Applied Radiology
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Available Programs and Courses FOR Other Healthcare Professional

A complete listing of currently available online programs is provided below. To view course materials click an available viewing format provided with each listing (PDF, HTML, Interactive). To access online exams and claim credit you must be registered and logged in.  To add courses to your "MyAR Archives" user account select the "Add To Cart" button provided with each course title and follow the prompts. 

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* Advanced MRI Safety Training For Healthcare Professionals (4th Edition): Level 2 MR Personnel
Released: April 22, 2020 Expires: March 31, 2024 CE credits: 3.0 Cost: $50.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
18607

This program reviews fundamental MRI safety information and meets the annual training recommendations from the American College of Radiology. Importantly, MRI facilities must now comply with the revised requirements for diagnostic imaging from The Joint Commission and document that MRI technologists participate in ongoing education that includes annual training on safe MRI practices in the MRI environment. Notably, Advanced MRI Safety Training for Healthcare Professionals, Level 2 MR Personnel covers each MRI safety topic specified by The Joint Commission, as well as many additional subjects that will expand the knowledge-base of healthcare professionals involved with MRI technology.

With 35 years of experience in the field of MRI, the author of the best-selling textbook series, the Reference Manual for Magnetic Resonance Safety, Implants and Devices, and the creator of the internationally popular website, MRIsafety.com, Dr. Frank G. Shellock is uniquely qualified to present the information in this program.

Advanced MRI Safety Training for Healthcare Professionals (4th Edition), Level 2 MR Personnel is a 2 hour and 45 minute program that is divided into three different sections.

Educational Objectives

  • Understand the safety issues related to MRI.
  • Describe the bioeffects associated with the static magnetic field, time-varying magnetic fields, and radiofrequency fields.
  • Present guidelines that prevent projectile-related accidents.
  • Describe polices that avoid issues related to acoustic noise.
  • Review procedures that prevent burns associated with MRI.
  • Explain and demonstrate appropriate pre-MRI screening procedures.
  • Identify techniques to manage patients with claustrophobia, anxiety, or emotional distress.
  • Describe guidelines to handle medical emergencies in the MRI setting.
  • Understand the safety considerations for gadolinium-based contrast agents.

This is a Pay-To-View program. Purchase is required for full program access.

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* Basic MRI Safety Training (4th Edition): Level 1 MR Personnel
Released: April 01, 2021 Expires: April 30, 2023 CE credits: 1.0 Cost: $30.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
19391

Individuals entering the magnetic resonance imaging (MRI) environment, whether on a regular or infrequent basis, must be properly trained to ensure their safety, the protection of patients, and the security of other facility staff members. This program, Basic MRI Safety Training, Level 1 MR Personnel accomplishes the initial training that is necessary to ensure safety in the unique setting associated with the MRI system. It includes information pertaining to MRI technology, describes common hazards and unique dangers associated with the MRI setting, and presents vital recommendations and guidelines to prevent accidents and injuries. Importantly, this program provides the fundamental MRI safety information for Level I MR Personnel recommended by the American College of Radiology and may be utilized by individuals preparing for safety training as Level 2 MR Personnel.

With more than 35 years of experience in the field of MRI, the author of the best-selling textbook series, the Reference Manual for Magnetic Resonance Safety, Implants and Devices, and the creator of the internationally popular website, www.MRIsafety.com, Dr. Frank G. Shellock is uniquely qualified to present the information in this program.

Educational Objectives

  • Appreciate the importance of MRI
  • Identify the hazards associated with MRI
  • Understand the screening process
  • Describe steps to prevent accidents and injuries

This is a Pay-To-View program. Purchase is required for full program access. 

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* Introduction To MRI Safety - Updated Edition
Released: April 05, 2017 Expires: April 30, 2023 CE credits: 0 Cost: $15.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
16659

This program provides an overview of MRI safety information that is intended for non-clinical staff members who regularly work in the MRI environment or who may occasionally work in this area as part of their responsibilities. Anyone who enters the MRI environment, even infrequently, must be properly trained to ensure their safety, the safety of patients, and other facility staff members

After completion of a short online exam, with a passing score of 70% or higher, this program provides a Statement of Participation.

