Dr Tomas Dobrocky is a specialist in radiology with a focus on interventional neuroradiology and has been a senior physician at the Department of Neuroradiology at Inselspital, University Hospital, Switzerland since 2018. 

As part of his specialization in the field of interventional neuroradiology, Tomas Dobrocky completed a fellowship at the Toronto Western Hospital in Toronto, Canada, under Prof Timo Krings & Prof Vitor Pereira, and at the Fondation Rothschild in Paris, France, under Prof Michel Piotin. 

Among others, his research interests include diagnostic workup and minimally invasive treatment of patients with cerebrospinal fluid loss syndrome and perforator aneurysms. Dr Tomas Dobrocky's publication list includes more than 120 original papers, reviews and book chapters.
 

Fusion Imaging to understand Diseases and targets for embolization

Digital subtraction angiography provides excellent spatial and temporal resolution; however, it lacks the capability to depict the nonvascular anatomy of the brain and spinal cord. During the presentation cases in which a new integrated fusion workflow of cross-sectional imaging and 3D rotational angiography (3DRA) provided important diagnostic information and assisted in treatment planning will be presented. These will include acutely ruptured brain arteriovenous malformations, a small superficial brainstem AVM, a thalamic microaneurysm, and a spine AVM, where fusion was crucial for diagnosis and influenced further treatment. Fusion of 3DRA and cross-sectional imaging may help to gain a deeper understanding of neurovascular diseases. This is advantageous for planning and providing treatment and, most importantly, may harbour the potential to minimize complication rates. Integrating image fusion in the work-up of cerebrovascular diseases is likely to have a major impact on the neurovascular field in the future

Perforator Aneurysms: Updates on current Imaging modalities and a call for action

Cerebral perforators are end-arteries that vascularize specific deep territories in the cerebral hemispheres and brainstem. Due to improved imaging quality, these aneurysms are increasingly diagnosed in clinical routine. High resolution 3D angiographic images are mandatory and in some occasions fusion images might be helpful to detect these aneurysms. Basilar artery perforator aneurysms (or BAPAs) are one of the most common subtypes of perforator aneurysms and might cause subarachnoid hemorrhage along the brainstem (perimesencephalic hemorrhage).  Due to the limited evidence, the management of BAPAs may pose a challenge in clinical routine. While some aneurysms can be managed conservatively, a few might require treatment to prevent rebleeding. The current evidence on the topic will be presented during the talk to increase the awareness on these potentially underdiagnosed aneurysms.