10th Annual International Symposium on Multidetector-Row CT
May 13-16, 2008
Wynn Las Vegas
Course Handouts
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Individual handouts are available, below, as PDF files. In addition, ZIP archives of each day's handouts are available here:
- Tuesday, May 13 (zip archive)
- Wednesday May 14 (zip archive)
- Thursday, May 15 (zip archive)
- Friday, May 16 (zip archive)
Tuesday, May 13
Session I: Technology: Present and Future
Moderator Geoffrey D. Rubin, MD
7:10-7:20 Introduction
Geoffrey D. Rubin, MD
7:20-7:30 A Few Useful Analogies for Understanding Multi-Detector Row Technology
Dianna Cody, PhD
7:30 -7:40 Technical Comparison of 64 Slice CT Scanners: X-Ray Source and Detectors
James A. Brink, MD
7:40-7:50 The Importance of Adaptive Z-Collimation in Spiral CT Scanning
Willi Kalender, PhD
7:50-8:00 Lessons from Lot’s Wife: Looking Back May Not Be So Bad - Principles of Spatial and Contrast Resolution in Everyday CT Imaging
Jay Cinnamon, MD
8:00-8:10 A Stroll Down Multi-Detector Row CT Artifact Lane
Dianna Cody, PhD
8:10-8:20 Cardiac and Thoracic CT Should Be Carried Out at Low Voltages
Willi Kalender, PhD
8:20-8:30 First Clinical Experience with a Novel Adaptive CT Scanner
Christoph R. Becker, MD
8:30-8:40 The Scatter Environment in MDCT
Rebecca Fahrig, PhD
8:40-8:50 Relative Sensitivity of Dual Energy CT
Norbert J. Pelc, ScD
8:50-9:00 LSO, BGO, TOF: Sorting Through the Latest PET/CT Designs
Andrew Quon, MD
9:00-9:10 Characteristics of Area Detector CT
Kazuhiro Katada, MD
Session II: Radiation Exposure
Moderator Geoffrey D. Rubin, MD
9:45-9:55 Trends in MDCT Utilization and Technique: Mandate for Radiation Dose Control
James A. Brink, MD
9:55-10:05 Estimating Radiation Dose to Glandular Breast Tissue: The Effect of Tube Current Modulation
Michael F. McNitt-Gray, PhD
10:05-10:15 Improved Control of the Dose vs. Image Quality Trade-Off with a "Virtual Bowtie" in Inverse Geometry CT
Norbert J. Pelc, ScD
10:15-10:25 Ionizing Radiation: Good For What Ails You
Cynthia H. McCollough, PhD
10:25-10:35 What are the Realistic Radiation Risks from Cardiac CT in Clinical Patient Populations?
U. Joseph Schöpf, MD
10:35-10:45 Ionizing Radiation as a Carcinogen
Cynthia H. McCollough, PhD
10:45-10:55 Radiation Dose Monitoring and Reporting for MDCT: Local, National, and Global Initiatives
James A. Brink, MD
10:55-11:05 Is CT Safe for Patients With Implantable Cardiac Devices?
Cynthia H. McCollough, PhD
Session III: Contrast Medium Risk
Moderator Dominik Fleischmann, MD
11:20-11:30 How Common is Clinically Significant Contrast-Induced Nephropathy Following Computed Tomography?
Steven D. Weisbord, MD, MSc, FASN
11:30-11:40 The Role of Intravenous Fluids for the Prevention of Contrast-Induced Nephropathy
Steven D. Weisbord, MD, MSc, FASN
11:40-11:50 Iodine vs Gadolinium: An Update
Robert J. Herfkens, MD
11:50-12:00 pm Is Oral Hydration Effective for the Prevention of Contrast-Induced Nephropathy?
