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ESGAR09-Final Programme-WEB
ESGAR09-Final Programme-WEB
ESGAR 2009
FINAL Photo by: Chosovi; created under the “Creative Commons Attribution ShareAlike 2.5” License
PROGRAMME
TH
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ESGAR 2009
JUNE 23 – 26, VALENCIA, SPAIN
TABLE OF CONTENTS
PATRONAGE
SEDIA
Sociedad Española de Diagnóstico por Imagen
del Abdomen
There were no
differences between
patients with milder renal
impairment as the variations
of SCr, equal or higher than
25%, are similar to both
groups, LOCM and
IOCM
In patients with
In patients
more severe renal
at high risk (i.e.,
impairment
eGFR <40mL/min)
(eGFR <40 mL/min
CIN cases were
or <30 mL/min), iodixanol
observed only with
caused a significantly higher
iodixanol
Objective The objective of the study was to investigate the rate of CIN compared
incidence of CIN in patients with glomerular filtration rate (GFR) to iopamidol and
<60 ml min undergoing contrast-enhanced MDCT examinations iomeprol
and to compare the rates of CIN following the IV administration
of low-osmolar contrast media (LOCM, iopamidol and iomeprol)
and an iso-osmolar contrast medium (IOCM, iodixanol).
Methods A total of 301 adult patients with moderate-to-severe renal failure received a similar IV contrast dose (40 gI). Serum creatinine (SCr) was measured
at screening, baseline and 48–72±6 h after the MDCT examination.
Conclusions The risk of significant CIN seems to be low. The IOCM iodixanol caused a higher rate of CIN than the LOCM iopamidol and iomeprol,
especially in high-risk patients. Differences in osmolality between these LOCM and iodixanol do not play a role in the genesis of CIN.
Henrik S. Thomsen, Sameh K. Morcos, Risk of contrast-medium-induced nephropathy in high-risk patients undergoing MDCT – A pooled analysis of two randomized trials.
Eur Radiol DOI 10.1007/s00330-008-1206-4
Please see full Prescribing Information. Before use, please consult the locally approved Summary of Product Characteristics, which will be made available upon request.
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IOMERON® - CORE SUMMARY OF PRODUCT CHARACTERISTICS Conventional selective 300, 350, 400 Adults: 4-10 ml artery repeat as both experimentally and clinically to increase BBB permeability. This facilitates the
1. NAME OF THE MEDICINAL PRODUCT. IOMERON 150 mg/ml Solution for coronary arteriography necessary passage of iodinated agents into the cerebral tissue, possibly leading to CNS disor-
Injection. IOMERON 200 mg/ml Solution for Injection. IOMERON 250 mg/ml ERCP 150, 200, 300 Adults: up to 100 ml ders. Caution must be exercised in alcoholics because of the possibility of a reduced
Solution for Injection. IOMERON 300 mg/ml Solution for Injection. IOMERON Arthrography 200, 300, 350 Adults: up to 10 ml per injection seizure threshold. Drug addiction. Caution must be exercised in drug addicts because
350 mg/ml Solution for Injection. IOMERON 400 mg/ml Solution for Injection. Hysterosalpingography 200, 300, 350 Adults: up to 35 ml
of the possibility of a reduced seizure threshold. Keep away of reach of children.
2. QUALITATIVE AND QUANTITATIVE COMPOSITION IOMERON 150 contains Special Precautions for use In relation to the patient. Hydration: Any severe disorders
Fistulography 300, 350, 400 Adults: up to 100 ml
(quantity/100 ml): Active ingredient: Iomeprol: 30.62 g. IOMERON 200 contains of water and electrolyte balance should be corrected. Especially in patients with mul-
(quantity/100 ml): Active ingredient: Iomeprol: 40.82 g. IOMERON 250 contains Discography 300 Adults: up to 4 ml tiple myeloma, diabetes mellitus, polyuria, oliguria, hyperuricemia, as well as in babies,
(quantity/100 ml): Active ingredient: Iomeprol: 51.03 g. IOMERON 300 contains Galactography 300, 350, 400 Adults: 0.15 - 1.2 ml per injection small children and elderly patients adequate hydration must be ensured before ex-
(quantity/100 ml): Active ingredient: Iomeprol: 61.24 g. IOMERON 350 contains Dacryocystography 300, 350, 400 Adults: 2.5 - 8 ml per injection amination. Dietary advice: Unless otherwise instructed by the doctor, a normal diet
(quantity/100 ml): Active ingredient: Iomeprol: 71.44 g. IOMERON 400 contains Sialography 300, 350, 400 Adults: 1 - 3 ml per injection may be maintained on the day of the examination. Adequate fluid intake must be
(quantity/100 ml): Active ingredient: Iomeprol: 81.65 g. For excipients see 6.1 MCU 150 Adults: 100 - 250 ml ensured. However, it is advised that the patient should refrain from eating for two
3. PHARMACEUTICAL FORM Solution for injection displaying the following 150 Paediatric patients: 40 - 210 mla hours prior to the procedure. Pre-medication: In patients with phaeochromocytoma
physicochemical characteristics by Iodine Strengths as below Retrograde cholangiography 200, 300, 350 Adults: up to 60 ml pre-medication with alpha-receptor blockers is recommended because of the risk of
Iodine concentration Osmolality Viscosity Retrograde ureterography 200, 300 Adults: 20 - 100 ml blood pressure crises. Hypersensitivity: In patients with an allergic disposition, known
MgI/mL MosmL/kg water (x ± s.t95)* MPa.s (x ± s.t95) Retrograde pyelo- 200, 300 Adults: 10 - 20 ml per injection hypersensitivity to iodinated contrast media and a history of asthma, pre-medication
37°C 20°C 37°C ureterography with anti-histamines and/or corticoids is recommended to prevent possibile anaphy-
Myelography 200, 250, 300 Adults: 200: 13-22 ml, 250: lactoid reactions. Anxiety: Pronounced states of excitement, anxiety and pain can be
150 301 ± 14 2.0 ± 0.2 1.4 ± 0.1
a = According to body weight and age
the cause of side effects or intensify contrast-related reactions. These patients may be
200 362 ± 17 3.1 ± 0.2 2.0 ± 0.2 given a sedative. Concomitant Treatments: Treatment with drugs that lower the sei-
250 435 ± 20 4.9 ± 0.4 2.9 ± 0.3 b = Do not exceed 250 ml. Single injection volume depends on the vascular area to be
examined
zure threshold such as neuroleptics, analgesics, anti-emetics, and phenotiazine de-
300 521 ± 24 8.1 ± 0.7 4.5 ± 0.4 rivatives should be discontinued 48 hours before the examination. Treatment should
350 618 ± 29 14.5 ± 1.1 7.5 ± 0.6 c = Do not exceed 350 ml
not be resumed until 24 hours post-procedure. Anticonvulsant therapy must not be
400 726 ± 34 27.5 ± 2.3 12.6 ± 1.1 4.3 Contra-indications Hypersensitivity to the active principle and to any of discontinued and should be administered in optimal dosage. In relation to the proce-
*Vapour tension method its ingredients. Intravascular administration There are no precise and abso- dure. Coagulation, flushing of catheters. A property of non-ionic contrast media is
lute contraindications to the use of non-ionic uroangiographic contrast media. the extremely low interference with normal physiological functions. Non-ionic contrast
4. CLINICAL PARTICULARS media have less anti-coagulant activity in-vitro than ionic contrast media. Medical
4.1 Therapeutic indications This medicinal product is for diagnostic use only Investigations of the female genitalia are contraindicated in suspected or con-
firmed pregnancy and in cases of acute inflammation. Intrathecal administra- personnel performing vascular catheterisation should be aware of this and pay me-
Iomeron 150 Infusion urography, digital substraction phlebography, CT (brain ticulous attention to the angiographic technique and catheter flushing so as to mini-
and body) cavernosography, intravenous and intraarterial DSA, ERCP, MCU, MCU tion Concomitant administration of Iomeprol with corticosteroids is contraindi-
cated (see 4.5 Interactions). Due to overdose considerations, immediate repeat mize the risk of procedure-related thrombosis and embolism, including catheter
in paediatrics. Iomeron 200 Peripheral phlebography, digital subtraction phle- flushing with physiological saline solution (if necessary with heparin added). Observa-
bography, CT (brain and body), cavernosography, intravenous and intraarterial myelography in the event of technical failure is contraindicated.
4.4 Special warnings and special precaution for use Special Warnings General for tion of the patient. Intravascular administration of contrast media should, if possible,
DSA, ERCP, arthrography, hysterosalpingography, cholangiography, retrograde be done with the patient lying down. The patient should be kept under close supervi-
urethrography, retrograde pyelo-ureterography, myelography. Iomeron 250 Intra- all administration routes: Consideration of possible serious side effects, the use of
iodinated contrast media should be limited to cases for which there is a precise need sion for 15 minutes following the injection as the majority of severe reactions occur at
venous urography, peripheral phlebography, CT (brain and body), intravenous and this time. Intrathecal administration. After completion of direct cervical or lumbo-cer-
intraarterial DSA, myelography. Iomeron 300 Intravenous urography (in adults for a contrast examination. The need should be evaluated on the basis of the clinical
status of the patient, in particular in relation to history of pathologies of the cardiovas- vical procedures: - raise the head of table steeply (45° angle) for about two minutes
and paediatrics), peripheral phlebography, CT (brain and body), cavernosography, to restore CM to lower levels, - raise head of stretcher to at least 30° before moving
intravenous DSA, conventional angiography, intraarterial DSA, angiocardiography cular, renal and/or hepatobiliary systems. The use of contrast media should be
avoided in case of Waldenstroem’s paraproteinemia, and multiple myeloma and of patient into it; - avoid excessive and particularly active patient movement or straining;
(in adults and paediatrics), conventional selective coronary arteriography, inter- - maintain the patient under close observation, quiet and in a “head up” position, es-
ventional coronary arteriography, ERCP, arthrography, hysterosalpingography, advanced hepato and/or renal diseases. Cardioangiographic diagnostic procedures
that involve the use of any radiopaque contrast media should be carried out in Hospi- pecially in the first few hours; - the patient should remain supine and at bed rest
fistulography, discography, galactography, cholangiography, dacryocystography, during this period; - encourage oral fluids and diet as tolerated. Pre-testing. Sensitiv-
sialography, retrograde urethrography, retrograde pyelo-ureterograpy, myelogra- tals where appropriate emergency facilities and personnel trained in life support is
readily available. After any other contrast-enhanced X-ray procedures, competent ity test doses are not recommended since severe or fatal reactions to contrast media
phy. Iomeron 350 Intravenous urography (in adults and paediatrics), CT (body), are not predictable from a patient’s history or a sensitivity test. Extravasation: Extreme
intravenous DSA, conventional angiography, intraarterial DSA, angiocardiogra- personnel and adequate emergency facilities should be available (AMBU, oxygen,
antihistaminics, vasoconstrictors, cortisonics, etc.) in the radiology departments of caution during injection of contrast media is necessary to avoid extravasation. This is
phy (in adults and paediatrics), conventional selective coronary arteriography, especially important in patients with severe arterial or venous disease.
interventional coronary arteriography, arthrography, hysterosalpingography, public or private clinics. After any other contrast-enhanced X-ray procedures, compe-
tent personnel and adequate emergency facilities should be available (AMBU, oxygen, 4.5 Interaction with other medicinal products and other forms of interaction
fistulography, galactography, retrograde cholangiography, dacryocystography, Epidural and intrathecal corticosteroids should never be concurrently administered
sialography. Iomeron 400 Intravenous urography (in adults including those with antihistaminics, vasoconstrictors, cortisonics, etc.) in the radiology departments of
public or private clinics. Special care should be taken in patients with suspected when iodinated contrast media are used, because corticosteroids may promote and
renal impairment or diabetes), CT (body), conventional angiography, intraarterial affect the signs and symptoms of arachnoiditis. (see 4.3 Contraindications) Thyroid
DSA, angiocardiography (in adults and paediatrics), conventional selective coro- thrombosis, phlebitis, severe ischemia, local infection or artero-venous obstruction.
Use in specific patients: Neonates, infants, children. Young infants (age < 1 year) function tests. Following administration of iodinated contrast media, the capacity
nary arteriography, interventional coronary arteriography, fistulography, galactog- of the thyroid tissue to take up radioisotopes for the diagnosis of thyroid disorders
raphy, dacryocystography, sialography. CT: Computed Tomography, DS: Digital especially neonates, are particularly susceptible to electrolyte imbalances and
haemodynamic alterations. Care should be taken regarding the dosage to be used, is reduced for up to two weeks, or even longer in individual cases. The results of
Subtraction, DSA: Digital Subtraction Angiography, ERCP: Endoscopic Retrograde Protein Binding Iodine and radioactive iodine uptake studies, which depend on iodine
Cholangio-Pancreatography, MCU: Micturating Cisto-Urethrography. the details of the procedure and the patient’s status. Elderly. The elderly are at special
risk of reactions due to CM high dosage. Myocardial ischemia, major arrhythmias and estimations, will not accurately reflect thyroid function for up to 16 days follow-
4.2 Posology and method of administration Instructions for use: Dosage and ing administration of iodinated contrast media. However, thyroid function tests not
rate of administration may vary depending on the clinical question, the tech- extrasystoles are more likely to occur in these patients. The frequently encountered
combination of neurological disturbances and severe vascular pathologies constitutes depending on iodine estimations, e.g., T3 resin uptake and total or free thyroxine
nique to be employed, the body area to be examined, the instrumentation, as (T4) assays are not affected. Oral Cholecystographic Agents. Recent literature has
well as on the age, body size, cardiac output and patient’s clinical conditionsIn a serious complication. The probability of acute renal insufficiency is higher in these
subjects. Women Of Child-Bearing Potential: Appropriate investigations and mea- revealed no evidence of interactions of renally-excreted contrast media with oral
the CNS the imaging window has been shown to be up to 60 minutes after the cholecystographic contrast media. Laboratory tests. High concentrations of contrast
administration. In the liver delayed imaging can be performed between 40 and sures should be taken when exposing women of child-bearing potential to any X-ray
examination, whether with or without contrast medium. Use in patients with specific media in serum and urine can interfere with laboratory test results of bilirubin, pro-
120 minutes following the injection, depending on the individual imaging needs. teins or inorganic substances (e.g. iron, copper, calcium, phosphate).
pathologic conditions. Hypersensitivity to iodinated contrast media. Hypersensitiv-
Indication Formulation mg Proposed dosages ity or a previous history of a reaction to iodinated contrast media also increases the 4.6 Pregnancy and lactation Animal studies do not indicate any teratogenic or
(iodine)/ml risk of recurrence of a severe reaction with non ionic media. Allergic disposition. It is foetotoxic effects. As with other non-ionic contrast media, there are no adequate
Intravenous urography 250, 300, 350, 400 Adults: 50 - 150 ml generally agreed that adverse reactions to iodinated contrast media are more com- and well-controlled studies in pregnant women to confirm no harmful effect also
Newborns: 3 - 4.8 ml/kg mon in patients having a history of allergy: hay fever, hives and food allergy. Asth- in human beings. Whenever possible, radiation exposure, either with or without
Infants: 2.5 - 4 ml/kg matic patients. The risk of bronchospasm, inducing reactions in asthmatic patients, contrast media use, should be avoided during pregnancy and its benefit accurately
Paediatric patients: 1 - 2.5 ml/kga is higher after contrast. Hyperthyroidism, nodular goitre. The small amount of free weighted against the possible risks. Iodinated contrast media are poorly excreted
Infusion urography 150 Adults: 250 ml inorganic iodide that may be present in contrast media, might have some effects on in human breast milk, and from experience it appears there should be no damage
Paediatric patientsa thyroid function: these effects appear more evident in patients with hyperthyroidism or to the breast-fed baby. However, as a cautionary measure, breast-feeding should
goitre. Thyroid storms have been reported following administration of ionic contrast be discontinued prior to the administration of iomeprol and should not be recom-
Peripheral phlebography 200, 250, 300 Adults: 10 - 100 ml. repeat as
media. Intraarterial and intravenous administration. Use in patients with specific menced until at least 24 hours after the administration of the contrast medium.
necessaryb
pathologic conditions. Renal failure. Pre-existing renal impairment may predispose 4.7 Effects on ability to drive and use machines No data is available. However,
(10 - 50 ml upper extremities;
to acute renal dysfunction following contrast media administration. Preventive mea- given the rare possibility of delayed adverse reactions to contrast media, driving
50 - 100 ml lower extremities)
sures include: identification of high risk patients; ensuring adequate hydration before or using machinery should be avoided for 24 hours following the administration.
Phlebography in DS 150, 200 Adults: 10 - 100 ml. repeat as 4.8 Undesirable effects General The use of iodinated contrast media may cause
necessaryb CM administration, preferably by maintaining i.v. infusion before and during the pro-
cedure and until the CM has been cleared by the kidneys; avoiding whenever possible, untoward side effects. They are usually mild to moderate. However, more serious
(10 - 50 ml upper extremities; reactions up to anaphylactoid shock, with possible fatal outcome, may occur. In
50 - 100 ml lower extremities) the administration of nephrotoxic drugs or major surgery or procedure such as renal
angioplasty, until the CM has been cleared; postponing a new contrast agent exami- most cases reactions occur within minutes of dosing up. However, reactions may
CT brain 150, 200, 250, 300 Adults: 50 - 200 ml manifest also later on up to 24 hours from the injection, depending on the adminis-
Paediatric patientsa nation until renal function returns to pre-examination levels. Patients on dialysis may
receive CM, such as iomeprol, before dialysis.Diabetes mellitus. The presence of tration route. Anaphylaxis (anaphylactoid/hypersensitivity reactions) may manifest
CT body 150, 200, 250, 300, Adults: 100-200 ml with various symptoms, and rarely does any one patient develop all the symptoms.
350, 400 Paediatric patientsa
renal damage in diabetic patients is one of the factors predisposing to renal impair-
ment following CM administration. This may precipitate lactic acidosis in patients who Typically, in 1 to 15 min (but rarely after as long as 2 h), the patient complains
Cavernosography 150, 200, 300 Adults: up to 100 ml are taking biguanides. As a precaution, biguanides should be stopped 48 hours prior of feeling abnormal, agitation, flushing, feeling hot, sweating increased, dizziness,
Intravenous DSA 250, 300, 350, 400 Adults: 100-250 ml to the CM examination and reinstated only after control of renal function has been lacrimation increased, rhinitis, palpitations, paraesthesia, pruritus, head throbbing,
Paediatric patientsa regained. Multiple myeloma, paraproteinaemia (Waldestroem’s paraproteinemia). pharyngolaryngeal pain and throat tightness, dysphagia, cough, sneezing, urticaria,
Conventional angiography It is necessary to consider that the presence of myelomatosis or paraproteinaemias is erythema, and mild localised oedema or angioneurotic oedema and dyspnoea
Arteriography of upper 300, 350 Adultsb a factor predisposing to renal impairment following CM administration. Adequate hy- owing to tongue and laryngeal oedema and/or laryngospasm manifesting with
extremities: dration and monitoring the renal function are recommended. Phaeochromocytoma. wheezing and bronchospasm. Nausea, vomiting, abdominal pain, and diarrhoea
Arteriography of pelvis and 300, 350, 400 Adultsb These patients may develop severe (rarely uncontrollable) hypertensive crises follow- are less common. These reactions, which can occur independently of the dose ad-
lower extremities ing intravascular CM-usage during radiological procedures. Sickle Cell Disease. ministered or the route of administration, may represent the first signs of circulatory
Abdominal arteriography: 300, 350, 400 Adultsb Contrast media may promote sickling in individuals who are homozigous for sickle cell collapse. Administration of the contrast medium must be discontinued immediately
Arteriography of descending 300, 350 Adultsb disease. Adequate hydration is recommended. Myasthenia Gravis. The administra- and, if needed, appropriate specific treatment urgently initiated via venous access.
aorta: tion of iodinated contrast media may aggravate myasthenia signs and symptoms. Severe anaphylactic reactions involving the cardiovascular system, such as vaso-
Severe liver and renal dysfunctions. It is necessary to consider that a combination of dilatation, with pronounced hypotension, reflex tachycardia, dyspnoea, agitation,
Pulmonary angiography: 300, 350, 400 Adults: up to 170 ml
severe hepatic and renal impairment can delay CM excretion, therefore predisposing cyanosis and loss of consciousness progressing to respiratory and/or cardiac arrest
Cerebral angiography: 300, 350 Adults: up to 100 ml may result in death. These events can occur rapidly and require full and aggressive
Paediatric arteriography: 300 Children: up to 130 mla to untoward reactions. Severe cardiovascular disease.There is an increased risk of
severe reactions in individuals with severe cardiac disease and particularly in those cardio-pulmonary resuscitation. Primary circulatory collapse, can occur as the only
Interventional: 300, 350, 400 Adultsb and/or initial presentation without respiratory symptoms or without other signs or
Paediatric patientsa
with heart failure and coronary artery disease. The intravascular CM injection may
precipitate pulmonary oedema in patients with manifest or incipient heart failure, symptoms outlined above. From Clinical Studies Adverse experiences reported
Intraarterial DSA whereas CM administration, in pulmonary hypertension and heart valvular diseases, among patients treated with Iomeprol during clinical trials are shown below.
