Department of Radiology Annual Report 2010 by Hospital for Special Surgery

Department of Radiology and Imaging 2010 Annual Report

The Keys to Successful Imaging Clinical Expertise, Service, Education and Research

Table of Contents Foreword from Thomas P. Sculco, MD, Surgeon-in-Chief

Letter from Helene Pavlov, MD, FACR, Radiologist-in-Chief

Radiation Safety

Registration

Growth

New Staff and Employees of the Month

From Fellow to Assistant Attending Radiologist

CT, Interventional Radiology and Research

MRI and Research

Ultrasound and Research

Physician Quotes

Letters from Our Patients

Neuroradiology

New Innovations and Research in Spine Imaging

In the Robert H. Freiberger, MD Academic Center

Radiologist Profile â&#x20AC;&#x201C; Theodore T. Miller, MD, FACR

Economics

Education, Fellowship and Research

Honors and Awards

2010 Research, Publications, Presentations and Grants

Foreword from Thomas P. Sculco, MD, Surgeon-in-Chief ospital for Special Surgery (HSS) is the largest musculoskeletal institution in the world and prides itself on the collaboration and excellence of all departments to provide the best care to its patients. As an academic medical center, it has a dedicated commitment to further the research and fulfill the educational mission pivotal to advancing the science of musculoskeletal care.

We are truly blessed at HSS to have such an extraordinary Radiology Department. It is vital to our success and excellence. Radiographs and imaging are key to proper diagnosis and management of most of the diseases we treat. The quality and expertise of the Department of Radiology and Imaging and its involvement in the research and teaching at HSS is unparalleled. Time and again we are able to isolate complex bone and joint problems and render effective diagnoses and treatment because of the outstanding radiographic and imaging examinations and interpretations. Each member of the Department of Radiology and Imaging is always available for consultation of an unusual radiograph, MRI, CT or Ultrasound examination or to provide advice about what examination or next imaging steps would be most appropriate. It is always reassuring to know that the most outstanding Radiologists in the world are reviewing these studies.

Thomas P. Sculco, MD

As technology rapidly advances in all aspects of Radiology, HSS, under the Departmental leadership of Helene Pavlov, MD, FACR, Radiologist-in-Chief, along with Hollis G. Potter, MD, Department Director of Research, Carolyn M. Sofka, MD, Department Director of Education and Fellowship Training, and the entire Radiology team, Imaging will continue to be at the cutting edge of development and application of these breakthroughs. Speaking for the entire medical staff at HSS, we thank the Department for their incredible excellence and support in making HSS the premier institution it is. Thomas P. Sculco, MD Surgeon-in-Chief Korein-Wilson Professor of Orthopaedic Surgery

Thomas P. Sculco, MD and Helene Pavlov, MD, FACR

2010Annual AnnualReport Report 1 1 2010

Letter from Helene Pavlov, MD, FACR, Radiologist-in-Chief hese are uncertain times for healthcare. The effect of healthcare reform on patient care is still to be determined; however, one thing is clear—healthcare as we know it will change, for both providers and patients. My concerns regarding these changes in the delivery of healthcare are especially heightened due to the precarious position of imaging. Imaging is in the media and political crosshairs for being responsible for the escalating costs of healthcare and for the concerns associated with ionizing radiation. Self-referral by nonradiology physicians who use their own imaging equipment is reported to be responsible for the 200% to 300% increase in CT and MRI utilization. These statistics contribute significantly to reports of overuse of imaging. At HSS, all imaging examinations are performed only by a prescription from referring physicians, and are interpreted by Board Certified Radiologists with subspecialty expertise in musculoskeletal conditions. Radiologists are patient advocates; they provide insight via imaging findings as related to clinical concerns, and do so without bias for finding a reason for surgical intervention. What is ignored in these reports of overuse is the role of imaging in early diagnosis and intervention. Care based on accurate imaging findings can prevent avoidable wasted time and costly financial sequelae. Quality images and expert interpretation that lead to early treatment help reduce the overall costs of healthcare.

As to the dangers associated with ionizing radiation, the media focuses on cancer-risk statistics but ignores informing the public of the quality-of-life benefits and value that appropriate imaging provides. The Department of Radiology and Imaging at HSS uses state-of-the-art equipment and employs licensed, certified technologists working under the supervision of Radiologists. We also emphasize the use of radiation hygiene practices to ensure the safety of our patients and our employees. Robert Schneider, MD, Radiology Safety Officer (RSO) and Roseann Zeldin, RT (R),(M), CNMT Associate RSO, establish, oversee and maintain safety standards for all those involved with ionizing radiation, including fluoroscopy, C-arms and CT. You can read about our safety initiatives and some “Tips for Radiation Safety” in this report in the section on Radiation Safety. In this time of national healthcare uncertainty and transition, more than ever the keys to successful imaging are clinical excellence, service, education and research. Department growth from the operational aspect is discussed by Edward White, AVP, and others throughout this report. Coverage includes identifying PACS, registration, equipment, satellite sites, and staff initiatives.

HSS Department of Radiology and Imaging

Richard Fleury, Executive Director of HSS Radiologists, addresses the economic aspect of Department growth. Clinical excellence and service at HSS are a direct function of our Faculty and staff. The quality of the HSS Radiology Faculty is unparalleled. The Chairs of the divisions are individually recognized as premier world-renowned musculoskeletal radiologists. They include Ronald S. Adler, PhD, MD (Ultrasound); Hollis G. Potter, MD (MRI); Gregory R. Saboeiro, MD (CT and IR); and Robert Schneider, MD (Nuclear Medicine). Richard J. Herzog, MD, FACR is locally, nationally and internationally recognized for his expertise in spine imaging. He also provides teleradiology service for multiple imaging sites. Darius Melisaratos, MD, a recent addition to the Department Faculty at HSS, brings Neuroradiology expertise to support and complement the growing HSS Neurology Department. Completing this elite group of radiologists are Eric Bogner, MD; Anthony Chang, MD; Yoshimi Endo, MD; Li Foong Foo, MD; Bernard Ghelman, MD; Theodore T. Miller, MD, FACR; and Carolyn M. Sofka, MD. Many of these globally recognized HSS Radiologists Faculty members are products of the HSS Radiology Fellowship. Making the transition to the HSS Faculty from the Fellowship is not easy. You can experience this transition process through the eyes of Yoshimi Endo, MD, who joined the Faculty in July 2010. Dr. Endo describes his experience in this report. Theodore T. Miller, MD, FACR, who returned to HSS thirteen years after completing his HSS Fellowship, also expresses his feelings and reasons for being back at HSS. Delivery of Radiology services requires Faculty and staff collaboration. I oversee Physician leadership efforts along with Richard Fleury, who works in concert with Ralph Bianco, VP; Edward White, AVP; Christopher Smith, Associate Director and Assistant Directors; Joseph Cuoco, (North Operations); Tai DeNunzio (IT); Mary Giesa, (Registration), Tess Leynes, NP, (IR), Ruth Ann Lindner, (MR); and Robyn Pack, (Clinical Operations). More than 230 skilled employees in the Department work as a team to provide service excellence for our referring Physicians and patients. A few selected Physician and patient statements acknowledging that we are meeting their expectations makes all of our efforts worthwhile. An essential requirement of academic radiology and a major part of the history of the Department of Radiology and Imaging is the Education and Teaching of future radiologists. Robert H. Freiberger, MD, the former Director of the Department, emphasized transferring knowledge and practice expertise to the next

generation of musculoskeletal radiologists. At HSS, he created one of the first Musculoskeletal Radiology Fellowships in the nation. Dr. Carolyn M. Sofka, the Department Director of Education and Fellowship Training, has carried this auspicious tradition to new heights. Under her direction, and with the assistance of Amy Lefkovic, Education Coordinator, the number and quality of candidates seeking to learn from our stellar Radiology Faculty is unprecedented. Fellows also have the opportunity to learn from and network with colleagues in Orthopaedics and Rheumatology. This year the Department of Radiology and Imaging has grown to eight Musculoskeletal and MR Fellows. As described in the section on Education, with the guidance of Academic Training our Musculoskeletal Fellowship is now accredited by the Accreditation Council for Graduate Medical Education. This year, the Fellowship program instituted a mentorship program, which has been successful for both the Fellows and the mentors. In order to better facilitate communication and maximize the Fellowship experience, a Chief Fellow position was created. You can read how Sapna Jain, MD viewed her role and her experiences as the 2010 Chief Fellow in the pages that follow. The Radiology and Imaging educational experience extends beyond education and training of Fellows. Theodore T. Miller, MD, FACR, Director of Resident and Medical Student Training, ensures that the Department provides opportunities for the next generation of medical students who wish to learn about careers in Radiology. Dr. Miller advises NewYork-Presbyterian Hospital (NYPH Cornell) radiology residents regarding the challenges and rewards of musculoskeletal sub-specialization. The Robert H. Freiberger Academic Center provides our Fellows and Residents computers, hard and softcopy reference material and a quiet space for them to do their work and think. Maribel Maldonado, Academic Technologies Coordinator, and Irene Lajara, Academic Media Assistant, maintain the Academic Center, website, and our online learning materials as well as assist our trainees through this intensive educational experience. This year, a secure, password-protected video library of all our CME Accredited conferences has been added to our enduring educational online offerings in the ‘Staff Only’ section of our website. Essential to the future of imaging is Research. Research provides the tools that unlock the potential of imaging and offer direction for performing optimal healthcare. Under the direction of Hollis G. Potter, MD, Department Director of Research, the Department of Radiology and Imaging is leading imaging research through validated quantitative and qualitative MRI investigations. As described by Dr. Potter in the section on MRI and

Research, the detail and specificity of research using imaging for identifying the early detection of pathology and even preclinical diagnostic accuracy establishes HSS MRI research activities at the leading edge. The goal of these research investigations is to identify intervention opportunities at the optimal time to limit chronic disabling pain and preventable immobility. In addition to the extensive number of MRI research projects, significant clinical investigations utilizing Ultrasound (US), Computerized Tomography (CT), upright CT 3-D Fluoroscopy, and conventional radiography (X-Ray) are also ongoing. All of our research endeavors must pass Department Clinical Research Panel (CRP) scrutiny prior to IRB submission. The CRP panel, chaired by Dr. Potter, is composed of Dr. Herzog, Dr. Miller, and Kristi Leggett, Clinical Research Manager, and Barbara Bosco represents the Clinical Research Department. Published peer-reviewed articles in 2010 are listed at the end of this report. All members of the Department of Radiology and Imaging have a pivotal role in assuring that imaging is performed at the highest quality and meets the expectations of the Board of Trustees, Louis A. Shapiro, FACHE, President and CEO; Thomas P. Sculco, MD, Surgeon-in-Chief; Peggy Crow, MD, Physician-inChief; Steven Goldring, MD, Chief Scientific Officer; and our premier HSS Orthopaedic Surgeons, Rheumatologists and Physicians, and our patients. Teamwork and pride in performance is essential to work at the number one Orthopaedic hospital in the nation. While all the individuals in the Department of Radiology and Imaging deserve special mention and are recognized by their colleagues for consistent “invaluable” performance, we were especially honored by the hospital’s recognition of Jeanne Marie Corvi, Sonographer, and Terry Williams, Image Records Clerk, as Employees of the Month during 2010. On a personal note, Tawana Hayes, my Executive Administrative Coordinator and Assistant, who reads my mind and takes care of my needs before I am aware of them, deserves special recognition. It is truly a privilege to be able to provide top-level imaging services to the physicians and patients of HSS. Each and every individual in the Department contributes daily by showing his or her commitment to the hospital and to the Department. All deserve to be acknowledged for the Department’s growth, accomplishments and success, today and into the future.

Helene Pavlov, MD, FACR Radiologist-in-Chief

2010 Annual Report

Radiation Safety The Department Focuses on Radiation Safety for patients and personnel In 2010, the Department announced a Hospital-wide radiation safety educational initiative to better inform HSS Faculty and staff, and help alleviate radiation concerns of our patients and employees. To assist with this effort, the Associate Radiation Safety Officer Roseann Zeldin, RT, (R), (M), CNMT made direct observations of radiation safety practices of the Radiologists and non-Radiology Physicians and technologists during Fluoroscopic procedures, in addition to during routine X-Ray and CT procedures. These observations were designed to help increase awareness and further the implementation and maintenance of optimal radiation safety hygiene practices in compliance with the Department of Health ALARA levels. Observation, along with further education and new procedures, resulted in significant decreases in monthly and quarterly radiation exposures to staff and further increased physician awareness of safety practices with regards to radiation hygiene.

Bernie Bernstein, RT, and Roseann Zeldin, RT, (R), (M), CNMT, Associate RSO, review appropriate use of lead shielding.

In 2010, more than 200 Faculty and staff were trained and/or retrained in radiation safety procedures.

The following safety initiatives were implemented:

The Basic Education Tips for Radiation Safety

• Lowering radiation factors without sacrificing quality on all C-arms. • Providing lead glasses to staff supporting Fluoroscopy procedures. • Reviewing optimal placement of lead shielding for patients during all types of procedures using ionizing radiation. • Establishing unit-generated warning notifications of increased exposure levels prior to reaching ALARA levels. • “Declaration of Pregnancy” form for monitoring the unborn fetus of radiation workers.

Technologists earn 1 CME credit for participating in the radiation safety program.

Information about Radiation Safety available at www.hss.edu/radiation-safety

HSS Department of Radiology and Imaging

Know Your Annual Occupational 1 Dose Limits.

2 Understand the Specifics and proper use of Radiation Monitoring Tools.

Educate Pregnant Radiation Workers in Declaring Pregnancy.

Know the Tools That Help Reduce Operator Dose.

5 6 7

Understand ALARA Levels I and II. Focus on Time, Distance and Shielding. Use Low Dose During Fluoroscopy and Child Size Your Exposure Techniques.

*More details about each of these tips is available through Roseann Zeldin, Associate Radiation Safety Officer

Registration he patient experience in the Department of Radiology and Imaging does not begin and end with image acquisition and diagnosis. It starts when the Referring Physician orders an imaging examination and does not end until the Referring Physician, the Radiologist, radiology staff and the patient are each completely satisfied with their service in addition to feeling confident about obtaining accurate interpretations for management recommendations.

Everyone in the Department is a part of this beginning-to-end experience. The team works closely with people both within and outside of the Department to help ensure that every part of the process is smooth and simple for all stakeholders. Registration plays an important part in this process. From pre-registration to checking patients in ensuring that billing information is accurate so bills can be processed properly through the insurance companies, Mary Giesa, RT, and her team work diligently to create programs and streamline processes that improve and enhance the Referring Physician and their office staff experience and ensure a positive patient experience.

In 2010, a number of new registration initiatives were undertaken with great results • In 2009, efforts to improve pre-registration began and continued into 2010. Since its inception, pre-registration has improved by 35% in the main division and 10% in the pediatrics division. • New registration desks in the main area of the Department as well as in Interventional Radiology helped decrease patient congestion. • As part of a Radiology Registration initiative with Gallup, the staff is creating a more efficient front registration environment. The staff has rearranged the front desk for a neater appearance with space-saving equipment to create more work space. Magazines and patient chairs have been added to increase patient comfort. • New color-coded signage has made it easier for patients to find their way into and out of the Department.

The Department has increased the efficiency of MD order delivery. Now most orders are coming in via email, which speeds the order process for patient registration, and patient throughput.

Insurance Company Coding Accuracy Streamlines Patient Reimbursement and Increases Department Cash Flow The Balanced Budget Act states that insurance companies can deny any claims without an accurate ICD-9 Diagnosis code. An ICD-9 code initiative was begun in 2010 and requires accurate ICD-9 codes by the ordering physician for every ordered exam. This initiative ensures that: • Patients are reimbursed • There are fewer billing issues and customer service complaints • Service improves • Cash flow increases The new ICD-9 initiative has improved compliance from 50% on capturing accurate ICD-9 codes to 90%. This is well above the industry average.

