CIBR Advocate 3.2011.2

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    Advocate Sta Rene L. Cruea, MPA President

    Michael Kalutkiewicz Vice President of Government A airs

    Roxanne Yaghoubi Policy and Programs Manager

    Angela Quick and

    Sadaf Samay Assistant Editors

    ..

    Steering Commi ee William G. Bradley, Jr., MD, PhD, FACR Chair, Department of Radiology University of California, San Diego CIBR Chair

    Steven Seltzer, MD, FACR Chair, Department of Radiology Brigham and Womens Hospital ARR President

    Sholom Ackelsberg General Manager, Academic Research Por olio GE Healthcare

    Pat A. Basu, MD, MBA Faculty (On Leave)Stanford University

    Jim BeckeVice President, Clinical Research Philips Medical Systems, N.A.

    R. Nick Bryan, MD, PhD Chair, Department of Radiology University of Pennsylvania Health System

    N. Reed Dunnick, MD, FACRChair, Department of Radiology University of Michigan Medical Center

    Daniel Garen Vice President, Healthcare Policy and Clinical A airs

    Siemens Medical Solu ons USA, Inc.

    Steven Haberlein Vice President, Sales FUJIFILM Medical Systems USA, Inc.

    James Jorkasky Execu ve DirectorNa onal Alliance for Eye and Vision Research

    Richard Mather, PhD Senior Manager, Clinical Programs Toshiba Medical Research Ins tute

    Oran Muduroglu Chief Execu ve O cerMedicalis Corpora on

    Martha Nolan, JD Vice President, Public Policy Society for Women's Health Research

    Lenny Reznik Director, Enterprise Imaging & Informa on Agfa HealthCare Corpora on

    Sheila Ross Special Counsel Lung Cancer Alliance

    Paul Tuma Regional Vice President Nuance Communica ons, Inc. Nuance Healthcare Division

    March 2011

    The Stakeholder AdvocacyPartner of the Academy of Radiology Research

    Coalition for Imaging and Bioengineering Research www.imagingcoalition.org

    Radia on Dose SummitPg. 1

    Imaging and Electronic HealthRecordsPg. 2, 4

    New VP of Government A airs Pg. 2

    CIBR Welcomes NewMembers!Pg. 3

    Radiological Society of North America 2010: Through theEyes of a Pa ent AdvocatePg. 5

    NIH Ini a vePg. 6

    Na onal Ins tute on AgingEventPg. 6

    NIH Appropria ons UpdatePg. 7

    Upcoming EventsPg. 8 - 9

    CIBR Membership ListPg. 10

    In late February, the National Instituteof Biomedical Imaging and Bioengi-neering (NIBIB) organized a Radia-tion Dose Summit in Bethesda, MD.CIBR was privileged to cosponsor this

    important meeting with the NIBIB.The goal of the conference was tobring together opinion leaders in the

    ield of medical imaging and to articu-late opportunities to close the gaps inour scienti ic knowledge through re-search.

    This meeting discussed why radiationdose reduction is important and how we might achieve a sub - mSv (low - dose) CT study. Drs.Hedvig Hricak and Steve Seltzer pointed out that many patients are avoiding potentially life - savingCT scans for fear of radiation - induced cancer. Dr.

    Bill Bradley further noted that many of the pa-tients currently scanned by CT could be scannedby MRI without radiation, albeit at increasedcost.

    The crux of the issue is to determine whetherany radiation exposure, no matter how small,to a population leads to an increased inci-dence of cancer. The current working model, i.e.,the linear no - threshold hypothesis assumesthat, in fact, any radiation exposure is potentiallyharmful. While this is far from proven, the worrythreshold has moved from 250 mSv to 100 mSv

    over the past decade and is likely to move closerto zero in the future.

    A minority opinion is that low dose radiation isgood for you (hormesis); however, most sus-

    pect that very low doses of radiation can be toler-ated in normal individuals through the immunesurveillance mechanism. While one of the authorsof this summary and others urged research intothe linear no - threshold hypothesis, others felt that this would be too small of a statistical effect to warrant the research. Still, others felt that it would be worthwhile to identify those patientswith a genetically determined increased risk of cancer from radiation and most agreed with thisconcept.

