Neonatal cranial ultrasound courses by EurUS.Brain

The EurUS.brain Group is a group of European neonatologists with a special interest in neonatal cranial ultrasound (CUS) and neonatal neurology. It is nested within the Brain, Development & Imaging section of the European Society for Paediatric Research (ESPR).

The EurUS.brain Group organises basic neonatal CUS courses as well as a high-standard, expert level neonatal CUS course in order to reach the highest possible level of expertise in brain ultrasound across neonatal intensive care units.

Formal ultrasound teaching by and for neonatologists, as well as setting standards and formulating guidelines, is an imperative in a context where neonatologists are widely using bedside CUS as the first-line imaging technique to study the neonatal brain.

• About the basic neonatal cranial ultrasound (CUS) course

  The aim of the basic EurUS.brain neonatal CUS course is to convey basic knowledge on cranial ultrasound in the preterm and term neonate. The course will introduce you to the ultrasound and doppler ultrasound technique, present the standard views that should be obtained, and teach you how to optimise your scanning settings to obtain the best possible images.

  Course lectures will cover important disease entities in the neonatal period, such as: intraventricular haemorrhage and haemorrhagic infarction, white matter injury, birth asphyxia, and posterior fossa abnormalities.

  Target groups:

  The course is targeted towards neonatal unit staff who want to learn the essential skills to perform bedside neonatal cerebral ultrasound scanning, incl. pediatricians, neonatologists, radiologists and other specialists, as well as trainees.

  Learning objectives:

  • To gain basic knowledge on cranial ultrasound in the preterm and term neonate.
  • To get familiar with the ultrasound and doppler ultrasound techniques.
  • To be able to acquire the standard views, as well as optimise scanning settings to obtain good quality images.

  • To recognise the most important disease entities in the neonatal period which can be seen on brain ultrasound, such as: intraventricular haemorrhage and haemorrhagic infarction, white matter injury, birth asphyxia, and posterior fossa abnormalities.

  Teaching methods:

  The course will be conducted through lectures by the EurUS.brain faculty covering the most important aspects of neonatal brain ultrasound. In addition to the lectures, there will be interactive clinical case discussions and a quiz to allow discussion of a broad spectrum of abnormalities that can be visualised with current state-of-the-art ultrasound systems.

   

  Feedback from previous course participants:

  
• About the advanced neonatal cranial ultrasound (CUS) course

  The advanced EurUS.brain neonatal CUS course is a high-standard, expert level course with thorough interactive bedside teaching sessions in order to reach the highest possible level of expertise in neonatal brain ultrasound. 

  These bedside workshops are combined with lecture-based sessions by both teachers and students, including case-based discussions, reviews of clinical topics, presentation of research projects and results, and showcasing of novel and future ultrasound-related technologies.

  Target groups:

  The course is targeted towards neonatal unit staff aiming at performing bedside neonatal cerebral ultrasound scanning at an advanced level, incl. pediatricians, neonatologists, radiologists and other specialists with a special interest in neonatal neurology and neuroimaging. It is aimed at those who are already experienced in performing bedside neonatal cranial ultrasonography and want to take their knowledge and skills to an expert level.

  Learning objectives:

  • To be able to recognise anatomical structures related to most common brain injuries, both in preterm and term infants.
  • To detect most cerebral congenital anomalies.
  • To estimate the maturation of the gyral pattern in the third trimester.
  • To visualise structures in the posterior fossa via the mastoid fontanelle.
  • To identify large intra-cranial veins and arteries and to know how to detect tributaries of these large vessels.
  • To be equipped with the necessary skills in neonatal cerebral ultrasound to be able to cooperate in prospective studies where brain ultrasound plays an important role.

  • To be able to advance basic neonatal brain ultrasound training in the center/ country of work, and within the scope of the ESPR at large.

