MSK | Imaging the enemy: Debilitating conditions
Tracks
Arena 2 | Virtual
MSK
| Sunday, May 31, 2026 |
| 11:20 AM - 1:00 PM |
| Arena 2 | |
Speaker
Prof Debbie Turner
Professor In Podiatry
Queensland University of Technology
Inside the inflamed foot: A sonographer’s guide to what podiatrists need
11:20 AM - 11:40 AMPresentation Synopsis / Abstract
This presentation explores how detailed musculoskeletal ultrasound of the foot—both static and dynamic—can directly support podiatrists’ clinical reasoning and management planning for inflammatory and rheumatologic foot conditions. By documenting anatomical variation and precisely describing the size, position and behaviour of pathology on movement and loading, sonographers can provide podiatrists with insights that extend well beyond image interpretation to directly inform diagnosis, future load management and treatment strategy. The session highlights the value of functional testing, including real time assessment of how soft tissue structures respond to loading, movement and positional change, revealing issues not evident at rest. Additional emphasis will be placed on recognising erosions, enthesophytes, synovial hypertrophy and enthesitis, and how the distribution and severity of these findings can offer clinicians meaningful insights into disease activity, options for management and potential biomechanical drivers of symptoms. Through a series of case examples, attendees will see how nuanced imaging findings help answer key clinical questions, refine differential diagnoses, and guide evidence based decisions involving orthotic design, footwear selection, rehabilitation programming and activity modification. The presentation aims to equip sonographers with practical techniques to improve the clinical usefulness of foot and ankle ultrasound imaging for podiatrists and strengthen collaborative practice.
Biography
Prof Debbie Turner |
Queensland University of Technology
Debbie Turner is a Professor in Podiatry at Queensland University of Technology. She is an experienced podiatrist with an extended scope of practice including diagnostic ultrasound imaging, injection therapy, clinical gait analysis and a clinical specialist interest in rheumatology and diabetes. She has worked as a clinical specialist podiatrist previously in leading centres for rheumatology research including Leeds and Glasgow in the UK and gained an Arthritis Research UK academic fellowship in 2007. She has published extensively in the field of rheumatology, helped to build capacity in podiatry rheumatology research.
Dr Ximena Wortsman
Medical Director Institute For Diagnostic Imaging And Research Of The Skin And Soft Tissues, Adjunct Professor Department Of Dermatology, Universidad De Chile And University Of Miami
Universidad de Chile and University of Miami
Ultrasound in skin oncology
11:40 AM - 12:00 PMPresentation Synopsis / Abstract
Color Doppler ultrasound has emerged as a valuable non-invasive imaging modality in the comprehensive management of skin cancer, providing real-time structural and vascular information beyond clinical and dermoscopic assessment. This presentation highlights the role of high- and ultra-high-frequency ultrasound combined with Color Doppler in the diagnostic, presurgical, surgical, and postsurgical settings of skin cancer, with emphasis on characteristic ultrasonographic patterns.
In the diagnostic phase, ultrasound enables accurate characterization of lesion morphology, depth, and extent of skin cancer. Distinct ultrasonographic patterns can be identified among common skin cancers. These pattern-based features, combined with Doppler vascular assessment, enhance diagnostic confidence and risk stratification.
In the presurgical setting, ultrasound facilitates optimal surgical planning and helps reduce incomplete excisions. During surgery, ultrasound guidance can assist in real-time localization of tumor margins, particularly in complex or poorly defined lesions.
In the postsurgical phase, Color Doppler ultrasound is useful for early detection of residual disease, recurrence, and complications.
Overall, Color Doppler ultrasound represents a versatile and dynamic tool that enhances clinical decision-making across all stages of skin cancer management. Its integration into routine dermatologic practice has the potential to improve surgical outcomes, minimize morbidity, and reduce unnecessary procedures.
In the diagnostic phase, ultrasound enables accurate characterization of lesion morphology, depth, and extent of skin cancer. Distinct ultrasonographic patterns can be identified among common skin cancers. These pattern-based features, combined with Doppler vascular assessment, enhance diagnostic confidence and risk stratification.
