EFSUMB Newsletter
EFSUMB Newsletter European Federation of Societies for Ultrasound in Medicine and Biology
EFSUMB Newsletter meets Norway
Do you have a website and do you have educational material on the website?
Odd Helge Gilja
Facts on Norway ▼▼ ▶▶ ▶▶ ▶▶ ▶▶ ▶▶
The interview between the former president of the Norwegian Society for Diagnostic Ultrasound in Medicine and current Chaimen of EFSUMB‘s Education & Professional Standards Committee Professor Odd Helge Gilja and Editor of the Newsletter Professor Michael Bachmann Nielsen took place in July 2009. The Norwegian society joined EFSUMB in 1975. Could you tell us a little about your current position and how you became involved in ultrasound?
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My current position is senior consultant at National Centre for Ultrasound in Gastroenterology at Haukeland University Hospital, which is a centre of excellence appointed by the Norwegian Health Authorities in 2001. I am also professor at the University of Bergen and leader of the research cluster MedViz (http://medviz.uib. no/). From 2001 to 2007 I was president of the Norwegian Ultrasound Society (NFUD) and I am now chairing the Education and Professional Standards Committee in EFSUMB. I became involved in ultrasound in 1992 during my work at the Department of Medicine through an inspiring meeting with prof. Ødegaard and other colleagues. I saw the great potential for ultrasound in a clinical setting to do efficient work-up of patients with a variety of diseases. Soon I was engaged in research and in 1997 I finished a PhD on 3D ultrasound and novel methods in stomach scanning.
logy compulsory courses are included in the curriculum.
Population 4.8 million Largest cities: Oslo 600,000, Bergen 250,000 Area: 285,000 km2 EFSUMB members: 242
Tell us a short version about how ultrasound is organized in your country and the present status.
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The main organization for ultrasound in Norway is NFUD, where different medical specialties, midwifes and engineers are members. However, many radiologists and cardiologists are organized in respective disciplinary societies. A clear trend is that more and more general practitioners are using ultrasound and they have also formed their own small society. Does your society have a newsletter and what format does it have?
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Yes, NFUD established its own newsletter “Flaggermusen” in 2001 and it was soon incorporated in Ultraschall/Eur J Ultrasound. How is education in ultrasound organised within your society, do you have official training courses, if so how many, and often are they organised and do you have official exams to pass before you are certified to do ultrasound?
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NFUD arranges yearly courses in conjunction with the Annual assembly. These courses are usually accredited by the different speciality boards for a certain amount of hours in coursing. However, Norway has no official CME accreditation and therefore no official exams need to be passed. Nevertheless, in some specialities like cardiology, ob/gyn and gastroentero-
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Yes, our website (www.nfud.no) was established during my presidency in NFUD. The website contains abstracts and some ppt-files and links to other educational sites. A case-quiz has also recently been established to increase the interactivity. Do your courses follow different levels of competences ex. similar to the EFSUMB guidelines?
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Yes, we try to comply with the EFSUMB recommendations. However, most of our courses are on level 1. Only a very few courses are intended for level 2. How often do you hold national conferences? Please also tell us a bit about your last conference.
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NFUD hold National conferences once a year, usually in March-April. To our meeting in Oslo this year, we also invited Danish and Swedish colleagues to j-. The program was an interdisciplinary mixture of contributions from gyn/obs, radiology, rheumatology, gastroenterology and engineering. Dr. Torbjørn Moe Eggebø ended his long and good service in the NFUDBoard and his 2 years duty as president and Dr. Hilde Hammer (rheumatologist) was elected as new president. What are your expectations and hopes for the future concerning relation between your country and EFSUMB?
