27th ISMRM Annual Meeting • 11-16 May 2019 • Montréal, QC, Canada

Weekend Educational Session
Gynecology
&
Bowel

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Gynecology
Weekend Course

ORGANIZERS: Reiko Woodhams, Utaroh Motosugi

 
Sunday, 12 May 2019
Room 512A-H  13:30 - 14:50 Moderators:  Evis Sala, Reiko Woodhams

Skill Level: Basic to Intermediate

Session Number: WE-25A

Overview
MRI plays a pivotal role in the evaluation of the female pelvis. MRI is a key technique for assessing for Mullerian duct anomalies and for sources of pelvic pain. It also plays a critical role in preoperative staging and treatment planning of gynecologic cancers. In this session, a broad variety of clinical topics in female pelvic imaging will be presented.

Target Audience
Clinical radiologists and PhD scientists interested in female pelvis imaging.

Educational Objectives
As a result of attending this course, participants should be able to:
- Identify clinically relevant anatomic variants of the female genital tract;
- Describe key MRI findings relevant to gynecological treatment planning and staging;
- Recognize MRI features of endometriosis; and
- Categorize and compare various causes of acute pelvic pain based on MRI.
 

 

 
13:30
 
  Congenital Anomaly
Aki Kido
Müllerian duct anomalies (MDAs) are broad spectrum of developmental anomalies and its classification system is proposed by American Society for Reproductive Medicine. Ultrasound and Hysterosalpingography are the initial modalities, but MRI is superior by its high soft tissue contrast and multiplanar imaging capabilities. Accurate classification of MDAs is important as surgical treatment may varies among MDA subtypes. In this lecture, each type of MDAs are overviewed with embryological aspect and imaging findings will be explained with actual cases with MR images.

 
13:50
 
  Cervical & Endometrial Cancer
Caroline Reinhold
This presentation will review the role of MRI in the staging of endometrial and cervical carcinoma, present the 2018 FIGO staging updates for cervical carcinoma, review the imaging protocol and briefly present future directions.

 
14:10
 
  Acute Gynecologic Disease
Victoria Chernyak
This presentation will review MRI appearance of acute gynecologic conditions, both in pregnant and nonpregnant patients.

 
14:25
 
  Self Assessment Module (SAM)
14:30
 
  Endometriosis
Nicole Hindman
Endometriosis is a common but occult cause of chronic pelvic pain in women.  Being able to recognize the appearance and spectrum of endometriosis, particularly deep infiltrating endometriosis, on MR imaging offers incredible value to referring physicians.  This talk will review the typical and unusual appearances of deep infiltrating endometriosis on MRI.

 
14:50
 
  Break & Meet the Teachers
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Bowel
Weekend Course

ORGANIZERS: Kartik Jhaveri, Kathryn Fowler, Utaroh Motosugi

 
Sunday, 12 May 2019
Room 512A-H  15:20 - 16:40 Moderators:  Caroline Reinhold, Mary-Louise Greer

Skill Level: Basic to Intermediate

Session Number: WE-25B

Overview
In this session, we provide a comprehensive overview of state-of- the-art bowel MRI including rectal cancer staging, rectal cancer treatment, enterography, and perianal disease. Advanced protocols and applications will be reviewed.

Target Audience
Radiologists and researchers interested in imaging of small bowel, rectal, and perianal disease.

Educational Objectives
As a result of attending this course, participants should be able to:
- Describe state of the art protocols for rectal cancer, enterography, and perianal disease;
- Identify applications for MRI of the small/large bowel; and
- Explain the role of MRI in the management of patients with rectal cancer, Crohn's disease, and perianal disease.
 

 

 
15:20
 
  Rectal Cancer Staging
Akira Furukawa, Akitoshi Inoue, Takako Shirakawa
MRI diagnosis of rectal cancer will be reviewed regarding 1) Anatomy of the rectum and per-rectal structure, 2)MR imaging technique for preoperative assessment of rectal cancer, 3) Important MR findings in preoperative assessment of rectal cancer, 4) Diagnostic accuracy of MR in rectal cancer. 

 
15:40
 
  Rectal Cancer Post-Treatment Assessment
Gina Brown
16:00
 
  Perianal Fistula MRI
Mukesh Harisinghani
MRI is useful modality to assess the surgical anatomy of anorectal fistulas. The information gathered from MRI influences the surgical approach and overall treatment.

 
16:20
 
  MR Enterography
Jonathan Dillman
MR enterography is critical to the diagnosis and continued assessment of children and adults with Crohn’s disease. In this talk, we will review how radiologists can maximize value when performing MR enterography through: 1) Standardized reporting, including meaningful impression statements, 2) Accurate assessment of intestinal inflammatory activity and therapy response, and 3) Detection and accurate characterization of Crohn’s disease-related complications and extra-intestinal manifestations. 
 

 
16:40
 
  Adjournment & Meet the Teachers
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