In the presurgical setting, ultrasound facilitates optimal surgical planning and helps reduce incomplete excisions. During surgery, ultrasound guidance can assist in real-time localization of tumor margins, particularly in complex or poorly defined lesions.
In the postsurgical phase, Color Doppler ultrasound is useful for early detection of residual disease, recurrence, and complications.
Overall, Color Doppler ultrasound represents a versatile and dynamic tool that enhances clinical decision-making across all stages of skin cancer management. Its integration into routine dermatologic practice has the potential to improve surgical outcomes, minimize morbidity, and reduce unnecessary procedures.
Biography
Dr Ximena Wortsman |
Universidad de Chile and University of Miami
Dr. Ximena Wortsman is a radiologist and pioneer in dermatologic ultrasound. She is ranked top 1 worldwide in the number of publications and citations on dermatologic ultrasound. Due to her work in this field, she has been awarded the category of fellow member of the American Institute of Ultrasound in Medicine (AIUM) the American Society of Ultrasound, which is a way to recognize individuals who have substantially contributed in a most distinguished fashion to the field of ultrasound. She also received the prestigious Joseph H. Holmes Clinical Ultrasound Pioneer Award 2024 from the American Institute of Ultrasound in Medicine.
During the last 24 years, she has been fully dedicated to developing applications and research in dermatologic ultrasound. She has more than 280 publications, including three books, “Dermatologic Ultrasound with Clinical and Histologic Correlations,” “Atlas of Dermatologic Ultrasound,” and “Textbook of Dermatologic Ultrasound” and a publication in the The Lancet. She is in the Top 2% Scientist Ranking according to Standford and Elsevier data and her current h-index is 49 in Google Scholar and 34 in Web of Science.
Dr. Wortsman currently works at the Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues in Santiago, Chile. She is an adjunct professor at the Departments of Dermatology of Universidad de Chile and Pontificia Universidad Católica de Chile in Santiago, Chile and also a Voluntary Associate Professor at the Department of Dermatology and Cutaneous Surgery of the University of Miami, Miller School of Medicine, Miami, USA.
Dr. Wortsman has been a speaker at multiple international dermatological and radiological congresses about this field and belongs to several international scientific societies.
Her daily work and lines of research comprise a wide range of ultrasound applications in dermatology. She has actively participated in the early ultrasound detection and characterization of multiple dermatologic pathologies and in creating guidelines, protocols, and sonographic scorings in this field, which are currently used in multiple countries around the world.
More information at: www.ximenawortsman.com; X (ex-Twitter): @xworts and Instagram: @xworts
Moment of Movement
ASA
Session 9 Moment of Movement | Q&A (pending run time)
12:00 PM - 12:10 PMBiography
Mrs Angela Farley, FASA
Course Coordinator & Lecturer
Adelaide University
Adhesive capsulitis
12:10 PM - 12:30 PMPresentation Synopsis / Abstract
Adhesive capsulitis, commonly referred to as frozen shoulder, is a cause of shoulder pain and functional limitation, yet its sonographic features are often subtle and easily overlooked. As musculoskeletal ultrasound continues to play an expanding role in the assessment of shoulder pathology, sonographers are recognising imaging patterns that support the clinical diagnosis of adhesive capsulitis and help guide patient management.
This presentation will provide a practical, evidence-informed overview of adhesive capsulitis from a sonographer’s perspective. Key concepts including pathophysiology, patient presentation, and current literature surrounding ultrasound assessment will be discussed to provide context for imaging findings. Particular emphasis will be placed on the structures most commonly affected in adhesive capsulitis, and steps that you can take when scanning to ensure these subtle signs are not missed.
Through examples and case-based discussion, this presentation will explore the subtle sonographic signs that can raise suspicion for adhesive capsulitis. Practical scanning techniques, and tips and tricks will also be highlighted to enhance the identification of this condition in clinical practice.
By integrating current evidence with practical scanning insights, this session aims to enhance participants’ ability to recognise the subtle sonographic patterns associated with adhesive capsulitis and reinforce the important role of the sonographer in the multidisciplinary evaluation of patients presenting with this condition.
