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Dr. Greg Avey Nominated for White Coat Investor Award

Greg Avey
Dr. Greg Avey
Greg Avey, MD, UWSMPH Department of Radiology faculty member in the Neuroradiology Section, and Director of Head and Neck Imaging, was a finalist in a crowded field of nominees to receive the annual The White Coat Investor Financial Educator of the Year award. Dr. Avey was nominated for this award by UWSMPH medical student Chris Rufus Sweeney, who began a quest for teaching financial literacy at the medical school and was introduced to Dr. Avey who was already teaching radiology residents and fellows about personal finance.

Dr. Avey had already recognized the impact student debt has on graduating medical students, and wanted to share his wisdom, knowledge and experience with his students to help them make intelligent choices to rebound from debt. “The median debt for medical students has increased over time to now over $200,000,” Dr. Avey said. “But at the same time, there has been a proliferation loan repayment and forgiveness options. It gets a bit overwhelming,” Dr. Avey said. “Plus, other financial planning needs, such as budgeting and insurance, also are important to consider at this transition time.”

The result of Dr. Avey’s and Chris Sweeney’s efforts was the development of new SMPH curriculum to help fourth year medical students to learn key concepts around budgeting, investing, insurance, and negotiation through independent and group learning experiences. The new course was formatted to allow students to better analyze financial decisions and understand the impact of these decisions on both their current and future financial health and broader personal wellness.

Dr. Avey took on the role to teach many of the classes, in addition to his other duties. “I wanted to help fourth-year medical students learn more about personal finance to navigate the critical juncture between accumulating debt and earning an income, so they could better understand how to allocate their precious resident dollars,” he said. Dr. Avey was one of eleven nominees for the White Coat Investor Financial Educator of the Year award. “This honor was a great surprise,” Dr. Avey said. “It is gratifying to see so many talented people taking up this important topic.”

Dr. Bluemke and Dr. Prabhakaran Named to 2020 Council of Distinguished Investigators

Dr. David Bluemke
Vivek Prabhakaran
Dr. Vivek Prabhakaran

UWSMPH Department of Radiology faculty David Bluemke, MD, PhD, and Vivek Prabhakaran, MD, PhD, were recently named to the 2020 Council of Distinguished Investigators by the Academy for Radiology & Biomedical Imaging Research, as recognition for their outstanding contributions to the field of medical imaging. This award recognizes the nation’s top imaging researchers, and also those who have achieved scientific excellence while also being involved in clinical care. Drs. Bluemke and Prabhakaran are two of only 39 people across the country selected to receive this award.

Dr. Bluemke, who joined the department faculty in 2017, is a professor in the Thoracic Imaging and Cardiovascular Imaging Sections. He came to the UW from his role as Radiologist-in-Chief of the National Institutes of Health Clinical Center. Dr. Bluemke was also a tenured senior investigator at the NIH National Institute of Biomedical Imaging and Bioengineering and Clinical Center, as well as an adjunct senior investigator at the National Heart, Lung and Blood Institute. Previously, Dr. Bluemke was a Professor of Radiology and Medicine at the Johns Hopkins University School of Medicine, Baltimore, MD. He has authored over 600 publications in the areas of diagnostic radiology and cardiovascular disease, including his work as principal investigator for MRI studies in the Multi-Ethnic Study of Atherosclerosis (MESA). Dr. Bluemke is the current Editor-in-Chief of the journal Radiology, the field’s most prominent publication.

Dr. Prabhakaran joined the department faculty in 2008, in the Neuroradiology Section, after completing his radiology residency and fellowship in diagnostic neuroradiology at Johns Hopkins Hospital, Baltimore, MD. He had previously completed is doctoral work at Stanford University Medical School, Palo Alto, CA, in cognitive neuroscience and functional neuroimaging. With affiliate appointments at the UW in Psychiatry, Neurology and the Neuroscience Training Program, Dr. Prabhakaran’s research laboratory focuses on developing fMRI and other multimodal neuroimaging tools for neurotranslational research that involves the characterization and treatment of different brain lesions such as vascular lesions – stroke, tumors and seizure pathology. His many peer-reviewed publications have appeared in high-profile journals. Dr. Prabhakaran is a frequently invited speaker and presenter at regional, national and international meetings. His work has been covered by large media outlets, including NPR, BBC, CBS News, Scientific American, and more.

