Medical Imaging Bulletin D A T E S O F I N T E R E S T Hospital Stat Holiday - Thanksgiving, October 8th Visiting Professor Series October 2nd & 3rd Medical Radiation Technologists Week (MRT) November 4th-10th Decoding Diagnostics November 21st I N S I D E T H I S I S S U E Educational News 2 Rounds Calendar 3 Our Radiologists Photos Dr. Meg Chiavaras Dr. Ramiro Larrazabal 2012 Residents 2012 Fellows Dr. Karen Finlay Appreciation Dinner CBO & Mi-Req Optimization Project MRT Week 8 In Memory Dr. Colin E. Webber The Back Page 10 4 5 6 7 9 I S S U E 3 7 Dear All, It is with fondness and sadness that I recall the memory of Dr. Colin Webber, who passed away September 4th in Brantford. Our Department not only lost an outstanding researcher and a leader in the field of bone research, but also a wonderful and approachable resource, always ready to help. Dr. Webber was one of the first individuals I met before joining McMaster University, and he made a strong impression on me with his enthusiasm and dedication. He will be missed. MRT week is coming soon (November 4 th 10 th ). It is my pleasure to acknowledge our medical radiation technologists for their hard work and dedication. I encourage you to take the time to thank them for their invaluable contribution to our department. On the academic side, we have made great progress on the new Grand Rounds, taking place the 3 rd Tuesday of each month. I am very pleased to inform you that our first speaker is Dr. Martin O Malley, from the University of Toronto. The rounds will be held in the Campbell Auditorium at St. Joe s on November 20 th. Dr. O Malley s topic is entitled Characterization of renal masses. Decoding Diagnostics seminar will be held on November 21 st. The targeted audience is our referring physicians and health professionals. The goal is to provide them with clear pathways and guidelines for ordering the appropriate diagnostic tests. This year, we will have 5 sessions covering chronic back pain, headaches, lung nodules, knee pain and breast health. A family physician, radiologist and specialist will explain the context, state of the art knowledge and approach to imaging. We aim to top last year s very successful event. We have a unique opportunity to put our department s name on the map by bringing research back to Radiology. I have met many times with the Chair of the Department of Biostatistics and Epidemiology to discuss this and we have agreed to explore new research opportunities in evidencebased radiology. With increasing fiscal constraints, it makes sense to evaluate the appropriateness and outcomes of the studies we perform. Feel free to contact me if you are interested in participating. O C T O B E R 2 0 1 2 Event Tracking Activity (ETA), calendar of events, is underway and the faculty will soon be reminded of all our educational events on-line and by regular emails. More information will be sent to faculty in the near future. And last, the Council of Chiefs reminds us that we are not allowed to take pictures of patients and/or charts with our cell phones. Who would do that? I wish you all a very happy Thanksgiving! David Koff Dr. David Koff Chief of Diagnostic Imaging, HHS Chair, Dept. of Radiology, FHS 1 1
EDUCATIONAL NEWS VISITING PROFESSOR SERIES Dr. Derek Muradali Radiologist-in-Chief - Ontario Breast Screening Program, Cancer Care Ontario Head, Division Breast Imaging, University of Toronto Active Staff, Department of Medical Imaging, St. Michael s Hospital, Toronto Papillary Lesions of the Breast: Ultrasound, Mammographic & MI Appearances Tuesday, October 2, 2012, 6:00 p.m. Breast Calcifications: When should we use MRI & Ultrasound? Wednesday, October 3, 2012, 7:30 a.m. Breast Ultrasound: Benign versus Malignant: Wednesday, October 3, 2012, 12 p.m. Juravinski Innovation Tower, Campbell Auditorium Level 2 RM. T2202, St. Joseph s Healthcare Hamilton Annual E.S. Garnett Memorial Lecture Dr. Raman Chirakal Different Avataras* of 18 F-Fluorodopa: A Multi-Purpose, Multi-Target PET Tracer for Diagnostic Imaging (*Descent or incarnation) Tuesday, October 23, 2012, 4:30 p.m. - McMaster University Medical Centre (MUMC) Ewart Angus Centre, Room 1A5 Reception to follow in the Blue Room at MUMC, 5:30-7:00 p.m. 2 2