Steven D. Weisbord, MD, MSc, FASN
Session IV: Pediatrics
Moderator Beverley Newman, Bsc, MB, BCh, FACR
1:55-2:05 Pediatric MDCT Techniques: What Doesn't Work and Why
Donald P. Frush, MD
2:05-2:15 Low Dose CT Imaging in CF Patients
Beverley Newman, Bsc, MB, BCh, FACR
2:15-2:25 Sedation and Anesthesia for Pediatric CTA
Frandics Chan, MD, PhD
2:25-2:35 MDCT Craniofacial Anatomy: Beyond Sagittal and Coronal Craniosynostosis
Dianna M. E. Bardo, MD
2:35-2:45 Common Vascular Rings - The ABC's of Imaging Interpretation
Beverley Newman, Bsc, MB, BCh, FACR
2:45-2:55 MDCT of the Pediatric Cervical Spine: Normal Anatomy is Often Mistaken for Pathology
Dianna M. E. Bardo, MD
2:55-3:05 Pediatric Non Cardiac CTA: A Primer
Donald P. Frush, MD
3:05-3:15 Choose Between MRA and CTA: A Rational Approach
Frandics Chan, MD, PhD
3:15-3:25 Small Child, Wide Detector: Are They Simpatico?
S. Bruce Greenberg, MD
3:25-3:35 Pediatric Appendicitis and MDCT: What We Have Learned
Donald P. Frush, MD
Session V: Trauma/Musculoskeletal
Moderator Garry E. Gold, MD
4:10-4:20 The Use of the Dual Source CT in the Emergency Polytrauma Patient
Savvas Nicolaou, MD, FRCP
4:20-4:30 MDCT of Active Arterial Bleeding - What Does It Mean?
Lewis K. Shin, MD
4:30-4:40 Polytrauma: Integration of Lower Extremity CTA With Torso CT
Jorge A. Soto, MD
4:40-4:50 Automated Computer Assessment of Non-Contrast CT Studies in Head Trauma Patients
Max Wintermark, MD
4:50-5:00 Emerging role for Computer Aided Detection (CAD) with MDCT in the ER
Dushyant Sahani, MD
5:00-5:10 CTA of Traumatic Injuries of the Extracranial Carotid and Vertebral Arteries
W. Dennis Foley, MD
5:10-5:20 Curved Reformatted Imaging in the Evaluation of Mandibular Trauma
Jay Cinnamon, MD
5:20-5:30 Characterizing Spinal Injury at the Cranio-Cervical Junction: Who, What, Where?
Megan Strother, MD
5:30-5:40 Characterization of Hip and Pelvic Fractures
Garry E. Gold, MD
5:40-5:50 Pelvic CT Angiography in Trauma: When and How
Jorge A. Soto, MD
5:50-6:00 The Utilization of the Dual Source CT for Musculoskeletal Applications: Confirming the Pattern of Distribution of Gout
Savvas Nicolaou, MD, FRCP
6:00-6:10 Orthopedic Hardware
Garry E. Gold, MD
Wednesday, May 14
Session VI: Abdomen I: Liver and Pancreas
Moderator R. Brooke Jeffrey, MD
7:00-7:10 Tips for Performing MDCT in Large Patients
Rendon C. Nelson, MD
7:10-7:20 Grey or White- What is Right? Oral Contrast Media Choices for MDCT, Protocol Optimization and Radiation Dose
Dushyant Sahani, MD
7:20-7:30 Optimal Scan Technique of Early and Late Arterial Phase MDCT Imaging of the Liver Tumor
Takamichi Murakami, MD, PhD
7:30-7:40 Dual Energy CT: Use of the Virtual Un-Enhanced Image for Quantifying Enhancement
Rendon C. Nelson, MD
7:40-7:50 Clinical Utility of 4D Volumetric Data of MDCT for Upper Abdominal Disease
Takamichi Murakami, MD, PhD
7:50-8:00 Perfusion in CT Oncology Imaging: A New Mainstream Application?
Axel Küttner, MD
8:00-8:10 Pearls and Pitfalls of Using Contrast in PET/CT
Andrew Quon, MD
8:10-8:20 How Should We Manage Incidental Small Pancreatic Cystic Lesions?
R. Brooke Jeffrey, MD
8:20-8:30 What Are the Established Criteria for Resectability of Pancreatic Carcinoma?
