:15-9:00Radiology Conference (Reddy)8:00 - 9:00IR meeting [West Recovery Rm]7:30 - 8:15Breast Conference: Distortion/Asymmetry (Shaheen)8:15-9:00Breast Cases( Shaheen)10:30-11:30Nuc Med meeting (GZ-103)7:30 - 8:15ICU Radiography (Spirn)8:15 - 9:00Cardiac Radiology (Paulin)7:30 - 8:15Ovarian Masses (McArdle)8:30-9:00Radiation Protection (Palmer)300-4:00 Mammo meeting[TCC-484]7:30 - 8:15ICU Radiography II (Spirn)8:15-9:00Chest Radiograph Interpretationsin Infants & Children (Visiitng Prof.Dr. Lee- TCH)7:30 - 8:15An Approach to Arthritis (Wu)8:15-9:00Arthritis Cases(Wu)7:30 - 8:15Sella (Bhadelia)8:15-9:00Vascular Diseases (non-stroke)(Rojas)7:30 - 8:15Radiology of the Hip (Hall)8:15 - 9:00MSK QA (Eisenberg & SeniorResident)Grand Rounds:7:30 - 8:00 CT & MR in Acute AorticDiseases (Litmanovich)8:00 - 9:00 Sven Paulin Lecture:Cardiac CT Angio: 5 years ofprogress at MUSC (Costello)12:00 - 1:00 Resident CaseConference (Peri) [Clouse Conf Rm]7:30 - 9:00 Chief Rounds12:00 - 1:00Resident Case Conference (Teich)[Clouse Conf Rm]7:30 - 9:00 Grand Rounds:State of the Department (Kruskal)12:00 - 1:00Resident Case Conference(Hackney) [Clouse Conf Rm]DEPARTMENTAL NEWS, AWARDS & HONORS New Radiology Faculty: Muneeb AhmedWith great pleasure we welcome Dr. Muneeb Ahmed back to our Radiology Department. Dr. Ahmed willjoin our Interventional Radiology Section on October 1. Dr. Ahmed received his undergraduate degreefrom The Aga Khan University Medical School in Karachi, Pakistan, after which he joined our departmenthere at BIDMC as a research fellow as part of our NCI-funded cancer imaging fellowship program. Dr.Ahmed completed his radiology residency at Beth Israel Deaconess Medical Center and was appointedChief Resident in 2007. He has recently completed his fellowship in Interventional Radiology at TheJohns Hopkins Hospital/School of Medicine in Baltimore. Under the excellent guidance of Nahum Goldberg, Muneedhas had an extremely successful academic career to date having published over 25 high impact articles in top-levelpeer-reviewed journals, as well as winning almost every award that the RSNA offers. Muneeb’s area of research expertisefocusses on enhancing intratumoral delivery of liposomal-vector-delivered chemotherapies with radiofrequency ablation,methodology that he has already successfully translated from his benchtop into clinical pracice. Many of you already knowMuneeb and it is with immense pleasure that I welcome Muneeb back to our department. -JBK Resident Award for Erica GuptaPlease join me in congratulating 2nd year resident, Erica Gupta, on being selected to participate in the 2009-10 RSNA/AUR/ARRS Introduction to Academic Radiology Program, to take place during the May 2 - May 7, 2010 ARRS AnnualMeeting in San Diego, California. Erica will receive a 1000 educational grant to join several top residents throughoutthe country in a week long course learning the importance of research in diagnostic radiology. I am sure this will be anenriching experience for her and we are proud for her to represent our department. - Jim Wu
Congratulation to the Graduating Class of the BIDMC School of Nuclear Medicine TechnologyThe 2nd graduating class from the BIDMC Schoolof Nuclear Medicine Technology was September30th 2009. 6 students graduated and all had someamazing accomplishments over the 13th program. Thegraduates are: Courtney Chochrek, Courtney Foster,Heather Hansen, Joseph Kukler, Russell Miranda, andJarred Trouve.This group was great at the New England chapter meetingin Hartford, CT, when they presented oral presentations.BUT, they did not stop there; they went to Toronto andcreated a name for BIDMC & themselves with an amazingjob with their projects/presentations at the national level! I had many techs and physicians from around the country thatheard the presentations come up to me and say that this group did an amazing job! Joseph Kukler won an award for bestoral presentation in the general nuclear medicine category.They have all submitted their work for publication in the JNMT—the prestige NM journal for technologists.Joseph was also the winner of a national scholarship award given by the SNM. Heather and Jarred were winners of theCardinal Health Awards for their work done for the national meeting. In addition to these accomplishments, everygraduate was awarded a travel scholarship to attend the national meeting in Toronto where they presented their researchprojects. 