| CCSNM
Fall Education Program to Focus on Functional Nuclear Imaging
October 7- 8, 2006
Grand Traverse Resort
Traverse City, Michigan
The Central Chapter of the Society of Nuclear Medicine is scheduling
the 2006 Fall Educational Program on October 7- 8, 2006 at the
Grand Traverse Resort in Traverse City, Michigan. The program,
tentatively titled “Functional Nuclear Imaging: Changing
Patient Management” is being organized by Rick V. Hay, MD
and Karen Martin, CNMT. Watch your mail, email and the CCSNM web
site for further information. The preliminary program is noted
below.
Saturday, October 7, 2006
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7:30 am: Registration and Continental Breakfast
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8:00 am: Functional Brain Imaging
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9:00 am: To SPECT or not to SPECT
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10:00 am: Patient Preparation for Non-cardiac Procedures
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11:00 am: Multimodality Imaging and Fusion Techniques
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12:00 noon: Lunch on your own
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1:00 pm: Exam Selection and Sequencing for Effective Diagnosis
and Cost Effectiveness.
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2:00 pm: Radioimmunotherapy—First Line Treatment for
NHL
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3:00 pm: Seraspheres
Sunday, October 8, 2006: Emphasis
on cardiology
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8:00 am: Expanded utilization of cardiac imaging for patient
management
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9:00 am: Instrumentation
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10:00 am: Radiation Safety
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11:00 am: New Pharmacologic Stress Agents. What is Best for
Your Patient?
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Fall
Road Shows to Address Infection Imaging
The
Central Chapter’s Fall Road Shows will be scheduled in September
and October 2006 in Minnesota, Wisconsin, Illinois, Indiana and
Ohio. No program will be scheduled in Michigan due to the Fall
Educational Conference scheduled for Traverse City.
The four-hour Saturday morning programs will include 4-5 speakers
on the topic of Infection Imaging. Tentative topics and learning
objectives are listed below. Voice credit will be applied for
through the Society of Nuclear Medicine Technologist Section.
Watch your mail, email and this web site for further information.
Course Topics & Objectives
Following this program, the participants should be able to:
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Compare the diagnostic accuracy and usefulness of the various
types of radiopharmaceuticals used in nuclear medicine for
detecting and assessing infection and inflammation.
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Gain perspective about the accuracy of positron emission
tomography (PET) with leukocytes labeled in vitro with F18
FDG verses that of leukocytes labeled with 111 In oxine in
patients suspected of having infection
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Understand how infection control practices are used to limit
Nosocomial Infections
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Become familiar with the new role of the Nuclear Medicine
Practitioner (NMP) and the proposed scope of practice and
clinical application in the clinical setting
Topic 1: Current Role of Imaging Agents for Infection
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Identify the various imaging agents and applications used
in nuclear medicine for detecting and assessing infection
and inflammation
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Compare the diagnostic accuracy and usefulness of the various
types of radiopharmaceuticals used in patients suspected of
having infection
Topic 2: F18- FDG PET Imaging in the Detection and Monitoring
of Infection and Inflammation
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Compare the accuracy of positron emission tomography (PET)
with leukocytes labeled in vitro with F18 FDG verses that
of leukocytes labeled with 111 In oxine in patients suspected
of having infection
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Differentiate Infection and Cancer in FDG Studies
Topic 3: Infection Control Practices to Limit Nosocomial
Infections
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Identify infection control practices to limit nosocomial
infections and how infection control departments monitor and
track patients with nosocomial infections
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Identify the role of JCAHO Sentinel Events and Root Cause
Analysis in mitigating nosocomial infections, including best
practice techniques which can be incorporated into your department
infection control policy and part of your departments daily
practice
Topic 4: Advanced Practice in Nuclear Medicine Technology
- Discuss the new role of the Nuclear Medicine Practitioner
(NMP) including the proposed scope of practice and clinical
application of the NMP’s in the clinical setting
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Message
From the President
Helena
R. Balon, MD
2006-2007 Central Chapter President
I am pleased that as of 2005, the year of the 50th anniversary
of our Chapter, we reinstated the publication of the Newsletter,
this time in a dynamic, easy to navigate, eye-catching, and colorful
electronic format. This is mainly thanks to Davide Bova, MD, Editor,
Karen Martin, CNMT, Co-Editor and Merle Hedland, Executive Director,
but also thanks to many other contributors, without whom the newsletter
would not have gotten off the ground. Soon, a new Co-Editor /
Editor-to-be, Paresh Mahajan, MD of Troy, Michigan, will be introduced
to you.
