EULAR 25th Jubilee EULAR Sonography Course Basic, Intermediate and Advanced Musculoskeletal Ultrasound (MSUS) in Rheumatology

Transcription

1 EULAR 25th Jubilee EULAR Sonography Course Basic, Intermediate and Advanced Musculoskeletal Ultrasound (MSUS) in Rheumatology Sunday 10th Wednesday 13th June 2018 Amsterdam, Netherlands

2 ORGANISATION AND COMMITTEE Scientific organisers George Bruyn Cees Haagsma Marion Kortekaas Nanno Swen Faculty Peter Balint, Hungary; David Bong, Spain; George AW Bruyn, Netherlands; Maria Antonietta D Agostino, France; Nemanja Damjanov, Serbia; Andrea Delle Sedie, Italy; Frederique Gandjbakhch, France; Giorgios Filippou, Italy; Emilio Filippucci, Italy; Walter Grassi, Italy; Cees Haagsma, Netherlands; Hilde Berner Hammer, Norway; Petra Hanova, Czech Republic; Annamaria Iagnocco, Italy; Sandrine Jousse-Joulin, France; David Kane, Ireland; Zunaid Karim, UK; Juhani M Koski, Finland; Marion Kortekaas, Netherlands; Peter Mandl, Hungary; Ingrid Möller, Spain; Esperanza Naredo, Spain; Wolfgang Schmidt, Germany; Marcin Szkudlarek, Denmark; Nanno Swen, Netherlands; Lene Terslev, Denmark; Giorgio Tamborrini, Switzerland; Richard J Wakefield, UK. Special Guest Faculty Jose Antonio Bouffard, USA ; Carlo Martinoli, Italy; Klaus-V Jenderka, Germany; Ai Lyn Tan, UK Hands on Tutors Hetty Baan, Netherlands; Dianne Berendsen, Netherlands; Dennis Boumans, Netherlands; Mario Chávez, México; Andreas Diamantopoulos, Norway; Andrew Filer, United Kingdom; Andreas Gerards, Netherlands; Daniela Fodor, Romania; Lindy-Anne Korswagen, Netherlands; Gavin Lee, HK; Henk Martens, Netherlands; Marieke van Onna, Netherlands; Sarah Ohrndorf, Germany; Richard van Vugt, Netherlands; Violeta Vlad, Romania; Saskia ten Wolde, Netherlands. 2

3 Organising secretariat The 25th EULAR Sonography Course will be run simultaneously at three levels, basic, intermediate and advanced, each of them being a combination of lectures and hands-on scanning of models and/or patients with musculoskeletal disorders in small groups with experienced tutors. The course has been designed following the recommendations for the content and conduct of EULAR musculoskeletal ultrasound courses (Naredo E, Bijlsma JWJ, et al. Ann Rheum Dis 2008; 67: ). Organising secretariat M: eular.usc.reg@mci-group.com T: F: W: GENERAL INFORMATION Courses venue Steigenberger Airport Hotel Stationsplein ZW 951, 1117 CE Schiphol-Oost Website Courses Prices (applicable for all levels) - Until 9 May 2018: EUR From 10 May 2018: EUR Courses rooms at the venue Basic: TBC Intermediate: TBC Advanced: TBC Coffee Breaks: TBC Lunch & Dinner: TBC Course opening: Sunday 10 th June 2018 at 13:00 hrs Course closing: Wednesday 13 th June 2018 at 13:00 hrs 3

4 Official language: English COURSE DESCRIPTION The BASIC COURSE will focus on learning ultrasound physics, image acquisition, normal sonoanatomy, the standardised examination techniques and ultrasound findings in basic pathology. Basic course is recommended for participants with little or no experience in MSUS. Completion of the EULAR On-line Introductory Ultrasound Course is highly recommended before participating in a EULAR basic-level course and is a mandatory requisite for passing successfully the EULAR Competency Assessment level 1 in MSUS in Rheumatology. See Learning objectives To know the application, indications and limitations of MSUS in rheumatology. To know the ultrasound physics and technology. To identify the sonographic pattern of the different musculoskeletal tissues. To recognize musculoskeletal artefact and pitfalls. To hold the probe, to optimize B-mode settings of the ultrasound equipment and to acquire ultrasound images. To identify MSUS anatomy of each major anatomic area (i.e. shoulder, elbow, wrist and hand, hip, knee, ankle and foot). To learn the systematic standardised scanning technique for each major anatomic area (i.e. shoulder, elbow, wrist and hand, hip, knee, ankle and foot). To document images and to report ultrasound findings and diagnosis. To detect and identify basic MSUS abnormalities (e.g. joint effusion and synovial hypertrophy, tenosynovitis, enthesopathy, complete tendon tear, calcifications, bursitis, bone erosions and osteophytes, cartilage damage). The INTERMEDIATE COURSE will focus on a wide spectrum of rheumatic and musculoskeletal pathologies. Previous performance of a minimum of 10 standardised MSUS examinations of each joint region (i.e. shoulder, elbow, wrist & hand, hip, knee, ankle & foot) and attendance to a basic MSUS course (either a EULAR MSUS course, a EULAR scientifically endorsed course, or a national MSUS course) is highly recommended before participating in a EULAR intermediate-level course and mandatory for successfully completing the EULAR intermediate-level course (EULAR Competency Assessment in MSUS in Rheumatology) See also Learning objectives To know the Doppler physics, technology, settings and artefacts. 4

