CONGRESS PROGRAM

Transcription

CONGRESS PROGRAM

2015 JOINT CONGRESS ON MEDICAL IMAGING AND RADIATION SCIENCES
CONGRÈS CONJOINT SUR L’IMAGERIE MÉDICALE ET LES SCIENCES DE LA RADIATION – 2015
CONGRESS PROGRAM
PROGRAMME DU CONGRÈS
Collaborative Care – Imaging and Treatment
Une approche collaborative—imagerie médicale et traitement
May 28-30, 2015
Palais des congrès de Montréal
Montréal, Québec
jointcongress.ca
Du 28 au 30 mai 2015
Palais des congrès de Montréal
Montréal, Québec
congrèsconjoint.ca
Thank you to our sponsors Merci à nos commanditaires
Thank you to our sponsors for the generous provision of educational grants for the 2015 Joint Congress.
Merci à nos commanditaires pour leur généreux soutien à l’éducation à l’occasion du Congrès conjoint 2015.
PLATINUM / PLATINE
GOLD / OR
SILVER/ ARGENT
BRONZE
A BIG THANK YOU TO
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Committees
Comités
2015 Joint Congress Executive Planning Committee 2015 Joint Congress Scientific Committee
Comité de direction de la planification du Congrès Comité scientifique du Congrès conjoint 2015
conjoint 2015
Alain Cromp, t.i.m(E), B.Ed., D.S.A, M.A.P, Adm.A; CEO,
OTIMROEPMQ (Co-Chair)
Adele Fifield, O.Ont, CAE, BA, BEd; CEO, CAR (Co-Chair)
François Couillard, BEng, MBA, CMC; CEO, CAMRT
Anne Sabourin, Coordinator, SCFR
Julie Morin, t.i.m., Directrice de l’amélioration de
l’exercice, OTIMROEPMQ
Karen Morrison, MBA, Director of Membership and
Events, CAMRT
Josée Roy-Pilon, Director of Communications and
Events, CAR
Heather Michael, Secretariat, CAMRT
Mira Peneva, Secretariat, CAMRT
Executive Planning Committee Disclosures/
Conflits d’intérêts du comité de direction de la
planification:
François Couillard declares he holds investments in GE and
Johnson & Johnson.
François Couillard déclare qu’il détient des titres de participation de
GE et de Johnson & Johnson.
Jonathon Leipsic, MD, FRCPC, FSCCT, Radiologist,
Vancouver, BC (Chair)
Marie-Pier Chagnon, t.r.o, Technologist, Laval, QC
(Vice Chair)
Micheline Jetté, t.i.m., Technologist, Longueuil, QC
Patricia Nöel, MD, Radiologist, Québec, QC
Elaine Dever, RTR, CR, BHS, Director of Education,
CAMRT
Anne Sabourin, Coordinator, SCFR
Josée Roy-Pilon, Director of Communications and
Events, CAR
Sophie Côté, Chargée de projet à l’amélioration de
l’exercice, OTIMROEPMQ
Louise St-Amand, Education and Events Coordinator,
CAR
Heather Michael, Secretariat, CAMRT
Mira Peneva, Secretariat, CAMRT
Scientific Committee Disclosures/
Conflits d’intérêts du comité scientifique:
Dr. Jonathon Leipsic declares he is a Consultant with Edwards
Lifesciences, Heartflow, Neovasc, and CIRCL and Speaker with
GE Healthcare.
Jonathon Leipsic déclare qu’il est consultant pour Edwards Lifesciences, Heartflow, Neovasc et CIRCL ainsi que conférencier pour
GE Santé.
The Joint Congress would like to thank the volunteer members
of the Scientific Committee whose dedication and hard work
resulted in this rigorous scientific program.
Le Congrès conjoint tient à remercier les bénévoles membres du comité
scientifique, qui ont contribué par leur travail et leur dévouement à
la réalisation de ce rigoureux programme scientifique.
#jointcongress15
#congrèsconjoint15
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CAMRT Track Chairs
Présidents des volets de l’ACTRM
Janet Soper, RTT, CTIC
Jenny Soo, RTT, ACT
Jeremy Phipps, RTNM, CTIC
Jody Ceccarelli Linda Arseneault Lyne Santello, RTMR
Maria Martino, RTR
Marie-Pier Chagnon, t.r.o.
Micheline Jetté, t.i.m.
Robert Chatelain, RTR, CTIC
Serge Gauthier, RTR, RTMR
Shelley Kallos, RTR, CBI CAR Working Group
Groupe de travail de la CAR
Alison Harris, MD, BSc(Hons), MBChB, MRCP, FRCR, FRCPC
Anukul Panu, MD, FRCPC, DABR
Caitlin McGregor, MD
Emil Lee, MD, FRCPC
Gina Di Primio, MD
Jana Taylor, MD, MDcM
Jason Clement, MD
Jesse Klostranec, MD, PhD
Jonathon Leipsic, MD, FRCPC, FSCCT
Kalesha Hack, MD
Matthias Schmidt, MSc, MD, FRCPC
Michael Chan, BHSc, MD
Michael Patlas, MD, FRCPC
Neety Panu, MD
Peter Munk, MD
Philipp Blanke, MD
Phyllis Glanc, MD, FRCP(C)
Robert Sevick, MD, FRCPC
Savvas Nicolaou, MD, FRCPC
Sian Ïles, MD
Tanya Chawla, MD, MRCP, FRCR, FRCPC
Wilfred Peh, MD, MBBS, MD, FRCP, FRCR
OTIMROEPMQ Track Chairs
Présidents des volets de l’OTIMROEPMQ
Benoit Lebel, t.i.m.
Cathy Gervais, t.e.p.m.
Justine St-Onge, t.i.m.
Karine Schutt-Ainé, t.e.p.m.
Maripier Lajoie, t.i.m
Marie-Pier Beaudry, t.r.o
Marie-Pier Chagnon, t.r.o.
Philip Audet, t.i.m.
SCFR Track Chairs
Présidents des volets de la SCFR
Benoît Mesurolle
Caroline S. Giguère
Christian Blais
Gilles Soulez
Laurent Létourneau-Guillon
Patricia Noël, MD
Xuan Vien Do
Track Chair and Working Group Disclosures/
Conflits d’intérêts des présidents des volets et groupe de
travail :
Jeremy Phipps declares he is affiliated with Bayer on Clinical Trial Site.
Jeremy Phipps déclare qu’il est affilié à Bayer au Centre d’essai clinique.
Xuan Vien Do declares he is affiliated with Amgen having given
a talk to urologists concerning Prostate MRI.
Xuan Vien Do déclare être affilié à Amgen à la suite d’un exposé sur
l’IRM de la prostate qu’il fait devant.
Robert Chatelain déclare qu’il est affilié à General Electric à titre de
conférencier. des urologues.
Robert Chatelain declares he is affiliated with General Electric as
symposium speaker.
Gilles Soulez declares he is affiliated with Covidian as Speaker;
Cook Medical as Co inventor; Biotronik, Bracco Diagnostic, Siemens
Medical as Researcher, and has received research grants from
Siemens Medical, Bracco Diagnostic, CAE, Biotronik.
Dr Gilles Soulez déclare son affiliation à Covidian à titre de conférencier et à Cook Medical à titre de coinventeur; il est également
chercheur pour Biotronik, Bracco Diagnostic et Siemens Medical, et
a reçu des subventions de recherche des sociétés Siemens Medical,
Bracco Diagnostic, CAE et Biotronik.
Dr. Savvas Nicolaou declares he has received research grants from
Siemens Healthcare.
Dr Savvas Nicolaou déclare avoir reçu des subventions de recherche
de Siemens Soins de santé.
Dr. Peter Munk declares he is affiliated with Active O Inc as Vancouver Trial Site investigator.
Dr Peter Munk déclare qu’il est affilié à Active O Inc à titre de chercheur
au centre de Vancouver.
Dr. Emil Lee declares he is affiliated with Medval as Principal and
various organizations through Mutual Funds investments.
Dr Emil Lee déclare être affilié à Medval à titre de Principal et détenir
des placements de fonds mutuels de diverses organisations.
Dr. Jason Clement declares he is affiliated with NEAT as PI for
TVA trial.
Dr Jason Clement déclare être chercheur principal pour NEAT dans
le cadre de l’étude TVA.
Dr. Jonathon Leipsic declares he is a Consultant with Edwards
Lifesciences, Heartflow, Neovasc, and CIRCL and Speaker with
GE Healthcare.
Dr Jonathon Leipsic déclare qu’il est consultant pour Edwards Lifesciences, Heartflow, Neovasc et CIRCL, et conférencier pour GE Santé.
Dr. Philipp Blanke declares he is affiliated with Neovasc Inc., Richmond BC as Consultant.
Dr Philipp Blanke déclare qu’il est consultant pour Neovasc Inc., à
Richmond, en Colombie-Britannique.
Dr. Jana Taylor declares she is affiliated with the International Early
Lung Cancer Action Project as Principal Investigator, Montréal site.
Dr Jana Taylor déclare son affiliation avec l’International Early Lung
Cancer Action Project à titre de chercheure principale au centre de
Montréal.
Dr. Matthias Schmidt declares he is affiliated with MicroVention
as Subinvestigator.
Dr Matthias Schmidt déclare être Cochercheur chez MicroVention.
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Table of contents Table des matières
Thank you to our sponsors
2
Merci à nos commanditaires
Committees
3
Comités
Table of contents
5
Table des matières
Welcome to the 2015 Joint Congress!
6
Bienvenue au Congrès conjoint 2015!
General information
7
Renseignements généraux
Exhibit hall floor map
11
Plan de la salle d’exposition
Congress agenda
16
Programme du congrès
Thursday May 28
16
le jeudi 28 mai
Friday May 29
35
le vendredi 29 mai
Saturday May 30
47
le samedi 30 mai
Congress agenda by discipline
59
Programme du congrès divisé par discipline
Technologists (English)
59
Technologues (Anglais)
Technologists (French)
62
Technologues (Français)
Radiologists
65
Radiologistes
Awards winners & special honours
68
Lauréats et mentions spéciales
Abstacts
73
Résumés
Educational exhibits
73
Expositions éducatives
Scientific exhibits
81
Expositions scientifiques
Department clinical audit project contest
88
Concours des projets de vérification clinique au sein des services
Radiologists-in-training awards
91
Concours radiologistes en formation postdoctorale
Speakers
95
Conférenciers
#jointcongress15
#congrèsconjoint15
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Welcome to the 2015 Joint Congress! Bienvenue au Congrès conjoint 2015!
Welcome to Collaborative Care – Imaging and Treatment. This
extraordinary gathering of over 1,000 imaging and radiation
sciences professionals has been long awaited and eagerly
anticipated by our four host organizations, who collectively
represent over 20,000 members of our professions.
Years in the planning, the inspiring agenda outlined in this
program is the result of collaborative, creative work on the
part of a dedicated multidisciplinary scientific committee, led
by Dr. Jonathon Leipsic, MD, FRCPC, FSCCT and Marie-Pier
Chagnon, t.r.o. The committee has invited some of the most
innovative speakers across the spectrum of medical imaging
and therapeutic disciplines to share experiences through ideas,
insights, and proven practices.
Bienvenue à la rencontre Une approche collaborative – imagerie
médicale et traitement. Nos quatre organisations hôtes, qui
représentent ensemble plus de 20 000 membres de nos professions, attendent depuis longtemps et impatiemment cette
rencontre extraordinaire réunissant plus de 1 000 professionnels
des sciences de l’imagerie et de la radiation.
Depuis des années, le contenu inspirant du programme est le
résultat du travail de collaboration et de création d’un comité
scientifique multidisciplinaire dévoué, dirigé par Jonathon
Leipsic, M.D., FRCPC, FSCCT et par Marie-Pier Chagnon, t.r.o.
Le comité a invité des conférenciers des plus novateurs, qui
représentent l’éventail complet des disciplines propres à
l’imagerie médicale et au traitement, à venir partager leurs
expériences en échangeant leurs idées et leurs points de vue
Three stimulating plenary sessions will bring us together to et en partageant les pratiques éprouvées.
consider topics that have an impact on all of our professions.
Over the course of the three-day Congress, participants can Trois séances plénières stimulantes nous amèneront à examcreate a customized education program that best meets their iner ensemble des thèmes qui ont un impact sur toutes nos
professional needs, choosing from 180 compelling presenta- professions. Au cours du congrès de trois jours, les participants
tions and workshops that are relevant and thought-provoking. pourront créer un programme d’éducation personnalisé
répondant à leurs besoins professionnels, et choisir parmi
Adding to the overall experience will be an impressive exhibit 180 présentations et ateliers captivants qui sont pertinents et
hall filled with state of the art technology, cutting edge ser- donnent matière à réflexion.
vices and ample networking opportunities. The exhibit area is
designed for social interaction with both our valued industry Pour ajouter à l’ensemble de l’expérience, une salle d’exposition
partners and other healthcare colleagues, a place to chat over impressionnante présentera des technologies à la fine pointe
coffee and lunch while you learn. In addition, a magical evening et des services d’avant-garde et offrira de vastes possibilités
at Cirque Éloize has been planned to offer a unique dining de réseautage. L’espace réservé à l’exposition sera propice à
experience and the opportunity to connect with colleagues l’interaction sociale avec nos précieux partenaires de l’industrie
in the ambiance of the historic Dalhousie Station, in the heart et d’autres collègues du monde de la santé, et ce sera un lieu
ou il fera bon échanger autour d’un café et d’un lunch tout en
of Old Montréal.
acquérant des connaissances. En outre, la soirée magique au
We thank our Executive Planning Committee, co-chaired by Cirque Eloize prévue au programme offrira une aventure gasAdele Fifield (CAR) and Alain Cromp (OTIMROEPMQ), which tronomique unique et une occasion de rencontrer des collègues
has worked tirelessly to plan a memorable experience for all dans l’ambiance du lieu historique de la gare Dalhousie, au
participants.
cœur du Vieux-Montréal.
We look forward to meeting you at the 2015 Joint Congress on Nous remercions notre comité exécutif de planification, coMedical Imaging and Radiation Sciences.
présidé par Adele Fifield (CAR) et Alain Cromp (OTIMROEPMQ),
qui a travaillé sans relâche pour s’assurer d’offrir une expérience
mémorable à tous les participants.
Nous avons hâte de vous rencontrer au Congrès conjoint 2015
sur l’imagerie médicale et les sciences de la radiation.
Deborah Murley, RTR
CAMRT President
Présidente de l’ACTRM
Christian Blais, MD, FRCPC
Président de l’SCFR
Danielle Boué, t.i.m.
Présidente de l’OTIMROEPMQ
Jaques Lévesque, MD, FRCPC
CAR President
Président de l’ACR
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General Information
Renseignements généraux
The 2015 Joint Congress on Medical Imaging and Radiation Sciences
has been developed around the theme Collaborative Care – Imaging and
Treatment, which will be echoed throughout plenary lectures, specialty-specific education sessions and hands-on workshops.
Le thème de l’édition 2015 du Congrès conjoint sur l’imagerie médicale et
les sciences de la radiation est l’Approche collaborative – imagerie médicale
et traitement; ce thème sera abordé dans le cadre de conférences plénières,
de séances de formation spécialisée et d’ateliers.
The 2015 Joint Congress Scientific Committee has developed a program Le Comité scientifique a conçu un programme fondé sur les besoins
based on the needs identified at past conferences by radiologists and cernés par les radiologistes et les technologues au cours de conférences
technologists.
précédentes.
The broad range of topics has been designed to be of interest to new
and established radiologists, medical radiation technologists, fellows,
residents, and students.
Congress learning objectives
Une grande diversité de thèmes a été retenue en raison de sa pertinence pour les radiologistes, les technologues en imagerie-médicale,
en radio-oncologie, en électrophysiologie médicale, les membres et
associés, les résidents et les étudiants, qu’ils aient peu d’expérience ou
soient chevronnés.
At the end of the Congress, participants should be able to:
Objectifs d’apprentissage
1. Acquire new knowledge that is directly related to medical imaging,
radiation oncology and medical electrophysiology in order to improve
day-to-day professional practice, in the Canadian context;
À la fin de la réunion, les participants auront les capacités suivantes:
1. Acquérir de nouvelles connaissances directement liées à l’imagerie
médicale, à la radio-oncologie et à l’électrophysiologie médicale
2. Evaluate pathologies, diagnostics and patient treatment in order to
pour améliorer leur pratique professionnelle quotidienne, dans le
better visualize the technologist’s and radiologist’s work as part of a
contexte canadien.
team effort with a common focus: the patient;
3. Appraise recent technological and clinical changes in the imaging 2. Évaluer les pathologies, les diagnostics et le traitement des patients
afin de se faire une meilleure idée du travail du technologue et du
sector pertaining to the chest, the abdomen, the musculoskeletal
radiologue dans le cadre de l’effort d’équipe qui a pour centre d’atsystem, interventional angiography, the head and neck, breast imagtention le patient.
ing, osteoporosis imaging and imaging management of acute stroke,
3. Évaluer les récents changements technologiques et cliniques dans
among other areas of focus;
le secteur de l’imagerie relative au thorax, à l’abdomen, au système
4. Evaluate the impact and importance of involving the patient in the
musculo-squelettique, à l’angiographie interventionnelle, à la tête et
episode of care;
à la nuque, à l’imagerie du sein, à l’ostéodensitométrie et à la gestion
5. Review and discuss the most modern imaging algorithms and imaging
en imagerie dans le traitement de l’accident cérébral vasculaire aigu,
strategies for both solid visceral and hollow viscous abdominal imaging;
entre autres domaines d’intérêt.
6. Recognize the impact of social media in the healthcare environment;
4. Évaluer l’impact et l’importance de la participation du patient à
7. Analyse data emanating from internal audits to better inform practice
l’épisode de soins.
evolution;
5. Examiner les algorithmes et les stratégies les plus modernes en matière
8. Strengthen knowledge and hands-on skills in coronary CT angiography
d’imagerie abdominale qui conviennent aussi bien aux organes visin a simulated setting;
céraux solides qu’aux organes creux en milieu visqueux.
9. Describe the relevance of comparative and cost effectiveness when 6. Reconnaître l’impact des médias sociaux dans l’environnement des
determining imaging pathways and devising diagnostic testing
soins de santé.
algorithms;
7. Analyser les données émanant d’audits internes pour mieux éclairer
10.Discuss the impact of change in technology on practice and patient
l’évolution de la pratique.
outcome;
8. Renforcer les connaissances et les compétences pratiques dans le do11.Appraise a collaborative educational experience that benefits all
maine de l’angiographie pour tomographie coronaire par ordinateur,
participants.
dans un cadre de simulation.
9. Expliquer la pertinence des analyses comparatives et de l’analyse
coût-efficacité dans la détermination des trajets d’imagerie et la
définition d’algorithmes de dépistage pour diagnostic.
10.Discuter de l’impact du changement technologique sur la pratique
et les résultats des patients.
11.Évaluer une expérience éducative de collaboration qui profite à tous
les participants.
#jointcongress15
#congrèsconjoint15
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Accreditation
Accréditation
Radiologists
Radiologistes
“The 2015 Joint Congress on Medical Imaging and Radiation Sciences
– Collaborative Care - Imaging and Treatment is an Accredited Group
Learning Activity (Section 1) as defined by the Maintenance of Certification (MOC) program of the Royal College of Physicians and Surgeons of
Canada (RCPSC), and has been approved by the Canadian Association of
Radiologists (CAR) for a maximum of 22.50 credit hours.
« Le Congrès conjoint sur l’imagerie médicale et les sciences de la radiation
de 2015 – Une approche collaborative - imagerie médicale et traitement
est reconnu comme une activité d’apprentissage de groupe (section 1)
par le programme de Maintien du certificat (MDC) du Collège royal des
médecins et chirurgiens du Canada (CRMCC), et la CAR approuve donc,
au maximum de 22.50 heures-crédits dans le cadre de cette activité.
Participants in the Coronary CT Angiography Simulation Workshops are
eligible to claim a maximum of 9 credit-hours (3 credits per hour) under
Section 3 Simulation Activity of the RCPSC MOC program. The RCPSC
MAINPORT recording system will automatically convert the credit-hours
for this workshop to 3 credits per claimed hour (i.e., 3 hours x 3 credits
= 9 credit-hours).
Through an agreement between the Royal College of Physicians and
Surgeons of Canada and the American Medical Association, physicians
may convert Royal College MOC credits to AMA PRA Category 1 Credits™.
Information on the process to convert Royal College MOC credit to AMA
credit can be found at www.ama-assn.org/go/internationalcme.
Les participants aux Ateliers de simulation en matière de coronarographie
par tomodensitométrie peuvent obtenir, au maximum, 9 heures-crédits (3
crédits par heure) sous la section 3 du programme de MDC du CRMCC. Le
système de suivis du CRMCC convertira automatiquement chaque heure
réclamée pour cet atelier à 3 heures-crédits (c.-à-d., 3 heures x 3 crédits
= 9 heures-crédits).
En vertu d’une entente entre le Collège royal des médecins et chirurgiens
du Canada (CRMCC) et l’American Medical Association (AMA), les médecins
peuvent convertir les crédits MDC du CRMCC en crédits AMA PRA de
catégorie 1™. Pour de plus amples renseignements relatifs au processus
de conversion, visitez le www.ama-assn.org/go/internationalcme.
Les participants peuvent documenter leur apprentissage par le biais du
Participants can document their learning in the RCPSC MAINPORT portal
portail MAINPORT du CRMCC au www.royalcollege.ca.
at www.royalcollege.ca.
Les participants doivent réclamer leurs unités de formation (crédits)
Participants should only claim credits commensurate with the extent of
proportionnellement à leur participation
their participation in the activity.”
à l’activité.”
Technologists
Technologues
Electronic badge readers
Technologists and therapists attending the Congress are required to have
their name badges scanned when entering and exiting educational
sessions. This will enable us to track attendance and continuing education
(CE) credits/hours (see “Continuing Education Credits” below). Information
gathered through badge readers will help us improve future events. Please
note that only technologists’ and therapists’ badges will be scanned.
Continuing education credits
Session attendance will be tracked electronically by scanning registration
badges. This process provides the CAMRT with an accurate record of
the technologist’s and therapist’s attendance at individual educational
sessions. To receive credit for the sessions attended, the participant must
have their badge scanned when entering and leaving the session. Credit
will only be assigned to sessions attended in full. Participants arriving late
to the session or leaving early will not be scanned and therefore cannot
receive the assigned credit. There will be a “5-minute grace period” at the
beginning of each session.
Lecture des cartes d’identité électroniques
Les technologues et les thérapeutes qui assistent au Congrès doivent
valider leur présence par lecture de leur carte d’identité électronique
en arrivant sur le lieu de chaque séance de formation ainsi qu’à leur
sortie. Cette formalité permet de documenter la participation aux activités
qui donnent droit à des crédits en formation continue (voir la rubrique
« Crédits de formation continue »). L’information recueillie nous aidera
d’améliorer les événements à venir. Veuillez prendre note que cette
formalité s’applique uniquement aux technologues et aux thérapeutes.
Crédits de formation continue
La présence aux activités de formation continue sera documentée électroniquement par lecture des cartes d’identité remises aux participants.
La lecture de ces cartes d’identité permet à l’ACTRM de documenter
la participation des technologues et des thérapeutes à chacune des
activités de formation. Pour recevoir les crédits, le participant doit donc
passer sa carte d’identité devant le lecteur au début et à la fin de chaque
séance de formation. Les crédits ne seront octroyés qu’aux personnes qui
Category A credit/continuing education hours have been pre-assigned to participent à la formation du début à la fin. Si un participant arrive en
all educational* sessions. One credit is equivalent to one hour of education. retard ou quitte les lieux avant la fin d’une activité, sa carte ne sera lue
Technologists and therapists may use these credits (hours) to fulfill CE et il ne recevra pas les crédits correspondants. Une période de grâce de
requirements established by a professional association or regulatory body. 5 minutes est accordée au début de chaque séance.
The CAMRT is a Recognized Continuing Education Evaluation Mechanism
(RCEEM) for the American Registry of Radiologic Technologists (ARRT) Toutes les séances de formation* donnent droit à un nombre préétabli
and therefore assigns Category A credit. Participants attending from the de crédits de catégorie A/d’heures de formation continue. Chaque crédit
United States and Canadians who have an active ARRT membership can correspond à une heure de formation. Ces crédits (heures) peuvent
servir à remplir les exigences de formation continue d’une association
use these credits to fulfill their biennium requirements.
professionnelle ou d’un organisme de réglementation. L’ACTRM étant
All dosimetry-related sessions have been submitted to the Medical Do- un membre reconnu du groupe d’évaluation de la formation continue
simetrist Certification Board (MDCB) for credit approval. This credit may (RCEEM) de l’American Registry of Radiologic Technologists (ARRT), elle peut
also be used to fulfill any other CE requirement and will be identified on octroyer des crédits de catégorie A. Les participants venant des États-Unis
et les Canadiens qui sont membres en règle de l’ARRT peuvent utiliser les
the individual’s record of attendance.
crédits accordés pour remplir les exigences biennales de cet organisme.
#jointcongress15
#congrèsconjoint15
8
Records of attendance will be available on the CAMRT website by June
30, 2015. These will be in the participants’ personal profile on the CAMRT
website.
Speaker credit
Upon request, the CAMRT could issue credit for Lecture Preparation and
Presentation for individuals who prepare and present at the CAMRT’s
2015 Annual General Conference. Some exceptions may apply. Please
contact Melanie Berube at [email protected] for more information.
Note: A speaker may not claim credit for attending his or her own lecture.
*To qualify as educational, an activity must provide sufficient depth and
scope of a subject area. Business meetings, poster and exhibit viewing, social
events, etc., do not qualify for credit.
Educational sessions
All educational sessions have been designed to promote participation
from those attending and include opportunities for questions and answers
as noted at the bottom of each page of the Congress agenda.
Presentations
Many of the speakers at the Congress have agreed to share their presentations with participants. These presentations will be available on the
Congress website following the event.
Evaluation forms
Your comments and feedback will be instrumental in the planning of future
educational events. Evaluation forms for both the overall Congress and
the individual education sessions can be found on the Congress mobile
app. Thank you for your assistance in providing valuable feedback.
Toutes les activités de formation portant sur la dosimétrie ont reçu l’aval
du comité d’agrément en dosimétrie médicale (Medical Dosimetrist
Certification Board). Les crédits accordés aux participants à ces activités
peuvent également servir à remplir les exigences de formation continue d’un autre organisme et seront inscrits sur la feuille de présence du
participant.
Les participants pourront obtenir leur feuille de présence sur le site Web
de l’ACTRM à partir du 30 juin 2015. Ce document sera versé au dossier
personnel du participant sur le site de l’ACTRM.
Crédits octroyés aux conférenciers
Sur demande, l’ACTRM peut accorder des crédits aux personnes qui auront préparé et présenté des exposés à l’occasion de son congrès général
annuel tenu en 2015. Certaines exceptions peuvent s’appliquer. Veuillez
communiquer avec Mélanie Bérubé ([email protected]) pour obtenir
un supplément d’information. À noter : Aucun crédit n’est accordé au
conférencier pour sa présence à sa propre conférence.
*Pour être qualifiée de séance de formation, l’activité proposée doit traiter
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Toutes les activités de formation ont été conçues pour favoriser la participation des inscrits et comprennent une période de questions, comme
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avec les participants. Les présentations seront mises en ligne à la fin et
sur le site du Congrès.
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Politique sans fumée
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Politique sans parfum
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Par égard pour les participants sensibles aux parfums ou aux produits
chimiques, nous prions les participants de s’abstenir de porter des parfums, des eaux de Cologne ou des lotions parfumées.
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Annual General Meetings
The Annual General Meetings (AGM) for the CAR, CAMRT and OTIMROEPMQ are not to be missed. Join us to find out about your association’s
achievements in the past year and their plans for the year ahead. This
is your opportunity to ensure that your organization is representing
your interests. Come vote and get involved in the future direction of
your association. All Annual General Meetings (AGM) will be held at the
Palais des congrès.
AGM Schedule
CAMRT AGM: May 29, 10:30 – 12:00, room 517 a
CAMRT Foundation: AGM: May 29, 12:00, room 521 a/b
CAR AGM: May 29, 10:30 – 12:00, room 520 b/e
CRF AGM: May 29, 10:30 – 12:00, room 520 b/e
OTIMROEPMQ AGM: May 30, 10:15 – 12:00, 517 a
Registration hours
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des sciences médicales, il incombe notamment à chacun de vérifier les
diagnostics et les posologies.
Tout le matériel publicitaire sur les lieux et/ou imprimé devrait être
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ou des allégations faites par leurs fabricants et représentants.
Assemblée générale annuelle
Ne manquez pas les Assemblées générales annuelles (AGA) de l’Association
canadienne des radiologistes (CAR), de l’ACTRM et de l’OTIMROEPMQ.
Joignez-vous à nous pour découvrir ce que votre association a accompli
au cours de l’année et ce qu’elle projette de faire durant l’année à venir.
Durant ces rencontres, vous pourrez vous assurer que votre organisation
défend bien vos intérêts. Prenez part au vote et participez à l’orientation
future de votre association. Tous les congrès généraux annuels ont lieu
au Palais des congrès.
Wednesday, May 27
13:00 –20:00
Thursday, May 28
7:00 –19:00
Programme des AGA
Friday, May 29
7:00 –15:30
Saturday, May 30
7:30 –14:00
AGA de l’ACTRM : le 29 mai, de 10 h 30 à 12 h, salle 517 a
AGA de la Fondation de l’ACTRM : le 29 mai à 12 h, salle 521 a/b
AGA de la CAR: le 29 mai, de 10 h 30 à 12 h, salle 520 b/e
AGA de la Fondation radiologique canadienne : le 29 mai, de 10 h 30
à 12 h, salle 520 b/e
AGA de l’OTIMROEPMQ: le 30 mai, de 10 h 15 à 12 h, salle 517 a
Exhibit hours
Thursday, May 28
10:00 – 19:00
Friday, May 29
10:00 – 17:00
Heures d’inscription
Mercredi, 27 mai
13:00 – 20:00
Congress mobile app QR code
Jeudi, 28 mai
7:00 –19:00
Access the Congress mobile app for up-to-date information on the education session agenda, speakers and session evaluation forms as well
as notices and updates.
Vendredi, 29 mai
7:00 –15:30
Samedi, 30 mai
7:30 – 14:00
Horaires des exposants
Jeudi, 28 mai
10:00 – 19:00
Vendredi, 29 mai
10:00 – 17:00
Code QR de l’application mobile du Congrès
Téléchargez l’application mobile du Congrès pour obtenir de l’information à jour sur le programme des activités de formation, les formulaires
d’évaluation des conférenciers et des activités ainsi que des avis et des
mises à jour.
#jointcongress15
#congrèsconjoint15
10
Exhibit Hall Floor Map to be added
Plan de la salle d’exposition
11
12
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Congress Agenda
Programme du Congrès
[ Thursday May 28, 2015 / le jeudi 28 mai 2015]
8:30-9:00
Opening Remarks/ Mot de Bienvenue
9:00-10:00
ENG/ FR
517 a
Le partenariat de soins avec le patient : en quoi cela change le quotidien/ Partnering with patients for
their care : what it changes on a daily basis, André Néron, Directeur associé, Direction collaboration et partenariat patient, Faculté de médecine, Université de Montréal
SI 517 a
The Direction collaboration et partenariat patient (DCPP) was formed through the merger of the Bureau facultaire
de l’expertise patient partenaire (created in October 2010) and the members of the team at the Centre de pédagogie
appliquée aux sciences de la santé (CPASS) to create a team of patients and healthcare professionals working together,
thereby demonstrating their complementarity. The DCPP’s objective and mission reside in its response to the challenges
that are currently affecting our healthcare system and the professionals who work within it. This response has taken
the form of partnering with patients and receiving their input with respect to the care and services that they receive,
namely a patient partnership.
Objectifs d’apprentissage : / Learning objectives:
• Discuter la vision du partenariat patient, objectifs de la participation des patients dans leurs propres soins/ Discuss the
vision of the patient partnership and the objectives of the participation of patients in their own care.
• Reconnaître la valeur ajoutée d’une pratique collaborative du partenariat de soins incluant les patients/ Recognize the
added value of a collaborative practice involving a care partnership involving patients.
• Evaluer les résultats concluant l’implication d’un patient dans ses soins/ Evaluate the results of involving patients in their care.
10:00-10:30
Refreshment and networking break in the Exhibit hall / Pause - Rafraîchissements et réseautage dans
la salle d’exposition
10:30-11:15
Impact of genetics on breast cancer, William Foulkes
ENG
523
This presentation will discuss the relevance of genetic evaluation in the prevention, diagnosis and treatment of breast
cancer.
Learning objectives:
• Consider the importance of a genetic evaluation for women with breast cancer.
• Identify some of the genetic tests on offer for breast cancer susceptibility.
10:30-11:15
PET/MR - Implementation of a PET/MR suite, John Butler
ENG
524 b
Simultaneous PET and MRI became a clinical reality with the introduction of the Siemens BIOGRAPH mMR in 2011. The
first Canadian whole body PET/MRI was installed in February 2012 at Lawson Health Research Institute at St. Joseph’s
Healthcare in London, Ontario. Since that time the institute has been involved in numerous local, national, and international clinical trials as well as various preclinical studies falling under the broad categories of neurology, oncology, and
cardiology. This presentation uses examples of the work performed in the past 2.5 years at Lawson Imaging to illustrate
our experience thus far with PET/MR. Basic principles of this hybrid technology will be briefly covered, followed by the
whys and hows and then a description of what’s next at our institution.
THURSDAY MAY 28, 2015 / LE JEUDI 28 MAI 2015
La Direction Collaboration et Partenariat Patient (DCPP) née de la fusion entre le Bureau facultaire de l’Expertise Patient Partenaire (créé en octobre 2010) et de membres de l’équipe du Centre de pédagogie appliquée aux sciences de la santé (CPASS) pour
créer une équipe de patients et de professionnels de la santé oeuvrant ensemble, démontrant donc leur complémentarité. Son
objectif et sa raison d’être résident dans la réponse qu’elle tente et peut apporter aux défis que vivent notre système de santé
et les professionnels qui y évoluent. Cette réponse a pris la forme du partenariat de soins et de service avec la participation
des patients que l’on appelle partenariat patient.
• Explain advantages of simultaneous PET/MRI as compared to PET/CT and MRI performed separately.
• Discuss the technical challenges in implementing this technology and how they are addressed.
• Identify current applications and future directions of PET/MRI technology.
10:30-11:15
Renal & urographic imaging, Robert Chatelain
ENG
516 d/e
This presentation will cover a comprehensive look at CT imaging of the urinary system. Participants will be able to
differentiate renal lesions based on imaging characteristics, identify pathologies demonstrated and establish the rationale of having specific protocols for renal and urographic imaging.
Interactivity/ Période Interactive
Session/ Durée de la session (mins)
Q & A/Q et R (mins)
ENG = English/ Anglais
90 60 45 40 30 25 22 20 15 FR = French/ Français
23 15 12 10 8 7 6 5 4 SI = Simultaneous interpretation/ interprétation
simultanée
16
• Identify common pathologies demonstrated by CT in the urinary system.
• Establish the value of having specific dedicated protocols for the renal and urographic imaging.
• Differentiate renal and urographic pathologies by origin (congenital, neoplastic, vascular, etc.).
10:30-11:00
Cervix cancer: external beam & brachy with benefits of MR for planning, Line Desrosiers & Marie-Claude Gauvin
ENG
514
In order to find modalities for imaging other than the CT scan, we are seeing more application of MRI in the radiation
department. At the Charles LeMoyne Hospital, we use MRI systematically in imaging the cervix. This presentation will
explain the advantages of using this system in the planning for treatment in both external and brachytherapy. Many
images will be presented to demonstrate the benefit of this approach.
• Recognize the material and organizational difficulties relative to the implantation of MRI.
• Explain the advantages of using the MRI in external beam and brachytherapy treatment.
Le patient partenaire en oncologie, un allié pour le succès de nos projets! Nathalie Fortin & Jean-Guillaume Marquis
FR
515 b/c
Depuis quelques années le CHUS, a amorcé un virage dans la culture d’amélioration de la qualité des services en reconnaissant le fait que les patients ont beaucoup à apprendre aux technologues sur leurs expériences de soins et leurs
besoins. En prenant diverses stratégies de participation, le personnel est d’avis que les meilleures idées ou opportunités d’amélioration peuvent venir directement du terrain. Il s’agit alors de les prendre en considération, sans présumer
des besoins réels des patients, afin d’améliorer l’organisation des soins, le développement des compétences et/ou les
autossoins par la clientèle. Au sein du programme clientèle de soins oncologiques du CHUS, diverses expérimentations
de patients partenaires ont été réalisées lors de projets de réaménagement de secteurs et de conception d’outils d’enseignements destinés à la clientèle. Ces expériences ont modifié certaines réflexions cliniques et ont fait une différence
positive dans la réalisation et le succès de nos projets. Lors de cette présentation, les participants profiteront des apprentissages réalisés par le partage d’expériences vécues au CHUS auprès de la clientèle oncologique. Le participant
pourra bénéficier de certaines suggestions afin de prévoir les conditions facilitantes et obstacles à anticiper dans ce
genre de projet incluant la contribution de l’expérience-patient. Au terme de la conférence, différentes perspectives
associées à ce changement de culture progressif seront partagées.
Objectifs d’apprentissage :
• Reconnaître et identifier certaines occasions d’intégrer positivement l’expérience patient à un projet.
• Déterminer les conditions facilitantes et obstacles avant d’initier la démarche.
• Analyser les nuances du patient collaborateur, formateur ou partenaire à un projet.
10:30-11:15
Décloisonnement des pratiques causé par le RID et le DSQ, Rock Lévesque
FR
524 c
L’ère numérique à rattraper même en imagerie médicale. Une des tendances les plus grandissantes dans le réseau public
est le partage d’information entre les établissements. Le partage d’information permet au système de santé d’économiser
des coûts en réduisant les redondances des interventions de tous les professionnels, en diminuant les listes d’attente
et l’imagerie médicale n’y échappe pas. Il est donc important d’adapter les pratiques, car le décloisonnement de nos
établissements amène aussi le décloisonnement des pratiques en tant que technologue. Il est primordial pour les technologues de comprendre l’étendue et la portée des différents projets de partages d’examen entre les établissements
et aussi entre les différents intervenants de la santé au Québec. Il est important d’avoir une idée des avantages et aussi
des inconvénients sur la pratique en tant que technologue de tout ce partage d’information.
• Distinguer les projets des Répertoires d’imagerie diagnostique et le Dossier Santé Québec.
• Évaluer l’importance et l’ampleur du partage des examens d’imagerie médicale au Québec.
• Évaluer l’incidence du partage des examens sur notre pratique en tant que technologue.
10:30-11:00
Mise à jour sur l’échographie thyroïdienne, Claude Prévost
FR
516 a/b/c
Au terme de la session le participant sera en mesure de reconnaître diverses lésions thyroïdiennes et d’apporter les
correctifs techniques nécessaires afin d’optimiser leur échographie.
10:30-11:00
• Identifier les critères de qualité d’une échographie thyroïdienne.
• Reconnaître la sémiologie des nodules thyroïdiens.
10:30-11:30
Test d’effort pour la paralysie périodique, Nancy Hamel & Esther Rosier
FR
524 a
La paralysie périodique est une maladie génétique rare peu connue et difficile à diagnostiquer pour différentes raisons.
Elle se classe parmi les myopathies métaboliques, plus précisément, les canalopathies musculaires. Le tableau clinique
de la paralysie périodique est prédominé par des attaques de faiblesse musculaire qui sont déclenchées par divers
facteurs tels la température, le stress ou même l’alimentation. Ces symptômes sont dus à un dysfonctionnement des
canaux ioniques. Parmi les différents tests effectués pour le diagnostic de la maladie, elles s’attarderont aux tests d’électromyographiques, soit le test d’effort bref répété et le test d’effort long. Ces derniers répondent différemment selon le
type de paralysie périodique. On distingue 4 types de paralysie périodique; la paralysie périodique hypokaliémique ou
maladie de Wetsphal, la paralysie périodique hyperkaliémique/ normokaliémique ou maladie de Gamstorp, la
Q & A/Q et R (mins)
simultanée
17
paramyotonie congénitale qui accompagne souvent la paralysie hyperkaliémique et le syndrome d’Andersen-Tawil.
Dans certains cas, les symptômes peuvent être provoqués par l’hyperthyroïdie, on parle alors de paralysie périodique
thyrotoxique. Une fois la maladie diagnostiquée, celle-ci répond sensiblement bien aux traitements et les sujets réussissent à vivre relativement bien avec des médicaments et des changements de mode de vie.
• Definir les différentes formes de paralysie périodique et leurs caractéristiques.
• Mettre en oeuvre les protocoles pour réaliser le test d’effort bref répété et le test d’effort long.
10:30-12:00
ENG
520 b/e
10:30
Emergency Radiology – State of the Art 2015 Part I
Past, present and future of emergency radiology, Dr. Savvas Nicolaou
• Review the history of emergency radiology.
• Discuss the current presence of emergency radiology.
• Review the potential future opportunities and challenges involved in emergency radiology.
11:00
Diaphragmatic injuries: why do we struggle to detect them? Dr. Michael Patlas
Diaphragmatic injury is an uncommon traumatic condition. It can be easily missed due to a lack of awareness by both
clinicians and radiologists. A high index of suspicion is required for the establishment of an early diagnosis and prevention of life-threatening complications. Multi-detector computed tomography (MDCT) is the modality of choice for
the detection of diaphragmatic injury. The presentation will discuss the MDCT appearance of blunt and penetrating
diaphragmatic injuries and emphasize the role of the emergency radiologist in detecting these entities.
• Describe direct and indirect signs of blunt and penetrating diaphragmatic injury on 64-MDCT.
• Indicate factors affecting detection of diaphragmatic injury on 64-MDCT.
• Discuss pitfalls in diagnosis of diaphragmatic injury.
11:30
Cardiac CT in the emergency setting, Dr. Patrick McLaughlin
This presentation will outline how radiologists can best serve patients in the emergency department using contemporary cardiac CT technology. Coronary and non-coronary pathologies will be reviewed. Current literature will be reviewed followed by a focus on some practical steps that can be employed to ensure technical and clinical success.
• Recognize the patient groups which may benefit from cardiac CT in the ED.
• Identify the pitfalls of CT technique and how to avoid them.
• Discuss non-coronary findings in the emergency patient.
10:30-12:00
Radiological journalism CARJ workshop, Dr. Peter Munk & Dr. Wilfred Peh
ENG
520 a/d
In order to keep up with the developments in the rapidly changing field of medical imaging, all practitioners should
engage in regular review of pertinent literature in their specific field of practice. With the vast amount of information
currently available, it is very useful for readers to have an understanding of the process of radiologic publication and
review, as this not only allows them to more effectively submit papers themselves, but at least as importantly to be
able to better appreciate the content and validity of what they read. This session will discuss the reasons that radiologic
literature is published, the how and why of manuscript writing, and the typical process used by most journals for peer
review. Understanding of these processes will allow the attendee to more critically analyze papers that they see in the
literature, as well as have a better appreciation of how these manuscripts evolved and ultimately reached publication.
Emergency department (ED) radiology is a rapidly growing field with increasing demand for acute care imaging. There
are numerous growing fellowships, societies, and resources available within the field. Although challenges such as
outsourcing, radiation dose concerns, and decreased financial support have arisen, radiologists have the potential to
address these obstacles and should address them now. The future of ED radiology includes one-stop imaging for the
emergency department; acute services in the hospital 24 hours a day, 7 days a week, 365 days per year; rapid growth of
people trained in the field; ED radiology departments set up at all levels; and ED radiologists being an integral component of the patient’s acute services management team and acting as a true consultant.
• Review the purpose of radiologic publication from the perspective of both authors and readers.
• Describe the structure of radiologic papers and why they are configured the way they are.
• Summarize the process of manuscript review.
Q & A/Q et R (mins)
23 15 12 10 8 7 6 5 4 SI = Simultaneous interpretation/ interprétation simultanée
18
10:30-12:00
ENG
CAR Departmental Clinical Audit Project
Moderator / Modérateur : Dr. Sat Somers, Judges/ Juges: Dr. Sukhvinder Dhillon, Dr. Najla Fasih, Dr. Angus Hartery
519
Dr. Sukhvinder Dhillon declares he has been affiliated with Abbvie as a speaker for an MRI course.
The following abstracts will be presented orally. Please refer to the Abstract Section starting on page 88 for the full abstract.
Les abrégés suivants seront présentés oralement. Veuillez consulter la section des résumés d’expositions, à la page 88, pour
en faire la lecture complète.
AP001
Minimizing CT double-coverage to reduce radiation, Evan Barber
10:40
AP002
Follow-up of CT-guided lung biopsy complication rates & insufficient cells/samples for pathology after introduction of 1cm lesion size cutoff and implementation of both mandatory core biopsies and FNA, Andrew Ho
10:50
AP003
Clinical audit of the MRI synoptic reporting of primary rectal cancer, Aatif Parvez
11:00
AP004
Patient privacy audit in the department of medical imaging at the Civic Campus of the Ottawa Hospital, Marc Dilauro
11:10
AP005
Errors in voice recognition generated radiology reports: a two cycle audit, Jonathan Hickle
11:20
AP006
My eyes are burning! Exclusion of the lens of the eye in routine adult head CT examinations: the re-audit, Alyzee
Sibtain
11:30
AP007
Disinfection of the radiologist workstation and radiologist hand hygiene: a single institution audit, Jeffrey Quon
11:40
AP008
Is low dose really low dose? A clinical audit of low radiation dose CT KUB studies for suspected urinary tract calculi,
Baljot Chahal
11:50
AP009
Assessing the unsatisfactory for pathological assessment aate of ultrasound guided fine needle thyroid biopsies,
Stéphane Doucette-Preville
10:30-12:00
FR
520 c/f
10:30
Ostéodensitométrie
Fractures vertébrales, Dr André Lamarre
Le but de la présentation est de permettre à l’auditeur de bien décrire les RX de la colonne corso-lombaire pour être
compris du clinicien en utilisant la meilleure méthode de détection des fractures. La méthode semi-quantitative de
Genant sera bien expliquée et imagée.
• Décrire l’aspect des vertèbres dorso-lombaires de façon à être compris par les médecins référants.
• Distinguer «la meilleure» des différentes méthodes d’évaluation des fractures vertébrales et savoir l’appliquer.
• Détecter les fractures vertébrales sur toutes les modalités d’imagerie que nous utilisons et comprendre l’importance.
10:50
10:30
Rapport d’ostéodensitométrie: rester simple sans faire simple! Dr Ghislain Brousseau
Le rapport d’ostéodensitométrie doit maintenant se conformer aux normes de la CAR de 2013. Les différents éléments
du rapport seront révisés en portant une attention particulière à la détermination du risque fracturaire, élément le plus
important pour le suivi et le traitement.
• Déterminer adéquatement le risque fracturaire.
• Déterminer adéquatement la catégorie diagnostique.
• Rédiger un rapport conforme aux normes de la CAR.
11:10
La prise en charge de l’ostéoporose un travail d’équipe, Dre Angèle Turcotte
L’un des éléments marquants des nouvelles lignes directrices canadiennessur l’ostéoporose est la mise à l’avant-plan des
fractures prévalentes du patient. Effectivement, la présence d’une fracture constitue un risque considérable de fractures
ultérieures allant même au-delà de la diminution de la densité minérale osseuse. Ainsi, on considérera d’emblée, à risque
élevé (>20%), toute personne qui présente une fracture de fragilité au niveau de la hanche ou de la colonne vertébrale
ou qui compte plus d’une fracture de fragilité. Les fractures vertébrales sont le plus souvent silencieuses et impliquent de
passer à l’action thérapeutique d’où le rôle important du radiologiste dans l’identification claire des fractures vertébrales
Q & A/Q et R (mins)
19
lors de l’interprétation des radiographies. Les fractures de fragilité associées à l’ostéoporose sont lourdes de conséquences
pour les patients. Elles entraînent souvent une hospitalisation, une perte d’autonomie et de morbi-mortalité associée à
une augmentation des coûts de santé. Le résultat de l’ostéodensitométrie, au paravant décisionnel sur le planthérapeutique, est maintenant considéré comme l’un des facteurs de risque. L’ostéodensitométrie demeure un test performant et
important dans l’évaluation du risque de fracture, surtout en absence de fracture de fragilité. Une approche diagnostique
et thérapeutique efficace nécessite la bonne collaboration entre les différents professionnels de la santé. Les radiologistes
ont un rôle capital à jouer. Ensemble, nous pouvons briser le cycle des fractures.
• Définir une fracture de fragilisation.
• Discuter des défis de l’interprétation des rapports des radiographies de l’ostéodensitométrie pour le clinicien.
• Reconnaître le rôle majeur du radiologiste dans la prise en charge optimale de l’ostéoporose.
11:30
Place actuelle de la vertébroplastie percutanée, Dr Thomas Moser
• Identifier les indications d’une vertébroplastie.
• Décrire le déroulement d’une procédure de vertébroplastie.
• Expliquer les résultats et complications potentielles de la vertébroplastie.
11:50
Période de questions
11:00 -11:30
ENG
Prostate cancer: planning benefits of using MRI for external beam therapy and brachytherapy, Line Desrosiers &
Marie-Claude Gauvin
514
Prostate cancer is one of the most common diseases we treat in our department. The MRI has brought new approaches
to the diagnosis and treatment of prostate cancer. Case studies will be presented to show the advantages of MRI in the
planning of external beam therapy and brachytherapy. We will elaborate on the mechanics of MRI, specifically the sequences we use, contrasts administered to the patient, and contouring. In showing all this information we will establish
the correlation of what we used to do dosimetricaly and how we can improve the way we treat prostate cancer today.
• Recognize the advantages of using MRI in the treatment planning process.
• Establish a correlation between MRI slices collected and the treatment plan.
11:00-11:30
Culture de l’interdisciplinarité, vivre et cultiver, Sylviane Aubin, Caroline Fortin & Martine Lefebvre
FR
515 b/c
Le département de radio-oncologie du CHU de Québec a planifié l’agrandissement de son secteur de curiethérapie, car
il faisait face à des enjeux majeurs qui menaçaient l’accessibilité, l’efficience et la qualité des services aux patients. Étant
donné la demande grandissante pour les traitements de curiethérapie et ainsi le besoin de plus en plus fréquent d’un
accès au bloc opératoire de l’Hôpital, le département a élaboré un programme fonctionnel et technique qui a mené à
la construction d’une salle de procédure dédiée à la curiethérapie à l’intérieur de son département. L’ampleur du travail
était énorme considérant la complexité du projet et les contraintes reliées à l’espace disponible. La difficulté du projet
s’explique entre autres par le fait que les interventions prévues dans cette unité de soins nécessitent l’implication de
plusieurs corps professionnels par exemple les anesthésistes, les radio-oncologues, les technologues en radio-oncologie, les infirmières, les physiciens, le personnel de la prévention des infections, etc. Ces différents groupes ont des
besoins précis en termes de ressources humaines, espace, équipement, et des normes à respecter, afin de répondre
de façon fonctionnelle et sécuritaire à la vocation de la salle. À travers les différentes étapes de réalisation de ce projet,
le concept d’interdisciplinarité prend tout son sens. Les clefs de la réussite d’un tel projet aussi complexe reposent sur
l’écoute, la collaboration, la transparence et le respect des besoins de chacun, et ce en ayant toujours comme but premier la qualité des soins octroyés aux patients.
La vertébroplastie percutanée est une technique de radiologie interventionnelle permettant de traiter les fractures
ostéoporotiques et lésions vertébrales douloureuses (métastases, hémangiome agressif ). Cette présentation vise à
décrire les indications, principes de réalisation, résultats et complications potentielles de la vertébroplastie. Les controverses actuelles de cette technique et les autres applications possibles de la cimentoplastie sont également abordées.
• Distinguer les avantages et bénéfices de l’interdisciplinarité dans la réalisation d’un projet.
• Déterminer les éléments clefs pour atteindre une interdisciplinarité efficace et constructive.
11:00-11:30
Les contrôles de qualité en TDM, un travail d’équipe, Manon Rouleau
FR
516 a/b/c
Au printemps 2013, le CECR a publié le Module de contrôle de qualité et de radioprotection en tomodensitométrie, le
premier module du Guide québécois de contrôle de qualité et de radioprotection en imagerie médicale. Sa publication
a été suivie de la mise en place de diverses formations accessible à tous les intervenants ainsi que de la création d’outils
de compilation et de suivi des contrôles de qualité. La collaboration active entre les divers intervenants est un élément
clé pour une implantation efficace de ce module, non seulement entre physicien/ingénieur, TIM responsable du contrôle de qualité en tomodensitométrie sur place et TGBM (des équipes locales et/ou des compagnies de service), mais
aussi avec les radiologistes et les équipes d’administration.
Q & A/Q et R (mins)
20
• Décrire l’utilité des contrôles de qualité en TDM.
• Reconnaître et accéder aux publications, outils et formations fournis par le CECR.
• Intégrer les pratiques de contrôles de qualité en TDM dans sa pratique.
11:15-12:00
Understanding and preventing burnout in a healthcare system, Chantal Boudreau
ENG
523
Working in a hospital setting can be very demanding on the staff (medical and support staff ), due to the high level of
anxiety and stress displayed by the patients, combined with the high expectations of the healthcare system to deliver
an efficient and quick service under conditions that are seldom optimal. These combined factors often lead to burnout.
This session will inform the participants about the most common causes of burnout in the healthcare system, what
symptoms to recognize, and steps to early prevention.
• Recognize the components of burnout.
• Identify some tools to prevent burnout.
Introduction to magnetic resonance elastography, Dr. An Tang
ENG
521 a/b
Magnetic resonance elastography (MRE) is an emerging technique for measuring the mechanical properties of tissue.
This presentation will illustrate the basic physics principles of MRE. This technique works on clinical MR systems and
requires four components: a driver system to generate mechanical waves, a phase-contrast pulse sequence with motion
encoding gradients, acquisition of raw MR images and post-processing software to generate stiffness maps, also known
as elastograms. A selection of cases will be presented to highlight the clinical indications of MRE in abdominal imaging.
The diagnostic performance of this imaging technique will be summarized, as will pitfalls and future directions.
• Describe the basic principles of magnetic resonance elastography (MRE).
• Identify the components of an MRE system.
• Recognize a clinical indication of this imaging technique.
11:15-12:00
Implementation of the first CT scanner in the eastern Arctic, Jennifer Sharpe
ENG
516 d/e
Nunavut has advanced in leaps and bounds when it comes to providing diagnostic imaging services over the past two
years. We have gone from manually sending x-ray film and printed ultrasound exams through the post, where a report
could take anywhere from 4-7 business days, to now having a PACS system whereby reports can be obtained within an
hour. The implementation of PACS alone was challenging due to our remote geography and lack of network capability.
We continue to use satellite technology, which limits the speed of sending images over the network; however having
this capability has greatly increased how we can provide healthcare to Nunavut. The addition of PACS and CT has led
to our new relationship with the Ottawa Hospital and their group of radiologists. Previously, Iqaluit and surrounding
communities had only two radiologists providing reports with no on-call service. We now have access to over 60 radiologists and 24 hour service. Nunavut continues to provide all diagnostic imaging services without a radiologist on-site.
There were several challenges to bringing CT to Iqaluit, including limitations of transport due to the remote arctic
climate, preparing to provide CT service, building a program to incorporate policies, procedures and protocols and
education for both the patients and the physicians. The implementation of PACS and CT have proven to be a success in
providing improved patient care, quality of service and cost efficient service throughout the Baffin Region.
• Compare living and providing healthcare in the North.
• Differentiate the challenges of implementing PACS and CT in the North.
• Identify the benefits of having the first CT machine in the eastern Arctic.
11:15-12:00
The future supply of reactor-produced medical isotopes, François Couillard
ENG
524 b
Tc-99m is used in over 80% of all nuclear medicine scans. The Canadian NRU and French OSIRIS nuclear reactors are
expected to stop producing medical radioisotopes in 2016. As there are only a handful of reactors currently producing
this isotope there are significant risks of supply disruption in the upcoming years. This presentation will describe the
global supply chain used in the production of Tc-99m. The latest supply and demand forecast will be examined as will
the status of alternative sources of supply in development. The last portion of the presentation will review the various
collaborative initiatives underway in Canada and internationally to monitor and address the situation.
11:15-12:00
• Describe the supply chain for the production of medical isotopes.
• Assess the short and long-term supply disruption risks.
• Identify alternative supply options and possible mitigation strategies.
11:15-12:00
Démystifier l’approche LEAN, Justine St-Onge
FR
524 c
Beaucoup d’encre a coulé par rapport à l’approche LEAN et malheureusement, pas toujours pour les bonnes raisons.
Cette approche peut en effet être très négative si elle n’est pas menée comme elle le devrait. Cette présentation a pour
but de démystifier ce qu’est l’approche LEAN et quelles sont les conditions pour qu’elle apporte un changement positif.
Q & A/Q et R (mins)
21
• Décrire ce qu’est l’approche LEAN.
• Déterminer les conditions gagnantes d’un projet LEAN.
• Évaluer les bénéfices apportés par une approche LEAN.
11:30-12:00
EN
Myeloscan planning for radiation oncology treatment: a multidisciplinary approach! Marie-Pier Beaudry & Deborah
Pascale
514
Advances in the applications, technologies and methodologies of radiation oncology continue to evolve rapidly and
the delivery of radiation therapy has become more complex, making it essential that radiation oncology professionals
remain current in the state-of-the-art techniques. Promoting a multidisciplinary approach using a myeloscan in the
field of imaging acquisition and investigating the possibility of volume definition through new imaging modalities will
help improve patient outcomes. The presentation will provide an overview of clinical protocols and cover opportunities and challenges of using a multidisciplinary approach in a restricted timeframe.
11:30-12:00
Confidentialité et accessibilité des informations patients, Jean-François Cayer
FR
515 b/c
Depuis plusieurs années le gouvernement du Québec cherche à mettre au point un dossier unique regroupant l’ensemble de l’information médicale du patient. Un outil efficace pour faciliter le travail de l’équipe soignante. Bien que
toujours un «work in progress», le dossier électronique doit prendre son envol autour du printemps 2015. Il s’appelle
Dossier Santé Québec. Il est donc important comme professionnel de la santé de bien connaître ce nouvel outil. Plusieurs informations sont maintenant, facilement accessibles au simple touché d’un bouton; en conséquence le respect
de la vie privée et la responsabilité concernant la confidentialité des informations personnelles est donc plus pertinente que jamais. Par exemple, un plus grand nombre de nos transactions avec le gouvernement et les entreprises sont
devenues informatisées comme notre rapport d’impôt via un site internet, nos transactions bancaires et nos achats en
ligne. Quoi de plus personnel que notre dossier médical d’ailleurs du 23 au 29 novembre 2014 se tenait la semaine de la
confidentialité dans le domaine médical sous le thème « Ma vie s’est privée». Il faut donc revenir au principe d’accès et
de gestion des renseignements inscrit dans la loi sur la santé et des services sociaux pour mieux gérer au quotidien nos
interactions avec le patient et leurs proches. Notre connaissance de la loi facilite la communication entre les différents
acteurs du réseau. Plus il est facile d’avoir accès à l’information, plus notre vigilance doit être grande concernant la vie
privée des patients.
• Expliquer en quoi consiste le Dossier santé Québec.
• Discerner l’application, conformément aux lois existantes, et la protection des renseignements personnels.
• Distinguer les situations qui font appel à notre devoir de protection de la vie privée.
11:30-12:00
EOS: Voir plus loin encore! Marie-Christine Jacques-Fournier
FR
516 a/b/c
Historique du principe radiographique Implantation à Sainte-Justine. Comparaison des approches en radiologie conventionnelle et en EOS Description de l’appareillage Intérêt radiologique: en orthopédie, qualité des images, faible
dose, reconstruction 3D Perspectives et suivi radiologique pour les cliniques de scoliose. Scoliose et membres inférieurs.
Visualisation d’images. Limites de la technique: positionnement, mouvement. Projets de recherche: Trubalance: détermination du centre d’équilibre et détection des petits mouvements lors de l’acquisition radiologique. Matériel utilisé.
Suspension: description du matériel but de l’utilisation de la suspension pour la détermination de la vertèbre la plus
basse à instrumentée (LIV). Intérêt et perspectives cliniques.
• Describe the morphology of neurological tumours in clinical protocols related to the myeloscan treatment planning.
• Identify the indications of efficacy associated with the myeloscan planning in a multidisciplinary setting.
• Recognize the contribution of each member in planning and administrating treatment in a multidisciplinary approach.
• Exécuter le principe physique de la plateforme EOS qui explique la basse dose.
• Analyser le biplan synchrone pour la reconstruction 3D.
• Déterminer l’importance du positionnement et détecter le mouvement.
11:30-12:00
Comprendre et utiliser les différents outils disponibles pour l’analyse des holters, Cathy Gervais
FR
524 a
Avec la progression fulgurante de la technologie, les systèmes d’exploitation de Holter ont beaucoup évolué. De nos
jours, plusieurs graphiques d’analyse sont disponibles. Les technologues, peuvent apprendre à utiliser ces graphiques
soit pour repérer rapidement certaines arythmies à des fins de documentation, soit de rapidement saisir le type de
tracé devant eux afin de prioriser les analyses. Cette présentation tentera de faire le tour des graphiques offerts présentement par l’industrie.
• Se familiariser avec les différents outils graphiques d’analyse de rythme.
• Réviser les avantages et les limites de chacun de ces outils graphiques.
• Utiliser les différents graphiques pour documenter plus efficacement le dossier d’analyse.
Q & A/Q et R (mins)
22
12:00-1:30
Lunch in the Exhibit hall / Diner dans la salle d’exposition
13:30-14:15
ENG
A changing prognosis for breast cancer screening in the north: An experience in innovative program development
from a rural community hospital, Dr. Neety Panu
523
This presentation will define the role and capabilities of a rural and remote hospital in establishing a comprehensive
breast imaging service. In addition, the difficulties in overcoming geographical and social barriers will be discussed.
• Define the role and capabilities of a rural and remote hospital in establishing a comprehensive breast imaging service.
• Discuss difficulties in overcoming geographical and social barriers.
Neuro imaging in emerging infectious diseases, Raquel Del Carpio
ENG
521 a/b
Infectious diseases once concentrated in developing countries are being disseminated throughout the world as growing economies and evolving social conditions facilitate travel. Geographical context is no longer key to the evaluation
of symptoms. Certain CT and MRI characteristics can be important in the diagnosis of emerging infectious diseases.
Likewise, an understanding of the disease agent behaviour is crucial to diagnosis. Teamwork among clinicians and
imaging technologists is key to prompt diagnoses.
• Consider newly appearing infectious diseases involving the central nervous system.
• Recognize the importance of early imaging to achieve correct diagnosis and start treatment.
• Recognize the importance of appropriate clinical information.
13:30-14:15
Small bowel imaging...why, what, when and how?, Dr. Lawrence Stein
ENG
516 d/e
In this presentation I will discuss the strengths and weaknesses of the commonly used imaging techniques for investigation of small bowel pathologies.
> accuracy and limitations of plain films ;
> radiation issues;
> barium studies;
> the use of CT- and MR-Enterography
-compare accuracy
-oral contrast agents
-Radiation issues
-Techniques
> Crohn’s Disease
> Investigation of Small Bowel Bleeding
> Imaging during pregnancy
• Describe the strengths and weaknesses of Small Bowel imaging techniques.
• Identify accuracy and limitations issues of Plain Films
• Discuss Barium Studies, CTE, and MRE application
13:30-14:15
Demystify the LEAN approach, Justine St-Onge
ENG
524 b
We often hear about the “LEAN approach” and it’s not always for good reasons. This presentation will help you understand this approach, why it’s a good thing and how it can go wrong.
13:30-14:15
• Describe the “LEAN approach.”
• Determine conditions conducive to a successful LEAN project.
• Determine the negative behaviours that can make a LEAN project go wrong.
13:30-14:15
Standards for skin care in radiation therapy, Amanda Bolderston
ENG
514
Radiation induced skin reactions (RISR) are one of the most common external beam radiotherapy side-effects. They
may cause distress to some patients, and can limit the dose delivered in severe cases. Some patients are more likely
to experience a significant radiation reaction, depending on a number of clinical factors. Despite changes in practice,
numerous studies and evidence-based guidelines, there is still little consensus amongst practitioners and centres using
different skin care regimens, product use and approaches. This presentation will review the underlying etiology, extrinsic and intrinsic contributing factors and presentation of RISR in external beam radiotherapy. Common approaches to
the prevention and management of RISR will be examined using a recent Canadian survey and systematic review of
the available evidence.
• Examine the significance of radiation induced skin reactions (RISR) in external beam radiotherapy.
• Identify current Canadian practice trends in the prevention and management of RISR.
• Review available evidence in the prevention and management of RISR.
Q & A/Q et R (mins)
23
13:30-14:00
Calcul de dose au TVFC, Étienne Letourneau
FR
515 b/c
En radiothérapie, la contribution de dose provenant de l’imagerie de planification et de l’imagerie de positionnement
peut sembler négligeable en comparaison avec la dose de traitement. Cependant, les effets secondaires de la radiation
peuvent être nombreux même pour une faible dose. Afin de diminuer les effets indésirables pour le patient, une application concrète du principe ALARA, soit une diminution de la dose aux organes à risque, doit être appliquée sans pour
autant compromettre la qualité des soins de traitement. Dans cette étude, des ajustements appropriés des paramètres
d’imagerie de la tomographie volumétrique par faisceau conique (TVFC/CBCT) ont été effectués. Cela fut achevé suite
à des mesures de la dose aux organes dans un mannequin anthropomorphique rempli de dosimètres luminescents par
stimulation optique (LSO/OSL). Toutes ces modifications ont mené à une réduction de la dose d’au moins 50% pourtous les protocoles d’imagerie et dans certains cas à une réduction de 90% de la dose en comparaison aux protocoles
par défaut tout en préservant une qualité d’image convenable au bon positionnement. Ces résultats ont également
été utilisés lors d’une étude clinique démontrant les avantages d’images quotidiennes par TVFC à faible dose pour des
patientes atteintes d’un cancer du sein gauche.
13:30-14:00
TEP-IRM, Laurie Jean
FR
524 c
La TEP-IRM est un appareil révolutionnaire qui fera son apparition dans les centres d’ici quelques années. Quelle est son
utilité? Son fonctionnement général? Quel est le processus auquel le patient est soumis pour se rendre jusqu’à l’examen (prise en charge du médecin jusqu’à l’examen TEP-IRM)? Quelle est la préparation du patient?
Durée de l’examen? Qui peut effectuer cet examen? Où est l’importance de la collaboration entre les milieux? Médecin
traitant» examens généraux » examens complémentaires» TEP-IRM » dossiers » Résultats. Durant la présentation, Mme
Jean répondra aux questions ci-dessus en misant toujours sur l’élément principal et central : les soins au patient.
