Applied Radiology
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Available Programs and Courses FOR Physician

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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* Controversies In The Preoperative Radiotherapeutic Management of Resectable Esophageal Cancer
Released: September 01, 2018 Expires: August 31, 2020 CE credits: 1 Cost: $0.00
Faculty: Applied Radiology
17462

Stephanie R. Rice, MD; Adeel Kaiser, MD; Elizabeth Nichols, MD

This review examines the role of trimodality therapy in the management of esophageal cancer, focusing on controversies surrounding the optimal total neoadjuvant RT dose employed. Current and past technologies for radiation treatment delivery and their impact on overall survival and toxicity are discussed. The authors also detail the data driving the management of resectable esophageal carcinoma, reviewing studies comparing neoadjuvant CRT followed by surgery to definitive CRT, neoadjuvant CRT followed by surgery to surgery alone, and controversies in radiation dose and planning considerations for preoperative resectable esophageal cancer.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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* Improving The Therapeutic Index For Nonoperable Esophageal Cancer Patients With Modern Radiation Technologies
Released: September 01, 2018 Expires: August 31, 2020 CE credits: 1 Cost: $0.00
Faculty: Applied Radiology
17464

Michael D. Chuong, MD; Shahed Badiyan, MD; Matthew Hall, MD, MBA; Smith Apisarnthanarx, MD

Although there is general awareness that modern radiation technologies both reduce normal organ dose while permitting safe dose escalation in nonoperable EC patients, there is lack of consensus about how these technologies should be routinely employed in the clinic. There clearly is need for well-designed clinical trials to guide clinical decision making in this regard, several of which are being planned (NCT01102088) or already underway (NCT01512589). This course examines how contemporary radiation technologies can improve the therapeutic index, including both reduced cardiopulmonary and hematologic toxicity and higher tumor control, for nonoperable esophageal cancer patients receiving definitive chemoradiation.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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* Vascular Anomalies: Description, Classification and Nomenclature
Released: September 01, 2018 Expires: August 31, 2020 CE credits: 1 Cost: $0.00
Faculty: Applied Radiology
17465

Deborah R. Shatzkes, MD

“Nomenclature has been the major obstacle to our understanding and management of vascular anomalies.” These words were written by John Mulliken over 30 years after publishing his seminal paper on the biologic basis of vascular anomalies in 1982. The intervening decades have brought tremendous progress in classification, diagnosis and therapy of this diverse group of lesions. Still, much confusion exists in the medical community, in no small part because of inaccurate and inconsistent use of nomenclature both in the liter-ature and in clinical practice.

The multidisciplinary International Society for the Study of Vascular Anomalies (ISSVA) was formed in 1992 to promote research in the field of vascular anomalies and to create a uniform nomenclature that would facilitate research and clinical practice. ISSVA created a comprehensive classi-fication scheme based on Mulliken’s work on the biologic basis of disease, updated most recently in 2014 and available at issva.org/classification. The ISSVA classification and its associated nomenclature are widely accepted as the gold standard by the numerous medical specialties involved in clinical care and research related to vascular anomalies.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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* A Multimodality Review Of Solid and Cystic Pancreatic Masses
Released: August 01, 2018 Expires: July 31, 2020 CE credits: 1 Cost: $0.00
Faculty: Applied Radiology
17371

Samir Mehta, MD, and Jonathan Dorff, MD

The discovery of incidental asymptomatic pancreatic masses has gone up dramatically with the advent and increasing accessibility of CT and MRI.

It is imperative to understand the different imaging features and behaviors of these masses on CT and MRI to construct an appropriate differential diagnosis, as recommendations based on these masses are very different. Knowledge of the relevant clinical history and patient populations affected is also important to formulate an accurate diagnosis. It is also important to recognized pitfalls in diagnosing the masses, as there are both typical and atypical appearances.

There are also mimics of pancreatic masses that lead to unnecessary follow-up and workup, for which the radiologist should be aware. A multimodality approach is frequently needed to narrow the differential diagnosis, though tissue sampling is usually required for a definitive diagnosis.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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* Advanced MRI Safety Training For Healthcare Professionals:
Level 2 MR Personnel - Updated Edition
Released: April 05, 2017 Expires: March 31, 2019 CE credits: 2.5 Cost: $50.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
16626

This program reviews fundamental MRI safety protocols 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. As such, 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.

