INTRODUCTION

Dear colleagues,

Welcome to the ESSR meeting 2024 in Lugano. This year we will focus on the knee with strong emphasis on the clinical aspects of our activity. Every session of the refresh course, except one, will have the presence of one orthopedic surgeons or rheumatologist. This will be a very good opportunity to have an interesting roundtable discussion at the end of the session. Big thanks to the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) and warm welcome to the ESSKA representatives to give us the opportunity to translate our idea of collaborations into realty and to increase the awareness of the needs and expectations of our referring physicians. As usual, the congress will offer scientific sessions and workshops on ultrasound, on spondyloarthritis, on basic conventional radiology (back to the basics), and on artificial Intelligence. Furthermore, the SSSR (Swiss Society of Musculoskeletal Radiology) will organize a workshop coordinate by Prof Marco Zanetti on mimickers, pitfalls, and asymptomatic abnormalities that are sometime a headache in our daily activity.

Innovation is the heart of imaging. As such, during the meeting, a state-of-the art technical exhibit will be available to give an insight into the latest developments in radiological equipment, supplies, technologic advances and services.

Do not forget to meet friends and colleagues. Our location, the Ciani Park, just on the lake of Lugano, is a walking distance to city center and other attraction and is a perfect location for a relaxing walking and for networking with friends and colleagues

The 31st ESSR annual meeting cordially invites representatives of all musculoskeletal related disciplines both members and non-members of our society, to attend the meeting. Young members are especially welcomed. The Young Club of our society will provide an ideal platform for sharing ideas and experiences of different cultures and to network with new colleagues.

Thursday, 06.06.2024
Pre-Congress Day

ROOM A + B2 + B3

ULTRASOUND WORKSHOP

  • Anterior structures

    Medial structures

    Lateral structures

    Posterolateral corner

    Posteromedial corner

  • Interactive Hands-On Teaching with ESSR experts. Participants will be divided into groups.

  • Snapping knee

    Anterolateral ligament - Is there a role for Ultrasound ?

    Small ligaments of the knee

    Meniscal tears: Is there a role for Ultrasound

    US of pediatric knee disorders

    Discussion

  • Cyst or not cyst ?

    US of the knee in SPA, RA and crystal deposition arthritis

    Peroneal and tibial nerves

    Small nerves

    Combat traumas and peripheral nerve injuries

    US-guided injections around the knee

  • Interactive Hands-On Teaching with ESSR experts. Participants will be divided into groups.

ATTENTION: The Ultrasound Workshop incl Hands-On is fully booked. To be added to the waiting list, please send a short email to office@essr.org.
Registraton for the “Ultrasound Workshop - Lectures Only” is still possible, but will not give access to the interactive Hands-On Trainings in between the lectures.

ROOM B1

INTERACTIVE SpA WORKSHOP

  • The Tao of Axial Spondyloarthritis: MRI Protocols and a Pragmatic Diagnostic Pathway

    “Use only that which works, and take it from any place you can find it. Be like water my friend…” ― Bruce Lee.

    Description:

    In this session we will crystallise the importance of adequate MRI protocols, optimisation and standardisation of imaging, a morpho-anatomical analysis in deduction and an emphasis on the diagnostic pathway in axSpA imaging. This will be addressed using a didactic, interactive approach with DICOM based real-life cases, immunology, and clinical histories, simulating a standard reporting session. Typical findings of juvenile-SpA at imaging, including similarities and differences with adults will be discussed using case studies. Potential pitfalls due to the age-related characteristics at imaging of children will be addressed. A step-by-step diagnostic detection, description and deduction will be performed together. This will be followed by a quick interactive quiz to assess the effectiveness of learning from the course!

    Workshop Organisers: Winston Rennie, Chiara Giraudo

    Faculty: James Teh, Pilar Aparisi, Edward Sellon

    PROGRAM OUTLINE (10-11:30)

    10:00 Introduction to the Workshop

    10:10 Typical SIJ and spine findings and MR protocols optimisation.