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I hope that NFUD and EFSUMB can continue to build a strong relationship to the best of both parts. One important area of cooperation is education. Both NFUD and EFSUMB should continue to include educational material (images, videos, cases, .ppt/PDF files of presentations etc.) on their websites. “Ultrasound on the web” will be a special session on the up-coming EUROSON congress in Edinburgh. Ultraschall in Med 2009; 30
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EFSUMB Newsletter Report Euroson School
Contrast Enhanced Ultrasound Bucharest 15 May 2009
Contrast Enhanced Ultrasonography, especially using second generation contrast agents (SonoVue), became more and more popular in daily practice, because it is quite easy to perform, it is less expensive as compared to CT or MRI (both using contrast), and also because it is a rapid method that can be used in the ultrasound room, following the standard ultrasound evaluation that found the lesion. In these conditions, the demand of CEUS is increasing in Romania, a country where the ultrasound evaluation is used in daily practice by clinicians (gastroenterologists, nephrologists, internal medicine doctors, emergency specialists and others) and radiologists. For this reason, the Romanian Society of Ultrasound (SRUMB) decided to organize this year an Euroson School on this topic. After the first CEUS Course in Hannover, in the autumn of 2008, Bucharest became the city of the second Postgraduate Course regarding the clinical use of contrast agents in Ultrasonography. It was a one day course, covering multiple aspects of this type of examination, starting with the principles of CEUS, continuing with the EFSUMB guidelines for the use of contrast agents, and finishing with the utility of CEUS in specific fields (liver and portal thrombosis, kidney, spleen, pancreas, adrenal glands, trauma and vascular medicine). The largest part of the course was dedicated to the evaluation of liver lesions, starting with the benign pathology and finishing with the malignant tumours. The usefulness of ultrasound contrast in portal thrombosis was also discussed. At the end of the meeting there was a session of clinical cases, with interactive discussions, concerning the interpretation of the different imagines. A short questionnaire was distributed to the participants at the end of the final session, to assess the level of information acquired during the whole day. A number of 122 attendees participated to this course, mostly physicians with a good practice in the field of ultrasound, but also
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beginners in this field (fellows that wanted to find information regarding the place of CEUS in the daily practice). The interest of the participants for the topic of the conference was proved by the interactive discussions with the faculty during the sessions and during the break periods. The faculty was a very skilled one, 6 foreign guests and 8 local speakers participated. The presence of Christian Nolsøe (President-Elect of EFSUMB), Michael Bachmann Nielsen (Chairman EFSUMB Publications Committee), Dieter Nürnberg (President of DEGUM), Hans Peter Weskott, Lucas Greiner and Byung Ihn Choi (Co-opted Councilor of WFUMB) assured a very good scientific level of the meeting. From Romania, the faculty included many very experienced ultrasound specialists
(Radu Badea, Adrian Săftoiu, Zeno Spârchez, Alina Popescu and others). We consider that the meeting was a success, regarding both the number of participants and the level of the scientific presentations, and that it should be a very good practical guide for those who use or want to use CEUS in their daily practice. At this moment, in Romania, like in other many countries, there is a real emulation regarding the use or the introduction of CEUS in as many hospitals as possible. Following the success of this meeting on the topic of CEUS, in September 2009 we shall have a workshop regarding contrast enhanced ultrasound for abdominal use in Timişoara that will include theoretical presentations and also a practical part, during a one week period. We hope that the number of participants to this meeting will confirm the interest for this method in Romania, and following the practical results of this meeting, many doctors will start to use CEUS on a daily basis. Prof. Ioan Sporea, MD, PhD President of the Romanian Society of Ultrasonography in Medicine and Biology
Appendix 13: Intensive Care Ultrasound
Minimum Training Requirements for the Practice of Medical Ultrasound in Europe This curriculum is intended for physicians who perform intensive care ultrasound scans. Because this usually is a focused assessment, herein only special aspects concerning intensive care ultrasound are discussed. For regular examinations of organ systems requirements can be found in the respective syllabi/recommendations. This curriculum includes standards for theoretical and practical skills. Standard skills are graded into 3 levels based on experience and difficulty of the scan or procedure. A level 1 competence should be obtained by anyone performing intensive care ultrasound.
Level 1 Training and Practice
▶▶It is recommended that trainees should perform a minimum of 300 examinations over a 6 month period under supervision. This training should be supervised by a Level 2 Practitioner.