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 creator of the internationally popular website, www.MRIsafety.com, Dr. Frank G. Shellock is uniquely qualified to present the information in this program.

Advanced MRI Safety Training for Healthcare Professionals, Level 2 MR Personnel is a 150-minute program that is divided into three sections.

Educational Objectives

  • Understand the safety issues related to MRI.
  • Describe the bioeffects associated with the static magnetic field, time-varying magnetic, and radiofrequency fields.
  • Present guidelines that prevent projectile-related accdents.
  • 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.
  • Identify 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:
Level 1 MR Personnel - Updated Edition
Released: April 04, 2017 Expires: March 31, 2019 CE credits: 1.0 Cost: $30.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
16950

Anyone who enters 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 desiring preparation for safety training as, Level 2 MR Personnel.

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 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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* The Joint Commission: Understanding and Complying With The Latest Requirements For MRI Safety
Released: July 01, 2018 Expires: June 30, 2020 CE credits: 1.5 Cost: $30.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
17314

This program describes the Joint Commission’s requirements for annual training on specific MRI safety practices. In addition, it covers procedures to manage patients undergoing MRI with recommendations to prevent ferromagnetic objects from entering the MRI environment; claustrophobia, anxiety, or emotional distress; guidelines to screen patients with medical implants and devices; procedures to prevent thermal injuries; methods to handle patients requiring urgent or emergent medical care; contrast agent safety including information for nephrogenic systemic fibrosis, and techniques to avoid problems related to acoustic noise.

Educational Objectives

  1. Describe the latest requirements from The Joint Commission for MRI with an emphasis on safety and training.
  2. Present procedures for managing claustrophobic patients, screening prior to MRI, preventing ferromagnetic accidents, avoiding MRI-related thermal injuries, handling emergencies, and preventing acoustic noise issues.
  3. Define methods to ensure compliance with the latest requirements from The Joint Commission for MRI safety.
  4. Summarize The Joint Commission’s requirements for annual training on specific MRI safety practices.

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

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A Review Of The Role of External-beam Radiation Therapy in Nonmelanomatous Skin Cancer
Released: June 01, 2017 Expires: May 31, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
16718

Bindu V. Manyam, MD; Nikhil Joshi, MD; Shlomo A. Koyfman, MD

Much of the data supporting safety and efficacy of definitive radiation therapy (RT) in patients with non-melanomatous skin cancer (NMSC) is older, when its use was more common. Improvements are needed to better represent and categorize high-risk disease. Treatment should be intensified with multimodality therapy for advanced disease. Clinicians must keep abreast of evolving treatment paradigms and novel systemic therapies NMSC. This article reviews indications, dosing, techniques, and outcomes for external-beam RT for NMSC.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Advances in MSK & Sports Medicine Imaging
Released: January 16, 2018 Expires: January 15, 2020 CE credits: 2.0 Cost: $0.00
Faculty: Jon Jacobson, MD, Christine Chung, MD
17062
RSNA 2017 Archived Program

As new technological advances in Magnetic Resonance & Ultrasound continue to impact how healthcare professionals diagnose and treat sports related injuries; this program from RSNA 2017 features:

The Future of MR in MSK
by Dr. Christine Chung
Unique Ultrasound Solutions in MSK and Sports Medicine

by Dr. Jon Jacobson

Each provides insight into how these modalities are transforming patient care. Also included is a live USD scanning session with Dr. Jacobson, where he provides a detailed description of his scanning techniques.

Educational Objectives

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

  • Describe imaging techniques that can reduce scan time without decreasing image quality.
  • Describe how the infrastructure of MSK tissue provides a rationale for the development of a qualitative pulse sequence.
  • Be familiar with the normal appears of tendons under USD
  • Recognize the common MSK pathology seen on USD
  • Describe applications where dynamic USD is used in MSK imaging.

This program was originally presented live at RSNA 2017 and sponsored by the Institute for Advanced Medical Education (IAME) and supported through an unrestricted educational grant from Toshiba America Medical Systems (now Canon Medical Systems USA, Inc.).

