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Webinars 2018

1. MR myocardial imaging revisited: the new myocardial toolbox of imaging biomarkers

Essentials

January 17, 2018 – 17:00 CET
Speaker: Prof. Jan Bogaert,  Leuven/BE

Moderator: Prof. Marco Francone, Rome/IT

Description

Old meets new or new meets old. In recent years, several novel imaging biomarkers have become available to image and to tissue characterize the myocardium at MR imaging. Already in the 1980s it was reported that ischemic myocardial injury alters T1 and T2 relaxation times in the jeopardized myocardium. These and other findings triggered the interest of researchers and clinicians to use MR imaging for myocardial tissue characterization. Whereas initially ‘weighted’ sequences were used for this purpose comparing alterations in tissue relaxation between normal and pathologic myocardium, nowadays it has become possible to quantify T1,T2 and T2* relaxation times at voxel base and to estimate the myocardial interstitial space (i.e., ECV – extracellular volume). As such MR imaging allows deep phenotyping of myocardium which has led to a paradigm shift in approaching myocardial pathology.

Learning objectives

1. To become familiar with the different MR imaging approaches to tissue characterize the myocardium. To learn about the strengths, weaknesses and potential pitfalls of these techniques
2. To learn about the link MR imaging biomarkers and pathology
3. To learn how to use these novel imaging biomarkers in clinical practice

About the speaker

Jan Bogaert has been in the field of non-invasive cardiac imaging for almost 25 years. His main interest has always been integration of CMR into clinical practice. Tom Dresselaers is a cardiac MR physicist, starting his career in small-animal research in the late nineties, recently stepped over to clinical imaging and research.

2. ARVD - often suspected, rarely diagnosed, newly revised

Essentials

February 14, 2018 – 17:00 CET
Speaker: Prof. Jean-Nicolas Dacher, Rouen/FR
Moderator: Prof. Karl-Friedrich Kreitner, Mainz/DE

Description

The lecture will start with some general concepts about ARVD, a rare and difficult to diagnose genetic disease.
The current diagnostic criteria will be covered, with special emphasis on MR ones.
We will insist on the various methods (and tracks) available for evaluating the right ventricular systolic function; some aspects from the literature will be given as well as our home technique.
A series of cases of proven ARVD will be shown followed by some cases of differential diagnosis.

Learning objectives

1. Get basic knowledge about pathophysiology, genetics and cardiac complications of ARVD,
2. Become familiar with current diagnostic criteria and the role of MRI in the diagnosis of ARVD,
3. Know how to evaluate the systolic function of the right ventricle,
4. Become familiar with the major differentials

About the speaker

My own name is Jean Nicolas Dacher, I am 57 years old.
I am an academic cardiac radiologist, working in Rouen as Chief of the Department of Radiology and Diagnostic Imaging (University Hospital of Rouen). I am a member of the INSERM unit U1096 (A research laboratory of Cardiovascular Pharmacology attached to the University of Rouen – Normandy). I am involved in Cardiac CT and MRI (adults and children).
My main fields of interest encompass myocardial characterization, Cardiac CT, valvular diseases (aortic stenosis) and congenital cardiopathies. I am of course a member of various societies including ESR, ESCR, SFR and SFICV (French Society of cardiovascular Imaging).

3. The role of MRI in ischemic cardiomyopathy

Essentials

March 14, 2018  – 17:00 CET
Speaker: Prof. Luigi Natale, Rome/IT
Moderator: Dr. Alexandros Kallifatidis, Thessaloniki/GR

Description

Cardiac Magnetic Resonance (CMR), due to its morphologic, functional and tissue characterization capabilities,  is an excellent tool to explore all the aspects of ischemic heart disease.
Its tridimensional approach, coupled with the most recent accelerated techniques, allows its use  also in “acute” patients, that in the past were not able to tolerate a 1-hour examination.

Learning objectives

The webinar will be focused on three main topics:
1. Ischemia detection,
2. Acute myocardial infarction,
3. Viability assessment in the setting of chronic left ventricle dysfunction.

