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1.0. 0.8. 0.6. Sensitivity. 0.4. 0.2. 0.0. 0.0. 0.2. 0.4. 0.6. 0.8. 1.0. 1 - Specificity. ACRIN – Ten Excellent Years. ACRIN RA Sessions-2009. ACRIN Past and Future. Origins of ACRIN ACRIN’s initial organization Structure People Accomplishments The Future.
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1.0 0.8 0.6 Sensitivity 0.4 0.2 0.0 0.0 0.2 0.4 0.6 0.8 1.0 1 - Specificity ACRIN – Ten Excellent Years ACRIN RA Sessions-2009
ACRIN Past and Future • Origins of ACRIN • ACRIN’s initial organization • Structure • People • Accomplishments • The Future
ACRIN: The Beginning • 1997 – Dr. Robert Wittes convenes • two meetings to discuss the • “feasibility” of multi-center trials of • imaging • Growing importance of imaging to cancer care • Imaging as a marker of treatment response • Imaging to describe cancer biology
ACRIN: The Beginning • 1997 – Inception of NCI DIP (later BIP, now CIP) • Early 1998 – Issuance of RFA for a clinical trials “network” for imaging as it relates to cancer • Linked HQ and BC grants • Avoid the bureaucracy of established groups • Non-member
ACRIN: The Beginning • 1998 – ACR asked that I apply on behalf of ACR • Recruit C. Gatsonis • C. Olson as support staff • Organization of individuals and sites • Sept. 1998 – RFA awarded to ACRIN • Sept. 1998-March 1999 – Development of early infrastructure • Staff • Electronic communications • Bylaws and procedures
ACRIN’s Mission Conduct clinical trials of imaging technologies to improve the length and quality of the lives of cancer patients.
Early ACRIN Needs • What we had: • Passion about our mission • Good science • Growing interest from sites and researchers • What we needed: • Quality management • Fiscal planning and direction • Improved reliability • Advocacy
If you try some time, You might find You get what you need. - The Rolling Stones
ACRIN Accomplishments • 30 multi-center trials including signal trials that have changed cancer surveillance and care • High profile imaging screening trials • Trials of all applications of imaging Diagnosis Staging Screening Treatment Response Marker
ACRIN Accomplishments • A network of more than 200 qualified sites • Hundreds of researchers • Radiologists and other clinicians • Site RAs • Statisticians and methodologists • Patient advocates • ACR staff
ACRIN Accomplishments • Cadre of research associates to improve research in radiology departments • Active in all ACRIN activities • Education and training programs • Enhanced effectiveness for radiology research in the future
ACRIN Accomplishments • Patient Advocate Committee - advocacy participation and community outreach for imaging trials • Project IMPACT • Participation in all ACRIN trials and committees • Educate key decision makers of the importance of imaging to research and care
Well-Trained Clinical Researchers • “Laboratory” for research training and accomplishment • Further development of established researchers • Exposure and training for new clinical researchers
ACRIN Accomplishments • All electronic network with infrastructure, policies, and procedures • Data archive for secondary research and new product development • Dissemination of standards for conducting imaging trials • Improved awareness of the importance of imaging to cancer research and care
ACRIN Accomplishments Treatment Cooperative Groups Industry/ Foundations Patient Advocate Groups ACRIN Academia Government SPOREs Cancer Centers Community Hospitals and Clinics
The Future • 1999-2003: Target of opportunity • 2004-2007: Objective-driven • 2008-2013: Greater sophistication • Consistent with the progression toward molecular medicine and individualized cancer care • Targeted surveillance of at-risk populations • Characterization of cancer to drive targeted therapies • Predictive and prognostic biomarkers of cancer treatment
ACRIN Diversification • Achieve funding that allows for trials other than cancer – CV and CNS to start • ACRIN Fund for Innovative Imaging to diversify outside of cancer • Springboard to other funding • NHLBI • NINDS • ACR Image Metrix profits • PA-CURE and foundations
When a blind beetle crawls over the surface of a curved branch, it doesn’t notice that the track it has covered is indeed curved. - Albert Einstein