6 th MUSCULOSKELETAL SONOGRAPHY COURSE. Belgrade, 5 th 7 th October, 2017 INTERMEDIATE LEVEL COURSE

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1 6 th MUSCULOSKELETAL SONOGRAPHY COURSE INTERMEDIATE LEVEL COURSE Belgrade, 5 th 7 th October, 2017 ORGANIZER Rheumatology Association of Serbia SCIENTIFICALLY ENDORSED BY eular

2 Scientific Director Prof. Annamaria Iagnocco MD PhD Rheumatology Unit, Dipartimento di Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Roma, Italy annamaria.iagnocco@uniroma1.it Executive Director Prof. Nemanja Damjanov MD PhD President of Rheumatology Association of Serbia Institute of Rheumatology, University of Belgrade Medical School, Resavska 69, Belgrade, Serbia nemanjadamjanov@yahoo.com Organizing Secretariat Rheumatology Association of Serbia Resavska 69, Belgrade, Serbia Phone: +381/ , +381/ Fax: +381/ ures@ures.org.rs Contact and Technical organizer: Tourist agency Mondorama Cara Dušana 54-72, Dušanov bazar, loc 216, Niš, Serbia +381 (0)18/ , (0)18/ belgrade-course@mondorama.rs

3 GENERAL INFORMATION Congress Venue Best Western Hotel M Bulevar Oslobodjenja 56a, Belgrade Course opening Thursday, October 5 th, Course closing Saturday, October 7 th, :00 Participants Minimal planned number of participants is 30. The number of participants is limited to 40. Official language English Registration is intended to be opened for all EULAR member countries. This Course is recommended for rheumatologists. We offer two options for registration fee: Option A: course, educational material, 3 lunches, 4 coffee breaks, 2 dinners, accommodation (2 nights in Hotel Best Western Hotel M ) Fee: 940. Option B: course, educational material, 3 lunches, 4 coffee breaks, 1 dinner (6 th October) Fee: 700. To register please use on line registration form provided at the web site:

4 To apply for the Intermediate MSUS Course, applicants have to fulfill following requirements: o Participants should have attended the EULAR Introductory US Online course and either a EULAR basic MSUS course or a EULAR scientifically-endorsed basic MSUS course. o Prior to acceptance to the course, applicants should send to the Faculty members a total of 6 normal examinations of each joint region in one Power Point file (i.e. shoulder, elbow, wrist & hand, hip, knee, ankle & foot), according to the EULAR Guidelines for Musculoskeletal Ultrasound in Rheumatology (Ref. Backhaus M, et al. Ann Rheum Dis 2001). o Images should be presented in a power point file. Important: Each slide should include: - One imaged structure each in longitudinal and transverse plane - A legend with the anatomic area, imaged structure and scanning planes - Parameters of the ultrasound machine - Identity of the person scanned should be removed. o The Faculty members need to provide assessment and feedback. Applicants might need to be asked to repeat the ultrasound examinations and submit the images again for assessment by the Faculty. o Upon approval of the assessment, the applicant needs to be asked to register for the course. o The organization and procedures for the above process should be provided by the convenor/organiser of the MSUS intermediate course o Participants should be asked to bring a total of 60 normal ultrasound examinations (each in a power point presentation) on a USB stick to the course. The Faculty reserves the right to randomly request and audit the full set of ultrasound examinations from each participant.

5 FACULTY AND INSTRUCTORS Peter Balint, Hungary Geogre Bruyn, Netherlands Nemanja Damjanov, Serbia Georgios Filippou, Italy Annamaria Iagnocco, Italy Mihaela Micu, Romania Ingrid Möller, Spain Esperanza Naredo, Spain Francesco Porta, Italy Goran Radunović, Serbia Violeta Vlad, Romania Jelena Vojinovic, Serbia Slavica Prodanović, Serbia Milica Basarić, Serbia S. Milutinović, Serbia

