UAB Insight Gynecology Volume 5 - Page 2

N E W P HYS I C I A N s P U B L I C AT I O N S O F N OT E Massad LS, Einstein MH, Huh WK, Katki HA, Kinney WK, Schiffman M, Solomon D, Wentzensen N, Lawson HW; 2012 ASCCP Consensus Guidelines Conference. “2012 updated consensus guidelines for the management of abnormal cervical cancer screening tests and cancer precursors.” Obstet Gynecol. 2013 Apr;121(4):829-46. Ellington DR, Polin MR, Szychowski JM, Deng L, Richter HE. “The effect of obesity on fecal incontinence symptom distress, quality of life and diagnostic testing measures in women.” Intl Urogynecol J. 2013 Oct;24(10):1733-8. UAB MEDICINE NEWS UAB Helps Develop New Tool: Virtual Pelvis in Immersive Learning Environment UAB pelvic medicine specialists have helped develop an innovative educational experience using virtual reality and immersive “walk-in” technology to enhance OB/GYN UAB’s IVF Success Rates Hit New Highs In the cave-like VisCube-SX laboratory, the holographic image of the pelvis and its complex anatomy of bones, pelvis and pelvic floor. vasculature, ligaments, muscles, and blood vessels is projected The results from a pilot study will be tested in a larger trial in front of the trainee, who stands before the image wearing that may add residents from other fields. Principal Investigator special polarized glasses to view the 3D effect. Trainees can Holly Richter, PhD, MD, says, “We believe this new learning view the rotatable image from multiple angles and with the tool, together with a new learning curriculum, will improve our click of a device can choose to see anatomical structures in residents’ knowledge and surgical confidence in the growing isolation and add other structures. The pilot study compared educational outcomes of traditional expertise and qualifications in treating pelvic floor, bladder, Program has recorded the highest success rates in its history. The virtual pelvis women should seek care from physicians with extensive Final data from 2012 confirms that the UAB In Vitro Fertilization residents’ understanding of the complex anatomy of the female field of female pelvic medicine and reconstructive surgery.” and vagina issues,” says Richter. “This is especially true in Wright Bates, MD, director of the Division of Reproductive urogynecology, where a range of nonsurgical and surgical Endocrinology and Infertility, credits the new technologically treatments is available. As women live longer, it is important that advanced IVF laboratory located in the UAB Women and Infants they know that there is specialized expertise to manage these Center and Laboratory Director Wes Edmonds, PhD, ELD. Bates conditions.” FPMRS was accredited in 2011 by the American says, “Although our overall pregnancy rate was remarkable, even Board of Medical Specialties (ABMS). FPMRS is now more impressive is the take-home baby rate for women less than supported by jointly accredited fellowship programs at UAB 35 years and women who used donor oocytes at any age.” IVF and 42 other institutions and is jointly boarded by the American Program Director Janet McLaren, MD, also notes that, despite Board of Obstetrics and Gynecology and the American Board of the record success, the complications of multiple pregnancies Urology. Board exams were first offered in 2013. were limited to one set of triplets from IVF in the last 2 years. The division conducts a comprehensive fertility workup of both All Ovarian Cancer Patients Offered Risk Assessment All patients at UAB clinics who have ovarian cancer now are teaching methods to the 3D immersive simulation. Results oriented physicians in the trial found the immersive, 3D system from pre- and post-tests were not statistically significant, exciting and overall easy to navigate: “This technology may but the virtual reality group did score better. The residents Austin Transitions to New Role in OB/GYN offered appointments at the Lynne Cohen and Norma Livingston be used to supplement traditional techniques to better prepare somewhat or strongly agreed that, with the exception of the Max Austin, MD, whose career spanned nearly 4 decades, has Preventive Care Program for Women’s Cancer at UAB. tomorrow’s surgeons and medical specialists.” complex vasculature component, the model could improve their retired from clinical practice in the Division of Gynecologic The clinic offers standard testing as well as next generation knowledge of anatomy and patient care. Oncology but will remain active in a new role as director of sequencing. All patients at the risk assessment clinic are tested philanthropic initiatives for the Department of Obstetrics and and undergo formal genetic counseling by a certified genetic Gynecology. “Max Austin had an outstanding career and has counselor. Gynecologic oncologist Jacob Estes, MD, clinic Ellington believes the model can also be used for training in provided great service to his patients and colleagues,” says codirector, says patients are offered a three-generation pedigree surgical procedures. He says, “As 3D technology advances and Division Director Ronald Alvarez, MD. “He also is known with the possibility of testing for other hereditary cancer Corey Shum and Eva Dennis, utilized the digital data from miniaturizes its components, we may be able to produce the VR for his dedication to education – he trained countless medical syndromes based on family history. Charles Leath, III, MD, Primal Pictures, Ltd, as well as resources from the Department F eatured c l inica l T R I A L S CoPI David Ellington, MD, says that the young, spatially Department of Mechanical Engineering, including Lab Director Richter HE, Morgan SL, Gleason JL, Szychowski JM, Goode PS, Burgio KL. “Pelvic floor symptoms and bone mineral density in women undergoing osteoporosis evaluation.” Intl Urogynecol J. 2013 Oct;24(10):1663-9. learning environment via special glasses, (Oculus VR, Irvine, students, residents, and fellows, including many of our current