For each topic, technical improvements, imaging features, imaging biomarkers, prognosticators, and major published and ungoing studies, with final considerations on indications and guidelines, will be discussed.

About the speaker

Prof. Luigi Natale, Rome/IT
Born in Caserta, Italy, 10/02/1960.
Medical degree in 1985, board certified in Radiology in 1989, in Catholic University of Sacred Heart School of Medicine of Rome.
Fellow and then aggregate professor of Radiology in Radiology Dept. of the same Univeristy.
Clinical practice in Policlinico A. Gemelli, Catholic University of Rome up to 2010, in Centro Oncologico Fiorentino of Florence from 2011 to 2012 and then in Complesso Integrato Columbus, Catholic University in Rome up to now.
Professor of Cardiac Radiology in Radiology, Cardiology and in Cardiac Surgery post-graduate Schools of Catholic University of Sacred Heart.
Professor of Cross-Section Imaging anatomy in School for Radiographers of Catholic University of Sacred Heart from 2008 to 2012.
In 1991 he attended Cardiac MR unit of Royal Brompton Heart and Lung Insitute of London, UK, for six months.
Then he attended cardiac MR courses of American Heart Association in 1995 and 1997 and cardiac MR course of European Heart Association in 1996.
In 2001 he visited the cardiac MR unit of Univeristy of Alabama at Birmingham, USA, directed by dr. Gerald Pohost.
Chief of cardio-vascular MR unit of Catholic University of Rome from 1997 to 2011.
Chief of MRI unit of Catholic Univrsity of Rome from 2003 to 2011.
Author of 75 papers published on indexed journals, 35 of them with IF, 1 book , 9 chapters of books and other 35 papers published on non indexed journals.
Speaker in many national and international congresses, workshops and courses, mainly in cardiac imaging field.
Member of many international scientific Society: RSNA, ARRS, ECR, ESMRMB, AHA, SCMR, SCCT, NASCI, ESCR, ESTI.
Active member of cardiac imaging group of Italian Society of Medical Radiology (SIRM) and Italian Society of Cardiology (SIC).
Past president of Cardiac Radiology Working Group of the Italian Society of Cardiac Radiology.
Previous chief of the Educational Committee and actual secretary of the European Society of Cardiac Radiology.
Member of the Educational Exhibit Cardiac Subcommittee of Radiological Society of North America from 2011 to 2014.
Chair of Cardiac Radiology Committee in the 2012 European Congress of Radiology.
Body CT and MRI, Chest Radiology, Cardiac Radiology and Oncologic Radiology are his fields in clnical practice.
His research field is mainly represented by cardiac MRI, with focus on ischemic heart disease, cardiomyopathies and valvular heart diseases, and oncologic imaging, with focus on perfusion and diffusion MRI for the treatment response assessment.

4. The transplanted heart

Essentials

April 11, 2018 – 17:00 CEST
Speaker: Prof. Matthias Gutberlet, Leipzig/DE
Moderator: Dr. Riccardo Marano, Rome/IT

Description

Endomyocardial biopsy (EMB) is still considered to be the gold standard for the diagnosis of acute cellular rejection (ACR) after orthotopic heart transplantation (HTx), which is one of the initial complications of HTx and might be detected non-invasively with CMR using similar techniques like in myocarditis. The detection of even subclinical ACR might be important, because repeated subclinical ACRs are known to trigger the development of cardiac allograft vasculopathy (CAV), a major long-term cause of graft failure after HTx. CAV might be detected with MDCT earlier as compared to invasive coronary angiography (ICA).

