implement on January 1, 2018as planned its requirement forClinical Decision Support soft-ware for advanced cross-sec-tional imaging studies—a pro-gram that will support cliniciansin ordering the best test at theright time for each patient.During the 2016 SC legislativesession, the General Assemblyreached out to the SCRSthrough the SCMA for expertadvice on shaping Hope’s Lawregarding the reporting ofbreast density directly to mam-mography patients. The billhad developed wide supportamong legislators over the lasttwo sessions as similar lawswere passed in numerous otherstates, and Dr. Shawn Conwell(immediate past president ofSCRS) had been careful toencourage no modality-specificrecommendations—and cer-tainly no mandate—for follow-up studies. As Shawn discussesmore fully on page 2, SCRS wasable to persuade instead theadoption of a mandate to pro-vide patients with informationon the significance of breastdensity in mammography

supplied by the ACR. This was afirst-in-the-nation provisionwhich the ACR has since com-mended to other states consid-ering a version of Hope’s Law.Needless to say, such impact bythe ACR nationally and SCRSlocally cannot occur without thecommitment of members andthe help of support staff fund-ed by annual dues. So I wouldlike to sincerely thank those ofyou who have faithfully sup-ported ACR and SCRS over theyears—and challenge nonmem-bers in SC to step up to theplate and join your colleagues insupporting the consistent, effec-tive voice of our professionwherever it needs to be heard.Paul D. Kountz, MD, PhD,FACRPresident

Perhaps never before has thevalue of membership in theACR and SCRS been more evi-dent—and the active engage-ment of our members beenmore critical. The ACR’s inputover the last few years to theevolving structures put in placeby the Affordable Care Act hasbeen instrumental in protectingpatients’ access to appropriateimaging as well as our ability toprovide it. As the tide turns inthe wake of the 2016 federalelections, we can be sure thatthe ACR will be proactive inassuring that our profession willbe well represented as decisionsare made about the futurecourse and funding ofAmerican healthcare.In just the last month, ACRstaff provided timely clinicaland reimbursement data tostave off drastic cuts in theLung Cancer Screening CT pro-gram proposed by CMS—a pro-gram that was only recentlyapproved after the ACR workedtirelessly for several years finallyto have this life-saving servicecovered by Medicare. ACR haslikewise persuaded CMS to

SCRS MissionOur mission is to encourage andfacilitate the advancement ofradiological science, the improvement of radiological services to patients and the medical community, the study ofthe economics of radiology, theavailability of postgraduate andcontinuing education, and themaintenance of high medical andethical standards in the practice ofradiology.IN THIS ISSUE:Hopes Law 22017 Annual Meeting 2ACR 2016 Recap 3RADPAC Update 4Resident & Fellows SectionUpdate 4ACR Fellows 52016-17 Exective Committeeand Councilors 5

Message from the PresidentPaul Kountz, MD, PhD, FACR

South CarolinaRadiological Society News

Winter 2017

SCRS 2017 ANNUAL MEETINGMarch 10-12, Wild Dunes, Isle of Palms

For program information, meeting registration, and hotel reservations, visit www.scradsociety.org

SCRS Annual Meeting 2017Thank you to all attendees of the 2016 SCRS annual meeting. We have planned a great meeting for2017 with distinguished faculty from around the country including Dr. Kurt Schoppe and Dr. PaulChang. The meeting with feature the fast paced “powerhour” format along with keynote talks fromACR Speakers on economics and leadership. It promises to be a fun filled weekend with practicaltips to improve your practice and patient care. There will be ample opportunity to network withother radiologists.Plan to attend the SCRS 2017 Annual Meeting at Wild Dunes Resort, Isle of Palms, SC, March 10-12,2017! Register on line at scradsociety.org

With only a single objection,“Hope’s law” passes theSouth Carolina legislaturewith near unanimity.Hopes law adds SouthCarolina to the 26 otherstates who now requirebreast tissue density notifica-tion to our patients. The lawsates, that in “conspicuouslanguage” our reports shouldinclude the following:“Your mammogram showsthat your breast tissue isdense. Dense tissue is com-mon and is not abnormal.However, dense breast tissuecan make it harder to evalu-ate the results of your mam-mogram and may also beassociated with an increasedrisk of breast cancer. Thisinformation about the resultsof your mammogram isgiven to you to raise yourawareness and to informyour conversations with yourdoctor. Together, you candecide which screening

options are right for you. Areport of your results was sent toyour physician.”We, at the South CarolinaRadiological Society, have foughtvery hard on your behalf toensure that this language was sci-entifically accurate, non partisan,and appropriately permissive toallow effective doctor patient con-versation and allowances for indi-vidual patient wishes.We have seen, over the past sever-al years, that this bill was boundto pass our legislature and workedto make sure that it benefited ourpatients, and not necessarily spe-cial interests. We have worked toensure that modality specific lan-guage was not included, prevent-ing the boxing in of our subse-quent recommendations.Furthermore, in order to insurethat accurate, and up-to-dateinformation was given to ourpatients, produced by radiologists,we worked to include the uniquerecommendation that the

American College of Radiology’svoice was heard in this conversa-tion by lobbying to include thesecond provision of this lawwhich states the following:“Consumer or patient informa-tion available from the AmericanCollege of Radiology aboutbreast density and mammogramreports” must be included in thenotification.We commend to you the con-sensus statement recognized bythe ACR and collaboratively pro-duced with the Society of BreastImaging. This can be found atwww.mammographysaveslives.org by clicking on “breast tissuedensity and you.” This down-loadable brochure is available inEnglish and in Spanish. It canbe easily printed or linked. Itprovides accurate, consensusbased information on breast tis-sue density.We welcome your feedback onthis important patient notifica-tion law.

