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2013 Plenary Sessions & Masterclass

Saturday 5th October

Opening Keynote Address

Life Sciences: Medical research needs a new imageProfessor Richard Trembath

The NHS and UK clinical academia both face turbulence that requires system wide change.

The NHS faces an unprecedented demand to respond to the requirements of an ageing population combined with nationwide variation in birth rate. Health care needs to be delivered in the context of a still immature IT infrastructure and addressed within a cash constrained system, placing opportunities for innovation at risk. As an additional driver for change, the business model for health care in the UK and globally likely requires reconstruction. This will move from an open door single provider industry to a system now offering plurality, integration with multiple commissioning bodies, broader industry, including big Pharma, and the potential for any qualified provider to seek resource from and contribute to the nations health economy.

The UK academic sector has continued to over reach in achievement as international leaders in Life Sciences.  This combines arts and humanities, social science, clinical and molecular medicine and therapeutics with engineering mathematics.  Examples include the recent launch of Genome England, a massive £100 million programme that seeks to perform sequencing of the entire human DNA genome for each of 100,000 NHS patients. The programme will combine the genome data with electronic health care records and real time images of patients, medical photography, MRI, CT and PET. This represents a "Big Data" project beyond proposals previously imagined. The concepts and the methods for data integration and interrogation will require new approaches to education and training. Should we be able to develop, and importantly illustrate, a joined up vision for population health combined with Life Science innovation that enables a global vision for health and wealth creation, the potential for a sustainable NHS might still be realised.

The opportunities for medical illustrators to play a significant role as such programmes move forward are not to be missed.

Professor Richard Trembath, F Med Sci, took up the post as Vice Principal and Executive Dean (Health) at Queen Mary University School of Medicine on 1st September 2011.  Prior to this appointment he was the Director of the NIHR Comprehensive Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust and Head of the KCL Division of Genetics & Molecular Medicine at King’s College London. He is an Honorary Consultant in Clinical Genetics at the Genetics Centre, at Guy's Hospital.  He is a Senior Investigator for the National Institute of Health Research, a former Clinical Academic Group Lead within King’s Health Partners and a Fellow of the Academy of Medical Sciences.

He trained in Medicine at Guy's Hospital Medical School and undertook postgraduate studies at the Institute of Child Health, London before to moving to the Department of Genetics at the University of Leicester in 1992. He was appointed to the Foundation Chair of Medical Genetics in Leicester in 1998. Professor Trembath serves on Advisory and Editorial Boards and Committees of numerous national and international journals and academic societies.  He is past President of The British Society of Human Genetics.


Closing Keynote Address

Richard III – Using Modern Forensic Imaging Tools to Determine Cause of Death - Professor Sarah Hainsworth

 The search for Richard III was a project that was a three-way collaboration between the University of Leicester Archaeological Services (ULAS), Leicester City Council and the Richard III Society.  The goal of the project was to find the location of Greyfriars, the Friary church in Leicester, which Philippa Langley of the Richard III Society hoped was the last resting place of Richard III.  Permission was given to dig in a Social Services Car Park in Leicester in August 2012.  Initially three trenches were dug and human skeletons were found in two of the trenches.  The skeleton in the first trench was that of an articulated male skeleton, and when it was fully excavated, the skeleton was shown to have scoliosis of the spine.  Carbon dating of the remains showed that they were consistent with a skeleton aged from between 1450-1540 AD.  Subsequent DNA testing confirmed the remains as those of Richard III when compared to DNA samples from known contemporary relatives.  A number of modern forensic analysis techniques have been used to investigate the remains, including medical X-ray computed tomography and micro-computed tomography.  The talk will discuss the project findings and discuss in detail the medical and engineering imaging tools used for investigating the wounds that the skeleton sustained.  These will be related to the weapons of the time of the Battle of Bosworth in 1485 to consider how Richard met his death on the battlefield.

Professor Sarah Hainsworth Is Graduate Dean at the University of Leicester and a Professor of Materials Engineering. She is responsible for the postgraduate research and taught postgraduate provision at the University. Her research interests are in forensic engineering related to stabbing and dismemberment, materials characterization, automotive tribology, and materials for future power plants.  Sarah is a Chartered Engineer, a Chartered Scientist and Fellow of the Institute of Materials, Minerals and Mining.  In 2009 she was named as one of the Women’s Engineering Society’s Inspiring Technical Women.  Sarah was part of the team of people who applied modern forensic engineering and science tools to investigate the bones of Richard III with particular reference to understanding the wounds on the skeleton and relating those to the weapons that could have been used.



