Radiology for the Non-Radiologist

Day 1

Basic Chest X-Ray Interpretation.

Upon completion of this session, the participant should be able to: ^COMP

1. Develop a systematic approach to interpreting a chest radiograph.
2. Assess a chest radiograph for technical factors that may hide or simulate disease.
3. Determine whether a chest radiograph demonstrates air space disease and localize it in the lung.

A Primer to Ordering the Correct MSK Imaging Study.

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Discuss the different imaging modalities available for musculoskeletal imaging, and understand their appropriate uses.
2. Become familiar with some (easily) accessible resources tailored towards ordering the correct imaging study.
3. Develop an evidenced-based approach to ordering the correct musculoskeletal imaging study.

 Radiology of the Pleura: Effusion, Pneumothorax and More.

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Detect pleural effusion on a chest radiograph in its various manifestations.
2. Review evidence based factors that distinguish exudative from transudative pleural effusion.
3. Distinguish pneumothorax from other findings that may simulate it on a chest radiograph.

 MSK Radiographs: Tricks and Tips to Interpretation.

Upon completion of this session, the participant should be able to: ^COMP

1. Recognize a technically adequate radiograph.
2. Understand the limitations of radiography in musculoskeletal imaging.
3. Develop a systematic approach to evaluating musculoskeletal radiographs.

 Pulmonary Nodule: Evaluation and Follow-Up.

Upon completion of this session, the participant should be able to: ^{EBM, GL, COMP}

1. Evaluate pulmonary nodules using a variety of radiographic techniques.
2. Assess pulmonary nodules for features that reliably exclude malignancy.
3. Use evidence-based guidelines regarding appropriate intervals for nodule follow up.

Day 2

MSK Imaging of Large Joints: Shoulder, Knee, Hip.

Upon completion of this session, the participant should be able to: ^{COMP, EMB, GL}

1. Recognize commonly used terminology in radiographic reports with respect to plain radiography, CT and MRI.
2. Differentiate when to order MRI with or without arthrography.
3. Discuss when evidence based guidelines support the use of Ultrasound in rotator cuff evaluation.
4. Integrate MR imaging appropriately into evaluation of patients with symptoms of large joint pathology.

 Incidentalomas: Dealing With Unexpected Abnormal Findings on Radiologic Exams.

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Apply an evidence-based approach to determine the need for further evaluation of abnormalities found incidentally on imaging tests.
2. Distinguish cystic renal masses that need imaging follow up from those that do not.
3. Select appropriate further imaging when needed for small adrenal masses.

MSK Imaging of Small Joints: Elbow, Wrist, Ankle.

Upon completion of this session, the participant should be able to: ^COMP

1. Recognize commonly used terminology in radiographic reports with respect to plain radiography, CT and MRI.
2. Discuss the use of arthrography and its potential use in small joint evaluation.
3. Integrate MR imaging appropriately into evaluation of patients with symptoms of small joint pathology.

 Non-Invasive Vascular Imaging: Aorta, Carotids and More.

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Design an evidence based algorithm for integrating imaging into evaluation of patients with suspected carotid stenosis.
2. Select appropriate tests to order for patients with suspected acute aortic syndromes.
3. Integrate modern non-invasive techniques into evaluation of suspected visceral and peripheral artery disease.

 MSK Infections.

Upon completion of this session, the participant should be able to: ^COMP

1. Define osteomyelitis.
2. Review imaging findings of osteomyelitis and its associated “complications”, with a focus on MRI.
3. Define some other types of musculoskeletal infections (i.e., cellulitis, necrotizing fasciitis).

Day 3

Contrast and Radiation Issues in Radiology: What a Clinician Should Know.

Upon completion of this session, the participant should be able to: ^{EBM, GL, COMP}

1. Utilize evidence based guidelines to appropriately order intravenous contrast for CT scans for patients with impaired renal function.
2. Apply evidence based guidelines to decide whether it is safe to order intravenous contrast for MRI examinations.
3. Describe factors leading to increased radiation exposure to patients from medical imaging.
4. Select appropriate tests to order so as to minimize patient radiation dose without sacrificing diagnostic accuracy.

 MSK Emergencies/Trauma, with Pearls and Pitfalls.

Upon completion of this session, the participant should be able to: ^COMP

1. Discuss the role of imaging in musculoskeletal trauma.
2. Understand some of the common pitfalls in the imaging of orthopedic trauma:
   1. Technical considerations
   2. Clinical considerations

 Evaluation of Patients with Suspected Pulmonary Embolism.

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Develop an evidence based algorithm for the use of imaging in evaluation of patients with possible thromboembolic disease.
2. Discuss advantages and disadvantages of various imaging techniques in PE evaluation.
3. Integrate d-Dimer testing into evaluation of patients with suspected pulmonary embolism when appropriate.

 New MSK Imaging Innovations.

Upon completion of this session, the participant should be able to: ^COMP

1. Recognize some of the newer tools at the ordering physician’s disposal, for certain orthopedic and/or rheumatologic conditions.
2. Describe the following innovative techniques and understand their clinical applications:
   1. Ultrasound and Contrast Enhanced Ultrasound (CEUS)
   2. Dual-Energy CT
   3. Artifact Reduction techniques
   4. Compressed Sensing MRI
   5. Ultrasound-CT/MRI/PET- fusion

 Common Cases Walking Through Your Office Door.

Clinical Cases will be solicited throughout the week from the participants.  These cases will be selected and managed by the presenters. Diagnoses, next steps in management and expected clinical outcomes will be discussed.  The format will include panel discussion and audience participation.