- Cerebral: 150, 200, 300, 350 Adults: 30 - 60 ml for general view; may lead to pronounced haemodynamic changes. Ischaemic ECG changes and major Common Uncommon Rare
5 - 10 ml for selective injections arrhythmias are commonest in elderly patients and in those with preexisting cardiac Cardiovascular Bradycardia, Vasodilatation,
Paediatric Patientsa disease: their frequency and severity appear to be related to the severity of cardiac (mainly after cardio- tachycardia, cyanosis, circulatory
- Thoracic: 200, 300 Adultsb: 20 - 25 ml (aorta) repeat as impairment. Severe and chronic hypertension may increase the risk of renal damage vascular procedures/ hypertension, collapse
necessary 20 ml (bronchial arteries) following CM administration and the risks associated with the catheterisation proce- interventions) hypotension
- Aortic arch: 150, 200, 300, 350 Adultsc dure. CNS disorders. Particular care should be paid to the intravascular administration Nervous System Asthenia, Dizziness, paralysis, Tremor, muscle
- Abdomen: 150, 200, 250, 300 Adultsc of CM in patients with acute cerebral infarction, acute intracranial haemorrhage, and syncope, agitation spasms,
conditions involving blood-brain-barrier (BBB) damage, brain oedema and acute de- headache confusion, loss of
Aortography 150, 200, 300, 350 Adultsc myelination. The presence of intracranial tumors or metastases and a history of epi- consciousness,
Translumbar aortography 150, 200, 300 Adultsb lepsy may increase the probability of the occurrence of convulsive seizures. Neuro- visual field defect,
Peripheral arteriography: 150, 200, 250, 300 Adults: 5 - 10 ml for selective logical symptoms due to degenerative, inflammatory or neoplastic cerebrovascular aphasia, convulsions,
injections up to 250ml pathologies may be exacerbated by CM administration. Vasospasm and consequent coma
Paediatric patientsa cerebral ischaemic phenomena may be caused by intravascular injections of CM, Gastrointestinal Nausea Vomiting
Interventional: 150, 200, 300 Adults: 10-30 ml for selective often procedurally related and possibly triggered by the tip of the catheter or excess of system
injections up to 250ml catheter pressure. Patients with symptomatic cerebrovascular diseases, recent stroke
Angiocardiography 300, 350 ,400 Adultsb or frequent TIA (transient ischaemic attack) have an increased risk of transient neuro-
Paediatric patientsa logical complications. Alcoholism. Acute and chronic alcoholism have been proven
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Respiratory system Dyspnoea, nasal rare, generally mild and in the form of skin reactions. However, the possibility of genotoxicity, toxicity to reproduction. Results from studies in rats, mice and dogs
congestion, severe anaphylactoid reactions cannot be excluded. (see beginning of chapter “Un- demonstrate that iomeprol has an acute intravenous or intra-arterial toxicity similar
laryngeal desirable effects” ). As with other iodinated contrast media, pelvic pain and malaise to that of the other non-ionic contrast media, as well as a good systemic tolerability
oedema may occur after hysterosalpingography. after repeated intravenous administrations in rats and dogs. LD50 of iomeprol in g
Skin and Wheals, pruritus, 4.9 Overdose Overdose may lead to life-threatening adverse effects mainly through (Iodine)/kg and the relevant 95% confidence limits in animals are as follows: Intra-
Subcutaneous Tissue rash effects on the pulmonary and cardiovascular system. Treatment of overdosage is di- venous administration: 19.9 (19.3-20.5) (mouse); 14.5 (13.2-16.0) (rat); > 12.5
General Injection site Back pain, chest Anaphylactoid reaction rected toward the support of all vital functions, and prompt institution of symptomatic (dog) Intraperitoneal administration: 26.1 (23.3-29,2) (mouse); 10 (8.9-11.3)
warmth and pain, rigors, injection (characterized therapy. Iomeprol does not bind to plasma or serum proteins and is therefore dialys- (rat); Intracerebroventricular administration: 1.4 (1.3-1.6) (mouse); Intracisternal
pain, pallor site haemorrhage, by cardio- able. If needed, hemodialysis can be used to eliminate iomeprol from the body. If administration: >1.2 (rat) Intracarotid administration: 5.8 (4.64-7.25) (rat)
pyrexia, sweating vascular,respiratory intracranial entry of the medium occurs, prophylactic anticovulsant treatment with 6. PHARMACEUTICAL PARTICULARS
increased and cutaneous diazepam or barbiturates orally for 24 to 48 hours should be considered. 6.1 List of excipients Trometamol, hydrochloric acid (d=1.18), water for injection
symptoms) 5. PHARMACOLOGICAL PROPERTIES 6.2 Incompatibilities Contrast media must not be mixed with other medicinal
Renal and Urinary Renal insufficiency, 5.1 Pharmacodynamic properties Pharmacotherapeutic category: Radiological products, to avoid eventual incompatibilities.
Disorders oliguria, proteinuria, contrast media: hydrosoluble, nephrotropic, low osmolality. ATC code: V08AB10. The 6.3 Shelf life 5 years
blood creatinine active ingredient of Iomeron formulations is iomeprol, N,N’-bis(2,3-dihydroxypropyl)- 6.4 Special precautions for storage Expiry date refers to the product stored cor-
increased 5-[(hydroxyacetyl)-methylamino]-2,4,6-tri-iodo-1,3-benzenedicarboxamide, a tri- rectly in intact packaging. Protect from light. Although the sensitivity of iomeprol
iodinated, non-ionic contrast agent, and is indicated for use in X-ray examinations. to X-rays is low, it is advisable to store the product out of reach of ionizing radia-
Some of these events may occur as a consequence of the procedure. Post Mar- 5.2 Pharmacokinetic properties Intravascular Administration The pharmaco- tion. Parenteral products should be inspected visually for particulate matter and
keting Surveillance. The following undesirable effects have been reported during kinetic, tolerability and diagnostic efficacy of Iomeprol in solutions containing up discoloration prior to administration, whenever solution and container permit. Do
post- marketing in <3/10.000 patients. Intravascular and intra-thecal administra- to 400 mg iodine/mL have been determined in healthy volunteers and patients not use the solution if it is discolored or particulate matter is present.
tion: - General: shock, malaise, fatigue, hot flushes, flushing, cold sweat, coldness requiring urographic, angiographic, computed tomography (CT) and body cav- 6.5 Nature and contents of container Type I or Type II glass vials or bottles
local, taste abnormality, thirst, injection site reaction. - Nervous system: hyperkinetic ity examinations. There were no clinically significant changes in laboratory test with halobutyl stoppers and an aluminium crimp seal.
syndrome, encephalopathy, paralysis, oculomotor nerve paralysis, paraesthesia, values and vital signs. The pharmacokinetic of Iomeprol, for intravascular admin- 6.6 Instruction for use/handling Vial or bottles containing contrast media solution
dysarthria, dizziness, dysphonia,faecal incontinence, brain oedema, -Cardiovascu- istration, when described by a two-compartment model, shows a rapid phase for are not intended for the withdrawal of multiple doses. The rubber stopper should
lar: cardiac arrest, myocardial infarction, angina pectoris, extrasystoles, arrhythmia, drug distribution and a slower phase for drug elimination. In healthy volunteers never be pierced more than once. The use of proper withdrawal cannulae for
ventricular or atrial fibrillation, tachycardia, palpitations, atrioventricular block, elec- the mean half-lives of the distribution and elimination phases of Iomeprol were piercing the stopper and drawing up the contrast medium is recommended. The
trocardiogram abnormal, ST segment elevation. - Respiratory: respiratory arrest, 23 14 (s) min and 109 20 (s) min, respectively. Iomeprol is excreted mainly contrast medium should not be drawn into the syringe until immediately before
pulmonary oedema, acute respiratory distress syndrome (ARDS), bronchospasm, through the kidneys following intravascular administration. In the absence of use and should not be diluted. Solutions not used in one examination session or
asthma, pharyngeal oedema, laryngeal stridor, rhinitis, cough, hyperventilation, renal dysfunction, the cumulative urinary excretion of iomeprol, expressed as waste material, such as the connecting tubes, should be disposed. Any residue of
hypoxia, pharynx and/or laryngeal discomfort. - Skin and subcutaneous tissue disor- percentage of administered intravenous dose, is approximately 24 to 34% at 60 contrast medium in the syringe must be discarded. Bottles of 500 ml should be
ders: angioneurotic oedema, eczema, urticaria, wheals - cold sweat., - Vascular (ex- minutes, 84% at 8 hours, 87% at 12 hours, and 95% in the 24 to 96 hour pe- used in conjunction with an injector system. After each patient examination, the
tracardiac): cerebrovascular disorder, transient ischaemic attack.- Gastrointestinal riod after administration. In patients with impaired renal function, the elimination connecting tubes (to the patient) and relevant disposable parts should be disposed
disorders: pancreatitis acute, ileus, diarrhea, abdominal pain, salivary hypersecre- half-life is prolonged dependent upon the degree of impairment. Iomeprol does because could be contaminated with blood. At the end of the sessions, the left
tion, dysphagia. - Urogenital: urinary incontinence, blood urea increased. - Senses: not bind to serum or plasma proteins. Intra-thecal Administration The pharma- over solution in the bottle and in the connecting tubes as well as any disposable
parosmia - Eye disorders: blindness transient, visual disturbance, conjunctivitis, cokinetics of iomeprol after intra-thecal administration shows that Iomeprol is parts of the injector system should be discarded. Any additional instructions from
lacrimation increased, photopsia, photophobia. - Musculoskeletal: arthralgia, muscle completely absorbed from the cerebrospinal fluid about 3 to 6 hours. The half- the respective equipment manufacturer must also be adhered to.
stiffness. - Psychiatric disorders: amnesia, anorexia, anxiety, somnolence. - Liver and life of elimination is between 8 to 11 hours and is independent from the dose. 7. MARKETING AUTHORISATION INFORMATION
biliary system: liver function tests abnormal. - Platelets, bleeding and coagulation: Plasma concentrations were quantifiable up to 24 hours in 93% of the patients. It The Marketing Authorisation Holder, Number, and Date of Approval may be dif-
thrombocytopenia. Administration to body cavities Blood amylase increase is com- is completely excreted from the body through the kidney as unchanged Iomeprol. ferent in different Countries. Volumes, presentations, and indications may also
mon following ERCP (Endoscopic retrograde cholangiopancreatography). Rare cases The majority of urinary excretion occurs in the first 24 hours post-dose, with differ. Refer to Local Summary of Product Characteristics. Please contact Bracco
of pancreatitis have been described. The reactions reported in cases of arthrography smaller percentage excreted during the 24-48 hour period. Imaging SpA Via Egidio Folli, 50 20134 Milano- Italy for further information.
and fistulography usually represent irritative manifestations superimposed on pre- 5.3 Preclinical safety data Pre-clinical data reveal no special hazard for humans 8. DATE OF PREPARATION OF THIS DOCUMENT
existing conditions of tissue inflammation. Generalised hypersensitivity reactions are based on conventional studies of safety pharmacology, repeated dose toxicity, May 2006
IOPAMIDOL INJECTION - CORE SUMMARY OF PRODUCT CHARACTERISTICS Crystals may occasionally be found in a bottle of iopamidol injection® solution. It 4.8.2 Angiography: Use of Iopamidol in cerebral angiography may provoke side
1. NAME OF THE MEDICINAL PRODUCT IOPAMIRO® IOPAMIRON® ISOVUE® has been demonstrated that this is caused by a damaged or defective container, effects, generally mild and of short duration. A sense of heat around the face and
SOLUTRAST® JOPAMIRO® JOPAMIRON® NIOPAM® mg/ml injectable solution. and the contents should therefore not be used. Iopamidol injection®, as with neck is often experienced. Headache is rarely reported. Cardiovascular reactions
(The trade name is different in different countries; please also see section 7). other iodinated contrast media, may react with metal surfaces containing copper may be common: transitory bradycardia and systemic hypotension, not requiring
2. QUALITATIVE AND QUANTITATIVE COMPOSITION: (e.g. brass), so the use of equipment where the product comes into direct contact treatment. It should be borne in mind that severe neurological reactions may
Active ingredient iopamidol injection® with such surfaces should be avoided. Use of contrast media must be limited arise as direct complications of existing patient pathologies. These reactions may
150 mg/ml 200 mg/ml 300 mg/ml 370 mg/ml to cases where there is a precise clinical indication for the procedure. Prod- vary and include tonic/clonic convulsions, aphasia, fainting, transient narrow-
injectable injectable injectable injectable ucts for cardioangiographic examination may only be administered in hospitals ing of field of vision, hemiparesis and coma. In peripheral arteriography, use of
solution solution solution solution and clinics equipped and staffed for emergency intensive care. For other, more iopamidol injection® 370 mg/ml injectable solution may cause a painful reaction,
common diagnostic procedures requiring use of contrast agents, the radiological which is not experienced with the “300” concentration.
IOPAMIDOL 306.2 408.2 612.4 755.3
departments, whether public or private, should be supplied at all times with all 4.8.3 Urography: Side effects which may arise in connection with intravenous
3. PHARMACEUTICAL FORM: injectable solution equipment and drugs necessary for treatment of any emergency situation (Ambu urography are as described in paragraph 4.8.
4. CLINICAL PARTICULARS balloon, oxygen, antihistamines, vasoconstrictors, cortisones, etc.). Do not limit 4.8.4 Other diagnostic procedures: Reactions reported for arthrography and
4.1 Therapeutic indications: non-ionic, water-soluble contrast medium for fluid intake of babies and children and correct any water or electrolyte imbal- fistulography are usually related to worsening of an existing inflammatory
radiological diagnostic procedures. ance before use of hypertonic contrast media. Radiological examinations should condition. Vaso-vagal manifestations may arise during hysterosalpingography.
4.1.1 Neuroradiology: - Myeloradiculography - Cisternography and Ventricu- only be performed in patients with hyperthyroidism if the attending physician 4.9 Overdose: Most side effects (see point 4.8) are not dose-dependent and may
lography considers it absolutely necessary. In patients scheduled for thyroid examination require therapeutic intervention as specified in point 4.4. In the event of voluntary or
4.1.2.1 Angiography: - Cerebral angiography - Coronary angiography - Tho- with radioactive iodine, bear in mind that iodine uptake by the thyroid gland will accidental administration of higher than normal doses, excretion should be facilitated
racic aortography - Abdominal aortography - Angiocardiography - Selective be reduced for several days, sometimes up to two weeks, after use of renally by ensuring patient hydration, as clearance almost totally occurs via the kidney. In
visceral arteriography - Peripheral arteriography - Venography excreted iodized contrast medium. the event of renal insufficiency, whether pre-existing or manifesting after contrast
4.1.2.2 Digital subtraction angiography (D.S.A): - cerebral artery D.S.A., 4.4.1 Neuroradiological precautions: In the event of liquid flow blockage, medium introduction, dialysis will eliminate the contrast medium.
peripheral artery D.S.A., abdominal D.S.A. remove as much of the contrast agent as possible. Patients under treatment 5. PHARMACOLOGICAL PROPERTIES
4.1.3 Urography: - Intravenous urography. with anticonvulsants must continue treatment before and after the radiological 5.1 Pharmacodynamic properties: Pharmacotherapeutic category: Radio-
4.1.4 Other indications: Contrast enhancement in C. T. (computerized axial examination. Should a convulsive seizure occur during the examination, intra- logical contrast media: hydrosoluble, nephrotropic, low osmolality. ATC code:
tomography) and - Arthrography - Fistulography - Hysterosalpingography venous administration of diazepam or sodium phenobarbital is recommended. V08AB04 Iopamidol is a non-ionic radio-opaque hydrosoluble substance
Iopamidol injection® 150 mg/ml injectable solution is indicated for pediatric 4.4.2 Angiography precautions: Advanced arteriosclerosis, hypertension, with strongly reduced toxicity and no teratogenic effects. Its use at doses 2
radiology and digital angiography. heart failure, major systemic diseases, recent cerebral embolism or thrombosis to 4 times higher than for clinical use provoked transient bradycardia and
4.2 Posology and method of administration increase the risk of severe side effects with this type of examination. During hypotension in dogs, followed by mild hypertension and increased respiratory
4.2.1 Neuroradiology: the angiocardiographic examination, special attention should be paid to the frequency. Base values were returned to in 2-4 minutes.
condition of the right heart and pulmonary circulation; in the event of failure, 5.2 Pharmacokinetic properties: Excretion: the vast majority is via renal route.
Concentration (mg I/ml) Recommended dose (ml)
additional volumes of contrast medium may provoke circulatory overload with In dogs, 93-95% of the administered dose was excreted renally and 0.5%
Myeloradiculography 200-300 5-15 brachycardia and systemic hypotension. Injection of contrast medium into the through the biliary route in 7-10 hours. In humans, more than 90% of the dose
Cisternography and Ventriculography 200-300 3-15 right heart of cyanotic neonates with pulmonary hypertension and impaired is excreted by the urinary route in 24 hours. Blood half life in the excretion
4.2.2 Angiography: heart function requires particular caution. During aortic arch examination, care- QIBTF 5 t # JT BQQSPYJNBUFMZ NJOVUFT JO EPHT BOE NJOVUFT JO
ful positioning of the catheter tip is recommended. Excess pressure from the humans. Intrathecal administration leads to circulation in the blood, peaking
Concentration (mg I/ml) Recommended dose (ml) injector into the brachiocephalic branches may cause hypotension, bradycardia from 90-150 mins, with almost total excretion within 24 hours. Iopamidol does
Cerebral angiography 300 5-10 per bolus and CNS injury. Likewise, excess pressure from the automatic pump in abdomi- not undergo detectable metabolic processes in animals or humans.
Coronary angiography 370 8-15 per bolus nal aortography may cause renal infarction, spinal cord injury, retroperitoneal 5.3 Preclinical safety data: DL 50 (confidence limits 95%)
Angiocardiography 370 1.0-1.2/kg hemorrhage, and intestinal infarction and necrosis. In peripheral arteriography, Route Animal g/kg
Thoracic aortography 370 1.0-1.2/kg use of iopamidol injection® 370 mg/ml injectable solution may cause a painful Intravenous Mouse 144.5 (41.0 - 48.2)
Abdominal aortography 370 1.0-1.2/kg reaction, which is not found with the “300” concentration. It has been dem-
Rat 28.2 (23.3 - 34.1)
Selective visceral arteriography 300-370 according to examination onstrated in vitro that at equal concentrations, nonionic contrast media have
a lower inhibitory effect on coagulation activity than ionic contrast media. It Rabbit 19.6 (16.9 - 22.5)
Peripheral arteriography 300-370 40-50 Dog 34.7 (30.4 - 39.6)
Digital subtraction angiography 150-370 according to examination is therefore necessary to follow angiographic procedures correctly: catheters
must be frequently washed and prolonged contact between blood and the con- Intracarotid Rat 23.5 (20.8 - 26.5)
Venography 300 30-50 Intracerebral Mouse 3.0 ( 2.5 - 3.5)
trast medium in catheters and syringes must be avoided.
4.2.3 Urography: The recommended dose for this type of examination is 30- 4.5 Interaction with other medicinal products and other forms of interac-
tion: Do not mix other drugs with the contrast medium during injection. Toxic symptoms for lethal and sublethal doses These are practically the same for
50 ml in adults. The reduced induction of osmotic diuresis makes iopamidol different animal species and mainly consist of breathing difficulties and convulsions.
injection® 370 mg/ml injectable solution particularly suitable for patients with 4.5.1 Intrathecal application: Neuroleptics must be completely avoided, as they
lower the seizure threshold. The same applies to analgesics, antihistamines and Death occurs in a few hours in almost all cases. Maximum tolerated dose for i.v.
mild or moderate renal insufficiency and neonates. Diagnostically useful ne- administration repeated daily Rat: 6.0 g/kg, Dog: 8.2 g/kg. Reproductive function In
phrography may be obtained even in patients with severe renal insufficiency. phenothiazine group sedatives. Wherever possible, treatment with such drugs
should be suspended at least 48 hours before administration of the contrast rats and rabbits doses of up to 8.2 and 4.1 g/kg respectively had no teratogenic
4.2.4 Other diagnostic procedures: effects. Furthermore, iopamidol does not affect fertility and has no mutagenic effect.
medium and may be resumed not earlier than 12 hours after the examination.
Concentration (mg I/ml) Recommended dose (ml)
4.6 Pregnancy and lactation: Radiological examinations should only be performed 6. PHARMACEUTICAL PARTICULARS
Contrast enhancement in C. T. 300-370 0.5-2/kg in pregnant women if the attending physician considers it absolutely necessary. 6.1 List of excipients: Trometamol, Sodium calcium edetate, Hydrochloric acid
Arthrography 300 4.7 Effects on ability to drive and use machines: Nothing to report. (d=1.18), Water for injection
Fistulography 300 4.8 Undesirable effects: Use of organic iodine compounds may cause secondary 6.2 Incompatibilities: See point 4.5
Hysterosalpingography 200-300-370 5-20 undesired effects and anaphylactic or medication-type shock: nausea, vomiting, 6.3 Shelf life: 5 years
widespread erythema, generalized sensation of heat, headache or symptoms of co- 6.4 Special precautions for storage: The expiry date refers to the product
For contrast enhancement in C.T. scans, the contrast medium may be injected stored correctly in intact packaging. Protect from light. See point 4.4
intravenously as a bolus, by infusion or by a combination of the two. For hyster- ryza of laryngeal edema, fever, sweating, asthenia, dizziness, pallor, dyspnea, or mild
hypotension. Skin reactions may occur as various types of rash or widespread blister 6.5 Nature and contents of container: Type I or II glass vials or bottles with halobutyl
oalpingography, the total dose to be injected depends on the patient’s anatomi- stoppers and aluminium crimp seal.
cal, biological and pathological condition. formation. More severe reactions involving the cardiovascular system, such as pe-
ripheral vasodilation with pronounced hypotension, tachycardia, dyspnea, agitation, 6.6 Instruction for use/handling: See point 4.2.
4.3 Contra-indications: There are no specific absolute contraindications for use 7. MARKETING AUTHORISATION INFORMATION
of these substances, with the realistic exception of Waldenström’s macroglob- cyanosis and loss of consciousness may require emergency treatment.
4.8.1 Neuroradiology: Clinical studies have shown good general tolerability, The product name, the Marketing Authorisa-
ulinemia, multiple myeloma and severe liver or kidney diseases. The intrathecal tion Holder, Number, and Date of Approval may
use of organic iodized contrast media may be contraindicated for patients with especially by the central nervous system. Side effects have been reported:
headache, sometimes with delayed onset, nausea, vomiting, pain at the injec- be different in different Countries. Volumes,
a history of epilepsy. The presence of blood in the cerebral spinal fluid also con- presentations, and indications may also differ.
traindicates the use of iopamidol injection®. In this case, the operator should tion site, generally mild and of short duration; more rarely, dizziness, neck stiff-
ness, lumbar pain, sciatic-type pain in the legs, often as transient worsening Refer to Local Summary of Product Character-
carefully assess the need for the diagnostic procedure against any possible risks istics. Please contact Bracco Imaging SpA – Via
to the patient. Female genital tract examination is contraindicated during con- of existing symptoms, and temperature increase. Exceptionally, patients have
developed muscle spasms or generalized convulsions, sometimes relating to Egidio Folli, 50 20134 Milano- Italy for further
firmed or suspected pregnancy and in the case of acute inflammation. information.
4.4 Special warnings and special precaution for use: Once opened, the bottle an epilepsy under treatment with neuroleptics and involuntary overdose. Very
rare cases of transitory mental confusion have been observed. 8. DATE OF PREPARATION OF THIS DOCUMENT:
must be used immediately; any remaining contrast medium must be discarded. April 2009
www.braccoimaging.com
IMPORTANT ADDRESSES / SPONSORS / CME CREDITS
EXHIBITION MANAGEMENT
MAW – Medizinische Ausstellungsgesellschaft
Freyung 6
AT – 1010 Vienna, Austria
Phone: + 43 1 536 63 35
Fax: + 43 1 535 60 16
E-Mail: maw@media.co.at
SPONSORS
ESGAR WISHES TO GRATEFULLY ESGAR ALSO THANKS THE FOLLOWING
ACKNOWLEDGE THE SUPPORT OF ITS COMPANIES FOR GENEROUSLY SUPPORTING
CORPORATE MEMBERS: THE MEETING:
CME CREDITS
Regulations:
The European Society of Gastrointestinal and - Each participant should claim only those hours of
Abdominal Radiology, ESGAR, is accredited by the credit that he/she actually spent in the educational
European Accreditation Council for Continuing Medical activity (CME record).
Education (EACCME). The EACCME is an institution - European Accreditation is granted by the EACCME
of the European Union of Medical Specialists (UEMS). in order to allow participants to validate the credits
www.uems.be obtained at this activity in their home European
Country.
