Joint Annual Meeting ISMRM-ESMRMB • 16-21 June 2018 • Paris, France

Weekend Educational Course
Body MRI: Realities & Controversies
Body MRI: Realities & Controversies: Other GI Imaging
Weekend Course

ORGANIZERS: Kathryn Fowler, Kartik Jhaveri, Lorenzo Mannelli, Valeria Panebianco, Scott Reeder, Reiko Woodhams

Saturday, 16 June 2018
S02  13:15 - 14:45 Moderators:  Jeffrey Brown, Naranamangalam Jagannathan

Skill Level: Intermediate

Session Number: WE-03C

Overview
This whole-day course provides an overview of current issues in MRI practice (safety, contrast, state-of-the-art imaging), areas for possible expansion, and educational sessions covering liver, pancreaticobiliary, and GI MRI. The final portion of the session attempts to provide a balanced view of new standardized lexicons that are used in MRI (BI-RADS, LI-RADS, PI-RADS).

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
As a result of attending this course, participants should be able to:
-Summarize new state-of-the-art equipment, sequences, and contrast agents used in Body MRI;
-Review areas of possible clincal practice expansion: thoracic MRI, emergency indications, and whole body imaging;
-Demonstrate the impact of MRI in diagnostic workup of liver and gastrointestinal disease processes; and
-Illustrate the role of standardized lexicon systems through a point and counterpoint approach.



13:15
DWI for the Pancreas
Yashihiko Fukukara
DWI reflects changes in water mobility caused by interactions with cell membranes, macromolecules, and alterations to the tissue environment. It enables quantitative assessment of tissue diffusivity based on the apparent diffusion coefficient. Advances in image quality have made DWI a routinely implemented clinical protocol for the pancreas, as it can be performed relatively quickly and has excellent contrast resolution without the administration of contrast agents. DWI is a promising technique for the evaluation of pancreas tumors, including detection, characterization, monitoring treatment response, and prediction of patient prognosis. Its role in the above mentioned clinical settings will be discussed.

13:37
  MR Enterography
Jordi Rimola
In this lecture we are going to discuss the key signs for detecting and grading active inflammation and characterizing complications, in particular strictures. We also highlight the current limitations of the technique and potential ways to overcome them.

13:59
  MRI of Perianal Fistula
Ellie Korngold
14:21
  Advances in Abdominal Imaging
Shreyas Vasanawala
14:45
  Break & Meet the Teachers
 
Body MRI: Realities & Controversies: Why Rads?
Weekend Course

ORGANIZERS: Kathryn Fowler, Kartik Jhaveri, Lorenzo Mannelli, Valeria Panebianco, Scott Reeder, Reiko Woodhams

Saturday, 16 June 2018
S02  15:15 - 16:45 Moderators:  Kathryn Fowler, Elizabeth Hecht

Skill Level: Intermediate

Session Number: WE-03D

Overview
This whole-day course provides an overview of current issues in MRI practice (safety, contrast, state-of-the-art imaging), areas for possible expansion, and educational sessions covering liver, pancreaticobiliary, and GI MRI. The final portion of the session attempts to provide a balanced view of new standardized lexicons that are used in MRI (BI-RADS, LI-RADS, PI-RADS).

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
As a result of attending this course, participants should be able to:
-Summarize new state-of-the-art equipment, sequences, and contrast agents used in Body MRI;
-Review areas of possible clinical practice expansion: thoracic MRI, emergency indications, and whole-body imaging;
-Demonstrate the impact of MRI in diagnostic workup of liver and gastrointestinal disease processes; and
-Illustrate the role of standardized lexicon systems through a point-and-counterpoint approach.



15:15
LI-RADS: Pro
An Tang
The Liver Imaging Reporting And Data System (LI-RADS) was developed to standardize the interpretation, reporting and data collection for imaging examinations in patients at risk for hepatocellular carcinoma (HCC). The system has been developed by committees composed of radiologists, hepatologists, pathologists, and surgeons. In this debate, we will discuss the reasons why LI-RADS is needed and the problems that it solves. In response to current limitations of LI-RADS, we will discuss strategies to address unmet needs and to refine the system in response to new scientific evidence and user feedback. 

15:37
LI-RADS: Con
John Leyendecker
LI-RADS is an important advance in standardization of HCC imaging and reporting. However, there are still many deficiencies that must be addressed for widespread implementation to succeed. This talk will highlight the concerns of LI-RADS users and the potential ways these concerns can be addressed in the future. 

15:59
PI-RADS: Pro
Francois Cornud, David EISS, Arnaud Lefevre
The PI-RADS  scoring system consists in a visual assessment to detect the presence of suspicious foci within the prostate. It has also been developped to describe signs of tumor extraprostatic extension. Diffusion Weighted Imaging (DWI) plays an unvaluable role to achieve this goal. Very high computed b-values allow to visually increase the conspicuity of tumor foci within the peripheral zone (PZ). DWI has also an important role to increase the sensitivity of T2W-MRI to localise tumor foci originating in the transition zone (TZ), without affecting the specificity. Dynamic Contrast Enhanced MRI plays a role to confirm the presence of a tumor in specific areas, like the  Anterior FibroMuscular Stroma or to detect signs of seminal vesicle invasion, which may remain undetected by DWI alone. 

16:21
  PI-RADS - Con
Alberto Vargas
This talk will emphasize the weaknesses of the Prostate Imaging Reporting and Data system, highlight areas of potential improvement, and discuss ways of dealing with commonly encountered limitations of the guideline in "real-life" scenarios

16:43
  MRI Diffuse Liver Disease
Shahid Hussain
17:00   SAMs: MRI Diffuse Liver Disease
17:05
  Adjournment & Meet the Teachers
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