Radiology

Alumni Connection Q3/Q4 2014 Issue

Imaging Institute Updates Imaging Institute Renovation/Expansion Continues Construction: The majority of the construction of the new IR department will conclude September 15, and the new facility will be open for patient care on October 1. The final phase should open in January 2015. The conceptual drawings for phases 4 and 5 are complete and final drawings are in progress. These phases will provide new areas for patient prep, holding and recovery with about 40 beds. Renovated space for pediatric, general and GI radiology will also be included. This last step will complete our Master Plan. The Fairview Radiology fluoroscopy replacement project has been approved. Columbia Road’s Siemens Somatom Sensation 16 CT scanner will be relocated to Marymount Hospital. Imaging Informatics: The AGFA Impax 6.5.5 upgrade was completed in June. The Enterprise Image Viewer was upgraded in April, and the AGFA archive was upgraded in May. The Penrad (mammography dictation) implementation has been completed for Weston, Fairview and Hillcrest. The Brunswick Emergency Department opened in July. The migration of legacy images from Siemens PACS to AGFA PACS continues. PET/MRI Update: The Cleveland Clinic Imaging Institute’s PET/MRI program went live in February, and the program is on target.

The Center for PET and Molecular Imaging was granted multi-vendor educational funding to coorganize (with University Hospitals of Cleveland’s Department of Radiology) the 2014 Cleveland PET/ MRI Workshop on October 2 – 3, 2014, at the Global Center of Health Innovations in Cleveland. Go to the Cleveland Clinic CME website to register. Please contact Carl Creagh at [email protected] or Shetal Shah, MD, at [email protected] with questions. Cleveland Clinic Florida Radiology Division Posts Increase in Angio Volume The Cleveland Clinic Florida division of radiology reported a 26 percent increase year-to-date in its angiography volume. The division is pleased to be in the final planning stages of its Interventional Radiology Annex. The following installations have been
completed: • Blood volume analyzer in nuclear medicine for diagnosis of anemia and other disorders • Three Siemens Inspiration units in mammography • A new Canon fluoroscopy unit As part of the employee engagement initiative, Cleveland Clinic Florida’s radiologists hosted the first annual staff and family barbecue in June, and it was a great success!

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

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Imaging Institute Announcements Michael T. Modic, MD, Receives Cleveland Clinic Distingushed Alumnus Award Congratulations to Michael T. Modic, MD (DR’78, NR’79), the proud recipient of the 2014 Distinguished Alumnus Award. Dr. Modic is the chair, Neurological Institute and chief emerging business officer at Cleveland Clinic. He received the 2014 Distinguished Alumnus Award, recognizing alumni for exceptional enduring achievements and leadership that have brought pride to the Cleveland Clinic Foundation community. Dr. Modic is the second radiologist to receive the Distinguished Alumnus Award since its inception in 1977; Thomas Meaney, MD (DR’57), earned the prestigious award in 1995. The alumni board of directors nominates the candidates and selects the award recipients. Dr. Modic was honored at the alumni board of directors evening reception on September 19. Dr. Modic received his medical degree from Case Western Reserve University School of Medicine in 1975, completing his residency in radiology and a fellowship in neuroradiology at Cleveland Clinic. From 1979 – 1980, he served as an assistant professor of radiology and a staff neuroradiologist at University Hospitals of Cleveland. In 1980, he returned to Cleveland Clinic as a staff neuroradiologist, and in 1982 was appointed head of the section of magnetic resonance. In 1985, he returned to Case Western Reserve School of Medicine/University Hospitals as director of magnetic resonance and neuroradiology, positions he held through 1989. During that time, he was also professor of radiology, neurology, general medical sciences and neurosurgery.

