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 - Dr. Aurelio Secinaro, Rome/IT; Prof. Antonio Esposito, Milan/IT ESCR 2019 webinar 05 (A)Dr. Aurelio Secinaro, Rome/IT;
Prof. Antonio Esposito, Milan/IT
 - Dr. Rodrigo Salgado, Antwerp/BE; Prof. Karl-Friedrich Kreitner, Mainz/DE ESCR 2019 webinar 04 (B)Dr. Rodrigo Salgado, Antwerp/BE;
Prof. Karl-Friedrich Kreitner, Mainz/DE
 - Dr. Tilman Emrich, Mainz/DE; Dr. Alexandros Kallifatidis, Thessaloniki/GR ESCR 2019 webinar 04 (A)Dr. Tilman Emrich, Mainz/DE;
Dr. Alexandros Kallifatidis, Thessaloniki/GR
 - Dr. Charles Peebles, Southampton/UK; Dr. Ricardo Budde, Rotterdam/NL ESCR 2019 webinar 03 (B)Dr. Charles Peebles, Southampton/UK;
Dr. Ricardo Budde, Rotterdam/NL
 - Elie Mousseaux, Paris/FR; Jens Bremerich, Basel/CH ESCR 2019 webinar 03 (A)Elie Mousseaux, Paris/FR;
Jens Bremerich, Basel/CH
 - Gorka Bastarrika, Pamplona/ES; Christian Loewe, Vienna/AT ESCR 2019 webinar 02 (B)Gorka Bastarrika, Pamplona/ES;
Christian Loewe, Vienna/AT
 - Carlo de Cecco, Atlanta/US; Rozemarijn Vliegenthart, Groningen/NL ESCR 2019 webinar 02 (A)Carlo de Cecco, Atlanta/US;
Rozemarijn Vliegenthart, Groningen/NL
 - Matthias Gutberlet, Leipzig/DE; Nicola Galea, Rome/IT ESCR 2019 webinar 01 (B)Matthias Gutberlet, Leipzig/DE;
Nicola Galea, Rome/IT
 - Francesco Santini, Basel/CH; Ursula Reiter, Graz/AT ESCR 2019 webinar 01 (A)Francesco Santini, Basel/CH;
Ursula Reiter, Graz/AT
 - Christian Loewe, Vienna/AT ESCR 2018 webinar 10Christian Loewe, Vienna/AT
 - Alexis Jacquier, Marseille/FR ESCR 2018 webinar 09Alexis Jacquier, Marseille/FR
 - Antonio Esposito, Milan/IT ESCR 2018 webinar 08Antonio Esposito, Milan/IT
 - Marco Francone, Rome/IT ESCR 2018 webinar 07Marco Francone, Rome/IT
 - Rodrigo Salgado, Edegem/BE ESCR 2018 webinar 06Rodrigo Salgado, Edegem/BE
 - Charles Peebles, Southampton/UK ESCR 2018 webinar 05Charles Peebles, Southampton/UK
 - Matthias Gutberlet, Leipzig/DE ESCR 2018 webinar 04Matthias Gutberlet, Leipzig/DE
 - Luigi Natale, Rome/IT ESCR 2018 webinar 03Luigi Natale, Rome/IT
 - Jean-Nicolas Dacher, Rouen/FR ESCR 2018 webinar 02Jean-Nicolas Dacher, Rouen/FR
 - Jan Bogaert, Leuven/BE ESCR 2018 webinar 01Jan Bogaert, Leuven/BE
 - Joachim Lotz, Goettingen/DE ESCR 2017 webinar 10Joachim Lotz, Goettingen/DE
 - Marc Dewey, Berlin/DE ESCR 2017 webinar 09Marc Dewey, Berlin/DE
 - Marco Francone, Rome/IT ESCR 2017 webinar 08Marco Francone, Rome/IT
 - Rozemarijn Vliegenthart, Groningen/NL ESCR 2017 webinar 07Rozemarijn Vliegenthart, Groningen/NL
 - Matthias Gutberlet, Leipzig/DE ESCR 2017 webinar 06Matthias Gutberlet, Leipzig/DE
 - Gianluca Pontone, Milan/IT ESCR 2017 webinar 05Gianluca Pontone, Milan/IT
 - Charles Peebles, Southampton/UK ESCR 2017 webinar 04Charles Peebles, Southampton/UK
 - Karl-Friedrich Kreitner, Mainz/DE ESCR 2017 webinar 03Karl-Friedrich Kreitner, Mainz/DE
 - Federico Caobelli, Basel/CH ESCR 2017 webinar 02Federico Caobelli, Basel/CH
 - Jens Bremerich, Basel/CH ESCR 2017 webinar 01Jens Bremerich, Basel/CH

Webinars 2019

Optimize your cardiac MR: How to avoid common problems/mistakes
Webinar 01 – Level Advanced
Moderator: Prof. Luigi Natale (Rome/IT)

Lecture 1 - details

Setting up a CMR examination: standard workflow & sequences revisited
Prof. Francesco Santini, Basel/CH

Description

Cardiac MRI examinations are usually time consuming, requiring a lot of expert intervention from the MR technician to properly plan and execute. While MR manufacturers and individual radiology departments continuously optimize the workflow, there are some aspects that could be potentially overlooked in a clinical setting. This presentation will focus on the following questions:

• Are we scanning the right patients? Proper screening of patients, especially with implanted active devices, is essential in the optimization of the scanning workflow.
• Are we using the right sequences? The most common sequences (bSSFP, STIR) might not be ideal in some cases.
• What does the future hold? Methods that will soon be available to optimize a cardiac MRI scan.

