Updates in Imaging

Presented by the Department of RadiologyUniversity of California, San Francisco School of Medicine

Updatesin ImagingIncluding Screening

July 3-9, 2005Montréal and Québec City, Canada

Two World-ClassMusic Festivals

montrebec.qxp 12/21/04 2:55 PM Page 1

he UCSF Department of Radiology presents a new course covering topics ofpractical and clinical interest in up-to-date imaging. The material covered willinclude current information on imaging evaluation and interventionaltechniques in Women's Imaging and in abdominal, thoracic, musculoskeletaland neurovascular radiology. In addition, there will be special emphasis onevidence-based radiology, outcomes research and assessing the medicalliterature. Presentations will highlight practical applications and addresscurrent controversies surrounding cancer screening.

Women's Imaging and Evidence-Based RadiologyJuly 3-5, 2005 in Montreal

Course Chair

Vickie A. Feldstein, MDAssociate Professor of Radiology and ofObstetrics, Gynecology and Reproductive SciencesUniversity of California, San FranciscoSchool of Medicine

FacultyUniversity of California, San Francisco School of Medicine

Fergus V. Coakley, MDAssociate Professor of RadiologyChief, Abdominal Imaging

ObjectivesAt the completion of the Women's Imaging and Evidence-Based Radiology portion in Montreal, participants should be able to:

• demonstrate increased knowledge of current imaging technology and protocolsapplicable to women's imaging;

• describe and appreciate evidence-based radiology and outcomes research;• gain expertise in diagnosing benign and malignant diseases of the breast and

ovaries;• assess the current role and value of imaging in "whole body" and cancer

screening;• better perform and interpret sonograms of the uterus and adnexae;• compare the utilization of ultrasound and MRI in the evaluation of the

breast;• describe techniques for breast biopsies and ultrasound-guided procedures;• utilize CT and MR in the evaluation of gynecologic pathology and in assessing

pregnant women.

TUpdates i

Jessica W.T. Leung, MDAssistant Professor of Radiology

Rebecca Smith-Bindman, MDAssociate Professor of Radiology,Epidemiology and Bio-Statistics


Program Highlights

• Spotlight on Women's Imaging• Controversies in Cancer Screening• Reading the Medical Literature,

Evidence-based Radiology and Outcomes Research• Case of the Day• Meet the Professor Sessions• CME credits in Breast Imaging and in Ultrasound (including Vascular)

Body, Thoracic, Neuro and Musculoskeletal ImagingJuly 7-9, 2005 in Quebec City

Course Chair Guest Faculty

Vickie A. Feldstein, MD Jeffrey S. Klein, MDAssociate Professor of Radiology Professor of Radiologyand of Obstetrics, Gynecology and University of VermontReproductive Sciences College of MedicineUniversity of California, San Francisco Chief of Thoracic RadiologySchool of Medicine Fletcher Allen Health Care

Burlington, Vermont

FacultyUniversity of California, San Francisco School of Medicine

Fergus V. Coakley, MD Christopher F. Dowd, MDAssociate Professor of Radiology Professor of RadiologyChief, Abdominal Imaging Vincent D. McCormick, MD

Professor of Radiology

ObjectivesAt the completion of the Body, Thoracic, Neuro and Musculoskeletal Imaging portion inQuebec City, participants should be able to:

• demonstrate increased knowledge of current imaging technology and protocolsapplicable to abdominal, thoracic, musculoskeletal and neurologic radiology;

• assess the value of US, CT and MR imaging techniques in evaluating hepaticand renal pathology;

• diagnose benign and malignant liver diseases employing appropriate use ofUS, CT and MR;

• better evaluate thoracic pathology, including lung cancer and pulmonaryembolism;

• describe the role of imaging in the diagnosis and management of stroke andintracranial hemorrhage;

• recognize findings on MR examinations of the shoulder, knee and ankle;• describe techniques for thoracic interventions and biopsy procedures.

