ACR Bulletin May 2017

ACR 2017 

Here's what you missed

DUCK

The Bulletin team has loved our time at ACR 2017. Radiologists engaged with patients, grew confident in the role with machine learning, advocated on the Hill, and learned about the most important topics facing the specialty, among countless other activities. We've rounded up some of the best news from the meeting in case you've missed it. See you next year at ACR 2018!

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Final Read

Matthew M. Miller, MD
final read

Q: When did you know you wanted to be a radiologist?

Well, I would love to say there was a great thunderclap moment — an instant when even disinterested passersby would have to admit my unmistakable radiologist identity burst forth for the first time. But my path, it turns out, was a bit more gradual than that.

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May 2017 Case of the Month

Salter-Harris I fracture with trapped periosteum

Access case here.

Authors:

Michael R. Stetz, MD
PGY-4, Radiology Resident, Resident,
Department of Radiology
Medical College of Wisconsin
Milwaukee, WI

Ross Cerniglia, MD
Assistant Professor of Radiology,
Musculoskeletal Imaging,
Department of Radiology
Medical College of Wisconsin
Milwaukee, WI

May Case of the Month

May CIP

Access case here.

Authors: Michael R. Stetz, MD PGY-4, Radiology Resident, Resident, Department of RadiologyMedical College of Wisconsin Milwaukee, WI; Ross Cerniglia, MD Assistant Professor of Radiology, Musculoskeletal Imaging, Department of Radiology Medical College of Wisconsin Milwaukee, WI

Why did you select this case for submission?

This case was the first time I had come across this entity or diagnosis. After seeing the MR imaging findings, comparing them to the radiographic findings, and discussing them with staff, it seemed like a worthwhile investment of time to do some additional research. While the more senior staff in the department were familiar with the diagnosis, only a few had ever seen a case first-hand. So they suggested investigating it further and submitting it as an interesting and clinically relevant case. It seemed to me that if senior staff at a relatively busy academic institution had only ever seen one or two cases, it would be worth passing it along to the radiology community.

What should readers learn from this case?

Pediatric imaging can be a challenging endeavor when a case comes across the workstation. For those of us who are not pediatric fellowship-trained, the occasional radiograph of a pediatric patient can be a tricky situation if the finding is not immediately obvious. The goal of presenting this case was to hopefully add another tool to the thought process toolbox of approaching extremity injuries that don't fit nicely into common conditions –like buckle fracture, greenstick fracture, etc. Perhaps going forward, someone reading a case of pediatric trauma, which appears normal radiographically but clinically is still having symptoms,could at least suggest this diagnosis to the clinician and take appropriate action early to improve patient care.

What did you learn from working on the case?

This definitely reinforced that pediatric imaging can be difficult! Especially as a resident, this case is quite enlightening as to the nuances of pediatric radiography and how we use advanced imaging when the answer isn't clear on the most basic imaging tool we have available. For me, realizing how subtle a finding on radiography is and comparing that to the significant consequences of the actual pathology was quite eye-opening.

How did guidance from senior staff at your institution impact your learning and case development?

Senior staff encouraged me to do a bit of research on the topic after we read the MRI and realized what was going on. With this being my first experience with this entity – and seeing how subtle the radiographic findings can be compared to the MRI findings – and learning about the significant clinical impact a delay in diagnosis could have, they thought it would be a great case to submit.

Why did you choose Case in Point for submission of your case?

I find Case in Point to be an efficient and effective way to review a broad range of different topics in radiology. The cases are quick to review, well-written, and the vast majority have at least a few points that can be immediately applied to daily practice. I find this type of CME to be the most beneficial. Hopefully this case fits well into that mold for those who read it.

Are you a regular reader of Case in Point? What are your favorite types of cases?

I enjoy doing CIP regularly. It's a quick way to test my interpretation skills across all modalities and on topics I don't read on a daily. I invariably learn something about the subject of the case through either the questions or short case discussions. Having recently completed my MSK fellowship, I'm biased towards MSK cases. But I still enjoy testing myself on topics I don't see on a regular basis.

Is there anything else you’d like readers to know about your case?

The patient in this case went on to have appropriate care and is doing well!

ACR 2017 CEO and BOC Chair Reports

acr 2017 brink

On Sunday, James A. Brink, MD, FACR, and William T. Thorwarth Jr., MD, FACR, reported on the state of the ACR from the BOC chair’s perspective and the CEO’s perspective, respectively.