Learning objectives

– To learn about the clinical features of HTx patients
– To learn about the different CMR techniques used to detect ACR
– To learn about the different CT-techniques to assess CAV

About the speaker

Professor Matthias Gutberlet, MD, PhD, EBCR is currently Chair of Radiology at the Department of Diagnostic and Interventional Radiology at the Heart Center Leipzig -University of Leipzig, Germany. He received his medical degree from the Philipps-University Marburg, Germany. After residency in Cardiology at the German Heart Center in Berlin he joined the Department of Radiology and Nuclear Medicine at the Charité Berlin, Germany in 1995, where he completed Residency in Radiology 2000 and Nuclear Medicine in 2003. Till his appointment as Professor for Cardiovascular Imaging at the University of Leipzig in 2007 he worked as a Senior Consultant and Associate Professor of Radiology at the Charité in Berlin.

5. The differential of late enhancement in acute chest pain: -itis or not

Essentials

May 16, 2018 – 17:00 CEST
Speaker: Dr. Charles Peebles, Southampton/UK
Moderator: Dr. Rodrigo Salgado, Edegem/BE

Description

Cardiac MRI has a well-established role in the differentiation of ischaemic cardiomyopathy from non-ischaemic cardiomyopathy. Increasingly it is now being used to assess the cause of acute chest pain, particularly in patients with positive troponin levels but normal coronary arteries. In many such cases the diagnosis can be reached easily but it is not always ‘black and white’. This lecture will explore the typical and atypical appearances of myocarditis and ischaemic myocardial injury and the role for CMR in these patients.

Learning objectives

1) Typical appearances of acute MI on CMR
2) Typical appearances of acute myocarditis on CMR
3) Standard CMR protocols for acute chest pain imaging
4) How to approach difficult cases

About the speaker

Dr Charles Peebles is a Consultant Radiologist at the University Hospital Southampton with a specialist interest in Cardiothoracic imaging. He has a specific expertise in cardiac cross sectional imaging and is lead of the Department of Cardiothoracic Radiology at Southampton. He has been performing CMR since 1995 and Cardiac CT since 1999.

Charles has previously been the President of the British Society of Cardiovascular Imaging, and has been a board member of the British Society of Cardiovascular MRI. He currently serves on the executive committee of the European Society of Cardiovascular Radiology. He has been an advisor on the UK NICE guideline committee for Acute chest pain and previously sat on the guideline development group for the management of stable angina.

6. Imaging of carotid artery vulnerable plaque

Essentials

June 13, 2018 – 17:00 CEST
Speaker: Dr. Rodrigo Salgado, Edegem/BE
Moderator: Prof. Luca Saba, Cagliari/IT

Description

Carotid artery stenosis is a well-established risk factor of ischemic stroke, causing between 10-20% of cerebral strokes and transient ischemic attacks. Following the results of large clinical trials, stratification of patients with carotid artery disease between optimal medical therapy and surgical intervention is traditionally based in the degree of luminal narrowing. As such, imaging of the carotid arteries to quantify stenosis forms today a routine examination performed in every mainstream radiology department. While imaging screening is mostly done using Doppler ultrasound, CT and MR play an important role in the further work-up of these patients, confirming the degree of stenosis but also visualizing the different plaque components.
Nevertheless, there is increasing evidence that, in partial analogy with coronary artery disease, unstable carotid artery plaques can also rupture with subsequent embolization, causing ischemic stroke regardless of the degree of stenosis. During this lecture, we will review the current status on non-invasive imaging of carotid artery disease, and explore the complex relation between luminal narrowing, plaque composition and stability, and the occurrence of cerebral ischemia and stroke.

Learning objectives

1. Understand the pathophysiology and risk factors for carotid artery disease
2. Review the different methods to visualize and quantify carotid artery stenosis
3. Understand the significance of and the methods for non-invasive imaging of the different carotid artery plaque components and the features of vulnerability.
4. Review how imaging findings can be incorporated in clinical decision making.