R. Brooke Jeffrey, MD
8:30-8:40 Is There a Benefit of Dual Energy CT in Patients with Pancreatic Tumors?
Anno Graser, MD
8:40-8:50 Evaluation of Hypervascular Liver Lesions with a Low kV, High mA CT Technique
Rendon C. Nelson, MD
8:50-9:00 Detection of Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis: Intraindividual Comparison of Multiphasic 64-Slice CT and Contrast Enhanced MR Imaging with Explantation Correlation
Carlo Catalano, MD
9:00-9:10 Budd-Chiari Syndrome: More Common and Important than You Thought
Michael P. Federle, MD
9:10-9:20 Rotational C-Arm CT of the Liver
Christoph R. Becker, MD
Session VII: Genitourinaru and Gastrointestinal
Moderator Lawrence C. Chow, MD
9:55-10:05 How to Miss a Renal Mass: Guide to Pitfalls and Solutions
Elliot K. Fishman, MD
10:05-10:15 Subtraction MDCT of the Kidneys: Technique, Applications and Pitfalls
Dushyant Sahani, MD
10:15-10:25 The Utilization of the Dual Source CT to Characterize Renal Stones and Effects on Patient Management
Savvas Nicolaou, MD, FRCP
10:25-10:35 Dual Energy CT of Renal Tumors: Can Virtual Non-Contrast Images Replace the Un-Enhanced Phase?
Anno Graser, MD
10:35 -10:45 256-Slice Renal Perfusion - New Application with New Insights?
Patrik Rogalla, MD
10:45-10:55 Technical Pitfalls in CT Urography
Lawrence C. Chow, MD
10:55-11:05 Interpretive Pitfalls in CT Urography
Lawrence C. Chow, MD
11:05-11:15 Omental Infarction: An Overlooked Cause of RLQ Pain
Michael P. Federle, MD
11:15-11:25 Understanding and Diagnosing Internal Hernias
Michael P. Federle, MD
11:25-11:35 Oral Tagging for CT Colonography: Why and How
Jorge A. Soto, MD
11:35-11:45 CT Colonography: Key Recent Studies
Lewis K. Shin, MD
Session VIII: Workflow/Image Processing
Moderator Geoffrey D. Rubin, MD
1:30-1:40 Tumor Volumetry in Oncology: Beyond Rescist
Elliot K. Fishman, MD
1:40-1:50 Simple Methods for Processing-64 MDCT Data on Scanner Console for Presurgical Planning in the Abdomen
Dushyant Sahani, MD
1:50-2:00 How Differences in 3D Workstations Impact Work Flow
Laura Pierce, MPA, RT(CT)
2:00-2:10 Dual Energy CT Imaging – Subtraction and Advanced Post-Processing
Johnny Vlahos, MD
2:10-2:20 Current Post-processing Responsibilities of CT Technologists
Laura Pierce, MPA, RT(CT)
2:20-2:30 Future Tools for Visualization and Discovery
Sandy Napel, PhD
2:30-2:40 Enterprise-Wide 3D: Evolving Models
Geoffrey D. Rubin, MD
Thursday, May 15
Session IX: Chest
Moderator Ann N. Leung, MD
7:00-7:10 Dual Energy CT of Lung Perfusion
Christoph R. Becker, MD
7:10-7:20 PIOPED II and Other Recent Thromboembolism Imaging Trials: Impact on Clinical Practice
Ann N. Leung, MD
7:20-7:30 Ventilation CT: Competing with Perfusion Scintigraphy
Patrik Rogalla, MD
7:30-7:40 CT Venography and Therapeutic Options for Venous Occlusion in the Chest
Bart Dolmatch, MD
7:40-7:50 Missed Lung Cancer on Chest Radiograph and CT
Charles S. White, MD
7:50-8:00 Ground Glass Nodules: Can We Ignore Them?
Ann N. Leung, MD
8:00-8:10 Who Benefits From Lung CAD?
