Note: This copy is for your personal non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, contact us at www.rsna.org/rsnarights.
Communications n
Diagnosis Please 2013 Awards
Published online 10.1148/radiol.13131966 Radiology 2013; 269:627–631 RSNA, 2013
q
T
his year’s Diagnosis Please competition was exceedingly competitive and hotly contested. The individual winners include a number of new winners, and again, continuing efforts of two leading radiology residency groups are recognized. The Diagnosis Please feature continues to be quite popular; hundreds of responses are submitted monthly by Radiology readers who are participating in this challenging competition. In 2013, the competition included cases 181–192. This year, we are pleased to award certificates of recognition to five individual winners from North America, two international individual winners, and to the North American and international residents’ groups who have submitted the highest number of correct answers (diagnoses) for these 12 cases. Mizuki Nishino Hatabu, MD (Fig 1), is a graduate of Kyoto University, School of Medicine in Kyoto, Japan. After an internship and residency at Kyoto City Hospital, she served as a fellow and resident in radiology at Beth Israel Deaconess Medical Center in Boston, Mass. Since 2008, she has served as assistant professor of radiology at Harvard Medical School and staff radiologist in the Dana Farber Cancer Center, both in Boston. Dr Nishino notes, “Participating in Diagnosis Please has provided me the wonderful opportunity to keep working on challenging cases, and to continue the exercise of reaching correct diagnoses by careful observation and logical thinking. I would also like to thank Diagnosis Please for helping to build my professional identity…. During my training in Kyoto, Japan, I was fortunate to learn from many brilliant mentors and seniors. Their passion for diagnostic challenges was truly striking. The residency and fellowship in Boston provided me the comprehensive training in diagnostic radiology from the ex-
Radiology: Volume 269: Number 3—December 2013 n radiology.rsna.org
perts in each subspecialty. I would like to thank the mentors during my training, especially Dr Katsumi Hayakawa in Kyoto and Dr Herbert Kressel in Boston. Pursuing a career in radiology and keeping up with knowledge and skills are not easy, especially when one has a demanding responsibilities in addition to work, in my case being a mother of twins. I would like to thank my husband, Hiroto, for his continuous support and understanding.” Michael Childress, MD (Fig 2), is a graduate of the University of Michigan Medical School in Ann Arbor, Mich. After an internship at Wayne County Medical Center in Detroit, Mich, he completed a radiology residency in 1966 at Roosevelt Hospital in New York City. In 1972, following residency, Dr Childress served on the faculty of the Department of Radiology at the University of Michigan (1974–1980). In 1980, he joined the faculty in the
Figure 1
Figure 1: Mizuki Nishino Hatabu, MD 627
From the Editor
Herbert Y. Kressel, MD
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
Figure 2
Kressel
Figure 3
Figure 4
Figure 2: Michael Childress, MD
Figure 3: Mandip Gakhal, MD
Figure 4: Luis Antonio Sosa Lozano, MD
Department of Radiology at Howard University in Washington, DC, as an associate professor of radiology. As a medical student, he was fortunate to observe Drs Fred Hodges, Walter Whitehouse, Anthony Lalli, and William Martel, and while serving as an intern at Wayne County General Hospital, Drs Harry Fischer and Stewart Reuter. He has been retired for the past 2 ½ years, but he still enjoys the unknown cases and his stimulus for this competition, as a prior winner, Dr Seyed Emamian. Dr Childress notes, “Years ago when I first started doing the cases I found them next to impossible, but I have gotten better over the years. Some of the cases, I recognize immediately, but others require research that is facilitated by the internet. Imaging has made tremendous leaps in the 70’s and 80’s and journals, conferences, and the Diagnosis Please cases are essential in remaining current.” Mandip Gakhal, MD (Fig 3), is a 1995 graduate of the University of Toronto Faculty of Medicine, Toronto, Ontario, Canada. After an internship and residency in diagnostic radiology at the Medical Center of Delaware (Newark, Del), he completed a vascu-