In 1989, Dr. Modic returned to Cleveland Clinic as chairman of radiology, and in 1993 was appointed professor of radiology, Ohio State University. In 2000, he was appointed to the board of governors at Cleveland Clinic. In 2004, he was appointed professor of radiology at the Cleveland Clinic Lerner College of Medicine. In 2007, Dr. Modic was appointed chairman of the Neurological Institute. He is a member of the Neurological Institute leadership board, Cleveland Clinic’s campaign cabinet and Medina Hospital’s board. Dr. Modic has served on the editorial boards of the journals Radiology, American Journal of Neuroradiology, Neurology, Magnetic Resonance in Medicine and Magnetic Resonance Imaging. He served as a member of the board of trustees of the Society of Magnetic Resonance in Medicine and of the board of directors of the Society of Magnetic Resonance Imaging. He was president of the Society of Magnetic Resonance in Medicine for 1992 – 1993, and in 1991 received the Society Gold Medal in Clinical Science for his research related to the spine. He is co-author of the text Magnetic Resonance Imaging of the Spine, in its second edition, and the author/co-author of more than 190 peer-reviewed articles related to neuroradiology.

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

Mark Sands, MD, completed his Executive MBA at Case Western Reserve University in May 2014. He received the prestigious Deans Academic Achievement Award for his outstanding academic accomplishments. Namita Gandhi, MD, was one of 25 radiologists chosen from an international application process to participate in the 2015 RSNA Clinical Trial Methodology Workshop in Phoenix, Arizona. Ajit Goenka, MD, presented how hybrid SPECT-CT can greatly improve localization of gastrointestinal bleeding at the annual ARRS meeting in San Diego on May 8. The press coverage of his presentation included Science Daily and Aunt Minnie. In addition, Dr. Goenka was awarded the prestigious 2014 Roentgen Resident/ Fellow Research Award from the RSNA for the second time in three years.

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Imaging Institute Staff Recognized by Society of Abdominal Radiology Congratulations to Imaging Institute staff who received the following awards at the annual Society of Abdominal Radiology meeting in March in Boca Raton, Florida: Best GI Scientific Poster: Use of a Model Observer to Study Liver Lesion Detectability at Reduced CT Exposure: Model Observer Response to Changes in Phantom Size, Iterative Reconstruction and Slice Thickness. Authors: Brian R. Herts, MD; Arjun Maniyedath, MS; Frank Dong, PhD; Sandra Halliburton, PhD; Andrew Primak, PhD; Mark E. Baker, MD.

Best GU Educational Poster: Renal Manifestations of Systemic Diseases in Adults – A Pictorial Review. Authors: Christina M. Theoret, MD; Andrei S. Purysko, MD; Antonio C. Westphalen, MD; Erick M. Remer, MD; Hilton M. Leão Filho, MD; Brian R. Herts, MD.

Katie Hulme, MS, and Ryan Fisher, PhD, employees of the section of medical physics, completed their ABR diagnostic medical physics exams in May 2014. All medical physicists within the section are now ABR-certified.

Commitment to Respect Culture Recognized The Imaging Institute’s Commitment to Respect culture was recognized as a Top 10 abstract for presentation at the annual Cleveland Clinic Patient Experience Summit in May. Titled “How a Culture of Commitment to Respect Enhances Quality of Care and Patient Satisfaction,” the abstract was prepared by Scott Flamm, MD, and presented by Frank Ricaurte, MD, with contributions from Patrick O’Keefe, MD, Carl Creagh, Jack Gray and Jean Triner.

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Scott Flamm, MD

Frank Ricaurte, MD

Cleveland Clinic Radiology Alumni Connection

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Residents’ Corner By Dana Ataya, MD Fourth-year Resident The 2014–2015 academic year has begun with wonderful news: a 100-percent pass rate on the new ABR core exam. Congratulations class of 2015! We are happy to report that many of our fourth-year residents have chosen to continue their fellowship education at Cleveland Clinic next year. Welcome class of 2018! The incoming R1 residents were welcomed into the Cleveland Clinic family with a cookout at Scott Johnson’s house on July 3. The barbecue boasted a plethora of burgers and hot dogs, plus corn-hole and the time-honored piñata bashing.

