Applied Radiology
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* Current State and Future of Dose Management In Fluoroscopically-Guided Interventions
Released: November 28, 2014 Expires: November 28, 2016 CE credits: 1 Cost: $0.00
Faculty: Daniel R. Bednarek, PhD, FAAPM, Christopher J. Petit, MD
15630

The use of radiation in diagnosing and treating patients has significantly advanced the field of medicine and saved countless lives. However, its use is not without risk. Radiation safety is an ongoing area of research in radiology and interventional radiology. This Expert Forum seeks to share insight from two respected physicians on the “Current and Future State of Dose Management in Fluoroscopic-Guided Interventions”.

Following completion of this program, audience members will be able to:

  • Identify patients and procedure types which are at risk of higher dosages of radiation exposure.
  • Implement multiple laboratory measures on a case-by-case basis to reduce radiation.
  • Implement several patient positional maneuvers to reduce radiation dose.

This Program Has Been Supported Through An Unrestricted Educational Grant from Toshiba America Medical Systems.

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* Contrast Delivery Strategies in Cardiovascular Imaging
Released: October 21, 2014 Expires: November 20, 2016 CE credits: 1 Cost: $0.00
Faculty: Dominik Fleischmann, MD, Lior Molvin, RT, CT, MBA
15623

Modern CT scanning has become increasingly complicated with several new technologies readily available. At Stanford Hospital and Clinics, Director of CT and Chief of Cardiovascular Imaging, Dominik Fleischmann, MD utilizes a simplified approach to contrast delivery, utilizing high concentration contrast media, and intuitive physiology based injection protocols. Lior Molvin, RT(R) is a CT Technologist in charge of protocol development and optimization at Stanford Healthcare he joins Dr. Fleischmann.

Stanford Healthcare delivers exceptional image quality that’s geared towards patient safety. The injector system plays a major role; with its availability of dual head syringe to add a saline bolus, the ability to detect extravasations, and also the ability to store protocols. Less known is the ability to aggregate injection data that can be extracted and used to better understand operational procedures, identify variances, and create reports. A modern power injector is an essential component of the state-of-the art CT Suite. This Expert Forum shows the relationship between patient physiology and contrast media, as well as demonstrate a practical approach to CT imaging utilized by Stanford Healthcare.

Following completion of this program, audience members will be able to:

  • Understand Scan Protocols
  • Describe Injection Protocols

This Program Has Been Supported Through An Unrestricted Educational Grant from Bracco Diagnostics, Inc..

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* Utilization of MR Contrast in Body Imaging Applications
Released: October 21, 2014 Expires: October 20, 2016 CE credits: 1 Cost: $0.00
Faculty: Richard Semelka, Lawrence N. Tanenbuam, MD, FACR
15620

In this third of a four (4) part educational webcast series, we hear from Dr. Richard Semelka from the University of North Carolina who shares his clinical experience using a variety of MR contrast agents in body imaging applications. In addition, he reviews the results of a double-blinded study that evaluated the use of various agents and shares his thoughts on the results.

Following his lecture, Dr. Lawrence N. Tanenbaum joins Dr. Semelka in a live (previously recorded) panel discussion moderated by Applied Radiology where questions from the audience were encouraged.

Following completion of this program, audience members will be able to:

  • Understand the conditional and kinetic stability of various GBCA's.
  • Describe the continued concern of gadolinium deposition.
  • Understand the rationale for choosing a particular agent based on patient circumstances.

This activity has been supported through an unrestricted educational grant from Guerbet, LLC..

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* Utilization of MRI-Based Contrast Agents In The Pediatric Patient
Released: September 22, 2014 Expires: September 21, 2016 CE credits: 1 Cost: $0.00
Faculty: Alexander J. Towbin, MD, Lawrence N. Tanenbuam, MD, FACR
15553

In this second of a four (4) part educational webcast series we hear from Dr. Alexander Towbin from Cincinnati Children's Hospital, who discusses the use of MR contrast agents in routine pediatric imaging of the chest, abdomen, and pelvis. In addition, Dr. Towbin addresses the pros and cons of various MR contrast agents and show examples of their use in clinical practice.