Learning Objectives

• Dealing with implanted active devices
• Alternative acquisition methods for common sequences
• Accelerated cardiac imaging

About the speaker

Dr. Santini studied Electronic Engineering with a specialization in Biomedical Engineering at the Università degli Studi di Firenze (Italy). He then moved to Basel and in 2009 gained a PhD degree in Biophysics (Magnetic Resonance Imaging) in the Radiology Department (University of Basel). He then continued as a postdoctoral fellow and since 2013 Dr. Santini is responsible for MR Safety in the University Hospital in Basel. In 2015 he was among the first people to obtain the title of MR Safety Expert from the American Board of MR Safety, and helped draft the Swiss guidelines for MR Safety endorsed by the Swiss Society of Radiology. His research activities are in  the field of dynamic and quantitative MR imaging, applied to the cardiovascular and musculoskeletal systems.

Dr. Santini is the author of more than 40 scientific publications and recipient of various research grants.

Lecture 2 - details

How to avoid artifacts and pitfalls
Prof. Ursula Reiter, Graz/AT

Description

CMR imaging represents the established reference standard method to quantify volumetric function, myocardial mass, shunts and regurgitation volumes, as well as myocardial fibrosis non-invasively. The fast and frequently irregular motion of the heart, however, renders CMR especially prone to imaging artefacts, which might not only lead to limited or undiagnostic image quality but – if not recognized – incorrect image interpretation and/or quantification of assessed parameters. The lecture aims to discuss strategies to identify and avoid CMR imaging artefacts potentially causing pitfalls.

Learning Objectives

• Artefacts and pitfalls in CMR volumetric function and blood flow
• Artefacts and pitfalls in morphological CMR imaging
• Artefacts and pitfalls in relaxation time mapping

About the speaker

Ursula Reiter received her diploma in Physics at the University of Technology Graz in 1993. During her PhD studies in the field of experimental and molecular laser physics she worked as university assistant at the University of Technology Graz. In 1998 he graduated from the University of Technology in Graz with distinction. In 1999 she started to work at the Department of Radiology, Medical University of Graz. Since 2001 her professional and research focus lies on cardiac magnetic resonance imaging and post-processing. She is author and co-author of numerous scientific papers, book contributions, books and patents. Ursula Reiter received her habilitation in Experimental and Theoretical Radiology at the Medical University of Graz in 2017.

Optimize your cardiac MR: Cardiac MR optimization in daily clinical routine
Webinar 01 – Level Basic
Moderator: Dr. Marco Gatti, Turin/IT

Lecture 1 - details

„My late enhancement does not work“: clinical examples, explanations and solutions
Prof. Matthias Gutberlet, Leipzig/DE

Description

Late Gadolinium Enhancement (LGE) sequences are one of the most frequently used sequences in Cardiac MR (CMR). Typical LGE patterns have been described, which may help in the differential diagnosis of Cardiac Diseases, especially in cardiomyopathies. But this knowledge only helps, if these techniques can be adequately used. Artefacts may mimic or mask disease. Therefore, adequate precautions against artefacts and misinterpretations have to be considered.

Learning Objectives

• To learn about the most important LGE patterns in CMR
• To learn how to avoid artefacts or misinterpretation of LGE
• To gather experience in using sequence solutions

Teaser Case

About the speaker

Family Name: GUTBERLET, Matthias
Title: MD, PhD, EBCR, Prof. Dr. med.
Present Position: Specialist in Radiology; Specialist in Nuclear Medicine.
Head of the Department for Diagnostic and Interventional Radiology
Office Phone No.: +49-341-865-1702 Office Fax No.: +49-341-865-1803
e-mail: matthias.gutberlet@helios-kliniken.de
Office Address: Department of Diagnostic and Interventional Radiology
University Leipzig / Leipzig Heart Center
Strümpellstrasse 39
04289 Leipzig
GERMANY

Medical Graduation and Other Professional Training:
1985-1992 Philipps-University Marburg Medical School
1993 Doctor thesis in Orthopedics at Philipps-University Marburg
1992 – 1995 Residency in Cardiology (Prof. Fleck) German Heart Institute Berlin (DHZB)
1995 – 2000 Research fellowship and specialist training in Diagnostic Radiology,
Charité Berlin (Prof. Felix)
27/06/2000 End of specialist training in Radiology
(Facharztausbildung in „Diagnostischer Radiologie“)
04/00-04/02 Research fellowship in Nuclear Medicine (Prof. Eichstädt), Charité, Berlin
11/02 „Habilitation“ in Diagnostic Radiology (Assistant Professor of Radiology)
12/2003 End of specialist training in Nuclear Medicine
(Facharztausbildung in „Nuklearmedizin“)
7/2002 Senior Consultant in Diagnostic Radiology (CT/MRI/conventional radiology)
Since 16.08.07 Head of the Department of Diagnostic and Interventional Radiology
University Leipzig / Leipzig Heart Center and
Professorship for Cardiovascular Imaging at the University of Leipzig

Research:
I was mainly involved in research projects dealing with Doppler-ultrasound, contrast agents, MDCT and MRI of the cardiovascular system, using the techniques of Dynamic CTA, Dual Energy, Iterative reconstruction, Coronary CTA, MR-angiography, MR-volumetry, MR flow-measurements and MR-perfusion in humans and animal models. I am one of the project leaders of the German Competence Network for Congenital Heart Disease since 2003.

Recent studies of our group were dealing with Dose Reduction in Coronary CTA, Imaging and Post-Processing before and after TAVI and EVAR, MR viability assessment in comparison to SPECT, PET, Cardiac MRI at 3.0T and studies on the assessment of myocarditis and other cardiomyopathies by MRI. Furthermore, we have gathered the first experiences in Cardiac PET/MR and MRI guided electrophysiology studies as well as the first atrial flutter ablation in man by using passive and active catheter tracking.

