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BERNARD WIRTH
- Male
- LYONS
- France
- IRM 39 LONS FRANCE
- Blog Posts (9)
- Events
- Groups (1)
- Photos (306)
- Photo Albums (26)
- Videos
BERNARD WIRTH's Page
Profile Information
- Current Organization
- IRM 39 LONS FRANCE
- Profession
- Radiologist
- Title
- ADMINISTRATOR / RADIOLOGIST / PARTNER
- Subspecialty and Expertise in Radiology
- MRI
EUROPEAN CONGRESS OF RADIOLOGY
MARCH 4, 2011 VIENNA
NEW 1.5 T MR TECHNOLOGY IN CLINICAL PRACTICE
BERNARD A. WIRTH
- Radiology Residency and Fellowship
- NECKER ENFANTS MALADES HOSPITAL
PARIS FRANCE
Ancien Interne des Hôpitaux de Paris Médecine
Ancien Interne des Hôpitaux de Paris Pharmacie
Ancien Chef de Clinique Assistant des Hôpitaux de Paris
Research Associate, MRI Center, Duke University NC USA 1989
- Undergraduate, Medical School, and Graduate School (Degrees, Major, and Institution)
- PARIS V UNIVERSITY
DUKE UNIVERSITY DURHAM NC USA
MEDICAL COLLEGE OF VIRGINIA RICHMOND VA
- Clinical, Academic, or Industry Experience
- ASSISTANT PROFESSOR OF RADIOLOGY MEDICAL COLLEGE OF VIRGINIA 1990 92
- Clinical, academic, research, or business interests within radiology
- MR TEACHING
DIRECTOR MR FELLOWSHIP, SITED AT THE AMERICAN HOSPITAL IN PARIS 1995 2002
DIRECTOR MR FELLOWSHIP, MEDICAL COLLEGE OF VIRGINIA 1991 1992
MRI NEURO/ PSYCHIATRY CARDIAC MR MSK
BODY DIFFUSION MARROW
- Publications, Honors, and Awards
- LAUREAT / PARIS FACULTY
- Professional and Society Memberships
- RSNA / FRENCH SOCIETY OF RADIOLOGY
- Personal interests and hobbies
- SKIING
- Additional description or bio about me:
- FORMER RESIDENCY / PHARMACOLOGY
PARIS HOSPITALS
- URL / Website
- http://irm39@wanadoo.fr
- Interested in
- private practice jobs, teleradiology jobs, non-traditional MD jobs (such as in business; investment banking; finance; etc), consulting offers, new ventures
BODY DIFFUSION / ONCOLOGY / B 1300
BODY DIFFUSION B 1300
1. RECENT CLINICAL APPLICATIONS
1.1 HEPATIC RECURRENCES FOLLOWING GALLBLADDER NEOPLASMS SPECIFICITY ++
1.2 CHOLANGIOCARCINOMAS B1300 HIGHLY SPECIFIC / TUMOR DEPICTION AS OPPOSED TO B 800
1.3 UTERUS CERVIX CA EXTENSION B 1300 DEPICTING SUBTLE CHANGES IN CONTOURS C/W PARAMETRIAL INVASION AS OPPOSED TO FALSE NEG GADO DYNAM AND T2 FATSAT
1.4 RECTAL CA / LOCAL RECURRENCES / HIGH SPECIFICITY B 1300 AS OPPOSED TO B 800
1.5 OVARIAN CYSTADENOCARCINOMA
1300 CLEARLY BETTER = DROPPING MUCINOUS SIGNALS ADJACENT TO TUMORAL VOLUMES
QUANTIFYNG TUMOR EARLY REDUCTION UNDER TREATMENT
BESIDES, ADC INCREASE MAY BE ONE OF THE MOST SENSITIVE AND EARLIEST PROOF OF TREATMENT EFFICACY
________________________________________________________________
OUR MSK MR PROTOCOLS / GE 450 W 1.5 DISCOVERY 07 / 2010
/ KNEE
- VOLUME ACQ 5 MIN EXCELLENT CONTRAST / SOFT TISSUES
- OR SAG/ COR/ AX RHO FATSAT
+ SAG SE T1
/ SHOULDER
SAG COR T2 FATSAT
TAILORING FATSAT COEFFICIENT
SATURATING 80% I.E. 0.8 GOOD OR FATSAT CLASSIC
AX GE 3D MERGE 5 DEG 43/ 19
VERY VERY FAST
IF RETRACTILE CAPSULITIS SUSPECTED ADD SAG RHO OR SAG T1
________________________________________________________________
/ HIP
HIGH RES LAVA COR POST GAD DELAYED 10 MIN STUNNING VERY FAST
SAG IDEM
COR GFS AND SAG
SUBTLE FOCAL CARTILAGE ULCERATIONS OR LABRAL TEARS ++
__________________________________________________________________
C SPINE SAG T2 + COSMIC VOLUME AX EXCELLENT AND FAST
CORD
ANGIO TRICKS SPLENDID ON AVF
ANTERIOR SPINAL ARTERY MRA ++ LINKED TO AX DIFFUSION IN CORD ISCHEMIA ++
DIFFUSION MOSTLY POSITIVE IN ANTERIOR HORNS (GRAY MATTER)
__________________________________________________________________
/ WRIST / HAND INCLUDING MCP3 AS OFTEN AS FEASIBLE
AX COR RHO FATSAT
