ISMRM 25th Annual Meeting & Exhibition 22-27 April 2017 Honolulu, HI, USA

Sunrise Educational Session: Addressing Clinical Challenges in the Body with MRI
Sunrise Session

ORGANIZERS: Kathryn Fowler, M.D., Kartik Jhaveri, M.D., F.R.C.P.C., Lorenzo Mannelli, M.D., Ph.D. & Edwin J.R. van Beek, M.D., Ph.D., M.Ed., FRCR

Tuesday, 25 April 2017
Room 320  07:00 - 07:50 Moderators: Utaroh Motosugi, Mi-Suk Park

Skill Level: Basic

Slack Channel: #e_body
Session Number: STu08

This course discusses MRI characterization of diseases of the biliary ducts and pancreas. A comprehensive review of the clinical challenges and implications of assessing these disease will be presented. This course will focus on the value of MRI over other imaging modalities in characterizing pancreas and biliary ducts. The course will address cost-effective strategies for follow up of pancreatic and biliary ducts diseases with MRI to avoid ionizing radiation exposure.

Target Audience
This course is aimed at radiologists, imaging scientists and MR technologists who wish to learn about pancreatic and biliary ducts diseases and the use of MRI for evaluation of these diseases.

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

-Demonstrate the utility of MRI in the characterization and follow up of pancreatic and biliary diseases; and
-Illustrate the use of MRI to evaluate biliary and pancreatic diseases.

Jeong-Min Lee
Cholangiopathies refer to chronic diseases that involve cholangiocytes, which are the epithelial cells that line the bile ducts. These cells have an important role in the modification of bile volume and composition, are activated by interactions with endogenous and exogenous stimuli (eg, microorganisms, drugs), and participate in liver injury and repair. Cholangiopathies include entities such as primary biliary cholangitis (previously known as primary biliary cirrhosis), primary sclerosing cholangitis, IgG4-associated cholangitis, drug-induced cholangiopathy, secondary sclerosing cholangitis (ischemic, infectious (AIDS)), cystic fibrosis, ductal plate malformations and idiopathic adult ductopenia. Initial history taking, clinical examination and laboratory findings can reveal important elements for differential diagnosis. Cholangiopathies account for substantial morbidity and mortality given their progressive nature, and the difficulties associated with clinical management. Furthermore, they usually result in end-stage liver disease requiring liver transplant to extend survival. However, differential diagnosis is important, because specific management exists and prognosis can be different according to the type of disease. Furthermore, differentiating benign conditions from malignancy (cholangiocarcinoma) is important, since their treatment and prognosis vary. However, it still remains a big challenge for radiologists and clinicians.

Richard (Kinh Gian) Do

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.