MUSC Radiology Newsletter 2nd quarter 2015 2016

The Radiology Review

A Newsletter from the Department of Radiology Mission: To provide high quality compassionate clinical care to patients through the use of medical imaging technology.

Message from the Chairman As we enter a New Year I would like to thank everyone for their contributions to a highly productive year in patient care, education and research.

This issue of The Radiology Review highlights recently installed equipment that will provide significant improvements in patient care. A robotic-style angiography room in Vascular & Interventional Radiology at ART combines flexible ergonomic features with high quality images with decreased radiation dose. Through the use of cone beam CT, the system is able to generate 3-D anatomic images of the vasculature important during chemoembolization procedures when small vessels are targeted. In November our department installed the first PET/CT scanner in the US which offers 128-slice CT combined with high resolution PET imaging. Particularly important for oncology patients is the shortened scan time from an average of 45 minutes down to 10-15 minutes. We are excited to explore cardiac PET - CT possibilities on this unit in 2016. Two new ultrasound units were also introduced capable of shear wave elastography at MUSC. Studies have shown that ultrasound elastography can predict fibrosis in organs such as the liver and potentially reduce unnecessary biopsies offering a noninvasive method to assess hepatic disease.

The In The News section features an article published on AuntMinnie.com about how automated tube current selection reduced radiation dose significantly in CT scans. Other items reported in this section include information on the inaugural Vascular and Interventional Radiology Interest Group (VIRIG), the celebration of National Radiologic Technology Week, and a study on gender bias in diagnostic radiology resident selection which was published in Academic Radiology. A save-the-date is also included for the 2016 SCRS Annual Meeting coming up in March 2016 organized by Dr. Lewis with many MUSC participants.

Congratulations to our faculty, residents and staff who have been honored with awards and wins.

The MUSC Women’s Scholars Program was awarded The Group on Women in Medicine and Science (GWIMS) Leadership Award. Dr. Joseph Schoepf was promoted to deputy editor of the Journal of Thoracic Imaging, and medical student Ross Hansen was awarded first place in the poster session at the Perry V. Halushka MUSC Research Day. Also congratulations to Andrew Hardie, M.D. who is now a Fellow of the SCBT-MR, Marques Bradshaw, M.D. who was voted President-elect of the Southeastern Chapter of the Society of Nuclear Medicine and Molecular Imaging, and Julian Wichmann, M.D. who was honored with a Young Investigator Award during the 2015 NASCI meeting. Please read more about these important accomplishments and innovative technologies within the pages of this publication.

Philip Costello, M.D., F.A.C.R. Professor and Chairman Department of Radiology & Radiological Science

In This Issue: Technology & Procedures............. 2 In The News.......... 5 Wins/Awards........ 11 RSNA 2015........... 16 Community........... 19 Holiday Party........ 20 Editor/Creative: Tonya Pilkenton

Radiology Marketing & Communications

Please submit newsletter comments or ideas to Tonya at pilkento@musc.edu or contact: 843-792-4418 CALENDAR

January • Cervical Health • Thyroid Awareness February • Heart Month • “Wear Red” Day March • Colorectal Cancer • Patient Safety Awareness

LATEST TECHNOLOGY/PROCEDURES New Robotic-Style Angiography Room in Vascular Interventional Radiology MUSC’s team has just completed a complex installation of one of the first robotic style angiography rooms of this kind in the U.S., the GE Discovery 740. This system is neither traditionally ceiling nor floor mounted, allowing it to move around in the room. This freedom of movement allows more flexibility and a greater ergonomic experience during procedures and, as Dr. Ricardo Yamada noted, provides “high quality images with much less radiation dose. This comes along with all the efforts to decrease radiation exposure to our patient population, especially among pediatric patients”.

The first case in the new room was performed emergently on September 29th when a post-operative patient with an anastomotic GI bleed was rushed to the suite. The enhanced clarity of imaging provided by the Discovery System turned out to be key to the success of this procedure. According to Dr. Bret Anderson, the lead attending on the case, “The room underwent the proverbial “baptism by fire”.