Painting with Light – Professor Michael Peres from the Rochester Institute of Technology

Started in December 1987 as a Biomedical Photographic Communications department extracurricular photography event, the RIT Big Shot has become a signature University event. This presentation will show the 28 minute national Public Braodcasting System documentary. Professor Michael Peres will also discuss the recently completed 28th project and lead a discussion how IMI delegates will paint with light the Embrace the Arts  building  at the University of Leicester following the presentation.

Michael Peres is a professor of biomedical photographic communications at Rochester Institute of Technology.  He joined the faculty in 1986. Peres teaches photomicrography, biomedical photography and other related applications of photography used to support research and discovery in science.  He served as the chair of the department from 1989 until June 2010 when he was appointed associate administrative chair of the School of Photographic Arts and Sciences.

Peres has enjoyed a varied photographic career working and living in a number of cities since 1974. He has been actively publishing most of his career and in 2007 served as the editor-in-chief of the Focal Encyclopedia of Photography – 4th Edition. Some of his current professional activities include being one of the coordinators for the RIT Images from Science and RIT Big Shot projects.

Peres has received numerous awards including the RIT Eisenhart outstanding faculty teaching award and the Gitner prize presented two times by the RIT
for outstanding achievement in the graphic arts. In 2007 Peres was awarded the Schmidt medal by the BioCommunications Association.  Michael holds a
masters degree in instructional technology and bachelors degrees in biology and biomedical photographic communications. He is also a board certified
biomedical photographer



Morning Meditation - Carol Beckerman

 It is a pleasure to start each day of the conference, during this 45th year of the IMI, in a group meditation.

 As medical illustrators, photographers, videographers and designers, we are a very unique group of people, for each day we fully engage both sides of our brain as we bridge the gap between science and the creative arts.

But where do we go for creative inspiration as we digest the complexities of the scientific issue before us? For some, just listening to, or observing the science is enough to provide the creative spark. Others enjoy a walk in the woods, listening to music, or just letting the problem at hand percolate for a few days (unless the deadline looms). Another way to reach that place in our brains that unleashes the creation of a new neural network, is to meditate.

Meditation has been defined as a way to quiet the mind, connect with our inner self, or to induce a specific level of consciousness. It has been used for centuries within most spiritual and religious settings. And just this past February, the Guardian reported the NHS roll out of mindfulness meditation as a treatment option for depression, anxiety and chronic pain. At the same time, the Veterans Administration in the US is beginning to use   Transcendental Medicine to treat posttraumatic stress disorder.

In this age of over stimulation, it is a useful tool for everyone to disconnect from the constant barrage of emails, texts, Facebook updates, unending work deadlines and family responsibilities. Meditation is a unique and important gift that we can give ourselves.

 After a brief presentation of some of the latest scientific findings, we will get comfortable, close the doors to latecomers and begin our meditation. I look forward to guiding you to a place of stillness where you can, even if only for a short time, quiet the noise of your mind. Then we can all re-enter refreshed, into the wonderful world of learning and sharing that takes place at an IMI conference.

Carol Beckerman was first introduced to the practice of meditation in her early teen years, when, as a ardent Beatles fan she followed the group’s lead and was initiated into the practice of Transcendental Meditation. She found that daily meditation provided her with insight into different levels of consciousness, as well as helping her through the tumultuous teen years. She lost touch with this practice as she juggled a packed college schedule and full time work.

After completing a Master of Arts Degree in Medical Illustration and Photography from the California State University, Long Beach, she was initially employed in a teaching hospital first as a medical illustrator, and later as a producer/director in video production.

Over the years, as her career evolved into medical marketing communications she tried unsuccessfully to return to the practice of Transcendental Meditation. She then experimented with other forms of meditation, some based on breathing techniques and others on guided imagery. However, the daily practice never stuck.

Not until she dove into the world of quantum physics. After one year of study and trying to once again establish a daily practice of meditation, she completed a 5-day meditation retreat based on the principles of neuroscience and quantum physics. As someone who has worked in the health sciences her entire life, she is delighted to have found a path that closes the gap between science and spirit. 