With more than 30 years of experience in the field of MRI, the author of the best selling textbook series, the Reference Manual for Magnetic Resonance Safety, Implants and Devices, and the creater of the internationally popular website, www.MRIsafety.com, Dr. Frank G. Shellock is uniquely qualified to present the information in this program.

Educational Objectives

  • Appreciate the importance of MRI
  • Identify the certain hazards associated with MRI technology
  • Describe steps to prevent accidents and injuries related to ferromagnetic objects

This is a Pay-To-View program. Purchase is required for full program access. 

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* The Online Course for MR Safety Officers (MRSO) and MR Medical Directors (MRMD)
Released: September 23, 2019 Expires: September 30, 2025 CE credits: 10.0 Cost: $750.00
Faculty: William Faulkner, B.S.,R.T.(R)(MR)(CT), FSMRT | Kristan Harrington, MBA, R.T.(R)(MR), ARRT, MRSO
18008

Applied Radiology and William Faulkner & Associates are pleased to introduce “The Online Course for MR Safety Officers (MRSO) and MR Medical Directors (MRMD)”. This comprehensive program, focusing on MR Safety, covers many aspects relating to the safety practices of the Magnetic Resonance Imaging (MRI) environment. It is designed for those individuals who are either currently serving as their facility’s MRSO and/or MRMD, or those who are preparing to assume these responsibilities. The content of this course will be helpful for those preparing for the American Board of Magnetic Resonance Safety MRSO and MRMD examinations.

The content of The Online Course for MR Safety Officers and MR Medical Directors is based upon current FDA and ACR guidelines, including the ACR Guidance Document for MR Safe Practices, as well as those promulgated by industry regulatory bodies such as the International Electrotechnical Commission.

The complete online program has been approved for up to 10 AMA PRA Category 1 credits™ (CME) and 10 Category A ARRT continuing educational credits (CE).

Module 1: Basic MRI Physics Relevant to MRI Safety
Module 2: Static Field: Bioeffects and Access Control
Module 3: Gradient Magnetic Fields: Bioeffects and Safety
Module 4: Radio Frequency Field: Bioeffects and Safety
Module 5: Implants and Devices
Module 6: Gadolinium-Based MR Contrast Agents
Module 7: MR Safety Screening
Module 8: Managing Emergent Situations and Patient Considerations: Quench and Patient Anxiety & Patient Monitoring

The Online Course for MR Safety Officers (MRSO) and MR Medical Directors (MRMD) is not affiliated with, nor endorsed by the American Board of Magnetic Resonance Safety (ABMRS)
Terms and Conditions of Use: Click To View
This is a Pay-To-View program. Purchase is required for full program access.

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A Practical Approach to MR Imaging: Stability or High Relaxivity?
Released: June 22, 2022 Expires: June 30, 2024 CE credits: 1.0 Cost: $0.00
Faculty: Howard Rowley
20023

In this CME/CE accredited program Dr. Howard Rowley reviews important efficacy considerations of the FDA approved gadolinium-based contrast agents (GBCAs), including clinical utility, safety issues, and practical approaches for selecting a GBCA when considering patient history, pathology and related risks.

Following Dr. Rowley's presentation, Dr. Rowley joins a panel of MR imaging experts in discussion about this important topic, followed by a moderated Q & A session with audience participation.

Educational Objectives:
At the completion of this activity, participants should be able to:

  • List the key considerations in the choice of GBCAs, while balancing safety and efficacy.
  • Describe the transient effects of T1 and T2 relaxation during a GBCA bolus.
  • Understand the impact of high relaxivity gadolinium agents vs macrocyclic agents.
  • Design MRI protocols to optimize exam efficiency and enhanced lesion detection.
  • Implement GBCA protocols for special patient populations after considering risk assessment.

This program is made possible through an unrestricted educational grant from Bracco Diagnostics, Inc.

