images/isrrt/May 2010.pdf

images/isrrt/May 2010.pdf

srrtn e w s l e t t e rVolume 46. No. 1 – 2010ISRRT Registered UK Charity - No. 276216InternationalSociety ofRadiographersandRadiologicalTechnologists

ContentsReportRSNA: Imaging Through a Cross-cultural Lens: A GlobalPerspective on Values, Norms, Mystiques and Fears 10TWSRT holds successful meeting 12WHO Global Initiative on Radiation Safety in Health CareSettings Workshop on Second NIRS Kids Workshop 13Cameroon Society of Medical Radiographers andRadiotherapist 8th Congress Report Meeting 14Radiology Congress 26Digital Radiography Summit 29CAMRT report 31ArticleA balancing act: potential benefits versus possible risks ofradiation exposure 16Interventional & Introperative MRI –from Canada to Asia & Beyond 22The Role of Research in the Advancement of Health 28NewsNews from member societies:The Americas: Canada, Jamaic, Trinidad & Tobago 39Asia/Australasia: Australia 41Africa: South Africa 41Europe: Cyprus, Greece, UK 42ISSN NO. 1027-0671isrrtEditor: Rachel BullardProduction & Design:Deep Blue Design Studio,deepbluedesign1@mac.comPrinter: Geon GroupMelbourne, AustraliaThe Board of Management of the ISRRT expressesits appreciation to AGFA who generously support theproduction and distribution of the Newslettter.ISRRT Website: www.isrrt.orgRegularsPresident’s Message 3Secretary General’s report 7Contact details for:Submissions, deadlines, advertising & WRETF 8Coming events 32Councillor Profile:Aladdin Speelman 34Jenny Motto 35WRETF Report 36Names and addresses of member societies & ISRRTCouncil Members 44ISRRT Officers of Board of Management 52ISRRT Committees Regional Representatives 52Volume 46 – No. 1 1

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President’s Message MessageAs I write this message it occurs to me that thiswill be my last President’s Message, as Septemberwill bring our World Congress and associatedCouncil Meeting at which a new ISRRT Board ofManagement will be elected.Colleagues from other Professions have beensurprised when I have told them that we elect ourBoard for four year terms, but when the subject ofthe range of activities and relationships we need toestablish and maintain arises they can understand theneed for such a time frame.Our present Board has representatives from 12Countries who need to learn to work together tosupport the objectives of ISRRT – this cannot happenwithin a short timeframe given their wide rangingbackgrounds and experience. This is certainly myexperience having served on three ISRRT Boards.As we move from 2009 through 2010 and look tothe future, my overwhelming feeling is how theISRRT has gained in respect and involvement atan International level while still being involved at“grassroots” radiography when that was appropriateand a need.As an example, I was telling a colleague recentlyhow Cynthia Cowling, our Director of Education,had, within just a few months moved from runningan ISRRT workshop in Fiji on Q/A in generalradiography to being an invited speaker at a WorldHealth Forum on minimising dose for Children inPediatric Radiography in Chiba, Japan.Similarly, I was recently invited to represent ISRRTas part of an important World Health Forum onestablishing International Imaging Guidelines. ISRRTwas the only invited Technologist’s group along withmore than 25 other Professional Bodies. While at thismeeting, I was also able to offer the WHO RegionalDirector from Central America, the ongoing supportof ISRRT to the residents of Haiti to assist in there-establishment of medical imaging services to thatearthquake-torn Country. This aid will need to besourced from our Members Societies but I know theywill readily help ISRRT to provide aid in this andother areas of need.Our 2010 World Congress, enthusiastically hostedthis time by our colleagues from Australia withthe support from the New Zealand society, will beanother opportunity for us to mix with and shareprofessional experiences with those from our manyMember Societies around the world. At these times,we learn that despite our cultural differences anddiverse backgrounds, we have a unique bond throughour daily contribution to the healthcare of our variouscommunities. This is a true privilege and above all aserious responsibility which we should not take forgranted.In very recent times we have seen and heard manystories of incorrect and inappropriate procedures andexaminations resulting in increased radiation doses topatients. This has caused many patients to seriouslyquestion the examinations for which they have beenreferred to our departments and indeed to question usabout these examinations and procedures and the risksto which they might be exposed.We all need to ensure that we are able to answer theirquestions with knowledge and authority, at the sametime respecting their concerns. We have undertakento ensure that the forthcoming ISRRT WorldCongress will provide the opportunity to increase theknowledge and awareness of those attending in theseareas.At the conclusion of the Congress in September I willhave the opportunity to publicly thank my ISRRTBoard colleagues for their support and contribution toISRRT on your behalf, but I would like now to takethis opportunity to do that in this Newsletter Forum.To the ISRRT Board Members, RegionalRepresentatives and other individuals who have aidedme and the Board on special projects, to the Councilmembers and various National Society Presidents,Officers and CEO’s who have been so courteous,helpful and generous with their time and friendship Iexpress my sincere thanks and gratitude.I also thank those members of the variousInternational Professional Societies and Companieswho have treated ISRRT with so much respect andinvolvement and given us their support.Continued on the next pageVolume 46 – No. 1 3

President’s Message continued MessageContinued from the previous pageTo Sandy Yule our tireless, conscientious, humorousand totally committed and dedicated CEO my veryspecial thanks, both at an ISRRT and personal level.To Alison his delightful wife, my thanks as well inrecognition of her never ending support to Sandy and,through him to of the best experiences of their lives.Rob GeorgePresident ISRRTI must also thank my wife Jan,who has always supported andencouraged my professionallife and has not only livedwith radiography for the last45 years but still has at a fewmore to contend with as wehave two adult children whoare also radiographers.I will wish the new Board(when they are elected), all thevery best and be very enviousas they will be embarking onJORNADA PANAMERICANA TECNOLOGIA MEDICASantiago, Chile July 15-17, 2010Grand HyattCall for presentationsThe Chilean College of Medical Technologists, in lieu of the commemoration of its XV National Congress and the Bicentennial of our country, has the honorof conveying all peer organisations from America to the V Pan-American Congress of Health Professionals.Previous meetings were held in Arica (1992), where the Pan-American Association of Medical Technologists was founded. Talca (1994), Santiago (1998)y Valdivia (2000) brought forth important agreements in the Latin-American area, both in the academic and the clinical practice area of the profession;generating understanding of the common problems and possible solutions to this; sharing of technological and scientific developments which each organizationprovides do the profession development in their respective countries; exchange of experiences which favors progress and upgrading knowledge ofeach specialty.This meeting will be inserted in the Medical Technology Congress so participants will have access to academic, scientific, social and guild activities, developedin a agreeable socialization and natural camaraderie. We are counting with your attendance, which we are sure will give our event glamour and yourpresentations will enlighten our mutual interests.Marcelo ZentenoJuan Carlos ArayaJRMA4 ISRRT Newsletter

For Registration go towww.radiography.or.keContactswww.kenyaradiographers@yahoo.comemail: info@radiography.or.keSubmission of abstracts• Deadline June 15, 2010• Notification of abstractsacceptance July 15, 2010• Early registration deadlineJuly 30, 2010Registration feeSORK members KES 6,000.00(USD 150)Students KES 3,500.00 (USD 100)Others KES 10,000.00 (USD 200)Any payment after the deadlineshall attract an Administrative fee of1,000.00.ISRRT Newsletterpublication datesThe dates of publication for theISRRT Newsletter.From 2009 the newsletter will be publishedin May and November.The deadlines will be April 1 (May issue) andOctober 1 (November issue).Any queries please contact:The Secretary General, Dr Alexander ORProduction Editor, Rachel

Secretary General GeneralI attended the Radiological Society of NorthAmerica (RSNA) at the end of November 2009with Robert George and this was the second timeISRRT had participated as part of the AssociatedSciences group. The ISRRT once again shared a largebooth with the other Associated Sciences memberswhich include the American Society of RadiologicTechnologists (ASRT) and the Canadian Societyof Medical Radiation Technologists (CAMRT).This complimentary booth gives the ISRRT theopportunity to promote worldwide activities andto distribute literature. As reported last year theISRRT is now fully participating in the educationalprogram at this event and lectures were presentedby Robert George, Cynthia Cowling and Lori Boyd.The Regional Director of the Americas, MichaelWard represented the ISRRT at the program planningsession for 2010 and it was agreed that the sessioninvolving Cynthia Cowling and Lori Boyd should berepeated at RSNA 2010.The European Congress of Radiology in Vienna inMarch 2010 was once again a significant meeting forthe ISRRT. Relationships were maintained with theECR and the IAEA and important meetings were heldwith those organisations and also with the Presidentand officers of the European Society of Radiology(ESR).The meeting with ESR was in conjunction withthe European Federation of Radiographic Societiesand it was agreed that joint participation would be afeature of future Radiographic sessions at ECR. Thesecontacts are extremely important if the participationof the ISRRT in medical radiation protection issues isto continue at its present high level.Last month, April, I took part in an extremelysuccessful radiography program at the InternationalCongress of Radiology in Shanghai which wasfacilitated by Maria Law and Cynthia Cowling. Inaddition to the scientific program I also had theopportunity to meet with the President of the ChineseRadiographic Society and it is hoped that this meetingwill help to promote future contact with radiographersin China.April is also the month in which the GeneralAssembly of the World Health Organisation (WHO)is held and I will be participating in this annualevent. ISRRT is a Non Governmental Organisation(NGO) and it is extremely important that this status ismaintained. This status is not an automatic right forany organisation and every two years the Executiveof WHO meet to decide if an organisation merits tocontinue as an NGO. At the beginning of 2010 theExecutive, having taken into consideration the worldwide work of the ISRRT once again renewed its NGOstatus.In May I will be doing a site visit in Toronto prior tothe 2012 ISRRT World Congress. While in CanadaI will take the opportunity to attend the CAMRTConference in Quebec.The next few months will be extremely busy as Iprepare for the 2010 World Congress in Australia.Most of the work has been done by the localOrganising Committee in Australia and I would liketo thank them for the magnificent job they have done.In addition to the Congress there will also be a Boardand Council meetings. This year elections will be heldfor Board positions and also the results of the ISRRTsurvey undertaken last year will be discussed.Once again I would like to thank all Board members,Council members and members for the help andsupport given and my wife Alison for her help duringthe year.I would also like to thank Robert George for all hiswork and support during his period as President andfor him and Jan welcoming us into their home inAdelaide.Sandy YuleCEO, ISRRTVolume 46 – No. 1 7

➢ Editorial Submissions & DeadlinesRemember to e-mail your news before the deadline to:Mrs Rachel BullardEmail: deepbluedesign1@mac.comDeadline for the twice yearly issues are:April 1 (May issue) and October 1 (November issue) each yearAll material must be sent electronically, advertisements, images as high resolution PDF, TIF, EPS files.You are invited to comment in relation to the ISRRT Newsletter editorial content and make suggestions for future issues.All comments will be considered by the Editor and her Committee.➢ Advertisements/SecretariatA section is reserved for the advertising of educational programs, courses or new radiological texts.For further details or to advertise your program or new publications please contact the ISRRT Secretary General:Dr Alexander Yule143 Bryn PinwyddenPentwyn, Cardiff Wales CF23 7DGUnited KingdomTel: +44 0 2920 735038; Fax: +44 0 2920 540551; E-mail:➢ ISRRT World Radiography Educational Trust Fund (WRETF)Secretary:Mrs Lizzie ZukiewiczSpring House, 17 Spring Village, Horsehay, Telford, UK TF42LUTel: +44 0 1952 502966; Email: Website Comments on the newsletterThe ISRRT website carries up to dateaddresses of all member societies.Visit the ISRRT website at:www.isrrt.orgHere you can find information on theISRRT and details of future meetings.You are invited to comment on thepresentation and contents of thenewsletter and make suggestionsfor future issues. Your commentswill be considered by the Editor andher deepbluedesign1@mac.com8 ISRRT Newsletter

ReportRSNAImaging Through a Cross-cultural Lens: A GlobalPerspective on Values, Norms, Mystiques and FearsNovember 2009Report by Cynthia Cowling, ISRRT Director of EducationMy main purpose was to deliver a presentation entitled“Imaging Through a Cross-cultural Lens: A GlobalPerspective on Values, Norms, Mystiques and Fears.”This 90 minute presentation was part of the AssociatedSciences Refresher course section. I presented with mycolleague Lori Boyd from Toronto. The RSNA providesa comprehensive feedback system and the speakers andsession received a very respectable 4.14 average out of 5 inall sections. There were also some very useful constructivecriticisms which will help us to improve the sessionshould we be asked to repeat it. Most encouraginglymany attendees expressed interest in the huge disparitiesbetween the have and have not nations, a message ISRRTonly is able to send.I would like to devise a survey for our council membersso that we can have some more sound research presented.I have included the abstract and objectives for yourinformation at the end of the report. I also attended severalmeetings.1. Informal meeting with CEOs and Presidents of UK,Canada and USA as well as accrediting agencies. ISRRThosts this meeting and it provides an opportunity for thecountries represented to see what the ISRRT is doing. Ireported on the Educational focus and re-enforced someitems brought up at our Hong Kong meeting concerningfuture endeavours.There was considerable discussion on the survey andhow the Board will respond. It was emphasised thatthe survey was done at the request of the Council andISRRT must be cautious to meet their needs. There wasa perception among some that it appeared little washappening as result of the survey but were reassuredwhen it was explained that there had been considerablediscussion at the Board meeting with some provisionalstrategies, tabled until the Council could provide input.The ISRRT President proposed a compromise wherebythe original working group provide some feedback refuture strategies based on results. This is currently underdiscussion with ISRRT board members.JCERT, the accrediting agency in USA was very keen towork with ISRRT on our Accreditation project.2. Image Gently, the Alliance formed to assist in PediatricDose reduction provided a helpful information session. Iwould like to strongly recommend that all Board membersgo to their website and specificallylook at the excellent free modules on how to reducePediatric Doses in CT, developed by ASRT. I would likethese to be highlighted in our website and also in theeducation section. I used some of the material learnt fromthis and also some lectures I attended when I representedISRRT at a WHO meeting in Japan.3. WHIA. I met with representatives from this group (which has changed somewhat since our first discussions).They are still interested in having ISRRT assist witheducation process associated with the installation of simpledigital units in Guatemala. Philippe Gerson has providedan excellent reference person with both Spanish and Digitalexpertise. My concern continues to be that one train ofthought by this group is to take any persons from thehospital environment and train them as digital users in avery short period. Since we know there are many qualifiedradiographers already in Guatemala, my very firm stance isthat these radiographers should be upgraded to digital skills.We are still waiting on dates for installation. Things moveslowly in Guatemala!Thank you for providing me the opportunity to attend theRSNA. It proved a very enriching experience. vAbstractImaging Through a Cross-cultural Lens: A GlobalPerspective on Values, Norms, Mystiques and FearsAt its core, radiography is the acquisition of radiographicimages to help diagnose and treat patients within clinicalpractice. There are however, many factors which impact on10 ISRRT Newsletter

Repoere Reportthe success of procedures and resultant quality of images.The operatorclient relationship is often influenced bycultural values and norms which can vary considerably.Optimal images are dependent both on operator skill andclient compliance which comes with a sense of trust criticalto the fiduciary relationship. This can be difficult to achievewithin the physical environment of a radiology departmentand can also be impeded by cultural expectations andcultural conflict.Western societies that stress individual rights tendto focus on health practices that are embedded in thisworldview such as the requirement for informed consentand maintenance of confidentiality of patient information.In contrast, more hierarchical cultures often defer to eldersfor decision-making whereas communal cultures mayinvolve community leaders in a shared decision-makingprocess. Gender and religious issues can also affect theprovision of high quality procedures with same gendercare being a requirement within some cultural groupsand gowning procedures that maintain cultural valuesfrequently being an expectation. In addition, in manycountries in the developing world, radiation still hasmystique and fear associated with it, affecting participationin screening programs and recruitment to medical radiationtechnology educational programs. This presentation willpresent findings that will help to contextualise these issuesthrough a cross-cultural imaging lens.Objectives1. To discuss the concept of culture in relation to thehealthcare environment of North America.2. To contextualise cultural issues with regard to patientand technologist perspectives within a North Americanhealthcare environment.3. To discuss the impact culture has on patient healthoutcomes.4. To describe the concept of a culturally competent healthpractitioner.5. To consider the impact of global differences in ethicalcodes, scopes of practice and professional practiceexpectations.6. To identify and discuss issues that arise fromglobalisation of education and accreditation.7. To consider the possibility of harmonisation ofeducational standards, codes of ethics and accreditationrequirements for medical radiation technology.Volume 46 – No. 1 11

