liver imag workshop liver imaging workshop liver imaging workshop liver imag workshopApril 19–20, 2012 | Porto/PT

November 8–9, 2012 | Athens/GR

www.esgar.org

liver imaging workshops

This educational activity of ESGAR is exclusively sponsored by an educational grant of BAYER HEALTHCARE.

While the information provided in this publication was assembled with great dilligence, the publishers assume no liability for printing errors or incompletion.Date of printing: January 2012

3

introduct

ion

IntroductIon

Liver imaging has evolved into one of the main fields of application in our discipline thanks to the impressive technological evolution of all modalities and the development of new contrast media in particular tissue specific agents.The aim of the workshop is to provide a comprehensive coverage of all the main liver pathologies that will be presented by means of an integrated multimodality approach. Imaging findings will be analysed on the basis of their pathological correlations.The format of the workshop will include formal lectures that have been assigned to expert colleagues able to thoroughly discuss each topic. Moreover, an interactive discussion on real clinical cases will be led – in additional “slots” – by the faculty members who will help to define the state-of-the-art in the diagnosis of liver diseases.A specific aim of the workshop is to provide practical suggestions on how to manage the diagnostic work-up of liver diseases in the daily practice.

LearnIng objectIves

To describe the most relevant technological advances of different modalities and contrast media applied to liver imaging

To equip delegates with an improved understanding of segmental anatomy of the liver in order to share a standard radiological and surgical terminology

To discuss the main liver pathologies based on structured multi-modality orientated lectures and interactive case presentations

To give practical suggestions on the diagnostic work-up of liver diseases in the daily practice

To understand the imaging features on the basis of pathological correlations

4

Registration

regIstratIon

Please use the online registration system on the ESGAR website www.esgar.org.

regIstratIon Fees:

radiologists, PhysiciansESGAR Members ..........................€ 400.00Non Members .................................€ 550.00

radiologists in training (residents)ESGAR Members ..........................€ 250.00Non Members .................................€ 350.00

regIstratIon Fee IncLudes:

access to lectures and interactive case discussions

final programme/syllabus coffee breaks lunches or lunchbox certificate of attendance

The number of participants per workshop is limited and registrations will be accepted on a first come first served basis. Together with the registration payment is necessary.

Registrations as radiologist in training (Residents) must be accompanied by a confirmation of the head of the department confirming the status as Resident.

registratio

n

regIstratIon deadLInes

Registration Deadline for the Porto Workshop is March 21, 2012.

Registration Deadline for the Athens Workshop is october 8, 2012.

Insurance

Participants have the opportunity to take out insurance for the registration fee. This insurance applies in case of an unforeseen cancellation of participation in the ESGAR Liver Imaging Workshops and can be taken out together with the online registration. Details can be found on the ESGAR website.

accredItatIon

ESGAR, the European Society of Gastrointestinal and Abdominal Radiology is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide the following CME activities for medical specialists. The EACCME is an institution of the UEMS (www.uems.net).The number of CME credits awarded to the 10th and 11th ESGAR Liver Imaging Workshop is pending and will be announced on the ESGAR website!

introduct

ion

5

PortoApril 19-20, 2012

6

General Information

WorKsHoP organIsers

Prof. Filipe Caseiro AlvesFaculdade Medicina CoimbraHospital da Universidade de CoimbraDepartment of RadiologyPraceta Mota PintoPT — 3030 Coimbra, Portugal

Dr. Manuela FrancaGeneral Hospital Santo António Largo Prof. Abel Salazar PT — 4099-001 Porto, Portugal

WorKsHoP venue

„Centro Hospitalar do Porto Hospital de Santo António“ Largo Prof. Abel Salazar PT — 4099-001 Porto, Portugal

FacuLtY

C. Bartolozzi, Pisa/ITG. Brancatelli, Palermo/ITF. Caseiro Alves, Coimbra/PTD.A. Clevert, Munich/DEL. Guimaraes, Porto/PTL. Martí-Bonmatí, Valencia/ESC. Matos, Brussels/BEL.H. Ros Mendoza, Zaragoza/ES S. Skehan, Dublin/IEV. Vilgrain, Clichy/FRC.J. Zech, Munich/DE

organIsIng secretarIat

Central ESGAR Office Neutorgasse 9 AT — 1010 Vienna, AustriaPhone: +43 1 535 89 27Fax: +43 1 535 70 37E-Mail: office@esgar.orgWebsite: www.esgar.org

WorKsHoP Language

The workshop will be held in English.

