Radiology CME

Radiology for the Non-Radiologist
February 22-26, 2010 (8:00am-12:15pm) Location: Hyatt Regency Sarasota, Florida 20 AMA PRA Category 1 Credits™ 20 CME Credits - ACEP AAFP ACOG	Course #SEMLA-2420100222 Price: $645.00 - $795.00

by Adam R. Guttentag, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Radiology; Director, General Radiology, and Section Chief, Thoracic Radiology, Albert Einstein Medical Center, Philadelphia, PA and Susan L. Summerton, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Radiology; Director, Medical Student Education, and Section Chief, Gastrointestinal Radiology, Department of Radiology, Albert Einstein Medical Center, Philadelphia, PA.

Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to choose the appropriate ordering of x-rays, CT scans or MRI studies; employ interpretation skills that will improve patient outcomes resulting from recognition of normal vs. abnormal vs. poor technique; identify x-ray pathology that is commonly seen, commonly missed and how to prevent the latter in the clinical setting. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.

When indicated in the specific objectives, emphasis will be on ACR Appropriate Criteria and evidence-based medicine with a focus on diagnosis, treatment and when to refer. There is a need for practitioners to maintain their skills in “first-read” x-ray interpretation, which are most needed in emergency rooms and urgent care environments. Since Radiology is one topic in which practice and repeated exposure improves skills and outcomes, this course was designed and intended for all practitioners at the level of a practicing physician.

Day 1 Basic Chest X-Ray Interpretation. Radiology of the Pleura: Effusion, Pneumothorax and More. Abdominal Radiography. Abdominal Pain – A Site Specific Approach to Diagnosis.

Day 2 Women’s Imaging. Oncologic Imaging. Pulmonary Nodule: Evaluation and Follow-Up. Imaging the Mediastinum and Heart.

Day 3 Back Pain Imaging. Update on IV Contrast and Radiation: What the Clinician Should Know. Evaluation of Skeletal Trauma. Upper Extremity Trauma.

Day 4 Lower Extremity Trauma. “Incidentalomas” in Radiology. Cervical Spine: Acute and Chronic. MRI of Large Joints – Knee, Shoulder and Hip.

Day 5 Evaluation of Patients with Suspected Pulmonary Embolism. CT Angiography: Carotids, Aorta and More. The Acute Abdomen. GU Tract Imaging.

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Radiology for the Non-Radiologist
February 22-26, 2010
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES

Day 1

Basic Chest X-Ray Interpretation - Upon completion of this session, the participant should be able to:

1.	Develop a systematic approach to looking at a chest radiograph.
2.	Recognize how radiographic technique may simulate or hide abnormalities on a chest radiograph.
3.	Identify air space diseases such as pneumonia and atelectasis on a chest radiograph.
Radiology of the Pleura: Effusion, Pneumothorax and More - Upon completion of this session, the participant should be able to:
1.	Recognize the various appearances of pleural diseases.
2.	Identify pleural effusions on a chest radiograph, both simple and complex.
3.	Recognize pneumothorax confidently.
Abdominal Radiography - Upon completion of this session, the participant should be able to:
1.	Recognize normal and abnormal bowel gas patterns.
2.	Identify radiographic signs of bowel obstruction.
3.	Order appropriate studies to evaluate abdominal pain.
Abdominal Pain – A Site Specific Approach to Diagnosis - Upon completion of this session, the participant should be able to:
1.	Identify which diagnoses are most likely given the site of the patient’s presenting abdominal pain.
2.	Identify which radiographic studies should be performed based on location of presenting symptoms.
3.	Describe and recognize radiographic signs of common causes of abdominal pain.

Day 2

Women’s Imaging - Upon completion of this session, the participant should be able to:

1.	Determine which studies are most helpful in evaluating pelvic pain.
2.	Determine appropriate imaging studies for patient’s who present with breast symptoms.
3.	Discuss radiation safety issues in imaging the pregnant patient.
Oncologic Imaging - Upon completion of this session, the participant should be able to:
1.	Discuss advantages and disadvantages of current methods for colon cancer screening.
2.	Determine which imaging modalities are most useful for breast cancer screening.
3.	Describe recent advances in oncologic imaging.
Pulmonary Nodule: Evaluation and Follow-Up - Upon completion of this session, the participant should be able to:
1.	Evaluate pulmonary nodules using a variety of radiographic techniques.
2.	Identify which nodules require further evaluation and which can be safely ignored.
3.	Use Evidence-Based Guidelines regarding appropriate intervals for nodule follow up.
Imaging the Mediastinum and Heart - Upon completion of this session, the participant should be able to:
1.	Identify normal mediastinal contours on a chest radiograph.
2.	Recognize abnormal cardiac contours and their common causes.
3.	Identify mediastinal abnormalities on a chest radiograph and develop an appropriate differential diagnosis.