• Décrire le cheminement du patient pour se rendre à l’examen (autres examens).
• Discuter le TEP-IRM.
• Décrire la préparation globale et comment se déroule l’examen.
13:30-14:00
FR
Réduction de la dose au patient en TDM résultant de l’approche collaborative d’optimisation mise en œuvre par le
CECR, Manon Rouleau
516 a/b/c
Suite à la publication d’un rapport de dose en TDM et d’un plan d’action ministériel sur la réduction de l’exposition aux
radiations, le CECR a entrepris en 2011, une tournée provinciale en TDM afin d’initier un processus d’optimisation des
doses aux patients. Le CECR a mis en place une équipe multidisciplinaire d’experts et une approche collaborative favorisant le partage des connaissances et l’amélioration des pratiques. En 2013-2014, un nouveau sondage national en
TDM a été effectué, en collaboration avec Santé Canada, dans le but d’établir les premières NRD canadiennes et d’évaluer l’évolution des doses québécoises en TDM. L’analyse des résultats permet de démontrer l’efficacité de la démarche
entreprise par le CECR auprès des établissements et d’offrir un soutien en fonction des nouveaux besoins identifiés.
• Évaluer les impacts des travaux d’optimisation des doses aux patients.
• Démontrer les bénéfices liés à l’optimisation des doses aux patients.
• Intégrer la notion d’approche collaborative dans l’optimisation des doses.
13:30-14:00
Les ECG HA expliqués, Genevieve Tetrault Lefebvre
FR
524 a
La présentation définit l’examen, explique la méthodologie, l’application, les raisons de la procédure, la préparation et
l’exécution de la procédure, l’acquisition des données et l’interprétation des données.
• Reviser les principes de la TVFC et de la dosimétrie par luminescence par stimulation optique.
• Réviser la dose aux organes provenant de la TVFC.
• Diminuer la dose-aux-organes en ajustant les paramètres d’imagerie de la TVFC.
• Décrire l’électrocardiographie de haute amplitude (HA ECG).
• Discuter son application pour un cas clinique.
13:30-15:00
ENG
520 b/e
13:30
Emergency Radiology – State of the Art 2015 Part 2
Information technology in the emergency department, Dr. Timothy O’Connell
This session aims to highlight some of the unique workflow and patient safety challenges in the practice of acute
care imaging in an emergency and trauma radiology section at an academic tertiary care hospital in Canada, Vancouver General Hospital. It will present how custom information technology solutions have been created to address the
workflow and safety issues in the ER/trauma department and to improve communication with both imaging technologistsand emergency department clinicians. Specifically, systems designed to address safety, communication, and
workflow issues in the areas of the order entry queue, the reporting of studies, real-time operator displays, and radiation dose will be addressed.
Q & A/Q et R (mins)
24
• Assess some of the safety issues around the time-sensitive workflows in emergency radiology.
• Discuss how IT systems can be used to improve safety and workflow in the ER.
• Recognise how visual control systems can be used to improve radiologist-clinician communication.
13:52
Facial trauma, Dr. Luck Louis
Develop an understanding of the cross sectional imaging anatomy as it pertains to assessment of facial fracture
patterns and develop an imaging algorithm in asssessing complex facial fractures in the polytrauma patient. A classification scheme for Facial fractures will be presented . The audience should have an understanding of what important
information needs to be communicated to a clinician that matters surgically. The audience should appreciated the
clinical utility of VRT imaging in the assessment of complex facial fractures.
14:14
Imaging of bowel injury, Paul Hamilton
This presentation emphasizes a practical approach to the interpretation of abdominal CT in the setting of trauma, focusing on bowel and mesenteric injuries. The significance of the various imaging signs will be discussed usingmultiple
examples. Both blunt and penetrating trauma cases will be shown.
• Apply organized approach to CT of bowel injury.
• Identify the significance of specific findings.
14:36
Ankle trauma, Dr. Adnan Sheikh
Ankle injuries are common presenting complaints in emergency departments. Radiographic examination is the cornerstone for effective clinical care of ankle injuries. This presentation will summarize the mechanism and imaging findings
of ankle and hind foot injuries like syndesmotic, talar dome, lateral process of talus, anterior process of calcaneus and
os peroneus injuries.
• Describe the imaging findings of hind foot injuries.
• Determine the value of imaging in the evaluation of associated soft tissue and osseous abnormalities.
• Identify normal variants that may either mimic or cause pathology.
13:30-15:00
EN
520 a/d
Resident Review Sessions (continued after Refreshment and networking break)
The CAR is proud to present again the Resident Case Based Review Course. This radiology overview is targeted to residents and clinical fellows, as well as practicing radiologists interested in updating their working knowledge by covering
major radiology subspecialities.
This Review Case Based Course highlights the fundamentals of imaging the major organ systems using different imaging modalities. Lecture content will focus on review of number of cases to provide attendees the knowledge of
appropriate use of radiological terminology, give the most common (or important) differential diagnoses and provide
an algorithm of multi-imaging modalities to arrive at the most appropriate diagnosis.
• Determine the imaging anatomy as it pertains to assessment of facial fracture patterns and develop an imaging
algorithm.
• Describe a classification scheme for Facial fractures.
• List important information to communicate to a clinician
An emphasis will be placed on what the graduating resident “needs to know”.
• Diagnose common pathologies as seen on a variety of imaging modalities.
• Discuss the differential diagnoses of common pathologies in the following subcategories: chest, abdomen, pediatric,
musculoskeletal, vascular/interventional and neuroradiology.
• Describe key points of common radiological diagnoses.
13:30
Chest imaging, TBD
14:00
Muskuloskeletal imaging, Dr. Anukul Panu
14:30
Abdominal imaging, Dr. Julie Nicol
Q & A/Q et R (mins)
25
13:30-15:00
CCTA Simulation Workshop Part 1
ENG
Dr. Joao Inacio, Dr. Cameron Hague, Dr. Carmen Lydell, Dr. Elsie Nyugen, Dr. Elena Peña, Dr. Bruce Precious, Dr. Paul Schulte
The CCTA simulation workshops, led by radiologists who are experts in the field, are aimed at providing introductory
hands-on skills and information to the science and technology of coronary CT angiography. Participants will have an
opportunity to review case studies on workstations by rotating through the four rooms, each set with different software currently available at centres across Canada. Two CCTA experts and an applications specialist will be available in
each room to provide assistance.
• Appraise coronary and cardiac anatomy.
• Develop a strong and consistent approach to cardiac CT in keeping with recent reporting guidelines.
• Review various pathological processes that a physician may encounter when performing and interpreting cardiac
CT.
13:30-15:00
Concours des residents
FR
Modèle de planification du traitement en tomothérapie, Éliane Albert
FR
515 b/c
Cette présentation est un survol de la pratique en tomothérapie de la clinique de radio-oncologie du centre de cancer de l’Hôpital d’Ottawa, depuis les tous débuts à aujourd’hui. Entre autres sujets abordés: le travail d’équipe entre
technologues, radio-oncologues et physiciens, les techniques de traitement et les avantages du modèle adopté par la
clinique. Une attention plus particulière sera portée à la technique du traitement total de la moelle osseuse, exclusive
à l’Hôpital d’Ottawa au Canada.
• Distinguer les possibilités cliniques que tomothérapie-accuray offre pour les technologues.
• Comparer l’expérience d’Ottawa pour la technique du traitement total de moelle osseuse et autres sites.
14:00-15:00
L’approvisionnement futur des radio-isotopes produits par les réacteurs nucléaires, François Couillard
FR
524 c
Le technétium est utilisé dans près de 80% des études de médecine nucléaire. Les réacteurs nucléaires canadiens et
français NRU et OSIRIS vont cesser leur production de radio-isotopes d’ici 2016. Comme il n’y a qu’une poigné d’autres
réacteurs capables de produire cet isotope de par le monde et que la plupart sont très âgés, les risques de pénurie
sont importants. Lors de cette présentation, nous allons découvrir la complexité de la chaine d’approvisionnement
en technétium. Nous allons examiner les scénarios anticipés d’offre et de demande de ce produit. Nous allons également évaluer les différentes solutions de production alternatives. Finalement, nous allons apprendre qu’elles sont les
différentes initiatives de collaboration, tant à l’échelle canadienne qu’internationale, afin de minimiser l’impact de ces
cessations de production.
• Décrire la chaine d’approvisionnement du technétium.
• Évaluer les risques à court et long terme de pénurie en technétium.
• Identifier les sources de production alternatives et mesures de mitigation des risques.
14:00-14:30
L’évaluation des dysfonctions du mécanisme vélopharyngé (DVP) par la vidéofluoroscopie, Alla Sorokin
FR
516 a/b/c
Le mécanisme vélopharyngé est un mécanisme complexe qui implique les muscles et les tissus du palais mou et du
pharynx. Le fonctionnement adéquat de ce mécanisme est important pour créer un équilibre entre la résonance orale
et nasale durant la parole ‘normale’. Une dysfonction au niveau du mécanisme vélopharyngé (dont le terme ‘la dysfonction du mécanisme vélopharyngé’) peut résulter en un trouble de la parole caractérisé par une parole hypernasale
(ou ‘nasillarde’). Ceci peut ensuite réduire significativement l’intelligibilité et/ou l’acceptabilité sociale de la parole. La
vidéofluoroscopie est un examen important qui implique une équipe médicale multidisciplinaire (orthophoniste, ORL,
radiologiste, assistants en radiologie) et qui permet de diagnostiquer les dysfonctions du mécanisme vélopharyngé
afin d’informer le plan traitement. L’intervention qui en résulte peut être soit chirurgicale, orthophonique ou une combinaison des deux types d’intervention.
14:00-14:30
• Définir la dysfonction vélopharyngée (DVP).
• Décrire les causes de la DVP.
• Décrire les raisons de l’utilisation de la vidéofluoroscopie pour diagnostiquer et traiter la DVP.
14:00-15:00
La fibrillation auriculaire, l’essentiel pour les technologues en electrophysiologie, Malak El-Rayes
FR
Instruction sur la reconnaissance de la fibrillation auriculaire et le flutter sur les tracés d’ECGs et de holter, et le
524 a
diagnostic différentiel. Explications sur les objectifs de traitement, comment décider sur rate versus rythm control,
quelle est la fréquence cardiaque cible. Comment reconnaître les patients le plus à risque de complications de fibrillation auriculaire (CHADs score, CHADsVASC score), qui doivent être vus de façon urgente.
Q & A/Q et R (mins)
26
• Reconnaître la fibrillation auriculaire et le flutter auriculaire.
• Discuter les objectifs de traitement en fibrillation auriculaire (rate vs rythm controle).
• Identifier des patients à risque de complications de la fibrillation auriculaire.
14:15-15:00
Applications of tomosynthesis in both screening and diagnostic, Jody Ceccarelli
ENG
523
This session will describe the dynamics and basic physics of tomosynthesis. Through examples it will show the correlation that has made tomosynthesis an important tool in breast imaging. It will give an idea why breast tomosynthesis
is a good tool for screening in particular breast types. It will give examples of how this adjunct to breast imaging can
increase the accuracy of localization of masses in the breast. It will also show how to distinguish the difference between
false positive mammograms by eliminating superimposition of fibro glandular tissue.
• Describe the dynamics of tomosynthesis.
• Assess the benefits of using tomosynthesis as a diagnostic tool.
• Distinguish the correlation of tomosynthesis vs. standard breast imaging.
Female pelvic imaging, Laurian Rohoman
ENG
521 a/b
Ultrasound has always been the primary imaging modality in the evaluation of the female pelvis. However, MR has
proven valuable in instances where the ultrasound exam was indeterminate or non-diagnostic. In recent years however, MR has taken a lead role in the investigation of diseases of the female pelvis, particularly in the staging of endometrial and cervix cancers as well as the follow-up imaging post-treatment and/or post-surgery. Patient preparation
is important when imaging the female pelvis. A good clinical history is required as the scanning protocol is tailored to
the clinical indications. To increase the diagnostic accuracy high resolution imaging is critical, particularly when staging malignant diseases. The most frequently used sequence is the T2-w sequence, which is the workhorse in female
pelvic imaging. It is useful for demonstrating zonal anatomy and pathology. In addition to the routine axial and sagittal
planes, orthogonal planes are very important. Diffusion weighted imaging is used to diagnose tissue cellularity, blood
flow, the presence of lymph nodes as well as response to treatment. To improve lesion conspicuity the dynamic contrast enhanced sequences with fat suppression is used. If fat saturation is not used, an enhancing mass may blend in
with surrounding fat and the extent of the tumour mass may be missed.
• Optimize pelvic imaging using the methods discussed.
• Identify and minimize or eliminate the most common artifacts encountered.
• Discuss the most common used pulse sequences and imaging planes used in female pelvic imaging.
14:15-15:00
Chest pathology and positioning, Dr. Alexandre Semionov
ENG
516 d/e
This presentation will provide a review of basic chest radiography technique, with examples of how inappropriate technique can limit the diagnostic value of the study. It will also review common thoracic pathologies and their radiological
appearance, including parenchymal, pleural, airway, chest wall and mediastinal diseases. Commonly encountered imaging artifacts will be discussed.
• Describe what a proper chest radiography technique is and why it is important.
• Recognize common thoracic pathologies on chest radiography.
• Recognize major imaging artifacts.
14:15-15:00
Radioisotope therapy of bone metastases using radium-223, Dr. Eugene Leung & Megan Vitols-Mckay
ENG
524 b
Radioisotope therapy is a proven modality for palliation of painful bone metastases. The newly approved alpha-emitter
agent, radium-223, has also been shown to improve survival in castrate resistant metastatic prostate cancer. This session will review the mechanism of action and efficacy of clinically relevant radioisotope therapy agents to date.
14:15-15:00
• Describe the mechanism of action of radiopharmaceutical therapy of bone metastases.
• Compare and contrast beta-emitting agents and alpha-emitters.
• Evaluate efficacy of specific radiopharmaceuticals used to date, especially Ra-223.
14:15-15:00
Breast tomotherapy, Camille Pacher & Manon Simard
ENG
514
The first part of the session will describe the mechanics of the tomotherapy unit, and introduce and describe the concepts required for a proper understanding of dosimetry on tomotherapy. The second part of the session will describe
the workflow and technique for dosimetry planning for breast cancer patients used at Charles LeMoyne Hospital. Multiple clinical cases will be used as examples.
• Recognize the physical inner workings of the tomotherapy unit, related to dosimetry planning.
• Assess how breast and nodes are planned on tomotherapy at Charles LeMoyne Hospital.
Q & A/Q et R (mins)
27
14:30-15:00
Participation aux plans challenges, Éliane Plouffe
FR
515 b/c
En tant que technologue spécialisé en dosimétrie, le travail consiste à produire des plans de qualité au bénéfice de
chaque patient, et ce, avec les équipements et les techniques disponibles dans la clinique. Qu’arrive-t-il si les plans
ne sont pas optimaux? Acceptables! Mais tout de même non optimaux. Il est de leur responsabilité de proposer le
meilleur plan possible. Comment peuvent-ils faire pour permettre l’évolution de leur savoir; savoir qu’ils produisent le
meilleur plan possible dans les délais permis? Se comparer. Se comparer à qui? Se comparer comment? Selon quels
critères? Plusieurs défis sont proposés tout au long de l’année. Malheureusement, la majorité des technologues ne sont
pas disponibles pour y participer. Et même, la majorité des technologues ne savent même pas qu’ils existent. Cette
présentation parlera de ces défis : leurs avantages, leurs inconvénients. Elle abordera aussi les alternatives à ces défis.
Finalement, elle discutera de l’implantation du technologue à même les cliniques qui souvent sont débordées.
• Évaluer l’impact des comparatifs de plans de dosimétrie.
• Identifier des ressources qui permettent d’évaluer le niveau qualitatif d’un plan de dosimétrie.
• Proposer des comparatifs de plans à l’intérieur de leur clinique.
Risques associés à l’exposition de la radiation, Dr. Mathangi Ramani
FR
516 a/b/c
Le recours à la tomodensitométrie (TDM) croît de manière exponentielle depuis quelques années. Si la TDM est un
précieux outil de résolution de problèmes dans la plupart des situations, il ne faut pas y recourir inconsidérément en
raison du risque lié à la radioexposition répétée. Le risque d’effets indésirables liés à la radioexposition répétée est
particulièrement grand chez les enfants et les femmes enceintes. Cet exposé traite des risques liés à la radioexposition
et plus particulièrement du principe ALARA qu’il ne faut pas perdre de vue durant les examens qui supposent une exposition au rayonnement ionisant, dont la TDM. Nous examinerons les doses de rayonnement associées aux protocoles
de TDM courants et des moyens de réduire la radioexposition, en parlant notamment des situations où il est approprié
de recourir à d’autres techniques d’imagerie. Nous examinerons également les lignes directrices en vigueur en matière
d’imagerie chez la femme enceinte.
• Décrire les risques de la radiation d’un point de vue radiologiste.
• Élaborer une approche pour l’explication des risques au patient.
15:00-15:30
Refreshment and networking break in the Exhibit hall/ Pause - Rafraîchissements et réseautage dans la
salle d’exposition
15:30-17:00
ENG
520 a/d
Resident Review Sessions continued
The CAR is proud to present again the Resident Case Based Review Course. This radiology overview is targeted to residents and clinical fellows, as well as practicing radiologists interested in updating their working knowledge by covering
major radiology subspecialities.
This Review Case Based Course highlights the fundamentals of imaging the major organ systems using different imaging modalities. Lecture content will focus on review of number of cases to provide attendees the knowledge of
appropriate use of radiological terminology, give the most common (or important) differential diagnoses and provide
an algorithm of multi-imaging modalities to arrive at the most appropriate diagnosis.
An emphasis will be placed on what the graduating resident “needs to know”.
• Diagnose common pathologies as seen on a variety of imaging modalities.
• Discuss the differential diagnoses of common pathologies in the following subcategories: chest, abdomen, pediatric,
musculoskeletal, vascular/interventional and neuroradiology.
• Describe key points of common radiological diagnoses.
15:30
Pediatric imaging, Dr. Julie Hurteau-Miller
16:00
Neuroradiology, Dr. Matthias Schmidt
16:30
Interventional radiology: case-based review, Dr. Jeffrey Jaskolka
15:30-16:15
Breast US-elastography, Lisa Smith
ENG
523
Prepared by Lisa Smith and the Breast Imaging team of the MUHC at the Cedar’s Breast Clinic, this session will explore
applications used in breast imaging, i.e. elastograghy, power Doppler and vocal Fremitus. The advantages and disadvantages of these applications for the different breast types will be discussed as will the correlation to mammography,
and clinical examination. Different modalities and imaging will be demonstrated to differentiate between benign and
malignant lesions. We will demonstrate how these techniques help to categorize the false-positive and BI-RADS System.
14:30-15:00
Q & A/Q et R (mins)
28
• Assess the different applications used in breast ultrasound. Apply these methods with other modalities (MRI, tomosynthesis, mammography).
• Integrate these techniques and compare to BIRADS. Utilize the US apparatus to its full capacity.
• Enhance the knowledge of breast US in clinical and diagnostic evaluation.
15:30-16:15
How to scan implantable cardiac devices, Bill Faulkner
ENG
521 a/b
The presentation will cover the major differences between cardiac devices labeled as MR Conditional and those without MR labeling. The MR conditions of use for cardiac devices with MR conditional labeling will be presented.
• Define MR Safe, MR Conditional and MR Unsafe with regards to MR labeling.
• Describe major differences between devices with MR conditional labeling and those without.
• List several examples of MR conditions for MR Conditional Cardiac.
Contrast nephropathy update, Dr. Swapnil Hiremath
ENG
516 d/e
Contrast-induced acute kidney injury (CI-AKI) is one of the commonest iatrogenic causes of acute kidney injury. In
its mildest manifestation, it may merely be a biochemical diagnosis based on definitions of a rise in creatinine of 44
µmol/L or of 25% from baseline, occurring at 24-48 hours after contrast administration and returning to baseline in 5-7
days. In a small proportion of cases, it might cause more severe renal failure, resulting in dialysis requirement, which is
most often temporary and reversible. Thus, it has the potential to cause increased morbidity, prolonged hospital stay,
and increased healthcare expenditure. The pathophysiology of CI-AKI is thought to be from the hyperosmolality of the
contrast agent and medullary ischemia with the resultant oxidative stress. The planned nature of the nephrotoxic insult
makes this an obvious target for a myriad variety of prophylactic measures. Hydration is the only measure that has been
consistently shown to be beneficial in preventing contrast-induced acute kidney injury.
• Identify patients who are at high risk of contrast-induced acute kidney injury.
• Review the conflicting literature on prevention of acute kidney injury after contrast procedures.
15:30-16:15
Impact of changes from new radiation safety regulations, Caroline Purvis
ENG
524 b
The presentation will summarize the proposed amendments to the Canadian Nuclear Safety Commission’s Radiation
Protection Regulations. The presenter will provide the background and rationale for the proposed revision to the regulations. Potential impacts on the licensee’s radiation safety programs will be reviewed. Lastly, the status of the project
will be discussed, including how the participants can be part of the stakeholder comment process.
• Interpret the proposed amendments to the Radiation Protection Regulations and the potential impacts.
• Describe how to participate in the regulatory amendment process in order to share their views.
15:30-16:15
The implementation of a gated treatment technique for liver cancer, Alison Giddings
ENG
514
This presentation will describe the implementation of a gated, stereotactic treatment technique for hepatocellular
carcinoma (HCC) at the Vancouver Centre of the BC Cancer Agency. We will review the epidemiology, incidence, pathophysiology and management of hepatocellular carcinoma, and outline the benefit of a gated form of treatment. The
process for using this type of treatment, including simulation, planning and treatment considerations will be detailed.
Patient specific characteristics which impact suitability for gating will be listed. Finally, factors to consider when introducing a new technology/technique to a busy radiation treatment facility will be discussed.
15:30-16:00
• Identify factors to consider when introducing new technologies/techniques in a radiation therapy department.
• Review the epidemiology, incidence, pathophysiology and management of hepatocellular carcinoma.
• Describe the planning and treatment process for this gated technique.
15:30-16:00
Boost de traitement col utérin par curie amélioré avec IRM, Isabelle Gauthier
FR
515 b/c
Au cours de cette présentation, les participants reverront d’abord les défis de l’imagerie en curiethérapie du col utérin:
l’anatomie des patientes, la tumeur, sa composition et son extension, ainsi que les applicateurs. Par la suite, un rappel
des avantages généraux de la résonance magnétique sera fait. Pour terminer, les bénéfices de ce type d’imagerie en
comparaison avec les modalités les plus utilisées (CT, Graphie) seront démontrés à l’aide d’image, de tableaux comparatifs, etc.
• Identifier les défis lors de l’imagerie pour dosimétrie du col utérin en curiethérapie.
• Identifier les principaux avantages de la résonance magnétique par rapport au standard d’imagerie actuellement
utilisé.
• Évaluer les avantages que l’IRM apporte lors de la réalisation d’une curiethérapie du col utérin.
Q & A/Q et R (mins)
29
15:30-16:00
FR
Centre provincial d’expertise clinique en radioprotection: rôle et actions en radiologie et médecine nucléaire,
Karine Bellavance & Manon Rouleau
524 c
Le Centre d’expertise clinique en radioprotection (CECR) a été créé dans le but d’offrir des services d’imagerie médicale
de qualité, hautement sécuritaire, et d’assurer la meilleure protection pour les patients. Les activités du CECR visent à
outiller le Québec afin de maintenir à jour et standardiser les pratiques en contrôle de qualité et en radioprotection ainsi qu’à développer et maintenir, à la disposition du réseau public et du MSSS, une expertise-conseil en radiobiologie et
en radioprotection. Dans ce cadre, le CECR a opté pour une approche progressive, modalité par modalité, en débutant
par la tomodensitométrie (TDM), incluant l’appareillage hybride. Son action se faisant essentiellement sur deux front,
soit le développement de guides de contrôle de qualité et de radioprotection et la mise en place d’une tournée provinciale d’optimisation des doses aux patients. Au printemps 2014, le CECR a débuté, en médecine nucléaire, le volet
TEP-TDM de sa tournée provinciale. En plus de l’optimisation des paramètres TDM, une optimisation du FDG injecté aux
patients est aussi initiée. Avec cette tournée, le CECR contribue concrètement à l’amélioration des pratiques, au partage
des connaissances et à l’amélioration continue dans le réseau. Dans le futur, le CECR poursuivra sa tournée en SPECT-CT
et s’attardera à chacune des autres modalités d’imagerie, une à une, en produisant entre autres de nouveaux modules
pour le Guide québécois et cela, tout en continuant à soutenir activement le réseau.
15:30-16:00
Colonoscopie virtuelle, Dr. Mathangi Ramani
FR
516 a/b/c
Le cancer du côlon est la deuxième cause de mortalité par cancer. Durant cet exposé, nous examinerons les outils diagnostiques qui peuvent servir au dépistage du cancer du côlon, notamment la réalisation technique de la colonoscopie
virtuelle ainsi que ses avantages et ses limites. Enfin, nous discuterons de la politique de dépistage du cancer du côlon
en vigueur au Québec.
• Déterminer la population a risque et comprendre la politique quebecoise du depistage.
• Résumer les differentes modalites disponible pour le depistage et leurs limitations.
• Visualiser les trouvailles possibles en colonoscopie virtuelle.
15:30-16:15
Exercice chez l’insuffisant cardiaque, Benoit Sauvageau
FR
524 a
Cette présentation a comme objectif de vous exposer brièvement la prise en charge du patient insuffisant cardiaque
par l’équipe multidisciplinaire. Les rôles et interventions des professionnels seront exposés de manière à intégrer la
prise en charge globale et de saisir l’interaction de chaque membre de l’équipe dans le processus. L’emphase sur les bienfaits reliés à la pratique régulière d’activité physique ainsi que les recommandations pour les patients souffrant d’insuffisance cardiaque vous seront présentées. Vous pourrez également vous familiariser avec le processus d’évaluation
et ainsi saisir l’importance de votre intervention en tant que TEPM dans le processus de réadaptation. En résumé,vous
devriez saisir les enjeux de la réadaptation cardiaque chez l’insuffisant cardiaque, de même que votre rôle dans l’équipe
de soin, mais également auprès du patient.
• Distinguer les principaux rôles/interventions de l’équipe de soin chez le patient insuffisant cardiaque en réadaptation.
• Identifier bénéfices de l’entraînement pour le patient et se familiariser avec les principales recommandations.
• Identifier les enjeux/rôles du TEPM et du kinésiologue dans l’évaluation et l’adhésion à l’entraînement.
15:30-17:00
ENG
520 b/e
15:30
• Expliquer la mission et le mandat du CECR pour être en mesure d’obtenir son soutien.
• Reconnaître et accéder aux publications, outils et formations fournis par le CECR.
• Intégrer la notion d’approche collaborative dans l’optimisation des doses.
Double Jeopardy, Toil and Trouble
Debate: Triple-rule-out should be the test of choice for undifferentiated chest pain in the ED, Dr. Andrew Crean & Dr.
Jonathon Leipsic
Assessment of chest pain patients presenting to emergency department (ED) is difficult and the work-up can be lengthy
and costly. There is now evidence that supports the use of cardiac CTA in early assessment of patients presenting with
acute chest pain as it appears to be a faster and more accurate way to diagnose or rule out coronary stenosis leading to
reduced hospital admissions, decreased time in the ED and lower costs. Additionally, the excellent negative predictive
value can be used to safely discharge patients if the scan is negative in the ER. New techniques such as blood iodine
perfused volume imaging and plaque analysis provides physiological information for ischemia and identification of
high-risk plaques in acute coronary syndromes. The appropriate use of Triple-Rule-Out (TRO) protocol can explore
other differential diagnoses for chest pain, and with new CT technology and dose reduction techniques we can achieve
consistent low dose TRO studies on a routine basis.
Q & A/Q et R (mins)
• Discuss diagnostic imaging algorithm for the assessment of acute chest pain.
• Assess the benefits, limitations and optimization of MDCT in diagnosing acute coronary syndrome.
• Discuss role of a triple-rule-out protocol in evaluation of chest pain syndromes.
simultanée
30
15:55
Debate: All PE diagnosed on CT pulmonary angiography must be treated, Dr. Carole Dennie & Dr. John Mayo
CTPA has become the de facto gold standard for the diagnosis of pulmonary embolus. However, it can identify filling
defects which would never have been seen on “old-school” pulmonary angiography. Is every ditzel interrupting the
teensiest vessel worth calling positive and treating? Come to the debate and find out!
• Discuss the arguments for and against treating all PE diagnosed on CTPA.
• Explain how CTPA is being used in clinical practice currently.
• Determine what a radiologist should say on readout.
16:20
Jeopardy: radiology style, Jessie Klostranec, Michael Chan & Ali Jahed
• Identify an array of imaging-related diagnoses based on “Aunt Minnie” style imaging presentations.
• Describe the major imaging features that distinguish certain “Aunt Minnie” type cases from other diagnoses.
• Describe the session as FUN!
15:30-17:00
ENG
CCTA Simulation Workshop Part 2
Dr. Joao Inacio, Dr. Cameron Hague, Dr. Carmen Lydell, Dr. Elsie Nyugen, Dr. Elena Peña, Dr. Bruce Precious, Dr. Paul Schulte
The CCTA simulation workshops, led by radiologists who are experts in the field, are aimed at providing introductory
hands-on skills and information to the science and technology of coronary CT angiography. Participants will have an
opportunity to review case studies on workstations by rotating through the four rooms, each set with different software currently available at centres across Canada. Two CCTA experts and an applications specialist will be available in
each room to provide assistance.
• Appraise coronary and cardiac anatomy.
• Develop a strong and consistent approach to cardiac CT in keeping with recent reporting guidelines.
• Review various pathological processes that a physician may encounter when performing and interpreting cardiac
CT.
15:30-17:00
FR
520 c/f
15:30
Imagerie Thoracique
Évaluation du coeur sur TDM thoracique, Dr. Yves Provost
La TDM thoracique est couramment pratiquée dans l’ensemble des hôpitaux et des cliniques radiologiques du Québec.
La réalisation des TDM utilisant plus de 64 détecteurs, permet une analyse détaillée de l’anatomie cardiaque, et de reconnaître la plupart des pathologies cardiaques et leurs complications. Cette présentation vous permettra de créer une
routine cardiaque standard pour l’analyse des pathologies cardiaques usuelles sur TDM thoracique, et de reconnaître
certaines conditions nécessitant une action urgente de votre part.
The audience will be divided into teams, and cases will be presented in a jeopardy format, with teaching points and
discussion. Using a jeopardy-type quiz game format, two teams of participants will compete to see which team can get
the most points by the end of the game. The audience will be split to support the two teams and will be called upon to
participate. Cases will be “Aunt Minnie” types, and, as always, it is important to correlate with the category name. Test
your skills as a team player during this fully interactive 30-minute encounter. Enjoy the light-hearted format.
Disclaimer: The Jeopardy! game show and all elements thereof, including but not limited to copyright and trademark thereto,
are the property of Jeopardy Productions, Inc. and are protected under law. This session is not affiliated with, sponsored by,
or operated by Jeopardy Productions, Inc.
• Décrire les éléments techniques permettant une évaluation du coeur sur TDM thoracique.
• Énumérer au moins 3 anomalies cardiaques sur TDM thoracique, nécessitant une action urgente.
• Énumérer les étapes d’une routine cardiaque standard sur TDM thoracique.
16:00
Aorte thoracique aiguë, Dr. Gilles Soulez
Il existe un continuum dans la physiopathologie de la dissection aortique, l’hématome intra mural et l’ulcère pénétrant.
La tomodensitométrie est l’examen clé pour poser le diagnostic, faire le bilan d’extension et planifier le traitement.
L’échographie transoesophagienne est un examen d’appoint intéressant pour analyser la valve aortique, mais nécessite
un opérateur expérimenté sur place. L’IRM a un rôle très limité en urgence. Les dissections de type A sont traitées chirurgicalement. Les dissections de type B non compliquées sont traitées médicalement tandis que les formes compliquées
bénéficieront le plus souvent d’un traitement endovasculaire.
• Énumérer la physiopathologie des dissections aortiques, hématomes.
• Énumérer l’algorithme d’investigation en imagerie.
• Énumérer les bases de la prise en charge thérapeutique.
Q & A/Q et R (mins)
31
16:30
Le dépistage du cancer pulmonaire par tomodensitométrie faible dose, Dr. Florian Fintelmann & Marie-Hélène
Lévesque
Le cancer du poumon est la principale cause de décès par cancer tant chez l’homme que chez la femme au Canada,
surpassant le nombre de décès causés par les cancers du sein, du côlon et de la prostate combinés pour lesquels il
existe des tests de dépistages bien établis avec recommandations officielles. Le dépistage du cancer pulmonaire chez
les fumeurs et ex-fumeurs avec la tomodensitométrie (TMD) à faible dose d’irradiation est la seule méthode ayant
démontré une réduction de la mortalité par néoplasie pulmonaire dans cette population à haut risque. Par conséquent,
en décembre 2013, l’U.S. Preventive Services Task Force a fait du dépistage du cancer pulmonaire par TDM une recommandation de grade B pour les patients fumeurs ou ex-fumeurs à haut risque. Pour préparer les radiologistes à faire
le dépistage, le ACR Committee on Lung Cancer Screening a publié le Lung-RADS en 2014. Analogue au BI-RADS,
le Lung-RADS est un outil de classification des lésions pulmonaires identifiées lors de la TDM de dépistage, incluant
une recommandation de conduite pour chaque catégorie, aidant ainsi à minimiser le surdiagnostic et la surutilisation des examens diagnostiques complémentaires tels que les procédures interventionnelles. Cette session résumera
l’ensemble des prérequis à l’implantation d’un programme de dépistage du cancer pulmonaire, incluant entre autres
l’utilisation de critères d’éligibilités bien définis, la réalisation d’un examen de qualité avec faible dose d’irradiation et
l’utilisation du rapport standardisé avec des algorithmes de conduite appropriés.
16:00-16:30
Neuronavigation technology, Manny Podaras
FR
516 d/e
Neuronavigation is a term in stereotactic surgery that uses a computer system with a specialized program that assist
neurosurgeons to navigate in a patients brain or spine, similar to a GPS system. This frameless stereotactic technology
creates a mathematical model of a coordinate system within a closed space. Neuronavigation is the next step in stereotactic surgery.
• Describe the concept of frameless stereotaxic surgery for neurosurgical procedures.
• Discuss stereotaxic spinal fusion methods.
16:00-16:30
MIBI au dipyridamole, les meilleures pratiques en collaboration, Maxime Nadeau
FR
524 c
La technique du mibi persantin existe depuis plus de 25ans, c’est d’un point de vue des technologues qu’elle sera
révisée et revisitée.
• Réviser la technique tel que pratiquée au CSSSS HRR.
• Se familiariser avec l’application de la technique.
• Décrire l’interaction entre les différents intervenants durant la procédure.
16:00-17:00
La radiographie pulmonaire: comment se démêler! Dre Émilie Tremblay
FR
516 a/b/c
La radiographie pulmonaire est utilisée à tous les jours pour diverses raisons. Elle est effectuée de différentes façons
qui ont chacune leurs avantages et inconvénients. Diverses subtilités sont présentes et nécessitent souvent une étude
approfondie permettant de détecter des problèmes chroniques ou urgents. La présentation permettra de reconnaître
et de comprendre les différentes pathologies, prises en charge et limitations provenant de l’étude complète de la radiographie pulmonaire qui peut être très simple, mais également complexe.
• Discuter la littérature des essais cliniques sur le dépistage du cancer pulmonaire par TDM.
• Découvrir l’outil de classification Lung-RADS des nodules pulmonaires.
• Identifier les prérequis indispensables pour débuter un programme de dépistage du cancer pulmonaire.
• Décrire les différents types de radiographies pulmonaires, leurs limitations et utilités.
• Reconnaître les pathologies pulmonaires principales.
• Reconnaître les signes nécessitant une prise en charge rapide.
16:00-16:30
FR
La thérapie radiopharmaceutique par particule Alpha avec un cancer de la prostate résistant à la castration avec le
radium-223, Dr. Guila Delouya & Andrée Jutras
515 b/c
Radium-223 (connu sous le nom Xofigo) est un emmetteur de particule alpha. La thérapie radiopharmaceutique par
particule Alpha avec un cancer de la prostate résistant à la castration est une opportunité unique dans le cas de cette
maladie où peu d’options thérapeutiques sont disponibles. Cette méthode peut être utilisée non seulement pour
réduire la douleur palliative, comme on le faisait avec des médicaments radiopharmaceutiques béta moins, mais aussi
prolonger la survie des patients. Également la thérapie radiopharmaceutique par particule Alpha est très sécuritaire
avec une toxicité minime car la majorité des émissions de la particule Alpha, déposent leur énergie considérable à une
distance très courte du point d’émission. Donc, la moille épinière normal est largement épargnée de l’effet de la théraphie par la particule Alpha. Par ailleurs, les émissions de radiation sont telles qu’il n’y a pas de besoins spéciaux en ce qui
a trait aux précautions à prendre quant à la radiation, et les précautions universelles sont suffisantes. L’étude ALSYMPCA fut à l’essai de façon aléatoire, qui a comparé radium-223, 50kBq/kg, plus la meilleure qualité de soins vs la meilleure
qualité de soins seulement. Un total de 921 patients ont fait partie de cet essai international. Le paramètre principal de
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32
l’étude ALSYMPCA fut le taux de survie en générale et les paramètres secondaires incluaient, le temps avant l’arrivée de
la première complication squelettique, le temps de progression du taux de phosphatase alcaline, le taux de réponse de
la phosphatase alcaline, sa normalisation, le temps de progression du PSA, la sécurité et la qualité de vie Le paramètre
principal de l’ALSYMPCA fut rencontré, Il y a eu une reduction de 30% du risque de décès en faveur des patients traité
avec radium-223. La médicane du taux de survie en général avec le radium-223 a été de 14.9 mois vs 11.3 mois avec un
bras placebo. Il fut démontré que Radium-223 est sécuritaire et facile à administrer.
• Déterminer les approches thérapeutiques courantes et les methods de gestion pour des métastases osseuses de
CRPC.
• Déterminerle mode d’action et les avantages d’un thérapie radiopharmaceutique par particule Alpha.
• Déterminer les conclusions de la Phase III de l’étude ALSYMPCA: Radium-223 additionné aux meilleures norms de
soin.
16:15-17:00
Pathologic radiologic correlation of retro-areolar lesions, Dr. Benoît Mesurolle
ENG
523
Several cases underlying the different breast pathologies using different breast modalities will be presented. A discussion of the role of the breast imaging technologists and radiologists in breast imaging will follow.
16:15-17:00
Liver imaging, Dr. Benoit Gallix
ENG
521 a/b
16:15-17:00
Overview of CNSC’s administrative monetary penalties, Jean-Claude Poirier & Lucie Simoneau
ENG
524 b
Mr. Poirier will present a brief overview of the CNSC’s Administrative Monetary Penalties (AMPs) program. This presentation will include a description of: where AMPs fit in the CNSC’s overall suite of enforcement tools; when AMPs are
being considered; how penalty amounts are calculated and how to request a review.
• Acquire a high level description of the CNSC’s AMPs program.
• Determine how penalty amounts are calculated.
• Review the CNSC’s AMPs Review Process.
16:15-17:00
Calculating dosage for cone beam CT, Etienne Letourneau
ENG
514
In radiation therapy, dose contributions coming from planning and patient positioning images can seem negligible
compared to the treatment dose. However, radiation-induced complications are numerous even at low dose. In order
to diminish undesirable effects to the patient, one must concretely apply the ALARA principle and minimize dose to
organs at risk (OAR) while not compromising treatment quality. In this study, appropriate adjustments to cone beam
computed tomography (CBCT) imaging protocol parameters were performed. This was achieved after measuring the
dose to organs in an anthropomorphic phantom filled with optically stimulated luminescent detectors (OSL). All these
modifications led to a significant dose reduction of at least 50% up to a reduction of 90% in comparison with the
default protocol doses while still preserving a proper image quality for positioning. These results were also used in a
clinical study showing the advantages of low-dose daily CBCT for left breast cancer patients.
• Assess criteria for imaging diagnoses of benign, probably benign, and suspicious imaging findings.
• Discuss the role of each modality in breast imaging.
• Describe the role of breast technologists in different modalities (mammography, breast UE, MRI).
• Review the basic principles of the CBCT and optically stimulated luminescence dosimetry.
• Review the dose-to-organs from the CBCT.
• Reduce the dose-to-organs by adjusting the imaging parameters.
16:15-17:00
Le diagnostique différentiel des arythmies et leurs significations cliniques, Dr. Magdi Sami
FR
524 a
Présentation pratique avec différents tracés, certains complexes, illustrant les différentes arythmies qu’on pourrait rencontrer surtout lors de la lecture de HOLTER; mais aussi de tracés ECG et de tracés d’épreuves d’effort. Les arythmies seront classifiées en groupe: a) tachyarythmies, b) bradyarythmies, c) problêmes de stimulateurs cardiaquesune ébauche
de traitements de ces arythmies sera abordée selon le temps alloué.
• Reconnaître les différentes arythmies qu’ils pourraient rencontrer lors de leur pratique.
• Déterminer certains traitements de ces arythmies dans les grandes lignes.
16:30-17:00
3D Printing: the next technological revolution in radiology, Carol Mount
ENG
516 d/e
Radiology is on the verge of another technological revolution. Just as digital imaging moved images off film and into
the computer, and cross-sectional imaging and three dimensional reconstruction produced virtual realism, three dimensional physical modeling (3D modeling) promises to create a paradigm shift in medical imaging. In the near future,
Q & A/Q et R (mins)
33
radiologic 3D models will increasingly move out of the computer laboratory and into the hands of physicians and patients. As 3D modeling technology continues to evolve and translate into the diagnostic imaging space, each radiology
department will need to determine its role in this transformation from simple data collection to central production and
quality control of 3D models. This presentation will provide a brief history and technical introduction to 3D modeling,
give an overview of Mayo Clinic’s 3D modeling lab workflow including personnel and responsibilities, and depict 3D
models and the role they have played in surgical planning and other uses within the medical field.
• Realize the importance of high quality imaging in the role of 3D anatomic modeling.
• Identify the necessary personnel and equipment for a functional 3D lab.
• Recognize the role of 3D modeling as a collaboration between the Radiologist and Surgeon.
Curiethérapie du rectum sous hypnose, Sarah-Claude Provençal, Rita Kassatli & Alyn Maya Loney
FR
515 b/c
Le cancer colorectal est la 3e forme de cancer la plus couramment diagnostiquée au Canada, et se traite entre autres
par le biais de la curiethérapie. Cette méthode de traitement fut largement développée en Amérique du Nord par la
radio-oncologue Dr Te Vuong, de l’hôpital Général Juif de Montréal. Dans cette présentation, la coordonnatrice en
brachythérapie Rita Kassatli survolera l’anatomie colorectale ainsi que la méthode utilisée lors d’un traitement par
curiethérapie. La sédation est nécessaire durant les traitements colorectaux pour pallier à la douleur du patient. Plus
récemment, une étude clinique suit son cours au même hôpital, et vise à remplacer ou améliorer cette sédation par de
l’hypnose. Ceci permettrait au patient de contrôler sa douleur et son anxiété par le biais de sa propre concentration.
Dans le deuxième volet de la présentation, la coordonnatrice de recherche et doctorante en psychologie Sarah-Claude
Provençal exposera les applications de l’hypnose en soins médicaux, et partagera avec l’audience le rationnel et la
méthodologie de son étude clinique.
• Expliquer l’utilisation de la curiethérapie pour le cancer rectal.
• Expliquer l’utilisation de l’hypnose en milieu médical.
16:45-17:00
Quiz, Justine St-Onge
FR
524 c
Un petit quiz de 5 à 10 questions sur la médecine nucléaire pour revenir sur de la matière moins souvent abordée ou
sur des notions importantes qu’on tend à oublier.
• Réfléchir en équipe pour résoudre des questions de médecine nucléaire.
• Réviser de la matière lointaine.
• Vérifier leurs connaissances approfondies en médecine nucléaire.
16:30-17:30
Q & A/Q et R (mins)
34
[ Friday May 29, 2015 / le vendredi 29 mai 2015]
8:30-9:15
MR safety, Bill Faulkner
ENG
521 a/b
The presentation will provide an overview of the major safety concerns in MRI to include those associated with the
static MR field, gradient (time-varying) magnetic fields and the radio frequency (RF) field. Particular attention will be
focused on preventing patient injuries, which include RF burns.
• Describe the major safety considerations for the static field, gradient field and RF field.
• Define SAR.
• List major methods for preventing RF burns in MRI.
8:30-9:15
EOS modality in pediatrics, Pina Napoletano & Julie Teixeira
ENG
516 d/e
The history of EOS, along with its pediatric application and needs will be discissed. Images will be demonstrated and
dose/radiation comparisons will be provided. We will explain certain pediatric requirements in our practice with the
EOS modality. To conclude we will have an image review session, in which we will provide 3D acquisition images and
its usage.
8:30-9:15
Risk management in healthcare: a collaborative approach, Esther Hilaire
ENG
524 b
In our country, a wide array of work has been done to improve our understanding of risks, and implement initiatives to
predict, manage, and prevent harm in healthcare settings. An upstream quality management can help to identify the
root causes of incidents and accidents. Collaboration between all the healthcare professionals is a central component
in risk management strategies. Healthcare safety and quality are interrelated concepts. Since medical imagery has
high-risk activities, every technologist plays a key role in identifying those risks and collaborating to ensure the quality
and safety of our healthcare system.
• Explain the key characteristics of an upstream quality management in a healthcare center.
• Explain the key components of the risk management concept in a hospital.
• Demonstrate how a collaborative approach can help to prevent incidents and accidents in patient care.
8:30-9:15
Ethics in radiation therapy, Rosanna Macri
ENG
514
There are numerous ethics issues that arise daily in the healthcare environment. Through the use of case analysis, this
presentation will review common ethics issues in healthcare and more specifically, in cancer care. Participants will be
challenged to explore their personal value systems and analyze if they are congruent or conflictual with those of their
institution, professional and/or individual patient/family values. In addition, ethics theories and tools will be introduced
and applied to help guide complex decision-making.
• Indicate the relevance of bioethics in healthcare.
• Examine personal values and consider how they reflect in practice.
• Apply ethical theories and tools to guide decision-making.
8:30-9:00
Optimisation des étapes en planification TEP-TDM, Dr. Guillaume Bouchard
FR
515 b/c
Au cours de la dernière décennie, la TEP au 18-FDG est devenue une modalité incontournable en oncologie dans une
large palette d’indications. L’évolution spectaculaire de l’instrumentation TEP hybride depuis les premiers systèmes
commerciaux permet maintenant d’élargir le spectre d’applications cliniques au-delà du simple bilan d’extension
néoplasique. Maintenant qu’une certaine maturité technologique est atteinte, l’intégration de la TEP en routine clinique de planification en radiothérapie demeure un défi pour les différents professionnels impliqués.Les aspects techniques pertinents à considérer pour optimiser la planification de traitement en TEP-TDM seront d’abord discutés. Il sera
ensuite démontré que les défis logistiques peuvent être surmontés, à la condition qu’une approche interdisciplinaire
collaborative au service du patient soit adoptée par les équipes de soins. Finalement, l’épineux problème de la délinéation tumorale en imagerie fonctionnelle pour déterminer les volumes cibles mérite une attention particulière pour
obtenir des résultats avec cette approche.
FRIDAY MAY 29, 2015 / LE VENDREDI 29 MAI 2015
• Review the EOS imaging modality.
• Consider the pediatric requirements in imaging, its clinical needs and practices.
• List the pros and cons in pediatrics and its practice.
• Discuter les aspects techniques déterminants pour la planification de radiothérapie par TEP-TDM.
• Détecter des obstacles logistiques rencontrés en planification TEP.
• Considérer la collaboration interprofessionnelle nécessaire en planification TEP.
Q & A/Q et R (mins)
35
8:30 -10:00
La qualité des examens et des diagnostics: les technologues font la différence! Formation interactive.
FR
Dre Anne-Marie Landry, Dr Benoît Bourassa-Moreau, Geneviève Daigneault, Jessica Fortin & Carl Bellehumeur
524 c
Activité interactive basée sur la discussion et la résolution de problèmes pour les technologues en médecine nucléaire.
Les participants seront appelés à réfléchir et à discuter en groupe sur différents aspects pratiques, cliniques et techniques rencontrés au quotidien et pouvant influencer la qualité des examens (ex. : positionnement, traitement des images, reconnaissance et limitation des artéfacts, acquisition et clichés supplémentaires, etc.). Des exemples représentatifs seront illustrés pour les sujets suivants : scintigraphie osseuse, scintigraphie myocardique et TEP-TDM. La première
partie est d’une durée de 3 heures. Le participant sera ensuite invité à utiliser les consoles informatiques mises à sa disposition pendant les temps libres du congrès : de nouveaux cas et situations cliniques à « résoudre » seront disponibles
pour mettre en application les concepts présentés. Lors de la 2e partie d’une durée d’une demi-heure, ces nouveaux
cas seront revus et résolus avec l’aide d’un présentateur.
Objectifs d’apprentissage:
• Reconnaître les principaux artéfacts en scintigraphie osseuse, en scintigraphie myocardique et en TEP.
• Discuter des alternatives possibles et à privilégier pour limiter, éviter ou contourner ces artéfacts.
• Revoir les rôles du technologue dans l’amélioration de la qualité de ces examens.
Se nourrir de soleil, Anne-Edith Vigneault
FR
516 a/b/c
Qu’est-ce que la nutrition holistique? Que signifie “être bien nourri”? Se nourrir de soleil se veut être une conférence
stimulante, motivante et ensoleillée. Elle est un guide vers le bien-être physique, psychologique et émotionnel, en
abordant ce sujet par l’entremise des 6 facettes de la nutrition holistique. Nous explorons ensemble le besoin essentiel
de prendre soin de soi, dans le but de maximiser la qualité de notre vie personnelle et ainsi optimiser notre expérience
et celle de notre patient dans le milieu hospitalier. Nous dissèquerons le tabou entre l’égoïsme et l’autopréservation,
élément clé dans la prévention des fléaux sociaux comme l’épuisement professionnel (le burn-out), la dépression et les
dépendances, et le suicide. Cette conférence à pour but de soulever des questions et stimuler la réflexion plutôt que
d’offrir des vérités et des réponses toutes faites. Elle aidera ainsi chacun à découvrir ces forces innées et ces ressources,
à établir un équilibre et une flexibilité au quotidien, et à développer des astuces afin d’incorporer ses nouvelles notions
autant dans l’élaboration d’une vie personnelle de bonheur et d’abondance qu’à la construction d’une carrière enrichissante, valorisante et durable. De la nourriture pour l’esprit!
• Définir la nutrition holistique et ses 6 différentes facettes.
• Disséquer le tabou entourant l’égoïsme et établir l’importance vitale de l’autopréservation.
• Développer ses propres astuces de bien-être et les incorporer à sa vie personnelle et professionnelle.
8:30-9:15
Rôle du technologue en salle d’implantation de stimulateur cardiaque, Josée Girard
FR
524 a
La présence du technicien en salle d’implantation d’un cardiostimulateur ou d’un défibrillateur fait suite à plusieurs
démarches et marque de confiance ainsi que des connaissances précises en ce domaine.
• Décrire le rôle de technicien EPM lors de l’implantation d’un cardiostimulateur ou des défibrillateurs.
• Évaluer l’approche en salle et établir la confiance interpersonnelle professionnaliste lors des interventions.
8:30-10:00
ENG
520 b/e
8:30
Hot Topics: Obstetrics and Gynecology
8:30-9:30
Prenatal screening: state of the art, Dr. Francois Audibert
This presentation will review the various prenatal screening options that are currently available. The integration of maternal age and nuchal translucency with first and/or second trimester maternal serum markers has been the subject of
numerous studies. The recent introduction of the analysis of circulating fetal DNA, or non-invasive prenatal screening,
is a revolution for prenatal screening options. Technical and ethical challenges of this new approach will be reviewed,
as well as its integration within the practice of prenatal ultrasound.
• Review the advantages and disadvantages of different prenatal screening options.
• Describe the objectives and results of first trimester ultrasound.
• Discuss the evolution of prenatal screening programs with the availability fetal DNA analysis.
9:00
The 11-14 week ultrasound: what not to miss, Dr. Kalesha Hack
This presentation will cover the basics of the 11-14 week ultrasound including evaluation of nuchal translucency, nasal
bone and emerging parameters such as intracranial translucency. We will explore the role of early anatomy evaluation
in 2014 either by transabdominal or transvaginal techniques, with an emphasis on “do not miss” diagnoses which can
be found during this time period. This includes entities such as exencephaly, alobar holoprosencephaly, ventral wall defects or megacystis. These issues will be put in the context of new non-invasive prenatal tests which can be performed
on fetal DNA circulating in the maternal system.
Q & A/Q et R (mins)
36
• Recognize the “do not miss” anomalies present at the 11-14 week ultrasound.
• Consider the role of early anatomic evaluation via transabdominal or transvaginal techniques.
• Describe the impact of non-invasive prenatal testing on prenatal ultrasound.
9:30
Placental attachment disorders, Dr. Sophia Pantazi
The presentation will begin with review of the normal placental anatomy and expected imaging features on ultrasound
and MRI. We will then look at various placental pathologies and discuss their differentiation with imaging. Special
attention will made to the clinical presentation, imaging and management of the morbidly adherent placenta (MAP).
• Review the anatomy of the placenta.
• Examine assessment of the placenta with US or MRI.
• Acquire a better understanding/ability to diagnose placental pathology, especially morbidly adherent placenta.
8:30-10:00
ENG
520 a/d
A Canadian approach to lung cancer screening: what every radiologist should know, Dr. Daria Manos
Following the success of CT for the detection of early lung cancer in large trials, screening programs have begun
throughout North America. Implementation outside the research setting has raised concerns not only in the radiology
literature but in the wider medical field. The ultimate success of CT screening in the clinical setting is largely dependent
on the way radiologists interpret, communicate and guide work up of screen-detected abnormalities. In this presentation we will review reporting strategies, including the Canadian-produced LU-RADS. Case examples illustrating common reporting errors, common causes of over investigation and common sources of CT, PET and biopsy discordance
will be presented and evidence-based systematic strategies to maximize accuracy and safety will be reviewed.
• Recognize the benefits, risks and limitations of CT screening for lung cancer.
• Report safely CT screening, manage discordant results and avoid common sources of error.
• Identify the parameters of the LU-RADS reporting system.
9:00
Cardiac devices and peri-operative cardiac surgery appearances, Dr. Bruce Precious
The presentation will describe and illustrate imaging of cardiac devices and the assessment for their related complications. Pre-operative imaging of patients undergoing cardiac surgery will be discussed and imaging of post-operative
cardiac surgery complications will be illustrated. The technological aspects of optimizing imaging cardiac devices and
peri-operative issues in cardiac surgery patients will also be covered.
• Recognize cardiac devices on imaging and assess for their related complications.
• Identify cardiac surgery preoperative planning concerns and postoperative complications on imaging.
• Manage the technological aspects of imaging cardiac devices and peri-operative issues in cardiac surgery patients.
9:30
The immune suppressed patient: when clinical correlation is essential, Dr. Mark Landis
This presentation will review the main immune systems present within the lungs and airways that help combat infection and how different disease states affect these specific immune systems. Attention will be paid to the distribution of
particular imaging findings in an immune suppressed patient and how knowledge of what particular type of immune
deficiency state may help point to a particular infection or class of infections and help the radiologist arrive at a reasonable differential diagnosis.
8:30
Chest Imaging
• Differentiate the major immune systems in place that protect the lungs and airways from disease.
• Identify the importance of disease anatomic distribution on differential diagnostic possibilities.
• Integrate some helpful clinical clues that will help limit the diagnostic possibilities.
8:30-10:00
Radiologist in Training Contest – Part 1
ENG
519
Moderator / Modérateur: Dr. Bruno Morin
Judges/ Juges: Dr. Marco Essig, Dr. Marc Levental, Dr. Patrick McLaughlin
Les abrégés seront présents oralement. Veuillez consulter la section des résumés d’expositions, à la page 91, pour en faire la
lecture complète
08:30
RT009
A Comprehensive Analysis of Authorship in Radiology Journals, Wilfred Dang
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37
RT002
Extensive Basal-Predominant Peripheral Pulmonary Lucencies in Smokers: Prevalence and High Resolution Computed Tomography Features, Horatiu Muller
08:50
RT003
Multi-Institutional Assessment of Radiology Curriculum Adequacy, Adam Dmytriw
09:00
RT004
Increase in Utilization of Afterhours Medical Imaging: A Study of Three Canadian Academic Centers , Shivani Chaudry
09:10
RT005
Trends in the Canadian Diagnostic Radiology Residency Match, Stephanie Kenny
09:20
RT006
Percutaneous Fluoroscopic Synovial Biopsy as a New Diagnostic Test for Periprosthetic Infection after Shoulder
Arthroplasty: A Feasibility Study, Jeffrey Quon
09:30
RT007
Detection of Active Colonic Inflammation by Magnetic Resonance Colonography in Pediatric Patients Undergoing
Investigation for Inflammatory Bowel Disease, Brian Lee
09:40
RT008
Acute Abdomen in the Emergency Department: Is CT a Time Limiting Factor?, David Wang
8:30-10:00
FR
520 c/f
8:30
Revue de la Littérature en Rafale
Tête et cou: littérature en rafale, Dr Jean Chenard
Revue de quelques articles récents concernant des sujets d’intérêt en radiologie tête et cou.
• Discuter certains articles ayant un intérêt pour la pratique de la radiologie ORL.
• Perfectionner l’approche radiologique à certaines pathologies de la tête et du cou.
8:45
Club de lecture d’imagerie thoracique, Dre Marie-Hélène Lévesque
Ce club de lecture portera sur des publications scientifiques récentes qui ont marqué le domaine de l’imagerie thoracique et qui s’appliquent à la pratique d’un radiologiste général.
• Commenter des articles de pointe en imagerie thoracique.
• Intégrer à leur pratique les nouvelles données de la littérature en imagerie thoracique.
9:00
Revue de littérature pour radiologiste général: publications marquantes en imagerie abdominale, Dr. An Tang
Un journal club constitue une opportunité d’évaluer de façon critique des articles récemment publiés dans la littérature
médicale. Cette revue de littérature portera sur 2 publications marquantes au cours de la dernière année dans le domaine de l’imagerie abdominale présentant un intérêt pour des radiologistes généraux. Cette présentation soulignera
l’importance d’un diagramme de recrutement (“flowchart”) comme outil pour souligner la qualité du design d’une
étude clinique. De plus, ce diagramme permet souvent d’identifier les biais potentiels associés à cette étude (design,
sélection, collecte, analyse, publication). Outre l’aspect méthodologique, les participants pourront identifier des messages clefs pertinents pour leur pratique en radiologie générale.
08:40
• Discuter deux publications marquantes dans le domaine de l’imagerie abdominale publiées en 2014-2015.
• Identifier les qualités et limitations respectives de ces publications.
• Appliquer les messages clefs dans une pratique en radiologie générale.
9:15
Appareil locomoteur, Dre Véronique Freire
Revue de la littérature en imagerie musculo-squelettique de la dernière année avec présentation des articles ayant eu
un impact sur la pratique.
• Intégrer à leur pratique les nouvelles données de la littérature en imagerie musculosquelettique.
• Identifier la litérature récente en imagerie musculo-squelettique.
9:30
Période de questions
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38
9:00-9:30
La planification par myéloscan : une approche multidisciplinaire, Marie-Pier Beaudry & Deborah Pascale
FR
515 b/c
L’avancement rapide des technologies en radio-oncologie est un fait. Pour continuer d’être modulé selon les règles de
l’art, le processus de traitement est de plus en plus complexe et requiert une coordination des connaissances et des
compétences de tous les instants entre l’ensemble des professionnels. En promouvant une approche multidisciplinaire,
la planification par myéloscan permet une meilleure définition des volumes de traitement grâce à de nouvelles modalités d’imageries plus raffinées. Elle permet aussi d’augmenter grandement les bénéfices aux patients en diminuant
les régions irradiées et les effets secondaires. Cette présentation offrira un aperçu des protocoles cliniques, des conjonctures ainsi que des défis de l’utilisation d’une telle approche dans un contexte où le temps est compté.
• Distinguer l’anatomopathologie des tumeurs neurologiques et décrire le protocole clinique relié à l’indication du
myéloscan.
• Identifier les avantages, les inconvénients et les enjeux reliés à l’utilisation de cette planification.
• Reconnaître l’implication professionnelle multidisciplinaire au cours d’une planification et d’un traitement de radiothérapie.
Imaging of upper limb sports injuries, Dr. Raj Chari
ENG
521 a/b
Upper limb sports injuries are common in North America and constitute a bulk of sports injuries imaging. When countered with unusual appearances in imaging, it’s important for technicians to possibly identify an abnormal area and
get the radiologist involved to decide if a further study or sequence is needed. A review of basic anatomy will be done.
• Describe basic mechanism of sports injuries and image appearances of upper limb.
• Recognize imaging indications.
• Review basic anatomy of the upper limb.
9:15-10:00
Minimising dose in CT, Nagi Sharoubim
ENG
516 d/e
The presentation will include the following: the measurement of the CT Dose Index (CTDI), dose versus patient size,
patient entrance dose using Gafchromic Film Dosimetry, image quality with iterative reconstruction, protocols for standard exams: head, thorax and abdomen.
• Differentiate between CTDI and real entrance dose.
• Modify their protocol depending on Code 35.
• Use iterative reconstruction to minimize dose.
9:15-10:00
ENG
Investigating the impact of PET-CT vs CT-alone for high-risk volume selection in head & neck and lung patients
undergoing radiotherapy: interim findings, Carol-Anne Davis
514
This session will include:
1.Introduction to the basic fundamentals of PET-CT utilizing [18F]-fluoro-deoxy-glucose (18-FDG);
2.Review of the literature on the role/impact of PET-CT in the oncology population with emphasis on radiation therapy;
3.Description and details of study methodology;
4.Analysis of study findings (with comparison to current literature);
5.Detailed review of the dosimetric impact of target volume changes with example plans (impact and no-impact treatment plans);
6.Discussion of the novel use of a concordance index (CI) and how the CI may be a better predictor of the impact of a
new technology on radiation therapy patients; and
7.Presentation of future research opportunities and the value of measuring outcomes (overall survival, disease-free
survival, local recurrence and quality of life) as a means of assessing PET-CT impact.
9:15-10:00
• Recognize the powerful relationship between PET-CT and radiation therapy (RT).
• Associate the impact PET-CT has on H&N and lung target-contours.
• Describe how target volume changes may/may not impact treatment plans (dosimetric impact).
9:15-10:00
Botox & EMG, Dr Martin Cloutier
FR
524 a
Le Botox (toxine botulinique) est utilisé depuis plus de 25 ans pour traiter la dystonie et la spasticité. Le Botox permet
de relaxer et d’affaiblir les muscles injectés pour diminuer l’hypertonie, et ainsi améliorer la posture, les tremblements
et faciliter la vie courante. Pour maximiser l’efficacité, le Botox doit être injecté précisément dans les muscles ciblés.
L’injection sans support techniques est possible et fréquemment utilisée. Dans certains cas, l’on utilise de la guidance
par EMG, des neurostimulateurs ou de l’échographie pour améliorer la précision des injections et donner de meilleurs
résultats. L’utilisation de la guidance par EMG sera discutée en détails.
• Definir le rôle du Botox dans le traitement des maladies neurologiques.
• Décrire le rôle de la guidance par EMG pour l’administration du Botox.
Q & A/Q et R (mins)
39
9:30-10:00
FR
L’asepsie des plaies en radio-oncologie: quand nos accessoires deviennent une menace, Audrey Jacques & Joannie
Thibault
515 b/c
En radiothérapie, il est d’usage commun d’utiliser certains accessoires spécifiques (p.ex. masque thermoplastique, bolus) dans le but d’obtenir une meilleure stabilité lors du positionnement quotidien du patient ou pour optimiser la
distribution de dose en surface. Il est également connu que l’un des principaux effets de la radiothérapie est de causer
une lésion cutanée appelée radiodermite. Celle-ci se produit particulièrement lors de l’irradiation de la sphère ORL et
du sein causant, dans certains cas, l’apparition d’une plaie. La problématique survient lorsque les accessoires entrent en
contact avec ces plaies, augmentant ainsi le risque d’infection. Pour diminuer ce risque, il est primordial de connaître et
d’appliquer les techniques d’asepsie appropriées sans toutefois utiliser des moyens pouvant interagir avec la radiation.
Étant un membre de l’équipe soignante de premier plan pour le patient, le technologue en radiothérapie se doit d’être
capable de reconnaître les différents stades de la radiodermite dans le but de prévoir quel type de barrière utiliser pour
éviter tout risque d’infection. Une description de divers produits ainsi que leurs possibles utilisations sera présentée
dans le but d’améliorer notre pratique au quotidien.
9:30-10:00
IRM seins, Nathalie Duchesne
FR
516 a/b/c
L’IRM du sein a beaucoup évolué au cours de la dernière décennie. L’amélioration de la qualité des images a élargi
plusieurs champs qui seront discutés durant la présentation. Les références/demandes pour l’IRM du sein deviennent
de plus en plus claires, incluant son rôle lors des tests des patients à risques élevés, de l’observation des traitements
néo-adjuvants et de la détection des cancers en premier lieu inconnu. Le rôle pré-opératoire de l’IRM demeure contreversé, mais quelques sous-groupes de patients atteints du cancer ont été identifiés comme étant des sujets qui
pourraient bénéficier de cette évaluation pré-opératoire plus que d’autres. De nouveaux types de séquences, incluant
la diffusion et la spectroscopie, peuvent être prometteur pour augmenter la spécificité des données recueilli par l’RIM,
Finalement, les interventions RM sont aussi en pleine évolution, poussant de l’avant des procédures qui demandent
moins d’interventions des opérateurs, donc les rendant accessible à plus de patients.
• Réviser les indications pour l’IRM mammaire en 2015.
• Énumérer les nouvelles approches technologiques pour l’IRM mammaire.
• Décrire la technique des biopsies mammaires et sa place dans l’investigation.
10:00-10:30
10:30-12:00
517 a
CAMRT Annual General Meeting and Honorary Awards Ceremony
10:30-12:00
520 b/e
CAR and CRF Annual General Meeting and Honorary Awards Ceremony
10:30-11:00
Technique de DIBH, Marie-Eve Berube & Lise Roy
FR
515 b/c
À l’Hôtel Dieu de Québec, nous offrons depuis presque 2 ans des traitements du sein gauche en inspiration bloquée.
Nous allons vous décrire les étapes effectuées par notre équipe multidisciplinaire afin d’arriver à concrétiser cette nouvelle technique de traitement. Nous allons vous présenter l’historique, les étapes de développement, de planification
et de traitement ainsi que nos résultats.
