DATES OF INTEREST

V I S I T I N G P R O F E S S O R

- D R . J . S U N G -

J A N U A R Y 7 T H & 8 T H

- 6 T H A N N U A L A C A D E M I C

G E T - T O G E T H E R - J A N U A R Y

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R A D I O L O G Y R E S E A R C H D A Y

- A P R I L 2 3 R D

ISSUE 48 DECEMBER/JANUARY 2014

As we are preparing for the holiday season, we had the great sadness to lose one of our own. Dr. Mary Lou Ellins left us at the age of 61 after a courageous seven month fight against one of the most devastating forms of cancer. She lost the battle on Tuesday, December 3rd, 2013. Dr. Ellins leaves behind her husband Don and three sons, Adam, David and Matthew. An informal get-together was held in October in honour of Dr. Ellins. She seemed in good spirits and impressed all of us by her courage and dignity. A passionate radiologist, and a leader in neuroradiology and cardiac imaging, Dr. Ellins was our site chief at the Hamilton General Hospital. She was always ready to fight for her department, her staff and the radiologists. But more importantly, she was an exceptional role model showing dedication to our patients, going above and beyond, day or night, to provide the best quality of care. Dr. Ellins received her Bachelor Degree in Microbiology and Master’s Degree in Microbiology and Virology from the University of Toronto. She received her Medical Degree from McMaster University, followed by a residency in surgery and then radiology, also at McMaster University. Dr. Ellins was a staff member at the General site since 1994. Mary Lou will be sorely missed and fondly remembered by all who knew her.

May the New Year 2014 bring you and your family health and happiness.

Dr. David Koff Chief of Diagnostic Imaging, HHS

Chair, Department of Radiology, FHS

INS IDE THIS ISSUE

Educational News 2

Rounds Calendar 3

Upcoming Events 4

Message from David

Wormald

5

RSNA 2013 Awards 6

Amalgamation - HHS &

WLMH

7

Media Release 8

9

The Research Corner

Protocol Standardization

10

DI Photo contest winners 11

MRT Week - 2013 12

Meditech Changes 13

The Back Page 14

Dr. Mary Lou Ellins and her husband, Dr. Don Philip

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M E D I C A L I M A G I N G B U L L E T I N

EDUCATIONAL NEWS

VISITING PROFESSOR SERIES

FUTURE LECTURES / ROUNDS

“Advances in Breast Imaging: Breast Tomosynthesis and CEDM” Tuesday, January 7th, 2014 - 6:00 p.m. - Room T2202, Campbell Auditorium

“Controversies of Preoperative Breast MRI” Wednesday, January 8th, 2014 - 7:30 a.m. - Room T2202, Campbell Auditorium

“BI-RADS 3 on Breast MRI” Wednesday, January 8th, 2014, 12:00 p.m. - Room T2202, Campbell Auditorium

Juravinski Innovation Tower, Level 2, St. Joseph’s Healthcare Hamilton

Dr. Janice Sung Assistant Professor of Radiology,

Weill Cornell Medical College, New York, NY Assistant Member, Memorial Sloan-Kettering Cancer Centre

New York, NY

VISITNG PROFESSOR SERIES Dr. Mary Frates Tuesday, February 4th, 2014 - 6:00 p.m. Wednesday, February 5th, 2014 - 7:30 a.m. and 12:00 p.m. Dr. Michelle Michel Tuesday, March 4th, 2014 - 6:00 p.m. Wednesday, March 5th, 2014 - 7:30 a.m. and 12:00 p.m. Dr. Yves Menu Tuesday, April 8th, 2014 - 6:00 p.m. Wednesday, April 9th, 2014 - 7:30 a.m. and 12:00 p.m. Dr. Michael Tuite Tuesday, May 13th, 2014 - 6:00 p.m. Wednesday, May 14th, 2014 - 7:30 a.m. and 12:00 p.m.

