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The UK Radiological Congress UKRC ANNUAL JOINT UK RADIOLOGICAL CONGRESS Medical Imaging 2014 9-11 JUNE MANCHESTER CENTRAL CONVENTION COMPLEX www.ukrc.org.uk CONGRESS HANDBOOK 2014 JOIN THE CONVERSATION #UKRC2014 ANNUAL JOINT UK RADIOLOGICAL CONGRESS Congress guide The British Institute of Radiology, The College of Radiographers and The Institute of Physics & Engineering in Medicine The UK Radiological Congress VENUE PLAN 2 VENUE PLAN WELCOME PROGRAMME CHARTER 1 CATERING A INFORMATION EXHIBITION LECTURE THEATRE 1 Refreshments, cash sales and lunch vouchers POSTERS B Breast, chest, cardiac, uro P040-P085 VICE PRESIDENTS & WORKING PARTY CHARTER 3 CHARTER 2 POSTERS A MSK, head, neck and neuro P001-P039 MONDAY SESSIONS ePOSTERS CH A TUESDAY SESSIONS CATERING B Refreshments and lunch vouchers POSTERS D WEDNESDAY SESSIONS Training, CAD, nuclear medicine, patient dose, radiation protection. P135-P205 WORKSHOPS SATELLITE SYMPOSIA EXHIBITION CATERING C CATERING D Refreshments and lunch vouchers CLOAKROOM POSTER LISTING Refreshments, cash sales and lunch vouchers ePOSTER LISTINGS EXHIBITION LECTURE THEATRE 2 POSTERS C COBDEN 1 COBDEN 2 REGISTRATION COBDEN 4 EXHIBITOR INFORMATION COBDEN 3 EXHIBITION PLAN & LIST Speaker preview EDUCATION ON STANDS GI, hep, paediatrics, multisystem, intervention, errors, service delivery P086-P134 CENTRAL 3&4 CENTRAL CENTRAL CENTRAL 5 6 7 PRESENTER INDEX MAIN ENTRANCE CENTRAL 8 RTE R4 JOIN THE CONVERSATION #UKRC2014 PRESIDENT’S WELCOME Error in medicine has become headline news in recent years. We have a plenary session focusing on ‘error’ – our approach to it and methods of reduction. The Francis Report has potential major implications for the NHS and healthcare in general. We will hear how the airline industry tackles reducing error. In addition to multiple clinical streams there will be opportunities for updates on outsourced reporting, teleradiology, radiation protection and the practicalities of research. We are delighted to have a number of high profile speakers from overseas, particularly North America and are very grateful for the continued support from colleagues in industry. Schools are joining us for the final day – this should encourage the next generation to follow in the footsteps we leave for them. WELCOME PROGRAMME MONDAY SESSIONS Please mingle, network and catch up with old friends at the evening wine reception in the hall, at the AXrEM hosted dinner and throughout the congress in general. We hope you have a great time in Manchester. INFORMATION Following feedback we have built on what proved popular in previous years. There is a wide range of sessions with varying formats: didactic ‘state of the art’ lectures from speakers recognised as experts in their fields; interactive presentations with the opportunity to vote on various scenarios presented/ questions posed; workstation sessions on OsiriX– basic, advanced and on specific topics; live hands on demonstrations with ultrasound and opportunities to observe, and participate in, debate around imaging. VICE PRESIDENTS & WORKING PARTY Welcome to UKRC 2014. The working party of vice presidents, session organisers, committee members of specialist interest groups and Profile Productions have toiled to put together a diverse, comprehensive congress which, we very much hope, all members of the multi-disciplinary team, delivering medical imaging and intervention, will find enjoyable and educational. VENUE PLAN 3 TUESDAY SESSIONS Iain Lyburn WEDNESDAY SESSIONS 10 89-96 26 WEDNESDAY SESSIONS 11 97-100 28-101 WEDNESDAY SESSIONS 12 100-101 VICE PRESIDENTS AND WORKING PARTY ABSTRACTS AND BIOGRAPHIES MONDAY SESSIONS 1 28-31 WORKSHOPS 102-105 MONDAY SESSIONS 2 31-40 SATELLITE SYMPOSIA 106-107 MONDAY SESSIONS 3 40-51 POSTER LISTING 108-116 MONDAY SESSIONS 4 51-54 ePOSTER LISTING 117-121 TUESDAY SESSIONS 5 55-59 EDUCATION ON THE STANDS 122-125 TUESDAY SESSIONS 6 60-69 EXHIBITOR LIST & PLAN 126-128 TUESDAY SESSIONS 7 70-77 EXHIBITOR INFORMATION 129-141 TUESDAY SESSIONS 8 78-84 PRESENTER INDEX 142 SATELLITE SYMPOSIA 23-25 POSTER LISTING CONGRESS INFORMATION ePOSTER LISTINGS 85-89 EDUCATION ON STANDS WEDNESDAY SESSIONS 9 EXHIBITION PLAN & LIST 4-22 EXHIBITOR INFORMATION CONGRESS PROGRAMME PRESENTER INDEX CONTENTS WORKSHOPS WEDNESDAY SESSIONS Congress President, UKRC 2014 08:30 08:45 09:00 09:15 09:30 09:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 13:00 13:15 13:30 13:45 14:00 14:15 14:30 14:45 15:00 15:15 15:30 15:45 16:00 16:15 16:30 16:45 17:00 17:15 17:30 17:45 19:30 VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS MONDAY 9 JUNE 4 SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX 08:30 Registration 08:45 09:00 1A 1B 1C 1D 1E 1F W1 Trainee Informatics: Workstation 09:15 MSK: Arthritis Cardiac: MRI SD: Revitalising Advances: RPS Exhibition opens at 09.30 anatomy masterclass Radiologists CPD session for Introduction to CHARTER 2&3 COBDEN 3 09:30 session Radiographers OsiriX (1) CENTRAL 5&6 CENTRAL 7 09:45 COBDEN 4 CENTRAL 8 CENTRAL 3&4 10:00 Refreshment break 10:15 MSK Opening plenary interactive ultra10:30 Human factors and errors in health care, generic issues - Ken Catchpole and sound session 10:45 Error in radiology: How to reduce it and deliver better patient outcomes - Giles Boland Shoulder (1) CHARTER 2&3 COBDEN 1 11:00 11:15 Refreshment break 11:30 W2 2A Neuro: Imaging Workstation 11:45 2B 2C 2D Advanced updates SD: Breast: Physics Informatics: 12:00 2F 2E 2G 2H OsiriX (2) CHARTER 1 Commissioning for dummies: Discrepancy Cardiac: Advances: Urology: 12:15 MSK: Sports CENTRAL 3&4 CENTRAL 5&6 how to optimise meetings and Cardiac CT injury of the Modelling Malignancy 12:30 your kit MDTMs Satellite 3 COBDEN 3 ankle CENTRAL 7 CHARTER 4 INTERACTIVE Sectra COBDEN 4 12:45 CHARTER 2&3 Satellite 4 FRCR EXHIBITION CENTRAL 8 SCOR Launch Tutorial 1 LECTURE 13:00 THEATRE 2 EXHIBITION COBDEN 1 13:15 W3 LECTURE Workstation THEATRE 1 13:30 BiR Toshiba Mayneord Eponymous Lecture Neuro 13:45 - John Buscombe CENTRAL 3&4 14:00 CHARTER 2&3 14:15 Refreshment break 3B 3A Satellite 5 Advances: Neuro: Practical GE Healthcare 14:30 3C Quality control Breast: MDT neuroimaging EXHIBITION 14:45 3D W4 in the LECTURE CHARTER 1 INTERACTIVE Multisystems Workstation THEATRE 1 15:00 digital era 3E 3F 3G COBDEN 4 disorders: Introduction to SD: Advancing Urology 2 COBDEN 3 15:15 MSK: Knee 3H FRCR proffered OsiriX (3) imaging education in CHARTER 4 Cardiac: MRI Tutorial 2 15:30 papers CENTRAL 3&4 radiography CHARTER 2&3 and CT at the CENTRAL 7 COBDEN 1 15:45 CENTRAL 8 cardiac MDT 16:00 CENTRAL 5&6 16:15 4B 4A 4C 4D W5 Breast: Advances: Informatics: Neuro: Spinal Workstation 16:30 MSK Virtual clinical Management of Enabling conditions Advanced interactive ultra16:45 increased risk trial: a real effective OsiriX (4) CHARTER 1 sound session 17:00 COBDEN 3 prospect? collaboration Shoulder (2) CENTRAL 3&4 CENTRAL 7 COBDEN 4 COBDEN 1 17:15 17:30 17:45 Welcome wine reception in exhibition halls Exhibition closes at 18.00 19:30 Open invitation to ‘Meet and Eat’ at local restaurants The UK Radiological Congress MONDAY AT A GLANCE JOIN THE CONVERSATION #UKRC2014 1D Advances 09.00-10.00 CENTRAL 7 RPS masterclass – QA & handover systems Moderator & Speaker: Matt Dunn, Head of Radiology Physics, Nottingham University Hospitals NHS Trust This session will bring attendees up to date with the latest expectations for systems for QA of equipment, handover to and from engineers and issues around co-operation of employers. Plenary 10.15-11.15 CHARTER 2&3 10.15-11.15 COBDEN 1 11.15-11.30 Refreshment break, exhibition and poster viewing Opening plenary session: Errors in Radiology Welcome – Iain Lyburn, President, UKRC Human factors and errors in healthcare – generic issues – Ken Catchpole, Research Psychologist, Cedars-Sinai Medical Centre, Los Angeles Error in radiology: How to reduce it and deliver better patient outcomes – Giles Boland, Professor of Radiology, Harvard Medical School, USA MSK interactive ultrasound Fully booked session: Shoulder (1) Peter Mullaney, Consultant Musculoskeletal Radiologist, University Hospital Wales Naomi Winn, Consultant Musculoskeletal Radiologist, Central Manchester University Hospitals Foundation Trust Hifz Aniq, Consultant MSK Radiologist, Royal Liverpool Hospital Refreshment break, exhibition and poster viewing VENUE PLAN MONDAY SESSIONS VICE PRESIDENTS & WORKING PARTY INFORMATION PROGRAMME WELCOME TUESDAY SESSIONS 10.00-10.15 WORKSHOPS 09.00-10.00 CENTRAL 3&4 SATELLITE SYMPOSIA Service delivery 09.00-10.00 CENTRAL 5&6 Revitalising the teaching of anatomy in radiology departments Moderator: Nicholas Ridley, Clinical Lead & Consultant Radiologist, Great Western Hospitals NHS Foundation Trust SP001: Can new technology revitalize the teaching of anatomy in diagnostic radiology department? – Jamie Beck, University of Bradford SP002: Creating an OsiriX based radiological anatomy module: practicalities and value – James Chambers, School of Medicine, University of Liverpool Back from the Dead – Anatomy revitalised – Nicholas Ridley, Clinical Lead & Consultant Radiologist, Great Western Hospitals NHS Foundation Trust To discuss radiology and the importance of anatomy training Look at the value that can be provided to undergraduate medical students and radiographers and how radiology can be involved in this To look at how technical advances are revitalizing the teaching of anatomy Introduction to OsiriX Hands on workshop with basic introduction to OsiriX Places limited POSTER LISTING 1C W1 Informatics 09.00-10.00 CENTRAL 8 ePOSTER LISTINGS Cardiac 09.00-10.00 COBDEN 3 MRI Moderator: Roger Bury, Consultant Radiologist Blackpool Teaching Hospitals NHS Foundation Trust The radiographers’ approach to CMR – Chris Lawton, Superintendent Cardiac MRI Radiographer, University Hospitals Bristol NHS Foundation Trust CMR in ischaemic heart disease – Swamy Gedela, Consultant Cardio-thoracic Radiologist and Cardiac MRI Director, Essex Cardiothoracic Centre CPD informatics session for radiographers Anant Patel, Society of Radiographers IM&T Group Alexander Peck, Information Systems Manager, Royal Brompton & Harefield NHS Foundation Trust Introduced for 2014, one-hour sessions organised and led by SoR IM&T Committee members Alexander Peck and Anant Patel, these sessions aim to provide a ‘light’ introduction to informatics for Radiographers and Students. Bringing together the basics of the field, together with current hot-topics in the profession and an update from the SoR IM&T group, come and learn more about PACS - the dark-art speciality of imaging! EDUCATION ON STANDS 1B 1F Trainees 09.00-10.00 COBDEN 4 EXHIBITION PLAN & LIST MSK 09.00-10.00 CHARTER 2&3 The 3 ‘R’s of arthritis Moderator: Richard Whitehouse, Consultant Musculoskeletal Radiologist, Manchester Royal Infirmary Imaging assessment of synovitis - Naomi Winn, Consultant Musculoskeletal Radiologist, Central Manchester University Hospital NHS Foundation Trust Extraarticular musculoskeletal manifestations of rheumatological disease – Jonathan Harris, Consultant Musculoskeletal Radiologist, Salford Royal NHS Foundation Trust Imaging features of seronegative arthropathies – Sarah Jackson, Consultant Musculoskeletal Radiologist, Salford Royal NHS Foundation Trust Trainee radiologists session Moderator: Caroline Parkin, Breast Radiology Fellow, University Hospital of South Manchester Pimping your CV - Sundip Dhanvant Udani, Radiology Registrar, North Western Deanery To do a Fellowship or not? - Subhasis Basu, Musculoskeletal Radiology Fellow, Chelsea & Westminster Hospital Getting a Consultant job - Andy Counsell, Consultant Uroradiologist, Stepping Hill Hospital Less than full time training - Diana Rosof –Williams, RCR JRF National LTFT Representative EXHIBITOR INFORMATION 1A 1E PRESENTER INDEX Morning sessions 5 WEDNESDAY SESSIONS MONDAY PROGRAMME The UK Radiological Congress MONDAY PROGRAMME 6 VENUE PLAN Morning sessions WELCOME PROGRAMME 2A Neuro imaging updates Moderator: Julian Kabala, Consultant Radiologist, University Hospitals Bristol Multiple sclerosis: an imaging update to complement immunosuppressive therapy – Marcus Likeman, Consultant Neuroradiologist, North Bristol NHS Trust Advanced imaging techniques in neuroradiology: what I can use? – Rob Dineen, Consultant Neuroradiologist, Nottingham University Hospitals NHS Foundation Trust Advances in diagnostic imaging in stroke – Iris Grunwald, Anglia Ruskin and Southend University Hospital SP003: Structural MRI findings in prodromal schizophrenia – A metaanalysis – Patrick Duffy, Tallaght Hospital Trinity College, Dublin W2 Advanced OsiriX Hands on workshop with OsiriX Places limited Neuro 11.30-12.45 CHARTER 1 INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS 11.30-12.30 CENTRAL 3&4 TUESDAY SESSIONS 2B WEDNESDAY SESSIONS Service delivery 11.45-13.15 CENTRAL 5&6 WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING 2C ePOSTER LISTINGS Breast 11.45-13.15 COBDEN 4 Commissioning in radiology Moderator: Andy Beale, Consultant Radiologist, The Great Western Hospital Commissioning in radiology – Where are we? – Erika Denton, National Clinical Director for Diagnostics, NHS England, Honorary Professor of Radiology, University of East Anglia and Norfolk & Norwich University Hospital Commissioning in radiology – A GP’s perspective – Tim Ballard, Vice Chair, Royal College of General Practitioners GP engagement – Andy Beale, Consultant Radiologist, The Great Western Hospital This session will provide an overview of where radiology is in relation to clinical commissioning, what the GP wants from the Radiology Department and how we can engage with our GP colleagues. EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Physics for dummies: how to optimise your kit Moderator: Iain Lyburn, President, UKRC XRM: DBT and CESM – Kenneth Young, Head of NCCPM, Royal Surrey County Hospital U/S: Doppler, elastography, microbubbles – Jeff Bamber, Head of Ultrasound and Optical Imaging Team, Institute of Cancer Research and the Royal Marsden NHS Foundation Trust MRI: Optimising the breast MR examination – Minty Ledger, NIHR Transitional Research Fellow, Institute of Cancer Research and the Royal Marsden NHS Foundation Trust PRESENTER INDEX 2D Discrepancy meetings and MDTMs– Creating an environment of shared learning Moderator: Mark Griffiths, Consultant Radiologist, University Hospitals Southampton Shared learning through departmental discrepancy meetings – Jonathan Smith, Consultant Radiologist, Leeds Teaching Hospitals Discrepancy meeting - Scoring vs. educational value – Brian Mucci, Consultant Radiologist, NHS Greater Glasgow and Clyde Multidisciplinary team meetings – Technology – PACS, RIS and VTC – Neelam Dugar, Consultant Radiologist, Doncaster & Bassetlaw Hospitals NHS Trust Display of images and documents at MDTMs–Understanding the technology – Dave Harvey, Managing Director, Medical Connections All radiologists MUST participate in discrepancy and multi-disciplinary team meetings–they create an environment of shared learning in an organisation. Good use of technology–RIS, PACS, VTC is important for efficient running of these meetings. 2E Sports injury of the ankle Moderator: Justin C Lee, Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius Syndesmosis injury in football and rugby – Robert Pearce, Consultant Musculoskeletal Radiologist, Chelsea and Westminster Hospital NHS Foundation Trust Overuse injuries in the footballers ankle and foot – Justin C Lee, Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius US guided intervention in achilles tendinopathy – Gajan Rajeswaran, Consultant Musculokeletal Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust 2F Cardiac CT Moderator: Stephen Harden, Consultant Radiologist, University Hospital Southampton Imaging the coronary arteries with CT – Hatef Mansoubi, Consultant Radiologist, Western Sussex Hospitals NHS Foundation Trust Keeping the radiation dose down in cardiac CT – Carl Roobottom, Professor of Radiology, Derriford Hospital, Plymouth Myocardial perfusion with CT: is it feasible? Michelle Williams, Clinical Radiology ST, NHS Lothian 2G Modelling in diagnostic radiology Moderator: Nicholas Marshall, Medical Physicist, Department of Radiology, UZ Leuven Hybrid modelling of X-ray systems - Ghuozi Zhang, Physicist, University Hospital, Leuven Adapting images for detector characteristics – Alistair Mackenzie, Research Physicist, Royal Surrey County Hospital Monte Carlo modelling of X-ray scatter in X-ray rooms – Greg Stevens, Clinical Scientist, Plymouth Hospitals NHS Trust Informatics 11.45-13.15 INTERACTIVE CENTRAL 8 MSK 12.00-13.30 CHARTER 2&3 Cardiac 12.00 - 13.30 COBDEN 3 Advances 12.00 - 13.30 CENTRAL 7 JOIN THE CONVERSATION #UKRC2014 Fully booked FRCR Tutorial 1 Small intimate general FRCR viva teaching session with an experienced FRCR tutor Fully booked Neuro Workstation Moderator: Calvin Soh, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust W3 13.15-14.15 CENTRAL 3&4 Eponymous lecture 13.30-14.15 CHARTER 2&3 BIR: Toshiba Mayneord Memorial Eponymous Lecture 2014 Exploring the nature of atheroma in-vivo using PET – John Buscombe, Head of Department, Cambridge Cancer Centre, University of Cambridge Satellite 5 14.15-15.15 EXHIBITION LECTURE THEATRE 1 GE Healthcare Innovations in imaging technology Jane Hickey, MICT Business Manager UK&I, GE Healthcare and Gerhard Brunst, Clinical Leader, X-ray, GE healthcare Europe 14-15-14.30 Refreshment break, exhibition and poster viewing VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS 12.45-13.45 COBDEN 1 Breast 14.30-16.00 INTERACTIVE COBDEN 4 WORKSHOPS SCOR Launch (by invitation only) Event to launch new eLearning for healthcare modules. MDT session Moderator: Sarah Vinnicombe, Clinical Senior Lecturer in Cancer Imaging, Ninewells Hospital Medical School, University of Dundee Eleanor Cornford, Consultant Radiologist, Nottingham University Hospitals NHS Trust Miles Howe, Consultant Histopathologist, University Hospital of South Manchester NHS Foundation Trust James Harvey, Consultant Breast Surgeon, University Hospital of South Manchester NHS Foundation Trust Nisha Sharma, Director of Breast Screening/ Breast Radiologist, Leeds Teaching Hospital NHS Trust SP006: Quantifying the errors associated with followup measurements of ADC when assessing response neoadjuvant chemotherapy – Shelley Waugh, Ninewells Hospital and Medical School, University of Dundee SP007: Quantitative 3T-MRI with diffusionweighted (DWI) and dynamic contrastenhanced (DCE) imaging in invasive lobular breast cancer: effect of region of interest (ROI) placement – Shalini Wijesuriya, Gloucestershire Hospitals NHS Foundation Trust SATELLITE SYMPOSIA Satellite 4 12.45-13.45 EXHIBITION LECTURE THEATRE 1 3C Advances 14.15-15.45 COBDEN 3 POSTER LISTING Sectra The world around us. Think big. Abolish healthcare boundaries. Follow patient pathways. Jane Rendall, Managing Director of Sectra and Sectra Burnbank Quality control in the digital era Moderator: Nicholas Marshall, Medical Physics, Department of Radiology, UZ Leuven Look no hands….QC at a distance – Hilde Bosmans, Professor and Head of Medical Physics, University Hospitals, Leuven Testing digital detectors – The radiographer – Kay Craig, Senior Diagnostic Radiographer, The Christie NHS Foundation Trust Testing digital detectors – The physicist – David Platten, Clinical Scientist, Northampton General Hospital Model observers don’t get tired…or need a coffee – Nicholas Marshall, Medical Physics, Department of Radiology, UZ Leuven X-ray departments are largely digital – has our QC adapted accordingly? This session will explore how QC has changed in the digital era. Are we fully utilizing the digital nature in our QC? ePOSTER LISTINGS Satellite 3 12.30-13.00 EXHIBITION LECTURE THEATRE 2 3B Neuro 14.15-15.30 CHARTER 1 EDUCATION ON STANDS GU 12.00 - 13.30 CHARTER 4 Urology: Malignancy Moderator: Nigel Cowan, Consultant Uroradiologist, Queen Alexandra Hospital, Portsmouth Staging of renal cancer – Grainne Govender, Consultant Radiologist, St James’s Hospital, Dublin Atypical presentations of renal cancer – Richard Do, Assistant Attending Radiologist, Memorial Sloan Kettering Cancer Center Transitional cell cancer imaging of uroepithelial carcinomas – Darragh Halpenny, Attending Radiologist, Memorial Sloan Kettering Cancer Center SP005: Dual-energy computed tomography and renal stone disease: Breaking new ground – Kate Harrington, Royal College of Surgeons in Ireland Practical neuroimaging Moderator: David Butteriss, Consultant Neuroradiologist, Royal Victoria Infirmary Epilepsy: What else do I need to look for other than brain tumours? – Maneesh Bhojak, Consultant Neuroradiologist, The Walton Centre for Neurology and Neurosurgery, Liverpool FRCR IIB: What can I be shown in the final examination? – David Butteriss, Consultant Neuroradiologist, Royal Victoria Infirmary Diffusion–Weighted imaging in neuroradiology – Rekha Siripurapu, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust EXHIBITION PLAN & LIST 2H 3A EXHIBITOR INFORMATION Modelling the breast for dosimetry – David Dance, Consultant Physicist, National Co-ordinating Centre for the Physics of Mammography, Royal Surrey County Hospital SP004: Phase-contrast radiography using a pseudo-microfocus diagnostic x-ray source – John Kotre, Consultant Clinical Scientist, The Christie NHS Foundation Trust Modelling can greatly help understand physical problems encountered in diagnostic radiology. This session will look at the use of various methods (Fourier, Monte Carlo) in modelling. 7 PRESENTER INDEX MONDAY PROGRAMME The UK Radiological Congress MONDAY PROGRAMME 8 VENUE PLAN 3D WELCOME Proffered papers 14.45-16.00 CENTRAL 7 PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS W4 14.45-15.45 CENTRAL 3&4 WORKSHOPS 3E SATELLITE SYMPOSIA MSK 15.00-16.30 CHARTER 2&3 Multisystems disorders proffered papers Moderator: Sarah Allen, Vice President, Advances in Technology, UKRC SP008: Time allocation for patients discussed at South East Wales Gynaecological Oncology MDM – Carys Jenkins, University Hospital of Wales SP009: Is the profile of pulmonary embolism diagnosis changing? – Nick Morley, Royal Infirmary of Edinburgh SP010: The role of 18FDG PET/CT verus MDP bone scan in assessing metastatic bone disease in breast cancer – Raekha Kumar, Research Fellow, The Royal Marsden NHS Foundation Trust SP011: Reliability of fully automated whole body fat volume measurement in wide bore 3T MR imaging – David Newman, Norfolk & Norwich University Hospitals NHS Foundation Trust SP012: The role of CT in the investigation of unexplained weight loss – Ja Wei Tan, University of Glasgow SP013: Multiparametric imaging in haematological malignancy: PET, CT, whole body-diffusion weighted imaging; staging, response evaluation (early) and prognostication – Raekha Kumar,Research Fellow, The Royal Marsden NHS Foundation Trust Introduction to OsiriX Hands on workshop with basic introduction to OsiriX Places limited POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS Knee Moderator: Phillip Wardle, Consultant Radiologist, Royal Glamorgan Hospital Synovial abnormalities: The role of the plain film, CT and MRI – Peter Mullaney, Consultant Musculoskeletal Radiologist, University Hospital Wales Osteochondral injury and abnormality – Phil Wardle, Consultant Radiologist, Royal Glamorgan Hospital Soft tissue injuries: Beyond the basics – Stephen Davies, Consultant Radiologist, Royal Glamorgan Hospital SP014: Experience with the first Esaote low-field extremity MRI scanner – Teik Chooi Oh, Lancashire Teaching Hospitals NHS Trust 3F Advancing education in radiography Moderator: Vivien Gibbs, Postgraduate & CPD Manager, University of the West of England UChoose. Using a virtual patient paradigm in radiology education: Case examples and evaluation – Gill Harrison, Ultrasound Programme Director, City University Hospital, London The impact of hybrid imaging technology on the nuclear medicine workforce: Understanding practitioners’ learning and development – Marc Griffiths, Head of Department, University of the West of England The flipped classroom: New innovation or an old ide? – Gill Harrison, Ultrasound Programme Director, City University Hospital, London This session will look at new educational tools and methods. A demo and evaluation of the role of virtual patients for health and social care education. Looking at the impact of introducing new imaging technology on the nuclear medicine workforce, domain ownership, professional relationships and collaboration. It will also identify the emerging training and educational needs of the ‘hybrid imaging workforce’ and explore suggested methods of learning and training within the modern nuclear medicine workforce. The “flipped classroom” will look at the notion of blended learning and the flipped classroom with examples of its use within a post graduate programme. 3G Urology 2 Moderator: Richard K.G Do, Assistant Attending Radiologist, Memorial Sloan Kettering Cancer Center Imaging of benign renal masses – Darragh Halpenny, Attending Radiologist, Memorial Sloan Kettering Cancer Centre Benign lesions on CT Urography – Nigel Cowan, Consultant Radiologist, The Manor Hospital, Oxford SP015: The role of magnetic resonance imaging in the evaluation of the acute scrotum: a contemporary review – Victoria Bonello, Epsom and St Helier NHS Trust Multi-parametric prostate MRI - Why bother? – Shonit Punwani, Senior Lecturer and Consultant Radiologist, University College London. Supported by Service delivery 15.00-16.30 CENTRAL 8 GU 15.00-16.20 CHARTER 4 16.20-17.15 3H EXHIBITION PLAN & LIST Cardiac 15.15-16.45 CENTRAL 5&6 EXHIBITOR INFORMATION PRESENTER INDEX Cardiac MRI and CT at the cardiac MDT Moderators: Stephen Harden, Consultant Radiologist, University Hospital Southampton & Roger Bury, Consultant Radiologist, Blackpool Teaching Hospitals NHS Foundation Trust Cardiac CT – James Shambrook, Consultant Cardiothoracic Radiologist, University Hospital Southampton Cardiac MRI – Ben Ariff, Consultant Cardiac Radiologist, Imperial College NHS Trust SP016: Developing the capacity and capabilities in a cardiac unit with 2 catherisation labs and a day ward – Sarah Bricknell, Inhealth Group Ltd JOIN THE CONVERSATION #UKRC2014 4C Informatics 16.15-17.45 COBDEN 4 Health informatics – Enabling effective collaboration in clinical care Moderator: Anant Patel, Radiographer, Society of Radiographers IM&T Group Best practice: An orthopaedic surgeon’s view – Anand Patel, SpR, Trauma and Orthopaedic Surgery, Royal National Orthopaedic Hospital, Stanmore Collaborative interventions and aortic dissection – Mark Bowers, Cardiac Cath Lab Service Manager, Royal Brompton and Harefield NHS Foundation Trust A healthy relationship – Stephen Lock, Senior Network Manager, National Institute for Clinical Research Allied health professionals – David Davis, Clinical Informatics Advisor, NHS England 17.00-18.00 19.30 Welcome wine reception in exhibition hall ‘Meet and Eat’ choose from local restaurants to socialise and network with colleagues VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS MSK interactive ultrasound session: Shoulder (2) Kerry Green, MSK sonographer, Plymouth Hospitals NHS Trust Places limited WORKSHOPS 16.30-17.30 COBDEN 1 16.15-17.15 CENTRAL 3&4 SATELLITE SYMPOSIA Breast 16.15-17.45 COBDEN 3 Management of increased risk Moderator: Anthony Maxwell, Consultant Breast Radiologist, University Hospital of South Manchester NHS Foundation Trust Epidemiological factors – Tony Swerdlow, Professor of Epidemiology, Institute of Cancer Research Genetic factors – Jonathan Berg, Senior Lecturer and Honorary Consultant in Clinical Genetics, University of Dundee and NHS Tayside What do we do about density? – Sarah Vinnicombe, Clinical Senior Lecturer in Cancer Imaging, University of Dundee MR and high risk screening – Liz O’Flynn, Senior Research Fellow & Consultant Radiologist, Institute of Cancer Research, The Royal Marsden NHS Foundation Trust Advanced OsiriX Hands on workshop with OsiriX Places limited POSTER LISTING 4B W5 Neuro 16.15-17.45 CHARTER 1 ePOSTER LISTINGS Advances 16.15-17.45 CENTRAL 7 Virtual clinical trial: a real prospect? Moderator: Nicholas Marshall, Medical Physics, Department of Radiology, UZ Leuven Components of the virtual chain – The task – Cédric Marchessoux, Senior Research Engineer, Barco N.V Components of the virtual chain – The detector – Alistair Mackenzie, Research Physicist, National Co-ordinating Centre for the Physics of Mammography, Royal Surrey County Hospital Components of the virtual chain – The observer – Ljiljana Platisa, Postdoctoral researcher, University of Ghent There is a buzz around virtual clinical trials. This session will describe why the idea arose, what is involved, implementation and evaluation. Spinal conditions Moderator: Amit Herwadkar, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Imaging of the post-operative spine – Amit Herwadkar, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Spinal lesions: What should I look for other than degenerative disc disease? – Charles Romanowski, Consultant Neuroradiologist, Sheffield Teaching Hospital Marrow disorders: An overview of a complex subject – Naomi Winn, Consultant Radiologist, Central Manchester University Hospital NHS Foundation Trust EDUCATION ON STANDS 4A Refreshment break, exhibition and poster viewing 4D EXHIBITION PLAN & LIST 16.15-16.30 Diagnostic support provided by Radiology departments has a far reaching effect within healthcare institutions. Here, we examine how best to collaborate between consumers of radiology services as well as other healthcare professionals to provide tangible benefits to patients. EXHIBITOR INFORMATION 15.15-16.15 COBDEN 1 SP017: A complete audit cycle demonstrating improvement in the detection of left atrial appendage thrombus using cardiovascular CT (CCT) – Chris Pavitt, Royal Brompton and Harefield NHS Foundation Trust Fully booked FRCR Tutorial 2 Small intimate general FRCR viva teaching with an experienced FRCR tutor 9 PRESENTER INDEX MONDAY PROGRAMME EXHIBITOR INFORMATION 6F CENTRAL 7 6D 8B 7G CENTRAL 8 Student Advances: The radiographer pixel’s journey session CENTRAL 7 7F Refreshment break CENTRAL 5&6 Paediatrics: Post mortem imaging 7A 8C CHARTER 1 CENTRAL 7 COBDEN 3 8A BAMRR session INTERACTIVE CHARTER 4 Gynaecology and oncology 7B COBDEN 4 Informatics: Advanced PACS functionality 8F COBDEN 4 7H Informatics: PACS and RIS procurement and replacement 7E COBDEN 3 Intervention: Trauma SOLD OUT CENTRAL 3&4 W10 CENTRAL 3&4 W9 Workstation Advanced OsiriX (6) CENTRAL 3&4 W8 Workstation Cardiac CENTRAL 3&4 W7 Lower limb (2) COBDEN 1 COBDEN 1 FRCR Tutorial 4 COBDEN 1 FRCR Tutorial 3 COBDEN 1 Workstation MSK Chest: CXR interactive ultrainterpretation sound session CENTRAL 3&4 W6 Workstation Introduction to OsiriX (5) Workstation Head and neck Paediatrics: Film viewing CHARTER 4 8G CHARTER 2&3 7C CHARTER 1 6C Head and neck: Imaging Congress Dinner, Hosted by AXrEM, ticket only - Paediatrics: 8D 8E Interdisciplinary MSK: SD: Advances: session Diagnostic Patient-focused Personal CENTRAL 5&6 spine radiology monitoring for department eye dose CHARTER 2&3 CHARTER 1 Chest: Thoracic trauma 7D CHARTER 2&3 SCOR William Stripp Memorial Lecture Fiona Mellor CHARTER 2&3 SCOR Welbeck Memorial Lecture Anna Van der Gaag COBDEN 3 6B Exhibition opens Trauma: Major Neuro: Brain trauma imaging tumours Refreshment break COBDEN 4 5F Informatics: PACS, Vendor Neutral Archive and beyond MSK interactive ultrasound session Lower limb (1) 08:30 08:45 09:00 Exhibition opens at 09.30 09:15 Satellite 9 09:30 Satellite 10 Siemens 09:45 SCOR EXHIBITION EXHIBITION 10:00 LECTURE LECTURE THEATRE 1 THEATRE 2 10:15 10:30 Satellite 12 Satellite 11 10:45 Healthcare Toshiba 11:00 Software EXHIBITION 11:15 Solutions LECTURE THEATRE 2 11:30 EXHIBITION LECTURE 11:45 THEATRE 1 12:00 12:15 12:30 12:45 13:00 13:15 Satellite 13 13:30 Carestream 13:45 Health 14:00 Satellite 14 EXHIBITION Philips 14:15 LECTURE THEATRE 2 14:30 EXHIBITION LECTURE THEATRE 1 Satellite 15 14:45 Xograph 15:00 EXHIBITION 15:15 LECTURE THEATRE 2 15:30 15:45 16:00 16:15 16:30 16:45 17:00 Exhibition closes at 17.30 17:15 17:30 19.00 10 CHARTER 4 CENTRAL 8 Obstetrics and Gynaecology: Pelvic pain Refreshment break CENTRAL 5&6 Education for the History session 6E next generation CENTRAL 7 Paediatrics: CHARTER 2&3 papers Non accidental CENTRAL 5&6 injury and scientific session MSK: The radiograph in MSK disease EXHIBITION PLAN & LIST 6A EDUCATION ON STANDS CHARTER 4 ePOSTER LISTINGS CHARTER 2&3 POSTER LISTING Advances: IRMER Masterclass SATELLITE SYMPOSIA SD: Extending the role of the Radiographer WORKSHOPS Paediatrics: Trauma imaging WEDNESDAY SESSIONS MSK: Cervical spine trauma TUESDAY SESSIONS TUESDAY 10 JUNE MONDAY SESSIONS 5E VICE PRESIDENTS & WORKING PARTY 5D INFORMATION 5C PROGRAMME 5B WELCOME 5A VENUE PLAN PRESENTER INDEX 08:30 08:45 09:00 09:15 09:30 09:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 13:00 13:15 13:30 13:45 14:00 14:15 14:30 14:45 15:00 15:15 15:30 15:45 16:00 16:15 16:30 16:45 17:00 17:15 17:30 19:00 The UK Radiological Congress TUESDAY AT A GLANCE JOIN THE CONVERSATION #UKRC2014 Service delivery 08.30-10.00 CENTRAL 5&6 Extending the role of the radiographer Moderator: Jeanne Scolding, Consultant Radiographer, Great Western Hospital NHS Foundation Trust Developing and running a radiographer-led angiography service – David Parker, Interventional Radiographer, University Hospitals Birmingham NHS Foundation Trust Developing a radiographer-led HSG service – Roy Craven, GI & HSG Advanced Practitioner, Manchester Royal Infirmary Radiographer-led Cardiac CT imaging – Karen Reid, Senior Radiographer, Norfolk and Norwich University Hospitals NHS Foundation Trust SP018: Implementing a radiographer–led lithotripsy service – Sally Hodgkins, Mid Yorkshire Hospitals NHS Trust This session will look at further developments in radiographer role extension outside of the traditional areas such as reporting. It will look at how these services have developed and the scope for additional services that can be provided by the profession. W6 Introduction to OsiriX Hands on workshop with basic introduction to OsiriX Places limited Informatics 09.00-10.30 COBDEN 4 09.00-10.00 CENTRAL 3&4 VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS PACS, Vendor Neutral Archive and beyond Moderator: Neelam Dugar, Consultant Radiologist, Doncaster and Bassetlaw Hospitals NHS Foundation Trust Building a multi-specialty enterprise VNA –Store images and documents (XDS based) – Dominic Kirkman, Lead Healthcare Solution Architect, Perceptive Software Sharing images and documents between Enterprise VNAs – Using IEP and XDS standards – Dave Harvey, Managing Director, Medical Connections Ltd Electronic referral and report exchange between GP surgeries and hospitals using the XDS Architecture – Sven Pippel, Product Manager, Forcare The NHS PACS Replacements are incorporating Enterprise VNA architecture for multi-specialty storage of images and documents. The session will look at how we can use the same standard to share images and documents with other hospitals and also with GP surgeries. TUESDAY SESSIONS 5F WEDNESDAY SESSIONS MSK interactive ultrasound session: Lower limb (1) Kerry Green, MSK sonographer, Plymouth Hospitals NHS Trust Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust Hifz Aniq, Consultant MSK Radiologist, Royal Liverpool Hospital Places limited WORKSHOPS 08.45-09.45 COBDEN 1 SATELLITE SYMPOSIA 5C Pelvic pain Moderator: Catriona Davies, Consultant Obstetrics Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust and Gynaecology Pelvic pain in the pregnant patient – Julia Hillier, Consultant Radiologist, Chelsea and 08.30-10.00 Westminster Hospital, NHS Foundation Trust CENTRAL 8 Endometriosis – Priya Narayanan, Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Acute pelvic pain – Ruth Williamson, Consultant Radiologist, Hammersmith Hospital A review of the causes of acute and chronic pelvic pain in different patient groups. POSTER LISTING Paediatrics 08.30-10.10 CHARTER 4 Paediatrics – Trauma imaging Moderator: Judith Foster, Consultant Radiologist, Derriford Hospital, Plymouth RCR/RCPCH intercollegiate paediatric trauma guidelines – Judith Foster, Consultant Paediatric Radiologist, Plymouth Hospitals NHS Foundation Trust Ultrasound of musculoskeletal trauma – Kate Kingston, Consultant Radiologist, York Teaching Hospitals NHS Foundation Trust Ultrasound of abdominal trauma – Maria Sellars, Paediatric Radiologist, King’s College Hospital NHS Foundation Trust CT of musculoskeletal trauma – Jeannette Kraft, Consultant Paediatric Radiologist, Leeds Teaching Hospital, NHS Trust CT of abdominal trauma – Samantha Negus, Consultant Radiologist, St George’s Healthcare NHS Trust This session will look at current NICE guidelines in paediatric trauma and the roles of both ultrasound and CT in imaging trauma. 5E ePOSTER LISTINGS 5B Advances 08.30-09.45 CENTRAL 7 EDUCATION ON STANDS MSK 08.30-09.45 CHARTER 2&3 Cervical spine trauma Moderator: Richard Hughes, Clinical Director Radiology, Stoke Mandeville Hospital Cervical spine trauma – Pearls and pitfalls – Hifz Aniq, Consultant MSK Radiologist, Royal Liverpool Hospital Thoracolumbar spine trauma – Imaging controversies – Richard Hughes, Consultant Radiologist, Buckinghamshire Healthcare NHS Trust The spinal cord in trauma – Early, subacute and late considerations – Tom Meagher, Consultant Radiologist, Buckinghamshire Healthcare NHS Trust IRMER masterclass – Training & training records requirements Moderator & Speaker: Matt Dunn, Head of Radiology Physics, Nottingham University Hospitals NHS Trust This session will bring attendees up-to-date with the latest expectations for training staff as duty holders under IRMER and what records are expected to be kept – some examples of best practice will be supplied. EXHIBITION PLAN & LIST 5A 5D EXHIBITOR INFORMATION Sunrise sessions 11 PRESENTER INDEX TUESDAY PROGRAMME The UK Radiological Congress TUESDAY PROGRAMME 12 VENUE PLAN WELCOME PROGRAMME INFORMATION Satellite 9 09.30-10.30 EXHIBITION LECTURE THEATRE 2 Siemens Maximising your capacity through efficiency – a case study Facilitator: Chris Wright, Head of CS Business Development and Support, Siemens Debbie Simmons, Key Account and Customer Business Development Manager, Siemens Alice Turner, Principal Radiographer, University Hospital of North Staffordshire Satellite 10 09.30-10.30 EXHIBITION LECTURE THEATRE 1 SCOR Publishing matters: get that research into print Julie Nightingale, Editor-in-Chief, Radiography Peer review: make your contribution Pauline Reeves, Associate Editor, Radiography VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS 6A MSK 10.00-11.30 CHARTER 2&3 WEDNESDAY SESSIONS SATELLITE SYMPOSIA The radiograph in MSK disease: Analysis and interpretation Moderator: Radhesh Lalam, Consultant Musculoskeletal Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital Degenerative, inflammatory and infectious disease – Jaspreet Singh, Consultant Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital Tumours and tumour–like conditions – Radhesh Lalam, Consultant Musculoskeletal Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital Metabolic, endocrine and marrow disease – Bernhard Tins, Consultant Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital 6B Major trauma Moderator: Mark Thornton, Consultant Radiologist North Bristol NHS Trust Paediatric trauma imaging – Caren Landes, Consultant Paediatric Radiologist, Alder Hey Children’s NHS Foundation Trust Imaging spinal trauma – Roland Watura, Consultant Musculoskeletal Radiologist, North Bristol NHS Trust Imaging head trauma – Marcus Bradley, Consultant Neuroradiologist, North Bristol NHS Trust Attendees will gain knowledge of imaging and findings in trauma to children; knowledge of major trauma to head and spine. 6C Brain tumours Moderator: Calvin Soh, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Brain tumours: Can we differentiate the types based on imaging? – Pieter Pretorius, Consultant Neuroradiologist, Oxford University Hospitals NHS Trust Neurofibromatosis Type I: What do I need to look for? – Calvin Soh, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Neurofibromatosis Type II: What must I know? – Samantha Mills, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Intervention 10.00-11.30 COBDEN 3 POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION History session Moderator: Adrian Thomas, Consultant Radiologist, Princess Royal University Hospital Marie Curie and the First World War – Adrian Thomas, Clinical Director, Radiology Directorate, South London Healthcare E W Twining 1887-1939, a Manchester radiology pioneer – Arpan Banerjee, Chairman, British Society for the History of Radiology SP019: Electro-diagnosis in WWI – Francis Duck, University of Bath SP020: A new chapter: the end of the radiology textbook – David Little, Great Western Hospitals NHS Trust SP021: The Art of Radiology – A historical perspective – Michael Jackson, British Society of History Radiology SP022: History of contributions of interventional radiology in care of oncology patients. A 50th birthday celebration – Behnam Shaygi, Peninsular Radiology Academy, Plymouth SP023: The therapeutic and diagnostic value of lymphangiography should not be overlooked – Sean McIlhone, Chelsea & Westminster NHS Trust 6E Non-accidental injury and scientific session Moderator: Amaka Offiah, HEFCE, Clinical Senior Lecturer, University of Sheffield Non-accidental head injuries – Neil Stoodley, Consultant Neuroradiologist, North Bristol NHS Trust SP024: A pictorial review of the common variants and pitfalls in cranial ultrasonography in neonates – Ajay Sahu Plymouth Hospitals NHS Trust SP025: Improving neonatal chest radiography: an evaluation of image acquisition techniques, dose and technical quality – Beverley Snaith, Mid Yorkshire Hospitals NHS Trust SP026: X-raying the limping child – how to differentiate between 4 common pathologies of paediatric hips – Bethan Holman, Western Sussex Hospitals NHS Foundation Trust SP027: Potential dose optimization in paediatric digital radiography – Richard Gould, University of Ulster 6F Education for the next generation Moderator: Maryann Hardy, Professor of Radiography and Imaging Practice Research, University of Bradford The role of education – Joy Cook, Clinical Assistant Professor, University of Southern Indiana, USA SP028: The radiology department’s role in domestic abuse – Ruth McAuley, Salford Survivors Project SP029: Service user involvement in a simulation exercise for assessing students – Sarah Naylor, Sheffield Hallam University History 10.15-11.45 CENTRAL 7 Morning sessions TUESDAY SESSIONS WORKSHOPS 6D Neuro 10.00-11.30 CHARTER 1 Paediatrics 10.30-12.00 CHARTER 4 Education 10.15-11.50 CENTRAL 5&6 PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 TUESDAY PROGRAMME Afternoon sessions 7A Paediatrics 13.30-15.15 CENTRAL 5&6 7B Paediatrics: Post mortem imaging Moderator: Neil Sebire, Professor of Paediatric Pathology, Great Ormond Street Hospital/UCL Post mortem MRI – Owen Arthurs, Consultant Paediatric Radiologist, Great Ormond Street Hospital Developing a clinical post mortem imaging service – Elspeth Whitby, Senior Lecturer, University of Sheffield The pathologist’s perspective – Neil Sebire, Consultant Histopatholgist, Great Ormond Street Hospital Aim: To give delegates an understanding of PM imaging, protocols and role of MRI in post mortem imaging and the collaborative approach required by radiologists and pathologists in post mortem imaging Gynaecology and oncology Moderator: Priya Narayanan, Consultant Obstetrics Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust and Gynaecology What I want to know before I open: A gynae-oncology surgeon’s view – Jane 13.30-15.00 Bridges, Consultant Gynae-oncologist, Royal INTERACTIVE Marsden & Chelsea and Westminster, NHS CHARTER 4 Hospitals Foundation Trust Patterns of spread: What goes where in gynae-oncology – Catriona Davies, Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Pearls and pitfalls in gynae-oncology – Julia Hillier, Chelsea and Westminster Hospital, NHS Foundation Trustt Review of gynae-oncology imaging including essential elements in guiding surgical management. Interesting cases from gynae-oncology and tips on techniques. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Fully booked FRCR Tutorial 3 Small intimate general FRCR viva teaching session with an experienced FRCR tutor MONDAY SESSIONS 12.45-13.45 COBDEN 1 TUESDAY SESSIONS SCOR William Stripp Memorial Lecture Quantitative fluoroscopy versus flexion extension radiographs of the lumbar spine - Fiona Mellor, Clinical Research Doctoral Fellow, Diagnostic Research Radiographer, Bournemouth University WEDNESDAY SESSIONS Eponymous lecture 12.45-13.30 CHARTER 2&3 WORKSHOPS MSK interactive ultrasound session: Lower limb (2) Kerry Green, MSK sonographer, Plymouth Hospitals NHS Trust Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust CENTRAL 3&4 SATELLITE SYMPOSIA 10.45-11.45 COBDEN 1 Fully booked POSTER LISTING Healthcare Software Solutions Mawell - the Scandinavian story Marc Newman, Clinical Business Manager at Healthcare Software Solutions & Alex Ryan, Mawell Cardiac Workstation ePOSTER LISTINGS Satellite 12 10.45-11.45 EXHIBITION LECTURE THEATRE 1 W8 12.30-13.30 EDUCATION ON STANDS Toshiba Imaging the previously undetected – Is it useful? Adrian Lim, Consultant Radiologist, Imperial College Healthcare NHS Trust SCOR Welbeck Memorial Lecture Perspectives on promoting professionalism: why it matters more now than ever before in healthcare - Anna Van der Gaag, Chair, Health Professionals Council EXHIBITION PLAN & LIST Satellite 11 10.45-11.45 EXHIBITION LECTURE THEATRE 2 Eponymous Lecture 12.00-12.45 CHARTER 2&3 EXHIBITOR INFORMATION 10.30-12.00 CENTRAL 3&4 Lunch sessions PRESENTER INDEX W7 SP030: Cognitive apprenticeships as a model for clinical education – Sarah Naylor, Sheffield Hallam University SP031: Proposal for a study of the reliability of the rapid reporting section of FRCR 2B – Liam McKnight, Swansea University College of Medicine SP032: Performance in the FRCR (UK) Part 2B Examination: analysis of factors associated with success – Kate Hawtin, University College Hospital, London SP033: Trainee Tracker - A novel, semiautomated IT aid for training providors – Derfel Ap Dafydd, Imperial College Healthcare NHS Trust SP034: Undergraduate radiography leadership education delivery in the UK Julie Mills, University of Exeter Fully booked Chest Workstation CXR interpretation: Identification of the clinically relevant Moderator: Andrea Owen, Consultant Radiographer, University Hospital of South Manchester NHS Foundation Trust Normal plus variants - Sue Kearney, Consultant Radiologist, Lancashire Teaching Hospitals NHS Foundation Trust Patterns of disease. Acute vs chronic - John Curtis, Consultant Radiologist, University Hospital Aintree. CXR - When to seek urgent advice - Anna Sharman, Consultant Thoracic Radiologist, Salford Royal NHS Foundation Trust Review of Quiz and moderator comments 13 The UK Radiological Congress TUESDAY PROGRAMME 14 VENUE PLAN WELCOME 7C Head and neck imaging Moderator: Elizabeth Loney, Consultant Head and Neck Radiologist, Bradford Teaching Hospitals NHS Foundation Trust Cancer of the oral cavity and oropharynx – Elizabeth Loney, Consultant Radiologist, Bradford Teaching Hospitals Post-intervention imaging – Andrew McQueen, Consultant Radiologist, Freeman Hospital, Newcastle Neck lumps – Rhodri Evans, Consultant Radiologist, Morrison Hospital, Swansea 7D Thoracic trauma Moderator: Devinda Karunaratne, Consultant Cardiothoracic Radiologist, Manchester Royal Infirmary The chest X-ray in thoracic trauma – John Howells, Consultant Thoracic Radiologist, Lancashire Teaching Hospitals NHS Foundation Trust Role of the interventional radiologist – When to seek their advice – Dare Seriki, Consultant Vascular Radiologist, University Hospital of South Manchester Chest injuries – An experience from Afghanistan – Iain Gibb, Consultant Radiologist, Royal Army Medical Corps Thoracic trauma is a diverse area in which presentation can vary greatly. Providing the right advice in a timely fashion can be lifesaving and the radiologist has a central role to play. Using examples from everyday practice and more complex trauma situations, this session aims to illustrate those features helpful to all radiologists in trauma practice and to increase confidence in diagnosis and identification of patients requiring radiological intervention Head and neck 13.30-15.00 CHARTER 2&3 PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Chest 13.30-15.00 CHARTER 1 MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Satellite 13 13.30-14.30 EXHBITION LECTURE THEATRE 2 Carestream Health Patients who attend the Cobalt Imaging Centre have access to their images online. Learn how and why Peter Sharpe, CEO, Cobalt Imaging Centre 7E Intervention trauma Moderator: Mark Thornton, Consultant Radiologist, North Bristol NHS Trust Splenic biopsy: Indications and technique – Richard Hopkins, Consultant Radiologist, Gloucestershire Hospitals Foundation Trust Fibroid embolization: Indications and technique – Dominic Fay, Consultant Radiologist, Royal United Hospital, Bath Combined open surgery and interventional radiology in complex peripheral vascular disease: indications and technique – Neil Collin, Consultant Radiologist, North Bristol NHS Trust This session will enable participants to understand the role of new interventional techniques. Intervention 13:45-15:15 COBDEN 3 7F Student radiographer session SP035: Undergraduate diagnostic radiography students’ perceptions of stress and coping in the clinical environment – Joanne Turner, University of Hertforshire SP036: CT and lumbar puncture in suspected subarachnoid haemorrhage – Sundip Udani, University of Cumbria SP037: MRI artefacts produced by transdermal piercing anchor bases. Roisin Collins, University of Exeter SP038: Should quantitative MRI sequences become part of routine imaging for Multiple Sclerosis? – Julia Repas, City University London SP039: The diagnostic value of antenatal magnetic resonance imaging in cases suspected to have Placental Adhesive Disorders (PAD). Nadia Rahaim, University of Sheffield Department of Reproduction and Developmental medicine Research in Radiography - getting started Research in Radiography - getting started – Karen Knapp, Senior Lecturer, University of Exeter This will explore ways novice researchers can develop their research and in turn develop the evidence base if radiography further. 7G The pixel’s journey Moderator: John Kotre, Consultant Clinical Scientist, The Christie NHS Foundation Trust The Connectathon: Manufacturers’ procedures for ensuring connectivity – Mark Hodgson, Senior Software Engineer, BridgeHead Software Acceptance testing of image fidelity – David Brettle, Head of Medical Physics and Engineering, Leeds Teaching Hospitals NHS Foundation Trust The Pixel’s journey: Do some get lost along the way? – John Kotre, Consultant Clinical Scientist, The Christie NHS Foundation Trust We expect that the digital image we see at the imaging modality is the same one we see at the reporting workstation, but how do we know that it is? This session examines cross-vendor connectivity in digital radiology and looks at the pixel’s journey from capture, through reporting to storage. W9 Advanced OsiriX Hands on workshop with OsiriX Places limited Satellite 14 14.00-15.00 EXHIBITION LECTURE THEATRE 1 Philips Spectral analysis Zimam Romman, Spectral Specialist, Philips Healthcare Students 14.00-15.30 CENTRAL 8 Advances 14.00 – 15.30 CENTRAL 7 14.00-15.00 CENTRAL 3&4 PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 Paediatrics 15.45-17.30 CENTRAL 5&6 Service delivery 16.00-17.30 CHARTER 1 VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Delivering a patient-focused radiology department Moderator: Victoria Brown, Vice President, Service Delivery UKRC Team working within radiology to improve patient care – The radiologists view – Susan Rowe, Consultant Radiologist and Clinical Lead for Diagnostics, Homerton University Hospital NHS Foundation Trust Team working within radiology to improve patient care – The service managers perspective – Colin West, Head of Diagnostic Services, Homerton University Hospital NHS Foundation Trust MONDAY SESSIONS 8D TUESDAY SESSIONS Interdisciplinary session Moderator: Emily Faircloth, Founding Committee Member, International Association of Forensic Radiographers Imaging suspected child abuse: The radiographer’s perspective – Elzene Kruger, Senior Radiographer, Sheffield Children’s NHS Foundation Trust Is it the radiographer’s role to restrain children when performing skeletal surveys for suspected abuse? (4 presentations) – Jacquie Vallis, Senior Lecturer of Forensic Radiography, Teesside University & Chair International Association of Forensic Radiographers WEDNESDAY SESSIONS 8B MSK 16.00-17.30 CHARTER 2&3 WORKSHOPS FRCR Tutorial 4 Small intimate general FRCR viva teaching session with an experienced FRCR tutor. Places limited Diagnostic spine Moderator: Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust Postoperative imaging of the spine - Multi modality approach – Sajid Butt, Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore Diagnostic dilemmas in the spine – Rikin Hargunani, Consultant Musculoskeletal Radiologist, Royal National Orthopaedic Hospital, Stanmore Imaging the normal and abnormal vertebral marrow – Philippa Tyler, Musculoskeletal Radiologist, Royal National Orthopaedic Hospital, Stanmore SP040: Redefining the role of magnetic resonance imaging in the axial component of seronegative spondyloarthritis – Jacob Oommen, Wrightington, Wigan & Leigh NHS Foundation Trust SATELLITE SYMPOSIA 15.15-16.15 COBDEN 1 15.45-17.15 COBDEN 3 8C 15.45-17.30 CENTRAL 3&4 POSTER LISTING 8A BAMRR - Size isn’t everything. Functional MRI and its potential applications Moderator: David Reed, BAMRR Treasurer and President Elect Functional Imaging using hyperpolarised gas – Maria Liljeroth, Research Associate, UCL Multiparametric imaging in epilepsy – Anna Barnes, Clinical Scientist, UCLH NHS Foundation Trust PET-MR; from qualitative to quantitative – Celia O’Meara Superintendent Radiographer PETMR, UCLH NHS Foundation Trust Paediatrics Workstation: Film viewing Panel: Iwan Roberts, Consultant Paediatric Radiologist, Sheffield Children’s NHS Foundation Trust Andrew Crisp, Consultant Radiologist, Gateshead Health NHS Trust After doing adult radiology, trainees often find that being in Paediatrics is a bit like being in a foreign country. Getting a bit of clinical detail makes all the difference (even if you’re not used to paeds). This session will concentrate on interpreting chest and abdominal films in babies and small infants. Group tutorial, particularly geared towards FRCR candidates, but all are welcome. Delegates will work from individual Mac workstations Places limited ePOSTER LISTINGS Xograph Stefan Wagner, Ziehm Imaging GmbH, Nuremberg, Germany W10 EDUCATION ON STANDS Satellite 15 14.45-15.45 EXHIBITION LECTURE THEATRE 2 Bella Said, Superintendent Radiographer, Great Ormond Street Hospital Faith Constantine, Lead Paediatric Radiographer, Plymouth Hospital Trust Andrea Brammer, Paediatric Radiographer, Central Manchester University Hospital NHS Foundation Trust Radiographer-led MCUG lists: Personal experience – Rebecca Ward, Senior Radiographer, Sheffield Children’s NHS Foundation Trust Aims: Provide an update on the role of radiographers in imaging suspected abuse Share experience of radiographer-led MCUG lists. Discuss the pros and cons of radiographer – led MCUG lists EXHIBITION PLAN & LIST Informatics 14.15-15.45 COBDEN 4 PACS and RIS procurement and replacement Moderator: Neelam Dugar, Consultant Radiologist, Doncaster Royal Infirmary PACS and RIS procurement—Options available – Tony Corkett, Director, Cloud 21 Ltd PACS and RIS procurement—Supply Chain Framework vs. OJEU-a Suppliers Perspective – John Victor, Bid Manager, Carestream Health Understanding contracts, understanding CCN, payment schedules and managing conflict – Richard Kerr, Legal and Technical Director, Best Practice Group plc (BPG). Exiting the national PACS contracts— Progress to date – Moira Crotty, PACs Programme Manager, HSCIC The Extended LSP contract for PACS and RIS will expire soon. Choosing the right route of procurement is important for Trusts. OJEU procurement and Supply Chain Frameworks will be discussed. Understanding the importance of a well written contract, role of CCNs and payment schedules and managing conflict is key. PACS Managers, PACS project managers and radiologists will find this very useful. EXHIBITOR INFORMATION 7H 15 PRESENTER INDEX TUESDAY PROGRAMME The UK Radiological Congress TUESDAY PROGRAMME 16 VENUE PLAN WELCOME Team working within radiology to improve patient care – Data review – Nicholas Woznitza, Reporting Radiographer, Homerton University Hospital NHS Foundation Trust This session will look at the role that team working plays in the delivery of a patientfocused radiology service. The role of the radiologist and service manager will be reviewed as well as analysis of the data collected over a three year period. PROGRAMME INFORMATION 8E Advances 16.00-17.30 CENTRAL 7 VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Personal monitoring for eye dose Moderator: Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust Units of eye dose for personal monitoring – David Rawlings, Clinical Scientist, Freeman Hospital, Newcastle Estimating eye dose from collar dose in cardiology – Elaine Holt, Senior Cardiac Radiographer, University Hospital of South Manchester Experimental measurements relating collar and eye dose – Bethany Howard, Clinical Scientist Cambridge University Hospitals NHS Foundation Trust Effectiveness of commercial eye protection 1 – David Rawlings, Clinical Scientist, Newcastle-upon-Tyne NHS Foundation Trust Effectiveness of commercial eye protection 2 – Conor Clancy, Medical Physicist, The Christie NHS Foundation Trust 8F Advanced PACS functionality Moderators: Anant Patel and Alexander Peck, Society and College of Radiographers National data sharing with XDI, initial results – Steve Jessop, Product Marketing Manager, Sectra Burnbank What’s new in PACS? A UK round up – Brandon Bertolli, Agency Radiographer and PACS Administrator Dose monitoring - Latest developments, clinical benefits – Ian Judd, Product Manager, Sectra Dose monitoring - Progress towards National DRLs (update) – Mike Battin, Chief Operating Officer, PACShealth LLC This informational session explores the relatively new features and functionality available in modern imaging applications. 8G Head and neck update Moderator: Rhian Rhys, Consultant Radiologist, Royal Glamorgan Hospital Benign sinonasal disease – Rhian Rhys, Consultant Radiologist, Royal Glamorgan Hospital Inflammatory disease of the middle ear – Steve Connor, Consultant Neuroradiologist, King’s College Hospital Necrotising otitis externa – Julian Kabala, Consultant Radiologist, University Hospitals Bristol NHS Foundation Trust Congress Dinner, hosted by AXrEM – ‘A Midsummer Night’s Dream’ The Monastery Ticket only - Sold out Informatics 16.00-17.30 COBDEN 4 Head and neck 16.00-17.30 CHARTER 4 19.00 WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX C ALL FOR PAPER S JOIN THE CONVERSATION #UKRC2014 Submission deadline: Friday 12 December 2014 PROGRAMME 17 WORKSHOPS EXHIBITION PLAN & LIST www.ukro.org.uk EXHIBITOR INFORMATION AND INSPIRATION PRESENTER INDEX INNOVATION EDUCATION ON STANDS ePOSTER LISTINGS POSTER LISTING De Vere at Ricoh Arena, Coventry 8 – 10 0 Ju June, 2015 SATELLITE SYMPOSIA A 3-day National Radiation and Oncology Conference WEDNESDAY SESSIONS TUESDAY SESSIONS MONDAY SESSIONS VICE PRESIDENTS & WORKING PARTY INFORMATION PROGRAMME WELCOME VENUE PLAN www.ukro.org.uk ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION CENTRAL 8 Refreshment break COBDEN 3&4 9D Informatics: Emergency night time teleradiology 10E CENTRAL 5 10D CHARTER 1 10F 11B CHARTER 4 CENTRAL 6 ROC Research GI: Giles Boland Hepatobiliary and and pancreatic David Pilling imaging 11A CHARTER 1 12B SD: The big debate! Errors in diagnostic radiology are caused by poor image quality COBDEN 3&4 IPEM John Mallard Eponymous Lecture Wade Allison CENTRAL 7 CENTRAL 8 11D Refreshment break Informatics: 10G Radionuclide eRequesting – molecular and Pushing back the boundaries hybrid COBDEN 3&4 imaging II 10B Refreshment break CENTRAL 5 CENTRAL 8 Congress closes Advances: Chest: Lung 11E BMUS Radionuclide adenocarcinoma ultrasound CENTRAL 7 molecular and imaging hybrid developments imaging III 11C CHARTER 4 Advances: Interventional radiology 10A CHARTER 2&3 10C CENTRAL 6 SMRT Educational session Closing plenary: The impact of the Francis Report on diagnostic imaging Educational and regulatory implications - Julie Nightingale and Never events? How the NHS can learn from aviation - Trevor Dale CENTRAL 7 MSK: The Intervention SD: Service Perioperative proffered improvement knee papers session workshop CHARTER 1 POSTER LISTING 12A SATELLITE SYMPOSIA GI: Advances: RPS Radionuclide 9F Gastrointestinal SD: MRI and masterclass molecular and imaging CENTRAL 6 hybrid imaging I case studies CENTRAL 3&4 W14 Workstation Liver MRI: Half-day workshop CENTRAL 3&4 W13 Workstation Advanced OsiriX (8) CENTRAL 3&4 W12 MSK COBDEN 1 FRCR Tutorial 6 MSK interactive ultrasound session Upper limb (2) COBDEN 1 COBDEN 1 FRCR Tutorial 5 COBDEN 1 Workstation interactive ultraIntroduction to sound session Upper limb (1) OsiriX (7) CENTRAL 3&4 W11 Workstation Diffuse lung disease Exhibition closes at 15.00 Exhibition opens at 09.30 08:30 08:45 09:00 09:15 09:30 09:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 13:00 13:15 13:30 13:45 14:00 14:15 14:30 14:45 15:00 15:15 15:30 15:45 16:00 16:15 16:30 16:45 17:00 17:15 18 MSK: Shoulder imaging WORKSHOPS CHARTER 1 WEDNESDAY SESSIONS CHARTER 4 TUESDAY SESSIONS MSK: Bone tumours MONDAY SESSIONS WEDNESDAY 11 JUNE VICE PRESIDENTS & WORKING PARTY 9E INFORMATION 9C PROGRAMME 9B WELCOME 9A VENUE PLAN PRESENTER INDEX 08:30 08:45 09:00 09:15 09:30 09:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 13:00 13:15 13:30 13:45 14:00 14:15 14:30 14:45 15:00 15:15 15:30 15:45 16:00 16:15 16:30 16:45 17:00 17:15 The UK Radiological Congress WEDNESDAY AT A GLANCE JOIN THE CONVERSATION #UKRC2014 Emergency night time teleradiology in the NHS (8pm to 8am) Moderator: Neelam Dugar, Consultant Radiologist, Doncaster Royal Infirmary Night emergency scans—types of scans requested at night. Qualification, skills and training required for reporting these scans – Giles Maskell, Consultant Radiologist, President of Royal College of Radiologists Understanding the limitations of teleradiology. Preserving daytime radiology delivered by local hospital radiologists – Nicola Strickland, Consultant Radiologist, Imperial College Healthcare NHS Trust Technology required to deliver a regional night-time teleradiology hubs in NHS – Shannon Werb, Chief Information Officer, vRad, Virtual Radiologic Clinical governance and quality processes around night-time emergency teleradiology – Stephen Davies, Medical Director, Medica Reporting Informatics 08.30-10.00 COBDEN 3&4 Diffuse lung disease, as an incidental finding, is seen with increasing frequency as thoracic CT is more widely used in modern high resolution scanners. It is important that general radiologists have an understanding of diffuse lung disease and are able to recognise characteristic patterns of abnormality. This workshop provides lectures and cases for review on individual workstations. The lectures will show how to interpret lung HRCT and demonstrate the various patterns of abnormality seen in diffuse lung disease. Cases on individual workstations give the opportunity to practice lung HRCT interpretation with the guidance of the tutors. The aim of the session is to increase confidence in diagnosis when reporting. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS 9D Advances 08.30-09.30 CENTRAL 6 WORKSHOPS RPS masterclass – Personal monitoring & co-operation of employers Moderator & Speaker: Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust This session will bring attendees up-to-date with the latest expectations for systems to monitor staff dose including performance measures, eye dose and issues around staff who work at multiple employers. 08.30-10.00 CENTRAL 3&4 SATELLITE SYMPOSIA 9C W11 POSTER LISTING GI 08.30-10.00 CHARTER 1 Gastrointestinal imaging Moderator: Niall Power, Consultant Radiologist, Royal Free London NHS Foundation Trust Ultrasound of the peritoneum and mesentery – Antony Higginson, Consultant Radiologist, Portsmouth Hospitals NHS Foundation Trust CT of the peritoneum and mesentery – Katie Planche, Consultant Radiologist, Royal Free London NHS Foundation Trust Imaging of the acute abdomen in the immunocompromised patient – Thomas Westwood, Consultant Radiologist, The Christie NHS Foundation Trust Molecular and Hybrid Imaging I 08.30-09.30 CENTRAL 8 BNMS & BIR joint symposium on radionuclide molecular and hybrid imaging Organisers: Sarah Allen & Gopinath Gnanasegaran (On behalf of BNMS/ BIR) Moderator: Sai Han, Consultant in Nuclear Medicine & PET/CT, NHS Greater Glasgow & Clyde SPECT/CT applications in oncology – Sai Han, Consultant in Nuclear Medicine & PET/ CT, NHS Greater Glasgow & Clyde PET/CT in neuroendocrine tumours – Shaunak Navalkissoor, Consultant in Nuclear Medicine, Royal Free London NHS Foundation Trust Cardiac PET imaging with rubidium – Siva Muthu, Consultant in Nuclear Medicine at Manchester Royal Infirmary Fully booked Diffuse lung disease – What the general radiologist needs to know Moderator: Mary Roddie, Consultant Radiologist, Imperial College Healthcare NHS Trust Lung anatomy and basic patterns of abnormality - Mary Roddie, Consultant Radiologist, Imperial College Healthcare NHS Trust Interstitial fibrosis, sarcoidosis, Lymphangitis and Metastases - Sue Kearney, Consultant Radiologist, Lancashire Teaching Hospital Trust, Chorley Review of cases - Sue Kearney, Mary Roddie and Stuart Mellor, Consultant Thoracic and General Radiologist, East Lancashire Hospitals NHS Trust Emphysema, cystic lung disease, PCP and TB - Stuart Mellor, Consultant Thoracic and General Radiologist, East Lancashire Hospitals NHS Trust Review of cases - Sue Kearney, Mary Roddie and Stuart Mellor ePOSTER LISTINGS 9B 9E EDUCATION ON STANDS MSK 08.30-10.00 CHARTER 4 Bone tumours Moderator: Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust Cystic lesions of the bone - Current concepts, diagnostic approach and management – Sajid Butt, Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore Tumour mimics and tumour-like lesions of the bone – Rikin Hargunani, Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore Postoperative imaging following bone tumour surgery - Multi-modality approach – Philippa Tyler, Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore EXHIBITION PLAN & LIST 9A Teleradiology is being used extensively in the NHS, particularly for night-time emergencies. This development has been ad-hoc and patchy. The purpose of this session is to review how the NHS could look into regional night-time teleradiology whilst preserving day-time services delivered by local radiologists. EXHIBITOR INFORMATION Sunrise sessions 19 PRESENTER INDEX WEDNESDAY PROGRAMME The UK Radiological Congress WEDNESDAY PROGRAMME 20 VENUE PLAN WELCOME 9F MRI case studies Moderator: Maryann Hardy, Professor of Radiography and Imaging Practice Research, University of Bradford Magnetic resonance imaging and thermal injury – Joy Cook, Clinical Assistant Professor, University of Southern Indiana, USA MRI case studies and patient safety – Ken Catchpole, Director of Surgical Safety and Human Factors, Cedars Sinai Medical Centre, Los Angeles Plenary 10.15-11.15 CHARTER 2&3 Closing plenary session: The impact of the Francis Report on diagnostic imaging Welcome – Iain Lyburn, President, UKRC Educational and regulatory implications – Julie Nightingale, Director of Radiography and Occupational Therapy, School of Health Sciences Never events? How the NHS can learn from aviation – Trevor Dale, Human Factor Specialist, Atrainability Ltd W12 Introduction to OsiriX Hands on workshop with basic introduction to OsiriX 10.45-11.45 COBDEN 1 MSK interactive ultrasound Fully booked session: Upper limb (1) Priya Suresh, Consultant Radiologist, Plymouth Hospitals NHS Trust Service delivery 08.45-09.45 CENTRAL 7 PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS 10.45-11.45 CENTRAL 3&4 GP eRequesting - An acute trust’s perspective of implementing – Martin Boyda, IT Programme Manager, Doncaster and Bassetlaw Hospitals eRequesting - Out in the community – Christopher Lund, Radiology Clinical Information Systems Manager, Blackpool Teaching Hospitals NHS Foundation Trust Non-medical referrers – Nicholas Taylor, Senior Radiographer, Great Western Hospitals NHS Foundation Trust Electronic requesting has long been available to clinicians in the hospital environment; now, the boundaries for the reach of eRequesting are being pushed back to include Community Care, GP surgeries and non-medical staff. Here we discuss how implementing eRequesting beyond the confines of hospital walls is best undertaken, and share experiences from those who have done so. This session will be followed by an update on the NHS eReferral Service (the new Choose and Book) from Anant Patel who is the Society and College of Radiographers representative on the Stakeholder Design Council. TUESDAY SESSIONS 10C SMRT 11.30-13.00 WEDNESDAY SESSIONS CENTRAL 6 Morning sessions WORKSHOPS 10A SATELLITE SYMPOSIA Advances 11.30-13.00 CHARTER 4 POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST 10B EXHIBITOR INFORMATION Informatics 11.30-13.00 COBDEN 3&4 Interventional radiology: Technological advances Moderator: Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust Advances in image processing - Dominic Siewko, Philips Healthcare New tubes and detectors and their role in changing the dose/IQ balance – Philipp Bernhardt, Principal Physics Consultant, Siemens AG Healthcare sector Recent developments in IEC and DICOM standards – Annalisa Trianni, PhD, Udine University Hospital MITA – Initiatives from across the pond – Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust This session will update attendees with the latest technology (both hardware and software) being deployed in the field of interventional radiology. PRESENTER INDEX eRequesting – Pushing back the boundaries Moderator: Alexander Peck, Information Systems Manager, Royal Brompton & Harefield NHS Foundation Trust GP eRequesting - Towards the paperless goal Mohmed Patel, PACS Manager, Homerton University Hospital NHS Foundation Trust 10D MSK 11.45-13.15 CHARTER 1 Educational session The International Society for Magnetic Resonance in Medicine British Chapter Moderator: Muriel Cockburn, Superintendent Radiographer, NHS Highland SMRT, Educational session Fetal MRI, technical considerations and clinical use – Vanessa Orchard, Lead Radiographer MRI, Golden Jubilee National Hospital, Glasgow MRI practice educator: A new role for clinical MRI departments in Glasgow – Jacqueline Pursey, MRI Practice Educator, NHS Greater Glasgow & Clyde, Western Infirmary, Glasgow MR artefacts: Who wants to be MRillionaire? – Nina Salman, Chief Superintendent Radiographer, Birmingham University Imaging Centre The peri-operative knee Moderator: Adam Mitchell, Consultant Radiologist Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius The plain film in the peri-operative knee – Benjamin Roberton, Consultant Musculoskeletal and Interventional Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Imaging of the post-operative meniscus – Adam Mitchell, Consultant Radiologist Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius Image-guided intervention of the postoperative knee – Monica Khanna, Consultant Musculoskeletal Radiologist, Imperial College Healthcare NHS Trust JOIN THE CONVERSATION #UKRC2014 Molecular and Hybrid Imaging II 11.45-13.00 CENTRAL 8 W13 Advanced OsiriX Hands on workshop with OsiriX Places limited 12.45-13.45 COBDEN 1 Fully booked FRCR Tutorial 5 Small intimate general FRCR viva teaching session with an experienced FRCR tutor. 12.15-13.15 CENTRAL 3&4 MSK interactive ultrasound session: Upper limb (2) Priya Suresh, Consultant Radiologist, Plymouth Hospitals NHS Trust 11C Advancing technologies – Ultrasound imaging developments Moderator: Pamela Parker, Ultrasound Manager, Hull and East Yorkshire Hospitals NHS Trust Contrast enhanced ultrasound – Its role in the characterisation of incidental liver lesions – Tim Hoare, Consultant Radiologist, Royal Victoria Infirmary and Freeman Hospital, Newcastle The role of contrast-enhanced ultrasound in the paediatric patient – Maria Sellars, Consultant Paediatric Radiologist, King’s College Hospital NHS Foundation Trust Elastography in liver disease and the decline of the liver biopsy – Ounali Jaffer, Consultant Radiologist, Barts Health NHS Trust The aim of this session is to present new guidance and technologies which are being introduced in to modern everyday ultrasound practice and the impact this will have on service delivery. The use of contrast-enhanced ultrasound should be inherent in all imaging departments. The presentations in this session will explore the benefits for your Advances BMUS 14.15-15.45 CENTRAL 5 VENUE PLAN WELCOME PROGRAMME 14.00-15.00 COBDEN 1 14.00-16.30 CENTRAL 3&4 INFORMATION Liver MRI Workshop Intensive half-day OsiriX based hands-on workshop for Liver MRI Places limited VICE PRESIDENTS & WORKING PARTY W14 GI 14.00-15.30 CHARTER 4 MONDAY SESSIONS Hepatobiliary and pancreatic imaging Moderator: Dominic Yu, Consultant Radiologist, Royal Free London NHS Foundation Trust MRI of benign and malignant focal liver lesions – Nicholas Woodward, Consultant Radiologist, Royal Free London NHS Foundation Trust MRI pancreas and MRCP – Zahir Amin, Consultant Radiologist, University College Hospital London When HPB tumours recur – David White, Consultant Radiologist, University Hospital Aintree TUESDAY SESSIONS 11B Research 14.00-15.30 CENTRAL 6 WEDNESDAY SESSIONS ROC research session Moderator: Iain Lyburn, President, UKRC Research perspectives from the USA – Giles Boland, Professor of Radiology, Harvard University, USA Does the National Research Ethics Service (NRES) work? - A committee member’s view – David Pilling, Retired Paediatric Radiologist WORKSHOPS 11A SATELLITE SYMPOSIA 10G BNMS & BIR joint symposium on radionuclide molecular and hybrid imaging ii Moderator: Ranju Dhawan, Consultant Radiologist, Imperial College Healthcare NHS Trust & Tara Barwick, Consultant Radiologist, Honorary Clinical Senior Lecturer, Imperial College Healthcare NHS Trust Potential applications of non-FDG PET tracers – Sue Chua, Consultant Radiologist and Nuclear Medicine Physician, The Royal Marsden NHS Foundation Trust Orthopaedic applications of SPECT/CT – Ranju Dhawan, Consultant Radiologist & Consultant Nuclear Physician, St Mary’s Hospital PET/CT in radiotherapy planning – Vineet Prakash, Consultant Radiologist and Nuclear Medicine, Ashford and St Peter’s Hospital Trust Afternoon sessions POSTER LISTING Service delivery 11.45-13.15 CENTRAL 7 IPEM John Mallard Memorial Lecture Radiation safety reassessed – Wade Allison, Emeritus Professor of Physics, University of Oxford ePOSTER LISTINGS 10F Eponymous lecture 13.15-14.00 CHARTER 1 EDUCATION ON STANDS 11.45.-13.00 CENTRAL 5 Lunch sessions EXHIBITION PLAN & LIST INTERVENTION Intervention proffered papers session Moderator: William Torreggiani, Professor of Radiology, Tallaght Hospital, Dublin SP041: Eye doses within interventional radiology – Stephanie Dobson, Aintree University Hospital SP042: Nasogastric tube placement following the introductions of NPSA guidelines – Kevin Flintham, The Mid Yorkshire Hospitals NHS Trust SP043: An inter/intra-observer variability study of identifying the cavo-atrial junction (CAJ) on chest radiographs (CXR) – Sara Meredith, Royal Liverpool University Hospital SP044: Inferior vena cava filter insertion and retrieval, a twelve year experience – Syed Mustafa, University Hospital of Wales, Cardiff SP045: Percutaneous radiofrequency ablation of small renal masses: The Wales experience – M Z Aslam, Department of Urology, Royal Gwent Hospital, Newport Fully booked Service improvement workshop Moderator: Lesley Wright, Quality Improvement Consultant, Lesley Wright Improvement Ltd Service Improvement session utilizing a variety of practical methods to review capacity and demand to enable departments to review workload and maintain flow. To understand what is needed to ensure there is capacity to run services 7 days a week and what are the barriers to flow Peter Gray, National Improvement Lead, NHS Improving Quality Carole Smee, National Improvement Lead, NHSIQ EXHIBITOR INFORMATION 10E 21 PRESENTER INDEX WEDNESDAY PROGRAMME The UK Radiological Congress WEDNESDAY PROGRAMME 22 VENUE PLAN WELCOME patients in developing this service. In addition elastography is widely replacing liver biopsy procedures in specialist centres. The final presentation explores the benefits of this new technique that can be employed in any centre dealing with chronic liver disease. PROGRAMME 11D Chest 14.15-15.45 CENTRAL 7 INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS 11E WORKSHOPS Molecular and Hybrid Imaging III 14.30-16.15 CENTRAL 8 SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS 15.15-16.15 COBDEN 1 Lung adenocarcinoma - The radiological implications of the new classification Moderator: John Howells, Consultant Thoracic Radiologist, Royal Preston Hospital Epidemiology and the changing face of lung cancer – Richard Booton, Consultant Respiratory Physician, University Hospital, South Manchester, NHS Foundation Trust The radiological workup – Nick Screaton, Consultant Cardiothoracic Radiologist, Pappworth & Addenbrookes Hospital Radiological-pathological correlation. Case reviews – John Curtis, Consultant Radiologist, University Hospital Aintree & Keith Kerr, Consultant Pathologist, NHS Grampian Pathology, Aberdeen Royal Infirmary The aim of this session is to review the new international histopathological classification of lung adenocarcinoma. To understand the radiological patterns seen with the new subtypes and to be aware of what radiologists should be offering to clinicians and how this will benefit patient care. BNMS & BIR joint symposium on radionuclide molecular and hybrid imaging iii Moderator: Sai Han, Consultant in Nuclear Medicine & PET/CT, NHS Greater Glasgow & Clyde & Rizwan Syed, Consultant Radiologist and Nuclear Physician, UCL Institute of Nuclear Medicine Hybrid imaging of bone metastases – Gary Cook, Professor, King’s College, London The use of Choline PET/CT in prostate cancer imaging – Tara Barwick, Consultant Radiologist and Nuclear Medicine Physician, Imperial College London Potential applications of PET/MRI: an overview – Rizwan Syed, Consultant Radiologist and Nuclear Physician, University College London Hospital PET/CT in infection – Nagabhushan Seshadri, Consultant in Nuclear Medicine, Royal Liverpool Hospital Fully booked FRCR Tutorial 6 Small intimate general FRCR viva teaching session with an experienced FRCR tutor. 