Joint Annual Meeting ISMRM-ESMRMB & ISMRT 31st Annual Meeting • 07-12 May 2022 • London, UK

2022 Joint Annual Meeting ISMRM-ESMRMB and 31st ISMRT Annual Meeting

Weekend Course

MRI of Moving Targets & Maturation

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MRI of Moving Targets & Maturation
Weekend Course
ORGANIZERS: Elizabeth Hecht, Dan Wu, Daniel Moses, Mary-Louise Greer
Saturday, 07 May 2022
ICC Capital Suite 7 & 12
08:00 -  12:00
Moderators: 
Optimizing the Patient Experience in Clinical MRI I: Dianna Bardo
Optimizing the Patient Experience in Clinical MRI II: Serena Counsell
Placental & Fetal MRI I: Oliver Wieben
Placental & Fetal MRI II: Christopher Macgowan
Skill Level: Basic to Intermediate
Session Number: WE-03
 

Session Number: WE-03

Overview
This course is intended to explore innovations in patient-centered care with respect to accommodating the needs of patients (adults, pediatric, and prenatal) for whom MRI is especially challenging. The course will also provide an overview of imaging approaches to placental/fetal development and disorders. We will review basic and advanced MRI protocols and post-processing tools that are used in clinical practice to diagnosis abnormal placentation and abnormalities of the developing fetal brain and spine. We will balance the technical overview with clinical case examples that will provide a practical review of the imaging features of commonly encountered placental and fetal abnormalities.

We will also introduce the audience to methods that can mitigate patient anxiety in the MRI scanner and reduce the need for anesthesia and expand patient access. While pediatric and in-utero case scenarios will be highlighted, this course will address solutions for patients of any age regardless of condition.

Target Audience
This course is for physicians, technologists, and scientists interested in learning how to improve the patient experience for patients of all ages and who have a clinical interest in prenatal imaging.

Educational Objectives
As a result of attending this course, participants should be able to:
- Illustrate innovative strategies for improving the patient experience;
- Review the biology of placental development and the role of MRI in the diagnosis and management of placental abnormalities; and
- Discuss advances in fetal MR imaging and post-processing analysis and review clinical case examples of fetal neuroimaging.

    Optimizing the Patient Experience in Clinical MRI I
08:00   Strategies for Alleviating Anxiety & Minimizing Anesthesia in Pediatric MRI

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Maddy Artunduaga
08:30   Short & Sweet: Technical Solutions to Minimizing Motion

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Michael Gee
Motion is a common cause of image quality degradation in pediatric MRI and comes from a variety of sources. Motion artifacts can lead to difficulty visualizing small structures, incorrect apparent diffusion coefficient calculations on DWI, ghosting and blurring artifacts, and the need to repeat individual sequences or an entire exam. This talk will review current techniques to decrease patient motion, including fast imaging techniques, motion-robust sequences, indications for anesthesia/sedation, and motion correction technology. These strategies can all help reduce motion degradation and improve image quality during pediatric MRI.
    Optimizing the Patient Experience in Clinical MRI II
09:00   An Holistic Approach to Improving the Patient Experience: Low-Cost Solutions

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Nancy Beluk
09:30 Out-of-This-World Solutions (VR/AR) for Improving Education & Patient Care

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Jesse Courtier
Augmented reality (AR) and virtual reality (VR)  tools for radiology are starting to make a difference in real-world educational and clinical applications. This talk provides examples of real educational and clinical applications in the field of radiology with discussion of methods of implementation. 
  10:00   Break & Meet the Teachers
 
    Placental & Fetal MRI I
10:20   Placental MR: Structure & Function

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Anne Sorensen, Ditte Hansen, David Peters, Marianne Sinding, Jens Frøkjær
Placental relaxometry provides quantitative characterization of placental tissue. Placental dysfunction is associated with placental hypoxia, which can be depicted by placental relaxometry. Thus, this method provides direct evidence of placental dysfunction during pregnancy, which has the potential to improve pregnancy outcome through optimal pregnancy monitoring and timely delivery. This session will cover a comparison of placental T1, T2 and T2* in the prediction placental dysfunction, a correlation between MR images and placental anatomy, and a summary of current pitfalls of placental relaxometry in terms of acquisition, processing, and interpretation.
10:40   Abnormal Placentation: Case-Based Review

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Priyanka Jha
Placenta Accreta Spectrum Disorder (PASD) is a life-threatening condition occuring in female patients who have previously undergone cesarean section or uterine instrumentation. In this condition, the placenta is strongly adherent to or invades the myometrium, without intervening decidua. It does not separate normally at the time of delivery, leading to catastrophic hemorrhage. Identifying the most frequent signs of PASD helps with diagnosis, including T2-dark intraplacental bands, placental/uterine bulge, loss of retroplacental T2-hypointense line, myometrial thinning and bladder wall interruption and focal exophytic mass and abnormal vascularization of placental bed. Presence of placental bulge is suggestive of higher grades of myoinvasion.
    Placental & Fetal MRI II
11:00   Emerging Patterns from Large-Scale MRI Studies of Human Placental & Fetal Development

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Christopher Kroenke
11:20   Fetal Post-Processing Analysis

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Ali Gholipour-Baboli
Advances in in-vivo fetal magnetic resonance imaging (MRI) have driven a vastly improved analysis of prenatal brain development, in-utero. In this presentation, we review post-acquisition processing techniques for fetal MRI. Our journey begins with a review of motion-corrected super-resolution slice-to-volume reconstruction techniques that have been at the center of the advances in fetal MRI. We will then discuss the applications of these techniques, including the construction of normative, spatiotemporal MRI atlases of the fetal brain, and techniques for image segmentation and group analysis. This talk covers techniques for the analysis of T2-weighted, diffusion-weighted, and functional MRI of the fetal brain.
11:40 Fetal Neuroimaging in Practice: An evidence - based rationale to analysis of fetal malformations producing vermis rotation and posterior fossa expansion

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Stacy Goergen
Risk - stratification  of fetuses with an upwardly rotated cerebellar vermis will improve prenatal counselling.

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