6 INTERMEDIATE LEVEL MSUS COURSE OBJECTIVES: To review the systematic standardized sonographic scanning method of each anatomical region, according to the EULAR guidelines To learn colour and power Doppler physics, application, indications and limitations To learn definition, ultrasound presentation and quantification of synovitis, synovial hypertrophy, effusion, erosion, tendinopathy, tenosynovitis, entesitis and degenerative lesions To assess, quantify and/or score joint lesions To learn basic skills to perform sonographic-guided musculoskeletal injections To understand the role of musculoskeletal US in clinical and research practice MAIN TOPICS: Role of colour and power Doppler in rheumatology Colour and power Doppler physics and technology Applications, indication and limitations of colour and power Doppler Ultrasound presentation of synovitis, effusion, erosions, tendinopahties, tenosynovitis, entesitis and degenerative lesions Role of ultrasound in diagnosis and monitoring of metabolic arthritis Role of ultrasound in assessment of skin Role of ultrasound in monitoring patients with inflammatory joint diseases Standards of safety of ultrasound-guided punctures and injections sonographic system WORKSHOP: Practical handling of the ultrasound machine settings and use of Colour and power Doppler technology Supervised scanning of the patients with inflammatory and degenerative joint disease focused on detection of synovitis, effusion, erosions, tendinopathies, tenosynovitis, entesitis and degenerative lesions. Supervised basic sonographic-guided musculoskeletal injections

7 October 5 th 2017, Thursday 11:00-13:00 Registration 12:00-13:00 Lunch 13:00-13:15 Welcome - A. Iagnocco, N. Damjanov 13:15-13:45 Entering test of knowledge (S.Prodanović, S.Milutinović) Chairpersons: A. Iagnocco, E. Naredo 13:45-14:25 Sonographic pattern of the musculoskeletal tissues and technical characteristics and setting of ultrasound equipment for rheumatology (A. Iagnocco) 14:25-15:05 US semiology: synovitis;bursitis; bony cortex abnormalities; ligaments, cartilage, muscles and nerves damage. Definition, detection and quantification (I. Möller) 15:05-16:25 Workshop: Supervised practical handling on the US machine settings. Sonoanatomy: correct acquisition of images in normal musculoskeletal structures and pathology (muscles, tendons, bursae, ligaments, nerves, articular cartilage, joint space, joint recesses, joint capsules and bony profile). 16:25-16:50 Coffee break Chairpersons: G. Bruyn, P. Balint 16:50-17:30 Esential US lesions: Color Doppler and Power Doppler (i.e. basis, optimizing, settings and applications). Color and Power Doppler artifacts (E. Naredo) 17:30-18:00 Esential US lesions: tendinopathies, tenosynovitis (G. Bruyn) 18:00-18:30 Esential US lesions: enthesitis, enthesopathy (P. Balint) 18:30-20:10 Workshop: Color and Power Doppler settings and optimization. Sonoanatomy: correct acquisition of images in normal musculoskeletal structures and pathology (tendons, ligaments, entheses). October 6th 2017, Friday 08:30-10:00 Workshop: Supervised hands-on scanning of patients with inflammatory and degenerative joint and periarticular soft tissues disorders. How to detect and quantify musculoskeletal lesions 10:00-10:20 Coffee break

8 Chairpersons: E. Naredo, F. Porta 10:20-10:50 Standardized scanning of the inflammatory and degenerative shoulder (E.Naredo) 10:50-11:20 Standardized scanning of the inflammatory and degenerative elbow (G. Filippou) 11:20-11:50 Standardized scanning of the inflammatory and degenerative hand and wrist (F. Porta) 11:50 13:20 Workshop: Supervised hands-on scanning of patients with inflammatory and degenerative shoulder, elbow, wrist and hand 13:20-14:30 Lunch Chairpersons: G. Radunovic, V. Vlad 14:30-15:00 Standardized scanning of the inflammatory and degenerative hip (M. Micu) 15:00-15:30 Standardized scanning of the inflammatory and degenerative knee (V. Vlad) 15:30-16:00 Standardized scanning of the inflammatory and degenerative ankle and foot. (G. Radunovic) 16:00-16:20 Coffee break 16:20-18:00 Workshop: Supervised hands-on scanning of patients with inflammatory and degenerative hip, knee, ankle and foot Chairpersons: P. Balint, A. Iagnocco 18:00-18:30 Role of US in the assessment of patients with rheumatoid arthritis (A. Iagnocco) 18:30-19:00 Role of US in the assessment of patients with spondyloarthritis (P. Balint) October 7th 2017, Saturday Chairpersons: G. Filippou, F. Porta Role of US in the diagnosis of crystal arthropathy (G. Filippou) Basic US lesions: cartilage and bone lesions in osteoarthritis (F. Porta) Coffee break Workshop: Supervised hands-on scanning of patients with inflammatory and degenerative joint disorders. How to detect and quantify synovitis (including Power Doppler), cartilage and bony lesions.

