PRELIMINARY PROGRAM

Educational Objectives:

Upon completion of this workshop, participants should be able to:
  • Describe and explain normal brain development as seen by MR imaging;
  • Apply and interpret MR spectroscopy to probe metabolic changes in CWMD;
  • Design an appropriate MR imaging protocol to routinely detect CWMD;
  • Apply advanced MR techniques to differentiate CWMD;
  • Recognize CWMD and interpret MR images to provide a (differential) diagnosis;
  • Select and evaluate techniques to monitor evolutionand treatment of CWMD.
Wednesday, 11 September 2002
NORMAL WHITE MATTER IN NEONATES, INFANTS AND CHILDREN
08.00-09.00 REGISTRATION
09.00 Opening and Welcome
Frederick Barkhof, M.D., Ph.D., , Amsterdam, The Netherlands
09.00-09.30 From unmyelinated to myelinated white matter
- structural changes
- functional changes
- triggers for myelination
Bernard Zalc, M.D., Ph.D., Hôpital de la Salpêtrière, Paris, France
09.30-10.00 Biochemical changes associated with myelination
- changes in composition of white matter
- myelin maturation
Marie T. Vanier, M.D., Ph.D., Laboratoire Fondation Gillet-Merieux, Centre Hospitalier Lyon-Sud, Pierre Benite, France
10.00-10.30 Overview of conventional MRI in myelination
Charles A. Raybaud, M.D., Ph.D., Neuroradiologie, CHU Timone, Marseille, France
10.30-11.00

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11.00-11.30 Diffusion imaging and brain maturation
Volker Engelbrecht, M.D., Ph.D., Heinrich-Heine-University, Department of Diagnostic Radiology, Dusseldorf, Germany
11.30-12.00 Magnetization transfer and brain maturation
Joseph C. McGowan, Ph.D., United States Naval Academy, Electrical Engineering, Annapolis, Maryland, USA
12.00-12.30 MRS and brain maturation
- metabolites
- different regions
Petra Pouwels, Ph.D., VU Medical Centre, Department of Clinical Physics, Amsterdam, The Netherlands
12.30-14.00

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14.00-14.30 fMRI and brain maturation
Ernst Martin, M.D., University Children's Hospital, Neuroradiology & Magnetic Resonance, Zürich, Switzerland
14.30-15.00 New developments in MR
Peter Van Zijl, Ph.D., Johns Hopkins University Medical School, Department of Radiology, Baltimore, Maryland, USA
15.00-15.30

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15.30-17.00 Parallel Workshops (tutorials)
          1.  Basic principles of magnetization transfer
               Joseph C. McGowan, Ph.D., United States Naval Academy, Electrical Engineering, Annapolis, Maryland, USA
          2.  Basic principles of DWI
               Peter Van Zijl, Ph.D., Johns Hopkins University Medical School, Department of Radiology, Baltimore, Maryland, USA
          3.  Paradigms of fMRI in children
               Ernst Martin, M.D., University Children's Hospital, Neuroradiology & Magnetic Resonance, Zürich, Switzerland
Thursday, 12 September 2002

INFLAMMATORY WHITE MATTER DISORDERS IN CHILDREN

09.00-09.30 ADEM/MS
Folker Hanefeld, M.D., Georg-August-Universität, Kinderklinik & Poliklinik, Göttingen, Germany
09.30-10.00 Encephalitis
- AIDS
- viruses
- parasites
Charles A. Raybaud, M.D., Ph.D., Neuroradiologie, CHU Timone, Marseille, France
10.00-10.20 Congenital CMV
Marjo S. van der Knaap, M.D., Ph.D., VU Medical Centre, Department of Child Neurology, Amsterdam, The Netherlands
10.20-10.40 Vasculitis
Lishya Liauw, M.D., Leiden University Medical Center, Department of Radiology, Leiden, The Netherlands
10.40-11.00

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11.00-11.30 Lesson from MS research
David H. Miller, M.D., Institute of Neurology, NMR Research Unit, London, England, UK
HYPOXIC-ISCHEMIC WHITE MATTER DAMAGE
11.30-12.00 Concepts of regional vulnerability in neonates
Jane E. McGowan, M.D., Johns Hopkins School of Medicine, Division of Neonatology, Baltimore, Maryland, USA
12.00-12.30 Early and late MRI features of periventricular leukomalacia
Frederik Barkhof, M.D., Ph.D., VU Medical Centre, Amsterdam, The Netherlands
12.30-13.00 Contribution of MRS to the understanding of energy failure in the neonatal brain
Klaas Nicolay, Ph.D., Eindhoven University of Technology, Department of Biomedical Engineering, Eindhoven, The Netherlands
13.00-14.00

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14.00-15.30 Proffered papers (10 minute presentation + 5 minute discussion each):

1.       H-MR spectroscopic imaging in childhood leukoencephalopathy: semiquantitative regional analysis of metabolic changes in 52 children
Alberto Bizzi, M.D., Istituto Nazionale Neuro. 'C. Besta', Milan, Italy

2.       Quantitative MR spectroscopic imaging in Childhood ADEM: Comparison with Healthy Children and X-linked ALD
Ali Fatemi, M.D., Neurogenetics Research Center, Baltimore, MD, USA

3.       Regional distribution of WM volume increases in high-functioning autistic boys
Martha R. Herbert, M.D., Ph.D., Massachusetts General Hospital, Boston, MA, USA

