Organization :
François Cornud, M.D., Hôpital Cochin, Department of Radiology (Pr Legmann),
Course format
Teaching course program of Paris Descartes University on Prostate MRI
Lectures (40%) and hands-on practical cases on workstations (60%).
Interactive voting system.
Speakers
Matthias Barral*, University Paris Descartes, Paris, France
Tristan Barrett*, University of Cambridge, United Kingdom
Frédéric Beuvon**, Université Paris Descartes, Paris, France
Loïc Colleter*, Imagerie Phocéenne, Marseille, France
François Cornud*, Université Paris Descartes, Paris, France
Joyce Bomers*, Radboud University, Nijmegen, The Netherlands
Sangeet Ghai*, University of Toronto, Canada
Thibaut Pierre*, Université Paris Descartes, Paris, France
Matthias C Röthke*, Conradia Imaging Center, Hamburg, Germany
*Department of Radiology, **Department of Pathology
www.prostatemri-udri.org/en
4th International Workshop on Diagnostic and Interventional Prostate MRI
April 2019, Thursday 11th and Friday 12th, Paris, France
Objectives of the workshop
The use of prostate MRI is expanding, as demonstrated by the growing evidence
of its clinical utility. However, consistently assigning a reproducible PI-RADS score to
visible lesions, evaluating local, regional and distant tumor extension and detecting
tumor local recurrence after radical of focal treatment remain a difficult task in clinical
practice.
Confirmatory diagnosis of PCa requires a targeted biopsy based on MRI findings. A
targeted biopsy only policy is more and more often considered to increase the
detection of significant Ca. In bore MRI guidance may thus be an attractive alternative
to MRI-TRUS image fusion to guide the biopsy and the respective indications of TRUS
or MRI guidance can be more precisely delineated.
Lastly, MRI can be used to guide in-bore focal treatments of selected tumors. Focal
treatments are performed with a physical agent delivered under direct MRI guidance
to perform a focal ablation, while preserving the rest of the prostate gland. The
respective roles of in-bore cryotherapy, laser ablation or high intensity focused are
under evaluation.
www.prostatemri-udri.org/en
4
th International Workshop
on Diagnostic and Interventional Prostate MRI
April 2019, Thursday 11th and Friday 12th, Paris, France
Attention has been paid to several specific features
The availability of workstations allowing for a true-life interpretation of
numerous prostate cases. The cases will then be commented and discussed by the
experts.
The correlation with the histology of whole mount radical prostatectomy
specimens, an invaluable source of information on the MRI appearance of cancers
difficult to detect and on the actual tumor burden which should be evaluated as
precisely as possible to ensure the delineation of an appropriate target volume
during focal therapy
A question-and-answer electronic voting system that will evaluate the learning
curve throughout the workshop, ensuring a high interactivity and allowing for
exchanges with experts. The format of the workshop allows it because it is limited to
40 participants.
At the end of the workshop, participants will know:
1. How to accurately use the PIRADS 2019 version v2.1
2. Why prostate MRI before biopsy is recommended
3. Why targeted biopsies only may become a standard of care
4. Where to look for signs of tumor extra-prostatic extension
5. What are the limitations of DWI to estimate tumor aggressiveness, especially in
the transition zone
6. How to evaluate node and bone staging of high risk prostate cancer
7. How to detect local recurrence after radical treatment
8. The different techniques and indications of in bore MRI-guided focal therapy.
www.prostatemri-udri.org/en
4
th International Workshop
on Diagnostic and Interventional Prostate MRI
April 2019, Thursday 11th and Friday 12th, Paris, France
PROGRAM
Thursday morning: MRI and detection of prostate cancer
08.15-08.45 : Welcome and registration
08.45-09.15 : What about the sequences: basic technical knowledge and beyond
(Matthias Röthke)
09.15-10.00 : PI-RADSv2.1: concept, merits and limits. Pros and cons of a biparametric
approach (Tristan Barrett)
10.00-10.30 : Warm-up: presentation and discussion of three cases (Loïc Colleter)
10.30-11.00 : Self assessment of 8 cases on workstations
11.00-11.15 : Tea or coffee?
11.15-11.45 : T2W-MRI features of TZ lesions (François Cornud)
11.45-12.15: Extraprostatic extension: what to look for and where? (Matthias Barral)
12.15-12-45 : Discussion of the 8 cases (Matthias Röthke, Loïc Colleter)
12.45-13.30: Lunch
Thursday afternoon: Detection and cases
13.30-14.15 : 10 cases
14.15-15.00 : Discussion of the 10 cases (Matthias Barral)
15.00-15.30 : Correlation of the ADC map and the surgical Gleason score: where are
the pitfalls? (François Cornud, Frédéric Beuvon)
15.30-16.00 : Artificial Intelligence and diagnosis of prostate cancer: are radiologists
going to loose their jobs? (Matthias Röthke)
16.00-16.30: 6 cases
16.30-17.00 : Tea or coffee?
17.00-17.30 : Discussion of the 6 cases (Tristan Barrett, Loïc Colleter)
www.prostatemri-udri.org/en
4
th International Workshop
on Diagnostic and Interventional Prostate MRI
April 2019, Thursday 11th and Friday 12th, Paris, France
Friday morning: Interventional prostate MRI and cases
08.30-09.00 : MR-targeted biopsies: TRUS-MRI image fusion and in-bore MRI
guidance: are we ready for a targeted biopsy only strategy? (François Cornud, Joyce
Bomers)
09.00-09.30 : Rationale of focal treatment (Sangeet Ghai)
09.30-10.30 : 12 cases
10.30-10.45 : Coffee
10.45-11.30 : Discussion of the 12 cases (François Cornud, Sangeet Ghai)
11.30-11.55 : In-bore cryo and laser ablation (Joyce Bomers)
11.55-12-20 : In-bore HIFU (Sangeet Ghai)
12-20-12.40 : In-bore TULSA (Matthias Röthke)
12.40-13.10 : Joint discussion
13.10-13.50 : Lunch
Friday afternoon: Evaluation of high risk cancers and more cases
13.50-14.15 : Nodes and bone staging: whole-body MRI and PSMA (Matthias
Röthke)
14.15-14.40 : Recurrences after radical treatment (Loïc Colleter)
14.40-15.40 : 12 cases
15.40-16.30 : Discussion of the 12 cases (Loïc Colleter, Mathias Barral)
16.30 : Closing remarks
www.prostatemri-udri.org/en
4
th International Workshop
on Diagnostic and Interventional Prostate MRI
April 2019, Thursday 11th and Friday 12th, Paris, France
VENUE
Amphithéâtre Jean Dausset, Hôpital Cochin, just opposite to Pavillon Achard
The amphitheatre is very close to the car entry of the hospital, 10 rue Méchain,
75014, Paris
Public transports :
RER Denfert-Rochereau (500m)
METRO Denfert-Rochereau Saint-Jacques
BUS 28 – 38 – 68 – 88
www.prostatemri-udri.org/en
4
th International Workshop
on Diagnostic and Interventional Prostate MRI
April 2019, Thursday 11th and Friday 12th, Paris, France
REGISTRATION
Registration fee : 590 euros ; residents : 150 euros
www.prostatemri-udri.org/en
Accreditation :
This workshop is officially accredited by EACCME® (ECMEC®).
Do not hesitate to contact us for more information