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Augmented and Virtual Reality:
Exploring A Future Role In Radiation Oncology Education and Training
Released: December 01, 2017 Expires: December 01, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
17034

William Jin, Brandon Birckhead, MD; Bradford Perez, MD; Sarah Hoffe, MD

The range of differences on the augmented/virtual reality AR/VR spectrum are mainly attributed to its depth of immersion. AR/VR technology is being used, through all spectrums of their devices, in surgery, imaging, medical student/resident/fellow education. The utility of AR/VR lies in its advantage to be massively scalable, reproducible, and realistic in simulating clinical environments. This article discusses how AR/VR technologies can cost-effectively enhance radiation oncology training.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Can New Imaging Technologies Improve Patient Outcomes?
Released: January 16, 2018 Expires: January 15, 2020 CE credits: 2.0 Cost: $0.00
Faculty: Junsung Choi, MD, Kenneth Snyder, MD, PhD, Miyuki Sone, MD
17061
RSNA 2017 Archived Program

As new technological advances in Computed Tomography continue to impact how healthcare professionals diagnose and treat patients with stroke, pancreatic and biliary cancer and other oncological disease; this program from RSNA 2017 features the following presentations. Each will provide insight into how advanced imaging is improving patient outcomes.

Saving Brain and Improving Patient Outcomes with a Better Acute Stroke Protocol
by Dr. Kenneth Snyder
Can UHR CT Improve Outcomes with Better Detection, Diagnosis and Staging of Pancreatic and Biliary Cancer

by Dr. Miyuki Sone
I
mproving Oncologic Outcomes Using a Unique 4DCT Solution
by Dr. Junsung Choi.

Educational Objectives

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

  • Describe how advanced physiologic imaging is transforming the treatment of acute ischemic stroke.
  • Describe the limitations of conventional CT in the diagnosis of pancreatic and biliary disease.
  • Be familiar with the clinical utility of Ultra High Resolution CT Imaging.
  • Describe how hybrid Angio/CT systems are providing clinical utility in interventional oncologic imaging.

This program was originally presented live at RSNA 2017 and sponsored by the Institute for Advanced Medical Education (IAME) and supported through an unrestricted educational grant from Toshiba America Medical Systems (now Canon Medical Systems USA, Inc.).

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Common Applications of Time of Flight (TOF) Imaging: PET/CT Beyond FDG
Released: March 20, 2018 Expires: March 19, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Bital Savir, MD
17146

PET/CT using Fluorodeoxyglucose (FDG) has been used for many years as an adjunct modality to conventional imaging. Until recently, PET/CT’s main utility was in oncology and to a lesser degree cardiology and neurology. However, new radiotracers were approved by the FDA; increasing the application of PET/CT in clinical practice. This Expert Forum aims to educate medical imaging professionals about the common indications of Time of Flight (TOF) PET/CT scans using various radiotracers that include: F18- FDG, F18-Fluciclovine, GA68-DOTA-TATE, and F18-Florbetapir.

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

Educational Objectives

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

  • Describe the importance of PET/CT quality.
  • Describe common FDG applications.
  • Describe the legacy and new FDA-approved radiotracers, their indications and cost.

This program was originally broadcast live as part of a webinar sponsored by IAME and supported through an unrestricted educational grant from Philips Healthcare.

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Comprehensive Care For The Child Or Adolescent Diagnosed With A Childhood Malignancy Requiring Palliative Radiation Therapy: A Review
Released: June 01, 2018 Expires: May 31, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
17303

Tamara Vern-Gross, DO, FAAP

Because of the low incidence of pediatric malignancies, no consensus has been reached on the best practices for the delivery of pediatric palliative radiation therapy. As a result, current practice is extrapolated from adult literature and single institutional series. In addition to the technologies for palliation of pediatric patients are essential components of communication for meeting medical and psychosocial needs of the families and patients; these needs are not always addressed. A multidisciplinary approach with appropriate care and communication addressing patient questions and needs provides meaning and improved quality of life during this phase of treatment.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Computed Tomography - What's Next & Why? | New Hardware & Software Transformations
Released: February 15, 2017 Expires: February 28, 2019 CE credits: 1.5 Cost: $0.00
Faculty: Sujith K. Seneviratne, A/Prof, Marcus Y. Chen, MD
16585

As technology continues to impact how healthcare is practiced, this presentation on Computed Tomography - What's Next & Why? | New Hardware & Software Transformations will highlight through the clinical experiences of an Expert Faculty; how they are maximizing the latest advances to increase patient care, satisfaction and throughput.

