neuroradiology update and refresher course

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NEURORADIOLOGY UPDATE AND REFRESHER COURSEA BIR event in association with Imperial College Healthcare NHS Trust

Venue: Etc. venues Marble Arch, LondonCPD: 10 CREDITS

18–19JUNE 2015

We are most grateful to

View the full programme and register:

www.bir.org.uk

• Room1Primers for the non-specialistsSessionorganisedbyDrDavid

Wilson,ConsultantInterventional

MSKRadiologist,OxfordUniversity

HospitalsNHSTrust

• Room2Radiation protection — current issues in molecular imaging and radiotherapySessionorganisedbyMrAndy

Rogers,HeadofRadiationPhysics,

NottinghamUniversityHospitals

NHSTrust

Book now

• Room1Clinical hybrid imaging inoncologySessionorganisedbyDrGopinath

Gnanasegaran,Consultant

PhysicianinNuclearMedicine,

StThomas’Hospital

• Room2Emergency radiology — advances in trauma imaging and Essentials for the radiology traineeSessionorganisedbyDrHardi

Madani,RadiologyRegistrar,Royal

FreeLondonHospitaland

DrAusamiAbbas,Cardiothoracic

RadiologyPostCCT

Day 2Day 1

BIR ANNUAL CONGRESS 20154–5 NOVEMBER

LONDON

1

Welcome and thank you for coming to the “Neuroradiology update and refreshercourse”organisedbyTheBritishInstituteofRadiology.

Wewishyouaveryenjoyableandeducationalexperience.

Certificateofattendance

Thismeetinghasbeenawarded10RCRcategoryICPDcredits(5perday).

Yourcertificateofattendancewillbeemailedtoyouwithinthenext2weeksonceyouhavecompletedtheonlineeventsurveyat:

https://www.surveymonkey.com/s/neuroupdate

BIR Annual Congress 2015: 4–5 November, London

We are most grateful to

for supporting this event

Please take time to visit their exhibition stands to find out moreabout the services they offer

Book now

Day 2

2

Programme DAY 1–18 JUNE

09:00 Registration and refreshments

09:30 Welcome and introduction DrAdamWaldman

09:45 Ischaemic stroke DrAmrishMehta

10:15 Intracranial haemorrhage DrKyriakosLobotesis

10:45 Refreshments

11:15 Group A – Workshop Group B – Interactive session

12:00 Group A – Interactive session Group B – Workshop

12:45 Lunch

13:45 CNS infection DrFarahAlobeidi

14:15 Neurooncology/tumours DrAdamWaldman

14:45 Refreshments

15:15 Group A – Workshop Group B – Interactive session

16:00 Group A – Interactive session Group B – Workshop

16:45 Questions and discussion

17:00 Close of day

19:00 Conference dinner at Vinoteca (for those that have pre-registered)

DAY 2–19 JUNE

09:00 Registration and refreshments

09:30 Neuroinflammatory disease DrBrynmoreJones

09:50 Neurodegenerative disease DrAdamWaldman

10:10 Epilepsy DrOlgaKirmi

10:30 Refreshments

11:00 Group A – Workshop Group B – Interactive session

11:45 Group A – Interactive session Group B – Workshop

12:30 Lunch

13:30 Pituitary and skull base DrManeeshPatel

14:00 Trauma DrOlgaKirmiandDrNeilRane

14:30 Refreshments

15:00 Group A – Workshop Group B – Interactive session

15:45 Group A – Interactive session Group B – Workshop

16:30 Questions and discussion

16:45 Close of event

3

FACULTY

Dr Farah AlobeidiConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Iain ColquhounConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Brynmor JonesConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Olga KirmiConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Kyriakos LobotesisConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Amrish MehtaConsultantNeuroradiologistandClinicalLead,ImperialCollegeHealthcareNHSTrustDr Maneesh PatelConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Neil RaneConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Abhinav SinghConsultantNeuroradiologist,ImperialCollegeHealthcareNHSTrust

Dr Adam WaldmanConsultantNeuroradiologistandImagingResearchDirector,ImperialCollegeHealthcareNHSTrust

4

Certificate of attendance

Thismeetinghasbeenawarded10RCRcategoryICPDcredits(5perday).

