The Society of Interventional Radiology

The vision to heal

SIR Learning Center

Extended care through advanced technology

Featured Activities

This month’s journal-based CME article is titled "Correlation of 99mTc-MAA and 90Y glass microsphere biodistribution in hepatocellular carcinoma: A retrospective review of pretreatment SPECT and post-treatment PET/CT".

This retrospective clinical study evaluates whether 99mTc Macro-Aggregated Albumin (MAA) can predict subsequent Yttrium-90 distribution and imaging response in HCC patients.

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 60% or better on the post test. Participants will have three opportunities to score 60% or better.

FREE for SIR members
$20.00 nonmembers

After participating in this journal-based CME activity, learners should be able to
  • Identify the role of 99mTc MAA in Y-90 administration for HCC
  • Identify the limitations of 99mTc MAA in Y-90 administration for HCC
  • Describe the threshold and/or relationship between tumor absorbed dose and response

This program is designed to meet the educational needs of interventional radiologists, oncologists, hepatologists, hepatobiliary surgeons and nurses, techs, and trainees at all levels with special interest in liver cancer.

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

Authors
Vasantha Aaron, MD
Nikhil Chauhan, PhD
Matthew R Dreher, PhD
Paul Haste, MD
Matthew S. Johnson, MD
Thomas LaRoche, MD
Thibault Mauxion, PhD
Scott Persohn
Mark Tann, MD

Indiana University School of Medicine, Dept. of Radiology, 550 N. Universtiy Boulevard, Room 0663, Indianapolis, IN  46202

Financial Disclosures

Conflict of interest:

  • Scott Persohn: Salary support for a research assistant provided by BTG.
  • Thibault Mauxion, Nikhil Chauhan and Matthew Dreher: Employed by BTG.
  • Matthew Johnson: Paid consultant of BTG.

Disclosures: An abstract and oral presentation pertaining to the majority of this paper were presented at SIR 2016 in Vancouver, BC, CANADA

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) - approved April 1, 2017. 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 on-demand activity is intended for SIR to provide a comprehensive overview of what's new in IR coding in 2017 and some common coding scenarios.

As a result of participating in this activity, the learner should be able to:

  • Describe the basics of the coding process and code valuation
  • Apply to clinical scenarios the new 2017 codes for Dialysis Access procedures
  • Apply to clinical scenarios new codes for angioplasty, and basics of the new moderate Sedation codes

This course is intended to meet the educational needs of interventional radiologists, IR clinical technologists, and administrators with an interest or responsibilities for accurate coding and practice reimbursement.

Faculty

Moderators 
Timothy L. Swan, MD, FSIR, FACR
Stephanie Dybul, MBA, RT(R)(VI), CIRCC

Speakers 
Katharine L. Krol, MD, FSIR
C. Matthew Haukins, MD
Waleska Pabon-Ramos, MD, MPH
Ammar Sarwar, MD

Faculty Disclosures

The faculty have no relevant financial relationships to disclose. 

CME Accreditation 
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 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SAM Accreditation 
This program is approved for 1.0 self-assessment (SAM) credits by the Society of Interventional Radiology (SIR) – Approval Date: January 23, 2017. SIR is awarded Deemed Status by the American Board of Radiology (ABR). This educational activity meets the criteria for SA-CME toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

This month’s journal-based CME article is titled "Transcatheter Arterial Embolization of Gastrointestinal Bleeding with n-Butyl Cyanoacrylate: A Systematic Review and Meta-Analysis of Safety and Efficacy".

This meta-analysis reports the safety and efficacy of transcatheter arterial embolization (TAE) using n-butyl cyanoacrylate (NBCA) for the treatment of gastrointestinal (GI) bleeding.

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 60% or better on the post test. Participants will have three opportunities to score 60% or better.

FREE for SIR members
$20.00 nonmembers

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

  • List factors that were independent predictors of 30-day mortality.
  • Describe rate of bowel infarction and bowel ulveration after TAE with NBCA on patients with lower GI bleeding.
  • Describe the pooled clinical success rate for patients in whom technical success was achieved.

This program is designed to meet the educational needs of interventional radiologists,gastroenterologists, internists, hopitals and nurses, techs, and trainees at all levels.  

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

Authors
Pyeong Hwa Kim, M.D.
Jiaywei Tsauo, M.D.
Ji Hoon Shin, M.D.
Sung-Cheol Yoon, M.D.

Department of Radiology and Research Institute and Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Republic of Korea

Financial Disclosures

Conflict of interest: None of the authors have a potential conflict of interest regarding this study.

Disclosures: None reported. 

CME Editor:
Scientific Advisor, Siemens Healthcare
Consultant: Cook

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 "Radiation Cataractogenesis: The Progression of our Understanding and its Clinical Consequences".

This review article aims to explain the pathogenesis of radiation-induced cataracts, exploring emerging evidence on its development.

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 60% or better on the post test. Participants will have three opportunities to score 60% or better.

FREE for SIR members
$20.00 nonmembers

After participating in this journal-based CME activity, learners should be able to
  • List the annual and lifetime occupational exposure limits to the lens established by International Commission on Radiological Protection (ICRP) 2007 guidelines
  • List contributive factors to posterior subcapsular cataracts (PSCCs)
  • Describe the strict adherence and appropriate use of active and passive components of radiation protection needed to decrease chronic radiation exposure. 

This program is designed to meet the educational needs of interventional radiologists, radiologists, interventional cardiologists, vascular surgeons and nurses, techs, and trainees at all levels.

Authors

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

Authors
Terrance T. Healey, M.D.
Bradford T. March, M.D.
Grayson L. Baird, Ph.D.
Damian E. Dupuy, M.D.

Department of Diagnostic Imaging, Alpert Medical School at Brown University, 593 Eddy Street, Providence, RI 02903

Financial Disclosures

Conflict of interest: None of the authors have a potential conflict of interest regarding this study.

Disclosures: None reported. 

CME Editor:
Scientific Advisor, Siemens Healthcare
Consultant: Cook

Accreditation Statement

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 "Microwave ablation for lung neoplasms: a retrospective analysis of long term results".

This retrospective study examines the efficacy and safety of Microwave ablation (MWA) for the treatment of both primary and secondary lung malignancies using a larger data set and longer term follow up

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 60% or better on the post test. Participants will have three opportunities to score 60% or better.

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

  • List the primary technical success rate and long-term recurrence rate for MWA of lung tumor
  • Describe the impact of original maximal diameter (OMD) of the tumor on reported success rates and on associated complications
  • Describe the reported median time to cancer-related death for patients undergoing MWA for lung tumors

This program is designed to meet the educational needs of interventional radiologists, pulmonologists, oncologists thoracic surgeons and nurses, techs, and trainees at all levels with special interest in lung cancer.  

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

Authors
Terrance T. Healey, M.D.
Bradford T. March, M.D.
Grayson L. Baird, Ph.D.
Damian E. Dupuy, M.D.

Department of Diagnostic Imaging, Alpert Medical School at Brown University, 593 Eddy Street, Providence, RI 02903

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. 

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.

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.

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.

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.

  • SIRmeeting
  • SIR Connect
  • SIR DVL
  • SIR SA-CME
  • SIRCloud
  • APDIR

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