Learn From the Masters Most lectures by Fellows of the SRU SOCIETY OF RADIOLOGISTS IN ULTRASOUND 24 th Annual Meeting & Postgraduate Course OCTOBER 24 – 26, 2014 Denver Marriott City Center, Denver, CO ABR approval pending for SAMs on abdominal, gynecologic and vascular imaging • Plenary session on new horizons in imaging with ultrasound, including elastography, CEUS and 3-D • Keynote address on 3-D ultrasound by Dolores Pretorius, MD TRASOUND UL CIETY OF R A SO GISTS OLO IN DI • International Lecture by Richard D. Pitcher, MBChB of Capetown, South Africa • A report from the consensus conference on ultrasound elastography for diffuse liver disease • Sessions on musculoskeletal, vascular, abdominal, obstetrical, gynecological and thyroid imaging and pitfalls and practical challenges • 25 workshops, five on pediatric imaging Register online at www.sru.org • Earn AMA PRA Category 1 CreditsTM or ARRT Category A Credits, and SAM credits Table of Contents From the President............................. 2 General Information......................3–4 Target Audience.............................. 3 Program Goals................................. 3 Continuing Medical Education....... 3 Hotel Information........................... 4 Schedule.........................................5–8 Membership Application Form.......... 9 Meeting Registration Form............. 10 Photos on cover courtesy of Scott Dressel-Martin, Ron Ruhoff & VISIT DENVER All other Denver photos in this brochure courtesy of VISIT DENVER unless noted I t is my pleasure to invite you to attend Image Soundly, the 24th annual postgraduate educational course of the Society of Radiologists in Ultrasound (SRU). The course will be held Friday through Sunday, October 24-26, 2014 at the Marriott City Center in Denver, CO, in conjunction with the society’s annual meeting. The SRU has as its mission the advancement of the science, practice and teaching of ultrasound in radiology, advocating the use of this safe, reliable and accurate imaging modality to ensure the highest level of patient care. Sonography has a full armamentarium of new and exciting technologies such as ultrasound contrast agents, volumetric and fusion imaging and elastography techniques, to mention just a few, either already on the market or in the pipeline. We have many tools in our hands to explore new avenues to foster affordable diagnostic and therapeutic venues using ultrasound as one of the first and most effective imaging modalities. The program presents a true opportunity to learn from the experts. Most presentations will be given by Fellows of the SRU. On Friday, October 24, the meeting will begin with a plenary session on new horizons in ultrasound, focusing on contrast-enhanced ultrasound, 3D ultrasound and elastography, and how to introduce these new technologies into your practice. SRU Fellow Dolores H. Pretorius, MD will present the keynote address, “3D Ultrasound: Where I Use it Today in Clinical Practice.” The International Lecture, by Richard D. Pitcher, MB, ChB of the University of Cape Town, South Africa, will focus on the role of sonography in clinical service provision in a large, multidisciplinary tertiary hospital in a low/middle-income country with a high burden of HIV, TB, trauma and non-communicable diseases. A report from the consensus conference on ultrasound elastography for assessment of diffuse liver disease will also be presented. The afternoon of October 24 will be devoted to two concurrent sessions, one on musculoskeletal imaging and one on obstetrical and thyroid imaging. From the President On Saturday, October 25, the morning sessions will include a session on vascular imaging and a series of 25 workshops. The workshop series will include five sessions, each focused on obstetrics, pediatrics, Doppler, abdominal