Through the power of meditation, she looks forward to the group collectively creating an amazing beginning to each day of the conference.


Plenary Sessions 


Photography Led AMD Review Clinics.  Expanding Roles. Addressing Capacity  - Richard Hancock

Due to an ever increasing demand for ARMD diagnostics, increased clinical capacity and a desire to reduce risk of patients lost to follow up, we have introduced Ophthalmic Photographer led ARMD clinics. Patients attend a follow up appointment following recent treatment episodes and are assessed by the Ophthalmic Photographer without doctor involvement. Treatment is now undertaken by using injections of Anti Vascular Endothelial Growth Factor into the centre of the eye.  Using advanced retinal scanning technology (Optical Coherence Tomography), subtle or significant changes in the retinal tissue indicate whether the patient has responded to these intravitreal injections.  These high resolution scans show an increase or decrease in retinal fluid. It is from these scans that a decision to retreat or review in clinic is made.

This innovative model of care was the first of its type in the country, but the problem of capacity is a national one and is recognised as getting worse as new intravitreal treatments are being developed for other retinal diseases (eg diabetic maculopathy).  It is novel because we are utilising the latest technology available enabling us to scan the retina in minute detail and utilising the skills of the ophthalmic photographer in deciding a clinical outcome.

Richard is Service Manager for Ophthalmic and general Medical Photography. He was the first ophthalmic photographer in the UK to introduce photographer-led AMD review clinics. He has won several imaging awards for his work. He is an Honorary Fellow of OIA and is author of several published papers.



I photograph very tiny things – Michael Peres

Photographing snowflakes has become an important winter activity that began at the suggestion of one of my former students more than a decade ago. Rochester, New York can expect to receive an annual snowfall of more than 100 inches. Experience is a good teacher and over the years I have developed some basic methods for photographing snowflakes that relies on common equipment and some practical methods when working outside in the cold. While not a meteorologist, I have come to appreciate when conditions might be right for good a good snow. Many factors affect the formation of a “pretty” snowflake and the occurrence of great flakes is actually a rather random event during our long winter season. In this presentation, I will share basic methods and thoughts on how to make photomicrographs of this interesting subject matter.



 How the World Health Organization communicates health research evidence - Jamie Guth

This is a presentation on how the World Health Organization communicates health research evidence. Jamie Guth, the Manager of Communications for TDR, the Special Programme for Research and Training in Tropical Diseases, will provide an overview of the strategy, how it is implemented, the tools used and some examples. It will focus on methods to communicate research evidence for use in poor countries, for improved uptake of new tools (like new drugs or diagnostics) as well as improved health services.

Jamie Guth joined TDR, the Special Programme for Research and Training in Tropical Diseases, as Manager of Communications in 2005. TDR is based in Geneva, Switzerland, where it is co-sponsored by the World Health Organization, UNICEF, UNDP and the World Bank, with the focus on supporting health research to reduce poverty. Prior to joining TDR Jamie was Director of Public A?airs/Marketing for the Dartmouth-Hitchcock Medical Center, an academic medical centre in New Hampshire, USA where she was responsible for marketing, media relations, publications, web development and media services. She has also held a variety of positions at a CBS a?liate in Michigan, USA, ranging from reporter to producer of a monthly magazine programme. Jamie has been a reviewer of National Institutes of Health multimedia grants, given presentations on writing for television, web site development, branding and marketing, and been a board member and president of the Health Sciences Communications Association, USA.




 Shooting HD Video with DSLR Cameras - Keven Siegert

Shooting HD video with a DSLR camera has many benefits but also some drawbacks that videographers and digital filmmakers must be knowledgeable about in order to get professional results. This session will provide an overview of the DSLR video tools and process.  Attendees will learn about elements of shooting styles, real-world tips and techniques, and advice on postproduction workflow.

Keven Siegert has been producing biomedical video projects for almost thirty years. He is currently the Director of Media Services for the University of Arizona College of Medicine - Phoenix, in Phoenix, Arizona, USA. Keven is also an independent artist and producer at Telepathic Stuntman



 Dermatoscopy: to cross-polarise, or not to cross-polarise, that is the question. - Amy Lake and Bolette Jones

Dermatoscopy is a technique commonly used in the diagnosis of pigmented skin lesions; it can improve diagnostic accuracy of lesions if clinicians are trained in this field. There are two types of dermatoscopy, non-polarised and cross-polarised and literature suggests that there may be visual differences between these two methods.