Dana Ataya, Justin LeBlanc, Jonathan Rassi, Akash Garg, Joe Chang

Scott Johnson and Matt Poturalski

Congratulations to Diagnostic Radiology Class of 2014 Congratulations to the members of the 2014 class for completing their residency training! Our graduates are pursuing the following fellowships: Akbar Fakhri Washington University School of Medicine, St. Louis, MO, diagnostic neuroradiology Rakhee Goel Cleveland Clinic, abdominal imaging Tabassum Khowaja Applying for breast imaging fellowships

Back row, left to right: Akbar Fakhri, MD; Tracie Rehfuss, MD; Joseph Villard, MD; Nidhi Sharma, MD; Milad Yazdani, MD. Front row: Rakhee Goel, MD; Tabassum Khowaja, MD; Prasanti Vachhani, MD, and Sarah Stock, MD

Tracie Rehfuss Duke University School of Medicine, Durham, NC, abdominal imaging Nidhi Sharma Cleveland Clinic, breast imaging

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Sarah Stock Cleveland Clinic, neuroradiology Prasanti Vachhani Johns Hopkins University, Baltimore, MD, breast imaging Joseph Villard Applying for interventional radiology fellowships Milad Yazdani Emory University School of Medicine, Atlanta, GA, neuroradiology

Cleveland Clinic Radiology Alumni Connection

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Resident Participates in J.T. Rutherford Fellowship By Esther Udoji, MD Fourth-year Resident This spring, I had the opportunity to participate in the J.T. Rutherford Fellowship named in honor of the American College of Radiology’s first lobbyist. This fellowship provides radiology residents with direct personal exposure to ACR government relations activities to facilitate an in-depth knowledge of state and federal legislative and regulatory processes. During my week in Washington, D.C., I experienced the positive effects of becoming and staying politically active. From left, Esther Udoji, MD, and residents from other medical specialties with

In our Capitol Hill visits, our primary focus was urging Congressman Steny “Whip” Hoyer (D-MD) members of Congress and their staff to enact H.R. 4015/S. 2000, the sustainable growth rate (SGR) repeal and the Medicare Provider Payment Modernization Act. This important bill sought to repeal the antiquated SGR formula that subjects all physicians to severe annual cuts in reimbursement. We were successful in lobbying for inclusion of important radiology provisions mandating ordering physicians to consult appropriateness criteria developed by national medical specialty societies prior to referring Medicare patients for advanced diagnostic imaging services in the H.R. 4015/S. 2000 patch, a big victory! The Rutherford Fellowship has significantly enhanced my understanding of the governmental factors that impact the future of radiology.

Resident Attends ACR Meeting Second-year resident Allan Chiunda, MD, PhD, MPH, attended the ACR Annual Meeting and Chapter Leadership Conference 2014 in Washington, D.C. The meeting presented multiple opportunities for him to represent Cleveland Clinic and network with fellow residents as well as distinguished members of ACR, including Geraldine McGinty, MD (chair, ACR Commission on Economics); Kimberly Applegate, MD (ACR officer and council speaker) and Richard Duszak, Jr., MD (chief medical officer, Neiman Health Policy Institute).

Dr. Chiunda also watched our very own Mark Baker, MD (abdominal imaging), become a new fellow of the ACR! The meeting was topped off by visiting Capitol Hill to meet with our Ohio Representatives concerning key legislation that will impact the radiology specialty, including the sustainable growth rate (SGR) patch and low-dose CT lung cancer screening for high-risk patients.

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

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Imaging Institute Events 2013 RSNA Cleveland Clinic Radiology Alumni Reception The 2013 Cleveland Clinic Radiology Alumni reception in Chicago was well attended, with about 50 radiology staff, residents, fellows and guests participating.

