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Computed Tomography (CT) Friday July 29, 2011 Breakout Session #1: 9:15 a.m.-10:15 a.m. CT Radiation: Understanding Dose and Methods for Reduction Shared Session—Computed Tomography and Molecular Imaging Tracks How can we achieve excellent outcomes at the lowest possible dose? This session will demonstrate how scan acquisition and image reconstruction parameters should be selected and managed to improve image quality and help reduce radiation dose. The goal of the presentation is to provide practical information for users that will help them operate their CT scanners wisely, while helping them to improve the quality and usefulness of CT images and help reduce radiation dose to patients. Specifically, multipledose-reduction strategies available on today's Siemens CT scanners will be discussed. Presenter(s): Katharine L.R. Grant, PhD Scientific Collaborations Manager/Staff Scientist Siemens Healthcare Breakout Session #2: 10:30a.m.-11:30 a.m. Power Injectors: Enabling Optimized Contrast Delivery Now more than ever, power injectors are crucial in providing optimal contrast enhancement, resulting in high-quality diagnostic CT images. This presentation will address the requirements and capabilities of injector technology. Some of the topics included in this session are pressure management, the three key variables that affect peak enhancement, the utilization of saline and contrast plus the advantages of saline flush as well as an explanation of simultaneous injection of contrast and saline. Finally, we will explain why patient-specific contrast enhancement protocols should be used. Innovations’11 for Imaging Educational Program Sessions are subject to change. Presenter(s): Terry Haegy RT ARRT (R)(CT)(MR) Clinical Business Relations Manager, CT Products MEDRAD Cocoa Beach, FL Breakout Session #3: 1:00 p.m.-2:00 p.m. CT Techniques for Pediatric Imaging For pediatric CT imaging, it is essential to employ a CT scanner that can not only offer dose reduction, but can also provide fast scan speeds, while maintaining excellent imaging performance. This presentation will cover challenges in pediatric CT, patient preparation, use of oral and intravenous contrast medium, and use of volumetric viewing. Presenter(s): Marilyn Siegel, MD Professor of Radiology and Pediatrics Mallinckrodt Institute of Radiology Washington University Medical Center St. Louis, MO Breakout Session #4: 2:00 p.m.-3:00 p.m. Cardiac CT Imaging: What You Need to Know This session brings you up-to-date with what is happening in the field of cardiac CT imaging. Whether you have experience or are new to the field of cardiac CT imaging, you will appreciate this discussion about the fundamentals of cardiac CT, acquisition and injection protocols, cardiac-dose saving strategies, the use of Dual Energy, and other novel cardiac CT technologies. Presenter(s): Robin Brothers RT(R) (CT) Instructor of Cardiac Imaging in Computed Tomography Medical University of South Carolina Charleston, SC Saturday July 30, 2011 Breakout Session #5: 3:15 p.m.-4:30 p.m. Dose Debate Panel Discussion Breakout Session #6: 8:00 a.m.-9:00 a.m. ACR: CT Scanner Accreditation Protecting patients and staff from unnecessary radiation is a concern. That’s why we all should be committed to the ALARA (As Low as Reasonably Achievable) principle. Are you? Three speakers will bring you up-to-date regarding current concerns, how to help reduce radiation dose, and help you implement dose reduction strategies in your facility. Dr. Siegel will discuss radiation trends, risks, and doses in CT. Dr. Grant will highlight Siemens’ specific methods and strategies to help reduce dose on the patient. Mr. Vega will share how he and his team adjusted patient dose in his facility and developed a protocol review committee. This session is appropriate and very timely for anyone planning or currently involved in CT accreditation or anticipating a future renewal. The American College of Radiology (ACR) very recently announced significant changes in its CT accreditation program. The program has been revised to provide a modular accreditation structure, which will provide more flexibility for facilities doing CT scans for various clinical purposes. The submission process has been changed as well as the scanner testing procedures and other requirements. This session provides up-to-date information on these changes and what facilities should be doing to comply with the new requirements and procedures. Presenter(s): Marilyn Siegel, MD Professor of Radiology and Pediatrics Mallinckrodt Institute of Radiology Washington University Medical Center St. Louis, MO Emilio Vega BS, RT, (R)(CT) Radiology Manager NYU, School of Medicine New York City, NY Katharine L.R. Grant, PhD Scientific Collaborations Manager/Staff Scientist Siemens Healthcare Presenter(s): Cassandra L. Little, RT (R)CT)(MR) Clinical Education Specialist Siemens Healthcare Emilio Vega BS, RT (R)(CT) Radiology Manager NYU, School of Medicine New York City, NY Breakout Session #7: 9:00 a.m.-10:00 a.m. CT Perfusion in Stroke Care at the Community Hospital This session is designed for anyone currently using or planning to utilize brain perfusion in their stroke care. You will learn where, when, and how perfusion scans are performed and what the interventional radiologist needs from a technologist in terms of imaging and postprocessing. Presenter(s): Vance McCollom, MD Vascular and Interventional Radiology and Diagnostic Radiology Mercy Hospital of Oklahoma Oklahoma City, OK Innovations’11 for Imaging Educational Program Sessions are subject to change. Breakout Session #8: 10:15 a.m.-11:15 a.m. CT Interventions: What the User Needs to Know Clinical know-how is the key to providing optimized patient care and workflow when using the Siemens Adaptive 3D Intervention system. This presentation will educate you on CT Intervention in a clinical setting and how to achieve the lowest possible dose. Presenter(s): David Lacey, MD Interventional Radiologist Iowa Methodist Medical Center Des Moines, IA Breakout Session #9: 11:15 a.m.-12:15 p.m. Dual Energy in Clinical Routine: Past, Present, and Future In this session, you will learn how to generate high-quality, Dual Energy CT examinations. Learn to take full advantage of this technology and how this can positively impact your clinical routine. This presentation is guaranteed to wow any technologist interested in advanced, cutting-edge, CT imaging. Presenter(s): Karl Krzymyk CT Scientific Collaborations Manager Siemens Healthcare Breakout Session #10: 1:30 p.m.-2:30 p.m. CT in the Emergency Department MultiCare Health System is one of the largest private healthcare provider systems in Washington State and serves communities in four counties with 93 clinics and four hospitals, two of which opened new emergency departments within the last year. Innovations’11 for Imaging Educational Program Sessions are subject to change. This session will present our thought process supporting the selection and placement of CT within our two new emergency departments as we considered clinical indications, expected volumes, patient throughput improvements, and safety considerations such as radiation, contrast, and medication dose reductions. Presenter(s): Maurya K. Radvilas, BAS, RT(R)(CT)(MR),CRA Director, Imaging Services MultiCare Health System Tacoma, WA Breakout Session #11: 2:30 p.m.-3:30 p.m. CT Artifacts and Image Quality Shared Session—Computed Tomography and Molecular Imaging Tracks Computed Tomography (CT) is everywhere these days and it plays a role in several imaging modalities. This session covers CT basics such as physics, theory, and instrumentation. The session will also cover CT parameters for acquisition, reconstruction, and display and how they affect image quality. Lastly, a review of some image artifacts will be presented and tips on how to avoid them will be discussed. Presenter(s): Michael Cullinane Clinical Education Specialist Siemens Healthcare