The Society of Interventional Radiology

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SIR Learning Center

Extended care through advanced technology

Featured Activities

This month's journal-based CME article is titled "Percutaneous Image-guided Cryoablation of Musculoskeletal Metastases: Pain palliation and local tumor control".

To evaluate the safety and effectiveness of cryoablation of musculoskeletal metastases in terms of achieving pain palliation and local tumor control.

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 70% or better on the post test. Participants will have three opportunities to score 70% or better. 

Free for SIR members
$20.00 nonmembers

After participating in this journal-based CME activity, learners should be able:

  • Describe the limitations of radiation therapy in reducing pain from bone metastasis.
  • Describe the benefit of cryoablation on reducing pain from bone metastasis.
  • Describe the predictors indicative of an at least 2-point reduction in the pain score at 1 month after treatment.
  • List major and minor complications after cryoablation of musculoskeletal metastases.

This program is designed to meet the educational needs of interventional radiologist, orthopedics, radiation oncologists, oncologists., other physicians, and nurses, techs,  at all levels with special interest in pain palliation from bone metastases. 

Adam Nathan Wallace, M.D.; Sebastian R McWilliams, M.B.; Sarah E Connolly, M.D.; John S Symanski, M.D.; Devin Vaswani, M.D.; Anderanik Tomasian, M.D.; Ross Vyhmeister, B.S.; Ashley M Lee, M.D.; Thomas P Madaelil, M.D.; Travis J Hillen, M.D.; Jack W Jennings, M.D., PhD

Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO

CME Editor: Nishita Kothary, M.D.
Stanford University Medical Center, Stanford, CA

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).

The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide continuing medical education for physicians. SIR designates this education activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is approved for 1 self-assessment CME credit (SA-CME) by the Society of Interventional Radiology (SIR). SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME credit offered for this enduring activity meets the ABR’s criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

This month’s journal-based CME article is titled "Bleeding Risk and Management in Interventional Procedures in Chronic Liver Disease".

This review article provides evidence-based recommendations to manage bleeding risk in patients with chronic liver disease (CLD) which differs considerably from therapeutically anti-coagulated patients. 

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 70% or better on the post test. Participants will have three opportunities to score 70% or better.

FREE for SIR members
$20.00 nonmembers

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

  • Describe changes in primary and secondary hemostasis in patients with CLD
  • Describe the limitations of clot based assays in CLD
  • Describe management of procedural bleeding risk in CLD

This program is designed to meet the educational needs of interventional and diagnostic radiologists, oncologists, radiation oncologists, vascular surgeons, general medicine practitioners, hepatologists and hepatobiliary surgeons, all trainees, nurses, physicians assistants, and nurse practitioners.

JVIR CME Editor
Nishita Kothary, MD
Stanford University Medical Center, Stanford CA

Authors

Gia A DeAngelis, M.D.; Rachita Khot, M.D.; Ziv J Haskal, M.D.; Hillary S Maitland, M.D.; Patrick G Northup, M.D.; Neeral L Shah, M.D.; Stephen H Caldwell, M.D.

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).

The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide continuing medical education for physicians. SIR designates this education activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is approved for 1 self-assessment CME credit (SA-CME) by the Society of Interventional Radiology (SIR). SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME credit offered for this enduring activity meets the ABR’s criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

This enduring activity will discuss the current aspects of endovascular stroke treatment. Imaging essentials will be reviewed. The latest updates on indications and techniques in endovascular stroke care will be provided. This activity is designed for physicians currently involved in or with an interest in endovascular stroke therapy.

This activity contains three previously recorded sessions from the SIR 2016 Annual Scientific Meeting in Vancouver, B.C. 

Pricing
SIR Members $300.00
Standard $500.00

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

  • Review imaging techniques for acute stroke
  • Identify current concepts in endovascular stroke treatment
  • Describe the current recommendations and indications for endovascular stroke treatment
  • Explain the clinical presentation and pathophysiology of ischemic stroke
  • Review the most recent literature and guidelines

This program is designed to meet the educational needs of interventional radiologists, diagnostic radiologists, and other physicians at all levels with special interest in endovascular stroke therapy and stroke treatment.