ESGAR 2009 has been accredited with 24 CME - EACCME credits are recognised by the American
credits. Medical Association towards the Physician’s
Recognition Award (PRA). To convert EACCME
credit to AMA PRA category 1 credit, contact the
AMA. Please see:
www.ama-assn.org/ama/pub/category/14348.html
5
COMMITTEES
VICE PRESIDENT
F. Caseiro-Alves, Coimbra/PT
LOCAL ORGANISING COMMITTEE
SECRETARY
S. Jackson, Plymouth/UK J.M. Alustiza, San Sebastián/ES
C. Ayuso, Barcelona/ES
TREASURER E. Girela Baena, Murcia/ES
A. Palkó, Szeged/HU R. Bouzas, Vigo/ES
J. Lafuente, Madrid/ES
PAST PRESIDENT J. Martínez Rodrigo, Valencia/ES
C. Bartolozzi, Pisa/IT A. Talegón Menéndez, Sevilla/ES
F. Tardáguila Montero, Vigo/ES
BY-LAWS COMMITTEE
C. Matos, Brussels/BE
6
COMMITTEES
EPOS™ JURY
7
1 Huppertz A, Haraida S, Kraus A et al. Enhancement of Focal Liver Lesions at Gadoxetic Acid-enhanced MR Imaging: Correlation with Histopathologic Findings and Spiral CT – Initial Observations. Radiology 2005; 234:468–478
Halavaara J, Breuer J, Ayuso C et al. Liver Tumor Characterization: Comparison Between Liver specifi c Gadoxetic Acid Disodiumenhanced MRI and Biphasic CT – A Multicenter Trial. J Comput Assist Tomogr 2006; 30:345–354
2 Huppertz A, Balzer T, Blakeborough A et al. Improved Detection of Focal Liver Lesions at MR Images: Multicenter Comparison of Gadoxetic Acid-enhanced MR Images with Intraoperative Findings. Radiology 2004; 230:266–275.
Bluemke DA, Sahani D, Blakeborough A et al. Effi cacy and Safety of MR Imaging with Liver specifi c Contrast Agent: U.S. Multicenter Phase III Study. Radiology 2005; 237:89–98
Primovist® 0.25 mmol/mL solution for injection. Composition 1 mL solution for injection contains 181.43 mg gadoxetic acid, Gd-EOB-DTPA disodium, equivalent to 0.25 mmol Gd-EOB-DTPA disodium. Indications Primovist® is indicated for the detection of focal liver lesions and provides information on the character of lesions in T1-weighted magnetic resonance imaging (MRI). This medical product is for diagnostic use
only. Contraindications Hypersensitivity to the active substance or to any of the excipients. Undesirable effects During the clinical development phase the overall incidence of adverse reactions which were classified as related was below 5 %. Most of the undesirable effects were transient and of mild to moderate intensity. No individual adverse reaction reached a frequency greater than 1/100QNervous system disorders
headache, dizziness, paresthesia, taste disturbance, vertigo, akathisia, tremor, parosmiaQCardiac disorders bundle branch block, palpitationQVascular disorders flushing, hypertensionQRespiratory, thoracic and mediastinal disorders dyspnea, respiratory distressQGastrointestinal disorders vomiting, nausea, dry mouth, oral discomfort, salivary hypersecretionQ Skin and subcutaneous tissue disorders rash, pruritus,
maculopapular rash, hyperhidrosisQGeneral disorders and administration site conditions chest pain, injection site reactions, feeling hot, chills, discomfort fatigue,malaise, feeling abnormal. Laboratory changes as elevated serum iron, elevated bilirubin, increases in liver transaminases, decrease of hemoglobin, elevation of amylase, leucocyturia, hyperglycemia, elevated urine albumin, hyponatremia, elevated inorganic
phosphate, decrease of serum proteine, leucocytosis, hypokalemia, elevated LDH were reported in clinical trials. ECGs were regularly monitored during clinical studies and transient QT prolongation was observed in some patients without any associated adverse clinical events. In very rare cases anaphylactoid reactions leading to shock may occur. Precautions General information The usual safety precautions for MRI
must be observed, e.g. exclusion of cardiac pacemakers and ferromagnetic implants. Diagnostic procedures that involve the use of contrast agents should be carried out under the direction of a physician with the prerequisite training and a thorough knowledge of the procedure to be performed. The patient should refrain from eating for two hours prior to examination to reduce the risk of aspiration, as nausea and
vomiting are known possible adverse reactions. Whenever possible, the contrast agent should be administered with the patient lying down. After the injection, the patient should be kept under observation for at least 30 minutes, since experience with contrast media shows that the majority of undesirable effects occur within this time. Caution should be exercised in patients with severe renal impairment due to reduced
elimination capacity of Gd-EOB-DTPA. Patients with renal impairment: There have been reports of Nephrogenic Systemic Fibrosis (NSF) associated with use of some gadolinium-containing contrast agents in patients with - acute or chronic severe renal impairment (GFR< 30ml/min /1.73 m2) or - acute renal insufficiency of any severity due to the hepato-renal syndrome or in the perioperative liver transplantation period.
As there is a possibility that NSF may occur with Primovist®, it should therefore only be used in these patients after careful risk/benefit assessment and if the diagnostic information is essential and not available with non-contrast enhanced magnetic resonance imaging (MRI). All patients should be screened, in particular patients over the age of 65, for renal dysfunction by obtaining a history and/or laboratory tests.
Haemodialysis shortly after Primovist® administration in patients currently receiving haemodialysis may be useful at removing Primovist® from the body. There is no evidence to support the initiation of haemodialysis for prevention or treatment of NSF in patients not already undergoing haemodialysis. Caution should be exercised in patients with severe renal impairment due to reduced elimination capacity of Gd-EOB-
DTPA. Caution should be exercised when Primovist® is administered to patients with severe cardiovascular problems because only limited data are available so far. It cannot be excluded that Gd-EOB-DTPA may cause torsade de points arrhythmias in an individual patient. Hypersensitivity Allergy-like reactions, including shock, are known to be rare events after administration of gadolinium-based MRI contrast media.
Patients with a history of allergic/allergoid reactions or bronchial asthma might be at higher risk for severe reactions. Most of these reactions occur within half an hour after administration of contrast media. However, as with other contrast media of this class, delayed reactions may occur after hours to days in rare cases. Adequate measures for resuscitation should be made readily available prior to administration of
contrast agents. Hypersensitivity reactions can be more intense in patients on beta-blockers, particularly in the presence of bronchial asthma. It should be considered that patients on beta-blockers may be refractory to standard treatment of hypersensitivity reactions with beta-agonists. If hypersensitivity reactions occur, injection of the contrast medium must be discontinued immediately. Local intolerance Intramuscular
administration may cause local intolerance reactions including focal necrosis and should therefore be strictly avoided. Date of preparation of the text October 2007. Please note! For current prescribing information refer to the package insert and/or contact your local BSP organisation. Bayer Schering Pharma AG, 13342 Berlin, Germany. Adverse reactions can be reported to GPV.CaseProcessing@bayerhealthcare.com
Q Mastership 1
in tolerability
Q Masterpieces
Q Master’s degree 2
and characterization
in detection, delineation
Sincerely yours,
President of the Organizing Committee Valencia
JAIME ALFONSÍN
9
WELCOME
Ask twenty abdominal and gastrointestinal radiologists hands of the Arabs before El Cid got it back for the
to defi ne the key developments in the past twenty Christians. That lasted only 8 years, however, and
years and you probably will get thirty different answers. it was not until 1238 King Jacob of Aragonia won it
Such varied view is less an expression of puzzlement back for Christianity and made Valencia the capital of
within our profession but rather a reflection on the his kingdom. Banking was established early and the
incredible evolutions that have made abdominal and banks of Valencia financed Queen Isabella’s venture
gastrointestinal radiology the dynamic discipline it is that ended up in Columbus’ discovering the Americas.
today. Twenty years ago our role in patient care was In the time since then Valencia had to suffer through
not considered of particular clinical significance. Today various wars and secessions but never gave up. One
abdominal and gastrointestinal radiology represents of the last big innovations was the moving of the main
one of the most innovative fields in medical imaging. river Turia, which goes through the city, outside the
Exciting advances based on research in areas of centre and making a big park, a green lung for the city.
morphologic and functional imaging have been the Change and innovation are at the roots of Valencia’s
key of growing success of our specialty. success – as mentioned earlier an ideal place for us
to meet as it reflects very much our profession!
In such a fast moving profession it is of utmost
importance to stay abreast of developments, This year we already commemorate our 20 th
innovations and ideas being discussed. The best way Anniversary. That is worth a quick look at our history.
to do that is to meet. Therefore it is my privilege to It was during the 1988 meeting of the British Institute
invite you on behalf of the Executive Committee of the of Radiology in Glasgow that a group of foresighted
European Society of Gastrointestinal and Abdominal colleagues were discussing the possibility of founding
Radiology to celebrate our 20 th Annual Meeting in a scientific and educational organisation in order to
lively and dynamic Valencia from June 23 – 26, 2009. create a forum to the radiologists in Europe, who
Valencia is the ideal city to celebrate our anniversary, worked in the subspecialty of gastrointestinal
as it reflects our history pretty much! For long Valencia, radiology. A year later 18 leading radiologists held a
the third largest city in Spain, was in the shadow of founding meeting on the occasion of the International
its bigger rivals Madrid and Barcelona. But it is a city Congress of Radiology in Paris, which laid down the
that through innovation and hard work became a very essential rules and objectives of the Society. At 14:00
important part of Spain, a city not only with unique on Thursday, July 6, 1989 at the Parc de Versailles,
cultural appeal but also strong industry and sports – it the “European Society of Gastrointestinal Radiologists”
was the first European city to host the America’s cup was brought into being. Daniel Nolan (UK) was
two years ago. It has a long history, being founded elected as the fi rst Society president, Jean-Michel
by the Romans 138 B.C. and later falling in the Bigot (FR) and Aksel Kruse (DK) were voted in as vice
10
presidents, Roger Frost (UK) became secretary and scientific and educational programme. I would like
David Beckly (UK) was appointed treasurer. Nicholas to thank him and the members of his Programme
Gourtsoyiannis (GR) agreed on a very short notice to Committee for arranging a great programme, which
organise the inaugural meeting in Crete in June 1990. fully supports our aim to build a platform to learn
Further annual meetings were held in various parts about latest innovations, to refresh knowledge and to
of Europe. In recognition of the role of the Society in exchange ideas in order to provide the best possible
all modalities of imaging of the gastrointestinal tract care to the patient.
and its associated abdominal organs, the name of
the Society was changed at the 1994 meeting in A lot of work has gone into the organisation of the
Taormina to “European Society of Gastrointestinal and conference itself as well as the social parts. My
Abdominal Radiology”. thanks also go to Luis Martí-Bonmatí and his Local
With expanding membership and growing meeting Organising Committee. They are working with
attendance it became evident that the Society needed great enthusiasm and will be superb hosts of an
a permanent office led by a professional manager unforgettable 20th Anniversary ESGAR meeting 2009.
and supported by a secretarial office. Thus, a Central Last but not least I would like to mention the Central
Office was set up in Vienna in 1999 and Brigitte Office in Vienna that is working in overdrive again this
Lindlbauer was appointed as executive director and year to make sure that the meeting will be prepared
manager of the Society in 2002. Over the years the properly. A big “thank you” to Brigitte Lindlbauer and
Society has grown steadily and counts today more her staff.
than 800 members. The acceptance and importance
of ESGAR is also illustrated by the success of its ESGAR has come of age but it is young-at-heart. I
annual meetings: the 2007 meeting in Lisbon saw am looking forward to seeing you all in Valencia where
an all time high of more than 1400 participants. But we will raise the glass not only for the past 20 ESGAR
ESGAR is more than just meetings: the generous years, but also for many, many more years to come!
support of corporate members of industry enabled
the Society to develop many specific educational
courses such as CT-Colonography, Image-guided
Ablation and Liver Imaging.
11
WELCOME
As Meeting President, it is my great honour and The Programme Planning Committee has constructed
pleasure, on behalf of the Local Organising Committee, a highly interesting Educational and Scientific
to welcome you to the beautiful city of Valencia for Programme with the traditional quality seal of ESGAR
the ESGAR 2009 Annual Meeting and Postgraduate to offer our distinguished members the opportunity to
Course. This outstanding event constitutes the 20 th share scientific knowledge and technical expertise.
Anniversary of our Society’s Annual Meetings and Attendants of this meeting practice all aspects of
therefore deserves an outstanding and exciting abdominal radiology with all imaging modalities. We
scientific programme as well as a lot of the special are therefore strongly committed to provide them
ESGAR atmosphere. with an up-to-date, high quality technical exhibition
and scientific programme. We have selected the
The 20th Annual Meeting will be a highly appreciated best faculty members from European countries and
forum for integrated abdominal imaging education overseas, providing a timely update of all recent
and research activities with interactions between advances in abdominal imaging, from diagnosis to
Europe, America and Asia. The ESGAR Executive intervention, covered from a multidisciplinary and
Committee, presided by Prof. Borut Marincek, and multimodality perspective.
all the Programme Committee members, under the
leadership of Prof. Carlo Bartolozzi, have prepared The Postgraduate Course is dedicated to “Liver
a scientifically very relevant and socially attractive imaging: from morphology to quantification”. The
and encouraging event in our nice city located at the main interest of the course is to fill the gap between
sea side. Valencia is proud to host the high quality conventional radiology to evidence-based quantitative
of science, topics, clinical advances and research imaging in focal and diffuse liver diseases, with a
proposals that will be presented here. As the comprehensive coverage of most recent advances
ESGAR Meetings continue to attract more and more and applications.
participants, senior and junior radiologists, residents in
training, medical students, researchers and technicians The Research Corner of ESGAR 2009 will continue
will share a common constructive space and medical with two highly interesting hot topics devoted to
knowledge in Valencia. A close cooperation between “Imaging biomarkers” and “Functional evaluation of
our industrial partners and attendees through the the effect of therapy”. These sessions focus on the
technical exhibition will revitalise present actions and importance of quantitative and functional imaging in
future developments in the field. evaluating the presence and severity of abdominal
disorders, and assessing the effect of therapy, in a
multimodality arena.
12
This year there is a wide coverage of interventional Programme Committee, without whose efforts this
radiology with the “Intervention – a practical approach” final programme could not have been realised.
sessions, providing a forum for classroom discussion
devoted to practical issues. Also, the “Clinical Files – Although the Valencia Conference Centre has
interactive case discussion” will illustrate the various excellent infrastructure and plenty of exhibition
diagnostic and therapeutic options available, stressing space and scientific activity, here in Spain the social
the central role of clinical based radiology in patient component should not be left aside. There are various
management. Also, do not miss the “Foundation opportunities for sharing well-deserved moments of
Course: Radiologic-pathologic correlations” as well as architecture, gastronomy, friendship, relaxation and
the many different lectures and workshops. motivation in Valencia. Do not miss the Welcome
Reception at the Congress venue and the ESGAR
As in recent years, Satellite Symposia are scheduled Evening at the “Oceanogràfic” – all arranged to
from Tuesday to Thursday at lunch time. Attendees celebrate this Anniversary together!
to the meeting greatly appreciate the contribution of
industrial partners to the success of the congress. Finally I also wanted to thank our Spanish colleagues
and the Spanish Abdominal Radiological Society
I would like to thank all authors who submitted (SEDIA) for their help and friendship.
abstracts for oral presentations during the 15 scientific
sessions as well as abstracts for scientific exhibits
presented in the EPOSTM format. It is a great honour to Welcome to Valencia! Enjoy your time here!
announce that this year it was possible to surpass the
submissions from last year once more and reach an all
time record high!
13
HONORARY FELLOW
A.H. FREEMAN, CAMBRIDGE/UK
Alan H. Freeman was born on January 21, 1945 in Alan Freeman’s major interest in radiology is the
Bath, UK. gastrointestinal tract which encompasses contrast
studies, ultrasound, computed tomography and
H e s t u d i e d c l i n i c a l m e d i c i n e a t We s t m i n s t e r endoscopy. He also has an interest in Breast Imaging
Hospital Medical School, London and received his and is actively involved in the UK National Breast
Bachelorship in Medicine and Surgery in 1968. He Screening Programme.
held house office appointments at Westminster He has published over 40 articles, written a number of
Hospital and Kingston Hospital in Surrey from 1968 to book chapters and 2 books entitled “Radiology of
1970 and after that became a registrar in Radiology the Stomach and Duodenum” and “Radiology for the
at Westminster. In 1972 Alan Freeman obtained his Surgeons in Clinical Practice”.
Diploma in Medical Radio-Diagnosis. He occupied
senior registrar posts in Radiology at Addenbrooke’s Alan Freeman has given numerous invited lectures,
Hospital in Cambridge from 1973 – 1974 and was and has lectured and tutored at various universities
appointed Consultant Radiologist at that hospital in United Kingdom as well as at the University of
in 1975, specialising in Gastroenterology.He was Budapest and the University of Benghazi (Libya).
appointed as Associate Lecturer at Cambridge Since 2006 he has been a lecturer for the ESOR
University in 1976 and has been a Fellow of the Royal (European School of Radiology) Galen Foundation
Collegeof Radiologists since 1974. Courses on Colorectal Cancer.
As a result of a Kodak scholarship Alan Freeman
spent some months in the United States working Alan Freeman, who is one of the founding members
with Prof. A. Margulis at the University of California, of ESGAR and who has participated in every one of
San Francisco. the last 19 Annual ESGAR Meetings, was previously
Secretary General and then Treasurer of the Society. He
Alan Freeman has acted as Assistant Editor of the also is a member of the British Institute of Radiology,
British Journal of Radiology from 1985 to 1997 and the British Society of Gastroenterology, the Royal
as Assistant Editor for Clinical Radiology from 1997 Society of Medicine, the British Medical Association
to 2008. He was Overseas Editor of the West African and the European Society of Radiology.
Journal of Medical Ultrasound and occasionally edits
papers for GUT and BMJ. His contribution to gastrointestinal and abdominal
He has been an examiner for the Fellowship of the Royal radiology and his longlasting support and commitment
College of Radiologists in London (1993 – 1998) and to our Society highly qualify Alan Freeman as Honorary
has also held positions as an external examiner at the Fellow of the European Society of Gastrointestinal and
Royal College of Surgeons in Ireland (2000 – 2005), the Abdominal Radiology.
College of Physicians and Surgeons in Karachi, Pakistan
(1999 – 2000) and at the University of Malaysia (2003).
Carlo Bartolozzi is an inspirational researcher and Chairman he was responsible for the outstanding
visionary who has made invaluable contributions to scientific programmes of ESGAR 2008 and ESGAR
gastrointestinal and abdominal radiology. 2009. His interest in liver imaging can also be seen as
the ignition spark for the successful ESGAR workshop
Born in Jesolo (Venezia), he graduated from Medical series on “Image-guided Ablation” and “Liver Imaging”.
School at the University of Padova in 1972. After
completing his residency, he became Radiology His international reputation has gained him Honorary
Assistant at the University of Firenze in 1977 and Membership of the Belgian Radiological Society
Associate Professor in Radiology at the same and Austrian Radiological Society, as well as
institute in 1980. 10 years later he was appointed a Corresponding Membership of the Swiss Radiological
full Professor in Radiology at the University of Pisa Society and Turkish Radiological Society. He has held
and became Director of the Chair of Radiology and invited lectures in over 30 countries. In 2009 Carlo
Chairman of the Radiology Residency Programme Bartolozzi’s contributions to the development of
at the University of Pisa, a position he has held until gastrointestinal imaging were highly recognised as he
today. From 1999 – 2007 he was Director of the gave the “Josef Lissner Honorary Lecture” during the
Department of Oncology, Transplants, and Advanced European Congress of Radiology.
Technologies in Medicine of the University of Pisa.
Carlo Bartolozzi is Section Editor for Hepatobiliary-
Carlo Bartolozzi's major fields of scientific interest pancreas of the Journal “European Radiology” and
are liver imaging with different modalities, diagnosis was EURORAD Editor for the Section: Liver, Biliary
of HCC, and interventional procedures for HCC System, Pancreas and Spleen from 1997 – 2004.
treatment. He has experimented and developed He acts as partner of the EU founded project for the
innovative techniques in the fi elds of oncology and European Institute for Biomedical Imaging Research
gastrointestinal radiology, such as microbubbles (EIBIR) and is founding member of the Erasmus Project
in ultrasound, perfusion imaging in MSCT, and MR Course on MRI (EMRI).
elastography for liver imaging. A productive writer, he He also coordinated the University of Pisa research
has authored or co-authored over 270 papers and group in over 10 EU funded projects and over 20
also published 12 monographs. Italian projects.
From 2000 – 2001 Carlo Bartolozzi was President As members of ESGAR we know that Carlo Bartolozzi
of the European Society of Magnetic Resonance in has not only a passion for radiology, but he is also a
Medicine and Biology (ESMRMB). big friend of the study of history, art and music.”The
In 2005 he organised the 16th ESGAR Annual Meeting use of radiological investigations in these fields
in Florence, which was a milestone in the history of represents a fascinating bridge between our profession
ESGAR, both in terms of attendance and atmosphere. and humanism” said Carlo.
Carlo Bartolozzi has served the Society ever since
1997, when he first entered the Executive Committee For his tireless efforts and contributions to the Society
as Fellow Representative. He acted as Chairman of over many years and his outstanding achievements in
the Membership Committee from 2000 until 2003 the field of gastrointestinal and abdominal radiology,
and was elected Vice President of the Society in ESGAR presents the Gold Medal to Carlo Bartolozzi
2002. Consequently Carlo Bartolozzi was President of with gratitude.
ESGAR from 2005 – 2007. As Programme Committee
DOTAREM
®
Gadoteric acid
by Choice
Dotarem® 0.5 mmol/mL, solution for injection in vials and pre-filled syringes: Indications and approvals may vary in different countries. Please refer to the local Summary
of Product Characteristics (SPC) before prescribing. Further information available on request. - QUALITATIVE AND QUANTITATIVE COMPOSITION PER 100 mL: Gadoteric acid*
(27.932 g) corresponding to DOTA (20.246 g) - Gadolinium oxide (9.062 g) - Excipients: Meglumine, water for injections (*Gadoteric acid: gadolinium complex of 1,4,7,10
tetraazacyclododedane-N,N’,N’’,N’’’ tetraacetic acid). CLINICAL PARTICULARS: Therapeutic indications: Magnetic Resonance Imaging for cerebral and spinal disease, diseases
Terre Neuve - P08 038 DOT - May 2009.
of the vertebral column, and the other whole-body pathologies (including angiography). Posology and method of administration: The recommended dose is 0.1 mmol/kg,
ie 0.2 mL/kg in adults, children and infants. In angiography, depending on the results of the examination being performed, a second injection may be administered during the same
session if necessary. In some exceptional cases, as the confirmation of isolated metastasis or the detection of leptomeningaeal tumors, a second injection of 0.2 mmol/kg can be
administered. The product must be administered by strict intravenous injection. Contraindications: History of hypersensitivity to gadolinium salts. Contraindications related to MRI: subjects
with a pacemaker, subjects with a vascular clip. Special warnings and special precautions for use: Administer only by strict intravenous injection. Dotarem® must not be administred
by subarachnoid (or epidural) injection. Caution is recommended for anaphylactic-like reactions, renal insufficiency and CNS disorders. There have been reports of Nephrogenic Systemic
Fibrosis (NSF) associated with use of some gadolinium-containing contrast agents in patients with severe renal impairment (GFR < 30 ml/min/1.73 m2). As there is a possibility that
NSF may occur with Dotarem®, it should only be used in these patients after careful consideration. Interactions with other medicinal products and other forms of interaction.
