Applied Radiology
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Available Programs and Courses FOR Sonographer

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: April 30, 2022 CE credits: 3.0 Cost: $50.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
18589

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:
Level 1 MR Personnel - Updated Edition
Released: April 04, 2017 Expires: April 30, 2021 CE credits: 1.0 Cost: $30.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
17160

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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* Introduction To MRI Safety - Updated Edition
Released: April 04, 2017 Expires: April 30, 2021 CE credits: 0 Cost: $15.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
16660

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 Joint Commission: Understanding and Complying With the Latest Requirements for MRI Safety
Released: July 18, 2018 Expires: July 17, 2021 CE credits: 1.5 Cost: $30.00
Faculty: Frank G. Shellock, PhD, FACC, FACR, FACSM
17321

This program describes procedures to manage patients undergoing MRI with recommendations to prevent ferromagnetic objects from entering the MRI environment; techniques to manage 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; summarizes contrast agent safety and includes information for nephrogenic systemic fibrosis; and presents methods to avoid problems related to acoustic noise.

Importantly, viewing the contents of this program constitutes documentation of complying with the MRI safety training that is specifically advised by The Joint Commission.

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 Clinical Review: Benefits of Tomosynthesis in Daily Practice
Released: December 15, 2019 Expires: December 14, 2021 CE credits: 1.0 Cost: $0.00
Faculty: Dean J. Phillips, DO
18331

Annual mammography screening can save lives because breast cancer is a progressive disease and early detection enables improved prognosis due to appropriate treatment of small nonpalpable node-negative cancers. Multiple randomized controlled trials and observational studies have shown that mammography can reduce breast cancer mortality by 30% or more.

Digital breast tomosynthesis (DBT) first entered the breast imaging clinical arena when the Food and Drug Administration (FDA) approved DBT in 2011. Multiple studies have shown that DBT is effective in both mammography screening and diagnostic settings. Tomosynthesis has quickly emerged as a practice-changing standard that improves the clinical accuracy of a mammogram by increasing both sensitivity and specificity; thus, reducing the masking effect of overlapping fibroglandular tissue, thereby improving breast cancer detection. The improved accuracy and overall efficiency that DBT provides, will enhance radiologists’ performance and improve the patient experience.

Learning Objectives

  • Discuss the importance of breast screening mammography.
  • Incorporate the differences between, and benefits of 2D and 3D mammography into routine clinical practice.
  • Apply 3D tomosynthesis to improve patient care, particularly in the management of patients with dense breasts.

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

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

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Advances in MR and CT Imaging: Emphasis on Artificial Intelligence
Released: January 01, 2020 Expires: January 01, 2022 CE credits: 1.0 Cost: $0.00
Faculty: Mathias Prokop, MD, Ph.D. | Garry E. Gold, MD
18384
RSNA 2019 Archived Program

This Expert Forum Symposium features two respected radiologists who share their clinical experience applying advanced artificial intelligence techniques in both MR and CT imaging.

MR and CT imaging are advancing at a rapid rate with new scanner and software technology finding its way into advanced imaging scanners each year. Artificial Intelligence is proving to play a major role in this expansion. In this one-hour accredited CME symposium, Dr. Gold and Dr. Prokop will provide insight into how they are putting new AI tools into everyday practice at their facilities and explain how these tools are providing better patient care and throughput. Following the presentations, the faculty will take question from the audience.

Advances in CT Imaging
Presented by: Mathias Prokop, MD

Advances in MSK MR Imaging
Presented by: Garry E. Gold, MD

Educational Objectives

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

  1. Practice two new novel approaches for advanced joint imaging with MR
  2. Describe the clinical value of deep learning reconstruction techniques in CT
  3. Discuss and implement Artificial Intelligence into clinical practice today

This program was originally presented live at RSNA 2019 and sponsored by the Institute for Advanced Medical Education (IAME) and supported through an unrestricted educational grant from Canon Medical Systems.

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Contrast-enhanced Ultrasound of Renal Masses
Released: November 01, 2020 Expires: October 31, 2022 CE credits: 1 Cost: $0.00
Faculty: Applied Radiology
19172

Jack Bennett, Cynthia Peterson, MPH, RDMS, RVT; Richard G. Barr MD, PhD

Ultrasound (US) is often the initial imaging modality for evaluation of renal diseases. Non-enhanced US faces limitations in the assessment of focal renal masses and complex cysts. Contrast-enhanced ultrasound (CEUS) on the kidneys can overcome these shortcomings.