This program was originally presented live at RSNA 2016 and sponsored by the Institute for Advanced Medical Education (IAME) and supported through an unrestricted educational grant from Toshiba America Medical Systems.

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Contrast Enhanced MRI 2017 Update: New Issues | New Indications
Released: February 01, 2017 Expires: January 31, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR
16594

With a wide selection of gadolinium-based contrast agents now available in the US Market; MR imaging professionals must understand the chemical structure, differences in stability and relaxivity and safety profiles of each of these FDA approved MR agents.

Following Dr. Tanenbaum's presentation, questions from the audience will be addressed.

Educational Objectives

At the completion of this program, participants will:

  • Refresh their understanding of the various contrast agents now FDA approved and available in the US market.
  • Understand the safety profiles of the available agents as well as the relationship to the individual physiochemical properties and stability.
  • Develop a better understanding of how recent knowledge affects the selection, use and screening before contrast use.

Supported Through An Unrestricted Educational Grant from Guerbet, LLC.

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Current Controversies In Prostate Brachytherapy For Prostate Cancer
Released: September 01, 2017 Expires: August 31, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
16931

Ibrahim Abu-Gheida, MD; Christopher Fleming, MD; Paul Ramia, MD; Omar Mian, MD PhD; Rahul Tendulkar, MD; and Jay Ciezki, MD

Indications for low dose rate prostate brachytherapy (LDR-BT) monotherapy for high-risk or unfavorable intermediate-risk prostate cancer are currently not based on level I evidence. Guidelines discussing brachytherapy indications do not highlight the important RTOG 0232 interim analysis regarding the role of LDR monotherapy and toxicity profile advantage, nor do guidelines highlight the dosimetric value of brachytherapy. This article summarizes the role of LDR-BT in managing prostate cancer and examines patient selection.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Emotional-intelligence-centric Leadership Training for Radiation Oncologists
Released: December 01, 2017 Expires: December 01, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiology
17035

Sarah E. Hoffe, MD; Joanne Quinn, PhD, MBA; Jessica Frakes, MD; Thomas J. Dilling, MD; Nadia A. Saeed, BA; Louis B. Harrison, MD

Current residency training in radiation oncology does not incorporate leadership competency skills. Additionally, increasing administrative burdens in healthcare correlate with growing physician burnout and stress, but residency training has no systematic strategy to increase resiliency. Although simulation-based medical education (SBME) can incorporate teamwork, communication, and collaboration exercises at the undergraduate medical level, it has not been studied/incorporated at the national graduate level in radiation oncology. This article addresses the role of an emotional-intelligence (EI)-based leadership curriculum during such training.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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High Dose Rate Brachytherapy for Prostate Cancer:
Current Techniques and Applications To Varying Disease Presentations
Released: September 01, 2017 Expires: August 31, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
16932

Daniel J. Krauss, MD

No direct clinical evidence supports the superiority of high-dose rate brachytherapy (HDR-BT) over low dose rate brachytherapy (LDR-BT), or vice versa, in terms of improved tumor control or reduced toxicity in patients with prostate cancer. This review fosters understanding of patient selection and technical description, examining HDR-BT in conjunction with external beam, and HDR-BT as monotherapy

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Image Guided Interventional Radiology Procedures Using a Combined Angiography CT System
Released: February 15, 2017 Expires: February 28, 2019 CE credits: 1.5 Cost: $0.00
Faculty: David Hays, MD, Farah Gillan Irani, MD
16584

As technology continues to impact how healthcare is practiced, this presentation on Image-Guided Interventional Radiology Procedures Using a Combined Angiography CT Systems will highlight through the clinical experiences of an Expert Faculty; how they are maximizing the latest advances to increase patient care, satisfaction and throughput.

This program was originally presented live at RSNA 2016 and sponsored by the Institute for Advanced Medical Education (IAME) and supported through an unrestricted educational grant from Toshiba America Medical Systems.