  Teaching methods:

  • Pre-course tutorial produced by Paul Govaert, which is expected to be read before the course, as well as serve as post-course notes.
  • Hands-on scanning sessions, where learning will be reinforced. Also, these sessions will be an opportunity for the course faculty to evaluate the student's knowledge in advanced neonatal cerebral ultrasound in order to be granted the EurUS.Brain diploma.
  • Participants are encouraged to prepare a 20-minute presentation related to neonatal brain ultrasound. This can be a piece of research, a review of a related topic, or one or two interesting clinical cases, with a short time at the end for group discussion.
  • Talks or lectures by the course faculty and other local colleagues with a special interest in neonatal brain ultrasound, including former students. Non-neonatal colleagues, including radiologists, ultrasound physicists and fetal medicine specialist also take part.
  • Discussion and planning on-going and future collaborations within the group, including research and educational projects.

   

  To enable hands-on individual teaching sessions, places are limited to 5 participants per course.
• Upcoming courses

  Basic Neonatal Cranial Ultrasound Course, online

  Date: Saturday, March 16th, 2024, 9h00-14h15 CET (registrations are open)

  Basic Neonatal CUS Course Programme:

  09:00-09:10 Call open, welcome: Sandra Horsch and Sylke Steggerda
  Moderators: Ana Alarcon, Isabel Benavente Fernandez
  09:10-09:30 Cranial ultrasound, technique and timing – Jeroen Dudink
  09:30-09:40 Discussion
  09:40-10:00 Doppler ultrasound, technique and clinical aspects – Sandra Horsch
  10:00-10:10 Discussion
  10:10-10:30 Intraventricular haemorrhage and complications - Mayka Bravo
  10:30-10:40 Discussion

  [10.40-11:00 Coffee/tea break]

  Moderators: Jeroen Dudink, Roberta Arena
  11:00-11:20 White matter injury - Nuria Carreras Blesa
  11:20-11:30 Discussion
  11:30-11:50 Acquired neonatal posterior fossa lesions – Sylke Steggerda
  11:50-12:00 Discussion
  12:00-12:20 The term baby with perinatal asphyxia – Ana Alarcon
  12:20-12:30 Discussion

  [12:30- 13:00 Lunch break]

  13:00-14:00 Interactive case discussion - Roberta Arena and Isabel Benavente Fernandez
  14:00-14:15 Closing remarks and good bye - Mayka Bravo and Nuria Carreras

   
• Course registration & ECTS credits

  Basic Neonatal CUS Course

  When: Saturday, March 16th, 2024, 9h00-14h15 CET

  Course fee: 100,00 EUR (for ESPR members the course fee is reduced to 90,00 EUR)

  To register for the course, please click here.

  Please note that the number of participants is limited.

  ECTS credits: By participating in the Basic Neonatal CUS course, you will obtain 0.2 ECTS* points (*European Credit Transfer and Accumulation System) which can e.g. be accredited by the future ESN* Master of Avanced Studies (*European School of Neonatology). The course certificate will be sent to the particpants within two weeks after the course has ended.
• Meet the EurUS.brain group

  Thais Agut Neonatologist, PhD, MD Hospital Sant Joan de Déu Inst. de Recerca Sant Joan de Déu Universitat de Barcelona Barcelona, Spain

  Ana Alarcon Allen Neonatologist, Ass. Professor, MD Hospital Sant Joan de Déu Inst. de Recerca Sant Joan de Déu Universitat de Barcelona Barcelona, Spain

  Roberta Arena Neonatologist, MD San Giovanni Calibita Fatebenefratelli Isola Tiberina Rome, Italy

  Juan Arnaez Neonatologist, PhD, MD Hospital Universitario of Burgos Burgos, Spain

  Marco Bartocci Neonatologist, PhD, MD Kraolinska University Hospital Stockholm, Sweden

  Isabel Benavente-Fernández Neonatologist, PhD, MD University of Cádiz Hospital Uni. Puerta del Mar Cadiz, Spain

  Mayka Bravo Neonatologist, PhD MD La Paz University Hospital Madrid, Spain

  Fernando Cabañas Neonatologist, PhD, MD Director of Neo. & Paed. units University Hospital Quirón Madrid, Spain

