Search for: "Angiography" - 250 articles found

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MRI Coils

LUCY OR Head Holder & 8-Ch Coil

HighlightsWith its combination of fixation system and high-quality intraoperative imaging, the LUCY OR Head Holder & 8-Ch Coil is your dedicated application for precise neurosurgical interventions. The dedicated sterile concept and its three-point fixation with integrated force indicator ensure optimized workflow. The removable and height-adjustable lower coil grants excellent access to the…

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Article • Liver, renal, pancreas, paediatric and multi-organ transplants

Important role for ultrasound in transplantation imaging

Ultrasound plays a pivotal role in the assessment of organ transplant patients. It enables physicians to safely and easily assess progress, identify complications and resolve problems, as well as deliver long-term monitoring. The value of ultrasound in the transplant space was highlighted in a session at ECR 2024, covering liver, renal, pancreas, paediatric and multi-organ transplants with…

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News • Low field imaging

0.05 Tesla MRI: When less is more

A whole-body MRI scanner with a compact 0.05 Tesla permanent magnet has been developed that operates on a standard wall power outlet without radiofrequency or magnetic shielding cages.

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Article • Photon-counting CT, strain imaging, 4D flow MRI

How new technologies shape the future of cardiovascular radiology

New approaches to cardiovascular radiology are evolving to help clinicians gain an increasingly better insight into heart conditions. Latest developments in cardiovascular radiology include myocardial strain imaging, 4D flow and photon-counting CT technology. An ECR 2024 session shone the spotlight on these areas of cardiovascular imaging with expert speakers outlining the pros and cons of each.

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Article • Medical imaging

Contrast media utilisation: trends and breakthroughs

Striking the balance between diagnostic efficacy and patient safety remains critical when utilising iodinated contrast media to deliver the best imaging outcomes. While playing a crucial role in diagnosis and treatment of disease, CT expert Efthimios Agadakos believes the medical profession has a duty to do its utmost to minimize patient risk from contrast media.

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Injectors

Accutron HP

HighlightsEnables interdisciplinary clinical imaging examinations in both angiography and computed tomography Wireless and mobile configuration provides flexibility to quickly change examination rooms and eliminates barriers; such as nearby power requirements and/or cable installation Reduces risk of infections by being easy to clean and hygienicIntegration with the scanner interface…

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iQ-DOSE

Highlights:Automatic monitoring, analysis and documentation of patient radiation dose informationCompliant with German and many international guidelinesVendor-neutral solution compatible with virtually any PACSSupport of most CT, angiography, fluoroscopy, X-ray and mammography devicesAutomatic overdose notification e-mails

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Testing Devices

DVTap Cone-Beam CT Test Phantom

HighlightsThe QUART DVTap phantom is designed for QA / QC at cone-beam CT (CBCT), dental volume tomography (DVT) and further 3D imaging equipment.It is to be used in dental 3D imaging (according DIN and latest IEC requirements) as well as angiography in C-arm x-ray applications (manufacturer-specific applications).Based on latest research, the solution can also be utilised for standard CT IQ…

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Ultrasound

Resona R9 Platinum Edition

HighlightsAdvanced ZST+ platformA new standard of image clarity for different clinical scenariosMore advanced tools for confident diagnosis and clinical research: HiFR CEUS, High frame rate STE, uHIT, iFusion, V Flow, UMA (Ultra Micro Angiography)Intelligent tools with more efficiency and accuracy: Smart Breast and Smart HRMulti-parametric assessment solutions for liver, breast and thyroid…

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Article • Patient-specific parameters in ionizing radiation usage

A more tailored approach to dose reduction

Radiation exposure in diagnostic and interventional radiology is steadily being reduced, but some important parameters have hardly been taken into account so far, says Dr Kerstin Jungnickel. The medical physics expert explains how patient-specific protocols can improve radiation protection and outlined new findings on the radiosensitivity of certain body regions and their impact.

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Accessories/ Complementary Systems

LM-Angio Tube

HighlightsFor angiography systems (2.1 MHU) Uses a liquid metal bearing Our unique liquid metal bearing technology Compact Housing – provides a long tube life, quiet operation, high stability, and excellent reliability.