Justus E. Roos, MD
8:10-8:20 Update on the Lung Image Database Consortium (LIDC): Current and Future Status of Public Image Databases
Michael F. McNitt-Gray, PhD
8:20-8:30 Lung CAD and the LIDC
Geoffrey D. Rubin, MD
8:30-8:40 Computer Aided Diagnosis – Nodule Characterization
Johnny Vlahos, MD
8:40-8:50 CT Imaging as a Biomarker: The Role of CT in Evaluating Lung Cancer Treatment Efficacy
Michael F. McNitt-Gray, PhD
8:50-9:00 Strategies for Efficient Chest CT Interpretation
Justus E. Roos, MD
9:00-9:10 Automated Computer Scoring of the Extent and Severity of Bronchiectasis: A Novel Approach
David P. Naidich, MD
9:10-9:20 MDCT Adaptations for HRCT Imaging
Johnny Vlahos, MD
9:20-9:30 New Drugs- New Pulmonary Toxicities
Johnny Vlahos, MD
9:30-9:40 Usual Interstitial Pneumonia (UIP/IPF) vs. Nonspecific Interstitial Pneumonia (NSIP): Can We Tell the Difference on HRCT?
David P. Naidich, MD
9:40-9:50 Virtual Bronchoscopic - CT Guided Transbronchial Needle Biopsy in Patients with Diffuse Infiltrative Lung Disease: Is There a Role?
David P. Naidich, MD
Session X: Neuro
Moderator Greg Zaharchuk, MD, PhD
10:25-10:35 Minimizing Radiation Risks with MDCT in Neuroradiology.
Megan K. Strother, MD
10:35-10:45 Intracranial CT Angiography Pearls
Jay Cinnamon, MD
10:45-10:55 Use of Area Detector CT in the Diagnosis of Cerebrovascular Diseases
Kazuhiro Katada, MD
10:55-11:05 320- Slice Dynamic Volume Neuro CT Angiography
Diego San Millán Ruíz, MD
11:05-11:15 Dural Venous Sinus Thrombosis: What’s Clot and What’s Not?
Megan K. Strother, MD
11:15-11:25 CTA of Arteriovenous Malformation
Greg Zaharchuk, MD, PhD
1:15-1:25 Cervical CT Angiography Pearls
Jay Cinnamon, MD
1:25-1:35 High-Resolution CT Imaging of Carotid Atherosclerotic Plaques and Associated Risk of Stroke
Max Wintermark, MD
1:35-1:45 Interpreting CT Brain Perfusion in Acute Ischemic Stroke
Greg Zaharchuk, MD, PhD
1:45-1:55 Perfusion-CT Imaging of the Blood-Brain Barrier in Stroke Patients
Max Wintermark, MD
1:55-2:05 CT Brain Perfusion: How Quantitative Is It?
Greg Zaharchuk, MD, PhD
2:05-2:15 320-Slice Dynamic Volumetric Stroke Evaluation
Diego San Millán Ruíz, MD
2:15-2:25 Cardiac CT Imaging in Acute Stroke Patients: The Triple Rule-Out (Cerebral, Carotids, Cardiac)
Max Wintermark, MD
2:25-2:35 Diagnosis of Brain Tumor Using Area Detector CT
Kazuhiro Katada, MD
2:35-2:45 Breathing Maneuvers and Bolus Techniques: MDCT Protocols for the Soft-Tissue Neck
Megan K. Strother, MD
Session XI: Vascular
Moderator Dominik Fleischmann, MD
3:20-3:30 Low Contrast Volume Abdominal CTA
Constantino S. Pena, MD
3:30-3:40 CT Thoracic Angiography: Prospective versus Retrospective Gating
W. Dennis Foley, MD
3:40-3:50 Penetrating Atherosclerotic Ulcers and Other Ulcer-Like Lesions of the Aorta
Dominik Fleischmann, MD
3:50-4:00 Intramural Hematoma Is Not a Disease
Dominik Fleischmann, MD
4:00-4:10 CTA for Planning Treatment of Abdominal Aortic Aneurysm
Constantino S. Pena, MD
4:10-4:20 CTA Assessment of Endovascular Treatment for Aortic Dissection
Bart Dolmatch, MD
4:20-4:30 CTA in the Evaluation of Endoleaks
Constantino S. Pena, MD
4:30-4:40 Dual Energy CT for the Detection of Endoleaks
Christoph R. Becker, MD
4:40-4:50 Imaging the Aorta After Trauma
Charles S. White, MD
4:50-5:00 Dual Energy CT Imaging of the Aorta and Pulmonary Vasculature
Johnny Vlahos, MD
5:00-5:10 CTA of the SMA and Celiac Axis:Non-Neoplastic Disease
Elliot K. Fishman, MD
5:10-5:20 Lower Extremity CTA in 2008: When Is it Most Useful?