None known to date. Pregnancy and lactation: Dotarem® should be used during pregnancy only if strictly necessary. It is advisable to stop breast-feeding for a few days following
the examination with Dotarem®. Undesirable effects: As for any injection of paramagnetic complex, rare anaphylactic-like reactions exceptionally fatal may occur, requiring an emergency
treatment. Very rare general disorders and incidents related to the injection site (extravasation), very rare skin and subcutaneous tissue disorders, very rare nervous system disorders, very
rare muscular disorders. FRENCH PRESENTATION AND MARKETING AUTHORISATION NUMBER: 358 954.2: 5 mL in vial (glass) - 331 713.4: 10 mL in vial (glass) - 358 953.6:
10 mL in pre-filled syringes (glass) - 331 714.0: 15 mL in vial (glass) - 338 403.0: 15 mL in pre-filled syringes (glass) - 331 715.7: 20 mL in vial (glass) - 338 404.7: 20 mL in pre-filled
syringes (glass). GUERBET - BP 57400 - 95943 Roissy CdG Cedex - tel: +33.(0)1.45.91.50.00 (ref.06/07). For detailed information, see Dictionnaire Vidal. Revised: May 2007.
Para las indicaciones y presentaciones autorizadas en España consultar la ficha técnica local.
INFORMATION SCIENTIFIC PROGRAMME
ABBREVIATIONS Guidance
The following abbreviations are used in the programme: Confirmation of participation in the scientific programme
HL Honorary Lecture is to be obtained as follows:
IR Interventional Radiology
LS Lecture Session Scientific / Educational Sessions
P EPOS™ Presentation 1. Participate in the session of your interest
PG Postgraduate Course 2. Questionnaires / evaluation forms will be handed
PS Plenary Session out at the door before the session; make sure to
RC Research Corner personalise it with your unique personal CME
SS Scientific Session sticker, otherwise it is not possible to allocate the
SY Lunch Symposia forms afterwards and to provide a detailed record
WS Workshop of attendance
3. Complete the form during the session
CASES OF THE DAY 4. Drop the completed form into the designated
There is a tradition in ESGAR to offer “unknown cases “Evaluation” box at the exit of the room when
of the day”.The cases are accessible via the EPOS™ leaving the session
Workstations located on Level 1 of the conference
centre. Participants have the opportunity to log in with Scientific Exhibition – EPOS™ (Electronic
their badge number and to access and solve the “cases Presentation Online System)
of the day”. Different cases will be displayed each day Your attendance and evaluation are automatically
from Tuesday through Friday. Once a participant has recorded online in EPOS™:
logged in with his/her password and participated in 1. Enter EPOS™ and view the posters of your
solving a case, he/she will see the results the next day interest. If you logout EPOS™, you will be asked to
when accessing the system again and find out whether complete the evaluation form.
his/her tip was correct. The results will be saved and 2. Fill in this form completely and press the ‘Submit’
evaluated by the Programme Committee after the button. A maximum of 3 hours of attendance
meeting. The participant who solves the most cases at the scientific exhibition (SE) will be listed if the
will receive a diploma and be announced in the ESGAR participant has completed and submitted the
newsletter. The coordinator of the ESGAR 2009 “cases online SE evaluation form using EPOS™ (Electronic
of the day” competition is S. Jackson, Plymouth/UK. Presentation Online System).
20
INFORMATION SCIENTIFIC PROGRAMME
21
INFORMATION SCIENTIFIC PROGRAMME
PREVIEW CENTRE
The Preview Centre is located on the Entrance Level size of one presentation should not exceed 700 MB. If
(Please see floor plan on page 114) there are video sequences included please make sure
to save the video files on your CD-ROM in addition.
Data projection is the “standard” technical equipment To avoid missing links please save your PowerPoint
(Slide projection is not possible). Presentations will be presentation as “pack&go” (“.pps”).
uploaded on a centralised server in the Preview Centre
from where they will be transmitted to the workstations Presenters have the opportunity to test their
in the respective lecture rooms. Please note that your presentations directly in the Preview Centre which we
own laptop cannot be used for presentation in the strongly recommend. Due to space and time limits it
lecture halls. is not possible to prepare and rehearse your complete
presentation at the Preview Centre.
Speakers are requested to hand in their presentations
not later than 90 minutes before the beginning of
their session. For workshops taking place in the early Opening hours:
morning please hand in your presentation on the
previous day. Presentations have to be handed in using Monday, June 22 16:00 – 20:00
the following format: PowerPoint for PC version MS Tuesday, June 23 07:30 – 20:00
Office 97 – 2007 (Macintosh presentations cannot be Wednesday, June 24 07:15 – 18:00
accommodated). The presentation has to be saved on Thursday, June 25 07:15 – 18:00
a CD-ROM, DVD-ROM or USB stick (no ZIP disks). The Friday, June 26 07:15 – 16:00
22
O N C O L O G Y WORKSTATION
Timely prevention
Brought to you by the world's first
Oncological Workstation with innovative
medical imaging solutions for early detection,
prevention and therapy planning
24
GENERAL INFORMATION
SMOKING
Smoking is not permitted inside the conference venue.
TAXIS
There are plenty of taxis and their service is very
good. A taxi ride from the airport to the congress
centre should be around € 15.00, to the city centre
approximately € 20.00. A trip from the city centre to
the beach will cost € 10.00 – € 11.00.
Radio Taxi +34 96 3703 333
Tele Taxi +34 96 3571 313
Auto-Taxis +34 96 3959 560
25
EVENING EVENTS
The programme of the Opening Ceremony will focus A Welcome Cocktail, following the Opening Ceremony,
on celebrating the 20th Anniversary of ESGAR Annual will take place in the foyer of the Palacio de Congresos
Meetings. Prof. Nicholas Gourtsoyiannis, one of the de Valencia and its adjacent gardens with shady trees
founding members of the Society, will give a special and gently curving asymmetrical pools. You will be able
Anniversary Lecture on “20 years of ESGAR”, which to enjoy some drinks and Spanish tapas accompanied
will be both informative and entertaining. by a live Jazz music act. We hope this will give you a
chance to experience the taste of delicious Spanish
There will be a Cultural Lecture by Prof. Santiago cuisine, to catch up with colleagues and friends and
Grisolía. The Valencian Biochemist, who was born in also to celebrate the Opening of the 20th Anniversary
Valencia in 1923, was professor Ochoa´s first graduate Annual Meeting.
student in the Chemistry Department of the University
of New York. He was a lecturer in Biochemistry and The Welcome Reception is free for registered
Molecular Biology for many years at the University of participants and registered accompanying persons.
Kansas, as well as at Chicago and Wisconsin, making
classic discoveries in this university about the urea This evening is kindly sponsored by Bayer Schering
cycle, which have both fundamental and practical Pharma, Covidien, Guerbet and Rovi.
importance. He is, furthermore, an honorary professor
of the faculty of Medicine at Valencia and doctor
"honoris causa" of a number of Spanish universities,
as well as Florence and Siena, in Italy. He also was
Chairman of the UNESCO Committee for Scientifi c
Coordination for the Human Genome Project. The
Cultural Lecture will deal with “100 years later”.
26
EVENING EVENTS
ESGAR EVENING
19:30 – 23:30
The ESGAR Evening is traditionally devoted to the the "Oceanogràfic" has become a point of reference
local culture and life-style of the hosting country. Thus for aquariums world-wide.
for the ESGAR Evening 2009 a Spanish Night will be
organised at the “Oceanogràfic” of the City of Arts and This outstanding location will be the perfect setting
Sciences (Ciudad de las Artes y las Ciencias). to meet the most exigent expectations to celebrate
the 20 th Anniversary of ESGAR Annual Meetings. A
The "Oceanogràfic", which was designed by the performance at the Dolphinarium, one of the largest
Spanish architect Félix Candela, is the largest in the world, is planned for all participants. This will
o c e a n a r i u m i n E u ro p e . T h e “ O c e a n o g r à f i c ” be a fantastic demonstration of the abilities of these
incorporates two structures of a design that bears the animals. Following the dolphin show a pleasant
stamp of this distinguished architect. They are the most dinner with typical Spanish food and a music group
emblematic buildings in the park, the white concrete is arranged within the gardens of the “Oceanogràfic”!
roofs of which represent a hyperbolic paraboloid figure
similar to that of a water lily. The park includes two Price per ticket: € 55.00
clearly differentiated scenarios: installations for fi sh Some tickets are still available. Please contact the
and invertebrates that reproduce the various marine ticket counter at the registration desk.
ecosystems and areas characterised by the presence
of sea mammals. Because of its concept and design, This evening is kindly supported in part by
its spectacular dimensions, and the species it contains, GE Healthcare.
27
GE Healthcare
Imaging innovations :
Discover new ways to predict
and diagnose disease earlier
Join us at the
20th Annual Meeting
and Postgraduate
Course of ESGAR
June 23 - 26, Valencia, Spain
GE imagination at work
PROGRAMME OVERVIEW
09:15 – 09:30
Session 1 LS 1 Auditorium 1 LS 5 Auditorium 1 LS 9 Auditorium 1
09:30 – 09:45
LS 2 Auditorium 2 LS 6 Auditorium 2 LS 10 Auditorium 2
09:45 – 10:00 Auditorium 1 IR 1 Room 6 + 7 IR 2 Room 6 + 7 IR 3 Room 6 + 7
10:00 – 10:15
|
10:15 – 10:30
10:30 – 10:45 Break
Break Break Break
|
SS 13 Auditorium 3A
11:45 – 12:00 Auditorium 1 SS 4 Auditorium 3B SS 9 Auditorium 3B
SS 14 Auditorium 3B
SS 5 Room 1 + 2 SS 10 Room 1 + 2
12:00 – 12:15 SS 15 Room 1 + 2
EPOS™ Presentations (07:30 – 20:00)
RC 1 Room 3 + 4 RC 2 Room 3 + 4
12:15 – 12:30
CTC Hands-
12:30 – 12:45
on Centre
12:45 – 13:00
SY 1 BAYER SCHERING SY 3 GUERBET SY 5 MEDICSIGHT
13:00 – 13:15 Auditorium 1 Auditorium 1 Auditorium 1
13:15 – 13:30 SY 2 GE HEALTHCARE SY 4 IM3D SY 6 BRACCO
Auditorium 2 Auditorium 2 Auditorium 2
13:30 – 13:45
13:45 – 14:00 Foundation Course: The Tube
|
14:00 – 14:15 Break Break Break Auditorium 2
14:15 – 14:30
|
14:30 – 14:45 SGR Honorary Lecture JSAR Honorary Lecture Registration (07:15 – 17:00)
CTC Hands-on Centre (14:00 – 18:00)
15:00 – 15:15
Clincial Files 1 Clincial Files 2 Organs
15:15 – 15:30 Auditorium 1 (Interactive Case (Interactive Case Auditorium 2
|
16:30 – 16:45
16:45 – 17:00 Postgraduate Course
Session 4
17:00 – 17:15 LS 3 Auditorium 1 LS 7 Auditorium 1
17:15 – 17:30 LS 4 Auditorium 2 LS 8 Auditorium 2
(16:00 – 20:00)
Auditorium 1
17:30 – 17:45
17:45 – 18:00
18:00 – 18:15
ESGAR General Assembly
18:15 – 18:30
Opening Ceremony Auditorium 3A
18:30 – 18:45
ESGAR Anniversary
18:45 – 19:00 Lecture
19:00 – 19:15
Auditorium 1
19:15 – 19:30
19:30 – 20:00
ESGAR Evening
Welcome Reception (Oceanogràfic)
Evening (Palacio de Congresos de see page 27
Valencia) see page 26
29
ESGAR 2009 PROGRAMME
30
TUESDAY, JUNE 23
PROGRAMME OVERVIEW
TUESDAY, JUNE 23, 2009
31
TUESDAY, JUNE 23
Lecture objectives:
To summarise the relevant clinical questions which need to be answered by imaging. To
explain how imaging can demonstrate the morphological changes of diffuse liver disease
including steatosis, iron overload, cirrhosis and inflammation and review the results of
multimodality techniques. To illustrate the main imaging findings and to review remaining
unanswered clinical questions.
Lecture objectives:
To summarise the relevant clinical questions in terms of detection, characterisation,
treatment planning and follow-up which need to be answered by imaging. To illustrate the
diagnostic assessment of benign lesion morhology and to review remaining unanswered
clinical questions.
Lecture objectives:
To summarise the relevant clinical questions in terms of detection, characterisation,
staging, treatment planning and follow-up which need to be answered by imaging. To
illustrate the diagnostic assessment of malignant lesion morhology and to review
remaining unanswered clinical questions.
32
TUESDAY, JUNE 23
POSTGRADUATE COURSE – LIVER IMAGING:
FROM MORPHOLOGY TO QUANTIFICATION
TUESDAY, JUNE 23, 2009
11:00 – 12:15
Lecture objectives:
To review the physical properties of US which can be used to measure cells, vessels and
tissue structure. To explain why intracellular fat is associated with reflectivity changes.
To summarise the pharmacodynamics of intravascular compartment US contrast media.
To discuss how contrast enhancement can be utilised for quantification. To illustrate the
advantages and limitations of US for quantification.
Lecture objectives:
To review the physical properties of MDCT which can be used to measure cells, vessels
and tissue structure. To explain why fat, iron and other components are associated with
attenuation changes. To review the pharmacodynamics of iodine based contrast media. To
illustrate how contrast enhancement is used for quantification including curve parameters,
AUC and permeability maps. To discuss the physical properties of radioisotopes that can
be used for quantification and to explain the rational for different tracers. To review the
role of hybrid imaging. To explain the advantages and limitations of MDCT and PET/CT for
quantification.
Lecture objectives:
To review the physical properties of MRI which can be used to measure cells, vessels and
tissue structure. To explain why tissue composition is associated with signal changes
when performing different sequences, including DWI and elastography. To discuss how
MR contrast enhancement is used for quantification including curve parameters, AUC
and pharmacokinetics. To explain the advantages and limitations of MRI for quantification.
33
TUESDAY, JUNE 23
LUNCH SYMPOSIA
TUESDAY, JUNE 23, 2009
12:45 – 13:45
35
TUESDAY, JUNE 23
Lecture objectives:
To discuss the practical use of quantitative imaging methods. To review the optimal imaging
strategy including technique accuracy, reproducibility, sensitivity and standardisation. To
explain the clinical and therapeutic relevance of imaging iron overload.
Lecture objectives:
To explain the US and MR techniques used to quantify fibrosis and regeneration. To
describe the advantages and limitations of available techniques. To discuss the clinical
and biological results. What are there remaining indications for liver biopsy?
Lecture objectives:
To review the anatomy of the portal system and collateral vessels. To discuss accurate
portal pressure measurement using available techniques. To describe what factors need
to assessed in order to determine TIPS feasibility. To explain the evaluation of TIPS
function and patency.
36
TUESDAY, JUNE 23
POSTGRADUATE COURSE – LIVER IMAGING: FROM MORPHOLOGY
TO QUANTIFICATION
TUESDAY, JUNE 23, 2009
16:30 – 17:45
Lecture objectives:
To explain how imaging findings are related to tumour composition and perfusion
characteristics. To describe how these characteristics can be accurately quantified to
assess tumour aggressiveness and provide accurate grading.
Lecture objectives:
To discuss the optimal imaging techniques for the evaluation of tumour volume and staging.
To illustrate how liver volume and function can be assessed for treatment planning. To
explain how liver regeneration can be predicted and evaluated.
Lecture objectives:
To explain systemic post treatment changes and how they represent tumour response. To
discuss changes after local therapy and how imaging can predict and assess treatment
outcome and efficacy.
37
EPOS TM
CASES-OF-THE
- DAY
HAVE YOU SOLV
ED TODAY’S
UNKNOWN CAS
ES YET?
Cases-of-the-da
y can be access
EPOSTM Area on ed in the
Level 1! We invite
participate in the you to
competition.
TUESDAY, JUNE 23
OPENING CEREMONY / HONORARY LECTURE /
WELCOME RECEPTION
TUESDAY, JUNE 23, 2009
L. Martí-Bonmatí, Valencia/ES
Meeting President
B. Marincek, Zurich/CH
ESGAR President
C. Bartolozzi, Pisa/IT
N. Gourtsoyiannis, Heraklion/GR
S. Gisolía, Valencia/ES
39
PROGRAMME OVERVIEW
WEDNESDAY, JUNE 24, 2009
40
WORKSHOPS
WEDNESDAY, JUNE 24, 2009
08:00 – 08:45
WEDNESDAY, JUNE 24
WS 3 ACUTE ABDOMEN: DIAGNOSIS AND PITFALLS Room 1 + 2
S. Jackson, Plymouth/UK
R.M. Mendelson, Perth, WA/AU
41
INTERVENTIONAL RADIOLOGY
WEDNESDAY, JUNE 24, 2009
09:00 – 10:30
Lecture objectives:
To summarise the indications and in particular discuss the appropriate case selection of
WEDNESDAY, JUNE 24
patients with HCC. To review the role of image-guided ablation in the context of other
treatments for the patient group. To emphasise relevant tips and tricks and describe
clinical results, potential complications and imaging criteria for assessing procedural
outcome.
Lecture objectives:
To summarise the indications and in particular discuss appropriate case selection of
patients with liver metastases. To review the role of image-guided ablation in the context of
other treatments for the patient group. To emphasise relevant tips and tricks and describe
clinical results, potential complications and imaging criteria for assessing procedural
outcome.
Lecture objectives:
To review the current limitations of image-guided ablation techniques. To discuss technical
advances and future developments in the field.
42
LECTURE SESSIONS
WEDNESDAY, JUNE 24, 2009
09:00 – 10:30
Lecture objectives:
To describe the pulse sequence protocols and optimal timing of dynamic imaging. To
WEDNESDAY, JUNE 24
review the pathophysiological basis of both the vascular and interstitial distribution of
extracellular contrast agents in focal liver lesions. To discuss the time course of this
distribution relevant to lesion pathology and to address wash-in and wash-out phenomena.
To explain the contrast mechanisms of dynamic imaging with Gd-based liver specific
agents and to comment on dynamic imaging with SPIOs.
Lecture objectives:
To describe the pulse sequence protocols and optimal timing of cellular imaging with
liver specific contrast agents. To review the physiology of hepatobiliary contrast agent
uptake into both normal and pathological liver tissue. To discuss the timing of tumour-to-
liver contrast enhancement based on agent-specific pharmacokinetics and lesion type.
To explain SPIO related contrast mechanisms and to address the principles of double
contrast MRI.
Lecture objectives:
To understand the technical parameters of DWI of the liver and to appreciate the specific
influence of perfusion. To explain how to select optimal b values for lesion detection/
characterisation and discuss the role of ADC maps. To address clinical results, limitations,
pitfalls and future trends of the technique.
Lecture objectives:
To describe the principles of contrast enhanced CT/US of focal liver lesions. To summarise
the physical properties and pharmacokinetics of relevant contrast agents. To explain the
similarities and differences in contrast enhancement of focal liver lesions with CT/US. To
illustrate the contrast mechanisms of FDG PET/CT.
44
LECTURE SESSIONS
WEDNESDAY, JUNE 24, 2009
09:00 – 10:30
Lecture objectives:
WEDNESDAY, JUNE 24
To review the indications for enteroclysis in the era of cross-sectional imaging techniques
and capsule endoscopy. To critically appraise the strengths and weaknesses of the
technique in a mulitmodality imaging environment. To summarise the specific clinical
applications for contrast enteroclysis when evaluating mucosal abnormalities and discuss
the future clinical role of the technique.
Lecture objectives:
To describe the technical aspects of US and CEUS as applied to patients with IBD. To
illustrate the spectrum of findings with US in both uncomplicated and complicated Crohns
disease. To review the key diagnostic features and clinical indications which require the
specific use of CEUS in particular with regard to the assessment of disease activity. To
appraise the clinical role and strength and weaknesses of US/CEUS in a multimodality
imaging environment.
Lecture objectives:
To review the specific protocols for MDCT enterography and enteroclysis. To critically
appraise the advantages and limitations of a MDCT approach for the diagnosis and
characterisation of patients with IBD. To review the clinical role of MDCT in a multimodality
imaging environment.
Lecture objectives:
To review the technical requirements and protocols for MR assessment of the small bowel.
To discuss the advantages and limitations of MR enterography/enteroclysis in patients
with IBD. To review the imaging criteria and role of MRI when assessing disease activity
and to summarise disease sub-types based on MRI features. To critically evaluate the
contribution of MRI in the management of patients with Crohns disease when compared
to alternative imaging techniques.
45
RESEARCH CORNER
WEDNESDAY, JUNE 24, 2009
11:00 – 12:30
Lecture objectives:
To define the most important biomarkers which can be assessed using US and CEUS
WEDNESDAY, JUNE 24
examinations. To demonstrate how US contrast media can evaluate tumour perfusion and
angiogenesis.
Lecture objectives:
To describe the most important MDCT imaging appearances which can be used for the
evaluation of tumour response. To assess the functional capabilities of contrast enhanced
MDCT when evaluating tumour necrosis. To demonstrate the use of whole organ MDCT
perfusion for the evaluation of tumour response.
Lecture objectives:
To review the various MR parameters (signal intensity, diffusion and perfusion imaging,
spectroscopy) to evaluate post treatment response. To discuss the advantages and
limitations of these biomarkers when evaluating tumour viability. To comment on the use
of MR in clinical trials for the assessment of tumour response.
Lecture objectives:
To explain the role of different tracers used in PET/CT to demonstrate tumour viability,
necrosis and response to treatment. To illustrate the advantages and pitfalls of PET/CT for
the evaluation of tumour response. To discuss the synergistic information from both PET
and CT for the assessment of tumour response.