There are several advantages of CEUS over contrast-enhanced CT or contrast-enhanced MRI. These include the fact that the narrow US beam allows for improved visualization of vascularity in small structures such as septations or small mural nodules; high temporal resolution with real time assessment of vascularity; lack of radiation; and no renal impairment.

Excluding inflammatory masses, vascular abnormalities and pseudotumors, most solid enhancing renal masses are malignant. Complicated cystic lesions with enhancing soft tissue components, excluding the actual cyst wall, are malignant. Using enhancement pattern, renal masses can be characterized with high sensitivity and specificity

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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COVID-19 Facts, Findings, and Imaging Manifestations
Released: July 02, 2020 Expires: July 02, 2022 CE credits: 1.0 Cost: $0.00
Faculty: Lawrence N. Tanenbuam, MD, FACR | W. Christopher Baughman, MD
18929
In this Expert Forum, Dr. Lawrence Tanenbaum and Dr. William Baughman provide a comprehensive review of what the COVID-19 virus is, how it’s transmitted, as well as, how it presents clinically on various imaging modalities. Additionally, a review of “real-world” clinical findings of COVID positive patients, who present with additional symptoms that are manifested from coronavirus will be shared. Following the presentations, a moderated discussion will take place where questions from the audience will be addressed.

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

  • Explain the clinical manifestations and impact of COVID
  • Describe the clinical findings and presentations of COVID
  • Differentiate the image findings of COVID positive patients

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

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Digital Technologies to Advance Clinical PET for Oncology and Beyond
Released: June 05, 2019 Expires: June 04, 2021 CE credits: 1.0 Cost: $0.00
Faculty: Michael V. Knopp, MD, PhD
17861
Recent technological advances challenge traditional PET acquisition procedures in order to leverage the benefits of digital technology to improve diagnostic capabilities, patient experience, quantification and new indications. Precision medicine is a call to action to radically advance capabilities in the era of molecular targeted medicine.

In this Expert Forum Webcast, Michael V. Knopp, MD, PhD will provide an overview of current digital PET technologies and how leveraging these digital advances improves PET imaging using clinical cases. He will demonstrate how new concepts result in acceleration of acquisition time, dose reduction and dynamic imaging to help improve quality and the patient and staff experience. These new applications apply to the clinical practice for oncology, neurology and orthopedics / sports medicine.

Learning Objectives

  • Describe current PET technologies.
  • Describe the benefits of digital photon counting.
  • Understand the benefit of improved time of flight timing.
  • Understand the benefit of reduced voxel size and higher matrix reconstruction.
  • Describe ultra-fast whole-body imaging.
  • Describe the benefits of imaging at lower tracer doses.
  • Describe the benefits of dynamic PET imaging.
  • Describe the use of Y-90 for post-therapy assessment.

Supported through an unrestricted educational grant from Philips Healthcare.

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Evidence-based Approach to Minimizing IV Contrast Extravasations
Released: July 10, 2019 Expires: July 09, 2021 CE credits: 1.0 Cost: $0.00
Faculty: Ryan K Lee, MD, MBA
17891

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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Part 1 | The Foundation of Integrating DBT Into Your Practice
Released: October 06, 2020 Expires: October 31, 2022 CE credits: 1.0 Cost: $0.00
Faculty: Laurie L. Fajardo, MD
18983

In this program Dr. Laurie Fajardo shares her experience with the set-up and use of digital breast tomosynthesis (DBT) in clinical practice. Participants will hear about system design, the impact on clinical performance, and how to best manage recall rates. In addition through carefully selected cases, Dr. Fajardo will share her approach to image interpretation and how one can manage DBT workflow effectively.

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

  • Explain the technology behind digital breast tomosynthesis (DBT).
  • Describe the impact DBT has on clinical performance.
  • Implement an approach to DBT interpretation.

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

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Part 2 | The Application of Integrating DBT Into Your Practice
Released: October 13, 2020 Expires: October 31, 2022 CE credits: 1.0 Cost: $0.00
Faculty: Laurie L. Fajardo, MD
18984

In this second of a 3 Part Series, Dr. Laurie Fajardo discusses the benefits of digital breast tomosynthesis (DBT) for detecting and diagnosing breast cancer and things to consider when planning or implementing DBT into breast imaging practices.