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A Review of MR Contrast Agents: Why Gadolinium Matters Today
Released: January 01, 2021 Expires: December 31, 2022 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiology
19228

David Enterline, MD, FACR; John Karis, MD; Michael Malinzak, MD, PhD; Kristin K. Porter, MD, PhD; James Sancrant, DO; Jorge A. Soto, MD

Until approximately 2006, gadolinium-based contrast agents (GBCAs) as a class were deemed safe for patients, particularly in patients with renal impairment. However, several events have occurred since then that have altered the perception that all GBCAs are equally safe. These include the identification of nephrogenic systemic fibrosis (NSF) as a serious potential adverse event (AE), and an appreciation that gadolinium (Gd) is retained in brain, bone, and other soft-tissue organs, with unknown long-term clinical consequences. Therefore, to perform an effective, individualized risk–benefit analysis, radiologists should be familiar with the differences in properties and associated risks among GBCAs and how they relate to GBCA selection for specific applications. Here we present a summary of discussions that occurred at an Expert Panel Forum on Advancing Clinical Practice in MR Imaging, in which the experts explored the real and perceived risks associated with GBCA use. They also addressed when contrast use is appropriate and necessary and, when deemed necessary, the best practices for its use in select applications, including neuroradiology/stroke imaging, breast MR screening, and abdominal imaging. Practical administrative and cost considerations related to contrast use in the MR suite were also reviewed.

At the conclusion of this activity, participants will be able to:

  • Explain recent events that have occurred that have altered the perception that all GBCAs are equally safe, including NSF and Gd retention
  • Describe the various available GBCAs and their properties, with emphasis on those properties that may impact safety
  • Review the relative risks and benefits of the available macrocyclic and linear GBCAs
  • Summarize best practices for GBCA use in select applications, including neuroradiology/stroke imaging, breast MR screening, and abdominal imaging
  • Define administrative and cost considerations that may relate to contrast use in the MR suite

This program has been supported through an educational grant from Bracco Diagnostics, Inc.

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Advanced CT Technology: Improving Workflow and Cost of Ownership
Released: December 22, 2020 Expires: December 31, 2022 CE credits: 1.5 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR | Rick Banner
19197

CT Technology continues to evolve with modern platforms now being designed with improved patient comfort, increased workflow, and advanced applications supporting comprehensive diagnoses, precise treatment plans and better patient outcomes.

In this CE accredited Expert Forum Webinar, Rick Banner, RT (R), Senior Director of Marketing, Fujifilm Medical Systems U.S.A., Inc. shares insights into the design of advanced CT platforms that are addressing today’s clinical challenges while reducing the total cost of ownership. These advanced features will be supported by Dr. Lawrence N. Tanenbaum’s personal experience on how these advanced features are making a clinical difference in the day-to-day operations in busy imaging departments.

Educational Objectives:
At the completion of this activity, participants should be able to:

  • Implement advanced CT applications
  • Effectively manage obese and claustrophobic patients
  • Implement workflow considerations with improved CT service and reliability

Supported through an educational grant from FUJIFILM Medical Systems U.S.A., Inc.

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Cardiovascular Imaging: Complex Applications in Cardiac CT and CT Angiography
Released: June 08, 2021 Expires: June 30, 2023 CE credits: 1.0 Cost: $0.00
Faculty: Richard Hallett, MD
19446
Often there is lack of knowledge amongst imaging professionals regarding IV contrast dynamics and the relationship between contrast injection, observed enhancement, and scan acquisition timing. The design of appropriate imaging protocols leads to effective and consistent cardiovascular exams; especially when applied to complex clinical scenarios.

This CME/CE accredited program will review contrast-saline dynamics and discuss rational protocol design for cardiac and vascular CT angiography. Effective cardiovascular imaging protocols, utilizing multiple CT injector platforms to achieve optimal imaging, will be reviewed. We invite you to join Dr. Richard Hallett for a comprehensive discussion and case study review of this important topic.

Following the presentation questions from the audience were addressed in a moderated Q&A session.

Educational Objectives:
At the completion of this activity, participants should be able to:

  • Understand the relationship between bolus contrast media injection and observed enhancement.
  • Implement methods to design rational contrast injection / scan acquisition protocols.
  • Review various models of CT contrast injectors and discuss benefits, limitations, and injection protocol adjustments for each.
  • Apply customized contrast-saline injection / scan principles to complex cardiovascular disease cases.