ReportCameroon Society of Medical Radiographers and Radiotherapist 8th Congress Report MeetingWhen Medical Imaging and Radiotherapy take off –Image Digitalisation and Innovative Diagnostic ModalitiesDjeuga Palace Hotel, Yaounde, CameroonFebruary 12-13, 2010Report by Nwedjiwe Nana Narcissse Fidele, National Prsident of CSMRRThe Cameroon Society of Medical Radiographers andRadiotherapists (CSMRR/ACPTIMR) 8th Congress wasorganised under the high patronage of the Ministry ofPublic Health. It took place in the premises of the DjeugaPalace Hotel, in Yaounde February 12-13, 2010; withthe Theme being “IMAGE DIGITALIZATION ANDINNOVATIVE DIAGNOSTIC MODALITIES”.The aim of this congress was to update and briefparticipants of the innovations in Medical Imaging (CTScanner, MRI, and Digital Radiography) and to estimatethe number of professionals in medical imaging in ourcountry while setting recommendations for the future so asto reduce variability in our daily practices. This Scientificworkshop also served as an in-service training.This workshop and in service training garthereda large number of professionals in Medical imagingand radiotherapy in Cameroon and Gabon. The were95 participations, among which we had 36 students and59 confirmed professionals (Professors, radiologists,Engineers and Technicians in medical imaging). Duringthe congress, we had the participation of the President ofthe Cameroon Society of Radiologist and Radiotherapistin Medical Imaging (SCRRIM) Pr. Gonsu F. Joseph andProfessors Juimo and Tagny. Their participation showedthe importance they attach being experts in medical imagingin Cameroon and in our profession which holds its place inthe Health care systemThe first day was dedicated to scientific sessions andpresentations (a general session and a CT SCAN/MRIsession) and free presentations and debates interrupted bythree other workshops.The second day had scientific sessions and presentations14 ISRRT Newsletter

Repoere Reportin the morning, and the afternoon was devoted to theGeneral Assembly of our association.The Scientific sessions and presentations had 20presentations presented by Radiography ProfessorsRadiologists, Neurologists and Medical Imaging Techniciansall of these divided into three workshops.Just to note a very important moment in the morningof the second day; the inauguration of our web site: afternoon of the second day was dedicated to thegeneral assembly of our association with the followingagenda:1. The speech of the president of the CSMRR/ACPTIMR2. The activity report.3. Strategies and planning(The way Forward)4. Renewal of the Members of Executive.In the first point: the president of CSMRR in his speechthanked the participants in an emotional tribute for theirspirit of conviviality and discipline during the congress.In the second point: Reports were presented by theGeneral Secretary and the Treasurer.This was then followed by a constructive debate andwhat should be done for the way forward.We thought it important to retain the following points.1. The Fight against job insecurity in our Profession2. The Implementation of rules and principles inradioprotection in our services and the training ofcompetent personnel in radioprotection3. To Stop the proliferation of x-ray centers, that employuntrained and unqualified personnel.4. To Fight against the illegal practice of the profession.5. The Designation of regional delegates of ourassociation. Then we proceeded to the election of theexecutive members.The outgoing staff was unanimously renewed by theassembly for another term of office ( two years):1. President: Mr Nwedjiwe Nana Narcisse Fidèle.2. Vice-president: Mr Kamgang Jean Bernard,3. General Secretary: Miss Ekongolo Ange Emma.4. Assistant General Secretary: Mr Enone Denis.5. Treasurer: Mrs. Gale Tinetcheu Espouse DzogangNinon Fride.6. Auditor: Mrs Mvee Cecile.We couldn’t have held this congress without the unconditionalsupport of: BAYER SCHERING PHARMA, CARIM, UCBPharma, HITACHI, STEPHANIX, MEMOPHARMA, andCEMRIO, to whom we address our sincere thanks.Participants left the Congress at the end all delighted andaccepted to meet in Douala in July 2010 for an in-servicetraining in CT Scanning, December 2010 for a days trainingin radioprotection and in February 2011 for the 9th Congressof our association which will take place in LIMBE (seasidetown of the Southwest of Cameroon). vVolume 46 – No. 1 15

ArticleA balancing act: potential benefits versuspossible risks of radiation exposureBy Dr Fozy Peer (D.Tech: Rad)Nuclear Medicine, Inkosi Albert Luthuli Central Hospital, DurbanPostal addressDr F PeerPO Box 1435Wandsbeck 3631KwaZulu NatalSouth + 27 (0) 31 2401881 (Office hours)AbstractNon-invasive imaging, that leads to early more precise and much less morbid diagnosis, has revolutionized patientmanagement. There is a significant increase in radiation dose from medical procedures using non-invasive imaging, suchas computed tomography and nuclear medicine. Minimising radiation dose without compromising diagnostic qualityis obviously key. Self-referral, the fear of litigation, image quality, training, equipment, and to some extent advancedtechnology, are identified as factors that contribute to increased radiation dose. There is a need to control and minimizehealth risks, while maximizing the benefits of radiation in medicine as the inappropriate handling of radiation can result inpotential health hazards both for patients and staff. 1,2Keywords: computed tomography, nuclear medicine, milli-SieverIntroductionMedical imaging has revolutionised medicine andis undoubtedly saving and extending lives. 1 Ionizingradiation is used worldwide in over 4000 milliondiagnostic procedures and up to eight million radiotherapytreatments per annum. 2 Medical care is hence the largestsource of human exposure to ionizing radiation outsideof nature. Exposure to radiation is on the increase dueto advances in medical imaging systems. The associatedincrease in radiation dose from increased imaging andtherapy to achieve improved health care leads to concernsabout possible over-utilisation of these examinations. 1 Asthe number of imaging and therapeutic radiation studiesincreases it is important to maintain a balance betweenthe potential benefits and possible risks from radiationexposure.A March 2009 report from the National Council forRadiation Protection (NCRP) indicates that the increasein radiation exposure is due mainly to a higher utilizationof computed tomography (CT) and nuclear medicine.In the population of the United States of America(USA) , CT and nuclear medicine contribute 36% of thetotal radiation exposure and 75% of medical radiationProcedure Effective dose Effective doseper individual – per individual –1980s (mSv) 2006 (mSv)CT 0.016 1.47Radiography &fluoroscopy 0.36 0.33Interventionalfluoroscopy 0.018 0.43Nuclear medicine 0.14 0.77Total 0.53 3.00Data does not include radiation dose from radiationtherapy, PET/CT, SPECT/CT, CT/fluoroscopy, andinterventional applications.Table 1: Data from the National Council on RadiationProtection and Measurements, “Ionizing RadiationExposure of the Population of the United States,” March3, 2009. 316 ISRRT Newsletter

Articleexposure. 3 This is attributed to a more than a sevenfoldincrease in exposure to medical ionising radiation fromthe early 1980s to 2006. In Table 1 it is evident that theeffective dose per individual in the early 1980s increasedfrom 0.53mSv to 3mSv per individual in 2006.Although the use of CT grew very rapidly in the late1990s and early 2000s, it is expected to continue toincrease for at least the next decade. The radiation fromin-vivo diagnostic nuclear medicine studies increased bysome 460% and the collective effective dose increased by620% from 1982 to 2006. 3 Cardiac interventional studiesacross modalities comprise 28% of the total imagingprocedures yet the collective effective dose is 53% of thetotal for all interventional procedures. 3Dr M Rehani, a radiation safety specialist from theInternational Atomic Energy Agency (IAEA), during apresentation at the European Congress of Radiology heldin 2009, stressed the importance of knowing the radiationdose given to an individual so as to optimise radiationprotection. 4 He elaborated that there is a need to assessand optimise patient doses without compromising imagequality. He requested that stakeholders become familiarwith programs and actions that can help in patient dosemanagement and to consolidate knowledge of radiationprotection. 4There is no doubt that patient management has beenrevolutionised by non-invasive imaging that leads toearly, more precise and much less morbid diagnosis. 5 Thisincreased non-invasive imaging, especially by CT andnuclear medicine, has resulted in a significant increasein the medical radiation dose. Minimising radiation dosewithout compromising diagnostic quality is obviously keyhence certain important issues that impact on increaseddose need consideration. Self-referral, the fear of litigation,image quality, training, equipment and, to some extent,advanced technology, need to be addressed.Self referralEvery user of ionising radiation should be bound by ethicaland legal rules and regulations on the use of ionisingradiation. However there appears to be some practitionersthat could be motivated to overuse certain imagingmodalities as it results in increased income for them. 6According to the Government Accountability Office reportin the USA imaging utilisation is significantly increasedwhen physicians refer patients to facilities at which thatthey have financial interests. 1,3 In the medicare system in theUSA, the number of self-referred CT, magnetic resonanceimaging (MRI) and nuclear medicine studies grew at triplethe rate as compared to the same examinations performedin all settings during the period 1998 to 2005. 1 Accordingto private insurance studies more than half of the selfreferredimaging was unnecssary. 1 Some practitioners optfor advanced imaging procedures in lieu of less expensivediagnostic procedures as this could mean higher revenuesfor the practitioner without any commensurate improvementin the outcomes. 5LitigationFear of litigation, advanced technology and patient demandare also cited as possible reasons for increased radiationdose. 1,3 The commentary on the NCRP Report no 160indicates that most of the physicians surveyed, reportedthat they practiced ‘defensive medicine’. 5 Approximately athird of the CT scans requested by obstetrics/gynaecologists,emergency physicians and family practitioners were notmotivated by medical need. 5 McDonald in his editorial 6states that practitioners experience ‘pressure’ not tounderuse radiological imaging as when faced with legalaction, radiographic images may help defend their actionsin a court of law. 1Image qualityIn a multinational survey performed by the IAEA , itwas found that 53% of the x-ray images evaluated indeveloping countries were of poor quality and henceimpacted on diagnostic information. Patients often have tohave repeat examinations so that the images are of usefuldiagnostic quality. 7,8 This contributes not only to unecessaryradiation dose but also to loss of diagnostic information andincreased social costs. After implementing quality controlmeasures, the number of repeat examinations were reducedand there was a significant improvement in image qualityand reduction in radiation dose. 8TrainingVariations in the levels of training health professionals,choice of radiographic technique, and radiation protectionmeasures, impact on the final patient dose. 8 It is importantto educate all stakeholders in the appropriate utilization ofimaging and in the principles of radiation safety. Personsperforming examinations should be certified; referringphysicians need to be educated on the most appropriateimaging study for given indications. 1 Most non-radiologistproviders receive little, if any, imaging or radiation physicstraining. Government should regulate all providers thatperform studies using radiation. 1 The requests for repeatstudies due to previous records not being available shouldbe minimised.An important aspect of training is that of the developmentof protocols for the various examinations. The additionalrotation of the x-ray tube at each end of the scan length toContinued on following pageVolume 46 – No. 1 17

Articleallow for the first and last slices to be reconstucted, that is,over-scanning in CT examinations contributes significantlyto patient dose. 9 it is essential that CT protocols are checkedand appropriate beam collimation, pitch and reconstructionslice width are selected especially in paediatric patientswhere non-optimised scan protocols contribute cosiderablyto radiation dose.Radiographers need to go back to basics and beencouraged, where possible, to increase tube voltage andreduce mAs. Parameters should be selected according topatient size, age, gender and the clinical question. In CT,reducing scan length and minimising the number of scanswould help optimise radiation dose. 9EquipmentRadiation dose can vary by up to a factor of ten betweeninstitutions. 9 This may be partly attributed to differentimaging systems. Some countries are ill-equipped tomanage radiation exposures because of poor equipment. 2Often developing countries are given secondhand orrefurbished equipment that lacks software to control patientradiation dose. 2 During the IAEA survey, the poor qualityof images was also attributed to equipment performanceand malfunction. 8 Imaging equipment requires regularsurveillance by medical physicists to ensure optimalfunction. 1 Repair and optimisation of x-ray equipment,new intensifying screens and improving film processors allcontributed to the improved quality of images and hencereduced patient dose. 8TechniqueIn a presentation at the American College of Cardiologymeeting in 2009, it was reported that sequential scanningduring coronary CT angiography reduces the radiationdose significantly without compromising image qualitywhen compared to standard spiral data acquisition. 10 Ininterventional CT, 3-D navigational tools may help reducethe need for repeated scanning. 11Paediatric imagingAlthough imaging is an invaluable diagnostic andmanagement planning tool for health-care providerstreating children, patients are often ignorant of the possiblerisks and radiation dose associated with radiation imagingand therapy. In their attempts to get a rapid diagnosisand treatment, parents may contribute to the increasingdemand for imaging techniques, like CT, without actuallyunderstanding the potential risks. It is important to discussthe potential radiation risks with caregivers so that theymay make informed decisions. Parents have a right toFigure 1. One sizedoes not fit all...Courtesy of: in decisions about the benefits and risks of theirchild’s medical management. 12The Alliance for Radiation Safety in Pediatric Imaginglaunched the ‘Image Gently’ campaign that encompasses34 medical organisations worldwide. 3 They have developedsome educational tools on potential radiation risks forpatients and parents. 12 The goal of Image Gently is ‘tochange practice by increasing awareness of the opportunitiesto lower radiation dose in the imaging of children’. 12Radiation dose needs to be tailored for children ; protocolsneed to be especially developed for children. Imagingstudies on children should not just be ‘adapted’ from adultprotocols, hence the slogan on Figure 1 that one size doesnot fit all. The campaign recommends that ‘when CT is theright thing to do: Child size the kVp and mA ; one scan(single phase) is often enough , and scan only the indicatedarea’. 13Much is known about the quantitative effects of exposureto ionizing radiation however considerable uncertaintiesremain about the health effects of low doses. Hence it isimportant to perform CT examinations that are medicallyjustified using the protocols incorporating the lowestdose scanning parameters that provide quality diagnosticimages or where possible to substitute with non-radiationmodalities.In nuclear medicine radiopharmaceutical dosimetryvaries from institution to institution as universal standardsfor pediatric radiopharmaceutical doses do not exist. 14Doses are usually based on adult doses. Although it isgenerally agreed that pediatric doses should be the lowestpossible to result in a satisfactory examination, there needsto be standards for pediatric radiopharmaceutical dosesadministered to pediatric patients. 14 There is also a need toexplore instrumentation, new technology and reconstructionsoftware as a means of reducing radiation dose in thepediatric population. For example, use of the OSEM-3Ddata reconstruction software as compared to filtered backprojectionsoftware in the reconstruction of single photon18 ISRRT Newsletter

