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Editor:
Dr. Alejandro Beresñak
Coeditors:
Dr. Jorge Bisteni, Dr. Dante Casale, Dr. Luis Ros
Founding Editor:
Dr. Miguel Stoopen


CIR’s First Refresher Course of Radiology took place in Cancun, Mexico, between 9 and 11 May; this was the first course that the Inter-American College of Radiology performed autonomously.

The course was a success due to its scientific point of view and because it became a meeting instance for Latin American radiologists. It allowed meetings of various committees and programs of the College and it was an opportunity to gather and chat with the companies that support us with their sponsorship. 366 radiologists attended: 96 from Mexico and the rest from basically all CIR member countries.

We thank the FMRI for having supported the completion of the course in Mexico. No doubt, the place chosen gave a framework of excellence to the event, where all attendees could enjoy a high-level hotel and events center immersed in the indisputable beauty of nature.

From the academic point of view, the scientific program was solid; this was reflected in a high level of attendance to the courses that were delivered in four sessions simultaneously. There was a rich exchange of ideas and experiences among participants and speakers at the end of each session. It should be pointed out that in the attendees survey, the Faculty was evaluated with 9.4 points from a maximum of 10, so we thank and congratulate all lecturers.

In the context of the opening ceremony, Doctor Gloria Soto, President of the CIR, delivered the lecture "Radiology in Latin America: A reflection of the regional reality". After analyzing social, economic, political and cultural aspects, she described the characteristics of the radiologic practice, characterized by considerable heterogeneity, not only when comparing different countries, but also in each country’s nucleus.

The "Plenary session of the CIR" addressed issues of strategic interest for the College, such as the implementation of the Latin American School of Radiology, the SIRCAI program, the College’s Study Center, and the development of an efficient Sponsors Program.

Our very special acknowledgment to those societies and radiologic organizations that generously committed themselves to our entrepreneurship and supported us with high-quality teachers:

  • American Institute of Radiological Pathologhy (AIRP)
  • European Society of Breast Imaging (USOBI)
  • European Society of Gatrointestinal an Abdominal Imaging (ESGAR)
  • International Skeletal Society (ISS)
  • Sociedad Iberoamericana de Imágenes Mamarias (SIBIM)
  • Society of Thoracic Radiology (STR)

We thank each of the Societies and Associations members of CIR for their support in the promotion of the course, which was reflected in the attendance of radiologists from almost all the Iberian American region.

This First Refresher Course in Radiology of the CIR has been a great challenge, and although there are organizational issues to improve, the final balance is positive and allows us to dream of organizing our own scientific events on a regular basis, which summon a great number of radiologists with an excellent academic program in a warm and friendly environment, which is characteristic of our region. So far, we have decided to get to work in order to organize the CIR’s Second Refresher Course in Radiology, in 2015; you will the notified on the place and date soon. We hope to have your support and that we move forward together in our dream of carrying out these events of the CIR, the natural place for meetings and professional growth for Iberian American radiologists.

Junta Directiva del CIR


Latin American school of Radiology: ELAR

During the "Plenary session of the CIR" Doctor Miguel Angel Pinochet, Coordinator of the Education Committee of the College, referred to the upcoming implementation of the Latin American School of Radiology (ELAR).

With the intention of improving the level of radiological practice in Latin America through the delivery of high-quality educational opportunities, the ELAR has the following objectives, among other:
  • Organize educational activities of excellence, adjusted to local needs.
  • Promote radiological practice of excellence in the region supporting the training of residents and radiologists in the specialty’s weak areas in their country.
  • Facilitate the implementation of new applications of the technology available in different countries, optimizing its performance for the benefit of patients.
The program includes theoretical and practical courses and practical “hands-on” workshops, both of one and a half day of duration. They will be delivered in those countries that request them, by well known radiologists of the CIR. The ultimate goal is to produce an effective change in the regional radiological practice. The local community will assume the accommodation expenses for professors, and the CIR will be in charge of transfers and educational material.

In addition to the above-mentioned activities, the ELAR will grant 3,000-dollar scholarships for residents and young radiologists to perform three-month stays, which will be supervised and evaluated, so that they receive training on weak areas of the specialty in centers of excellence in their own country. This initiative seeks to encourage interest in sub specialties among young radiologists to and provide them with the possibility of visiting excellent and stimulating academic environments.

The program will be first implemented gradually as from H2 of this year.

APPENDIX

ELAR 2013 CALENDAR

July 31 and August 1, course of Breast MRI, to be held in Costa Rica, in charge of the Central American Federation of Radiology. The local Director is Doctor Enrique Espinosa, Director of the CIR, and Doctor Miguel Angel Pinochet.