in Imaging


Women's Imaging / Evidence-Based RadiologyProgramSunday, July 3, 2005

7:00 am Registration and Continental Breakfast

7:30 Evidence Based Radiology: What Does It Mean Rebecca Smith-Bindman, MDand Why You Should Care

8:15 Breast Cancer Screening: Does It Work? Jessica W.T. Leung, MD

9:00 Sonography of the Uterus and Endometrium Vickie A. Feldstein, MD

9:45 Recess

10:00 The Probably Benign Breast Lesion Jessica W.T. Leung, MD

10:45 Screening Mammography: Does Practice Make Perfect? Rebecca Smith-Bindman, MD

11:30 Imaging-Guided Core Breast Biopsy: Facts and Controversies Jessica W.T. Leung, MD

12:15 pm "Case of the Day" Presentation, Questions and Discussion Faculty Panel

12:30 Adjourn

Monday, July 4, 2005

7:00 am Continental Breakfast

7:00 Meet the Professors: Dr. Feldstein, Dr. Leung

7:30 Breast Ultrasound: an Indispensable Tool Jessica W.T. Leung, MD

8:15 Sonography of Ovarian Masses Vickie A. Feldstein, MD

9:00 Breast MRI: Present and Future Jessica W.T. Leung, MD

9:45 Recess

10:00 CT/MRI of Adnexal Masses Fergus V. Coakley, MD

10:45 Imaging Evaluation of Vaginal Bleeding Rebecca Smith-Bindman, MD

11:30 CT/MRI in the Pregnant Patient Fergus V. Coakley, MD


12:30 Adjourn

Tuesday, July 5, 2005


7:00 Meet the Professors: Dr. Coakley, Dr. Smith-Bindman

7:30 Interpreting the Medical Literature Made Easy Rebecca Smith-Bindman, MD

8:15 Whole Body CT Screening: Scan or Scam? Fergus V. Coakley, MD

9:00 Cancer Screening for Radiologists Rebecca Smith-Bindman, MD

9:45 Recess

10:00 Ultrasound Guidance for Procedures Vickie A. Feldstein, MD

10:45 Pearls and Pitfalls in Abdominal CT Fergus V. Coakley, MD

11:30 Interesting and Instructive Doppler Ultrasound Cases Vickie A. Feldstein, MD


12:30 AdjournWednesday, July 6, 2005 – No formal course program to allow for travel to Quebec City.

Accreditation The University of California, San Francisco School of Medicine (UCSF) is accreditedby the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medicaleducation for physicians.UCSF designates this educational activity for a maximum of 15.25 category 1 credits toward the AMAPhysician’s Recognition Award. Each physician should claim only those credits that he/she actually spentin the activity.This group learning activity has been accredited by the CAR for Section 1 Credits as defined by theMaintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.These credits are inclusive of 4.5 credits in breast imaging, 4.5 credits in ultrasound, and .75 credits invascular ultrasound.Nurses: For purposes of recertification, the American Nurses Credentialing Center accepts AMA PRAcategory 1 credit by organizations accredited by the ACCME.Technologists: This program is approved for AMA-CMA category 1 credit and will be accepted towardmeeting the continuing education requirements of the ASRT. Technologists may report 15.25 ECE pointsin Category B if they attend the entire program.


Body, Thoracic, Neuro and Musculoskeletal ImagingProgramThursday, July 7, 2005

7:00 am Registration and Continental Breakfast

7:30 Imaging of Hepatic Masses Fergus V. Coakley, MD

8:15 Doppler Sonography of the Liver Vickie A. Feldstein, MD

9:00 CT/ MRI of Renal and Adrenal Masses Fergus V. Coakley, MD

9:45 Recess

10:00 MRI of the Knee: Update Vincent D. McCormick, MD

10:45 Endovascular Options for Stroke Therapy Christopher F. Dowd, MD

11:30 MRI of the Shoulder: Update Vincent D. McCormick, MD


12:30 Adjourn

Friday, July 8, 2005


7:00 Meet the Professors: Dr. Dowd, Dr. Klein

7:30 Aneurysms and Subarachnoid Hemorrhage Christopher F. Dowd, MD

8:15 CT of Pulmonary Thromboembolism Jeffrey S. Klein, MD

9:00 Vascular Birthmarks: Hemangiomas and Christopher F. Dowd, MDVascular Malformations

