Critical Care and ICU Imaging – ARRS 2024 (Videos)

Critical Care and ICU Imaging

This course will provide radiologists with a systematic overview of common acute and often life-threatening disease processes, entities, and imaging findings encountered in patients admitted to critical care units and the ICU. Experts will offer a comprehensive approach to the diagnostic interpretation and recognition of acute imaging findings and diagnoses that impact the care and management of critically ill patients. The course will also focus on bedside imaging studies, such as point-of-care ultrasound and portable head CT, which are sometimes used to assist in the immediate management of patients.

Learning Outcomes and Modules

After completing this course, the learner should be able to:

• Understand the appropriate use and relative strengths of key imaging modalities (e.g., conventional radiography, CT, ultrasound) and apply them effectively in the diagnosis of emergent and life-threatening issues encountered in critically ill patients.
• Adapt the latest best practices to optimize the diagnostic yield of imaging studies performed on these patients.
• Recognize various malpositioned tubes, lines, and monitoring devices on chest radiography; identify emergent gastrointestinal and genitourinary imaging findings; recognize emergent or acute neurologic patient changes and findings; and identify circumstances where cross- sectional imaging may be indicated.
• Apply ICU imaging techniques for critical care and patient management decisions concerning malpositioned devices, acute respiratory distress syndrome (ARDS), transfusion-associated circulatory overload (TACO), pulmonary embolism with right ventricular strain (PERT), abdominal complications, and stroke alerts.
• Understand the latest imaging innovations in pulmonary, abdominal, and neurologic imaging and utilize them effectively to further improve critical care in the ICU.

Module 1: Cardiothoracic Imaging: Life Support Devices and Causes of Near-Drowning in the ICU

• Noncardiac Devices and Central Venous Catheters—Mark S. Parker, MD
• Mechanical Circulatory Assist Devices—Leila Rezai, MD
• Cardiogenic and Hydrostatic Pulmonary Edema: Causes, Most Frequent Entities, and Imaging Tips—Juliana Bueno, MD
• Permeability Pulmonary Edema: Diffuse Alveolar Damage and ARDS, TACO, and TRALI – Clinical Insights and Imaging Features—Rachna Madan, MD

Module 2: Cardiothoracic Imaging: Air-Space Losing, Air-Space Replacing, and Pleural Disease Processes

• Atelectacsis: Imaging Features on Radiography and CT—Rakesh Shah, MD
• Pneumonia and Aspiration in Critical Care Patients—Ioannis Vlahos, FRCR
• Imaging and Diagnosing Complex Pleural Abnormalities—Lea Azour, MD
• Point-of-Care Thoracic Ultrasound in the ICU—Michael L’Heureux, MD

Module 3: Cardiothoracic Imaging: Barotrauma and Acute Cardiopulmonary Issues

• Pulmonary Barotrauma in the ICU: Causes, Imaging Findings, and Clinical Implications—Kathryn Olsen, MD
• Pulmonary Embolism: Bland and Septic—Caroline Chiles, MD
• Acute Cardiac and Pericardial Diseases—Baskaran Sundaram, MD
• Unknown Lecture-Related Cases—Mark Parker, MD

Module 4: Abdominal Imaging: Acute Abdomen Presentations, Complications, and Management

• Acute Abdomen: Conventional Radiographic Signs—Elainea Smith, MD
• Acute Abdomen: Point-of-Care Ultrasound—Lauren McCafferty, MD
• Acute Gastrointestinal and Retroperitoneal Hemorrhage—Avneesh Gupta, MD
• Intraabdominal Hypertension: Causes, Complications, and Management—Maria Zulfiqar, MD

Module 5: Abdominal Imaging: Acute Bowel Obstructions, Perforations, and Other Complications

• Dilated Loops: Ileus and Small- and Large-Bowel Obstruction—Jonathan Revels, DO
• Perforations: Gastric Ulcers, Diverticulitis, and Appendicitis—Christina LeBedis, MD
• Sepsis: Bowel Ischemia, Shock Bowel, C. difficile Infection—Sherry Wang, MBBS, FRANZCR
• Abdominal Aorta: Dissection, Rupture, and Postoperative Complications—Saurabh Agarwal, MD

Module 6: Abdominal Imaging: Acute Biliary, Liver, and Renal Issues

• Biliary Imaging: Acute Cholecystitis, Acalculous Cholecystitis, and Pancreatitis—Jennifer Uyeda, MD
• Acute Liver, Renal and Pancreas Transplant Complications—Margarita Revzin, MD
• Acute Kidney Injury and Urosepsis—Michael Schuster, MD
• Unknown Lecture-Related Cases—Kevin Chang, MD

Module 7: Neurologic Imaging: Acute Infections, Stroke, and Brain Herniation

• Overview of Imaging Intracranial Infections—Brent Weinberg, MD
• Altered Mental Status: A Sequence-Based Approach—Miriam Peckham, MD
• Stroke Alert: Initial and Short-Term Follow-Up Imaging—Ranliang Hu, MD
• Elevated Intracranial Pressure and Herniation—Jennifer McCarty, MD

Module 8: Neurologic Imaging: Seizures, Aneurysms, and Brain Death

• Imaging Seizure in the ICU Setting—Joshua Nickerson, MD
• Brain Death: Clinical and Radiologic Diagnosis—Mariam Aboian, MD, PhD
• Rupture, Structure, and Stricture: Aneurysm and Vasospasm—Lea Alhilali, MD
• Unknown Lecture-Related Cases—Judith Gadde, DO