Both Dr. Bluemke and Dr. Prabhakaran successfully met the stringent criteria of sustained productivity (including at least 25 peer-reviewed scientific research publications in which the awardee is first or senior author) and demonstrated accomplishments as an independent investigator of a substantial, ongoing research program (at least six cumulative years of funding as the Principal Investigator of a major competitive extramural research grant). Honorees will be inducted into the academy’s Council of Distinguished Investigators this fall during the RSNA’s virtual meeting. Previous awardees from UW-Madison Radiology include Professors Thomas Grist, Scott Reeder, Elizabeth Burnside, Perry Pickhardt, Patrick Turski, and Charlie Strother.

Departmental Promotions Announced

The Department of Radiology is pleased to announce the following promotions, effective July 1, 2020.

Greg Avey
Gregory Avey, MD, to Associate Professor (CHS)

Dr. Avey joined the faculty in 2011 as Clinical Assistant Professor of in the Department of Radiology’s Community Section. Dr. Avey transferred from the Clinical-Teacher track to the Clinical Health Sciences track in 2014 in order to pursue scholarly activities within the department’s neuroradiology section, including teaching, research, and program development with specific applications to head-and-neck imaging. Since that time, Dr. Avey has established himself as a regional and national expert in head and neck imaging, including the optimization of the workflow involved in a stroke code, and his role as the neuroimaging lead in the UW/GE low-dose CT protocol project. He has become a cornerstone of our neuroradiology section—beloved by his trainees, radiology colleagues, radiology technologists, and referring clinical partners. In addition to his clinical acumen, Dr. Avey embodies patient-centered care, always making sure that the patient is central to all clinical improvements and image interpretation. Dr. Avey’s work in education is as impressive as his clinical accomplishments, winning the 2016 Department of Radiology Teacher of the Year Award and presenting nearly 70 conferences to residents and fellows in the department. This is in addition to presenting over 20 invited talks on the national and international stage. Dr. Avey earned his MD at the University of Washington College of Medicine, and completed his residency, internship and fellowship in neuroradiology at the University of Wisconsin School of Medicine and Public Health.

Michael BrunnerMichael Brunner, MD, to Clinical Professor

Dr. Brunner joined the faculty in 2013 as Clinical Associate Professor, in the Interventional Radiology Section. He is currently also the chief of radiology at both the William S. Middleton Memorial Veterans Hospital in Madison and the Tomah VA Medical Center, overseeing nearly 50 direct reports, including physicians, technologists, and nurses. As a clinician, Dr. Brunner has worked very hard to improve the delivery of image-guided services at the VA hospital, and, as a result of his solid leadership, the VA hospital has improved its delivery of ultrasound services, particularly in non-invasive studies. Pursuant to his interest in improving veteran health care, Dr. Brunner has encouraged clinical research and scholarship within the VA Radiology department, leveraging the extraordinary expertise of the University of Wisconsin’s School of Medicine and Public Health. He is the principal investigator at the VA for a phase II FDA trial on “blood biopsy” correlation in patients with biopsy-proven lung cancer; supported by Exact Sciences, the Madison VA Hospital’s first privately funded research study. As an educator, Dr. Brunner has helped radiology residents, fellows, and medical students understand and practice numerous important medical skills, and completely transformed the radiology residents’ radiology rotation at the VA. Dr. Brunner has served as the president of the Society of Interventional Radiology, considered by many to be the most important leadership position for an interventional radiologist. Dr. Brunner also was elected president of the Society of Interventional Oncology (SIO) and had a huge role in establishing the World Congress of Interventional Oncology (WCIO), which is now in its 14th  year and undergoing tremendous growth. Dr. Brunner earned his MD at the Stanford University School of Medicine. He completed a residency both at the University of Chicago Hospital and Clinics and Northwestern Memorial Hospital, which was followed by a fellowship in vascular surgery at Stanford. He subsequently undertook a residency in diagnostic radiology, followed by a fellowship in angio-interventional radiology, both at Emory University School of Medicine in Atlanta, GA.