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Imaging of Hydrocephalus
Released: May 01, 2018 Expires: April 30, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR, Wende N. Gibbs, MD,MA
17245

Wende N. Gibbs, MD, MA, and Lawrence N. Tanenbaum, MD, FACR

Hydrocephalus is a a mechanical complication of different pathologic conditions and a disease process itself.  The morphologic features are easily recognizable, but the patho-physiology remains incompletely understood.  Nearly all hydrocephalus is due to cerebrospinal fluid (CSF) obstruction at some point between the ventricles and the systemic venous circulation.  Classification is important as it informs optimal treatment. 

Optimized imaging is vital to the success of flow diversion.  Current treatments are limited and invasive: CSF diversion via catheter or endoscopic third ventriculostomy.  Decision making relies upon high resolution imaging to determine the site of obstruction and anatomic features that may complicate the procedure.

Morphologic and physiologic imaging are used to evaluate suspected normal pressure hydrocephalus (NPH).  Several morphologic measures individually and in combination have shown high positive predictive value in identifying individuals who will respond to treatment with ventricular shunting and in differentiating NPH from Alzheimer disease, which can have a similar imaging appearance.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Indications, Barriers and Paths To Advancement In Palliative Radiation Oncology
Released: June 01, 2018 Expires: May 31, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Assorted Faculty
17304

Muhammed M. Fareed, MD; Monica Krishnan, MD; Tracy A. Balboni, MD, MPH; Hsiang-Hsuan Michael Yu, MD

Palliative radiation oncology is an integral part of radiation oncology practice with practical implications in common clinical scenarios including bone metastases, brain metastases, malignant spinal cord and cauda equina compression, tumor related bleeding, fungation, obstruction and visceral metastases. Further education and research is needed as part of residency training and beyond to enhance the spectrum of care for advanced cancer patients delivered by radiation oncologists. Supportive and palliative care skills must expand beyond the technical aspects of radiation therapy delivery to generalist palliative care competencies, including symptom management basics, communication and goals of care, advance care planning, psychosocial issues, cultural considerations, spiritual needs and ethical/legal issues.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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MACRA Readiness
Released: June 15, 2017 Expires: June 14, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiology
16732

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula, which has determined Medicare Part B reimbursement rates for physicians and replaces it with new ways of paying for care. Under MACRA, participating providers will be paid based on the quality and effectiveness (value) of care they provide rather than the volume of care they provide under the current system.

This Expert Forum webcast features a panel of experts who will review the importance of MACRA and what it means to the radiology community. They will provide an overview of what MACRA involves and define which providers must begin planning immediately. In addition, the program will describe the Merit-based Incentive Payment System (MIPS) and the four performance categories, which will ultimately determine how radiologists and other physicians are reimbursed for their services.

The panel is moderated by Dr. Gregory N. Nicola, Vice President, Hackensack Radiology Group and will answer questions from the online audience.

Educational Objectives

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

  • Describe what MACRA is and how it will affect radiologists.
  • Understand the performance category measurements.
  • Describe the necessary steps to be MACRA Ready by 2019. ‚Äč

Supported Through An Unrestricted Educational Grant from Bracco Diagnostics, Inc.

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Mycosis Fungoides Involving Head and Neck Mucosal Sites:
Review Of The Literature
Released: June 01, 2017 Expires: May 31, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
16719

Aharon M. Feldman, MD; Parag Sevak, MD; Chauncey McHargue, MD; Henry W. Lim, MD; Farzan Siddiqui, MD, PhD

Head and neck mycosis fungoides is uncommon, and few publications have been dedicated to this topic. Treatment options vary widely and include several radiation therapy regimens as well as medical management possibilities. Survival and treatment outcomes differ greatly depending on patient co-morbidities, treatment tolerance, and disease progression. This article will aid treatment selection and improve outcome predictions.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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PE or no PE? Alternative diagnoses on CTA
Released: March 01, 2018 Expires: February 29, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiology
17137

Kelly W. Capel, MD, and Lynn S. Broderick, MD, FACR

Given that pulmonary embolism (PE) is the third-leading cause of cardiovascular death and that the signs and symptoms of PE are often nonspecific, many care providers obtain CTA in the acute-care setting to evaluate for any life-threatening or urgent pathology.