Dermatologists in the Welsh Institute of Dermatology, Cardiff and Vale University Local Health Board, often use dermatoscopes during clinical consultations and have requested a dermatoscopy photography service. As visual differences have been identified between non-polarised and cross-polarised dermatoscopy, further research was necessary to determine the most appropriate dermatoscope for the service.

Amy is the Lecturer and Programme Coordinator for the Postgraduate Certificate in Medical Illustration at Cardiff University. With 12 years experience in the profession, she has gained an MSC in Medical Illustration, a PGCE, published papers and received awards from the Institute for her photographic work. Amy is on the Education Committee, the permanent conference team, the Editorial Board for the Journal of Visual Communication in Medicine and for the last two years has been one of two people organising and running IMI Summer School.

Bolette is the Head of Photography in the Media Resources Centre, Cardiff and Vale University Local Health Board. With 23 years experience in the profession she has gained an MSC in Medical Illustration and various management qualifications. In recent years Bolette has been on IMI Council, a Director for CAMIP, was part of the conference team in Crewe 2009 and is a QAS assessor. She has published papers and received awards from the Institute for her photographic work. In 2012 Bolette received the Informa Healthcare Award and the Peter Hansell Medal for her article on ‘BresDex: helping women make a breast cancer surgery choice’.



Hidden Beauty: Exploring the Aesthetics of Medical Science - Norm Barker

The great polymath William Henry Fox Talbot, voiced in 1840 that the newly invented photographic process "would make every man his own publisher and printer." How true! Norm will discuss his latest book Hidden Beauty: Exploring the Aesthetics of Medical Science by taking a survey of the current publishing climate from hard cover to IPad. Looking at the pros and cons of self-publishing versus dealing with large publishers as well as issues of book design and marketing to get your project out to a wider audience.

Norm Barker is an associate professor of Pathology and Art as Applied to Medicine at the Johns Hopkins University, School of Medicine. A graduate of The Maryland Institute College of Art, he also holds a M.S. from Johns Hopkins University in education as well as a M.A. from The University of Baltimore in publications design. His photographs are in the permanent collections of more than forty museums including The Smithsonian, The George Eastman House, The American Museum of Natural History, The Nelson-Atkins Museum and The Science Museum in London.



Cross Polarisation, Making it Practical - Nathan Edwards

The speaker investigated the use of cross polarisation for day-to-day use after a request from a clinician to remove specular highlights from intra-oral photographs. This talk evaluates camera and light source devices for image capture using cross-polarisation. Following this it defines ways to calibrate the camera to the correct white balance. It then develops by carrying out a series of test to define the point of influence in regard to signal to noise ratio.

These test showed that certain cameras Anti-aliasing filters are more prominent than others and therefore can have a significant affect. In conclusion, when the appropriate equipment is employed, cross-polarisation is a viable and practical technique that has application within the Medical, Scientific, and Forensic fields.

Nathan Edwards is based at the Dental Illustration Unit of the School of Dentistry at Cardiff University, Wales. He has worked in clinical photography for over nine years, specializing in dental and forensic dental photography work.



A UK-wide photography and video service for Personal Injury lawyers. - Simon Brown

The author has been providing a UK-wide one-stop service for personal injury lawyers for seven years. Several hundred clients have now been photographed, or documented with video recordings, either by the author or through a network of medical illustration departments and individuals around the UK. Many departments have welcomed this as an additional income stream.

This presentation will describe how the network has been built up and extended to its current state, the interpretation and delivery of instructions from lawyers and the variety of situations encountered. The method for photography in clients’ homes and places of work can be significantly different to that used in clinics and wards and this will be described.

Simon Brown is a Fellow of IMI and a past Chairman and has been involved in IMI activities and education for thirty years. Since 2006 he has run his own business of medical photography and video, consultancy and training.



 Enhancing the Haling Environments at CMFT - Manchester’s involvement - Geraldine Thompson

The Department of Health has commissioned The King’s Fund to develop a number of specific programmes to enhance the environment of care as part of its work to improve the patient experience throughout hospitals.  The latest of these is a programme to improve the care environment for people with dementia to support the implementation of the national dementia strategy.  The author has been involved in several steering committees throughout Central Manchester’s Hospital designing and producing ‘health enhancing’ designs in collaboration with the Patient Experience Network and feedback received from parent forums and staff engagement sessions.  This has resulted in production of three bespoke ‘grand designs’ in three major areas of the hospital with more to come!