and superficial imaging. Two concurrent Saturday afternoon sessions will focus on abdominal imaging and gynecological imaging. The meeting will conclude on Sunday morning, October 26, with a session on when ultrasound should be the first choice imaging modality, and pitfalls and practical challenges in imaging with ultrasound. In addition to the opportunity to earn AMA PRA Category 1 Credits™ and ARRT Category A credits for technologists, meeting attendees will also have the opportunity to earn SAM credits. The SRU will apply to the ABR for qualification of SAMs for the vascular, obstetrical and abdominal sessions. SRU’s corporate partners will host a Friday evening reception to which all meeting attendees and their guests are invited. Corporate representatives will be on hand to demonstrate new equipment and technologies. Our corporate partners consider the SRU meeting to be one of the highlights of their year because it gives them the opportunity to mingle with SRU members in a relaxed atmosphere, and to demonstrate the latest in ultrasound technology. The Marriott City Center is located in Downtown Denver, and in October the weather in Denver should be cool and pleasant. I am confident that you will find many opportunities for dining and leisure activities during your free time. Plan now to join me at the meeting. I look forward to seeing you. With best regards, Douglas L. (Rusty) Brown, MD, President 2 General Information Target Audience The program is designed to meet the needs of those practitioners of radiology who perform and interpret ultrasound examinations, sonographers who perform ultrasound under the supervision of a radiologist, and radiology residents and fellows. The sessions are also designed to meet the needs of general radiologists whose practice includes ultrasound. Program Goals The program will provide participants with the opportunity to • review classic imaging findings for common and uncommon pathology in various subspecialty areas • identify ultrasound image interpretation methods and how to avoid interpretation pitfalls • analyze the latest approaches to imaging with ultrasound and correlate them with clinical outcomes • critique new imaging technologies and determine how they may be successfully integrated into the clinical setting Continuing Members’ Lunch Medical Education and Business Credits Meeting Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Radiology (ACR) and the Society of Radiologists in Ultrasound. The ACR is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation Statement The ACR designates this live educational activity for a maximum of 17.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. American Registry of Radiologic Technologists The ACR is a Recognized Continuing Education Mechanism (RCEEM) for the American Registry of Radiologic Technologists (ARRT). This ACR educational activity is approved for 17 Category A credits. American Registry for Diagnostic Medical Sonography Sonographers will receive a certificate of participation and a list of the sessions they attended. The certificate will state that the course has been approved for AMA PRA Category 1 Credits™ and the number of credits that were offered. • discuss common problems facing ultrasound practitioners and their possible solutions • evaluate new advances in ultrasound research Conflict of Interest Disclosure Participation in the programs selected by the individual learner should improve his or her knowledge, skills, behavior and practice performance. Presenters at this activity will disclose any relevant financial relationships at the beginning of their presentation. In addition, the information will appear in the meeting syllabus. 