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OUR RADIOLOGISTS Congratulations to Dr. Meg Chiavaras on winning 1st place for her educational exhibit entitled: The Distal Biceps Tendon: Anatomy, Pathology and Advances in Ultrasound Evaluation with MRI Correlation The award was presented at the International Skeletal Society Meeting in Rome. Picture includes co-authors, Dr. Andrew Grainger, left (Leeds University) and Dr. Jon Jacobson, right (University of Michigan). Lisa Smith, a musculoskeletal ultrasound technologist at the Hamilton General is also a co-author, but was unable to attend the meeting. Dr. Meg Chiavaras I appreciate that your website provides a mechanism for a very grateful patient to express their gratitude for exceptional services by your staff. On September 25th I had two aneurysms removed. I was terrified of the possibility that there might not be a positive outcome. Without fail, every player in the process was positive in their outlook, and kind in their treatment of me. I would especially like to mention a young woman by the name of Sinead, as well as her colleague Martha on 7 West. Their confidence was contagious and their care exemplary. Dr. Larrazabal and Dr. Alsunbul were wonderful, competent and very reassuring in manner. I am indebted to them and the professional team around them. I hope that you will extend to all of them that I will never forget their competence and their kindness. Dr. Ramiro Larrazabal Janice Margaret Jukes 4 4
2012 Residents Basma Al-Arnawoot Kelly Cunningham Christopher Graybiel Yoan Kagoma Kristopher McLean Rebecca Zhu 2012 Fellows Violette Cohen-Hallaleh Anand Gaikwad Dmitry Golev Mary Grant Steve Landers Michelle Ong Kathy Richard Jennifer Young Xi Wang 5 5
Dr. Karen Finlay - Appreciation Dinner 11 years as Residency Program Director Oh - What a Party!! Thank you Dr. Finlay MEDICAL 6 6 IMAGING BULLETIN
CBO and Mi-Req Optimization Project CBO and Optimization Project Tracer and DI Newsletters: CBO and MI-Req Optimization Project The CBO and MI-Req Optimization Project is moving along with regularly scheduled meetings of the two working groups. Both the CBO Working Group and MI-Req Working Group have been meeting regularly since August and are reviewing the current state processes. Our goal is to outline things that are working well, and things that are posing challenges for users of the processes and the electronic requisition management system. In collaboration with ICT, performance testing of the MI-Req System has been initiated, in particular testing on the speed of the system in the Citrix environment. For more information on the progress of the working groups or to share your experience or feedback with Central Booking or MI-Req, you are encouraged to speak with one of your colleagues involved. CBO Working Group Sponsor: Dr. Karen Gulenchyn Co-Leaders: Carol Dunne and Betty Ng Members: Lianne Broughton Alana Chisholm Sandy Giles Cheryl Leonard Dr. Chris Marriott Olivia Puglisi Jeanine Risk Sheila Rogers Cheryl Tillmanns Dr. Parag Vora Jodi Weatherbee Mi-Req Working Group Sponsor: Dr. David Koff Leader: Cheryl Malcolmson Members: Sheri Agapay Krista Cammisoli Chrystal Church Ed Costanzo Dr. Mary Lou Ellins Sandy Giles Dr. Eric Jurriaans Anne Khoorshed Steve Leclerc Trish Legault Dr. Rob Lloyd Dr. Zeev Maizlin Tracy Van Noort Kelly Peck Dr. Amit Singnurkar Cheryl Tillmanns Dr. Val Yakemchuk Dr. Gordon Yip Angelo Zingaro Submitted by: Jean Beckberger 7 7
MRT Week - November 4-10, 2012 MRT Week (November 4-10, 2012) is an opportunity for medical radiation technologists (MRTs) to recognize, celebrate and demonstrate pride in our profession. Moreover it offers recognition of professional accomplishment as well as educational opportunities to increase awareness amongst the general public and our health care colleagues about the profession of medical radiation technology and the important role that MRTs play in medical and molecular imaging. Healthcare today, and the important role that MRTs provide within this space, is undergoing transformative change driven by political, economic and social drivers. As the sophistication and proliferation of imaging technology, techniques and tools increase and standards of practice and care evolve, so too does the demand for advocacy and expertise within our profession. To that end, your leadership, commitment and contribution to ensure a safe