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Kaiser Permanente's Southern California Regional Diagnostic Imaging Education Committee &
The Department of Professional Education
present
HEALTHCARE 2009:
The 15th Annual Radiology Symposium
Be Aware; Be Prepared!
Saturday, February 7, 2009
AN EDUCATIONAL SEMINAR FOR IMAGING PROFESSIONALS
The Disneyland Hotel
1150 Magic Way, Anaheim, CA
Register via our world wide website
http://www.kpsymposia.com
7 Category A Continuing Education Credits have been applied for; Approval Pending.
Provider number CAP021.
Nurses: Provider approved by the BRN Provider #CEP751 for 7 contact hours.
SDMS recognizes ASRT Category A Credits
Regional Diagnostic Imaging Committee
Kathy Montelli, RT
Symposium Co-Chair
Kaiser Permanente, Orange County
Angie Inglese, BS, RT
Symposium Co-Chair
Kaiser Permanente, Fontana
Christine Aguilar, RT
Kaiser Permanente, Orange County
Karlynn Jordan, RT
Kaiser Permanente, Los Angeles
Susan Akles, RT
Kaiser Permanente, Baldwin Park
Laurie Patrick, RT BA, RDMS, RVT
Kaiser Permanente, West Los Angeles
Kathryn Angel, RDMS
Kaiser Permanente, Riverside
Charles Perdido, RT
Kaiser Permanente, West Los Angeles
Colleen Frazier, RT
Kaiser Permanente, San Diego
Jesse Platts, BA, RT
Kaiser Permanente, South Bay
Wendy Friedman
Kaiser Permanente, Los Robles
Al Quitral, BS, RT, RDMS
Kaiser Permanente, South Bay
Jacqueline Gisbert, RT
Kaiser Permanente, Bellflower
Karen Ruballo, BSRT
Kaiser Permanente, Panorama City
Healthcare 2009: Be Aware; Be Prepared!
February 7, 2009
AGENDA
7:00 – 7:50am Sign-in, Continental Breakfast and Exhibit Viewing
7:50 – 8:10am Welcome and Introductions
8:10 – 9:50am Keynote Presentation - What YOU Need To Know When “The Bomb” Drops
- Jacky Williams, PhD
9:50 – 10:20am Break and Exhibit Viewing
10:20 – 11:10am Breakout Session A
TOPIC 1: Perspectives in Radiation Safety - Robert McDermott, MS, DABR
TOPIC 2: Body MRI Examinations with CT Correlation: Indications,
Techniques, and Interesting Cases - Eric Chiang, MD
TOPIC 3: ACR Mammography Accreditation: Everything You Wanted to
Know But Were Afraid to Ask PART I – Priscilla Butler, FACR, FAAPM
TOPIC 4: Ultrasound of the Endometrium: Data, Debates, and the
Gory Details - Michelle Melany, MD
11:20 -12:10pm Breakout Session B
TOPIC 5: Pediatric Radiology Review from Head to Toe – Jane McMillan, MD
TOPIC 6: Update in Vascular Intervention, Including Aortic Stent Grafts
And Neuro-intervention - Mahfuz Ahmed, MD, PhD
TOPIC 7: ACR Mammography Accreditation: Everything You Wanted to
Know but Were Afraid to Ask PART II
TOPIC 8: Managing the Technical Challenges of 3D Ultrasound
in the Uterus – Susana Carmona, RDMS
12:20 – 1:10pm Hosted Lunch
1:20 – 2:10pm Breakout Session C
TOPIC 9: Intraoperative C-Arm Use in Pelvis and Hip Surgery
- Robert Klenck, MD
TOPIC 10: New Innovative Therapies for Treating Patients with Vertebral
Compression Fractures - Bassem Georgy, MD
TOPIC 11: Breast Specific Gamma Imaging from a Technologist’s
Perspective – Belinda Zaparinuk, RT(M), ARRT, CRT
TOPIC 12: Asherman’s Syndrome - Tim Gibbs, CRT, CTNM, RDMS, RVT
2:20 – 3:10pm Breakout Session D
TOPIC 13: Radiology Imaging Quality Assurance - Daryl Chen, MD
TOPIC 14: Basic Concepts in Acute Stroke Imaging - Arthur Wong, MD
TOPIC 15: Digital Versus Screen Film Mammography - Nasser Danesh, PhD
TOPIC 16: Tips for Scanning Difficult Ultrasound Patients
- Mani Montazemi, RDMS
3:10 – 3:40pm Break
3:40 – 4:30pm Breakout Session E
TOPIC 17: Chest Radiograph Interpretation for the Technologist –
Crispina Chong-Han, MD
TOPIC 18: Cardiac CTA: Why? What? How? - James Carter, RPA, BA, CRA,
ARRT (R) (MR)
TOPIC 19: Recent Advances in Breast Cancer Detection
– Anne Richards, MS, RT
4:30 – 4:45pm Certificate Distribution
DESCRIPTION OF TOPICS AND SPEAKERS BIOGRAPHIES
Keynote Presentation
What YOU Need To Know When “The Bomb” Drops - Due to our current heightened
awareness of terrorist activities, some of the scenarios that have been suggested as occurring
include large-scale radiological and nuclear events taking place within an urban environment,
such as a large metropolitan area. Following such a catastrophic event, any and all personnel
that have an understanding of radiation may be called upon for assistance or, at the very
least, to act in a public relations capacity, offering explanations to the general public.
