The Annual Meeting of the Belgian Society of Radiology (BSR) is held in Brussels center (in person again) on 20 November 2021, filled with high qualitative educational lectures. The meeting is focused on a very important topic in daily practice: Musculoskeletal Imaging in Emergencies. Its organization is a collaboration between the MSK Radiology Section of the BSR – namely Maryam Shahabpour (Chair of MSK section of BSR) and Bruno Vande Berg (BSR Board member) – and the Young Radiologist Section (YRS).
After a warm welcome from the current YRS presidents Nina Watté and Amin Mahsouli, the educational program is subdivided into four sessions.
The first session allocated to Imaging the Fragile Patient consists of four presentations, moderated by Bruno Vande Berg and Amin Mahsouli. Thomas Kirchgesner (University of Louvain) explains how to evaluate “low-energy occult femoral and pelvic fractures”. These fractures are common in elderly patients and early detection is crucial for optimal patient management and cost containment. Some fractures are radiographically undetectable and therefore it is important to learn how these bone injuries should be discovered and investigated.
Bruno Vande Berg (University of Louvain) presents “spinal injuries in elderly patients,” especially low-energy cervical spine fractures, which are an increasing issue in our aging population. He will try to address the questions: How do we detect these fractures, what are the differences between high-energy and low-energy fractures of the cervical spine, which modality do we use and what do we look out for?
Jan Gielen (University of Antwerp) enlightens the imaging challenges in diabetic feet, demonstrating how to determine whether a red-hot swollen foot is from acute Charcot neuro-osteoarthropathy or an infected skin ulcer.
To close this first session, we jump from the oldest patients to the youngest ones with a presentation of Nele Herregods (University of Ghent) on acute arthritis and osteomyelitis in children.
The second session discusses Advanced Imaging in Peripheral Limb Injury and is moderated by Raymond Oyen (University of Leuven) and Nina Watté (YRS).
Michel De Maeseneer (Vrije Universiteit Brussels) gives a detailed overview of acute and chronic, complex ankle and foot injuries, involving bone, tendons and ligaments. Maryam Shahabpour (Vrije Universiteit Brussels) emphasizes the role of advanced MRI for an accurate evaluation of wrist and hand trauma, including bone and associated ligament injuries, to prevent post traumatic complications.
The third session deals with New Technologies in Trauma and is moderated by Pieter Van Dyck (University of Antwerp) and Stijn Marcelis (YRS).
Bruno Vande Berg (University of Louvain) discusses the possibilities offered by dual-energy CT (DECT) in trauma. He determines whether this technique has an added value in detecting trauma-associated bone marrow edema and its capacity to increase the detection of CT-occult fractures and to differentiate between recent and healed fractures.
The ability of synthetic CT images reconstructed from MR images as an upcoming Artificial Intelligence (AI) tool is approached by Frederiek Laloo (University of Ghent) with high expectations regarding detection of bone erosions and fractures and numerous other capabilities.
Stijn De Buck (University of Leuven) discusses how 3D printing (3DP) in fractures may be a game changer. He provides an overview of the different clinical uses of 3DP in the process of fracture treatment and where these uses may prove to be beneficial.
Cedric Werbrouck and Koen Mermuys (AZ St Jan Brugge) report the advantages of current Cone Beam CT (CBCT) and its promising indications.
The morning is rounded off with an exciting MSK Quiz prepared by Filip Vanhoenacker and the YRS, followed by a word from the BSR President Piet Vanhoenacker.
After lunch, we move on to the fourth and final session of the day focusing on Sports Injuries. The moderators for this session are Maryam Shahabpour and Michiel Van Elsen (YRS).
Carles Pedret (University of Barcelona) provides an original and didactic overview on the use of MRI and US for diagnosis and prognosis of hamstring muscle injuries.
Frank Smithuis and Mario Maas (AMC Amsterdam) present the challenging diagnoses of overuse injuries in teenagers. Smithuis describes the specific overuse injury patterns and the developmental steps of teenagers’ musculoskeletal system.
Marylin Pinas (University of Leuven) gives a nice overview on the assessment of elbow injuries, including ruptures of the distal biceps tendon.
The last lecture of the day is presented by Pieter Van Dyck (University of Antwerp) and concerns the value of CT in knee avulsion fractures and associated ligamentous and meniscal injuries. Prompt and accurate diagnosis relies heavily on imaging and is mandatory to facilitate adequate management and prevent potential complications.
After the presentations, Filip Vanhoenacker discusses the quiz cases and we end the day with a message from the BSR President Piet Vanhoenacker.
Thomas Kirchgesner is clinical head of musculoskeletal imaging at the Department of Medical Imaging in the University Hospital UCL Saint-Luc in Brussels. He completed his PhD in medical science at Université Catholique de Louvain in 2020 (entitled “Dixon MRI sequences in hands with early rheumatoid arthritis”) and authored or co-authored more than 30 peer-reviewed scientific papers.