• Reconnaître les types de plaies pouvant être vues en radiothérapie.
• Utiliser les techniques de soin appropriées en présence de plaies.
• Évaluer les barrières protectrices possibles et leurs interactions avec la radiation.
• Décrire les étapes de planification du traitement du sein en DIBH.
• Comparer et intégrer la technique de traitement en DIBH de l’HDQ.
• Analyser l’importance de l’interdisciplinarité dans l’élaboration et la mise en application d’une nouvelle technique.
10:30-12:00
La qualité des examens et des diagnostics: les technologues font la différence! Formation interactive.
FR
Dre Anne-Marie Landry, Dr Benoît Bourassa-Moreau, Geneviève Daigneault, Jessica Fortin & Carl Bellehumeur
524 c
Activité interactive basée sur la discussion et la résolution de problèmes pour les technologues en médecine nucléaire.
Les participants seront appelés à réfléchir et à discuter en groupe sur différents aspects pratiques, cliniques et techniques rencontrés au quotidien et pouvant influencer la qualité des examens (ex. : positionnement, traitement des images, reconnaissance et limitation des artéfacts, acquisition et clichés supplémentaires, etc.). Des exemples représentatifs seront illustrés pour les sujets suivants : scintigraphie osseuse, scintigraphie myocardique et TEP-TDM. La première
partie est d’une durée de 3 heures. Le participant sera ensuite invité à utiliser les consoles informatiques mises à sa disposition pendant les temps libres du congrès : de nouveaux cas et situations cliniques à « résoudre » seront disponibles
pour mettre en application les concepts présentés. Lors de la 2e partie d’une durée d’une demi-heure, ces nouveaux
cas seront revus et résolus avec l’aide d’un présentateur.
Q & A/Q et R (mins)
40
• Reconnaître les principaux artéfacts en scintigraphie osseuse, en scintigraphie myocardique et en TEP.
• Discuter des alternatives possibles et à privilégier pour limiter, éviter ou contourner ces artéfacts.
• Revoir les rôles du technologue dans l’amélioration de la qualité de ces examens.
10:30-11:00
La pédiatrie en radiologie 2.0, Audrey Simon
FR
516 a/b/c
La clientèle pédiatrique est l’une des plus imprévisibles du système hospitalier. Chaque patient agit et réagit différemment. Il est de notre devoir de nous adapter à eux pour être en mesure de réaliser des examens optimaux. À travers
cette conférence, voyez tous les trucs des technologues qui, jour après jour, côtoient cette merveilleuse clientèle.
• Utiliser adéquatement les moyens de contention disponibles afin de diminuer les reprises de clichés.
• Recommander de façon efficace une intervention envers le parent et son enfant afin d’obtenir une collaboration
complète.
Évolution de l’EEG durant la période néonatale, Dre Elizabeth Tremblay
FR
524 a
Durant cette présentation, nous décrirons une démarche systématique d’interprétation de l’électroencéphalogramme
(EEG) néonatal. Nous ferons également un survol de l’évolution du tracé EEG chez le nouveau-né prématuré et à terme,
en examinant ce tracé durant les diverses phases du sommeil et les caractéristiques normales de l’EEG compte tenu de
l’âge du nouveau-né.
• Réviser la démarche systématique d’interprétation de l’EEG du nouveau-né.
• Distinguer des phases du sommeil et caractéristiques de l’EEG chez le nouveau-né à terme.
• Reconnaitre les caractéristiques normales de l’EEG chez le nouveau-né prématuré.
10:30-12:00
FR
520 c/f
Prix d’innovation et d’excellence Dr. Jean-A-Vézina
10:30
Tumeurs bénignes hépatocellulaires : avancées en imagerie, Dre Valérie Vilgrain
Les tumeurs bénignes hépatocellulaires se composent principalement des hyperplasies nodulaires focales (HNF) et des
adénomes hépatocellulaires (AH). Si le diagnostic anatomopathologique des HNF est connu depuis longtemps, celui
des AH a bénéficié des progrès récents en génomique qui sous classent les AH. De façon intéressante, il existe unebonne correspondance entre les mutations génétiques, le phénotype et l’imagerie. L’objectif de cette conférence est :
1. de montrer l’imagerie typique des HNF et adénome hépatique par sous-type notamment en IRM et échographie de
contraste. 2. d’illustrer des formes atypiques qui peuvent être reconnues. 3. de discuter la place des agents de contraste
hépatobiliaires. 4. de préciser les indications de la biopsie hépatique.
• Interpréter l’imagerie de l’hyperplasie nodulaire focale typique.
• Interpréter l’imagerie des adénomes hépatiques par sous-type.
• Identifier des foies atypiques de tumeurs bénignes hépatocellulaires.
11:15
IRM de diffusion hépatique : apports, pièges et limites, Dre Valérie Vilgrain
Les séquences de diffusion font partie de l’exploration IRM hépatique en routine. L’imagerie de diffusion est une
représentation des mouvements browniens des protons qui sont restreints dans les tissus solides et plus dans les tumeurs malignes que dans les tumeurs bénignes. Les principales indications validées de l’IRM de diffusion hépatique
sont la détection et la caractérisation des tumeurs. Elles sont aussi intéressantes dans l’exploration des pathologies
hépatiques diffuses. Le but de cet exposé est : 1. de rappeler brièvement les caractéristiques techniques. 2. d’illustrer
l’apport de l’imagerie de diffusion dans la détection et caractérisation tumorale. 3. de montrer des pièges et des difficultés.
10:30-11:15
• Décrire l’imagerie de diffusion.
• Interpréter les images sources et la cartographie ADC.
• Distinguer les principales indications.
11:00-11:30
Système Aktina pour stéréotaxies avec empreintes dentaires, François Gallant
FR
515 b/c
Les métastases cérébrales sont une chose commune en radio-oncologie et la proportion des cancers qui métastasent
au cerveau est fréquente. La radio-chirurgie stéréotaxique nous permet de traiter plusieurs lésions en concentrant la radiation sur les tumeurs à traiter. Ceci nous permet un contrôle local beaucoup plus grand et épargne la partie saine du
cerveau. La méthode traditionnelle de traiter ces métastases par radio-chirurgie stéréotaxique était d’utiliser le “CRW
frame”. Le nouveau système Aktina nous permet de faire une empreinte buccale, de former un masque et de stabiliser le
patient en évitant de visser la charpente du “CRW” au crâne. Une empreinte buccale est créée au simulateur, un masque
est formé pour le support postérieur de la tête et le patient est attaché à la table par un système d’arc métallique. Le
Q & A/Q et R (mins)
41
positionnement est assuré par celui-ci mordant sur l’empreinte buccale installée dans la bouche et avec un système de
succion. Les données finales démontrent qu’il y a plusieurs avantages: (1) un traitement moins douloureux et envahissant pour le patient et (2) une dosimétrie et une stabilité équivalente aux autres systèmes d’immobilisation. Le système
nous donne beaucoup plus de flexibilité par rapport aux rendez-vous, à la planification et à la satisfaction de l’équipe
médicale et du patient. Cette présentation expliquera le système Aktina, les étapes de planifications et de la mise en
œuvre du système. Elle comparera la précision du système avec les autres pratiques disponibles et partagera toute
l’expérience de planification et du pourquoi de traiter avec ce système.
• Décrire l’implantation du nouveau système d’immobilisation Aktina.
• Comparer les données et la précision du système Aktina avec les autres méthodes de traitement.
• Expliquer l’utilité, la formation, la planification et le traitement du processus avec le système Aktina.
Introduction à l’élastographie par résonance magnétique, Dr. An Tang
FR
516 a/b/c
L’élastographie par résonance magnétique (ÉRM) est une technique émergente permettant de mesurer les propriétés
mécaniques des tissus. Cette présentation va illustrer les principes physiques à la base de l’ÉRM. Cette technique
fonctionne sur des systèmes de résonance magnétique et requiert 4 composantes: une enceinte acoustique pour
générer des vibrations mécaniques, des séquences en contraste de phase avec gradients d’encodage de mouvement,
l’acquisition de données brutes par IRM et un logiciel de post-traitement pour générer des cartes de dureté, connues
sous le nom d’élastogrammes. L’emphase portera sur les indications abdominales d’ÉRM. Nous présenterons une sélection de cas pour illustrer les indications de l’ÉRM en imagerie abdominale. Nous allons résumer la performance diagnostique de cette technique d’imagerie. Nous identifierons certains pièges techniques et directions futures.
• Distinguer les principes de base de l’élastographie par résonance magnétique.
• Identifier les composantes nécessaires d’un système d’élastographie par résonance magnétique.
• Décrire une indication clinique de cette technique examen.
11:15-12:00
FR
Mythes et réalités du sommeil et optimisation du sommeil pour les travailleurs de nuit et à horaire variable, Éric
Deshaies
524 a
Le sommeil est un aspect peu connu de la médecine, bien qu’il y est une bonne amélioration depuis une vingtaine
d’années. Plusieurs mythes circulent et peuvent amener à une mauvaise conception du sommeil, apporter de faux
problème de sommeil et même de mauvais diagnostiques. L’insomnie est un des aspects ou l’éducation est déficiente
et où les conceptions sont souvent erronées. Plusieurs points sont aussi importants dans l’éducation pour augmenter la
qualité du sommeil, entre autres les siestes, l’horaire optimal, la pharmacologie. Dans notre monde moderne le travail
8 à 4 n’est malheureusement par pour tout. Certains doivent travailler de nuit ou sur des horaires variables. Le corps et
surtout l’horloge biologique ne sont tout de même pas faits pour ça. Il y a toutefois quelques trucs qui peuvent aider à
atténuer l’effet négatif de ces horaires. Entre autres l’utilisation de la luminothérapie, les produits naturels et pharmacologiques.
• Établir le vrai du faux à travers les mythes du sommeil.
• Définir les trucs qui peuvent aider à un bon sommeil.
• Intégrer des aspects de la conférence pour aider les travailleurs de nuit.
11:30-12:00
Prostate: nomade ou sédentaire, Cédric Fiset & Michaël Roux
FR
516 a/b/c
Ils vont tout d’abord expliqué la technique de traitement du grand bassin et de la prostate utiliséedansleur centre de
traitement. Dans un premier lieu, ils vont développer sur les raisons pour lesquelles un patient se retrouve traité pour
les ganglions du bassin pour un cancer de la prostate, car cette approche est encore quelque peu controversée. Ensuite,
les raisons pour lesquelles la grande majorité de des patients se retrouve à avoir des grains d’or au niveau de la prostate.
Ils présenteront les résultats de récentes études faites sur leur département. Ces dernières analysent l’impact de différentes manipulations faites au patient qui peuvent provoquer une différence dans le positionnement de l’anatomie
interne de la région du bassin entre le secteur planification et le secteur traitement. Par exemple, les demandes de
protocole d’eau visant à remplir la vessie, le lavement rectal lors de la planification et la mise en place d’une urétrographie sont tous des facteurs qui peuvent influencés la position des organes internes. Ainsi, avec cette étude ils visent à
analyser si ces facteurs avaient une influence réelle ou négligeable sur la reproductibilité de la position de la prostate
par rapport à celle du reste du bassin de jour en jour.
11:00-11:30
• Expliquer la technique de grand bassin avec prostate grains d’or.
• Analyser les variables pouvant influencer le positionnement de la prostate.
• Évaluer les certaines variables contrôlables (Urétro, fleet, vessie).
11:30-12:00
Radioprotection appliquée : 2 cas présentés, Gilbert Gagnon
FR
516 a/b/c
L’utilisation du rayonnement ionisant est sans cesse grandissante dans les procédures diagnostiques et malgré l’évolution technologique et les performances des nouveaux appareils, le recours aux rayonnements ionisants à des fins
diagnostiques est devenu la principale source d’irradiation tant sur le plan individuel que collectif. On peut diminuer
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42
les risques de l’irradiation pour le patient en optimisant et en révisant régulièrement les protocoles d’examens utilisés,
mais aussi en favorisant des méthodes de radioprotection appliquées. Comme vous pourrez le constater lors de cette
présentation, l’utilisation d’une DFR appropriée et le fait de faire vider la vessie avant une irradiation de la région pelvienne contribuent à diminuer la dose au patient de façon appréciable. En demeurant à l’affût des nouvelles techniques
et des nouvelles technologies, les technologues en imagerie médicale seront en mesure d’en faire bénéficier aux patients.
• Définir l’influence de la DFR sur la dose à la peau du patient.
• Évaluer l’utilité de vider la vessie avant un examen de la région pelvienne avec RX.
• Énumérer les choix appropriés de radioprotection pour le patient.
12:00-1:30
Lunch in the Exhibit hall /Diner dans la salle d’exposition
12:15-13:15
Room/ Salle 521a/b
CAMRT Foundation Annual General Meeting
Welch Memorial Lecture, Richard Lloyd Vey
ENG
516 a/b/c
Canadian Armed Forces (CAF) medical radiation technologists (MRad Techs) have been involved in operations in a
multitude of locations abroad for over 20 years including the Gulf War, Bosnia, Pakistan, Afghanistan and Haiti. They
work within CAF Health Services Clinics as well as civilian hospitals to maintain operational readiness so they can be
called upon to deploy and deliver service to patients that is second to none under conditions that are often less than
optimal. This session will inform participants about the roles and responsibilities of the MRad Tech Occupation Advisor;
the organization of the CAF MRad Tech Occupation and what their roles and responsibilities are; who the MRad Tech DI
Team is comprised of in detail and their accomplishments and provide the presenter’s insight on leadership within the
MRad Tech Occupation and CAF based on his experiences.
• Describe the Canadian Forces Health Services as it applies to the Medical Radiation Technologist occupation.
• Define the role and locations of medical radiation technologists throughout the Canadian Armed Forces.
• Identify leadership principles utilized within the CAF and consider some observations made by the speaker.
13:30-14:30
20 ans de formation en Afrique, Philippe Gerson
FR
517
Depuis 20 ans j’ai pu aller dans plus de 10 pays d Afrique pour enseigner et promouvoir la profession de technologue.
Cette présentation veut montrer comment il a été possible de mettre en place des formations puis un reseau de contcats grace à l’ISRRT et l AFPPE. Par ailleurs, j’ai pu exercer pour la croix rouge francaise à titre d ‘expert en radiologie
pour la mise en place de petits centres dédies au dépistage et au traitement du SIDA. Ces 20 années ont été ponctuées
de situations et “d’anecdotes radiologiques “ bien amusantes. Ma passion pour l ‘Afrique m’ a également mené à mettre
en place une association humanitaire “agir aujour dhui pour demain “ qui évolue dans le domaine de l ‘éducation et de
la santé .
• Décrire la situation de la radiologie en afrique depuis 20 ans.
• Reconnaitre la formation des technologues en Afrique.
• Discuter la prise encharge du SIDA du cote radiologique en Afrique.
13:30-15:00
ENG
520 b/e
13:30
Imaging and Intervention in Acute Stroke
13:30-14:30
CT imaging in acute stroke, Dr. Morgan Willson
Overview of CT in the assessment of acute stroke from basic assessment of ischemic changes to advanced techniques
including CT angiography and CT perfusion.
• Interpret CT scans in the setting of early ischemia using the ASPECTS scoring system.
• Integrate the assessment of collateral flow on CT angiogram into their practice.
• Differentiate between tissue at risk and infarct core using CT perfusion.
14:00
MR imaging in acute stroke, Dr. Viesha Ciura
MRI has proven to be an invaluable tool in the assessment and triage of acute stroke patients. DWI sequences in particular, in addition to more advanced MRI techniques have contributed greatly to the diagnosis of acute stroke, and aid in
determining which patients are candidates for established and emerging endovascular treatment options.
• Assess the utility of MRI in acute stroke.
• Identify which acute stroke patients are most likely to benefit from MRI.
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14:30
Putting it all together: treatment planning in acute stroke, Dr. Muneer Eesa
The session is intended to amalgamate the clinical and imaging evaluation of potential candidates for endovascular
acute ischemic stroke therapy, with focus on meticulous patient selection, rapid workflow processes and recent technical advancements.
• Integrate the information from the pre-procedural imaging evaluation.
• Interpret the current evidence behind endovascular stroke therapy.
13:30-15:00
ENG
520 a/d
13:30
Body Imaging: Focus Session on Pelvis MRI
MRI staging of uterine carcinoma: what the clinician needs to know, Dr. Caroline Reinhold
• Identify the pertinent imaging findings when staging patients with endometrial and cervical carcinoma.
• Assess the impact of specific imaging findings on the surgical management.
14:00
Multi-parametric MRI of the prostate, Dr. Silvia Chang
This presentation will review the common indications for prostate MRI and the optimal protocol for each indication. This
will also include the use of endorectal coil vs. pelvic phased array coil at 1.5 T and 3T. The multi-parametric sequences:
T2, DWI, spectroscopy and dynamic contrast enhancement will be discussed including minimal and optimalimaging
requirements. An approach to interpreting the sequences will be provided with examples of appearances of tumours
in the peripheral zone and transition zone. The structured reporting system (PI-RADS) will also be presented.
• Optimize the technique for MR imaging of the prostate.
• Develop an approach to interpreting multi-parametric MRI of the prostate.
• Recognize the appearances of prostate cancer with reference to the PI-RADS scoring system.
14:30
MRI in rectal cancer, Dr. Kartik Jhaveri
This session will review and critique the role of MRI in the staging of rectal cancer and implications for pre-operative
management. There will be a brief discussion around how MRI has become established as the imaging modality of
choice over others in the local evaluation of rectal cancer. There will also be emphasis on designing and implementation an optimal MRI protocol for evaluation of rectal cancer.
The prognosis of patients with endometrial carcinoma depends on a number of factors, including the stage at initial
presentation and the tumour histology. The depth of myometrial invasion, cervical stromal invasion and nodal status
all contribute to the 5-year survival. Prognostic factors with respect to tumour histology include tumour grade, cell
type and the presence or absence of lymphovascular space invasion. Information about tumour grade and cell type
are typically available at the time of D&C, but there is frequent discordance with the final surgical pathology as only a
small portion of the tumour is sampled at D&C. Lymphovascular space invasion is the single best predictor for nodal
involvement, but this information is only available after the fact, at the time of final surgical pathology. Our role as imagers is to establish the local disease extent. MR imaging can accurately depict the depth of myometrial invasion, which
correlates with lymph node metastases and overall patient survival. MR imaging has an important role in the staging of
cervical carcinoma and triaging patients into surgical or nonsurgical management. Patients with bulky tumours (cut-off
4 cm) irrespective of the stage, and patients with tumours involving the parametrium or beyond, will undergo chemoradiation therapy rather than primary surgical resection. MRI imaging is the optimal modality for following patients
post-radiation therapy to assess disease response.
• Review optimal rectal MRI protocol.
• Compare roles of MRI vs other imaging modalities in rectal cancer staging.
• Discuss role of MR imaging in preoperative staging and treatment stratification.
13:30-15:00
Radiologist in Training Contest – Part 2
ENG
519
Moderator / Modérateur: Dr. Bruno Morin
Judges/ Juges: Dr. Marco Essig, Dr. Marc Levental, Dr. Patrick McLaughlin
Les abrégés seront présents oralement. Veuillez consulter la section des résumés d’expositions, à la page 91, pour en faire la
lecture complète.
13:30
RT001
Comparison of PI-RADS Version 2.0 and 1.0 Classification of Lesions Detected on Prostate mpMRI with Pathologic
Correlation – Emily Pang
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RT010
MRI Scoring of Lumbar Central Canal Stenosis: Comparison of a Novel 3D-Space at 1.5t with Routine 2D MRI , Mihir
Katlariwala
13:50
RT015
The Effectiveness of Learning Anatomy and Medical Imaging Using the Anatomage Table Compared with Prosections, Ian Chan
14:00
RT012
Estimation of the Extent of, and Factors Influencing, Diagnostic Neuroimaging Delay in Adult Ontario Patients Presenting with Symptoms Suggestive of Acute Ischemic Stroke, Kirsteen Burton
14:10
RT013
Image-Guided Percutaneous Needle Biopsy of Colorectal Cancer Liver Metastases in Personalized Medicine: Evaluation of Standard Operating Procedures to Optimize Biospecimen Quality for Genomics Analysis. A Part of the
Q-CROC-01 Project, Cyrille Naim
14:20
RT014
Isolated Diffusion Restriction (IDR) in GBM as Prognostic Imaging Marker, Adil Bata
14:30
RT011
Can Soft Tissue Structures Differentiate Between Hips with Dysplasia, CAM-FAI and Isolated Labral Tear?, Anne Le
Bouthillier
13:30-15:00
FR
SCFR - Remise de Prix de Prestige-Conférence : Léglius-Gagnier
520 c/f
Apprivoiser les forces du stress, Dr Serge Marquis
Nos vies se sont complètement transformées au cours des dernières décennies et les transformations se poursuivent
à un rythme de plus en plus accéléré. Des bouleversements sociaux majeurs ont favorisé une multiplication des demandes auxquelles nous devons faire face. Nous sommes confrontés à des transformations sans précédent au niveau
du travail, de la famille, des loisirs, des relations avec les enfants, etc. De nouveaux concepts ont bousculé nos valeurs,
notre culture et nos rapports aux autres. Des changements non désirés nous sont constamment imposés. Une accélération phénoménale des rythmes de production a créé une sollicitation jamais vue dans l’histoire de l’humanité.
L’excellence, la performance et la réussite à tout prix orientent maintenant la manière dont nos quotidiens sont organisés. Le rapport au temps s’est totalement modifié. La réaction de stress n’en finit plus d’être déclenchée. Pouvons-nous,
quelque part, nous protéger, assurer notre équilibre et retrouver l’autre? Avons-nous à notre disposition, au cœur de
nous-mêmes, les moyens de reprendre du pouvoir sur notre vie? Apprivoiser ce stress qui peut nous rendre malades?
Sommes-nous en mesure de redécouvrir, au quotidien, l’essentiel?
• Saisir l’importance de reconnaître et d’apprivoiser leurs limites.
• Reconnaître la nécessité d’établir un équilibre constant entre “agir” et “lâcher prise.”
• Établir ou de maintenir l’équilibre entre le travail et la vie professionnelle.
14:15-15:00
À la une de l’Ordre! Danielle Boué & Alain Cromp
FR
517 a
Retour sur les activités de l’Ordre en cette période de changement et d’adaptation. Cette présentation permettra aussi
d’éclaircir et informer les membres de l’OTIMROEPMQ sur les orientations et les défis pour les prochaines années.
• Démontrer une connaissance plus approfondie des activités de l’Ordre pour la période de 2014-2015.
• Reconnaitre les orientations de l’OTIMROEPMQ en lien avec ses différents enjeux.
14:30-15:00
516 a/b/c
13:40
CAMRT Competitive Awards Ceremony
15:00-15:30
15:30-16:30
SI
Social media and the digital professional / Les médias sociaux et le professionnel numérique, Dr Gerard
Farrell
517 a
It is difficult to avoid using social media in our digital lives, but there’s additional risk for the busy health professional.
This session will explore the landscape to find a way to be social and professional online.
À l’ère du numérique, les médias sociaux sont difficiles à éviter, mais ils posent un risque supplémentaire pour le professionnel
de la santé à l’horaire chargé. Durant cette présentation, nous présenterons des moyens d’assurer une présence sociale et
professionnelle sur la toile.
Q & A/Q et R (mins)
simultanée
45
• List the risks and benefits of using social media / Énumérer les risques et les avantages des médias sociaux.
• Determine the use of social media effectively as a healthcare professional / Établir une manière pour le professionnel
de la santé d’exploiter les médias sociaux efficacement.
19:00
Cirque Éloize: A Night at the Circus
Q & A/Q et R (mins)
46
[ Saturday May 30, 2015 / le samedi 30 mai 2015]
7:30-8:30
519 b/e
The Canadian Association of Radiologists Contest Award Ceremony
8:30-9:15
Breast MRI, Dre Nathalie Duchesne
ENG
512 a/b
Breast MRI has evolved tremendously during the past decade. The improvement of the quality of images has broadened many paths which will be discussed during the presentation. The indications for breast MRI are becoming clearer,
including its role in high risk patient screening, neo-adjuvant therapy monitoring and detection of unknown primary
cancer. The pre-operative role of MRI remains controversial but some sub-groups of cancer patients have been identified that are likely to benefit this pre-operative assessment more than others. New types of sequences, including
diffusion and spectroscopy, might be promising in increasing the specificity of MRI findings. Finally, MR intervention
is also evolving, moving towards a less operator-dependant procedures and thus providing access for more patients.
• Review the indications for breast MRI in 2015.
• List the new technological approaches for breast MRI.
• Describe the technology used in breast biopsies and its role in the investigation.
High kVp-low mAs: examining perceived aesthetic and diagnostic quality of dose optimized pelvis, chest, skull,
and hand phantom direct digital radiographs, Elizabeth Lorusso
516 d/e
This presentation is motivated by the Canadian Association for Medical Radiation Technologists’ best practice guideline
of keeping radiation exposure to patients “as low as reasonably achievable” (ALARA). This presentation shares the results
of a research study that investigated the utility of the dose optimization strategy of increased tube voltage (kVp) and
decreased tube current-exposure time product (mAs) (or high kVp-low mAs) by examining practitioners’ assessments
of perceived aesthetic and diagnostic quality of direct digital radiographs acquired using this strategy. Ninety-one
practitioners (radiologists, radiology residents, radiographers, and radiography students) from 8 clinical sites in Ontario
examined three types of radiographs (‘standard’ image, +20 kVp image, +30 kVp image) for anthropomorphic pelvis,
chest, skull, and hand phantoms and rated (on a five-point scale) each image in regards to its: (a) perceived aesthetic
quality; (b) perceived diagnostic quality; and (c) visualization of anatomical structures. The findings raise interesting
questions about: (a) the relationship and possible conflation of aesthetic and diagnostic quality and the ensuing implications for ALARA adherence; (b) differences between radiologists’ ratings and radiographers’ ratings of aesthetic and
diagnostic quality; (c) the strengths and limitations of this dose optimization strategy for particular anatomical areas;
and (d) the implications of the observed phenomenon of diminishing returns in dose savings at higher tube voltages.
Based upon these findings, suggestions for future research and practice regarding this dose optimization strategy are
offered. Following the presentation, session participants are invited to ask questions and engage in discussion about
this important topic.
• Discuss the dose optimization strategy of increased tube voltage and decreased tube current-exposure time product.
• Discuss both perceived aesthetic quality and perceived diagnostic quality of radiographs acquired with different
techniques.
8:30-9:15
Interventional nuclear medicine, Geoffrey Currie
ENG
524 b
This presentation will examine the current and emerging roles of interventional nuclear medicine. The pharmacological foundations will be explored to provide a foundation for understanding, decision making and problem solving.
• Describe the role and application of interventions in nuclear medicine.
• Explain the pharmacological foundations of interventions and apply that knowledge to decision making.
8:30-9:15
Nationwide error reporting system, Brian Liszewski
ENG
514
Incident learning systems improve patient safety and drive continuous quality improvement. A reproducible method
of classifying events and severity that addresses the full spectrum of incidents and resulting patient risk is an essential
element of any incident reporting system. The Canadian Partnership for Quality in Radiotherapy (CPQR) is working with
the Canadian Institute for Health Information (CIHI) to develop a national incident reporting system for radiation treatment (NSIR-RT). A multi-phase study was used to establish consensus on a taxonomy and severity classification and
to validate its application using simulated incident scenarios. The validation of the taxonomy has demonstrated that it
to be a comprehensive set of incident classifiers adaptable to a variety of incident scenarios and the skill-set of those
completing the classification. This session will provide attendees with an overview of the taxonomy development; and
content and application using simulated incident scenarios. It will offer participants an understanding of the NSIR-RT
system; its integration into local cancer programs; concepts of confidentiality; and the benefits associated to adopting
the system.
SATURDAY MAY 30, 2015 / LE SAMEDI 30 MAI 2015
8:30-9:15
ENG
• Describe the consensus-based process used to develop the national incident classification taxonomy.
• Explain the NSIR-RT taxonomy and its application.
• Summarize the NSIR-RT system and its integration into cancer programs.
Q & A/Q et R (mins)
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8:30-9:00
Classes d’enseignement sein et prostate en radio-oncologie, Josée Soucy & Nicole Sabourin
FR
515 b/c
Le but de la présentation est d’exposer comment nous en sommes arrivées, en équipe, à présenter des classes d’enseignement à notre clientèle sein et prostate. Les classes sont divisées en différentes parties. La première partie est
consacrée à la planification des traitements (ex.: moulage, scan, et autres préparations), et au déroulement du traitement lui-même, photos, graphiques et vidéo à l’appui. La seconde partie est consacrée aux effets secondaires des
traitements, prévention et conseils donnés aux patients. La troisième partie est consacrée à des informations générales
telles que le volet psychologique (prendre soin de soi physiquement et psychologiquement, programme belle et bien
dans sa peau, ateliers offerts aux patients), le volet social (aide financière, transport, CLSC, société canadienne du cancer). En conclusion, nous vous parlerons de l’évaluation de nos classes faites par les patients.
• Évaluer les besoins de leur service, afin d’offrir aux patients des informations rassurantes.
• Déterminer et d’organiser des classes d’enseignement adaptées à différentes pathologies.
L’approche multidisciplinaire dans la prise en charge du cancer thyroïdien différencié sous thyrotropine alfa injectable, Émilie David & Esther Hilaire
524 c
L’incidence des néoplasies thyroïdiens est en constante croissance au Canada. Au cours des dix dernières années, le
nombre de cas de ce type de cancer a augmenté de 144 % (Santé Canada 2014). La détection, le traitement et le suivi
de cette pathologie requièrent une coopération entre différents secteurs: l’imagerie médicale, la pathologie, la chirurgie, les soins infirmiers et la biochimie. Le secteur de la médecine nucléaire joue un rôle prépondérant dans la prise en
charge des cancers thyroïdiens différenciés, grâce à l’utilisation de l’iode radioactif et de la thyrotropine alfa injectable.
Les patients doivent suivre certaines instructions spécifiques pour maximiser les chances de succès de la procédure.
Des mesures de radioprotection sont requises pour les patients, leur entourage et le personnel soignant. Cette conférence intégrera les plus récentes données épidémiologiques sur ce type de cancer, la physiologie thyroïdienne, la
biodistribution de l’iode et de la TSH recombinante, divers cas cliniques, ainsi que des données prospectives sur la
question.
• Décrire l’approche multidisciplinaire dans la détection, le traitement et le suivi des néoplasies thyroïdiens différenciés.
• Décrire la physiologie thyroïdienne, la biodistribution de l’iode radioactive et les bases de radioprotection associées.
• Décrire la biodistribution et le mode d’utilisation de la thyrotropine alfa injectable.
8:30-9:30
Capsule PICC line, syndrome de May Thurner, embolisation hémorragie digestive, Dr. Mikael Mongeon
516 a/b/c
La session portera sur 3 sujets distincts reliés à l’angioradiologie, incluant des exemples de cas, l’anatomie pertinente,
la pathophysiologie et les traitements associés. Le premier sujet consiste à familiariser les participants à quelques différentes situations pouvant survenir lors de l’installation de PICC Line en présence de variantes anatomiques veineuses centrales. Le deuxième sujet se veut une introduction à une pathologie méconnue, le syndrome de May Thurner qui consiste en une compression extrinsèque de la veine iliaque commune gauche par l’artère iliaque commune
droite. Quoique fréquente et souvent asymptomatique, cette compression extrinsèque peut être associée à son lot
de conséquences. Affectant principalement de jeunes adultes, ce type de compression peut entraîner une thrombophlébite aiguë à point de départ iliaque commun gauche, dont le traitement conservateur par anticoagulothérapie
démontre un risque d’échec accru étant donné des remaniements chroniques endovasculaires préexistants. Les implications à long terme incluent un syndrome post-phlébitique débilitant et des risques accrus de récidive de pathologie
thromboembolique. Le dernier sujet portera sur les grandes lignes de l’embolisation d’hémostase dans le traitement
de l’hémorragie digestive selon sa localisation haute ou basse, l’embolisation empirique dans l’hémorragie haute et
l’embolisation hypersélective obligatoire dans l’hémorragie digestive basse.
8:30-9:30
FR
• Discuter de l’anatomie du réseau veineux central et des variantes les plus fréquentes.
• Expliquer la pathophysiologie du syndrome de May Thurner et les objectifs d’un traitement précoce.
• Expliquer les principales différences entre l’embolisation d’hémostase d’une hémorragie digestive haute versus
basse.
8:30-9:30
Pseudos crises vs crises épileptiques, Mathieu Gagné
FR
524 a
Ma présentation aura pour but de vous faire mieux comprendre les crises psychogéniques non convulsives, plus communément appelé pseudo crises. Vous apprendrez pourquoi certaines personnes souffrent de ce type de crises. La
psychopathologie et la neurophysiopatholie entourant ce type de problème. Comment faire pour suspecter que notre
patient souffre de pseudo crises. Savoir identifier ce qui caractérise les pseudo crises et ainsi pouvoir mieux les différencier des crises épileptiques. Quelle devrait être la prise en charge des patients avec ce type de problème. Je terminerai
en montrant des exemples de patient en pseudo crise.
• Discuter la nature des pseudo crises.
• Différencier les crises épileptiques des pseudo crises.
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48
8:30 – 10:00
ENG
520 b/e
8:30
Approach to MSK
MSK: key points in MRI of the upper extremity, Dr. Darra Murphy
This presentation will be an overview of key imaging findings when performing MRI of the upper limb. As opposed to
being a comprehnsive overview which would be impossible given the time limitations, we will cover two to three main
point in each of the shoulder, elbow and wrist.
• Review key points in MRI anatomy, imaging and pathologic findings in the shoulder.
• Review key points in MRI anatomy, imaging and pathologic findings in the elbow.
• Review key points in MRI anatomy, imaging and pathologic findings in the wrist.
9:00
MSK: key points in MRI of the lower extremity, Dr. Bruce Forster
• Review anatomy relevant to important clinical diagnoses of the lower extremity.
• Determine the importance of MR sequence selection in optimizing diagnostic yield.
• Gauge the clinical ramifications of selected lower extremity sports injuries.
9:30
MSK: key points in differentiating benign from malignant vertebral fractures (nuc med vs. MRI), Dr. Gina Di Primio
& Sian Ïles
This presentation will address the problem of assessing vertebral fractures and determining if they are benign or malignant. It will also address the importance of benign vertebral fractures in predicting future fragility fracture risk.
• Recognize the role of nuclear medicine in differentiating benign from malignant vertebral body fractures.
• Evaluate the importance of benign vertebral fractures in assessing future fragility fracture risk.
• Describe two classification systems for benign vertebral fractures.
8:30 – 10:00
ENG
520 a/d
8:30
.
Bowel Imaging: State of the Art
The role of ultrasound in the evaluation of inflammatory bowel disease, Dr. Stephanie Wilson
Crohn Disease (CD) is a chronic inflammatory condition of the bowel characterized by a remitting course and young
age at onset. The necessity of frequent monitoring of the disease has made the selection of cross-sectional imaging
popular. US is a safe, inexpensive and readily available modality which is shown in meta analysis to be equivalent to CT
and MR for assessing disease extent and activity and for prediction of complications. Further, US is free of ionizing radiation, important in the young population affected here. Wall thickness is an objective measure of inflammation with a
threshold of 3 mm above which abnormality is suspected. Increasing thickness is associated with increasing inflammatory change. More subjective changes of inflammatory fat and blood flow on color Doppler imaging are also utilized as
neoangiogenesis of the bowel wall is a recognized component of inflammation. Contrast enhanced ultrasound (CEUS)
is a newer method which assesses the blood flow at the perfusion level within the bowel wall, providing more granularity to the assessment of disease activity. Complications are common, often necessitating surgical intervention. Fibrosetenosis with stricture and associated mechanical bowel obstruction is frequent as are penetrating episodes leading
to microperforation and fistulae. The aim of therapy is mucosal healing on endoscopy and endoscopy remains the gold
standard for monitoring disease in those with CD. However, it is invasive and not well tolerated by most as a frequently
repeated test. US has many advantages, making it appropriate to monitor the disease and therapeutic response.
MR of lower extremity sports injuries requires an appreciation of normal ligamentous, muscular, chondral, and bony
anatomy. Patterns of bone marrow edema can enhance diagnostic accuracy, and knowledge of mechanism of injury
can help the radiologist interpret soft tissue findings. This presentation will focus on several areas of particular interest
in MSK imaging today, including femoral-acetabular impingement, posterolateral corner injury of the knee, and osteochondral lesions of the talar dome.
• Recognize the classic features of Crohn Disease on U/S: wall thickening, inflammatory fat, and adenopathy.
• Recognize the appearance of fibrostenotic and penetrating complications of Crohn Disease on US.
• Associate the relationship of excess blood flow to inflammation as shown on Doppler and CEUS.
9:00
Bowel CT, Dr. Iain Kirkpatrick
In the last decade, several new CT techniques have been developed to allow for the more accurate diagnosis of small
bowel pathology, placing CT at the forefront of small bowel imaging. This session will cover a variety of cutting-edge
techniques for CT imaging of the small bowel, including biphasic CT for mesenteric ischemia, multiphasic CT for acute
gastrointestinal bleeding, and CT enterography. The literature supporting the use of these techniques will be reviewed,
Q & A/Q et R (mins)
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and the benefits and drawbacks of different oral contrast agents used for small bowel CT will be highlighted. The presentation will touch on some of the logistical issues a radiologist in Canada might face in implementing these protocols
and offer advice on how to overcome them. CT findings in various diseases of the small bowel seen with these techniques will be shown, with a focus on small bowel ischemia, acute gastrointestinal hemorrhage, tumours of the small
bowel, and inflammatory bowel disease.
• Describe several different CT protocols used to image the bowel and their supportive evidence.
• Discuss the benefits of and drawbacks of various oral contrast agents used in CT.
• Identify CT findings of small bowel ischemia, acute hemorrhage, tumours, and inflammatory bowel disease.
9:30
Bowel MRI, Dr. Tanya Chawla
• Identify the technical parameters required to perform bowel MRI.
• Recognize the range of applications where bowel MRI may be utilized.
• Recognize the concepts of MRI based scoring systems in assessment of IBD.
8:30-12:00
FR
520 c/f
8:30
Imagerie du Sein
Corrélation radio-patho, Dre Mona El Khoury
La corrélation des trouvailles histologiques aux caractéristiques radiologiques après biopsie percutanée d’une anomalie du sein est une condition essentielle pour une prise en charge optimale des patientes. Le résultat pathologique
devrait refléter les caractéristiques radiologiques et en rendre compte, sinon il y a discordance ou sous échantillonnage. Ceci nécessite alors une rébiopsie ou une biopsie chirurgicale. Une attention particulière sera accordée aux caractéristiques radiologiques des lésions à haut risque et des sous-groupes de cancer en se basant sur la classification
moléculaire. Cette présentation a pour but essentiel de souligner le rôle essentiel du couple radiologue -pathologiste
dans la prise en charge des patientes ayant eu une biopsie guidée par l’imagerie.
• Reconnaitre le spectre des lésions mammaires notamment celles à haut risque.
• Interpréter le compte-rendu du pathologiste suite à une biopsie.
• Intégrer le processus de corrélation radio-pathologique au quotidien pour une prise en charge optimale.
9:00
Dépistage du cancer du sein par mammographie : où en sommes-nous? Isabelle Théberge
Quelques récentes recommandations du Groupe d’étude canadien sur les soins de santé préventifs (Taskforce), d’un
panel indépendant du Royaume-Uni et du « Medical Board » de la Suisse seront d’abord présentées. Par la suite, le Programme Québécois de Dépistage du Cancer du Sein (PQDCS) sera décrit brièvement. Les données provenant de l’évaluation du PQDCS seront utilisées pour discuter de l’avantage ultime d’un programme de dépistage, soit la réduction
de mortalité par cancer du sein. Les inconvénients d’un programme de dépistage, en termes de résultats faussement
positifs à la mammographie et de biopsies bénignes, seront également abordés. La quantification des avantages et
inconvénient à l’aide d’une simulation sera aussi présenté. Finalement, les travaux liés à l’assurance-qualité du programme seront mentionnés.
MRI is recognized as being an increasingly robust technique for assessment of the bowel in a wide range of clinical
conditions. Advances in MRI techniques have led to innovations in the structural and functional analysis of bowel disease. The absence of ionizing radiation is increasingly important when the patient population involved is young and
requires repeated imaging. In the setting of IBD, MRI provides a gold standard that is reproducible and shows strong
correlation with clinical indices and endoscopic scoring systems. The utility of MRI scoring will also be discussed as will
a representative range of the applications of bowel MRI.
• Mettre en application les récentes recommandations proposées par des comités d’experts indépendants concernant
l’utilisation de la mammographie.
• Décrire les avantages et inconvénients de la mammographie de dépistage dans un contexte québécois.
• Distinguer certaines pistes d’amélioration liées à l’assurance-qualité du programme de dépistage.
9:30
Transition analogique-numérique, Dr Benoit Mesurolle
Cette présentation va revoir les enjeux associés à cette évolution, qu’il s’agisse des changements dans les méthodes de
travail, la lecture, les conséquences attendues dans notre pratique, et des ajustements dont nous -individus ou structures- devons faire preuve.
• Reconnaitre les implications du passage à la mammographie numérique dans la réalisation des examens.
• Discuter les changements attendus dans l’aspect et l’identification des différentes anomalies.
• Identifier les outils utilisables dans la lecture de mammographie numérique et leurs performances.
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10:30
La tomosynthèse changera-t-elle la donne?, Dre Francesca Proulx
• Exposé de la technique de tomosynthèse.
• Examen des principaux articles portant sur la tomosynthèse.
• Reconnaissance des avantages et des limites de la tomosynthèse.
11:00
Corrélation entre les indices de performance du PQDCS et le positionnement, Dr Michel Pierre Dufresne
La majorité des Centres CDD et CRID effectuent des mammographies avec des appareils dédiés numériques, principalement des CR (Fudji) et quelques DR. Le virage technologique n’a pas affecté le taux de détection du cancer du sein,
mais a provoqué une augmentation substantielle du taux de référence. Cela implique beaucoup plus d’anxiété pour les
femmes qui participent au Programme de dépistage du cancer du sein et un coût non négligeable pour obtenir le diagnostic d’un cancer. Pour les techniciennes, il y a des normes de base à obtenir au Québec pour pouvoir effectuer des
mammographies dont 7 heures de cours pratique sur le positionnement. Je ferai un parallèle avec les autres provinces.
• Reconnaître les critères essentiels pour obtenir l’accréditation de la PAM.
• Reconnaître le travail des techniciennes à la réalisation des mammographies.
11:30
Nouvelle classification BI-RADS, Dre Valérie Blouin & Dr Romuald Ferré
En imagerie mammaire, il existe un lexique standardisé utilisé dans le monde entier et développé par l’American College of Radiology (ACR) pour les différents examens d’imagerie sénologique (mammographie, échographie et IRM
mammaires]). Il s’agit du Breast Imaging Reporting and Data System (BIRADS). Sur ce lexique est basée une classification diagnostique en 7 niveaux (BIRADS 0 à BIRADS 6), qui donne à l’imagerie une place centrale dans la stratégie
diagnostique et permet d’uniformiser nos rapports radiologiques. Cette présentation insistera, à travers une série de
cas pratiques et didactiques, sur les changements apportés dans la plus récente édition des BIRADS parue en 2013, tant
au niveau diagnostique que de la prise en charge de la patiente.
• Reconnaître et appliquer les changements apportés à la dernière édition BI-RADS en mammographie.
• Interpréter et appliquer les changements apportés à la dernière édition BI-RADS en échographie mammaire.
• Reconnaître et appliquer les changements apportés à la dernière édition BI-RADS en IRM mammaire.
9:00-9:30
La gestion des risques en interdisciplinarité en radiothérapie, Lucie Brouard
FR
515 b/c
Le département de radio-oncologie du CHU de Québec a été précurseur dans la gestion des risques depuis déjà de
nombreuses années. D’abord à cause de l’utilisation de la radiation et ensuite par obligation afin de se conformer à la
Loi sur les services de santé et les services sociaux (LSSSS) qui en 2002 a obligé les établissements de santé à déclarer
les incidents et les accidents. Le CHU de Québec a donc adapté sa façon de faire la gestion des risques au sein du département. Cette présentation a pour objectif de partager l’expérience de Mme Brouard aucours des 15 dernières années
en gestion des risques en radiothérapie au CHU de Québec. Elle fera d’abord l’historique de la gestion des risques dans
leur département et expliquerai les défis que représente l’implantation d’une culture de la gestion des risques pour une
équipe. La gestion des erreurs ainsi que la rédaction des rapports d’accident et d’incident seront expliquées en incluant
des exemples. L’implantation d’un comité de gestion de la prévention et de la gestion des rapports d’accident et d’incident ainsi que le mandat et les membres de ce comité seront présentés. Finalement, elle vous présenteradifférents
résultats qu’aura eus cette implantation dans leur milieu.
Si la mammographie classique ne permet d’obtenir qu’une seule image du sein, la tomosynthèse numérique est une
technique d’imagerie tridimensionnelle qui permet au radiologiste d’examiner des coupes détaillées du sein. La tomosynthèse pourrait être un moyen de faire reculer les limites de la mammographie numérique classique imputables au
chevauchement de couches de tissu mammaire qui peuvent produire des artéfacts suspects sur les projections bidimensionnelles (2D) standard. D’après des données récentes, la tomosynthèse numérique du sein offre la possibilité de
réduire la fréquence de rappel des patientes pour mener des examens supplémentaires et d’améliorer le dépistage du
cancer. Malgré qu’il soit prometteur, le rôle de la tomosynthèse numérique du sein n’est pas fermement établi à cause
de certaines limites. À l’heure actuelle, quand le dépistage par tomosynthèse est effectué, la réalisation simultanée
d’une mammographie 2D classique est recommandée et la patiente est alors exposée à une dose de rayonnement un
peu plus élevée. Pour corriger ce problème, on a conçu de nouvelles techniques afin de produire un mammogramme
planaire de synthèse à partir des données tomosynthétiques. Ces techniques rendent la mammographie classique inutile, mais elles sont coûteuses et tous les centres n’y ont pas accès. De plus, l’ajout de données tomosynthétiques complémentaires aux données mammographiques alourdit le travail d’interprétation du radiologiste. Enfin, des anomalies
suspectes dépistées par tomosynthèse sont parfois invisibles sur les mammogrammes classiques, les échogrammes ou
les images obtenues par résonance magnétique. Par ailleurs, la non-compatibilité des systèmes de tomosynthèse et
des dispositifs de biopsie existants pose un problème relativement rare, mais bien réel. Si la tomosynthèse numérique
du sein est une technique prometteuse, on ne sait pas encore si elle remplacera la mammographie 2D classique dans
le dépistage systématique ou la résolution de problèmes.
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• Décrire le processus de gestion des risques d’un département de radio-oncologie en interdisciplinarité.
• Discuter les défis liés à l’implantation d’une culture de gestion de risque en radiothérapie.
• Reconnaître l’importance de l’implication des divers intervenants en gestion des risques.
9:15-10:00
MRI artifacts, Bill Faulkner
ENG
521 a/b
Artifacts in MRI originate from several sources. They include those which occur simply due to the physics associated
with placing a body in a magnetic field. Artifacts can also occur due to the methods used for sampling MR signals and
reconstructing the image. Additionally, artifacts can occur due to equipment malfunction and operator error. This presentation will cover the major artifacts commonly encountered in MRI. It will include a description of the source of the
artifacts as well as a discussion of methods for eliminating, minimizing or managing the artifacts.
• Recognize the major artifacts normally encountered in MRI.
• Review the methods for managing or eliminating MR artifacts.
Clinical integration of students with learning disabilities, Alice Havel & Susie Wileman
ENG
516 d/e
The past two decades have seen an increasing number of students with special needs pursuing post-secondary education. The institutions in which they are enrolled provide these students with reasonable accommodations, not only
because inclusive education is seen as socially responsible, but also because most provinces have very strong human
rights legislation that require educational institutions (including those that provide professional accreditation courses)
to accommodate for the needs of students with disabilities. Does inclusion and full participation in the educational
environment extend to encompass clinical practicums? Can this be accomplished while maintaining professional standards and patient safety? The goal of this workshop is to assist clinical supervisors to recognize traits that may be indicative of students with learning disabilities and related neuro-cognitive disorders, and to share a number of strategies
that have proved effective in working with these students in the college learning environment. We will focus on how to
transfer the strategies to the clinical setting, and demonstrate that their use can enhance the learning experience of all
students in the clinical setting (Universal Design for Learning).
• Identify behavioural traits indicative of a learning disability (LD) and other related neurocognitive disorders.
• Describe strategies that facilitate learning for students with LD in the clinical setting.
• Transfer these strategies to enhance learning for all students in the clinical setting.
9:15-10:00
Peptide imaging and therapy, Geoffrey Currie
ENG
524 b
This presentation will explore the structural and functional foundations of peptides and proteins. This foundation
knowledge will be applied to specific examples in nuclear medicine. A closer examination at the way peptides are radiolabelled (including direct labelling, prosthetic groups and click chemistry for both radiohalogens and radiometals)
will be followed by a protype model.
• Discuss amino acids, peptides, and proteins in medicine.
• Describe the appropriate radiolabeling principles, including radionuclide selection (SPECT, PET, and therapy).
• Describe the radiolabeling methods and apply knowledge to prototype model.
9:15-10:00
Optimizing planning with a PET/CT suite, Dr. Guillaume Bouchard
ENG
514
During the last decade, PET-CT imaging using 18-FDG has emerged as a powerful clinical tool in numerous oncologic
settings and indications, including staging and therapy response assessment. PET-CT technological advances since
the first commercial system in 2001 have been steady and allow more advanced imaging protocols, including better
radiotherapy plannification. While PET-CT technology is mature, routine clinical adoption of PET guided radiotherapy remains a challenge. The important technical aspects to optimize PET-CT radiotherapy planning will be discussed.
Logistic obstacles will be reviewed and the importance of collaborative care demonstrated for the patient’s benefits.
Finally, the specific problem of tumour delineation on PET images and target volume determination will be addressed
to strive for better outcomes with this approach.
9:15-10:00
• Discuss important technical aspects to optimize PET-CT radiotherapy planning.
• Appraise logistical hurdles and obstacles encountered in PET-CT radiotherapy planning.
• Consider collaborative care necessary for optimal PET-CT radiotherapy planning.
9:30-10:00
La pratique professionnelle au goût du jour, Julie Renaud
FR
515 b/c
Une revue de la pratique professionnelle de la radiothérapie a été conduite d’une façon systématique afin d’évaluer
le modèle existant et d’aligner les ressources humaines et les objectifs cliniques et professionnels avec un modèle
développé à l’Hôpital d’Ottawa pour supporter les 12 disciplines ayant une affiliation avec un ordre professionnel.
Cette revue a inclus une présentation de la structure et des rôles existants, une recherche de sujets semblables dans la
littérature, un sondage aux autres hôpitaux académiques employant des technologues en radiothérapie en Ontario,
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une analyse des trouvailles et une formulation des recommandations afin de proposer un nouveau modèle pour mieux
supporter la pratique de radiothérapie. Ces recommandations devaient être conçues sans avoir de répercussions
budgétaires négatives et en gardant en tête l’objectif corporatif de faire partie du top 10% au niveau de la performance
en qualité et sécurité afin de donner des traitements radiothérapie de classe mondiale à chaque patient que l’on doit
traiter. Un rapport final a été créé et approuvé par le conseil exécutif de l’Hôpital d’Ottawa afin de supporter la mise en
place des changements nécessaires. Ce rapport a suggéré de créer un espace dédié à la pratique professionnelle, de
donner un accent spécifique, soit en éducation, recherche ou qualité aux rôles de leadership existants et de supplémenter l’équipe avec des nouveaux rôles pour promouvoir la recherche clinique ainsi que la formation continuelle en
planification de traitement pour préparer les technologues aux prochains changements technologiques.
• Analyser leur modèle de pratique professionnelle d’une façon systématique.
• Recommander des changements pour améliorer le support de la pratique professionnelle.
Retour sur les cas de consoles. La qualité des examens et des diagnostics : les technologues font la différence! Dre
Anne-Marie Landry, Dr Benoît Bourassa-Moreau, Geneviève Daigneault, Jessica Fortin & Carl Bellehumeur
524 c
Cette activité est la deuxième partie de la formation interactive basée sur la discussion et la résolution de problèmes
ayant eu lieu la veille (la qualité des examens et des diagnostics : les technologues font la différence). Pendant cette
session d’une demi-heure, les participants seront invités à répondre à des questions concernant les cas cliniques visualisés sur les consoles informatiques mises à leur disposition pendant le congrès. Ces cas de scintigraphie osseuse, de
scintigraphie myocardique et de TEP-TDM seront revus et résolus avec un complément théorique ciblé. La session est
interactive.
• Mesurer leur habileté à détecter des artéfacts en scintigraphie osseuse, myocardique et en TEP-TDM.
• Évaluer leurs connaissances dans la gestion et la prise en charge de ces artéfacts.
9:30-10:00
FR
Algorithme décisionnel dans la prise en charge des TCC en tomodensitométrie : une analyse de la littérature, Arthur
Anselme Houngnandan
516 a/b/c
La tomodensitométrie est une technologie de l’imagerie médicale la plus utilisée dans le diagnostic des traumatismes
crâniens et demeure un outil très couteux. Par ailleurs des divergences de point de vue résident pour savoir les critères
décisionnels pour décider de la pertinence d’un examen de tomodensitométrie où tous les patients d’office doivent
bénéficier de cet examen. Le recours de plus en plus croissant à cet examen s’explique qu’à défaut d’avoir des critères
préétablis pour orienter le patient, le praticien a la conscience plus tranquille en ordonnant cet examen chez la plupart
des traumatismes crâniens plutôt que d’être obligé de faire un tri ou suivi. Les chercheurs ont essayé d’établir les règles
d’évaluation qui permettent de prédire cet examen. Cet exposé a l’avantage de présenter les trois règles décisionnelles
les plus documentées dans la littérature qui permettent de prédire l’utilité d’un examen de scan cérébral. Le respect
de ces règles cliniques permet d’éviter des scans inutiles (radioprotection et santé publique), d’éviter également une
longue attente aux patients et permettrait de réaliser des économies en santé. Les 3 règles cliniques sont les suivantes:
les règles canadiennes du Dr Stiell de l’Université d’Ottawa-Les règles de la Nouvelle-Orléans-Les règles de Maters.
• Définir les trois règles décisionnelles qui permettent la pertinence d’un scan cérébral post.
• Définir les notions de sensibilité et de spécificité de la tomodensitométrie pour un traumatisme crânien.
• Comparer les notions de radioprotection en fonction de chaque règle décisionnelle.
9:30-10:00
Lire un article scientifique : comprendre les principaux graphiques, tableaux et statistiques, Guy Rousseau
FR
524 a
Pour déterminer si une intervention est efficace ou non, il est important de faire des études dont le design expérimental répond aux questions que l’on se pose. Les hypothèses de recherche, la définition des groupes, notre échantillon,
le nombre de variables que l’on veut étudier, le nombre de participants, les groupes témoins, la récolte des données,
l’analyse de ces variables et les conclusions sont d’autant de points qui sont importants pour réussir une étude. Au
cours de cette présentation, nous verrons ces différents aspects et leur importance pour la réussite d’une étude.
9:30-10:00
FR
• Discuter l’importance de prendre des mesures précises.
• Reconnaître la signification du p < 0.05.
• Déterminer le type d’étude et d’analyse pour une étude réussie.
10:00-10:30
Refreshment and networking break / Pause - Rafraîchissements et réseautage
10:15-12:00
517 a
Assemblée générale annuelle de l’OTIMROEPMQ / OTIMROEPMQ’s Annual General Meeting
10:30-11:15
Prostate MR imaging, Dr. Fanny Maud Pinel-Giroux
ENG
521 a/b
Prostate cancer is the most common cancer among Canadian men and is the 3rd leading cause of death from cancer in
men in Canada. Traditionally, imaging has not been a part of the detection and clinical staging of prostate cancer which
relied on prostate-specific-antigen (PSA) test, digital rectal examination, and transrectal ultrasound (TRUS)-guided
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prostate biopsy. Over the past few years, MR imaging has emerged as the best imaging modality to detect, grade and
stage prostate cancer. The purpose of this presentation is to review the role of MRI in the evaluation of prostate cancer.
We will discuss the normal MR imaging zonal anatomy of the prostate gland and the clinical indications of prostate MRI.
This presentation will also address the role of the different MR techniques, with an emphasis on functional imaging
techniques, in the detection and management of prostate cancer. Case examples will be shown to illustrate the key MR
imaging features of prostate cancer.
• Correlate clinical role of prostate MRI imaging and the MR features of the normal prostate.
• Apply imaging protocols and acquisition techniques to produce high quality prostate MR images.
• Identify the appearance of prostate cancer with multiparametric MR.
The importance of radiographic imaging for deformity correction, Dr. Marie Gdalevitch
ENG
516 d/e
This presentation will address the importance of many specific details necessary to taking appropriate radiographs
for limb lengthening and deformity correction. We will address using blocks to level the pelvis, rotational positioning,
coronal and sagittal positioning and variations used in special cases. During this presentation, examples will be given of
real cases and the necessity for good radiographs will be demonstrated throughout these cases. Finally, specifics with
regards to technical details regarding the full length films will be addressed.
• Practice appropriate positioning of a patient for a full length, weight-bearing radiograph.
• Identify common mistakes in radiographic techniques for LLD.
• Recognize the critical importance of good radiographs for limb lengthening and deformity correction.
10:30-11:00
PET/CT guided biopsy, Rebecca Jessome
ENG
524 b
This presentation begins by outlining the significance of a biopsy and the importance of obtaining accurate staging.
The three current gold standards for image guided biopsies are then discussed and some potential pitfalls for each
modality are recognized. The presentation then moves on to discuss why a PET/CT guided biopsy is different from
other biopsies under conventional imaging. The ‘old’ PET/CT guided biopsy protocol is then compared to the current or
‘updated’ protocol used in research. This presentation also discusses the utility of a PET/CT guided biopsy and outlines
its successes in various primary cancers and metastatic locations. Both the advantages and the disadvantages of a PET/
CT guided biopsy are discussed in this presentation. In October 2014, numerous PET/CT centres across Canada were
contacted and asked about their current practice or seen feasibility with PECT/CT guided biopsy and the results are
presented. This presentation is wrapped up with some interesting case studies and discussion of the role of PET/CT
guided biopsies in patient-centered care.
• Describe the current gold standards of image guided biopsies and understand the pitfalls of each.
• Discuss the protocol of a PET/CT guided biopsy.
• Describe the advantages and disadvantages of PET/CT guided biopsy.
10:30-11:15
Utilization of new management principles in a radiation therapy department, Lori Rowe
ENG
514
The British Columbia Cancer Agency has been utilizing LEAN principles and tools to reduce waste and improve processes in its ambulatory care, pharmacy and radiation therapy departments. Examples of this process work will be shared
to demonstrate the principles. Through examples, the Agency’s and the author’s learning will be demonstrated as both
move toward adopting the LEAN Management System. Experiences with respect to sustaining the gains and supporting ongoing engagement will be shared.
• Identify the basic LEAN principles used for process improvement in healthcare.
• Identify the essential components of a LEAN Management System.
• Recognize the importance of strategy, focus and engagement of staff at all levels.
10:30-12:00
ENG
520 b/e
10:30
10:30-11:15
Mistakes We All Make
Abdominal imaging, Dr. Chirag Patel
This will be a case-based session highlighting common mistakes made by radiologists interpreting MRI, ultrasound and
CT of the abdomen and pelvis. Visual errors and interpretive errors will be discussed.
• Identify common blind spots in abdomen & pelvic ultrasound, CT and MRI (CanMEDS Roles: Scholar).
• Recognize and avoid common misinterpretations in abdominal imaging (CanMEDS Roles: Scholar, Medical Expert).
• Develop personal strategies for avoiding common mistakes (CanMEDS Roles: Scholar, Medical Expert).
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11:00
Pediatric radiology, Dr. Angela Pickles
This is a case-based presentation of mistakes or “misses” made in pediatric radiology. Cases of pediatric pathologies
with typical and atypical appearances that are missed will be discussed. Mistakes that are influenced by external factors
will also be discussed. Several unexpected cases will be presented to demonstrate how unusual some findings can be.
• Identify subtle lesions specific to pediatric radiology.
• Recognize common mistakes we make, including satisfaction of search and the edge of the film.
• Recognize the unexpected and be able to image accordingly for clarification.
11:30
Muskuloskeletal, Dr. Ali Naraghi
• Identify commonly missed findings in musculoskeletal imaging.
• Discuss the potential sources for these errors.
• Develop strategies to minimize mistakes commonly encountered in MSK radiology.
10:30-12:00
ENG
520 a/d
10:30
Head and Neck Imaging
Head and neck cancer: what the surgeon wants to know from the radiologist, Dr. Martin Black
This presentation will focus on the imaging features of head and neck cancer that are critical to the treating surgeon.
We will discuss how cross-sectional imaging affects tumour staging and surgical planning for common head and neck
cancers, and how surgeons and radiologists can collaborate for optimal patient care.
• Explain how cross-sectional imaging assists the head and neck surgeon in treatment planning.
• Describe cross-sectional imaging features that are associated with tumour spread and critical for tumour staging and
surgical planning.
11:00
Applied anatomy and imaging of paranasal sinus inflammation: pre-operative evaluation and post-operative appearance, Dr. Reza Forghani
Sinonasal inflammatory disease is one of the most common ailments afflicting humans. Most frequently, this consists
of self-limited and uncomplicated rhinitis or rhinosinusitis and is typically not imaged. However, a small percentage
(approximately 0.5 to 2%) of cases of viral rhinosinusitis can be complicated by bacterial superinfection. Imaging is
indicated when sinusitis is not responsive to therapy, when a complication is suspected, and for surgical planning. Although plain films may be used for screening, they have been largely replaced by CT and furthermore, CT is required for
surgical planning. CT scan of the paranasal sinuses performed without contrast is the standard used for pre-operative
assessment of the paranasal sinuses. When evaluating CT scans, it is essential that the radiologist be familiar with the
appearance of inflammatory changes and be aware of the potential pitfalls in interpretation and mimics. In addition,
optimal interpretation requires familiarity with the anatomic-functional units within the paranasal sinuses and clinically relevant anatomy used for planning of functional endoscopic sinus surgery (FESS). This lecture will provide an
overview of applied, clinically relevant anatomy of the paranasal sinuses and the appearance of paranasal sinus inflammatory changes on CT. The landmarks important for functional endoscopic surgery planning and anatomic variants
predisposing to complications will be reviewed. Finally, the lecture will provide a brief overview of the post-surgical
appearance of the paranasal sinuses after FESS and potential surgical complications.
As in other radiological subspecialties, errors in musculoskeletal imaging tend to have a recurrent pattern. The error
rates are highly variable depending on the practice setting and definition of an error, and according to historical data,
may be as high as 30%. Causes of such errors can be broadly categorized into those related to detection or interpretation. However, a wide variety of other factors may also be contributory. Particular injuries and pathologies encountered
in musculoskeletal radiology are notorious for being repeatedly overlooked and these will be highlighted. The sources
of such potential mistakes will be discussed with specific references to the musculoskeletal system. The role of utilizing
appropriate imaging techniques in minimizing the risk of missed diagnoses will be addressed.
• Identify the anatomy, drainage pathways, and landmarks important for functional endoscopic surgery planning using CT.
• Recognize the imaging appearance of inflammatory sinus disease and common pitfalls.
• Recognize the typical post-surgical appearance of paranasal sinuses after FESS and potential complications.
11:30
Head and neck imaging in children, Dr. Ravi Bhargava
Palpable neck masses are a common indication for a pediatric imaging referral. The majority of pediatric neck masses
are inflammatory, congenital or vascular in origin. Ultrasound plays a pivotal role in the assessment of neck masses,
and often is the only imaging test required. This talk will focus on the imaging approach to these lesions depicting key
ultrasound findings. The talk will also describe the role of other imaging tests, laboratory investigations, and
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pertinentanatomy and embryology required to make a diagnosis. A case-based approach to the area will illustrate the
common entities of lymphadenits, abscesses, thyroglossal duct cysts, branchial cleft anomalies, fibromatosis colli, ectopic thyroid tissue, cervical thymus’s, neuroblastomas, lymphoma, rhabdomyosarcoma, neurofibromas, hemangiomas,
and vascular malformations.
• Recommend appropriate investigations to diagnose a child with a neck mass.
• Analyze common pediatric neck masses by ultrasound.
• Differentiate pediatric neck masses by imaging findings.
Hepatectomy risk assessment: CT volumetry vs. nuclear medicine, Samantha MacLeod
ENG
524 b
Postoperative liver failure still remains a life threatening issue in partial hepatectomies. Determining future remnant
liver function or volume is crucial for risk assessment of these patients and determining whether hepatectomy is safe.
Currently CT volumetry is the gold standard in determining partial hepatectomy. CT volumetry obtains high resolution diagnostic images and can accurately measure landmarks throughout the liver. However, CT volumetry can only
measure liver volume and not liver function directly. This becomes an issue in patients with compromised livers such
as cirrhosis and unknown amounts of liver parenchyma. Contrast enhancement can also become an issue in patients
with poor renal function. A valid alternative to CT volumetry can be through Tc99m-Mebrofenin SPECT/CT imaging.
Mebrofenin imaging has the ability to measure liver function directly rather than through liver volume. Patients with
compromised livers are no longer an issue as one cut-off value can be used. SPECT/CT also allows for visualization of
functionality with fusion to anatomical data. A major disadvantage of mebrofenin imaging is the biliary excretion pathway of the dynamic agent which can influence voxel counts. Overall, depending upon patient conditions, additional
imaging modalities should be considered in risk assessment before partial hepatectomy in order to improve patient
care and improve patient outcomes.
• Recognize the importance of determining future remnant liver function in partial hepatectomy.
• Compare the advantages and disadvantages of CT volumetry and nuclear medicine in hepatectomy.
• Evaluate the need for additional imaging modalities in patients receiving partial hepatectomies.
11:15-12:00
Dealing with the difficult and anxious patient, Gretchen Conrad
ENG
516 d/e
“Healthcare providers think they are communicating when they are explaining or advising patients; patients feel they
are communicating when the healthcare provider is listening” (Virchup et al., 1999). In an increasingly complex healthcare system, health professionals often find themselves dealing with anxious or “difficult” patients, individuals who
are often seen as hostile, angry, demanding, or needy. Patients, on the other hand, often see the healthcare system as
confusing, cold, dismissive, unresponsive, and demeaning. Such interactions are difficult for healthcare professionals
and patients alike, resulting in both feeling frustrated and disappointed. Although it may tempting to place the blame
for such situations solely with the patients, many factors are involved: patient (we rarely see people at their best), the
system (e.g., increased care complexity; reduced resources), and the healthcare professional (e.g., fatigue, preoccupation). For most patients, listening, empathy, monitoring nonverbal cues, and building rapport will result in positive
contacts. As health professionals, the responsibility to manage difficult patient-staff interactions rests with us, and thus
it is important to recognize, to understand, and to respond (and not react) to the factors at play. This presentation will
review challenges to a positive patient-care provider relationship, patient presentations and fears, what to do (and not
do) in response to these, and how to deal with strong emotions and extreme personalities.