12A Shoulder imaging Moderator: Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust US shoulder: Pearls and pitfalls – Stephen Davies, Consultant Radiologist, Royal Glamorgan Hospital MRI shoulder: Troubleshooting the cuff and instability – Phil Hughes, Consultant Radiologist, Plymouth Hospitals NHS Trust Shoulder imaging: But not impingement or instability! – Priya Suresh, Consultant Radiologist, Plymouth Hospitals NHS Trust 12B The big debate! This house believes that errors in diagnostic radiology are caused by poor image quality Chair: Ken Catchpole, Research Psychologist, Cedars-Sinai Medical Centre, Los Angeles Proposing the motion – Beverly Snaith, Radiographer, Mid Yorkshire Hospitals NHS Trust and Nicholas Spencer, Consultant Radiologist, Mid Yorkshire Hospitals NHS Trust Opposing the motion – Maryann Hardy, Professor of Radiography, University of Bradford and Richard Robinson, Radiologist, Mid Yorkshire Hospitals NHS Trust MSK 15.45-17.15 CHARTER 1 Service delivery 15.45-17.15 COBDEN 3&4 17.15 Congress closes EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 CONGRESS INFORMATION Badge colour coding: Speakers and Moderators green strip (aqua lanyard) Vice Presidents and Working Party members burgundy strip (aqua lanyard) Exhibitors and exhibitor delegates navy strip (navy lanyard) Satellite speakers yellow strip (navy lanyard) Emergencies In the event of an emergency, please contact Profile Productions’ or venue staff. Evaluation In our bid to support sustainable events an email will be sent to you with a direct link to an online congress evaluation. All your comments are greatly valued and feedback plays an important part of the congress planning for future years. Exhibition The exhibition opens at 09.30 every day and closes at the following times: Monday 9 June 18.00 Tuesday 10 June 17.30 15.00 Paying delegates aqua strip (aqua lanyard) Wednesday 11 June Day visitors orange strip (purple lanyard) Organisers purple strip (aqua lanyard) Volunteers pink strip (aqua lanyard) The exhibition is an integral part of this congress and the support of all the organisations at the event is greatly appreciated. Please take your time to visit the stands which are located in Central Hall. Certificates of attendance Certificates will be emailed to delegates within two weeks of the congress taking place. The certificate will reflect days attended and number of CPD points awarded. Cloakroom There is a cloakroom for general use in the main foyer; this service is provided at no cost to participants. Additional space will be made available for luggage on Wednesday. The cloakroom is attended by a member of MCC staff at all times. However, please note that items are left at your own risk. Hearing loop Should you require this service please visit the registration desk so we can ensure it is in place for sessions you are attending. Internet access UKRC is offering delegates access to a free Wi-Fi service throughout the venue. You should be able to logon easily via your browser. WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS In the interest of security, please make sure that your name badge is clearly visible at all times during the congress. If you lose your badge, please report immediately to the registration desk where you will be issued with a replacement. Please remember to bring your badge with you each day of the congress as this will help reduce the need to reprint any badges. You are also kindly asked to recycle your badge and badge holder at the end of the congress. This popular initiative provides delegates and exhibition day visitors with an opportunity to gain an insight into the latest technologies and methods. Some exhibitors will provide short educational activities of 10-15 minutes on their stands. Many of these have CPD accreditation and can be used to add to your CPD portfolio. Please go to page 122 or see the conference app for the full Education on the stands programme. TUESDAY SESSIONS Badges Education on the stands WEDNESDAY SESSIONS The free congress app is available for download by visiting the app store on your device and searching for UKRC2014. If you are using an iPad, please ensure you search for iPhone apps only. The app contains all the information in this handbook so you can access everything you need to know about the congress at any time, easily and quickly. WORKSHOPS A full list of participants is available from the registration desk. App SATELLITE SYMPOSIA Delegate list POSTER LISTING Presentations from the congress will be available to download from www.ukrc.org.uk after the congress (subject to agreement by speakers). ePOSTER LISTINGS Admission to congress sessions is strictly by badge only. Please ensure you are in your seat at least five minutes prior to the start of each session and that phones or other electronic devices are switched off or turned to silent. Congress presentations EDUCATION ON STANDS Admission to congress sessions EXHIBITION PLAN & LIST Congress sessions will take place throughout the MCC. Staff will be at hand to direct you to your chosen sessions. Please refer to the programme pages and the venue plan located at the front of this guide for room details and locations. EXHIBITOR INFORMATION Congress sessions Manchester Central is fully accessible by wheelchair to all public areas by ramp or lift. If you have any special access requirements or require any assistance please contact a member of the organising team or any member of the MCC staff. PRESENTER INDEX Access VENUE PLAN 23 The UK Radiological Congress CONGRESS INFORMATION 24 VENUE PLAN WELCOME PROGRAMME Lunch Security Congress delegates (paying): Complimentary lunch is included in the price of your congress ticket. Your delegate wallet contains a lunch voucher for each of the days you are registered. Please note it is not possible to reprint your catering vouchers if lost or misplaced. Lunch will be served daily between 11.30-14.30 from various catering points within the exhibition hall. You can redeem your voucher at any of the catering points. In the interests of security, venue staff will be located around the conference centre. Should you wish to report anything, please contact venue staff or a member of the conference team at registration. INFORMATION Exhibition only visitors and exhibitors: Refreshments and lunch are available on a cash basis from various points inside the exhibition hall. Lunch can be purchased at catering points A or C. There is a designated speaker preview room and lounge in the Cobden suite just off the main foyer. Speakers are kindly asked to visit the preview room at least two hours prior to their session to upload their presentations and check it through with the technical team. Refreshments will be available. Student volunteers VICE PRESIDENTS & WORKING PARTY First aid Should a delegate require any medical assistance they should contact any member of the MCC or Profile Productions staff, who will be able to help. Thank you to a number of students from local universities who have kindly volunteered to assist at the congress. Along with the organising staff from Profile Productions, they are there to assist you with any queries that you may have during your time at the congress, they can be identified by the UKRC t-shirts. MONDAY SESSIONS All food is locally and responsibly sourced. Speaker preview and lounge Poster presentations Twitter TUESDAY SESSIONS WEDNESDAY SESSIONS Posters will be on display in the poster areas in the exhibition hall for the duration of the congress; please show your support for your colleagues by spending time reviewing their work. Authors and presenters will be present to answer any questions in the poster sessions during refreshment breaks. Please refer to the poster section in this guide for full details of all the presentations. WORKSHOPS ePosters can be viewed on the computer consoles located in the ePoster area within the exhibition hall, next to the Toshiba mobile unit. Prayer room Delegates are strongly encouraged to exchange ideas, debate, chat and send comments to #UKRC2014 during the congress. Social events Welcome reception The wine reception will be held in the exhibition on Monday 9 June from 17.00-18.00. All delegates are invited to attend and to take the opportunity to meet with exhibitors and other delegates over a glass of wine. SATELLITE SYMPOSIA POSTER LISTING The MCC does not have a dedicated prayer room but, if you do need to use a quiet space during the conference to pray, we have allocated a room for your use. Please speak to the registration staff who will direct you. Meet and eat Refreshments Restaurants include; Akbar’s restaurant, Albert Square Chop House, Per Tutti and Ocean Treasure. ePOSTER LISTINGS Complimentary refreshments will be served in the exhibition hall during the refreshment breaks indicated on the programme. There are a number of points available so please use them all to avoid congestion. EDUCATION ON STANDS Registration desk EXHIBITION PLAN & LIST If you have any enquiries please make your way to the registration desk in the main foyer where staff from Profile Productions will be at hand to answer any questions or concerns that you may have. Official opening times are as follows: EXHIBITOR INFORMATION Sunday 8 June 16.00 – 19.00 Monday 9 June 07.30 – 19.00 Tuesday 10 June 08.00 – 19.00 Wednesday 11 June 08.00 – 17.30 An open invitation to join other delegates at your choice of recommended local restaurants to network and socialise. For further details visit the MCC Concierge in the main foyer who will assist you. UKRC Congress dinner hosted by AXrEM SOLD OUT The 2014 Congress Dinner is kindly hosted by AXrEM (the UK trade association representing the interests of suppliers of diagnostic medical imaging, radiotherapy, healthcare IT and care equipment in the UK).The dinner is being held at Manchester’s magnificent gothic Monastery which is Pugin’s architectural masterpiece and is on the list of the 100 most endangered sites in the world. The congress dinner includes a Champagne reception, followed by dinner, music and unique entertainment. Dress code: Lounge suits/cocktail dresses. PRESENTER INDEX Coaches: If you are attending please meet on the main forecourt outside the MCC at 19.00 when first coaches will be departing. JOIN THE CONVERSATION #UKRC2014 IPEM has around 4000 members in the UK and overseas. Benefits of membership include a free CPD scheme, discounts on conference fees and publications, bursaries and prizes, access to job vacancies, a wide support network at every stage of career progression, and use of designatory letters for most categories of membership as recognition of professional standing. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS IPEM achieves these aims by: Improving standards in clinical practice Providing leadership and advice on scientific and engineering issues in healthcare to other healthcare professionals, government and the public Organising conferences and meetings to stimulate research and innovation, and to disseminate its results Publishing four influential scientific journals, specialised reports, a quarterly magazine and a fortnightly newsletter Supporting clinical scientists and technologists in their practice through education and training Supporting the development of high quality healthcare in other countries SATELLITE SYMPOSIA The Institute of Physics and Engineering in Medicine (IPEM) is dedicated to bringing together physical science, engineering and clinical professionals in academia, healthcare services and industry to share knowledge, advance science and technology and inform and educate the public with the purpose of improving the understanding, detection and treatment of disease and the management of patients. POSTER LISTING The College of Radiographers is the charitable subsidiary of the Society of Radiographers, the membership body for some 26,000 radiographers, other professionals in clinical imaging and radiation oncology and students and trainees. The society provides, through an annual subscription, a full range of services, including professional indemnity, workplace support, CPD management and support through CPD Now and Imaging and Therapy Practice, a comprehensive monthly news magazine, Synergy News and many other benefits. Like all charities, The College of Radiographers exists for public benefit, with objects directed towards education, research and other related activities. A major initiative to support research in radiography is the Industry Partnership Scheme, which now has 23 partners. Jointly, The Society and College work towards raising standards across the spectrum of clinical imaging, radiotherapy, oncology practice and education, providing a comprehensive approval and accreditation programme for all pre and post-registration education provision. Technical and professional guidance, a comprehensive website, publications, journals (including and the internationally acclaimed peer reviewed journal Radiography), seminars and conferences are examples of just some of the benefits available to each and every member of the Society of Radiographers. ePOSTER LISTINGS With origins dating back to 1897, the BIR is a registered charity and not-for-profit membership organisation. Based in London, it is governed by and for its members. EDUCATION ON STANDS Through a dynamic range of outputs such as scientific meetings, conferences, peer-reviewed journals and regional and online networks, the Institute fosters respect and understanding between doctors, scientists and people of business, and seeks to create a wider appreciation of the importance of partnerships. EXHIBITION PLAN & LIST We provide opportunities for forward-looking people with an interest in radiology and radiation oncology to exchange ideas and gain new perspectives on technologies and treatments. EXHIBITOR INFORMATION The BIR is a multidisciplinary membership organisation connecting radiology professionals and industry at all levels, focusing on “where science meets medicine” for the benefit of the patient. 25 PRESENTER INDEX CONGRESS PARTNERS The UK Radiological Congress VICE PRESIDENTS AND WORKING PARTY 26 VENUE PLAN Clinical Informatics WELCOME Neelam Dugar and Anant Patel PROGRAMME Anthony Maxwell, Maryann Hardy, John Curtis INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Vice Presidents, Clinical The team working on the clinical streams have put together a very comprehensive programme covering almost every body system and modality. All delegates will find that there is a wide range of sessions to attend. We aimed to provide days with various themes – there will be a choice of attending all sessions in a particular specialty and also ‘mixing and matching’ between sessions of various subspecialist interests. Some topics/lectures are very specific; others are more general for those requiring a background update or introduction. TUESDAY SESSIONS During the three days of the conference there are over 30 clinical sessions encompassing 9 imaging subspecialties; in addition to traditional lectures there will be sessions with the opportunity to participate in interactive voting on various cases, observe multidisciplinary team meeting scenarios and review cases with an expert on Osirix workstations. WEDNESDAY SESSIONS WORKSHOPS We are delighted with the numerous high quality speakers who have agreed to deliver lectures and get involved in interactive sessions. It is not unlikely that there will be a number of occasions when you feel spoilt for choice! We hope enjoy engaging in the conference having an enjoyable and educational experience. SATELLITE SYMPOSIA POSTER LISTING Working Parties: Breast: Sarah Vinnicombe; Cardiac: Stephen Harden; Chest: Sue Kearney; GI and hepatobiliary: Niall Power; Uroradiology: William Torreggiani; MSK: Phil Hughes; Neuroradiology: Calvin Soh; Paediatrics: Amaka Offiah; Gynaecology/Obstetrics: Julia Hillier; Intervention and trauma: Mark Thornton; Head and Neck; dental and maxillofacial: Julian Kabala Service delivery ePOSTER LISTINGS Victoria Brown EDUCATION ON STANDS for change. Vice President, Service Delivery This year has seen some significant changes within the NHS and we have worked hard to provide a program that is well rounded to meet the needs of radiology whilst acknowledging the need EXHIBITION PLAN & LIST EXHIBITOR INFORMATION We have followed on from some of the themes from last year with a dedicated session around commissioning in radiology and will be building on previous topics including patient engagement and service improvement. We hope you will take home some new techniques and ideas which can be implemented in your places of work. We look forward to welcoming you to Manchester Central and hope you enjoy the programme. PRESENTER INDEX Working party: Vivien Gibbs, Andy Beale, Jeanne Scolding Vice Presidents, Imaging Informatics This year a number of exciting topics are being covered in the informatics stream of UKRC 2014. On Monday we will cover how technology can be optimised for multi-disciplinary and discrepancy meetings, which are environments of shared learning. We will also discuss effective collaboration between radiology departments and other healthcare staff and service providers. With PACS replacements taking place throughout UK, on Tuesday, we will look at Procurement options and strategies, and also the Vendor Neutral Archive concepts which are becoming very much a part of the PACS replacement projects. On Tuesday we will be discussing current and upcoming advanced functionality of PACS and highlighting what additional features are available in the current and next generation of PACS, including a digest of recent developments. Following this, on Wednesday expanding electronic requesting (Ordercomms) beyond the traditional boundaries will be discussed. Emergency night-time teleradiology discussions also on Wednesday is very topical considering the new 7day working being pushed from Bruce Keogh. In addition, as part of the Plenary Session on Monday, Dr Giles Boland will be discussing errors in Radiology and will touch on the informatics aspects too. Working Party: Alexander Peck, Dave Harvey, Mark Griffiths Advances in technology Sarah Allen Vice President, Advances in technology The Advances in technology stream may have a new VP but the programme for Manchester 2014 builds on the successes of previous years. Once again, UKRC will host a series of masterclass in the service delivery stream for delegates on the application of IRR and IRMER legislation in their area of practice. For the RPS there are two classes; the first on the topics of personnel monitoring and employer cooperation and a second on QA and handover systems. A third masterclass will be on training and training record requirements for IRMER. The advances stream runs seven sessions for 2014 covering topics on Quality control in the digital era, virtual clinical trials, eye dose monitoring, issues around advances in interventional radiology and the pixel’s journey looking at the possible technical issues when data is transferred through a PACS system. The British Medical Ultrasound Society (BMUS) will be organising a session concentrating on the advances in practice around contrast enhanced ultrasound including the application of NICE guidelines in this area. The Advances in technology stream aims to inspire delegates by presenting cutting edge ideas in technology whilst appreciating the issues and practical solutions to the introduction of new techniques and changes in practice. The sessions will be varied and cover a wide range of techniques and modalities relevant to the radiological Congress audience. As Vice President for Advances in Technology, I look forward to my first year as the VP and welcoming you to Manchester. Working party: Andy Rogers, John Kotre, Nick Marshall JOIN THE CONVERSATION #UKRC2014 Prof A Jones, President, BIR Dr D Wilson, President Elect, BIR Sponsorship of lanyards Ms J Fowler, General Secretary, BIR Dr S Keevil, President, IPEM Ms R Cook, Chief Executive, IPEM Sponsorship of concurrent session 3G “Urology 2” speaker Shonit Punwani Ms P Black, President, SCOR Mr R Evans, Chief Executive SCOR and Marketing support Mrs E Beckmann, Exhibition support Mr I Wolstencroft, Finance Officer, ROC Thanks to the Radiology Department at University of Aintree for their time and the loan of 20 iMacs for the OsiriX workstation and interactive viewing sessions Mr C McCaffrey, Chairman, AXrEM Radiology and Oncology Events Ltd (ROCE) Mr P Sharpe, Chairman, ROC Dr S Mathers, Secretary, ROC VENUE PLAN WELCOME Dr J Kotre, Treasurer, ROC PROGRAMME Dr S Mathers, Secretary, ROC INFORMATION Mr P Sharpe, Chairman, ROC VICE PRESIDENTS & WORKING PARTY Sponsorship of delegate bags Radiology and Oncology Congresses (ROC) board MONDAY SESSIONS The UKRC Organising Committee would like to thank the following organisations for kindly supporting this event: 27 TUESDAY SESSIONS ACKNOWLEDGEMENTS Prof I Lyburn, Congress President, UKRC 2014 Prof A Beavis, President, UKRO 2015 WEDNESDAY SESSIONS Dr J Kotre, Treasurer, ROC Conference organisers Mr R Evans, Director, ROCE Mr I Wolstencroft, Honorary Finance Officer, ROCE WORKSHOPS Mrs E Beckmann, Director, ROCE UKRC Programme Committee Prof I Lyburn, President UKRC 2014/2015 Dr N Dugar, Vice President, Imaging Informatics Mr A Patel, Vice President, Imaging Informatics Mrs V Brown, Vice President, Service Delivery Dr M Hopper, Scientific Poster Coordinator Mr A Peck, Information Systems Manager, Royal Brompton & Harefield NHS Foundation Trust EDUCATION ON STANDS Dr J Curtis, Vice President, Clinical EXHIBITION PLAN & LIST Prof M Hardy, Vice President, Clinical EXHIBITOR INFORMATION Dr A Maxwell Vice President, Clinical ePOSTER LISTINGS Ms S Allen, Vice President, Advances in Technology PRESENTER INDEX Exchange Plaza, 58 Uxbridge Road, London, W5 2ST Tel: 020 3725 5840 Fax: 0844 507 0578 www.profileproductions.co.uk POSTER LISTING Profile Productions Ltd SATELLITE SYMPOSIA Mr C McCaffrey, Chairman, AXrEM The UK Radiological Congress MONDAY ABSTRACTS AND BIOGRAPHIES 28 VENUE PLAN MONDAY 9 JUNE WELCOME Morning sessions 1A PROGRAMME MSK 09.00-10.00 The 3 ‘R’s of arthritis Moderator: Richard Whitehouse, Consultant Musculoskeletal Radiologist, Manchester Royal Infirmary INFORMATION Imaging assessment of synovitis VICE PRESIDENTS & WORKING PARTY Imaging assessment of synovitis: This talk will concentrate on the different modalities for assessing synovitis, including ultrasound, MRI and nuclear medicine. The indications for imaging will be discussed, with typical examples, including inflammatory disorders such as rheumatoid arthritis through to proliferative synovial disease such as PVNS. Naomi Winn 1B Cardiac 09.00-10.00 MRI Moderator: Roger Bury, Consultant Radiologist Blackpool Teaching Hospitals NHS Foundation Trust The radiographers’ approach to CMR Chris Lawton Superintendent Cardiac MRI Radiographer., University Hospitals Bristol NHS Foundation Trust After qualifying as a diagnostic radiographer in 1999, Chris gained employment at the Bristol Royal Infirmary Radiology department where he remains today. He developed an interest in cross sectional imaging and became a senior radiographer in CT and MRI. Chris completed two Postgraduate Certificates in MRI/CT. MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Consultant Musculoskeletal Radiologist, Central Manchester University Hospital NHS Foundation Trust Naomi completed SpR training in the Northern Deanery, followed by a Fellowship in Musculoskeletal Radiology at the University of Alberta Hospital, Edmonton, Canada. She is currently employed as a Consultant Radiologist at Manchester Royal Infirmary. In 2009 the Bristol Heart Institute opened its doors for the first time, and Chris was appointed the Cardiac MR Superintendent of the brand new Biomedical Research Unit. Since then the department has grown substantially and we have now developed into a busy clinical and research Cardiac MR department, performing nearly 2500 examinations per year. He is a member of the SCMR technologist committee and has moderated sessions at the annual SCMR conferences in the USA. In addition Chris has lectured at the last two European CMR conferences. Extra-articular musculoskeletal manifestations of rheumatological disease CMR in ischaemic heart disease SATELLITE SYMPOSIA Objectives and Learning points: Aetiology and pathology of tendon, ligament and muscle disorders seen with arthritides eg tensosynovitis, enthesitis, calcinosis, morphea, bursitis. Awareness of presentation and imaging of extrarticular disease. Understanding of when and how to image POSTER LISTING Jonathan Harris ePOSTER LISTINGS EDUCATION ON STANDS Consultant Musculoskeletal Radiologist, Salford Royal NHS Foundation Trust Jonathan Harris has been a Consultant MSK Radiologist at the Salford Royal since 2003; Honorary Senior Lecturer, University of Salford; MSK Fellow, University of Toronto 2002. Imaging features of seronegative arthropathies EXHIBITION PLAN & LIST Sarah Jackson EXHIBITOR INFORMATION PRESENTER INDEX Consultant Musculoskeletal Radiologist, Salford Royal NHS Foundation Trust Sarah Jackson is a Consultant Musculoskeletal Radiologist with an interest in sports injury, working at Salford Royal Hospital. Following postgraduate Radiology training in Manchester, she undertook further musculoskeletal subspecialty training as the Clinical Radiology Fellow at the Nuffield Orthopaedic Centre in Oxford, before returning to Manchester as a consultant in 2001. Cardiac Magnetic Resonance (CMR) has an important role in the investigation and management of ischaemic heart disease (IHD) by being able to answer accurately key questions. These being ventricular function, viability and ischaemia? Cine MRI is the gold standard for evaluating ventricular `function and volumes, in addition is considered the gold standard for viability by using late gadolinium imaging to accurately assess the transmural extent of infarction, and therefore able to predict functional recovery of dysfunctional myocardium in patients after MI. Stress perfusion MRI allows detection of subendocardial ischaemia with superior diagnostic accuracy. CMR also has an increasing role in the management of acute coronary syndrome, by being able to characterise the pathophysiology of acute myocardial infarction. Risk stratification, reperfusion injury, prognosis, and also efficacy of treatment strategies can be assessed with CMR. Swamy Gedela Consultant Cardio-thoracic Radiologist and Cardiac MRI Director, Essex Cardiothoracic Centre Dr Gedela is a Consultant Cardiothoracic Radiologist at the Essex Cardio-thoracic Centre. He is Clinical Lead for cardio-thoracic imaging and the Cardiac MRI Director. He received his medical training at Barts and the London Medical school, and after general radiology training performed a cardiac and thoracic imaging JOIN THE CONVERSATION #UKRC2014 University of Bradford The aim of this presentation is to share our experience of using an “AnatomageTM table” (interactive anatomy dissection table) and other interactive technologies in the teaching of anatomy to undergraduate radiography students. An underpinning knowledge of anatomy is considered to be a fundamental part of the practice of diagnostic radiography across all imaging modalities. The HCPC standards of proficiency for radiographers and the College of Radiographers Career Development framework both require radiographers to have a detailed knowledge of anatomy. Changes are taking place in the presentation of anatomy to students. Use of diagrams and drawings are now being superseded by more technological displays which facilitate interaction and permit the students to visualise anatomy in three dimensions. The recent establishment of the “AnatomageTM” table that offers life-size, interactive anatomy visualisation has given the teaching team a new way of displaying and teaching anatomy. The potential benefits of using developing technology is that anatomy teaching could be made more dynamic and enable the student to develop an understanding of complex anatomical relationships and how this is represented in medical imaging. We surveyed the attitudes of undergraduate students to the new “Anatomage table TM” and to other techniques used to teach anatomy. This paper will outline the interactive technologies used to teach undergraduate radiography students and an evaluation of their perceived benefits. Content: Our educational objectives and outcomes were identified by educators and radiologists, and are based upon guidelines from the Anatomical Society and the RCR. These outcomes were compared with undergraduate problem based learning objectives and edited to reflect those that could be taught using imaging. Fourteen students were purposively sampled to take part in six teaching sessions delivered between January and March 2013. Each session was two hours long, providing didactic teaching followed by facilitated learning using OsiriX. Outcomes: The pilot was assessed by regular feedback surveys. The majority of students rated the overall quality of each session as ‘outstanding’ (range: 62 – 93%). However, our first session highlighted that class interaction needed development. We achieved this with the addition of an OsiriX-based tutorial to transition between lecture and facilitated learning. Discussion: Our results demonstrate that an OsiriX-based module is a valued, practical method of teaching anatomy and radiology. Our study will be used to drive a special study module for second year medical students. Further assessment will form part of a proposal to extend this method of teaching to all students. James Chambers School of Medicine, University of Liverpool James Chambers is an ST1 Radiology Registrar from Mersey. He completed his postgraduate medical degree at the University of Warwick. During his medical studies he demonstrated anatomy to various healthcare professionals and spent his summers creating anatomical prosections. At the end of medical school he secured an academic foundation programme in education at Aintree University Hospital. Whilst working VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Jamie Beck, Steve Boynes School of Medicine, University of Liverpool; Aintree University Hospitals NHS Foundation Trust Aims: The UK undergraduate medical curriculum places emphasis on preparing students for the practicalities of working as a junior doctor. OsiriX allows users to navigate the body in various imaging modalities – developing practical skills whilst improving anatomical and radiological knowledge. This pilot study evaluates the use of an OsiriXbased module to teach anatomy and radiology in terms of feasibility, acceptability and educational impact. TUESDAY SESSIONS SP001: Can new technology revitalize the teaching of anatomy in diagnostic radiology department? James Chambers, Dhivya Paravasthu; Laszlo Pazmany; John Earis; Vikram Jha; John Curtis WEDNESDAY SESSIONS Moderator: Nicholas Ridley, Clinical Lead & Consultant Radiologist, Great Western Hospitals NHS Foundation Trust SP002: Creating an OsiriX based radiological anatomy module: practicalities and value WORKSHOPS Revitalising the teaching of anatomy in radiology departments SATELLITE SYMPOSIA Service Delivery 09.00-10.00 POSTER LISTING 1C ePOSTER LISTINGS Bradford. EDUCATION ON STANDS Steve is a Senior Lecturer in Diagnostic Radiography at the University of EXHIBITION PLAN & LIST University of Bradford Jamie Beck is a Lecturer in Diagnostic Radiography at the University of Bradford. EXHIBITOR INFORMATION Jamie Beck fellowship at Papworth Heart and Lung hospital. His clinical area of expertise is cardiac and thoracic imaging, particularly cardiac MRI and cardiac CT. He set up and pioneered the Essex CTC CMR unit providing Cardiac MRI for 5 referring trusts, and is currently going through further rapid expansion. He has a firm interest in developing training and education in cardiac and thoracic imaging. 29 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress MONDAY ABSTRACTS AND BIOGRAPHIES 30 VENUE PLAN WELCOME as a junior doctor he was awarded an honorary contract at the University of Liverpool where he facilitates problembased learning and demonstrates anatomy. He has worked closely with educators and radiologists to develop and trial a radiological anatomy module with great success. PROGRAMME Back from the Dead – Anatomy re-vitalised 1E Trainees 09.00-10.00 Trainee radiologists session Moderator: Caroline Parkin, Breast Radiology Fellow, University Hospital of South Manchester INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Medical Student, Radiographer and Radiologist training requires the acquisition of a significant amount of anatomy knowledge. Traditional plain films and barium studies have been useful for many years to aid understanding in the dissection room. Newer techniques, such as CT with 3D formatting are revolutionising the teaching of anatomy. Pimping your CV Cadaveric CT and MR with anatomical section comparison provide ideal teaching material. Traditional dissection techniques may be partly replaced by computerised ‘virtual dissection’. In turn cadaveric specimens may provide a safe way of learning radiographic and interventional radiology techniques without patient risk. ‘Living’ anatomy may be seen in real time on ultrasound. Radiologists with their expert knowledge of anatomy are in an ideal position to be anatomy demonstrators. A structured rotation through anatomy will benefit both departments and the undergraduates they teach. Subhasis Basu Sundip Dhanvant Udani Radiology Registrar, North Western Deanery To do a Fellowship or not? Musculoskeletal Radiology Fellow, Chelsea & Westminster Hospital Getting a Consultant job Andy Counsell Consultant Uroradiologist, Stepping Hill Hospital Less than full time training Diana Rossof -Williams RCR JRF National LTFT Representative TUESDAY SESSIONS Nicholas Ridley WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Clinical Lead & Consultant Radiologist, Great Western Hospitals NHS Foundation Trust Nick Ridley trained at the Godfrey Huggins School of Medicine in Zimbabwe. He subsequently trained as a Radiologist at Northwick Park, London and in Auckland New Zealand. He is currently a Consultant Radiologist at the Great Western Hospital Swindon. He has been involved in undergraduate education for many years and is currently the Undergraduate Lead for Radiology at the University of Bristol. 1F Informatics 09.00-10.00 CPD informatics session for radiographers Introduced for 2014, one-hour sessions organised and led by SoR IM&T Committee members Alexander Peck and Anant Patel, these sessions aim to provide a ‘light’ introduction to informatics for Radiographers and Students. Bringing together the basics of the field, together with current hot-topics in the profession and an update from the SoR IM&T group, come and learn more about PACS - the dark-art speciality of Imaging! Anant Patel POSTER LISTING 1D ePOSTER LISTINGS Advances 09.00-10.00 RPS masterclass – QA & handover systems EDUCATION ON STANDS This session will bring attendees up to date with the latest expectations for systems for QA of equipment, handover to and from engineers and issues around co-operation of employers. Matt Dunn EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Head of Radiology Physics, Nottingham University Hospitals NHS Trust Matthew Dunn is currently the Head of Radiology Physics at Nottingham University hospitals NHS Trust. He is a radiation protection adviser to a range of NHS and independent healthcare providers and a medical physics expert in diagnostic radiology. He has a research interest in the physics and clinical application of computed tomography. Radiographer, Society of Radiographers IM&T Group Anant Patel is a Diagnostic Radiographer experienced in general and cross sectional radiography, clinical governance and radiation protection. He is now working primarily in informatics as a project manager, business analyst, and subject matter expert, for a number of hospitals. He is currently working clinically at University Hospitals Coventry and Warwickshire on their staff bank. He also represents the Society of Radiographers as and when required for informatics most recently of the Choose and Book replacement now known as the NHS e-Referral Service, sat previously on the clinical risk and safety board working with the national patient safety agency. Alexander Peck Information Systems Manager, Royal Brompton & Harefield NHS Foundation Trust Alexander Peck qualified as a Diagnostic Radiographer, Alexander began working JOIN THE CONVERSATION #UKRC2014 Research Psychologist, Cedars-Sinai Medical Centre, Los Angeles Ken Catchpole is a Research Psychologist and human factors practitioner who seeks to understand and improve human performance in healthcare. His work with the Ferrari racing team on improving handoffs was adopted internationally by hospitals and quality improvement organisations as far away as Dubai and Sao Paulo, and was exhibited in the Science Museum in London, and he has also pioneered work in surgical safety, teamwork, and human-centered systems design at hospitals in the UK, Netherlands, Norway, Australia, New Zealand and the USA. Error in radiology: How to reduce it and deliver better patient outcomes Error pervades medicine and radiological services, despite recognised guidelines and best practices. Most error results from variation and idiosyncratic practices and is not confined to image interpretation. Overall, patient outcomes are therefore undermined. This lecture will use the concept of the imaging value chain to highlight points of error in the radiological work process and propose that each link in the value chain should be addressed so as to minimize error. It Morning sessions 2A Neuro 11.30-12.45 Neuro imaging updates Moderator: Julian Kabala, Consultant Radiologist, University Hospitals Bristol Multiple sclerosis: An imaging update to complement immunosuppressive therapy In the past few years a number of new immunosuppressive treatments have been licensed for use in multiple sclerosis. In this talk the typical MRI appearances of MS lesions in the brain and spinal cord will be revised together with a description of more unusual imaging presentations. The role of MRI in diagnosis will also be reviewed together with the information that MRI can provide on prognosis. The efficacy of Interferons and newer treatments such as oral agents and monoclonal antibodies in different MS clinical phenotypes will be discussed as well the limitations to their use consequent on side effects. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Ken Catchpole POSTER LISTING Human factors (or ergonomics) is the science of understanding the interactions between humans and systems, and the application of that knowledge for improved safety, performance and well being. It helps us understand why errors happen, and how we might address them. Many attempts in healthcare to understand the causes of errors and accidents, and the subsequent interventions to reduce them, have focused on direct changes in human behaviour, which can be expensive, unreliable and frequently unsuccessful. Ken will illustrate how application of human factors engineering principles may provide a far greater range of possibilities to reduce errors and improve performance and safety. ePOSTER LISTINGS Welcome - Iain Lyburn, President, UKRC Human factors and errors in healthcare – generic issues Professor of Radiology, Harvard Medical School,and Vice Chair, Department of Radiology, Massachusetts General Hospital, Boston, USA Giles Boland is Professor of Radiology at Harvard Medical School and Vice Chair of the Department of Radiology at the Massachusetts General Hospital (MGH), Boston. He received his medical training at the University of London and is Board Certified in Internal Medicine and Radiology. He has been at the Massachusetts General Hospital since 1992. He has numerous roles both within the Department of Radiology and with Hospital leadership. As Vice Chair for Business Development he has built a number of entrepreneurial programs within the Department, including The Radiology Consulting Group (providing national and international best practice expertise in Radiology), the Drug Development program, Teleradiology and one of the largest academic outpatient operations in the country. He is also the Physician leader for Network Development at the Massachusetts General Hospital, responsible for clinical and managerial integration with regional and national hospitals affiliated with MGH. His clinical area of expertise is within abdominal imaging, interests in liver and the pancreas, and particularly the adrenal gland. His current interests lie in the delivery of best practices with a focus on IT tools to enhance quality, safety, compliance, efficiency and customer satisfaction. As such, he is currently on the ACR Imaging 3.0 task force whose agenda is to steer the practice of radiology towards the delivery of imaging appropriateness, quality, safety, efficiency and customer satisfaction. He has been on a number of other ACR task forces and is a current Board Member of the Society of Abdominal Radiology. EDUCATION ON STANDS 10.15-11.15 Opening plenary session: Errors in Radiology Giles Boland EXHIBITION PLAN & LIST Plenary is only by comprehensively evaluating the whole radiological work process that error can be reduced with the goal of optimising patient outcomes through radiology’s prime output, the “actionable” report. EXHIBITOR INFORMATION with informatics in 2006 as a Senior Radiographer at the North West London Hospitals NHS Trust. Moving to the Royal Brompton & Harefield NHS Foundation Trust in 2010 as Information Systems Manager, he is also the Director of a medical informatics consultancy firm and organiser of nonprofit training for Radiographers and PACS Professionals in HL7, DICOM, ITIL & PRINCE2 across the country. Alexander promotes the education of Radiographers widely and continues to champion a research based approach to further developing the better integration of informatics into clinical practice. 31 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress MONDAY ABSTRACTS AND BIOGRAPHIES 32 VENUE PLAN Marcus Likeman WELCOME PROGRAMME INFORMATION Consultant Neuroradiologist, North Bristol NHS Trust Marcus Likeman is a Consultant Neuroradiologist at North Bristol NHS Trust, he has a paediatric interest and spends an equal amount of time at the Bristol Royal Hospital for Children. His main areas of interest are imaging for the adult and paediatric epilepsy surgery programs, dementia and CNS inflammatory disease, paediatric neuro-oncology, neonatal imaging and fetal MRI. VICE PRESIDENTS & WORKING PARTY Advanced imaging techniques in neuroradiology: What I can use? This talk will briefly review use of ‘advanced’ MRI techniques in clinical practice, through a series of illustrative cases. The emphasis will be on how the application of these techniques can help in problem solving in everyday clinical cases. MONDAY SESSIONS Rob Dineen TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Consultant Neuroradiologist, Nottingham University Hospitals NHS Foundation Trust Rob Dineen is a Consultant Neuroradiologist at the Queen’s Medical Centre, and Clinical Associate Professor at the University of Nottingham. He underwent clinical radiology training and neuroradiology subspecialisation in the East Midlands. He completed his PhD in 2008, in which he used diffusion tensor imaging to study mechanisms of cognitive impairment in multiple sclerosis. Rob’s research interest is the application of neuroimaging techniques to characterise pathophysiological mechanisms in neurological diseases. Advances in diagnostic imaging in stroke SATELLITE SYMPOSIA Iris Grunwald POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Anglia Ruskin and Southend University Hospital Iris Grunwald studied Medicine in Germany and did her residency training in Neurology and Radiology at the Saarland University, where she became Co-Director of the Department for Diagnostic and Interventional Neuroradiology. She obtained her PhD in Radiology and Neuroradiology and a Degree in Health Economics and Hospital Management. Prof. Grunwald has published more than 100 peerreviewed papers and several book chapters, mainly in the field of neurointervention. She has specific expertise in procedures such as intracerebral intra-arterial fibrinolysis and thrombectomy for emergency stroke therapy and intracranial angioplasty and stenting. Iris has an international reputation in implementing acute stroke interventions and has been involved with research projects related to building and enabling acute stroke interventions regionally within the Saarland, nationally within Germany as well as internationally as European Principal Investigator in international clinical trials related to revascularisation in acute stroke. In 2009 she transferred to Oxford and ran her international research projects from Oxford University, the Trust and the National Institute of Health Research. Prof. Grunwald is the Chief Investigator of “SOS”- A study of Survival and outcome after Stroke and “TASTE”- Thrombectomy in an Advanced Stroke Trial Evaluation, and the author of the book “How to set up an Acute Stroke Service”. Iris Grunwald was appointed Director for Neuroscience and Medical Affairs at Anglia Ruskin University and has joined Southend University Hospital to implement an acute Neurovascular Stroke service. Iris strongly believes in an interdisciplinary approach to ischemic stroke treatment and runs conferences and hands-on training course on catheter interventions and interventional stroke treatment. SP003: Structural MRI findings in prodromal schizophrenia – A meta-analysis Patrick Duffy, Thomas Frodl; William Torreggiani Tallaght Hospital Trinity College, Dublin Objectives: To perform a meta-analysis on literature pertaining to structural MRI findings in prodromal stages of schizophrenia Content: 63 papers involving structural MRI of persons at risk of schizophrenia were identified and a meta-analysis was carried out comparing findings in different regions of interest. We show where there is concordance and where discrepancies exist in the literature. Relevance: Many people who develop schizophrenia first experience prodromal symptoms, such as auditory hallucinations or a marked change in psychological function. Recent studies in populations at high risk of developing schizophrenia have shown structural brain changes in a number of anatomical areas. Interestingly these have differed from the classical structural brain changes seen in schizophrenia (reduced amygdalar and hippocampal volumes, increased ventricle size). However the results reported have not been consistent. Discussion: This meta-analysis was carried out to clarify the structural brain changes that have been reported so far in the literature, and focused on structural MRI findings in persons experiencing prodromal symptoms of schizophrenia. Structural imaging could potentially give valuable diagnostic and prognostic information and assess response to treatment. It could also help us to understand why some people who experience prodromal symptoms go on to develop frank psychosis while others do not. However at present the role of imaging as a clinical tool in schizophrenia and its prodromal stages remains unclear. Patrick Duffy Tallaght Hospital, Dublin Patrick Duffy is a newly-qualified graduate of Trinity College Dublin School of Medicine. He is currently working at Tallaght Hospital, Dublin. MSc. in Neuroscience and has an interest in neuroimaging. JOIN THE CONVERSATION #UKRC2014 Andy Beale Commissioning in radiology Consultant Radiologist, The Great Western Hospital The NHS is at a watershed moment. The demography of society is changing and many more people are living with multiple long term conditions. I believe the future of the NHS depends upon increasing the role of the Generalist both in the community and at the interface with secondary care. Increasing the role of out of hospital care is an essential component in the sustainability of the NHS. What do GPs actually do and how do we get their direct access to radiological diagnostics right? Tim Ballard Vice Chair, Royal College of General Practitioners Tim Ballard is a GP Trainer in rural Wiltshire. He is a nationally elected member of RCGP Council and has been the RCGP Sustainability lead for the last 5 years. He was recently elected to be Vice Chair of RCGP Council with a portfolio addressing issues in the wider healthcare system including sustainability and commissioning. Kenneth Young Head of NCCPM, Royal Surrey County Hospital Ken Young is Consultant Physicist in charge of the National Co-ordinating Centre for the Physics of Mammography in Guildford since 1990, and Visiting Professor of Medical Physics at the University of Surrey since 2006. He has played a leading role in developing the technical standards for mammography in the UK and Europe with publications which include: Radiation doses in mammography; Risk and benefit analysis for mammographic screening; Optimisation of mammographic image quality and radiation dose; Measurements of breast composition; Standards and performance of digital mammography; Objective assessment and clinical relevance of image quality; Simulation of mammographic imaging and Digital breast tomosynthesis. VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS The transition from analogue to digital imaging of the breast using X-rays has introduced new ways of imaging the breast including traditional 2D projection imaging of the compressed breast i.e. X-ray mammography (XRM); digital breast tomosynthesis (DBT) and contrast enhanced spectral mammography (CESM). The question addressed in this presentation is how we ensure that this equipment is optimal. For XRM it is important to choose the right equipment and select sufficient radiation dose. Observer studies have shown that calcification detection is quite sensitive to the dose level used. Simple test objects using aluminium squares are an effective means of ensuring sufficient image quality across a range of breast thickness. The process of optimising DBT and CESM is less well developed and research to do this is on-going. The approaches being developed to optimise DBT and CESM will be described. WORKSHOPS XRM: DBT and CESM SATELLITE SYMPOSIA Moderator: Iain Lyburn, President, UKRC POSTER LISTING Commissioning in radiology – A GP’s perspective Physics for dummies: how to optimise your kit ePOSTER LISTINGS National Clinical Director for Diagnostics, NHS England, Honorary Professor of Radiology, University of East Anglia and Norfolk & Norwich University Hospital Erika Denton was appointed to the role of National Clinical Director for Diagnostics in spring 2013. From 2005-2013 Erika was National Clinical Lead, and subsequently National Clinical Director, for Imaging at DH leading a complex programme of work across all aspects of imaging. This work delivered considerable additional capacity for imaging services and marked reduction in waiting times. Her work has included delivering significant improvements in cancer, paediatric, interventional, cardiac and forensic imaging services. In her roles in Connecting for Health she has led deployment of PACS systems across the NHS and is now leading the process to move PACS to local NHS ownership. Erika was previously Divisional Clinical Director for support services, Director of Breast Screening and head of radiology training in Norwich. She continues to practice clinically two days a week and to publish in breast imaging and health care policy. Breast 11.45-13.15 EDUCATION ON STANDS Erika Denton 2C EXHIBITION PLAN & LIST This talk will cover the current structure for the NHS in England and the local and specialised commissioning arrangements for radiology services. An update of current tariff structures as well as coding in radiology will also be included, with an overview of the national drive for 7 day working across healthcare with a focus on the significance for imaging departments. EXHIBITOR INFORMATION Commissioning in radiology – Where are we? INFORMATION PROGRAMME Moderator: Andy Beale, Consultant Radiologist, The Great Western Hospital PRESENTER INDEX Service Delivery 11.45-13.15 VENUE PLAN GP engagement 2B 33 WELCOME MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 34 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN U/S: Doppler, elastography, microbubbles WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Obtaining the most useful images and data with ultrasound has traditionally required considerable interaction between the operator and machine, adapting the choice of probe, scanning technique and system settings according to the patient, organ, tissue propagation conditions and clinical information required. As a result, ultrasound has a reputation for being a highly operator dependent modality. In recent years, ultrasound systems have become increasingly sophisticated, incorporating system pre-sets and greater automation of system settings. Although this has made it is easier and quicker to obtain a reasonable image in most situations, it remains the case that operator decisions are needed to maximise image quality. Increased sophistication has also brought a proliferation of advanced modes such as tissue harmonic imaging, compounding, Doppler methods, microbubble specific imaging and a wide variety of elastography systems. The newer the imaging mode, the less automation there tends to be, and this is particularly true of elastography. This presentation will provide an introduction to the basic physics knowledge that is needed to optimise scanner settings and scanning technique, as well as recommended methods for obtaining the best images. TUESDAY SESSIONS Jeff Bamber WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS Head of Ultrasound and Optical imaging Team, Institute of Cancer Research and the Royal Marsden NHS Foundation Trust Jeff Bamber has led the Ultrasound and Optical Imaging Physics Team at The Institute of Cancer Research and The Royal Marsden Hospital, Sutton, UK since 1986. His BSc was in Physics (University of Kent at Canterbury, 1972), his MSc in Biophysics and Bioengineering, and PhD in Biophysics (University of London, 1974 and 1980). During 1994-1995, he worked for the Medical Products Group, Hewlett-Packard, MA. His research has included tissue acoustics, ultrasound cancer imaging, speckle reduction, aberration correction, elastography, tumour blood flow, contrast agents, cancer treatment guidance, radiation dose imaging, gene delivery, photoacoustics and molecular imaging. He is past vice-president of the International Society for Skin Imaging and past president of the International Association for Breast Ultrasound, and serves as advisor to a number of companies. EDUCATION ON STANDS MRI: Optimising the breast MR examination EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX The NHS Breast Cancer Screening Programme has recently issued technical guidelines on breast MRI screening for high risk women. These guidelines outline the minimum standards that must be reached for breast MRI, covering system field strengths, coils and sequence types. However, MRI sequences are governed by many different parameters, such as flip angle and sampling pattern, with a wide range of available settings. In Dynamic ContrastEnhanced (DCE) MRI in particular, parameter variation can result in guideline-compliant sequences with substantial differences in the shape of contrast-agent uptake curves and in fat suppression reliability. These differences make DCE-MRI sequences difficult to compare and evaluate and, at worst, can influence diagnostic accuracy. This talk will cover the effects of common parameter changes on breast MRI, with a particular focus on DCE-MRI sequences, and will demonstrate the value of retrospective examination assessment to evaluate MRI sequence performance. Minty Ledger NIHR Transitional Research Fellow, Institute of Cancer Research and the Royal Marsden NHS Foundation Trust Minty Ledger completed her PhD in Chemistry and NMR Spectroscopy at the University of Bath in 2011. She then took up a post-doctoral position in breast MRI at the Institute of Cancer Research under Professor Martin Leach. During this time, Minty concentrated on the evaluation of breast DCE-MRI and participated in the development of a new dedicated breast MR scanner. In 2013, Minty was awarded a NIHR Transitional Research Fellowship to investigate, and hopefully improve, MR characterisation of breast tissue. 2D Informatics 11.45-13.15 Discrepancy meetings and MDTMs—Creating an environment of shared learning Moderator: Mark Griffiths, Consultant Radiologist, University Hospitals Southampton Shared learning through departmental discrepancy meetings “The Discrepancy Meeting is dead; long live the Educational Cases Meeting.” A departmental audit lead explains how he has improved the culture, attendance and value of the discrepancy meeting in his large teaching hospital radiology department. The point of examining “errors” should be to learn from our mistakes and improve patient safety, not to cause fear or blame. Suggested tips include everything from changing the title, food and venue to improving the quality, tech support, aims and feedback of the whole meeting. The Chair of an ECM should focus on the learning points, foster a non-blame culture and protect anonymity thus engendering trust. The RCR standards regarding minimum attendance recommended for appraisal and revalidation can be used to encourage clinicians to engage. A minimum annual contribution requirement from individuals and delegating ownership of specific meetings to sub-specialities helps to empower individuals and groups. Jonathan Smith Consultant Radiologist, Leeds Teaching Hospitals Jonathan Smith is a Manchester Graduate and Yorkshire Trainee, Jon has been a Consultant for 7 years in Leeds. He works with several teams imaging and treating prostate, liver, renal and lung cancers using brachytherapy, RFA and cryotherapy. He also reports PET-CT and has contributed to imaging guidelines JOIN THE CONVERSATION #UKRC2014 Neelam Dugar Consultant Radiologist, Doncaster & Bassetlaw Hospitals NHS Trust Neelam Dugar is a Consultant Radiologist & Clinical PACS Lead at Doncaster & Bassetlaw Hospitals NHS Trust. She takes a keen interest in Health Informatics. She was Chairman of UK Imaging Informatics Group between 2007 to 2012. Currently, she is the Vice President of the informatics stream of the UK Radiological Congress. Her own hospital has recently replaced PACS and is currently replacing both RIS and implementing a VNA. She has an understanding of issues surrounding data migration and data liquidity. 2E MSK 12.00-13.30 Sports injury of the ankle Moderator: Justin C Lee, Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius Ankle syndesmosis injury in football and rugby The incidence of ankle syndesmosis injuries in elite football and rugby is increasing. These injuries are associated with chronic pain and persistent disability and often result in prolonged recovery time. Prompt accurate diagnosis and appropriate management is essential to minimize recovery time and reduce the risk of long term complications. This lecture will review the normal imaging anatomy of the ankle syndesmosis as well as the spectrum of imaging findings in syndesmotic injury. Robert Pearce Consultant Musculoskeletal Radiologist, Chelsea and Westminster Hospital NHS Foundation Trust Robert Pearce studied medicine at Magdalene College, Cambridge and Imperial College, London graduating in 2000. He completed radiology training VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Multidisciplinary team meetings have transformed cancer care in UK. They provide a rich source of shared learning between clinical professional groups. The presentation will cover the technological aspects of MDTMs and videoconferencing to optimise the value of MDTMs. SATELLITE SYMPOSIA Multidisciplinary team meetings—Technology —PACS, RIS and VTC Managing Director, Medical Connections Dave Harvey has a background as a Radiologist, having worked as a consultant radiologist in the UK NHS for 6 years, but now runs a medical IT business, specialising in DICOM and EHR software and consultancy. He is heavily involved in various standards efforts, being a member of DICOM working groups, and he has organised several IHE demonstrations in the UK. POSTER LISTING Consultant Radiologist, NHS Greater Glasgow and Clyde Brian Mucci is currently Consultant Radiologist with special interest in breast imaging, Greater Glasgow and Clyde Health Board. He was previously Consultant Radiologist in Cumbria for 19 years. Brian has published and presented on breast imaging and vigilance in radiology. Dave Harvey ePOSTER LISTINGS Brian Mucci EDUCATION ON STANDS Discrepancy meetings are an important aspect of clinical governance. The RCR published advice on how to conduct meetings suggests that discrepancies are scored using a scale: 0 = No error, to 3 = major error. We have found that scoring of radiology discrepancies is highly subjective and shows poor inter rater agreement. The aim of discrepancy meetings is to reduce error occurrence by sharing experience and identifying avoidable root causes of error. In this presentation we will discuss whether scoring is a valid exercise and explore the educational role of error analysis using air accident investigation as a model for response to untoward events. Whilst most users are familiar with traditional “PACS” workstations, and the alternatives used for “web viewing”, MDTMs have their own special requirements. This session will therefore explore the requirements of MDTMs and the technological solutions available in the following areas: • Provision of high resolution, high quality “diagnostic” image displays, which need to be visible to a large group of people. • A “worklist” facility to allow meeting organisers to provide “pre-determined” data to ensure efficient use of the meeting time, but including allowance for discovery and display of additional data when needed. • Integration with as many clinical data sources as possible, including not only the local RIS & PACS, but also their counterparts in other departments such as pathology, and equivalents in other hospitals from which the patient may have been referred. EXHIBITION PLAN & LIST Discrepancy meeting - Scoring vs. educational value Display of images and documents at MDTMs— Understanding the technology EXHIBITOR INFORMATION in melanoma. His interest in errors started as a first year consultant and since then he has presented his errors at ECR, chaired the Leeds discrepancy meeting for nearly 3 years, and runs a National course on ‘Errors in Radiology’ upon which the RCR has based its own course later this year. 35 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 36 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN WELCOME PROGRAMME at University College Hospital, London and was appointed as a Consultant Musculoskeletal Radiologist at Chelsea & Westminster Hospital, London in 2011. He lectures in anatomy for Imperial College undergraduates, for the London Deanery School of Radiology and on the Guy’s Hospital radiological anatomy course and has delivered presentations at both National and International courses and conferences. He has an interest in musculoskeletal and sports imaging. Overuse injuries in the footballers ankle and foot INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Overuse injuries of the ankle and foot are common in the general and athletic populations. The wide spectrum of overuse injuries includes bony, juxta-articular, articular or tendon injuries. Some conditions such as impingement syndromes and stress fractures may be missed on initial physical examination, and patients with such injuries often present to a sports or orthopedic clinic with persistent symptoms. With the increasing participation in sports, health care professionals involved in the care of athletes at all levels must have a thorough understanding of overuse conditions of the foot and ankle, and the use of imaging in the management of these conditions. This presentation covers the clinical presentation, pertinent anatomy, and imaging features of overuse injuries of the foot and ankle. TUESDAY SESSIONS Justin C Lee WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius Justin Lee is extensively published in musculoskeletal radiology and has lectured at national and international level. He is a member of the International Skeletal Society, British Society of Skeletal Radiologists and European Society of Skeletal Radiologists. Dr Lee provides diagnostic and interventional imaging services for multiple sporting institutions including Premier League football and rugby, England Cricket Board, The RFU and The FA, British and Irish Lions and was a member of the London 2012 Olympic Games radiology consultant body. Gajan Rajeswaran Consultant Musculokeletal Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Gajan Rajeswaran is a Consultant Musculoskeletal Radiologist with a Subspecialist Interest in Sports Imaging. He completed his undergraduate medical training at Imperial College London in 2001 and his radiology training at Chelsea & Westminster Hospital. He has completed two post-CCT fellowships in Musculoskeletal Imaging at Chelsea & Westminster Hospital and the Royal National Orthopaedic Hospital, Stanmore and has worked as a Locum Consultant at Imperial College Healthcare NHS Trust and North West London Hospitals NHS Trust. He was appointed as a Consultant at Chelsea & Westminster Hospital in 2011 where he is joint lead for Musculoskeletal Imaging. He has several peer reviewed radiological publications and has authored a chapter in a textbook. He lectures regularly at national and international conferences including the European Society of Skeletal Radiology, the British Institute of Radiology, the UK Radiology Congress and the Royal Society of Medicine. He is actively involved in medical education having completed a Postgraduate Certificate in Medical Education and he organises and teaches on several courses including the Imperial College Graduate Anatomy Programme and the Royal Society of Medicine Radiology for Foundation Doctors Course. He is the joint Training Programme Director for the Chelsea & Westminster Hospital Radiology Scheme and has an active role in radiology training. 2F Cardiac 12.00 - 13.30 Cardiac CT Moderator: Stephen Harden, Consultant Radiologist, University Hospital Southampton POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Ultrasound guided intervention in achilles tendinopathy Imaging the coronary arteries with CT The anatomy, biology and physiology of tendinopathy is not fully understood but the continuum model suggests that there are 3 stages: reactive change, dysrepair and degeneration. There may be different stages of tendinopathy at different locations in the tendon (particularly in high level athletes) although one usually predominates as the cause for symptoms. Whilst tendon load management and rehabilitation provide the mainstay of treatment of tendinopathy, ultrasound guided interventional techniques can be used to ameliorate the reactive and degenerative stages in patients whose symptoms are persistent or severe. I will discuss the role, technique and present a review of the literature for the following ultrasound guided procedures: • Anti-inflammatory injections. • Injections which cause obliteration of neovessels, including high volume guided injection (HVGI) and sclerotherapy. • Injections which cause stimulation of a healing response, including prolotherapy and platelet rich plasma (PRP) injection. Consultant Radiologist, Western Sussex Hospitals NHS Foundation Trust Hatef Mansoubi is currently a Consultant Radiologist and Clinical Director Radiology at Western Sussex Hospitals NHS Foundation Trust. He graduated with Honours from University of London with Bachelor of Science in Biochemistry and basic medical sciences, MBBS and granted professional registration in August 1997. Obtained his MRCP in 2000 after medical rotation in London and specialist radiology training at Guy’s & St Thomas’s Hospital London, gaining an FRCR in 2006. He began a one year fellowship in cardiothoracic imaging at Papworth Hospital Cambridge in 2007 including a dedicated programme of training in cardiac CT at Erlangen University Hospital in Germany. Hatef subsequently went on to complete an intensive period of training in CMR at Southampton General Hospital and was then appointed Consultant Radiologist at St. Richard’s Hospital in September Hatef Mansoubi JOIN THE CONVERSATION #UKRC2014 Michelle Williams Clinical Radiology ST, NHS Lothian Michelle Williams graduated from the University of Edinburgh with Honours degrees in Medicine and Experimental Pathology in 2005. She continued her medical training in Edinburgh and recently completed a British Heart Foundation Clinical Research Fellow at the University of Edinburgh. She is now a Radiology trainee at the Royal Infirmary of Edinburgh. Her main interests are computed tomography coronary angiography and computed tomography myocardial perfusion imaging. She is undertaking research studies at the Clinical Research Imaging Centre in Edinburgh into myocardial perfusion imaging and the role of computed tomography imaging in patients attending the Rapid Access Chest Pain Clinic. Adapting images for detector characteristics It is difficult to study the effect of detector type on screening mammography due to the number of confounding factors present (different women, imaging systems, dose, grids and procedures). These confounding factors can be removed by using one set of images acquired on one imaging system. This talk will cover a method to characterize the imaging systems in terms of noise, sharpness, and glare and show how to undertake the conversion process. This is a powerful method for gaining an understanding of the effect of image quality on the clinical task. Alistair Mackenzie Research Physicist, Royal Surrey County Hospital Alistair Mackenzie has worked in radiological physics for 20 years, gaining a wide experience in the practical testing of all types of X-ray imaging equipment. He worked in KCARE for 9 years and undertook in-depth evaluations of digital imaging systems, during which he became an international expert in quantitative analysis of digital images. Currently, he is a researcher in NCCPM and is working on the effect of image quality of digital mammography systems on cancer detection. He is undertaking a PhD as part of this post. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Physicist, University Hospital, Leuven Guozhi Zhang received the Bachelor of Engineering from Huazhong University of Science and Technology (Wuhan, China) in 2008, and the PhD in Biomedical Sciences from KU Leuven (Leuven, Belgium) in 2012. From 2013 to 2014, he worked as a research fellow at Mayo Clinic (Rochester, USA) with the CT Clinical Innovation Center. Currently, he is with the medical physicists in radiology at the University Hospitals Leuven (Leuven, Belgium). WEDNESDAY SESSIONS Ghuozi Zhang WORKSHOPS Advances in cardiac CT imaging mean that it is now possible to assess anatomy, function, perfusion and viability in one rapid diagnostic test. CT coronary angiography now has a diagnostic accuracy for the identification of significant coronary stenosis similar to invasive coronary angiography. In addition, CT myocardial perfusion imaging can aid in the assessment of intermediate stenosis, heavily calcified vessels or coronary artery stents. Multimodality imaging has shown the diagnostic accuracy of CT myocardial perfusion imaging in comparison with MRI, fractional flow reserve and oxygen 15 labeled water PET imaging. Importantly, CT myocardial perfusion imaging is now possible at a low radiation dose, comparative to conventional invasive coronary angiography or nuclear medicine techniques. Current research aims to optimize this technique as part of a comprehensive cardiac CT protocol. Modelling has been frequently used in investigating X-ray imaging systems. We describe a hybrid technique for modelling the entire imaging chain of cone beam CT. The modelling starts with simulating the X-ray generation, filtration and collimation, continues with rotational projections, calculates the 3D dose distributions, produces primary and scatter images using different methods, applies the measured characteristics of the flat panel detector, and ends with a sequence of realistic 2D projections for tomographic reconstruction. This hybrid technique is validated and has the flexibility for various applications. SATELLITE SYMPOSIA Myocardial perfusion with CT: is it feasible? Overview Hybrid modelling of X-ray systems POSTER LISTING Professor of Radiology, Derriford Hospital, Plymouth Carl Roobottom has been performing cardiac CT for 10 years and performs around 2500 cardiac CT per year. Moderator: Nicholas Marshall, Medical Physicist, Department of Radiology, UZ Leuven ePOSTER LISTINGS Carl Roobottom Modelling in diagnostic radiology EDUCATION ON STANDS The aim of this presentation will be to demonstrate life threatening cardiac conditions that may present to a general Radiologist on CT Advances 12.00-13.30 EXHIBITION PLAN & LIST Keeping the radiation dose down in cardiac CT 2G EXHIBITOR INFORMATION 2008, which subsequently merged with Worthing & Southland’s Hospitals to form the Western Sussex Hospitals NHS Foundation Trust. He is the Lead in cardiac and thoracic imaging for the Trust and a member of the European Society of Thoracic Imaging as well as British Society of Cardiovascular Imaging. He has undertaken research with a number of publications in peer review journals and presentations at both national and international meetings. 37 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 38 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN WELCOME PROGRAMME INFORMATION Monte Carlo modelling of X-ray scatter in X-ray rooms SP004: Phase-contrast radiography using a pseudo-microfocus diagnostic X-ray source Monte Carlo methods have long been used in the fields of mammography and patient dosimetry. With the influx of cheaper computing facilities it is now possible to build simulations of interest to diagnostic physicsists with freely available, peer reviewed software. This talk will take the form of a tutorial to show how to run a simple simulation to obtain an accurate simulation of a planar X-ray tube, and go on to show some of the more complicated applications that may be of interest for both education and research. Objectives: To investigate the use of conventional diagnostic X-ray tubes for applications in which specialist microfocus sources are normally required. Greg Stevens VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Clinical Scientist, Plymouth Hospitals NHS Trust Greg Stevens, after a series of post doctoral contracts moved into the medical sector. His training was completed in Exeter and led to his current employment in Plymouth. Ha has an interest in quantitative methods and Monte Carlo simulations. Modelling the breast for dosimetry TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Knowledge of the mean absorbed dose to the glandular tissues within the breast (mean glandular dose, MGD) is required for both quality control and the estimation of the risk of radiation induced carcinogenesis. The data used for estimation of the MGD in the UK, Europe and the USA are based on Monte Carlo calculations using simple geometrical models of the breast but more realistic models of the breast are now available using detailed geometrical models, or data from breast CT or digital breast tomosynthesis. The pros and cons of the various approaches will be discussed including the fundamental limitations imposed by the small amount of data that are available on the composition of breast tissues, and the lack of knowledge of 3D spatial distribution of the glandular tissue within each breast that is being examined using 2D mammography. POSTER LISTING David Dance ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Consultant Physicist, National Co-ordinating Centre for the Physics of Mammography, Royal Surrey County Hospital David Dance was Head of the Physics Department at The Royal Marsden Hospital (Chelsea) where he led research into the physics of X-ray imaging. He retired in 2005, but the lure of mammography physics research proved too great and he is presently a Consultant Physicist at the Royal Surrey County Hospital and Visiting Professor at the Surrey University. The results of David’s Monte Carlo calculations form the basis of the UK, European and IAEA protocols for mammographic dosimetry. David has an MD honoris causa from Linköping University in Sweden and has been chairman of both Symposium Mammographicum and UKMPG. Methods: A conventional diagnostic X-ray tube was used in conjunction with a range of apertures to investigate improvements in spatial resolution using a line-pairs test object. Phase-contrast effects were investigated by varying source-to-object and object-to-receptor distances using a 2-French catheter as a clinically realistic test object. Results: For magnification radiography using a computed radiography receptor and conventional X-ray tube with a 1mm nominal focus size, the limiting spatial resolution was improved from 3.55 line-pairs mm-1 for a conventional contact image, to, 5.6 line-pairs mm-1 for a 2x magnified view with a 250µm aperture. For in-line phase-contrast radiography, phase-contrast enhancement of a 2-French catheter was demonstrated, and the expected trends with variations in source-to-object and object-to-receptor distances were found. Images of a neonatal phantom demonstrated a subtle improvement in visibility of a superimposed 1-French catheter simulating a percutaneously inserted central catheter for no increase in patient radiation dose. Conclusions: Spatial resolution improvement and visible phase-contrast can be produced in clinically relevant objects using a pseudo-microfocus geometry at X-ray energies in the normal diagnostic range, using conventional diagnostic X-ray tubes and image receptors. The disadvantages of the proposal are the large distances required to produce phasecontrast, and limitations imposed by the resulting tube loading. Advances in knowledge: It is possible to use conventional diagnostic x-ray equipment in applications that normally require microfocus x-ray sources. This presents some possibilities for clinical applications. John Kotre Consultant Clinical Scientist, The Christie NHS Foundation Trust John Kotre is Head of the Diagnostic Radiology Physics and Radiation Protection Group at the Christie, Manchester, where he is responsible for a group of 22 physicists and technologists providing services in radiation protection, diagnostic radiology physics, and laser and UV protection to an area covering Greater Manchester and Lancashire. He is a Radiation Protection Adviser to three NHS Trusts and five NHS Breast Screening units, and his research interests include medical image perception and interpretation, digital imaging, optimisation, and breast screening mammography. PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 Atypical presentations of renal cancer This session will review the atypical manifestation of common renal malignancies as well as provide an overview of uncommonly encountered renal tumors. Case examples, such as hemorrhagic renal masses and cystic renal malignancies, will be explored to increase the familiarity of participants with the unusual presentations of renal cancers. Rare kidney tumors will also be included, such as renal carcinoid and renal lymphoma. Richard Do Assistant Attending Radiologist, Memorial Sloan Kettering Cancer Center Richard Do is a Diagnostic Radiologist at Memorial Sloan Kettering Cancer Center who specialises in oncologic body imaging, and my clinical work focuses on CT and MRI of the chest, abdomen and pelvis. Richard’s residency and fellowship training was at NYU Langone Medical Center. Richard’s research interests are centered on evaluating treatment response through the use of novel magnetic resonance (MR)-based imaging techniques, including diffusion-weighted imaging and perfusion imaging. Kate Harrington, Emma Phelan; William Torreggiani Royal College of Surgeons in Ireland Objectives: To review the utility of dual-energy computed tomography (DECT) in the evaluation and treatment of patients presenting with renal stone disease. Content: 33 patients with renal stones evaluated with dualenergy image CT over a 12 month period were used as the database for this educational exhibit. In this exhibit, we provide a description of the basic physics underlying DECT and its application to the analysis of renal stones. In addition,we demonstrate the different types of renal stones that can be detected on DECT. Finally, we discuss the impact of stone analysis in the management by DECT and treatment of patients with renal stones. Relevance: DECT allows accurate assessment of renal stones and thus have direct applications in optimal patient management. Discussion: Renal stones can contain a variety of materials. Knowing the composition of a stone influences clinical decisions. 24-hour urine collection can be used to determine the possible composition of a patient’s stone,however this test can be inaccurate. Thus, stone fragment analysis is an important approach in the management of renal stone disease, but relies on either patient retrieval of passed stone or retrieval during an invasive urological procedure. Although only in its infancy, the emergence of DECT as a method of renal stone analysis in this institution has made a significant impact on patient care as it not only allows noninvasive, pre-procedural stone composition analysis but can directly influence the management of these patients based on analysis findings. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS SP005: Dual-energy computed tomography and renal stone disease: Breaking new ground WEDNESDAY SESSIONS Consultant Radiologist, St James’s Hospital, Dublin Grainne Govender is a Consultant Radiologist at St. James’s Hospital in Dublin, Ireland, with a specialist interest in cross-sectional oncology imaging and nuclear medicine. Prior to taking up this post in 2011, she completed 4 years of fellowship training in the USA at New York Presbyterian Columbia University Hospital, Memorial Sloan Kettering Cancer Center in New York, Dana Farber Cancer Institute and Brigham and Women’s Hospital in Boston. She is board certified in Nuclear Medicine by the American Board of Nuclear Medicine. Attending Radiologist, Memorial Sloan Kettering Cancer Center Darragh Halpenny is a Radiologist working at NYU Langone Medical Center, New York, with an interest in oncological thoracic and abdominal imaging. WORKSHOPS Grainne Govender Darragh Halpenny SATELLITE SYMPOSIA Renal Cell carcinoma is a common tumour, which is often incidentally found on imaging. We will review the staging of renal cell carcinoma, the radiological evaluation, and in particular what the surgeon needs to know, given recent advances in laparoscopic and nephron-sparing surgery. POSTER LISTING Staging of renal cancer ePOSTER LISTINGS Moderator: Nigel Cowan, Consultant Uroradiologist, Queen Alexandra Hospital, Portsmouth Urothelial cancers comprise a heterogeneous group of malignancies affecting the urinary tract anywhere from the renal pelvis to the proximal urethra. Imaging is crucial in the diagnosis, staging, and surveillance of these tumors. A comprehensive overview of the typical and atypical radiological presentation of both upper and lower tract disease is provided. Particular emphasis is placed on the use of CT urography for evaluating the upper tracts and MRI for evaluating the bladder. EDUCATION ON STANDS Urology: Malignancy EXHIBITION PLAN & LIST GU 12.00-13.30 Transitional cell cancer imaging of uroepithelial carcinomas EXHIBITOR INFORMATION 2H 39 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress MONDAY ABSTRACTS AND BIOGRAPHIES 40 VENUE PLAN Kate Harrington WELCOME Royal College of Surgeons in Ireland Kate Harrington is a graduate of the National University of Ireland, Galway and is currently a Radiology Registrar at the Adelaide and Meath Hospital, Dublin incorporating the National Children’s Hospital, Ireland. PROGRAMME INFORMATION Eponymous lecture 13.30-14.15 BIR: Toshiba Mayneord Memorial Eponymous Lecture 2014 VICE PRESIDENTS & WORKING PARTY Exploring the nature of atheroma in-vivo using PET MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Prof Mayneord dedicated his professional life to the interaction of physics and medicine. Through his work in this field our understanding of disease, by utilizing detection devices that rely on complex physics, has expanded to a degree that in some ways there is a danger that it may supplant clinical skills. It is that fascinating interface of physics and medicine; which has been combined in positron emission tomography (PET) and has become the gold standard methodology for in-vivo molecular imaging. The technique is both sensitive and with the advent of combined PET-CT also we now have good spatial resolution. These techniques were first used to understand more fully the methods by which cancer grows and also to monitor the effectiveness of therapy. However, many of the agents used in cancer imaging such as F-18 FDG, F-18 NaF and F-18 FMISO can be used to image atheroma which kills as many people as cancer. Therefore this lecture will present the latest in research using different molecular imaging probes and PET-CT to advance our knowledge of the mechanisms of atherosclerotic disease and guide therapies. I hope Prof Mayneord would approve of this use of physics in the service of man. John Buscombe POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS Head of Department, Cambridge Cancer Centre, University of Cambridge John Buscombe is Clinical Lead and Consultant in the Department of Nuclear Medicine at Cambridge University Hospital. Since 2010 Dr Buscombe has been working at Cambridge University Hospital with experience of pre-clinical work and cyclotron based PET. The focus of these projects has been on the use of C-11 products in identifying sub-cm endocrine tumours and also PET imaging of atheroma and cardiovascular inflammation. 3A Neuro 14.15-15.30 Practical neuroimaging Moderator: David Butteriss, Consultant Neuroradiologist, Royal Victoria Infirmary Epilepsy: What else do I need to look for other than brain tumours? Maneesh Bhojak Consultant Neuroradiologist, The Walton Centre for Neurology and Neurosurgery, Liverpool Maneesh Bhojak is a Consultant Neuroradiologist working at the Walton Centre providing all aspects of diagnostic neuroradiology service. His basic radiology training was at Newcastle upon Tyne Hospitals followed by two year subspecialty fellowship in Neuroradiology at Charing Cross Hospital, National Hospital for Neurology and Neurosurgery and Great Ormond Street Hospital for Children, London. Outside work, Maneesh spends time with his family, playing racquet sports, listening to Indian classical music and reading nonfictional books. FRCR IIB: What can I be shown in the final examination? Hints, tips and classic neuro cases for the part 2 FRCR exam, from a radiologist who not only knows a bit of neuro, but has passed the exam as well. David Butteriss EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Consultant Neuroradiologist, Royal Victoria Infirmary David Butteriss qualified from University College London and Middlesex Medical School top of his year in 1999, and narrowly missed out on the University of London Gold Medicine after forgetting when Kelloggs started fortifying corn flakes with vitamins and minerals (1948 in the UK). He began training in radiology in Newcastle in 2001. After passing the Fellowship examinations in 2004 he decided to specialise in Neuroradiology and undertook a two year Fellowship at Newcastle General Hospital, which included the Boston Scientific Neurointerventional Fellowship, then the only dedicated Neurointerventional fellowship in the UK. After an international Fellowship in Vancouver, Canada in 2007 he returned to his radiological Alma Mater as a Consultant in 2008. He has developed subspeciality interests in adult neuro-oncolgy, stroke, neuro-ophthalmology and spinal procedures, including management of spinal CSF leaks. He has 18 publications in peer-reviewed journals and has been invited to lecture at several National and International meetings. Since 2012 he has been Head of the regional Neuroradiology service. PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 Moderator: Nicholas Marshall, Medical Physics, Department of Radiology, UZ Leuven Look no hands….QC at a distance The production of digital images enables objective quality scores and allows easy transport of images. Both aspects were the basics of a networking approach for automated QC at a distance in our mammography screening network. Our software solution is operational since 10 years now and connects 100 digital systems on a total of 103 mammography units for centralized QC. Medical physicists visit the mammography units only twice a year for a detailed investigation following the euref protocol. Every day, the local personnel in the mammography units acquires 2 acquisitions of a homogenous PMMA test object and performs a test of the monitors using the MoniQA pattern. The raw data of the test images and a monitor score are sent to a DICOM receiving tool, DICOM tags related with quality and exposure are extracted and the images are subsequently processed to provide noise power spectra and thumbnail images of a series of quality parameters. Images with percentage values relative to a reference region are color coded. Hilde Bosmans Hilde Bosmans, Professor and Head of Medical Physics, University Hospitals, Leuven Hilde Bosmans is Head of the Medical Physics Group in the radiology department of the University Hospitals in Leuven, Belgium. Her task is to ensure the quality of X-ray images in the department, in other Belgian hospitals and in a network of 102. This talk will briefly describe the system and image quality tests that are carried out on digital radiographic detectors by Medical Physics staff. It will include examples of where image quality test results have indicated detector problems. Changes in quantitative test results will be compared with changes in subjective test results. The lecture will address some of the difficulties that can be encountered when carrying out the tests, including obtaining images from the systems and switching off image processing. Some potential experimental setup pitfalls will also be covered. David Platten Clinical Scientist, Northampton General Hospital David Platten’s career in medical physics began as a trainee at North Staffordshire Hospital, after which he decided to specialise in diagnostic radiology. He worked at St George’s Hospital, Tooting, for six years, three of which were spent with the ImPACT group. This was followed by an 18 month period working at King’s College Hospital during which he started to work on quantitative image analysis methods. David currently works at Northampton General Hospital where he has continued his interest in implementing quantitative testing methods for diagnostic radiology equipment. He is a corresponding member of IPEM’s Diagnostic Radiology Special Interest Group. Model observers don’t get tired…or need a coffee Quality assurance (QA) protocols for the assessment of diagnostic radiology imaging systems often specify an image quality measurement, typically done using an image quality test object. These test objects can range from the anthropomorphic type containing features such as nodules, calcifications or fibres or can be semi-quantitative contrast- VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Testing digital detectors – the Physicist WEDNESDAY SESSIONS Quality control in the digital era WORKSHOPS Advances 14.15-15.45 Senior Diagnostic Radiographer, The Christie NHS Foundation Trust Kay Craig works as a Senior Diagnostic Radiographer and QA lead at Christie Hospital, Manchester. She trained at Birmingham School of Radiography, qualifying in 1997. Her role as a Radiographer has varied from a main A&E trauma centre, to flying around rural remote Australia with the RFDS. Her current role has enabled her to be to be part of the Physics QA team, and play an active role in setting up new processes with the introduction of new technology. SATELLITE SYMPOSIA 3B Kay Craig POSTER LISTING Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Rekha Siripurapu is a Consultant Neuroradiologist Salford Royal NHS Foundation Trust and Greater Manchester Neurosciences Unit. She graduated from India in 2001, obtained MRCP in 2004 and obtained Fellowship of RCR in 2006. She did subspecialty training in Neuroradiology in Manchester and then a diagnostic neuroradiology fellowship at University of Toronto, Canada. She has been a Consultant since August 2010 and has a special interest in Stroke, CNS infections, Neurovascular and Skull base imaging. ePOSTER LISTINGS Rekha Siripurapu EDUCATION ON STANDS DWI provides image contrast that is dependent on the molecular motion of water and is particularly sensitive to the detection of hyperacute stroke as well as its evolution. Q control in the digital era -a Radiographer’s perspective. Going Digital! Hooray! No line voltage compensators, temperature changes, pH changes; we thought QA would be more straight forward. However, the reality of the change has set in. Since the introduction of Digital radiography in the department, the QA and QC tests required have changed; along with other additional steps that are part of the new digital imaging chain. This is a look into what we do, how we do it and what we do when it doesn’t work. Also how the records have been bought into the 21st century and the pitfalls we have come across on our way. EXHIBITION PLAN & LIST Diffusion weighted imaging (DWI) has become an essential sequence in neuroimaging, playing an important role in the assessment of a wide variety of neurological diseases. EXHIBITOR INFORMATION Diffusion – Weighted imaging in neuroradiology Testing digital detectors – the Radiographer 41 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress MONDAY ABSTRACTS AND BIOGRAPHIES 42 VENUE PLAN WELCOME PROGRAMME detail phantoms. While these test object images provide useful information on detector or system image quality, scoring is often done subjectively by human observers with the limited reproducibility that this entails. This talk discusses an alternative method for mammography systems based on a calculated detectability index using a non-prewhitened model observer with eye filter (NPWE). The model observer approach is shown to be a validated alternative to contrastdetail scoring with excellent repeatability. Nicholas Marshall INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Medical Physics, Department of Radiology, UZ Leuven Nick Marshall worked at the Regional Medical Physics Department (RMPD) in Newcastle upon Tyne from 1990 and then the Clinical Physics Group at St Bartholomew’s Hospital from 2001. He has contributed to various documents, guidance and working parties including IPEM report 32 part vii, the UK digital mammography protocol and the EUREF digital mammography protocol. He moved to Belgium in 2009 and now holds a permanent position in the Medical Physics Group at Universitair Ziekenhuis Leuven helping to direct research in various fields, including digital mammography, breast tomosynthesis and general diagnostic radiology imaging. TUESDAY SESSIONS 3C WEDNESDAY SESSIONS Breast 14.30-16.00 MDT session Nisha Sharma Director of Breast Screening/Breast Radiologist, Leeds Teaching Hospital NHS Trust Nisha Sharma is Director of the Leeds/ Wakefield breast screening programme, with a keen interest in research and audit which leads to service and patient pathway improvements. Nisha enjoys all aspects of imaging, in particular MRI and intervention. SP006: Quantifying the errors associated with followup measurements of ADC when assessing response neoadjuvant chemotherapy Shelley Waugh, Lukasz Priba; Sarah Vinnicombe Ninewells Hospital and Medical School, University of Dundee Introduction: Apparent Diffusion Coefficients (ADC), calculated using diffusion-weighted MRI are increasingly used for assessing response to neoadjuvant chemotherapy (NAC) in breast cancer patients. However, little data exists on ADC measurement reproducibility in a clinical environment. This work investigated the magnitude of the effect of various extraneous factors compared to changes resulting from early therapy response. Methods: Standard diffusion sequences were acquired on a 3.0T MRI scanner (b=50,800s/mm2, voxels:1.8´1.8´4mm). INTERACTIVE WORKSHOPS Moderator: Sarah Vinnicombe, Clinical Senior Lecturer in Cancer Imaging, Ninewells Hospital Medical School, University of Dundee Eleanor Cornford SATELLITE SYMPOSIA Consultant Radiologist, Nottingham University Hospitals NHS Trust Eleanor Cornford has been a Consultant Radiologist at Nottingham Breast Institute since 2001 and has been Director of Training and Education at the unit since 2008. POSTER LISTING ePOSTER LISTINGS Miles Howe EDUCATION ON STANDS Consultant Histopathologist, University Hospital of South Manchester NHS Foundation Trust James Harvey EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Consultant Breast Surgeon, University Hospital of South Manchester NHS Foundation Trust James Harvey is a Consultant Oncoplastic Breast Surgeon UHSM and Honorary Senior Lecturer University of Manchester. He is also the author of the Oxford Handbook of Breast Disease Management. Scanner stability was assessed using an ice-water phantom, scanned weekly for 6 weeks. Ten healthy volunteers were scanned twice, four weeks apart to assess scan-scan variability. ADC was measured at nipple level in homogeneous parenchyma. Thirty-seven patients receiving NAC underwent MRI pre-NAC (baseline), after 2 cycles and post-treatment. Whole-tumour (WT) and lowest-tumour (min) (using 5´5-pixel ROI) ADCs were measured using baseline and interim scans on two occasions. Final response assessment utilised RECIST criteria. Coefficients of reproducibility (CoR) and intra-class coefficients (ICC) were calculated. Results: Scanner stability was excellent (average phantom ADC 1.089´10-3mm2/s, coefficient of variance 6.6%). ADC values from left and right breasts of healthy volunteers were consistent between baseline and followup (CoR=0.122´10-3mm2/s [8.0% of average ADC]; ICC=0.811). For patients, reproducibility was excellent: CoRWT=1% (ICC=0.983), CoRmin=16% (ICC=0.976). Mean ADC changes in patients with complete response, partial response or stable disease were 19.7%, 11.1% and 6.1% respectively. PRESENTER INDEX Conclusions: The magnitude of changes in ADCWT from baseline to interim in patients who attain CR by RECIST criteria exceeds that due to sources of measurement error. Thus, ADCWT can be used to identify these patients. JOIN THE CONVERSATION #UKRC2014 Maximum percentage enhancement, wash-in and washout rates for DCE-MRI and ADC mean from DWI-MRI were determined using ROIs covering the whole lesion and a focal area. Analysis was undertaken using the MR Workspace software. Two ROI sizes were selected from a single axial slice using the T1 perfusion scan at 2 minutes post-contrast administration: 1. The largest area (whole lesion) - freehand. 2. focal ROI measuring 50-60 mm2 - ellipse. Outcomes: Using a paired T-test, there was a statistically significant difference between results from whole-lesion and focal ROIs: - maximum percentage enhancement : mean 10.6%, standard deviation (SD) 18.4%, p=0.003- wash-in rate: mean -2.6/sec, SD 2.5/sec, p<0.001- ADC mean: -0.064 x 10-3 mm2/sec, SD 0.166 x 10-3 mm2/sec, p=0.04. The difference in wash-out rate was not significant (mean -0.02/sec, SD 0.55/sec, p=0.15). Conclusion: ROI size has a significant impact on measurement parameters and quantification on MRI: standardisation should be attempted. Aim/Method: We aim to determine whether patients discussed at the end of a MDM are given less time for discussion. Using a busy Gynaecology Oncology MDM as an example, we recorded the time spent on each patient. A comparison was made between the first half of the MDM and the second half of the MDM, to determine whether case discussions towards the end were ‘rushed’ due to time pressures. Results and Discussion: The length of patient discussion in the first half of the MDM was almost double that of cases discussed in the second half. (4.1 minutes vs 2.3 minutes). The cause for this appears multifactorial; case complexity and time pressures are both influential. Possible solutions include longer meetings, case prioritisation, stricter rules regarding those cases suitable for discussion, and time limit per patient. MDM review is an essential part of the patient management pathway, however it is important to be aware of factors that may have a negative impact on patient management. VENUE PLAN WELCOME TUESDAY SESSIONS MONDAY SESSIONS VICE PRESIDENTS & WORKING PARTY INFORMATION University Hospital of Wales, Cardiff Introduction: Multidisciplinary meetings (MDM) are a vital part of patient management. However the number of cases discussed at these meeting seem to be increasing significantly, and as such, there are concerns as to whether time pressures are having a negative effect on patient discussion, particularly patients towards the end of a long list. WEDNESDAY SESSIONS Carys Jenkins, Sophie Vaughan; Angharad Eynon WORKSHOPS SP008: Time allocation for patients discussed at South East Wales Gynaecological Oncology MDM SATELLITE SYMPOSIA Content: DCE-MRI and DWI-MRI images of 37 invasive lobular breast cancer patients were acquired on a 3T MRI scanner. Moderator: Sarah Allen, Vice President, Advances in Technology, UKRC POSTER LISTING Relevance: MR imaging is a potential oncological biomarker in breast cancer imaging. Lack of consistency can impact on lesion characterisation. This study assessed the impact of ROI size on quantification results. Multisystems disorders proffered papers ePOSTER LISTINGS Gloucestershire Hospitals NHS Foundation Trust; Cobalth Health, Cheltenham Aim: To investigate the effect of region of interest (ROI) size in quantification of DWI-MRI and DCE-MRI in staging of invasive lobular breast cancer. Proffered papers 14.45-16.00 EDUCATION ON STANDS Shalini Wijesuriya, David Hall; Iain Lyburn 3D EXHIBITION PLAN & LIST SP007: Quantitative 3T-MRI with diffusionweighted (DWI) and dynamic contrastenhanced (DCE) imaging in invasive lobular breast cancer: effect of region of interest (ROI) placement Cheltenham General Hospital, Gloucestershire Hospital NHS Trust Shalini graduated from the Royal Free and University College London Medical School in July 2007. She commenced her radiology training in the Severn Deanery in August 2009. She is currently a final year radiology trainee, based at the Cheltenham General Hospital and Thirlestaine Breast Centre. Her subspeciality interests are breast and gastrointestinal radiology. EXHIBITOR INFORMATION Ninewells Hospital and Medical School, University of Dundee Shelley has been working as a Clinical Scientist in MRI since 2005, and as well as routine tasks such as performing safety evaluations, quality assurance testing, imaging protocol optimisation and service development, she has a particular interest in both Cardiac and Breast MRI. Her PhD was in the use of Texture Analysis in Breast MRI and she is currently involved in work trying to link together imaging features such as those obtained using texture analysis with other techniques, such as diffusion and contrast kinetics. Shalini Wijesuriya PRESENTER INDEX Shelley Waugh 43 PROGRAMME MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 44 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN Carys Jenkins WELCOME PROGRAMME University Hospital of Wales, Cardiff Carys is a first year Radiology Trainee working in the University Hospital of Wales. She trained at Cardiff University and has spent some time working in Perth Western Australia prior to commencing radiology. INFORMATION SP009: Is the profile of pulmonary embolism diagnosis changing? John Murchison; Kenneth Muir; Nicholas Morley; Edwin van Beek VICE PRESIDENTS & WORKING PARTY Royal Infirmary of Edinburgh Aims: To examine the rate of radiological investigation of suspected acute pulmonary embolism (PE) at our institution over the past decade, including the incidence and severity of PE diagnosed. MONDAY SESSIONS TUESDAY SESSIONS Content: Retrospective review of radiology records for computed tomogram pulmonary angiography (CTPA) and perfusion scans (Q-scans) for suspected acute PE between 1st April 2002 and 1st April 2012. Final year cohort of positive CTPAs categorised using modified Miller score and compared to data from earlier years. WEDNESDAY SESSIONS Relevance: The incidence of PE is rising, and there is a popular hypothesis that this is due to the better resolution of newer CT scanners enabling the detection of smaller emboli. WORKSHOPS SATELLITE SYMPOSIA Outcomes: Total investigations (CTPA and Q-scans) for suspected acute PE have more than doubled over 10 years. Incremental large increase in number of CTPAs (706 to 2020 scans per year) and modest decline in Q-scans. Increased number of acute PE diagnosed, with annual incidence rising from 147 to 426. No substantial change in pattern of PE severity observed. An older population of patients are being diagnosed with PE. POSTER LISTING ePOSTER LISTINGS Discussion: A major increase in radiological investigation of suspected acute PE was observed, consisting of CTPAs. Unexpectedly, a near-commensurate increase in diagnosis of PE is also observed. Surprisingly, the hypothesis that the increased diagnosed incidence of PE is due entirely to the detection of smaller emboli is not supported by our data. Nicholas Morley EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Royal Infirmary Edinburgh Nick Morley is an academic Radiology Trainee based in Edinburgh. In addition to his interest in emergency radiology and pulmonary thromboembolism, he has submitted a PhD thesis entitled “Molecular Targeting for Clinical Cancer Imaging”, reporting on work to develop peptide and nucleic-acid ligands for cancer biomarker proteins. He also enjoys windsurfing, and sometimes irritates his family with bagpipes. SP010: The role of 18FDG PET/CT verus MDP bone scan in assessing metastatic bone disease in breast cancer Raekha Kumar; Bhupinder Sharma; Axel Martin; Anastasia Constantinidou Royal Marsden Hospital NHS Trust; Northwick Park Hospital, NWLH NHS Trust Background: Several imaging modalities are available in staging advanced breast cancer. Bone scans (BS) have traditionally been used to investigate bone metastases but increasing evidence suggests PET/CT could be superior in detecting osteolytic bone disease. Aim: To review whether there is discordance between 18 FDG PET/CT and BS in staging bone metastases. Methods: A retrospective review was undertaken of breast cancer patients having PET/CT and BS between January 2004 and February 2013 at the Royal Marsden Hospital (RMH). The RMH PET database and Electronic Patients Records (EPR) were used for data collection. Studies completed within 90 days of each other were included. Note was made of concordance or discordance between the two modalities. Results: 78 female patients were identified. The median interval between the two scans was 23 days. Findings were discordant in 17 cases (22%). In over half of these cases (10) BS suggested the presence of metastatic bone disease whereas PET/CT showed no evidence of disease. In 6 cases where BS showed no bone metastases PET/CT confirmed the presence of metastases. In all these cases the clinical management of the patient changed based on the results of the PET/CT. Conclusion: In this study PET/CT appeared superior to BS in detecting the presence or absence of metastases. This suggests that PET/CT is a more sensitive imaging modality to define metastatic bone disease. A larger prospective study is needed to ascertain whether PET/CT should altogether replace bone scans in the staging of metastatic breast cancer. Raekha Kumar Research Fellow, The Royal Marsden NHS Foundation Trust Raekha Kumar is a Research Fellow at the Royal Marsden Hospital in London, with an interest in oncological imaging and nuclear medicine. She is completing core medical training and is due to start a radiology registrar post at Imperial College, London. Her research has been focussed on bone scan and PET in metastatic breast cancer, and reviewing whether there is concordance between these modalities. Raekha is also reviewing imaging techniques used for lymphoma and the role of radiology for prognostication. PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 David Newman Norwich Radiology Academy David Newman is a year four Specialist Radiology Registrar at the Norwich Radiology Academy. Specialist interests are in musculoskeletal, chest and radionuclide radiology. Relevance/Impact: To aid establishment of a ‘weight loss’ protocol; to reduce unnecessary CT requests for the investigation of unexplained weight loss. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS We identified baseline imaging (radiography/ultrasound) as the most decisive factor and re-categorised patients according to baseline imaging status (abnormal/nil/normal). SATELLITE SYMPOSIA Outcomes: 72 cancers and 4 cases of chronic pancreatitis were diagnosed: an overall diagnostic yield of 17.3%. Diagnostic yield between GP(23/47;49%), IPD(36/144;25%) and OPD(17/249) differed significantly (p<0.01). TUESDAY SESSIONS Fisher’s Exact test and Peto-Prentice test were used for statistical analysis. WEDNESDAY SESSIONS We identified factors responsible for discrepancy in diagnostic yield and re-categorised patients according to the most decisive factor that was identified. We compared diagnostic yield and survival statistics of cancer patients between the new groups. Diagnostic yield between abnormal(56/132;42%), nil(17/164;10%) and normal(3/144;2%) groups differed significantly; survival times for cancer patients did not differ significantly between groups. (p=0.38). POSTER LISTING Conclusion: Total adipose tissue and visceral fat volumes can be measured automatically with excellent test-retest reliability. Method comparison to standard semi-automated techniques is also excellent. We compared diagnostic yield between the different referring departments: general practice(GP), in-patient department(IPD) and out-patient department(OPD). Discussion: CT is not helpful at detecting non-malignant causes of weight loss. Majority of unnecessary CT referrals are from the hospital out-patient department. CT is not recommended in these patients unless backed by abnormal radiography/ultrasound findings. Jia Wei Tan University of Glasgow Jia Wei Tan is a Medical Student from the University of Glasgow with an interest in radiology. ePOSTER LISTINGS Results: Automated TAT measures were 31.72L (SD13.55) for the first acquisition and 31.76L (SD13.68) for the second. Corresponding mean VF measures were 3.15L (SD2.44) and 3.13L (SD2.43). The mean difference between repeated measures was -0.04L (95%CI:-0.16-0.07) for TAT with 95% limits of agreement of -0.68-0.60L and intraclass correlation of 1.0. The mean difference for VF was -0.02L (95%CI:-0.04-0.00) with 95% limits of agreement -0.15-0.11 and ICC=1.0. The mean VF derived from semi automated segmentation was 3.12L (SD2.17 ICC was excellent R=0.97 0.99). The mean difference between automated and manual VF measures was 0.04L (95% level of agreement -0.63-0.71) and correlation was excellent (Spearman Rank=0.98-0.99). Content: Retrospective study of 440 patients referred to a hospital radiology department for CT from JanuaryDecember 2012 for investigation of unexplained weight loss, defined as weight loss without other prominent signs/ symptoms. EDUCATION ON STANDS Methods and Materials: 30 adult participants (15 men, 15 women, 10 normal, 10 overweight, 10 obese) with BMI 20.1-48.6 underwent whole-body MRI on a widebore 3T machine. Each volunteer underwent two whole body 3D-gradient dual echo two-point Dixon acquisitions on separate occasions each lasting 15 minutes. Phase sensitive reconstruction and intensity inhomogeneity correction was applied to produce a quantitative 3D dataset providing a total adipose tissue (TAT) volume. Visceral fat (VF) quantification was performed automatically using nonrigid atlas-based segmentation and manually using industry standard software by two independent observers. University of Glasgow; University of Edinburgh; NHS Forth Valley Aims/Objectives: To investigate the role of CT in the investigation of unexplained weight loss, to compare diagnostic yield of primary care and secondary care radiological referrals and to establish reasons for discrepancy. EXHIBITION PLAN & LIST Norfolk & Norwich University Hospitals NHS Foundation Trust; Center for Medical Image Science and Visualisation, University of Linköping, Sweden Purpose: To measure test-retest reliability of a new fullyautomated MR protocol measuring whole body and visceral fat volume on a widebore 3T MR system and perform inter-method comparison with semi-automated manual segmentation. Jia Wei Tan; Amanda Liew; Rajesh Burgul; Nikolas Arestis EXHIBITOR INFORMATION David Newman; Christian Kelly-Morland; Olof Leinhard; Magnus Borga; Paul Malcolm; Andoni Toms SP012: The role of CT in the investigation of unexplained weight loss PRESENTER INDEX SP011: Reliability of fully automated whole body fat volume measurement in wide bore 3T MR imaging 45 WORKSHOPS MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 46 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN WELCOME PROGRAMME SP013: Multiparametric imaging in haematological malignancy: PET, CT, whole body-diffusion weighted imaging; staging, response evaluation (early) and prognostication Raekha Kumar; Axel Martin; Anastasia Constantinidou; Bhupinder Sharma INFORMATION VICE PRESIDENTS & WORKING PARTY Royal Marsden Hospital NHS Trust; Northwick Park Hospital, NWLH NHS Trust Introduction: Anatomical and functional imaging techniques are now applicable in haematological malignancy, including CT, PET-CT and whole body-diffusion weighted imaging (WB-DWI). Their relative roles, strengths and limitations, need to be reviewed across the lymphoma pathway. MONDAY SESSIONS TUESDAY SESSIONS Staging: Staging using these modalities needs to be further addressed. IWC 1999 are currently widely used, modified IWC 2007 Chesson criteria having been produced in 2007. The concept of CT occult ‘focal bone marrow’ disease and roles of 18FDG PET/ WB-DWI for ‘focal marrow assessment’ and ‘transformation’ remain key questions to be answered. Interest also lies in whether different imaging modalities can be used to differentiate between high and low grade non-Hodgkin’s lymphoma. WEDNESDAY SESSIONS Response evaluation: Repsonse evaluation will be changed with a view to using imaging as a potential biomarker for treatment escalation/de-escalation. PET/CT is likely to have a role in recognising focal bone response and impact on predictive outcomes. WORKSHOPS Prognostication: The roles of CT, PET, WB-DWI, MRI need to be assessed, with the strengths and limitations of Deauville criteria, prognostication and roles of imaging pre and post transplantation. SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS Multiparametric imaging in lymphoma/ haematological malignancy is complex with a number of imaging techniques being of importance for the appropriate and optimal management of patients. Ongoing work from a specialist tertiary referral centre will address key imaging aspects across the entire patient pathway, addressing relative strengths and limitations of all techniques and providing guidance on the appropriate use of anato-functional imaging. Raekha Kumar EDUCATION ON STANDS Research Fellow, The Royal Marsden NHS Foundation Trust See page 44. 3E MSK 15.00-16.30 Knee Moderator: Phillip Wardle, Consultant Radiologist, Royal Glamorgan Hospital Synovial abnormalities: The role of the plain film, CT and MRI Abnormalities of the knee synovium represent a diverse collection of pathologies including neoplastic, infective, inflammatory or traumatic causes. Magnetic Resonance Imaging (MRI) provides a non invasive method of disease assessment: It can be used to quantify the extent of synovial involvement and with the aid of other imaging modalities help to narrow the differential or provide a specific diagnosis. Imaging can also be used to monitor disease progress/ recurrence, response to treatment, and target biopsy as part of a multi disciplinary approach to all soft tissue tumours. This presentation aims to summarise relevant imaging features of synovial based disease to aid a systematic and safe approach to diagnosis and management. Peter Mullaney Consultant Musculoskeletal Radiologist, University Hospital Wales Peter Mullaney has been a Consultant Musculoskeletal Radiologist since 2007 after completing his Specialist Radiology training and a fellowship in Musculoskeletal Imaging in Toronto, Canada. Dr Mullaney has particular interests in MRI sequence optimisation, groin hernia ultrasound and methods of training in Musculoskeletal Ultrasound. He has been lead radiologist for the South Wales Radiology Trainee Presentation Programme since 2008, and is the lead radiologist for CASE approved postgraduate diploma courses in musculoskeletal ultrasound in conjunction with Cardiff University. He has presented at a regional, national and international level on various aspects of Musculoskeletal imaging. Osteochondral injury and abnormality Osteochondral injury vary in their presentation form an acute event to chronic conditions. This presentation focuses on imaging appearances of osteochondral injury (predominantly MRI) as well as practical aspects of their imaging management. This includes a surgical perspective with a particular focus on osteochondritis dissecans and chondromalacia patellae. EXHIBITION PLAN & LIST Phillip Wardle EXHIBITOR INFORMATION PRESENTER INDEX Consultant Radiologist, Royal Glamorgan Hospital Phillip Wardle is a Consultant Radiologist and Clinical Director at Cwm Taf Health Board, primarily practicing at Royal Glamorgan Hospital. Following two years of Musculoskeletal Radiology fellowship in Melbourne, Australia, Phillip became a Consultant in 2007. He is a member of the Welsh National Imaging Programme Board, chair of the Welsh Specialist Training JOIN THE CONVERSATION #UKRC2014 Teik Chooi Oh; Nicholas Chua; Syed Ali; Simon Beardmore Lancashire Teaching Hospitals NHS Trust We established the first NHS modern low-field MRI extremity scanner in early 2013. This is anEsaoteO-Scan which is a dedicated MRI extremity scanner. We have now had over 6 months experience with this scanner, which is used for MRI of knees, wrists, ankles and elbows (in order of frequency of use). This scanner has a small footprint and is of significantly lower cost than a full size MRI scanner. Despite the low-field 0.31 Tesla magnet, we have been able to produce diagnostic and comparable images for the scanning of extremities for our Orthopaedic referrals. It also matches the workload of a full size scanner. We have also been able to expand the scope of our practice to accept MRI Knee referrals from General Practice, following specific referral criteria. In addition, its design allows for claustrophobic patients to be scanned as well. Overall patient experience is also improved. We will demonstrate the parameters used for our scans as well as the normal and pathological appearances obtained with this scanner. Various presentations and range of pathology is discussed to demonstrate the versatility of this scanner. Clinical correlation has been provided where available. Simon Messer Senior Lecturer, University of the West of England Simon Messer qualified as a Diagnostic Radiographer in 1997. He specialised in cross-sectional imaging before leaving the NHS to join the University of the West of England in 2001. He was Programme Manager for the BSc (Hons) diagnostic imaging degree for 5 years and has extensive experience in higher education at both undergraduate and post graduate levels across a range of professional disciplines. Simon has specialised in e-Learning and has the Faculty lead for virtual patient simulations. He is external examiner for the MSc Diagnostic radiography programme at Queen Margaret University, Edinburgh and was awarded a UWE Learning and Teaching fellowship in 2013. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Virtual Patients (VPs) are interactive computer simulations of real-life clinical scenarios. Written as branched narrative systems, where the learners’ decisions affect the management of the patient and the outcome of the scenario, VPs utilise a wide set of patient-related data which the learner interacts with online. The data can be presented in multi-media formats which enhance the learning experience. VPs are recognised as effective tools that promote higher thinking skills such as analysis, synthesis and decision. The session presents an overview of a range of radiography-based cases written and played in UChoose, a virtual patient platform developed at the University of the West of England. A summary of evaluative data from learners is also presented. Overall, learner evaluation is shown to be very positive with the benefits of interactivity, situated learning and flexible access being highlighted. WEDNESDAY SESSIONS UChoose. Using a virtual patient paradigm in radiology education: Case examples and evaluation WORKSHOPS Moderator: Vivien Gibbs, Postgraduate & CPD Manager, University of the West of England SATELLITE SYMPOSIA SP014: Experience with the first Esaote lowfield extremity MRI scanner Advancing education in radiography POSTER LISTING Consultant Radiologist, Royal Glamorgan Hospital Stephen Davies is a practicing Clinical Radiologist in the NHS and Medical Director and Responsible Officer at Medica. He has been BIR President, UKRC President, Associate Dean Cardiff University and Head of Radiology School in Wales and QA Lead for Education at the RCR. He is visiting professor at the University of South Wales. He obtained his medical degree at Cambridge and the London Hospital and undertook his radiology training at the Royal London. He is a musculoskeletal and general radiologist and has lectured widely on this topic with special interests in the diabetic foot and acute knee injury. Service delivery 15.00-16.30 ePOSTER LISTINGS Stephen Davies 3F EDUCATION ON STANDS This presentation assumes a working knowledge of the basic findings of ligament and meniscal injury. The presentation aims to look at three key patterns of injury, based upon the mechanism of injury: Valgus external rotation, hyperextension varus and transient patellar dislocation. A consideration will be given to the management of these injuries and the key features to highlight when reporting these studies. Lancahsire Teaching Hospitals NHS Trust Teik Oh is a Consultant Radiologist at Lancashire Teaching Hospitals NHS Trust, working at both Royal Preston Hospital and Chorley District Hospital. His speciality interests are Musculoskeletal, Trauma and Radionuclide radiology (Nuclear Medicine). EXHIBITION PLAN & LIST Soft tissue injuries: Beyond the basics Teik Chooi Oh EXHIBITOR INFORMATION Committee for Sports & Exercise Medicine and is Clinical Lead for the MSc Diagnostic Ultrasound course at University of Glamorgan. Phillip was part of the Radiologist team at the Melbourne Commonwealth Games in 2006 and at the London Olympic Games in 2012. 47 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 48 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN WELCOME The impact of hybrid imaging technology on the nuclear medicine workforce: Understanding practitioners’ learning and development PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS The introduction of hybrid imaging technology has begun to redefine working practice in nuclear medicine. Emerging hybrid imaging techniques and evolving roles have created opportunities and challenges for nuclear medicine practitioners, and this is coupled with changes to traditional professional relationships with other health care disciplines. Organisational ethnography was utilised as a research methodology to observe working practice at three clinical hybrid imaging environments and undertake interviews with nuclear medicine practitioners. The emerging culture and professional identity of the hybrid imaging workforce was explored using symbolic interactionism which highlighted opportunities and challenges associated with introducing new technology. Practitioner diaries (weblogs) were also used to supplement the data collection and understand the current position of the workforce. Observational and thematic analysis was undertaken in order to identify a number of key themes which included ‘cultural lag’ in terms of the delayed adoption of new technology, ‘occupational shift’ around traditional tasks now being undertaken by other health disciplines, a lack of clarity around ‘technological domain ownership’ and variable levels of ‘flat collaboration’. Positive aspects of the study included evidence of role development, autonomous working practice and decision making capabilities. Innovative approaches to service delivery were documented, creating an occasion for reshaping the professional identity of the nuclear medicine practitioner. The emerging hybrid imaging environment has created an opportunity to provide a patient centric approach to service delivery, appropriate training models and aligns to a number of government strategies focusing on innovation and improvement within the health care service. SATELLITE SYMPOSIA Marc Griffiths POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS Head of Department, University of the West of England Marc Griffiths is Head of Department within the Faculty of Health and Applied Sciences at the University of the West of England, Bristol. Research areas include exploring the development of a hybrid imaging workforce within healthcare and service provision mapping. Additional areas of research include mentorship, curriculum and educational development and the creation of competency frameworks. EXHIBITION PLAN & LIST The flipped classroom: New innovation or an old idea EXHIBITOR INFORMATION PRESENTER INDEX In recent years due to technological advances, innovative curriculum design has been central to the developments within many health care education programmes. The Medical Ultrasound programme at City University London has been no exception. To enhance the face to face learning time within the part-time postgraduate programme we developed a method of blended learning, which involves on-line lectures and guided self study, supported by interactive film viewing sessions, group discussions, simulation and games within the lectures. Additionally online case discussions are used to share clinical cases from the clinical workplace and develop collaborative learning and assessment in the clinical modules. The term “flipped classroom” has appeared frequently in recent educational literature, this presentation will consider whether it is a new idea and how it has been used within the Post-graduate ultrasound programme. Gill Harrison Ultrasound Programme Director, City University Hospital, London Gill Harrison is the Programme Director for the Medical Ultrasound programme at City University London, Gill has had many years involvement in postgraduate ultrasound education and continues to undertake clinical ultrasound sessions in the NHS. More recently she has been involved as an editor for the SCoR and DoH e-learning for Healthcare project, editing and writing some obstetric modules and developing innovative teaching, learning and assessment methods within the medical ultrasound programme. 3G GU 15.00-17.15 Urology 2 Moderator: Richard K.G Do, Assistant Attending Radiologist, Memorial Sloan Kettering Cancer Center Imaging of benign renal masses The imaging characteristics of the most common benign renal masses will be discussed in detail, in addition to a brief overview of the radiological findings of rarer benign renal lesions. Common non-neoplastic mimic of renal tumors will be addressed, and an overview of additional potential pitfalls in renal mass imaging will be provided. Finally there will be a discussion of the radiologist’s role in the management of the incidentally discovered small renal mass. Darragh Halpenny Attending Radiologist, Memorial Sloan Kettering Cancer Centre. See page 39. Benign lesions on CT Urography CT urography is a developing diagnostic imaging technique made possible by recent advances in CT technology. CT urography is defined as contrast enhanced CT examination of the kidneys, ureters and bladder. This means that at least one phase of CM enhancement must be included in the examination for it to be called CT urography and that the excretory-phase although the most commonly included in clinical practice is now not mandatory. The diagnostic accuracy of CT urography for a particular disease depends JOIN THE CONVERSATION #UKRC2014 Content: A systemic review was performed in line with the PRISMA statement. MEDLINE and EMBASE databases were searched using the terms ‘magnetic resonance imaging’ and ‘acute scrotum’. Search limits were applied to articles published in English, in the last twenty years and with an available abstract. Relevance: Surgical exploration for suspected testicular torsion is a time-critical decision taken after clinical assessment of the acute scrotum. The use of Colour Doppler Ultrasound in this context is well established, however MRI is emerging as a useful modality in assessing testicular morphology and blood flow when clinical and ultrasonic findings are equivocal. Impact/outcomes: Nine studies were eligible for inclusion. These included five case series reviewing a total of 115 patients, a case report and three reviews. No randomised or controlled studies were available. Shonit Punwani Senior Lecturer and Consultant Radiologist, University College London Shonit Punwani is a Senior Lecturer in Cancer Imaging at University College London and Honorary Consultant Radiologist at University College London Hospital (UCLH). He has a background in MRI Physics and is currently leads the 3T MR Research Facility at UCLH. He is developing and clinically translating novel MRI methods for microstructural, functional and metabolic cancer imaging. He has significant clinical and research expertise in the application and development of multi-parametric MRI for the detection and monitoring of prostate cancer and its treatments. Supported by VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS The talk will illustrate how multi-parametric MRI of the prostate can be integrated into the clinical management of patients with prostate cancer. It will highlight and explain the individual sequences used within a multi-parametric MR examination and their value in the localising cancer. Benefits and limitations of prostate multi-parametric MRI will be illustrated through a series of histologically confirmed cases. Current and developing guidelines on prostate multi-parametric MRI will be reviewed. Application of the multi-parametric MRI technique to the metastatic staging of disease will be discussed. SATELLITE SYMPOSIA Epsom and St Helier NHS Trust Objectives: In this review, the evidence for the use of MRI as an adjunct in the assessment of acute scrotal pathology is investigated. Multi-parametric prostate MRI - Why bother? POSTER LISTING Victoria Bonello Epsom and St Helier NHS Trust Victoria Bonello qualified as a Doctor of Medicine and Surgery (MD) in 2007, obtaining her MRCS qualification in 2010 whilst completing her Core Surgical Training in 2011. She obtained a Post-Graduate Certificate in Medical Education from the University of Cardiff in 2012 and as part of her commitment to Medical Education, took up a post as a Clinical Teaching Fellow within Epsom University Hospital. She is currently pursuing a Masters in Research (Medical Imaging Sciences) at King’s College, London and will be starting her Clinical Radiology Training within the London Deanery later on this year. ePOSTER LISTINGS SP015: The role of magnetic resonance imaging in the evaluation of the acute scrotum: a contemporary review Victoria Bonello EDUCATION ON STANDS Consultant Radiologist, The Manor Hospital, Oxford Nigel Cowan qualified in medicine from Cambridge University, UK. and trained in Radiology at King’s College Hospital, London. His professional interests are body imaging and intervention and include imaging for haematuria, renal mass evaluation and bladder cancer. He is the current chairman of the European Society of Urogenital Radiology Working Group on Upper Urinary Tract Imaging. He was a cofounder of the British Society of Urogenital Radiology and its first chairman. He is a dedicated educator and regular contributor to educational courses on body CT at the European Congress of Radiology (ECR), European Society of Urogenital Radiology (ESUR), and the Radiological Society of North America (RSNA). He is delighted to receive an invitation to speak today at UKRC. Discussion: The body of literature on the use of MRI in this context is small and heterogeneous. DCE-MRI is a useful adjunct to clinical and USS findings when these are equivocal. It provides accurate information on testicular morphology and blood flow although its use is limited by cost and availability. EXHIBITION PLAN & LIST Nigel Cowan Using dynamic contrast-enhanced MRI (DCE-MRI), the reported sensitivity for diagnosing complete testicular torsion was that of 93-100%, with a specificity of 100%. Sensitivity and specificity for the diagnosis of epididymitis was 100%. EXHIBITOR INFORMATION on which phases are included in the examination as the diagnostic accuracy of each phase varies greatly for different diseases. Image acquisition should be optimised for multiplanar reconstruction so images can be reviewed in orthogonal planes to maximise diagnostic accuracy. The indications for CT urography remain controversial and consensus has not been reached on the subject. The principal indication is investigating haematuria, other indications include iatrogenic injury to the ureter and bladder, trauma to the genitourinary tract, investigation of fistula, unexplained hydronephrosis, planning for percutaneous nephrolithotomy, living related kidney donor assessment and recurrent UTIs. Contraindications are few but centre around whether iodinated contrast media or radiation should be avoided. 49 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress MONDAY ABSTRACTS AND BIOGRAPHIES 50 VENUE PLAN 3H WELCOME Cardiac 15.15-16.45 Ben Ariff Cardiac MRI and CT at the cardiac MDT PROGRAMME Moderators: Stephen Harden, Consultant Radiologist, University Hospital Southampton & Roger Bury, Consultant Radiologist, Blackpool Teaching Hospitals NHS Foundation Trust Cardiac CT INFORMATION VICE PRESIDENTS & WORKING PARTY NICE published guidance on the investigation of recent onset chest pain, in 2010. This suggested the role of cardiac CT should be for the exclusion of coronary artery disease in low risk populations, due to its excellent negative predictive value. While clearly a valuable tool, this practice does not generate a lot of discussion at MDT! MONDAY SESSIONS Since the guidelines were published there has continued to be a rapid development of CT technology, which can now provide high quality, robust, and low dose cardiac imaging. These developments now mean cardiac CT, in addition to excluding disease, can provide valuable information in pathological states. TUESDAY SESSIONS This case based presentation will highlight areas where CT alongside other investigation can make a significant difference to management either as the primary diagnostic tool or in problem solving. WEDNESDAY SESSIONS James Shambrook WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING Consultant Cardiothoracic Radiologist, University Hospital Southampton James Shambrook is a Consultant Cardiothoracic Radiologist at University Hospital Southampton, appointed in 2009. His principle interests are cardiac CT and MRI investigating both acquired and congenital heart disease. He has helped develop the cardiac CT service in Southampton and joined a very busy and successful CMR programme. He is currently the Clinical Supervisor for Cardiothoracic Radiology in the Wessex Deanery as well as Undergraduate lead for Clinical Radiology at the University of Southampton. ePOSTER LISTINGS Cardiac MRI EDUCATION ON STANDS Over the last several years, Cardiovascular MR (CMR) has undergone rapid evolution both in hardware and pulse sequence design, helping it to become an established cardiac imaging modality with an increasing range of clinical indications. EXHIBITION PLAN & LIST EXHIBITOR INFORMATION The unique ability of CMR to allow tissue characterisation, particularly the identification of fibrosis/scar, sets it apart from other imaging modalities and has made it an important technique in, for example myocardial viability and cardiomyopathy assessment. Moreover, tissue characterisation sequences can be ready combined with anatomical and functional data in a single study underscoring the versatility of the technology. PRESENTER INDEX We present several imaging cases where CMR has helped secure the diagnosis or has had an important impact on clinical management decisions within a multidisciplinary imaging environment. Consultant Cardiac Radiologist, Imperial College NHS Trust Ben Ariff is a Consultant Radiologist working at Imperial College NHS Trust, London and subspecialising in cardiac CT and cardiovascular MR, working within a multidisciplinary tertiary environment. He is level 3 accredited in cardiac CT (SCCT/ BSCI) and CMR (SCMR); was a ESOR cardiac imaging fellow at Leiden University and has extensive experience in clinical pharmacology and general internal medicine, having obtained CCT in both. He was awarded a PhD for his work focusing on carotid artery remodelling and the local haemodynamics effects of anti-hypertensive agents. SP016: Developing the capacity and capabilities in a cardiac unit with 2 catherisation labs and a day ward Sarah Bricknell, David Rose; Jackie Churchman Inhealth Group Ltd Angiography and angioplasty are procedures that form part of hospital cardiac services however patients are commonly sent to tertiary hospitals rather than being treated in their local hospital due to technical and clinical service constraints. Our aim was to deliver a first class, modern and efficient service and meet increasing demand for access to a broader range of services. Our challenges included: - Ensuring all national standards are met for providing appropriate cardiac care - Delivering advanced techniques and an emergency service 24/7 - Managing and maximising the day case throughput - Inpatients seen and treated in a timely way to minimize delays Developing the services included the following focus areas: - Installation of state of the art facilities and equipment - Excellence in operational management - Improving the patient experience - Collaborative service development We will present the solutions we have developed to meet these challenges, working in partnership with a multidisciplinary team including cardiologists, physiologists, radiographers, nurses and administrators. Our approach included: - Establishing pre-assessment clinics with a preassessment questionnaire and face to face appointments - Extending the working day - Developing an enhanced staff skill mix - Providing advice and support for medication and care queries Our changes have resulted in an increase in angioplasty capacity of 45% in the past year. High patient satisfaction rates are maintained, with 97% of patients rating the service excellent, very good or good. Team working and communication has been strengthened between the cardiac unit, other departments and the tertiary centre. JOIN THE CONVERSATION #UKRC2014 Conclusion: Implementation of an additional 60 second delayed scan improved the detection of LAA thrombus in patients referred for RFA potentially negating the need for a separate TOE for this purpose. Group Sensitivity/% Specificity/% PPV/% NPV/% Standard Acquisition 100 85.7 21 100 2-Phase Acquisition 100 100 100 100 Published range 100 72.2 - 98 23 – 93 100 VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Components of the virtual chain – the task. A Virtual Clinical Trial (VCT) is an extremely powerful method for defining and developing new medical imaging systems. Developing and validating a medical imaging system using prototyping and real observer studies is time consuming and costly. A VCT is conducted using a simulation chain from image generation to visualization [1,2]. Within the pipeline, intrinsic parameters can be modified without expensive physical prototypes. VCTs cannot fully replace physical experiments, but can provide a detailed understanding of the design problem and development path. While estimating clinical performance is important, the most challenging part of a VCT is to establish correlation between physical parameters and simulated performance. VCTs have proven useful on multiple occasions, including the development of a new medical display dedicated to breast tomosynthesis demonstrating significantly improved performance [3]. Substantial research and develop. WEDNESDAY SESSIONS Components of the virtual chain – the task Cédric Marchessoux POSTER LISTING Results: A total of 8 true LAA thrombi were detected (5 and 3 using standard acquisition and 2-phase, respectively. The use of the 2-phase acquisition significantly reduced pseudothrombus detection (30 vs. 0 cases; p<0.0001) improving the specificity and PPV (table 1). The mean additional radiation burden was 0.4 (0.2 – 0.6) mSv. Moderator: Nicholas Marshall, Medical Physics, Department of Radiology, UZ Leuven Senior Research Engineer, Barco N.V Cedric Marchessoux received the PhD degree in electronics engineering from the University of Poitiers, France, in 2003. He has focused studies on theoretical physics applied to medical imaging, and after a two years postdoctorate at the material research laboratories of AgfaGevaert, Belgium, he joined in 2006 the Barco Medical Imaging Division, Kortrijk, Belgium, as Research Engineer, in 2008 as Project Leader and 2009-2012, as Project Manager and since 2012 as Senior Research Engineer. He is author and co-authors of more than 50 publications in journals and conferences and he is co-authors of several patents and reviewers of different scientific journals. Since 2004, he has been involved in several international and European projects. Research topics are related to improving perceived image quality and clinical performance of medical imaging systems with a current focus on display temporal response improvement and color calibration algorithms. ePOSTER LISTINGS Methods: A standard of 100% positive and negative predictive value for the detection of LAA thrombus in patients undergoing CT assessment pre-ablation was set. 90 consecutive scans were included in the initial audit. The diagnostic accuracy (sensitivity, specificity, positive (PPV) and negative predictive value (NPV)) for LAA thrombus detection was determined. A new 2-phase acquisition protocol (additional 60 second delayed scan) was introduced and the subsequent 128 consecutive cases were re-audited to determine if the standard had been met. All patients underwent a TOE (as part of the standard clinical work-up) as the gold-standard reference. Virtual clinical trial: a real prospect? EDUCATION ON STANDS Royal Brompton and Harefield NHS Trust Background: We present a complete audit cycle that reduced the prevalence of pseudo-thrombus (caused by poor initial mixing of contrast) in the left atrial appendage (LAA) on CCT in patients undergoing radiofrequency AF ablation (RFA) following implementation of a new protocol. Advances 16.15-17.45 EXHIBITION PLAN & LIST Chris Pavitt; Olga Lazoura; Alistair C Lindsay; Mona Sriharan; Michael Rubens; Simon Padley; Ed Nicol 4A EXHIBITOR INFORMATION SP017: A complete audit cycle demonstrating improvement in the detection of left atrial appendage thrombus using cardiovascular CT (CCT) Royal Brompton and Harefield NHS Foundation Trust Chris Pavitt completed his undergraduate medical degree at Brighton and Sussex Medical School and an intercalated BSc in physiology at University College London. He is currently a Foundation Year 2 Trainee in the North-West Thames foundation programme where he has been an Honorary Research Fellow in the cardiac imaging department at the Royal Brompton for two years. Chris’ main research focus has been developing and validating new methods in cardiac CT to facilitate diagnosis of cardiac disease, whilst reducing patient radiation exposure. He maintains an active clinical teaching role as a mentor and facilitator to medical students. WORKSHOPS Chris Pavitt InHealth Group Sarah Bricknell has been with InHealth since 2003 and has advised on a wide range of contractual agreements and commercial arrangements with the NHS and has been instrumental in NHS Wave 2 Diagnostics contracts as well as a wide variety of NHS relationships with Trusts, PCTs, Commissioners and Department of Health and governing bodies. Sarah gained considerable commercial and legal experience whilst working with BAE Systems and Spirent plc and her background in private practice. PRESENTER INDEX Sarah Bricknell 51 SATELLITE SYMPOSIA MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 52 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN Components of the virtual chain – The system WELCOME PROGRAMME To undertake a virtual clinical trial it is necessary to simulate the whole imaging chain, including the patient. There are a number of breast models available for study and there will be a discussion on the insertion of lesions. The image is formed using ray tracing techniques with the amount of scatter calculated using Monte Carlo techniques. This talk will discuss simulating the whole imaging chain from X-ray tube to the detector for mammography and digital breast tomosynthesis. INFORMATION Alistair Mackenzie VICE PRESIDENTS & WORKING PARTY Research Physicist, National Coordinating Centre for the Physics of Mammography, Royal Surrey County Hospital See page 37. Components of the virtual chain – The observer MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Medical imaging systems and medical images should be assessed in terms of how well they fulfill their purpose, i.e., how useful they are in a given clinical process (task) performed by a physician (observer). Accordingly, medical images are best evaluated by means of observer studies: the better the observers perform the task using the images, the better the images. Currently, studies with real (human) observers still remain necessary in the process of final product validation. However, they are increasingly being replaced by virtual observers (mathematical models) in the stage of product development and early product validation, thereby greatly cutting the cost and time. This talk will focus on the virtual observers, the principles of the models as well as the methodology of the virtual observer studies. We will also look into the agreement between real and virtual observers and discuss the possibilities for using virtual observers as surrogates for humans. Ljiljana Platisa POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST Postdoctoral Researcher, University of Ghent Ljiljana Platisa is a Postdoctoral Researcher in the Image Processing and Interpretation Research Group within the Department of Telecommunications and Information Processing, Ghent University, Belgium. She received her Master’s degree (2001) from the Faculty of Technical Sciences, University of Novi Sad, Serbia and her PhD degree (2014) from the Faculty of Engineering and Architecture, Ghent University, Belgium. Her work experience spans both academia and industry. Her research focuses on theoretical and psychophysical aspects of image quality, covering both technical and task-specific approaches. 4B Breast 16.15-17.45 Management of increased risk Moderator: Anthony Maxwell, Consultant Breast Radiologist, University Hospital of South Manchester NHS Foundation Trust Epidemiological factors This talk will outline the epidemiology of risk factors known for breast cancer, and then focus particularly on the epidemiology of breast cancer risk in women who have undergone high dose radiotherapy, and the effects of other treatments and other factors on their risks. Tony Swerdlow Professor of Epidemiology, Institute of Cancer Research Anthony Swerdlow was educated in medicine at Cambridge and Oxford Universities and holds doctorates in epidemiology from Glasgow, London and Oxford Universities. After junior posts in clinical medicine, he worked in epidemiology and joined the London School of Hygiene & Tropical Medicine in 1987. He moved to the Institute of Cancer Research in 2000, where he is Professor of Epidemiology, and an honorary consultant at The Royal Marsden Hospital. His research has been in chronic disease epidemiology, mainly cancer. He is co-PI with Professor Alan Ashworth of the Breakthrough Generations Study, a cohort study of over 110,000 women in the UK. Genetic factors In a small proportion of cases of familial breast cancer, the cancer is caused by high penetrance mutations in genes such as BRCA1 and BRCA2. When this is the case, genetic testing has a clear predictive value, and there are effective clinical protocols for the management of individuals in families. In the majority of cases, often where family history is less pronounced, the risk of breast cancer is multifactorial, conferred by a combination of environmental factors and genetic polymorphisms, each of which only confers a small risk. It is recognised that information from these genetic polymorphisms can be used to predict risk of cancer. However, the clinical protocols for using this information are not fully developed. it is likely that they will only be useful when genetic information is combined with other clinical information, such as family history and breast density. Jonathan Berg EXHIBITOR INFORMATION PRESENTER INDEX Senior Lecturer and Honorary Consultant in Clinical Genetics, University of Dundee and NHS Tayside Jonathan Berg works as a Clinical Geneticist in Dundee and Perth, with responsibility for identification and management of women at increased risk of breast cancer. His research in breast cancer is the investigation of how low penetrance genetic polymorphisms can be used in combination with other risk factors (such as environmental factors and mammography density) to improve the identification of younger women at increased risk of breast cancer, and allow us to target screening. JOIN THE CONVERSATION #UKRC2014 MR and high risk screening MRI screening with a dynamic contrast-enhanced (DCE) technique is recommended for women who have a significantly increased lifetime risk of developing breast cancer because of its improved sensitivity compared to mammography for detecting small cancers. DCE-MRI can identify disease that cannot be seen on mammography or ultrasound and it is not affected by breast density. This lecture reviews the current status of MR in high risk screening including risk stratification, imaging features of screening-detected cancers and novel scanning techniques which might further improve diagnosis and reduce cost and scanning times. Liz O’Flynn Senior Research Fellow & Consultant Radiologist, Institute of Cancer Research, The Royal Marsden NHS Foundation Trust Elizabeth O’Flynn qualified in medicine from St Mary’s Hospital in 2000, trained in surgery at St Mary’s and then completed specialist training in Anand Patel SpR, Trauma and Orthopaedic Surgery, Royal National Orthopaedic Hospital, Stanmore Qualifying as a clinician in 2003, and more recently gaining an MEd (Surgical Education), Anand has a keen interest in improving the quality of patient care, through the use of technology, as well as developing best practices by incorporating informatics to drive the healthcare profession forward. Whilst undertaking his registrar training on the Royal National Orthopaedic Hospital (RNOH) Rotation, Anand’s diverse experience in collaborative care at sites such as Barnet, QE2, Queens and RNOH allow for a unique and in depth insight into the current state of informatics integration within clinical care, and its impact on collaboration between healthcare partners. Collaborative interventions and aortic dissection Following an acute interventional referral, providing the best clinical care hinges on being able to review the medical images prior to a patients arrival. On patient transfer to a primary PCI centre, every second counts to maximise outcomes. Recent cardiac images need to be available at the click of a button to enable the cardiac cath lab team to ascertain previously stented vessels, possible bypass grafts and viable heart muscle. As a significant shift in practice, online image transfer eliminates the possibility that an image-containing CD will be lost when patients visit a new institution. If a patient forgets the CD or if it is misplaced, previous options were to either postpone the service or repeat the coronary angiograms, increasing costs and radiation dose. This talk discusses how radiographers and members of the multi-disciplinary team can best use informatics and work together to ensure better care. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS This talk discusses the collaborative needs of the Surgical team during both acute and elective events, best practice, and how collaboration between medical staff and Radiology is imperative to ensure the best outcome for the patient. WORKSHOPS Radiology services fundamentally underpin the care delivered to patients by surgeons and other clinicians - high quality and effective collaboration allows for the best use of resources to provide positive outcomes at all points in the patients journey through the healthcare system. SATELLITE SYMPOSIA She has a longstanding interest in all aspects of breast imaging and in cross-sectional oncological imaging, particularly of lymphoma. Dr Vinnicombe has particular expertise in breast MRI, having developed this service at Barts and The London and teaches widely on this subject. She lectures throughout the UK and Europe on imaging of breast disease and lymphoma. Her main research interests are in the evaluation of breast density, personalised breast cancer screening and in early evaluation and prediction of response to neoadjuvant chemotherapy with MRI and ultrasound. Best Practice: An orthopaedic surgeon’s view POSTER LISTING Clinical Senior Lecturer in Cancer Imaging, University of Dundee Sarah Vinnicombe is Clinical Senior Lecturer in Cancer Imaging and honorary Consultant Radiologist at Ninewells Hospital in the University of Dundee, a post she took up in May 2011. Previously she was a Consultant Radiologist at Bart’s and The London NHS Trust, where she was Lead in Breast Imaging and Director of Breast Screening. In 2013 she was the British Society of Breast Radiologists’ Visiting Professor. Moderator: Anant Patel, Radiographer, Society of Radiographers IM&T Group ePOSTER LISTINGS Sarah Vinnicombe Health informatics Informatics – Enabling effective collaboration in clinical care 16.15-17.45 EDUCATION ON STANDS Additionally, further research is needed into the interplay of features such as textural analysis and MD. Only then can we take steps towards the holy grail of personalised breast cancer screening. 4C EXHIBITION PLAN & LIST Mammographic density (MD) is accepted as a risk factor for subsequent development of breast cancer and in population terms, it accounts for a substantial proportion of all breast cancer cases. Could it then be used to improve risk prediction for the individual woman? For this to occur an essential prerequisite is the development of fully automated, reliable tools for measurement of MD, which are validated against breast cancer risk. Evidence is emerging that this is the case for tools such as Volpara and Quantra.The second key question is whether the incorporation of MD into the commonly used risk assessment tools, possibly with genotypic profile, can improve risk modelling– and more research into this question is urgently needed. radiology at Hammersmith Hospitals and King’s College Hospital, subspecialising in breast radiology. She has been at the Institute of Cancer Research and The Royal Marsden Hospital since 2010 and is now a Senior Research Fellow and Consultant Radiologist, completing an MD in breast imaging. Her main research interests include breast MRI, diffusionweighted imaging of the breast and using other functional MRI techniques to aid diagnosis and assess treatment response. EXHIBITOR INFORMATION What do we do about density? 53 PRESENTER INDEX MONDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 54 MONDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN Mark Bowers WELCOME PROGRAMME INFORMATION Cardiac Cath Lab Service Manager, Royal Brompton and Harefield NHS Foundation Trust Mark Bowers graduated as a Diagnostic Radiographer in Perth, Western Australia before joining the Royal Brompton Hospital in 1995. In 2009 he was appointed Cardiac Catheter Lab Service Manager at Harefield Hospital. Mark served as Chairman of the Cardiac Radiographers Advisory Group and is currently joint Chairperson for the Cath Lab Managers Network Group. Recently he has taken a position on the steering group for the National Cardiac Benchmarking Collaborative. VICE PRESIDENTS & WORKING PARTY A healthy relationship MONDAY SESSIONS TUESDAY SESSIONS Boundaries are breaking down across the health service. Organisations are interacting in new ways. Multi-disciplinary teams are coming together to shape new ways of working. New providers are competing for work. And yet we’re often employed in hierarchical structures and frustrated in our efforts to change practice for the better. Managed networks are increasingly common in the modern NHS. They help to work across boundaries and bring people together. This talk suggests ways you can learn from networks to break down barriers and improve your collaborations. Stephen Lock WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING Senior Network Manager, National Institute for Clinical Research Stephen Lock is a Senior Manager and improvement expert with 17 years’ senior leadership in healthcare and IT. He was the Founding Manager of the Yorkshire Stroke Research Network and led the network for 7 years. During this time he also managed the West Yorkshire Comprehensive Local Research Network through a time of major change and has led on a range of service improvement projects regionally and nationally. The YSRN has won three awards for its improvement work and Stephen was a finalist in the Lean Healthcare Awards 2014. Allied health professionals ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST There are clear national drivers and programmes to drive integration in healthcare delivery, as there is to integrate digital care records. But none of this can happen or is relevant unless it answers a clinical need or improves patient care, experience, safety or outcome. In this session we explore the national context and look at some examples of where AHPs and other health and care professionals are rising to this challenge. We will seek to understand what integrating patient information means to clinical practice and what patient information actually means. 4D Neuro 16.15-17.45 Spinal conditions Moderator: Amit Herwadkar, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Imaging of the post-operative spine Amit Herwadkar Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Spinal lesions: What should I look for other than degenerative disc disease? Lesions involving the spinal canal and its contents (the spinal cord and nerve roots) may present with back pain or neurological deficits. Whilst there may be certain important clues in the clinical history and examination, imaging of the spine is crucial to arriving at the correct diagnosis. MRI is the imaging investigation of choice as this gives good soft tissue contrast of the contents of the spinal canal. Intravenous contrast may be needed in certain situations. CT best assesses bone detail. This lecture will provide an overview of common important spinal conditions other than degenerative disease that reporting radiologists should always keep in mind. Charles Romanowski Consultant Neuroradiologist, Sheffield Teaching Hospital Charles has been a Consultant Neuroradiologist in Sheffield for nearly 20 years. His clinical interest is in adult diagnostic neuroradiology, particularly neuro-oncology. He regularly teaches locally, nationally and internationally and is one of the faculty members on the Erasmus MRI Course as well as the European Course in Neuroradiology. He is the organiser of the Fundamentals of Neuroradiology Course, held in Sheffield for the last 17 years. Outside of work, Charles enjoys playing the piano, water-colour painting, walking and exploring aspects of his Polish heritage. Marrow disorders: An overview of a complex subject This talk will concentrate on the different pathologies that can affect bone marrow, primarily on MRI and radiography. Firstly, the normal appearances will be demonstrated, followed by a review of the various different pathologies, from marrow replacement to haematological disorders and other miscellaneous conditions. EXHIBITOR INFORMATION David Davis Naomi Winn Clinical Informatics Advisor, NHS England David Davis is currently a practising Paramedic who works across a number of regional, national and strategic roles. Consultant Radiologist, Central Manchester University Hospital NHS Foundation Trust See page 28. PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 Consultant MSK Radiologist, Royal Liverpool Hospital Hifz-ur-Rahman Aniq is working as a Consultant Radiologist at the Royal Liverpool and Broadgreen University Hospitals Trust and Honorary Lecturer at the University of Liverpool. He is also Training Programme Director in Radiology in the North West Mersey Training Scheme. He completed his Radiology training from the Mersey Training Scheme in 1995.His special interests are trauma, spinal and sports imaging. He is particularly interested in imaging guided musculoskeletal intervention. He is faculty member of many national and international teaching courses and invited speaker at many local and national conferences. Thoracolumbar Spine Trauma – Imaging controversies Thoracolumbar spinal injuries are common and are associated with high levels of morbidity. There is a lack of consensus on best imaging strategies and missed/ mismanaged injuries are frequent. This lecture will review imaging strategies for assessment of thoracolumbar bony and cord injury. Richard Hughes Consultant Radiologist, Buckinghamshire Healthcare NHS Trust Richard Hughes is a Consultant Radiologist specialising in musculoskeletal and spinal imaging/ image guided interventions. He is based at Stoke Mandeville Hospital and the National Spinal Cord Injury Centre. 