Made possible through an unrestricted educational grant from Bracco Diagnostics, Inc.

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Clinical Utility of Barium Sulfate Products: Formulation Determines Appropriate Use
Released: June 14, 2021 Expires: June 30, 2023 CE credits: 0.75 Cost: $0.00
Faculty: Applied Radiology
19514

Steven Sireci, MD

Barium-containing contrast media contain barium sulfate (BaSO4), as well as a number of additives. The BaSO4 provides radiodensity (ie, radio-opacity) and physical density (g/mL) to the suspension. Depending on the intended use of the contrast, the specific combination of additives provide other useful properties, including: BaSO4 particle suspension; mucosal coating; viscosity and texture; sweetness; filling and laxative effects; preservation; foaming prevention; and flavoring. Here we describe the purpose of each ingredient and additive found in BaSO4 contrast media products currently available for fluoroscopic and radiographic examinations. In addition, we review the role of these products in anatomic radiographic evaluation of the gastrointestinal (GI) tract and in evaluation of the physiology of swallowing. Finally, we review barium preparations used in computed tomography (CT) applications.

At the conclusion of this activity, participants will be able to:

  • Explain the role that BaSO4 plays in barium-containing contrast media;
  • Review the purpose of each ingredient/additive found in BaSO4 contrast media products available for fluoroscopic and radiographic examinations;
  • Describe the formulation of barium products that are appropriate for single- and double-contrast anatomic radiographic evaluation of the gastrointestinal (GI) tract;
  • Summarize qualities of the barium-containing contrast media used in evaluation of swallowing that make them most appropriate for that application; and,
  • State the properties of barium-containing contrast media used in computed tomography (CT) applications.

This program has been supported through an educational grant from Bracco Diagnostics, Inc.

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Clinical Utility of Barium Sulfate Products: Formulation Determines Appropriate Use
Released: December 24, 2021 Expires: November 30, 2023 CE credits: 1.0 Cost: $0.00
Faculty: Steven Sireci, MD
19823

Depending on its intended application in Fluoroscopy or CT, Barium Sulfate (BaSO4) contains specific combinations of additional ingredients that support the diagnosis of disease, define treatment options, and improve patient outcomes. When used for the anatomical evaluation of the GI tract or the physiology of swallowing, a comprehensive understanding of the clinical utility of Barium products and their additives, is needed. This accredited program explains the differences and the benefits of each additive and is designed to increase knowledge about the clinical applications of Barium.

Dr. Sireci will provide a comprehensive overview of each Barium product, its indication and intended use. Following the presentation, the audience is invited to join Dr. Sireci for lively Q & A session.

Educational Objectives:
At the completion of this activity, participants should be able to:

  • Explain the role that BaSO4 plays in barium-containing contrast media.
  • Review the purpose of each ingredient/additive found in BaSO4 contrast media products currently available for fluoroscopic and radiographic examinations.
  • Describe the formulation of barium products that are appropriate for single and double contrast anatomic radiographic evaluation of the gastrointestinal (GI) tract.
  • Summarize qualities of the barium-containing contrast media used in evaluation of swallowing that make them most appropriate for that application.
  • State the properties of barium-containing contrast media used in computed tomography (CT) applications

Educational Credits
One (1) ARRT Category A CE Credits

Made possible through an educational grant from Bracco Diagnostics, Inc.

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Contrast Media Basics: Important Considerations for the Pharmacist
Released: February 07, 2022 Expires: February 29, 2024 CE credits: 2.5 Cost: $0.00
Faculty: William Faulkner, B.S.,R.T.(R)(MR)(CT), FSMRT | Kristan Harrington, MBA, R.T.(R)(MR), ARRT, MRSO | Rutu Patel, PharmD, RPh
19966
Applied Radiology has developed this two-part, on-demand webinar and accompanying digital monograph to increase overall understanding of the properties, clinical benefits, and safety considerations of iodinated and gadolinium-based contrast agents (GBCAs). The goal of this program is to fully prepare pharmacy personnel to make informed decisions regarding contrast media selection.