• Recognize patient factors which contribute to a patient’s anxiety, fear and distress.
• Recognize staff/care provider factors which contribute to a patient’s anxiety, fear and distress.
• Determine how to minimize and manage patient anxiety, fear and distress.
11:15-12:00
Knowledge Based Planning: possible role in a Canadian radiotherapy department, Keith Sutherland
ENG
514
Knowledge Based Planning (KBP) is a software tool capable of predicting the dose volume histogram (DVH) of different
structures based on their geometric relationship to the target. This previously unavailable information offers an attractive set of possibilities for the radiation therapy (RT) professional. RT planning has rapidly evolved in the past 15 years,
moving from 2D planning, to 3D planning and inverse planning. These techniques have improved our ability to deliver
conformal dose distributions to the target while sparing the dose to surrounding normal tissues. However, the quality
of the final plan greatly depends on the planning objectives that the software is given, which is in turn dependent on
individual user input. KBP promises to reduce the effect that user variability has on final plan quality. This is done by
using a “model” built with optimal treatment plans as a reference. KBP identifies the relationship between the dose to
organs at risk and treatment targets given the relative geometry and planning technique. This information is used to estimate the dose volume histograms for each new patient based on past plans with similar characteristics. Furthermore,
these estimates can be used to create optimization objectives that will guide the inverse planning process. Additionally, KBP could be used as a tool to quantitatively verify the quality of an RT plan, and as a training tool for RT staff. KBP
use may translate into improvements in average plan quality, reduction in inter-patient plan variability, improvement
in patient throughput, and potentially patient outcomes.
11:00-11:30
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• Introduce Knowledge Based Planning, with a review of current literature.
• Discuss how Knowledge Based Planning potentially fits into the radiation therapy workflow.
• Demonstrate practical clinical benefits of Knowledge Based Planning.
11:30-12:00
CECR: quality control in CT, Manon Rouleau
ENG
524 b
In spring 2013, the CECR released the Module on Quality Control and Radiation Safety in CT, the first module of the
Guide on Quality Control and Radiation Safety in Medical Imaging in Quebec. Its publication was followed by the establishment of various training programs accessible by all stakeholders and the creation of tools for compilation and
monitoring of quality control measures. The active collaboration between the stakeholders is key for the effective implementation of this module, not only between physicist / engineer, the MRT responsible for CT quality control on site,
and the biomedical engineering technologist (local teams and / or service companies) but also between radiologists
and administration teams.
12:00-12:45
517 b
Lunch / Diner
12:45-13:45
SI
Comparative and Cost Effectiveness Related to Diagnostic Testing/ Études comparatives et analyses
coût- efficacité relatives aux tests diagnostiques, Dr. George Wells
517 a
Ideally, any diagnostic testing should be assessed in real world settings, using clinically meaningful outcomes and
in comparison to other relevant options. Due to operational, structural, and analytical inefficiencies inherent in the
design and conduct of traditional randomized controlled trials, these studies are often inadequate in meeting the evidentiary needs of decision-makers and health practitioners.
Approaches to address these limitations include consideration of observational studies, or more generally, non-randomized studies. In conducting comparative effectiveness analysis for non-randomized studies, concern regarding
the imbalance of underlying confounding variables between comparison groups exists. Comparative effectiveness
analysis methods, such as covariate adjustment, propensity score and instrumental variable methods, for making more
appropriate comparisons, will be presented including an overview to these methods, their advantages and disadvantages and illustrative applications. More recently, network meta-analyses, which attempt to incorporate and compensate for head-to-head comparisons, will be reviewed. Finally, methods for more targeted comparisons of diagnostic
test accuracy will be reviewed and illustrated.
Economic evaluations provide a framework for assessing the cost effectiveness, or the value, of diagnostic imaging
technologies. Concerns regarding effectiveness of diagnostic testing must by their nature have an efficiency component considered in that the acceptability of the identified clinical improvement can only be assessed when weighed
against resource consequences. Economic evaluation is a tool which allows decision makers to directly consider tradeoffs between effectiveness and resource impacts. Methods for conducting economic evaluations will be reviewed and
illustrative applications considered.
Idéalement, il faut évaluer les épreuves diagnostiques dans le monde réel, en s’appuyant sur des paramètres cliniques significatifs et en les mettant en parallèle avec d’autres options pertinentes. Or, les essais comparatifs avec répartition aléatoire
sont rarement un bon moyen d’obtenir les données probantes dont les décisionnaires et les professionnels de la santé ont
besoin, à cause de facteurs d’inefficience opérationnels, structuraux et analytiques inhérents à leur conception et à leur tenue.
• Recognise the value of quality control in CT.
• Familiarize with publications, tools and training provided by the CECR.
• Integrate quality control practices in CT in one’s practice.
Parmi les démarches visant à corriger ces limites figurent les études d’observation ou, plus généralement, les études sans
répartition aléatoire. Quand on fait porter des analyses d’efficacité comparative sur les résultats d’études sans répartition
aléatoire, le déséquilibre entre groupes de comparaison pour ce qui des facteurs de confusion sous-jacents est préoccupant.
Dans cet exposé, nous allons présenter des méthodes d’analyse qui visent à mener des comparaisons plus appropriées, notamment par correction de covariables, appariement par score de propension et méthode des variables instrumentales; nous
ferons un survol de ces méthodes, de leurs avantages et de leurs inconvénients, et fournirons quelques applications explicatives. Nous examinerons également une démarche plus récente, la méta-analyse en réseau, qui offre un moyen d’exploiter
des données de source indirecte en vue de les comparer directement. Enfin, nous passerons aux méthodes qui permettent
des comparaisons plus ciblées de l’exactitude diagnostique de diverses épreuves en fournissant des exemples représentatifs.
L’évaluation économique fournit un cadre d’appréciation du rapport coût-efficacité, c’est-à-dire de l’utilité des techniques
d’imagerie diagnostique compte tenu du coût. Or, l’analyse de l’efficacité des épreuves diagnostiques doit forcément comporter une variable d’efficience, car on ne peut évaluer l’acceptabilité d’une amélioration clinique observée qu’en tenant
compte de son retentissement sur les ressources. L’évaluation économique est un outil qui permet au décisionnaire d’envisager directement des compromis entre l’efficacité et l’utilisation des ressources. Nous examinerons diverses méthodes d’évaluation économique en les illustrant par quelques applications.
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Learning objectives: / Objectifs d’apprentissage :
• Critically appraise comparative study designs for diagnostic testing/ Évaluation critique de la méthodologie des études
comparatives axées sur les épreuves diagnostiques.
• Critically appraise cost effectiveness approaches for diagnostic testing/ Évaluation critique des méthodes d’analyse
coût-efficacité des épreuves diagnostiques Évaluation de la qualité des analyses d’efficacité comparative et des analyses
coût-efficacité axées sur les épreuves diagnostiques.
• Evaluate the quality of comparative effectiveness and cost effectiveness of diagnostic testing/ Évaluation de la qualité
des analyses d’efficacité comparative et des analyses coût-efficacité axées sur les épreuves diagnostiques.
13:45 - 14:00
Closing remarks
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Education sessions developed for Medical Radiation Technologists
Sessions pour Technologues en imagerie médicale, en radio-oncologie et en
électrophysiologie médicale
ENGLISH - ANGLAIS
8:30
Opening Remarks / Mot de bienvenue
8:45
9:00
9:15
9:30
9:45
OPENING PLENARY / PLÉNIÈRE
LE PARTENARIAT DE SOINS AVEC LE PATIENT: EN QUOI CELA CHANGE LE QUOITIDIEN / PARTNERING WITH PATIENTS FOR THEIR CARE: WHAT IT
CHANGES ON A DAILY BASIS
ANDRÉ NÉRON, Directeur associé, Direction collaboration et partenariat patient, Faculté de médecine, Université de Montréal
(présentée en français avec interprétation simultanée/ presented in French with simultaneous interpretation)
517 a
Breast Imaging
10:30
10:45
11:00
11:15
11:30
MRI
Radiological Technology
Nuclear Medicine
Radiation Therapy
PET/MR – implementation of a PET/MR suite
Cervix Cancer – external beam
& brachy with benefits of MR for
planning
Impact of genetics on
breast cancer
PET/MR – implementation of a PET/MR suite
Renal & urographic
imaging
Dr. William Foulkes
523
John Butler
524 b
Robert Chatelain
516 d/e
Understanding and
preventing burnout in a
healthcare system
Introduction to magnetic
resonance elastography
The future supply of reactor-produced medical
isotopes
Chantal Boudreau
Dr. An Tang
521 a/b
Implementation of the first
CT scanner in the eastern
Arctic
Jennifer Sharpe
516 d/e
François Couillard
524 b
11:45
523
John Butler
524 b
*Combined with MR
12:00-13:30
LUNCH / DÎNER
12:15-13:15
CAMRT Foundation AGM - 521 a/b
13:30
13:45
A changing prognosis for breast
cancer screening in the north: An
experience in innovative program
development from a rural community hospital
Dr. Neety Panu
523
14:00
14:15
14:30
Applications of tomosynthesis in both screening
and diagnostic
14:45
Jody Ceccarelli
523
Neuro imaging in emerging infectious diseases
CT evaluation of small
bowel
Demystify the LEAN
approach
Dr. Raquel Del Carpio
521 a/b
Dr. Lawrence Stein
516 d/e
Justine St-Onge
524 b
Chest pathology and
positioning
Radioisotope therapy of
bone metastases using
radium-223
Dr. Alexandre Semionov
516 d/e
Dr. Eugene Leung
Megan Vitols-Mckay
524 b
Female pelvic imaging
Laurian Rohoman 521 a/b
15:00-15:30
15:30
Breast US – elastography
Lisa Smith
523
16:00
16:30
16:45
Pathologic radiologic
correlation of retro-areolar
lesions
Dr. Benoît Mesurolle
523
17:00
How to scan implantable
cardiac devices
Line Desrosiers
Marie-Claude Gauvin
514
Myeloscan planning for radiation
oncology treatment: A multidisciplinary approach
Marie-Pier Beaudry
Deborah Pascale
514
Standards for skin care in
radiation therapy
Amanda Bolderston
Breast tomotherapy
Camille Pacher
Manon Simard
514
Bill Faulkner
521 a/b
The focal Hepatic Lesion:
MRI assessment
Dr. Benoît Galix
521 a/b
Dr. Swapnil Hiremath
516 d/e
Impact of changes from
new radiation safety
regulations
The implementation of
a gated treatment technique for liver cancer
Neuronavigation
Caroline Purvis
524 b
Alison Giddings
514
Manny Podaras
516 d/e
Overview of CNSC’s administrative monetary penalties
Contrast nephropathy update
3D printing: the next technological
Revolution in radiology
Carol Mount
516 d/e
Jean-Claude Poirier
Lucie Simoneau
524 b
Calculating dosage for
cone beam CT
Étienne Létourneau
514
Welcome reception / Réception d’accueil
Q & A/Q et R (mins)
514
Prostate Cancer- planning benefits
of using MRI for external beam
therapy and brachytherapy
BREAK / PAUSE
15:45
16:15
Line Desrosiers
Marie-Claude Gauvin
simultanée
*Note: Radiologists and technologists are welcome to attend any of the
Congress sessions /
À noter: Les radiologistes et les technologues sont invités à assister à n’importe quelle session du Congrès
BREAK / PAUSE
10:00-10:30
MRI
8:30
8:45
9:00
9:15
9:30
9:45
10:00-10:30
MR safety
Nuclear Medicine
Radiation Therapy
EOS Modality In Pediatrics
Risk management in
health care: a collaborative
approach
Esther Hilaire
524 b
Ethics in radiation therapy
Pina Napoletano
Julie Teixeira
516 d/e
Bill Faulkner
521 a/b
Imaging of upper limb
sports injuries
Minimising dose in CT
Nagi Sharoubim
516 d/e
Dr. Raj Chari
521 a/b
Rosanna Macri
514
Investigating the impact of PET-CT
vs CT-along for high-risk volume
selection in head & neck and lung
patients undergoing radiotherapy:
interim findings
Carol-Anne Davis
514
BREAK / PAUSE
10:30
10:45
CAMRT Annual General Meeting
Honorary Awards
11:15
517 a
11:30
11:45
12:00-13:30
13:30
13:45
14:00
LUNCH / DÎNER
Welch Memorial Lecture
Richard Lloyd Vey
516 a/b/c
14:15
14:30
Competitive Awards Ceremony
516 a/b/c
14:45
15:00-15:30
BREAK / PAUSE
15:30
PLENARY SESSION / PLÉNIÈRE
15:45
SOCIAL MEDIA AND THE DIGITAL PROFESSIONAL / LES MÉDIAS SOCIAUX ET LE PROFESSIONNEL NUMÉRIQUE
16:00
Dr. GERARD FARRELL, MD, Associate Professor and Director eHealth Research Unit, Memorial University
(presented in English with simultaneous interpretation/ présentée en anglais avec interprétation simultanée)
16:15
517 a
19:00
CIRQUE ÉLOIZE: A night at the circus (ticket required) / CIRQUE ÉLOIZE: Une nuit au cirque (billet requis)
Q & A/Q et R (mins)
simultanée
Congress sessions /
11:00
MRI
8:30
Nuclear Medicine
Radiation Therapy
High kVp-low mAs: Examining
perceived aesthetic and diagnostic
quality of dose optimized pelvis,
chest, skull, and hand phantom
direct digital radiographs
Elizabeth Lorusso
516 d/e
Interventional nuclear
medicine
Nationwide error reporting system
Geoffrey Currie
524 b
Brian Liszewski
514
MRI artifacts
Clinical integration of students with
learning disabilities
Bill Faulkner
521 a/b
Peptide imaging and
therapy
Optimizing planning with
a PET/CT suite
Alice Havel
Susan Wileman
516 d/e
Geoffrey Currie
524 b
Dr. Guillaume Bouchard
514
PET/CT guided biopsy
Rebecca Jessome
524 b
Utilization of new
management principles
in a radiation therapy
department
Hepatectomy risk assessment: CT
volumetry VS nuclear medicine
Lori Rowe
514
Breast MRI
8:45
Dr. Nathalie Duchesne
521 a/b
9:00
9:15
9:30
9:45
BREAK / PAUSE
10:00-10:30
10:30
Prostate MR imaging
Dr. Fanny Maud
Pinel-Giroux
521 a/b
10:45
11:15
Dr. Marie Gdalevitch
516 d/e
Dealing with the difficult
and anxious patient
11:30
Gretchen Conrad
516 d/e
11:45
12:00-12:45
Samantha MacLeod
524 b
CECR: quality control in CT
Manon Rouleau
524 b
Knowledge-based
planning
Keith Sutherland
514
LUNCH / DÎNER - 517 b
12:45
13:00
COMPARATIVE AND COST EFFECTIVENESS RELATED TO DIAGNOSTIC TESTING / ÉTUDES COMPARATIVES ET ANALYSES COÛT-EFFICACITÉ
RELATIVES AUX TESTS DIAGNOSTIQUES
13:30
Dr. GEORGE WELLS, MD, Professor, Department of Epidemiology and Community Medicine Director, University of Ottawa Heart Institute
13:45
517 a
14:00
Closing Remarks
Q & A/Q et R (mins)
simultanée
Congress sessions /
11:00
The importance of
radiographic imaging for
deformity correction
Education developed for Medical Radiation Technologists
Sessions pour Technologues en imagerie médicale, en radio-oncologie et en
électrophysiologie médicale
FRENCH - FRANÇAIS
8:30
8:45
9:00
9:15
9:45
BREAK / PAUSE
10:00-10:30
10:30
10:45
11:00
11:15
Radio-oncologie
Médecine nucléaire
Le patient partenaire en oncologie, un allié
pour le succès de nos projets
Nathalie Fortin
Jean-Guillaume Marquis
515 b/c
Décloisonnement des pratiques
causé par le RID et le DSQ
Culture de l’interdisciplinarité, vivre et cultiver
Sylvianne Aubin
Caroline Fortin
Martine Lefebvre
515 b/c
11:30
Confidentialité et accessibilité des
informations patients
11:45
Jean-François Cayer
515 b/c
Rock Lévesque
524 c
Claude Prévost
516 a/b/c
Les contrôles de qualité en TDM, un
travail d’équipe
Manon Rouleau
516 a/b/c
EOS: Voir plus loin encore!
Justine St-Onge
524 c
Marie-Christine
Jacques-Fournier
516 a/b/c
Calcul de dose au TVFC
TEP-IRM
13:45
Étienne Létourneau
515 b/c
Laurie Jean
524 c
14:00
Modèle de planification du traitement
en tomothérapie
14:15
Éliane Albert
515 b/c
14:30
Participation aux plans
challenges
14:45
Éliane Plouffe
515 b/c
Nancy Hamel
Esther Rosier
524 a
Comprendre et utiliser les différents outils
disponibles pour l’analyse des holters
Cathy Gervais
524 a
Réduction de la dose au patient en TDM
résultant de l’approche collaborative d’optimisation mise en œuvre par le CECR
Manon Rouleau
L’approvisionnement futur des
radio-isotopes produits par un
réacteur nucléaire
François Couillard
524 c
15:00-15:30
516 a/b/c
L’évaluation des dysfonctions du mécanisme
vélopharyngé (DVP) par la vidéofluoroscopie
Alla Sorokin
516 a/b/c
Risques associes a l’exposition de la
radiation
Mathangi Ramani
516 a/b/c
Les SAECG expliqués
Genevieve Tetrault-Lefebvre
524 a
La fibrillation auriculaire, l’essentiel pour les technologues en
electrophysiologie
Dr Malak El-Rayes
524 a
BREAK / PAUSE
15:30
Boost de traitement col utérin par
curie amélioré avec IRM
15:45
Isabelle Gauthier
515 b/c
16:00
Le traitement du cancer de la prostate résistant à la castration avec le radium-223
16:15
Dre Guila Delouya
Andrée Jutras
515 b/c
16:30-17:30 Curiethérapie du rectum sous
hypnose
Sarah-Claude Provencal
Rita Kassatli
Alyn Maya Loney
515 b/c
17:00
Centre provincial d’expertise clinique en
radioprotection : Rôle et actions en radiologie
et médecine nucléaire
Karine Bellavance
Manon Rouleau
524 c
MIBI au dipyridamole, les meilleures pratiques en collaboration
Maxime Nadeau
524 c
Justine St-Onge
Quiz
Colonoscopie virtuelle
Mathangi Ramani
516 a/b/c
La radiographie pulmonaire:
comment se démêler!
Emilie Tremblay
516 a/b/c
524 c
Exercice chez l’insuffisant cardiaque
Benoit Sauvageau
524 a
Le diagnostique différentiel des
arythmies et leurs significations
cliniques
Dr. Magdi Sami
524 a
Q & A/Q et R (mins)
Test d’effort pour la paralysie
périodique
LUNCH / DÎNER
13:30
16:45
Électrophysiologie médicale
Mise à jour sur l’échographie
thyroïdienne
Démystifier l’approche LEAN
12:00-13:30
16:30
Radiodiagnostic
simultanée
Congress sessions /
9:30
LE PARTENARIAT DE SOINS AVEC LE PATIENT: EN QUOI CELA CHANGE LE QUOITIDIEN / PARTNERING WITH PATIENTS FOR THEIR CARE: WHAT IT
CHANGES ON A DAILY BASIS
517 a
Radio-oncologie
8:30
8:45
9:00
9:15
9:30
9:45
Optimisation des étapes en planification
TEP-TDM
Dr Guillaume Bouchard
515 b/c
La planification par myéloscan : une approche
multidisciplinaire
Marie-Pier Beaudry
Deborah Pascale
515 b/c
L’asepsie des plaies en radio-oncologie: quand nos
accessoires deviennent une menace
Audrey Jacques
Joannie Thibault
515 b/c
Radiodiagnostic
La qualité des examens et des diagnostiques: les technologues font la
différence! Formation interactive
Se nourrir de soleil
Dre Anne-Marie Landry
Dr Benoît Bourassa-Moreau
Geneviève Daigneault
Jessica Fortin
Carl Bellehumeur
524 c
Anne-Edith Vigneault
516 a/b/c
Rôle du technologue en salle d’implantation de stimulateur cardiaque
Josée Girard
524 a
Botox & EMG
IRM Seins
Dre Nathalie Duchesne
516 a/b/c
Dr. Martin Cloutier
524 a
BREAK / PAUSE
10:00-10:30
Technique de DIBH
10:30
Marie-Eve Bérubé
Lise Roy
515 b/c
10:45
11:15
François Gallant
515 b/c
11:30
Prostate: nomade ou sédentaire
11:45
12:00-13:30
13:30
13:45
14:00
14:15
14:30
14:45
15:00-15:30
Cédric Fiset
Michaël Roux
515 b/c
Dre Anne-Marie Landry
Dr Benoît Bourassa-Moreau
Geneviève Daigneault
Jessica Fortin
Carl Bellehumeur
524 c
Audrey Simon
516 a/b/c
Introduction à l’élastographie par
résonance magnétique
Dr. An Tang
516 a/b/c
Evolution de l’EEG durant la
période néonatale
Dre Elizabeth Tremblay
524 a
Radioprotection appliquée : 2 cas
présentés
Mythes et réalitées du sommeil
et optimisation du sommeil
pour les travailleur de nuit et à
horaire variable
Gilbert Gagnon
516 a/b/c
Eric Deshaies
524 a
LUNCH / DÎNER
20 ans de formation en Afrique
Philippe Gerson
517
À la une de l’Ordre !
Danielle Boué & Alain Cromp
517 a
BREAK / PAUSE
15:30
15:45
16:00
16:15
517 a
19:00
Q & A/Q et R (mins)
simultanée
Congress sessions /
11:00
Système Atkina pour stéréotaxies
avec empreintes dentaires
La pédiatrie en radiologie 2.0
La qualité des examens et des diagnostiques: les technologues font
la différence! Formation interactive
- suite
8:30
Radio-oncologie
Radiodiagnostic
Classes d’enseignement sein et prostate en
radio-oncologie
L’approche multidisciplinaire dans la
prise en charge du cancer thyroïdien différencié sous thyrotropine alfa injectable
Capsule Picc Line, syndrome
de May thurner, embolisation
hémorragie digestive
Pseudos crises vs crises épileptiques
Emilie David
Esther Hilaire
524 c
Mikael Mongeon
516 a/b/c
Mathieu Gagné
524 a
Retour sur les cas de consoles. La qualité des examens et des diagnostiques: les technologues
font la différence !
Dre Anne-Marie Landry, Dr Benoît Bourassa-Moreau, Geneviève Daigneault, Jessica Fortin et Carl Bellehumeur
524 c
Algorithme décisionnel dans la prise en
charge des TCC en tomodensitométrie: Une
analyse de la littérature
Lire un article scientifique : comprendre
les principaux graphiques, tableaux et
statistiques
Arthur Anselme Houngnandan
Guy Rousseau
524 a
8:45
Josée Soucy
Brigitte Boisselle
9:00
La gestion des risques en interdisciplinarité
en radiothérapie
9:15
Lucie Brouard
515 b/c
515 b/c
9:30
La pratique professionnelle au goût
du jour
9:45
Julie Renaud
515 b/c
516 a/b/c
BREAK / PAUSE
10:00-10:30
10:30
10:45
Assemblée Générale Annuelle de l’OTIMROEPMQ
11:15
517 a
11:30
11:45
12:00-12:45
LUNCH / DÎNER - 517 b
12:45
13:00
13:30
13:45
517 a
14:00
Closing Remarks
Q & A/Q et R (mins)
simultanée
Congress sessions /
11:00
Education sessions developed for Radiologists
Sessions pour radiologistes
8:30
8:45
9:00
9:15
9:30
9:45
LE PARTENARIAT DE SOINS AVEC LE PATIENT: EN QUOI CELA CHANGE LE QUOITIDIEN / PARTNERING WITH PATIENTS FOR THEIR CARE: WHAT IT CHANGES ON A DAILY
BASIS
517 a
BREAK / PAUSE
10:00-10:30
Emergency Radiology - State of the Art
2015 - Part 1
520 b/e
10:30
Past, present and future of
Emergency Radiology
10:45
Dr. Savvas Nicolaou
11:00
Diaphragmatic Injuries: Why do
we struggle to detect them?
11:15
Dr. Michael Patlas
11:30
Cardiac CT in the emergency
setting
11:45
Dr. Patrick McLaughlin
Radiological Journalism
520 a/d
CARJ Academic Writing Workshop:
The value of undestanding how
radiologic literature is written and
reviewed
13:45
14:00
14:15
14:30
14:45
16:00
16:15
16:30
16:45
Resident Review Sessions
520 a/d
13:30-13:52 Information technology
in the emergency department
Dr. Timothy O’Connell
Chest imaging
13:52-14:14 Facial trauma
Dr. Luck Louis
14:14-14:36 Imaging of bowel injury
Dr. Paul Hamilton
14:36-15:00 Ankle trauma
Dr. Adnan Sheikh
CCTA SIMULATION WORKSHOP
11:10-11:30 La prise en charge de
l’ostéoporose un travail d’équipe
Dre Angèle Turcotte
11:30-11:50 Place actuelle de la
vertébroplastie percutanée
Dr Thomas Moser
Concours des résidents
520 c/f
PART 1
Dr. Joao Inacio
Dr. Cameron Hague
Dr. Carmen Lydell
Dr. Elsie Nguyen
Dr. Narinder Paul
Dr. Elena Peña
Dr. Bruce Precious
Dr. Paul Schulte
Muskuloskeletal imaging
Dr. Anukul Panu
Abdominal imaging
Dr. Julie Nicol
13h35 : Dre Katia Achour
13h45 : Dr Rémi Blanchette
13h55 : Maguy Deslauriers
14h05 : Ariane Drouin
14h15 : Dre Milaine Fortin
14h25 : Dre Fatima Salami
14h35 : Dr Suhad Tantawi
14h45 : Dr Kim Nhien Vu
BREAK / PAUSE
15:30-15:55 Triple rule out should be
the test of choice for undifferentiated
chest pain in the ED
Dr. Andrew Crean & Dr. Jonathon
Leipsic
15:55-16:20 All PE diagnosed on CT
pulmonary angiography must be
treated
Dr. Carole Dennie & Dr. John Mayo
16:20 - 17:00 Jeopardy: Radiology
Style
Dr. Michael Chan, Dr. Phyllis Glanc,
Dr. Jesse Klostranec
17:00
Resident Review Sessions
520 a/d
CCTA SIMULATION WORKSHOP
Pediatric imaging
Dr. Julie Hurteau-Miller
Neuroradiology
Dr. Matthias Schmidt
Interventional radiology
Dr. Jeffrey Jaskolka
PART 2
Dr. Joao Inacio
Dr. Cameron Hague
Dr. Carmen Lydell
Dr. Elsie Nguyen
Dr. Narinder Paul
Dr. Elena Peña
Dr. Bruce Precious
Dr. Paul Schulte
Imagerie thoracique
520 c/f
Évaluation du coeur sur TDM
thoracique
Dr Yves Provost
Aorte thoracique aiguë
Dr Gilles Soulez
Le dépistage du cancer pulmonaire
par tomodensitométrie faible dose
Dr Florian Fintelman
Dre Marie-Hélène Lévesque
Q & A/Q et R (mins)
10:50:11:10 Rapport d’ostéodensitométrie
Dr Ghislain Brousseau
LUNCH / DÎNER
Emergency Radiology- State of the Art
2015 - Part 2
520 b/e
Double jeopardy, toil and trouble
(15:30-16:20 Debates; 16:20-17:00
Jeopardy)
520 b/e
15:45
Judges:
Dr. Sukhvinder Dhillon
Dr. Najla Fasih
Dr. Angus Hartery
519
10:30-10:50 Fractures vertébrales
Dr André Lamarre
11:50-12:00 Période de questions
15:00-15:30
15:30
CAR Departmental Clinical Audit
Project Contest
Dr. Peter Munk
Dr. Wilfred Peh
12:00-13:30
13:30
Ostéodensitométrie
520 c/f
simultanée
Congress sessions /
Radiologists - French /
Radiologistes - français
Radiologists - English / Radiologistes - anglais
Hot Topics : Obstetrics &
Gynecology
520 b/e
Chest Imaging
520 a/d
Revue de la littérature en rafale
520 c/f
Prenatal screening: state of the art
A Canadian approach to lung cancer screening:
what every radiologist should know
8:45
Dr. François Audibert
Dr. Daria Manos
9:00
The 11-14 week ultrasound: what
not to miss
Cardiac devices and peri-operative
cardiac surgery appearances
9:15
Dr. Kalesha Hack
Dr. Bruce Precious
9:30
Placental attachment disorders
The immune suppressed patient: when clinical
correlation is essential
9:45
Dr. Sophia Pantazi
Dr. Mark Landis
8:30
RADIOLOGISTS-IN-TRAINING
CONTEST – PART 1
Judges:
Dr. Marco Essig
Dr. Marc Levental
519
Tête et cou: littérature en rafale
Dr Jean Chénard
Club de lecture d’imagerie thoracique
Dre Marie-Hélène Lévesque
Revue de littérature pour radiologiste général: publications marquantes en imagerie abdominale
Dr An Tang
Appareil locomoteur
Dre Véronique Freire
Questions-réponses
Les présentations sont d’une durée de 15 minutes
par sujet et elles sont suivies par une période de
questions de 30 minutes
Prix d’innovation et d’excellence
Dr Jean-A.-Vézina
520 c/f
10:30
10:45
Tumeurs bénignes hépatocellulaires : avancées en imagerie
11:00
Dre Valérie Vilgrain
CAR Annual General Meeting
520 b/e
11:15
11:30
IRM de diffusion hépatique :
apports, pièges et limites
11:45
Dre Valérie Vilgrain
12:00-13:30
LUNCH / DÎNER
Imaging and Intervention in
Acute Stroke
520 b/e
Body Imaging: Focus session on
Pelvic MRI
520 a/d
13:30
CT imaging in acute stroke
13:45
Dr. Morgan Willson
MRI staging of uterine carcinoma:
What the clinician needs to know
14:00
MR imaging in acute stroke
14:15
Dr. Viesha Ciura
14:30
Putting it all together - treatment planning in acute stroke
14:45
Dr. Muneer Eeesa
15:00-15:30
Dr. Caroline Reinhold
Multi-parametric MRI of the
prostate
Conférence Léglius-Gagnier
520 c/f
RADIOLOGISTS-IN-TRAINING
CONTEST – PART 2
Judges:
Dr. Marco Essig
Dr. Marc Levental
519
Dr. Sylvia Chang
MRI in rectal cancer
Apprivoiser les forces du
stress
DrSerge Marquis
Dr. Kartik Jhaveri
BREAK / PAUSE
15:30
15:45
16:00
16:15
517 a
19:00
Q & A/Q et R (mins)
simultanée
Congress sessions /
BREAK / PAUSE
10:00-10:30
7:30-8:30
CAR Contest Awards Ceremony - 519 b/e
Approach to MSK MRI
520 b/e
Bowel Imaging: State of the Art
520 a/d
Imagerie du sein
520 c/f
8:30
MSK - key points in MRI of the upper
extremity
The role of ultrasound in the evaluation of
inflammatory bowel disease
Corrélation radio-patho
8:45
Dr. Darra Murphy
Dr. Stephanie Wilson
Dre Lilia-Maria Sanzhez
9:00
MSK – key points in MRI of the lower
extremity
Bowel CT
Dépistage du cancer du sein par mammographie : où en sommes-nous?
9:15
Dr. Bruce Forster
Dr. Iain Kirkpatrick
Isabelle Théberge
9:30
MSK - key points in differentiating benign
from malignant vertebral fractures (nuc
med VS MRI)
Dr. Gina Di Primio
Dr. Sian Ïles
Bowel MRI
Transition analogiquenumérique
9:45
Dr. Tanya Chawla
Dr. Benoit Mesurolle
Mistakes We All Make
520 b/e
Head and Neck Imaging
520 a/d
Abdominal imaging
Head and neck cancer: what the surgeon
wants to know from the radiologist
10:30
Dr. Chirag Patel
10:45
11:00
Pediatric radiology
Dr. Angela Pickles
11:15
Dr. Martin Black
Applied anatomy and imaging of paranasal
sinus inflammation: pre-operative evaluation
and post-operative appearance
Corrélation entre les indices de
performance du PQDCS et le positionnement
Dr. Reza Forghani
Dr Michel Pierre Dufresne
Head and neck imaging in children
Dr. Ali Naraghi
Dr. Ravi Bhargava
12:00-12:45
Tomosynthèse
Dre Francesca Proulx
Muskuloskeletal imaging
11:45
Imagerie du sein
520 c/f
Nouvelle classification BI-RADS
Dre Valérie Blouin
Dr Romuald Ferré
LUNCH / DÎNER
12:45
13:00
13:30
13:45
14:00
Closing Remarks
Q & A/Q et R (mins)
simultanée
Congress sessions /
BREAK / PAUSE
10:00-10:30
11:30
Dre Mona El Khoury
Award winners & special honours Lauréats et mentions spéciales
CAMRT WELCH MEMORIAL LECTURE
Master Warrant Officer Richard Vey, MRT CD, MRT(R)
This year’s Welch lecturer Master Warrant Officer Richard Vey, MRT CD, MRT(R), has worked internationally with the Canadian Armed Forces Health Services. He served in Petawawa for 4 years where
he earned his jump wings. Richard was then accepted into the CF MRad Tech Program at the CF X-Ray
School at NDMC Ottawa. Following this, he returned to Petawawa where he served as an MRad Tech
with 2 Field Ambulance from 1993-1997. At NDMC Ottawa, he served as the Chief MRad Tech from
1997-2005. Richard completed a tour in Bosnia in 2000 and moved into the Occupation Advisor position in July 2005. His presentation on Friday, May 29th at 13:30 will focus on the Canadian Armed Forces Diagnostic Imaging Team.
CONFÉRENCE À LA MÉMOIRE DE LA CAMRT
L’adjudant-maître Richard Vey, MRT CD, MRT(R)
Créée en 1951 à titre de conférence annuelle conférence commémorative, la conférence Welch a pour but d’honorer l’engagement et
le dévouement immenses dont a fait preuve M. Herbert M. Welch (1888-1951) en créant l’Association canadienne des technologues
en radiation médicale. C’est un privilège d’être choisi pour donner cette conférence.
Le conférencier Welch de cette année, l’adjudant-maître Richard Vey, MRT CD, MRT(R), a travaillé auprès des services de santé des
Forces armées canadiennes à l’étranger. Il a fait carrière à Petawawa pendant quatre ans où il a obtenu sa décoration de parachutiste. M. Vey a ensuite été accepté au programme de technologie de radiation médicale des Forces armées à l’école des techniciens
en rayons X des FCA du CMDN à Ottawa. Il est par la suite retourné à Petawawa où il a fait carrière comme technologue en radiation
médicale dans deux ambulances de campagne de 1993 à 1997. Au CMDN, à Ottawa, il a été technologue en radiation médicale en
chef de 1997 à 2005. M. Vey a fait une tournée en Bosnie en 2000, puis il est passé au poste de conseiller en santé et sécurité au travail en juillet 2005. La présentation qu’il fera à 13 h 30 le vendredi 29 mai sera axée sur l’équipe d’imagerie de diagnostic des Forces
armées canadiennes.
AWARD WINNERS & SPECIAL HONOURS /LAURÉATS ET MENTIONS SPÉCIALES
The Welch Memorial Lecture was established in 1951 as an annual lectureship to honour Herbert
M. Welch (1888-1951) for his tremendous commitment and devotion in establishing the Canadian
Society of Radiological Technicians. It is a privilege to be chosen to deliver this lecture.
68
CAMRT FELLOW
Carol-Anne Davis, RT(T), AC(T), MSc
Fellowship is the pinnacle of achievement within the CAMRT, an honour bestowed upon select MRTs.
To become a fellow of the CAMRT (FCAMRT), an individual must have consistently demonstrated
advanced competence, personal commitment and contribution to the growth of the profession and
the association beyond the normal scope of practice. Fellows advocate within their profession and
within the healthcare community; they support, encourage and advise members and often serve
as role models/mentors.
She will present on the following topic – Investigating the impact of PET-CT vs CT-along for high-risk volume selection in head & neck and
lung patients undergoing radiotherapy: Interim Findings. Carol-Anne will be presenting on Friday, May 29th at 8:30.
BOURSIER CAMRT
Carol-Anne Davis, RT(T), AC(T), M.Sc.
À l’ACTRM, une bourse de recherche est la plus grande des réalisations, un honneur accordé à des technologues en radiation médicale
privilégiés. Pour devenir un boursier de l’ACTRM, une personne doit faire systématiquement preuve d’une grande compétence, de son
engagement personnel ainsi que de sa contribution à la profession et à l’association au-delà de l’exercice normal de la profession. Les
boursiers sont des porte-parole dans leur profession et au sein de la communauté des soins de santé; ils soutiennent, encouragent
et conseillent les membres et servent souvent de modèles et (ou) de mentors.
Carol-Anne Davis, RT(T), AC(T), M.Sc., recevra la bourse de recherche de l’ACTRM lors du Congrès conjoint 2015. Carol-Anne Davis a
plus de 25 ans d’expérience en technologie de radiation, dont 13 ans à titre de radiothérapeute de première ligne et 14 ans à titre
d’éducatrice clinique auprès des services de radiothérapie du Nova Scotia Cancer Centre. Ses projets actuels de recherche portent
sur les résultats liés à la radiothérapie, les pratiques d’évaluation par les pairs, les comparaisons des modalités d’imagerie ainsi que
l’impact de la tomographie par émission de positons (TEP)-tomographie par ordinateur sur la radio-oncologie. Mme Davis s’est
intéressée à la TEP-tomographie par ordinateur et à la population de patients atteints du cancer quand elle suivait des cours pour
son programme de maîtrise en radiothérapie et oncologie. Ses recherches à ce sujet ont donné lieu à l’une des plus grandes études
prospectives sur la TEP-tomographie par ordinateur chez les populations de patients atteints du cancer aux États-Unis et au Canada.
Les résultats de son étude ont contribué à établir des normes et des lignes directrices pour les patients atteints d’un cancer à la tête
et à la nuque ou aux poumons qui suivent une radiothérapie, en Nouvelle-Écosse.
Elle fera une présentation sur le thème suivant – Investigating the impact of PET-CT vs CT-along for high-risk volume selection in head
& neck and lung patients undergoing radiotherapy: Interim Findings, le vendredi 29 mai à 8 h 30.
Carol-Anne Davis, RT(T), AC(T), MSc, will be awarded the CAMRT Fellowship at the 2015 Joint Congress. Carol-Anne Davis has more than 25 years of RT experience, including 13 years as a frontline
therapist and 14 years as the clinical educator of radiation therapy services at the Nova Scotia Cancer Centre. Her current research
projects include radiation therapy-related outcomes, peer-review practices, imaging modality comparisons and the impact of PET-CT
in radiation oncology. Carol-Anne became interested in PET-CT and the oncology population while taking courses for her master’s
degree program in Radiotherapy and Oncology. Her research on the topic represents one of the largest prospective PET-CT studies
in the radiation oncology population in the U.S. and Canada. Findings from her study have helped establish standards and guidelines
for head and neck and lung patients undergoing radiation therapy in Nova Scotia.
69
CAR GOLD MEDAL AWARD 2015
Dr. Jean Raymond, Quebec
The Canadian Association of Radiologists (CAR) is very proud to announce Dr. Jean Raymond as the winner of the
2015 CAR Gold Medal Award.
Dr. Raymond is an internationally recognized leader in interventional neuroradiology. His clinical work in neuroradiology,
brain aneurysms and interventional treatment, as well as his research and publications in the field, are unparalleled.
Since establishing the now world-renowned unit of interventional neuroradiology at the Université de Montréal in
1986, Dr. Raymond has gone on to break ground in this highly specialized area of radiology with equal measures of
innovation, hard work and probity.
To name but a few, Dr. Raymond’s achievements include establishing the CHUM’s centre for endovascular treatment for aneurysms, ranked first in Canada
among its kind and one of the largest in North America; creating the International Consortium of Neuro-Endovascular Centers (ICONE) which promotes
excellence in research and teaching; serving as principal investigator on several multicenter clinical trials across North America, Europe and Asia, such as
the TEAM (Trial on Endovascular Aneurysm Management) and PRET (patients Prone to Recurrence after Endovascular Treatment) studies; publishing over
200 articles in peer-reviewed scientific journals; and teaching and supervising the work of countless students and trainees at all levels, several of which are
now making their own marks in the field of interventional neuroradiology, both in Canada and internationally.
In addition to his remarkable career achievements, Dr. Raymond serves the radiology community in various voluntary capacities. In this regard, let us note
his organization and leadership of the 10th Congress of the World Federation of Interventional and Therapeutic Neuroradiology (Montreal, June-July 2009)
which gathered over 1200 delegates from 26 nations.
Dr. Raymond, colleagues, and hopefully successors, will continue working hard promoting the necessary research-care reconciliation, to eventually provide
verifiable care in real time to all patients.
We commend Dr. Raymond on his extraordinary ability to sustain such a level of excellence in all aspects of his speciality. He is a shining example of the
best of Canadian radiology and we are honored to present him the 2015 CAR Gold Medal Award.
PRIX DE LA MÉDAILLE D’OR DE LA CAR DE 2015
Le Dr Jean Raymond (Québec)
L’Association canadienne des radiologistes (CAR) est très fière d’annoncer la remise du Prix de la Médaille d’or de la CAR de 2015 au Dr Jean Raymond.
Le Dr Raymond jouit d’une renommée mondiale dans le domaine de la neuroradiologie interventionnelle. Son travail clinique dans les champs de la neuroradiologie, de la radiologie d’intervention et des anévrysmes cérébraux, ainsi que ses recherches et publications à ces sujets, sont sans précédent. Après avoir
fondé en 1986 l’unité de neuroradiologie interventionnelle de l’Université de Montréal, une unité maintenant reconnue mondialement, le Dr Raymond a
permis l’avancement de ce domaine hautement spécialisé de la radiologie, autant par son travail soutenu que grâce à son sens de l’innovation et de l’intégrité.
Le Dr Raymond est actuellement neuroradiologiste en exercice au Centre hospitalier de l’Université de Montréal (CHUM), fondateur et directeur du Laboratoire de recherche en neuroradiologie interventionnelle du CHUM, ainsi que professeur au Département de radiologie, radio-oncologie et médecine
nucléaire de l’Université de Montréal.
Voici quelques-unes des réalisations du Dr Raymond : il a fondé le centre du CHUM pour le traitement endovasculaire des anévrysmes, classé premier centre
de ce genre au Canada et un des plus importants en Amérique du Nord; il a créé l’International Consortium of Neuro-Endovascular Centers (ICONE), qui
promeut l’excellence en recherche et en enseignement; il a été chercheur principal dans le cadre de plusieurs essais cliniques multicentriques en Amérique
du Nord, en Europe et en Asie, notamment dans le cadre des études TEAM (Trial on Endovascular Aneurysm Management) et PRET (patients Prone to
Recurrence after Endovascular Treatment); il a publié plus de 200 articles dans des revues scientifiques à comité de lecture; il a enseigné et supervisé le
travail d’innombrables étudiants et stagiaires à tous les niveaux. D’ailleurs, plusieurs marquent maintenant eux-mêmes le champ de la neuroradiologie
interventionnelle à l’échelle nationale et internationale.
Dr. Raymond is currently a practicing neuroradiologist at the Centre hospitalier de l’Université de Montréal (CHUM –
University of Montreal Hospital Center), the founder and director of the CHUM Interventional Neuroradiology Research
Laboratory as well as a professor in the Department of Radiology, Radiation Oncology and Nuclear Medicine at the University of Montreal.
En plus de ses remarquables réalisations professionnelles, le Dr Raymond travaille bénévolement au service de la communauté des radiologistes. À cet
égard, il importe de noter qu’il a organisé et dirigé le 10e congrès de la World Federation of Interventional and Therapeutic Neuroradiology (à Montréal, en
juin juillet 2009), un événement qui a permis de réunir plus de 1 200 délégués de 26 pays.
Le Dr Raymond, ses collègues et, espérons-le, leurs successeurs continueront de travailler fort pour promouvoir le rapprochement entre la recherche et les
soins afin de pouvoir fournir un jour des soins vérifiables en temps réel à tous les patients.
Nous félicitons le Dr Raymond de son extraordinaire habileté à maintenir un tel degré d’excellence dans tous les aspects de sa spécialité. Il représente le
meilleur de la radiologie au Canada, et nous sommes honorés de lui décerner le Prix de la Médaille d’or de la CAR de 2015.
70
CAR YOUNG INVESTIGATOR AWARD 2015
Dr. An Tang, Quebec
The Canadian Association of Radiologists (CAR) is very proud to announce Dr. An Tang as the winner of the CAR Young
Investigator Award for 2015.
Described by his colleagues as a pillar of the imaging research program of the Centre hospitalier de l’Université de
Montréal (CHUM – University of Montreal Hospital Center), Dr. Tang is a talented radiologist and an exceptional researcher whose experience and impressive accomplishments belie his young age.
Upon completion of this research training, he was recruited as an independent investigator at the CHUM research center. He is also currently a practicing
abdominal radiologist at the CHUM as well as a recently promoted Associate Professor of Radiology at the University of Montreal. As a young investigator,
Dr. Tang has already demonstrated remarkable academic productivity with 35 papers accepted in peer-reviewed journals. His track-record also includes 64
abstracts, two book chapters, and a total of $600,554 obtained as principal investigator from 11 grants.
Dr. Tang’s research focuses on the development of non-invasive imaging-based strategies for diagnosis and monitoring of chronic liver disease. His research
and publications have contributed to MR-based quantification of liver fat in the setting of clinical trials when liver biopsy is either not feasible or unethical. He
is also currently conducting research to compare the accuracy of US-based and MR-based elastographic methods for the non-invasive staging of liver fibrosis.
Training and mentorship of medical and engineering students, from pre-graduate to post-doctoral fellows, augment Dr. Tang’s already remarkable contributions to his chosen areas of clinical expertise and research. His collaboration with world-class leaders in liver imaging and his active participation in the
development of the Liver Imaging Reporting and Data System (LI-RADS) add to his growing reputation in his field, not only in North America but internationally.
Dr. Tang is a rising research star whose work will doubtlessly leave an important mark in the field of liver imaging. We are thrilled to honor him with the
2015 CAR Young Investigator Award.
PRIX DU JEUNE CHERCHEUR DE LA CAR DE 2015
Le Dr An Tang (Québec)
L’Association canadienne des radiologistes (CAR) est très fière d’annoncer la remise du Prix du jeune chercheur de la CAR de 2015 au Dr An Tang.
Décrit par ses collègues comme un pilier du programme de recherche en imagerie du Centre hospitalier de l’Université de Montréal (CHUM), le Dr Tang est
un radiologiste talentueux et un chercheur exceptionnel et déjà expérimenté malgré son jeune âge.
Il a terminé sa résidence en radiologie avec distinction à l’Université de Montréal en 2005, puis a complété une bourse postdoctorale (fellowship) clinique en
radiologie abdominale à l’Université de Toronto. En septembre 2006, il s’est joint au groupe de radiologistes du CHUM. Il a exercé pendant cinq ans en radiologie abdominale, période au cours de laquelle il a entrepris une maîtrise en science biomédicale. Le Dr Tang a ensuite complété une bourse postdoctorale
en imagerie par résonance magnétique avancée pour quantification du gras hépatique et en élastographie par résonance magnétique pour quantification
de la fibrose hépatique à la University of California, San Diego. À cette occasion, il a été récipiendaire de bourses prestigieuses du programme Fulbright et
des Instituts de recherche en santé du Canada (IRSC).
Une fois sa formation en recherche terminée, le Dr Tang a été recruté comme chercheur indépendant au Centre de recherche du CHUM. Il exerce aussi
présentement en radiologie abdominale au CHUM et a récemment été promu au titre de professeur agrégé de radiologie à l’Université de Montréal. En
tant que jeune chercheur, il a déjà fait preuve d’une remarquable productivité en publiant 35 articles dans des revues avec comité de pairs. Il est également
co-auteur de 64 résumés et 2 chapitres de livre, et a obtenu un total de 600 554 $ à titre d’investigateur principal dans le cadre de 11 subventions.
Les travaux de recherche du Dr Tang portent sur l’élaboration de stratégies d’imagerie non invasives pour le diagnostic et la surveillance d’hépatopathies
chroniques. Ses recherches et publications ont contribué à la quantification de la stéatose hépatique par résonance magnétique dans des contextes d’essais
cliniques où la biopsie du foie est peu applicable ou acceptable d’un point de vue éthique. Il mène également un essai clinique subventionné par les IRSC pour
comparer l’exactitude diagnostique de méthodes d’élastographie par échographie et par résonance magnétique déterminer le stade de fibrose hépatique.
Dr. Tang completed his radiology residency, with honors, at the University of Montreal in 2005, followed by a clinical
fellowship in abdominal radiology at the University of Toronto. In September 2006, he joined the CHUM as an attending
physician where he practiced for five years in abdominal radiology, during which time he also completed a Biomedical
Sciences Master. Dr. Tang then went on to complete a research fellowship in advanced magnetic resonance imaging
for liver fat quantification and magnetic resonance elastography for liver fibrosis quantification at the University of California in San Diego. For this research
fellowship, he was supported by prestigious scholarships from the Fulbright Program and the Canadian Institutes of Health Research (CIHR).
Le Dr Tang supervise également des étudiants en médecine et en génie, du niveau pré-gradué à post-doctoral, dans le cadre de travaux en lien avec ses
thématiques de recherche. Sa collaboration avec des chefs de file mondiaux en imagerie du foie et sa participation active au développement du Liver
Imaging Reporting and Data System (LI-RADS) contribuent à sa réputation émergente dans le domaine, non seulement en Amérique du Nord, mais aussi
à l’échelle internationale.
Le Dr Tang est une étoile montante de la recherche dont le travail laissera sans aucun doute une marque importante dans le domaine de l’imagerie du foie.
Nous sommes heureux de lui décerner le Prix du jeune chercheur de la CAR de 2015.
71
PRIX D’INNOVATION ET D’EXCELLENCE DR JEAN-A.-VÉZINA
Le Professeur Valérie Vilgrain
JEAN A VEZINA INNOVATION AND EXCELLENCE AWARD
Professor Valérie Vilgrain
Professor Valérie Vilgrain is currently full professor of Radiology at Paris Diderot University, Sorbonne Cité, France. She received her doctor of medicine
from Paris Descartes University Medical School, Paris, France and has completed a Fellowship in abdominal imaging at the University Beaujon Hospital,
Clichy, France. Professor Vilgrain is among the world’s leader radiologists in abdominal imaging. She was a pionneer in the development of MRI imaging in
the field of liver and pancreatic diseases. Professor Vilgrain is member of several international and national societies, including the Radiological Society of
North America (RSNA), European Society of Radiology (ESR), European Association for the Study of Liver diseases (EASL), European Society of Gastro and
Abdominal Radiology (ESGAR), and French Radiological Society (SFR). She was Chairman of the Education Program Committee of the French annual meeting
from 2000 until 2008 and was Vice-Chairman of the French Radiological Society from 2010 to 2014. Professor Vilgrain has been primary investigator (PI)
of several multi-institutional trials and is currently the PI of the SorAfenib Versus Radioembolization in Advanced Hepatocellular Carcinoma (SARAH) trial.
She has published more than 300 peer-reviewed papers ( H-number :52) and is a reviewer for many international and national journals including European
Radiology, Liver Transplantation, Hepatology, Journal of Hepatology and European Journal of Radiology. She is in the Editorial board of Radiology since 2007
(Associate Editor and Consultant to the Editor) and in the Editorial board of J Hepatol since 2014. Besides these impressive academic accomplishments, she
is still very involved in the daily clinical practice and take care of her patients, colleagues and students with a lot of professionalism and humility. We are
very honored to welcome Professeur Vilgrain in our meeting and give her the Jean A Vezina Innovation and Excellence Award.
Le Professeur Valérie Vilgrain est professeur titulaire de radiologie à l’Université Paris Diderot, cité de la Sorbonne en
France. Elle a complété ses études médicales à l’Université Paris-Descartes à Paris en France et a suivi un fellowship
en imagerie abdominale à l’Hôpital Universitaire de Beaujon, Clichy France. Le Professeur Vilgrain est un chef de file
international en imagerie abdominale. Elle a été une des pionnières dans le développement de l’imagerie par IRM du
foie et du pancréas. Le Professeur Vilgrain est membre de plusieurs sociétés internationales et nationales en imagerie
médicale dont la Société Nord-Américaine de Radiologie (RSNA), la Société Européenne de Radiologie (ESR), l’Association
Européenne pour l’Étude des Maladies Hépatiques (EASL), La Société Européenne de Radiologie Gastroabdominale
(ESGAR) et la Société Française de Radiologie (SFR). Elle a été présidente du comité de programme pour le congrès
annuel de radiologie français (Journées Françaises de Radiologie) de 2000 à 2008 et vice-présidente de la Société
Française de Radiologie de 2010 à 2014. Le Professeur Vilgrain a été investigateur principal de plusieurs études multicentriques et est actuellement investigatrice principale de l’étude comparant le SorAfenib à la radio-embolisation
pour les carcinomes hépatocellulaires avancés (SARAH). Elle a publié plus de 300 articles dans des comités de pairs et a un H index de 52. Elle révise pour
de nombreux journaux tels que European Radiology, Liver Transplantation, Hepatology, Journal of Hepatology et European Journal of Radiology. Elle siège sur
le comité éditorial de Radiology depuis 2007 à titre d’éditeur associé et de consultant à l’éditeur et fait aussi partie du comité éditorial du Journal of Hepatology depuis 2014. Malgré ses réalisations académiques exceptionnelles, elle est toujours très impliquée dans la pratique clinique quotidienne et prend
soin de ses patients, collègues et étudiants avec beaucoup de professionnalisme et humilité. Nous sommes très honorés d’accueillir le Professeur Vilgrain
dans notre congrès et de lui remettre le prix d’Excellence et d’Innovation Dr Jean-A.-Vezina.
72
ABSTRACTS
RÉSUMÉS
Educational Exhibits
Expositions éducatives
All the Educational Exhibits are in digital format and are available for
viewing in the foyer on the 5th floor.
Toutes les expositions éducatives sont en format numérique et peuvent être visionnées dans le foyer au 5e étage.
THURSDAY, MAY 28, 2015 – SATURDAY, MAY 30, 2015
JEUDI LE 28 MAI, 2015 – SAMEDI LE 30 MAI, 2015
Prizes for this contest are funded by the Canadian Radiological Foundation (CRF) and will be awarded at 8:00 am on Saturday, May 30, in
Room 519BE.
Les prix pour ce concours sont financés par la Fondation radiologique
canadienne (FRC) et seront remis le samedi 30 mai à 8h00, dans la
Salle 519BE.
JUDGES / JUGES Dr. Greg Butler, Dr. Reza Forghani, Dr. Erik Jurriaans
Dr. Philipp Blanke declares he is affiliated with Neovasc Inc., Richmond BC as a consultant.
Dr Philipp Blanke déclare qu’il est consultant pour Neovasc Inc., à Richmond en Colombie-Britannique
Background
Atypical Femoral Fractures: A Multimodality Review of Radiographic Features and Complications
Multiple adrenal emergencies are encountered
during imaging of critically ill patients. Traumatic
adrenal hematomas are markers of severe polytrauma. Acute nontraumatic abnormalities are usually
detected at cross-sectional imaging during evaluation of abdominal pain or presentations related
to acute adrenal insufficiency.
Authors: Catherine Lang; Robert Bleakney; Angela
Cheung; Leon Lenchik; Linda Probyn
Learning Objectives
1. Review imaging features of the case definition
of atypical femoral fractures (AFFs), including
major and minor features, as outlined by the
2013 ASBMR Task Force.
2. Illustrate radiographic features of AFFs through
various modalities, including conventional radiographs, CT, MRI, bone scan, ultrasound, single
energy scan of the femur, and DXA.
3. Illustrate complications of AFFs, including fracture
progression, delayed healing, bilateral fractures,
and hardware failure.
Background
The treatment of osteoporosis with long-term
bisphosphonate therapy is increasingly associated
with AFFs. AFFs often have nonspecific clinical
symptoms, therefore radiologists must recognize
their features across all imaging modalities as plain
films may not be in the initial imaging workup.
AFFs are often linked to complications, including
progression from incomplete to complete fracture,
fracture of the contralateral femur, and delayed healing. AFFs may also be treated with hardware either
prophylactically or for complete fracture fixation.
Cross-sectional imaging findings of the following
adrenal emergencies will be illustrated and reviewed:
Traumatic adrenal hematoma; Spontaneous adrenal
hemorrhage related to benign and malignant neoplasms and iatrogenic causes; Waterhouse-Friderichsen syndrome; Adrenal infections (Histoplasmosis,
Candidiasis); Large symptomatic adrenal cysts;
Symptomatic pheochromocytoma.
Conclusion
This exhibit offers an opportunity to review imaging appearance of traumatic and nontraumatic
adrenal emergencies and emphasizes the role of
radiologist in detection and management of these
life-threatening entities.
EE003
Major Bleeding After Percutaneous Image-Guided
Biopsies: Prevention and Management
Authors: Sean A. Kennedy; Lazar Milovanovic; Mehran Midia
Conclusion
Learning Objectives
AFFs have characteristic radiographic features,
which may present in varying combinations, and
can be seen on all imaging modalities. Radiologists
should be familiar with these varying, and potentially
subtle, findings to better diagnose AFFs and their
complications.
1. To review the prevalence and risk factors for major
bleeding during percutaneous image-guided
biopsy procedures.
2. To review pre-procedural major bleed prevention
strategies, including abnormal coagulation parameter monitoring and anti-coagulant management.
3. To review optimal strategies for intra-procedural
management of major bleeding.
4. To review appropriate post-biopsy monitoring
procedures.
EE002
Traumatic and Nontraumatic Adrenal Emergencies
Authors: Michael N. Patlas, MD, FRCPC; Christine
O. Menias; Douglas S. Katz; Ania Z. Kielar; Alla M.
Rozenblit; Jorge Soto
Learning Objectives
1. To illustrate critical imaging findings in traumatic
and nontraumatic adrenal emergencies.
2. To discuss advantages of different cross-sectional modalities for diagnosis of acute adrenal
abnormalities.
3. To review management options with emphasis
on interventional radiology.
Background
Major bleeding remains the most common cause
of significant morbidity and mortality following
percutaneous image-guided biopsy. Specific patient and procedural risk factors for major bleeding
exist. Pre-procedural screening and optimization
of bleeding risk, including coagulation parameter
monitoring and holding anti-coagulant medications,
can significantly reduce the risk of major bleeding.
Intra-procedural techniques and post-procedural
monitoring can further mitigate such events. We
aim to provide a comprehensive, evidence-based
overview of strategies that can be used to minimize
bleeding risk.
Conclusion
Radiologists must constantly be aware of the risk
of major bleeding when performing percutaneous
image-guided biopsies. Knowledge of predictors
and appropriate management strategies can be
used to both prevent and minimize harm from
major bleeding events.
EE004
ED Visits Related to Bariatric Surgery: Review of
Normal Post-Surgical Anatomy as well as Complications
Authors: Mahadevaswamy Siddaiah; Ania Kielar;
Adnan M. Sheikh
Learning Objectives
1. Identify normal postsurgical anatomy and expected anastomoses.
2. Identify various bariatric surgical procedures.
3. Explain imaging findings and describe postoperative complications following bariatric
surgery.
Background
Obesity is a complex disorder associated with significant morbidity and mortality. Bariatric surgical
procedures such as laparoscopic Roux-en-Y gastric bypass, gastric banding, and sleeve gastrectomy are being routinely performed as treatment
for morbid obesity. Imaging has shown to play an
important role in postoperative evaluation and
management of this patient population. We present pictorial representation of altered anatomy
and imaging findings of common complications
such as anastomotic leaks and strictures, jejunal
and gastric ischemia, internal hernias, intussusception, and gastric band slippage or tube disconnection.
EDUCATIONAL EXHIBITS / EXPOSITIONS ÉDUCATIVES
EE001
Conclusion
Imaging plays an important role in understanding
the postsurgical anatomy and with experience radiologists can accurately and efficiently interpret
post-operative complications related to bariatric
surgery.
73
EE005
Essential Primary Screening of Common and
Uncommon Radiographic Pathology of the Hands
and Fingers
Authors: Saul N. Friedman; Sanchari Banerjee; Masad
Z. Markus; Lawrence Friedman
Learning Objectives
1. Review of common and uncommon pathology of
the hands and fingers encompassing infectious,
endocrine/metabolic, traumatic, neoplastic and
vascular origins.
2. Identification of pathognomonic radiographic
features of these conditions.
3. Review of educated differential diagnoses to
guide further work-up with ultrasound, CT, or
MRI when necessary.
imaging features and characteristic tumour components that assist in narrowing the differential
diagnosis.
Conclusion
Anterior mediastinal masses are commonly encountered in clinical practice with an extensive
differential diagnosis. Recognition of the key imaging features and characteristic findings, a more
concise and clinically relevant differential diagnosis can be formulated.
EE007
Unusual Presentations of DCIS: A Case-Based
Review
Authors: Jenny Li; Jonathan Chung; Ilanit Ben Nachum;
Olga Shmuilovich; Giulio Muscedere; Anat Kornecki
Learning Objectives
Hand and finger injuries are commonly presented
in the emergency department and primary clinical
settings. Radiographic evaluation is an important
initial evaluation step. We provide an essential
guide for radiological screening of the hand and
fingers pathology as may present in these settings.
1. Review the epidemiology, pathophysiology, and
both clinical and imaging presentations of DCIS.
2. Utilize multiple cases from our centre to highlight
unusual presentations of DCIS.
3. Provide the reader with useful tips to detect and
diagnose unusual cases of DCIS.
Radiographs were taken from 69 cases showing
hand pathologies illustrating sources encompassing traumatic, infectious, endocrine/metabolic,
neoplastic and vascular origins. When available, CT
and MRI images from the case are also presented.
Confusing and confounding diagnoses are explored.
Background
Conclusion
Radiographs are the predominant technique for
initial evaluation of hand pathology, especially in
emergency and primary clinical settings. It is essential for the radiologist to be familiar with common
and un-common radiographic presentations. Final
diagnoses must be provided when pathognomonic
features are present. When not present, educated
differential diagnoses can be offered to guide further
work-up with ultrasound, CT, or MRI.
EE006
More than Just the 4 T’s: A Comprehensive
Review of Anterior Mediastinal Masses
Authors: Elena Scali; Patricia Hassell; Carol Donagh;
Tony Sedlic
Learning Objectives
1. Review normal mediastinal anatomy and radiologic signs to localize pathology to the anterior
mediastinum.
2. Describe the radiographic and cross-sectional
imaging appearance of solid and cystic anterior
mediastinal masses.
3. Highlight the imaging features of characteristic
components of anterior mediastinal masses that
help to narrow the differential diagnosis.
Background
Accurately identifying, localizing and describing the
imaging features of anterior mediastinal masses is a
fundamental skill for trainees. Although the classic
differential diagnosis of the “4 T’s” has long held
sway, a more in-depth understanding of common
and uncommon anteriormediastinal pathology will
yield a more clinically relevant differential diagnosis.
In this exhibit, we elaborate an approach to anterior
mediastinal masses with an emphasis on key
At present, there are no common clinical presentations for DCIS, with imaging being the primary
diagnostic tool in over 90% of cases. The sensitivity
of microcalcifications, the most common imaging
finding, is estimated at approximately 70-80%.
Thus, there are many cases presenting without
microcalcifications. We have collected a number of
these atypical presentations of DCIS and will use
each of these cases to highlight a different teaching
point. All of our examples are pathology proven
and will include original imaging.
The onset of CST is acute, usually with unilateral
periorbital edema and proptosis with headache and
photophobia. Diagnosis of CST is usually done on
clinical grounds and can be confirmed by appropriate
radiographic studies. MRI and MR venography are
more sensitive than CT scan for diagnosis.
Treatment includes high-dose intravenous antibiotics. The role of anticoagulation therapy is
controversial. Serious complications include septic
pulmonary embolism, meningitis, carotid thrombosis, subdural empyema, and brain abscess. With
the availability of good broad-spectrum antibiotics,
the prognosis of septic CST has improved reducing
mortality from near 100% to 20-30%.
We present a case of a diabetic patient known for
myasthenia gravis treated with steroids who had a
molar tooth extraction, complicated by upper neck
abscess and masticator space infection leading to
CST and meningitis. The timely referral from dentistry
department to imaging department followed by
neurology consultation led to early diagnosis and
initiation of proper management.
Conclusion
Septic cavernous sinus thrombosis due to dental
infection is uncommon and leads to substantial
morbidity and mortality. The favourable outcome
depends upon prompt diagnosis and early treatment
with antibiotics.
EE009
Medical Legal (Neuro)Radiology Consulting: Is
it for You? 10- Year Review of Over 400 Cases
and Lessons Learned
Authors: Perry W. Cooper, MD FRCPC
Conclusion
Learning Objectives
Breast imagers should be attuned to the full spectrum of clinical and imaging findings of DCIS. By
providing a diverse set of case examples with
accompanying teaching points, it is our hope that
after completing our exhibit, the reader will retain
knowledge that may help them diagnose cases in
their own practices.
1. What is understood when one hears the term
medical legal radiology.
2. Understand the scope of medical legal (neuro)
radiology through analysis of last 400 cases.
3. How one gets started.
4. Pros and cons of medical legal (neuro)radiology
consulting.
EE008
Septic Cavernous Sinus Thrombosis Following
Tooth Extraction: A Rare Presentation
Authors: Sameh Saif; Carlos Torres
Learning Objectives
1. Outline the peculiar venous communications between the upper neck and the cavernous sinuses.
2. Describe the typical clinical scenario, imaging
findings and the possible complications of septic
cav-ernous sinus thrombosis following a dental/
upper neck abscess.
3. Discuss the value of early clinical-imaging diagnosis with the direct impact on the proper
treatment and reducing morbidity/mortality.
Background
Septic Cavernous sinus thrombosis (CST) can be
defined as thrombophlebitis of the cavernous sinus
of infectious origin. Dental infections constitute
less than 10% of the cases. The peculiar anatomy of
cervicofacial planes, dental structures, and its direct
communication with cavernous sinus predisposes
Background
How does a practicing radiologist get involved in
medical legal work? The scope of medical legal
(neuro)radiology and some lessons learned are
discussed in the analysis of more than 10 years and
over 400 cases in one practice.
Background
individual to development of septic CST in the
background of dental infections.
How to get referrals, make contacts.
