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5TH MSK MRI: FROM ANATOMY TO PATHOLOGY: -An Intensive MSK MRI Course, Frasnes-lez-Buissenal, Hainaut, June 3-4, 2023

COURSE ORGANIZER

GUEST LECTURERS

Course objectives
  • To understand and illustrate the anatomy of joint structures and the MRI appearance
  • To illustrate the basic and advanced pathology changes and pitfalls of injuries on MRI
  • Updated concepts about MSK pathology on MRI
  • MRI-anatomical correlations
  • Special focus sessions may change, depending on new developments in MSK

TEACHERS

Dr. Michel De Maeseneer practices in MSK Radiology at the University Hospital Brussels (UZ Brussel, VUB ). He trained and worked with Profs. Donald Resnick (UCSD, San Diego), Jon Jacobson, Yoav Morag, and Monica Brigido (University of Michigan, MI), Thomas Pope Jr, Scott Wuertzer, and Leon Lenchik (Wake Forest Medical School, NC) in the USA for 6 years, as well as with Maryam Shahabpour, (Free University Brussels). He is an invited speaker at RSNA, ECR, ESSR, MUSOC, BSR, Medipoint Courses, Erasmus, Flemish postgraduate university courses.

Dr Veerle De Grove trained at the UZ Brussel MSK section and is a staff radiologist in MSK Radiology at Brugman Hospital, Brussels, with chair: Prof. Mieke Cannie. She has recently published many clinically oriented articles in MSK MRI.

Dr Yannick De Brucker is a staff member of the UZ Brussel and CEO of Radiologie Buggenhout. He is an alumni fellow of the University of Florida.

WELCOME

We would like to invite you to an intensive 2 full-day course on MRI of the joints including focus sessions. We collected imaging and anatomical material for more than 20 years. We are happy to share this experience with you focused on anatomical understanding and clinical MRI experience, tricks, tips, and pitfalls, and practical information.

The 1st & 2nd editions of the course took place at the Free University Brussels (VUB) medical campus Jette on the outskirts of the Brussels Capital Region. The 3rd edition took place at our conference room in Frasnes-Belgium, an area with natural beauty. The 4th edition in Brussels-center welcomed many international participants (The Netherlands, UK, Ireland, Switzerland, Greece, Lithuania, New Zealand...) Participants have given valuable suggestions and contributed special images from their own collections which we incorporated in the course. The course is evaluated by most participants as more advanced.

Day 1: SATURDAY

Registration-Welcome from 8.30
SESSION: 8.45-17.30
  • Brief overview of 'misleading' MRI artifacts in MSK.
  • MRI of the shoulder: Bone anatomy, aponeurotic expansion of the biceps and differential, cable anatomy and variants, tendon footprints ('comma sign') and lesions of tendons.
  • MRI arthrography of the shoulder: what to use it for, instability types, on and off track, variants, glenohumeral ligaments, posterior dislocation, SLAP and labrum lesions, pulley lesions, Bennett lesion.
BREAK
  • Rapid fire session: The 8 MRI signs of shoulder capsulitis and best technique, impingement, and nerve pathology.
  • MRI of the elbow, PLRI, VEO, minimal instability pattern, tendons, ligaments, plicae, nerves.
  • Focus: Newly recognized MRI patterns of CRPS and rapid bone remodeling-angiogenesis
  • Bonus: Other peculiar bone marrow patterns, fat globule coalescence, cartilage remnants, premature ossification (non tumoral).
  • MRI of the hand, wrist and fingers, retinaculae, flexor-extensor anatomy and lesions, connexus, dorsal and retinacular hoods. Landsmeer ligaments, Pulleys and palmar plates.
  • The extensor carpi ulnaris: a 'special' tendon
LUNCH (12.15-13.15)
  • MRI of the wrist, Bone: Variants and missed injuries, Kienbock and pitfalls, scafoid necrosis, viability?, wrist overuse, impingement, impaction
  • MRI and MRA: TFCC anatomy, Palmer and non Palmer lesions.
  • MRI and MRA: Intrinsic and extrinsic ligaments, Dorsal capsular SL septum (DCSS), carpal instability (Mayo: CID, CIND, CIA, CIC)
  • Midhand and thumb: a lesser known area, distal insertions, thenar, thumb, ski thumb and Stener, Dupuytren.
BREAK
  • MRI of Hip: joint anatomy and pitfalls, necrosis, fracture, edema, capsular anatomy, micro-instability, capsulitis.
  • MRI arthrography of the hip; labrum, cartilage, the never ending story of femoroacetabular impingement and new ideas, ischiofemoral, subspine impingement, trochanteric-pelvic impingement.
  • Pelvis MRI : muscles, tendons, trochanteric syndrome, the 3 hamstring tendons, the 3 tendons of the rectus femoris