Following his lecture, Dr. Lawrence N. Tanenbaum joins Dr. Towbin in a panel discussion moderated by Applied Radiology where questions from the audience are addressed.

Following completion of this program, audience members will be able to:

  • Understand the unique considerations for MR contrast agents in children.
  • Understand my experience with GBCA in kids.

This activity has been supported through an unrestricted educational grant from Guerbet, LLC..

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* Nephrogenic Systemic Fibrosis (NSF) Update: Fact Versus Theory
Released: July 17, 2014 Expires: July 16, 2016 CE credits: 1 Cost: $0.00
Faculty: Assorted Faculty
15399

In this first of a four (4) part educational webcast series we will hear from Dr. Emanuel Kanal from the University of Pittsburgh Medical Center who will share his experience and knowledge on MR Safety as it relates Nephrogenic Systemic Fibrosis (NSF) in Gadolinium Based Contrast Agents (GCBAs.

In this lecture, Dr. Kanal reviews the available gadolinium based contrast agents (GCBAs), their chemical properties and discusses how their design can impact their clinical utility and safety in various clinical applications.

Following his lecture, Dr. Lawrence N. Tanenbaum joins Dr. Kanal in a live panel discussion moderated by Applied Radiology where questions from the audience are answered.

Following completion of this program, audience members will be able to:

  • Understand the transmetallation theory and how administration of GBCA might result in the subsequent development of NSF in patients with significantly impaired renal function.
  • Understand various clinical and empiric epidemiological observations that appear inconsistent with or even at odds with the theory of transmetallation.
  • Understand other possible rationale(s) to explain the apparent discrepant clinical findings with the theory of transmetallation and NSF development.

This activity has been supported through an unrestricted educational grant from Guerbet, LLC..

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Advanced Abdominal CT Protocols & Workflow Enhancement
Released: December 13, 2013 Expires: November 30, 2015 CE credits: 1 Cost: $0.00
Faculty: Rendon C. Nelson, M.D.
15250

In this webinar, Dr. Rendon C. Nelson will look at protocol development for MDCT of the abdomen and pelvis. The presentation will include a comprehensive discussion of all the elements that comprise a protocol including the technical parameters for the CT scanner, the use of intravenous and oral contrast media, and radiation dose considerations.

Upon completion, attendees will be able to:

  • Understand the principles involved in body CT protocol development relative to the scanner.
  • Understand the principles involved in body CT protocol development relative to the delivery of intravenous and oral contrast material.
  • Identify opportunities for reducing the radiation dose during CT scanning of the abdomen and pelvis.

This activity has been supported through an unrestricted educational grant from Bracco.

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Advanced Cardiac CT Protocols & Contrast Enhancement Tools
Released: December 13, 2013 Expires: November 30, 2015 CE credits: 1 Cost: $0.00
Faculty: Frank J. Rybicki, M.D., Ph.D.
15251

In this activity, Dr. Frank J. Rybicki will discuss contrast enhancement in blood flow CT and how contrast kinetics and the delivery and enhancement of contrast in CTA plays a critical role in the generation and interpretation of high quality CTA images. In addition Dr. Rybicki will share his contrast enhanced CT protocols

Upon completion, attendees will be able to:

  • Review the principles of CT Angiography, with particular attention to the delivery of iodinated contrast material.
  • Understand the principles of contrast opacification in the interpretation of CT angiography.
  • Illustrate iodinated contrast material data and its use in image interpretation.

This activity has been supported through an unrestricted educational grant from Bracco.

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Advances in Neuro & Body MRI Imaging at Higher Field Strengths
Released: December 01, 2013 Expires: December 01, 2015 CE credits: 1 Cost: $0.00
Faculty: Assorted Faculty
15249

In recent years, radiology departments across the nation have increased their utilization of 3 tesla MRI imaging for routine clinical care. This Expert Forum will detail the advantages of high field strength MRI and explore recent advances in 3T imaging. We will discuss possible disadvantages of imaging at 3T and what we can do as radiology professionals to mitigate these limitations.