How to manage your practice (business).
What is involved in going to court.
Advantages and disadvantages in engaging in
medical legal work.
Conclusion
Medical legal radiology can offer an interesting and
rewarding aspect to your usual work as a practicing
radiologist.
I hope that I have provided you with a better
understanding so that you can better decide
whether medical legal radiology is for you.
74
EE010
Frequently Missed Fractures in Acute Knee Injuries
Authors: Zaid Jibri; Kawan Rakhra; Marcos Sampaio;
Ryan Foster; Adnan Sheikh
Learning Objectives
1. To recognize the fractures that can be easily
missed on the plain radiograph following acute
knee injuries.
2. To identify the other injuries that are often associated with these fractures and provide cross
sectional imaging correlation.
3. To appreciate the clinical implications of these
injuries.
4. By the end of the presentation, the reader will
be able to establish a list of “review areas” that
can be used upon evaluating the radiograph of
an acutely injured knee.
Background
Conclusion
The knee radiograph is one of the most commonly read examinations by radiologists. There are
subtle injuries that can be easily missed on the
radiograph following acute knee trauma. These
fractures often have high association with significant soft tissue injuries or other joint derangements. Early radiographic recognition of these
subtle but yet significant injuries is the first step in
ensuring appropriate and prompt diagnosis, thus
preventing the long-term consequences of inadequate treatment, specifically the chronic morbidity associated with posttraumatic osteoarthritis.
EE011
Hepatic Lesions: The Scar as the Discriminatory
Feature
Authors: Cathy Zhang; Teresa Liang; Emily Pang;
Graeme McNeill; Alison C. Harris
Learning Objectives
1. Review pathophysiology and clinical manifestations of common scar-bearing hepatic lesions:
focal nodular hyperplasia (FNH), fibrolamellar
hepatocellular carcinoma (fHCC), giant hemangiomas, and of rarer lesions: cholangiocarcinoma, various metastases, and hepatocellular
carcinoma (HCC).
2. Discuss the importance of differentiating
scar-bearing hepatic lesions for timely diagnosis
and ap-propriate management.
3. Describe and demonstrate the spectrum of
imaging findings of scar-bearing hepatic lesions
on ultrasound, CT and MRI.
4. Review imaging examples and highlight the pitfalls and mimics of scar-bearing hepatic lesions,
such as central necrosis in large hepatic lesions.
Background
Hepatic scaring has been described in a variety of
benign and malignant hepatic lesions. It is most
frequently associated with focal nodular hyperplasia
(FNH), fibrolamellar hepatocellular carcinoma (fHCC)
and giant hemangiomas, although it has also, but
rarely, been described in cholangiocarcinoma,
some metastases, and conventional hepatocellular
carcinomas (HCC).
Various imaging modalities are essential in accurately identifying the diagnosis through the
differing enhancement patterns. Typical imaging
features, along with common pitfalls and mimics
will be presented.
Conclusion
Hepatic scaring has been described in various benign
and malignant hepatic lesions. Accurate diagnosis
through imaging is critical for appropriate management. Knowing the diagnostic imaging findings and
recognizing common pitfalls and mimics are key,
and will be highlighted.
EE012
Acute Appendicitis: Atypical Presentations and
Mimics
Authors: Michael N. Patlas, MD, FRCPC; Christine O.
Menias; Sanjeev Bhalla; Abdullah Alabousi; Douglas S. Katz
Learning Objectives
1. To illustrate critical imaging findings of acute
appendicitis on Multiple Detector Computed
Tomography (MDCT).
2. To discuss common mistakes in interpretation
of MDCT in patients with acute right lower
quadrant pain.
3. To review potential mimics of acute appendicitis
and tips for distinguishing them from acute
appendicitis.
Background
There is decreasing emphasis on clinical and laboratory presentation of acute appendicitis. Preoperative
diagnosis relies on imaging and may be challenging
in some cases.
MDCT imaging findings of the following atypical
presentations and mimics of acute appendicitis will
be illustrated and reviewed: tip appendicitis; stump
appendicitis; left-sided appendicitis; appendicitis in
hernia; appendiceal mucocele; tuberculous enteritis;
perforated cecal cancer; omental infarction; and
mesenteric adenitis.
Differential diagnosis and management options
will be discussed. The relevant literature will be
briefly reviewed.
Conclusion
This exhibit offers an opportunity to review atypical
imaging appearance of acute appendicitis and its
mimics and emphasizes the role of the radiologist
in the detection of these appendiceal and non-appendiceal conditions based on MDCT images, and
in subsequent patient management.
EE013
Northern Ontario the New Tropics? Cases of
Tropical Pyomyositis from a Remote Northern
Ontario Aboriginal Reserve
Authors: Anukul Panu, MD, FRCPC; Paul S. Benvenuto; Neety Panu, MD, FRCPC; Michael Kirlew, MD
Learning Objectives
1. Gain an appreciation of the clinical presentation
of Tropical pyomyositis.
2. Review the radiological presentations of Tropical
pyomyositis.
3. Illustrate the importance of multidisciplinary
approach to disease detection.
Background
Pyomyositis is a purulent muscular infection, commonly by Staphylococcus aureus, hypothesized to
arise through hematogenous spread. Found mostly
in tropical environments, an increasing incidence
has been described in temperate climates, affecting
those immunocompromised and associated with
Methicillin-Resistant Staphylococcus aureus (MRSA).
Diagnosis is often early missed due to disease unfamiliarity. Imaging modalities such as Ultrasound,
Computed Tomography and Magnetic Resonance
Imaging are useful in narrowing the differential
diagnosis. Aspiration or muscle biopsy culture and
tissue staining are gold standards for diagnosis.
Conclusion
Tropical pyomyositis was once thought to originate
only from tropic environments. The discussed
cases demonstrate that its incidence is beginning
to be seen in Northern Ontario, largely due to its
association with illicit drug injection, muscular
traumas and with the prevalence of MRSA and
immunocompromised conditions such as diabetes
mellitus. We look to review the imaging features,
while highlighting the important role imaging has
in patient management. Collaborative care amongst
physicians is key to identification and treatment of
this potentially life threatening but curable disease.
EE014
Approach to Imaging of the Dilated Bile Duct
Authors: Cathy Zhang; Teresa Liang; Emily Pang;
Alison C. Harris
Learning Objectives
1. Present a practical and imaging facilitated approach to biliary duct dilatation.
2. Review the pathophysiology and clinical manifestations of the spectrum of dilated bile duct
pathologies including obstructive causes such
as choledocolithiasis, cholangiocarcinoma, and
IPMN-B, and non-obstructive causes such as
Caroli disease, choledochal cyst, and primary
sclerosing cholangitis.
3. Discuss the utility and limitations of the various
imaging modalities used for the diagnosis of bile
duct dilatation.
4. Describe and demonstrate the spectrum of imaging findings of bile duct dilatation on ultrasound,
CT, MRI, and MRCP.
5. Review examples of important imaging findings
for distinction between various dilated bile duct
pathologies.
6. Review treatment options for bile duct pathologies.
The radiograph is usually the first test obtained
following acute knee injuries. There are a number of subtle fractures that can go undetected
by the inexperienced observer. Several of those
“small” fractures may be associated with other
major soft tissue derangements. In this review, we
will highlight fractures that can be easily missed
including: Segond fracture, arcuate complex avulsion fractures, osteochondral fractures associated
with patellar instability, femoral osteochondral injuries, ACL and PCL avulsion fractures and patellar
sleeve fractures.
5. Discuss new imaging techniques available to
differentiate the various lesions with hepatic scars.
6. Briefly review treatment options for management
of the various scar-bearing hepatic lesions.
75
Background
Bile duct dilatation can be due to a myriad of benign
and malignant etiologies, including obstructive
causes such as choledocolithiasis, IPMN-B and
cholangiocarcinoma, and non-obstructive causes such as Caroli disease, choledochal cyst, and
primary sclerosing cholangitis. Thus, a systematic
and thorough approach is critical for identifying
the most accurate diagnosis in order to provide
the appropriate management. Key classifications
include presence or absence of obstruction and/
or stones, location of dilatation, type of pathology
(e.g. neoplastic, inflammatory).
Conclusion
Bile duct dilatation is a common occurrence with
a variety of different causes. A thorough imaging
approach and search pattern is critical to accurately
diagnose the pathology in order to effectively offer
the most appropriate treatment.
EE015
Authors: David M. Thomas; Mohammed F. Mohammed; Alison C. Harris
Learning Objectives
1. Provide a differential diagnosis for solid pancreatic masses.
2. Discuss the different imaging modalities used to
characterize solid pancreatic masses.
3. Review the imaging characteristics of solid
pancreatic masses using each imaging modality.
Background
Pancreatic ductal adenocarcinoma has the highest
5-year mortality of any cancer, and is often asymptomatic until the later stages of development. Early
detection and differentiation of solid pancreatic
masses is critical for early intervention and determining surgical resectability. To aid in the diagnosis
and management, we will provide an overview of
the characteristics using Ultrasound, CT (Multiphasic
MDCT and DECT), MRI, Endoscopic Ultrasound (EUS),
ERCP, and PET/PET-CT. The consensus document
from Radiology Jan 2014 will be used to evaluate
resectability.
Conclusion
• Pancreatic cancer is a common GI malignancy
associated with high mortality.
• Early differentiation between benign and malignant pancreatic masses is essential for early
intervention.
• Multimodality imaging is essential in highlighting
the characteristics of each type of pancreatic
mass and directing further management and
potential for surgical resectability.
EE016
Incidental Findings in Imaging: Considerations
and Guidance for Management
Authors: Scott J. Adams; Paul S. Babyn, MDCM, FRCPC
Learning Objectives
1. Describe the prevalence of incidental findings
(IFs) by modality, anatomic site, and patient demographics.
2. Discuss existing guidance for the management
of IFs commonly found on CT and MR imaging.
Background
Increased use of cross-sectional imaging along
with improved image quality and increased spatial
resolution has led to an increase in the number of
incidental findings (IFs) reported. Workup of IFs,
findings unrelated to the clinical indication for
the imaging examination performed, may result
in cascades of testing with little improvement to
patient outcomes. Despite the development of management guidelines for IFs, there remains limited
conformity among radiologists regarding follow-up
recommendations, suggesting further education
and guidance on IFs is needed.
Conclusion
With inconsistent approaches to IFs, patient care
is compromised by either over- or under-management. IFs may represent serendipitous discovery,
though in many cases workup may provoke patient
anxiety, expose patients to excess radiation, and
come at significant cost to the health system with
no benefit to patient outcome. An approach to IFs
must anticipate the potential for IFs, be based on
evidence-based recommendations, and include
clear lines of responsibility and communication with
clinicians and patients. In this exhibit, we review
the prevalence of IFs; describe the consequences
of over- and under-management to patient care,
the healthcare system, and the profession; and
review recommendations for management of IFs
on cross-sectional imaging. Illustrative examples of
common IFs found on magnetic resonance (MR) and
computed tomography (CT) imaging are provided.
EE017
A Case-Based Pictorial Review of Liver Lesions
Using the LI-RADS Classification System
Authors: David J. Ferguson; Mohammed F. Mohammed; Ciaran F. Healy; Silvia Chang; Alison Harris
Learning Objectives
Following review of this poster, it is hoped that the
reviewer will have achieved the following:
1. To become familiar with the Liver Imaging Reporting and Data Systems (LI-RADS) classification
and its updated version v2014.
2. To use a stepwise approach to the classification
of liver lesions using the LI-RADS classification
system.
3. To review specific CT/MRI cross sectional images
and classify appropriately.
Background
Liver cancer is one of the fastest rising cancers in
Canada with an increased incidence of over 2.5%
occurring between 1997 and 2007.
and enhancements have been performed with the
latest version released in 2014.
Using specific cases reviewed within our department,
we will present images of each LI-RADS category
using either CT or MRI. We will also display associated
ancillary features that may allow for either catego-ry
upgrading or downgrading.
Conclusion
LI-RADS facilitates a system to aid improved standardized interpretation and communication of imaging
findings in the patient cohort with increased risk
factors for developing hepatocellular carcinoma.
EE018
Guideline-Integrated Approach to Thyroid
Nodule Workup
Authors: Adam A. Dmytriw, MD MSc; Eugene Yu,
MD; Reza Forghani, MD PhD; Colin Poon, MD PhD
Learning Objectives
1. To review imaging features of thyroid nodules
on different imaging modalities, with correlation to their predictive values for benignity and
malignancy.
2. To review current evidence-based guidelines for
initial workup and follow-up of thyroid nodules.
3. To present a practical diagnostic algorithm that
summarizes the current guidelines from various
organizations.
Background
The approach to thyroid nodule work-up is an
important and challenging area for the radiologist.
Thyroid nodules are extremely common, but only
4.5-6% of these are found to be malignant. The
balance between over-investigation and delayed diagnosis of a malignant nodule remains problematic.
Moreover, the imaging presentation of many thyroid
nodules has overlap between malignant and benign
nodules. Guidelines are somewhat variable in their
recommendations. We present an evidence-based
diagnostic algorithm and accompanying pictorial
review for workup of thyroid nodules.
Conclusion
Though many imaging features of benign and
malignant nodules can be nonspecific, others are
highly suggestive of malignancy. The predictive
values of salient imaging characteristics are presented. Evidence-based guidelines are available
such that a cost-effective algorithm for work-up can
be devised. Included are examples of common and
subtle imaging features for characterizing thyroid
nodules. It is critical that the radiologist be familiar
with the predictive value of these characteristics,
the threshold for fine needle aspiration, and pitfalls
in thyroid imaging.
Solid Pancreatic Masses: Differential Diagnosis
and Imaging Features
3. Appreciate ethical, medico-legal, and economic
considerations of reporting and managing IFs
4. Discuss a comprehensive strategy for addressing
IFs in research and clinical practice.
Imaging plays a key role in the diagnosis, surveillance
and management of patients with increased risk of
developing liver cancer. During this process, imaging
will demonstrate a wide spectrum of lesions from
the definitely benign to the definitely malignant.
This wide variety increases the potential for both
misin-terpretation and also miscommunication of
findings between medical specialties.
To minimize this, the LI-RADS classification system
was launched in 2011 to formalize and standardize
the radiology reporting system. Subsequent reviews
76
EE019
Imaging of Urinary Diversion Procedures and
Postoperative Complications: Surgical and Radiological Perspectives
Authors: Arvind K. Shergill, MBBS DNB; Seng Thipphavong, MD FRCPC; Alexandre R. Zlotta, MD PhD
FRCSC; Nasir Jaffer, MD FRCPC
Learning Objectives
1. To learn brief surgical aspects and imaging of
different urinary diversion procedures.
2. To understand different imaging techniques
used in evaluation of these procedures.
3. To become familiar with the imaging appearances of postoperative complications.
methods. Recently, mortality benefit has been
demonstrated in the National Lung Screening Trial
(NLST) using low-dose computed tomography. We
aim to provide a comprehensive, evidence-based
overview of lung cancer screening while addressing
limitations (including cost efficacy) and potential
risks (including cumulative radiation dose).
Conclusion
Current evidence from the NLST supports lung
cancer screening. However, several limitations and
risks are apparent in implementing such a program
on a provincial or national level. Ongoing studies
will help to further elucidate benefits and risks of
such a program.
continues to gain popularity. Both CT and MR
enterography offer significant advantages over
other small-bowel imaging techniques in that they
enable routine visualization of the entire small bowel
lumen, the bowel wall and surrounding soft-tissues.
This not only facilitates disease localization but also
helps in the assessment of disease severity and
identification of any extra-intestinal manifestations
or complications of the disease.
Conclusion
EE021
Both continent and incontinent diversions are
available for urinary reconstruction after radical
cystectomy. For patients who are not candidates
for continent diversion, ileal conduits are reliable
options. Continent diversions include cutaneous catheterizable reservoirs (Indiana, Kock) or
ureterosigmoidostomy (Mainz). In appropriate
patients, an orthotopic neobladder avoids an
external stoma and preserves body image. With
a steady rise in postoperative imaging, the role
for radiology in the follow-up of these patients
and detection of complications has increased in a
spectacular manner.
Radiologic Evaluation of Inguinal Masses: From
Hernias to Canal of Nuck Hydroceles
EE023
Authors: Andrew S. Fox; Vincent Pelsser
Pulmonary Manifestations of Collagen Vascular
Diseases
Conclusion
Various surgical techniques used in continent diversions alter the normal anatomy and therefore
make the imaging interpretation challenging if
radiologists are unfamiliar with diversion surgery.
We present the surgical techniques and postoperative imaging appearances of the common types
of diversions done at our tertiary care institution
using computed tomography (CT) and fluoroscopic techniques (ileal conduit loopogram or
urinary pouchography). Advanced cross-sectional
techniques including CT urography are useful for
delineating and differentiating extrinsic lesions in
the early postoperative period and major diversion-related late complications. Interventional radiology is of utmost importance in the evaluation
and treatment of urinary-related postoperative
complications using percutaneous nephrostomy
and percutaneous ureteral stent placement.
EE020
Lung Cancer Screening: An Evidence-Based Overview
Learning Objectives
1. To provide an overview of the common and
uncommon inguinal masses encountered on
routine imaging, and their complications.
2. To provide a review of the pathophysiology
and imaging features of several clinical entities
simulating groin hernias for which the radiologist
should be aware.
3. Highlighting the importance of good communication between the clinician/surgeon and radiologist in selecting the proper imaging modality
necessary to make the diagnosis.
Background
While the majority of inguinal masses encountered
in routine clinical practice represent inguinal hernias
(direct/indirect), many other pathologies exist in this
region for which the radiologist should be aware.
Entities such as femoral and obturator hernias,
endometriomas, undescended testes and even
the rare canal of Nuck hydrocele, to name a few,
clinically resemble the common inguinal hernia
and can provide a diagnostic challenge to both the
clinician and radiologist. The radiologist’s diagnosis
can greatly impact the clinical course of action.
Conclusion
Inguinal masses are a commonly encountered
clinical entity with an expanded differential diagnosis. As such, the radiologist should be aware of
the pathology that can present in this region and
the imaging modalities which can be used to arrive
at a diagnosis.
Authors: Sean A. Kennedy; Ravi Shergill; Mark O.
Baerlocher
EE022
Learning Objectives
Characterization of Small Bowel Pathology on CT
and MR Enterography: Case-Based Review
1. Review the epidemiology of lung cancer.
2. Review the principles of screening programs.
3. Review the latest evidence for and against lung
cancer CT screening, including the National Lung
Screening Trial and other ongoing trials.
4. Review associated risks, limitations and implementation challenges of lung cancer screening.
Background
Lung cancer is the leading cause of cancer mortality
worldwide, with the majority of cases being detected
at an advanced stage. This provides strong impetus
for early detection with screening. Chest radiograph
and/or sputum cytology are ineffective screening
Authors: Darya Kurowecki; Rebecca Hibbert, MD
Learning Objectives
1. Review common and uncommon small bowel
pathology on CT and MR enterography.
2. Illustrate a pattern-based approach to diagnosis of
small bowel disease on CT and MR enterography.
3. Review the role of CT and MR enterography in
the evaluation of small bowel disease.
Background
The use of cross-sectional imaging techniques for
evaluation of suspected small-bowel disease
Authors: Isabelle Dupuis; Jaykumar Nair; Geneviève
Belley; Eiman AlAjmi; Alexandre Semionov; John
Kosiuk; Jana Taylor
Learning Objectives
1. Provide an approach to most common thoracic
manifestations of collagen vascular diseases
based on clinical findings, pattern and distribution on HRCT.
2. Review patterns of interstitial diseases and
other thoracic manifestations related to collagen
vascular diseases.
3. Understand treatment complications such as drug
toxicity and opportunistic infections.
Background
Collagen vascular diseases are an immune mediated heterogeneous group of disorders, primarily
involving the lungs, pleura and mediastinum in the
thorax. The spectrum of thoracic findings is challenging, with variation in extent and frequency of
disease and association with infections or immune
reaction to treatment.
Conclusion
Knowledge of the thoracic imaging findings in
the background of collagen vascular diseases and
associated complications secondary to treatment
including drug toxicity is crucial for adequate
patient management.
EE024
Avoid the Traps! Tips for Identifying and Distinguishing Normal Thoracic CT Findings from
Pathology
Background
Readers of CT and MR enterography should be familiar with the wide spectrum of conditions affecting
the small bowel. This educational exhibit provides a
case-based review of common and uncommon small
bowel pathologies and illustrates a pattern-based
approach to characterizing enteric diseases.
Authors: Aman Jivraj; Joy Borgaonkar; Daria Manos;
Robert Miller
Learning Objectives
1. Identify commonly misinterpreted normal thoracic CT findings.
2. Describe the characteristic CT features of these
normal findings.
3. Discuss how to differentiate these normal findings
from similar appearing pathology.
Background
As CT is used with increasing frequency for the
evaluation of the chest, it is critical to understand
normal anatomy, common normal variants, normal
77
age-related changes and pitfalls related to variations
in the flow of intravenous contrast. The common
use of low-dose and un-enhanced protocols in the
thorax adds additional challenges. We will provide
examples of various normal thoracic CT findings
which are commonly mistaken for pathology.
Additionally we will provide tips for differentiating
these findings from similar appearing pathology.
3.
Multidisciplinary collaboration is necessary to
ensure imaging can be obtained efficiently to
complement neurosurgical management of
life endangering presentations in otherwise
indolent brain tumours of children.
Background
Learning Objectives
Conclusion
1. Review the pelvic anatomy.
2. Review the Young and Burgess classification
system.
3. Explain imaging findings and describe the acetabular fracture complications.
The aim of this presentation is to demonstrate that
pilocytic astrocytomas presenting with hemorrhage
occur more frequently than assumed. Consideration
of PAs in the differential diagnosis of children
presenting with hemorrhage in hypodense mass
lesions is necessary. Within the posterior fossa of
this population, small acute alternations in size can
quickly overcome the compensatory capabilities and
result in rapid clinical deterioration. Multidisciplinary
collaboration is necessary to ensure imaging can
be obtained efficiently in order to complement
neurosurgical management.
Normal anatomic structures and normal variants
can mimic pathology in the lung, mediastinum,
pleura and chest wall. Normal age-related changes
should not be mistaken for disease. A familiarity
with key normal thoracic CT findings will help the
radiologist avoid errors in interpretation and will
prevent unnecessary work up.
EE025
Imaging of Acetabular Fracture
Background
For the patient with an acetabulum fracture, accurate
radiographic diagnosis and classification are the
cornerstone of effective clinical care. The Judet and
Letournel classification has led to improved management of such injuries. Computed tomography
provides information regarding the extent of the
fracture and is complementary to radiography for
ascertaining the spatial arrangement of fracture
fragments. The five most common acetabular
fractures will be reviewed: both-column, T-shaped,
transverse, transverse with posterior wall, and
isolated posterior wall.
Conclusion
Imaging plays an important role in understanding
the fracture patterns and for surgical planning.
EE026
Hemorrhagic Presentations of Cerebellar Pilocytic
Astrocytomas in Children: A Report of Two Cases
and Review of the Literature
Authors: Mitchell P. Wilson; Edward S. Johnson; Kerry
Atkins; Wael Alshaya; Jeffrey A. Pugh
Learning Objectives
1. With a frequency of 8-11%, pediatric presentations of spontaneous hemorrhage in pilocytic
astrocytomas (PAs) are more common than
earlier reported. PAs should be considered in
the differential diagnosis when pediatric brain
imaging reveals an apparent low-grade tumour
with hemorrhage.
2. With 40% of PAs occurring in the cerebellum,
hemorrhagic presentations represent a precarious
situation whereby compensatory capabilities of
the posterior fossa can quickly be surpassed and
result in rapid clinical deterioration.
EE027
Pancreatic Adenocarcinoma: Criteria for Surgical
Resectability in the Era of Neoadjuvant Therapy
Authors: Paul Scholtz; Martin O’Malley; Kartik Jhaveri;
Amélie Tremblay St-Germain; Ian McGilvray
Learning Objectives
1. Review the current criteria for surgical resectability of pancreatic adenocarcinoma that classifies
tumours as resectable, borderline resectable
and unresectable.
2. Explore peripancreatic arterial and venous resection and reconstruction in the setting of
pancreatic adenocarcinoma.
3. Analyze imaging findings pre- and post-neoadjuvant therapy.
4. Familiarize use of pancreatic ductal adenocarcinoma radiology reporting template.
Background
Pancreatic adenocarcinoma has a poor prognosis
and surgical resection is the only potentially curative
treatment. Surgical resection has traditionally been
reserved for patients with locally limited tumours
without vascular invasion or metastases. In patients
with locally advanced pancreatic cancer involving the
peripancreatic arteries or veins, downstaging can be
achieved with neoadjuvant combined chemotherapy and radiation therapy (CRT) in approximately
one-third of patients. In selected patients, surgical
resection may be performed including arterial and
venous resection and reconstruction.
CT provides essential information in order to classify
patients with pancreatic adenocarcinomas as resectable, borderline resectable and unresectable. This
exhibit will increase knowledge and awareness of
the current resectability criteria. It will also highlight
anatomic vascular variations of surgical significance,
imaging findings pre- and post-neoadjuvant therapy
and imaging findings post vascular resection and
reconstruction.
EE028
Pleural Lesions: A Pictorial Review of Common
and Not So Common Pleural Lumps and Bumps
Authors: Elena Scali; Carol Donagh; Tony Sedlic
Learning Objectives
1. To present an overview of thoracic pathology
presenting as pleural lesions.
2. To review the radiographic and cross-sectional
imaging findings of common and uncommon
pleural lesions including neoplastic, infectious,
and post-traumatic etiologies.
3. To describe the imaging appearances that favour a pleural location for lesions identified on
radiography.
Background
Pleural lesions typically present as well-defined soft
tissue masses that form obtuse angles with the chest
wall. Although overlap exists between the radiographic and cross-sectional imaging appearance of
both benign and malignant pleural lesions, certain
clues may be instructive to make this distinction
as well as to suggest a specific aetiology. In this
educational exhibit, we elaborate an approach to
pleural lesions with an emphasis on key imaging
features and characteristic tumour components
that assist in narrowing the differential diagnosis.
Conclusion
Pleural lesions are commonly encountered in clinical
practice and may represent a spectrum of both benign and malignant aetiologies. Radiologists would
do well to recognize the key imaging features and
characteristic findings that facilitate a more concise
and clinically relevant differential diagnosis.
EE029
Hepatocellular Carcinoma (HCC): Using Imaging
and LI-RADS to Choose Optimal Therapy
Authors: Hussam Kaka; Meirui Li; Mehran Midia,
MD, FRCPC
Authors: Adnan M. Sheikh; Marcos L. Sampaio; Zaid
Jibri; Ryan Foster; Kawan Rakhra
We submit two cases of spontaneous hemorrhage
in cerebellar PAs presenting to our institution and
resulting in death. Our first case represents a WHO
Grade I PA, with a one-year history of symptomatology precipitating a rapid clinical deterioration.
An initial non-contrast CT revealed a midline solid
and cystic cerebellar mass with intra-tumoural
focal hemorrhage. Our second case represents an
asymptomatic child presenting with progressive
obtundation in an anaplastic PA variant. An initial
non-contrast CT revealed a mixed density mass
within the left cerebellum with resultant mass effect
and hydrocephalus. A follow-up MR brain revealed
the tumour’s hyperdensity to represent hemorrhage.
Review of the literature reveals hemorrhagic presentation to be 8-11% in children with PAs.
Conclusion
Conclusion
Learning Objectives
1. To learn about hepatocellular carcinoma (HCC):
its etiology, risk factors, clinical presentation and
treatment options.
2. To learn about the use of imaging in making the
diagnosis of HCC.
3. To learn about the Liver Imaging-Reporting
and Data System (LI-RADS) and the use of CT
to guide therapy.
Background
HCC is an aggressive primary liver malignancy that
occurs in the setting of chronic liver disease and its
ideal treatment is liver transplant.
Imaging plays a critical role in making the diagnosis,
with CT and MR used to differentiate benign lesions
78
from malignant carcinomas. The recently developed
LI-RADS categorizes lesions by their probability of
being malignant in order to guide therapy.
We will present an introduction to the radiological
features of HCC and an approach for categorizing
lesions using LI-RADS.
Conclusion
HCC is a liver malignancy that generally carries a
poor prognosis. Imaging is important in making
the diagnosis, and LI-RADS allows an accurate assessment of the likelihood of malignancy thereby
favouring either treatment or palliative measures.
EE030
Imaging Approach to Cerebral Venous Thrombosis
Authors: Adam A. Dmytriw, MD MSc; Colin Poon, MD
PhD; Eugene Yu, MD; Reza Forghani, MD PhD
Learning Objectives
Unrelieved pain is the greatest fear among cancer
patients and their families. The impact of inadequate
pain control is profound. Unfortunately, up to 15%
of patients do not derive pain relief from conventional analgesics and adjuvants, in accordance with
the World Health Organization’s (WHO) three-step
ladder. Minimally invasive palliative procedures are
increasingly considered to be step 4 of the WHO’s
three-step ladder.
At the BC Cancer Agency, a multidisciplinary case
conference to discuss referral for pain control
procedures and to review imaging was created.
Palliative care physicians, musculoskeletal interventional radiologists, radiation oncologists, medical
oncologists and anesthesia experts attend the
conference to determine if patients would derive
any benefit from procedures such as selective nerve
root injections, epidural injections, vertebroplasty,
cementoplasty and thermoablation.
At the conference, clinicians discuss the patient’s
clinical history and imaging is then reviewed to
inform the decision-making process in arriving at
a potentially helpful procedure.
Cancer patients present with different types of pain,
ranging from visceral to somatic to neuropathic. We
will explore the mechanisms of pain seen commonly
in cancer patients and outline the decision-making
process, in particular the role of imaging, in choice
of interventional technique.
Background
Conclusion
Cerebral venous thrombosis (CVT) is a relatively uncommon phenomenon, and frequently overlooked
at initial presentation. Familiarity with imaging
features and diagnostic work-up of CVT will help in
providing timely diagnosis and therapy which can
significantly improve outcome and diminish the risk
of acute and long-term complications, optimizing
patient care. The radiologist plays a key role by
recognizing potential signs and patterns suggestive
of CVT on NECT and confirming the diagnosis using
more advanced neuroimaging techniques.
Relieving pain and improving quality of life in
patients with cancer is a fundamental component
of palliative care. Whilst conventional analgesia
such as oral opioids and adjuvants remain the
mainstay of pain management, there is a subset of
non-responders who may and in our experience,
often benefit from minimally invasive interventional
radiology procedures.
Conclusion
Signs of CVT on NECT can be divided into indirect
signs and less commonly direct signs. Confirmation
is performed with CTV, directly demonstrating
the thrombus as a filling defect, or MRI/MRV. One
must be familiar with pitfalls of each technique and
ancillary MRI sequences helpful for detection and
confirmation of thrombi which will be discussed
using case examples. General pitfalls and anatomic
variants must also be recognized. Lastly, treatment
algorithms including indications for the use of
catheter-directed therapy are helpful.
EE031
Minimally Invasive Interventional Radiology in
Palliative Care
Authors: Colin Chun Wai Chong, MBBS, MMed,
FRANZCR; Pippa Hawley, B.Med., FRCPC; Paul Clarkson; Paul I. Mallinson; Hugue A. Ouellette; Peter L. Munk
Learning Objectives
1. Review the role of minimally invasive interventional radiology procedures in palliative care.
2. Understand common mechanisms of cancer pain.
3. Review the role of imaging in determining choice
of potentially helpful interventional technique.
EE032
The Role of Imaging in Pediatric Sinonasal Pathology
Authors: Julie Hurteau-Miller; Alireza Khatami; Matthew
Bromwich; Michael Vassilyadi; Elka Miller; Amer AlAref
Learning Objectives
This educational review has 3 main purposes:
1. Illustrate the normal anatomy and development
of the paranasal sinuses in children.
2. Differentiate imaging characteristics of sinonasal
inflammatory processes and their complications,
congenital sinonasal anomalies and acquired
benign and aggressive sinonasal lesions.
3. Highlights the important imaging information
pertinent for the consultant and ENT surgeon.
Background
Sinonasal symptoms are among the most common
complains in pediatric population. What is the appropriate imaging and imaging technique? What
are the differentiating characteristics between
these pathologies? What information is particularly
important for the consultant and ENT specialist?
Conclusion
Differentiating sinonasal anatomical variant and
pathology may be difficult unless one has good
knowledge of the normal anatomy and sinonasal
development in children. Many congenital, benign
and aggressive sinonasal lesions may also present a
diagnostic challenge. Specific imaging findings must
be recognised to narrow the differential diagnosis
and guide the pre-operative evaluation In the context
of sinusitis complications, recognizing the signs of
sub-periosteal abscess, osteomyelitis, pyomyositis,
intra-cranial abscess, cavernous sinus thrombosis
and optic neuritis can immediately change patient
management, We emphasis the important role of the
radiologist as a part of the medical team caring for
the pediatric patient. Appropriate imaging, imaging
technique and interpretation may be lifesaving.
EE033
Musculoskeletal Corticosteroid Use: Types, Indications, Contraindications, Equivalent Doses,
Frequency of Use and Adverse Effects
Authors: Jide O. Olubaniyi; Sukhvinder Dhillon; Sean
Crowther
Learning Objectives
1. Review all FDA-approved corticosteroids for
musculoskeletal injections.
2. Review indications, contraindications and adverse
effects of corticosteroids used for musculoskeletal injections.
3. Discuss mechanism of action, equivalent doses,
frequency of use and current controversies
regarding musculoskeletal corticosteroid use.
Background
Musculoskeletal corticosteroid injections are widely
used to reduce inflammation, provide short to
medium term pain relief and restore function. They
are employed in the management of a variety of
musculoskeletal conditions such as degenerative
diseases, inflammatory diseases or post-traumatic
soft tissue injury. Injectable steroids can be administered safely into joint space, periarticular soft
tissues, bursa and tendon sheaths usually under
image-guidance and in combination with a local
anaesthetic agent. However they differ in clinical
effectiveness, duration of action, equivalent dose
and side-effect profile. A detailed knowledge of the
characteristics of each corticosteroids is important
for the safe practice of musculoskeletal radiology.
Conclusion
This educational exhibit provides a detailed but
concise review of the pharmacological properties,
indications, contraindications, equivalent doses and
safety profile of all the FDA-approved corticosteroids
currently available for musculoskeletal injections.
EE034
1. Review cerebral venous anatomy as well as the
pathophysiology and clinical presentation of CVT.
2. Examine imaging findings suggestive of CVT
across CT, MRI, US, and DSA and become acquainted with the pros, cons and pitfalls of
each modality.
3. Become familiar with treatment options for CVT,
including neurointerventional techniques, with
cases illustrating reversibility of brain abnormalities after successful treatment.
Background
Inferior Vena Cava Filters: Appropriate Use and
Management
Authors: Sean A. Kennedy; Mark O. Baerlocher
Learning Objectives
1. To review current evidence on the use of inferior
vena cava (IVC) filters.
2. To review the indications and contraindications
for the use of retrievable IVC filters as well as
appropriate duration of IVC filter placement.
3. To review the indications and contraindications
for the use of non-retrievable IVC filters.
4. To review potential IVC filter complications and
appropriate management strategies.
79
Background
Background
EE039
Inferior vena cava (IVC) filters can prevent pulmonary
emboli in select patient populations. Despite this,
there is little evidence demonstrating mortality
benefit from IVC filter use. Different filter types exist
and have unique indications for use. Though rare,
major complications, including major bleeding and
filter migration, do occur and require appropriate
monitoring and management. We hope to provide a
concise overview of the appropriate use of retrievable
vs non-retrievable IVC filters and management of
potential complications.
Despite ongoing advances in the technological
era of radiology, understanding key anatomical
details and radiographic features of commonly
encountered and subtle lower extremity fractures
is essential. We aim to provide an anatomic review
of the lower extremity and showcase a wide spectrum of fractures that can occur through the use
of an engaging format as a means to enhance the
translation of knowledge and understanding of 10
selected fractures of the lower extremity and their
radiographic features.
Incidental Cardiac Findings on the Non-Gated
Chest CT
Conclusion
Conclusion
IVC filters can be successfully used to prevent
pulmonary emboli in select patient groups. Appropriate management and follow-up after IVC filter
placement is required to optimize patient safety.
X-rays are commonly requested following traumatic
lower extremity injuries as a means to elucidate the
true extent of damage incurred. Timely and accurate
radiographic diagnosis is critically important to allow
for the appropriate delineation of treatment plans.
In academic and community radiology alike, a solid
foundation regarding lower extremity anatomy and
radiographic features of fractures is fundamental.
EE036
The AC Joint: Traumatic and Systemic Manifestations of Disease
EE038
Learning Objectives
Algorithm to Confidently Identify the Cerebral
Lobes on CT and MRI
1. Review normal imaging anatomy of AC joint.
2. Identify imaging findings in AC joint trauma and
its sequelae, and indicate how imaging changes
management.
3. Describe the systemic diseases that manifest at
the AC joint, and recognize the imaging findings
utilizing various modalities.
Background
Acromioclavicular joint injuries are extremely common in the athletic population, comprising 9% of
injuries to the shoulder girdle. Sound knowledge of
local anatomy allows reliable radiographic identification of immediate injury. However, posttraumatic AC
joints often develop osteoarthritic changes and less
commonly osteolysis, with subsequent overlapping
imaging features with nontraumatic pathology.
Specifically, entities such as septic arthritis, RA,
CPPD, neoplasm, and other systemic diseases such
as hyperparathyroidism can all manifest at the AC
joint and pose considerable diagnostic challenge.
Conclusion
AC joint injury is frequently encountered in athletes
and imaging plays a primary role in prognosis. Post
traumatic changes are common, however other pathologies such as infection, inflammation, neoplasm
must be considered. Further, AC pathology may offer
a window into diagnosing more systemic disease.
EE037
Test Your Knowledge and Name the Fracture: A
Review of 10 Fractures of the Lower Extremity
and Their Radiographic Features
Authors: Stacey L. Speer; Stephany Pritchett
Learning Objectives
1. To highlight and review a variety of fractures
that are critical for radiologists to be aware of.
2. Review key anatomic details of the lower extremity anatomy.
3. Provide a pictorial review as a means to illustrate
key imaging features of commonly encountered
and subtle fractures.
4. Utilize a creative approach to engage the target audience and enhance the translation of
knowledge related to lower extremity fractures.
Authors: Aninda Saha; Julian Dobranowski; Rita
Nassanga
Learning Objectives
1. Understanding the anatomical basis of naming
of the cerebral lobes.
2. Develop a method of identifying the borders
of the lobes.
3. Describe the gyral anatomy of the lobes.
4. Develop a method of identifying important sulcal
landmarks on cross section images of the brain.
5. Based on the above, be able to confidently identify
each of the lobes based on the sulcal landmarks.
Background
Knowledge of brain surface anatomy is fundamental
to understand the anatomical basis of naming the
cerebral lobes. Identification of the sulci on cross
section images can be challenging. The 3D reconstructions and correlation with axial images is a
powerful method of identifying the landmarks. The
systematic algorithm described will clearly assist in
consistently identifying the anatomical landmarks.
These key landmarks will in turn allow for precise
identification of the boundaries of the lobes and in
turn accurately localize cerebral lesions.
Conclusion
We will provide an approach to confidently identifying key sulci in the standard planes. 3D reconstruction from cross section images will reinforce
this process.
These key landmarks will then allow for precise
identification of the boundaries of the lobes.
Knowledge of this anatomy will also allow for
accurate localization of pathology even when
considerable distortion of anatomy has occurred.
A few cases with pathology will stimulate the
learner to put into practice the process of using
the suggested algorithm.
Learning Objectives
1. Review clinically relevant cardiac findings on the
non-gated chest CTs.
2. Provide clues for diagnosis and examples of
confirmed cardiac findings that can affect the
care of the patient.
3. Review scan parameters that can optimize the
detection of cardiac findings and control the
patient dose.
Background
Computed tomography is commonly done to
confirm the clinical suspicion and to narrow the
differential in a patient with presenting respiratory
or cardiovascular symptoms.
Multidetector CT (MDCT) technology with superior spatial resolution and short scan times makes
identifi-cation of cardiac pathology possible even
on non ECG gated studies.
MDCT can have a broad impact on the detection
of incidental cardiac findings. Oftentimes these
find-ings will complete the overall picture and
be an important etiologic factor of the patients’
presentation.
Conclusion
Incidental findings on CT of the thorax can have
important diagnostic, treatment and prognostic
implications. Awareness of the cardiac pathology
that can be visualized on CT can increase the sensitivity of the test and its clinical utility.
Protocol optimization can improve temporal resolution, image noise and shorten scan times. Understand-ing the advantages and inherent trade-offs
can help achieve optimal diagnostic yield and
control the patient dose.
EE040
Blunt Cerebrovascular Injury: Indications for
Screening and Imaging Criteria and Review of
Current Guidelines
Authors: Fateme Salehi; Andrew Leung
Learning Objectives
1. To provide an overview of current diagnostic approaches in blunt cerebrovascular injuries (BCVI).
2. To review the latest guidelines for imaging of
trauma patients with suspected BCVI.
3. To provide an organized approach to interpretation of CTA images.
4. To feature imaging findings in blunt cerebrovascular injuries.
5. To highlight the current management issues in
patients with BCVI.
Authors: Ian D. Cheyne; Elizabeth Roy; Bruce Forster
Authors: Pavlo Ohorodnyk; Mark Landis
Background
The incidence of cerebrovascular injury in blunt
trauma patients is approximately 0.1%, though with
appropriate screening and imaging of asymptomatic patients, it rises to 1%. Currently, the majority
of inju-ries are diagnosed after the development
of symptoms, and are associated with morbidity
and mortality of up to 80% and 40% respectively.
Appropriate screening is essential to timely diagnosis
and treatment of CBVI patients. However, ambiguity
exists surrounding optimal imaging criteria in
80
blunt trauma. We review the latest evidence based
guidelines.
Conclusion
Key issues that are addressed in the diagnosis of
BCVI include:
1. What population merits screening for asymptomatic injury,
2. What screening modality is optimal,
3. What is the appropriate treatment for BCVI,
4. What constitutes appropriate follow-up for
these injuries.
We highlight current evidence-based screening
criteria for BCVI in blunt trauma patients. We feature
BCVI imaging characteristics on CT angiography
images, and provide illustrative cases from our
experience at London Victoria General Hospital, a
quaternary care trauma centre.
81
ABSTRACTS
RÉSUMÉS
Scientific Exhibits
Expositions scientifiques
All the Scientific Exhibits are in digital format and are available for
viewing in the foyer on the 5th floor.
Toutes les expositions scientifiques sont en format numérique et peuvent être visionnées dans le foyer au 5e étage.
THURSDAY, MAY 28, 2015 – SATURDAY, MAY 30, 2015
JEUDI LE 28 MAI, 2015 – SAMEDI LE 30 MAI, 2015
Room 519BE.
JUDGES / JUGES : Dr. Manon Bélair, Dr. Srinivasan Harish, Dr. Ania Kielar
canadienne (FRC) et seront remis le samedi 30 mai à 8h00, dans la salle
519BE.
Objective
Objective
Percutaneous Radiologic Gastrostomy Can Safely
Be Performed as an Outpatient Procedure in
Patients with Head and Neck Cancer
To retrospectively determine if various clinical
parameters in patients who undergo unenhanced
colic are predictive of a positive CT finding of an
obstructing urinary tract calculus.
The primary objective of this exhibit was to explore
international manuscript submissions to the CARJ
and to delineate prevailing trends and the impact
of these contributions. Moreover, acceptance rates
of national and international submissions will be
directly compared and strategies to help aid the
CARJ in further expanding its international presence
will be proposed.
Authors: Reza Nasirzadeh; Devang Odedra; Alexandre
Menard
Objective
Percutaneous radiologic gastrostomy (PRG) in
patients with head and neck (H&N) cancer is performed as an inpatient procedure in many centers.
The purpose of this study was to determine the
feasibility and safety of PRG as an outpatient same
day procedure.
Methods
Records of all H&N cancer patients that were referred
for PRG from January 2010 to June 2013 as outpatients or inpatients were retrospectively reviewed.
Fifty outpatients and fifty-one inpatients collectively
underwent 101 PRGs for symptom management or
prophylaxis. Patient demographics including age,
sex, prior diagnosis of diabetes, as well as cancer
staging were recorded. The technical success,
6-month minor, major and early complication (within
15 days) rates, as well as 15-day mortality in both
patient populations were recorded.
Results
Inpatient and outpatient populations had equivalent
demographics. The inpatients were significantly
more symptomatic from their H&N cancer (61%)
compared to the outpatients (31%). There was
100% technical success rate for all procedures.
There were 3 major (5.9%), 14 minor (27.5%), 7 early
complications (13.7%) and 1 mortality (2%) in the
inpatients. There were 4 major (8%), 4 minor (8%),
4 early complications (8%) and 1 mortality (2%)
in the outpatients. There were significantly more
minor complications in the inpatients compared
to outpatients (p= 0.018). There was no significant
difference in the rate of early complications, major
complications or 15-day mortality between the two.
Conclusion
The safety profile of PRG in H&N patients performed
as same day outpatient procedures is comparable to
inpatient procedures with overnight stay in hospital.
Methods
Approval for this study was obtained from the institutional review board and informed consent waived.
438 randomly selected patients who presented to
the emergency department with suspected renal
colic and underwent CT-KUB between October
2009 and January 2012 were identified. Their charts
were reviewed and the following recorded: gender,
pain location, severity, time of onset, prior history
of stones, any urinary symptoms, fever, WBC, urine
nitrites, pyuria, and hematuria. The CT reports were
also reviewed and categorized as either positive or
negative for an obstructing urinary tract calculus, and
any alternative diagnoses. A multivariable logistic
regression analysis was performed to analyze the
contribution of each variable to the likelihood of
a positive CT-KUB.
Results
Overall, 59.6% of the patients evaluated in this
study were found to have a positive CT-KUB. We
found a statistically significant association (p=0.05)
between a positive CT-KUB and male gender (Odds
ratio, OR 2.76), time of onset = 24 hours (OR 1.95),
and hematuria (OR 3.32). A model which included
only these three variables demonstrated 68.9%
accuracy in the prediction of a positive CT.
Conclusion
This study finds three specific clinical variables which
are independently predictive of a positive finding
of obstructive stone disease on CT in patients presenting to the emergency department with renal
colic. While this does not completely obviate the
need for CT-KUB in the emergency setting, in high
probability clinical scenarios the need for CT-KUB
may need to be re-evaluated. These results merit
further investigation, including the potential impact
on clinical outcome and cost analysis.
SE003
SE002
Internationalization of Submissions to the Canadian Association of Radiologists Journal
Correlation of Clinical Parameters with Results
of Unenhanced Renal Colic CT in the Emergency
Department Setting
Authors: Tyler M. Coupal; Paul I. Mallinson; Hugue
Ouellette; Wilfred Peh; Jose Florencio F. Lapeña Jr.;
Peter L. Munk
Authors: Emily Pang; Katarina Janic; Kirpalani Anish
Methods
A five-year retrospective review of manuscript
submissions to the CARJ was conducted between
2009 and 2013. The country of origin for submissions
was recorded, as well as the decision on publication
acceptance or rejection. Rationalization for manuscript rejection was reviewed and all outcome
measures were directly compared between national
and international submissions.
Results
Since 2009, the number of submissions from international authors has demonstrated an upward
trend: 2009; 22/95 (23.2%), 2010; 62/178 (34.8%),
2011; 67/123 (54.5%), 2012; 74/147 (50.3%), 2013;
81/152 (53.3%). International countries submitting
the greatest number of manuscripts include: USA
(7.6%), Turkey (5.9%), China (5.5%), Ireland (3.5%),
Iran (3.2%), and India (3.1%).
SCIENTIFIC EXHIBITS / EXPOSITIONS SCIENTIFIQUES
SE001
Over the studied period, 17.8% of international
submissions were accepted for publication, as
compared to 55% for Canadian submissions. Overall
acceptance from all sources was 40%. Countries
with the highest acceptance rates were: USA (54%),
Singapore (50%), Korea (50%), Belgium (50%), and
Ireland (42%).
The most common reasons provided for rejection
of international manuscripts included: flawed
study design (41%), poorly structured manuscript
(language, grammar, academic misconduct) (39%),
insufficient contribution to current literature (29%),
and subject matter not aligning with readership
interests (19%).
Conclusion
Over recent years, there has been a growing interest
among international authors to publish in CARJ
with a trend towards increasing acceptance rates
for these submissions. As such, international publications have been shown to provide an integral
contribution to CARJ’s academic output. By further
expanding a mandate which fosters international
submissions, the CARJ will continue its current
trajectory of developing as an internationally
recognized journal.
82
SE004
Incidental Findings in CT Imaging of Coronary
Artery Bypass Grafts: Results from the Canadian
Multicentric PATENCY-CORONARY Trial
Authors: Irina Boldeanu; Jessica Perreault Bishop;
Simon Nepveu; Louis-Mathieu Stevens; Gilles Soulez;
Teresa M Kieser; André Lamy; Nicolas Noiseux; Carl
Chartrand-Lefebvre
Objective
Methods
The PATENCY-CORONARY trial (ClinicalTrials.gov:
NCT01414049) is an ongoing Canadian multicenter prospective trial of consecutive patients
undergoing CABG surgery with (on-pump) versus
without (off-pump) cardiopulmonary bypass.
Grafts are assessed with CT after one-year postoperative follow-up. This study includes the initial
144 patients (122 males, mean age 69,7 ± 6,7
years, smokers 72.9%) from PATENCY-CORONARY.
Contrast-enhanced ECG-gated CT was used, with
z-axis coverage from clavicles to diaphragm. IF
were classified as significant if they were considered to need an immediate action or treatment,
short-term work-up or imaging follow-up, or minor.
Results
Among all patients, 207 IF were present in 109
(75.7%) patients, with 35 patients (24.3%) presenting no IF. Among the 207 IF, 71 (34.3%) were
cardiac in 52 patients and 136 (65.7%) were extracardiac in 87 patients (some patients presented both). Most common cardiac IF were atrial
dilatation (39 patients, 48 IF (67.7 %) and aortic
valve calcifications (7 patients, 9.9 %). Only one
cardiac IF (left ventricular hypertro-phy) (1.4 %)
was significant.
Among the 136 extracardiac IF, the most common were lung nodules (45 patients, 49 nodules,
36.0%), and emphysema (21 patients, 15.4%).
Thirty-six (26.5%) extracardiac IF were significant
and notably, 18 (50.0%) of them were lung nodules. Imaging follow-up was recommended in 29
cases, for lung nodules (16 patients, 55.2%). Extrathoracic IF involved abdominal (21.3%), mammary (1.5%) and cervical (8.8%) regions.
Conclusion
Most common CT incidental findings in patients
with CABG were lung nodules and emphysema.
Fifty-five percent of lung nodules required imaging follow-up in this population with high oncological risk.
SE005
CT Chest at Equivalent Radiation Exposure to
Chest Radiography: Optimal Lesion Depiction
Using a Beam Hardening Corrected Modeled
Iterative Reconstruction Algorithm
Authors: Patrick D. McLaughlin; John Mayo; Ana M.
Bilawich
Objective
To compare the appearance of pulmonary parenchymal lesions between contemporaneously acquired regular dose CT images and ultra low dose
CT images reconstructed using a novel beam
Methods
92 pulmonary parenchymal lesions (81 solid, 9
part solid, 1 ground glass) identified on regular
dose (RD)(120kv, ref mAs120, 64x0.6 mm) CT of
the chest performed 1 hour after CT guided chest
biopsy were retrospectively included in this intraindividual comparison study. Ultralow dose (ULD)
(80kv, ref mAs 5, 32x1.2 mm) CT was performed
in all cases 3 hours after CT guided chest biopsy.
RD images were reconstructed with filtered back
projection (wFBP) and ULD images were reconstructed using wFBP and SAFIRE+ without (S+)
and with beam hardening correction (S+BHC).
Lesion size measurement and objective image
quality analysis was performed for all datasets.
The relative conspicuity, internal density and margin characteristics of each lesion on ULD images
was subjectively graded in direct reference to its
appearance on RD(FBP) images using a 5 point
scale (5=equal depiction, 1=non visualization).
conflicting practices that can facilitate ‘dose creep’
in the clinical environment.
Background
The term ‘dose creep’ is generally accepted as a
pitfall with advancing technology in general radiography. This is because of the wide latitude, and
thus potential for over exposure, during general
radiographic examinations. A PhD study conducted in the UK provides insight into the actions,
views and feelings of diagnostic radiographers,
which may be attributing to dose creepwithin the
clinical environment.
Conclusion
The findings in this PhD research highlight that
the actions, views and feelings of radiographers
can impact on dose creep within the clinical environment. It suggests that radiographers and
service delivery managers may need to continuously reflect on clinical practices in order to keep
radiation doses as low as reasonably practicable
with advancing technology.
Results
SE007
M e a n E D, D L P, a n d C T D I vo l o f U L D C Ts
were 0.09±0.01mSv, 6.16±0.8mGy.cm and
0.18±0.03mGy respectively representing approximately 30 times dose reduction over RD CT. Mean
lesion size was 12mm (range 2mm-71mm). Median relative conspicuity scores were highest for
S+BHC as compared with S+ and wFBP images (5±0.7 vs 3±0.6 and 2±0.6, p=0.001). Only 1
out of 92 lesions (3mm, solid) was not visible on
ULD(S+BHC) images.
Global Health Imaging and International Radiology: A National Survey of Canadian Radiology Residents
Conclusion
Ultra low dose CT images of the entire chest with
a novel beam hardening corrected modeled iterative reconstruction algorithm results in less image
noise and similar lesion conspicuity as compared
with filtered back projection CT images acquired
with 30 times greater radiation exposure.
SE006
Authors: Rebecca Zener; Ian Ross
Objective
Global health interest among medical trainees
has steadily increased in North America over the
last three decades. It has been found that radiology residents in the United States are motivated to
gain global health imaging experience, and that
there is a discrepancy between resident interest
and availability of opportunities. The purpose of
this study was to determine Canadian radiology
residents’ level of interest in global health imaging, and the opportunities available to residents
at Canadian training programs.
Methods
‘Dose Creep’ in Action: A Contemporary Insight
into the UK Radiology Environment
A peer-reviewed, online, anonymous, multiple-choice survey was distributed to Canadian
radiology residents via email.
Author: Christopher M. Hayre
Results
Objective
To provide an insight of ‘dose creep’ within the
radiology environment. To identify radiographers’
actions facilitating dose creep. Assessment of
radiographers’ views and feelings regarding radiographic technique.
Methods
The methods used in this PhD research were
participant observation and semi-structured
interviews. The observations explored ‘what
radiographers did’ in the clinical environment.
Semi-structured interviews provided a deeper
understanding of the ‘actions of radiographers’
observed during radiographic examinations.
Results
The findings provide insight into ‘dose creep in action’ within the clinical environment. Radiographic techniques such as exposure factors, source to
image distance and collimation are considered in
this section. Radiographers’ views and attitudes of
dose optimisation are presented demonstrating
To assess the prevalence and clinical significance
of incidental findings (IF) identified with CT imaging of coronary artery bypass grafts (CABG).
hardening corrected modeled iterative reconstruction algorithm (SAFIRE+, Siemens Healthcare).
50 residents responded to the survey. A majority
(65%) of residents planned on pursuing some
form of international work in radiology, with the
majority (52.5%) planning to be involved with
on-site collaboration in education and training
of local staff in new modalities or interventional
techniques. A large proportion of residents (60%)
would have been likely to participate in a global
health imaging experience or outreach program if
one were available during their residency. However, the vast majority of residents (79%) stated that
they attended programs without such opportunities or they were uncertain if they existed. Only
1 resident (2%) had completed a global health
imaging experience in a developing country. A
majority of residents (54%) were uncertain as to
whether they would be adequately prepared to
help improve access and availability of medical
imaging in developing countries upon completion of residency. Overall, residents felt that a
global health imaging program would increase
their knowledge of infectious diseases, increase
their exposure to diseases at advanced stages of
presentation, enhance their knowledge of basic
83
imaging modalities, and improve their cultural
competence.
Conclusion
While many Canadian radiology residents are interested in participating in global health imaging,
their preparation to do so may be inadequate. In
Canada, as in the United States, there is likely an
imbalance between radiology resident interest
in global health imaging and the availability of
opportunities.
To Core or Not to Core: The Number of Core Biopsy Sampling During Computed Tomography
Guided Transthoracic Lung Biopsy Does Not
Increase the Rate of Complications
Authors: Sriharsha Athreya; Alon Coret; Laura
Schneider; Christian J. Finley; Colin Schieman; Wael
C. Hanna; Maurice D. Voss; Colm Boylan; Yaron Shargall
Objective
Computed Tomography-guided transthoracic
needle biopsy of the lung (CT-TTNB) is considered a safe and effective diagnostic tool for sampling of potentially malignant lesions but they
are not without risk. The primary objective of this
study was to explore whether specific patient and
procedure-related factors are associated with
biopsy-related complications. The secondary objective was to compare our centre’s experience
with accepted ACR-SIR-SPR guidelines for quality
assurance.
Methods
Data from patients undergoing CT-TTNB at a tertiary academic centre between July 2011 and
June 2012 were retrospectively collected from
patients’ charts. Abstracted data included demographics, procedural details (needle size, technique, number of cores obtained), FEV1 and DLCO
(used as lung function indicators), complication
data and final pathology results. Complications
were collected and severity was coded according
to ACR-SIR-SPR guidelines.
Results
Three-hundred and four patients with mean age
of 68.5 (22-89) and 49% male (148/304) underwent CT-TTNB for potentially malignant lesions.
93.4% (284/304) of biopsies were diagnostic.
Complications occurred in 34.2% (104/304) of
cases; 98 minor and 6 (1.9%) major. One hundred
(100) patients (32.9%) experienced a post-biopsy pneumothorax, of which only 5.9% (18/304)
required chest tube insertion and 5.6% (1/18)
required overnight admission. Self limiting minor
hemoptysis was reported in 18 patients. Older
age (p=0.025), lower DLCO values (p=0.014) and
smaller lesions (p=0.003) were significantly associated with an increased risk of complications
whereas lesion location (p=0.783) and number
of passages (p=0.614) were not associated with
complication events.
Conclusion
Complications associated with lung biopsy are
not uncommon but most events are mild and do
not require intervention. Older patients, those
with impaired DLCO values and smaller lesions
were all associated with an increased risk of adverse events. In our experience, complication
SE009
Impact of N-Butylscopolamine on 18F-FDG
Bowel Uptake in Type 2 Diabetes Patients Treated with Metformin
Author: David Bellemare
Objective
Increased bowel uptake of 18F-fluorodeoxyglucose (FDG) in diabetic patients treated with
metformin may result in decreased diagnostic
accuracy of positron emission tomography (PET),
particularly for detection of bowel lesions. N-butylscopolamine (Buscopan) is used in many institutions to decrease physiological bowel uptake
and improve bowel evaluation. We aimed to investigate the influence of N-butylscopolamine
on 18F-FDG bowel uptake specifically in diabetic
patients treated with metformin.
Methods
This retrospective study included 230 diabetic
patients (aged 48 to 85 years old) who were imaged by whole-body FDG-PET/CT for an oncologic indication. Area of maximal bowel uptake was
localized visually and assessed using maximum
standardized uptake value (SUVmax). Details
concerning metformin intake and N-butylscopolamine administration were extracted from
medical records.
Results
Average bowel SUVmax in patients treated with
metformin who received N-butylscopolamine
and those who did not was 10.3 ± 4.4 and 11.8
± 5.4, respectively. A one-way ANOVA analysis
did not reveal a significant difference in bowel
SUVmax between these two groups (p=0.1793).
Conclusion
The results of our study suggest that there is no
significant impact of N-butylscopolamine administration on 18F-FDG bowel uptake in diabetic patients treated with metformin. Hence,
N-butylscopolamine seems to have little potential
to improve FDG-PET/CT accuracy in this patient
population.
SE010
Assessing the Utility of an Evaluation App for
Diagnostic Radiology Residents on a Transition
to Practice Rotation
Authors: Catherine Lang; Eric Bartlett; Pascal N. Tyrrell; Nima Razaghi-Kashani; Karen Finlay; Emma
Finley; Linda Probyn
Objective
The Transition to Practice (TTP) rotation allows
postgraduate year five (PGY-5) residents to move
between subspecialty areas on a daily basis to
fill in knowledge or skill gaps. The TTP format,
with supervisors potentially changing on a daily
basis, makes evaluation challenging. The purpose
of this study is to evaluate the utility of an app
created to allow each subspecialty supervisor to
provide immediate feedback to residents based
on daily direct observation.
Methods
PGY-5 residents participated in a four-week TTP
rotation moving between subspecialty areas
of their choice. Daily subspecialty supervisors
completed an app evaluation to review resident
performance at the end of each shift. The overall
rotation supervisor also completed a traditional end-of-rotation in-training evaluation report
(ITER).
Results
Thirteen residents completed 14 TTP rotations
with a median of 9 app and 1 ITER evaluations
completed per rotation. Residents moved between a median of 3 subspecialty areas during
their TTP rotation. The median time to ITER completion was 6.5 (range 0-144) days, and face-toface feedback occurred for 11/14 (78.6%) of the
ITERs. Comments were provided 76.8% of the
time in the TTP app evaluations, whereas comments were only provided 59.5% of the time for
ITER evaluations. A Bland-Altman plot comparing
the app and ITER showed an acceptable bias of
-0.6 (SD=0.9). A satisfaction survey of participants
indicated that the app was a useful evaluation
tool.
Conclusion
The app evaluation provides immediate feedback
for residents based on direct observation, and it
was found to be an effective and useful evaluation tool.
SE011
Natural History of Prostate Lesions on Serial
Multiparametric MRI
Authors: Silvia Chang; Jennifer Waterhouse; Richard
Savdie; Alison Harris; Martin Gleave; Peter Black;
Larry Goldenberg; Lindsay Machan; Alan So
Objective
We aim to describe the changes observed over
time on serial mp-MRI, and to determine the role
of repeat mp-MRI in altering management decisions in men on active surveillance (AS).
SE008
rates were not impacted by the number of passages and thus completing additional passages
in an attempt at obtaining a definitive tissue diagnosis should not be considered unsafe. The
results of our centre were in keeping with ACRSIR-SPR guidelines.
The prostatic lesions were subjected to the new
PIRADS scoring criteria which allowed a direct
comparison of the most recent classification to
the former scoring method.
Methods
The correlation of multiparametric MRI (mp-MRI)
with biopsy and prostatectomy findings is well
documented. However, little has been reported
on the natural transformation of prostate lesions
over time on serial imaging.
The new PIRADS classification has been recently
designed to promote global standardization and
diminish variation in the acquisition, interpretation, and reporting of prostate mp-MRI examinations.
Results
Serial MRIs were performed for active surveillance
monitoring in 42 men and for suspicion of prostate cancer in 23 men. Collectively, there were 93
lesions on MRI1 and 143 on MRI2 for analysis. New
lesions were seen in 34 of 65 (52.3%) patients. The
median number of lesions seen/patient increased
from 1 (1-2) to 2 (1-3). 53.4% of lesions had no
84
change in observed size, while 29.4% and 18.5%
increased and decreased in size, respectively. The
mean rate of increase in size was 0.44 mm/yr. The
mean (SD) change in ADC was -45 units (±209) per
lesion between MRI1 and MRI2. 55 lesions were
scored PIRADS 3 or less on first MRI. These same
lesions converted to PIRADS 4 in just 5 cases (9%).
In 12% of cases, ULDCT identified and localized
ureteric stones prior to SWL that were not seen
on KUB. In future, ULDCT may replace KUB as it
delivers less radiation with potentially more information immediately prior to SWL.
Conclusion
The 5 C’s of Radiology Education: A Framework
for Developing a Comprehensive Approach for
Radiology Education for Medical Students
The new PIRADS criteria downgraded many of the
previously classified PIRADS 4/5 lesions, changing
the need for biopsy.
SE012
Comparison of Abdominal Radiograph and
Non-contrast Ultralow Dose CT for Kidney
Stones (CANUCKS)
Authors: Patrick D. McLaughlin; Charles Zwirewich
Objective
At our institution, Kidney-Ureter-Bladder (KUB)
radiographs are performed immediately prior to
shock-wave lithotripsy (SWL). Conventional low
dose CT-KUBs (2.2-3.0 mSv) are only performed
if stones are not visible on KUB. Recent advances
in integrated circuit CT detector design (STELLAR,
Siemens Healthcare) and image reconstruction
algorithms have made sub-milliSievert ultra-low
dose CT (ULDCT) acquisition feasible, but the
diagnostic performance of these ULDCTs has not
yet been reported. In this prospective study we
compare the radiation dose and diagnostic performance of ULDCT to KUB in patients prior to
SWL. We hypothesized that ULDCT would provide
at least the same amount of information as a KUB
immediately prior to SWL.
Methods
Patients enrolled in this study consented and
received both a KUB radiograph and an ULDCT
prior to SWL. If no stones were identified, then a
standard low dose abdominal CT was obtained.
Radiation exposure parameters were recorded
and both examinations were read in random order by 2 blinded radiologists to determine the
correlation between the two modalities.
Results
102 patients (M:F, 72:32) with a mean age of 55.7
± 13.8y were enrolled. The effective radiation
dose was significantly lower with ULDCT (0.28
±0.08 mSv) compared to KUB (0.54±0.11 mSv,
p=0.001). The number of stones seen on both
modalities was equivalent: KUB was 1.59±1.27
vs 1.92±01.51 for ULDCT (p=0.35). However in 12
cases (12%), the ULDCT helped localize ureteral
stones that were not visible on KUB. Measurement of stone size was equivalent using ULDCT
(6.47±3.34mm) compared to KUB (6.98±3.41mm,
p=0.455). ULDCT altered treatment priority of
treating the ureteral stones first.
Conclusion
Sub-milliSievert ULDCT delivers 48% less radiation than a plain KUB radiograph and was equivalent in detecting the number and size of stones.
Authors: Kari L. Visscher; Lisa Faden, PhD; Georges
Nassrallah; Stacey Speer; Daniele Wiseman
Objective
Finding space, personnel and finances to integrate a formal radiology curriculum into undergraduate medical education has been a longstanding dilemma. An important first step for a
department is to define its current status. The
purpose of this study is to conduct a radiology
exposure inventory from the perspective of the
medical student, and use qualitative methodology to gain new insights into the experiences and
perspectives of medical students as it relates to
radiology education.
Methods
After receiving ethics approval, four semi-structured focus groups were conducted, one per year
of undergraduate medical training at Western
University. The transcribed audio recordings
and accompanying field notes were analyzed
using modified thematic analysis. Modifications
involved independent initial analysis by KLV, GN
and SS who then met to clarify and resolve variations in understanding and coding. Findings
were independently reviewed by LF to ensure
the analysis provided a reasonable account of the
data without gaps or leaps of logic. This strategy
is referred to as investigator triangulation and is
accepted as a means of increasing the strength
(or validity) of qualitative data analysis.
