Stanford School of Medicine
Radiology

Scan Times

Weblog of the Department of Radiology

August 2007

How to Send Huge Computer Files and Images Instantly without Using Email

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By Mark Riesenberger

Did you ever need to send files that are too big to send via email--like 50MB big? Does someone in another state need to get these files ASAP? Here's a cool way to solve this problem.

First, ask Radiology IT to create a folder within the AFS WWW directory for your function or section. Provide them the SUNet IDs of those members who need read/write access to the folder. You could label your folder with the name of your section (e.g., "neuro") or your Principal Investigator (e.g., "plevritis" if your P.I. is Dr. Sylvia Plevritis). For this article, we'll use "plevritis" as an example folder name.

You will need the latest version of Stanford Desktop Tools (SDT), which you can download by accessing http://ess.stanford.edu. Select the Windows or Macintosh download link, depending on the type of computer you have. Next, select "Stanford Desktop Tools" (SDT) and download the software. If you need help installing SDT, contact one of your friendly Radiology IT people. Ask them to set it to "load" and "obtain credentials" at startup.

Next, decide which files and folders you want to upload to your newly-created WWW folder on AFS. Here's how to upload files to this folder:

How to upload from WINDOWS using Stanford Desktop Tools (SDT)
In the lower right-hand tray, right-click on the SDT controller icon and select "Mount AFS Volume." If you do not have a credential for login, you will be prompted to provide one. Login with your SUNet ID and password as you would for Stanford email.

Click on the "Mount Volume Belonging to . . . My Home" tab and select "Department."

In the box to the right of "Department," type in "radiology" (lowercase). Click "Mount." You can then close or hide this window.

When the radiology AFS directory folder appears, scroll down to find and open the WWW folder. Open the "plevritis" folder. Copy (drag-and-drop) the files/folders that you want to make available for viewing/downloading via the WWW folder. WARNING: NO PATIENT DATA (HIPAA Identifiers) ARE ALLOWED IN THE WWW FOLDER!

SDT will remember where you've been and show the directories as menu options the next time you right-click the red SDT controller icon.

How to upload from MAC OS 10.4.x using Stanford Desktop Tools (SDT)
Right-click on the SDT controller icon in your dock. Select "Mount AFS Volume." You will be prompted to login with your SUNet ID and password.

Click on "Home" and select "Department." In the box to the right, type in "radiology" (lower case) and click the "Mount" button.

The radiology AFS directory will appear; find and double click on the WWW folder. Open the "plevritis" folder. Copy (drag-and-drop) the files/folders that you want to make available for viewing/downloading via the WWW folder. WARNING: NO PATIENT DATA (HIPAA Identifiers) ARE ALLOWED IN THE WWW FOLDER!

SDT will remember the last few places you have mounted and show them in the menu the next time you right-click on the red SDT controller icon in your dock. Thus, you won't have to go through all of the above steps each time.

How to share
Now that you have placed your files in your WWW folder, others can download them from any web browser by entering the following URL:

http://www.stanford.edu/dept/radiology/plevritis

Cool time-saving options
For Windows: Hold the Shift and Ctrl keys and drag the desired folder icon to your desktop. It will create a shortcut to that folder for your quick access later. Notice the curved arrow on the folder icon indicating that it is a shortcut. Once you are authenticated in Kerberos, just double-click on the shortcut to quickly return to your AFS folder.

For Mac: Simultaneously hold the Apple key and the Option (Alt) key and drag the desired folder icon to your desktop. Once you are authenticated in Kerberos and the small afs icon appears on your desktop, you can double-click on the alias you made to quickly return to your AFS folder. Notice the curved arrow on the folder icon indicating that it is an alias.

Housekeeping
Once you are sure that your collaborators have downloaded the desired files (after a day or so), delete your folders from the "plevritis" folder. While it is highly unlikely that uninvited users could guess the URL above, ANY web user has download access to this directory. Be careful!

The AFS folders are not intended for long-term storage. Use them for short-term collaboration, then archive your files onto your local hard disk/CD/DVD and delete them from the AFS folder that you used. If snoopy users try to "go up" a directory level from the WWW folder, they will be redirected, and they will not be able to see other folders within the WWW folder.