Yourcertificateofattendancewillbeemailedtoyouwithinthenext2weeksonceyouhavecompletedtheonlineeventsurveyat:

https://www.surveymonkey.com/s/neuroupdate

BIR Annual Congress 2015: 4–5 November, London

Join the BIR today and receive 20% off your membership fee

Asathankyouforattendingtoday’seventwewouldliketoofferyouthisgreatdeal

Be part of the only multi-disciplinary membership organisation for everyone interested in medical imaging

SeeamemberofBIRstafffordetails

5

Speaker profiles

Dr Farah AlobeidiConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

FarahAlobeidiqualifiedfromCambridgeUniversityandcompletedhergeneralradiologytrainingatImperialCollegeHealthcareNHSTrustwithasubspecialisationinneuroradiologyatCharingCrossHospital.ShewentontocompleteformalneuroradiologytrainingonthepanLondonfellowshipprogramme,trainingatTheNationalHospitalforNeurologyandNeurosurgery,King’sCollegeandGreatOrmondStreetHospitals.SheundertookasecondneuroradiologyfellowshipattheUniversityofToronto,atStMichael’sandSunnybrookHospitals,beforereturningtoImperialwheresherestartedasaDiagnosticConsultantNeuroradiologist.Hersubspecialityinterestispaediatricneuroradiology.

Dr Iain ColquhounConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

ConsultantInterventionalandDiagnosticNeuroradiologistatCharingCrossHospital,ImperialHealthcareNHSTrust,Londonfrom1990.

Dr Brynmor JonesConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

DrJonesdidhisgeneralradiologytrainingatImperialCollegeHealthcareNHSTrustbeforeundertakingthepanLondonDeaneryNeuroradiologyfellowshipwhereheworkedattheNationalHospitalforNeurologyandNeurosurgery,King’sCollegeHospitalandGreatOrmondStreetHospital.HewasappointedasaConsultantDiagnosticNeuroradiologistatImperialCollegeHealthcareNHSTrustin2010.Hismajorsubspecialtyinterestispaediatricneuroimaging.HehasfurtherinterestsinadultinflammatoryandinfectiveCNSdisordersaswellasspinalintervention.

Dr Olga KirmiConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

DrOlgaKirmi,cametoUKfromGreece,studiedasanundergraduateatGuy’sandStThomas’HospitalswheresheundertookaneurosciencesBSclookingatexpressionofmoleculeswhichinfluencenerveregenerationpostinjury.ShecompletedherbasicradiologytraininginOxford.ShecompletedhersubspecialityneuroradiologytraininginthepanLondontrainingscheme,whichincludedCharingCross,King’sandNationalHospitalforNeurologyandNeurosurgery,aswellastheNationalUniversityHospitalandNationalNeurosciencesInstitute,inSingapore.SheisnowaConsultantNeuroradiologistatImperialCollegeHealthcareNHStrust.

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Dr Kyriakos LobotesisConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

DrLobotesisisaConsultantNeuroradiologistwithaparticularinterestinneurointervention.HewasappointedasaConsultantatImperialCollegeHealthcareNHSTrustin2011andiscurrentlyNeurointerventionalLead.HecompletedhisgeneralneuroradiologytraininginCambridgepriortocommencingtheBostonScientificNeurointerventionalFellowshipinNewcastle-upon-Tyne.HealsoworkedasaPraticienattachéattheHôpitalGuideChauliac,Montpellier,France,withaparticularinterestinneurointerventionforoverayear.Beyondhisclinicalresponsibilities,DrLobotesisisanHonoraryClinicalSeniorLectureratImperialCollegeLondon.Heisinvolvedinanumberofresearchtrials,withcollaborativelinksnationallyandabroadandsubsequentlyhasproducedasteadystreamofpeerreviewedpaperstodate.

