Courses

To add any of these courses to your ​agenda for the RSNA annual meeting:

  • Visit the RSNA 2015 website and click on Browse the Program.
  • Enter ASRT in the search field.
  • Click on Add to add a specific course to your agenda.
  • You will be prompted to log in. Once logged in, you will be able to add this course to your agenda.

Wednesday, December 2

Face Transplantation and Surgical Planning — MSRT41

8-9 a.m.

Frank J. Rybicki, M.D., Ph.D.
Ottawa, Ontario    

Learning Objectives

  • Understand the principles of face transplantation from a surgical perspective.
  • Discuss protocols for evaluation of bony structures, including 3-D printed models.
  • Explain pre- and post-face transplantation vascular imaging to define and follow-up the vascular anastomoses.
  • Detail insights of transplantation biology enable by 320-detector computed tomography.

Abstract

Face transplantation is now the only accepted option to restore form and function in patients with severe facial deformity. The transplanted tissue comes from an organ donor and is called an “allograft.” The allograft tissues can include bone, regions of forehead, eyelid, nose, lips, chin and cheeks. Surgical planning uses computed tomography, magnetic resonance and 3-D models typically printed from CT images. For all steps, the radiologic technologist plays a critical role working in concert with the radiologists and surgeons. Bone is shown in 3-D reformatted images and 3-D printed models. The vascular anastomosis is the most critical aspect for successful engraftment. CT angiography noninvasively images vessels for anastomoses. Patients typically have altered vascular anatomy of the external carotid circulation because of the injury or lesions that lead them to face transplantation. Both arterial and venous mapping is required. Postoperatively, both CT angiography and MR angiography are used for surveillance and when potential complications arise. Volumetric rendering of all relevant structures is important in surveillance and can be achieved by 3-D printing soft tissue structures. Postoperative CT angiography has yielded insights to the vascular physiology and pathology of tissue transplantation.

Working With Obese Patients in Radiography — MSRT42

9:20-10:20 a.m.

Barbara Smith, M.S., R.T.(R)(QM), FASRT, FAEIRS
Portland, Oregon
Connect with me in the ASRT Communities.

Learning Objectives

  • Explain obesity statistics and issues related to radiography.
  • Discuss sensitivity training and communication.
  • Identify transportation and transfer of obese patients to ensure safety of patient and personnel.
  • Describe imaging challenges and how to locate anatomical landmarks.
  • Examine exposure-related issues.

Abstract

Obesity affects an increasing number of people throughout the world and is a growing global health problem. This presentation defines degrees of obesity, reviews statistics and discusses some of the health effects. The speaker also will discuss equipment specifically designed for the transportation and transfer of obese patients, as well as radiographic equipment designed to image obese patients. Because patient dignity should be kept in mind, issues such as sensitivity training and communication are crucial. Many imaging challenges are associated with obese patients. For example, although the bony skeleton and organ locations do not change, it can be difficult to locate common positioning landmarks. A new technique for locating anatomical landmarks will be presented to assist with positioning accuracy, and exposure factor use for images and how it affects the radiographic tube will be covered. Additional considerations will be discussed relating to image receptor size, collimation, focal spot size, grid use, AEC and dose.

Best Practices in Digital Radiography — MSRT43

10:40-11:40 a.m.

Donna Long, M.S.M., R.T.(R)(M)(QM), FASRT
Indianapolis, Indiana
Connect with me in the ASRT Communities.

Learning Objectives

  • Discuss best practices in digital radiography. 
  • Comprehend ASRT position statements and practice standards pertinent to best practices. 
  • Analyze the effects of technical factor selection on the digital image. 
  • Apply quality control in digital imaging. 
  • Understand exposure indicator systems and values.​

Abstract

Digital radiography has been in practice for quite some time. However, we are still working to provide education and best practices for technologists and students regarding the use of digital imaging vs. film-screen equipment. This presentation covers best practices in digital radiography referencing the ASRT white paper, position statements and practice standards. Recommendations regarding future research will also be presented.

