ISSUE 57 DECEMBER 2014 I am happy to report once again, Canada has been honoured at the 100th meeting of the Radiology Society of North America. A special session was held on Tuesday, December 2nd, 2014 entitled Beyond Diagnosis: How Cardiovascular Imaging Research in Canada is Improving Clinical Outcomes. The session was highly praised and the talks were excellent. This is a great accomplishment! Congratulations to the speakers and supporters. One of the most common themes this year was the need for change going forward. RSNA 2014 President, Dr. N. Reed Dunnick, set the tone in his opening address. His emphasis was on valuebased medicine and patient-centered imaging and was at the centre of all conversations. This confirms the shift away from technology and toward patient care that many have been advocating for along with new methods of healthcare delivery and payment. The traditional fee-for-service model is fading away, to be replaced by payment schemes that emphasize value in healthcare delivery. Imaging informatics can serve as an important role in navigating the shifting landscape and help radiologists improve the quality of their reports, which will be more interactive and easier to understand. Another major development is the expanding offer of Vendor Neutral Archives (VNA,) which is the path to enterprise imaging and the deconstruction of the traditional PACS. We have been pioneers in Canada with our DI-r s, which are large scale regional archives. There was also a lot of emphasis around overutilization of imaging with initiatives such as Choosing Wisely and ACR Select. This is an informatics project that uses the American College of Radiology (ACR) Appropriateness Criteria for a decisionsupport software application. The ACR booth was very busy, and it seems that the software will be widely adopted worldwide. On another note, I am very pleased to inform you that our clothes donation has finally reached Nunavut in time for Christmas. Warm clothes have been welcomed in Repulse Bay and Gjoa Haven. It is very rewarding to know that the children will benefit from our donation when they may need it most. Thank you again for your generosity! I wish you and your family Happy Holidays and a very Happy New Year. May 2015 bring you health, happiness and prosperity. All the best, Dr. David Koff Chief of Diagnostic Imaging, HHS Chair, Department of Radiology, FHS DATES OF INTEREST VISITING PROFESSOR Dr. Sanjeev Bhalla - January 12 th & 13 th E.S. GARNETT LECTURE Dr. David Mankoff - January 29 th I NSIDE THI S ISSUE Educational News 2 Rounds 3 Our Radiologists 4 Dr. J. O Neill Dr. C. Fong Dr. Michael Romeo 5 Celebration Undergrad Corner 6 The Research Corner 7 The IIT News 8,9 MRT Week Celebrations 10,11 12 Imagine ir 3.0 13 Our Staff 14,15 16 Holiday Quiz 17 The Back Page 18
EDUCATIONAL NEWS VISITING PROFESSOR SERIES Dr. Sanjeev Bhalla Professor, Radiology Division of Diagnostic Radiology Chief, Cardiothoracic Imaging Section Washington University School of Medicine St. Louis Missouri Acute Aorta Monday, January 12 th, 2015-6:00 p.m. - SJHH: Room T2202, Campbell Auditorium Acute Pulmonary Embolism Tuesday, January 13 th, 2015-7:30 a.m. - SJHH: West 5th Campus, Upper Auditorium Cardiovascular Trauma of the Chest Tuesday, January 13 th, 2015 - SJHH: West 5th Campus, Upper Auditorium ANNUAL E.S. GARNETT MEMORIAL LECTURE Dr. David Mankoff Professor of Radiology Chief, Division of Nuclear Medicine Clinical Molecular Imaging Director, PET Center at Perelman School of Medicine University of Pennsylvania Molecular Imaging of Breast Cancer: Clinical & Biologic Insights Thursday, January 29 th, 2015-4:30 p.m. - MUMC Ewart Angus Centre, Rm. 1A5 Reception to follow - 5:30 p.m. - MUMC Blue Room FUTURE VISITING PROFESSOR SERIES Tuesday, February 3 rd and Wednesday, February 4 th, 2015 Dr. Supriya Kulkarni - Breast Tuesday, March 3 rd and Wednesday, March 4 th, 2015 Dr. Achala Vagal - Neuro Tuesday, March 31 st and Wednesday, April 1 st, 2015 Dr. Julie Ritner - Obs/Gyn Monday, May 4 th and Tuesday, May 5 th, 2015 Dr. Tim Mosher - MSK (Annual Peter W. Cockshott Lecture) LOCATION for the above Visiting Professor lectures will be at St. Joseph s Healthcare, Hamilton (Main Charlton Campus and West 5 th Auditorium) 2 2 M E D I C A L I M A G I N G B U L L E T I N
