Taller de Diagnóstico por Imágenes

ISEP 2012 Instituto “Angel Roffo” – Buenos Aires, Argentina

24 al 27 de Octubre de 2012

En nombre de la Asociación Americana de Físicos en Medicina (AAPM), la Organización

Internacional de Física Médica (IOMP) y la Sociedad Argentina de Física Médica (SAFIM)

les damos la bienvenida al Taller de Diagnóstico por Imágenes denominado ISEP 2012

(International Scientifc Exchange Program).

Esta iniciativa conjunta está orientada a la formación e intercambio científico entre

profesionales y técnicos que se desempeñan en Física Médica, especialmente en las áreas de

Diagnóstico por Imágenes, Medicina Nuclear y Radioterapia, poniendo especial énfasis en el

uso de imágenes multimodales para la planificación de tratamiento radiante como así también

en los aspectos de garantía de calidad asociados. Tenemos el honor de contar con la

participación de disertantes invitados por la AAPM, de reconocida trayectoria en Física

Médica. Los invitamos a revisar el programa adjunto para más detalles.

Esperamos que este evento sea de vuestro máximo provecho y les deseamos una feliz estadía

en la ciudad de Buenos Aires.

Saludos cordiales,

Dr. Roberto A. Isoardi Mahadevappa Mahesh, PhD Presidente SAFIM AAPM – Co-Director ISEP

Co-Director ISEP

Comité Organizador local:

- Lic. Diana B. Feld (CNEA / Instituto Roffo)

- Lic. Judith Kessler (CNEA / Instituto Roffo)

- Dr. Darío E. Sanz (FUESMEN)

- Dr M. Mahesh - Johns Hopkins

AAPM-­‐ISEP  Diagnostic  Imaging  WorkshopBuenos  Aires,  Argentina

Course  Directors:  Mahadevappa  Mahesh,  MS,  PhD  -­‐  AAPM,  Roberto  Isoardi,  PhD

Program  ScheduleSponsored  by  AAPM,  IOPM  and  Instituto  Roffo-­‐Buenos  Aires

AAPM  faculty  to  arrive  in  Buenos  Aires  on  Tuesday,  Oct  23rd,  2012

8:30  -­‐  9:30 9:30  -­‐  10:30 10:45  -­‐  11:30 11:30  -­‐  12:15 2:00  -­‐  2:45 2:45  -­‐  3:30 3:45  -­‐  4:30 4:30  -­‐  5:15

1 Oct  24th,  2012 WedRegistration  &  

Opening  Ceremony

JB-­‐1 Coffee  Break   MM-­‐1 RJ-­‐1 Lunch  

Break RG-­‐1 OM-­‐1 Tea  Break TS-­‐1 MM-­‐2

2 Oct  25th,  2012 Thur MM-­‐3 TS-­‐2 15  Minutes TS-­‐3 OM-­‐2 1  Hr  45  

Min OM-­‐3 RG-­‐2 15  Minutes MM-­‐4 JB-­‐2

3 Oct  26th,  2012 Fri RG-­‐3 TS-­‐4 RJ-­‐2 JB-­‐3

8:30  -­‐  9:15 9:15  -­‐  10:00 10:15  -­‐  11:00 11:00  -­‐  11:4511:45  -­‐  12:30

4** Oct  27th,  2012 Sat RJ3 OM-­‐4 RJ-­‐4 RG-­‐4 JB-­‐4

*  Total:  6  hr  30  min  if  ends  at  5.15  pm

**  Each  session  is  45  minutes  only Total  of  23  hours  instructional  hours AAPM  Faculty

MM

Registration  and  Opening  Ceremony JB

RG

RJ

OM

TS

Day Date WeekSession  #1 Session  #2 Session  #4

2  hr 1  hr  30  min 1  hr  30  min 1  hr  30  min

Session  #3

John  Boone,  PhD

Robert  Gould,  PhD

Robert  Jeraj,  PhD  

Osama  Mawlawi,  PhD

Mahadevappa  Mahesh,  MS,  PhD

12:30-­‐1:30

Closing  Ceremony

Visit  to  Hospital

Tony  Seibert,  PhD

Doracy  Fontenla  &  Mahadevappa  Mahesh  -­‐  AAPM  

ISEP  Co-­‐ChairsTony  Seibert  -­‐  AAPM  Chairman  

of  the  BoardDoracy  Fontenla

Roberto  Isoardi,  Dario  Sanz  and  other  guests  from  host

Welcome  Greetings

Welcome  Greetings

Resources  for  Medical  Physicists

Welcome  and  Status  of  Medical  Physics  in  Argentina

- Dr M. Mahesh - Johns Hopkins

Speaker Talk  # Topic  Title

Mahesh 1 Magnitude  of  radiation  dose  and  trends  in  medical  imaging2 Fundamentals  of  MDCT3 CT  dose  displays  and  dose  reduction  strategies4 Minimizing  risks  from  fluoroscopy  and  training  compliance

