Feedback by Dr. Adriana Mirela Calin, Cluj-Napoca/RO (ESGAR Social Media Advocate and Online Editorial Member)
During April 26th - 27th I participated in the ESGAR Liver Workshop in Warsaw, Poland. The liver workshop is organized by ESGAR twice a year, with a focus on liver pathology from a clinical point of view.
It consists of two parts: lectures and workshops, where clinical cases are discussed in smaller groups.
This workshop encourages the participation of both specialists and residents and also involves a multidisciplinary approach.
The first day started with a group of lectures centered on imaging modalities.
In the beginning, Prof. Cantisani presented US and CEUS aspects and underlined the still very important role of US and CEUS in liver pathology.
He was followed by Dr. Zamboni, who discussed aspects of MDCT scans of the liver, insisting on the importance of technical aspects, especially a correct protocol for the examination.
Professor Yves Menu then summarized the main protocols in MRI of the liver and introduced us to new and promising techniques for the characterization of liver structure, opening a new door to future development of MR techniques.
The last session of the morning was given by Dr. Podgorska, who discussed liver contrast agents and their use in liver pathology.
After a coffee break, the participants were divided into 3 smaller groups, in order to discuss practical cases.
A great array of cases was brought by Prof. Cantisani, Prof. Menu and Prof. Bali, who ecnouraged the participants to be interactive and solve the tricky cases, offering tips and tricks from their daily clinical practice, in order to help the participants improve their diagnostic skills.
During the afternoon, the lectures, focused on non-cirrhotic liver, continued with Prof. Cieszanowski, the local organizer, who talked about benign lesions in the non-cirrhotic liver, followed by Dr. Zamboni who discussed the most important vascular diseases in a very comprehensive lecture and by Prof. Bali, who introduced us to biliary pathology.
The second workshop included interactive sessions of clinical cases offered by Dr. Zamboni, Dr. Santiago and Prof. Cantisani. They presented both usual and typical cases, but also more uncommon pathologies, underlining the role of all imaging methods and of the multidisciplinary teams.
The second morning, centered on HCC and fibrocystic lesions, started with a wonderful lecture offered by Prof. Brancatelli on HCC staging and liver lesions in cirrhotic patients. I personally encourage every abdominal radiologist, either in training or board certified, to attend his lectures in courses and congresses, because his presentations are modern, educative and offer a very clear perspective on the disease, from physiopathology to differential diagnosis, sustained by high quality images, making it very easy to understand and learn a certain topic.
The morning lectures were concluded by Dr. Santiago, who presented fibrocystic liver disease.
The first workshop consisted in case discussions with Prof. Menu, Dr. Santiago and Prof. Bali. I particularly enjoyed the fact that some topics discussed in the first day were brought up again during the second day's workshops, "forcing" us to refresh the information discussed before.
Malignant pathology was the topic of the last two lectures of the course. The multidisciplinary element was assured by the presence of Prof. Zieniewicz, who offered a surgeon's view on what reports from radiologists should include. The last lecture, on liver metastasis, was again offered by Dr. Podgorska.
For the last workshop, Dr. Podgorska, Prof. Brancatelli and Prof. Cieszanowski saved some really interesting cases of metastatic lesions and HCC and encouraged the audience to discuss them interactively.
During the course, a series of quiz cases was provided by ESGAR and participants were encouraged to try and solve them. At the end of the course, Prof. Cieszanowski and some of the speakers discussed the cases and solved the quiz.
An electronic syllabus and a self assessment test were also provided by the organizers via the ESGAR website.
The workshop also included a series of coffee breaks and lunches, allowing participants to interact and socialize, but also to have a taste of the local cuisine.
As usual, the organizers and ESGAR representatives were very kind and on-point and the location of the workshop, the Staszic Palace was really wonderful and centrally located.
The liver workshop managed to comprise a great array of pathology, presented by top speakers of ESGAR, with great technical support and I consider it to be a great learning experience for radiologists in training, but also a great "refresher" course for board certified abdominal radiologist, as new staging methods and imaging techniques continue to develop. The workshops represent a great opportunity to test the personal knowledge, but also to improve diagnostic skills with tips and tricks offered by the speakers. I also appreciate the multidisciplinary approach of these courses, because it's time for radiologists to "step out of the dark" and have a role in clinical teams and discussions.
I recommend this workshop to every radiologist who focuses on liver imaging; I would even encourage periodic participation, as things change and improve day by day in this field.
Last but not least, this course was a great opportunity to visit Poland and especially Warsaw, which is a wonderful, elegant and green city!