Society of Thoracic Radiology Clinical Update

Lectures from the Society’s 34th Annual Meeting, featuring internationally recognized experts on imaging of the lungs, heart, thoracic vasculature, mediastinum and pleura.

Keep Up with the Latest in Thoracic Imaging

Thoracic Imaging – 2016 covers a broad spectrum of cardiothoracic imaging topics, including diffuse lung diseases, pulmonary infections, lung cancer screening, oncologic imaging, interventional techniques, and cardiovascular imaging.

It will help you to better:

• Recognize basic concepts in imaging interpretation including pitfalls, anatomic variants and frequently missed diagnoses
• Discuss the role of imaging in the screening, diagnosis, evaluation and management of cardiac disease, lung nodules, lung cancer, and other thoracic conditions
• Describe current and emerging applications in radiography, CT, MR and PET
• Apply a practical approach to the assessment and management of thoracic diseases

TOPICS

Case of the Day – I

• Case I – John W. Nance, MD

• Case II – Milena Petranovic, MD

Diffuse Lung Disease I

• ILD in Connective Tissue Diseases: Prospects and Issues – Sujal R. Desai, MBBS, MD

• Scientific Oral Presentation – 1: Minimum Intensity Projections Improves the Assessment of Interstitial Lung Disease – Sonja Kandel, MD

• Scientific Oral Presentation – 2: CT Characteristics of Interstitial Pneumonia with Autoimmune Features (IPAF) – Steven M. Montner, MD

• Hypersensitivity Pneumonitis: Radiologic-Pathologic Correlation – Jeffrey P. Kanne, MD

• Scientific Oral Presentation – 3: Prognostication in IPF: Analysis of Longitudinal Change in Computer and Visual CT Variables and FVC – Joseph Jacob, MBBS (Hons), BSc (Hons), MRCS, MRCP, MTM&H, FRCR

• Scientific Oral Presentation – 4: Pulmonary Vessel Volume (PVV) Change, Versus Change in Forced Vital Capacity (FVC) as a Predictor of Mortality in IPF – Joseph Jacob, MBBS (Hons), BSc (Hons), MRCS, MRCP, MTM&H, FRCR

• Recent Developments in Interstitial Lung Disease: Imaging and Its Implications for Therapy – Anna Rozenshtein, MD, MPH

• Scientific Oral Presentation – 5: A Multicentre Evaluation of Inter-multidisciplinary Team Agreement for Diagnosis in Diffuse Lung Disease – Simon Walsh, MD, MRCPI, FFRRCSI

• Holes in the Lung: Time to Revisit the Definitions – James F. Gruden, MD

• Sarcoidosis: Case-Based Review – H. Page McAdams, MD

Diffuse Lung Disease II

• Labs and Lungs – Serologic Evaluation of ILDs and CTDs for the Radiologist – Travis S. Henry, MD

• Coal Workers’ Pneumoconiosis: A Resurgent Problem – James C. Reed, MD

• Smoking-Related Interstitial Lung Disease – Amita Sharma, MD

• Thoracic Manifestations of Primary Histiocytosis – Daniel Vargas, MD

• Drug-Related Lung Disease: A Refresher – Simon Walsh, MD, MRCPI, FFRRCSI

• Non-infectious Diffuse Air-space Disease: A Case-based Review – Kathryn M. Olsen, MD

• Eosinophilic Lung Disease: A Review of Clinical and Imaging Findings – Adam M. Bernheim, MD

Quality and Best Practices

• Thoracic Imaging: Assuring a Value-added Service – Warren B. Gefter, MD

• Clinical Decision Support and Thoracic Imaging – Todd R. Hazelton, MD

• Optimizing Contrast Utilization – Irena Tocino, MD

• Structured Reports in Cardiothoracic Imaging: A Practical Approach – Eduardo J. Mortani Barbosa, Jr., MD

• Practice Quality Improvement Projects for Cardiothoracic Radiologists – Aine Marie Kelly, MD, MS

• The Team Approach to Thoracic Surgery: Where are My Radiologists? – Diane C. Strollo, MD, FACR

Pulmonary Arteries and Aorta

• Intramural Hematoma and Its Variants: How We Do It – Santiago Martínez-Jiménez, MD

• Dual-Energy CT in Assessment of Pulmonary Thromboembolic Disease – Rahul D. Renapurkar, MD

