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BERNARD WIRTH
  • Male
  • LYONS
  • France
  • IRM 39 LONS FRANCE
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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

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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…

Continue

Posted 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…

Continue

Posted 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…

Continue

Posted 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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