lar and interventional fellowship at that same institution. In 2001, Dr Gakhal also served as a magnetic resonance imaging fellow at the Mallinckrodt Institute of Radiology, Washington University Medical Center in St Louis, Mo. After completion of his fellowships, he has been on the staff at Christiana Medical Center in Newark, Del. Dr Gakhal notes, “For some of the challenging Diagnosis Please cases, knowing that a definitive answer exists is intriguing and provides added motivation to navigate the maze of imaging and clinical clues and to continue my efforts researching and problem solving until the diagnosis is reached.” Luis Antonio Sosa Lozano, MD (Fig 4), is a graduate of the Universidad de Monterrey, School of Medicine in Nuevo Leon, Mexico. After the completion of internship and residency at the Instituto Nacional de Ciencias Medicas y Nutricion “Salvador Zubrian” Mexico City, Dr Sosa completed fellowships in thoracic, body, musculoskeletal, and breast imaging at Froedtert Memorial Lutheran Hospital at the Medical College of Wisconsin. He has recently finished the alternate pathway for the American Board of Radiology certification for foreign radiologists. He cur-
rently practices in Mexico City at Grupo CT Scanner and at the Instituto Nacional De Cardiologia “Ignacio Chavez.” Dr Sosa writes, “I believe that Diagnosis Please is an excellent learning experience. Although the cases presented are uncommon in clinical practice, the process of searching the answer, starting first with frequent and finishing with infrequent possibilities is a great intellectual enrichment exercise. Each month I look forward to review the new cases, as well as the answer of the prior case.” Rounding out our group of the North American winners is Mario Laguna, MD (Fig 5), a repeat winner from last year. He graduated from the Universidad La Salle School of Medicine in Mexico City, Mexico, in 1988, and participated in a residency in internal medicine from 1990 to 1993. After this, he completed a radiology residency at the Instituto Nacional de Nutricion Salvador Zubiran in Mexico City following fellowships in abdominal imaging (1996–1997) and in thoracic imaging (1997–1998) at the Department of Radiology of Louisiana State University in New Orleans, La. He also completed a residency in diagnostic radiology at the Medical College of Wis-
628
radiology.rsna.org n Radiology: Volume 269: Number 3—December 2013
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
Figure 5
Figure 6
Kressel
Figure 7
Figure 5: Mario Laguna, MD
Figure 6: Ioannis Papachristos, MD
Figure 7: Hideki Shima, MD
consin (2000–2004) in Milwaukee, Wis. Since completing his residency, he has been a staff member in the Department of Radiology at the Medical College of Wisconsin and serves as a staff radiologist at the Milwaukee VA Medical Center. Dr Laguna states, “Diagnosis Please is an interesting and fun experience. Every month I look forward to reviewing the cases and to doing some searching, trying to reach a diagnosis in topics that are not commonly seen in daily practice. Getting CME [continuing medical education] credits is an additional benefit.” This year’s international individual winners are Drs Ioannis Papachristos and Hideki Shima. Ioannis Papachristos, MD (Fig 6), received his MD degree from Democritus University of Thrace, Medical School, Alexandroupoli, Greece, in 2006. He then completed a radiology residency in the Department of Radiology at the University Hospital of Ioannina, Greece, and in the Department of Radiology at the General Hospital of Corfu in Corfu, Greece. During that time, he spent 6 months in the Neuroradiology Division at the Hospital of the University of Pennsylvania in Philadelphia, Pa. Currently
he serves as diagnostic radiologist at the Iatropolis Diagnostic Center, Chalandri, Athens, Greece. Dr Papachristos notes, “I am both delighted and honored to hear the results of this year’s Diagnosis Please competition. The Diagnosis Please competition is a challenging feature that sharpens my skills in general radiology. Tackling the cases is a rewarding activity that promotes my lifelong training. Through this process I am convinced that establishing a specific diagnosis can be feasible and the majority of unusual cases radiologists face in everyday practice. Please allow me to publicly express my gratitude to my mentor and valuable teacher in radiology, Dr Harris S. Chrysikopoulos in Corfu, Greece, for his guidance; my professors in the U.S., Drs Laurie A. Loevner, Elias R. Melhem, Alexander C. Mamourian, and Suyash Mohan for their teaching and support; and to my colleagues Drs Stephanos Lachanis (winner of DXP competition in 2002) and Stamos Trakadas in Athens, Greece for having faith in my capabilities and potential.” Hideki Shima, MD (Fig 7), graduated from Chiba University School of Medicine in 1991. He completed his residency training at the Chiba Univer-