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Ace Your Interviews

Get specialty-specific tips from a radiologist on the other side of the interviewer’s desk.

GettyImages 610870562

There’s no shortage of advice online about preparing for an interview. But what about radiology-specific information? At ACR 2017, attendees received advice tailored to the specialty from someone who’s interviewed many radiology candidates: Susan J. Ackerman, MD, FACR, associate professor of radiology, vice chair for clinical affairs in radiology, and division director of ultrasound at Medical University of South Carolina in Charleston.

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ACR 2017: A Day on the Hill 

Radiologists from around the country flocked to Capitol Hill to take radiology’s message to Congress.

ACR 2017 1326On Wednesday, ACR members went to Capitol Hill to advocate for the specialty and be the voice of radiology. Check out some of the action shots below. If you'd like to learn about the talking points for this year's Hill Day, please visit the Hill Day Prep page.

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#ACR2017 in Tweets: Tuesday, May 23

Find out what people are talking about at the ACR Annual Meeting.

GettyImages 504244015

Day two of the ACR annual meeting held economics news, PFCC events, and more. Find out what your colleagues were chatting about.

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#ACR2017 in Tweets: Wednesday, May 24

Find out what people are talking about at the ACR Annual Meeting.

tweet tuesday

Day three of the ACR annual meeting brought lots of radiologists to the Hill. Find out what rads were tweeting about!

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Connecting Hearts and Minds

Teamwork session offers tips for effective leadership.

teamwork change

Effective leaders connect their heads (how they think) and their hearts (how they feel) with their hands (what they do). That was one of the key takeaways from Tuesday’s educational session titled Teamwork: The Critical Enabler of Transformational Change. Bob Cancalosi, director of GE Global customer leadership education and member of the ACR Commission on Leadership and Practice Development, delivered the presentation to a group of about 50 conference attendees.

Cancalosi said a manager’s approach is important because research from the Corporate Leadership Council shows that “more than 70 percent of an employee’s commitment is based upon their manager’s actions” and that “engaged employees can yield up to 57 percent more discretionary effort.” It’s also well documented that the number one reason people leave their companies is because of their immediate managers.

“Here is something to think about,” Cancalosi said. “Every single day as a leader, when you wake up, where do you want to be on this equation? Do you want to be influencing the 70 and the 57, or do you want to be the reason that somebody is putting their resume out on Monster.com, trying to get the heck out of your organization?”

Leadership Steps

Managers can take several steps to ensure they have a positive impact on their teams, including helping their employees understand how their work aligns with their team’s and organization’s goals. One way they can do this is by repeatedly reminding employees how their work fits into the larger picture, Cancalosi said.

“When you repeat the same message six times over a period of time, you drive up retention of the message to 70 percent,” he said, citing a study from the University of California. “I just keep telling leaders: repeat to remember and remember to repeat, repeat to remember and remember to repeat. Keep telling the same story over and over.”

Another way leaders can build high-performing teams is by cultivating a sense of trust with their employees, Cancalosi said. Managers can foster trust by recognizing excellence, sharing information broadly and in context, and creating a candid environment where everyone can speak freely.

Along those same lines, Cancalosi noted that leaders should pay close attention to their body language. For instance, he said, when managers roll their eyes at employees, it immediately signals that they’re not interested in their employees’ contributions, and their employees will stop sharing ideas. “Your body will always say what your mouth will not,” Cancalosi said.

Tailored Approach

While numerous leadership models exist, Cancalosi said simply deploying a cookie-cutter style will not work. Leadership is situational and must be tailored to different environments and different moments in time. “As leaders, I believe one of our goals is to breathe life into people,” he said. “But there are times you do need to deflate them a little bit [when egos take over],” he said, adding that leaders must find the appropriate ratio for each scenario.

To close, Cancalosi repeated an acronym that he said he often shares with his clients. He asks them if they “H.A.V.E.” what it takes to be a great leader. “Are you humble, are you authentic, can you show vulnerability, and then do you show empathy?” he asked. “If you can get that on top of the brilliant IQs that we all won in the DNA lottery, that’s what makes up the best leaders and the best teams.”


 By Jenny Jones, Imaging 3.0 specialist

Capitol Hill 2017

All you need to know for Hill Day

cap hill prep

On Wednesday, ACR members head to Capitol Hill to discuss issues at the intersection of patient care and legislation. Here are the big issues members raised with their representatives during ACR 2017.