About the speaker

Dr. Rodrigo Salgado is a consultant radiologist at the Antwerp University Hospital and staff member at the Holy Heart Hospital Lier, and current president of the non-invasive cardiovascular imaging section of the Belgian Society of Radiology. He has a special expertise in non-invasive cardiovascular imaging with CT and MR, with focus on emerging CT/MR imaging technologies and non-invasive imaging evaluation of cardiovasculair interventions. In this capacity, and also as an executive board member of the ESCR, he enjoys teaching and promoting non-invasive cardiovascular imaging to residents and other radiologists through lectures and workshops at national and international meetings.

7. Well trained or too much: the hypertrophic phenotype

Essentials

September 12, 2018 – 17:00 CEST
Speaker: Prof. Marco Francone, Rome/IT
Moderator: Prof. Christian Loewe, Vienna/AT

Description

Left ventricular hypertrophy encompasses a large and heterogeneous number of affections, characterized by the common phenotypic expression of pathological single or biventricular thickening.
Present webinar will aim to review tips and tricks for discriminating between various conditions, including the complex entity of the athletes’ heart, in which extensive training and adaptative mechanisms may sometime lead to the so-called “grey zone” of hypetrophy/dilatation which highly overlaps with mild forms of hypertrophic cardiomyopathy.
Role of modern CMR techniques in this specific setting will be also discussed, including T1 and T2 mapping and the importance of ECV quantification.

Learning objectives

1) To review importance of correct phenotypic recognition in hypertrophic cardiomyopathy understanding respective functional and morphological changes characterizing different stages of diseases.
2) To understand complexity and heterogeneity of genotypes underlying apparently similar phenotypic forms of disease correlating pathological changes with CMR imaging findings.
3) To recognize common and less common signal intensity abnormalities and late enhancement patterns to provide etiological differentiation of the various forms of cardiomyopathies.
4) to discuss imaging-based preferable approach for discriminating into the “grey zone” of hypetrophy, consisting with an overlap of features between athletes and pathological patients.
5) To review prognostic implications of CMR-derived imaging biomarkers in dilated and hypertrophic cardiomyopathies.

About the speaker

Prof. Marco Francone is Professor of Radiology at Sapienza University of Rome.
He is an internationally known expert in cardiac imaging and speaker for most important international radiological and cardiological meetings including CIRSE, ESOR, RSNA, ECR, ESCR and the American college of cardiology. His prominent field of research is cardiovascular imaging with both CT and MR with specific focus on myocardial infarction and cardiomyopathies being author and coauthor of more than 100 indexed articles with an impact factor higher than 500.
Prof. Francone is also scientific chairman of the European Society of Cardiac Radiology (ESCR and was recently elected as President Italian College of Cardiac Radiology – Italian Society of Radiology.
He is also actively involved in the activities of European Society of Radiology, having served as cardiac imaging subcommittee member for the European Congress of Radiology between 2017-2019 and was recently appointed as Scientific Subcommittee Chairperson for the 2020 meeting.
He is also member of ESR Research Committee, since 2020.
Refresher courser at RSNA for the years 2017-18 and member of the Educational Exhibit Awards committee and Radiographics panelist at RSNA 2015-2018.

8. The oncological heart

Essentials

October 17, 2018 – 17:00 CEST
Speaker: Dr. Antonio Esposito, Milan/IT
Moderator: Prof. Tim Leiner, Utrecht/NL

Description

The heart is an underestimated site of distant metastasis of different solid tumours. The diffusion of very fast CT scanners, which provide flawless images of the heart also without cardiac synchronization, together with the increased use of hybrid imaging (PET/CT, PET/MR) in the staging and follow-up of different solid cancer, have improved our capability to detect cardiac metastasis. Primary cardiac tumours are rare and more frequently benign. Cardiac MR and CT imaging have a fundamental role in the differential diagnosis of cardiac masses and in the characterization of primary cardiac tumours. Particularly, the non-invasive differentiation of the benign or malignant nature and the accurate definition of the relationship of the mass with the different cardiac structures and tissues, represent fundamental information for the most appropriate management of the single patient. This lecture will explore the MR and CT role and capability in this setting.

