3rd MUSCULOSKELETAL SONOGRAPHY COURSE FOR RHEUMATOLOGISTS - INTERMEDIATE LEVEL -

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1 3rd MUSCULOSKELETAL SONOGRAPHY COURSE FOR RHEUMATOLOGISTS - INTERMEDIATE LEVEL - Bucharest, Romania October, 13th-15th 2016 Organizer: Romanian Society of Rheumatology Prof. Dr. Ruxandra Ionescu Course opening Thursday, Oct 13th, 2016 h Course Directors: Prof. Dr. Annamaria Iagnocco Dr. Violeta Vlad Course closing Saturday, Oct 15th, 2016 h Official language English This course is scientifically endorsed by

2 Participants The number of participants is limited to 36. A maximum number of 6 participants will be supervised by a tutor in practical sessions. Participants will meet the criteria required by EULAR. The Courses will be opened for registration for all EULAR member countries. Course Venue Sf. Maria Clinical Hospital Ion Mihalache Bd ,sector , Bucharest, Romania Phone, fax +40/ Accreditation process The Course will be CME accredited by the Romanian Ministry of Health. Course evaluation Formal evaluation will be performed by all attendees at the end of the course. A test of knowledge will be issued at the beginning and the end of the course, to mark the differences in participants' knowledge level. Sponsorship Sponsorship will be provided by pharmaceutical companies and ultrasound manufacturers. Sponsors will have no interference with the course programme, its contents or speakers. Manufacturers of ultrasound machines will provide the equipment for the courses free of charge. REGISTRATION Participation fee 850 EURO (fee includes participation tax and all lunches and coffee breaks during the course) (go to form registration)

3 Registration, booking and payment should be made throught the execution of the travel agency Ella Traveland Address: 134, Constantin Noica St., Bucharest; Phone/fax: , Mobile : , website: Bank details: ING BANK N.V. AMSTERDAM BRANCH BUCHAREST Bank address: 13 Kiseleff Avenue, Bucharest, sector 1 IBAN: RO11INGB (EUR) RO09BUCU RO01 (RON) SWIFT CODE: INGBROBU BIC: Statute Participants should have attended a EULAR basic MSUS course or a EULAR scientifically-endorsed basic MSUS course Prior to acceptance in 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). 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 - Identidy of the person scanned should be removed. The Faculty members will provide assessment and feedback. Applicants might be asked to repeat the ultrasound examinations and submit the images again for assessment by the Faculty.

4 Upon approval of the assessments the applicant will be asked to register for the course The organization and procedures for the above process should be provided by the convenor/organizer of the MSUS intermediate course. Participants should 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 for every participant. The payment fee from the participants will be postponed until the images are approved by faculty members. OBJECTIVES to review the systematic syandardized sonographic scanning method of each anatomical region, according to eular guidelines to learn about color and power doppler physics, applications, indications and limitations to learn definition, ultrasonographic evaluation and quantification of synovitis, synovial hypertrophy, effusion, erosion, tendinopathy, tenosynov it is, enthesitis and degenerative lesions to learn semiquantitative scoring method application for joints, tendons, enthesitis to learn performing basic ultrasound guided injections WORKSHOPS Learning of the main practical issues connected to machine handling regarding Power Doppler and Color Doppler settings Supervised standardized scanning of the inflammatory and degenerative hip, knee, ankle and foot, shoulder, elbow, wrists and hands Supervised basic technique of sonographic guided injections

5 FACULTY Annamaria Iagnocco, Italy, Faculty Esperanza Naredo, Spain, Faculty Peter Balint, Hungary, Faculty Nemanja Damjanov, Serbia, Faculty Juhani Koski, Finland, Faculty Peter Mandl, Hungary, Faculty Francesco Porta, Italy, Faculty Mihaela Micu, Romania, TTT, tutor in EULAR MSUS courses Daniela Fodor, Romania, TTT, tutor in EULAR MSUS courses Violeta Vlad, Romania, TTT, tutor in EULAR MSUS courses INSTRUCTORS Mihaela Micu, Romania, TTT, tutor in EULAR MSUS courses Daniela Fodor, Romania, TTT, tutor in EULAR MSUS courses Violeta Vlad, Romania, TTT, tutor in EULAR MSUS courses Goran Radunovic, tutor in EULAR MSUS courses Francesco Porta, Italy, Faculty Rodina Nestorova, Bulgaria, tutor in EULAR MSUS courses Porin Peric, Croatia, tutor in EULAR MSUS courses Florian Berghea, Romania, EULAR level 1 competency certificate Florin Vreju, Romania, TTT Iustina Janta, Romania, TTT Corina Bocsa, Romania Luminita Varzaru, Romania