Selected Activities in Radiological Societies:
– President of the European Society of Cardiac Radiology (ESCR) 2014-2017
– President of the Working Group of Cardiovascular Imaging of the German Röntgen Society (DRG) since 5/2014
– Congress President of the 10th Scientific Meeting of the European Society of Cardiac Radiology (ESCR) 2009 in Leipzig from October 8th-10th
– Member of the European Board of Cardiac Radiology (EBCR) since 2011
– Q3-Adviser Cardiac CT and Cardiac MR of German Roentgen Society (DRG) since 2011

Number of Peer Reviewed Publications as indexed in PubMed: > 220

 

Lecture 2 - details

„My flow measurements are not correct“: clinical examples, explanations and solutions
Dr. Nicola Galea, Rome/IT

Description

Flow measurements by cardiovascular magnetic resonance imaging are required for the quantitative characterization of a large number of congenital and valvular diseases and in some cases play a pivotal role in the clinical decision-making process.
Phase-contrast MR sequences are widely available on the common MR scanners, easily executable and and quickly assessable; however, their acquisition and analysis can be the subject of multiple errors.
An accurate assessment of regurgitant or shunt flow may have a tremendous impact on clinical management and surgery indication and therefore a adequate knowledge of common pitfalls and technique limitations it is essential to provide reliable measurements and avoid altered estimates.

Learning Objectives

This presentation will focus on the following questions:
• How to acquire the appropriate phase contrast sequence (Velocity encoding value, plane orientation) for flow assessment?
• How to prevent the most common errors in acquisition or assessment?
• How to verify that our measurements are reliable?
• In what clinical conditions does an accurate flow measurement have impact in patient management?

Teaser Case

About the speaker

Dr. Nicola Galea, MD PhD, is a 36-years-old man, board radiologist dedicated to cardiac imaging (CT and MRI). He graduated in Medicine and Surgery in 2006, he completed his radiology residency program in 2011 and he obtained PhD diploma in Cardiovascular Imaging in 2015, at the “Sapienza” University of Rome. Visiting fellowship in 2011 at Mount Sinai Hospital in New York City (NY).

From 2017 he is a Temporary Researcher in Radiology at the Department of Experimental Medicine of the “Sapienza” University of Rome.

Since 2007, his professional and research activities lies on cardiac magnetic resonance imaging with special focus on: inflammatory, ischemic and metabolic myocardial diseases; 4D flow magnetic resonance imaging of aorta after surgery; developing novel algorithms for the MR images analysis (perfusion, parametric mapping, ECV extraction); clinical-pathological-genetic-radiological correlations in familiar cardiomyopathies and congenital heart diseases.
He is author and co-author of more than 40 scientific papers and book chapters and recipient of various research grants.
From 2017 he is Secretary of Italian College of Cardiac Imaging endorsed by Italian Society of Radiology (SIRM).
European Board of Cardiac Radiology (EBCR) Diploma endorsed by ESCR in 2014.
He is full member of European Society of Cardiovascular Radiology (ESCR) from 2011 and attends the ESCR annual conference from 2007.

Modern techniques for Cardiac CT: Anatomy or function or both?
Webinar 02 – Level Advanced
Moderator: Dr. Maja Hrabak-Paar (Zagreb/HR)

Lecture 1 - details

Assessment of coronary stenosis and FFR
Dr. Carlo de Cecco, Atlanta/US

Description

The lecture will be focused on the actual state of the art in cardiac CT and the technical solutions available in clinical practice to obtain functional information on the coronary fractional flow reserve and myocardial perfusion.

Learning Objectives

• To describe the actual state of the art in cardiac CT
• To illustrate functional imaging techniques in cardiac CT
• To provide actual clinical results and application using CT myocardial Perfusion and CT Fractional Flow reserve

Teaser


Patient with decreased fractional flow reserve in the left anterior descending artery (LAD) and matching myocardial hypoperfusionin the LAD territory.

About the speaker

Carlo N. De Cecco, MD, PhD is an Associate Professor of Radiology and Biomedical Informatics at Emory University in Atlanta. He is board certified from the American College of Radiology and the American College of Nuclear Medicine. His main scientific interest is cardiothoracic imaging and AI/ML applications. He has authored more than 180 articles in peer-reviewed scientific journals, eleven book chapters, and two books. He is on the editorial board of Radiology: Cardiothoracic Imaging and Investigative Radiology, associate editor for the Journal of Cardiovascular Computed Tomography, and he serves as the Artificial Intelligence/Machine Learning section editor for the European Journal for Radiology. He is a member of numerous scientific societies, and serves as Chair of the Cardiac Radiology Use Case Panel at the Data Science Institute (DSI) – American College of Radiology (ACR). He is a Fellow of the SCCT, NASCI, SCBTMR and ESGAR. Since 2014, he is a member of the Board of Experts of the Italian Ministry of Education, University and Research.

Lecture 2 - details

CT perfusion
Prof. Rozemarijn Vliegenthart, Groningen/NL

Description

Many CTA-derived coronary stenoses do not cause ischemia. To determine the hemodynamic significance of a stenosis, the “downstream” blood supply is evaluated in myocardial perfusion imaging (MPI) techniques. Cardiac CT allows for anatomical and functional evaluation of coronary artery disease in one examination by adding CTMPI. There are two main CTMPI techniques to image myocardial ischemia, namely static and dynamic imaging. Dynamic CTMPI enables the quantification of myocardial blood flow, which may have particular advantages in f.e. multivessel disease. In recent years, numerous studies have shown the diagnostic accuracy of CT for assessment of myocardial ischemia, and the improvement of specificity for hemodynamically significant CAD compared to CTA alone. The lecture will include discussion of the current clinical status of CTMPI.