5B Paediatrics 08.30-10.10 Paediatrics – trauma imaging Moderator: Judith Foster, Consultant Radiologist, Derriford Hospital, Plymouth RCR/RCPCH Intercollegiate Paediatric Trauma Guidelines: Imaging Guidelines for imaging the severely injured child What defines a child? What is severe trauma in relation to a child? How should a child with severe trauma be imaged? These are simple questions but the answers are complex. There have been guidelines published by the RCR for the management of the severely injured patient but these are not applicable to children. Injuries regarded as common and serious in the adult population such as spinal or pelvic injury are exceedingly rare in pre-adolescent children. Injuries regarded as life threatening in the adult population, for example, liver and spleen trauma are routinely managed conservatively in children. In addition it has become increasing clear recently that the cancer risk of CT in childhood is real, significant and increases with the youth of the child. The use of adult protocols and in particular the “whole body” CT trauma survey is not appropriate in childhood. Intercollegiate RCR and RCPCH guidelines for the management of the severely injured child will be presented to assist radiologists and clinicians, dealing with the severely injured child, to base imaging decisions on the best available evidence. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Consultant Radiologist, Buckinghamshire Healthcare NHS Trust Tom Meagher has worked closely with the National Spinal Injuries centre since his appointment to Stoke Mandeville in 1991. He has maintained an interest in imaging of cord injury and associated complications of cord injury. He has previously served as Clinical Director of the Spinal injuries centre and served two terms as chair of the UK Spinal injuries research collaboration. WEDNESDAY SESSIONS Hifz Aniq Tom Meagher WORKSHOPS Cervical spine trauma forms 2-3% of blunt injuries and can lead to devastating results. Road traffic accidents are the cause of spinal injuries in younger population as compared to falls in older group. Early diagnosis is absolutely essential for correct management of these patients. Plain Xrays used to be the primary investigation however these are not very sensitive. Multidetector CT is now the investigation of choice due to high resolution, fast scanning time and easy availability. MR is helpful in assessment of extent of soft tissue injury and spinal canal compromise in cases of cervical injuries diagnosed on CT. MR has also been helpful in cases of occult spinal injury or to diagnose the cause neurological deficit. In this talk, we will discuss the mechanism of cervical spinal injuries, their appearance on different modalities and ideal algorithm in cases of acute spinal trauma. SATELLITE SYMPOSIA Cervical spine trauma – Pearls and pitfalls POSTER LISTING Moderator: Richard Hughes, Clinical Director Radiology, Stoke Mandeville Hospital ePOSTER LISTINGS Cervical spine trauma EDUCATION ON STANDS MSK 08.30-09.45 Trauma accounts for 70% of spinal cord injury in the UK and poses diagnostic challenges for both general and specialist radiologists. A wide variety of conditions accounts for the remainder of cord insults which frequently pose diagnostic challenges. Imaging strategies and signs associated with a cute cord injury are discussed in addition to newer techniques. Despite increasing access to complex imaging, acute cord injury may be overlooked at initial presentation. Complications of neurological deterioration in the subacute period including progressive ascending myelopathy are outlined. Chronic cord injury may also present with neurological deterioration and dysreflexia related to posttraumatic syrinx formation and dural adhesion. EXHIBITION PLAN & LIST 5A The spinal cord in trauma – Early, subacute and late considerations EXHIBITOR INFORMATION TUESDAY 10 JUNE 55 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 56 TUESDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN Judith Foster WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Consultant Paediatric Radiologist, Plymouth Hospitals NHS Foundation Trust After initially training in Leeds, Judith completed a paediatric radiology fellowship at Great Ormond Street before returning to Leeds as a Consultant Paediatric Radiologist in 2002. In 2009 she moved to Devon and is the Peninsula’s only dedicated Paediatric Radiologist. She covers most aspects of Paediatric Radiology based at Derriford Hospital Plymouth. Judith is solely responsible for paediatric radiology training at the Peninsula Radiology Academy. In the last 18 months she has chaired the intercollegiate working party on developing national guidelines for Imaging Paediatric Trauma which are due to be published by the College imminently. She is also a NICE Guideline Development Group member developing the NICE guidelines for Major Trauma, Spinal Injuries, Complex fractures and fractures. MONDAY SESSIONS Ultrasound of musculoskeletal trauma TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA For paediatric musculoskeletal injuries, dynamic ultrasound assessment is used predominantly in subacute setting for evaluation of joints and peri-articular soft tissues due to persisting pain, palpable swelling, instability or functional loss. Quick, with no radiation, need for sedation or general anaesthetic. Tolerated well by children, it allows the operator to discuss injury mechanism whilst observing active and passive movement of joints, ligaments and muscletendon complexes. We shall discuss: Acute appearances and evolution of injuries following extrinsic blunt trauma in muscle and subcutaneous tissues; effect of intrinsic, forced muscle contraction on the muscle-tendon-bone complex and changes with increasing skeletal maturity; acute avulsion and chronic traction apophyseal injuries; other peadiatric specific injuries involving the physeal plate, epiphysis and other non ossified structures. Joint and ligament injuries, foreign body retention and chronic sequelae of musculoskeletal trauma will also be included. POSTER LISTING Kate Kingston ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Consultant Radiologist, York Teaching Hospitals NHS Foundation Trust Kate Kingston is a Consultant Radiologist, York Teaching Hospitals NHS Foundation Trust. She is a general Radiologist with special interests in musculoskeletal and paediatric imaging. She qualified from University College and Middlesex School of medicine 1991. She is a Specialist Registrar Radiology Training Scheme UCH and Middlesex 1995-2000. She spent a year of registrar training based at GOSH and developed an interest in paediatric radiology. Her final six months as registrar was based at Christchurch Hospital, New Zealand. She has a fellowship at Christchurch Radiology Group, Christchurch, New Zealand in musculoskeletal imaging, gaining experience in MSK ultrasound. Ultrasound of abdominal trauma The role of contrast enhanced ultrasound in paediatric imaging is expanding. Initially its use was limited to voiding ultrasonography as an alternative to fluoroscopy. More recently we have used this modality in the characterisation of newly detected liver lesions in children with chronic liver disease and suspected malignancy. CEUS is now routinely used in our centre in the work up of focal liver lesions presenting de novo in children. CT remains the gold standard for imaging of trauma in children. With the use of CEUS the radiation burden of repeat CT to this vulnerable group of patients is dramatically reduced. CEUS can also be used in the imaging of children with testicular injuries to assist surgical planning. Maria Sellars Paediatric Radiologist, King’s College Hospital NHS Foundation Trust Maria Sellars was appointed in 2002 as a Consultant Paediatric Radiologist at King’s College Hospital, London. She has a special interest in the imaging of children with complex hepatobiliary, pancreatic and paediatric surgical disorders and paediatric liver transplantation. Maria has also pioneered the use of contrast-enhanced ultrasound in the imaging of children with liver disease and following trauma. She has lectured on this topic at national and international meetings and recently facilitated the first International Paediatric CEUS course in London. CT of musculoskeletal trauma CT has become a commonly used modality to evaluate children for significant injury. This talk focuses on problems that may be encountered while assessing the musculoskeletal system with CT. To accurately report paediatric imaging the radiologist should be aware of anatomical bony variants in the growing skeleton such as physeal lines and accessory ossification centres. In the severely injured child CT can demonstrate spinal trauma and pelvic fractures. Focussed CT scanning is employed in the pre-operative evaluation of complex fractures such as triplane ankle fractures and comminuted elbow injuries to aid surgical intervention. CT also plays a role in the longterm follow up of fractures to assess for possible non-union, physeal fusion and growth arrest. Jeannette Kraft PRESENTER INDEX Consultant Paediatric Radiologist, Leeds Teaching Hospital NHS Trust Jeannette Kraft is a Consultant Paediatric Radiologist at Leeds Children’s Hospital and Honorary Senior Lecturer at the University of Leeds. Jeannette graduated in Germany in 1996 and was awarded an MD in 1998. She trained in paediatric imaging in Leeds and Toronto and has been a Consultant since 2006. Her subspecialty interests include musculoskeletal imaging and both undergraduate and postgraduate medical education. She is the Training Programme Director for the Leeds and West Yorkshire Radiology Training Scheme and Lead Clinician for Radiation Protection for The Leeds Teaching Hospitals NHS Trust. JOIN THE CONVERSATION #UKRC2014 5C Service Delivery 08.30-10.00 Extending the role of the radiographer Moderator: Jeanne Scolding, Consultant Radiographer, Great Western Hospital NHS Foundation Trust Developing and running a radiographer-led angiography service Whilst radiographers have been extending their role in fields such as reporting, barium enemas and ultrasound for many years, interventional radiology has remained the domain of the radiologist. With increasing demands on doctors time and interventional procedures becoming more complicated, can radiographers help to fill the void? In 2001 due to an increasing vascular workload and a radiologist vacancy I identified an opportunity to extend my role. After a lengthy period involving various amounts of enquiring, cajoling, persistence, patience and frustration (and many others), I began my journey into an interventional extended role. A journey which has taken me to angiography and beyond! Roy Craven GI & HSG Advanced Practitioner, Manchester Royal Infirmary Roy Craven qualified in 2001 from the University of Salford with his first BSc in Radiography. His clinical placement was Manchester Royal Infirmary where he continues to practice today as an Advanced Practitioner in GI & Infertility studies. Post qualification Roy has gained a Masters Degree in Advanced Practice, a Post Graduate Certificate in Ultrasound, and finally his PhD. He successfully led the HSG service through the Advancing Health Care Awards in London in 2013. Radiographer-led Cardiac CT imaging The demand for Computed Tomography Coronary Angiography (CTCA) is increasing rapidly. Traditionally, this complex examination requires intensive supervision by a consultant radiologist. We decided to determine if Radiographer Advanced Practitioners could take on the role of the radiologist in performing CTCA scans. We therefore set out to train a small group of specialist radiographers to be competent in performing all aspects of the CTCA VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Consultant Radiologist, St George’s Healthcare NHS Trust Samantha Negus has been a Paediatric Radiologist at St George’s Hospital, London for 12 years, having undertaken radiology training at King’s College Hospital, with a paediatric fellowship at Great Ormond Street Hospital for Children. St George’s Hospital has a combined adult and children’s major trauma unit and she has developed a particular interest in trauma imaging and is a member of the subcommittee of the British Society of Paediatric Radiologists developing guidelines for imaging the child involved in major blunt trauma. Her other work involves supporting the paediatric medical, surgical and urological services, together with the neonatal intensive care unit and the paediatric ITU. She has a particular subspecialist interest in skeletal dysplasias. The remit was to improve the quality of service for the provision of diagnostic imaging to infertility patients undergoing the hysterosalpingogram (HSG) procedure. The HSG is an intimately invasive and emotionally challenging procedure for the patient. Tubal blockage can account for up to 25% of infertility cases. Traditionally the procedure was performed by a consultant gynaecologist, a consultant radiologist, a radiographer (AHP) and a nurse. The role advancement of the AHP is widely accepted throughout the medical arena and I had personally advanced my role from diagnostic radiographer to advanced practitioner status specialising in gastrointestinal imaging. Due to this, I was asked to explore the efficacy of the advanced practitioner performing and managing the HSG procedure. Today two AHP’s manage, perform and report the HSG procedure and the service has grown from offering 3 to 4 appointment slots per week, using the old traditional system, to now offering and successfully performing approximately 12 to 15 appointment slots per week. The service is now entering another stage of transition because we are investigating the efficacy of the AHP’s performing partial Fallopian tube recanalisation (FTR) to enhance the chances of normal conception within our patient group. POSTER LISTING Samantha Negus Developing a radiographer-led HSG service ePOSTER LISTINGS This talk will review the new British Society of Paediatric Radiologist Guidelines for Imaging the Child Involved with Major Blunt Trauma. She will discuss appropriate imaging methods and suggest proposed imaging protocols with particular reference to dual phase contrast injections, which combine venous and arterial opacification on a single pass CT scan. EDUCATION ON STANDS It is often assumed that the pattern of injury in children mirrors that of the adult population but children have a different physiognomy and physiology, and the relative elasticity of their tissues results in different injury patterns. Interventional Radiographer, University Hospitals Birmingham NHS Foundation Trust David Parker qualified in 1986 at the Wolverhampton School of Radiography. After a brief period at Dudley Road Hospital, moved to Selly Oak Hospital, Birmingham and stayed until its closure. While there, gained Post Graduate qualifications in Barium Enemas and Nuclear Medicine. Progressed through the ranks to become Angio Department superintendent in 1990. Extended role in 2003. Moved to the new Queen Elizabeth Hospital, Birmingham when it opened in 2010. EXHIBITION PLAN & LIST This presentation on CT in abdominal trauma discusses the predictors and patterns of intra-abdominal injury specific to the paediatric population. David Parker EXHIBITOR INFORMATION CT of abdominal trauma 57 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 58 VENUE PLAN examination, with only indirect supervision from a radiologist. In this presentation I will share our experiences of setting up a radiographer-led CT cardiac service. WELCOME Karen Reid PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Senior Radiographer, Norfolk and Norwich University Hospitals NHS Foundation Trust Karen Reid is a Senior Radiographer at the Norfolk & Norwich University Hospital, where she has responsibility for leading a team of radiographers undertaking advanced practice in the area of cardiac CT. She is also currently undertaking a National Institute for Health Research funded Masters in Clinical Research at the University of East Anglia, with special interests in stroke research and advancing radiographer practice. SP018: Implementing a radiographer-led lithotripsy service MONDAY SESSIONS Sally Hodgkins; Emily Lewis; Joanne Anthoney; Stephanie Symons TUESDAY SESSIONS Mid Yorkshire Hospitals NHS Trust Aims/Objectives: To evaluate a radiographer-led lithotripsy service following the first year of operation. WEDNESDAY SESSIONS Content: A new radiographer-led lithotripsy service was established in January 2013 within a large general hospital. The implementation of the service will be evaluated in terms of number of patients treated within the first year, and will include an audit of success rates and complication rates, these will be compared with national standards. WORKSHOPS SATELLITE SYMPOSIA The improved patient pathway will be detailed with the ability to perform ultrasound on the same day rather than patients returning for follow-up imaging at a later date enabling a faster discharge. An economical evaluation of the service will be presented. A short case study will be included with images to demonstrate an example of image guided lithotripsy. ePOSTER LISTINGS Relevance/impact: Radiographer-led lithotripsy services are still relatively new initiatives within the UK and it is important to evaluate the implementation of such a service change. EDUCATION ON STANDS Discussion: Radiographer role extension into image guided lithotripsy can have advantages to both the patients and the service. With the implementation of any new service initiative it is important to evaluate the impact on service provision and quality. EXHIBITION PLAN & LIST POSTER LISTING Outcomes: Audit data for the complete 12 month period is not yet available although audits that have been conducted so far suggest that the service is a success. Sally Hodgkins EXHIBITOR INFORMATION PRESENTER INDEX Mid Yorkshire Hospitals NHS Trust Sally Hodgkins qualified as a Diagnostic Radiographer in 2004 and studied abdominal ultrasound at postgraduate level. She has worked in general radiography, CT and ultrasound before commencing her current post in January 2013. She currently job shares an advanced practice role in urology at Mid Yorkshire Hospitals, performing ESWL and managing patients follow up. 5D Advances 08.30-09.45 IRMER masterclass – Training & training records requirements This session will bring attendees up-to-date with the latest expectations for training staff as duty holders under IRMER and what records are expected to be kept – some examples of best practice will be supplied. Matt Dunn Head of Radiology Physics, Nottingham University Hospitals NHS Trust See page 30. 5E Obstetrics & Gynaecology 08.30-10.00 Pelvic pain Moderator: Catriona Davies, Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Pelvic pain in the pregnant patient This session will review both common and less common causes of pelvic pain in the pregnant patient. This will include causes of pain that are seen rarely in other clinical contexts. In addition there will be a discussion of the strengths and weaknesses of different imaging modalities at different stages of pregnancy. Julia Hillier Consultant Radiologist, Chelsea and Westminster NHS Foundation Trust Julia Hillier is a Consultant Radiologist at Chelsea and Westminster NHS Foundation Trust. Her main area of interest is women’s imaging. In addition she is the Postgraduate Clinical Tutor for Chelsea and Westminster NHS Foundation Trust. Endometriosis To describe the various MRI techniques and seqeunces that can be used in the imaging of endometriosis. To illustrate the key MRI features of pelvic endometriosis. To illustrate common and uncommon sites of disease involvement in the pelvis/body Priya Narayanan Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Priya Narayanan, did her subspecialty training in gynaecological imaging/body MRI at St Bartholomews Hospital, she took up a Consultant post at Chelsea and Westminster Hospital in 2008. Her interests are in gynaecological imaging, especially endometriosis and gynaeoncology, and uroradiology. JOIN THE CONVERSATION #UKRC2014 Building a Multi-speciality enterprise VNA – Store images and documents (XDS based) This session provide an overview of how a Vendor Neutral Archive that supports the IHE XDS profiles can be used to provide a foundation architecture which supports the storage and distribution of a patient’s longitudinal Healthcare record. Dominic will highlight the benefits of XDS in not just providing technical profiles, but also enforcing a data model on all participating systems. The presentation will discuss how the standards-based nature of a VNA and the IHE XDS framework can support healthcare organisations in creating a “plug and play” environment and enable them to break the silos created by proprietary data types. It is recognised that many speciality systems are not ready yet to become IHE actors in their own right. Dominic will discuss how transition architecture components are required to enable the data within such systems to be made available within and XDS environment. Dominic Kirkman Lead Healthcare Solution Architect, Perceptive Software Dominic Kirkman is a Healthcare Solution Architect with expertise in healthcare information technology, vendor neutral archiving, content management and data sharing. He is responsible for understanding customer requirements within the healthcare sector and creating solutions within the Perceptive Software Healthcare Team in Europe, Middle East & Africa. Dominic joined Lexmark in 2012 (as part of the acquisition of Acuo Dave Harvey Managing Director, Medical Connections Ltd See page 35. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Moderator: Neelam Dugar, Consultant Radiologist, Doncaster and Bassetlaw Hospitals NHS Foundation Trust SATELLITE SYMPOSIA PACS, Vendor Neutral Archive and beyond Electronic referral and report exchange between GP surgeries and hospitals using the XDS Architecture Electronic referrals can greatly enhance the process of exchanging medical information between general practitioners (GP) and hospitals. This improves quality of care, and provides a way for hospitals to strengthen their referral network. IHE Cross-enterprise Document Sharing (XDS) defines a framework for exchanging clinical documents between healthcare providers in a standardized and secure way in multi-vendor, multi-specialty and multilocation networks. With IHE Cross-enterprise Document Workflow (XDW) additional value is created using a XDS network to drive clinical workflows. Forcare has implemented this profile enabling process interoperability and extending the value of existing or new XDS networks. POSTER LISTING Informatics 09.00-10.30 Since the earliest days of radiography, it has always been possible to “push” images that you have to those that have good need to see them, using systems ranging from courier/post to scanning systems/fax to their more modern equivalents in the form of point to point DICOM C-STORE or a managed equivalent such as the Image Exchange Portal (IEP). The IEP greatly reduces the complexity of the links required, equivalent to using Royal Mail in place of dedicated couriers, but all such push systems still rely on the recipient “knowing” where relevant data (whether documents or images) may be found.This talk explores the possible extensions of such systems to allow clinical data to be discovered and “pulled” to the point at which it is needed, whilst still ensuring that all three vital aspects of security (authenticity, availability and privacy) are maintained. ePOSTER LISTINGS 5F Sharing images and documents between Enterprise VNAs—Using IEP and XDS standards EDUCATION ON STANDS Consultant Radiologist, Hammersmith Hospital Ruth Williamson is currently a Consultant at Hammersmith Hospital but shortly to move to the Royal Bournemouth Hospital, Ruth specialises in pelvic imaging. She has extensive experience in training and is this year’s Sir Howard Middlemiss visiting professor, with a scheduled trip to Ethiopia to set up a women’s imaging fellowship for the national radiology training programme in Addis Ababa. EXHIBITION PLAN & LIST Ruth Williamson EXHIBITOR INFORMATION Having excluded appendicitis and pregnancy related causes, the woman with pelvic pain often presents a difficult diagnostic challenge to the radiology department. The commoner diagnoses will be discussed and illustrated. Rarer conditions will also be presented, along with a clinical and imaging algorithm for approaching patients for whom the diagnosis is not immediately apparent. Technologies). He has 10 years of experience working with Healthcare Information Technology. Previously, he served as Solution Architect for PACS&RIS at NHS Connecting for Health, becoming a subject matter expert in PACS and Clinical Information Management Systems. He led the technical assurance of solutions delivered by the local service providers across England and assisted in the development of a national image sharing solution. Dominic earned his Masters degree in Mechanical Engineering from the University of Manchester Institute of Science and Technology, he lives in Leeds, and when not working, he enjoys walking, climbing and bouldering. PRESENTER INDEX Acute pelvic pain 59 WORKSHOPS TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 60 VENUE PLAN Sven Pippel WELCOME PROGRAMME INFORMATION Product Manager, Forcare Sven Pippel has a strong background in telemedicine and eHealth. In the past 10 years he has worked on teleconsultation applications for GP’s and specialists. Sven also participated in the development of products aimed at enabling patient participation through online appointment booking and improving patient to doctor communication. Sven’s key interests lie in enabling patient engagement and making healthcare more efficient through the use of web technology. As product manager with Forcare Sven Pippel is responsible for the product roadmap of Forcare’s fully IHE standards compliant interoperability suite, taking eHealth to the next level. VICE PRESIDENTS & WORKING PARTY Morning sessions 6A MONDAY SESSIONS MSK 10:00-11:30 The radiograph in MSK disease: Analysis and interpretation TUESDAY SESSIONS Moderator: Radhesh Lalam, Consultant Musculoskeletal Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital WEDNESDAY SESSIONS Degenerative, inflammatory and infectious disease Jaspreet Singh WORKSHOPS Consultant Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital SATELLITE SYMPOSIA Tumours and tumour-like conditions POSTER LISTING ePOSTER LISTINGS The role of imaging in bone tumours is in detection, diagnosis and staging. Radiographs still remain the cornerstone of bone tumour diagnosis despite significant advances in other areas of imaging. The lecture will deal with the analysis and interpreation of radiographic findings in order to differentiate aggressive from non-aggressive bone lesions and arriving at a chort list of differential diagnosis. EDUCATION ON STANDS Radhesh Lalam EXHIBITION PLAN & LIST Consultant Musculoskeletal Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital Metabolic, endocrine and marrow disease Radiographs are often the first line of imaging investigation for unspecific MSK pain and symptoms. It is important to recognize their use and limitations for the diagnosis of metabolic, endocrine and marrow disorders. Bernhard Tins Consultant Radiologist, Robert Jones and Agnes Hunt Orthopaedic Hospital Bernhard Tins has studied medicine at the WWU Muenster in Germany and trained in radiology in the midlands. He is now an MSK radiologist at the Robert Jones and Agnes Hunt Orthopaedic hospital in Oswestry. 6B Intervention 10.00-11.30 Major trauma Moderator: Mark Thornton, Consultant Radiologist North Bristol NHS Trust Paediatric trauma imaging This presentation will be an essential guide to imaging in paediatric major trauma and will introduce the audience to the most recent intercollegiate guidelines. Caren Landes Consultant Paediatric Radiologist, Alder Hey Children’s NHS Foundation Trust Caren Landes has been a Consultant Paediatric Radiologist for 7 years and has developed a special interest in musculoskeletal imaging, in particular imaging in trauma including nonaccidental injury, for which Caren receives regional and national second opinion referrals and for which acts as an expert witness. Imaging spinal trauma EXHIBITOR INFORMATION Spinal injury paralyses 1200 annually people in the UK annually. Approximately 40% of spinal injuries are due to road traffic accidents whilst sporting injuries account for 12%. The early detection of cervical cord injuries is vital in order to prevent damage to the spinal cord. The lecture will cover types of fractures, mechanisms of injury, stability and instability as well as imaging and diagnosis. Cervical spine fractures discussed will include Jefferson fracture, Hangman, Odontoid process, Clay Shoveler’s, Tear Drop, facet injuries amongst others. Included will be a comparison of the anatomical differences as well as different injury patterns between the adult and the developing childhood spine. Thoracolumbar fractures will also be discussed and in addition Classification of Thoracolumbar injuries including the AO Classification, Denis Classification and Thoracolumbar Injury Classification and Severity Score will also be covered. PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 6C Neuro 10.00-11.30 Neurofibromatosis Type 2: What must I know? Neurofibromatosis type 2 is a genetic tumour prone disorder. The prevalence is approximately 1 in 60,000. Tumours seen include schwannomas, meningiomas and ependymomas. This session will cover the typical radiological findings and the spectrum of the disease, in addition to discussing current treatments for growing schwannomas and the impact these have on reporting of the radiology. Samantha Mills Brain tumours Moderator: Calvin Soh, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Brain tumours: Can we differentiate the types based on imaging? The management of patients with brain tumours is strongly influenced by a number of factors including the age and performance status of the patient at presentation and, of course, the tumour type. Important aspects of patient management precede biopsy and not all patients undergo surgery. It is therefore important that the radiologist guides the rest of the clinical team with regards to the most likely tumour type in each case. Imaging, particularly MRI, is complimentary to histopathology in determining the tumour type and grade. There are a number of imaging and clinical features that helps the radiologist distinguish different tumour types and that is the focus of this lecture. Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Samantha Mills is a Consultant Neuroradiologist at Salford NHS Foundation Trust Hospital. She is the Lead Radiologist for the supra-regional NF2 MDT and her main interest is neurooncology. She has a PhD in advanced imaging techniques for application in neuro-oncology. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Consultant Neuroradiologist, North Bristol NHS Trust Marcus Bradley is a Diagnostic and Interventional Neuroradiologist at North Bristol NHS Trust, the regional neuroscience unit and major trauma centre. In this crucial neuro-imaging role, which bridges between the Emergency Department and Neurosurgery, he is well-placed to present a modern approach to brain imaging in major trauma. Consultant Neuroradiologist, Salford Royal NHS Foundation Trust Calvin’s two more sub specialised areas in diagnostic neuroradiology are in the clinical imaging of brain tumours and CNS manifestations of Neurofibromatosis type I. WORKSHOPS Marcus Bradley Calvin Soh SATELLITE SYMPOSIA Head injury is a significant cause of morbidity and mortality in the context of major trauma, but the pathophysiology and patterns of injury are highly varied. This presentation will seek to give an understanding of the underlying mechanisms of traumatic brain injury to improve interpretation of imaging and develop consider optimal imaging strategies. POSTER LISTING Neurofibromatosis Type I is one of the commoner autosomal dominant phakomatoses. The CNS manifestations are numerous and unpredXictable, and the variety of imaging findings is presented to introduce this fascinating condition. ePOSTER LISTINGS Imaging head trauma Neurofibromatosis Type I: What do I need to look for? EDUCATION ON STANDS Consultant Neuroradiologist, Oxford University Hospitals NHS Trust Pieter Pretorius has been a Consultant Neuroradiologist at the John Radcliffe Hospital in Oxford since 2005, and is also a founding partner in a private Neuroradiology Partnership (Oxford Neuroradiology LLP) working mainly out of the Manor Hospital in Oxford. His practice includes all aspects of diagnostic neuroradiology but has a particular interests in brain tumour imaging, skull base imaging and Neurofibromatosis type 2. EXHIBITION PLAN & LIST Pieter Pretorius Consultant Musculoskeletal Radiologist, North Bristol NHS Trust Roland Watura is a Consultant Musculoskeletal Radiologist at North Bristol NHS Trust. He has a special interest in spine imaging including trauma. He graduated from the University of Wales College of Medicine in 1986, obtained the Fellowship of the Royal College of Radiologists in 1994 and was appointed Consultant at North Bristol NHS Trust in 1996. He has published articles in peer reviewed journals including a review of Multislice CT imaging in trauma of the spine, pelvis and complex foot injuries. EXHIBITOR INFORMATION Roland Watura 61 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 62 VENUE PLAN 6D WELCOME History 10.15-11.45 History session PROGRAMME Moderator: Adrian Thomas, Consultant Radiologist, Princess Royal University Hospital Marie Curie and the First World War INFORMATION VICE PRESIDENTS & WORKING PARTY This presentation will review the many contributions that Marie Curie during the Great War. At the outbreak of the war she realised the value of radiography. All available X-ray apparatus was moved into the hospitals. She organised a mobile radiography service (the little Curies) to carry X-ray apparatus to field hospitals. She set up over 200 radiographic rooms in field hospitals, and made many examinations herself. She taught radiologists and technicians in cooperation with her daughter Irene. Adrian Thomas MONDAY SESSIONS TUESDAY SESSIONS Clinical Director, Radiology Directorate, South London Healthcare Adrian Thomas is the Chairman of the International Society for the History of Radiology. WEDNESDAY SESSIONS The life of E W Twining – A Manchester radiology pioneer (1887-1939) WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS Twining was born in 1887 and educated at Epsom College and University College Hospital qualifying as a doctor in 1913. He started off his career as a general practitioner and in 1916 became in charge of the electrotherapeutic department at Netley Hospital, Southampton. In 1922 he studied for the new diploma DMRD and was soon appointed to the radiology department of the Ancoats and Christie Hospitals in Manchester. In 1928 he became Honorary Consultant at the Manchester Royal Infirmary Twining made major contributions in the field of chest radiology, tomography and neuroradiology, and is today best remembered for his contributions to the study of the ventricles of the brain. He contributed to the textbook of Xray diagnosis and authored many scientific papers. In 1936 he was awarded a Hunterian Professorship and at the time of his death he was President elect of the Radiology Section of the Royal Society of Medicine and President elect of the Faculty of Radiologists which later became The Royal College of Radiologists. Arpan Banerjee EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Chairman, British Society for the History of Radiology Arpan Banerjee is a Consultant Radiologist, Heart of England NHS Foundation Trust and Chairman of the British Society for the History of radiology. He qualified in medicine from St Thomas’s Hospital Medical School in London, UK and trained in Radiology at Westminster Hospital in London and Guys and St Thomas’s Hospital in London. He was appointed a consultant Radiologist at Birmingham Heartlands Hospital in 1995 and was also appointed an Honorary Clinical Senior Lecturer at the Birmingham Medical School that year. Dr Banerjee was Radiology Tutor at Birmingham Heartlands Hospital from 1997 to 2001. He is the author and co-author of 7 books including “Classic Papers in Diagnostic Radiology” and the best seller, “Radiology Made Easy” and ‘Radiology of AIDS ‘. He has authored over a hundred articles including over 50 peer reviewed papers and has published over 100 abstracts of scientific presentations at National and International meetings. His latest book co-authored with Prof Adrian Thomas is ‘The History of Radiology’ published in 2013 by OUP. From 2005 to 2007 he was president of the Radiology Section of the Royal Society of Medicine, London where he continues to serve on the Council. In 2011 he was appointed Chairman of the British Society of the History of Radiology of which he is a founder member and council member. He is a founder member and treasurer of the International Society of the History of Radiology ISHRAD. Research interests include MRI quantification of obesity, imaging infectious diseases including HIV and, radiology/medical history. SP019: Electro-diagnosis in WWI Francis Duck University of Bath The range of traumatic injuries sustained by soldiers during the 1914-18 war established a renewed interest in the use of electrodiagnosis. Electrical stimulation to assist in the diagnosis of a variety of neurological and neuro-muscular disease states had become established during the last decades of the nineteenth century, promoted by pioneers such as Duchenne de Boulogne, Wilhelm Erb and Armand de Watteville. In contrast to X-ray imaging, which was of great value for the location of shrapnel and bullets, and to establish to nature of bone injury from explosive impact, electro-diagnosis had the potential to provide surgeons with information on the cause and severity of traumatic injury to nerves and tendons. Specific applications were set out in 1917 by Zimmern and Perol in Électrodiagnostic de Guerre, translated into English by Elvin Cumberbatch of the Electrical Department, St Bartholomew’s Hospital. War-time use was distinguished from that in peace in that one deals with the injury of nerves, and the other in their disease. The key to success lay in a repeated tests over a period of weeks to distinguish damage capable of repair from permanent nerve destruction. Much emphasis was placed on the “galvanopsychic reaction”, a means to distinguish true from feigned injury. Indeed, given there was little that could be achieved surgically, the main use of these fairly sophisticated tests seems to have been to identify those soldiers who were deemed suitable to be sent back to the trenches. Francis Duck University of Bath Francis Duck is a retired Medical Physicist with time on his hands and an interest in the history of science. He has recently published “Physicists and Physicians, a History of Medical Physics from the Renaissance to Röntgen” (IPEM, 2013), and continues to write articles of a similar nature in the IPEM members’ publication, Scope. JOIN THE CONVERSATION #UKRC2014 David Little Great Western Hospitals NHS Trust David Little is an ST3 on the Severn radiology training scheme. He graduated in 2008 from Manchester University and undertook Foundation Training in the Severn Deanery followed by a year as a Clinical Teaching Fellow in Bath before entering radiology training. His interests are in medical education and technology enhanced learning. SP021: The Art of Radiology – a historical perspective Michael Jackson British Society of History Radiology Radiographic images attempt to visually represent the underlying reality of physical anatomy and pathological processes. In interpreting these images the reporter seeks to understand the underlying truth or message of the visual representation. This process shares many similarities with the creation and interpretation of visual art forms, dating back multiple millennia. However, this paper argues that the relationship between radiology and art is more profound than just similarities. Difficulties of visual representation including Peninsular Radiology Academy, Plymouth Aims/ Objectives: A brief overview into the highlights of the contributions of interventional radiologists in the care of the oncology patients. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Behnam Shaygi Content: We are looking into the historical highlights of ever evolving roles of the interventional radiology in care of the cancer patients; From diagnosis, to treatment and palliative therapies. SATELLITE SYMPOSIA Discussion: Most consultants use the internet over textbooks but there are a few books that contain information that is not easily found online, some with historical value containing images and techniques no longer used and some that are just too sentimental to dispose of. SP022: History of contributions of interventional radiology in care of oncology patients. A 50th birthday celebration Relevance/Impact: Currently interventional radiology plays a substantial role in management of the cancer patients from the diagnosis through the terminal phase of cancer. POSTER LISTING Outcomes: We found that 88% of consultants use online resources in preference to textbooks, mainly for reasons of efficiency. Many commented that they use a combination of the two. The oldest book in the department was from 1945. We found a correlation between years spent as a consultant and the number of books kept, perhaps due to an increasing period of time in which to accumulate books, or, more likely, different attitudes to books of a younger generation of consultants. British Society of History Radiology Michael Jackson is a Consultant Radiologist at the Great North Children’s Hospital, Newcastle upon Tyne, and Clinical Lead for Paediatric Imaging. He has a longstanding interest in the history of medicine, and of radiology in particular, and has spoken on this subject at national and international meetings. He is currently the Honorary Secretary of the British Society for the History of Radiology. Interventional radiologists are involved from early stages of diagnosis, to treatment of the cancer as well as life prolonging and palliative therapies. ePOSTER LISTINGS Relevance/Impact: Thousands of textbooks are gathering dust on shelves in hospitals, many are outdated, and are little more than a fire hazard. Among them are some texts that contain information and radiographic images that are not available online, these are the books we should keep. Michael Jackson On the verge of 50th birthday of interventional radiology, we are presenting a brief overview on history of ever evolving contributions of interventional radiology in the management of patients with cancer. EDUCATION ON STANDS Content: We present the results of a survey of consultant radiologists in a large DGH looking at their preferences when looking for information, the reasons for this and the books used the most. We also collected data including the number, weight and age of books. Discussion: Since the birth of the intervention radiology in 1963, its role has substantially evolved and today it is an inseparable component of the optimal management of oncology patients. We are presenting an overview into the highlights and milestones of the contributions of interventional radiologists in the care of the oncology patients and also speculating on the prospective future. EXHIBITION PLAN & LIST Great Western Hospitals NHS Trust Aim: The aim of this study was to find out whether consultant radiologists use textbooks or online resources as their primary source of information and why. In addition, we examined all the departmental textbooks. EXHIBITOR INFORMATION David Little; Katherine Klimczak; Nicholas Ridley perspective, replicating a three-dimensional structure in a two dimensional medium, and the static representation of dynamic structures have challenged artists throughout the ages. The methods used to overcome these problems have been repeatedly adopted in radiographic practice. From orthogonal views in plain radiographs, to the use of light sources in 3D reconstructions, techniques pioneered as a means of artistic expression have been utilised in radiological investigations. Richly illustrated with examples ranging from pre-history, antiquity, the renaissance, impressionism, cubism and beyond, this paper will demonstrate that artists have provided the visual language and grammar which makes radiographic interpretation possible. PRESENTER INDEX SP020: A new chapter: the end of the radiology textbook 63 WORKSHOPS TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 64 VENUE PLAN Behnam Shaygi WELCOME SP023: The therapeutic and diagnostic value of lymphangiography should not be overlooked Peninsular Radiology Academy PROGRAMME Sean McIlhone; Jeremy Lynch; Bhavin Rawal; Mike King INFORMATION Chelsea & Westminster NHS Trust Aims: Lymphangiography is a long-established technique for study of the lymphatics. With the wider availability of crosssectional imaging its use has declined over recent years. As a result, the availability of those with expertise in the technique is fast disappearing. This presentation explores the history, current uses, and future potential of lymphangiography. VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Content/Relevance: A pictoral review is conducted. It is illustrated that more recent imaging modalities are not yet able to able to demonstrate internal architecture derangements of lymph nodes with the accuracy of lymphangiography. Because of this precision, the technique has the potential to allow earlier detection of malignancies, and more accurate diagnosis of lymphomas, genitourinary malignancies, and lymphatic circulatory disorders. Additionally the therapeutic value of lymphangiography in curing chyle leaks is an area of increasing interest. WEDNESDAY SESSIONS Discussion: It is demonstrated that cross-sectional imaging complements, rather than supersedes, lymphangiography. We examine whether the practice of lymphangiography has been terminated prematurely, and consider the future relevance of this technique. WORKSHOPS Bhavin Rawal SATELLITE SYMPOSIA POSTER LISTING Chelsea & Westminster NHS Trust Bhavin Rawal graduated from Bart’s and the London School of Medicine and Dentistry in 2009 and completed his foundation training in North East London Deanery in 2011. After foundation training he completed Core medical training in London and achieved his MRCP(UK) in 2013. He is currently a Radiology registrar at Chelsea and Westminster training scheme. ePOSTER LISTINGS 6E EDUCATION ON STANDS Paediatrics 10:30-12.00 Non-accidental injury and scientific session EXHIBITION PLAN & LIST Moderator: Amaka Offiah, HEFCE, Clinical Senior Lecturer, University of Sheffield Non-accidental head injuries EXHIBITOR INFORMATION PRESENTER INDEX The increasing availability and use of cross sectional imaging techniques, especially CT and MRI, over the past 20 years has enabled us to increase our understanding of the nature and imaging characteristics of non-accidental head injury (NAHI). Direct human experimentation on the condition is obviously precluded but other more indirect tools are available that allow the critical assessment of other published sources of information. One of the most powerful of these tools is the systematic review. Neil Stoodley Consultant Neuroradiologist, North Bristol NHS Trust Neil qualified from Oxford in 1985 and trained in general and paediatric surgery before changing to radiology, training in both Southampton and Oxford. He was appointed Consultant Neuroradiologist to the University Hospital of Wales in 1998 where he was the paediatric neuroradiology lead. He moved to Bristol in 2002 to develop this interest further and works at both Bristol Southmead Hospital and Bristol Royal Hospital for Children. He has extensive experience as an expert witness in cases of alleged NAHI having been instructed in over 750 cases and has given oral evidence in over 300 cases. SP024: A pictorial review of the common variants and pitfalls in cranial ultrasonography in neonates J Crighton; K Giles; S Wake; A Sahu; P Cantin; J Foster Plymouth Hospitals NHS Trust Introduction: Cranial ultrasounds are performed on preterm infants to provide information about perinatal brain injury for long term prognosis. Recent advances in cranial ultrasonography have led to improved visualization of both normal anatomy and intracranial disease. There is a wide spectrum that includes many anatomic variants, and many of these variants can closely mimic disease. Aims and Objectives: To briefly look at some of the common anatomic variants seen on cranial ultrasonography, address the disease with which they are often confused, and aid in recognition between them. Material and Methods: We will focus on the review of imaging-based cases from our institution. We will highlight some common anatomic variants, including Cavum septi pellucidi, cavum vergae and cavum of the velum interpositum, benign macrocrania, germinolytic cysts, persistent foetal fluid-filled spaces, coarctation of the lateral ventricles, frontal horn cysts, mega cisterna magna, and periventricular halo. We will also demonstrate some common pitfalls including vein of Galen malformations, posterior fossa malformations, white matter lesions and pathologic cysts. Emphasis will be placed on how to differentiate between normal anatomic variants and real pathology. Conclusion: Cranial sonography is the most widely used neuroimaging procedure in premature infants. It is crucial in preventing diagnostic pitfalls, as variants are often mistaken for disease. The potential benefits and harmful consequences of misinterpreting cranial ultrasound examinations should be communicated to the parents beforehand as they may need close, systematic followup after their discharge from NICUs to facilitate the timely initiation of interventions. JOIN THE CONVERSATION #UKRC2014 Results: Analysis of results is ongoing. A descriptive analysis of image acquisition quality will be undertaken to identify differences and commonalities in radiographic practice. Dose range at each Trust will be statistically summarised and compared with national and local DRLs where available. The findings of this study will provide baseline data to support revision of national and international neonatal radiography standards. Beverly Snaith Mid Yorkshire NHS Hospitals Beverly Snaith qualified in Bristol before returning to her native Yorkshire. She started reporting plain films in 1996, then moved to Wakefield in 2002 where she extended her role to include Bethan Holman Western Sussex Hospitals NHS Foundation Trust Bethan Holman is a Senior Radiographer working at Western Sussex Hospitals NHS Foundation Trust. She has always had a keen interest in all things surrounding paediatric radiography, and currently works as the Lead Paediatric Radiographer in her department. She enjoys encouraging high quality in paediatric radiography, in particular helping newly qualified radiographers with this difficult patient group. SP027: Potential dose optimization in paediatric digital radiography Richard Gould; Philip Doyle; Ciara Hughes; Sonyia McFadden University of Ulster; Northern Ireland Regional Medical Physics Agency The widespread use of digital radiography and increased radiosensitivity of paediatric patients highlights the need for dose optimisation in paediatric digital radiography. The optimal choice of kilo-voltage, filtration, and choice of scatter removal technique requires investigation. Experiments were performed on anthropomorphic phantoms (ATOM dosimetry phantoms Model 701-706, CIRS, VA, USA) providing realistic attenuation and scatter production properties of the X-ray beam. The range of VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Conclusion: Overall, this will serve as a quick guide for radiographers to refer to so that paediatric patients are receiving the most appropriate care, especially when a timely diagnosis can be vital. WORKSHOPS Content: For each pathology the presentation will cover; eitology, symptoms, causes, and x-ray findings. This information will then help radiographers to decide when x-rays are appropriate, and what projections are required depending on the child’s symptoms. This is especially important as paediatric patients are more radio-sensitive, therefore justification for the x-ray request and use of other modalities needs to be carefully considered. The poster will also clearly explain what signs to look for on an x-ray in order to diagnose the different pathologies. SATELLITE SYMPOSIA Method: A retrospective evaluation of neonatal chest radiography quality and dose was undertaken across 2 geographically distant hospital Trusts in England. Using all neonatal chest radiography examinations undertaken during 2012 as the sampling frame, a random sample of 100 AP supine chest examinations was identified at each site. Examinations were excluded where boundaries of original primary collimation could not be confirmed and age of child exceeded 30 days. Image acquisition quality was determined through evaluation of patient position; inspiration; rotation and tilt; collimation; presence of side markers and exposure factors. Assessment of dose was calculated manually for both the actual and ideal field size to determine dose differential. Western Sussex Hospitals NHS Foundation Trust Aim: This paper aims to help radiographers differentiate between the 4 most common pathologies that may affect paediatric hips. X-rays are often requested when a child presents with a limp, and this poster aims to serve as a quick guide to help radiographers identify the key differences between the pathologies. POSTER LISTING Mid Yorkshire Hospitals NHS Trust Background: Neonatal chest radiography is unique in terms of vulnerability of patient group to radiation exposure and distinctive anatomical appearances. While European standards for neonatal chest radiography dose and radiologic quality assessment criteria exist, these are not readily transferable to radiographic image acquisition practice. Published literature has focussed on collimation and dose rather than consider the impact of radiographic technical quality and prevalence of suboptimal image acquisition approaches. Supported by an ISRRT research award, this study aimed to bridge this gap. Bethan Holman ePOSTER LISTINGS Maryann Hardy; Beverly Snaith SP026: X-raying the limping child – how to differentiate between 4 common pathologies of paediatric hips EDUCATION ON STANDS SP025: Improving neonatal chest radiography: an evaluation of image acquisition techniques, dose and technical quality She has had an active role within the profession, having previously served on UK Council and currently is a member of AAB. She is widely published and was awarded a PhD last year. EXHIBITION PLAN & LIST Plymouth Hospitals NHS Trust I have got job as a MSK Consultant in Ealing Hospital starting in September 2014. I have a working experience of 9 years in NHS. I have 15 Indexed papers, 49 published abstracts, 69 international and national oral presentations and 65 poster presentations. Thanks to my previous research fellow job (before working as Orthopaedic and Radiology registrar). I understand the core principles of improving patient safety and quality of care. I have undertaken 12 audits and completed loops in 8 audits with 3 research projects. I keep my professional knowledge and skills up to date. chest/abdomen reporting and more recently completed a Postgraduate diploma in gen med ultrasound. EXHIBITOR INFORMATION Ajay Sahu 65 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 66 VENUE PLAN WELCOME kilo-voltages (50-90kVp) used in paediatric radiography was tested using a Carestream DRX-Evolution digital detector. The scatter removal techniques of using an anti-scatter grid or a 15cm air-gap were compared with using a no antiscatter technique. The addition of 0.2mm additional copper filtration was also investigated. PROGRAMME INFORMATION Anterior-posterior images were obtained using a constant detector dose air kerma of 6 μGy and compared with the effective radiation dose. Digital measurements of signal-tonoise ratio for chest, abdomen and lumbar spine regions were obtained using digital analysing software. A figure of merit calculated using effective dose assisted in evaluating the optimum diagnostic image quality and resulting radiation dose. VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS The results indicate that the anti-scatter grid for patients up to 10 years of age in paediatric digital radiography may be unnecessary providing dose savings between 24% 50%. For larger patients (10 -15 years of age) the use of a 15cm air-gap may provide similar image quality to an anti-scatter grid with dose savings between 20 - 30%. The use of 0.2mm additional copper filtration and kilo-voltages between 70-80kVp provided dose optimisation and may be employed in the clinical setting. Richard Gould TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS University of Ulster Richard Gould is a state registered Diagnostic Radiographer with 10 years clinical experience. He is a general and MRI radiographer in the Belfast City Hospital followed by experience as a cardiac catheterisation radiographer in the Royal Victoria Hospital, Belfast which included imaging children during paediatric cardiac catheterisations. Currently Richard is in his 2nd year of completing a PhD investigating a modified protocol for paediatric patients in cardiology and also investigating DNA integrity in paediatrics from low dose ionising radiation. SATELLITE SYMPOSIA 6F POSTER LISTING Education 10.15 11.50 Education for the next generation Moderator: Maryann Hardy, Professor of Radiography and Imaging Practice Research, University of Bradford ePOSTER LISTINGS EDUCATION ON STANDS The role of education - teaching, technology, and classroom engagement EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Radiology is primarily a skills-based profession. Students must practice their skills positioning patients for radiological exams. As a result, traditional radiology education has been delivered in the classroom setting. With the availability of technology and online education, teaching doesn’t always have to occur in the classroom. This presentation will share results of learning outcomes and student attitudes of one study done comparing teaching curriculum online to the traditional classroom. In addition, this presentation provides an overview of how one US radiology program is capitalizing on technology tools, and using them in engaging and meaningful ways to teach radiology when education does occur in the classroom. Joy Cook Clinical Assistant Professor, University of Southern Indiana, USA Joy Cook is a Clinical Assistant Professor and Clinical Coordinator for the University of Southern Indiana Radiologic Technology Program. She maintains clinical practice at Deaconess Hospital in Evansville, Indiana. Joy is a member of the American Society of Radiologic Technologists (ASRT) and currently serves on the ASRT Practice Standards Magnetic Resonance (MR) Subcommittee. During the 2014-2016 terms, Joy will serve as the ASRT MR Chapter Delegate. Joy is also involved in her state and is the current President of the Indiana Society of Radiologic Technologists. Joy has made numerous presentations involving MR safety, thermal injury, and thermoregulation of patients in MRI. SP028: The radiology department’s role in domestic abuse Ruth McAuley; Debby Wilson Liverpool Community Health; Salford Survivors Project Aim/Objectives: Due to recent high profile deaths from domestic abuse/violence eg Linzi Ashton, Clare Wood(Clare’s Law-Now to be implemented nationally ) to highlight NHS Trusts accountability in domestic abuse cases. Trusts may be involved in Serious Case reviews and possible litigation. Content: The presentation will describe the importance of domestic abuse training for all staff. How checking imaging history can help in dealing with suspected domestic abuse. What to look for when imaging the patient and common areas of injury. How to ask the patient if abuse exits, new innovative services, important facts and advice for patients. What is MARAC, how to complete MeRIT forms and formal Trust procedures and support for staff after receiving a disclosure. Relevance/Impact: Two lives are lost each week due to domestic violence. Highlight the link between domestic abuse and child abuse and neglect. Recent research shows one in 6 fractures are linked to domestic violence. Radiology departments can assist in suspected domestic violence cases by having a pro-active approach. Outcome: Increase awareness of domestic abuse, encouraging Directors/Heads of departments to set Domestic abuse policies at their trusts and ensure staff attends training sessions. Discussion: Due to Trusts potentially being involved in Serious Case Review and accountability high on the health agenda this presentation in summary highlights not only our professional responsibility but ethically our duty of care in domestic violence/abuse. JOIN THE CONVERSATION #UKRC2014 The service users enjoyed the experience. Issues for consideration include travel to the venue and the physical demands on the service user. Concerns highlighted by previous authors of preparation and remuneration had been addressed prior to the exercise (Repper and Breeze 2007). There is increasing diversity in the ways in which service users are involved in education (Towle et al 2010). Service user involvement as patients in a simulation exercise for assessing students has proved successful. Sarah Naylor Sheffield Hallam University Sarah Naylor is currently a full time Academic and Course Leader for a BSc (Hons) Diagnostic Radiography. She has had a broad range of clinical experience as a Diagnostic Radiographer and Advanced Practitioner. Her advanced practice included mammography film reading and core biopsy, urodynamics and lithotripsy. Sarah has also undertaken various managerial roles including Assistant Radiographic Services Manager. Her teaching activities have ranged from national vocational qualifications for radiographic assistants to doctoral level study. Research interests include service user involvement in education and the transition into practice for diagnostic radiographers. Sarah Naylor Please see above SP031: Proposal for a study of the reliability of the rapid reporting section of FRCR 2B Andrew Thurston; Liam McKnight; Steve Capey; Jo Fairhurst Swansea University College of Medicine Aims/Objectives: To assess the reliability of the rapid reporting used in the FRCR 2B examination. Content: Four sets of rapid reporting with around 50 candidates per set will be analysed and the reliability for each will be calculated. Recommendations to that could improve the reliability of future examinations will be made. Relevance/Impact: The GMC requests that all postgraduate medical examinations have both reliability and validity. No previous work has been undertaken on the written elements of the rapid reporting sections of the FRCR part 2 B. It is important to check the reliability of the written exams to satisfy the regulator. Outcomes: A reliability coefficient such as Cronbach alpha will be calculated as well as some other measures of reliability such as SEM. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Cognitive apprenticeship encourages the movement towards independent learning, which is required of an undergraduate via six teaching methods; modelling, coaching, scaffolding, articulation, reflection and exploration (Bates, Dolce and Waynor 2012). WORKSHOPS Feedback was obtained via email and face to face from academic staff, service users and students using open questions. The benefits of service user involvement are that it gave the exercise a more realistic feel and is an excellent exercise in terms of developing patient care, communication and positioning skills. Cognitive apprenticeship is a strategy that will transfer training from the class room setting to practice (Bates, Dolce and Waynor 2012). In a similar way to traditional apprenticeships, students are exposed to authentic practices, and socially interact in the workplace (Brown, Collins and Duguid 1989). However, it goes beyond the mastery of physical skills, to include cognitive skills more usually associated with academia (Brown, Collins and Duguid 1989). SATELLITE SYMPOSIA In recent years the importance of involving service users in all aspects of health care has been promoted (Repper and Breeze 2007); this includes being involved in the education of health care workers (Lathlean et al 2006). The evaluation of service user involvement in the education of health care workers in limited (Repper and Breeze 2007), as is any literature about service user involvement outside nursing, mental health and social work (Towle et al 2010). The gradual change towards a more outcome driven, didactic style of education eroded the apprenticeship style of training. This led to the well-publicised theory, practice gap (Kramer 1974). This gap can be reduced via situated learning (Lave and Wenger 1991). One way of maintaining academic rigour whilst facilitating quality clinical education is via the model of cognitive apprenticeship. POSTER LISTING Sheffield Hallam University This presentation is an evaluation of service user involvement in assessing first year diagnostic radiography students prior to attending placement. Service users took the role of patients during a simulation exercise undertaken in a general X-ray room. Sheffield Hallam University The aim of the presentation is to introduce Cognitive Apprenticeship as a model for clinical education. Before the move to Higher Education, the education of health care workers closely followed an apprenticeship model. Apprenticeship is a traditional training method involving experts showing an apprentice how to perform a task. Most of the training is undertaken in a social context, while the learner is at work. The process involves the learner gradually taking on more complex work until he or she achieves mastery of the skill. ePOSTER LISTINGS Sarah Naylor; Marcus Elkington; James Harcus Sarah Naylor EDUCATION ON STANDS SP029: Service user involvement in a simulation exercise for assessing students SP030: Cognitive apprenticeships as a model for clinical education EXHIBITION PLAN & LIST Liverpool Community Health Ruth McAuley is a Diagnostic Radiographer, trained in New Zealand with a National Diploma in Medical Diagnostic Imaging and a Bachelor of Health Science. Residing in the UK for the past 13 years, having worked in a multitude of general departments for both NHS and private hospitals, she is now settled in Manchester and working at the York Centre a community based radiology department for Liverpool Community Health. EXHIBITOR INFORMATION Ruth McAuley 67 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 68 TUESDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN WELCOME PROGRAMME Discussion: If the data shows good reliability then this will be declared. If one or more of the sets has limited reliability then the RCR will be advised as soon as the analysis is performed so remedial action can be undertaken well before any publication is submitted. If the method chosen proves successful, subsequent sets of rapid reporting cases can be analysed. Subsequent sittings will reuse the sets and better data will be obtained. Poorly performing cases may be deleted at the examiners discretion. We will also study the reliability of the normal and abnormal cases separately to see if the balance of cases is still appropriate. INFORMATION Andrew Thurston Swansea University College of Medicine VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS SP032: Performance in the FRCR (UK) Part 2B Examination: analysis of factors associated with success TUESDAY SESSIONS Kate Hawtin; Horace Williams; Liam McKnight; Thomas Booth WEDNESDAY SESSIONS University College Hospital, London; Imperial College, London; Morriston Hospital, Swansea; National Hospital For Neurology and Neurosurgery, London Aims/Objectives: Analyse factors that influence pass rates and examination scores in the FRCR 2B examination. WORKSHOPS Content: Attempts at FRCR 2B evaluated between Spring 2006 – Spring 2010. Pass rates and examination scores analysed by gender and ethnicity, influence of factors such as radiology training (UK vs. non-UK), sitting (Spring vs. Autumn), and presence of an undergraduate or postgraduate degree. SATELLITE SYMPOSIA Relevance/Impact: No previous published analysis of pass rates and variables that affect success in the FRCR 2B examination. Currently topical with recent GMC review into variations in MRCGP pass rates. POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Outcomes: 1571 candidates made 2238 examination attempts, with overall pass rate of 59.3% (63.1% at first attempt). 66.2% entrants were male; 48.8% attempts were by candidates from a UK radiology training scheme. UK candidates significantly more likely to pass than non-UK candidates (p<0.0001). White candidates more likely to pass at first or second attempt than non-white candidates (p<0.0001), but restricted to UK entrants ethnicity did not influence success. Overall, females more successful than males (p<0.001). Presence of undergraduate (p=0.19) or postgraduate (p=0.94) degree did not affect pass rate at first attempt for UK candidates. Logistic regression demonstrated only significant factor influencing pass rates at first attempt was whether radiology training was undertaken in the UK (p<0.0001). Trend towards increased pass rates in Autumn sittings (p=0.06); ethnicity (p=0.99) and gender (p=0.41) were not significant factors. PRESENTER INDEX Discussion: FRCR 2B examination is non-discriminatory for UK candidates with respect to gender and ethnicity. Poorer performance of non-UK trained candidates is a consistent outcome in the literature. Kate Hawtin University College Hospital, London Kate Hawtin undertook her Radiology training at Imperial NHS Trust, London. She has been a Consultant at University College Hospital, London since February 2012 specialising in Breast Radiology. She has an interest in postgraduate medical education and is College Tutor at University College Hospital Radiology Training Scheme. SP033: Trainee Tracker - a novel, semiautomated IT aid for training providers Derfel Ap Dafydd; Dominic Blunt; Ruth Williamson; Philip Blunt Imperial College Healthcare NHS Trust Introduction: Trainee Tracker was created by Consultant Radiologists at Imperial NHS Trust, and is intended for ease of monitoring trainee progress through their specialty curriculum. Description: Monitoring trainee progression can be challenging for trainers. This is most true of radiology trainees, since the FRCR alone comprises 9 separate exams, for which deaneries set target time-scales for completion. Most challenging is monitoring the progress of part-time trainees, ACFs or any trainee who is not full-time clinical, for whom these standard target dates require adjustment. Trainers and trainees have the e-portfolio with which to document milestones, but it has no facility for recalculating these due-dates. The Trainee Tracker was designed with the aim of automated real time “tracking” of each trainee through their specialty curriculum. The system will automatically generate customised ‘due dates’ for each ‘milestone’ in the trainee’s ‘training plan’, allowing for their particular work-pattern. If the trainee exceeds a ‘due date’, Trainee Tracker generates an ‘alert’, which the educational supervisor and/ or trainee may receive by e-mail. Conclusion: We have successfully piloted the Trainee Tracker IT system to the Imperial Radiology Training scheme where it eases the in-house trainee appraisal process. Ultimately it is potentially applicable to all specialties, and even other professions. Potentially it will help to highlight particular needs or strengths of trainees at an earlier stage of their training, and adaptation of their training plan accordingly. Presently, the only measurable review of training scheme review is the GMC trainee survey. As well as enabling standardisation of trainee appraisal, Trainee Tracker potentially offers an objective, measurable means of external review of training schemes. Derfel Ap Dafydd Cardiff University Derfel Ap Dafydd is enrolled in the Undergraduate medical training at Cardiff University, including an Intercalated BSc in Medical Genetics. He has foundation training at Singleton Hospital, Swansea and the Heath Hospital, Cardiff. He took Core Medical training at Bart’s and the London NHS Trust and Radiology Training at Imperial College Healthcare NHS Trust. Derfel’s areas of interest include neuroradiology, body MRI and general radiology. JOIN THE CONVERSATION #UKRC2014 Anna Van der Gaag Chair, Health Professionals Council Anna van der Gaag has been a member of the HCPC Council since it was set up in 2002. In 2006 she was elected President and became its first appointed Chair in 2009. From 2006 - 2008 she was on the Council for Healthcare Regulatory Excellence, the body that oversees health regulation in the UK. Anna has been involved in quality improvement initiatives with health professionals for over three decades. Her published work covers a wide range of areas including regulation, quality assurance, clinical audit, professional competence, skill mix, user involvement, e-learning and service evaluation. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS University of Exeter Julie worked 2001 - 2002 as a Radiographer at Warrington General Hospital, then from 2002 - 2004 as a Senior II Radiographer at Northampton General Hospital. After which she worked as a Senior Radiographer from 2004 - 2007 at University Hospital North Durham, specialising in Cardiac cath lab. Julie completed a PGCert in NHS leadership and management at Teesside University. From 2007 to the present day Julie moved to Cornwall and became a Lecturer- Practitioner in Medical Imaging at the University of Exeter. There she gained Senior Lecturer in Medical Imaging position in 2009. Julie completed a Postgraduate Certificate in Academic Practice at University of Exeter. She has previously taught a Pathology module to second year Medical Imaging undergraduates and is currently teaching third years Professional skills for Radiographers. Julie is an external examiner for the undergraduate Diagnostic Radiography course at Derby University. She keeps her clinical skills up to date by holding a bank contract as Senior Radiographer at Nuffield Hospital Plymouth. SATELLITE SYMPOSIA Julie Mills Perspectives on promoting professionalism: Why it matters more now than ever before in healthcare. Anna van der Gaag, Chair, Health and Care Professions Council, UK. The most recent British Social Attitudes Survey suggests that patient satisfaction with accident and emergency services is at a six year low. Across professional health regulation, complaints are at an all time high. Many of these complaints are about behavour, ethics and professional conduct. Why is this trend occurring and what can we do to address poor practise before it leads to a complaint? Research on perceptions of professionalism suggests that ‘professionalism’ is seen not so much as a discrete competency but a situational judgement, a set of behaviours influenced by context, rather than a fixed characteristic. These behaviours are strongly influenced by the particular care group and peer group, as well as the knowledge and skills of an individual. Are there new ways to stimulate further debate about the centrality of ethics and conduct? For example, is it more acceptable to discuss issues of competence than conduct with peers? How easy or difficult is it for health professionals to challenge each other about how they talk to patients? The paper will discuss why we need more, not less talk about professionalism and values in the 21st century. POSTER LISTING The majority of the institutions in this study delivered leadership education. However, there was variation in the delivery methods, content and emphasis placed on leadership education. The literature available to help radiography educators deliver leadership education is patchy. Newly qualified radiographers need to be prepared for the leadership challenge and should have the necessary skill set to engage with the NHS improvements currently taking place. The Leadership framework could be utilized as a useful tool to aid curriculum planning for this subject area. Perspectives on promoting professionalism: why it matters more now than ever before in healthcare ePOSTER LISTINGS To report the current provision of leadership teaching and methods used, mapped to the NHS Leadership framework. Nine HEI’s were interviewed to discuss their leadership provision.The Francis Report identified leadership skills as being of the utmost importance in the ongoing reforms within the NHS. Radiography educators need to equip radiographers with essential leadership skills during their undergraduate training so they can fulfill essential foundations of high quality patient care and ensure the future of the profession. The information drawn from this study will share how leadership education is delivered and will highlight areas of good practice. A mixed educational approach is utilized by 7 of the institutions, 1 used a spiral curriculum approach and 1 used a PBL approach. 44% of leadership teaching was linked to leadership frameworks. 