6 CONTACT Organizing Secretariat (Contact persons) Dr. Violeta Vlad Sf. Maria Clinical Hospital tel: mobile: Dr. Florian Berghea Sf. Maria Clinical Hospital tel: mobile: Contact persons will make sure applicants for the intermediate course send appropriate images (according to EULAR guidance) and will further resend the images to faculty members. Applicants should wait for faculty feed-back before registration to the intermediate course. The application for intermediate course will be placed on the site which will display the recommendations from EULAR to applicants for intermediate course. The requested images will be also placed on the site. PROGRAMME Day 1, October 13th :00-14:00 Registration and lunch 14:00-14:15 Welcome - A Iagnocco, E. Naredo, R. Ionescu 14:15-14:40 Test of knowledge Chairpersons: A. Iagnocco, E. Naredo 14:40-15:20 Sonographic pattern of musculoskeletal tissues and technical characteristics and setting of ultrasound equipments for rheumatology - A. Iagnocco 15:20-16:00 Color Doppler and Power Doppler- basic- optimizing

7 16:00-16:30 Coffee break settings and applications - E. Naredo 16:30-17:40 Workshop. Supervised practical handling of the US machine- settings, correct image acquisition, normal MS structures sonoanatomy. Doppler settings and optimization. 17:40-18:30 Basic US lesions: synovitis, bony cortex and cartilage. Definition, detection and quantification - N. Damjanov Day 2, October 14 th, :00-10:20 Workshop. Supervised hands on scanning of patients with inflammatory and degenerative joint disorders. Detection and quantification of synovitis, tenosynovitis, cartilage lesions and erosions. 10:20-10:30 Coffee Break Chairpersons: E. Naredo, P. Balint 10:30-11:00 Color and Power Doppler artifacts - E. Naredo 11:00-11:30 Basic ultrasound lesions: tendinopathies, tenosynovitis - V. Vlad 11:30-12:00 Basic US lesions: enthesitis, enthesopathy - P. Balint 12:00-13:00 Workshop. Supervised hands on scanning of patients with inflammatory and degenerative joint and periarticular soft tissues disorders. Quantification of US pathology 13:00-14:30 Lunch Chairpersons: M Micu, P. Mandl 14:30-14:50 Basic US lesions: cartilage and bone lesions - F. Porta 14:50-15:15 Standardized scanning of the inflammatory and degenerative shoulder - J. Koski

8 15:15-15:40 Standardized scanning of the inflammatory and degenerative elbow - M. Micu 15:40-16:00 Standardized scanning of the inflammatory and degenerative hip - P. Mandl 16:00-16:20 Coffee break 16:20-18:00 Workshop. Supervised hands on scanning of patients with inflammatory and degenerative shoulder, elbow, hip Day 3, October 15 th, 2016 Chairpersons: D. Fodor, J. Koski 09:00-09:25 Standardized scanning of the inflammatory and degenerative hand and wrist - J. Koski 09:25-09:50 Standardized scanning of the inflammatory and degenerative ankle and foot - F.Porta 09:50-10:15 Role of US in the diagnosis of cristal arthropathy. - D. Fodor 10:15-10:40 Standardized scanning of the inflammatory and degenerative knee - P. Mandl 10:40-11:00 Coffee break 11:00-12:30 Workshop. Supervised hands on scanning of patients with inflammatory and degenerative hand, wrist, knee, ankle, foot 12:30-13:15 Basic skills in sonographic guided arthrocentesis - M. Micu 13:15-14:30 Workshop Basic skills in sonographic guided arthrocentesis 14:30-15:00 Test of knowledge

9 15:00 Lunch