EMERGENCY RADIOLOGY GRAND ROUNDS Dr. Felipe Munera Tuesday, May 27th, 2014 - 6:00 p.m. Wednesday, May 28th, 2014 - 7:30 a.m. and 12:00 p.m. Dr. Douglas Katz Tuesday, October 21st 2014 - 6:00 p.m. Wednesday, October 22nd, 2014 - 7:30 a.m. and 12:00 p.m.

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UPCOMING EVENTS

M E D I C A L I M A G I N G B U L L E T I N

Monday, January 20th, 2014

Department of Radiology 6th Annual Academic Get-Together Lo Presti’s at Maxwell’s - The Terrace Room

Please join us for a gathering of Radiologists, Nuclear Medicine Physicians, Residents and Fellows, as we provide an update on the Academic progress within the Department of Radiology.

We will be announcing the McMaster “Academic Radiologist of the Year”

SAVE THE DATE

We will also celebrate the “Galette de Rois”, complete with the pastry dessert!

Department of Radiology Research Day 2014

Further details regarding the venue, agenda and abstract submissions will be available in early 2014.

SAVE THE DATE

Wednesday, April 23rd, 2014

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MESSAGE FROM DAVID WORMALD

M E D I C A L I M A G I N G B U L L E T I N

Dear Colleagues:

I hope that each of you will take time over the holidays to focus on your own wellness, to reconnect with family and friends, and to celebrate the common values of generosity and community that are so essential to this important season.

Each of you has made a hugely valuable contribution to the many accomplishments of our program over the last year. On behalf of the Diagnostic Services Executive team, please accept our sincere gratitude for the great work you do every day.

Have a safe and happy holiday season. All the best for 2014!

David

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Congratulations to all our contributing Radiologists and Residents!

Submitted by: Dr. N. Parasu

Title: Non Traumatic Emergencies of the Spleen Authors: Drs. Michael Patlas, A. Alabousi The RSNA 2013 Educational Exhibit Awards Committee also announced the Certificate of Merit award for this exhibit. As noted above, after reviewing 2124 education exhibits, the awards committee presents 355 Certificate of Merit awards. Kudos to our PGY 3 resident, Abdullah, for his dedication and hard work in preparing this exhibit.

Title: “Avoiding Myxoid Mix-Up”: Review of MR Imaging Characteristics of Benign and Malignant Soft Tissue Myxoid Tumors with Pathological Correlation

Authors: Drs. C. Fong, D. Walker, E. Jurriaans, K. Finlay, S. Popovic, N. Parasu

The RSNA 2013 Educational Exhibit Awards Committee recently announced the Cum Laude award for this

exhibit. After reviewing 2124 education exhibits, the awards committee chose to present 29 Magna Cum Laude

awards; 81 Cum Laude awards; and 355 Certificate of Merit awards. Congratulations to the authors and in

particular, kudos to the PGY 4 residents, Crystal and Danielle, for their dedication and hard work in preparing this

exhibit.

Congratulations to our residents Danielle Walker (L) and

Crystal Fong (R) for their excellent Education Exhibit.

Submitted by: Dr. M. Patlas

Congratulations to our resident Dr. Abdullah Alabousi for an excellent Education Exhibit.

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AMALGAMATION - HHS and WLMH

M E D I C A L I M A G I N G B U L L E T I N

“Beginning a new future, together”

On June 25th Hamilton Health Sciences (HHS) and West Lincoln Memorial Hospital (WLMH) announced an

amalgamation plan that will further strengthen the continuum of care to ensure that all patients receive the right

care, in the right place. Coming together will create a combined system that builds on the strengths of both

organizations. For staff, amalgamation will provide a broader range of career opportunities as well as a single

organizational structure that encourages and supports collaboration and innovation.

In order to accomplish the process of integration, several Functional Integration Teams (FITs) have been created.