For patients looking for a peaceful wait without any noise, the department has created a quiet no TV zone in the main waiting room by the river. The registration team is now doing order Quality Assurance (QA) for all Physician orders. The team checks every order for inconsistencies, reviews them for compliance and order entry so that the patient is billed appropriately. The registration team also checks to see if the patient has similar current images so duplicate examinations can be avoided. 2010 Annual Report

Growth rowth continues in the Department of Radiology and Imaging. Technology updates and new groundbreaking imaging techniques are being implemented helping patient volume increase. The Faculty, staff and the facility are also growing.

Expansion of Ambulatory Satellite Sites

and other staff in improving the way we communicate with our referring physicians and interact with patients. In 2010, the Department began upgrading the system and moving to a web-based PACS solution. The latest iteration provides our team and outside physicians and surgeons with a number of new upgrades that include: • More memory for handling larger stacks and will accommodate additional image detail.

The Department of Radiology and Imaging is expanding into new territories. In 2010, technology was upgraded at the Uniondale Center in Long Island, where a new digital X-Ray unit was installed. Similar upgrades also commenced at a site in Fresh Meadows, Queens. All of these new locations will follow the same quality standards and protocols that help the Department deliver the best in quality patient care. The acquired images will be linked to PACS allowing HSS Radiologists to interpret the images.

• The addition of new reading station hardware.

Upgrades of Department Equipment

• Reading stations to allow Radiologists the ability to review images from their homes (to further improve clinical care).

• In the Caspary building, two X-Ray rooms have been added to service the Hip Preservation Center. This has helped to divide up the patient load leading to enhanced patient throughput. • The OR darkroom was updated with a new CR reader. • In the Belaire building, First Floor Radiology was upgraded to DR and the CR unit was replaced. • The post-anesthesia care unit was upgraded with a portable unit that offers DR acquisition, which has helped to increase the efficiency of obtaining and viewing portable X-Ray images. • Four PACS workstations have been added for the Radiologists in order to enhance Radiologist productivity, report turn-around time for Referring Physicians, improve patient care, and Fellow and resident teaching initiatives.

PACS PACS (Picture Archiving and Communications System) is constantly evolving and assists our Radiologists, technologists

PACS Team

HSS Department of Radiology and Imaging

• Better image throughput with less bandwidth requirements. • Better internal controls. • Voice recognition tools that are improving report turn-around time.

The Department and the Hospital recognize the value of information technology in providing the best in quality patient care and have committed to building a new Radiology Information System. This new system is needed to further enhance and streamline Department processes, increase patient throughput, overall Referring Physician and patient satisfaction, and provide data mining tools for Quality Assurance (QA), research, etc.

Quality Another Outstanding New York City Department of Health and Office of Radiological Health Inspection In 2010, the Department underwent a New York City Department of Health and Office of Radiological Health Inspection. The QA/QC team under the leadership of Maureen Firth, MS, RT (R) (M) QM, created digital work lists that were available electronically for the inspectors.

The inspector performed a weeklong comprehensive review of our entire program for QA/QC policies, procedures, radiation safety, physicist reports, equipment calibration and ongoing monitoring. At the end of the inspection, the Department received accolades from the NYCDOH for its performance. Regulatory compliance and maintaining our Gold Standard rating is a top priority for the entire team in 2011. Maureen Firth, Mary Giesa, and Ed White deserve the credit for their leadership in helping to maintain and document our quality standards. Keeping Up with Regulatory Compliance and The Joint Commission (TJC) Standards The Department of Radiology and Imaging is proud to announce that it received zero deficiencies in 2010 from The Joint Commission. To ensure continued zero deficiencies on The Joint Commission report, the Department has developed a quality assurance program that conducts daily, weekly and monthly monitoring of various processes to ensure maintenance and compliance with all regulatory bodies, including The Joint Commission. Each month a quality assurance summary is prepared and delivered to the intra-departmental QA committee for review. Each quarter an intra-Departmental QA meeting conducts a retrospective review of the past quarter to discuss all QA regulatory compliance issues. The team works to identify and address any issues or trends that could affect the Department’s excellent standing. More Departmental Changes Lead To Improved Quality Customer order forms were created in an attempt to streamline the process, making it easier for referring physicians to place orders and for the technologists to accurately interpret the request.

Maureen Firth, RT, Mary Giesa, RT, and Ed White, AVP collaborate continuously to ensure TJC compliance.

Equipment Donated The Department of Radiology and Imaging Donates Equipment to a West African Hospital Dr. Oheneba Boachie-Adjei’s founder of the Foundation of Orthopedics and Complex Spine (FOCOS), recently turned to the Department of Radiology and Imaging, requesting equipment donations for a new hospital in Ghana, West Africa. In support of the cause, the Department donated a Multi-Plate Computerized Radiography (CR) Reader to the hospital. We are proud to support Dr. Oheneba Boachie-Adjei in his hard work and dedication to this cause.

In 2010, the Department of Radiology and Imaging added two new Faculty members and twenty-two new staff to the Department.

Radiologist-in-Chief, Dr. Helene Pavlov hosts regular ‘Pow-Wows’ or chats with the staff to discuss the inner workings of the Department. These meetings provide staff with an opportunity to voice their opinions and ideas and produce positive changes for Faculty, staff and patients. 2010 Annual Report

New Staff and Employees of the Month New Faculty Members

Main 3rd Floor:

MRI

Yoshimi Endo, MD, Assistant Attending Radiologist

Nathalie Coleman, Scheduler

Nicholas Accettura, MRI Technologist

Brian Criscuolo, X-Ray Technologist

Jennifer Acuna, PCA

Darius Melisaratos, MD, Assistant Attending Radiologist

Sean Faison, PACS

Pezerlia Boswell, PA

Guerson Heriveaux, Sonographer

Dion Edwards, MRI Technologist

Allison Kruzik, X-Ray Technologist

Amanda Perlstein, Assistant

Josephine Mitolo, X-Ray Technologist

Valerie Pierre-Cadet, Scheduler

Linda Romeo, X-Ray Technologist

Destinie Trosa, Registrar

Kristina Starks, PCA

Tiffany Wallace, Assistant

Nancy Valdez, Registrar Eileen Villada, X-Ray Technologist David Williams, Scheduler

North Division: Morgan McGarry, Registrar Elizabeth Seemungal, X-Ray Technologist

Congratulations to two Department staff who became employees of the month in 2010. Jeanne Marie Corvi, employee of the month for January 2010, has been a member of the HSS family since February 2007; Jeanne Marie is a Sonographer with the Department of Radiology and Imaging. Terry Williams, employee of the month for October 2010, has been a member of the HSS family since May 1977. Terry works with the Department of Radiology and Imaging as an Image Records Technician. Both of these skilled staff members are a pleasure to work with and help to make our Department an even better place.

HSS Department of Radiology and Imaging

From Fellow to Assistant Attending Radiologist Yoshimi Endo, MD Having done my Radiology Residency at a program that did not have a Fellowship-trained Musculoskeletal Radiologist until my last two years of training, I found my Fellowship year at Hospital for Special Surgery was rewarding but also daunting at the same time. At the start of my Fellowship in July of 2009, I felt that my lack of exposure to advanced Musculoskeletal Imaging and Musculoskeletal procedures put me at a disadvantage compared with my co-fellows. Everything seemed new to me, including MRI, Musculoskeletal Ultrasound, and Interventional Procedures, and there were many instances during the first few weeks of my Fellowship when I felt overwhelmed. It was not very long before I realized the tremendous wealth of resources we had as Fellows. The Department of Radiology and Imaging at HSS had more than one world-renowned expert in every facet of Musculoskeletal Radiology, experts who have been pioneers in their respective niches within the field. Over the next several months, I remained diligent, thinking that I was only going to be at HSS for one year so I should try to learn as much as I can. It was imperative for me to be diligent not only because I felt I had more to learn than my co-Fellows, but also because I was convinced that the resources we had at HSS were unparalleled. I was very surprised when Dr. Pavlov called me into her office in November and asked me about staying on as an Assistant Attending Radiologist after my Fellowship year. To be honest, I could not respond in the affirmative right away because I had my doubts. I had always envisioned myself working at an academic center where I could interact with Residents and Fellows and continue to learn from the more senior Radiologists. I definitely would have had these opportunities at HSS, but I did not think I had what it takes to survive as a Radiologist at HSS. As a fellow, I admired and looked up to every single Radiology Attending at HSS, and it was difficult to imagine myself becoming their colleague; I literally would be a dwarf in the land of the giants. I have to admit that for the next several weeks, I was desperate to see what other jobs were available. I ultimately agreed to stay at HSS after I realized that none of the other jobs in the area were ideal for me. Although it would not be the easiest job, I knew that staying at HSS would allow me to pursue what is most important to me. Once it was established that I would be staying on, for the next six months, I worked harder than ever, trying to absorb as much as I could in order to prepare for

becoming an Attending at HSS. I stayed later than my coFellows, trying to get exposure to as many cases as possible; I tried to ask questions about anything I did not understand, even more so than during the first half of the academic year; I was so desperate about my learning that I ended up forgoing most of my vacation days, thinking that I could not waste any days on vacation (Yes, I realize that was stupid in retrospect). July of 2010 arrived faster than I expected. I was a Fellow one night (I ended up taking the last night of call on June 30) and was an attending the next morning. My co-Fellows were gone, and a new set of bright Fellows had arrived whom I was suddenly expected to take part in training even though I had been in their same shoes only hours earlier. The first months as an Assistant Attending were difficult, as I expected, but I am grateful to all the other Attendings for making the transition as easy as possible for me. Although I had already been there for one year, all the â&#x20AC;&#x153;firstsâ&#x20AC;? took some getting used to: the first time I signed off on a MRI as an Attending, the first time I performed something as simple as a hip injection as an Attending, the first time I supervised a Fellow in performing a Myelogram, etc. Just as I felt during the first months of Fellowship, during the first months as an Attending, I felt blessed to have so many resources around me, resources that I undoubtedly would not have had if I had left HSS for another practice. I realize that it will still be a long while before the other Attendings start viewing me as a true colleague, but I feel honored to be part of such a reputable team.

2010 Annual Report

CT, Interventional Radiology and Research New CT Scanners Enhance Image Quality and Present Opportunities for Musculoskeletal Imaging Research In 2010, the Department installed two new CT scanners. The scanners include a new 64-slice low-dose CT scanner as well as an additional 16-slice, low-dose CT. Both scanners have improved hardware and software packages, and capture highquality images with lower dosages of radiation in a shorter amount of time. These scanners allow for increased patient throughput, make 3-D and other image reconstructions easier to perform and will allow access to all images via the HSS Department of Radiology and Imaging PACS system. With the arrival of the new scanners, the team at HSS is working with Philips Engineers and Developers to research new imaging protocols that will further reduce metal artifact when using CT to image patients with joint replacement or spinal fusion hardware.

State-of-the-Art Fluoroscopy Suites Help Interventional Radiology Expansion The Interventional Radiology Division operates with two state-of-the-art Fluoroscopy suites and performs orthopaedic, rheumatology, and spine procedures under image guidance and have allowed for an increase in patient throughput, lower radiation dose and improved image quality. The suites allow the team to offer services to more Referring Physicians, which will in turn drive additional growth. Spinal Interventional Procedures and Pain Management procedures have grown 10.4% in 2010. Add-on patient appointments and acceptance of most insurances patients can generally be accommodated on the day of request. The Division is receiving more referrals from Rheumatologists, Orthopaedists, and Spine Surgeons both inside and outside of the HSS system.

The new CT units are also allowing for enhanced treatment therapies and diagnostic capabilities within the Department. The Department offers a guided tumor elimination therapy called radio frequency ablation for tumors such as Osteoid Osteoma. CT-guided biopsies of tumors as well as pain management therapies under CT guidance for the sacroiliac joints and spinal facet joints are also being offered. “Since we’ve added the new and additional CT scanners, which both offer the ability to greatly reduce a patient’s exposure to radiation, we have seen an increase in the number of diagnostic and interventional cases coming into the Department,” said Dr. Gregory Saboeiro, Chief, Divisions of CT and Interventional Radiology.

To further drive the expansion of the Interventional Radiology Division, the team is working directly with our Referring Physicians to better educate their staffs on easier scheduling opportunities, and to provide detailed patient instructions in advance of interventional procedures to further expedite the patient scheduling experience and improve patient satisfaction.

HSS Department of Radiology and Imaging

Our IR rooms use state-of-the-art Fluoroscopy equipment.

“On top of the increase in joint pain management procedures, epidural injections are growing astoundingly,” said Tess Leynes, Nurse Practitioner. “A major factor in the increase is because of our expertise in this area, plus patients are taken right away, as soon as the Referring Physician deems it necessary to have the injection. Radiology accommodates the patient on the same day. For facet injection or ‘difficult’ spine cases, CT is used to better guide the injection. In addition, the Department accepts most insurances. These two factors are helping grow this sector of our business.”

MRI and Research The Division of MRI Focuses on State-of-the-Art Equipment Upgrades and Ongoing Research Dr. Hollis Potter, Chief, Division of Magnetic Resonance Imaging and Director, Research along with her team of both Faculty and staff, MRI experts and researchers, have had another successful year. In addition to upgrading one of the units to a new 1.5 tesla magnet, plans were completed to convert the existing highfield open unit to a new, state-of-the-art ultrashort magnet. The new equipment has a wider bore, or hole where the patient lies during the imaging process, and accommodates larger as well as claustrophobic patients. It also scans at a higher degree of detail.

Orthopaedic Surgeons worldwide continue to reach out to the division to learn more about this unique discovery made by the experts at Hospital for Special Surgery Department of Radiology and Imaging. Nonosseous Tissue Assessment Research is also focusing on the use of quantitative MRI data to assess tissue structure and its material properties. Results from this research are helping doctor’s better understand the makeup of tissue, how it functions and its ability to withstand load.

“One of the key decisions in upgrading to this new unit was that we truly believe just because someone is larger or has a fear of a confined space does not mean we should sacrifice image quality,” explains Dr. Potter. Imaging Joint Replacements During the last few years, Dr. Potter and her team have been honing their technique for successfully imaging joint replacements using MRI. Previously, MRI of joint replacement was not possible because the metal from the replacement component would interact with the magnet and produce artifact on the image rendering it impossible to interpret. Radiologists and

Matthew F. Koff, Ph.D. and Parina Shah

Research Staff With grants from the Department’s partners, Cornell Ithaca, General Electric and the National Institutes of Health, the MRI team was able to continue its research. The grants fund three full time staff in the MRI research lab. These individuals include: • Matthew F. Koff, Ph.D. – Assistant Scientist in the MRI Division. • Dr. Sarah Pownder – A Doctor of Veterinary Medicine from Cornell University who is working in the Department for two years under a fellowship grant. • Parina Shah – Master’s degree student in Biomedical Engineering from New Jersey Institute of Technology.

UTE: T2* relaxation map of a repaired meniscus in a clinical patient.

In 2010, the team from the MRI Division published 12 papers on the imaging of arthroplasty. This is more than any other institution, which is why experts from the Department of Radiology and Imaging are asked to speak on this subject at conferences worldwide.

The MRI Division is currently working on 30 active research projects funded in part by Cornell Ithaca, General Electric and the National Institutes of Health. “We don’t believe in status quo in our Department,” said Dr. Helene Pavlov. “What is standard elsewhere is never considered standard at HSS. We strive for the best in Musculoskeletal Imaging, which explains why physicians worldwide send their patients to us.” 2010 Annual Report

Ultrasound and Research here has been steady growth in Ultrasound-guided PRP injections of various ligaments, tendons, and joints. To further growth and continue to advance the Department’s reputation in Musculoskeletal Imaging and research, Dr. Ronald S. Adler, Chief, Division of Ultrasound and Dr. Gregory R. Saboeiro, Chief, Division of Interventional Radiology and CT are collaborating on research projects using PRP.

Research Plays a Primary Role in Advancing Musculoskeletal Ultrasound Dr. Adler and his team have had two papers accepted for publication investigating the post-operative rotator cuff using the Ultrasound contrast agent Definity. The papers illustrate the development of new blood vessels, angiogenesis, following rotator cuff repair (See Figures 1 and 2). The Division, in conjunction with Dr. Anthony Chang of Radiology, Dr. Stephen Fealy and other members of the Sports Medicine Department, are looking at changes in tendon vascularity in the elbow, following PRP, through the use of Ultrasound contrast agents. Dr. Adler reports that the data is promising. “We hope to establish whether or not the growth of new blood vessels occurs at the site of PRP injection, which is speculated to be an important component of healing,” Dr. Adler said.