    Learning Objectives: To recognise the key anatomical sites and patterns of structural and inflammatory lesions in ax-SpA within the Spine and SIJs. Approaches to image standardisation, image interpretation and reporting terminology will be discussed with recommendations on MRI protocol optimisation.


    10:40 SIJ Radiographs & Main Differential diagnoses

    Learning Objectives: Recognise key features of the varying differential diagnoses on MRI in ax-SpA. Learn to assess radiographs of the SIJ in a structured system so as to recognise nrax-SpA and anatomical variants.


    11:00 Juvenile-SpA

    Objectives: To gain knowledge about the main findings of juvenile-SpA at imaging. Key terms and classification criteria of juvenile-SpA will be addressed. By the end of this session, participants will know the similarities and differences between juvenile-SpA and SpA in adults. Typical age-related features at imaging which could represent a diagnostic challenge will also be discussed.


    11:20 Remarks and conclusion


    Participants will engage using their laptops/tablets under the guidance of the moderators. All content of the workshop will be case-based.

    Organisational aspects

    - Participants are asked to bring their own laptop

    - The cases can be viewed on your own laptop in a PACS like environment. Practical details will be provided well before the workshop for your convenience.

ARTIFICIAL INTELLIGENCE AND MSK IMAGING WORKSHOP

  • AI in MSK imaging: where are we in 2024? What do we use,

    and what do we not use?

    Transparent comparison of diagnostic performance

    Regulatory issues, made simple

    Integrating AI software: how do we do it in practice

    Round table: the industry meets the users

    Workshop Organiser

    Prof. Dr. Dr. Patrick Omoumi, Lausanne, Switzerland

INTERACTIVE WORKSHOP OF THE SSSR: MIMICKERS, PITFALLS AND ASYMPTOMATIC ABNORMALITIES

  • 14:00-14:20
    Spinal disorders mimicking infection

    14:20-14:40
    Mimickers and pitfalls of dual energy CT applications in MSK imaging

    14:40-15:00
    Shoulder abnormalities mimicking labrum lesions, cartilage lesions, and pulley lesions

    15:00-15:20
    Elbow abnormalities mimicking osteochondral defects, tumors, infections, and neuropathies

    15:20-15:40
    Hip abnormalities mimicking labrum lesions, cartilage lesions, and tendon lesions

    15:40-16:00
    Foot/ankle abnormalities mimicking tumors, infections and neuropathies

    Workshop Organiser

    Prof. Dr. Marco Zanetti, Basel, Switzerland

ROOM E

BACK TO BASIC WORKSHOP

  • 10:00-10:15
    How to deal with soft tissue calcifications/ossifications

    10:15-10:30
    Hand OA or psoriatic arthritis?

    10:30-10:45
    Periosteal reaction: anxious or not?

    10:45-11:00
    Joint space: normal or not?

    11:00-11:15
    Fracture or not, adults?

    11:15-11:30
    Fracture or not, pediatrics?

    Workshop Organiser

    Prof. Dr. Anne Cotten, Lille, France

Friday, 07.06.2024

ROOM A

  • Welcome from Society President & Congress President

    A glance in the past: Paleo-MSK

    Panel Discussion: Sustainability within MSK Radiology: Clash of Generations?

    Honorary Ceremony

    Honorary Membership for Prof.Dr. Carlo Masciocchi

    Honorary Membership for Prof.Dr. Franz Kainberger

  • The physical examination of the painful knee

    Imaging of meniscal tears

    Imaging of the ACL and PCL tears

    MCL and posteromedial corner injuries of the knee injuries of the knee

    LCL postero-lateral corner injuries of the knee injuries of the knee

    Roundtable and discussion with all the speakers

  • Patella instability and patella luxation: the orthopaedic point of view

    Patella instability and patella luxation: the radiologist point of view

    MR after ACL reconstruction.

