ESCR Webinar 01 – Level Basic
Date: Wednesday, February 13, 2019, at 18:00 CET
Title: “Optimize your cardiac MR: Cardiac MR optimization in daily clinical routine“
Young Club Moderator: Dr. Marco Gatti, Turin/IT
„My late enhancement does not work“: clinical examples, explanations and solutions
Prof. Matthias Gutberlet, Leipzig/DE
„My flow measurements are not correct“: clinical examples, explanations and solutions
Dr. Nicola Galea, Rome/IT
Lecture 1 - details
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.
• 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
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
Office Address: Department of Diagnostic and Interventional Radiology
University Leipzig / Leipzig Heart Center
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
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
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.
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?
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.