Ron Lorig and Gregory Borkowski

Patrick O’Keefe, Virginia Hill, Paul Ruggieri

Alice Rim, Pauline Kwok, Thomas Masaryk, Laura Shepardson, Edward Lentz

Back row, left to right: Amy Deipolyi, Katy Humphrey, Priya Sundaram-Simonelli, Joshua Polster, Bethanie Hammond, Paulette Lebda, Joe Meranda. Patrick O’Keefe, Lulu He, Rahkee Goel, Front row: Arlene Sirajuddin, Nana Sintim-Damoa Esther Udoji, Pauline Kwok

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

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2014 Residents Celebrate Graduation on June 17 Unni Udayasankar, MD, received the Teacher of the Year Award at the 2014 radiology residents’ graduation dinner. Milad Yazdani, MD, was named Outstanding Resident in Thoracic Imaging; Prasanti Ganni Vachhani, MD, was named Outstanding Resident in Interventional Radiology. Rakhee Goel, MD, received the Roentgen Resident Research Award, in recognition of outstanding radiologic research.

Senior resident Milad Yazdani, MD, presents Teacher of the Year Award to Unni Udayasankar, MD, pediatrics.

Ahmed el-Sherief, MD, thoracic imaging, presents Milad Yazdani, MD, with Outstanding Resident in Thoracic Imaging Award.

Radiology Residency Program Director Daniel Lockwood, MD, awards residency certificate to Akbar Fakhri, MD.

Melanie Chellman-Jeffers, Mark and Tracie Rehfuss and daughter Claire

Prasanti Ganni Vachhani with son Pranav and husband Neil Vachhani

Tabassum Khowaja and her husband Parvez Masood

NIdhi Sharma and her husband Ankit Maheshwari

Sarah Stock with her husband Matt and son Henry

Seventy residents, fellows, staff and guests attended the gala celebration, held June 17 at Crop Bistro and Bar in Ohio City.

Back row, left to right: Murali Sundaram, Lulu He, Jenny Wu, Joe Villard. Seated: Leela, her father Raman Unnikrishnan and his wife Rakhee Goel; Deema and Milad Yazdani

Back row, left to right: Joe Veniero, Chuck Martin, David Einstein, Brian Herts, Frank Dong. Seated, left to right: Myra Feldman, Chuck O’Malley, Eric Remer, Scott Flamm

Milad Yazdani with his wife Deema Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

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New Residents and Fellows Welcomed August 23 Neuroradiologist Todd Stultz, MD, and his wife Allison Vidimos, MD, hosted the annual residents’ welcoming party at their home on August 23. Nearly 70 residents, fellows, staff, guests and children attended the event.

Phillip Clark and his wife Molly, Todd Stultz

Allan Chiunda and his child, Esben Vogelius, Justin LeBlanc

Jenny Joyce

Matt Kiczek

Dan Paulson, Matt’s wife Nichole, Matt Kiczek, Phillip Clark and his wife Molly

Dan Paulson, Jenny Joyce, Justin LeBlanc, Matt Kiczek, Phillip’s wife Molly, Phillip Clark

Mari, Owen, Duncan and Daniel Lockwood Sarah Stock and her son Henry Stock, Dana Ataya

Dan Paulson

Esther Udoji, Justin LeBlanc Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

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Upcoming Alumni Events/ Mark Your Calendars 2014 Pumpkin Harvest Michael Modic, MD, is hosting the annual pumpkin harvest on Saturday, September 27, at his farm in Seville. All radiology staff, alumni, spouses, significant others and children are welcome. Children who want to pick their own pumpkins from the pumpkin patch should wear long pants and bring gloves. The event starts at 3 p.m. RSVP before September 20 (only if you are able to attend) to [email protected] or 216.444.9308.

Around CCHS Cleveland Clinic Ranks No. 1 in U.S. Heart Care for 20th Year For the 20th consecutive year, Cleveland Clinic ranked No. 1 in the nation in cardiology and heart surgery in U.S. News & World Report’s “Best Hospitals 2014–15.” Overall, Cleveland Clinic was ranked No. 4 among U.S. hospitals and No. 1 in Ohio. Cleveland Clinic’s urology program was ranked No. 1 in the country for the second time in three years. In total, 13 Cleveland Clinic specialties placed in the Top 10 nationally, including nine in the Top 3: heart/heart surgery; diabetes/endocrinology; gastroenterology/ GI surgery; gynecology; nephrology; orthopedics; pulmonology; rheumatology and urology. Cleveland Clinic Florida was ranked No. 3 in the Miami metro area, No. 13 statewide and recognized as the best hospital in Southern Florida. The U.S. News hospital rankings can be found at http://health.usnews.com/best-hospitals.

