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 "Technical and anatomical factors influencing the success of inferior vena caval stent placement for malignant obstruction".

This clinical study evaluates the outcomes of inferior vena cava (IVC) stent placement for malignant obstruction and identifies anatomic and procedural factors influencing technical and clinical success.

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 to:

  • List the indications for IVC stent placement for malignant obstruction
  • List the 7-day and 30-day success rates for alleviating lower extremity edema following successful IVC stent placement
  • List the 7-day and 30-day success rates for alleviating abdominal distension and ascites following successful IVC stent placement
  • List factors that decrease stent adherence to IVC wall and are at high risk for stent misplacement

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
Zlatko Devcic, MD, Tust Techasith, MD, Arjun Banerjee, BS, Jarrett Rosenberg, MS, Daniel Y Sze, MD, PhD

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 activity contains the prerequisite work required for the 2016 Lower Extremity Arterial RevascularizatioN (LEARN) course. This online activity allows you to review selected Peripheral Arterial Disease (PAD)-related lectures from the 2013, 2014 and 2015 SIR Annual Meetings and take an assessment eligible for self-assessment (SA-CME) CME credit. 

This activity covers various PAD topics, which include but are not limited to: the clinical approach to IR, anatomic and clinical considerations, anticoagulation, the natural history of PAD, the impact of risk factor modification in patients with PAD, the current evidence behind lower extremity interventions, the tools needed to treat difficult lesions, as well as vascular access strategies and pitfalls.

Pricing

SIR members $100
Standard       $250

Upon completion of this pre-course work, participants will be able to:

  • Discuss the natural history of PAD and the impact of risk factor modification in patients with PAD
  • Discuss effective periprocedural care of patients with PAD including important anticoagulation concepts
  • Summarize the data related to outcomes of current lower extremity interventions including (Drug-coated balloons and stent trial data)
  • Discuss the approach to endovascular therapy for intermittent claudication
  • Describe appropriate vascular access and pitfalls
  • Identify techniques for approaching patients with aortoiliac, femoropopliteal and infrapropliteal disease

The Meeting Byte: PAD activity will provide focused educational opportunities for active PAD practicing physicians, fellows and trainees/early career; new to PAD, vascular medicine physicians, vascular surgeons, and interventional cardiologists.

This activity contains recordings from the 2013, 2014. and 2015 SIR Annual Scientific meetings, please refer to the information below:

Faculty Financial Disclosures

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 5.25 AMA PRA Category 1 CreditsTM. 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 5.25 SA-CME credits by the Society of Interventional Radiology (SIR). SIR has been awarded Deemed Status by the American Board of Radiology (ABR) to provide SA-CME credits. This educational activity meets 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.

This month’s journal-based CME article is titled "Medium and long term outcome of prostate artery embolization for patients with benign prostatic hyperplasia: results in 630 cases".

This clinical study evaluates the medium (2 years) and long term (up to 6.5 years) clinical outcome of Prostate Artery Embolization (PAE) for symptomatic Benign Prostatic Hyperplasia (BPH).

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 to:

  • List the most common indications for PAE
  • List the reported rate of technical success for selective catheterization and embolization of the prostatic arteries
  • Describe the cumulative rate of clinical success at short, medium and long term intervals following PAE for BPH
  • Describe the rate of clinical failures identified early on, at mid-term and at long-term and the impact of additional embolization

This program is designed to meet the educational needs of interventional and diagnostic radiologists, general medicine practitioners, urologists, all trainees, physicians assistants, and nurse practitioners.

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

Authors
Joao M. Pisco, MD, PhD; Tiago Bilhim, MD, PhD; Luis C. Pinheiro, MD, PhD; Lucia Fernandes, MD; Jose Pereira, MD; Nuno V. Costa, MD; Marisa Duarte, MD; Antonio G. Oliveira, MD

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.

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.

The SIR 2015 Digital Video Library includes feature-rich web presentations of the exceptional Annual Scientific Meeting educational sessions that took place February 28 through March 5 in Atlanta, Ga. This activity showcases the sessions presented at the most comprehensive world-wide gathering for all professionals devoted to the field of interventional radiology. It is SIR’s goal to promote the high-quality practice of interventional radiology through this and other educational programs. 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. If you could not make it to Atlanta, take this opportunity to earn up to 247.25 AMA PRA Category 1 Credits™. If you attended the 2015 SIR Annual Scientific Meeting, you can earn credits for the sessions in which you were unable to participate.

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 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.

For a list of invited faculty, please see the SIR 2015 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 247.25 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This self-assessment enduring activity on hepatocellular carcinoma will provide a current, comprehensive review of diagnosing and treating patients with hepatocellular carcinoma. 

SIR members $15.00
Standard $75.00

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

  • Describe current staging systems/treatment paradigms for patients with HCC
  • Review current ablative technologies/techniques for early stage HCC, including outcomes and future directions
  • Explain the intra-arterial therapies employed in the treatment of intermediate-stage HCC, focusing on techniques, outcomes, and applications

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

Coordinators:
Robert Lewandowski, MD, FSIR, Northwestern Memorial Hospital 
Yasuaki Arai, MD, National Cancer Center Hospital

Speakers: 
Riccardo Lencioni, MD, FSIR, University of Pisa
Stephen Solomon, MD, FSIR, Memorial Sloan Kettering Cancer Center
Yasuaki Arai, MD, National Cancer Center Hospital 
Robert Lewandowski, MD, FSIR, Northwestern Memorial 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.

