Neuroradiology update and refresher course by BIR Publishing

18–19 JUNE 2015

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

Venue: Etc. venues Marble Arch, London CPD: 10 CREDITS

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BIR ANNUAL CONGRESS 2015 4–5 NOVEMBER LONDON • Room 1

Primers for the non-specialists

Day 1

Day 2 Clinical hybrid imaging in oncology • Room 1

Session organised by Dr David Wilson, Consultant Interventional MSK Radiologist, Oxford University Hospitals NHS Trust

Session organised by Dr Gopinath Gnanasegaran, Consultant Physician in Nuclear Medicine, St Thomas’ Hospital

• Room 2

Session organised by Mr Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust

Session organised by Dr Hardi

Radiation protection — current issues in molecular imaging and radiotherapy

View the full programme and register: www.bir.org.uk

Emergency radiology — advances in trauma imaging and Essentials for the radiology trainee Madani, Radiology Registrar, Royal Free London Hospital and Dr Ausami Abbas, Cardiothoracic Radiology Post CCT

Welcome and thank you for coming to the “Neuroradiology update and refresher course” organised by The British Institute of Radiology. We wish you a very enjoyable and educational experience. Certificate of attendance This meeting has been awarded 10 RCR category I CPD credits (5 per day). Your certificate of attendance will be emailed to you within the next 2 weeks once you have completed the online event survey at: https://www.surveymonkey.com/s/neuroupdate

BIR Annual Congress 2015: 4–5 November, London

We are most grateful to

for supporting this event Please take time to visit their exhibition stands to find out more about the services they offer 1

Programme

DAY 1–18 JUNE

DAY 2–19 JUNE

09:00 Registration and refreshments 09:00 Registration and refreshments 09:30 Welcome and introduction Dr Adam Waldman

09:30 Neuroinflammatory disease Dr Brynmore Jones

09:45 Ischaemic stroke Dr Amrish Mehta

09:50 Neurodegenerative disease Dr Adam Waldman

10:15 Intracranial haemorrhage Dr Kyriakos Lobotesis

10:10 Epilepsy Dr Olga Kirmi

10:45 Refreshments

10:30 Refreshments

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

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

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

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

12:45 Lunch

12:30 Lunch

13:45 CNS infection Dr Farah Alobeidi

13:30 Pituitary and skull base Dr Maneesh Patel

14:15 Neurooncology/tumours Dr Adam Waldman

14:00 Trauma Dr Olga Kirmi and Dr Neil Rane

14:45 Refreshments

14:30 Refreshments

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

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

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

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

16:45 Questions and discussion

16:30 Questions and discussion

17:00 Close of day

16:45 Close of event

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

FACULTY Dr Farah Alobeidi Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Iain Colquhoun Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Brynmor Jones Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Olga Kirmi Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Kyriakos Lobotesis Consultant Neuroradiologist, Imperial College Healthcare NHS Trust

Dr Amrish Mehta Consultant Neuroradiologist and Clinical Lead, Imperial College Healthcare NHS Trust Dr Maneesh Patel Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Neil Rane Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Abhinav Singh Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Adam Waldman Consultant Neuroradiologist and Imaging Research Director, Imperial College Healthcare NHS Trust

Certificate of attendance This meeting has been awarded 10 RCR category I CPD credits (5 per day). Your certificate of attendance will be emailed to you within the next 2 weeks once you have completed the online event survey at: https://www.surveymonkey.com/s/neuroupdate

BIR Annual Congress 2015: 4â&#x20AC;&#x201C;5 November, London

Join the BIR today and receive 20% off your membership fee As a thank you for attending todayâ&#x20AC;&#x2122;s event we would like to offer you this great deal Be part of the only multi-disciplinary membership organisation for everyone interested in medical imaging

