February 21-22, 2015 Pasadena Convention Center 67th Annual MIDWINTER RADIOLOGY & RADIATION ONCOLOGY CONFERENCE & CONJOINT NUCLEAR MEDICINE SEMINAR CONFERENCE FACULTY Radiation Oncology Conference Breast Cancer Julia White, MD Professor, Radiation Oncology Vice Chair, Clinical Research Director, Breast Radiation Oncology The Ohio State University Nanette R. DeBruhl, MD Professor of Radiology David Geffen School of Medicine at UCLA Radiology Conference Updates in Abdominal and Oncologic Imaging Minesh P. Mehta, MBChB, FASTRO Professor of Radiation Oncology Medical Director, Maryland Proton Treatment Center University of Maryland School of Medicine Keith L. Black, MD Chair of Diagnostic Radiology Oregon Health and Science University Mihir Desai, MD Jonathan Goldin, MD, PhD Professor of Clinical Urology Director of Robotic Surgery Keck School of Medicine of USC Professor and Vice Chair of Radiology David Geffen School of Medicine at UCLA Nadar Kamangar, MD Associate Professor of Radiology and Urology Section Chief, Abdominal Imaging, USC Medical Director, Imaging, Norris Comprehensive Cancer Center Keck School of Medicine of USC Professor of Radiology NorthShore University HealthSystem University of Chicago Head and Neck Cancer Tracy A. Jaffe, MD Allen M. Chen, MD Associate Professor of Radiology Division Chief, Abdominal Imaging Duke University School of Medicine Ali R. Sepahdari, MD Assistant Professor of Radiology Division of Diagnostic Neuroradiology David Geffen School of Medicine at UCLA Lung Cancer A. William Blackstock, Jr., MD Professor and Chair of Radiation Oncology Director of Comprehensive Cancer Center Wake Forest Baptist Medical Center Karen Reckamp, MD, MS Co-Director, Lung Cancer and Thoracic Oncology Program Associate Professor, Medical Oncology & Therapeutics Research, City of Hope Associate Professor of Medicine Chief of Pulmonary & Critical Care Medicine Olive View-UCLA Medical Center Gregory A. Kicska, MD, PhD Assistant Professor, Thoracic Imaging University of Washington School of Medicine Richard M. Gore, MD, FACR Chairman and Professor of Neurosurgery Cedars-Sinai Medical Center Associate Professor of Radiation Oncology Vice Chair of Education and Residency Training Program Director David Geffen School of Medicine Denise R. Aberle, MD Professor of Radiology and Bioengineering Vice-Chair of Research, Radiological Sciences David Geffen School of Medicine at UCLA Fergus Coakley, MD Vinay A. Duddalwar, MD, FRCR CNS Cancers Thoracic Imaging Suzanne L. Palmer, MD Professor of Clincal Radiology and Medicine Chief, Body Imaging Division Keck School of Medicine of USC Anne C. Roberts, MD Professor of Radiology Chief of Vascular and Interventional Radiology UCSD School of Medicine Scott S. Oh, DO, FCCP Interventional Pulmonology & Critical Care Combined BIDMC and MGH Program Harvard Medical School Gautham P. Reddy, MD Professor of Radiology Vice Chair for Education Director of Thoracic Imaging University of Washington Robert D. Suh, MD Professor of Radiology, Director of Thoracic Interventional Services David Geffen School of Medicine at UCLA W. Richard Webb, MD Professor Emeritus of Radiology and Biomedical Imaging University of California San Francisco Judy Yee, MD Professor and Vice Chair of Radiology and Biomedical Imaging UCSF School of Medicine Chief of Radiology San Francisco VA Medical Center Charles S. White, MD Professor of Radiology & Internal Medicine University of Maryland School of Medicine Director of Thoracic Imaging and Vice-Chairman for Clinical Affairs University of Maryland Medical Center Education Committee Radiation Oncology 2 Daniel C. Schiffner, MD, Keynote Presentations Affordable Care Act ACR Update Christopher M. Rose, MD, FACR, FASTRO Howard B. Fleishon, MD, MMM, FACR Chief Technology Officer, Vantage Oncology, LLP. Technical and Associate Director Valley Radiotherapy Associates Medical Group ACR Board of Chancellors Medical Director North Mountain Radiology Group Radiation Safety Officer Medical Imaging Department John C. Lincoln North Mountain Hospital Conference Chair Education Committee Co-Chair Rex Hoffman, MD Winston Lien, MD Nuclear Medicine Patrick M. Colletti, MD & John Shim, MD, Seminar Co-Chairs Overview & Highlights Conjoint Nuclear Medicine Seminar Daniel S. Berman, MD, FACC, FASNC Chief of Cardiac Imaging and Nuclear Cardiology Cedars-Sinai Heart Institute Director, Biomedical Imaging