UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES COMBINED YEAR – END REPORT CALENDAR YEAR: JANUARY 2013 – DECEMBER 2013 SUBMITTED TO: DEPARTMENT OF MEDICAL EDUCATION AND RESEARCH SUBMITTED BY: THE CHAIRMAN OF THE DEPARTMENT OF RADIOLOGICAL SCIENCES UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 1. TARGET REPORT: One year, 2013 2. PREPARED AND SUBMITTED BY: a. Orestes P. Monzon, M.D., Chairman, b. Melodia P. Geslani, M.D., Residency Training Officer c. Maria Kristine S. Mendoza, M.D., Chief Resident 3. ACCREDITATION STATUS - ACCREDITED Certificate of accreditation was given by the Philippine College of Radiology and CT-MRI Society of the Philippines last June 2011 for having fulfilled the minimum requirements for residency and fellowship training as attested by the accreditation committee. The accreditation takes effect for a period of three (3) years and five (5) years by the CT-MRI Society and Philippine College of Radiology respectively and unless sooner revoked for failure to maintain standards set forth. Please see attached copy of certificate of accreditation (Appendix A). 4. ORGANIZATIONAL CHART OF THE DEPARTMENT 2|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 5. DEPARTMENT/SECTION ROSTER – NOTE: FOR FINAL CORRECTION CHAIRMAN: Dr. Orestes P. Monzon, F.P.C.R. SECTIONS A. Diagnostic Radiology Section Head: Dr. Emmanuel D. Almazan, F.P.C.R. Consultant Staff: i. Dr. Ma. Cartrini O. Cruz ii. Dr. Cecilia A. Villamor iii. Dr. Hernando P. Olonan iv. Dr. Mercy Go-Santi v. Dr. Jolinda V. Almazan vi. Dr. Pedro Danilo J. Lagamayo vii. Dr. Melodia B. Geslani viii. Dr. Ruben L. Carreon** ix. Dr. Mario T. Milo x. Dr. Mirasol Q. Decano-Pahutan B. Breast Imaging: Section Head: Dr. Melodia B. Geslani Consultant Staff: i. ii. iii. iv. Dr. Mercy Go-Santi Dr. Ma. Cecilia H. Cordova Dr. Ma. Luz Salvadora Dr. Anna Lyn Corneja-Egwolf C. Ultrasound Section Head: Dr. Mario T. Milo, F.P.C.R. Consultant Staff: i. ii. iii. iv. v. Dr. Pedro Danilo J. Lagamayo Dr. Ma. Cartrini O. Cruz Dr. Hernando P. Olonan Dr. Jolinda V. Almazan Dr. Mirasol Q. Decano-Pahutan 3|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 D. CT Scan Section Head: Dr. Jolinda V. Almazan, F.P.C.R. Consultant Staff: i. Dr. Ruben L. Carreon** ii. Dr. Ronald F. Cervantes iii. Dr. Ma. Cartrini O. Cruz iv. Dr. Emily Rose Dizon v. Dr. Melodia B. Geslani vi. Dr. Pedro Danilo J. Lagamayo vii. Dr. Mario T. Milo viii. Dr. Stephanie Jennifer H. Pe E. Magnetic Resonance Imaging Section Head: Dr. Ronald F. Cervantes, F.P.C.R. Consultant Staff i. ii. iii. iv. Dr. Melodia B. Geslani Dr. Pedro Danilo J. Lagamayo Dr. Stephanie Jennifer H. Pe Dr. Cecilia A. Villamor F. Vascular and Interventional Radiology: Section Head: Dr. Angelito G. Tingcungco, F.P.C.R., P.S.V.I.R. Consultant Staff: i. Dr. Emmanuel D. Alamazan ii. Dr. Mirasol Decano-Pahutan G. Faculty Members a. Dr. Emmanuel D. Almazan b. Dr. Jolinda V. Almazan c. Dr. Ma. Cartrini O. Cruz d. Dr. Pedro Danilo J. Lagamayo e. Dr. Mario T. Milo f. Dr. Orestes P. Monzon g. Dr. Benigno R. Santi h. Dr. Mercy Go Santi i. Dr. Teresa Sy Ortin j. Dr. Angelito G. Tingcungco (on leave) 4|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 k. Dr. Cecilia A. Villamor l. Dr. Francis R. Villanueva 6. FELLOWSHIP/RESIDENCY TRAINING COMMITTEE A. Fellowship Training Officer: Dr. Angelito G. Tingcungco Members: i. Dr. Emmanuel D. Almazan ii. Dr. Jolinda V. Almazan iii. Dr. Mario T. Milo B. Residency Training Officer: Dr. Melodia B. Geslani Asst. Training Officer: Dr. Emily Rose M. Dizon Members: i. Dr. Jolinda V. Almazan ii. Dr. Mirasol Q. Decano-Pahutan iii. Dr. P.Danilo J. Lagamayo 7. RESEARCH COMMITTEE A. Functions of Research Training Committee Provide guidance in the development of research proposal and conduct of research studies of the resident trainees of the department Evaluation of the proposed research studies of the resident trainees for Endorsement to the UST Institutional Review Board Conduct periodic monitoring of the conduct of the research studies of the residents particularly the compliance with the existing department, hospital and the concerned professional society policies (PCR, PSNM etc) Participate in the evaluation of the proposed and existing research