• Pulmonary AVMs: Role of CT in Evaluation and Management – Kristopher W. Cummings, MD

• SAMS Questions – Andetta R .Hunsaker, MD; Brent P. Little, MD

• Learning with an Expert: Common Pitfalls with High-Resolution CT – David A. Lynch, MB

Case of the Day – II

• Case I – Patricia M. de Groot, MD

• Case II – Joao R. Inacio, MD

• Case III – Jane D. Cunningham, MB, BCh, BAO, BMedSci

Lung Nodule/Cancer

• Scientific Oral Presentation – 7: Framework to Personalize Patient Cancer Risk in Lung-Rads 1.0 and Fleischner Guidelines from NLST Data – Michael A. Morris, MD, MS

• Scientific Oral Presentation – 8: Texture Analysis (TA) of Early Stage Lung Cancer on Positron Emission Tomography / Computed Tomography (PET/CT) as a Predictor of Clinical Outcome Post Stereotactic Body Radiotherapy (SBRT) – Anastasia Oikonomou, MD, PhD

• Lung Tumor Volumetry – Friedrich D. Knollmann, MD, PhD

• Scientific Oral Presentation – 9: CT Evaluation of the Displacement of Lung Nodules Following Lobectomy – Priya K. Shukla

• Scientific Oral Presentation – 10: Delayed Diagnosis of Lung Cancer in an Academic Medical Center: Contributing Factors – Michael A. Kadoch, MD

• Thermal Ablation of Lung Cancer: State of the Art – Christopher Lee, MD

• Scientific Oral Presentation – 11: Modified Blood Patch Technique Reduces Pneumothorax and Chest Tube Rates for Percutaneous Lung Biopsies – Joshua D. Clayton, MD

• Scientific Oral Presentation – 12: CT – Guided Fiducial Localization of Small Pulmonary Nodules Using Co-Axial Needle Technique: Our Initial Experience – Shaunagh McDermott, MD, BCH, BAO

• Benjamin Felson Lecture: Evaluation of Incidental Pulmonary Nodules: Saving Lives or Wasting Time? – Michael K. Gould, MD, MS

Lung Cancer Screening

• Update on ACR Lung Cancer Screening Registry – Ella A. Kazerooni, MD

• Risk Stratification of Pulmonary Nodules – Theresa C. McLoud, MD

• Indolent Lung Cancers: Significance in Screening – Jin Mo Goo, MD, PhD

• Lung Cancer Screening in an Inner City Population: Trials and Triumphs – Linda B. Haramati, MD, MS

• Scanlon Lecture: CT Screening: Lessons from the Canadian Trials – Stephen Lam, MD, FRCPC

New and Emerging Technologies

• Use of Bone Subtraction Techniques in Evaluation of Chest Radiographs – Joseph G. Mammarappallil, MD, PhD

• Digital Tomosynthesis: Pretty Picture or Improved Diagnostic Capability? – Sudhakar N. J. Pipavath, MBBS, MD

• Update on Dual-Energy CT in Cardiothoracic Imaging – Prabhakar Rajiah, MBBS, MD

• Noble Gas MR Imaging – Justus E. Roos, MD

Thoracic Oncology

• Non-Small Cell Lung Cancer Staging: Where Are We Heading? – Ioannis “Johnny” Vlahos, BSc, MBBS, MRCP, FRCR

• The Value of PET/CT in Lung Cancer Staging – David M. Naeger, MD

• Modern Imaging of Esophageal Cancer – Brett W. Carter, MD

• Zebras in Tumor Board – Juliana Bueno, MD

• Structured Reporting: What the Oncologists/Thoracic Surgeons Need to Know – Maria C. Shiau, MD

• SAM Questions – Carol C. Wu, MD, Fereidoun G. Abtin, MD

Case of the Day – III

• Case I – Gregory D. N. Pearson, MD, PhD

• Case II – Arthur S. Souza, Jr, MD, PhD

• Case III – Katherine A. Kaproth-Joslin, MD, PhD

NASCI/STR: Advances in Cardiac Imaging

• From Structure to Function: CT Approaches to Myocardial Ischemia Imaging – U. Joseph Schoepf, MD, FAHA, F-SCBT-MR, F-SCCT