HoteL accoMModatIon

Special room rates at the 4* hotel „Eurostars Das Artes“ are available for participants of the ESGAR Liver Imaging Workshop. Please book early in order to ensure availability.

Daily room rates (incl. breakfast and VAT): Single Room € 70.00 Twin Room € 79.00

Reservation can be done until one month prior to the event (March 18, 2012).For your room reservation and other hotel suggestions please visit the ESGAR website for further information.p

orto

- gen

eral info

rmatio

n

7

Porto, PortugaL

Porto is the second largest city in Portugal located along the river banks of the Douro River in northern Portugal. Porto is one of the oldest European cities, and is labelled as a World Heritage Site due to its history as a vital Roman outpost. Historically known for their export of wine, Porto has many cultural and historical attractions due to its long European history. Porto has numerous cathedrals and museums, most notably the Renaissance Church of Santa Clara and Porto Cathedral. Porto also has long strip of beaches and restaurants with Portuguese cuisines along the Douro River.

currencY

The Euro (€) is the offical currency in Portugal.

eLectrIcItY

230V/50Hz (European plug)

Language

The official language is Portuguese.

tIMeZone

GMT

HoW to reacH Porto

bY PLaneAeroporto do Porto or Aeroporto de Pedras Rubras is the third busiest airport in the country and is about 15 km from the city centre. Just outside of the airport is the AeroBus which takes you to Praça da Liberdade (city center) or will drop you off at the Pousada da Juventude. A taxi trip will cost approx. € 20.00. The Metro line connects the Airport to the city centre, offering a fast and peaceful ride into the heart of the city. At night, between 01:30 and 06:00, there is no regular connection, so using a taxi is the only possibility.

bY traInThe city is served by two major train stations, the “São Bento” (Saint Benedict) station which is located in the city centre and the “Campanhã” station. Trains from and to Madrid and Paris are regular, other non-domestic destinations vary according to demand and time of year. Domestic trains are very frequent and usually on time.

PubLIc transPort

Campanhã has the light railway and the suburban railway, both services connect to the central station of São Bento Station.

por

to -

gen

eral info

rmatio

n

por

to -

pro

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mm

e

8

Thursday, April 19

08:45 registration

09:15 oPenIng reMarKs

IMagIng ModaLItIes09:20 us technique including ceus D.A. Clevert, Munich/DE 09:45 Mdct of the Liver L. Guimaraes, Porto/PT 10:10 Liver MrI: advanced techniques, dWI and hepatocyte-specific

contrast agents L. Martí-Bonmatí, Valencia/ES 10:35 Q&a

10:50 coFFee breaK

vascuLar and bILIarY anatoMY and dIseases11:20 Functional anatomy of the liver and biliary tract: clinical implications L.H. Ros Mendoza, Zaragoza/ES 11:55 vascular diseases F. Caseiro Alves, Coimbra/PT 12:20 biliary diseases C. Matos, Brussels/BE 12:45 Q&a

12:55 LuncH

non-cIrrHotIc LIver13:45 Focal lesions in the non-cirrhotic liver C.J. Zech, Munich/DE 14:10 Focal lesions too small to characterise: what to do? G. Brancatelli, Palermo/IT 14:35 Imaging of metastases – diagnostic approach to the

oncological patient S. Skehan, Dublin/IE 15:00 Q&a

15:15 coFFee breaK

15:30 InteractIve case dIscussIons, 3 x 40MIn the incidental focal liver nodule F. Caseiro Alves, Coimbra/PT How MrI can help to characterise a lesion in the non-cirrhotic liver C.J. Zech, Munich/DE Liver Imaging: cases with dual energy ct L. Guimaraes, Porto/PT

17:45 adjourn

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to -

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mm

e

9

Friday, April 20

dIFFuse dIseases and Hcc 08:30 diffuse liver diseases L. Martí-Bonmatí, Valencia/ES 08:50 diagnosis and staging of Hcc: current guidelines C. Bartolozzi, Pisa/IT 09:15 Focal lesions in cirrhosis: not always Hcc G. Brancatelli, Palermo/IT 09:35 Imaging in liver transplantation V. Vilgrain, Clichy/FR 10:00 Q&a