12.00-12.45 SCOR Welbeck Memorial Lecture EDUCATION ON STANDS University of Exeter The study aimed to identify the teaching methods and content used to deliver leadership education to undergraduate radiography students in the UK. Eponymous lecture EXHIBITION PLAN & LIST Julie Mills; Karen Knapp Lunch sessions EXHIBITOR INFORMATION SP034: Undergraduate radiography leadership education delivery in the UK 69 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 70 VENUE PLAN Eponymous lecture WELCOME 12.45 – 13.30 SCOR William Stripp Memorial Lecture PROGRAMME Quantitative fluoroscopy versus flexion extension radiographs of the lumbar spine INFORMATION Flexion-extension (functional) lumbar radiography is 110 years old, but is still used today in the diagnosis of spinal instability. However, functional radiographs have low measurement accuracy, sensitivity and specificity. This is mainly due to differences in imaging techniques, variability of motion, large measurement errors, and the limitations of static imaging for a dynamic problem. VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Quantitative fluoroscopy (QF) addresses a number of these problems by combining automated image processing algorithms with fluoroscopic sequences to measure controlled continuous inter-vertebral motion. This method has shown large differences between weight-bearing and recumbent motion and illustrates features previously thought to be indicative of instability that are present in healthy people. I will demonstrate these differences and also present results from my PhD, which used QF to compare passive continuous motion in people with and without low back pain. The results suggest that there are features in patients that are otherwise not detectable with medical imaging. WEDNESDAY SESSIONS Fiona Mellor WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS Clinical Research Doctoral Fellow, Diagnostic Research Radiographer, Bournemouth University Fiona’s career combining radiography and research began when she graduated from the University of Hertfordshire in 1998 and won the university prize for the best research project. She is now nearing completion of her PhD which examines inter-vertebral movement in patients and healthy volunteers, and is supported through the National Institute for Health Research (NIHR) clinical academic training pathway. Currently Fiona is based at the Anglo-European College of Chiropractic where she has helped develop the technique of quantitative fluoroscopy (QF) to measure inter-vertebral motion. Afternoon sessions 7A Paediatrics 13.30-15.15 Paediatrics: Post mortem imaging Moderator: Neil Sebire, Professor of Paediatric Pathology, Great Ormond Street Hospital/UCL Post mortem MRI Declining parental acceptance of an invasive post mortem (PM) assessment and improvements in imaging have led to the development of an imaging-based minimally-invasive autopsy examination. MRI is ideally suited to post mortem evaluation, with superb soft tissue imaging and image contrast without motion artefact. This presentation will focus on the current use of paediatric and perinatal PM MRI as part of this assessment, highlighting the protocols used, research evidence for its diagnostic use, advantages and key limitations. Widespread use of imaging as part of the paediatric PM service will depend upon experienced interpreters working as part of a multidisciplinary team. Owen Arthurs Consultant Paediatric Radiologist, Great Ormond Street Hospital Owen Arthurs is the Clinical Lead for paediatric and perinatal post mortem imaging at Great Ormond Street Hospital, London, funded by an NIHR Clinician Scientist Fellowship. He trained in paediatrics and academic radiology in Cambridge, developing new paediatric MR imaging techniques for which he won several national and international prizes. He was a Clinical Lecturer in Cambridge, ESOR/ESPR fellow in Paris, and latterly a fellow at Great Ormond Street Hospital. His main interests are non-accidental injury and post mortem imaging in children, and he has co-authored over 40 peerreviewed papers, review articles and book chapters. Developing a clinical post mortem imaging service EDUCATION ON STANDS Based on over 15 years experience of MR imaging for the postmortem fetuses and neonate age group the research group at Sheffield have commenced a clinical service as a combined venture between Pathology and Radiology. This is the first UK service. This talk will cover the development of the service, the research behind the service and unexpected issues that have occurred. Future development and networking ideas will also be explored. EXHIBITION PLAN & LIST Elspeth Whitby EXHIBITOR INFORMATION PRESENTER INDEX Senior Lecturer, University of Sheffield Elspeth Whitby is a Senior Lecturer and Honorary Consultant at the University of Sheffield and STHFT. Her research interest is in the MR imaging of the fetes, neonate and placenta both in utero and post mortem. She has extensive experience in this area with over 15 years research experience that has been used to develop a clinical service for the region and to support centres outside the region to develop their own service. Sheffield currently has the only clinical post-mortem imaging service for this age group in the UK which is a joint venture between pathology and radiology. JOIN THE CONVERSATION #UKRC2014 INTERACTIVE Moderator: Priya Narayanan, Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust What I want to know before I open: A gynaeoncology surgeon’s view This presentation will cover questions such as: What is it? Where is it? Can I cut it out? The relationship between surgeon and radiologist. Jane Bridges Consultant Gynae-oncologist, Royal Marsden & Chelsea and Westminster, NHS Hospitals Foundation Trust Jane Bridges is a Gynaecological Oncology Surgeon at Chelsea and Westminster and Royal Marsden Hospitals and has a special interest in vulval disease. The unit at the Marsden serves as a tertiary referral centre for patients with complex and recurrent disease as well as those requesting fertility sparing procedures. Review of gynae-oncology imaging including essential elements in guiding surgical management. Interesting cases from gynae-oncology and tips on techniques. 7C Head and neck 13.30-15.00 Head and neck imaging Moderator: Elizabeth Loney, Consultant Head and Neck Radiologist, Bradford Teaching Hospitals NHS Foundation Trust Cancer of the oral cavity and oropharynx Cancers of the oral cavity and oropharynx together form the 15th most common cancer in the UK (2010). More than 90% are squamous cell carcinomas. Approximately 6,500 new cases were diagnosed that year, 66% in men and 33% in women. The incidence of these tumours has changed dramatically in the last 30 years. Between 1975-77 and 2008-10 the incidence in men increased by 76% and in women by 86%. Why is this? A number of factors have been postulated including alcohol consumption, smoking, chewing betel quid and Human Papilloma Virus (HPV) exposure. This lecture will review the anatomy of the oral cavity and oropharynx with reference to specific cancer subsites. Imaging protocols and tumour staging will be discussed. Emphasis will be placed on those factors which up- or down- VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Chelsea and Westminster Hospital, NHS Foundation Trust See page 58. WORKSHOPS Gynaecology and oncology SATELLITE SYMPOSIA Julia Hillier POSTER LISTING Pearls and pitfalls in gynae-oncology 7B Obstetrics & Gynaecology 13.30-15.00 Consultant Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Catriona undertook her radiological training in Oxford and went on to complete a fellowship year in Body Imaging in Toronto. On returning to the UK, she was appointed as a Consultant Radiologist at the Chelsea and Westminster Hospital in London in 2005. Her subspecialty interests include, urogynaecological and gastrointestinal imaging and is the joint Lead in gynaecological, urological and colorectal imaging. Catriona is also the Lead in Ultrasound. ePOSTER LISTINGS Consultant Histopathologist, Great Ormond Street Hospital Neil Sebire is a Clinical Academic Paediatric and Perinatal Pathologist at GOSH/UCL, London. His main current research interests include placental pathology of obstetrical complications and gestational trophoblastic disease, and in particular, research involving novel postmortem investigations into causes of sudden unexpected death in infancy and development of the minimally invasive autopsy. He has published over 500 articles in peer-reviewed journals and has over 13,500 citations to published works. Catriona Davies EDUCATION ON STANDS Neil Sebire An overview of staging in gynae-oncological imaging including: 1. Anatomic location and nomenclature of pelvic lymph node groups. 2. Diagnostic criteria for nodal metastases. 3. Patterns of spread from individual pelvic tumours. 4. Staging and management of pelvic tumours. EXHIBITION PLAN & LIST Postmortem imaging as part of the minimally invasive autopsy is likely to become increasingly common in clinical practice in the paediatric setting. The move from ‘autopsy’ to ‘investigation after death’, with targeted investigations will make this process more acceptable to parents and families for whom the traditional autopsy approach is not. Advances in laboratory diagnostics will reduce the requirements for tissue sampling further and support a modified, less invasive investigative approach. Patterns of spread: What goes where in gynae-oncology EXHIBITOR INFORMATION The Pathologist’s perspective 71 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress 72 TUESDAY ABSTRACTS AND BIOGRAPHIES VENUE PLAN grade disease. Potential pitfalls in imaging will be highlighted along with important review areas. Expected changes following surgery and radiotherapy will be demonstrated. WELCOME PROGRAMME Imaging examples will include tumours at each stage and what differentiates them from each other. The majority of the lecture will concentrate on squamous cell carcinoma but examples of other pathologies will include lymphoma and malignant minor salivary gland tumours. Elizabeth Loney INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Consultant Radiologist, Bradford Teaching Hospitals Elizabeth Loney is a Consultant Head and Neck Radiologist at Bradford Teaching Hospitals NHS Foundation Trust where she has worked for the last 7 years. Prior to this she was a Consultant Radiologist at Queens Hospital, Burton on Trent for 3 years and did her radiology training at The Royal Free and St Marys’ Hospitals, London. She originally studied to be an ENT Surgeon but after ‘seeing the light-box’ decided to combine her interest in head and neck with anatomy in a radiological career. She is currently the Treasurer of the British Society of Head and Neck Imaging and obtained the European Diploma of Head and Neck Radiology in 2013, becoming a Fellow of ESHNR. Elizabeth lectures nationally and internationally on all things ‘Head and Neck’. Her practice covers all modalities except nuclear medicine, and all areas from the clavicle upwards including imaging for cochlear, middle ear and TMJ implantation. She is a past Part 1 FRCR Anatomy Examiner, being one of the founding members of the Anatomy Working Group. She also examines Anatomy for the Royal College of Surgeons of England both in the UK and abroad. Elizabeth reviews for 6 Journals including Clinical Radiology, EuroRad and the British Journal of Oral and Maxillofacial Surgery. She convenes an annual course in Anatomy for FRCR part 1 in Leeds and is Special Interest Lead for the Leeds-Bradford Radiology Academy in Head and Neck. She is an extremely enthusiastic teacher and keen to disseminate her knowledge of Head and Neck Imaging. ePOSTER LISTINGS The interpretation of post treatment imaging in head and neck cancer patients is often challenging, particularly as it can be difficult to differentiate malignancy from iatrogenic change. Recurrent or residual malignancy is frequently clinically occult; therefore the radiologist has an important role to detect and delineate neoplastic disease to enable salvage therapy to be considered. The surgical management of head and neck cancer involves primary resection, lymph node dissection and reconstructive surgery and these procedures are often extensive, resulting in an altered anatomical landscape for the radiologist to interpret. A variety of findings can be anticipated following radiotherapy, although recent technological advances are altering the distribution of dose delivered and hence the pattern of post therapy changes. In this session, the key therapeutic modalities and the spectrum of expected findings following surgical and radiation therapy will be discussed. EDUCATION ON STANDS POSTER LISTING Head and neck oncology imaging: Expected post treatment changes Andrew McQueen Consultant Radiologist, Freeman Hospital, Newcastle Andrew qualified MBBS in Newcastle (2001) and undertook general medical postgraduate training (MRCP 2004) before commencing clinical radiology in the Northern Deanery in 2005. He developed an interest in head and neck radiology and undertook post CCT training at University College Hospital, London in 2010. As a consultant radiologist, his role balances the general radiology workload of a busy teaching hospital with the provision of tertiary centre ENT imaging. Andrew is also interested in undergraduate radiology education and the integration of diagnostic and therapeutic imaging techniques. Neck lumps This lecture will provide an overview of the common ultrasound signs that can be identified and used in an effective triage of lumps and bumps that present in the head and neck. Ultrasound can be an extremely effective triage for the initial investigation of head and neck masses, used in conjunction with either FNA or core biopsy it can provide a rapid and effective diagnosis. Rhodri Evans Consultant Radiologist, Morrison Hospital, Swansea 7D Chest 13.30-15.00 Thoracic trauma Moderator: Devinda Karunaratne, Consultant Cardiothoracic Radiologist, Manchester Royal Infirmary The chest X-ray in thoracic trauma The chest xray is often the first examination carried out in major trauma, and is frequently abnormal. However, it is common for major pathology to present with subtle or atypical radiological signs, which may be underappreciated. I shall review the common chest xray presentations, with correlation to subsequent CT abnormalities. John Howells EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Consultant Thoracic Radiologist, Lancashire Teaching Hospitals NHS Foundation Trust John Howells graduated BMSc (Hons) MBChb from the University of Dundee in 1992. He trained in respiratory medicine and chest radiology in Scotland and the USA, holding the diplomas of MRCP and FRCR, and was appointed consultant in chest radiology in Lancashire Teaching Hospitals in 2004. He is Honorary Senior Lecturer and associate Dean with the University of Manchester. He currently practices largely in thoracic radiology, with a preponderance of thoracic oncology. PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 The aim of this presentation is to highlight the spectrum of thoracic trauma witnessed by deployed radiologists in Afghanistan. The presentation will focus on battlefield injuries relating to ballistic trauma and blast injury which are seen less commonly in UK practice than blunt injury. I will also cover the modus operandi of the deployed radiologist as an integrated member of the trauma team in a facility geared to deal with major trauma. Iain Gibb Consultant Radiologist, Royal Army Medical Corps Iain Gibb has been a Consultant Radiologist in the Army for almost 10 years with multiple operational tours including three deployments to Afghanistan. He has have reported on ballistic and blast related injuries throughout his entire consultant career, co-authoring numerous papers on trauma particularly relating to blast and on post-mortem imaging. The available literature will be reviewed. A number of interesting cases will be discussed, including multi-modality imaging and the subsequent histology from percutaneous biopsy. Richard Hopkins Consultant Radiologist, Gloucestershire Hospitals Foundation Trust Richard Hopkins is currently a Consultant Radiologist with an interest in abdominal imaging at Cheltenham General Hospital and the South West Lead for bowel cancer screening radiology QA. Fibroid embolization: Indications and technique This talk will discuss the prevalence and clinical presentation of uterine fibroids and the place of fibroid embolisation in the treatment of this common disease. Case selection, contraindications, workup and complications will be covered as well as a description of the technique itself. The evidence for and against fibroid embolization will be described and I will discuss where embolisation fits in the range of available fibroid treatments in the context of guidance from NICE. Finally, I will touch on the organisation of a multidisciplinary fibroid embolisation service and some the financial and logistic considerations of performing this technique in the NHS. Dominic Fay Consultant Radiologist, Royal United Hospital, Bath Dominic Fay trained in radiology in Newcastle upon Tyne and undertook a Fellowship in Interventional Radiology in Vancouver, Canada before being appointed as a Consultant Radiologist in Bath in 2005. His major clinical interests are in urogenital, vascular and interventional radiology and he has led the development of the Bath fibroid embolisation service. He is a training programme director for the Severn school of radiology as well as being the local tutor for the Royal College of Radiologists. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Ultrasound guidance is the preferred technique. Complication rates are generally lower than might be expected. TUESDAY SESSIONS Patients will generally be discussed at MDT prior to a decision to perform biopsy. One or more imaging techniques may be used prior to undertaking percutaneous biopsy. The technique of percutaneous biopsy will be discussed. WEDNESDAY SESSIONS The lecture will discuss the indications for splenic biopsy. WORKSHOPS Tissue biopsy is a well-recognised technique for making a diagnosis and informing management in many of the abdominal organs but is infrequently used in the spleen. SATELLITE SYMPOSIA Chest injuries – An experience from Afghanistan Splenic biopsy: Indications and technique POSTER LISTING Consultant Vascular Radiologist, University Hospital of South Manchester Dare Seriki has been a Consultant Vascular/Interventional Radiologist for 9 years. He has been at UHSM for 6 months; previously working at the Lancashire Teaching Hospitals. Dare has a longstanding interest in vascular trauma and is a qualified provider for the European Trauma Course, contributing to current European Trauma Course manual. Dare is keen to improve the management of trauma, particularly as it pertains to the severely injured patient and the involvement of vascular radiology. Moderator: Mark Thornton, Consultant Radiologist, North Bristol NHS Trust ePOSTER LISTINGS Dare Seriki Intervention trauma EDUCATION ON STANDS Aim: My talk will illustrate the importance of the Interventional Radiologist and when to contact them. All major trauma centres should have access to Interventional Radiology (IR) 24 hours a day. Patients requiring acute intervention for haemorrhage control should be in an IR suite with 60 minutes of arrival in hospital. (Regional Networks for Major Trauma 2010). Acute Thoracic Aortic Injury (ATAI) and bleeding from other intra-thoracic vessels can be safely treated by the Interventional Radiologist within 30-60 minutes; procedures can be performed under local or spinal anaesthetic without the need for an invasive thoracotomy. Intervention 13:45-15:15 EXHIBITION PLAN & LIST Background: The Trauma team normally includes the Traumatologist (Emergency Physician), Anaesthetist; General Surgeon; Orthopaedic Surgeon; sometimes a Vascular Surgeon; increasingly a Diagnostic Radiologist but almost exclusively there is no Interventional Radiologist. Chest Trauma is the primary cause of death in 25% of all trauma deaths. Death is due to hypoxia or hypovolaemia. 7E EXHIBITOR INFORMATION Role of the interventional radiologist - when to seek their advice 73 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 74 VENUE PLAN WELCOME Combined open surgery and interventional radiology in complex peripheral vascular disease: Indications and technique PROGRAMME INFORMATION Combined open surgery and interventional radiology in complex peripheral vascular disease: indications and technique (What do you do with a hybrid theatre). With an ageing population and maturation of IR techniques, there has been a continual drift from open surgery to endovascular treatment for most peripheral vascular disease. Blurring the boundaries between surgical and endovascular treatments allows minimally invasive treatment for a greater range of patients. This talk will cover patient selection, techniques, outcomes and pitfalls. VICE PRESIDENTS & WORKING PARTY Neil Collin Consultant Radiologist, North Bristol NHS Trust Neil Collin is a Consultant Interventional Radiologist at Southmead Hospital. He was appointed in 2009. He has a special interest in vascular and urological intervention. He is Lead Interventional Radiologist for Bristol Vascular Network. MONDAY SESSIONS TUESDAY SESSIONS 7F Students 14.00-15.30 Student radiographer session WEDNESDAY SESSIONS WORKSHOPS SP035: Undergraduate diagnostic radiography students’ perceptions of stress and coping in the clinical environment Joanne Turner SATELLITE SYMPOSIA University of Hertforshire Aim: To investigate final year radiography students’ perceptions of stress and mechanisms of coping during clinical placements. POSTER LISTING ePOSTER LISTINGS Content: A phenomenological approach was taken, where a cross-sectional questionnaire survey was conducted to radiography students. This explored aspects of stress and coping using qualitative and quantitative questions. Data was analysed using descriptive statistics and thematic analysis. EDUCATION ON STANDS Relevance/Impact: Studies indicate that radiography students experience similar workplace environments, to radiographers, and are therefore adversely affected by occupational stress. No studies have investigated stress and coping in final year diagnostic radiography students as they prepare for professional practice. EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Outcomes: A 40% response rate (n=42) was received. The themes extracted from the data were; environment and organisational culture, practice, and teaching. Students reported that intimidation by staff or instructors as the top stressor (30%), which was echoed in the qualitative aspect. In addition, lack of supervision and assumed responsibility were also perceived as stressors. However, being given responsibility and being “hands-on” were perceived as positive experiences. Relationships with mentors and role models in the department were important in fostering confidence, and ‘approachability’; and ‘being helpful’ were perceived as a more important attribute than being ‘knowledgeable’. Discussion: This study highlighted the importance of positive role models and relationships in the clinical environment, and the need to address the endemic culture of intimidation of students. Further longitudinal research is required on the long term and cumulative nature of stress in newly qualified radiographers. Joanne Turner University of Hertforshire Joanne is a final year year mature student studying diagnostic radiography at the University of Hertfordshire. Having taken the leap to changing career and experiencing the strains of combining an academic course with family life the topic of stress in the clinical environment was an interesting area to explore. SP036: CT and lumbar puncture in suspected subarachnoid haemorrhage Sundip Udani; Lewis Tonner; Christopher Honor; Sarah Parker University of Cumbria Aims/Objectives: Incidence of spontaneous subarachnoid haemorrhage (SAH) in the UK is approximately 7.5–12.6 per 100 000. Patients presenting with suspected SAH and who have a negative CT scan should have a lumbar puncture to exclude the diagnosis. The aim was to dtermine whether this gold standard was being achieved in clinical practice. Content: This is a retrospective study of 45 patients scanned with a clinical suspicion of SAH. All CT imaging was reviewed along with Lumbar puncture results. Exact timings of investigations are presented with overview of the referral data and patient demographics. Relevance/Impact: The study is important as it looks at standards for patient care, which can have potentially serious consequences for the patient. Outcomes: 33% of patients with suspected SAH had lumbar punctures. 67% of patients did not have a lumbar puncture and there is a serious clinical risk of missing patients with SAH. Discussion: All the relevant and important data from this study will be presented. It is important to engage with the clinician and involve them in discussion with the results of this study. Suggestions for improving care and raising performance to reach the gold standard will be discussed. Sundip Udani University of Cumbria Sundip Udani commenced Clinical Radiology training in 2008 after teaching full-time for a year at the University of Manchester. He has written a series of international educational articles aimed at medical students, junior doctors and specialty registrars. Sundip was awarded the Leonard Levy memorial prize by the British Institute of Radiology for best proffered paper at UKRC 2012. The Royal Society of Medicine invited him to give a national presentation on Neuroradiology. He has also accepted invitations to deliver international talks. Interests outside of work include traditional Indian dancing and bouldering. Since 2010 he JOIN THE CONVERSATION #UKRC2014 Very little research has been done previously on the impact of susceptibility artefacts produced by transdermal piercing anchor bases. This study clearly shows that artefacts can extend a considerable distance from the anchor and that further study is required to produce clear and comprehensive guidelines on the consequences of scanning these implants in MRI. Roisin Collins University of Exeter Roisin Collins is a final year student in Medical Imaging (Diagnostic Radiography) at the University of Exeter. Roisin received a BSc in Food Science and Nutrition from University College Cork, Ireland. She holds an MSc in Biotechnology her work in the Cork Cancer Research Centre in University College Cork. Her MSc thesis explored 3D imaging and selected gene expression of Indolamine 2,3 dioxgenase in human tumouroids. Roisin’s final year research project in Medical Imaging is centred on MRI artefacts produced by transdermal piercing anchor bases. One completion of her BSc this year, Roisin intends to pursue a PhD in Medical Imaging and an Academic Career in Medical Imaging. Discussion: This literature review suggests that quantitative MRI may have a place in routine clinical practice, although obstacles still need to be overcome in order for this to be feasible. Julia Repas City University London Julia Repas is a final year Diagnostic Imaging Radiography student at City University London. Her final year dissertation, which she is presenting at UKRC, is on the role of quantitative MRI in routine imaging for multiple sclerosis. Before starting her degree she worked in the publishing industry. SP039: The diagnostic value of antenatal magnetic resonance imaging in cases suspected to have Placental Adhesive Disorders (PAD). Nadia Rahaim; Elspeth Whitby University of Sheffield Department of Reproduction and Developmental Medicine Objectives: To evaluate the impact of antenatal diagnosis of PADs on pregnancy outcome, assess modalities used for diagnosis and the value of the individual MRI criteria. Methods: retrospective analysis of patient data in period between February 2010- 2013 has. 43 cases recruited and 2 excluded because of unknown outcome leaving 41 for statistical analysis. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Outcomes: Quantitative MRI sequences evaluated included magnetisation transfer imaging, diffusion tensor imaging and magnetic resonance spectroscopy. All the studies demonstrated that these quantitative MRI sequences provide information about damage occurring in MS that is not visible on conventional MRI. WEDNESDAY SESSIONS The stainless steel and the titanium anchor bases both produced artefacts with all scan sequences. Artefacts extended up to 3 cm away from the anchor bases. The size of the artefact varied with the type of scan sequence and stainless steel tended to produce a larger artefact than titanium. WORKSHOPS Transdermal piercing (a form of aesthetic body modification) has become increasing popular. The piercings are attached to anchor bases implanted under the skin and cannot be easily removed. Metal anchor bases are at risk of producing magnetic susceptibility artefacts in MRI that degrade image quality. Relevance/Impact: Up to 70% of MS sufferers develop some form of cognitive impairment; however this aspect of the disease is often overlooked by clinicians. Quantitative MRI sequences may overcome the clinico-radiological paradox in MS, as grey matter and normal-appearing white matter damage correlate better with disability than the lesions visible on conventional MRI. The routine use of quantitative MRI in clinical practice can offer patients better diagnosis of the full extent of their condition. SATELLITE SYMPOSIA Agar phantoms containing anchor bases made from titanium, stainless steel, and biocompatible polymer were scanned using a 1.5 T scanner (Philips Gyroscan Intera). A range of scan sequences was chosen to encompass sequences known to minimise and maximise artefacts (turbo spin echo and gradient echo) together with sequences used clinically (including diffusion weighted imaging). Artefact size was analyzed using Image J software (National Institutes of Health, USA). Content: A system literature review was undertaken in order to identify primary studies that use quantitative MRI for imaging pathology in MS. A search of Ebscohost, Ovid Online and Science Direct was conducted to find citations deemed relevant to the research question. A modified Critical Skills Appraisal Programme (CASP) tool was used determine the quality of the included citations. POSTER LISTING University of Exeter The aim of this study was to investigate the effect of scan sequence on the volume of susceptibility artefact produced when scanning transdermal piercing anchor bases using MRI. Aim: To evaluate the role of quantitative MRI sequences for measuring grey matter and normal appearing white matter damage in Multiple Sclerosis (MS), and to determine the implications of the routine use of these sequences on patient care, with specific regard to disability and cognitive impairment. ePOSTER LISTINGS Roisin Collins; Peter Murkin; Teena Ninan; Daniel Roberts; Susan McAnulla; Judith Meakin EDUCATION ON STANDS SP037: MRI artefacts produced by transdermal Julia Repas; Sue Humphries; Sophie Willis City University London piercing anchor bases. EXHIBITION PLAN & LIST SP038: Should quantitative MRI sequences become part of routine imaging for Multiple Sclerosis? EXHIBITOR INFORMATION has raised money for the charity Cancer Research UK in numerous events. 75 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 76 VENUE PLAN WELCOME PROGRAMME INFORMATION Results: 7/41 cases had PAD and only one case missed in antenatal diagnosis. Risk factors analysis showed that Odds ratio of H/O caesarean section (P=0.59), placenta praevia (P= 0.72), is high though not statistically significant for invasion. Blood loss was significantly higher in invaded compared to non-invaded cases (p<0.001). Women with an invasive placenta had significantly more blood transfused (p<0.001). Median days in hospital was significantly longer in invaded group compared to that of non invaded (p<0.001). MRI was better than ultrasound having both higher sensitivity (86% vs 43%) and specificity (81% vs 79%). The most useful sign was heterogeneity being both highly sensitive (86%) and specific (91%) for placenta invasion. Median blood loss was higher in women with multiple bands (3000 l) compared to those with single bands (600 l). VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Conclusion: Antenatal diagnosis although aided in surgery planning, favourable pregnancy outcome has not been achieved yet. MRI proved to have better diagnostic sensitivity than that of US and it was successful in defining depth of invasion in the majority of cases indicating its importance in recruitment of the specific expertise required. Multiple dark bands seem to be a useful predictor of blood loss in PAD. Nadia Rahaim TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA University of Sheffield Department of Reproduction and Developmental Medicine Nadia Rahaim graduated from medical school in 2000 from Alfateh University Tripoli Libya worked as General Obstetrician for 5 years then as a volunteer doctor in Niger Africa in the Maternity unit in La Maternité Issaka Gazoby for 2 and half years from 2005. In 2009 she did a one year course in english for academic purposes and 2010/2011. She has also done a MSc in Maternity and developmental Medicine at Glasgow University. In 2012 she started an MD course at the University of Sheffield looking for the role of advanced images in obstetric practice. In the mean time she is looking for the role of an MRI in diagnosis of Placenta invasion. POSTER LISTING 7G ePOSTER LISTINGS Advances 14.00 – 15.30 The pixel’s journey EDUCATION ON STANDS Moderator: John Kotre, Consultant Clinical Scientist, The Christie NHS Foundation Trust The Connectathon: Manufacturers’ procedures for ensuring connectivity EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Integrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. It holds testing events, called “Connectathons” annually in Asia, Europe and North America. During a Connectathon, systems exchange information with complementary systems from multiple vendors, under the supervision of independent monitors, who record the results which are subsequently published. The European connectathon has been held annually for 15 years, and now has about 100 participating companies at each event, including this year’s in Vienna. The emphasis at a connectathon is on cooperation, and improvement of real-life interoperability. This talk will demonstrate how a connectathon works, including the information needed by those companies which might wish to improve their connectivity though participation in future events. Mark Hodgson Senior Software Engineer, BridgeHead Software Mark Hodgson has been a Senior Software Engineer with BridgeHead Software for seven years and leads the development team for medical archiving products. Prior to joining BridgeHead, he worked on projects for imaging equipment and autonomous vehicles in the defence sector, through to mass document imaging and data capture for customer relations. As well as managing the healthcare development team he has specific skills in database design, networking, virtualization and healthcare-related technologies, including DICOM and XDS. Dave Harvey Association of X-ray Equipment Manufacturers, AXrEM. See page 35. Acceptance testing of image fidelity It can be considered that image fidelity is the faithful production of an image, probity is any post processing that may deviate from the ‘honest’ preservation of the image and integrity brings both together when presenting the image. In digital imaging all these elements are now separate. Although component QA is essential to optimise the image chain, it is proposed that Point of Use Quality assurance (POUQA) is required for digital imaging. POUQA involves embedding a QA element into every image at acquisition that is responsive to the same factors affecting the fidelity, probity and integrity of the image and allows any impact to be readily identified and quantified. This is particularly important with images orphan from the acquiring institution. This presentation will include examples of how each process can clinically compromise an image and present a POUQA tool that may help address this issue. David Brettle Head of Medical Physics and Engineering, Leeds Teaching Hospitals NHS Foundation Trust David Brettle is the Head of Medical Physics and engineering at the Leeds Teaching Hospitals NHS Trust. He has been working in digital imaging for the last 20 years and has developed research interests in anatomical noise and digital image probity. JOIN THE CONVERSATION #UKRC2014 PACS and RIS procurement–Options available With up to 80 per cent of existing Picture Archiving and Communication System (PACS) and Radiology Information Systems (RIS) contracts currently moving from national contracts to local contracts, NHS organisations need to start planning now for how they will manage this significant change at a time when both NHS and supplier capacity and capability in this specialist area will be stretched. The majority of these current PACS and RIS contracts were let under the National Programme for IT and it could be argued the Trusts had little say in the contract, choice of supplier or what was delivered. This time round it will be entirely the Trust’s choice but they will need to take the lead themselves. Some of the key issues covered include: • What options do I have? • What do I need to consider? • What should I be aware of? • What lessons have been learnt? Tony Corkett Director, Cloud 21 Ltd Tony trained as a Diagnostic Radiographer and worked clinically across the South East before taking up a Project Director role with a Health Authority, he led on the first communitywide PACS and then moved John Victor Bid Manager, Carestream Health John Victor has worked in the RIS, PACS and Archiving field for more than twenty years, predominantly in Sales and Consultancy roles, for companies such as Siemens, Markcare, GE and Carestream. He has experienced the procurement process from a suppliers viewpoint first hand for four different major multi-national companies and how that process has changed and evolved over the last 15 years. He currently works for Carestream Health UK Ltd as a Bid Manager, and is responsible for the submission of bids in the UK and Ireland Carestream’s Healthcare IT solutions. Understanding contracts, understanding CCN, payment schedules and managing conflict Richard Kerr Legal and Technical Director, Best Practice Group plc (BPG). Exiting the national PACS contracts— Progress to date Since the early days of the National Programme for IT, via NHS Connecting for Health, and latterly as Heath & Social Care Information Centre, the National PACS programme has supported 128 Trusts across the NHS in the implementation and use of RIS and PACS systems under LSP contracts. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Moderator: Neelam Dugar, Consultant Radiologist, Doncaster Royal Infirmary We will discuss the different tender processes and communication channels from a suppliers point of view, and the different contractual documentation resulting from these processes. WORKSHOPS PACS and RIS procurement and replacement SATELLITE SYMPOSIA Informatics 14.15-15.45 POSTER LISTING 7H ePOSTER LISTINGS Consultant Clinical Scientist, The Christie NHS Foundation Trust See page 38. There are different ways to buy, rent or simply use new hospital IT systems. This talk discusses the different options available to NHS organisations for the procurement of RIS, PACS and Archiving Solutions and other related hospital IT systems and highlights the differences in approaches between them. The standard method of procurement used for such systems before the National Programme for IT (NPfIT) and subsequently the Connecting for Health Programme (CfH) was the use of OJEU tenders. Post the CfH programme there are a number of different options and approaches available, the most common two of which are OJEU European tenders and the NHS Supply Chain Framework Agreement. EDUCATION ON STANDS John Kotre PACS and RIS procurement—Supply Chain Framework vs. OJEU-a Suppliers Perspective EXHIBITION PLAN & LIST Modern radiological imaging could be viewed as the process of capturing image pixels and voxels, modifying their values to correct for imperfections in the recording device and to enhance the image appearance, transferring them around a network for easy access, using a display device and temporary modifications to their values to look at them, then storing them. Every pixel has been paid for with a tiny amount of radiation dose to the patient, but are they all used for the benefit of that patient? Do some spring into existence in the imaging modality and make it all the way to long-term storage without ever having been seen? This presentation tries to take a pixel’s view of digital radiology as a possible alternative approach to some aspects of optimisation. on to the Pan London PACS programme and Kent and Medway as Programme Director. Since then he has been involved in large scale clinical IM&T projects including PACS, RIS, Pathology, COINS, EPRs on a national and international basis. As the Director for Cloud 21 Tony specialises in strategy development, business cases, procurement and deployment of complex clinical systems. He has recently been working with over 10 trusts on PACS and RIS replacements, lead the informatics work stream to create the largest trust in the UK and is leading on two EPR procurements. EXHIBITOR INFORMATION The Pixel’s journey: Do some get lost along the way? 77 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 78 VENUE PLAN WELCOME Since 2011 we have been planning for and assisting trusts as they have moved to local contract arrangements. In June 2013, 87 trusts made the move, taking control of 4 PetaBytes of data from central data stores in the process. Between now and June 2016 a further 47 trusts will also making the move with the localisation of an additional 1000 TeraBytes of data. PROGRAMME INFORMATION This presentation will address some of the lessons learned during the process – procurement, data localisation & migration, supplier & project management and maintaining service continuity. Moira Crotty VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS PACs Programme Manager, HSCIC Moira started out as a Radiographer, but the last 15 years have been focussed on project and programme management. Whilst largely involved with radiology systems and programmes, Moira has also worked on a number of EPR implementations. She also worked with and on behalf of a number of professional bodies including the College of Radiographers and IHE, and has an abiding interest in supporting the continuing professional development of those working in the clinical imaging domain. TUESDAY SESSIONS 8A 15.45-17.15 WEDNESDAY SESSIONS BAMRR - Size isn’t everything. Functional MRI and its potential applications Moderator: David Reed, BAMRR Treasurer and President Elect Functional Imaging using hyperpolarised gas WORKSHOPS Maria Liljeroth Research Associate, UCL SATELLITE SYMPOSIA Multiparametric imaging in epilepsy Anna Barnes Clinical Scientist, UCLH NHS Foundation Trust POSTER LISTING PET-MR; from qualitative to quantitative ePOSTER LISTINGS Superintendent Radiographer PETMR, UCLH NHS Foundation Trust Celia O’Meara EDUCATION ON STANDS 8B EXHIBITION PLAN & LIST Paediatrics 15.45 - 17.30 This presentation will highlight the radiographer’s responsibility in ensuring optimum image quality and continuity of evidence when undertaking the skeletal survey. Appropriate protocols and forensic guidelines covering technique, patient positioning and exposure factors will be discussed. Follow-up imaging improves diagnosis of abuse by identifying healing fractures. Case studies will demonstrate the importance of follow-up imaging. Finally, the presentation will illustrate how workflow may be adapted to ensure patients are attending for their follow-up imaging. When child abuse is suspected, the skeletal survey may be disheartening for all parties; it is hoped that by the end of the presentation delegates will have learned some tips to ease the process. Elzene Kruger Senior Radiographer, Sheffield Children’s NHS Foundation Trust Elzene Kruger qualified as a Diagnostic Radiographer in South Africa in 2002 and has been working as a Senior Radiographer at Sheffield Children’s Hospital since 2005. She attained a PgC in Forensic Radiography in 2009 and continued her studies in completion of a Masters degree in Forensic Imaging 2012. As forensic lead in a dedicated paediatric unit Elzene is closely involved with continually improving the department’s non accidental injury and forensic protocols and also undertaking imaging for post mortem examinations. She has been a member of the International Association of Forensic Radiographers since 2007 and was chosen as a committee member in 2012. She is passionate about research and all aspects of forensic radiography and therefore continually strives for overall diagnostic improvement. Is it the radiographer’s role to restrain children when performing skeletal surveys for suspected abuse? (4 presentations) (1) As one of four presentations on this topic, this aspect will focus on the available evidence base to discuss the advantages and implications of Radiographers immobilising children whilst undertaking skeletal surveys for nonaccidental Injury. Specifically the implications for the radiographer and the forensic examination itself will be addressed. Jacquie Vallis Interdisciplinary Session Moderator: Emily Faircloth, Founding Committee Member, International Association of Forensic Radiographers EXHIBITOR INFORMATION Imaging suspected child abuse: The radiographer’s perspective PRESENTER INDEX Physical abuse accounts for 12% of fractures in children under the age of 24 months. Radiographic imaging is the primary tool for diagnosis of non-accidental skeletal injury and may be used as critical evidence in a court of law. Senior Lecturer of Forensic Radiography, Teesside University & Chair International Association of Forensic Radiographers Jacquie Vallis is a founder member and Chair of the International Association of Forensic Radiographers, and has been involved in developing a national forensic radiography response team for over ten years. Jacquie qualified as a Radiographer in 1997 and has been involved in forensic radiography, including mass fatalities mortuary work, since that time. She currently works as a Senior Lecturer at Teesside University and was responsible for developing the first PgCert and MSc in Forensic JOIN THE CONVERSATION #UKRC2014 (3) This aspect is going to touch on the background of why it is important to produce good images, and then to discuss whether the radiographer should or should not hold the child. The background mentions all those involved in a suspected NAI case - nurses, paediatricians, social care, expert witnesses and court officials - and their individual perspectives on the issue of the images. I will then present the pros and cons of the paediatric radiographer immobilising the infant for the images and the risks associated; this will explain the view, from the radiation protection advisor’s perspective, of radiation exposure to a monitored member of staff. It will close by bringing the audience’s attention to what matters most in this scenario and that is the safety and well-being of the child. Faith Constantine Lead Paediatric Radiographer, Plymouth Hospital Trust Faith Constantine has over twenty years’ experience as lead Paediatric Radiographer, band 7, at Derriford Hospital, Plymouth, a large general district hospital which has a tertiary neonatal unit and many paediatric in and outpatient services. Chair of Association of Paediatric Radiographers, linked closely to the Society of Radiographers Children’s Radiographer-led MCUG lists: Personal experience This presentation will discuss the value of a radiographer-led paediatric micturating cystourethrogram (MCUG) service and its positive impact on patients and the imaging department. Practice was reviewed over a 12-month period focusing on several aspects of the service including referral criteria. Issues addressed will include efficiency of service provided, quality and continuity of patient care, and accuracy of official reports. The beneficial impact of role extension for radiographers taking on extra responsibility whilst being professionally accountable will also be addressed. Overall the radiographer-led service has had a positive impact on practice. However, it is imperative to have an adequate training programme, robust protocols and support from colleagues (including radiologists and clinicians) in order to achieve this. Attendees will leave the presentation with knowledge of some barriers to and tips for implementing a successful radiographer-led MCUG service. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Paediatric Radiographer, Central Manchester University Hospital NHS Foundation Trust Andrea Brammer has been a Paediatric Radiographer at the Royal Manchester Children’s Hospital since 2003 where she assisted setting up a radiographerled MCUG service and was responsible for IRMER and QA. Five years ago they moved into a purpose built hospital in the centre of Manchester where she became Risk Manager/Clinical Governance Coordinator for the Directorate of Radiology at CMFT in 2010. She is currently working towards a ‘Leadership in Health and Social Care masters degree whilst maintaining a clinical commitment at RMCH. She is a member of the Association of Paediatric Radiographers. WORKSHOPS Andrea Brammer SATELLITE SYMPOSIA Superintendent Radiographer, Great Ormond Street Hospital Bella Said, has for the past 6 years been a Paediatric Radiographer at Great Ormond Street Hospital training in all modalities Generals, CT, Interventional Radiology, MRI and Nuclear Medicine. For the past 2 years she has been the Superintendent Radiographer in Generals where they come across 10 skeletal surveys weekly, on average, varying from NAI, as well as other conditions like Osteogenesis Imperfecta, Metabolic disease, dysplasia and others. Last year she completed a Masters in Child Studies, with her dissertation focusing on children and young people’s participation in healthcare, concentrating on the Radiology services. POSTER LISTING Bella Said ePOSTER LISTINGS (4) This aspect discusses how it is not the radiographers’ role to restrain patients for the purpose of a NAI skeletal survey. The radiographers’ role is to obtain high quality radiographs for the purpose of answering the clinical question posed by the clinicians, whilst at the same time ensuring communication with all parties involved at all times as to what is going to happen. There are various definitions of ‘restraint’, ‘immobilisation’ and ‘safe holding’ from several sources that will be discussed. Documentation is essential as part of the skeletal survey process to ensure that correct processes have been followed. Professional knowledge needs to be kept up to date with current practice and radiographers need to be aware of their responsibilities to ensure the best outcome for patients, their families and also the professional teams involved bearing in mind that individual professionals are more commonly becoming independently accountable for their actions. EDUCATION ON STANDS (2) The radiographer’s role in suspected NAI cases is to provide high quality images with the least possible dose. The role also extends to holding along with the help of other health professionals, if necessary. Many a times, this enables us to get the image right the first time. While holding, the radiographer is also actively trying to make the experience as positive as possible for the child by communicating creatively and using distraction techniques. There is an associated risk of injury associated with holding, however it is worth noting that other conditions like Osteogenesis Imperfecta, Osteopenia, too have a high susceptibility to fracture. EXHIBITION PLAN & LIST Taskforce, providing advice on all aspects of paediatric imaging. Radiographer assessor with Imaging Services Accreditation Scheme linked to United Kingdom Accreditation Service. She is also a speaker at national conferences and study days linked to paediatric imaging, a committee member of Trust Child Protection Team, and member of national NAI working party. EXHIBITOR INFORMATION Radiography in the UK. Much of Jacquie’s job now involves teaching forensic radiography to people from the UK and overseas. She has been involved in national consultation with various agencies on forensic radiography, including the Home Office. She is an advisor on the UK North East Regional Resilience Team and was involved in developing the region’s mass fatality incident plan. 79 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 80 VENUE PLAN Rebecca Ward WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Senior Radiographer, Sheffield Children’s NHS Foundation Trust Rebecca Ward qualified as a Diagnostic Radiographer in 1997. She has 13 years dedicated specialist paediatric experience and currently works as a Senior Radiographer at Sheffield Children’s Hospital. In this current role she has responsibility as both CT Lead and for providing a radiographer led micturating cystourethrogram service. The latter involves performing MCUG examinations and also officially reporting the findings. She has obtained postgraduate qualifications in Paediatric Medical Imaging, Computed Tomography and is due to attend a BAPU British Association of Paediatric Urology course in September 2014. 8C MONDAY SESSIONS MSK 16.00-17.30 Diagnostic spine Moderator: Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust TUESDAY SESSIONS WEDNESDAY SESSIONS Postoperative imaging of the spine - Multi modality approach 1. Post operative imaging of spine by using a multimodality approach WORKSHOPS 2. Current concept in diagnosis and management of cystic bone lesions. Special emphasis on treatment of Aneurysmal bone cysts by using doxyxycline foam. Sajid Butt SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore Sajid Butt completed his medical education in Pakistan. He started his radiology training in Rawalpindi and then did his residency at Guy’s and St Thomas’ Hospital, London. Subspecialty training was completed in Royal National Orthopaedic Hospital, London with Dr Asif Saifuddin and in the Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry with Prof Iain MacCall and Dr Victor Cassar-Pullicino. Sajid is presently the Clinical Director and works as a Consultant Radiologist at the Royal National Orthopaedic Hospital, Stanmore. The RNOH is the tertiary referral hospital for musculoskeletal diseases in South-East of England. Treatment of spinal diseases and bone and soft tissue tumours are the main areas of expertise. There is a busy rheumatological practice and sports injuries clinics in addition. His work involves the reporting of musculoskeletal radiology examinations, carrying out radiologically guided biopsies, nerve root blocks, radiologically guided injections, carrying out musculoskeletal ultrasounds, RF ablation of osteoid osteomas and other bone tumours and providing an on-call service. Sajid’s work also involves conducting national level teaching courses for radiology and orthopaedic trainees. Diagnostic dilemmas in the spine Non-neoplastic lesions of the vertebral column may be congenital or acquired, the latter being of degenerative, traumatic, infective, inflammatory, metabolic and idiopathic aetiologies. The commoner lesions that can mimic tumours or neoplastic involvement include reactive Schmorl’s nodes, discogenic hemivertebral sclerosis, benign vertebral collapse, vertebral osteomyelitis without disc involvement, chronic recurrent multifocal osteomyelitis (CRMO)/SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, osteitis) and Paget’s disease. Recognition of these conditions is important to prevent unnecessary biopsy or incorrect management. Rikin Hargunani Consultant Musculoskeletal Radiologist, Royal National Orthopaedic Hospital, Stanmore Rikin Hargunani is a Consultant Musculoskeletal Radiologist based at the Royal National Orthopaedic Hospital, Stanmore. He underwent Radiology Registrar training at the Royal Free Hospital, London prior to undertaking a Musculoskeletal Radiology Fellowship at Vancouver General Hospital, University of British Columbia, Canada. His areas of interest include musculoskeletal intervention, spinal radiology, bone & soft tissue tumours, bone & joint infections and sports imaging. Imaging the normal and abnormal vertebral marrow By dividing the marrow signal changes and vertebral body morphology into different categories, this talk provides a simplified approach to the classification of treated and untreated lesions in the spine, narrowing the differential diagnosis and enabling appropriate further management. Philippa Tyler Musculoskeletal Radiologist, Royal National Orthopaedic Hospital, Stanmore Philippa Tyler undertook an MRI fellowship with MR-guided focused ultrasound as an area of special interest, following which, her current role as a musculoskeletal radiologist covers a wide range of interventional procedures in addition to diagnostic work in all modalities. A significant proportion of the routine work involves diagnostic and interventional procedures on patients referred with primary and secondary bone and soft tissue tumours. SP040: Redefining the role of magnetic resonance imaging in the axial component of seronegative spondyloarthritis Jacob Oommen; Navtej Sathi Wrightington, Wigan & Leigh NHS Foundation Trust Objectives: Seronegative arthritis presents with inflammation of the synovioenthesial complex throughout the body which clusters into peripheral and axial components. The diagnosis is based on the exclusion of rheumatoid arthritis and the spectrum of clinical presentation conforming to any of the a numerous accepted international classifications. JOIN THE CONVERSATION #UKRC2014 Wrightington, Wigan & Leigh NHS Foundation Trust Jacob Oommen MBBS, FRCSI, FRCR, ESSR Diploma in Musculoskeletal radiology. Consultant Musculoskeletal Radiologist and Clinical Lead in Bone Densitometry. 8D Service Delivery 16.00-17.30 Delivering a patient-focused radiology department Moderator: Victoria Brown, Vice President, Service Delivery UKRC Team working within radiology to improve patient care –The radiologist’s view All radiology departments have been subject to large increases in demand across most modalities over the last 10 years. Even where investment in new Consultant Radiologist posts has been made by trusts the workload still exceeds the consultant available resource. We have utilised effective team-working (radiographers, ultrasonographers and radiographic assistants) to enable the department to fulfil increases in demand while continuing to produce clinically useful reports in a timely manner across the various imaging modalities. It has also enabled career development for radiographers wishing to advance their skills thereby assisting us in maintaining a motivated highly skilled stable workforce. By optimising the various staff member’s skills consultants have been able to concentrate on more complex imaging and the numerous multidisciplinary discussions that occur throughout the working week. Improving patient care should be the primary focus of all healthcare providers. Team working and appropriate use of skill mix has been highlighted as a way of managing ever increasing imaging workloads. The aim of this study was to demonstrate how a radiology department within an acute district general hospital optimizes imaging services to improve access for patients and support for referrers through a strong emphasis on team-working. Data about service delivery was analyzed across three consecutive years and interrogated by modality, referral source and reporting practitioner to determine how workload had evolved. Feedback from referring clinicians was sought. Overall trend was for increased activity (13%) with significant reductions (p<0.001) in waiting and reporting times, with some modality variation. Radiographers interpreted >50% of X-ray and ultrasound examinations. Radiologists and radiographers, working together, can deliver an effective service. Innovation, staff development and redesigned patient pathways have produced significant improvements. Nicholas Woznitza Reporting Radiographer, Homerton University Hospital NHS Foundation Trust Nick Woznitza qualified as a Radiographer from the University of South Australia in 1999 before coming to the UK in 2005. He has specialized in Image Interpretation, completing various post graduate qualifications at Canterbury Christ Church University enabling him to interpret a broad spectrum of plain imaging examinations. In his current role as an Advanced Practitioner at Homerton University Hospital he is responsible for VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Team working within radiology to improve patient care- Data review WEDNESDAY SESSIONS Jacob Oommen WORKSHOPS Head of Diagnostic Services, Homerton University Hospital NHS Foundation Trust Colin West joined the NHS in 1998, flowing a long military career. Since then he has held Imaging Manager Posts in Norfolk, Birmingham and latterly at Homerton. In between times he has confused the NHS Pension Service by working in the Independent Sector, Saudia Arabia and as a Prison Governor. Colin West SATELLITE SYMPOSIA Discussions: MRI favours demonstration of soft tissue and bone inflammatory changes that preceeds radiographic changes and useful in the diagnosis of ankylosing spondylitis where inflammatory changes in the spine and sacroiliac joints are florid. Despite the obvious and often agonising symptoms in patients with seronegative arthritis the MRI reports are misleadingly negative as they are directed to exclusion of intraspinal causes of the patients symptoms. POSTER LISTING Team working within radiology to improve patient care – The service manager’s perspective ePOSTER LISTINGS Impact: Axial MRI is able to identify the disease early enough to influence early patient management, to mitigate the development of osteoarthritic changes in the spine and major joints deferring the need for surgical intervention. EDUCATION ON STANDS Outcomes: Numerous changes are evident at the sites of the patients symptoms. The presence of a systemic disease and evidence of a colaborative MRI features permits an earlier diagnosis. We therefore propose the identification of a combination of MRI findings of axial involvement as a means of early disease diagnosis. Consultant Radiologist and Clinical Lead for Diagnostics, Homerton University Hospital NHS Foundation Trust Susan Rowe trained at Barts and The London, after which she migrated a few miles north east to commence work as a Consultant Radiologist at Homerton University Hospital in 2003. She has an interest in musculoskeletal and head and neck radiology but her interest in radiographer reporting originates from the managerial aspect of her current role. She has been Clinical Lead at The Homerton for radiology/diagnostics for the last 8 years. EXHIBITION PLAN & LIST Contents: Retrospective review of over 200 patients classified clinically as seronegative spondyloarthropathy and with evidence of the peripheral component of the disease confirmed by high resolution ultrasound of the wrists. Susan Rowe EXHIBITOR INFORMATION Confirmation of diagnosis is hindered by the lack of confirmatory serological tests and the radiological changes being evident only at the late stages. 81 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 82 VENUE PLAN WELCOME reporting skeletal and adult chest X-rays, and has introduced a radiographer-led neonatal plain imaging reporting service. Nick is currently enrolled as a PhD Student at Canterbury, conducting research into chest X-ray interpretation. PROGRAMME 8E Advances 16.00-17.30 Personal monitoring for eye dose INFORMATION Moderator: Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust Units of eye dose for personal monitoring VICE PRESIDENTS & WORKING PARTY The equivalent dose at 3mm depth, (i.e.Hp(3) in mSv) is most the appropriate quantity to monitor eye dose. However in certain circumstances it is possible to monitor Hp(0.07) as a surrogate of eye dose using conventional extremity dosimeters. MONDAY SESSIONS David Rawlings TUESDAY SESSIONS WEDNESDAY SESSIONS Clinical Scientist, Freeman Hospital, Newcastle David Rawlings has been a Clinical Scientist for 35 years and is currently Head of Service within the radiation safety section of Freeman Hospital, Newcastle-upon-Tyne. He is interested in all aspects of dosimetry, and personal monitoring. David has been appointed radiation protection adviser, laser protection adviser and/or medical physics expert to a number of local NHS organisations. WORKSHOPS Estimating eye dose from collar dose in cardiology SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS Given the imminent reduction of the eye threshold dose level from 150mSv to 20mSv per year, an audit was undertaken at UHSM to compare doses recorded at eye level with those recorded at collar level. The Objective of this audit was to “ascertain whether dosemeters worn at collar level will lead to greater compliance in wearing them, thereby producing results which can be extrapolated accurately and consistently to give a realistic measurement of eye dose received by cardiologists working in cardiac catheter labs”. Additional measurements were also obtained by Christie Medical Physics and Engineering simulating a catheter lab procedure to support the audit. EDUCATION ON STANDS EXHIBITION PLAN & LIST Compliance can be an issue due to Cardiologists reluctance to wear “uncomfortable and irritating” headbands. Can a factor therefore be established that will give accurate and consistent measurements to enable the calculation of eye doses from the dosemeters worn at collar level? Elaine Holt EXHIBITOR INFORMATION PRESENTER INDEX Senior Cardiac Radiographer, University Hospital of South Manchester Elaine Holt was trained at Lincolnshire School of Radiography, DCR(R) obtained in 1991. In 1992 employed as radiographer in General X-ray at Wythenshawe Hospital, South Manchester before commencing there as a Cardiac Radiographer in the Cardiology X-ray department until 2002. During this time, she attended Salford University and obtained an MSc in Advanced Radiography Practice. Following a year working in New Zealand, she took up the position of MR radiographer with Lodestone until 2005. After taking time out travelling and volunteering, she returned to University Hospital of South Manchester as a Senior Cardiac Radiographer and Radiation Protection Supervisor. She helped to formulate the North West Skin dose Group and developed the Skin Dose Clinic at UHSM. Experimental measurements relating collar and eye dose – In view of the forthcoming reduction in the eye dose limit, it was necessary to determine whether collar dosemeters accurately estimate eye doses. Previous phantom experiments had been carried out to determine the relationship between TLDs worn on the collar and head to true eye dose. TLDs on the collar, side and centre of the head underestimated true eye dose. The TLDs on the side of the head closest to scatter provided the most accurate estimate. Following this, interventional radiologists at Addenbrooke’s Hospital were issued collar and eye dosemeters for a period of 20 months. The results showed inter- and intra- operator variability in the relationship between collar and eye dose confirming that a collar to eye dose conversion factor cannot reliably be used. Therefore, staff requiring eye monitoring must wear a dedicated eye dosemeter on the side of the head closest to scatter. Bethany Howard Clinical Scientist Cambridge University Hospitals NHS Foundation Trust Bethany Howard graduated from the University of Sheffield in 2009 with an MPhys in Physics with Medical Physics. She has been working in Medical Physics at Addenbrooke’s Hospital since 2009. She has recently obtained state registration as a Clinical Scientist in Radiation Protection. She works for the East Anglian Regional Radiation Protection Service and her main area of research is eye dosimetry. Bethany also has a particular interest in CT. Effectiveness of commercial eye protection 1 Effectiveness of commercial eye protection: With favourable geometry, reduction in eye dose by lead spectacles and goggles can be as high as 80-90% in cardiology and interventional radiology. However shine paths and scatter within the head may reduce the protection afforded. Wrap round designs are more effective at a variety of angles. Face masks containing around 0.1mmPb protect the whole head and may give adequate protection in certain circumstances. Ceiling mounted protective screens can reduce eye dose by 98% and can be worn with spectacles. Other bespoke options can give much improved protection in certain situations. David Rawlings Clinical Scientist, Newcastle-upon-Tyne NHS Foundation Trust Please see above. JOIN THE CONVERSATION #UKRC2014 Advanced PACS functionality Moderators: Anant Patel and Alexander Peck, Society and College of Radiographers National data sharing with XDI, initial results Over the last few years, Cross-Enterprise Document Sharing (XDS and XDS-I) has been the buzz word within the Radiology Community, as in theory this provides a method for clinicians to be able to quickly access Referrals, Images and Reports across numerous organisations. Is XDS able to provide one of the solutions to the age old problem of sharing patient data across the NHS? The aim of this presentation is to provide the audience with feedback from an XDS-I pilot undertaken by NHS Trusts in the Bristol region, the challenges encountered and the vision for the road ahead. Steve Jessop Product Marketing Manager, Sectra Burnbank Stephen Jessop has many years’ experience of successfully managing the introduction of large IT solutions within the Public Sector. He joined Dose monitoring - Latest developments, clinical benefits Current Trends in radiation dose monitoring. A presentation to detail the current global trends surrounding patient radiation dose and a holistic approach to dose management using data as the catalyst. Also an interesting look at global cultural attitudes towards dose management. Ian Judd Product Manager, Sectra Ian Judd has been involved in the UK radiology market for more than 20 years. He has been personally associated with the most successful Radiology IT projects in the UK. After joining Sectra in 2012 Ian took ownership of the Sectra DoseTrack product set. In this role Ian has been the Product Manager and main consultant in the ongoing direction, development and sales of the DoseTrack product. His practical experiences, built up since the mid 1990s to date in the field of dose management allow a unique perspective VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA Informatics 16.00-17.30 Agency Radiographer and PACS Administrator Brandon Bertolli is a Diagnostic Radiographer who qualified in South Africa in 1994, now working in the UK. He has worked as an agency radiographer in the UK mainly through Jennie Reeves Radiographers™ Agency. He has a keen interest in health informatics, having worked in full time and locum positions in various roles ranging from PACS manager to System Administrator to PACS trainer and RIS project support. These positions have involved a variety of vendors and systems over the years, in NHS and private facilities in the UK. Brandon’s other interests are forensic radiography, firearms and projectile injuries. POSTER LISTING 8F Brandon Bertolli ePOSTER LISTINGS Medical Physicist, The Christie NHS Foundation Trust Conor Clancy completed his postgraduate studies and has worked as a medical physicist in St. James’s Hospital, Dublin. In 2011, he moved to Manchester to work with the Diagnostic Radiology and Radiation Protection Group at the Christie NHS Foundation Trust. He provides support to the Radiation Protection Adviser at three NHS Trusts and is leading a project to improve in-house quality control testing across the North West. Conor is currently working towards registration as a clinical scientist. The aim of this session is to present a brief sample of some of the new features being offered by the main suppliers of PACS solutions in the UK market. Each vendor has provided a small presentation outlining new functionality of interest (which is either being developed or is available in the current release of software). Delegates are encouraged to seek out the vendors (most of them have stands at UKRC) for further information, as some of the developments are fast moving and improvements are being made regularly in what is obviously a competitive PACS market in the UK. EDUCATION ON STANDS Conor Clancy What’s new in PACS? A UK round up EXHIBITION PLAN & LIST The ICRP have suggested an occupational dose limit for the lens of the eye of 20mSv per year. This study investigates the eye dose reductions achieved through the use of various types of lead-glass eyewear. An anthropomorphic head phantom (RANDO) was set-up to mimic the typical position of a clinicians head during an interventional fluoroscopy procedure. Measurements were made, using an Unfors EDD dosemeter affixed to the left eye, for different lead-glass spectacles (ProtecX 2600, ProtecX 2611, ProtecX 2616, ProtecX 2622) and a lead-glass visor (Bartec). The effect of head angle and the clinician height was also investigated. The results indicate that the spectacles with the best front/ side protection (i.e. 0.75mmPb ProtecX 2616) provided the highest dose reductions for clinicians of different stature and for all head angles. The visor, due to its shape and low filtration (i.e. 0.25mmPb), provided the lowest dose reductions under all test conditions. Burnbank as the Business Solution Manager in March 2012 following 5 years as the PACS Programme Manager for NHS Connecting for Health. With his expert knowledge of the radiology requirements of the NHS, as well as a very good understanding of both existing and emerging technologies regarding data sharing solutions he is heading up the IEP Connect & Share programme, ensuring that the developments to IEP meet the actual requirements of the end users and, in the case of the NHS, ultimately the needs of the patient. EXHIBITOR INFORMATION Effectiveness of commercial eye protection 2 83 PRESENTER INDEX TUESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress TUESDAY ABSTRACTS AND BIOGRAPHIES 84 VENUE PLAN WELCOME PROGRAMME on this subject and have driven a more holistic approach to patient dose management and reduction. He has lectured on the subject of patient dose management for the last 2 years to numerous audiences throughout the world. He has written a number of white papers and news publications on the subject. He is considered a high profile advocate of technology to reduce the risk of radiation to patients in a medical environment. INFORMATION Dose monitoring - Progress towards National DRLs (update) VICE PRESIDENTS & WORKING PARTY Progress towards national DRL’s: This session will provide background information on the technology used to obtain, aggregate and segregate data that can be used for improving the timeliness of National DRL development. Also included will be an example of the US data collection system. This session will be co-presented by Mike Battin and Ian Judd. Mike Battin MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Chief Operating Officer, PACShealth LLC Mike Battin is the Chief Operating Officer of PACSHealth, LLC, a radiology software development company focused on improving patient safety, increasing efficiency and production by data analysis and system monitoring. With more than 20 years experience in healthcare Mike’s responsibilities have ranged from clinical service as an advanced-practice flight paramedic to providing strategic IT direction for major hospitals and health care systems. Prior to founding PACSHealth, Mike was the Director of IT Applications at Evergreen Healthcare in Kirkland, WA, and an enterprise project manager for Hoag Memorial Hospital in Newport Beach, CA. Mike frequently speaks on the clinical and strategic advantages of IT in healthcare, and has been cited in Decisions in Imaging Economics magazine. Mike studied at the American College of Prehospital Medicine in New Orleans, LA where he received a BS in Management of EMS, cum laude. SATELLITE SYMPOSIA 8G POSTER LISTING Head and neck 16.00-17.30 Head and neck update ePOSTER LISTINGS Moderator: Rhian Rhys, Consultant Radiologist, Royal Glamorgan Hospital EDUCATION ON STANDS Benign sinonasal disease EXHIBITION PLAN & LIST The presentation covers the physiology of mucociliary clearance, applied anatomy and important variants of the paranasal sinuses. Patterns of sinonasal disease and the concept of FESS wil be discussed with suggestions for a clinically relevant and structured radiological report. Rhian Rhys EXHIBITOR INFORMATION PRESENTER INDEX Consultant Radiologist, Royal Glamorgan Hospital Rhian Rhys initially trained in ENT surgery, then trained as a radiologist with the Welsh training scheme. She did a head and neck Imaging fellowship in Perth WA, before becoming a radiologist with a subspecialty interest in head and neck imaging at the Royal Glamorgan Hospital, South Wales in 1990. Inflammatory disease of the middle ear The presentation will cover imaging of acute and chronic middle ear inflammation with an emphasis on how to detect, monitor and demonstrate complications of cholesteatoma. Steve Connor Consultant Neuroradiologist, King’s College Hospitall Steve Connor trained in radiology on West Midlands scheme with subsequent neuroradiology subspecialty training at King’s College Hospital. Appointed as Neuroradiology Consultant at King’s College Hospital in 2001 and Honorary Consultant in Head and Neck Radiology at Guy’s and St Thomas’s hospital since 2005. Subspecialty interests are head and neck cancer, otology, skull base and maxillofacial imaging. Necrotising otitis externa Necrotising otitis externa (NOE) is a severe inflammatory condition originating in the external auditory canal (EAC), usually associated with pseudomonas aeruginosa. Over 90% occurs in elderly diabetics. The defining feature is development of osteomyelitis of the bony EAC. Infection extends out of the EAC through the fissures of Santorini (vertical fissures in the anterior wall of the cartilaginous EAC) and/or the osseocartilagenous junction into the parapharyngeal space.Subsequent extension into adjacent deep spaces is associated with central skull base osteomyelitis and lower cranial nerve palsies. CT demonstration of the presence and extent of bone destruction are the key imaging features. The most important use of MRI is assessment of intracranial extension if suspected. Gallium scanning (particularly SPECT-CT) may confirm the condition if CT is equivocal but is probably most useful in the follow up of this disease which is notoriously difficult to eradicate. Julian Kabala Consultant Radiologist, University Hospitals Bristol NHS Foundation Trust Julian Kabala has been a Radiologist at University Hospitals Bristol, since 1991. Special interest in Head and Neck, Oncology and Lymphoma, Endocrine and Nuclear Medicine (PET-CT). British Society of Head and Neck Imaging, President (2006 – 2008).European Society of Head and Neck Radiology (ESHNR) and European Congress of Radiology (ECR) presenter and moderator since 1999. He is an advisory Editor for Clinical Radiology since 2009, examiner for the Royal College of Radiologists Diploma in Dental and Faciomaxillary Radiology since 2012. JOIN THE CONVERSATION #UKRC2014 Tumour mimics and tumour-like lesions of the bone Tumour mimicking lesions in the musculoskeletal system are not infrequently encountered and can represent a significant diagnostic challenge. Moreover, tumour-like lesions show diverse aetiologies and locations. All radiologists need to be aware of the possibility of non-neoplastic diagnoses of bone and their potential imaging findings. A range of classical and more challenging cases will be used to illustrate a broad range of tumour mimics and highlight strategies to approaching such lesions. Rikin Hargunani Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore See page 80. Postoperative imaging following bone tumour surgery - Multi-modality approach We review the broad spectrum of established and cutting edge surgical techniques for treatment of a variety of benign and malignant bone tumours, with normal post-operative appearances, imaging dilemmas, complications, recurrence and methods for artefact reduction discussed and illustrated with high quality multimodality imaging. Philippa Tyler Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore See page 80. VENUE PLAN WELCOME PROGRAMME INFORMATION Katie Planche TUESDAY SESSIONS Consultant Radiologist, Royal National Orthopaedic Hospital, Stanmore See page 80. The peritoneal cavity is a complex anatomical structure with multiple attachments and connections. Primary abnormalities of the peritoneum are rare but the peritoneal cavity is often involved by common pathologies such as bowel perforation, infections, malignancy and trauma.This lecture will review embryological development and anatomy of the peritoneum, its attachments and mesenteries. Normal anatomy and pathology will be described and illustrated with diagrams and imaging including CT peritoneograms. The relevance of intra and extra-peritoneal anatomy to common pathological processes of the peritoneum will be discussed. Consultant Radiologist, Royal Free London NHS Foundation Trust Katie Planche is a Consultant Radiologist at the Royal Free Hospital, London with an interest in gastrointestinal imaging. WEDNESDAY SESSIONS Sajid Butt CT of the peritoneum and mesentery Imaging of the acute abdomen in the immunocompromised patient Acute gastrointestinal complaints are common among patients with cancer. They may be due to the disease process itself, the consequence of its treatment, or due synchronous benign pathologies. Associated immunocompromise is common and can be confounding, reducing the perceived severity of illness yet increasing the rate of deterioration. In this session we discuss a structured approach to imaging the acute abdomen in the oncology patient, including those with immunocompromise. Particular attention is paid to entities that are rare in other patient groups, including radiation enteritis, graft versus host disease and chemotoxicity. Thomas Westwood Consultant Radiologist, The Christie NHS Foundation Trust Thomas Westwood, MBBS, FRCR, undertook his undergraduate training at University of Newcastle upon Tyne Medical School, 2001 -2006. He continued radiology training in the North Western Deanery School of Radiology with interests in abdominal and radionuclide radiology from 2008 -2013. He undertook a fellowship in PETCT and oncology imaging at The Christie, 2013 and was recently appointed as consultant in clinical radiology with specialist interest in PETCT at The Christie, 2014. WORKSHOPS Current concept in diagnosis and management of cystic bone lesions. Special emphasis on treatment of Aneurysmal bone cysts by using doxyxycline foam. Consultant Radiologist, Portsmouth Hospitals NHS Foundation Trust SATELLITE SYMPOSIA Cystic lesions of the bone - current concepts, diagnostic approach and management Antony Higginson POSTER LISTING Moderator: Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust VICE PRESIDENTS & WORKING PARTY Ultrasound of the peritoneum and mesentery ePOSTER LISTINGS Bone tumours Moderator: Niall Power, Consultant Radiologist, Royal Free London NHS Foundation Trust EDUCATION ON STANDS MSK 08.30-10.00 Gastrointestinal imaging EXHIBITION PLAN & LIST 9A GI 08:30-10:00 EXHIBITOR INFORMATION Sunrise sessions 9B PRESENTER INDEX WEDNESDAY 11 JUNE 85 MONDAY SESSIONS WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 86 VENUE PLAN 9C WELCOME Advances 08.30-09.30 RPS masterclass – Personal monitoring & co-operation of employers PROGRAMME Moderator & Speaker: Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust INFORMATION This session will bring attendees up-to-date with the latest expectations for systems to monitor staff dose including performance measures, eye dose and issues around staff who work at multiple employers 9D VICE PRESIDENTS & WORKING PARTY Emergency night time Informatics teleradiology in the NHS (8pm to 8am) 8.30-10.00 Moderator: Neelam Dugar, Consultant Radiologist, Doncaster Royal Infirmary MONDAY SESSIONS TUESDAY SESSIONS Night emergency scans—Types of scans requested at night. Qualification, skills and training required for reporting these scans WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING Patients present with emergency conditions at any time of the day or night. The challenge for us is to ensure that those presenting at night receive a standard of care which is as close as possible to that which they would receive during the day. Radiology – diagnostic and interventional – is at the front line of emergency care. Increasing specialisation of clinicians as well as the expectations of patients and society has led to increasing demand for specialised imaging and image interpretation at night. I will argue that it is no longer possible for a single radiologist to provide a satisfactory comprehensive emergency service. Solutions will be based on networked models allowing large groupings of radiologists to provide comprehensive services to multiple hospitals. Such solutions can provide an enhanced level of service to patients, a sustainable lifestyle for radiologists and a better experience for trainees. Giles Maskell ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Consultant Radiologist, President of Royal College of Radiologists Giles Maskell undertook radiology training in London, Cambridge and New Zealand, after which he was appointed Consultant Radiologist at the Royal Cornwall Hospital in Truro in 1991 where he continues to work as a Radiologist with interests in gastro-intestinal and oncological radiology. Giles’ involvement with the RCR began as regional chairman for the South West. He subsequently became editor of the RCR Newsletter and later served as Registrar from 2003 -2006. He was elected President in 2013 for a three year term. Understanding the limitations of teleradiology. Preserving daytime radiology delivered by local hospital radiologists Teleradiology limitations mainly result from lack of the teleradiologists’ physical presence in the local hospital, but may also arise from a paucity of relevant clinical and past imaging data available. We believe preserving daytime radiology, delivered by local radiologists acting as clinical doctors integrated in the patients’ healthcare, is essential. “In-house” radiologists add value in many ways: advising on the most appropriate imaging investigations, interacting with medical and surgical clinical colleagues, consulting over cases in the light of clinical findings, developing trusting clinical working relationships, and interpreting the imaging during multidisciplinary meetings whilst simultaneously keeping abreast of clinical practice. Nicola Strickland Consultant Radiologist, Imperial College Healthcare NHS Trust Nicola Strickland trained in Natural Science and Medicine at the University of Oxford, and in Radiology at the Hammersmith Hospitals NHS Trust, where she is now a Consultant Radiologist and Honorary Senior Lecturer at Imperial College. She has been in charge of the clinical aspects of PACS and Imaging IT at Imperial College Healthcare NHS Trust since its inception in the early 1990s. She is the current Registrar of The Royal College of Radiologists, and Chairman of the pan-European Society MIR (Management in Radiology), a subcommittee of the European Society of Radiology. She is the ex-Present of EuroPACS and the radiological section of the Royal Society of Medicine. Technology required to deliver a regional night-time teleradiology hubs in NHS Technology focused presentation on the requirements to deliver a regional/national nigh-time teleradiology solution. Discussion will include technology elements that enable automatic assignment of studies including capacity, subspecialty, licensing, credentialing and other relevant attributes to assure the study gets to the right radiologist. Other technology elements will be discussed such as scalable cloud infrastructure to enable platform connectivity to a diverse customer base. Important operational elements are required enabling radiologist communication back to the referring facility, physician or multi-disciplinary team. Discussion on how the appropriate workforce is recruited and how decisions associated with blending the daytime/onsite radiologist with the offsite/cloud based teleradiologists can provide better patient care. Shannon Werb PRESENTER INDEX Chief Information Officer, vRad, Virtual Radiologic Shannon Werb serves as vRads Chief Information Officer, responsible for all aspects of vRads technology platforms and data assets serving both our teleradiology and Alliance partners. Werb JOIN THE CONVERSATION #UKRC2014 Medical Director, Medica Reporting See page 47. Sai Han Consultant in Nuclear Medicine & PET/ CT, NHS Greater Glasgow & Clyde Sai Han, MBBS, MSc, FRCP(Glasg), is a Consultant in Nuclear Medicine at the Glasgow Royal Infirmary, Clinical Lead at the West of Scotland PET/CT Centre, and Honorary Clinical Senior Lecturer at Glasgow University. Trained in nuclear medicine and hybrid imaging in the UK and USA. Sai’s main interests are in PET/ CT and SPECT/CT imaging and takes part in North East Glasgow lung cancer MDT. Memberships include: SIGN guidelines for lung cancer 2014; British Nuclear Medicine Society Education Committee; UK Nuclear Medicine Specialist Training Committee (STC). Sai also contributes to FRCR IIA GI module lectures and IIB tutorials in the west of Scotland Radiology Training Scheme. PET/CT in neuroendocrine tumours This talk describes the value of PET/CT in Neuroendocrine tumours (NETs). It is divided into somatostatin receptor scintigraphy (SRS), 18F-FDG-PET/CT and miscellaneous tracers. In the SRS section, the utility of on 68GaDOTA-peptides in NETs is described. The talk describes advantages over gamma camera imaging and CT/MRI. The main application of PET SSR imaging are to accurately stage disease, follow-up/ restage patients with known VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Hybrid PET/CT & SPECT/CT imaging has markedly improved the reporter confidence and diagnostic accuracy in Nuclear Oncology. Planar scintigraphy is sensitive but lacks morphological details and specificity and often requires further radiology correlations. CT augmented scintigraphy provides functional, anatomical and morphological information in the same session and potentially shortens time to treatment. SPECT/CT compliments nuclear medicine and radiology diagnosis and staging of bone and soft tissue malignancies including isotope bone scans for skeletal metastases, radioiodine thyroid cancer imaging, and somatostatin receptor imaging and MIBG imaging in neuroendocrine tumours. SPECT/CT can also help in treatment planning such as liver-to-lung shunt study prior to SIRT (selective internal radiation therapy) and TARE (transarterial radioembolisation) of liver malignancies, and sentinel node localisation. Structural information from SPECT/CT can also alert clinicians on potential critical situations such as risk of pathological fractures, spinal canal etc. SPECT/CT has become an important diagnostic tool in Oncology imaging. SATELLITE SYMPOSIA Stephen Davies SPECT/CT applications in oncology POSTER LISTING This presentation will provide an overview of these clinical quality and governance process requirements and how may be integrated in order to deliver a safe effective nighttime service for patients. Organisers: Sarah Allen & Gopinath Gnanasegaran (On behalf of BNMS/ BIR) Moderator: Sai Han, Consultant in Nuclear Medicine & PET/ CT, NHS Greater Glasgow & Clyde ePOSTER LISTINGS A complex process across multiple providers needs robust quality processes that deliver an effective timely service and meet information governance quality standards. BNMS & BIR joint symposium on radionuclide molecular and hybrid imaging I EDUCATION ON STANDS Clinical governance and quality processes are the cornerstone of a safe clinical night time teleradiology service for the NHS. The clinical policies and protocols underpinning the service must be designed and managed effectively. There should be a quality assurance process that drives safe clinical practice. A modern discrepancy process provides a good learning platform for the individuals and the group providing the service and should provide reassurance to the commissioners and patients. The service must meet CQC standards and be prepared for unannounced visits. Molecular & Hybrid Imaging I 08.30-09.30 EXHIBITION PLAN & LIST Clinical governance and quality processes around night-time emergency teleradiology 9E EXHIBITOR INFORMATION will also drive collaboration and partnership with vRad’s clients to navigate a radically changing healthcare environment. Werb is a recognized healthcare IT authority, advisor and evangelist. He has extensive experience leading organisations and successfully developing enterprise solutions to deliver data to medical personnel faster and more cost effectively, resulting in improved clinical processes and an overall better patient experience. Werb has authored numerous whitepapers and journal publications on subjects including vendor-neutral archiving, next generation PACS, cloud-based solutions, and enterprise content management. He has successfully guided organizations and industries through periods of tremendous disruption, most recently as Chief Operating Officer and Chief Strategy Officer of Acuo Technologies. 