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Speaker profiles Dr Farah Alobeidi Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Farah Alobeidi qualified from Cambridge University and completed her general radiology training at Imperial College Healthcare NHS Trust with a subspecialisation in neuroradiology at Charing Cross Hospital. She went on to complete formal neuroradiology training on the pan London fellowship programme, training at The National Hospital for Neurology and Neurosurgery, King’s College and Great Ormond Street Hospitals. She undertook a second neuroradiology fellowship at the University of Toronto, at St Michael’s and Sunnybrook Hospitals, before returning to Imperial where she restarted as a Diagnostic Consultant Neuroradiologist. Her subspeciality interest is paediatric neuroradiology. Dr Iain Colquhoun Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Consultant Interventional and Diagnostic Neuroradiologist at Charing Cross Hospital, Imperial Healthcare NHS Trust, London from 1990. Dr Brynmor Jones Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Jones did his general radiology training at Imperial College Healthcare NHS Trust before under taking the pan London Deanery Neuroradiology fellowship where he worked at the National Hospital for Neurology and Neurosurgery, King’s College Hospital and Great Ormond Street Hospital. He was appointed as a Consultant Diagnostic Neuroradiologist at Imperial College Healthcare NHS Trust in 2010. His major subspecialty interest is paediatric neuroimaging. He has further interests in adult inflammatory and infective CNS disorders as well as spinal intervention. Dr Olga Kirmi Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Olga Kirmi, came to UK from Greece, studied as an undergraduate at Guy’s and St Thomas’ Hospitals where she undertook a neurosciences BSc looking at expression of molecules which influence nerve regeneration post injury. She completed her basic radiology training in Oxford. She completed her subspeciality neuroradiology training in the pan London training scheme, which included Charing Cross, King’s and National Hospital for Neurology and Neurosurgery, as well as the National University Hospital and National Neurosciences Institute, in Singapore. She is now a Consultant Neuroradiologist at Imperial College Healthcare NHS trust.

Dr Kyriakos Lobotesis Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Lobotesis is a Consultant Neuroradiologist with a particular interest in neurointervention. He was appointed as a Consultant at Imperial College Healthcare NHS Trust in 2011 and is currently Neurointerventional Lead. He completed his general neuroradiology training in Cambridge prior to commencing the Boston Scientific Neurointerventional Fellowship in Newcastle-upon-Tyne. He also worked as a Praticien attaché at the Hôpital Gui de Chauliac, Montpellier, France, with a particular interest in neurointervention for over a year. Beyond his clinical responsibilities, Dr Lobotesis is an Honorary Clinical Senior Lecturer at Imperial College London. He is involved in a number of research trials, with collaborative links nationally and abroad and subsequently has produced a steady stream of peer reviewed papers to date. Dr Amrish Mehta Consultant Neuroradiologist and Clinical Lead, Imperial College Healthcare NHS Trust Dr Amrish Mehta has been a Consultant Neuroradiologist at Imperial College Healthcare NHS Trust since 2005. He is the Head of Specialty for Neuroradiology and the Clinical Lead for Stroke Imaging. He is the author of numerous chapters on the subject and has a national reputation in the field. Dr Maneesh Patel Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Patel has been a Consultant Neuroradiologist at Imperial for 15 years. His subspecialist interests include ENT and skull base radiology and neurointervention. He trained in radiology at Addenbrooke’s Hospital, and neuroradiology (including ENT) at Manchester Royal Infirmary, with shorter placements in Sheffield, Hospital for Sick Children, Toronto, and Hopital Laribiosiere, Paris. Dr Neil Rane Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Neil Rane qualified in medicine from Cambridge University in 2005 following a bachelors in neuroscience. After junior rotations at Addenbrooke’s and Papworth Hospitals he entered into radiology at Oxford and subspecialised early into neuroradiology. This led to a fellowship in interventional and diagnostic neuroradiology. Whilst in Oxford he was a member of the AMICI group working in acute stroke research. Following qualification, he gained further experience as a Consultant Neuroradiologist at the Department of Clinical Neurosciences, Edinburgh. He was the 2014 Codman Neurointerventional Fellow at Royal Melbourne Hospital. Here he gained experience at a major trauma centre in advanced neurointerventional techniques including acute stroke intervention as part of the EXTEND-‐IA trial. He was appointed as Consultant Interventional Neuroradiologist at Imperial in 2015. 6

Dr Abhinav Singh Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Dr Abhinav Singh is a Consultant Interventional Neuroradiologist at Imperial Healthcare NHS Trust. A graduate from Bartâ&#x20AC;&#x2122;s & the London, he trained in radiology at Addenbrookeâ&#x20AC;&#x2122;s Hospital, Cambridge, following completion of basic surgical training in London. He trained in diagnostic and interventional neuroradiology on the London neuroradiology fellowship programme, having also undertaken a MSc in interventional neuroradiology at the University of Oxford. Dr Adam Waldman Consultant Neuroradiologist, Imperial College Healthcare NHS Trust Adam Waldman gained a PhD and undertook post-doctoral research in biophysics before training in medicine at Cambridge. He trained in radiology at University College Hospitals and subsequently in neuroradiology at the National Hospital for Neurology and Neurosurgery, Queen Square, London. Dr Waldman has been a Consultant Neuroradiologist at Imperial College Healthcare NHS Trust (formerly HHNT) since 2001. Since 2006 he has been departmental academic lead as Research Director for Radiology, and has also founded an academic training programme in clinical radiology. He was awarded the 2009 Royal College of Radiologists Roentgen Professorship and medal, and holds honorary senior academic appointments at Imperial College London. His main research interests are in quantitative and physiological neuroimaging, particularly as applied to neuro-oncology and neurodegenerative dementias and neuroinflammatory disease.

