An Update on Body MRI Protocols & Applications - ISMRM 24th Annual Meeting & Exhibition

ISMRM 24th Annual Meeting & Exhibition • 07-13 May 2016 • Singapore

Weekend Educational Course: An Update on Body MRI Protocols & Applications

Skill Level: Intermediate

Organizers: Ivan Pedrosa, M.D., Lorenzo Mannelli, M.D., Ph.D., Scott B. Reeder, M.D., Ph.D. & Edwin J.R. van Beek, M.D., Ph.D., M.Ed., FRCR

Saturday 07 May 2016

Overview
This whole-day course will provide an update of current Body MRI protocols and clinical applications for evaluation of diseases in the abdomen and pelvis. Speakers will emphasize on the technical requirements and the practical aspects in the implementation of state-of-the-art Body MRI techniques into routine clinical practice. A comprehensive review of contrast agents for body MRI will be presented. MRI protocols and indications for assessment of disease in the liver, bowel, and genitourinary tract will be discussed.

Target Audience
This course is aimed at radiologists, imaging scientists and MR technologists who wish to review the state-of-art MRI protocols and indications for assessment of disease in the abdomen and pelvis.

Educational Objectives
Upon completion of this course, participants should be able to:

Convey the equipment and software requirements to implement a clinical body MRI practice;
Illustrate an approach to diagnosing liver lesions;
Demonstrate the value of MRI in diagnosis of gastrointestinal disease; and

Illustrate the use of MRI in the diagnosis of genitourinary disease.

PROGRAM

Setting Up Your Body MRI Practice

Moderator: S. Sendhil Velan

08:00	Hardware, Patient Preparation, & Monitoring Considerations for Body MRI Richard Kinh Gian Do¹ ¹Radiology, Memorial Sloan Kettering, New York, NY, United States In clinical body MRI, diagnostic radiologists often make choices in hardware, patient preparation or monitoring that impact workflow or image quality. In this session, we will review choices with potential effects in your day-to-day clinical practice and go through scenarios centered on body MR protocols.
08:30	Optimize Your MRI Sequences for Abdomen & Pelvis Examinations David J Lomas¹ ¹Radiology, University of Cambridge & Addenbrooke's Hospital, Cambridge, United Kingdom The major factors that influence MR sequence optimisation for abdominal and pelvic exams will be outlined and discussed. Typical body and pelvic exams will be used to illustrate the key issues regarding selection of coils, imaging planes and sequence parameters.
09:00	Contrast Agents: Which one Should You Choose? Ruth P Lim¹ ¹Radiology, Austin Health, Australia Objectives: 1. To review chemical properties of commercially available gadolinium based contrast agents (GBCAs) 2. To review applications of commercially available GBCAs 3. To review current recommendations for safe use of GBCAs
09:30	Break & Meet the Teachers

Diagnostic Approach to Focal Liver Lesions

Moderator: Hebert Alberto Vargas

10:00		MRI of Lesions in the Non-Cirrhotic Liver Valerie Vilgrain
10:30		MRI Charaterization of Lesions in the Cirrhotic Liver Utaroh Motosugi The most frequent malignant tumor in cirrhotic liver is hepatocellular carcinoma (HCC). In a typical case, the imaging-based diagnosis of HCC is simple: hypervascular in arterial phase and washout in portal-venous/delayed phase. However, we often encounter atypical cases: hypovascular HCCs. Gadoxetic acid has advantage in hepatobiliary phase imaging, which helps distinguish HCC from pre-malignant lesion. “Hypovascular hypointense nodule in gadoxetic acid-enhanced MRI” is a new concept observed in cirrhotic patients, which suggests early HCC and develop hypervascular (typical) HCC subsequently. In this lecture, I will cover hypovascular HCCs with a special emphasis on “hypovascular hypointense nodule”.

Gastrointestinal

Moderators: Suraj Serai

11:00		MR Enterography - Permission Withheld Jordi Rimola¹ ¹Radiology, Hospital Clínic Barcelona, Spain
11:30		Rectal CA Staging - Permission Withheld Bertrand Ang Highlights · Use of MRI for rectal carcinoma staging and learn the clinical and therapeutic implications of rectal carcinoma Target Audience: Radiologists and MRI technicians. Objectives: Understand the anatomical and pathological basis for MRI rectal carcinoma staging and its impact on therapeutic options. Methods: Basic anatomy and pathology of rectal carcinoma will be introduced followed by case examples. Results: Participants will be able to understand the important anatomical and pathological MRI findings in rectal carcinoma.
12:00		Lunch & Meet the Teachers

Pelvis MRI

Moderator: Vikas Gulani

13:30		Uterus: Benign Disease Tracy Jaffe
14:00		Uterus: Malignant Disease - Permission Withheld Yulia Lakhman¹ ¹Radiology, Memorial Sloan Kettering Cancer Center This presentation will highlight the value of MRI for risk-stratification and appropriate treatment selection in patients with new diagnosis of endometrial and cervical cancer. It will also illustrate the central role of MRI prior to fertility sparing treatments in patients with endometrial and cervical cancer, respectively. At the end of the presentation, the attendees will be able to recognize and report clinically pertinent imaging findings when evaluating patients with new diagnosis of endometrial or cervical cancer. This information is important for the radiologist to serve as an effective consultant to the referring physician.
14:30		Adnexal Masses Helen Addley MR imaging of adnexal masses can optimally characterise lesions aiding treatment selection. This talk aims to discuss typical and unusual imaging appearances to guide the radiologist with discussion of imaging algorithms and clinical case discussion.
15:00		Break & Meet the Teachers

Genitourinary MRI

Moderator: Vikas Gulani

15:30		Adrenal & Renal MRI Hersh Chandarana¹ ¹NYU School of Medicine The role of radiologist and imaging is evolving from traditional role of identifying renal lesion and detecting enhancement, to predicting aggressiveness and biology of the renal tumor as well as providing operative guidance. MR imaging can play a very important role not only as a problem solving tool but also as a ‘first-line’ examination for assessment of renal tumors. Additional information garnered from MRI has a potential to significantly impact management by guiding therapeutic decisions.
16:00		MR Urography & Bladder CA Staging Hebert Alberto Vargas¹ ¹Memorial Sloan Kettering Cancer Center Urothelial cancer is the most common malignancy of the urinary tract. Most patients present with hematuria and undergo initial imaging with CT and/or ultrasound for the assessment of potential etiologies of this symptom. A cystoscopy and biopsy are necessary to confirm the diagnosis of bladder cancer. The potential role of MRI is to triage patients to different forms of treatment according to the cancer’s stage.
16:30		Adjourment & Meet the Teachers

The International Society for Magnetic Resonance in Medicine is accredited by the Accreditation Council for
Continuing Medical Education to provide continuing medical education for physicians.