    During the summit, there were a number of talkson how to reduce radiation exposure during a CT

    scan by using tube current modulation, iterativereconstruction techniques, and reading noisier(i.e., lower quality) images. For cardiac CT, use of prospective cardiac gating causes a signi icant reduction in dose. Elimination of unnecessary CTexams was another major mechanism in dosereduction that can be achieved through the use of computerized online decision support systems tohelp referring physicians order only those exami-nations that are medically necessary. Trackingorgan - speci ic doses in a national registry wasalso deemed a useful way to ensure that medicalradiation is used responsibly.

    CIBR Engages its Membership in a Summit onRadiation Dose and Patient Safety By William G. Bradley, Jr., MD, PhD, FACR and Steven Seltzer, MD, FACR

    Coali on for Imaging and Bioengineering Research1029 Vermont Avenue, NW, Suite 505 Washington, DC 20005 imagingcoali on.org

    In This IssueWelcome to our newsletter fo-cusing on the value of medical IM-AGING. Weve had an exciting quar-ter of growth, as inside youll beintroduced to our 28 new coalitionmembers. The diversity of ourpatient advocacy communitydemonstrates the broad role inwhich imaging research helps todetect, diagnose and manage a myr-iad of diseases. This strength indiversity will be critical over the

    next few months, as we appeal to policymakers that federal investments in biomedical research providehope for patients, the potential to bend the healthcarecost curve, and economic activity across the country. Ihope youll be able to join us on Capitol Hill for our

    May events (p. 8-

    9) to tell our stories of the excitingprogress weve made.

    Rene Cruea,President, CIBR

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    March 2011 Page 2

    Dear CIBR Membership,

    After serving as a patient advocacy member of CIBR since 2009, I am happy

    to be of icially joining the staff at CIBR. I can speak from experience that CIBR has an amazingly diverse membership, and has been able to bring itsmembers stories to the attention of federal policymakers. I hope that wecan build on CIBRs wonderful government affairs agenda and expand someof the programs that we have in place particularly for those smaller pa-tient organizations that may be headquartered outside of Washington, DC.

    Over the next weeks and months, well be providing patient groups withadvocacy alerts and information, as well as event reminders for programsthat well be organizing on Capitol Hill. We hope you can participate in the-se events as much as possible, and were looking forward to helping you get our collective message before policymakers.

    In the meantime, please look for important grassroots action alerts andtemplates that you and your membership can use. All of us in the biomedi-cal research community are facing enormous headwinds in Washington.However, we cant afford to lose ground now.

    I look forward to working with you!

    Best, Mike

    On January 10 - 11, 2011, several CIBRmembers attended a workshop spon-sored by the Of ice of the National Coor-dinator for Health IT (ONCHIT) and theNational Institute of Biomedical Imagingand Bioengineering (NIBIB) entitledImages, Electronic Health Records,and Meaningful Use: A Vision for theFuture. The purpose of the workshopwas to discuss the inclusion of clinicalimages as part of electronic health rec-ords and the meaningful use criteria

    that must be met for purposes of reim-bursement by the Centers for Medicareand Medicaid Services (CMS). This topicis very important to the imaging commu-nity for sharing of image data for reim-bursement purposes. The presentationsfeatured several perspectives on the is-

    sue of images in electronic health recordsincluding discussions by those in primarycare, specialty care, and various stake-holders such as patient advocacy leaders,health information organizations, payers,and integrated care providers. In addi-tion , there was signi icant discussionregarding the implementation of such amechanism, including cost analysis, ef i-cacy, interoperability and standardiza-tion concerns, as well as bandwidth andconnectivity requirements.

    Several af iliates of CIBR had the oppor-tunity to speak at this workshop, includ-ing the past president of the Academy for

    Radiology Research, Dr. Ronald Arenson(University of California, San Francisco),patient advocate Maureen Rigney (LungCancer Alliance), and Don Dennison of Agfa Healthcare Corporation.