Meghan Lubner, MD, to Professor (CHS)

Dr. Lubner joined the faculty in 2009 as Assistant Professor (CHS) in the Department of Radiology, in the Abdominal Imaging and Intervention Section. She serves as Chief, CT Research and Chief, Abdominal CT, and CT Modality Chief. Dr. Lubner’s research portfolio is a major factor in how UW has developed a solid national reputation for innovation and development of percutaneous tumor ablation techniques and, more recently, expertise in CT imaging biomarkers and quantitative imaging. Since Dr. Lubner’s promotion to Associate Professor (CHS) in 2015, she has made remarkable contributions to tumor ablation literature, and is currently co-investigator on two NIH grants monitoring tumor ablation, totaling over one million dollars in funding. Her work in CT imaging biomarkers and quantitative imaging has brought the UW to the fore of the rapidly emerging field of radiomics. Dr. Lubner has also made giant contributions to the department’s clinical excellence. She has been very involved in CT protocol development and implementation, to ensure quality of CT images allows for optimal diagnostic capacity and also minimizes patients’ exposure to radiation. As CT modality chief, she has skillfully balanced the needs of referrers and interpreting radiologists within the constraints of equipment and technologist workflow. Dr. Lubner earned her MD at the University of Wisconsin–Madison, and completed her residency at Mallinckrodt Institute of Radiology in St. Louis, MO. She returned to UW–Madison to complete her fellowship in Abdominal Imaging.

Venkata (Vinny) Meduri, MD, to Associate Clinical Professor

Dr. Meduri joined the faculty in 2013 as Clinical Assistant Professor of in the Department of Radiology, in the department’s Community Section. Dr. Meduri has served as Modality Chief of MRI, helping to improve the division’s efficiency by standardizing workflows and imaging protocols across multiple clinical sites. As the radiology curriculum director of the UWSMPH Physician Assistant Program, Dr. Meduri has been an exceptionally popular lecturer, being awarded “Lecturer of the Year” and being invited to deliver the “White Coat” address at the UW Physician Assistant graduation for the last two years as well as for the Class of 2020 this spring. Dr. Meduri earned his MD at the Albany Medical College, Albany, NY, and his Master of Science in Health System Administration at the Graduate College of Union University, Schenectady, NY. He completed his residency also at Union Medical College and his residency at Beth Israel Medical Center, New York, NY. Dr. Meduri completed his Fellowship in MRI at the University of Wisconsin–Madison School of Medicine and Public Health.

Susan RebsamenSusan Rebsamen, MD, to Clinical Professor

Dr. Rebsamen joined the faculty in 2014 as Associate Clinical Professor, in the Neuroradiology Section. She is one of the founding members of the American Society of Pediatric Neuroradiology and currently serves as the Modality Chief for the American Family Children’s Hospital for Pediatric Neuroradiology, where she has been “the driving force” behind the development of clinical and educational programs in pediatric neuroradiology. Dr. Rebsamen is a leader in the Women Physicians in Radiology organization at the UW–Madison and works tirelessly provide career development for department residents to better prepared for success in the workplace. She earned her MD at the University of Arkansas for Medical Sciences, Little Rock, AR, and her residency at the University of North Carolina – Chapel Hill, in Chapel Hill, NC. Dr. Rebsamen completed two fellowships, one in pediatric neuroradiology at the Children’s Hospital of Philadelphia, Philadelphia, PA, and one in adult neuroradiology at Jefferson University Hospital, also in Philadelphia.