25 awards were given out and all 6 of our graduates received an award—this was out of approximately 80submissions.Finally, but certainly not last the most important thing, they all passed their boards last week! Congratulations!!!! Mentoring Meetings 2009-2010In Spetember, we introduced the formal mentoring meetings for the 2009-2010 academic year, to be held on Tuesdaysat noon, in general on the last Tuesday of the month, in the Kirstein Living room. As in prior years, the meetings will bemoderated by either Bob Lenkinski or Debbie Levine, with special guest speakers from Countway Library and from ourstatistician Long Ngo. The topics and dates are subject to /23/20103/30/20104/20/20105/25/20106/22/2010Ethics in Research I. Conflicts of Interest at the BIDMC and Harvard (RL)Your CV and CV notebook (DL)Ethics in Research II. Authorship Guidelines (RL)Basic statistics for the Radiologist (LN)Negotiating the IRB process (DL)Critical Thinking in Research (RL)Literature searches (Countway librarian, DL)Approaches to Experimental Design (LN)Using EndNote (Countway librarian, DL)Grantsmanship 101 (RL)Department of Radiology: A Leader in Improving Ergonomics in RadiologySince 1999, our radiology department has been at the forefront of the new “digital era” of ourspecialty, in which hardcopy films have been replaced by a film-less workstation environment.Although a PACS-based environment has clearly enhanced the efficiency and quality ofpatient care, it is associated with an increased of risk repetitive stress symptoms and injuriesfor our radiologists and technologists.Beginning in 2005, our department has worked closely with Occupational Health personnelto undertake several initiatives in order to identify the prevalence of repetitive stresssymptoms and injuries, to enhance awareness of ergonomic issues, and to improvethe ergonomic environment of our workplace. Because it is known that work-relatedmusculoskeletal complaints can be related to workstation set up, chair design and settings,monitor placement and other issues related to the computer workstation, new adjustable tables and chairs have beeninstalled in several reading rooms. Additionally, because an individual’s posture and positioning may contribute to repetitivestress symptoms and injuries, several training sessions and 2 educational Grand Rounds lecture were offered by OccupationalHealth personnel and Harvard School of Public Health faculty. A recent survey shows that these initiatives have had positivebenefits. For example, for radiologists who received ergonomic chairs, tables, or training, a perceived reduction in repetitivestress symptoms was reported by 80%, 70%, and 80% of respondents, respectively, for each of these initiatives. These findingswere shared with the radiology community at the 2007 RSNA meeting and were published in the Journal of the AmericanCollege of Radiology. We also presented data regarding the prevalence of repetitive stress symptoms among technologists atthe 2009 American Roentgen Ray Society meeting.Our departmental Ergonomics Team is led by Dr. Phil Boiselle and comprised of the following members: Dieter Affeln(Occupational Health), Ron Eisenberg (Radiology faculty), Dana Lagrotta (US technologist), Deb Levine (Radiology faculty), PhilPurvis (PACS), Kathleen Shillue (Occupational Health), Dan Siegal (Radiology resident), Bettina Siewert (Radiology faculty) andNancy Williams (administrative assistant).Our goals are to further improve the safety of our workplace environment by ensuring that all of our work areas areergonomically designed and by educating our staff regarding ergonomic principles. We are also currently working closely withspecialists from the Harvard School of Public Health to redesign the way in which radiologists interact with computers in orderto further enhance the safety of our workplace.