In certain circumstances it may be appropriate to delegate some of this supervision to an experienced Level 1 Practitioner with at least two years of regular practical experience. However trainees will acquire the necessary skills at different rates and the end point of training should be judged by an assessment of all competencies. Examinations should encompass the full range of conditions listed in the knowledge base. ▶▶During the course of training the competency assessment sheet should be completed as this will determine in which area or areas the trainee can practice independently. ▶▶A log book, listing the types of examinations undertaken, should be kept. ▶▶The trainee should learn how to communicate both normal and abnormal findings to the patient, the family of the patient and to colleagues.
EFSUMB Newsletter ▶▶The trainee should attend a course program preferably at the beginning of the training period. This should include a basic course and an advance course. He or she should read appropriate textbooks and literature.
All: understand the principles for further investigation of more comprehensive assessment or the need to call for more experienced physicians.
Level 1 Knowledge Base
A period of at least 1 year after having acquired level 1 competency should be accomplished which should include: ▶▶A minimum of 500 ultrasound examination per year. ▶▶300 clinical interventional procedures in a centre under the supervision of at least a level 2 practitioner. ▶▶completed clinical residency ▶▶during the course of training the competency assessment sheet should be completed.
Physics and technology, ultrasound techniques and administration, psychological aspects, ethical aspects and quality control. ▶▶Approaches to: ▶▶Basic thoracic ultrasound ▶▶Basic abdominal ultrasound for intensive care physicians ▶▶Basic vascular ultrasound for intensive care physicians ▶▶In detail: ▶▶Chest: pleural effusion, pneumothorax, pericardial effusion ▶▶Abdomen: free fluid (ascites), gall bladder stones and bile ducts occlusion, splenic enlargement, hydronephrosis, stomach and bowel distension. ▶▶Vascular: aortic aneurysma, thrombosis of central veins for CV catheterizations, occlusion of arteries for invasive blood pressure measurements. ▶▶Invasive procedures: puncture techniques under ultrasound guidance
Level 1 Competencies to be acquired
▶▶Lung: Detect pleural effusions with ultrasound, be able to compare findings by ultrasound with other imaging modalities of the thorax. Be able to depict the pleural space (motion of the pleura) and to perform basic scans of lung ultrasound with regard to its pathologic changes. ▶▶Abdomen: Recognize: hepatic and portal venous anatomy, abnormalities of the gallbladder, size of the spleen, intestinal obstruction, normal or full stomach, free fluid or fluid collections, hydronephrosis, aortic abnormalities. ▶▶Heart: Recognize: volume overload or depletion, diameter of the vena cava, right and left ventricular size, pericardial effusion ▶▶Vascular: ultrasound guided vascular access: central venous and arterial pressure lines (IJV, subclavian and femoral vein, radial and femoral artery).
Level 2 Training and Practice
Level 2 Knowledge Base Intensive Care Ultrasound Training Competency ▶▶Diagnosis of basic problems in thoracic abdominal ultrasonography, vascular anatomy and pathology e.g. cardiac insufficiency (heart failure), valve dysfunctions and their impact on organ manifestations, respiratory insufficiencies and emergencies that require prompt treatment ▶▶Interventional procedures, e.g. vascular access, thoracic access, abdominal access, regional anaesthesia blocks ▶▶Technologies and interventional procedures in the use of ultrasound ▶▶Role of ultrasound compared to other imaging modalities e.g. magnetic resonance imaging, CT scan etc.