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OUR RADIOLOGISTS Congratulations - Dr. John O Neill Congratulations to Dr. John O Neill on completing his second textbook entitled Essential Imaging in Rheumatology published by Springer Publishing Company 2015. Dr. O Neill will be donating a copy for resident libraries to each hospital. Thank you Dr. O Neill! Birth Announcement Congratulations! Dr. Crystal Fong Dr. Crystal Fong and her husband Eric welcome their second baby, a big sister for Cameron. Baby girl Audrey Teresa Yuen Fun Cole Born December 9 th, 2014 7 lbs 2 oz. M E D I C A L I M A G I N G B U L L E T I N 4 4
DR. MICHAEL ROMEO - CELEBRATION An Evening of Celebration and Best Wishes to Dr. Michael Romeo from the Hamilton General Hospital was held at LoPresti s at Maxwell s on Tuesday, November 25th, 2014 Dr. Michael Romeo and his wife, Mary Drs. M. DiIanni, R. Larrazabal, D. Koff, G. YIp 5 5M E D I C A L I M A G I N G B U L L E T I N Dr. Romeo s daughter Carolyn and son-in-law Stephen Czuba Mary, Dr. Romeo, Stephen
UNDERGRAD CORNER News from Undergrad! INTERESTED IN TUTORING? MF4 commences April 20, 2015 to June 26, 2015. MF4 includes Immunology, Infectious diseases and Neoplasia. Tutors meet twice weekly with their student group ( approx. 6-7 students per group). Scheduling should be either Monday - Thursday or Tuesday - Friday. Meetings can happen at any HHS site. If you are interested please contact Patti Drochner at drochn@mcmaster.ca or 905-525-9140 ext. 22856. FIRST TIME TUTOR? You must take MacEssentials, the MD Program tutor training program before you can tutor. MacEssentials are offered in January and in June. It is a 2-evening program. Next course will be January 21 st & 28 th, 2015 in MDCL. To register contact Jane Bennett, curriculum coordinator MD Program (bennj@mcmaster.ca) Dr. Carmen Otero Undergraduate Program Director 6 6 M E D I C A L I M A G I N G B U L L E T I N
THE RESEARCH CORNER An exciting new research project, lead by Dr. Naveen Parasu, has officially started! The project titled, Tomosynthesis Use in Detecting Subtle and Occult Hip Fractures, will be run out of the Juravinski Hospital over the next six months. The main objectives of the study are to determine if using tomosynthesis in conjunction with x-ray, is better at detecting subtle and occult hip fractures than x-ray along as well as determining if this can reduce the number of required MRIs. MRI scanning is known to be the best investigation for detecting these fractures, but it is expensive, and may not be readily available. Based on the 2011 Statistics Canada Report there are 1,172 hospitals in Canada of which 308 had a MRI machine, with 30% of Canada s total number of MRI machines in Ontario alone (CIHI, 2013). While only 10% of hospitals currently have tomosynthesis, the cost to upgrade their machines to include this application is approximately $45,000, which is much lower than the approximate cost of a MRI. The utility of tomosynthesis has been demonstrated in use for breast cancer screening but only a limited number of studies have been done when it comes to its use in detecting fractures. A small number of studies have been done in using tomosynthesis to detect wrist fractures. These studies demonstrated that using tomosynthesis is superior to that of standard radiography (Ottenin et al., 2012; Geijer et al., 2011). If you have a research project starting, please be sure to email Jane Castelli (jane.castelli@miircam.ca) so that it can be included in the next newsletter! Submitted by: Jane Castelli, Project Manager - MIIRC@M jane.castelli@miircam.ca 7 7 M E D I C A L I M A G I N G B U L L E T I N
IMAGING INFORMATICS TEAM (IIT) 8 8 M E D I C A L I M A G I N G B U L L E T I N
IMAGING INFORMATICS TEAM (IIT) Cont d 9 9 M E D I C A L I M A G I N G B U L L E T I N Submitted by: Tracy van Noort
ST. JOSEPH S HEALTHCARE HAMILTON Submitted ty: Terri Millsip 10 10 M E D I C A L I M A G I N G B U L L E T I N
ST. JOSEPH S HEALTHCARE HAMILTON MRT Week - continued 11 11 M E D I C A L I M A G I N G B U L L E T I N Submitted ty: Terri Millsip