Learning Objectives

• To understand the potential value of CT perfusion
• To appreciate CT perfusion techniques
• To learn about the current clinical status of CT perfusion

Teaser


CT perfusion transverse image, ischemia in LAD territory

About the speaker

Rozemarijn Vliegenthart studied medicine at the Erasmus University Rotterdam and the University of Groningen and obtained her MD degree (cum laude) in 2005. She obtained her PhD degree in 2003, and holds an MSc degree in Clinical Epidemiology. Vliegenthart works as a radiologist at the University Medical Center of Groningen. Research interests include validation and application of new techniques in cardiothoracic CT/MRI, centered on coronary artery disease, lung cancer and COPD. She has acquired a number of grants in cardiothoracic imaging as (co-)applicant. Vliegenthart is (co-)author on >180 scientific publications (H factor 37). She serves as Chairman of the cardiovascular section of the Dutch Radiology Society and as Secretary of the ESCR. Vliegenthart is Tenure track professor at the University of Groningen.

Modern techniques for Cardiac CT: Case based assessment of coronary artery disease
Webinar 02 – Level Basic
Moderator: Dr. Giulia Benedetti, London/UK

Lecture 1 - details

Assessment of stable coronary artery disease
Prof. Gorka Bastarrika, Pamplona/ES

Description

Coronary CT angiography (CCTA) has emerged as the imaging modality of choice to non-invasively assess the coronary vasculature. In the clinical scenario of patients with stable clinical symptoms, CCTA is recommended in patients with low to intermediate pre-test probability of coronary artery disease and in particular, in those with non-diagnostic stress electrocardiogram or stress imaging. This decision is mainly based on the high negative predictive value of the technique. New developments, such as CT-derived fractional flow reserve (FFR-CT) estimation and myocardial CT perfusion imaging have shown to provide incremental diagnostic value.

Learning Objectives

• To review the clinical indications for CCTA in patients with stable coronary artery disease.
• To understand the need to assess the functional significance of coronary stenosis, beyond the morphologic assessment of the vasculature.
• To become familiar with most recent diagnostic approaches to coronary artery disease, including FFR-CT and myocardial CT perfusion

Teaser Case

About the speaker

Name: Dr. Gorka Bastarrika, MD, PhD, EBCR
Specialty: Radiologist. Board certified cardiothoracic radiologist (European Board of Cardiac Radiology Diploma endorsed by the European Society of Radiology, ESR)
Current position: Head of the Department of Radiology. Clínica Universidad de Navarra. Pamplona, Spain.
Institution: Clínica Universidad de Navarra. Pamplona, Spain.
Years of experience: 15 years of experience in cardiothoracic imaging, particularly in cardiac CT and cardiac MRI.

Publications in peer-reviewed journals: 154.
Editor, co-editor, chapters in books: 16.
Invited lectures: 163.
Scientific contribution to national and international congresses: 265

Member of:
• Spanish Society of Radiology (SERAM), 15/10/1999-
• Spanish Society of Cardiothoracic Imaging (SEICAT), 2008-
• European Society of Radiology (ESR), 2008-
• European Society of Cardiovascular Radiology (ESCR), 2011-

Other merits:
• Past president of the Spanish Society of Cardiothoracic Imaging (SEICAT),
• Member of ESCR Communication & New Media Committee: October 2017 until October 2020
• Member of the ESCR Membership & Registry Committee: October 2017 until October 2020Member of the Scientific Programme Committee (ESCR), 2011, 2012, 2013, 2014.
• Member of the Scientific Programme Committee (ECR), subcommittee cardiac imaging 2012, 2013, 2014, 2018
• Scientific exhibition jury. ECR 2010, 2011, 2012, 2013, 2014
• EPOS reviewer: 2013-19

Lecture 2 - details

CT in acute chest pain
Prof. Christian Loewe, Vienna/AT

Description

Three potentially life-threatening disorders can become clinically evident by the unspecific symptom of “acute chest pain”, and in two out of them including pulmonary embolism and acute aortic syndrome CT angiography was established as the first diagnostic modality of choice. Given the high evidence for the value of Cardiac CT in ruling out relevant coronary artery disease in stable patients and facing still existing challenges to safely triage patients in chest pain units, the possible role of Cardiac CT in this clinical scenario is under evaluation and discussion. It is proven that CT can be used to safely rule out acute coronary syndromes with a very high negative predictive value and that CT can help to early discharge patients from the chest pain unit. However, the possible role in the positive diagnosis of an acute coronary syndrome is not as clear.

The aim of this part of the webinar is to provide an overview about the clinical challenges combined with the diagnosis and further management of patients suffering from acute chest pain. Furthermore, the most important differential diagnosis will be addressed with the most relevant imaging findings in the acute setting. The main focus of the presentation, however, will be on the existing challenges and possible solutions of using Cardiac CT in patients with acute coronary syndromes, exemplified with clinical cases.

Learning Objectives

• To become familiar with the clinical challenges of patients with acute chest pain
• To learn about the role of Cardiac CT in the management of patients with acute coronary syndrome
• To discuss the possible future role of Cardiac CT in the management of patients suffering from acute chest pain

 

Teaser

 

About the speaker

Univ.-Prof. Dr. Christian Loewe, EBCR, was born 1971 in Vienna, Austria.