3T MRI demonstrates a clear clinical impact. For instance, the number of demyelinating plaques detected in patients with multiple sclerosis are increased at 3 tesla. Today’s newer magnets are also capable of acquiring motion resistant sequences and thinner slices with higher imaging matrices, which significantly improve quality in body imaging. These and many more examples will be discussed in this Expert Forum Webinar.

Upon completion, attendees will be able to:

  • Understand the advantages and disadvantages of imaging at 3T.
  • Incorporate the advances in neuroimaging at 3T into their practice.
  • Incorporate the advances in body imaging at 3T into their practice.

This activity has been supported through an unrestricted educational grant from Toshiba.

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Advances In Neuro MRI: What's In Your Neuro Tool Box? (CME)
Released: April 15, 2014 Expires: April 15, 2015 CE credits: 1 Cost: $0.00
Faculty: Applied Radiology
15321

Neuroimaging offers a variety of techniques that are proving to be useful in the detection of Alzheimer’s disease and dementia. Today, a standard workup often includes structural imaging with magnetic resonance imaging (MRI) or computed tomography (CT). The goal of this Expert Forum Webinar is to provide further insight into the tools found on modern 3T MRI scanners and how they are assisting today’s clinicians.

Upon completion, attendees will be able to:

  • Understand the MR physics of CSF flow imaging
  • Understand the basic and advanced tools available on modern 3T MR scanners
  • Incorporate advanced Neuro imaging techniques into clinical practice
  • Apply CSF flow imaging techniques for the assessment of dementia

This activity has been supported through an unrestricted educational grant from Toshiba America Medical Systems.

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Considerations in Selecting a Gadolinium-Based Contrast Agent
Released: December 16, 2013 Expires: November 30, 2015 CE credits: 1 Cost: $0.00
Faculty: Assorted Faculty
15252

The program features the clinical expertise of three (3) well-respected physcians who will review the current literature, recent comparative studies and apply their clinical experience in assessing the currently available macrocyclic contrast agents. Dr. Michael Tweedle focuses on the chemical design of the various agents, Dr. Robert Muller focuses on how the chemical design affects the relaxivity of the various agents and finally; Dr. Emanuel Kanal will focus on the relationship of stability and nephrogenic systemic fibrosis (NSF) in the various agents. The goal of this activity is to help radiologists have an expanded understanding of the similarities and differences between the available macrocyclic contrast agents.

Upon completion, attendees will be able to:

  • Understand the physicochemical similarities and differences among the available GBCA's.
  • Understand how the chemical design of each agent affects its relaxivity.
  • Understand the important practical issues of stability and safety and why this is important when evaluating and adopting a new agent.

This activity has been supported through an unrestricted educational grant from Bracco.

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Contrast Enhanced MR Angiography of the Body — What’s New?
Released: December 17, 2012 Expires: December 16, 2014 CE credits: 1 Cost: $0.00
Faculty: Jeffrey H. Maki
14943

Jeffrey H. Maki, MD, PhD, Professor of Radiology, University of Washington will discuss the principles of contrast-enhanced MRA, from pulse sequence tips to SNR optimization to contrast utilization (including new vascular indications for Gd contrast agents, blood pool/steady state imaging, and novel concepts about how to dose Gd contrast for MRA).

In addition, Dr. Maki will introduce newer techniques such as time-resolved MRA, large coil configurations, MRA at 3T, non-contrast MRA, and techniques for perfecting peripheral MRA, including timing algorithms and venous compression. This presentation will highlight multiple peer-reviewed studies comparing different contrast agents for MRA, and will include many practical tips to improve your body MRA protocols.

