Joint Annual Meeting ISMRM-ESMRMB & ISMRT 31st Annual Meeting • 07-12 May 2022 • London, UK

2022 Joint Annual Meeting ISMRM-ESMRMB and 31st ISMRT Annual Meeting

Onsite Tutorial

SWOT (Strengths, Weaknesses, Opportunities & Threats) of Different Contrast Mechanisms Throughout the Brain & Body

Navigation: Back to Meeting HomeBack to Meeting Home Navigation: Back to Program-at-a-GlanceBack to the Program-at-a-Glance

SWOT (Strengths, Weaknesses, Opportunities & Threats) of Different Contrast Mechanisms Throughout the Brain & Body
Onsite Tutorial
ORGANIZERS: Els Fieremans, Henrik Odéen, Derek Jones
Sunday, 08 May 2022
N11 (Breakout B)
07:45 -  11:45
Moderators: 
Brain MRI: Sarah Morris
Spine MRI: Christopher Hess
Cardiac MRI: Chiara Bucciarelli-Ducci & Tobias Wech
Prostate MRI: Gregory Lemberskiy & Anwar Padhani
Skill Level: Basic to Intermediate
Session Number: ET-06
 

Session Number: ET-06

Overview
This tutorial comprises four distinct sessions focusing on the brain, spine, heart, and prostate.

At the start of each session, a radiologist will provide a tutorial introducing the relevant anatomy and describe their "standard clinical protocol." A physical scientist will then introduce additional contrast mechanisms that have been applied in that system. Each pair of speakers will then conduct a "SWOT" (strengths, weaknesses, opportunities, and threats) analysis, with the physicist promoting what they think are the strengths and opportunities of these additional techniques, and the clinician highlighting what they perceive to be the weaknesses/threats associated with the techniques from a clinical perspective.

Target Audience
This course is designed for both M.D.s and Ph.D.s, as it will facilitate an understanding of both sides of the coin when considering the utility of a contrast mechanism and the practicalities of translating from the bench to the bedside.

Educational Objectives
As a result of attending this course, participants should be able to:
- Identify areas and parts of interest in the different anatomies;
- Describe a current clinical protocol, including what pulse sequences/processing are used to visualize what part of the anatomy;
- Describe state-of-the-art pulse sequences and analysis methods which have not yet made it into everyday clinical practice; and
- Describe strengths and weaknesses of these approaches, and what added value these methods could provide to the clinician for diagnosis, prognosis, or treatment monitoring.

    Brain MRI
07:45   Brain MRI: The Clinician's View


Video Unavailable
Pek-Lan Khong
08:00   Brain MRI: The Physicist's View

View the Presentation

Daniel Gallichan
  08:15   Panel Discussion
 
    Spine MRI
08:40   Spine MRI: The Clinician's View

View the Presentation

Frederik Barkhof
Spinal cord MRI is important for the diagnosis and understanding disease mechanisms in multiple sclerosis (MS). Multiple short-segment non-enhancing lesions are pathognomonic for MS and longitudinally extensive transverse myelitis typical of NMOSD. The recommended clinical protocol must include at least 2 of the following 4 sagittal sequences: (i) T2w SE with moderately long TE; (ii) proton-density (turbo/fast) SE; (iii) STIR; iv) PSIR. The single acquisition of a T2w sequence is not sufficient, due to its limited sensitivity in depicting signal abnormalities and a second sequence (PD, STIR, PSIR) is required to confirm the presence of lesions and exclude artefacts
08:55   Spinal Cord MRI: The Physicist's View

View the Presentation

Virginie Callot
This presentation is intended to give a general overview of the most popular quantitative MR techniques used in the cord. Following a brief overview of the challenges encountered as compared to the brain, « classical » sequences such as DTI, MT and T1 relaxometry will be presented, followed by a few words about functional, metabolic and vascular techniques. Strengths, weakness, and opportunities, such as brought by ultra-high field, will be discussed as well.
  09:10   Panel Discussion
 
  09:35   Break & Meet the Teachers
 
    Cardiac MRI
09:55   Cardiac MRI: The Physician Scientist's View

Video Unavailable
David Sosnovik
Cardiovascular magnetic resonance (CMR) is playing an increasingly important role in clinical care and extremely promising techniques are being developed in the research community. However, a large gap in quality remains between scans obtained in controlled research settings and the routine imaging of patients with cardiac disease. New hardware, and acquisition and reconstruction techniques will need to be developed to narrow this gap. 
10:10   Cardiac MRI: The Physicist's View

View the Presentation

Jürgen Schneider
Cardiovascular Magnetic Resonance (CMR) is a clinically well-established medical imaging modality that can provide a comprehensive, multi-parametric assessment of the heart in patients. CMR, albeit technically challenging, can yield insights at different scales ranging from the whole heart down to cellular and molecular level in the heart muscle, thereby spanning several orders of magnitude in resolution. This presentation primarily focuses on strengths, weaknesses, and opportunities of CMR. Strengths and weaknesses will be discussed in technical considerations and routine applications, while opportunities will be exemplified in emerging CMR techniques.
  10:25   Panel Discussion
 
    Prostate MRI
10:50   Prostate MRI: The Clinician's View

View the Presentation

Clare Tempany-Afdhal
This session will combine the expertise of a clinician and MR physicist using a SWOT approach to the challenges of MR imaging of Prostate cancer.  Prostate MRI can avoid unnecessary biopsy using the PI-RADS assessment scores (all qualitative) suspicious lesions can be identified, scored, and targeted during biopsy. Current challenges include  reliable quantitative metrics of cancer, uniformly high-quality exams. There are multiple new MR pulses sequences under investigation to enrich our current protocols. Several of these will lead to quantifiable metrics which can add further validation of mpMRI for detection, characterization and monitoring of men with suspected prostate cancer.
11:05   Prostate MRI: The Physicist's View

View the Presentation

Eleftheria Panagiotaki
This part of the course will cover different quantitative MRI methods for prostate cancer characterisation. We will mainly focus on Diffusion-weighted MRI and T2-weighted MR methods.
  11:20   Panel Discussion

Navigation: Back to Meeting HomeBack to Meeting Home Navigation: Back to Program-at-a-GlanceBack to the Program-at-a-Glance

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.