studies referred to the department by the Hospital Institutional Review Board Provide technical assistance upon request to the proposed research studies of the medical staff of the department 5|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 B. Research Requirements and Guidelines of the Department As part of promotion process every year, each trainee must submit a research paper. An interesting case report is required of the first and second year trainees while the third years must submit a research protocol with the complete study subsequently submitted in their fourth year. The committee also enforces the requirements of the DMER regarding submission of papers for IRB approval or publication. C. List of Research Papers of Trainees, Co-Authors, Date Started and Completed NAME OF TRAINEE YR. LEVEL TITLE/CO-AUTHOR/ DATE STARTED/COMPLETED/ STATUS DEL MINDO, Al Joaness G. IV A THREE-YEAR RETROSPECTIVE INSTITUTIONAL STUDY ON THE FREQUENCY OF THE CURRENTLY APPLIED SUGGESTIVE AND DEFINITIVE EXTRA-AXIAL IMAGING FINDINGS ON CONTRAST-ENCHANCED CRANIAL MAGNETIC RESONANCE IMAGING IN SURGICALLY TREATED AND HISTOLOGICALLY PROVEN EXTRA-AXIAL TUMORS IN ADULTS. ADVISER: R.F. CERVANTES DATE COMPLETED: MARCH 2013 KOIRALA, Amrit IV BRANCHING PATTERN OF THE CELIAC AXIS AND ITS VARIATIONS AMONG FILIPINOS USING CT ANGIOGRAPHY; UNIVERSITY OF SANTO TOMAS HOSPITAL EXPERIENCE ADVISER: M.T. MILO DATE COMPLETED: JUNE 2013 LAZO, Marirose Z. IV CALIMLIM-CARREON, Khristine Joy III KIDNEY AND URINARY BLADDER ULTRASOUND FINDINGS AMONG CERVICAL CANCER PATIENTS AT 3 AND 5 YEARS AFTER CHEMORADIATION. ADVISER: P.D.J. LAGAMAYO DATE COMPLETED: AUGUST 2013 A RETROSPECTIVE STUDY ON THE MOST COMMON ULTRASONOGRAPHY FEATURE OF HISTOPATHOLOGICALLY PROVEN CASES OF THYROID MALIGNANCY NODULES AMONG ADULT PATIENTS SEEN IN THE UST HOSPITAL. 6|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 ADVISER: M.T. MILO DATE STARTED: JANUARY 2013 STATUS: ONGOING LADIA, Kathryn M. III COMPARISON BETWEEN ESTIMATED GLOMERULAR FILTRATION RATE VERSUS SERUM CREATININE IN IDENTIFYING PATIENTS WITH RENAL INSUFFICIENCY PRIOR TO CONTRAST-ENHANCED CT IN OUTPATIENT OF THE CT SCAN SECTION, DEPARTMENT OF RADIOLOGICAL SCIENCES, UST HOSPITAL: A RETROSPECTIVE STUDY. ADVISER: M.T. MILO DATE STARTED: JANUARY 2013 STATUS: ONGOING MARQUEZ, Norraine Anne T. III THE INCIDENCE OF ANTERIOR CRUCIATE LIGAMENT INJURIES IN FILIPINOS OF DIFFERENT AGE GROUPS IN RELATION TO CAUSE IN THE UST HOSPITAL: A RETROSPECTIVE STUDY. ADVISER: S.J.H. PE DATE STARTED: JANUARY 2013 STATUS:ONGOING MENDOZA, Maria Kristine S. III MEASUREMENT OF SCOLIOTIC CURVATURE: IS THERE A PRACTICAL ALTERNATIVE METHOD? ADVISER: S.J.H. PE DATE STARTED: JANUARY 2013 STATUS:ONGOING BASILIO, Francis Angelo D. II CT RADIOGRAPHIC ANALYSIS OF THE VARIATIONS OF THE INTERNAL JUGULAR CANAL ADVISER: S.J.H. PE DATE STARTED: NOVEMBER 2013 STATUS: ONGOING CO, Andy C. II ULTRASONOGRAPHIC MEASUREMENT OF SUPRASPINATUS TENDON THICKNESS & ACROMIO-HUMERAL DISTANCE IN ASYMPTOMATIC BASKETBALL PLAYERS ADVISER: S.J.H. PE DATE STARTED: DECEMBER 2013 STATUS: ONGOING LAM, Aileen C. II CORRELATION OF MAMMOGRAPHIC & ULTRASONOGRAPHIC BIRADS 4 & 5 BREAST LESIONS WITH CORRESPONDING HISTOPATHOLOGY: POTENTIAL PREDICTORS OF MALIGNANCY 7|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 ADVISER: M.B.GESLANI/A.L.C. EGWOLF DATE STARTED: OCTOBER 2013 STATUS: ONGOING REYES, Trisha Noelle DJ. II ULTRASOUND CORRELATION OF RENAL CORTICAL THICKNESS & RENAL SCINTIGRAPHY USING TECHNETIUM-99M DIETHYLENETRIAMINE PENTAACETIC ACID IN PATIENTS WITH DECREASED RENAL FUNCTION: A RETROSPECTIVE STUDY ADVISER: M.T. MILO DATE STARTED: OCTOBER 2013 STATUS: ONGOING ATIENZA, Vyron Anthony M. I NEGATIVE PREDICTIVE VALUE OF ULTRASOUND IN THE EVALUATION OF UTI IN CHILDREN 12 MONTHS & BELOW ADVISER: M.T. MILO DATE STARTED: OCTOBER 2013 STATUS: ONGOING DIZON, Francis Aaron D. I INTER-READER VARIABILITY IN THE INTERPRETATION OF PRIMARY KOCH’S INFECTION IN CHEST RADIOGRAPHS AMONG CHILDREN AGED 0-5 YEARS OLD DONE IN A TERTIARY HOSPITAL IN MANILA IN THE YEAR 2013: A RETROSPECTIVE STUDY ADVISER: C.A. VILLAMOR DATE STARTED: MARCH 2013 STATUS: ONGOING GO, Ferranti D. I RADIOGRAPHIC ASSESSMENT OF THE FEMOROTIBIAL JOINT SPACE & CORRELATION WITH