Figure 1: Gray scale image of intact rotator cuff repair (top right). Top left image shows regions-of-interest within the tendon that are being assessed for blood flow. Curves at bottom of image depict the flow of contrast agent into the tendon (wash-in/wash out.)

Along with Dr. Peter Moley in Physiatry and Dr. Gregory Saboeiro, the two colleagues are conducting a research study on the effects of PRP versus autologous blood injection, a procedure whereby a patient’s blood is injected into an area of the body for the purposes of healing, for patients with longstanding hamstring problems. PRP or autologous blood is injected directly into the hamstring to assess the effects of each. Two additional research studies include collaboration with Jamie Edelstein, PT, MSPT, CSCS of Physical Therapy, which looks at the iliopsas muscle in the hip; the other is a study on the role of 3-D imaging in Musculoskeletal Ultrasound.

PRP is gaining traction in the Division of Ultrasound. In 2010, the number of PRP injections increased by 77%

Figure 2: Gray scale image of intact rotator cuff repair (top right). Single frame from a contrast acquisition (top left). These typically include 800 frames per acquisition. The bottom image is a composite of data from all the frames showing a map of the vascularity within the rotator cuff repair.

HSS Department of Radiology and Imaging

At the 2010 Annual Assembly of the RSNA, Drs. Adler, Loftus and Endo presented on the distribution of injected material following PRP versus autologous blood injections. This research will ultimately give doctors a better idea regarding where and how the material distributes once injected and how it could impact the way these procedures are performed.

Exploring Ultrasound Elastography – A Potential New and Effective Way to Image Soft Tissues The Division of Ultrasound is exploring the use of Ultrasound Elastography through various research projects. The procedure is relatively new and is a non-invasive method that detects and classifies differences in tissue hardness. It has been used successfully in identifying tumors by assessing the stiffness of soft tissue. Dr. Theodore T. Miller, Attending Radiologist, Dr. Ronald S. Adler, Chief, Division of Ultrasound and Dr. Sapna Jain, Chief Fellow, are working on research projects using Ultrasound Elastography. The projects involve the use of Ultrasound Elastography and a type of MRI that is known for its superior qualities in the imaging of tendons. The team is interested in correlating data from Elastography and MRI to better understand the mechanical alterations of tendon pathology and improve the diagnosis of tendonitis. Dr. Hollis G. Potter, Chief, Division of MRI, as well an MRI physicist, and member of the Hospital’s Pathology Department are co-authors on this project.

New Equipment Helps to Grow Business The Division recently purchased a new Ultrasound machine that has real time biplane imaging capability and improved 3-D capability compared with the more conventional Ultrasound transducers. The equipment also has image registration capability for CT and MRI, which should allow for new types of procedures, for instance, in the spine. For image guidance, the system can track the position of a needle tip in real time, even when the needle tip cannot be seen. This is a significant improvement because occasionally the needle is deflected out of the image when patients contract their muscles. This new technology will help obviate the need to go on a ‘hunting expedition’ when a needle cannot easily be seen.

Ronald S. Adler, PhD, MD

High demand has been met with the creation of more time slots, which has helped to reduce patient wait time for scheduling an appointment. Referring Physicians and patients needing an image-guided Ultrasound appointment now have more time options to choose from, significantly helping in appointment availability. 2010 Annual Report

Physician Quotes “Speaking for the entire medical staff at HSS, we thank the Department for their incredible excellence and support and help in making HSS the premier institution it is.” Thomas P. Sculco, MD Surgeon-in-Chief Hospital for Special Surgery Korein-Wilson Professor of Orthopaedic Surgery

“As an HSS Physician, I rely heavily on the expertise and availability of our world class Radiologists. As a tertiary care center, HSS is the “last stop” for many of our athletes with complex problems of the knee, shoulder and elbow. Whether it is MR Imaging, CT, X-Ray or Ultrasound, I am always confident that my patients will get a superb quality image with a thoughtful interpretation reflecting the depth and breadth of our Radiologists.” David W. Altchek, MD Attending Orthopedic Surgeon Co-Chief of the Sports Medicine & Shoulder Service Hospital for Special Surgery

“Whenever I need imaging studies to help in the diagnosis and treatment of my spine patients, I rely on the expertise of Dr. Herzog and his team to provide me with the most comprehensive and accurate interpretations of MRI, CT and X-Ray examinations. Over the years the Department of Radiology and Imaging has consistently provided the highest level of care that my patients and I expect.” Frank P. Cammisa, Jr., MD, FACS Chief, Spine Service Hospital for Special Surgery

“Your staff provides excellent service at every level. My patients continue to receive the best that Musculoskeletal Imaging has to offer from the front office to the professional staff. Whether it is conventional Radiography, Ultrasound, CT or MRI, the scheduling is timely, the patient care is superb, and the images and professional support are the best in the world. Thank you for all that you and your staff do for our patients every day.” Frank Cordasco, MD Associate Attending of the Sports Medicine and Shoulder Service Surgical Director of Ambulatory Surgery Co-Medical Director of Leon Root Motion Analysis Laboratory Hospital for Special Surgery

HSS Department of Radiology and Imaging

“One of the great treasures at the Hospital for Special Surgery is the Department of Radiology. The X-Rays and MRI scans are the best in the world. Patients often bring in outside films that do not identify the problem. Scans and X-Rays at HSS are done with superb precision, and the expertise of the radiologists at HSS allows us to determine the source of the problem even in the most complex diagnostic problems.” Steven B. Haas, MD Chief of the Knee Service at Hospital for Special Surgery Professor, Clinical Orthopaedic Surgery, Weill Cornell Medical College

“The Radiology staff and Physicians at HSS represent the best in the country. To be a phone call away with outstanding images and professional acumen, the Radiologists help enable the best care for my patients. They become part of the musculoskeletal team for the best approaches to patient care. I truly appreciate their expertise and assistance with patient outcomes and research.” Brian Halpern, MD Associate Attending Physician, Sports Medicine Hospital for Special Surgery

“The HSS imaging department is an extraordinary resource for physicians—not only at HSS but locally, regionally, and throughout the world. To have such a skilled group of radiologists with this level of expertise in Musculoskeletal Radiology under one roof is nothing short of extraordinary. The HSS imaging department is one of the reasons that HSS is number one in the world for what we do best—taking care of the patient with musculoskeletal disease.” Steven K. Magid, MD Attending Physician Hospital for Special Surgery

“As a member of the spine service, I greatly appreciate the excellent work of the Department of Radiology and Imaging. The Attending Physicians are not only extremely competent but also most willing to teach and dialogue and discuss our cases in person and on the phone. The Physicians are a perfect model for interdisciplinary co-operation at its best.” Patrick F. O’Leary, MD, FASC, PC Associate Attending Orthopaedic Surgeon Hospital for Special Surgery

2010 Annual Report

Letters from Our Patients

he Physicians and technologists and the entire team in Department of Radiology and Imaging are constantly fielding phone calls and receiving letters with kudos from our patients. The Department is known both inside and out of the Hospital for the quality patient care it delivers. From referral and pre-registration to image acquisition and diagnosis, the focus of the entire Faculty and staff is the patient. Featured are just a few of the hundreds of email messages and letters we receive every year.

“I am thrilled to advise that I took a chipping and putting lesson, which ended up with about a dozen full swings of a wedge and 7 -iron; no pain! Since then I have spaced some practice sessions and four rounds of golf, with no negative results.” - Anson B.

HSS Department of Radiology and Imaging

“A note of thanks to you and your colleagues for the wonderful work you performed on my wrist this morning. I am most grateful to you and your team.” - Jonathan L.

”It’s a miracle! Two weeks since the injection and I am 98% pain-free.” - Laura T.

“As a patient, I felt you went above and beyond to deliver superior care.” - Jamie S.

“You have a wonderful group of people who work in this department; from the front desk to Ultrasound to X-Ray, all over. Everywhere I go in this department, the people are so nice and helpful, and they are all great.” - Nancy B.

“As a registered nurse since 1974 I am very critical about the care given to myself and others in the medical field. The technologists were kind, courteous and patient. They explained everything and made sure I was comfortable in every way.” - Robin Z.

“Thank you for taking such excellent care of my daughter today. We all really appreciate your excellent work.” - Robert M.

2010 Annual Report

Neuroradiology ospital for Special Surgery has made aggressive efforts to focus on Neuromuscular disorders. That focus led to Dr. Dale Lange joining the Hospital as the Chief of Neurology and the Department of Radiology and Imaging adding Dr. Darius P. Melisaratos, a Board Certified Radiologist specializing in Neuroradiology.

With an increase in the need for Neuroradiology expertise, the Department has evolved its offerings. With back-up provided by HSS credentialed consultant NYPH Neuroradiologists, Referring Physicians and their patients are provided with 24/7 Neuroradiology imaging and interpretations. â&#x20AC;&#x153;Sometimes a patient will come in for a knee problem that ends up being a neuromuscular issue. Our state-of-the-art expertise in Neuroradiology and Neurodiagnostics ensures that any patient with an issue that is in Neuro-related has access to the best in imaging and diagnosis. In the last year we have watched this area of the Department grow considerably and are making a concerted effort to grow it even more,â&#x20AC;? said Dr. Melisaratos.

Oblique 3D CT Reconstruction of a CT Angiogram of the neck for evaluation of extracranial carotid and vertebral arteries.

HSS Department of Radiology and Imaging

Dr. Darius P. Melisaratos is a Board Certified Radiologist with Fellowship training in Neuroradiology.

Compressed MIP from MR Angiogram of the Circle of Willis in a patient with acute Left MCA occlusion.

New Innovations and Research in Spine Imaging r. Richard J. Herzog, Director, Spinal Imaging and Chief, Division of Teleradiology, along with his team harness techniques pioneered at Hospital for Special Surgery Department of Radiology and Imaging for innovative spine imaging. The Department is known for pioneering new musculoskeletal imaging techniques and recently developed a method to improve imaging of joint replacements and other hardware using MRI. This technique is now being adapted by Dr. Herzog and his team for the evaluation of the post-operative spine with instrumentation.

“In the past, post-operative MRI evaluation of the spine with instrumentation has always been a challenge. Our team in MRI continues to work on new imaging techniques which will provide the greatest amount of useful information in these difficult clinical cases,” said Dr. Herzog. In addition to innovations in spine MRI, Dr. Herzog and his team are also using new CT hardware and software to enhance spine imaging. The new CT equipment and technology is being used to visualize the vascularity adjacent to the spine prior to surgical fusion. New protocols in CT are also being used by the Department’s Radiologists for optimal imaging despite metal instrumentation in the spine.

Dr. Richard J. Herzog is the Director, Spinal Imaging and Chief, Division of Teleradiology. The HSS Spine Surgeons, Dr. Herzog and the Radiologists collaborate on patient management decisions.

The team is currently collaborating with HSS Spine Surgeons to assess new spine fusion techniques. Lateral transpsoas interbody fusions are now being performed frequently at HSS for older patients with spinal stenosis. During this procedure the surgeon must know the precise location of the nerves and blood vessels within the psoas muscle to ensure a safe access to the fusion site. Dr. Herzog, along with Dr. Kepler, Dr. Bogner and Dr. Huang recently published a paper in the European Spine Journal ‘Anatomy of the psoas muscle and lumbar plexus with respect to the surgical approach for lateral transpsoas interbody fusion,’ to clarify the location of these neurovascular structures. Hopefully this information will reduce the potential morbidity for this fusion technique. The team at HSS continues to spearhead new imaging developments in the field of spine care.

3D reformatted images of the lumbar spine obtained following thin-section axial CT imaging demonstrates moderate scoliosis of the lumbar spine with degenerative disc disease of the lower motion segments.

2010 Annual Report

In the Robert H. Freiberger, MD Academic Center In the Robert H. Freiberger, MD Academic Center With Maribel Maldonado One of the only libraries of its kind, the Robert H. Freiberger, MD Academic Center and Library, located in Hospital for Special Surgery Department of Radiology and Imaging, along with our website at www.hss.edu/imaging, is managed by Maribel Maldonado, Academic Technologies Coordinator and is constantly changing and updated with new technology, medical textbooks, online journals, and fascinating cases for the teaching file. In 2010, Maribel and Irene Lajara, Academic Technologies Assistant, led a number of initiatives. • New computer equipment in the library helps to streamline day-to-day library operations. • Virtual tours of MR, IR, US etc., were created for Hospital for Special Surgery’s YouTube channel and are designed to help patients feel comfortable prior to their visits to the Department. • Educational conferences held in HSS are archived on video and published to the Web via an Intranet for home study by Attendings and/or Fellows, if a conference was missed. • A new teaching file workflow allows the Fellows to upload interesting cases for educating other Radiologists and for future research activities. The Teaching file has examples of common, complex and esoteric musculoskeletal conditions and disorders on X-Ray, CT, US, MRI and Nuclear Medicine. • Feedback from Faculty, Fellows and staff helps in acquiring new textbooks and additions to the library catalog.

Irene Lajara and Maribel Maldonado maintain the Robert H. Freiberger, MD Academic Center and Library as a focal point for Fellows and Attendings.

• As clinical demand across numerous modalities continues to increase, technology is needed to assist with Fellow and Resident education. To address this need, the library added additional reading stations for Fellows and Residents to review images via PACS. • A state-of-the-art DICOM projector serves for backup conference display of images.

‘What’s The Diagnosis,’ edited by Dr. Eric Bogner, remains the #1 clicked item on the HSS eNewsletter. In keeping with reinventing ourselves and moving forward, Dr. Ronald S. Adler recently added ‘Ultrasound of the Month,’ which is the second most clicked item on the HSS eNewsletter. Dr. Eric Bogner in one of his many teaching sessions with Residents and Fellows.

HSS Department of Radiology and Imaging

Radiologist Profile – Theodore T. Miller, MD, FACR heodore T. Miller, MD, FACR, is a Board-Certified Radiologist specializing in Musculoskeletal Imaging and interventional procedures. In addition to his clinical work, Dr. Miller is the Director of the Residency and Medical Student Training. Residents from NewYork-Presbyterian Hospital rotate through HSS for additional Musculoskeletal educational experience. It is Dr. Miller’s responsibility to coordinate the program and ensure all participants are exposed to every aspect of Musculoskeletal Imaging. He also works with medical students who elect to do rotations in Musculoskeletal Imaging.

“Part of the Department’s commitment is education and ensuring that Residents and medical students have an understanding of what it means to be a Musculoskeletal Radiologist. I work with the entire team to coordinate everything from interpreting X-Ray, CT, MRI and Ultrasound examinations to image-guided and Fluoroscopy procedures,” said Dr. Miller. Dr. Miller joined the Department five years ago, thirteen years after completing his HSS Musculoskeletal Fellowship. According to Dr. Miller, he returned to HSS and the Department not only for its great reputation and the chance to work with world-renowned experts in the field, but also because he wanted to expand his research opportunities. “I have a passion for doing research and working to solve clinically relevant problems. My research looks at imaging across multiple modalities and also modeling in vitro

Dr. Theodore T. Miller engages the Residents and Fellows during a teaching session.

conditions that we cannot do on patients. Having access to some of the best equipment and technology in the world, as well as [the opportunity to work with] colleagues who are also focused on Musculoskeletal Imaging research, has made my tenure in the Department an amazing one,” continued Dr. Miller.

Multiplanar and 3D images of the ankle obtained while patient is standing.

2010 Annual Report

Economics adiology is a specialty very familiar with technological advancements and change, states Richard Fleury, Executive Director, HSS Radiologists. Radiologists have been pioneers in healthcare delivery and early adopters of different methodologies to provide care to patients and consultative services to Referring Physicians. The growth in diagnostic imaging at academic centers like HSS is a direct result of the reliance on these services to provide optimal patient outcomes. In 2010, we experienced another great year of unprecedented growth exceeding expectations for the seventh straight year. However, with rapid growth comes pressure to reduce the overall cost of imaging services, so much so that imaging was the only Physician specialty targeted by the Patient Protection and Affordable Care Act of 2010.