46
SCIENTIFIC SESSIONS
WEDNESDAY, JUNE 24, 2009
11:00 – 12:30
11:08 SS 1.02 Intraindividual comparison of hepatic venous phase and delayed phase for
the detection of washout contrast-enhancement pattern of HCC at MDCT of
the liver
WEDNESDAY, JUNE 24
A. Furlan1, G. Brancatelli2, D. Marin3, G. Palermo Patera2, A. Ronzoni4, M. Midiri2,
M. Bazzocchi5, A. Vanzulli4;
1
Pittsburgh, PA/US, 2Palermo/IT, 3Rome/IT, 4Milano/IT, 5Udine/IT
11:16 SS 1.03 Quadriphasic CT in the diagnosis of 1–2 cm HCC: measuring performance of each
phase and combination
H. Jang, K. Khalili, T.K. Kim; Toronto, ON/CA
11:24 SS 1.04 Detection and characterization of focal liver lesions by MDCT in cirrhotic patients
undergoing liver transplantation
E. Bozzi, V. Battaglia, I. Bargellini, C. Bartolozzi; Pisa/IT
11:32 SS 1.05 The combination of CEUS and MDCT in the non invasive diagnostic criteria for
HCC in patients with chronic liver disease: prospective validation of EASL/AASLD
criteria
E. Gatti, M. Morone, P. Cabassa, C. Morelli, S. Gandolfi, R. Maroldi; Brescia/IT
11:40 SS 1.06 Analysis of multiple imaging parameters of MRI for characterizing small (1–2 cm)
nodules in high-risk patients for HCC
K. Khalili, T.K. Kim, M. Haider, M. Sherman, H. Jang; Toronto, ON/CA
11:48 SS 1.07 Detection of HCC in cirrhotic patients: qualitative comparison of gadoxetic acid
enhanced MRI and multiphasic 64-slice CT
M. di Martino, D. Marin, A. Guerrisi, F. Galati, G. de Filippis, C. Catalano, R. Passariello;
Rome/IT
11:56 SS 1.08 Gd-EOB-DTPA -enhanced dynamic and hepatobiliary phase MRI for Detection of
HCC: comparison with multiphase multidetected CT
S.J. Kim, J.M. Lee, J.Y. Lee, S.H. Kim, S.H. Kim, J.K. Han, B.I. Choi; Seoul/KR
12:04 SS 1.09 Growth rate of small (≤2 cm) HCC in cirrhotic patient: determining optimal
screening interval with serial CT or MRI
F. Agnello1, G. Brancatelli1, A. Furlan2, D. Marin3, A. Taibbi1, V. Bova1, T. Bartolotta1,
M. Midiri1; 1Palermo/IT, 2Pittsburgh, PA/US, 3Rome/IT
12:12 SS 1.10 What is the best imaging method to detect HCC in patients with chronic liver
disease: an evaluation using evidence-based practice methods
D. Moran, I. Heaslip, D. Malone; Dublin/IE
47
SCIENTIFIC SESSIONS
WEDNESDAY, JUNE 24, 2009
11:00 – 12:30
11:08 SS 2.02 US-guided fine-needle aspiration cytology of 545 focal pancreatic lesions:
accuracy and short-term complications
G. Zamboni, M. D’Onofrio, A. Idili, R. Iozzia, E. Manfrin, R. Pozzi Mucelli; Verona/IT
11:24 SS 2.04 Perfusion imaging with dynamic volume CT in pancreatic cancer patients
C. Kloeters, S. Kandel, H. Meyer, G. Diederichs, P. Hein, P. Rogalla; Berlin/DE
11:48 SS 2.07 MRI versus 18F-FDG PET/CT in the differential diagnosis of benign
and malignant lesions of the pancreas
S. Salemi, P. Boraschi, F. Donati, A. Giorgetti, M. del Chiaro, D. Campani, U. Boggi,
F. Falaschi; Pisa/IT
11:56 SS 2.08 Diagnostic value of image fusion of MRI and FDG-positron emission tomography
in patients with suspected primary liver and pancreatic malignancies
C. Reiner, O. Donati, T. Hany, G.K. von Schulthess, B. Marincek, D. Weishaupt; Zurich/CH
12:04 SS 2.09 MRI with diffusion-weighted imaging for detecting endocrine pancreatic tumor
C. Caramella, C. Dromain, F. Bidault, M. Schlumberger, M. Ducreux, E. Baudin; Villejuif/FR
48
SCIENTIFIC SESSIONS
WEDNESDAY, JUNE 24, 2009
11:00 – 12:30
11:00 SS 3.01 Perfusion CT assessment of the large bowel: assessment of normal colonic
perfusion, blood volume and vascular leakage
E. Tam1, S. Khan1, J. Juttla1, V. Goh1, C. Bartram2, S. Halligan3;
1
Northwood, Middlesex/UK, 2Harrow/UK, 3London/UK
WEDNESDAY, JUNE 24
F. Zijta, J. Florie, S. Jensch, S. Bipat, J. Stoker; Amsterdam/NL
11:16 SS 3.03 Validation of T2-weighted MRI derived colonic inflammation score for patients with
acute colitis
R. Hafeez, S. Punwani, D. Pendse, P. Boulos, S. Bloom, S. Halligan, S.A. Taylor; London/UK
11:24 SS 3.04 Correlation of colonic mural apparent diffusion coefficient and clinical/biochemical
markers of inflammation in severe acute colitis
R. Hafeez, S. Punwani, D. Pendse, P. Boulos, S. Bloom, S. Halligan, S.A. Taylor; London/UK
11:32 SS 3.05 MR for rectal cancer at 1.5 Tesla is sufficient for T staging, 3.0 Tesla MRI does not
necessarily improve radiologist’s performance
M. Maas, D. Lambregts, J. Wildberger, M. Lahaye, S. Engelen, G. Lammering,
V. Cappendijk, G. Beets, R. Beets-Tan; Maastricht/NL
11:40 SS 3.06 Diffusion weighted MRI for prediction of nodal status in rectal cancer patients: a
lesion by lesion analysis in a referral centre
D. Lambregts, M. Maas, F. Bakers, G. Beets, A. de Bruïne, J. Wildberger, R. Beets-Tan;
Maastricht/NL
11:56 SS 3.08 Diagnostic performance of USPIO-enhanced MRI for nodal staging in primary rectal
cancer is dependent on the number of lymph nodes harvested at histology
M. Maas, D. Lambregts, M. Lahaye, G. Beets, V. Cappendijk, J. Wildberger, R. Beets-Tan;
Maastricht/NL
12:04 SS 3.09 Accuracy of Gadofosveset-enhanced MRI for predicting nodal status in primary
rectal cancer
D. Lambregts, M. Maas, F. Bakers, G. Beets, A. Kessels, M. Lahaye, S. Engelen,
A. de Bruïne, J. Wildberger, R. Beets-Tan; Maastricht/NL
49
SCIENTIFIC SESSIONS
WEDNESDAY, JUNE 24, 2009
11:00 – 12:30
11:08 SS 4.02 The clinical role of 18FDG PET/CT with iodinated contrast medium (contrast
enhanced 18FDG PET/CT): comparison with conventional 18FDG PET/CT
E. Biscaldi, M. Iacozzi, A. Piccardo, G. Villavecchia, G.A. Rollandi; Genoa/IT
WEDNESDAY, JUNE 24
11:16 SS 4.03 18F-FDG PET/CT versus contrast-enhanced 64-row MDCT of the chest and
abdomen for assessment of tumor recurrence in patients with colorectal cancer
and elevated carcinoembryonic antigen
U. Metser1, J. You2, S. McSweeney1, M. Freeman1; 1Toronto, ON/CA, 2Hamilton, ON/CA
11:32 SS 4.05 The difference of accuracy between FDG PET and FDG-PET/CT investigations
in follow-up of GIST patients
P. Fencl, Z. Linke; Prague/CZ
12:04 SS 4.09 Density changes in liver parenchyma and lesions in contrast enhanced CT
in patients with colorectal liver metastases after neoadjuvant
chemotherapy (CELIM trail)
A. Bethke, K. Kühne, G. Folprecht, P. Kamusella, M. Laniado, C. Stroszczynski;
Dresden/DE
50
SCIENTIFIC SESSIONS
WEDNESDAY, JUNE 24, 2009
11:00 – 12:30
WEDNESDAY, JUNE 24
J. Zacherl, A. Poespuek; Vienna/AT
11:24 SS 5.04 Ileo-cecal valve incompetence in patients undergoing same-day completion CTC:
a case control study
M. Sangwaiya, A. Singh, M. Cushing, C. Magee, I. Kazam, M. Zalis; Boston, MA/US
12:04 SS 5.09 MRI in perianal Crohn’s disease: STIR versus T1w post-contrast fat-sat imaging
G. Lo Re1, M. Galia1, E. Grassedonio1, S. Lo Coco1, A. Carcione1, T. Bartolotta1,
F. Coppolino2, M. Midiri1; 1Palermo/IT, 2Siracusa/IT
12:12 SS 5.10 Abdominal staging of rectal cancer with continuously moving table MRI
T. Baumann, G. Pache, A. Schäfer, M. Langer; Freiburg/DE
51
LUNCH SYMPOSIA
WEDNESDAY, JUNE 24, 2009
12:45 – 13:45
12:45 INTRODUCTION
M. Laniado, Dresden/DE
WEDNESDAY, JUNE 24
12:45 INTRODUCTION
D. Regge, Candiolo/IT
52
HONORARY LECTURE / PLENARY SESSION
WEDNESDAY, JUNE 24, 2009
14:30 – 16:00
14:30 – 15:00
HL 2 SGR HONORARY LECTURE AUDITORIUM 2
NOVEL IMAGING METHODS OF TUMOUR RESPONSE ASSESSMENT
D. Sahani, Boston, MA/US
WEDNESDAY, JUNE 24
15:00 – 16:00
PS 2 CLINICAL FILES: AUDITORIUM 2
(INTERACTIVE CASE DISCUSSION)
HCC: CONTROVERSIES IN DIAGNOSIS AND TREATMENT
Moderator: C. Bartolozzi, Pisa/IT
53
CTC HANDS-ON CENTRE
WEDNESDAY, JUNE 24, 2009
14:00 – 18:00
WEDNESDAY, JUNE 24
14:30 HOW TO READ CTC: 2D VERSUS 3D
P. Vagli, Pisa/IT
y supported by
on Centre is kindl
The CTC Hands-
55
LECTURE SESSIONS
WEDNESDAY, JUNE 24, 2009
16:30 – 18:00
16:30 LIVER
E.J. Rummeny, Munich/DE
Lecture objectives:
WEDNESDAY, JUNE 24
To review the parameters (sequence characteristics, b values, specific role of ADC maps)
and the optimal technical configuration for lesion characterisation. To illustrate the results
of DWI in focal liver lesions including cysts, hemangiomas, metastases and HCC. To show
how a background of chronic liver disease may affect overall DWI contrast. To discuss
sensitivity and specificity of the technique for lesion detection and characterisation. To
explore the potential role of DWI for post treatment evaluation.
16:50 PANCREAS
M.A. Bali, Brussels/BE
Lecture objectives:
To review the parameters (sequence characteristics, b values, specific role of ADC maps)
and the optimal technical configuration for lesion characterisation. To illustrate the results
of DWI in both cystic and solid pancreatic lesions and explain the role of the technique
in detection, characterisation and staging. To explore the potential role of DWI in acute/
chronic pancreatitis and illustrate how a background of inflammation may affect the
evaluation of focal pancreatic pathology.
17:10 RECTUM
S. Gourtsoyianni, Heraklion/GR
Lecture objectives:
To review the parameters (sequence characteristics, b values, specific role of ADC maps)
and the optimal technical configuration for lesion characterisation. To discuss the role
of DWI in initial local tumour staging and the assessment of post neoadjuvant treatment
downstaging. To describe the potential role of DWI in the detection of local recurrence.
Lecture objectives:
To review the parameters (sequence characteristics, b values, specific role of ADC
maps) and the optimal technical configuration for lesion characterisation. To review the
sensitivity and specificity of DWI when compared with other imaging techniques (PET/
CT and tissue specific contrast enhanced MRI) for the assessment of lymph node and
peritoneal pathology. To discuss the future role of DWI in the management of abdominal
malignancies.
56
LECTURE SESSIONS
WEDNESDAY, JUNE 24, 2009
16:30 – 18:00
Lecture objectives:
To summarise and review the factors which may be responsible for errors when diagnosing
WEDNESDAY, JUNE 24
abdominal injuries, including pitfalls of MDCT examination technique and imaging of the
shocked patient. To explain how an understanding of the pathophysiology of trauma
reduces diagnostic errors. To review the diagnosis of thoracic and retroperitoneal injuries
which may be associated with or mimick intraperitoneal abdominal trauma. To illustrate
potential MDCT pitfalls when imaging trauma to both solid organs and the GI tract.
Lecture objectives:
To provide an overview of the clinical symptoms and signs of phrenic rupture. To illustrate
the appearances of phrenic rupture on MDCT and discuss the diagnostic value of MPR
images. To summarise the results of MDCT. To list the potential complications of a delayed
or missed diagnosis.
Lecture objectives:
To review the clinical signs and symptoms of injuries to the gastrointestinal tract. To
illustrate the various aspects of injuries on MDCT, including vascular and mesenteric
trauma. To summarise optimal examination technique and introduce the concept of
micropneumoperitoneum.
Lecture objectives:
To discuss the optimal examination technique to diagnose post traumatic hemorrhage
and underlying vascular injury. To illustrate the imaging features and explain the clinical
relevance of arterial versus venous bleeding and active versus arrested hemorrhage on
MDCT. To review the complications of vascular trauma including pseudoaneurysm and
arteriovenous fistula formation. To summarise the concept of a “tension hematoma”.
57
PROGRAMME OVERVIEW
THURSDAY, JUNE 25, 2009
58
WORKSHOPS
THURSDAY, JUNE 25, 2009
08:00 – 08:45
WS 8 CHOLANGIOCARCINOMA: Auditorium 3A
DIAGNOSIS AND STAGING
L. Curvo-Semedo, Coimbra/PT
O. Matsui, Kanazawa/JP
THURSDAY, JUNE 25
WS 13* EBP (EVIDENCE-BASED PRACTICE II) Room 5
APPRAISING LITERATURE ABOUT DIAGNOSTIC TEST PERFORMANCE –
KEEPING IT SIMPLE; APPLYING RESULTS WHEN ‘RULING IN’ OR
‘RULING OUT’ CLINICALLY SUSPECTED CONDITIONS.
D.E. Malone, Dublin/IE
S.A. Taylor, London/UK
59
INTERVENTIONAL RADIOLOGY
THURSDAY, JUNE 25, 2009
09:00 – 10:30
Lecture objectives:
To review the indications, techniques, results and potential complications of oesophageal
stenting for both benign and malignant disease, including oesophageal fistulae. To
emphasise relevant procedural tips and tricks to optimise outcomes and to explain the
complementary role of endoscopy/surgery in patient management. To summarise recent
advances in stent technology.
Lecture objectives:
To review the indications, techniques, results and potential complications of gastroduodenal
stenting for patients with gastric outlet obstruction. To emphasise relevant procedural tips
and tricks to optimise outcomes and to explain the complementary role of endoscopy/
surgery in patient management. To summarise recent advances in stent technology.
Lecture objectives:
To review the indications, techniques, results and potential complications of colonic
stenting for both malignant and benign strictures. To emphasise relevant procedural tips
and tricks to optimise outcomes and to explain the complementary role of endoscopy/
surgery in patient management. To summarise recent advances in stent technology.
60
LECTURE SESSIONS
THURSDAY, JUNE 25, 2009
09:00 – 10:30
Lecture objectives:
To summarise the rationale for colorectal cancer screening including epidemiology, risk
factors and risk stratification of the general population. To review recently released
colorectal cancer screening guidelines. To emphasise the role of CT colonography in
screening programmes.
Lecture objectives:
To review current CTC protocols with emphasis on safety issues including radiation
exposure and perforation risk. To summarise the results from relevant multicenter trials.
To discuss the importance of study design, reader experience and reporting methods (2D,
3D, CAD) in screening CTC.
Lecture objectives:
To define small and intermediate polyp size. To review polyp pathology including the risk
of cancer and high grade dysplasia in small and intermediate sized polyps. To summarise
the current debate with regard to intermediate polyps (conservative management versus
polypectomy) and the rationale for the non reporting of diminutive polyps.
Lecture objectives:
To explain cost-effective analysis and define measurements of cost-effectiveness. To
discuss the cost-effectiveness of CT colonography and relevant impact of extra-colonic
findings. To explore the potential impact of screening CT colonography on national health
care systems.
62
LECTURE SESSIONS
THURSDAY, JUNE 25, 2009
09:00 – 10:30
Lecture objectives:
To review the epidemiology of cystic bile duct malformations and Todani`s classification.
To discuss the various complications of cystic malformations. To illustrate the advantages
and limitations of different imaging modalities including a practical imaging algorithm for
the diagnosis of cystic bile duct malformations and their related complications.
Lecture objectives:
To review the epidemiology, pathology and clinical course of both sclerosing cholangitis
and cholangiocarcinoma. To illustrate diagnostic features for both pathologies and to
discuss the role of multimodality imaging in the differential diagnosis. To summarise
algorithms for radiological follow-up.
Lecture objectives:
THURSDAY, JUNE 25
To review the aetiology of periampullary strictures. To provide an imaging algorithm for
the differential diagnosis of periampullary strictures. To discuss the advantages and
limitations of multimodality imaging techniques for stricture characterisation.
Lecture objectives:
To review the common surgical procedures which may be complicated by biliary stricture
formation and to summarise clinical presentation. To provide an imaging algorithm for the
diagnosis of suspected post-operative biliary strictures. To discuss the indications for
either surgical or interventional management. To review current interventional management
including clinical results and complications.
63
RESEARCH CORNER
THURSDAY, JUNE 25, 2009
11:00 – 12:30
11:00 DEFINITION
D.J. Lomas, Cambridge/UK
Lecture objectives:
To describe the importance of quantitative imaging biomarkers for evaluating the presence
and severity of abdominal disorders, and assessing the effect of therapy. To show the
various approaches that can be used to obtain clinically useful biomarkers. To discuss
the importance of measurement standardisation. To illustrate examples of biomarkers
obtained from different imaging sources.
11:15 DIFFUSION
C. Matos, Brussels/BE
Lecture objectives:
To illustrate the importance of diffusion weighted imaging for the prediction of lesion
aggressiveness and response to treatment. To demonstrate the importance of b values
and their magnitude when assessing the reproducibility and accuracy of diffusion. To show
the relevance of ADC maps, with fast and slow components, in lesion characterisation.
Lecture objectives:
THURSDAY, JUNE 25
To review the different ways that imaging biomarkers can be used to evaluate vessel
properties. To demonstrate the role of cross sectional imaging techniques in the evaluation
of perfusion and permeability. To describe the most important surrogate vascular endpoints
which can be used for the assessment of inflammation and tumour evaluation. To show
how pharmacokinetic analysis and modelling can be used to characterise, predict and
evaluate the response to treatment. To explain how imaging biomarkers of perfusion and
pharmacokinetics can help in preclinical trials of drug development.
11:45 SPECTROSCOPY
B. Celda Muñoz, Valencia/ES
Lecture objectives:
To demonstrate the most important approaches to the evaluation of metabolomics
in abdominal inflammatory conditions and tumours. To discuss the most relevant
metabolomics that can be assigned for in vivo abdominal MR spectroscopy examinations.
To review the standardised and absolute measurements when assessing these components.
64
SCIENTIFIC SESSIONS
THURSDAY, JUNE 25, 2009
11:00 – 12:30
11:00 SS 6.01 Value of diffusion-weighted MRI in detecting and characterising liver metastasis
C. Kenis, B. de Foer, F. van Mieghem, F. Deckers; Antwerp/BE
11:08 SS 6.02 Detection and characterization of liver lesions in patients with GI cancer with
diffusion-weighted MRI
M. Eiber, M. Bruegel, C. Ganter, J. Gaa, E. Rummeny, K. Holzapfel; Munich/DE
11:16 SS 6.03 Comparison of diffusion-weighted MRI and MDCT in the detection of liver
metastases in patients with pancreatic cancer
K. Holzapfel, C. Reiser-Erkan, A. Fingerle, E. Rummeny, J. Gaa; Munich/DE
11:24 SS 6.04 Use of primovist in the study of liver metastases of colorectal cancer
J.R. Ayuso, M. Pagés Llinás, C. Ayuso, J. Rios, J. Maurel, B. Paño, C. de Juan,
S. Rodríguez; Barcelona/ES
11:32 SS 6.05 Hepatic metastases from colorectal cancer: prospective evaluation of US, CEUS
and BOPTA-enhanced-MRI as compared with intraoperative US
V. Cantisani1, V. Maldur2, P. Ricci1, O. Medvedyeva1, U. D’Ambrosio1, G. Menichini1,
E. Marotta1, M. di Martino1, R. Passariello1; 1Rome/IT, 2Viterbo/IT
11:40 SS 6.06 To compare the diagnostic accuracy of portal-phase CT and MRI with mangafodipir
trisodium in detecting liver metastases from colorectal carcinoma following
neoadjuvant therapy
T. Gallo1, S. Cirillo1, A. Macera1, G. Iussich1, L. Scotti2, D. Campanella1, D. Regge1;
1
Candiolo/IT, 2Milan/IT
THURSDAY, JUNE 25
11:48 SS 6.07 Does preoperative chemotherapy impact on the ability of the liver to regenerate
after hepatectomy for colorectal metastases: assessment with liver volumetry
C. Reiner, S. Breitenstein, P. Samaras, M. Puhan, M. Montani, T. Frauenfelder,
K. Slankamenac, A. Rickenbacher, P. Clavien; Zurich/CH
11:56 SS 6.08 CT evaluation of the response of colorectal liver metastasis after bevacizumab
treatment: a size and density quantitative analysis correlated with patient outcome
B. Gallix, S. Aufort, M. Pierredon-Foulongne, J. Bruel; Montpellier/FR
12:04 SS 6.09 Computed assisted follow-up of hepatic metastases in CT: impact on treatment
response assessment
M. Azahaf, S. Boury, O. Ernst; Lille/FR
65
SCIENTIFIC SESSIONS
THURSDAY, JUNE 25, 2009
11:00 – 12:30
11:00 SS 7.01 Morphologic classification of intraductal papillary neoplasm of the bile ducts:
radiologic-pathologic correlation
J.H. Lim, J.Y. Lee, K. Jang, H.K. Lim; Seoul/KR
11:08 SS 7.02 Diagnosis of anomalous pancreaticobiliary ductal junction using MDCT and MRI
A. Nakamoto, T. Kim, M. Hori, M. Onishi, Y. Nakaya, T. Tsuboyama, H. Higashihara, N.
Maeda, M. Tatsumi, K. Osuga, K. Tomoda, H. Nakamura; Suita/JP
11:24 SS 7.04 Biliary anatomy of potential donor for living donor liver transplantation: the utility of
CTC in cases with indeterminate results on MRCP
S. McSweeney, T.K. Kim, H. Jang, K. Khalili; Toronto, ON/CA
11:32 SS 7.05 Ductal pancreatic abnormalities in patients with autoimmune pancreatitis at MRI
compared with chronic pancreatitis and normal patients
M. Vullierme, D. O’Toole, A. Couvelard, P. Hammel, P. Levy, P. Ruszniewski, V. Vilgrain;
Clichy/FR
11:40 SS 7.06 Stricture of end-to-end biliary anastomosis after adult orthotopic liver
transplantation: incidence, treatment and outcome
D. Botsikas, C. Becker, P. Majno, L. Rubbia-Brandt, S. Terraz; Geneva/CH
11:56 SS 7.08 Perfusion imaging with 320-slice CT in patients with acute pancreatitis
S. Kandel, C. Kloeters, H. Meyer, P. Rogalla; Berlin/DE
12:12 SS 7.10 A T2* MRI study of pancreatic overload in thalassemia major, thalassemia
intermedia and thalasso-drepanocytosis
G. Restaino1, M. Missere1, M. Ciuffreda1, E. Cucci1, A. Pepe2, G. Sallustio1;
1
Campobasso/IT, 2Pisa/IT
66
SCIENTIFIC SESSIONS
THURSDAY, JUNE 25, 2009
11:00 – 12:30
11:00 SS 8.01 Low-fiber diet in CTC bowel preparation: influence on image quality, patient
acceptance and polyp detection
M. Liedenbaum1, M. Denters1, A. de Vries1, I. Serlie2, E. Dekker1, J. Stoker1;
1
Amsterdam/NL, 2Best/NL
11:08 SS 8.02 Comparing safety and acceptability of same-day CTC and conventional
colonoscopy in a multicenter setting
G. Iussich, C. Laudi, P. Della Monica, G. Galatola, L. Bonelli, D. Regge; Candiolo/IT
11:16 SS 8.03 CTC: is the follow-up proposed in C-RADS 2 the right choice?