Level 2 Competencies to be acquired The level 2 intensive care physician should be able to diagnose and treat intensive care emergencies fast and successfully. This includes invasive puncture techniques in all relevant organ systems in the setting of an ICU. ▶▶Heart: be able to detect: Fast focused and more comprehensive than level 1 competency exam of the heart (apical, parasternal, subcostal view - all trans thoracic): Recognize signs of pulmonary embolism (RA/RA dilation and dysfunction, tricuspid regurgitation, midto severe pulmonary hypertension, possibly opening of PFO with right to left shunt); differential diagnosis of hyperdynamic left ventricular function (LV underfilling, increased contractili-
ty, decreased afterload), perform a comprehensive regional wall motion assessment (this includes 3 different levels- basal, mid and apical- of the parasternal view), assess the amount of pericardial fluid in regard with cardiac contractility and the understanding of surgical intervention, assess the respiratory variation of the inferior vena cava (this includes 2D and M-mode). Be able to treat and adapt heart failure with catecholamines or other inotropic substances based on regular heart examination by ultrasound. ▶▶Lung: be able to drain pleural effusions with prior measurement of the pleural effusion extend or direct drainage with ultrasound guidance, detect a (ten sion-) pneumo- or hematothorax and to place chest tubes, to recognize ultrasound signs of ARDS, lung edema, detect abnormalities of the diaphragm, to detect and differentiate subpleural lung consolidations ▶▶Abdomen: Compared to level 1 competency perform a more comprehensive ultrasound examination of the abdomen including all solid organs within the abdomen. To be able to perform ultrasound guided drainage of peritoneal fluid collections, in the pelvic cavity be able to place suprapubic catheters with ultrasound guidance, measure and detect masses, hematoma or fluid collections in the pelvic cavity. ▶▶Vascular: Be able to perform ultrasound guided vascular access of all possible site (including catheterization of the innominate vein, radial and ulnar artery at the level of the mid-forearm, brachial artery). Recognize: reverse flow and steal phenomena of the carotid vessels, occlusions of veins and arteries, aortic aneurysms, fistula and understand the principle of surgical intervention ▶▶Other: Percutaneous tracheotomy, peripheral nerve blocks to obtain a sympathicolysis of the extremities
Level 3 Training and Practice At Level 3 Practitioners are likely to spend the majority of their time in intensive care medicine also undertaking ultrasound processing and/or teaching, research and development and will be an ‘expert’ in this area.
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APPENDIX 13: INTENSIVE CARE ULTRASOUND ASSESSMENT SHEET Trainee
Trainer
LEVEL 1 Knowledge Base & Recommended Contents of Theoretical Course A basic and advanced course is required preferably at the beginning of the training period. This should include: • Physics and technology, ultrasound techniques and administration, lung ultrasound, cardiac ultrasound, abdominal ultrasound and vascular ultrasound for intensive care • Diagnostic procedures • Invasive procedures: Puncture techniques under ultrasound • Psychological aspects • Ethical aspects • Quality control
Competencies/Skills to be acquired Level 1 A formal theoretical and practical examination should take place at the end of training. To be competent to perform/diagnose etc the following competence is demanded:
Trainer Signature
Date
Trainer Signature
Systematic examination of the abdominal area
Systematic examination of the vascular system
• Stomach
• Vascular systematics of arteries and veins
• Liver and gallbladder
• Flow measurements
• Vessels
• Interventional procedures for vessels
• Kidneys, spleen • Urinary Bladder • Intraperitoneal area Systematic examination of the thoracic area • Lung: normal lung and atelectasis, pneumonia, edema • Pleura : normal pleura effusion/ pneumothorax • Diaphragma • Pericard: normal pericard and pericardial effusion • Demonstration of the cardial function • Demonstration of the function of the valves
A log book of documented cases should be kept.
-Maintenance of Skills: All Levels Having been assessed as competent to practise there will be a need for continued medical education (CME) and continued professional development and maintenance of practical skills. Practitioners should: ▶▶Include ultrasound in their ongoing continued medical education (CME) and continued professional development (CPD) ▶▶Audit their practice ▶▶Participate in multidisciplinary meetings ▶▶Keep up to date with relevant literature An intensive care specialist will need to continue to perform ultrasound scans throughout the remainder of the training programme. Such further ultrasound
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practice may be intermittent, but no more than 3 months should elapse without the trainee using his/her scanning skills.
Prof. Dr. Holger Strunk, Radiologische Universitätsklinik Bonn for preparing these guidelines.
A medical practitioner scanning ▶▶at Level 1 should perform at least 300 ultrasound examinations per year and have regular meetings with ultrasound colleagues, ▶▶to maintain level 2 status the practitioner should perform at least 500 examinations per year, ▶▶at Level 3 the practitioners are supposed to spend much of their time in ultrasound research and education practices in addition to clinical scanning.
Whilst every attempt has been made to provide accurate and useful information, neither EFSUMB nor members of EFSUMB nor other persons or institutions contributing to the formation of these guidelines make any warranty, express or implied, with regard to accuracy, omissions and usefulness of the information herein. Furthermore, the same parties do not assume liability with respect to the use, or subsequent damages resulting from the use of the information contained in these guidelines.