• Scientific Oral Presentation – 13: Diagnostic Accuracy of Coronary CT Angiography Using 3rd Generation Dual -Source CT and Automated Tube Voltage Selection: Clinical Application in the Non-obese and Obese Patient Population – Christian Tesche, MD

• Scientific Oral Presentation – 14: Comparison Between Dynamic Parameters on CTA and Echocardiogram for Detection of Pulmonary Hypertension and Heart Dysfunction as Diagnosed by Right Cardiac Catheterization – Yoel Siegel, MD

• Assessment of Diastolic Dysfunction Using Cardiac MRI – Seth J. Kligerman, MD

• Scientific Oral Presentation – 15: The use of Model-Based Iterative Reconstruction to Significantly Improve Detection of Congenital Cardiovascular Anomalies in Infants Undergoing Free Breathing, Non-Gated, Ultra-Low Dose Axial CT Angiography – Seth J. Kligerman, MD

• Scientific Oral Presentation – 16: Left Ventricular Late Gadolinium Enhancement Identified on Pre-procedure Pulmonary Vein Cardiac MR: Incidence, Pattern of Enhancement and Clinical Implications – Fareed R. Riyaz, MD

• 4D Flow Imaging – Michael Hope, MD

• Scientific Oral Presentation – 17: Coronary Computed Tomography Angiography Program in a Large County Hospital Emergency Department: Initial Experience – Ashley E. Prosper, MD

• Scientific Oral Presentation – 18: Prognosis and Pattern of Cardiac Metastases in Patients with Stage IV Cancer Evaluated with Cardiac Magnetic Resonance – Andrew J. Plodkowski, MD

• Cardiac MRI in Patients with Pacemaker/ICD: How I Do It – Isabel B. Oliva, MD

• TI Mapping – Kate A. Hanneman, MD

Cardiac Imaging: Back to Basics

• Imaging of Cardiac Masses – Sanjeev Bhalla, MD

• Shock Through the Heart: Review of Common and Uncommon Pacemaker/ICD System – Ahmed H. El-Sherief, MD

• Imaging of the Atria: More Than Just Clots – Adam Jacobi, MD

• Total Artificial Heart: Indications and Evaluation Pre- and Post-Procedure – Karin E. Dill, MD

• Cardiac Magnetic Resonance Imaging of the Infiltrative Disorders of the Myocardium – Patricia J. Mergo, MD

• Cardiac Stress MRI: How I Do It – Jared D. Christensen, MD

• SAM Questions – Kaushik S. Shahir, MD, Robert M. Steiner, MD

Coronary Imaging

• Normal and Variant Coronary Anatomy – Nikhil Goyal, MD

• Anomalous Coronary Arteries Requiring Intervention – Prachi P. Agarwal, MD

• Coronary Artery Aneurysms – Amar B. Shah, MD

• Imaging of Coronary Artery Bypass Grafts – Cheng Ting (Tony) Lin, MD

• Coronary Artery Imaging in the ED – Eric J. Feldmann, MD

• Coronary Venous Anatomy – Arlene Sirajuddin, MD

Education and Image Interpretation

• An Introduction to Active Learning – Marc V. Gosselin, MD

• Tips and Tricks for Using Mobile Devices to Improve Education and Patient Care – Charles T. Lau, MD, MBA

• Using Osirix to Create a Collaborative Teaching File – Howard Mann, MD

• A Physiological Approach to Chest Radiographic Interpretation – Andrew C. Yen, MD

• Medical Image Perception and Perceptual Errors in Thoracic Radiology – William F. Auffermann, MD, PhD

Scientific Oral Presentation Session: Miscellaneous

• Scientific Oral Presentation – 19: Optimizing Performance of Routine Contrast Enhanced Chest CT for Detection of Pulmonary Embolus Using Dual-Energy CT (DECT) – Scott Landreth, BS

• Scientific Oral Presentation – 20: Phase CT Pulmonary Angiography: Improving Contrast Enhancement in Failed Diagnostic Studies – Joao R. Inacio, MD

• Scientific Oral Presentation – 21: Chest-CT at X-ray Dose Using Forward Projection Based Iterative Reconstruction and 1024 Image Matrix – Patrik Rogalla, MD

• Scientific Oral Presentation – 22: Fat / Bone Ratio: A new Measurement of Obesity – Albert Roh, MD

