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Department of Radiology,
Caritas St. Elizabeth's Medical Center

Present
s

Imaging Strategies in Primary Care Medicine

Friday, October 10th, 2003
7:45 a.m. - 4:30 p.m.
Boston Marriott Newton
2345 Commonwealth Avenue
Newton, MA
 
PROGRAM AGENDA
 
MORNING SESSIONS
 
7:45 - 8:15 a.m. Registration and Continental Breakfast
8:15 - 8:45 Imaging by Evidence
Barbara McNeil, MD, PhD, Ridley Watts Professor, Department of Health Care Policy, Professor of Radiology, Harvard Medical School and Brigham and Women's Hospital
Dr. McNeil will address the global perspective of imaging in the United States, and federal and private approaches to using medical evidence for reimbursement policies.
8:45 - 9:05 Strengths and Limitations of Plain Film, US, CT, and MRI
Jeffrey Mendel, MD, Chair, Department of Radiology, Caritas St. Elizabeth's Medical Center, Faculty, Harvard Medical School
What are the limits of diagnostic certainty with current imaging modalities, and why recommend a second study to "further evaluate"? Dr. Mendel will discuss how radiologists and primary care physicians can efficiently manage patients.
9:05 - 9:25 The Evolving Role of PET Scan in Lung Carcinoma
Paul J. Hesketh, MD, Chief, Division of Hematology and Oncology, Caritas St. Elizabeth's Medical Center, Professor of Medicine, Tufts University School of Medicine
Dr. Hesketh will focus on what the proper role is for PET scanning in cancer, and who should order the scan—primary care physician or oncologist.
9:25 - 9:45 Advances in Oncologic Intervention
Natalie E. Joseph, MD, Attending Surgeon, Department of Surgery, Caritas St. Elizabeth's Medical Center, Assistant Professor of Surgery, Tufts University School of Medicine
Dr. Joseph will address minimally invasive therapies that are guided by radiologic imaging.
9:45 - 10:00 Questions and Panel Discussion
10:00 - 10:20 Break
10:20 - 10:40 Diagnostic Approaches to Pain in the Athlete
William J. Morgan, Chair, Department of Orthopedics
Caritas St. Elizabeth's Medical Center, Professor of Orthopedic Surgery, University of Massachusetts Medical School, Medical Director, Boston Red Sox
Dr. Morgan will focus on the clinical approach to patient assessment and collaboration between orthopedics and primary care. Questions he will answer include: When to refer to orthopedics, who should order the MRI, and when is one necessary?
10:40 -11:00 Imaging of Joint Pain: Role of MRI vs Plain Film
Richard J. Waite, MD, Director, Division of Musculoskeletal Radiology, Associate Professor of Radiology, University of Massachusetts School of Medicine
From the radiologist perspective, Dr. Waite look at what the role is for plain films vs. MRI in diagnosing the source of pain in the musculoskeletal system.
11:00 - 11:20 Questions and Panel Discussion
11:20 - 11:50 Panel: Striving for Collaborative and Cost-effective Imaging Strategies
Francis X. Campion, MD, Course Director, Panel Moderator, Vice President for Clinical Integration, Caritas Christi Health Care System, Clinical Professor, Tufts University School of Medicine
Dr. Campion will moderate a panel of experts who will address physician cooperation strategies for managing imaging costs, improving communication among radiologists, specialists, and primary care physicians.
11:50 a.m. - 12:50 p.m. Lunch - Roundtable Discussions
  • Cardiovascular
  • Gastrointestinal
  • Genitourinary
  • Musculoskeletal
  • Neurology
  • Oncology
  • Pulmonary
  • Women's Health
  • Health Economics
AFTERNOON SESSIONS
12:50 - 1:10 Diagnoses and Management of Early Stroke
Judith Hinchey, MD, Department of Neurology, Caritas St. Elizabeth's Medical Center, Assistant Professor, Tufts University School of Medicine
Dr. Hinchey will discuss early imaging strategies to rule out bleeds, when to use thrombolytic therapy Vs anticoagulation, and MRI or CT.
1:10 - 1:30 Imaging for Memory Problems
Jeffrey Mendel, MD
Dr. Mendel will address the clinical exam and indications for CT Vs MRI Vs PET scans, and collaboration between neurologists and primary care physicians
1:30 - 1:45 Questions and Panel Discussion
1:45 - 2:05

Post-Menopausal Bleeding
Michael Stellar, MD, Director, Gynecologic Oncology, Department of Obstetrics and Gynecology, Caritas St. Elizabeth's Medical Center, Associate Professor, Tufts University School of Medicine
Dr. Stellar will talk about what imaging strategies should be considered in post-menopausal bleeding.

2:05 - 2:25 Abnormal Screening Mammography
Priscilla Slanetz, MD, MPH, Director of Women's Imaging, Caritas St. Elizabeth's Medical Center, Assistant Professor of Radiology, Harvard Medical School
When should screening for breast cancer begin and how often should it be done? Dr. Slanetz will address this topic as well as the role of ultrasound and MRI for breast imaging.
2:25 - 2:40 Questions and Panel Discussion
2:40 - 3:00 Break
3:00 - 3:20 Diagnostic Strategies for Occult GI Bleeding: The Role of the Video Capsule
David R. Cave, MD, PhD, Chief, Division of Gastroenterology, Caritas St. Elizabeth's Medical Center, Professor of Medicine, Tufts University School of Medicine
Imaging strategies for GI bleeding will be the focus of Dr. Cave's remarks.
3:20 - 3:40 Advances in Vascular Imaging
Krishna Kandarpa, MD, PhD, Radiologist-in-Chief, Department of Radiology, UMass Memorial Hospital, Professor of Radiology, University of Massachusetts School of Medicine
Dr. Kandarpa will address the evolving roles and indications of ultrasound, MRA, CTA, and angiography.
3:40 - 4:00 Advances in Vascular Intervention
Robert Schainfeld, DO, Interim Chief, Division of Vascular Medicine, Director, Noninvasive Vascular Laboratory, Director, Vascular Rehabilitation Program, Co-Director, Vein Center, Caritas St. Elizabeth's Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine
What are the minimally invasive therapies for peripheral vascular disease? Dr. Schainfeld will address this issue, as well as the clinical exam and when to refer a patient to vascular medicine and vascular surgery.
4:00 - 4:30 Questions and Panel Discussion
4:30 Program Concludes