F. Turini, E. Neri, F. Cerri, S. Angeli, L. Cini, P. Vagli, C. Bartolozzi; Pisa/IT
11:32 SS 8.05 Value of diffusion weighted MRI for predicting tumour response to chemoradiation
therapy in patients with advanced rectal cancer
D. Lambregts1, C. Matos2, S. Gourtsoyianni3, A. Kessels1, G. Beets1, M. Maas1,
V. Cappendijk1, J. Wildberger1, R. Beets-Tan1; 1Maastricht/NL, 2Brussels/BE, 3Heraklion/GR
11:40 SS 8.06 MR tumour volumetry pre and post chemo radiotherapy in patients with rectal
cancer: can MR predict response to therapy
D. Prasad, S. Yule, L. Samuel, G. Murray, F. Gilbert; Aberdeen/UK
THURSDAY, JUNE 25
in rectal cancer: a promising and controversial alternative
M. Maas, D. Lambregts, R. van Dam, P. Nelemans, G. Lammering, R. Jansen,
V. Cappendijk, G. Beets, R. Beets-Tan; Maastricht/NL
11:56 SS 8.08 MR colonography in the detection of colorectal lesions: a systematic review and
meta-analysis of prospective studies
F. Zijta, S. Bipat, J. Stoker; Amsterdam/NL
12:04 SS 8.09 The role of 3D endoanal US in the assessment of perianal disease and dysfunction
F. Maisto, A. Reginelli, G. Lombardi, L. Casale, M. Barbieri, P. Liguori, A. Rotondo,
R. Grassi; Naples/IT
12:12 SS 8.10 Diffusion tensor imaging of the anal canal at 3-Tesla: assessment of anisotropy
measures of components of the anal canal
E. Tam, N.J. Taylor, J.J. Stirling, I. Simcock, R. Glynne-Jones, A. Padhani, V. Goh;
Northwood, Middlesex/UK
67
SCIENTIFIC SESSIONS
THURSDAY, JUNE 25, 2009
11:00 – 12:30
11:00 SS 9.01 Role of 64 slices angio-CT scan in detection of early vascular complication in
piggy-back orthotopic liver transplantation
E. Siopis, A. Pecchi, M. de Santis, R. Ballarin, F. di Benedetto, G.E. Gerunda, P. Torricelli;
Modena/IT
11:08 SS 9.02 Do trauma scores predict the requirement for intervention following liver trauma?
D. Lewis, P. Kane, O. Jaffer, P. Marriot, M. Bowles, G. Auzinger, J. Karani; London/UK
11:16 SS 9.03 Bile leaks after hepatic surgery and liver transplantation: usefulness of Mn-DPDP-
enhanced 3D T1-weighted MR cholangiography
F. Donati, P. Boraschi, R. Gigoni, S. Salemi, F. Filipponi, C. Bartolozzi, F. Falaschi; Pisa/IT
11:40 SS 9.06 TIPS with e-PTFE-covered stent in non-cirrhotic patients with cavernomatous
transformation of the portal vein
E. Boatta, F. Fanelli, F. Salvatori, M. Corona, A. Bruni, P. Rossi, R. Passariello; Rome/IT
11:56 SS 9.08 Transarterial chemoembolization in down-staging program for HCC prior to liver
transplantation: the Bologna work-in-progress experience
A. Cappelli, E. Giampalma, M. Renzulli, C. Mosconi, R. Golfieri; Bologna/IT
12:04 SS 9.09 A randomised phase II trial of a drug eluting bead in the treatment of HCC
by transcatheter arterial chemoembolization
R. Lencioni1, L. Crocetti1, K. Malagari2, T. Vogl3, F. Pilleul4, A. Denys5, A. Watkinson6,
J. Lammer7; 1Pisa/IT, 2Athens/GR, 3Frankfurt am Main/DE, 4Lyon/FR, 5Lausanne/CH,
6
Devon/UK, 7Vienna/AT
12:12 SS 9.10 Assessment of viable tumor tissue attached to needle applicators after local liver
ablation of liver tumors: viable tumour tissue after local ablation
M. Jansen1, N. Snoeren2, A. Rijken3, R. van Hillegersberg2, E. van der Linden4, F. ten Kate1,
T. van Gulik1; 1Amsterdam/NL, 2Utrecht/NL, 3Breda/NL, 4Rotterdam/NL
68
SCIENTIFIC SESSIONS
THURSDAY, JUNE 25, 2009
11:00 – 12:30
11:08 SS 10.02 Accuracy of abdominal CT in the diagnosis of bowel ischemia in patients suspected
with acute abdomen in general
A. van Randen, W. Laméris, P. Bossuyt, M. Boermeester, J. Stoker; Amsterdam/NL
11:16 SS 10.03 MSCT for detection of intestinal bleeding; single or double contrast phases are
needed: an experimental setting
M. Dobritz, H. Engels, A. Schneider, E. Rummeny; Munich/DE
11:24 SS 10.04 Is MDCT able to demonstrate the type of adhesions in case of small bowel
occlusion: band or adherences?
C. Ridereau-Zins, P. Manchec, J. Lebigot, E. Lermite, C. Aube; Angers/FR
THURSDAY, JUNE 25
11:56 SS 10.08 MR enteroclysis: the value in localizing and characterizing primary carcinoid
tumors of the small bowel
C. Schmid-Tannwald, C. Zech, M. Reiser, K. Herrmann; Munich/DE
12:04 SS 10.09 Feasibility of small bowel flow measurement with MRI: a volunteer study
A. Gutzeit1, J. Froehlich1, C. von Weymarn1, C. Binkert1, M. Patak2;
1
Winterthur/CH, 2Bern/CH
12:12 SS 10.10 “Motasso”, a new software to analyze small bowel motility: work in progress
M. Patak1, Z. Szucs-Farkas1, R. Cattin2, S. Raible2, H. Bouquet1, P. Vock1, J. Froehlich3;
1
Bern/CH, 2Biel/CH, 3Winterthur/CH
69
LUNCH SYMPOSIA
THURSDAY, JUNE 25, 2009
12:45 – 13:45
THURSDAY, JUNE 25
FROM EARLY DETECTION TO EFFECTIVE STAGING
Sponsored by: BRACCO
71
CTC HANDS-ON CENTRE
THURSDAY, JUNE 25, 2009
14:00 – 18:00
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72
HONORARY LECTURE / PLENARY SESSION
THURSDAY, JUNE 25, 2009
14:30 – 16:00
14:30 – 15:00
HL 3 JSAR HONORARY LECTURE AUDITORIUM 2
IMAGING OF THE PERITONEUM: IMAGINE THE INVISIBLE!
M. Minami, Tsukuba/JP
15:00 – 16:00
PS 3 CLINICAL FILES: AUDITORIUM 2
(INTERACTIVE CASE DISCUSSION)
BOWEL WALL THICKENING: A DIAGNOSTIC CHALLENGE
Moderator: J.-M. Bruel, Montpellier/FR
THURSDAY, JUNE 25
73
LECTURE SESSIONS
THURSDAY, JUNE 25, 2009
16:30 – 18:00
Lecture objectives:
To review the relevant anatomy of the mesentery and peritoneal spaces which can be
illustrated by multimodality imaging techniques. To understand the normal circulation
pathways of peritoneal fluid and to illustrate their relevance to spread of intraperitoneal
pathology.
Lecture objectives:
To review the differential diagnosis, clinical presentation and pathology of primary
peritoneal tumours. To illustrate the varied multimodality radiological appearances (US,
CT, MRI and PET/CT) of pathologies, including peritoneal mesothelioma, pseudomyxoma
peritonei, mesenteric lymphoma, and rare sarcomas. To discuss possible treatment
options and to summarise the role of radiology in the follow-up of treated patients.
Lecture objectives:
THURSDAY, JUNE 25
Lecture objectives:
To discuss the underlying pathologies of peritonitis and mesenteritis. To illustrate the
imaging features associated with peritonitis and mesenteritis and to define the diagnostic
appearances and significance of the term “misty mesentery”.
74
LECTURE SESSIONS
THURSDAY, JUNE 25, 2009
16:30 – 18:00
Lecture objectives:
To review the role of multimodality imaging (US,CEUS,CT,MRI and PET/CT) for the
detection and characterisation of HCC, with emphasis on the diagnosis of early HCC
and differentiation of the cirrhotic nodule. To correlate imaging features including tumour
signal intensity and enhancement characteristics with underlying pathology.
Lecture objectives:
To summarise the international recommendations for the management of HCC. To discuss
optimal patient selection and role of US in a surveillance programme. To review the results
of diagnostic imaging for tumour staging with reference to alternative treatment options.
Lecture objectives:
To review the current techniques for the percutaneous ablation therapy of HCC including
THURSDAY, JUNE 25
long term results. To discuss new technical developments. To summarise recent advances
in transcatheter chemoembolisation techniques of HCC and review the clinical results.
Lecture objectives:
To explain optimal imaging algorithms for the follow up of patients treated by surgery,
percutaneous ablation, chemoembolisation or systemic chemotherapy. To illustrate the
imaging appearances of post treatment tumour response and discuss the effect on
management protocols.
18:00 – 18:45
ESGAR GENERAL ASSEMBLY AUDITORIUM 3A
75
PROGRAMME OVERVIEW
FRIDAY, JUNE 26, 2009
76
WORKSHOPS
FRIDAY, JUNE 26, 2009
08:00 – 08:45
77
CTC HANDS-ON CENTRE
FRIDAY, JUNE 26, 2009
08:00 – 11:00 (PART 1)
12:30 – 13:30 (PART 2)
08:00 INTRODUCTION
J. Stoker, Amsterdam/NL
11:00 BREAK
INTERESTED
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11th ESGAR C
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September 17 phy Hands-o
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12th ESGAR C
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13th ESGAR C
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September 23 phy Hands-o
– 24 and nW orkshop
24 – 25, 2010
, Lisbon (Casca
is), Portugal
FRIDAY, JUNE 26
78
INTERVENTIONAL RADIOLOGY
FRIDAY, JUNE 26, 2009
09:00 – 10:30
Lecture objectives:
To summarise the indications and optimal timing of percutaneous biliary intervention in
patients with a benign bile duct stricture. To illustrate how technical options vary according
to underlying stricture aetiology and to explain the complementary role of endoscopy/
surgery in patient management. To provide an overview of procedure technique including
useful tips and tricks. To discuss published results and potential procedural complications.
Lecture objectives:
To summarise the indications and optimal timing of percutaneous biliary intervention
in patients with a malignant bile duct stricture. To illustrate how technical options vary
according to stricture aetiology and position (high versus low biliary strictures) and to
explain the complementary role of endoscopy/surgery in patient management. To provide
an overview of procedure technique including useful tips and tricks. To discuss published
results and potential procedural complications.
Lecture objectives:
To summarise the indications and optimal timing of percutaneous biliary intervention in
patients with underlying biliary calculous disease and related complications. To explain
the various technical options and to summarise the complementary role of endoscopy/
surgery in patient management.
79
LECTURE SESSIONS
FRIDAY, JUNE 26, 2009
09:00 – 10:30
Lecture objectives:
To explain the various forms of chronic pancreatitis which may present as a focal mass
including focal chronic pancreatitis, solid dystrophy of the duodenal wall and autoimmune
pancreatitis. To review the pathological appearances and highlight the relevant clinical
and morphological criteria which can help in the differential diagnosis. To discuss the role
of multimodality imaging techniques (US/CEUS, EUS, CT, MRI, PET/CT) for the diagnosis
of tumour versus inflammation.
Lecture objectives:
To describe the imaging characteristics of IPMT and chronic pancreatitis. To highlight
the relevant morphological appearances which can help in the differential diagnosis. To
discuss the role of multimodality imaging techniques (US/CEUS, EUS, CT, MRI, PET/CT)
for the diagnosis of chronic pancreatitis versus IPMT.
Lecture objectives:
To describe the pathological appearances which make the differential diagnosis of serous
versus mucinous cystic tumours challenging. To highlight the relevant morphological
appearances which can help in the differential diagnosis. To discuss the role of
multimodality imaging techniques (US/CEUS, EUS, CT, MRI, PET/CT) for the diagnosis
of serous versus mucinous tumours and how imaging may influence the indication for
surgery.
Lecture objectives:
To review the various aetiologies of small pancreatic cysts and discuss the role of imaging
in the differential diagnosis and exclusion of malignancy. To discuss the place of imaging
algorithms in optimal patient management and follow up.
FRIDAY, JUNE 26
80
LECTURE SESSIONS
FRIDAY, JUNE 26, 2009
09:00 – 10:30
Lecture objectives:
To review current protocols for rectal cancer staging and how they impact on therapeutic
strategy. To critically analyse the scientific evidence for neoadjuvant therapy based on the
results of staging. To discuss how the staging of rectal cancer with multimodality imaging
influences patient management.
Lecture objectives:
To define early rectal cancer and to summarise the various imaging modalities used to
stratify staging. To illustrate the advantages and limitations of imaging modalities, in
particular endorectal US to assess tumour infiltration of the rectal wall. To discuss the
clinical results of local therapeutic procedures and impact on patient outcome.
Lecture objectives:
To define advanced rectal cancer and to summarise the various imaging modalities used
to stratify staging. To review patient selection, high resolution technique and relevant
anatomical considerations of rectal staging with MRI. To discuss the advantages,
limitations and results of imaging for the accurate staging of advanced rectal cancer. To
explain the role and clinical relevance of functional imaging techniques.
Lecture objectives:
To discuss imaging algorithms for patient follow up and critically appraise published
international guidelines.To review the multimodality imaging appearances associated with
tumour recurrence including the place of functional imaging techniques. To explain the
role of imaging-guided biopsy in patient management.
81
SCIENTIFIC SESSIONS
FRIDAY, JUNE 26, 2009
11:00 – 12:30
SS 11 CT COLONOGRAPHY AUDITORIUM 1
Moderators: P. Pickhardt, Madison, WI/US; D. Regge, Candiolo/IT
11:00 SS 11.01 Detection rates of diminutive polyps in CTC: implications for colorectal cancer
screening
T. Mang1, F. Kolligs2, C. Becker2, A. Graser2; 1Vienna/AT, 2Munich/DE
11:08 SS 11.02 Effect of training on different experienced readers with and without the assistance
of CAR software when a primary 3D flythrough approach is used
M. Rengo, R. Ferrari, P. Paolantonio, F. Vecchietti, P. Lucchesi, M. Maceroni, A. Laghi;
Latina/IT
11:24 SS 11.04 Comparing the performance of a CTC CAD system to that of an experienced reader
in a prospective multicenter setting
P. Della Monica1, L. Morra2, G. Iussich1, I. Dmitriev2, S. Agliozzo1, D. Regge1;
1
Candiolo/IT, 2Torino/IT
11:32 SS 11.05 Why do radiologists ignore polyps correctly annotated by computer assisted
detection software during CT colonography?
S.A. Taylor, C. Robinson, D. Boone, L. Honeyfield, S. Halligan; London/UK
11:40 SS 11.06 Flat lesions and masses: characterization of CTC CAD performances on difficult
targets present in a multicenter trial data-set
G. Iussich1, P. Della Monica1, S. Delsanto2, R. Baggio2, A. Bert2, D. Regge1;
1
Candiolo/IT, 2Torino/IT
11:48 SS 11.07 CTC: evaluation and detection of colonic flat lesions using 64-MDCT colonography
and a CAD system
F. Iafrate1, A. Pichi1, A. Stagnitti1, M. Ciolina1, P. Baldassarri1, A. Laghi2;
1
Rome/IT, 2Latina/IT
11:56 SS 11.08 Towards an optimized dose and image quality balance for CTC
D.J. Bielen, H. Bosmans; Leuven/BE
12:04 SS 11.09 Radiation dose in screening patients: CTC vs double-contrast barium enema
F. Turini, E. Neri, F. Perrone, P. Vagli, F. Cerri, L. Cini, S. Angeli, C. Bartolozzi; Pisa/IT
12:12 SS 11.10 CTC with a limited bowel preparation: prospective assessment of patient
experience and preference in comparison to full-preparation colonoscopy
S. Jensch, S. Bipat, J. Peringa, A. de Vries, A. Heutinck, A. Montauban van Swijndregt,
J. Stoker; Amsterdam/NL
FRIDAY, JUNE 26
82
SCIENTIFIC SESSIONS
FRIDAY, JUNE 26, 2009
11:00 – 12:30
11:00 SS 12.01 Solid hypervascular liver lesions: value of delayed hepatobiliary phase MRI after
gadobenate dimeglumine for accurate identification of true benign lesions
G. Morana1, L. Grazioli2, G. Schneider3, M.P. Bondioni2 R. Pozzi Mucelli4, M. Kirchin1;
1
Treviso/IT, 2Brescia/IT, 3Homburg/DE, 4Milan/IT
11:08 SS 12.02 Comparison of Gd-EOB-DTPA MRI and diffusion weighted imaging in the detection
and characterization of focal liver lesions
M. Krokidis, S. Gourtsoyianni, S. Yarmenitis, N. Papanikolaou, N. Gourtsoyiannis;
Heraklion/GR
11:16 SS 12.03 MRI of focal liver lesions: Diffusion-weighted imaging versus gadoxetate-enhanced
MRI (preliminary results)
N. Bastati-Huber, W. Matzek, S. Baroud, C. Koelblinger, C.J. Herold, W. Schima,
A. Ba-Ssalamah; Vienna/AT
11:24 SS 12.04 MRI of post-contrastographic dynamic enhancement of focal liver lesions after
gadoxetic acid administration: comparison with tri-phasic MDCT
M.C. Della Pina, V. Battaglia, E. Bozzi, C. Bartolozzi; Pisa/IT
11:32 SS 12.05 Accurate differentiation between small or atypical hemangiomas and cystic or
hypervascular metastases using ferucarbutran-enhanced MRI
S. Baroud, S. Machat, N. Bastati-Huber, C. Kulinna-Cosentini, C. Herold, W. Schima,
A. Ba-Ssalamah; Vienna/AT
11:40 SS 12.06 Imaging findings of hepatic focal nodular hyperplasia in Gd-EOB-DTPA vs Gd-
BOPTA-enhanced MR: preliminary results
T. Bartolotta, A. Taibbi, G. Brancatelli, M. Galia, G. Lo Re, M. Midiri; Palermo/IT
11:48 SS 12.07 Interval growth of focal nodular hyperplasia in the liver on MRI
J. Halankar, T.K. Kim, K. Khalili, M. Haider, H. Jang; Toronto, ON/CA
12:04 SS 12.09 High prevalence of hyperenhancing FNH-like hepatic lesions in patients with
hereditary hemorrhagic telangiectasia: a single centre experience
A. Scardapane, A. Stabile Ianora, M. Memeo, M. Moschetta, G. Angelelli; Bari/IT
83
SCIENTIFIC SESSIONS
FRIDAY, JUNE 26, 2009
11:00 – 12:30
11:00 SS 13.01 Liver fat quantification at MRI in pediatric population: comparison of out-of-phase
gradient-echo and fat-saturated fast spin-echo sequences
M. di Martino, D. Marin, V. Panebianco, D. Lisi, C. Catalano, R. Passariello; Rome/IT
11:08 SS 13.02 Hepatic steatosis, quantification with semi-quantitative US indices: a pilot study
M. Morone, P. Cabassa, R. Monesi, A. Rossini, G..B. Contessi, R. Maroldi; Brescia/IT
11:16 SS 13.03 Does apparent diagnostic coefficient measured with diffusion-weighted MRI
predict hepatic steatosis
G. Patriarca, A. Filippone, R. Cianci, A. Tartaro, M. Storto; Chieti/IT
11:24 SS 13.04 Quantification of liver steatosis before major hepatic surgery with 3.0 Tesla MR:
H1-spectroscopy versus chemical shift imaging
C. Koelblinger, T. Mang, K. Kaczirek, T. Gruenberger, A. Ba-Ssalamah, W. Schima; Vienna/AT
11:32 SS 13.05 Grading of acute hepatic inflammation and liver cirrhosis: does gadolinium-
enhanced MRI correlate with histopathology?
T. Lauenstein1, P. Sharma2, K. Salman2, R. Morreira2, D. Martin2; 1Essen/DE, 2Atlanta, GA/US
11:40 SS 13.06 Virtual touch tissue quantification: measurement repeatability and normal values
in the healthy liver
M. D’Onofrio, A. Gallotti, E. Martone, R. Pozzi Mucelli; Verona/IT
11:56 SS 13.09 Evaluation of early changes in density and size in liver and other metastases from
renal cell carcinoma treated with sorafenib
J. Cazejust1, B. Bessoud1, L. Rocher2, Y. Menu1; 1Paris/FR, 2Kremlin-Bicêtre/FR
12:04 SS 13.10 Quantification of tumor microvascularity with respiratory gated contrast enhanced
US for monitoring therapy
M. Averkiou1, M. Lampaskis1, K. Kyriakopoulou2, G. Klouvas2, D. Skarlos2, E. Leen3;
1
Nicosia/CY, 2Athens/GR, 3London/UK
FRIDAY, JUNE 26
84
SCIENTIFIC SESSIONS
FRIDAY, JUNE 26, 2009
11:00 – 12:30
11:00 SS 14.01 Dual energy, 64-slice MDCT: comparison of 80- and 140-kVp for detection of
hypervascular liver tumors during the late hepatic arterial phase
S. Schindera1, R. Nelson2, E. Paulson2, L. Ho2, D. Boll2, D. Marin2; 1Bern/CH, 2Durham/US
11:08 SS 14.02 Moderate versus high concentration contrast material for the detection of HCC
at 64-section MDCT: intraindividual comparison of the effect of a fixed injection
duration or fixed injection flow protocol
A. Guerrisi, D. Marin, M. di Martino, G. de Filippis, D. Geiger, M. Baski, C. Catalano,
R. Passariello; Rome/IT
11:16 SS 14.03 Dual energy CT of the liver: virtual non-contrast versus real non-contrast images
C.N. de Cecco, V. Buffa, S. Fedeli, A. Vallone, R. Ruopoli, V. David; Rome/IT
11:24 SS 14.04 MRI of the liver: comparison of different techniques (SE vs. BLADE) of T2-weighted
fat suppressed sequences
S. Bayramoglu1, O. Kilickesmez1, T. Cimilli1, A. Kayhan1, G. Yirik1, S. Alibek2;
1
Istanbul/TR, 2Erlangen/DE
11:40 SS 14.06 Spleen stiffness in healthy volunteers: preliminary experience with MR elastography
l. Mannelli, I. Joubert, M. Graves, A. Patterson, R. Black, D. Lomas; Cambridge/UK
11:56 SS 14.08 Reproducibility of values obtained with US “virtual touch” imaging: initial
experience
E. Gatti, P. Cabassa, S. Gandolfi, G..B. Contessi, A. Rossini, R. Maroldi; Brescia/IT
12:04 SS 14.09 Objective measurement of puborectalis atrophy using MR spectroscopy and its
correlation with muscular fatigue using perineal dynamometry in women with
faecal incontinence
D. Chatoor1, A. Emmanuel1, E. de Vita1, E. Cady1, S. Halligan1, R. Cohen1, C. Bartram2,
S.A. Taylor1; 1London/UK, 2Harrow/UK
12:12 SS 14.10 Abdominal MRI in familial partial lipodystrophy: quantitative analysis of adipose
tissue distribution guides medical therapy
P. Mc Laughlin, J. Ryan, K. O’Regan, D. O’Halloran, M. Maher; Cork/IE
FRIDAY, JUNE 26
85
SCIENTIFIC SESSIONS
FRIDAY, JUNE 26, 2009
11:00 – 12:30
11:16 SS 15.03 Utility of contrast enhanced US to rapidly and non invasively monitor therapeutic
response to immuno-modulatory medication in small bowel Crohn’s disease
C. Robinson, S. Punwani, S.A. Taylor; London/UK
11:24 SS 15.04 Abdominal CT in Crohn’s disease: serum C-reactive protein concentration does not
predict the extent of non-penetrating disease activity
K. O’Regan, A. Desmond, N. Malik, S. McWilliams, F. Shanahan, M. Maher; Cork/IE
12:04 SS 15.09 Comparison between paediatric and adult Crohn’s disease patients evaluated with
MRI with regard to lesions site, length, complications in the small and large bowels
F. Maccioni, F. Carrozzo, V. Garbarino, A. Kagarmanova, M. Marini, S. Cucchiara; Rome/IT
12:12 SS 15.10 Small bowel imaging comparing MR enteroclysis, capsule endoscopy and double-
balloon enteroscopy in patients with (suspected) Crohn’s disease: the COMRADE
study
B. Wiarda1, P. Mensink2, D. Heine1, M. Stolk3, J. van der Woude2, E. Kuipers2, J. Stoker4;
1
Alkmaar/NL, 2Rotterdam/NL, 3Nieuwegein/NL, 4Amsterdam/NL
FRIDAY, JUNE 26
86
EPOS TM
CASES-OF-THE
- DAY
HAVE YOU SOLV
ED TODAY’S
UNKNOWN CAS
ES YET?