Articleemission computed tomography (SPECT) renal imagesallows the total administered radiopharmaceutical activityto be reduced by a factor of two without compromisingimage quality. 14,15Researchers at Brown University at Rhode IslandHospital found that the number of CT scans in pregnantwomen had increased some 25% over the period 1997-2006. In certain conditions, CT scans may be necessaryfor life threatening conditions 16 however as CT exposesthe fetus to radiation, albeit low levels of radiation, cautionneeds to be exercised when scanning pregnant women.Optimise radiation doseIn the quest to maintain a balance between maximisingthe benefit and reasonably minimising the risks associatedwith ionising radiation, health professionals would needto ensure that they practice according to the ‘as low asreasonably achievable’ (ALARA) principles. This wouldnot only benefit the general public and patients but alsoenhance the well-being of persons occupationally exposedto ionising radiation. 17It is the responsibility of every radiographer, technologist,radiologist, oncologist and nuclear medicine physician, asthe key roleplayers in the imaging industry, to ensure thatevery study is appropriately indicated. Radiation healthcarepractitioners need to increase awareness for the need todecrease radiation dose especially in children. Protocolsshould be reviewed and amended accordingly. 18,19 Beforeexposing a patient to radiation, one needs to weigh thebenfit to the patient against the possible risk. 3 The ImageGently campaign also advocates that parents keep a recordof their children’s medical imaging procedures. Thiswill help healthcare providers make informed decisionsregarding the optimal timing of future radiologic studies. 1All stakeholders should be educated in the principles ofradiation safety and appropriate utilisation of imaging. 1Although positron emission tomography - CT (PET-CT)scans have led to increased accuracy in diagnosis, there ishigher radiation exposure as the patient receives radiationfrom both the PET tracer and the CT scan. It is importantthat appropriate parameters and clinical indications aredefined. The use of separate CT scans for diagnosis,PET-attenuation and radiotherapy planning results inunnecessary radiation exposure. 9 Personnel working withPET-CT are also exposed to higher radiation levels.Although minimising radiation dose without compromisingdiagnostic quality is key, it is important that the benefits ofCT and PET-CT, as well as the risks, are considered. 9Government intervention is paramount in regulatingthe radiation industry. Radiographers administering thetests must be certified and registered; imaging and therapyequipment must be licensed and should be regularly surveyedusing quality control measures; and providers interpretingimages should meet basic training requirements. 1,19 TheWorld Health Organisation has launched a ‘Global Initiativein Health Care Settings’ that focuses on risks and benfits ofthe use of radiation in medicine. This includes diagnosticand interventional radiology, radiotherapy, and nuclearmedicine. Also considered are appropriteness criteria andreferral guidelines to prevent unintended medical exposure. 5In July 2009, a Bill was introduced in the USA to close theloophole in legislation that allows physicians to self-referpatients for certain imaging studies but this Bill still has tobe passed and adopted as legislation. 20Concluding commentsAlthough exposure to natural radiation sources is relativelyunavoidable and the medical use of radiation has becomean integral part of healthcare, all stakeholders need tobe aware of the potential risks associated with increasedradiation exposure. It is vitally important that patientsdo not put off needed imaging care based on fear. Thetremendous and undeniable benefits of medical imagingneed to be considered; patients must make informed risk/benefit decisions regarding their imaging care based onall the facts available and in consultation with their healthprofessionals 3 ( Figure 2). In an emergency or critical caresituation, a considerable radiation dose might be deliveredto a patient and there should be no argument with thedecision to proceed. However, a diagnostic study in a noncriticalscenario should employ the appropriate levels ofradiation. 6International standards, with regard to uniformity inmedical radiation exposure, should be developed to provideguidance on the measurement and recording of radiationdose. Dose values may be expressed in terms of ‘yearsof background radiation’. 11 The United Nations’ referencevalue for natural background radiation is 2.4mSv perannum. The International Commission on RadiologicalProtection for standard man puts organ doses as 1mSv to30mSv and effective doses from below 1mSv to 20mSv. 11If a procedure does not fit the clinical indication it shouldnot be performed. This will not only reduce patient dosebut also costs. Appropriateness criteria for medical imagingcovering 160 clinical conditions and over 700 variants havebeen published by theAmerican Collegeof Radiology. 5 Thebenefits of justifiedand properlyperformed imagingexaminations willoutweigh the risks foran individual childFigure 2: Balance:Potential benefitsvs possible risks.Volume 46 – No. 1 19

Articlebut unnecessary exposure to radiation will be associatedwith unnecessary risk. The most vulnerable groups toenvironmental threats are children and fetuses in pregnantfemales as they have longer life-spans to develop longterm effects. Inappropriate handling of radiation can resultin potential health hazards both for patients and staff.There is a need to control and minimize health risks, whilemaximizing the benefits of radiation in medicine. 21References1. Self-Referral of Medical Imaging Exams a PrimaryFactor in Six-fold Increase to Americans’ RadiationExposure from Scans Since 1980. 2009. [Accessed 24June 2009]2. Better Radiation Protection for Patients. RadiationExposure Growing from CT Sca ns, X-rays for VariedReasons. 2008. [Accessed 22 June 2009]3. Barnes E. NCRP report: CT drives massive increase inmedical radiation dose. 2009. [Accessed 24 June 2009.]4. Rehani MM. International action plan on the radiologicalprotection of patients. 2009. Presentation at ECR March2009. [Accessed 10 March 2009.]5. Schauer D.A. & Linton O.W. Commentary on NCRPReport No. 160, Ionizing Radiation Exposure Of ThePopulation Of The United States, Medical Exposure—Are We Doing Less With More, And Is There A RoleFor Health Physicists? 2009. Health Physics 97 (1) July2009.6. Mc Donald JC. Too much of a good thing? 2009.Radiation Protection Dosimetry 134, (1) 2009:1-2.7. X-rays Often Repeated for Patients in DevelopingCountries. IAEA Moves to Help Improve Qualityof Medical Radiography.2009. [Accessed 26 June2009.]8. Kleen C. Global Radiation Dose Higher Than Necessary.2008. [Accessed 11 March 2009. ]9. Dose-Reduction Strategies: A fine Balance. 2009.[Accessed 24 June 2009. ]10. Susman E. ACC study: Sequential CT delivers lessradiation, good image quality. 2009. [Accessed 1 April2009.]11. Gould P. In interventional CT, radiation dose can belimited by using only two scans. 2009. [Accessed 24June 2009.http://www.]12. Bulas D, Goske M, Applegate K & Wood B. Commentaryentitled; Image Gently: Improving Health Literacy forParents about CT Scans for Children. 2009. PediatricRadiology (2009) 39:112–116.13. Alliance for Radiation Safety in Pediatric Imaging2009. [Accessed 3 July 2009 ]14. Treves ST, Davis RT & Fahey FH. AdministeredRadiopharmaceutical Doses in Children: A Survey of13 Pediatric Hospitals in North America. 2008. Journalof Nuclear Medicine June 2008 (49) 6:1024-1027.15. Forrest W. SPECT with OSEM-3D reconstructionlowers pediatric radiation dose. [Accessed 6 May ]16. Imaging during pregnancy on the rise. 2009.[ Accessed19 March 2009.]17. General Guidelines With Regard To PersonalMonitoring. [Accessed 10 March 2006 ]18. Morrison G. Child-size the radiation delivered toyour pediatric patients. 2009. [Accessed 24 June]19. Goske M. What can I do? – Radiologists. 2009.[Accessed 24 June 2009]20. Yee KM. House bill would close Stark in-officeloophole. 2009. [Accessed 3 July 2009.]21. Pérez M, Shannoun F. & Van Deventer E. Thematicpaper: Radiation and Children’s Health: The Case ofPediatric Imaging. Presented at the 3rd InternationalWHO Conference on Children’s Health andEnvironment. 2009. [Accessed 11 March 2009.]22. Picture of balance. [Accessed 14 August 2009]Permission has been given by The South African Societyof Radiographers to reprint this article. The article wasoriginally published in SAR November 2009.20 ISRRT Newsletter

DIEN VAN DIJK AWARDNominations are invited for the 2010 Dien Van Dijk AwardThis award was approved in 2006 and is to be granted only at a World Congress andonly with the unanimous agreement of the Board of Directors of the ISRRT.This award is in honor of the contributions of Dien van Dijk, one of the founders ofthe ISRRT and who in 1962 become the first President of the ISRRT. The objectivesof which she upheld were to assist the education of radiographers and to support thedevelopment of medical radiation technology worldwide. This award dedicated to hermemory is to honour members of the ISRRT who have shown exceptional service andcommitment to the ideals so powerfully demonstrated by Dien Van Dijk.CRITERIA for nomination1. Exceptional service to the radiographic community.2. Past or present holder of a recognized position in the ISRRT.3. Recognised activities which reflect the founding principles of the ISRRT· Assistance in the education of radiographers· Assistance in the development of the profession of radiographyin several countries.Nominations to be made by any Council or Board member or other individual of amember society.Individuals nominated must meet all criteria and must be receivedbefore June 1st 2010.Nominations will be submitted to the Secretary General ( will convene a Committee composed of a Council representative from each of theregions to review and short list the applications received for consideration by the Boardof Directors.Award winners must be unanimously recommended by the Board of Directors.Award to be presented at Congress Banquet.This award may or may not be presented at each Congress.Volume 46 – No. 1 21

ArticleInterventional & Intraperative MRI –from Canada to Asia & BeyondByBrent Smith & Jenny Wright, Saint John, New BrunswickLeslie Belbas & Elaine Roy, Winnipeg, Manitoba (RTR & RTMR candidates)Jonathan Lee, Ph.D., Red River College & National Research Council – Institute for Biodiagnostics,Canada, & Jonathan.Lee@nrc-cnrc.gc.caIn December, 2009, RedRiver College’s 28thintake of MRI/S studentswere fortunate enoughto receive a tour ofWinnipeg’s own IMRISheadquarters. IMRISstands for “InnovativeMagnetic ResonanceImaging Systems” (, a companythat specialises in bringingMR imaging into surgicalsuites, in other words,they pioneered a wayto mobilize a five tonnemagnet. Dr John Saunders,Founder & Chief Scientist,was one of the originalinventors who designedthe intra-operative systemand graciously gave us thegrand tour. Our tour included a presentation outlining theevolution of the company, whose humble beginning werein a laboratory at Winnipeg’s National Research Council(Lawrence Ryner, Paul D. Wiebe. From Research to Clinicand Beyond – NRC Experience in Commercialization/Technology Transfer. Journal of Medical Imaging andRadiation Sciences 2009;40:178-182).MRI for interventional guidance includes its use byradiologists during the manipulation of needles, electrodes,catheters, or thermal devices as well as its application bysurgeons for guiding endoscopes, scalpels, or curettes. Theenvironment best suited to radiologic or surgical interventionis one with maximum patient access, in order to allow forunrestricted interventional approach and to maintain closeproximity to the monitoring and therapeutic devices. Suchattributes are in direct opposition to the optimal designof a MR scanner so as to achieve superior magnetic fieldhomogeneity for high-quality imaging. Thus, a delicatebalance is necessary for a commercial viable product.Furthermore, high-field interventional/ intraoperative MRsystems do have the additional advantage of having diversecapabilities such as functional MRI, MR angiography andvenography, diffusion-tensor and perfusion imaging, MRspectroscopy, MR thermometry, etc.Photo of the first test patient in 1996, a six year oldshepherd cross pup!22 ISRRT Newsletter

ArticleIn the early 90’s, neurosurgeon Dr GarnetteSutherland had been using MRI for both preoperativeplanning & postoperative assessment.Unfortunately though, if a tumor or aneurysmhad not been resected in its entirety, the patienthad to endure a second surgery or possiblymore. Dr Sutherland had the vision to close thegap between the pre and post surgical imaging,to confirm successful resection before closingthe patient. As a result, a partnership was formedbetween Dr Sutherland and the scientists atthe National Research Council. Dr GarnetteSutherland, Dr.John Saunders, Dr David Houltet al. hold the U.S. and International Patents onSurgical Procedure with Magnetic ResonanceImaging. (The Engineering of an InterventionalMRI with a Movable 1.5 Tesla Magnet. Journalof Magnetic Resonance Imaging 2001; 13(1):78-86)Today, IMRIS has a partnership with Siemens, whosupply the standard components. The very first system forclinical use was installed in the Foothills Medical Centrein Calgary in 1997. There have been over 35 units soldto date worldwide, including three in Western Canada.(Garnette Sutherland. Surgical Imaging with 1.5T movableMR – MRIS Surgical Suite. 2008 Siemens MagnetomWorld Summit, ( In addition, on February 19, 2009, IMRISentered into a five-year research initiative to focus onthe development and commercialization of MR-guidedradiation therapy and interventional procedures, workingwith the University Health Network (UHN’s world-leadingcancer research hospital: Princess Margaret Hospital) inToronto. The IMRIS 3T movable MR will be installed atPMH to enable the development of new approaches toradiation therapy using active MR guidance. (• 15 – number of installed units around the world• 13 – number or units sold that are in the process ofbeing installed• 14 – number of sales offices including six in the UnitedStates. two in Europe and one each in India, China,Japan, and Australia• $87 million – order backlog as of June 2009 (30 percent greater than the end of 2008)• $14.6 million – revenue for the first half of 2009(Martin Cash. IMRIS scores lucrative sale of surgicalsystems in U.S., Oct. 2, 2009, students who are new to the field, it was exciting to learnthat such innovation and entrepreneurship is going on in ourown backyard. It is amazing to think that we will all be apart of a field that has a direct impact on people’s lives andthe quality of care they receive. There is also excitementabout new advancements in an adjuvant “neoroarm”robot to assist in neurosurgery with 1000x the precisionof a human hand ( The possibilities seemendless. (, through their ingenious design, have come upwith a solution not only to achieve the once thought of as“impossible” moving magnet, but have also created it tomake sense economically. In today’s healthcare system,cost is everything; and this is especially true in NorthAmerica. Products that are not utilized to their full potentialor which are only useful in a limited capacity have atendency to be under-purchased by healthcare authorities.An inter-operative MRI in the public sector of healthcareis somewhat of a “dream piece” of equipment for mostfacilities. Most Canadian facilities would not have theoperative cases to justify such a purchase. IMRIS, withtheir moving magnet and multiple room configuration,have made it feasible for smaller facilities to incorporatethe moving design. The innovative two-to-three room setup gives the ability for the MRI apparatus to be utilized inneurosurgery, general duty and interventional cardiology,Continued on the following pageVolume 46 – No. 1 23

Articleor any variation thereof. In other words, the scanner itselfnever sits unused. In today’s world where budgets arelimited, this makes sense. IMRIS will sell their productbecause the remarkable ceiling mounted scanner is trulymultipurpose. Millions of dollars spent will be offset bythe diagnostic capabilities and productivity that can beachieved with the system - not to mention attracting worldclass surgeons to smaller sites.being employed intraoperatively it can be used to completeroutine examinations on an out patient basis. This particularroom design is extremely cost efficient as the magnet isutilised routinely and does not sit idle within a magnet baywhen it is not required intraoperatively.India’s first 3-room intraoperative & diagnosticsuite ( Advantages( Tesla IMRISneuro suite at PLA 301 Hospital inBeijing, China in operation since 2008 Summer Olympics( 2010, Fudan University’s Huashan Hospital in Shanghai,China will be installing IMRISneuro for its expandingneurosurgical department. Huashan Hospital will be thefirst in Asia to take delivery of the new 3 Tesla version ofIMRISneuro (Jeanne Elliott, IMRISneuro 70 cm Bore 3T inIntra-operative Neurosurgery. Magnetom Flash 2009;3:74-79): a fully integrated operating room that provides highqualityMR images during a procedure without movingthe patient. The project includes IMRISmatrix – a fullyintegrated surgical information management system. (• Improved patient safety via real-time accurate depictionof changes in patient’s brain position and anatomyduring surgery• Easy distinction between healthy and diseased tissueduring surgery• Immediate in-theatre determination of surgery success• Accurate measurement of brain shift• 30% higher resolution than other MRI technologyAngiography suiteLike the inter-operative neurosurgery unit, the cardiologysuite will streamline work flow for the benefit of thepatient. Within the suite exists both a radiographic c-armand the suspended MRI magnet once it is moved into theangiography suite. Interventional radiologists/cardiologistscan now have the ability to perform interventional proceduresand assess their patient outcome within the same sitting.(Mauricio Ede, John Saunders. Development of IMRISMore Specifics on Suite Set-UpIMRIS offers a number of room configurations for theintraoperative magnet system; ranging from two and threeroom configurations. Two room configurations include amagnet bay located between an intraoperative suite and adiagnostic room or between two separate operating rooms.However, the most cost efficient room configuration offeredby IMRIS consists of a three room configuration including aroutine diagnostic room located between two intraoperativesuites. This design allows for the magnet itself to movefrom one operating suite to a diagnostic room and theninto a second intraoperative suite; when the magnetic is not24 ISRRT Newsletter