Abstracts (where supplied) Ischaemic stroke Dr Amrish Mehta This talk will present the current evidence behind and guidance on imaging strategies within the first 6 hours following an acute stroke. Intracranial haemorrhage Dr Kyriakos Lobotesis Intracerebral haemorrhages are a common occurrence in adults. Differentiating between the various types and aetiologies can be challenging. We will evaluate typical patterns and characteristic imaging features of haemorrhages and look at what can help to differentiate them. We will also look at possible mimics and consider when to mention them in reports. The information will be in the form of didactic and case presentation. CNS infection Dr Farah Alobeidi Infectious diseases of the brain continue to pose considerable diagnostic challenges despite advances in neuroimaging. Although there are well established imaging patterns of the broad categories of infectious disease, there is significant overlap both within the infectious disease entities and between these and other CNS pathologies, namely malignancy, posing diagnostic uncertainty for radiologists. Globalisation and the increasing number of patients on immunosuppressive therapy adds to the complexity as we encounter infections from further afield and patients with altered host responses that experience a greater frequency of infections and who no longer express an expected normal pattern of injury. This talk, together with the interactive session and workshop, aims to unravel some of these diagnostic conundrums, to prompt the reporting radiologist to consider infection in their differential diagnosis and to provide a framework for the general approach to CNS infections. Learning objectives: • Review common clinical presentations of CNS infections and their radiological manifestations • Develop a framework for a general approach to CNS infections with a particular emphasis on the broad categories of infectious disease • Identify the salient differentiating imaging features of common CNS infections encountered in daily modern practice • To consider the diagnostic challenges associated with immunocompromised patients • Recognise the importance of the clinical information and serial imaging in increasing diagnostic accuracy for atypical cases 8

Neurooncology/tumours Dr Adam Waldman Characteristic appearances and differentiating features in intra-axial and extra axial primary and secondary CNS tumours will be discussed, with reference to nonmalignant lesions. Recommended protocols and management strategies for low and high grade lesions will be described. Key learning points from the lecture will be augmented and further illustrated in the interactive session and case-based workshop. Neuroinflammatory disease Dr Brynmore Jones Differentiating between multifocal white matter lesions in the CNS can be difficult. We will evaluate typical patterns of white matter lesions in the common CNS inflammatory pathologies and look at what can help to differentiate them from small vessel (microangiopathic) processes. We will look at MS mimics and consider when to mention them in reports. We will consider the different causes of long segment myelitis. The information will be presented in a short didactic lecture, interactive best answer response questions and in a workshop. Neurodegenerative disease Dr Adam Waldman The role of imaging in the investigation of dementia and other neurodegenerative disorders will be discussed, including key imaging features of common dementias and extrapyramidal disorders. Appropriate imaging modalities and protocols will be described in different clinical scenarios. Lecture material will be supplemented by the associated workshop and interactive session. Epilepsy Dr Olga Kirmi Epilepsy is a common neurological condition. Whilst specific seizure types, specific semiology and specialised MR protocol increases the probability of identifying the epileptogenic lesion, the majority of the time MR imaging will be begative. This short lecture aims to demonstrate a structured approach to MR imaging, give guidance to paediatric and adult protocols, review the imaging features of epileptogenic lesions and provide background knowledge along with key differential diagnoses.

Trauma Dr Olga Kirmi and Dr Neil Rane The imaging of neurological trauma can be a challenge to all radiologists. Detection of major findings can be time-critical from a trauma and neurosurgical perspective and have significant impact on the management of the patient. Assessment of trauma imaging requires experience and expertise. Subtle findings can be easily missed and can be crucially important. Learning objectives: • Review major mechanisms of injury in relation to neuroradiological findings • Discuss optimisation of imaging parameters for neurological trauma • Reinforce schema for systematic analysis of neurological trauma • Use radiological findings in neurological trauma as the basis for understanding imaging principles • Understand the neurosurgical perpective of major neurological trauma

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BIR ANNUAL CONGRESS 4–5 NOVEMBER 2015, LONDON FOR MORE INFORMATION AND TO REGISTER: WWW.BIR.ORG.UK 17

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