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Musculoskeletal ultrasound (MSKUS) is a rapidly evolving imaging tool which got widespread use during recent decades. Now it is used for assessing many kinds of abnormalities in degenerative, inflammatory diseases, or musculoskeletal damage (sports medicine).

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肌肉骨骼超音波是近十幾年來急速發展及廣泛性使用的影像工具，現在可以用來評估各種異常結構，包含退化性、發炎性疾病或者是肌肉骨骼受損(運動醫學)

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During this lecture/workshop, we will help you to learn the indications and limits of MSKUS in musculoskeletal systems, to understand the standard scans in different anatomic areas of upper limbs; and finally, to learn sonoanatomy and to know different structures in healthy/illness subjects by MSKUS
在這次的工作坊中，將會學習到肌肉骨骼超音波應用在肌肉骨骼系統上的適應症和限制，並瞭解上肢不同區域的超音波標準掃描畫面，也將學習超音波下的解剖構造，以及辨別肌肉骨骼超音波應用在健康和受傷個案時不同的結構表現。

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1. Technical characteristics and settings of US equipment for MSKUS
A. Optimizing the Grey-scale settings
B. Optimizing the Doppler settings
骨骼肌肉超音波的技術特徵和設備
優化灰階設定
優化杜卜勒設定

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2. Applications and limitations of US in musculoskeletal system
肌肉骨骼超音波的應用和限制

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3. Sonographic pattern of musculoskeletal tissues and correlation with anatomy
肌肉骨骼組織的超音波成像和解剖構造的相關性

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4. Artifacts and misinterpretation in MSKUS
A. Anisotropy, acoustic shadow, posterior acoustic enhancement, reverberation, mirror image…etc.
肌肉骨骼超音波的假影和判讀錯誤
專業詞

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5. Abnormal structure pattern of musculoskeletal tissues under MSKUS
A. Joint synovitis, bursitis, tendinosis, tenosynovitis, tendon tear, calcifications, cortical abnormalities, and cartilage lesions
肌肉骨骼超音波下異常的肌肉骨骼組織成像，包含關節滑膜發炎、關節囊發炎、肌腱發炎、肌腱滑膜炎、肌腱撕裂、鈣化、皮質異常和軟骨損傷

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6. US of the shoulder, elbow, wrist, and finger; normal findings and basic pathology
A. Shoulder: adhesive capsulitis, supraspinatus tendon tear, calcified tendinopathy
B. Elbow: joint synovitis, Lateral epicondylitis, medial epicondylitis, olecranon bursitis
C. Wrist: joint synovitis, carpal tunnel syndrome, tenosynovitis
D. Fingers: joint synovitis, trigger finger

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肩膀、手肘、手腕和手指的骨骼肌肉超音波，正常組織和病理學
肩膀包含五十肩、棘上肌肌腱撕裂、鈣化性肌腱病變
手肘包含關節滑膜發炎、網球肘、高爾夫球肘、尺骨鷹嘴囊發炎
手腕包含關節滑膜發炎、板機指

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「講師介紹」：

Huang,Po-Hao    黃柏豪
Office Address:
     China Medical University Hospital,
     No. 2, Yuh-Der Road, Taichung, Taiwan, R.O.C.
    中國醫藥大學附設醫院, 內科部風溼免疫科
台灣台中市北區育德路2號