We just returned from a successful Annual Spring Meeting entitled
“Nuclear Medicine 2006: Advances and Applications in Molecular
Imaging”, which was attended by over 215 individuals (81%
technologists and technologist trainees). The meeting was held
on March 24-26, 2006 in Indianapolis, IN, AKA “The Crossroads
of America”. James Fletcher, MD, Edward E. Wroblewski, MA,
DABSNM, and Paul J. Reaume, BS, ARRT, CNMT, local program chairs,
brought together an excellent group of speakers, many of whom
are nationally and internationally recognized (Drs H. William
Strauss, James W. Fletcher, Michael M. Graham, Michael D. Devous,
Robert J. Gropler, Daniel H. Silverman and Paul D. Shreve to name
a few). They presented some highly sophisticated lectures. The
interactive and more practically-oriented sessions “Read
with the Expert” returned by popular demand to cover cardiac,
brain and oncology imaging cases.
I felt that in the place nicknamed “Crossroads of America”
we were also standing at the “Crossroads of Nuclear Medicine”,
with not one, but rather several major changes occurring in our
specialty, all at the same time:
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Crossroads between Nuclear Medicine and Molecular Imaging:
Although we do not yet have a unified definition of what Molecular
Imaging actually is, it was obvious from the lectures at the
Spring meeting that our specialty is progressing from imaging
various organ functions (such as perfusion, uptake, excretion,
patency of various ducts, contractility of various organs)
to imaging cellular and molecular processes (such as hypoxia,
angiogenesis, apoptosis, protein synthesis, receptor expression
and concentration) and embarking on in vivo tissue characterization
(or, as Dr. Mike Graham called it – in vivo histology).
Therefore, we need to start educating ourselves in areas that
in the past we were happy to leave to the “basic scientists”.
We also need to build communication roads between us and the
professional societies of these related disciplines.
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Crossroads between Nuclear Medicine and Radiology: Although
dual modality / hybrid imaging has been around for a while,
we are still in the process of working out issues such as
singular vs. joint vs. dual interpretation and reporting of
PET/CT studies by Nuclear Medicine physicians and radiologists.
Similar qualification, training and regulatory requirements
are affecting the technologists, as well. Intersocietal guidelines
addressing these issues have been recently published (JNuclMed
2005; 46:1225-1239).
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Several other “crossroads” such as the development
of Advanced Practice pathway for Nuclear Medicine technologists,
Maintenance of Certification (MOC) requirements for Nuclear
Medicine physicians, new Nuclear Medicine residency training
requirements are just around the corner for us to tackle.
I can see that we have some major challenges and a lot of work
ahead of us. I am honored to be able to serve as Chapter President
during these exciting and challenging times.
Helena Balon, MD
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Helena
R. Balon, MD Elected President of the Central Chapter
Helena
R. Balon, MD, Staff Physician and Residency Program Director,
Department of Nuclear Medicine, William Beaumont Hospital, Royal
Oak, Michigan has become President of the Central Chapter –
Society of Nuclear Medicine.
Doctor Balon graduated from Medical School of Charles University,
Prague, Czech Republic and completed residencies in Clinical Chemistry
in the Czech Republic, Pathology at Wayne State University in
Detroit and Nuclear Medicine at Beaumont Hospital, Royal Oak,
Michigan.
She has appointments at Departments of Radiology at Wayne State
University, Detroit, Michigan (Clinical Associate Professor) and
Michigan State University, East Lansing, Michigan (Clinical Assistant
Professor). She is Board certified by ABNM. She has published
over 25 articles and 2 book chapters. She has presented at national
and international meetings.
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Incoming President Helena R. Balon,
MD,
presents plaque to Nicholas C. Friedman, MD,
outgoing Chapter President. |
At SNM, Doctor Balon is Chair of the Committee on Guidelines,
member of the Committee on Health Care Policy and Practice, member
of the House of Delegates, member of the Academic Council and
NM Residency Program Directors’ Association. At the Central
Chapter SNM, she served in various functions (Secretary-Treasurer,
Board of Governors member, chair of Constitution and Bylaws Committee,
member of Program Committee). She was also member of NMTCB Board
of Directors and is member of EANM (European Association of Nuclear
Medicine).
