ESCR Webinar 03 – Level Basic
Date: Wednesday, June 12, 2019, at 18:00 CET
Title: “Modern techniques in Cardiac MR: Case based functional cardiac MR“
Moderator: Dr. Giuseppe Muscogiuri, Milan/IT (Young Club Member)
"Myocardial characterization, how I do it"
Dr. Charles Peebles, Southampton/UK
"Assessment of grown-ups with congenital heart diseases (GUCH)"
Dr. Ricardo Budde, Rotterdam/NL
Lecture 1 - details
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.
• 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
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
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.
• 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
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