CSR 25th Annual Congress

Renaissance Resort & Casino  CURAÇAO 

JULY 19 – 22, 2018




GUESS WHAT BLEEDS- Dr. R. Ljumanovic (CUR.)

BIOGRAPHY:  Dr. Redina Ljumanovic was born in Sarajevo, Yugoslavia and started her medical education during the civil war at the Medical University of Sarajevo,.  She arrived in the Netherlands in the Winter of 1996, and completed the Dutch Language State examination in 1997.  She completed medical study at the Free University of Amsterdam.    It was during a scientific  training course at the Department of Radiology that her interest in medical imaging was raised.   In combination with finishing her medical study, she started working on a thesis as a PhD candidate at the VU University Medical Center in Amsterdam under supervision of Professor Dr. Jonas Castelijns.  In 2005, she began her residency training n Diagnostic Radiology at the same hospital.  She has been working at Antillean Adventist Hospital as the Head of the Department of Radiology since May 2013, and as a screening Mammography Radiologist  at the Fundashon Prevenshon in Curacao since December 2015.

ABSTRACT:   - Intracranial hemorrhage (ICH) is a collective term encompassing many different conditions characterized by the extravascular accumulation of blood within different intracranial spaces. Alternatively, intracranial hemorrhage can be thought of in terms of the underlying cause, although in most cases the same etiology can result in multiple different patterns of hemorrhage.


BIOGRAPHY:  Currently working at the St Elisabeth Hospital in Curacao

Interventional Radiologist; Entrepreneur

Radiology Training at the Leiden University Medical Center, in the Netherlands

Working in St Maarten, Curacao, Surinam and Aruba

President - Caribbean Society of Radiologists

Member of Radiology Latin American Advisory Board (Bayer Healthcare)

ABSTRACT:   - Your tear duct system consists of an upper and a lower lacrimal duct, that join together in the lacrimal sac. The nasolacrimal sac carries tears from the lacrimal sac into your nasal cavity. When the tear duct is obstructed or narrowed, the proper balance between tear production and tear drainage is disrupted. This causes watery eyes (epiphora), with patients producing persistent or excessive amounts of tears, a condition that is both uncomfortable and can impair vision. Abnormalities in this area can be diagnosed and treated with minimally invasive techniques, respectively called dacryocystography and dacryocystoplasty.

Undergoing a balloon dacryocystoplasty, the interventional radiologist will place a tiny balloon over the guidewire and will gently inflate the balloon in the affected area, which expands the narrowed or blocked area. Another possible approach is using a stent. Dacryocystoplasty can treat watery eyes caused by various factors, including obstructions within the nasolacrimal duct system, inflammation, conjunctivitis and cysts in the lacrimal sac.


BIOGRAPHY: Jepke de Berg was born on the 4th of January 1960 in Willemstad, Curacao. After secondary school graduation in 1978, he started medical education at the city of Leiden, Netherlands.

During his study he worked for Royal Dutch airlines both as a steward and as part of the medical business department, accompanying patients and repatriating them.

After his graduation in 1987 he became an emergency Doctor in the St. Elisabeth Hospital in Curacao for two years.

During those years his interest in Radiology and especially in the forthcoming Interventional Radiology was raised. After one additional year as an orthopedic theater resident, his training at the department of Radiology Leiden started in 1990.

During his residential work he got involved in the Interventional Radiology, and invented and successfully performed the first Radio Frequency ablation of a benign bone tumor (Osteoid Osteoma) in  1993. After 1995 he started working in the SEHOS and set up the Interventional Radiology.

He visited many Caribbean Islands and Suriname to help implementation of many new Interventional procedures and is still performing them both on Curacao and on St. Maarten.

Nowadays he works in the Adventist Hospital, that have expressed interest in setting up its own Interventional Radiology and Oncology department in the same hospital. Dr. deBerg is a Longstanding contributing member of the CSR.

ABSTRACT: - Interventional Oncology is a rapid growing field where the expertise of the nowadays more and more independent Interventional Radiologists is used more often in the battle against different life threatening cancers.

Since there always is room for improvement in quality of life and in cure rates for different types of cancer, Interventionalists are performing more and more interventional procedures in oncological patients, helping the multidisciplinary teams in their battle to achieve better cure and survival rates and to prolong survival times. 