9:45 Recess

10:00 Evaluation of the Solitary Pulmonary Nodule Jeffrey S. Klein, MD

10:45 MRI of the Ankle: Update Vincent D. McCormick, MD

11:30 Staging of Lung Cancer Jeffrey S. Klein, MD


12:30 Adjourn

Saturday, July 9, 2005


7:00 Meet the Professors: Dr. McCormick

7:30 Transthoracic Needle Biopsy Jeffrey S. Klein, MD

8:15 MR in Musculoskeletal Trauma Vincent D. McCormick, MD

9:00 Transcatheter Drainage of Intrathoracic Collections Jeffrey S. Klein, MD

9:45 Recess

10:00 AVMs and AVFs from A to Z Christopher F. Dowd, MD

10:45 Imaging Correlates in Extremity Trauma Vincent D. McCormick, MD

11:30 Vertebroplasty: How I Do It Christopher F. Dowd, MD


12:30 Adjourn

Accreditation The University of California, San Francisco School of Medicine (UCSF) is accreditedby the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medicaleducation for physicians.UCSF designates this educational activity for a maximum of 15.25 category 1 credits toward the AMAPhysician’s Recognition Award. Each physician should claim only those credits that he/she actually spentin the activity.This group learning activity has been accredited by the CAR for Section 1 Credits as defined by theMaintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.These credits are inclusive .75 credits in ultrasound, and .75 credits in vascular ultrasound.Nurses: For purposes of recertification, the American Nurses Credentialing Center accepts AMA PRAcategory 1 credit by organizations accredited by the ACCME.Technologists: This program is approved for AMA-CMA category 1 credit and will be accepted towardmeeting the continuing education requirements of the ASRT. Technologists may report 15.25 ECE pointsin Category B if they attend the entire program.


hroughout its colorful history, Montreal has been in turn a Frenchsettlement, a British stronghold and a bilingual city. Today it isofficially bilingual and proud of its status as the largest French-speaking city in North America and second-largest French-speaking

city in the world. In fact, thisis a wonderful example of atruly international city wherenewcomers feel right at homeand visitors will always findsomeone who speaks theirlanguage.

The founders settled along thebanks of the St. Lawrence, the majestic river that broughtthem here. Today as you tourthe Old Port and Old Montréal,

you'll find that much of what they and their ancestors built hasbeen lovingly preserved: graceful stone buildings, stately churchesand cobblestone streets.

The 25th edition of the Montreal International Jazz Festival willbe held from June 30th to July 11th 2004.

This gigantic summer music celebration features 11 days of non-stop entertainment, from noon to midnight, right in the heart of

downtown Montreal. An immense city blockis closed to traffic, as right of way is givenexclusively to pedestrians, creating a festiveand secure spot where more than 350 freeconcerts take place on 10 outdoorstages–and all this in a peaceful, urbanatmosphere! It's the summer celebration parexcellence for people of all ages and origins,a cultural breath of fresh air, and a place forincredible discoveries with influences suchas jazz, blues, Latin-jazz, Brazilian, Cuban,African, reggae, contemporary and electronicmusic. Outdoor shows are presented free ofcharge, from noon to midnight.