EFSUMB is grateful to Dr. med. Thomas Grau and Dr Tim Mäcken: Klinik für Anästhesiologie, Intensive, Palliativ- und Schmerzmedizin, BG Kliniken Bergmannsheil, Ruhr-Universität Bochum and
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APPENDIX 13: INTENSIVE CARE ULTRASOUND ASSESSMENT SHEET Trainee
Trainer
Trainer Signature
Date
Trainer Signature
Level 2 Knowledge Base & Recommended contents of Theoretical Course • Technologies and interventional procedures in the use of ultrasound
• Diagnosis in thoracic, abdominal ultrasonography, vascular anatomy and pathology
• Safety of ultrasound
• Interventional procedures, vascular access,
• Literature search, internet databases, etc.
thoracic access, abdominal access, regional anaesthesia blocks
• Role of ultrasound compared to other imaging modalities, e.g. magnetic resonance imaging CT Scan etc.
• Quality control • Psychology and ethics
Competencies/Skills to be acquired Level 2 Be able to: Diagnose intensive care emergencies and have knowledge of their management: critical cardial emergencies, critical pulmonal emergencies and critical abdominal emergencies.
I) Produce sufficient and fast diagnosis in all relevant organ systems
II) Interventional procedures
• Abdominal US : ascites, free fluid
• Vascular access in children and adults (both venous & arterial) • Vascular access for different instrumentations (ECMO, balloon-pump)
• diagnosis of vascular aneurysms • Pleural puncture and pericardial puncture • Thoracic US : pneumo- or hematothorax, ARDS, edema of the lung, subpleural lung consolidations • Vascular US : thrombosis, embolus, vena cava diameter, doppler-flow • Nerval US : neuroaxial and peripheral nerve imaging
• Abdominal procedures (puncture of ascites, urinary bladder) • Puncture of the stomach for percutaneus gastrostoma placement • Pre-examination of the trachea for DPT percutaneus tracheotomie • Pain Management : Single shot or continuous catheter techniques (peripheral or neuroaxial nerve blocks)
The Level 2 Intensive Care Physician should be able to hold a documentation of 200 completed cases. A log book of well documented cases (e.g pneumothorax, pleural effusion, cardiac examination, abdominal examination etc.) should be kept.
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Facebook Several organizations and medical congresses are now joining Facebook. This is a great way to keep up to date with congresses that you know you will regularly attend like EUROSON and WFUMB meetings.
Therefore I invite you to create your account on www.facebook,com and search for the „Friends of EUROSON“ as well as „WFUMB 2009“. By this you will join us on the web and help us in getting in contact with you with the latest information. Facebook is a great way of sharing information regardless of where you live. Michael Bachmann Nielsen
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www.euroson2009.org Scientific Programme Abstract Submission deadline – Friday 21st August. Proffered papers will be allocated to the scientific sessions DAY 1- Sunday 6th December TIME 9.00-10.30
Pentland Auditorium Physics 1- Developments in Ultrasound Technology -Doppler Tissue Imaging - Professor Professor Norman McDicken, Edinburgh -Strain Rate Imaging - Dr Jan D‘Hooge, Belgium
10.30- 11.00
Coffee
11.00-12.30