5 To know the application, indications and limitations of Doppler in rheumatology. To identify the spectrum of rheumatic and musculoskeletal abnormalities in each anatomic area (e.g. joint synovitis, tenosynovitis, enthesopathy, tendinosis, paratenonitis, tendon sub/luxation, tendon impingement, tendon tears, bone erosions, osteophytes, ganglia and cysts, articular cartilage lesions, peri- and intraarticular microcrystal deposit, soft tissue calcifications). To detect and quantify synovial, tenosynovial, and entheseal inflammation. To detect and quantify structural joint damage (i.e. bone, tendons, cartilage). To perform sonographic-guided periarticular and intra-articular injections. The ADVANCED COURSE will focus on advanced technological aspects, research, complex anatomic areas and difficult pathologies, paediatric rheumatic diseases, overuse and sport related disorders, and miscellaneous organs involved in rheumatic diseases such as skin, nail, lung, salivary glands, vessels, and nerves. Previous performance of a minimum of 200 pathological MSUS examinations and attendance to an intermediate MSUS course (either a EULAR MSUS course or a EULAR scientifically endorsed course) is highly recommended before participating in a EULAR advanced-level course and mandatory for successfully passing the EULAR advanced-level course and receiving the EULAR US competency level 1 certificate (EULAR Competency Assessment in MSUS in Rheumatology). See also Learning objectives To update evidence-based knowledge and emerging research fields on MSUS in rheumatic and musculoskeletal diseases. To score intra-articular and periarticular inflammatory activity and structural joint damage. To know advanced use of Doppler modes. To assess complex anatomic areas and difficult abnormalities. To assess abnormalities related to rheumatic diseases in the skin, nail, lung, salivary glands, vessels, and nerves. To know the role of MSUS in paediatric rheumatic diseases. To assess overuse and sport-related lesions. To know technological ultrasound advances. Course certification A certificate of attendance will be supplied to all participants and certificates corresponding to each level according to the EULAR Competency Assessment in MSUS in Rheumatology will be supplied to all participants having successfully completed the courses ( Course evaluation 5

6 You will be kindly asked to evaluate the courses with respect to educational content, course organisation and venue. Ii is mandatory to fill out the online survey. PROGRAMME BASIC COURSE Sunday 10 th June 2018 Basic Course Time Session Speaker Registration Welcome. Objectives and content of the course. EULAR Competency assessment in MSUS 14: Chairs: W. Schmidt & N. Damjanov History, development, and physics of MSUS. Technical characteristics of US equipment appropriate for rheumatic and musculoskeletal diseases US pattern of the different musculoskeletal tissues (i.e. tendons, muscles, ligaments, nerves, articular cartilage, joint space, joint recesses, joint capsules, and bone profile) Holding the probe. B-mode settings optimization. B-mode artefacts and pitfalls Coffee break Workshop (models). Supervised practical handling of the probe and B-mode settings. US appearance of musculoskeletal tissues and structures (i.e. tendons, muscles, ligaments, nerves, articular cartilage, joint space, joint recesses, joint capsules, and bone profile). B-mode artefacts and pitfalls Chair: W. Schmidt Basic MSUS abnormalities: definitions and findings (i.e. joint effusion and synovial hypertrophy, tenosynovitis, enthesopathy, tendon rupture, bursitis, calcifications, bone abnormalities, cartilage damage) Monday 11 th June 2018 Basic Course N. Swen N. Damjanov W. Grassi N. Damjanov D. Kane A. Iagnocco Time Session Speaker Chairs: P. Hanova & Z. Karim Application, indications, and limitations of MSUS in rheumatic Z. Karim and musculoskeletal diseases Documentation of US images and report of US findings A. Delle Sedie Standardised scanning of the elbow (20 min) (P. Hanova) P. Hanova & Live demo (20 min) (D. Bong) D. Bong 6