ArticleCardio TM , an integrated, interventional angio-MR imagingSuite. EuroIntervention 2008; 4:154-157) At KleysenInstitute for Advanced Medicine of Health Sciences Centerin Winnipeg, the IMRIS suite will be featuring a bi-planeangiography system in the interventional theatre and awide bore 3T Tesla MR scanner to improve the accuracyof the intervention by providing on-demand imaging forimmediate feedback. MR images can be taken before andduring procedures to assess tissue condition, and can alsobe used in conjunction with fluoroscopic images duringneurovascular procedures. When not in use for intraoperative imaging, both the MR and fluoroscopic systemare available for diagnostic use. ( transitions between modalitiesAt RSNA Technical exhibition in Chicago (November 30and December 1, 2009) IMRIS Cardio was first unveiled,the new interventional cardiac MRI and angiography suite,and the announcement of a long term master agreementwith Siemens to provide their MR scanner and angiographysystems as component parts for IMRIS’s fully integratedimage guided therapy suites. Siemens also introducedtheir new MR systems: MAGNETOM® Aera 1.5 T andMAGNETOM Skyra 3T. Both feature short bore magnetswith a 70cm open bore, and have a base system with 48receive channels expandable to 128 channels and up to 204array elements plugged in, cable-less direct connect coils,all digital-in/digital-out design integrating all RF transmitand receive components at the magnet. They include futureprovisions for easy integration of transmit array technology,eliminating analog cables and enabling an immediatefeedback loop for real-time sequence, an un-docking patienttable, as well as easier work-flow (DOT).intra-operative room, due to lack of cases performed, shewitnesses the room is rarely in use for surgical purposes.The Philips surgical room has been up and running for 15years and recently the software has been upgraded. Due to aturnover of surgeons over that time, there are currently onlya few cases performed per month at this hospital comparedto the number they used to perform (approximately 100neurosurgical cases per year consisting of brain biopsies,tumor resections, and deep brain stimulator placement).The Philips surgical suite is a single room setup, wheremostly brain surgery is performed. Extremity and othertypes of surgery can also be achieved. For an intra-operativetechnologist, this means using your problem solving skillsin high stress situations. One technologist described it as aroller coaster ride as in the surgeon calls on you to get theright images in the correct orientation. The technologistscans from within the surgical suite and must have theability to correct any problems quickly as the surgical teamstands by. Once the surgeon is satisfied with the imagesobtained, the technologist waits until more images arerequired to help guide the surgery.The table has the capability to be undocked from themagnet and rolled outside the room where the patient canbe transferred onto it from their bed. Patients can generallybe scanned in any orientation, whichever is convenient forthe surgeon as well as manageable for the patient. A numberof different coils are used, depending on the body part. Allinstruments and equipment must be MRI compatible. At thehead of the magnet, the floor area there is lower and lit withbright lights where the surgical team and technologist oftenContinued on page 27IMRIS at RSNA 2009( the sales of intra-operative MRI scanners increase, moreopportunities open up for MRI technologists. As a studentin the field (one of the co-authors) who is completing herclinical practicum in an U.S. hospital that has a 1.5T PhilipsVolume 46 – No. 1 25

ReportJournees de Radiologie:Les Techniciens et praticiens formes a la modernisationde L'Imagerie MedicaleMai 29-30, 2009Lomé, TogoReport by Awobanou Komla Midodji, President de l'ATTRIML'Association Togolaise des Techniciens de Radiologie etImagerie Médicale (ATTRIM) a tenu les 29 et 30 mai à Lomé,ses sixièmes journées de radiologie à l'intention des technicienset étudiants de cette filière médicale sur le thème “Le techniciende radiologie face aux perspectives de la modernisation del'imagerie médicale au Togo ”.Une formation scientifique et une assemblée générale del'association étaient inscrites au programme de ces sixièmesjournées.La formation scientifique était inscrite dans le cadre deséchanges d'expériences entre professionnels praticiens pour lerelèvement de leur niveau en matière des techniques modernesde radiologie et imagerie médicale en voie d'installation pourune meilleure prise en charge dans le traitement des patientsau Togo.Il s'agit entre autres d'initier le personnel technicien deradiologie à l'utilisation des nouvelles gammes d'appareilde radiodiagnostic analogique et numérique (système denumérisation CR et DR), des techniques nouvelles de scannersmultibarrettes (acquisition hélicoïdale et reconstructions 3D), demammographie numérique (tomosynthèse) et de l’échographiedoppler couleur (élastographie).Plusieurs communications ont meublé la rencontrenotamment sur les produits de contraste utilisés en imageriemédicale, les nouvelles avancées technologiques en imageriemédicale, les supports d'image en imagerie médicale, la placede la formation des techniciens dans l'évolution de l'imageriemédicale et les apports du technicien dans la prise en charge despatients à l'intérieur du Togo.Le directeur général de la Santé, M. Dogbe Koku Sika a estiméque l'initiative répond à la préoccupation du gouvernement quia entrepris, depuis 2007, un vaste programme d'équipementdes formations sanitaires afin d'offrir aux patients des soinsde qualité. Il a évoqué la politique générale du ministère surla rédaction des documents stratégiques de réduction de lapauvreté dans lesquels s'insère le plan de développementsanitaire voté par l'assemblée nationale pour la période 2009-2013.Selon l’ancien président l'ATTRIM, M. Adjamagbo Stephane,les praticiens et techniciens en radiologie doivent suivre lalogique permanente de quête de connaissances et l'utilisationdu matériel informatique. Ils sont la cheville ouvrière dans lescentres où seront installées ces machines, a-t-il souligné. Ilsdoivent par conséquent se préparer à mieux les utiliser.L'assemblée générale tenue le samedi 30 mai a procédéaux amendements et à l'adoption à l'unanimité des statuts etrèglement intérieur de l'association, et ensuite au renouvellementdes membres du bureau exécutif, instance suprême dirigeantede l'ATTRIM.Au terme des élections le nouveau Bureau Exécutif de quatre(04) membres se compose comme suit :- Président : M. Awobanou Komla Midodji- Secrétaire Général : M.Dadji Koffi Emahoedo- Secrétaire Général Adjoint : M. Awali Seidou- Trésorier Général: M. Aziagba Dogbévi Robert.L'Assemblée a en même temps procédé à l'élection duCommissaire aux comptes en la personne de M. SOWADANJean-Pierre.Après l'investiture du nouveau Bureau, le Président élu aremercié tous les participants avant de leur promettre que leBureau Exécutif s'engage à ne pas décevoir. Il a aussi sollicitéla contribution de tout un chacun avant de souhaiter bon retourdans les services respectifs. vChangement d’adresse et de correspondanceVue le renouvellement du bureau exécutif de l'ATTRIM,nous voudrions procéder au changement de l’adresse decorrespondance de l'ATTRIM à paraître dans le news letter del'ISRRT.Togo:Association Togolaise des Techniciens deRadiologie et Imagerie Médicale (ATTRIM)S/C Service de Radiologie et Pavillon ScannerCHU Campus Lomé, 03 BP : 30284, Lomé, TogoTél : (228) 225-7768 / 225-9709 / 225-4739Fax : (228) 250-1768Email : attrim_asso@yahoo.frPrésident: Awobanou Komla MidodjiTSRIM, Service de Radiologie,CHU Campus Lomé03 BP : 30284, Lomé, TogoTél : (228) 233-2570 / 936-7440 / 015-5717Email : midodji_k@yahoo.fr26 ISRRT Newsletter

Radiology Congress:X-ray Technicians and professional experts trained to themodernisation of Medical ImagingMay 29-30, 2009Lomé, TogoReport by Awobanou Komla Midodji, President de l'ATTRIMReportLast year on May 29-30 in Lomé, the ATTRIM held,its 6th congress of radiology for the x-ray techniciansand students of this medical field of study. The topic was“X-ray technician in view of the modernisation of themedical imaging in Togo”.A scientific training and a general meeting of theassociation were part of these 6th days. The aim of thescientific training was to exchange experiences between theprofessional experts in order to improve their knowledge ofmodern technology and medical imaging (soon to be setup) in order to better attend to the patients in Togo.Different lectures about medical imaging have animatedthe meeting like, for example, contrast medium, the newtechnological advance, the images supports, the importanceof the training of the x-ray technicians in the evolutionof the medical imaging and the contribution of the x-raytechnician in the attending to the patients inside Togo.According to the Health Chief Executive, M. Dogbe KokuSika, this radiology congress answers to the governement’sconcern which starded a large equipment program of healthtrainings in order to offer to the patients quality healthcare,in 2007. Indeed, a health development plan has been votedby the National Assembly for the period 2009-2013.The general meeting held on Saturday 30th of Mayunanimously proceeded to the amendments and to theadoption of the association’s rules and statuses; and then, tothe replacement of the executive council’s members whichmanages ATTRIM.The new executive council is composed of 4 persons:- President: M. Awobanou Komla Midodji- Secretary-general: M. Dadji Koffi Emahoedo- Deputy secretary-general: M. Awali Seidou- Paymaster general: M. Aziagba Dogbévi RobertThe general meeting has elected the auditor at the sametime, this is M. Sowadan Jean-Pierre.After the investiture of the new executive council,the elected President has thanked all the participants andasssured them that they will not be deceived. vContinued from page 25work from. The inside of the magnet is also lit up. Whenno surgeries are scheduled, the room is used for brain andspine imaging at the moment, although, any procedure canbe performed with it. From a student perspective, this willbe a wonderful opportunity to expand on our knowledgeand skills in the field of MRI.What does interventional & intraoperative mean forMR technologists?The imaging modality of magnetic resonance is anextraordinary development in technology with endlessArticlepossibilities; the IMRIS intraoperative suite opens thewindow of opportunity for MR technologists even furtherthan ever imagined. Technologists are able to directly assistneurosurgeons to ensure tumor resection and other importantneurovascular surgeries are entirely complete prior toremoving the patient from the operating room. In doing sothe possibility of tumor regrowth and the need for additionalsurgeries is reduced for the patient. If the particular facilityin which a technologist is employed possesses the threeroom design discussed above technologists are also ableto complete routine examinations when the magnet systemis not being utilised intraoperativly; which allows for jobdiversity.Volume 46 – No. 1 27

ArticleThe Role of Research in the Advancement of HealthProfessions: A Focus on RadiographyByMubuuke A. Gonzaga, Kiguli-Malwadde Elsie, Businge FrancisMakerere University, College of Health Sciences, School of Medicine, Radiology departmentIn every health profession, our knowledge is incomplete,challenges and problems are waiting to be solved, questionsare waiting to be answered, issues need to be clarified,explanations need to provided, practices, systems andprocedures need to be improved. We address our void inknowledge and seek solutions to all the aforementionedissues by asking relevant questions and seeking answers tothose questions. Research provides a method of attaininganswers to such scenarios.Research is s systematic process of collecting andanalyzing information to increase our understanding ofcertain issues or find solutions to problems. Research isrelevant in the advancement of health professions, both interms of training as well as professional practice. Thereis still a paucity of literature particularly focusing on therole of research in the advancement of the radiographyprofession.Research in general terms provides a means of knowing.It is human nature to be inquisitive. In ancient times peopleused to perform autopsies on dead bodies to learn whathappens to the human body and why it happens. But ifwe focus specifically on the health care profession, thenmodern research as a scientific process, provides certainadvantages over other means of knowing, or of answeringrelevant questions, in that evidence is documented.Description researchThis kind of research describes what was done before orpresents a new conceptual model suggesting how thingsshould be done. Questions like what was done and howwas it done are normally asked. For the radiographyprofession to advance, this research is needed so that adocumented account of what has been done is available andmethods of improvement are put forward. This researchhelps radiography professionals to reflect on routineoperational procedures that have been described. With this,performance can be measured and either maintained orimproved. For example, this type of research can describethe quality control and quality assurance procedures inan X-ray unit such that every body is made aware of thestandard procedures. This is particularly important inensuring quality in our radiography practice.Justification research: This research usually makescomparisons among several interventions with intent ofshowing that one intervention is better than or as goodas another. This research assists in comparing differentmodes of practice so that a better mode of operation isadopted from an evidence point of view, e.g. comparingthe performance of blue-sensitive films and green sensitivefilms in radiography, comparing new techniques ofperforming a Chest x-ray with old techniques such thatthrough evidence, we can adopt a better technique. All thisis achieved through research and in a way promoting theradiography profession. This kind of research advances theprofession in that new ways of practice are adopted or oldways that are no so efficient are eliminated.Clarification researchThis type of research clarifies processes, practices, systemsand procedures in health professions practice. It clarifiesissues so that a set of procedures is followed.This is very important in radiography where many issuesneed to be clarified in order to promote efficient radiographypractice. For example, using high KV technique whentaking Chest radiographs is believed to have numerousadvantages over the routine techniques. However, it isonly through research that this can be clarified so that allpeople believe in it. It is through this kind of research thatnew ideas and innovations in radiography can be testedand eventually adopted through evidence. This preventsprofessional stagnation in that new ideas are brought out.At the same time, this kind of research helps to disagreewith a certain idea that has been believed for a long time.For example in radiography, it is only through clarificationresearch that we can agree on set radiographic exposurefactors that work best in different situations. In this way, theprofession steadily grows.The hallmark of clarification studies in health professionslike radiography is to make predictions and testing them ora concept that can either be affirmed or refuted by studyresults. This research assists health professionals to adoptContinued on page 3228 ISRRT Newsletter

ReportSummit reachedDigital Radiography Summit focuses on safety measuresfor children undergoing imaging examinationsFebruary 4, 2010Mallinckrodt Insitute of Radiology,Washington University, St LouisReport by Jake Buehler, ASRT Director of CommunicationsOn February 4 this year the Alliance for RadiationSafety in Pediatric Imaging expanded the Image Gentlyinitiative ( to digital radiographyexams (standard x-ray technology) by hosting a DigitalRadiography Summit at the Mallinckrodt Institute ofRadiology at Washington University in St. Louis.The summit bought together nearly 70 representativesfrom medical facilities, educational institutions, theU.S. Food and Drug Administration, 12 professionalassociations and 10 equipment manufacturers organisedthrough the Medical Imaging Technology Alliance. Thesummit provided a forum to discuss the expanded use ofdigital radiography in pediatric examinations and developguidelines to increase safety measures. Leading medicalimaging experts provided information regarding digitalradiography challenges, updated radiation safety protocols,new dose management guidelines and future educationalopportunities.“The summit is a first step in the expansion of the ImageGently to address the most commonly performed imagingprocedures. Standard x-rays utilise far less radiation thanadvanced imaging procedures such as CT, but becausethey are so commonly performed, present a significantopportunity to lower the radiation dose that children receiveeach year from medical imaging. We are very encouragedby the progress made at this meeting,” said Steven Don,M.D., a summit organizer, head if the Image Gently CR/DRinitiative, and associate professor of radiology at St. LouisChildren’s Hospital.AAPM, IEC Work to Unify CR/DRRadiation Dose IndexesThe American Association of Physicists in Medicine andthe International Electrotechnical Commission agreed towork together to create a unified standard for computedradiography and digital radiography exposure indexes.Currently, different equipment manufacturers may usevarying exposure indexes which can lead to confusion,particularly for medical imaging professionals who usedifferent equipment at various sites.”Maintaining consistent exposure index standards iscritical for pediatric patients and the medical imagingpersonnel. A unified standard would help providers deliverContinued on the following pageVolume 46 – No. 1 29