T

Mon tFestival International de Jazz de MontréalJune 30 - July 10

Montreal photographs:

© Canadian Tourism Commission, Pierre St-Jacques © Tourisme Montréal, Stéphan Poulin © A.P.E.S © Montréal Botanical Garden, Michel Tremblay © Festival International de Jazz de Montréa, © Ville de Montréal, Denis Labine, © Casino de Montréal


The indoor schedule of events andon-sale ticket date will be releasedin May 2005. As for the outdoorschedule it will be unveiled in thebeginning of June 2005. If youwish to receive all the informationabout the Festival International deJazz de Montréal's exclusive offersand access to pre-sale tickets,subscribe to the free newsletter viathe festival web site www.montrealjazzfest.comor directly through this link:http://www.newsletterspectra.com/

You may also visit last year’s website in orderto get an idea of exactly how the festival takesplace as well as an idea of the type ofentertainment that can be expected. If you have questions, the Festivalorganizers can be reached at (514) 871-1881 or toll free1-888-515-0515.

If you are attending both sessions ofthis course, travel by train from Montrealto Quebec City in approximately 3 hours.

Located above the VIA Rail and Amtrakstations, the Fairmont Queen Elizabeth hotelis the site of our Montreal session. Thisbeautiful property was recently recognized byTravel + Leisure as one of the 500 greatesthotels in the world and offers deluxeaccommodations minutes from the outdoorstages. From the hotel lobby the elevator willtake you directly to the train station whereyou will board the train for Quebec City. TheQuebec Train station is a 5 minute cab ridefrom the Fairmont Le Chateau Frontenac whereour second session will be held.

For more information: www.montrealjazzfest.com

n tréalmontrebec.qxp 12/21/04 2:57 PM Page 7

uring the 17th and 18th centuries, Quebec City was the center ofNew France and its enormous territory. At the time, this empirecovered all of what is known today as Eastern Canada, the EasternUnited States, the Great Lakes and Louisiana, extending from

Hudson's Bay in the North to Florida in theSouth. From its origin as a fur trading postto its present status as Quebec's provincialcapital, Quebec City restores and celebrateselements from its past.

Standing high on a bluff overlooking themighty St. Lawrence River, Fairmont LeChâteau Frontenac is not merely a hotellocated in the heart of Old Quebec – it isthe heart of Old Quebec. A stay at thechâteau permits you easy walking access toall of the wonderful sites and experiencesthat Old Quebec has to offer, and amemorable and inspiring stay in one of themost beautiful cities in the world.

With architecture, pedestrian streets andfortifications, unique in North America, the Quebecregion offers unequalled historical and cultural heritage.A visit to the Plains of Abraham and Old-Quebec will helpyou discover almost 400 years of history, while its shows,theatres and festivals will put you in a very celebratorymood.

Quebec, one of the safest cities in North America,combines ageless European charm, plentiful green space,incredible restaurants, first class accommodations and afestival that knows how to throw out the welcome mat.Every year, the Quebec City Summer Festival pours on theattractions to create a unique atmosphere that drawsholiday visitors.

D

The Québec City Summer FestivalJuly 7-17

Qué b


Animating a UNESCO World Heritage treasure likeOld Quebec means doing things right. Imagine acity transformed into a giant outdoor stage, wherefor eleven days, hundreds of performers show offtheir talents at some ten venues in and around theold city, all within easy walking distance. As yourears thrill to multi-textured sounds from across oursmall planet, the historic walls of the old town andthe majestic St. Lawrence provide a soothing balmfor the eyes.

Since 1968, the Festival has provided a window onmusical trends and traditionsfrom around the globe. Amajor showcase for planetaryculture, this eclectic eventprovides festival goers anopportunity to exploretraditions and trends in worldsound, rock, pop, blues,classic and new trends inmusic. With generous helpingsof street performances, there’sliterally something foreveryone.

For more information about theannual Quebec City Summer Festivalplease visit their website,www.infofestival.com or call theiroffices at 418 529-5200 or 888 992-5200.

For more information: www.infofestival.com

é bec


Accommodationswww.fairmont.com

The Fairmont has reserved a limited block of rooms at a special room-rate for bothlocations. Reservations must be made by calling both hotels' reservations departmentdirectly. Please mention that you are attending the UCSF Radiology course to receive thediscounted rates.