recently joined the clinic as one of the consulting physicians. of Radiology, to create the virtual pelvis within the immersive California) alone as opposed to going into the VisCube system, faculty of seven practicing gynecologic oncologists.” Austin will The clinic also utilizes nurse practitioners, genetic counselors, system, the VisCube-SX. making the system much more accessible to more people.” be working with Senior Director of Development Erica Hollins and research nurses to give patients comprehensive and to raise funds to support expanding basic research initiatives for individualized care. ovarian cancer, education, and training, and other departmental Estes is working on development and outreach priorities. He earned his MD degree a multi-institutional The Division of Urogynecology and Pelvic Reconstructive Surgery constructed the pilot study with 3D images from the educational software company Primal Pictures, Ltd (London). The staff from the Enabling Technology Laboratory within the TRINOVA-3. A Phase 3 Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of AMG386 with Paclitaxel and Carboplatin as Firstline Treatment of Subjects with FIGO Stage III-V Epithelial Ovarian, Primary Peritoneal or Fallopian Tube Cancers. NCT01493505. PI: Warner Huh, MD. Contact: Rachel Richardson, 205.934.6578. SUPER. A Multicenter Randomized Prolapse Trial comparing the effectiveness and safety of two transvaginal apical suspension strategies for uterovaginal prolapse: mesh augmented hysteropexy vs. vaginal hysterectomy and uterosacral ligament suspension. NCT01802281. PI: Holly Richter, PhD, MD. Contact: Velria Willis, 205.975.8522. 2 Michelle Khan, MD, MPH, has been appointed as an assistant professor in the Department of Obstetrics and Gynecology’s Division of Women’s Reproductive Healthcare. Khan earned her MD and MPH degrees from the Robert Wood Johnson Medical School and School of Public Health, respectively, of the University of Medicine and Dentistry of New Jersey (now Rutgers Biomedical and Health Sciences). She was a HHMI-NIH Research Scholar for 2 years at the National Cancer Institute in Rockville, Maryland. Khan served an internship and completed an obstetrics and gynecology residency at Johns Hopkins Hospital, Bal timore, and a fellowship in reproductive infectious disease at the University of California San Francisco. Her clinical and research interests include human papillomavirus, HIV, anogenital dysplasia, screening and treatment for cervical precancer and cancer, reproductive tract and pelvic infections, and prevention of preterm birth. F or R eferra l s : 8 0 0 . 8 2 2 . 6 4 7 8 The findings will be presented at the 2014 annual meeting of the Society of Gynecologic Surgeons. continued from cover partners and tailors a treatment plan for each couple. recommended to have genetic testing and counseling and are trials in association with several adult Network Groups as well preclinical laboratories will be invaluable in exploring the from what is now the UAB School of Medicine in 1967, immense scientific opportunities this new structure presents and completed internship at Mobile General Hospital and residencies examining a new NCTN. help develop new personalized cancer prevention and therapeutic at Grady Memorial Hospital, Atlanta, and at UAB. He completed education tool that approaches. Multimodality groups with adequate resources are a gynecologic oncology fellowship at UAB in 1975. increases awareness M e asu r e s of S ucc e ss collaboration as substantial accrual to clinical trials conducted across the entire The UAB CCC is known for its ability to shepherd investigator-initiated discoveries from its basic science programs best suited to manage trials in the new environment and provide into clinical trials and is or has been home to NCI SPORE for rapid and effective transfer of new treatments to patient care.” awards in Breast, Pancreas, Cervical, Ovarian, and Brain In the GOG, Alvarez is cochair of the committee that reviews 3 in New Pelvic Disorders Specialty Three physicians from the Department of Obstetrics and and approves its clinical trials and leads a phase 2 GOG trial Gynecology were among those who recently received evaluating a novel IL-12 expressing lipopolymer in patients with certification in a new subspecialty, Female Pelvic Medicine and based more on understanding the genetics and environmental recurrent ovarian cancer; colleague Warner Huh, MD, directs Reconstructive Surgery (FPMRS). Holly Richter, MD, Robert factors that put patients at risk for cancer and the molecular a phase 1/2 trial investigating a novel listeria-based vaccine in Varner Jr, MD, and Robert Holley, MD, all of the Division of biology associated with each individual cancer,” says Alvarez. patients with recurrent cervical cancer. of hereditary breast and ovarian cancer syndrome and Ashley Wright, MD, has joined the Department of Obstetrics and Gynecology as an assistant professor in the Division of Women’s Reproductive Healthcare. She earned her MD degree at the UAB School of Medicine and completed a residency in obstetrics and gynecology at the University of Kentucky, Lexington. Wright’s clinical and research interests include benign gynecologic surgery and preconception counseling. UAB  Gynecologic  Oncology   2008-­‐2012  Pa6ent  Volume     3,000   2,500   2,000   1,500   Urogynecology and Pelvic Reconstructive Surgery, received cancers. “Oncology has been evolving into a more complex discipline “UAB’s comprehensive medical training programs and FPMRS certificates. “As with any subspecialty medical issue, potentially leads to testing of high risk individuals.  1,000   500   0   Ovarian  Cancer   Endometrial  Cancer   Cervical  Cancer   Each year, the GYN-Oncology division sees approximately 8000 patients, including 1500 new patients, and performs about 1600 surgical cases, including over 400 robotic cases. M ore I nformation : u a b m e d i c i n e . o r g / p h y s i c i a n 3