Jonathan Swanson, MD, to Professor (CHS)

Dr. Swanson will be promoted to Professor (CHS) effective July 1, 2020. Dr. Swanson joined the faculty in 2019 as Visiting Professor in the Department of Radiology’s Pediatric Radiology Section, from the University of Washington, where he began his legacy of improving the delivery of radiology education on a departmental, and subsequently, national level. Dr. Swanson served as associate program director (APD) with the University of Washington’s Department of Radiology, mentoring over 100 residents and 40 fellows at University of Washington. Of those residents who chose pediatric radiology as a career, several did so because of Dr. Swanson’s outstanding mentorship and teaching. In his role as APD, Dr. Swanson reinvigorated the residency curriculum and championed effective and timely feedback as key to improving training. On a national/international level, Dr. Swanson, along with Dr. Petra Lewis, a national leader in radiology education, developed and led a one-day, hands-on workshop—the Clinician Educator Development Program (CEDP)—to help radiologists improve their teaching skills. Because the workshop took a “train the trainers” approach, the competitively selected participants returned to their institutions with an improved teaching skill set to share with their colleagues. Building on the success of this program, Dr. Swanson co-created the TRaD Talks at the Radiological Society of North America (RSNA) annual conference. Like TED Talks, TRaD Talks are brief image- and story-rich presentations whereby radiologists present high-impact radiology-education concepts in a way that entices fellow radiologists to change their educational practices. TRaD talks have become such a highlight for educators at RSNA, the capacity of the room where they are held increases each year to accommodate its ever-growing audience. Dr. Swanson’s clinical contributions are also quite noteworthy. One of the most impressive is his international work studying how midwives in Uganda are trained to perform a targeted obstetrical ultrasound exam. His extensive work resulted in a significant improvement of the midwives’ ability to diagnose high-risk pregnancies. Subsequent studies found that the presence of ultrasound exams in antenatal care facilities in rural and underserved communities in Africa greatly improved obstetric care to women who would otherwise not have received it. This groundbreaking body of research will next explore how to remove logistical and referral barriers these women face. Dr. Swanson has published over 40 peer-reviewed manuscripts, one of received the “Best Clinical Paper” award in Pediatric Radiology. Dr. Swanson was a summa cum laude graduate of Duke University, Durham, NC. He earned his MD at the University of Pennsylvania, Philadelphia, PA. He switched coasts to complete his diagnostic radiology residency at the University of Washington, Seattle, WA, where he served as Chief Resident his final year. Dr. Swanson completed a fellowship in pediatric radiology also at the University of Washington, where he received progressive appointments over the next ten years at the University of Washington Department of Radiology as acting assistant professor, assistant professor, and associate professor.

Jamey Weichert, PhD, to Professor 

Dr. Weichert came to the University of Wisconsin–Madison as an Assistant Professor in 1998 from the University of Michigan – Ann Arbor. He was promoted to Associate Professor – Tenure in 2005. He also holds affiliate positions in the Department of Medical Physics and Pharmaceutics at UW–Madison. A member of the Imaging Sciences Section, Dr. Weichert established the UW Small Animal Imaging and Radiotherapy Facility (SAIRF) and was named its Director of the in 2006. Dr. Weichert is also the Director of the UW Contrast Agent Laboratory. He has established several companies, which focus on his successful work designing and developing molecular contrast and imaging agents for use in a wide range of diagnostic imaging and pioneering the development of radiopharmaceuticals for therapeutic use in oncology. He has authored over 80 peer-reviewed publications, and has over 40 issued US and international patents in the area of cancer contrast and imaging agent development and therapy. At the 2015 Contrast Media Research Symposium in Berlin, Germany, Dr. Weichert was awarded one of the highest honors in the field of contrast media, the Harry Fischer Medal for Excellence in Contrast Media Research. Dr. Weichert is also a co-Investigator or primary Investigator on four current NIH and corporate grants, including the $3.8M Biden Moonshot UO1 grant as co-PI with Zach Morris (Human Oncology) and pending PO1 grant as co-PI with Zach Morris ($15M) on targeted radionuclide modulated Immunotherapy of cancer which delivers low-dose radiation via tumor-targeting radioactive molecules to all disease sites, modifying the tumor in a way that significantly enhances systemic immune recognition and destruction of tumors anywhere in the body—even those that cannot be seen. If awarded, this will collectively total over $34M in extramural funding for this new cancer therapy approach, which was pioneered within the past four years in conjunction with Zach Morris (Human Oncology), Paul Sondel (Pediatric Oncology), Doug McNeel (Medical Oncology) and Bryan Bednarz (Medical Physics). Dr. Weichert earned his doctorate in Medicinal Chemistry at the University of Michigan – Ann Arbor under Dr. Raymond Counsell.