This Webinar is made possible by an unrestricted grant from Bracco Diagnostics

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Contrast Induced Nephropathy & Potential Outcomes (CME)
Released: June 26, 2014 Expires: June 25, 2016 CE credits: 1 Cost: $0.00
Faculty: Richard J. Solomon, M.D.
15386

Dr. Richard Solomon, Patrick Professor of Medicine, University of Vermont College of Medicine, Burlington, VT will discuss epidemiology of CIN, the identification of risk factors for the development of CIN, the use of strategies to prevent CIN, and the long term consequences of developing CIN.

Following completion of this program, audience members will be able to:

  • Understand the importance of developing a protocol that identifies high risk patients and provides a preventive approach.
  • Describe the preventative approach that is evidence-based and meets the needs of patients and staff.
  • Identify patients who require referral for long term chronic kidney disease therapy.

This activity has been supported through an unrestricted educational grant from BRACCO.

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Developing & Implementing a Radiation Dose Reduction & Monitoring Plan
Released: December 13, 2013 Expires: November 30, 2015 CE credits: 1 Cost: $0.00
Faculty: Assorted Faculty
15254

Radiation dose reduction is a growing priority for hospitals and health systems, for the safety and satisfaction of both pediatric and adult patients. In California as in other states, dose monitoring is not just a best practice, it’s required by law. This activity will highlight the processes and steps taken when White Memorial Medical Center undertook this endeavor and hopes to share their insights and best practices with a larger audience of healthcare professionals and institutions.

Upon completion, attendees will be able to:

  • Understand the need for the development of a dose reduction and monitoring program.
  • Understand the process for developing a dose reduction and monitoring program.
  • Understand the benefits of having such a plan in place.

This activity has been supported through an unrestricted educational grant from FUJIFILM Medical Systems USA, Inc.

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Digital Breast Tomosynthesis: Part I.
Where We Are and Where We Are Going
Released: March 27, 2013 Expires: March 31, 2015 CE credits: 1.0 Cost: $0.00
Faculty: Melissa A. Durand, Liane E. Philpotts
15011

In this first installment of a two-part series, Dr. Liane Philpotts, Professor of Diagnostic Radiology and Chief of Breast Imaging, and Dr. Melissa Durand, Assistant Professor of Diagnostic Radiology, both from the Yale School of Medicine, will share their experiences working with digital breast tomosynthesis in a clinical setting.

Part I will discuss the following:

  • The impact on recall rates and cancer detection of using breast tomosynthesis in screening mammography.
  • The impact of breast tomosynthesis on diagnostic workups.
  • Patient cases comparing conventional mammography with conventional mammography plus breast tomosynthesis.
  • This activity has been supported through an unrestricted educational grant from HOLOGIC.
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Digital Breast Tomosynthesis: Part II.
Incorporating it into your practice
Released: March 27, 2013 Expires: March 01, 2015 CE credits: 1.0 Cost: $0.00
Faculty: Melissa A. Durand, Liane E. Philpotts
15021

In the second installment of the breast tomosynthesis webinar series, Dr. Philpotts and Dr. Durand share their experiences as it relates to incorporating breast tomosynthesis into practice at Yale University School of Medicine.

PART II. will disucss the following:

  • How to incorporate breast tomosynthesis into a screening and diagnostic mammography practice.
  • How to counsel patients’ concerns regarding radiation dose.
  • How to manage the changes in workflow from adopting breast tomosynthesis.
  • How to develop an improved understanding of the appearance of breast cancer on tomosynthesis.
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Pitfalls in Radiology and How to Avoid Them
Released: November 01, 2013 Expires: November 01, 2015 CE credits: 12 Cost: $695.00
Faculty: Assorted Faculty
15239

Pitfalls... Every radiologist has fallen victim to one or more of these.
They tend to fall into certain patterns, often with important clinical implications. We may miss or misinterpret findings based on faulty technique, imaging protocol, or lack of familiarity with criteria for distinguishing among similarly appearing lesions.

