RSNA News

17 Pages·2011·6.45 MB·English

August 2011 Volume 21, Number 8
mage courtesy of North Shore University Hospital
I
From Antiques to Arachnids, CT Unravels
Ancient Secrets
also InsIde:
Neuroimaging Aids in Identifying
Early-onset Alzheimer Disease
CD-based Image Transfer Reduces
Utilization, Bolsters Case for
Web-based Sharing
90Y Radioembolization is Safe, Effective
Liver Cancer Treatment
See Chicago Sizzle During RSNA 2011
Register now for Rsna 2011 Courses at
RSNA2011.RSNA.org—see Page 24
august 2011 • Volume 21, NumbeR 8
edIToR
David M. Hovsepian, M.D.
For more than 20 years, RSNA News has provided high- R&e FoundaTIon
ConTRIbuTIng edIToR
quality, timely coverage of radiology research and education C. Leon Partain, M.D., Ph.D.
and critical issues facing the specialty, along with compre- exeCuTIve edIToRs
Lynn Tefft Hoff
hensive information about RSNA programs, products and
Marijo Millette
other member benefits.
ManagIng edIToR
Beth Burmahl
edIToRIal advIsoRs
Mark G. Watson
5 First impression
Executive Director
1 Announcements Roberta E. Arnold, M.A., M.H.P.E.
Assistant Executive Director
Publications and Communications
3 RSNA Board of Directors Report
edIToRIal boaRd
David M. Hovsepian, M.D.
WHERE THE FINEST IN 4 My Turn Chair
Colin P. Derdeyn, M.D.
7
Kavita Garg, M.D.
Features
SCIENCE, EDUCATION AND Radiological Society of North America Bruce G. Haffty, M.D.
97th Scientific Assembly and Annual Meeting 5 TeChnology ForUm: CD-based Image Transfer Reduces Nazia Jafri, M.D.
TECHNOLOGY CONVERGE. November 27 – December 2 Utilization, Bolsters Case for Web-based Sharing Bonnie N. Joe, M.D., Ph.D.
Edward Y. Lee, M.D., M.P.H.
McCormick Place, Chicago
7 90Y Radioembolization is Safe, Effective Liver Cancer Kerry M. Link, M.D.
Barry A. Siegel, M.D.
Treatment
9 Gary J. Whitman, M.D.
William T. Thorwarth Jr., M.D.
11 F rom Antiques to Arachnids, CT Unravels Ancient
• New sessions, including India Presents and special Board Liaison
Secrets
programming for residents, fellows and hospital gRaPhIC desIgneR
administrators. Adam Indyk
14 S ee Chicago Sizzle During RSNA 2011
ConTRIbuTIng WRITeRs
• Networking with professionals from more than Richard Dargan
radiology’s Future Mary Henderson
100 countries. 11
Amy Jenkins
9 Neuroimaging Aids in Identifying Early-onset Alzheimer Evonne Acevedo Johnson
• A technical exhibition featuring nearly 700 companies
Disease
2011 Rsna boaRd oF dIReCToRs
with the latest equipment and services in the medical
Sarah S. Donaldson, M.D.
industry. 18 R &E Foundation Donors Chair
N. Reed Dunnick, M.D.
Liaison for Science
• Numerous educational offerings to maintain your
14 news you Can use Ronald L. Arenson, M.D.
certification. This live activity has been approved for
Liaison for Annual Meeting
AMA PRA Category 1 Credit™. 20 Journal Highlights and Technology
Richard L. Baron, M.D.
21 R adiology in Public Focus Liaison for Education
William T. Thorwarth Jr., M.D.
23 Education and Funding Opportunities Liaison for Publications and
Course Communications
Richard L. Ehman, M.D.
24 Annual Meeting Watch
Liaison-designate for Science
Enrollment
Burton P. Drayer, M.D.
26 For Your Benefit President
Open
George S. Bisset III, M.D.
27 Residents & Fellows Corner President-elect and
Secretary-Treasurer
28 RSNA.org
FREE advance registration for RSNA and AAPM members.
Follow us for exclusive
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RSNA 2011 Meeting Ad Course.indd 1 6/16/11 2:53 PM
nFeirwSsT yiomup rcaeSn Suisoen
R&e FouNdAtioN ReceiVeS Numbers in Full-content Apps, mobile Access Available for Radiology
the News and RadioGraphics; RSNA News tablet app available
$1.5 millioN doNAtioN
Download Radiology and RadioGraphics from the App Store on iTunes to get full content,
6.066 experience rich image viewing and move easily within articles and references on your
the RSNA Research & education (R&e) Foundation has received
iPhone®, iPod touch® and iPad®. Not an Apple device user? Read the journals on our
a $1.5 million donation from the Ralph Schlaeger charitable Foun- mobile-optimized sites, m.radiology.rsna.org and m.radiographics.rsna.org.
dation, created by radiologist Ralph Schlaeger, m.d. (1921-2007). In addition, tablet PC users can now download the RSNA News tablet edition on the
impact factor for Radiology, accord-
Android Market or iTunes, or go directly to:
Dr. Schlaeger specialized in gastrointestinal radiology and was ing to the recently released 2010
• Android Market: market.android.com/details?id=air.org.rsna.rsnanews
a radiologist at Presbyterian Hospital and professor of radiology at Journal citation Reports® from the
• iTunes: itunes.apple.com/us/app/
Columbia University College of Physicians and Surgeons in New York thomson/institute for Scientific
information Annual citation. Read
for 51 years. Dr. Schlaeger was published in Radiology and presented
the latest statistics for both RSNA
at RSNA annual meetings. His obituary noted: “A lifelong bachelor, Dr.
journals on Page 21.
Schlaeger devoted his life to the practice and teaching of radiology.”
“Ralph was extremely well-respected,” said Philip O. Alderson, 24
M.D., former chair of radiology at Columbia University. “He was very
accommodating with clinicians and always took the time for courteous consultation,
which is too often missing from rushed healthcare practices today.”
median survival, in months, of
R&E Foundation Board of Trustees Chair Theresa C. McLoud, M.D., noted: “This
patients with neuroendocrine can-
truly remarkable gift will be a lasting tribute to Dr. Schlaeger’s passion for radiol-
cer whose liver metastases were
ogy and service to the profession. What greater gift could a radiologist leave, than to
treated with 90Y radioemboliza-
enable future generations to contribute to the research and educational endeavors in tion, according to a recent study.
this great specialty?” colorectal cancer patients survived
The endowment will be used to support R&E Research Seed, Fellow and Scholar an overall median of 9.4 months.
grants for young researchers beginning their careers in radiology. schlaeger learn more about 90Y radioembo-
lization—which researchers say is
well-tolerated as well as effective—
on Page 7.
QIBA Meeting Draws Record Attendance
49
The fourth annual Quantitative Imaging Biomarkers Alliance (QIBA) meeting drew a record number of
stakeholders from the clinical community, imaging equipment manufacturers, the pharmaceutical industry,
nIh honors Zerhouni
government agencies and medical informatics companies. Age, in millions of years, of a spider
The national Institutes of health (nIh) honored former nIh director elias a. Zerhouni, M.d., with
trapped inside a fossil, recently
More than 85 participants attended the • QIBA’s five Technical RSNA by the National an official portrait unveiled at a ceremony held in May in Washington, d.C. From left, dr. Zerhouni,
imaged with ct. turn to Page 11 to
meeting held in May in Washington, D.C. Committees worked Institute of Biomedical 2010 Rsna President hedvig hricak, M.d., Ph.d., dr. h.c., and current nIh director Francis s.
read more about how the evolution
Highlights included: in breakout sessions to Imaging and Bioengi- Collins, M.d., Ph.d. dr. Zerhouni received the Rsna gold Medal in 2010.
of technology—primarily in terms of
• Invited speakers from a number of gov- further develop QIBA neering. spatial resolution and speed—has
ernment agencies including the U.S. Profiles and/or conduct For more information established the role of ct in such aCR bestows honors
Food and Drug Administration (FDA)/ project planning for on QIBA and to access research as examining priceless
lawrence W. bassett, M.d., leonard berlin, M.d.,
Center for Devices and Radiological groundwork studies to provide the data the QIBA Quarterly newsletter, updates antiques and evaluating skeletal
and arl van Moore Jr., M.d., were awarded gold
Health and the FDA/Center for Drug needed to establish or reinforce Profile from Technical Committees and presenta- remains of prehistoric Australian
medals at the american College of Radiology’s
Evaluation and Research updated attend- claims. tions from the QIBA Annual Meeting, go aborigines.