He is currently the Chairman of the Division of Cardiovascular and Interventional Radiology, Department of Bioimaging and Inage-Guided Intervention at the Medical University of Vienna. He serves currently as the Chairman of the European Board of Cardiovascular Radiology (EBCR) and as the Chairmen of the Educational Committee within the European Society of Cardiovascular Radiology (ESCR).

He was President of the Annual Meeting of ESCR in Vienna 2014 and Chariman of the Postgraduate educational programme planning committee of ECR 2019. Christian Loewe was member of the Editorial Board of European Radiology (2002 – 2011) and Associate Editor of Radiology ((2011 – 2017).

The main focus of his clinical and scientific work non-invasive cardiovascular diagnostic (MSCT and MRT of the heart; CT angiography; MR angiography), he gave more than 350 invited lectures, has authored / co-authored more than 110 articles in peer-reviewed journals and is the author of 5 book chapters.

Modern techniques in Cardiac MR: The fourth and fifth dimension in cardiac MR
Webinar 03 – Level Advanced
Moderator: Prof. Matthias Gutberlet (Leipzig/DE)

Lecture 1 - details

4D flow imaging in cardiac imaging
Prof. Elie Mousseaux, Paris/FR

Description

The basic principles of MRI velocity measurements will be explained, for the 2D method (Vz through the plane) and for the 4D flow (the 3 velocity components through time). The recognized indications of 2D velocity measurements will be given and illustrated (quantification of regurgitation and valve stenosis, shunts, etc.). For each application, the current results of the 4D flow will be also analyzed. Finally, the challenges and prospects of this method, which is currently being validated, will also be explained for the evaluation of new prognostic indices in pulmonary arterial hypertension or heart failure.

Learning Objectives

• Understand the basic principles of MRI velocity measurements and the differences with echo Doppler.
• Understand the importance of velocity and flow measurements in cardiac explorations through practical examples, as part of current recommendations
• Analysis of the potential of 4D flow in this field, which could lead to a very rapid change in the management and prognostic analysis of many cardiovascular diseases

 

Teaser

Question 1 : Diagnosis ??
Question 2 : Why is there a low maximal velocity through the stenosis ??

About the speaker

NAME: Mousseaux
FIRST NAME: Elie

ORCID: https://orcid.org/0000-0002-8076-1445
61 years, Professor in Radiology since 2001
• Certified in both Cardiology and Radiology.
• 29 years of clinical experience in Cardiovascular Radiology using CT, MRI and conventional angiography, cardiac angiography and catheterization. He can claim to have personally done more than 10,000 cardiac CT and more than 10,000 Cardiac MR and supervised more than double those numbers as a team leader in charge of this work in his institution.
• 179 Publications with Medline Citations mainly related to both cardiac CT and cardiac MR; 300 International Presentations.
• 120 Invited talks in International meetings.
• 22 years of research experience with expertise in evaluating and developing new CT and MRI applications for cardiac and vascular imaging.

Lecture 2 - details

T1 mapping: how, when and why?
Prof. Jens Bremerich, Basel/CH

Description

Late Gadolinium opened the door towards qualitative tissue characterisation two decades ago. Today we whitness the next evolutionary step of cardiac MRI: Qualitative tissue characterisation by means of mapping techniques. This lecture shall describe motivation, technique and clinical application of T1-mapping.

Learning Objectives

• To understand motivation for T1-mapping
• To review different techniques for T1-mapping
• To discuss clinical applications of T1-mapping.

Teaser


Short chamber views of a patient with acute subepicardial myocarditis in the inferolateral wall with prolongation of native T1 and T2 as well as shortening of T1 after Gadolinium injection.

About the speaker

Jens Bremerich, MD MHBA is Professor of Radiology and section head of Cardiothoracic Imaging at University Hospital Basel, Switzerland. He attended medical school in Montpellier (F), Edinburgh (GB), Indianapolis (USA) and Heidelberg (D) where he received his MD in 1991. Following 12 months as a cardiology resident at Heidelberg, he trained in Nuclear Medicine and Radiology at Basel University Hospital. Moreover, he researched cardiac MRI at the University of California in San Francisco during a two year research fellowship with Dr. Charles B. Higgins. He explored distribution and magnetic effects of various contrast agents in myocardial and capillary injury.
Currently Dr. Bremerich is president of the European Society of Cardiovascular Radiology and he presides the cardiac imaging working group in Switzerland. Dr. Bremerich is a strong advocate of a fruitful cooperation between Radiology, Nuclear Medicine, Cardiology and MR Physics as it is realised at Basel University Hospital.

Modern techniques in Cardiac MR: Case based functional cardiac MR
Webinar 03 – Level Basic
Moderator: Dr. Giuseppe Muscogiuri, Milan/IT

Lecture 1 - details

Myocardial characterization, how I do it
Dr. Charles Peebles, Southampton/UK

Description

It is fundamental that CMR practitioners understand the techniques available to identify myocardial characteristics such as fat, oedema and fibrosis, and know how to interpret them. Standard T1 and T2 weighted black blood sequences have been the mainstay of tissue characterisation but have potential limitations for cardiac use. Late gadolinium enhanced sequences were introduce as a powerful tool to identify myocardial scar, initially in ischaemic heart disease, but subsequently its utility in many disease processes has become clear both for diagnosis and prognosis. First pass perfusion imaging and early gadolinium enhancement add the ability to demonstrate myocardial oedema, and microvascular obstruction. Finally tissue mapping sequences can provide a quantifiable assessment of tissue characteristics before and after contrast. This lecture will focus on clinical cases to explore the use and interpretation of these techniques.

Learning Objectives

Utility and application of T1 and T2 weighted black blood sequences
• The role of late gadolinium enhancement in identifying myocardial scar/fibrosis
• The techniques available to demonstrate myocardial oedema

Teaser Case

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 Cardiac Radiology. He has recently been on the NICE guideline committee for Acute chest pain and previously sat on the guideline development group for the management of stable angina.