sity Hospital, Toranomon Hospital (Tokyo, Japan), and St Marianna University Hospital in Kawasaki, Japan. He was board certified by the Japanese Radiological Society in 1997 and by the Japanese Society of Interventional Radiology in 2002. In 2004, Dr Shima received his PhD degree from Teikyo University Faculty School of Medicine in Tokyo, Japan. He has served as a diagnostic and interventional radiologist at the Narita Red-Cross Hospital in Narita, Japan, since 2012. Dr Shima writes, “Diagnosis Please is a step to sharpen diagnostic skills. When I started the challenge of the Diagnosis Please competition, I reviewed all the previous cases of Diagnosis Please. Although we diagnostic radiologists often have rare cases, we can increase our diagnostic skills by means of reading a lot of articles and textbooks that help us narrow the possible diagnosis. After reviewing all the previous cases I believe I have remarkably increased my knowledge.” The two residency groups with the most cases are both repeat winners in this competition. The Hospital of the University of Pennsylvania Medical Center (Philadelphia, Pa) residents are represented by Ansem Van Geisel, MD (a pseudonym for Evan S. Siegelman,
Radiology: Volume 269: Number 3—December 2013 n radiology.rsna.org
629
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
Kressel
Figure 8
Figure 8: Hospital of the University of Pennsylvania Medical Center radiology residents.
Figure 9
Figure 9: Prince of Songkla University radiology residents.
MD), on behalf of Dennis N. Peters, MD (“deceased,” see below), who submitted the following historical vignette: “The Penn Radiology Residents are honored and humbled to be acknowledged as the North American resident group to submit the highest number of correct answers to this year’s Diagnosis Please puzzlers. As their faculty liaison, I thought the readership of Ra630
diology would find it entertaining to learn how the Penn residents opened the door for resident group involvement, which was prohibited when Diagnosis Please was first introduced in 1988 (1). “As a radiologist involved in housestaff education at the University of Pennsylvania I felt that our residents would benefit from reading each
month’s case history, reviewing the imaging and proposing the most likely diagnosis management plan. The Penn Radiology residents enthusiastically approached the cases and often made the correct diagnosis. I thought that ‘wouldn’t it be great if the residents could be publicly recognized for their diagnostic accuracy?’ But alas, only individual radiologists were allowed to submit monthly responses. “Since there was no simple or direct way for the residents to participate, I decided to resort to some benign subterfuge. I re-arranged the letters in ‘Penn Residents’ and invented a fictitious radiologist: Dennis N. Peters. Dr Peters began e-mailing the monthly consensus diagnosis to the staff of Radiology. He performed admirably, submitting his first correct diagnosis in March of 2004 (2). I was looking forward to the end of the year when the true identity and many faces of Dennis N. Peters would be revealed! “Dr Peters was thwarted from completing his quest by an ethical dilemma. I was asked to peer review a future Diagnosis Please submission. I explained to the Radiology staff that I needed to recuse myself from reviewing the case; I felt obligated to review the true identity of Dr Peters. The Radiology staff concluded that I was ‘breaking bad’ and that Dr Peters should expire post-haste. Fortunately this tale has a happy ending. In January of 2005, Dr Proto invited residency programs to submit Diagnosis Please answers, and like a phoenix, Dennis N. Peters was reborn as the Penn Residents who have won the annual contest for 8 years running (3)!” This year’s international group winners are the radiology residents of Prince of Songkla University in Thailand. They note, “Prince of Songkla University was founded in 1967 and was named for King Bhumibol Adulyadej’s father, Prince Mahidol, the father of Thai medicine and public health, with the motto, ‘P,S,U’ for pride, spirit and unity.” The group regards his words as their guiding value: “Our soul is for the benefit of mankind.” The diagnostic radiology pro-
radiology.rsna.org n Radiology: Volume 269: Number 3—December 2013
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
gram at Prince of Songkla University began in 1993 and currently has 16 residents in this year’s training program. The group notes that “Each case is like a step towards our growth. It opens up our perspective to see challenges we have never seen before. Once again, we would like to dedicate our award to our beloved King Bhumibol.” This is the 6th year in a row that the Prince of Songkla University group has received the certificate of recognition. We congratulate all of the individual and residency group winners for their accomplishments in the Diagnosis Please cases 181–192. They will receive a certificate to recognize their efforts.