This enduring activity will provide an overview of BTK and pedal intervention in critical limb ischedmia. Techniques and evidence based outcomes will be discussed. An update on the latest BTK trials will be provided.

SIR members $15.00
Standard $75.00

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

  • Identity the importance of limb salvage and wound healing in critical limb ischemia and the increasing trend toward endovascular intervention
  • Discuss the merits of Angiosomal intervention
  • Demonstrate the techniques of BTK and pedal intervention
  • Explain the latest evidence of BTK trails with new technologies 

This program is designed to meet the educational needs of interventional radiologists and other physicians at all levels with special interest in peripheral arterial and vascular interventions. 

Coordinators:
Robert Lookstein, MD, FSIR, Mount Sinai Hospital 
Michael Lee, MD, FRCR, FSIR, EBIR, Beaumont Hospital

Speakers:
Parag Patel, MD, Medical College of Wisconsin
Michael Lee, MD, FRCR, FSIR, EBIR, Beaumont Hospital 
Bret Wiechmann, MD, FSIR, Vascular & Interventional Physicians 
Robert Lookstein, MD, FSIR, Mount Sinai Hospital 
Roberto Gandini, University of Tor Vergata Rome
Anna-Maria Belli, MD, St. Georges Radiology
Zagum Bhatti, MD, Rush University Medical 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 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants of this enduring activity will review indications for endovascular therapy, discuss evolution of IVC filter design and learn about diagnosis and management of PE. We will also explain the need for a dedicated service line for VTE, the current treatment techniques for acute PE, and discuss diagnostic considerations in acute PE.

SIR members $15.00
Standard $75.00

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

  • Discuss current research on DVT therapy
  • Describe the role of adjunctive retrieval technique
  • Identify the rationale for transcatheter therapy
  • Review outcomes of transcatheter therapy
  • Identify outcomes of treatment for PE

This program is designed to meet the educational needs of interventional radiologists and other physicians at all levels with special interest in IVC filters and PE interventions. 

Coordinators:
Robert Ryu, MD, FSIR, University of Colorado Hospital 
James Benenati, MD, FSIR, Baptist Cardiac & Vascular Institute

Speakers: 
Suresh Vedantham, MD, FSIR, Mallinckrodt Institute of Radiology
Robert Ryu, MD, FSIR, University of Colorado Hospital 
Akhilesh Sista, MD, Weill Cornell Medical College
Paul Rochon, MD, University of Colorado-Anschutz Medical Campus
William Kuo, MD, FSIR, Stanford University Medical Center
James Benenati, MD, FSIR, Baptist Cardiac & Vascular Institute 
Mark Garcia, MD, MS, FSIR, Christiana Care Health Services

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.

During this comprehensive case-based review on-demand activity, expert faculty present previously recorded cases from the SIR 2015 Annual Scientific Meeting covering the key overlapping domains of interventional radiology: imaging, interventions (arterial, venous, non-vascular) and clinical care. 

SIR members $150.00 
Standard $300.00

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

  • Articulate the role that imaging plays in procedural planning for a broad range of percutaneous interventions
  • Articulate decision make and technical issues related to a broad range of key arterial and venous interventional procedures
  • Articulate decision make and technical issues related to a broad range of key non-vascular interventional procedures
  • Plan periprocedural care and decision-making for patients referred for possible percutaneous 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.

Session and Speaker Information

Session 1: Imaging for Intervention 

  • Michael Soulen, MD, FSIR, FCIRSE, Hospital of the University of Pennsylvania
  • Ashraf Thabet, MD, Massachusetts General Hospital 
  • Nicholas Fidelman, MD, University of California San Francisco 
  • Micah Watts, MD, University of Pennsylvania 

Session 2: Venous Intervention

  • Michael Darcy, MD, FSIR, Mallinckrodt Institute of Radiology
  • Gretchen Foltz, MD, Washington University 
  • Miles Conrad, MD, MPH, University of California San Francisco

Session 3: Clinical Care

  • Sun-Ho Ahn, MD, FSIR, Alpert Medical School of Brown U/RI Vascular Institute 
  • Paul Rochon, MD, University of Colorado-Anschutz Medical Campus
  • Jason Iannuccilli, MD, Alpert Medical SChool of Brown University 

Session 4: Non-Vascular Intervention 

  • Anne Covey, MD, FSIR, Memorial Sloan-Kettering Cancer Center
  • Stephen Ferrara, MD, FSIR, U.S. Navy
  • Lynn Brody, MD, FSIR, Memorial Sloan-Kettering Cancer Center

Session 5: Arterial Intervention 

  • Saher Sabri, MD, University of Virginia
  • Shawn Sarin, MD, George Washington University Hospital 
  • Nael Saad, MD, Mallinckrodt Institute of Radiology, Wash University 

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 3.25 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). 

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