Diagnostic Imaging in Oncology




04.03.2021 – 06.03.2021

18.03.2021 – 20.03.2021

Online Course

EURO 2.050-

Total hours: 40
ATF hours (Austria, Germany, Luxembourg, Switzerland): TBA
ECTS credits (Master & Certificate): 5

Program Director/
Principal Course Master (Oncology):

Dr. Jarno Schmidt MRCVS, DECVIM-CA (DE)

Program Director/
Course Master (Diagnostic Imaging):

Prof. Dr. Patrick Kircher, DECVDI (CH)

Important Note:

This is an online course with live lectures. It is the sole responsibility of the student to ensure adequate internet access and availability to follow the course. It will not be possible to view the lectures before or afterwards. Times in the programme refer to Central European Time (CET).

Course Overview

Diagnostic imaging plays an essential role in the diagnostic workup and/or staging of small animal cancer patients. For some tumours, it is also an essential tool for surgical and radiation therapy planning.
Through a combination of lectures, clinical case studies and interactive case presentations this interdisciplinary seminar will discuss the indications, benefits and limitations of various imaging methods for the work-up of cancer patients. There will be a discussion of current trends (e.g. sentinel lymph node mapping) and students will practice the diagnostic work-up and image interpretation of a wide variety of cancer types in several themed sessions.

Please note:
The focus of this course is on image interpretation and the interaction between imaging specialists and oncologists. There will be no detailed discussion (from A-Z) of individual tumour types, cytology and/or treatment methods (e.g. chemotherapy protocols, surgical techniques). Therefore, this course is most suitable for veterinarians with at least some basic knowledge of oncology. Since CT is one of the essential imaging methods covered in this course, access to a CT scanner is highly recommended.
The majority of tumour types in this course were covered in detail in Oncology I-IV, but the vast majority of images and cases in this course will be new. Therefore, this course is highly suitable for students that have completed Oncology I-IV and want to deepen their understanding of diagnostic imaging and its use in oncology case management.

Learning objectives:

• Basics of oncology (tumour biology)
• Understanding tumour diagnosis and staging
• Basics of imaging technologies (concepts and pros & cons)
a. Strengths and limitations of radiograph in cancer patients
b. Strengths and limitations of ultrasound in cancer patients
c. Strengths and limitations of CT in cancer patients
d. Strengths and limitations of MRI in cancer patients
• Other imaging modalities (Scintigraphy, PET-CT…)
• Using Imaging methods to document cancer hallmarks & other properties of cancer
• CT as a diagnostic and staging tool in oncology (incl. sentinel lymph node mapping, multiphase-CTs, CT-guided biopsies, etc)
• Whole body CTs for cancer patients
• Imaging as a tool for decision making in oncology
• Work-up and management of cancer types for which imaging plays an important role in the diagnosis, staging or treatment planning (e.g. soft-tissue sarcoma, bone tumours, head & neck tumours, intra-thoracic tumour, pelvic tumours, abdominal tumours, etc)

Course program (online live sessions)

Friday 19/02/21 - Basics of Oncology, Diagnostic Imaging and Tumor-Imaging
08:00 – 08:30 Welcome & Registration
8:30-12:00 (including breaks)
Understanding of Diagnostic Imaging Modalities
A guide on how to describe imaging findings.
Basics of tumour biology, tumour diagnosis and staging
Using Imaging methods to document cancer hallmarks & other properties of cancer
Long Lunch Break
14:00-17:30 (including breaks)
Detection of lung metastases
Practical wet-lab (Kircher & Schmidt):
1. Cases: which imaging modality would you choose?
2. Practical examples of cancer staging
Whole body-CT as a staging tool (pros & cons)
Screening for lymph node metastases
1) What is the point of sentinel LN mapping?
2) How do you map sentinel lymph nodes?
Thursday 04/03/21 - Bone Tumors
14:00-17:30 (including breaks)
• Appendicular tumours
• Axial tumours
• Tumours of the skull
• Relevant non-neoplastic differentials
Friday 03/03/21 - Tumours of the Head & Neck
9:00-12:00 (including breaks)
• Nasal tumours
• Retrobulbar masses
• Oral tumours
• Tumour of the ear canal and middle ear
• Relevant non-neoplastic differentials
Long Lunch Break
14:00-17:30 (including breaks)
• Endocrine and neuroendocrine tumours of the neck
• Primary lymph node tumours and metastases
• Other tumours at the neck
• Relevant non-neoplastic differentials
• An overview of brain tumour imaging
Saturday 06/03/21 - Thoracic Tumours
9:00-12:30 (including breaks)
• Lung tumours
• Mediastinal masses
• Lymphadenopathies
• Esophageal masses
• Relevant non-neoplastic differentials
Thursday 18/03/21 - Abdominal tumours I
14:00-17:30 (including breaks)
• Hepatosplenic tumours
• Gastrointestinal tumours
• Relevant non-neoplastic differentials
Friday 19/03/21 - Abdominal Tumours II & Pelvic/perineal tumours
9:00-12:30 (including breaks)
• Urogenital tract tumour
• Endocrine abdominal tumours
• Relevant non-neoplastic differentials
Long Lunch Break
14:00-17:30 (including breaks)
• Rectal tumours
• Pelvic tumours
• Anal sac tumours
• Perineal tumours
• Relevant non-neoplastic differentials
Saturday 20/03/21 - Skin Tumours and surgical decision making
9:00-12:30 (including breaks)
• Skin tumours
• Imaging and surgical decision making (miscellaneous cases)
• Quiz