10:10 coFFee breaK

10:30 InteractIve case dIscussIons, 3 x 40MIn How MrI can help to characterise a lesion in the cirrhotic liver G. Brancatelli, Palermo/IT differential diagnosis Hcc – regenerative nodule  C. Bartolozzi, Pisa/IT vascular diseases V. Vilgrain, Clichy/FR

12:45 LuncH

assessIng tuMour resPonse13:45 evaluation of tumour response: recIst and more S. Skehan, Dublin/IE 14:15 tumour ablation: indications, results and F/u C. Bartolozzi, Pisa/IT 14:45 dce Mr-Perfusion in the liver: feasibility and potential benefits C.J. Zech, Munich/DE

15:05 coFFee breaK

15:30 InteractIve case dIscussIons, 3 x 40 MIn ce-us: selected cases of focal liver lesions D.A. Clevert, Munich/DE Liver tumours: assessment of treatment response S. Skehan, Dublin/IE biliary disease C. Matos, Brussels/BE

17:45 dIscussIon oF QuIZ cases F. Caseiro Alves, Coimbra/PT

18:00 adjourn

10

www.esgar.org

gen

eral info

rmatio

n

11

AthensNovember 8-9, 2012

12

ath

ens - g

ener

al info

rmatio

n General Information

WorKsHoP organIser

Dr. Charina TriantopoulouKonstantopoulio Agia Olga HospitalRadiology and CT DepartmentAgias olgas 3-5GR — 14233 N.Ionia, Athens, Greece

WorKsHoP venue

Divani Caravel Hotel2, Vas. Alexandrou Avenue,GR — 16121 Athens, Greece

FacuLtY

C. Bartolozzi, Pisa/ITG. Brancatelli, Palermo/ITF. Caseiro Alves, Coimbra/PTC. Dervenis, Athens/GRS. Efremidis, Ioannina/GRS. Gourtsoyianni, Athens/GRN. Gourtsoyiannis, Athens/GRC. Matos, Brussels/BEY. Menu, Paris/FRN. Papanikolaou, Athens/GRP. Prassopoulos, Alexandroupolis/GRC. Stoupis, Maennedorf/CHC. Triantopoulou, Athens/GRV. Vilgrain, Clichy/FRS. Yarmenitis, Maroussi/GR

organIsIng secretarIat

Central ESGAR OfficeNeutorgasse 9AT — 1010 Vienna, Austria Phone: +43 1 535 89 27Fax: +43 1 535 70 37E-Mail: office@esgar.orgWebsite: www.esgar.org

WorKsHoP Language

The workshop will be held in English.

HoteL accoMModatIon

Special room rates at the workshop hotel “Divani Caravel” are available for participants of the ESGAR Liver Imaging Workshop. Please book early in order to ensure availability.

Daily room rates(incl. American buffet breakfast, services and VAT):Single Room € 150.00Double Room € 170.00

In order to secure space, reservation forms should be sent to the reservation department till September 25, 2012.For your room reservation please visit the ESGAR website for further information.

13

ath

ens - g

ener

al info

rmatio

n

atHens, greece

Athens is the capital of Greece, with a population of 750,000. As the city where democracy was born and the most important civilization of the ancient world flourished, Athens is one of the world’s main centres of archaeological research. It lives on through some of the world’s most formidable edifices, with the Acropolis belonging to the Seven Wonders of the World. Today, a walk around the famous historic sites and the old neighbourhoods reveals the coexistence of different eras. Old mansions, luxurious department stores and small intimate shops, fancy restaurants and traditional taverns. All have their place in this city.

currencY

The Euro (€) is the official currency in Greece.

eLectrIcItY

220V/50Hz (European plug)

Language

The official language is Greek.

tIMeZone

GMT +2

HoW to reacH atHens

bY PLaneThe new Athens Eleftherios Venizelos International Airport 27 km east of the city centre, near the suburb of Spáta, opened in 2001 and is now an attractive and efficient major European airport. The airport has excellent public transit connections to the city. From the airport you can reach the city by metro, taxi, bus and suburban railway.

bY traInThe national rail service, Trainose, connects Athens to other cities in Greece.