September 2013, Cardio TC Course (technique, protocols, interpretation). It will be held in Chile and will be in charge of the Chilean Society of Radiology. The local director is Doctor Julia Alegría and Doctor Eric Kimura, director of the CIR.

November 2013, Cardio TC Course (technique, protocols, interpretation). The site is still to be defined.

Practical Musculoskeletal US Workshop held in Uruguay (date to be defined.) The local Director is Doctor Carlos Galeano and Director of CIR Doctor Patricio Azócar.

Scholarship in interventional radiology, sponsored by the RSNA, to be held in Bogotá, Colombia Doctor Mauricio Lozano is the person in charge. (Invitation to tender coming soon).

FUTURE ACTIVITIES (2014)

We are working on the following activities to be held next year:
  • BIRADS Interpretation Workshop
  • Doppler practical workshops
  • Course on Chest CT scan of chest for General Radiologists
  • Course on Advanced Images in Nefrourology for General radiologists
  • Course on Abdominal Advanced Images for General radiologists
  • Neuroradiology: What the General radiologist should know
  • Other proposals depending on the societies’ feedback regarding their needs


RADIOLOGY INTEGRATED SYSTEM FOR IBERIAN AMERICAN CERTIFICATION AND ACCREDITATION (SIRCAI)

Work meeting held in Cancun, on May 9 and 10, 2013

Attendees: SIRCAI’s "Primary or pilot group" countries

Argentina: Sergio Lucino. Brazil: Henrique Carrete. Colombia: Mauricio Lozano and RodrigoRestrepo. Costa Rica: Enrique Espinosa. Spain: Carmen Ayuso. Mexico: Hermenegildo Ramírez and Luis Raul Ramos sources.

Issues, recommendations and conclusions of the meeting:


During the two days of work were all issues related to the set up of the SIRCAI System were discussed and analyzed.

The agenda included the analysis of the process current state in each participating country, its operation and the points in common; the most practical way of applying the statutes and regulations within CIR’s own; the homogenization of the tables of scores that are applied in the different programs and the way to control them.

Several proposals for the implementation of a single information management system through a virtual digital program were presented. We evaluated strategies for the secretary’s office, stationery and Logo. Finally, we defined the policies for the execution of tests and question banks aimed at the Initial Voluntary Certification and at the future implementation of the "Ibero American Diploma of Radiology - DiAR".

The Council concluded its work through an official meeting with the Board of Directors of CIR where were defined and agreed guidelines and strategies to follow with a timetable in the short and medium term.

The final conclusions and recommendations include:
  • The implementation of the Voluntary Re certification shall start immediately with the goal of granting the first Diplomas by the end of 2013.
  • All efforts will be made for the rest of the countries to create their own CAR (Re certification and Accreditation Council) as soon as possible, with similar policies, structure, management, accreditation points, in charge of the CIR and the SIRCAI.
  • The Logo, seals and other corporate images of the program will be defined.
  • SIRCAI’s section will be created and inserted in CIR’s web page; this section will include detailed information on the program and its virtual operation.
  • A tool of "intelligent" virtual system will be developed for the project operation.
  • Systems and databases will be developed in the medium term for the creation of exams and tests focused on the implementation of the Voluntary Initial Certification (CIV) and the “Iberian American Diploma of Radiology–DiAR”, ideally for 2014.
Participants closed the meeting with the evaluation of the work carried out by the results obtained and the commitments established, describing it as a very positive effort for the future of the program. The countries that supported the initiative and the participants who committed themselves to achieve the proposed objectives were specially thanked.

Doctor Rodrigo Restrepo
President of SIRCAI

Management of information systems in radiology: an issue of current interest

In the plenary session held during CIR’s 1st Refresher Course on Radiology, Doctor Eduardo Fraile, General Secretary of the CIR, referred to information management systems currently available in the radiologic environment, and how the use of data provided by these systems may produce important changes in patients care.

Doctor Fraile pointed out that in the digital age, all activities in the Radiology departments are carried out through computers and stored in large databases with a large amount of information. Thorough analysis of this information brings great insight into the radiological process and enables management decision-making with great effectiveness. Currently, however, this information is used only partially in the best case scenario.

These "smart" systems for information analysis can be applied to the whole radiological process: from the electronic request for radiological scans to the sending and consultation of the images obtained by the prescribing physician, and of the report created by the radiologist, going through the correct justification of the requested scan.

One example of how smart analysis of information improves the efficiency of the radiological process is support systems for computer-aided diagnostics radiologic diagnose. On the other hand, smart management systems allow for the analysis of the information provided by radiological reports, either through the reports coding, structured reports or systems of intelligent word search. In this way, systems of data engineering apply to one of the most important parts of our activity: the radiological report.

