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104HO - Prostate MR Imaging: What a Urologist Should Know

Saturday, May 19
1:00 PM - 3:00 PM
Location: MCC WEST, 3008

It is paramount that urologists understand the basic fundamentals of prostate imaging and targeted biopsy techniques. During the course, physicians will have the opportunity to ask questions and obtain tips and tricks from some of the international leaders in the field who have helped implement multi-parametric imaging of the prostate. We will review the basics of MR imaging, interpretation, and imaging pitfalls. We will provide hands on interaction which will include guided case review, practice cases with reviewer feedback explanation on imaging tips and tricks to help optimize MRI results. The course layout will be similar to the approach of the Society of Abdominal Radiology (SAR) which will include large room format with a leader in the front guiding the urologist through studies. We will also include some basic lectures to open and close the course. A survey of urologists attending the MR US fusion biopsy beginners course at AUA 2016 < 30% self-reported understanding on interpreting a prostate MRI.

Learning Objectives:

Ardeshir R. Rastinehad

Icahn School of Medicine at Mount Sinai

Art Rastinehad, D.O. joined the faculty at Mount Sinai as Associate Professor of Radiology and Urology. He trained at the National Cancer Institute as an Interventional Urologic Oncologist and is the first urologist to be dual fellowship trained in Urologic Oncology and Interventional Radiology. He has expertise in a wide array of interventional radiological and surgical techniques, including image guided procedures, laparoscopic and robotic surgery.

Dr. Rastinehad’s prostate cancer team has now incorporated state-of-the-art imaging to help visualize suspicious areas in the prostate for cancer. Dr. Rastinehad has also authored and implemented clinical trials of new techniques in the diagnosis and treatment of localized prostate cancer. Most recently, he is the principle investigator for a Phase III clinical trial using MRI/Ultrasound fusion technology to improve prostate biopsy techniques. Using information from the prostate MRI, we can now target specific areas to better diagnose and quantify a patient’s prostate cancer. This was the first trial of this technology in the United States outside the National Institutes of Health. This new clinical approach is helping to lay a foundation for the evaluation of a new technique, Focal Therapy, which only treats the diseased portion of the prostate. As of May 216, Dr Rastinehad was the first in the world to perform a gold nano-particle directed ablation using an transperineal MR US Fusion guided focal therapy system.

For more information, please visit www.interventionalurology.com

Dr. Rastinehad’s research has been published in leading national and international medical journals including The Journal of Urology, Journal of Radiology, Urology, and The British Journal of Urology. He has also authored several book chapters. He has also served as the course director for the first international course on MR US fusion guided prostate biopsies sponsored by the American Urological Association.

Presentation(s):

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Rajan T. Gupta

Duke University Medical Center

Rajan T. Gupta, MD, is an Associate Professor of Radiology in the Division of Abdominal Imaging at Duke University Medical Center, as well as the Director of the Abdominal Imaging Fellowship Program. He has also been awarded a dual appointment in the Duke Department of Surgery based on his work with colleagues in Duke Urology and holds the secondary title of Assistant Professor of Surgery and faculty in the Duke Cancer Institute. Dr. Gupta has coauthored over 60 peer-reviewed publications. He has been awarded two Duke-Coulter Foundation Translational Research Grants as Clinical Principal Investigator, the most recent of which was entitled, "Registration of Multi-parametric MR and Quantitative Shear Wave Elasticity Images for Focal Prostate Cancer Procedures." He is a member of the Duke Cancer Institute Multi-Disciplinary Prostate Cancer Strategy Group. He has been an invited Refresher Course speaker at the Radiological Society of North America national meeting for the past 5 years and has been an invited Visiting Professor at institutions such as George Washington University, University of Minnesota, MD Anderson Cancer Center, and the University of Chicago. His recent published works have been focused on the comparison of multiparametric MRI (mpMRI) at 3 Tesla with the Partin Tables in assessment of organ confined prostate cancer, the effects of dedicated education on reader performance of mpMRI interpretation, and the assessment/development of a novel ultrasonic technique (Acoustic Radiation Force Impulse Imaging - ARFI) .

