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CAR - Canadian Association of Radiologists

The Canadian Association of Radiologists is the national specialty association for radiologists, dedicated to medical imaging excellence in patient care

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You are here: Home / Canadian Society of Thoracic Radiology (CSTR)

Canadian Society of Thoracic Radiology (CSTR)

CSTR-logo-bilingual-web-500px
About Executive Committee Become a Member CSTR Award of Excellence Guidelines & Publications COVID-19 Lung Cancer Screening Contact Us
About

About

Mission

The Canadian Society of Thoracic Radiology (CSTR) is a network of Canadian radiologists with an interest in cardiothoracic radiology.  The society strives to encourage educational, research and administrative connections to maintain the highest standards of cardiothoracic imaging across Canada.

The CSTR is formed of members with an interest in advancing knowledge, learning or clinical expertise in the area of cardiothoracic radiology to communicate, meet, mentor and discuss research to further this interest.

CSTR’s role is to:

  • Drive the appropriate, proper and safe use of radiological services;
  • Play a leadership role in the development/update of CAR-driven thoracic imaging guidelines, standards and appropriateness criteria;
  • Provide access to online educational content for trainees and practicing radiologists; and
  • Organize educational and social events during the annual CAR meeting.

President's Message

“Under the visionary leadership of our inaugural president, Dr. Carole Dennie, the Canadian Society of Thoracic Radiology has come a long way since its launch in 2018. We have published several statements and guidelines, held our first education day, started a national research committee, received grants for our work in lung cancer and, perhaps most importantly, formed a Canadian network of cardiothoracic radiologists. As we look to the future, we hope to continue to unite and support each other from coast to coast to coast.

The next two years will see the launch of our cardiothoracic curriculum, the strengthening of our research network and the development of new supports for radiologists in the early detection of lung cancer. If you have an interest in cardiothoracic radiology, I invite you to join us during these challenging and exciting times.”

Daria Manos, MD, FRCPC

Executive Committee

Executive Committee

President:
Daria Manos, MD, Dalhousie University

Vice-President:
Elsie Nguyen, MD, University of Toronto

Past-President:
Carole Dennie, MD, University of Ottawa

Radiologist-in-Training:
Lilyane Saleh, MD, University of Toronto

Members-at-large:
Cameron Hague, MD, University of British Columbia
Brett Memauri, MD, University of Manitoba
Jana Taylor, MD, McGill University
Robert Lim, MD, Resident, University of Ottawa

Become a Member

Become a Member

Membership with the Canadian Society of Thoracic Radiology (CSTR) is open to cardiothoracic and general radiologists, as well as current fellows or residents with an interest in cardiothoracic radiology, who are current members of the Canadian Association of Radiologists (CAR).

Benefits include:

  • Network, mentor, advance knowledge, and discuss research with other radiologists in the area of cardiothoracic radiology
  • Participate in guideline development and review
  • Contribute to the development of educational initiatives within your subspecialty
  • Opportunity to review resources from your subspecialty and to provide your feedback
  • Receive bi-annual subspecialty seasonal education newsletters and other communication news
  • Join a CSTR subcommittee to participate in research and education projects
  • Attend the annual CSTR business meeting at the CAR Annual Scientific meeting
  • Nominate your colleagues for the Affiliate Society Awards

Membership fees: complimentary

If you are interested in becoming a member of CSTR please join through the CAR member portal or email [email protected].

CSTR Award of Excellence

CSTR Award of Excellence

CSTR Award of Excellence represents the highest award that lies within the power of the CSTR (Canadian Society of Thoracic Radiology) to bestow to a CSTR member.

The CSTR Award of Excellence will be awarded by the CSTR to a radiologist for distinguished and extraordinary service to the CSTR, the discipline of Thoracic radiology and/or Radiology in Canada.

Service to radiology can be teaching, research, clinical investigation, leadership, advocacy, and/or mentoring. Research must be recognized for quality and consistency by publication in recognized professional journals. Service to the CSTR can be outstanding contributions to the CAR and the CSTR, other medical organizations, or government agencies.

The CSTR is under no obligation to present the award annually.

Except under very unusual circumstances, the award will be given to one nominee each year.

Only in the event of the demise of the nominee after being selected shall the award be presented posthumously.

Eligibility

The CSTR Award of Excellence nominee must be an individual member in good standing of the CAR continuously over the past 5 years and a current active CSTR member.

Nominations and Process
A nomination may be submitted by any CSTR member in good standing.

The nomination should contain a succinct summary of the major contributions of the nominee and be accompanied by a curriculum vitae.

The nomination must be accompanied by one letter of support from one CAR and CSTR member in good standing.

Please submit by email the following documentation:

  • Name of the nominee
  • Name of the nominator
  • Title of the nominee
  • Contact info of the nominee (address, telephone, fax, email)
  • Contact information of the nominator (address, telephone, fax, email)
  • CV/Summary of the nominee.
  • One (1) support letter for the nominee who must be a CAR and CSTR member in good standing

Procedure and Deadline

The award nomination call-out will be in September and must be submitted annually by December 15 to [email protected]. The nominator is responsible for ensuring that the written nomination, C/V, summary, and one support letter are emailed to the CAR office by the deadline. An individual member may nominate or sponsor only one nominee each year.

Selection

A CSTR Awards Selection Standing Committee will evaluate the award nominations.

If unsuccessful the first year, the nomination may be reactivated by any CSTR member in good standing for consideration for a maximum of two (2) years following the first submission. This can be done by submitting a letter requesting reactivation by December 15th of the subsequent year. This reactivation does not require any new supporting data.

Presentation

The award will normally be presented at the CSTR Business Meeting held in conjunction with the Annual Scientific Meeting (ASM) in April.