Dr. Fajardo discusses the importance of radiation dose reduction with synthetic 2D, reviews the published literature on the performance of synthetic 2D mammography, and shares how DBT can impact data storage and network data transmission across your PACS and enterprise system.

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

  • Describe the efficacy of synthetic 2D from DBT.
  • Implement procedures for managing DBT data volumes and workflow.
  • Develop an approach to interpreting DBT images.

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

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Part 3 | DBT, Breast Density and Artificial Intelligence
Released: October 20, 2020 Expires: October 31, 2022 CE credits: 1.5 Cost: $0.00
Faculty: Laurie L. Fajardo, MD
18985

In this final segment of this 3-part series, Dr. Laurie Fajardo addresses the radiologist’s challenges associated with dense breast imaging and interpretation through discussion and case presentation of interval breast cancer. This includes issues associated with assigning breast cancer risk to breast density and qualitative versus quantitative methods for assessing, and reporting breast density and risk assessment.

Further Dr. Fajardo will discuss how to incorporate breast cancer risk assessment into your breast imaging practice and closes the program with a discussion on the current impact of Artificial Intelligence on breast imaging and how it can enhance workflow.

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

  • Articulate issues associated with assessing and reporting breast density and its associated cancer risk.
  • Explain the benefits of incorporating comprehensive risk assessment into breast imaging practices.
  • Implement the use of artificial intelligence to enhance breast imaging practice workflow and performance.

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

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Pregnancy-associated Breast Cancer and Other Breast Disease: A Radiologic Review
Released: September 01, 2020 Expires: August 31, 2022 CE credits: 1.0 Cost: $0.00
Faculty: Applied Radiology
19173

Andrew Ong, MD; Lisa A Mullen, MD; Susan C. Harvey, MD

Pregnancy associated breast cancer (PABC) is a subset of breast cancer that is typically diagnosed at more advanced stages and carries a worse prognosis. The physiological breast changes that occur during pregnancy and lactation can often make clinical and radiological evaluation difficult.

Ultrasound is the primary imaging modality in the evaluation of pregnancy associated breast lesions with high sensitivity and lack of radiation. Mammography is generally considered safe during pregnancy and lactation and may also be used to assess for PABC. Dynamic contrast enhanced breast MRI is not recommended during pregnancy; however, it may safely be performed in lactating women to evaluate extent of disease or for high risk screening.

This article reviews appropriate imaging evaluation of the pregnant or lactating woman, and showcases the imaging features of benign and malignant lesions occurring during pregnancy and lactation. Many benign lesions, including fibroadenoma and lactating adenoma, can mimic malignancy. New or growing solid masses occurring during pregnancy and lactation should be further evaluated with imaging and biopsy, to avoid a delay in a potential cancer 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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PSMA Imaging: Current Status & Prospects
Released: October 29, 2020 Expires: October 31, 2022 CE credits: 1.0 Cost: $0.00
Faculty: Jeremie Calais, MD, MSc | Jeffrey R. Karnes, MD | Oliver Sartor, MD
19152

This educational webinar features a panel of experts from Nuclear Medicine, Urology and Oncology, who are involved in the diagnosis and management of Prostate Cancer. By understanding the benefits of PSMA imaging, a Urologist’s timely referral can positively impact the patient’s journey and ultimately their quality of life. The clinical benefits of a prompt and accurate diagnosis of Prostate CA, using PSMA-11 PET/CT, will be reviewed by the faculty.

Upon completion of this CME activity the healthcare provider should be able to:

  1. Discuss the clinical benefits of PSMA Imaging for the diagnosis and management of prostate cancer
  2. Describe patient considerations for 68GA PSMA-11 PET/CT
  3. Articulate the clinical implications supporting the timely diagnosis of prostate cancer
  4. Implement guidelines of when to order 68GA PSMA-11 vs other imaging modalities (Bone scan, CT, MRI)
  5. Implement PSMA Imaging practice considerations to improve outcomes and patient management

This program is made possible through an unrestricted educational grant from Telix Pharmaceuticals

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The Role of Digital Breast Tomosynthesis in Breast Cancer Screening, Diagnosis, and Continued Patient Management
Released: August 01, 2020 Expires: July 31, 2022 CE credits: 2.0 Cost: $0.00
Faculty: Applied Radiology
18949

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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