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Report on the 37th ESNR Annual Meeting.

The 37th European Society of Neuroradiology/21st advanced course in Diagnostic Radiology and 5th course in Interventional Neuroradiology took place between 29 September and 1 October at the Conference Centre, Westend Campus of the Goethe University, Frankfurt. This well designed and modern venue served the conference well, with its emphasis on state-of-the-art neuro-intervention and diagnostics.

Professor Anton Valavanis gave a sparkling review of the microcirculation and collateral vascular supply of the brain that provided the framework for the subsequent talks on chronic ischaemia, cerebral haemodynamics nd the role of the many advanced imaging techniques now available to the neuroradiologist. Susceptibility weighted imaging, MR perfusion and arterial spin labelling featured prominently. Reference was made to the disappointing results of intraarterial thrombolysis, but the beneficial role of reperfusion in clinical post-stroke outcome was emphasised. Prospective studies using technologically advanced stent retrievers in 'bridging' treatment are ongoing, and the proponents of this form of acute stroke management are optimistic.

Despite the improvements in diffusion weighted imaging (DWI) and diffusion tensor imaging (DTI) in tumour and infection of both the brain and the spine, accurate prediction of tumour grade and histology are still not within reach. A group in Spain presented preliminary findings of DTI in quantitative assessment of the degree of degeneration in intervertebral discs.

Dynamic fetal imaging now allows us to assess foetal cardiac and gastro-intestinal abnormalities to maximise pregnancy outcome and to plan delivery management and 'exit' strategy.

7 Tesla imaging is now a clinical reality. Professor Pham (Germany) elegantly demonstrated how high-Tesla magnets offer exquisite visualisation of the internal architecture of previously impenetrable peripheral nerves and plexuses. Professor Rovira (Spain) outlined the advantages of high-strength 3D FLAIR, white matter-attenuated TFE, T[2.sup.*] GRE and SWI imaging in improving the conspicuity of demyelinating plaques in the cortex of patients with multiple sclerosis.

Functional imaging is finding use in the imaging of pre-clinical dementia and pain perception and control. The prize for futuristic possibility, though, must go to Dr Gobel of Maastricht University, the Netherlands, who expanded on the use of complex functional MR feedback loops to enable 'locked-in' patients to communicate.

Anne Osborn gave two outstanding review lectures on Tumours in Epilepsy and The Spectrum of Lymphomatoid Disorders. Some of us in South Africa will have been fortunate enough to have had a sneak preview of this lecture on a webinar arranged by the RSSA earlier this year.

Congratulations to the President of the Congress, Prof. Dr Friedhelm Zanella and to Prof. Turgat Tali, ESNR President, for a well-organised and stimulating meeting.

Sally Candy

Head of Neuroradiology and MRI

Groote Schuur Hospital and UCT

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Title Annotation:RADIOACTIVE NEWS; European Society of Neuroradiology
Author:Candy, Sally
Publication:South African Journal of Radiology
Article Type:Conference notes
Geographic Code:4EUGE
Date:Dec 1, 2013
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