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Imaging in England 2018, Presented by Global Radiology CME in association with the British Institute of Radiology, June 3-6, in Oxford, U.K. will cover this years Minnie's hottest and most controversial topics in radiology - Artificial Intelligence and 3D printing. We are pleased to welcome Dr. Sanjay P. Prabhu, Staff Pediatric Neuroradiologist at Boston Children's Hospital and Assistant Professor of Radiology at Harvard Medical School who will present lectures on the Radiologist's Role in Medical 3D Printing - Opportunities and Challenges and Artificial Intelligence in Pediatric Radiology - Current Applications and the Future. Dr. Prabhu will be joining our outstanding faculty that includes world renowned radiologists, Drs. Donald Resnick, László Tabár, Phillip Tirman, Blake Johnson, Neil Rofsky, Simon Blease, Vikas Shah, and David Wilson. Please join fellow Global Rads from around the world in Oxford June 2018, for an outstanding educational and networking experience! Sanjay Prabhu is a Staff Pediatric Neuroradiologist at Boston Children's Hospital and Assistant Professor of Radiology at the Harvard Medical School. He has served as the Director of the Advanced Image Analysis Lab at Boston Children’s Hospital since 2010. In 2013, Dr. Prabhu was appointed to the position of Clinical Director of the SIMPeds3D print program. Dr. Prabhu completed his radiology training in the United Kingdom in 2005 followed by fellowships in Pediatric Radiology in Melbourne, Australia and subspecialty fellowships in Pediatric Neuroradiology and Cardiac Imaging at Boston Children’s Hospital, including focus on epilepsy imaging, functional MRI, fetal neuroimaging, MR spectroscopy and pediatric cardiac imaging.His current research interests include 3D printing, imaging of pediatric epilepsy, use of augmented reality, clinical decision support, and machine learning in radiology. He has authored more than 100 peer-reviewed papers and 16 book chapters. He is currently working on building next generation clinical decision support tools with the hospital’s digital health team and industry partners. His work in the SIMPeds3D print program focuses on evaluating utility of 3D printed models for pediatric surgical simulation, training and patient education. With his team at SIMPeds3D print, he has helped create more than 500 bespoke 3D patient-specific models to help clinicians from various subspecialties in Boston and other parts of the world.He has a special interest in trainee education and he has served as the Webmaster and social media education coordinator for the World Federation of Pediatric Imaging for the last 4 years. The #iie2018 conference will be held in Oxford, UK from June 3 to June 6, 2018, at the Mathematical Institute on the campus of The University of Oxford. Condé Nast recently named the University of Oxford as one of the top 50 most beautiful places to visit in Europe. Click here for more information--> REGISTRATION INFORMATION Dr. Prabhu's Lectures: Radiologist’s role in medical 3D Printing- opportunities and challenges In this talk, Dr. Prabhu will elaborate on the current role of bespoke 3D printing at Boston Children’s Hospital. He will discuss the typical clinical scenarios where a 3D printed model is most useful, step-by-step methods to create a 3D printed model from DICOM files, and compare in-house and outsourced pathways to create a usable print. Dr. Prabhu will also discuss imaging protocols to help create high quality models and highlight how close collaboration between the radiologist and clinician/surgeon can enhance a print. Using illustrative clinical examples and published studies from the Boston Children’s Hospital, Dr. Prabhu will look at case scenarios where 3D printing, surgical simulation and virtual surgical planning has been shown to impact patient outcomes. Artificial intelligence in pediatric radiology- current applications and the future With increasing numbers of images being produced at a rapid pace on modern scanners, radiologists are being inundated in the reading room by more data than they can analyze and interpret in a timely