Therefore, even peripherally connected personnel, such as imagers, radiological technical
staff, etc, may be questioned on risks and outcomes from such an event, not only by fellow
workers, but also by the media, etc. This presentation will therefore discuss some of the
concepts that need to be understood to be able to provide members with such information,
including a basic understanding of radiation in terms of units and types, past and potential
future accident scenarios and their possible outcomes in terms of acute radiation syndromes
and long term effects, as well as means of protection and/or mitigation that may be offered.
Low dose events and outcomes will also be discussed and their relationship to current
imaging practices.
Jacky Williams, PhD - Dr. Williams has nearly 30 years of experience in Radiation
Biology and related research fields and has participated in a number of research areas,
including clinically-related oncologic studies, tumor blood flow studies, long-term
carcinogenic studies, and pharmacologic and toxicological projects. Her current
research interests focus on radiation-induced late normal tissue effects as a
consequence of both high-dose clinical treatment and as a consequence of the lower
doses associated with space travel, terrorism or accidental exposures.
Breakout Session A
TOPIC 1: Perspectives in Radiation Safety - This course will correlate radiation dose
between imaging modalities and give the basis for addressing patient and occupational
concerns related to radiation dose.
Robert McDermott, MS, DABR - Regional Radiation Safety Officer, Southern California
Kaiser Permanente Medical Group, Medical Physics Department.
TOPIC 2: Body MRI Examinations with CT Correlation: Indications, Techniques, and
Interesting Cases - This talk will cover the background and prerequisites for optimal body
MRI examinations, including CT correlation. Body MRI may be useful when CT or
Ultrasound are indeterminate. Major indications as well as advantages and disadvantages
over CT will be discussed. Sequences and protocols utilized for body MRI will also be
covered.
Eric Chiang, MD - Director of MRI, Southern California Permanente Medical Group,
San Diego.
Breakout Session A –continued-TOPIC 3: ACR Mammography Accreditation: Everything You Wanted to Know but Were
Afraid to Ask PART I - Do you think you know everything about Mammography
Accreditation? Even if you do, this presentation will help you better understand the ACR
accreditation process to help you pass this important test. You will also learn about how
accreditation has improved breast imaging in the US and how your facility can be designated
an ACR Breast Imaging Center of Excellence.
Priscilla Butler, MS, FACR, FAAPM – Senior Director, Breast Imaging Accreditation
Programs, Department of Quality and Safety, American College of Radiology, Reston VA.
Adjunct Professor and Lecturer, Physics of Diagnostic Radiology, George Washington
University, Department of Radiology, Washington, DC. Consultant, Quality Assurance
Audit for Diagnostic Radiology Improvement and Learning, International Atomic Energy
Agency, Vienna , Austria.
TOPIC 4: Ultrasound of the Endometrium: Data, Debates, and the Gory Details - A
presentation of normal versus abnormal endometrium will be depicted with images. The
abnormal endometrium in post menopausal patients with bleeding will be described.
Controversies about measuring the endometrium in pre-menopausal, post menopausal
without bleeding and patients on Tamoxifen or hormone replacement therapy will be outlined.
Michelle Melany, MD - Cedar-Sinai Medical Center Department of Imaging in Los
Angeles. President for the Los Angeles Radiological Society Continuing Education
Committee.
Breakout Session B
TOPIC 5: Pediatric Radiology Review from Head to Toe - A general overview of factors
involving the imaging of the pediatric patient, the challenges involved, and the need for the
reduction of radiation dose levels.
