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Andrea M. Trescot, MD, FIPPBiographical SketchAndrea Trescot, MD is past president of ASIPP, a former professor at the University ofWashington in Seattle, Washington, and previous director of the pain fellowship programs atthe University of Washington and the University of Florida. She graduated from the MedicalUniversity of South Carolina, with internship and residency in anesthesia at Bethesda NavalHospital and a fellowship in pediatric anesthesia at National Children’s Hospital in DC. She is aDiplomate of the American Board of Interventional Pain Physicians, a Fellow of InterventionalPain Practice. Dr. Trescot is board certified in anesthesia, pain management, interventional painmanagement and critical care. She was a pain clinic director in private practice for 20 yearsbefore she moved to academics. She returned to private practice, first back in Florida, and mostrecently in Alaska as director of the Trescot Pain Fellowship.LectureImaging for Interventional Pain TherapyFor a therapy to be effective, the clinician needs to have the right diagnosis. Although thehistory and physical exam are critical components of the diagnostic process, imaging can confirmor refute that diagnosis, and imaging has allows the interventional pain physician to provideaccurate diagnosis and treatment. As in other fields of medicine, imaging techniques haveprovided technologic advances in pain management. This lecture discusses the pain managementindications and limitations of thermography, DEXA, fluoroscopy, CT, ultrasound, MRI, fMRI, bonescan, and PET scan, as well as the future directions of these techniques.ObjectivesUpon completion of this presentation, attendees should be able to discuss:• The role of imaging in diagnosis of painful condition• The distinction and indications for CT and MRI• The role of fluoroscopy in diagnostic injections• The advantages and disadvantages of fluoroscopy vs CT vs ultrasound for diagnostic andtherapeutic interventionsKey points• Not all imaging is the same; just like the difference between a hammer and a screwdriver, it isimportant to recognize the strengths and weaknesses of various imaging techniques.• Many interventional techniques can be done by several techniques, such as fluoroscopy, CT, orultrasound; the decision regarding which technique to choose should be based on the qualityof the imaging, the risk to the patient (such as radiation exposure), and the availability of theequipment.Lorand Eross, MD, PhD, FIPPBiographical SketchDr. Lorand Eross is the director of Functional Neurosurgical Program and head of the FunctionalNeurosurgery Department at the National Institute of Neuroscience in Budapest. He is a boardcertifiedneurologist and neurosurgeon. He got his PhD degree at Semmelweis University in2010. His main interest is epilepsy surgery, movement disorder surgery, pain treatment, spasticity,intraoperative neuromonitoring and neuromodulation. He teaches at Semmelweis UniversitySchool of Medicine and at Pazmany Peter University Faculty of Information Technology. Hisresearch activity is in vitro and in vivo electrophysiological investigational methods in epilepsy.LectureNeurosurgical Approaches to Chronic Pain Management– 37–