Research Institute S. Mark Taper Foundation Imaging Center Midwinter Overview The Midwinter Conference offers concurrent programs in Radiology, Radiation Oncology, and Nuclear Medicine, providing participants with the opportunity to design an individualized program to meet their unique educational needs and interests. Shahram Bonyadlou, MD The Radiology Conference will provide the clinician with a review of fundamentals and discussion of practical approaches and state of the art updates regarding Thoracic, Abdominal and Oncologic Imaging interpretation and intervention. Our goal is to present the knowledge and skills needed to update and expand current clinical practice with the goal of improving patient outcomes and quality of life through improved diagnostics. An array of imaging techniques will be included, with an emphasis on magnetic resonance imaging (MRI), computed tomography (CT) and Ultrasound. Assistant Professor of Radiology Keck School of Medicine of USC The Radiation Oncology Conference will provide the clinician with a review of fundamentals and Patrick M. Colletti, MD state of the art updates regarding the rapidly evolving applications, technologies, methodologies and delivery of radiation therapy in the treatment of Breast, CNS, Head and Neck, and Lung cancers. The goal is to present the knowledge and skills necessary to remain current in order to improve patient outcomes through improved treatment and management. Professor of Radiology, Pharmacology and Pharmaceutical Sciences Keck School of Medicine of USC The Conjoint Nuclear Medicine Seminar will provide the clinician with a review of fundamentals and Andrei Iagaru, MD Associate Professor of Radiology Co-Chief, Division of Nuclear Medicine and Molecular Imaging Stanford University Medical Center Hossein Jadvar, MD, PhD, MPH, MBA Associate Professor of Radiology Keck School of Medicine of USC President-Elect, SNMMI Jamshid Maddahi, MD, FACC, FASNC Professor of Molecular & Medical Pharmacology (Nuclear Medicine) and Medical Cardiology David Geffen School of Medicine at UCLA Director, Biomedical Imaging Institute Lalitha Ramanna, MD Director of Nuclear Medicine Little Company of Mary Hospital Lynne Roy, MBA, MS, CNMT, ARRT(N) FSNMMITS Director, S. Mark Taper Foundation Imaging Center Cedars-Sinai Medical Center Radiology Suzanne L. Palmer, MD, Conference Chair and Abdominal/Oncologic Imaging Program Chair Daniel Saket, MD, Thoracic Imaging Program Chair Denise Andrews-Tang, MD Maitraya Patel, MD Margaret H. Lee, MD, Education Committee Co-Chair state of the art updates regarding the evolving technologies, strategies and therapy in nuclear medicine. Focus areas include PET/MRI, Cardiac Imaging, and Therapy. A fourth session has been planned to address current challenges in nuclear medicine including an unreliable supply of radiopharmaceuticals paired with rising prices and non-payment. The goal is to present the knowledge and skills necessary to update and expand current clinical practice in order to provide the best possible care to nuclear medicine patients. Midwinter Highlights Keynote Presentations Implications of the Patient Protection and Affordable Care Act (PPACA) for Patients, Radiology, and Radiation Oncology Dr. Christopher M. Rose, Past President of the Southern California Radiation Oncology Society and the American Society for Therapeutic Radiology and Radiation Oncology, will discuss how the significant changes in healthcare delivery mechanisms that have and will continue to occur due to the PPACA will change how radiologists and radiation oncologists must practice. ACR Update Dr. Howard B. Fleishon, Member of the ACR Board of Chancellors, will address emerging issues and recent activities of the American College of Radiology, the leading national organization in socioeconomic issues affecting careers in radiology and radiation oncology. Discussion will include advocacy, economics, education, quality and safety, and research. Self-Assessment CME - Self-Assessment Modules (SAM) Self-Assessment questions and discussion will be incorporated into each of the three programs Radiology, Radiation Oncology, and Nuclear Medicine - so participants may evaluate their personal knowledge and performance against current standards and advances outlined in the presentations. LARS Education Committee is working with program faculty to complete the ABR SAM application