24th AMSIG ANNUAL SCIENTIFIC MEETING

LEARNING OBJECTIVES

SESSIONS COVERING: Rheumatological Imaging and Tumour Imaging

SUN 3 MAY 2020

LEARNING OBJECTIVES

Plenary 1

IMAGING THE SACROILIAC JOINTS

KEY SESSIONS

XR & CT OF SACROILIAC JOINTS

Reliability and reproducibility of grading sacroiliitis on x-ray;
Distinguishing erosions from other cystic change;
When is CT useful versus MRI

MRI OF SACROILIAC JOINTS

Understanding how the natural history of SpA influences the MRI findings;
Distinguishing MRI patterns of disease in SpA from degeneration;
MRI protocols for SI joint imaging – do we need gadolinium or DWI?;
ASAS criteria for sacroiliitis – does it oversimplify? Classification Criteria versus Diagnostic Criteria

NON-INFLAMMATORY CHANGES IN THE SI JOINTS;

PAEDIATRIC SI JOINTS

SI joint anatomic variations which can predispose to bone marrow oedema;
Sclerosis in chronic SpA vs mechanical vs osteiitis condensans ilii;
Imaging paediatric SI joints – do you need gad?
Distinguishing haematopoietic marrow from oedema

RECENT DEVELOPMENTS IN SPONDYLOARTHRITIS TREATMENT.

WHAT THE RHEUMATOLOGIST WANTS IN A SI JOINT REPORT

LEARNING OBJECTIVES

Plenary 2

IMAGING THE SPINE AND AXIAL SPA

KEY SESSIONS

THE SPINE: “PHYTES” IN OA, DISH AND SPA XR CT

DISH – what is it? How to diagnose it?
Confidently differentiating “phytes” on X-ray – syndesmophytes vs. osteophytes vs DISH.

MRI OF THE SPINE IN SPONDYLOARTHRITIS

MRI protocols for SpA spinal screening;
Confidently diagnosing SpA corner lesions vs. reactive end plate oedema;
Can you see structural damage/ syndesmophytes on MRI?;
Significance of facet joint inflammation and pitfalls in interpretation.

PROBLEM CASES: SACROILIAC JOINTS AND SPINE

See how the experts do it
– difficult and borderline cases to be reviewed and discussed
(conference attendees can submit their own cases before the conference)

LEARNING OBJECTIVES

Plenary 3

IMAGING OF PERIPHERAL JOINTS

KEY SESSIONS

X-RAY AND ULTRASOUND OF THE HAND AND WRIST

Hand x-rays – an approach to reporting;
Distinguishing erosions from pseudo erosions on hand and wrist x-rays;
Differentiating dual pathologies;
Use of ultrasound in assessing inflammatory arthritis

MRI OF THE HAND AND WRIST

Screening MRI of wrist and hand – suggested protocols in a reasonable time frame;
Distinguishing erosions from enthesopathic or intraosseous cysts;
Use of contrast in MRI of wrist/hand arthritis;
“Synovitis” on MRI – how much synovial enhancement is normal?

IMAGING CLUES IN OTHER PERIPHERAL JOINTS

Inflammatory arthritis in the foot;
Inflammatory arthritis in the shoulder and knee – unusual presentations

THE RHEUMATOLOGISTS’ VIEWPOINT

What the rheumatologist wants in an MRI wrist/hand report;
Is there a role of progress MRI to assess treatment response;
Recent developments in treatment and monitoring of RA

LEARNING OBJECTIVES

Plenary 4

MISCELLANEOUS

KEY SESSIONS

MICROCRYSTAL DISORDERS

Gout, hydroxyapatite and CPPD – typical and unusual presentations

SPECTRAL CT

Dual energy CT for gout – reliability and use; tips and pitfalls; Spectral CT imaging of bone marrow oedema

INFLAMMATORY VERSUS SEPTIC JOINT

Clues to distinguishing the septic joint on imaging

CONFERENCE GALA DINNER

Harbourside Room, MCA Sydney

SAT 2 MAY | 19:00 – Late …

SUN 3 MAY 2020

LEARNING OBJECTIVES

Plenary 5

TUMOUR MDT

KEY SESSIONS

AN APPROACH TO FATTY TUMOURS

Understand the imaging findings of benign vs. malignant lipomatous tumours; when to “leave alone “vs. follow up or refer to tumour surgeon; Atypical lipomatous tumour/low grade liposarcoma – location, imaging, pathology; MRI protocols (and use of gadolinium); Pathology and “special tests”; Clinical management

AN APPROACH TO CARTILAGINOUS TUMOURS

Imaging features of benign vs. malignant cartilage tumours; when to “leave alone” vs. follow up or refer to tumour surgeon; Pathology – limitations, critical role of histopathology and imaging correlation; Clinical management

AN APPROACH TO SUPERFICIAL SOFT TISSUE TUMOURS AND TUMOUR MIMICKS

Neoplastic, inflammatory and reactive – imaging features of a variety of lesions and limitations of imaging; Imaging protocol, biopsy and management

LEARNING OBJECTIVES

Plenary 6

MISCELLANEOUS:

KEY SESSIONS

MRI PROTOCOLS FOR TUMOUR IMAGING

What sequences do tertiary referral centres require, to avoid the need for re-imaging

INCIDENTAL VERTEBRAL BODY LESIONS

Imaging findings in benign vertebral body lesions including haemangioma and rare entities such as benign notochordal tumour and hibernoma vs. chordoma;
Appropriate management and follow up

INCIDENTAL RIB LESIONS

How to differentiate on imaging;
When to “leave alone”, observe/ follow up or biopsy

INCIDENTAL LESIONS OF LONG BONES

Imaging features of incidental fibrous, cartilage and cystic lesions, and sclerotic lesions including low grade osteosarcoma;
When they are unable to be classified radiologically, what is the appropriate management?

The Sydney Masonic Centre is well placed in the Haymarket end of central Sydney, well appointed and easily accessible. Sydney is at its best in autumn, generally sunny and not too hot. There are museums, gardens, beaches, restaurants and many interesting activities to occupy accompanying partners or colleagues.

The conference dinner, open this year to non-members as well, will have a limit on numbers, so book early to enjoy the spectacular setting on the rooftop function centre of the Museum of Contemporary Art at Circular Quay.

We hope you can join us in Sydney in May 2020.

Drs Cathy Hayter, Jennie Noakes, Julie Schatz and Bruno Giuffrè
Convenors

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