Lecture 2 - details

Assessment of grown-ups with congenital heart diseases (GUCH)
Dr. Ricardo Budde, Rotterdam/NL

Description

All cardiovascular radiologists will encounter adult patients with congenital heart defects in their daily clinical practice. Improved screening in the prenatal period and early infancy and improved outcomes of surgical treatment resulted in many patients to reach adulthood. Moreover, several congenital heart defects may cause no or limited non-specific symptoms and are first diagnosed when the patient is already an adult. Often, they may be an additional finding during imaging for other reasons. Imaging is an integral part of the diagnosis, treatment planning and timing as well as routine follow-up in all grown-ups with congenital heart disease (GUCH). In this webinar the basics of MRI imaging in GUCH with regard to anatomy, image acquisition, post processing and interpretation are discussed.

Learning Objectives

• To recognize the most common congenital heart defects in adults
• Know the MRI image acquisitions needed to evaluate patient with GUCH
• Become familiar with the most important imaging findings needed for patient management decisions

Teaser


35-year-old patient who suffered a stroke.

Can you spot the abnormalities on this MRI of the heart and explain how they relate to the patient suffering a stroke?

About the speaker

Ricardo Budde, MD, PhD, EBCR, FSCCT
Ricardo Budde is a staff radiologist and clinical section chief for cardiovascular radiology at Erasmus MC, Rotterdam, The Netherlands.
He obtained his MD, PhD and an MSc in Medical Biology from Utrecht University. Training as a Radiologist was completed in 2013 followed by a fellowship in cardiovascular radiology. Ricardo passed the European Diploma in Cardiac Imaging examination in 2014.
Erasmus MC is the largest academic center in the Netherlands with a very busy cardiovascular imaging section covering every aspect of CT and CMR imaging.
Ricardo has (co)-authored over 145 peer-reviewed publications and serves as daily supervisor for multiple PhD students. His main research interests include imaging of (prosthetic) heart valves, aortic disease, endocarditis, imaging to optimize cardiac interventions and dose reduction techniques for CT. The Dutch Heart Foundation has awarded him two large grants as PI including a prestigious Dekker grant. Ricardo is an active member of the European Society of Cardiovascular Radiology as well as Fellow of the Society of Cardiovascular Computed Tomography.
Furthermore, he is course director of the successful Hands-on Cardiac CT course: www.cardiovascularimaging.nl

CT and MR in valvular heart disease: Advanced Imaging Techniques (beyond Echo…)
Webinar 04 – Level Advanced
Moderator: Dr. Rodrigo Salgado, Antwerp/BE

Lecture 1 - details

CT before minimal invasive valvular repair
Dr. Tilman Emrich, Mainz/DE

Description

The role of transcatheter valve repair has emerged over the last decade. While surgery is performed under direct sight of the dysfunctional valve, catheter-based interventions do need periprocedural imaging as a key step for treatment planning. Computed tomography CT) – beside echocardiography – has proven to be a highly useful imaging method for treatment planning because of high temporal and isotropic spatial resolution. Beside established treatment of aortic valve disease, modern strategies allow the replacement or even reconstruction of atrioventricular valves.

Learning Objectives

To explain the role of CT in periprocedural imaging in minimal invasive valvular repair
• To learn about favourable CT image acquisition protocols and post-processing techniques for treatment planning
• To discuss future developments of periprocedural imaging for minimal invasive valvular repair

Teaser

Which valve causes more problems?


About the speaker

Tilman Emrich is a junior consultant specialized in cardiovascular imaging at the University Medical Center Mainz, Germany. After residency, he earned his board certification in diagnostic radiology in 2015, followed by certifications for cardiac imaging (CT and MR) in 2017.
His research focuses on multiparametric cardiac imaging in a general population and disease cohorts, the use of cardiac MRI in acute chest pain / MINOCA as well as cardiac CT for planning of interventional valve therapy. He is a registered young scientist at the German Center for Cardiovascular Research (DZHK) and a member of the Young Club of the European Society of Cardiovascular Radiology.

 

Lecture 2 - details

Maybe MR in valvular heart disease: when echocardiography is not enough
Dr. Alexandros Kallifatidis, Thessaloniki/GR

Description

Valvular heart disease is an important public-health problem with an increasing prevalence along with ageing of the population. Thus, it is generally recognised the necessity for the use of the most accurate diagnostic tools in order to reveal this type of pathology. Echocardiography remains the imaging modality of choice for the diagnosis and management of patients with valvular heart disease.
Cardiac Magnetic Resonance, as an advanced and sophisticated imaging technique, could play an additional role for the assessment of the severity of the disease, providing pathophysiologic and prognostic information, in order to better recognise early signs of ventricular dysfunction that may help to select people that could benefit from earlier therapeutic strategies and have better clinical outcome.

Learning Objectives

• To show the additional diagnostic value of CMR in valvular heart disease with dedicated protocols and sequences.
• To reveal the prognostic value of CMR and its role to the prediction of patients clinical outcome.
• To mention the role of newer MRI techniques (mapping, strain) in early detection of LV structural and functional changes that may help to identify patients who may benefit from early surgery

 

Teaser



Do you identify these valvular disorders? In which syndrome they occur?

About the speaker

Dr. Alexandros Kallifatidis is a Radiologist with subspecialty in Cardiovascular Imaging and a leading person in Cardiac Imaging (Cardiac CT, Cardiac MRI) in Greece. He is a Board Certified Cardiovascular Imaging Radiologist (European Board of Cardiovascular Radiology-EBCR) and an active subcommittee member of “Education & EBCR Committee” of ESCR.

