Program Summary

Ultrasound and MR elastography are relatively new, clinically validated, and highly reliable and reproducible imaging techniques to non-invasively, rapidly, and cost-effectively evaluate chronic liver disease in children and adults.

These techniques have widespread applicability in the pediatric population, not only in patients with non-alcoholic fatty liver disease (NAFLD), a leading cause of chronic liver disease in U.S. children, but in a variety of other pediatric chronic liver diseases. By measuring tissue stiffness, the radiologist can assist the clinician in identifying the presence of fibrosis within the liver parenchyma.

Histopathologic examination of liver biopsy specimens has long been considered the gold standard for the evaluation of hepatic fibrosis. However, liver biopsy is invasive, costly, not without complications, samples only a fraction of the liver parenchyma, and requires sedation/anesthesia in young children.

In this CME/CE Accredited Expert Forum, Dr. Podberesky will provide a brief overview of ultrasound and MR elastography techniques, review the current literature, applications, and provide imaging examples.

Following Dr. Podberesky's presentation, questions from the audience were taken and answered in a moderated Q&A.

Effective Date: 10/01/2016
Expiration Date: 9/30/2018
Estimated Completion Time:1 hour

This program was originally broadcast live as part of a Webinar sponsored by the Institute for Advanced Medical Education (IAME) and supported through an unrestricted educational grant from Philips Healthcare.

This program has been supported through an unrestricted educational grant from Philips Healthcare.

Educational Objectives

After completing this course the participant should be able to:

• Appreciate government, payer and financial pressures facing clinicians and MRI centers.
• Discuss Disease Centric Imaging through a review of typical neurologic disorders, “red flag” conditions that warrant MRI, and MRI Sequences that are aligned with specific referring indications.
• Understand practical opportunities for fast MRI methods, including new signal-efficient spiral methods and information-optimized compressed sensing sequences.
• Understand the meaning of “efficiency and effectiveness of care” to a treating neurologist.

Faculty

Daniel J. Podberesky, MD, joined Nemours Children's Health System as Radiologist-in-Chief in October 2014. He is a nationally recognized physician with a distinguished list of accomplishments in the pediatric imaging field. Based in Orlando, he also serves as the Chair of the Department of Radiology at Nemours Children's Hospital.

Prior to joining Nemours, Dr. Podberesky was Associate Director of Clinical Services and Chief of the Division of Thoracoabdominal Imaging at Cincinnati Children's Hospital Medical Center. He is currently Associate Professor of Radiology at the University of Central Florida and Florida State university. Dr. Podberesky earned his medical degree at the University of Maryland School of Medicine in Baltimore.

As an active duty member of the U.S. Air Force, he completed a residency in diagnostic radiology at the San Antonio Uniformed Services Health Education Consortium, followed by a fellowship in pediatric radiology at Cincinnati Children's Hospital Medical Center. Following his radiology training, Dr. Podberesky served as Chief of Pediatric Radiology at Wilford Hall Medical Center at Lackland Air Force Base in Texas.

Dr. Podberesky is certified by the American Board of Radiology, with a certificate of added qualification in pediatric radiology. His main areas of clinical and research interest are advanced imaging of the pediatric gastrointestinal, genitourinary and cardiovascular systems, and he has published over 50 peer-reviewed articles and numerous textbook chapters in these areas. He also serves on numerous national organizations, including as a member of the Board of Directors of the Society for Pediatric Radiology.

Target Audience

• Radiologists
• MD's
• Related Imaging Professionals

Educational Credits

One (1) AMA/PRA Category 1 CME Credit™

Disclosures

Dr. Podberesky discloses the following: Guerbet – Consultant, Toshiba America Medical Systems - Speakers Bureau, Amirsys – Chapter Royalties, Philips, GE and Siemens – Travel Reimbursement

No individual at IAME who had control over the content of this program has relationships with Philips Healthcare or any other commercial supporter.

Physician Accreditation

The Institute for Advanced Medical Education (IAME) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Institute for Advanced Medical Education (IAME) designates this enduring material for a maximum of 1.0 AMA/PRA Category 1 CME Credits.™ Physicians should only claim credit commensurate with the extent of their participation in the activity.

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board or other credentialing organization.

Claiming CE Credit

To receive CME credits for participating in this CE activity you must successfully complete the online post examination. Online examinations return an immediate grade report. Upon receiving a passing grade of 70% or higher click continue and complete the evaluation form. To view and print your Statement of Credit click the Print/View Certificate link displayed from within your MyCE Archives page.

Program Viewing Instructions

To begin program review click the View Program tab above. To start the video presentation position your cursor over the video player Icon and click.

System Hardware/Software and Internet Connection Requirements

The following information is provided for your reference in conjunction with review of this program.

Operating Systems: Windows 2000 or higher, MAC OSX 10.3 or higher, Mac iOS 5.0 or higher (ipad, iphone compatible), Android 4.3 or higher.

General System and Internet Requirements: Speakers or Headphones, High Speed Internet connection, Wireless 3G and 4G.
Web browsers: Internet Explorer, Firefox, Safari and Chrome.