87 PRESENTER INDEX WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 88 VENUE PLAN WELCOME PROGRAMME disease, determine SSR receptor status so patients can be selected for ‘cold’ or radio-targeted therapy and assessing response to treatment. Although the majority of well differentiated NETs do not demonstrate FDG avidity, there is still a role for 18F-FDG-PET/CT in NETs. This includes staging/re-staging and determining response to treatment in high grade tumours, evaluating for other pathology (e.g. 2nd tumour primary) and having independent prognostic value. Other PET tracers that have been used in NETs are also briefly mentioned INFORMATION Shaunak Navalkissoor VICE PRESIDENTS & WORKING PARTY Consultant in Nuclear Medicine, Royal Free London NHS Foundation Trust Shaunak Navalkissoor is a Consultant Nuclear Medicine Physician, working at the Royal Free London NHS Foundation Trust, appointed in 2010. Special interests include radionuclide therapy and oncological imaging (with a particular interest in neuroendocrine tumours). MONDAY SESSIONS Cardiac PET imaging with rubidium TUESDAY SESSIONS Consultant in Nuclear Medicine, Manchester Royal Infirmary Siva Muthu WEDNESDAY SESSIONS 9F Service delivery 08.45-09.45 MRI case studies WORKSHOPS Moderator: Maryann Hardy, Professor of Radiography and Imaging Practice Research, University of Bradford SATELLITE SYMPOSIA Magnetic resonance imaging and thermal injury POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS MRI exams, when performed by properly trained individuals and following MRI safety guidelines can be completed without incident. From 2000-2009 there was a 90% growth in the use of MRI with 30.2 million MRI exams performed during 2010 in the US. During that same time there was a 523% increase in MRI accidents reported to the US Food and Drug Administrations’ Manufacturer and User Device Experience (MAUDE) database, with thermal-related issues being the most common. This presentation will discuss various types of thermal injuries and how they occur. Guidelines to prevent these avoidable accidents and US federal reporting of these adverse events will also be discussed. Joy Cook EXHIBITION PLAN & LIST Clinical Assistant Professor, University of Southern Indiana, USA See page 66. MRI case studies and patient safety Ken Catchpole Director of Surgical Safety and Human Factors, Cedars Sinai Medical Centre, Los Angeles See page 31. Plenary 10.15-11.15 Closing plenary: The impact of the Francis Report on diagnostic imaging. Welcome by Iain Lyburn, President, UKRC Educational and regulatory implications Events that took place between 2005 and 2009 at the Mid Staffordshire NHS Foundation Trust resulted in a shocking failure of the duty of care owed to many patients, captured within the first independent Francis Report. In June 2010 the Government asked Robert Francis QC to undertake a public inquiry into the role that commissioning, supervisory and regulatory bodies played in monitoring the work of this Trust, and this final report was published in February 2013. The recommendations for care, regulation and education could not be ignored, and as a consequence a number of professional and regulatory bodies and healthcare organisations issued prompt responses to the Francis report. This presentation will identify any key themes for education and practice emerging from these professional organisations and from education commissioners, and will explore the potential impact upon imaging services and higher education. Julie Nightingale EXHIBITOR INFORMATION PRESENTER INDEX Director of Radiography and Occupational Therapy, School of Health Sciences Julie Nightingale is the Director of Radiography and Occupational Therapy in the School of Health Sciences at the University of Salford in the UK, and is an executive member and conference organiser for the UK Heads of Radiography Education forum. She has 20 years of experience in higher education and in this time she has been involved in the rapid development of radiographer education, moving from diploma level to a graduate profession, and more recently expanding postgraduate and doctorate training. Her area of educational interests and research are radiographer advanced practice, practitioner competences and patient experience in radiology, and she has led a number of education initiatives and publications to support service re-design including radiographer-led fluoroscopy services. Her current external roles include Editor-in-Chief of the Radiography journal, radiographer and education representative on the Bowel Cancer Screening Imaging QA group, and the lead for academic conference development working with the Society and College of Radiographers. JOIN THE CONVERSATION #UKRC2014 Morning sessions 10A Advances 11.30-13.00 Interventional radiology: Technological advances Moderator: Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust Advances in image processing In recent years technological breakthroughs has resulted in dramatic reduction in patient radiation dose from interventional imaging. Imaging processing technology, spatial noise reduction and motion compensation improvements have led to better and safer patient care through reducing radiation dose while maintaining image quality. Dominic Siewko Philips Healthcare Dominic Siewko is currently Radiation Safety Officer for Philips Healthcare global Imaging Systems. He is a Board Certified Health Physicist within the US and has studied Nuclear Medicine with a focus on nuclear safety, personal Recent developments in IEC and DICOM standards Imaging informatics is part of every radiology practice today. Imaging informatics covers everything from the ordering of a study, through the data acquisition and processing, display and archiving, reporting of findings and the billing for the services performed. The standardisation of the processes used to manage the information and methodologies to integrate these standards is being developed and advanced continuously. These developments are done in an open forum, like DICOM and IEC, and imaging organisations and professionals all have a part in the process. In this presentation the flow of information and the integration of the standards used in the processes will be reviewed and some of the most recent changes discussed. Annalisa Trianni PhD, Udine University Hospital Annalisa Trianni is the secretary of DICOM Working Group 2 “Projection radiography and angiography”, and has had positions as: Chair of Eurados VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Principal Physics Consultant, Siemens AG Healthcare sector Philipp Bernhardt studied physics at the Friedrich Alexander University, focusing on particle track simulations like neutron track simulations for time of flight diffractometer. He did his PhD in physics in 2002 in the field of electron/photon track simulation for radiation damage on DNA. Since 2003 Philipp has been working at Siemens AG Healthcare Sector in Forchheim in the business unit angiography in the image quality and dose group as a Principal Physics Consultant. There, he is responsible for the specification of the image quality and dose related properties of the angiography system hardware, i.e X-ray tube, collimator, anti-scatter grid, detector, and exposure control. Hence he has mainly been involved in the IQ and dose relevant specification of the new Gigalix X-ray tube and of the new zen detector of the Artis Q family, focusing on highest achievable IQ per dose. WORKSHOPS Human Factor Specialist, Atrainability Ltd Trevor Dale has specialised in training and coaching of Human Factors non-technical skills for over 20 years, Trevor was a senior Training Captain in British Airways. He has established a team at Atrainability, all highly experienced in training and coaching avoiding, trapping and mitigating human error. He has been working across the healthcare field since 2002 with such as the research team at Oxford University, the Royal College of Surgeons of England, Medical Protection Society and a multitude of Trusts, Deaneries and Health Authorities. He is a long time member of Lions Clubs International. Philipp Bernhardt SATELLITE SYMPOSIA Trevor Dale POSTER LISTING Effective communication is crucial. Simple techniques such as question types, closed loop communication and being alert to confirmation bias have all come from aviation. Situational awareness is a key concept as vital to safety in aviation as it is in healthcare. The efficiency of X-ray angiography systems in terms of resulting image quality per invested dose load is mainly dependent on its hardware components, the X-ray tube and the detector. Efficiency can be substantially raised, whenever focal spot size is small and well defined by flat emitter technology and a high pulse power allows optimal spectral beam shaping with the help of flexible tube voltage and beam filtration. On the receptor side efficiency is driven by a high absorption rate as well as low electronic noise from the sensors, which can be achieved by introduction of on-pixel amplification in active matrices based on crystalline silicon. ePOSTER LISTINGS New tubes and detectors and their role in changing the dose/IQ balance EDUCATION ON STANDS Although we humans have evolved into advanced dataprocessing creatures able to function automatically with some considerable efficiency we remain susceptible to fundamental brain function shortcomings. Recognition of our cognitive limitations, susceptibility to stress, overload and fatigue has long been a concept of aviation-based training. Trying to multi-task with a single-channel brain is fraught with hazard and practical tools are offered to turn high risk practice into resilience and high reliability. Distraction and interruptions are an everyday facet of scan examination and disrupt concentration. They are unavoidable. Or are they? EXHIBITION PLAN & LIST dosimetry and nuclear air emissions. In his current role he ensures compliance with X-Ray and nuclear standards for Philips equipment. EXHIBITOR INFORMATION Never events? How the NHS can learn from aviation 89 PRESENTER INDEX WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 90 VENUE PLAN WELCOME WG12-SG2 “Patient Radiation Dose”; Chair of EFOMP Working Group on DICOM; Chair of Italian Group on Digital Radiology; Co-Chair of DICOM Working Group 28 “Physics” and has had participation in the project team 61910-1 of IEC from 2012-2014. PROGRAMME MITA – Initiatives from across the pond – Andy Rogers Head of Radiation Physics, Nottingham University Hospitals NHS Trust INFORMATION VICE PRESIDENTS & WORKING PARTY 10B Informatics 11.30-13.00 eRequesting – Pushing back the boundaries MONDAY SESSIONS Moderator: Alexander Peck, Information Systems Manager, Royal Brompton & Harefield NHS Foundation Trust TUESDAY SESSIONS GP eRequesting - towards the paperless goal WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA The Homerton radiology department was the first virtually paperless department in the UK in 2004. Several years later, in 2010, Homerton embarked on a GP eRequesting project initially led by Pathology in 2010 with scope to include Radiology later. The drivers behind the move towards including Radiology services in community eRequesting were service redesign to allow Any Qualified Provider requests and to align the patient data and request information to go directly into the Trust EPR. The GP eRequesting project involved the Radiology teams working closely together with their GP colleagues and provided valuable lessons learned. Mohmed Patel POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS PACS Manager, Homerton University Hospital NHS Foundation Trust Mohmed Patel has held the position of PACS Manager at Homerton Hospital. With involvement in the expansion of electronic requesting beyond the boundaries of the hospital to GP practices in City & Hackney CCG he has a bird’s eye view of the experiences faced during deployment and use. EXHIBITION PLAN & LIST GP eRequesting - An acute trust’s perspective of implementing EXHIBITOR INFORMATION PRESENTER INDEX This presentation will start with the view from an Acute Trust perspective, taking in working with GP practices, moving to the problems encountered and the benefits of utilising ICE eRequesting for Order Communications. Referencing the status of where Doncaster and Bassetlaw are to date with eRequesting, the process of deploying eRequesting adopted within the Trust and to GP Practices, the experience to date and to try offer tips and anecdotes on the highs and lows. Whilst the process of deploying eRequesting into GP practices has taken longer and required more effort and resource than originally envisaged, the Trust is beginning to see benefits for both themselves as host and for the GP practices themselves. This is also increasingly evident as eRequesting has also been deployed internally - there are benefits of utilising eRequesting both within and beyond hospital boundaries in working towards a more comprehensive paperless environment as well as better information availability and easier sharing. Martin Boyda IT Programme Manager, Doncaster and Bassetlaw Hospitals Martin Boyda worked in local government for 32 years in a variety of departments and authorities delivering front line services, back office and IT services. The last 20 years of his time were spent at Hull City Council delivering IT projects and IT services. Martin joined the Health Service in 2008 as a Project Manager at Barnsley Hospital FT to deliver projects for infection control and order communications. Moving to Doncaster and Bassetlaw FT in 2009 as IT Programme Manager, to work on projects and programmes for hardware, networks, infrastructure and software including order communications, PACS and RIS. eRequesting - Out in the community eRequesting has been developed over the years and can be found in many hospitals to date as the primary method of requesting Radiology Imaging tests. Despite this, out in the community the old fashioned method of paper request cards is still in use. In and around Blackpool we have been working with GP practices to switch to an electronic way of thinking that will benefit both patients and clinicians. We have utilised and built upon a pre-existing pathology system that is readily used to make electronic specimen requests and enhanced it with the ability to make Radiology imaging requests. This talk covers the stages of community training, preparation and the planning towards introduction of this electronic requesting into the community, and the experiences encountered so far. Christopher Lund Clinical Information Systems Manager, Blackpool Teaching Hospitals NHS Foundation Trust Christopher Lund qualified in 2009 from St Martin’s College Lancaster with a BSc (Hons) in Diagnostic Radiography. Having trained at The Cumberland Infirmary Carlisle, he moved to Birmingham to start his career at Heartlands NHS Foundation Trust as a Plain Film Radiographer. Having spent a year working there, he moved back to his home town, Blackpool, and took up a post at Blackpool Victoria Hospital. Whilst there, he has undertaken an 18 month secondment working in nuclear medicine before being successfully appointed as PACS Manager in 2013. Since being in this role, Christopher has overseen a full PACS upgrade and installation and is now working on the implementation of electronic image requesting within Primary and Secondary Care sites in the surrounding area. JOIN THE CONVERSATION #UKRC2014 10C SMRT 11.30-13.00 Educational session The International Society for Magnetic Resonance in Medicine British Chapter Moderator: Muriel Cockburn, Superintendent Radiographer, NHS Highland Fetal MRI, technical considerations and clinical use Fetal MRI has been performed since the 1980s but only began to show more promise and application in the 1990s, when faster imaging sequences became readily available. These fast sequences provide superior soft tissue contrast and greatly improve the imaging of a ‘moving target’.The majority of sequences used in a fetal MRI examination are routinely used in many examination types but there are still a number of factors which make the examination challenging. It requires patience, flexibility and experience, as well as a united, team approach from referrer, technician and radiologist.This talk will be split into four sections, giving a comprehensive overview of fetal MRI. First we will look at the patient preparation and considerations needed for this group of patients. We will then overview the sequences The presentation will outline the role of the Practice Educator, the logistics of implementing an MRI education and training programme in the clinical setting. It will also outline the developing opportunities that are being identified for this role. Relevance: The growing demand for MRI examinations has increased the pressure on Radiology departments to expand MRI scanning capacity; the implications of this increased demand are the need for more MRI trained Radiographers. The role of MRI Practice Educator is to assist in the process of training new Radiographers into the modality and to develop a comprehensive and standardised training programme. Outcomes/Discussion: The aim of this new role is to develop and deliver a comprehensive accredited MRI induction training programme for new MRI recruits. In addition, the MRI Practice Educator will facilitate the clinical, professional and educational development of all MRI Radiographers working in the clinical departments of this large NHS Trust. This dedicated resource will standardise MRI training and help bridge the gap between theoretical and practical knowledge. It is also intended to develop a culture of learning and clinical expertise based on a foundation of MRI theoretical knowledge and evidence based practice. A potential benefit from the role will be improved recruitment and retention for the MRI departments within the trust. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Aims & Objectives: To discuss the justification and impact of employing a MRI Practice Educator for the training of MRI Radiographers working within one of the largest NHS Trusts in the UK. The MRI Practice Educator is a new and exciting role which has been specifically designed to assist in the training and educational development of both new and existing MRI Radiographers within the trust. SATELLITE SYMPOSIA This session will be followed by an update on the NHS eReferral Service (the new Choose and Book) from Anant Patel who is the Society and College of Radiographers representative on the Stakeholder Design Council. MRI Practice Educator: A new role for clinical MRI departments in Glasgow. POSTER LISTING Electronic requesting has long been available to clinicians in the hospital environment; now, the boundaries for the reach of eRequesting are being pushed back to include Community Care, GP surgeries and non-medical staff. Here we discuss how implementing eRequesting beyond the confines of hospital walls is best undertaken, and share experiences from those who have done so. ePOSTER LISTINGS Senior Radiographer, Great Western Hospitals NHS Foundation Trust Nicholas Taylor studied Diagnostic Radiography at Cranfield University’s campus at the Royal Military College of Science. Since qualifying in 2005 he has worked at the Great Western Hospital NHS Foundation Trust in Swindon and is currently a Senior Radiographer involved in MRI, CT and general radiography. Nicholas is also a Registered Veterinary Nurse with 18 years experience prior to switching to a career in radiography and also holds an MSc in Science from the Open University. Lead Radiographer MRI, Golden Jubilee National Hospital. Glasgow Vanessa Orchard has been a Radiographer for 22 years after graduating from UCH, London in 1990. After 10 years working in London in general radiography, CT and nuclear medicine, gaining a postgraduate Diploma in Nuclear Medicine, she relocated to Australia to work at the Royal Children’s Hospital in Melbourne. Vanessa gained a Masters in MRI in 2006 and has been an invited speaker on fetal MR at national and international meetings. She has been a member of the SMRT organisation since 2006 and gained a place on the policy board in 2012. She recently relocated to Scotland and made a move to cardiac MRI. She now leads the Scottish adult congenital MRI service at the Golden Jubilee hospital in Glasgow, which incorporates a large cardiac MRI research service. EDUCATION ON STANDS Nicholas Taylor Vanessa Orchard EXHIBITION PLAN & LIST eRequesting has been used for some time by clinicians and is now an option for non-medical referrers. This presentation will review how e-requesting has been received by nonmedical referrers at the Great Western Hospital NHS Foundation Trust, and from an end user perspective the benefits of this method of requesting, future opportunities and potential issues. routinely used and how to modify them to improve image quality. Safety considerations will be discussed, including current recommendations and guidelines. Finally we will look at some of the clinical applications of the technique. EXHIBITOR INFORMATION Non-medical referrers 91 PRESENTER INDEX WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 92 VENUE PLAN Jacqueline Pursey WELCOME PROGRAMME MRI Practice Educator, NHS Greater Glasgow & Clyde, Western Infirmary, Glasgow Jacqueline Pursey has been working in clinical MRI in a multi-centre/multi-vendor MRI department for seven years. She obtained an MSc in MRI with distinction in 2012, and was recruited into the role of MRI Practice Educator in December 2013. The focus of this role is in the training and educational development of MRI radiographers in Greater Glasgow & Clyde NHS Trust. INFORMATION MR Artefacts: Who wants to be MRillionaire? VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS SMRT attendees and students will be able to identify the name and appearance of various types of Imaging Artefacts that can occur commonly during MR Imaging. They will be able to understand the cause/source of the artefact and explain possible cures and ways of correction. This talk will be presented as a game show consisting of two teams of 4 delegates each selected randomly from the audience. Correct answers will earn team points which can be exchanged for prizes. The aim of this method of delivery is to get the selected teams and delegates fully engaged into the talk, add fun and interaction that will stimulate attention and provide a fun and exciting way of learning about MR Artefacts. TUESDAY SESSIONS Nina Salman WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Chief Superintendent Radiographer, Birmingham University Imaging Centre Nina Salman graduated as a Diagnostic Radiographer in 1997 in Teesside. Her career commenced as a basic radiographer in a busy hospital where she quickly adapted to her role and picked up a variety of skills. She progressed on to senior 2 and senior 1 roles and eventually started training in MRI from 2005. She enjoyed this area and then after having two children she finally got a job with the University of Birmingham as a research neuro-radiographer. Nina manages and directs the imaging centre where a lot of research takes place from the School of Psychology. She herself is involved in imaging stroke, epileptic and diabetic patients and performs VBM lesion analysis on them, as well as EEG and fMRI research studies. She is co-author on several studies working with Professor Humphreys. She is keen to be the principle investigator of her own research in stroke imaging and also combining autism with fmri. She is currently working on the big 3 site multicentre project FAST INDICATE looking at clinical efficiency of functional strength training for upper limb motor recovery early after stroke and also the COGWATCH project which involves scanning stroke patients and looking at how Apraxia and Action Disorganization syndrome can affect really simple daily tasks like tea making. Nina joined SMRT in 2008 and has since attended 6 ISMRM conferences gaining a vast amount of knowledge and meeting wonderful people. It was in the 2011 and 2012 conferences that she was impressed with the amount of time and effort that the SMRT leadership and staff devote to their committees and the conference meeting and was interested in helping out. In 2013 she volunteered to be on the SMRT Global relations committee and the SMRT program committee. Nina is keen to have an opportunity to learn more about the MR educational environment and promote more CPD activities across the UK. Nina is now elected as a member of the SMRT policy board and is Chair of the SMRT membership committee. She was a speaker at SMRT 2014 in Milan and is working on setting up her own SMRT chapter here in the UK, making the SMRT MR education opportunities truly a global experience. 10D MSK 11.45-13.15 The peri-operative knee Moderator: Adam Mitchell, Consultant Radiologist Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius The plain film in the peri-operative knee • Knee prostheses and patterns of osteoarthritis, multi and unicompartmental, assessment and complications. • Osteotomy, understanding and assessment. • Soft tissue reconstruction, tunnels, screws and endobuttons. Benjamin Roberton Consultant Musculoskeletal and Interventional Radiologist, Chelsea and Westminster Hospital, NHS Foundation Trust Benjamin Roberton underwent undergraduate training at the University of Edinburgh and radiology training at Chelsea and Westminster Hospital. He is dual fellowship trained with an interventional radiology fellowship in Vancouver following the MSK fellowship at Chelsea and Westminster. His interests include sports imaging, musculoskeletal intervention, including bone ablation and vertebroplasty, soft tissue ablation, venous intervention, vascular malformation and varicose vein therapy. Imaging of the post-operative meniscus The aims of the talk are to give the radiologist the confidence to report on the post-operative meniscus. The talk is divided into three parts 1. The normal appearances of the post-operative meniscus and specifically for the detection of retears with a focus on the optimal sequences and the radiological features that distinguish the post surgical change from retear 2. The types of surgical repair and the accuracy of the radiological interpretation 3. The meniscal graft and post transplant appearances and the value of radiological assessment. Within each section the merits of MRI, direct MRA , indirect MRA and CT arthrography will also be described. The methods and the techniques for the modalities and their limitations are outlined. The lecture will provide a guide for the imaging techniques and limitations to identify patients for whom further intervention may be necessary. JOIN THE CONVERSATION #UKRC2014 Monica Khanna Consultant Musculoskeletal Radiologist, Imperial College Healthcare NHS Trust Monica Khanna is a Consultant Radiologist at Imperial College Healthcare NHS Trust. She has been trained at the RNOH, Stanmore, and in Toronto and is a dedicated full time Musculoskeletal Radiologist. She has co-authored two books and contributed to the MSK literature. She has presented at a number of national and international meetings on various aspects of MSK imaging and teaches on dedicated MSK imaging courses. The data collected has been taken from the official trust radiation monitoring company and the standardisation formulas have also been supplied by them. The data has been separated into both operator and monthly results with an overall yearly total available for comparison along with statistical analysis. The results have shown that there are difference between the various operators within the department and how the use of radiation protection measures can affect the recorded doses. The results have also highlighted how performing various procedures can have a greater impact upon eye dose. The results of this audit have allowed for the rest of the Interventional team to also undertake a period of monitoring to establish the difference between the skill groups within the department and how the staff are affected due to their job roles. Stephanie Dobson Aintree University Hospital Since qualifying as a Radiographer in 2006 from St Martin’s College Stephanie has worked at Aintree University Hospital in Liverpool. She has worked as a General Radiographer, and also in the Cardiac Catheter Laboratory and Interventional Radiography. Stephanie has been the RPS of Cardiac Catheter Laboratory since 2008 and her role has increased to include Interventional Radiology and Gastroenterology theatres. She has worked on various audits with radiology and has been specifically involved in working to improve Radiation Protection within the Interventional Radiology workforce. Stephanie has been actively involved in both service improvement projects and equipment purchases. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS The data collected is from a 12 month continuous monitoring period for all operators, the data is demonstrated in both its raw format and also once it has been standardised to take into account radiation protection techniques applied and monitoring location variations. TUESDAY SESSIONS The aim of this work was to examine the doses received by Interventional Radiologists’ and to compare these with both local reference levels and how work practises may be affected by the eye doses level reductions being introduced by the IRCP. WEDNESDAY SESSIONS Aintree University Hospital; IRS Limited This presentation examines the eye doses received within Interventional Radiology specifically looking at the Interventional Radiologists. WORKSHOPS Stephanie Dobson; David Hughes SATELLITE SYMPOSIA SP041: Eye doses within interventional radiology POSTER LISTING Interventional Procedures discussed will include: • Aspiration of effusions, haemarthrosis. • Treatment of patellar tendinopathy, including dry needling, PRP and prolotherapy • Deep medial collateral ligament, iliotibial band and superolateral Hoffas fat pad injections. • Durolane intrarticular injections for osteoarthritis. • Bakers cyst treatment. • Aspiration of ganglion/parameniscal cysts. • Use of CT/MR Arthrograms in the assessment of meniscal tears Moderator: William Torreggiani, Professor of Radiology, Tallaght Hospital, Dublin ePOSTER LISTINGS Image guided intervention of the post operative knee will be discussed, highlighting indications for intervention, and alternative techniques. 11.45-13.00 Intervention proffered papers session EDUCATION ON STANDS Image-guided intervention of the postoperative knee 10E EXHIBITION PLAN & LIST Consultant Radiologist Chelsea and Westminster Hospital, NHS Foundation Trust/Fortius Adam Mitchell is a Musculoskeletal and General Radiologist specialising in musculoskeletal imaging with a particular expertise in imaging sports injury. Radiologist to several premiership London football and rugby union clubs and sportsmen/women from across the UK. He has provided radiological imaging services for a number of athletes at the Olympics in Beijing. He provided radiology services for England Rugby and Cricket teams and was a Gamesmaker Doctor at the 2012 London Olympics. Memberships include: Fellow of the Royal College of Radiologists; Fellow of the Royal College of Surgeons; invited member of Radiology Visiting Club; British Society of Musculoskeletal Radiologists and European Society of Skeletal Radiology. He has been a lecturer and teacher on regional, national and international courses in radiology, sports and exercise medicine, rheumatology and orthopaedics. Publications include over 50 peer-reviewed papers, Grays Anatomy for Students 1st 2nd edns and has edited multiple books including Applied Radiological Anatomy, applied Radiological Anatomy for Medical Students with multiple abstract contributions at national and international radiological meetings. EXHIBITOR INFORMATION Adam Mitchell 93 PRESENTER INDEX WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 94 VENUE PLAN SP042: Nasogastric tube placement following the introduction of NPSA guidelines WELCOME Kevin Flintham PROGRAMME The Mid Yorkshire Hospitals NHS Trust Aims: To assess nasogastric (NG) tube placement and reporting following the implementation of NPSA guidelines. INFORMATION Content: A 6 month review of 1137consecutive chest X-rays that demonstrate an NG tube in situ. The study examined malplacement rates, radiology reporting accuracy and timeliness. Visibility of the NG tube and adequacy of visualization was assessed. Analysis of demographics demonstrated populations where gastrointestinal (GI) malplacement was a higher risk. VICE PRESIDENTS & WORKING PARTY Relevance / Impact: NPSA guidelines identify standards expected from radiology departments in terms of image acquisition and reporting. MONDAY SESSIONS Outcomes: Respiratory placement was 1.6%, in line with other literature. NG tubes were fully visualized in almost 90% of cases. Exposure and reversal of image polarity had little impact on visibility of NG tubes, however the use of window level and width tools fully demonstrated a further 5.6% of NG tubes. Report accuracy was 98.4% with all variation being due to interpretational rather than observational errors. TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Discussion: The study has demonstrated a malplacement rate in line with published literature. However, age and patient location are demonstrated as risk factors that contribute to placement within the GI tract. Visibility of the NG tube can be improved by dynamic alteration of the window level and width tools, although reversal of image polarity is of limited use. Exposure factors appear to have little impact on tube visibility, but further research is in progress using a chest phantom. Kevin Flintham SATELLITE SYMPOSIA POSTER LISTING The Mid Yorkshire Hospitals NHS Trust Kevin Flintham is an Advanced Radiographer Practitioner currently employed at the Mid Yorkshire Hospitals NHS Trust specialising in reporting of radiography examinations. He qualified with a first class honours degree at Bradford University and has since undertaken post graduate qualifications at the same institution. Kevin is currently undertaking a MSc in Clinical Research Methods at Leeds University. ePOSTER LISTINGS EDUCATION ON STANDS SP043: An inter/intra-observer variability study of identifying the cavo-atrial junction (CAJ) on chest radiographs (CXR) EXHIBITION PLAN & LIST Sara Meredith; Tze Chan; Andrew England; Richard McWilliams EXHIBITOR INFORMATION PRESENTER INDEX Royal Liverpool University Hospital, Liverpool; Salford University, Manchester; This study aims to assess inter- and intra-observer variability amongst radiologists in identifying the cavo-atrial junction (CAJ) on chest radiographs (CXR). The presentation will include the full methodology of the study, a brief description of statistical analysis and discussion of the results. Chest radiographs are the most frequently used technique to identify central venous catheter position and there is continuous debate regarding where the catheter tip should lie. The reporting radiologist needs to identify the CAJ to be able to determine the position of the line tip. Line tip misplacements can be associated with life threatening complications. 23 radiologists (13 consultants, 10 SpRs) assessed 25 digital CXR (8 duplicates) and marked the positions of the CAJ. Differences in CAJ position both between and within observers were assessed and corrected for image magnification. The 95% limits of agreement for inter-observer variability were -3.5 to 4.6 giving a range of 8.1cm. The 95% limits of agreement for intra-observer variability were -2.1 to 3.0 giving a range of 5.1cm. When comparing the assessment of CAJ position for consultants and SpRs, there was no significant difference for intra-observer variability (P=0.139) but there was a significant difference in inter-observer variability (P=0.001) when comparing positions between grades. This study detected a large inter-observer variability in the assessment of CAJ position exceeding 8cm. This is a significant finding considering that the length of the SVC is reported to be approximately 7cm in the existing literature. We conclude that there is poor consensus regarding CAJ identification amongst radiologists. Sara Meredith Royal Liverpool University Hospital Sara Meredith studied at the University of Edinburgh, graduating with honours in the MBChB programme and a first class BSc in Neuroscience. She has subsequently worked for the Royal Liverpool and Broadgreen University Hospital Trust. She has spent a lot of time in a variety of Radiology departments during medical school, her elective in Argentina and during her foundation training including, as part of her academic foundation post, undertaking a research project in Interventional Radiology. This experience has confirmed her interest in pursuing a career in Radiology and she looks forward to commencing her training post in Mersey later this summer. SP044: Inferior vena cava filter insertion and retrieval, a twelve year experience Syed A R Mustafa; Carl Sullivan; Moni Sah; Andrew Gordon; Andrew Wood University Hospital of Wales, Cardiff Aims: To detect patients with IVC (Inferior Venacava) filters who suffer a clinically apparent PE (Pulmonary Embolism post-insertion. Secondly, to study attempted removal of retrievable IVC filters and retrieval success rates. Content: Retrospective electronic data collection of IVC filter procedures performed August 2001 to August 2012 at our institute with a minimum of 6 months follow up for PE investigation post-insertion. Relevance: IVC filter insertion is an accepted method for reducing incidence of PE in specific clinical situations. The insertion and retrieval success is variable which depends upon patient and technical factors. The British Society of Interventional Radiologists (BSIR) registry report published in 2011 estimated incidence of PE to be 2.7% after filter insertion. Retrieval was attempted in 77.8% of filters intended for temporary placement with 64% overall success. JOIN THE CONVERSATION #UKRC2014 WEDNESDAY ABSTRACTS AND BIOGRAPHIES Relevance/impact: To ascertain safety and efficacy of setting up a new service in Wales. Outcomes: Percutaneous RFA was performed for 47 SRMs in 45 patients [mean age 72 years(range 58-86)]. Mean tumor size was 2.8 cms (range 1.6-5cms) and mean pre-operative creatinine 98mmol/L (range 63-174). Overall complication rate was 17%(8 cases) with major complications encountered in 6.3% (3 cases), including 2 infected collections and 1 ureteric stricture. Three procedures were abandoned (Technical difficulty-2; Intraoperative bradycardia-1). Thus 44 SRMs were available for followup. Complete treatment response was noted in 77% cases (34/44) after 1st treatment, with remaining 23% (10) needing more than 1 RFA treatments. Two patients dropped out from followup. At a mean maximum followup of 24 months (range 1-48), 92.6 % SRMs were completely recurrence free. None of the patients had distant metastasis or cancer specific mortality. Mean post-operative creatinine was 116 mmol/L (range 61-315) Discussions:Our results prove that RFA achieves effective oncological control with minimal morbidity and we have successfully set up a safe service comparable to other series in literature. Peter Gray National Improvement Lead, NHS Improving Quality Peter Gray’s early career was in NHS Finance followed by a number of general and operational management roles. He became a Laboratory Medicine Manager at the Royal Bolton Hospital in 2004 and was first introduced to Lean in 2005. This led to the formation of the Blood Sciences department. Peter then utilised the lean skills he had acquired facilitating Lean improvement projects and events throughout the Trust as part of Bolton’s Continuous Improvement Programme. In 2009 Peter took on a national role at NHS Improvement where he has worked across all pathology disciplines and radiology modalities to improve access, quality, and efficiency. Currently working for NHS Improving Quality his focus in on supporting the delivery of the NHS Services, Seven Days a week transformational programme. Carole Smee National Improvement Lead, NHSIQ Carole Smee is a National Improvement Lead. Carole has worked in the NHS since 1981 and her background is in nursing and operations management. In addition, Carole has experience of working with Healthcare organisations in America, the British Military and private industry and service sectors. Carole was Head of Improvement at Royal Bolton Hospital (the first European Healthcare Organisation to attempt whole organisation lean transformation) and was Head of Service Excellence at Royal Liverpool Hospital prior to taking up a National improvement role. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Content: We retrospectively analyzed all patients who had undergone RFA for stage T1 presumed or confirmed renal tumours from November 2008 to March 2013. Followup protocol included CT scans at 3 weeks, 3 months, 6 months, 12 months and then annually. Treatment response was defined as absence of contrast enhancement . Service Improvement session utilizing a variety of practical methods to review capacity and demand to enable departments to review workload and maintain flow. To understand what is needed to ensure there is capacity to run services 7 days a week and what are the barriers to flow. WORKSHOPS Department of Urology, Royal Gwent Hospital, Newport; Department of Radiology, Royal Gwent Hospital , Newport Aims and objectives: To evaluate short to intermediate-term oncologic outcomes of radiofrequency ablation (RFA) of small renal masses (SRMs). Moderator: Lesley Wright, Quality Improvement Consultant, Lesley Wright Improvement Ltd SATELLITE SYMPOSIA M Z Aslam; Catherine Miller; Janet Marty; Daniel A Painter; Adam Carter; David Fleming; Mark Robinson Service improvement workshop POSTER LISTING SP045: Percutaneous radiofrequency ablation of small renal masses: The Wales experience Service delivery 11.45- 13.15 Fully booked ePOSTER LISTINGS University Hospital of Wales, Cardiff 10F EDUCATION ON STANDS Syed A R Mustafa EXHIBITION PLAN & LIST Discussion: A significant proportion(40.5%) of patients had no systematic follow-up. Therefore, retrieval was not attempted. This carries a real risk of morbidity and mortality. Our suggestion is to routinely re-book patients for retrieval in six-eight weeks. Department of Urology, Royal Gwent Hospital, Newport MZ Aslam graduated from Dow University of Health Sciences in 2001. After completing foundation year 1 training, he moved to the United Kingdom in 2003. There he completed Basic Surgical Training and MRCS in 2007. After spending a period of research, MZ worked in the capacity of registrar urology at South Tees Hospitals. He started higher specialist training in urology in 2010 on a South Wales rotation. Currently he is based in Royal Gwent hospital, Newport and aims to sub-specialize in urological oncology with special interest in bladder and prostate cancer. EXHIBITOR INFORMATION 84 retrievable IVC filters were inserted (77%). 59.5% had Cavogram to attempt retrieval with 68% success rate. 12(24%) were electively abandoned after imaging and 4(8%) were technical failure. MZ Aslam PRESENTER INDEX Outcomes: Total 170 visits (118 patients). Median age: 55 years(16 – 94 years), Males 55%. There were 111 attempted IVC filter insertions with 97 % success. Insertion indications included pre-operative (30.3%), contraindication to anticoagulation (25.6%) and prophylaxis in high risk patients (21%). No PE was demonstrated within 6 months postinsertion(0%). No major complication. 95 The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 96 VENUE PLAN 10G WELCOME Molecular and Hybrid Imaging II 11.45-13.00 Orthopaedic applications of SPECT/CT BNMS & BIR joint symposium on radionuclide molecular and hybrid imaging II PROGRAMME Moderator: Ranju Dhawan, Consultant Radiologist, Imperial College Healthcare NHS Trust & Tara Barwick, Consultant Radiologist, Honorary Clinical Senior Lecturer, Imperial College Healthcare NHS Trust INFORMATION Potential applications of non-FDG PET Tracers VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS F-FDG PET has a well-established role in cancer imaging, providing high sensitivity and accuracy. An important limitation, however, is its relatively poor specificity. Many biomarkers of individual cancers exist which provide highly specific potential targets for radiolabelled PET ligands. This talk will review the current status of and the potential applications of non-FDG PET tracers in oncology, including 18F-Fluoride in skeletal imaging, F-Choline and F-FACBC PET in the clinical and research applications of prostate tumours, F-Choline/C-11 Methionine in brain tumours, F-FLT in the clinical research applications of solid tumours, Ga-Dotatate in neuroendocrine tumours, Zr-Bevacizumab / Trastuzumab and F-FDHT in the assessment of receptor occupancy in breast and prostate tumours, 1I mIBG PET in metastatic neuroblastoma, as well as other non-FDG PET tracers as surrogate markers of hypoxia and angiogenesis. Their potential future contribution to the development of personalised medicine will be discussed. Sue Chua WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Consultant Radiologist and Nuclear Medicine Physician, The Royal Marsden NHS Foundation Trust Sue Chua is a Multimodality Imaging Consultant with dual accreditation in radiology and nuclear medicine. Her research interests are principally in multimodality functional imaging, in particular PET/CT and functional CT and MRI imaging, which have an increasingly important role in detecting changes in tumours at the cellular and molecular level, in order to offer improved outcome prediction and treatment efficacy assessment in cancer management. Her clinical and research areas of interest include urology, paediatric oncology, lymphomas, upper and lower GIT, lung and neuro-oncology. She is actively involved in many prospective trials, in both single and multicentre settings, locally, nationally and internationally. She is a member of the EORTC PET imaging and lung groups and also the NCRI Brain (Clinical Trials Unit) CSG Imaging Subgroup. Locally, at The Royal Marsden and The Institute of Cancer Research, she is PET/CT trial advisor for the Phase 1 Drug Development Unit. She established the 18F Choline PET/CT service at The Royal Marsden, the first centre in the UK to offer 18F Choline PET for brain tumour evaluation, and the second centre to use this tracer in the setting of prostate cancer. She has trained staff from several PET centres in the country in 18F Choline PET to enable them to establish their own service. MRI is the cornerstone of musculo-skeletal imaging, whilst CT has a vital role in the setting of trauma; the combination of these modalities alongside ultrasound, are by and large adequate for most clinical scenarios. As experience however accumulates, it is becoming more apparent that Tc99m HDP Bone SPECT-CT has a key role to play in refining diagnosis, trouble shooting difficult cases and also contribute in identifying targets towards directing therapy to underlying bone and joint-based pain generators. The HDP bone metabolic-signal is not new, as a blunt instrument it has been available for decades in the form of a conventional planar bone scan. However, in its new avatar with tomographic 3-plane information (SPECT) combined with high resolution CT, the precision afforded by combining the two modalities is incremental. Current applications include assessment of pain generators for back pain and evaluating undiagnosed pain from sports and other injuries and non-traumatic insults in the appendicular skeleton, that may be characterized in a limited fashion or remain occult on conventional imaging. Imaging the axial and peripheral skeleton following surgical intervention poses some challenges to conventional imaging due to inherent technical limitations imposed by metalwork. The use of Tc99m HDP Bone SPECT/CT in this context is under investigation, and growing experience suggests it may be a powerful tool, especially in the post-operative spine. The lecture presents my experience with the modality in the context of native and post-operative spinal and appendicular imaging, collaborating with specialist spinal and orthopaedic units to explore the value-added potential of the test. Ranju Dhawan Consultant Radiologist & Consultant Nuclear Physician, St Marys Hospital Ranju Dhawan is a Dual Specialty Accredited Consultant Cross-sectional Radiologist & Nuclear Medicine Physician based at St Mary’s Hospital Campus, Imperial College NHS Healthcare Trust, London. Her subspecialty interests are Chest Radiology and hybrid functional imaging (SPECT-CT & PET-CT). Within SPECT-CT, she has a niche interest in spinal, orthopedic and infection imaging, collaborating closely with specialist spinal units, orthopedic and sports medicine specialists. Having worked extensively with the modality for the last 7 years, she has a large body of experience to share in the field. PET/CT in radiotherapy planning Value of IMRT; role of PETCT in IMRT; review the procedure for the image acquisition and drawing of the target volumes with PET/CT. Review imaging findings with cases - false positive - false negative. Limitations of thresholding, improved outcomes, possible solutions and future developments, summary. Vineet Prakash PRESENTER INDEX Consultant Radiologist and Nuclear Medicine, Ashford and St Peter’s Hospital Trust Vineet Prakash is a dual accredited Radiologist (Sheffield) and Nuclear Medicine Physician (University College London).He has authored books and articles on SPECT/ CT and PET/CT and is on the British Nuclear Medicine Education committee. He has set up hybrid imaging centres in Denmark where he worked as Consultant for 2 years. JOIN THE CONVERSATION #UKRC2014 Wade Allison Emeritus Professor of Physics, University of Oxford Wade Allison’s research background is in particle physics. In his career at Oxford he taught physics and mathematics across a broad spectrum. He wrote “Fundamental Physics for Probing and Imaging” (Oxford, 2006) for his course on medical and environmental physics. In 2009 he published “Radiation and Reason: The Impact of Science on a Culture of Fear”, an accessible book aimed at the reading public www.radiationandreason.com also translated into Japanese and Chinese. He has been invited to lecture around the world including USA and Japan and has visited Fukushima several times. He is a founder member of SARI www.radiationeffects.org Afternoon sessions 11A Research 14.00-15.30 ROC research session Moderator: Iain Lyburn, President, UKRC Research perspectives from the USA Giles Boland Professor of Radiology, Harvard University, USA See page 31. 11B GI 14.00-15.30 Hepatobiliary and pancreatic imaging Moderator: Dominic Yu, Consultant Radiologist, Royal Free London NHS Foundation Trust MRI of benign and malignant focal liver lesions A review of the appearances of common liver pathologies on MRI, including findings following surgical/radiological therapeutic interventions. Nicholas Woodward Consultant Radiologist, Royal Free London NHS Foundation Trust Nick Woodward began radiology training on the Royal Free clinical radiology rotation in 2000. Following his CCT, underwent a further year of training in interventional radiology prior to appointment as a consultant at the Royal Free at the end of 2006. His interests include all aspects of body intervention (including vascular/EVAR, hepatobiliary, interventional oncology, uroradiology and dialysis access), and diagnostic vascular and hepatobiliary radiology. He was the Training Programme Director for the Royal Free Clinical Radiology registrar scheme from December 2010 to March 2014. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Retired Paediatric Radiologist David Pilling is a Retired Consultant Paediatric Radiologist, he was formerly Consultant Paediatric Radiologist at Alder Hey Children’s Hospital and Liverpool Women’s Hospital and Grosvenor Nuffield Hospital, Chester. His main interests are in neonatal imaging and paediatric and fetal ultrasound. Past President of British Medical Ultrasound Society and author of textbook of Fetal Abnormalities, Section Editor of Textbook “Clinical Ultrasound” and former Hon Medical Editor of British Journal of Radiology. In retirement he is an expert member of North West Research Ethics Committee. TUESDAY SESSIONS David Pilling WEDNESDAY SESSIONS Patients need to understand what is good for their health and the same applies to society at large. But society has become increasingly frightened by “radiation” and anything “nuclear”, and this affects patients too. But do radiologists themselves understand that at low and moderate dose rates radiation is harmless and sometimes beneficial? In the lecture we look at the evidence for this unexpected and counter-intuitive conclusion. Many questions follow. Why is it true? Why are current radiological protection regulations quite out of line with present-day knowledge of radiobiology? What should be done to put matters right? In what ways is this important to patients and to society as a whole? Firm answers to most questions will be given in the lecture but the broad conclusion is that radiological safety needs to be rebased on scientific understanding and education instead of blind caution. WORKSHOPS Radiation safety reassessed SATELLITE SYMPOSIA 13.15-14.00 POSTER LISTING Lunch sessions Eponymous IPEM John Mallard Memorial lecture Lecture ePOSTER LISTINGS Since the governance of Research Ethics Committees was taken over in 2011 by the Health Research Authority (HRA) there have been substantial changes to the number of Committees and their ways of working. It seems to those who encounter these Committees that their role is easy to understand but in practice seems rather cumbersome. The aim of this presentation is to explain the need for such committees, how they work and why timescales which seem unduly long to researchers are in fact quite onerous on committee members who are not remunerated in any way for their work. The presentation will also endeavour to explain how researchers can make their own experience with committees smoother and possibly even enjoyable. EDUCATION ON STANDS His research interests include combitracer hybrid imaging where he has published recently with collaborators from Stanford University.He is actively involved with a multidisciplinary team working in image guided oncological radiotherapy. EXHIBITION PLAN & LIST Does the National Research Ethics Service (NRES) work? - A committee member’s view EXHIBITOR INFORMATION Currently he is practising as a radiologist with an interest in hybrid oncological imaging at St Peter’s hospital and Royal Surrey County Hospitals. 97 PRESENTER INDEX WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 98 VENUE PLAN MRI pancreas and MRCP WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Improved technology and sequences allow high quality imaging of the Biliary Tree and Pancreas with significant reduction in artefact. However, motion and breathing artefact can still result in suboptimal images in some patients. 3T magnets give improved resolution images but are prone to greater artefacts. The long TE T2W sequences are the standard for MRCP, but the addition of in/out of phase T1W and fast-saturated T2W sequences provide useful extra information. Intraductal stones are often of high signal on T1W sequences which can increase their detection rate, particularly the intrahepatic ones which may be difficult to see on T2W sequences. The normal pancreas has high signal on T1W sequences and most pathology (tumour, inflammation or fibrosis) is of low signal and better seen in the pancreas on these sequences compared to T2W sequences. Dynamic contrast enhancement is useful in evaluating the pancreas and bile duct wall. Secretin stimulated MRCP gives useful functional and structural information on pancreatic secretion and duct morphology. Zahir Amin MONDAY SESSIONS Consultant Radiologist, University College Hospital London Zahir Amin is a Consultant Radiologist at University College Hospital in London with a special interest in hepatobiliary and pancreatic imaging and intervention. TUESDAY SESSIONS WEDNESDAY SESSIONS When HPB tumours recur WORKSHOPS During this talk we will discuss the current treatment options for HCC and typical appearences of recurrence. The role of US screening, CT and MRI will be discussed along with the role of PET/CT. David White SATELLITE SYMPOSIA POSTER LISTING Consultant Radiologist, University Hospital Aintree David White was appointed Consultant Radiologist in 1996 following Lecturer post under Prof Whitehouse. He is the GIT Radiologist and Lead Radiologist for the Regional Liver MDT and Lead CNG Radiologist on HPB group. He is one of the founding radiologists on the Aintree FRCR courses. ePOSTER LISTINGS 11C EDUCATION ON STANDS Advances BMUS 14.15-15.45 Advancing technologies – Ultrasound imaging developments Moderator: Pamela Parker, Ultrasound Manager, Hull and East Yorkshire Hospitals NHS Trust EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX The aim of this session is to present new guidance and technologies which are being introduced in to modern everyday ultrasound practice and the impact this will have on service delivery. The use of contrast-enhanced ultrasound should be inherent in all imaging departments. The presentations in this session will explore the benefits for your patients in developing this service. In addition elastography is widely replacing liver biopsy procedures in specialist centres. The final presentation explores the benefits of this new technique that can be employed in any centre dealing with chronic liver disease. Contrast enhanced ultrasound – Its role in the characterisation of incidental liver lesions CEUS is an established and evidence based technique for characterising liver lesions. We will review the NICE recommendations and discuss some of the issues in delivering a CEUS service with reference to patient experience. Tim Hoare of the liver. Consultant Radiologist, Royal Victoria Infirmary and Freeman Hospital, Newcastle Tim Hoare is a Consultant GI Radiologist with a fondness for the art of US. He was Clinical Lead for NICE Diagnostic Assessment Guidance looking at the role of contrast ultrasound in the investigation The role of contrast enhanced-ultrasound in the paediatric patient The role of contrast enhanced ultrasound in paediatric imaging is expanding. Initially its use was limited to voiding ultrasonography as an alternative to fluoroscopy. More recently we have used this modality in the characterisation of newly detected liver lesions in children with chronic liver disease and suspected malignancy. CEUS is now routinely used in our centre in the work up of focal liver lesions presenting de novo in children. CT remains the gold standard for imaging of trauma in children. With the use of CEUS the radiation burden of repeat CT to this vulnerable group of patients is dramatically reduced. CEUS can also be used in the imaging of children with testicular injuries to assist surgical planning. Maria Sellars Consultant Paediatric Radiologist, King’s College Hospital NHS Foundation Trust See page 56. Elastography in liver disease and the decline of the liver biopsy Accurate assessment of liver fibrosis in patients with chronic liver disease is necessary to determine prognosis, monitor disease progression and formulate treatment decisions. Currently, histological staging of liver biopsy is the most widely used reference standard for this purpose. Liver biopsy, however, has recognised risks, as well as sampling and observer error. These limitations have stimulated the search for new non-invasive approaches. Numerous methodologies, including serum markers, magnetic resonance elastography and ultrasound elastography, have evolved in the last decade to predict fibrosis in those with chronic liver disease. Ultrasound elastography methods assess liver fibrosis by determining liver stiffness and translate this into a quantifiable measurement for analysis. As these tests are non-invasive, without side-effect or discomfort, it is possible to conduct repeat examinations at much closer intervals than biopsy. The three most investigated ultrasound elastography methods are transient elastography, realtime elastography and acoustic radiation force impulse. Although significant strides have been JOIN THE CONVERSATION #UKRC2014 Epidemiology and the changing face of lung cancer The aim of this session is to review the new international histopathological classification of lung adenocarcinoma. To understand the radiological patterns seen with the new subtypes and to be aware of what radiologists should be offering tzo clinicians and how this will benefit patient care. Richard Booton Consultant Respiratory Physician, University Hospital, South Manchester, NHS Foundation Trust Richard Booton leads a rapid assessment service for suspected thoracic malignancy. His clinical interests include the management of thoracic malignancies and use of advanced endobronchial techniques. His research interests include the early detection of disease, from screening and preinvasive disease to stratified follow up post treatment. He is a member of the Steering Committee of the British Thoracic Oncology Group, member of the Council of Regents for the International Association for the Study of Lung Cancer & Early Detection Co-Lead for Cancer Research UK’s Lung Cancer Centre of Excellence. The radiological workup Nick Screaton Consultant Cardiothoracic Radiologist, Pappworth & Addenbrookes Hospital 11E Molecular and Hybrid Imaging III 14.30-16.15 BNMS & BIR joint symposium on radionuclide molecular and hybrid imaging III Moderator: Sai Han, Consultant in Nuclear Medicine & PET/CT, NHS Greater Glasgow & Clyde & Rizwan Syed, Consultant Radiologist and Nuclear Physician, UCL Institute of Nuclear Medicine Hybrid imaging of bone metastases Skeletal metastases are associated with significant morbidity and have high impact on health costs. It is accepted that current imaging techniques are inadequate for measuring treatment response in a clinically relevant time frame such that skeletal metastases are usually considered as non-measurable disease in clinical routine and trials. There is an urgent need for noninvasive, objective methods to evaluate treatment response of skeletal metastases at earlier time points to guide clinical care. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Consultant Pathologist, NHS Grampian Keith Kerr is a Consultant Pathologist in Aberdeen Royal Infirmary and Honorary Chair in pulmonary pathology at the University of Aberdeen. He has a long interest in lung cancer; in pulmonary pre-neoplasia, tumour diagnosis and classification and therapy response biomarkers. Membership of numerous national and international lung cancer clinical advisory and research groups, including: WHO, IASLC, EORTC, ETOP, BTOG steering group, Pulmonary Pathology Society Council, ETOP Foundation Council and IASLC Board. He is involved in a number of UK, European and North American initiatives on the introduction, operation and quality assurance of guidelines for management of, and molecular pathology testing in, lung cancer. SATELLITE SYMPOSIA Moderator: John Howells, Consultant Thoracic Radiologist, Royal Preston Hospital Keith Kerr POSTER LISTING Chest 14.15-15.45 Lung adenocarcinoma - The radiological implications of the new classification Consultant Radiologist, University Hospital Aintree John Curtis is a Consultant Radiologist at the University Hospital Aintree with a special interest in chest radiology and Medical Education ePOSTER LISTINGS 11D John Curtis EDUCATION ON STANDS Consultant Radiologist, Barts Health NHS Trust Ounali Jaffer was appointed as a Consultant Radiologist to St Bartholomew’s and The Royal London Hospitals in 2013 and has a special interest in renal, hepatobiliary, urological and vascular imaging and intervention. Ounali qualified from St George’s Hospital Medical School, London and trained in diagnostic and interventional radiology at King’s College Hospital. Dr Jaffer is a fellow of the Royal College of Radiologists (FRCR) and has been awarded prizes for his research including the Finzi Prize (Royal Society of Medicine) and the Trainee Research Prize (Radiological Society of North America). Ounali has authored and co-authored peer-reviewed scientific papers and book chapters on hepatobiliary, urological and vascular imaging and intervention. Ounali has been an invited lecturer for his expertise at various national and international congresses. The aim of this session is to review the new international histopathological classification of lung adenocarcinoma. To understand the radiological patterns seen with the new subtypes and to be aware of what radiologists should be offering to clinicians and how this will benefit patient care. EXHIBITION PLAN & LIST Ounali Jaffer Radiological-pathological correlation. Case reviews EXHIBITOR INFORMATION made in the development of the technology, an unequivocal advocacy of elastography as a surrogate for biopsy is still not established. The aim of this review is to evaluate the advantages, limitations and clinical relevance of the three ultrasound-based modalities. Also, the review shall assess the current and possible future clinical application the modalities may serve both separate and in conjunction with liver biopsy. 99 PRESENTER INDEX WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WEDNESDAY ABSTRACTS AND BIOGRAPHIES 100 VENUE PLAN WELCOME PROGRAMME It is possible to image a number of biological characteristics of bone metastases including tumour metabolism, osteoblast and osteoclast activity. Methods available, or being investigated, include 99mTc-MDP SPECT/CT, 18F-fluoride PET/CT, 18F-FDG PET/CT, 11C/18F-choline PET/CT, RGD-SPECT/PET and DW-MRI. Some of the tracer methodologies will potentially be applicable for and complementary to PET/MRI. There is evidence of more accurate skeletal staging from some of these methodologies and a number are being investigated to determine efficacy for early treatment response assessment. INFORMATION Gary Cook VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Professor, King’s College, London Gary Cook was trained in radiology and then nuclear medicine and PET in London. After completing his MD on Quantitative 18F-fluoride PET in metabolic bone diseases he was appointed as a Consultant at the Royal Marsden Hospital in 2000 to lead a new PET service and then to his current post at Kings College London in 2011 as Professor of PET imaging and head of cancer imaging. TUESDAY SESSIONS WEDNESDAY SESSIONS The use of Choline PET/CT in prostate cancer imaging 1. to understand the role of choline PET imaging in the multimodality pathway of prostate cancer 2. to describe the mechanism of action and technical aspects 3. to understand the main indications of choline PET in prostate cancer 4. to highlight the imaging pearls and pitfalls with case examples. Tara Barwick WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING Consultant Radiologist and Nuclear Medicine Physician, Imperial College London Tara Barwick is a dual accredited Consultant in Radiology and Nuclear Medicine and Honorary Clinical Senior Lecturer at Imperial College Healthcare NHS Trust London. She is a PET/CT specialist with clinical and research experience in F-18 FDG, F-18 fluoride, C-11 choline, F-18 fluorocholine , Ga-68 DOTATATE and F-18 FLT studies. ePOSTER LISTINGS Potential applications of PET/MRI: an overview Rizwan Syed EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Consultant Radiologist and Nuclear Physician, University College London Hospitals Rizwan Syed is presently working as lead PET MRI and consultant Nuclear Physician and Radiologist. He believes in professional excellence, life long learning and delivering effective and timely care. In his view, maintaining medical excellence is of paramount importance and should not be compromised at any cost. He aspires to improve the quality and standard of clinical service and to create an environment of excellence in clinical care. He is fully trained to work as both nuclear medicine and radiology and has achieved dual accreditation in nuclear medicine and radiology which has given him a comprehensive background knowledge of various imaging modalities. He has developed full competency in functional imaging and radionuclide therapies. Rizwan is fully competent in providing a comprehensive one stop oncology service that includes diagnostics, radionuclide therapies and intervention targeted radionuclide therapies. PET/CT in infection PET-CT has become an essential practical tool with extraordinary sensitivity in detecting disease activity and non-activity in malignant and benign disorders. Having established itself as a powerful tool in the management of oncology patients there are now reports of FDG PET-CT imaging emerging as an important tool in the management of patients with suspected and/or documented infection. The exquisite combination of sensitive PET and the addition of CT for both anatomical localisation and co-diagnosis has propelled this technique to the fore front of infection imaging. This technique appears to be particularly useful in the evaluation of skeletal infections, fever of unknown origin, graft infection and acquired immunodeficiency states. Similar to what has been observed with malignant disorders, FDGPET holds great promise in monitoring response to therapy in benign disorders, including infections and inflammatory processes. There is emerging evidence that PET-CT is now used not only in detecting infection but also in assessing disease extent and the evaluation of treatment response. The talk discusses the molecular basis of FDG PET in infection/ inflammation, look at the evidence supporting its use, analyse the pros and cons of this techniques and compare its use with the existing techniques. Some of the newer PET tracers currently being evaluated will be highlighted. Nagabhushan Seshadri Consultant in Nuclear Medicine, Royal Liverpool Hospital Nagabhushan Seshadri is a Consultant Nuclear Medicine physician. He completed his nuclear medicine training in India and subsequently pursued further training in nuclear medicine at Addenbrookes’ Hospital, Cambridge. He was appointed as a consultant in 2010 at the Royal Liverpool University NHS Trust where he is currently working. His sub-speciality interests include nuclear cardiology and PET-CT imaging and within PET-CT he has a niche interest in infection imaging. 