Dominik Fleischmann, MD
5:20-5:30 Evaluation of In-Stent Restenosis in Extremity Arteries
W. Dennis Foley, MD
5:30-5:40 Lower Extremity Swelling and Phlegmasia; The Role of CT Venography
Bart Dolmatch, MD
5:40-5:50 Metabolic Syndrome and Accelerated Atherosclerosis; From Clinical Data to Quantitative Arterial Involvement
Carlo Catalano, MD
5:50-6:00 PET-CT Imaging of Atherosclerotic Plaques
Max Wintermark, MD
Friday, May 16
Session XII: Cardiac I: Technique, Indications, and Interpretation
Moderator Geoffrey D. Rubin, MD
7:00-7:10 Coronary CTA Technique Fundamentals for 64-Row Scanners
Charles S.White, MD
7:10-7:20 Dual-Energy CT Imaging of the Heart for Diagnosing Coronary Artery Stenosis and Myocardial Ischemia
U. Joseph Schöpf, MD
7:20-7:30 Prospective Gating: 18 Months Experience in 2000 Patients
James P. Earls, MD
7:30-7:40 Prospectively ECG-triggered Dual-Source CT of the Heart: Patient Selection, Image Quality, Radiation Dose
U. Joseph Schöpf, MD
7:40-7:50 Beta Blockers: Review of Success in 1800 Serial Patients
James P. Earls, MD
7:50-8:00 Are Beta Blockers Still Needed in the Emergency Setting for Patients with Chest Pain Undergoing Coronary CT Angiography with the Dual Source CT?
Savvas Nicolaou, MD, FRCP
8:00-8:10 Strategies for Dose Reduction in Cardiac CT: Lessions We Learnt From Clincal Practice
Axel Küttner, MD
8:10-8:20 Cardiac Imaging - CMR and CCT: What Are Their Safety Records, What Are the Potential Risks
J. Jeffrey Carr, MD
8:20-8:30 Patient Based Contrast Media Dosing for Optimizing Diagnostic Quality and Minimizing Contrast Load at Coronary CTA
U. Joseph Schöpf, MD
8:30-8:40 How to Contrast the Right Ventricle in Cardiac CTAs for Functional Diagnosis
Axel Küttner, MD
8:40-8:50 Theoretical Effect of Contrast Bolus Duration on Myocardial Perfusion Imaging by MDCT
Andrew Arai, MD
8:50-9:00 Cardiac Imaging in the Interventional Suite
Rebecca Fahrig, PhD
9:00-9:10 Comparison of Semi-Automated Ejection Fraction Software
Laura Pierce, MPA, RT (CT)
9:10-9:20 Cardiac CT - What Comes After the Slice Race? - A Critical Analysis of What We Have and What We Need
Mathias Prokop, MD
Session XIII: Cardiac II: Non-Coronary Cardiac CT
Moderator Geoffrey D. Rubin, MD
9:50-10:00 Surgically Important Aortic Root Anatomy
Scott Alexander, MD
10:00-10:10 Technical Tips for Aortic Root Imaging
Dominik Fleischmann, MD
10:10-10:20 Imaging Mechanical Valves: How and Why
Humberto Wong, MD
10:20-10:30 Low Dose Cardiac CTA for Ventricular Function
Frandics Chan, MD, PhD
10:30 -10:40 CTA Perfusion - The New Frontier
João A. C. Lima, MD
10:40-10:50 CT Myocardial Perfusion Imaging: 64 to 256 Rows
Richard T. George, MD
10:50 -11:00 Myocardial Perfusion and Enhancement: Nucs and Cath Correlation
Dianna M. E. Bardo, MD
11:00-11:10 Adenosine Stress MDCT Myocardial Perfusion Imaging