A lot of people were in the room including anesthesia, our own nursing and technologist staff, the fellow and resident, and technical support from GE. The case involved a very ill patient with active bleeding from a small jejunal branch vessel, who needed to be treated rapidly, as she was becoming increasingly unstable. The enhanced image quality provided by the Discovery turned out to be incredibly important to locating the site of the extravasation and navigating to a point where we could safely and selectively embolize the bleeding artery.”

Dr. Claudio Schonholz pointed out that “this new technology allows the fusion of images from previously done CTA that are then used during endovascular treatment of complex thoracic and abdominal aneurysm with less contrast and less radiation exposure for patients and operators”.

Now physicians can access the upper extremities during a procedure, and the system is able to Page 2

LATEST TECHNOLOGY/PROCEDURES easily image the anatomy while still allowing the physician to visualize the monitors, which has been a challenge in the past with traditional angiography systems.

One of the new capabilities of this system, wide bore cone-beam CT, gives physicians the capability to rapidly perform a 3D spin of patients with fewer size limitations. The 3D CT model can then be used with advanced software applications as a road map in real time to help maneuver catheters selectively into target vessels. Dr. Guimaraes added that “this technology is very helpful during Interventional Oncology procedures like a liver chemoembolization, as the physicians can now use advanced imaging to plan, guide and assess their treatments in real time.

Drs. Guimaraes, Selby, Schonholz, Yamada, Anderson, and Hannegan were critical in selecting the layout and configuration of the Discovery. The MUSC VIR team has now completed many cases in this new room and are using the technology to its fullest while maximizing patient care.

Special thanks to Mike Ricciardone, Rob Finch, Kelly Howard, Craig Troublefield, Bill Crummer and Dr. Costello for their support in this important project.

First-in-U.S. PET/CT Scanner Now at MUSC Health Blog Article

by Lindy Carter, Medical Science Writer, ProgressNotes MUSC Health has brought the latest in Positron Emission Tomography (PET)/CT scanner technology to the U.S. with the Department of Radiology’s new scanner that offers 128-slice CT. The mCT 128 PET/CT system (Siemens Healthcare, Erlangen, Germany) enables nuclear medicine specialists to see anatomical images, such as lung nodules, and physiologic functions, such as coronary blood flow reserve, in greater detail. This diagnostic advantage will be especially beneficial in three clinical areas, according to Leonie L. Gordon, M.B., ChB, Director of Nuclear Medicine. These specialists will use the scanner to interpret images in (1) cancer diagnosis (to locate tumors and metastases to other organs and Page 3

LATEST TECHNOLOGY/PROCEDURES bones) and treatment adjustment (with clearer pictures of the tumor’s borders, they can better advise surgeons planning to resect cancerous tissue or help medical oncologists change chemotherapy if it has been ineffective ); (2) heart disease diagnosis and treatment (to better assess cardiac muscle viability and the degree of blockage in coronary vessels, for example); and (3) neurological disease (to confirm the diagnosis of dementia, including Alzheimer’s Disease, identify epilepsy seizure locations, and assess treatment effectiveness in certain brain tumors).

Furthermore, this scanner is more patient-friendly. Scanning time is reduced from an average of 45 minutes to 15 to 20 minutes, a feature especially advantageous for patients from Children’s Hospital. “Because the scanner is quicker, children may not need to be sedated,” says Gordon.

Combined PET/CT scanning has been commercially available since 2001; its advantage is that it fuses the PET information and the CT information into one image and almost completely eliminates the false-positive and false-negative PET findings. What’s different about the mCT 128 PET/CT system is the 128 detector rows (slices) of anatomical images provided by the CT, as opposed to 64 slices or fewer in older technology. This system has been available in Europe for 2 to 3 years. Siemens chose MUSC Health as the first hospital in the U.S. to receive the system because of a long history of MUSC Health specialists’ clinical development and evaluation of its equipment. This system is U.S. FDA-approved, but MUSC Health will be evaluating further the clinical utility of putting such a high-resolution CT scanner with a PET scanner. Because of the high-volume of patients at MUSC Health’s Hollings Cancer Center and Cardiovascular Center, Gordon predicts the system will be of particular benefit to those patient groups.