CLINICAL SYMPTOMS IN PATIENTS WITH OSTEOARTHRITIS: A RETROSPECTIVE STUDY ADVISER: M.T. MILO DATE STARTED: NOVEMBER 2013 STATUS: ONGOING 8|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 8. SPECIFIC YEAR LEVEL OBJECTIVES AND REQUIREMENTS FIRST YEAR LEVEL: A first year resident, at the end of his/her freshman year, is expected to be familiar with the basic principles in Diagnostic Radiology, including radiographic anatomy, positioning, physics and standard operating procedures of the different radiological studies being done in our Institution. He/she should be able to begin to recognize the normal and abnormal findings as well as the variants demonstrated on plain radiographs or contrast radiologic examination. He/she should have a basic knowledge of the pathophysiology of the common diseases seen radiographically and be able to correlate the radiologic findings with the different stages of the disease process. SECOND YEAR LEVEL: A second year resident at the end of his/her the sophomore year training is expected to master the basic and advance principles in Diagnostic Radiology which include updates on different radiological studies being done in our institution. He/she should be able to distinguish straightforwardly the normal and abnormal findings as well as the variants seen on plain radiographs or contrast radiologic examination. He/she should have a full grasp of the pathophysiology of the common diseases seen radiographically and be able to correlate the radiologic findings with the different stages of the disease process. He will be acquainted with other multi imaging modalities such as ultrasonography, computed tomography and magnetic resonance imaging with initial knowledge of physics, and different protocols of the respective imaging modality studies. THIRD YEAR LEVEL: A third year resident at the end of his/her junior year is expected to master the basic and advance principles in Diagnostic Radiology, Ultrasonography, Computed Tomography, Magnetic Resonance and Interventional Radiology which include updates on different radiological studies being done in our institution. He/she should be able to fairly correlate radiologic imaging features of certain diseases that can be demonstrated in different multi imaging modalities He/she should have mastered with in-depth comprehension of the pathophysiology of the different diseases seen radiographically with good correlation of the radiologic findings with certain stage of the disease process. He will be on the verge of mastery level to all multi imaging modalities in Radiology with good understanding of tailored protocols that would fit in to the case of a particular patient of the respective imaging modality studies. 9|Page UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 FOURTH YEAR LEVEL: A fourth year resident at the end of his/her senior year is expected to master Basic Radiology with good understanding and inter-correlation capability of different imaging modalities. He/she should be fully knowledgeable of different radiologic imaging features of certain diseases that can be encountered in everyday practice in Radiology. He/she should have a full understanding with in-depth comprehension of the pathophysiology of various radiological cases pertaining disease process in different stages. He will be on the mastery level on how to come out a choice of tailored protocol suitable to the case of the patient for a better pickup of imaging sensitivity, specificity and accuracy. 9. ROTATIONS OF TRAINEES FIRST YEAR LEVEL: Rotation in section of Diagnostic Radiology, CT scan, Ultrasound and Interventional Radiology; Participation in the different medical and surgical conferences; Presentation of interesting case and journal report at weekly Radiology conference of the Department; Participation in the different activities of the Philippine College of Radiology concerning residency training and continuing education program; SECOND YEAR LEVEL: Rotation in Sections of Diagnostic Radiology, Ultrasound, Computed Tomography, and Magnetic Resonance as well as in Interventional Radiology; Participation in the different medical and surgical conferences; Presentation of interesting case and journal report at weekly Radiology conference of the Department; Participation in the different activities of the Philippine College of Radiology concerning residency training and continuing education Program. 