Don't Underestimate the Value of Normal Imaging Exams: Turning Negative Exams into Positive Results

Gordon K. Sze, MD, FACR; Michael H. Lev, MD, FACR, FAHA; John E. Jordan, MD; Jeffrey R. Petrella, MD

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Date of Activity Release: August 27, 2018
Date of Activity Expiration: August 26, 2021

Target Audience:

The Foundation of the ASNR Symposium 2018 will focus on adding value and improving healthcare in neuroradiology. It will center on how neuroimaging adds value in many subspecialty areas, including brain, spine, head & neck, pediatric and neurointerventional procedures. The target audience will include practicing neuroradiologists, other radiologists charged with interpreting neuroimaging studies, radiology fellows andresidents, neuroscientists interested in the latest advances, and non-radiology colleagues whose practices include neuroimaging. Dedicated topic areas include screening and diagnostic neuroimaging, evidence based neurointerventional treatment, emergency neuroimaging use and usefulness, advanced imaging strategies, and healthcare reform.

About This Module:

This module is composed of following parts:
  • Cervical Spine Imaging in Mild Trauma: Is It All Just A Pain in the Neck? Gordon K. Sze MD, FACR
  • How Much Imaging is Needed in the Work-up of Intracranial Hemorrhage? Michael H. Lev MD, FACR, FAHA
  • Imaging in Headache: Why Do We Continue To Do It? John E. Jordan MD
  • Neuroimaging and Other Biomarkers in the Workup of Dementia: The Value of Negative Tests; Jeffrey R. Petrella MD

Objectives:

Upon completion of this module, participants should be able to:

 

Cervical Spine Imaging in Mild Trauma: Is It All Just A Pain in the Neck?

  1. Identify when cervical spine imagine is appropriate for trauma
  2. Apply NEXUS and CCR protocols to assess which patients are appropriate for imaging

How Much Imaging is Needed in the Work-up of Intracranial Hemorrhage?

  1. Define value of negative head CT in suspected stroke and in repeat ED visits
  2. Outline indications for follow-up head CT
  3. Explain how loss of consciousness affects choice of imaging
  4. Understand how early notification of normal findings can reduce length of ED stay

Imaging in Headache: Why Do We Continue To Do It?

  1. Understand headache classification and guidelines for imaging
  2. Explain the cost-effectiveness of imaging for headache as well as the value of negative tests

Neuroimaging and Other Biomarkers in the Workup of Dementia: The Value of Negative Tests

  1. Quantify the yield of CT/MR in diagnosing reversible dementias
  2. Explain ways to add value to reporting of nonreversible dementia findings, including vascular lesion burden, brain volumetric data, and amyloid and tau imaging

Commercial Support

No commercial support was received for this activity.

Accreditation Statement

The American Society of Neuroradiology (ASNR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

ASNR designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Physician Participation:

Each physician will listen to each audio self-directed module while following along with the visual slides. Upon completion, each physician will answer evaluation questions and pass a post test with at least a score of 80% to receive their CME certificate.

Disclosures: All individuals in control of content have disclosed the following relevant financial relationships. All of these relationships were treated as a conflict of interest, and have been resolved (C7 SCS 6.1-6.2, 6.5)

Planner(s):

  • Pina C. Sanelli, MD, MPH, FACR, 2018 Program Chair/President-Elect, has no relevant financial relationships.
  • Mark E. Mullins, MD, PhD, Chair, ASNR Education Committee, has no relevant financial relationships.
  • Angelo Artemakis, ASNR staff, has no relevant financial relationships.
  • Sheryl Morgan, AMEDCO, has no relevant financial relationships.

Presenter(s):

  • Gordon K. Sze MD, FACR, has no relevant financial relationships.
  • Michael H. Lev MD, FACR, FAHA, has the following financial relationships:
    • GE Healthcare (Consultant, Common stock)
    • Takeda (Consultant)
    • Siemens (Research software, institutional)
  • John E. Jordan MD, has no relevant financial relationships.
  • Jeffrey R. Petrella MD, has no relevant financial relationships.

Contact Information:

If you have questions regarding this educational activity, please contact us at it@asnr.org.

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