9 Chairpersons: N. Damjanov, F. Porta Ultrasonography in systemic sclerosis: from the skin to the lung (F. Porta) Musculoskeletal ultrasonography in pediatric patients: normal and basic pathological findings (J. Vojinovic) Basic skills in sonographic-guided arthrocentesis. (N. Damjanov) Workshop: Basic skills in sonographic-guided arthrocentesis :10 Exit test of knowledge (M. Basaric, S. Milutinovic) and closing remarks (A. Iagnocco, N. Damjanov) 15: Lunch and certificate issuing

10 1 th FOCUSSED COURSE ON ULTRASOUND- GUIDED PROCEDURES Belgrade, 5 th 7 th October, 2017 ORGANIZER Rheumatology Association of Serbia SCIENTIFICALLY ENDORSED BY eular

11 Scientific Director Prof. Annamaria Iagnocco MD PhD Rheumatology Unit, Dipartimento di Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Roma, Italy annamaria.iagnocco@uniroma1.it Executive Director Prof. Nemanja Damjanov MD PhD President of Rheumatology Association of Serbia Institute of Rheumatology, University of Belgrade Medical School, Resavska 69, Belgrade, Serbia nemanjadamjanov@yahoo.com Organizing Secretariat Rheumatology Association of Serbia Resavska 69, Belgrade, Serbia Phone: +381/ , +381/ Fax: +381/ ures@ures.org.rs Contact and Technical organizer: Tourist agency Mondorama Cara Dušana 54-72, Dušanov bazar, loc 216, Niš, Serbia +381 (0)18/ , (0)18/ belgrade-course@mondorama.rs

12 GENERAL INFORMATION Congress Venue Best Western Hotel M Bulevar Oslobodjenja 56a, Belgrade Course opening Thursday, October 5 th, Course closing Saturday, October 7 th, :00 Participants Minimal planned number of participants is 30. The number of participants is limited to 40. Official language English Registration is intended to be opened for all EULAR member countries. This Course is recommended for rheumatologists and/or orthopedic surgeous with special interest in MSUS quided procedures. We offer two options for registration fee: Option A: course, educational material, 3 lunches, 4 coffee breaks, 2 dinners, accommodation (2 nights in Hotel Best Western Hotel M ) Fee: 940. Option B: course, educational material, 3 lunches, 4 coffee breaks, 1 dinner (6 th October) Fee: 700. To register please use on line registration form provided at the web site:

13 To apply for the Focused MSUS Course on ultrasound-guided procedures, applicants have to fulfill following requirements: o Participants should have attended the EULAR Introductory US Online course and either a EULAR basic MSUS course or a EULAR scientifically-endorsed basic MSUS course. o Prior to acceptance to the course, applicants should send to the Faculty members a total of 6 normal examinations of each joint region in one Power Point file (i.e. shoulder, elbow, wrist & hand, hip, knee, ankle & foot), according to the EULAR Guidelines for Musculoskeletal Ultrasound in Rheumatology (Ref. Backhaus M, et al. Ann Rheum Dis 2001). o Images should be presented in a power point file. Important: Each slide should include: - One imaged structure each in longitudinal and transverse plane - A legend with the anatomic area, imaged structure and scanning planes - Parameters of the ultrasound machine - Identity of the person scanned should be removed. o The Faculty members need to provide assessment and feedback. Applicants might need to be asked to repeat the ultrasound examinations and submit the images again for assessment by the Faculty. o Upon approval of the assessment, the applicant needs to be asked to register for the course. o The organization and procedures for the above process should be provided by the convenor/organiser of the MSUS intermediate course o Participants should be asked to bring a total of 60 normal ultrasound examinations (each in a power point presentation) on a USB stick to the course. The Faculty reserves the right to randomly request and audit the full set of ultrasound examinations from each participant.

