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Thursday, March 7 ...5 Friday, March 8 ...19 Saturday, March 9 ...53 Sunday, March 10 ...83 Monday, Marc Insights Imaging (2013) 4 (Suppl 1):S1–S S144 DOI 10.1007/s13244-013-0227-y PostgraduateA Educational Programme Categorical Courses (CC) EFOMP Workshop (EF) ESR meets Sessions (EM) European Excellence in Education (E³) Honorary Lectures (HL) Mini Courses (MC) Multidisciplinary Sessions (MS) New Horizons Sessions (NH) Opening Lecture (OL) Professional Challenges Sessions (PC) Refresher Courses (RC) RTF - Radiology Trainees Forum (TF) Special Focus Sessions (SF) State of the Art Symposia (SA) Thursday, March 7......... 5 Friday, March 8............ 19 Saturday, March 9........ 53 Sunday, March 10........ 83 Monday, March 11...... 125 S1 Postgraduate Educational Programme S2 A CB D E F G Postgraduate Educational Programme Thursday, March 7 A B CDEFG S3 Postgraduate Educational Programme 12:30 - 13:30 Room N/O 14:00 - 15:30 Room B The Beauty of Basic Knowledge: Head and Neck Interactive Teaching Session MC 24 A E³ 220 A taste of the oral cavity and salivary glands Lung cancer A-001 12:30 A-003 14:00 A taste of the oral cavity and salivary glands A. Detection A. Borges; Lisbon/PT ([email protected]) S. Diederich; Düsseldorf/DE (stefan.diederich@vkkd‑kliniken.de) The oral cavity is a large mucosal space open anteriorly, bordered superiorly by Lung cancer most often presents as a pulmonary nodule or mass, less commonly the nasal cavity and posteriorly by the oropharynx, containing a central muscular as a hilar mass or endobronchial lesion. Most small tumours radiologically present piece- the oral tongue. Inferiorly, the floor of the mouth, composed by the milohyoid as pulmonary nodules. Chest radiography (CXR) is limited in demonstration of small muscles, separates the mucosal space from the sublingual and submandibular nodules and even lesions as large as 3 cm may be missed. Digital tomosynthesis spaces which contain the homonym salivary glands. The parotid gland, the larg- has been shown to markedly improve sensitivity for pulmonary nodules as com- est of the salivary glands, lays in the parotid space with its major duct traveling pared to CXR but is not yet widely available. Magnetic resonance imaging (MRI), through the buccal space and opening in the oral mucosa opposed to the second too, is more sensitive than CXR, but is not routinely performed due to cost and upper molars. It surrounds the ascending ramus of the mandible and is traversed limited availability. The gold standard for detection of pulmonary nodules as small by the main trunk of the facial nerve which divides the gland into superficial and as 1-2 mm is multidetector computed tomography (MDCT). Technically, MDCT deep lobes; the later insinuating itself into the parapharyngeal space through the can demonstrate pulmonary nodules with a sensitivity close to 100%, however, stylomandibular tunnel. Although the mucosal space is widely accessible to clinical sensitivity of individual radiologists is much lower. Computer-assisted detection inspection, imaging is crucial to depict pathology spreading to or originating from (CAD) software may improve sensitivity but may be limited by false positive find- the submucosa as well as to adequately depict areas of difficult clinical access ings. Positron emission tomography (PET)-CT using 18 F-Deoxyglucose (18 FDG) such as the retromolar space- a small triangular area of mucosa posterior to the last has a high sensitivity for lung cancer, however, false negative findings may be due molars. Superficial structures in the submandibular and parotid-bucco-masseteric to well-differentiated adenocarcinoma, carcinoid and nodules < 10 mm whereas region can be adequately depicted by ultrasound whereas deep seated structures false positive findings may be due to inflammatory lesions. This interactive ses- are best evaluated using CT and/or MRI. Here, we will review the basic anatomy, sion will include examples of manifestations of lung cancer as well as data on the imaging technique and main pathological processes affecting these head and accuracy of different imaging methods for lung cancer detection. Endobronchial neck structures. and hilar tumours are more difficult to detect radiologically. Flat mucosal lesions Learning Objecties: may go undetected altogether with bronchoscopy representing the gold standard 1. To become familiar with the anatomy of the oral cavity and salivary glands. for these lesions. 2. To learn how to tailor imaging approaches to the patient’s clinical presentation. Learning Objectives: 3. To appreciate the main pathologic processes of the oral cavity and salivary 1. To learn which imaging techniques are appropriate for detecting lung cancer. glands. 2. To learn about the most relevant imaging findings in lung cancer. 3. To understand the behaviour of lung cancer related to imaging. 