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 5 CE Hours in New Hampshire.
****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:
- This course is supported by PC's and Mac devices
- Minimum 20mbs download speed
- 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