Shear Wave Elastography Now Being Performed at MUSC Radiology recently acquired 6 new ultrasound machines, 2 of which have an elastography software package.

Elastography is a useful technique that adds value to the sonographic examination by enabling one to evaluate the stiffness of tissue. Studies have shown that a combination of ultrasound elastography and sonography can predict fibrosis in organs such as the liver and potentially reduce unnecessary biopsies. Elastography can be ordered as part of the ultrasound examination. We are currently scheduling these exams at the Ashley River Tower (ART) and will begin offering them at the main hospital in January 2016.

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IN THE NEWS Automated Tube Current Selection Cuts CT Radiation Dose

By Eric Barnes, AuntMinnie.com staff writer Automated tube current selection reduced dose significantly in CT scans acquired at dozens of centers worldwide, according to the results of a large international study published in “Radiology”.

The study included more than 160,000 scans acquired over a two-week period at 86 centers around the world. On average, radiation dose was nearly 15% lower when automated tube voltage selection (ATVS) was used to select the tube current voltage. Savings in some exams reached 50% or more, although a small number of studies actually showed dose increases.

Temporal bone, peripheral runoff CT angiography, and most contrast-enhanced exams were the top dose savers, wrote the authors from the Medical University of South Carolina, Ludwig Maximilians University in Munich, and Sapienza University in Rome (Radiology, October 16, 2015).

Results of the observational study show that ATVS significantly reduces radiation exposure for most CT applications across all body regions.

“The ability to validate nearly across-the-board reductions in dose using a single, simplifying change to the workflow in hundreds of thousands of CTs worldwide represents a substantial benefit to patients undergoing CT,” wrote lead author James Spearman in an email to AuntMinnie.com.

Automated judgments on voltage, current Automated tube current selection algorithms have been developed to address the complexities of determining the best combination of tube voltage and current. They work by integrating the patient’s attenuation profile based on a scout image with information on the scan target to select the combination of tube voltage and current that will yield the desired contrast-to-noise ratio with the lowest dose, the authors wrote.

Owing to enhanced iodine contrast at low photon energies, dose reductions are generally greater in contrast-enhanced exams.

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IN THE NEWS Automated Tube Current Selection Cuts CT Radiation Dose (cont’d) The study analyzed 164,323 unique CT exams after they were collected and transmitted to the CT scanner manufacturer during two five-week periods immediately before and after implementation of automated tube voltage selection at each site. The researchers compared tube voltage and CT dose index volume (CTDIvol) between exams performed before and after ATVS was installed.

CTDIvol was 14.7% lower across all types of CT exams and body regions when automated tube voltage selection was used, compared to exams without it. The use of ATVS reduced radiation exposure substantially in nearly all exams, the researchers noted.

Dose reductions were largest in head exams; for example, there was a 56.1% dose reduction in temporal bone CT, a 48.6% reduction in peripheral runoff CT angiography, and 39.6% reduction in the paranasal sinus, and a 23.9% reduction in head CT. Owing to these large reductions, the use of automated tube voltage selection should be encouraged for most CT applications, according to the authors. Nevertheless, ATVS is unsuitable for those few applications in which radiation dose actually increased after it was implemented, such as for renal stone protocols and spine CT. Also of note, after ATVS implementation, the algorithm was used in only 35.2% of exams, leaving almost two-thirds of exams performed without it, they wrote.

Dose cuts depend on “typical” settings The authors noted that changes in radiation dose are inextricably linked to the typical tube current settings already in use. As a result, for exams in which radiologists have already optimized these settings, dose reductions were likely to be smaller.