(aCR) recent annual meeting in Washington, d.C.
ees on mechanisms for biomarker qualifi- • Technical Committee spokespeople to RSNA.org/Research/QIBA. 1,487 andreas adam, M.b.b.s., F.R.C.R, was named an
cation and progress made in the imaging provided updates on ongoing projects honorary fellow.
biomarker arena. funded from contract monies awarded to dr. bassett is the Iris Cantor Professor of
breast Imaging, david geffen school of Medicine
Number of emergency depart- at the university of California, los angeles. he
RSNA News Reader Satisfaction High, According to Survey
ment patient records analyzed by is a former RSNA News editorial board member
researchers studying whether cd
and a current member of Rsna’s Public Informa-
Respondents to a recent good.” One respondent ture articles on new technology, continu- import of outside examinations into
tion advisors network (PIan). dr. berlin is a bassett
RSNA News survey gave the noted, “I enjoy the two ing education and new research ranked PAcS decreased imaging utilization
professor of radiology at Rush university’s Col-
magazine high marks for its versions of the news. The highest among respondents. rates in the subsequent 24 hours.
lege of Medicine in Chicago and vice-chair of the
appearance, readability and electronic form allows me to The survey was sent between March Patients with successfully imported
department of Radiology at northshore university
quality of writing. More than email other members of our and July 2011 to 4,000 randomly selected cds had a 17 percent decrease in berlin
healthsystem, skokie hospital in Illinois. a for-
three-fourths of RSNA News department.” RSNA members. Of the 377 who imaging rates during the subse-
mer chair of Rsna’s Professionalism Committee,
quent 24 hours and a 16 percent
readers responding to a recent Journal Highlights and responded, almost 62 percent work in
decrease in subsequent ct scans, dr. berlin is a current PIan member. dr. Moore
survey rate the appearance Radiology in Public Focus, academic/teaching hospitals. Another 27 according to the study. Read more is president of Charlotte Radiology in Charlotte,
and readability as “excellent” featuring news from the percent work in community hospitals and on Page 5. n.C., a past aCR president and past member of
or “very good” and about 70 RSNA journals, are the most 8 percent in imaging centers. More RSNA Rsna’s Public Communications Committee.
percent similarly graded the frequently read sections of News survey outcomes, including how dr. adam is a professor of interventional ra-
quality of writing. the magazine, according to 2011 results compare to those from past diology at the university of london and honorary
Just over 60 percent of respondents the survey. Other frequently read sections surveys, will be published in an upcoming consultant radiologist at guy’s and st. Thomas’
rated the usefulness and navigation of are Announcements, annual meeting news issue of the magazine. hospital. dr. adam received Rsna honorary
RSNA News online as “excellent” or “very and updates from the RSNA website. Fea- membership in 2006. adam Moore
1 RSNA News | August 2011 August 2011 | RSNA News 2
nFeirwSsT y iomup craenS Suisoen
RSNA Board of Directors Report My Turn
Radiology Residency training: crucial elements to
At its June meeting, the RSNA Board of Directors approved the Society’s 2011-2012
meet today’s challenges
budget, continued planning for the annual meeting and committed RSNA’s expertise and
experience to a number of intersociety collaborations. To earn and maintain accreditation from the ACOs from the Centers for Medicare future radiologists must be prepared to
the Accreditation Council for Graduate & Medicaid Services for meeting cost and take active and leading roles. A proper
Abstract Submission Strong for ogy/diagnostic radiology dual icaid Services (CMS) as part Medical Education (ACGME), residency quality targets. foundation, established during residency
rSnA 2011 certificate from ABR. of the 2009 American Rein- programs must demonstrate compliance The need for radiologists to assume training, is crucial to the success of the
with a broad range of requirements span- leadership roles in these new organiza- specialty.
Planning continues for RSNA 2011, with The Society also continues vestment and Recovery Act.
ning from the institutional level to medical tions cannot be over-emphasized. Given
the RSNA Scientific Program Commit- its contributions to the Image RSNA will collaborate with
specialties and beyond. Programs are the central function of imaging services Jannette Collins, M.D., M.Ed.,
tee and its subcommittees choosing from Wisely campaign. Task force the research firm KLAS on a
granted leeway in how they may fulfill in healthcare, radiologists are the natu- is the Ben Felson Professor
the more than 12,000 abstracts submitted members from RSNA, the joint survey regarding criteria and Chair of Radiology and a
these requirements and much is not stan- ral choice to manage an ACO’s imaging
this year to design the meeting program. American College of Radiol- to be used in developing reg- professor of medicine at the
Among the new offerings is the Pediatric ogy, the American Association ulations on meaningful use in dardized. enterprise and the information technology University of Cincinnati Col-
Campus, a special area of McCormick of Physicists in Medicine radiology practice. A random Traditionally, core residency train- infrastructure that supports it. Promot- lege of Medicine. Dr. Collins
ing for radiology has focused on clinical ing safety, quality and best practices also is a member of the RSNA
Place which will house all refresher and the American Society sample of RSNA members Education Council and chairs
content and procedural skills in nine falls within that mission.
courses, scientific papers and presentations of Radiologic Technologists will be included in the survey. the Grant Program Commit-
subspecialty areas, but many programs In the current fee-for-service environ-
in the pediatric subspecialty. More details have developed criteria for tee and the Medical Student
will be available in the Pocket Guide and an Image Wisely-compliant rSnA publications have begun to include nontraditional con- ment, these unpaid services are viewed Grant Review Panel of the RSNA Research &
Meeting Program. practice. The criteria—cover- Capitalize on new media tent in an attempt to fulfill the goal of the as a distraction from the “real work” of Education Foundation.
sarah s. donaldson, M.d. ACGME’s six core competencies. image interpretation. In order to receive
With RSNA 2012 already on the ing such areas as CT dose Chairman, 2011 RSNA board Look for RSNA on the cut- especially for residents: The new Residents and
horizon, RSNA has announced that the optimization and reduction of directors ting edge as the Society brings A new challenge to radiology educa- a share of an ACO’s revenues in com- Fellows Symposium at RSNA 2011 will feature
abstract submission deadline will be March methodologies and consulta- its publications to readers in tion is preparing for the proposed addition pensation for managerial and administra- such topics as where and when to look for a job
31 again next year. tion with referring practitioners—will be ever-expanding formats. Radiology and to the healthcare delivery system of what tive duties, radiologists will need to be and how to analyze different types of job offers.
Washington policy makers are calling involved in negotiating employment con- Learn more and register at RSNA.org/register.
published later this year. The Image Wisely RadioGraphics are now available as mobile
Collaborations Strengthen radiology campaign, launched in 2010 to increase websites and as full-text apps available on “accountable care organizations” (ACOs). tracts with hospitals, participate in their For information on RSNA’s recent Resident and
education, policy awareness of radiation issues in adult the App Store. A multimedia mobile ver- These new groups will be charged hospital’s medical staff governance and be Fellows Committee meeting, see Residents &
RSNA will sponsor a session on pediatric medical imaging, is now widening its focus sion of RSNA News, known as the RSNA with the care of defined populations of knowledgeable about business practices. Fellows Corner on Page 27.
patients. The promise is that there will Success in the new ACO environment
cardiovascular imaging and additional to include nuclear medicine procedures. News tablet edition, made its debut with
be a return of any shared savings back to will require a huge cultural shift and
speakers at the 27th International Con- After this year’s successful inaugural the July issue and can be downloaded from
gress of Radiology (ICR), to be held in “Cancer Imaging and Radiation Therapy” the App Store and Android Market.
conjunction with the 42nd Sao Paulo symposium emphasizing the interaction RSNA journals also continue to reach In MeMoRIaM: In MeMoRIaM:
Radiological Meeting, May 3-6, 2012, in between diagnostic radiology and radiation more readers worldwide. Selected articles Rosalyn s. Yalow, Ph.d. Renan P. uflacker, M.d.
