The 2-day ESGAR liver imaging workshop was one of many workshops organised by ESGAR and the first of 2019. Delegates arrived at the venue from all over Europe on a cold, but sunny Parisian morning. The venue was welcoming and very well equipped for the small meeting. Every person had their own workstation and multiple large TV screens around the room screened the presenter’s slides and imaging in real-time.
The first session, delivered by Dr Giuseppe Brancatelli, covered focal lesions within the cirrhotic liver. Cases demonstrated the subtle differences between cholangiocarcinoma and hepatocellular carcinoma with the faculty giving many top-tips throughout the morning. This was followed by teaching cases covering focal and diffuse abnormalities in the non-cirrhotic liver.
We had a few minutes to view a case on our individual workstation, usually consisting of an MRI or sequence of MRI scans, but sometimes also CT imaging. The course was pitched at the level of a general radiologist who routinely reports liver MRIs and assumed a reasonable level of knowledge regarding hepatocyte specific imaging agents and common liver pathology.
The food was excellent, with snacks and coffee provided throughout the day, and lunch at a local restaurant, just around the corner from the venue, giving us a great opportunity to socialise.
The second day of the course focused on focal lesions in the oncological patient, with teaching on focal steatosis patterns, varying appearances of metastatic disease and chemotherapy related liver changes. The afternoon session covered post treatment changes after TACE and lesion ablation, with a mixture of CT and MRI findings.
The course was well paced and at an adequate speed to ensure a lot was covered in a short time. We reviewed approximately 45 cases over the two days as well as short presentations on the various topics to consolidate the teaching and reinforce key principles.
I would certainly recommend similar liver imaging courses to any radiologist looking to improve their reporting and knowledge of MRI liver imaging.
Dr Christopher Clarke
Consultant abdominal radiologist
Nottingham University Hospitals, UK
ESGAR Social Media Advocate