Results
Participants included 28 medical students: 18 in
medical school years 1 and 2 (preclerkship), and
10 in years 3 and 4 (clerkship). Thematic analysis
of the data showed 5 broad factors that medical
students consider important for a comprehensive radiology education. To aid in memory of
these 5 factors, we have labeled them the 5 C’s of
Radiology Education: Curriculum, Coaching, Collaborating, Career and Commitment. Each factor
is important to medical students and creating a
balance of the 5 C’s is ideal. Students offered both
general and specific suggestions for each factor.
Conclusion
Derived from medical student feedback, the 5
C’s of Radiology Education framework reflects
students’ needs for a more comprehensive and
student-centered approach to radiology education. This framework, coupled with specific suggestions for improvement and implementation,
provides a road map for practical quality improvement initiatives.
SE014
Contrast-Enhanced Small Bowel Ultrasound in
the Assessment of the Small Bowel in Patients
with Crohn’s Disease
Authors: Ciaran Healy; David Ferguson; Fergal
Objective
Non-invasive radiological assessment of Crohn’s
Disease has traditionally utilized barium studies,
com-puterized tomography or magnetic resonance imaging. Ultrasound is emerging as a reliable, non-invasive method of assessing the small
bowel. The additive value of using injectable contrast agents is gaining popularity in assessing and
following Crohn’s small bowel disease, and distinguishing acute disease from fibrostenotic disease,
resulting in a significant change in patient management. Our objective is to assess the impact
of contrast enhanced small bowel ultrasound on
management of patients with Crohn’s Disease.
Background
Patients with an established or a suspected diagnosis of Crohn’s Disease referred for a focused
small bowel ultrasound were studied. Small bowel ultrasound findings, subsequent need for contrast enhanced ultrasound and outcomes were
analyzed.
Conclusion
53 patients were referred for a focused small bowel ultrasound. Of the 53 patients who underwent
small bowel ultrasound for suspected Crohn’s
Disease, 31 had normal findings. 19 ultrasounds
were perceived as abnormal, the most common
patterns of abnormality being thickened and hyperaemic small bowel. 14 of these 19 subsequently underwent contrast enhanced small bowel
ultrasound. Of this group, 10 had moderate to
avid small bowel wall enhancement, and 4 had
poor or minimal small bowel wall enhance-ment.
There was 100% correlation between contrast
enhanced ultrasound findings and endoscopic,
biopsy, clinical correlation and follow-up.
SE016
Quality of CT Images Acquired with Power Injection of an Arm Port
Serial mp-MRI demonstrates small changes in lesion appearance over time. However, the appearance of new lesions is common. Changes in lesion
characteristics between MRIs significantly influenced the management of men on active surveillance at our institution. The degree of change that
warrants interven-tion remains to be determined.
SE013
Donnellan; B Salh; Nazira Chatur; Alison Harris
Authors: Hager Haggag; Christine Roh; Ian Y. Chan;
Brent Burbridge ; David Leswick
Objective
To compare CT image quality with intravenous
contrast injection via arm port versus conventional peripheral intravenous injection.
Methods
18 patients with power injectable arm ports who
received CT were identified from a database. All
subjects received a single ‘mixed phase’ chest-abdomen-pelvis CT scan via an arm port injection,
and also had a prior similar CT with injection via
a peripheral vein. Objective image quality was
assessed by signal-to-noise (SNR) and contrastto-noise (CNR) ratios at three levels in the chest,
which included the aortic arch, right pulmonary
artery (PA), main PA, descending aorta, left atrium. Statistical analysis was performed using twotailed t-tests.
Results
There was no significant difference in objective
image quality between injection via arm port and
via peripheral vein as they had similar SNR and
CNR at all assessed locations. For example, for
aortic arch: SNR 29.15 ± 8.43 vs. 30.73 ± 8.37
85
(p=0.58) and CNR 19.76 ± 7.34 vs. 20.37 ± 7.93
(p=0.82). P values for SNR at other assessed locations ranged from 0.66 to 0.99. P values for CNR at
other assessed locations ranged from 0.47 to 0.97.
Conclusion
SE017
Assessing the Gap in Female Authorship in Radiology: Trends over the Past Two Decades
Authors: Teresa Liang; Cathy Zhang; Rohan Khara;
Alison Harris
Objective
In the past twenty years, the number of women
entering and working in the medical profession
has been increasing. However, a question has
been raised whether this is reflected in the representation and growth of female radiologists. The
purpose of this study is to quantify the presence
of female authorship within prominent radiology
literature, and to determine if the proportions
have changed over the last two decades.
Methods
A comprehensive search was conducted for all
articles in 1993, 2003 and 2013 from two prominent radiology journals: Radiology and American
Journal of Roentgenology (AJR). Research studies,
case reports, review articles and pictorial essays
were included in this study. The gender of first
and last authors and the continent where the paper was written were collected. Names with only
initials or gender that remained uncertain after an
Internet search were excluded. Chi squared tests
were used for statistical analysis and p=0.05 was
considered significant.
Results
Between 1993 and 2013, the representation of
female authorship in both journals increased in a
total of 2341 articles. Overall, women constituted
21.1% of total authorship (25% and 17% of first
and senior authorship respectively). In Radiology,
a significant increase from 16.5% to 30.4% in first
authorship, and 12.1% to 19.2% in last authorship
was determined (p=0.0001, p=0.004, respectively). Similarly, in AJR, a growing trend of women in
first and last authorship was demonstrated, with
growths from 20.7% to 27.2% and 17.5% to 23.5%
respectively (p=0.045, p=0.051). 12.4% of authors’
genders were indeterminate after an Internet
search and were excluded. The overall majority
of articles were written in North America, with an
overall trend towards a greater contribution from
Asia and Europe. No significant difference in the
proportion of female versus male authors was
observed when further analyzed by continent.
SE019
Although there has been an increase in female
authorship in radiology literature, women continue to remain a minority within academic journals.
The Quality of Reporting of Randomized Control Trials in Radiology in the Last 10 Years
SE018
The Utility of Cardiac CT in Evaluating Left Ventricular Diastolic Dysfunction
Authors: Elena Scali;Tony Sedlic; Savvas Nicolaou;
John R. Mayo
Objective
Left ventricle (LV) diastolic dysfunction in the
setting of heart failure with preserved ejection
fraction is a diagnostic and therapeutic challenge
with significant associated morbidity and mortality. Diastolic dysfunction is associated with
abnormal LV relaxation or increased LV stiffness.
Although catheterization is the gold standard,
the diagnosis is usually made by echocardiography. In patients undergoing retrospective cardiac
computed tomography angiography (CTA), functional data can be used to quantify LV volume
over time to measure the rate of LV diastolic filling
in diastolic dysfunction.
Methods
20 patients undergoing cardiac CTA were reviewed for CT evidence of diastolic dysfunction.
All patients had diastolic dysfunction on echocardiography with preserved systolic function.
Retrospective CTA was performed and LV filling
curves were obtained from the functional images
by application of post-processing software. LV
volume was measured at 5% intervals over the
cardiac cycle. LV volume versus time was plotted
and the slope measured at various points in diastole to compare LV filling velocity in both groups.
LV filling rates in early diastole, after mitral valve
opening, was compared between patients with
diastolic dysfunction and patients with normal diastolic function. LV filling due to left atrial contraction (A wave) was also measured in both groups
and quantified as percent of total stroke volume.
Results
In patients with diastolic dysfunction, early LV
filling is impaired. Comparing patients with preserved LV ejection fraction, the early diastolic LV
filling rate was measured at 218.4 ml/sec (95% CI:
199.7 to 237.5) compared to 308.6 ml/sec (95% CI:
278 to 338.6) for normal controls. LA contraction
(A wave contribution) was also demonstrated to
contribute to LV stroke volume filling to a greater
extent in the diastolic dysfunction group, however, initial results did not demonstrate a statistically
significant difference in volume.
Conclusion
Initial results demonstrate that functional cardiac
CTA can identify patients with left ventricular
diastolic dysfunction and may have a role in the
assessment and quantification of diastolic dysfunction.
Authors: Yoan Kagoma; Basma Al-Arnawoot; Mohit
Bhandari, MSc, PhD, FRCSC; Mary M. Chiavaras,
PhD, FACR, FRCPC
Objective
Randomized controlled trials (RCTs) have become
the foundation for evidence-based medical (EBM)
practice. There has been a recent trend towards
assessing the quantity and quality of RCTs in different specialities; however, no such assessment
has been completed in radiology. The purpose of
this study was to 1) identify the number of radiology-related RCTs published in the last ten years, 2)
analyze the quality of these published RCTs, and
3) identify predictors of high study quality.
Methods
An electronic search of the Cochrane and Medline
databases from 2003-2013 identified 1066 articles
for review. These articles were independently
screened in duplicate. Two investigators independently assessed the studies using the Detsky
quality index and abstracted relevant data. Any
disagreements were resolved by consensus.
Results
36 studies met inclusion criteria of which only
53% of these studies were published in a radiology journal or had a radiologist as a first author.
20 of the studies were published in North America with the remainder performed in Europe. The
mean score for the quality of the 36 randomized
trials was 76% by the Detsky Quality scale with
a standard deviation of 15%. 58% of the studies
were considered high-quality (scored >75%). Of
the 15 low-quality studies, 14 failed to blind assessors and 13 failed to calculate sample size prior
to the study.
Conclusion
A surprisingly low number of radiology-related
RCTs have been published in the last 10 years.
Furthermore, few of these RCTs involve radiologists as their first author. Nonetheless, the quality
of these RCTS is comparable to similar analyses
done in other specialties such as orthopedics and
neurosurgery. An improved awareness of the value of high-level evidence is of utmost importance
to ensure that radiologists provide high-quality
care in the era of EBM.
There was no statistically significant difference
in objective CT image quality for ‘mixed phase’
contrast enhancement when contrast injection
via peripheral vein was compared to power injection of an arm port. While power injection of a
central venous catheter attached to an arm port
has previously been shown to be safe, our study
is the first to demonstrate that it has objective CT
image quality equivalent to conventional peripheral intravenous injection.
Conclusion
SE020
Coronary Artery Bypass Graft Imaging with
CT Angiography and Iterative Reconstruction
Method: Quantitative Evaluation of Radiation
Dose Reduction and Image Quality
Authors: Irina Boldeanu; Simon Nepveu; Yves Provost; Jean Chalaoui; Louis-Mathieu Stevens; Nicolas
Noiseux; Carl Chartrand-Lefebvre
Objective
To assess the effect of iterative reconstruction (IR)
on image quality and radiation dose in CTA of
coronary artery bypass grafts (CABG).
Methods
Fifty patients with CABG (mean age, 69 years;
mean postoperative time [± SD], 17 ± 2 months)
were prospectively recruited for CABG
86
assessment. A 256-slice scanner with prospective
ECG-gating (volt-age, 120 kV) was used. The CT
protocol for the first 25 patients involved a standard tube current and filtered back projection
(FBP); for the remaining patients, the tube current
was decreased by 30% and IR was used (iDose4,
Philips Healthcare) (level 3; noise reduction factor,
0.78). Mean attenuation, noise, signal-to-noise
ratio (SNR) and contrast-to-noise ratio (CNR) were
measured in internal mammary and saphenous
grafts, as well as effective radiation dose.
Results
Conclusion
Iterative reconstruction enables a significantly decreased effective radiation dose in CTA of CABGs
while providing superior or similar image quality
compared with filtered-back projection.
SE021
CT Lumbar Spine Imaging in Patients Presenting
with Low Back/Leg Pain: Does Length Matter?
Authors: Peter J. Gianakopoulos, MD, PhD; Rick Bhatia, MD, FRCPC
Objective
American and Canadian guidelines recommend
CT/MRI imaging of low back/leg pain in the absence of red flags after 6 weeks of conservative
therapy. The literature demonstrates that the
overwhelming majority of pathology in the lumbar spine indicated for surgical intervention of
this population is at the lower lumbar spine levels,
yet there are no recognized imaging guidelines
that take this into consideration. Routine imaging
of the lumbar spine with CT is from L1-S1. Our
hypothesis was that CT imaging of the upper
lumbar spine levels in this patient population was
fortuitous while needlessly exposing the patient
to radiation.
Methods
A retrospective case analysis will evaluate 100
CT lumbar spine studies including L1-S1 of adult
outpatients presenting with low back/leg pain
and without red flags to determine at what levels of the lumbar spine imaging findings were
reported. Reports will be documented for the
presence/absence of central or neuro-foraminal
stenosis by level in a binary system. The effective
radiation dose was calculated for each scan using
an acrylic phantom and a mathematical model by
Huda et al.
Conclusion
CT scanning protocols of the lumbar spine for
outpatients with low back/leg pain without red
flags should begin with L3-S1.
SE022
Implementation of a Prospective Interventional Radiology Database as a Quality Assurance
Measure Using Lessons Learned from the Literature
Authors: Natasha Larocque; Sriharsha Athreya,
FRCS
Objective
To implement a prospective database for patients
undergoing an Interventional Radiology procedure, considering the barriers and facilitators
identified in the literature, in order to:
1. Assess complication types and rates.
2. Perform across-time analyses to measure the
impact of any modifications made to procedure protocol due to trends identified in the
database.
3. Create a resource that can be used to address
future research questions.
Methods
A literature review using PubMed, EMBASE, Medline and Google Scholar for publications since
2000 was performed. REDCap, a web-based
software, was chosen to build the database. All
patients under-going Interventional Radiology
procedures at St. Joseph’s Hospital, Hamilton, are
continuously enrolled in database. Data is collected from patient hospital charts and electronic
records. The Society of Interventional Radiology
(SIR) classification system for complications is
used to grade complication severity.
All CT examinations were of diagnostic quality.
A total of 82 CABGs were evaluated (240 graft
segments: 138 internal mammary and 102 saphenous vein segments). The use of IR resulted in a
mean decrease of 23% of the effective dose (7.6
± 1.3 mSv) compared with FBP (9.9 ± 1.4 mSv)
(p=0.001). The mean tube current used for the IR
protocol was 22% (689 ± 124 mA) less than with
FBP (880 ± 70 mA) (p=0.001). With the IR protocol,
there was a decrease in noise, increase in SNR, or
increase in CNR in 172 segments (72%) (p≤0.040),
206 segments (86%) (p ≤ 0.010), and 172 segments (72%) (p≤0.030), respectively. With the IR
protocol, no graft segment showed increased
noise or decreased SNR or CNR.
only had reported findings at the L3-S1 levels. The
remaining two patients had finding at multiple
levels from L2-S1. No findings were reported for
any patient at L1-L2. Subsequently we calculated
that if CT lumbar spine scanning protocols included only L3-S1 this would save our patients on
average 7 mSv per scan, equivalent to 7 years of
allowable public exposure.
Results
Combined search results generated 260 articles.
Following a title and abstract screen, 22 articles
were reviewed, and 16 articles were included for
final review. Common barriers to implementing
a clinical database included software requiring
expertise, administrative costs, and time constraints; facilitators included staff buy-in, a webbased platform, and regular feedback from study
personnel. The REDCap database was implemented in 2015 with this knowledge in mind. Preliminary database results will be presented.
Conclusion
This database will serve as a useful quality assurance measure by prospectively tracking complication types and rates, and successful implementation will hopefully be improved by using
lessons learned in the literature.
Results
Our results thus far have shown that of 37 patients with low back/leg pain without red flags 35
87
ABSTACTS
RÉSUMÉS
Departmental Clinical Audit Project Contest
Concours des projets de vérification clinique
au sein des services
THURSDAY, MAY 28, 2015 10:30 – 12:00
JEUDI LE 28 MAI 2015 10h30 à 12h00
Departmental Clinical Audit Project Contest – Oral Presentations –
Room 519, 5th Floor
Concours des projets de vérification clinique au sein des services –
Présentations orales – Salle 519, 5e étage
Prizes for this contest will be awarded at 8:00 am on Saturday, May 30,
in Room 519BE.
Les prix pour ce concours seront remis le samedi 30 mai à 8h00, dans
la salle 519BE
See pages XX- XX for oral presentation times.
Se reporter aux pages XX-XX pour l’horaire des présentations orales.
JUDGES / JUGES : Dr. Sukhvinder Dhillon, Dr. Najla Fasih, Dr. Angus Hartery
AP001
AP002
AP003
Minimizing CT Double-Coverage to Reduce Radiation
Clinical Audit of the MRI Synoptic Reporting of
Primary Rectal Cancer
Place of Audit
Follow-Up of CT-guided Lung Biopsy Complication
Rates & Insufficient Cells/Samples for Pathology
after Introduction of 1cm Lesion Size Cutoff
and Implementation of Both Mandatory Core
Biopsies and FNA
Saskatoon, SK
Authors: Andrew Ho; Ravi Gullipalli
Royal University Hospital, Saskatoon, SK
Brief Background
Place of Audit
Brief Background
Ionizing radiation from CT exams has been linked
to malignancy. When multiple body regions are
scanned, there may be double-coverage of an area
depending on CT protocols. By minimizing the area
of double-coverage, patients’ exposure to radiation
can be reduced.
St. Clare’s Mercy Hospital, St. John’s, NL
The staging of rectal cancer via MRI plays a significant
role in clinical management, especially in regards
to whether a patient will receive preoperative
radiotherapy or chemoradiation therapy.
Authors: Evan Barber; David Leswick; James Zheng
Brief Background
This study examines whether CT protocol redesign
reduced double-coverage in studies of the neck,
chest, abdomen, and pelvis, with resultant lower
radiation doses.
After our initial audit in 2011, we discovered at our
institution we were getting a very high rate (32%)
of ‘insufficient cells or non-diagnostic sample’
back from our pathology reports for CT-guided
lung biopsies. We surveyed all the radiologists to
determine the needles and techniques they used.
Based on the initial audit and discussions with the
department of thoracic surgery, we implemented
their new recommendations.
Methodology
Aim of the Study
In 2010, data was collected on CT chest, abdomen,
pelvis (CHAP) studies; and CT neck, chest, abdomen,
pelvis (NCHAP) studies across three sites. Data
included the number of scan segments, the total
cranio-caudal (CC) length of the chest segment,
the CC length of anatomical overlap between segments, and the dose length product (DLP) for each
segment. DLP values were converted to effective
doses of radiation based on conversion factors from
literature. From this, “doubled-doses” were calculated
as the effective doses of radiation due to anatomic
overlap. CT protocols were then modified with the
goal of minimizing anatomic overlap. In 2014, the
above methods were repeated for comparison with
pre-intervention results.
To identify local complications rates and number of
insufficient cells/samples for CT-guided lung biopsies after implementation of a 1cm minimum lesion
size cutoff along with both mandatory core biopsies
and fine needle aspiration (FNA) for all samplings.
Aim of the Study
Results
Methodology
From July - December 2013, all CT-guided lung
biopsies performed at St. Clare’s Mercy Hospital
were reviewed and analyzed for lesion size, staff
performing the procedure, number of passes (core
biopsies and FNA), complication rates, and reviewed
final pathology reports.
Results
66 biopsies were included.
Following implementation of new CT protocols, the
percent of radiation due to double-coverage was
reduced from 12% to 0% for CHAP studies, and from
25% to 8% for NCHAP studies. Post-intervention, all
CHAP images were obtained as one scan segment,
compared to individual chest and abdomen-pelvis
scans in 2010.
1. Our complication rates (i.e. pneumothorax,
hemorrhage, hemoptysis) were all still within
published standards.
2. Insufficient sampling rate decreased significantly
to 3% (vs 32% last audit).
3. And interestingly, our malignancy detecting
rate increased to 80% (vs 42% last audit) after
our new implementations.
Action Plan
Action Plan
This technique is neither highly technical nor expensive, and is therefore available to any centre.
Future directions could apply these principles to
settings such as trauma.
1. Re-audit in 2 years’ time.
2. Implement the same recommendations and
perform an audit at St. John’s other major tertiary
care center (Health Science Centre).
Authors: Aatif Parvez; Farid Rashidi
Place of Audit
Aim of the Study
To determine whether the implementation of a
MRI synoptic report for primary rectal cancer has
assisted in clinical management decisions and
clinician satisfaction with MRI reporting.
DCAP CONTEST / CONCOURS PVCSS
Dr. Sukhvinder Dhillon declares he has been affiliated with Abbvie as a speaker for an MRI course.
Methodology
All MRI for primary rectal cancer staging performed
from 2013 to 2014 at the Royal University Hospital,
City Hospital, and St. Paul Hospital were audited
via PACS. A comparison of the final report pre and
post implementation of syncopic reporting was
performed, using the template cited in literature.
A qualitative survey was sent to the referring physicians including surgeons and oncologists. The
gold standard utilized was final pathology reports.
Results
A total of 35 studies were performed from July 2013
until September 2014, with 10 studies performed
pre synoptic reporting implementation and 25
post implementation. More complete and relevant
information is provided to the clinicians, particularly
relating to tumour characteristics, T-category, neurovascular invasion, lymph nodes and distance to
mesorectal fascia. As a result, clinician satisfaction
has improved significantly.
Action Plan
All MRI for primary rectal cancer staging is now
preferentially performed at the Royal University
Hospital. The utilization of a MRI synoptic report
has now become the standard for reporting such
cases. A year has passed since the implementation
of synoptic reporting, with the intention of a re-audit in 1 year time to re-assess radiology-pathology
correlation, adherence to synoptic reporting, and
clinician satisfaction.
88
AP004
Methodology
Patient Privacy Audit in the Department of Medical
Imaging at the Civic Campus of The Ottawa Hospital
A cross-section of reports from all reporting radiologists in the Capital Health district was sampled,
with errors categorized as Major (nonsense or errors
potentially affecting clinical outcomes) or Minor (all
other errors). The first audit cycle showed an error
rate in excess of the predetermined targets of 0%
Major, <10% Minor; radiologists ranking below
the 50th percentile were asked to retrain their voice
profile. A second audit cycle was performed using
the same methodology.
Authors: Marc Dilauro; Rebecca Thornhill; Najla Fasih
Place of Audit
The Civic Campus of The Ottawa Hospital, Ottawa, ON
Brief Background
All patients should feel that they have their need
for privacy met and their confidentiality protected
during their hospital visit.
Aim of the Study
Methodology
Outpatients who underwent magnetic resonance
imaging (MRI), computed tomographic (CT), ultrasonography (US), and plain film (XR) studies
were provided with a survey on patient privacy.
The survey required the participants to rank (on
a six-point scale ranging from 6 = excellent to 1 =
no privacy) whether their privacy was respected
in five key locations within the Department of MI.
Results
A total of 502 surveys were completed. The survey
response rate for each imaging modality was: 55%
MRI, 42% CT, 45% US, and 47% XR. For a given
imaging modality, the total percentage of scores
equal to 6 was: 92% MRI, 76% CT, 81% US, and 82%
XR. When comparing the imaging modalities, there
was a significant difference in privacy ratings for
the reception and waiting room areas (P = 0.0025
and P = 0.0227, respectively).
Action Plan
The overall percentage of reports containing errors was 21.7% and 26.4% in audit cycles 1 and 2
respec-tively. Major errors were encountered in 3.4%
and 2.2% of reports in cycles 1 and 2 respectively.
Minor errors were encountered in 20.0% and 25.7%
of reports in cycles 1 and 2 respectively. Resident
dictated reports had fewer errors than staff dictated
reports. Retraining paradoxically increased the
number of errors.
Action Plan
Based on the audit results, funding has been secured
to upgrade to PowerScribe 360. Reports will be
audited on an ongoing basis after implementation
this winter.
Place of Audit
The Ottawa Hospital, Ottawa, ON
Brief Background
It is well-known that hand hygiene and bacterial
contamination of hospital equipment play a role
in spreading infection; however, there has been
limited study within medical imaging departments.
One study published in 2014 showed that bacterial
contamination of radiologist workstations was
greater than nearby washrooms. In our experience, illnesses often spread quickly through the
department, especially during the winter months.
My Eyes are Burning! Exclusion of the Lens of
the Eye in Routine Adult Head CT Examinations:
The Re-Audit
Authors: Alyzee M. Sibtain; Trina Spasiuk; Trevor Kotylak
The purpose of this study was to evaluate the workstation disinfection rates and hand hygiene habits
of radiologists and trainees at shared departmental
workstations, and to assess the impact of education
and daily reminders on behaviours.
Place of Audit
Methodology
Department of Radiology and Diagnostic Imaging,
University of Alberta Hospital (UAH) Edmonton, AB
A 10-question internet-based survey was administered to all staff radiologists, fellows and residents in
January 2014. The questions pertained to frequency
of workstation disinfection, hand washing habits
and accessibility to disinfectant wipes and hand
sanitizer stations.
Brief Background
AP005
Aim of the Study
Errors in Voice Recognition Generated Radiology
Reports: A Two Cycle Audit
Re-audit routine head CT examinations excluding
lenses after introduction of new ER scanner with
gantry-angling capabilities and new outpatient-only
scanner at the Edmonton Clinic (EC). Target: 100%.
Place of Audit
Methodology
Capital Health, Halifax, NS
100 consecutive adult routine head CT examinations performed at UAH and EC from December
9-12, 2013 were reviewed. The number of exams
excluding one, both or neither lens was calculated
and compared to the 2009 results.
Benefits of voice recognition software include
decreased report turnaround times and decreased
transcription costs. A 2013 referring clinician survey showed that clinicians appreciate the rapid
turnaround times, but subjectively noted a large
number of transcription errors. Significant errors
are reported in the 5-23% range in the literature,
and there are no provincial or national guidelines
for acceptable error rates.
Authors: Jeffrey S. Quon; John Ryan
Aim of the Study
Lens exclusion during head CT examinations reduces lens radiation dose and likelihood of lens
damage and cataract formation. An audit of adult
routine head CT scans excluding the lenses was
performed in 2009. At our institution, protocol to
exclude the orbits for routine head CT includes the
SOM baseline, tucking the chin toward the chest
or angling the gantry.
Brief Background
Disinfection of the Radiologist Workstation and Radiologist Hand Hygiene: A Single Institution Audit
AP006
The findings of this audit will be reviewed with
TOH administrators to advocate for increased staff
education and training on patient privacy and to
plan modifications to departmental design and
layout. A re-audit is planned for the coming year
to assess for interval change.
Authors: Jonathan D. Hickle; Alan Brydie
AP007
Results
84 respondents (47 staff, 12 fellows, 25 residents).
100% had never received instruction on workstation
disinfection. 98% regularly drink coffee/tea/water,
while 46% regularly eat lunch at their workstation.
54% disinfected their workstations 1-2x/week to
everyday and 46% disinfected less than once per
week or never. Hand washing before using the
workstation was 42% and after was 50%.
Action Plan
After the initial survey, a short educational PowerPoint with references was emailed to the department
and small placards stating, “Did you disinfect your
workstation today?” were placed at each workstation. A similar follow-up survey (re-audit) was
administered in March 2014.
Results
AP008
63% of exams reviewed excluded both lenses,
increased from 31%. 33% included both lenses,
decreased from 66%, and 4% included 1 lens,
essentially unchanged. 62% of EC exams excluded
both lenses.
Is Low Dose Really Low Dose? A Clinical Audit of
Low Radiation Dose CT KUB Studies for Suspected
Urinary Tract Calculi
Aim of the Study
Action Plan
To evaluate the error rate of radiology reports in the
CDHA using our current VR software: PowerScribe 5.0.
Since 2009, the percentage of reviewed head CT
excluding both lenses increased likely secondary
The purpose of this study was to perform an audit
of patients’ satisfaction with privacy whilst in the
Department of Medical Imaging (MI) at the Civic
Campus of The Ottawa Hospital (TOH). We aimed
for a 90% patient satisfaction rate.
Results
to the ER scanner now having gantry angling capabilities and EC scanner introduction. A significant
proportion of our patients are trauma/in c-spine
restraints, intubated, decreased mobility, or acutely
ill preventing proper positioning, making a standard
of 100% unrealistic. 62% of EC exams excluded both
lenses, but no conclusions can be drawn due to small
sample size (n=21). Future directions could focus on
this scanner using a more appropriate sample size.
Authors: Baljot S. Chahal; Alexander L.C. Kwan; Robert
G.W. Lambert; Matthew M. Neilson; Dave Gauvreau;
Major Sean D. Winters; Babajide O. Olubaniyi
Place of Audit
University of Alberta Hospital and Kaye Edmonton
89
Clinic, Edmonton, AB
corresponding pathological report.
Brief Background
Results
CT KUB is the gold standard for investigating renal
colic. Due to the high prevalence of urinary tract
calculi and its recurrent nature, cumulative effective
radiation doses from repeated investigations can
be high. Radiologists can accurately evaluate for
urolithiasis using CT parameters with an effective
dose of 3 mSv or less.
At site A, 6% of cases were deemed unsatisfactory.
Procedures were performed by 7 radiologists with
an average number of needle passes of 2.84. A
25-gauge needle was used in 86% of cases (10%
unreported).
Aim of the Study
To determine the percentage of low dose CT KUB
studies achieving a standard of 3mSv or less.
Methodology
Results
The target was not achieved, as only 6% of studies
met the standard of 3 mSv or less. Doses ranged
from 2.1 to 39.2mSv. Average effective dose was
8±5mSv. Average doses for males and females were
9±6mSv and 7±4mSv, respectively.
Action Plan
In collaboration with a physicist, CT technologists,
and radiologists, numerous measures consistent with
current literature are being applied to achieve the
target. Changes will include: (i) reducing the scan
length, (ii) lowering collimation from 40 to 20mm,
(iii) increasing the noise index from 40 to 50, (iv)
setting tube current range to 10-300mA and (v)
setting image reconstruction to 50% ASIR. Image
quality will be closely monitored.
Target is met.
Multiple factors potentially contributing to the
standard being achieved include a large volume
of cases, appropriate number of passes and proper
target localization.
Action Plan
The results will be presented at the annual departmental research day. Findings will be discussed with
technologists and radiologists to provide positive
feedback. A poster outlining the results will be
placed in the ultrasound departments.
Our target was to achieve the standard of 3mSv
or less in at least 80% of studies. One hundred
consecutive CT KUB studies were collected from
four CT scanners from July to November 2014.
Dose-length product was recorded and used to
calculate the effective dose.
At site B, 10% of cases were deemed unsatisfactory.
Procedures were performed by 5 radiologists with
an average number of needle passes of 3.10. A
25-gauge needle was used in all cases.
AP009
Assessing the Unsatisfactory for Pathological Assessment Rate of Ultrasound Guided Fine Needle
Thyroid Biopsies
Authors: Stéphane R. Doucette-Preville; Marnie Turnbull; Edward Wiebe
Place of Audit
Royal Alexandra Hospital and University of Alberta
Hospital, Edmonton, AB
Brief Background
Ultrasound (US) guided fine needle thyroid biopsy
(FNTB) is used to guide management of thyroid nodules. The literature quotes a 10-20% unsatisfactory
rate for US-guided FNTB. A low unsatisfactory rate
decreases the need for repeat biopsies, decreasing
overall costs and possible delays in management.
Various techniques may be utilized to increase
diagnostic yield.
Aim of the Study
To assess the number of cases deemed unsatisfactory for pathological assessment with a target of
less than 20%.
Methodology
Fifty consecutive US-guided FNTB with pathology
reports from October and November 2014 were
reviewed at two tertiary centers, one with an onsite cytotech (Site A) and one without (Site B). The
ultrasound reports were compared to the
90
RÉSUMÉS
Radiologists-in-Training Awards
Concours de radiologistes en formation postdoctorale
FRIDAY, MAY 29, 2015 8:30 - 10:00 & 13:30 - 15:00
VENDREDI LE 29 MAI, 2015 - 8h30 à 10h00 et 13h30 à 15h00
Radiologists-in-Training Awards - Oral Presentations - Room 519, 5th
Floor
Concours pour les radiologistes en formation postdoctorale - Présentations orales - Salle 519, 5e étage.
Room 519BE.
canadienne (FRC) et seront remis le samedi 30 mai à 8h00, dans la salle
519BE.
See pages 37- XX for oral presentation times.
Se reporter aux pages 37-XX pour l’horaire des présentations orales.
JUDGE / JUGES: Dr. Marco Essig, Dr. Marc Levental, Dr. Patrick McLaughlin
RT001
Comparison of PI-RADS Version 2.0 and 1.0 Classification of Lesions Detected on Prostate mpMRI
with Pathologic Correlation
Authors: Emily Pang; Richard Savdie; Peter Black; Larry
Goldenberg; Silvia Chang
Objective
Recent publication of PI-RADS version 2.0 (v2.0) has
fine-tuned the interpretation of multiparametric MRI
(mp-MRI) in an attempt to better risk stratify prostate
lesions. We aimed to retrospectively compare our
original PI-RADS v1.0 scoring with the latest PI-RADS
v2.0 iteration, in MRI-fusion TRUS biopsied lesions
to assess if predictive accuracy is improved, and if
our biopsy practices could potentially be altered
as a result.
Methods
We reviewed the imaging of 68 patients who underwent mpMRI and subsequent MRI-guided fusion
biopsy for suspected prostate cancer between
March 2013 and September 2014. All mpMRIs
included T2, TI, DWI and fat saturated dynamic
contrast sequences on a 1.5 Tesla magnet without
endorectal coil. Each lesion targeted on fusion
biopsy was re-assigned a new PI-RADS score based
on the version 2.0 guidelines, and compared to the
original PI-RADS 1.0 score provided by the original
reader. Correlation was made with histopathology.
Results
A total of 137 suspicious lesions were biopsied. 51
(41.6%) lesions were downgraded from PI-RADS
≥3 to PI-RADS 1 or 2, and 12 lesions (8.8%) were
upgraded from ≤3 to 4/5. PI-RADS 4/5 lesions on the
prior PI-RADS 1.0 scoring yielded 40.0% sensitivity,
59.6% specificity, 13.0% positive predictive value
(PPV), and 86.8% negative predictive value (NPV)
for a positive biopsy result. PI-RADS 2.0 improved
the sensitivity and specificity to 68.0% and 83.9%
respectively, with PPV of 48.6% and NPV of 92.2%.
Only 1 of the 51(1.9%) downgraded lesions returned
a positive biopsy (Gleason 3+3). 12 of 25 positive biopsies showed clinically significant cancers (Gleason
≥ 7), 11(91.6%) PI-RADS 4/5 and 1 (8.4%) PI-RADS
3 on reclassification.
Conclusion
Our results suggest that using PI-RADS 2.0 to stratify
lesions on mpMRI improves both sensitivity and
specificity of biopsy positive prostate cancer detection. Additionally, a significant number of lesions
would not have been biopsied under PI-RADS 2.0
and no clinically significant cancers would have
been missed.
RT002
Extensive Basal-Predominant Peripheral Pulmonary Lucencies in Smokers: Prevalence and High
Resolution Computed Tomography Features
Authors: Horatiu Muller, MD; Daria K. Manos, MD,FRCPC
Objective
In addition to centrilobular emphysema, paraseptal
emphysema, panlobular emphysema and Langerhans cell histiocytosis, smokers may be diagnosed
with less well-established patterns of lung lucency
including combined fibrosis with emphysema and
airspace enlargement with fibrosis. While reporting
computed tomography (CT) scans from the Pan
Canadian Lung Cancer Detection Study (PCLCDS),
we noted a pattern of basal-predominant stacked
emphysema-like lucencies (BSE) with uniquely
well-demarcated involvement of the peripheral
third of the lung. This CT pattern is not described
as a separate entity in the literature. Our objective
was to quantify this pattern and to determine its
frequency.
Methods
Low-dose thin-section screening CT chest examinations of 320 asymptomatic adults at high risk for
lung cancer enrolled in the PCLCDS at our institution
were retrospectively reviewed for the presence of
traditional emphysema, honeycombing and BSE.
BSE was defined as subpleural, basal-predominant,
well-defined lucencies, at least 3 layers thick, not
associated with CT findings of fibrosis (honeycombing, traction bronchiectasis) and with appearance
atypical for bullous or other forms of emphysema.
Each CT examination was reviewed by a fellowship
trained chest radiologist and a radiology resident,
both blinded to demographic information. Results
were then correlated with smoking history.
Results
The BSE pattern was found in 7 patients (3 males
and 4 females), representing 2.1% of total cases
reviewed. The smoking history ranged from 20.8
to 97.5 pack-years, averaging 48.9 pack-years. The
average cranio-caudal extent was 115 mm and
the average axial depth was 45 mm. The size of
individual lucencies ranged from 4 to 25 mm. All
patients with BSE also demonstrated upper-lobe
predominant PSE and, with one exception, CLE.
Conclusion
A small percentage of current and former smokers
demonstrate a pattern of basal-predominant stacking
subpleural lucencies with a CT appearance atypical
for that of emphysema or honeycombing. This
may represent a particularly conspicuous form of
airspace enlargement with fibrosis, easily diagnosed
on thin section CT. Radiologists should be aware
of this pattern as its clinical significance might
differ from that of honeycombing or established
emphysema patterns. Future studies to confirm
the reproducibility of our findings and to provide
pathologic correlation will be useful.
RT003
Multi-Institutional Assessment of Radiology
Curriculum Adequacy
Authors: Adam A. Dmytriw, MD MSc; Philip Mok, MD;
Natalia Gorelik, MDCM; Peter Brown, MD; Jordan
Kavanaugh, MD BEd
Objective
There has been mounting evidence that medical
students are not receiving sufficient education in
radiology. The goal of this study is to determine if
there is a perceived need for increased radiology
teaching and exposure in undergraduate medical
curricula among medical students in pre-clerkship
and clerkship.
Methods
Surveys were distributed to students in three different schools of medicine. Respondents were asked
to provide their impression of radiology education
in the current undergraduate medical curriculum.
Responses were gauged on a Likert-type scale (e.g.
Critically Important, Very Important, Somewhat Important, Slightly Important or Not At All Important).
Results
A total of 1,223 medical students responded to the
survey for a response rate of 55%. The majority of
students (91%) identified radiologists as a very or
critically important member of the healthcare team
and the majority of students (98%) believed an
understanding of radiology concepts was very or
critically important. 82% of respondents believed
that radiology education was inadequate or very
inadequate. Over 91% of students believed there
should be more radiology teaching in medical
school. In terms of preferred methods of education
RADIOLOGISTS-IN-TRAINING AWARDS / CONCOURS RADIOLOGISTES EN FORMATION POSTDOCTORALE
ABSRTACTS
91
on radiology, students preferred didactic lectures
(26%), group learning sessions (28%) and web-based
learning modules (34%).
Conclusion
RT004
Increase in Utilization of Afterhours Medical Imaging: A Study of Three Canadian Academic Centers
Authors: Shivani Chaudhry; Irfan Dhalla; Patrik Rogalla;
Timothy Dowdell
Objective
The objectives of our study were to assess trends in
afterhours radiology utilization for emergency department (ED) and inpatient (IP) patient populations
from 2006-2013, including analysis by modality and
specialty and with adjustment for patient volume.
Methods
For this retrospective study, we reviewed the number
of CT, MRI, and ultrasound studies performed for
the ED and IP patients during the afterhours time
period (5pm – 8am on weekdays and 24 hours on
weekends and statutory holidays) from 2006-2013
at three different Canadian academic hospitals. We
used the Jonckheere-Terpstra (JT) test to determine
statistical significance of imaging and patient volume trends. A regression model was used to examine
whether there was an increasing trend over time
in the volume of imaging tests per 1,000 patients.
Results
For all three sites from 2006-2013 during the afterhours time period:
There was a statistically significant increasing trend
in total medical imaging volume, which also held
true when the volumes were assessed by modality
and by specialty.
There was a statistically significant increasing trend
in ED and IP patient volume.
When medical imaging volumes were adjusted for
patient volumes, there was a statistically significant
increasing trend in imaging being performed per
patient.
Conclusion
Afterhours medical imaging volumes demonstrated a statistically significant increasing trend at all
three sites from 2006-2013 when assessed by total
volume, modality, and specialty. During the same
time period and at all three sites, the ED and IP
patient volumes also demonstrated a statistically
significant increasing trend with more medical
imaging, however, being performed per patient.
To evaluate application trends in the Canadian
diagnostic radiology residency programs and assess
the competitiveness of radiology as a specialty.
Methods
Data published by CaRMS from 1996-2014 were
extracted and analyzed. Pearson correlation co-efficients (r) and p-values were calculated for all major
time-trends.
Results
The number of radiology positions has increased
with a strong positive correlation over the last 19
years (r=0.91, p=0.001), while the number of applicants has increased with only a moderate positive
correlation (r=0.49, p=0.03). The ratio of positions/
applicant (a measure of competitiveness) indicates
that radiology was the most competitive in 2003,
with a ratio of 0.58. After 2003, it fluctuated from
0.70-0.95, with the highest (and least competitive
year) being 2009. The highest percentage of applicants who ranked radiology as their first choice
discipline was in 2003 at 6.5%; a non-significant
negative trend was observed from 1996-2014
(r=-0.36, p=0.13), but a sub-group analysis from
2003-2014 demonstrated a strong negative correlation (r=-0.81, p=0.001). The highest percentage
of unmatched radiology positions was in 1996 at
14.6%, followed by 8.3% in 2014.
Conclusion
Since 1996, the Canadian radiology residency match
has seen a considerable increase in the number of
residency positions offered; the increase in applicants has not seen the same level of growth. The
match was the most competitive in 2003, with a
significant downward trend in subsequent years.
The position/applicant ratio went from 0.58 to 0.93
(r=0.63, p=0.03), demonstrating a decline in the
number of applicants per position.
Results
Of 14 patients who underwent revision surgery for
suspected infection, four had confirmed culture
positive infections based on intra-operative tissue
sampling. Of these four patients, three (75%) had
positive cultures from fluoroscopic synovial biopsy,
with matching cultures. There were no false positive
results. No complications were associated with the
procedure. No patients had elevated serum indices
for infection.
Conclusion
The technique for fluoroscopic synovial biopsy
in patients with shoulder arthroplasty is feasible
and consistently yields synovial tissue. Preliminary
results for this novel technique appear promising,
with a sensitivity of 75%, and specificity of 100%.
Further research is planned to fully validate this
new diagnostic test.
RT007
Detection of Active Colonic Inflammation by
Magnetic Resonance Colonography in Pediatric
Patients Undergoing Investigation for Inflammatory Bowel Disease
Authors: Brian Lee; Nagwa Wilson; Karl Muchantef;
Najma Ahmed
Objective
The goal of this study was to assess the sensitivity
and specificity of diffusion restriction and contrast
enhancement at magnetic resonance colonography
(MRC) for the detection of pathologically-proven
active colonic inflammation in pediatric patients
undergoing investigation for inflammatory bowel
disease (IBD).
RT006
Methods
Percutaneous Fluoroscopic Synovial Biopsy as a
New Diagnostic Test for Periprosthetic Infection
after Shoulder Arthroplasty: A Feasibility Study
Twenty-one patients with suspected IBD who
underwent MRC within six weeks of endoscopic
colonic biopsy were included in this retrospective
study. Two radiologists blinded to the pathologic
results reviewed the MRC studies to assess for the
presence or absence of contrast enhancement and
diffusion restriction for each colonic segment (cecum,
ascending colon, transverse colon, descending colon,
sigmoid colon and rectum). Pathologic findings from
endoscopic biopsies were then correlated with the
MRC findings; any pathologic evidence of active
inflammation was considered a positive biopsy.
Authors: Jeffrey S. Quon; Peter Lapner; Kelly Hynes;
Adnan Sheikh
Objective
The diagnosis of infection following shoulder arthroplasty is notoriously difficult. The prevalence
of prosthetic shoulder infection after arthroplasty
ranges from 0.7-15.4% and the most common
infective organism is Proprionibacterium acnes.
Current pre-operative tests (WBC, ESR, CRP and
joint aspiration) fail to provide a reliable means
of diagnosis. Fluoroscopic synovial biopsy, to our
knowledge, has not been described in the literature.
The purpose of our study was to: 1) compare the
results of synovial biopsy cultures to the results
of biopsies obtained by an arthroscopic or open
approach (gold standard) and 2) to carry out a
qualitative assessment of serum indices of infection
where a positive culture was present.
RT005
Methods
Trends in the Canadian Diagnostic Radiology
Residency Match
Fourteen patients, 6 females and 8 males with a
mean age of 61 years (range 51-81), underwent
synovial biopsy during the workup of suspected
chronic glenohumeral infection. One musculoskeletal
radiologist performed all synovial biopsies and all
surgical interventions were by a single surgeon.
Authors: Stephanie A. Kenny; Kaisra Esmail; Matthew
D. McInnes; Rebecca A. Hibbert
Intraoperative tissue samples were taken from a
minimum of three regions of the joint capsule during
revision surgery. Serum indices were obtained in all
patients including ESR, CRP and WBC.
Results
126 bowel segments were evaluated in 21 different
patients. 24 segments were excluded either because
there was no biopsy (19 segments) or because the
segment was collapsed on MRE and therefore not
well evaluated (5 segments). 102 segments were
therefore included. The sensitivity of diffusion restriction to detect bowel inflammation was 75.5%
with a specificity of 87.8%. The sensitivity of mural
enhancement to detect active bowel inflammation
was 62.3%, with a specificity of 91.8%.
Conclusion
In a pediatric population, diffusion-weighted sequences at MRC allow for detection of active colonic
inflammation with a sensitivity of 75.5% and a
specificity of 87.8%. The sensitivity and specificity
There is a need to increase radiology teaching in
medical school because medical students believe
radiologists are vital members of the healthcare team
and the amount of teaching is inadequate. Medical
students prefer different methods of teaching, including a mix of lectures, group learning sessions
and web-based learning modules.
Objective
92
of mural contrast enhancement is 62.3% and 91.8%,
respectively.
RT008
Acute Abdomen in the Emergency Department:
Is CT a Time Limiting Factor?
Objective
To quantify and integrate key emergency department (ED) and radiology department workflow
time intervals within the ED length-of-stay(LOS)
for patients presenting with an acute abdomen
requiring a computed tomography (CT) scan.
Methods
An 11-month retrospective review was performed of
all ED patients presenting with an acute abdomen
which required a CT AP. Nine key time-points associated with ED LOS and CT workflow were collected:
triage, MD assessment, CT request, porter schedule,
CT start, CT complete, provision of first report, ED
disposition decision, and physical discharge. The
median and 90th percentile times for each interval
were reported.
Results
2194/2292(96%) of ED encounters had records
available for review. The median ED LOS was 9.2
hours (90th percentile: 15.7 hours). The largest
individual intervals were associated with ED waittimes (median triage to physician assessment
interval: 2.15 hours) and ED disposition decision
(median first CT report to ED disposition interval:
2.05 hours). Median time intervals associated with
CT workflow was 2.67 hours. Radiology turnaround
time (CT complete to first report) accounted for
32% of the total CT work-flow interval. Timeline
analysis demonstrated three unique patterns of
ED disposition: (1) disposition after initial imaging
report, (2) disposition prior to report disposition,
and (3) disposition prior to CT scan.
Conclusion
This study is the first to quantify the contribution of
CT-related workflow intervals within the context of
ED LOS in patients presenting with acute abdomen.
ED wait-times for initial physician assessment and
clinical decision making are larger contributor
to LOS than CT-related workflow time intervals.
Patients do not have identical ED transit pathways
which may over-estimate radiology time interval
calculations. This study demonstrates the importance
of site-specific ED LOS timeline analysis to identify
potential targets for quality improvement and serve
as baseline targets for future initiatives.
RT009
A Comprehensive Analysis of Authorship in Radiology Journals
Authors: Wilfred Dang; Matthew McInnes; Ania Z.
Kielar; Jiho Hong
Objective
The purpose of our study was to investigate trends in
authorship rates in radiology journals and whether
ICMJE recommendations have had an impact on
these trends. A secondary objective was to explore
other variables associated with rates of authorship.
A retrospective, bibliometric analysis of 49 clinical
radiology journals published from 1946-2013 was
conducted. The following data was exported from
MEDLINE (1946 to May 2014) for each article: authors’
full name, year of publication, corresponding author
institution information, language of publication
and publication type. Microsoft Excel VBA scripts
were programmed to categorize extracted data.
Statistical analysis was performed to determine the
overall authorship rate over time, the authorship
frequency per journal, country of origin, article type
and language of publication.
Results
216,271 articles from 1946-2013 were included. A
univariate analysis of the average rate of authorship
per year of all articles yielded a linear relationship
between time and authorship rate. The rate of authorship in 1946 (1.42 authors/article) was found
to have increased consistently by 0.07 in authors/
article per year (R²=0.9728, P=0.0001) to 5.79 authors/
article in 2013. ICMJE guideline dissemination did
not have an impact on the authorship rate. There
was considerable variability in mean authors per
article and rate of change over time between
journals, country of origin, language of publication
and article type.
substantial on T2 (kappa=0.78) using global clinical
impression. Inter-sequence agreement between
SPACE and T2 was substantial for reader 1 (kappa=0.75) and moderate for reader 2 (kappa=0.54)
using the grading system, and substantial for reader
1 (kappa=0.78) and near-perfect for reader 2 using
global clinical impression.
Conclusion
Assessment of LCCS on 3D-SPACE showed excellent
inter-observer reliability with excellent agreement
on findings between 3D-SPACE and routine T2. A
single 3D-SPACE sequence with fast acquisition
time has potential to replace traditional 2D-MRI
for assessment of LCCS.
RT011
Can Soft Tissue Structures Differentiate Between
Hips with Dysplasia, CAM-FAI and Isolated Labral
Tear?
Authors: Anne Le Bouthillier; Kawan S. Rakhra; Ryan
C. Foster; Paul E. Beaulé
Objective
To determine whether MRI assessment of soft tissue
structures of the hip can preoperatively predict the
underlying etiology of joint disease.
Conclusion
Methods
The overall rate of authorship for 49 radiology journals across 68 years has increased markedly with
no demonstrated impact from ICMJE guidelines.
A higher rate of authorship was seen in articles
from: higher impact journals, European and Asian
countries, original research type, and those journals
who explicitly endorse the ICMJE guidelines.
Forty-eight (48) patients who underwent preoperative MRI and corrective hip surgery were
retrospectively identified yielding 3 groups: 8 with
hip dysplasia (5F, 4M; mean age 33.9 yrs, range
19.7-53.7); 21 with cam-type femoroacetabular
impingement[FAI] (11F, 9M; mean age 38.8 yrs, range
18.9-51.0); 20 with isolated labral tear[LT] (17F, 3M;
mean age 38.4 yrs, range 15.2-62.1). Measurements
of the hip capsule, labral size, psoas, rectus femoris
and gluteal muscles were performed. ANOVA was
carried out to identify any significant differences in
the soft tissue measures between the three groups.
RT010
MRI Scoring of Lumbar Central Canal Stenosis:
Comparison of a Novel 3D-Space at 1.5T with
Routine 2D MRI
Authors: Mihir V. Katlariwala; Vimarsha Swami; Sukhvinder Dhillon; Zaid Jibri; Jacob Jaremko
Objective
Recent literature suggests a 3D-SPACE MRI sequence
at 3.0 Tesla is equivalent to routine 2D- MRI in the
assessment of lumbar central canal stenosis (LCCS).
However, 1.5 T scanners are more readily available
in clinical practice. We assessed whether LCCS could
be as reliably graded on a single 1.5 T 3D-SPACE
sequence with fast acquisition time as on a traditional T2-weighted sequence, and compared the
extent of agreement between these two sequences.
Methods
We prospectively performed 1.5 Tesla 3D-SPACE and
four 2D spin-echo lumbar spine MRI sequences in
20 patients aged 22-75. LCCS was assessed in the
lower 3 disc levels (total 60 levels) on reformatted
axial SPACE and on axial and sagittal T2w images.
Two readers graded each level using a previously
reported morphologic grading system, and also
gave a global impression on the presence or absence
of clinically significant LCCS. Reliability statistics
were calculated.
Results
Inter-observer agreement on LCCS was substantial
on both SPACE and T2 (kappa=0.71 and 0.69, re-spectively) using the morphologic grading system, and
near-perfect on SPACE (kappa=0.85) and
Results
In the dysplasia group, the psoas transverse dimension (40.6 mm) was significantly smaller compared
to the FAI group (45.1 mm, p=0.035). In addition the
dysplasia group superior capsule thickness (5.7 mm)
was significantly greater than that of the FAI (4.1
mm, p=0.009) and LT (3.7 mm, p=0.001) groups,
respectively. There was a general trend with the
superior labrum being larger in the hip dysplasia
group (7.4 mm) compared to the FAI (6.4 mm) and
LT (6.2 mm) groups.
Conclusion
On MRI, dysplastic hips demonstrate differences in
dimensions of the psoas muscle and hip capsule
compared to cam-FAI and labral tear hips. These
two structures may serve as preoperative discriminators, in addition to the more traditional features
of hip dysplasia, helping the surgeon categorize
border-line hip deformities and thus optimize
surgical treatment planning.
RT012
Estimation of the Extent of, and Factors Influencing,
Diagnostic Neuroimaging Delay in Adult Ontario
Patients Presenting with Symptoms Suggestive
of Acute Ischemic Stroke
Authors: Kirsteen R. Burton; Moira K. Kapral; Shudong Li; Jiming Fang; Alan R. Moody; Murray Krahn;
Andreas Laupacis
Authors: David C. Wang, BHSc (Honours); Craig R.
Parry, MBBS FRCR; Michael Feldman, MD PhD FRCPC;
George Tomlinson, MSc PhD; Josée Sarrazin,, MD
FRCPC; Phyllis Glanc, MD FRCPC
Methods
93
Objective
Methods
The Ontario Stroke Registry collects data on a population-based sample of patients with suspected
stroke seen at acute care hospitals in the province
of Ontario, Canada. We used data from a cohort
of patients who presented between April 1, 2010
and March 31, 2011, within up to four hours of
symptom onset. We used hierarchical, multivariable
Cox proportional hazards models to evaluate the
association between patient and institution factors
and the likelihood of receiving neuroimaging within
25 minutes.
Results
From a cohort of 5,229 patients who presented to
an ED with stroke-like symptoms, 3,984 patients
presented to an ED within four hours of symptom
onset and neuroimaging was performed within 25
minutes of presentation in only 27.3% of patients.
After multivariable adjustment, the following
variables were associated with a lesser likelihood
of neuroimaging completion within 25 minutes of
presentation: greater time from symptom onset to
presentation; lower National Institutes of Health
Stroke Scale score; female gender; past history of
stroke or transient ischemic attack; arrival to hospital
from home rather than another setting; presentation to a hospital that was not a designated stroke
centre, and a rurally located hospital.
Conclusion
In Ontario, Canada, an unsatisfactory proportion of
patients with stroke-like symptoms who are eligible
for thrombolysis, receive timely neuroimaging.
Neuroimaging delays are influenced by an array of
patient demographic, presentation, medical history
and hospital factors. Further work should explore
additional factors that plague stroke care systems,
encourage the adoption of stroke quality improvement strategies, and estimate their effectiveness.
RT013
Image-Guided Percutaneous Needle Biopsy of
Colorectal Cancer Liver Metastases in Personalized Medicine: Evaluation of Standard Operating
Procedures to Optimize Biospecimen Quality for
Genomics Analysis. A Part of the Q-CROC-01 Project
compared to those without IDR (291.9 ± 344.3
days) (p=0.036). The degree of resection was not
significantly different between the two groups.
Methods
Conclusion
This is a retrospective analysis of an ongoing prospective multicenter study, Q-CROC-01 (Quebec Clinical
Research Organization in Cancer). Patients with
histologically confirmed diagnosis of colorectal cancer liver metastasis were recruited. Written informed
consent was obtained, the study was approved by
the ethics committee of each participating hospital
in Montreal. Prior to the start of chemotherapy, patients underwent ultrasound-guided percutaneous
biopsy with 3 separate needle passes. The first two
samples were sent for genomics analysis, and the
third sample was sent for standard pathological
analysis. Percent tumour cellularity and content
were compared with a paired t-test by sample
number (1st versus 2nd pass).
IDR was found in approximately 40% of the GBM.
IDR is associated with longer overall survival in
patients with GBM. We propose that IDR is a new
imaging marker to predict survival of patients
with GBM. Future research is needed to see if IDR
is associated with any of the known molecular
prognostic markers.
Results
There are a total of 124 different samples from 62
patients (62 paired samples). Only 9 patients (14.5%)
have inadequate sampling for genomics analysis,
which is comparable to current inadequacy rates
in the literature. There is no statistically significant
difference between the 1st and 2nd samples in %
tumour cellularity within the tumour zone (p=0.065).
The Effectiveness of Learning Anatomy and Medical
Imaging Using the Anatomage Table Compared
with Prosections
Authors: Ian Y. Chan, MPH; Marcel D’Eon, PhD; Hager
Haggag, BSc; Christine Roh, BSc; Yasmin Carter, PhD;
Brent E. Burbridge, MD FRCPC
Objective
To explore the effectiveness of learning anatomy
and medical imaging using the Anatomage Table
compared with prosections.
Methods
Isolated Diffusion Restriction (IDR) in GBM as
Prognostic Imaging Marker
Randomized study comparing two methods of
learning anatomy: the Anatomage Table and prosection. Sixteen “anatomy naïve” undergraduate
students were randomized and stratified by academic program into either intervention group. An
hour-long didactic session teaching knee anatomy
and medical imaging was delivered and followed
by a written and practical assessment. Independent
and paired t-tests and chi-squares for the scores
grouped by total, question category (anatomy or
imaging) and specific question type (e.g. labelling
prosection, identifying imaging plane) were computed for each group.
Authors: Adil Bata; Jai Shankar
Results
Conclusion
The order of sampling between the 1st and 2nd
tissue samples does not influence the adequacy
rate for genomics analysis. However, at least 2
needle passes are required per patient to obtain
an 85% adequacy rate.
RT014
Objective
Diffusion weighted images (DWI) have become
important in characterization of the most common
primary brain tumour, Glioblastoma multiforme
(GBM) tumours. Isolated diffusion restriction (IDR)
can precede contrast enhancement of tumour on
MRI. The aim of our study was to assess the incidence
of this observation, to determine whether IDR can
predict the development of new enhancing mass
lesions, and to determine whether IDR is associated
with survival.
Methods
Q-CROC-01: Prospective Study to Identify Molecular
Mechanisms of Clinical Resistance to Standard Firstline Therapy in Patients with Metastatic Colorectal
Cancer (NCT00984048)
MRI of brain, including DWI and ADC maps, of
102 patients with cases of glioblastoma were
retrospectively examined. Data was collected to
assess where low ADC regions (IDR) exist without
enhancement, the normalized ADC (comparing
tumour regions to normal regions), the length of
time that enhancement takes to appear, and the
overall survival of patients from the time of the
appearance of corresponding enhancement. Data
was also collected on the degree of resection of
the tumours.
Objective
Results
Personalized medicine will become standard of care.
In the context of a translational study, patients are
being stratified for oncological therapy with molecular genetic profiling of colorectal liver metastases
biopsies, performed by the interventional
The study cohort was formed by 41 (40.2%) patients
with IDR. Ten (24.3%) patients with IDR displayed
enhancing tumour at the site of the low ADC lesion
on follow up an average of 145 days after. Patients
with IDR (486 ± 363.5 days) had longer survival
Authors: Cyrille Naim, MD, MSc; Andre Constantin,
MD; Adrian Gologan, MD; Bernard Tetu, MD; Adriana
Aguilar, PhD; Cyrla Hoffert, MSc; Suzan McNamara,
PhD; Gerald Batist, MD; Errol Camlioglu, MD, MSc
RT015
Mean assessment score for Anatomage group was
26.2 +/- 5.9 and prosection group was 29.6 +/- 4.2
out of 41. Differences between the total anatomy
scores for both groups was p=0.159 and effect size
was 0.74 in favour of prosection-based instruction.
Differences between the total medical imaging scores
between the two groups was p=0.511. Differences
between practical scores for identifying anatomy
yielded an effect size of 0.97 (p=0.074) and identifying abnormal imaging yielded an effect size of
0.59 (p=0.259) favouring the prosection group).
Anatomage-based instruction scored higher on
identifying the relative location of anatomy (p=0.554)
and identifying imaging plane (p=0.660).
Conclusion
Differences in scores between the Anatomage and
prosection groups were not statistically significant;
however, effect sizes for some questions were very
large (favouring prosection-based instruction)
suggesting that statistical significance could be
demonstrated with a larger sample size. Similar
performance with some high assessment scores
suggests that learning knee anatomy with Anatomage is effective for some naïve anatomy learners
compared with prosection-based instruction.
To estimate the extent of neuroimaging delay and
identify factors associated with neuroimaging delay
(computed tomography or magnetic resonance
imaging) among patients with suspected acute
stroke who were potentially eligible to receive
thrombolytic therapy, that is, who were within four
hours of symptom onset upon presentation to the
emergency department (ED).
radiologist under ultrasound guidance. The objective
is to determine the adequacy rate of biospecimens
for molecular profiling with our biopsy technique.
94
Speakers
Eliane Albert, MRT (T)
Eliane Albert a obtenu un diplôme en Radio-Oncologie au Collège Ahuntsic en 2004.
Elle travaille présentement à l’Hôpital Général
d’Ottawa, et fait partie de l’équipe de tomothérapie. Elle a également travaillé au
KFSH&RC à Riyadh, en Arabie Saoudite et
plus de 5 ans à l’Hôpital Notre-Dame (CHUM)
à Montréal.
Présentation: Modèle de planification du traitement en tomothérapie
Linda Arseneault
Moderator: Radiological Technology
Sylviane Aubin, MSc
CHU de Quebec, Hotel Dieu de Quebec
Présentation : Culture de l’interdisciplinarité,
vivre et cultiver
Francois Audibert, MD, MSc
Université de Montréal
Dr. François Audibert obtained his MD from
the University of Paris in 1994, with a specialty
in Obstetrics and Gynecology. After a research
fellowship in the division of maternal fetal
medicine, University of Memphis, Tennessee
in 1995, he worked in maternal-fetal medicine
at Hospital Antoine Béclère, university of Paris
XI. His main interests have been clinical studies
about preeclampsia, preterm labour, twin
pregnancies, and prenatal screening. He has
completed a master of epidemiology in 2001,
and was recruited as an associate professor
at the Université de Montréal in 2003. He is
currently Full Professor and Head of the Division
of Maternal-Fetal Medicine at Sainte-Justine
Hospital, Université de Montréal.
et de la mise en place de la première clinique
d’accès rapide de radiothérapie au Québec
(CARR). Elle complèteraun baccalauréat en
gestion durant l’année 2015. Membre depuis
5 ans du comité organisateur du congrès
annuel de OTIMROEPMQ et reponsable de
la programmation scientifique en radio-oncologie. Membre actif de plusieurs comités
au sein du département de radio-oncologie
du CHUM Hôpital Notre-Dame.
Présentations :
• La planification par myéloscan : une approche
multidisciplinaire!
• Myeloscan planning for radiation oncology
treatment: a multidisciplinary approach!
Manon Bélair
Judge: Scientific Exhibit
Karine Bellavance, Technologue en imagerie
médicale
Centre d’expertise clinique en radioprotection
Karine Bellavance, Coordonnatrice technique
au Centre d’expertise en radioprotection
depuis 1 an. L’auteure de cette conférence a
obtenu son diplôme en Technique de Radiodiagnostic au Cégep de Rimouski en 2006.
Technologue en imagerie médicale spécialisée
en tomodensitométrie, elle est à l’emploi du
Centre hospitalier universitaire de Sherbrooke
(CHUS) depuis plus de 9 ans.
Présentation : CECR : rôle et actions en radiologie
et médecine nucléaire
Carl Bellehumeur
Marie-Pier Beaudry, tro
Diplomé du college Ahuntsic, il est technologue en médecine nucleaire au CHUM depuis
juin 2012. ll a realisé des examens generaux
jusqu’en aout 2013 a l’hôpital Notre-Dame,
période à laquelle il a été assigné au TEP-TDM à
l ‘hôpital HotelDieu. II est présentement maltre
de stage depuis septembre 2014 au TEP. II a
également presenté, conjointement avec ses
collegues, le contenu de sa presentation sur la
qualité des examens en TEP-TDM à I‘Association
canadienne de medecine nucleaire (ACMN)
qui se tenait a Montréal en Janvier 2015.
Hôpital Notre-Dame
Présentations :
Presentation: Prenatal screening: state of the art
Technologue en radio-oncologie depuis 2006
ayant travaillé dans différentes sphères de la
radiothérapie; traitement, planification etclinique. Technologue à l’origine de la création
• La qualité des examens et des diagnostics: les
technologues font la différence! Formation
interactive
interactive – suite
• Retour sur les cas de consoles. La qualité des
examens et des diagnostics: les technologues
font la différence!
Marie-Eve Berube, Technologue en radio-oncologie
Chu de Québec, Hôtel-Dieu de Québec
Graduée du Cégep de Ste-Foy en 2001, elle
a tour à tour travaillé au secteur traitement
etau simulateur, elle a été institutrice clinique,
oeuvré en curiethérapie et enseigné au Cégep
de Ste-Foy. Cette année, elle travaille comme
coordonnatrice technique au secteur traitement et elleenseigne au Cégep de Ste-Foy à
temps partiel.
Présentation : Technique de DIBH
Ravi Bhargava
Stollery Children’s Hospital/University of
Alberta
Dr. Ravi Bhargava is a Professor of Radiology
at the University of Alberta. He is the Chief of
Radiology at the Stollery Children’s Hospital
and a partner with Medical Imaging Consultants. His primary areas of interest are in
pediatric radiology and neuroradiology. His
grant-funded research involves evaluation
of new MR contrast agents in children, use
of fetal MRI, improving pediatric pneumonia
care in Africa, and assessing dietary modifications in pediatric hepatic steatosis. He
has a strong interest in resident education
and is the Program Director for the pediatric
radiology resident training program, a Royal
college examiner in Diagnostic Radiology, and
the former chair of the Pediatric Radiology
Specialty Committee of the Royal College of
Physicians and Surgeons of Canada.
SPEAKERS / CONFÉRENCIERS
Formation : MSc Physique médicale, 2002,
Université Laval. Expérience professionnel:
Physicienne médicale, CHU, Hôtel Dieu de
Québec, depuis 2002.
Conférenciers
Presentation: Head and neck imaging in children
Martin Black
Presentation: Head and neck cancer: what the
surgeon wants to know from the radiologist
Christian Blais
Moderateur: Conférence Léglius-Gagnier
95
Philipp Blanke, MD
University of British Columbia - St. Paul’s
Hospital
Moderator: Coronary CT angiography simulation workshop
Valérie Blouin, Radiologue
Hôpital du Saint-Sacrement, Québec
Dre Blouin a complété sa résidence en radiologie diagnostique à l’Université Laval en juin
2012. Elle a ensuite effectué un fellowship en
imagerie de la femme à l’Université McGill en
2013-2014. Depuis juillet 2014, elle est radiologiste à l’Hôpital du Saint-Sacrement à Québec,
affilié au Centre Hospitalier Universitaire de
Québec.