We encourage all of our readers, and particularly resident groups, to participate in the Diagnosis Please competition. As this year’s winners and winners in the past have noted, these cases are an excellent vehicle for learning. Moreover, as the award-winning resident groups note they have the benefit of participation through the exchange of ideas with peers. Individuals and resident groups interested in submitting the most likely diagnoses can do so at the Diagnosis Please Web site (http://dxp.rsna. org/). The Radiological Society of North America designates this journal-based CME activity for a maxi-
Radiology: Volume 269: Number 3—December 2013 n radiology.rsna.org
Kressel
mum of 1.0 AMA PRA Category 1 Credit™ for those who submit the most likely diagnosis for a given case.
References: 1. Proto AV. Radiology 1998—Review and Diagnosis Please. Radiology 1998; 207:1. 2. Gandi D, Goyal M, Bourque PR, Jain R. Case 68: Hirayama disease. Radiology 2004; 230:692–696. 3. Proto AV. Radiology 2005—What’s Happening. Radiology 2005; 234:5–7.
631
Communications n
Diagnosis Please 2013 Awards
Published online 10.1148/radiol.13131966 Radiology 2013; 269:627–631 RSNA, 2013
q
T
his year’s Diagnosis Please competition was exceedingly competitive and hotly contested. The individual winners include a number of new winners, and again, continuing efforts of two leading radiology residency groups are recognized. The Diagnosis Please feature continues to be quite popular; hundreds of responses are submitted monthly by Radiology readers who are participating in this challenging competition. In 2013, the competition included cases 181–192. This year, we are pleased to award certificates of recognition to five individual winners from North America, two international individual winners, and to the North American and international residents’ groups who have submitted the highest number of correct answers (diagnoses) for these 12 cases. Mizuki Nishino Hatabu, MD (Fig 1), is a graduate of Kyoto University, School of Medicine in Kyoto, Japan. After an internship and residency at Kyoto City Hospital, she served as a fellow and resident in radiology at Beth Israel Deaconess Medical Center in Boston, Mass. Since 2008, she has served as assistant professor of radiology at Harvard Medical School and staff radiologist in the Dana Farber Cancer Center, both in Boston. Dr Nishino notes, “Participating in Diagnosis Please has provided me the wonderful opportunity to keep working on challenging cases, and to continue the exercise of reaching correct diagnoses by careful observation and logical thinking. I would also like to thank Diagnosis Please for helping to build my professional identity…. During my training in Kyoto, Japan, I was fortunate to learn from many brilliant mentors and seniors. Their passion for diagnostic challenges was truly striking. The residency and fellowship in Boston provided me the comprehensive training in diagnostic radiology from the ex-
Radiology: Volume 269: Number 3—December 2013 n radiology.rsna.org
perts in each subspecialty. I would like to thank the mentors during my training, especially Dr Katsumi Hayakawa in Kyoto and Dr Herbert Kressel in Boston. Pursuing a career in radiology and keeping up with knowledge and skills are not easy, especially when one has a demanding responsibilities in addition to work, in my case being a mother of twins. I would like to thank my husband, Hiroto, for his continuous support and understanding.” Michael Childress, MD (Fig 2), is a graduate of the University of Michigan Medical School in Ann Arbor, Mich. After an internship at Wayne County Medical Center in Detroit, Mich, he completed a radiology residency in 1966 at Roosevelt Hospital in New York City. In 1972, following residency, Dr Childress served on the faculty of the Department of Radiology at the University of Michigan (1974–1980). In 1980, he joined the faculty in the