Reportappropriate radiation dose for each procedure, help ensurethat patients receive a consistent radiation dose regardlessof equipment make and reinforce a consistent baselinequality of care,” said J. Anthony Seibert, Ph.D., FAAPM,professor of radiology at University of California, DavisMedical Center, and president-elect of the AAPM.ACR to Establish Pediatric Dose RegistryAn additional summit discussion focused on the importanceof tracking pediatric exams. Currently, there isn’t a pediatricdigital dose registry in the United States. To addressthis gap, the American College of Radiology announcedthat it will work with meeting organizers to develop aregistry to track children’s exposure to radiation.“This isan important step forward to develop national benchmarksfor quality and optimizing dose for this modality. TheACR is committed to ensuring that all patients, particularlychildren, receive safe, appropriate care. This pediatric doseregistry in digital radiography will join the previouslylaunched CT dose registry in providing valuable feedbackto participating practices in reducing the radiation dose thatAmericans and in particular children receive each year fromimaging studies,” said Laura Coombs, Ph.D., director or theAmerican College of Radiology’s National Radiology DataRegistries.Expanded Technologist EducationExpanding educational opportunities also was on thesummit’s agenda. Understanding that digital radiographyeducational materials are limited, educators and equipmentmanufactures agreed to collaborate and form a digitalradiography educational workgroup led by Susan John,M.D., Chair of Radiology at University of Texas MedicalSchool at Houston.“More robust and standardized education opportunitiesfor radiologic technologists are vital steps toward ensuringsafe, consistent care, regardless of market size or geographiclocation. All imaging stakeholders need to work togetherto ensure that patients receive the highest quality of careavailable,” said Greg Morrison, M.A., R.T.(R), CNMT,CAE, chief operating officer of the American Society ofRadiologic Technologists.Overall CR/DR Radiation ReductionDigital radiography exams are the world’s most commondiagnostic medical imaging procedures. In addition toproviding the radiology team with detailed anatomicalviews, the technology offers a wide variety of images,increased latitude for exposure techniques and the abilityto post-process images. Nevertheless, medical imagingprofessionals have to be cautious when performing pediatricdigital imaging procedures because children are moresensitive to radiation than adults.“The summit was a very successful first step ineducating radiologists, radiologic technologists, medicalimaging physicists, the FDA and manufacturers of digitalradiography equipment about the unique problems faced bythose using this equipment for children’s imaging in dailypractice,” said Marilyn Goske, M.D., chair of the Allianceand Silverman chair for Radiology Education at CincinnatiChildren’s Medical Center. “The Alliance looks forward tocontinued work with all medical professionals, educatorsand vendors in moving forward to ensure that pediatricpatients receive only the necessary dose for their indicationand that there are consistent, reliable protocols in place tohelp achieve this goal.About the Alliance for Radiation Safety inPediatric ImagingFounded by the Society for Pediatric Radiology, theAmerican College of Radiology, the American Society ofRadiologic Technologists and the American Association ofPhysicists in Medicine, the Alliance for Radiation Safety inPediatric Imaging is comprised of 54 organizations workingtogether to reduce unnecessary radiation exposure fromimaging examinations in children. It represents more than600,000 health care professionals. vDr Michael Ward, ISRRT Regional Director, The Americas,attended the Digital Radiography Summit in St Louis onbehalf of ISRRT.30 ISRRT Newsletter

ReportCAMRT reportLeacy O'Callaghan-O'Brien, Director of Advocacy CAMRTThe Canadian Association of Medical RadiationTechnologists (CAMRT) has initiated a number ofambitious projects that will ultimately result in an enhancedprofessional profile and greater awareness of the diversity,professionalism and expertise of CAMRT members amonginternal and external stakeholders.A rebranding initiative that is a collaboration betweenCAMRT and its provincial member associations has provento be an exciting journey of discovery for the sponsoringorganisations and members alike. The project is overseenby a multidisciplinary and regionally diverse steeringcommittee, guided by experts in the area of professionalbranding. The first phase has focused on research intothe perceptions about the profession held by MRTs,their healthcare colleagues, industry, and the generalpublic. Through online surveys, focus groups and publicopinion polling, an image of proud, caring, professionalswho provide the human connection between innovativetechnology and effective diagnosis and radiation-relatedtreatment has emerged. An evocative brand promise andtag line have been created, along with an implementationplan to integrate and communicate the brand throughvarious tactics. The rebranding recommendations are nowbeing studied by the participating associations, with theexpectation that a plan to move forward will be approvedat the time of the CAMRT Annual General Conference atthe end of May.Work has begun on the development of best practiceguidelines that will update and consolidate all currentprofessional practice materials, to identify the knowledge,skills and judgment required by MRTs to perform theirday to day responsibilities in a safe and effective manner.The Professional Practice Advisory Council will serve asthe steering committee and project development will bemanaged by the Director of Professional Practice. All ofCAMRT’s current professional practice documentationwill, over time, be incorporated into these guidelines. Thescope of practice and standards of practice will be retooled,and risk management guidelines will be phased out and therelevant information will be transferred into the best practiceguidelines as required. The guidelines will consist of a core setof material that will be consistent across all four disciplines,along with supporting discipline specific components.Numerous volunteers will be engaged in this ambitiousmulti-year project, with four committees responsible forproviding the technical and clinical expertise for theguideline development for each discipline.The Professional Practice Advisory Council also beganto address the complex issues related to defining thecontinuum of practice for MRTs this year. A proposalthat CAMRT host a symposium on continuum of practicewhere all key stakeholders could assemble to study thecurrent environment and determine appropriate actionto meet future requirements was approved by the boardof directors. A committee was appointed to develop aplan for a symposium in 2010, and ultimately, to overseedevelopment of a national framework that will promote acommon understanding of the continuum of MRT practicein Canada.Canada is a country that takes pride in its rich diversityof cultures and encourages commitment to inclusivenessamong its citizens. Professional associations play animportant role in celebrating an inclusive culture such thateveryone belongs and can participate in their associationregardless of gender, colour, creed or geographic location,preferred language or discipline. CAMRT has recentlylaunched an Inclusion and Diversity Initiative throughwhich members will celebrate their differences and learn theimportance of culture, religion, politics, sexual orientation,ethnicity, language and even age. The initiative’s championis Past-President Fiona Mitchell, who has invited membersfrom across the country to share their uniqueness such thatCAMRT can become stronger through the inclusion of allmembers. The group will, for the most part, work togethervirtually but plan to meet at the CAMRT conference inQuebec City in May for a brainstorming session to launchthe program. vVolume 46 – No. 1 31

coming events eventsMay 27-30,CAMRT 68th Annual General ConferenceQuebec City, CanadaFrench and English programFor further information www.camrt.caJune 26-27,Society of Radiographers (Jamaica)Annual general meeting andContinuing Education SymposiumJulyIn-service training in CT ScanningDouala, CameroonSeptember 2411th Annual Interventional NeuroradiologySymposiumRenaissance Hotel Downtown, Toronto 9-12,16th ISRRT World CongressGold Coast, Queensland, AustraliaFor further information www.air.asn.auOctober 9-11,The Society of Radiography in KenyaConferenceDecemberRadioprotection trainingDouala, Cameroon2011February9th Congress of CSMRR / ACPTIMRLimbe, CameroonMarch 25-27“Imaging the Imagination”18th Asian/Australasian Conference ofRadiological Technologists (AACRT), andInternational Joint Conference of theTaiwan-Japan-Korea Radiological TechnologistsTaiwan, Taipai. Website: 69th Annual General ConferenceSaskatoon, Saskatchewan, CanadaFor further information www.camrt.ca18th Asian/Australasian Conference of RadiologicalTechnologists (AACRT)Kaohsiung, TaiwanThis joint initiative from RSSA and SORSA will be hostedfrom 4-6 March 2011 at the International Convention Centre(ICC) - Durban.2012CAMRT Annual General Conference &ISRRT World CongressToronto, Ontario, CanadaFor further information www.camrt.caContinued from page 28practices that are justified by research findings. Such studieswill do far more to advance the radiography profession.However, such important research is still limited in ouroperations.There are other important advantages of research inradiography. Jackson (2003) reported that it is throughresearch that normal decision making or organizationalgrowth can be achieved as well as contribute to theformulation of public policy. In relation to radiography,numerous regulations need to be drafted in the practiceof the profession like radiation protection regulations.However, for this to happen, research documents areneeded to support arguments. Pederson (2007) attestedto this when he reported that; researchers have producedpolicy documents based on their work. It is high timethat radiographers started churning out policy proposalsregarding the profession. However, it is only throughresearch that such policy papers will be drafted henceadvancing the profession of radiography.Radiography training institutions should also provideevidence-based training. Graduates of radiography mustbe able to practice safely and use an evidence base intheir clinical decision making. Radiography needs to bepromoted as a unique discipline with its own knowledgebase, research and a publication profile. There are currentlylimited radiography journals through which professionalscan share intellectual discourse and exchange professionalideas. Flexible career pathways are needed includingclinical, education, management and research skills whichare vital for the progression of the profession. All thesecan only be achieved through active research to advancethe radiography profession. It is particularly important foracademics in radiography training to spear head researchin radiography since training institutions are the epitomeof knowledge. However, even practicing radiographyprofessionals should get actively involved in active researchfor the profession to grow. More publication in journals isone way of promoting the profession. v32 ISRRT Newsletter

memberships➢ MembershipFull membership of societies is open to national societiesof radiographers or radiological technologists with similarobjectives to the ISRRT. These are: “to advance thescience and practice of radiography and allied sciencesby the promotion of improved standards of education andresearch in the technical aspects of radiation medicine andprotection”.➢ Corporate MembershipCorporate membership is open to all organisationswishing to support the work of the ISRRT and who wouldotherwise not be eligible for full membership. This includescommercial companies, regional or local professionalorganisations, governments, hospitals, universities andcolleges. Corporate members receive certain benefitsincluding preferred space at ISRRT organised technicalexhibitions, priority opportunity to participate inISRRT sponsored educational activities, preferentialadvertising opportunities in ISRRT publications andofficial recognition in the ISRRT Newsletter. In addition,hospitals, universities and professional associations canapply to host ISRRT organised seminars and workshops.Details of Corporate membership are available from theSecretary General. We express our appreciation for thecontinued support of our Corporate members and inviteother industry and professional leaders to offer their supportto the advancement of international radiation medicine.Current Corporate members are:– Agfa-Gevaert N.V.– American Registry of Radiologic Technologists– Association of Educators in Radiological Sciences Inc.– Toshiba (Australia~ Pty. Limited, Medical Division– Technikon Natal– American Registry of Diagnostic MedicalSonographers– Shimadzu– Dubai Dept. of Tourism, Commerce and marketing➢ Associate MembershipAssociate membership provides the opportunity forindividual radiographers to learn more of the activities of theISRRT. they do this by receiving a copy of the Newsletterthat contains reports on all ISRRT activities and upcomingevents. Associate members also receive advance notice ofConferences and Congresses and receive a small rebate onregistration fees at these ISRRT meetings. in addition manyof our member societies allow ISRRT Associate Membersto register for their national conferences at the samepreferred members rate if they reside outside the country ofthe Conference. ❖Application for AssociateMembershipPlease complete in block letters and return to:Secretary General, 143 Bryn Pinwydden, Pentwyn, Cardiff, Wales CF23 7DG, United KingdomTitle (please tick) ® Mr ® Mrs ® Ms ® Miss ® Dr ® OtherFamily Name(s):Given Name(s)Address:I would like to support:® ISRRT Development Fundand include a donation inthe amount of:® World RadiographyEducational Trust Fundand include a donationin the amount of:✄I wish to support the work and objectives of the ISRRT andhereby apply for Associate Membership.I enclose payment ofEuro Pounds Sterling US Dollars Canadian Dollars® 1 year 10 Euro ® 1 year £ 6.00 ® 1 year $10.00 US ® 1 year $13.00 Cdn® 3 years 28 Euro ® 3 years £16.00 ® 3 years $28.00 US ® 3 years $36.00 CdnSignatureDate✄Name:Address:Signature:Date:My specialty is (please tick one or more):® Imaging ® Therapy ® Nuclear Medicine ® Education ® ManagementI am a member of my national society which is:Please make payment by cheque, bank draft or money order, payable to “ISRRT”.Donations to Secretary General ISRRT,Mr Alexander Yule143 Bryn PinwyddenPentwyn, Cardiff Wales CF23 7DGUnited Kingdom

ProfileCouncillor ProfileAladdin SpeelmanISRRT Council Representative,South Africa (SORSA)Aladdin Speelman has served SORSA at branch as well asnational level. He has been a committee member of the Bellvillebranch of SORSA from 1994 until 2009. He has represented Bellvillebranch on National Council from 1998 – 2005, after which he servedone term as president.He has served on various committees, inter alia the scientificcommittee of the 15th ISRRT International World Congress as wellas the scientific committee for SORSA’s National Congress in 2004.He is also a reviewer for The South African Radiographer.He represented the Society on the Standards Generating Body (SGB) of the Health Professions Councilof South Africa from 2003-2008. The SGB was appointed to develop the new four year degree qualificationfor South Africa.He is currently employed as a Diagnostic Lecturer at Radiography Education, Faculty of Health andWellness Sciences of the Cape Peninsula University of Technology in Cape Town. He holds a MastersDegree in Medical Imaging (Computerised Tomography) obtained at Charles Sturt University, Australia.He also developed and still coordinates a postgraduate certificate course in computerised tomography(CT) offered at the same university, the only of its kind in Africa.He has a keen interest in art photography and jazz music. v34 ISRRT Newsletter

Councillor Councillor ProfileJenny MottoISRRT Regional Rep for Education, AfricaJenny is currently Vice-Dean of the Faculty of Health Sciences atthe University of Johannesburg, South Africa.Prior to this she was Principal of the School of Radiography atthe Johannesburg Hospital. She moved from the hospital to startthe Radiography course at the Technikon Witwatersrand (now theUniversity of Johannesburg) in 1984 that started with 13 students andon taking up the Vice-Dean’s position had in total over 300 studentsregistered for the four disciplines in radiography, ie Diagnostic,Therapy, Nuclear Medicine & Ultrasound.Jenny has served on the Health Professions Council of South Africa’s Professional Board forRadiography for one 5-year term as an elected member and one 5-year term as representative for theeducational institutions in South Africa offering radiography. She currently chairs the education committeeof this board.She has held numerous positions within the Society of Radiographers of South Africa and currentlyserves on the EXCO Committee. She has participated in curriculum development for both the diplomaand degree over the past years.Jenny still lectures at 4th level in the radiography program and supervises Master students.To end her career she has registered for her PhD in which the implementation of role extension andadvanced practice in South Africa is being researched. vVolume 46 – No. 1 35

The WorldRadiographyEducationalTrust FundArticle by Hon Secretary Lizzie ZukiewiczSecretary:Mrs Lizzie ZukiewiczSpring House17 Spring VillageHorsehay, TelfordUK TF42LUTel:+44 0 1952 502966Email: Ann ParisEmail: aparis33@btinternet.comTHE TRUST ISADMINISTERED Bythe followingTRUSTEESMs W. de Groot(The Netherlands)Mrs D. Zerroug(France)Mr S. Eustace (UK)Miss A. Paris (UK)Mr A. Budge (UK)Kay Collett (Australia)Meena Amlani(Canada)For more informationand to apply/getinvolved with WRETF:www.wretf.comNew Trustees vacancyUnfortunately after a serving a short but fruitful term as trustee Meena Amlani hasresigned. This means we are looking for a new trustee to bring a new dimension to theWRETF.What is the difference between the ISRRT and the WRETF?Although the WRETF started out life as the K.C. Clarke book fund of the ISRRT it evolvedover the years into an independent UK registered charity. We may be independent fromthe ISRRT but we still work in close cooperation with them and fulfil different goals.Very often we receive applications and offers of help via the ISRRT and we in turn makereferrals to the ISRRT when we have applications that are not within our remit. The ISRRTappoints our trustees but we have our own trust deed and make our own decisions on therunning of the trust.Our Role in World RadiographyOur main role is to send used and new textbooks to departments where texts are scarce.We also support workshops with textbooks and technical information, support postgraduateresearch projects and pay for text translations. All applications are subject to meetingstrict criteria ands in some cases a discussion and agreement by the trustees. For moreinformation including activities and feedback visit our website www.wretf.comFundingWe receive no funding directly from the ISRRT only the donations made when you renewyour membership. This means we rely entirely on donations.Books sent out in FebruaryWe sent out a total of 33.78kgs of books at a cost of £466.33 to Zambia, Botswana, Nigeria& Tanzania. We send all books by surface mail to keep costs down but as you would agreethe rising costs are making our job harder.36 ISRRT Newsletter