Sao Paulo, Brazil. oncology, RSNA and the American Society from Radiology are now available in Chi- Rosalyn s. Yalow, Ph.d., a medical physicist who was only Renan P. uflacker, M.d., known worldwide for his
RSNA is now a sponsor of the Commis- for Radiation Oncology have agreed to nese and from RadioGraphics in German. the second woman to receive the nobel Prize in Medicine, died accomplishments in interventional radiology, died
sion on Accreditation of Medical Physics offer another symposium in 2013. In addition, Radiology will now offer spe- May 30, 2011. she was 89. at her death, she June 12, 2011. he was 62.
Educational Programs (CAMPEP). In cial collections, beginning with a volume was senior medical investigator emeritus at born in Porto alegre, brazil, dr.
addition, RSNA has expressed its sup- meaningful Use a hot Topic on lung nodules in January 2012. The spe- the James J. Peters va Medical Center in the uflacker attended medical school
port to the American Board of Radiology RSNA is helping to define radiology’s cial collections will be available online in bronx and the solomon a. berson distinguished and residency in his native country
(ABR) for a combined training program response to federal meaningful use policy, print-on-demand and e-book formats. Professor-at-large at Mount sinai school of and completed interventional radi-
leading to a primary interventional radiol- issued by Centers for Medicare & Med- Medicine in new York. ology fellowships in oslo, norway,
r&e Foundation Celebrates In the 1950s dr. Yalow co-discovered the and Pittsburgh. after practicing
The RSNA R&E Foundation is pleased radioimmunoassay, “which brought a revolution radiology in brazil, dr. uflacker
to report its fifth straight year of $1 mil- in biological and medical research,” the Karolin- joined the faculty of the depart-
lion in individual donations, allowing the ska Institute said in awarding her the nobel Prize in Physiology ment of Radiology at the Medical university of south
or Medicine in 1977. dr. Yalow was also noted for overcoming Carolina (MusC) in 1993, where he remained a pro-
Foundation to ever expand its efforts to
numerous rejections to break into the male-dominated medical fessor and director of vascular and Interventional
support the next generation of radiologic
physics field. among dr. Yalow’s career accomplishments was Radiology until his death. Credited with transform-
science and education.
using the radioimmunoassay to determine that people with Type ing the division of interventional radiology at MusC
2 diabetes produced more insulin than non-diabetics, providing into a major national center, dr. uflacker conducted
This is a busy and productive time of year
early evidence that an inability to use insulin caused the disease. pioneering research in the areas of liver disease,
for the RSNA Board of Directors. We
dr. Yalow was elected to the national academy of sciences in portal hypertension, peripheral vascular disease,
are pleased to offer new programs, col-
1975 and received the albert lasker Medical Research award in aneurysms and interventional oncology, and held
laborations and opportunities to Society
1976. Rsna awarded her its gold Medal in 1994. multiple patents for medical devices.
members.
Sarah S. DonalDSon, M.D. RSNA News leTTeRs To The RePRInTs and adveRTIsIng
Chairman, 2011 RSNA Board of August 2011 • Volume 21, Number 8 Postmaster: Send address correction Contents of RSNA News copy- edIToR PeRMIssIons [email protected]
Directors PSoucbileitsyh eodf mNoorntthh lAy mbye rtihcae, RInacd.i o logical “Ochakan Bgreos”o kto, :I LR S6N05A2 N3-e2w2s5, 1820 Jorie Blvd., risi gah rteegdi s©te2re0d1 1tr, aRdSemNaAr.k RoSf NthAe [email protected] gfa x p1e-r6m30is-s5io7n1s-@78rs2n9a .org J1i-m63 D0-r5e7w1, -D78ir1e9ctor
820 Jorie Blvd., Oak Brook, IL Non-member subscription rate is $20 per Radiological Society of North subsCRIPTIons 1-630-590-7724 fax Rsna MeMbeRshIP
60523-2251. Printed in the USA. year; $10 of active members’ dues is allo- America, Inc. [email protected] 1-877-rsna-mem
cated to a subscription of RSNA News. 1-888-600-0064
Rsna continues its contribution to the Image Wisely campaign launched at Rsna 2010. 1-630-590-7770
3 RSNA News | August 2011 August 2011 | RSNA News 4
nFeeAwTsU yroeu can use
CD-based image Transfer reduces Utilization,
Bolsters Case for Web-based Sharing
CDs not only offer patients access to prior imaging studies but also may decrease
subsequent imaging utilization, according to new research published in Radiology.
driving the adoption of standards-based interop-
erability to improve patient care through innova-
tion, standards profiling, testing, education and
While healthcare is moving toward Internet- collaboration is the mission of the Integrating the
based solutions for image sharing and universal healthcare enterprise (Ihe®), which holds its an-
electronic health records (EHR)—a primary goal nual north american connectathon (shown here)
of federal meaningful use provisions as well as the —a weeklong interoperability testing event—each
year in Chicago.
RSNA/National Institutes of Health/National Insti-
tute of Biomedical Imaging Technology
and Bioengineering (NIBIB) Forum “This is an important lesson as we design and “Direct Internet sharing negates the need to
Image Sharing Project—the implement Internet-based solutions intended to rely on physical media—the CD,” Dr. Mendel- Web exTRas
For more information on in-
data contained on CDs will provide valuable insight provide a seamless workflow,” Dr. Mendelson said. son said. “Thus, problems created by defective teroperability in health systems—
during the lengthy transition process, experts say. “It is essential that we encourage the adoption of CDs and needing to have the media in your and to discover free software
“The reality is that, until we have fairly robust a set of standards not only for image and report possession should disappear, resulting in a more tools and templates to improve
transfer networks or image repositories in place, content such as DICOM3 and HL7, but also for streamlined workflow.” care at your institution—visit
RSNA.org/Informatics.
we’re likely to be dealing with CDs for many more transmission protocols.” That said, CDs aren’t disappearing anytime
To access the Radiology study,
years,” said Aaron Sodickson, M.D., Ph.D., director soon, noted Drs. Mendelson and Sodickson.
“Outside Imaging in Emergency
of emergency radiology at Brigham and Women’s rSnA oversees image Sharing network Observing existing standards like those Department Transfer Patients:
Hospital in Boston and lead author of “Outside That is the goal of RSNA’s Image Sharing Project, defined by IHE can improve their usefulness in CD Import Reduces Rates of
Imaging in Emergency Department Transfer created in 2009 through a $4.7 million contract healthcare facilities in the meantime, they said. Subsequent Imaging Utilization,”
Patients: CD Import Reduces Rates of Subsequent sodickson Mendelson with NIBIB to build a secure, patient-centric medi- “Ultimately, implementing universal elec- go to RSNA.org/Radiology.