Stroke treatment: The essentials
Coordinators:
Jeffrey S. Carpenter, MD, West Virginia University
Martin Geza Radvany, MD, FSIR. Wellspan Radiology

Speakers:
Jeffrey S. Carpenter, MD, West Virginia University
Sudhakar R. Satti, MD, Christiana Care Health System 
Christopher B. Baker, MD, Spectrum Medical Group/Maine Medical Center

Cerebral intervention: Stroke
Coordinators:
Guilherme Dabus, MD, Miami Cardiac & Vascular Institute 
William P. Sanders, MD, Henry Ford Hospital

Speakers:
Martin Geza Radvany, MD, FSIR, Wellspan Radiology
Sudhakar R. Satti, MD, Christiana Care Health System

SIR: The Stroke Course
Coordinators:
Jeffrey S. Carpenter, MD, West Virginia University
Martin Geza Radvany, MD, FSIR. Wellspan Radiology

Speakers:
Sudhakar R. Satti, MD, Christiana Care Health System
Kieran J. Murphy, MD, FSIR, University of Toronto
Christopher B. Baker, MD, Spectrum Medical Group/Maine Medical Center
Allan L. Brook, MD, FSIR, Montefiore Medical Center 
Guilherme Dabus, MD, Miami Cardiac & Vascular Institute 
Kenneth Snyder, MD, PhD, State University of New York at Buffalo

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this online, enduring material for a maximum of 8.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

This program has been approved for a total of 8.00 SA-CME credits by the Society of Interventional Radiology (SIR). SIR has been awared Deemded Status by the American Board of Radiology (ABR) to provide SA-CME credits. This educational activity meetings the criteria for SA-CME toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program. 

Non-physician participants will receive a Certificate of Participation for this activity. 

The SIR 2016 Digital Video Library includes feature-rich web presentations of the exceptional Annual Scientific Meeting educational sessions that took place April 2-7, 2016 in Vancouver, Canada. This activity showcases the sessions presented at the most comprehensive world-wide gathering for all professionals devoted to the field of interventional radiology. Activity participants receive information on basic and clinical research; techniques and technologies utilized by interventional radiologists around the world; and social, political and economic issues important to the IR community. Experience presenter slide animation, embedded video, and cursor movement as if you had been sitting in the meeting room.

After participating in this activity, learners should be able to:

  • Demonstrate the high-quality practice of interventional radiology in a team environment.
  • Review information regarding basic and clinical research in diseases, including techniques and technologies of interventional radiology.
  • Discuss societal, political and economic issues of importance to the interventional radiology community.

This enduring activity is designed to meet the educational needs of interventional radiologists, oncologists, diagnostic radiologists and other physicians with special interest in IR; nurses at all levels; radiology technologists at all levels; and physician assistants.

For a list of invited faculty, please see the SIR Annual Scientific Meeting website.

The Society of Interventional Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this enduring material for a maximum of 270.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Originally presented at the 2016 SIR Annual Scientific Meeting, this on-demand activity will concentrate on the basics of liver ablation, beginning with patient selection and indication. The current devices available to the operator will discussed and the advantages/disadvantages of each discussed. In addition to, a focus on difficult hepatic tumor ablation cases with technical tips on approach, complication avoidance, ablation modality, and adjunct methods.

SIR members $100
Standard $250

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

  • Identify lesions that can be treated with a single modality and those that require combination therapies.
  • Implement appropriate adjunct methods to safely approach difficult lesions.
  • Plan the therapy adequately minimizing the risk of residual tumor post treatment.

This program is designed to meet the educational needs of interventional radiologists, diagnositc radiologists, and other physicians at all levels with special interest in liver ablation. 

Presentation 1: Basic liver ablation (patient and device selection)
Developers & Speakers:
J. Louis Hinshaw, MD, University of Wisconsin School of Medicine and Public Health
Darren Klass, MD, University of British Columbia

Presentation 2: Advanced liver ablation
Developers:
Fred T. Lee, MD, University of Wisconsin 
Govindarajan Narayanan, MD

Speakers:
Stephen G. Ho, MD, Vancouver General Hospital 
Riccardo A. Lencioni, MD, FSIR, University of Miami
Constantinos T. Sofocleous, MD, PhD, FSIR, Memorial Sloan-Kettering Cancer Center

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this enduring material for a maximum of 3.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Managing acute arterial occlusion remains a challenge and in the correct setting, thrombolysis, PTA and stenting are excellent treatment options. Despite these advances, the morbidity, mortality, and limb loss rates from acute lower extremity ischemia remain high, and therefore, early diagnosis and rapid treatment are essential to salvage the extremity. The nuts and bolts of patient evaluation, understanding etiologies of and determining appropriate management will be reviewed here.