MRT 6 TH ANNUAL RECOGNITION DINNER Medical Radiation Technologists Week 2014 dinner was held Wednesday, November 5 th at The Waterfront Centre, celebrating the Essential Link that MRTs are between patient care and advanced technology. A wonderful evening was enjoyed by all! Dr. David Koff David Wormald Dr. Colm Boylan 12 12 M E D I C A L I M A G I N G B U L L E T I N Guest Speaker - Dr. Patrice Bret Submitted ty: Bryan Herechuk
ST. JOSEPH S HEALTHCARE HAMILTON Interventional Radiology for Medical Students Submitted ty: Terri Millsip 13 13 M E D I C A L I M A G I N G B U L L E T I N
OUR STAFF I would like to congratulate Caroline Fellows-Smith, Nurse Clinician Educator, DI, MDU and NM Programs for all sites, for her excellent work reaching out to other departments at HHS and providing education to our colleagues as to matters related to diagnostic imaging, such as her great PowerPoint Patient Preparation on the Road to Diagnostic Imaging and for promoting our work at Annual Review. Dr. David Koff 14 14 M E D I C A L I M A G I N G B U L L E T I N
RETIREMENT ANNOUNCEMENTS After 34 years of dedicated service to the Diagnostic Imaging department at McMaster University Medical Centre, Marion Bowslaugh, Charge Technologist, is setting her sights on a well-deserved retirement and spending more time with her husband, Gary and family. Marion began her career at Chedoke-McMaster Hospital in 1980 as a full-time X-ray technologist. She became a Senior Technologist in 1984 and then Assistant Chief of the department in 1988. With the consolidation of hospitals to form Hamilton Health Sciences, Marion took on the role of Charge Technologist in 1998. During Marion s career, she had completed her Advanced Certification as a Medical Radiation Technologist and continues to embrace life-long learning. She has been involved with every aspect of operations in the department and has contributed to many work groups and committees within the corporate Diagnostic Imaging program as well as in house at McMaster. Recently, Marion took on a temporary role as Clinical Supervisor for the McMaster site and West End Urgent Care Centre. The Diagnostic Imaging department at McMaster has benefitted from Marion s leadership and passion for patient care and staff. We will miss Marion and wish her a happy, healthy and long retirement! Marion s last day is Friday, December 19th and a Good-bye tea and luncheon have been planned. We would like to invite everyone to attend Marion's retirement party that will be held on January 23, 2015. Save the date as details are in the works. Submitted by Betty Ng Gretha Mikula RPN has worked at the JHCC for 25 years, 9 of those years were in Diagnostic Imaging. Gretha was instrumental in teaching our nurses. She is an avid gardener and scuba diver, and loves to travel. Gretha is looking forward to spending time with her family and volunteering in the community. She is also looking forward to prepping her garden for the next Ancaster Open Garden Tour. She will be dearly missed. Gretha Mikula s retirement party held on December 19 th, 2014 at the JHCC. 15 15 M E D I C A L I M A G I N G B U L L E T I N Submitted by Osy Amaral
MCMASTER MEDICAL CENTRE Congratulations Geri Schweinbenz! Our Gold Medal Winner Geri Schweinbenz had recently competed with her team, KAB (Knot A Breast) in the International Breast Cancer Paddler s Commission Dragon Boat race held in Sarasota, Florida on October 25-26, 2014. Geri and her team mates from Hamilton were determined the winners from a photo finish as the final race was very close! The news of having won gold at the event was disbelief and jubilance for the team. This triumph had a personal meaning for Geri as she was diagnosed with invasive ductal carcinoma in May 2012. There was no family history of breast cancer and the diagnosis came as a shock. The next eight months, Geri underwent two surgeries, six cycles of chemotherapy and six weeks of radiation therapy. After all this, Geri returned back to work and within nine months, she was working full-time again. Geri credits her family, friends and colleagues for helping her through this difficult time as their care and support meant a great deal. After the cancer