10 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 THIRD YEAR LEVEL: Major Rotation in the Sections of Ultrasound, Computed Tomography, Magnetic Resonance and Interventional Radiology; Participation in the different medical and surgical conferences; Presentation of interesting case and journal report at weekly Radiology conference of the Department; Participation in the different activities of the Philippine College of Radiology concerning residency training and continuing education program. FOURTH YEAR LEVEL: Rotation in the Sections of Diagnostic Radiology, Ultrasound, Computed Tomography, Magnetic Resonance and Interventional Radiology; Participation in the different medical and surgical conferences; Presentation of interesting case and journal report at weekly Radiology conference of the Department; Participation in the different activities of the Philippine College of Radiology concerning residency training and continuing education program. 10. DAILY SCHEDULE OF THE DEPARTMENT FOR TRAINEES SECTION OF DIAGNOSTIC RADIOLOGY Initial assessment of patients for interventional procedures including review of history, pertinent clinical data and prior imaging; Supervision in positioning of patients for examination and quality control of x-ray films to be interpreted; Provision of initial interpretation of films; Interactive involvement in the film interpretation session of consultant on duty; Performance of different diagnostic radiological examination/procedures under the supervision of the radiology consultant on duty; Participation in different intra- and interdepartmental conferences. Refer to table below for schedule of conferences. CT SCAN SECTION Coordination with persons concerned regarding the scheduled procedures for the day, including necessary preparations and special precautions; Preparation of patients for examination, including conduction of brief interview with patients for pertinent clinical data, insertion of an IV access for contrast procedures and administration of pre-medications for patients with history of hypersensitivity; 11 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 Direct supervision during actual scanning of patients tailoring of scanning protocols for each patient; Provision of initial interpretation of studies that were completed; Interactive involvement in the interpretation session of consultant on duty; Participation in different intra- and interdepartmental conferences. Refer to table below for schedule of conferences. MRI SECTION Coordination with persons concerned regarding the scheduled procedures for the day, including necessary preparations and special precautions; Preparation of patients for examination, including conduction of brief interview with patients for pertinent clinical data, insertion of an IV access for contrast procedures and administration of pre-medications for patients with history of hypersensitivity; Direct supervision during actual scanning of patients including tailoring of scanning protocols for each patient; Provision of initial interpretation of studies that were completed; Interactive involvement in the interpretation session of consultant on duty; Participation in different intra- and interdepartmental conferences. Refer to table below for schedule of conferences. ULTRASOUND SECTION Coordination with persons concerned regarding the scheduled procedures for the day, including necessary preparations and special precautions; Performance of sonographic procedures under the supervision of the radiology consultant on duty; Provision of sonographic guidance during interventional procedures or mapping of area concerned pre-operatively; Supervision of scanning of patients by the radiology technologists; Provision of initial interpretation of studies that were completed; Interactive involvement in the interpretation session of consultant on duty; Participation in different intra- and interdepartmental conferences. Refer to table below for schedule of conferences. INTERVENTIONAL RADIOLOGY Initial assessment of patients