October Visiting Professor: Philip Costello, MD, FACRFriday, October 16 Grand Rounds 8:00 am Sherman Auditorium: Cardiac CT Angiography: 5 years of Progress at MUSCDr. Costello returns to BIDMC to present the 3rd Annual Sven Paulin Lecture. Dr. Costello is the Professor andChair of Radiology at the Medical University of South Carolina in Charleston. He completed his internshipat Hamilton Civic Hospitals, Hamilton, Ontario and a Radiology reisdency at the University of Toronto andToronto General Hospital, Canada. He joined the New England Deaconess Hospital in 1975 and becamethe Director of Computed Tomography and Pulmonary Radiology, rising to the rank of Associate Professor,Harvard Medical School in 1988. In 1996, he sojourned down under at the University of Adelaide, Australiafor two years where he served as Director of Radiology at the Queen Elizabeth Hospital. He returned to theUS as Chief of Chest Radiology at the University of Pittsburgh Medical Center but was lured back to Bostonto serve as Chief of Thoracic Radiology, Brigham & Women’s Hospital, where he rose to Professor of Radiology in 2003. He wasthe Principal Investigator for the American College of Radiology, Contemporary Screening for the Detection of Lung Cancer(National Lung Screening Trial) at Brigham and Women’s Hospital until 2004 when he accepted the position of Chairmanof Radiology at the Medical University of South Carolina in Charleston. Currently, he is the Chair of the Corporate RelationsCommittee, American Roentgen Ray Society and President of University Medical Associates, Medical University of SouthCarolina. He has authored 134 original papers and 33 review articles.Monthly Section Updates: Thoracic Imaging, Phillip Boiselle, MD, Section ChiefSection Overview and Clinical Activities:The Thoracic Imaging section is comprised of 7 full- and part-time staff and 1 fellow. Under the direction of Dr. Phil Boiselle,Section Chief, members of the division contribute collaboratively to its clinical, teaching, and research missions. Leadershipwithin the section is shared and includes the following roles: Dr. Alex Bankier, Director of Respiratory Functional Imaging,leads the research activities of the section; Dr. Paul Spirn is the QA officer of the section; Dr. Ron Eisenberg serves as theliason for resident QA projects; and Dr. Diana Litmanovich oversees resident education. Drs. Sven Paulin and Janneth Romeroalso contribute to these important functions, and Nancy Williams provides outstanding administrative support. The sectioninterprets more than 80,000 exams per year and is recognized for providing timely and expert interpretation of thoracicimaging studies with a service-oriented approach to referring clinicians, as evidenced by its participation in a variety ofmultidisciplinary conferences. Several of our faculty members also interpret studies for our community sites and/or for othersections.Teaching:The section takes pride in its educational activities, which span from local to international. The section holds a variety ofteaching conferences for residents and our fellow, Dr. David O’Donnell, including a biweekly radiology-pathology conference,a weekly interesting case conference, and regularly scheduled resident morning conferences. Several faculty members arerecipients and/or nominees for teaching awards for medical student and resident education. Most recently, Dr. Ron Eisenbergwas awarded the annual Norman Joffe Award by the radiology residents, and Dr. Paul Spirn was nominated for the HarvardMedical School teaching award. Faculty members also have several educational leadership roles. Dr. Bankier is Director ofthe Resident Scholar’s Track Program and Dr. Boiselle is Director of the Resident Mentoring Program. Regionally, Dr. Bankieris an Educational Co-Chair for the New England Roentgen Ray Society and Dr. Boiselle is immediate Past-President of thiseducational organization. Nationally, Dr. Boiselle is the Director of the Chest Refresher Course at RSNA. The section looksforward to increasing its international educational mission through visiting international fellowships and professorships.Section members have also lectured at a variety of meetings, including the RSNA, ARRS, and 2nd World Congress of ThoracicImaging. Section members have also served as lead authors or editors for several recently published and forthcomingtextbooks including Case Review: Thoracic Imaging, 2nd Ed (Boiselle), Clinical Imaging: An Atlas of Differential Diagnosis, 5thEd (Eisenberg), CT of the Airways (Boiselle), Imaging in Transplantation (Bankier), Medical Imaging: What You Need to Know(Eisenberg), and Thoracic Imaging: The Requisites, 2nd Ed. (Boiselle). The section has been recognized for its mentoring ofresidents and fellows in educational and research projects. Two resident project highlights of the past year were an RSNAeducational exhibit by resident James Kang (mentored by Drs. Eisenberg and Litmanovich) that was awarded the Cum Laudeaward and accepted for publication and an article by resident Jay Pahade (mentored by Dr. Boiselle) that was published inRadiographics in June 2009.Research:The section has a very active research division that is directed by Dr. Bankier, who runs a successful weekly researchmeeting that includes both didactic sessions and work-in-progress presentations. The section is currently involved in 3grant-funded studies, including the NCI/ACRIN-sponsored National Lung Screening Trial, the NIH-sponsored “CT Diagnosisof Tracheomalacia in COPD” trial, and a NIOSH-Liberty Mutual sponsored ergonomic study. Mary Millett Pollock, RN, playsan important role in the successful running of grant-funded research studies. The section also has plans for an industrysupported computer aided detection study in the near future. The section is a recognized leader in several areas ofinvestigation, including: airway imaging, emphysema, functional imaging, radiation dose reduction, imaging of pregnantpatients, and outcome/utilization studies. Section members have published numerous articles in highly regarded peerreviewed journals in the past year and have presented abstracts at the RSNA, ARRS, ECR, and 2nd World Congress of ThoracicImaging meetings. Several faculty members also play important editorial roles for several radiology journals, including Dr.Bankier as Deputy Editor of Radiology, Dr. Boiselle as Editor-in-Chief of the Journal of Thoracic Imaging, and Dr. Eisenberg asSpecial Consulting Editor for AJR.