Radiology as a whole needs to once again be ahead of the game and be leaders in defining healthcare decision-making for the future. Right now there are many debates occurring that may affect the way we will provide services in the future. There is no doubt we will soon be faced as a Department with various delivery models and competitive pressures. The use of decision support software or Radiology Benefit Managers (RBMs) to aid in appropriate ordering practices, MU (meaningful use) of patient data, formation of Accountable Care Organizations (ACOs) to cut costs and closing the Stark loophole with the help of the newly formed Self-Referral Coalition are all aimed at reducing utilization of imaging. Imaging providers are faced with the need to become ACR accredited to appeal to patient expectations of quality and public concerns over radiation safety and dose. HSS rises to challenges no matter how large. With our strong partnerships with Hospital leadership and support of our vendors and supply partners, we are working in a proactive way to avoid any challenges with government and regulatory organizations. Our relentless efforts in this area of the ever-changing healthcare environment help us to ensure that we consistently deliver quality patient care. The Department of Radiology and Imaging and the HSS Radiologists serve a central and indispensible role in the diagnosis and treatment of Orthopaedic and Rheumatic diseases at HSS. Now, more than ever, it is important that the public and our patients be educated on what academic Radiology and Imaging providers do through research, teaching and clinical services and the overall positive effect on patient well-being and outcomes. It is my sincere hope that this document and the amazing quotes by our Referring Physician providers and grateful patients serves as a testament to these efforts. 22

HSS Department of Radiology and Imaging

Richard Fleury, Executive Director, HSS Radiologists.

Number of Procedures 2005 2006 2007 2008 2009 2010

179,111 183,322 194,459 216,105 235,834 247,630

Education, Fellowship and Research ducation is a key component of the Department’s ongoing reputation. We continue to set the standard for education in Orthopaedic imaging. Such programs as our world-renowned and accredited Fellowship program and the NYPH-Cornell Radiology Residency bring many students and Physician observers from around the globe to learn about the latest in Musculoskeletal Radiology.

Expansion of the Fellowship Program The entire Department is committed to continually improving our program and educating HSS Fellows to be the future legacies in musculoskeletal imaging. In 2009, under the auspices of Dr. Carolyn Sofka, who collaborated with the HSS Academic Training Department, the HSS Department of Radiology and Imaging Fellowship program became ACGME certified. Key changes to the Musculoskeletal Radiology Fellowship program in 2010 included: • The Department of Radiology and Imaging was one of the first Departments in the Hospital to receive CME accreditation for five weekly conferences, and contributes to a wide range of on-site professional and Continuing Medical Education (CME) programs. The Fellows are required not only to attend but also prepare and deliver NYPH Resident conferences. • Bone density scanning, also called Dual-Energy X-Ray Absorptiometry (DXA) or Bone Densitometry, is an enhanced form of X-Ray technology that is used to measure bone loss and monitor treatment for osteoporosis. DXA is today’s established standard for measuring Bone Mineral Density (BMD) and is included as part of the educational experience for the Fellows. • As part of a new Attending-Fellow mentorship program, each Fellow was assigned an Attending mentor. The program, which allows for continual one-to-one feedback, was well received by both Fellow and Attending. • A Chief Fellow was selected from amongst the Fellows to serve as a liaison between the Fellows, Dr. Sofka, Amy Lefkovic, the Administration, and the Attendings.

In 2011, the Department of Radiology and Imaging will increase the number of Fellows from seven to eight.

Dr. Sapna Jain, Chief of the 2010-2011 Musculoskeletal Radiology Fellows.

This year, Dr. Sapna Jain was named Chief Fellow by her colleagues and peers. She provided some keen insight into her role. Explain your role as Chief Fellow The Chief Fellow ensures that call and rotations are distributed as evenly and uniformly as possible and in accordance with service policy. I act as a liaison between the Fellows and Attendings on any issues concerning clinical or research topics. In addition, I help ensure that attendance of the curriculum conferences is maximized, and I assist the Program Director in recommending the best Faculty educators for Grand Rounds and other conferences. As the Chief Fellow, it is also my responsibility to represent the Musculoskeletal Radiology Fellowship group to the Faculty and external committees. I hold Fellow meetings before the monthly Faculty meeting and present the input of the Fellows at the Faculty and education committee meetings. What do you like about the Fellowship program? The Musculoskeletal Radiology Fellowship program has great variety. Fellows rotate through multiple modalities including Radiography; Dual-Energy X-Ray Absorptiometry; Fluoroscopy (specifically for joint aspirations and injections); Ultrasound (diagnostic and joint/soft tissue aspirations and injections); Computed Tomography (diagnostic and interventional); and Magnetic Resonance Imaging. As a Fellow, we are exposed to a high volume of diagnostic and procedural cases and a variety of pathologies, particularly in Sports Medicine and Rheumatology.

2010 Annual Report

Education, Fellowship and Research (Continued)

What do you feel is most unique about the program? The Faculty, both in the Department of Radiology and Imaging as well as in the other departments here at HSS, is the key distinguishing factor for this program. As Fellows, we have the opportunity to work with the best Musculoskeletal Radiologists, Orthopedic Surgeons, Rheumatologists, and Neurologists in the field. Ultrasound and MRI are two particular sections that are unique to HSS. We do approximately 1,000 Ultrasound diagnostic and procedural studies a month. In the MRI department, we currently have eight magnets (three of which are 3 Tesla) and perform approximately 2,500 MRI scans a month. The learning potential from this type of volume is immense. Why would you (and the other Fellows in your opinion) choose to recommend this program to other Radiologists? Personally, I wanted to join a program where I would receive a wide exposure to the field and obtain great teaching. You want to learn from the best and this is what HSS offers.

Mentorship Program – A New Resource in the Fellowship Program The mentorship program was developed to provide Fellows with a single Faculty member to whom they could go with concerns, questions, and guidance on many topics. These include, but are not limited to, job search, career advice, professional growth as a Musculoskeletal Radiologist, research issues and progress and interpersonal matters. Each Fellow is matched with a willing Faculty member at the beginning of the academic year. The mentor essentially serves as a more personal guide through fellowship. MENTOR/MENTEE PROFILE Mentor – Dr. Carolyn M. Sofka, Director, Education and Fellowship Training Mentee – Dr. Christina Geatrakas Providing insight into the value of the program, Dr. Christina Geatrakas shared her experiences with the program and with her attending mentor, Dr. Carolyn M. Sofka. What do you like about participating in the mentorship program? I appreciate our weekly meetings, as it gives me a tight time frame in which to set and meet goals, particularly regarding my research projects. I like having one Faculty member who keeps

HSS Department of Radiology and Imaging

Mentee – Dr. Christina Geatrakas and Mentor – Dr. Carolyn M. Sofka, Director, Education and Fellowship Training.

up with all aspects of my training, and is able to provide excellent advice and guidance based on her experience as a Musculoskeletal Radiologist. Can you offer any specifics on how your mentor has helped you in the Fellowship program? Through our weekly meetings, I have become more proactive with my research projects. Dr. Sofka and I have also spent a lot of time discussing my future plans, which has guided me as I give more careful thought to my career. What research projects are you working on and how have they helped to expand the overall educational program at HSS? I have three active projects currently. I have a study looking at acetabular version on Radiography and CT, a project examining weight-bearing versus non-weight bearing imaging of the ankle, and a project evaluating different radiographic views of the femoral neck. All three projects are on track for presentation or publication, contributing to the growth of the educational and research aspects of the Fellowship.

Fellows Are Actively Involved in Research The Fellowship program not only provides Fellows with access to some of the world’s best Musculoskeletal Radiologists, it also allows them to be involved and play an integral role in many of the active research projects that are taking place in the Department. The following is a selection of research investigations that the Fellows are currently involved in: • Dr. Tim Chen – Ultra-short TE sequence for the evaluation of Meniscal Repair. • Dr. Tim Chen – Pigmented villonodular synovitis status post total knee arthroplasty – Case report submitted to the Journal of Hospital for Special Surgery. • Drs. Tim Chen & Catherine Hayter Comparison of FSE and T2 relaxation times in assessment of patellofemoral cartilage in patients with patellofemoral pain syndrome. •

•

• • •

• Dr. Sapna Jain - Longitudinal evaluation North America (OCNA) as well as poster of isolated ACL tears – American presentation for International Society for Journal of Sports Medicine (AJSM). Magnetic Resonance in Medicine (ISMRM). • Dr. Catherine Hayter – “Magnetic Resonance Imaging of Arthroplasty: Comparison of MAVRIC and Conventional Fast Spin Echo Techniques” Accepted in American Journal of Radiology (AJR) as well as podium presentation at International Society for Magnetic Resonance in Medicine (ISMRM). • Dr. Catherine Hayter – “Magnetic Resonance Imaging of Cartilage Repair Techniques” – In press, Journal of Knee Surgery.

• Dr. Sapna Jain – Pseudoaneurysm digital artery – Journal of Bone and Joint Surgery (JBJS) submitted, case report. • Dr. Yvonne Moreno – Magnetic Resonance Imaging of Painful Shoulder Arthroplasty. • Dr. Yvonne Moreno – Tenosonographic effect pre/post injections – Abstract submitted to the 2011 Radiological Society of North America (RSNA) meeting. • Dr. Yvonne Moreno – Retrospective review of total shoulder arthroplasty Magnetic Resonance Imaging to evaluate synovitis and possible infection.

• Dr. Catherine Hayter – “Magnetic Resonance Imaging of the Post-Operative • Dr. Ralph Pinchinat – Comparison Hip” – In press, Journal of Magnetic between Plasma Rich Protein and Whole Resonance Imaging in Medicine. Blood Injections in the Hamstring Tendon. • Dr. Catherine Hayter – “MRI Patterns of Drs. Tim Chen & Catherine Hayter • Dr. Ralph Pinchinat – Physeal segmentaWear-Induced Synovitis” Podium presentaMagnetic Resonance Imaging with T2 tion using 3-D modeling of Magnetic tion for the International Society for and T1 rho prior to platelet rich plasma Resonance images utilizing semi-autoMagnetic Resonance in Medicine (ISMRM). injection into knee with stage 1-2 OA. mated segmentation techniques – • Dr. Catherine Hayter – “Magnetic Dr. Christina Geatrakas – Retrospective Abstract submitted to Orthopaedic Resonance Imaging Findings of review of 3-D CT data of ankle Research Society (ORS)/Pediatric Infection Following Knee Arthroplasty: CT/Magnetic Resonance Orthopaedic Society of North America the Positive Predictive Value of a Imaging/Conventional X-Ray views. (POSNA)-American Association of Lamellated Synovitis”, Podium presentaOrthopaedic Surgeons (AAOS). Dr. Christina Geatrakas – Measurement tion International Skeletal Society (ISS) of acetabular version in total hip arthro• Dr. Ralph Pinchinat – Injection of hamand submitted to RSNA. plasty: A comparison of Radiography strings with randomized blood vs. PRP – • Dr. Catherine Hayter – “Two and CT – Submission to American Abstract submitted for the End of the Dimensional vs. Three Dimensions Association of Hip and Knee Surgeons Year Fellows Research Presentations. Ultrasound Imaging of the Rotator (AAHKS) and Radiologic Society of • Dr. Brendan Skonieczki – Ultrasound Cuff”, Submitted to Radiologic Society of North America (RSNA). contrast for lateral epicondylitis: PRP North America (RSNA). Dr. Christina Geatrakas – Description of vs. steroid. • Dr. Sapna Jain – Ultrasound modified (standing) Dunn view. • Dr. Brendan Skonieczki – Comparison of Elastography and Ultrashort Echo Time Dr. Christina Geatrakas & Dr. Sapna Jain 3-D fluoro and CT for TT-TG distance (UTE) For Tendon (Achilles) – RSNA – Pudendal nerve evaluation on MRI. on PF instability – submitted for podium abstract submitted. presentation Paediatric Orthopaedics Dr. Catherine Hayter – “Imaging of Society of North America (POSNA). Metal on Metal Hip Resurfacing”, Published in Orthopedics Clinics of 2010 Annual Report

Honors and Awards Ronald S. Adler, PhD, MD

Helene Pavlov, MD, FACR

Castle Connolly Best Doctors

Castle Connolly Best Doctors Honored by Temple University School of Medicine Alumni

Hollis G. Potter, MD, FACR Eric Bogner, MD

Castle Connolly Best Doctors

HSS Department of Radiology and Imaging Teacher/Mentor Award of the Year – Honorable mention

HSS Department of Radiology and Imaging 2010 Teacher of the Year

EFORT Jacques Duparc Award: Kepler C, Green D, Bogner E, Potter HG, Hammoud S. MRI Evaluation of Medial Patellofemoral Ligament Injury after Primary Patellar Dislocation in Children

EFORT Jacques Duparc Award: Kepler C, Green D, Bogner E, Potter HG, Hammoud S. MRI Evaluation of Medial Patellofemoral Ligament Injury after Primary Patellar Dislocation in Children Gregory R. Saboeiro, MD Castle Connolly Best Doctors

Li Foong Foo, MD HSS Department of Radiology and Imaging Teacher/Mentor Award of the Year – Honorable mention

HSS Department of Radiology and Imaging Teacher/Mentor Award of the Year – Honorable mention

Robert Schneider, MD HSS Department of Radiology and Imaging 2010 Mentor Award of the Year

Theodore T. Miller, MD, FACR Castle Connolly Best Doctors Fellowship in the NY Academy of Medicine Founders Lecturer, International Skeletal Society

HSS Department of Radiology and Imaging

Carolyn M. Sofka, MD Inducted as a Fellow in the Society of Radiologists in Ultrasound

2010 Research, Publications, Presentations and Grants Ronald S. Adler, PhD, MD Published 1. Gamradt SC., Gallo RA., Adler RS., Maderazo A., Altchek DW., Warren RF., Fealy S., “Vascularity of the supraspinatus tendon three months after repair: characterization using contrast-enhanced ultrasound”, Journal of Shoulder Elbow Surgery, 2010 JanFeb;19(1):73-80. 2. Dodson CC., Kitay A., Verma NN., Adler RS., Nguyen J., Cordasco FA., Altchek DW. “The long-term outcome of recurrent defects after rotator cuff repair”, American Journal of Sports Med. 2010 Jan; 38(1):35-39. 3. Vasanth LC., Foo LF., Potter HG., Adler RS., Finzel KC., Pavlov H., Mandl LA., “Using Magnetic Resonance Angiography to Measure Synovial Blood Vessels in Early Inflammatory Arthritis: A New Imaging Biomarker”, Journal of Rheumatology, 2010; 37 (6):1129-1135. 4. Adler RS., 2009 ARRS Categorical Course Manuscript, “Percutaneious Ultrasound Guided Interventions in the Musculoskeletal System”, Ultrasound; Practical Sonography for the Radiologist, ARRS, Published April 2010, pgs 257-265 5. Sofka CM., Adler RS., Saboeiro GR., Pavlov H., “Sonographic Evaluation and Sonographic -Guided Therapeutic Options of Lateral Ankle Pain: Peroneal Tendon Pathology Associated with the Presence of an Os Peroneum”. Hospital for Special Surgery Journal, 2010; 6(2):177-181 6. Kim H., Walcott-Sapp S., Adler RS., Pavlov H., Boachie A., Westrich G., “Thromboembolic Complications Following Spine Surgery Assessed with Spiral CT Scans”, Hospital for Special Surgery Journal, 6(1): 95-98, DOI: 10.1007/s11420-009-9128-5 7. Stock H., Perino G., Athanasian E., Adler RS., “Leiomyoma of the Foot: Sonographic Features with Pathologic Correlation”, Hospital for Special Surgery Journal, 11/5/2010. 8. Wilde G., Adler RS., “Ultrasound Evaluation of Enchondroma with Soft Tissue Extension in the setting of Ollier Disease. (Case Report), Journal of Ultrasound in Medicine JUM, 2010 Dec. 29(12):1849-1853. Presentations 1. Adler RS., Ultrasound Tutorial “Ankle/foot hands on” – Part I, and II 1/2010 2. Adler RS., Hash T., “Ultrasound Guided Interventions / Case Presentation”, NYPH Resident Conference, 1/19/2010 3. Cadet E., Adler RS., Fealy S., Warren R., Gallo R., Cordasco F., Gamradt S., “Contrast Enhanced Ultrasound Characterization of

