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SCAR 2004 Special Sessions

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Invited speakers present in-depth, specialized learning opportunities on cutting edge, timely topics. In general, these sessions include topics not covered by SCAR U.

Special Sessions
I  II  III  IV  V
VI  VII  VIII  IX  X


Thursday, May 20
Sp
ecial Session I -  PDA's
10:15 AM – 12:00 PM

Ballroom C

Chair:
Adam E. Flanders, MD

Thomas Jefferson University Hospital

Participants:

Richard H. Wiggins, III, MD

University of Utah Hospitals & Clinics

 

William Boonn, MD

Hospital of the University of Pennsylvania

PDA technology is evolving rapidly, and it is easy to get confused with all the features, options, operating system differences, and general technology available.  Because PDA technology is advancing so rapidly, it is difficult to keep current with the models and options available.  Handheld computing has become increasingly versatile with the integration of wireless technology and telephony (i.e. “smart phones”).  These advances in technology have allowed these devices to have an increasing importance in mobile computing in medicine, and especially radiology. There are several new hardware and software options and the interactions of these handheld devices with HIS, RIS, and PACS, as well as voice recognition continue to expand and develop, allowing them to make significant impacts on Radiology workflow.

Learning Objectives:

1.  Learn about the basic options of handheld computers, the differences between operating systems and wireless services.

2.  Gain an understanding of how to use these PDA devices in medicine and radiology.

3.  Demonstrate the capabilities, advantages, and implications using PDAs in radiology today, and interactions with HIS, RIS, PACS, and voice recognition, as well as digital decision support tools, and “walking libraries”.

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Thursday, May 20
Special Session II - SCAR Expert Hotline and Online Archive
1:00 PM – 2:15 PM

Ballroom C

Chair: 
Steven C. Horii, MD

University of Pennsylvania

Participants:

Paul G. Nagy, PhD

Medical College of Wisconsin

 

 

Eliot L. Siegel, MD

University of Maryland

VA Maryland Healthcare System

For several years, the SCAR Expert Hotline has provided SCAR members the opportunity to pose PACS-related questions to a panel of experts. The answers to these questions have recently been compiled and indexed for access through the SCAR website, where they constitute a valuable resource for all SCAR members. This session will summarize the content of the online version of the Expert Hotline and explain how the information can be accessed most efficiently. Attendees will also learn how to submit questions to the Hotline. A live demonstration will be included.

Learning Objectives:

1.  Understand the contents of the online version of the Expert Hotline.

2.  Understand how to search the Hotline for specific information.

3.  Learn how to submit new questions to the Hotline.

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Thursday, May 20
Special Session III - Addressing the Coming Radiology Crisis:  Current Status of the SCAR TRIP™ Initiative
2:45 PM – 4:30 PM

Ballroom C

Chair:
Katherine P. Andriole, PhD

University of California, San Francisco

Participants:

Maryellen Giger, PhD

University of Chicago

Matthew Brown, PhD
UCLA
Bradley Erickson, MD, PhD
Mayo Clinic
The SCAR 2004 TRIP Session will focus on computer aided detection (CAD) as an approach for dealing with large medical image data sets, analogous to automated analysis of pap smears as a means for screening for pathology.  The current status of the SCAR TRIP Initiative will be given followed by discussion of the state-of-the-art in CAD for mammography, CAD for chest and change detection for interpreting brain imaging.  A panel discussion will follow.