“It’s interesting that the results weren’t more evenly distributed.” Spearman told AuntMinnie.com.

“For example, head CT exams appeared to get much lower doses with ATVS than without -- due largely to the fact that the typical tube current settings were high.”

On the other hand, radiologists seemed to be aware of the need to reduce tube current settings preemptively in exams such as CT pulmonary angiography, where dose savings with ATVS were insignificant because most exams are already acquired at 80 kV.

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IN THE NEWS Automated Tube Current Selection Cuts CT Radiation Dose (cont’d) Broad-based reductions are better However, automated tube voltage selection does have advantages in that it offers dose reduction more or less across the board, while individual protocols are optimized one at a time, according to Spearman.

“One of the limitations of nonsystemic approaches to dose reduction is that they occur only within the subspecialty being investigated,” he said. “ATVS provides a systemic approach to dose reduction, allowing for improvements that may not have been individually investigated or where the latest research may not have reached standard of care.”

The fundamental benefit of ATVS is that it sets a threshold based on the individual patient, not a generalized guideline, Spearman added.

“Our lab has previously demonstrated that variation in body habitus, whether due to body mass index, sex, or body shape, can vary widely,” he said. “This requires manual dose selection algorithms that are either too complex to be practical or too simple to be effective. ATVS takes the guesswork out of the process by providing individualized tube voltage selection while simplifying the workflow.”

It’s not possible to say that any specific protocol -- for example, a renal stone scan -- is typically set too high or low without a detailed evaluation that includes an analysis of image equality, he added. In that regard, the study highlights further opportunities for research.

“With studies on this scale, we have to be selective in what we evaluate to reduce the potential for confounding factors,” Spearman told AuntMinnie.com. “This is an area of great interest to our lab, and we continue to build similar data sets including dose, image quality, and patient variables.”

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IN THE NEWS Approximately 36 Medical Students Attend First VIRIG Meeting Vascular and Interventional Radiology Interest Group The well-attended inaugural Vascular and Interventional Radiology Interest Group (VIRIG) meeting took place on October 13th and featured an introduction to Vascular and Interventional Radiology (VIR) given by Dr. Marcelo Guimaraes for medical students who may or may not have had previous exposure to VIR. It consisted of a brief history of VIR (including discussion on Dotter, Seldinger, etc.) and interesting VIR cases. Between these two subjects Dr. Guimaraes opened the floor for questions, which was well received by those in attendance. The medical students were quite enthusiastic and asked well thought out questions pertaining to the lifestyle of an Interventional Radiologist, the future direction of VIR (including the new IR/DR residency), and the future VIR innovations that MUSC is planning to adopt. The meeting was held during lunchtime and lasted for approximately 45 minutes. The VIR team looks forward to hosting similar monthly meetings in the future.

National Radiologic Technology Week November 7th - 13th The ASRT introduced National Radiologic Technology Week (NRTW) in 1979 as a way to raise awareness about the profession and recognize its practitioners. NRTW is a time to celebrate R.T.s in all of the imaging modalities. Roentgen’s discovery of the x-ray allowed physicians to have their first noninvasive look inside the human body. Today, more than a century later, x-rays are just one diagnostic tool that radiologic science uses. There’s a lot to learn in this field - and plenty of opportunity.

Imagine what Roentgen would think of radiology today. Look at how advanced the technology is with computed tomography, magnetic resonance imaging, nuclear medicine, ultrasound, positron emission tomography, radiation therapy, digital capabilities, electronic medical records and radiologist assistants.

The roles of technologists who perform these imaging procedures are key members of the health care team. Radiologic technologists are privileged to have the opportunity to interact with patients and provide a valuable service.

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IN THE NEWS Gender Bias in Diagnostic Radiology Resident Selection.

Does it Exist?