    Challenges of MRI of the post-operative meniscus

    OC lesions repair. What the radioologist should know

    Roundtable and discussion with all the speakers

  • Comparative Geometric Analysis: Patellofemoral Instability with Weight-Bearing vs. Non-Weight-Bearing Cone-Beam CT Images

    Zero Time Echo MRI in shoulder MRI for the diagnosis of rotator cuff calcific tendinopathy

    PET-MR imaging applications in pediatric musculoskeletal tumors

    MRI Findings of Extraspinal Sciatic After Proximal Hamstring Repair

    Correlation Between IVIM Parameters and DCE-MRI: Comparison in Benign and Malignant Soft Tissue Tumors

    Ultra-high resolution CT outpasses conventional CT and approaches micro-CT in trabecular bone morphologic analysis

    Q&A

  • Triceps surae injuries

    Rectus femoris – often injured. How to understand common injuries and imaging findings

    MR imaging of the healing process in muscle injuries

    Wrist Imaging: Pitfalls, Variants and Common Pathologies in Athletes

    MR of forefoot chronic pain: what to look for and report?

    Roundtable and discussion with all the speakers

  • The painful pediatric knee

    Sport injuries of the knee: pearls and pitfalls

    Typical and atypical bone lesion

    Typical and atypical soft tissue lesion around the knee

    Septic arthritis in pediatric population

    Roundtable and discussion with all the speakers

ROOM B

  • Particularities of upper limb trauma in children

    Covid manifestations in the MSK system in children

    Radiation protection in paediatric MSK imaging

    Radiomics in paediatric sarcoma

    Neck pain and back pain in children

    Roundtable and discussion with all the speakers

  • What's new in US-guided intervention?

    Intervertebral disc herniation: from spine injections to percutaneous decompression

    Vertebral augmentation in 2024

    Percutaneous bone and soft tissue ablation : current trends and prospects

    Image-guided percutaneous fixation : Where are we now ?

    Roundtable and discussion with all the speakers

  • Electrochemotherapy for radioresistant prostate cancer spinal metastases with epidural tumour extension

    Ultrasound-guided thread-release of the arcade of frohse: a cadaveric study

    Outcome Analysis of MR-HIFU Treatment of Osteoid Osteomas in a Mixed Pediatric and Adult Population

    Percutaneous treatment of knee tumors

    Impact of quantitative CT texture analysis on the outcome of CT-guided bone biopsy

    Minimally invasive treatment of aneurysmal bone cysts with radiopaque gelified ethanol (Discogel®): evaluation of feasibility, safety and efficacy

    Q&A

  • Net gain, groin pain: a case of an injured soccer player

    A nerve-racking tumour

    A new anatomic vision to an old problem

    A rare cause of non-traumatic unilateral hip pain in a child

    Mystery in the Marrow: Navigating a Challenging Case

    A Kick and a Click - Pediatric Sports Story

    A lump in a child's leg

    Is playing sports really good for me?

    Bone destruction around the knee: what's the diagnosis?

    Unexplained persistent right lower limb swelling in a 65-year-old male

    A case report on extrapulmonary manifestations of Covid 19

    Non-Traumatic Hip Pain in a Young Patient: the Role of the Radiologist in Guiding the Differential Diagnosis

    Flip Flop

  • ESSR meets China

    Presentation of Chinese society of MSK radiology

    The development strategies of musculoskeletal ultrasound in China

    Muscle density and hip fracture risk

    ESSR meets Columbia

    Presentation of Columbia society of MSK radiology

    Lower limb stress injuries

    ESSR meets ESSKA

    presentation of ESSKA

    The discoid meniscus

    Roundtable and discussion with all the speakers

Saturday, 08.06.2024

ROOM A

  • The painful knee in elderly population: the challenges in the clinical routine

    Imaging of gout in and around the knee

    OA of the knee: what’s new on imaging ?

    Bone marrow edema around the knee in elderly population

    Subchondral non neoplastic Bone Lesions: which terminology should we use ?

    Roundtable and discussion with all the speakers

  • Anatomical variants in the spine and their relevance to pathology

    Specific injury patterns in pediatric and adolescent spinal trauma

    Differentiating benign and malignant vertebral fractures

    Is CT of the spine still necessary?