Imaging Utilization,” published in the April 2011 cal imaging sharing network based on a common tronic medical records, image repositories or Access the PowerPoint
presentations “Outside Imag-
issue of Radiology. “There are vendors working on CD import solu- open-standards architecture. robust image transfer networks would stream-
ing in Emergency Department
Dr. Sodickson serves on the Emergency Radiol- tions that decode those proprietary formats and convert RSNA is overseeing development of a Web-based line image transfer between various sites, Transfers” presented by by Aaron
ogy Subcommittee of the RSNA Scientific Program them to DICOM to be imported into PACS,” he said. network for sharing images and reports at five aca- obviating the need to send CDs with transfer Sodickson, M.D., Ph.D., at RSNA
Committee. “I think our 78 percent success rate could be a lot demic institutions. Patients will control access to patients,” Dr. Sodickson said. “However, CDs 2010, and “Image Sharing: 2011
Review and Update,” presented
higher using some of the new software tools out there.” their information through personal health records will likely remain the prevalent means of
by David S. Mendelson, M.D., at
Data Transfer reduces Unnecessary Tests The 22 percent failed import rate reflected in Dr. (PHRs), said Dr. Mendelson, chief investigator for image transfer for the foreseeable future.”  the 2011 Integrating the Health-
Dr. Sodickson and colleagues reviewed the medical Sodickson’s research is testament to the relatively slow the project. He also serves on the RSNA Radiology care Enterprise (IHE) Connec-
records of 1,487 consecutive emergency department pace of standards adoption in medical institutions—a Informatics Committee (RIC), chairs the RIC sub- tathon, at rsnanews.RSNA.org.
patients to identify whether CD import of outside gradually changing scenario that once fully embraced, committee for Integrating the Healthcare Enterprise
examinations into PACS decreased imaging utiliza- will change the face of healthcare, said David S. Men- (IHE®) and serves on the RIC subcommittee for
LEARN “WHAT THE REFERRING PHYSICIAN
tion rates in the subsequent 24 hours. Data imports delson, M.D., chief of clinical informatics at Mount Structured Reporting.
were successful for 78 percent of patients. As for Sinai Medical Center in New York. “RSNA Image Sharing will allow patients to take NEEDS TO kNOW”
cases that could not be imported, “sometimes the “While Dr. Sodickson and colleagues dealt with control of their medical imaging information and
CD was just not functional, but more commonly issues specific to the use of CDs as a sharing mecha- securely share it via an internet-based network,” Dr. Radiologists looking to strengthen their relationships with referring physi-
the data were in a non-standard, proprietary for- nism, their observations can help us understand how to Mendelson said. cians won’t want to miss RSNA 2011 course Rc316, “What the Referring
mat,” Dr. Sodickson said. optimize image sharing and its benefits in the Internet Investigators are now recruiting patients to use Physician Needs to Know.” this panel discussion will help attendees
Patients with successfully imported CDs had a 17 era,” Dr. Mendelson said. In the interim, he said, work- the network, which employs profiles created by understand:
percent decrease in imaging rates during the subse- ing toward better interoperability between systems and IHE, an initiative among medical leaders, software • What referring physicians need from radi-
quent 24 hours (2.7 versus 3.3 exams per patient) software will improve communication across healthcare developers, societies and vendors to improve com- ologists at various stages of patient care
and a 16 percent decrease (1.2 versus 1.4 scans per sites, no matter what transfer method is used. munication between healthcare equipment, systems • Referring physicians’ preferences in
patient) in subsequent CT scans, results showed. and software. communication methods
“CDs are the most commonly available tool for “ The reality is, that until we have “Use of IHE profiles is essential in defining the • Referring physicians’ needs regarding structured reporting and appro-
image sharing and are one of the most important standards that make exchange accessible to all in a priateness criteria
components of the patient handoff during transfers fairly robust transfer networks safe, secure fashion at a reasonable cost,” Dr. Men- • How to improve communications and work more effectively with refer-
between hospitals. Access to the contained imaging delson said. ring physicians to enhance patient care
exams allows us to reduce unnecessary and redun-
or image repositories in place, • Opportunities to improve/expand interactions with referring physicians
dant imaging,” Dr. Sodickson said. CDs a necessary Conduit
the course is sponsored by the RSNA Public information commit-
While the RSNA project focuses on patient control
Universal Standards will optimize we’re likely to be dealing with of image distribution through PHRs, the underly- tee (Pic) and the discussion will be moderated by Pic chair mary c.
mahoney, m.d. Panelists: are mary mulcahy, m.d., oncologist; Jeffrey
image Sharing ing technology applies to other forms of data shar-
Graff, m.d., emergency department physician; and Jory Natkin, d.o.,
While those findings are promising, universal adop- CDs for many more years.” ing such as health information exchange (HIE)
family practice physician.
tion of the Digital Imaging and Communications in and point-to-point solutions when these methods
the course is scheduled for tues., Nov. 29, 8:30–10:00 a.m. course
Medicine (DICOM) standard would improve data Aaron Sodickson, M.D., Ph.D. are appropriate for data exchange, Dr. Mendelson
enrollment for RSNA 2011 is under way at RSNA.org/register.
transfer rates, Dr. Sodickson said. noted.
5 RSNA News | August 2011 August 2011 | RSNA News 6
nFeeAwTsU yroeu can use
90Y Radioembolization is Safe,
Effective Liver Cancer Treatment
Yttrium 90 radioembolization—infusing yttrium 90 (90Y) microspheres through a catheter
into the hepatic artery—is safe, well tolerated and may slow disease progression in
patients with inoperable liver cancer who are not responding to chemotherapy, according
to research presented recently at the society of Interventional Radiology (sIR) 2011
annual scientific Meeting.
90Y radioembolization takes advantage of the fact
that liver tumors get most of their blood supply
from the hepatic artery, while the liver draws the
majority of its blood from the portal vein, said lead
researcher Riad Salem, M.D., M.B.A., a professor of
radiology and director of interventional oncology at
Northwestern University in Chicago.
“The microspheres blanket the tumors,” said Dr.
Salem, who began studying radioembolization with
Yttrium 90 radioembolization—infusing yttrium 90 (90Y) microspheres through a catheter into
TheraSpheres—glass-coated microbeads loaded with the hepatic artery—is considered one of the best methods for treating metastatic disease in
90Y—in 1999, after the FDA approved the proce- the liver when chemotherapy has failed, according to researcher Riad salem, M.d., M.b.a., of
dure. “And because they concentrate at the tumors, northwestern university in Chicago. Above: dr. salem’s colleague, Richard Chen, d.o., leads
there is limited damage to surrounding normal the interventional radiology team during a procedure at northwestern. Left: a PowerPoint
tissue.” slide by dr. salem details Therasphere therapy, in which millions of microscopic, radioactive
glass microspheres are infused into the arteries that feed liver tumors.
Survival rates are promising
Dr. Salem and colleagues studied 151 patients,
salem Wertman
average age 63 years, with metastatic cancer that
had spread to their livers and was resistant to
chemotherapy. Between 2006 and 2010, patients
underwent two 90Y radioembolization treatment “It’s an angiography-intense procedure,” said Dr. At IUSM, Dr. Wertman and colleagues found that 90Y radio-
RSNA/ESR ONCOLOGY SYMPOSIUM
sessions, five weeks apart. Each patient received Wertman, who has performed more than 100 90Y embolization staves off liver failure and improve patients’ quality
OFFERED AT RSNA 2011
approximately 120 gy and researchers tracked their radioembolization procedures since joining IUSM in of life. The technique is also useful in improving the condition of
progress every 90 days for nine months and every October 2006. “It’s important to block off any acces- patients waiting for liver transplants and even cures some small
back to the annual meeting for its second year
six months thereafter. sory branches arising from the hepatic arteries that tumors, Dr. Wertman said.