The different tools the Interventional Radiologist can use to control and cure the different primary and secondary tumors are discussed in this short overview.


BIOGRAPHY:  Yet another longstanding member of the CSR.  She continues with her deep interest in Breast Imaging, which helps to inform all regional colleagues of the many aspects of Breast Disease.


ABSTRACT:  Mammographic screening for breast cancer offers the opportunity to give women a better prognosis through early detection of the disease.  A national mammographic screening programmeon Curaçao (Fundashon Prevenshon) was fully implemented by july 2010. With regard to this national screening, there have been no clear standards over the past few years. As a result, some women go to a screening center every two years, whereas other women visit a hospital every year. There is an urgent need for transparency and clarity concerning the national screening programme.

The purpose of this research is to authenticate or to adjust existing guidelines concerning screening for breast cancer, so that a guideline specifically designed for Caribbean women can be formulated. To accomplish this, we have examined all women – aged 45 to 75 years y in 2013 and 2014. We have made an overview of the number of mammographs and the associated results using the BI-RADS classification. In this manner, we could filter out the women who were unnecessarily examined. Eventually, 71,3% of the women turned out to be suitable for biennial screening at Fundashon Prevenshon. 

CHILD ABUSE – THE FORENSIC FILES –                   Dr. J. Jessurun (CUR.)

ABSTRACT:   - Child abuse or non-accidental trauma is a major problem worldwide; people usually deny or may act indifferent to the situation. The detection of specific lesions or findings that are incongruent with the reported mechanism of trauma mean that radiologists are often the physician responsible for sounding the alarm in cases of abuse. The triad consisting of subdural hematoma, metaphyseal fracture, and posterior rib fractures is very characteristic of the battered child syndrome. The finding of acute and chronic lesions in the same patient is highly specific for non-accidental trauma. 

INTERPRETATION OF VIRTUAL COLONOSCOPY – Reality or Virtuality?  Dr. J. Reeders (CUR.)

BIOGRAPHY:    Dr Reeders is a trained radiologist with a PhD from the Netherlands, worked at the Amsterdam Medical Center in Amsterdam, the Netherlands from 1984-1999. Subsequently he worked 10 years at the St. Elisabeth Hospital in Curacao.

He has held numerous GI-Radiology and HIV lectures all across the globe.

Member of multiple international GI and radiological societies like the Dutch, North American, European, Egyptian, Thai and South-African societies

For the past 9 years, Dr Reeders has been working at the Advent Hospital in Curacao, formerly known as the Taams Clinic.

ABSTRACT:   - Since the introduction of cross-sectional abdominal imaging in the 1970’s, there has been a steady stream of impressive advances in radiologic techniques. In particular, CT imaging has had a substantial impact on the diagnosis of intra-abdominal disease in symptomatic patients. However the role of abdominal imaging for the screen detection of asymptomatic disease has been quite limited. With the advent of CT Colonography (CTC; also referred to as virtual colonoscopy) in the mid 1990’s, a paradigm shift appears to be underway. Rarely has a technical innovation in medicine matched so beautifully with the medical need. Colorectal cancer is a prevalent and deadly disease. It represents a leading cause of cancer-related death throughout the industrial world; however it is largely preventable. The simple reason for this egregious disconnect is the disappointingly low rate of screening with the existing options. CTC has rapidly evolved to become a highly effective screening tool that has the potential to address this public health concern. In its current form CTC is not only as sensitive as conventional (optic) colonoscopy for the detection of advanced neoplasia but is also safer, more convenient and more cost- effective alternative for screening. Although many key hurdles have been cleared, several important barriers to widespread implementation still remain, most of which are more political than clinical in nature. This presentation represents my  (JWAJR) experience with this valuable radiologic technique, wherin I will focus also on a possible screenings program (FP) at Curacao ( Refs: Perry J.Pickhardt, David H. Kim, Jacques WAJ Reeders). But some hurdles in Curacao have to been taken!


(1)    BIOGRAPHY: Natalie Kleinmoedig:

Natalie was born in Goirle, the Netherlands and moved to Curaçao with her parents at the age of 2. At the age of 19 she  went back to the Netherlands where she studied: Medical Imaging and Radiation Oncology, at the “Fontys Paramedische Hogescholen” where she received a Bachelor Degree in 2003.

