ESCR Webinar 03 – Level Advanced
Date: Wednesday, May 15, 2019, at 18:00 CET
Title: “Modern techniques in Cardiac MR: The fourth and fifth dimension in cardiac MR“
Moderator: Prof. Matthias Gutberlet (Leipzig/DE)
"4D flow imaging in Cardiac imaging"
Prof. Elie Mousseaux, Paris/FR
"T1 mapping: how, when and why?"
Prof. Jens Bremerich, Basel/CH
Lecture 1 - details
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.
• 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
Question 1 : Diagnosis ??
Question 2 : Why is there a low maximal velocity through the stenosis ??
About the speaker
FIRST NAME: Elie
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
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.
• To understand motivation for T1-mapping
• To review different techniques for T1-mapping
• To discuss clinical applications of T1-mapping.
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.