18 EULAR Sonography Course

18 th EULAR
Sonography Course
Basic, Intermediate and Advanced Musculoskeletal
Ultrasound in Rheumatology
Sunday 22 nd – Tuesday 24 th May 2011
Queens Hotel, Leeds, UK

18 th EULAR Ultrasound Course: Information
Scientific Committee:
Dr Richard Wakefield (Leeds, UK)
Dr Jane Freeston (Leeds, UK)
Convenor:
Dr Richard Wakefield (Leeds, UK)
Venue: The Queens Hotel, Leeds, UK
Course opening: Sunday 22 nd May 2011 at 12:00 hrs
Course closing: Tuesday 24 th May 2011 at 17:30 hrs
Participants: 105 – 110 participants
Structure: The course will be run simultaneously at three levels – Basic, Intermediate and Advanced. Each
course will consist of plenary lectures with demonstrations and hands-on scanning in small groups with
experienced tutors.
Faculty: The faculty will consist of experienced international tutors from the fields of rheumatology, radiology and
medical physics.
The courses:
The Basic course will focus on gaining an understanding of how an ultrasound machine works, how to acquire a
good image, the use of standardised examination techniques and the appreciation of the normal ultrasound
appearance of tissues. It will also include some basic pathology. There will be no prerequisites for those
delegates attending the Basic Course.
Specific learning objectives for the Basic Course:
1. To know the basic principles of physics underlying use of ultrasound.
2. To acknowledge the indications and limitations (including pitfalls) of performing an ultrasound assessment.
3. To demonstrate the basic controls of the ultrasound machine.
4. To perform an ultrasound assessment of each major anatomical area using a structured system of
examination.
5. To correctly identify normal anatomy using ultrasound.
6. To correctly identify basic pathological findings (e.g. synovitis, effusions, bone erosions, bursitis, tendon
disease).

The Intermediate courses will focus on a wider spectrum of rheumatological pathology. It is recommended that
all applicants with have attended a Basic Course beforehand (either EULAR or National Course) and will have
performed at least 100 scans.
Specific learning objectives for the Intermediate Course:
1. To recall the standard scan technique for each anatomical region (according to EULAR guidelines:
Backhaus M et al. ARD;200160:641-9)
2. To demonstrate and describe the principal joint related pathologies seen in each anatomical region.
3. To know the principles of Doppler physics.
4. To acknowledge the indications and limitations (including pitfalls) of performing an ultrasound assessment
with particular reference to Doppler studies.
5. To identify and score the major inflammatory joint pathologies.
6. To perform ultrasound guided joint / tissue injections.
7. To understand the role of ultrasound in clinical and research practice.
8. To correctly identify pathological findings (as in Basic Course plus tendons, nerves, ligaments, muscle,
cartilage, cysts, crystals).
The Advanced course will focus on more complex or uncommon pathologies, newer technological developments
and research related aspects of ultrasonography. It will include paediatrics, vasculitis and sports related issues.
It is recommended that participants will be experienced sonographers who will have at least attended an
Intermediate course (either EULAR or National) and performed at least 300 scans.
Specific learning objectives for the Advanced Course:
1. To understand the role of ultrasound in paediatrics.
2. To learn the role of musculoskeletal ultrasound in vasculitis and autoimmune diseases (e.g. Sjorgren’s
syndrome).
3. To know the most up to date literature on the applications of ultrasound in rheumatology.
4. To acquire hands-on experience with the new technological developments of 3D ultrasound, virtual
navigator and elastography.
5. To discuss complex management issues and the place of ultrasound issues with the experts.
Course assessment:
Delegates will have an opportunity for formative assessment during the practical workshops. We will also attempt
to collect feedback from tutors on each delegate in order to deliver an individualised and confidential report at the
end of the course e.g. areas did well, areas to improve on. In addition, an informal MCQ and EMQ style
assessment will be performed.

Course certification:
Currently we are not in a position to legally certify the professional competence of a delegate. However, informal
feedback will be given to each delegate and a certificate of attendance supplied. CPD credits will be applied for
from UEMS and the Royal College of Physicians (UK).
Course evaluation:
The course will be evaluated with respect to educational content, course management and venue.
Administrative contact:
Greg Elliott
Lifelong Learning Centre
Marjorie and Arnold Ziff Building
University of Leeds
Leeds
LS2 9JT
UK
T: +44 (0) 113 343 1770
F: +44 (0) 113 343 7920
E: g.l.elliott@leeds.ac.uk
Continued...