process. Details regarding sessions approved for SAM will be posted on LARS website (www.larad.org) as confirmations become available. As of January 1, 2013, updated MOC Part 2 requirements call for 75 CME credits every 3 years, at least 25 of which must be self-assessment activities (SA-CME, which includes SAMs). For more information visit www.theabr.org Technical Exhibits & Networking Make the most of the scheduled breaks in the educational sessions by visiting the technical exhibit hall, which is intended to complement the educational program by providing a forum for professional exchange of the latest, most accurate information available regarding the benefits, risks, and appropriate use of the products, technologies, services and therapies available to radiology, radiation oncology and nuclear medicine. Refreshments breaks will be held in the exhibit providing an opportunity for informal networking with colleagues and friends over continental breakfast or coffee. Conference Sponsor Los Angeles Radiological Society & Southern California Radiation Oncology Society P.O. Box 93125, Pasadena, CA 91109-3125 (626) 836-5800 / Fax (626) 836-6606 3 Continuing Education Credit Physician CME Radiation Oncology Conference Radiology & Radiation Oncology Conferences At the conclusion of the Breast Cancer focus session, attendees should be able to: Accreditation Statement The Los Angeles Radiological Society (LARS) is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. Designation Statements LARS designates the Radiology Conference, a live activity, for a maximum of 13 AMA PRA Category 1 Credits™; the Radiation Oncology Conference, a live activity, for a maximum of 14.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Conjoint Nuclear Medicine Seminar Accreditation & Designation This activity has been planned and implemented in accordance with the Essential Areas and policies of the Institute for Medical Quality/California Medical Association (IMQ/CMA) through the joint sponsorship of Los Angeles Radiological Society (LARS) and Pacific Southwest Chapter, SNMMI. LARS is accredited by the IMQ/CMA to provide continuing medical education for physicians. LARS designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CMA Certification: This credit may also be applied to the CMA Certification in Continuing Medical Education. Technologist CE Category A CE Credit has been applied for through the ASRT. Please visit LARS website in mid-January for approval and number of credit hours confirmed Target Audience This conference has been designed primarily to address the educational needs of radiologists, radiation oncologists, and nuclear medicine physicians. We welcome radiology, radiation oncology, and nuclear medicine residents and fellows as well as other physicians whose practice would be enhanced by a review and update in the conference focus topics. Radiologic technologists, radiation therapists, nuclear medicine technologists and practitioners such as physicists and medical dosimetrists with a concern for providing the best and safest care to patients are also encouraged to attend. Additional CME Information The 67th Annual Midwinter Conference has been planned in accordance with the ACCME Essential Areas and Elements and Accreditation Policies. Further, this activity is in compliance with the California Legislature and ACCME definitions of CME Content, and California Assembly Bill 1195 which requires CME activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. LARS accepts responsibility for validating the clinical content of this CME activity. Disclosure of Conflicts of Interest LARS Education Committee and Conference Faculty are required to disclose the existence of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Any conflicts of interest are resolved prior to the conference. Disclosure information will be posted to the conference pages of LARS website, printed in the conference journal and announced by session moderators during speaker introductions 4 Radiation Oncology Objectives 5HFRJQL]HWKHUROHRIEUDFK\WKHUDS\DQGH[WHUQDOEHDPUDGLDWLRQLQ breast cancer and integrate current recommendations, guidelines and treatment paradigms into their clinical practice. 8SGDWHWUHDWPHQWSODQQLQJSDUDGLJPLQFOXGLQJSDWLHQWVHOHFWLRQ criteria for partial breast radiation based on a review and update of the strengths and weaknesses of the various techniques. 