SIR members $25
Standard $100

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

  • Discuss pre-procedure patient evaluation and minimize potential complications.
  • Identify appropriate candidates and best treatment options based on presentation and anatomy.
  • Review technical pearls that can lead to improved clinical outcomes.

This enduring activity is designed to meet the educational needs of interventional radiologists and other physicians at all levels with special interest in acute arterial thrombosis. 

Coordinator
Mark J. Garcia, MD, FSIR, EnvoVascular Consultants 

Speakers
Parag J. Patel, MD, MS, Medical College of Wisconsin 
Derek Mittleider, MD, Vascular & Interventional Physicians, Spectrum Medical Group 
Daniel A. Leung, MD, FSIR, Christiana Care Healthy System
James F. Benenati, MD, FSIR, Baptist Cardiac & Vascular Institute

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Originally presented at the 2016 SIR Annual Scientific Meeting, this comprehensive case-based review on-demand activity will include expert faculty presented cases covering the key overlapping domains of interventional radiology: imaging, interventions (arterial, venous, nonvascular) and clinical care. In this activity, participants will complete a post test of a series of case-related questions and earn self-assessment module (SAM) credits toward American Board of Radiology (ABR) Maintenance of Certification (MOC). 

SIR members $150.00
Standard $300.00

Upon completion of this enduring activity, participants should be able to:

  • Describe the role that imaging plays in procedural planning for a broad range of percutaneous interventions.
  • Explain the periprocedural care and decision-making for patients referred for possible percutaneous interventions.
  • Discuss the current evidence to support the decision making for percutaneous interventions.
  • Discuss technical aspects of the involved image guided interventions.

This program is designed to meet the educational needs of interventional radiologists, oncologists, diagnostic radiologists and other physicians with special interest in IR; nurses at all levels; radiology technologists at all levels; and physician assistants.

Clinical Care in IR

  • Gregory J. Dubel, MD, FSIR, Alpert School of Medicine of Brown University 
  • Van T. Nguyen, MD, Warren Alpert Medical School of Brown University 

Arterial Intervention

  • Derek Mittleider, MD, Vascular & Interventional Physicians, Spectrum Medical Group
  • Sarah B. White, MD, Medical College of Wisconsin

Venous Intervention

  • Seung Kwon Kim, MD, Mallinckrodt Institute of Radiology Washington University in St Louis
  • Akhilesh K. Sista, MD
  • Naganathan B. Mani, MD, Mallinckrodt Institute of Radiology 

Non-Vascular Intervention

  • Lynn Brody, MD, FSIR, Memorial Sloan-Kettering Cancer Center
  • Stephen L. Ferrara, MD, FSIR

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.Credit Information 

SIR designates this enduring material for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This on-demand activity will use hepatic embolization as the basis for discussion; speakers will provide their approaches – bland embolization, TACE, DEB-TACE, and/or radioembolization in patients with a variety of primary and secondary malignancies. Patients will be followed from consult through procedure to follow up. 

SIR members $25
Standard $100

Upon completion of this enduring activity, the participant will be able to: 

  • Demonstrate the factors that must be considered in choosing the most appropriate embolic
  • Describe procedural techniques specific to bland-, chemo-, and radio-embolics
  • Explain potential advantages and disadvantages of available embolics vis-a-vis the treatment of patients with hepatic malignancies

This program is designed to meet the educational needs of interventional radiologists, diagnostic radiologists, and other physicians at all levels with special interest in embolization treatments.

Coordinators
Jafar Golzarian, MD, FSIR, University of Minnesota
Matthew S. Johnson, MD, FSIR

Speakers
Matthew S. Johnson, MD, FSIR
Gregory J. Nadolski, MD
Jafar Golzarian, MD, FSIR
Ron C. Gaba, MD, FSIR

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SIR has combined two popular and unique learning experiences, the Y-90: Are yoU Ready course and Y-90: The Advanced course, into one comprehensive program - Y-90: The Complete Course. 