Presentation(s):

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Ismail Baris Turkbey

NCI, NIH

Dr. Turkbey obtained his medical degree from Hacettepe University in Ankara, Turkey in 2003. He completed his residency in Diagnostic and Interventional Radiology at Hacettepe University. He joined Molecular Imaging Program, National Cancer Institute, NIH in 2007. His main research areas are imaging of prostate cancer (multiparametric MRI, PET CT), prostate biopsy techniques, focal therapy for prostate cancer and image processing (segmentation, decision support systems).

Presentation(s):

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Robert Villani

Zucker School of Medicine, Northwell Health

Robert Villani MD. Assistant professor of radiology, Zucker School of Medicine at Hofstra/Northwell, Northwell health. Fellowshiip trained body imager specializing in multiparametric prostate MRI and urologic radiology. Over 10 years of experience in the interpretation of multiparametric prostate MRI and co author of 7 papers on prostate cancer and multiparatmetric prostate magnetic resonance imaging .

Presentation(s):

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Eran Ben-Levi

Presentation(s):

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Sara C. Lewis

Icahn School of Medicine at Mount Sinai

Dr. Sara Lewis MD is an Assistant Professor of Radiology in the Body Imaging/Body MRI Section at Icahn School of Medicine at Mount Sinai (ISMMS), New York. After finishing residency in Diagnostic Radiology at ISMMS where she also served as Chief Resident, Dr. Lewis then went on to complete an additional year of sub-specialization in abdominal MRI and CT. She subsequently joined the Body Imaging Section in 2011 and the Quantitative Imaging Research Lab (PI: Taouli) in TMII in 2016. Dr. Lewis is actively involved in multiple areas of clinical research in abdominal imaging. Her work is focused on conducting clinical translational imaging research centered on the use of advanced MRI methods in characterizing hepatobiliary neoplasms, renal transplant dysfunction and prostate cancer. Dr. Lewis has received grant support from SAR (2015) and RSNA (2016) for imaging research.

Dr. Lewis has authored and co-authored numerous peer-reviewed publications and actively lectures around the country. She is a peer reviewer for multiple peer-reviewed imaging journals and NIH/NCI. Dr. Lewis is also actively involved in radiology resident education, serving as a member of the Core Clinical Competency Committee and chair of the Program Evaluation Committee. She is a member of the Alpha Omega Alpha Medical Honor Society, Radiologic Society of North America, American Roentgen Ray Society and Society of Abdominal Radiology. She is board-certified by the American Board of Radiology in Diagnostic Radiology.

Presentation(s):

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Arvin K. George

University of Michigan

Arvin K. George, MD is a Urologic Surgeon specializing in the diagnosis and management of genitourinary cancers. After obtaining his medical degree from the Royal College of Surgeons in Ireland, he completed his Urology Residency at the Smith Institute for Urology, Hofstra North Shore-LIJ School of Medicine. He remained to complete his Endourology fellowship in New York gaining additional subspectialty expertise in robotic, laparoscopic, and percutaneous surgery. Subsequently, he completed a Urologic Oncology fellowship at the National Cancer Institute, National Institutes of Health. Dr. George’s clinical practice includes both surgical and non-operative management of prostate, kidney, ureteral, testicular, and bladder cancers. Dr. George’s research interests include minimally invasive and image-guided treatments, functional prostate imaging and focal therapy for prostate cancer.

Dr. George’s research focuses on the use of prostate MRI, MR/Ultrasound fusion-guided prostate biopsy, and focal therapy for prostate cancer including HIFU, Cryotherapy, and Laser ablation. His research aims to identify appropriate use for imaging in diagnosis, risk stratification, and management of prostate cancer including active surveillance and selection/treatment of patients with novel focal therapy modalities.

Presentation(s):

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