 

Guidelines & Publications

Guidelines & Publications

The Canadian Society of Thoracic Radiology (CSTR) provides access to practice guidelines, technical standards and reporting templates that it supports, officially endorses or that have been written by experts in the field who have solicited our feedback prior to publication.

The practice guidelines of the CSTR are not rules but are guiding principles that attempt to define codes of practice that should generally produce optimal radiological care. The goal is to promote standardized, high-quality medical care that is both safe and effective.

Technical standards authored by CSTR

  • High-Resolution CT of the Chest Recommended Technique (2020)

Journal Publications

  • Consensus statement regarding chest imaging in supected and confirmed COVID-19
  • Acute PE Part 1: Acquisition and Safety Consideration
  • Acute PE Part 2: Technical Issues and Interpretation Pitfalls
  • Clinical guidance for non-vascular Thoracic MRI

Guidelines supported by CSTR

  • An Official American Thoracic Society/Society of Thoracic Radiology Clinical Practice Guideline: Evaluation of Suspected Pulmonary Embolism in Pregnancy (2011)
  • Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society (2017)
  • Recommendations for Measuring Pulmonary Nodules at CT: A Statement from the Fleischner Society (2017)

Guidelines endorsed by CSTR

  • ​Diagnosis of chronic thromboembolic pulmonary hypertension: A Canadian Thoracic Society clinical practice guideline update. Canadian Journal of Respiratory, Critical Care, and Sleep Medicine (2019)
  • Canadian Association of Radiologists/Canadian Association of Interventional Radiologists/Canadian Society of Thoracic Radiology Guidelines on Thoracic Interventions

 

If you're looking for something that isn't here, we'd love your suggestions! What practice guidelines would you find most beneficial to you in your practice? To forward your feedback, please contact us.

COVID-19

COVID-19

Canadian Society of Thoracic Radiology and the Canadian Association of Radiologists’ Statement on COVID -19

Updated March 30, 2020

  • A normal chest CT scan cannot exclude the diagnosis of COVID-19 especially for patients with recent onset of symptoms. According to the Public Health Agency of Canada (PHAC) and the World Health Organization (WHO), the final diagnosis of COVID-19 infection should be confirmed by a positive RT-PCR test. This is the reference standard.
  • The Canadian Society of Thoracic Radiology (CSTR)/Canadian Association of Radiologists (CAR) recommend against the use of routine chest CT for screening, diagnosis and surveillance of COVID-19 infection. The CSTR/CAR recommend chest CT in patients with confirmed COVID-19 infection who may have developed complications such as a lung abscess or empyema.

Resources

The Canadian Society of Thoracic Radiology (CSTR) and Canadian Association of Radiologists (CAR) Consensus Statement Regarding Chest Imaging in Suspected and Confirmed COVID-19 - May 8, 2020

The Canadian Association of Radiologists (CAR) and the Canadian Society on Thoracic Radiology (CSTR) Recommendations on COVID-19 Management in Imaging Departments – March 25, 2020

COVID-19 Chest CT Findings: What you need to know – March 16, 2020 Video Update from Dr. Carole Dennie, CSTR President

The Canadian Association for Interventional Radiology (CAIR) and Canadian Association of Radiologists (CAR) Guidelines for Interventional Radiology Procedures for the Patients with Suspected or Confirmed COVID-19 – March 24, 2020

Society of Thoracic Radiology (STR) COVID-19 Position Statement – March 10, 2020

For additional CAR updates on COVID-19 click here.

Lung Cancer Screening

Lung Cancer Screening

Guidance

  • Canadian Association of Radiologists: Guide on Computed Tomography Screening for Lung Cancer (2017)

Recommended CT Lung Screening Protocol

Scan ParameterDescription
A. Patient PositioningScan is performed with breath hold at full inspiration.
Scan participant centred on scan table supine, arms above head, landmark for chest imaging.
*If patient factors preclude this position, the technologist must document why this position is not possible.
*If the patient is temporarily unable to be scanned in this position or with breath holding, the screening study should be rescheduled.
B. LocaliserLocaliser images should be obtained as directed by the manufacturer to cover the area of the chest, not exceeding beyond the angle of the mandible superiorly and the iliac crest inferiorly
C. Scan Field of viewInclude entire lung with quality measures in place to ensure over scanning is not routine. Note the scan field does not need to include the adrenals.
D. Display Field of View (DFOV)1-3 cm beyond outer rib margins (smaller DFOV provides smaller voxel size)
E. Detector Array≥ 16 detector rows
F. Acquisition mode Helical
G. KVAdjust for patient size. Automatic Exposure Control (AEC) is recommended
H. mA, or effective mAsAdjust for patient size. Automatic Exposure Control (AEC) is recommended
I. Slice SpacingSlice spacing ≤ slice thickness
J. Contrast MediaNo contrast media
K. Lung/Sharp algorithm (kernel) Three planes: Transverse, coronal and sagittal
L. Soft algorithm (kernel) Transverse at a minimum
M. Slice reconstruction thicknessRecommendation 1.25 mm or less. Maximum slice thickness not to exceed 2.5 mm
N. Radiation Dose Management CTDIvol must be ≤ 3.0 mGy for a standard sized patient. By definition, a standard sized patient is approximately 5'7" and 155 pounds or 170 cm and 70 kg

 

Contact Us

Contact Us

Mailing Address

Canadian Society of Thoracic Radiology
C/O Canadian Association of Radiologists
1120-220 Laurier Ave W
Ottawa, ON K1P 5Z9
Canada

Email: [email protected]

 

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Mailing Address

The Canadian Association of Radiologists
1120-220 Laurier Ave W
Ottawa, ON K1P 5Z9
Canada

Contact

Tel.: 613 860-3111
email: [email protected]

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