Physics 2- Developments in Ultrasound -Technology 3D Ultrasound Professor Richard Prager, Cambridge -3D ultrasound and flow dynamics Dr Piero Tortoli, Italy
12.30- 13.30
Lunch - Bracco Symposium 12.45 BMUS Annual General Meeting
13.30-15.00
Vascular Ultrasound -AAASP progress to date and future developments - Mr Jonothon Earnshaw, AAA Programme Director -Evidence Based Follow–Up Post EVAR Dr Colin Nice, Gateshead -Ultrasound of Aortic Stent Grafts. Mr Tim Hartshorne, Leicester
15.00-15.30
Tea
15.30 – 17.00
European Federation of Societies for Ultrasound in Medicine & Biology (EFSUMB) Contrast -New Application in Contrast Enhanced Ultrasound Professor Peter Burns, Canada -CEUS of carotid plaque neo-vascularisation -Dr Edoardo Vicenzini, Rome -CEUS in lymph node characterisation - Dr Michael Hocke, Germany -CEUS quantification - Dr Nathalie Lassau, France
17.00-18.00
Sidlaw Suite Renal Imaging -Contrast enhanced Ultrasound in Kidney Tumours - Dr Hans Peter Weskott, Germany -US and Colour Doppler in renal transplantationProfessor Francesco Drudi, Italy
Obstetrics 1 Organising ultrasound in pregnancy- Dr Sturla Eik Nes, Norway Fetal Ultrasound – relevance for adult life- Dr Guttorm Haugen, Norway Fetal Anomaly Screening Programme Dr Trish Chudleigh, Cambridge Prenatal ultrasound and fetal MRI to predict outcome in congenital CMV- Dr Luc de Catte, Belgium
Paediatric Ultrasound -What a Paediatric Nephrologist needs from the Ultrasound Department - Dr Henry Morgan, Liverpool -What a Paediatric Urologist needs from the Ultrasound Department Mr Simon Kenny, Liverpool -Ultrasound in Gastro oesophageal reflux - Dr Stephan Schneider, Spain
Ultrasound imaging of superficial structures -CEUS of the testis- Professor Thierry Puttemans, Belgium
Workshops - Galloway Suite National Point-of-Care Ultrasound (NPoCUS) – Chest Ultrasound in the acute/emergency setting Dr Bob Jarman, Gateshead Dr Jim Connolly, Newcastle
Quiz -The quiz will consist of a competition between the audience and the panel.
Integrated Training Day Lomond Suite Gastroenterology Transabdominal Ultrasound in Gastroenterology: Basic Level
This is a one day workshop aimed at clinicians and sonographers who wish to develop their hands-on skills in ultrasound imaging of the GI tract
Thyroid Imaging Therese Planiol Lecture Elastography of thyroid - Dr H Monpeyssen, France Cystic neck masses - Dr Rhodri Evans, Swansea Thyroid cancer on ultrasound - Dr Arne Heilo, Norway
Obstetrics 2NPoCUS/BMUS Joint session Fetal Assessment Led by Dr Bob Jarman, Gateshead, --3D sweeps in 1st Trimester ultra- Dr Jim Connolly, Newcastle sound Australasian Society for Ultrasound in Medicine (ASUM)President‘s lecture – Professor Ron Benzie Fetal liver circulation- Dr Torvid Kiserud, Norway -The TRUFFLE trial (Trial of umbilical and fetal flow in Europe) trial) - Dr Christoph Lees, Cambridge -Long term follow up of GRIT (Growth Restriction Intervention Trial) - Neil Marlow, London
Donald MacVicar & Brown Lecture Professor Yves Ville - Obstetrics (Paris)
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Fintry Suite
Doppler Ultrasound in the upper Abdomen -Is your abdominal ultrasound practice up to date? This half day workshop will provide demonstrations and hands-on experience for delegates to develop their skills using Doppler in the abdomen. This will be led by national expert Jane Bates.