Learning Objectives:

1   Understand the purpose of the TRIP™ initiative.

2.  Review the current status of the SCAR TRIP™ initiative.

3.  Review the state-of-the-art of CAD.

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Friday, May 21
Special Session IV - PACS in the Community Setting
8:00 AM - 9:45 AM

Ballroom C

Chair: 
Gregory C. Karnaze, MD

President, Austin Radiological Association (ARA)
Chairman, ARA IT Committee

Participants:

R. Todd Thomas
CIO, ARA

Dana Ostrow
Manager Operations & Applications

ARA IT Department

 

Sandy Strickland
Chief of Clinic Operations, ARA

Barbara Q. Krauter
Systems Project Manager
Seton Healthcare Network

Early adopters of PACS were primarily University/Academic institutions.  Evaluation, selection and implementation of PACS in a community practice setting differs in many important aspects. Radiologist productivity gains are a major cost justifier in a private practice setting.  The ability to provide subspecialty interpretations and to centralize after hours call activities in a multi-site, geographically dispersed practice environment are important practice enhancements. Sophisticated IT personnel, enterprise storage and disaster recovery, Radiology Information System (RIS) availability, practice-wide high bandwidth network, document imaging, and referring physician marketing, utilization and support are important challenges in the community setting.

Learning Objectives:

1.  To understand the evolution of PACS.

2.  To understand the benefits and challenges of PACS in the community setting.
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Friday, May 21
Special Session V - Optimizing the Man/Machine Interface
10:15 AM – 12:00 PM

Ballroom C

Chair: 
Bruce I. Reiner, MD

Baltimore VAMC

Participants:

Nuray Aykin, Ph.D

Siemens Corporate Research

 

Frank Sauer, PhD

Siemens Corporate Research

 

Elizabeth A. Krupinski, PhD

University of Arizona

Eliot L. Siegel, MD

Baltimore VAMC

This session will review the interaction that occurs between computer and end-user by exploring the user interface and workflow-enhancing software that drives the digital image interpretation process.  In order to understand this complex interaction, a number of research areas will be discussed including image perception, decision support, and human factors.

Learning Objectives:

1.  Understand the essential elements in the user interface.

2.  Define the role of human factors engineering in optimizing the user interface.

3.  Review the role of electronic auditing in understanding radiologist workflow.

4.  Review the importance of image perceptual analysis in the human-computer interface. 

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Friday, May 21
Special Session VI - The Radiologist Interpretation Process: Peering into the Mind of the Radiologist
(What engineers and IT professionals need to know...)
3:15 PM - 5:00 PM

Ballroom C

Co-Chairs: 
Bradley J. Erickson, MD, PhD

Mayo Clinic

 

Eliot L. Siegel, MD

University of Maryland

VA Maryland Healthcare System

Participants:

Anna K. Chacko, MD

Lahey Clinic

Elizabeth A. Krupinski, PhD

University of Arizona

The purpose of this session is to acquaint engineers and IT professionals with the task and methods of radiologists.  Principles of perception and how it will applies to image interpretation will be presented. Two radiologists will describe what they view the task of the radiologist to be, and then how they perform that task. A description of things that work well in film and electronic environments, and things that need improvement will be provided.

Learning Objectives:

1.  Understand basic principles of perception as it applies to radiology.

2.  Understand better the needs and wants of radiologists that might be addressed by engineers and IT professionals.

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Saturday, May 22
Sp
ecial Session VII - Enterprise Image Management – PACS Beyond Radiology
8:00 AM  - 9:45 PM

Ballroom C

Chair:  
Gary J. Wendt, MD, MBA

University of Wisconsin- Madison

Participants:

Walter W. Peppler, PhD

University of Wisconsin- Madison

 

Christopher J. Hanna, PhD

TeraMedica, Inc.

 

Mark A. Gehring

Emageon UV

Barry Wiggs, PhD

McKesson Information Solutions

This session will address the challenges of planning PACS for enterprise image distributions, moving PACS into a multi-enterprise environment, and PACS for the other “ologies”

Learning Objectives:

1.  Define where are the potential image sources.

2.  Estimate image volume.

3.  Describe unique user interface requirements.

4.  Understand training and support issues.

5.  Understand HIS/RIS issues.

6.  Review Electronic Medical Record (EMR) Integration.

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Saturday, May 22
Special Session VIII - CR/DR Debate
10:15 AM  - 12:00 PM

Ballroom C

Chair:

David E. Avrin, MD, PhD
University of Utah Hospitals & Clinics

Participants:

Robert G. Gould, Sc.D.