While most of these patients will likely not have an underlying PE, this article showcases several alternative potential pathologies, ranging from common intrathoracic conditions such as pneumonia, to acute aortic syndrome and intra-abdominal pathology, which may be partially captured via subtle clues on CTA examinations.

In the acute-care setting, the radiologist’s ability to recognize other potential sources of pain and shortness of breath as well as coexisting pathology in patients being evaluated for PE with CTA is critical.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Pediatric Bone Imaging: Differentiating Benign Lesions From Malignant
Released: July 01, 2018 Expires: June 30, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiology
17305

Alysha Vartevan, DO; Crystal May, DO; and Craig E. Barnes, MD

Bone tumors are one of the most common lesions encountered by radiologists. Fortunately, most pediatric bone tumors are benign. Although cross sectional imaging such as CT or MRI can be useful, the most important imaging modality in the initial workup of a bone tumor is the plain radiograph.

Differentiating between benign and malignant bone tumors is not always straightforward; however, it is possible to distinguish between them by carefully evaluating charac-teristics such as the lesion’s type of margin, pattern of bone destruction, type of periosteal reaction and presence of an associated soft tissue mass. In addition, matrix type and tumor location can help narrow the differential diagnosis.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Pioneering the Routine & Advanced Use Of Model-Based Iterative Reconstruction In Your CT Department
Released: January 10, 2017 Expires: January 09, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Charles White, MD, Seth Kligerman, MD
16576

The use of CT has rapidly increased in recent years leading to substantial concern regarding medical imaging-related radiation dose. An important strategy to decrease patient dose while maintaining image quality is the use of iterative reconstruction (IR) algorithms. These algorithms have the advantage of reducing image noise, improving the contrast to noise ratio and increasing subjective image quality of CT studies. Initial hybrid IR approaches have been increasingly superseded by model-based iterative reconstruction techniques that use precise system statistics and optics models to further reduce image noise. One such algorithm, iterative model reconstruction (IMR) is the focus of this presentation.

The presenters will discuss an intuitive approach to understanding the physics behind IMR and its capabilities with respect to reducing imaging noise leading to both an objective and subjective improvement in image quality on CT. Relevant literature on this topic will be reviewed. Finally, the presenters will show examples acquired from various parts of the body to demonstrate the benefits of IMR use in comparison to conventional imaging and hybrid IR techniques.

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

Educational Objectives

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

  • Explain using an intuitive approach, the physics related to current model based reconstruction approaches on CT.
  • Compare current model based reconstruction approaches to earlier algorithms, showing how they can lead to an improved image quality.
  • Demonstrate examples from various parts of the body that indicate an advantage for images reconstructed with current model based reconstruction approaches

Supported Through An Unrestricted Educational Grant from Philips Healthcare.

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Recent Advances in Contrast-Enhanced Cardiac MRI
Released: August 20, 2017 Expires: August 19, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Joseph Schoepf, M.D.
16868

Uncertainty still exists regarding the appropriate and effective routine assessment of myocardial disease with contrast-enhanced MRI. Today more recent and novel MRI myocardial characterization techniques exist, such as T1 and T2 mapping. However, insufficient awareness of the pitfalls in cardiac MRI diagnosis frequently contribute to missed diagnosis in the workup of patients with myocardial infarction and other diseases of the heart muscle.

This Expert Forum featuring Dr. Joseph Schoepf will address these issues and provide a review of the basic principles and recent advances in contrast-enhanced Cardiac MR imaging. Particular emphasis will be placed on the MR assessment of diseases of the myocardium and novel methods for their granular characterization. Following Dr. Schoepf's presentation, a short Q&A was conducted where questions from the audience were answered.

Educational Objectives

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

  • Select suitable approaches for the routine assessment of myocardial disease with contrast-enhanced MRI.
  • Discuss current developments in the MR characterization of the myocardium.
  • Implement methods to improve accuracy of Cardiac MRI for the granular, comprehensive diagnosis of myocardium infarction and fibrosis.

Supported through an unrestricted educational grant from Guerbet, LLC.

