News from the ACR and Beyond

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TMIST and DBT: A Game Changer for Breast Imaging

During a session held at RSNA 2018, practice leaders were encouraged to participate in the first large randomized controlled trial that would identify women for whom digital breast tomosynthesis (DBT) may outpace 2D digital mammography in reducing the occurrence of advanced-stage breast cancer. The Tomosynthesis
Mammographic Imaging Screening Trial (TMIST) will be comprised of 165,000 healthy women, ages 45 to 74, at 130 sites throughout North America. “Decision-makers rarely update clinical or payment policy without randomized controlled trial data,” says Etta D. Pisano, MD, FACR, principal investigator and ACR Chief Research Officer. “I urge imaging practices to take part in TMIST and help shape future breast imaging care.”
For more information, visit acr.org/TMISTTrial.

Now Available: Special Edition Module on Adult Cancer Imaging

Learn key aspects of imaging diagnosis and pitfalls for a variety of adult malignancies in the new Adult Cancer Imaging Special Edition Module 2019 from the ACR Continuous Professional Improvement™ (CPI) program. This comprehensive module, chaired by Annick D. Van den Abbeele, MD, FACR, Angela A. Giardino, MD, and Christopher G. Sakellis, MD, and written by a panel of CPI cancer imaging experts, includes at least 50 self-assessment questions and offers up to 8 CME/SA-CME. Choose the print publication or the online examination and receive a free e-book copy. Members save $35 per module when selecting six modules through a customized CPI Select Six Series.
Learn more at acr.org/cpi.

Update Your Profile on ACR.org

The ACR.org website is designed to meet individual members’ interests. Based on the profile and practice information you enter in your My ACR profile, the content you see on acr.org (when you’re logged in) will be tailored to your specific needs. Allowing us to know more about you also helps us to assess gaps and develop appropriate programs and services for you. Finally, take some time to complete the diversity and practice information on your My ACR profile!
Get started through the My ACR tab on acr.org.

ACR Application Now Available Online

ACR is seeking eligible applicants to apply for the degree of Fellow. FACR is among the highest honors bestowed on a member. Members of good standing having at least 10 consecutive years of membership and volunteer contributions to leadership positions are among the criteria to achieve this honor. This designation symbolizes exceptional achievement in the fields of diagnostic radiology, IR, nuclear medicine, radiation oncology, and/or medical physics. Applicants are encouraged to confer with their chapter associations to meet deadlines for chapter review which is the first stage of the candidacy process.
Learn more and apply at acr.org/FACR.

Value in Breast Imaging

Registration for the largest breast imaging conference in the world, the Society of Breast Imaging’s annual symposium, is now open. During this year’s symposium, which will take place April 4–7, 2019, in Hollywood, Fla., attendees will learn how to improve interpretive accuracy using all modalities, learn about new and important aspects of multidisciplinary care during the mock tumor board, and understand how to navigate new FDA quality requirements.
To register for the meeting, visit SBI-online.org.

New CME Activity: Exploring Changes to Payment Policy

As the focus of reimbursement moves from fee-for-service to a value-based payment model, understanding reporting requirements and thresholds will be critical to thriving under the Quality Payment Program. The new module challenges participants to better understand this shift and provides tools to enable a successful transition. Participants can earn 3 AMA PRA Category 1 Credits™ upon completion of the free activity.
To access the module through your ACR account, visit bit.ly/Payment_and_Policy.

Application Process Open for Goldberg-Reeder Travel Grant

Diagnostic radiology and radiation oncology residents and fellows who want to volunteer in low-to-middle income countries can apply for the Goldberg-Reeder Resident Travel Grant. Awarded by the ACR Foundation, the grant was established to encourage international volunteer service among members-in-training. Since 2008, 39 residents and fellows have received the grant and traveled to 25 countries to contribute to radiology and healthcare efforts. Applications are now being accepted for 2019; the deadline is June 30, 2019.
For more information, visit acr.org/Goldberg-Reeder.

Global Humanitarian Award: Nominate Yourself or a Colleague Today!

Do you volunteer your radiological care to an underserved population in a low-to-middle income country? Do you know a colleague providing radiological care as a volunteer abroad? You or your colleague may be eligible for a Global Humanitarian Award. Established by the ACR Foundation, the award recognizes outstanding individuals and organizations for their extraordinary volunteer efforts to improve radiological care in underserved and developing areas. Award applicants can be self-nominated or nominated by a peer. The winners of the 2019–2020 Global Humanitarian Awards will be announced at ACR 2020 in Washington, D.C. The deadline for submission is Aug. 31, 2019.
Information about the award and past winners can be found at acr.org/ACRF-Award.