Bringing in the pumpkins

2014 RSNA Cleveland Clinic Radiology Alumni Reception Canceled The Imaging Institute will not be hosting an alumni reception at the 2014 RSNA annual meeting in Chicago, due to budgetary constraints.

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

Cleveland Clinic Launches Power of Every One Campaign Cleveland Clinic is embarking on the Power of Every One campaign, with goals to transform patient care, promote health, advance research and innovation, train caregivers, and revitalize the system’s facilities with new or renovated buildings for cancer, neurology, education and regional care. Titled the Power of Every One to signify the importance and impact of every gift, the campaign will culminate with the institution’s 100th anniversary in 2021. The Power of Every One is the most ambitious philanthropy campaign in Cleveland Clinic history and one of the largest ever among nonprofit academic medical centers. “As healthcare costs escalate and reimbursements decline, philanthropy is more crucial than ever,” said Cleveland Clinic President and CEO Toby Cosgrove, MD. “The campaign will allow Cleveland Clinic to build on our commitment to innovation, to provide the means for sophisticated technology and world-class facilities, and to deliver the highest quality healthcare to more people in more places. It will make the difference between good care and great care.” The campaign is being co-chaired by Larry Pollock and Stewart Kohl. Norma Lerner is the campaign’s Distinguished Chair, and Robert E. Rich Jr., who chairs the board at Cleveland Clinic, is Emeritus Chair. Rich successfully led Cleveland Clinic’s previous philanthropy campaign — Today’s Innovations, Tomorrow’s Healthcare.

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buildings, a new hospital in Avon, building projects at regional hospitals and family health centers, construction projects in Florida, renovation of the Taussig Cancer Institute building and expansion of the Cole Eye Institute. The patient experience programs will include care coordination, patient and family services, community health and wellness, clinical patient programs and the Arts & Medicine Institute.

• Training Caregivers will support scholarships, physician/caregiver training, healthcare leadership and the construction of a new state-of-the-art Health Education Campus in partnership with Case Western Reserve University. The campus will unify space for two programs now housed apart — the original medical education offering on the Case Western Reserve campus, and the 12-year-old Cleveland Clinic Lerner College of Medicine, with the goal of making Cleveland as renowned internationally for medical education as it already is for healthcare. • Advancing Discovery will bolster translational research, basic science research, clinical research and endowed chairs. • Transforming Care will advance new care delivery models, evidence-based care, personalized therapies, information technology and meeting new opportunities. For more information, visit PowerOfEveryOne.org.

The Power of Every One campaign will be divided among four categories — Promoting Health, Advancing Discovery, Training Caregivers and Transforming Care: • Promoting Health will focus on patient experience and patient-centered facilities, including the construction of new cancer and neurology

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

Cleveland Clinic and Akron General Sign Letter of Intent Cleveland Clinic and Akron General Health System have signed a letter of intent to enter into an arrangement in which Cleveland Clinic will invest in and become a minority owner of Akron General Health System, making Akron General its exclusive health system partner in Summit County. This transaction will combine the clinical expertise and resources of Cleveland Clinic and Akron General to strengthen and improve access to high-quality, affordable healthcare services for patients in the region.

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Cleveland Clinic, HealthSpot to Expand Telehealth Capabilities with Walk-in Kiosks Cleveland Clinic and HealthSpot have entered into a letter of intent to form a joint venture that will offer patients convenient, alternative options to access healthcare through technology and HealthSpot’s virtual walk-in kiosks.

Both organizations are committed to the development of a long-term, mutually beneficial partnership that will grow over time.

HealthSpot® stations — private, 8-by-5foot enclosures outfitted with touch screens, integrated medical devices and videoconferencing capabilities — will enable Cleveland Clinic medical providers to see and treat patients in a variety of nontraditional healthcare settings, such as universities, employers and retail locations. An on-site accredited medical assistant will also support each station.