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Education:
  1995-2002   China Medical College, College of Medicine,
              Taichung, Taiwan, R.O.C.
Employment Record:
  2003-2006   Resident, Department of Internal Medicine,
              China Medical University Hospital.
  2006-2008   Chief Resident of Rheumatology, Allergy and Immunology.
              Department of Internal Medicine,
              China Medical University Hospital.
  2008-       Attending Physician,
              Section of Rheumatology, Allergy and Immunology.
              Department of Internal Medicine,
              China Medical University Hospital.
Professional Licensure and Certification
1. 2006/08 The society of Internal Medicine, R.O.C.
2. 2008/11 Chinese Society of Immunology
3. 2008/12 Rheumatism Association, R.O.C
4. 2015/03 Taiwan Society of Ultrasound in Medicine
5. 2018/09 Certification of 8th EULAR Course on Capillaroscopy in Rheumatic Diseases
6. 2019/06 Certification of EULAR MSUS Competency Assessment | Level 1
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Publications
1. Huang PH, Chen DY. Diagnostic value of the salivary gland ultrasonography scoring system in patients with primary Sjogren’s syndrome. J Med Ultrasound 2021;29:235-6.
2. Chen PK, Lan JL, Li JP, Chang CK, Chang SH, Huang PH, Yeo KJ, Chen DY. Elevated plasma galectin-3 levels and their correlation with disease activity in adult-onset Still's disease. Clin Rheumatol. 2020 Jun;39(6):1945-1952. doi: 10.1007/s10067-020-04946-3. Epub 2020 Jan 20. PMID: 31960208.
3. Chun-Hao Tsai⁠, Ming-Hua Hsu⁠, Po-Hao Huang⁠, Chin-Tung Hsieh⁠, Ying-Ming Chiu⁠, Dong-chen Shieh, Yi-Ju Lee⁠, Gregory J. Tsay⁠⁠, Yi-Ying Wu⁠  A paeonol derivative, YPH-PA3 promotes the differentiation of monocyte/macrophage lineage precursor cells into osteoblasts and enhances their autophagy. European Journal of Pharmacology 2018 doi: 10.1016/j.ejphar.2018.05.024
4. Chung-Ming Huang, Shih-Yin Chen, Po-Hao Huang, Fuu-Jen Tsai. Effect of MPG Gene rs2858056 polymorphism, comy number variation, and level of serum MPG protein on the risk for rheumatoid arthritis.  PLoS ONE 10(3): e0120699. doi:10.1371/ journal.pone.0120699
5. Chien-Chung Huang, Po-Hao Huang, Jiunn-Horng Chen, Joung-Liang Lan, Gregory J. Tsay, Hsiao-Yi Lin, Chun-Hung Tseng, Cheng-Li Lin, Chung-Yi Hsu.  An Independent Risk of Gout on the Development of Deep Vein Thrombosis and Pulmonary Embolism: A Nationwide, Population-Based Cohort Study.  Medicine. 2015;94(51):e2140. doi:10.1097/MD.0000000000002140.
6. Tsai CH, Chiang YC, Chen HT, Huang PH, Hsu HC, Tang CH.  High glucose induces vascular endothelial growth factor production in human synovial fibroblasts through reactive oxygen species generation. Biochim Biophys Acta. 2012 Dec 26;1830(3):2649-2658
Research/Clinical trial experience
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  Co- Investigator 僅列出近三年:
1. 一項安慰劑對照、受試者和試驗主持人盲性、隨機分配、平行分組的世代試驗，針於全身性紅斑狼瘡 (SLE) 患者，評估 VAY736 及 CFZ533 的藥效學、藥物動力學、安全性、耐受性、初步臨床療效
2. 一項使用Guselkumab治療活動性狼瘡性腎炎受試者的多中心、隨機分配、雙盲、安慰劑對照、平行分組試驗
3. 評估 Elsubrutinib 與 Upadacitinib 單獨使用或兩者併用（ABBV-599 合併療法）對於中度至重度活動性全身性紅斑性狼瘡患者之安全性與療效的一項第二期試驗
4. 一項針對在台灣接受生物製劑的僵直性脊椎炎患者依據僵直性脊椎炎疾病活動度分數 (ASDAS) 調查疾病活動狀態的全國性、橫斷式研究
5. 一項第 3 期、雙盲、多中心試驗，評估 Baricitinib 用於全身性紅斑狼瘡 (SLE) 患者之長期安全性和療效
6.  一項隨機、雙盲、安慰劑對照、多中心的第 2 期劑量範圍試驗，評估皮下施打 ianalumab 多次劑量，用於中度至重度原發性修格連氏症候群(primary Sjögren’s Syndrome; pSS)患者的安全性和療效
7. 為期 52 週的隨機、雙盲、安慰劑對照研究，目的在於評估活性自體抗體呈陽性的全身性紅斑狼瘡成年患者使用 Belimumab 後應特別注意的不良事件
8. 一項隨機、雙盲、安慰劑對照、多中心的第 2 期適應性試驗，評估 LOU064不同劑量用於中度至重度修格蘭氏症候群患者的安全性和療效 (LOUiSSe)
9. 一項第三期、隨機分配、安慰劑對照、雙盲試驗，評估Upadacitinib治療軸心型脊椎關節炎成人受試者的療效和安全性
10. 一項隨機分配、安慰劑對照、患者及試驗主持人盲性試驗，探討多劑 CFZ533 用於中度活性增生性狼瘡性腎炎患者之安全性、耐受性、藥物動力學及初步療效
11. 一項隨機分配、雙盲、安慰劑對照驗證試驗，在對MTX反應不足或無法耐受的類風濕性關節炎(RA)患者中，評估ASP015K的安全性與療效
12. 針對LY3471851 (NKTR-358)用於患有全身性紅斑性狼瘡成人受試者的一項隨機分配、雙盲、安慰劑對照的第2期試驗
13. 風濕免疫疾病患者非酒精性脂肪肝的表現與惡化因子
14. 風濕疾病患者高鐵蛋白血症之致病機制及新冠狀病毒感染之關聯性

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課程費用：
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時間: 2023/07/22  9:00 ~ 17:00
地點: 台北市中山區復興北路184號3樓
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