Figure 1
Figure 1: Mizuki Nishino Hatabu, MD 627
From the Editor
Herbert Y. Kressel, MD
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
Figure 2
Kressel
Figure 3
Figure 4
Figure 2: Michael Childress, MD
Figure 3: Mandip Gakhal, MD
Figure 4: Luis Antonio Sosa Lozano, MD
Department of Radiology at Howard University in Washington, DC, as an associate professor of radiology. As a medical student, he was fortunate to observe Drs Fred Hodges, Walter Whitehouse, Anthony Lalli, and William Martel, and while serving as an intern at Wayne County General Hospital, Drs Harry Fischer and Stewart Reuter. He has been retired for the past 2 ½ years, but he still enjoys the unknown cases and his stimulus for this competition, as a prior winner, Dr Seyed Emamian. Dr Childress notes, “Years ago when I first started doing the cases I found them next to impossible, but I have gotten better over the years. Some of the cases, I recognize immediately, but others require research that is facilitated by the internet. Imaging has made tremendous leaps in the 70’s and 80’s and journals, conferences, and the Diagnosis Please cases are essential in remaining current.” Mandip Gakhal, MD (Fig 3), is a 1995 graduate of the University of Toronto Faculty of Medicine, Toronto, Ontario, Canada. After an internship and residency in diagnostic radiology at the Medical Center of Delaware (Newark, Del), he completed a vascu-
lar and interventional fellowship at that same institution. In 2001, Dr Gakhal also served as a magnetic resonance imaging fellow at the Mallinckrodt Institute of Radiology, Washington University Medical Center in St Louis, Mo. After completion of his fellowships, he has been on the staff at Christiana Medical Center in Newark, Del. Dr Gakhal notes, “For some of the challenging Diagnosis Please cases, knowing that a definitive answer exists is intriguing and provides added motivation to navigate the maze of imaging and clinical clues and to continue my efforts researching and problem solving until the diagnosis is reached.” Luis Antonio Sosa Lozano, MD (Fig 4), is a graduate of the Universidad de Monterrey, School of Medicine in Nuevo Leon, Mexico. After the completion of internship and residency at the Instituto Nacional de Ciencias Medicas y Nutricion “Salvador Zubrian” Mexico City, Dr Sosa completed fellowships in thoracic, body, musculoskeletal, and breast imaging at Froedtert Memorial Lutheran Hospital at the Medical College of Wisconsin. He has recently finished the alternate pathway for the American Board of Radiology certification for foreign radiologists. He cur-
rently practices in Mexico City at Grupo CT Scanner and at the Instituto Nacional De Cardiologia “Ignacio Chavez.” Dr Sosa writes, “I believe that Diagnosis Please is an excellent learning experience. Although the cases presented are uncommon in clinical practice, the process of searching the answer, starting first with frequent and finishing with infrequent possibilities is a great intellectual enrichment exercise. Each month I look forward to review the new cases, as well as the answer of the prior case.” Rounding out our group of the North American winners is Mario Laguna, MD (Fig 5), a repeat winner from last year. He graduated from the Universidad La Salle School of Medicine in Mexico City, Mexico, in 1988, and participated in a residency in internal medicine from 1990 to 1993. After this, he completed a radiology residency at the Instituto Nacional de Nutricion Salvador Zubiran in Mexico City following fellowships in abdominal imaging (1996–1997) and in thoracic imaging (1997–1998) at the Department of Radiology of Louisiana State University in New Orleans, La. He also completed a residency in diagnostic radiology at the Medical College of Wis-
628
radiology.rsna.org n Radiology: Volume 269: Number 3—December 2013
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
Figure 5
Figure 6
Kressel