4.       MRI measures in paediatric MS
Dr. Christopher Hicks, The Hospital for Sick Children, Toronto, ON, Canada

5.       Quantification of brain pathology in CTX using magnetisation transfer MRI
Dr. M. Inglese, University Ospedale San Raffaele, Milan, Italy

6.       18q-syndrome: clinical and MRI findings
Tarja Linnankivi, M.D., University of Helsinki, Helsinki, Finland

15.30-16.00

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16.00-17.15 Proffered papers (10 minute presentation + 5 minute discussion each):

7.       Characterization of white matter damage in juvenile multiple sclerosis using magnetization transfer and diffusion tensor MRI
Dr. Domenico Mezzapesa, University Ospedale San Raffaele, Milan, Italy

8.       Contralesional and Ipsilesional White Matter Hypoplasia Subsequent to Pre- and Perinatal Brain Injury: Evidence from Quantitative MRI
Dr. Pamela Moses, University of California, San Diego, San Diego, CA, USA

9.       Labrune’s disease. Additional cases studied by DWI and proton MRS
Lidia M. Nagae-Poetscher, M.D., Kennedy Krieger Institute, Baltimore, MD, USA

10.   Perfusion-weighted brain imaging of the neonate presenting with seizures
Dr. Mary Rutherford, Hammersmith Hospital, London, England, UK

11. 3D MRSI and DTI of the neonatal brain following birth asphyxia
Daniel B. Vigneron, Ph.D., University of California, San Francisco, CA, USA

Friday, 13 September 2002
HEREDITARY CHILDHOOD LEUKOENCEPHALOPATHIES
09.00-09.30 Different types of pathology underlying leukoencephalopathies on MRI
Jean-Jacques Martin, M.D., Ph.D., Universitaire Instelling Antwerpen, Antwerp, Belgium
09.30-10.00 Biochemical changes
- specific -- associated with a particular basic defect
- general -- associated with particular type of tissue damage

Marie T. Vanier, M.D., Ph.D., Laboratoire Fondation Gillet-Merieux, Centre Hospitalier Lyon-Sud, Pierre Benite, France
10.00-10.30 Role of MRI in the diagnosis – pattern recognition
Jacob Valk, M.D., Ph.D., VU Medical Centre, Department of Radiology, Amsterdam, The Netherlands
10.30-11.00

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11.00-11.30 MR in the definition of new white matter disorders
Marjo S. van der Knaap, M.D., Ph.D., VU Medical Centre, Department of Child Neurology, Amsterdam, The Netherlands
11.30-12.00 Post mortem MRI compared to histopathology
Patrick Van der Voorn, M.D., VU Medical Centre, Department of Pathology, Amsterdam, The Netherlands
12.00-12.30 MRS monitoring of leukoencephalopathies
Douglas L. Arnold, M.D., Montreal Neurological Institute, Montreal, Quebec, Canada
12.30-14.00

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Monitoring of Advanced Treatment Strategies with MR Techniques
14.00-14.30 Bone marrow transplantation in X-linked adrenoleukodystrophy (MRI, MRS, DTI)
Ali Fatemi, M.D., Neurogenetics Research Center, Kennedy Krieger Institute, Johns Hopkins Medical School, Baltimore, Maryland, USA
14.30-15.00 Monitoring of labeled transplanted oligodendrocytes in Pelizaeus Merzbacher disease
Jeff W. M. Bulte, Ph.D., Johns Hopkins University, Department of Radiology, Baltimore, Maryland, USA
15.00-15.30

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15.30-17.00 Plenary Workshop (Three presentations of 20 minutes each and a 30 minute plenary discussion)
          1.  Diffusion imaging in childhood leukoencephalopathies
              Volker Engelbrecht, M.D., Ph.D., Heinrich-Heine-University, Department of Diagnostic Radiology, Dusseldorf, Germany
          2.  Magnetization transfer applications in leukoencephalopathies
              Massimo Filippi, M.D., Scientific Institute HSR, Department of Neuroscience, Milan, Italy
          3.  MRS in diagnosis and monitoring of leukoencephalopathies
              Petra Pouwels, Ph.D., VU Medical Centre, Department of Clinical Physics, Amsterdam, The Netherlands
Posters (on display Wednesday and Thursday in the coffee and lunch areas)
D. Ben Bashat Study of white matter maturation from birth through adulthood using high b value diffusion weighted imaging
R. Carper

Increased white matter and gray matter volumes in young children with autism

F. Cowan White matter disease in perinatal asphyxia in the term infant -- what is the pattern of outcome?
H. D'Arceuil Diffusion Tensor MRI of neonatal cerebral development after hypoxia-ischema
C. Fonda 1H-MRS in a case of mitochondrial Neuro-Gastro-Intestinal Encephalomyopathy (MNGIE)
E. Jurkiewicz A case of extensive changes in CNS due to viral infections
E. Jurkiewicz Can proton magnetic resonance spectroscopy be of any value in detection of early brain changes in healty.......of patients with x-linked adrenoleukodystrophy.  Report of a familiar X-ALD case.
M. Lequin Neuroimaging of an uncommon cause of bacterial encephalitis in the neonatal period
T. Loenneker-Lammers MT compatible incubator for imaging pre- and term neonates
C. Majoie Diffusion-weighted and DTI in children with metabolic disorders
H. J. Mentzel Pediatric brain MRI in neurofibramatosis type 1 disorder
D. Mul Bilateral renal agenesis, cerebral angiodysplasia and esophageal atresia
B. Ter Rahe DTI in young infants with peroxismal disorders
R. Vermeulen Diffusion-weighted MRI in severe neonatal hypoxic: "The White Cerebrum"