Day 3

Back Pain Imaging - Upon completion of this session, the participant should be able to:

1.	Discuss radiological contribution to integrated diagnosis of back pain.
2.	Identify findings of radiography, CT and MRI that may contribute to back pain.
3.	Define terminology used in radiological reports relating to imaging of the spine.
Update on IV Contrast and Radiation: What the Clinician Should Know - Upon completion of this session, the participant should be able to:
1.	Identify patients at risk for adverse reactions to intravenous iodinated contrast for CT.
2.	Describe current understanding of adverse patient reactions to Gadolinium containing MRI contrast materials.
3.	Describe factors leading to increased radiation exposure to patients from medical imaging.
4.	Discuss approaches to reducing radiation doses to patients while preserving diagnostic accuracy.
Evaluation of Skeletal Trauma - Upon completion of this session, the participant should be able to:
1.	Demonstrate an understanding of what constitutes proper radiographic evaluation of skeletal trauma.
2.	Recognize the limitations of plain radiographs in demonstrating acute fractures.
3.	Determine which additional imaging studies may be used when plain radiographic studies fail to demonstrate a suspected fracture.
4.	Describe fractures using proper terminology.
Upper Extremity Trauma - Upon completion of this session, the participant should be able to:
1.	Identify radiographic findings following upper extremity trauma.
2.	Determine which imaging studies should be ordered to optimally demonstrate suspected injury.
3.	Recognize soft tissue signs associated with occult fractures.
4.	Analyze routine radiographic studies of the upper extremity.

Day 4

Lower Extremity Trauma - Upon completion of this session, the participant should be able to:

1.	Identify plain radiographic findings following lower extremity trauma.
2.	Determine which radiographic studies to order based on the suspected injury.
3.	Recognize normal anatomic variants that may mimic pathology.
4.	Analyze routine radiographic studies of the lower extremity.
“Incidentalomas” in Radiology - Upon completion of this session, the participant should be able to:
1.	Define what is meant by the term “incidentaloma”.
2.	Describe the clinical significance of the common incidentalomas discovered on common diagnostic imaging studies.
3.	Determine when and if additional imaging or follow-up examinations are necessary for incidentalomas.
Cervical Spine: Acute and Chronic - Upon completion of this session, the participant should be able to:
1.	Triage patients presenting with trauma or neck pain regarding the need for imaging.
2.	Discriminate between stable and unstable cervical spine injuries.
3.	Identify radiographic findings that explain symptoms related to degenerative disease of the cervical spine.
4.	Order appropriate imaging studies in patients presenting with chronic neck pain or cervical radiculopathy.
MRI of Large Joints – Knee, Shoulder and Hip - Upon completion of this session, the participant should be able to:
1.	Define commonly used terminology in radiographic reports related to musculoskeletal MRI.
2.	Differentiate when to order shoulder MRI with and without arthrography.
3.	Outline appropriate indication for large joint MRI examinations.

Day 5

Evaluation of Patients with Suspected Pulmonary Embolism - Upon completion of this session, the participant should be able to:

1.	Develop an algorithm for use of imaging in evaluation of patients with possible thromboembolic disease.
2.	Discuss advantages and disadvantages of various imaging techniques in PE evaluation.
3.	Recognize radiographic findings of pulmonary embolism and deep venous thrombosis.
CT Angiography: Carotids, Aorta and More - Upon completion of this session, the participant should be able to:
1.	Discuss the principles of CT angiography performed with multidetector CT.
2.	Recognize common aortic diseases demonstrated by CTA.
3.	Outline indications for other CTA examinations and recognize abnormalities.
The Acute Abdomen - Upon completion of this session, the participant should be able to:
1.	Describe appropriate imaging evaluation for patients who sustain abdominal trauma.
2.	Describe and identify plain radiographic signs of bowel perforation.
3.	Describe appropriate imaging evaluation for pediatric abdominal emergencies.
GU Tract Imaging - Upon completion of this session, the participant should be able to:
1.	Identify which studies are most appropriate to order when evaluating the patient with flank pain.
2.	Describe other diagnoses besides renal calculi that may present with flank pain.
3.	Describe the current role of CT urography.

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