DATES OF INTEREST

I N T E R N A T I O N A L D A Y

O F R A D I O L O G Y - N O V . 8 T H

R E M E M B R A N C E D A Y

N O V . 1 1 T H

R S N A -

N O V . 3 0 T H - D E C . 5 T H

ISSUE 56 NOVEMBER 2014

I am very pleased to report that we had a very successful meeting at the French Society of Radiology in Paris, where the Canadian Association of Radiologists was awarded the Gold Medal of the SFR. We have strengthened our links with the French radiology community for the long term.

November 2nd - 8th is MRT week and I invite you to read David Wormald’s contribution (pg. 6). Let me extend our greatest thank you to our technologists for their hard work and dedication. You are the face of radiology, and your skills and compassion make the success of our department in providing excellent care to our patients. You are encountering many challenges in an increasingly complex environment, including fast evolving technology and procedural changes and have to be constant learners and problem solvers.

On November 8th, the European Society of Radiology (ESR), the Radiological Society of North America (RSNA) and the American College of Radiology (ACR) will celebrate the 3rd Annual International Day of Radiology (IDoR 2014). Radiological societies all over the world take part in this celebration to promote the understanding of the vital role radiologists play in the healthcare continuum.

November 8th, 1895 is the day that Dr. Wilhelm Conrad Röentgen discovered the existence of x-rays and has been chosen as a day of action and awareness. The goal is to alert the world to the stunning possibilities of medical imaging, the essential role of the radiologist as part of the healthcare team in countless medical scenarios, and the high educational and professional standards required of all staff working in medical imaging.

Brain imaging has been chosen as the main theme of the day, to highlight the important role that radiology plays in the detection, diagnosis and management of a wide variety of brain diseases.

This year, the RSNA will celebrate its 100th birthday at its annual meeting in Chicago. It is also a special recognition for Canadian Radiology, named “Canada Presents at RSNA 2014”. This is the second such recognition this year after the Canadian radiologists were honoured at the French Society of Radiology meeting in Paris last month. RSNA will celebrate Canada’s contributions to radiologic discovery at a special session on December 2nd, 10:30 am, titled: Beyond Diagnosis: How Cardiovascular Imaging Research in Canada is Improving Clinical Outcomes, chaired by Drs. Forster and Leipsic. The invited speakers are Drs. J. Leipsic , D. Klass (Vancouver), M. Goyal (Calgary), G. Soulez (Montreal), A. Crean (Toronto) and TY. Lee (London). Canadians attending the presentation will receive a special ribbon for their badge.

Sincere congratulations to Dr. Crystal Fong on being awarded the Regional Medical Associates (RMA) 2014 research scholarship for her project on “MR Perfusion” (pg. 5). This is a wonderful achievement!

Dr. David Koff Chief of Diagnostic Imaging, HHS

Chair, Department of Radiology, FHS

INS IDE THIS ISSUE

Educational News 2

International Day of

Radiology

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Rounds 4

Dr. J. Dobranowski

Dr. C. Fong

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David Wormald’s

message

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Research Corner 7

DI Repository 8

St. Joseph’s Healthcare 9

Back Page 10

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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

Monday, January 12th and Tuesday, January 13th, 2015

Dr. Sanjeev Bhalla - Chest

Tuesday, February 3rd and Wednesday, February 4th, 2015

Dr. Supriya Kulkarni - Breast

Tuesday, March 3rd and Wednesday, March 4th, 2015

Dr. Achala Vagal - Neuro

Tuesday, March 31st and Wednesday, April 1st, 2015

Dr. Julie Ritner - Obs/Gyn

Monday, May 4th and Tuesday, May 5th, 2015

Dr. Tim Mosher - MSK

(Annual Peter W. Cockshott Lecture)

Location for the above Visiting Professor lectures will be at

St. Joseph’s Healthcare, Hamilton

(Main Charlton Campus and West 5th Auditorium) Watch for upcoming flyers with complete details

D. S. Garnett Lecture - Nuclear Medicine

Thursday, January 29th, 2015 - MUMC: 1A5 Topic: Molecular Imaging of Breast Cancer:

Clinical and Biologic Insights

Further details to follow!

FUTURE VISITING PROFESSOR SERIES FUTURE VISITING PROFESSOR SERIES

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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

Click on link for more info: www.IDOR2014.com

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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

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OUR RADIOLOGISTS

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

Authored by Dr. Julian Dobranowski (St. Joseph's Healthcare, Hamilton), Dr. Alexander Dobranowski (Adelaide, Australia) and Dr. Anthony Levinson (McMaster University, Hamilton), this textbook provides learners of all ages with a simple, but thorough, explanation of the basic principles needed for successful x-ray examination interpretation. "It is in many respects a labour of rich love, care and comprehensive attention to detail…….This is an outstanding book that I hope will become known as a celebration of, and a practical guide, to the CXR." - Quoted from the 2014 BMA Book Awards Ceremony Programme. Picture - Dr. Hilary Cass, Dr. Julian Dobranowski

Congratulations - Dr. Julian Dobranowski

The British Medical Association (BMA) Medical Book Awards Ceremony was held on Monday, September 22nd, to recognize outstanding contributions to medical literature. Dr. Julian Dobranowski was honoured to receive the First Prize in Radiology award for his recently published textbook, Discover Radiology: Chest X-Ray Interpretation.