The complete online program has been approved for up to 2.5 ACPE and Category A ARRT continuing educational credits.

Part 1: Contrast Media Basics
Part 2: A Pharmacist’s Guide to Gadolinium-Based Contrast Agents
Part 3: Monograph

This program was supported through an educational grant from Bracco Diagnostics, Inc.

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Contrast-Enhanced MRI: Optimizing Imaging of the Brain and Spine
Released: November 24, 2021 Expires: November 30, 2023 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR | Susie Bash, MD
19884

In this Expert Forum, Lawrence Tanenbaum, MD, FACR and Suzie Bash, MD review considerations for optimizing contrast-enhanced MRI in neuroimaging, extending from patient tolerance to standardizing procedures. Following the presentation questions from the audience were addressed in a moderated Q&A session.

Educational Objectives:

  • Manage issues related to patient tolerability and acute adverse events.
  • Implement standardized and optimized MR contrast-enhanced protocols.
  • Identify clinical indications for contrast-enhanced MRI for brain and spine imaging

Supported by GE Healthcare

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Developments in Pediatric Imaging: Best Practices in Dose, Comfort, and Safety
Released: October 22, 2018 Expires: November 30, 2022 CE credits: 1 Cost: $0.00
Faculty: Gregg R. Cretella | Steven Don, MD | Robert MacDougall, M.Sc.
17519

This Expert Forum will update the audience on recently published FDA guidance and the ongoing work of the Image Gently Alliance and the American Association of Physicists in Medicine (AAPM), which continue to refine the safety and effectiveness of pediatric X-ray imaging.

Following the presentation questions from the audience were addressed in a moderated Q&A session.

Learning Objectives

At the completion of this program, participants will be able to:

  • Articulate the benefits of facility awareness in the Image Gently Alliance and the ACR Dose Index Registry.
  • Evaluate the readiness of your radiology department to better serve the pediatric population.
  • Make sound decisions when considering the acquisition of new technologies that are indicated for use with pediatric patients
  • Develop a strategy to use the appropriate dose for pediatric patients while optimizing diagnostic quality.
  • Correlate the recent advances in exposure surveillance and DR technologies to the improvements in pediatric patient comfort, safety and imaging outcomes.

Supported through an unrestricted educational grant from FUJIFILM Medical Systems U.S.A., Inc.

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Evidence-based Approach to Minimizing IV Contrast Extravasations
Released: July 19, 2019 Expires: June 30, 2023 CE credits: 1.0 Cost: $0.00
Faculty: Ryan K Lee, MD, MBA
17893

IV contrast extravasation is a not uncommon complication in the performance IV contrast enhanced CT examinations. In this accredited Expert Forum Webcast, we will review the different complications related to IV contrast administration. This will be followed by analysis of different factors that contribute to IV contrast-extravasation and subsequent discussion of best practices that can reduce the incidence of IV contrast extravasation. A novel method which reduced contrast extravasation by over 50% will also be presented.

Following the presentation questions from the audience were addressed in a moderated Q&A session.

Learning Objectives

  • Discuss the different types of complications associated with IV contrast extravasation.
  • Describe the various factors that can contribute to IV contrast extravasation.
  • Apply best practices to reduce the incidence of IV contrast extravasation.

No special educational preparation is required for this CME/CE Activity!

Supported through an unrestricted educational grant from Bracco Diagnostics, Inc.

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Imaging Bulk Package: A Compliant Solution in the CT Suite
Released: January 01, 2019 Expires: March 31, 2024 CE credits: 1 Cost: $0.00
Faculty: Assorted Faculty
17698

Since the 1990’s, multi-patient contrast administration has been available in the form of the Pharmacy Bulk Package (PBP), which is still offered by several contrast vendors. The FDA required that all related Prescribing Information (PI) sheets for the PBP include specific directions for the dispensing of the contrast from the PBP container. The PI language describes withdrawing the contrast from the bottle in a suitable work area, specifically “a laminar flow hood, using aseptic techniques”. However, this method is not possible in most CT Suites, as laminar flow hoods are generally located in the Pharmacy, not the CT suite.