Fairmont The Queen Elizabeth (July 3-5, 2005) tel: 514-861-3511

CD$ US$*Fairmont Room $259 $217Junior Suite $359 $300Fairmont Gold $379 $317* US$ exchange rates are as of 11/17/04 for comparison only. US registrants will be chargedthe exchange rate for the actual reservation dates.

(Full and Executive Suites are available upon request and subject to availability.)

Cancellation policy: Reservations are held until 6 pm unless a one night's deposit is made. Reservationscancelled less than 48 hours prior to arrival will be charged a one night's stay (plus taxes).

The Fairmont Le Chateau Frontenac (July 7-9, 2005) tel: 418-692-3861

CD$ US$*Fairmont Room $299 $250Junior Suite $664 $555* US$ exchange rates are as of 11/17/04 for comparison only. US registrants will be chargedthe exchange rate for the actual reservation dates.

(Fairmont Gold is available upon request and subject to availability.)

Cancellation policy: Three nights’ room charge (plus taxes) for cancellations made less than72 hours prior to arrival; one night's room charge (plus taxes) for cancellations made within 30 days prior toarrival.

Fairmont Toll-free Reservations tel: 800-441-1414 www.fairmont.com

Please make your reservation early as rooms may sell-out before the deadline of Friday,June 3, 2005. Reservation requests made after the deadline will be extended theconference rates on a space-available basis. A credit card number is required toguarantee your reservation.

Air TravelUCSF Radiology has negotiated special fares with American and United Airlines forradiology course attendees, which can be booked with

Montgomery 800-391-2287 or 415-391-2287 Pacific timeTravel fax: 415-391-2292

The Official UCSF Radiology travel agency

Use the following tour codes to receive:5% discount on any published fare in any class, OR10% discount on any published fare booked 60 days prior to travel.

Airline Call CodeAmerican 800-433-1790 15273United 800-521-4041 510CF

Special round-trip Zone Fares are also available for the cities and dates in which UCSFmeetings are being held. No Saturday night stay is required, with only seven daysadvance reservations and ticketing. Fares are fully refundable less an administrativeservice fee. Please contact the airline meeting desk for a comparison of zone andpublished fares to fit your needs.


RAD 06 001 Updates in Imaging July 3-9, 2005Fairmont The Queen Elizabeth • Montreal, CanadaThe Fairmont Le Chateau Frontenac • Québec City, Canada

EARLY ENROLLMENT DEADLINE: Friday, May 6, 2005

Registrant Information Please print.

Name ___________________________________First Last Degree

Address _________________________________

________________________________________City State Postal Code

________________________________________Country

Phone ___________________________________Area Code

Fax _____________________________________Area Code

E-mail ___________________________________

� Please add me to your priority email list.

Month/Date of Birth ________ / ________ / X Xfor record verification Month Date

Please complete and return this form to:

UCSF Office of CME, PO Box 45368, San Francisco CA, 94145-0368 Fax: 415-502-1795Payment may be made by credit card or by check or money order issued at a U.S. bank in U.S. currency.We regret that we cannot accept checks drawn on foreign banks. Enrollment confirmation will be mailedto you within two weeks of receipt of the application.Course Cancellation A refund of the enrollment fee, less $75, will be made upon receipt of a writtenrequest only. After June 24, 2005, no refunds will be made.

Course Registration

Full CourseBy After

Check one: 5/6/05 5/6/05

� MD, DO $845 $945� AHP* $645 $745

� Session 1 only � Session 2 onlyWomen's/Evidence-Based Body/Thoracic/Neuro/SkeletalJuly 3-5, 2005 July 7-9, 2005

By AfterCheck one: 5/6/05 5/6/05

� MD, DO $475 $575� AHP* $350 $450*Allied Health Professionals include RN, RT, RDMS, fellows and residents,

and must provide letter of verification and/or ID to receive the AHP rate.