the Vascularity of the Repaired Rotator Cuff”, submitted to American Academy of Orthopedic Surgeons, AAOS, 3/5/2010 4. Adler RS., “Deep Vein Thrombosis is an Infrequent Complication after Shoulder Arthroplasty”, American Academy of Orthopedic Surgeons, AAOS, 3/5/2010 5. Adler RS., “Instructor of Ultrasound Hands-on Workshop”, Society of Skeletal Radiology, Las Vegas, Nevada, 3/13/2010 6. Adler RS., “Invitation as a speaker for a one day course on MSK”, Women’s Imaging, Porto Alegre, Brazil, 3/18/2010 7. Adler RS., “Updates in MSK Ultrasound”, American College of Rheumatology, Chicago, Illinois, 3/27/2010 8. Adler RS., “MSK Ultrasound, General Concepts”, “UltrasoundGuided Interventions in the MSK System”, “Ultrasound of the Shoulder-Part 1”, “Ultrasound of the Shoulder-Part 2”, and Ultrasound of Inflammatory Arthritis”, Guest Speaker, University of California, San Francisco School of Medicine Conference, Washington DC, 4/18-4/22, 2010 9. Adler RS., Ultrasound Tutorial “Troubleshooting” - Session I, and II 4/20/2010 10. Adler RS., Ultrasound Tutorial “Review & Evaluation”, 5/11/2010 11. Adler RS., “Musculoskeletal Ultrasound”, Staten Island University Grand Rounds, 5/12/2010 12. Adler RS., Hash T., “Case Presentation”, NYPH Resident Conference, 5/18/2010 13. Adler RS., Stock H.., “Diagnostic Problems in Nuclear Medicine Bone Scanning/Case presentation”, NYPH Resident Conference, 6/1/2010 14. Adler RS., Ultrasound Tutorial “DVT, Hands-on”, Hospital for Special Surgery 7/27/2010 15. Adler RS., “MSK Ultrasound”, NYPH Resident Core Curriculum, 7/29/2010 16. Adler RS., “MSK Ultrasound” Radiology Grand Rounds, Hospital for Special Surgery, 8/4/2010 17. Adler RS., Ultrasound Tutorial “Shoulder Demonstration and Hands-on”, Hospital for Special Surgery 8/10/2010 18. Adler RS., “Ultrasound”, Sports Medicine MRI, 8/12/2010 19. Adler RS., Ultrasound Tutorial “Elbow and Wrist Demonstrations and Hands-on”, Hospital for Special Surgery 9/14/2010 20. Adler RS., “Ultrasound Assessment of Intra-Articular Pathology: Does Ultrasound Have a Role”, International Skeletal Society, ISS, Athens, Greece, 9/29-10/2, 2010

2010 Annual Report

2010 Research, Publications, Presentations and Grants (Continued) 21. Adler RS., Jain S., “Fingers”, Radiology Fellow Presentations, Hospital for Special Surgery 10/15/2010 22. Adler RS., Fellows Introductory Course. Presentation “Ultrasound Guided Imaging” - Hospital for Special Surgery, Rheumatology Division, 10/19/2010 23. Adler RS., Moreno Y., “Foot: Plantar Plate, LisFranc Ligament, Etc.”, Radiology Fellow Presentations, 10/22/2010 24. Adler RS., Miller TT., “ISS Presentations” Radiology Grand Rounds, Hospital for Special Surgery, 10/27/2010 25. Adler RS., Nicola R., “Nerve Anatomy of the Lower Extremity”, Radiology Fellow Presentations, Hospital for Special Surgery 10/29/2010 26. Adler RS., Chang A., “Hind foot and Heal Pain”, HSS Alumni Association 92nd Annual Meeting, HSS, New York, 11/13/2010 27. Adler RS., Ultrasound Tutorial “Thigh/Knee, Ankle/Foot Demonstration and Hands-on” Hospital for Special Surgery, 11/15/2010 28. Adler RS., “Musculoskeletal Masses”, Radiological Society of North America RSNA 96th Annual Scientific Meeting, Chicago Illinois, 11/28-12/1/2010 29. Adler RS., “Ultrasound of the Foot and Ankle”, Science and Pearls of Foot and Ankle Pathology, New York College of Podiatric Medicine, The Crowne Plaza Hotel, East Elmhurst, NY, 12/4/2010 Resident/Fellow CME Presentations 1. Adler RS., Weekly Hands on Ultrasound tutorials Grants 1. Adler RS., Major League Baseball Grant (COPI) Grant # 3135400, January 1 - July 2010 150,000.00 Service Commitments 1. HSS, Infection Control Committee

Eric Bogner, MD Published 1. Bogner E., “19 year old man with long standing elbow pain”, What’s the Diagnosis, Case 25: http://www.hss.edu/Diagnosis-Case25.asp, 1/2010 2. Bogner E., “25 year old man with right hip and groin pain”, What’s the Diagnosis, Case 26: http://www.hss.edu/Diagnosis-Case26.asp, 2/2010

HSS Department of Radiology and Imaging

3. Bogner E., “80 year old woman 2 years status post left THR with fall 2.5 weeks ago and radiating left low back pain”, What’s the Diagnosis, Case 27: http://www.hss.edu/Diagnosis-Case-27.asp, 3/2010 4. Bogner E., “40 year old man with lifting injury”, What’s the Diagnosis, Case 28: http://www.hss.edu/Diagnosis-Case-28.asp, 4/2010 5. Bogner E., “66 year old woman with increasing hip pain”, What’s the Diagnosis, Case 29: http://www.hss.edu/Diagnosis-Case29.asp, 5/2010 6. Hash TW., Bogner E., “Nerve entrapment and compression syndromes of the elbow”, Seminar in Musculoskeletal Radiology, 2010 Sep14(4):438-48. Epub 2010 Sep 8. 7. Bogner E., “62 year old man with increasing right lower extremity pain”, What’s the Diagnosis, Case 30: http://www.hss.edu/Diagnosis-Case-30.asp, 6//2010 8. Bogner E., “32 year old woman runner with increasing ankle pain”, What’s the Diagnosis, Case 31: http://www.hss.edu/Diagnosis-Case-31.asp, 7/2010 9. Bogner E., “25 year old man with right hip and groin pain”, What’s the Diagnosis, Case 32: http://www.hss.edu/diagnosis-case32.asp, 8/2010 10. Bogner E., “46 year old man with recent weight lifting injury and deformity on exam”, What’s the Diagnosis, Case 33: http://www.hss.edu/Diagnosis-Case-33.asp, 9/2010 11. Bogner E., “38 yr old woman with 6 months of wrist pain”, What’s the Diagnosis, Case 34: http://www.hss.edu/diagnosis-case34.asp, 10/2010 12. Bogner E., “14y/o with several months of hip pain questionably related to sports”, What’s the Diagnosis, Case 35: http://www.hss.edu/Diagnosis-Case-35.asp, 11/2010 13. Bogner E., “62 year old woman with new onset right hand pain but with a history of multiple sites of joint pain”, What’s the Diagnosis, Case 36: http://www.hss.edu/Diagnosis-Case-36.asp, 12/2010 Poster 1. Zifchock, B., Brown, A., Backus S., Bogner E., Pavlov H., Hunter D., Chen C., Mandl L., Hillstrom H., “The Relationship Among Pain, Structure, and Function of the Knee in Patients with Medial Knee Osteoarthritis”, Joint ESMAC, Gait and Clinical Movement Analysis Society GCMAS (JEGM 2010) Meeting, Miami FL, May 12-15

Presentations

20. Bogner E., “Pediatric ACL”, Sports MRI Conference, 9/2/2010

1. Bogner E., Stock H., “Hardware Complications/Case Presentation”, NYPH Resident Conference, 2/16/2010

21. Bogner E., Chen T., “Wrist: Ligaments and TFCC”, Radiology Fellow Presentations, Hospital for Special Surgery, 9/3/2010

2. Bogner E., DiCarlo G., “Joint (DJD ETC)”, Radiology and Pathology Conference, Hospital for Special Surgery, 3/22/2010

22. Bogner E., DiCarlo G., Radiology Pathology Conference, “Joint (DJD ETC)” Hospital for Special Surgery, 9/8/2010

3. Bogner E., Stock H., “Elbow: Ligament Injuries”, Radiology Fellow Presentations, Hospital for Special Surgery, 4/2/2010

23. Bogner E., Moreno Y., “Tumors Case Presentation”, NYPH Resident Conference, 9/28/2010

4. Bogner E., Endo Y., “Knee Meniscal Tears”, Radiology Fellow Presentations, Hospital for Special Surgery, 4/30/2010

24. Bogner E. “Spondylolysis / Spondylolisthesis.” HSS Sports Conference , New York, 10/21/2010

5. Bogner E., Su H., “Imaging of Arthroplasty and Interesting Cases”, Learning Format: Case Presentations, Hospital for Special Surgery, 4/30/2010

25. Bogner E. Miller TT., “Diffuse Foot / Ankle Pain”, HSS Alumni Association 92nd Annual Meeting, HSS, New York, 11/13/2010

6. Bogner E., Hash T., “Ankle Tendon Pathology”, Radiology Fellow Presentations, Hospital for Special Surgery, 5/14/2010

26. Bogner E. “Patella Femoral”, HSS Sports Conference, New York, 12/2/2010

7. Bogner E., Murakami A., “Imaging in Rheumatology: Adult”, Radiology Fellow Presentations, Hospital for Special Surgery, 5/28/2010

27. Bogner E., Klein E., “End of Bone Lesions”, Radiology and Pathology Conference, Hospital for Special Surgery, 12/27/2010

8. Bogner E., Stock H., “Musculoskeletal Tumors”, Radiology Fellow Presentations, Hospital for Special Surgery, 6/11/2010

28. Bogner E., Geatrakas C., “Wrist: Tendons”, Radiology Fellow Presentations, Hospital for Special Surgery, 9/24/2010

9. Bogner E., Geatrakas C., “Knee: Ligaments”, Radiology Fellow Presentations, Hospital for Special Surgery, 6/18/2010

29. Bogner E., Pinchinat R., “Nerve Anatomy of the Upper Extremity”, Radiology Fellow Presentations, Hospital for Special Surgery, 11/5/2010

10. Bogner E., Endo Y., “Knee Meniscal Tears”, Radiology Fellow Presentations, Hospital for Special Surgery, 6/25/2010

30. Bogner E., Skonieczki B., “Shoulder: Rotator Cuff”, Radiology Fellow Presentations, Hospital for Special Surgery, 11/19/2010

11. Bogner E., “Knee/Menisci”, Radiology Fellow Presentations, Hospital for Special Surgery, 7/10/2010

31. Bogner E., “Elbow”, Radiology Fellow Presentations, Hospital for Special Surgery, 12/3/2010

12. Bogner E., Chen T., “Knee: Menisci”, Radiology Fellow Presentations, Hospital for Special Surgery, 7/16/2010

Resident/Fellow CME Presentations

13. Bogner E., Hayter C., “Knee: Extra Articular Anatomy”, Radiology Fellow Presentations, Hospital for Special Surgery, 7/23/2010 14. Bogner E., “Imaging approach to Tumors”, NYPH Core Curriculum, 7/26/2010 15. Bogner E., Jain S., “Hip”, Radiology Fellow Presentations, Hospital for Special Surgery, 7/30/2010 16. Bogner E., Moreno Y., “Shoulder: Rotator Cuff”, Radiology Fellow Presentations, Hospital for Special Surgery, 8/6/2010 17. Bogner E., Nicola R., “Shoulder: Labroscapular Anatomy”, Radiology Fellow Presentations, Hospital for Special Surgery, 8/13/2010

1. Bogner E., Weekly Teaching File Conferences: Interesting Cases Service Commitments • HSS, Pharmacy & Therapeutics Committee • HSS, CME Committee Reviewer - Radiology Pathology - RSS. 4/14/2010 & 6/9/2010 HSS, Safety Focus Group • Manuscript Reviewer: CORR, Sports Health, RADIOLOGY, Radiographics, AJSM • New York Roentgen Society-Alternate Delegate. • Radiographics Review Panel MSK RSNA. 11/29/2010

18. Bogner E., Pinchinat R., “Ankle: Tendons”, Radiology Fellow Presentations, Hospital for Special Surgery, 8/20/2010 19. Bogner E., Skonieczki B., “Ankle: Ligaments”, Radiology Fellow Presentations, Hospital for Special Surgery, 8/27/2010

2010 Annual Report

2010 Research, Publications, Presentations and Grants (Continued) Anthony Chang, MD

Yoshimi Endo, MD

Published

1. Murakami A., Chang A., Foo LF., “Traumatic Lateral Plantar Artery Pseudoaneurysm and the Use of Time Resolved MR Angiography Submitted to the Journal for Hospital for Special Surgery, 2/2010: 6;214-218

1. Endo Y., Sofka CM., “Literature Reviews”, Ultrasound Quarterly, 26(3):183-187, 2010.

Presentations 1. Chang A., “Interesting Cases” Radiology Grand Rounds, Hospital for Special Surgery 1/20/2010 2. Chang A., “MR Imaging of the Brachial Plexus and Peripheral Nerves” Neurology-Physiatry Course, Hospital for Special Surgery 3/19/2010 3. Chang A., Endo Y., “Interesting Cases / Case Presentation”, NYPH Resident Conference, 4/6/2010 4. Chang A., “MSK Infection”, NYPH Resident Core Curriculum, 7/30/2010 5. Chang A., “On Call MR Imaging: Osteomyelitis, post op THA”, Radiology Grand Rounds, Hospital for Special Surgery, 8/11/2010 6. Chang A., DiCarlo E., “Pediatric Conditions”, Radiology Pathology Conference, Hospital for Special Surgery, 10/18/2010 7. Chang A., Nicola R., “Infection / Case Presentation”, NYPH Resident Conference, 10/26/2010 8. Chang A., DiCarlo E., “Pediatric Conditions”, Radiology Pathology Conference, Hospital for Special Surgery, 11/1/2010 9. Adler RS., Chang A., “Hind foot and Heal Pain”, HSS Alumni Association 92nd Annual Meeting, HSS, New York, 11/13/2010 10. Chang A., Su H., “Hip Impingement: Labral Tears”, Campbell G; “Imaging in Rheumatology: Radiology Fellow Presentations, Hospital for Special Surgery, 12/4/2010 Resident/Fellow CME Presentations 1. Chang A., Weekly MRI Conference: Interesting Cases 2. Chang A., Weekly Teaching File Conference Service Commitments • HSS, Utilization Management Committee • HSS, Radiology & Imaging Teaching File Committee • HSS, Radiology Compliance Committee • Chang A., Manuscript Review for AIUM, HSS Journal

2. Endo Y. “Literature Reviews”, Ultrasound Quarterly, 26(4), 2010. 3. Kepler C., Pavlov H., Herzog RJ., Rawlins BA., Endo Y., Green DW., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, to Spine Journal, September 2010;10 (9), 23-25 Posters 1. Kepler C., Pavlov H., Green D., Herzog RJ., Rawlings BA., Endo Y., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, Orthopedic Research Society 56th Annual Meeting March 6-9, 2010, New Orleans, Louisiana. Presentations 1. Endo Y., “Rotator Cuff Tears”, “Knee Meniscal Tears”, Radiology Fellow Presentations, 1/22/2010 2. Endo Y., Kepler K., Herzog RJ., Rawlins BA., Green DW., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System with Conventional Radiography and CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine” Hospital for Special Surgery Fellow Research Presentations, 6/3/2010. 3. Endo Y., Kepler K., Herzog RJ., Rawlins BA., Green DW., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System with Conventional Radiography and CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine” Hospital for Special Surgery Resident Research Presentations, 6/4/2010. 4. Schneider R., Endo Y., “Nuclear Medicine/ Case Presentation”, and “Trauma Case Presentation”, NYPH Resident Conference, 6/25/2010 5. Loftus M., Endo Y., Adler RS., “Platelet Rich Plasma and Autlogous Blood: Where do they go?”, Radiological Society of North American, RSNA, Abstract Accepted 7/2010 6. Kepler C., Green D., Herzog RJ., Rawlings BA., Endo Y., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, Focused Paper Presentation (FPP), The 25th Annual North American Spine Society NASS, 10/6/2010 Service Commitments • Endo Y., “Literature Reviews” Section Editor - Ultrasound Quarterly