John  Boone 1 Overview  of  image  formation  in  diagnostic  radiology2 CT  dose  estimation  -­‐  AAPM  TG  and  ICRU  related  activities3 Cone  beam  CT  and  Breast  CT  principles4 Image  Quality  Metrics  in  CT

Robert  Gould 1 Fluoroscopy  -­‐  Image  Intensifier  versus  Flat  Panel  Detector2 Fundamentals  of  Radiation  Safety3 Qualtiy  Assurance  in  Radiography  and  Fluorosocpy4 Mammography  and  Digital  Tomosynthesis

Anthony  Seibert 1 Fundamentals  of  CR,  DR  and  PACS2 Magnetic  Resonance  Imaging  -­‐  13 Magnetic  Resonance  Imaging  -­‐  24 Image  Display  and  Perception

Robert  Jeraj 1 Imaging  in  Radiation  oncology2 Image-­‐Guided  Radiation  Therapy  -­‐  Advantages  and  Challenges3 Molecular  Imaging-­‐Guided  Radiation  Therapy  Treatment  Planning4 Image  Quantification  in  Radiation  Therapy

Osama  Mawlawi 1 PET-­‐CT,  SPECT-­‐CT  and  Gamma  Camera:  Basic  Physics  and  Quality  Assurance2 PET-­‐CT,  SPECT-­‐CT  and  Gamma  Camera:  Acceptance  and  Annual  Testing3 PET-­‐CT,  SPECT-­‐CT  and  Gamma  Camera:  Dosimetry4 Emerging  Technologies  in  Nuclear  Medicine  -­‐  Quantification,  PET-­‐MR  and  Molecular  Breast  Imaging  (MBI)

Mahadevappa Mahesh

Mahadevappa Mahesh, MS, PhD, is the Associate Professor of Radiology and Cardiology at the Johns

Hopkins University School of Medicine, Baltimore, MD and the Chief Physicist at the Johns Hopkins

Hospital, Baltimore, MD.

Dr Mahesh is board certified from the American Board of Radiology in diagnostic radiological physics

and is a member of the Radiation Control Advisory Board for the State of Maryland. Dr Mahesh has

published more than 70 papers in the field of medical physics and is a fellow of AAPM, American

College of Radiology (ACR), ACMP and Society of Cardiovascular Computed Tomography (SCCT). He

is also the single author of the textbook titled ‘MDCT Physics: The Basics – Technology, Image

Quality and Radiation Dose’ published in June 2009 (also available in Japanese language). Prior

joining Hopkins, Dr Mahesh obtained his Ph.D. in Medical Physics from Wisconsin.

Dr Mahesh is the associate editor for the Journal of American College of Radiology (JACR),

newsletter editor for AAPM, Deputy editor for Academic Radiology, Editorial Board member for

RadioGraphics and Radiology. He is currently the 2nd

Vice-President for the Radiological Society of

North America (RSNA).

Robert Jeraj

Dr. Robert Jeraj is an Associate Professor of Medical Physics, Human Oncology, Radiology and

Biomedical Engineering at the University of Wisconsin, Madison. He is a Co-leader of the Imaging

and Radiation Sciences Program at the University of Wisconsin Carbone Cancer Center and leads the

Translational Imaging Research Program that oversees concept development, protocol design, and

implementation of imaging in trials incorporating novel anti-cancer drugs with imaging endpoints.

He also serves as a Co-director of the UW-Madison Image Analysis Core, which supports advance

quantitative image analysis in clinical trials. Dr. Jeraj also serves as a Chair of the Working Group on

the Future of Medical Physics Research and Academic Training and as a Chair of the Working group

on Imaging for Treatment Assessment at the American Association of Physicists in Medicine (AAPM),

and is a Member of the Medical Physics committee at the Radiation Therapy Oncology Group

(RTOG) and a Member of the Experimental Imaging Sciences Committee at the American College of

Radiology Imaging Network (ACRIN). Dr. Jeraj is an author of over 80 published papers, text books

and book chapters, and is a frequent invited lecturer and presenter on the use of molecular imaging

in therapeutic interventions and general applications of medical physics in radiation and medical

oncology.

Robert G. Gould

AAPM Past President (2010)

Dr. Robert Gould is a Professor and Vice Chair of Radiology for Technology and Capital Projects at the

University of California San Francisco. He is the Director of the Department’s Laboratory of Radiologic

Informatics, which is responsible for the Department’s PACS.