South Carolina Radiological Society News

Winter 2017

H o p e s L a wC . S h aw n C o nw e l l , MDSCRS Immediate Past President

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The 2016 ACR national meeting,“The Crossroads of Radiology”,was held May 15-19, 2016, inWashington, D.C. This iterationrepresented a new direction forthe ACR national meeting, shift-ing from a purely governance ori-ented meeting geared for chapterleaders and representatives to aninclusive meeting where continu-ing education, research, and gov-ernance shared center stage. Thestalwarts of previous meetingsremained: convocation ofFellows, Moreton Lecture,Keynote Address, Capitol HillDay, and ACR governance(including elections and referencecommittee discussions). Newthis past year were breakout ses-sions for continuing educationand presentation of research,encouraging members at large,and not just state chapter leadersand councilors, to attend.

There were 2149 attendees at the2016 meeting, where over 100hours of CME was available

onsite or through the virtualmeeting. South Carolina has arich tradition of leadership andpresence at these ACR meetings,and 2016 was no exception.Madelene Lewis, MD, held a seaton a key reference committee.Bayne Selby, MD, helped chair theSouthern Caucus, an importantassembly where agenda items arediscussed frankly and openly withother chapters in our region. PaulKountz, MD, and the rest of theExecutive Committee of theSCRS participated in the gover-nance discussions, the referencecommittee presentations, and thelobbying efforts on Capitol Hill.The SCRS has been very fortu-nate to have great participationfrom members in training as well,recognizing that theseRadiologists will go on to becomekey leaders in the Collegethroughout their career.

This year will mark my 4th year ofattending the ACR national meet-ing. The relationships I have

made, the information I havegained, and the leaders I havemet have helped me become abetter radiologist and leaderwithin my practice. Everyonehas something to offer, as wellas something to gain, by partic-ipating in this meeting. TheSCRS welcomes anyone to par-ticipate in the process – all thatis required is membership inthe ACR/SCRS and a desire tofurther Radiology in the med-ical community. If you areinterested in participating in theACR and SCRS, please join usfor the SCRS Annual meetingMarch 10-12, 2017, in WildDunes and the 2017 ACR“Crossroads of Radiology”Meeting in Washington, D.C.,May 21-25, 2017. We look forward to seeing you there.

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South Carolina Radiological Society News

Winter 2017

ACR 2016 RecapMichael Brown, MDSCRS Secretary

Left: Drs. Jenna Bolles,Matt Brady, Mike Brownand Bayne Selby in frontof the US Capitol build-ing.

Right: Dr. Bayne Selbyposing beside the portraitof a patriot for one of ourentries in the Hill Daypicture contest.

SCRS Resident & Fellow Section UpdateJohn McGarity, DOSCRS Resident/Fellow Section PresidentIt has been another success-ful year for the SCRSResident and Fellow Section(RFS). Interest in the sectionhas increased as the numberof trainees at MUSC contin-ues to grow with 10 new firstyear radiology residents andthe start of the dual inter-ventional radiology/diagnos-tic radiology track next year.RFS officer elections wereheld in the spring and thenewly elected officers includeBenton Johnson (Treasurer),Allie Franklin (Secretary),Amanda Schaefer (vice presi-dent), John McGarity (presi-dent) and Jenna Bolles (pastpresident). In addition, JohnHungerford representedSouth Carolina serving on

the national ACR RFS electioncommittee.During the SCRS meeting at theIsle of Palms we hosted a roundtable discussion led by Dr. MattHawkins from Emory University.We were then honored to be oneof four states to win the RAD-PAC March Madness fundraisingcompetition for the second yearin a row.The success of the RFS wouldnot be possible without the sup-port of the SCRS ExecutiveCommittee. Six residents, all pastand current officers, receivedfinancial support to attend theACR 2016 meeting in WashingtonD.C. They presented a poster atthe meeting titled “Effect ofImplementing a Fundraising

Strategy on the Number ofRADPAC Contributors.”Our annual fall update and beertasting on Sullivans Island coin-cided with the final Radtoberfestpush. The event was very popu-lar and served as an invaluabletool to engage members andfind new leaders. We had anoth-er great performance duringRadtoberfest this year and wererecognized as a runner up.I am honored to serve as thepresident of the SCRS RFSchapter and I am grateful for theopportunities I have been given.Thank you for your continuedsupport!