for interventional procedures including review of history, pertinent clinical data and prior imaging; Assistance during the actual procedure; Make rounds on admitted patients for proper monitoring and management; BREAST UNIT Initial assessment of patients for mammogram or breast ultrasound including review of history, pertinent clinical data and prior imaging; 12 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 Supervision in positioning of patients for examination and quality control of films to be interpreted; Provision of initial interpretation of films; Interactive involvement in the film interpretation session of consultant on duty; Performance of breast ultrasound with patient’s consent and under the supervision of the radiology consultant on duty; Participation in different intra- and interdepartmental conferences. Refer to table below for schedule of conferences. SCHEDULE OF DAILY INTRA- AND INTERDEPARTMENTAL CONFERENCES DAY TIME CONFERENCE/GRANDROUNDS MONDAY 8:00-9:00 A.M. GASTROINTESTINAL/HEMA-ONCO GRANDROUNDS 1:00-2:00 P.M. INTERACTIVE CASE DISCUSSION FOR MEDICAL CLERKS, CT OFFICE TUESDAY WEDNESDAY 9:00-10:00 A.M. INTERACTIVE CASE DISCUSSION FOR MEDICAL CLERKS, CT OFFICE 1:00 P.M.-2:00 P.M. NEURORADIOLOGY CONFERENCE 1:00-2:00 P.M. LECTURE SERIES FOR THE INSERVICE EXAMINATION, MRI CONFERENCE ROOM 8:00-9:00 A.M. CNS CONFERENCE Neurology Amphiteater BCI Library (1st of the month) 8:00-9:00 A.M. GASTROINTESTINAL HOSPITAL CONFERENCE Endoscopy Conference Room 13 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 THURSDAY FRIDAY 11:00 A.M.12:00 P.M. (2nd& 4th of the month) HEAD AND NECK TUMOR BOARDS 1:00-2:00 P.M. LECTURE SERIES FOR THE INSERVICE EXAMINATION, MRI CONFERENCE ROOM 7:00-8:00 A.M. PEDIATRIC GRANDROUNDS BCI Library THORACIC TUMOR BOARDS 8:00-9:00 A.M. PEDIATRIC CLINICO-RADIOLOGIC CONFERENCE 9:00-10:00 A.M. INTERACTIVE CASE DISCUSSION FOR MEDICAL CLERKS, CT OFFICE 11:00 A.M.12:00 P.M. INTERACTIVE CASE DISCUSSION FOR MEDICAL CLERKS, CT OFFICE 12:00-1:00 P.M.(4TH of the month) BREAST CONFERENCE, BCI LIBRARY 1:00-2:00 P.M. LECTURE SERIES FOR THE INSERVICE EXAMINATION, MRI CONFERENCE ROOM Other Conferences - Monthly CT Conference Monthly MRI Conference Monthly Ultrasound Conference Interdepartmental Conferences and Grandrounds – as invited by other Deparments 11. ACTIVITIES OF THE DEPARTMENT DATE JANUARY 26 ACTIVITY PCR First Scientific Meeting – Physics Radiation Protection, Anatomy, PCR History Philippine Heart Center, Quezon City FEBRUARY 14 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 21-23 MARCH 24 APRIL 12-14 27 MAY 19 27 JUNE 1 22 JULY 3 14 21 AUGUST 17 PCR Annual Convention Topic: Lumps, Bumps, Humps (Imaging & Treatment of Tumors) PCR First Inservice Examinations – Physics Radiation Protection, Anatomy, PCR History CT-MRI Teaching Seminar Topic: (CT-MRI) “Crossroads and Paradigms in CT-MR imaging” N Hotel, Cagayan De Oro City PCR Second Scientific Meeting – Pulmonary and Cardiovascular Radiology Philippine Heart Center, Quezon City PCR Second Inservice Examination – Pulmonary and Cardiovascular Radiology CT-MRISP Scientific meeting PBR Examination, Part I – Dr. Khristine Joy Calimlim-Carreon, Dr. Kathryn M. Ladia, Dr. Norraine Anne T. Marquez and Dr. Maria Kristine S. Mendoza took and passed the examinations Lung Center of the Philippines, Quezon City PCR Third Scientific Meeting – Genitourinary and Women’s Imaging Philippine Heart Center, Quezon City Mid-Year Residents’ Evaluation PCR Third Scientific Meeting – Contrast reaction Marriot Hotel PCR Third Inservice Examination – Genitourinary and Women’s Imaging PCR Fourth Scientific Meeting – Gastrointestinal and Musculoskeletal Imaging Philippine Heart Center, Quezon City Department General Meeting 19 SEPTEMBER 22 PCR Fourth In-service Examination – Gastrointestinal and Musculoskeletal Imaging OCTOBER 12 PCR Fifth Scientific Meeting – Neuroradiology and Head and Neck Imaging Philippine Heart Center, Quezon City 17-19 2013 CT-MRI USP Joint Annual Convention 15 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 Topic: Keeping Upfront in the Expanding Horizons of Musculoskeletal and Body Imaging The Manila Hotel, Manila NOVEMBER 17 DECEMBER 20 PCR Fifth Inservice Examination