Call 5-4928 if you do not have Stanford Desktop Tools (SDT) or do not have Mac OS 10.4.x.

Happy file sharing!

Identity of Former Exorcist Movie Star, Dr. X, Revealed

Thank you for your patience and your guesses regarding Dr. X's identity in our previous article, "Former Exorcist Movie Star, Dr. X, Tells All"
(http://radiology.stanford.edu/blog/archives/2007/05/former_exorcist.html).

Yes, it is our own Dr. Barton Lane, chief of neuroradiology at the Veterans Administration Hospital in Palo Alto, California, who played the anonymous role of Regan's radiologist in The Exorcist (1973). Please find more pictures from his movie debut below! You can also view a short clip from his angiography scene by clicking on the following link: http://radiology.stanford.edu/blog_exorcist/.

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Dr. Barton Lane (l) with Dr. Norman Chase (r), the chief of New York University (NYU) Medical Center when Dr. Lane was a neuroradiology fellow

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Dr. Barton Lane (l) with his twin brother, Clinton (r)

Announcement II: August 2007

The X-Ray Project @ Stanford School of Medicine: Tuesday, September 4, 2007, through Friday, September 14, 2007, from 7 AM to 7 PM in the Fairchild Auditorium (291 Campus Drive, Stanford University School of Medicine). Composed of actual X-rays and CT scans, the "Inside Terrorism: The X-Ray Project" is a photography exhibit that explores an important social issue of our time: the effects of terrorism on civilian populations worldwide. Many of our faculty were involved in helping with the project. For a complete list, please see the Stanford School of Medicine Honorary Committee list below.

EVENTS:
RECEPTION AND DISCUSSION WITH ARTIST DIANE COVERT
Tuesday, September 4, 5:30-7:30 PM
Fairchild Auditorium
Refreshments will be served

PEDIATRIC GRAND ROUNDS
"Young Victims of Violence: The Aftermath of Trauma on the Psychological Well-Being of Children"
Presented by Dr. Victor G. Carrion
Friday, September 7, 8:00 AM
Fairchild Audtitorium

REMEMBERING WORLDWIDE TERRORIST VICTIMS
Tuesday, September 11, 12:00 Noon
Fairchild Auditorium

All events are open to the public
For more information please contact Julie Bernstein, (415) 957-1551, jbernstein@jcrc.org

STANFORD SCHOOL OF MEDICINE HONORARY COMMITTEE:
Richard A. Barth, MD, Professor and Associate Chairman of Radiology, Stanford University School of Medicine; Radiologist-in-Chief, Lucile Packard Children's Hospital

Bernard Dannenberg, MD, Clinical Assistant Professor of Surgery-Emergency Medicine and Director of Pediatric Emergency Services, Stanford University Medical Center

Terry S. Desser, MD, Associate Professor of Radiology and Director of the Radiology Residency Program, Stanford University School of Medicine

Carl Feinstein, MD, Professor of Psychiatry and Director of Child and Adolescent
Psychiatry, LPCH at Stanford

Heidi M. Feldman, MD, PhD, Ballinger-Swindells Endowed Professor of Developmental and Behavioral Pediatrics, LPCH at Stanford

Chaplain Bruce Feldstein, MD, Director, Jewish Chaplaincy at Stanford University Medical Center and Adjunct Clinical Professor, Center for Education in Family and Community Medicine, Stanford University School of Medicine

Gary M. Glazer, MD, Emma Pfeiffer Merner Professor in the Medical Sciences, Professor and Chairman of the Department of Radiology, Stanford University School of Medicine

Gary Glover, PhD, Professor of Radiology and Director of the Radiological Sciences Laboratory, Stanford University School of Medicine

Beverley Newman, MD, Associate Professor and Associate Chief of Pediatric Radiology, LPCH at Stanford

Bill Northway, MD, Emeritus Active Professor of Radiology and Pediatrics, LPCH at Stanford

Charles Prober, MD, Professor of Pediatrics, Microbiology & Immunology, and Senior Associate Dean for Medical Student Education, Stanford University School of Medicine

Hannah Valantine, MD, Professor of Medicine and Senior Associate Dean for Diversity and Leadership, Stanford University