Dr Amrish MehtaConsultant Neuroradiologist and Clinical Lead, Imperial College Healthcare NHS Trust

DrAmrishMehtahasbeenaConsultantNeuroradiologistatImperialCollegeHealthcareNHSTrustsince2005.HeistheHeadofSpecialtyforNeuroradiologyandtheClinicalLeadforStrokeImaging.Heistheauthorofnumerouschaptersonthesubjectandhasanationalreputationinthefield.

Dr Maneesh PatelConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

DrPatelhasbeenaConsultantNeuroradiologistatImperialfor15years.Hissub-specialistinterestsincludeENTandskullbaseradiologyandneurointervention.HetrainedinradiologyatAddenbrooke’sHospital,andneuroradiology(includingENT)atManchesterRoyalInfirmary,withshorterplacementsinSheffield,HospitalforSickChildren,Toronto,andHopitalLaribiosiere,Paris.

Dr Neil RaneConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

NeilRanequalifiedinmedicinefromCambridgeUniversityin2005followingabachelorsinneuroscience.AfterjuniorrotationsatAddenbrooke’sandPapworthHospitalsheenteredintoradiologyatOxfordandsubspecialisedearlyintoneuroradiology.Thisledtoafellowshipininterventionalanddiagnosticneuroradiology.WhilstinOxfordhewasamemberoftheAMICIgroupworkinginacutestrokeresearch.Followingqualification,hegainedfurtherexperienceasaConsultantNeuroradiologistattheDepartmentofClinicalNeurosciences,Edinburgh.Hewasthe2014CodmanNeurointerventionalFellowatRoyalMelbourneHospital.HerehegainedexperienceatamajortraumacentreinadvancedneurointerventionaltechniquesincludingacutestrokeinterventionaspartoftheEXTEND-‐IAtrial.HewasappointedasConsultantInterventionalNeuroradiologistatImperialin2015.

7

Dr Abhinav SinghConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

DrAbhinavSinghisaConsultantInterventionalNeuroradiologistatImperialHealthcareNHSTrust.AgraduatefromBart’s&theLondon,hetrainedinradiologyatAddenbrooke’sHospital,Cambridge,followingcompletionofbasicsurgicaltraininginLondon.HetrainedindiagnosticandinterventionalneuroradiologyontheLondonneuroradiologyfellowshipprogramme,havingalsoundertakenaMScininterventionalneuroradiologyattheUniversityofOxford.

Dr Adam WaldmanConsultant Neuroradiologist, Imperial College Healthcare NHS Trust

AdamWaldmangainedaPhDandundertookpost-doctoralresearchinbiophysicsbeforetraininginmedicineatCambridge.HetrainedinradiologyatUniversityCollegeHospitalsandsubsequentlyinneuroradiologyattheNationalHospitalforNeurologyandNeurosurgery,QueenSquare,London.

DrWaldmanhasbeenaConsultantNeuroradiologistatImperialCollegeHealthcareNHSTrust(formerlyHHNT)since2001.Since2006hehasbeendepartmentalacademicleadasResearchDirectorforRadiology,andhasalsofoundedanacademictrainingprogrammeinclinicalradiology.

Hewasawardedthe2009RoyalCollegeofRadiologistsRoentgenProfessorshipandmedal,andholdshonorarysenioracademicappointmentsatImperialCollegeLondon.Hismainresearchinterestsareinquantitativeandphysiologicalneuroimaging,particularlyasappliedtoneuro-oncologyandneurodegenerativedementiasandneuroinflammatorydisease.

8

Abstracts (where supplied)

Ischaemic strokeDr Amrish Mehta

Thistalkwillpresentthecurrentevidencebehindandguidanceonimagingstrategieswithinthefirst6hoursfollowinganacutestroke.

Intracranial haemorrhageDr Kyriakos Lobotesis

Intracerebralhaemorrhagesareacommonoccurrenceinadults.Differentiatingbetweenthevarioustypesandaetiologiescanbechallenging.Wewillevaluatetypicalpatternsandcharacteristicimagingfeaturesofhaemorrhagesandlookatwhatcanhelptodifferentiatethem.Wewillalsolookatpossiblemimicsandconsiderwhentomentiontheminreports.Theinformationwillbeintheformofdidacticandcasepresentation.