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Renal Artery Duplex Expanding The Envelope
Released: February 15, 2017 Expires: February 14, 2019 CE credits: 1.0 Cost: $12.00
Faculty: Patrick A. Washko, BSRT, RDMS, RVT, FSVU
16470

In today’s healthcare environment, working in a vascular laboratory is extremely demanding, requiring a multitude of critical skills and abilities from today’s sonographer. The renal artery duplex examination is often viewed as the single most difficult examination performed. This lecture will cover a detailed description of the examination from patient preparation, to stenosis criteria and a broad array of tips and tricks in both a variety of normal and pathological settings. Sonography is very dependent on strong visual and motor skills along with critical thinking abilities.

This presentation is designed to help the sonographers and physicians formulate a plan to deal with difficult clinical presentations.

Educational Objectives
Upon completion of this webinar one should be able to:

  • Understand the common indications for performing the renal artery duplex examination.
  • Note the importance of knobology and image optimization while insonating the renal arterial and venous system.
  • Identify the importance of direct and indirect renal artery assessment.
  • Discuss how to obtain a clinically diagnostic renal artery duplex examination.
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Spectral CT: Adding Value in the Emergency Department
Released: November 09, 2017 Expires: November 08, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Gopal Punjabi, MD
17006

Computed Tomography (CT) continues to be the modality of choice in most emergency departments and is respected for its ability to quickly capture cross sectional images of the body, allowing ED physicians to quickly assess patients.

In recent years, several manufacturers have developed scanners with the ability acquire images at varying energy levels, which allow imaging professionals to differentiate the various elements of the body based on their material density and atomic numbers.

This technique has the potential to revolutionize the way we depict and interpret CT scans. In this Expert Forum Webcast, Dr. Gopal Punjabi will share his clinical experiences with the use of Spectral CT in the Emergency Department with a focus on body imaging.

Educational Objectives

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

  • Describe scenarios where spectral CT can enhance diagnosis.
  • Describe the types of images that can be obtained with spectral CT.
  • Understand how to interpret the additional data acquired in spectral CT imaging.

Supported through an unrestricted educational grant from Philips Healthcare.

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Stereotactic Ablative Radiation Therapy In The Treatment of Liver Tumors
Released: March 01, 2018 Expires: February 29, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
17143

Benjamin O. Spieler, MD; Lorraine Portelance, MD; Eric A. Mellon, MD, PhD

This review article discusses the major indications for stereotactic ablative radiation therapy for liver cancer, as well as the technologies available and/or necessary for safe treatment delivery. Specific areas discussed include hepatocellular carcinoma, intrahepatic cholangiocarcinoma, dose, image guidance and respiratory management, emerging techniques, and radiation-induced liver disease.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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Stereotactic Body Radiation Therapy In Early Stage Non-small Cell Lung Cancer:
A Brief Primer For The Multidisciplinary Tumor Board
Released: March 01, 2018 Expires: February 29, 2020 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiation Oncology
17144

Andrew Kennedy, MD; Susan Garwood, MD; Allison Grow, MD, PhD; Ryan Lipscomb, MS

Multidisciplinary team members treating lung cancers may not be aware of the complexity and coordination required for delivery of stereotactic body radiation therapy (SBRT) to lung masses. Shifts in practice have occurred in management of early stage non-small cell lung cancer (NSCLC), particularly with regard to the role of the specialized pulmonologist (interventional pulmonology), which involves different staging techniques than traditional mediastinoscopy. This review provides key information to foster a deeper understanding and appreciation for patient selection, work up, behind-the-scenes critical quality assurance tasks, and clinical pearls for stereotactic radiation therapy for lung cancer.

Available for SA-CME Credit. To receive SA–CME credit, you must complete the post exam and review the discussion and references provided with the exam results.

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The Role of Prostate MR in Detection & Management of Prostatic Neoplasia
Released: January 01, 2017 Expires: December 31, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Stephen J. Pomeranz, MD
16571

Prostate MRI can be an effective tool in preventive as well as diagnostic and ongoing patient care for patients with statistical likelihood and/or risk factors predisposing them to the diagnosis of prostatic neoplasia. Used efficiently, MR contributes to early detection, accurate staging and localization, and reduction in unnecessary biopsies and treatment.