Support systems for clinical decision-making regarding radiologic scans requests are an example of how smart information management can help prevent unnecessary radiologic tests or their repetitions.

Doctor Fraile, therefore, concluded that we are facing a new era marked by the information provided by digital systems and its analysis. Tis will affect the whole radiological process and will enable us to improve our radiological diagnoses and, consequently, to improve our patients’ care.

Eduardo Fraile.
General Secretary of CIR
20 May 2013


Cancun Photo Gallery



Work meeting of presidents and delegates

JD Work meeting of presidents and delegates SIRCAI Group
SIRCAI group and JD Delegate presentation El Salvador in presidents and delegates meeting

11th Book of the CIR ADVANCES series

ONCOLOGY
Advances SERIES in Imaging Diagnostics - CIR
Inter American College of Radiology

Editors: Miguel Stoopen y Ricardo García Mónaco
Guest Editor: Doctor Ricardo García Mónaco
Journal publications 2013 ISBN 978-987-1259-83-0
209 pages

This complete and organized book that is part of the Advances series in Imaging diagnostics offers us a complete and entertaining review of this prevailing disease, analyzed from the imaging point of view.

Initially, it discusses in general the various forms of image, such as computed tomography, magnetic resonance and PET/CT, with emphasis on functional and molecular studies as well as on the Diffusion, Perfusion and Spectroscopy in MR and different types of tracers used in PET/CT.

The book also includes an update on diagnosis, staging, possible therapies and follow up of most frequent neoplasms such as pulmonary, prostatic, colorectal and lymphoma, among others, considering the different types of image.

The review on the definition of international standards and their clinical application in order to objectively assess the response of the last tumors to treatment is particularly interesting.

The authors are physicians of national and international prestige, including the United States and France.

Being such as cross-cutting theme in radiology and medicine, I highly recommend it both to residents, fellows, and radiologists.


Address for online orders:
Ediciones Journal, Buenos Aires
www.journal.com.ar/avances, or write to info@journal.com.ar

Doctor Andres O´Brien
Radiologist
Responsible of the body area
Imaging Diagnostics
Las Condes Clinic, Santiago


On line international publications

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GO RAD

GO RAD is a new program developed by the international society of Radiology in global scope. GO RAD is a new global outreach program developed by the International Society of Radiology. Its purpose is to achieve advanced radiology education throughout a global radiology community by adding current and practical radiology literature with content that is targeted and addressed to the developing nations and populations with scarce resources.

We hope that you make the most of this program in order to improve everybody’s health and well-being.

Doctor Eric Stern
Editor-in-Chief, GO RAD


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THE HISTORY CORNER

John W. COLTMAN


He was an American physicist and researcher, born in 1915. He was the discoverer of the image intensifier in 1948, which marked the beginning of what could be considered the modern age of Radiology.

He graduated in physics at the Case Western Reserve University in Cleveland in 1937, and he specialized in nuclear physics at the University of Illinois in 1941. He joined the research laboratory of Westinghouse Electric Corporation and during the Second World War he devoted himself to research in the field of magnetrons and microwaves.

In 1948 he described a method to intensify the fluoroscopic image using an electronic technique, which posed no increase in the patient’s radiation dose; this what was achieved by replacing the conventional fluoroscope by a device that contained the electronic equipment that amplified the image (J Coltman. W.: Fluoroscopic image brightening by electronic means. Radiology 51: 359-366, 1948).

The first commercial unit was designed by Westinghouse in 1953, which could obtain a substantial gain in luminosity, which allowed vision from the cones, rather than from rods, thus removing the previous period of adaptation to darkness that was required to perform a fluoroscopy.

Although the original patent for an intensifier was granted to I Langmuir in 1937, its design provided enough intensification for clinical use.

With the appearance of the image intensifier, fluoroscopy of all organic plots, including chest fluoroscopy, experienced a breakthrough, allowing the exhibition of the images on the television screens. The following year, 1954, the record of images in movement became a reality, introducing the cineradiography.

For his work, Coltman received the Roentgen Medal from the German Roentgen Museum and the Gold Medal of the Radiological Society of America, among other awards.

In 1960 he was appointed Associate Director of the Westinghouse Research Laboratory as responsible for the Electronics, Nuclear Physics, Mechanics and Computer Science areas, and in 1974 he became Director of the Research and Development Center of the company. He retired in 1980.

He was elected Fellow of the American Physical Society and he was member of the National Academy of Engineering.

It should be pointed out his interest in music, historical and acoustic aspects of the flute; in 1950 he started a collection of instruments of the family of the flute, which came to exceed two hundred. His research work on the mechanisms of sound production of these instruments has significantly contributed to what is now known about the acoustics of the flute and the pipe organ.

Doctor Luis Ros
Co-Editor of NOTiCIR


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2013