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radnews NOVEMBER 2019, ISSUE 1 MESSAGE FROM THE CHAIR IN THIS ISSUE Dear Colleagues, Every day has been a privilege to Message from the Chair be working at such an amazing “Driving Strategy” 1 I am delighted institution and to witness the to introduce our dedication to patients and their Connection Corner 2 first Departmental well-being that our Department and newsletter. This is Hospital embodies. It brings me great Community Radiology something I have been thinking joy to be working with every person Expansions 2-3 about doing for some time, but I in the Department who, without would like to thank our Customer fault, commits every day to working FY19 Equipment Upgrades 2-3 Engagement and Development team with each other and to making our and particularly Christy Long for Department the best it can be for OneView 4 bringing this together. patients. We wanted everyone in the While my words will be brief each Quality & Safety 5 Department to share in many of the message, I hope to highlight some achievements and successes that of the issues shaping our world New Hires and Promotions 6 regularly occur in the Department, and sharing with you about what is which sometimes don’t get noticed important to us, our hospital and our Awards, Honors & 7-8 beyond the immediate circle of future. There will be much to talk Announcements clinical or administrative focus. This about. first newsletter itself contains many Grants 9 announcements and Departmental Giles W. Boland, MD achievements, most of which will be Chairman, Department of Radiology Published Journals 9 news to you. As you can read, the newsletter touches on many different The Brigham Way 10 aspects of our Department. I have now been at the Brigham for CUSTOMER ENGAGEMENT AND just over three years and it’s timely DEVELOPMENT we have this regular newsletter. DEPARTMENT OF RADIOLOGY Christy Long Director of Customer Engagement and Development Victoria Knight Communications Specialist Reiko O’Brien Graphic Designer/Web Developer Submit a story idea [email protected] ISSUE 1 • radnews 1

CONNECTION COMMUNITY RADIOLO CORNER The Finance Department Brigham and Women’s Health Care Center, Pembroke, a multi-level facilit The team volunteered at a local childrens charity this provide comprehensive primary and specialty care medical services to So summer. They found it rewarding partaking in community service and enjoyed creating a memorable experience together. Has your team participated in a team building exercise? Share it with us: [email protected]. Abdominal Team FY19 Dr. Daniel Souza, Fellowship Director of the Division of EQUIPMENT Abdominal Imaging and Intervention, along with Dr. Daniel Glazer and Dr. Leslie Lee, led fellows in a procedural US UPGRADES simulation at the BWH STRATUS Simulation Center in July 2019, as part of the Division’s Fellowship ‘Bootcamp’ This was a major Orientation. year for Radiology Equipment upgrades 2 radnews • ISSUE 1 and purchases:

OGY EXPANSIONS Brigham and Women’s Health Care Center - Pembroke Opening We’re excited to announce the opening of Pembroke, a multilevel facility providing primary and specialty care medical services in one convenient setting. The Department of Radiology opened with two diagnostic x-ray rooms and two ultrasound rooms. For more information visit: https://www.brighamandwomens. org/about-bwh/locations/health-care-center-pembroke Brigham Health – Harbor Medical Associates Radiology was brought under Brigham Health Radiology operations for standardization of care and practice across all locations. Brigham and Women’s/Mass General Health Care Center – Foxborough expansion planning is underway, operations expansions include: • 2 MRI • 2 breast ultrasound • 2 CT • 6 diagnostic x-ray rooms • 6 diagnostic ultrasound rooms • We will continue to offer MSK • 3 mammography rooms procedures and bone density ty spanning 30,000 square feet, has opened and will outh Shore residents in one convenient setting. Upgraded Foxborough CT Replaced 850 Boylston Breast Started the 221 Replaced Angio U/S unit Longwood MRI field Room 3 Replaced 13 CT upgrade Replaced power injectors Oldest PET/CT Opened Room 18 on L1 for Angio I.R. procedures Replaced Fluoro Installed new Added a Digital Unit in Room SPECT/CT - first Mobile Ergo C-arm 15 on L1 of its kind in the increasing the OR United States and Fleet from 9 to 10 Upgraded L1 MRI 3rd in the world Large C-Arms Bay 3 software Upgraded CT in CSIR Bay 1 Upgraded Installed supply inventory Shapiro MRI storage/tracking/charging system within CSIR, Angio Room 18 and Angio room 3 ISSUE 1 • radnews 3