These teams will utilize a facilitated framework to work through the details of integrating the operations at WLMH

and HHS. The DI Functional Integration Team (FIT) will be co-led by Dr. David Koff, Vikki Metler, Dr. John Rawlinson

and myself. Subsequently, a kick off meeting was held on November 18th with management, technical and clerical

representation from both WLMH and HHS. To that end, the following objectives will be used to guide our team

members in the work to integrate Diagnostic Services clinical, administrative and support services, and medical

staff.

Maintain and improve the quality, access and comprehensiveness of care

Improve and sustain access to services offered by WLMH and HHS

Improve the efficiency of service delivery

Allow for fulfillment of a strategic vision

Improve research/education and opportunities for innovation

Optimize overhead costs to further invest in clinical programs

It is expected that the work of our team will proceed over the next several months. As such, our intent is to

communicate and provide you with monthly updates on our progress.

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MEDIA RELEASE - D. Wormald

MEDIA RELEASE

For Immediate Release

November 26, 2013

Hamilton Health Sciences, St. Joseph’s Healthcare Hamilton and London Health Sciences

Centre to issue RFQ for Managed Equipment Services Partnership

(HAMILTON & LONDON, Ontario) Hamilton Health Sciences, St. Joseph’s Healthcare Hamilton and London Health Sciences Centre are announcing today that a Request for Qualifications for a Managed Equipment Services (MES) Partnership is to be issued on December 3, 2013. Diagnostic Services and Medical Diagnostic Unit departments at the hospitals are implementing a novel and leading best practice to support their medical and molecular imaging clinical, academic and research programs by seeking a partner to implement a MES. The hospitals believe that this MES partnership will be an exemplar of their shared project vision “Living Healthcare –Transformation & Innovation Supported by Progressive Technology and Leading Research” in the following ways: 1. Demonstrate organizational and program commitment to the patient experience. The MES will ensure that our equipment is maintained and meets/exceeds industry and legislative safety standards e.g. radiation protection and dose. From a quality and safety experience, our patients (adult and pediatric) and families will have confidence that they have received the highest quality of diagnostic care/treatment and service by compassionate staff utilizing reliable/safe medical imaging equipment; 2. Enable the use of data to inform our management practices and evidence-based decision-making as it relates to medical equipment maintenance, equipment replacement, decommissioning, and utilization as well as radiation dose management practices; 3. Support the notion of Seamless Healthcare in so much as it is aligned with a strategic industry partner that supports the hospitals’ ability to achieve service delivery processes that ensure patient imaging examinations are efficiently stored and made available in real time to referring physicians and other authorized community users; 4. Facilitate operational excellence, effective asset management, annual financial savings, fiscal stewardship, transparency and accountability resulting in both direct monetary savings and indirect value to the hospitals over the term of the agreement; 5. Draw upon the partner’s core competencies, innovation and global reach to support and provide Diagnostic Imaging staff (management, physicians, technologists, nurses, clerical/support staff) with leading best practices and knowledge transfer in support of the hospitals’ academic and research evolutions; and 6. Incorporate unique features that will further enhance academic and research initiatives which in turn will enable the hospitals to focus on the delivery of transformational patient care and pioneering research instead of the administration of equipment procurement. The Request for Qualifications is the first step in the procurement process to select a partner for this project. The RFQ will be posted on Biddingo on December 3, 2013. The hospitals will hold an RFQ market briefing and question and answer session on December 10, 2013, in Toronto at 10 am. Further details regarding the market briefing will be provided in the RFQ.