University of California at San Francisco

 

John Strauss

Fujifilm  Medical Systems (CR)

 

 

J. Anthony Seibert, Ph.D.

UC Davis Health System

DR Industry Representative

To be determined

Which should you choose, CR or DR? Each technology has advantages and disadvantages, technically and clinically.  They each have significantly different economics.  Each has strong proponents (as well as some detractors!) This session will be presented as a debate with proponents of each technology making their strongest arguments in favor of adoption of either CR or DR. Join us for a lively exploration of this controversial topic.

Learning Objectives:

1.  To learn the advantages and disadvantages of CR and DR

2.  To help determine the right technology for different clinical environments in your practice.

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Saturday, May 22
Special Session IX - The Web Warrior’s Workshop (WWW)
3:15 AM  - 5:00 PM

Ballroom C

Chair:
Paul G. Nagy, PhD
Medical College of Wisconsin

Participants:

Khan M. Siddiqui, MD

Geisinger Health Center

Dee-Ann LeBlanc

Newsforge

To stay up-to-date with the fast moving pace of technology, today's professionals need to be ready to learn each and every day. The key to today's technology problem is not knowing all the answers off the top of your head, but knowing where to look to find the answers. Learn how to be a good Internet surfer and learn from SCAR experts where to find the material.

Our Internet sleuths have scoured the web for the best sites that can help you do your job. We will share with you the gems of the Internet - where to find the latest news, reviews, and reference/educational material keep you on top of your job. The areas being reviewed are:

  • PACS administration
  • Computer Technology
  • IT Project Management
  • Radiologists
  • Radiology Residents

Learning Objectives:

1.  Learn about the how to take better advantage of search engines.

2.  Discuss how to utilize online collaboration resources.

3.  Review online resources for news, resources, reference, and collaboration.

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Sunday, May 23
Special Session X - Malicious Logic and Additional Aspects of Security and Privacy in Medical Information Systems
8:15 AM  - 9:30 AM

Ballroom C

Co-Chairs: 

Dwight A. Simon
Medical Standards Director & Senior Integration Consultant,

Merge eFilm

 

David E. Gobuty, JD, CISSP

Chief Security Officer & Director, Systems Security Engineering

Eastman Kodak Company, Health Imaging Group

Participants:

Wolfgang Leetz

Senior Engineer

Siemens Medical Solutions, Group Technology

This session will address malicious software (malware) and defenses against it for medical information systems. These devices, e.g., imaging modalities, Picture Archive and Communication Systems (PACS), and workstations, are increasingly vulnerable to attack by malware (e.g., viruses, Trojan horses, denials of service, trap doors, time bombs, worms). This presentation discusses likely malware attacks and suggests strategies and tactics available today to protect against them, for both vendors (manufacturers and integrators) and users (hospitals and medical practices).

     The speakers will present the Joint NEMA/COCIR/JIRA Security and Privacy Committee’s (SPC) work that defines a set of security rules that need to be enforced by medical information technology in order to protect patient privacy, and then suggests an allocation of these rules between procedural or technological enforcement.  In this way, vendors and users can take advantage of the benefits of each type of enforcement mechanism to arrive at cost-effective and efficient solutions.

     An approach developed by the SPC will be described that can allow remote access for service to medical imaging systems within a healthcare enterprise via the Internet in a secure way.  Based on digital certificates for authentication and the IPSec protocol for security, this solution provides the access control, confidentiality, and accountability called for by regulations and good engineering practice.  It is the basis for implementations that are available today from several medical imaging vendors.

Learning Objectives:

1.  Learn likely malware attacks and how to protect against them.

2.  Learn the SPC’s security rules for protecting patient privacy.

3.  Understand the SPC’s approach to securing the Internet for healthcare uses.

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