'HVLJQDWUHDWPHQWSODQIRUROGHUEUHDVWFDQFHUSDWLHQWVLQFOXGLQJDQ evaluation of current data regarding the benefits or radiation therapy in patients over age 65. 8SGDWHWKHNQRZOHGJHRIEUHDVWLPDJLQJLQWKHGLDJQRVLVDQGIROORZ up of breast cancer patients. At the conclusion of the CNS Cancer focus session, attendees should be able to: ,QWHJUDWHFXUUHQWUHFRPPHQGDWLRQVJXLGHOLQHVDQGWUHDWPHQW paradigms into their clinical practice for the management of 1) glioblastoma multiforme and other high grade gliomas; 2) low grade gliomas; 3) brain metastases. 'HWHUPLQHZKLFKSDWLHQWVZLWKORZJUDGHJOLRPDDUHFDQGLGDWHVIRU treatment with radiation therapy versus observation. 0DQDJHEUDLQPHWDVWDVHVZLWKUDGLDWLRQWKHUDS\ZKLOHHPSOR\LQJ current radiotherapeutic and pharmacologic techniques to avoid neurocognitive toxicities. 8QGHUVWDQGFXUUHQWQHXURVXUJLFDOWHFKQLTXHVLQWKHWUHDWPHQWRI&16 WXPRUVLQRUGHUWRRSWLPL]HPXOWLGLVFLSOLQDU\WKHUDS\ At the conclusion of the Head and Neck Cancer focus session, attendees should be able to: 5HFRJQL]HWKHJURZLQJLPSRUWDQFHRI+39LQWKHHSLGHPLRORJ\ prognosis, and management of head and neck cancers and integrate current recommendations, guidelines, and treatment paradigms into their clinical practice. ,QFRUSRUDWHDGYDQFHVLQ,QWHQVLW\0RGXODWHG5DGLDWLRQ7KHUDS\ (IMRT) into treatment strategies for head and neck cancers and RSWLPL]HSODQQLQJDQGGHOLYHU\XVLQJDQXSGDWHGXQGHUVWDQGLQJRIWKH advantages and limitations of this treatment modality. ,QWHJUDWHDGYDQFHVLQ,PDJH*XLGHG5DGLRWKHUDS\DSSURSULDWHO\LQWR management of their head and neck cancer patients. 5HFRJQL]HWKHJURZLQJUROHRIDGDSWLYHUDGLRWKHUDS\LQWKHWUHDWPHQW of head and neck cancers. ,QWHUSUHWDQDWRPLFLQIRUPDWLRQIURPGLDJQRVWLF05,RIWKHVNXOOEDVH and apply this information in the treatment and surveillance of head and neck cancers. At the conclusion of the Lung Cancer Focus session, attendees should be able to: /LVWWKHYDULRXVV\VWHPLFDJHQWVGLVFXVVWKHHIIHFWLYHQHVVRIWKHVH DJHQWVZKHQXWLOL]HGLQWKHYDULRXVW\SHVRIOXQJFDQFHUDQG understand the role each plays during a course of radiation in order to improve patient treatment and management. 5HGXFHWUHDWPHQWUHODWHGWR[LFLW\E\LPSOHPHQWLQJPRWLRQFRQWURO studies in their lung cancer patients, resulting in better treatment outcomes. (YDOXDWHWKHYDULRXVFOLQLFDOWULDOVDQGLGHQWLI\ZKLFKDUHDYDLODEOHDQG appropriate to recommend to their lung cancer patients. Radiation Oncology Schedule 6$785'$<)(%58$5< 681'$< )(%58$5< Focus Session on Breast Cancer Focus Session on CNS Cancers Moderator 8:00am – 8:45am 8:45am – 9:30am 9:30am – 10:00am Moderator 10:00am – 10:45am Sara H. Kim, MD Julia White, MD Early Stage Breast Cancer: Patient Selection and Treatment Techniques Julia White, MD Locally Advanced Breast Cancer and Post-Mastectomy Radiation Therapy %5($.,1(;+,%,7+$// Nancy A. Ellerbroek, MD Nanette De Bruhl, MD Imaging Update in the Diagnosis and Management of Breast Cancer Julie White, MD Breast Cancer in the Elderly: Role of Radiation Breast Cancer Faculty Q&A – and – City of Hope Resident Case Presentation Moderator 8:00am – 8:45am 8:45am – 9:30am 9:30am – 10:00am Moderator Daniel C. Schiffner, MD Minesh P. Mehta, MBChB, FASTRO Update on the Management of Glioblastoma Multiforme and HighGrade Glioma Minesh P. Mehta, MBChB, FASTRO The Treatment (and Non-Treatment) of Low-Grade Glioma with Radiation Therapy %5($.,1(;+,%,7+$// Howard M. Sandler, MD, MS, FASTRO %5($.)25/81&+ 11:30am – 12:00pm Minesh P. Mehta, MBChB, FASTRO Current Management of Brain Metastasis with Radiation Therapy Keith L. Black, MD Modern Neurosurgical Approaches to Treating Tumors of the Central Nervous System CNS Cancer Faculty Q&A – and – UCLA Resident Case Presentation PLENARY SESSION WITH RADIOLOGY 12:00pm – 1:00pm %5($.)25/81&+ 10:45am – 11:30am 11:30am – 12:00pm 12:00pm – 1:00pm Moderator Rex Hoffman, MD 1:45pm – 2:30pm Christopher M. Rose, MD, FACR, FASTRO Implications of the Patient Protection and Affordable Care Act for Patients, Radiology, and Radiation Oncology Denise R. Aberle, MD CT Screening Lung 2:30pm – 3:00pm %5($.,1(;+,%,7+$// 1:00pm – 1:45pm Focus Session on Lung Cancer Moderator 3:00pm – 3:45pm 3:45pm – 4:30pm 4:30pm – 5:15pm 5:15pm – 5:45pm Jeffrey Y.C. Wong, MD Karen Reckamp, MD Current Advances in Systemic Therapies in the Treatment of Lung Cancer Arthur W. Blackstock, Jr., MD Lung Cancer: Locally Advanced Non-small Cell Lung Cancer Arthur W. Blackstock, Jr., MD Small Cell Lung Cancer Lung Cancer Faculty Q&A – and – USC