Fourth International Workshop on Diagnostic and Interventional Prostate MRI
April 2019, Thursday 11th, 8.30 AM-5.30 PM and Friday 12th, 9.00 AM-01.00 PM
Cochin Hospital, Paris, France
François Cornud, M.D.,Hôpital Cochin, Department of Radiology (Pr Legmann),
Teaching course program of Paris Descartes University on Prostate MRI
Lectures (40%) and hands-on practical cases on workstations (60%).
Interactive voting system.
Matthias Barral*, University Paris Descartes, Paris, France
Tristan Barrett*, University of Cambridge, United Kingdom
Frédéric Beuvon**, Université Paris Descartes, Paris, France
Joyce Bomers*, Radboud University Medical Center, Nijmegen, the Netherlands
Loïc Colléter*, Université Paris Diderot , Paris, France
François Cornud*, Université Paris Descartes, Paris, France
Sangeet Ghai*, University of Toronto, Canada
Matthias Röthke*, Conradia Imaging Center, Hamburg, Germany
*Department of Radiology, **Department of Pathology
The course has been granted 14 European CME credits (ECMEC®s) by the European Accreditation Council for Continuing Medical Education (EACCME®).
Objective of the workshop: to handle the PI-RADS score
The use of prostate MRI is expanding, as demonstrated by the growing evidence of its clinical utility. However, prostate MRI remains difficult to handle for detecting tumor foci of PCa, assigning a PIRADS category to visible lesions, assessing tumor local extent or detecting tumor local recurrence after radical treatment.
Potential issues may be related to technical problems during image acquisition, or to the limitations of the score itself, especially in the assignement of a score 3 or 4. The aim of the workshop is address all these issues.
Attention has been paid to several specific features : :
The availability of workstations allowing for a true-life interpretation of numerous prostate cases, with all clinical and biological available for interpretation. The cases will then be commented by the experts.
The correlation with the histology of whole mount radical prostatectomy specimens,an invaluable source of information on the MRI appearance of cancers difficult to detect by MRI.
A question-and-answer electronic voting system that will evaluate the learning curve throughout the workshop, ensuring a high interactivity and allowing for exchanges with experts. The format of the workshop allows it because it is limited to 40 people.
At the end of this day, participants will know :
- How to accurately use the PIRADS 2018 version v2.1
- Why prostate MRI before biopsy is recommended
- Why targeted biopsies only may become a standard of care
- Where to look for signs of tumor extra-prostatic extension to discuss the therapeutic option
- The value of DWI to estimate tumor aggressiveness, by correlationg the ADC map with the Gleason score.
- How to detect local recurrence after radical treatment
- The different techniques of MR-guided focal therapy.
08.15-08.45 : Welcome and registration
08.45-09.15 : What about the sequences: basic technical knowledge and beyond (Matthias Röthke)
09.15-10.00 : PI-RADSv2.1: concept, merits and limits. Pros and cons of a biparametric approach (Tristan Barrett)
10.00-10.30 : Warm-up: presentation and discussion of three cases (Loïc Colleter)
10.30-11.00 : Self assessment of 8 cases on workstations
11.00-11.15 : Tea or coffee?
11.15-11.45 : T2W-MRI features of TZ lesions (François Cornud)
11.45-12.15: Extraprostatic extension: what to look for and where? (Matthias Barral)
12.15-12-45 : Discussion of the 8 cases (Matthias Röthke, Loïc Colleter)
Thursday afternoon: Detection and cases
13.30-14.15 : 10 cases
14.15-15.00 : Discussion of the 10 cases (Matthias Barral)
15.00-15.30 : Correlation of the ADC map and the surgical Gleason score: where are the pitfalls? (François Cornud, Frédéric Beuvon)
15.30-16.00 : Artificial Intelligence and diagnosis of prostate cancer: are radiologists going to loose their jobs? (Matthias Röthke)
16.00-16.30: 6 cases
16.30-17.00 : Tea or coffee?
17.00-17.30 : Discussion of the 6 cases (Tristan Barrett, Loïc Colleter)
Friday morning: Interventional prostate MRI and cases
08.30-09.00 : MR-targeted biopsies: TRUS-MRI image fusion and in-bore MRI guidance: are we ready for a targeted biopsy only strategy? (François Cornud, Joyce Bomers)
09.00-09.30 : Rationale of focal treatment (Sangeet Ghai)
09.30-10.30 : 12 cases
10.30-10.45 : Coffee
10.45-11.30 : Discussion of the 12 cases (François Cornud, Sangeet Ghai)
11.30-11.55 : In-bore cryo and laser ablation (Joyce Bomers)
11.55-12-20 : In-bore HIFU (Sangeet Ghai)
12-20-12.40 : In-bore TULSA (Matthias Röthke)
12.40-13.10 : Joint discussion
13.10-13.50 : Lunch
Friday afternoon: Evaluation of high risk cancers and more cases
13.50-14.15 : Nodes and bone staging: whole-body MRI and PSMA (Matthias Röthke)
14.15-14.40 : Recurrences after radical treatment (Loïc Colleter)
14.40-15.40 : 12 cases
15.40-16.30 : Discussion of the 12 cases (Loïc Colleter, Mathias Barral)
16.30 : Closing remarks
The amphitheatre is very close to the car entry of the hospital, 10 rue Méchain, 75014, Paris
Public transports :
- RER : Denfert-Rochereau (500m)
- METRO : Denfert-Rochereau (lines 6 and 4), Saint-Jacques (line 6)
- BUS : 28 – 38 – 68 – 88
Registration : Please do not hesitate to contact us by clicking here .