14 FACULTY AND INSTRUCTORS Peter Balint, Hungary Anastas Batalov, Bulgaria George Bruyn, Netherlands Nemanja Damjanov, Serbia Georgios Filippou, Italy Annamaria Iagnocco, Italy Giasna Kakavouli, Greece Ingrid Möller, Spain Esperanza Naredo, Spain Porin Peric, Croatia Francesco Porta, Italy Jelena Vojinovic, Serbia Marco Matucci-Cerinić, Italy Slavica Prodanović, Serbia

15 October 5 th 2017, Thursday 11:00-13:00 Registration 12:00-13:00 Lunch 13:00-13:15 Welcome and introduction to the course (A. Iagnocco, N.Damjanov) 13:15-13:45 Entering test of knowledge (S. Prodanovic, G. Kakavouli) Chairpersons: I. Möller, G. Bruyn 13:45-14:15 Anatomical and sonographic landmarks for US-guided interventions - lecture (I. Möller) and live demo (P. Balint) 14:15-14:45 Technical characteristics and setting of US equipment for guiding local procedures - lecture (G. Bruyn) and live demo (N. Damjanov) 14:45-15:15 Sonographic patterns of the MS tissues and pathological findings forus guided interventions - lecture (A. Iagnocco) 15:15-15:45 Coffee break Chairpersons: E. Naredo, A. Batalov 15:45-16:15 The armamentarium for intra-articular and peri-articular US-guided procedures in rheumatology (aspirations, injections and biopsies). When and how to use it? (E. Naredo) 16:15-16:30 Disinfection and sterility (A. Batalov) 16:30-18:30 Workshop: Supervised practical use of the US machine: correct acquisition of images in normal MS structures (muscles, nerves, tendons, bursae, ligaments, joint spaces, joint recesses), setting optimization 18:30 19:00 Basic skillis in US-guided interventions: How to chouse the trajectory and how to guide the needle (N. Damjanov) October 6th 2017, Friday Chairpersons: A. Iagnocco, P. Balint 8:30-9:00 US-guided procedures in OA: Which compounds to use and does us guidance improve efficacy? (A. Iagnocco) 9:00 9:30 US-guided procedures in RA and SPA: Which compounds to use and does US guidance improve efficacy? (P. Balint)

16 9:30-10:00 US-guided procedures in crystal-related arthropaties: Which compounds to use and does US guidance improve efficacy? (G. Filippou) 10:00-10:30 Skills in US-guided interventions: (intraarticular and periarticular): shoulder, elbow, hip, knee, tibio-talar join, subtalar joint (P. Peric) 10: 30-11:45 Workshop: handling of the armamentarium for US-guided interventions: disinfection, chousing the trajectory and guiding the needle 11:45-12:00 (10:30.-11:00) Coffee break Chairpersons: G. Bruyn, G. Filippou 12:00 : 12:30 US-guided procedures in loco-regional soft tissue pathologies: Which compounds to use and does US guidance improve efficacy in all joints? (G. Bruyn) 12:30-13:00 Loco-regional aneshesia of peripheral nerves: applications in rheumatology and technique (G. Filippou) 13:00-14:00 Lunch 14:00-16:20 Workshop: Supervised US-guided interventional procedures (intraarticular and periarticular): Shoulder, elbow, hip, knee, tibio-talar joint, subtalar joint 16: Coffee break Chairpersons: M. Matucci-Cerinic, J. Vojinović 16:40-17:10 US-guided procedures in pediatric rheumatology (J. Vojinović) 17:10-17:40 US-guided skin injections: When, Why and How (F. Porta) 17:40-18:20 Skills in US-guided interventions: wrist and hand, carpal tunnel, MTP joints, Sacroiliac joints, tendons, enthesis, nerves (J. Kakavouli) October 7th 2017, Saturday 08:30-10:30 Workshop: supervised US-guided interventional procedures: wrist and hand, carpal tunnel, MTP joints, subtalar joint tendons, enthesis, nerves. 10: Coffee break 11:00-11:30 Exit test of knowledge (G. Kakavouli) 11:30-12:10 Issuance of certificates and closing remarks (N. Damjanov, A. Iagnocco) 14: Lunch

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