    (Article continues on page 4)

    Mike Kalutkiewicz joins CIBR as the new VP of Government Affairs

    Drs. Ron Arenson (UCSF), ElizabethKrupinski (University of Arizona), and Steven Seltzer (Brigham and WomensHospital)

    Imaging: How can Accessto Images In luenceClinical Decisions as Part of the Use of Electronic

    Health Records?By Renee Cruea and Sadaf Samay

    Mike Kalutkiewicz, Vice President of Government Affairs, CIBR

    www.imagingcoalition.org

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    CIBR Welcomes 28 New Members!

    March 2011 Page 3

    To join us, please contact Mike Kalutkiewicz at [email protected]

    www.imagingcoalition.org

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    March 2011 Page 4

    (Electronic Health Records, continued from page 2)

    The focus for the meeting was speci ically on the value of imaging as part of the use of electronic health recordsand how access to images can in luence clinical decisions.

    Don Dennison from Agfa HealthCare presented a vendorperspective on incorporating both simple and advancedimaging into their EHR systems. In particular, he dis-cussed interoperability and standards considerationswhen integrating words and pixels into a patients EHR.Due to advances in imaging resolution quality, data stor-age and management of high - resolution image iles canpresent a unique challenge.

    Patient Perspectives The workshop included valuable input from the patient advocacy groups with regards to the agenda and thepresentations. Maureen Rigney from the Lung Cancer

    Alliance highlighted patient stories about interoperabil-ity issues (e.g., CD's getting lost, procedures being repeat-ed because of software incompatibility, etc.) and also aperspective on how users value access to their medicalimages within the wider context of access to medicalinformation as part of their electronic health record.

    The workshop had immense value for everyone in the

    imaging community due to the diverse viewpoints it brought to the table. It is valuable and vital to have pa-tient advocacy groups present and participating in theworkshop. However, some areas such as dentistry whereimaging is highly utilized, were underrepresented. Mov-ing forward, CIBR will encourage and help

    facilitate additional patient advocacy involvement inworkshops and meetings that address issues that impact their patient constituency.

    Vice President of Public Policy for the Society of Wom-ens Health Research and CIBR steering committee mem-ber Martha Nolan, stated that, I found the discussion tobe very enlightening to my understanding of the chal-lenges facing even well - inanced and organized

    healthcare systems as well as the different imaging needsand modalities for specialty providers. However, none of the discussion focused on the incredible need of the aver-age patient to make all of his or her health informationportable, understandable, and easy to access. It is thepatient who ultimately and truly owns the record andwho needs it to be with him or her wherever they accesscare.

    The workshop was extremely bene icial for addressingthe technical challenges of including imaging data as part of EHRs. We hope to collaborate on future meetingswhere other critical professions, such as dentistry, can bepart of the discussion.

    It is the patient whoultimately and truly owns

    the record and who needsit to be with him or her wherever they accesscare.

    Martha Nolan, VicePresident of Public Policy, Society for Womens HealthResearch

    Dr. Seltzer, President of ARR, with Don Dennison and Lenny Reznik from Agfa HealthCare

    www.imagingcoalition.org

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    March 2011 Page 5

    I had the wonderful opportunity to attend the 2010 RadiologicalSociety of North America (RSNA) annual meeting in Chicago inDecember as a guest of the Coalition for Imaging and Bioengi-neering Research (CIBR). When Renee Cruea, Executive Directorfor the Academy of Radiology Research and CIBR, invited me toattend the RSNA as a patient advocate, I did not quite under-stand the enormity of the meeting or what my role would be.This invitation proved to be incredibly valuable not only for myjob as Vice President of Public Policy with the Society for Wom-ens Health Research (SWHR), but also for my role as patient advocate and member of the CIBR Steering Committee. So I washappy to pack my bags and head off to Chicago for 3 days aswhat I believe was the irst patient advocacy leader to attend theRSNA as a guest in its 96 years of existence.

    Attending the RSNA was an amazing experience. For those whoare not aware, the RSNA is the largest medical meeting in theworld. With nearly 60,000 in attendance, it is fair to say that eve-ry facet of the world of radiology/imaging from research tomanufacturing to clinical practice was on display. As a patient advocacy leader, this was a great opportunity for me to learn allabout biomedical imaging.