Jane McMillan, MD - Radiologist, Southern California Permanente Medical Group,
Orange County, Anaheim.
TOPIC 6: Update in Vascular Intervention, Including Aortic Stent Grafts and Neurointervention - A multi-specialty team approach for the treatment of vascular disease
including aortic stent grafts and neuro-intervention will be discussed. This team approach
was developed in the Orange County Service Area several years ago. The team includes
radiologists, vascular surgeons, neuro-surgeons, anesthesiologists, radiologic technologists
and ICU trained nurses. Benefits including shorter lengths of stay, superior patient outcomes
and pitfalls will be reviewed.
Mahfuz Ahmed, MD, PhD - Chief Emeritus of Radiology, Southern California
Permanente Medical Group, Orange County, Irvine.
Breakout Session B –continued-TOPIC 7: ACR Mammography Accreditation: Everything You Wanted to Know but Were
Afraid to Ask PART II - A continuation of Part I (see 11:20am breakout description).
TOPIC 8: Managing the Technical Challenges of 3D Ultrasound in the Uterus - The
purpose of this presentation is to serve as an opportunity for participants to become familiar
with the concept of standardization during acquisition and display of 3D volumes in the
uterus.
Susana Carmona, RDMS - Division Manager, Ultrasound Department at the University
of California San Diego and Director of the Visiting Fellowship at UCSD Medical Center.
Currently involved with 3D and 4D imaging of the fetus and female pelvis.
Breakout Session C
TOPIC 9: Intraoperative C-Arm Use in Pelvis and Hip Surgery - Numerous examples of
set-up, precise communications, and actual case examples of various hip and pelvis
orthopedic procedures will be presented.
Robert Klenck, MD - Orthopedic Surgeon Hip & Pelvis Institue at Saint John’s Health
Center, Santa Monica.
TOPIC 10: New Innovative Therapies for Treating Patients with Vertebral Compression
Fractures - A presentation on innovative treatments for patients with painful fractures due to
metastatic disease or osteoporosis. One such treatment is a low temperature form of radio
frequency ablation and is able to safely and precisely remove tissue without damage to
adjacent structures. This technology is used in combination with cement augmentation to
stabilize a fracture caused by mets. Clinical cases will be discussed along with recent studies
showing the efficacy of combined therapy. In addition, new spine fracture treatments
designed for patients without metastatic disease and use of a mechanical device to create a
space inside a vertebral body prior to cement injection. This technique has proven to
decrease injection pressure, cement leakage, thereby increasing patient and procedure safety.
Bassem Georgy, MD - Interventional Radiologist, Associate Professor, UCSD and
President of ASSR.
TOPIC 11: Breast Specific Gamma Imaging (BSGI) from a Technologist’s Perspective BSGI is a new imaging technique that can aid in the diagnosis when a mammogram is
inconclusive. The importance of this new imaging modality, helpful positioning tips, patient
feedback, and how to set standards when using BSGI will be shared as well as how to
incorporate BSGI into your department.
Belinda Zaparinuk, RT(M),ARRT, CRT - Lead Mammography Technologist at the
Eishower Breast Center, the first facility in the State of California to implement Breast
Specific Gamma Imaging.
Breakout Session C –continued-TOPIC 12: Asherman’s Syndrome - This ultrasound presentation will explain Asherman’s
Syndrome and its causes, including delineating procedures and discussing the different
stages of Asherman’s Syndrome
Tim Gibbs, CRT, CTNM, RDMS, RVT - Chief Ultrasound/ Nuclear Medicine Supervisor
for West Anaheim Medical Center, Anaheim. Ultrasound Physics Instructor, Orange
Coast College.
Breakout Session D
TOPIC 13: Radiology Imaging Quality Assurance - A discussion of quality in radiography
comparing traditional filming to digital imaging. The importance of correct identifiers through
the review of actual case studies.
Daryl Chen, MD - Radiologist, Southern California Permanente Medical Group,
South Bay.
TOPIC 14: Basic Concepts in Acute Stroke Imaging - This presentation will review the
major goals and challenges in the treatment of acute ischemic strokes and the role of
noninvasive imaging in the current practice of acute stroke treatment. We will discuss some of
the advantages and disadvantages in the use of CT and MRI in this setting and touch on some
of the principal techniques used in each of these modalities.
Arthur Wong, MD - Neuro Radiologist, Southern California Permanente Medical Group,
Los Angeles.