12A MSK 15.45-17.15 Shoulder imaging Moderator: Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust Shoulder ultrasound: the essentials – Pearls and pitfalls The essential requirements for a good ultrasound examination of the shoulder are an understanding of relevant anatomy, the main pathologies and sound scanning technique. More than 70% of the pathology will be in the supraspinatus tendon in an average practice. Recognised pitfalls are misinterpretation due to misreading anatomy, anisotropy and calcification; difficulties related to partial tear versus tendonopathy. This presentation will focus on an effective approach to making the majority of diagnoses that will influence clinical management. JOIN THE CONVERSATION #UKRC2014 Shoulder imaging: But not impingement or instability | I am going to present the extra-articular causes of shoulder pain. Priya will discuss the various neuropathies that are typically seen around the shoulder including Parsonage turner syndrome and also review the infections, inflammatory pathologies and tumours around the shoulder. Priya Suresh Consultant Radiologist, Plymouth Hospitals NHS Trust Priya Suresh had her initial training in the Manchester Rotation and Peninsula Training schemes. This was followed by a Fellowship in Bone and Joint imaging in the Royal National Orthopaedic Hospital. She has been a musculoskeletal radiologist at Plymouth Hospitals NHS trust for 7 years. She is also the program director of READ project by the Royal College of Radiologists. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Consultant Radiologist, Mid Yorkshire Hospitals NHS Trust Nick is an experienced Radiologist and service leader, with interests in development and delivery of radiology services across the health economy. He is an experienced service reviewer, and remains a strong supporter of extended scope practice for radiographers. MONDAY SESSIONS Nicholas Spencer Maryann Hardy Professor of Radiography, University of Bradford Maryann Hardy is Professor of Radiography and Imaging Practice at the University of Bradford, UK. She is passionate about advancing radiographic practice and promoting service delivery models that put the patient first. She considers imaging to be an essential diagnostic and treatment evaluation service in most, if not all, care management pathways and her work focuses on how to effectively engage the skills of radiographers and other healthcare professionals with imaging services to enhance and improve patient outcomes. She is a widely published researcher and author, a member of the UK Society and College of Radiographers and ISRRT. Richard Robinson Radiologist, Mid Yorkshire Hospitals NHS Trust WEDNESDAY SESSIONS Opposing the motion WORKSHOPS Shoulder imaging: But not impingement or instability! Radiographer, Mid Yorkshire Hospitals NHS Trust See page 65. SATELLITE SYMPOSIA Consultant Radiologist, Plymouth Hospitals Trust Philip Hughes qualified from St Thomas’ Hospital, London in 1983. Progressed through the Manchester Radiology Training Programme, before joining the faculty as an Associate Professor of musculoskeletal and trauma imaging in 1992. He was subsequently appointed as Consultant Musculoskeletal Radiologist in Plymouth. He has particular interests in shoulder imaging, MR arthrography and pelvic trauma. He currently is a final part examiner for the FRCR 2b exam and appointed as Medical Director at Plymouth Hospitals NHS Trust in November 2013. Beverly Snaith POSTER LISTING Phil Hughes Proposing the motion ePOSTER LISTINGS MRI is employed to diagnose and resolve issues which are unresolved on ultrasound or when the clinical scenario and severity of pain are inconsistent with a normal examination. MRI is also employed when the presentation suggests an alternative to a cuff pathology, in particular Instability and lesions of the long head of biceps. The imaging pathway, techniques and findings in these settings will be discussed along with the limitations of other diagnostic modalities Chair: Ken Catchpole, Research Psychologist, Cedars-Sinai Medical Centre, Los Angeles EDUCATION ON STANDS The vast majority of Rotator cuff imaging is sufficiently executed by ultrasound, accounting for both diagnostic and interventional treatments. Service delivery 15.45-17.15 The big debate! This house believes that errors in diagnostic radiology are caused by poor image quality EXHIBITION PLAN & LIST MRI shoulder: Troubleshooting the cuff and instability 12B EXHIBITOR INFORMATION Consultant Radiologist, Royal Glamorgan Hospital See page 47. PRESENTER INDEX Stephen Davies 101 TUESDAY SESSIONS WEDNESDAY ABSTRACTS AND BIOGRAPHIES The UK Radiological Congress WORKSHOPS 102 VENUE PLAN WORKSHOP PROGRAMME WELCOME A full programme of workshops with workstations fitted with Macs loaded with OsiriX, to enable all participants to look at the case studies and upgrade their skills. Places limited for each workshop. PROGRAMME INFORMATION 09.00-10.00 Introduction to OsiriX VICE PRESIDENTS & WORKING PARTY Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme John Curtis, University Hospital Aintree MONDAY SESSIONS 11.30-12.30 Places limited Hands on workshop with OsiriX TUESDAY SESSIONS Sameer Shamshuddin, Royal Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme John Curtis, University Hospital Aintree WEDNESDAY SESSIONS W3 WORKSHOPS 13.15-14.15 Neuro Workstation Fully booked Moderator: Calvin Soh, Consultant Neuroradiologist, Salford Royal NHS Foundation Trust SATELLITE SYMPOSIA W4 14.45-15.45 Introduction to OsiriX Places limited POSTER LISTING Hands on workshop with basic introduction to OsiriX ePOSTER LISTINGS Sameer Shamshuddin, Royal Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme John Curtis, University Hospital Aintree EDUCATION ON STANDS W5 16.15-17.15 Advanced OsiriX Places limited Places limited Hands on workshop with basic introduction to OsiriX W2 09.00-10.00 Introduction to OsiriX Sameer Shamshuddin, Royal Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme Sameer Shamshuddin, Consultant MSK Radiologist, Royal Advanced OsiriX W6 Hands on workshop with basic introduction to OsiriX MONDAY 9 JUNE W1 TUESDAY 10 JUNE Places limited Hands on workshop with OsiriX EXHIBITION PLAN & LIST Sameer Shamshuddin, Royal Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme John Curtis, University Hospital Aintree W7 10.30-12.00 Chest Workstation Fully booked CXR interpretation Identification of the clinically relevant Moderator: Andrea Owen, Consultant Radiographer, University Hospital of South Manchester NHS Foundation Trust Identification of the clinically relevant The radiographer is the first person to encounter the abnormal CXR and is in a position to fast track a film for urgent radiologist attention. Developing skill-sets to help you in this role is beneficial for patients by reducing time to report and increases job satisfaction for the radiographer. This workshop is a combination of instructive lectures followed by CXRs for you to review on individual workstations. In the first of these talks I will concentrate on the interpretation of the chest x-ray, the assessment of normality and the identification of common variants. You will then have the opportunity to test your acquired knowledge on a selection of suitably chosen CXRs; to allow you to identify normal, anatomical-variant or abnormal cases. Sue Kearney Consultant Radiologist, Lancashire Teaching Hospitals NHS Foundation Trust Sue Kearney graduated from Liverpool Medical School in 1987 and is a Consultant Radiologist in Cardiothoracic Imaging at the Lancashire Teaching Hospital Trust. She is an associate Training Program Director for the North West school of Radiology and is responsible for organizing the teaching program for first and second year radiology trainees. She organizes successful teaching courses for 2B FRCR preparation and Thoracic US for clinician. She has an interest in web-based teaching and is involved in software design for delivering self-assessment radiology modules. Patterns of disease. Acute vs chronic John Curtis EXHIBITOR INFORMATION Consultant Radiologist, University Hospital Aintree See page 99. PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 WORKSHOPS W9 14.00-15.00 Advanced OsiriX Places limited W10 15.45-17.30 Iwan Roberts Consultant Paediatric Radiologist, Sheffield Children’s NHS Foundation Trust Iwan Roberts has worked in Sheffield since 2001 and also carries out 1 day a week in a local District General Hospital, Rotherham, He trained in paediatric surgery before moving to radiology in 1993, St George’s, Tooting. Iwan completed a 2 year paediatric radiology fellowship in Vancouver and enjoy hands-on diagnostic radiology and teaching. Consultant Radiologist, Lancashire Teaching Hospital Trust, Chorley See page 102. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Consultant Radiologist, Imperial College Healthcare NHS Trust Mary Roddie is a Thoracic Radiologist at Imperial College Healthcare NHS Trust and Honorary secretary of the British Society of Thoracic Radiology. Her interests include thoracic ultrasound and the development of digital teaching collections of images and she runs courses on both of these subjects as well as being a founder member of the UK OsiriX user group. Sue Kearney Places limited After doing adult radiology, trainees often find that being in Paediatrics is a bit like being in a foreign country. Getting a bit of clinical detail makes all the difference (even if you’re not used to paeds). This session will concentrate on interpreting chest and abdominal films in babies and small infants. Panel: Mary Roddie Interstitial fibrosis, Sarcoidosis, Lymphangitis and Metastases Hands on workshop with OsiriX Paediatrics Workstation: Film viewing A clear understanding of normal pulmonary anatomy is a prerequisite for understanding patterns of abnormality and the interpretation of HRCT. This session will discuss key features of pulmonary anatomy including the large arteries and bronchi, the secondary pulmonary lobule and the pleural surfaces and their correlation with patterns of lung disease. WEDNESDAY SESSIONS Fully booked Lung anatomy and basic patterns of abnormality WORKSHOPS 12.30-13.30 Cardiac Workstation Moderator: Mary Roddie, Consultant Radiologist, Imperial College Healthcare NHS Trust, London ePOSTER LISTINGS W8 08.30-10.00 Fully booked Diffuse lung disease – What the general radiologist needs to know SATELLITE SYMPOSIA Review of quiz and moderator comments W11 Review of cases Sue Kearney, Mary Roddie and Stuart Mellor Consultant Thoracic and General Radiologist, East Lancashire Hospitals NHS Trust EDUCATION ON STANDS Consultant Thoracic Radiologist, Salford Royal NHS Foundation Trust Anna Sharman qualified from Liverpool University and started her radiology training in Dundee. She completed the final 4 years of radiology training in Oxford, the last year of which was in thoracic radiology under the tutelage of Professor Fergus Gleeson and Dr Rachel Benamore. She was a locum consultant at the Churchill Hospital, Oxford for 9 months on completion of her radiology CCT and started as a consultant radiologist at Salford Royal University Hospital in September 2012 with an interest in chest radiology. WEDNESDAY 11 JUNE EXHIBITION PLAN & LIST Anna Sharman Consultant Radiologist, Gateshead Health NHS Trust Group tutorial, particularly geared towards FRCR candidates, but all are welcome. Delegates will work from individual Mac workstations. EXHIBITOR INFORMATION During the session we will review many examples of abnormal chest X-rays to build up an understanding of the key role the radiographer plays in the acute management of patients both in the out-patient/GP setting and the in-patient setting. At the end of the session, radiographers will have a structured system for reviewing a chest X-ray and know the correct person from whom to seek advice from or if the film requires an urgent formal report. POSTER LISTING Andrew Crisp PRESENTER INDEX CXR - when to seek urgent advice 103 The UK Radiological Congress WORKSHOPS 104 VENUE PLAN Emphysema, cystic lung disease, PCP and TB Stuart Mellor WELCOME PROGRAMME INFORMATION Consultant Thoracic and General Radiologist, East Lancashire Hospitals NHS Trust Stuart Mellor qualified from St. Andrews Manchester in 1998 and trained in radiology on the Manchester Radiology Training Scheme. He has been a Consultant Radiologist at East Lancs. NHS Trust for 6 years. He considers himself a general Radiologist but with a primary subspecialty in chest radiology. He is involved in delivering training on the Manchester Radiology Training Scheme and a number of FRCR2b courses. He spends ever increasing amounts of his time on his role as Clinical Governance Lead. VICE PRESIDENTS & WORKING PARTY Review of cases Sue Kearney, Mary Roddie and Stuart Mellor Overview MONDAY SESSIONS Diffuse lung disease, as an incidental finding, is seen with increasing frequency as thoracic CT is more widely used in modern high resolution scanners. It is important that general radiologists have an understanding of diffuse lung disease and are able to recognise characteristic patterns of abnormality. TUESDAY SESSIONS This workshop provides lectures and cases for review on individual workstations. WEDNESDAY SESSIONS The lectures will show how to interpret lung HRCT and demonstrate the various patterns of abnormality seen in diffuse lung disease. Cases on individual workstations give the opportunity to practice lung HRCT interpretation with the guidance of the tutors. The aim of the session is to increase confidence in diagnosis when reporting. WORKSHOPS W12 10.45-11.45 Introduction to OsiriX Fully booked SATELLITE SYMPOSIA Hands on workshop with basic introduction to OsiriX POSTER LISTING Sameer Shamshuddin, Royal Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme John Curtis, University Hospital Aintree ePOSTER LISTINGS W13 12.15-13.15 Advanced OsiriX Places limited EDUCATION ON STANDS Sameer Shamshuddin, Royal Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme John Curtis, University Hospital Aintree EXHIBITION PLAN & LIST 14.00-16.30 Liver MRI Workshop Places limited EXHIBITOR INFORMATION Intensive half-day OsiriX based hands-on workshop for Liver MRI Ashok Katti, University Hospital Aintree MONDAY 9 JUNE TUTORIAL 1 12.45-13.45 FRCR Tutorial 1 Fully booked Small intimate general FRCR viva teaching session with an experienced FRCR tutor Hifz Aniq, Royal Liverpool Hospital Sumita Chawla, Royal Liverpool University hospital John Holemans, Liverpool Heart and Chest Hospital NHS Foundation Trust John Curtis, University Hospital Aintree Fatma Bayam, University Hospital Aintree Naomi Winn, Central Manchester University Hospitals Foundation Trust Trupti Kulkarni, Aintree University Hospital Rachel Magennis, North Cheshire Hospitals NHS Trust TUTORIAL 2 15.15 -16.15 FRCR Tutorial 2 Fully booked Small intimate general FRCR viva teaching session with an experienced FRCR tutor John Curtis, University Hospital Aintree John Holemans, Liverpool Heart and Chest Hospital NHS Foundation Trust Trupti Kulkarni, Aintree University Hospital Rachel Magennis, North Cheshire Hospitals NHS Trust Sumita Chawla, Royal Liverpool University hospital TUESDAY 10 JUNE TUTORIAL 3 12.45-13.45 Hands on workshop with OsiriX W14 FRCR TUTORIAL PROGRAMME A full programme of small FRCR Viva teaching tutorials run by experienced tutors. Must be pre-booked as each has a limited number per session. FRCR Tutorial 3 Fully booked Small intimate general FRCR viva teaching session with an experienced FRCR tutor. Hifz Aniq, Royal Liverpool Hospital John Curtis, University Hospital Aintree Dhivya Paravasthu, Mersey Deanery Ranjana Dwarkanath, Countess of Chester Hospital NHS Foundation Trust Rebecca Wiles, Mersey School of Radiology Fatma Bayam, University Hospital Aintree PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 WORKSHOPS TUTORIAL 6 15.15 -16.15 FRCR Tutorial 6 MSK interactive ultrasound session 16.30-17.30 Fully booked Shoulder (2) Kerry Green, Musculoskeletal sonographer, Plymouth Hospitals NHS Trust TUESDAY 10 JUNE Fully booked Small intimate general FRCR viva teaching session with an experienced FRCR tutor John Curtis, University Hospital Aintree Dhivya Paravasthu, Mersey Deanery Trupti Kulkarni, Aintree University Hospital Madhu Paravsathu, Mersey Deanery Rachel Magennis, North Cheshire Hospitals NHS Trust Mark Caplan, Spire Cheshire Hospital MSK interactive ultrasound session 08.45-09.45 Fully booked Lower limb (1) Kerry Green, Musculoskeletal sonographer, Plymouth Hospitals NHS Trust Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust Hifz Aniq, Consultant Musculoskeletal Radiologist, Royal Liverpool Hospital MSK interactive ultrasound session 10.45-11.45 Fully booked Lower limb (2) Kerry Green, Musculoskeletal sonographer, Plymouth Hospitals NHS Trust Phil Hughes, Consultant Radiologist, Plymouth Hospitals Trust WEDNESDAY 11 JUNE MSK interactive ultrasound session 10.45-11.45 Fully booked Upper limb (1) Priya Suresh, Consultant Radiologist, Plymouth Hospitals NHS Trust MSK interactive ultrasound session 14.00-15.00 Places limited Upper limb (2) Priya Suresh, Consultant Radiologist, Plymouth Hospitals NHS Trust VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Hifz Aniq, Consultant Musculoskeletal Radiologist, Royal Liverpool Hospital MONDAY SESSIONS John Curtis, University Hospital Aintree Madhu Paravsathu, Mersey Deanery Rachel Magennis, North Cheshire Hospitals NHS Trust Mark Caplan, Spire Cheshire Hospital Dhivya Paravasthu, Mersey Deanery Naomi Winn, Consultant Musculoskeletal Radiologist, Central Manchester University Hospitals Foundation Trust TUESDAY SESSIONS Small intimate general FRCR viva teaching session with an experienced FRCR tutor. Peter Mullaney, Consultant Musculoskeletal Radiologist, University Hospital Wales WEDNESDAY SESSIONS Fully booked Shoulder (1) WORKSHOPS 12.45-13.45 FRCR Tutorial 5 Fully booked SATELLITE SYMPOSIA TUTORIAL 5 10.15-11.15 POSTER LISTING WEDNESDAY 11 JUNE MSK interactive ultrasound session ePOSTER LISTINGS Sameer Shamshuddin, Royal Lancaster Infirmary Hilary Matthews, Manchester Radiology Training Scheme John Curtis, University Hospital Aintree EDUCATION ON STANDS Small intimate general FRCR viva teaching session with an experienced FRCR tutor. MSK INTERACTIVE ULTRASOUND SESSIONS MONDAY 9 JUNE EXHIBITION PLAN & LIST Fully booked EXHIBITOR INFORMATION 15.15 -16.15 FRCR Tutorial 4 PRESENTER INDEX TUTORIAL 4 105 The UK Radiological Congress SATELLITE SYMPOSIA 106 VENUE PLAN WELCOME SATELLITE SYMPOSIA MONDAY 9 JUNE EXHIBITION LECTURE THEATRE 2 PROGRAMME SATELLITE 3 12.30-13.00 Sectra INFORMATION The world around us. Think big. Abolish healthcare boundaries. Follow patient pathways. TUESDAY 10 JUNE EXHIBITION LECTURE THEATRE 2 SATELLITE 9 09.30-10.30 Siemens Maximising your capacity through efficiency – a case study Facilitator: Chris Wright, Head of CS Business Development and Support, Siemens VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Jane Rendall Debbie Simmons Managing Director of Sectra and Sectra Burnbank Radiology is no longer an island. To improve patient care clinical pathways must be served by imaging. Jane will present the trends emerging and how, together with our customers Sectra are addressing these changes. With reference to current deployment projects ongoing in London, Bristol and the new system in use in Hampshire Jane will share case study examples of what can be achieved. If you have got big ambitions for radiology then this is a must see talk. Key Account and Customer Business Development Manager, Siemens TUESDAY SESSIONS EXHIBITION LECTURE THEATRE 1 WEDNESDAY SESSIONS SATELLITE 4 12.45-13.45 SCOR Launch Alice Turner Principal Radiographer, University Hospital of North Staffordshire To understand how to improve efficiency under the pressures of today’s healthcare industry, we must first understand the current utilisation and bottlenecks of existing practises, technologies and methodologies employed and be able to compare them against best in class processes from across the UK and the world. Join us for a short case study to understand how working in partnership at University Hospital of North Staffordshire Siemens have helped capture the current status and how working with industry together indicated and set plans for improvement. This is a by-invitation-only event to launch new e-Learning for healthcare modules. EXHIBITION LECTURE THEATRE 1 WORKSHOPS SATELLITE 10 EXHIBITION LECTURE THEATRE 1 SATELLITE SYMPOSIA SATELLITE 5 14.15-15.15 GE Healthcare Innovations in imaging technology POSTER LISTING Jane Hickey MICT Business Manager UK&I, GE Healthcare and ePOSTER LISTINGS Gerhard Brunst EDUCATION ON STANDS EXHIBITION PLAN & LIST Clinical Leader, X-ray, GE healthcare Europe. GE Healthcare will be discussing its next generation imaging technology solutions. Attendees will be introduced to GE Healthcare’s CT Revolution family and also learn how MR Silent Scan improves patient care and comfort. Whilst the X-Ray team will discuss how Volume RAD* (digital tomosynthesis) can help improve lung nodule detection. 09.30-10.30 SCOR Publishing matters: get that research into print Julie Nightingale Editor-in-Chief, Radiography Want to see your research published but don’t know where to begin? This presentation will provide a step-by-step guide to the publishing process and lead the audience through manuscript preparation, peer review and publication. Peer review: make your contribution Pauline Reeves EXHIBITOR INFORMATION PRESENTER INDEX Associate Editor, Radiography Peer reviewers perform an essential role in the publication process. Come and find out more about peer review and learn how to critically examine a journal article and write a comprehensive review. In addition to the above presentations, members of Radiography’s Editorial team will be available following the presentations to mentor prospective authors and reviewers. If you have some research you would like to see published, please bring it with you to the congress. Prospective authors and reviewers can book a free half hour slot to meet one of the Journal’s editorial team by visiting http://www.cvent.com/d/n4q9gb. JOIN THE CONVERSATION #UKRC2014 SATELLITE SYMPOSIA Spectral Specialist, Philips Healthcare An overview of the newest Spectral CT technology providing an understanding of how you can use colour within CT images to identify the composition of what you see and how this quantitative approach can add spectral resolution to image quality, providing both the standard CT anatomical information and the characterisation of structures simultaneously. EXHIBITION LECTURE THEATRE 2 SATELLITE 15 14.45-15.45 Xograph A presentation on a new motorised mobile C-Arm ideally placed as a credible alternative solution to fixed hybrid operating room installations and providing breakthrough mobile imaging capabilities for complex vascular and heart surgery. Stefan Wagner EXHIBITION LECTURE THEATRE 1 SATELLITE 12 10.45-11.45 Healthcare Software Solutions Mawell - the Scandinavian story Marc Newman Clinical Business Manager at Healthcare Software Solutions & Alex Ryan Mawell A talk on how Mawell and the Danish healthcare IT organisation Regionernas Sundhets set a target of being able to share images between all hospitals and regions in Denmark by the end of 2012 and how Mawell helped to achieve this. EXHIBITION LECTURE THEATRE 2 SATELLITE 13 St. Lukes Radiology, Oxford, UK Peter Sharpe PRESENTER INDEX CEO, Cobalt Imaging Centre Cobalt is the first site in the UK to be using a secure portal that allows patients to play an integral role in their medical care. Patient images and information can be accessed through a secure log-in from a variety of Web-browser enabled devices. Cobalt has invested in this groundbreaking new service in response to new government legislation affording patients and their referrers’ easier access to their medical data. EXHIBITOR INFORMATION Patients who attend the Cobalt Imaging Centre have access to their images online. Learn how and why EDUCATION ON STANDS Carestream Health Dr David Wilson EXHIBITION PLAN & LIST 13.30-14.30 Ziehm Imaging GmbH, Nuremberg, Germany Fusion of real time ultrasound and extremity CT allows simultaneous examination of bones, joints, tendons, ligaments and neovascularity. These fusion images provide new and exciting diagnostic opportunities whilst permitting an excellent method of needle guidance for treatment. INFORMATION Zimam Romman Consultant Radiologist, Imperial College Healthcare NHS Trust Ultrasound technology to visualise the microvasculature continues to improve where power and colour Doppler ultrasound remains a quick and non-invasive method of assessing the vascularity of tumours and tissue. The advanced Doppler algorithm of Superb Microvascular Imaging (SMI) developed by Toshiba Medical Systems, allows imaging of the microvasculature without the need for contrast enhancement. The sensitivity and finer detail of the microvessels which can be visualised is significantly better when compared with Power Doppler, and rivals that depicted with contrast enhancement. The clinical applications of this novel Doppler technique will be discussed and illustrated where it may prove revolutionary particularly with respect to musculoskeletal imaging. Finally the feasibility of using microbubbles to detect sentinel lymph nodes will also be outlined and discussed especially where the utility of SMI may also be helpful. VICE PRESIDENTS & WORKING PARTY Adrian Lim MONDAY SESSIONS Spectral analysis TUESDAY SESSIONS Imaging the previously undetected – is it useful? PROGRAMME WELCOME Philips WEDNESDAY SESSIONS 14.00-15.00 WORKSHOPS SATELLITE 14 Toshiba SATELLITE SYMPOSIA 10.45-11.45 POSTER LISTING SATELLITE 11 EXHIBITION LECTURE THEATRE 1 ePOSTER LISTINGS EXHIBITION LECTURE THEATRE 2 VENUE PLAN 107 The UK Radiological Congress POSTER LISTING 108 VENUE PLAN Clinical: Musculoskeletal P-001 High resolution ultrasound features in early seronegative arthritis WELCOME Jacob Oommen, Wrightington, Wigan & Leigh NHS Foundation Trust P-002 MRI of spondyarthropathies – a reaudit of standardised MRI protocols and the knock on effects of clinical PROGRAMME referral patterns over three years Thariq Hajamohideen, University Hospitals of Leicester NHS Trust P-003 Size matters: Understanding and application of the true orthogonal view in the assessment of ulnar variance Philip Murray, Norfolk and Norwich University Hospital P-004 What the general radiologist needs to know about prosthetic orthopaedic implants; an aide memoire INFORMATION Gana Kugathasan, Plymouth Hospital NHS Trust P-005 Greater trochanteric pain syndrome (GTPS): A pictorial review of imaging findings Tarig Adlan, Derriford Hospital, Plymouth P-006 Critical evaluation of the role of imaging modalities in decision pathways of osteosarcoma VICE PRESIDENTS & WORKING PARTY Farah Akram, Memorial Cancer Hospital & Reseach Centre, Lahore, Pakistan P-007 A pain in the neck: Analysis of screening cervical spine CT based on NICE guidelines Kiran Reddy, University Hospitals Leicester P-008 The microcirculation of the intervertebral disc Rachel Palfrey, University of Exeter MONDAY SESSIONS P-009 Role of short tau inversion recovery (STIR) sequence in community referred spinal imaging Omar Azmat, York Hospitals NHS Foundation Trust P-010 Review and update of correct nomenclature for lumbar spine disc disease TUESDAY SESSIONS Aneta Kecler–Pietrzyk, Tallaght Hospital, Dublin, Ireland P-011 The value of routine postoperative radiographs after elective lumbar spinal fusions surgery Syed Ali, University of Manchester WEDNESDAY SESSIONS P-012 Imaging post hip arthroplasty - what the orthopods need to see Victoria Ballard, Brighton and Sussex University Hospitals NHS Trust P-013 Revision hip arthroplasty: What the radiologist needs to know Rachel Magennis, Alexandra Hospital, Cheadle WORKSHOPS P-014 A pictorial review of the MRI appearances of the synovial disorders of the knee Ajay Sahu, Plymouth Hospitals NHS Trust P-015 Effects on function, bone mineral density and lean tissue mass 12 months following total knee replacement in SATELLITE SYMPOSIA a female postmenopausal population Karen Knapp, College of Engineering, Mathematics and Physical Sciences, University of Exeter P-016 Early magnetic resonance imaging features of seronegative arthritis of the ankle and foot Jacob Oommen, Wrightington, Wigan & Leigh NHS Foundation Trust POSTER LISTING P-017 A retrospective study of General Practice (GP) referrals for Dual-Energy X-ray Absorptiometry (DXA) scanning Penelope Bell, University Campus Suffolk P-018 The use of localising markers in foreign body radiography ePOSTER LISTINGS Aung Zaw Win, Calderdale and Huddersfield NHS Foundation Trust P-019 An exploration of the drivers and barriers surrounding radiographer commenting in the community hospital Morag Howard, Robert Gordon University, Aberdeen EDUCATION ON STANDS P-020 Documentation of referrer opinion on A&E radiographs Madhurima Rai, Department of Radiology, Stobhill Hospital, West of Scotland Deanery Clinical: Head and neck EXHIBITION PLAN & LIST P-021 Assessing the quality of post-cochlear implant radiographs - an audit Elizabeth Loney, Bradford Teaching Hospitals NHS Foundation Trust P-022 Pearls and pitfalls when reporting MRI in the investigation of sensorineural deafness in adults Georgina Devenish, Abertawe Bro Morgannwg University Health Board EXHIBITOR INFORMATION P-023 Diagnostic accuracy of FNAC in neck nodes in lung cancer: A DGH experience PRESENTER INDEX P-025 Confirmation of nasogastric tube position - are we meeting national guidelines? Apurva Sinha, St John’s Hospital, Livingston P-024 Cystic masses of the neck: A pictorial review Ahmed Ismail, Wrightington, Wigan and Leigh NHS Foundation Trust Thomas Osborne, Royal Surrey County Hospital JOIN THE CONVERSATION #UKRC2014 P-027 Pictorial review of dental anatomy and common dental pathology Amit Gupta, Leeds Teaching Hospitals NHS Foundation Trust P-028 The comet tail artefact and other echogenic foci in thyroid ultrasound - what is the clinical significance? Andrew Gemmell, Peninsula Radiology Academy, Devon P-029 Audit: Specimen adequacy of ultrasound scan (USS) guided Fine Needle Aspiration Biopsy (FNAB) of the thyroid in a District General Hospital (DGH) Nyla Khan, Queen Elizabeth Hospital, London VENUE PLAN Sophie Willis, City University, London WELCOME P-026 A study to determine the spatial distribution of scattered radiation during dental intra-oral radiography (IOR) 109 PROGRAMME POSTER LISTING Archita Gulati, Aintree University Hospitals NHS Foundation Trust P-031 New neurofibromatosis type 2 multidisciplinary team meeting - our initial radiological experience Jo Warner, Aintree University Hospitals NHS Foundation Trust INFORMATION P-030 Acoustic neuromas: Unusual features and differential diagnosis - an MDT experience Davina Mak, New Cross Hospital, The Royal Wolverhampton NHS Trust P-037 Minimising claustrophobia in MRI radiotherapy planning of the head and neck Louise Jordan, Newcastle Upon Tyne Hospitals NHS Foundation Trust Clinical: Neuroradiology P-038 Computed tomography referral practice - experience at a large academic hospital Sarah Hagi, King Abdulaziz University, Jeddah, Saudi Arabia P-039 New intracranial tumors - when is visceral CT useful? Nishant Omar, Leeds Teaching Hospitals NHS Foundation Trust Clinical: Breast P-040 Mucinous carcinoma and fibroadenoma case study Claire Mercer, University Hospital of South Manchester NHS Foundation Trust P-041 A mammography image set for observer training and assessment in BI-RADS density classification MONDAY SESSIONS P-036 Are emergency department CT head requests adequately completed? TUESDAY SESSIONS Martine Harris, Mid Yorkshire Hospitals NHS Trust WEDNESDAY SESSIONS Ruth Clarke, Birmingham City University P-035 The development of a low cost cranial phantom for computed tomography that simulates common pathologies WORKSHOPS Misha Kathirgamanathan, Ipswich Hospital NHS Trust P-034 Implementing radiographic CT head reporting: The experiences of students and managers SATELLITE SYMPOSIA Beth Hankinson, Aintree University Hospitals NHS Foundation Trust P-033 A pilot study examining the role of diffusion-weighted MRI in high risk TIAs VICE PRESIDENTS & WORKING PARTY P-032 The anatomy and pathology of the parapharyngeal space - a pictorial review patients considered for breast conserving surgery Nikhil Rao, University Hospitals Coventry & Warwickshire NHS Trust P-046 MRI in the breast screening programme Orla McAvinchey, East Cheshire NHS Trust P-047 Comparative study of prognoses in screening and symptomatic Asian breast cancer patients based on Nottingham prognostic index Anil Jain, University Hospital of South Manchester NHS Foundation Trust ePOSTER LISTINGS EDUCATION ON STANDS Claire Mercer, University Hospital of South Manchester NHS Foundation Trust P-045 The role of magnetic resonance image guided 2nd look ultrasound - effecting change in management for EXHIBITION PLAN & LIST P-044 A call for client consistency in compression EXHIBITOR INFORMATION imaging - relationship between phantom thickness and lesion visibility Paul Sanderson, Optimax Summer School PRESENTER INDEX Shelley Waugh, Medical Physics, Ninewells Hospital, Dundee P-043 Visibility of cancer mimicking lesions in a poly vinyl alcohol (PVAL) breast phantom using mammographic POSTER LISTING Claire Mercer, University Hospital of South Manchester NHS Foundation Trust P-042 Factors affecting the reducibility of ADC measurements in breast cancer The UK Radiological Congress POSTER LISTING 110 VENUE PLAN Clinical: CHEST P-048 Lung cancer screening at a glance WELCOME Sze Mun Mak, Chelsea and Westminster Hospital NHS Foundation Trust P-049 Lesion detection performance: Comparative analysis of low-dose CT on two hybrid imaging systems Peter Hogg, School of Health Sciences, University of Salford PROGRAMME P-050 Vanishing lung: Going... going... bong Andy Beale, Great Western Hospitals NHS Foundation Trust P-051 Radiographic patterns of lung adenocarcinoma in Malaysia - an update Norafida Bahari, Universiti Putra Malaysia INFORMATION P-052 Multi-centre analysis of incidental findings on low resolution CT attenuation correction (CTAC) images Joanne Sil, School of Health Sciences, University of Salford P-053 An audit of use of Computed Tomography Pulmonary Angiography (CTPA) in the diagnosis of suspected VICE PRESIDENTS & WORKING PARTY pulmonary embolism Safia Rehman, George Eliot Hospital NHS Trust P-054 Computed Tomography (CT) attenuation values of pleural fluid: Can it be used to differentiate between exudate and transudate? Naveed Altaf, The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust P-055 Incidental cardiac findings on CT thorax MONDAY SESSIONS TUESDAY SESSIONS Madhusudan Paravasthu, Aintree University Hospital NHS Foundation Trust P-056 The influence of observer training for the detection of simulated pulmonary lesions on single computed P-057 Development and validation of a psychometric scale for assessing PA chest image quality: A pilot study tomography images of an anthropomorphic chest phantom: A jackknife alternative free-response receiver operating characteristic analysis Greg Martin, Hanze University of Applied Sciences, The Netherlands Hafsa Momoniat, School of Health Sciences, University of Salford WEDNESDAY SESSIONS P-058 We refer: An audit of in-house radiology referral to ensure patients receive CT imaging for suspected bronchial neoplasm in a timely fashion James Chambers, St Helens and Knowsley Teaching Hospitals NHS Trust P-059 Pneumothorax... is the expiratory CXR needed? WORKSHOPS Adil Mahmoud, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde P-060 Pictorial review of pleural “masses” Madhusudan Paravasthu, Aintree University Hospital NHS Foundation Trust P-061 Introducing radiographer chest x-ray reporting at a cancer hospital SATELLITE SYMPOSIA P-062 Radiologically guided percutaneous lung biopsies: Retrospective evaluation of diagnostic yield and POSTER LISTING Susan Todd, The Christie NHS Foundation Trust P-063 Effects of tube potential and scatter rejection on image quality and effective dose in digital chest X-ray complication rate Mohamed Elshafi, Galway University Hospital, Ireland ePOSTER LISTINGS examination: An anthropomorphic phantom study Daniel Shaw, The Christie NHS Foundation Trust Clinical: Cardiac and vascular EDUCATION ON STANDS P-064 Myocardial perfusion scintigraphy (MPS) referral indications: A re-audit of a regional service in South Wales Ali Ben-Mussa, Abertawe Bro Morgannwg University Health Board P-065 Correlation of coronary artery calcification with non alcoholic fatty liver disease Sze Mun Mak, Chelsea and Westminster Hospital NHS Foundation Trust EXHIBITION PLAN & LIST P-066 Pictorial review of pre TAVI CT aortogram: How, what and why Sze Mun Mak, Chelsea and Westminster Hospital NHS Foundation Trust P-067 Clinical validation of Dual Energy CT (DECT) for coronary and valve imaging in patients undergoing Trans- EXHIBITOR INFORMATION catheter Aortic Valve Implantation (TAVI) Chris Pavitt, Royal Brompton and Harefield NHS Trust P-068 Modern cardiac devices: Strictly on a lead to know basis Andy Beale, Great Western Hospitals NHS Foundation Trust P-069 Sarcoidosis: A pictorial review of the cardiothoracic imaging findings PRESENTER INDEX Franchesca Wotton, Peninsula Radiology Academy, Plymouth P-070 Applied physics of cardiac MRI - what, why and how? Madhusudan Paravasthu, Aintree University Hospital NHS Foundation Trust JOIN THE CONVERSATION #UKRC2014 P-073 Incidental pulmonary emboli (PE) on non CTPA (CT pulmonary angiogram) computed tomography (CT) scans: The signs that work and the confusers to recognise Sarah Iddles, The Christie NHS Foundation Trust P-074 Comparison and predictive significance of pre test probability and calcium score in computed tomography coronary angiography Robert Parry, St Helens and Knowsley Teaching Hospitals NHS Trust P-075 Constrictive pericarditis - imaging review Madhusudan Paravasthu, Aintree University Hospital NHS Foundation Trust P-076 Morbidity and mortality associated with contrast venography proven distal deep vein thrombosis - a cause for concern? Gordon Cowell, Victoria Infirmary, NHS Greater Glasgow and Clyde Clinical: Uroradiology; gynaecology; obstetrics P-077 An audit of ultrasound scanning using the Foetal Anomaly Screening Programme (FASP) Image Assessment Tool 2012 Penelope Bell, University Campus Suffolk P-078 Pearls and pitfalls of female pelvic MRI: A whistle-stop tour from a district general hospital perspective Georgina Devenish, Abertawe Bro Morgannwg University Health Board VENUE PLAN WELCOME Ajay Sahu, Plymouth Hospitals NHS Trust PROGRAMME P-072 Cardiac MRI: Enhancement patterns demystified INFORMATION Shahabaz Patil, Birmingham City Hospital VICE PRESIDENTS & WORKING PARTY P-071 Cardiac CT dose and agaston calcium score in male and female patient cohort group 111 MONDAY SESSIONS POSTER LISTING Anika Morjaria, Southend University Hospital P-083 MR imaging of penis - what a general radiologist needs to know? Dhivya Murthy Paravasthu, Aintree University Hospital NHS Foundation Trust P-084 Clinical mimics of nephrolithiasis - findings on unenhanced CT of the urinary tract Carys Jenkins, University Hospital of Wales, Cardiff and Vale University Health Board P-085 Emphysematous infections of the abdomen and pelvis on plain films, ultrasound and cross-sectional imaging: A pictorial review Fiona Lyall, Plymouth Hospitals NHS Trust Clinical: GI and hepatobiliary P-086 Evaluation of inguinal region hernias on CT Herb Imalingat, Southport and Ormskirk NHS Trust P-087 Contrast dose by patient weight in abdominal CT scanning: An evaluation of current practice Anthony George, University Hospitals Bristol NHS Foundation Trust P-088 Abdominal CT: A patient weight-based approach to contrast dose Anthony George, University Hospitals Bristol NHS Foundation Trust WEDNESDAY SESSIONS P-082 Rapidly developing renal milk of calcium in a patient with myelomonocytic leukaemia WORKSHOPS of prostate cancer with MRI Sophie Vaughan, University Hospital of Wales, Cardiff and Vale University Health Board SATELLITE SYMPOSIA P-081 The clinical value of adding diffusion weighted imaging to standard T2 weighted sequences in the evaluation POSTER LISTING David Little, Great Western Hospitals NHS Foundation Trust ePOSTER LISTINGS P-080 Beware the mucinous ovarian tumour - ovarian, colonic or pseudomyxoma? EDUCATION ON STANDS Dhivya Murthy Paravasthu, Aintree University Hospital NHS Foundation Trust TUESDAY SESSIONS P-079 Unusual manifestations of endometriosis and their imaging appearanceshiding? Deepak Pai, Scunthorpe General Hospital, North Lincolnshire and Goole NHS Foundation Trust P-091 Intussuseption: The radiologists guide Laura Steinberg, University Hospital of South Manchester NHS Foundation Trust P-092 An audit on the validity of MRCP requests at a District General Hospital Raymond Rueben, Dumfries and Galloway Royal Infirmary EXHIBITOR INFORMATION P-090 Acute drop in Haemoglobin. Cause? PRESENTER INDEX Dhivya Murthy Paravasthu, Aintree University Hospital NHS Foundation Trust EXHIBITION PLAN & LIST P-089 Pictorial review of imaging appearances of portal vein pathology and available portal venous interventions The UK Radiological Congress POSTER LISTING 112 VENUE PLAN P-093 A pictorial review of small bowel pathologies and their appearance on multi-slice computed tomography Rob Foster, Victoria Infirmary, NHS Greater Glasgow and Clyde WELCOME P-094 The role of CT enterography in the assessment of small bowel Crohn’s Oliver Nicholson, Stockport NHS Foundation Trust P-095 Rectal contrast: Uses in clinical radiology Sophie Vaughan, University Hospital of Wales, Cardiff and Vale University Health Board PROGRAMME P-096 Uncommon anal canal lesions mimicking malignancy Dhivya Murthy Paravasthu, Aintree University Hospital NHS Foundation Trust P-097 A pictorial review of anatomy, typical appearances, and complications related to common gastrointestinal INFORMATION tract (GIT) surgeries Ajay Sahu, Plymouth Hospitals NHS Trust P-098 Percutaneous biliary stenting in a DGH - comparison with national audit David Little, Great Western Hospitals NHS Trust P-099 Combined fluoroscopic and CT imaging to improve the diagnostic accuracy of anastomotic leaks and VICE PRESIDENTS & WORKING PARTY P-100 A trainee’s guide to hypervascular liver lesions MONDAY SESSIONS intestinal fistulae Anesh Patel, Surrey and Sussex Healthcare NHS Trust P-102 A pictorial review of endoscopic ultrasound of hepatobiliary system and pancreas: A checklist for the radiologist Nadya Jabbar, Wirral University Teaching Hospital NHS Foundation Trust P-101 A pictorial review of unusual gallstone complications Nicola Ley, Yorkshire and Humber School of Radiology Ajay Sahu, Plymouth Hospitals NHS Trust TUESDAY SESSIONS P-103 A pictorial review of pancreatic and extra-pancreatic imaging findings in autoimmune pancreatitis Ajay Sahu, Plymouth Hospitals NHS Trust P-104 Radiological features of pathology in the appendix and right hemicolon: A pictorial review WEDNESDAY SESSIONS Syed Mustafa, University Hospital of Wales, Cardiff and Vale University Health Board Clinical: Paediatrics P-105 In the neck of time WORKSHOPS Simon Ewart, Royal Devon and Exeter NHS Foundation Trust P-106 Imaging the submandibular gland and space in children - normal appearances and pathology Sacha Pierre, Royal Sussex County Hospital, Brighton and Sussex University Hospitals NHS Trust Clinical: Multisystem disorders SATELLITE SYMPOSIA P-107 Extra-medullary haematopoiesis: A pictorial review of its typical and atypical locations in our practice Ajay Sahu, Plymouth Hospitals NHS Trust P-108 Manifestations of extra pulmonary lymphoma: A pictorial review POSTER LISTING Tarig Adlan, Plymouth Hospitals NHS Trust P-109 Extrapulmonary tuberculosis - re-emergence of the ‘great pretender’ Emma Phelan, Tallaght Hospital, Dublin, Ireland ePOSTER LISTINGS P-110 Unusual presentations of malignant melanoma metastases: A pictorial review EDUCATION ON STANDS P-111 A review of interventional radiology and its utilisation in trauma patients Sophie Vaughan, University Hospital of Wales, Cardiff and Vale University Health Board Clinical: Intervention and trauma Sachin Modi, Heart of England NHS Foundation Trust EXHIBITION PLAN & LIST P-112 Patients’ experience of anxiety and pain during interventional radiology procedures James Roberts, Countess of Chester Hospital NHS Foundation Trust P-113 Inferior vena cava filters - an audit of their justification, planned longevity and retrieval Natalia White, Salisbury District Hospital EXHIBITOR INFORMATION P-114 The role of ultrasound guided hydrodistension in adhesive capsulitis Rubina Azam, Whipps Cross University Hospital, Barts Health NHS Trust P-115 Complications of the mynx arterial closure device Stuart Barnard, Middlemore Hospital (CMDHB), New Zealand PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 Errors and discrepancies P-118 Discrepancy highlighting - system to highlight and potentially expedite patients with discordant radiology reports Caroline Blower, NHS Ayrshire & Arran P-119 Lump in neck GPs ability to refer to community ultrasound reduces work load of cancer pathway. But at what cost? Delayed diagnosis, professional and legal vulnerability Conor Aleman, Heatherwood and Wexham Park Hospitals NHS Foundation Trust P-120 Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations Nick Woznitza, Homerton University Hospital P-121 Missed lung cancers on chest radiographs Sze Mun Mak, Chelsea and Westminster Hospital NHS Foundation Trust P-122 Obesity increases precision errors in fat, lean and bone mineral density measurements on total body dual energy x-ray absorptiometry scans Karen Knapp, University of Exeter P-123 Mimics of pancreatic tail lesions on cross sectional imaging Dhivya Murthy Paravasthu, Aintree University Hospital NHS Foundation Trust VENUE PLAN WELCOME John Asquith, University Hospital of North Staffordshire NHS Trust PROGRAMME P-117 Review of catheter directed thrombolysis for acute limb ischaemia INFORMATION pulmonary lesion Afaq Siddiqui, Huddersfield Royal Infirmary, Calerdale and Huddersfield NHS Foundation Trust VICE PRESIDENTS & WORKING PARTY P-116 Retrospective analysis of diagnostic yield and complication of percutaneous CT guided needle biopsy of 113 MONDAY SESSIONS POSTER LISTING P-125 How can PET/CT amyloid imaging aid in the diagnosis of alzheimers disease? Louise Jordan, Newcastle Hospitals NHS Trust P-126 Optimising body CT imaging for SPECT.CT tumour isotope imaging Peter Strouhal, Royal Wolverhampton Hospital P-127 “New clear” hybrid imaging for pulmonary emboli Peter Strouhal, Royal Wolverhampton Hospital P-128 Breast cancer: The curious incidence of the hot head on the bone scan WEDNESDAY SESSIONS Molecular and functioning imaging WORKSHOPS Waheed Mustafa, Basildon and Thurrock University Hospitals NHS Foundation Trust TUESDAY SESSIONS P-124 Audit of the management of “adrenal incidentalomas” Ian Henderson, Robert Gordon University, Aberdeen P-133 How much does imaging influence speed of discharge in hospital? R Simon Davies, Abertawe Bro Morgannwg University Health Board P-134 A prospective audit into radiology requesting in an acute medical unit: Are imaging requests being processed within the recommended timeframe? Teresa Jacob, Basildon and Thurrock University Hospital Professional training and education P-135 Self-assessment = autonomous learner? Alexandra Partner, School of Health and Social Care, University of Derby P-136 An observational study of intercultural communication in diverse professional learning groups Peter Hogg, School of Health Sciences, University of Salford P-137 Partnership working: Changing cultures and winning awards Sophie Willis, Royal Free London NHS Foundation Trust POSTER LISTING ePOSTER LISTINGS Helena Barton, North Bristol NHS Trust P-132 Implementing advanced practice in diagnostic radiography: The Scottish perspective 2013 EDUCATION ON STANDS Ajay Sahu, Plymouth Hospitals NHS Trust P-131 Experiences of a new off site CT colonography service EXHIBITION PLAN & LIST Nicholas Taylor, Great Western Hospitals NHS Foundation Trust P-130 One stop orthopaedic clinic: Value-added musculoskeletal radiology in the new model of patient care cycle EXHIBITOR INFORMATION P-129 The art of rejection PRESENTER INDEX Innovation in service delivery SATELLITE SYMPOSIA Nicholas Ridley, Great Western Hospitals NHS Foundation Trust The UK Radiological Congress POSTER LISTING 114 VENUE PLAN P-138 Overview of a European summer school for diagnostic imaging research Peter Hogg, School of Health Sciences, University of Salford WELCOME P-139 An evaluation of interactive sessions involving radiography students and a simulated patient John Huckle, Faculty of Medicine and Health, University of Leeds P-140 Integration of person centred care in radiography education Louise Mifsud, Robert Gordon University, Aberdeen PROGRAMME P-141 Modelling the migration patterns of radiography undergraduates INFORMATION P-143 Exploring the transition period of diagnostic radiographers during their first three months of practice Chris Wright, Sheffield Hallam University P-142 Using social media to promote the radiography subject area Alexandra Partner, School of Health and Social Care, University of Derby Jane Harvey-Lloyd, University Campus Suffolk P-144 Radiology referrals: A call for further undergraduate radiology education Nishanth Sivarasan, Royal London Hospital, Barts Health NHS Trust VICE PRESIDENTS & WORKING PARTY P-145 Reporting by radiographers – computer tomography examinations of the head Paul Lockwood, Canterbury Christ Church University P-146 How advanced is our advanced practice? A survey of reporting radiography practice in England Victoria Ballard, Brighton and Sussex University Hospitals NHS Trust P-147 When are specialist registrars worth their weight in gold? MONDAY SESSIONS Derfel Ap Dafydd, Imperial College Healthcare NHS Trust P-148 Establishing a postgraduate MRI training programme: 5 year review Wendy Wilkinson, InHealth Group TUESDAY SESSIONS P-149 Student perception of performance post recorded diagnostic radiography clinical simulation Louise Mifsud, Robert Gordon University, Aberdeen P-150 Does simulation enhance the experiential learning of diagnostic radiography students? WEDNESDAY SESSIONS Jennie Swift, Sheffield Hallam University P-151 Death and dying - are students prepared? Alexandra Partner, University of Derby P-152 An analysis of the student and tutor experience of an Erasmus funded residential research event WORKSHOPS Peter Hogg, School of Health Sciences, University of Salford P-153 The utility of applications (Apps) in the radiography curriculum: A baseline survey of student opinion Jane Harvey-Lloyd, University Campus Suffolk P-154 What, where, and how; a proposal for structuring preliminary clinical evaluations SATELLITE SYMPOSIA P-155 The patient experience - are you getting it right? The use of scenarios to emphasise the importance of POSTER LISTING Chris Wright, Sheffield Hallam University P-156 Peer review in mammography - an essential part of learning and development interactions within the clinical setting Georgina Howie, NHS Ayrshire & Arran Laura Starr, University Hospital South Manchester ePOSTER LISTINGS P-157 Investigating the use of positioning and lead shielding to reduce gonad dose in lumbar spine examinations Sarah Simpson, University of Salford P-158 The rules of the game EDUCATION ON STANDS Peter Winter, Cardiff University Computer assisted detection/diagnosis and image perception P-159 An investigation into perceived image quality by the application of colour scales to chest radiographs EXHIBITION PLAN & LIST Peter Holden, University of Salford P-160 Iterative reconstruction for CT pulmonary angiograms: A phantom study to investigate potential dose reduction Ruth Clarke, Mid Yorkshire Hospitals NHS Trust EXHIBITOR INFORMATION P-161 CO2 angiography; why use it? Muhammad Yaman Adi, University Hospital Birmingham P-162 A method to investigate image blurring due to mammography machine compression paddle movement Peter Hogg, School of Health Sciences, University of Salford PRESENTER INDEX P-163 Development of personalised paediatric femora model using CT Xinshan Li, Department of Mechanical Engineering, University of Sheffield JOIN THE CONVERSATION #UKRC2014 P-165 Peninsula Trauma Centre: Our experience of imaging of pelvic fractures with emphasis on review of anatomy, classification systems and associated injuries Ajay Sahu, Plymouth Hospitals NHS Trust P-166 Increasing SID for AP pelvis imaging - impact on radiation dose and image quality Charlie Everton, University of Salford P-167 Cone beam CT for upper and lower limbs: Scanning techniques Veronique Sauret-Jackson, Cavendish Imaging Ltd VENUE PLAN Carys Jenkins, University Hospital of Wales, Cardiff and Vale University Health Board WELCOME P-164 Diffusion weighting in abdominal imaging – a problem solving tool 115 PROGRAMME POSTER LISTING Clinical: Nuclear medicine P-170 Are current guidelines appropriate for repeat bone scanning in skeletal metastases? Kenneth Murphy, NHS Ayrshire & Arran P-171 An overview of lymphoscintigraphy; what is a positive result and how does this change the management? Nicola Ley, Yorkshire and Humber School of Radiology P-172 The value of I123 SPECT CT in the follow up of patients with differentiated thyroid cancer Nicola Robson, Poole Hospital NHS Foundation Trust Patient dose measurement and management P-173 The uncertainty of dose-area product measurements and the impact on patient dose monitoring Edwina Peck, Addenbrooke’s Hospital VICE PRESIDENTS & WORKING PARTY Louise Jordan, Newcastle Hospitals MONDAY SESSIONS P-169 Evaluation of carbon fibre for use in MRI radiotherapy treatment planning TUESDAY SESSIONS Emma Phelan, Tallaght Hospital, Dublin, Ireland INFORMATION P-168 Dual energy computed tomography in tophaceous gout - an old disease with a new perspective Hishar Hassan, Centre for Diagnostic Nuclear Imaging, Universiti Putra Malaysia P-179 Computed tomography requesting practise: Are intravenous contrast guidelines being followed and renal function being documented? Christian Burd, Chelsea and Westminster Hospital NHS Foundation Trust Radiation protection and quality assurance P-180 A review of QC testing practices across the North West Conor Clancy, The Christie NHS Foundation Trust P-181 Justification of polytrauma CT at a UK major trauma centre Tharsi Sarvananthan, Radiology Department, Royal Sussex County Hospital P-182 Can inter- and intra-observer variation in the assessment of threshold contrast detail detectability be improved? Debbie Saunders, Cambridge University Hospitals P-183 The radiation legislation awareness of foundation year doctors Gary Cross, West Hertfordshire Hospitals NHS Trust P-184 Low dose computed tomography for orthopaedic pelvic CT Jacob Oommen, Wrightington, Wigan & Leigh NHS Foundation Trust P-185 Evaluation of the appropriateness of whole body computer tomography (WBCT) in trauma patients in a tertiary trauma centre Neena Kalsy, Aintree University Hospital NHS Trust P-186 The use of real time dose monitoring within interventional radiology Stephanie Dobson, Aintree University Hospital NHS Trust WORKSHOPS SATELLITE SYMPOSIA P-178 Characterization of flat fiber for patient dose measurements POSTER LISTING Melissa McMurran, NHS Ayrshire & Arran ePOSTER LISTINGS P-177 Automated dose management: Maximising dose reduction and optimisation with compliance to ALARA EDUCATION ON STANDS Claire Mercer, University Hospital of South Manchester NHS Foundation Trust EXHIBITION PLAN & LIST P-176 Closing the loop - medical physics feedback in mammography EXHIBITOR INFORMATION Jeremy Nicoll, BreastScreen Aotearoa, National Screening Unit, New Zealand PRESENTER INDEX Hishar Hassan, Centre for Diagnostic Nuclear Imaging, Universiti Putra Malaysia P-175 Mean glandular dose and image quality in BreastScreen Aotearoa, New Zealand in 2012 WEDNESDAY SESSIONS P-174 Patient dose management: Should we move to lean body mass? The UK Radiological Congress POSTER LISTING 116 VENUE PLAN P-187 Audit of the formal recording of inpatient plain film radiograph interpretation in patients’ notes Waheed Mustafa, Basildon and Thurrock University Hospitals NHS Foundation Trust WELCOME P-188 10 kVp rule - an anthropomorphic pelvis phantom imaging study using a CR system: Impact on image quality and effective dose using AEC and manual mode Abdulfatah Ahmed, University of Salford P-189 4 point patient ID check - Why, Who, When and What? PROGRAMME Nishant Omar, Bradford Teaching Hospitals NHS Foundation Trust P-190 Comparing the Leeds Test Object TO.CTIQ phantom to the RMI Gammex IQ phantom Paul Charnock, Integrated Radiological Services (IRS) Ltd INFORMATION Other P-191 Lymphoma - the great imitator J.A Abjulkarim, George Eliot Hospital NHS Trust P-192 You want to scan what? No worries VICE PRESIDENTS & WORKING PARTY Elizabeth Davies, Toshiba Medical Asia Pacific P-193 Developing and validating a psychometric scale for AP pelvis image quality assessment Hussien Mraity, University of Salford P-194 The evolution of X-ray diagnostics based on examples of the specific US Army hospitals in Kuwait and MONDAY SESSIONS Multinational Division Central-South under Polish command in 2003-2004 Leslaw Kolarz, Polish Navy Hospital, Gdansk, Poland P-195 A closed loop audit of adequacy in completion of radiology request forms in general surgery at a large tertiary teaching hospital Saranya Vickramarajah, Department of Colorectal surgery, Addenbrookes Hospital TUESDAY SESSIONS P-196 Cardiothoracic ratio: The effect of increasing breast size on heart magnification Claire Melia, University of Salford P-197 Lord Kelvin and the discovery of X-rays WEDNESDAY SESSIONS Brian Mucci, NHS Greater Glasgow and Clyde P-198 Health physicists are from Mars, patients are from Venus Simon Hook, University of Hertfordshire WORKSHOPS P-199 The role of imaging in the research and diagnosis of neurodevelopmental delays in children under 5 years old Kerri Shortt, University of Hertfordshire P-200 The effect of Adaptive Iterative Dose Reduction 3D (AIDR 3D) on radiation dose in a cardiac CT practice: Reducing dose, improving practice A Naraen, University of Liverpool SATELLITE SYMPOSIA P-201 The role of multi detector computed tomography in the evaluation of the effects of Kawasaki disease upon POSTER LISTING P-202 Contribution of fetal MRI in diagnosis of congenital lung lesions in clinical practice the heart and coronary arteries: A comparison with invasive coronary angiography Diarmuid Mac Reamoinn, University of Liveprool Nadia Rahaim, Department of Reproduction and Developmental Medicine, University of Sheffield P-203 Congenitally absent piriformis muscle, a case report ePOSTER LISTINGS Khalid Nisar, University of Manchester Medical School P-204 An investigation into the use of unenhanced computed tomography kidney, ureter and bladder (CTKUB) EDUCATION ON STANDS examinations in diagnosing suspected acute renal colic at a NHS hospital in the United Kingdom Sheryl Grey, University of Hertfordshire P-205 Imaging of hepatocellular carcinoma: A review of imaging techniques and appearances Julia Repas, City University London EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 Stavroula Theodorou, University of Ioannina, Greece e-003 Intervertebral disk and supporting structures: imaging of normal anatomy and disease processes with pathologic correlation Stavroula Theodorou, University of Ioannina, Greece e-004 Association of upper thoracic injury with sternal fracture in trauma Karen Mullin, Nottingham University Hospitals e-005 Trauma in ankylosing spondylitis Victoria Ballard, Brighton & Sussex University Hospitals NHS Trust e-006 Solitary skeletal FDG uptake on 18F-FDG PET-CT of oncology patients - What is the significance? Luke Sonoda, Paul Strickland Scanner Centre, Mount Vernon Hospital Clinical: Head and neck; dental and maxillofacial e-007 Multiplanar CT for the assessment of sinusitis: what the surgeons want to know Sofia Otero, Lister Hospital, Stevenage e-008 CT of the temporal bone: normal anatomy and complications of middle ear cholesteatoma Sofia Otero, Lister Hospital, Stevenage e-010 Post high-dose radiotherapy osteoradionecrosis demonstrated in 18F-FDG PET-CT of head and neck cancer VENUE PLAN WELCOME e-002 Pelvic skeleton: evaluation of common and uncommon disease processes with MR imaging PROGRAMME Abdelrahman Omer, James Cook University Hospital, Middlesbrough INFORMATION e-001 Surveying the survey: Radiographic skeletal survey in screening of multiple myeloma VICE PRESIDENTS & WORKING PARTY Clinical: Musculoskeletal 117 MONDAY SESSIONS ePOSTER LISTING e-011 Is it SAFE to do half-body (above-diaphragm) 18F-FDG PET-CT in the management of head & neck cancers? Luke Sonoda, Paul Strickland Scanner Centre, Mount Vernon Hospital TUESDAY SESSIONS Luke Sonoda, Paul Strickland Scanner Centre, Mount Vernon Hospital Luke Sonoda, Paul Strickland Scanner Centre, Mount Vernon Hospital Clinical: Neuroradiology e-014 Emergency MR imaging in Cauda equina syndrome-5 year retrospective study in a tertiary neurosurgical centre Elizabeth Mackay, The Walton Centre for Neurology & Neurosurgery WORKSHOPS Luke Sonoda, Paul Strickland Scanner Centre, Mount Vernon Hospital e-013 Accuracy of 18F-FDG-PET-CT in detecting direct bony/cartilaginous involvement by head & neck cancers WEDNESDAY SESSIONS e-012 How often do we see sarcoid-like reaction in head and neck malignancy on 18F-FDG PET-CT? Atique Imam, Great Western Hospital Foundation Trust e-017 Wilson’s Disease – MR neuroimaging features Nageswara Rao Tummala, NRI Medical College & General Hospital, Chinakakani, India POSTER LISTING Fiona Caswell, NHS Grampian e-016 A review of ring enhancing lesions in the brain SATELLITE SYMPOSIA e-015 Brain herniation Fiona Caswell, NHS Grampian e-019 Intracranial complications of ENT infections ePOSTER LISTINGS e-018 Review of intracranial devices Fiona Caswell, NHS Grampian e-022 Appropriate and timely stroke imaging Louise Haine, Department of Radiology, Sheffield Teaching Hospitals NHS Trust e-023 Uncommon bilateral symmetrical thalamic infarcts – A report of four cases Nageswara Rao Tummala, NRI Medical College and General Hospital, Chinakakani, India e-024 Manifestations of tuberous sclerosis complex in multi-ethnic Malaysian race: A pictorial review Norafida Bahari, Universiti Putra Malaysia,Malaysia e-025 Imaging of CNS demyelination Atique Imam, University Hospitals of Leicester NHS Trust EXHIBITION PLAN & LIST e-021 Pictorial review of ventricular pathologies EXHIBITOR INFORMATION Aparna Devi Yepuri, NRI Medical College & General Hospital, Chinakakani, India PRESENTER INDEX e-020 Isolated idiopathic neonatal intracranial vascular calcifications – A first case report in English literature EDUCATION ON STANDS Fiona Caswell, NHS Grampian The UK Radiological Congress ePOSTER LISTING 118 VENUE PLAN e-026 Primary CNS lymphoma- A case report Safia Rehman, George Eliot Hospital WELCOME e-027 Posterior reversible encephalopathy – MR imaging Aparna Devi Yepuri, NRI Medical College & General Hospital, Chinakakani, India e-028 A pictorial case report on the utilisation of advanced imaging techniques in CSF Rhinorrhea Prasad Vadday, Cambridge University NHS Hospital PROGRAMME e-029 Do we use consensus UK criteria for carotid ultrasound to accurately assess carotid artery disease? - a retrospective audit with potentially significant surgical implications Waheed Mustafa, BTUH INFORMATION Clinical: Chest e-030 Safety, diagnostic adequacy and accuracy of percutaneous transthoracic biopsies - a retrospective re-audit Nazleen Muhamamad Gowdh, Aberdeen Royal Infirmary e-031 Cannabis smoking and it’s respiratory consequences: A review of HRCT’s VICE PRESIDENTS & WORKING PARTY Robert Colliver, Whittington Hospital e-032 Radiofrequency ablation (RFA) of lung lesions: A single center experience Sailaja Reddy, Manchester Royal Infirmary e-033 Audit of CT-guided lung biopsies:effect of needle size and type on outcome Henna Singh, NHS Greater Glasgow and Clyde MONDAY SESSIONS e-034 Breast tissue bulge and lesion visibility during stereotactic biopsy – a phantom study Lisa Hackney, University Hospital North Staffs Clinical: Uroradiology/Gynaecology/Obstetrics TUESDAY SESSIONS e-035 Accuracy of multiparametric MRI in diagnosis of prostate cancer Hiba Abbas, Heatherwood and Wexham Park Hospitals NHS Foundation Trust e-036 Follow-up imaging in urinary tract calculi WEDNESDAY SESSIONS Ian Wood, Oxford University Hospital NHS Trust e-037 Evaluation of GP direct access ( NICE CG122) and sensitivity of CA 125 in diagnosis or ovarian and other significant pathology Jenny Maniyar, Kettering General Hospital WORKSHOPS e-038 Fetal MRI Matthew Fox, Centre for the Developing Brain, Division of Imaging Sciences and Biomedical Engineering, King’s College London SATELLITE SYMPOSIA e-039 MRI of congenital uterine anomalies Sailaja Reddy, Manchester Royal Infirmary e-040 Morbidly adherent placenta and adherence to local and NICE guidelines since 2009 at the Jessop Wing, Sheffield Elspeth Whitby, University of Sheffield POSTER LISTING Clinical: GI and hepatobiliary e-041 A constellation of unusual acute small bowel pathology presenting to the on-call radiologist ePOSTER LISTINGS Sofia Otero, Lister Hospital, Stevenage e-042 MR enterography: A pictorial review Sacha Pierre, East Sussex Hospitals NHS Trust EDUCATION ON STANDS e-043 Extra-enteric findings on magnetic resonance enterography (MR-E): A pictorial review EXHIBITION PLAN & LIST e-045 Biliary complications following transarterial chemoembolization of HCC: an entity which an interventional A Sahu, Plymouth Hospitals NHS Trust e-044 ERCP and the radiologist – is a formal report still required? Tarryn Carlsson, University Hospitals Bristol radiologist needs to be aware of Ekta Dhamija, All India Institute of Medical Sciences, New Delhi, India EXHIBITOR INFORMATION e-046 An audit of a patient satisfaction survey of a Computed Tomography Colonoscopy (CTC) service Jane Harvey-Lloyd, University Campus Suffolk e-047 The use of the abdominal radiograph as a diagnostic tool Monique Shahid, Calderdale and Huddersfield NHS Foundation Trust PRESENTER INDEX e-048 Multicentre Prospective analysis of 18F-FDG PET-CT in the management of fever of unknown origin Luke Sonoda, Paul Strickland Scanner Centre, Mount Vernon Hospital JOIN THE CONVERSATION #UKRC2014 therapeutic option- An ongoing work Ekta Dhamija, All India Institute of Medical Sciences, New Delhi, India e-053 An electronic review of cystic hepatic lesions Ali Khan, North Manchester General Hospital e-054 Imaging of complications following hepatobiliary surgery Sook cheng Chin, Leeds Teaching Hospital NHS Trust e-055 Role of segment IV hepatic artery in evaluation of liver transplantation Awais Ahmed, Department of Radiology, Shifa International Hospital, Islamabad, Pakistan e-056 Diffusion weighted imaging in the assessment of HCC in liver cirrhosis Syed Adnaan Ali, Dept of Medical Imaging, King Abdul-Aziz Medical City, Saudi Arabia e-057 Role of accessory right inferior hepatic veins in evaluation of liver transplantation Awais Ahmed, Department of Radiology, Shifa International Hospital, Islamabad, Pakistan e-058 MRCP as a pre-operative tool for predicting variant biliary anatomy in living related liver donors Awais Ahmed, Department of Radiology, Shifa International Hosiptal, Islamabad, Pakistan e-059 Role of three-dimensional (3D) multi-planar reformat (MPR) CT staging of pancreatic malignancy A Sahu, The North West London Hospitals NHS Trust Clinical: Paediatrics e-060 Case review of flat bone aneurysmal bone cyst Kelvin Choi, Royal Manchester Children’s Hospital, Manchester e-061 Imaging of the paediatric cervical spine Sufi Sadigh, Chelsea and Westminster Hospital NHS Foundation Trust e-062 Pictorial review of non accidental injury Sufi Sadigh, Chelsea and Westminster Hospital NHS Foundation Trust VENUE PLAN WELCOME e-064 Imaging Autism Spectrum Disorder- A Literature Review SATELLITE SYMPOSIA Clinical: Multisystem disorders /intervention and trauma POSTER LISTING e-063 Developmental dysplasia of the hip and the radiographer PROGRAMME e-052 Acetic acid ablative therapy for the treatment of Hepatocellular carcinoma, a promising and affordable INFORMATION identification and its importance in transarterial chemoembolization Ekta Dhamija, All India Institute of Medical Sciences, New Delhi, India VICE PRESIDENTS & WORKING PARTY Awais Ahmed, Department of Radiology, Shifa International hospital, Islamabad, Pakistan e-051 Extrahepatic collateral supply to Hepatocellular Carcinoma (HCC): sources, technique of MONDAY SESSIONS e-050 Median arcuate ligament syndrome: are we neglecting it ??? TUESDAY SESSIONS symtoms – 10 years retrospective study Luke Sonoda, Paul Strickland Scanner Centre, Mount Vernon Hospital WEDNESDAY SESSIONS e-049 Entero-gastric reflux detected in 99mTc-HIDA cholescintigraphy in patients with upper abdominal & biliary 119 WORKSHOPS ePOSTER LISTING Holly Spencer, University Hospital Southampton NHS Foundation Trust Jane Harvey-Lloyd, University Campus Suffolk e-067 Role of Multispiral Computed Tomography in Esophageal Stent Selection and Control of Postoperative Complication Julia Sidorova, Botkin Hospital, Russian Federation e-068 Tackling the encrusted nephrostomy tube- a stepwise approach Hannah Warner, Sheffield Teaching Hospitals Trust e-069 Locking versus non-locking pigtail-catheters in nephrostomy A M Khan, Royal Wolverhampton Hospital NHS Trust Errors and discrepancies e-070 Blinded by bubbles EDUCATION ON STANDS which eventually explain patient’s symptoms A Sahu, Plymouth Hospitals NHS Trust EXHIBITION PLAN & LIST e-066 MRI to look for occult femoral neck fracture: A pictorial review of multiple incidental mimicking conditions, EXHIBITOR INFORMATION Safia Rehman, George Eliot Hospital ePOSTER LISTINGS e-065 Malignant hypercalcemia- ignoring the obvious Nazleen Muhammad Gowdh, NHS Grampian PRESENTER INDEX Maaz Ghouri, Royal Victoria Infirmary, Newcastle- Upon-Tyne e-071 Voice recognition system report accuracy The UK Radiological Congress ePOSTER LISTING 120 VENUE PLAN e-072 Unenhanced CT scans: positive findings presented at the interesting case meeting Anesh Patel, Surrey & Sussex NHS Healthcare Trust WELCOME e-073 Artefacts in muskuloskeletal ultrasound: Blessing or disguise? A Sahu, Plymouth Hospitals NHS Trust e-074 A quantitative study to establish anatomical and/or pathological predictors for the ‘incorrect’ classification of PROGRAMME red dot markers on wrist radiographs taken in accident and emergency (A&E) departments Rebecca Kranz, Teesside University Health informatics e-075 Digital librarianship - data storage challenges in radiology INFORMATION Alexander Peck, Royal Brompton & Harefield NHS Foundation Trust e-076 Naturalistic radiology reporting workflow evaluation with Eyetracking and video observation: An exploratory study Simon Rickaby, Kingston University VICE PRESIDENTS & WORKING PARTY e-077 PACS invited round for tea - getting images to radiologists at home Sujenthar Thilakendran, Royal Brompton & Harefield NHS Foundation Trust Innovation in service delivery e-078 Image transfer teams - why do we need them? Carla Juniper, Royal Brompton & Harefield NHS Foundation Trust MONDAY SESSIONS e-079 An investigation into why service users choose to access a Minor Injury Unit Jane Harvey-Lloyd, University Campus Suffolk e-080 Development of a database to schedule, plan and follow up patients undergoing Endovascular Aneurysm TUESDAY SESSIONS Repair (EVAR) Rakesh Patel, North West London Hospitals NHS Trust WEDNESDAY SESSIONS Professional training and education e-081 Radiologist knowledge of drugs used in the management of contrast reactions Fiona Caswell, NHS Grampian e-082 A critical examination of the experiences and attitudes of imaging radiographers in the independent sector WORKSHOPS to continuous professional development Paola Griffiths, Newport University e-083 An evaluation of Continuing Professional Development (CPD) portfolio workshops Jane Harvey-Lloyd, University Campus Suffolk SATELLITE SYMPOSIA e-084 Reflections on professional identity and shared values amongst health and social care students Jane Harvey-Lloyd, University Campus Suffolk e-085 Using service users in the diagnostic radiography curriculum POSTER LISTING Jane Harvey-Lloyd, University Campus Suffolk e-086 Careers in radiology- what do tomorrow’s doctors think? Kirsty Knight, University Hospitals Leicester ePOSTER LISTINGS e-087 The role of the clinical radiologist in the UK: perceptions of hospital doctors Mitesh Naik, Maidstone and Tunbridge Wells NHS Trust e-088 Collaboration and communication, developing skills for future healthcare delivery EDUCATION ON STANDS Sophie Willis, City University London Advances e-089 The impact of adaptive statistical iterative reconstruction (ASiR) technology on radiation dose and lifetime EXHIBITION PLAN & LIST risk of cancer from CT Head and CTPA scans Charlotte Bruce, Peninsula College of Medicine and Dentistry e-090 Audit of contrast enhanced ultrasound service Lilia Khafizova, Aintree University Hospital NHS Trust EXHIBITOR INFORMATION e-091 Upper limb musculo-skeletal ultrasound Ali Nawaz Khan, Manchester e-092 Statistical Analysis: CT Colonography and Barium Enema Jia Jun Ng, Singapore General Hospital PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 e-094 CT doses pre and post SAFIRE (Sinogram Affirmed Iterative Reconstruction) Neda Noroozian, Queen Elizabeth University Hospital Birmingham NHS Foundation Trust e-095 An audit and re-audit of IV contrast extravasation incidents Antoni Sergot, Imperial College Healthcare NHS Trust e-096 Production of a test object to measure the modulation transfer function of computed and digital radiography detectors Matthew Williams, Velindre NHS Trust VENUE PLAN A Sahu, Plymouth Hospitals NHS Trust WELCOME e-093 Emerging use of ultrasound and MRI in peripheral nerve injuries and disorders 121 PROGRAMME ePOSTER LISTING e-100 Improving trauma ankle imaging Sophie Willis, Royal Free London NHS Foundation Trust e-101 Significance of unexpected focal increased 18F-FDG uptake in the parotid gland Hilary Matthews, Lancashire Teaching Hospitals NHS Trust e-102 International review of the use of lead rubber during projection imaging Sophie J Willis, QEII Health Sciences Centre, Halifax, Nova Scotia e-103 The effect of exposure parameter variation during projection imaging of the chest (CXR) in obese patients Sophie Willis, Colchester Hospital University NHS Foundation Trust Student radiographers e-104 Children in Slovenia’s understanding of X-ray VICE PRESIDENTS & WORKING PARTY radiography Jane Harvey-Lloyd, University Campus Suffolk MONDAY SESSIONS e-099 Optimising patient dose for obese patients during trauma imaging of the lateral lumbar spine using digital TUESDAY SESSIONS Sophie Willis, City University London INFORMATION e-097 Optimising lateral lumbar spine image imaging protocols e-106 An investigation into the use of Bone Scintigraphy as a second line imaging modality for patients with radiographically occult scaphoid fractures Linford Adams, City University London e-107 What future for FAST in cases of blunt abdominal trauma? Samuel Bennett, City University London e-108 A comparative evaluation of CT and US in the Imaging of Abdominal Aortic Aneurysms Roaya Zuhair, City University London e-109 A review to explore techniques for optimising scanning parameters during CT imaging of paediatrics WORKSHOPS Jane Harvey-Lloyd, University Campus Suffolk SATELLITE SYMPOSIA e-105 Fibrodysplasia Ossificans Progressiva- A Devastating Rare Genetic Disorder of Extra-Skeletal Bone Formation WEDNESDAY SESSIONS James Harding, University College Dublin Other e-113 Breast ultrasound for the FRCR: a pictorial review Anthony Maxwell, Nightingale Centre and Genesis Prevention Centre, University Hospital of South Manchester e-114 To audit the performance and usage of MRI breast over one year period in accordance with BSBR guidelines Gemma Smith, Bradford Teaching Hospitals NHS Foundation Trust e-115 Imaging of stroke syndromes Luqman Malik, University Hospitals of Leicester NHS Trust ePOSTER LISTINGS EDUCATION ON STANDS Joseph Purdey, City University London EXHIBITION PLAN & LIST e-112 A review of Radiographer Reporting on CT Head Scans in A&E EXHIBITOR INFORMATION Aadam Amarchih, City University London PRESENTER INDEX Shelesh Peters, City University London e-111 Comparison of stent safety in patients with acute ST-segment elevated myocardial infarction POSTER LISTING Aileen Dillon, City University London e-110 A comparison of MDCT techniques for imaging coronary artery disease The UK Radiological Congress EDUCATION ON THE STANDS 122 VENUE PLAN BAYER HEALTHCARE 27 WELCOME The added VALUE of MR contrast agents PROGRAMME The session will cover updates on the new publication, the VALUE study, in relation to liver specific contrast MRI and its use in accurate radiological staging and potential health economic benefits, compared with general extracellular contrast MRI or contrast-enhanced CT. It will also discuss the added value of a 1 molar contrast agent compared with 0.5 molar contrast agents in MRI. INFORMATION Duration: 25 minutes Days and times: 9 & 10 June; 10am, 11am, 2pm, 3pm. 11 June; 10am, 11pm Update on Contrast induced nephropathy (CIN) and its link with Iodinated Contrast Media The importance of contrast induced nephropathy is not widely recognised in spite of being the third leading cause of hospital acquired renal failure. CIN refers to a condition which leads to renal impairment, following intra-vascular administration of contrast, in the absence of any other alternative aetiology. Learning outcomes: Definition of CIN, Pathophysiology, Risk factors, Recent developments, Contrast media and metformin, CIN prevention strategies. VICE PRESIDENTS & WORKING PARTY Requirements for a complete virtual Total Dose Management: Enabling a holistic view colonoscopy solution In this talk, the auditors will learn the important points a of radiation and contrast dose management virtual colonoscopy solution must offer in order to efficiently MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS Total Dose Management should be part of a comprehensive quality assurance programme if it is to contribute to improving patient safety and to help the NHS meet the challenges it faces today. As a result, it is not simply a matter of implementing a system based on the IHE Radiation Exposure Monitoring (REM) profile, and it is essential to involve all HCPs within radiology as well as the medical physicist and radiation safety officer. The session will provide information and tools for both radiation dose & contrast dose monitoring and management in order to optimise radiology workflow and efficiency whilst ensuring consistency. support the evaluation and reporting of a CT Colonography exam. The following points will be covered: • Enhanced 3D review mode to perform a complete colon review in a single fly-through • Electronic cleansing to remove tagged stools and liquid • Computer-aided Detection (CAD) to help identify potentially missed lesions • Integrated C-RADS reporting to communicate the results Days and times: 9 & 10 June; 10:30am, 11:30am, 2:30pm, 3:30pm. 11 June; 10:30am, 11:30pm Days and times: To be advised. Registration in advance is advisable. Visit: http://GuerbetUKRC.eventbrite.co.uk. It will also be possible to register on the day. Examples and illustrations will be taken from the Cadens Colon software. Contact: Sarah Bray on 01635-563216 or email sarah. [email protected] for more or to book. SATELLITE SYMPOSIA GUERBET LABORATORIES 29-30 INHEALTH 11 POSTER LISTING ePOSTER LISTINGS Establishing a Graduate MRI Training Update on Nephrogenic Systemic Fibrosis (NSF) Programme – five year review and its link with Gadolnium Based Contrast Our postgraduate MRI training programme was initiated in 2009, designed to address a shortage of competent MRI radiographers, Agents (GBCAs) EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION The importance of Nephrogenic Systemic Fibrosis (NSF) is not widely recognised despite causing over 100s of fatalities Worldwide. NSF is a rare and only recently described disease, occurring in patients with a history of renal disease who are exposed to gadolinium based (MRI) contrast media, and is characterised by skin induration preferentially affecting the extremities. In addition, involvement of internal organs occurs, which leads ultimately to death. Learning outcomes will include understanding: Definition, Symptoms, Diagnosis & potential Prevention of NSF as well as the role of transmetallation & GBCA in NSF. an increasing demand for the modality and the requirement for services to operate for extended hours. We provide a review of the methods and outcomes of the training programme and challenges and lessons learned from participants. Brain MRI volumetric analysis – enhancing decision-making in the diagnosis of dementia PRESENTER INDEX Clinically, structural imaging is often used after the initial assessment of a patient presenting with cognitive impairment, to exclude a space-occupying lesion or to demonstrate vascular pathology as a cause for their symptoms. Measurement of hippocampal volume from structural MRI scans is a well-established biomarker correlating with disease stage in Alzheimer’s disease. Applying a volumetric analysis to MRI images can therefore enhance clinical decision making. In partnership with IXICO, JOIN THE CONVERSATION #UKRC2014 Modality Worklist Server We will demonstrate our recent Worklist Server deployment for InHealth where we are providing dynamic order management for their 240+ modalities. InHealth had a requirement for last minute diversion of orders, for example, when an intended modality on a mobile unit (Truck) gets intentionally diverted or some other logistical problem gets the wrong mobile unit to a trust. The MDI Modality Worklist GUI provides users with the ability to add/update/delete resources and add/update/delete AE Titles (and also, add/ delete links between resources/AE Titles). 