CO-SPONSORS:
Stanford School of Medicine

Lane Medical Library

EdTech Services

Radiology Interest Group at Stanford

Stanford Medical Student Association

Jewish Medical Student Association

Jewish Community Relations Council of San Francisco, the Peninsula, Marin, Sonoma, Alameda, and Contra Costa Counties

The David Project

Stand with Us

Israel Peace Initiative

PLANNING COMMITTEE:
Matthew Goldstein, MD Candidate

Rebecca Rakow-Penner, MD/PhD Candidate

Elizabeth Zambricki, MD Candidate

Dr. Beverley Newman

Barbara Schapira

Julie Bernstein


SPECIAL THANKS TO:
Mary Ayers
Mitzi Baker
Paul Costello
Rev. C. George Fitzgerald
Rabbi Dov Greenberg
Heidi Heilemann, MLS
Kim Schwartz


Inside Terrorism: the X-ray Project

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By Teresa Newton

"The idea for 'Inside Terrorism' began to coalesce in my mind in 2002 as a personal response to terrorism and to my discomfort with the way terrorism has been justified in some circles. This is a documentary of survivors of terrorism," remarked Diane Covert, the artist who created "Inside Terrorism: the X-ray Project." Sponsored by the Radiology Interest Group at Stanford (RIGS) along with various co-sponsors, this exhibit will be showing at the Fairchild Auditorium from September 4-15.

The images of "Inside Terrorism: the X-ray Project" are striking and emotional but, at the same time, are devoid of graphic imagery such as that depicted in Francisco Goya's images of war or Mathew Brady's photographs of the Civil War. We are shown pieces of survivors in CT scans and X-rays with titles like "Smashed Arm," "Damaged Leg," and "Broken Foot." The medium of X-ray and CT, however, makes the horror seem a step removed from the truly gritty and bloody reality of war wounds.

The mundane is made bizarre with images such as "Hex Nut in Brain," "Nail in Arm," and "Watch in Neck." Terrorists often create bombs using common objects, such as hex bolts, nuts, nails, and watches, that were meant for peaceful, utilitarian purposes. These unusual images are the by-products of terrorism's war on civilians.

The images of "Inside Terrorism: the X-ray Project" are displayed on four-sided kiosks, illuminated from the inside, and as standard wall-hung pieces. The CT and X-ray images are of victims of terrorist attacks from the two largest hospitals in Jerusalem, but they could be from anywhere--London, Madrid, New York, Lebanon, etc.

The artist, Diane Covert, described her choice of this unusual medium as follows: "Photography is a way of making an image by drawing with the very light that the objects reflect, so when we look at photographs from the Civil War battlefield of Antietam, we see something very close to the horror of the scenes as they appeared to the photographer. We see records of actual events. Modern medicine draws not with the visible light spectrum used in photography, but with electromagnetic radiation--X-rays and CT scans--and with this we can see inside the human body."

The opening reception for the exhibit is on September 4 from 5:30 PM-7:30 PM. To view the exhibit online, please go to http://www.x-rayproject.org.

Service History of the Lucas MRS Imaging Center

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Image courtesy of Mark Riesenberger

By Donna Cronister

Established in 1992, the Richard M. Lucas Center has grown into a major resource for service in medical imaging. From January 1, 2006, to February 28, 2007, the Lucas Center supplied imaging services to over 70 projects and to 45 principal investigators (PIs), earning a total revenue of $1,155,965. We are uniquely positioned to provide magnetic resonance and fluoroscopic imaging services to Stanford researchers and the local scientific community because of our advanced imaging equipment, which includes 3T, 1.5T, and 7T GE Signa Whole-Body Research MRI systems and complete facilities for dynamic, spectroscopic and functional imaging. We are currently installing an advanced performance 3T GE Signa Whole-Body Research MRI System, which is expected to be operational in December of 2007.

Over the past seven years, our revenue history has been as follows:

2000: $996,476
2001: $1,104,065
2002: $682,438
2003: $1,300,607
2004: $1,396,096
2005: $1,033,728
2006: $987,388
2007: $1,100,000 (projected)

The sources of funding for imaging projects at the Lucas Center vary. From a random sample of 45 PTAs (account numbers that did not include gift funding balances), the total funded dollars ($5,037,492) for the life of 23 projects came from contracts (industry/foundation). The total funded dollars ($25,230,467) for the life of 22 projects came from the National Institutes of Health/National Science Foundation.