TOPIC 15: Digital Versus Screen Film Mammography - A comparison of digital and
screen-film mammography and the differences between the two systems. The technical
adjustments a technologist makes when transitioning from film-screen to digital
mammography. Also, a review of the QC and regulatory duties a technologist is responsible
for with digital and film-screen mammography.
Nasser Danesh, PhD - Physicist, Southern California Permanente Medical Group,
Medical Physics.
TOPIC 16: Tips for Scanning Difficult Ultrasound Patients - Ultrasound imaging of
technically difficult patients can prove to be challenging for sonographers. This presentation
will offer scanning tips to assist in overcoming limitations of ultrasound imaging. Adjustment
of technical factors aimed at improving the image will also be discussed.
Mani Montazemi, RDMS - Director of Ultrasound Research & Education, Radiology,
Geisinger Medical Center, Danville, PA. Faculty, Ultrasound Research & Education
Institute, Thomas Jefferson University Hospital. Member, Board of Directors, Society of
Diagnostic Medical Sonographers.
Breakout Session E
TOPIC 17: Chest Radiograph Interpretation for the Technologist - An intense discussion
of chest anatomy, the most common disease processes, and the evidence of life threatening
chest emergencies on the routine chest exam.
Crispina Chong-Han, MD - Physician in Charge, Radiologtist, Southern California
Permanente Medical Group, Anaheim.
TOPIC 18: Cardiac CTA: Why? What? How? - A basic introduction, addressing the why,
what, and how of cardiac CTA. Topics to be addressed include indications, how the exam is
performed, and how the images can be reviewed.
James Carter, RPA, BA, CRA, ARRT (R) (MR) - Director of Diagnostic Imaging,
Southern California Permanente Medical Group, Baldwin Park.
TOPIC 19: Recent Advances in Breast Cancer Detection - The presentation will cover
what is new in breast imaging besides digital mammography. Technologies such as full
breast ultrasound, tomosynthesis, functional imaging, breast MRI, and mammography CT will
be explained. A discussion on the results of the ACRIN 6666 multi-center ultrasound trial as
well as recent advances in ultrasound technology.
Anne Richards, MS, RT - Clinical Development Manager, Mammography Solutions,
Carestream Health Inc.

ASRT RULES OF ATTENDANCE
This information was taken directly from the ASRT website
1. Participants arriving late or departing early are subject to a reduction/deletion of credit.
If the presentation is 50 minutes, there is no leeway on time.
2. The number of CE credits will be reduced for CE activities that run short.
3. Participants must be alert and an active listener to receive CE credit. If you are reading
the paper, talking, sleeping or otherwise distracted you will not receive credit.
To view all the rules, please visit the ASRT website and specifically page 25
http://www.asrt.org/media/pdf/rfa.pdf
7 Category A ASRT Continuing Education Credits have been applied for; Approval Pending. Provider number CAP021.
Nurses: Provider approved by the California Board of Registered Nursing, Provider Number CEP751 for 7 contact hours.
SDMS recognizes ASRT Category A Credits

ASRT members - must send copies of their individual attendance certificate,
by mail or fax, if they would like the credits tracked in their CE record.
The ASRT address is 15000 Central Ave. SE, Albuquerque, NM 87123-3909.
Fax number: 505-298-5063.

SDMS credits - will be reported by Professional Education to the Society of Diagnostic
Medical Sonography.
REGISTRATION INFORMATION
There are two ways to register:
1. Via our world wide website http://www.kpsymposia.com/
Registration website closes at 9:00pm on February 1, 2009.
 Save the $10 processing fee when you register using the website.
If you have questions about registering via the website, please call
Professional Education at (626) 564-3082 (tie line 338).
2. Or by mail with a check or money order payable to SCPMG or by credit card (see
form below). Mailed in registrations must include the $10 processing fee and
must be postmarked on or before January 29th and received by Feb 2nd, 2009.

Mail Registration Forms Part I and II to:
Kaiser Permanente Attention: Professional Education
100 S. Los Robles Avenue, Suite 550, Pasadena, CA 91188
If your registration is not received by February 2nd, for any reason
you will not be registered for the symposium.
 There is no on-site registration 
 No refunds will be granted 
An easy way to make sure you are registered is to log onto www.KPsymposia.com,
scroll down the calendar to the “Healthcare 2009” symposium.