Discussion

DAY 2: SUNDAY

SESSION: 9.00-17.30
  • Focus session: an innovative look at the adductors and groin region, PLAC concept.
  • MRI of SI joint, spondylarthropathy, other pathognomonic areas to keep in mind, how to deal with ASAS, and MR differential diagnosis of sacroiliitis.
  • MRI of the knee meniscus: Beyond the typical tear: meniscal root anatomy and problems, accessory ligaments, discoid meniscus, missed tears, unstable tears, displaced tears (more typical and challenging), 'degenerative' meniscus.
BREAK
  • MRI of the Knee: postoperative: normal and abnormal findings, cruciates, cartilage techniques, meniscectomy, external ligamentoplasty,....
  • Peri(articular) cysts and bursae around the knee: differential and pitfalls, what if it is not a typical cyst?
  • Short intermezzo: review of well-known and less well-known bone contusion patterns to recognize in the knee.
  • Focus session: fat extrusion in puzzling places.
  • Extensor system and patello-trochlear dysplasia made easy
LUNCH: 12.30-13.30 and NOON WALK
  • MRI of knee ligaments-tendons: including collateral ligaments, MCL, POL, MPFL, MPTL, anterolateral complex, Kaplan, ALL, posterolateral corner, posteromedial corner.
  • MRI of the ankle and foot : ligaments, ankle, Chopart, Lisfranc, plantar fascia, retinaculae and frondiform ligament.
  • Bonus: ankle impingement
BREAK
  • MRI of the forefoot: Morton versus Yamada's pseudoneuroma, plantar plate tear types, fat pad bursitis, fat pad atrophy, Freiberg, neuropathic, arthritis.
  • The 'complex' hallux: sesamometatarsal and sesamophalangeal ligament complex and typical and peculiar turf toe patterns, OCL and cartilage, hallux valgus.
  • MRI of the ankle and foot: tendons ( and Achilles tendon).
  • MRI of ankle and foot nerves.
ETHICS SESSION
  • Graphical tools in quality improvement in radiology.
END OF COURSE
  1. Registration fee is 800 euro.
  2. It includes notebook, coffee-breaks, snacks, lunches, high quality color syllabus
  3. The number of participants is limited to 12.
  4. The course is held at our conference room in Frasnes-lez-Buissenal.
  5. The nice location in Pays des Collines offers natural beauty and possiblities for recreation.
  6. The location can not be reached by public transportation. There are bed and breakfasts in the region.
  7. The location is close to Geraardsbergen, Brakel, Ronse, Tournai, Ath, Lessines.
INFORMATION MSKMRICOURSE@gmail.com
  1. REGISTER ONLINE
  2. Registration ends when the course is full, (time of payment confirms your final registration)
  3. Cancellation policy on your initiative: before 4 weeks, refund. After that, no refund.
  4. In case of need of cancellation of the course (covid, other) we will offer rescheduling or refund of the course fee.
  5. Credit points will be requested at RIZIV-INAMI for a 2 day course. (and an ethics point-previous editions ~ 14)
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