As an academic service center, the Lucas MRS Imaging Center has to follow certain policies such as offering nondiscriminatory rates. All users of the facility are billed the same rate for the services offered, although we do have the option to charge external users more but never less than internal users. Volume discounts or special pricing must be equally available to all users meeting the criteria.

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Image courtesy of Mark Riesenberger

Because a significant portion of Center revenue is derived from federal and nonfederal sponsored research projects, no unallowable costs as defined in the A-21 guidelines(http://domrg.stanford.edu/research/a-21.html) may be charged to the Center account. Allowable costs are expenses that are reasonable; allocable to sponsored agreements; consistently treated in accordance with generally accepted accounting principles; in conformance with limitations or exclusions contained in the A-21 guidelines or the sponsored agreement; and of direct benefit to the users of the Center. Examples of allowable costs include salary and benefits; depreciation; supplies and expenses; equipment repair and maintenance contracts; travel (i.e., training workshops); and telephone/networking charges, which are normally unallowable under the A21 guidelines.

As the Administrative Services Manager of the Lucas MRS Imaging Center for over 13 years, I have been involved in the day-to-day operations at the Lucas Center and have overseen the payroll; reimbursement; accounting; personnel policies and procedures; and service policies. On a regular basis, I also review the Center's fiscal year-end balance and the Center's billings and expenses to ensure that the approved billing rates have been properly applied and that unallowable expenses are not charged to the Center account.

Thanks to your help, the Richard M. Lucas Center has grown into a major international resource for innovation in medical imaging. By combining an exceptional team of scientists and administrators with cutting-edge technology, we are transforming the service of medical imaging.

Announcements I: August 2007

ClickHome Seminar, "The Five Essentials You Need to Know before Buying or Selling in Today's Changing Market!": Tuesday, August 28, 2007

17th Annual Susan G. Komen San Francisco Race for the Cure: Sunday, September 23, 2007

ClickHome Seminar, "The Five Essentials You Need to Know before Buying or Selling in Today's Changing Market!": Tuesday, August 28, 2007 in the Munzer Auditorium from 12:00 PM to 1:00 PM. To make home buying more affordable for employees, Stanford University School of Medicine has formed a partnership with ClickHome. On August 28th, ClickHome representatives will be on the Stanford campus to talk to Stanford employees about the changing home market and to answer questions about the savings benefits available to Stanford employees. Please RSVP to Erin Prescott at (408) 200-4818 or eprescott@clickhomerealty.com by Monday, August 27, 2007.

17th Annual Susan G. Komen San Francisco Race for the Cure: Sunday, September 23, 2007 from 7:30 AM to 1:00 PM beginning near the Ferry Building in San Francisco. Sponsored by the Stanford Cancer Center/Northern California Cancer Center, this 5K Run/Walk or one-mile Fun Walk will raise funds and awareness for the fight against breast cancer while celebrating breast cancer survivorship and honoring those who have lost their battle with the disease. The Susan G. Komen national organization provides enormous financial support for breast cancer research, novel clinical trials, and the training of future breast cancer specialists through a dedicated fellowship program at many cancer centers around the U.S., including Stanford. The national organization is closely linked with the San Francisco affiliate office, which provides support services for numerous organizations in the greater Bay Area region such as Meals on Wheels, free mammograms for low income women, and the Community Breast Health Project in Palo Alto.

Come join our Stanford Cancer Center Team for the Race for the Cure! You can join our team and see our team roster by accessing http://race.sfkomen.org/site/TR/Race/General?team_id=3610&pg=team&fr_id=1010. Anyone can participate on our team; patients, nurses, staff, family, friends, laboratory and clinical researchers, and physicians are all welcome. Join our team and receive a Stanford Team t-shirt and, if enough people join, round-trip transportation! For more information related to Stanford's participation in the event, please contact:

Elizabeth Crown
Director of Communications
Stanford Comprehensive Cancer Center
800 Welch Road
Palo Alto, CA 94305
(650) 736-2232
ecrown@stanford.edu

You can also register on your own at http://www.sfkomen.org/.