Method of Payment� Check enclosed, payable to UC Regents.

Please charge my: � Visa � Mastercard

_______________________________________Card No.

_______________________________________Exp. Date

_______________________________________ Authorized Signature

RegistrationComplete and mail the form below; or register online at http://cme.ucsf.edufor instant confirmation. (Course RAD 06 001)

Early-bird discount deadline: May 6, 2005

Cancellation: A refund of the enrollment fee, less $75, will be made upon receipt of awritten request by Friday, June 24, 2005. After this date, no refunds will be made.

Car RentalArrangements have been made with Hertz Rent A Car for special rates during this UCSFmeeting, as well as one week before and after this meeting. Call the Hertz ConventionDesk at 800-654-2240; be sure to tell the agent the meeting name and number:Updates in Imaging CV# 01SY0162. Due to the Canada Day Holiday, discount carrental rates will not apply on June 30 - July 2.

VIA Rail Canada TransfersMake your reservations online at www.viarail.ca with Convention Code #10277.

Discounts are available from July 1-11 between the conference cities and also along theWindsor-Quebec City corridor. Please call 1-888-842-7245 and mention code#10277 to receive the discount. Fare discounts apply to a maximum of two persons perpurchase: 5% off full adult first-class fare, 35% off full adult economy class, minimumfare $14. Other restrictions and discounts may apply.


UPCOMING CME COURSESJanuary 3-7, 2005 Clinical Imaging: New Year’s Review Freeport, Grand BahamaJanuary 14-15 Virtual Colonoscopy Workshop San Francisco, CaliforniaJanuary 16-21 Body Imaging Update Kona, HawaiiJanuary 23-28 A Practical Approach to Breast Imaging Kona, HawaiiFebruary 6-8 Practical Musculoskeletal MRI Palm Springs, CaliforniaFebruary 9-11 CT/MRI of the Abdomen & Pelvis Palm Springs, CaliforniaFebruary 20-25 Neuro & Musculoskeletal Imaging Kona, HawaiiFebruary 24-26 Cardiovascular MRI Visiting Fellowship San Francisco, CaliforniaFeb 28 - Mar 4 Resident Review: Diagnostic Imaging San Francisco, CaliforniaMarch 6-11 Cancer Imaging Update San Francisco, CaliforniaMarch 11-13 Ob/Gyn and Sonography Update San Francisco, CaliforniaMarch 13-18 Radiology Spring Training Scottsdale, ArizonaMarch 18-20 Breast Imaging Update San Francisco, CaliforniaApril 10-15 Diagnostic Radiology on Kona Kona, HawaiiApril 15-16 Virtual Colonoscopy Workshop San Francisco, CaliforniaMay 22-27 Imaging of the Emergency Patient Yosemite, CaliforniaJune 19-24 UCSF Radiology in Africa Victoria Falls, ZambiaJuly 3-9 Updates in Imaging: Including Screening Montreal & Quebec CityJuly 22-23 Virtual Colonoscopy Workshop San Francisco, CaliforniaAugust 12-13 Virtual Colonoscopy Workshop San Francisco, CaliforniaSeptember 25-30 Radiology in the Wine Country Sonoma, CaliforniaOctober 15-16 PET and PET/CT Imaging San Francisco, CaliforniaOctober 17-21 Clinical MR/CT Imaging San Francisco, CaliforniaOct 30 - Nov 4 Diagnostic Radiology Seminars Maui, HawaiiNovember 7-11 Breast Imaging & Digital Mammography Palm Springs, CaliforniaDecember 4-9 Imaging in the Caribbean St. John, U.S. Virgin Isles

Log on to: http://www.radiology.ucsf.eduFor all program inquiries, please contact the Department of Radiology Postgraduate Education.Phone 415-476-5731 E-mail [email protected] Fax 415-476-9213Please contact us for information on other UCSF CME programs:Week-long Visiting Fellowships • Lecture DVD Series • eCME Online Learning Series

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