treatment, Geri developed lymphedema in her right arm and felt she could no longer participate in sports. She heard of the KAB team from one of her chemo nurses, who was also a breast cancer survivor and KAB member. Geri discovered the KAB team embraced the theory of Dr. McKenzie, a sports medicine physician from Vancouver, British Columbia who in 1996 dispelled the myth that repetitive upper body exercise encourages lymphedema for post treatment breast cancer women. His study proved exercise provided through paddling and Dragon boating actually benefits women with lymphedema which is a side effect following surgery and radiation therapy. Geri trained with her KAB team over a year and a half before the International Breast Cancer Paddler s Commission Dragon Boat Festival, a racing event that occurs every four years. The KAB Dragon Boat racing team is made up of both men and women, and is a floating support group which gives hope to all who are fighting breast cancer and their care givers. Raising awareness about the quality of life after breast cancer is an important component of KAB as cancer survivors can lead full and active lives despite any limitations caused by the disease. The international race had 101 teams from 8 countries competing, all breast cancer survivors. In a very close race, KAB won the Gold Medal in the A division final race. It still feels surreal to Geri, who feels she has come full circle with breast cancer with this comment, What I have learned is that out of this very difficult situation I have gained so much and I have so much to be thankful for! I have my life back! The staff at MUMC & UCC are proud to share Geri s accomplishment with everyone. Please join us in congratulating Geri and the entire KAB team on winning the gold medal in the International Breast Cancer Paddler s Commission Dragon Boat Festival! For more information - Please check out the KAB website at www.knotabreast.com Submitted by: Linda Guralski, Wanda McMaster & Betty Ng Diagnostic Imaging, MUMC & UCC Sites 16 16 M E D I C A L I M A G I N G B U L L E T I N
1-C, 2-A, 3-B, 4-A, 5-A, 6-B, 7-B, 8-A, 9-(either is correct, just keep it consistent), 10-A THE HOLIDAY QUIZ 1. The name of that ubiquitous red plant is. a. pointsetta b. poinsetta c. poinsettia d. pointsettia 2. We're planning a special dinner and gifts for employees and their guests, so we ask that you by Friday. a. RSVP b. please RSVP 3. Darn! I m already committed to two parties that evening, so I'm going to have to decline your invitation. a. graciously b. gratefully 4. Be careful shopping online: According to security experts, the season for identity theft. a. tis b. t is 5. is promoting ebooks as instant gifts. a. Barnes & Noble b. Barnes and Noble 6. We're planning an celebration this year. We'll be dining by candlelight -- and banning iphones at the table. a. old-fashion b. old-fashioned 7. There are a lot of holidays in December, not just but also Diwali, Hanukkah, Kwanzaa, Lunar New Year, Santa Lucia Day and sometimes Ramadan. a. Xmas b. Christmas 8. The Scottish tradition of first-footing involves being the first person to step across a friend or neighbor's after midnight on January 1. a. threshold b. threshhold 9. On December 24th, a lot of children can be found gazing out windows for a glimpse of sleigh. a. Santa Claus' b. Santa Claus's 10. After the celebrations on, January 1 seems like an excellent choice for a holiday. a. New Year's Eve b. New Years Eve c. New Years' Eve ANSWERS 17 17 M E D I C A L I M A G I N G B U L L E T I N
THE BACK PAGE Tammy Anderson, Diagnostic Imaging at MUMC participated in the My Voice Matters survey and it paid off! She won 2 movie passes! Congratulations Tammy! Wishing you and your family all the best during the holidays and a happy and healthy New Year! Mary Ann Zadvorny was recognized for 29 years of service at the HHS Service Awards Reception, at Michelangelo s on Thursday, October 16 th, 2014. L-R Andrew Doppler, Mary Ann, Rob MacIsaac EBOLA training a success! DI Dept. Hamilton General Hospital Submissions to: Mary Ann Zadvorny McMaster Site, HSC - Room 2N48 - zadvorny@hhsc.ca, Ext. 74489 18 18 M E D I C A L I M A G I N G B U L L E T I N