Advanced Head & Neck MR Imaging
The aim of this course is to offer an in-depth knowledge of current MR imaging techniques for the diagnosis of head and neck lesions. The course will provide the participant with an update on fundamental and advanced sequence protocols to image the different head and neck regions. A comprehensive coverage of the MR signal of the normal tissues will give the preliminary basis for head and neck anatomy. We will focus on imaging strategies, recent developments and specific MR findings to characterize head and neck congenital, inflammatory, benign and malignant diseases. Special emphasis will be placed on differential diagnosis and on grading tumor extent. The course will provide a combination of lectures and case based interactive teaching in small groups.
Please click here to download the programme as PDF.
Course organiser:
Roberto Maroldi / Brescia, IT
October 16-18, 2008
Prague, CZ
Local organiser:
Jiri Obenberger / Prague, CZ
Course venue:
MR Unit
Department of Radiodiagnostics
First Medical Faculty,
Charles University Faculty Hospital Bulovka Budinova 2
CZ - 18081 Praha 8
Preliminary faculty:
A. Borges, J. Casselmann, Ch. Czerny, D. Farina, N. Freling, R. Maroldi, S. Robinson, B. Verbist, J. Verwoerd
Course duration:
Thursday noon - Saturday evening
Participation Requirements:
Physicians who have attended the School of MRI Applied MR Techniques courses or have good knowledge from other sources; minimum of 6 months experience in applied Head and Neck MRI.
Learning objectives
Basic and advanced MR imaging techniques
- Isotropic (3D) T2-weighted imaging in the temporal bone
- High-resolution T1-weighted images: SE, TSE and GE
- T2 and T1 fat-sat sequences
- Imaging arteries and veins. Black-blood, TOF, PC, CE-MR
- Diffusion weighted imaging
- DCE-MR: which use in the head and neck?
MR signal of normal and abnormal tissues
- Normal and abnormal fat on different sequences
- The signal intensity of water, CSF, mucus, saliva, and "cysts"
- The cortical and cancellous bone. Erosion, sclerosis, invasion
- The normal mucosa. Edema and scar
- Normal findings of cranial nerves, arteries, veins, and dural sinuses
MR imaging of the sinonasal tract and the skull base
- MR anatomy of the anterior skull base floor, orbit, pterygopalatine fossa, cavernous sinus and Meckel's cave
- MR examination of the sinonasal tract and anterior skull base
- Polypoid masses. Feasibility of endonasal surgery. Grading skull base invasion. MR in predicting orbit preservation
MR imaging of the nasopharynx and parapharyngeal space
- MR anatomy of the nasopharyngeal walls and parapharyngeal space
- How to study the nasopharynx and parapharyngeal space lesions
- Differential diagnosis of submucosal masses. MR patterns of pre- and post-styloid masses. Staging nasopharyngeal neoplasms
MR imaging of the oropharynx and oral cavity
- MR anatomy of key oral cavity structures
- MR strategies to image flaps and post-treatment changes
- Role of DCE-MR and DWI imaging
- Role of MR in detecting mandible invasion. Perineural spread and bone invasion
MR imaging of major and minor salivary glands
- MR anatomy of key landmarks
- Fat sat sequences, DCE-MR and DWI imaging. MR Sialography
- Distinguishing parapharyngeal from parotid gland "deep lobe" tumors
MR imaging of the larynx, hypopharynx and lymph nodes
- MR appearance of cartilages. Retrolateropharyngeal and parotid nodes
- Fast sequences. DCE-MR and DWI MR imaging
- Cartilage invasion and transglottic extent. Role of DCEMR and DWI in detecting nodal metastasis
MR imaging of thyroid and parathyroid lesions
- MR anatomy of key structures. Landmarks for detecting parathyroid glands
- Strategies to increase S/N ratio maintaining sufficient spatial resolution in thyroid/parathyroid imaging
- Grading thracheal wall invasion. MR strategies to detect parathyroid adenomas
MR imaging of temporal bone and CPA lesions
- MR anatomy of VII and VIII cranial nerves. The normal membranous labyrinth. Landmarks for the jugular foramen
- Imaging temporal bone and CPA lesions. 3D T2 sequences. DWI imaging
- Inner ear malformations: is cochlear implant feasible? Neuro-vascular conflict. Detecting the recurrent cholesteatoma
MR imaging of TMJ and masticator space lesions
- MR anatomy of the TMJ
- How to study the TMJ. Strategies for assessing dynamic properties
- TMJ disorder: disk/bone changes. Differential diagnosis of masticator space masses
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