Resident Case Presentation 10:00am – 10:45am 10:45am – 11:30am Focus Session on Head & Neck Cancers Moderator 1:00pm – 1:45pm 1:45pm – 2:30pm Winston W. Lien, MD Allen M. Chen, MD New Paradigms in Head and Neck Cancer Treatment: The Emerging Role of HPV Allen M. Chen, MD Current Challenges in IMRT Planning and Delivery for Head and Neck Cancer 2:30pm – 3:00pm %5($.,1(;+,%,7+$// Moderator Steve P. Lee, MD 3:00pm – 3:45pm 3:45pm – 4:30pm 4:30pm – 5:00pm Ali R. Sepahdari, MD Skull Base Cancer: Imaging Anatomy and Optimal Imaging Evaluation Allen M. Chen, MD From 2D to 3D to 4D and Beyond: What’s Next in Head and Neck Cancer Radiotherapy Head & Neck Cancer Faculty Q&A – Kaiser Permanente Resident Case (1'2)681'$<352*5$00,1* (1'2)6$785'$<352*5$00,1* 5 Radiology Objectives Radiology Conference At the conclusion of the Abdominal and Oncologic Imaging focus session, attendees should be able to: Understand the pathophysiology and recognize the imaging findings of 1) select oncologic emergencies in which radiologists play a critical role in timely diagnosis; 2) tumor response to therapy; 3) solid and cystic pancreatic masses; 4) MRI findings of prostate and rectal cancer. 8QGHUVWDQGDQGXVHVXUYHLOODQFHDOJRULWKPVIRUHYDOXDWLRQRIVPDOOUHQDOPDVVHVLQSDWLHQWVZLWKFKURQLFOLYHU disease. 'LVFXVVWKHUROHRI0'&705,DQG8OWUDVRXQGLQGLDJQRVLVVWDJLQJDQGSUREOHPVVROYLQJLQSDWLHQWVZLWKFKURQLFOLYHU GLVHDVHLQSDWLHQWVZLWKVPDOOUHQDOPDVVHVDQGLQSUHJQDQWSDWLHQWVZLWKFDQFHU (YDOXDWHWKHLUDSSURDFKWRSDWLHQWPDQDJHPHQWDOORZLQJIRUSUDFWLFHLPSURYHPHQWDQGEHWWHUFDUHLQJHQLWRXULQDU\DQG enteric patients. ,PSOHPHQWDJHQHUDOLPDJLQJDSSURDFKWRSDWLHQWVZLWKVXVSHFWHGRQFRORJLFHPHUJHQFLHV 8QGHUVWDQGZKDWDQ³DFWLRQDEOHILQGLQJ´LVDQGKRZWRUHSRUWWKHP 8QGHUVWDQGWKHLQGLFDWLRQVIRUDQGUHFRJQL]HWKHSRVWWKHUDSHXWLFLPDJLQJILQGLQJVUHVXOWLQJIURPORFDOUHJLRQDOWUHDWPHQW RI+&& 'HILQHWKHUROHRIWKHUDGLRORJLVWLQWKHWUHDWPHQWRIUHFXUUHQWDVFLWHV 8QGHUVWDQGWKHUROHRIGLDJQRVWLFLPDJLQJIRUWKHHYDOXDWLRQRIVHOHFWJ\QHFRORJLFQHRSODVPV 'LVFXVVWKHUROHRI&7FRORQRJUDSK\LQGDLO\SUDFWLFH (YDOXDWHWKHGLIIHUHQWWUHDWPHQWRSWLRQVIRUXWHULQHP\RPDV 8QGHUVWDQGKRZWRXVH&7DQG05(QWHURJUDSK\IRUHYDOXDWLRQRIVPDOOERZHOGLVHDVHV At the conclusion of the Thoracic Imaging focus session, attendees should be able to: 5HFRJQL]HWKHPRVWFRPPRQ+5&7LPDJLQJDSSHDUDQFHVRIWKHYDULRXVW\SHVRIVPDOODLUZD\VGLVHDVHVLGLRSDWKLF LQWHUVWLWLDOSQHXPRQLDVLQWHUVWLWLDOOXQJGLVHDVHVDQGRFFXSDWLRQDOOXQJGLVHDVH 'LVFXVVWKHNH\FOLQLFDOFRQFHSWVLQWKHGLDJQRVLVDQGPDQDJHPHQWRILQWHUVWLWLDOOXQJGLVHDVH )RUPXODWHDQGHPSOR\DSDWWHUQEDVHGDSSURDFKZKHQUHYLHZLQJ+5&7LQRUGHUWRGLVFULPLQDWHEHWZHHQWKHYDULRXV types of interstitial lung disease. 8QGHUVWDQGDQGUHFRJQL]HWKHSDWKRSK\VLRORJ\RIK\SHUVHQVLWLYLW\SQHXPRQLWLVDQGGLIIHUHQWLDWHLWVLPDJLQJILQGLQJVIURP the other forms of interstitial lung disease. 'LIIHUHQWLDWHLPDJLQJIHDWXUHVRIVPRNLQJUHODWHGLQWHUVWLWLDOOXQJGLVHDVHIURPWKRVHRIRWKHUHWLRORJLHV 7DLORUFOLQLFDOSUDFWLFHWREHVWVHUYHSXOPRQRORJLVWVDQGSDWLHQWVLQWKHFOLQLFDOPDQDJHPHQWRILQWHUVWLWLDOOXQJGLVHDVH 'HYLVHDIUDPHZRUNIRUVHWWLQJXSDOXQJFDQFHUVFUHHQLQJSURJUDP 8SGDWHWKHLUFOLQLFDOSUDFWLFHWRLQFRUSRUDWHWKHPRVWUHFHQWUHYLVLRQVDQGDSSURDFKHVWROXQJFDQFHUVWDJLQJ 'HILQHWKHUROHVRIWKHUDGLRORJLVWDQGLPDJLQJLQSDWLHQWPDQDJHPHQWIROORZLQJOXQJFDQFHUWUHDWPHQW 'HILQHWKHUROHVRIWKHUDGLRORJLVWDQGLPDJLQJLQWKHGLDJQRVLVRISXOPRQDU\LQIHFWLRQVDQGLQWUDFKHDODQGODUJHDLUZD\V disease processes. 5HILQHWKHLUPDQDJHPHQWDSSURDFKIRUVROLWDU\SXOPRQDU\QRGXOHVEDVHGRQWKHPRVWUHFHQWVRFLHWDOUHFRPPHQGDWLRQV and guidelines &DWHJRUL]HWKHSXOPRQDU\LPDJLQJPDQLIHVWDWLRQVRIYDULRXVFROODJHQYDVFXODUGLVHDVHV (PSOR\EHVWSUDFWLFHVLQWKHGLDJQRVWLFDSSURDFKIRUSXOPRQDU\HPEROLVPLQSUHJQDQWSDWLHQWV (YDOXDWHXSGDWHGWHFKQLTXHVIRULPDJHJXLGHGWKRUDFLFSURFHGXUHV 5HFRJQL]HNH\UDGLRJUDSKLFDQG&7LPDJLQJILQGLQJVLQFULWLFDOO\LOOSDWLHQWVWRDOORZIRUWLPHO\GLDJQRVLVDQGFOLQLFDO management. $SSO\UDGLDWLRQGRVHUHGXFWLRQVWUDWHJLHVWRFOLQLFDOSUDFWLFH 6 Radiology Conference Schedule Saturday February 21 ABDOMINAL & ONCOLOGIC IMAGING THORACIC IMAGING 8:00 – 8:30am Fergus Coakley, MD Malpractice in Abdominal Imaging: What You Need to Know 8:00 – 8:30am W. Richard Webb, MD HRCT Idiopathic Interstitial Pneumonias 8:30 – 9:00am Richard M. Gore, MD Thoracic Complications in the Oncologic Patient 8:30 – 9:00am W. Richard Webb, MD HRCT Hypersensitivity Pneumonitis 9:00 – 9:30am Richard M. Gore, MD Abdominal Complications in the Oncologic Patient 9:00 – 9:30am Charles S White, MD Occupational Lung Disease 9:30 – 10:00am %5($.,1(;+,%,7+$// ABDOMINAL & ONCOLOGIC IMAGING 10:00– 10:30am Judy Yee, MD Problem Solving Solid Pancreatic Masses 10:30– 11:00am Fergus Coakley, MD Imaging Pancreatic Cysts 11:00– 11:30am Suzanne L. Palmer, MD Update on Screening Cirrhotic Patients and HCC Classification 11:30am–1:00pm THORACIC IMAGING 10:00– 10:45am Charles S. White, MD Interstitial Lung Disease: Pattern Based Approach 10:45– 11:30am Nadar Kamangar, MD Interstitial Lung Disease: The Pulmonologists' Perspective /81&+%5($.21<2852:1 PLENARY SESSION WITH RADIATION ONCOLOGY 1:00 – 1:45pm Christopher M. Rose, MD - Implications of the Patient Protection and Affordable Care Act for Patients, Radiology, and Radiation Oncology 1:45 – 2:30pm Denise R. Aberle, MD - Lung Cancer Screening 2:30 – 3:00pm %5($.,1(;+,%,7+$// ABDOMINAL & ONCOLOGIC IMAGING 3:00 – 3:30pm 3:30 – 5:00pm Fergus Coakley, MD Multiparametric Prostate MRI: Lessons Learned in the Last 20 Years Vinay A. Duddalwar, MD & Mihir Desai, MD Multidisciplinary Review & Discussion Small Renal Masses: Imaging Diagnosis, Active Surveillance, Surgeon’s Perspective THORACIC IMAGING 3:00 – 3:30pm Charles S. White, MD Solitary Pulmonary Nodule 3:30 – 4:00pm Denise R. Aberle, MD Lung Cancer Staging 4:00 – 4:30pm Scott S. Oh, DO Lung Cancer Clinical Work-Up 4:30 – 5:00pm Denise R. Aberle, MD Setting Up a Lung Cancer Screening Program See Nuclear Medicine Schedule on Page 9 for additional lectures options. 7 Radiology Conference Schedule Sunday February 22 RADIOLOGY PLENARY SESSION 8:00 8:45am Howard B. Fleishon, MD - ACR: Update 8:45 – 9:30am Richard M. Gore, MD - Incidentalomas: Chest & Abdomen 9:30 – 10:00am %5($.,1(;+,%,7+$// ABDOMINAL & ONCOLOGIC IMAGING THORACIC IMAGING 10:00– 10:30am Richard M. Gore, MD New Methods of Evaluating Tumor Response to Therapy 10:00– 10:30am W. Richard Webb, MD Trachea and Large Airways Disease 10:30– 11:00am Anne C. Roberts, MD Local-Regional Therapy for HCC and Evaluating Tumor Response 10:30– 11:00am W. Richard Webb, MD Small Airways Disease 11:00– 11:30am Anne C. Roberts, MD Treatments for Recurrent Ascites 11:00– 11:30am Charles S. White, MD Interstitial Lung Disease: Smoking-Related Disease 11:30am– 1:00pm /81&+%5($.21<2852:1 ABDOMINAL & ONCOLOGIC IMAGING THORACIC IMAGING 1:00 – 1:30pm Tracy A. Jaffe, MD Updates in Imaging Gynecologic Cancers 1:00 – 1:30pm Gautham P. Reddy, MD Pulmonary Infections 1:30 – 2:00pm Tracy A. Jaffe, MD Oncologic Imaging in the Pregnant Patient 1:30 – 2:00pm Gautham P. Reddy, MD ICU Chest / Critically Ill Patients 2:00 – 2:30pm Anne C. Roberts, MD Myomas and Interventions 2:00 – 2:30pm Jonathan G. Goldin, MD, PhD Collagen Vascular Disease %5($.,1(;+,%,7+$// 2:30 – 3:00pm ABDOMINAL & ONCOLOGIC IMAGING 8 THORACIC IMAGING 3:00 – 3:30pm Tracy A. Jaffe, MD Imaging of Rectal Cancer 3:00 – 3:30pm Gautham P. Reddy, MD Pulmonary Hypertension / PE in Pregnancy 3:30 – 4:00pm Judy Yee, MD CT and MR Enterography 3:30 – 4:00pm Gregory A. Kicska, MD, PhD Post-Treatment Lung Cancer Imaging 4:00 – 4:45pm Judy Yee, MD CT Colonography: Strategies For Success 4:00– 4:30pm Robert D. Suh, MD Image-Guided Thoracic Interventions 4:45 – 5:00pm Gastrointestinal Q&A Session Tracy A. Jaffe, MD & Judy Yee, MD 4:30 – 5:00pm Gregory A. Kicska, MD, PhD Dual Energy / Radiation Dose Considerations Nuclear Medicine Seminar Saturday February 21 PET / MRI SESSION 8:00 – 8:45am Patrick M. Colletti, MD PET/MR vs PET/CT: Rock, Paper, Scissors 8:45 – 9:30am Andrei Iagaru, MD PET/MRI Case Review 9:30 – 10:00am %5($.,1(;+,%,7+$// CARDIAC IMAGING SESSION 10:00– 10:45am Jamshid Maddahi, MD Myocardial SPECT and PET: New Radiopharmaceuticals and Techniques 10:45– 11:30am Daniel S. Berman, MD Nuclear Cardiology, Cardiac CT and MR in the Era of Value Based Imaging 11:30am–1:00pm /81&+%5($.21<2852:1 CHALLENGES & PROBLEM SOLVING 1:00 – 1:45pm Lynne Roy, MBA, MS, CNMT, ARRT(N) Managing our Supply of Radiopharmaceuticals: Reimbursement, Availability, Creative Solutions 1:45 2:30pm Andrei Iagaru, MD Current Status of NaF Bone PET/CT 2:30 – 3:00pm %5($.,1(;+,%,7+$// THERAPY SESSION 3:00 – 3:15pm Hossein Jadvar, MD, PhD, MPH, MBA SNMMI Update 3:15 – 3:45pm Hossein Jadvar, MD, PhD, MPH, MBA Ra-223 Dichloride Alpha Therapy in Castrate Resistant Prostate Cancer 3:45 – 4:15pm Lalitha Ramanna, MD Thyroid – I-131 for Thyroid Cancer 4:15 – 4:45pm Patrick M. Colletti, MD Radio Peptide Imaging & Therapy 4:45 – 5:15 pm Shahram Bonyadlou, MD Treatment with