Learning objectives

– Prevalence of different cardiac masses
– Appropriate MR and CT protocols to study the heart in case of suspected cardiac masses
– Differential diagnosis of cardiac masses with MR and CT

About the speaker

Antonio Esposito is Associate Professor of Radiology at Vita-Salute San Raffaele University and Deputy-Director of the Experimental Imaging Center of San Raffaele Scientific Institute (SRSI). He has long time experience in the field of body application of advanced imaging with MRI and CT, with a particular focus on cardiovascular applications. He developed an intensive clinical and preclinical research on these issues, with more than one hundred full papers published on highly impacted scientific journals. He is the responsible of cardiovascular imaging in the Department of Radiology of the and San Raffaele Hospital of Milan. He is also the responsible of the Preclinical Imaging Facility of the SRSI equipped with CT, MRI, Optical and US imaging technologies for the experimental study of small animal models of diseases. He leads a multidisciplinary team of researcher working in the facility, including radiologists, physicists, bioengineers, biologists and technicians.

9. The dilated heart

Essentials

November 14, 2018 – 17:00 CEST
Speaker: Prof. Alexis Jacquier, Marseille/FR
Moderator: Prof. Iacopo Carbone, Rome/IT

Description

In this webinar, we will focus on how to deal with a patient with a dilated left ventricle. Discrimination between pathological dilatation and LV remodeling in highly trained athletes require specific parameters. We will precisely define the phenotypes linked with specific diseases such as left ventricular non-compaction, Duchenne and Becker dystrophy and others. Finally, we will discuss the surrogate marker of cardiac events brought by CMR notably LGE and mapping technique.

Learning objectives

– To define abnormal LV chamber dilatation
– To know how to define the left ventricular hypertrabeculation phenotype
– To know how to assess prognosis of dilated cardiomyopathy using CMR

About the speaker

Prof. Alexis Jacquier is a cardiac radiologist in hospital de la Timone, Marseille, France. He trained in Marseille and Lyon in cardiac radiology and do is PHD program in San Francisco (CA) USA with Maythem Saeed and Charles Higgins. Since 2006 he integrates the CEMEREM research lab (http://crmbm.univ-amu.fr) in the Cardiovascular group. He has a special interest in cardiac MRI. He has authored or co-authored more than 90 peer-reviewed publications and has given numerous invited lectures, tutorials and refresher courses at national and international meetings. From 2014 to 2017 he was chairman of the membership committee of the ESCR. He was the pas chairman of the program planning committee for cardiac imaging at the ECR 2018. Now he has the vice president position in the French Society of Cardio-Vascular Radiology (Société Française d’imagerie cardiovasculaire, SFICV).

10. Acute aortic diseases: not an obvious diagnosis

Essentials

December 12, 2018 – 17:00 CEST
Speaker: Prof. Christian Loewe, Vienna/AT
Moderator: Dr. Olivier Ghekiere, Liège/BE

Description

Acute aortic diseases represent a rather rare but highly “malignant” condition. Without immediate and appropriate treatment, prognosis is dismal.
In this presentation, the image based diagnosis of acute aortic diseases will be discussed and state-of-the-art imaging techniques for CT angiography and MR imaging will be introduced. The most relevant image-derived biomarkers for treatment decision making and for follow up will be discussed as well. Treatment indications should be explained based on clinical cases in the view of newly established treatment guidelines with a special focus on the challenges with “complicated” aortic dissections and the inherent challenges for imaging.