The World Radiography Educational Trust FundRecent thanks for books“Yesterday I received a notification that Icould collect three parcels that you posted. Weare so glad and today I presented them to thehead of the Radiology Dept. Thanks again somuch for this service and wish you all the bestin your endeavours.Sincerely, Jackie. A. Kampala, Uganda”“The books are very applicable to the dynamicradiography cadre that now encompassesseveral imaging modalities that most ofus need more information on. The books havebeen my year’s breakthrough.Yours Kalende RogersMedical Radio/sonographer, St FrancisNkokonjeru HospitalUganda-Africa”Left: Kalende Rogers“This is Gil Portillo from Belize. I amjust writing to inform you that the bookshave arrived in good condition. I assureyou that the books will be of much helpto us.”Right: Belize radiographers.Volume 46 – No. 1 37

news news fromThe AmericasCanadaShirley Bague assumed the role of theCAMRT President on January 1, 2010,Fiona Mitchell as the Past-Presidentfor the next year; as well as the twoVice Presidents Debra Murley andMichel Doucette. A new President-Elect is currently being sought.There have been some majoraccomplishments in regards to theCAMRT Strategic Plan which I will summarise below:Regarding ensuring the highest possible standards in thenational certification process and practice requirementsfor each discipline:• Action in response to the findings of the CT OperationGap Analysis Project began in early 2010 with a marketstudy to gather data to judge the feasibility of movingforward with the development of both theory andclinical educational components.• CAMRT is developing two new projects forInternationally Educated MRT’s. The first project willdevelop three exam preparation courses addressing thecompetency areas where IEMRTs require additionalpreparation. The second project will develop a nationalstandard for assessment of IEMRT credentials.Regarding providing the highest possible value and serviceto its members:• CAMRT continues to enhance access to programs andservices by maximising use of on-line technologies withincreased frequency of e-news bulletins, online votingand surveys, as well as a redesigned website and use ofsocial media tools such as Facebook.Regarding promoting the profession and encouraging theMRT profession:• Work has begun on the Best Practice Guidelines Projectinvolves development of core best practice guidelinesfor the MRT profession and supplementary guidelinesspecific to the practice of the profession’s fourdisciplines, namely radiological technology, nuclearmedicine, radiation therapy and magnetic resonance.• Plans are proceeding for a “Continuum of Practice”Symposium to examine the potential of advancedpractice for radiological technologists, to be held laterin 2010.• A Leadership Development program to build theleadership pool for CAMRT and the provincialassociations will begin soon.• MRT week activities this year included a message ofrecognition from the Governor-General of Canada andan announcement in the House of Commons, as well asin several provincial legislatures.• The CAMRT will be choosing representatives to theCanadian Partnership for Quality Radiotherapy.• The new CAMRT Inclusion and Diversity Initiative willbe spearheaded by Past President Fiona Mitchell.Regarding advocacy on behalf of the MRT profession toinfluence public policy and to address issues that impactthe profession, the health care system and quality ofpatient services.• CAMRT has been active in addressing the concernsof members on critical issues with government andother stakeholders Recent activities include a meetingwith the Expert Review Panel on the Production ofMedical Isotopes, attendance at several hearings of theHouse of Commons Health Committee and the NaturalResources Committee to hear witness presentations onhealth human resources and the ongoing isotope supplyshortage, and meetings with Natural Resources Canadaregarding the supply of isotopes CAMRT submitted abrief to the House of Commons Standing Committeeon Natural Resources outlining concerns related to bothpatient care and the impact of the shortage on healthhuman resources.• In November 2009, Fiona Mitchell and Chuck Shields,CEO, participated in a media conference at the House ofCommons press gallery where a Member of Parliamentwho was a former MRT, spoke about the importance ofMRTs in the healthcare system.• The rebranding project is progressing very well. ChuckShields and I hope to provide an update of our newbrand and brand promise at the Australian WorldCongress in September.Annual General Conferences• Planning for the 2010 Annual General Conference, to beheld in Quebec City May 27-20, 2010 in partnership withl’Ordre des technologues en imagerie médicale et enradio-oncologie du Québec (l’Ordre) is progressing well.The Education Program Committee has been workinghard to develop complete English and French programschedules. The opening plenary will be delivered by Dr.Eric Turcotte, nuclear medicine specialist at the CentreHospitalier Universitaire de Sherbrooke (CHUS), andclinical head of the Molecular Imaging Centre ofSherbrooke, one of the most recognized PET researchcentres in Canada. Another keynote speaker will beDr. Richard Beliveau, PhD, the best-selling authorof Eating Well, Living Well: An Everyday Guide forOptimum Health and Cooking with Foods That FightCancer. And David Gilmore will present on “Hybrid orFusion Imaging. Hope to see many ISRRT colleagues.Please feel free to contact me at any time at jreyer@shaw.Rita Eyer, R.T.R.,A.C.R.ISRRT Canadian Council MemberVolume 46 – No. 1 39

news from fromJamaicaThe Society of Radiographers(Jamaica) will host its annualgeneral meeting and continuingeducation symposium on theweekend of June 26 & 27, 2010. Atthis time there will be an electionof officers for the two year period2010-2012. The meeting will beheld at a rural venue.In November, we will observe Radiographer’s Weekfrom November 7-13, and World Radiography Day onNovember 8, 2010. Activities for the week include,attendance at a Church Service, Continuing EducationSeminars, Open Days in Departments, and a fun evening(social). The Week’s activities will conclude with a banqueton Saturday November 13.In an attempt to raise funds to support the Society’sactivities, members of the group will participate in afund-raising lapathon at the historic Emancipation Park onSaturday March 27, 2010.Carol TownsendTrinidad and Tobago2009 for The Society ofRadiographers of Trinidad andTobago was another successfulyear of activities including itsmost recent one being its AnnualConference that took place onthe 31st of October and the 1st ofNovember 2009 in Tobago. TheSecretary of Health of the TobagoHouse of Assembly, the Honorable Mr. Albert Pilgrim gavethe opening speech and was delighted to see such an eventhosted in Tobago.During the conference President Aleth Bruce received avery special certificate from the Board of Management ofthe ISRRT in appreciation of past support and recognitionof the Society’s 36th Anniversary. The ISRRT continues tobe a wonderful source of encouragement and a beacon ofprofessionaldevelopment.Papers werep r e s e n t e dby the localf r a t e r n i t yand also byradiographersfrom Barbadosand for thefirst time fromGuyana.The conferencewas well attended by students from the Collegeof Science, Technology and Applied Arts of Trinidad andTobago (COSTAATT). The college not so long ago startedits Bachelor’s of Science Degree in Radiation Therapy withits first group graduating later this year. Also expected thisyear is the graduating class of Radiographers from the firstthree-year Bachelor’s of Science Degree in Radiography.We would like to pay special tribute to Suzette Thomas-Rodriguez, the new Chair of the Health Sciences Departmentat COSTAATT, which the Radiological Sciences Program isa part of. She was one of the first graduates of the AssociateScience Degree program in Radiological Sciences back in1995. Congratulations!The Society’s website continues to be an excellentmedium of communication for our local, regional andinternational viewers. Persons from around the world areable to correspond with us and can keep abreast of what’shappening with the profession in Trinidad and Tobago.The Society is always willing to help promote events andfeature news from around the world including those fromother radiological societies and related medical groups.In an effort to assist the people of Haiti, who in January2010 experienced a disastrous earthquake, the Society sawa tremendous response of local Radiographers willing togive support to their Caribbean neighbors. The Societyand many other individuals gave financial contributionstowards the relief aid for Haiti. A survey of our fraternityfound that several persons were willing to go to that countryas medical imaging professionals should the Governmentand/or the Caribbean Community (Caricom) require theirservices. This gesture was applauded by the Society aswell as Mr. Jerry Narace, Honorable Minister of Health ofTrinidad and Tobago.The Society looks forward to another successful yearwith its newly elected Executive:• President: Timothy Dean• Vice President: Aneesa Ali• Secretary: Alisha Ramadeen• Treasurer: Debra Ealie-Bastaldo• Assistant Secretary/Treasurer: Carla Julien• Committee Members: Aleth Bruce & Wendy Riley• ISRRT Council Member: Anushka Kattick-MahabirsinghVisit us online at www.soradtt.comTimothy40 ISRRT Newsletter

Asia/Australasia Africanews news fromAustraliaEverything is coming togetherin readiness for the 16th ISRRTWorld Congress being held on theGold Coast in September this year.An exciting educational programand technical exhibition is beingassembled and abstracts have closed.We have been delighted with theresponse and have received abstracts from practitionersin over 30 countries. More information can be found atthe website regarding the venue, registrationand accommodation. This will be the first WorldCongress held in Australia and will incorporate the AIRannual national conference as well as the NZIMRT annualconference.The AIR is actively involved in working towards NationalRegistration, and believes that this is an importantstep forward for the profession. National Registration willsimplify the process of registration and enable ease ofmovement for all members across Australia.In March, the AIR Annual General Meeting took placein Hobart in conjunction with another AIR ResearchSymposium designed to promote and encourage researchby clinical practitioners. The AIR is looking to assist memberswith opportunities to develop new skills in this andother areas. Hobart was also the site of the pilot of a leadershiptraining program, with attendees from across Australiataking part in a short form of what is planned to be acomprehensive leadership training program run by the AIRfor its members.The AIR is going to offer a training program for a Presentationto Schools program designed to encourage secondaryschool students to fully consider the medical radiationprofession as their opportunity for the future.For those applying from overseas for assessment of theirqualifications to work in Australia, please visit the AIRwebsite ( to view the current requirements,including the English proficiency level.On behalf of all AIR members I would like to send ourbest wishes to our colleagues around the world and lookforward to welcoming you “down under” in September2010.Pam RowntreeCouncillor for AustraliaSouth AfricaNew radiography qualifications inSouth AfricaThe South African universitiesoffering qualifications in radiographyare currently busy preparing theirdocuments for the go-ahead to presentthe qualifications tabled belowfrom 2011/2012. The preparationincludes authorisation from the Senate of the respectiveuniversity, Department of Higher Education and Training,as well as the Council for Higher Education. The SouthAfrican Qualifications Authority (SAQA) registered thequalifications during 2009, with the exception of the PhD.The qualifications were developed under the guidance ofthe Health Professions Council of South Africa to align theradiography qualifications in South Africa with internationaltrends. Should you wish to view the qualifications, pleasevisit and follow the link to “registeredqualifications”.SAQA ID NO NAME OF THE NQF LEVEL/QUALIFICATIONCREDITS66949 Bachelor of Diagnostic Radiography 8/48066950 Bachelor of Nuclear MedicineRadiography 8/48066951 Bachelor of Radiation Therapy 8/48063449 Bachelor of Diagnostic Ultrasound 8/48066229 Master of Radiography 9/18065115 Doctor of Radiography (PhD) 10/350National CongressSORSA in conjunction with the Radiological Society ofSouth Africa (RSSA) is currently preparing for our biennialNational Conference. We cordially invite you all to attendthis very exciting imaging congress.This joint initiative from RSSA and SORSA willbe hosted from 4-6 March 2011 at the InternationalConvention Centre (ICC) - Durban. The ICC Durban isthe ultimate in convenience within close distance of a fullspectrum of attractions, hotels, restaurants, shops, cinemas,as well as the Golden Mile with its many beaches.We assure you of an experience where you will beexposed to a technically advanced and academicallystimulating programme. Highlights of the programmeinclude a course on MRI mammography, a one day courseon cardiac MRI and a short course on current ethical issuesin Radiology.The theme for this congress is Imaging 2011, and therewill be sessions devoted to scientific papers, topics suchas African diseases and much more. It will be the idealopportunity to exchange ideas, learn about new advancesand strengthen friendships and make new acquaintances.Leading commercial vendors have been invited to presentVolume 46 – No. 1 41

news from fromtheir latest technology and equipment.Please diarise these dates and do not miss this opportunity.We look forward to welcome you to Durban 2011.Prof Hesta Friedrich-Nel, has been elected president ofSORSA and will take up office in April 2010. We wish herwell in her two year term as president.Aladdin SpeelmanCouncillorEuropeCyprusWe would like to inform members that the new members ofour council for the period 2009-2012 are:• Savvas Tiniozos - President• Thasos Athanasiou - Vice President• Yiannis Anastasiades - Secretary• Militsa Kouzali - cashier• Eliana Michael - Member• Elena Evaggelou - Member• Christoforos Christofi - Member At present the members of our society are 120.John PolyviouFinlandThe theme in 2009for The Society ofRadiographers in Finlandwas: The changingworking environment.This theme was talked inthe CPD courses organised by the society and also in theRadiografia journal.At the end of 2009 The Society of Radiographersin Finland had 3066 members (2565 ~87% paid theirmembership fee). At the moment we have ~3400radiographers who are working daily.The working and studying situationAt the end of this year there will be surplus of radiographersin Finland. In a few parts of Finland there are alreadyradiographers who are unemployed part of the year andat the same time there are areas where there are noradiographers available. This will continue to be a growingproblem for the next few years because we still have doublethe amount of starting places for radiography students thanthere are radiographers retiring in the near future.There are six Universities of Applied Sciences offeringan education in radiography.Oulu University had a new radiography course start inAugust. At present the University has accepted a total of52 radiographer students since 1999 every second year. 21of them have received their master degree, 7 their bachelordegree and the rest are still studying (13 of the total numberstarted in August 2009).Now, the Faculty of Medicine in Oulu University hasdecided to finish this Degree program in Radiographybecause of resource constraints (economic reasons etc.).The Society of Radiographers in Finland has respondedto this because we think that it is very important to extendthe field of this science. It`s the only way to ensurecontinuity for our experts who can be specialists in thewhole health care area.The Society of Radiographers in FinlandIn November 2009 the Society got the new board (term willbe 2010-2011).The new international coordinator Kaisa Nironen startedin September 2009.The Society of Radiographers in Finland has organised(or has been part of the organisation) in 2009 of severalCPC courses – in MRI, Mammography, management andcontrast media, just to mention a few.The annual congress Radiografiapäivät was organisedlast year in Tampere, with four parallel sessions. Annualcongress for radiographers had nearly 500 participants.Kaisa NironenCouncil MemberGreeceThe Pan-Hellenic Society ofRadiological Technologists inthe first month of 2010 had it’selections and the new councilwas elected. After an absence oftwo years, Mr Katsifarakis wasre-elected as President.As it is well documented,Greece is in an economic crisis, which has effected themembership of the Society.In the second half of the year, the Society is planning aConference, to deal with various issues concerning theradiographers in Greece.42 ISRRT Newsletter

news news fromUnited KingdomSociety of Radiographers1920-20102010 is the 90th Anniversary ofthe Society of Radiographers. Atthe centre of our celebrations willbe a presentation of Gold Medalsin recognition of exceptionalcontributions to Radiography. Thiswill take place at our PresidentialInauguration in July.Muriel ChesneyRadiographers from across the UK and from around theworld have been paying tribute to Muriel Chesney who diedin February at the age of 89 years. Together with her twinsister, Noreen, Muriel wrote some of the most influential,popular and widely distributed text books on radiography.She was prominent in the SoR and in the ISRRT and heldin great affection by all who knew her through her work inclinical radiography and education.successful event with over 200 delegates attending to sharetheir research and experiences and gain insight into someof the latest thinking in radiotherapy and cancer care. SoR’spresident-elect Sandie Mathers opened the weekend by payingtribute to the radiotherapy community and highlighting thework that is being carried out by therapeutic radiographers toinfluence the national development of radiotherapy services.CPD AuditAs mentioned in the last ISRRT newsletter, the statutoryregulator for radiography in the UK, the Health ProfessionsCouncil (HPC) has recently completed their first audit ofCPD activity amongst radiographers. On registration, allradiographers commit to regular CPD and it is a conditionof remaining on the register that continuous developmentactivities are undertaken and the outcomes recorded. Theaudit set out to study the extent to which radiographers aremaintaining this commitment. Early results indicate a goodlevel of compliance. The use of the SoR on-line personalmanager, CPDNow increased during the period leading upto the audit, indicating its value to members.Molybdenum ShortageNuclear medicine teams across the UK have risen tothe challenges posed by the unprecedented internationalshortage of isotope supply over recent months. Innovativescheduling, extended day working and case prioritisationhave been used to ensure that patient services have beenmaintained.The efforts of all Nuclear Medicine staff have beenrecognized at national level, with a letter of thanksfrom the Department of Health in England. There hasbeen outstanding commitment to patients and to services.They have demonstrated that process redesign appliedwith genuine commitment to excellent services producesextraordinary results.European Congress of RadiologySoR attended this meeting in Vienna with a small teamof staff and Council. As usual we were busy answeringquestions about working as a radiographer in the UK. Thisyear we also noticed a growing number of enquiries aboutradiographer reporting of mammography images. In theUK, the national Breast Screening Service relies heavily onmultidisciplinary working, including advanced radiographypractitioners taking part in reporting. It seems that otherEuropean countries may be looking to build servicecapacity through developing the practice of radiographers.The EFRS have been invited to take a central role inorganising the radiography elements of the programme atfuture congresses.SoR Radiotherapy ConferenceOur annual conference for radiotherapy radiographers tookplace in Birmingham at the end of January. This was a veryVolume 46 – No. 1 43