Bruno Vande Berg is adjunct head of the Department of Medical Imaging in University Hospital UCL Saint-Luc. He obtained a PhD in 1997 on “sequential quantitative analysis and mapping of the bone marrow with MR” and started in 1998 as a clinical teacher at the Université Catholique de Louvain. In 2004, he became clinical professor responsible for the osteoarticular radiology unit and Chief of the Radiology Department of the Cliniques Universitaires St Luc. Since 2014, he has been associated chief of the radiology department, responsible for education of the osteoarticular radiology unit and chairman of the interuniversity DES (Diploma of specialized studies). He is chair of the French Accreditation Committee in Radiodiagnosis.
Jan Gielen is adjunct head of the department of medical imaging at the University Hospital of Antwerp and the head of S.P.O.R.T.S. (the multidisciplinary center for screening, prevention, research, education, revalidation, training, and sports medicine). He obtained a PhD on ‘Magnetic Resonance Imaging of Soft Tissue Tumors’ in 2004 and is currently professor of radiology, anatomy and physiology (Medical School), pathophysiology (rehabilitation medicine) and advanced ultrasound (Biomedicine) at the University of Antwerp. He is also vice-president of the department of radiology and consulting radiologist in the Hospital of Jesse Hasselt, Belgium. In total, Prof. Gielen wrote 165 articles and book chapters. He published 86 A1 papers. Almost all of these papers have been presented at national and international meetings.
Nele Herregods is clinical head of pediatric radiology at the University Hospital of Ghent. She is a member of the arthritis and pediatric subcommittee of ESSR also on the Assessment of SpondyloArthritis International Society (ASAS) and the Juvenile Idiopathic Arthritis (JIA) working group of Outcome Measures in Rheumatology Clinical Trials (OMERACT). In addition to her clinical work and teaching at the Ghent University, she is conducting research with the main field of interest in pediatric inflammatory diseases, focusing primarily on (juvenile) spondyloarthritis. Her current research is about scoring systems in pediatric sacroiliac joint MRI in Juvenile spondyloarthritis (JSpA) imaging and variation of normal sacroiliac joints with international collaborations with multiple centers. She has authored or co-authored multiple publications in peer reviewed journals during the last years.
Michel De Maeseneer is professor of radiology at the Vrije Universiteit Brussel (VUB). He is part of the musculoskeletal team at the University Hospital of Brussels. His main interests are imaging-anatomical correlation, normal variations in musculoskeletal anatomy, and 4D CT. He trained and worked for eight years in the United States with Donald Resnick (San Diego), Tommy Pope and Leon Lenchik (Wake Forest, NC), and Jon Jacobson (Un. of Michigan, MI). He co-authored about 200 peer reviewed articles and many meeting abstracts, and was awarded 20 prizes. He regularly speaks at the European Congress of Radiology (ECR), Radiological Society of North America (RSNA), Musculoskeletal Ultrasound Society (Musoc), and the Medipoint US course. He also organises his own musculoskeletal MRI courses.
Maryam Shahabpour is head of clinics of musculoskeletal imaging and sports radiology at the University Hospital of Brussels and clinical professor of radiology at Vrije Universiteit Brussel (VUB) since 2007. She was chair of the Sports Committee of the European Society of Musculoskeletal Radiology (ESSR) from 2013 to 2017. She is an active member of the International Skeletal Society (ISS) after being program committee co-chair in 2014 and 2015 and invited teacher in ISS outreach programs. She was a MSK Scientific Committee member of the European Society of Radiology (ESR) in 2015 and 2016 and has represented Belgium in the Education Committee of ESR since 2016.
She is President of the Board of the Erasmus Courses on MRI since 2020 and was board secretary from 2008. She is coordinator and organizer of the MSK Erasmus courses since 1991.
As chair of the MSK section of the BSR, she organized the 2016 Annual Meeting of the BSR with the YRS and the Thorax Section.
She has published 121 peer-reviewed papers (105 on PubMed), 88 chapters in radiological books. Among them: Coeditor and author in “Magnetic Resonance Imaging and Spectroscopy in sports medicine” Springer-Verlag 1991 (translated in Japanese); she was first editor of “MRI of the shoulder” (300 pp) in October 2018 and of “MRI of the wrist & hand” (345 pp) in June 2021. She is author and editor with Iwona Sudol-Szopinska of the June 2021 issue of the seminars in MSK Radiology.
She has presented 251 national and 293 international lectures, including ESSR, ISS, ECR, ESOR, RSNA and European sports, orthopaedic and international hand surgery meetings.
Frederiek Laloo (MD, PhD) is currently fourth-year resident at Ghent University Hospital. He earned a PhD on MR imaging of axial spondyloarthritis and has a special interest in musculoskeletal radiology. He received a European School of Radiology (ESOR) Scholarship for musculoskeletal radiology with training at King’s College Hospital in London/United Kingdom and is also member of the European Society of Musculoskeletal Radiology Arthritis Subcommittee.
Stijn De Buck is professor at the Catholic University of Leuven. Since April 2019, he has led the 3D core facility the University Hospital of Leuven, a central unit that offers clinically driven, efficient, innovative 3D visualization and 3D printing solutions.