Ninety-six percent of the adverse events related to could cause non-target injury.” “Right now, 90Y radioembolization is the best method for treat- is essentials in oncologic imaging: What Radi-
the treatment were mild and included fatigue, pain Most importantly, radioembolization offers new ing metastatic disease in the liver when chemotherapy has failed,” ologists Need to Know, presented jointly by
and hyperbilirubinemia. There were no unexpected hope for patients facing a bleak prognosis, experts say. Dr. Wertman said. “There have been a number RSNA and the european Society of Radiology
major adverse events. Survival among patients Aggressive surgery is often the first treatment option for of prospective trials with 90Y radioemboliza- Web exTRas on Weds., Nov. 30. Sessions are:
varied depending on where the cancer originated; liver cancer, but only 10 to 20 percent of hepatocellular tion and we can say that this treatment is safe To view a video of Riad
colorectal cancer patients survived an overall median carcinomas—the most common type of liver cancer— and effective in a high enough percentage of Salem, M.D., M.B.A., presenting • Principles of Oncologic Imaging and
the PowerPoint, “Safety, Re- Reporting
of 9.4 months, whereas those with neuroendocrine can be removed completely with surgery, according to patients that it is worth performing. Of all the
sponse and Survival Outcomes
tumors fared better, with a median survival of 24 the National Institutes of Health. If the cancer can- embolization techniques, this appears to be the of 90Y Microsphere Radioem- • Lung Cancers (Primary, Metastases)
months. not be completely removed, the disease is usually fatal least toxic with the fewest side effects.” bolization for Liver Metastases: • Lymphoma
“The definition of ‘cure’ varies,” Dr. Salem said. within three to six months. Results from a 151 Patient In- • Kidney Cancer
vestigational Device Exemption
“But we have seen many patients in other studies Further Studies Under Way
Multi-Institutional Study,” at the • Ovarian Cancer
survive longer than five years and research has also “ Right now, 90Y radioemboli- “I see a future role for this treatment in com- recent Society of Interventional
• Prostate Cancer
shown lengthy periods of time-to-disease-progres- bination with systemic agents, such as the oral Radiology annual meeting, go
sion.” zation is the best method for drug sorafenib used to treat hepatocellular to rsnanews.RSNA.org. • Colon Cancer
carcinoma,” added Dr. Salem. “When we use • Liver Cancer
Treatment Can Stave off liver Failure treating metastatic disease in them in combination, we may see better response rates, longer • Chemo and Radiation Therapy-induced
Detailed treatment planning is important to the times to progression and improved survival.”
toxicity
success of 90Y radioembolization, according to Dan- Dr. Salem is continuing his research through EPOCH and
the liver when chemotherapy • MSK
iel E. Wertman Jr., M.D., co-chief of interventional STOP-HCC, international, multicenter phase III studies that
radiology and an assistant professor of clinical radi- use 90Y in combination with other standards of care. EPOCH is • Pancreatic Cancer
ology at the Indiana University School of Medicine has failed.” focused on metastatic colon cancer in the liver, while STOP-HCC enrollment for RSNA 2011 courses
(IUSM) in Indianapolis. Using CT to determine is a primary liver cancer trial.  is under way at
tumor volume and angiography to assess the blood Daniel E. Wertman Jr., M.D. RSNA.org/register.
supply to the tumor is essential, Dr. Wertman said.
7 RSNA News | August 2011 August 2011 | RSNA News 8
nreAwDsio ylooug cya’Sn FuUsTeUre
neaerulryo-iomnasgeitn Agl zAhiedism iner i dDeisnetiafysieng mages courtesy of Patrick J. Peller, M.D.
I
New research and recently updated diagnostic guidelines make it clear that neuro-
imaging will play an increasingly critical role in battling Alzheimer disease (AD),
particularly in its early stages.
“Traditionally, our role as radiologists has been
early alzheimer disease (ad). Mild alzheimer disease (ad).
quite limited in evaluating dementia, using MR or
This image of a 52-year-old male with a tenth-grade education depicts a This image of a 62-year-old male college professor depicts mild cogni-
CT to rule out uncommon, potentially treatable
normal MR of the brain but mild cognitive impairment. PeT images dem- tive impairment. MR imaging demonstrates mild generalized atrophy. PeT
causes such as mass lesions, subdural hematomas
onstrate minor temporoparietal hypometabolism. Quantitative PeT images demonstrates a bilateral temporoparietal hypometabolism, worse on the left
or normal pressure hydrocephalus,” said Jeffrey R. demonstrate mild posterior cingulate gyrus hypometabolism indicative of than on the right. notably, this patient’s symptoms are very similar to those
Petrella, M.D., an associate professor of radiology early ad. of the 52-year-old patient, but his PeT reveals a more severe disease .
and director of the Alzheimer’s Disease Imaging
Research Laboratory at Duke University School of
Medicine in Durham, N.C. “Now, imaging is at the
hub of Alzheimer’s research.” mr may identify Cognitive Decline memory decline with a high degree of accuracy. ALzHEIMER DISEASE
For the first time in 27 years, clinical diagnos- Two recently published studies demonstrated that They analyzed volumes across a number IS SUBJECT OF
tic criteria for AD have been revised and research MR also may aid in identifying biomarkers of of regions in the temporal and parietal lobes.
ANNUAL ORATION
guidelines for earlier stages of the disease have been cognitive decline. Twenty-five of the 149 subjects (17 percent)
characterized to reflect a deeper understanding of the In the first study, published in the April 2011 experienced significant memory decline. A com- AT RSNA 2011
disorder. In April, the National Institute on Aging issue of Neurology, researchers at Massachusetts puter model incorporating eight brain regions
Jeffrey R. Petrella, m.d.,
and the Alzheimer’s Association issued new clini- General Hospital in Boston determined that thin- enabled researchers to discriminate between cog-
cal diagnostic criteria and research guidelines that ning brain areas associated with AD may serve as nitively normal people and subjects with memory will present the Annual
reflect three distinct disease stages: pre-clinical AD, a biomarker for cognitive decline. They found the decline with 81 percent accuracy. oration in diagnostic Radi-
Petrella hodge
mild-cognitive impairment (MCI) due to AD and risk of developing AD was three times greater for Findings illuminated how interaction between ology, “Neuroimaging and
dementia due to AD. The guidelines will establish a individuals for whom areas of the cerebral cortex these brain regions may play a key role in mem-
the Search for a cure for
framework for eventually adding biomarker bench- more severe hypo-metabolism and greater brain associated with AD in previous studies were thin- ory loss.
marks to the diagnosis of AD in all of its stages. (See pathology. nest, compared to those with above-average thick- “Previous models have Alzheimer disease,” on
Web Extras) “Our research indicates that higher education ness. included regions of the brain tuesday, Nov. 29, at RSNA
“The new guidelines recognize that Alzheimer’s decreases the expression of symptoms in early-onset Their technique was to use MR to measure as isolated variables,” said lead 2011. two of dr. Petrella’s
has a protracted pathophysiologic course in the AD adults just as it does in late-onset AD,” said Dr. cortical thickness in two groups of 32 cognitively author Gloria C. Chiang,
early studies, “fmRi Assess-
brain, following a continuum from a preclinical to Peller, a consultant in Mayo Clinic’s Department of normal adults in their late 60s and 70s, scanning M.D., a radiology resident at
ment of Frontal lobe
prodromal to dementia phase,” Dr. Petrella said. Radiology. 10 brain regions to produce a composite cortical UCSF. “Our study showed
FDG-PET is also leading researchers to new bio- thickness score. that volume loss in multiple dysfunction in Alzheimer
“Cognitive reserve” identified in markers for all phases of AD. For example, quantita- In the first group, eight adults were diagnosed regions that may be intercon- disease” and “fmRi in
Chiang
early-onset AD tion of FDG-PET can detect very mild decreases in with AD at an average of 11.1 years later; in the nected had a greater impact
early Alzheimer disease,”
In findings presented at the 2011 American Roent- glucose uptake, Dr. Peller said. second group, seven adults developed AD after an on memory decline. We found that automated
were funded by the RSNA
gen Ray Society Annual Meeting, researchers at the “Quantitation allows us to compare a patient to a average of 7.1 years. In both groups, the scores of temporal and parietal volumes identified those at
Mayo Clinic in Rochester, Minn., used PET/CT normal cohort so that abnormalities are more con- the adults who went on to develop AD were .2 risk for future memory decline with high accu- Research & education
to help identify cognitive reserve in early-onset AD spicuous,” Dr. Peller said. “It allows the radiologist mm lower than the adults who remained cogni- racy.” Foundation.
patients. to report that a patient is, for example, three stan- tively normal. Adults with low cortical thickness
Previous studies have shown that the higher a dard deviations below the mean, which adds to the parameters characteristic of AD developed the dis- neuroimaging Critical in Treating AD
patient’s education level, the longer a patient is degree of certainty.” ease at a rate of 55 percent, compared to 0 percent By identifying individuals at risk for cognitive Web exTRas
able to forestall the symptoms of AD. Mayo Clinic rate among the adults in the study with higher- decline, neuroimaging techniques will become To access the research cited in this
researchers Jacob R. Hodge, M.D., Patrick J. Peller, “ If we can identify Alzheimer than-average cortical thickness. integral to the search for effective therapies to article, go to rsnanews.RSNA.org.