Neuroradiology and Head and Neck Imaging Department Christmas Party 12. ACHIEVEMENTS OF THE DEPARTMENT/SECTION 100% Passing rate in the Philippine Board of Radiologist examinations, Part I, II and III Dr. Dominador Centeno - Dr. Al Johannes Del Mindo - Dr. Amrit Koirala - Dr. Marirose Lazo - Dr. Khristine Joy CalimlimCarreon - Dr. Kathryn M. Ladia - Dr. Norraine Anne T. Marquez - Dr. Maria Kristine S. Mendoza - Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination I, June 2013 Passed the Philippine Board of Radiology Examination I, June 2013 Passed the Philippine Board of Radiology Examination I, June 2013 Passed the Philippine Board of Radiology Examination I, June 2013 16 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 PROGRAM SUMMARY NAME OF TRAINEE YR. LEVEL STATUS DEL MINDO, Al Joaness G. KOIRALA, Amrit IV FOR GRADUATION IV FOR GRADUATION LAZO, Marirose Z. IV FOR GRADUATION CALIMLIM-CARREON, Khristine Joy LADIA, Kathryn M. III ON-GOING; FOR PROMOTION TO 4TH YEAR III ON-GOING; FOR PROMOTION TO 4TH YEAR MARQUEZ, Norraine Anne T. MENDOZA, Maria Kristine S. BASILIO, Francis Angelo D. CO, Andy C. III ON-GOING; FOR PROMOTION TO 4TH YEAR III ON-GOING; FOR PROMOTION TO 4TH YEAR II ON-GOING; FOR PROMOTION TO 3RD YEAR II ON-GOING; FOR PROMOTION TO 3RD YEAR LAM, Aileen C. II ON-GOING; FOR PROMOTION TO 3RD YEAR REYES, Trisha Noelle DJ. ATIENZA, Vyron Anthony M. DIZON, Francis Aaron D. GO, Ferranti D. II ON-GOING; FOR PROMOTION TO 3RD YEAR I ON-GOING; FOR PROMOTION TO 2ND YEAR I ON-GOING; FOR PROMOTION TO 2ND YEAR I ON-GOING; FOR PROMOTION TO 2ND YEAR TOTAL 15 17 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 PROGRAM ADMINISTRATION – NOTE: FOR FINAL CORRECTION CHAIRMAN: Dr. Orestes P. Monzon, F.P.C.R. A. Diagnostic Radiology Section Head: Dr. Emmanuel D. Almazan, F.P.C.R. B. Breast Imaging: Section Head: Dr. Melodia B. Geslani C. Ultrasound Section Head: Dr. Mario T. Milo, F.P.C.R. D. CT Scan Section Head: Dr. Jolinda V. Almazan, F.P.C.R. E. Magnetic Resonance Imaging Section Head: Dr. Ronald F. Cervantes F.P.C.R. F. Vascular and Interventional Radiology: Section Head: Dr. Angelito G. Tingcungco, F.P.C.R., P.S.V.I.R. G. RESIDENCY TRAINING COMMITTEE Residency Training Officer: Dr. Melodia B. Geslani Asst. Training Officer: Dr. Emily Rose M. Dizon Members: Dr. Mirasol Q. Decano-Pahutan Dr. P.Danilo J. Lagamayo H. Faculty Members Dr. Emmanuel D. Almazan Dr. Jolinda V. Allmazan Dr. Ma. Cartrini O. Cruz Dr. Pedro Danilo J. Lagamayo Dr. Mario T. Milo Dr. Benigno R. Santi Dr. Mercy Go Santi Dr. Teresa Sy Ortin 18 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 Dr. Angelito G. Tingcungco (on leave) Dr. Cecilia A. Villamor Dr. Francis R. Villanueva Dr. Orestes P. Monzon FACILITIES AND RESOURCES Faculty to Resident Ratio DISTRIBUTION OF TRAINEES YEAR LEVEL CURRENT NUMBER 1st 3 12:3 2nd 4 12:4 3rd 4 12:4 4th 3 12:3 TOTAL RATIO 14 Availability and Diversity of Patient Population The Department of Radiological Sciences caters to both in- and out-patients of both pay and clinical divisions providing services in diagnostic radiology, mammography ,ultrasound, CT-MRI and interventional & vascular radiology. Trainees have hands-on experience with regards to preparation and planning of patients prior to the procedure, interpretation and view-box sessions with consultants and post-procedural care in all rotated sections, namely: Vascular & Interventional Radiology, CT-MRI and ultrasound. The diversity of patients being encountered everyday encompasses all the subspecialties radiology offers thus making this the ideal venue for learning and training. 19 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 Library Facilities The Department of Radiological Sciences is equipped with a variety of radiology books in the UST Radiology-AGFA Library and Learning Resource Center at the 2nd Floor of the MRI section, as well as Internet Access and Work stations to meet the demands of the training residents. Acquisition of a desktop computer was also done for use of residents for their researches and storage of their digital files. Call Rooms Situated in the Section of Diagnostic Radiology, the call room was strategically placed so that access to all the imaging modalities in the hospital