OneView A major accomplishment over the summer for our team is the implementation of the OneView platform to replace GE Centricity PACS at the Brigham. Congratulations to the MIIT team for a successful rollout of the OneView platform across at BWH, BWFH and DFCI (as well as other Partners locations). BH RADIOLOGY AND MGH RADIOLOGY new Visage Diagnostic PACS Viewer, Nuance DEPLOY “ONEVIEW” PLATFORM Intelligent Workflow Orchestration (AKA The HealthCare OneView PACS platform made its Primordial), and the Nuance Powerscribe 360 clinical debut at BH and MGH Radiology this past Innovator’s Edition for reporting. All six systems summer. No small accomplishment! will be fully integrated at the desktop for a seamless Working together as an enterprise radiologist experience. team, implementation started on HOW WILL THE Monday, June 24th and was BACK-END BH RADIOLOGY DEPARTMENT BE rolled out in three separate Vendor Neutral Archive IMPACTED? waves across all Divisions. Modality Aggregator Members of the BH The OneView Platform Medical Imaging IT team DICOM Modality Worklist worked in collaboration OneView was implemented in with colleagues three waves during from Partners FRONT-END June and July into the Enterprise Medial Visage Diagnostic PACS Viewer first week in August. Imaging and MGH Substantial changes Radiology IT to plan, Nuance Intelligent Workflow involving the imaging build, test and prepare Orchestration (AKA Primordial) IT infrastructure were for this transformational required prior to Wave 1, implementation. The Nuance Powerscribe 360 including standardization of Innovator’s Edition OneView PACS platform is the the VNA, Modality Aggregator, foundational cornerstone of many planned Epic Modality Worklist and PS360 enhancements within the Imaging IT domain. Reporting components. OneView has already been well-received by radiologists at both BH and MGH. WHAT IS ONEVIEW? Technologists continue to leverage existing QA tools OneView (“P1V”) is a simplified, standardized and processes until further notice. The MIIT team, and scalable Partners Enterprise imaging platform. together with our MGH Rad IT partners, are now The back-end includes a Vendor Neutral Archive, working with our Radiologists, clinical areas and Modality Aggregator, and a DICOM Modality with vendors to optimize workflows and product Worklist. The P1V front-end is comprised of the performance. 4 radnews • ISSUE 1

QUALITY AND SAFETY EXPANSION OF RADAR INITIATIVE IN THORACIC RADIOLOGY Following a successful pilot using Blue ANCR’s for follow up imaging of pulmonary nodules, we are excited to expand this work to all incidental findings in Thoracic Radiology in October 2019. In a recent paper published in AJR from our very own Mark Hammer, MD, Neena Kapoor, MD, Ramin Khorasani, MD, MPH, and Ronilda Lacson, MD, PhD, the following objective and conclusion were outlined. OBJECTIVE: The purpose of this study is to assess CONCLUSION: A closed-loop communication system radiologists’ adoption of a closed-loop communication that enables establishing and executing a collaborative and tracking system, Result Alert and Development of follow-up plan for incidental pulmonary nodules can be Automated Resolution (RADAR), for incidental pulmonary adopted and improves the quality of radiologists’ follow- nodules and to measure its effect on the completeness of up recommendations. Read more here: radiologists’ follow-up recommendations. https://www.ajronline.org/doi/abs/10.2214/AJR.18.20692 UNSCHEDULED RADIOLOGY EXAMS The Ambulatory Services Department and the Department of Radiology are excited to report on their Quality Improvement Initiative relative to unscheduled Radiology orders. In the last fiscal year (FY), the Ambulatory Services Department and the Department of Radiology identified two key areas of opportunity: 1. Address the Backlog of Orders: Reduce back-log of unscheduled orders 2. Design the Future State Process: Design a future state model that meets set guiding principles; standardized and documented; measurable and creates accountability To measure these focused efforts, The Ambulatory Services Department and the Department of Radiology tracks improved processes and outcomes through the following metrics summarized in the chart below: Metric Type Value Reduce backlog of orders by 1/31/19 Outcome 50% reduction Reduce backlog of orders by 4/30/19 Outcome 100% reduction Design: December 2018 through April 2019 Process Workflow(s) Selection @ Department and Site Implementation: April 2019 through June 2019 Process level of one of two models: • Local model Operations: July 2019 to Ongoing Outcome • Central model % of unworked Orders > 7 days To-date we are pleased to present the following Deadline Goal Outcome results: Address the Backlog of Orders: 1/31/19 50% reduction 73% 4/30/19 100% reduction 98%* ISSUE 1 • radnews 5