Famous Feet: Weber, Lisfranc and Jones. The Fractures. The Men.  — MSRT44

1-2 p.m.

Ken L. Schreibman, M.D., Ph.D. 
Madison, Wisconsin

Learning Objectives

  • Understand common fracture patterns in the foot and ankle.
  • Discuss ankle twisting injuries and the Weber staging system.
  • Explain fractures and dislocations of the Lisfranc joint.
  • Describe fractures of the proximal fifth metatarsal, distinguishing between avulsion and Jones fractures.

Abstract

Dr. Schreibman returns to ASRT@RSNA for the third straight year with his dynamic, fast-paced, animated PowerPoint presentations. This year he will discuss “Famous Foot Fractures: Weber, Lisfranc and Jones.” During the lecture he will review the normal anatomy and proper radiographic imaging techniques for the ankle and foot. He will then describe the mechanisms and imaging findings of these common fractures of the ankle joint, tarsal-metatarsal joint and fifth metatarsal. Along the way, Dr. Schreibman will provide some historical footnotes regarding the men for whom these fractures are named.

Interventional Cardiovascular Magnetic Resonance (iCMR): Clinical and Preclinical Applications — MSRT45

2:20-3:20 p.m.

Jonathan Mazal, M.S., R.R.A., R.T.(R)(MR)
Bethesda, Maryland
Connect with me in the ASRT Communities.

Toby Rogers, B.A., B.M., BCh, MRCP
Bethesda, Maryland

Learning Objectives

  • Define interventional cardiovascular magnetic resonance.
  • Compare advantages and disadvantages of MR vs. other imaging modalities to guide cardiovascular interventions. 
  • Describe personnel and infrastructure requirements to start an iCMR program.
  • Identify current clinical applications of iCMR.
  • Review preclinical applications of iCMR to inform future clinical directions.​

Abstract

This interactive session examines the potential benefits of performing cardiovascular interventions using magnetic resonance imaging guidance rather than x-ray fluoroscopy. The presenters will discuss the key differences from the perspective of both patient and medical staff. MR-guided cardiac catheterization is a clinical reality in specialist centers in the United States today, and real patient cases will accompany the presentation. Finally, attendees will explore future directions of interventional CMR through a review of innovative preclinical applications.

Prostate Cancer and MR Imaging: What To See and How To See It  — MSRT46

3:40-4:40 p.m.

James Stirling, M.Sc., D.C.R., D.M.S. 
Middlesex, United Kingdom

Learning Objectives

  • Describe the anatomy and common pathology of the prostate gland.
  • Discuss the factors and how to optimize prostate sequences, including T1, T2 and STIR whole pelvis sequences; small field of view T2 axial, sagittal and coronal sequences; diffusion-weighted imaging; and contrast-enhanced T1 and T2* dynamic sequences.
  • Explain how different sequences are used with primary, secondary and metastatic prostate cancer.
  • Explore hybrid PET-MR 18F Choline imaging.

Abstract

Over the past few years magnetic resonance imaging of prostate cancer has moved from just T1 and T2 imaging to multiparametric, multimodality imaging. To produce high-quality images, sequence parameter factors have to be optimized, balancing clinical requirements with patient comfort, total on-table time, scanner capabilities and limitations. This course includes prostatic anatomy and how different sequences can characterize benign and malignant disease. The presenter will show the sequences needed and how to optimize them, including T2 small field of views, diffusion-weighted imaging, T1 and T2* dynamic contrast-enhanced sequences and intrinsic susceptibility weighted imaging. As prostate cancer develops and is treated, the imaging protocols change and might include surveillance and staging before progressing to recurrence and metastatic whole-body imaging. MR is now being fused with PET in hybrid machines to combine the strengths of both modalities. This course also shows how MR imaging of malignant prostate disease changes as the disease progresses.

Thursday, December 3

Health Care in the Developing World: Education Is the Key  — MSRT51

8-9 a.m.