After studies, she started a career in the Netherlands, working for 1 year as a Medical Imaging Technician at the Nuclear Medicine department at the “St. Franciscus Hospital” in Roosendaal. Afterwards, she worked for 7 years at the nuclear medicine department of the “Institute Verbeeten” in Tilburg. 

Still wanting to do more in Medical Imaging, Natalie transferred in June 2010 to the Radiology Department of the St. Elisabeth Hospital in Curacao, where she currently worked as a medical imaging technician and ultrasound technician (sonographist). It’s here at the St. Elisabeth Hospital where she became interested in breast imaging, localization, biopsy techniques and innovations.

(2)  BIOGRAPHY:  Clarsine Antersijn- Rodriguez was born in Curacao in 1987.

After finishing High School, she went to the Netherlands at the age of 17 to follow her dream of becoming an OR- assistant. But in the Netherlands she had a change of heart when she discovered the study of a Radiology Technician.

In 2011 at the Hanze Hogeschool in Groningen, the Netherlands, she got her Bachelor’s degree as a Radiology Technician

and started working for the ‘Bevolkings Onderzoek’ doing screening mammograms on women between the ages of 50 – 75.

In 2013 she and her family moved back to Curacao.

Clarsine got a job at the Sint Elisabeth Hospital in the Radiology department, currently still working as a Radiology Technician with specialization in Mammography.

With her special interest and drive to know more she acquired additional skills in localization and biopsy techniques of the breasts.

ABSTRACT:   - In collaboration with the Fundashon Prevenshon Curaçao, the ”Mamma Poli” and other Imaging Centers in Curaçao, the stereotactic procedures for breast screening are performed at the Sint Elisabeth Hospital (SEHOS). We will explain how and when we perform these procedures and who is eligible for those procedures. We will present some statistics of the interventional procedures we at SEHOS, have been performing since 2012 up till may 2018. Our motto is to provide better quality care in the shortest time possible! It’s a work in progress!

BON APETITE – Interactive quiz – Dr. R. Ljumanovic (CUR.)

ABSTRACT:  Certain pathologic conditions have classic radiologic manifestations that resemble various types of food. These “food signs” are highly memorable and easily recognizable and include findings that resemble various fruits and vegetables; meat, fish, and egg dishes; pasta, rice, grains, and bread (carbohydrates); desserts, cakes, and candy; and dishes, cutlery, condiments, and so on. It is important that radiologists recognize these classic signs, which will allow confident diagnosis on the basis of imaging findings alone or narrowing of the differential diagnosis.


BIOGRAPHY:  Graduate of UWI, Mona, Jamaica and with Post Graduate studies in the UK and also in Singapore.  An ardent Interventionalist, with a passion for Vascular Imaging. Dr. Rampersad is  a longstanding member of the CSR and avid presenter of several scientific papers at the annual Congresses over the years.


BIOGRAPHYBrian Covello is a final year medical student at the University of Miami Miller School of Medicine. He earned a B.S. with Honors in biochemistry and pure mathematics from Florida Southern College, where he graduated summa cum laude. After completing a research internship at the University of Chicago, he began to pursue an M.D. at UM and will be applying to diagnostic and interventional radiology residency this upcoming year. He is currently the President of the Radiology Association of Young Scholars and also serves as the research coordinator for the Society of Interventional Radiology at Jackson Memorial Health System.  He hopes to one day contribute to the field of radiology by ushering in the next wave of interventional catheter devices and by creating diagnostic imaging technology that is capable of machine-type learning.


BLEEDING AFTER PCNL – Dr. Karina Gonzålez Freites

BIOGRAPHYBorn in Venezuela, she received and finished her training as a radiology technician in 2009.

Since 2012 also a member of the St Elisabeth Hospital Radiology department as a highly experienced technician in CT, MRI, Interventional, fluoroscopic and mammography as well as conventional examinations.

 ABSTRACT:  Percutaneous nephrolithotomy (PCNL), being a low morbidity procedure and with low percentage of complications, is the procedure of choice when it comes to removing stones more than 2 cm. or that cannot exit the body trough natural ways.

However, intra/postoperative renal bleeding is one of the most important and rare complication that can be encountered. This case presentation will show a patient that underwent a PCNL with postoperative renal bleeding and how renal angiography and selective renal embolization can play an integral and important role in the diagnosis and treatment of such situations.

© Caribbean Society of Radiologists 2018