In The Reading Room with Dr. Richard Semelka - Body MR: Episode 1: Alcoholic and Viral Hepatitis

Richard Semelka, M.D.
Professor and Director of Magnetic Resonance Imaging, Vice Chair of Quality and Safety,
University of North Carolina Hospitals, U.S.A

Dr. Semelka is a member of the Editorial Boards of the journals JMRI, MRI and TMRI, and is a reviewer for many journals. He has contributed to over 230 publications in refereed journals and has authored numerous review articles and textbook chapters. He has authored 8 text-books, including Abdominal-Pelvic MRI, third edition, Wiley-Liss, 2010. His main expertise lies in cross sectional abdominal imaging with an emphasis on MRI, with a particular interest of liver, pancreas, kidney and bowel diseases. He regularly conducts various teaching and categorical courses at International Radiology Conferences.

Tennis and Body MR?

Episode 1: Alcoholic and Viral Hepatitis

Case 1: Hepatitis C Chronic Liver Disease

Case 2: Alcohol Related Chronic Liver Disease

Case 3: Acute on Chronic Hepatitis

Case 4: Hepatic MRI of the Noncooperative Patient

Case 5: Motion Resistant Sequences

Case 6: MRI Work-up of Ascites

Episode One: Alcoholic and Viral Hepatitis

CASE 1 FREE PREVIEW ONLY: This program is a “Pay To View” program. To view the entire episode and obtain CME credits you must first purchase the program. Once purchased links will be provided from within your “MyAR Archives” page for access to the program and the online exam to earn CME credit.

Program Summary:

In this episode, Dr. Semelka introduces MRI in regard to imaging the most common causes of hepatitis in the United States. He describes how to distinguish acute from chronic hepatitis and how to diagnose hepatitis C cirrhosis. He describes the appearance of alcoholic cirrhosis and discusses some of the hallmarks of hepatocellular carcinoma.

Also presented are imaging techniques that he finds useful to obtain the most information from a study performed on a patient who is a suboptimal MRI candidate. Lastly, he demonstrates a case in which MRI of the abdomen and pelvis can be instrumental in determining the etiology of newly diagnosed ascites in a middle- aged woman.

Case 1: Hepatitis C Chronic Liver Disease (FREE Preview Provided)

Case 2: Alcohol Related Chronic Liver Disease (Purchase Required)

Case 3: Acute on Chronic Hepatitis (Purchase Required)

Case 4: Hepatic MRI of the Noncooperative Patient (Purchase Required)

Case 5: Motion Resistant Sequences (Purchase Required)

Case 6: MRI Work-up of Ascites (Purchase Required)

Approximate Run Time: 62 Minutes

Learning Objectives:

Upon completion of this activity participants will have a better understanding of the following:

How to construct an MR protocol to fit the patient and clinical questions
Which MR imaging tools can benefit your review of MRI cases
Circumstances that can help or hinder your review
Making the final diagnosis

Claiming CE Credit:

To receive CME credits for participating in this activity you must view the program, successfully complete the online post examination and the following evaluation. Online examinations return an immediate grade report. Upon receiving a passing grade of 70% or higher, a letter of credit will be available for printing and indefinitely available in your “MyAR” Archives.

Accreditation Statement:

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Institute for Advanced Medical Education (IAME) and WebMedEd. IAME is accredited by the ACCME to provide continuing medical education for physicians.

IAME designates this activity for a maximum of one (1) AMA/PRA Category 1 CME Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation.

Program Viewing Instructions:

To begin program review click the appropriate tab above. To start the video presentation, position your cursor over the video player Icon and click. To pause or stop the presentation, position your cursor over the video and click. To view full screen size, cursor over the player to reveal the player controls. Once revealed, click the icon at the far right side of the player with 2 arrows. To advance and rewind the video, click and drag the program timeline to left to rewind and to the right to advance.

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.

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

Disclaimer:

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Case 1: Hepatitis C Chronic Liver Disease

Viewing Instructions:

To begin position your cursor over the image above and click. To pause or stop the presentation, position your cursor over the video and click. To view full screen size, cursor over the player to reveal the player controls. Once revealed click the icon at the far right side of the player with 2 arrows. To advance and rewind the video, click and drag the program timeline to left to rewind and to the right to advance.