He is driven to realize advanced medical image computing solutions for sustainably improving healthcare. He graduated in 1999 as a civil electrical engineer specializing in automation. As part of his doctorate, he conducted research into the augmented reality solutions for integration of pre- and intra-operative images to make minimally invasive procedures safer, more accurate and more efficient. More specifically, this research focused on laparoscopic procedures and cardiac ablation. Subsequently, he realized several projects in the field of image-guided interventions, often in collaboration with industrial partners.
Cédric Werbrouck is a radiologist, working in AZ Sint-Jan and AZ Sint-Lucas Brugge, with a special interest in musculoskeletal imaging.
He graduated as a radiologist in the University Hospital of Leuven with additional MSK Fellowships in Liege (Belgium), Oxford (UK), Tielt (Belgium) and Lille (France).
Carles Pedret is a sports medicine specialist from the Universitat de Barcelona. He obtained a PhD in medicine and surgery from the Universitat Autònoma de Barcelona. His main activity is the diagnosis, treatment, and return-to-play process (RTP) of muscle and tendon injuries, especially the ultrasound diagnosis and ultrasound guided procedures. He is also external advisor to multiple professional teams of the English Premier League, Italian Serie A, Spanish Liga Santander and Liga Smartbank, China SuperLeague, Belgium Pro League and German Bundesliga (football), Spanish ACB basketball teams and NBA teams and advisor to the Royal Spanish Tennis Federation.
Dr. Frank Smithuis
Frank Smithuis is a Dutch musculoskeletal radiologist working at the Amsterdam Universitair Medische Centra (AUMC), after completing internships, residency and a fellowship in musculoskeletal radiology at the AUMC.
Since 2016, he has been deeply involved in education for a broad spectrum of audiences: healthcare students, radiology residents in the Netherlands and all other residents in Amsterdam. He is a frequent speaker at national congresses of radiology, orthopaedic surgery, and sports medicine.
Since 2015 he has been co-author of the well-known website www.radiologyassistant.nl.
He founded a YouTube channel as education platform for interns called “radiologie AUMC”.
Dr. Marilyn Pinas
Marilyn Pinas is a staff member of the Radiology Department at the University Hospital of Leuven. She is skilled in musculoskeletal radiology and non-vascular interventional procedures. She completed medical training in the Netherlands at the AUMC and worked as a physician assistant in thoracic surgery at the Universitair medisch centrum Maastricht. After this, she started as a radiology intern at the Antwerp University Hospital (UZA). She specialized as a radiologist in the Netherlands at the Universitair Medisch Centrum (UMC) Nijmegen, St. Radboud, after which she did a fellowship in breast radiology at the Erasmus MC Rotterdam (the Netherlands). As a radiologist specializing in breast and musculoskeletal imaging, she worked in the Netherlands at the Slotvaart Ziekenhuis (Amsterdam) and as chief of staff at the Haaglanden Medisch Centrum (Den Haag/Leidschendam). Thereafter, she transferred to the Universitair Ziekenhuis Leuven, where she has been working as a radiology staff member in the musculoskeletal radiology and non-interventional procedures since 2021.
Prof. Dr. Pieter Van Dyck
Pieter Van Dyck is a musculoskeletal radiologist at the University of Antwerp (UAntwerpen) and Antwerp University Hospital (UZA). As of October 2016, he holds a senior clinical investigator fellowship of the Research Foundation Flanders (FWO Vlaanderen).
His clinical research is in the domain of advanced MRI techniques with special focus on clinical validation and implementation of quantitative MRI techniques including novel image reconstruction methods (e.g., super-resolution reconstruction, SRR) for musculoskeletal applications. His current research aims to enhance the clinical translation of both anatomical and model-based SRR methods for respective structural and quantitative 3D knee MRI.
He is a board member of the International Society of Magnetic Resonance in Medicine (ISMRM) Benelux Chapter. He also serves as a member of the Ethics Committee of UZA. He is a full member of the Belgian Society of Radiology (BSR), the European Society of Radiology (ESR), and the International Skeletal Society (ISS). He has lectured at national and international meetings and courses including the Erasmus Course on MRI of joints and meetings of the ESR and ISMRM.
Prof. Dr. Filip Vanhoenacker
Filip Vanhoenacker is staff radiologist at the Department of Radiology at General Hospital Sint-Maarten Mechelen and guest professor of musculoskeletal radiology at the Faculty of Medicine and Health Sciences.
He graduated as a medical doctor from the Catholic University of Leuven in 1987. He is a board-certified radiologist with extensive international experience. He has co-authored or authored 379 peer-reviewed scientific papers listed in PubMed, six books, and 94 book chapters. He is guest professor at the University of Antwerp and Ghent University. He is an active member of many national and international societies including the ESR (scientific committee chair, etc.). He served as secretary and president of the European Society of Musculoskeletal Radiology (ESSR).
The authors have no competing interests to declare.