    I greatly appreciated the opportunity to meet with so manyhardworking scientists and researchers from various industrygroups who were passionate about their advancements to helppatients. I had ample time to meet with each group and ask ques-tions. In particular, many of my meetings were centered on ad-

    vances in breast cancer detection and treatment. The technologythat was presented will hopefully transform how cancerous tu-mors are located, removed, and treated in ways that are moreaccurate, less invasive, and require less radiation.

    During many of these meetings, I raised the issue of the need forpatients to be more informed in order to foster effective collabo-ration between them and their clinician. I explained that patientsand their caregivers should not be underestimated in their abil-ity to become experts about their treatment decisions, includingimaging and diagnostics. More and more often, especially with the amount of information available online, patients and theirloved ones are able to educate themselves about their diseaseand possible treatment options.

    Prior to the RSNA meeting in Chicago the uproar over airport scanners hit the news, creating confusion over what the ma-chines do and how they expose us to radiation. The fact that there were concerns over the amount of radiation used in theairport scanners is of particular note since comparisons weremade to the amount received in an X - ray. Even as the reportsexplained the various differences and attempted to put the mat-ter into perspective, it raised the question for many people as towhat other types of radiation they had been exposed to and how

    to quantify overall exposure. I brought up these stories at the

    RSNA meeting because I believe that this issue will continue toimpact medical decision making, especially since it comes on theheels of reports of overexposure due to CT scans. These reportshave left patients concerned, confused, and frustrated. If patientswere not aware of the issue of radiation exposure before theycertainly are now and, as a result, they will question the need forany imaging studies. Going forward, informed patients who want to be in the drivers seat along with their doctors will need tohave the appropriate tools to make good medical decisions. Suchtools include a better understanding of how to reduce radiationdose without compromising clinical outcomes, as well as an un-derstanding of how vital organs receive and absorb radiationdose.

    CIBR, I am proudly able to say, is the only coalition I amaware of that is bravely attempting to address these issueswhile actively and consistently engaging patient advocacygroups. CIBRs diverse membership means that it is the logicalentity to advocate for more imaging research and to act as a fo-rum for collaboration on these and other imaging - related issues.I look forward to returning to the RSNA next year and hope that we are able to bring along other patient advocacy leaders aswell.

    CIBR Brings Patient Advocate to RSNA 2010 By Martha Nolan , Vice President of Public Policy, Society for Womens Health Research

    Martha Nolan discusses the latest innovations in biomedical imaging during RSNA 2010

    www.imagingcoalition.org

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    March 2011 Page 6

    CIBR Sponsors Brie ing on AgingResearch By Roxanne Yaghoubi

    On February 22, 2011, CIBR sponsored a presentation on imag-ing research at the National Institute on Aging (NIA), which ispart of the National Institutes of Health (NIH). Brie ings suchas the one at the NIA play a critical role in CIBRs education-al and advocacy efforts because they give congressional

    staffers and patient advocates the op-portunity to learn more about scien-ti ic research. This was CIBRs 11thbrie ing with an NIH Institute, and its irst with an Institute other than the NationalInstitute for Biomedical Imaging and Bio-engineering (NIBIB) that is home to alarge imaging research portfolio.

    During the event at the aging institute, Dr.Richard Hodes, the Director of the NIA,gave an introduction and overview of theinstitutes mission. He was followed bypresentations by Dr. Ronald Kohanski andDr. Chhanda Dutta. Next, Dr. Neil Buck-holtz, the Chief of the Dementias of AgingBranch of the Division of Neuroscience,spoke about Alzheimers research and

    showed part of a documentary entitled The Forgetting: A Por-trait of Alzheimers. The video described the work that re-searchers at the University of Pittsburgh have done on the Pitts-burgh Compound B. This is a radioactive compound that, whencoupled with positronemission tomography(PET) scans, allowsresearchers to see thelocation and distribu-tion of the beta amy-loid plaque depositsassociated with Alz-heimers.