3 A members’ lunch and business meeting will be held at 11:30 am on Saturday October 25. During the meeting a new member of the Executive Board will be elected and other society business will be conducted. The meeting is open to all dues-paying members of the society. Pre-registration is required. Unknown Cases Unknown cases will be displayed electronically in the meeting registration area. The correct diagnoses of the Friday cases will be announced on Saturday, and the correct diagnoses of the Saturday cases will be announced on Sunday. Syllabus The syllabus for the meeting will be distributed on flash drive. You may wish to bring your laptop with you to the meeting. Please note that limited power sources will be available in the meeting rooms, but free internet connectivity is not available in the meeting areas of the hotel. Corporate Focus Sessions SRU’s corporate partners will conduct focus sessions on Friday, October 24 at 6:45 am, 9:00 am and 12:00 pm. These sessions are an important part of the annual meeting. They serve as in-depth research and development think tanks, with SRU Fellows and general members providing expertise to guide future technology developments. By participating in the focus sessions you are providing a crucial service for furthering technological developments in the field of diagnostic ultrasound. Please indicate in the appropriate area on the registration form if you are willing to participate in a corporate focus session if asked. CME credit is not provided for the corporate focus sessions. Breakfast or lunch will be provided by the SRU. Welcome Reception A welcome reception will be held from 6:00 pm – 9:00 pm on Friday, October 24 in the hotel. The event is free to all meeting registrants and their guests. SRU’s corporate partners will sponsor the reception, and representatives will be on hand to greet attendees and demonstrate the latest ultrasound equipment and technologies. Americans with Disabilities Act (ADA) Individuals needing auxiliary aids or services as defined in the Americans with Disabilities Act (ADA) should contact Kathy Martin at 703-2629317 or kmartin@acr.org. Book Vendors and Societies Book vendor and society displays will be located in the meeting registration area and will be open during program hours. Hotel website www.marriott.com/hotels/ travel/dendt-denvermarriott-city-center/ • Reservation deadline: Rooms are available on a first-come, first-served basis. Reservations should be made prior to September 30, 2014. After that date, reservations will be accepted on a spaceavailable basis and may not be available at the negotiated rate. • Deposit: A deposit equal to one night’s stay is required to hold each reservation, and will be applied to the first night’s stay. The deposit may be made by credit card. • Cancellation: If you wish to cancel your reservation, please notify the hotel at least 24 hours prior to arrival in order to avoid being charged one night’s room and tax. Denver Convention and Visitors Bureau www.denver.org Super Shuttle (transportation to and from the airport) www.supershuttle.com or 303-370-1300 Hotel Information The Denver Marriott City Center 1701 California St. Denver, CO 80202 To reserve a room at the Denver Marriott City Center, please call 800444-2206 (303-297-1300 from outside the US and Canada) and request the Society of Radiologists in Ultrasound (SRU) rate. For online reservations, please visit the SRU website to connect to the hotel website. • Room rate: $239 per night, single or double, plus 14.75% tax, which is subject to change. Membership Information Board-certified radiologists who are engaged in or interested in the practice of diagnostic ultrasound are eligible for membership in the SRU. Membership is free for radiology residents and fellows and includes an online subscription to Ultrasound Quarterly. Applications are available in the meeting registration