M.D., and Christopher H. Hunt, M.D., used fluo- “By focusing on cortical regions known to be stop or slow the progression of AD and other To hear a Podcast discussion
of the Radiology study, “Identifying
rine 18 fluorodeoxyglucose (FDG)-PET to deter- with certainty earlier in the affected in AD dementia, subtle but reliable atro- dementias, experts say.
Cognitively Healthy Elderly Individuals
mine whether patients with early-onset AD, a more phy is identifiable in asymptomatic individuals “Radiologists play a huge role in identify- with Subsequent Memory Decline by
aggressive subset of the disease, demonstrate the disease process, there is oppor- nearly a decade before dementia, making this mea- ing enriched populations for clinical trials,” Dr. Using Automated MR Temporoparietal
“cognitive reserve” associated with highly educated sure a potentially important imaging biomarker of Petrella said. Volumes,” moderated by Radiology Edi-
AD patients. The study comprised 91 patients under early neurodegeneration,” researchers concluded. “If we can identify Alzheimer’s with certainty tor Herbert Y. kressel, M.D., and Deputy
tunity for disease modification Editor David F. kallmes, M.D., go to
65 and is the first to use imaging to investigate cog- In the second study, published in the June 2011 earlier in the disease process, there is opportunity RSNA.org/Radiology.
nitive reserve in this subset of patients. issue of Radiology, a University of California, San for disease modification or ameliorating treat-
or ameliorating treatment.”
PET confirmed that adults with higher education, Francisco (UCSF) study of 149 healthy elderly ment,” Dr. Peller added. 
when matched with a less-educated control group people found that automated brain volume mea-
with the same clinical severity of disease, showed Patrick J. Peller, M.D. surements on MR imaging could predict future
9 RSNA News | August 2011 August 2011 | RSNA News 10
From nFeeAWATSU yrnoeU CtAni USqe ues to Arachnids, torTy hme uspseiudmer,, hwoaus sterda pinp etdh ein Bsiedreli nfo Nssialtiuzerdal aHmibs-er mages courtesy of Marc Ghysels, M.D.
I
resin, barely visible under a microscope. Working
with colleagues in Germany, researchers imaged
CT Unravels Ancient Secrets
the spider using phase contrast and conventional
attenuation contrast to better examine low-contrast
features. Results were published in the April 2011
edition of Naturwissenschaften.
long before there was lady gaga, there lived lady gautseshenu—a young woman born
“Phase contrast is an interference effect based on
to a prominent family of egyptian priests more than 2,600 years ago. the shift in phase of the X-rays as they pass through
an object,” said Robert Bradley, a research associate
at the Henry Moseley Facility, who imaged the fossil
When she died as a teenager, her family took great
along with doctoral student Andrew McNeil. “Phase
care to bury her remains in a beautifully painted
contrast is an exciting development, making CT
cartonnage—or coffin—housed at the Brooklyn
suitable for new applications including soft tissue,
Museum since 1934. Recently, researchers began
polymers, insects, wood, graphite as well as fossils in
to unravel details of Lady Gautseshenu’s life using
amber.”
a tool that would have astounded even the greatest
Researchers, who determined that the amber
minds in ancient Egypt: 3DCT.
fossil is a member of the living genus of Hunts-
Rivaling the photo frenzy created by modern-day
man spiders, were astonished by the level of detail
Lady G., physicians at North Shore University Hos-
revealed by CT, said David Penney, Ph.D., a visiting
pital in Manhasset, N.Y., took more than 10,000
scientist with Manchester’s Faculty of Life Sciences
images of Lady Gautseshenu using 64-slice multi-
Laboratory.
ghysels
detector CT (MDCT) that afforded an incredible
“Several people have tried CT scanning of fossils
level of detail.
in amber, but none have recovered details like this,”
Without disturbing the delicate remains,
Dr. Penney said. “Until now, I had only seen images
researchers determined that Lady Gautseshenu was
of this quality from synchrotron scans.”
at least 16 years old and stood about 4 feet 6 inches
Along with documenting the oldest Huntsman
tall. Her body showed signs of osteoarthritis in the
spider on record, researchers created a short film
pelvis and backbone, her brain and other internal
revealing all of the astounding details (See Web
organs were removed and her heart and lungs were
Extras).
in place. Her teeth were in pristine condition.
“Personally I find the spider’s 5 micron-sized
The level of detail did not surprise researchers,
“hairs” striking,” Dr. Withers said.
who say CT has yet to scratch the surface in terms
Penney Withers
of unlocking secrets of ancient relics. Scans See inside Antiques
“Evaluation of relics using CT scanning is rapidly
A growing fascination with MDCT and 3D imag-
becoming the norm, because it allows researchers to
ing led interventional radiologist Marc Ghysels,
analyze the objects without touching or damaging “Ten microns was state-of-the-art 10 years ago; now
M.D., to establish a private radiology practice in
them in any way,” said project researcher Amgad 50 nanometers is possible,” said Philip Withers, Ph.D.,
Brussels where he analyzes antiquities from various
N. Makaryus, M.D., director of echocardiography, who in 2009 established the Henry Moseley X-ray
cultures. Specialists around the world rely on Dr.
cardiac CT and MR imaging at North Shore Uni- Imaging Facility at Manchester University, U.K. “Each
Ghysels radiology skills and knowledge to authenti-
versity Hospital. tomograph contains more than a thousand individual
cate antiquities.
projections taken at different observation angles. This
“CT scanning is an absolutely non-destructive
CT reveals Astonishing Details of takes time in the lab. Using synchrotron X-rays, we can
test that has the advantage of describing the inner
Ancient Spider collect thousands of radiographs in a second, creating
state of the object, examined this time as a whole,”
CT has come a long way since the late Derek 3D movies at three images per second.”
said Dr. Ghysels, who comes from a family of art-
Harwood-Nash, M.B., Ch.B., D.Sc., published the
ists, art historians and collectors.
first article on his use of CT to study an Egyptian “ The noninvasive evaluation Dr. Ghysels lends his expertise to develop meth-
mummy in 1979. Since then, CT has been used
ods to create artwork and expose forgeries designed
for everything from examining priceless antiques to
of these relics will become to deceive collectors. Among its capabilities, CT can
evaluating skeletal remains of prehistoric Australian
reveal an object’s contents, determine how the piece
aborigines to creating a stunning 3D image of a
was made and expose the nature and extent of resto-
49-million-year-old spider trapped inside a fossil. more common and even the
ration work—often revealing forgeries.
The evolution of CT technology—primarily in
Materials that respond well to CT include wood,
terms of spatial resolution and speed—has fueled norm as it allows for their ivory, bone and terra cotta. In one instance, a CT
such research.
scan of a terracotta sculpture from China’s Tang
evaluation without invading Dynasty (A.D. 618-907) revealed that metal, glue Marc ghysels, M.d., uses his radiology skills and knowledge to analyze antiqui-
on The CoveR
and resin were used to assemble terracotta pieces of ties from various cultures. Top: a CT scan of a Yaka figurine collected in the
north shore university hospital
researcher amgad Makaryus, or damaging them.” varying density and that the head had been carved Congo “was not designed to dissipate doubts about its authenticity but to shed
from plaster. The sculpture was a modern construc- light on its very structure and try to pierce the secrets of its inner life when it
M.d., center, and CT staff mem-
tion created with old materials, Dr. Ghysels said. first came into being,” dr. ghysels said. Middle: CT slices and 3d reconstruction
bers Joann aydin (left) and Karen
lisk examine the 2,600-year-old Amgad N. Makaryus, M.D. (See Web Extras). of a burmese ivory stupa reveal a standing statue of buddha; bottom: The CT
scan of Peruvian whistling bottles highlights one of the many innovations devel-
lady gauteseshenu mummy from
Continued on next page oped by ancient Peruvian potters during a more than 3,000-year period.
the brooklyn Museum.