SirSpheres and Theraspheres Educational Objectives Nuclear Medicine Seminar At the conclusion of the PET/MRI session, attendees will be able to: &RPSDUHDQGFRQWUDVWWKHPHULWVRI&705DQG3(7 IRUVSHFLILFLPDJLQJWDVNVLQFOXGLQJDWWHQXDWLRQ FRUUHFWLRQDQDWRPLFORFDOL]DWLRQWLVVXH FKDUDFWHUL]DWLRQDQGIXQFWLRQ 5HFRJQL]HWKHYDOXHRI3(705,LQLPDJLQJVSHFLILFWR EUDLQKHDGDQGQHFNOXQJOLYHUSHOYLVDQGPXVFXOR VNHOHWDOVWUXFWXUHVLQRUGHUWRDVVHVVWKHFXUUHQWDQG IXWXUHLPSOLFDWLRQIRUWKHLUSUDFWLFH $WWKHFRQFOXVLRQRIWKH&DUGLDF,PDJLQJVHVVLRQ attendees will be able to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be able to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onference Location Pasadena Convention Center, 300 E. Green Street, Pasadena, CA 91101 All Midwinter sessions are scheduled in the Grand Ballroom located in the building at the corner of Green St. and Marengo Av. – just to the west of the Pasadena Civic Auditorium. Convention Center Parking The Pasadena Convention Center and Sheraton Hotel share an underground garage. Enter via Marengo Avenue to the west or Euclid Avenue to the east between Green and Cordova Streets. The current rate is $10 daily, but is subject to change. Alternate Parking Five public parking garages are available within a one-block radius of the Center offering the same daily rate. Consider one of these alternates to avoid delays entering and exiting the facility. Visit the Midwinter pages of LARS website for a pdf map. Hotel Accommodations Four of Pasadena’s major hotels are located within easy walking distance of the Convention Center. Contact information is listed here in order of proximity to the Center. Sheraton Pasadena (approx. 0.1 mi) – www.sheraton.com/pasadena 303 East Cordova St., Pasadena, CA 91101 – Local Tel: (626) 449-4000 / Toll Free: (800) 325-3535 Hilton Pasadena (approx. 0.2 mi) – www.hilton.com/pasadena 168 South Los Robles Ave., Pasadena, CA 91101 – Local Tel: (626) 577-1000 / Toll Free: (800) 445-8667 The Westin Pasadena (approx. 0.5 mi) – www.westin.com/pasadena 191 N. Los Robles, Pasadena, CA 91101 – Local Tel: (626) 792-2727 / Toll Free: (866) 716-8132 Courtyard by Marriot Pasadena (approx. 0.6 mi) – www.courtyardpasadena.com 180 North Fair Oaks Ave., Pasadena, CA 91103 – Local Tel: (626) 403-7600 / Toll Free: (800) 321-2211 CONFERENCE REGISTRATION INFORMATION Pre-Registration zVia zVia US mail - must be postmarked no later than Friday, February 6. email, fax, or telephone – must be received with payment by LARS Office no later than 5:00pm, Tuesday, February 10. On-site Registration at the Pasadena Convention Center zWill be assessed an additional onsite registration fee of $30. 7:00am – 5:00pm February 21 & 22. zAvailable Confirmation: An acknowledgement will be emailed to confirm receipt of your registration form and tuition. Review this confirmation immediately for notice of program changes or other pertinent information. Contact LARS if you have not received confirmation by February 16. Cancellation: To be eligible for refund, cancellations must be submitted in writing by fax or email no later than 5:00pm (PST), February 6, 2015 with “MW Cancellation” noted in the subject line. Registration fee, less a $30 handling fee, will be refunded after the conference. Cancellations made AFTER these deadlines are not eligible for refunds. Registration Transfer: Registration can be transferred if requested by the original registrant, in writing, on or before Tuesday, February 10, 2015. Registration Hours & Conference Materials: The conference registration desk will be open Saturday and Sunday from 7:00am to 5:00pm. Please arrive early Saturday morning to allow time to pick up conference materials at the Registration Desk. Refreshments: Coffee and tea will be available in the Exhibition Hall from 7:30-8:00am and during scheduled morning and afternoon break periods only. Lunch is not provided. Paseo Colorado, across Green Street from the Center, offers restaurants open for lunch from quick bites to fine dining. Additional dining options are available in Historic Old Pasadena, just one block west of the Center, and in the Pasadena Playhouse District, just one block to the east. Visit www.larad.org for a link to a restaurant list and other resources. Conference Attire – Meeting Room Temperature: Meeting room temperatures vary greatly within each meeting room. For your comfort bring a sweater or jacket to be prepared for fluctuations and drafts. Dress for the meeting is business casual. Special Assistance: If you need special assistance to participate in this event such as wheel chair accessibility, etc., please contact the LARS Office no later than 5:00pm (PST), Feb 6 to discuss. 