AUTHORS: Lara Hewitt, BS, Madelene Lewis, MD, Heather Collins, PhD, Leonie Gordon, MB, ChB

Academic Radiology, January 2016 A total of 4,117 applications to one diagnostic radiology residency program from 2008 to 2014 were analyzed. Invitations to interview were evaluated each year, specifically looking at gender. Ranking of applicants, especially those placed in top 25% of the rank, was also assessed. Additional data analyzed included United States Medical Licensing Examination Step 1 board examination score (a proxy for academic performance), interview scores, and final position on the rank list.

Results: Female applicants averaged 24% of the total applicant pool during the years studied, yet made up a disproportionately high percentage of applicants invited to interview (30%) and those ranked in top 25% (38%). It was found that female applicants had slightly higher mean interview scores and lower Step 1 scores than male applicants.

Conclusions: Findings suggest that program directors in one program want to increase gender diversity by making strides to keep the female candidate pool and the proportion of female residents in the program at least stable. The pipeline of female medical students pursuing a career in radiology appears to be a limiting factor rather than a bias against women in the resident selection process. Identifying such trends is important as it provides a better understanding of the etiology for an overall lack of gender diversity within the field. Furthermore, it may lead to closing the gender gap in radiology.

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IN THE NEWS SAVE-THE-DATE 2016 SCRS ANNUAL MEETING

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WINS & AWARDS GWIMS Leadership Award Congratulations to the MUSC Women’s Scholars Program!

The Group on Women in Medicine and Science (GWIMS) Leadership Awards recognize outstanding individual and organizational contributions to advancing women leaders in academic medicine and science. Since the first award in 1995, these prestigious awards have recognized over 30 individuals and organizations.

International Day of Radiology (IDoR) Celebrated Although the actual date of International Day of Radiology (IDoR) was Sunday, November 8th, the Department of Radiology celebrated International Day of Radiology (IDoR) on Friday, November 5th with a gathering and cake. The 2015 International Day of Radiology marked the 120th Anniversary of the discovery of the x-ray and focused on improvements in children’s health care made possible by medical imaging and radiation oncology.

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WINS/AWARDS MUSC Children’s Hospital one of 10 in U.S. Selected to Participate in National Collaborative to Improve Value of Care

Team: Dr. Scott Russell, Dr. Jeanne Hill, Elizabeth Crabtree, Dr. Robert Cina

MUSC Children’s Hospital was one of only 10 hospitals in the country selected to participate in a national collaborative to improve the value of care delivered to patients. The program is sponsored by the Robert Wood Johnson Foundation and the University of Utah.

As part of the collaborative, MUSC is seeking to ensure that care delivered to pediatric patients with appendicitis is patient-centered, efficient, and based on the best available evidence. The project will result in a reduction in: • Unnecessary imaging • Length of stay • Cost • Negative appendectomy rates • Re-admissions

U. Joseph Schoepf Promoted to Deputy Editor of the Journal of Thoracic Imaging As of January 1, 2016, Dr. U. Joseph Schoepf will be promoted to the Deputy Editor of the Journal of Thoracic Imaging. Congratulations Dr. Schoepf!

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WINS/AWARDS Ross M. Hansen Takes First Place in Poster Session at Perry V. Halushka 2015 MUSC Research Day The department of Radiology had an impressive presence at the Perry V. Halushka 2015 MUSC Research Day on November 13th. Many of the medical student participants in the summer research program delivered well-received poster and oral presentations. We particularly congratulate Ross M. Hansen, whose project entitled “Methotrexate-induced myelopathy of the dorsal column following intrathecal therapy of a patient with spinal involvement of Burkitt Lymphoma” was selected as the First Place Winner of his poster session. The department is proud of Ross’ tremendous achievement and delighted with the accomplishments of all of our summer students.

Andrew Hardie, M.D. Voted as Fellow of the Society of Computed Body Tomography & Magnetic Resonance Dr. Andrew Hardie was voted in as a Fellow of the Society of Computed Body Tomography and Magnetic Resonance (SCBT-MR). The mission of the SCBT-MR is to advance health by promoting excellence and value in CT and MR practice through education and innovation.