11 RSNA News | August 2011 August 2011 | RSNA News 12
FeATUre
See Chicago Sizzle During RSNA 2011
brimming with vitality year-round, chicago simply sparkles during the holiday season with a
full spectrum of festivities sure to please everyone attending RSNA 2011. below, our annual
roster of chicago events includes our insider’s Guide to chicago’s best deals featuring the
many free activities available in the Windy city.
Museums
art Institute of Chicago
Renowned for its impressionist and
Post-impressionist collection RSNA TouR
as well as its depression-era American
paintings, the Art institute boasts a 260,000
piece-collection representing 5,000 years of
art from around the globe. don’t miss the
a radiograph of a 49-million-year-old spider trapped inside a fossil
recently opened modern Wing, which
(above) was among the CT images captured by researchers at the
henry Moseley x-ray Imaging Facility at Manchester university, exhibits early 20th century european Art.
u.K. Researchers, who used phase contrast and conventional at- the special winter exhibition is Bertrand Explore the world of sea jellies at the Shedd Aquarium’s Jellies exhibit.
tenuation contrast to better examine low-contrast features, were Goldberg: Architecture of Invention.
astonished by the level of detail (right) revealed by CT. “Person-
• 111 S. michigan Ave.
ally, I find the spider’s 5-micron-sized ‘hairs’ striking,” said Philip smith Museum of shedd aquarium
1-877-307-4242
Withers, Ph.d. stained glass Windows the world’s largest indoor marine animal
www.artic.edu
Images courtesy of Andrew McNeil/Henry Moseley X-ray Imaging Facility, Manches-
ter University, U.k. www.ticketmaster.com When visiting Navy Pier, enjoy the largest facility offers an array of exhibits from
collection of tiffany stained glass windows, adorable sea otters to vicious piranhas and
Field Museum of natural history
which are displayed along the interior public allows visitors the chance to pet a sea star.
upon entering, visitors will encounter Sue,
walkway at the east end of the pier building. the popular dolphin and beluga whale show
the world’s largest and most complete
the collection contains more than 150 takes place in the oceanarium amphitheater
tyrannosaurus Rex fossil. the natural
stained glass works by artists such as louis and sharks can be found in the Wild Reef. A
history museum has something for
comfort tiffany and Frank lloyd Wright. temporary exhibit, Jellies, demonstrates how
everyone from taxidermy animals and
Admission is free and public tours are sea jellies hunt and grow exponentially.
Continued from previous page said. “On a slightly smaller scale, we examined a Web exTRas dioramas to egyptian mummies and a offered on most thursdays at 2 p.m. • 1200 S. lake Shore dr.
Along with authenticating artwork, Dr. Ghysels, Tyranousaurus Rex brain case.” To view the video, memorable dinosaur exhibit. Stop by this • 600 e. Grand Ave. (Navy Pier) 1-312-939-2438
whose awards from RSNA include the 2004 Excel- CT scanning of ancient relics even offers poten- “Huntsman Spider in Baltic year’s special exhibits Chocolate: Around the 1-312-595-7437 www.sheddaquarium.org
lence in Design Award for his exhibit, “CT in Art tial for modern-day medicine. In research presented Amber Imaged Using Phase World and Abbott Hall of Conservation www.navypier.com
Contrast X-Ray Tomogra- adler Planetarium
Work Appraisal,” uses CT to shed new light on the at the 2010 meeting of the North American Society phy,” by Andrew McNeil at Restoring Earth.
work of artists whose secrets were buried with them. for Cardiovascular Imaging, Dr. Markaryus and col- the Henry Moseley X-Ray • 1400 S. lake Shore dr. Museum of Contemporary art A National Historic Landmark, the Adler
“As a radiologist, my goal is to make the piece leagues used 64 MDCT to study atherosclerosis in Imaging Facility, Univer- 1-312-922-9410 the largest museum of contemporary art in opened in 1930 and is the world’s oldest
‘speak’ from its internal content and then to inter- five mummies. This research disclosed that, despite sity of Manchester, go to www.fieldmuseum.org the world, the mcA displays a variety of planetarium. A variety of astronomical
rsnanews.RSNA.org.
pret these messages/signs/anomalies ... to decide if primarily vegetarian diets, non-sedentary lifestyles Post-World War ii art including paintings, adventures await visitors, from visiting the
For more information on
they are consistent with the original piece and its and no tobacco use, “Egyptian remains still showed
the Henry Moseley X-ray RSNA Tours & Events sculptures, photographs and video installa- restored Gemini 12 spacecraft to landing the
natural history over the centuries,” he said. evidence of often significant vessel calcification,
Imaging Facility at Man- tions. in its history, the museum has hosted lunar module simulator on the face of the
indicating that vascular disease is not a modern phe- chester University, U.k., go RSNA is sponsoring a noteworthy and controversial exhibits moon. Planetarium shows play continuously
potential of CT is Boundless nomenon but a product of the interplay between to xray-imaging.org.uk. series of tours and events
including christo’s first u.S. building wrap; throughout the day in three theaters.
Where will the ever-expanding capabilities of CT human genetic predisposition and environmental To view the six-stage during RSNA 2011. The
lead? The possibilities are endless, investigators say. factors.” video progression of the RSNA Tours & Events Andres Serrano’s work with statuettes • 1300 S. lake Shore dr.
“It is opening up a whole new world,” Dr. Pen- The technology may even help unravel more C“WTo smcaannn Pinlagy pinrgo ctheses F oluf te,” brochure is available at submerged in urine, milk or blood; and 1-312-922-7827
ney said. “Fossils that would have been considered complex mysteries of the heritage of life on earth, a terracotta sculpture RSNA2011.RSNA.org/ Tours and Events Robert mapplethorpe’s The Perfect Moment. www.adlerplanetarium.org
of no real scientific value—because they are pre- experts say. from the Tang Dynasty, attendees/tours_and_ Advance Registration Deadline – November 4 this winter, mcA will feature three Peggy notebaert nature Museum
served in ways that obscure important features—can “Because of CT, we can expect to see a greater Crshniannae, w61s8.R-9S0N7A A.o.rDg.., Mgoa rtko events.cfm. R97atdhio Slocgieicnatilfi Sco Acsiesteym obf lNy oarntdh AAnmneuraicl aM eetingNMocvCeomrmbeicrk 2 P7l a–c De,e Ccehmicabgeor 2 RSNA2011.RSNA.org special exhibits—Iain Baxter&: Works the Notebaert welcomes children of all
now be examined in fine detail.” And not just the incorporation of paleontological data in neontologi- Ghysels, M.D., detected Please look for the RSNA Tour icon next to 1959-2009; MCA Screen: David Hartt; and ages to explore nature in unusual and
external appearance. “We can also see internal cal studies in coming years, which may help refine some 50 disparate ter- Ron Terada: Being There.
event listings in this article, innovative ways. Permanent exhibits include
details of preserved fossils,” he added. our understanding of the evolutionary tree of life on racotta elements assembled RSNA TouR
Researchers at the Moseley X-ray Imaging Facility earth,” Dr. Penney said.  by means of glue, resin and signifying that a pre-arranged • 220 e. chicago Ave. The Birds of Chicago, Extreme Green House,
continue to create 3D images of ancient objects of metal pins. RSNA package is available. Enroll for tours 1-312-280-2660 Istock Family Look-in Animal Lab, Judy
and events online when registering for the www.mcachicago.org
all sizes. “The biggest fossil was encased in over a Istock Butterfly Haven, Mysteries of the
annual meeting or while adding courses.
ton of rock and was meters in length,” Dr. Withers Continued on next page
1133 RRSSNNAA NNeewwss || AAuugguusstt 22001111 August 2011 | RSNA News 14
Millennium Park Ice Rink nuns and also serves as a wry introduction Family
"Boris Gudunov" will be performed at
the mccormick tribune Plaza & ice Rink is to catholicism.
located just off michigan Avenue in the • Royal George theatre Performances the Lyric Opera of Chicago.
shadow of the Cloud Gate RSNA TouR 1641 N. Halsted St.