Therefore, during the last decade, regulators have begun to have concerns about the use of PBP. In 2009, The Joint Commission began citing imaging providers who were using PBP to fill power injector syringes in what they considered an unsuitable work area, as described in the manufacturer’s PBP guidelines for the dispensing of contrast.

This Expert Forum will review the steps taken by the contrast media industry and the FDA to develop a safe and compliant solution for multi-patent contrast administration in CT. This solution is now available as the Imaging Bulk Package (IBP) which is approved for use in the CT Suite. This panel will also share their comprehensive process for incorporating IBP into their clinical practice.

Supported through an unrestricted educational grant from Bracco Diagnostics Inc.

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Managing Iodinated Contrast Shortages: ‘Real World’ Solutions
Released: July 18, 2022 Expires: July 31, 2024 CE credits: 1.5 Cost: $0.00
Faculty: Applied Radiology
20079

Ryan Lee, MD, MBA • Daniel Karolyi, MD • Matthew Kuhn, MD, FACR • Mahmud Mossa-Basha, MD • Joseph Cavallo, MD, MBA

This CE accredited program will provide an educational resource that addresses current and future iodinated contrast media shortages and its clinical impact.

By bringing together a group of radiologists with expertise in CT, MRI, NM/PET, US & AI, who have experienced this crisis in their imaging departments and who have established ‘best practices and procedures’ designed to address clinical and operational alternatives in order to deliver safe and effective patient care throughout Radiology; this comprehensive program will cover the following topics:

  • The operational impact of contrast media waste.
  • The use of saline supporting contrast optimization with improved image quality.
  • Patient safety considerations & imaging challenges when moving to alternative imaging methods.
  • When and how to implement emergency protocols, based on iodinated contrast availability.
  • The use of AI to provide improved outcomes without the use of contrast.

Clinical scenarios that include IV and oral contrast administration, patient management, non-contrast imaging options, and the use of Barium and other contrast media will be discussed.

Educational Objectives:
At the completion of this activity, participants should be able to:

  • List the key considerations in the choice of GBCAs, while balancing safety and efficacy.
  • Describe the transient effects of T1 and T2 relaxation during a GBCA bolus.
  • Understand the impact of high relaxivity gadolinium agents vs macrocyclic agents.
  • Design MRI protocols to optimize exam efficiency and enhanced lesion detection.
  • Implement GBCA protocols for special patient populations after considering risk assessment.

This program is made possible through an unrestricted educational grant from Bracco Diagnostics, Inc.

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Managing Patients with Passive Implants on Vertical Field MR Systems
Released: August 10, 2022 Expires: August 31, 2025 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR | Frank G. Shellock, PhD, FACC, FACR, FACSM | William Faulkner, B.S.,R.T.(R)(MR)(CT), FSMRT
20100
MRI technology has advanced with the availability of low - vertical field scanners. However, many patients present with passive implants and devices that are available in clinical practice, yet not approved for MR imaging in low field scanners.

In this CE/CME program three MR imaging experts will provide unique perspectives on managing patients with passive implants and devices. The panel will discuss important MRI safety information and details on how to safely image these patients, including a review of screening policies, implant and device manufacturers’ information and resources, and the implementation plan for a MRI safety program, designed to mitigate the potential risks to patients presenting with passive implants and devices.

Learning Objectives

  • Identify challenges associated with imaging patients with passive implants on low field (<1.5-T) MR systems.
  • Review MRI considerations in order to safely manage patients that present with passive implants referred for scans on low field MR systems.
  • Implement protocols to safely scan patients presenting with passive implants that are not labeled for low field scanners, including 1.2-T MR systems.
  • Increase the number of patients eligible for MRI exams.

This program is made possible through an unrestricted educational grant from FUJIFILM Healthcare Americas Corporation.