in emergency cases can be made during 24-hour tour of duty. It is an allotted area where on duty residents may have an area to sleep in and do their basic necessities. Equipments a. Section of Diagnostic Radiology 2. Optimus 50 3. Hitachi DHF 153HII 4. Hitachi/Sirius 80N 5. Siemens Axiom Iconos R100 6. Philips Practix 300 (2 units) Portable machine 7. Philips Practix 360 (2 units) Portable machine 8. Siemens Siremobil Compact L 9. Philips BV Libra b. Breast unit 1. Philipps Mammo Diagnost 2. Philipps IU22 Ultrasound c. Section of Diagnostic Ultrasound: 1. SIEMENS S300 2. SIEMENS S200 3. SIEMENS X300 PE 4. ALOKA SSD-1000 20 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 d. Section of CT/ MRI 1. PHILIPS INTERA OMNI 1.5 T 2. Philips TOMOAVP 3. Philips TOMO EG 4. SIEMENS Sensation 64 PARTICIPATING INSTITUTION/S NAME OF HOSPITAL DURATION OF ROTATION VALIDITY OF MOA FABELLA HOSPITAL (Ultrasound section) 2 months for each resident in the 3rd and 4th year level Pending re-approval from CEO Previous MOA expiry May 2014 LIST OF RESEARCH PAPERS OF TRAINEES NAME OF TRAINEE YR. LEVEL TITLE/CO-AUTHOR/ DATE STARTED/COMPLETED/ STATUS DEL MINDO, Al Joaness G. IV A THREE-YEAR RETROSPECTIVE INSTITUTIONAL STUDY ON THE FREQUENCY OF THE CURRENTLY APPLIED SUGGESTIVE AND DEFINITIVE EXTRA-AXIAL IMAGING FINDINGS ON CONTRAST-ENCHANCED CRANIAL MAGNETIC RESONANCE IMAGING IN SURGICALLY TREATED AND HISTOLOGICALLY PROVEN EXTRA-AXIAL TUMORS IN ADULTS. ADVISER: R.F. CERVANTES DATE COMPLETED: MARCH 2013 KOIRALA, Amrit IV BRANCHING PATTERN OF THE CELIAC AXIS AND ITS VARIATIONS AMONG FILIPINOS USING CT ANGIOGRAPHY; UNIVERSITY OF SANTO TOMAS HOSPITAL EXPERIENCE ADVISER: M.T. MILO DATE COMPLETED: JUNE 2013 LAZO, Marirose Z. IV KIDNEY AND URINARY BLADDER ULTRASOUND FINDINGS AMONG CERVICAL CANCER PATIENTS AT 3 AND 5 YEARS AFTER CHEMORADIATION. ADVISER: P.D.J. LAGAMAYO 21 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 DATE COMPLETED: AUGUST 2013 A RETROSPECTIVE STUDY ON THE MOST COMMON ULTRASONOGRAPHY FEATURE OF HISTOPATHOLOGICALLY PROVEN CASES OF THYROID MALIGNANCY NODULES AMONG ADULT PATIENTS SEEN IN THE UST HOSPITAL. ADVISER: M.T. MILO DATE STARTED: JANUARY 2013 STATUS: ONGOING CALIMLIM-CARREON, Khristine Joy III LADIA, Kathryn M. III COMPARISON BETWEEN ESTIMATED GLOMERULAR FILTRATION RATE VERSUS SERUM CREATININE IN IDENTIFYING PATIENTS WITH RENAL INSUFFICIENCY PRIOR TO CONTRAST-ENHANCED CT IN OUTPATIENT OF THE CT SCAN SECTION, DEPARTMENT OF RADIOLOGICAL SCIENCES, UST HOSPITAL: A RETROSPECTIVE STUDY. ADVISER: M.T. MILO DATE STARTED: JANUARY 2013 STATUS: ONGOING MARQUEZ, Norraine Anne T. III THE INCIDENCE OF ANTERIOR CRUCIATE LIGAMENT INJURIES IN FILIPINOS OF DIFFERENT AGE GROUPS IN RELATION TO CAUSE IN THE UST HOSPITAL: A RETROSPECTIVE STUDY. ADVISER: S.J.H. PE DATE STARTED: JANUARY 2013 STATUS:ONGOING MENDOZA, Maria Kristine S. III MEASUREMENT OF SCOLIOTIC CURVATURE: IS THERE A PRACTICAL ALTERNATIVE METHOD? ADVISER: S.J.H. PE DATE STARTED: JANUARY 2013 STATUS:ONGOING BASILIO, Francis Angelo D. II CT RADIOGRAPHIC ANALYSIS OF THE VARIATIONS OF THE INTERNAL JUGULAR CANAL ADVISER: S.J.H. PE DATE STARTED: NOVEMBER 2013 STATUS: ONGOING CO, Andy C. II ULTRASONOGRAPHIC MEASUREMENT OF SUPRASPINATUS TENDON THICKNESS & ACROMIO-HUMERAL DISTANCE IN ASYMPTOMATIC BASKETBALL PLAYERS ADVISER: S.J.H. PE DATE STARTED: DECEMBER 2013 STATUS: ONGOING 22 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 LAM, Aileen C. II CORRELATION OF MAMMOGRAPHIC & ULTRASONOGRAPHIC BIRADS 4 & 5 BREAST LESIONS WITH CORRESPONDING HISTOPATHOLOGY: POTENTIAL PREDICTORS OF MALIGNANCY ADVISER: M.B.GESLANI/A.L.C. EGWOLF DATE STARTED: OCTOBER 2013 STATUS: ONGOING REYES, Trisha Noelle DJ. II ULTRASOUND CORRELATION OF RENAL CORTICAL THICKNESS & RENAL SCINTIGRAPHY USING TECHNETIUM-99M DIETHYLENETRIAMINE PENTAACETIC ACID IN PATIENTS WITH DECREASED RENAL FUNCTION: A RETROSPECTIVE STUDY ADVISER: M.T. MILO DATE STARTED: OCTOBER 2013 STATUS: ONGOING ATIENZA, Vyron Anthony M. I NEGATIVE PREDICTIVE VALUE OF ULTRASOUND IN THE EVALUATION OF UTI IN CHILDREN 12 MONTHS & BELOW ADVISER: M.T. MILO DATE STARTED: OCTOBER 2013 STATUS: ONGOING DIZON, Francis Aaron D. I INTER-READER VARIABILITY IN THE INTERPRETATION OF PRIMARY KOCH’S INFECTION IN CHEST