NON-MD NEW HIRES and PROMOTIONS Clinical Director, Breast Imaging and Ultrasound - Kristina Calvillo, MHA RDMS RVT Clinical Director of Diagnostic Radiography - Kristi Lutjelusche, MHA, R.T.(R) (VI) Clinical Director, MRI - Lauren Scannell, MBA, RT(MR) Director, Radiology Scheduling and Prior Authorization Services - Stu Hooton Director, Radiology Support Services - Michael Delvecchio, R.T.(R), FASRT Director, Community Radiology - Keri-Leigh Doiron, RDMS Director, West Bridgewater MRI - Christy Long - Dual Role - Director, Customer Engagement and Development Clinical Manager, MRI - Maren Levangie, BS RT MR ARRT Clinical Manager, Diagnostic Radiology - Katy Locke, B.S. R.T.(R) ARRT Radiologist Assistant (RA), Diagnostic Radiology - Randy Czajkowski, MS RRA RTR CT ARRT MD NEW HIRES and PROMOTIONS FACULTY NEW HIRES Stephanie Chung, MD Pietro Nardelli, PhD Instructor in Radiology Instructor in Radiology Sharath Bhagavatula, MD Yan Epelboym, MD, MPH Filip Szczepankiewicz, PhD Instructor in Radiology Instructor in Radiology Instructor in Radiology Kristine Burk, MD Staci Gagne, MD Fan Zhang, PhD Instructor in Radiology Instructor in Radiology Instructor in Radiology Suzanne Byrne, MD Alexander Goehler, MD, PhD Instructor in Radiology Instructor in Radiology Nicholas Todd, PhD Michael Caruso, DO Jeffrey Guenette, MD Assistant Professor of Radiology Instructor in Radiology Assistant Professor of Radiology Moritz Kircher, MD, PhD Allyson Chesebro, MD Associate Professor of Radiology Instructor in Radiology Raquel Alencar, MD, PhD Assistant Professor of Radiology FACULTY PROMOTIONS Sona Chikarmane, MD Atul Shinagare, MD Interim Division Chief, Breast Associate Professor of Radiology Cathy Giess, MD Imaging Rachna Madan, MD Executive Vice Chair Assistant Professor of Radiology Assistant Professor of Radiology Lei Qin, PhD Assistant Professor of Radiology Michele Cavallari, MD Assistant Professor of Radiology Ronilda Lacson, MD, PhD Associate Professor of Radiology 6 radnews • ISSUE 1

