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

Weekend Course

Imaging Brain Injury, Pain & Recovery

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Imaging Brain Injury, Pain & Recovery
Weekend Course
ORGANIZERS: Marta Bianciardi, Xiao-Qi Huang, Susie Huang
Sunday, 08 May 2022
S11 (Breakout A)
12:30 -  16:30
Moderators: 
Pain: Peiying Liu
Depression: Hsin-Yi Lai
Stroke: Chanon Ngamsombat
Skill Level: Basic to Advanced
Session Number: WE-22
 

Session Number: WE-22

Overview
Magnetic resonance imaging has played a central role in advancing our understanding of brain injury, pain, and recovery. This educational course will provide an overview of state-of-the-art and emerging imaging methods for studying the effects of brain injury caused by extrinsic forces (trauma) and intrinsic factors (stroke). The course will also explore the modulation of brain structure and function in the context of pain caused by injury and psychiatric disease. The course will offer an environment for clinicians and researchers to discuss opportunities and challenges in using MRI to image how the brain is injured and monitor its recovery from trauma and stroke.

Target Audience
Clinicians and scientists working in the field of traumatic brain injury, stroke, neurorehabilitation, pain, and psychiatric disorders.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain the role of imaging biomarkers in observational and interventional research of traumatic brain injury and stroke;
- Describe advanced imaging techniques for the diagnosis and management of traumatic brain injury and stroke in a clinical and research environment/context; and
- Identify appropriate imaging sequences to address given clinical questions in traumatic brain injury, stroke, pain, and depression.

    Traumatic Brain Injury
12:30 Advances in Imaging of Traumatic Brain Injury

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Tiffany Bell
Traumatic brain injury, caused by an external blow to the head, is a major cause of disability worldwide. Brain imaging is crucial to understanding the pathophysiology behind mild traumatic brain injury. This lecture will present several examples of promising advancements in brain imaging, including imaging brain structure, blood flow and brain metabolites, that provide more extensive understanding of the effects of mild traumatic brain injury.  
12:55   Imaging Recovery from Severe Traumatic Brain Injury

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Brian Edlow
Multiple studies from laboratories around the world have now shown that 15-20% of patients with severe traumatic brain injury (TBI) who appear unresponsive on the bedside behavioral examination are "covertly consciousness", as evidenced by volitional modulation of brain activity on task-based functional MRI or EEG.  In this talk, we will discuss emerging insights into covert consciousness that are shedding new light into mechanisms of recovery from severe TBI.  We will focus on recently published guidelines that recommend the clinical implementation of these advanced techniques to improve the standard of care for patients with severe TBI.  
    Stroke
13:20   Advances in Stroke Imaging

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Peiying Liu
Recent studies have demonstrated the role of advanced MRI in the patient selection and management of acute stroke. It has also been demonstrated that using MRI as the first-line imaging technique can be fast, suitable, and useful to improve recanalization rates and patient outcomes. This presentation will review recent advances of the standard clinical MRI sequences including structural MRI, susceptibility weighted imaging (SWI), MR angiography (MRA), diffusion-weighted imaging (DWI) and perfusion-weighted imaging (PWI), as well as new techniques such as MR Fingerprinting (MRF), Amide proton transfer (APT) MRI, intravoxel incoherent motion (IVIM) MRI, and Quantitative susceptibility mapping (QSM).
13:45   Predicting Functional Recovery After Stroke Using Advanced MRI

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Ranliang Hu
  14:10   Break & Meet the Teachers
 
    Pain
14:35   How neuroimaging of pain pathways can decode chronic pain

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Javeria Hashmi
Towards understanding the role of the brain in chronic pain aetiology, we investigate how threat predictions modulate pain perception through PAG circuitry. The central nervous system has an inbuilt capacity to modify pain intensity adaptively in relation to perceived threat (3). Processes in the brain that integrate noxious inputs with top-down threat signals play a key role in pain perception. These systems also have the capacity to bias the experience of pain away from the sensory evidence and towards expectations and beliefs. This talk discusses neurobiological pathways and mechanisms that are affected in chronic pain.
15:00   Pain modulation: perception and neural correlates

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Susanne Becker
How we perceive pain varies strongly –not only between people, but also within a person. While peripheral and biological factors cause some of this variation, a large amount of this variation is mediated by central and psychological processes. One impressive example is placebo analgesia, with strong pain inhibition induced by expectations and learning. Psychological pain modulation is not just a response bias or an artefact. Corresponding changes in brain activation and functional networks have been found and often replicated. I will give an overview of brain mechanisms underlying the modulation of perceived pain and examine their assessment and application critically.
    Depression
15:25   Imaging the Neural Correlates of Social Pain

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Yazhuo Kong
15:50 Towards Multiple-Modal Imaging of Major Depressive Disorder: Integrating Structural, Functional & Metabolic Brain Mapping

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Yao Li
Major depressive disorder (MDD) is a neuropsychiatric condition with high lifetime prevalence and suicide attempt rate. Developing useful biomarkers with diagnostic and prognostic value is of great importance for a better understanding of the pathophysiology as well as the treatment guidance of MDD. This lecture will briefly review the progresses in MR-based structural (MRI, Diffusion MRI), functional (BOLD-fMRI, ASL-fMRI), and metabolic imaging (MRS, MRSI) of the brain, which have provided significant insights into the pathophysiology of MDD in clinical settings.

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