  Nuria Carreras Neonatologist, MD Hospital Sant Joan de Déu Inst. de Recerca Sant Joan de Déu Universitat de Barcelona Barcelona, Spain

  Olivier Claris Neonatologist, Professor Hopital Femme Mère Enfants University Hospital of Lyon Claude Bernard University France

  Jeroen Dudink Neonatologist, PhD, MD Wilhelmina Children's Hospital University Medical Centre Utrecht Utrecht, The Netherlands

  Monica Fumagalli Neonatologist, Ass. Professor Ospedale Maggiore University of Milan Milan, Italy

  Paul Govaert Neonatologist, Brain Ultras. Specialist ZNA Middelheim Antwerp Neo. Unit, GZA Antwerp Neonatal Unit UZ Brussel Neonatal Unit Belgium

  Sandra Horsch Neonatologist, PhD, MD Helios Klinikum Berlin Buch Berlin, Germany

  Simón Lubián López Neonatologist, PhD, MD Hospital Puerta Del Mar, INiBICA Cádiz, Spain

  Alessandro Parodi Neonatologist, PhD, MD IRCCS Istituto Giannina Gaslini Genoa, Italy

  Adelina Pellicer Neonatologist, Professor, MD Chair of Dept. of Neonatology La Paz University Hospital Madrid, Spain

  Luca Ramenghi Neonatologist, Professor, MD Head of Dept. of Neonatology IRCCS Istituto Giannina Gaslini Genoa, Italy

  Sylke Steggerda Neonatologist, PhD, MD Leiden University Medical Centre Leiden, The Netherlands

  Eva Valverde Neonatologist, PhD, MD La Paz University Hospital Madrid, Spain
• List of publications
  Here is a list of publications in Pediatric Research by the EurUS.Brain Group:

   

  • Cranial ultrasound by neonatologists

  (To view the paper, click here)

  • State-of-the-art neonatal cerebral ultrasound: technique and reporting

  (To view the paper, click here)

  • Cranial ultrasound findings in preterm germinal matrix haemorrhage, sequelae and outcome

  (To view the paper, click here)

  • Ultrasound of acquired posterior fossa abnormalities in the newborn

  (To view the paper, click here)

  • Preterm white matter injury: ultrasound diagnosis and classification

  (To view the paper, click here)

  • Diagnostic and predictive value of Doppler ultrasound for evaluation of the brain circulation in preterm infants: a systematic review

  (To view the paper, click here)

  • The development and validation of a cerebral ultrasound scoring system for infants with hypoxic-ischaemic encephalopathy

  (To view the paper, click here)
• History of the EurUS.brain group

  The idea to initiate European CUS training courses at an expert level was born in 2015 during a meeting in Rome by Paul Govaert, Adelina Pellicer, Fernando Cabañas and Luca Ramenghi, the founders of the EurUS.brain group. 

  The aim was to organise a high standard, expert level CUS course with thorough interactive bedside teaching sessions in order to reach the highest possible level of expertise in brain ultrasound across neonatal intensive care units.

  After a few constitutional meetings, the first course was held in Madrid in February 2016. During this meeting Sandra Horsch, Ana Alarcon, Sylke Steggerda, Jeroen Dudink and Eva Valverde joined the board of the EurUS.brain Group. Since then, nine more courses have been successfully organised in six European countries, more than forty students have successfully completed the course, some of whom have been invited to join the group and are now members of the EurUS.brain board.

  In 2020 the group produced an educational monograph on neonatal brain ultrasound, which was published in Pediatric Research as a state-of-the-art description of CUS by neonatologists (please see 'list of publications' above). A number of research collaborations are underway within the group.

  Since 2020 the EurUS.brain Group is part of the Brain, Development & Imaging Section of the ESPR.
  In addition to the high standard, expert level CUS courses, in 2022 the EurUS.brain Group will offer basic CUS training courses for residents, trainees and neonatologist starting to use CUS in term and preterm neonates.