Skilled reporting provides allied health professionals with critical results to serve patients optimally, allocate resources effectively and improve treatment and surgical outcomes for their patients. This Expert Forum webcast will include a series of case reviews that incorporate and elucidate these concepts.

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

Educational Objectives

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

  • Identify the clinical indications for effective utilization of MR of the prostate.
  • Be familiar with signal characteristics of prostate neoplasia on MRI, and understand the application of ACR standard PI-RADS scale to this type of imaging pathology.
  • Describe MRI's key role as a diagnostic tool for screening, active surveilance, staging, recurrence, identification, treatment planning and treatment response evaluation.

Supported through an unrestricted educational grant from Hitachi Medical Systems.

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Tricks of the Trade: MRI Fetal Imaging
Released: November 01, 2016 Expires: October 31, 2018 CE credits: 1.0 Cost: $0.00
Faculty: Beth M. Kline-Fath, MD
16527

Fetal MRI is a relatively new area of imaging, which is technically challenging. It is important to understand the safety implications when imaging a fetus. In addition, given that the fetus is not sedated, it is important that technical knowledge of the imaging and a planned approach to the procedure is in place.

In this educational lecture, the preparation, positioning, planning for and obtaining of images as well as problem solving during the procedure will be discussed. The importance of anatomic imaging leading to accurate interpretation will be reinforced in cased-based examples of imaging singleton and twin gestations.

Following Dr. Kline-Fath's presentation questions from the audience were addressed in a moderated Q&A session.

Educational Objectives

  • Review the safety of fetal MR Imaging.
  • Describe the technical approach to fetal MR Imaging.
  • Describe cases in which fetal MRI was helpful in the evaluation of singleton and twin gestations.

Supported Through An Unrestricted Educational Grant from Philips Healthcare.

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Use of High-Field Open MRI In A Clinical Setting for MSK Imaging:
Part 2 of a 2 Part Series
Released: September 19, 2017 Expires: September 18, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR, John F. Feller, MD
16948

Open MRI Systems have evolved enormously since their inception in the 1980’s and today true high-field systems offer an excellent, patient centric alternative to closed, cylindrical bore systems for imaging of basic and advanced applications throughout the body.

In this final installment of this 2-Part series, which is being chaired and moderated by Dr. Lawrence N. Tanenbaum, we will hear from Dr. John Feller who will address the advantages of high-field open MRI systems for MSK imaging. Specifically, he will cover patient comfort, image quality, isocentric imaging, metal artifact reduction scanning (MARS), solenoid coil technology, fat suppression, operational efficiency, and marketability.

Following the presentation, Dr. Tanenbaum will moderate a live Q&A where questions from the audience will be addressed.

Educational Objectives

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

  • Describe how market forces including patient centric imaging are impacting today’s radiology departments.
  • Describe how modern Open MRI Systems align with value-based care and are changing the way that imaging facilities do business.
  • Understand the technical specifications of High-Field Open MRI Systems.
  • Understand the concept of isotropic imaging and new fat suppression technologies.
  • Describe the increased image quality and range of applications in MSK imaging.

Supported through an unrestricted educational grant from Hitachi Healthcare Americas

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Use of High-Field Open MRI In A Clinical Setting for Neuro Imaging:
Part 1 of a 2 Part Series
Released: September 12, 2017 Expires: September 11, 2019 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR
16944

Open MRI Systems have evolved enormously since their inception in the 1980’s and today, true high-field systems offer an excellent, patient centric alternative to closed, cylindrical bore systems for imaging of basic and advanced applications throughout the body.

In this first webcast of a 2-Part Series, Dr. Lawrence N. Tanenbaum discusses the advantages of High Field Open MRI in Neuro imaging.

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

Educational Objectives

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

  • Describe how market forces including patient centric imaging are impacting today’s radiology departments.
  • Describe how modern Open MRI Systems align with value-based care and are changing the way that imaging facilities do business.
  • Understand the technical specifications of High-Field Open MRI Systems.
  • Understand the concept of isotropic imaging and new fat suppression technologies.
  • Describe the increased image quality and range of applications in Neuro imaging.

Supported through an unrestricted educational grant from Hitachi Healthcare Americas

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