Présentation : Nouvelle classification BI-RADS
Brigitte Boisselle
Présentation: Classes d’enseignement sein et
prostate en radio-oncologie
Amanda Bolderston, RTT, MSc, FCAMRT
BC Cancer Agency
Amanda Bolderston trained and worked in the
UK, and has subsequently worked in Holland,
Ontario and British Columbia. Amanda is a
radiation therapy educator and researcher
who has published extensively nationally and
internationally. She is an associate editor of
the Journal of Medical Imaging and Radiation
Sciences for the field of qualitative research
and her primary interests are competency development, advanced practice and supportive
care for patients undergoing radiation therapy.
She is currently the Professional Practice and
Academic Leader for the BC Cancer Agency’s
Radiation Therapy program and a past
Presentation: Standards for skin care in radiation therapy
Guillaume Bouchard
CSSS de Laval
Le docteur Guillaume Bouchard est spécialiste
en médecine nucléaire, diplômé del’Université
de Sherbrooke en 2006. Il fait partie d’une
nouvelle génération de nucléistes qui a vécu
au cours de sa formation la transition technologique menant à l’adoption des caméras
hybrides SPECT-TDM et TEP-TDM, ainsi que
l’émergence du paradigme de l’imagerie
moléculaire. Il pratique actuellement au CSSS
de Laval et a mené le projet TEP-TDM, en lien
étroit avec le département de radio-oncologie
du Centre intégré decancérologie de Laval.
Doctor Guillaume Bouchard is a specialist
in nuclear medecine, he graduaded from
Université de Sherbrooke in 2006. He is part
of the new generation of nucleists who went
through his training, while the technology
was changing, leading to the adoption of the
hybrid cameras SPECT-TDM and the TEP-TDM,
and also to the emergence of the paradigm
of molecular imagery. He now practices at
the CSSS de Laval and is leading the TEP-TDM
project, in close collaboration with the radio
oncology department of the Centre intégré
de cancérologie de Laval,
Présentation :
• Optimisation des étapes en planification
TEP-TDM
• Optimizing planning with a PET/CT suite
• Optimiser la planification avec un PET-CT suite
Chantal Boudreau, PhD
en enseignement professionnel et technique
de l’Université Laval, elle a plusieurs implications professionnelles à son actif. Membre de
la Commission des études du Cégep de SainteFoy de 1998 à 2006, elle a siégé également sur
plusieurs comités de l’Ordre. Récipiendaire du
Mérite du Conseil interprofessionnel du Québec en 2000, madame Boué est à la présidence
de l’OTIMROEPMQ depuis 2009 et membre du
comité exécutif du Conseil Interprofessionnel
du Québec (CIQ) depuis 2012
Présentation : À la une de l’Ordre !
Benoît Bourassa-Moreau
Benoît Bourassa-Moreau a obtenu son diplôme
de maîtrise en physique médicale à l’université
de Montréal suite à une formation en ingénierie
physique à l’École Polytechnique de Montréal.
En 2012, il est engagé à titre de physicien
médical en médecine nucléaire au CHUM. Il
est responsable du programme de contrôle
de qualité du département. Il est aussi chargé
de projet pour l’acquisition d’équipements
médicaux en imagerie et radio-oncologie au
nouveau CHUM. Il enseigne la physique de
l’imagerie médicale en médecine nucléaire
et résonance magnétique aux résidents en
radiologie, médecine nucléaire et aux étudiants en physique à l’université de Montréal.
Présentations :
technologues font la différence ! Formation
interactive
Montreal
Lucie Brouard, Dec en radio-oncologie du
Québec
Chantal Boudreau, PhD, has been working as a
psychologist for over 25 years. She graduated
from her BA and Masters degree from Ottawa University, and did her Ph.D. at Montreal
University. She specializes in psychosocial
oncology, and worked at the Breast Cancer
Clinic of the Royal Victoria Hospital for the
past 10 years. Since January 2015, she is in
private practice in Montreal.
CHU de Québec
Presentation: Understanding and preventing
burnout in a healthcare system
Danielle Boué, Technologue en imagerie
médicale
Diplômée en 1983 du Cégep de Sainte-Foy
en Technique radiologique. Depuis 1985,
elle estassociée au Cégep de Sainte-Foy à
titre d’enseignante mais également à titre de
coordonnatrice du programme et des stages
de 1997 à 2009. Détentrice d’une formation
Je suis technologue en radio-oncologie depuis
28 ans. Dans mon parcours professionnel, j’ai eu
l’opportunité de travailler comme institutrice
clinique et comme coordonnatrice technique.
J’ai participé à 2 projets d’agrandissement au
département de radio-oncologie de l’Hôpital
Maisonneuve-Rosemont et au développement
du dossier électronique du centre intégré
de cancérologie de la Cité de la Santé. Ma
passion pour ma profession a fait en sorte
que je me suis toujours beaucoup impliquée
professionnellement. J’ai enseigné à temps
partiel au Collège Ahuntsic en technologie
de radio-oncologie pendant près de 20 ans
et je m’implique activement au sein de mon
Ordre professionnel depuis de nombreuses
années. J’occupe le poste de conseillère à la
qualité en radio-oncologie à l’Hôpital Maisonneuve-Rosemont depuis près de 3 ans.
president of the Canadian Association of
Medical Radiation Technologists.
Diplomé du Cegep de Sainte Foy en 1980 en
technique de radiothérapie. Technologue en
radio-oncologie à l’Hôtel Dieu de Québec de
1980 à 1995.Coordonnatrice technique en radio-oncologie secteur traitement depuis 1995
au département de radio-oncologie du CHU de
Québec Pavillon Hôtel Dieu. Responsable de la
gestion des rapports d’accident et d’incident
au département de radio-oncologie depuis
2000 et membre du comité de la prévention
et gestion des incidents et accidents au CHU
de Québec.
Présentation : La gestion des risques en interdisciplinarité en radiothérapie
96
Ghislain Brousseau, Médecin
CHUL (CHUQ)
Le Dr Ghislain Brousseau est diplômé en
radiologie diagnostique de l’Université Laval
en 1995, après quelques années de pratique
en médecine familiale. Après un fellowship
en imagerie par résonance magnétique, il
pratique au Centre Hospitalier de l’Université
Laval depuis 1996. Son domaine d’expertise
touche principalement l’imagerie abdominale. Il est très impliqué dans l’enseignement
aux résidents en radiologie et participe aux
examens du Collège Royal du Canada depuis
1996, notamment à titre de vice-président de
2003 à 2008. Il est aussi professeur agrégé de
l’Université Laval depuis 2006 et responsable
de l’évaluation longitudinale des étudiants en
médecine de l’Université Laval. Il a de multiples
communications et publications scientifiques
à son actif.
Présentation : Rapport d’ostéodensitométrie:
rester simple sans faire simple!
Moderateur: Ostéodensitométrie
John Butler, BSc, MRT(MR)
Mr. Butler’s early career in medical imaging
was as a nuclear medicine technologist. Subsequently he entered into magnetic resonance
imaging technology, becoming technical
coordinator of diagnostic MRI at St. Joseph’s
Hospital in London, Ontario. For the past 5
years he has worked in imaging research as
manager/technologist at Lawson Health Research Institute, the hospital-based research
arm of St. Josephs Healthcare and London
Health Science Centre.
Presentation: PET/MR - Implementation of a
PET/MR suite
Greg Butler
Judge: Educational Exhibit
Jean-François Cayer, Technologue en radio-oncologie
CHUM
Avant d’arriver en radio-oncologie en 2011 il
a eu un parcours plutôt hétéroclite. En effet,
suite à des études collégiales au Petit Séminaire de Québec il a entreprit des études en
théâtre à l’Université du Québec à Montréal.
Parallèlement, il travaille au Vieux-Port de
Montréal au Centre des sciences et Cinéma
IMAX. Il devient alors superviseur des opérations billetterie, accueil et superviseur de
personnel. En septembre 2000, il est nommé
attaché politique de Diane Lemieux, ministre
du Travail et de l’Emploi puis, ministre de la
Dr. Raj Chari
Présentation : Confidentialité et accessibilité
des informations patients
The Ottawa Hospital
Jody Ceccarelli
Robert Chatelain is a graduate of the radiography program at Mohawk College in Hamilton,
Ontario. He is currently employed at The
Ottawa Hospital as the Charge CT Technologist where he has obtained his CT imaging
speciality certificate. He has been actively
involved in student education, research and
the development of several CT programs at
The Ottawa Hospital such as CT Colonography,
Stroke, Dual Energy and Low Dose Imaging.
He is committed to continuing education
as well as to being an active member of his
professional associations.
Jody Ceccarelli has been a medical imaging
technologist for 35 years and is the coordinator
of the Cedar’s Breast Clinic, a post she has held
for 14 years. She has presented many seminars
on breast imaging emphasizing the importance of good technique and patient care.
She has coordinated the transition of analog
to digital mammography and is presently busy
working in a multidisciplinary center, as they
prepare to move their existing center to the
new Mega-Hospital in Montreal.
Presentation: Applications of tomosynthesis
in both screening and diagnostic
Presentation: Imaging of upper limb sports
injuries
Robert Chatelain
Presentation: Renal & urographic imaging
Moderator: Breast Imaging
Tanya Chawla, MRCP, FRCR, FRCPC
Marie-Pier Chagnon, t.r.o., Analyste radio-oncologie et coordonnatrice technique
Joint Department of Medical Imaging, University of Toronto
Centre intégré cancérologie, Laval, QC
Moderator : Radiation Therapy
Michael Chan, BHSc, MD
University of Toronto
Moderator: Double Jeopardy, Toil and Trouble
(Part 2 - Jeopardy)
Silvia Chang, MD, FRCPC, FSAR
University of British Columbia
Dr. Chang is a Radiologist at Vancouver General
Hospital and Associate Professor of Radiology
at the University of British Columbia and a
Fellow of the Society of Abdominal Radiology. She is also the UBC Radiology Residency
Program Director. Dr. Chang completed her
Medical Degree and her Diagnostic Radiology
Residency at the University of British Columbia.
She then completed an Abdominal Imaging
Fellowship at the University of California,
San Francisco. Following her fellowship, she
returned to Vancouver to become a staff radiologist at VGH and established the Abdominal
MRI program at VGH, which she is the Head.
Her area of interest is abdominal imaging,
particularly liver MRI and prostate MRI; and
medical education.
Presentation: Multi-parametric MRI of the
prostate
Dr. Tanya Chawla graduated from the University of London, Charing Cross and Westminster Medical School UK and completed
her radiology residency at the University of
Southampton U.K. Dr. Chawla completed
a Fellowship in Abdominal Imaging at the
UHN/MSH and is currently a staff abdominal
radiologist and assistant professor at the Joint
Department of Medical Imaging , University
Health Network/Mount Sinai Hospital in the
Division of Abdominal Imaging, where she is
Head of the Virtual Colonography Program and
Head of body imaging at the Women’s college
hospital. She is actively involved in teaching
at the undergraduate and post graduate level.
Lawson Health Research Institute
Culture et des Communications. En décembre
2007, suite à son départ, il réoriente sa carrière
vers la santé. Il entreprend donc en septembre
2008 des études en radio-oncologie au collège
Ahuntsic. En juin 2011 il devient membre de
l’équipe de radio-oncologie du CHUM.
Presentation: Bowel MRI
Moderator: Bowel Imaging: State of the Art 2015
Jean Chenard, radiologue
CHUS
Présentation : Tête et cou: littérature en rafale
Viesha Ciura, FRCPC, Neuroradiolo gist
University of Calgary
After completing medical school at the University of Calgary, Dr. Ciura went on to a residency
in Diagnostic Radiology at the Foothills Medical
Centre, where there is a busy stroke service
through the Alberta Stroke Program. Dr. Ciura
then completed a fellowship in Diagnostic
97
Neuroradiology at Massachusetts General
Hospital, Harvard Medical School, where there
is a highly integrated stroke service. Dr Ciura
collaborated closely with stroke neurologists in
the management of acute stroke patients. Dr.
Ciura participated in research on hemorrhagic
stroke. Dr. Ciura is currently a Neuroradiologist
with RCA Diagnostics in Calgary, and Clinical
Assistant Professor at the University of Calgary.
Presentation: MR imaging in acute stroke
Jason Clement
(Part 1 - Debates)
Martin Cloutier, Neurologue
Hopital Charles-Lemoyne
Dr. Cloutier a fait sa résidence en neurologie à
l’Université de Sherbrooke, son fellowship en
troubles de mouvement à l’Université de Sherbrooke. Iltravaille à l’hôpital Charles-Lemoyne
et à la clinique NeuroRiveSud depuis 15 ans.
Présentation : Botox EMG
François Couillard is the CEO of the CAMRT.
He has worked for numerous organizations
including Johnson & Johnson, Nordion, the
Canadian Red Cross and VON Canada. He is a
Certified Management Consultant (CMC), and
holds a MBA in Marketing and International
Business from McGill University. He also holds
a Bachelor of Engineering (Chemical Engineering) from the Université de Sherbrooke. He has
served on numerous advisory councils and
boards, including Canada’s Advisory Council
on National Security, Europe’s Association of
Imaging Producers and Equipment Suppliers
(AIPES) and the Council on Radionuclides and
Radiopharmaceuticals (CORAR). He lives in
Ottawa, Canada where the best way to find
him is to catch him on his bike rides or ski
outings in the nearby hills.
The Royal Ottawa Health Care Group
Présentation: L’approvisionnement futur des radio-isotopes produits par les réacteurs nucléaires
Dr. Gretchen Conrad is a Clinical Psychologist
at The Ottawa Hospital and a Clinical Professor
with the School Psychology at the University
of Ottawa. She has been employed at the
Ottawa Hospital since 1993, working in variety of contexts within acute mental health,
including general in-patient Psychiatry, the
Eating Disorders program, the Early Psychosis
Intervention Program, Outpatient Mental
Health, and 2 years as the Acting Chief of
Psychology. She was Co-Chair (2009-2013)
of the Early Psychosis Intervention Ontario
Network (EPION), a coalition of EPI programs
throughout the province. She has recently
been seconded to the Royal Ottawa Mental
Health Centre for a health system improvement
project to develop system level planning for
transitional aged youth mental health and
addiction services.
Presentation: The future supply of reactor-produced medical isotopes
Presentation: Dealing with the difficult and
anxious patient
François Couillard, B. Eng, MBA, CMC
CAMRT
François Couillard est le Chef de la direction de
l’ACTRM. Il a travaillé au sein de nombreuses
organisations telles que Johnson & Johnson,
Nordion, la Croix-Rouge Canadienne et VON
Canada. Il est un Conseiller en Management
Certifié (CMC), et a obtenu un MBA en Marketing et Affaires Internationales de l’Université
McGill. Il possède également un diplôme en
Génie Chimique de l’Université de Sherbrooke.
Andrew Crean
Presentation: Triple-rule-out should be the test
of choice for undifferentiated chest pain in the ED
Alain Cromp, t.i.m(E), B.Ed., D.S.A, M.A.P,
Adm.A
Diplômé en technique radiologique du Collège
Ahuntsic, de l’Université du Québec à Montréal
comme bachelier en éducation (B.Ed.), de
l’École des HEC du programme de 2e cycle
en sciences administratives et du programme
de maîtrise en administration publique de
l’École nationale d’administration publique.
Il a exercé la technique radiologique à titre
de technologue spécialisé en angiographie
et à titre d’enseignant clinique. Depuis 1985,
il occupe les fonctions de directeur général et
secrétaire de l’OTIMROEPMQ. Impliqué depuis
de nombreuses années dans le domaine associatif occupant différentes fonctions dans
différentes associations dont il est membre.
Récipiendaire des prix Dr Marshall Mallet : The
lamp of knowledge, Welch Memorial Lecture de
l’ACTRM, Accolade de la SCDA, il est également
récipiendaire du prix Distinctas de l’Ordre.
Présentation : À la une de l’Ordre !
Geoffrey Currie, BPharm, MMedRadSc, MAppMNGT, MBA, PhD
Macquarie University and Charles Sturt
University
Geoff Currie is Clinical Professor and Professor of Molecular Imaging in the Australian
School of Advanced Medicine at Macquarie
University, Associate Professor of Medical
Radiation Science at Charles Sturt University
and Conjoint Associate Professor in the Rural Clinical School at the University of NSW.
Professor Currie has a Bachelors Degree in
Pharmacy, Masters Degree in Medical Radiation
Science (nuclear medicine), a Masters Degree
in Applied Management (health), a Masters
Degree in Business Administration (MBA) and
a Doctor of Philosophy (PhD). He has broad
research and teaching interests across the
medical radiation sciences with more than 110
peer reviewed journal papers, 5 books, 100+
conference presentations and is a reviewer
for 26 international journals.
Presentations:
• Interventional nuclear medicine
• Peptide imaging and therapy
Geneviève Daigneault, technologue en
médecine nucléaire
CHUM Hôtel-Dieu de Montréal
Elle est diplômée en médecine nucléaire
du cégep Ahuntsic en 2005. Elle travaille au
CHUM Hôtel-Dieu de Montréal depuis 2005.
Elle a travaillé au département de cardiologie
nucléaire de 2008 à 2012. Elle a participéeen
tant que conférencière au congrès annuel
de l’OTIMROEPMQ en 2012, en tant que conférencière au congrès annuel de l’ACMN en
2015. Elle est super utilisatrice sur caméras
Discovery depuis 2013 etmaître de stage
depuis septembre 2014.
Gretchen Conrad, PhD, C.Psych.
François a œuvré sur de nombreux comités
consultatifs et conseils d’administration dont
le Comité Consultatif sur la Sécurité Nationale
du Canada, L’Association de Producteurs
et Fournisseurs d’Équipement d’Imagerie
médicale (AIPES) ainsi que le Conseil des
Radionucléides et Radio-pharmaceutiques
(CORAR). Il habite à Ottawa où l’on peut le
croiser sur son vélo ou à ski dans les collines
environnantes.
Présentations :
interactive
Emilie David, technologue en médecine
nucléaire
CSSS Champlain Charles LeMoyne - Hôpital
Charles LeMoyne
Diplômée en 2002 du Collège André-Grasset
en sciences de la santé et en 2007 du Collège
Ahuntsic en technologie de médecine nucléaire, elle a d’abord exercé la profession au
CHUM, soit à l’hôpital Notre-Dame ainsi qu’à
98
l’Hôtel-Dieu de Montréal. Depuis 2008, elle a
joint l’équipe du CSSS Champlain-Charles-Le
Moyne, où elle a contribue à la formation continue en présentant lors de midi-conférences.
Après sa formation collégiale, elle a obtenu un
certificat en gestion des services de santé et des
services sociaux à l’Université de Montréal. Elle
complète présentement un second certificat
en santé et sécurité du travail à l’Université de
Sherbrooke.
Présentation : L’approche multidisciplinaire
dans la prise en charge du cancer thyroïdien
différencié sous thyrotropine alfa injectable
Carol-Anne Davis, RT(T), AC(T), MSc
NS Cancer Centre
Presentation: Investigating the impact of PETCT vs CT-along for high-risk volume selection
in head & neck and lung patients undergoing
radiotherapy: interim findings
Raquel Del Carpio, Professor of Radiology
McGill University
MUHC
Neuroradiologist and MRI pioneer, Dr. Del
Carpio-O’Donovan has practiced the specialty
for over 30 years. A dedicated teacher and
international speaker, she continues a tradition of service widely promoted by McGill
University. With several book chapters and
peer reviewed articles to her name, she has
built an impressive teaching collection in
neuroradiology which she makes available to
the hundreds of international and Canadian
observers that rotate in her department.
Presentation: Neuro imaging in emerging
infectious diseases
CHUM-Hopital Notre-Dame
Dr Guila Delouya est radio-oncologue à l’Hôpital Notre-Dame du Centre hospitalier de
l’Université de Montréal depuis 2011. Après
ses études en droit, Dr Delouya a obtenu son
diplôme de docteur en médecine et poursuivi
des études postdoctorales en radio-oncologie
à l’Université de Montréal. Elle détient également une maîtrise en sciences biomédicales.
Dr Delouya est reconnue pour son expérience
dans le traitement du cancer de la prostate.
Outre l’exercice de la médecine, elle s’intéresse
à la recherche, tout particulièrement dans le
domaine du cancer de la prostate. Elle a publié
plus de 15 articles scientifiques traitant de
radio-oncologie et s’investit beaucoup dans
l’éducation et la formation des étudiants en
médecine, des résidents et des externes.
Presentation: Le traitement du cancer de la prostate résistant à la castration avec le radium-223
Carole Dennie, MD, FRCPC
The Ottawa Hospital
Dr. Dennie is a Professor at the University of Ottawa in the Department of Diagnostic Imaging
with a cross-appointment to the Department
of Medicine (Cardiology). She is a medical
graduate from the University of Ottawa and
did her residency at the University of Ottawa
and McMaster University. Dr. Dennie completed
fellowship training in Thoracic Radiology and
pursued additional subspecialty training in
Cardiac MRI. She is the Head of Thoracic and
Cardiac Imaging at The Ottawa Hospital and
the co-director of Cardiac Radiology at the
University of Ottawa Heart Institute. She is
the director of Continuing Medical Education
in the Department of Diagnostic Radiology
at the University of Ottawa and the Chair of
the Diagnostic Radiology Examination Committee of the Royal College of Physicians of
Canada.
Presentation: All PE diagnosed on CT pulmonary
angiography must be treated
Eric Deshaies, Diplômé en EPM au CEGEP
Ahuntsic
CSSS Gatineau
Tecnologue en EPM depuis 1995 et formé en
PSG a travers l’armée à Ottawa en 2000 et à
travers les congrès de l’AASM. Employé du
CSSS de Gatineau depuis 1996 et responsable
du departement de Polysomnographie depuis
2001. Athlète et entraineur de triathlon et de
sport d’endurance j’ai développé un interet
et une expertise pour le sommeil versus les
performances physiques. Conférencier dans les
écoles primaire et secondaire depuis 2009. J’ai
aussi eu la chance de travailler avec Dr Marc
Therrien, neurologue et grand spécialiste du
sommeil.
Présentation: Mythes et réalitées du sommeil
et optimisation du sommeil pour les travailleurs
de nuit et à horaire variable
Line Desrosiers, TR
CSSS Champlain Charles LeMoyne
Line Desrosiers graduated from the Radiation
Therapist program at cégep de Ste-Foy in
1999. She has experience in many radiation
departments in the Province of Quebec (CHRR,
CHUS, CHUM, CUSM-JGH, CSSS CCLM). Since
2003, she has worked in planning (mould room,
simulator and CT scan). She participated in
the implementation of a new department of
radiation therapy in Charles LeMoyne hospital
(2009). She is a technical coordinator in planification since 2011. She got an Attestation of
collegial studies in MRI from collège Ahuntsic
in 2013. She published an article in the OTIMROEMPQ journal concerning the MRI images
registration in radiation oncology (March 2014).
Presentation:
• Cervix Cancer: external beam & brachy with
benefits of MR for planning
• Prostate cancer: planning benefits of using MRI
for external beam therapy and brachytherapy
Sukhvinder Dhillon, MB, ChB, MRCP,
FRCR
University of Alberta
Judge: CAR Departmental Clinical Audit Project
Contest
Gina Di Primio
Dr. Di Primio is currently a musculoskeletal
radiologist at St. Joseph’s Healtcare Hamilton and Professor of Radiology at McMaster
University. She completed her diagnostic
radiology residency at the University of Ottawa
and went on to complete a musculoskeletal
fellowship at the Mayo Clinic in Jacksonville &
Rochester and later a mini- fellowship in body
imaging in Montreal at McGill University. Upon
return from her MSK fellowship she returned
to Ottawa to lead the musculoskeletal section
at the Ottawa Hospital and has recently relocated to Oakville, Ontario. Her special interests
include bone and soft tissue tumour imaging,
ultrasound and MRI imaging of arthritis and
the peripheral nerves.
Carol-Anne Davis has more than 25 years of RT
experience, including 13 years as a frontline
therapist and 14 years as the clinical educator
of radiation therapy services at the Nova Scotia
Cancer Centre. Her current research projects
include radiation therapy-related outcomes,
peer-review practices, imaging modality
comparisons and the impact of PET-CT in
radiation oncology. Carol-Anne became interested in PET-CT and the oncology population
while taking courses for her master’s degree
program in Radiotherapy and Oncology. Her
research on the topic represents one of the
largest prospective PET-CT studies in the
radiation oncology population in the U.S.
and Canada. Findings from her study have
helped establish standards and guidelines for
head and neck and lung patients undergoing
radiation therapy in Nova Scotia.
Guila Delouya, MD, MSc, FRCP(C)
Presentation: MSK: key points in differentiating
benign from malignant vertebral fractures (nuc
med vs MRI)
Moderator: Approach to MSK MRI
99
Nathalie Duchesne, MD
Dr. Nathalie Duchesne has been working in
breast imaging and intervention since 1996,
and is now breast radiologist at Hopital du
Saint-Sacrement, CHU de Quebec, in Quebec
City. She is also Academic Clinical Associate
Professor at Université Laval in Quebec City.
Dr. Duchesne’s main clinical and research
interests include breast biopsy tool development, minimally-invasive therapy, as well
as new types of breast imaging and cancer
detection. Dr. Duchesne is an internationally
known speaker and is the founder and Director
of The Breast Practices, organizing the world
famous interdisciplinary The Breast Course, The
Breast Days and The Breast Webinars. Through
these courses, more than 3,000 physicians
from 64 countries have received instruction,
contributing to the improvement of breast
and women’s health worldwide.
Presentation: Breast MRI
Présentation: IRM Seins
Michel Pierre Dufresne, Radiologiste
Hôpital Maisonneuve-Rosemont
Promu de l’Université de Sherbrooke en médecine en 1982 et de l’Université de Montréal
en radiologie en 1987. Adjoint clinique pour
l’Université de Montréal depuis 1992. Travaillant au département de radiologie de l’Hôpital
Maisonneuve-Rosemont depuis le 1er février
1999 avec intérêt marqué en mammographie
depuis 1988. Impliqué dans différents Comités
provinciaux pour le PQDCS: contrôle de qualité,
positionnement, analyse des indicateurs de
performance.
Présentation : Corrélation entre les indices de
performance du PQDCS et le positionnement.
University of Calgary
Dr. Eesa is a neuroradiologist by training
with special interest in neuroendovascular
procedures. Following a diagnostic radiology
residency, Dr. Easa pursed further training in
diagnostic and interventional neuroradiology
at Calgary and in neurointervention from New
York.
Presentation: Putting it all together: treatment
planning in acute stroke
Mona El Khoury
Clinique du sein, CHUM
Mona El Khoury, d’origine libanaise ayant
complété le doctorat en Médecine à l’Université Libanaise à Beyrouth puis le diplôme
de spécialisation en Radiologie diagnostique
à l’Université René Descartes à Paris et un
fellowship en Imagerie mammaire à McGill.
Ayant été recrutée comme staff au MUHC entre
2006 et 2009 et depuis est membre actif du
département de Radiologie du CHUM.
Presentation: Corrélation radio-patho
Diplômé de l’école de médecine de l’université
Memorial en 1984, Gerard Farrell a acheté son
premier ordinateur en 1986, pour lui trouver
une application utile peu de temps après. Il a
consacré les 28 dernières années à chercher
d’autres applications informatiques utiles dans
le domaine de la santé, avec plus ou moins de
succès. Dr Farrell fait des conférences sur l’informatique médicale aux facultés de médecine et
des sciences informatiques, et a co-supervisé
les travaux en science informatique d’étudiants
aux cycles supérieurs. Anciennement doyen
associé, études de premier cycle, à la faculté
de médecine de l’université Memorial, il est
maintenant directeur de l’unité de recherche en
cybersanté de cette même faculté, où il étudie
les avantages et les lacunes de l’informatique
mise au service de l’éducation sanitaire et
de la prestation des soins. Il est également
omnipraticien en oncologie.
Presentation: Social media and the digital
professional
Présentation : Les médias sociaux et le professionnel numérique
Najla Fasih
Malak El-Rayes, Cardiologue
Contest
Hôpital de St Eustache
Bill Faulkner, BS, RT(R)(MR)(CT), FSMRT
Les lignes directrices canadiennes et américaines sur la fibrillation auriculaire.
Présentation : La fibrillation auriculaire, l’essentiel pour les technologues en electrophysiologie
Marco Essig
Judge: CAR Radiologists-In-Training Contest
Gerard Farrell, MD
eHealth Research Unit, Faculty of Medicine,
MUN
Gerard Farrell graduated Memorial University’s
Medical School in 1984. In 1986, he bought his
first computer and found something useful
to do with it shortly thereafter. He has spent
the last 28 years trying to find other useful
things to do with a computer in healthcare,
with mixed success. He lectures on medical
informatics in the Faculties of Medicine and
Computer Science and has co-supervised
graduate students in computer science. He
was the Associate Dean for Undergraduate
Studies with the Faculty of Medicine at MUN.
He is the Director of the eHealth Research Unit,
Faculty of Medicine, investigating what works
and what doesn’t when computers are used in
health education and care delivery. He is also
a general practitioner in oncology.
William Faulkner & Associates, LLC
William (Bill) Faulkner is President and CEO
of William Faulkner & Associates. The company provides MRI and CT education and
operations consulting with a specialized
focus on MRI safety. Their clients include
major equipment vendors and multiple MR
facilities and organizations. Mr. Faulkner is the
author and co-author of several MRI text books
including “Rad Techs Guide to MRI.” He is an
active member and fellow of the Section for
Magnetic Resonance Technologists (SMRT),
serving as its first President. Mr. Faulkner
also participates in several MR Safety groups
including the SMRT Safety Committee and
the Technical Advisory Board of the Institute
for Magnet Resonance Safety, Education and
Research. He has presented MRI Safety lectures
for the SMRT, ISMRM and the RSNA.
Dre Nathalie Duchesne travaille dans le domaine de l’imagerie mammaire et interventionnelle depuis 1996; elle est maintenant
radiologiste spécialisée dans l’imagerie du
sein à l’Hôpital du Saint-Sacrement du CHU
de Québec et professeure agrégée de clinique à l’Université Laval à Québec. Sur les
plans de la clinique et de la recherche, Dre
Duchesne s’intéresse tout particulièrement à
la conception d’outils de biopsie mammaire,
aux traitements à effraction minimale et aux
nouvelles démarches d’imagerie du sein et
de dépistage du cancer. Conférencière de
renommée internationale, Dre Duchesne a
fondé et dirige The Breast Practices, et elle est
l’organisatrice d’activités interdisciplinaires
connues mondialement, comme le symposium
The Breast Course, les journées du sein (The
Breast Days) et les séminaires en ligne The
Breast Webinars. Grâce à ces activités, plus
de 3000 médecins de 64 pays ont reçu une
formation qui contribue à améliorer la santé
du sein et des femmes partout dans le monde.
Muneer Eesa, MBBS, MD
Presentations:
• How to scan implantable cardiac devices
• MR safety
• MRI artifacts
Romuald Ferré, MD
RVH MUHC
Dr Ferré a complété ses études de radiologie
à l’Université Paris Descartes en novembre
2011. Il a ensuite fait un clinicat en imagerie
ostéoarticulaire à l’hopital Cochin pendant
100
deux ans. Depuis janvier 2014, il est fellow en
imagerie mammaire au centre du sein, MUHC,
Montréal.
Presentation: Applied anatomy and imaging
of paranasal sinus inflammation: pre-operative
evaluation and post-operative appearance
Présentation : Nouvelle classification BI-RADS
Presentation: Pathologic radiologic correlation
of retro-areolar lesions
Bruce Forster, MSc, MD, FRCPC
Florian Fintelmann, MD, FRCPC
Massachusetts General Hospital, Boston, MA
Florian Fintelmann a effectué sa résidence en
radiologie suivi par des études de fellowship
en radiologie interventionnelle, imagerie
abdominale et thoracique au Massachusetts
General Hospital. Il est radiologue dans le
department d’Imagerie Thoracique et Intervention au Massachusetts General Hospital et
instructor au Harvard Medical School.
Présentation : Le dépistage du cancer pulmonaire par tomodensitométrie faible dose
Cédric Fiset, Technologue en radio-oncologie
Hôtel-Dieu de Québec
Dr. Bruce Forster is Professor and Head of the
UBC Dept of Radiology, and Regional Dept
Head for VCH-PHC medical imaging department. He has been involved in the clinical,
educational, and research aspects of sports
imaging for 25 years, and was previously Head
of Imaging for the Vancouver 2010 Olympic/
Paralympic Games. He has delivered over
300 lectures around the world, has published
over 100 manuscripts in the peer-reviewed
literature, and authored over 100 educational
exhibits and several book chapters.
Presentation: MSK Key points in MRI of the
lower extremity
Caroline Fortin, BSc, BA
CHU de Québec, Hôtel Dieu de Québec
Elle a un baccalauréat universitaire en Science,
estinfirmière clinicienne au CHU Pavillon Hôtel
Dieu de Québec depuis 1999. Elle est également assistante infirmière chef au département
de la radio-oncologie depuis 2011.
Présentation : Le patient partenaire en oncologie, un allié pour le succès de nos projets!
William Foulkes, MBBS, PhD, FRCPC
William Foukes is a clinician-scientist with
a long-standing interest in the causes and
consequences of inherited susceptibility to
cancer. He focuses on translational research,
in that he aims to uncover the reasons why
some individuals within cancer-prone families
have developed cancer. In addition, he has
worked to characterize the clinico-pathological effect on these mutations, and to explore
the underlying molecular mechanisms. He
is particularly interested in susceptibility to
breast, ovarian cancer, colorectal and prostate
cancer. He also works on rare pediatric cancer
susceptibility syndromes. He is interested in
education in cancer genetics and has edited
two books and is a co-author on the text: A
Practical Guide to Human Cancer Genetics,
Springer, 2014.
Presentation: Impact of genetics on breast
cancer
Présentation : Prostate: nomade ou sédentaire
vivre et cultiver
R e z a F o r g h a n i , M D, P h D, F R C P C ,
DABR
Jessica Fortin, t.i.m.
Véronique Freire, Professeur adjoint de
clinique
Jewish General Hospital & McGill University
CHUM
CHUM
Dr. Forghani completed his MD and PhD at
McGill University, Montreal. He also completed
his residency training in diagnostic radiology
at McGill University, followed by a Fellowship in
Diagnostic Neuroradiology, at Massachusetts
General Hospital/Harvard Medical School. He
is currently attending radiologist at the Jewish
General Hospital, a McGill University teaching
hospital. He is Associate Chief of Radiology,
Jewish General Hospital and Assistant Professor, McGill University.
Finissante au collège Ahuntsic en technologie de médecine nucléaire en 2011, elle est
employé au CHUM depuis 2011 et maître de
stage pour le collège Ahuntsic de 2012 à 2014.
Sera faite immédiatement avant la présentation car sera la revue de littérature RÉCENTE...
Présentations :
interactive
interactive - suite
Mathieu Gagné
Nathalie Fortin
Gilbert Gagnon, Technologue en imagerie
médicale
His research interests include: dual energy
CT applications in head and neck imaging,
smart contrast agents for CT and MRI, radiology quality and peer review. For a list of
peer reviewed publications, please refer to:
http://www.ncbi.nlm.nih.gov/pubmed/?term=forghani+r Selected book chapters: 1.
Forghani and Curtin. Imaging evaluation of
cervical lymph nodes. Introductory Head and
Neck Imaging, 2014. 2. Forghani, Smoker, and
Curtin. Pathology of the Oral Region. Head and
Neck Imaging, 2011. 3. Forghani, and Schaefer.
Clinical Applications of Diffusion Functional
Neuroradiology, 2011.
CHUS
Présentation : Appareil locomoteur
Il a fait un stage au CSSS de Chicoutimi, un
stage à l’Hôtel-Dieu de Québec. Il est technologue au traitement en radio-oncologie
à l’Hôtel-Dieu de Québec et technologue
au cache et moulage en radio-oncologie à
l’Hôtel-Dieu de Québec.
UBC Dept of Radiology
organisation et elle complète une formation
en gestion des organisations avec l’Université
Laval. En 2007, elle obtient un poste de chef
de soins et services au programme clientèle
en soins oncologiques, plus particulièrement
pour la gestion du service de radio-oncologie
et du service des équipes interdisciplinaires
en oncologie au CHUS.
Il a fait ses études en électrophysiologie médicale au collège Ahuntsic de 2006 à 2009. Il est
technologue EPM à l’hôpital Notre-Dame du
CHUM depuis 2009 Il est membre du comité
de la relève de l’OTIMROEPMQ depuis 2013
Présentation : Pseudos crises vs crises épileptiques
Collège Laflèche/CECR
Mme Fortin a été embauchée à titre de technologue en radio-oncologie au CHUS en 1999. Elle
a par la suite œuvré en tant que technologue
de recherche clinique en radio-oncologie et
coordonnatrice de ce groupe. Son intérêt
pour la gestion et son leadership l’amène à
être ciblé comme relève des cadres dans son
Il est technologue en imagerie médicale,
professeur au Collège Laflèche, formateur et
consultant en radioprotection. Il a étéprésident
de l’OTIMRO de 1997 à 2001, consultant pour
le PQDCS/MSSS en 2002, conférencier lors de
plusieurs congrès, colloques, symposiums,
101
journées médicales ou multidisciplinaires et
forums. Il est auteur des Avis de radioprotection
en Radiodiagnostic et en Tomodensitométrie
de l’OTIMRO et d’une vingtaine d’articles ou
chroniques scientifiques. Il est récipiendaire
de 4 distinctions décernées par l’OTIMRO. Il
a été conférencier au 45è Congrès annuel de
la SCFR en 2008, reconnu Technologue en
Imagerie Médicale ÉMÉRITE par l’OTIMRO en
2009, technologue expert pour le CECR depuis
2010, Conférencier au Congrès de l’ACFAS en
2013 et Membre de l’ACRP.
Présentation: Radioprotection appliquée : 2
cas présentés
François Gallant, t.r.
Sunnybrook Hospital
Présentation : Système Atkina pour stéréotaxies
avec empreintes dentaires
Dr. Benoit Gallix
Presentation: Liver imaging
Isabelle Gauthier, t.r.o.
CSSS Champlain-Charles LeMoyne
Elle débute en tant que technologue au CHUM/
Hôpital Notre-Dame en juin 2004. En janvier
2005 elle fait sa formation de technologue
en curiethérapie. De 2006 à 2008 elle fait ses
formations en simulation et en dosimétrie et
travail en curiethérapie. Le 26 octobre 2009
elle commence à travailler à l’hôpital Charles
LeMoyne et en automne 2010 elle y devient
assistante-chef pour le secteur curiethérapie.
Elle est impliquée et participe à la mise en place
des implants permanents par I-125 au CHUM
et à la mise en place et au démarrage de tout
le secteur curiethérapie (matériel, procédures,
collaboration inter., etc.) à l’Hôpital Charles
LeMoyne. En décembre 2013 elle a obtenu
un AEC en IRM du collège Ahunstic. Présentation : Boost de traitement col utérin
par curie amélioré avec IRM
The Montfort Hospital
Moderator: MRI
Marie-Claude Gauvin, TR
Charles-LeMoyne Hospital
l AFPPE. 2002-2004 : Consultant Croix Rouge
française. 2010 : Cofondateur et vice président
de l’association humanitaire « Agir aujourd’ hui
pour demain. » 2010 : Vice président Europe
Afrique I.S.R.R.T.
Présentation: 20 ans de formation en Afrique
Cathy Gervais, TEPM
Hopital Saint-Eustache
Marie-Claude graduated as a Radiation Therapist from College Ahuntsic in 2003. She
worked at the Montreal General Hospital
(MUHC) 2003-2009 and began working in
brachytherapy in 2006. She participated in
the installation of the MRI machine in 2008. In
2009, she participated in the opening of the
new department in Charles LeMoyne hospital.
Since then she has worked in brachytherapy.
Presentations:
• Cervix Cancer: external beam & brachy with
benefits of MR for planning
• Prostate Cancer: planning benefits of using MRI
for external beam therapy and brachytherapy
Marie Gdalevitch, MD, FRCSC
Montreal General Hospital
Dr. Marie Gdalevitch completed both her
medical and orthopedic surgery degrees at
McGill University. Following her residency, she
pursued her first fellowship in limb lengthening
and deformity correction at the International
Center for Limb Lengthening in Baltimore,
Maryland. Dr. Gdalevitch then embarked on
her second fellowship in pediatric orthopedics
and basic science research at the Children’s
Hospital at Westmead in Sydney, Australia. She
is currently an assistant professor of surgery in
the Division of Orthopedics at McGill University
and works at the Shriners Hospital in Montreal
as well as the Montreal General Hospital. Her
clinical interests include: limb lengthening and
deformity correction, osteogenesis imperfecta,
hip reconstruction and pediatric orthopedics.
Dr. Gdalevitch is currently pursuing a PhD in
bone regeneration research.
Presentation: The importance of radiographic
imaging for deformity correction
Philippe Gerson
1981: Manipulateur HIA Val de Grace.1982:
Manipulateur à l Hôtel Dieu Paris.1989-1990:
École des cadres.1990: Cadre à l Hôtel Dieu
Paris. 2005-2007 : Cadre sup de santé service
radiologie Hôtel Dieu de Paris. 2007-2011:
Cadre paramédical du pôle Imagerie explo
fonctionnelles l’ Hôtel Dieu Paris. 2011-2013:
Cadre sup de santé radio et méd nuc Hotel
Dieu Pole Imagerie GH Paris centre. 2014 :
Cadre paramédical du pôle santé Hotel Dieu
GH Paris centre.1990-2013: Enseignant Ecoles
de technologues. 1984-2012 : Missions d’enseignement en Afrique et Vietnam au titre de
Technologue électrophysiologie médicale
diplômée en 2003. Au cours de ma carrière,
j’ai travaillé dans quelques centres hospitaliers
de la région de Montréal. J’ai principalement
travaillé en cardiologie à l’hôpital Royal Victoria
où j’ai eu le privilège d’être maître de stage en
cardiologie et chef technologue. Aujourd’hui,
je travaille dans plusieurs cliniques privées du
Québec ainsi qu’à l’hôpital de St-Eustache.
Présentation: Comprendre et utiliser les différents outils disponibles pour l’analyse des
holters
Alison Giddings, RTT, MSc
BC Cancer Agency - Vancouver Centre
Alison Giddings has been a Radiation Therapist
in British Columbia since 2003. She earned a
Masters degree in Radiotherapy and Oncology from Sheffield Hallam University in 2010,
and has been working in the role of Clinical
Educator since March of 2014. Alison lives in
East Vancouver with her husband and two
young children.
Presentation: The implementation of a gated
treatment technique for liver cancer
Caroline S. Giguère, Radiologiste
Sherbrooke
Moderateur: Revue de la littrature en rafale
François Gallant est un diplomé du Cégep de
Ste-Foy à Québec en Radio-Oncologie. Il a par
ensuite travailler a l’hôpital Maisonneuve-Rosemont de Montréal pendant 10 ans. Depuis
7 ans, il travaille à l’hôpital Sunnybrook de
Toronto à titre d’Educateur Clinique en planification. François a occupé plusieurs rôles à
Sunnybrook incluant chef d’équipe, a travaillé
sur le nouveau programme de planification
et la mise en œuvre de plusieurs documents
d’éducation et de recherche.
Serge Gauthier, RTR, RTMR
Josée Girard
Elle a terminée sa technique en électrophysiologie médicale au collège Ahuntsic en 1986.
Elle a travaillée pendant 22 ans comme technologue en EPM à la Cite de la Santé de Laval.
Elle y est responsable et a démarrer la clinique
pacemaker et défibrillateur à compter de
1995. Entre 1995 et 2008 elle a démarrée
la salle d’implantation de pacemaker, été
responsable de la formation du personnel en
cardiostimulateur et défibrillateur. et technologue en électromyogramme en clinique de
recherche pour les polynévrite diabétique..
Elle est maintenant specialiste clinique pour
la compagnie Biotronik depuis 2008.
Présentation: Rôle du technologue en salle
d’implantation de stimulateur cardiaque
102
Phyllis Glanc, MD, FRCP(C)
Srinivasan Harish, FRCPC
Sunnybrook Health Science Center
McMaster University
(Part 2 - Jeopardy)
Andrei-Bogdan Gorgos
Moderateur: Imagerie thoracique
Alison Harris, BSc(Hons), MBChB, MRCP,
FRCR, FRCPC
Vancouver General Hospital
Kalesha Hack
Moderator: Body Imaging: Focus session on
Pelvic MRI
Presentation: The 11-14 week ultrasound:
what not to miss
Angus Hartery, FRCPC, ABR
Moderator: Hot Topics: Obstetrics & Gynecology
Memorial University
Contest
Staff cardiothoracic radiologist at St. Paul’s
Hospital (SPH), Vancouver BC. Active researcher in cardiac and pulmonary fields, with a
focus on novel techniques for radiation dose
reduction. Active member of the University
of British Columbia radiology residency education committee and director of the SPH
body imaging and intervention fellowship.
Alice Havel, PhD (Counselling Psychology)
Presentation: CCTA Simulation Workshop
Nancy Hamel, Électrophysiologie Médicale
Institut Neurologique de Montréal
Nancy Hamel est présentement technologue
en électrophysiologie médicale, à l’Institut
Neurologique de Montréal (service d’électromyographie) et ce depuis 9 ans. À part
ses responsabilités professionnelles, elle
s’occupe de faire de l’enseignement et soutenir
les stagiaires qui font leur stage au sein du
service. Avant son poste actuel, elle a aussi
oeuvré, pendant un an, en électroencéphalographie. Elle détient un diplôme en EPM
du Collège Ahuntsic qu’elle a obtenu en 2005.
Ses antécédents professionels comprennent
également cinq ans en tant que technologue
EPM en cardiologie à l’hôpital de Ste-Agathedes-Monts.
Présentation: Test d’effort pour la paralysie
périodique
Paul Hamilton, MD, FRCP(C)
Academic radiologist with 30 years experience
working at Sunnybrook Health Sciences Center, University of Toronto, which is the largest
regional trauma center in Ontario.
Presentation: Imaging of bowel injury
Dawson College Student AccessAbility Centre
Alice Havel (PhD in Counselling Psychology,
McGill University) is a member of the Adaptech Research Network. For over twenty years
she was the Coordinator of Dawson College’s
AccessAbility Center for students with disabilities. She is now on contract with the
college, developing policies and procedures
for the centre.
Presentation: Clinical Integration of students
with learning disabilities
Esther Hilaire, t.i.m OTIMROEPMQ, r.t.n.m
ACTRM CSSS Charles LeMoyne-Champlain
Esther est une technolgue en imagerie médicale du domaine de la médecine nucléaire,
membre de l’OTIMROEPMQ et de l’ACTRM
depuis 1994. De 1994 à 2002, elle a participée
à plusieurs projets de recherche collaborative
tout en travaillant au Centre Hospitalier Universitaire de Montréal. Elle travaille maintenant au
CSSS Champlain-Charles LeMoyne, un hôpital
affilié au Centre Hospitalier Unviersitaire de
Sherbrooke. Pour ce centre, elle est la leader
de l’équipe d’imagerie médicale Accréditation
Canada et de l’équipe de sécurité. Elle a été
membre du comité de la gestion du risque de
son hôpital de 2011 à 2013. Elle est membre
du comité d’examen de l’OTIMROEPMQ depuis
2012. Elle a reçue le prix Marie-Thérèse Gauthier
en 2014 pour sa présentation au congrès de
l’OTIMROEPMQ de la même année.
Esther is a Medical Imaging Technologist who
works in nuclear medicine and a member of
the OTIMROEPMQ and the CAMRT since 1994.
Between 1994 and 2002, she was involved in
a number of collaborative research projects
while working at the Centre Hospitalier Universitaire de Montréal. She currently works at
Présentations:
• L’approche multidisciplinaire dans la prise en
charge du cancer thyroïdien différencié sous
thyrotropine alfa injectable
• Risk management in healthcare: a collaborative approach
Swapnil Hiremath, MD, MPH
The Ottawa Hospital, University of Ottawa
Swapnil Hiremath, MD, MPH, is a Staff Nephrologist at the Ottawa Hospital, an Assistant
Professor in the Faculty of Medicine at the
University of Ottawa, and also an Associate
Investigator in the Clinical Epidemiology
Programme at the Ottawa Hospital Research
Institute. His medical education has been at
the University of Mumbai and at the University
of Ottawa. He also has a Masters in Public
Health from the Harvard School of Public
Health and certification from the American
Society of Hypertension as a Specialist in
Hypertension. His primary research interest
is in using systematic reviews, meta-analyses
and decision-analytic modeling to improve
care for patients with hypertension, chronic
kidney disease, hemodialysis and patients
with acute kidney injury. He has authored
more than 30 papers.
Presentation: Contrast nephropathy update
Cameron Hague
CSSS Champlain-Charles LeMoyne, a hospital
affiliated with the Centre Hospitalier Unviersitaire de Sherbrooke, where she leads an
Accreditation Canada medical imaging team
and a security team. She served as a member
of the Risk Management Committee at her
current hospital from 2011 to 2013. She has
been a member of the OTIMROEPMQ Examination Committee since 2012, and received
the Marie-Thérèse Gauthier Award in 2014 for
her presentation during the OTIMROEPMQ
conference that same year.
Arthur Anselme Houngnandan, Msc santé
publique, Technologue en imagerie médicale
Direction de santé publique de Montréal
Formations techniques et universitaire-Technologue en radiologie-Baccalauréat en épidémiologie, Université libre de Bruxelles-Msc santé
publique, Université de Montréal. Publication:
Etude de l’association entre la sévérité des TCC
et les inégalités socials. Expériences professionnelles en cours-Technologue en imagerie
médicale, Hôpital du Sacré coeur de Montréal
et Hôpital Santa Cabrini de Montréal-Agent
de planification, de programmation et de reherche en santé, Direction de santé publique
de Montréal.
Présentation: Algorithme décisionnel dans la
prise en charge des TCC en tomodensitométrie:
Une analyse de la littérature
103
Julie Hurteau-Miller
Presentation: Pediatric imaging
Sian Ïles
Sian Ïles is an associate professor in Diagnostic
Imaging at Dalhousie University. Sian’s areas
of specialty are general nuclear medicine and
breast imaging as well as the role of radiology and nuclear medicine in diagnosis and
assessment of osteoporosis.
Presentation: MSK: key points in differentiating
benign from malignant vertebral fractures (nuc
med vs. MRI)
Moderator: Approach to MSK MRI
Joao Inacio, MD
The Ottawa Hospital/ University of Ottawa
Audrey Jacques, Technologue en radio-oncologie
Centre Hospitalier Universitaire de Sherbrooke (CHUS)
Originaire de Sherbrooke, elle a obtenu, en
2007, son baccalauréat avec majeur en physique de l’Université Bishop. Par la suite, elle a
commencé une maîtrise en physique médicale
à l’Université McGill. Durant la première année
de maîtrise, elle a découvert que ce qui était
le plus important pour ma vie professionnelle était d’avoir un contact humain avec
des patients. Pour cette raison, elle a préféré
arrêter le programme de physique médicale
pour continuer dans cette voie. Elle s’est donc
inscrite au Collège Dawson de Montréal pour
y suivre une formation de technologue en
radio-oncologie. Elle a gradué en 2011. Par la
suite, elle a travaillé deux ans à l’Hôpital Général
Juif de Montréal et depuis le mois d’avril 2013,
elle fait partie de l’équipe de radio-oncologie
du CHU de Sherbrooke.
Marie-Christine Jacques-Fournier, coordinnatrice technique, secteur graphie, imagerie
medicale
CHU Sainte-Justine, Montréal
Elle est diplômée d’état de « Manipulateurs
en électroradiologie médicale » en1984, à
Marseilleen France. Elle est diplômée en tant
que Technologue en Imagerie médicaledu
domaine du» radiodiagnostic depuis 1990.
Elle a pratiqué aussi bien en milieu hospitalier
qu’en clinique privée : CHU pédiatrique de La
Timone, Marseille, Institut thoracique de Montréal, CH Jean-Talon, CHU Sainte-Justineet dans
des cliniques de Montréal : Westplace-La Cité,
clinique du Dr André Robidoux, Radimed-Imaging. Elle est actuellement coordinatrice
technique en graphie à Sainte-Justine.
en obstétrique ainsi qu’une formation en
ostéodensitométrie. Elle travaille comme
technologue en médecine nucléaire au CSSS
Domaine-du-Roy de Roberval depuis juin
2013 ainsi qu’au CSSS Chicoutimi depuis
juin 2014, également elle vient tout juste de
débuter une carrière à la clinique privée IRM
Saguenay comme technologue en résonance
magnétique.
Présentation: TEP-IRM
Rebecca Jessome
Dalhousie University
Présentation : EOS: voir plus loin encore!
Rebecca Jessome is currently enrolled in the
Bachelor of Health Science program in Nuclear
Medicine Technology at Dalhousie University
and will graduate in May 2015. While training
in nuclear medicine she took up a speciality
practice in magnetic resonance imaging, which
she will complete in September 2015. She is
currently part of the MRI Clinical Education
Committee at Dalhousie University.
Ali Jahed, MD, PhD
Presentation: PET/CT guided biopsy
Micheline Jetté, Technologue en imagerie
médicale
(Part 2 - Jeopardy)
CSSS HRR
Jeffrey Jaskolka, MD, FRCPC
Moderator : Nuclear Medicine
Assistant Professor
Kartik Jhaveri
Dr. Jeff Jaskolka is an assistant professor of
radiology at the University of Toronto, and has
been a staff radiologist working in the Joint
Department of Medical Imaging (JDMI) for 8
years. He specializes in interventional radiology
and abdominal imaging. He is the site chief
of radiology at the Mount Sinai Hospital and
the vice chief of information technology at
the JDMI. He did his diagnostic radiology
residency training at the University of Toronto, finishing in 2006. He did a fellowship in
vascular and interventional radiology at Yale
University, completing his training in 2007. His
main academic interests are in post-graduate
medical education, interventional oncology
and non-invasive vascular imaging.
Dr. Kartik Jhaveri is the Director of Abdominal
MRI and Faculty Abdominal Radiologist in
the Joint Department of Medical Imaging of
the University Health Network, Mount Sinai
Hospital and Women’s College Hospital. He
is currently an Associate Professor at the University of Toronto. He has focused clinical and
research interest in the field of abdominal MRI.
He has lectured internationally on abdominal
MRI topics including at the RSNA and ISMRM.
He also leads multiple grant funded research
inititiatives in body MRI. His areas of clinical and
research interest are focused on hepatobiliary,
renal and rectal diseases. He has authored
several peer reviewed publications, book
chapters, clinics and scientific presentations. He
serves on multiple international and or North
American radiology organization committees
such as RSNA, ISMRM ,Society of Abdominal
Radiology. He has also served as an Assistant
Editor on the Editorial Board of the American
Journal of Roentgenology.
Presentation: Interventional radiology: casebased review
Laurie Jean, Technologue en M.N. et I.R.M
Chicoutimi
Elle a gradué comme technologue en imagerie
médicale du domaine de la médecine nucléaire
en juin 2013. Par la suite, elle a approfondi
ses connaissances en imagerie en complétant
une attestation d’études collégiales en résonance magnétique en décembre 2014. Elle a
continué sa formation et elle termine en avril
une formation en échographie de surfaces et
Dr. Inacio is a Cardiothoracic Radiologist at
The Ottawa Hospital, Department of Medical
Imaging, Chest, Cardiac and Emergency sections. He is Assistant Professor of Radiology,
University of Ottawa. He completed an Emergency/Trauma Radiology Clinical Fellowship
with Dr. Savvas Nicolaou and Cardiothoracic
Clinical Fellowship with Dr. Nestor Muller and
Dr. John Mayo, University of British Columbia,
Vancouver General Hospital. He completed a
mini-fellowship with Dr. Paul Finn, Diagnostic
Cardiovascular Section, University of California
at Los Angeles. Dr. Inacio holds an ACR Cardiac
CT Certificate of Advanced Proficiency (CoAP)
and Diplomate of Certification Board of Cardiovascular Computed Tomography (CBCCT).
Présentation : L’asepsie des plaies en radio-oncologie: quand nos accessoires deviennent une
menace
Presentation: MRI in rectal cancer
Erik Jurriaans, MBChB, FRCR (London),
FRCPC
Hamilton Health Sciences
104
Andrée Jutras, Chef radio-oncologie
Maripier Lajoie, OTIMROEPMQ
Anne-Marie Landry, Médecin
CHUM
CSSS Nord de Lanaudière
Centre hospitalier de l’Université de Montréal (CHUM)
Presentation: Radium 223 in metastatic castrate
resistant prostate cancer (mCRPC)
Moderateur: Radiodiagnostic
Shelley Kallos, RTR, CBI
Thunder Bay Health Sciences Centre
Moderator: Breast imaging
Rita Kassatli, Technologue en imagerie medicale
Hopital General Juif
Présentation : Curiethérapie du rectum sous
hypnose
Ania Kielar, BSc, MD, FRCPC
The Ottawa Hospital
CHU de QUEBEC
M. André Lamarre a obtenu son doctorat
en médecine de l’Université Laval en 1994.
Il y a poursuivi sa résidence en radiologie
diagnostique de 1994 à 1999. Il a ensuite
réalisé en 2001 un fellowship en angioradiologie interventionnelle et thérapeutique ainsi
qu’en résonance magnétique abdominale et
vasculaire au centre hospitalier universitaire
vaudois, à Lausanne en Suisse. Sur le plan
universitaire, Monsieur Lamarre est directeur
du département de radiologie de l’Université
Laval. En plus des centaines de cours et conférences qu’il a prononcés devant les externes,
les résidents et ses pairs, il s’est impliqué
activement au Collège royal des médecins et
chirurgiens du Canada depuis 2005, au début
comme examinateur, puis en 2009 comme
coordonnateur francophone des examens
oraux et maintenant comme Vice-président
des examens.
Présentation : Fractures vertébrales
Mark Landis, MD, MSc, FRCP(C)
Dre Anne-Marie Landry est médecin résidente
en médecine nucléaire à l’Université de Montréal depuis 2012. Elle terminera sa formation
post doctorale en 2017 et souhaite ensuite
effectuer une formation complémentaire à
l’étranger en cardiologie, en thérapie ou en
TEP. Elle a un intérêt marqué pour la pédagogie médicale et effectue présentement de la
recherche dans ce domaine. Elle participe aussi
à la l’élaboration d’activités d’enseignement
du département de médecine nucléaire de
l’Université de Montréal, notamment les
OPA (occasions propices à l’apprentissage).
Dre Landry est pharmacienne diplômée de
l’Université de Montréal depuis 2008. Elle
continue de pratiquer occasionnellement la
pharmacie en milieu communautaire.
Présentations :
interactive
London Health Sciences Center - Victoria
Hospital
Emil Lee, MD, FRCPC
(Part 1 - Debates)
Presentation: Bowel CT
Dr. Landis obtained a medical degree from
the University of Toronto and completed
residency in diagnostic radiology at Western
University. He obtained further fellowship
training in thoracic imaging at University
Health Network/University of Toronto. He is
currently the staff thoracic radiologist at London Health Science Center - Victoria Hospital
and Assistant Professor in Medical Imaging at
Western University. Dr. Landis is the imaging
lead for thoracic oncologic imaging and related intervention, the imaging lead for the
thoracic oncology disease site team at London
Regional Cancer Program, and site director for
Diagnostic Radiology Residency Program at
Western University. He is also active in multiple
thoracic imaging related initiatives at Cancer
Care Ontario.
Jesse Klostranec, MD, PhD
Presentation: The immune suppressed patient:
when clinical correlation is essential
Langley Memorial Hospital
Iain Kirkpatrick, BSc, BSc(Med), MD, FRCP(C),
DABR, FSAR
University of Manitoba
Dr. Iain Kirkpatrick completed his residency
in Diagnostic Radiology at the University of
Manitoba, followed by fellowship training
in Abdominal Imaging at Stanford University, where he remained an adjunct faculty
member until 2012. Dr. Kirkpatrick currently
is the Director of Computed Tomography,
Radiography and Interventional Radiology at
St. Boniface Hospital in Winnipeg, Manitoba,
and an Associate Professor with the University
of Manitoba.
(Part 2 - Jeopardy)
Martine Lefebvre, Technologue en Radio
Oncologie
CHU de Québec, Hotel Dieu de Québec
Rita Kassatli est coordonatrice technique
en brachythérapie, au sein de l’équipe de
radio-oncologie de l’hôpital Général Juif de
Montréal. Bachelière en biochimie depuis 1994
et diplômée technologue en Radio-Oncologie
depuis 2002, Rita a occupé plusieurs rôles variés
au sein de l’équipe. De plus, elle collabore
activement depuis 2011 aux recherches que
le Dr Te Vuong entame, dont entre autre les
recherches liées aux améliorations des traitements colorectaux.
André Lamarre, MD, FRCPC
Elle est diplômée du Collège de Sainte-Foy en
1994 en technique de radio-oncologie. Elle
est technologue en radio oncologie depuis
1994 au département de radio-oncologie du
CHU, Pavillon Hôtel Dieu de Québec. Elle est
spécialisée en curiethérapie depuis près de
17 ans. Elle est coordonnatrice de traitement
et de curiethérapie depuis 2001.
vivre et cultiver
Jonathon Leipsic
Dr. Leipsic is the Chairman of the Department
of Radiology for Providence Health Care and
the Vice-Chairman of Research for the UBC
Department of Radiology. He acts as the codirector of Advanced Cardiac Imaging at St.
Paul's Hospital. Dr. Leipsic is actively
involved in cardiac CT and MR research with
prior involvement in a multi-centre trial
evaluating coronary CT angiography vs. QCA.
Presentation: Triple-rule-out should be the test of
choice for undifferentiated chest pain in the ED
Moderator: Coronary CT Angiography Simulation Workshop
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Etienne Letourneau, Medical Physicist
Mark Levental, MDCM, FRCPC, DABR
Centre Intégré de Cancérologie de Laval
Jewish General Hospital
Il a gradué en 2009 son B.S. en Physique
de l’Université de Montréal, il a terminé en
2012 son M.Sc en Medical Radiation Physics
à l’Université McGill. Il devient assistant de
recherche à l’Institut Neurologique de Montréal
en 2014. Il est enseignant pour le programme
de dosimétrie de l’OTIMROEPMQ. Depuis 2012,
il estPhysicien Médical au Centre Intégré de
Cancérologie de Laval, spécialisé dans la reconstruction d’images, de la médecine nucléaire,
du contrôle de qualité en radio-oncologie et de
la dosimétrie. Étienne Létourneau a présenté
ses recherches lors de l’ASTRO, de l’AAPM,
de l’OCPM, de l’ACRP, de l’IEEE et a même
remporté le prix de la meilleure présentation
dans la catégorie Physique Médical/Radiation
lors de la rencontre scientifique annuelle de
l’ACRO en 2014.
Présentations:
• Calcul de dose au TVFC
• Calculating dosage for cone beam CT
Eugene Leung, MD, FRCPC
The Ottawa Hospital
Dr. Leung obtained an undergraduate degree
in chemistry at the University of Western
Ontario followed by a medical degree from
the University of Ottawa. He completed a
residency in nuclear medicine at the University
of Western Ontario. He is certified in nuclear
cardiology by the American Board of Nuclear
Medicine. Dr. Leung is currently attending
physician, Division of Nuclear Medicine, The
Ottawa Hsopital, Assistant Professor at the
University of Ottawa and Clinical Investigator
at the Ottawa Hospital Research Institute. His
interests include: radioisotope therapy, SPECT/
CT, and teaching in nuclear medicine. Rotary
engine enthusiast. Enjoys good expresso.
Presentation: Radioisotope therapy of bone
metastases using radium-223
Institut Universitaire de Cardiologie et Pneumologie de Québec
Marie-Hélène Lévesque a effectué un Doctorat
en médecine et une résidence en radiologie
diagnostique à l’Université Laval, puis a réalisé
des études de fellowship en imagerie thoracique et cardiaque au Massachusetts General
Hospital affilié au Harvard Medical School
à Boston. Elle est maintenant radiologue à
l’Institut Universitaire de Cardiologie et de
Pneumologie de Québec.
Présentations :
• Club de lecture d’imagerie thoracique
• Le dépistage du cancer pulmonaire par tomodensitométrie faible dose
Rock Lévesque, Technologue en Médecine
Nucléaire
Agence de la santé et des Services Sociaux
de Montréal
Il est technologue en imagerie médicale du
domaine de la médecine nucléaire. Il a terminé
son DEC en Collège Ahuntsic en 2004. Il a
travaillé au CSSS Sud Ouest Verdun de 2004
à 2013 en tant que technologue en médecine
nucléaire. Il travaille depuis novembre 2013
à l’Agence de la santé et des services sociaux
de Montréal en tant que administrateur RID
adjoint pour le RUIS Montréal-McGill.
Présentation : Décloisonnement des pratiques
causé par le RID et le DSQ
Brian Liszewski
Odette Cancer Centre
Brian Liszewski joined the U of T/Michener
program in 2002. After completing his clinical
training at the Windsor Regional Cancer Centre,
Brian graduated and gained employment at
the Odette Cancer Centre in 2005 where he
has worked since. In that time he has had the
privilege to move through the various rotations in the department, to sit on a variety of
committees, and to fill a number of specialized
roles, including that of research therapist and is
currently acting in the role of quality assurance
coordinator. His most recent collaborations
include a secondment as a research affiliate
with the Canadian Partnership for Quality
Radiotherapy developing the National System
for Incident Reporting in Radiation Therapy
and the role of CAMRT representative on the
CPQR steering committee.
Presentation: Nationwide error reporting system
Jewish General Hospital
Alyn Maya Loney est technologue en radio-oncologie. Diplômée avec mention du
Collège Dawson, elle a acquis de l’expérience
en technologie des accélérateurs linéaires,
orthovoltage et curiethérapie. Elle travaille
maintenant à l’Hôpital général juif (Montréal).
hypnose
Elizabeth Lorusso, MRT (MR), MRT(R), RTR,
B Appl Sc
Fanshawe College
Elizabeth is a Professor in the Medical Radiation
Technology program and a Professor and Coordinator of the Magnetic Resonance Imaging
Certificate program at the School of Health Sciences at Fanshawe College in London, Ontario,
Canada. She has also been a radiographer for
33 years and a magnetic resonance imaging
technologist for 25 years. She has been actively
involved in various professional organizations,
including the Canadian Association of Medical
Radiation Technologist’s exam writing and
review committee since 2008, the Canadian
Medical Association’s conjoint accreditation
team since 2012, and the College of Medical
Radiation Technologists of Ontario’s fitness
to practice committee since 2012.
Presentation: High kVp-low mAs: examining
perceived aesthetic and diagnostic quality of
dose optimized pelvis, chest, skull, and hand
phantom direct digital radiographs
Luck Louis
Dr. Luck Louis is a clinical associate professor
at UBC and a staff ER TRAUMA radiologist at
VGH . He specializes in ER TRAUMA radiology,
MSK ultrasound , pain management .
