Program

• The Role of CT in the Detection and Characterization of Bone Tumors - Prof. Alain Blum
• Embolization, Ablation and Consolidation of Bone Tumors - Prof. Julien Garnon
• Live Q&A - moderated by Prof. Thomas Kröncke

Learning objectives:

1. Understand the impact of high-resolution imaging for tumor characterization
2. Understand how innovative imaging tools can be integrated to better inform treatment
3. Gain practical insights into imaging guided treatment of bone lesions

Moderator: Prof. Thomas Kröncke, MD, MBA
Diagnostic and Interventional Radiologist
Director of Diagnostic and Interventional Radiology
University Hospital Augsburg
Augsburg, Germany

Prof. Thomas Kröncke is the director and chair of the Department of Diagnostic and Interventional Radiology at the University Hospital Augsburg, a 1700 bed tertiary referral hospital in Bavarian Swabia and level-I trauma center serving a region of 1.7 million inhabitants. The department, which is one of the largest radiology departments in Germany, offers the full spectrum of diagnostic imaging and is well-known reputation for its expertise in interventional radiology.
Prof. Kröncke is a full professor of the recently established Faculty of Medicine at the University of Augsburg and scientifically very well networked nationally and internationally. He is a member of the executive committee of the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) and former chairperson of the scientific programme of CIRSE 2022. He is an expert in cardiovascular and hepato-biliary imaging and image-guided interventions. His research interest include the use decision support systems in medical imaging, interventional-radiology treatments & population health, cardiovascular CT imaging as well as liver-directed therapies such as Y90 embolization, local ablation of liver and kidney tumors and embolization procedures in general.

Speaker: Prof. Alain Blum, MD, PhD
Radiologist
Chief of the MSK, Emergency and Neck Radiology Departments
Central Hospital, University Hospital Center of Nancy
Nancy, France

Prof. Alain Blum is the chief of the MSK radiology department at the University Hospital (CHRU) of Nancy, and manager of the Day Surgery Unit. He teaches at the University of Lorraine. He was visiting Professor at JDMI and the University of Toronto in 2010. His research interests include imaging the joints, tumors, postoperative imaging, new imaging techniques, post-processing, and forensic imaging.
Prof. Alain Blum has published over 200 peer-reviewed articles, 13 book chapters in English (more than 100 in French), and edited 10 books. One of his articles was the most cited paper in 2012 in European Radiology. He owns a patent for dynamic imaging of the joints with CT.
He is past president of SIMS (Société d’Imagerie Musculo-Squelettique) and serves on the editorial board of Diagn Interv Imaging. He has organized several international meetings and has made over 150 national and international presentations and multiple regional and local presentations.

Presentation Title: The Role of CT in the Detection and Characterization of Bone Tumors
The diagnosis of bone tumors can be difficult and usually relies on combined imaging techniques where a CT scan plays a fundamental role. Innovative tools enhance its performance:
Super high-resolution (SHR) with 0.25 mm slice thickness and 1024x1024 matrix size improves the depiction of the cortical vessels and of the periosteal reaction and helps in lesion characterization
Subtraction CT technique allows rapid and reliable procedural evaluation of the efficiency of thermoablation
Subtraction CT technique combined with single energy metal artifact reduction (SEMAR) algorithm is the most efficient technique to depict a recurrence in case of bone sarcoma treated with wide resection and reconstruction with metal implants
OpenRib automatically generates an unfolded view of the thoracic rib cage to quickly depict rib metastases.

Speaker: Prof. Julien Garnon, MD, PhD
Interventional Radiologist,
University Hospital of Strasbourg
Strasbourg, France

Julien Garnon is currently practicing at the University Hospital of Strasbourg in the Department of Interventional Radiology. In 2009, he completed his fellowship at the University of Strasbourg; the subject of his thesis focused on: “Cryotherapy of musculoskeletal metastases.” Prof. Garnon has been involved in several research projects that resulted in scientific publications. Dr. Garnon has been involved in different scientific publications such as the management of MSK & kidney tumors, he participates in various congresses where he gives lectures dedicated to interventional radiology. The main field of interest of Prof. Garnon is the oblation of tumors and also consolidation of bone.

Presentation Title: Embolization, Ablation and Consolidation of Bone Tumors
The management of bone tumors using percutaneous techniques is evolving rapidly and can be used to treat malignant and benign bone tumors. There are various options such as embolization, ablation and consolidation. Ablation includes various thermal modalities (radiofrequency, cryoablation…) and also more recently, non-thermal techniques (such as electrochemotherapy) allowing to manage tumors that were previously inaccessible to percutaneaous treatments. Embolization is mostly performed prior to thermal ablation in case of a hypervascular tumor to increase the efficacy of ablation. Finally, bone consolidation includes cementoplasty and screw fixations and are considered stand-alone techniques or in combination with ablation in case of fractures or impeding fractures in weight-bearing areas.