1-312-988-9000 a Christmas Carol
sculpture, affectionately called “the bean.”
the Park Grill’s windows look out on the www.ticketmaster.com For more than 30 years, the Goodman
rink. Skating is free and skate rental is Memphis theatre has presented this timeless dickens
available. A story of forbidden love in RSNA TouR classic during the holiday season.
• east side of michigan Avenue between the underground clubs of memphis in the • G oodman theatre
Washington and madison streets ‘50s comes alive through song and dance. 170 N. dearborn St.
1-312-742-1168 1-312-443-3800
• cadillac Palace theatre
www.millenniumpark.org www.goodman-theatre.org
151 W. Randolph St.
The blue Man group
daley bicentennial Plaza Ice Rink 1-312-902-1400
www.ticketmaster.com A vibrant event blending flashing lights,
located across millennium Park’s snake-
comedy, loud music—and yes, blue men—
like bP Pedestrian bridge is a secluded ice Penelope
for one unique experience. Shows are
A U-505 German submarine is among the one-of-a-kind exhibits at rink with far fewer skaters than the A modern take on the competition among
unique to each city. children under five not
the Museum of Science and Industry. well-known millennium Park rink. the Penelope’s suitors during odysseus’ long
admitted.
facility offers free skating, skate rental and a absence.
• briar Street theatre
Continued from previous page warming building. • Steppenwolf theatre 3133 N. Halsted
Marsh, Nature’s LunchBox, RiverWorks, • 1601 N. clark St. • South side of east Randolph Street between 1650 N. Halsted Ave. 1-773-348-4000
Water Lab and the Wilderness Walk. Visitors 1-312-642-4600 columbus drive and lake Shore drive 1-312-335-1650 www.blueman.com
seven years of age and younger are invited www.chicagohs.org 1-312-742-7650 www.steppenwolf.org www.ticketmaster.com
www.chicagoparkdistrict.com
to enjoy the Hands-on Habitat. dusable Museum of african The Pitmen Painters Junie b. Jones in Jingle bells,
• 2430 N. cannon dr. american history Theater Lee Hall, the gifted writer who brought us batman smells!
1-773-755-5100 billy elliott, is once again working his magic
A special museum dedicated to collecting this emerald city theater adaptation is
www.chias.org on the story of miners in Northern england.
and preserving the history of African ann: an affectionate Portrait of appropriate for children of all ages.
Museum of science and Industry Americans, this nearly 50-year-old ann Richards • timeline theatre • the Apollo theater Davis with Raymond Aceto, Stefan Margita
615 W. Wellington Ave.
the only remaining building from the 1893 institution is the first of its kind in the u.S. 2540 N. lincoln Ave. and Andrea Silvestrelli.
emmy®-award winning actress Holland 1-773-281-8463
World’s columbian exposition, the museum it features exhibits on salient historical 1-773-935-6100 • 20 N. Wacker dr.
taylor brings this texas icon to life. www.timelinetheatre.com
is packed with one-of-a-kind exhibits: one topics such as civil rights as well as work www.emeraldcitytheatre.com 1-312-332-2244 x5600
• bank of America theatre
of two u-505 German RSNA TouR by African-American artists. The second City www.lyricopera.org
24 W. Randolph St.
submarines captured during World War ii; a • 740 east 56th Pl. 1-312-902-1400 Second city is the comedic training ground Symphony and Chicago symphony orchestra
realistic coal mine; the multilevel Science of 1-773-947-0600 www.ticketmaster.com for many of today’s favorite comedians. Opera dec. 1, 2 & 3
Storms exhibit, complete with a vapor www.dusablemuseum.org Shows are scheduled on both the main
elizabeth Rex Conductor: Jaap van Zweden
tornado and tsunami tank; and the Henry lincoln Park Conservatory Stage and the smaller etc stage, combining Program: Stucky: Rhapsodies for Orchestra;
this tale of love and death centers on lyric opera of Chicago
crown Space center featuring Apollo 8. A short comedy sketches and improvisation.
built in the late 1800s, the conservatory Mozart: Bassoon Concerto; Mahler:
temporary exhibit, Smart Home: Green + Queen elizabeth’s interlude with a cocktails and food are served during the historic and renovated art-deco civic
originally provided visitors a chance to view Symphony No. 1
Wired, demonstrates a sustainable “green” Shakespearean actor the night before performances. Opera House is the perfect setting to see
exotic plants, while growing most of the • 220 S. michigan Ave.
home. Annual seasonal exhibits include the specialized horticulture for chicago’s parks. beheading her assumed lover, the earl of • main Stage and etc stage the renowned lyric opera of chicago. Free 1-312-294-3000
Christmas Around the World and Holidays today, visitors can stroll among the four essex, for treason. 1616 N. Wells St. lectures are offered one hour before every www.cso.org
of Light. • chicago Shakespeare theater 1-312-337-3992 performance. tickets go on sale Aug. 1.
• 57th St. and lake Shore dr. display houses: Fern Room, Orchid House, 800 e Grand Ave. www.secondcity.com Productions include: Symphony tours also include RSNA TouR
Palm House and Show House, where the 1-312-595-5600 Vienna boys choir and mahler.
1-773-684-1414 christmas show is hosted. www.chicagoshakes.com Tommy gun’s garage Ariadne auf naxos
www.msichicago.org Nov. 28 and dec. 2 Continued on next page
• 2391 N. Stockton dr. this interactive dinner theatre set in the
[U505Submarine] home “tragedy surrounded by comedy” is one
1-312-742-7736 Roaring twenties features Prohibition-era Enjoy the rich history of the Chicago
Chicago history Museum www.chicagoparkdistrict.com Set during the turbulent ‘60s and ‘70s, gangsters and flappers in a musical comedy way to describe this clever RSNA TouR
Home was originally performed by the production staring larger than life charac- Symphony Orchestra.
this collection dates from 1856, approxi- show.
garfield Park Conservatory
Negro ensemble company. ters. By Richard Strauss; Conductor: Sir
mately 25 years after the founding of • tommy Gun’s Garage
chicago, and was started with the intent to enjoy the holiday flower show in one of the • court theatre 2114 S. Wabash St. Andrew Davis with Anna Christy, Alice
help to research and interpret the city’s world’s largest gardens under glass, built at 5535 S. ellis Ave. 1-312-225-0273 Coote, Brandon Jovanovich and Deborah
history. the museum helps bring to life the turn of the last century. the conserva- 1-773-753-4472 www.tommygunsgarage.com Voigt.
tory is famous for its prairie waterfall set www.courttheatre.org
many aspects of chicago’s past, including Boris godunov
among stone and water landscapes.
the Great chicago Fire of 1871, the rise of late nite Catechism Nov. 29
• 300 N. central Park Ave.
chicago’s chinatown and the life and times this witty performance examining the baby enjoy the grandiose tale of a tormented
1-312-746-5100
of Abraham lincoln. details on neighbor- boomer parochial school experience is a Russian czar who must RSNA TouR
www.garfield-conservatory.org
hood tours, lectures, performances and longtime favorite among those taught by persevere during the worst of times. By
events are available on the website. Modest Mussorgsky; Conductor: Sir Andrew
15 RSNA News | August 2011 August 2011 | RSNA News 16