Continued on page 9

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MEDIA RELEASE - continued

About Hamilton Health Sciences Hamilton Health Sciences is a family of seven unique hospitals, a cancer centre and an urgent care centre, serving more than 2.3 million residents of Hamilton and south central Ontario, Canada. Hamilton Health Sciences is the second largest hospital group in Ontario, and serves as a regional referral centre for cardiac, stroke, burns, trauma, neurosurgery, pediatrics, digestive diseases, high-risk obstetrics, cancer, orthopedics and rehabilitation services. With a staff of approximately 11,000, the hospital is the largest employer in the Hamilton region. As an academic teaching hospital with more than 1,100 beds and an affiliation with McMaster University and Mohawk College, Hamilton Health Sciences is committed to providing exemplary health care while advancing excellence in education and health research. The organization’s exceptional track record of inquiry and innovation has earned Hamilton Health Sciences recognition as one of the world’s leading health science research organizations. For more information, visit www.hamiltonhealthsciences.ca. About St. Joseph’s Healthcare Hamilton As a leading academic health science and research centre, St. Joseph’s Healthcare Hamilton delivers high quality, evidence based, compassionate care to patients in Hamilton-Niagara-Haldimand-Brant and beyond. Home to more than 4,000 staff, 700 physicians and 600 volunteers, St. Joe’s is a multi-site, regional, tertiary centre, renowned for its strength in respiratory care, kidney and urinary care, mental health and addictions, surgical services, cancer surgery and women’s and infants’ care. Our emergency department sees more than 50,000 patients a year. For over 121 years St. Joseph's has cared for the community in a spirit of compassion, innovation, and commitment – driven by the legacy of our founders, the Sisters of St. Joseph of Hamilton. St. Joseph’s Healthcare Hamilton is the largest acute care hospital and only academic and research centre in the St. Joseph’s Health System. For more information, visit our website at www.stjoes.ca. About London Health Sciences Centre London Health Sciences Centre has been at the forefront of medicine in Canada for 138 years and offers the broadest range of specialized clinical services in Ontario. Building on the traditions of its founding hospitals to provide compassionate care in an academic teaching setting, London Health Sciences Centre is home to Children’s Hospital, University Hospital, Victoria Hospital, the Kidney Care Centre, two family medical centres, and two research institutes – Children’s Health Research Institute and Lawson Health Research Institute, a joint research initiative with St. Joseph’s Health Care London. As a leader in medical discovery and health research, London Health Sciences Centre has a history of over 65 international and national firsts and attracts top clinicians and researchers from around the world. As a regional referral centre, London Health Sciences Centre cares for the most medically complex patients including critically injured adults and children in southwestern Ontario and beyond. The hospital’s nearly 15,000 staff, physicians, students and volunteers provide care for more than one million patient visits a year. For more information, visit www.lhsc.on.ca.

For media inquiries contact: Hamilton Health Sciences St. Joseph’s Healthcare Hamilton London Health Sciences Centre Heather Pullen Megan Bieksa Anthony Orfanides Public Relations and Communications Public Affairs Department Medical Imaging Department Telephone (905) 521-2100 ext. 75939 Telephone (905) 522-1155 ext. 33037 Telephone (519) 685-8500, ext. 52377 pullenh@hhsc.ca mbieksa@stjoes.ca anthony.orfanides@sjhc.london.on

Paging (905) 521-5030

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M E D I C A L I M A G I N G B U L L E T I N

THE RESEARCH CORNER

Submitted by: Jane Castelli

MIIRC@M’s vision is to foster seamless integration of medical images in the daily world of healthcare professionals with appropriate delivery of relevant content and decision support and educate the new world of imaging/EHR professionals. To learn more about the work and research projects that MIIRC@M is involved in, please visit www.miircam.ca or email Jane Castelli at jane.castelli@miircam.ca.

Did you know an innovative, exciting initiative at McMaster exists bringing Medical Imaging together with a range of disciplines such as Medicine, Medical Physics, Biomedical Engineering, Computer Science, e-Health, Nuclear Medicine, Statistics, and Psychology?

The Medical Imaging Informatics Research Centre at McMaster University (MIIRC@M) is the result of efforts of the radiologists at Hamilton Health Sciences, and the researchers and scientists at McMaster University and the University of Waterloo, along with other prestigious Canadian and International universities.