New Value-Based Imaging CME Activity for Referring Clinicians

As part of R-SCAN®, a new podcast on adult minor head trauma is now available in the Value-Based Imaging Activities series. Radiologists and an emergency physician discuss when CT imaging is appropriate in cases of minor head trauma in adults. The series, which consists of educational activities for referring clinicians to optimize image ordering based on evidence, offers free 10-minute podcasts that discuss strategies of image ordering and highlight how ACR Appropriateness Criteria® support Choosing Wisely® recommendations.
To access Adult Minor Head Trauma and other podcasts with a free ACR login, visit acr.org/AppropriateImagingActivities.

SPOTLIGHT ON IMAGING 3.0: New Case Studies on Deck

Waiting for Results
When Jennifer L. Kemp, MD, FACR, had a personal experience with the anxiety that comes with awaiting imaging results after a scan, she decided to try to do something about it. Thirteen years ago, Kemp’s husband was diagnosed with stage 3 rectal cancer, and she saw “the absolute terror that [he] went through as he awaited the results of every CT scan.” According to Kemp, “Before that, I didn’t realize how many of my patients were going through the same thing.”
Subsequently, Kemp developed a consultation program in which the radiologists on her team deliver results to patients immediately after their imaging exams. With some planning, work, and collaboration, Kemp and her team were able to improve patient, radiologist, and physician experiences through this new patient-centered initiative.
To read the full case study, visit acr.org/Imaging3-InstantResults.
Early Detection Is Key
Recognizing the need for a system by which patients could access lung cancer screening early enough to make a difference for their prognosis, radiologists at Elkhart General Hospital (EGH) in Indiana partnered with that state’s existing smoking cessation group to establish a lung cancer screening program. Since the program’s founding in 2012, the EGH team has diagnosed 29 lung cancers — more than 50 percent of which were stage one. “As a radiology department, we are committed to offering new services that will improve patient health,” says Albert W. Cho, MD, vice chair of radiology at EGH. “We had been interested in developing a lung cancer screening program for a while to address this public health crisis. Once we had the LDCT capability and buy-in from other departments, we saw an opportunity to help drive the implementation.”
Read the full case study at acr.org/Imaging3-BreatheEasier.
Assuaging Patient Anxiety
When John F. Feller, MD, medical director and founding partner of Desert Medical Imaging, served on the committee that ultimately established RadiologyInfo.org 20 years ago, a survey showed that 80 percent of people had no idea what radiologists did or how they did it. “As imaging experts, we saw it as our responsibility to address this information gap,” Feller says. “With people increasingly turning to the web for information, we decided to create a website that patients and families could access any time to learn more about radiology and get answers to questions about specific imaging exams.”
RadiologyInfo.org is now home to plain-language video and text descriptions of more than 240 radiological procedures. The resources are available in English and Spanish. In this case study, Feller and colleagues discuss how they are encouraging patients to use the website to educate themselves on their imaging procedures and on the field in general. “When patients arrive for their exams well-informed,” Feller says, “they have fewer questions and feel less anxious about their procedures, saving radiology practices like mine time and money while improving patient care.”
To access the case study, visit acr.org/Imaging3-CalmingPatientsFears.

Here's What You Missed

 The Bulletin website is home to a wealth of content not featured in print. You’ll find blog posts, extra articles, and other updated multimedia content at acrbulletin.org. 
Healing the Whole Person
A radiation oncology resident has a conversation with Patrick W. McLaughlin, MD, professor of radiation oncology and medical director for the University of Michigan’s community practices at Providence Hospital in Southfield and the Assarian Cancer Center in Novi, Mich., about his holistic approach to cancer treatment
and why he believes the heart and soul of medicine matter.
Read more at bit.ly/ROCorner_HealingArtsofCancerMed.
RadMeds.com: The Info You Need in a Pinch
A resident discusses his quest to develop an easily accessible focal point for information radiologists need to review medication administration and confirm their
prescribed doses for adults and children in emergency situations at bit.ly/RadMeds.
Role Models for the Future
An RFS Economics Advisory Group member provides an outlook for the future of entrepreneurial women in radiology at bit.ly/EntrepreneurialWomeninRad.

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