PubLIc transPort

Public transport in Athens has improved by leaps and bounds in the last ten years. The simple ticket lets you travel on any means of transport — metro, suburban trains, trams, trolleybuses, buses — with unlimited transfers anywhere within Athens.

ath

ens - p

rogra

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e

14

Thursday, November 8

08:30 registration

09:00 oPenIng reMarKs C. Triantopoulou, Athens/GR

09:05 KeY note Lecture What will be the challenges for

abdominal imaging in the next decade? N. Gourtsoyiannis, Athens/GR

IMagIng ModaLItIes 09:20 us technique including ceus S. Yarmenitis, Maroussi/GR 09:45 Mdct of the liver C. Stoupis, Maennedorf/CH 10:10 Liver MrI: advanced techniques, dWI and hepatocyte-specific

contrast agents S. Gourtsoyianni, Athens/GR 10:35 Q&a

10:45 coFFee breaK

vascuLar and bILIarY anatoMY and dIseases 11:15 Functional anatomy of the liver and biliary tract: clinical implications F. Caseiro Alves, Coimbra/PT 11:45 vascular diseases of the liver V. Vilgrain, Clichy/FR 12:15 benign and malignant biliary diseases C. Matos, Brussels/BE 12:40 Q&a

12:50 LuncH

IncIdentaL LIver LesIons and InFectIons13:50 acute hepatobiliary infections and complications P. Prassopoulos, Alexandroupolis/GR 14:15 Incidental liver lesions in non-cirrhotic liver C. Stoupis, Maennedorf/CH 14:40 the hypointense liver lesion on t2w MrI and what it means F. Caseiro Alves, Coimbra/PT 15:05 Q&a

15:15 coFFee breaK

15:30 InteractIve case dIscussIons, 3 x 40MIn the incidental focal liver nodule F. Caseiro Alves, Coimbra/PT vascular diseases V. Vilgrain, Clichy/FR biliary diseases C. Matos, Brussels/BE

17:45 adjourn

ath

ens - p

rogra

mm

e

15

Friday, November 9 cIrrHosIs and Hcc08:30 From regenerative nodule to Hcc S. Efremidis, Ioannina/GR 08:50 diagnosis and staging of Hcc: current guidelines C. Bartolozzi, Pisa/IT 09:10 Focal lesions in cirrhosis: not always Hcc G. Brancatelli, Palermo/IT 09:30 Imaging in liver transplantation V. Vilgrain, Clichy/FR 09:50 Q&a

10:00 coFFee breaK

10:30 InteractIve case dIscussIons, 3 x 40MIn How MrI can help to characterise a lesion in the cirrhotic liver G. Brancatelli, Palermo/IT differential diagnosis Hcc – regenerative nodule  C. Bartolozzi, Pisa/IT cad post processing of liver MrI N. Papanikolaou, Athens/GR

12:45 LuncH

MetastatIc LIver dIsease13:45 What the radiologist needs to learn from a liver surgeon C. Dervenis, Athens/GR 14:05 Liver metastases detection: dWI or hepatobiliary MrI or both? S. Gourtsoyianni, Athens/GR 14:25 Focal lesions too small to characterise: what to do? G. Brancatelli, Palermo/IT 14:45 evaluation of tumour response: recIst and more Y. Menu, Paris/FR 15:05 Q&a

15:15 coFFee breaK

15:45 InteractIve case dIscussIons, 3 x 40 MIn ce-us: selected cases of focal liver lesions S. Yarmenitis, Maroussi/GR evaluation of tumour response: recIst and more Y. Menu, Paris/FR How MrI can help to characterise a lesion in the non-cirrhotic liver S. Gourtsoyianni, Athens/GR

17:45 dIscussIon oF QuIZ cases C. Triantopoulou, Athens/GR

18:15 adjourn

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mag

net

ic r

eson

ance

imag

ing

(MRI

). A

ll p

atie

nts

sh

ould

be

scre

ened

, in

part

icul

ar p

atie

nts

ove

r th

e ag

e of

65,

for

ren

al d

ysfu

nct

ion

by o

btai

nin

g a

his

tory

an

d/o

r la

bora

tory

tes

ts. H

aem

odia

lysi

s sh

ortl

y af

ter

Prim

ovis

t® a

dmin

istr

atio

n in

pat

ien

ts c

urre

ntl

y re

ceiv

ing

haem

odia

lysi

s m

ay b

e u

sefu

l at

rem

ovin

g Pr

imov

ist®

fro

m t

he

body

. Th

ere

is n

o ev

iden

ce t

o su

ppor

t th

e in

itia

tion

of

haem

odia

lysi

s fo

r pr

even

tion

or

trea

tmen

t of

NSF

in p

atie

nts

not

alr

eady

un

derg

oin

g ha

emod

ialy

sis.