Names and addresses of memberNames and addresses of membersocieties and ISRRT and Council ISRRT Members Council MembersAustralia Australian Institute of RadiographyP.O. Box 1169, Collingwood, Victoria 3066Tel: 61-3-9419 3336 Fax: 61-3-9416 0783E-mail: air@air.asn.auWebsite: www.air.asn.auCouncil Member: Ms Pamela RowntreeEmail: Verband DRTA Österreich,Corvinusring 202700, Wiener Neustadt, AustriaTel: + 43 699 1749 8367; Fax: +43 2622 321 2685Email: office.rtaustria@gmx.atWeb Site: www.rtaustria.atCouncil Member: Ms Karin HallerEmail : isrrt.rtaustria@gmx.atBangladeshCouncil Member:Bangladesh Association of Radiology &Imaging Technologists (BARIT)Mr Kamal UdinDepartment of RadiologyDhaka Medical College Hospital, Dhaka-1205Tel: 880-02-8626819# 2764 (home)Cell Phone: 880-01552378695Email: barit07@yahoo.comMr Mofazzal HossainDepartment of RadioloogyICDDRB, Mohakhali, Dhaka-1212Cell Phone: 880-01710960825Email: mhrt@icddrb.orgBarbados Barbados Association of Radiographersc/o X-ray Dept, Queen Elizabeth HospitalMartinsdale Road, St. Michael, BarbadosTel: 246 426-5378 Fax: 246 429-5374Email: info@imagingandtherapy.bbWeb Site: www.imagingandtherapy.bbCouncil Member: Derlwyn WilkinsonEmail: bar@imagingandtherapy.bbBelgium Medical Radiological Technicians of Belgium,Avenue des Paquerettes, 23B - 1410, Waterloo, BelgiumTel: 32 64 55 71 99 Fax: 32 64 55 71 99Email: mrtb@skynet.beCouncil Member: Mr Eric Bertrand,Rue Provinciale 81, B-4042 LiersEmail: Eric.bertrand@hologic.beBelgium Vereniging Medisch BeeldvormersVMBV/Philippw Van Laer,Beukendref 96, 9080 Lochristi, BelgiumEmail: vmbv@mail.beCouncil Member: Mr Patrick SuvéeGerststraat 4, 8400 RoksemEmail: Patrick.Suvee@hologic.beBeninOrganisation Des professionnelsEn Imagerie Medicale Du Benin02 BP 8125, CotonouTel: (229) 39-02-99Council Member: Mr Antoine Agbo02 BP 8125, CotonoEmail:ag_antoine@yahoo.frBotswana Radiological Society of BotswanaP.O. Box 80789, Gaborone, BostwanaTel: (267) 585475; Fax: (267) 585475E-mail Soc: xtina@mega.bwCouncil Member: Mrs Avis N. C.Bareki, address as SocietyEmail: avis@it.bwBurkina Faso Association Burkinabe du PersonnelParamedical d’Electro-RadiologieS/C CHNYO (Service de Radiologie)03 BP 7022 Ouagadougou 03Tel: 226 33 37 14 & 31 59 90/91Poste 506 & 590Email: abpper@bf.refer.orgCouncil Member: Mr Landry Power Kabore, address as SocietyEmail: kaboreissaka@yahoo.frCameroun Association Camerounaise du PersonnelTechnique d’Electroradiologie MédicaleAcptimr BP 4856Douala, CameroonTel: 237-2236218; Fax: 237-2222086Email: acptimr@yahoo.frWebsite: www.acptimr.orgCouncil Member: Mrs Gale TientcheuEmail: galetien@yahoo.frCanada Canadian Association of Medical RadiationTechnologists,10th Floor, 85, rue Albert StreetOttawa, ON K1P 6A4Tel: 613 234-0012; Fax: 613 234-1097Email: cshields@camrt.caWeb Site: www.camrt.caCouncil Member: Rita EyerSuite 1008, Number One Evergreen PlaceWinnipeg, ManitobaR3L OE9, CanadaEmail: jreyer@shaw.caCroatia Croatian Association of Engineers of MedicalRadiology,Mlinarska 38, 10000 ZagrebTel: 00 385 1 4669771Fax: 00385 1 4669772Email Soc: hdimr@zg.hinet.hrWebsite:www.hdimr.hrCouncil Member: Mr Nenad VodopijaVlascika 15, 10000 Zagreb44 ISRRT Newsletter

Names and addresses of member societies and ISRRT Council MembersEmail: Nenad.vodopija@vmskola.hrnenad@hdimr.hrCyprus Pancyprian Society of Diagnostic &Radiotherapy Radiographersc/o Mrs Maria Kyraiakides Radiotherapy Depart.Nicosia General Hospital, Nicosia -1450Tel: 0035722801495; Fax: 0035722303471Email: mariakyriaki@yahoo.comCouncil Member: Mr Achilleas Kalaidjis, address as SocietyEmail: Republic Czech Radiographers SocietySekretariat SRLA CR, Na Zlate Stoce 14370 05 Ceske Budejovice, Czech RepublicEmail: info@srla.czWebsite: www.srla.czCouncil Member: Mr Cestmir David, address as societyEmail: cestmir.david@medicon.czDenmark Foreningen af Radiografer i DenmarkH. C. Orsteds Vej 70, 2. tv.DK 1879 Frederiksberg CTel: 45-3537-4339; Fax: 45-3537-4342Email: frd@radiograf.dkWebsite: www.radiograf.dkCouncil Member: Ms Charlotte Graungaard Bech,Dragebakken 289,5250 Odense SVEmail: charlotte@radiograf.dkEl Salvador Asociación Salvadoreña de Técnicos enRadiología e Imágenes Diagnósticas6a calle poniente y 6a ave. surreparto 6a calle, 3-8 bis #4, Santa TeclaEmail: Member: Mrs Elizabeth Ventura, address as SocietyEmail: Estonian Society of RadiographersSillutise 6, Parnu 80010Tel: 372 44 7312; Fax: 372 44 73 102www.eroy.eeCouncil Member: Ms Piret VahtramaeSillutise 6, Parnu 80010, EstoniaEmail: piretva@ph.eeEthiopia Ethiopian Radiographers AssociationP.O. Box 21850, Addis AbabaTel: 15-50-76Council Member: Mr Napoleon BogaleP.O. Box 56324, Addis Ababa, EthiopiaTel: + 251 09 239768Email: napi_bog@yahoo.comFijiFiji Society of RadiographersP.O. Box 4307, Samabula, Suva, Fiji IslandsTel: 679-3215548Email: Member: Mr Jone Salabuco, address as SocietyEmail: The Society of Radiographers in FinlandPO Box 140, 00060 Tehy, FinlandTel: 358 9 54227 521; Fax: 358 9 61500 267Email: Toimisto@suomenrontgenhoitajaliitto.fiWebsite: www.suomenrontgenhoitajaliitto.fiCouncil Member: Kaisa NironenEmail: kaisa.nironen@suomenrontgenhoitajaliitto.fiFrance Association Francaise du PersonnelParamedic d’Electroradiologie47 Avenue de Verdier, 92120 MontrougeTel: 33-1-49-121320; Fax 33-1-49-121325Email: webmaster@afppe.comWebsite: www.afppe.comCouncil Member: Mr Philippe Gerson,1 Rue des Couloirs92260 Fontenay-aux-RosesEmail: philgerson@aol.comGabon Association du Personnel Paramedicald’Electroradiolgie du GabonaisBP 13326 LibrevilleCouncil Member: Mr Apollinaire Mberagana, address as SocietyEmail: samuelrokossa@yahoo.frThe Gambia The Gambia Association of Radiographers andRadiographic Techniciansc/o X-Ray Department, Royal Victoria HospitalBanjul, The GambiaCouncil Member: Mr Abdou Colley, address as SocietyGermany Deutscher Verband Technischer Assistentenin der Medizin e.V.Spaldingstrasse 110 B, D-20097 Hamburg,Tel: 0049 40 2351170Fax: 0049 40 233373Email: info@dvta.deWebsite: www.dvta.deCouncil Member: Susanne HuberEmail: susanne.huber@dvta.deGhana Ghana Society of RadiographersP.O. Box a602, Korle-Bu Teaching Hospital, AccraTel: 685488Email: Member: Mr Steven Boateng, address as societyEmail: stboateng2000@yahoo.comGreece The Panhellenic Society of Radiotechnologists,73 Sokratous Str., Athens 104.32Tel: 30 1-522-8081;Fax: 30 1-522-8081E-mail: pasta@mailbox.grWebsite: Member: Mr Dimitris Katsifarakis36 Feraiou Str., 143.42 Filadelfia, AthensVolume 46 – No. 1 45

Names and addresses of member societies and ISRRT Council MembersGuyanaHong KongHong KongE-mail: d_katsifarakis@yahoo.grGuyana Association of Medical ImagingPractitionersThe Senior Radiographer's OfficeGeorgetown Public Hospital CorporationNew Market StreetN/C BurgeGeorgetown, GuyanaHong Kong Radiological TechniciansAssociation, P.O. Box 73549Kowloon Central Post OfficeKowloon, Hong KongTel: 852 3517 5451 Fax: 852 3517 5199Email: hkrta1965@yahoo.comWebsite: www.hkrta.50g.comMr Apollo Wong, The Department of Radiology,Kwong Wah Hospital,25 Waterloo Road, KowloonEmail: hkrta@mail.hongkong.comHong Kong Radiographers AssociationDept. of Radiology, Tuen Mun Hospital,Tuen Mun, NTTel: 852 22911161; Fax: 852 Member: Mr Edward ChanEmail: Society of Hungarian RadiographersNational Health InstituteDept. of Radiology1135 Budapest, Szabolcs u. 33 - 35.Tel: 06-1-350-4764Fax: 06-1-350–4765Email: hungarian_radiographers@yahoo.comWebsite: www.mrae.huCouncil Member: Ms Katalin LukovichEmail: klukovich@ogyik.huIceland Icelandic Society of RadiographersFelag Geislafraedinga, Borgartuni 6,105, Reykjavik, IcelandTel: 354-588 9770; Fax: 354-558 9239Email: geislar@sigl.isWebsite: www.sigl.isCouncil Member: Mrs Katrin Sigurdardottir, address as SocietyEmail: katrinsig@hive.isIndiaIndian Association of Radiological Technologists,Department of Radiodiagnosis,PGIMER, Chandigargh 160012Tel: 91 172 27476389Fax: 91 172 2745768Email: iartindia@yahoo.comWebsite: Member: Mr S. C. BansalIrelandH. No. 388, Sector 38-A,Chandigarh 160036,Tel: 91 172 2691295Mobile: 00 91 981503388Email: scbansal38@rediffmail.comIrish Institute of Radiography and RadiationTherapy (IIRRT)28 Millbrook Court,Kilmainham, Dublin 8Tel (m): +353 87 1313795Fax: +353 1 6790433Email: info@iir.ieWebsite: www.iir.ieEmail: info@iir.ieWebsite: www.iir.ieItalyFederazione Nazionale Collegi ProfessionaliTecnici Sanitari Di Radiologia MedicaVia Veio, 20, 00183 RomeTel: 39 06 7759 0560Email: federazione@tsrm.orgCouncil Member: Mr Stefano BraicoEmail: stefano.braico@libero.itIvory Coast Association Nationale des Techniciensd’Imagerie Médicale de Côte d’Ivoire21 BP 854 Abidjan 21Email: antim_civ@yahoo.frCouncil Member: Yai Kouame Boniface18 BP 720 Abidjan 18Tel: 225 21253793Fax: 225 07052526Email: kwame_boniface@yahoo.frJamaica Society of Radiographers (Jamaica)P.O. Box 38, Kingston 6Tel: 809-977-2388; Fax: 809-977-2388Email: societyofradiographers@yahooCouncil Member: Miss Claudia TavaresRadiology West, 34 Market Street,Montego Bay, JamaicaEmail: tech-one@cwjamaica.comJapanCouncil Member:KenyaJapan Association of Radiological Technologists,31st Floor, World Trade Center Bldg.2-4-1 Hamamatsu-cho Minato-ku,Tokyo 105-6131Tel: 3-5405-3612 Fax: 3-5405-3613Email:kimura@jart.or.jpWebsite: www.jart.jpMr Yoshiaki Kitamura, address as SocietyEmail: kitamura@jart.or.jpKenya Association of RadiographersGolf Course Commercial CentreOff Mbagath Way, Kenyatta MarketNairobi. 1st Floor Room 1.14Tel: +254 272 0607, +254 272 060746 ISRRT Newsletter

