SPR Pilot Grant - Cover Letter Applicant Address of Correspondence: Andrew Phelps MD 505 Parnassus Avenue, Box 0628, M-396 San Francisco, CA 94143 Phone: (415) 353-8355 Fax: (415) 353-1796 E-mail: Andrew.Phelps@ucsf.edu Dear Committee members, My research focus is to test and develop advanced imaging techniques to diagnose and monitor pediatric disease. Although I am in the early stages of my career, I already have several ongoing research projects that involve pediatric imaging. These are pilot projects that examine important and unresolved questions in pediatric imaging. My current research projects in pediatric CT are to evaluate low dose studies with advanced imaging techniques. A study involving the application of model-based iterative reconstruction (MBIR) to better delineate pediatric vessels on CT angiography was presented at the 2013 Annual Meeting of the Society of Pediatric Radiology, and a recent peer-reviewed manuscript was accepted for publication (Koc G, Courtier JC, Marcovici PM, Phelps AS, MacKenzie JD Computed Tomography Depiction of Small Pediatric Vessels with Model-Based Iterative Reconstruction. Pediatric Radiology. February 16, 2014). My research team is also examining several strategies for lowering the exposure to ionizing radiation by applying the MBIR technique to pediatric CT. I am lucky to work in a vibrant research setting and collaborate with post -doctoral candidates and PhD scientists who focus on the basic science aspects of CT. I also collaborate with my pediatric radiology colleagues who also have strong backgrounds in biomedical imaging research and willing to help me either by assisting with parts of the project or by providing valuable input. We hold a monthly pediatric imaging research meeting where we present our projects; discuss study design, preliminary data and analysis, future projects, etc. This vibrant research environment will be invaluable for the proposed research in this SPR grant. This seed grant will help me launch my career and allow me to develop as a clinician scientist. The goal of the proposed research is to investigate and implement methods for a substantial ionizing radiation dose reduction in infant chest CT. We plan to design an optimized infant chest CT protocol, and to evaluate it clinically both through image quality analysis and advanced dose simulations. In addition to the research data gathered, the optimized chest CT protocol will be a valuable contribution to our routine and complex pediatric populations, as UCSF is a referral center for congenital heart disease, congenital diaphragmatic hernia, congenital lung mass, pectus excavatum, and other chest diagnoses. The results of this study will be very helpful for my team to develop preliminary data for presentation as peer reviewed publications and solidify our working group for future collaborations and to apply for additional significant research funding. Sincerely, Andrew Phelps MD