RADIOGRAPHS AMONG CHILDREN AGED 0-5 YEARS OLD DONE IN A TERTIARY HOSPITAL IN MANILA IN THE YEAR 2013: A RETROSPECTIVE STUDY ADVISER: C.A. VILLAMOR DATE STARTED: MARCH 2013 STATUS: ONGOING GO, Ferranti D. I RADIOGRAPHIC ASSESSMENT OF THE FEMOROTIBIAL JOINT SPACE & CORRELATION WITH CLINICAL SYMPTOMS IN PATIENTS WITH OSTEOARTHRITIS: A RETROSPECTIVE STUDY ADVISER: M.T. MILO DATE STARTED: NOVEMBER 2013 STATUS: ONGOING 23 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 BOARD PASSING 100% Passing rate in the Philippine Board of Radiologist examinations, Part I, II and III Dr. Dominador Centeno - Dr. Al Johannes Del Mindo - Dr. Amrit Koirala - Dr. Marirose Lazo - Dr. Khristine Joy CalimlimCarreon - Dr. Kathryn M. Ladia - Dr. Norraine Anne T. Marquez - Dr. Maria Kristine S. Mendoza - Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination II & III, January 2014 Passed the Philippine Board of Radiology Examination I, June 2013 Passed the Philippine Board of Radiology Examination I, June 2013 Passed the Philippine Board of Radiology Examination I, June 2013 Passed the Philippine Board of Radiology Examination I, June 2013 PATIENT CARE CENSUS DIAGNOSTIC RADIOLOGY TOTAL NO. OF CASES (JAN-DEC 2013): 45,338 CT SCAN SECTION TOTAL NO. OF CASES (JAN-NOV 2013): 3,906 MRI SECTION TOTAL NO. OF CASES (JAN-NOV 2013): 2,920 ULTRASOUND SECTION TOTAL NO. OF CASES (JAN-DEC 2013): 10,012 BREAST UNIT: TOTAL NO. OF CASES (JAN-DEC 2013): 2,132 FABELLA ULTRASOUND ROTATION TOTAL NO. OF PATIENTS (JAN-DEC 2013): 5,830 24 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 ACTIVITIES OF THE DEPARTMENT DATE JANUARY 26 FEBRUARY 21-23 MARCH 24 APRIL 12-14 27 MAY 19 27 JUNE 1 22 JULY 3 14 21 AUGUST 17 19 ACTIVITY PCR First Scientific Meeting – Physics Radiation Protection, Anatomy, PCR History Philippine Heart Center, Quezon City PCR Annual Convention Topic: Lumps, Bumps, Humps (Imaging & Treatment of Tumors) PCR First Inservice Examinations – Physics Radiation Protection, Anatomy, PCR History CT-MRI Teaching Seminar Topic: (CT-MRI) “Crossroads and Paradigms in CT-MR imaging” N Hotel, Cagayan De Oro City PCR Second Scientific Meeting – Pulmonary and Cardiovascular Radiology Philippine Heart Center, Quezon City PCR Second Inservice Examination – Pulmonary and Cardiovascular Radiology CT-MRISP Scientific meeting PBR Examination, Part I – Dr. Khristine Joy Calimlim-Carreon, Dr. Kathryn M. Ladia, Dr. Norraine Anne T. Marquez and Dr. Maria Kristine S. Mendoza took and passed the examinations Lung Center of the Philippines, Quezon City PCR Third Scientific Meeting – Genitourinary and Women’s Imaging Philippine Heart Center, Quezon City Mid-Year Residents’ Evaluation PCR Third Scientific Meeting – Contrast reaction Marriot Hotel PCR Third Inservice Examination – Genitourinary and Women’s Imaging PCR Fourth Scientific Meeting – Gastrointestinal and Musculoskeletal Imaging Philippine Heart Center, Quezon City Department General Meeting 25 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 SEPTEMBER 22 PCR Fourth Inservice Examination – Gastrointestinal and Musculoskeletal Imaging OCTOBER 12 PCR Fifth Scientific Meeting – Neuroradiology and Head and Neck Imaging Philippine Heart Center, Quezon City 17-19 2013 CT-MRI USP Joint Annual Convention Topic: Keeping Upfront in the Expanding Horizons of Musculoskeletal and Body Imaging The Manila Hotel, Manila NOVEMBER 17 PCR Fifth Inservice Examination Neuroradiology and Head and Neck Imaging DECEMBER 20 Department Christmas Party 26 | P a g e UNIVERSITY OF SANTO TOMAS HOSPITAL DEPARTMENT OF RADIOLOGICAL SCIENCES YEAR END REPORT 2013 Prepared by: MARIA KRISTINE S. MENDOZA, MD Chief Resident Radiological Sciences Residency Training Program Department of Radiological Sciences NILO LOPEZ, MD Chief Resident Nuclear Medicine Residency Training Program Department of Radiological Sciences Checked by: MELODIA B. GESLANI, MD FPCR Residency Training Officer Radiological Sciences Residency Training Program Department of Radiological Sciences ARNOLD C. ISIDRO, MD FPCR Residency Training Officer Nuclear Medicine Residency Training Program Department of Radiological Sciences Approved by: ORESTES P. MONZON, MD FPCR Chairman Department of Radiological Sciences 27 | P a g e