A key part of the relationship will bring the opportunity for physicians in Akron to participate in Cleveland Clinic’s Quality Alliance. The Quality Alliance enables collaboration between independent and employed physicians to improve quality of care, reduce costs and increase efficiency, and provide access to expertise, data and experience.

The HealthSpot station’s two-way high-definition video screen delivers a unique face-to-face experience between patients and medical providers. Digital medical devices embedded in each unit — stethoscope, scale, blood pressure cuff, pulse oximeter, thermometer, otoscope and dermascope — stream medical information to the provider and patient in real time.

The two systems will also work together on other opportunities to improve care and services to the community.

Patients can conveniently walk up to a station without scheduling an appointment and be treated for minor, common health conditions, including colds and flu, rashes and skin conditions, eye conditions, earaches, sore throat, sinus infections, upper respiratory infections and seasonal allergies. HealthSpot station visits will fully integrate into a patient’s Cleveland Clinic electronic medical record, ensuring seamless communication and continuity of care.

As a provision of the agreement, Cleveland Clinic will make a substantial capital investment in Akron General Health System. In addition, the organizations will have representation on the other’s board. It was important to both organizations that there continue to be Akronbased governance and management leadership.

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].

Cleveland Clinic Radiology Alumni Connection

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Mobile Stroke Treatment Unit Brought to City of Cleveland

Alumni Updates

In an effort to better help the 5,600 stroke patients hospitalized each year in Cuyahoga County, Cleveland Clinic has brought one of the first Mobile Stroke Units in the country to the city of Cleveland.

Stay Connected!

The goal of the Mobile Stroke Unit is to shorten the time between the onset of stroke-like symptoms and the delivery of thrombolytic drugs, which must be administered within three hours of when symptoms began or when the patient was last known to be well. The unit resembles an ambulance on the outside, but inside it houses highly specialized staff, equipment and medications strictly used for diagnosing and treating strokes. It is equipped with a portable CT scanner capable of imaging the patient’s brain to detect the type of stroke being experienced. The CT scans are wirelessly transmitted to Cleveland Clinic neuroradiologists, who decipher if the patient is experiencing a stroke, and if so, whether the stroke is ischemic or hemorrhagic. Meanwhile, stroke neurologists access the patient’s symptoms via telemedicine technology while en route to the hospital. A mobile lab is able to test blood samples on board. If it is found that the patient is experiencing an ischemic stroke — accounting for about 87 percent of all strokes — the on-board medical team can initiate intravenous tPA to attempt to break up the clot.

We encourage our alumni to stay connected with former colleagues, mentors, associates and friends. You can receive news updates about your training specialty and view events on the digital calendar including CME course information. If your group is recruiting radiologists, you might also consider contacting our residents directly.

CME Online For CME information on all medical specialties, visit the Center for Continuing Education’s website, ccfcme.org, a leader in online CME with a worldwide outreach and record-setting CME numbers. On the site, you can: • Claim credit for CME activities • View your transcript • Reprint certificates • Create an account in minutes! New profile: ccfcme.org/newprofile • Login: ccfcme.org/cmelogin ccfcme.org You can earn CME credit by reading articles from Cleveland Clinic Journal of Medicine, either online or in print. Visit http://ccjm.org/ for a current issue of Cleveland Clinic Journal of Medicine and more information.

Alumni Profile Please click on http://my.clevelandclinic.org/alumni/my-alumniprofile.aspx to update your alumni profile.

Feedback on our newsletter is always welcome, as are your suggestions for future content. We would enjoy hearing about marriages, births, promotions, retirements and interesting hobbies or vacations that you would like to share, and photos are especially welcome! The information will appear in the Alumni Updates column in the Radiology Alumni Connection electronic publication. Please send your announcements or photos to [email protected]

Medical Editor - Pauline Kwok, MD (TRS’95, DR’00, ABI’01) Cleveland Clinic Alumni Specialty Director, Radiology

Visit us online at http://ClevelandClinic.org/radiologyalumni. Submit your announcements or photos to [email protected].