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www.euroson2009.org Scientific Programme Abstract Submission deadline – Friday 21st August. Proffered papers will be allocated to the scientific sessions DAY 2- Monday 7th December TIME
Pentland Auditorium
Sidlaw Suite
Fintry Suite
Workshops - Galloway Suite
Integrated Training Day Lomond Suite
9.00-10.30
Hepatic Biliary Ultrasound -Hans Henrik Holm Lecture – Ultrasound Guided Ablation of Liver Tumors - Dr Bjørn Skjoldbye, Denmark -The role of ultrasound in liver lesions in cirrhotic and non-cirrhotic liver – Dr Mark Calloway, Bristol -The evaluation of liver fibrosis by ultrasound – Professor Ioan Sporea, Romania
Experimental Vascular/Physics -Intravascular Ultrasound Assessment of Atherosclerosis Professor Ton van der Steen, The Netherlands -Functional imaging of the heart, arteries and muscles. Dr Chris L de Korte, The Netherlands
Breast -BI-RADS in breast ultrasound- Dr Jan Tuma, Switzerland -Ultrasound Evaluation of palpable Breast Abnormalities - Dr Karl-Peter Jungius, Switzerland -Core biopsies versus vacuum assisted biopsies in sonografic breast lesions - Dr Rosanna Zanetti Dällenbach, Switzerland -Mastitis puerperalis: diagnostics and therapy - Dr Cora Vökt, Switzerland
3D/4D Imaging -This half day workshop is designed to review the 3D and 4D technologies, image acquisition, interpretation and clinical applications through a session comprising demonstrations by experts and hands-on experience for delegates. Mr Bill Smith, London
Developing skills in ultrasound scanning for DVT
10.30- 11.00
Coffee
11.00-13.00
Plenary LecturesEUROSON and WFUMB
A comprehensive training day and refresher course which will include practical training sessions on upper limb, fempop and calf DVTs. There will be supporting lectures on upper and lower limb anatomy, scanning guidelines, alternative pathology, service design and delivery issues and reporting skills.
EUROSON Lecture Ultrasound and Endosonography in diagnostics of adrenal diseases - Professor Dieter Nürnberg, President German Society for Ultrasound in Medicine (DEGUM) World Federation for Ultrasound in Medicine and Biology (WFUMB) Lecture – Professor David Evans, Leicester 13.00-14.00
Lunch - Siemens Symposium
14.00 –15.30
Professional IssuesUltrasound service provision outside the NHS -The inception of an independent ultrasound service in a large NHS Trust - Dr David Nicolson, Manchester -When things go wrong with independent service providers – lessons learned - Dr Peter Rowlands National Ultrasound Clinical Guardian, Department of Health -National clinical standards to inform NHS and non NHS service delivery Mrs Julie Walton, On behalf of the Department of Health -Medico-legal implications of practitioners in private practice - Mrs Julie Burnage, Independent Ultrasound Practitioner
15.30-16.00
Tea
16.00 –17.30
Contrast Ultrasound (including Safety of Contrast) -Targeted contrast microbubbles- Professor Peter Burns, Canada -Second Order Ultrasound Filed Imaging (SURF) – a new ultrasound technology - Dr Bjorn Angelsen, Norway
Interventional Procedures
EFSUMB Publications ‘Know-how in publishing a Scientific article’ CEUS Guided intervention - Why -The importance of publishing – Dr Karland How?- Dr Christian Nolsøe, heinz Seitz, Germany Denmark -How to write a Scientific Paper – Dr Jeff Bamber, Surrey -How to read and article, Professor Lucas Greiner, Germany -How to review an article – Dr Emma Chung, Leicester
Bowel Ultrasound -Acute small bowel - Dr Nigel Grunshaw, Darlington -The acute RIF - Dr Tony Higginson, Portsmouth -The role of EUS-FNA in Oncological Staging – speaker tbc
Breast A half day interactive workshop with demonstration, instruction and supervised practice in small groups to include elastography and ultrasound guided interventional techniques in the breast. Mrs Anne-Marie Dixon, Leeds
Debate: Hot Topics Doppler in the first trimester -For – The safety of Doppler ultrasound examinations during the first trimester of Pregnancy- Professor Yves Ville, France -Against Dr Christoph Brezinka, Austria -4D Scanning: The Elephant in the Room -Physicist, Obstetrician, Patient, Sonographer views on souvenir scanning
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DAY 3 - Tuesday 8th December TIME
Pentland Auditorium
9.00-10.30
