24th AMSIG ANNUAL SCIENTIFIC MEETING
LEARNING OBJECTIVES
SESSIONS COVERING: Rheumatological Imaging and Tumour Imaging
SAT 2 MAY 2020
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