OUR RESIDENTS

Congratulations to Dr. Crystal Fong on receiving a Regional Medical Associates (RMA) 2014 research scholarship. The purpose of this fund is to support original research carried out by medically qualified registered postgraduate trainees of the Faculty of Health Sciences, McMaster University. Crystal’s project was selected from a competitive pool of projects submitted from across multiple medical specialties. Her research project is titled: “MR perfusion – Is it a useful tool to differentiate tumour recurrence from treatment related necrosis (pseudo progression) in patients with treated high grade gliomas.” Her faculty supervisors for this project are Dr. Jeffrey Greenspoon (Department of Radiation Oncology), Dr. Scott Tsai and Dr. Brian Yemen (Department of Diagnostic Imaging).

Congratulations - Dr. Crystal Fong

Submitted by: Dr. David Landry

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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

MRT Week (November 2-8, 2014) is an annual celebration of the crucial role that medical radiation technologists (MRTs) play in our healthcare system. MRTs provide the professional imaging and radiation-related treatment services and caring touch that allow patients to fully benefit from the latest medical diagnostic and treatment technologies. To that end, MRTs are the Essential Link: Where Advanced Technology Meets Compassionate Care. Day in and day out; each of you interact with our patients and families and play a pivotal role in their experience and healthcare journey. At the center of the work we do is our patient. They are the reason we exist. They are our purpose. We owe it to them to strive for excellence in all we do; and we hold true a fundamental belief that it is a privilege to serve our patients and their families and that they deserve the very best experience….. each and every time. To that end, it is with ‘open hearts and minds’ that you engage our patients with professional and compassionate care; demonstrate a commitment to quality, patient safety and comfort; using leading edge technology that provide our patients and referring physicians with exemplary diagnostic quality care and treatment. As the sophistication and proliferation of imaging technology, techniques and tools increase and standards of practice and care evolve, so too does the demand for advocacy and expertise within our profession. On behalf of SJHH and HHS executive teams; please accept my sincere appreciation of your passion, dedication and contribution to provide exemplary patient and family centric care.

Happy MRT week! David

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THE RESEARCH CORNER

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

As Radiology Residents are now required to conduct an audit project, also referred to as a quality assurance project, there has been many questions around exactly what this type of project is and if REB approval is required. The Tri-Council Policy Statement (TCPS), which is the Canadian benchmark for the ethical conduct involving human research, offers no explicit definition of quality assurance/audit projects. Neither does national research ethics documents in many other countries. A recent report from Australia notes "no national or international body appears to have established and promulgated separate guidelines to assist individual institutions in determining whether a proposed course of investigation is to be treated as quality assurance or research". This silence may be partly explained by the overlap between the concepts of "research" and "quality assurance”. The literature also provides what might be considered a working definition of quality assurance: the systematic monitoring and evaluation of the various aspects of a project, service or facility to ensure that standards of quality are being met. The TCPS states that studies related directly to assessing the performance of an organization or its employees or students, within the mandate of the organization or according to the terms and conditions of employment or training, should not be subject to REB review. However, performance reviews or studies that contain an element of research in addition to assessment, may need ethics review. If you have any question regarding if your project requires REB approval, you are strongly encouraged to contact the Hamilton Integrated Research Ethics Board (HiREB).

Submitted by: Jane Castelli, Project Manager - MIIRC@M jane.castelli@miircam.ca

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DI REPOSITORY (DI-r)

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

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ST. JOSEPH’S HEALTHCARE

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

Submitted by: Terri Millsip

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THE BACK PAGE

Submissions to: Mary Ann Zadvorny

McMaster Site, HSC - Room 2N48 - 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

Submitted by: Terri Millsip

Discovery of X-ray Beams Wilhelm Roentgen was already working on the effects of cathode rays during 1895, before he actually discovered X-rays. His experiments involved the passing of electric current through gases at extremely low pressure. On November 8, 1895 while he was experimenting, he observed that certain rays were emitted during the passing of the current through discharge tube. His experiment that involved working in a totally dark room with a well covered discharge tube resulted in the emission of rays which illuminated a barium platinocyanide covered screen. The screen became fluorescent even though it was placed in the path of the rays, two meters away from discharge tube. He continued his experiments using photographic plate to capture the image of various objects of random thickness placed in the path of the rays. He generated the very first "roentgenogram" by developing the image of his wife's hand and analyzed the variable transparency as showed by her bones, flesh and her wedding ring. Based on his subsequent research and experiments, he declared that X-ray beams are produced by the impact of cathode rays on material objects. His discovery revolutionized the entire medical profession and set foundation for diagnostic radiology. In 1901, Roentgen received the first ever Nobel Prize in Physics. This was a true acknowledgement of his remarkable discovery which was going to be highly beneficial for mankind in the coming years. Wilhelm Roentgen died on February 10, 1923 at the age of 77.

Born on March 27, 1845 in the small town of Lennep (Rhine Province) in Germany; Wilhelm Conrad Roentgen was the only child of a cloth merchant.

Ahoy thar mateys, do ya `av an appointment?

Our band of pirates (aka reception staff) had a frightfully good time

this year!

Must’ve been t’ rum! Diagnostic Services Staff - SJHH

Pictured L-R: A. Harrison , T. Turansky, T. Wilson