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James
Kritzman Becomes Technologist Section President
James
N. Kritzman, BS, RT(N), CNMT, Research Technologist, Division
of Nuclear Medicine at the University of Michigan Medical Center
has become President of the Central Chapter Technologist Section.
He was elected president-elect in 2005 and moved up to president
on April 1. He replaces Rebecca A. Sajdak, BA, CNMT who serviced
as president for 2005-2006.
Jim earned his Bachelor of Science Degree in Nuclear Medicine
Technology from Ferris State University in Big Rapids, Michigan
in 1993. From 1993-1998 he served as Nuclear Medicine Technologist
in the Division of Nuclear Medicine, Department of Internal Medicine
at the University of Michigan Medical Center. In 1998 he became
Research
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Technologist Section President-Elect
James N.
Kritzman, BS, RT(N), CNMT presents plaque to
Rebecca A. Sajdak, outgoing president. |
Technologist at the U of M Medical Center.
An author and presenter of numerous topics, Jim also teaches
a workshop on Cardiac SPECT. In addition to being a member of
the Society of Nuclear Medicine, Jim is also a member of the American
Society of Nuclear Cardiology.
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Message
from the Tech Section President
James
N. Kritzman
2006-2007 President
Central Chapter Technologist Section
First, I would like to say that it is an honor to serve as President
of the Central Chapter Technologist Section. We are living in
an exciting and dynamic time for all imaging modalities. With
the introduction of new multi-modality equipment the educational
and technological requirements are rapidly evolving for all technologists.
The Society of Nuclear Medicine has been very proactive in this
arena. We must continue to be leaders in developing educational
curriculum and guiding training programs to meet the growing demands
that will be placed on new technologists and continuing education
for those in the field.
Those who attended the 2006 Annual Spring Meeting in Indianapolis
had an opportunity to see the benefits and variety of multi-modality
imaging including PET/CT and SPECT/CT along with optical and MRI
in functional molecular imaging. As science and industry advance
technology we must continue to educate and be educated to promote
optimal healthcare for our patients. One of the high points of
the meeting was the presentation of student and technologist papers.
The quality and variety was outstanding from all participants.
With topics ranging from job satisfaction to radiation safety,
the papers illustrated the strengths of current educational programs.
In order to maintain and increase our membership as we enter
true multi-modality imaging and to accommodate the increasing
role and variety of molecular imaging, the Central Chapter proposed
a new membership category during the Spring Meeting. This member
initiative would be a new affiliate designation to include educators,
technologists from other modalities and research laboratory workers.
This proposal would let others with similar educational and work
backgrounds join at the same cost per year as current technologist
members. With more than 245,000 registered technologists in the
ARRT alone, there is tremendous potential to increase our membership
and attendance to CE events held by the individual chapters and
the Society as a whole. The specific roles and expectations of
this new membership category is a topic of future discussion.
Upon recent contact with Scott Holbrook, our national President-elect,
this item is also being proposed at the national level.
Thank you for the opportunity to serve as President of the Technologist
Section and do not hesitate contact me with your concerns regarding
our Chapter.
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James
J. Conway, MD receives Chapter's Distinguished Service Award
By Susan C. Weiss, CNMT
The Central Chapter’s Steven M. Pinsky Distinguished Service
Award, or Gold Medal was awarded at the Central Chapter’s
Annual Spring Meeting on March 25 in Indianapolis to Doctor James
J. Conway. The Gold Medal is awarded to a member of the Chapter
for exceptional service to the Chapter and Nuclear Medicine.
Doctor Conway, a Past President of the Chapter, has been an active
member since 1970. He was a member of the Board of Governors from
1972 to 1981. He served as Treasurer of the Chapter before assuming
the Presidency in 1978. He was also a member of the program committee
several times, serving as Chairman in 1986 and 1987. Most importantly,
he was the Founding Editor of the Chapter newsletter in 1973,
which significantly enhanced Chapter communications. He continued
as Editor until 1978.
Doctor Conway was also instrumental in the formation of the Central
Chapter Technologist Section in the early 70’s. He appointed
a committee to write bylaws for the Technologist Section and appointed
the first CCTS chairman.