AWARDS, Marcelo Di Carli, MD HONORS & 2019 Georg Charles de Hevesy Nuclear ANNOUNCEMENTS Medicine Pioneer Award from the SNMMI Marcelo Di Carli, MD, Chief of the Division of Nuclear Clare Tempany, MD Medicine and Molecular Imaging at BWH awarded 2019 Jack Colbert Memorial Award from the Georg Charles de Hevesy Nuclear Medicine the Massachusetts Prostate Cancer Coalition Pioneer Award from the Society of Nuclear Medicine The Jack Colbert Memorial Award is presented and Molecular Imaging (SNMMI) at the 2019 SNMMI periodically to a distinguished individual in the annual meeting on June 22-25 in Anaheim, CA. Each medical community who has significantly advanced year, SNMMI presents the Georg Charles de Hevesy the fight to conquer and cure prostate cancer through Nuclear Medicine Pioneer Award to an individual research and practice. The award, presented to for outstanding contributions to the field of nuclear Tempany during a ceremony at the Back Bay Harvard medicine. SNMMI has given the de Hevesy Award Club in September, honors the memory of Jack every year since 1960 to honor groundbreaking Colbert, a founder of MPCC who worked to advance discoveries and inventions in the field of nuclear the fight against prostate cancer. An expert in body medicine. Dr. Di Carli was also honored this year with MRI, Tempany leads prostate cancer research at the the BWH Department of Medicine Teaching Award. Brigham encompassing basic research in image- Read more here: https://www.brighamandwomens. guided interventions and multiple clinical trials. Read org/about-bwh/newsroom/awards-honors-grants- more here: https://www.brighamandwomens.org/about- bwh/newsroom/awards-honors-grants-detail?id=3445 detail?id=3388 Fiona Fennessy, MD, PhD Ron Kikinis, MD 2019 Distinguished HMS Clifford Barger Excellence in Investigator Award Mentoring Award and named a Senior Fellow by Fiona Fennessy, MD, PhD, of the the International Society for Magnetic Resonance in Department of Radiology, was named Medicine (ISMRM) to the 2019 Council of Distinguished Ron Kikinis, MD, Director of the BWH Surgical Investigators by The Academy for Planning Laboratory was awarded a 2019 Clifford Radiology and Biomedical Imaging Barger Excellence in Mentoring Award from Harvard Research. This honor recognizes Medical School. The HMS Excellence in Mentoring individuals who have advanced the field of Awards were established to recognize the value medical imaging. Read more here: https:// of quality mentoring relationships and the impact www.brighamandwomens.org/about- they have on professional development and career advancement in basic/clinical medicine, research, bwh/newsroom/awards-honors-grants- teaching, and administration. Dr. Kikinis was also named a Senior Fellow of the International Society for detail?id=3402 Magnetic Resonance in Medicine (ISMRM) at their annual meeting in May 2019 in Montreal. Read more here: https://www.brighamandwomens.org/about-bwh/ newsroom/awards-honors-grants-detail?id=3332 ISSUE 1 • radnews 7

AWARDS, Bharti Khurana, MD & HONORS & Jennifer W. Uyeda, MD ANNOUNCEMENTS RSNA 2019 Honored Educator Award Every year, the Honored Educator Award Sara Durfee, MD acknowledges those most invested in furthering 2019 BWH Lown Award for Medical radiologic education through the creation of high- Student Teaching quality educational content in their field of study. Sara Durfee is a co-recipient of the prestigious 2019 BWH Lown Award for Medical Student Teaching. Glenn Gaviola, MD This award, established many years ago, is given BWH Physician Organization Pillar to a BWH Faculty member who has excelled in Award for excellence in Education teaching our BWH trainees at all levels, with special Our Program Director for the Diagnostic emphasis on our HMS students. Sara is Director Radiology Residency received a BWH Physician of Medical Student Education in Radiology at Organization Pillar Award for excellence in the Brigham, the Radiology Clerkship Director at Education. This award program was established Harvard Medical School, the Theme Director of in 2013 to recognize Brigham faculty for Imaging at Harvard Medical School, and a Harvard achievement in one of the five pillars of academic Medical School radiology residency advisor. medicine: mentorship, education, research, community service, diversity & inclusion. Richard D. Nawfel, MS Aaron Sodickson, MD Honored as American College of Radiology Fellow Aaron Sodickson, Richard D. Nawfel, MS, of the Division of Diagnostic Medical MD just completed his 2018-2019 Physics in the Department of Radiology, was named a fellow term as ASER President. Aaron D. of the American College of Radiology (ACR). This honor Sodickson, MD, PhD, Christopher recognizes individuals who demonstrate a history of service to Potter MD, Diego Nunez, MD, the college through organized radiology, teaching or research. Jennifer W. Uyeda, MD, Hei Shun The fellowship is awarded to diagnostic radiologists, radiation Yu, MD, and Jeffrey Dileo, DO from oncologists, interventional radiologists, medical physicists and Emergency Radiology gave talks at nuclear medicine physicians. Fewer than 10 percent of ACR this years’ meeting. members have been selected for this honor. Read more here: https://www.brighamandwomens.org/about-bwh/newsroom/ awards-honors-grants-detail?id=3453 8 radnews • ISSUE 1