Y-90 The Complete Course On-Demand offers a learning experience that cannot be found any where else. This on-demand activity is designed with previously recorded lectures, panel discussions, and case scenarios, which offer the most in-depth, comprehensive and challenging  curriculum available for clinical teams interested in initiating, developing or strengthening their practice in this exciting aspect of interventional oncology. 

AU Educational Objectives
Upon completion of the AU portion of this course, the attendee should be able to:

  • Compare and contrast current device platforms
  • Explore trends in patient selection and outcome prediction and discuss the relative importance of patient age, performance status, degree of cirrhosis, and cancer stage
  • Review information on the treatment algorithm, the rationale for the two-stage approach, device delivery strategies and microcatheters, coiling and embolization techniques and describe issues in post-procedural care and follow-up
  • Describe best practice in Y-90 radiation safety and dose management
  • Describe advanced radiation physics and various methods of calculation of dosimetry and how they vary between available platforms
  • Demonstrate an advanced knowledge of Y-90 administration procedure, including familiarity with both available administration systems
  • Describe responsibilities and significance of AU status in the comprehensive management of radioembolization and identify the importance of a robust radiation safety program
  • Identify state and institutional requirements for becoming an AU and demonstrate comprehension of the elements and significance of a robust radiation safety program as it relates to intra-arterial Y-90 therapy
  • Discuss appropriate follow-up and patient prognosis after radioembolization

Advanced Y-90 Educational Objectives
Upon completion of the advanced portion of this course, the attendee should be able to:

  • Discuss the current algorithms and outcomes for treatment of primary and secondary hepatic malignancies inclusive of surgical, medical and transarterial therapies and explore the ideal sequencing of radioembolization in those algorithms
  • Demonstrate hands-on advanced microcatheterization and embolization skills pertinent device delivery
  • Describe advanced radioembolization techniques
  • Identify therapies used in combination with radioembolization for hepatic malignancy
  • Explain advanced dosimetry and treatment concepts
  • Summarize a state-of-the-art literature review of Y-90 radioembolization

Y-90; The Complete Course will provide focused educational opportunities for interventional radiologists and trainees interested in initiating, developing, or strengthening their practice in using intra-arterial Y-90 in the treatment of hepatic malignancies.

Program Coordinators

Matthew S. Johnson, M.D., FSIR
Indiana University School of Medicine
Carmel, Ind.

Robert J. Lewandowski, M.D., FSIR
Northwestern Memorial Hospital 
Chicago, Ill.

Daniel Sze, M.D., PhD, FSIR
Stanford University Medical Center
Stanford, Calif.

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide medical education for physicians.

The Society of Interventional Radiology designates this live activity for a maximum of 20.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program will be approved for self-assessment module (SAM) credit by the Society of Interventional Radiology (SIR). SIR is awarded Deemed Status by the American Board of Radiology (ABR). 

This session will discuss treatment strategies and clinical indications for the superficial femoral and popliteal arteries. This distribution of peripheral vascular disease offers a number of treatment alternatives which have impact on cost, reimbursement and both long and short term patency. The rapidly evolving technology being developed and currently in use will be discussed.

SIR members $25
Standard $100

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

  • Discuss treatment strategies and clinical indications for the superficial femoral and popliteal arteries
  • Explain the treatment alternatives and how they may have impact on cost, reimbursement and both long and short term patency
  • Describe the rapidly evolving technology that is currently in use and those being developed

This enduring activity is designed to meet the educational needs of interventional radiologists and other physicians at all levels with special interest in infra-inguinal disease.

Coordinator
Michael J. Miller, Jr., MD, Duke University Medical Center

Speakers
Bjorn I. Engstrom, MD
Charles Gilliland, MD, Emory University School of Medicine
Mark L. Lessne, MD, Vascular & Interventional Specialists of Charlotte Radiology 
Shawn Sarin, MD, FSIR, George Washington University 
Robert A. Lookstein, MD, FSIR, Mount Sinai Hospital

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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