He graduated from Université de Montréal in
2009 with a B.S. in Physics and completed his
M.Sc. in Medical Radiation Physics at McGill
University in 2012. He worked as a Research
Assistant at the Montréal Neurological Institute in 2014, and is an instructor for the
OTIMROEPMQ dosimetry program. Since
2012, he has worked as a Medical Physician
at the Centre Intégré de Cancérologie de
Laval, specializing in image reconstruction,
nuclear medicine, quality control in radiation
oncology and dosimetry. Étienne Létourneau
has presented his research at ASTRO, AAPM,
COMP, ACRP and IEEE events, and earned the
award for Best Presentation in the Medical
Physics/Radiation category at the CARO Annual
Scientific Meeting in 2014.
Marie-Hélène Lévesque, Radiologue
Alyn Maya Loney, technologue en radio-oncologie
He was the first ER TRAUMA fellow in Canada
and helped formed the ER Trauma programme
at VGH .
Presentation: Facial trauma
Carmen Lydell, MD, FRCPC
Foothills Medical Centre, University of Calgary
Dr. Carmen Lydell is a Clinical Assistant Professor in the Department of Diagnostic Imaging
at the University of Calgary. Dr. Lydell obtained
her medical degree from the University of
British Columbia and moved on to complete
her radiology residency training at the University of Calgary. Dr. Lydell then completed a
clinical Fellowship in Cardiothoracic Imaging
at the University of California, San Francisco.
She returned to Calgary in 2009 to join the
106
Department of Diagnostic Imaging at the
University of Calgary where her focus is cardiac
CT, MRI and chest imaging. She works closely
with cardiac sciences as the Clinical Co-Director of cardiac MRI and CT in the Stephenson
Advanced Cardiac Imaging Centre.
Samantha MacLeod, BHSc from Dalhousie
University
Samantha MacLeod is a 4th year student in
the Bachelor of Health Sciences programme
majoring in Nuclear Medicine Technology
as well as Magnetic Resonance Imaging at
Dalhousie University, NS. She has completed
a Bachelor of Science degree double majoring
in biology and psychology from Dalhousie
University. She is from a small town called
Tatamagouche on the North Shore of Nova
Scotia.
cancer screening within the Canadian healthcare context. Dr. Manos has been reporting CT screening in a research setting since
2008.
Presentation: A Canadian approach to lung
cancer screening: what every radiologist should
know
Jean-Guillaume Marquis, Chef du service
expérience patient, soins spirituels et ressources bénévoles
CHUS
Ontario Shores Centre for Mental Health
Sciences
Présentation : Le patient partenaire en oncologie, un allié pour le succès de nos projets!
Presentation: Hepatectomy risk assessment:
CT volumetry vs. nuclear medicine
Rosanna Macri is currently an Ethicist at Ontario
Shores Centre for Mental Health Sciences.
Rosanna earned a Master of Health Science in
Bioethics from the University of Toronto, Joint
Centre for Bioethics (JCB) and completed an
academic fellowship in Clinical and Organizational Ethics with the JCB and was a senior
ethics fellow at Toronto East General Hospital.
Rosanna holds a Bachelor of Science degree
in Radiation Sciences and has worked as a
Medical Radiation Therapist nationally and
internationally with the majority of her time
dedicated to Sunnybrook Health Sciences
Centre. She has volunteered with a number of
organizations including the Editorial Review
Board for the American Society of Radiation
Technologists. Rosanna is also a lecturer in the
Department of Radiation Oncology.
Serge Marquis, Médecin spécialiste en santé
communautaire
Longueuil
Daria Manos, MD, FRCPC
Serge Marquis est médecin spécialiste en santé
communautaire et a complété une maîtrise
en médecine du travail au London School of
Hygiene and Tropical Medicine à Londres.
Depuis plus de trente ans, il s’intéresse à la santé
des organisations. Il a développé un intérêt
tout particulier pour le stress, l’épuisement
professionnel et la détresse psychologique
dans l’espace de travail. Il a également soigné
un grand nombre de personnes devenues
dysfonctionnelles au travail. En 1995, il a mis
sur pied sa propre entreprise de consultation
dans le domaine de la santé mentale au travail,
entreprise appelée: t.o.r.t.u.e. Il est l’auteur
d’un livre intitulé: Pensouillard le Hamster;
Petit traité de décroissance personnelle. Ce
livre a reçu le Coup de Coeur de Renaud-Bray.
Présentation : Apprivoiser les forces du stress
Presentation: Ethics in radiation therapy
Daria Manos obtained a BA from McGill University in 1996 and then completed her medical
degree and radiology residency at Dalhousie
University where she also served as chief resident. She finished her fellowship in Thoracic
Radiology at Vancouver General Hospital in
2007. She is currently associate professor of
medicine at Dalhousie University, head of
Thoracic Radiology at the QEII and chair of
the Lung Cancer Screening Working Group at
Cancer Care Nova Scotia. Her research interests
include practical implementation of lung
Maria Martino, RTR
McGill University Health Centre, Montréal
Presentation: Chest imaging
John Mayo, MD
Dr. Mayo is currently the Head of Imaging,
Vancouver General Hospital and Professor of
Radiology and Cardiology at the University of
British Columbia. In this position he is part of a
collaborative cardiothoracic imaging program
involving radiologists, respirologists, thoracic
surgeons, cardiac surgeons, cardiologists and
medical physicists. Dr. Mayo’s current research
interests include: imaging investigations for
the early detection of lung cancer, CT and
MR cardiothoracic imaging and CT radiation
dose issues. In the last 25 years this team has
performed research regarding: high resolution CT scanning for interstitial lung disease,
MR quantification of lung water, spiral CT for
pulmonary embolism, computer simulated
dose reduction techniques, micro-coil localization to guide thoracoscopic resection of
sub centimeter pulmonary nodules and lung
cancer screening.
Presentation: All PE diagnosed on CT pulmonary
angiography must be treated
Caitlin McGregor, MD
Sunnybrook Health Science Center
Moderator: Mistakes We All Make
Patrick McLaughlin, FFR RCSI, FRCPC
Patrick McLaughlin compeletd his undergraduate and residency training in Cork, Ireland.
He completed a fellowship in Emergency and
Trauma Imaging at Vancouver General Hospital
under the University of British Columbia. He
is currently working as an emergency radiologist reading cardiac CT in the acute setting
at Vancouver General Hospital.
Rosanna Macri, MRTT, MHSc
À l’emploi du CHUS depuis 2008, M. Marquis
œuvre à la direction de la qualité en tant que
chef du service expérience patient, soins
spirituels et ressources bénévoles. Titulaire
d’une maîtrise en changement organisationnel
de l’Université de Sherbrooke, son mandat
à l’égard de l’expérience patient consiste à
soutenir l’établissement afin d’encourager la
participation des patients dans leurs soins,
dans l’organisation des soins et services ainsi
que dans le développement des compétences.
Radiology residency at University of Toronto,
he specialized in thoracic and breast imaging
while on staff at the Ottawa Hospital. He is
formerly the head of Thoracic Imaging and
of the Womens Breast Health Centre at the
Ottawa Hospital, and a former examiner in
diagnostic radiology for the Royal College.
Presentation: Cardiac CT in the emergency
setting
Benoit Mesurolle, MD
Frederick Matzinger, MD, FRCP(C)
Pembroke Regional Hospital
Dr. Matzinger is a community-based radiologist who practices at the Pembroke Regional
Hospital. After completing his MD and
McGill University Health Center
Benoit Mesurolle is a breast radiologist (head
of the breast imaging section) working at the
McGill University Health Center, Montreal.
Présentation : Pathologic radiologic correlation
of retro-areolar lesions
Moderateur: Imagerie du sein
107
Mikael Mongeon, MD
CHRDL
Durant son cours de médecine à l’université de
Sherbrooke, il a découvert une passion pour
la radiologie et particulièrement la radiologie
d’intervention lors deses premiers stages
d’externat. Suite à la fin du doctorat en médecine en 2008, il a entrepris une résidence en
radiologie diagnostique au centre hospitalier
universitaire de Sherbrooke avec pour objectif
une carrière diversifiée incluant une pratique
de radiologie interventionnelle. Durant la
résidence, il a eu l’occasion de présenter à
différents congrès sur des sujets reliés à l’angioradiologie. Après la résidenceil a obtenu
un diplôme de fellowship en angioradiologie
du CHUM en 2014 après une année de surspécialisation. Il œuvre actuellement au CHRDL
à Saint-Charles-Borromée.
Présentation : Capsule PICC Line, syndrome de
May Thurner, embolisation hémorragie digestive
Bruno Morin, Radiologue
Cité de la Santé de Laval
Thomas Moser, MD, MSc
CHUM
Thomas Moser, MD, MSc, est diplômé de l’Université de Strasbourg (France) où il a effectué
l’ensemble de sa formation médicale et sa
spécialisation en radiologie. Il a travaillé aux
Hôpitaux Universitaires de Strasbourg comme
Chef de Clinique en radiologie interventionnelle pendant trois ans avant de rejoindre le
Centre Hospitalier de l’Université de Montréal
où il pratique actuellement en radiologie
musculosquelettique.Thomas possède une
expertise et un intérêt particulier pour la
radiologie interventionnelle de la colonne
vertébrale et du système musculosquelettique
en général.
Présentation : Place actuelle de la vertébroplastie percutanée
Carol Mount
Carol Mount began her career at Mayo Clinic in
1971. Since that time she has held numerous
positions ranging from staff technologist to
Supervisor of Breast Imaging and Intervention and most recently the Supervisor of the
Anatomic Modeling Unit and Coordinator of
the Radiology Career Development Program.
Over the span of her career her assignments
have included educational, technical, quality
and managerial duties. Since 1992 she haspublished and presented numerous articles,
lectures and posters with a range of topics from
Presentation: 3D printing: the next technological revolution in radiology
Peter Munk
Professor Munk of the University of British
Columbia is Director of Musculoskeletal Imaging at the Vancouver General Hospital. He
is Editor-in-Chief of the Canadian Association
of Radiologists Journal and has served on the
Editorial Board of Skeletal Radiology. He has
published four books, 30 book chapters and
over 400 papers.
Presentation: CARJ Academic Writing Workshop: the value of undestanding how radiologic
literature is written and reviewed
Moderator: Radiological Journalism
Darra Murphy
Dr. Murphy did his undergraduate medical
training at University College Dublin, followed
by an internal medicine residency, becoming
board certified in Internal Medicine in 2006.
His radiology residency was completed at
the Mater Misericordiae University Hospital,
Dublin, Ireland followed by formal fellowship
training in both musculoskeletal and cardiothoracic imaging, both at Vancouver General
Hospital. Dr. Murphy currently practices in St.
Paul’s Hospital, Vancouver.
Presentation: MSK: key points in MRI of the
upper extremity
Maxime Nadeau
Présentation : MIBI au dipyridamole, les meilleures pratiques en collaboration
Pina Napoletano
Shriners Hospital for Children
Pina Napoletano is an MRT who graduated
from Dawson College in 1990. Pina worked as
a medical imaging technologist at the Montreal Children’s Hospital and then furthered
her experience in specialized radiography in
pediatrics at the Shriners Hospital for Children-Canada. Julie Teixeira, MRT, graduated
in 1998 from Dawson College started her
career at the Royal Victoria Hospital and then
went on to specialize as a pediatric medical
imaging technologist in orthopedics at the
Shriners Hospital for Children-Canada. She
has been working in pediatrics for the last 15
years.
Presentation: EOS modality in pediatrics
Ali Naraghi, MD
Joint Department of Medical Imaging, University of Toronto
Ali Naraghi is staff radiologist in the Division
of Musculoskeletal Radiology at the Joint
Department of Medical Imaging at Mount
Sinai Hospital, University Health Network and
Women’s College Hospitals at University of
Toronto. He received his medical degree from
the University of London, UK and undertook
his residency at St Bartholomew’s Hospital,
London. He completed his fellowship training
in musculoskeletal radiology at University of
Toronto in 2005 and he currently holds the
position of assistant professor at University
of Toronto. His research interests include
advanced imaging of inflammatory arthritis,
imaging of peripheral nerves and imaging of
sports injuries.
Presentation: Mistakes We All Make - Muskuloskeletal
André Néron, Directeur associé
Monsieur André Néron a fait carrière dans
le domaine des affaires publiques pendant
plus de 30 ans. Lui-même patient, il préside
le Comité de patients experts de la Faculté
de médecine de l’Université de Montréal
et fut nommé Directeur associé du Bureau
facultaire de l’expertise patient partenaire
qui est devenu la Direction collaboration et
partenariat patient de l’Université de Montréal.
Voici quelques autres comités où il s’implique
: Membre du comité Groupe vigilance pour
la sécurité des soins, MSSS, Gouvernement
du Québec; Membre de plusieurs comités
de gouvernance dans les milieux hospitaliers
(ex. : Code d’éthique, optimisation budgétaire,
sécurité, etc.); Membre du comité sécurité des
soins, Fédération des médecins spécialistes
du Québec.
Moderator: CAR Radiologists-In-Training Contest
mammography, image optimization, and work
flow optimization to ionizing radiation quality
control. Her academic work has awarded her
with the title of Assistant Professor Radiology,
Mayo Medical School. Carol recently retired,
but plans to remain active and involved in her
radiology career.
André Néron’s career in public affairs has
spanned more than 30 years. As a patient, he
chairs the Comité de patients experts at the
Université de Montréal’s Faculté de médecine,
and was appointed to the position of Associate
Director of the Bureau facultaire de l’expertise
patient partenaire, which was renamed the
Direction collaboration et partenariat patient
de l’Université de Montréal. He is also a member of the Groupe vigilance pour la sécurité
des soins committee, and is involved with the
MSSS and the Quebec Government. He is a
member of several oversight committees at
various hospitals (e.g.: Code of Ethics, Budget
Optimization, Security, etc.) and the Fédération
des médecins spécialistes du Québec’s Comité
sécurité des soins.
Présentation : Le partenariat de soins avec le
patient : en quoi cela change le quotidien
108
Presentation : Partnering with patients for their
care : what it changes on a daily basis
Elsie Nguyen
Dr. Nguyen completed her thoracic imaging
fellowship at Vancouver General Hospital,
University of British Columbia, and her cardiovascular imaging fellowship at Stanford
University Medical Center, Stanford University,
before working as a cardiothoracic radiologist
at Toronto General Hospital, Universityof
Toronto. She is the cardiac imaging fellowship director and radiology resident cardiac
imaging rotation supervisor at the Toronto
General Hospital, Director of Cardiac Imaging
at Women’s College Hospital, Director of Education for cardiac imaging at Toronto General
Hospital and Medical Imaging Undergraduate
Medical Education Director. Dr. Nguyen has
received several teaching awards for resident
and fellow teaching. She is passionate about
mentoring radiology residents and involving
them in research with the goal of inspiring
them to pursue careers in academic radiology.
Patricia Noël, MD
Presentation: Muskuloskeletal imaging
CHU de Québec
Moderator: Resident Review Session
Moderateur: Revue de la littrature en rafale
Timothy O’Connell
Dr. O’Connell has a Masters degree in Engineering and worked as a telecommunications
engineer with Nortel Networks and Bell Canada
prior to starting his career in medicine. He
completed his residency in radiology at the
University of British Columbia and a fellowship
in Informatics and Emergency Radiology at
Harvard University/Brigham & Women’s Hospital in Boston, MA. He is a staff radiologist
at Vancouver General Hospital and a clinical
instructor at UBC. His interests are clinical and
imaging informatics, quality and safety, and
Emergency/Trauma Radiology.
Presentation: Information technology in the
emergency department
Vincent Oliva
Moderateur: Concours des residents
East Kootenay Regional Hospital
Camille Pacher
Practicing community radiologist EKRH Cranbrook, BC
Camille graduated from the Medical Physics
program at Université de Montréal in 2006.
Camille worked at the Radiation Safety Institute until 2009. Camille is currently working at
Charles LeMoyne Hospital as radiation safety
officer and medical physicist responsible for
tomotherapy units.
Presentation: Abdominal imaging
Savvas Nicolaou, MD FRCPC
Vancouver General Hospital
Dr. Savvas Nicolaou is the Director of Emergency and Trauma Imaging at Vancouver
General Hospital, as well as an Associate
Professor at the University of British Columbia.
He completed his medical degree at the University of Toronto, and residency in Diagnostic
Radiology at University of British Columbia.
Dr. Nicolaou is currently the Director of the
Undergraduate Radiology Education at UBC,
where he has helped to integrate radiology
into the medical curriculum. He has been the
recipient of many teaching awards, including
the UBC Killam Teaching Prize and the Royal
College Mentor of the Year Award in 2013,
which recognizes all aspects of outstanding
teaching. Dr. Nicolaou continues to contribute
to the field of emergency radiology, publishing
over 100 articles and abstracts in peer-reviewed
journals.
Presentation: Past, present and future of
emergency radiology
Moderator: Emergency Radiology - State of
the Art 2015
Presentation: Breast tomotherapy
Sophia Pantazi
Dr. Pantazi received her Medical degree from
the University of Toronto followed by a Fellowship in Diagnostic Radiology in Toronto.This
was followed by a Fellowship in Body Imaging
at Mount Sinai Hospital/Toronto General
Hospital.Dr. Pantazi is now a staff radiologist
at UHN/MSH and Assistant Professor at the
University of Toronto. She has special interest in
obstetrical imaging as well as mammography.
Dr. Pantazi founded the fetal MRI program at
MSH in 2002.
Presentation: Placental attachment disorders
Anukul Panu, MD, FRCPC, DABR, PRH
SIOUX LOOKOUT MENO YA WIN HEALTH
CENTRE
Presentation: Breast imaging
Moderator: Resident Review Session
Deborah Pascale, DEC, McGill University
certificates
CHUM Hopital Notre Dame
Madame Deborah Pascale est coordonnatrice
administrative au Centre hospitalier de l’Université de de Montréal. Radiothérapeute de
formation, elle cumule plus de 18 ans d’expérience dans le secteur de la santé et la conformité
réglementaire, et a travaillé dans les domaines
de la planification et des thérapeutiques. Elle
a participé à la mise en service du premier
CyberKnife au Canada. Mme Pascale a fait de
nombreuses présentations à l’échelle locale,
nationale et internationale. Elle collabore
activement à la normalisation des pratiques
et du contrôle-qualité en radio-oncologie avec
les mandataires du ministère québécois de la
Santé. Ses réalisations dans les domaines de
l’informatisation des services (élimination du
papier), de l’assurance-qualité et de la mise
en place de nouvelles technologies en font
également un chef de file.
Deborah Pascale is presently working as
an Administative Coordinator at the CHUM
(centre hospitalier universitaire de Montréal).
She is a radiation therapist with over 18 years’
experience in the health industry and in regulatory compliance. She has experience in the
planification and treatment fields. She participated in implementing the first Cyberknife in
Canada. She has made many presentations at
the local, national and international level. She
is an active participant in the standardisation
of radiation oncology practices and quality
control in collaboration with the Quebec
health ministry mandates. She is also a leader
in the transition to a paperless departement
and in quality assurance and new technology
implementations.
Julie Nicol, FRCPC
Neety Panu, MD
Présentation : La planification par myéloscan
: une approche multidisciplinaire!
Presentation: Myeloscan planning for radiation oncology treatment: A multidisciplinary
approach!
Dr. Panu is a radiologist working with Medical Imaging Consultants at the University
of Alberta. He completed a musculoskeletal
radiology fellowship at the Hospital for Special
Surgery in New York City in 2013. When not
at the workstation, he can be found on the
tennis courts.
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Chirag Patel, BSc (Hons), MBBS, MRCP, FRCR
Wilfred Peh, MBBS, MD, FRCP, FRCR
Sunnybrook Health Sciences Centre, University of Toronto
Khoo Teck Puat Hospital, Singapore
Chirag Patel is a cross sectional body radiologist
at Sunnybrook Health Sciences Centre with
clinical interests in hepatobilliary imaging and
image guided intervention.
Presentation: Mistakes we all make: abdominal imaging
Michael Patlas, MD, FRCPC
McMaster University
Presentation: Diaphragmatic injuries: why do
we struggle to detect them?
Moderator: Emergency Radiology - State of
the Art 2015
Narinder Paul
Dr. Narinder Paul is Section Chief of Cardiothoracic Imaging and Site Chief for Medical
Imaging at Toronto General Hospital, University
Health Network. He is an Associate Professor
and Section Chief for Cardiothoracic Imaging
at the University of Toronto. He received his
MD degree from Southampton University
Medical School (UK) and his Board certification
in Internal Medicine from the Royal College
of Physicians (UK). He completed his Radiology residency in the Newcastle and Leeds
University Hospitals (UK) and is a Fellow of
the Royal College of Radiologists (UK). Subsequently, he completed Body Imaging and
Cardiothoracic Imaging Fellowships at the
University of Toronto and Board certification
in Radiology (Canada).
Presentation: CARJ academic writing workshop:
the value of undestanding how radiologic literature is written and reviewed
Moderator: Radiological journalism
Eric Pelletier, Chef de secteur
Institut national de santé publique du Québec
Présentation : Dépistage du cancer du sein par
mammographie : où en sommes-nous?
Elena Peña, MD
Jeremy Phipps, RTNM, CTIC
Moderator: Nuclear Medicine
Angela Pickles, FRCPC
Janeway Child Health Centre
Angela Pickles is the site chief of pediatric at
the Janeway Child and Womens Health Centre.
She has been in practice since 2002. She completed her residency at McGill University. She
did her pediatric training at Duke University.
She is involved with the pediatric radiology
exam commitee. She is married to a surgeon
and has 5 children aged 7 - 17, who keep her
life interesting.
Presentation: Mistakes We All Make: Pediatric
radiology
Fa n ny M a u d Pi n e l - G i ro u x , M D,
FRCP(C)
McGill University Health Center (MUHC)
Dr. Pinel-Giroux received her medical degree
and complete internship training in medicine
at the University of Montreal. She received
residency training in diagnostic radiology at
the University of Montreal and is currently completing her fellowship training in abdominal
and women’s imaging at the McGill University
Health Center. Dr. Pinel-Giroux’s major research
activities focus on pelvic magnetic resonance
imaging (MRI) and breast imaging.
Presentation: Prostate MR imaging
Éliane Plouffe, coordonnatrice technique
secteur dosimétrie
Dr.Michael Patlas, MD, FRCPC is Associate
Professor of Radiology and Emergency/Trauma
Division Chief at the McMaster University. Dr.
Patlas served as Director of Fellowships for the
Department of Radiology. He is an Editorial
Board member of Annals of Clinical Laboratory
Science and reviewer for 6 journals. Dr. Patlas is
Chair of Submissions and member of Scientific
Working Group for the Canadian Association
of Radiologists (CAR) and member of the Scientific Program Committee of the RSNA, the
ARRS and the ASER. He served on faculty of
numerous North American and international
conferences. He received multiple accolades
for his academic and clinical work including
Young Investigator Award from the CAR and
Medical Staff Association President’s Award
for Distinguished Service.
Professor Peh is Senior Consultant and Head,
Department of Diagnostic Radiology, Khoo
Teck Puat Hospital, and Clinical Professor at
the Yong Loo Lin School of Medicine, National
University of Singapore (NUS). He served as
Editor of the Singapore Medical Journal for
three terms and is currently Advisor. He was
Founding Editor of the Hong Kong Journal of
Radiology. His Editorial Board memberships
(past or current) include Radiology, American
Journal of Roentgenology, British Journal of
Radiology, Skeletal Radiology, Seminars in Musculoskeletal Radiology and American Journal of
Orthopedics. Professor Peh has been the Chief
Examiner for the Master of Medicine (MMed)
(Diagnostic Radiology), NUS, for the past 14
years and has organised the conjoint Final
MMed (NUS)- FRCR part B (UK) examinations
in Singapore for the past 5 years. He has also
examined in Indonesia, Malaysia, Hong Kong,
Sri Lanka, Qatar and Belgium. Professor Peh
specialises in musculoskeletal radiology. His
other interests are medical writing and editing.
To date, he has authored 6 books, more than
50 book chapters, and more than 300 peer-reviewed journal publications. He is currently
serving as Secretary-General of the Asia-Pacific
Association of Medical Journal Editors.
diseases, cardiomyopathies, cardiac CT in
acute chest pain in the ER, and interstitial
lung diseases.
Centre intégré de cancérologie de Laval (CICL)
The Ottawa Hospital
Elena Peña, MD, is Cardiothoracic Radiologist
in The Department of Medical Imaging, Cardiothoracic and Emergency Radiology at the
Ottawa Hospital and Assistant Professor at the
University of Ottawa. A graduate in Radiology
from the Universidad Autonoma de Madrid, she
did a fellowship in Cardiac and Chest Radiology
at The University of Ottawa. She is involved in
medical student, resident and fellow training,
as well as post-fellowship teaching being the
resident supervisor for cardiac imaging. She
has published several peer-reviewed articles
and a book chapter, and presented over 30
oral presentations and posters at national and
international meetings. Her primary clinical
interest is in cardiopulmonary imaging; major
research interests include pulmonary vascular
Elle est technologue en radiothérapie spécialisée en dosimétrie depuis 2003. Elle a
travaillé au centre hospitalier de l’Université
de Montréal (CHUM), hôpital Notre-Dame
puis elle a participé à la mise en place de
la dosimétrie lors de l’ouverture du centre
intégré de cancérologie de Laval (CICL) en
2011. Depuis 2012, elle est coordonnatrice du
secteur dosimétrie à ce centre. Elle a formé et
participé à la formation de dizaines de technologues maintenant spécialisés en dosimétrie
ainsi que de plusieurs physiciens pour le volet
planification et support à la clinique. Elle a
travaillé sur les logiciels de plan de traitement
Eclipse et maintenant sur le logiciel Pinnacle.
Elle produit des plans 3D-CRT, DMPO (IMRT) et
VMAT. Elle a participé et participe à l’évolution
de plusieurs techniques de traitements à
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l’intérieur des départements travaillés.
Présentation : Participation aux plans challenges
Manny Podaras
Presentation: Neuronavigation
Jean-Claude Poirier
Presentation: Administrative monetary penalties for radiation safety violators
Bruce Precious, MD, FRCPC
Queen Elizabeth II Health Sciences Centre
Dr. Bruce Precious is originally from Halifax,
Nova Scotia where he completed medical
school at Dalhousie University in 2008 and
finished radiology residency at Dalhousie
University in 2013. He completed a year-long
fellowship in cardiac imaging at St. Paul’s Hospital in Vancouver in 2014. He now works at
the Queen Elizabeth Health Sciences Centre in
the Department of Radiology, Cardiac Imaging
section, and as an assistant professor in the
department of radiology of the Dalhousie
University Medical School.
Presentation:
• CCTA Simulation Workshop
• Cardiac devices and peri-operative cardiac
surgery appearances
Claude Prévost, Technologue en Imagerie
médicale
CHU Québec, pavillon Enfant-Jésus
Jean Tramalloni, radiologue et Hervé Monpeyssen Thyroïdologue. 2013: Imagerie Médicale-formationÉchographie de la thyroïde,
2ième édition 196p.
Présentation : Mise à jour sur l’échographie
thyroïdienne.
Dre Francesca Proulx est professeure agrégée
de radiologie à l’Université McGill et radiologiste à l’Hôpital général juif de Montréal.
Diplômée de l’école de médecine de l’Université McGill en 2008, elle a terminé sa résidence en radiologie en 2013. Elle a ensuite
fait des études postdoctorales en imagerie
de la femme (Women’s Imaging Fellowship)
au centre médical Beth Israel Deaconess de
l’école de médecine de l’université Harvard, à
Boston, en 2014. La même année, elle a mené
à bien des études postdoctorales en imagerie
thoracique au Centre hospitalier de l’Université
de Montréal. Cette chercheure s’intéresse à la
tomosynthèse tridimensionnelle, à l’IRM du
sein et à l’enseignement de l’imagerie du sein.
Presentation: La tomosynthèse changera-telle la donne?
Sarah-Claude Provençal, Coordonnatrice de
recherche
Université du Québec À Montréal
Après un baccalauréat en psychologie à l’Université McGill et une expérience diversifiée en
recherche, Sarah-Claude Provençal entreprend
il y a trois ans un double doctorat (clinique
et recherche) en psychologie à l’Université
du Québec À Montréal sous la direction du
Dr.Ghassan El-Baalbaki. Spécialement formée
en hypnose clinique et en psychologie de
la santé, mme Provençal étudie l’utilisation
d’une intervention d’auto-hypnose pour le
soulagement de la douleur et de l’anxiété en
curiethérapie pour le cancer rectal. Elle travaille
aussi comme évaluatrice des troubles anxieux
et agente de recherche en suicidologie à l’Université du Québec À Montréal et s’intéresse
particulièrement à l’anxiété, la dépression et
la santé.
hypnose
Yves Provost
Radiologiste spécialisé en imagerie cardiaque,
présentement affilié au CHUM, et professeur
adjoint de clinique de l’Université de Montréal.
Il possède une expérience variée de l’imagerie
cardiaque sur plus de 15 ans, ayant utilisé tour
à tour la plupart des modalités d’imagerie
cardiaque.
Présentation : Évaluation du coeur sur TDM
thoracique
Caroline Purvis, BSc
Canadian Nuclear Safety Commission
Caroline Purvis is the Director of the Radiation
Protection Division of the Canadian Nuclear
Safety Commission (CNSC) since 2010. Ms.
Purvis first joined the CNSC in 2002 as a Radiation Safety Specialist and was responsible
for assessing operational radiation protection
practices and their implementation in a wide
range of licensed facility types including: uranium mines and mills, fuel fabrication facilities,
processing facilities, research reactors, nuclear
power plants, hospitals, industrial applications
and universities. In 2010, she became the Director of the Radiation Protection Division, serving
as the authority on regulatory practices with
respect to occupational radiation protection
in Canada. Prior to joining the CNSC, Caroline
worked in the medical sector as a nuclear
medicine technologist for 10 years.
Presentation: Impact of changes from new
radiation safety regulations
Mathangi Ramani, MDCM, FRCP(C)
CSSS-DLL (Hopital LaSalle)
Dr Mathangi Ramani a fait sa résidence en
radiologie diagnostique à l’Université McGill
et ses études postdoctorales en imagerie de
l’appareil locomoteur à l’Université de Montréal. Elle s’intéresse à tout ce qui touche la
radiologie, notamment l’échographie, la TDM,
la colonoscopie par TDM et l’IRM. Membre de
l’Association canadienne des radiologistes, de
la Radiological Society of North America et
de l’Association des radiologistes du Québec,
elle est également associée du Collège royal
des médecins du Canada. Dr Ramani siège
à plusieurs comités hospitaliers, et elle est
vice-présidente du comité de direction du
CSSS de Dorval-Lachine-LaSalle ainsi que
commissaire pour la Fondation de l’Hôpital
de LaSalle et chef du service d’imagerie diagnostique de l’Hôpital de LaSalle.
Présentations:
• Colonoscopie virtuelle
• Risques associés à l’exposition de la radiation
Jean-Claude (J.C.) Poirier began his career
as a Nuclear Medicine Technologist where
he worked for 12 years in the Ottawa area.
In 1996, he moved to the Canadian Nuclear
Safety Commission were he has held several
roles in licensing and compliance including
coordinator of an inspection office. Mr. Poirier
is very active in training and has been delivering audit, investigation and inspection
training to CNSC inspectors and staff for the
past 10 years. Mr. Poirier is presently a senior
project officer in the CNSC’s Internal Quality
Management Division where he works on
continuous improvements to corporate compliance, enforcement and inspector training.
He recently led the team who developed
and is currently administrating the CNSC’s
Administrative Monetary Penalty program.
Francesca Proulx
Caroline Reinhold, MD, MSc
Caroline Reinhold is Professor of Radiology
and Gynecology, Vice-Chair of the Department of Radiology at McGill University. Her
main clinical and research interests include
anatomic and functional cross-sectional imaging of the female pelvis and biliary tree. Dr.
Reinhold is a member of a number of distinguished societies. She served as Chair of the
Annual Meeting Program Committee for the
International Society of Magnetic Resonance
in Medicine Montreal 2011 Annual Meeting
and is a fellow of ACR, ISMRM and ICIS. She has
published more than 200 articles and book
chapters, and has given numerous national
and international lectures. She has received
multiple honors and awards including the
“Prix d’innovation et d’excellence Dr. Jean A.
Vézina” from the SCFR.
111
Presentation: MRI staging of uterine carcinoma:
what the clinician needs to know
Julie Renaud
Elle a graduée en 2001 du programme collégial de radiothérapie du Collège Dawson.
Elle fait du placement clinique aux 3 centres
hospitaliers de l’université McGill (MGH, Jewish
General, Royal Victoria). Elle a été engagée
en tant que technologue en radio-oncologie
au centre du cancer de l’hôpital d’Ottawa en
2001. Elle estspécialiste en application clinique
pour le département de radio-oncologie de
2004 à 2009. Elle est administratrice clinique
des systèmes d’oncologie pour le centre du
cancer de 2009 à 2012. Elle est maintenantchef
du département de radiothérapie depuis l’été
2012.
Présentation : La pratique professionnelle au
goût du jour
Laurian Rohoman, ACR,RT(R)(MR), CTIC,FSMRT
Montreal General Hospital
Presentation: Female pelvic imaging
Esther Rosier, BS
Institut de Neurologie de Montréal
Esther Rosier est née à Montréal. Elle a obtenue son diplôme en électrophysiologie
médicale en 2002 et travaille depuis a l’Institut
Neurologique de Montréal. Entre temps, elle
a complété un Baccalauréat en sciences à
l’Université de Montréal et au HEC en Gestion.
Dans son parcours a l’institut Neurologique de
Montréal. Elle a exploré plusieurs techniques,
entre autres l’électroencéphalographie (EEG),
l’electroconvulsivotheraphie (ECT), l’électrocardiographie (ECG) et depuis 2004, elle
travaille en électromyographie (EMG). Au fil
des années. Elle a développé une expertise en
EMG et participé à plusieurs projets cliniques
et éducatifs. De plus, en 2006, elle a présenté
au Congrès de l’ATEPM.
Présentation : Test d’effort pour la paralysie
périodique
Manon Rouleau est directrice par intérim du
(CECR), mandaté par le MSSS pour l’assister
dans la mise en œuvre de son plan d’action
de réduction de l’exposition aux radiations et
pour offrir des services d’expertise-conseil et de
soutien aux établissements de santé québécois.
Commencée à la centrale nucléaire Gentilly 2,
sa carrière se poursuit à la CCEA (maintenant
la CCSN). Puis, suite à la création du Centre
universitaire de santé McGill (CUSM), elle y
devient la responsable de la radioprotection
pour créer et diriger son nouveau service de
radioprotection (côtés cliniques et recherche). Sensibilisée aux défis liés à l’imagerie
par rayons X, elle continue son itinéraire en
radioprotection au LSPQ, pour finalement
joindre l’équipe du CECR en 2011.
Manon Rouleau is the interim director of the
Centre d’expertise clinique en radioprotection (CECR), mandated by the MSSS to assist
in the implementation of its action plan to
reduce to radiation exposure and to offer
consultant services and support to Quebec’s
heath establishments. Started at the Gentilly
2, nuclear central, her career continues at the
CCEA (now the CCSM). After that, following
the creation of the Centre universitaire de
santé McGill (CUSM), she became responsible
for radioprotection to create and lead its new
radioprotection service (clinical and research
oriented). Knowing about the challenges
linked to imagery via C-Ray, she continues
her journey in radioprotection at the LSPQ,
to finally join the CECR in 2011.
Présentations:
• CECR : Rôle et actions en radiologie et médecine nucléaire
• CECR: quality control in CT
• Les contrôles de qualité en TDM, un travail
d’équipe
• Réduction de la dose au patient en TDM
résultant de l’approche collaborative d’optimisation mise en œuvre par le CECR
Guy Rousseau, Professeur Titulaire
M. Rousseau détient un PhD en biopathologie cellulaire de l’Université de Montréal,
est professeur à l’Université de Montréal au
département de pharmacologie et chercheur
à l’Hôpital du Sacré-Coeur de Montréal depuis
1999. Ses intérêts de recherche sont la cardiologie et la pharmacologie, principalement reliés
à l’infarctus du myocarde. Depuis quelques
années il s’intéresse aux acides gras oméga-3
et aux probiotiques. Il est subventionné par la
fondation des maladies du coeur du Canada et
par le CRSNG. Il est également directeur adjoint
à la recherche à l’hôpital du Sacré-Coeur de
Montréal et responsable du programme de
pharmacologie clinique.Il a publié plus de
60 articles scientifiques et a dirigé plus de 40
étudiants aux études supérieures.
Présentation : Lire un article scientifique :
comprendre les principaux graphiques, tableaux
et statistiques
Michaël Roux, Technologue En Radio-Oncologie
Hotel-Dieu De Québec
Originaire de Victoriaville, Michaël Roux a fait
ses études en technique de radio-oncologie au
Cégep de Ste-Foy de 2006 à 2009. Il travaille
à l’Hôtel-Dieu de Québec au département de
radio-oncologie depuis 2009 où il occupe un
poste partagé entre le traitement et la salle
de moulage. Michaël est passionné par la
santé. Il est non seulement un grand sportif
passionné par tout ce qui touche le plein air
et les chiens, mais il est également très curieux et aime se garder à jour concernant les
dernières tendances en matière de traitement
contre le cancer et sur le corps humain en
général.
Présentation: Prostate: nomade ou sédentaire
Lori Rowe, RTT, AC(T), BCom, MA
BC Cancer Agency
Lori Rowe has been with the BC Cancer Agency
in a variety of roles for 20 years, initially as a
staff therapist, then educator. After successfully
completing her Masters in Leadership and
Organizational Development she became the
Radiation Therapy Treatment Module Leader
at the Fraser Valley Centre and is currently
the centre’s Manager of Clinical Services. An
opportunity presented itself in 2012 and Lori
was seconded to the Provincial Health Service
Association Strategy and Development to
complete the LEAN Leader Certification and
facilitate 8 Rapid Improvement Workshops.
She sees great opportunities to continue this
work and mentor LEAN Leaders.
Laurian Rohoman is the MRI Coordinator at
the Montreal General Hospital. She began her
MRI career in 1992 when the hospital installed
the first MR scanner. Laurian works closely
with the radiologists in optimizing imaging
protocols, implementing new pulse sequences
as well as doing research projects. Her area of
expertise is body MR imaging. She is actively
involved with the CAMRT, was a member of
the Best Practice Guidelines Committee for
the past four years and is currently a member
of the PPAC.
Manon Rouleau, ing.
Presentation: Utilization of new management
principles in a radiation therapy department
Lise Roy, Technologue en radio-oncologie
CHU de Québec, Hôtel Dieu de Québec
Elle a graduée en technique de radio-oncologie
du Cégep de Ste-Foy. Elle est cooordonnatrice
technique en planification CT-Sim et planification de caches et moulages depuis 1988. Elle
est impliquée dans tous les sous-comités afin
d’assurer le suivi des techniques actuelles et
de développer les techniques d’avenir. Elle est
collaboratrice à de multiples protocoles de
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recherche à l’interne comme à l’externe. Elle a
été chargée de projets lors de changements
d’appareils de planification et de traitement.
Elle est membre des comités de développement professionnel et de discipline au sein
del’OTIMROEPMQ.
Présentation : Technique de DIBH
Nicole Sabourin
Présentation : Classes d’enseignement sein et
Magdi Sami, MB, BCh, FRCP (C), FACC
MUHC, Université McGill
Présentation : Le diagnostic différentiel des
arythmies et leurs significations cliniques
Lilia-Maria Sanchez
Professeure adjointe de clinique au départament de Pathologie de l’Université de Montréal.
Pathologiste au département de Pathologie
de l’Hôtel Dieu du CHUM depuis mai 2008.
Études médicales, Pontificai Universidad
Javeriana, Bogotéa Colombie.
Résidence en Anatomo pathologie dans le
résau de l’Univeridad Nacional de Colombia
à Bogota.
Spécialisation en pathologie oncologique à
l’Instituto Nacional de Cancerologia - Pontificia
Universidad Javeriana.
Médecin résidente étranger des hôpitaux de
Paris, dans le département d’anatomo-pathologie de l’Hôpital Bichat, Pais, France.
Ancienne professeure associée du département de pathologie, de l’Universidad Nacional
de Colombia, 2004.
Présentation : Corrélation radio-patho
Lyne Santello, RTMR
Montréal General Hospital of the McGill
University Health Centre
Moderator: MRI
Diplômé de l’université de Montréal en kinésiologie (2004), Benoit pratique au Centre
Hospitalier de l’Université de Montréal (CHUM)
depuis plus de 10 ans. Il se spécialise auprès de
la clientèle symptomatique, en réadaptation
cardiaque (centre de cardiologie préventive/
CCP) et en réadaptation pulmonaire. Il a d’ailleurs participé à la création du programme
de réadaptation pulmonaire du CHUM en
2005 et y oeuvre toujours. Il a une passion
pour son métier, qui influence directement
la qualité de vie des patients auprès de qui il
intervient. C’est d’ailleurs la raison qui explique
son cheminement professionnel.
Présentation : Exercice chez l’insuffisant cardiaque
Matthias Schmidt, MSc, MD, FRCPC
Dr. Schmidt received his BSc and MSc degrees
in pharmacology, as well as his MD degree,
from the University of Toronto. He completed
fellowship training in paediatric radiology
at The Hospital for Sick Children, Toronto,
and fellowship training in diagnostic and
interventional neuroradiology at Dalhousie
University. Dr. Schmidt previously served as
Chief of Diagnostic Imaging at the IWK Health
Centre and as President of the Nova Scotia
Association of Radiologists. He is currently
Professor and Research Director in the Department of Diagnostic Radiology, Dalhousie
University.
Presentation: Neuroradiology
Moderator: Head & Neck Imaging
Paul Schulte
Recieved his MD in 1987 from the University
of Calgary. Radiology Residency in Saskatoon
at the University of Saskatchewan 1989-93.
FRCPC 1993. Certified in Cardiovascular Computed Tomography on 9/22/2008 from the
CBCCT (Certification Board of Cardiovascular
Computed Tomography). I have worked with
Radiology Associates of Regina in Regina,
Saskatchewan for the past 20 years starting
in 1994 and have been active in cardiac CT
since 2005.
Alexandre Semionov, Assistant Professor of
Radiology
completing the program in 2004. He completed
a residency in Diagnostic Radiology at McGill
University in 2009 followed by a fellowship
in Cardiothoracic Imaging at CHUM and the
Montreal Heart Institute in 2010. He is Assistant
Professor of Radiology at MUHC.
Presentation: Chest pathology and positioning
Robert Sevick, MD, FRCPC
University of Calgary/Alberta Health Services
Moderator: Imaging and Intervention in Acute
Stroke
Nagi Sharoubim, Engineer
Self employed
Nagi graduated as a Telecommunication
Engineer in 1970. In 1974 he joined Picker
X-Ray Engineering performing x-ray service,
system installation and Field Training and
Safety Engineering. In January 1976 became
a member as an engineer with OEQ. In 1980
he joined Montreal General Hospital as Chief
Engineer for Medical Imaging also associated
with McGill University - Medical Physics. He
has worked with CT scanners, since the EMI
5005 and EMI 7070, from 1980. In January
2007 he retired from McGill University Health
Centre as Senior Advisor T.E.M. In parallel, since
1986 he worked as Consulting Engineer for
Medical Imaging Equipment, servicing many
hospital including University Health Network
in Toronto. For the past three years he has been
a member of CECR for CT inspection.
Presentation: Minimising dose in CT
Jennifer Sharpe, MRT
Qikiqtani General Hospital
Jennifer Sharpe completed her MRT studies
at the College of the North Atlantic in 2011.
Looking for a challenging new opportunity,
she moved to Iqaluit, Nunavut in August of
2011. She started work in Iqaluit as an x-ray
technologist, and continued her education
by completing the CT courses online through
the CAMRT. In October 2012 she accepted the
role of Manager of the DI department at the
Qikiqtani General Hospital. Her focus through
studies and work has always been patient
care, and in this role she has had the unique
opportunity to work both hands on, and lead
Iqaluit toward new opportunities.
Le Dr Sami a obtenu son degré de Médecine
à l’université du Caire en 1969 et émigré au
Canada en 1971. Il a complété sa spécialisation
en Cardiologie à L’ICM et a complété deux ans
de recherche clinique et électrophysiologique
à l’université Stanford. Depuis 1979 il pratique
la Cardiologie clinique au centre hospitalier de
l’université McGill, et participe à la recherche
clinique et à l’enseignement. Il est actuellement
professeur titulaire de Médecine à McGill. Il a
publié plus de deux cents ouvrages, articles
et chapitres surtout portant sur les arythmies
cardiaques. Il est très impliqué dans l’enseignement médical continu.
Benoit Sauvageau
Presentation: Implementation of the first CT
scanner in the eastern Arctic
Dr. Semionov received his BSc in biochemistry
at McGill University in 1995. He completed
his PhD in Experimental Medicine, at McGill
University in 2000. Dr. Semionov went on to
medical school at McGill University
113
Adnan Sheikh, MD
The Ottawa Hospital
Dr. Sheikh is an associate professor of radiology at the University of Ottawa, Canada. He
is the Director of Advanced Musculoskeletal
Interventions and Section head and Fellowship Director of Emergency Radiology
at the Ottawa Hospital. Dr. Sheikh received
his medical school and radiology specialist
training from India and completed fellowships
in Musculoskeletal Imaging and Emergency
Trauma Imaging from the University of British
Columbia before coming on staff at The Ottawa Hospital in 2005. His clinical interests are
functional musculoskeletal imaging, bone and
soft tissue tumour imaging, MSK intervention
and emergency/trauma imaging.
Presentation: Ankle trauma
Karine Schutt-Ainé, t.e.p.m.
Hôpital Charles Lemoyne
Moderateur: Electrophysiologie médicale
Charles LeMoyne hospital
After a degree in maths/physics and few years
as an air navigator in the Canadian Air Forces,
Manon returned to school in 2000 to become
a technician in radio-oncology. He graduated
in 2003 and worked at Notre-Dame Hospital in
Montreal. He joined the brachytherapy team
for 2 years. Since 2010, he has been dosimetrist
at Charles LeMoyne Hospital.
CHU Ste-Justine
Depuis sa graduation au collège Ahuntsic en
2009, elletravaille au CHU Ste-Justine. Elle a
débuté ma carrière en radiologie standard
(rayons-X et scopie, où elle a été, pendant
1 an, une des responsable de salle) pour
finalement, depuis 2 ans, se diriger vers la
résonance magnétique. Depuis son retour
de congé de maternité, elle fait également
partie d’un comité d’avancement en imagerie.
Présentation: La pédiatrie en radiologie 2.0
Lisa Smith
Royal Victoria Hospital
Lisa Smith has been a technologist for 10 years
and has worked in the Breast Clinic, Royal
Victoria Hospital, for 7 years as a technologist
specializing in breast imaging.
Presentation: Breast US-elastography
Moderator: CAR Departmental Clinical Audit
Project Contest
Jenny Soo, RTT, ACT
Clinical Educator Radiation Therapy, BC
Cancer Agency - Vancouver Cancer Centre
Moderator: Radiation Therapy
Janet Soper, RTT, CTIC
Saint John Regional Hospital, NB
Elisabeth Simard-Tremblay, MD, FRCPC,
CSCN(EEG)
Moderator: Radiation Therapy
Depuis 2013 : Neuropédiatre, Hôpital de
Montréal pour enfants et hôpitaux affiliés
à l’Université McGill, Montréal (Québec). De
2011 à 2013 : études postdoctorales en épilepsie pédiatrique et en neurophysiologie
clinique, Seattle Children’s Hospital et centre
médical de l’université de Washington, à Seattle (Washington), aux États-Unis. De 2006
à 2011 : résidence en neuropédiatrie, Hôpital
de Montréal pour enfants et hôpitaux affiliés
à l’Université McGill, Montréal (Québec). De
2002 à 2006 : Études en médecine, Université
de Sherbrooke, Sherbrooke (Québec) Canada.
Presentation: Évolution de l’EEG durant la
période néonatale
Josée Soucy, Technologue Radio-oncologie
Hopital Maisonneuve Rosemont
Elle a complété sa formation au collège Ahuntsic en 1993. Elle a débuté sa carrière en
radio-oncologie à l’Hôpital Maisonneuve-Rosemont et elle y travaille encore depuis maintenant 22 ans. L’année dernière, elle s’est
impliquée dans le projet des classes d’enseignements y a trouvé une autre façon de
donner aux patients du soutien et du réconfort.
Ces classes luiont fait découvrir un côté d’elle
qu’elle ne soupçonnait pas, c’est à dire le goût
de faire des présentations et de prendre du
temps pour informer et rassurer les patients
afin que ceux-ci repartent confiants pour leur
série de traitements.
Présentation: Classes d’enseignement sein et
Gilles Soulez, MD, MSc, FRCPC
Sat Somers
Presentation: Breast tomotherapy
Hôpital de Montréal pour enfants
Présentation : L’évaluation des dysfonctions du
mécanisme vélopharyngé (DVP) par la vidéofluoroscopie
Alla Sorokin, M.Sc(A), S-LP(C)
Centre hospitalier universitaire Sainte-Justine
Dr Gilles Soulez est spécialisé en radiologie
vasculaire et interventionnelle. Il est professeur
de radiologie à l’université et président du
département de radiologie, de radio-oncologie
et de médecine nucléaire. Il fait de la recherche
dans le domaine de la radiologie vasculaire et
interventionnelle grâce à des subventions de
la Fondation canadienne pour l’innovation, des
Instituts de recherche en santé du Canada, du
Conseil de recherches en sciences naturelles
et en génie, et du Fonds de la recherche en
santé du Québec (FRQ-S). Lauréat d’un prix
national décerné par le FRQ-S, il a publié plus
de 150 articles révisés par les pairs au cours
de sa carrière. Détenteur ou codétenteur de
neuf brevets, il participe très activement au
transfert technologique avec des entreprises
de pointe dans ce domaine (comme Siemens
Medical, Cook Medical).
Manon Simard, Radio-Oncology Technologue
Audrey Simon, Technologue en imagerie
médicale
Présentation : Aorte thoracique aiguë
Elle est orthophoniste qui a gradué avec
une maitrise en sciences appliquées à l’école
de Communication Sciences and Disorders
à McGill en 2009. Elle travaille à l’hôpital
Sainte-Justine depuis 2009 et se spécialise
dans les cliniques de malformations crânio-faciales, les dysfonctions vélopharyngée et des
troubles vocaux. En plus de sa pratique au
secteur public, elle travaille au privé où elle
fournit des soins à la population pédiatrique
avec de diverses problématiques touchant le
langage et la parole. Elle est aussi impliquée
dans des projets de recherches affiliés avec la
clinique orthodontique de l’Univeristé deMontréal. Elle est passionnée des dysfonctions
vélopharyngées et elle souhaite partager
mes connaissances tout en enseignant aux
membres impliqués dans ce domaine.
Moderateur: Prix d’innovation et d’excellence
Jean-A-Vézina
Lawrence Stein
Dr. Stein obtained his medical degree at McGill
University in Montreal, followed by a residency
in the Department of Diagnostic Radiology of
McGill. Dr. Stein then obtained further subspecialty fellowship training in abdominal imaging
at the University of California, San Francisco
under Dr. Alex Margulis. After returning to
Montreal, Dr. Stein was appointed and has
maintained the position Chief of Diagnostic
Radiology at the Royal Victoria Hospital until
2014, and Associate Professor of Radiology at
McGill University. Dr. Stein has been involved
in all aspects of abdominal imaging
114
and is very active in interventional techniques
related to the G.I. tract. He is also an Associate
Member of the Department of Surgery and the
Gastroenterology Division of the Department
of Medicine at McGill.
Dr. Stein is past President of the CAR and
is currently the CAR Chairperson for Virtual
Colonoscopy Standards in Canada and also
Chairperson of the CAR Working Group on
Virtual Colonoscopy.
Presentation: Small bowel imaging.....why,
what, when and how?
Justine St-Onge, technologue en imagerie
médicale
Institut Universitaire de Cardiologie et de
Pneumologie de Québec (IUCPQ)
Technologue en médecine nucléaire depuis
2010 à l’Institut Universitaire de Cardiologie
et de Pneumologie de Québec (IUCPQ)- membre du comité du congrès de l’OTIMROEPMQ
depuis 2013.
Présentations /Presentations:
• Démystifier l’approche LEAN
• Quiz
• Demystify the LEAN approach
Moderateur: Medecine Nucléaire
Keith Sutherland, RTT, CMD, ACT, CTIC,
BSc(RT)
CancerCare Manitoba
Keith Sutherland graduated in 2002 from the
School of Radiation Therapy at Cancer Care
Manitoba. Since graduation, he has continued
his education receiving CTIC and ACT certifications from the CAMRT, CMD designation from
the MDCB, and BSc(RT) from the University of
Winnipeg. He is currently working as a Medical
Dosimetrist in the treatment-planning department of CancerCare Manitoba. In addition to
clinical patients, he has various clinical research
projects underway. Keith volunteers as cochair of the RTT Exam Validation Committee,
and is long time mentor/ambassador for Big
Brothers Big Sisters Winnipeg.
Presentation: Knowledge Based Planning: possible role in a Canadian radiotherapy department
An Tang, MD, MSc, FRCPC
Dr. Tang completed his specialty degree in
Radiology at the Université de Montréal in
2005 and fellowship training in Abdominal
Imaging at the University of Toronto in 2006.
Since 2006, he has been working as an abdominal radiologist at the Centre Hospitalier de
l’Université de Montréal (CHUM). Supported
by fellowship awards from the Fulbright Program and the Canadian Institutes of Health
Research, he pursued a research fellowship
in liver magnetic resonance imaging at the
University of California, San Diego in 20112012. He is presently an Associate Professor
of Radiology at the Université de Montréal.
His current research interest is focused on
imaging-based techniques for diagnosis and
monitoring of chronic liver disease.
Présentations :
• Introduction à l’élastographie par résonance
magnétique
• Introduction to magnetic resonance elastography
• Revue de littérature pour radiologiste général:
publications marquantes en imagerie abdominale
Jana Taylor, MDcM
Moderator: Chest Imaging
Julie Teixeira
Joannie Thibault, technologue en radio-oncologie
CHUS Fleurimont
Elle a gradué avec un Baccalauréat en kinésiologie de l’Université Laval en 2007. Elle a part la
suite fait sa technoque en radio-oncologue de
2007 à 2010. Depuis ce temps elle est technolgue en radio-oncologie au CHUS Fleurimont.
Elle a des formations complémentaires avec
le CT-Scan, Gamma-Knife et en coordination
des rendez-vous. Elle est membre du comité
de rédaction des examens d’admission de
l’OTIMROEPMQ depuis 2012.
2004-2007 : Baccalauréat en kinesiologie,
Université Laval
2007-2010 : Technique en radio-oncologie,
Cégep Ste-Foy
2010-auj : Technologue en radio-oncologie
au CHUS Fleurimont
Formations complémentaires : CT scan, gamma-knife et coordination des rendez-vous
2012-auj : Membre du comité de rédaction des
examens d’admission, OTIMROEMPQ
Présentation: L’asepsie des plaies en radio-oncologie: quand nos accessoires deviennent une
menace
Emilie Tremblay, MD CHRDL
Radiologiste au CSSS du Nord de Lanaudière
depuis maintenant près de deux ans, elle a
choisi après la fin des études d’aller dans un
milieu périphérique permettant de poursuivre
une pratique générale radiologique. Elle a
déjà effectuée quelques présentations au
sein de divers congrès permettant souvent
de vulgariser certains sujets de la radiologie
plus complexes en tentant de les rendre plus
accessibles.
Techonologist in nuclear medicine since 2010
at the Institut Universitaire de cardiologie et de
Pneumologie de Québec (IUCPQ)- member of
the congress committee of the OTIMROEPMQ
since 2013.
l’abdomen à l’Université de Toronto en 2006.
Depuis 2006, il travaille dans le domaine de
la radiologie abdominale au Centre hospitalier de l’Université de Montréal. Grâces à
des bourses du programme Fulbright et des
Instituts de recherche en santé du Canada, il
a fait des études postdoctorales en IRM du
foie à l’université de la Californie à San Diego
en 2011-2012. Aujourd’hui professeur agrégé
de radiologie à l’Université de Montréal, il
poursuit des travaux axés sur les techniques
d’imagerie servant au diagnostic et au suivi
des hépatopathies chroniques.
Présentation: La radiographie pulmonaire:
comment se démêler!
Angèle Turcotte, Rhumatologue
Julie Teixeira, MRT, graduated in 1998 from
Dawson College started her career at the
Royal Victoria Hospital and then went on
to specialize as a pediatric medical imaging
technologist in orthopedics at the Shriners
Hospital for Children-Canada. She has been
working in pediatrics for the last 15 years.
Presentation: EOS modality in pediatrics
Genevieve Tetrault Lefebvre, Technicienne
en électrophysiologie médicale
University of Montreal
Institut de Cardiologie de Montréal
Dr Tang a reçu son diplôme de radiologiste de
l’Université de Montréal en 2005, pour faire
des études postdoctorales en imagerie de
Présentation : Les ECG HA expliqués
Centre de l’ostéoporose et de rhumatologie
de Québec
Dre Turcotte a obtenu son diplôme de médecine de l’UniversitéLaval (1978), un certificat
de spécialité en médecine interne (1982) et
un certificat en rhumatologie de la CSPQ et
du FRCP (1983). De 1983 à 1993 elle a travaillé
à l’Hôpital Général d’Ottawa et St-Louis de
Montfort. Depuis 1993, Dre Turcotte pratique
la rhumatologie en cabinet privé dans la région de Québec et est membre de l’équipe du
Centre de l’ostéoporose et de rhumatologie
de Québec. Dre Turcotte est membre de plusieurs comités scientifiques responsables de
l’élaboration d’ateliers de formation médicale
continue autant dans le domaine dela
115
rhumatologie générale que dans l’ostéoporose.
Elle a développé un intérêt dans l’élaboration
d’outils adaptés à la clinique dans le domaine
de l’ostéoporose et dela rhumatologie .
Présentation : La prise en charge de l’ostéoporose un travail d’équipe
Rick Vey, MRT CD, MRT(R)
Canadian Armed Forces Health Services
Master Warrant Officer Rick Vey joined the
CAF in 1985 and trained initially as a medic
at Canadian Forces Medical Services School
in Borden. He was then posted to Petawawa,
where he served from 1986 -1990 with 2 Field
Ambulance, earning his jump wings in 1988.
MWO Vey was accepted into the CF MRad Tech
Program and trained from 1990-1991 at the CF
X-Ray School at NDMC Ottawa. Following this,
he was posted back to Petawawa and served
as an MRad Tech with 2 Field Ambulance from
1993-1997. He was posted back to NDMC Ottawa and served as the Chief MRad Tech from
1997-2005. He completed a tour in Bosnia in
2000. MWO Vey moved into the Occupation
Advisor position in July 2005.
Anne-Edith Vigneault, Technologue en Radiologie Médicale
Saskatoon Health Region- Saskatoon City
Hospital
Anne-Edith Vigneault est passionnée de la
vie, la santé et le bien-être. D’une longue
dévotion envers la médecine occidentale, elle
valorise aujourd’hui une approche holistique
au bien-être. Elle promouvoit la prise en charge
de l’équilibre personnel et l’expression du
potentiel individuel dans toute sa splendeur.
Elle a gradué en Sciences de la Nature en 1998,
en Paramédecine en 2002, en Technologie du
Radiodiagnostique en 2006, en Échocardiographie en 2010 et est maintenant professeure
certifiée en Yoga depuis février 2014.
Présentation: Se nourrir de soleil
Valérie Vilgrain, Professeur
Hôpital Beaujon
Le Docteur Valérie Vilgrain est chef du département de radiologie à l’Hôpital Universitaire
Beaujon à Clichy et Professeur à l’Université
Paris Diderot de Paris en France. Ses principaux
intérêts de recherche concernent l’imagerie
diagnostique et interventionnelle du foie, du
pancréas et des voies biliaires avec un intérêt
particulier pour l’imagerie CT multi détecteur,
l’IRM ainsi que l’échographie de contraste.
Dr Valérie Vilgrain a obtenu son doctorat en
médecine de l’Université René Descartes de
Paris, Faculté de médecine, en 1985. Elle a été
interne en radiologie à l’Université de Paris
Présentations :
• IRM de diffusion hépatique : apports, pièges
et limites
• Tumeurs bénignes hépatocellulaires : avancées
en imagerie
Megan Vitols-Mckay
I graduated from the Southern Alberta Institute of Technology (SAIT) in 2001 as a Nuclear
Medicine Technologist and then moved to
Ottawa to start work at the Ottawa Hospital’s
Civic Nuclear Medicine department. I work as
a technologist in general nuclear medicine as
well as BMD (in which I participate in ongoing
research imaging) and PET/CT. In 2007, I began
working on the Algeta Ra-223-Alpharadin
double-blind phase II clinical trial for which we
completed 7 patients. From there, I continued
working on the phase III clinical trial, unblinded,
and now that Ra-223 has been approved in
Canada as a result of those trials, I am involved
with several new trials to expand the use of
Ra-223 to a larger patient population.
Presentation: Radioisotope therapy of bone
metastases using radium-223
George Wells, MSc, PhD
and scientific advisory committees. He is
currently the Associate Editor of the Journal
of Clinical Epidemiology and on the Editorial
Committee of the Canadian Medical Association Journal. He has worked extensively with
national and international government and
non-government research organizations, as
well as pharmaceutical and biotechnology
industries.
Dr Georges Wells est professeur à l’école
d’épidémiologie, de santé publique et de
médecine préventive et au département
de médecine de l’Université d’Ottawa. Il est
également scientifique principal à l’Institut de
recherche de l’Hôpital d’Ottawa et directeur
de la recherche en médecine cardiovasculaire
au Centre de méthodologie du même institut.
Dr Wells s’intéresse à la conception et à l’analyse des essais cliniques multicentriques, à
l’aspect méthodologique de la prestation
des soins, des examens systématiques, des
méta-analyses en réseau et des évaluations
économiques, à l’évaluation des technologies
de santé et à la conception et à l’évaluation des
techniques d’aide à la décision à l’intention
des patients et des cliniciens.
Dr Wells a signé ou cosigné plus de 700 articles
publiés et de 900 résumés scientifiques. Il a
été chercheur principal ou cochercheur dans
le cadre de plus de 200 projets de recherche.
Il a enseigné aux étudiants du premier cycle
et des cycles supérieurs durant 30 ans et
supervisé les travaux de plus de 60 étudiants
des cycles supérieurs.
University of Ottawa and the University of Ottawa Heart Institute
Dr Wells a fait partie de comités de direction
de programmes de recherche nationaux et
Dr. Wells is a Professor in the School of Epideinternationaux, de comités externes de surmiology, Public Health and Preventive Medicine
veillance de l’innocuité et de l’efficacité, de
and Department of Medicine at the University
comités d’examen des demandes de subvenof Ottawa. He is also Senior Scientist at the
tions à la recherche, de comités de rédaction
Ottawa Health Research Institute and Director,
et de comités consultatifs scientifiques. Il
Cardiovascular Research Methods Centre at
est présentement corédacteur du Journal of
the University of Ottawa Heart Institute.
Clinical Epidemiology et siège au comité de
rédaction du Journal de l’Association médicale
Dr. Wells’ interests are in the design and analcanadienne. Il a beaucoup travaillé en collabysis of multicentre clinical trials, methodology
oration avec des organisations de recherche
related to healthcare delivery, systematic
gouvernementales et non gouvernementales
reviews and network meta-analysis, economic
au Canada et ailleurs dans le monde, ainsi
evaluations, health technology assessment
que pour l’industrie pharmaceutique et bioand the development and assessment of
technologique.
decision support technologies for patients
and clinicians.
Dr. Wells is the author or co-author of over 700
published articles and 900 scientific abstracts.
He has been the principal investigator or
co-investigator on over 200 research projects.
He has taught at the University graduate and
undergraduate level for 30 years and has
supervised over 60 graduate students.
Dr. Wells has been on the executive and steering committees of national and international
research programs, external safety and efficacy
monitoring committees, scientific grant review
committees, editorial committees
Presentation: CAMRT Welch Memorial Lecture
puis chef de clinique-assistant en radiologie à
l’hôpital Beaujon (1987-1988). Elle est membre
de plusieurs sociétés nationales et internationales. Dr Vilgrain a publié de nombreux articles
dans des revues à comité de lecture.
Presentation: Comparative and cost effectiveness related to diagnostic testing
Présentation : Études comparatives et analyses
coût-efficacité relatives aux tests diagnostiques
Susie Wileman, M.Ed. c.o.
Dawson College
Susie Wileman, M.Ed. is coordinator of the Student AccessAbility Centre at Dawson College
and a part-time faculty member at Concordia
University. She is active on a number of committees focused accessibility and services to
116
students with disabilities. Currently, she is
involved in a multi-institutional research project headed by McGill University to examine
faculty awareness of Universal Design in the
post-secondary milieu.
Presentation: Clinical Integration of students
with learning disabilities
Morgan Willson, MD, FRCPC
University of Calgary, Foothills Medical Center
Dr. Willson holds a BSc in Electrical Engineering and an MSc in Biomedical Engineering
(Functional Magnetic Resonance Imaging),
from the University of Alberta 2000 and 2003
respectively. He completed his MD at the University of Calgary in 2006 and his Diagnostic
Radiology Residency at the University of Calgary in 2011. He completed a Neuroradiology
Fellowship at the Barrow Neurologic Institute
in Phoenix Arizona in 2013.
Presentation: CT imaging in acute stroke
Stephanie Wilson
Presentation: The role of ultrasound in the
evaluation of inflammatory bowel disease
Stephanie Wilson is clinical professor of Radiology and Medicine, Division of Gastroenterology, at the University of Calgary. Her major
interests include imaging of IBD and CEUS for
evaluation of liver tumours and diagnosis of
HCC. She is co-president of the International
Contrast Ultrasound Society (ICUS).
117
Symposium international 2015 sur la TDM | International CT Symposium 2015
Les 12 et 13 juin 2015 | June 12-13, 2015
Fairmont Le Reine Elizabeth | Fairmont The Queen Elizabeth (Montréal)
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73rd Annual General Conference
JUNE 9 – 12, 2016
Halifax, NS
WWW.CAMRT.CA
S IN
U
J O IN
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IFA
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MARK YOUR CALENDAR
IMAGING IN AN ERA OF COMPARATIVE EFFECTIVENESS
HOW TO STAY RELEVANT
April 14–17, 2016 | Montreal, Quebec
79th Annual Scientific Meeting
The Canadian Association of Radiologists
À NOTER À VOTRE AGENDA
L’IMAGERIE À L’ÈRE DE L’EFFICACITÉ COMPARÉE
COMMENT DEMEURER PERTINENT
du 14 au 17 avril 2016 | Montréal (Québec)
79e Congrès scientifique annuel
L’Association canadienne des radiologistes
613 860-3111 [email protected] www.car.ca
75 ans de rayonnement
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