Figure 7
Figure 5: Mario Laguna, MD
Figure 6: Ioannis Papachristos, MD
Figure 7: Hideki Shima, MD
consin (2000–2004) in Milwaukee, Wis. Since completing his residency, he has been a staff member in the Department of Radiology at the Medical College of Wisconsin and serves as a staff radiologist at the Milwaukee VA Medical Center. Dr Laguna states, “Diagnosis Please is an interesting and fun experience. Every month I look forward to reviewing the cases and to doing some searching, trying to reach a diagnosis in topics that are not commonly seen in daily practice. Getting CME [continuing medical education] credits is an additional benefit.” This year’s international individual winners are Drs Ioannis Papachristos and Hideki Shima. Ioannis Papachristos, MD (Fig 6), received his MD degree from Democritus University of Thrace, Medical School, Alexandroupoli, Greece, in 2006. He then completed a radiology residency in the Department of Radiology at the University Hospital of Ioannina, Greece, and in the Department of Radiology at the General Hospital of Corfu in Corfu, Greece. During that time, he spent 6 months in the Neuroradiology Division at the Hospital of the University of Pennsylvania in Philadelphia, Pa. Currently
he serves as diagnostic radiologist at the Iatropolis Diagnostic Center, Chalandri, Athens, Greece. Dr Papachristos notes, “I am both delighted and honored to hear the results of this year’s Diagnosis Please competition. The Diagnosis Please competition is a challenging feature that sharpens my skills in general radiology. Tackling the cases is a rewarding activity that promotes my lifelong training. Through this process I am convinced that establishing a specific diagnosis can be feasible and the majority of unusual cases radiologists face in everyday practice. Please allow me to publicly express my gratitude to my mentor and valuable teacher in radiology, Dr Harris S. Chrysikopoulos in Corfu, Greece, for his guidance; my professors in the U.S., Drs Laurie A. Loevner, Elias R. Melhem, Alexander C. Mamourian, and Suyash Mohan for their teaching and support; and to my colleagues Drs Stephanos Lachanis (winner of DXP competition in 2002) and Stamos Trakadas in Athens, Greece for having faith in my capabilities and potential.” Hideki Shima, MD (Fig 7), graduated from Chiba University School of Medicine in 1991. He completed his residency training at the Chiba Univer-
sity Hospital, Toranomon Hospital (Tokyo, Japan), and St Marianna University Hospital in Kawasaki, Japan. He was board certified by the Japanese Radiological Society in 1997 and by the Japanese Society of Interventional Radiology in 2002. In 2004, Dr Shima received his PhD degree from Teikyo University Faculty School of Medicine in Tokyo, Japan. He has served as a diagnostic and interventional radiologist at the Narita Red-Cross Hospital in Narita, Japan, since 2012. Dr Shima writes, “Diagnosis Please is a step to sharpen diagnostic skills. When I started the challenge of the Diagnosis Please competition, I reviewed all the previous cases of Diagnosis Please. Although we diagnostic radiologists often have rare cases, we can increase our diagnostic skills by means of reading a lot of articles and textbooks that help us narrow the possible diagnosis. After reviewing all the previous cases I believe I have remarkably increased my knowledge.” The two residency groups with the most cases are both repeat winners in this competition. The Hospital of the University of Pennsylvania Medical Center (Philadelphia, Pa) residents are represented by Ansem Van Geisel, MD (a pseudonym for Evan S. Siegelman,
Radiology: Volume 269: Number 3—December 2013 n radiology.rsna.org
629
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
Kressel
Figure 8
Figure 8: Hospital of the University of Pennsylvania Medical Center radiology residents.
Figure 9
Figure 9: Prince of Songkla University radiology residents.