    Following the video,Dr. Susan Resnick

    gave a presentationentitled ImagingBrain Aging in Healthand Disease. The morning ended with a presentation by Dr. LisNielsen, who spoke about neuroeconomics, which is the studyof how humans make decisions and the role that risk, reward,and emotion play in the aging brain. Question and answer ses-sions followed each presentation.

    Building on the success of the NIA event, CIBR hopes to hold abrie ing on Alzheimers and aging research on Capitol Hill laterthis spring. If you are interested in attending, please contact Roxanne Yaghoubi ([email protected]).

    Dr. Richard Hodes,Director of the NIA

    Drs. Lis Nielsen, Ronald Kohanski, Chhan-

    da Dutta, Neil Buckholtz, Susan Resnick,& Richard Hodes at the NIA presentation

    Radiologists as ReviewersUnder the leadership of Academic Council Chair Dr. Carolyn Melt-zer (Chair of Radiology at Emory) and the Scienti ic Liaison Task Force, the Academy of Radiology Research (ARR) is working togrow radiologys relationships with all of the NIH institutes that have a strong imaging research portfolio. An important part of this initiative involves supporting the placement of more radiolo-gists and imaging researchers on study sections and advisorycommittees.

    The ARR Task Force is currently working to identify study sec-tions that could bene it from the inclusion of an imaging re-searcher. NIH is currently soliciting the help of professional or-

    ganizations and societies to identify well - quali ied researchers toserve as volunteer reviewers. The NIH has also revamped theirpeer review system over the recent years to make it friendlier interms of the rigorous demands already placed on academic in-vestigators. The new streamlined review system features a short-er application and less travel time required of reviewers. TheARR Task Force will be reaching out to members of the AcademyAcademic Council in order to ask them to nominate potentialreviewers, which the Academy will then forward onto NIH. In

    addition, CIBR is working to establish an online database of po-tential reviewers.

    During the RSNA 2010 Annual Meeting, Dr. Meltzer and ElizabethKrupinski, Ph.D. (University of Arizona) led a workshop on thegrant review process. The course educated participants about

    different grant mechanisms, the criteria used for grant evalua-tion, and the process of becoming a reviewer. Most of the partici-pants had never served as a grant reviewer for the NIH but basedon what they learned they agreed that they would consider doingso in the future. The next workshop will take place during RSNA2011. If you are interested in participating, or would like to sug-gest a study section that would bene it from the presence of animaging researcher, please contact Roxanne Yaghoubi([email protected]).

    Academy Expands NIH Tour Schedule Another Academy initiative currently underway is to connect more of the Institutes at NIH with a strong imaging portfolio toour community of patient advocacy groups and policymakers. In

    March, CIBR sponsored an imaging presentation at the NationalInstitute on Aging that focused on the important contributions of the radiology community to aging - related research. Events suchas these are essential to ensuring that interested constituenciesare aware of the breadth and scope that imaging plays within avariety of Institutes and Centers. There will be other events simi-lar to the NIA presentation later in the year. Please contact us if you are interested in participating or if you would like to suggest an IC that has a compelling imaging story to highlight.

    Academy Helping NIH to Identify NewImaging Reviewers, Promoting Toursand Presentations at Additional ICs By Rene Cruea and Roxanne Yaghoubi

    www.imagingcoalition.org

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    Page 7March 2011

    Funding Bill Cuts Science Budget, Implements Cap on Awards By Mike Kalutkiewicz

    Although March marks the halfway point for Fiscal Year(FY) 2011, the yearly budget remains in limbo. The Houseof Representatives has passed its version of the budget, a$65b reduction package from FY2010 levels, while the Sen-ate deliberates a smaller budget reduction package. In re-gard to life sciences research, the Houses bill, H.R. 1, callsfor a nominal dollar reduction to the National Institutes of Health (NIH) to FY2008 funding levelsa reduction of $1.6b ( - 5.3%) from FY2010. However, when factoring inin lation, the reduction in real dollars gives NIH the samepurchasing power as it had in FY2001.