area. Individuals may also apply online at www.sru.org. Telephone Numbers and Websites The Denver Marriott City Center (303) 297-1300 4 Schedule SCHEDULE FRIDAY October 24, 2014 3:30 PM – 3:40 PM Scientific Paper Presentation Speaker to be announced 3:40 PM – 4:10 PM Ultrasound of the Ankle and Foot Humberto G. Rosas, MD PLENARY SESSION 7:45 AM – 12:00 PM New Horizons in Imaging with Ultrasound: How to Introduce Recent Advances into Your Practice Moderators: Jill E. Langer, MD and Rochelle F. Andreotti, MD CAT 1 Credit: 3.75 CAT A Credit: 3.50 7:45 AM – 7:50 AM Welcome and Announcement of Distinguished Service and Larry Mack Award Winners Douglas L. Brown, MD 7:50 AM – 8:10 AM Incorporating Contrast Ultrasound into Routine Practice Michelle L. Robbin, MD 8:10 AM – 8:30 AM The Use of Contrast Ultrasound for Liver Applications Stephanie R. Wilson, MD 8:30 AM – 8:50 AM The Use of Contrast Ultrasound for Renal Applications Edward G. Grant, MD 9:20 AM – 9:50 AM KEYNOTE ADDRESS 3-D Ultrasound: Where I Use It Today in Clinical Practice Dolores H. Pretorius, MD 9:50 AM – 10:00 AM Member-in-Training Award Paper Presentation Speaker to be announced 10:00 AM – 10:30 AM Break 10:30 AM – 10:55 AM Elastography: The Basics Brian S. Garra, MD 10:55 AM – 11:20 AM Elastography Applications Richard G. Barr, MD, PhD 11:20 AM – 11:45 AM Elastography in Diffuse Liver Disease Giovanna Ferraioli, MD 11:45 AM – 12:00 PM The SRU Consensus Conference on Ultrasound Elastography for Assessment of Diffuse Liver Disease Deborah Levine, MD 1:30 PM – 5:00 PM Obstetrical Imaging and Thyroid Imaging SAM Session* Moderators: Phyllis E. Glanc, MD, Manjiri K. Dighe, MD, and Jill E. Langer, MD CAT 1 Credit: 3.00 CAT A Credit: 3.00 1:30 PM – 2:00 PM Early First Trimester: An Update Carol B. Benson, MD 2:00 PM – 2:30 PM Late First Trimester: Must-Know Diagnoses Phyllis E. Glanc, MD 2:30 PM – 3:00 PM Second and Third Trimester: MustKnow Diagnoses Anne M. Kennedy, MB, BCh Musculoskeletal Imaging 3:30 PM – 3:40 PM Consensus Conference on Fetal and Neonatal Renal Dilation Carol B. Benson, MD Moderators: Nirvikar Dahiya, MD and Jason M. Wagner, MD CAT 1 Credit: 3.00 CAT A Credit: 3.00 1:30 PM – 2:00 PM Ultrasound of the Shoulder Nirvikar Dahiya, MD 2:30 PM – 3:00 PM Ultrasound of the Hip Colin Strickland, MD 3:00 PM – 3:30 PM Break *ABR approval pending for 1.5 SAM credits AFTERNOON SESSION B 3:00 PM – 3:30 PM Break 2:00 PM – 2:30 PM Ultrasound of the Wrist and Hand Sharlene A. Teefey, MD 5 4:35 PM – 5:00 PM Ultrasound-Guided Musculoskeletal Procedures Kenneth S. Lee, MD AFTERNOON SESSION A 1:30 PM – 5:00 PM 8:50 AM – 9:20 AM INTERNATIONAL SPEAKER SERIES Southern Sound: Ultrasound at the Southern Tip of Africa Richard D. Pitcher, MBChB 4:10 PM – 4:35 PM Ultrasound of Superficial Masses and Fluid Collections Jason M. Wagner, MD 3:40 PM – 4:10 PM Placental Evaluation: Beyond Previa Paula J. Woodward, MD 4:10 PM – 4:35 PM Controversies in the Selection of Which Thyroid Nodules Should Undergo FNA Mary C. Frates, MD 4:35 PM – 5:00 PM The Role of Genetic Testing in the Evaluation of Thyroid Nodules Jill E. Langer, MD 6:00 PM – 9:00 PM Opening Reception SATURDAY October 25, 2014 MORNING SESSION A 8:00 AM – 11:30 AM Vascular Imaging SAM Session* Moderator: Leslie M. Scoutt, MD CAT 1 Credit: 3.25 CAT A Credit: 3.50 8:00 AM – 8:30 AM Arterial Stenosis Criteria: Problems and (A Few) Solutions Lawrence Needleman, MD 8:30 AM – 9:00 AM Beyond Peak Velocities: Waveform Interpretation in Carotid Ultrasound Mark A. Kliewer, MD 9:00 AM – 9:30 AM Sonographic Evaluation of Hemodialysis Access Mark E. Lockhart, MD 9:30 AM – 9:50 AM Break 9:50 AM – 10:00 AM Scientific Paper Presentation Speaker to be announced Morning Workshops 8:00 AM – 8:30 AM 8:40 AM – 9:10 AM 9:20 AM – 9:50 AM 10:30 AM – 11:00 AM Doppler