Sunrise Course:
Unsolved Problems In Musculoskeletal MR:
What Do We Know and What Don't We Know?
Organizers: Christine Chung, M.D., Juerg Hodler, M.D., M.B.A., Timothy J. Mosher, M.D., Hollis G. Potter, M.D.
 
Skill Level: Advanced
 
Tuesday, 21 April 2009 - Friday, 24 April 2009
07:00 - 08:00

OVERVIEW
This four-hour course will discuss four clinically important MSK abnormalities: low back pain, rotator cuff abnormalities, wrist instability and internal derangements of the knee, with two speakers per topic. The first speaker will discuss MR abnormalities without or with limited clinical relevance, such as disk protrusion, increased signal within the supraspinatus tendon, minor perforations of the central part of the interosseous ligaments and increased signal limited to the substance of the menisci. The second speaker will discuss unsolved problems and unmet needs, which may include diagnosis of lumbar spine instability, limited diagnostic performance in diagnosing extrinsic ligaments of the wrist, determination of pennation angles of rotator cuff muscles and differentiation of the different structures of the posterolateral triangle of the knee.
 
EDUCATIONAL OBJECTIVES     
Upon completion of this case based session, participants should be able to:
  • Avoid over-diagnosis and over-treatment when performing MR imaging of the lumbar spine, rotator cuff, wrist and knee;
  • Describe the current developments potentially leading to more precise diagnosis of abnormalities in the lumbar spine, rotator cuff, wrist and knee; and
  • List 6 pitfalls which lead to over- or under-diagnosis in the lumbar spine, rotator cuff, wrist and knee.
 

Tuesday, 21 April 2009
     
  Low Back Pain  
07:00 MR Findings Without Clinical Significance Miriam A. Bredella, M.D.
07:30 Clinical Abnormalities Not Detectable on MR Images Michael T. Modic, M.D.
08:00 Adjournment  
     
Wednesday, 22 April 2009  
     
  Pain Related to Rotator Cuff Abnormalities  
07:00 MR Findings Without Clinical Significance Jenny Bencardino, M.D.
07:30 Clinical Abnormalities Not Detectable on MR Images Lynne S. Steinbach, M.D.
08:00 Adjournment  
     
Thursday, 23 April 2009  
     
  Wrist Instability  
07:00 MR Findings Without Clinical Significance Hiroshi Yoshioka, M.D., Ph.D.
07:30 Clinical Abnormalities Not Detectable on MR Images Kimberly K. Amrami, M.D.
08:00 Adjournment  
     
Friday, 24 April 2009  
     
  Internal Derangements of the Knee   
07:00 MR Findings Without Clinical Significance Christian Glaser, M.D.
07:30 Clinical Abnormalities Not Detectable on MR Images Christine Chung, M.D.
08:00 Adjournment