Shane Wells, MD, to Associate Professor (CHS) 

Dr. Wells came to the University of Wisconsin–Madison as an Assistant Professor in 2014. He has been instrumental in growing the UW Department of Radiology’s integrated genitourinary (GU) imaging and intervention program, and has become an important liaison between the Departments of Radiology and Urology. Most notably, Dr. Wells’ work with minimally invasive treatment of renal cell carcinoma has been impactful locally, regionally, and nationally. While the UW thermal tumor ablation program had been well established for primary renal tumors, Dr. Wells incorporated percutaneous microwave ablation for the treatment of localized and select metastatic renal cell carcinoma. His efforts have resulted in increased overall survival of this subset of patients. Dr. Wells’ additional clinical contributions include refining and optimizing the clinical prostate MRI protocol, and introducing MRI-ultrasound fusion biopsy of the prostate. As a result of his leadership, the number of prostate MRIs and MRI-ultrasound fusion biopsy procedure we perform have increased dramatically, translating into improved prostate care for the patients of UW Health, across Wisconsin, and neighboring states. Dr. Wells has also made significant accomplishments with his research. His work on the diagnosis and treatment of renal early stage (T1a and T1b) renal cell carcinoma, prostate cancer diagnosis, and complication rates of percutaneous biopsy of renal cell carcinoma have also impacted local practice of percutaneous renal mass biopsy. He also helped to develop a novel diffusion-weighted (DWI) MRI pulse sequence for the prostate that improves the radiologist’s ability to detect prostate cancer. Dr. Wells earned his MD from Joan C. Edwards School of Medicine at Marshall University, Huntington, WV. He completed an internship also at the Edwards School of Medicine. Dr. Wells completed a at the University of Michigan – Ann Arbor, and a fellowship in Abdominal and Cardiovascular Imaging at the University of Wisconsin–Madison. He served for two years as Assistant Professor in the Department of Radiology and Medical Imaging at the University of Virginia, Charlottesville, VA.

Liisa Bergmann Wins Award for Executive MBA Project

Dr. Liisa Bergmann

Liisa Bergmann, MD, MBA, along with her cohort team in the UW Executive MBA program, created a business plan as part of a capstone project for their Executing Strategy course. The project won the “most Innovative” project award in the Badger Sett competition. Her business plan was for a potential new product, a CPR training system called “ResusciDGi.” ResusciDGi is a CPR training system that combines the internet and a digitized manikin that feels more like a human, to allow for socially-distanced CPR training and certification. Her team’s project was voted to be the most innovative by her professor, a team of two judges, and her classmates. The invention has been disclosed to WARF, where it is now under consideration, while its team of creators is working on prototype development. Dr. Bergmann is a graduating MR fellow in the department.