    Simplifying MR technique in post-operative spine — with and without metal

    Roundtable and discussion with all the speakers

  • Fully Automated Spinopelvic Measurements on Radiographs with Deep Learning: A Multi-Reader Multi-Disciplinary Evaluation

    Radiological diagnosis of prevalent osteoporotic vertebral fracture on X-ray image: an interim consensus from a group of experts of the ESSR osteoporosis & metabolism subcommittee

    MRI predictors for clinical response in patients with axial spondyloarthritis treated with TNF inhibitors

    Natural course of degenerative changes of the spine on radiographs and MRI in axial spondyloarthritis followed 10 years in the DESIR cohort

    Accelerated deep learning reconstruction magnetic resonance imaging on the evaluation of the cervical neural foraminal stenosis: comparison with conventional fast spin-echo T2-weighted sequences

    The “moustache sign”: An ancillary radiological sign for detecting L5/S1 spondylolisthesis

    Q&A

  • Cystic and cyst-like lesions around the knee. What is relevant?

    Soild soft tissue lesions around the knee

    Imaging of typical and atypical bone lesion of the adult knee

    Do not touch bone lesions around the knee

    Advanced imaging of the tumor arounfd the knee

    Roundtable and discussion with all the speakers

ROOM B

  • Radiographic differentiation of benign and malignant bone lesions

    New ESSR soft tissue tumour guidelines…. Salient features

    Three common misdiagnosis in bone and soft tissue tumours

    MRI of the bone marrow in oncology: When fat is good….!

    WB-MRI imaging in oncology: recent indications and technical developments

    Roundtable and discussion with all the speakers

  • Harry Genant Lecture - State of the art of HRpQCT, from research to clinical practice

    Differential diagnosis of metabolic bone diseases around the knee

    MRI of subchondal bone

    Osteoporosis and diagnostic imaging of vertebral endplate

    Clinical value of opportunistic CT/MRI metabolic evaluation in oncology and frail patients

    Roundtable and discussion with all the speakers

  • Glenoid version in various pathologies of the shoulder joint on MRI: a retrospective study

    Combined femoral and tibial torsional malalignment in symptomatic patients with patellar instability and patellar dislocation

    Application of Artificial Intelligence in the diagnosis of complex cases of scaphoid fractures: a “real life” retrospective study

    CT-like MRI vs MDCT for the evaluation of shoulder instability: is it comparable?

    Medial wall blowout fractures of the ankle - novel injury pattern classifications and radiological outcomes

    Association between the presence and anatomical variants of the coraco-glenoid ligament and SLAP lesion: a 3-T arthro-MRI study

    Q&A

  • The Holy Grail in AxSpA - The clinically actionable Radiology Report - Spine

    The Holy Grail in AxSpA - The clinically actionable Radiology Report - SIJ

    Crystals- What is new in Imaging? Does it make a difference?

    Novel Bone like MRI- Hot air or accurate inflammation?

    Inflammatory disorders of the foot: tips and tricks?

    Roundtable and discussion with all the speakers

LEARNING OBJECTIVES

Sport injuries and post op images

  • To improve knowledge about imaging findings of common traumatic knee injuries

  • To learn what an orthopedic surgeon wants to know from an radiological report

  • To review post op imaging findings

Knee injuries in pediatric population

  • To understand how to assess knee pain in the pediatric population.

  • To improve knowledge about imaging findings of common pediatric knee pathologies

  • To list the most important soft tissue and bone tumors around the knee in pediatric population.

Tumor around the knee

  • To list the most relevant cystic lesions in or around the knee.

  • To list the most relevant soft tissue lesions in or around the knee.

  • To list the most relevant bone lesions in or around the knee

  • To be aware of pitfalls and of do not touch lesions of the knee.

Inflammatory and metabolic pathology in or around the knee

  • To understand how to assess knee pain in the elderly population

  • To review the state of art images and new images opportunity of inflammatory and/or metabolic disease such as OA and gout.

  • To review the terminology of non-neoplastic subchondral pathologies