Bulgarian Association for Musculoskeletal Ultrasound

Bulgarian Society of Rheumatology





13-15 Jan 2017, Sofia, Bulgaria



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Scientifically endorsed by eular




  • to review the systematic syandardized sonographic scanning method of each anatomical region, according to eular guidelines
  • to learn about color and power doppler physics, applications, indications and limitations
  • to learn definition, ultrasonographic evaluation and quantification of synovitis, synovial hypertrophy, effusion, erosion, tendinopathy, tenosynov it is, enthesitis and degenerative lesions
  • to learn semiquantitative scoring method application for joints, tendons, enthesitis
  • to learn performing basic ultrasound guided injections


WORKSHOP (Maximum 6 participants per tutor)

  • Learning of the main practical issues connected to machine handling regarding Power Doppler and Color Doppler settings
  • Supervised standardized scanning of the inflammatory and degenerative hip, knee, ankle and foot, shoulder, elbow, wrists and hands
  • Supervised basic technique of sonographic guided injections


The Course will follow the Recommendations for the Content and Conduct of EULAR MSUS courses (Naredo E, et al, Ann Rheum Dis 2008: 67:1017-22), which include Specific theoretical and practical curriculum. 





Day 1/ 13 January 2017


12:00 – 13:30              Registration

13:45 – 14:00              Welcome and Introduction: A. Iagnocco, A. Batalov

14:00 – 14:30              Entering test of knowledge: R. Nestorova,


Chairpersons:   E. Naredo, R Nestorova

14:30 – 15:15            Sonographic pattern of the musculoskeletal tissues and technical characteristics and setting of ultrasound equipments for rheumatologyA. Iagnocco

15:15 – 16:00            Color Doppler and Power Doppler (i.e. basis, optimizing setting and applications).  E. Naredo

16:00 – 16:20            Coffee break

16:20 – 18:20  Workshop: Supervised practical handling on the US machine settings. Sonoanatomy: correct acquisition of images in normal musculoskeletal structures (muscles, tendons, bursae, ligaments, nerves, articular cartilage, joint space, joint recesses, joint capsules and bony profile). Colour and Power Doppler settings and its optimization

18:20 – 19:20           Colour and Power Doppler artifact. E. Naredo


20:30              Dinner



Day 2/ 14 January 2017


Chairpersons:  A Iagnocco, R Nestorova

08:30 – 09:00              Basic US lesions: synovitis, bony cortex and cartilage. Definition, detection and quantification.  E. Naredo

09:00 – 09:30              Basic US lesions: tendinopathies, tenosynovitis. A. Iagnocco

09:30 – 10:00              Basic US lesions: cartilage and bone lesions in osteoarthritis. F. Porta

10:00 – 10:15              Coffee break

10:15 – 11:30  Workshop: Supervised hands-on scanning of patients with inflammatory and degenerative joint disorders. How to detect and quantify synovitis (including Power Doppler), cartilage and bony lesions

11:30 – 12:00              Basic US lesions: enthesitis, enthesopathy. P. Balint

12:00 – 12:30              Role of US in the diagnosis of crystal induced arthritis  R. Nestorova

12:30 – 14:00  Workshop: Supervised hands-on scanning of patients with inflammatory, degenerative and crystal joint and periarticular soft tissues disorders. How to detect and quantify musculoskeletal lesions.

14:00 – 15:30    Lunch


Chairpersons:  M. Micu, A Batalov

15:30 – 16:00              Standardized scanning of the inflammatory and degenerative Shoulder P. Todorov

16:00 – 16:30              Standardized scanning of the inflammatory and degenerative elbow  Tz. Petranova

16:30 – 18:00  Workshop: Supervised hands-on scanning of patients with inflammatory and degenerative shoulder and elbow

18:00 – 18:15              Coffee Break

18:15 – 18:40              Standardized scanning of the inflammatory and degenerative hand and wrist V. Vlad

18:40 – 19:40  Workshop: Supervised hands-on scanning of patients with  inflammatory and degenerative hand and wrist


20:30               Official Dinner



Day 3/ 15 January 2017


Chairpersons:            D. Fodor, P Todorov

08:30 – 08:55              Standardized scanning of the inflammatory and degenerative ankle and foot. G. Radunovich 

08:55 – 09:20              Standardized scanning of the inflammatory and  degenerative knee D. Fodor

09:20 – 09:30              Coffee break

09:30 – 11:15  Workshop: Supervised hands-on scanning of patients with inflammatory and degenerative knee, ankle and foot

11:15 – 11:40              Standardized scanning of the  inflammatory and degenerative hip. M. Micu

11:40 – 12:40  Workshop: Supervised hands-on scanning of patients  with inflammatory and degenerative hip

12:40 – 13:15              Basic skills in sonographic- guided arthrocentesis  N. Damjanov

13:15 – 14:15  Workshop: Basic skills in sonographic-guided arthrocentesis

14:15 – 14:45              Test of knowledge R. Nestororva

14:45 – 15:00              Closing Remarks A. Iagnocco, A. Batalov

15:00 – 16:00              Certificate issuing and lunch