Names and addresses of member societies and ISRRT Council MembersM: +254 724 319582 / +254 726 160562Email: kenyaradiographers@yahoo.comCouncil Member: Mr Charles OmondiPO Box 90231 Mombasa KenyaTel: +254 725848273/254 314201 Ext. 3219Email: comok2004@yahoo.comKoreaKorean Radiological Technologist Association,250 Yang Jae -Dong, Seocho-Ku, Seoul 137-130Tel: 82-02-576-6524/5; Fax: 82-02-576-6526Email: krta@krta.or.krWebsite: www.krta.or.krCouncil Member: Mr Jeong-Kyu Lee, address as SocietyLatvia Latvian Society of RadiolographersInstitute of Radiology13 Pilsonu Street, Riga, LV 1002 LatviaTel: 371 7144635Fax: 371 7144635Email: nms@parks.lvCouncil Member: Ms Elita Rutka, address as societyEmail: elitaru@hotmail.comLebanon Lebanon Society of RadiographersThe American University of Beirut-MedicalCentre, School of RadiographyPO Box 11-0236, Beirut 1107-2020Tel: 01961 1 35000 ext: 5070E-mail: moufidaassi@hotmail.comCouncil Member: Mr Ghassan Wadih Merheb, address as SocietyMacau Macau Radiology AssociationPO Box No.: 9013, MacauEmail: Member: Mr Kok Leong KeiEmail: or Macedonian Society of RadiologicalTechnologistsc/o Miroslav Kostadniov, Institut za RadiolgijaKlinichki CentarVodnjanska 17, 1000 Skopje, MacedoniaTel: 389 2 115069; Fax: 389 2 1 66974Email : : Member: Mr Zdravko Damjanovski,32 Victor Villas, Great Cambridge RoadLondon N9 9VP, United KingdomEmail: Society of Radiographersc/o Department of Diagnostic ImagingHospital Kuala Lumpur,50586 Kuala LumpurTel: 03-2906674 Fax: 03-2989845Email: Member: Salmah AhmadJabatan Pengimejan DiagnosticHospital Kuala Lumpur,50586 Kuala Lumpur.Email: ms_radiographer@yahoo.comMaltaSociety for Medical Radiographers-MaltaPO Box 9, MaltaTel: 00 356 2595 1772Fax: 00 356 2124 4975Email: Member: Mr Miguel PaceMauritiusEmail: Association of Radiographers131c Murray Avenue, Quatre-BornesTel: 464-2790Email: rboolkah@intnet.muCouncil Member: Mr Dooshiant Jhuboolall41 Rue des Fauvelles,92400 Courberoie, FranceMexico Federacion Mexicana de profesionales Tecnicosen Radiologia e Imagen, Associaion Civil,Juan Badiano No. 21, Colonia Seccion XVI,Delegacion Tlapan, C.P. 14080Tel: 52 55-73-29-11, Ext.1236Fax: 52 55-73-09-94Email: Member: Mr Bernardo Santin Meza, address as societyNepalNepal Radiological SocietyP.B. No. 5634, Central Office, KathmanduTel: 977 1 427 6232Email Soc: nerads2006@gmail.comCouncil Member: Mr Shanta Lall Shrestha, address as SocietyThe Netherlands Nederlandse Vereniging MedischeBeeldvorming en Radiotherapie,Catharijnesingel 73, 3511 GM UtrechtTel: 31-302318842 Fax: 31-302321362Email: info@nvmbr.nlWebsite: www.nvmbr.nlCouncil Member: Ms Sija Geers, address as SocietyEmail: s.geers@nvmbr.nlNew Zealand New Zealand Institute of Medical RadiationTechnology, P.O. Box 25-668,St. Heliers, AucklandTel: 0649 379 3059Fax: 0649 379 3029Email: Member: Ms Emma RileyEmail: emmariley@gmail.comWebsite: www.nzimrt.vo.nzVolume 46 – No. 1 47

Names and addresses of member societies and ISRRT Council MembersNigeria The Association of Radiographers of Nigeria,2-4 Taylor Drive, Medical Compound, P.M.B.1068, Yaba, LagosTel: Sec: Elizabeth Balogun01 017430682, 08023226160Email: info@the-arn.comWebsite: www.the-arn.comCouncil Member: Prince Ayo OkhiriaChevron Hospital, Warri, Delta State, NigeriaEmail: delok01@yahoo.comNorway Norsk RadiografforbundRaadhusgaten 4N-0151 Oslo, NorwayTel: 47-23 100 470; Fax: 47-23 100480E-mail: nrf@radiograf.noWebsite: www.radiograf.noCouncil Member: Anna Petterson, address as societyE-mail: nrf@radiograf.noPeruAsociación Peruana de Téchnicos Radiólogos Av.Grau 383 Dpto., 603 Lima 1, LimaTel: 427-0578Council Member: Mr Magno F. Arias JiménezMz E-1 Lt.3 Ciudad del Pescador - Bellavista,Callao 2The Philippines Philippine Association of RadiologicTechnologists,C/o Dr Yasmin NavarroMartinez Memorial Colleges and HospitalCaloocan City, Metro ManillaTel: 288 8861; Fax: 288 4279Email: yasnavarro@yahoo.comCouncil Member: Mr Rolando Banares,Chief Radiologic TechnologistMartinez Memorial Medical Centre198A Mabini St, Caloocan City, The PhilippinesPortugal Associação Portuguesa dos Tecnicos deRadiologia Radioterapia e Medicina Nuclear,Av Miguel Bombarda,n.°36 - 9°H, 1050 - 165, LisboaTel: 351 -217 959 539; Fax: 351-217 959 592Email: geral@atarp.ptWebsite: www.atarp.ptCouncil Member: Dr Graciano PauloEmail: graciano@estescoimbra.ptCouncil Member: Ms Christine Ngot-Swan ChongEmail: Conseil national Des TechniciensDemocratique Radiologues RepublicDu Congo Democratique Du CongoB.P. 12.956, Kinshasa 1Council Member: Mr Franck Bisumbula, address as SocietyEmail: franckbisumbula@yahoo.frRepublic ofSingaporeSingapore Society of RadiographersAng Mo Kio Central Post OfficeP.O. Box 765, Singapore 915609Email: ssrexco@mail.comWeb Site: Member: Ms. Tan Chek Wee, Address as SocietyEmail: sunrisepl@hotmail.comSenegal Association des Manipulators et Techniciensd’Imagerie du Senegal, BP 3270 DakarCouncil Member: Mr Amadou Tidjani BallEmail: amadoutidiane143@hotmail.comSerbia The Society of Radiological Technicians andNuclear Medicine Technicians of SerbiaPasterova 14 Street,Institute of Radiology and Oncology of Serbia,11000 Belgrade SerbiaTel: 38 135 472347. Email: caca2@scnet.yuWebsite: Member: Ms Slavica PavlovicEmail: cacapavlovic@yahoo.comSeychelles Seychelles Radiological Associationc/o Radiology Section, Ministry of Health,P.O. Box 52, Victoria, MaheeCouncil Member: Mrs Sabina PanovskaEmail: sabinapanovska@yahoo.comSlovenia Slovenian Society of Radiological EngineersDrustvo Radiloskih Inzenirjev SlovenijeZaloska cesta 7, S1-1000 LjubljanaTel: 386 1 5431536; Fax: 386 1 5431 321Email: ohanuna@onko-i.siWebsite: www.dri-drustvo.siCouncil Member: Mr Dean PekarovikInstitute of Radiology, Clinical CenterZaloska cesta 7, S1-1000 LjubljanaEmail: dean.pekarovik@kclj.siRepublic ofChinaThe Association of RadiologicalTechnologists of The Republic of China,Department of Radiology,6F-1, No 35, Sec 2, Chongcing N. Rd,Datong District, Taipei 103, TaiwanTel: 886 2 2550 5181 - 2; Fax: 886 2 2550 8402Email: Africa Society of Radiographers of South AfricaP.O. Box 6014, Roggebaai 8012, Cape Town,Tel: 27 21 419 4857; Fax: 27 21 421 2566E-mail: sorsa.admin@iafrica.comCouncil Member: Aladdin Speelman,Email: Españnola de Tecnicos enRadiologia, C/ Reyes Magos 18,48 ISRRT Newsletter

Names and addresses of member societies and ISRRT Council MembersBajos Dcha, 28009 MadridTel: 00 34 91-552 99 00 - 3105Fax: 00 34 91-433 55 04Email: aetr.nacional@infonegocio.comWebsite: www.aetr.orgCouncil Member: Ms Marta Soto Garcia, address as SocietyEmail: martasoto@inicia.esSri Lanka The Society of Radiological Technologists– Sri Lanka262 Old Kottawa Road, Embuldeniya,Nugegoda 10250Tel: 0094-01-833072; Fax: 0094-01-833100Council Member: Mr Sunil Balasooriya, address as SocietyEmail: suba.srtsl@dynanet.lkSweden Swedish Society of Radiolographers,International SecretaryDervla TornquistEmail: dervla2020@yahoo.seWebsite: www.swedrad.seCouncil Member: Gunnela ÖrnbergEmail: Gunnela.ornberg@swedrad.seSwitzerland SVMTRA, Zentralsekretariat,SVMTRA/ASTRM, Stadthof Bahnhofstr.7 b6210 SurseeTel: 41 41 926 07 77; Fax: 41 41 926 07 99Email: info@svmtra.chWebsite: www.svmtra.chCouncil Member: Ms Jolanda KollmannEmail: landie@tele2.chTanzania Tanzania Association of Radiographers (TARA)c/- School of Radiography,P.O. Box 65005,Dar es SalaamTel: 255-022-2151073; Fax: 255-022-2151599Council Member: Mr James M. Boyi,Ministry of Health and Social Welfare,P.O. Box 9084, Dar es Salaam Tanzania,Email: jamesboyi@yahoo.comThailand Society of Radiological Technologists ofThailand, Dept. of Radiological TechnologyFaculty of Medical TechnologySiriraj Hospital, Bangkok 10700Tel: 622 419 7173Website: www. tsrt.or.thCouncil Member: Mr Sala UbolchaiEmail: sala1950@hotmail.comTogoAssociation Togolaise Des Techniciens DeRadiologie et D’Imagerie Medicale S/CMAMIDOU Houdou, BP 30284, LomeTel: (228) 25 25 91; Fax: (228) 25 25 91Email: arrtim@yahoo.frCouncil Member: Amidou HoudouTSRIM, Chu-Campus Service de RadiologieTrinidad andTobago(Pavillon Scanner), BP 30284, LomeEmail: of Radiographers-Trinidad &Tobago, General Hospital, RadiologyDepartment, Port of SpainTel: 868-672-5136; Fax: 868-658-0225Council Member: Anushka Kattick-MahabirsinghTel Office: (868) 671 3566Fax: (868) 665 0275Email: orEmail: anushkams@mail.ttTurkey Turkish Society of Medical RadiologicalTechnologists, Ege University HospitalDept. of Radiology, Bornova-Izmir, TurkeyTel: 90 (232) 343 43 43/3275 or 3250-144Fax: 90 (232) 445 23 94Email: nceydeli@yahoo.comCouncil Member: Havva PalaciEmail: Uganda Radiographers AssociationSchool of Radiography, Mulago HospitalP.O. Box 7051, KampalaTel: 256 041 530137Council Member: Stephen Arubaku Bule, address as SocietyEmail: buleasteve@yahoo.comUkraine Ukrainian Society of Radiographers andRadiological Technologists,Lamouosov Str. 33/43, Kiev 03022Tel: 38044 213 0763/483-61-26Fax: 380 44 258 9726Email: babiy@aruk.kiev.ueCouncil Member: Dyemin ValentinEmail: uarctmri@ukr.netUnited Kingdom Society and College of Radiographers207 Providence SquareMill Street, London SE1 2EWTel: 44-207 740 7200; Fax: 44-207 740 7204Email: info@sor.orgWebsite: www.sor.orgCouncil Member: Sandie MathersE-mail: Society of Radiologic Technologists15000 Central Avenue SE,Albuquerque, New Mexico 87123-3917Tel: 505-298-4500; Fax: 505-298-5063Website: www.asrt.orgCouncil Member: Donna E. Newman, Address as SocietyEmail: donnanewman@meritcare.com50 ISRRT Newsletter

ISRRT Officers Officers of Board of of Management Board of ManagementPresidentMr Robert George26 Myer RoadSturt, SA, Australia 5047Tel: 61 8 8377 0664Mobile: 61 419 813 928Email: PresidentsThe AmericasMrs B. Patricia Johnson5 First Douglas DevelopmentSt. Peter, BarbadosTel: 1 246 426 5378Fax: 1 246 429 5374Email: jonrob@sunbeach.netAsia and AustralasiaDr Maria Y.Y. LawDepartment of Health Technology & InformaticsHong Kong Polytechnic UniversityHung Hum, KowloonEmail: and AfricaMrs Katrin SigurdardottirHamratangi 17270 Mosfellbaer, IcelandTel: +354 861 2565Email: katrinsig@simnet.isRegional DirectorsThe AmericasDr Michael Ward Ph.D., RT(R), FASRTAssistant Dean for Student Programs andProfessor Barnes-Jewish College,Mailstop: 90-36-697, 4483 DuncanSaint Louis, Missouri 63110Tel: (314) 362-9155; Fax: (314) 362-9250Email: mward@bjc.orgAsia and AustralasiaMr Robert T.L. ShenDepartment of Radiology,Veterans General Hospital201, Sec. 2 Shipai Rd., Taipei,Taiwan 11217Tel: 886 2 28768413Fax: 886 2 28768415Email: tlshen@yahoo.comAfricaMr Caesar BarareP.O. Box 29868 Nairobi 00202Tel: +254 20 2726300 Ext. 43432Email: cbarare@yahoo.comEuropeMs Bodil AnderssonBronsaldersvagen 106226 54 Lund, SwedenTel: + 46 70 369 71 22E-mail: bodil.andersson@vardforbundet.seISRRT Committees Regional representativesEducation CommitteeThe AmericasDr Nadia Bugg,Radiologic Sciences, Midwestern StateUniversity, 3410 Taft Blvd.Wichita Falls, TX 76308, USATel: 940 397 4571; Fax: 940 397 4845Email: nadia.bugg@mwsu.eduAfricaJenny Motto74 Nottingham Road, KensingtonJohannesburg 2094, Republic of South AfricaTel (w): 27 11 559 6065/6106Fax: 27 11 559 6227Email : Henderson FCR DCR(R) MSc PgCHEEmail: and AustralasiaAssoc Professor Pam RowntreeDiscipline Leader, Medical RadiationsSchool of Physical & Chemical SciencesQUT, GPO Box 2434Brisbane Australia 4001Tel: 61 7 3864 2346; Fax: 61 7 3864 1521Email: Practice CommitteeThe AmericasMs Sharon Wartenbee, RTR, BD, CDT504 Autumn LaneSioux Falls, SD 57105 USAEmail: wartenbee@sio.midco.netAsia and AustralasiaMr Stenver Lin Cheng Hsun, BSc, MSc, PH.DCentral Taiwan University of Science andTechnologyDirector of the Department of RadiologicalTechnology, TaiwanEmail: BuleLecturer Radiography & Radiology programsDepartment of Radiology,Mulago Hospital Medical SchoolFaculty of Medicine, Makerere UniversityP.O. Box 7051, Kampala, Uganda, East AfricaTel: 256 772 441304Email: buleasteve@yahoo.comEuropeDimitris KatsifarakisEmail: dimitka@panafonet.grPublic Relations CommitteeThe AmericasMr Sean RichardsonBermuda Hospitals Board,King Edward VII Memorial Hospital,Diagnostic Imaging Department,7 Point Finger Rd, Paget DV04, BermudaEmail: seanrichardson@hotmail.comAsia and AustralasiaMs Tan Chek Wee5 Lower Kent Ridge Road, Singapore 119074Tel: 65 67724852; Fax: 65 67729 6320Email: sunrisepl@hotmail.comEuropeStefano BraicoEmail: stefano.braico@libero.itAfricaSumbo Oyedeleemail: sumbooyedele@yahoo.comFinance CommitteeDr T. Goh, Mr R George, Dr A. Yule,Mrs P. Johnson, Dr M. LawSee Board of Management for Finance Committee addresses.TreasurerDr Tyrone Goh78A Lorong MaricanSingapore 41 7277Tel: 65 6772 5200Fax: 65 6773 6853Email: of EducationMs Cynthia Cowling192 Agnes Street, RockhamptonQueensland, Australia 4700M: 61 439 508 322Email: cynthiacowling27@hotmail.comDirector of Professional PracticeMrs Päivi WoodPO Box 140, 00060 Tehy FinlandTel: 358 9 54227 521Fax: 358 9 61500 267paivi.wood@suomenroentgenhoitajallitto.fiDirector of Public RelationsDr Fozy Peer,PO Box 1435,Wandsbeck, KwaZulu-NatalSouth Africa 3631Tel: 27 31 2401881Fax: 27 31 2403519Email: GeneralDr A. Yule143 Bryn PinwyddenPentwyn, Cardiff, Wales CF23 7DGUnited KingdomTel: 44 2920 735038Fax: 44 2920 540551Email: isrrt.yule@btinternet.comThe ISRRT is registered as a charity in the UnitedKingdom: Registration No. 27 6218.52 ISRRT Newsletter

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