PROTOCOL STANDARDIZATION - HHS & St. Joe’s

HHS and SJHH have teamed up to improve Diagnostic Imaging quality by standardizing CT adult and pediatric imaging protocols across all sites at HHS and SJHH. This is an exciting undertaking as membership on this committee is from all sites. Members have come together to review protocols, identify differences and leverage their expertise to make recommendations for change to improve patient care. It is also an opportunity to network with other staff members and physicians and open the channels of communication. The panel consists of Radiologists, CT Technologists, Managers and a Medical Physicist. One of the key hallmarks of this project is to review radiation dose for the more common exams across all sites and promote best practice. Phase 1 consists of CT protocol standardization and phase 2 will consist of a review of all MRI protocols across all sites. The Sponsor for this CT and MRI Protocol Standardization Committee is Dr. Julian Dobranowski. It is chaired by Dr. Mehran Midia as the Physician Co-Chair and myself, Shairoz Kherani, as the Administrative Co-Chair.

The committee had its inaugural meeting in October 2013 and has already made recommendations regarding CT radiation dose for the head. We hope to continue the momentum and welcome comments and feedback from our readers.

Please send comments and feedback to: Ms. Ali Korobka at akorobka@stjosham.on.ca

Submitted by: Shairoz Kherani / Vera Dodds

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M E D I C A L I M A G I N G B U L L E T I N

OUR STAFF - Diagnostic Services Photo Contest

A big thank you to all participants in this years Diagnostic Services Photography contest Congratulations to all the winners!

“Black & White”

1st - Floral Explosion Marissa Jelinek - Tech. NM

2nd - Unnamed Lisa Hampel - X-ray Tech, JHCC

3rd - New River Gorge Bridge Lynne Farrell - Sr. U/S Tech, MUMC

“Landscape & Architecture”

1st - Winter Danijel Radojevic - ECG Tech, MDU

2nd - Waverley Station Mandi Bird - U/S, MUMC 3rd - Artisan of Nature

Ken Mascola - PACS Adm., JHCC “People / Pets”

1st - Anybody out there? Debby Turner - Adm. Assist., JHCC

2nd - Scottish Highland Cow Bidya Madil - X-ray Tech., SJHH 3rd - Bird’s Eye View

Jim Curtis - MRI Tech, JHCC

“Travel”

3rd - Doorway in Spain Lisa Neziol - U/S, MUMC

1st - Kylemore Abbey Mandi Bird - U/S, MUMC

2nd - Grand Canal Noella Peterson - Clinical Educator, MUMC

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M E D I C A L I M A G I N G B U L L E T I N

ST. JOSEPH’S HEALTHCARE

Submitted by: Terri Millsip

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MEDITECH CHANGES

Submitted by: Chrystal Church

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THE BACK PAGE

Submissions to: Mary Ann Zadvorny ,Chedoke Campus, Patterson Bldg. Rm. 311 zadvorny@hhsc.ca, Ext. 74489

M E D I C A L I M A G I N G B U L L E T I N

St. Joe’s (Charlton Campus), delightful registration staff, was definitely in the “Spirit of Halloween” once again this year. Thank you for giving us and our patients an extra special treat this Halloween!

Until next year!

Debby Turner organized a lovely get together at Baci for the Administrative Assistants. Sorry that some assistants were unable to attend.

A good time was had by all. Thank you Debby!

A special “thank you” to Dr. Koff for the

wonderful surprise, again! Kim Harper

entertaining!

D. Turner, R. DiTullio, A. Korobka, K. Harper, L. Power, M. Zadvorny, A. Macesic, (M. Scott, L. Menechella, (hiding))

Pictured L-R: “Sister” Anita Senia, Tammie Wilson (our resident minion) and Trish Turansky (our ”favourite little Geo Nome”)

Submitted by Terri Millsip

May the spirit of Christmas be with you

and your family throughout the

holidays!

Wishing everyone all the best of the season and a very Happy New

Year!

Trish Onken (L) and Sue Gaudet (R) have been busy gathering and packing donated clothing from all the DI Sites.

“Thank you” to everyone for their generous donations and

also a big thank you to Trish & Sue. The boxes will be shipped to Nunavut before Christmas.

WARM CLOTHING DRIVE