Cau

tion

sh

ould

be

exer

cise

d in

pat

ien

ts w

ith

seve

re r

enal

impa

irm

ent

due

to r

edu

ced

elim

inat

ion

capa

city

of

Gd-

EOB-

DTP

A. P

rior

to

adm

inis

trat

ion

of P

rim

ovis

t, it

is r

ecom

men

ded

that

all

pat

ien

ts a

re s

cree

ned

for

ren

al d

ysfu

nct

ion

by o

btai

nin

g la

bora

tory

tes

ts. C

auti

on s

hou

ld b

e ex

erci

sed

wh

en P

rim

ovis

t® is

adm

inis

tere

d to

pat

ien

ts w

ith

seve

re c

ardi

ovas

cula

r pro

blem

s be

cau

se o

nly

lim

ited

dat

a ar

e av

aila

ble

so fa

r. It

can

not

be

excl

ude

d th

at G

d-EO

B-D

TPA

may

cau

se t

orsa

de d

e po

ints

arr

hyt

hmia

s in

an

indi

vidu

al p

atie

nt.

Hyp

erse

nsit

ivit

y Al

lerg

y-li

ke r

eact

ion

s,

incl

udi

ng

shoc

k, a

re k

now

n to

be

rare

eve

nts

aft

er a

dmin

istr

atio

n of

gad

olin

ium

-bas

ed M

RI c

ontr

ast

med

ia. P

atie

nts

wit

h a

his

tory

of

alle

rgic

/all

ergo

id r

eact

ion

s or

bro

nch

ial a

sthm

a m

igh

t be

at

hig

her

ris

k fo

r se

vere

rea

ctio

ns.

Mos

t of

th

ese

reac

tion

s oc

cur

wit

hin

hal

f an

h

our

afte

r ad

min

istr

atio

n of

con

tras

t m

edia

. How

ever

, as

wit

h ot

her

con

tras

t m

edia

of t

his

cla

ss, d

elay

ed r

eact

ion

s m

ay o

ccur

aft

er h

ours

to

days

in r

are

case

s. A

dequ

ate

mea

sure

s fo

r re

susc

itat

ion

shou

ld b

e m

ade

read

ily

avai

labl

e pr

ior

to a

dmin

istr

atio

n of

con

tras

t ag

ents

. H

yper

sen

siti

vity

rea

ctio

ns

can

be m

ore

inte

nse

in p

atie

nts

on

beta

-blo

cker

s, p

arti

cula

rly

in t

he

pres

ence

of b

ron

chia

l ast

hma.

It s

hou

ld b

e co

nsi

dere

d th

at p

atie

nts

on

beta

-blo

cker

s m

ay b

e re

frac

tory

to

stan

dard

tre

atm

ent o

f hyp

erse

nsi

tivi

ty r

eact

ion

s w

ith

beta

-ago

nis

ts. I

f h

yper

sen

siti

vity

rea

ctio

ns

occu

r, in

ject

ion

of t

he

con

tras

t med

ium

mu

st b

e di

scon

tin

ued

imm

edia

tely

. Loc

al in

tole

ranc

e In

tram

usc

ular

adm

inis

trat

ion

may

cau

se lo

cal i

nto

lera

nce

rea

ctio

ns

incl

udi

ng

foca

l nec

rosi

s an

d sh

ould

th

eref

ore

be s

tric

tly

avoi

ded.

Dat

e of

pre

para

tion

of

th

e te

xt O

ctob

er 2

007

. Ple

ase

not

e! F

or c

urre

nt

pres

crib

ing

info

rmat

ion

refe

r to

th

e pa

ckag

e in

sert

an

d/o

r co

nta

ct y

our

loca

l Ba

yer

Hea

lth

Care

org

anis

atio

n. B

ayer

Pha

rma

AG, 1

3342

Ber

lin

, Ger

man

y. A

dver

se r

eact

ion

s ca

n be

rep

orte

d to

GPV

.Cas

ePro

cess

ing@

baye

rhea

lth

care

.com

The Fine Art of Liver Imaging

Defi ning Liver Imaging

EU.D

I.05.

2009

.009

1 N

ovem

ber 2

009

Q Mastership 1 in detection, delineation and characterization

Q Masterpieces of clear imaging support clear diagnosis and treatment

Q Master’s degree 2 in tolerability

12816_bay_pv_anz_A5_la_02_bl.indd 1 23.12.11 11:48