The Values of the SCBT-MR include: · Innovation and translation of the best of CT and MR science · Appropriate and safe use of CT and MR technologies · The highest quality education by involved, accessible experts · A community of Fellows and Members

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WINS/AWARDS Marques L. Bradshaw, M.D. Voted President-Elect of the Southeastern Chapter of the Society of Nuclear Medicine and Molecular Imaging Congratulations to Dr. Marques Bradshaw. He was recently voted President-elect of the Southeastern Chapter of the Society of Nuclear Medicine and Molecular Imaging (SECSNMMI).

Dr. Stephen Schabel’s Presentation Chosen to Receive the Peter D. Olch Award for Best History Paper Dr. Stephen Schabel’s presentation of “And the Man Sitting: William Stewart Halsted and the Beginning of Actinography” at the 2015 annual Halsted Society meeting hosted by Thomas Jefferson University was chosen to receive the third annual Peter D. Olch Award for best history paper. The award will be presented to Dr. Schabel at the 2016 Halsted Society dinner on September 9th in Aurora, Colorado.

Dr. Julian Wichmann Honored with Young Investigator Award During North American Society for Cardiac Imaging

Congratulations to Dr. Julian Wichmann. He was recently honored with the Young Investigator Award at the North American Society for Cardiac Imaging (NASCI) 2015 Annual Conference.

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WINS/AWARDS Marques L. Bradshaw, M.D. Co-publisher of Book Entitled “Nuclear Medicine: A Core Review�

Nuclear Medicine: A Core Review Author(s): Chirayu Shah MD Marques Bradshaw MD This book helps students master the content for the Core Exam module for nuclear medicine. This unique, image-rich resource is an excellent tool for self-assessment and exam prep, whether studying for the Core Exam or Maintenance of Certification. More than 300 questions, answers, and explanations accompany hundreds of high-quality images, in a format that mimics the Core Exam. Nuclear Medicine: A Core Review tests your knowledge of every aspect of the exam, including basic imaging, radiopharmaceuticals, relevant organ systems, pediatrics, oncology, quality control and safety, and more.

Veronica Tuley, RN for VIR Earns Safety Star of the Month Veronica Tuley, a traveler procedural RN in Vascular & Interventional Radiology, earned the Safety Star of the Month this past summer. A patient was coming in for a procedure in the VIR department to have a PICC line placed. The patient was allergic to a component within the PICC line and Veronica caught this, alerted the team and stopped the procedure before it affected the patient. The team was able to use a different brand PICC line and the patient was cared for safely and appropriately. Thank you Veronica and the VIR Staff team for going the extra mile in patient safety.

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RSNA 2015 The 101th Scientific Assembly and Annual Meeting of the Radiological Society of North America was held November 29-December 4, 2015 at McCormick Place in Chicago, Illinois. The RSNA received more than 11,000 scientific and education abstracts that the subcommittees of the Scientific Program Committee and Education Exhibits Committee reviewed.

Scientific Paper Presentations Akos Varga-Szemes, M.D., Ph.D. Qualitative and Quantitative Image Quality of Lower Extremity Angiography Using Non-Contrast-Enhanced Quiescent Interval Single-Shot (QISS) MRA: Comparison with CTA. Inversion Time Dependence of the Accuracy of Late Gadolinium Enhancement Quantification Using T1 Map Based Synthetic Inversion Recovery Imaging.

Andreas Bucher, M.D. Quantitative Evaluation of Beam-Hardening Artefact Correction at Dual-Energy CT Myocardial Perfusion Imaging.

Assessment of Semi-automatic Quanitification of Non-Calcified Plaque as a Predictor of Outcome in Acute Chest Pain Patients at Coronary CT Angiography.

Semi-Automatic Calcified Plaque Volume Quantification at Coronary CT Angiography to Predict Outcome of Acute Chest Pain Patients.