Learning objectives

  1. To become familiar with the definition of acute aortic syndrome
  2. To learn about the most important imaging derived biomarkers in patients suffering from acute aortic diseases
  3. To become familiar with the optimized imaging strategy in acute aortic syndromes
  4. To learn about the traditional definition of “complicated type-B dissections” and their practical limitations

About the speaker

1. Education
since 12/2016 Head of the Department of Cardiovascular and Interventional Radiology, Medical University of Vienna
since 10/2012 chairman of the Austrian Board of Radiology
10/2011 EBCR (European Board of Cardiac Radiology)
since 10/2006 Vice-Head of the Department of Cardiovascular and Interventional Radiology, Medical University of Vienna
09/2006 Board Certified Radiologist
since 2004 Programme Director »Cardiovascular Imaging«
since 2004 Staff Radiologist on the Dep. for Angiography and Interventional Radiology, University of Vienna
2004 Associate Professor for Radiology; topic: »non-invasive diagnosis of pAVK by means of contrast enhanced MR angiography«
1999 – 2005 Residency training in Radiology at the Department of Radiology, University of Vienna
1998 – 1999 Research fellow at the Section of Angiography and Interventional Radiology, Department of Radiology, University of Vienna
1996–1998 Research fellow at the Institute of Electronmicroscopy and Micromorphology, University of Vienna
29/05/1996 Graduation „MD“
1989 – 1996 Study of medicine, University of Vienna, Austria

2. Professional Activities and Memberships
• Since 2008 member of the Institutional Review Board of the Medical University of Vienna
• Secretary of the Austrian Roentgen society (OERG) (2006 – 2012)
• Chairman of the Austrian Board of Radiology (since 2012)
• Chairman of the Educational Committee European Society of Cardiac Radiology since 2014
• Chairman of the European Board of Cardiac Radiology (EBCR) since 2014
• Congress President of the Annual Meeting of the European Society of Cardiac Radiology 2015
• Secretary of the Austrian Society of Interventional Radiology (OEGIR) (since 2011)
• Founder of Vienna Heart
• Chairman of the „vascular subcommittees“, ECR 2010
• Member of the Steering Committee of the European School of Radiology (ESOR)
• Chairman of the Postgraduate Committee of the ECR 2019

3. Scientific work
• main focus of clinical and scientific work non-invasive cardiovascular diagnostic (MSCT and MRT of the heart; CT angiography; MR angiography)
• more than 350 invited lectures
• more than 100 articles in peer-reviewed journals
• 5 book chapters
• associate editor of Radiology (till 2018); member of the editorial board of Radiology, Insights Into Imaging, International Journal of Cardiovascular Imaging
• reviewer for European Radiology, Circulation Imaging, European Heart Journal Cardiovascular Imaging, Radiology, Cardiovascular and Interventional Radiology (CVIR)

Webinars 2017

OVERVIEW

Essentials

1. The role of imaging in modern treatment of “structural” heart diseases
Speaker: Jens Bremerich, Basle/CH

Moderator: Marco Francone, Rome/IT

2. Hybrid Cardiac Imaging: Toy or Workhorse?
Speaker: Federico Caobelli, Basle/CH

Moderator: Marco Francone, Rome/IT

3. Imaging of pulmonary hypertension – what you need to know
Speaker: Karl-Friedrich Kreitner, Mainz/DE

Moderator: ESCR Office

4. Approaching dilated hearts: is it only a matter of tissue characterization?
Speaker: Charles Peebles, Southampton/UK

Moderator: Marco, Francone, Rome/IT

5. MR in cardiovascular implants recipients
Speaker: Gianluca Pontone, Milan/IT
Moderator: Fabian Bamberg, Tuebingen/DE

6. Tips and Tricks for performing and analysing CT in congenital heart disease
Speaker: Matthias Gutberlet, Leipzig/DE

Moderator: Marco Francone, Rome/IT

7. Hide and seek – screening for cardiovascular diseases
Speaker: Rozemarijn Vliegenthart, Groningen/NL
Moderator: Marco Francone, Rome/IT

8. MR in atheletes and those who aim to be
Speaker: Marco Francone, Rome/IT

Moderator: Christian Loewe, Vienna/AT

9. Ten important cardiac imaging trials
Speaker: Marc Dewey, Berlin/DE
Moderator: Luigi Natale, Rome/IT

10. (T)1, (T)2, 3? – MR mapping and beyond
Speaker: Joachim Lotz, Goettingen/DE
Moderator: Fabian Bamberg, Tuebingen/DE