Faculty is made up of experienced radiologists who have spent years observing the common mistakes made by trainees, other radiologists and themselves. They will discuss the importance of decision-support tools as an aid to providing an accurate and specific diagnosis or limited differential diagnosis. They will present clues to improve imaging and viewing protocols that will reduce diagnostic errors. And they will present the keys for recognizing and avoiding common and critical Pitfalls in Radiology.

Pitfalls in Radiology presents the most common and important pitfalls in the chest, abdomen, pelvis, breast and musculosketeal areas. Ample time will be provided for questions and discussions among the attendees and lecturers.

In Pitfalls in Radiology you will learn:

  • The financial and health costs of overly vague or incorrect differential diagnoses, and other interpretive errors.
  • How to use decision-support tools that can help radiologists make more accurate diagnoses.
  • How to optimize those imaging and viewing protocols that may impair the ability of radiologists to make accurate and clinically useful diagnoses.
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The Future of Cardiac CT Angiography (CCTA)
Released: March 11, 2014 Expires: March 12, 2016 CE credits: 1 Cost: $0.00
Faculty: Frank J. Rybicki, M.D., Ph.D.
15294

Coronary artery disease (CAD) is the most common type of heart disease and is responsible for the majority of deaths in the US. Coronary angiograms are still considered the 'gold standard' for detecting CAD, but in recent years, advances in Cardiac Computed Tomography Angiography (CCTA) is now providing radiologists and cardiologists alike, with new non-invasive tools to determine if there is a lack of significant narrowing and calcium deposits in the coronary arteries.

This webinar will feature two (2) well-respected physicians who will review the current literature as it relates to the use of CCTA in CAD and provide their insights through case examples and personal experience of how CCTA is proving to be a useful tool that can be used more often by healthcare providers to quickly assess potential heart disease in their patients.

Dr. Richard T. George, Assistant Professor, Department of Cardiology from The Johns Hopkins Hospital will discuss the current evidence supporting the use of myocardial CT perfusion in assessing CAD and how he is integrating anatomic and physiologic findings into the care of patients with CAD. Dr. Frank J. Rybicki, Director of Cardiac CT and Vascular CT & MR, The Brigham & Women's Hospital will discuss contrast opacification in CCTA and it's relationship to blood flow.

Upon completion, attendees will be able to:

  • Describe the current evidence supporting the use of myocardial CT perfusion imaging for the hemodynamic assessment of CAD.
  • Understand how to integrate anatomic and physiologic findings from coronary CTA and myocardial CTP imaging into the care of patients with coronary artery disease
  • Understand varying contrast opacification in coronary CT angiography
  • Understand the physiology basis of flow changes in CT imaging

This activity has been supported through an unrestricted educational grant from Toshiba America Medical Systems.

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Tomosynthesis & Synthesized 2D Imaging: Part I
The Evolution of Mammography
Released: October 01, 2013 Expires: October 01, 2015 CE credits: 1 Cost: $0.00
Faculty: Assorted Faculty
15202

Tomosynthesis (3D mammography), used in conjunction with a 2D mammogram, is becoming increasingly integrated into clinical practice. The use of a synthesized mammogram (C-View), recently approved by FDA, provides the advantages of tomosynthesis without the additional radiation exposure of obtaining a 2-D image.

In this two-part webinar series, our experts will explain how the C-view is used in conjunction with tomosynthesis imaging and review the clinical data regarding its performance. They will focus on examples demonstrating how C-View can be successfully incorporated into clinical practice.

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Tomosynthesis & Synthesized 2D Imaging: Part II
The Evolution of Mammography
Released: October 01, 2013 Expires: October 01, 2015 CE credits: 1 Cost: $0.00
Faculty: Assorted Faculty
15206

Tomosynthesis (3D mammography), used in conjunction with a 2D mammogram, is becoming increasingly integrated into clinical practice. The use of a synthesized mammogram (C-View), recently approved by FDA, provides the advantages of tomosynthesis without the additional radiation exposure of obtaining a 2-D image.

In the second part of this webinar series, our experts will focus on examples demonstrating how C-View can be successfully incorporated into clinical practice.

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