Joe Whitton, M.S., R.T.(R)(CT)(MR)
Stony Brook, New York
Connect with me in the ASRT Communities.

Learning Objectives

  • Define a variety of challenges to the delivery of health care services in remote areas of developing nations. 
  • Identify the limited physical resources being currently used in rural hospitals in Kenya. 
  • Assess the need for standardized procedures and education as a key component to the advancement of health care delivery in this region of the world.

Abstract

Experience delivering health care as a participant in a medical mission to the remote area of Meru, Kenya. Health care providers in this region struggle to meet the challenge of treating as many people as possible with very limited resources. Health care professionals from Stony Brook University worked with Kenyan hospital staff to share methods and procedures to help them in this endeavor. We found the need for material goods and the necessity of education to use and maintain them properly equally important.

Patient-centered Imaging and the Role for the RA in a Changing Health Care Environment  — MSRT52

9:15-10:15 a.m.

Courtney Sullivan, M.S., R.R.A., R.T.(R), RDMS, CN-BI
New York City, New York
Connect with me in the ASRT Communities.

Learning Objectives

  • Define approaches to providing patient-centered care through radiology consultation activities. 
  • Identify the value of the registered radiologist assistant in the patient care setting. 
  • Understand how radiology consultation can increase the standard of care in a changing environment.

Abstract

In a changing health care environment, the ability to provide patient-centered care is increasingly important. Aligning with health care reform initiatives, consultation provides an ideal opportunity to promote informed decision making, increase education and facilitate communication between patients, radiologists and referring physicians. Although radiology consultation has traditionally been part of standard clinical practice, the current fee-for-service payment model and technologies, such as PACS, have limited the availability of the radiologist. Through an organized consultation service, the role of the registered radiologist assistant could help alleviate radiologist workflow constraints, specifically participating in noninterpretive tasks. In reviewing this model, this session focuses on radiology consultation and ways to promote patient-centered imaging, ultimately increasing the quality of care.

3-D Postprocessing: Not Just a Pretty Picture  — MSRT53

10:30-11:30 a.m.

Adrienne Coya, M.S., R.R.A., R.T.(R)(CT)
New York, New York
Connect with me in the ASRT Communities.

Learning Objectives

  • Define key 3-D postprocessing terminology and techniques.
  • Identify where 3-D postprocessing can improve diagnostic accuracy on CT and MR exams.
  • Examine the role of 3-D postprocessing in surgical and treatment course planning.

Abstract

With the advancement of technology comes the evolution of radiology equipment and available techniques. One of these developed techniques is 3-D postprocessing — a valuable tool not only in the field of radiology but also in a variety of departments within any medical facility. Postprocessing techniques such as maximum intensity projections, multiplanar projections, curve planar reformats and volume-rendered reformats can be used and implemented with both CT and MR data. These projections provide more than just an impressive image. They help identify threatening conditions and further explore the body’s anatomical makeup. Their techniques can support the diagnosis process and provide assistance in surgical and treatment planning.

Renal and Urographic CT Imaging — MSRT54

11:45 a.m.-12:45 p.m.

Robert Chatelain, R.T.(R), CTIC
Ottawa, Ontario

Learning Objectives

  • Identify normal anatomy and its variants demonstrated by CT of the urinary system.
  • Explain the value of having specific, dedicated protocols for renal and urographic imaging.
  • Differentiate renal and urographic pathologies by origin, including congenital, neoplastic and vascular.

Abstract

The urinary system is subject to a wide variety of pathological processes and anatomical variants. Fortunately, it lends itself well to being imaged by a range of modalities. This presentation focuses on imaging the urinary system using computed tomography. Because of high spatial resolution, CT is an excellent tool to evaluate stones, masses, traumatic injuries and infections. Noncontrast CT is the procedure of choice to evaluate kidney stones. CT also is used to differentiate malignant from nonmalignant renal masses and to evaluate the local spread of a renal malignancy. In addition, CT angiography is an excellent tool to define the anatomy of the renal arteries and veins.