ISMRM & SMRT Annual Meeting • 15-20 May 2021

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Sunrise Session

Frontiers in Musculoskeletal MRI

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Frontiers in Musculoskeletal MRI
Sunrise Session
ORGANIZERS: Jan Fritz, Kimberly Amrami, Hiroshi Yoshioka, Xiaojuan Li
Wednesday, 19 May 2021
Concurrent 7 13:00 -  14:00 Moderators: James Griffith & Edwin Oei
Skill Level: Intermediate to Advanced
Session Number: S-03c
Parent Session: Hot Topics in MSK MRI

Session Number: S-03c

Overview
This course will review and illustrate state-of-the-art DWI, spectroscopy, and perfusion MRI techniques and their application for the diagnosis and monitoring of treatments of musculoskeletal conditions.

Target Audience
Radiologists, clinicians, technologists, and scientists interested in learning about applying diffusion-weighted imaging, spectroscopy, and perfusion MRI for the evaluation of musculoskeletal diseases.

Educational Objectives
As a result of attending this course, participants should be able to:
- Describe the role of diffusion-weighted imaging, MR spectroscopy, and perfusion MRI for diagnosis and treatment monitoring of musculoskeletal disorders;
- Apply state-of-the-art techniques for comprehensive semi-quantitative and qualitative MRI evaluation of musculoskeletal conditions; and
- Apply the spectrum of diffusion-weighted, MR spectroscopy, and perfusion MRI techniques to complement conventional clinical MRI protocols.

  Perfusion & Contrast Kinetics

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Rianne Van der Heijden
This lecture will provide a clinical and technical perspective on MR perfusion methods and tracer kinetics in musculoskeletal imaging! We will start with the background of different MR perfusion techniques, such as DSC, DCE, ASL and BOLD. Next, a basic understanding of tracer kinetics will be provided and specific challenges in musculoskeletal imaging will be discussed. We move on to MSK applications and end with tips and tricks to get you started.
  Frontiers in Noncontrast Imaging: DWI & Spectroscopy

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Laura Fayad
This talks focuses on the benefits of incorporating the non-contrast techniques of DWI and MR spectroscopy into a clinical MRI protocol for the evaluation of musculoskeletal tumors. DWI is a fast technique that provides information on the cellularity of lesions. DWI is useful for defining tumor extent by differentiating perilesional inflammation from perilesional tumoral infiltration. DWI is also helpful for characterizing lesions for malignancy, distinguishing viable tumor from post-treatment fibrosis and necrosis, and for distinguishing tumor recurrence from nodular fibrosis following surgery. Proton MR spectroscopy offers metabolic biomarkers of malignancy that can be used for lesion characterization and treatment response.

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