and high quality imaging and standard of care is commendable. On a personal note, this year marks a professional milestone as l celebrate 30 years as an MRT. Upon reflection, l have witnessed the dynamic nature of medical imaging and the critical-to-quality position that it occupies in the daily practice of medicine. For me, the opportunity to learn and be challenged has been both motivating and rewarding. Thank you for the privilege to serve as a colleague within our community of practice. On behalf of SJHH and HHS executive teams; please accept my sincere appreciation of your passion, dedication, and continued efforts to provide exemplary patient and family centric care. Best regards, David Happy MRT week! Submitted by: David Wormald 8 8
In Memory Professor, Physicist, Radiation Safety Expert, Researcher, Teacher, Mentor, and most importantly loyal friend; that was Colin Webber to the McMaster University and Hamilton hospital community. Dr. Webber died September 4, 2012 in Brantford, Ontario. Colin E. Webber 1942 2012 Colin obtained his first degree from the Honours School of Physics at the University of Birmingham in 1963; this was followed by an M. Phil in Biochemistry in 1969 and a Ph.D in Physics in 1981, both from the University of Surrey. From 1964 onwards, he held hospital positions in medical physics in London, England and Southampton, England. It was in London where Colin first met and worked with Dr. Steve Garnett and when Dr. Garnett was recruited to join McMaster s Faculty of Medicine and McMaster University Medical School in 1969, he wisely persuaded Dean John Evans to appoint Mr. Webber as Lecturer in the Department of Radiology of the fledgling medical school. At the same time Colin was appointed as physicist in Nuclear Medicine at McMaster University Medical Centre. Dr. Webber s inquisitive mind and determination ensured a successful research career. His CV documents the award of 15peerreviewed research grants totalling $5.6M as either principal investigator or co-investigator in the last 10 years, alone. From 1970 to 2010 he served as the principal supervisor of 34 M.Sc. students and 14 Ph.D. students, and sat on many more graduate student committees. At the time of his death he had been the author or co-author of 180 peer reviewed publications and 4 book chapters, with one final article still in press to be published later this year. Of course this enumeration does not include the countless additional students and researchers to whom Colin generously provided advice and support as they pursued their studies. Colin was a leader in the field of bone research and in many instances he was a man who was ahead of his time. His endless enthusiasm for the science and learning was an inspiration to students and faculty. Indeed Colin developed a method of applying Compton scattering methodology for measuring trabecular bone mass in the calcaneus well before commercial techniques for measuring bone mass had been developed. He had a student develop a prototypical model of a dual photon absorptiometry unit with minimal resources as a part of a PhD project at a time when huge resources were being spent to develop these types of units commercially. Because of his knowledge in the field, he had access to and helped to bring many of the novel measurement techniques, including the first pqct and pmri units to McMaster University. These units are now being more widely used by university centres interested in bone and joint research across Canada. As a result of this expertise Colin was elected to the Scientific Advisory Council of Osteoporosis Canada. Colin was responsible for developing the Bone Interest Group in Hamilton. This was a diverse group of academics interested in the field of bone research. The group included nuclear physicists, engineers, kinesiologists, dieticians and nutrition scientists, rehabilitation scientists, medical scientists, nuclear medicine specialists, radiologists, physiatrists, geriatricians and rheumatologists and all of their attendant graduate students. Quarterly meetings were held, providing researchers and their graduate students with a forum to present their research interests and results. During these meetings Colin often asked the astute questions that would provide perspective to the project and would offer advice