Dr. Gould received a Doctor of Science degree from Harvard University and a Master’s Degree in Biomedical

Engineering from the University of Pennsylvania. He has held many positions within the American Association

of Physicists in Medicine and is a Fellow of this society. He has been on the Board of Directors and served as

AAPM President in 2002.

Dr. Gould has published more than 50 papers in the field of medical physics including areas of digital

subtraction imaging, CT imaging, radiation safety, and medical informatics.

Anthony Seibert

AAPM Past President (2010)

Professor, Radiology

UC Davis Medical Center

Dr. Seibert's role at the clinical level involves acceptance testing and quality control for radiological imaging

equipment used in the departments of radiology, surgery, medicine and other sites at UC Davis Medical

Center and UC Davis Health System.

An expert in digital radiography, Dr. Seibert specializes in using digital techniques and quantitative applications

for digital x-ray fluorography, projection imaging, mammography, computed tomography and

ultrasound/magnetic resonance imaging. He also contributes to the department's implementation of

electronic imaging, informatics and image-processing capabilities for the UC Davis Health System.

As Associate Chair of Informatics, Dr. Seibert assists in writing specifications for new equipment, determines

shielding specifications for x-ray room installations to protect patients and staff, trains physicians, radiology

residents and graduate students in diagnostic imaging physics, and provides dosimetry estimates for

radiological examinations.

He is co-author, along with other faculty in the department, of a popular physics text, The Essential Physics of

Medical Imaging, and is extensively involved in physics education and training. On the national scene, Dr.

Seibert takes an active role in continuing professional development and education. He is the current Chairman

of the Board of the American Association of Physicists in Medicine.

Activities with the American College of Radiology include service on the Commission on Medical Physics to

develop guidelines and technical standards and as an item writer for the in-service exam. Dr. Seibert currently

serves on the editorial board for the journal Radiology.In terms of service to certification boards, he is active

within the American Board of Radiology and writes questions for the diagnostic radiological physics exam and

maintenance of certification efforts, and is a trustee of the American Board of Imaging Informatics.

John M. Boone Vice Chair (Research) of Radiology

Professor of Biomedical Engineering UC Davis- College of Engineering

American Association of Physicists in Medicine (AAPM), Fellow, Chair, Science Council

American College of Radiology (ACR), Fellow

Society of Breast Imaging (SBI), Fellow

Radiological Society of North America (RSNA)

Associate Editor, Radiology

Chair, Committee on Radiation Dose and Image Quality in Computed Tomography, International Commission

for Radiological Units and Measurement (ICRU).

Research Interest Mammography is the current standard for breast cancer screening, however it is acknowledged by experts in

imaging that mammography is not ideal. We are studying the potential of tomographic imaging of the breast

using a custom-designed breast CT scanner. The breast CT system is capable of generating 300 to 500

tomographic slices of the breast using the same radiation levels as two view mammography, and these images

allow the radiologist to view regions in the breast unobstructed by overlaying normal anatomical tissue, which

can obscure lesion identification and reduce cancer detection performance, especially in the dense breast.

We have designed, fabricated, and tested two prototype breast CT scanners in the lab, and were the first

group in the world to perform cone beam breast CT on live women. We have performed over 140 breast CT

studies as of January 2008. Future advances on the breast CT system include the addition of positron emission

tomography (PET), robotic biopsy, and the addition of therapeutic capabilities including radiofrequency

ablation and radiation therapy.

Osama R. Mawlawi

Primary Appointment

Associate Professor, Department of Imaging Physics, Division of Diagnostic Imaging, The University of Texas

MD Anderson Cancer Center, Houston, TX

Dual/Joint/Adjunct Appointment

Faculty, Graduate School of Biomedical Sciences, Houston, TX

Research Interests

My research interests are focused on Nuclear Medicine physics with specific focus on PET/CT imaging.

Areas of specialization include:

PET/CT image acquisition and formation

Quantification accuracy in PET/CT imaging

Motion artifacts in PET/CT imaging

Kinetic modeling

The research in my laboratory is directed at functional imaging using Positron Emission Tomography (PET). A

strong interest lies in the factors affecting absolute quantification of PET images such as partial volume,

scatter, and patient motion artifacts. Ongoing research is looking at novel techniques of image acquisition,

correction and formation. Other interests lie in modeling the distribution of novel radiotracers to image

specific biochemical processes such as metabolism, blood flow, receptor binding and expression.

Este evento está auspiciado y/o financiado por las siguientes empresas e

instituciones:

Comisión Nacional de Energía Atómica