Race Day Schedule
Sunday, September 23, 2007

--7:30 AM-8:30 AM
Race Day Registration, T-Shirt, & Timing Chip Pick-Up

--9:00 AM
5K Timed Runners Start

--9:15 AM
5K Walk & 1 Mile Fun Walk Start (NEW ROUTE FOR THE 1 MILE FUN WALK!)

--10:15 AM
Survivor Celebration & Tribute
Survivor Group Photo

--10:30 AM
Awards Ceremony

--8:30 AM-1:00 PM
Health & Fitness Expo--Justin Hermann Plaza

For more race day details, please see http://www.sfkomen.org/r_raceday.html.

Awards and Honors: August 13, 2007

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Pat Basu, MD, MBA, diagnostic radiology resident, has received two honors: the American Medical Association (AMA) Jordan Fieldman, MD, Resident and Fellow Section Award and election to the Graduate Medical Education Committee. The Jordan Fieldman, MD, Award is named after Dr. Jordan Fieldman, who was an active voice for physicians during his residency and who passed away prematurely in 2004. Each year, the Fieldman Award is bestowed upon one resident physician who has demonstrated efforts in health advocacy and in improving the medical environment for physicians and their patients. The award winner receives funding to attend the two national annual AMA meetings and to give a presentation on the importance of health advocacy and an update on his/her own efforts. Dr. Basu was also one of five residents to be elected by residents and fellows to the Graduate Medical Education Committee for a one-year term. Along with attending physician representatives from each department in the School of Medicine, the Committee reviews and votes on all aspects of residency education such as resident/fellow benefits, hours, and education.

Awards and Honors: August 2, 2007

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Frances Lau, MS, graduate student in electrical engineering and member of the Molecular Imaging Instrumentation Laboratory as well as the VLSI Research Group at Stanford, has received the McCormick Travel Grant Award. These travel awards were established by Katharine McCormick, who bestowed $5 million to Stanford in support of women pursuing careers in academic medicine. Ms. Lau will use her award to attend the 2007 Nuclear Science Symposium and Medical Imaging Conference where she will present her work on designing and developing electronics for a 1 mm resolution breast dedicated PET imaging system. Her research interests also include circuits and devices for biomedical applications.

Awards and Honors: August 2, 2007

OlcottPratx130.jpgPeter Olcott (on left), graduate student in the Bioengineering Department and member of the Molecular Imaging Instrumentation Laboratory, and Guillem Pratx, MS, (on right) graduate student in electrical engineering and a member of the Molecular Imaging Instrumentation Laboratory, have both won Bio-X Travel Awards. Mr. Pratx received his award for his oral presentation entitled, "Acceleration of Fully 3-D List-Mode OSEM for High-Resolution PET Using Graphics Processing Units," which he gave at the 9th International Meeting on Fully Three-Dimensional Image Reconstruction in Radiology and Nuclear Medicine. Mr. Pratx has developed real-time software for an intra-operative gamma camera and is now focusing on practical image reconstruction algorithms for high-resolution, pre-clinical PET systems. Mr. Olcott was granted his award at the 2007 Society of Nuclear Medicine Conference for his presentation, "Evaluation of a New Readout ASIC for a 1 MM Resolution PET System Based upon Position Sensitive Avalanche Photodiodes." His research focus is on delivering clinical imaging instrumentation for the Department of Radiology and the Molecular Imaging Program. Initially, he developed an intra-operative, hand-held gamma ray camera (or nuclear imager) for the surgical staging of cancer. Currently, he is engineering two novel clinical PET systems. The first system is the data acquisition electronics for a dual panel PET mammography camera. The second is a new PET detector for a combined clinical PET/MR scanner.

Awards and Honors: August 2, 2007

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Eun Kyoung Ryu, PhD, postdoctoral scholar in the Molecular Imaging Probe Laboratory, has been awarded a Dean's Fellowship. Since 1941, endowment funds from donors to Stanford medical research have enabled these awards. Dr. Ryu's research interests include the development of novel radiotracers for brain imaging.

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