HSS Department of Radiology and Imaging

Li Foong Foo, MD Published 1. Murakami A., Chang A., Foo LF., “Traumatic lateral plantar artery pseudoaneurysm and the Use of Time Resolved MR Angiography Submitted to the Journal for Hospital for Special Surgery, 2/2010: 6;214-218 2. Bedi A., Foo LF., Williams III RJ., Potter HG., and the Cartilage Study Group, “The Maturation of Synthetic Scaffolds for Osteochondral Donor Sites of the Knee: An MRI and T2 Mapping Analysis”, Cartilage 2010; 1(1):20-28. 3. Murawski CD., Foo LF., Kennedy JG., “A Review of Arthroscopic Bone Marrow Stimulation Techniques of the Talus: The Good, the Bad, and the Causes for Concern”, Cartilage 2010; 1 (2):137-144 4. Shindle M., Foo LF., Kelly B., Potter HG., “Articular Cartilage”, In Khanna AJ, ed. Musculoskeletal MRI Essentials for the Orthopedic Surgeon. New York: Thieme; 2010; 353-369 5. Vasanth LC., Foo LF., Potter HG., Adler RS., Finzel KC., Pavlov H., Mandl LA., “Using Magnetic Resonance Angiography to Measure Synovial Blood Vessels in Early Inflammatory Arthritis: A New Imaging Biomarker”, Journal of Rheumatology, 2010; 37 (6):1129-1135. 6. Minwook K., Foo LF., Uggen C., Lyman S., Ryaby JT., Moynihan DP., Grande DA, Potter HG., Pleshko N., “Evaluation of Early Osteochondral Defect Repair in a Rabbit Model Utilizing Fourier Transform–Infrared Imaging Spectroscopy, Magnetic Resonance Imaging, and Quantitative T2 Mapping”, Tissue Engineering Part C: Methods. June 2010, Vol. 16, No. 3: 355-364 7. Fortier LA., Potter HG., Rickey E.J, Schnabel LV., Ellsworth JR., Foo LF., Nixon A., “Concentrated bone marrow aspirate improves full-thickness cartilage repair”, Journal for Bone and Joint Surgery, JBJS, 2010: 92;1927-1937 8. Maher S., Rodeo S., Doty S., Brophy R., Potter HG., Foo LF., Rosenblatt L., Deng XH., Turner A., Wright T., Warren R., “Evaluation of a Porous Polyirethane Scaffold in a Partial Meniscal Defect Bovine Model”, The Journal of Arthroscopic and Related Surgery, 2010: 26 (11);1510-1519 9. Cooper J, Ranawat A, Potter H, Koob T, Foo LF., “Early Reactive Synovitis and Osteolysis after Total Hip Arthroplasty”, Clinical Orthopaedics and Related Research, 2010: 468; 3278-3285 Presentations

2. Foo LF., Skonieczki B., “MRI- Knee, Shoulder Case Presentation”, NYPH Resident Conference, 5/8/2010 3. Foo LF., “Physeal Imaging”, New York Roentgen Society: Musculoskeletal, The Princeton Club, New York, 10/13/2010 Service Commitments 1. HSS, Health Information Management Committee 2. Cartilage Study Group

Bernard Ghelman, MD Presentations 1. Ghelman B., “Skeletal Dysplasia”, Radiology and Pathology Conference, Hospital for Special Surgery, 3/4/2010 2. Ghelman B., Hash T., “Interesting Cases / Case Presentation”, NYPH Resident Conference, 4/13/2010 3. Ghelman B., Perino G., “Cystic Tumors”, Radiology Pathology Conference, Hospital for Special Surgery, 5/17/2010, 5/19/2010 and 6/14/2010 4. Ghelman B., “Skeletal Dysplasia”, Radiology and Pathology Conference, Hospital for Special Surgery, 6/3/2010, 10/7/2010 and 12/2/2010 5. Ghelman B., “Cartilaginous Tumors”, 2010 NYRA Rheumatology Board Review Course, Hospital for Special Surgery, 9/20/2010 6. Ghelman B., DiCarlo E., “Cartilaginous Tumors”, Radiology and Pathology Conference, Hospital for Special Surgery, 9/20/2010 and 10/4/2010 7. Ghelman B., “Imaging of Arthritis”, 2010 NYRA Rheumatology Board Review Course, East Side Marriot Hotel, New York, NY, 10/3/2010

Richard J. Herzog, MD Published 1. Cheng D., Zimmer Z., Herzog RJ., Lutz G., “Sacral Insufficiency Fractures”, Journal of Physical Medicine and Rehabilitation, February, 2010; 2 (2): 162-164 2. Kepler C., Pavlov H., Herzog RJ., Rawlins BA., Endo Y., Green DW., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, to Spine Journal 9/2010 September 2010;10 (9), 23-25

1. Foo LF., Campbell G., “Case Presentation”, Skonieczki B., “MRIKnee, Shoulder Case Presentation”, NYPH Resident Conference, 3/16/2010

2010 Annual Report

2010 Research, Publications, Presentations and Grants (Continued) Posters

Darius Melisaratos, MD

1. Kepler C., Pavlov H., Green D., Herzog RJ., Rawlings BA., Endo Y., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, Orthopedic Research Society 56th Annual Meeting March 6-9, 2010, New Orleans, Louisiana.

Presentations

Presentations 1. Endo Y., Kepler K., Herzog RJ., Rawlins BA., Green DW., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System with Conventional Radiography and CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine” Hospital for Special Surgery Fellow Research Presentations, 6/3/2010. 2. Endo Y., Kepler K., Herzog RJ., Rawlins BA., Green DW., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System with Conventional Radiography and CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine” Hospital for Special Surgery Resident Research Presentations, 6/4/2010. 3. Herzog R., “Pre and Post Operative Spine MRI”, Radiology Grand Rounds, Hospital for Special Surgery, 8/18/2010 4. Kepler C., Green D., Herzog RJ., Rawlings BA., Endo Y., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, Focused Paper Presentation (FPP), The 25th Annual North American Spine Society NASS, 10/6/2010 Resident/Fellow CME Presentations 1. Herzog R., Weekly MRI Conference: Spine 2. Herzog R., Monthly Spine Service Conference: 3. Herzog R., Monthly Physiatry Grand Rounds Grants 1. NIAMS/DARTHMOUTH - Spine Patient Outcome Research Trial - MRI Evaluations. 2. Multidisciplinary Clinical Research Center in Musculoskeletal Diseases. NIH funded for the interpretation of the MRI exams performed for the SPORT NIH study. Service Commitments 1. HSS, Institutional Review Board 2. HSS, Department CRP Committee 3. Tuscarawas - Open MRI / Q & A’s 4. Belden Village / Open MRI Q& A’s 5. HSS Spine Care Institute Interdisciplinary Leadership Forum

HSS Department of Radiology and Imaging

1. Melisaratos D., “Current Economic Climate of Radiology”, New York Presbyterian Hospital-Cornell Weill Medical College Resident Lecture, 9/15/2010 2. Melisaratos D., “Interesting Spine and Neuro Cases” Radiology Grand Rounds, Hospital for Special Surgery, 10/6/2010 Resident/Fellow CME Presentations 1. Melisaratos D., Monthly Neurology Interdepartmental Teaching Conference: Interesting Cases

Theodore T. Miller, MD, FACR Published 1. Miller TT., Reinus W., “Entrapment Syndromes of the Elbow, Forearm, and Wrist”. Accepted for publication at American Journal of Roentgenol, 2010, Sep; 195(3):585-594 Presentations 1. Miller TT., Visiting Professor, Department of Radiology Grand Rounds: “Imaging of Hip Arthroplasty Resident Case Presentation”, SUNY Stony Brook NY, 1/19/2010 2. Miller TT., “US vs. MR of Sports Injuries”, Orthopedic Grand Rounds, ProHealth LI NY, 1/19/2010 3. Miller TT., Klein M., “Infection”, Radiology and Pathology Conference, Hospital for Special Surgery, 1/25/2010 4. Miller TT., “Morphologic Imaging of the Prosthesis Joint”, Nuclear Medicine grand Rounds: Department of Radiology, North Shore University Hospital, 4/12/2010 5. Miller TT., Wilde G., “Case Review / Case Presentation”, NYPH Resident Conference, 4/27/2010 6. Miller TT., “Introduction to MSK Imaging”, HSS Medical Student Orthopedics Rotation, Hospital for Special Surgery, 7/13/2010, 8/10/2010, 9/7/2010, and 10/5/2010 7. Miller TT., “Imaging Approach to Arthritis & Arthropathies”, NYPH Resident Core Curriculum, 7/27/2010 8. Miller TT., “Multimodality Imaging of Soft Tissue Calcium”, and “Contrast Layering in Myelography”, Society of Academic Bone Radiologists, Santa Fe, New Mexico, 7/29/ 2010 9. Miller TT., “Current Status of Weight bearing Surfaces”, and “Facet Joint Arthrosis”, International Skeletal Society, Athens Greece, 9/27/2010 10. Miller TT., Hayter C., “Elbow”, Radiology Fellow Presentations, Hospital for Special Surgery, 10/8/2010

11. Adler RS., Miller TT., “ISS Presentations”, Radiology Grand Rounds, Hospital for Special Surgery, 10/27/2010

Helene Pavlov MD, FACR Published

12. Miller TT., “Internal Derangement and Chondral Injury of the Knee”, “Shoulder Capsulolabral Injuries”, “Shoulder Impingement”, and “Sports Injuries of the Elbow and Wrist”, Leeds Sports Course 11/8-11/10/2010, Leeds, UK

1. Pavlov H., “I Must Have Anthrax, The Internet Says So”, Huffington Post Blog Posting, http://www.huffingtonpost.com/ helene-pavlov/i-must-have-anthrax-the-i_b_411094.html, 1/5/2010

13. Miller TT., Klein M., “Infection”, Radiology and Pathology Conference, Hospital for Special Surgery, 11/11/2010

2. Pavlov H., “Tested (And FDA Approved) Western Medicine”, Huffington Post Blog Posting, http://www.huffingtonpost.com/ helene-pavlov/the-voodoo-eastern-medici_b_419873.html, 1/14/2010

14. Miller TT., “Status of Weight Bearing Surfaces”, HSS Medical Student Orthopedics Rotation, Hospital for Special Surgery, 11/12/2010 15. Bogner E. Miller TT., “Diffuse Foot / Ankle Pain”, HSS Alumni Association 92nd Annual Meeting, HSS, New York, 11/13/2010 Resident/Fellow CME Presentations 1. Miller TT., Weekly MRI Conference: Interesting Cases 2. Miller TT., Weekly Teaching File Conference: Interesting Cases 3. Miller TT., Weekly Grand Rounds Service Commitments 1. Director, Resident/Medical Student Training 2. HSS,CME Committee 3. HSS, By-Laws Committee 4. HSS, Medical Student Advisory Committee 5. NYPH -Education Committee 6. Editorial Board-RadioGraphics, RADIOLOGY, The Spine Journal 7. Manuscript Reviewer: Pediatric Radiology, The Spine Journal, RadioGraphics, Arthritis & Rheumatism, Journal of Clinical US, Skeletal Radiology, RADIOLOGY, CORR 8. New York Roentgen Society - President 2008-2009 9. New York State Radiological Society - Committee on Education 10. American Institute of Ultrasound in Medicine (AIUM)-Scientific Program Committee for Annual Meeting 11. Radiological Society of North America (RSNA)- Scientific Program Committee Chair, MSK Educational Exhibits Panel 12. Society of Academic Bone Radiologists – Treasurer 13. International Skeletal Society (ISS): Sponsorship Committee, Closed Program Committee, Refresher Course Committee, Chair – Electronic Educational Exhibit

3. Pavlov H., “Thoughts on HealthCare Reform- The Process, Why So Much Media Coverage”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/thoughts-on-healthcare-re_b_428867.html, 1/20/2010 4. Pavlov H., “Healthcare Reform- Where is it Going”?, Huffington Post Blog Posting, http://www.huffingtonpost.com/ helene-pavlov/healthcare-reform----wher_b_435839.html, 1/25/2010 5. Pavlov H., “First, “Do Not Harm” and Second, “Do Only What is Necessary”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/first-do-no-harm-and-seco_b_444406.html, 2/1/2010 6. Pavlov H., “Please (DON’T) Pass the Salt”, http://www.huffingtonpost.com/helene-pavlov/please-dont-pass-thesalt_b_453310.html, Huffington Post Blog Posting, 2/9/2010 7. Pavlov H., “Radiation Concerns in the Medical Field”, Huffington Post Blog Posting, http://www.huffingtonpost.com/ helene-pavlov/radiation-safety-concerns_b_464073.html , 2/16/2010 8. Pavlov H., “The Value of PRP in Orthopedics”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helenepavlov/the-value-of-prp-in-ortho_b_464391.html, 2/23/2010 9. Bedi A., Raphael B., Maderazo A., Pavlov H., Williams R., “Transtibial versus Anteromedial Portal Drilling for Anterior Cruciate Ligament Reconstruction: A Cadaveric Study of Femoral Tunnel Length and Obliquity”, submitted to the Journal of Arthroscopic and Related Surgery, Vol. 26, Issue 3,342-350, 3/2010 10. Pavlov H., “The Stigma and Sting that is Obesity”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helenepavlov/the-stigma-and-sting-that_b_464076.html, 3/1/2010 11. Pavlov H., “Why Do I Wait So Long at The Doctors Office”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/waitingwaiting-and-waiti_b_493255.html, 3/10/2010 12. Pavlov H., “Can You Have an MRI After Joint Replacement”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/can-youhave-an-mri-after_b_501750.html, 3/17/2010

2010 Annual Report

2010 Research, Publications, Presentations and Grants (Continued) 13. Pavlov H., “What’s Wrong in the East: What’s Right in the West”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/whats-wrong-in-theeast-w_b_510673.html, 3/24/2010 14. Pavlov H., “Why Collaboration is Key – Recommend, Require, and Reinforce”, Radiology Rounds, http://radiologyrounds.org/whycollaboration-is-key-recommend-require-and-reinforce-huffingtonpost-blog/, 4/9/2010 15. Pavlov H., “Why Collaboration is Key – Recommend, Require, and Reinforce”, Times Daily Blog, http://timesdailyblog.com/2010/04/09/why-collaboration-is-keyrecommend-require-and-reinforce/, 4/9/2010 16. Pavlov H., “Why Collaboration is Key – Recommend, Require, and Reinforce”, One Page News, http://www.onenewspage.com/ news/Lifestyle/20100409/9932957/ Helene-Pavlov-Why-Collaboration-Is-Key-Recommend.htm, 4/9/2010 17. Pavlov H., “Why Collaboration is Key – Recommend, Require, and Reinforce”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/why-collaboration-iskey_b_510692.html, 4/9/2010 18. Pavlov H., “Tim R. Williams., Target Safety”, Huffington Post Blog Posting, http://www.huffingtonpost.com/tim-r-williams-md/ target-safely_b_544270.html, 4/20/2010 19. Pavlov H., “Helene Pavlov: Radiology Looking Ahead”, Newsabi, http://www.newsabi.com/2010/04/21/helene-pavlovradiology-looking-ahead/, 4/21/2010 20. Pavlov H., “Helene Pavlov: Radiology Looking Ahead”, Debt Deductions, http://debtreductionus.com/health/?p=54339, 4/21/2010 21. Pavlov H., “Radiology: Looking Ahead”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/radiologylooking-ahead_b_510674.html, 4/21/2010 22. Pavlov H., “Bent, Not Broken”, New York Times, http://www.nytimes.com/2010/05/02/nyregion/ 02back.html?pagewanted=1&src=twt&twt=nytimeshealth, 4/30/2010 23.Vasanth LC., Foo LF., Potter HG., Adler RS., Finzel KC., Pavlov H., Mandl LA., “Using Magnetic Resonance Angiography to Measure Synovial Blood Vessels in Early Inflammatory Arthritis: A New Imaging Biomarker”, Journal of Rheumatology, 2010; 37 (6):1129-1135. 24. Deland J., Pavlov H., Maderazo A., Lehto S., Yu J., Williams B., Deyer T., Ellis S., “Assessment of Lateral Hindfoot Pain in Acquired Flatfoot Deformity Using Weightbearing Imaging”, Foot and Ankle International, 31 (5):361-371, May 2010, DOI: 103113/FAI2010.0361