fashion, and more importantly, interact with care providers who are increasingly relying on imaging studies to plan patient management. Artificial intelligence and deep learning algorithms can help perform pattern recognition and help manage the avalanche of data in both the imaging and clinical realms. In this talk, Dr. Prabhu will discuss currently available deep learning algorithms to evaluate pediatric bone age, identifying positions of catheters, identify evidence of hypoxic injury in neonates and enable fracture detection on radiographs. Also, he will look at the role of machine learning in streamlining radiology work lists, increasing efficiency, prioritizing cases and recognizing relevant clinical information from electronic medical records and provide context to interpret imaging studies. Research endeavors discussed will include machine learning algorithms to recognize disease patterns, identifying and measuring rate of growth of neoplastic lesions, and ways of creating “heat maps” directing the radiologist’s attention to possible abnormalities on images. These innovations, if implemented correctly, will potentially help reduce error rates and improve patient outcomes. The issue of whether this development threatens the position of radiologists as members of the clinical care team, and ways to prepare for this inevitable revolution will also be discussed. Join the Luminaries in Radiology in magical Oxford, UK for an educational and fun experience. The outstanding faculty for Imaging in England 2018 will include, Drs. Donald Resnick, László Tabár, Phillip Tirman, Blake Johnson, Neil Rofsky, Vikas Shah, David Wilson, Simon Blease, and Sanjay Prabhu. In addition to a cutting edge scientific program which will include lectures on Artificial Intelligence in Radiology we will be offering our attendees ample opportunities for networking in relaxed social settings, including a welcome reception at the iconic Macdonald Randolph hotel and an evening of delicious food, fine wine and punting at the Cherwell Boathouse. Punting at the Cherwell Boathouse This is a unique opportunity to meet radiologists from all corners of the globe in an intriguing location, and learn from some of the best specialists in their field. Indulge all your senses and join the Global Rads for the trip of a lifetime to Oxford, England in June, 2018! The official Symplur Twitter conference hashtag for Imaging in England - 2018 is #iie2018. Follow us on Twitter: ​@GlobalRadCME Follow us on Facebook: GlobalRadCME Imaging in England-2018: #iii2018 Kevin Rice, MD serves as the Medical Director of the Radiology Department of Valley Presbyterian Hospital in Los Angeles, California and is a Member of Renaissance Imaging Medical Associates. Dr. Rice has made several media appearances as part of his ongoing commitment to public education. Dr. Rice's passion for state of the art radiology and teaching includes acting as a guest lecturer at UCLA. In 2015 Dr. Rice launched Global Radiology CME to provide innovative radiology education at exciting international destinations, with the world's foremost authorities in their field. In 2016, Dr. Rice was nominated and became a semifinalist for a "Minnie" award for the Most Effective Radiology Educator. Follow Dr. Rice on Twitter @KevinRiceMD All posts by Kevin M. Rice, MD Natalie Rice is the co-founder of Global Radiology CME Natalie graduated from the University of Manitoba majoring in Economics. After completing her economics degree she attended Business School, majoring in accounting. Her work experiences include Dunwoody Accounting Firm, The Conference Board of Canada, and Principal of a Religious School. Having sat on numerous community boards, she is well connected and knows how to see a project to completion. Natalie has planned numerous successful international events throughout Canada, the Middle East, and the USA. Most recently, Natalie spearheaded Global Radiology’s inaugural conference in Israel. Successfully managing 250 delegates from 20 different countries and overseeing all aspects of the congress including faculty management, venue selection, registration, itinerary and social programming.