AX COR POST GADO IV FATSAT / DELAYED
GADO IS REALLY IMPORTANT IN DEPICTING GRANULOMAS AND SUBTLE TEARS
NOT TO MENTION EARLY STAGES OF RA
FINGER MR
PULLEY LESIONS TRUE AX PLANES + DELAYED GAD ADDED TO AX RHO FATSAT
_________________________________________________________________
TRICKS SEQUENCE
IN ANGIOMR
= IMPRESSIVE CLINICAL RESULTS IN PERIPHERAL ANGIOMR
I.E HANDS VASCULITIS WITH FINGER COLLATERAL ARTERIES AMPUTATIONS
EXTREMELY FAST 1.2 SEC REPEATED
AND EASY TO REPEAT OVER 4 MIN
TO GET VENOUS PHASES
VERY VERSATILE ++++
___________________________________________________________________
BRAIN / SUBTLE TRICK
SUBARACHNOID HEMORRHAGE SUSPICION:
PULSATILE ARTIFACT IN PREPONTINE CISTERN ON AX FLAIR
REPEAT WITH 3D FLAIR = NO ARTIFACT ++++ THEN POSITIVE DIAGNOSIS
IN EMERGENCY SETTINGS ++
____________________________________________________________
BERNARD WIRTH's Photos
BERNARD WIRTH's Blog
EARLY HIP CHONDRAL LESIONS
HIGH RESOLUTION SAGITTAL T2
PICK UP VERY EARLY FOCAL CHONDRAL DEFECTS IN DJD
3MM ST T2 / TE 120
MOST OFTEN ANTEROSUPERIOR
Posted on March 19, 2013 at 8:39am
GE MR FLEX COILS 16 CHANNELS / GE 450W
TWO NEW MR FLEX COILS JUST IN FOR OUR GE 1.5 T 450W
16 CHANNELS INSTEAD OF 8
IMPRESSIVE RESULTS IN MSK MR:
1.LARGE KNEES EXCEEDINGLY SHARP
2. FASTER HANDS : BOTH
HIGH RES 3D GADO FATSAT
EXCELLENT IN RA
3. SHOULDERS
FASTER AND CONTRAST MARKEDLY IMPROVED IN CUFF TEARS
PROPELLER MULITPLANANR T2 FS STABLE NO MOTION
4. ELBOWS AND DIAPHYSES
EXCELLENT CONTRAST AND…
ContinuePosted on October 30, 2012 at 9:08am
GENERAL ELECTRIC 1.5 T MR 450 W
06/2011
1. IMPRESSIVE IMAGE QUALITY AND FAT SUPPRESSION HOMOGENEITY
IN ABDOMINOPELVIC STUDIES
2. WE HAVE JUST ADDED ASL CAPABILITY IN NEUROMR
4MN SEQUENCE COVERING THE ENTIRE BRAIN AND POSTERIOR FOSSA
GOOD SPATIAL RESOLUTION / DETECTION OF CORTEX PERFUSION DEFECTS
CLINICAL IMPACT ++
Posted on July 9, 2011 at 12:04pm
MANAGEMENT / DIALECTICS AND LEADERSHIP
EXCELLENT PAPER / STEPHEN R. BAKER / IMAGING MANAGEMENT 2011 / VOL 11 ISSUE 2 30-31
"GETTING AHEAD BY GETTING ALONG" CHAIRMAN NEW JERSEY MEDICAL SCHOOL
DECREASING TENSIONS IN IMAGING DEPARTMENT POLITICS
Posted on June 6, 2011 at 8:50am
FEMOROACETABULAR CONFLICT (FAC)
HI
I AM STILL IMPRESSED WITH THE INCIDENCE OF MISSED FAC IN DAILY PRACTICE
WHAT ABOUT YOURS?
HIGHLY AGRESSIVE PATHOLOGY EASY TO DETECT:
1. ON COR / HUMP / LABRAL TEAR / COXA PROFUNDA CARTILAGE LOSS ( BIPOLAR)
2. ON AX / ANTERIOR HUMP…
ContinuePosted on January 1, 2011 at 7:57am
MR 1.5 T GENERAL ELECTRIC 450 W / CLINICAL PRACTICE
DECEMBER 2010 / IRM 39
_______________________________________________________________________________________
1. CLEAR IMPROVEMENT / ABDOMINAL ANGIO MR
USING GADOVIST = BETTER DELINEATION OF INTRACORTICAL ARTERIOLAE
SNR IMPROVEMENT
2. USING B 1300 IN OVARIAN CA
ALLOWS YOU TO DIFFERENTIATE BETTER MUCINOUS AREAS FROM…
ContinuePosted on December 20, 2010 at 5:25am
HANDS MRI
BOTH HANDS IMAGED TOGETHER WITHIN THE HEAD COIL
ALLOWING CORONAL GADO FATSAT THIN SLICES
ACQUIRED VERY FAST AND DISPLAYING RA LESIONS
GRANULOMAS/ T SYNO/ SYNOVITIS/ BME ETC
EXQUISITELY WELL
KEEP YOU POSTED
___________________________________________________
Posted on October 10, 2010 at 9:52pm
DELAYED GADO IN MSK
IV ADMINISTRATION 10 MIN BEFORE STARTING MR SEQUENCES:
- ALLOWS ENHANCEMENT OF THE VARIOUS GRANULOMATOUS LESIONS ENCOUNTERED IN MUSCULOSKELETAL DISEASES
- INCREASES DEPICTION OF SYNOVIAL INFLAMMATION / PANNUS
- INCREASES DIAGNOSTIC SENSITIVITY IN WRIST MR ++ / HIP AND TO SOME EXTENT IN POST OPERATIVE SHOULDER
EASY FAST AND FLEXIBLE WITHIN A BUSY WORKLOAD
Posted on September 20, 2010 at 4:58am
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