Richard T. George, MD
11:10-11:20 CTA of Adults with Congenital Heart Disease
S. Bruce Greenberg, MD
11:20-11:30 Incidental Findings in the Heart at Chest CT - Why We Should Take Them Seriously
Mathias Prokop, MD
Session XIV: Cardiac III: Coronary CTA
Moderator Geoffrey D. Rubin, MD
1:15-1:25 Cardiac CT – Top 10 Indications
Charles S. White, MD
1:25-1:35 Is That Stenosis Significant? Insights From CORE-64
Julie M. Miller, MD, FACC
1:35-1:45 Tomographic Intravascular Analysis: The CTA IVUS Equivalent
Harvey S. Hecht, MD, FACC
1:45-1:55 CORE-64 - Results
Julie M. Miller, MD, FACC
1:55-2:05 Results of the MECCA Trial - Prospective Multicenter Open-Label 64-Detector Row CT Versus Quantitative Coronary Angiography
James K. Min, MD
2:05-2:15 Coronary CTA Outcome Data
Matthew Budoff, MD
2:15-2:25 Patient, Vessels, or Segments- Does it Matter?
Julie M. Miller, MD, FACC
2:25-2:35 Cost-Effectiveness of MDCT Compared to Nuclear Stress Testing
James K. Min, MD
2:35-2:45 Triple Rule Out Concept in Chest Pain: What Does it Really Tell Us?
Axel Küttner, MD
2:45-2:55 Triple Rule Out for Acute Chest Pain: Our Current Technique
William P. Shuman, MD, FACR
2:55-3:05 MDCT for Acute Chest Pain in the Emergency Room: Are We There Yet?
Charles S. White, MD
3:05-3:15 ECG Gated CT of Acute Chest Pain in the ER: Who Should and Who Should Not Get It
William P. Shuman, MD, FACR
3:15-3:25 Coronary Calcium- What You Need to Know in 2008
J. Jeffrey Carr, MD
3:25-3:35 Risk Stratification with Coronary CT
Matthew Budoff, MD
4:10-4:20 Should We Image Asymptomatic Individuals at Risk for MI and Sudden Death?
João A. C. Lima, MD
4:20-4:30 Clinical Impact of Whole Body Computed Tomography Angiography (WB-CTA) in Patients with Suspected Coronary Artery Disease
Carlo Catalano, MD
4:30-4:40 MDCT Coronary Plaque Predictors of Abnormal ECG Stress Tests and Low Functional Capacity
James K. Min, MD
4:40-4:50 The National Institutes of Health Roadmap - How MDCT Could Be Instrumental in Preclinical Diagnosis of CAD
Andrew Arai, MD
4:50-5:00 Coronary CT Angiography Prior To, and After, Valve Replacement Surgery - What You Need to Know Beyond Obstructive Coronary Artery Disease
J. Jeffrey Carr, MD
5:00-5:10 Indications for Coronary CTA After Cardiac Catheterization
Harvey S. Hecht, MD, FACC
5:10-5:20 MDCT of Stents - Early Experience With the High Definition MDCT Scanner
James K. Min, MD
5:20-5:30 Evaluation of In-Stent Restenosis by Coronary CTA
Harvey S. Hecht, MD, FACC
5:30-5:40 Assessment of Bypass Grafts
Charles S. White, MD
5:40-5:50 Cardiac CT- Incidental Findings Are Important
Charles S. White, MD
5:50-6:00 Cardiac CT- Incidental Findings Are NOT Important
Matthew Budoff, MD
6:00-6:10 Joint Cardiac Imaging Program: Models for Success and Failure
Dianna M. E. Bardo, MD