CNS infectionDr Farah Alobeidi

Infectiousdiseasesofthebraincontinuetoposeconsiderablediagnosticchallengesdespiteadvancesinneuroimaging.Althoughtherearewellestablishedimagingpatternsofthebroadcategoriesofinfectiousdisease,thereissignificantoverlapbothwithintheinfectiousdiseaseentitiesandbetweentheseandotherCNSpathologies,namelymalignancy,posingdiagnosticuncertaintyforradiologists.Globalisationandtheincreasingnumberofpatientsonimmunosuppressivetherapyaddstothecomplexityasweencounterinfectionsfromfurtherafieldandpatientswithalteredhostresponsesthatexperienceagreaterfrequencyofinfectionsandwhonolongerexpressanexpectednormalpatternofinjury.

Thistalk,togetherwiththeinteractivesessionandworkshop,aimstounravelsomeofthesediagnosticconundrums,topromptthereportingradiologisttoconsiderinfectionintheirdifferentialdiagnosisandtoprovideaframeworkforthegeneralapproachtoCNSinfections.

Learningobjectives:• ReviewcommonclinicalpresentationsofCNSinfectionsandtheirradiological

manifestations• DevelopaframeworkforageneralapproachtoCNSinfectionswithaparticular

emphasisonthebroadcategoriesofinfectiousdisease• IdentifythesalientdifferentiatingimagingfeaturesofcommonCNSinfections

encounteredindailymodernpractice• Toconsiderthediagnosticchallengesassociatedwithimmunocompromised

patients• Recognisetheimportanceoftheclinicalinformationandserialimagingin

increasingdiagnosticaccuracyforatypicalcases

9

Neurooncology/tumours Dr Adam Waldman

Characteristicappearancesanddifferentiatingfeaturesinintra-axialandextraaxialprimaryandsecondaryCNStumourswillbediscussed,withreferencetonon-malignantlesions.Recommendedprotocolsandmanagementstrategiesforlowandhighgradelesionswillbedescribed.Keylearningpointsfromthelecturewillbeaugmentedandfurtherillustratedintheinteractivesessionandcase-basedworkshop.

Neuroinflammatory diseaseDr Brynmore Jones

DifferentiatingbetweenmultifocalwhitematterlesionsintheCNScanbedifficult.WewillevaluatetypicalpatternsofwhitematterlesionsinthecommonCNSinflammatorypathologiesandlookatwhatcanhelptodifferentiatethemfromsmallvessel(microangiopathic)processes.WewilllookatMSmimicsandconsiderwhentomentiontheminreports.Wewillconsiderthedifferentcausesoflongsegmentmyelitis.Theinformationwillbepresentedinashortdidacticlecture,interactivebestanswerresponsequestionsandinaworkshop.

Neurodegenerative diseaseDr Adam Waldman

Theroleofimagingintheinvestigationofdementiaandotherneurodegenerativedisorderswillbediscussed,includingkeyimagingfeaturesofcommondementiasandextrapyramidaldisorders.Appropriateimagingmodalitiesandprotocolswillbedescribedindifferentclinicalscenarios.Lecturematerialwillbesupplementedbytheassociatedworkshopandinteractivesession.

EpilepsyDr Olga Kirmi

Epilepsyisacommonneurologicalcondition.Whilstspecificseizuretypes,specificsemiologyandspecialisedMRprotocolincreasestheprobabilityofidentifyingtheepileptogeniclesion,themajorityofthetimeMRimagingwillbebegative.

ThisshortlectureaimstodemonstrateastructuredapproachtoMRimaging,giveguidancetopaediatricandadultprotocols,reviewtheimagingfeaturesofepileptogeniclesionsandprovidebackgroundknowledgealongwithkeydifferentialdiagnoses.

10

TraumaDr Olga Kirmi and Dr Neil Rane

Theimagingofneurologicaltraumacanbeachallengetoallradiologists.Detectionofmajorfindingscanbetime-criticalfromatraumaandneurosurgicalperspectiveandhavesignificantimpactonthemanagementofthepatient.Assessmentoftraumaimagingrequiresexperienceandexpertise.Subtlefindingscanbeeasilymissedandcanbecruciallyimportant.