On the symposium homepage, click on the “Registered Attendee List” to view all the attendees.
If your name is not listed there, you are not registered.
REGISTRATION FEES
Registration Fees include: Continental Breakfast, Lunch, Symposium,
Self Parking & Continuing Education Credits

Website registration closes on February 1, at 9:00pm
Registration Fees
Early
Registration
Registration
KP Employees
or
Students
Community
Colleagues
KPsymposia Website Registration
by 9:00pm Jan 24th, 2009
$80.00
$105.00
Mailed Registration Postmarked
on or before Jan 24th, 2009
$90.00
$115.00
KPsymposia Website Registration
Jan 24 after 9:00pm &
Before 9:00pm Feb 1, 2009
$95.00
$120.00
Mailed Registrations Postmarked
between Jan 26 & Jan 29, 2009
$105.00
$130.00
REGISTRATION FORM – Part I
Healthcare 2009: Be Aware; Be Prepared!
NAME
ARRT or ASRT
Membership #
ARDMS
Membership #
BRN #
A license # is required for all licensed attendees
Home address
City, State & Zip
E-Mail Address

A valid E-mail address is required to receive the registration confirmation,
receipt, speaker presentations & important symposium information
Phone #
Please choose your title
 RT
 Sonographer
 Limited Permit X-Ray Tech
 RN
 Student
 Other ______________________________
Please write in your Facility or School Name below
Kaiser Permanente Employees
Community Colleagues
Students
Lunch Choice:
 Chicken
 Vegetarian
CREDIT CARD FORM
Please check card type
 Visa
 MasterCard
Credit Card #
Expiration Date
Name on Credit Card
Signature
Amount to Charge
REGISTRATION FORM – Part II
NAME: ________________________________________________________
Please choose your 1st and 2nd choices in the chart below for each breakout session
If your first choice is full, you will be registered for your second choice.
Spaces will be filled on a first-come, first-serve basis.
Register early as space is limited.
1st
Choice

2nd
Choice
Keynote Presentation - What YOU Need To Know When “The Bomb” Drops
- Jacky Williams, PhD
Breakout Session A
TOPIC 1: Perspectives in Radiation Safety - Robert McDermott, MS, DABR
TOPIC 2: Body MRI Examinations with CT Correlation: Indications, Techniques,
and Interesting Cases - Eric Chiang, MD
TOPIC 3: ACR Mammography Accreditation: Everything You Wanted to
Know But Were Afraid to Ask PART I – Priscilla Butler, FACR, FAAPM
TOPIC 4: Ultrasound of the Endometrium: Data, Debates, and the Gory Details
- Michelle Melany, MD
Breakout Session B
TOPIC 5: Pediatric Radiology Review from Head to Toe – Jane McMillan, MD
TOPIC 6: Update in Vascular Intervention, Including Aortic Stent Grafts
And Neuro-intervention - Mahfuz Ahmed, MD, PhD
TOPIC 7: ACR Mammography Accreditation: Everything You Wanted to
Know but Were Afraid to Ask PART II
TOPIC 8: Managing the Technical Challenges of 3D Ultrasound
in the Uterus – Susana Carmona, RDMS
Breakout Session C
TOPIC 9: Intraoperative C-Arm Use in Pelvis and Hip Surgery – Robert Klenk, MD
TOPIC 10: New Innovative Therapies for Treating Patients with Vertebral
Compression Fractures - Bassem Georgy, MD
TOPIC 11:
Breast Specific Gamma Imaging from a Technologist’s
Perspective – Belinda Zaparinuk, RT(M),ARRT, CRT
TOPIC 12: Asherman’s Syndrome - Tim Gibbs, CRT, CTNM, RDMS, RVT
Breakout Session D
TOPIC 13: Radiology Imaging Quality Assurance - Daryl Chen, MD
TOPIC 14: Basic Concepts in Acute Stroke Imaging - Arthur Wong, MD
TOPIC 15: Digital Versus Screen Film Mammography - Nasser Danesh, PhD
TOPIC 16: Tips for Scanning Difficult Ultrasound Patients – Mani Montazemi, RDMS
Breakout Session E
TOPIC 17: Chest Radiograph Interpretation for the Technologist
- Crispina Chong-Han, MD
TOPIC 18: Cardiac CTA: Why? What? How? - James Carter, RPA, BA, CRA, ARRT (R) (MR)
TOPIC 19: Recent Advances in Breast Cancer Detection – Anne Richards, MS, RT