Cases-of-the-da
y can be access
EPOSTM Area on ed in the
Level 1! We invite
participate in the you to
competition.
PLENARY SESSIONS
FRIDAY, JUNE 26, 2009
13:30 – 14:30
Lecture objectives:
To review the epidemiology, aetiology and pathology of the different types of colitides.
To describe the endoscopic characteristics of each type vis-à-vis pathologic correlation.
To discuss the advantages and limitations of endoscopic techniques in their differential
diagnosis.
Lecture objectives:
To describe the imaging techniques and protocols available to investigate the colitides. To
describe the imaging characteristics of each of these conditions vis-à-vis endoscopic and
pathologic correlation. To discuss, based on pathology, the strengths and weaknesses of
imaging techniques for the initial diagnosis and differential diagnosis of colitides.
14:10 GIST’S
P.R. Ros, Boston, MA/US
Lecture objectives:
To review the epidemiology, aetiology, classification and pathology of GIST’s . To describe
their imaging characteristics vis-à-vis pathologic/ histologic correlation. To discuss the
advantages and limitations of current imaging techniques for the initial diagnosis and
differential diagnosis of GIST’s.
FRIDAY, JUNE 26
88
PLENARY SESSIONS
FRIDAY, JUNE 26, 2009
14:45 – 16:00
14:45 – 15:45
PS 5 FOUNDATION COURSE: AUDITORIUM 2
RADIOLOGIC-PATHOLOGIC CORRELATIONS II
– SOLID ORGANS
Moderator: P.R. Ros, Boston, MA/US
Lecture objectives:
To review the epidemiology, aetiology and pathology of non epithelial liver tumours.
To describe their imaging features vis-à-vis pathologic correlation. To emphasise
characteristic imaging findings and discuss the potential of imaging techniques for the
initial diagnosis and differential diagnosis of these neoplasms.
Lecture objectives:
To review the epidemiology, aetiology and pathology of fibro-cystic liver disease. To
describe the characteristic radiological features vis-à-vis pathologic correlation. To discuss
the advantages and limitations of current imaging techniques for the initial diagnosis and
differential diagnosis of this pathology.
Lecture objectives:
To review the epidemiology, aetiology and pathology of focal splenic lesions. To describe
the characteristic radiological features vis-à-vis pathologic correlation. To discuss, on the
basis of pathology, the advantages and limitations, of current imaging techniques for the
initial diagnosis and differential diagnosis of the various focal splenic pathologies.
15:45 – 16:00
PS 6 CLOSING REMARKS AUDITORIUM 2
EPOSTM PRESENTATION AWARDS
FRIDAY, JUNE 26
89
E P O S ™ P R E S E N TATI ON S
EPOS™
Electronic Presentation Online System
EPOS™ PRESENTATIONS
All scientific exhibits are displayed in EPOS™ format. 32 computer terminals are available for
viewing the presentations. The EPOS™ area is located on Level 1.
DIAGNOSTIC
DIAGNOSTIC / ABDOMINAL VASCULAR IMAGING
CM P-001 Imaging findings of IgG4-related multifocal systemic fibrosclerosis affecting the abdomen
P. Vlachou, K. Khalili, H. Yu, H. Jang, T.K. Kim; Toronto, ON/CA
P-002 The value of high flow rate in the study of pancreatic vessels by using multi-detector-row CT
L. Saba, R. Sanfilippo, R. Montisci, G. Mallarini; Cagliari/IT
P-003 Transient elastometry and hepatic vein transit time of an US contrast agent in fibrosing
liver disease: a comparative study
D. Marion, F. Bailly, M. Cuinet, J.Y. Scoazec, F. Zoulim; Lyon/FR
P-004 Correlative analysis between superior mesenteric artery stenosis and renal artery stenosis
by using MDCT angiography
L. Saba, R. Sanfilippo, R. Montisci, G. Caddeo, G. Mallarini; Cagliari/IT
P-007 Sorafenib therapy for advanced HCC: impact of early response on contrast-enhanced US
examination and dynamic CT-scan imaging to predict survival rates
D. Marion1, E. Maillard1, M. Cuinet1, R. Aziza2, J.M. Peron2, P. Merle1; 1Lyon/FR, 2Toulouse/FR
P-008 Anatomical variants of the mesenteric vasculature: radiological detection and surgical
relevance to pancreaticobiliary surgery
C. Grierson, J. Chandra, Z. Soonawalla, H. Bungay; Oxford/UK
P-009 Imaging Landmarks for segmental lesion localization of the liver by using MDCT
L. Saba, G. Mallarini; Cagliari/IT
P-010 Evaluation of superior and inferior mesenteric arteries and their small branches
with 64-row CT angiography
C.N. de Cecco1, M. Rengo2, R. Ferrari2, P. Paolantonio2, P. Lucchesi2, A. Laghi2; 1Rome/IT, 2Latina/IT
P-013 MDCT map of inferior epigastric vessels for percutaneous transabdominal intervention
procedures
H. Genchellac1, M. Dursun2, O. Temizoz1, E. Unlu1, H. Ozdemir1, M.K. Demir1; 1Edirne/TR, 2Istanbul/TR
91
EPOS™ PRESENTATIONS
P-014 Diagnostic imaging and interventional radiology of the hepatic artery stenosis in patients
with liver transplantation: our study and long term results
P. Rinaldi, R. Inchingolo, C. di Stasi, A.M. de Gaetano, G. Maresca, L. Bonomo; Rome/IT
P-016 Contrast enhanced US in the evaluation of abdominal trauma: comparison with MDCT
A. Sparano, C. Acampora, M. Scaglione, R. Farina, L. Romano; Naples/IT
P-020 Role of MR cholangiography in the detection of biliary strictures after liver transplantation
A. Pecchi, M.C. Gibertini, M. de Santis, F. di Benedetto, G.E. Gerunda, P. Torricelli; Modena/IT
P-021 Imaging and diagnosis of spontaneous biliary enteric fistulas: a review of 21 cases
I. Kalogeropoulos, K. Stefanidis, S. Gavriel, V. Ouranos, I. Scouras, C. Danika, P. Piperopoulos;
Athens/GR
P-024 MDCT features with histopathologic correlation of gallbladder cancers: a pictorial essay
J. Cho, K. Shin, S. Kim, B. Lee, H. Lee, I. Song, D. Kang; Daejeon/KR
P-025 MRI findings of the biliary system after liver transplantation: a pictorial review
RECOMMENDED
POSTER X. Merino-Casabiel, R. Dominguez-Oronoz, V. Pineda-Sanchez, S. Gispert-Herrero, L. Castells,
C. Vert-Soler, E. Inarejos-Clemente; Barcelona/ES
P-030 Surgical roadmap for laparoscopic cholecystectomy using MDCT and limited MRCP:
RECOMMENDED
POSTER a stepwise approach to reporting
R. Rajan1, S. Rajan2, B. Aggarwal1; 1New Delhi/IN, 2Delhi/IN
92
EPOS™ PRESENTATIONS
CM P-033 Named signs of bowel related pathology on abdominal CT: an aide memoire
K. Jackson, A. James, S. Sukumar; Manchester/UK
P-034 Research on the relationship between intra-abdominal fat distribution and rectosigmoid
colon cancer in Japanese patients using MDCT data
T. Ogura1, T. Tachikawa2, Y. Nishimura2, T. Ikari2, Y. Shimomura3, S. Suda3, A. Kono2; 1Maebashi/JP,
2
Tokyo/JP, 3Takasaki/JP
P-035 Can the size of the appendicolith be used to predict the evidence of perforation
in pediatric appendicitis?
J.Y. Woo, I. Yang, S.Y. Chung, J.W. Kim; Seoul/KR
P-041 Inflammatory bowel disease and colitis: the role of plain abdominal film
and CT in the diagnosis and detection of complications
S. Biswas, L. Grant, N. Griffin; London/UK
P-043 Not every pain in the right lower quadrant is acute appendicitis
RECOMMENDED
POSTER A. Tilve, C. Rodriguez, P. Rodriguez, A. Casal Rodríguez, C. Zueco, C. Sobrido; Vigo/ES
93
EPOS™ PRESENTATIONS
P-047 The sonographic evaluation of small bowel, colon and appendix in cystic fibrosis patients
M. Uliasz, H. Bragoszewska, B. Iwanowska, A. Romaniuk-Doroszewska, B. Kowalska,
M. Jastrzebska, S. Szkudlinska-Pawlak, J. Madzik; Warsaw/PL
P-049 Influence of CAR software on different experienced readers: primary 3D flythrough approach
versus 3D + CAR approach
R. Ferrari, P. Paolantonio, M. Rengo, F. Vecchietti, P. Lucchesi, M. Maceroni, A. Laghi; Latina/IT
P-052 Ileocecal valve at CTC: normal findings, anatomic variants and pathology
R. Ferrari, P. Paolantonio, M. Rengo, F. Vecchietti, P. Lucchesi, D. Bellini, A. Laghi; Latina/IT
P-054 Colonic cancer detection using 64-MDCT colonography and a CAD system:
results on non expert reader
A. Stagnitti1, F. Iafrate1, A. Marini1, A. Pichi1, M. Marini1, A. Laghi2, M. Ciolina1, P. Baldassarri1;
1
Rome/IT, 2Latina/IT
P-058 Optimising bowel cleansing and faecal tagging in CT colonography without cathartic agent
R. Kenningham, K. Damodharan, M. Elabassy; Leicester/UK
P-060 Evaluation of a new software for the follow-up of liver metastasis in oncologic patients
R. Ferrari, P. Paolantonio, M. Rengo, F. Vecchietti, P. Lucchesi, M. Maceroni, A. Laghi; Latina/IT
94
EPOS™ PRESENTATIONS
P-064 Dynamic MRI of the pelvic floor: comparison between straining phase and defecatory phase
A. Reginelli, F. Maisto, L. Casale, M. Barbieri, G. Lombardi, P. Liguori, A. Rotondo, R. Grassi;
Naples/IT
P-076 Dosimetric analysis in the diagnosis of foreign body in the pharingo-esophageal district:
low-dose CT versus conventional radiology
G. Addonisio, S. Doratiotto, A. Dorigo, S. Bertolo, N. Roma, G. Morana; Treviso/IT
95
EPOS™ PRESENTATIONS
P-079 Crohn’s disease complications: what to look for and the best way of finding it
R. Santos, T. Bilhim, M. Pereira, C. Lam, J. Ramos, E. Alves; Lisbon/PT
P-089 Local staging of colorectal cancer: what the radiologist needs to know
R. Santos, T. Bilhim, L. Vieira, E. Alves; Lisbon/PT
P-090 Small and large bowel edema: imaging patterns and differential diagnosis
C. Triantopoulou, P. Maniatis, N. Mathou, K. Paraskeva, E. Kolliakou, I. Siafas, J. Karagiannis,
J. Papailiou; Athens/GR
96
EPOS™ PRESENTATIONS
MCL P-104 GI disease: can plain chest films provide any clues
C. Ruivo, P. Marques, A. Canelas, L. Semedo, J. Ilharco, F. Caseiro-Alves; Coimbra/PT
P-106 Digestive tract wall thickening as an incidental finding on MRI and CT scans: when to report
F. Gómez, J. Rambla, R. García Marcos; Valencia/ES
P-108 Bowel obstruction: spectrum according to obstruction level, cause, severity, and other
ancillary findings on MDCT
K.N. Jee, M.H. Park; Dongnam-gu, Cheonan/KR
97
EPOS™ PRESENTATIONS
P-114 GISTs, the most common group of mesenchymal tumors in the gastrointestinal tract:
diagnosis and imaging findings
J. Campos1, D. Rocha2, A. Preto2, P. Sousa2, R. Ramos2, A. Madureira2; 1V. Castelo/PT, 2Porto/PT
P-119 Added value of diffusion-weighted imaging for predicting tumor response to neoadjuvant
chemoradiotherapy for locally advanced rectal cancer
S.H. Kim, J.M. Lee, S.H. Hong, G.H. Kim, J.Y. Lee, J.K. Han, B.I. Choi; Seoul/KR
P-120 MRI in diagnosis and follow-up of perianal fistulazing Crohn’s disease: a pictorial essay
E. Szurowska, J. Pienkowska, J. Wypych, E. Izycka-Swieszewska, A. Szarmach, M. Studniarek;
Gdansk/PL
P-124 Pelvic MRI after surgery for anorectal disease: a pictorial review
D.H. Lee, H.J. Kim, J.W. Lim, Y.T. Ko; Seoul/KR
P-125 Does high resolution rectal MRI at 3T provide useful preoperative information about robotic
total mesorectal excision candidates?
M.J. Kim, B.J. Park, D.J. Sung, K.B. Chung, Y.W. Oh; Seoul/KR
P-126 A new semi-automatic tool for volumetric evaluation of response to treatment in rectal
cancer
A. Maroto i Genover, M. Osorio i Fernández, I. Boada i Oliveras, A. Bardera i Reig,
J. Daunis i Estadella, G. Blasco i Solà; Girona/ES
98
EPOS™ PRESENTATIONS
P-131 Cystic dystrophy of the duodenal wall: imaging features and differential diagnosis
J. Brito1, L. Curvo-Semedo2, M. Lima1, J. Costa2, B. Gonçalves2, B. Graça2, M. Seco2,
F. Caseiro-Alves2; 1Angra do Heroismo/PT, 2Coimbra/PT
P-134 The different types of internal hernia after laparoscopic Roux-En-Y gastric by-bass
for morbid obesity: MDCT features
A. Kawkabani Marchini1, A. Paroz1, S. Romy1, M. Suter2, A. Denys1, P. Schnyder1, S. Schmidt1;
1
Lausanne/CH, 2Aigle/CH
P-135 The duodenum: an often neglected segment despite its important anatomic location
and related various disease entities
Y. Kim1, W.K. Jeong1, S.Y. Song2, O.K. Cho2, B.H. Koh2; 1Kuri/KR, 2Seoul/KR
P-136 The role of unenhanced CT in the evaluation of the small bowel obstruction
P. Dvorak1, J. Novotny2, P. Hoffmann1, Z. Sedlacek1; 1Hradec Kralove/CZ, 2Dumfries/UK
99
EPOS™ PRESENTATIONS
P-147 A rare cause of portal venous gas: case report of acute massive gastric dilatation
F. La Seta, F. Terrazzino, L. Tesè, S. Pirri, I. Modesto, A. La Barbera, F. Valenza, A. Buccellato;
Palermo/IT
CM P-148 Pictorial review of MDCT findings of less common gastric pathologies: correlation with
gastroscopy and pathologic findings
M. Kim, J. Kwon, Y. Kang, S. Ryu, K. Park, K. Cho; Daegu/KR
P-157 Regenerative nodular disease of the liver: a pictorial review on cross-sectional imaging
M. Seco, A. Canelas, J. Costa, B. Graça, L. Curvo-Semedo, F. Caseiro-Alves; Coimbra/PT
100
EPOS™ PRESENTATIONS
P-164 MDCT (64 slices) of the liver: optimization of scan delay for arterial phase imaging using
bolus tracking technique
P. Paolantonio, R. Ferrari, M. Rengo, F. Vecchietti, P. Lucchesi, D. Caruso, A. Laghi; Latina/IT
P-165 Correlation between MRI hepatic steatosis quantification and distribution of adipose tissue
P. Manchec-Poilblanc, V. Roullier, E. Cesbron, M. Poilblanc, P.H. Ducluzeau, C. Aube; Angers/FR
P-166 MRI in liver iron overload: thalassemia intermedia and sickle cell disease
H. Matos, A. Pereira, C. Sanches; Coimbra/PT
P-170 Is this nodule a HCC? test choice and image interpretation for the general radiologist
R. Ryan, I. Heaslip, D. Moran, D. Malone; Dublin/IE
P-171 3.0-T MRI with Gd-EOB-DTPA in patients with liver cirrhosis: hepatic parenchymal
enhancement of Child-pugh classification
T. Abe1, S.Y. Choi2, H. Shinjo2, Y. Miura2, K. Kawakura2, T. Saginoya2, S. Takekawa2, H. Munechika2;
1
Fukushima/JP, 2Koriyama/JP
P-172 HCC at Gd-BOPTA-enhanced MRI: which is the best venous phase for the detection
of contrast washout?
L. Cereser, A. Furlan, D. Bagatto, R. Girometti, G. Como, C. Zuiani, M. Bazzocchi; Udine/IT
P-173 The work-up of nodules seen on HCC surveillance: comparison of single versus
multimodality approach
K. Khalili, H. Jang, T.K. Kim, M. Sherman, M. Haider; Toronto, ON/CA
101
EPOS™ PRESENTATIONS
P-175 Hepatic carcinoma chemoembolization: what the radiologist should look for at post-
treatment evaluation with MDCT
F. Cavalheiro, B. Gonçalves, V. Carvalheiro, P. Donato, F. Caseiro-Alves; Coimbra/PT
P-176 Assessment of CT color map images of the arterial enhancement fraction with 3D
registration in diagnosis of recurrence of hepatocellular carcimoma after transcatherter
arterial chemoembolization
N. Marugami1, S. Kitano1, T. Tanaka1, H. Anai1, J. Takahama1, A. Takahashi1, S. Hirohashi2,
K. Kichikawa1, T. Itoh3; 1Kashihara/JP, 2Osaka/JP, 3Shinagawa/JP
P-177 Virtual non-contrast CT using dual energy CT in patients with HCC: comparison with native CT
S. Hirohashi1, N. Marugami2, S. Kitano2; 1Osaka/JP, 2Kashihara/JP
P-180 MRI diffusion weighted imaging of focal liver lesions: comparison of signal-to-noise ratio
and lesion-to-liver contrast-to-noise ratio in sequences with different b-values
R. Pozzi Mucelli, L. Cancian, G. Balestriero, C. Cugini, A. Dorigo, G. Morana; Treviso/IT
P-181 Super-paramagnetic iron oxide induced liver signal intensity loss in patients with colorectal
metastases: effect of chemotherapy
S. Krishan, J. Ward, J.A. Guthrie, M. Sheridan, S. Boyes, P. Robinson; Leeds/UK
P-183 Added benefit of contrast-enhanced CEUS for small indeterminate liver lesions on CT/MRI
H. Yu, H. Jang, T.K. Kim; Toronto, ON/CA
P-186 Focal nodular hypeplasia on liver MRI: classsical and atypical appearances
with hepatocyte-specific gadolinium versus super-paramagnetic iron oxide
M. Laugharne, J. Ash-Miles, H. Roach, M. Callaway; Bristol/UK
P-188 Automatic segmentation tools for liver metastases on CT: does it work?
S. Egels, C. Bertin, P. Grenier, O. Lucidarme; Paris/FR
P-189 MRI enhanced with primovist: patterns of hepatic enhancement in non-cirrhotic livers
B. Paño, J.R. Ayuso, E. Pineda, J. Rios, C. Ayuso, J. Maurel, M. Pagés Llinás; Barcelona/ES
102
EPOS™ PRESENTATIONS
P-193 Liver abscess: how often will X-rays and US do the job?