RADPAC is the bipartisanpolitical action committee ofthe American College ofRadiology Association(ACR). RADPAC’s goal is tosupport and elect pro-radiol-ogy candidates at the federallevel. RADPAC is the politi-cal voice of radiology onCapitol Hill. The govern-ment relations team attendsmore than 500 fundraisingevents a year in WashingtonD.C. in order to educate law-makers on issues important

to our specialty. Only 35 of the535 members of Congress havehealthcare backgrounds-thismeans the other 93% ofCongress doesn’t! Recently RADPAC was successfulin the MPPR rollback from 25%to 5%, which prevents approxi-mately $400 million in futureimaging cuts. RADPAC was alsoinstrumental in the permanentrepeal of SGR and theMammography Protections in theConsolidated Appropriations Act.

RADPAC has been very busyduring this election year. RAD-PAC leaders attended both theRepublican and DemocraticConventions. In 2015 for the 5thstraight year, RADPAC raisedmore than $1.3 million frommore than 3,000 contributors.This moved RADPAC up to thespot of 2nd largest healthcareprovider PAC.For more information on RAD-PAC, visit www.radpac.org.

RADPAC UpdateMadelene C. Lewis, MDSCRS President - Elect

South Carolina Radiological Society News

Winter 2017

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Every man owes a part of his timeand money to the business or indus-try in which he is engaged. No manhas a moral right to withhold hissupport from an organization that isstriving to improve conditions withinhis sphere.Theodore Roosevelt

Having worked for associationsfor more than thirty years andhaving benefitted personally fromthe professional organizations ofwhich I am a member, I cannotunderscore Roosevelt’s commentsmore strongly. Professional soci-eties like the SCRS and the ACRexist for the benefit and improve-ment of their members and pro-fession. Whether or not you are amember, you are a beneficiary.Every occupation has individualswho excel in their support for andcontribution to their profession.ACR recognizes those in radiology,radiation oncology and medicalphysics by naming them fellows ofACR. One of the highest honors

the ACR can bestow, ACRFellows demonstrate a history ofservice to the College, organizedradiology, teaching and/orresearch. Of the approximately10% of ACR members whoachieve this distinction, currentlyforty-two are in South Carolina.The requirements for fellowshiphave changed over the years sincethe first fellows were inducted in1924. The ACR Board ofChancellors continues to clarifyand redefine the requirementsbased on changes in the environ-ment and profession. Currentrequirements include having beena member of ACR and a chapterfor 10 consecutive years, serviceto organized medicine, notablyACR at the chapter and nationallevel(s) or other local, state,regional or national medicalorganizations; significant scientif-ic or clinical research in the fieldof radiology, radiation oncology,medical physics, or significantcontributions to literature;and/or outstanding service as

South Carolina Radiological Society News

Winter 2017

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A C R F e l l o w sNancy C. Walborn, CMPSCRS Executive Director

2016-2017 SCRS Executive CommitteePaul Kountz, MD, PhD, Madelene Lewis, MD Michael Brown, MDFACR, President Vice President SecretaryUpstate Carolina Radiology Medical University of SC Carolina Radiology AssociatesACRKountz@ucrad.com lewism@musc.edu doctormikebrown@gmail.com

Matthew Brady, MD Shawn Conwell, MD John McGarity, DOTreasurer Immediate Past President RFS PresidentRoper Radiologists Carolina Radiology Associates Medical University of SCbradym75@gmail.com sconwell34@gmail.com mcgaritj@musc.edu

2016-2017 SCRS Councilors to ACRPaul Kountz, MD, PhD, FACR Madelene Lewis, MD Naveen Parti, MDUpstate Carolina Radiology Medical University of SC GHS UMG Radiology

Michael Brown, MDCarolina Radiology Associates

Alternate Councilors: Matthew Brady, MD, Russell Chapin, MD, Dallas Lovelace,III, MD, FACR,Bayne Selby, MD, and M. Bret Anderson, MD.

Contact SCRS:Nancy C. Walborn, CMPExecutive Director1214 Henderson StreetColumbia, SC 29201803.765.1498 office803.673.1854 cell803.254.2993 fax

scradsoc@gmail.com

teacher of radiology, radiationoncology or medical physics.Physicians or medical physi-cists who excel in any or all ofthese areas may be nominated.Nominations are made to statechapter leadership who con-firm a nominee’s qualificationsto the ACR Committee onFellowship Credentials.Five members of the SCRadiological Society will walkas new fellows at the 2017ACR Convocation. They areSusan J. Ackerman, MD, JohnJ. Daly, Jr., MD, Naveen Parti,MD, James G. Ravenel, MD,and Joseph Schoepf, MD.When you meet a colleaguewith the FACR designationafter his/her name, know thatyou have met one of the 10%who have excelled at support-ing and improving the profes-sion to the benefit of all whoare engaged in it.For additional information

about becoming a fellow ofACR visit acr.org. Informationabout the award can be found inthe awards and recognition sec-tion under the membership tab.You may also contact DallasLovelace, III, MD, FACR, SCRSFellowship Committee chair atDWLovelace@regmed.com.