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MR Contrast Agents: Safety Considerations and Clinical Practices
Released: November 22, 2021 Expires: November 30, 2023 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR
19814

In this Expert Forum, Dr. Lawrence Tanenbaum, MD, FACR, will review the classification of Gadolinium MR contrast agents according to their molecular structure, ionicity, and stability. The impact of these properties and supporting clinical data for safety considerations in choosing an agent will be discussed with the goal of providing insight that can be applied in everyday clinical practice. Following the presentation questions from the audience were addressed in a moderated Q&A session.

Educational Objectives:

  • To review the current landscape of Gadolinium-based contrast agents and their classification according to their molecular structure, ionicity, and stability.
  • To understand how these properties impact the safety and efficacy of GBCAs.
  • To review the important clinical data that impact safety considerations in choosing an MR contrast agent and how that applies to everyday clinical practice.

Supported by GE Healthcare

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MR Contrast Selection & Utilization in Pediatric & Neonatal Patients
Released: November 22, 2021 Expires: November 30, 2023 CE credits: 1.0 Cost: $0.00
Faculty: Chetan C. Shah, MD, MBA
19818

In MR Imaging, a careful review of the safety criteria for the selection of a Gadolinium-based Contrast Agents (GBCAs) should be considered for pediatric and neonatal patients. The program will provide a comprehensive review of the supporting research that addresses Gadolinium selection in this special patient population. Both chronic and long-term effects of GBCAs will be discussed.

As a Pediatric Neuroradiologist, Dr. Shah is uniquely qualified to share his experience which includes a discussion of risk vs benefits, supported by practical protocols for the administration of MR contrast; including limiting the amount of contrast given to patients that may receive several lifetime doses. Following the presentation, the audience is invited to join Dr. Shah for an interactive Q & A session.

Educational Objectives:
At the completion of this activity, participants should be able to:

  • Explain the differences between available MR contrast agents and any associated adverse events
  • Improve clinical management decisions about when to administer MR contrast (risk vs benefit)
  • Apply FDA guidelines regarding MRI contrast agents to clinical practice.

Made possible through an unrestricted educational grant from Bracco Diagnostics, Inc.

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MRI Contrast Selection: Greater Stability or Higher Relaxivity?
Released: June 22, 2022 Expires: June 30, 2024 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiology
20069

Howard Rowley, MD, FACR; Lorna P. Browne, MD; Kevin J. Chang, MD, FACR; Christopher Comstock, MD, FACR; J. Paul Finn, MD; Scott Reeder, MD, PhD; Max Wintermark, MD

Currently, 6 general-use gadolinium-based contrast agents (GBCA) are available and approved for a variety of MRI indications, including brain, body, and breast imaging, in adults and children. Gadolinium-based contrast agents comprise a gadolinium (Gd) ion bound to an organic ligand to form a chelate. Whether the chelate is linear or macrocyclic and ionic or nonionic impacts the size and stability of the Gd-chelate complex, as well as its distribution and elimination. In addition, the chelate structure also impacts the relaxivity, or r value, of the GBCA, which dictates the ability to provide contrast enhancement relative to background. Understanding the different safety and efficacy profiles of GBCAs can be valuable when selecting a GBCA. Here, we present discussions from a recent Expert Panel Forum focused on the safety and efficacy of GBCAs, as well as specific considerations related to their selection for neuroimaging, pediatric imaging, body imaging, and breast imaging applications.

At the conclusion of this activity, participants will be able to:

  • Describe the distinguishing properties of the available gadolinium-based contrast agents (GBCAs) currently used for magnetic resonance imaging (MRI);
  • Review how the structure of the gadolinium (Gd)-chelate complex determines the stability of a GBCA, and how stability relates to both Gd retention and nephrogenic systemic fibrosis (NSF);
  • Explain what a “high-relaxivity” GBCA is and summarize results of crossover studies comparing standard- and high-relaxivity GBCAs for MRI; and,
  • State the key considerations when selecting a GBCA for neuro MRI, pediatric MRI, body MRI, and breast MRI.

This program was supported through an educational grant from Bracco Diagnostics, Inc..

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Optimizing Techniques in a Bucky-less DR Department
Released: January 01, 2022 Expires: January 31, 2023 CE credits: 1.0 Cost: $0.00
Faculty: Gregg R. Cretella | Matthew Hoerner, Ph.D., DABR
19918

As technology continues to improve and redefine the instrumentation used to acquire X-rays. This CE accredited Expert Forum Webinar will focus on key innovations in digital radiography and its impact on technique selection and image quality.