• Scientific Oral Presentation – 24: Impact of Nonvascular Thoracic MRI on the Clinical Decision Making of Thoracic Surgeons: A Two Year Prospective Study – Jeanne B. Ackman, MD

Mixing it up: Miscellaneous Topics

• PowerPoint for Thoracic Radiologists: Improving Efficiency and Enhancing – Teaching Value – Brent P. Little, MD

• 3D Printing Application in Medicine – Nadeem Parkar, MD

• PET/CT Pitfalls in the Thorax – Mylene T. Truong, MD

• Pitfalls in Chest CT: Pericardial Recesses Mimicking Lymphadenopathy – Girish S. Shroff, MD

• Diseases of Thoracic Lymphatic System – Carlos S. Restrepo, MD

• Bridges, Crypts, Tendons and Tics: Unusual Structures on Cardiac Imaging – Julianna M. Czum, MD

• Imaging of Rejection in Lung Transplantation – Brett M. Elicker, MD

Pulmonary Infection

• Update in Epidemiology of Pulmonary Infections in Immunocompromised Host – Gopal Allada, MD

• Imaging of Pulmonary Tuberculosis: Mimics and Uncommon Findings – Santiago E. Rossi, MD

• Pulmonary Infections: Rational Approach to Imaging on MDCT – Constantine A. Raptis, MD

• Hemorrhagic and Vascular Complications of Lung Infections – Tomas C. Franquet, MD

• Atypical Infections: Can We Be More Specific? – Laura E. Heyneman, MD

• Fungal Pneumonias: Keys to the Diagnoses – Loren H. Ketai, MD

• SAM Questions – Archana Laroia, MD; Maria C. Shiau, MD

Mediastinum & Pleura

• How I Do It: The Approach to the Anterior Mediastinal Mass – Edith M. Marom, MD

• The Indeterminate Mediastinal Mass: Added Value of MR and PET/CT – Rachna Madan, MD

• The CT-Guided Mediastinal Biopsy: A Case Based Approach to Minimizing Complications – Andrew J. Bierhals, MD, MPH

• Mediastinal Widening in Trauma: Aortic Injury and Beyond – Archana Laroia, MD

• MRI of the Pleura – Jeanne B. Ackman, MD

• Thinking Outside the Pleura: Multi-modality Imaging of Chest Wall Neoplasms – John P. Lichtenberger III, MD

COPD & Airways

• CT-definable Phenotypes of COPD – Sushilkumar K. Sonavane, MD

• Cystic Fibrosis in the Adult Population – Susan K. Hobbs, MD, PhD

• Dynamic CT of Large Airways in the Diagnosis and Treatment of Tracheobronchomalacia – H. Henry Guo, MD, PhD

• The Cough That Won’t Go Away: Imaging Evaluation and Differential Diagnosis of Bronchiectasi – Ami N. Rubinowitz, MD

• Airways Imaging in Hemoptysis – Diana Litmanovich, MD

Accreditation

The Society of Thoracic Radiology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Learning Objectives

After viewing this program, participants will be better able to:

• List basic concepts in imaging interpretation including pitfalls, anatomic variants and frequently missed diagnoses.
• Summarize the role of imaging in the assessment of cardiac disease, including diseases of the coronary arteries and great vessels of the thorax
• Discuss the role of imaging in the screening, diagnosis, evaluation and management of patients with incidentally detected lung nodules
• Discuss the role of imaging in the diagnosis, staging evaluation and management of patients with lung cancer and other thoracic neoplasms
• Describe the clinical and radiological evaluation and management strategies of a solitary pulmonary nodule, including the subsolid lesion
• Describe current and emerging applications in radiography, computed tomography (CT), magnetic resonance (MR) imaging, and positron emission tomography (PET) as they relate to the evaluation and management of thoracic diseases
• Describe a practical and multi-disciplinary approach to the assessment and management of diffuse lung diseases
• Describe current issues in infectious diseases of the chest
• Discuss the current status of interventional procedures of the chest and spectrum of post-treatment changes in the thorax
• Discuss the basic strategies for the interpretation and management of mediastinal abnormalities

Intended Audience

This educational activity was planned for cardiothoracic radiologists, diagnostic radiologists, pulmonary medicine specialists, cardiothoracic surgeons, fellows and residents with an interest in cardiothoracic imaging.

Date of Original Release: May 13, 2016
Date Credits Expire: May 13, 2019