    In addition to the dramatic budget reduction, H.R. 1requires NIH to fund a minimum number of 9,000 newawards at an average award of $400,000 per award.For historical context, NIH funded 8,989 awardsin FY01 and 9,583 new awards in FY10 - an an-nual growth rate of 0.64% over the 10 yearspan.

    For those that follow appropriations report language, youd strain to ind such prescriptivelanguage in the past. Congress has traditionallylauded the NIHs stringent peer review processas the gold standard for ensuring that only themost scienti ically meritorious applications re-ceive funding. Legislators have demonstrated areticence to intrude on NIHs autonomy for allo-cating scarce research dollars, leaving such de-cisions to the volunteer scientists who review and scoreapplications. If the National Cancer Institute (NCI) had astrong application for a 15 site, $1.5m clinical trial, as iden-ti ied by scientists in that ield, it would be judged on itsscienti ic merits the same way a $200,000 basic scienceapplication would. The $200,000 application would not have an inherent advantage over high cost applicationssolely due to its smaller overall cost. An applications abil-ity to move the scienti ic paradigm forward, and to ulti-mately advance human health, was always the decidingfactor.

    And herein lies the trouble with H.R. 1s language, evenbeyond the draconian budget cuts: NIH Directors will nowhave to eschew a large number of clinical trials, regardlessof their merit, in order to stay below the congressionally - mandated cap of $400,000 per award. Even though clinicaltrials are typically situated across multiple locations and

    include a diversity of populations, they still are counted asa single large award on the NIH books. NIH Directors willhave no choice but to limit the number of clinical awards,in favor of typically smaller awards, in order to stay belowthe $400,000 cap.

    Whereas cost was a factor all along in the administration of science, it would now be paramount to the merit of theapplication in many clinical instances. This is unfortunate,as the proposed policy threatens the very research that isnecessary to bring cures from bench to bedside. If policy-makers want faster cures, why introduce an unprecedent-ed congressional mandate that ties the hands of NIH Direc-tors to fund promising clinical trials?

    As the Senate continues work on their version of the FY11spending package, the fate of the language is uncertain.Coalitions like CIBR and the Ad Hoc Group for Medical Re-search Funding have worked to inform members in boththe House and Senate of the consequences of such lan-guage. The process, to inalize the FY11 appropriationspackage, however, will likely continue throughout thespring.

    For more information on how to contact your Members of Congress, or to sign up for CIBR Advocacy Alerts, pleaseemail Mike Kalutkiewicz at [email protected]

    And herein lies the trouble with H.R. 1slanguage, even beyond the draconianbudget cuts: NIH Directors will now haveto eschew a large number of clinical tri-als, regardless of their merit, in order tostay below the congressionally - mandated

    cap of $400,000 per award.

    www.imagingcoalition.org

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    Page 8March 2011

    Save the Dates: May Recess is all about Research!

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    AdMeTech FoundationAgfa HealthCare CorporationAlliance for Aging Research

    Alliance for Prostate Cancer PreventionAlpha-1 AssociationAlpha-1 Foundation

    Alzheimers Foundation of America American Association for Women RadiologistsAmerican Association of Physicists in Medicine

    American Brain Tumor AssociationAmerican College of Nuclear Physicians

    American College of RadiologyAmerican Institute for Medical and Biological Engineering

    American Institute of Ultrasound in MedicineAmerican Osteopathic College of Radiology

    American Pain FoundationAmerican Parkinson Disease Association

    American Registry of Radiologic TechnologistsAmerican Roentgen Ray Society

    American Society of Emergency RadiologyAmerican Society of Neuroradiology

    American Society of Radiologic TechnologistsArthritis Foundation

    Association for Research in Vision and OphthalmologyAssociation of Community Cancer Centers

    Association of Educators in Imaging and Radiologic SciencesAssociation of Program Directors in Radiology

    Association of University RadiologistsBeth Israel Deaconess Medical Center Department of Radiology

    Biotechnology Industry OrganizationBlinded Veterans Association

    Brain Injury Association of AmericaBrigham and Womens Hospital, Department of Radiology

