10:30 – 11:30 (Room 0.14)
Ultra-High-Resolution Ultrasound of the Fingers: Approaching the Limit Before Microscopy
About the speaker:
Prof. Carlo Martinoli , MD
Associate Professor of Radiology
IRCCS San Martino University Hospital Genoa
Carlo Martinoli is Full Professor of Radiology, Director of the Postgraduate School of Diagnostic Radiology at the University of Genoa and Head of the Emergency Radiology Unit at the University-Hospital (IRCCS Ospedale Policlinico San Martino) of Genoa, Italy. He has devoted more than 25 years to education in the field of musculoskeletal radiology and is author of a preeminent textbook on Musculoskeletal Ultrasound that has been listed within the top 10 best-selling scientific books of Springer Verlag for 2010. The book has been written in English and then translated in Korean, Turkish, Polish, Spanish and Chinese. Carlo Martinoli has been included in the list of top 1.5% international scientists (Plos Biology®). He is a renowned speaker and has held over one thousand invited lectures at international courses or congresses. He has published over 280 articles in international peer reviewed medical journals. Carlo Martinoli is currently President of the European Society of Musculoskeletal Radiology. He was one of the founders of the International Society of Peripheral Neurophysiological Imaging (ISPNI), a multidisciplinary society that aims to forward global education and research in the field of peripheral nerve imaging.
To learnd how to identify and study all the finger structures
Last generation ultrasound devices equipped with linear array transducers working at very high frequency bands (as high as 24MHz) with appropriate pulse shaping, sophisticated algorithms for image denoising, dynamic focusing, matrix technology and intelligent filtering are opening new perspectives to image superficial tissues with an exquisite depiction of details from submillimeter structures and their abnormalities. The very high spatial and contrast resolution offered by such advanced imaging platforms has the result of improving the diagnostic confidence and opening new diagnostic fields and possibilities for ultrasound imaging. At the same time, the huge number of details that, at least in part, have not been described yet, entails the need to revive your own anatomical knowledge, introducing a new sonoanatomy that is somewhat different (and more complex) from the one learned on MR imaging or based on conventional ultrasound probes. All these considerations are immediately evident when examining the fingers where real-time scanning makes ultrasound an ideal means to provide static and dynamic assessment of different structures, including flexor digitorum tendons and their sheath, the extensor hood and its components, annular pulleys and cruciform bands, osteochondral surfaces, recesses, palmar plates and collateral ligaments of the finger joints. The aim of this presentation is to review the fine sonoanatomy and the most common pathologic conditions about the fingers by means of ultra high-resolution ultrasound transducers.