Ultrasound Evaluation of the Hepatic Vasculature and Liver Disease Ulrike M. Hamper, MD 11:00 AM – 11:30 AM Abdominal Varices Myron A. Pozniak, MD 11:30 AM – 1:00 PM Members’ Business Lunch (dues-paying members only, pre-registration required) COLOR CODE Organizers: John P. McGahan, MD, Thomas C. Winter, MD and Harris L. Cohen, MD CAT 1 Credit: 2.50 CAT A Credit 2.50 11:00 AM – 11:30 AM 10:20 AM – 10:50 AM 10:00 AM – 10:30 AM Doppler US Evaluation of Renovascular Hypertension Margarita V. Revzin, MD Doppler Superficial Obstetrics Pediatrics Abdomen 1. Sonography in Mesenteric Ischemia: Pre- and Postoperative Studies W. Dennis Foley, MD 2. The Fetal Genitourinary System Ruth B. Goldstein, MD 3. The Acute Abdomen Michael D. Beland, MD 4. Thyroid Elastography Manjiri K. Dighe, MD 5. Contrast-Enhanced Ultrasound in Pediatrics Beth McCarville, MD 6. The Role of Doppler Ultrasound in Diagnosis of Right Heart Failure and Tricuspid Regurgitation Monzer M. AbuYousef, MD 7. Obstetrical Measurements: Which Ones Are Important? Peter M. Doubilet, MD, PhD 8. Sonography of Liver Transplants Wui K. Chong, MD 9. Lumps and Bumps Robert D. Harris, MD 10. Interventional Ultrasound in Pediatrics Brian D. Coley. MD 11. Practical Doppler in Obstetrics Vicki A. Feldstein, MD 12. Elevated AFP: What Should We Look For? Lorene Romine, MD 13. Contrast-Enhanced Ultrasound (CEUS) for Liver Disease Giovanna Ferraioli, MD 14. US Evaluation of Cervical Nodes in Patients with Thyroid Cancer Sheila Sheth, MD 15. Spine Ultrasound: How I Do It Michael DiPietro, MD 19. Ultrasound of the Parathyroid Glands Franklin D. Tessler, MD 20. Update in Neonatal Neurosonography and Perinatal Correlation Beth Kline-Fath, MD 9:50 AM – 10:20 AM Break 16. Tough Vascular Cases - How Image Optimization Helps Michelle L. Robbin, MD 17. The Fetal Thorax Carol B. Benson, MD 18. Pitfalls in Imaging of Renal Masses (US/CT) John P. McGahan, MD 21. Test Your Doppler Waveform IQ: Arteries, Veins and In Between Deborah Rubens, MD 22. The Cavum Septi Pellucidi: Why Is It Important? Thomas C. Winter, MD 23. Correlative Imaging 24. Breast Ultrasound of Gallbladder BI-RADS Carcinoma: How to Marcela BöhmDifferentiate from Vélez, MD Acute Cholecystitis Hanh V. Nghiem, MD 25. Ultrasound in the Evaluation of Pediatric Abdominal Organ Transplantation Harriet J. Paltiel, MD *ABR approval pending for 1.5 SAM credits 6 Schedule SATURDAY October 25, 2014 (continued) AFTERNOON SESSION A 1:00 PM – 5:00 PM Abdominal Imaging SAM Session* Moderators: William D. Middleton, MD and Susan Ackerman, MD CAT 1 Credit: 3.75 CAT A Credit: 3.50 1:00 PM – 1:30 PM Basic Gallbladder Kathryn Robinson, MD 1:30 PM – 2:00 PM Advanced Gallbladder Scott D. Stevens, MD 2:00 PM – 2:30 PM Bile Ducts Shweta Bhatt, MD 2:30 PM – 2:40 PM Scientific Paper Presentation Speaker to be announced 2:40 PM – 3:00 PM Break 3:00 PM – 3:30 PM Advanced Techniques in Ultrasound Procedures Dean A. Nakamoto, MD PROGRAM COMMITTEE Leslie M. Scoutt, MD, Chair William D. Middleton, MD, Vice-Chair Rochelle F. Andreotti, MD Manjiri K. Dighe, MD Phyllis Glanc, MD John P. McGahan, MD Levon N. Nazarian, MD Thomas C. Winter, MD Jill E. Langer, MD Harris L. Cohen, MD Susan Ackerman, MD Mitchell E. Tublin, MD, Executive Board Liaison Douglas L. Brown, MD, Ex-Officio 7 *ABR approval pending for 1.5 SAM credits 3:30 PM – 4:00 PM Renal Masses Susan Ackerman, MD SUNDAY October 26, 2014 4:00 PM – 4:30 PM Liver Masses William D. Middleton, MD 8:00 AM – 12:00 PM 4:30 PM – 5:00 PM Biopsies and Aspirations Andrej Lyshchik, MD, PhD AFTERNOON SESSION B 1:00 PM – 5:00 PM Gynecological Imaging Moderators: Phyllis E. Glanc, MD and Rochelle F. Andreotti, MD CAT 1 Credit: 3.75 CAT A Credit: 3.50 1:00 PM – 1:30 PM Perspective on Gynecologic Ultrasound and the Future Marcia C. Javitt, MD 1:30 PM – 2:00 