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James Conway, MD receives the Pinsky Gold Medal at the
CCSNM Spring Meeting in Indianapolis. The presentation was
made by Chapter Vice President Gary L. Dillehay, MD (left)
and Immediate Past President Susan C. Weiss, who introduced
Doctor Conway. |
Doctor Conway was active on the national level as well, from
1970 to the present, holding many positions, including Treasurer
of the SNM before becoming the President in 1995. He represented
the SNM to various organizations, most notably as the SNM representative
to the Council of Medical Specialty Societies from 1979 to 1995.
He was the first SNM physician member elected to the Nuclear Medicine
Technology Certification Board. He also was a member of the American
Board of Nuclear Medicine from 1991 to 1996, serving as Chairman
in 1995-96.
Other activities include participation as a member of the International
Commission on Radiological Protection from 1895 to 1993. He has
held various positions with the Illinois Radiologic Society, The
American College of Nuclear Medicine, the FDA Radiopharmaceutical
Drug Advisory Committee, The World Federation of Nuclear Medicine
and Biology and the Radiological Society of North America.
Most practitioners of Pediatric Nuclear Medicine consider Doctor
Conway to be the “father” of the subspecialty. He
has trained countless numbers of residents, fellows, technologists
and other Nuclear Medicine practitioners in the art and science
of pediatric nuclear medicine during his tenure as Chief of the
Division of Nuclear Medicine at Children’s Memorial Hospital
in Chicago. He was the founder of the Pediatric Nuclear Medicine
Council of the SNM as well. He has lectured all over the world,
contributed numerous scientific articles, book chapters and served
as editor of a Bibliography of Pediatric Nuclear Medicine.
Doctor Conway’s contributions to the Central Chapter and
to Nuclear Medicine are many and outstanding and were recognized
with the awarding of the Gold Medal. It is a well-deserved honor
for all that he has achieved.
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New
Chapter Officers and Board of Governors Elected
By Susan C. Weiss, CNMT
Chair, Nominating Committee
I am pleased to report the following results from the election
ballot issued in December. Terms for these individuals began immediately
following the Spring Meeting.
Helena R. Balon, MD, of the William Beaumont Hospital in Royal
Oak, Michigan moved up from Secretary-Treasurer/ President-Elect
to become President for 2006-2007. She replaces Nicholas Friedman,
MD who served as president for 2005-2006.
Gary L. Dillehay, MD, FACR of Loyola University Medical Center
in Maywood, Illinois continues in his second year as Vice President
and takes on the additional title of President-Elect as he prepares
to take over the Presidency in 2007. Doctor Dillehay is also vice
speaker of the SNM House of Delegates.
Robert T. Anger, Jr., MS, MPH, FACR, from the Clarian Health
System (Methodist Hospital) in Indianapolis, Indiana was elected
to a two-year term as Secretary-Treasurer. Bob was an at-large
member of the Board of Governors
Anthony Passalaqua, MD, of Northeastern Ohio University College
of Medicine and President of The Imaging Center in Stow, Ohio
was re-elected to a second three-term on the Board of Governors.
Kastytis C. Karvelis, MD from the Henry Ford Hospital and Wayne
State University School of Medicine was elected to his first term
on the Board of Governors.
Michael A. Wilson, MD from the University of Wisconsin Medical
School was also elected to the Board of Governors. Doctor Wilson
was on the Board of Governors in the mid-90s and we are pleased
to have him back on board.
For a full listing of the CCSNM Board of Governors, visit the
CCSNM web site at www.ccsnm.org.
I want to thank Jim Carey, MS, 2nd Immediate Past President of
the Chapter who will now be leaving the Board of Governors. Nicholas
C. Friedman, MD will now join me as one of the two past presidents
who are members of the Board of Governors.
As a final comment, I would like to encourage members to considering
volunteering for a committee of the Chapter or the Technologist
Section and to volunteer to serve on the Board of Governors. The
Society of Nuclear Medicine and the SNM Technologist Section are
also looking for volunteers to serve on committees at the national
level. It really isn’t much time, but it is very important
to get your input.