7 Basic pathological findings (20 min) (P. Hanova) Coffee break Workshop. Supervised standardised scanning of the elbow (models). Basic pathological findings (patients) Lunch Chair: A. Delle Sedie Standardised scanning of the knee (20 min) (G. Filippou) Live demo (20 min) (E. Filippucci) Basic pathological findings (20 min) (G. Filippou) Standardised scanning of the hip (20 min) (D. Kane) Live demo (20 min) (Z. Karim) Basic pathological findings (20 min) (D. Kane) Coffee break Workshop. Supervised standardised scanning of the hip (models). Basic pathological findings (patients) G. Filippou & E. Filippucci D. Kane & Z. Karim Tuesday 12 th June 2018 Basic Course Time Session Workshop. Supervised standardised scanning of the knee (models). Basic pathological findings (patients) Coffee break Chairs: Z. Karim & P. Mandl Standardised scanning of the wrist and hand (20 min) (Z. Karim) Live demo (20 min) (H. Berner Hammer) Basic pathological findings (20 min) (Z. Karim) Standardised scanning of the ankle and foot (20 min) (P. Mandl) Live demo (20 min) (M. Szkudlarek) Basic pathological findings (20 min) (P. Mandl) Lunch Workshop. Supervised standardised scanning of the wrist and hand (models). Basic pathological findings (patients) Coffee break Workshop. Supervised standardised scanning of the ankle and foot (models). Basic pathological findings (patients) Z. Karim & H. Berner Hammer P. Mandl & M. Szkudlarek 7

8 Wednesday 13 th June 2018 Basic Course Time Session Chair: M. Szkudlarek Standardised scanning of the shoulder (30 min) (M. Szkudlarek) Live demo (30 min) (A. Iagnocco) M. Szkudlarek & A. Iagnocco Basic pathological findings (30 min) (M. Szkudlarek) Anatomy and ultrasound of the enthesis A.L. Tan Coffee break Workshop. Supervised standardised scanning of the shoulder (models). Basic pathological findings (patients) Closing Remarks E. Naredo INTERMEDIATE COURSE Sunday 10 th June 2018 Intermediate course Time Session Registration Welcome. Objectives and content of the course. EULAR Competency assessment in MSUS C. Haagsma & L. Terslev Chairs: P. Hanova & E. Naredo Doppler physics and technology. Doppler setting optimization. L. Terslev Doppler artefacts and pitfalls Applications, indications and limitations of Doppler in rheumatic E. Filippucci and musculoskeletal diseases B-mode and Doppler synovitis and tenosynovitis. Definition, P. Balint detection, quantification, and pitfalls Coffee break Workshop. Supervised practical handling of Doppler US machine settings and Doppler artefacts. Supervised hands-on scanning of patients with synovitis and tenosynovitis Chair: E. Filippucci US of crystal arthropathies G. Filippou 8

9 Monday 11 th June 2018 Intermediate Course Time Session Chairs: A. Diamanthopoulos & J. Koski Physical/technical limitations of medically applied ultrasound K. Jenderka US bone abnormalities. Definition, detection, quantification, and F. Gandjbakhch pitfalls US cartilage abnormalities. Definition, detection, quantification, and pitfalls H. Berner Hammer B-mode and Doppler enthesopathy and dactylitis. Definition, M.A. D Agostino detection, quantification, and pitfalls Coffee break Workshop. Supervised hands-on scanning of patients with enthesopathy, dactylitis, tendon lesions, bone and cartilage abnormalities, and crystal artropathies Lunch Chairs: H. Berner Hammer & E. Naredo US diagnosis of hip pathology (20 min). (R. Wakefield) Live demo (20 min) (E. Naredo) US diagnosis of knee pathology (20 min) (P. Balint) Live demo (20 min) (H. Berner Hammer) R. Wakefield & E. Naredo P. Balint & H. Berner Hammer P. Hanova & F. Gandjbakhch US diagnosis of elbow pathology (20 min) (P. Hanova) Live demo (10 min) (F. Gandjbakhch) Anatomic unravelling of the enthesis L.A. Tan Coffee break Workshop. Supervised hands-on scanning of patients with elbow, hip and knee inflammatory and degenerative diseases Tuesday 12 th June 2018 Intermediate Course Time Session Chairs: G. Filippou & E. Naredo US diagnosis of wrist and hand pathology (40 min) (D. Bong) Live demo (20 min) (P. Mandl) US diagnosis of ankle and foot pathology (40 min) (P. Mandl) Live demo (20 min) (P. Balint) Coffee break Workshop. Supervised hands-on scanning of patients with wrist/hand and ankle/foot inflammatory and degenerative diseases Lunch D. Bong & P. Mandl P. Mandl & P. Balint 9