"I look forward to the meeting and traveling to Oxford." - Donald Resnick, MD, FACR Global Radiology CME is thrilled to have Donald Resnick join us in Oxford for Imaging in England 2018. Donald L. Resnick, MD, Professor of Radiology and Chief of Osteoradiology at the University of California, San Diego (UCSD), has devoted more than 30 years to musculoskeletal radiology education. Dr Resnick has written over 1100 scientific and educational articles (more than 100 published in Radiology), 72 book chapters, and 16 books on musculoskeletal radiology. Dr Resnick is a renowned lecturer, having given over 50 named lectures throughout the world including the Wilhelm Conrad Roentgen Honorary Lecture at the European Congress of Radiology and the Ho Hung Chiu Medical Education Foundation Lecture in Hong Kong. His list of dozens of awards and honors includes the American Roentgen Ray Gold Medal, Diagnostic Imaging Magazine’s 20 Most Influential People in Radiology, Medical Imaging Industry’s Top 10 Radiologists, twice-awarded AuntMinnie.com Most Effective Radiology Educator, and an Honorary Doctorate from the University of Zurich.Dr Resnick is a member of 9 radiology societies, and is a past president of the International Skeletal Society. In addition, he is an Honorary Fellow of 6 radiology societies in Europe and Asia. He serves on a multitude of departmental, hospital/medical school, and national committees. He has served on editorial boards and as a manuscript reviewer for 18 leading journals including AJR, Radiology, and RadioGraphics. More than 150 clinical fellows and 400 international research fellows, from over 20 countries throughout the world, have received one-on-one training through his fellowship programs. Amazingly, 70% of these fellows pursued academic careers after their training. More than 1000 visitors have come to his base of operations, formerly known as “The Bone Pit”, and now aptly dubbed "The Bone Palace." I had the honor of gifting Dr. Resnick some #PinkSocks at RSNA 2106.

"My passion is to favorably change the standard of care in a short amount of time through innovation." - Neil Rofsky, MD Neil Rofsky noted body imager from Texas will be joining the Global Radiology CME team in Oxford. Dr Rofsky is at the forefront of Body MRI research and will be teaming up with other radiology luminaries including László Tabár and Donald Resnick to deliver state of the art education to the attendees of Imaging in England 2018. Neil Rofsky, M.D., is Professor and Chair of UT Southwestern’s Department of Radiology and the Effie and Wofford Cain Distinguished Chair in Diagnostic Imaging. Dr. Rofsky also serves as Co-Director of Translational Research for the Advanced Imaging Research Center (AIRC), a collaboration of UT Southwestern and the University of Texas at Dallas. As Chair of Radiology, he also leads efforts to rapidly bring the benefits of new technologies, including some developed at the AIRC, into clinical practice. A native of New York, Dr. Rofsky received his bachelor’s degree in biochemistry from the University of Maryland and his medical degree from New York Medical College. He then completed an internship in internal medicine at Middlesex University Hospital; a fellowship in nuclear medicine at the University of Utah Medical Center; a residency in radiology at the New York University Medical Center; and fellowships in abdominal imaging and magnetic resonance imaging at New York University Medical Center, where he was mentored by Morton Bosniak, Alec Megibow, and Jeffrey Weinreb. Before joining the faculty of UT Southwestern, Dr. Rofsky served as Chief of MRI at Beth Israel Deaconess Medical Center, Boston, and as Professor of Radiology at Harvard Medical School. Dr. Rofsky concentrates his research on translating innovations in magnetic resonance imaging (MRI) and spectroscopy into clinical practice. His current studies emphasize developing MRI techniques to improve detection and evaluation of prostate cancer and to better guide treatment. In his research, Dr. Rofsky seeks to apply MRI techniques such as arterial spin labeling (ASL) to measure blood flow in prostate and renal cell carcinomas. Since blood flow can reflect the viability of a tumor, these measurements can offer valuable insights into the potential aggressiveness of tumors and the effectiveness of treatments. Dr. Rofsky and his collaborators have also pioneered the use of rapid contrast-agent-enhanced three-dimensional diagnostic imaging of the abdomen. Such rapid imaging is important because it enables clinicians to obtain high-resolution 3-D images during the brief time that a patient can hold a single breath, reducing the artifacts from respiratory and other motions. Dr. Rofsky serves as an active member of the Board of Trustees of the Society of Computed Body Tomography and Magnetic Resonance (SCBTMR) and recently finished serving on the Board of Trustees of the International Society for Magnetic Resonance in Medicine (ISMRM). He has authored more than 150 peer-reviewed publications, several textbooks, and presents regularly at such medical societies as the Radiological Society of North America, the ISMRM and the SCBTMR. Just recently he delivered a plenary lecture to the ISMRM entitled, The Evolution of the MR Biomarker. Trained as a classical musician, Dr. Rofsky is an oboist who appreciates the art and science of shaping the instrument’s reeds, which give it its unique sound. He also enjoys playing guitar, including numerous acoustic and electric instruments, and is the proud owner of a Steinway Model A Grand Piano built in 1884.