After finishing his residency in Thessaloniki he was trained in Cardiac Imaging in Heidelberg-Germany
(Cardiology Department, University Hospital “Medizinische Klinik”-Prof.Katus- Prof.Korosoglou))
as well as in Marseille-France (Radiology Department, University Hospital “LA TIMONE”-Prof.Bartoli-Prof. Jacquier).
Since 2007 he is working in the Radiology Department of St.Luke’s Hospital in Thessaloniki, one of the
largest private hospitals in Greece.

Under his supervision the Diagnostic Cardiac Section became one of the leading and well known units in
Greece, performing many of the latest imaging techniques in Cardiac Radiology, such as CMR Stress-perfussion,
CMR Mapping techniques, CMR Strain etc. in daily clinical practice.

In addition, he is collaborating for research purpose with well known Greek and European
Radiology and Cardiology Departments, especially in the field of pulmonary hypertension, of cardiomyopathies and and coronary artery disease.

He is an active speaker in Greece and Europe and he is organising Scientific Courses in Greece,
with guests Lecturers real experts and pioneers in the field of Cardiovascular Imaging.
Since 2015 he is collaborating in clinical practice with the Radiology Department of University Hospital “CHU-Hôpital Nord” in St.Etienne-France (Prof.Croisille)

He is an elected Executive Committee Member of the Radiological Society of Northern Greece and an elected Educational Committee Member of the Hellenic Radiological Society.

Case based valvular Radiology
Webinar 04 – Level Basic
Moderator: Dr. Tilman Emrich, Mainz/DE

Lecture 1 - details

CT before and after minimal invasive valvular repair
Dr. Rodrigo Salgado, Antwerp/BE

Description

Minimal invasive valvular repair techniques are currently in the spotlight, providing new therapeutic options especially in patients with aortic valve stenosis. As these procedures become more common, its is important for the radiologist to be familiar with the pre-procedural required information to guide patient eligibility and device sizing, as well as with the post-procedural features of the commonly used devices to distinguish between normal and abnormal findings.

Learning Objectives

To understand the need for pre-operative imaging in minimal invasive valvular repair.
• To understand the different required measurements and the pitfalls in obtaining them
• To be able to interpret post-procedural image studies and detect complications

Teaser

What is wrong with this picture?

About the speaker

Rodrigo Salgado performed his medical studies at the University of Antwerp graduating in 2000, and from 2000 to 2005 fulfilled his radiology residency at the Antwerp University Hospital including a fellowship at the Massachusetts General Hospital in Boston, USA. Afterwards he achieved in 2005 a staff position at the radiology department of the University Hospital Antwerp, chaired by prof. dr. P.M. Parizel. During the following decade, and presently continuing, he specialized in non-invasive cardiovascular imaging using CT and MR. Currently, he’s a consultant radiologist at the Antwerp University Hospital, and a staff member at Heilig Hart Hospital Lier.

Dr. Salgado is an active member of the Belgian Society of Radiology (BSR), the European Society of Radiology (ESR) and the European Society of Cardiovascular Radiology (ESCR). He is currently the president-elect of the non-invasive cardiovascular imaging section of the BSR and member of the executive board of the ESCR, in which he is also chair of the Communication and New Media committee. He is member of the ECR 2018, 2019 and 2020 cardiac scientific subcommittees for cardiac imaging, and chair of this committee for ECR 2021. He serves on the scientific editorial board of Insights into Imaging and the International Journal of Cardiovascular Imaging, and is reviewer for numerous other scientific journals. Currently, he is section editor for Eurorad – cardiovascular imaging. In the past, he has been member of both the executive and scientific board of the BSR. He is author and co-author of many international peer-reviewed scientific publications and book chapters, and is one of the main authors of the recently published ESCR TAVI consensus document.

Finally, he is congress president of the ESCR 2019 annual meeting.

Lecture 2 - details

MR in valvular heart disease
Prof. Karl-Friedrich Kreitner, Mainz/DE

Description

Although ischemic heart disease remains the leading cause of cardiac-related morbidity and mortality in industrialized countries, a growing number of mainly elderly patients will experience a problem of valvular heart disease (VHD). Doppler-echocardiography is the most popular imaging modality used in the evaluation of this disease entity. It encompasses, however, some non-negligible constraints which may hamper the quality and thus the interpretation of the exam. Cardiovascular magnetic resonance imaging (MRI) is already considered an established diagnostic method for studying ventricular dimensions, function and mass. With improvement of MRI soft- and hardware, the assessment of cardiac valve function has also turned out to be fast, accurate and reproducible. This webinar demonstrates – based on selected cases – the usefulness of MRI in the diagnosis and management of VHD.

Learning Objectives

• To discuss basic examination techniques for assessment of cardiac valvular function.
• To demonstrate the usefulness of MRI in the assessment of VHD using a multiparametric examination protocol.

Teaser

• 69 year old female was referred for replacement of the ascending aorta due to an aneurysm.
• Preoperatively, the cardiac surgeon asked if replacement of the aortic valve was necessary.

Would do you think?

