ISSN# 1545-4428 | Published date: 19 April, 2024
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At-A-Glance Session Detail
   
Introduction to Trauma
Weekend Course
ORGANIZERS: Nivedita Agarwal, Jonathan Dillman, Khin Tha
Saturday, 04 May 2024
Summit 1
13:00 -  16:30
Moderators: Mary-Louise Greer & John Port
Skill Level: Basic to Advanced
Session Number: WE-10
CME Credit

Session Number: WE-10

Overview
Traumatic injuries pose a significant global burden, leading to physical and mental disabilities. Efficient and accurate assessment of patients in acute and chronic scenarios is crucial for minimizing morbidity and mortality rates. MRI has emerged as a pivotal tool in guiding healthcare professionals in patient management and follow-up.
This introductory session will lay the foundation for the 2024 Clinical Focus Meeting (CFM) providing a foundation for the mechanism of trauma, its consequences, and the role of MRI in trauma management. Following an initial review of epidemiology and socioeconomic aspects, the mechanism and consequences of trauma of different body parts will be discussed, and the role of MRI in traumatic settings will be reviewed. Finally, unique aspects of traumatic imaging will be reviewed, including MRI in pregnancy and the potential roles of mid and low-field MRI.


Target Audience
Clinicians, radiologists, technologists, and scientists involved or interested in trauma diagnosis and care.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain the epidemiology and socioeconomic aspects of trauma;
- Discuss the mechanism and consequences of trauma of different body parts; and
- Review of the role of MRI in various traumatic settings.


13:00 Epidemiology & Costs of Acute & Chronic Traumatic Injuries
Ling Ling Chan
13:25 Basics of Central Nervous System Trauma: Mechanisms & Acute/Chronic Sequelae of Traumatic Injury (Microscopic to Macroscopic), Including Brain & Spine
Pia Maly Sundgren
In this lecture the underlying external cause for traumatic brain injury will be explained. The typical imaging presentation of different intracranial traumatic injuries will be presented with special focus on MR imaging but not exclusively. The value of advanced MR sequences such as SWI, DTI and fMRI in the diagnosis, follow-up, in prediction of clinical outcome and disability will be discussed. Enhance missing tools and how to transform potential sequences to clinical routine protocols as well as the role of the MR physicist to support and address the clinical need for improved and clinical valuable sequences will be discussed.
13:50 Basics of Musculoskeletal Trauma: Mechanisms of Acute/Chronic Sequelae of Traumatic Injury
Jin Rong Tan
14:15Basics of Abdominal Trauma: Mechanisms & Acute/Chronic Sequelae of Traumatic Injury, Including Chest, Abdomen & Pelvis
Hideki Ota

Keywords: Cardiovascular: Angiography, Body: Urogenital, Body: Body

In acute trauma cases, CT is preferred for its accessibility and speed, though concerns arise over radiation and contrast agents. MR imaging supplements CT, particularly in assessing traumatic lesions. For chest trauma, MR aids in blunt thoracic aortic injury assessment, guiding management decisions. It's also useful for chest wall fracture assessment, revealing occult rib fractures. In abdominal trauma, MRCP helps detect pancreatic and biliary duct injuries; Gd-EOB-DTPA also aids in bile duct injury evaluation. MR imaging is valuable in pelvic injuries due to its excellent tissue contrast. Considering radiation exposure, MR imaging would be preferred in pediatrics and pregnant patients. 
14:40 Break & Meet the Teachers
15:10Mid- & Low-Field MRI Imaging of Trauma: Is There a Role?
Anna Lavrova

Keywords: Physics & Engineering: Low-Field MRI, Image acquisition: Visualization, Education Committee: Clinical MRI

Traumatic injuries impose a significant global health burden, resulting in substantial morbidity and mortality. Therefore, their timely and accurate diagnosis is crucial to ensure appropriate management and improve patient outcomes. Magnetic Resonance Imaging (MRI) has revolutionized diagnostic imaging, offering excellent soft tissue contrast and multiplanar capabilities. While high-field MRI scanners have been the cornerstone of trauma imaging, the emerging interest in mid- and low-field MRI systems has raised debates regarding their role in trauma assessment. This review aims to critically evaluate the potential of mid- and low-field MRI in trauma imaging, considering their advantages, limitations, and current evidence.
15:35 How To Operationalise MRI in the Emergency Department
Catherine Mandel

Keywords: Transferable skills: Safety, Transferable skills: Project management, Transferable skills: Value

Magnetic Resonance Imaging (MRI) is now a standard technology in many radiology departments and essential for modern patient care.
It is being used more often in the care of emergency patients, including in trauma, ranging from minor injuries to major trauma. This brings its own risks: in particular patient and staff safety related to the magnetic field.
This talk will discuss:
  1. clincal reasons to install MRI in the emergency department
  2. matters to consider when deciding where to place an MRI scanner
  3. staffing the scanner
  4. safety including design, access, patient and staff screening, and training non-radiology staff
  5. financial considerations
  6. future developments
16:00 Panel Discussion