MRI SPINE CLINICAL GRAND ROUNDS

20 Credit Hours

*CE Credits are for Doctors of Chiropractic.

**CME Credits are for Medical Doctors and Doctors of Chiropractic.

****Please note this course is approved for 10 CE Hours in Texas.

*****Please note this course is approved for 15 CE Hours in California until 1/31/2024 and then will not have CE approval any longer..

The MRI Spine Clinical Grand Rounds is a course designed for the doctor who understands the basics of MRI Spine Interpretation. Each module reviews cases for visualization of anatomical landmarks, sequence acquisition to visualize pathology, and how to document your findings. The goal of the course is to offer case after case in a repetitious manner so that the practitioner can identify normal anatomy vs. pathology. The course extensively covers all types of herniations, organ, vessel, and musculature landmarks, and T1 and STIR images for pathology with T2 images for anatomy. Also, this course is engineered to teach the practitioner how to document findings, so co-treating providers can understand what is presented on the complete sequences of images.

Module 1: Case study reviewing interpretation sequencing of STIR, T1, T2, Axial and Sagittal acquisitions. Landmarks, physics, and literature-based definitions of the disc and osseous pathology. Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology.

Time: 90 Minutes

Module 2: Case study visualizing, diagnosing, and documenting lumbar spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves, canal stenosis grading, and vertebral width vs. height in determining segmental remodeling and diagnosing thecal sac abutment, central canal root compression, and ligamentum Flava involvement.

Time: 90 Minutes

Module 3: Case study visualizing, diagnosing, and documenting cervical spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, and vertebral width vs. height in determining segmental remodeling. Identifying the Pons, Occipital junction, and spinal cord to identify Chiari 1 malformations.

Time: 90 Minutes

Module 4: Case study visualizing, diagnosing, and documenting lumbar spine sequencing, disc extrusion type herniations, neural canals, cauda equina, conus medullaris, spondylolisthesis, degenerative spondylolisthesis, disc degeneration, neural canal and central root compressions, central canal stenosis—varices vs. herniations, and multiple level disc pathology with biomechanical failures.

Time: 90 Minutes

Module 5: Case study visualizing, diagnosing, and documenting cervical spine sequencing, disc extrusion type herniations, neural canals, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, cervical curve reversal, Chiari 1 malformation. Identifying spinal biomechanical failure in MRI sequencing, visualizing ligamentous pathology as cause for failure. Differentially diagnosing recent vs. older trauma based upon edematous signal in T1, T2, and STIR images.

Time: 90 Minutes

Module 6: Case study visualizing, diagnosing, and documenting cervical spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, intradural tumor displacing the spinal cord visualized in T1, T2, and STIR sequences, neural canal stenosis, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation, and identifying of inferior brain structures.

Time: 90 Minutes

Module 7: 3 Case studies: 1) improper sequence acquisitions invalidating interpretation 2) incomplete study invalidating interpretation 3) visualizing, diagnosing, and documenting lumbar spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, multiple thecal sac compressions, neural canal stenosis, disc osteophyte/ridging complex, central canal stenosis, spondylolisthesis. Identifying the spleen, liver, kidneys, inferior vena cava, and psoas musculature.

Time: 90 Minutes

Module 8: Case study visualizing, diagnosing, and documenting cervical spine sequencing, cervical spondylosis, pathological spinal biomechanics, reversal of lordotic curve, and vertebral width vs. height in determining segmental remodeling, central herniation, thecal sac compression of the cord, identifying tongue, epiglottis, hyoid cartilage, pharynx, thyroid and reviewing fat saturation sequences for metastatic osseous tumors and advanced degeneration.

Time: 90 Minutes

Module 9: Case study visualizing, diagnosing, and documenting lumbar spine sequencing, degenerative disc disease, nerve root sleeve abutment, far lateral herniations vs. bulges, normal vs. dissected inferior vena cava aneurism, epidural fat as a space-occupying lesion, facet arthropathy and edema, hypertrophy of ligamentum Flava, and pseudo disc at the S1-S2 level.

Time: 90 Minutes

Module 10: Case studies visualizing, diagnosing, and documenting cervical spine sequencing utilizing T1 weighted images for pathology, including advanced degeneration and tumor detection. STIR in a fat saturated image for ligamentous pathology inclusive of the posterior longitudinal, ligamentous flava and interspinal ligaments. Normal clivus and odontoid for cerebellar tonsil location. Cerebral spinal fluid (CSF) flow and the utilization of the spinal cord’s central canal for CSF transport.

Time: 90 Minutes

Total 20 Hours

Course Objectives:

To identify spinal lesions through advanced imaging anbd triage pateints accordingly.

Instructor(s):

Mark Studin DC, FASBE(C), DAAPM

Patricia Roche DO, Radiology, Neuroradiology

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

 Troubleshooting Suggestions: 

1. This course is supported by PC's and Mac devices
2. Minimum 20mbs download speed
3. Mobile device are not ideal as tracking is automated and often not mobilized

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and Cleveland University Kansas City, College of Chiropractic, Post-Graduate Department.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences designates this live activity for a maximum of 20.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PLANNING COMMITTEE & SPEAKER DECLARATIONS

The Accreditation Council for Continuing Medical Education (ACCME) and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences Standards for Commercial Support require that presentations are free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. The following planners and presenter(s) have disclosed financial interest/arrangements or affiliations with organization(s) that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s). Only the current arrangements/interests are included. *Planning Committee

Activity Director and Instructor:

Mark Studin DC, FASBE, DAAPM – Nothing to Report

Patricia Roche DO, Radiology, Neuroradiology – Nothing to Report

ACCME Standards of Commercial Support of CME require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, faculty are requested to use only generic names. If they use a trade name, then those of several companies should be used. If a presentation includes discussion of any unlabeled or investigational use of a commercial product, faculty are required to disclose this to the participants.

ACCME Original Launch Date: October 2, 2020 Termination Date: October 2, 2023