MD), on behalf of Dennis N. Peters, MD (“deceased,” see below), who submitted the following historical vignette: “The Penn Radiology Residents are honored and humbled to be acknowledged as the North American resident group to submit the highest number of correct answers to this year’s Diagnosis Please puzzlers. As their faculty liaison, I thought the readership of Ra630
diology would find it entertaining to learn how the Penn residents opened the door for resident group involvement, which was prohibited when Diagnosis Please was first introduced in 1988 (1). “As a radiologist involved in housestaff education at the University of Pennsylvania I felt that our residents would benefit from reading each
month’s case history, reviewing the imaging and proposing the most likely diagnosis management plan. The Penn Radiology residents enthusiastically approached the cases and often made the correct diagnosis. I thought that ‘wouldn’t it be great if the residents could be publicly recognized for their diagnostic accuracy?’ But alas, only individual radiologists were allowed to submit monthly responses. “Since there was no simple or direct way for the residents to participate, I decided to resort to some benign subterfuge. I re-arranged the letters in ‘Penn Residents’ and invented a fictitious radiologist: Dennis N. Peters. Dr Peters began e-mailing the monthly consensus diagnosis to the staff of Radiology. He performed admirably, submitting his first correct diagnosis in March of 2004 (2). I was looking forward to the end of the year when the true identity and many faces of Dennis N. Peters would be revealed! “Dr Peters was thwarted from completing his quest by an ethical dilemma. I was asked to peer review a future Diagnosis Please submission. I explained to the Radiology staff that I needed to recuse myself from reviewing the case; I felt obligated to review the true identity of Dr Peters. The Radiology staff concluded that I was ‘breaking bad’ and that Dr Peters should expire post-haste. Fortunately this tale has a happy ending. In January of 2005, Dr Proto invited residency programs to submit Diagnosis Please answers, and like a phoenix, Dennis N. Peters was reborn as the Penn Residents who have won the annual contest for 8 years running (3)!” This year’s international group winners are the radiology residents of Prince of Songkla University in Thailand. They note, “Prince of Songkla University was founded in 1967 and was named for King Bhumibol Adulyadej’s father, Prince Mahidol, the father of Thai medicine and public health, with the motto, ‘P,S,U’ for pride, spirit and unity.” The group regards his words as their guiding value: “Our soul is for the benefit of mankind.” The diagnostic radiology pro-
radiology.rsna.org n Radiology: Volume 269: Number 3—December 2013
FROM THE EDITOR: Diagnosis Please Certificates of Recognition
gram at Prince of Songkla University began in 1993 and currently has 16 residents in this year’s training program. The group notes that “Each case is like a step towards our growth. It opens up our perspective to see challenges we have never seen before. Once again, we would like to dedicate our award to our beloved King Bhumibol.” This is the 6th year in a row that the Prince of Songkla University group has received the certificate of recognition. We congratulate all of the individual and residency group winners for their accomplishments in the Diagnosis Please cases 181–192. They will receive a certificate to recognize their efforts.
We encourage all of our readers, and particularly resident groups, to participate in the Diagnosis Please competition. As this year’s winners and winners in the past have noted, these cases are an excellent vehicle for learning. Moreover, as the award-winning resident groups note they have the benefit of participation through the exchange of ideas with peers. Individuals and resident groups interested in submitting the most likely diagnoses can do so at the Diagnosis Please Web site (http://dxp.rsna. org/). The Radiological Society of North America designates this journal-based CME activity for a maxi-
Radiology: Volume 269: Number 3—December 2013 n radiology.rsna.org
Kressel
mum of 1.0 AMA PRA Category 1 Credit™ for those who submit the most likely diagnosis for a given case.
References: 1. Proto AV. Radiology 1998—Review and Diagnosis Please. Radiology 1998; 207:1. 2. Gandi D, Goyal M, Bourque PR, Jain R. Case 68: Hirayama disease. Radiology 2004; 230:692–696. 3. Proto AV. Radiology 2005—What’s Happening. Radiology 2005; 234:5–7.
631