PM Managing Incidentalomas on CT and MRI: the Role of Ultrasound Maitray D. Patel, MD Image Soundly: Pitfalls and Practical Challenges and When Should Ultrasound Be Your First Choice? Moderators: William D. Middleton, MD, Leslie M. Scoutt, MD and Harris L. Cohen, MD CAT 1 Credit: 3.75 CAT A Credit: 3.50 8:00 AM – 8:25 AM Ultrasound First: Pediatric GI Harris L. Cohen, MD 8:25 AM – 8:50 AM Ultrasound First: Hernias Michael D. Williamson, MD 8:50 AM – 9:15 AM Ultrasound First: Pelvic Pain Oksana H. Baltarowich, MD 9:15 AM – 9:35 AM Break 2:00 PM – 2:30 PM Pelvic Pain in the Emergency Department: Think Soundly Deborah Levine, MD 9:35 AM – 10:00 AM Pitfalls and Practical Challenges in Imaging of the Pelvis Barbara S. Hertzberg, MD 2:30 PM – 3:00 PM Problem Solving with 3D of the Uterus and Adnexa: Case-Based Rochelle F. Andreotti, MD 10:00 AM – 10:25 AM Pitfalls and Practical Challenges in Vascular Imaging Mindy M. Horrow, MD 3:00 PM – 3:20 PM Break 10:25 AM – 10:50 AM Pitfalls and Practical Challenges in Imaging of the Pediatric Scrotum Henrietta Kotlus Rosenberg, MD 3:20 PM – 3:30 PM Scientific Paper Presentation Speaker to be announced 3:30 PM – 4:00 PM What Is the Importance of Blood Flow in Gynecologic Diagnosis? John S. Pellerito, MD 4:00 PM – 4:30 PM Intervention in Pelvic Disease: The Time Has Come Caitlin McGregor, MD 4:30 PM – 5:00 PM Jeopardy: What’s Your GYN Diagnosis? Phyllis E. Glanc, MD 10:50 AM – 11:15 AM Pitfalls and Practical Challenges in Imaging of the Kidneys John J. Cronan, MD 11:15 AM – 11:40 AM Pitfalls and Practical Challenges in Musculoskeletal Imaging Sandra J. Allison, MD 11:40 AM – 12:00 PM Questions and Answers The Westin Michigan Avenue Chicago, IL TRASOUND UL October 23 - 25, 2015 CIETY OF R A SO GISTS OLO IN DI EXECUTIVE BOARD President • Douglas L. Brown, MD President-Elect • John J. Cronan, MD Treasurer • Mitchell E. Tublin, MD Secretary • Deborah Levine, MD Immediate Past President • Ulrike M. Hamper, MD, MBA FACULTY Looking Ahead October 21 - 23, 2016 Hyatt Regency Baltimore Baltimore, MD Monzer Abu-Yousef, MD Susan Ackerman, MD Sandra J. Allison, MD Rochelle F. Andreotti, MD Oksana H. Baltarowich, MD Richard G. Barr, MD, PhD Michael D. Beland, MD Carol B. Benson, MD Shwetta Bhatt, MD Marcela Böhm-Vélez, MD Douglas L. Brown, MD Wui K. Chong, MD Harris L. Cohen, MD Brian D. Coley, MD John J. Cronan, MD Nirvikar Dahiya, MD Manjiri K. Dighe, MD Michael A. DiPietro, MD Peter M. Doubilet, MD, PhD Vickie A. Feldstein, MD Giovanna Ferraioli, MD W. Dennis Foley, MD Mary C. Frates, MD Brian S. Garra, MD Phyllis E. Glanc, MD Ruth B. Goldstein, MD Edward G. Grant, MD Ulrike M. Hamper, MD Robert D. Harris, MD Barbara S. Hertzberg, MD Mindy Horrow, MD Marcia C. Javitt, MD Anne M. Kennedy, MB, BCh Mark A. Kliewer, MD Beth M. Kline-Fath, MD Jill E. Langer, MD Kenneth S. Lee, MD Deborah Levine, MD Mark E. Lockhart, MD Andrej Lyshchik, MD, PhD Beth McCarville, MD John P. McGahan, MD Caitlyn McGregor, MD William D. Middleton, MD Dean A. Nakamoto, MD Laurence Needleman, MD Hanh Vu Nghiem, MD Harriet J. Paltiel, MD Maitray D. Patel, MD John S. Pellerito, MD Richard D. Pitcher, MBChB Myron A. Pozniak, MD Dolores Pretorius, MD Margarita V. Revzin, MD Michelle L. Robbin, MD Kathryn Robinson, MD Lorene E. Romine, MD Humberto G. Rosas, MD Henrietta K. Rosenberg, MD Deborah Rubens, MD Leslie M. Scoutt, MD Sheila Sheth, MD Scott D. Stevens, MD Colin Strickland, MD Sharlene A. Teefey, MD Franklin D. Tessler, MD Jason M. Wagner, MD Michael D. Williamson, MD Stephanie R. Wilson, MD Thomas C. Winter, MD Paula J. Woodward, MD 8 Membership Application Please Check One Box Below n General Member FIRST NAME MIDDLE INITIAL The following is my LAST NAME DEGREE(S) (MD, PHD, MB, ETC.) ____business address ____home address ORGANIZATION ADDRESS CITY GENDER (M/F) COUNTRY DATE OF BIRTH STATE/PROVINCE POSTAL CODE TELEPHONE FAX E-MAIL ADDRESS (REQUIRED) LAST FOUR DIGITS OF SSN OR DATE OF BIRTH (Birth date & social security number are used to uniquely identify you in our database.) I. Training/Board Certification/Ultrasound Experience A. Radiology Residency NAME OF INSTITUTION B. Fellowship ____Yes ____No SPECIALTY DATE OF COMPLETION/GRADUATED ____Yes ____No NAME OF INSTITUTION CERTIFICATION TYPE DATE OF COMPLETION/GRADUATED ____Yes ____No CERTIFYING BOARD DATE OF CERTIFICATION CERTIFICATION EXP. DATE D. What percentage of your practice is in ultrasound? ____0-25% ____26-50% ____51-75% ____76-100% II. In-Training applicants must complete this section I certify that I am serving as a Resident/Fellow in (SPECIALTY) INSTITUTION (REQUIRED) DATE PROGRAM ENDS (REQUIRED) DATE PROGRAM BEGAN (BEGINS) NAME OF PROGRAM DIRECTOR APPLICANT’S SIGNATURE PHONE EMAIL DUES AMOUNT ENCLOSED ____Check (Payable to SRU in U.S. funds) ____Visa ____MasterCard ____American Express EXPIRATION DATE Application must be completely filled out and signed to be processed. Membership is effective upon full payment of dues. Please allow 2-4 weeks for processing. Send your payment along with your completed form to: Society of Radiologists in Ultrasound (SRU) Attention: Membership Services 1891 Preston White Drive, Reston, VA 20191-4397 USA 703.858.9210 (phone) • 703.264.2093 (fax) • www.sru.org • info@sru.org 9 A general member is a physician who is certified by the American Board of Radiology, the American Osteopathic Board of Radiology or the Royal College of Physicians and Surgeons of Canada or provides evidence of training, experience and certification judged to be equivalent by the Membership Committee. General members shall be engaged or interested in the practice of diagnostic ultrasound. General members shall be required to pay their dues in a timely fashion and then shall have full privileges of membership in the society, which include voting, serving on committees and holding elective office. (Complete Part I) $150.00 per year A transitional member is an individual who has completed a radiology residency program that is accredited by the American Council of Graduate Medical Education or equivalent organization during the previous year, or who has completed such a residency program immediately followed by a post-residency fellowship program during the previous year. Transitional members shall be engaged or interested in the practice of diagnostic ultrasound. Transitional members shall be required to pay their dues in a timely fashion and then shall have full privileges of membership in the society, which include voting, serving on committees and holding elective office. n Member-in-Training Payment Options CREDIT CARD NO. (Complete Part I) $300.00 per year n Transitional Member TYPE OF FELLOWSHIP C. Board Certification (Complete Part II) no dues A member-in-training must be currently enrolled in a radiology residency or post-residency fellowship program that is approved by the Radiology Residency Review Committee of the American Council of Graduate Medical Education or an equivalent organization. Training status must be verified by the program director. Members-in-training shall not have the privilege of voting or holding elective office. Upon completion of training, a member-in-training will be offered general membership. SRU Meeting Registration BEFORE returning this form, make sure that you have: Please print or type • Printed all information legibly FIRST NAME MIDDLE INITIAL LAST NAME The following is my ____business address DEGREE (MD, PHD, RDMS, ETC.) ____home address • Indicated a method of payment ORGANIZATION/INSTITUTION • Made a copy of this form for your records ADDRESS CITY STATE/PROVINCE POSTAL CODE Registrations are