Neuroimaging Lab Team Awarded $3.9 MM Grant

Vivek Prabhakaran
Dr. Vivek Prabhakaran
Dr. Veena Nair

Associate Professor Vivek Prabhakaran, Research scientist Dr. Veena Nair, and Postdoctoral fellow Dr. Jiancheng Hou are part of the team that has been awarded a $3.9 million NIH grant. This grant will focus on the neurodevelopmental deficits in macaque infants that have been exposed to the Zika virus in utero. The group will work with experts in neurodevelopment, neuropathy, and neuroradiology while utilizing quantitative MRI, hearing and visual studies. This is the third NIH grant received by this team, also including his work on Brain Computer Interface (BCI) and its effects on the rehabilitation time of stroke patients, clarifying the overlapping pathology of delirium and dementia, and mapping the connectome in Juvenile Myoclonic Epilepsy (JME).

Alan McMillan and Multidisciplinary Team Awarded R01 Grant

Alan McMillan
Dr. Alan McMillan

Professors Alan McMillan, PhD, Associate Professor in the UWSMPH Department of Radiology, Po-Ling Loh, PhD, Associate Professor in UW’s Department of Statistics, and Varun Jog, PhD, Assistant Professor in the UW College of Engineering were awarded an R01 from the National Library of Medicine. The title of their project is “Can Machines Be Trusted? Robustification of Deep Learning for Medical Imaging.” The goal of their research is to study ways to strengthen deep learning networks by looking at the ways in which they fail in both intentional and real-world situations. This research will be funded from the National Library of Medicine FOA [PAR18-896] - NLM Research Grants in Biomedical Informatics and Data Science.

Professor Alan McMillan, PhD, received a pilot grant that helped bring the idea of the development of robust AI. “We have always been able to engineer good solutions with AI for any problem… however, it is not known how the methods will respond in respect to unanticipated inputs” Professor Alan McMillan also stated when talking about how they came up with the idea. AI is very specific to the data and application that was used to train the model, so what works well at UW may not work at other institutions for many reasons. Some of the causes of the AI “failures” is that there is data that it hasn’t seen before, or patient effects like motion, operator error of the scanner, or other artifacts could cause an AI algorithm to give an unpredictable result.

Dr. Propeck Appointed as American Board of Radiology Trustee

Dr. Pamela Propeck

Pamela Propeck, MD, Department of Radiology faculty member in the Community Radiology Section, was recently appointed as a Trustee of the American Board of Radiology (ABR). Dr. Propeck will serve as the lead Breast Specialist, providing oversight and direction to ABR staff and volunteers relating to the examination process for radiologist board certification. Dr. Propeck has held numerous important roles in the ABR, beginning as an examiner for breast certification, serving as a senior advisor on the Online Longitudinal Assessment (OLA) Committee, and, most recently, the Chair of the ABR OLA Committee. Dr. Propeck’s appointment to this important position affirms her long-standing contributions to the field, and is the culmination of her wide experience and expertise in precision medical imaging and diagnostic breast imaging. Dr. Propec is the third department faculty member to serve as an ABR  Trustee. Previous Trustees from UW Radiology are Lester Paul, MD, and Joseph Sackett, MD.

Radiology Interest Group Hosts M4 Student Event Online

Allison Grayev
Dr. Allison Grayev
Dr. Daniela Martin
Mathew Larson
Dr. Matthew Larson
Radiology Interest Group faculty mentors Dr. Daniela Martin and Dr. Alison Grayev, along with second year resident Dr. Matthew Larson, recently hosted an online panel for rising M4 students interested in applying to Radiology. The Radiologists fielded questions about changes to the radiology residency application process due to COVID-19 and how to find the best “fit” when everything is virtual. The event was attended by seven students interested in applying to the residency in the fall, and the panel was able to field numerous questions. The students indicated this session was especially helpful in planning their applications. Those interested in learning more about the UWSMPH Department of Radiology Residency Program, please visit radiology.wisc.edu/education/residency/.