18 th EULAR Ultrasound Course: Basic Level
Queens Hotel, Leeds
Sunday 22 nd May 2011
12:00 – 14:00 Registration and Buffet Lunch
14:00 – 14:15 Introduction from EULAR representative and Dr Richard Wakefield – All course participants
14:15 – 14:45 Lecture: History and development of Ultrasound (Dr George Bruyn, The Netherlands)
14:45 – 15:15 Lecture: Role of Ultrasound in Daily Practice (Dr David Kane, Ireland)
15:15 – 15:45 Lecture: Basic Physics relevant to images (Dr Tony Evans, UK)
15:45 – 16:15 Coffee break
16:15 – 16:45 Lecture: How to optimize the image: getting the best images (Dr Emilio Filippucci, Italy)
16:45 – 17:30 Lecture: Basic Ultrasound Appearance of Tissues with Definitions
(Dr Hilde Berner-Hammer, Norway)
17:30 – 19:00 Workshop: Optimizing Machine settings, Describing normal tissues (All Faculty)
20:00 Dinner at Hotel
Monday 23 rd May 2011
08:30 – 09:00 Lecture: Standardized scanning of the knee: Normal and basic pathological scanning with live
demo (Dr David Bong and Dr Ingrid Moller, Spain)
09:00 – 10:30 Workshop: Supervised scanning normal knee
10:30 – 11:00 Coffee break
11:00 – 11:30 Lecture: Standardized scanning of the hand and wrists: Normal and basic pathological scanning
with live demo
(Dr Fred Joshua, Australia and Dr Andrew Brown, UK)
11:30 – 13:00 Workshop: Supervised scanning of hand and wrist (All faculty)
13:00 – 14:30 Lunch
14:30 – 15:00 Lecture: Standardized scanning of the shoulder: Normal and basic pathological scanning with
live demo (Dr George Bruyn and Dr Nano Swen, The Netherlands)
15:00 – 16:30 Workshop: Supervised scanning of shoulder (All faculty)
16:30 – 17:00 Coffee
17:00 – 17:30 Lecture: Standardized scanning of the hip: Normal and basic pathological scanning with live
demo
(Dr Peter Balint, Hungary and Dr Juhani Koski, Finland)
17:30 – 18:30 Workshop: Standardized scanning of the hip (All faculty)
19:15 Gala Dinner at Queens Hotel

Tuesday 24 th May 2011
08:30 – 09:00 Lecture: Standardized scanning of the elbow: Normal and basic pathological scanning with
live demo (Dr Eugenio Miguel, Spain)
09:00 – 10:30 Workshop: Standardized scanning of the elbow (All faculty)
10:30 – 11:00 Coffee
11:00 – 11:30 Lecture: Standardized scanning of the foot and ankle: Normal and basic pathological scanning
with live demo (Dr Peter Balint and Dr Peter Mandl, Hungary)
11:30 – 13:00 Workshop: Standardized scanning of the foot and ankle (All faculty)
13:00 – 14:00 Lunch
14:00 – 16:00 Workshop: Scanning upper and lower limb pathologies (All faculty)
16:00 – 17:00 Assessment / feedback
17:15 – 17:30 Closing Remarks

18 th EULAR Ultrasound Course: Intermediate Level
Queens Hotel, Leeds
Sunday 22 nd May 2011
12:00 – 14:00 Registration and Buffet Lunch
14:00 – 14:15 Introduction from EULAR representative Dr Richard Wakefield – All course participants
14:15 – 14:45 Lecture: Doppler physics and techniques (Dr Fred Joshua, Australia)
14:45 – 15:15 Lecture: Doppler artifacts (Dr Lene Terslev, Denmark)
15:15 – 15:45 Lecture: Ultrasound of synovitis: definitions and quantification
(Dr Marcin Szkudlarek, Denmark)
15:45 – 16:15 Coffee break
16:15 – 18:00 Workshop: Supervised scanning with focus on scoring (All faculty)
18:00 - 18:30 Lecture: Ultrasound of bone erosion: definitions and quantification
(Dr Richard Wakefield, UK)
18:30 – 19:00 Lecture: Ultrasound of tendon disease: definitions and quantification
(Dr Esperanza Naredo, Spain)
20:00 Dinner at Hotel
Monday 23 rd May 2011
08:30 – 09:00 Lecture: Ultrasound of enthesopathy: definitions and quantification
(Dr Maria-Antonietta D’Agostino, France)
09:00 – 09:30 Lecture: Ultrasound of cartilage lesions: definitions and quantification
(Dr Emilio Filippucci, Italy)
09:30 – 10:00 Lecture: Ultrasound of muscle and ligaments (Dr Carlo Martinoli, Italy)
10:00 – 10:30 Coffee break
10:30 – 11:00 Lecture: Ultrasound of nerve lesions (Dr Johan Michaud, Canada)
11:00 – 13:00 Workshop: Supervised scanning of patients with tendon / muscle / nerve lesions (All faculty)
13:00 – 14:30 Lunch
14:30 – 15:00 Lecture: US of Shoulder: pathology and pitfalls (Dr Soren Torp-Pederson, Denmark)
15:00 – 15:30 Lecture: US of common soft tissue disorders with pitfalls (Dr Ingrid Moller, Spain)
15:30 – 16:30 Workshop: Supervised scanning of inflammatory / degenerative pathologies (All faculty)
16:30 – 17:00 Coffee
17:00 – 18:30 Workshop: Supervised scanning of inflammatory / degenerative pathologies (All faculty)
19:15 Gala Dinner at Queens Hotel