Chronic wrist pain • Xray of the Week Ulnar impingement syndrome also known as Radial Ulnar Abutment is caused by a shortened distal ulna that impinges on the distal radius proximal to the sigmoid notch. Patients with ulnar impingement syndrome have pain with pronation and supination of the forearm due to distal radioulnar contact. Compression of the distal radioulnar joint on forearm rotation increases the symptoms or produces grating in affected patients. Most often, a markedly shortened distal ulna results from any of the surgical procedures that involve resection of the distal ulna secondary to prior wrist trauma, rheumatoid arthritis, or correction of Madelung deformity. Less commonly, ulnar impingement may be present in de novo cases of negative ulnar variance or premature fusion of the distal ulna secondary to prior trauma. If impingement is due to prior distal ulnar resection, treatment with aggressive ulnar shortening or ulnar head prostheses can be considered. Distraction lengthening of the ulna is the first consideration in for de novo negative ulnar variance as this can restore the normal anatomy. Reference: http://pubs.rsna.org/doi/full/10.1148/radiographics.22.1.g02ja01105 Note the scalloping of the distal medial radius on this case of chronic impingement. A vitamin E capsule is at the site of the patient’s pain. There is significant increased signal on the T2 weighted images in the adjacent soft issues due to chronic inflammation. Phillip Tirman, MD is the Medical Director of Musculoskeletal Imaging at the Renaissance Imaging Center in Westlake Village, California. A nationally recognized expert in the applications of MRI for evaluating MSK and spine disorders, Dr. Tirman is the co-author of three textbooks, including MRI of the Shoulder and Diagnostic Imaging: Orthopedics. He is also the author or co-author on over sixty original scientific articles published in the radiology and orthopedic literature. All posts by Phillip Tirman Kevin M. Rice, MD is president of Global Radiology CME and serves as the Chair of the Radiology Department of Valley Presbyterian Hospital in Los Angeles, California and is a radiologist with Renaissance Imaging Medical Associates. Dr. Rice's passion for state of the art radiology and teaching includes acting as a guest lecturer at UCLA. Dr. Rice founded Global Radiology CME to provide innovative radiology education at exciting international destinations, with the world's foremost authorities in their field. In 2016, Dr. Rice was nominated and became a semifinalist for a "Minnie" award for the Most Effective Radiology Educator. All posts by Kevin Rice, MD Follow Dr. Rice on Twitter @KevinRiceMD

Palpable midline neck mass • Xray of the Week Fig 1. A. The cyst is hypointense on T1 weighted axial image. B. T2 weighted axial image shows smooth hyperintense midline nodule, anterior to the trachea. C. The ultrasound image shows an anechoic midline cyst. D. The color Doppler confirms that it is not a vascular structure. Fig 2. The cyst is hyperintense on T2 weighted coronal image. Fig 3. The cyst is hypointense on T1 weighted sagittal image. Discussion: Thyroglossal duct cysts present as a midline painless neck lump. Rarely they can become infected. Large cysts may cause symptoms such as dyspnea, dysphagia, or dyspepsia. A thyroglossal duct cyst can develop anywhere along the embryonic course of the thyroglossal duct. Thyroglossal duct carcinoma occurs rarely, in less than 2% of cases. Treatment of a symptomatic or infected cyst is surgical excision. Kevin M. Rice, MD is the president of Global Radiology CME Dr. Rice serves as the Chair of the Radiology Department of Valley Presbyterian Hospital in Los Angeles, California and is a radiologist with Renaissance Imaging Medical Associates. Dr. Rice has made several media appearances and as part of his ongoing commitment to public education. Dr. Rice's passion for state of the art radiology and teaching includes acting as a guest lecturer at UCLA. In 2015 Dr. Rice founded Global Radiology CME to provide innovative radiology education at exciting international destinations, with the world's foremost authorities in their field. Follow Dr. Rice on Twitter @KevinRiceMD All Posts by Kevin M. Rice, MD