10 MIDWINTER 2015 REGISTRATION FORM Online Registration Available! Go to www.larad.org 1. REGISTRANT NAME & AFFILIATION - Print exactly as it should appear on your badge: Name: _____________________________________________________________________________ _____________________________________________________________________________ Company (Group/Hospital/Other): 2. MAILING ADDRESS – _____________________________________________________________________________ Home Work New Address – update LARS database Street Address _______________________________________________________________________________________ City ________________________________ *Email (Required): ________________________________________________ State ________ Contact Tel: ( Zip __________________ ) ______________________ 3. SELECT A PROGRAM 2-day Radiation Oncology Conference 2-day Radiology Conference 1-day Conjoint Nuclear Medicine Seminar * Registration in the Conjoint Nuclear Medicine Seminar does not include participation in the Radiology or Radiation Oncology lectures. You must register for a 2-day program if you plan to attend radiology or radiation oncology lectures in addition to nuclear medicine lectures. 4. REGISTRATION FEE – Circle the appropriate category and corresponding fee RADIOLOGY & RADIATION ONCOLOGY CONFERENCES 3K\VLFLDQ NON MEMBERS LARS / SCROS 2015 MEMBER* $405 Resident or Fellow** $250 $100 Technologist $300 $250 * 2015 Membership Dues must be paid prior to participation in the program to be eligible for member registration rates. **Must be enrolled in a 4-year accredited radiology or radiation oncology residency program or imaging fellowship LARS or PAC. SW CHPT NON MEMBER* MEMBERS $320 $205 NUCLEAR MEDICINE ONLY 3K\VLFLDQ Resident or Fellow** $130 $50 Technologist $125 JOIN LARS / SCROS NOW & SAVE 5HJLVWUDWLRQRQOLQHRUE\SKRQHID[ZLOOEHDFFHSWHGLQWKH/$562IILFHXQWLOSP Tuesday February 10. 2QVLWHUHJLVWUDWLRQZLOOEHDYDLODEOHDWWKH3DVDGHQD&RQYHQWLRQ&HQWHUEXWZLOOEH assessed a $30 On-site Fee. ,I\RXQHHGVSHFLDODVVLVWDQFHWRSDUWLFLSDWHLQWKLVHYHQWVXFKDVZKHHOFKDLUDFFHVVLELOLW\HWF SOHDVHGHVFULEHKHUHRUFRQWDFWWKH/$562IILFHQRODWHUWKDQSP367)HEUXDU\WRGLVFXVV Submit a completed membership application and dues with your Midwinter registration form and pay the member registration rate. Radiologist Annual Dues = $225 / Radiation Oncologist Annual Dues $200 5. PAYMENT INFORMATION 3D\PHQW Type: &KHFN3D\PHQWCheck # ___________ &KHFNVPXVWEHSD\DEOHLQ86FXUUHQF\WR/A Radiological Society &UHGLW&DUG3D\PHQW &LUFOHRQH9,6A Cardholder’s Name: MASTERCARD _______________________________________________________________________________________ __________________________________________________ ([S'DWH ______________ (if other than listed in section 2) __________________________________________________ 3-digit Security Code ______________ from back of card Signature: __________________________________________________________________ Credit Card # Billing Address Payment Summary: Conference Tuition $ ____________________ * If you are including Membership dues in your payment, check one of the following: + Membership Dues*: $ ____________________ New Physician Member – You must attach a completed membership application to this registration form. Download an application from www.larad.org TOTA/ 3$YMENT $ ____________________ Renewing Member – 2015 Dues must be paid prior to attending the Midwinter Conference. Combine your tuition with dues renewal and write one check. *Radiologists add $225/Radiation Oncologists add $200 6. MAIL REGISTRATION TO 0:&RQIHUHQFH32%R[3DVDGHQD&A1)D[ 11 P.O. Box 93125 Pasadena, CA 91109-3125 (626) 836-5800 / Fax (626) 836-6606 Radiology Conference Focus Tracks x$EGRPLQDODQG2QFRORJLF,PDJLQJ x7KRUDFLF,PDJLQJ Radiation Oncology Conference Focus Sessions x%UHDVW&DQFHU x&16&DQFHUV x+HDGDQG1HFN&DQFHUV x/XQJ&DQFHU Conjoint Nuclear Medicine Seminar -RLQWO\VSRQVRUHGE\/$56DQG3DFLILF 6RXWKZHVW&KDSWHURI6100, 3DVDGHQD&DOLIRUQLD February 21-22, 2015 Pasadena Convention Center 67WK $QQXDO MIDWINTER RADIOLOGY & RADIATION ONCOLOGY CONFERENCE & CONJOINT NUCLEAR MEDICINE SEMINAR
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