Please join Matthew Hoerner, Ph.D., DAB and Gregg Cretella for a review of these innovations and how you can optimize techniques in a bucky-less DR department. Following the presentation questions from the audience were addressed in a moderated Q&A session.

Learning Objectives

  • Implement techniques to optimize image quality regardless of patient size.
  • Utilize optimization techniques to manage exposure and deviation index.
  • Utilize the proper technique without the use of a Bucky.

Supported through an educational grant from Fujifilm Healthcare Americas Corporation

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The Proper Use of Saline During Contrast Injection
Released: October 13, 2022 Expires: October 31, 2025 CE credits: 1.25 Cost: $0.00
Faculty: Richard Hallett, MD | Rutu Patel, PharmD, RPh | Stephanie Allen, MBA, RT(R)(MR), CJCP
20114
This 3-part program is designed to increase the participant's understanding of saline use and management in medical imaging. Specifically developed for pharmacists, it is designed to help them and the radiologic technologists make informed decisions for better patient care.

The complete online program has been approved for up to 1.25 Category A ARRT credits.

Part 1: The Pharmacists Roles and Responsibilities
Part 2: The Clinical Benefits Of Saline Injection During CT Angiography
Part 3: Digital Monograph: Overview and Resources

This program was supported through an educational grant from Bracco Diagnostics, Inc.

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The Role of Digital Breast Tomosynthesis in Breast Cancer Screening, Diagnosis, and Continued Patient Management
Released: November 05, 2020 Expires: November 30, 2022 CE credits: 2.0 Cost: $0.00
Faculty: Applied Radiology
18948

Digital breast tomosynthesis, also known as 3D DBT first entered the clinical arena in 2011 when the FDA approved its use. Multiple studies have since shown that tomosynthesis is effective in both the screening and the diagnostic setting. This technology has quickly emerged as a practice-changing standard by increasing both sensitivity and specificity, thereby improving breast cancer detection and the clinical accuracy of mammograms.

This Expert Forum educational program focuses on the impact of digital breast tomosynthesis and the role it plays in all aspects of breast screening. In this program, you will hear from an expert panel consisting of four (4) healthcare professionals from various specialties; who are all involved in the diagnosis, treatment and care of breast cancer patients and who will share their clinical insights and experience.

Educational Objectives:
At the completion of this activity, participants should be able to:

  • Discuss the importance of breast screening mammography.
  • Compare the differences between 2D and 3D mammography.
  • Explain how the use of 3D DBT will benefit their patients.
  • Increase the collaboration between radiologists and referring physicians.
  • Implement best practices for concise communication across the continuum of care.

Supported through an unrestricted educational grant from FUJIFILM Medical Systems U.S.A., Inc.

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Use of Contrast-Enhanced MRI in 'At Risk' Patient Populations
Released: July 28, 2022 Expires: August 31, 2024 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR | Donna Roberts, MD
20092

Gadolinium-based contrast agents (GBCAs) differ in structure and ionicity which, in turn affects their stability and safety profiles. The more stableagents are associated with a lower risk of nephrogenic systemic fibrosis (NSF) and less Gd deposition in brain, bone, and other tissues. Several patient populations are considered vulnerable to Gd exposure, including children, the elderly, the renally impaired, and those that require repeat MRI exams.

In these cases, GBCA utilization should be limited to studies where the results contribute significantly to the diagnosis and/or patient management.

In the following webinar and corresponding monograph, Lawrence N. Tanenbaum, MD, FACR and Donna Roberts, MD share case examples including MRI applications and considerations for understanding at risk adult and pediatric patient populations when performing Neuro MRI.

Educational Objectives:
  • Identify patient populations at increased risk of experiencing an adverse event following administration of a GBCA.
  • Understand and discuss risk factors related to the use of GBCA's in specific patient populations.
  • Implement alternative approaches for the clinical management of at risk patients.

Supported through an educational grant from GE Healthcare

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