Successful Shapiro Summer Research Program Concludes with Virtual Twist

The Shapiro Summer Research Program allows medical students the opportunity to complete an original research project with a faculty mentor during the summer between their first and second year. Due to COVID-19, all 2020 Shapiro projects had to be completed remotely, but our Department of Radiology faculty mentors rose to the challenge. Eleven Shapiro Summer Research Students completed projects with seven faculty mentors, ranging from comprehensive literature reviews to 3D image reconstruction.

Dr. Drew Ross, MD, with the help of Katie Yang, MS, created a new Radiology Shapiro Summer Research Mentoring Program, which provided students with on-demand support to join professional societies, present at national conferences, and connect to the field of academic radiology. The program also built community among the students and faculty through biweekly Peer Mentoring meetings, in which students presented an elevator pitch-style take on their research and challenges they faced in the remote environment. Radiology faculty (Dr. Amy Fowler, Dr. Lori Mankowski Gettle, Dr. Jason Stephenson, and Dr. JP Yu) facilitated these sessions and helped students to develop solutions to the challenges that they faced.

The new Radiology Shapiro Summer Research Mentoring Program concluded with students presenting virtual of graphical abstracts of their projects. Faculty, fellows, residents, and medical students joined to watch students discuss their work. Congratulations to all the Radiology Shapiro Summer Research Students on their fantastic work, and thank you to all of faculty mentors and facilitators for making this program possible!

Dr. Burnside Receives ACR Grant to Support Clinical Informatics Research

Dr. Elizabeth Burnside
Dr. Elizabeth Burnside, Professor of Radiology and Associate Dean for Team Science and Interdisciplinary Research, was recently awarded a grant from the American College of Radiology (ACR). The ACR Fund for Collaborative Research in Imaging (FCRI) will support a multi-site project titled: Algorithms for Accurate Adaptive Audit Methods (A4M). As an extension of Dr. Burnside’s work in clinical informatics, the A4M project is designed to harness the power of artificial intelligence and medical imaging to advance breast cancer screening quality improvement. While breast cancer screening in the U.S. has effectively reduced overall breast cancer mortality, not all women have benefited. In the U.S., the lack of meaningful comprehensive quality improvement capabilities and persistent variability of practice, precludes evaluation and subsequent targeted improvements of mammography screening practices. Scalable and cost-effective approaches are needed to enable U.S. radiology practices and policy makers to better evaluate widespread breast cancer screening performance. Audits provide the opportunity to understand variability of practice and favorably influence quality of care. A recent Cochrane Review revealed that audit feedback can effectively improve professional performance and patient outcomes. The ACR National Mammography Database (NMD), currently provides mammography audit capabilities to over 400 practices throughout every region of the US. However, the NMD has substantial challenges related to incomplete capture of outcomes data. Developing algorithms to overcome the issue of incomplete data capture is a rapid and pragmatic solution, with the potential to increase the value of NMD as a tool for monitoring quality and outcomes in the near-term. Development of these adaptive audit algorithms would enable the NMD to more accurately measure radiologists’ performance. The A4M project has the capability to quickly and cost-effectively develop algorithms that empower the NMD to provide more accurate outcomes data to all mammography screening practices. The goal of the A4M project is to develop adaptive audit methods to account for incomplete outcomes data capture when calculating metrics on University of Wisconsin-Madison (UW Madison) breast cancer screening data. These methods will be validated on data from two additional sites: the Vermont Breast Cancer Surveillance System and the University of California-Davis (UC-Davis), both affiliated with the Breast Cancer Surveillance Consortium (BCSC). The realization of the potential to audit mammography screening widely and accurately could provide a foundation on which quality improvement initiatives could save thousands of lives per year in the U.S. The A4M project will be led by Dr. Burnside in collaboration with co-investigators Brian Sprague (Vermont Breast Cancer Surveillance System); Diana Miglioretti (UC-Davis); Janie Lee (University of Washington); and Amy Trentham-Dietz (University of Wisconsin-Madison).