HSS Department of Radiology and Imaging

25. Pavlov H., “Should We Be Paying Kids to do Well”, Huffington Post Blog Posting, http://www.huffingtonpost.com/ helene-pavlov/should-we-be-paying-kids_b_562585.html, 5/5/2010 26. Pavlov H., “When Your Health’s at Risk, Investigate”, Huffington Post Blog Posting, http://www.huffingtonpost.com/ helene-pavlov/medical-advice-when-its-y_b_580996.html, 5/20/2010 27. Pavlov H., “Helene Pavlov: The Ethical Imperative to Invest in Medical Technology”, Regator, http://regator.com/p/242605834/helene_pavlov_the_ethical_ imperative_to_invest_in/, 6/2/2010 28. Pavlov H., “Helene Pavlov: The Ethical Imperative to Invest in Medical Technology”, Remodel Online, http://www.remodelonline.com/33609/the-ethical-imperative-toinvest-in-medical-technology-huffingtonpost-com/, 6/2/2010 29. Pavlov H., “Helene Pavlov: The Ethical Imperative to Invest in Medical Technology”, Radiology Rounds, http://radiologyrounds.org/the-ethical-imperative-to-invest-inmedical-technology-huffington-post-blog/, 6/2/2010 30. Pavlov H., “Helene Pavlov: The Ethical Imperative to Invest in Medical Technology”, Radiology Facts and Profession, http://www.radiobitacoras.com/radiology/82, 6/2/2010 31. Pavlov H., “Helene Pavlov: The Ethical Imperative to Invest in Medical Technology”, Treating Arthritis, http://treatingarthritis.info/38065/helene-pavlov-the-ethicalimperative-to-invest-in-medical-technology/, 6/2/2010 32. Pavlov H., “Helene Pavlov: The Ethical Imperative to Invest in Medical Technology”, Huffington Post Blog Posting, http://www.huffingtonpost.com/helene-pavlov/medical-research-theethi_b_580998.html, 6/2/2010 33. Pavlov H., “Helene Pavlov: The Ethical imperative to Invest in Medical Technology”, Big Egg, http://www.bigegg.com.au/helenepavlov-the-ethical-imperative-to-invest-in-medical-technology/, 6/3/2010 34. Pavlov H., “Helene Pavlov: The Ethical imperative to Invest in Medical Technology”, READ News, http://www.read-news.info/daynews/helene-pavlov-x-rays-and-children-know-the-limits/, 6/24/2010 35. Pavlov H., “Helene Pavlov: X-Rays and Children: Know the Limits”, Acid Reflux (GERD) Information, http://acidreflux.ditttos.com/health-care-news/helene-pavlov-x-raysand-children-know-the-limits, 6/24/2010 36. Pavlov H., “X-Rays and Children: Know the Limits”, Huffington Post Blog Posting, http://www.huffingtonpost.com/ helene-pavlov/x-rays-and-children-know_b_607312.html, 6/24/2010

37. Pavlov H., “Helene Pavlov: X-Rays and Children: Know the Limits”, My Alternative Healing, http://myalternativehealing.com/ blog/2010/06/28/helene-pavlov-x-ray-and-childhood-we-know-thelimits/, 6/28/2010

47. Pavlov H., “Helene Pavlov: Parents Can Help Limit Kids’ Exposure to Medical Imaging”, Billings Clinic Health News, http://www.billingsclinic.com/body.cfm?id=416&action=detail&aep roductid =HealthScoutfeed&aearticleid=32707, 8/4/2010

38. Pavlov H., “What Parents Need to Know about Summer Injuries and Radiation from X-rays”, Newswise, http://www.newswise.com/articles/what-parents-need-to-knowabout-summer-injuries-and-radiation-fromrays?ret=/articles/list&category=latest&page=1&search%5Bstatu s%5D=3&search%5Bsort%5D=date+desc&search%5Bhas_multimedia%5D=, 7/2/2010

48. Pavlov H., “Helene Pavlov: Are Radiation-Producing Medical Tests Necessary?” http://www.huffingtonpost.com/helenepavlov/are-radiation-producing-m_b_637055.html 08/4/10

39. Pavlov H., “Helene Pavlov: Three Cheers for Jamie Oliver” http://www.huffingtonpost.com/helene-pavlov/are-radiationproducing-m_b_637055.html 07/06/10 40. Pavlov H., “Parents Can Help Limit Kids’ Exposure to Medical Imaging”, Vitabeat Health and Wellness, http://www.vitabeat.com/8971/parents-help-limit-kids-exposuremedical-imaging, 7/16/2010

49. Pavlov H., “Helene Pavlov: Know the A, B, Cs of Head Injury” http://www.huffingtonpost.com/helene-pavlov/know-theabcs-of-head-inj_b_685513.html 08/19/10 50. Pavlov H., “Helene Pavlov: What Does ‘Top’ Mean?” http://www.huffingtonpost.com/helene-pavlov/what-does-topmean_b_685534.html 09/08/10 51. Ellis S., Williams B., Wagshul A., Pavlov H., Deland J., “Reconstruction of the Deltoid Ligament with Peroneus Longus Autograft in Flatfoot Deformity” Foot and Ankle International, FAI, 31 (9): 0781-0789, September 2010, DOI: 10.3113/FAI.2010.0781

41. Pavlov H., “Helene Pavlov: Advice to parents about children and medical radiation”, Nuclear News, http://nuclearnews.net/2010/07/20/advice-to-parents-about-children-and-medicalradiation/, 7/19/2010

52. Kepler C., Pavlov H., Herzog RJ., Rawlins BA., Endo Y., Green DW., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, to Spine Journal 9/2010 September 2010;10 (9), 23-25

42. Pavlov H., “Summer Injuries & Radiation From X-rays: What Parents Need to Know”, Shine from Yahoo, http://shine.yahoo.com/channel/parenting/summer-injuriesradiation-from-x-rays-what-parents-need-to-know-2073539/, 7/19/2010

53. Sofka CM., Adler RS., Saboeiro GR., Pavlov H., “Sonographic Evaluation and Sonographic -Guided Therapeutic Options of Lateral Ankle Pain: Peroneal Tendon Pathology Associated with the Presence of an Os Peroneum”. Hospital for Special Surgery Journal, 2010; 6(2):177-181

43. Pavlov H., “Helene Pavlov: Parents Can Help Limit Kids’ Exposure to Medical Imaging”, MedicineNet.com, http://www.medicinenet.com/script/main/ art.asp?articlekey=118176, 7/19/2010

54. Pavlov H., “Helene Pavlov: Are Expert Imaging Leads to Expert Diagnosis” http://www.huffingtonpost.com/helenepavlov/contact-sports-and-the-ad_b_741097.html 10/1/2010

44. Pavlov H., “Parents Can Help Limit Kids’ Exposure to Medical Imaging”, U.S.News, Health, htttp://health.usnews.com/health-news/managing-yourhealthcare/cancer/articles/2010/07/19/parents-can-help-limit-kidsexposure-to-medical-imaging.html, 7/19/2010 45. Pavlov H., “Helene Pavlov: Parents Can Reduce Radiation Exposure for Their Children”, Health Imaging Hub, http://www.healthimaginghub.com/component/content/article/2211Digital%20Radiography/1601-parents-can-reduce-radiationexposure-for-their-children.html, 7/20/2010 46. Pavlov H., “How to Limit Kids’ Exposure to Imaging Radiation – and Why You Should”, About.com, School-Age Children, http://childparenting.about.com/b/2010/07/26/how-to-limitkids-exposure-to-imaging-radiation-and-why-you-should.htm, 7/26/2010

55. Kim H., Walcott-Sapp S., Adler RS., Pavlov H., Boachie A., Westrich G., “Thromboembolic Complications Following Spine Surgery Assessed with Spiral CT Scans”, Hospital for Special Surgery Journal, 6(1): 95-98, DOI: 10.1007/s11420-009-9128-5 56. Pavlov H., “Helene Pavlov: Sports and the Adolescent Brain” http://www.huffingtonpost.com/helene-pavlov/inoffice-imaging-andself_b_741621.html, 11/3/2010 57. Pavlov H., “Helene Pavlov: Summer Injuries and Radiation from X-rays: What Parents need to know” http://shine.yahoo.com/channel/parenting/summer-injuriesradiation-from-x-rays-what parents-need-to-know-2073539, 11/9/2010

2010 Annual Report

2010 Research, Publications, Presentations and Grants (Continued) Presentations

Service Commitments

• HSS, Medical Board

2. Zifchock, B., Brown, A., Backus S., Bogner E., Pavlov H., Hunter D., Chen C., Mandl L., Hillstrom H., “The Relationship Among Pain, Structure, and Function of the Knee in Patients with Medial Knee Osteoarthritis”, Joint ESMAC, Gait and Clinical Movement Analysis Society GCMAS (JEGM 2010) Meeting, Miami FL, May 12-15, 2010 3. Endo Y., Kepler K., Herzog RJ., Rawlins BA., Green DW., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System with Conventional Radiography and CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine” Hospital for Special Surgery Fellow Research Presentations, 6/3/2010. 4. Endo Y., Kepler K., Herzog RJ., Rawlins BA., Green DW., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System with Conventional Radiography and CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine” Hospital for Special Surgery Resident Research Presentations, 6/4/2010 5. Ellis S., Williams B., Pavlov H., Deland J., “Results of Anatomic Lateral Ankle Ligament Reconstruction with Anterior Tibial Tendon Allograft”, American Orthopedic Foot and Ankle Society, (AOFAS) Annual Summer Meeting, Gaylord National Hotel, National Harbor, Maryland, July 7-10th 2010. 6. Pavlov H., “Principles of MSK Trauma”, NYPH Core Curriculum, 7/27/2010 7. Zifchock B., Bogner E., Pavlov H., Brown A., Chen C., Mandl L., Hunter D., Hillstrom H., “Abstract - Pain, Structure, Function in Medial Knee Osteoarthritis”, The 33rd Annual Meeting of the American Society of Biomechanics, Providence Rhode Island, August 18-21, 2010. 8. Kepler C., Green D., Herzog RJ., Rawlings BA., Endo Y., Pavlov H., “Comparison of a Fluoroscopic Three Dimensional Imaging System and Conventional CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine”, Focused Paper Presentation (FPP), The 25th Annual North American Spine Society NASS, 10/6/2010 9. Pavlov H., “Panelist NY SRS”, Radiology Resident Career Workshop, Rockefeller Research Laboratories, New York, NY, 11/4/2010

HSS Department of Radiology and Imaging

• HSS, Education Website Steering Committee • HSS, Hospital Committee on Quality Assessment & Improvement • HSS, Multi Specialties Peer Review Quality Assessment and Performance Improvement Committee • HSS, Quality Coordinating Committee • HSS, Hospital Quality Council • HSS, Credentialing Committee • HSS, Professional Safety Committee • HSS, Radioisotope & Radiation Safety • HSS, Research Council • NYPH Committee of Review for Promotions and Appointments • Manuscript Reviewer- JBJS; Arthritis and Rheumatism, RADIOLOGY, Clinical Orthopedics and Related Research, Skeletal Radiology, Journal of Orthopedic Research and Foot and Ankle International. • Sports Health, (AAOS), Skeletal Radiology. • New York Roentgen Society- Past President 2009-2010

Hollis G. Potter, MD Published 1. Bedi A., Foo LF., Williams III RJ., Potter HG., and the Cartilage Study Group, “The Maturation of Synthetic Scaffolds for Osteochondral Donor Sites of the Knee: An MRI and T2 Mapping Analysis”, Cartilage 2010; 1(1):20-28. 2. Shindle MK., Foo LF., Kelly BT., Potter HG., “Articular Cartilage”. In Khanna AJ, ed. Musculoskeletal MRI Essentials for the Orthopedic Surgeon. New York: Thieme; 2010; 353-369 3.Vasanth LC., Foo LF., Potter HG., Adler RS., Finzel KC., Pavlov H., Mandl LA., “Using Magnetic Resonance Angiography to Measure Synovial Blood Vessels in Early Inflammatory Arthritis: A New Imaging Biomarker”, Journal of Rheumatology, 2010; 37 (6):1129-1135. 4. Minwook K., Foo LF., Uggen C., Lyman S., Ryaby JT., Moynihan DP., Grande DA, Potter HG., Pleshko N., “Evaluation of Early Osteochondral Defect Repair in a Rabbit Model Utilizing Fourier Transform–Infrared Imaging Spectroscopy, Magnetic Resonance Imaging, and Quantitative T2 Mapping”, Tissue Engineering Part C: Methods. June 2010, Vol. 16, No. 3: 355-364

5. Fortier LA., Potter HG., Rickey E.J, Schnabel LV., Ellsworth JR., Foo LF., Nixon A., “Concentrated bone marrow aspirate improves full-thickness cartilage repair”, Journal for Bone and Joint Surgery, JBJS, 2010: 92;1927-1937

4. Potter HG., Koff MF., Juluri V., Su E., Campbell G., “MR imaging of metal on metal surface replacements”, The 2010 Hip Society/AAHKS Combined Specialty Day Meeting. New Orleans, LA. 5/10-5/13/2010

6. Potter HG., Schachar J., “High resolution noncontrast MRI of the hip”, Journal of Magnetic Resonance Imaging 2010, :31; (2); 268-278

5. Potter HG., “MRI of Menisci”, “MRI of Arthroplasty”, “MRI of Shoulder Instability”, and “MRI of Rotator Cuff”, and “MRI of Articular Cartilage-Tauma, Degeneration and Rep”, The 15th Annual Meeting for The Turkish Society for Magnetic Resonance, TSMR, Antilia, Turkey, 5/19-5/21/2010

7. Ballyns J., Cohen D., Malone E., Maher S., Potter HG., Wright T., Lipson H., Bonassar L., “An optical method for evaluation of geometric fidelity for anatomically shaped tissue engineered constructs”, Tissue Eng Part C Methods 2010 Aug; 16(4): 693-703 8. Koff M., Chong L., Virtue P., Chen D., Wang X., Wright T., Potter HG., “Validation of Cartilage Thickness Calculations Using Indentation Analysis”, Journal of Biomechanical Engineering, 2010; 132(4):041007 9. Dodson C., Bedi A., Sahai A, Potter HG., Cordasco F., “Complete Rotator Cuff Tendon Avulsion and Glenohumeral Joint Incarceration in a Young Patient: A case report”, Journal of Shoulder and Elbow Surgery, 2010;19(2):e9-e12 Posters 1. Koff M., Koch K., Juluri V., Ying L., Gholve P., Widamn R., Potter HG., “Correlation of MRI and Historical Examination of Physeal Bars in a Rabbit Model”, 56th Annual Meeting of Orthopedic Research Society, Morial Convention Center, New Orleans, Louisiana, 3/6-3/9/2010. 2. Koff M., Chong LR., Virtue P., Potter HG., “Magnetic Resonance Imaging of Periprosthetic Tissues in the Presence of Joint Arthroplasty”, 56th Annual Meeting of Orthopedic Research Society, Morial Convention Center, New Orleans, Louisiana, 3/63/9/2010. Presentations 1. Potter HG., “Imaging”, Moderator, The 7th Orthopedic Research Society, ORS, Educational Conference, Palazzo Resort and Hotel, Las Vegas NV, 3/6-3/10/2010. 2. Noyes FR, Chen R, Barber-Westin SD, Potter HG., “Minimum Ten-Year Analysis of Red-White Longitudinal Meniscus Repairs Using 3T MRI and Clinical Parameters”, 2010 American Academy of Orthopeadic Surgeons, AAOS Annual Meeting, New Orleans, LA. March 12, 2010 3. Potter HG., “Post Operative Hip: Hardware, Arthroplasty”, “Case-Based Knee”, and “Bone and Cartilage Injury”, “Moderator: Clinical Intensive Course: Shoulder and Elbow Imaging”, “Inflammatory Arthropathy”, and “Wrist Imaging”, The International Society for Magnetic Resonance Imaging in Medicine, ISMRM, Stockholm Sweden, 5/1-5/7/2010