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Deep Learning, Clinical Data Science and Radiology

machine deep learning

At a packed ACR 2017 session on machine learning that delved into artificial intelligence (AI) and deep-learning algorithms, co-moderator Raym Geis, MD, FACR, vice chair of the ACR Informatics Commission, posed the question: What should radiologists think about machines that think?

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In Case You Missed It

ACR 2017: Tuesday, May, 23  

 tuesday roundup

Here are the goings-on from day three of ACR 2017

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#ACR2017 in Tweets: Monday, May 22

Find out what people are talking about at the ACR Annual Meeting.

tweet

Day two of the ACR annual meeting held economics news, PFCC events, and more. Find out what your colleagues were chatting about.

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Paving a Path

This year's Diversity Forum marked a look at mentorship and how imaging specialists can clear the pipeline for women and minorities.

diversity forum

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#ACR2017 in Tweets: Sunday, May 21

Find out what people are talking about at the ACR Annual Meeting.

201505180362

The ACR’s first all-member annual meeting has been buzzing with social media activity from members from throughout the College. We've rounded up our favorite tweets from the meeting, highlighting memorable parts of this year's program. What were your top tweets this year?

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In Case You Missed It

ACR 2017: Sunday, May, 21  

 ACR2017 Crowd web

ACR 2017 started off with a bang. Here are the goings-on from day one of the conference.

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In Case You Missed It

ACR 2017: Monday, May, 22  

 top

ACR 2017 has begun! Here are the goings-on from day two of the conference.

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How Mentoring Can Benefit the Specialtymentoring benefits

Although women make up nearly half of all medical students, they represent a significantly smaller proportion of radiologists, with the 2016 ACR workforce survey revealing that only 21.4 percent of radiologists are female.

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Meet the Moreton Lecturer

Jeffrey C. Bauer, PhD, gives a sneak peek at his ACR 2017 session — and his take on the future of health care.

bauer acr 2017 moreton

Health futurist and medical economist Jeff Bauer, PhD, recently talked to the ACR Bulletin about his upcoming Moreton Lecture at ACR 2017, Forecasting Futures of Radiology at the Crossroads: It’s All Downhill from Here on Up.

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Meet the ACR Leadership: Bibb Allen Jr., MD, FACRmeet ACR leadership

This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR. For this installment, we talk with Bibb Allen Jr., MD, FACR.

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Machine banner

Curious where to start with machine learning? Want to know what role it might play with radiologists in the future? We've got your answers right here.

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What has the ACR been doing to obtain new CPT codes for contrast-enhanced ultrasound?

The College is working strategically to ensure fair reimbursement.new CPT code

As chair of the ACR Economics Committee on Coding and Nomenclature, I hear from members almost daily since the FDA-approved IV contrast use in liver ultrasound last year.

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The Economics of Machine Learning

How will emerging technology affect radiology in the near future?economics of machine learning

"DeepRadiology Announces the World’s First Fully Autonomous Radiology Interpretation System.” This news story, released during RSNA 2016, was followed by two statements:

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ML 101: The Radiologist's Basic Guide

From IBM's Watson to CAD, most radiologists have heard of machine learning. But do you know how this technique is already used in the field? Plus, what does the future hold? The ACR Bulletin brings you FAQs so you can be sure to have the basics down pat.ML 101

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Seismic Shifts

Evaluating the impending impacts of the machine-learning economy

SeismicShifts

Karl Benz is credited with inventing the automobile in Germany, but Henry Ford introduced the concept of mass-produced vehicles that were economical for the everyday consumer.

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Sizing Up Technology Symbiosis

Specialists who embrace these new developments have a bigger toolbox than ever.

sizinguptechnology

Machine learning (ML) is on the rise in just about every field of medicine, signaling changes that have some specialists speculating on how the ever-improving technology may change their position in the health care landscape. Radiologists may feel particularly unsteady as computer-aided detection (CAD) and diagnostic algorithms produce impressive results that test the mettle of human counterparts.

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Riding the Technology Wave

Decision support for radiologists rises to the point of care.

RidingWave

For the first hundred years of radiology, the medical chart always accompanied the patient, and the radiologists never saw it. As a result, radiologists reading images often had no knowledge of the patient’s medical history.

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ACR Fellowship Round-Up

Take a look at the opportunities the ACR has to offer.fellowship opportunities

Want to know more about the College and build your resume at the same time? Apply for a fellowship.

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