Online MSK Days
Day 4 | Oncology

November 9, 2022 | 7 pm (CET) / 1 pm (EST)

Oncology | CT/Interventional Radiology/Ultrasound

The Right Test at the Right Time – Maximising Imaging Outcome

Primary cancer of the bone represents less than 1% of all cancers, while metastatic spread to the bone and adjacent soft tissues is considerably more common (1). In either case, all imaging modalities, ionising and non-ionising have a role to play in diagnosis, staging, treatment, and follow-up. During this webinar, experts will guide you through the application of these imaging technologies to maximize their utility to better assist in the diagnosis and treatment of these complex disease states.
This webinar occurs in the past. The recording is available now. Click here to watch it now.
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

INFORMATION ON SPEAKERS AND THEIR PRESENTATIONS

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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.

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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.

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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.

Scientific Evidence: Oncology | CT/Interventional Radiology/Ultrasound

Download scientific evidence on MSK solutions using Canon technologies here.

CT

Zhang FL et al. | Reduction of metal artifacts from knee tumor prostheses on CT images: value of the single energy metal artifact reduction (SEMAR) algorithm | BMC Cancer. 2021
https://www.ncbi.nlm.nih.gov/pubmed/34856926

Yamamoto S et al. | First experience of efficacy and radiation exposure in 320-detector row CT fluoroscopy-guided interventions | Br J Radiol. 2021
https://www.ncbi.nlm.nih.gov/pubmed/33544633

Blum A et al. | 3D reconstructions, 4D imaging and postprocessing with CT in musculoskeletal disorders: Past, present and future | Diagn Interv Imaging. 2020
https://www.ncbi.nlm.nih.gov/pubmed/33036947

Interventional Radiology

Roberto Luigi Cazzato et al. | Musculoskeletal interventional oncology: current and future practices | Br J Radiol. 2020
https://www.ncbi.nlm.nih.gov/pubmed/32783618

Julien Garnon et al. | Continuous Injection of Large Volumes of Cement Through a Single 10G Vertebroplasty Needle in Cases of Large Osteolytic Lesions | Cardiovasc Intervent Radiol. 2020
https://www.ncbi.nlm.nih.gov/pubmed/31792587

Khaled Madani et al. | Combined local treatments for vertebral metastases with limited epidural extension. | Support Care Cancer. 2022
https://www.ncbi.nlm.nih.gov/pubmed/34287688

Ultrasound

Shuo Li et al. | Application of ultrasound fusion imaging technique for unilateral percutaneous vertebroplasty in treatment of osteoporotic thoracolumbar compression fracture | J Xray Sci Technol. 2020
https://www.ncbi.nlm.nih.gov/pubmed/31815726

References

  1. American Cancer Society (2022). Key Statistics About Bone Cancer [Online]. Available from: https://www.cancer.org/cancer/bone-cancer/about/key-statistics.html [Accessed 15 August 2022].22].

Disclaimers

  • The opinions expressed in this material are solely those of the presenter and not necessarily those of Canon Medical Systems. Canon Medical Systems does not guarantee the accuracy or reliability of the information provided herein.
  • The clinical results, performance and views described in this video/webinar are the experience of the clinician. Results may vary due to clinical setting, patient presentation and other factors. Many factors could cause the actual results and performance of Canon Medical’s products to be materially different from any of the aforementioned.
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