Did you know. about the Hospital’s Secure File Transfer System?sectionThe Normal Did you know.ssagehas been preempted for a mer:from your Medical EditoThis is a great way to send and recieve large files via a secure server that will not clog your existing e-mail account.On the Caregroup Portal, type “secure filetransfer” in the Search box and click onthe link. At the User Login screen, typein your email address and ITS passwordand click Submit. Type in the recipient’se-mail address. If you use the directory tolook someone up, you will notice severaladdresses for each name. Make sure youuse the normal e-mail address with the8-letter convention otherwise, thereceiver may have problems accessingyour attachment. Click the Browsebutton to navigate to the file you wantto send - usually on the desktop. ClickOpen to upload it. You can upload upto 10 attachments but the best way tosend multiple files is to place them allin a folder and “zip” them. On a PC, thismeans right-clicking on the folder, click onSend To and click on Compressed (zipped)folder. You wil now have a new file onyour desktop with the same name as yourfolder but with .zip at the end. Uploadthis file onto the secure file transfer andyour folder full of files/images wil bedownloaded by your recipient in only oneclick!Did you know. is a monthly feature designed to keep us up to date on necessary and relevant policies. Please contactLynn Darrah, MSPT, MHA, Radiology Quality Management Team at ldarrah@bidmc.harvard.edu for more information.2009 Notable Publications from our Faculty Members [New citations in Blue]We do a monthly PubMed search for new BIDMC publications and may miss those in which your affiliation is not noted. If we missyour paper, please send the reference to dwolfe@bidmc.harvard.edu to be included in next month’s issue.Akram K, Parker JA, Donohoe K, Kolodny G. Role of single photonemission computed tomography/computed tomography in localizationof ectopic parathyroid adenoma: a pictorial case series and review of thecurrent literature. Clin Nucl Med. 2009 Aug;34(8):500-2.Brodoefel H, Burgstahler C, Heuschmid M, Reimann A, Khosa F, Kopp A,Schroeder S, Claussen C, Clouse M. Accuracy of dual-source CT in thecharacterization of non-calcified plaque: use of a colour-coded analysiscompared with virtual histology intravascular ultrasound. Br J Radiol 2009.Anderson SW, Kruskal JB, Kane RA. Benign hepatic tumors and iatrogenicpseudotumors. Radiographics 2009; 29:211-229.Brook OR, Beck-Razi N, Abadi S, Filatov J, Ilivitzki A, Litmanovich D, GaitiniD. Sonographic detection of pneumothorax by radiology residents as partof extended focused assessment with sonography for trauma. J UltrasoundMed. 2009 Jun;28(6):749-55.Appelbaum E, Kirtane AJ, Clark A, Pride YB, Gelfand EV, Harrigan CJ,Kissinger KV, Manning WJ, Gibson CM. Association of TIMI MyocardialPerfusion Grade and ST-segment resolution with cardiovascularmagnetic resonance measures of microvascular obstruction and infarctsize following ST-segment elevation myocardial infarction. J ThrombThrombolysis 2009; 27:123-129.Appelbaum E, Manning WJ. Science to practice: can the combination ofresting first-pass myocardial perfusion and late gadolinium-enhancedcardiovascular MR imaging help identify myocardial infarction resultingfrom coronary microembolization? Radiology 2009; 250:609-611.Appelbaum L, Kane RA, Kruskal JB, Romero J, Sosna J. Focal hepaticlesions: US-guided biopsy--lessons from review of cytologic andpathologic examination results. Radiology 2009; 250:453-458.Asch E, Levine D, Pedrosa I, Hecht JL, Kruskal J. Patterns ofMisinterpretation of Adnexal Masses on CT and MR i
from the Department of Radiology October 2009 Mon Tues Wed Thurs Fri 3:00 - 4:00 ED meeting [W ED annex] (check with Sheila Blalock 4-2506) REMINDER: RSNA participants: please notrify (send your acceptance letters to) Donna Wolfe for inclusion in the BIDMC program guide 1:00 - 2:00 MRI meeting (