Benson R. Langdon Computed Tomography Dose Index and Image Quality in Pediatric Head CT. Elodia B. Cole, MS Clinical Performance of Dedicated Breast Computed Tomography in Comparison to Diagnostic Digital Mammography.

Guiseppe Muscogiuri, M.D. Image Quality and Accuracy of a Prototype Self-Navigated 3D Whole-heart Sequence for the Assessment of Coronary Artery Anomalies in a Pediatric Patient Population.

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RSNA 2015 Scientific Paper Presentations Julian L. Wichmann, M.D. Impact of Noise-Optimized Virtual Monochromatic Imaging at Third-Generation Dual-Source Dual-Energy CT Angiography of the Lower Extremety Run-off.

Low-Contrast-Medium-Volume Low-Tube-Voltage Computed Tomography for Planning Transcatheter Aortic Valve Replacement.

Single-and Dual-Energy Acquisition with 2nd and 3rd Generation Abdominal Dual-Source CT: Direct Comparison of Scan Modes Regarding Radiation Dose and Image Quality.

Marcelo Guimaraes, M.D. Chronic Venous Occlusions Treated with RFA. Targeted Treatment and Imaging of Liver Cancers: Basic to Advanced Techniques in MinimallyInvasive Therapies and Imaging.

Radial Artery Access. Why? When? How? Ricardo Yamada, M.D. Added Value of Fluoroscopy/Venography during Endovenous Laser Therapy for Symptomatic Varicose Veins.

Stephanie Mangold, M.D. Body Mass Index-Based Reduction of Radiation Exposure in Coronary CT Angiography Using a 3rd Generation Dual-Source CT Scanner.

Richard Katzberg, M.D. The presence of a solitary kidney is not an independent risk factor for acute kidney injury following contrast-enhanced CT.

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RSNA 2015

Refresher Infomatics Carlo N. De Cecco, M.D., Ph.D. New Insights on Dual Energy CT in Oncology.

Madelene C. Lewis, M.D. Climbing the Ladder - Challenges and Opportunity.

U. Joseph Schoepf, M.D. Coronary CT Angiography and Perfusion/Scar Imaging.

Multisession Courses U. Joseph Schoepf, M.D. Cardiac CT Mentored Case Review: Part III (In Conjunction with the North American Society for Cardiac Imaging) (An Interactive Session).

Moderator: Interventional Series Marcelo Guimaraes, M.D. Venous Disease.

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COMMUNITY The Radiology Department Spreads Good Cheer to Charleston’s Homeless

For the past few years the Radiology department has worked in conjunction with Eric Mack’s church to provide a Christmas meal to the homeless. Radiology funds, provided by Dr. Costello, purchased all of the food. Volunteers from the Radiology department included: Michelle Barnett, Char Fessler, Liv Boone, Stephanie Carnes, Eric Mack, Keith Hill, and Nancy Monogan. Church volunteers set up, provided all the serving tools and cleaned up. This year 45 adults were fed and several children.

Women in Radiology Donate Gifts to Children with Cancer

The Women in Radiology (WIR) held their annual fundraiser and gift wrap party on December 11th. The group raised approximately $1,100 which was used to purchase Christmas gifts for 4 children through Camp Happy Days. Above are two photos from the annual gift wrap party hosted by Dr. Madelene Lewis.

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HOLIDAY PARTY The MUSC Department of Radiology celebrated the 2015 Holiday Season with a festive party including food, beverages and live music on December 5th at Ashley Hall’s Main Event Hall Room. The party was very well attended with many faculty, staff and students there to celebrate the season.

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MUSC DEPARTMENT OF RADIOLOGY

Department of Radiology and Radiological Science 96 Jonathan Lucas Street, MSC 323 Charleston, South Carolina 29425 Phone: (843) 792-1414 * Fax: (843) 792-1889 Website: http://academicdepartments.musc.edu/radiology/