    C3: Colorectal Cancer CoalitionCancer Schmancer

    Case Western Reserve University, University Hospitals Health System,Department of Radiology

    Children With Diabetes FoundationChristopher & Dana Reeve Foundation

    Colon Cancer AllianceCommunity Oncology AllianceCooleys Anemia Foundation

    COPD FoundationThe Daniella Maria Arturi Foundation

    Duke University School of Medicine, Department of RadiologyEmory University School of Medicine, Department of Radiology

    Fibroid Relief Fight for SightFirst Candle

    FORCE: Facing Our Risk of Cancer EmpoweredFUJIFILM Medical Systems USA, Inc.

    GE HealthcareGeorgetown University Medical Center, Department of Radiology

    Hydrocephalus AssociationHypertrophic Cardiomyopathy Association

    International & American Associations for Dental ResearchInternational Eye Foundation

    International Society for Magnetic Resonance in MedicineInternational WAGR/11p Deletion Syndrome Association

    Intracranial Hypertension Research FoundationJohns Hopkins Medicine, The Russell H. Morgan Department of Radiology

    and Radiological ScienceJuvenile Diabetes Research Foundation

    Kidney Cancer AssociationLighthouse International

    Lung Cancer AllianceLung Cancer Circle of Hope

    MaleCare

    Mallinckrodt Institute of Radiology, Washington UniversityMassachusetts General Hospital, Department of Radiology

    Mayo Clinic, Department of RadiologyMedical College of Wisconsin, Milwaukee WI, Department of Radiolo

    Medicalis CorporationMemorial Sloan-Kettering Cancer Center, Department of Radiology

    Mens Health Network Mental Health America

    Mount Sinai School of Medicine, Department of RadiologyNational Alliance for Eye and Vision Research

    National Cervical Cancer CoalitionNational Lung Cancer Partnership

    National Patient Advocate FoundationNational Spinal Cord Injury Association

    New York University Langone Medical Center, Department of RadioloNorthwestern University, Feinberg School of Medicine,

    Department of RadiologyNuance Communications, Inc., Nuance Healthcare Division

    Parkinsons Action Network Philips Medical Systems

    Prevent Cancer FoundationProstate Cancer International

    Prostate Health Education NetworkPulmonary Fibrosis Foundation

    Radiological Society of North AmericaRSNA Research and Education Foundation

    Siemens HealthcareSociety for Imaging Informatics in Medicine

    Society for Pediatric RadiologySociety for Womens Health Research

    Society of Chairs of Academic Radiology DepartmentsSociety of Computed Body Tomography and Magnetic Resonance

    Society of Interventional RadiologySNM (formerly Society of Nuclear Medicine)

    Society of Radiologists in UltrasoundSociety of Skeletal RadiologySociety of Thoracic Radiology

    Society of UroradiologySusan G. Komen for the Cure

    Taking Control of your DiabetesToshiba Medical Systems Corporation

    Tuberous Sclerosis AllianceUniversity of California, Irvine Medical Center Department of Radiolog

    SciencesUniversity of California, Los Angeles, Department of Radiological Scien

    University of California, San Diego School of Medicine, Department oRadiology

    University of California, San Francisco, Department of Radiology& Biomedical Imaging

    University of Kentucky Chandler Medical Center, Department of RadiolUniversity of Louisville, Department of RadiologyUniversity of Michigan, Department of Radiology

    University of Minnesota, Department of Diagnostic RadiologyUniversity of North Carolina at Chapel Hill School of Medicine, Departm

    of RadiologyUniversity of Pennsylvania, Department of Radiology

    University of Pittsburgh Medical Center, Department of RadiologyUniversity of Texas Medical School at Houston, Department of Diagnos

    and Interventional ImagingUniversity of Utah, Department of Radiology

    University of Washington, Department of RadiologyUniversity of Wisconsin-Madison, Department of Radiology

    Us TOO InternationalVon HippelLindau Disease Family Alliance

    Voices Against Brain Cancer Yale University School of Medicine, Department of Diagnostic Radiolo

    ZEROThe Project to End Prostate Cancer

    CIBR Member Organizations