12:30 - 13:30 Room P 14:45 The Beauty of Basic Knowledge: Musculoskeletal Imaging A-004 B. Follow‑up F. Gleeson; Oxford/UK ([email protected]) MC 25 A Although the initial staging of lung cancer is well worked up and agreed, the method Trauma of follow‑up, and the frequency of follow‑up investigations is less well investigated or agreed. There are now second line treatments available for patients with lung cancer initially treated with intention to cure. The second line treatments are in part A-002 12:30 dependent upon the volume of disease at relapse. It is important to understand Trauma which patients should be carefully followed up for potential second line treatment. A. Kassarjian; Majadahonda/ES ([email protected]) Second line treatments include surgery, radiotherapy, percutaneous ablation and A basic understanding of anatomy and biomechanics is crucial for the understanding chemotherapy. All have evidence to demonstrate an increase in survival follow- of musculoskeletal injuries. Such thorough knowledge allows one to look beyond ing relapse or disease progression. This presentation will summarise the current the obvious/primary injury and search for commonly associated injuries that may evidence and suggest algorithms that may be implemented to reduce cost and be quite subtle, are often overlooked, and may have significant clinical implications. maximise patient benefit. This session will cover upper and lower extremity injuries and explore the biome- Learning Objectives: chanics, pathophysiology and constellation of injury patterns as seen on imaging. 1. To know the common features of lung cancer recurrence. Learning Objectives: 2. To learn how to establish follow‑up protocols after treatment of lung cancer. 1. To learn about the basic mechanisms of musculoskeletal trauma. 2. To become familiar with typical musculoskeletal injuries and injury patterns. 3. To understand the impact of different radiological methods in the trauma set- ting. S4 A CB D E F G Postgraduate Educational Programme 16:00 - 17:30 Room B 16:00 - 17:30 Room C Interactive Teaching Session GI Tract E³ 320 RC 301 Malignant pancreatic tumours Staging and restaging of rectal and anal cancer A-005 16:00 A-007 16:00 A. Solid tumours Chairman’s introduction W. Schima; Vienna/AT ([email protected]) R.G.H. Beets‑Tan; Maastricht/NL ([email protected]) The most common pancreatic malignancy is ductal adenocarcinoma, with neu- The increasing role of radiologists in the multidisciplinary management team of roendocrine tumours (NET), lymphoma and metastases being important differential patients with rectal and anal cancer is well recognised and MR imaging has become diagnoses. Non-neoplastic pitfalls include focal pancreatitis and lipoma. Multi-phasic the imaging method of choice for staging these tumours. Although organ saving Thursday hydro-MDCT is very effective in detection of hypoattenuating adenocarcinoma (sen- treatment has been adopted in patients with anal cancer, it is still debatable in pa- sitivity up to 90%). In 5-11% of patients, isoattenuatting cancers will show only indi- tients with rectal cancer. Partly, this is because in rectal cancer, in contrast to anal rect tumour signs (duct dilatation, contour deformity, loss of lobulation, mass effect). cancer - where clinical examination is accurate for selection of patients for organ MRI is a problem-solving tool in equivocal CT to depict small cancers. Best pulse preservation -, it is not reliable to solely base decision-making on the endoscopic sequences for detection are unenhanced T1w GRE fatsat, dynamic enhanced 3D- inspection of the luminal aspect of the rectal wall. The shift in rectal cancer treatment GRE fatsat and DWI. Important issues in cancer staging are presence of vascular however is eminent and the role of imaging pushing forward this shift is obvious. involvement (celiac taxis, SMA, SMV, portal vein), lymph nodes, or liver metastases. Hence, the relevant questions that will be asked to radiologists in the coming years 3D reformations (MIP, VRT, CPR) of MDCT datasets are helpful to demonstrate are: “how accurate can we assess response to treatment and how accurate can we vascular invasion, although minimal invasion may elapse CT or MR imaging. NET monitor sustained response during the long term surveillance?” The objective of this tend to be hypervascular, which is best seen in the arterial phase. RCC metastases session is to understand the value of modern planar imaging method for primary to the pancreas are not uncommon. They are typically hypervascular, mimicking staging of rectal and anal cancer patients (MRI, PET/CT). A second objective is to NET at imaging. Most important non-neoplastic solid mass is focal pancreatitis. know the performance of these imaging techniques for assessment of response, for The duct penetrating sign at MRCP helps to differentiate focal inflammation from selection of patients for organ preserving treatment and for monitoring of sustained cancer, although multimodality imaging including biopsy is often required to make response at long term follow‑up. The session will elaborate on the similarities and a definitive diagnosis. Focal steatosis or lipoma is easily diagnosed by chemical differences of diagnostic questions for anal and rectal cancer. shift MRI (T1w GRE in- and opposed-phase). In conclusion, multi-phasic hydro- MDCT is excellent for cancer detection, with 3D reformations for demonstration of 16:05 vascular involvement.
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