D. Cokkinos, E. Antypa, A. Mantzorou, E. Testempasi, A. Sofronas, C. Stefanidis, E. Kratimenou,
P. Piperopoulos; Athens/GR
P-197 Benign hepatic lesions: typical and atypical patterns as evidenced at Sonovue-low-
mechanical index US
V. Cantisani1, P. Ricci1, F. Calliada2, L. Romanini3, M. D’Onofrio4, A. Marcantonio1, U. D’Ambrosio1,
C. Marigliano1, I. Guerrisi1, R. Passariello1; 1Rome/IT, 2Pavia/IT, 3Brescia/IT, 4Verona/IT
P-198 Focal nodular hyperplasia or hepatic adenoma: how MRI can help us using liver-specific
contrast agents
P. Paolantonio, R. Ferrari, M. Rengo, F. Vecchietti, P. Lucchesi, M. Maceroni, A. Laghi; Latina/IT
P-199 The application of contrast enhanced US with sonovue in the sonographic diagnostics of
metastatic liver lesions in patients with GI tract cancer
E. Dybiec, R. Kryza, P. Wieczorek, W. Polkowski; Lublin/PL
103
EPOS™ PRESENTATIONS
P-205 Cystic focal liver lesions in adults: a pictorial essay using a multimodality approach
RECOMMENDED
POSTER A. Jacob1, S. Lapsia2; 1Manchester/UK, 2Blackburn/UK
P-206 Periportal space, a potential intrahepatic space: a review of anatomy and imaging features
of diseases involving this space with radiopathologic correlation
A. Almeida, K. Ganesan, M. Hart, Y. Soo, M. Peterson, C. Sirlin; San Diego, CA/US
P-207 The role of Gd-BOPTA enhanced MRI in the characterization of focal liver lesions
I. Ceylan, F. Obuz, O. Sagol, S. Karademir; Izmir/TR
P-209 Abdominal multidetector-row CT: estimation of optimal contrast material dose according
to body surface area
H. Onishi1, T. Murakami2, T. Kim1, M. Hori1, M. Tatsumi1, Y. Nakaya1, T. Tsuboyama1, A. Nakamoto1,
K. Tomoda1, H. Nakamura1; 1Suita/JP, 2Osakasayama/JP
P-210 MR contrast agents for liver imaging: what every radiologist should know
M.A. Portilha, A. Canelas, B. Graça, F. Alves, C. Marques, F. Caseiro-Alves; Coimbra/PT
P-211 MRI with hepatocyte-selective contrast enhancement (gadoxetic acid) in the differential
diagnosis of focal liver lesions
E. Szurowska, J. Pienkowska, E. Izycka-Swieszewska, T. Nowicki, M. Studniarek; Gdansk/PL
104
EPOS™ PRESENTATIONS
P-221 Current trends in pre-operative evaluation and staging of colorectal liver secondaries
S. Liong, F. Rahman, S. Gadde, S. Lee, B. Ammori, A. Siriwardena, A. Sheen, B. Rajashanker;
Manchester/UK
P-224 Imaging of abdominal and retroperitoneal soft tissue masses: a practical approach
RECOMMENDED
POSTER A. Snoeckx, F. Vanhoenacker, B. Op de Beeck, A. de Schepper, M. Spinhoven, P. Parizel;
Edegem/BE
P-235 Usefulness of US-guided percutaneous core biopsy for patients having only infiltration in
mesentery or omentum on contrast-enhanced CT
J.K. Lee, S.Y. Baek; Seoul/KR
105
EPOS™ PRESENTATIONS
P-238 The impact in abdominal imaging with the introduction of a dedicated emergency CT
R. Mittal, J. Sarrazin, A. Moody; Toronto, ON/CA
P-239 Challenges and pitfalls of abdominal imaging in intensive care: a pictorial essay
V. Raju, A. Leonard, S.A. Jackson, B. Fox, E. Armstrong, J. Shirley; Plymouth/UK
P-241 Volume rendering of thin-section MDCT images in the evaluation of the acute abdomen:
an indispensable tool for rapid diagnosis
R. Jain, S. Sawhney, A. Kakaria; Muscat/OM
P-242 Blunt trauma to the mesentery and retroperitoneal structures: value of 64-detector rows CT
in detecting vascular, common and rare injuries
S. Romano, C. Stavolo, A. Russo, N. Gagliardi, G. Tortora, F. Maisto, L. Romano; Naples/IT
P-243 The need for enteral contrast in diagnosis of appendicitis with multidetector CT
M. Torkzad1, A. Latifi2, A. Sundin2, F. Labruto2, S. Kaiser2, U. Ullberg2; 1Uppsala/SE, 2Stockholm/SE
P-245 Diffusion weight imaging in body district: from physics principles to image interpretation
P. Paolantonio1, G. Suma2, R. Ferrari1, M. Rengo1, F. Vecchietti1, P. Lucchesi1, A. Laghi1;
1
Latina/IT, 2Rome/IT
106
EPOS™ PRESENTATIONS
P-263 How successful is 18F-FDG PET/CT in demonstrating and characterising suspicious lung
nodules in patients with colorectal carcinoma
C. Chew, S. Rasul, S. Han, F. Poon; Glasgow/UK
P-264 Radiographic examination of French monarchs’ intestines (St Denis, 19th century):
potential interest for forensic radiology
P. Charlier1, I. Huynh-Charlier2; 1Garches/FR, 2Paris/FR
P-266 Fitz-Hugh-Curtis syndrome: incidence and laboratory change and radiologic findings
S.Y. Park1, S.S. Hwang1, Y. Ku2; 1Suwon/KR, 2Uijeongbu/KR
107
EPOS™ PRESENTATIONS
P-269 Pelvic MRI is better in the assessment of the pelvic floor in patients
with faecal incontinence than 2D endoanal US
K. Thiruppathy, S.A. Taylor, S. Halligan, A. Emmanuel; London/UK
DIAGNOSTIC / PANCREAS
108
EPOS™ PRESENTATIONS
P-284 Accessory pancreatic duct and minor duodenal papilla: visibility, examination technique
and imaging findings at secretin-enhanced MR cholangio-pancreatography
G. Restaino, M. Missere, M.V. Occhionero, E. Cucci, M. Ciuffreda, G. Sallustio; Campobasso/IT
CL P-288 Pancreatic pathologies with diffuse or segmental involvement: CT and MRI findings
N. Takahashi, J. Fletcher, D.M. Hough, J. Fidler; Rochester, NY/US
INTERVENTIONAL
INTERVENTIONAL / BILE DUCTS
P-289 Percutaneous transjejunal biliary intervention for benign biliary strictures and intrahepatic
stones
R. Gibson1, D. Fontein2, N. Collier1, T. Speer1, R. Dowling1, A. Robertson1, B. Thomson1;
1
Parkville/AU, 2Leiden/NL
109
EPOS™ PRESENTATIONS
INTERVENTIONAL / GI TRACT
P-295 Local recurrence of rectal cancer after abdomino-perineal excision:
treatment with radiofrequency ablation
L. Balestreri, M. Urbani, A. de Paoli; Aviano/IT
P-296 Removable self expanding nitinol covered stent in malignant oesophageal strictures before
neo-adjuvant chemoradiotherapy: a pilot study
A. Razack, V. Arora; Hull/UK
P-302 If apparent diffusion coefficients’ value can be an early factor of tumor response to
radiofrequency ablation therapy in patients with hepatic metastases from colorectal cancer?
E. Szurowska, J. Pienkowska, E. Izycka-Swieszewska, T. Nowicki, M. Studniarek; Gdansk/PL
110
LIST OF EXHIBITORS
Bracco Intrasense
Bracco International B.V., Via Cantonale, Centro Galleria 2 10, rue Saint Antoine 75004 Paris, France
Phone: +41 919 853 030 Phone: + 33 1 48 04 32 83
Fax: +41 919 853 020 Fax: + 33 1 48 04 32 83
www.braccoimaging.com E-Mail: julien.dobel@intrasense.fr
www: www.intrasense.fr
Cadens Imaging
116 Principale, suite 200, Granby, Quebec, Canada J2G 2V2 Median Technologies
Phone: +1 450 956 3456 Les 2 Arcs, Bât B, 1800 Route des Crêtes, 06560 Valbonne
Fax: +1 450 991 3456 Phone: +33 4 93 333 777
E-Mail: info@cadensimaging.com Fax: +33 4 92 90 65 99
www.cadensimaging.com E-Mail: info@mediantechnologies.com
www.mediantechnologies.com
Cook Europe
Sandet 6, 4632 Bjaeverskov, Denmark Medicsight PLC
Phone: +45 56 86 87 16 Kensington Centre, 66 Hammersmith Road, London, W14 8UD
Fax: +45 56 86 86 96 Phone: +44 207 605 1154
E-Mail: p.ryle@cook-wce.com Fax: +44 207 605 7951
www.cookmedical.com E-Mail: robert.ferguson@medicsight.com
www.medicsight.com
ESGAR
Central ESGAR Office Philips Healthcare
Neutorgasse 9, 1010 Wien P.O. Box 10 000, Veenpluis 4 – 6, 5680 DA Best, The Netherlands
AT – 1010 Vienna, Austria www.healthcare.philips.com
Phone: +43 1 535 89 27
Fax: +43 1 535 70 37 Sociedad Espanola de Radiologia Médica (SERAM)
www.esgar.org Goya 38, 28001 Madrid
Phone: +34 915 752 613
GE Healthcare Fax: +34 576 3279
283 rue de la Miniere, 78533 Buc, France E-Mail: secretaria@seram.es
Phone: +33 1 30 70 9106 www.seram.es
Fax: +33 1 30 70 4130
E-Mail: christine.sickinger@ge.com TeraRecon
www.gehealthcare.com/euen/ct/index.html Lurgiallee 10, 60439 Frankfurt
Phone: +49 6995 103 52 0
Guerbet Fax: +49 6995 103 52 200
BP 57400, 95943 Roissy CDG Cedex, France E-Mail: info@terarecon.com
Phone: +33 1 45 91 50 00 www.terarecon.com
Fax: +33 1 45 91 51 99
E-Mail: laurence.arnaud@guerbet-group.com, Vital Images Europe
veronique.coma@guerbet-group.com Muzenstraat 89, 2511 WB Den Haag, The Netherlands
www.guerbet.com Phone: +31 0 704 262 181
Fax: +31 0 704 262 111
Hitachi Medical Systems Europe Holding AG www.vitalimages.com
Sumpfstrasse 13, CH 6300 ZUG
Phone: +41 41 748 63 33 Wisepress Online Bookshop
Fax: +41 41 748 63 32 The Old Lamp Works, 25 High Path, Merton Abbey, London,
E-Mail: welcome@hitachi-medical-systems.com SW19 2JL, UK
www.hitachi-medical-systems.com Phone: +44 20 8715 1812
Fax: +44 20 8715 1722
E-Mail: bookshop@wisepress.com
www.wisepress.com
112
FLOORPLAN - EXHIBITION (ENTRANCE LEVEL)
RIUM
R
RIU
ALPHABETICAL
AB NUMERICAL
IU
ORDER
RD ORD
UM
M2
Company Name
e Booth No. Booth No. Company Name
BAYER SCHERING
NG 2 1 ESG
BRACCO 14 2 BAYER SCHERING 6
CADENS 9 3 IM3D
COOK 6 4a VITAL IMAGES
VIT
7
ESGAR 1 4b INTRASENSE 5
GE HEALTHCARE 12 5 WISEPRESS
GUERBET 15 6 COOK
HITACHI 16 7 SERAM
IM3D 3 9 CADENS 9
INTRASENSE 4b 10 PHILIPS
M
MEDIAN 11 11 MEDIAN 10
MEDICSIG
CSIGH
SIGHT 13 12 GE HEALTHCARE
PHI
PH
PHILIPS 10 13 MEDICSIGHT 4b
SERAM 7 14 BRACCO
TERARECON 17 15 GUERBET
VITAL IMAGES 4a 16 HITACHI
WISEPRESS 5 17 TERARECON 11
4a
12
3
R
CAS FEE
H BA
COF
13
AUDITORIUM 1
14
15
RE
GI
ST
RA
TIO
N
RA E
N
TIO
ST LAN
16
RE AST
GI
F
17
TR
DE AVE
SK L
RO
113
114
PR
CE EV
NT IEW
RE
CAFETERIA
RE
GI
MAIN ENTRANCE
ST
M
FLOORPLAN – ENTRANCE LEVEL
O K
RA
RO OA
CL
TIO
N
AUDITORIUM 1
AUDITORIUM
3B
AUDITORIUM 2
FAST LANE
EP
REGISTRATION
OS
COF
CAS FEE
H BA AUDITORIUM
R 3A
EXHIBITION AREA
EXHIBITION AREA
LOUNGE & INTERNET
FLOORPLAN – LEVEL 1
CTC HANDS-ON
CENTRE
EPOSTM AREA
INTERNET CORNER
ROOM
5
ROOM
3+4
ROOM
6+7
ROOM
1+2
115
ALPHABETICAL INDEX OF FACULTY MEMBERS, MODERATORS AND
PRESENTERS OF SCIENTIFIC PAPERS AND EXHIBITS
116
Dromain C.: LS 3.04 Hassan C.: SY 4.02
Dvorak P.: P-136 Hatzidakis A.: IR 3.03
Dybiec E.: P-199 Heiken J.: PG 2, LS 7.01
E Helmberger T.: PG 1.02
Hirohashi S.: P-177
Efremidis S.: PG 3 Holzapfel K.: SS 6.03
Egels S.: P-188 Huppert P.: LS 6.04
Eiber M.: SS 6.02 Huppertz A.: SY 1.01
Ekberg O.: LS 2 Huynh-Charlier I.: P-182
El-Wakeel A.: P-300
Engin G.: P-111, P-112 I
Enver M.: P-081 Iafrate F.: CTC 3.03, SS 5.08, SS 8, SS 11.07, P-048
F Ichikawa T.: P-276
Ilangovan R.: P-053
Fencl P.: SS 4.05 Iussich G.: SS 6.06, SS 8.02, SS 11.06
Ferrari R.: CTC 3.04, CTC 3.05, P-049, P-050,
P-052, P-056, P-059, P-060 J
Ferrer Bradley I.: PS 4.01 Jackson K.: P-033
Feuerbach S.: WS 12 Jackson S.: PG 3, WS 3, P-121, P-152, P-239
Feuerlein S.: SS 4.01 Jacob A.: P-062, P-205
Filippone A.: LS 7.03, SY 1.01 Jain R.: P-241, P-244
Fontein D.: P-289 Jang H.: SS 1.03, P-196
Fork F.: LS 5 Jansen M.: SS 9.10
Franca M.: P-254, P-280 Jee K.: P-108
Freeman A.: SS 3 Jensch S.: SS 11.10
Freeman S.: P-082 Juchems M.: P-279
Frias Vilaça A.: P-005, P-074, P-103, P-116 K
Frost R.: LS 5
Kandel S.: SS 7.08
G Kang Y.: P-017
Galia M.: P-066, P-191 Kalageropoulos I.: P-021
Gallix B.: SS 1, SS 6.08 Karani J.: IR 3.01
Gallotti A.: SS 13.06 Karmazanovsky G.: LS 9
Garbarino V.: SS 10.06 Katulska K.: P-065
Gatti E.: P-194, SS 1.05, SS 14.08 Kay C.: IR 2.02
Genchellac H.: P-013 Kenis C.: SS 6.01
Ghaye B.: LS 4.02 Khalili K.: SS 1.06, P-173
Ghiatas A.: SS 4 Kim H.: P-086
Giannecchini S.: P-212 Kim M.: P-125, P-142, P-148, P-223
Giat P.: SY 2 Kim S.: P-119
Gillams A.: IR 1.02 Kim T.: LS 6.01
Girometti R.: P-028 Kim Y.: P-135, P-146, P-265
Giusti P.: P-140 Kirke R.: P-067, P-088
Giusti S.: P-068 Kiyonaga M.: P-278
Gómez F.: P-106 Kloeters C.: SS 2.04
Gomes M.: P-227 Knuttinen M.: P-301
González C.: P-122, P-123 Kochhar R.: P-097
Gonçalves L.: P-214, P-231 Koelblinger C.: SS 13.04
Gore R.M.: PS 4.02 Koizumi J.: P-253
Gourtsoyianni S.: LS 3.03, PS 3 Kollár A.: P-299
Gourtsoyiannis N.: HL 1.01, PS 4 Korman U.: SS 3
Grazioli L.: PG 1.01, P-169 Kotake F.: P-225
Grierson C.: P-008, P-023 Krokidis M.: SS 12.02, P-187
Griffin N.: P-092 Kurochka S.: P-229
Guarise A.: SS 2 L
Guthrie J.: WS 17, P-181
La Seta F.: P-147, P-251
H Laasch H.-U.: IR 2.01
Hafeez R.: SS 3.03, SS 3.04, SS 15.07 Laghi A.: CTC 1.01, CTC 2.01, CTC 3.01, WS 4, SS
Halankar J.: SS 12.07 5, SY 2.03, SY 5.02
Halligan S.: WS 18 Lambregts D.: SS 3.06, SS 3.09, SS 8.05
Hammerstingl R.: SS 6 Lameris J.: IR 3.02, LS 6
Han H.: P-252 Laniado M.: PG 2.02, LS 1, SY 3, SY 3.01, SY 3.02,
Hardie A.: P-160, P-178 SY 3.05
117
Latief K.: P-133, P-234 Metens T.: RC 2.03
Lauenstein T.: RC 1.04, SS 2.05, SS 13.05 Metser U.: SS 4.03
Laugharne M.: P-186 Milone P.: P-018
Laumonier H.: SS 12.08 Minami M.: HL 3.01
Laurent V.: SS 12 Missere M.: P-284, SS 7.10
Leal C.: P-144 Mittal R.: P-238
Lee D.: P-124 Mokali I.: P-139
Lee J.: SS 1.08, P-235 Moran D.: P-102, P-170, P-200, SS 1.10
Lees W.: PG 2.01 Morana G.: LS 1.04, LS 9, P-076, SS 12.01
Lefere P.: CTC 2.02, WS 4, SY 5.04 Mori H.: SS 7
Lewin M.: LS 1.03, SY 3.03 Morone M.: SS 13.02, P-159
Lewis D.: SS 9.02 Morrin M.: LS 10
Liedenbaum M.: CTC 1.04, CTC 1.05, SS 8.01 Moschetta M.: SS 5.01
Lim J.: SS 7.01 Mosconi C.: P-298
Lim K.: SS 7.03 Mostbeck G.: PG 2
Linda A.: SS 12.10 Mylona S.: P-113
Liong S.: P-221 N
Lo Re G.: SS 5.09
Lomas D.: RC 2.01, LS 3 Nakamoto A.: SS 7.02
Lu T.: SS 13.08 Neri E.: CTC 1.02, WS 11
Lucidarme O.: SS 13 Nikolaidis P.: SS 5.05
Luna A.: P-203 Nio Y.: LS 10.01
Lefort T.: P-268 O
M O’Regan K.: SS 10.01, SS 15.04
Maas M.: SS 3.05, SS 3.08, SS 8.07 Obuz F.: P-207
MacDonald K.: P-099 Odetoyinbo T.: SS 9.05
Maccioni F.: WS 19 Ogura T.: P-034, P-038
Maciel J.: P-250 Oliveira P.: P-096, P-232
Madureira A.: SS 10 Onishi H.: P-209
Maglinte D.: LS 2.01, SS 5 Op de Beeck B.: LS 8.04, LS 9.04
Maheshwari E.: P-185 Ouranos V.: P-072, P-115
Maia R.: P-217, P-233 P
Maisto F.: SS 3.10, SS 8.09
Palaniappan B.: P-162
Maksimovic R.: P-029
Palkó A.: WS 1, LS 8
Malone D.: WS 6, WS 13
Paolantonio P.: WS 9, SS 10.07, P-070, P-118,
Manchec-Poilblanc P.: P-165
P-164, P-198, P-245
Manfredi R.: LS 6.02
Papanikolaou N.: PG 2.03, LS 2.04
Mang T.: PS 3, SS 11.01
Park S.: P-266
Maniatis V.: P-100
Patak M.: SS 10.09, SS 10.10, SS 15
Mannelli l.: SS 14.06
Patel P.: P-042
Manzella A.: P-011, P-130, P-138
Patriarca G.: SS 13.03
Mariani D.: P-290, P-294
Paulino C.: P-087, P-132
Marincek B.: PG 1, PG 4.02
Pauls S.: P-215
Marion D.: P-003, P-007
Pecchi A.: P-020
Maroto i Genover A.: P-126
Peer S.: P-107
Marques P.: P-036
Pereira M.: IR 1.01, P-015
Marshall M.: LS 10.02
Pickhardt P.: LS 5.03, SS 11, SY 5.03
Martí-Bonmatí L.: RC 2, PG 1, PG 4.01, SY 6, P-213
Pienkowska J.: P-283
Martin D.: LS 6.03
Pokieser P.: LS 7
Martínez Rodrigo J.: IR 2.03, SS 9
Portilha M.: P-204, P-210, P-267
Marugami N.: P-176
Pozzi Mucelli R.: P-180
Maskell G.: SS 8
Prasad D.: SS 8.06, P-105
Masselli G.: P-069
Prassopoulos P.: LS 7.04
Matos C.: RC 2.02, LS 6, LS 9.02
Preto A.: P-255, P-282
Matos H.: P-032, P-141, P-166
Puylaert J.: WS 10, LS 2.02
Matsui O.: WS 8, LS 8
Mc Laughlin P.: SS 14.10 Q
McSweeney S.: SS 7.04
Megibow A.: SS 2
R
Mendelson R.: WS 3, WS 20 Rafaelsen S.: RC 1.01
Menu Y.: RC 1, PG 4.03 Rahman F.: P-129
Merino-Casabiel X.: P-025 Rajan R.: P-030
Ramos A.: P-073
118
Ramos I.: SS 6 Stoupis C.: PS 5.03
Ramos R.: P-218, P-261 Stringer D.: WS 15
Raptopoulos V.: WS 16 Szurowska E.: P-120, P-211, P-302
Raynal m.: P-084 T
Regge D.: LS 5.02, SS 11, SY 4, SY 4.01, SY 4.03,
SY 4.05 Takahashi N.: P-288
Reginelli A.: P-064, P-151 Tam E.: SS 3.01, SS 8.10
Reiner C.: SS 2.08, SS 6.07 Tarján Z.: WS 10
Rengo M.: SS 11.02 Taylor S.: CTC 2.03, LS 5.04, SS 14.09, WS 13
Restaino G.: P-284 Temizoz O.: P-291
Riaguas A.: P-216 Thiruppathy k.: P-269
Ridereau-Zins C.: SS 10.04 Thomas B.: P-117, P-143
Ridge C.: P-061 Tisnado J.: P-306
Rinaldi P.: P-014 Tolan D.: P-063
Roberts A.: SS 14 Torkzad M.: SS 5.06, P-243
Robinson C.: CTC 2.04, CTC 2.05, SS 11.03, Torrao H.: P-012, P-208
SS 11.05, SS 15.03 Triantopoulou C.: LS 9.01, P-090
Rocha D.: P-174 Tsota I.: P-110
Rogalla P.: WS 16, SS 14, SY 4.04 Turini F.: SS 8.03, SS 11.09
Rollandi G.: LS 2.03, P-037, P-045 Tweed K.: P-094
Romanini L.: P-046, P-179 U
Romano S.: LS 4.03, SS 10, P-242
Uliasz M.: P-047
Roqué C.: P-006, P-246, P-249
Urbani M.: P-295
Ros P.R.: PS 4.03, PS 5
Urigo C.: SS 9.07
Ros Mendoza L.: WS 5
Roson N.: P-240 V
Ruivo C.: P-104 van Beers B.: PG 3.02
Rummeny E.: LS 3.01, SS 9 van Randen A.: SS 10.02
S Vagli P.: CTC 1.03
Valek V.: LS 2
Saba L.: P-002, P-004, P-009, P-137, P-145, P-167
Valerie g.: P-236
Sahani D.: HL 2.01, SY 6.01
Vandenbroucke F.: SS 6.10
Sai M.: P-158
Var V.: P-031
Salemi S.: SS 2.07
Venancio J.: WS 18
Salgado A.: P-044, P-085
Vilana R.: P-274
Santiago I.: P-026, P-150
Vilgrain V.: PG 1.03, SY 2.02
Santos R.: P-079, P-089
Vlachou P.: P-001
Sawhney S.: P-228
Vullierme M.: SS 7.05
Scardapane A.: SS 12.09
Schäfer A.-O.: SS 5.10 W
Schima W.: LS 1.02, PG 2 Weishaupt D.: LS 10.03
Schindera S.: SS 14.01 Westwood T.: P-057, P-297
Schmidt S.: SS 15.05, P-134 Wiarda B.: SS 15.10
Schmid-Tannwald C.: SS 10.08 Willekens I.: P-077, P-219
Schramm N.: SS 4.07, SS 4.08 Williams L.: P-163, P-287
Seco M.: P-157, P-161 Wong L.: P-101
Serter S.: P-262 Woo J.: P-035
Shepherd D.: LS 4
Sheridan M.: WS 9
X
Shorvon P.J.: PS 3 Y
Siopsis E.: SS 9.01
Sirlin C.: PG 3.01 Yarmenitis S.: WS 2
Smeets P.: SY 3.04 Yu H.: P-183
Snoeckx A.: P-128, P-224, P-275 Z
Sobrido C.: P-043, P-080 Zaboriene I.: P-202
Sobrido Sampedro C.: P-091 Zamboni G.: SS 2.02, SS 2.03, SS 7
Somers S.: WS 19 Zech C.: WS 1, LS 3
Sotiropoulou E.: P-303, P-305, P-307 Ziech M.: SS 15.08
Sparano A.: P-016 Zijta F.: SS 3.02, SS 8.08
Stagnitti A.: P-054 Zins M.: LS 7.02, SY 2.01
Staunton M.: WS 6, WS 20
Stoker J.: CTC 3.02, LS 5.01, SS 15
Stoppino L.: P-156
119
NOTES
120
NOTES
121
NOTES
122
NOTES
123
NOTES
124
e you at
Se
GAR ‘10
ES
ESGAR 2010
EUROPEAN SOCIETY OF GASTROINTESTINAL AND ABDOMINAL RADIOLOGY
DRESDEN / DE
JUNE 2 – 5
21ST ANNUAL MEETING AND POSTGRADUATE COURSE
I wish to become a member of the European Society of Gastrointestinal and Abdominal Radiology
Applicant
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Signature Proposer:
127
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128
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