accepted by fax, mail, or as an e-mail attachment. Telephone registrations are not accepted. COUNTRY DAYTIME TELEPHONE FAX • Indicated course selections for each day E-MAIL ADDRESS (REQUIRED FOR CME CREDIT) NAME(S) OF GUEST(S) PREFERRED BADGE NAME Registration Fees ____ $400 SRU member ____ $700 Join and register* ____ $200 One-day member ____ $350 Sonographer ____ $350 Technologist ____ $175 One-day technologist ____ $175 One-day sonographer ____ $0 Course faculty ____ $800 Non-member physician ____ $400 One-day non-member ____ $350 In-Training (resident or fellow) ____ $175 One-day in-training Fax 703-264-2093 Mail SRU 1891 Preston White Dr. Reston, VA 20191-4397 E-Mail info@sru.org Course Selection FRIDAY, OCTOBER 24 SATURDAY, OCTOBER 25 7:45 AM – 12:00 PM ___ Plenary Session ___ Vascular Imaging (am session A) 1:30 PM – 5:00 PM (choose one) ___ Musculoskeletal Imaging (afternoon session A) ___ Obstetrical Imaging and Thyroid Imaging (afternoon session B) ___ I would like to be considered for attendance at a corporate focus session and am available to participate in one or more sessions as follows: ___ Focus session 6:45 am ___ Focus session 9:00 am ___ Focus session 12:00 pm I understand that I will be contacted by staff at a later date to confirm my participation in one or more sessions. ___ I/we will attend the welcome reception ___ Number attending Deadline Workshops (am session B) 8:00 AM – 8:30 AM (choose one) ___ Sonography in Mesenteric Ischemia ___ The Fetal Genitourinary System ___ The Acute Abdomen ___ Thyroid Elastography ___ Contrast-Enhanced Ultrasound in Pediatrics 8:40 AM – 9:10 AM (choose one) ___ Doppler US in Diagnosis of Right Heart Failure ___ Obstetrical Measurements: Which Ones are Important? ___ Sonography of Liver Transplants ___ Lumps and Bumps ___ Interventional Ultrasound in Pediatrics 9:20 AM – 9:50 AM (choose one) ___ Practical Doppler in Obstetrics ___ Elevated AFP: What Should We Look For? ___ CEUS for Liver Disease ___ US Evaluation of Cervical Nodes ___ Spine Ultrasound: How I Do It 10:20 AM – 10:50 AM (choose one) ___ Tough Vascular Cases: How Optimization Helps ___ The Fetal Thorax ___ Pitfalls in Imaging of Renal Masses (US/CT) ___ Ultrasound of the Parathyroid Glands ___ Neonatal Neurosonography and Perinatal Correlation 11:00 AM – 11:30 AM (choose one) ___ Test Your Doppler Waveform IQ ___ The Cavum Septi Pellucidi ___ Correlative Imaging of Gallbladder Carcinoma ___ Breast Ultrasound BI-RADS ___ US in Eval. of Pediatric Abdominal Organ Transplantation 11:30 AM – 1:00 PM ___ Members’ Business Lunch 1:00 PM – 5:00 PM (choose one) ___ Abdominal Imaging (afternoon session A) ___ Gynecological Imaging (afternoon session B) SUNDAY, OCTOBER 26 8:00 AM – 12:00 PM ___ Pitfalls and Practice Challenges The deadline to register is October 2, 2014. Following this date all registration will be done on-site. Cancellations must be received in writing by September 24, 2014. Refunds will be processed minus a $75 cancellation fee. No refunds will be given after September 24, 2014. No refunds will be given to individuals who register for the meeting but do not attend. Method of Payment Total Payment $________________________________ ____Check enclosed (in U.S. funds, payable to the Society of Radiologists in Ultrasound) ____Charge my ____Visa ____MasterCard ____American Express nnnnnnnnnnnnnnnn nn - nn CREDIT CARD NO. PRINT CARDHOLDER NAME EXPIRATION DATE CARDHOLDER SIGNATURE *Board-certified radiologists may complete and return the membership application on page 9 to become a member and pay the member registration fee to attend the meeting. Inquiries To inquire about your registration, please call 800-373-2204 or 703-858-9210. Please allow two weeks for receipt of confirmation. Register online at www.sru.org 10
© Copyright 2024