48 The benefits of respiratory control during CT and RT procedures Pentland Medical will introduce a new product, BreathHold, developed by the Mayo Clinic the USA. The BreathHold technique is established and widely used in the USA and elsewhere. The BreathHold system is offered as an extra for use with new Philips and Varian system sales. The session will consist of a short presentation and video on the technique and product. Days and times: 9, 10 & 11 June. 11am, 3pm. Pre-registration is advised. Email: [email protected] with session of preference. PHILIPS An overview of the newest Spectral CT technology providing an understanding of how you can use colour within CT images to identify the composition of what you see and how this quantitative approach can add spectral resolution to image quality, providing both the standard CT anatomical information and the characterisation of structures simultaneously. Days and times: 10 June; 11.45am. PHILIPS TRANSFORMATION SERVICES 51 DX: Dose indicators in digital radiography A 40 minute session providing an overview of the latest techniques and indicators designed to manage and reduce patient dose. Days and times: 9 June; 10am, 13.30pm, 17.30pm. 10 June; 9.45am, 12.45pm, 3.45pm. 11 June; 10am, 1.30pm A 40-minute session on Imaging Services Accreditation Scheme (ISAS). This session provides hints, tips and pitfalls and outlines how to be successful in gaining ISAS accreditation. When: 10 June; 12.45pm. Fostering your growth and improvement in radiology “Foster whole-heartedly the growth and development of all staff, including their ability and support to improve the processes in which they work”, wrote Don Berwick KBE, MD, MPP, FRCP President Emeritus, Institute for Healthcare Improvement. It is one of four key recommendations made in his report on the changes needed in the NHS following the Mid Staffordshire enquiry. Philips Healthcare is pleased to demonstrate the approach it is taking to support its customers to improve their processes. Lesley Wright, former National Director, Diagnostics, NHS Improvement and Philips will demonstrate the skills and techniques of continuous quality improvement. Days and times: 9 June; 11.30am, 16.45. 10 June; 2.15pm, 4pm. 11 June; 4pm. To book, visit: www.philips-events.co.uk/UKRCeducation. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY CT Spectral analysis Practical hints to gain ISAS Accreditation Days and times: The review will be ongoing at the MDI booth throughout conference. PENTLAND MEDICAL Days and times: 10 June; 10am MONDAY SESSIONS 50 TUESDAY SESSIONS MDI SOLUTIONS WEDNESDAY SESSIONS An overview of the latest model based iterative reconstruction tools and the associated benefits in terms of dose, LCD and noise. CT: IMR – knowledge-based iterative reconstruction model WORKSHOPS Days and times: 9 & 10 June. Email: [email protected] to pre-book. Days and times: 9 June; 2.30pm. SATELLITE SYMPOSIA techniques and technology in MR. POSTER LISTING We will present the solutions we have developed to meet a variety of challenges such as service development, meeting national standards and providing 24/7 emergency service whilst working in partnership with a multidisciplinary team including cardiologists, physiologists, radiographers, nurses and administrators. ePOSTER LISTINGS Days and times: 9 June; 11.30pm, 3pm, 4.30pm. 10 June; 11.15am, Developing the capacity and capabilities in a cardiac 2.15pm, 5.15pm. 11 June, 11.15am, 3.30pm. unit for diagnostic and therapeutic procedures MR: Did you know? with 2 catheterisation labs and a day ward An interactive session updating delegates on new EDUCATION ON STANDS Methods and techniques to ensure optimal image quality. EXHIBITION PLAN & LIST DX: Unique image processing EXHIBITOR INFORMATION this session will introduction ASSESSA®, a CE-marked decision-support tool for healthcare professionals looking to diagnose dementia and detect the underlying causes. 123 PRESENTER INDEX EDUCATION ON THE STANDS The UK Radiological Congress EDUCATION ON THE STANDS 124 VENUE PLAN PROTECX MEDICAL 37 WELCOME Radiation protection – get it right first time PROGRAMME Protecx Medical will run training videos on how to correctly select, wear and care for your lead aprons and accessories. Trained staff will be available to answer questions at the end of the session. Days and times: 9, 10 & 11 June. Once an hour from 10am until 2pm. Email: [email protected] to pre-book. INFORMATION SIEMENS 36 VICE PRESIDENTS & WORKING PARTY Hot topics in surgery: The progression of mobile c-arm technology from image intensifier to flat panel MONDAY SESSIONS TUESDAY SESSIONS This session will look into the technological journey of image intensifiers over time and their progression to the use of the flat panel detector. Introducing Siemens new Cios Alpha, we will also discuss how this system can provide you with outstanding image quality combined with the power you need for a diverse range of procedures. We will highlight the clinical cases that the Cios Alpha is suitable for and discuss in more depth for each discipline. Days and times: 9, 10 & 11 June; 10am. WEDNESDAY SESSIONS Hot topics in CT: Single source dual energy WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING Dual energy scanning techniques are now becoming widely available on many CT scanners. These developments are opening Dual Energy possibilities to many more CT departments. In this session, we will look at the techniques and technology that have allowed dual energy scans to find their way into clinical routine. We will discuss the requirements of undertaking single source dual energy scans, the protocols used, the post processing required and the advantages that Dual Energy information can bring to an examination. Days and times: 9, 10 & 11 June; 10:30am. ePOSTER LISTINGS EDUCATION ON STANDS Hot topics in radiography: Getting the most out of your wireless detector in digital radiography EXHIBITION PLAN & LIST EXHIBITOR INFORMATION Advances in detector technology and design have contributed greatly to the improved quality and efficiency of modern radiology departments. This session will look at the many ways wireless detectors are helping radiographers to work faster and smarter. We will demonstrate how Siemens’ innovative new MAX detector systems can support your current practice and enable you to achieve the highest image quality in the shortest possible time. PRESENTER INDEX Days and times: 9, 10 & 11 June; 11am. Hot topics in imaging IT: Optimising advanced visualisation workflow The session will revolve around the use of syngo.via to reduce radiologist time and effort in clinical workflows. Days and times: 9, 10 & 11 June; 11:30am. Hot topics in MR: Advances in MR paediatric imaging This presentation will deliver an overview of recent MR developments and advances in Paediatric Imaging. Topics will include: sequence and coil developments, adaption of techniques, safety considerations during scanning (e.g. anaesthetics), considerations at 3T and advances in interoperative MRI. Days and times: 9, 10 & 11 June; 13:30pm. Hot topics in CT basics: How your Siemens CT scanner works When undertaking CT examinations, it is essential to provide good clinical results whilst ensuring the highest patient safety. The technology used in Siemens CT Scanners has evolved significantly over the years to ensure the optimisation of every scan undertaken. In this session, the progressions made in Siemens CT technology will be presented, such as the Straton x-ray tube including Z – sharp technology and UFC detectors including the recent innovation of the stellar detector. We will also look and dose modulation techniques such as CARE Dose 4D, CARE kV. Finally we will discuss advanced reconstruction techniques; Filtered Back Projection and Iterative Reconstruction. Days and times: 9, 10 & 11 June; 2pm. Hot topics in radiology: Dose management in the interventional room With ever more complex procedures taking place in the interventional room and the potential for a rise in dose, this session will look at basic techniques for dose reduction and how advances introduced by Siemens have helped to measure, record and reduce dose. Days and times: 9, 10 & 11 June; 2:30pm. JOIN THE CONVERSATION #UKRC2014 EDUCATION ON THE STANDS UNFORS RAYSAFE 68 A holistic approach to radiation safety Each year approximately 3.6 billion x-ray examinations are performed worldwide leading to earlier and more accurate diagnosis of medical diseases. However, considerable concern has been voiced regarding the stochastic and even deterministic impact on both patients and medical staff. Authorised bodies have therefore emphasised the importance of ensuring the proper performance of x-ray equipment and of keeping the dose to medical staff and patients as low as reasonably achievable. This suggests that a holistic approach is required to ensure overall radiation safety. Days and times: 10 June; 2:45pm. Email: [email protected] for more information. VENUE PLAN WELCOME PROGRAMME This session will present the new motorised mobile C-Arm. Dr Stefan Wagner, Ziehm Imaging GmbH, Nuremberg, Germany says: “It is ideally placed as a credible alternative solution to fixed hybrid operating room installations and providing breakthrough mobile imaging capabilities for complex vascular and heart surgery.” Dr. David Wilson, St. Lukes Radiology, Oxford, UK says: “Fusion of real time ultrasound and extremity CT allows simultaneous examination of bones, joints, tendons, ligaments and neovascularity. These fusion images provide new and exciting diagnostic opportunities whilst permitting an excellent method of needle guidance for treatment.” INFORMATION Introducing the new motorised C-Arm VICE PRESIDENTS & WORKING PARTY Days and times: 9 & 10 & 11 June; 3pm. 10 MONDAY SESSIONS Siemens eSie Fusion technology solves one of the most difficult and time-consuming parts of fusion workflow 3D alignment. This new innovation supports manual and point-based 3D volume alignment methods in addition to automatic alignment of CT volumes with a single click. With eSie Fusion Imaging on the ACUSON S3000 system, fusion can now be easily integrated into routine clinical practice. XOGRAPH TUESDAY SESSIONS Hot topics in Ultrasound: eSie Fusion Imaging in radiology 125 SATELLITE SYMPOSIA WORKSHOPS WEDNESDAY SESSIONS Days and times: 10 June; 2pm. Email: [email protected] to pre-book. EDUCATION ON STANDS ePOSTER LISTINGS POSTER LISTING Advance your career in Radiography and Radiotherapy Apply now MSc Medical Imaging and Radiation Sciences EXHIBITION PLAN & LIST Specialise in: • Diagnostic imaging • Diagnostic ultrasound • Image interpretation • Radiotherapy and oncology go.herts.ac.uk/mirs or call us on 01707 284956 Radiography_148.5x210_RAD.indd 1 Health courses for healthy futures GA14091/05_14 PRESENTER INDEX For more information visit: EXHIBITOR INFORMATION Study for a stand-alone CPD module only, a short course or complete a full master’s award. New modules starting in September 2014! 07/05/2014 14:56 The UK Radiological Congress EXHIBITOR LIST BY STAND NUMBER 126 VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS 1 Pentland Medical Ltd/Sky Factory 2 Qados – expertise in radiology 3 Sugarman Medical 5 Diagnostic Healthcare Limited 6 RxEye 7 Hospital Services Ltd 8 HealthNetConnections Ltd 9 Xograph Healthcare Ltd 10 InHealth Ltd 11 4Ways Healthcare 14 Sheffield Hallam University 15 Wardray Premise Ltd 18 GE Healthcare 20 The College of Radiographers/e-LfH 21 Oxford University Hospitals NHS Trust 22 UKAS 23 The British Institute of Radiology 24 Institute of Physics and Engineering in Medicine 25 The College of Radiographers 26 Bayer HealthCare 27 Agfa HealthCare 28 Guerbet Laboratories 29-30 Insignia Medical Systems 31 BridgeHead Software 32 Soliton IT Ltd 34 Bracco UK Ltd 35 Siemens 36 ProtecX Medical Ltd 37 Telemedicine Clinic 38 Mirion Technologies 39 MediScientific Ltd 40 de Smit Medical Systems Ltd – simple up 41 Wisepress EXHIBITION PLAN & LIST International Society of Radiographers and Radiological Technologists The British Society for the History of Radiology EXHIBITOR INFORMATION MedaPhor Esaote Infinitt UK Ltd PRESENTER INDEX 42 43 44 45 46 47 IHE-UK 48 Rivendale Systems Ltd 49 MDI Solutions 50 Philips Healthcare 51 Healthcare Software Solutions (HSS) CRIS 52 Medica 53 Visbion Ltd 54 Carestream Health 55-59 EIZO UK 60/61/64/65 Radiology Reporting Online 62 Eden Learning 63 Sectra and Sectra Burnbank 66 Nova Biomedical 67 Unfors Raysafe GmbH 68 Rothband 69 Sidra Medical and Research Centre 70 Fujifilm UK Ltd 71 Rig Healthcare/Rig Reporting 72 Toshiba 73, 91 and mobile unit Asteral 74 Edan Instruments, Inc. 75 Rimage Medical Disc Devices 76 Hermes Medical Solutions 77 Lupprians 78 Alliance Medical 79-80 McKesson 83-84 Konica Minolta Medical & Graphic Imaging 85 Intelerad UK Ltd 87 Devon Medical Equipment Ltd 88 Pukka-j Ltd 89 Envirotect Ltd 90 NEC Display Solutions 92 Perceptive Software 93-94 MIS Healthcare 95 Hitachi Medical Systems 98 ID Medical 99 Radiological Research Trust JOIN THE CONVERSATION #UKRC2014 Konica Minolta Medical & Graphic Imaging Lupprians McKesson MDI Solutions MedaPhor MediScientific Ltd VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS 42 85 78 83-84 50 44 40 EXHIBITION PLAN & LIST International Society of Radiographers and Radiological Technologists 53 Mirion Technologies 39 MIS Healthcare 95 NEC Display Solutions 92 Nova Biomedical 67 Oxford University Hospitals NHS Trust 22 Pentland Medical Ltd/Sky Factory 2 Perceptive Software 93-94 Philips Healthcare 51 ProtecX Medical Ltd 37 Pukka-j Ltd 89 Qados – expertise in radiology 3 Radiological Research Trust 47 Radiology Reporting Online 62 Rig Healthcare/Rig Reporting 72 Rimage Medical Disc Devices 76 Rivendale Systems Ltd 49 RxEye 7 Rothband 69 Sectra and Sectra Burnbank 66 Sheffield Hallam University 15 Sidra Medical and Research Centre 70 Siemens 36 Soliton IT Ltd 34 Sugarman Medical 5 Telemedicine Clinic 38 The British Institute of Radiology 24 The British Society for the History of Radiology 43 The College of Radiographers 26 The College of Radiographers/e-LfH 21 Toshiba 73, 91 and mobile unit UKAS 23 Unfors Raysafe GmbH 68 Visbion Ltd 54 Wardray Premise Ltd 18 Wisepress 1 Xograph Healthcare Ltd 10 Medica EXHIBITOR INFORMATION 14 Agfa HealthCare 28 Alliance Medical 79-80 Asteral 74 Bayer HealthCare 27 Bracco UK Ltd 35 BridgeHead Software 32 Carestream Health 55-59 de Smit Medical Systems Ltd – simple up 41 Devon Medical Equipment Ltd 88 Diagnostic Healthcare Limited 6 Edan Instruments, Inc. 75 Eden Learning 63 EIZO UK 60/61/64/65 Envirotect Ltd 90 Esaote 45 Fujifilm UK Ltd 71 GE Healthcare 20 Guerbet Laboratories 29-30 Healthcare Software Solutions (HSS) CRIS 52 HealthNetConnections Ltd 9 Hermes Medical Solutions 77 Hitachi Medical Systems 98 Hospital Services Ltd 8 ID Medical 99 IHE-UK 48 Infinitt UK Ltd 46 InHealth Ltd 11 Insignia Medical Systems 31 Institute of Physics and Engineering in Medicine 25 Intelerad UK Ltd 87 4Ways Healthcare 127 PRESENTER INDEX EXHIBITOR LIST BY NAME The UK Radiological Congress EXHIBITION PLAN 128 VENUE PLAN WELCOME PROGRAMME EXHIBITION LECTURE THEATRE 1 POSTERS B CATERING A Breast, chest, cardiac, uro P040-P085 Refreshments, cash sales and lunch vouchers CONFERENCE SESSIONS INFORMATION 14 11 POSTERS A VICE PRESIDENTS & WORKING PARTY TOSHIBA MOBILE UNIT 10 15 18 MSK, head, neck and neuro P001-P039 22 25 21 8 23 24 9 5 7 6 3 29-30 26 27 2 98 20 ePOSTERS 1/4 31 28 MONDAY SESSIONS TUESDAY SESSIONS 44 37 POSTERS D WEDNESDAY SESSIONS Training, CAD, nuclear medicine, patient dose, radiation protection. P135-P205 95 43 38 CATERING B 42 39 Refreshments and lunch vouchers WORKSHOPS 53 47 50 51 52 SATELLITE SYMPOSIA 54 46 POSTER LISTING 67 68 ePOSTER LISTINGS Refreshments, cash sales and lunch vouchers 69 EDUCATION ON STANDS 70 EXHIBITION PLAN & LIST EXHIBITION LECTURE THEATRE 2 34 48 49 45 66 32 36 41 40 99 CATERING C 35 CATERING D Refreshments and lunch vouchers 63 62 60/61/ 64/65 72 73 71 55-59 75 76 78 77 74 79/80 83-84 93-94 92 89 88 87 90 91 EXHIBITOR INFORMATION MAIN ENTRANCE AND REGISTRATION 85 POSTERS C GI, hep, paediatrics, multisystem, intervention, errors, service delivery P086-P134 PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 EXHIBITOR INFORMATION Alliance Medical is Europe’s leading independent imaging services provider. In the UK, Alliance Medical has 25 years’ experience of delivering a range of diagnostic imaging services for patients. We operate a large network of scanning centres and mobiles scanners across the UK which offer predominantly MRI scanning, but many sites/ mobiles also offer a range of other diagnostic modalities including CT, PET/CT, DEXA, X-ray and Ultrasound. In July 2013, Alliance Medical completed the purchase of Erigal, a leading UK manufacturer of radiotracers, to create the UK’s only integrated radiotracer supply and imaging organisation. For further information please visit www.alliancemedical.co.uk, email [email protected] or call 01926 482222. To find out more about our R & I solutions please contact 01635-563999. Bayer’s sponsorship contributes towards the exhibition costs of this meeting. www.bayer.co.uk Bracco UK Ltd 35 Bracco UK Limited is the UK subsidiary of Bracco Imaging Spa, a multinational group active in the healthcare sector with a total of 2,800 employees operating in more than 80 countries around the world. Over the years Bracco has intensified its commitment to innovative specialised research in imaging agents for diagnostic medicine alongside the further development of medical devices and advanced injection systems for radiology and cardiology. Bracco’s business success is based on research and innovation, international growth and corporate social responsibility. For more information please visit www.bracco.com. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS The NHS faces many challenges today around the increasing need for governance in order to demonstrate best patient care within increasing financial constraints. Bayer Radiology and Interventional (R & I) is well placed to be the partner in helping Trusts to address these challenges. With market leading contrast media and power injector systems, Bayer is able to offer innovative patient care, and with the addition of its informatics platform, it can support radiology departments in driving protocol standardisation and easily accessible audit data that enable departments to meet further challenges faced around contrast and radiation dose. WEDNESDAY SESSIONS 27 WORKSHOPS 79-80 Bayer HealthCare SATELLITE SYMPOSIA Alliance Medical To find out how Asteral can help your Trust reduce whole-life equipment costs, increase performance, and contribute to better patient outcomes please visit stand 74 www.asteral.com or call 0118 900 8100. POSTER LISTING Agfa HealthCare, is a leading global provider of diagnostic imaging and healthcare IT solutions. The company has nearly a century of healthcare experience and has been a pioneer in th e healthcare IT market since the early 1990’s. Today, Agfa HealthCare designs, develops and delivers state-of-the-art systems for capturing, managing and processing diagnostic images and clinical/administrative information for hospitals and healthcare facilities. The company has been a trusted partner to the NHS for over 30 years and has leading market shares across England in Picture Archiving and Communication Systems (PACS) and Computed Radiography (CR). Our innovative ‘equipment-as-a-service’ approach delivers significant cost savings and performance improvements throughout the equipment lifecycle – from initial assessment of clinical need through funding, supply, installation, maintenance, and the remarketing of equipment at the end of its useful life. ePOSTER LISTINGS 28 Asteral is the UK’s leading vendorindependent provider of managed equipment and managed maintenance services to the NHS. We combine technical expertise with commercial understanding to transform the way medical facilities are planned, managed and maintained. EDUCATION ON STANDS Agfa HealthCare 74 EXHIBITION PLAN & LIST 4Ways Healthcare is the UK’s leading quality teleradiology provider, with over 10 years’ experience providing high quality remote radiology reporting to the NHS and private sector. We report routine and backlog MRI, CT and CR plus Out of Hours CT reporting including full body PolyTrauma. 4Ways offers specialist reporting including CT Colonoscopy, neuroradiology, MSK and nuclear medicine. 4Ways also provides a clinical audit service for MRI, CT, CR and specialist disciplines. 4Ways offers a flexible service to support your particular requirements and we’d welcome the opportunity to speak with you at stand 14 or please call us on 01442 260322. Asteral EXHIBITOR INFORMATION 14 PRESENTER INDEX 4Ways Healthcare 129 The UK Radiological Congress EXHIBITOR INFORMATION 130 VENUE PLAN BridgeHead Software 32 PROGRAMME Customers tell us they chose BridgeHead’s VNA because: “as well as DICOM files, you accommodate other medical image types, patient reports, scanned documents, etc.”; “you provide protection and disaster recovery for both our images and our PACS environment”; “you work with all storage brands/media, giving us choice on the devices we use”; “you offer your VNA on-premise, in the cloud or as a hybrid solution”; “you are a British company, with British development and British support”. INFORMATION WELCOME VNAs are now more mainstream; yet they come in many flavours. So, which one is right for your NHS Trust? De Smit Medical is proud to be in its 12th year of supplying innovative, quality, market leading medical devices. VICE PRESIDENTS & WORKING PARTY With such choice and flexibility, it’s no wonder Trusts like QE Gateshead are turning to BridgeHead. Come and talk to us to learn how you can have “Your VNA, Your Way”. MONDAY SESSIONS Carestream Health environment by greatly reducing the risk of patient falls, offers greater flexibility for patient positioning and provides healthier posture and positioning for the Radiographer. 55-59 TUESDAY SESSIONS WEDNESDAY SESSIONS Carestream will be showcasing a raft of innovation designed to help radiology professionals improve patient care, workflow and costs. There will be an opportunity to ‘Test Drive’ our innovative and award winning digital mobile, the DRX Revolution. We will also be demonstrating how easy it is to view and store nonDicom data in a fun way with lots of customer interaction. WORKSHOPS SATELLITE SYMPOSIA A new generation of Vue PACS will be on display, designed to integrate images with reports and enable cost-effective teleradiology capabilities. An expansion of its cloud-based services family will be shown with the addition of the Vue Motion Physician Portal and MyVue Patient Portal as cloud services. An innovative reporting feature to its Vue RIS platform will enable Radiologists to insert hyperlinks associated to bookmarks with vessel analysis or lesion tracking measurement data into their reports to help optimise treatment decisions. POSTER LISTING ePOSTER LISTINGS For Dental applications we will have the new CS 8100 OPG/ CBCT which is an inexpensive, CBCT upgradeable OPG with a very small footprint. Also for Dental and ENT the CS 9300 System is a high-quality cone beam CT and true panoramic imaging system. EDUCATION ON STANDS Media Contact: Jane Grimsley 01442 838864 (phone) [email protected] EXHIBITION PLAN & LIST de Smit Medical Systems Ltd – simple up 88 Devon Medical Equipment has over 35 years of experience in the Industry to become one of the leading medical equipment specialists in Europe, distributing across the globe. We are a specialist company focused on the installation, transport, de installation, disposal or resale of medical equipment including; CT, MRI, X-Ray, ultrasound, mammo’s, C-arms, printers and more. In addition, Devon Medical can also provide you with the highest quality mobile CT trailer and static system available for long or short-term rentals. We can now also offer room, ward, Hospital or Clinic renovations, come and chat to discuss your needs with our experienced staff. Diagnostic Healthcare Limited 6 Diagnostic Healthcare Limited is an established national provider of MRI and Ultrasound services that Trust Radiology departments can use to support their own provision. We deliver managed and interim services to suit Trust’s needs supported by our experienced staff, mobile fleet MRI, ultrasound scanners and network of community clinics. Diagnostic Healthcare is a key provider of community services helping to expand NHS Trust’s footprint making the patient journey simple, local and convenient while at the same time reducing waiting times. Please come and visit us today and book an informal meeting to see how we can help with your needs. Edan Instruments, Inc. 75 Edan Instruments, Inc. is a professional high-tech company combining R&D, manufacturing and distribution of advanced electronic medical equipment. 41 EXHIBITOR INFORMATION De Smit Medical will be a new company to you with a new product solution to solve an old problem: managing safely and effectively the increasing demand for weight bearing x-rays of lower limbs. PRESENTER INDEX Introducing Simple-Up™, a mobile, height adjustable platform developed specifically for Radiography and Radiographers. Simple-Up™ provides a safer working Devon Medical Equipment Ltd EDAN is a market-oriented, and R&D driven company. We provide medical products and services in over 120 countries and regions, under the vision of “To offer world-class products and services with a reasonable price”. Ultrasound imaging systems has become a primary drive amongst EDAN’s portfolio in recent years. EDAN set up the US office in California and employs top intelligence in ultrasound, in order to solve the practical medical difficulties to benefit our customers worldwide. JOIN THE CONVERSATION #UKRC2014 EXHIBITOR INFORMATION This year sees the unveiling of the new market leading Multi Modality RadiForce monitors from EIZO. Ranges include 4MP, 6MP and 8MP these extremely versatile range of monitors are ideal for viewing a variety of medical images simultaneously and the future in all healthcare imaging needs. www.eizo.co.uk Envirotect Ltd 90 Envirotect formed in 200 are an ISO9001 registered UK company offering high quality structural radiation and RF shielding to the Medical, Dental, Veterinary, Construction and Engineering sectors. Products for shielding X-ray room walls, door sets, control windows, x-ray screens, engineered cabinets and hutches through to complete industrial rooms have expanded to include MRI cages. With our flexible approach to manufacturing and a skilled workforce we work directly with our customers which enables us to build strong and lasting working relationships. With our team of experienced personnel we are always on hand to offer help and advice at any stage. GE Healthcare 20 GE Healthcare provides transformational medical technologies and services to meet the demand for increased access, enhanced quality and more affordable healthcare around the world. GE (NYSE: GE) works on things that matter - great people and technologies taking on tough challenges. From medical imaging, software & IT, patient monitoring and diagnostics to drug discovery, biopharmaceutical manufacturing technologies and performance improvement solutions, GE Healthcare helps medical professionals deliver great healthcare to their patients. 71 Great North Road, Hatfield, Hertfordshire, AL9 5EN Tel: 01707 263570 Website: www.gehealthcare.co.uk VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS The Fujifilm team will be located on stand 71, ready to discuss their line-up of advanced medical imaging solutions, including their newly launched FDR Go mobile x-ray unit and innovative DR range with wireless product capabilities, in addition to their exciting developments in Synapse 3D which includes advanced image analysis, diagnosis and planning tools for Transcatheter Aortic Valve Implantation (TAVI) with liver analysis and bone segmentation and removal. WEDNESDAY SESSIONS EIZO’s complete spectrum of RadiForce medical monitors delivers exceptionally accurate and stable image displays around the world, providing total display solutions for every area of Healthcare Imaging. Whether your needs are for colour, greyscale or a monitor to display both; for Primary Diagnosis or Clinical Review – EIZO has the solution. Fujifilm is a pioneer in diagnostic imaging and information systems for healthcare, with a range of constantly evolving, clinically proven, products and technologies designed to assist medical professionals perform efficiently and effectively. WORKSHOPS 60/61/64/65 71 SATELLITE SYMPOSIA EIZO UK Fujifilm UK Ltd POSTER LISTING Eden Learning can provide standardised clinical training programmes, classroom training, practical support and educational courses to promote a high quality diagnostic service. ePOSTER LISTINGS Eden Learning lecturers are carefully selected experts in their field, each with a wealth of experience and knowledge from both clinical and academic backgrounds. With a workforce of over 1500 people and an annual turnover in excess of €350M, the Esaote Group us one of the world’s leading producers of diagnostic medical systems. These include a full range of ultrasound platforms, dedicated musculoskeletal MRI systems and healthcare IT systems. Creativity, highly technological skills and a strong commitment to the medical and scientific community are key reasons we’ve gained leadership positions in cardiovascular care, radiology, women’s healthcare, internal medicine, emergency care, intensive care, orthopaedics, rheumatology and podiatry. EDUCATION ON STANDS Our market leading training courses, developed over many years are designed to focus on practical needs as well as providing a sound background in theory. 45 EXHIBITION PLAN & LIST Eden Learning is a specialist training company dedicated to providing the highest quality CT and MRI education to the public and private sector. Esaote EXHIBITOR INFORMATION 63 PRESENTER INDEX Eden Learning 131 The UK Radiological Congress EXHIBITOR INFORMATION 132 VENUE PLAN Guerbet Laboratories 29-30 WELCOME PROGRAMME Dedicated to medical imaging for over 80 years, Guerbet offers a range of X-Ray and MRI contrast media worldwide. Our mission is providing innovative and effective contrasts agents to improve the diagnosis of major diseases. We devote significant resources to R&D in three pathological areas: cardiovascular diseases, cancer, inflammatory and neuro-degenerative diseases. INFORMATION In partnership with Medex and Medtron AG we are offering state-of-the-art injectors and medical devices to meet the needs of contrast administration in CT, MRI and high pressure Angiography procedures. VICE PRESIDENTS & WORKING PARTY For more info please visit www.guerbet.co.uk. You can contact us at [email protected] or tel: 0121 733 8542. Healthcare Software Solutions (HSS) CRIS 52 MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS Hospitals seeking a proven RIS and a consistently reliable service continue to depend on Healthcare Software Solutions, part of the Wellbeing Software Group. HSS has been supporting radiology departments for over 25 years and is the largest independent RIS provider in the UK, with installations at over 175 NHS and private-units nationwide. WORKSHOPS HSS’s considerable track record of successful project delivery and professional service, coupled with a commitment to continued development and innovation gives customers confidence to choose CRIS. The result is a straightforward implementation and future-proof solution. SATELLITE SYMPOSIA Recent developments include integrated Radiation Dose Monitoring; Tumour Staging; and iCRIS, a fully-mobile radiology solution. POSTER LISTING HealthNetConnections Ltd 9 ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST HealthNetConnections is a UK company specialising in ultrasound imaging and reporting. It is the exclusive UK distributor of the ViewPoint ultrasound reporting application – this application is used throughout the world in many clinical areas including obstetrics, gynaecology, vascular, abdominal and cardiac and is best known in the UK for being used in all leading obstetric, gynaecology and foetal medicine centres throughout the country. EXHIBITOR INFORMATION HNC also distributes the new range of affordable ultrasound units from GE Healthcare including the new Voluson P and Logiq F series of machines. Hermes Medical Solutions 77 HERMES software – designed for your clinical imaging needs: Fighting illness and disease requires state-of-the-art imaging modalities and software in order to diagnose accurately, stage disease appropriately and select the best treatment available. HERMES partners with the best institutions globally to continually deliver customized diagnostic software packages to meet your ever-changing medical imaging needs. HERMES provides specialist PACS solutions for molecular imaging and offers desktop integration with mainstream PACS providers. HERMES is a vendor-neutral, uniform processing platform for MRIPET, PET/CT/MR, molecular imaging and nuclear medicine, specialising in multi-modality imaging. HERMES maintains image data integrity Address: 22 Long Acre, Covent Garden, London WC2E 9LY Phone: 020 7839 2513 Fax: 020 7550 5501 E-mail: [email protected] Website: www.hermesmedical.com Contact: Jan Bertling CEO, Hermes Medical Solutions Hitachi Medical Systems 98 From the inventors of the Curved Array transducer, 3D ultrasound, Elastography and Real-Time Virtual Sonography (image fusion): • The ProSound F75, HiVision Preirus and the amazing Noblus - all the functionality of a high-end system with laptop portability. Plus, an unparalleled range of surgical, interventional, laparoscopic, and endoscopic probes. • The Echelon Oval - The widest wide-bore 1.5T MRI • The patient-orientated Scenaria CT with side-slide table And, to discover some innovative financial possibilities, talk with Hitachi Capital (UK) PLC - the financial services division of the Hitachi Group, providing finance solutions to end users purchasing Hitachi Aloka equipment. Hospital Services Ltd 8 PRESENTER INDEX Hospital Services Limited, a wellestablished company in the UK and Ireland for more than 50 years. We have built up a reputation for quality, reliability and efficiency, becoming well known and well respected throughout our field. Dedicated to providing high quality products to its customers, supported by effective and efficient service and maintenance, thus enabling our customers to provide the highest standard of patient care. We are a multi-disciplined company and manage many well-known and high quality names. Visit us to see the Roesys X-twin digital X-ray room, full auto-positioning DR Room without the need for a ceiling suspension. JOIN THE CONVERSATION #UKRC2014 EXHIBITOR INFORMATION In the vast majority of medical procedures involving radiation, the potential benefit to the patients’ health from the information gained far outweighs the small potential risk from being exposed to radiation, but the trade-off should not be overlooked. The technological mechanisms provided by this profile can facilitate a conscious evaluation of that trade-off. In addition we can provide details of all the other many profiles throughout the various healthcare domains. Infinitt UK Ltd 46 Infinitt is a global IT company providing advanced yet affordable online medical imaging and information systems for radiology, cardiology, orthopaedic, dental and other healthcare facilities to over 2,500 healthcare institutions in 38 countries. Infinitt provide online integrated PACS/RIS systems and 3D (Xelis) software. Infinitt offers an easy to use, web-based medical imaging suite compatible with all DICOM modality devices based on IHE integration. HL7 conformance. Other information system integration such as NBSS Breast Screening. Infinitt offer great value, service and scalability for the specialist imaging clinic or whole enterprise. Visit our website at http://www.infinitt.com E-mail [email protected] Tel 01334 312100 Insignia is the medical imaging software provider based in the UK. PACS services from Insignia have been deployed throughout the NHS and private sector organisations. In 2013 Insignia deployed 13 NHS PACS Systems along with 16 DR-PACS the previous year. Our development team based in Hampshire are fully focused on the requirements of UK healthcare. Insignia engage with our clients to develop a system that meets their specific needs. Our development roadmap is driven entirely by our clients. Insignia embraces the latest technologies, and is dedicated to delivering best value for our customers. Institute of Physics and Engineering in Medicine 25 Guide entry: The Institute of Physics and Engineering in Medicine (IPEM) is dedicated to bringing together physical science, engineering and clinical professionals in academia, healthcare services and industry to share knowledge, advance science and technology and inform and educate the public with the purpose of improving the understanding, detection and treatment of disease and the management of patients. IPEM has around 4000 members in the UK and overseas. Benefits of membership include a CPD scheme, discounts on conference fees, IPEM Reports and the Institute’s scientific journals, bursaries and prizes, access to job vacancies, and a wide support network at every stage of career progression. E-mail: [email protected] Website: www.ipem.ac.uk VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS 31 TUESDAY SESSIONS Insignia Medical Systems WEDNESDAY SESSIONS At UKRC this year, IHE-UK will be concentrating on the promotion of the Radiation Exposure Monitoring (REM) profile. This profile covers the generation of radiation structured dose reports, their archiving and reporting and even submission to national archives. WORKSHOPS Integrating the Healthcare Enterprise Email: [email protected] Tel: 0845 045 3666 Website: www.inhealthgroup.com SATELLITE SYMPOSIA 48 POSTER LISTING IHE-UK ePOSTER LISTINGS Please visit us at stand 69 at UKRC 2014 to find out about our 1000s of job opportunities and how we can support your career plans. InHealth is the UK’s leading provider of diagnostic and healthcare services operating across the UK and provides in both hospital and community healthcare settings MRI, CT, PETCT, Ultrasound, Mammography, X Ray, DXA, Audiology, Endoscopy, and Interventional Cardiac Services. Our vision is to deliver an excellent and innovative diagnostic service to all our patients, partners and customers for best value. We continually aim to improve our performance by implementing quality management principles to provide the highest standards of care. We specialise in providing state-of-the-art diagnostic services, improving patient access and helping Trusts, CCGs, GPs and other healthcare organisations to meet their targets. EDUCATION ON STANDS ID Medical’s dedicated Allied Health Professionals and Health Science Services (AHP/HSS) recruitment division is placed on every major national framework and recruits across the full range of allied health and health science specialties. 11 EXHIBITION PLAN & LIST Award-winning, multi-discipline healthcare recruiter ID Medical was formed in 2002 and is a superior quality supplier of allied health professionals, locum doctors, nurses and clerical staff, holding preferred supplier contracts with over 80% of NHS hospitals and private medical sector organisations. InHealth Ltd EXHIBITOR INFORMATION 99 PRESENTER INDEX ID Medical 133 The UK Radiological Congress EXHIBITOR INFORMATION 134 VENUE PLAN Intelerad UK Ltd 87 WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Intelerad UK Ltd is a leader in distributed radiology, providing medical imaging solutions and services for hospitals, radiology groups, imaging centres, and teleradiology businesses. Renowned for their innovative features and functionality, Intelerad™ solutions increase productivity and streamline workflow by overcoming technical barriers in distributed and complex environments. Used in more than 1000 sites across the United Kingdom, North America, and Oceania, Intelerad couples its highly scalable, flexible and robust solutions with industry-leading customer service and support to ensure customers’ performance. For more information, visit www.intelerad.co.uk. International Society of Radiographers and Radiological Technologists 42 MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS The ISRRT is an organisation composed of national radiographic societies from over 87 countries representing more than 500,000 radiographers and radiological technologists. It is dedicated to the improvement of standards of practice in radiation medicine technology and being a UK registered charity is a not-for-profit organisation. WORKSHOPS The ISRRT is recognized as the international representative of radiation medicine technology in Official Relations with the World Health Organization. It also has association with the United Nations and other international organisations such as the International Atomic Energy Authority and the International Society of Radiologists. SATELLITE SYMPOSIA Konica Minolta Medical & Graphic Imaging 85 POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS AeroDR is proving to be the wireless DR system of choice for many departments across the UK, given the extensive benefits offered. In addition to full x-ray rooms (both ceiling and floor mounted), retrofit solutions are extremely popular, with Aero SYNC requiring no wired connection to the host unit. The recent introduction of the 12 x 10 detector together with the mobile unit DR upgrade kit means that mobile DR is at last both flexible and affordable. EXHIBITION PLAN & LIST Konica Minolta can demonstrate that upgrading from CR to DR saves money when compared to the cost of ownership of many CR systems. Lupprians 78 Lupprians is a specialist logistics company providing ‘white glove’ services to the Healthcare industry throughout UK & Europe. Our philosophy is to offer a comprehensive portfolio of value add services across all modalities and to build long term partnerships strengthened by efficient business practices and innovative solutions. Services include: • Project Management • Equipment Storage • Pre-Staging • Transportation • Installation • Re-sites • Removal & WEEE Disposal • Demonstration Equipment Management • 1st line service This full- service approach ensures that we provide support in every aspect of the logistics cycle and remain as the preferred Logistics and Installation partner for many of the world’s leading healthcare equipment manufacturers. McKesson MDI Solutions 83-84 50 MDI Solutions delivers DICOM Data Migration & HL7 Integration software and services. They have extensive experience working with all the major PACS vendors (AGFA, Cerner, Fujitsu, GE, Hologic, Insignia, McKesson, Merge, Philips, Sectra and others) and their advanced toolset enables them to address specific requirements for PACS or Archive migrations. The recent PACS migration for InHealth required adhoc user controls for their Modality Worklist server, along with scoping and deploying additional HL7 PAS interfaces mid implementation. MDI Solutions is also a Sunquest ICE Technical Partner and has offices in Toronto, Canada; Orlando, USA and Manchester, UK. EXHIBITOR INFORMATION PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 EXHIBITOR INFORMATION This year we will be showcasing a range of products for a range of modalities, as well as Kyoto Kagaku multipurpose chest phantom “LUNGMAN” Our experienced sales team will be available throughout the exhibition to provide delegates with advice and to supply product information. 53 This year at UKRC, MEDICA is celebrating its 10th anniversary of providing award-winning, fast, on-demand Radiology Reporting services in partnership with the NHS – expertly delivered by experienced NHS Consultant Radiologists. Why not come and say hello to the team on stand 53 to learn how MEDICA is looking to support the NHS in the next decade. PLUS Enter our survey and you could win an iPad Air! For further information, please come and see us on stand 53, you can contact us direct 0845 056 9750 or visit our website: www.medicagroup.co.uk 92 Trusted NEC Medical Display Solutions Proven medical display technology from NEC gives you the confidence that your diagnosis is based upon clear, reliable and verifiable image. Highlights of NEC’s presence at UKRC 2014 include its new MD302C6 delivering a 30” 6 Megapixel workspace perfect for high detail colour diagnostics in MRI, CT and other medical imaging applications. The new 84” X841UHD demonstrates the stunning clarity and image detail achieved with Ultra High Definition resolution ideal for medical review in MDT meeting rooms. NEC Diagnostic Displays are designed in Japan, built to the highest quality standards and with a comprehensive support and service infrastructure, are the trusted display solution in hospitals throughout the world. Visit NEC at UKRC on stand 92. VENUE PLAN TUESDAY SESSIONS MONDAY SESSIONS VICE PRESIDENTS & WORKING PARTY INFORMATION PROGRAMME WELCOME NEC Display Solutions WEDNESDAY SESSIONS We are the exclusive UK distributor for Radcal, Leeds Test Objects and Kyoto Kagaku phantoms and will be exhibiting a range of these highly respected products. WORKSHOPS Our dedication and many years of experience has allowed us to partner with the best manufacturers in the world such as Samsung, Shimadzu, Novarad PACS, Nemoto and Riester Medical. Technology evolves continually, so do we, yet we remain driven by our passion for providing Innovative imaging solutions in the interest of accurate diagnosis, perfecting those solutions and delighting our customers. MediScientific is a distributor of X-Ray QA instruments, test tools and phantoms to customers within Radiology, Medical Physics and X-Ray engineering. Medica MIS Healthcare is the exclusive supplier of world leading medical equipment manufacturers, we provide State of the Art products ranging from high end medical imaging diagnostic equipment, PACS and RIS, Medical consumables and diagnostic instruments. SATELLITE SYMPOSIA 40 COMMITTED TO HEALTHCARE EXCELLENCE POSTER LISTING MediScientific Ltd 95 ePOSTER LISTINGS ScanTrainer comes with integrated core skills training modules and a wide range of advanced skills pathology modules and diagnostic case studies for the more experienced practitioner. MIS Healthcare EDUCATION ON STANDS ScanTrainer’s unique ScanTutor learning software provides a personalized education environment that minimizes both the time required by an expert to teach and the need for a variety of patients to learn on. This makes the ScanTrainer system both resource efficient and highly cost effective. 39 EXHIBITION PLAN & LIST MedaPhor is a global ultrasound training company, selling the award winning ScanTrainer ultrasound training simulator. The virtual reality simulator combines ‘real-feel’ haptic simulation with real patient scans and curriculumbased interactive learning, to provide fast and effective 24/7 ultrasound training in a non-clinical environment. Mirion Technologies EXHIBITOR INFORMATION 44 PRESENTER INDEX MedaPhor 135 The UK Radiological Congress EXHIBITOR INFORMATION 136 VENUE PLAN Nova Biomedical 67 WELCOME Nova StatSensor™ Creatinine Measuring System PROGRAMME INFORMATION In response to a need to quickly and easily assess kidney function in many radiology and oncology settings, Nova Biomedical offers StatSensor Creatinine, a handheld analyser for whole blood creatinine testing. Incorporating a new, patented MultiWell™ technology the Stat Sensor’s advanced technology now enables simple, rapid, and accurate assessment of renal function by finger stick capillary blood sampling at the point of care. VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS Featuring: • Creatinine accuracy comparable to hospital laboratory testing • Estimated glomerular filtration rate (eGFR) by MDRD and Cockcroft-Gault equations • Simple procedure, no calibration • 1.2 μL capillary blood sample • Results in 30 second • Wide measurement range: 27-1050 μmol/L TUESDAY SESSIONS Oxford University Hospitals NHS Trust 22 WEDNESDAY SESSIONS WORKSHOPS Oxford University Hospitals (OUH) NHS Trust is one of the largest acute teaching trusts in the UK, with a national and international reputation for the excellence of its services and its role in teaching and research. SATELLITE SYMPOSIA The Radiology Department at OUH is a rapidly expanding, dynamic specialty in the Trust, making it an attractive area for staff to grow and develop their career. POSTER LISTING We are always looking for new talent to join our team, so if you are looking for your next exciting challenge or career move come and visit our stand, we would be delighted to speak to you. ePOSTER LISTINGS Pentland Medical Ltd/Sky Factory 2 EDUCATION ON STANDS EXHIBITION PLAN & LIST See the Medspira BreathHold System: Respiratory motion control for all motion sensitive applications. BreathHold is the ideal low cost, easy to use, patient friendly solution for controlling respiratory motion during a wide range of clinical procedures including, Radiation Therapy, CT guided biopsy and a range of MR procedures. Developed at the Mayo clinic in Minneapolis, BreathHold is already established internationally. EXHIBITOR INFORMATION Sky Factory the only medical research products that give actual patient benefits, helping to improve recovery, reduce pain medication and promote a better patient experience. PRESENTER INDEX Come see our new revelation ceilings, eScape cinematic as well as hear about our ongoing medical research into the effects on the cerebellum. Perceptive Software 93-94 Perceptive Software bridges the gap between your enterprise applications and the processes and information they don’t manage, giving you the visibility and control you need to improve financial performance, reduce risk and ensure future flexibility Perceptive Software vendor neutral archive (VNA) and enterprise content management (ECM) solutions for healthcare create better patient outcomes. Perceptive solutions give healthcare providers a complete view of the entire patient record through a unified content platform that bridges the content gaps in your EMR, delivering all relevant content in the context of the patient record. For further information contact [email protected] Philips Healthcare 51 Meaningful solutions to deliver better care at lower costs. Philips is dedicated to improving and saving lives through innovation in radiology. We are rated number 1 Best in KLAS, overall Imaging Equipment Provider. We develop our solutions in partnership with clinicians and customers and are dedicated to transforming the way care is delivered. Our integrated offerings deliver the advanced image quality, critical information, and connectivity you need for seamless real-time collaboration and fast, confident decision-making. Your patients can have better, more personalised care, while you maximise time and investment. We partner with you to drive clinical performance and economic value within and beyond the walls of your organisation. Working together, we can find meaningful solutions to deliver better care at lower costs. Contact [email protected] or call 01483 864 718 for more. ProtecX Medical Ltd 37 ProtecX are fast becoming the UKs most trusted name in radiation protection. With a wide range of apron styles, manufactured in the UK to the highest specification with CE approval - affording you the highest levels of protection. A ‘one stop’ radiation protection shop with a full range of accessories including thyroid collars, sleeves, radiation glasses and screens plus much more. Proudly exhibiting their full range at UKRC including Starlite lead free now available with Dartex protection, so come and see for yourself why our customers keep returning and meet our small friendly team or visit our website for more details www.protecx.co.uk JOIN THE CONVERSATION #UKRC2014 EXHIBITOR INFORMATION Radiological Research Trust 47 The Radiological Research Trust (RRT) was set up in October 1985, to raise funds and distribute grants for research and education in Radiology. The Radiological Research Trust has supported a wide range of research projects many of which have gone on to obtain large scale funding and international recognition of the research. Visit the RRT stand to learn how to donate to support the work of the RRT and how to apply for research grants or travel grants to present the results of research at relevant conferences in the UK and internationally. 72 RIG Healthcare is a specialist staffing business that provides Allied Health Professionals to both the NHS and the private sector. Founded in 2002 as a Radiography agency, we have grown to become the market leader and one of the most successful specialist Healthcare recruiters in UK. In 2013 we launched RIG REPORTING which is the first organisation to provide an independent on-site radiography led reporting service. RIG Healthcare and RIG REPORTING provide an unrivalled level of service combining long standing relationships built on trust and delivery with an expert understanding of the role performed by a Radiographer. Rimage Medical Disc Devices 76 Rimage disc publishing systems have been the industry standard and preferred choice of most hospitals and PACs vendors globally for distributing medical images and patient files for many years. The new generation of Rimage Medical Disc Devices take performance to an even higher level and more affordable than ever before, with the lowest TCO, the largest input capacity and the most durable printing technology of any publisher in the market today. Visit Stand 76 today to see the new MDD7200P and find out how much you could save in ongoing running costs over the next 5 years. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS Rig Healthcare/Rig Reporting WEDNESDAY SESSIONS Qados provides a wide range of specialist equipment associated with Radiology and Oncology: x-ray imaging including contrast injectors, imaging software, quality assurance and dosimetry. We focus on the supply, installation and servicing of products predominantly for use in the healthcare and industrial research sectors. Our products perform vital tasks. Regardless of where you are in the world, we provide a wide array of services throughout the lifecycle of the product to keep running with minimum downtime. Qados are major distributors for Ulrich, Kubtec, Dilon, ThermoFisher, Myrian and Gammex. WORKSHOPS 3 SATELLITE SYMPOSIA Qados – expertise in radiology For further information please visit us on stand 62, browse www.rrol.co.uk E-mail [email protected] Call: 020 3447 9619. POSTER LISTING Web: www.pukka-j.com Email: [email protected] Tel: 01380 860044 RRO provide the following reporting services across all modalities: • Routine • Subspecialty • Backlog • Locum/holiday cover • Urgent overnight reporting by FRCR, GMC radiologists in Australia ePOSTER LISTINGS At UKRC, we will be demonstrating our latest solutions designed to meet the challenges faced in today’s healthcare environment. One such innovative product is our Audit Manager software which equips providers with the necessary tools to respond to quality assurance recommendations. Radiology Reporting Online (RRO) is a leading teleradiology company providing reporting services to NHS and private hospitals in the UK. Clients receive high quality reports from RRO’s bank of 65 FRCR, GMC specialist registered radiologists, led by Clinical Director, Professor Phillip Gishen and Co-Medical Directors, Dr Robin Evans and Dr Robert Morgan. EDUCATION ON STANDS With highly customisable, enterprise-wide to departmental solutions, our ability to listen to our customers needs, keep abreast of technology trends, and to think outside the box have all been key to our product development. 62 EXHIBITION PLAN & LIST Pukka-j offers a complete range of healthcare imaging and reporting solutions covering every aspect of diagnostic case management for radiology, cardiology, molecular imaging and radiotherapy across both acute and community service healthcare providers. Radiology Reporting Online EXHIBITOR INFORMATION 89 PRESENTER INDEX Pukka-j Ltd 137 The UK Radiological Congress EXHIBITOR INFORMATION 138 VENUE PLAN Rivendale Systems Ltd 49 WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY Rivendale Systems has been supporting healthcare organisations with effective solutions since 1994. This year, our 20th anniversary, we are delighted to showcase “RAD-Alert” an innovative system that communicates Radiology alerts for “Significant Unexpected Findings” and other urgencies to referring clinicians and other personnel via SMS, Smartphone App, Web App and Email. “RADAlert” provides full tracking and a complete audit trail for all alerts and responses incorporating user-defined templates, escalation, contact groups, automated web-page displays, direct access to reports and more…… To see how RADAlert communicates and manages alerts and how it will help your hospital, visit Rivendale on stand 49. RxEye 7 MONDAY SESSIONS TUESDAY SESSIONS RxEye provides a global collaboration platform for healthcare, enabling easy access to experts and secure data sharing within medical imaging. Saving lives through global knowledge sourcing and enables efficient image medicine reading services. WEDNESDAY SESSIONS WORKSHOPS Collaborate in a scalable and easy accessible platform. Gain full control of the workflow and organize the work easily. Add new hospitals/units and specialists (radiologists and pathologists) to your network fast and smooth. Gain access to other networks and create new collaborations with support for reimbursement. Knowledge sharing, effectiveness, flexibility and patient data security are all part of the daily workflow in RxEye. SATELLITE SYMPOSIA Rothband 69 POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS Rothband (on stand 69) will be showcasing our range of X-ray aprons, glasses and a selection from our myriad of radiology accessory products, including markers, positioning aids, plate holders and Phantoms. A new exciting product is the MD350 Lifter, which is a low cost, highly versatile, powered, (Bariatric) Patient lifting platform primarily designed for use in Radiography departments, but not exclusively. Staff will be on hand to discuss these and other products such as the MARS DICOM CD/DVD burner from our digital product range. EXHIBITION PLAN & LIST Sectra and Sectra Burnbank 66 EXHIBITOR INFORMATION Sectra and Sectra Burnbank, are excited to present a new generation of Medical Imaging IT solutions at UKRC which will help abolish healthcare barriers and support patient pathways. If you’ve got big ambitions for radiology then meet us on stand 66. PRESENTER INDEX Sectra have been delivering imaging IT solutions to customers globally for the past 20 years. Sectra combines IT expertise with clinical experience and a strong commitment to research to deliver RIS/PACS solutions that improve the effectiveness of healthcare. Sectra Burnbank (formally Burnbank) is responsible for The Image Exchange Portal (IEP), a web-based application that allows healthcare professionals to securely transfer patient images and reports from one hospital trust to another. Sheffield Hallam University 15 Sheffield Hallam University is one of the UK’s largest universities, with 36,400 students. The diagnostic imaging team comprises experts in a range of disciplines. Alongside our successful undergraduate program, we offer a range of flexible and interesting postgraduate courses. Whatever your interest or speciality, whether you want single modules for CPD or full MSc, and whether you want competencies or theory; we have an opportunity for you in areas such as image interpretation ultrasound, interventional radiology, and cross-sectional imaging. A lot of our modules are delivered via distance learning, meaning the flexibility for your study is maximised. Come to our stand to see what we can do for you. Sidra Medical and Research Centre 70 Sidra Medical and Research Centre is a ground breaking hospital, research and education institution, in Doha, Qatar, that will focus on the health and wellbeing of women and children regionally and globally. Sidra will be a fully digital facility, incorporating the most advanced information technology applications in clinical, research and business functions. Sidra will initially have around 400 beds with infrastructure to enable expansion to 550 beds in a subsequent phase. For more information kindly visit our website: www.sidra.org Siemens 36 Siemens will provide delegates the chance to see cutting-edge and accessible technological innovations designed to advance human health. The ACUSON S3000TM ultrasound system with the recently launched HELXTM Evolution upgrade platform will be available to view. Also on display will be the Cios Alpha, the first mobile C-arm system to use Full View flat detector (FD) technology for highly-detailed images during surgical procedures. Siemens representatives will be on hand to discuss MAX (Multiple Advances in X-ray) detectors, which apply intelligent innovation at eve ry step of image formation to maximise performance. JOIN THE CONVERSATION #UKRC2014 EXHIBITOR INFORMATION Sugarman Medical are a preferred supplier of Radiographers, Sonographers and Mammographers to the NHS under the Crown Commercial Services (CCS) Health Trust Europe (HTE) and London Procurement Partnership (LPP) NHS Framework Agreements. In addition to our office in London, we have two international offices in Australia from which we source for our priority clients if required, and we are opening new offices in Manchester and Birmingham in 2014. Sugarman Medical are dedicated specialists in providing Radiographers with Locum, Permanent & International opportunities. I’d be delighted to meet, should you feel it appropriate – and am confident we can demonstrate healthy & sensible levels of flexibility in all areas of our service. Telemedicine Clinic 38 Telemedicine Clinic’s innovative teleradiology services have established a strong presence and reputation both within the NHS and private healthcare markets. Our unique model of ‘daytime’ reporting during the UK night has been specifically developed to increase report accuracy and reduce radiologist fatigue. TMC has medical leadership at all levels and is dedicated to maintaining its position as the market leader in technical development, with a key focus on HL7 integration in 2014. 43 The British Society for the History of Radiology is a multidisciplinary group devoted to the history of radiology and the radiological sciences. We are a member of the British Society for the History of Medicine. We have an annual history session at UKRC and also a stand and exhibition. In February we have an annual lecture. We have an active website at http://www.bshr.org.uk We publish a journal “The Invisible Light” which comes out twice a year. Do visit our stand. Adrian Thomas [email protected] The College of Radiographers 26 The College of Radiographers is committed to developing the science and practice of radiography. We make major contributions to health policy, shaping clinical imaging and radiotherapy services and promoting education, professional development and research. Visitors to our stand will see the educational, professional and workforce issues we are dealing with currently, SoR membership benefits, research support, and CPD opportunities. They will be able to discuss professional and employment matters with staff and council members and are very welcome to pick up a free copy of ‘Imaging and Oncology 2014’ and see a demonstration of our enhanced CPD provision. VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS The British Society for the History of Radiology WEDNESDAY SESSIONS Sugarman Medical 5 With origins dating back to 1897 the BIR is the oldest radiological society in the world. We are a registered charity and governed by and for our members. WORKSHOPS Come and see how this innovative workflow solution, that includes mobile capability, can help you make the best use of your resources, thereby allowing you to deliver better patient care. The BJR is our multi-disciplinary research journal covering all the radiological sciences. This is freely available to our members. SATELLITE SYMPOSIA We have developed a state of the art RIS product, called Radiology+™, which has already been installed into 10 trusts since its launch three years ago. We provide opportunities for forward-looking people with an interest in radiology and radiation oncology to learn and exchange ideas collaboratively and gain new perspectives on technologies and treatments. POSTER LISTING We have systems in 33 trusts or private organisations in the UK, covering 75 separate hospitals. The British Institute of Radiology (BIR) is a multidisciplinary membership organisation connecting radiology professionals and industry. ePOSTER LISTINGS Soliton IT is a privately owned UK Company specialising in Radiology Information Systems, workflow systems and voice recognition, particularly for the Healthcare market. 24 EDUCATION ON STANDS 34 The British Institute of Radiology EXHIBITION PLAN & LIST Soliton IT Ltd Contact: 0845 020 5250 EXHIBITOR INFORMATION Along with the latest technology on display, Siemens will also be hosting a range of 25 minute on-stand education sessions, designed to enhance clinical understanding on a range of topics including new clinical techniques and developments in imaging technology. TMC’s sophisticated delivery model is backed with 24/ 7 support, ISO9001/27001, CQC and ICO 1998 accreditation. We are proud to bring the benefits of ‘next generation’ teleradiology to the UK. PRESENTER INDEX Delegates will be able to observe syngo® workstations, to discover the latest medical imaging software that provides efficient reading, storing, and sharing of clinical images. 139 The UK Radiological Congress EXHIBITOR INFORMATION 140 VENUE PLAN WELCOME A separate stand across the aisle will provide an opportunity to see demonstrations of and to try out ‘hands-on’ the e-Learning for Healthcare Image Interpretation programme, developed by the College of Radiographers in partnership with e-Learning for Healthcare. PROGRAMME 207 Providence Square, Mill Street, London SE1 2EW Tel: +44(0) 20 7740 7200 Fax: +44(0) 20 7740 7233 Email: [email protected] Website: www.sor.org INFORMATION The College of Radiographers/e-LfH 21 VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS The College of Radiographers is in a partnership with e-Learning for Healthcare (e-LfH) to develop ‘Image Interpretation’ for radiographers and other healthcare professionals. e-LfH is a Health Education England programme that, through partnership working, provides high quality e-learning for the healthcare workforce across the UK. TUESDAY SESSIONS Currently there are well over 50 e-LfH e-learning projects, chosen to make maximum impact on the quality of patient care. Provided free of charge to all relevant NHS staff, they facilitate multi-disciplinary training and teamwork. WEDNESDAY SESSIONS e-LfH has received many industry awards, and is proud to have been described as “transforming medical education for the 21st century”. Further information is available at www.e-lfh.org.uk WORKSHOPS Toshiba 73, 91 and mobile unit SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS For radiology professionals seeking clinical excellence and operational efficiency, we offer an unbeatable combination of high quality MR, CT, XR and ultrasound scanners with the UK’s most responsive and reliable support. This enables our customers not only to achieve the highest levels of image quality consistently, but also to maximise patient throughput, and therefore efficiency and productivity. EDUCATION ON STANDS We have brought along some of our advanced imaging equipment for you to see, including the Aquilion ONE CT scanner, our Mobile CT, our virtual Infinix interventional system and more. EXHIBITION PLAN & LIST Come and meet the Toshiba Medical Systems UK team and find out how you can sign up to The Toshiba Imaging Academy. UKAS 23 ISAS is a patient-focused imaging service accreditation scheme that is assessed against a quality enhancing standard based on clinical and patient reported performance measure. ISAS gives confidence to patients, purchasers, staff and managers about safety, effectiveness and sustainability. UKAS, the national accreditation body has been appointed by The College of Radiographers, and The Royal College of Radiologists to manage and deliver ISAS, which is available to public and private organisations. Assessment for accreditation is against the ISAS standard that the colleges own and maintain. For more information visit stand 23 or www.isas-uk.org Unfors RaySafe Gmbh 68 Unfors RaySafe is the world’s leading supplier of radiation measurement solutions in the medical field offering comprehensive solutions for the X-ray room – from quality assurance of X-ray equipment, to real-time dose monitoring for medical staff and dose tracking software for patients. Founded in 1994, the company has its headquarters in Sweden and subsidiaries in the United States, Germany, Singapore, India, Japan and China and a global sales network. Unfors RaySafe is fully owned by Fluke Biomedical since February 2014. For additional information, please visit www.raysafe.com Visbion Ltd 54 Visbion is the specialist in providing smart, effective and scalable image management solutions to the healthcare sector. Working with single clinics to multiple site hospitals, Visbion’s patient-centric approach is helping to drive the next generation technology solutions. Visbion’s specialist expertise can also provide connectivity solutions for even the most complex challenges, including connecting remote networks and mobile facilities. Currently used in over 500 sites worldwide, Visbion’s leading edge technology is a proven healthcare solution. We work closely with our customers to provide competitive solutions that meet their specific needs today and in the future. No matter what your requirements, we have a suitable solution for you. EXHIBITOR INFORMATION PRESENTER INDEX JOIN THE CONVERSATION #UKRC2014 18 1 Wisepress are Europe’s principal conference bookseller. We exhibit the leading books, sample journals and digital content relevant to this meeting. Books may be purchased at the booth, and we offer a postal service. Visit our online bookshop for special offers and follow us on Twitter for the latest news @WisepressBooks. Visit www.xograph.com to see our full range. INFORMATION VICE PRESIDENTS & WORKING PARTY SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS Xograph Healthcare is delighted to present our portfolio of medical imaging solutions: • Canon CXDI series wireless direct digital detectors (35x43cm, 27x35cm, 43x42cm) with exposure detection • Delft DI radiography solutions - Fixed Rooms and Mobiles • MobileDaRt Evolution DR mobile X-ray • Ziehm RFD Hybrid mobile interventional imaging system with vascular table • Ziehm Solo ultra-compact mobile C-Arm • Planmed Verity mobile cone beam extremity CT scanner • OrthoScan FD Mini C-Arm & OrthoScan Mobile DI desktop fluoroscopy • Planmeca dental imaging portfolio EDUCATION ON STANDS 10 EXHIBITION PLAN & LIST Xograph Healthcare Ltd WORKSHOPS 25 High Path, Merton Abbey, London SW19 2JL Phone: +44 20 8715 1812 Fax: +44 20 8715 1722 [email protected] www.wisepress.com EXHIBITOR INFORMATION Wisepress MONDAY SESSIONS Other MR Accessories available Paediatric coils, Patient Monitoring, Audio Visual Entertainment system and LED Relax & View® Image collection. TUESDAY SESSIONS In addition Wardray Premise manufacture several MR Safe Accessories for the MRI Department including, Patient Trolleys, Paediatric and Adult versions, Portering chairs, and Utility Trolleys. We can also offer bespoke products to suit customer’s requirements. WEDNESDAY SESSIONS X-ray protective products include lead aprons, screens, doors, lead glass windows and workstations. Accessories include x-ray patient trolleys, scoliosis and proctology chairs. PROGRAMME WELCOME Wardray Premise is a long established company specialising in manufacturing of all types of Radiation Shielding for medical and industrial applications including RF Cages. PRESENTER INDEX Wardray Premise Ltd 141 VENUE PLAN EXHIBITOR INFORMATION The UK Radiological Congress PRESENTER INDEX 142 VENUE PLAN WELCOME PROGRAMME INFORMATION VICE PRESIDENTS & WORKING PARTY MONDAY SESSIONS TUESDAY SESSIONS WEDNESDAY SESSIONS WORKSHOPS SATELLITE SYMPOSIA POSTER LISTING ePOSTER LISTINGS EDUCATION ON STANDS EXHIBITION PLAN & LIST EXHIBITOR INFORMATION PRESENTER INDEX Allison, Wade 97 Amin, Zahir 98 Aniq, Hifz 55,104,105 Ap Dafydd, Derfel 68 Ariff, Ben 50 Arthurs, Owen 70 Aslam, M Z 95 Ballard, Tim 33 Bamber, Jeff 34 Banerjee, Arpan 62 Barnes, Anna 78 Barwick, Tara 100 Basu, Subhasis 30 Battin, Mike 84 Bayam, Fatma 104 Beale, Andy 33 Beck, Jamie 29 Berg, Jonathan 52 Bernhardt, Philipp 89 Bertolli, Brandon 83 Bhojak, Maneesh 40 Boland, Giles 31,97 Bonello, Victoria 49 Booton, Richard 99 Bosmans, Hilde 41 Bowers, Mark 54 Boyda, Martin 90 Bradley, Marcus 61 Bramer, Andrea 79 Brettell, David 76 Bricknell, Sarah 51 Bridges, Jane 71 Buscombe, John 40 Butt, Sajid 80,85 Butteriss, David 40 Caplan, Mark 105 Catchpole, Ken 31,88 Chambers, James 29 Chawla, Sumita 104 Chua, Sue 96 Clancy, Conor 83 Collin, Neil 74 Collins, Roisin 75 Connor, Steve 84 Constantine, Faith 79 Cook, Gary 100 Cook, Joy 66,88 Corkett, Tony 77 Cornford, Eleanor 42 Councell, Andy 30 Cowan, Nigel 49 Craig, Kay 41 Craven, Roy 57 Crisp, Andrew 103 Crotty, Moira 78 Curtis, John 99,102,104,105 Dale, Trevor 89 Dance, David 38 Davies, Catriona 13 Davis, David 54 Davis, Stephen 47,87,101 Denton, Erika 33 Dhawan, Ranju 96 Dineen, Rob 32 Do, Richard 39 Dobson, Stephanie 93 Duck, Francis 62 Duffy, Patrick Dugar, Neelam Dunn, Matt Dwarkanath, Ranjana Evans, Rhodri Fay, Dominic Flintham, Kevin Foster, Judith Gedela, Swamy Gibb, Iain Gould, Richard Govender, Grainne Green, Kerry Grey, Peter Griffiths, Marc Grunwald, Iris Halpenny, Darragh Han, Sai Hardy, Maryann Hargunani, Rikin Harrington, Kate Harris, Jonathan Harrison, Gill Harvey, James Harvey, Dave Hawtin, Kate Herwadkar, Amit Higginson, Antony Hillier, Julia Hoare, Tim Hodgkins, Sally Hogdson, Mark Holemans, John Holman, Bethan Holt, Elaine Hopkins, Richard Howard, Bethany Howe , Miles Howells, John Hughes, Richard Hughes, Phil Jackson, Sarah Jackson, Michael Jaffer, Ounali Jenkins, Carys Jessop, Steve Judd, Ian Kabala, Julian Katti, Ashok Kearney, Sue Kerr, Richard Kerr, Keith Khanna, Monica Kingston, Kate Kirkman, Dominic Kotre, John Kraft, Jeannette Kruger, Elzene Kulkarni, Trupti Kumar, Raekha Lalam, Radhesh Landes, Caren Lawton, Chris Ledger, Minty Lee, Justin C Likeman, Marcus Liljeroth, Maria 32 35 30,58 104 72 73 94 56 28 73 66 39 105 95 48 32 39,48 87 101 80,85 40 28 48 42 35,59,76 68 54 85 58,71 98 58 76 104 65 82 73 82 42 72 55 101,105 28 63 99 44 83 83 84 104 102,103 77 99 93 56 59 38,77 56 78 104,105 44,46 60 60 28 34 36 32 78 Little, David 63 Lock, Stephen 54 Loney, Elizabeth 72 Lund, Christopher 90 Lyburn, Iain 31 Mackenzie, Alistair 37,52 Magennis, Rachel 104,105 Mansoubi, Hatef 36 Marchessoux, Cédric 51 Marshall, Nicholas 42 Maskell, Giles 86 Matthews, Hilary 102,104,105 McAuley, Ruth 67 McQueen, Andrew 72 Meagher, Tom 55 Mellor, Fiona 70 Mellor, Stuart 104 Meredith, Sara 94 Messer, Simon 47 Mills, Samantha 61 Mills, Julie 69 Mitchell, Adam 93 Morley, Nick 44 Mucci, Brian 35 Mullaney, Peter 46,105 Mustafa, Syed A R 95 Muthu, Sivakumar 88 Narayanan, Priya 58 Navalkissoor, Shaunak 88 Naylor, Sarah 67 Negus, Samantha 57 Newman, David 45 Nightinglae, Julie 88 O’Flynn, Liz 53 Oh, Teik Chooi 47 O’Meara, Celia 78 Oommen, Jacob 81 Orchard, Vanessa 91 Paravasthu, Dhivya 104,105 Paravsathu, Madhu 105 Parker, David 57 Patel, Anant 30 Patel, Anand 53 Patel, Mohmed 90 Pavitt, Chris 51 Pearce, Robert 35 Peck, Alexander 30 Pilling, David 97 Pippel, Sven 60 Planche, Katie 85 Platisa, Ljilana 52 Platten, David 41 Prakash , Vineet 96 Pretorius, Pieter 61 Punwani, Shonit 49 Pursey, Jacqueline 92 Rahaim, Nadia 76 Rajeswaran, Gajan 36 Rawal, Bhavin 64 Rawlings, David 82 Reid, Karen 58 Repas, Julia 75 Rhys, Rhian 84 Ridley, Nicholas 30 Roberton, Benjamin 92 Roberts, Iwan 103 Robinson, Richard 101 Roddie, Mary 103 Rogers, Andy 90 Romanowski, Charles 54 Roobottom, Carl 37 Rosoff, Diana 30 Rowe, Susan 81 Sahu, Ajay 65 Said, Bella 79 Salman, Nina 92 Screaton, Nick 99 Sebire, Neil 71 Sellars, Maria 56,98 Seriki, Dare 73 Seshadri, Nagabhushan 100 Shambrook, James 50 Shamshuddin, Sameer 102,104,105 Sharma, Nisha 42 Sharman, Anna 103 Shaygi, Behnam 64 Siewko, Dominic 89 Singh, Jaspreet 60 Siripurapu, Rekha 41 Smee, Carole 95 Smith, Jonathan 34 Snaith, Beverly 65,101 Soh, Calvin 61 Spencer, Nicholas 101 Stevens, Greg 38 Stoodley, Neil 64 Strickland, Nicola 86 Suresh, Priya 101,105 Swerdlow, Tony 52 Syed, Rizwan 100 Tan, Jia Wei 45 Taylor, Nicholas 91 Thomas, Adrian 62 Thurston, Andrew 68 Tins, Bernhard 60 Trianni, Annalisa 89 Turner, Joanne 74 Tyler, Philippa 80,85 Udani, Sundip 30,74 Vallis, Jacquie 78 Van der Gaag, Anna 69 Victor, John 77 Vinnicombe, Sarah 53 Ward, Rebecca 80 Wardle, Phillip 46 Watura, Roland 61 Waugh, Shelley 43 Werb, Shannon 86 West, Colin 81 Westwood, Thomas 85 Whitby, Elspeth 70 White, David 98 Wijesuriya, Shalini 43 Wiles, Rebecca 104 Williams, Michelle 37 Williamson, Ruth 59 Winn, Naomi 28,54,104,105 Woodward, Nicholas 97 Woznitza, Nicholas 81 Young, Kenneth 33 Zhang, Guozhi 37 EE RN FR O N A PC WI LE PO D ND 99 N A KI ND A ST JOIN THE CONVERSATION #UKRC2014 VENUE PLAN WEDNESDAY SESSIONS ID Medical is the UK’s leading TUESDAY SESSIONS MONDAY SESSIONS VICE PRESIDENTS & WORKING PARTY INFORMATION PROGRAMME A sure and alternative approach to Allied Healthcare recruitment 143 WELCOME CONGRESS PARTNERS multi-discipline medical recruiter WORKSHOPS with its dedicated full-framework AHP/HSS division servicing every ePOSTER LISTINGS EDUCATION ON STANDS WWW.ID-MEDICAL.COM PRESENTER INDEX t: 01908 552 283 e: [email protected] www.facebook.com/IDMedical www.twitter.com/IDMedical uk.linkedin.com/in/idmedicalahp EXHIBITOR INFORMATION why we’re the fastest growing AHP/HSS recruiter in the UK EXHIBITION PLAN & LIST Visit us at stand 99 POSTER LISTING SATELLITE SYMPOSIA specialty in Allied Healthcare. 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