that would make a good project great. Colin also provided leadership as part of a monthly MRI users group and provided practical advice around a wide variety of musculoskeletal projects. In addition he met on a weekly basis with those students involved with musculoskeletal research providing guidance and an extra educational opportunity. He had patience for all of those students who would contact him. He challenged individuals to think and to have the commitment and courage to embark on novel projects. Although Colin was recruited to the Department of Radiology and was based in Nuclear Medicine, he also had a profound effect on the development of Health Physics, Medical Physics and Radiation Biology at McMaster University. He was a key member of a group of faculty who launched graduate and undergraduate programmes in these subject areas from the Department of Physics in the Faculty of Science at McMaster in the mid 1970s. He led the further development of these programmes through much of the 1980s, supervised many graduate students in for example, the MSc In Health and Radiation Physics and taught undergraduate and graduate level courses, of which Isotopes In Vivo was perhaps the classic. Colin also had a significant influence on the development of the profession of Medical Physics in Canada. He was one of the founding fellows of the Canadian College of Physicists in Medicine. Amongst his many grants and research contracts was one from the Ontario Ministry of Labour, which enabled him to set up the first bone lead (Pb) laboratory in Canada. Through this and subsequent work, McMaster remains a premier centre for this work, with individual patients coming from as far as South Australia and a significant partnership with Health Canada on bone Pb now reaching its culmination. In a similar vein, in the past few years, Colin had been advocating the establishment of a strontium measurement facility at McMaster and he stimulated the drawing together of the team that is now exploiting this aspect of Colin s vision. This illustrates one way in which Colin s great legacy continues to gain momentum. Finally, Colin possessed a rare ability to draw individuals together and encourage them to work as a team in the best interests of the program, institution or patient. He encouraged all who worked with him, whether a student, professional colleague, or administrative assistant to aim just a little higher. He was a source of sage advice and a constant calm presence within what can be a challenging environment. A kind gentle giant in the field of musculoskeletal research and practice, neither he nor his many contributions will be forgotten and, perhaps most importantly, his work will continue to live through the on-going efforts of the many students whom he taught. Submitted by: Karen Y. Gulenchyn, David Chettle, Tom Farrell, Ronnie Bar, Alexandra Papaioannou, Val Yakemchuk, Rich Adachi 9 9
The Back Page With an Honours B.A. in Multimedia and Philosophy, a film school diploma, and certifications in both fitness training and tennis instruction, I like to consider myself a rather well -rounded individual. I have had many titles. However, today I am introducing myself as Webmaster. Starting this month, I shall be keeping you organized online. The current state of your desk is not my problem, though I would be more than happy to offer you a variety of organizational solutions. Many of which consist of a garbage can and the purchase of an ipad. Jerome Marrin If you have any questions regarding the website or would like me to post/alter information for you, please do not hesitate to contact me. jeromemarrin@me.com DON T FORGET!! Daylight Savings Time ends Sunday, November 4, 2012 at 2am. With each time change it is an ideal time to test the smoke alarms in your home and change the batteries, if more than one year old. HGH STRIDES CAMPAIGN Congratulations! The JHCC Mammo Brigade raised $9,212 towards the Bright Run. The HGH Strides Team raised $4,360 to be used towards equipment for the Hamilton General Hospital for the HGH Strides Campaign. Both teams were generously supported by the Barton Street Radiologists and Henderson Radiology Associates. Thanks to all who participated! Submissions to: Mary Ann Zadvorny - Chedoke Campus, Patterson Bldg., Rm. 311 zadvorny@hhsc.ca 10 10