In 1990, the James CancerHospital opened its doors. The National
Cancer Institute had designated the James as a Comprehensive Cancer
Center.
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The Ohio State Medical Center had a phenomenal growth that has not abated and a new University Hospital is scheduled to open in 2026 being the largest building by far at the University.
.
The new therapies and innovations originating among the
Wexner Medical Center’s highly skilled staff are listed at College of Medicine
Centennial Celebration site. Therefore,
I will limit my discussion to faculty members who made major contributions and select significant advances
that took place in the field of Radiology from 1992 to 2004, when I served as
the Chair of the Department.
Dr. W. Myers who is considered the godfather of the medical
use of cyclotrons, during his 30-year tenure at OSU introduced 11 isotopes for
use in therapy and diagnosis. Among other
major contributions were the introduction of afterloading therapy, the pivotal
suggestion to Dr. R. Yalow (Nobel laureate) of the most suitable isotope for
radioimmunoassay and the application of several sort lived isotopes for PET
scanning.
Dr. William Molnar one of the early pioneers in the interventional radiology and Dr. Alfred Stockum who succeeded Dr. Molnar worked in our department from
1965 to 1995. It was during this time that Dr. Stockum developed his expertise in the
evolving field of Interventional Radiology. His calm demeanor, positive
attitude, and quiet, caring nature were great qualities his patients appreciated. Dr. Stockum offered the ultimate
service to the medical students, he did not know but cared about, by offering his
body after death for them to learn anatomy on.
The following are defining contributions by the many talented
faculty of the department:
·
In 1994, we
introduced 24 hour attending coverage and real time reporting. It was a major shift in the modus operandi of
a radiology department. Our paradigm has
been adopted in this country and overseas1.
·
In 1996, we established
a teleradiology connection with a rural hospital in Barnesville, OH a first in
the State of Ohio. Only the military had
implemented transfer of images from afar earlier. Our model is now widely
practiced2.
·
In 1997, the Department
of Defense funded our affiliate Veterans Administration Outpatient Clinic and four
other hospitals in the country to study the efficacy and implementation of
digital/filmless radiology. Following
the success at the VA, and with the support of two key individuals—Drs. M. Tzagournis
and H. Mekhjian, who were the Dean and Medical Director, respectively—I
converted our department from analog to digital. In 2000, the department and
the hospital became filmless.
·
In 1998, in
collaboration with Dr. William Farrar, we opened the first Comprehensive Breast
Center in Ohio. Dr. John Olsen was the first director of breast imaging and intervention. The oncologic surgeons,
medical oncologists, radiologists and technologists worked in the same building and in an outpatient environment. The Breast Center is currently located in a
new building, named the Stefanie Spielman Comprehensive Breast Center.
·
On February 10, 1998
Dr. Pierre Robitaille and his team acquired a brain scan on the first ultra
high field MRI (8 Tesla). It should be
noted that this was accomplished without industry support and despite of doubts
by the scientific community that it was possible3,4.
·
With the opening of
James, Dr. R. Gahbauer and his team in our Division of Radiation Oncology, introduced
novel approaches such as dedicated CT and 3D
conformal radiation therapy and intra-operative radiation therapy. In
collaboration with Dr. A. Wambarsie and ICRU they contributed to the concepts
and standardisation of 3D volume delineation of photons, electrons, IMRT and
protons.
·
In 1998, they wrote
the first non-cadaver based CT lymph node atlas for treatment planning.
·
In 2002, the first
patient in Central Ohio was treated with IMRT therapy at OSUMC. In In closing, I was very fortunate to have the assistance of Tonda Robinson and Heidi Brenner during my tenure as Chairman, both of whom have become life long friends.
References
1. Spigos DG, Freedy
L, Mueller C: 24 Hour Attending Coverage; A New Paradigm: AJR 1996, 167, 1089-1090
2. Spigos DG, Porter
R, Cleto E et al: Rural Teleradiology
Initiative: Accuracy of Interpretation
in the Emergency Setting. Emergency
Radiology, 1996, Nov/Dec, Vol3, 1-4,pp274-278
3. Robitaille PM,
Warner R, Jaqadeesh J, Abduliallil AM, Kangarlu A, Burgess RE, Yu Y, Yang L,
Zhu H, Jiang Z,
Bailey RE, Chung W, Somawiharia Y, Feyan P, Ravner D. Design and assembly
an 8 tesla whole-body
MR scanner. J Comput Assist Tomogr 1999,
Nov-Dec 23(6) 808-20
4. Bourekas EC,
Christoforidis GA, Abduljaillil AM, Kangarlu A, Chakeres DW, Spigos DG Robitaille
PM: High Resolution MRI of the deep Gray
Nuclei at 8 Tesla. J Comput Assist Tomogr
1999, Nov/Dec 23(6) 867-74
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