10 Chairs: TBC US diagnosis of shoulder pathology (60 min) (E. Filippucci) Live demo (30 min) (R. Wakefield) E. Filippucci & R. Wakefield How to create your best US slides W. Grassi Coffee break Workshop. Supervised hands-on scanning of patients with shoulder inflammatory and degenerative diseases Wednesday 13 th June 2018 Intermediate Course Time Session Chair: C. Haagsma US-guided periarticular and intra-articular injections J. Koski Coffee break Workshop. Supervised US-guided injections Closing Remarks C. Haagsma & I. Möller ADVANCED COURSE Sunday 10 th June 2018 Advanced Course Time Session Speaker Registration Welcome. Objectives and content of the course. EULAR Competency assessment in MSUS Chairs: P. Balint & F. Gandjbakhch G. Bruyn & M. Kortekaas Physical characteristics of medically applied ultrasound K. Jenderka Use of Doppler modes in rheumatic and musculoskeletal L. Terslev diseases: what s new? Coffee break Chairs: TBC Anatomic unravelling of the enthesis L.A. Tan Workshop. Supervised US assessment and discussion of patients with rheumatoid arthritis, spondyloarthitis, and osteoarthritis 10

11 Monday 11 th June 2018 Advanced Course Time Session Speaker Chairs: S. Jousse-Joulin & G. Tamborrini Complex anatomic areas (scanning) and difficult US abnormalities G. Tamborrini (diagnosis) in the wrist and hand Complex anatomic areas (scanning) and difficult US abnormalities C. Martinoli (diagnosis) in the shoulder and elbow Role of MSUS in paediatric rheumatic diseases; performance and S. Jousse-Joulin indications Coffee break Workshop. Supervised hands-on scanning and discussion of patients with difficult US diagnosis in the upper limb Lunch Chairs: W. Schmidt & R. Wakefield Complex anatomic areas (scanning) and difficult US abnormalities (diagnosis) in the knee Complex anatomic areas (scanning) and difficult US abnormalities (diagnosis) in the ankle and foot US in vasculitis: scanning and novel EULAR/ACR criteria (40min) (W. Schmidt) Live demo (20min) (A. Diamanthopoulos) Coffee break Workshop. Supervised hands-on scanning and discussion of patients with difficult US diagnosis in the lower limb and vascular lesions Tuesday 12 th June 2018 Advanced Course G. Tamborrini I. Möller W. Schmidt & A. Diamanthopoulos Time Session Speaker Chair: W. Schmidt & I. Möller Anatomy of the synovial recesses, synovial sheaths, enthuses, and I. Möller bursae: how to enhance your knowledge US assessment of overuse and sport-related lesions C. Martinoli Coffee break Workshop. Supervised hands-on scanning and discussion of patients with overuse and sport-related lesions US assessment of vessel wall changes: what s new? W. Schmidt Lunch Chairs: J. Koski & S. Jousse-Joulin US assessment of salivary glands in Sjögren s syndrome S. Jousse-Joulin Advanced US-guided procedures J. Koski 11

12 Complex anatomic areas (scanning) and difficult US abnormalities I. Möller (diagnosis) in the hip and pelvis region US assessment of peripheral nerves in rheumatic diseases C. Martinoli Coffee break Workshop. Supervised hands-on scanning of non-musculoskeletal organs in patients with rheumatic diseases Wednesday 13 th June 2018 Advanced Course Time Session Speaker Chairs: W. Grassi & W. Schmidt Applications, limitations and pitfalls of B-mode and Doppler US E. Naredo that can impact on current MSUS performance/diagnostic capability and potential developments that can enhance MSUS performance/diagnostic capability Assessment of scleroderma skin and lung A. Delle-Sedie Coffee break Chairs: G. Bruyn & M. Kortekaas Practical assessment (EULAR COMPETENCY LEVEL 1). Faculty discussion Each participant will perform a 10 minute US examination of two consecutive patients including documentation and report of two different anatomic areas with basic abnormalities supervised and assessed by two teachers (so 20 minutes/participant) Graduation followed by Closing Remarks G. Bruyn & M. Kortekaas 12