6. Noyes FR., Potter HG., Chen RCY., Barber Westin SD., “Minimum ten year analysis of ted-white longitudinal meniscus repairs using 3T MRI and Clinical Parameters”, American Academy of Orthopedic Surgeons, AAOS Annual Meeting, Providence, Rhode Island, July 15, 2010 7. Potter HG., “MRI Physics Part I, II and III”, Radiology Grand Rounds, Hospital for Special Surgery, 7/7/2010, 7/21/2010 and 7/28/2010 8. Potter HG., “MRI of Joint Morphology, Structure, and Composition”, 2010 Gordon Research Conference, 8/1-8/6/2010 9. Potter HG., “MR of the cruiciate and collateral ligaments, and the postoperative knee”, “MR of articular cartilage”, and the postoperative knee”, “Panel Discussion: knee”, and Pardon the interruption - panel discussion MR protocol”, Magnetic Resonance Imaging in Orthopedics in Sports Medicine, Grand Hyatt, San Francisco California, 8/2010 10. Potter HG., “MRI in THA: A Prospective blinded comparison of MRI with Histopathology of retrieved tissue”, 2010 Summer Meeting of the Hip Society, 9/24/2010 11. Potter HG., “What does advanced imaging tell us about MOM tissue reaction”, and “The future of cartilage imaging; Dgemric and beyond”, and “The utility of advanced imaging of the surrounding soft tissue envelope in Ceramic on Ceramic THA”, 40th Annual Harvard Arthroplasty Course, Cambridge MA, U.S., 9/27/2010 12. Potter HG., “Imaging”, HSS Alumni Association 92nd Annual Meeting, HSS, New York, 11/12/2010 13. Potter HG., “MRI Course Chairman”, 29th AANA Fall Course, JW Marriot Resort, Phoenix, AZ, 11/18/2010 14. Potter HG., “Post-Joint Injury Osteoarthritis II: Imaging Cartilage Well: Keys to reproducible quality”, American Orthopedic Society for Sports Medicine, AOSSM, 12/2/2010

2010 Annual Report

2010 Research, Publications, Presentations and Grants (Continued) Resident/Fellow CME Presentations

8. Editorial Board, International Cartilage Repair Society Journal, Cartilage

1. Potter HG., Monthly Sports Medicine Shoulder Service: Interesting Cases

9. Manuscript Reviewer, ACR, Orthopedic Research Society (ORS)

2. Potter HG., Weekly MRI Conference: Interesting Cases

10. Associate Editor for Imaging, Sports Health (AOSSM)

Grants

11. International Society for Magnetic Resonance in Medicine, (ISMRM) - Annual Meeting Program Committee

1. Potter HG., NIH/NIBIB Training Grant (1T35EB006732) 20072012- $70,496.92/yr 2. Potter HG., General Electric Health Care 2005-2010 $1,000,000.00 3. Potter HG., MLB Grant: Adaptive Changes in Symptomatic and Asymptomatic throwing shoulders of elite baseball players2009-2010 - $50,000.00 4. Potter HG., NIH RCI Challenge Grant: Evaluation of an MRI Biomarker for Meniscal repair (RC1AR058255-01) 09-23/09-8/31/11 $466,632.00 5. Potter HG., NFL Charities Grant: A prospective investigation of meniscus transplantation in the human knee: clinical and magnetic resonance Imaging analysis of meniscus function - funded and in progress - $121,650.00

12. AOSSM Research Committee 13. eMRI Task Force

Gregory R. Saboeiro MD Published 1. Sofka CM., Adler RS., Saboeiro GR., Pavlov H., “Sonographic Evaluation and Sonographic -Guided Therapeutic Options of Lateral Ankle Pain: Peroneal Tendon Pathology Associated with the Presence of an Os Peroneum”. Hospital for Special Surgery Journal, 2010; 6(2):177-181 2. Anwar S., Saboeiro GR., Yang A., Hoda S., Ma X, Bass A., Erkan D., “Large-Vessel Granulomatous Vasculitis in Crohn’s Disease”., Hospital for Special Surgery Journal 2010; 6:206-213

6. Potter HG., NIH/NIAMS RO1: Designing meniscal substitutes through and integrated experimental, computational and statistical approach - 4/1/2010-4/1/2014 - $2,092,486.00

1. Saboeiro GR., Rheumatology Grand Rounds, Hospital for Special Surgery, 3/26/2010

7. Potter HG., Cornell University: Clinical Fellowship Program8/1/10-7/31/12 - $80,000.00

2. Saboeiro GR., “Spine”, Radiology and Pathology Conference, Hospital for Special Surgery, 3/26/2010

Service Commitments

3. Saboeiro GR., “Shoulder and Foot Ultrasounds”, Andrews Institute for Advances Sports Medicine, Gulf Breeze, Florida, 4/84/10/2010

1. Director, Department of Research 2. HSS, Department CRP Chairman 3. Consultant, Orthopedic and Rehabilitation Devices Panel, Medical Devices Advisory Committee and Center for Devices and Radiological Health, Food and Drug Administration, Department of Health and Human Services, Rockville, MD 4. Consultant, Cellular, Tissue and Gene Therapies Advisory Committee, Food and Drug Administration, Rockville/ Gaithersburg, MD 5. Consultant, National Institute of Health (NIH); Skeletal Biology Development and Disease Study Section 6. Consultant, NIAMS BAA, Ancillary and Complementary Research to the Osteoarthritis Initiative: Assessment of Structural Change Working Group, OARSI FDA 7. Special Emphasis Panel, NIH (NIAMS),BRDG-SPAN and Catalyst ARRA

HSS Department of Radiology and Imaging

Presentations

4. Saboeiro GR., “Lecture”, DiCarlo E., “Spine”, Radiology and Pathology Conference, Hospital for Special Surgery 5/2010 5. Saboeiro GR., “Shoulder Ultrasound Interventions”, “Knee Ultrasound Interventions”, “Hip Ultrasound Interventions”, “Hand Ultrasound Interventions”, and “Wrist Ultrasound Interventions”, Mayo Clinic MSK Ultrasound Course, Rochester, MN, 7/157/17/2010 6. Saboeiro GR., “MSK Interventional Procedures”, NYPH Resident Core Curriculum, 7/29/2010 7. Saboeiro GR., “Pre and Post Op Spine CT”, Radiology Grand Rounds, Hospital for Special Surgery, 9/1/2010 8. Saboeiro GR., Jain S., “Case Presentation”, NYPH Resident Conference, 10/12/2010

9. Saboeiro GR., “Arthritis”, Radiology Grand Rounds, NYPH Resident Conference, 10/12/2010

3. Schneider R., DiCarlo E., Metabolic Bone (PEDS)”, Radiology and Pathology Conference, Hospital for Special Surgery, 2/8/2010

10. Saboeiro GR., Sofka C., “Imaging of the Foot and Ankle: Forefoot and Mid Foot Pain”, HSS Alumni Association 92nd Annual Meeting, HSS, New York, 11/13/2010

4. Schneider R., Bansal M., “Metabolic Bone (ADULT)”, Radiology and Pathology Conference, Hospital for Special Surgery, 2/22/2010

11. Saboeiro GR., “Mid Foot Section, US Break-out Session”, Alumni Meeting, Hospital for Special Surgery, 11/13/2010

5. Schneider R., “Subchondrial Fractures - Bone & Joint Pain in Metebula Disease”, Grand Rounds, Columbia Presbyterian, 3/11/2010

12. Saboeiro GR., “US Guided MSK Procedures”, Orthopedic Meeting Nassau Surgical Society, 12/8/2010 13. Saboeiro GR., Bansal E., “Diaphyseal Lesions”, Radiology and Pathology Conference, Hospital for Special Surgery, 12/13/2010 Service Commitments 1. HSS, Alumni Affairs Committee

6. Schneider R., “Neuromuscular Diagnosis Radiology Pronchial Plexus Injuries”, Course, Hospital for Special Surgery, 3/19/2010 7. Schneider R., Stock H., “Diagnostic Problems in Nuclear Medicine bone Scanning/ Case Presentation”, NYPH Resident Conference, 6/1/2010

3. HSS, Clinical Informatics Committee

8. Schneider R., “Radiation Safety” and “MSK Nuclear Medicine” Radiology Grand Rounds, Hospital for Special Surgery, 7/14/2010 and 8/25/2010

4. HSS, Physician Advisory Board Hospital for Special Surgery Culture of Safety Committee

9. Schneider R., “MSK Nuclear Medicine”, NYPH Resident Core Curriculum, 7/28/2010

5. HSS, Spine Care Institute Multidisciplinary Conference

10. Schneider R., “Subchondral Fractures of the Femoral Head”, Rheumatology Grand Rounds: Hospital for Special Surgery, 9/15/2010

2. HSS, Perioperative Services Committee

6. NYPH Musculoskeletal Interventional Processing 7/30/2009 7. Hip Preservation Center- Non-operative Committee 8. PRS-Operating Medicine Working Group

11. Schneider R., Hwang., “Benign Disease with Multiple Bone Lesions” Radiological Society of North America, RSNA, 11/2010

9. Manuscript Reviewer- Journal of Vascular & Interventional Radiology, COOR, The Journal of Arthropathy, Journal of Rheumatology, Journal of Ultrasound in Medicine

12. Schneider R., Perino G., “Osseous Tumors”, Radiology and Pathology Conference, Hospital for Special Surgery, 11/15/2010

10. Advisory Board - Journal of Ultrasound in Medicine

13. Schneider R., Perino G., “Osseous Tumors”, Radiology Pathology Conference, Hospital for Special Surgery, 11/29/2010

Robert Schneider, MD

Resident/Fellow CME Presentations

Published

1. Schneider R., Weekly Teaching File Conferences: Interesting Cases

1. Schneider R., Huang, “Eponyms of Tumors & Tumor like Lesions in the Musculoskeletal System”, accepted for publication to the American Journal of Roentgerology, AJR, 2010, 195; 550-561 Posters 1. Schneider R., Hwang N., “Soft Tissue Calcifications”, Schneider, et al American Roentgen Ray Society ARRS, Annual Meeting, Manchester Grand Hyatt, San Diego CA 5/2-5/7/2010 Presentations

2. Schneider R., Weekly Radiology Fellow Presentations: Interesting Cases 3. Schneider R., Monthly Rheumatology / Metabolic Bone Conference Service Commitments 1. HSS, Radiation Safety Officer 2. HSS, Radiation Safety Committee – Chair

1. Schneider R., Endo Y., Nuclear Medicine/ Case Presentation”, NYPH Resident Conference, 1/5/2010 2. Schneider R., “Osteoporosis/Bone Densitometry”, Grand Rounds: Hospital for Special Surgery, 1/27/2010

2010 Annual Report

2010 Research, Publications, Presentations and Grants (Continued) Carolyn M. Sofka, MD

Service Commitments

Published

1. HSS Journal - Deputy Editor, Editorial Board, Advisory Board and manuscript reviewer

1. Sofka CM., “Posterior Ankle Impingement: Clarification and Confirmation of the Pathoanatomy”, Hospital for Special Surgery Journal 6, (1) 2/2010 99-101

2. HSS, Professional Education Advisory Committee 3. HSS, Graduate Medical Education Committee

2. Sofka CM., Adler RS., Saboeiro GR., Pavlov H., “Sonographic Evaluation and Sonographic - Guided Therapeutic Options of Lateral Ankle Pain: Peroneal Tendon Pathology Associated with the Presence of an Os Peroneum”. Hospital for Special Surgery Journal, 2010; 6(2):177-181

6. Director, Education and Fellowship Training, Department of Radiology & Imaging

3. Endo Y., Sofka CM., “Literature Reviews”, Ultrasound Quarterly, 26(3):183-187, 2010

7. Assistant Editor for Literature Review, HSS Ultrasound Quarterly

Presentations 1. Sofka CM., Murakami A., “MRI Hip & Ankle/ Case Presentation”, NYPH Resident Conference, 2/2/2010 2. Sofka CM., “Just Images”, The American Institute of Ultrasound Medicine, Invited Categorical course lecture: section, AIUM, San Diego, CA, 3/27/2010 3. Sofka CM., Klein M., “Joint (Metabolic)”, Radiology and Pathology Conference, Hospital for Special Surgery, 4/5/2010 and 4/19/2010 4. Sofka CM., Session Moderator: “MR imaging of the Post Operative Joint and Spine: Clinical Concerns and Methodology for Artifact Reduction”, “MRI of the Post-Operative Foot and Ankle”, and Knee - Differential Diagnosis of Effusion/Para-Articular Swelling”, International Society for Magnetic Resonance in Medicine, ISMRM Annual Meeting, Stockholm Sweden, 5/1/2010 5. Sofka CM., Su H., “Interesting Cases/ Case Presentation”, NYPH Resident Conference, 6/15/2010 6. Sofka CM., “Musculoskeletal Radiographic Positioning & Anatomy”, NYPH Resident Core Curriculum, 7/27/2010 7. Sofka CM., Saboeiro GR., “Imaging of the Foot and Ankle: Forefoot and Mid Foot Pain”, HSS Alumni Association 92nd Annual Meeting, HSS, New York, 11/13/2010 Resident/Fellow CME Presentations 1. Sofka CM., Weekly Grand Rounds 2. Sofka CM., Weekly MRI Conference: Interesting Cases 3. Sofka CM., Ultrasound Teaching Session “Hands-on”

HSS Department of Radiology and Imaging

4. HSS, Fellowship Committee 5. Activity Director Department CME conferences

8. Manuscript Reviewer - Journal of Musculoskeletal Medicine, American Journal Roentgenology, AJR Integrative Imaging (AJR II), COOR, Spine, Foot and Ankle International, European Radiology, Skeletal Radiology, ISMRM, and Arthritis and Rheumatism 9. New York State Radiological Society - Delegate for NYSRS 10. New York Roentgen Society - American College of Radiology Alternate delegate 11. Interorganizational Research Council (IORC) representative from the SRU 12. Society of Radiologists in Ultrasound (SRU) - Research Committee, Constitution 13. American College of Radiology - Councilor to for NYSRS 14. American Association for Women Radiologists-Membership Committee 15. American Institute of Ultrasound in Medicine: Membership Committee, Technical Standards Committee, Chair, Subcommittee for review and update of technical Bulletin on Transducer Manipulation.

Acknowledgements Content Contributors Helene Pavlov, MD, FACR

Robyn Pack

Ronald S. Adler, PhD, MD

Kristi Leggett

Eric A. Bogner, MD

Roseann Zeldin, RT

Anthony Chang, MD

Maribel Maldonado

Li Foong Foo, MD, MRCP, FRCR

Jung Joo, RT

Yoshimi Endo, MD

Ralph Lopez, RT

Bernard Ghelman, MD

Joanna Waldman, RT

Richard J. Herzog, MD, FACR

Sean Faison

Darius P. Melisaratos, MD

Irene Lajara

Theodore T. Miller, MD, FACR

Tawana Hayes

Hollis G. Potter, MD

Amy Lefkovic

Gregory R. Saboeiro, MD

Belinda Franqui

Robert Schneider, MD Carolyn M. Sofka, MD Douglas N. Mintz, MD Thomas P. Sculco, MD Richard Fleury Ed White, AVP Chris Smith, RT (N), CNMT Tai DeNunzio Mary Giesa, RT

Editors Kate Larkin Michael Volpatt Phyllis Fisher Julie Pelaez Rachel Sheehan

Photographer Brad Hess

Tess Leynes, MSN, NP Ruth Ann Linder, RT

Designer Liz Savino

For more information about the Department of Radiology and Imaging at HSS, please contact us. Email: radinfo@hss.edu Telephone: (800) 606-1260 To request an appointment www.hss.edu/radappt For insurance information www.hss.edu/insurance Please visit our website For professionals: www.hss.edu/radiology For patients: www.hss.edu/imaging

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Hospital for Special Surgery is an affiliate of NewYork-Presbyterian Healthcare System and Weill Cornell Medical College. 535 East 70th Street New York, NY 10021 tel 212.606.1000 www.hss.edu