This presentation will provide a practical, evidence-informed overview of adhesive capsulitis from a sonographer’s perspective. Key concepts including pathophysiology, patient presentation, and current literature surrounding ultrasound assessment will be discussed to provide context for imaging findings. Particular emphasis will be placed on the structures most commonly affected in adhesive capsulitis, and steps that you can take when scanning to ensure these subtle signs are not missed.
Through examples and case-based discussion, this presentation will explore the subtle sonographic signs that can raise suspicion for adhesive capsulitis. Practical scanning techniques, and tips and tricks will also be highlighted to enhance the identification of this condition in clinical practice.
By integrating current evidence with practical scanning insights, this session aims to enhance participants’ ability to recognise the subtle sonographic patterns associated with adhesive capsulitis and reinforce the important role of the sonographer in the multidisciplinary evaluation of patients presenting with this condition.
Biography
Mrs Angela Farley |
Adelaide University
Angela has worked within the medical imaging industry for over 20 years as a Radiographer and a Sonographer. Working as a Clinical Educator for the past 9 years, has given her the opportunity to work with and develop many trainees throughout Australia. She also works as an academic at the Adelaide University. Here she is the course coordinator for several courses within the Medical Sonography Program. Angela has presented at previous ASA conferences and was part of the organising committee for the 2025 Melbourne ASA conference. Angela has recently completed her Masters by Research with the University of South Australia. The project focused on the structure and function of Australian jockey hearts using echocardiography and is the first of its kind in the world. She is also a member elected board member of the Australian Sonography Accreditation Registry and is the Chair of the Registry's Continuing Professional Development Sub-committee.
Mr Linh Le
Sonographer
Castlereagh Imaging
Ultrasound for functional popliteal artery entrapment syndrome
12:30 PM - 12:50 PMPresentation Synopsis / Abstract
Popliteal artery entrapment syndrome (PAES) is defined as compression of the popliteal artery by aberrant myotendinous structures in the popliteal fossa. The presentation will discuss the pathophysiology with a particular emphasis on type VI – functional PAES. The clinical manifestations and epidemiology as well as differential diagnosis will be presented.
The imaging appearances of PAES on CT, MRI and US will be covered, with each modality’s strengths and weaknesses. The presentation will then focus on our practice’s dynamic US protocol, sonographic techniques and dynamic manoeuvres in diagnosing functional PAES. The patient clinical history form as well as the sonographer worksheet/structured reporting format we use will also be shared.
Management pathways will be explored from invasive surgical techniques to conservative treatments, most notably Botulinum toxin A injection. Case studies within our practice will be shown to highlight the synergy between different imaging modalities to correctly diagnose PAES and deliver therapeutic treatment to patients.
The imaging appearances of PAES on CT, MRI and US will be covered, with each modality’s strengths and weaknesses. The presentation will then focus on our practice’s dynamic US protocol, sonographic techniques and dynamic manoeuvres in diagnosing functional PAES. The patient clinical history form as well as the sonographer worksheet/structured reporting format we use will also be shared.
Management pathways will be explored from invasive surgical techniques to conservative treatments, most notably Botulinum toxin A injection. Case studies within our practice will be shown to highlight the synergy between different imaging modalities to correctly diagnose PAES and deliver therapeutic treatment to patients.
Biography
Mr Linh Le |
Castlereagh Imaging
Linh Le graduated from University of Sydney with a Bachelor of Science (Diagnostic Radiography) in 2017 and from University of South Australia with a Graduate Diploma in Medical Sonography in 2020. He has worked at hospitals and community clinics in Canberra, scanning a wide range of cases across General, Breast, OBGYN and Paediatrics. In the last 5 years, he has developed a keen interest in MSK Ultrasound, working at Castlereagh Imaging's flagship sports clinic in Sydney. He enjoys working alongside like-minded MSK radiologists & sonographers and solving complex cases from a broad range of referrals from Sports physicians, Orthopaedic surgeons, Rheumatologists and Neurologists in his daily practice.
Q&A Time
ASA
Session 9 Presenters (pending run time)
12:50 PM - 1:00 PMBiography