Introduction to Musculoskeletal Ul- EFSUMB Young Investigator PresGynaecology 1- Ultrasound in trasound 1 entations Emergency Gynaecology -Led by Dr Ian Beggs, Edinburgh -Diagnosing congenital uterine ab-Lecture series to introduce the novice normalities using 3D transvaginal to technology and applications for ulultrasound - Mr Bill Smith, London trasound in -Ultrasound and gynaecological MSK imaging. cancer – current uses, management -Introduction/ shoulder anatomy and future plans – Dr Robert Mac-Shoulder demo Donald, Liverpool -Shoulder pathology -Investigating acute inflammatory -Elbow anatomy/ technique/pathology diseases of the female pelvis- tbc -Wrist anatomy /technique/pathology -Ovarian torsion- An acute gynaecological emergency: Diagnosis and managementProfessor Tom Bourne, London
10.30- 11.00
Coffee
11.00-12.30
Musculoskeletal Ultrasound 2 Led by Dr Ian Beggs, Edinburgh - Knee anatomy/technique/ Pathology - Ankle anatomy/technique/ patthology
12.30-14.00
Lunch- Sonosite Symposium
14.00 – 15.30
UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS) -Expert faculty involved with the trial will present an update and practitioner accreditation for ovarian cancer assessment. -Welcome Professor Ian Jacobs, Director of UKCTOCS -Introduction to UKCTOCS- Mrs Gwen Fletcher, National Lead Sonographer -Sonographers’ perspective of their role in the Trial- Mrs Kathy Ford, Liverpool -Standardisation of scanning for the Trial Professor Stuart Campbell, London -Natural history of ultrasound detected inclusion cysts in postmenopausal women in UKCTOCS Dr Aarti Sharma, Nottingham Day Complex adnexal masses on imagingDr Gill Turner, Derby -Is there a role for CT/MRI in ovarian screening?- Dr Carol Brunell, UCLH -Volunteer Satisfaction Survey for Ultrasound Screening in UKCTOCS- Dr Alex Gentry -Findings on prevalence screening in UKCTOCS Dr Usha Menon, London
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Sidlaw Suite
Fintry Suite
EFSUMB Education and Professional Standards SessionU/S on the web -Overview of ultrasound educational web resources - Professor David Cosgrove, London -How to prepare presentations and organize movies, videos, set up websites make - Dr Lars Thorelius, Sweden -Integration of the EFSUMB course book with the EFSUMB web site - Professor Christoph Dietrich, Germany -Ultrasound CME on the web - Professor Francesco Drudi, Italy -The technical implementations, possibilities and limitations - Mrs Suzanne Cain, Kosmos Design, UK
Gaecology Ultrasound 2Early Pregnancy -Embryological development in early pregnancy- Dr Neil Sebire -What gestation is acceptable for a booking scan? Under 10 weeks is acceptable- Dr Devinder Roberts, Liverpool -What gestation is acceptable for a booking scan? A booking scan must be done over 12 weeks- Dr Kypros Nicholaides, London -The role of 3D sweeps in 1st Trimester imaging- Mr Bill Smith, London
Abdominal Ultrasound (DEGUM) -Differential diagnosis of pancreatic lesionsProfessor Christoph Dietrich, Germany -Ultrasound management of pancreatic transplantation- Dr Giulio Di Candio, Italy -Peritoneum and mesentery- Dr Tony Higginson, Portsmouth
Professional Issues- Issues in advanced & consultant practice for sonographers -The Consultant Ultrasound Practitioner – were they ever born?! - Mr Peter Cantin, Plymouth -Sonographers in advanced practice roles: impact on service delivery, training and governance issues: tbc -Sonographer led HyCoSy service: Mrs Kathy Ford, Liverpool -Sonographer led Amniocentesis service: Jane Williams, Lancashire -Sonographer led Interventional procedures - Mrs Jane Bates, Leeds -Bandings in ultrasound: how to get 8a and 8b gradings! On behalf of the West Midlands Sonographer Action Group
Workshops - Galloway Suite
Integrated Training Day - Lomond Suite
Ultrasound of the Carotids arteries -Can you competently perform ultrasound assessment of the carotid arteries. If the answer to this is no, then this one day training session is definitely for you! This is a growing area of practice given the national stroke strategy. It will cover relevant gross and ultrasound anatomy, system optimization and safety, techniques for scanning the carotids, image interpretation and examples of pathology. There will be time to practice your clinical skills on human models.
Veterinary Ultrasound -Practical scanning session Focus on hearts in all creatures great and small. -Proffered papers.
MSK This MSK workshop will be led by Dr Iain Beggs, an expert Consultant Radiologist in MSK ultrasound. You will have the opportunity to see demonstrations and have hands-on experience under expert guidance of a wide variety of MSK applications.