About the speaker

Date and place of birth: November 20th, 1959, in Ludwigshafen am Rhein, Germany
married with Dr. Vera Stich-Kreitner, MD, 2 children

Medical School and Work Experience
1978-1984 Johannes Gutenberg-University Mainz, Medical School,
Germany
1985 MD
1986 Doctoral Thesis „Focal Nodular Hyperplasia of the Liver – A
Survey“
since 1991 Board Certification for Diagnostic Radiology
since 03/1993 Staff Radiologist, Klinik und Poliklinik für Radiologie der
Johannes Gutenberg-Universität Mainz, Germany
since 02/2002 Associate Professor of Radiology, Johannes Gutenberg-
University Mainz, Germany
since 12/2008 Full Professorship, Department of Diagnostic and
Interventional Radiology, Universitätsmedizin, Johannes
Gutenberg-University Mainz, Germany
October 2011 Visiting Professorship at the University of Toronto, Toronto
and at McMaster University, Hamilton, Ontario, Canada
August 2013 Visiting Professorship at the University of Zürich, Switzerland
April 2018 Visiting Professorship at the University of Vienna, Austria

Research activities: MSK Radiology: the polytraumatized patient, joint imaging: MR-arthrography, imaging of muscle injuries.
Cardiovascular and Cardiothoracic Imaging: implementation of new imaging techniques in patients with cardiomyopathies, qualitative and quantitative assessment of myocardial perfusion, CMR in acute myocardial injuries – the MINOCA concept, assessment of flow reserve in coronary bypass grafts, imaging of coronary bypass grafts and stents by MD-CT, assessment of CTEPH by MR and MD-CT imaging techniques, qualitative and quantitative assessment of pulmonary perfusion, assessment of pulmonary hemodynamics,assessment and quantification of tissue perfusion in the diabetic foot syndrome.

More than 200 publications in peer reviewed journals, editor of two books on cardiac imaging, more than 20 book chapters, more than 500 talks at national or international meetings.

Cardiac imaging before intervention in structural heart disease
Webinar 05 – Level Advanced
Moderator: Prof. Marco Francone, Rome/IT

Lecture 1 - details

What do we need prior to treatment of intracardiac defects
Dr. Aurelio Secinaro, Rome/IT

Description

The number of adults with congenital heart disease is expected to increase over the next decade. Although acquired intracardiac defects are being increasingly recognized in adults, congenital heart disease remains the most common etiology. Advances in cardiac imaging, device technology, and transcatheter techniques, percutaneous closure is now feasible and safe for most intracardiac defects with limited need for surgical approach. There is an increasing role of CT and MR in clinical work-up of intracardiac defects, both techniques can support the identification of anatomical landmarks and MR is accurate in quantifying shunt (Qp:Qs). Device closure is considered the first-line therapy for a variety of congenital intracardiac defects, in particular ostium secundum atrial septal defects and muscular ventricular septal defects; it represents also an alternative therapeutic option for patients with acquired defects such as posttraumatic or postinfarction ventricular septal defects. In addition, detailed 3D anatomy derived from CT/MR images can be used for treatment planning, for virtual or physical simulation (on 3d printed models) and for patient-specific or disease-specific device prototyping and engineering.

Learning Objectives

to recognize the most common intracardiac defects with CT/MR
• to understand their pathophysiology and perform accurate shunt quantification
• to identify most important cardiac defects landmarks in order to better guide intervention/surgery
• what are the major complications of intracardiac intervention/surgery

Teaser

About the speaker

Dr Aurelio Secinaro is Radiology Consultant and Head of the Advanced Cardiovascular Imaging Unit at the Bambino Gesù Children’s Hospital and Research Institute in Rome. He’s skilled in performing cardiac MR and CT in children with congenital heart disease and cardiomyopathies. After his medical studies in Turin he completed his training at Great Ormond Street Hospital for Children, University College of London, where he obtained the maximum level of certification in Cardiovascular cross-sectional Imaging under the supervision of Prof. Andrew Taylor. He is involved in the Grown-Up Congenital Heart disease project in collaboration with the Policlinico Gemelli, Catholic University in Rome. He’s been part of several European Research Projects and he’s currently Project Manager for the Institutional 3D virtual modeling/printing program. Author and coauthor of several pubmed indexed publications, he is member of different national and international diagnostic imaging societies and regularly invited speaker/moderator at scientific meetings. In the past few years he joined the European Society of Pediatric Radiology (ESPR) Educational Committee as member responsible for reappraisal on Cardiothoracic Imaging.

Lecture 2 - details

What cardiac imaging can provide in / for Electrophysiology
Dr. Antonio Esposito, Milan/IT

Description

Over the past decades, major advances have occurred in both electrophysiology and cardiac imaging. Electrophysiology have evolved toward the treatment of complex structural based arrhythmias, with a growing need of anatomical and structural planning and guide. At the same time, Cardiac MR and Cardiac CT have importantly increased their impact in the comprehension of the structural substrate of both atrial and ventricular arrhythmias, gaining a central role in the diagnostic management of arrhythmias. Over the last years, increasing evidences suggest the strong potential impact of the integration of Cardiac MR and Cardiac CT with electroanatomic maps in the guide of the ablation treatments of both atrial and ventricular arrhythmias. The imaging integration in the electrophysiological procedures is one of the most advanced and exciting fields of cardiac imaging research. The current possibilities and the future directions of cardiac imaging in this setting will be presented.

Learning Objectives

• Basic principles of ablation treatments of arrhythmias
• Main role of imaging before the ablation of atrial and ventricular arrhythmias
• Cardiac CT and Cardiac MR merging with electroanatomic maps: how and why
• Future directions for the development of Cardiac MR and Cardiac CT as tools for guiding arrhythmias ablation

Teaser

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 120 manuscripts published in peer-reviewed journals.
He is the Responsible of the Functional Unit of Cardiovascular Imaging at the Department of Radiology of IRCCS San Raffaele Hospital.
He leads the Preclinical Imaging Facility of the same Research Hospital, a service and research facility equipped with CT, MRI, Optical, US and Photoacustic imaging technologies dedicated to the experimental study of small animal models of diseases.

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