Learningobjectives:• Reviewmajormechanismsofinjuryinrelationtoneuroradiologicalfindings• Discussoptimisationofimagingparametersforneurologicaltrauma• Reinforceschemaforsystematicanalysisofneurologicaltrauma• Useradiologicalfindingsinneurologicaltraumaasthebasisfor

understandingimagingprinciples• Understandtheneurosurgicalperpectiveofmajorneurologicaltrauma

11

Platinum sponsors

Philipsisadiversifiedhealthandwell-beingcompanyandaworldleaderinhealthcare,lifestyleandlighting.Ourvisionistomaketheworldhealthierandmoresustainablethroughmeaningfulinnovation.

Wedevelopinnovativehealthcaresolutionsacrossthecontinuumofcare,inpartnershipwithcliniciansandourcustomerstoimprovepatientoutcomes,providebettervalue,andexpandaccesstocare.

Aspartofthismissionwearecommittedtofuellingarevolutioninimagingsolutions,designedtodelivergreatercollaborationandintegration,increasedpatientfocus,andimprovedeconomicvalue.Weprovideadvancedimagingtechnologiesyoucancountontomakeconfidentandinformedclinicaldecisions,whileprovidingmoreefficient,morepersonalisedcareforpatients.

www.philips.co.uk/healthcare

TheSiemensHealthcaresectorisoneoftheworld’slargestsupplierstothehealthcareindustryandatrendsetterinmedicalimaging,laboratorydiagnostics,medicalinformationtechnologyandhearingaids.Siemensoffersitscustomersproductsandsolutionsfortheentirerangeofpatientcarefromasinglesource–frompreventionandearlydetectiontodiagnosis,andontotreatmentandaftercare.Byoptimisingclinicalworkflowsforthemostcommondiseases,Siemensalsomakeshealthcarefaster,betterandmorecost-effective.

www.siemens.co.uk/healthcare

Bronze exhibitors

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FORTHCOMING EVENTS

FUNCTIONAL IMAGING IN RADIOTHERAPY10 JULY 2015

LONDON

THE CURIOUS WORLD OF RADIOLOGY14 JULY 2015

LONDON

EMERGENCY IMAGING1–2 SEPTEMBER 2015

CARDIFF

JOINT BNMS AUTUMN MEETING: MOLECULAR IMAGING AND THERAPY - SCINTILLATING FUTURE IN RADIOGUIDED SURGERY AND THERONOSTICS

2 SEPTEMBER 2015LONDON

THE BIR/DMCI HANDS-ON TRAINING SERIES: HRCT OF THE CHEST25 SEPTEMBER 2015

LONDON

IRMER UPDATE 28 SEPTEMBER 2015

BIRMINGHAM

UPDATE ON IMAGING NON-ACCIDENTAL INJURY 2 OCTOBER 2015

LONDON

HOW TO GET INTO RADIOLOGY AND RADIOLOGY SUBSPECIALTY CAREERS DAY7–8 OCTOBERMANCHESTER

OPTIMISATION IN DIGITAL RADIOLOGY9 OCTOBER 2015

LONDON

LIVER IMAGING12 OCTOBER 2015

LONDON

LINKING ORTHOPAEDICS AND RADIOLOGY—THE PLAIN FILM AND MANAGEMENT REVISITED III: THE SPINE

15 OCTOBER 2015LONDON

VASCULAR IMAGING16 OCTOBER 2015

CAMBRIDGE

BIR ANNUAL CONGRESS 4–5 NOVEMBER 2015, LONDON

FOR MORE INFORMATION AND TO REGISTER: WWW.BIR.ORG.UK

18

JointheBIRtodaytobenefitfromreduceddelegateratesforourevents.Formembershipinformationvisit:www.bir.org.uk/join-us

48–50StJohnStreet,London,EC1M4DG

www.bir.org.uk

Registeredcharitynumber:215869

@BIR_News

/britishinstituteofradiology

TheBritishInstituteofRadiology

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