Webinars 2019

ESCR Webinar 04 – Level Advanced
Date: Wednesday, September 18, 2019, at 18:00 CET
Title: “CT and MR in valvular heart disease: Advanced Imaging Techniques (beyond Echo…)“
Moderator: Dr. Rodrigo Salgado, Antwerp/BE

"CT before minimal invasive valvular repair"

Dr. Tilman Emrich, Mainz/DE

"Maybe MR in valvular heart disease: when echocardiography is not enough"

Dr. Alexandros Kallifatidis, Thessaloniki/GR

Lecture 1 - details


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


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


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



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.