The session will cover the beginnings of the involvement in these projects and the process from concept to production through to final installation with examples.

Geraldine has worked in the NHS for 20 years and is the present Head of Clinical Photography & Medical Illustration Services for Central Manchester Hospitals NHS Trust a large Trust that covers 6 Hospitals and a large Medical Academic Campus.



How we use 'e-track' to upload medical photography results to the patient record. - Rachel Eden

Our aim is to link medical photographs directly to the patient's records in a similar way to their other results so that medical staff can access them wherever they are. We linked up with Information Systems and liaised with the Head of Department to use the bespoke e-track patient tracking software used at Peterborough. We will no longer print for notes or email images as e-track is accessible across the hospitals. We will be able to upload results almost immediately. In doing this we will cut down on post processing time, satisfy Information Governance and Caldicott principles and solve the problems with consent levels.

What we learned...this is on-going and to be launched in the next the lessons learned and problems we may encounter are yet to be seen but will be interesting to pass on to IMI.

Rachel is Senior/Lead Medical Photographer in a 2 person department covering all specialities including Ophthalmology. She has over 20 years experience working at Stoke-on-Trent, Hull and Stevenage.



MRSA and Infection Control Awareness for Clinical Photographers. - Tamsin Fawn

Infection prevention and control is high on the NHS agenda.  MRSA (methicillin resistant staphylococcus aureus) is the most common hospital acquired infection in the UK.  Clinical Photographers as a department work in a vast range of disciplines across the hospital and therefore have a high chance of spreading diseases if they are unaware of the prevention methods and precautions needed to prevent outbreaks of prevalent diseases.  Therefore as part of my BSc Clinical Photography degree at Westminster University I have researched and constructed an information booklet which details infection control protocols in regards to MRSA.  In addition to this I conducted a practical study into the best method of photographing MRSA bacteria in cultures as a direct comparison between manual photography and the emerging automated laboratory systems.  The resulting photographs formed part of the information booklet.  In this paper I will briefly outline infection control and MRSA in addition to discussing the findings of my project.  These finding will aid clinical photographers to minimise infection spreading in all areas of the hospital environment in addition to detailing the best methods in which to photograph infectious bacteria in microbiology settings.

‘After two weeks placement at Salisbury District Hospital I was inspired to fulfil a career in Medical Photography. Since then I have been undergoing the Clinical Photography degree at Westminster University with graduation scheduled for July 2013. I am extremely excited about entering the industry upon graduation.’



My experiences and considerations when designing and producing a mobile app - Vincent Harding

The talk aims to provide you with a brief insight into my processes, experiences and considerations, when both designing and getting a mobile app hosted – specifically on the Apple App Store. 

I’m a Senior Graphic and Web Designer for UCL, based within Great Ormond Street Hospital.  I have worked in the industry for over 16 years (and the grey hairs to prove it) in both public and private sectors, but for the last 10 years my focus has been within health care. I am passionate about design and cake!



 Not-so-Smartphones? A survival guide to managing the use of personal devices for Clinical Photography - Lisa Fisher

There are growing reports and examples of widespread use of mobile phones and devices being used by clinicians for clinical photography purposes. This session will look at the risks and issues associated with this such as quality, encryption, cloud storage and Data Protection and how these have been used to develop a national IMI guidance policy for Clinical Photographers to ensure they can act and advise appropriately in compliance with Data Protection legislation.

The latter part of the session will be used as a forum to discuss how we can ensure we are in a position to influence the use of this technology within our organisations, determine clear boundaries of appropriate and controlled use thus ensuring this technology can, if used appropriately, contribute to useful clinical recordings.

By being actively involved in this process we can establish and promote our position within organisations as the clinical photography and image management experts.

Lisa Fisher, Manager of the Medical Illustration Department at South Tees Hospitals NHS Foundation Trust, qualified as a clinical photographer in 2001 having trained at Leeds and Bradford hospitals. Lisa has been an IMI Council member since 2010 and in this role has led a team in the development of a mobile phone/device policy which is the topic of her presentation.

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