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Technologist
Section Elects Officers for 2006-2007
By Katherine A. Carlson, BA, CNMT, CCRC
Chair, Nominating Committee
Central Chapter Technologist Section
I am pleased to announce the results of the Technologist Section
Elections held early in the year. Terms for each position or individual
are included in the listing.
James N. Kritzman, BS, RT(N), CNMT of the University of Michigan
moves from President Elect to President for 2006-2007. He replaces
Rebecca A. Sajdak, BA, CNMT, who served as Technologist Section
president for 2005-2006.
Paul J. Reaume, BS, ARRT, (R,N), CNMT of St. John Macomb Hospital
in Warren, Michigan was elected President-Elect. Paul had served
on the Finance Committee and was a local program chair for the
Spring Meeting.
Judith E. Kosegi, MS, CNMT of Indiana University was elected
to a one-year term as Secretary. A bylaw amendment that was also
passed this year will extend the term of the Secretary to two
years starting in 2007.
Nancy A. McDonald, BS, CNMT of Northwestern Memorial Hospital
was elected to a two-year term as Treasurer and Chair of the TS
Finance Committee. Nancy has been chairing the Continuing Education
Committee for a number of years, organizing the Chapter’s
successful Fall Road Shows.
Timothy Hill, BS, ARRT, CNMT from Capitol City Cardiology in
Columbus, Ohio was elected to a four-year term on the Bylaws Committee
Lyn M. Mehlberg, BS, CNMT, FSNMTS of St. Luke’s Medical
Center in Milwaukee, Wisconsin was elected to a two-year term
as the National Council Delegate for the SNM-TS
Mary Yeomans CNMT, of Medi-Nuclear Corp in Walled Lake, Michigan
will be joining Karen Martin for a three-year term representing
technologists on the Board of Governors.
On behalf of the Chapter and Technologist Section, I want to
thank Roxanne Izzo from Loyola University Medical Center, in Maywood,
Illinois for her service as the Treasurer for the past two years.
I also want to thank Lynnette Fulk of Clarian Health System in
Indianapolis who is completing her term on the Board of Governors,
for her dedicated service.
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Abstract
Presenters Awarded Prizes
By James N. Kritzman, BS, RT(N)
CNMT Chair, Awards Committee
The President-Elect’s responsibility includes chairing
the Awards Committee, selecting abstracts for presentation at
the Annual Spring Meeting and then judging the presentations to
award the cash prizes. 2006 proved to be a difficult year with
many good abstracts offered from which we had to select 9 for
presentation. Across the board the presentation were excellent
and judging the winners was a difficult tasks. The Awards and
the winners are listed below.
Best Technologist Paper-CCSNM-TS (oral presentation only) $250.
Senior author must be a technologist SNM member. A $750 educational
grant may be awarded to the top-scoring author if this abstract
is also accepted for presentation at the next SNM annual meeting.
The winner was Alberto Arroyo, from the St. Vincent
Medical Center, Toledo,Ohio
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President-Elect
and Awards Committee Chair James Kritzman presents CCSNM –TS
Best Technologist Paper Award to Alberto Arroyo, from St.
Vincent Medical Center in Toledo, Ohio. |
W. H. Beierwaltes Award - CCSNM (oral presentation only) $250.
Senior author must be a resident or basic scientist trainee.
The winner was Steven Lee, DO, Loyola University
Medical Center, Maywood, Illinois.
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Steven
Lee, DO from Loyola University Medical
Center in Maywood, Illinois receives the W. H. Beierwaltes
Award from Awards Committee Chair, Jim Kritzman. |
Best Student Papers -- CCSNM-TS (oral presentation only) $200,
$150, $100. Author must be a student SNM member. $200 is awarded
for the 1st place presentation, $150 for 2nd place and $100 for
3rd place. Winners were:
1st Place: Danelle Weiss, Northwestern Memorial
Hospital, Chicago, Illinois
2nd Place: Nicole Boyd, Northwestern Memorial
Hospital, Chicago, Illinois
3rd Place: Jamie Mathews, Northwestern Memorial
Hospital, Chicago, Illinois
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 |
CCSNM-TS
Best Student Paper Awards were
all awarded to students from Northwestern
Memorial Hospital in Chicago. Pictured from
left, 1st Place: Danelle Weiss, 2nd Place:
Nicole Boyd and 3rd Place: Jamie Mathews. |
Congratulations to them all.