$37.4 GRANTS million FY19 YTD FY19 has proven to be a banner year for BWH Radiology research, increasing our new grant award totals 3x over FY18 grant award totals, $10.7 with researchers in the department receiving over $37.4 million in new million grant awards in FY19 YTD. In the same period in FY18, $10.7 million in FY18 new grant awards were received. An especially exciting award, is a $9.7 Alexander P. Lin, PhD – Virtual Micro-device to Test Multiple Drug million subcontract received by Ron Biopsy of Brain Injury: Deep Learning Responses in Prostate Cancer Patients, Kikinis, MD and Andriy Fedorov, to Identify Diagnostic Metabolic Project Dates 3/4/2019 – 2/29/2024. PhD to create The Imaging Data Biomarkers. Commons (IDC) funded by the NIH’s The department has awarded 5 pilot Cancer Moonshot through the NCI NEW NIH R01 GRANTS grants of $34,500 total costs each Center for Biomedical Informatics and Jayender Jagadeesan, PhD, two new from the Research and Education Information Technology. R01 grants this year Lung Navigation Endowment Spin-off Funds to the System for Localizing and Resecting following exciting projects: Another exciting award is a new T32 Nodules and Image-registered, 1. Alexander P. Lin, PhD training grant from the NIH-NIBIB Hand-held, Concentric Tube Robot for Optimization of Detection of awarded to Clare Tempany, MD and Treatment of Calculi, Project Dates – 2-Hydroxyglutarate at 7 Tesla Fiona Fennessy, MD, PhD to train 1/1/2019 – 12/31/2023. 2. Pietro Nardelli, PhD MD and PhD fellows in Image-Guided Automated Clot Burden Detection Therapies. Junichi Tokuda, PhD and Noby Hata, and Assessment for CTEPH PhD - Adaptive Percutaneous Prostate Severity Diagnosis Also, the Ron Kikinis, MD, C-F Interventions using Sensorized 3. Marcelo Di Carli, MD Westin, PhD, Neuroimaging Analysis Needle, Project Dates – 8/1/2019 – Skeletal Muscle Perfusion and Center (NAC) NIH P41 grant was 7/31/2022. Energetics in Patients with awarded another 5-year renewal this Peripheral Arterial Disease year. Nathan McDannold, PhD – Non- 4. Sarah Frisken, PhD intrusive Monitoring of Brain Modeling the Feeding and The following members of the Tumor Development with Focused Draining Vessels of Cerebral department received their first ever Ultrasound and Extracellular Arteriovenous Malformations extramural grant award this past year Vesicles, Project Dates – 8/15/2019 – 5. Bruno Madore, PhD – Jorge Eduardo Coello Uribe, PhD, 4/30/2023. Time-Abbreviated Comprehensive Sarah Cuddy, MD, Andriy Fedorov, Multi-Contrast Brain MRI Exam PhD, Bharti Khurana, MD, Gonzalo Oliver Jonas, PhD and Noby Hata, Vegas Sanchez-Ferrero, PhD, Min PhD – Pilot Study of an Implantable Zhang, PhD and Wunan Zhou, MD. PARTNERS INNOVATION PUBLISHED JOURNALS DISCOVERY GRANTS To see the most recent Published Journals please visit: Bharti Khurana, MD – Making the https://www.radcommons.org/published-journals.htm Invisible Visible: Bringing Intimate Partners Violence into Focus ISSUE 1 • radnews 9

THE FLAG YOUR BRIGHAM WAY CALENDAR Francesco Alessandrino, MD Brigham Health Francesco Alessandrino, MD, a current Abdominal Announcements Imaging and Interventional fellow in the Department of Radiology, has been nominated for :::::::::::::::::::::::::::::::::::::::::::::::: the Brigham Way Campaign for his heroic, selfless TIME TO GET YOUR and valiant actions in assisting a man in distress while on an Alaskan Ferry. MANDATORY FLU SHOT The Brigham Way is going above and beyond what See Pikenotes for times and locations. is required of you to make Brigham and Women’s Hospital a better place for all who come through The deadline to receive your flu our doors. vaccination is Friday, Nov. 15, 2019. Read the full story here: All assignments must be completed by https://www.brighamandwomens.org/radiology/ Tuesday, Dec. 31, 2019. abdominal-imaging/news https://www.healthstream.com/HSAPP/ To learn more about the Brigham Way Campaign SDtahavetee see PikeNotes: http://www. bwhpikenotes.org/news/ Annual DrNabelsNotes/BrighamWay/ RADIOLOGY YEAR-END CELEBRATION brighamway.aspx Thursday, Dec. 12, 2019 Hale Building 10 radnews • ISSUE 1