Tuesday 24 th May 2011
08:30 – 09:00 Lecture: Accuracy of Ultrasound for detecting inflammatory lesions
(Dr Hilde Berner Hammer, Norway)
09:00 – 09:30 Lecture: Sonographic interventional techniques (Dr Juhani Koski, Finland)
09:30 – 10:30 Workshop: Supervised sonographic techniques (All faculty)
10:30 – 11:00 Coffee
11:00 – 11:20 Lecture: Ultrasound in OA (Dr Gary Wright, UK)
11:20 – 11:40 Lecture: Ultrasound and Crystal disease (Dr Allister Taggart, UK)
11:40 – 13:00 Workshop: Supervised scanning of inflammatory / degenerative lesions (All faculty)
13:00 – 14:00 Lunch
14:00 – 15:30 Workshop: Supervised scanning of inflammatory / degenerative lesions (All faculty)
15:30 – 16:00 Lecture: The future of Ultrasound in Rheumatology (Dr Annamaria Iagnocco)
16:00 – 17:00 Assessment / feedback
17:15 – 17:30 Closing Remarks

18 th EULAR Ultrasound Course: Advanced Level
Queens Hotel, Leeds
Sunday 22 nd May 2011
12:00 – 14:00 Registration and Buffet Lunch
14:00 – 14:15 Introduction from EULAR representative and Dr Richard Wakefield – All course participants
14:15 – 14:35 Lecture: Scoring methods for synovitis: state of the art (Dr Lene Terslev, Denmark)
14:35 – 14:55 Lecture: Scoring methods for erosions: state of the art (Dr Richard Wakefield, UK)
14:55 – 15:15 Lecture: Ultrasound in the assessment of tendon pathology: state of the art
(Dr George Bruyn, The Netherlands)
15:15 – 15:45 Lecture: Ultrasound in the assessment of enthesitis: state of the art
(Dr Maria-Antonietta D’Agostino, France)
15:45 – 16:15 Coffee break
16:15 – 17:40 Workshop: Supervised scanning with focus on scoring (All faculty)
17:40 – 18:05 Lecture: OA: State of the Art (Dr Annamaria Iagnocco, Italy)
18:05 – 18:30 Lecture: Use of contrast agents in rheumatology (Dr Marina Backhaus, Germany)
18:30 – 19:00 Lecture: Ultrasound in GCA and other vasculitis (Dr Wolfgang Schmidt, Germany)
20:00 Dinner at Hotel
Monday 23 rd May 2011
08:30 – 09:00 Lecture: Ultrasound in Sports Medicine
(Dr Philip O’Connor, UK and Dr Andrew Grainger, UK)
09:00 – 09:30 Lecture: Ultrasound of tendons with reference to management (Dr Jonathan Rees, UK)
09:30 – 10:00 Lecture: Ultrasound of upper limb nerves with demo (Dr Johan Michaud, Canada)
10:00 – 10:30 Coffee break
10:30 – 11:30 Lecture and demonstration: Ultrasound of lower limb nerves with demo
(Dr Carlo Martinoli, Italy)
11:30 – 13:00 Workshop: Supervised scanning of patients with tendon / nerve lesions (All faculty)
13:00 – 14:30 Lunch
14:30 – 15:15 Lecture: US in Sjorgren’s syndrome and live demo (Dr Sandrine Jousse Joulin, France)
15:15 – 15:45 Lecture: Ultrasound in Scleroderma (Dr Marco Matucci-Cerini, Italy)
16:00 – 16:20 Lecture: Predictive value of ultrasound in RA (Dr Jane Freeston, UK)
16:20 – 16:40 Lecture: Is there a role of US for the detection of crystal arthropathies?
(Prof Walter Grassi, Italy)
16:40 – 17:00 Coffee

17:00 – 18:30 Workshop: Supervised scanning of inflammatory / degenerative pathologies (All faculty)
19:15 Gala Dinner at Queens Hotel
Tuesday 24 th May 2011
08:30 – 08:50 Lecture: Paediatric Ultrasound: Clinical perspective
(TBC)
08:50 – 09:35 Lecture: Paediatric Ultrasound – Principles, Pathology and pitfalls
(Dr Sandrine Jousse Joulin, France)
09:35 – 10:00 Lecture: Value of 3D Ultrasound and demo (Professor Walter Grassi, Italy)
10:00 – 10:30 Lecture: Virtual Navigator and demo (Dr Michel Court-Payen, Denmark)
10:30 – 11:00 Coffee
11:00 – 11:30 Lecture: Elastography and Demo (Dr Soren Torp-Pederson, Denmark)
11:30 – 12:45 Workshop: Using new techniques – 3D, Virtual navigator, Elastography (All faculty)
12:45 – 13:40 Lunch
13:45 – 14:05 Lecture: US of ankle ligaments with demonstration
(Dr David Bong and Dr Ingrid Moller, Spain)
14:05 – 15:30 Workshop: Supervised scanning of inflammatory / degenerative lesions (All faculty)
15:30 – 16:00 Lecture: Research agenda in Rheumatology / OMERACT perspective
(Dr Esperanza Naredo, Spain)
16:00 – 17:00 Assessment / feedback
17:15 – 17:30 Closing Remarks