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Annual
Spring Meeting Addressed Molecular Imaging
and Nuclear Medicine Policy From Many Directions
By Rebecca A. Sajdak, BA, CNMT
Immediate Past President
Central Chapter Technologist Section
The Spring Meeting of the Central Chapter of the Society of Nuclear
Medicine was held in Indianapolis, Indiana and was hosted by James
Fletcher, MD, Edward Wroblewski, MA, DABNM, and Paul Reaume, CNMT,
ARRT (R,N). Attendees were treated to state of the art lectures
discussing molecular imaging for patients with a variety of different
cancers as well as diseases of the cardiovascular and central
nervous systems. There was information on various software-based
techniques in assessment of brain images-relative to visual assessment,
and relative to each other. Cardiac lectures spoke of upcoming
tracers and new work being done with cardiac attenuation on the
new SPECT/CT cameras.
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Attendees at the Spring Meeting enjoy
visiting
with exhibitors. The exhibitors sponsored raffle
prizes for the meeting including two iPod Nanos and two $200
American Express Gift Checks. |
Program Chair
James W. Fletcher, MD presents
crystal plaque to Timothy R. Degrado, PhD for
giving the James Quinn Lecture. |
 |
Experts in their
respective fields discussed cutting edge technology that
is still in the research phase. There is a new PET/Mammography
system under development, new work being done with optical
imaging, and state of the art imaging technologies used
for pre-clinical small animal research.
Our
national office President of the Technologist Section, Valerie
Cronin, brought the chapter updated information on the CARE
act, which, if passed, would require states and health programs
such as Medicare to adopt minimum standards for anyone who
works with ionizing radiation. Valerie spoke about the new
initiatives at the national level entailing the creation
of a Nuclear Medicine Practitioner’s degree as a pathway
for a technologist desiring to further their careers with
a Master’s degree. There is also a parallel initiative
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Technologist
Section President-Elect Paul J.
Reaume presents crystal plaque to Timothy G. Turkington, PhD,
for giving the Mark Groch
Lecture. |
to change the entry-level requirement for Nuclear Medicine Technologists
to a baccalaureate degree. Due to the expanding duties and increasing
amount of knowledge required of today’s technologists, it
is suggested that the amount of time required to complete the
components for degree in nuclear medicine technology would be
equal to four years of college.
Spring
Meeting Presentations on CCSNM Web Site
Did you miss the Central Chapter’s Annual Spring
Meeting? Visit the Central Chapter’s web site, www.ccsnm.org,
to download handouts of most of the presentation in PDF
format.
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There were several outstanding proffered papers given by technologists,
residents and students which were judged and the winners awarded
cash prizes. The list of winner is included elsewhere in this
newsletter. These were the best of many abstracts submitted to
our judges who had a difficult time deciding what to select for
presentation, because the abstracts this year were exceptional.
If you would like to submit an abstract or are aware of a resident,
technologist or student who would like to submit an abstract for
upcoming meetings, keep an eye on the website for the notice for
submission. There is always a procedure or technique that a technologist
may use which could help other technologists. Please come share
your expertise!
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CC
News Info
CCSNM Mission Statement
Central Chapter of the Society of Nuclear Medicine is an organization
dedicated to promote continued education in the art and science
of nuclear medicine. Through regular meetings and scientific sessions,
members from Minnesota, Wisconsin, Illinois, Michigan, Indiana
and a portion of Ohio are provided the opportunity to not only
review existing technology and methodologies, but also become
familiar with newer techniques, equipment and radiopharma-ceuticals.
In this manner, the members are kept appraised of current changes
in technology, its application and appropriate use.
Contact Us
Central Chapter – Society of Nuclear Medicine
475 S. Frontage Road, Suite 101
Burr Ridge, IL 60521
Ph: 630-323-7028
Fax: 630-323-6989
Email: info@ccsnm.org
Web Site: www.ccsnm.org
Please email your comments and suggestions to info@ccsnm.org.
Editors:
Davide Bova, MD
Department of Radiology
Loyola University Medical Center
2160 S. First Avenue
Maywood, IL 60153
Ph: 708-216-5222
Paresh Mahajan, MD
Department of Nuclear Medicine
Beaumont Hospitals
44201 Dequindre
Troy, MI 48085
Ph: 248-964-4419
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