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Flatpanel Fluoro

Zexira/FPD

Highlights• General radiography (abdominal / skeletal).• Non-vascular contrast-enhanced studies of the spine, intervertebral disks, joint cavities, biliary tract, nerve block procedures, etc.• Non-vascular IVR(ERCP, PTC, biopsy, ileus tube, etc.).• Angiography (abdomen, shoulders, upper / slower trunk and cervical spine, etc.).• Vascular IVR (simple angioplasty,…

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Article • Imaging biomarkers, AI support and beyond

New tools for Covid-19 assessment

As knowledge about Covid-19 advances, so does the arsenal of techniques to predict, diagnose and follow up on the disease. At ECR, researchers presented a range of promising imaging modalities to keep track of Covid-19 symptoms, severity, and mortality, often including AI support to enhance or accelerate diagnostics.

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Article • Benefits of multimodality imaging

Stroke: The importance of workflow

When a patient suffers a stroke, speed in treatment can mean the difference between successful recovery, permanent disability, or death. For Christopher Hess, success in stroke diagnosis is a question of workflow and efficient care delivery.

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News • Blindness prevention

Blue is the clue for diabetic retinopathy risk

Researchers from Tokyo Medical and Dental University (TMDU) demonstrate a thorough and non-invasive imaging technique to identify areas of the eye affected by diabetic retinopathy (DR), a progressive eye disease associated with diabetes and a leading cause of blindness. The researchers have found that blue light can be used to probe the depths of the eye and uncover areas affected by DR.

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News • Appeal for an update in radiology departments

Ageing imaging equipment is undermining safety and quality of care for patients

The percentage of medical imaging equipment in Europe that is more than ten years old is alarmingly high, and the broad disparities in equipment density between European countries remain. These are the principal findings in the 2021 edition of the COCIR Medical Imaging Equipment Age Profile and Density. This has potentially negative consequences for patients and for the budgets of healthcare…

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Article • Predictive plaques

Using AI for personalised prediction of heart attack

An AI-led device to assess coronary CT angiographs has been designed to assess cardiac plaque that may lead to myocardial infarction (MI). In his presentation ‘Vascular inflammation and cardiovascular risk assessment using coronary CT angiography’ (CCTA), Charambalos Antoniades, Professor of Cardiovascular Medicine at the University of Oxford, presented the research team’s findings during…

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News • Disease of smallest heart blood vessels

Microvascular angina: the global health problem you've never heard of

For the first time, a prospective, international study has shown that chest pain caused by problems with the very small vessels supplying blood to the heart is an important health problem that increases the risk of heart attacks, stroke and death due to cardiovascular reasons. The study, which is published in the European Heart Journal, recruited 686 patients from 14 institutions in seven…

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Interview • Interventional Radiology

Endovascular simulator – your coach for complex interventions

With interventional procedures becoming more and more complex the demands on the interventionalists are also increasing. Endovascular simulators allow practical angiography training. In December 2020, the University Hospital Essen, Germany, was the first European facility to install Mentice’s VIST G7+. Professor Dr Jens Theysohn, senior physician at the Institute of Diagnostic and…

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News • Myocarditis, infarction, ischaemia

Many Covid-19 patients leave hospital with heart damage

Around 50% of patients who have been hospitalised with severe Covid-19 and who show raised levels of a protein called troponin have damage to their hearts. The injury was detected by magnetic resonance imaging (MRI) scans at least a month after discharge, according to new findings published in the European Heart Journal. Damage includes inflammation of the heart muscle (myocarditis), scarring or…

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Article • A technique evolves

Cardiac CT: a diagnostic jack-of-all-trades

According to Professor Fabian Bamberg, Medical Director at the Clinic for Diagnostic and Interventional Radiology at University Hospital Freiburg, Germany, ‘In recent years, cardiac CT has seen a mindboggling technological evolution.’ It is, he believes, a very robust procedure that allows the routine acquisition of high-resolution images with very few side effects.

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Article • Distinguishing arteriopathies

Deterring paediatric acute stroke

Acute stroke in children has the same incidence as brain tumours and can seriously affect a patient’s life. Two kinds of arteriopathies are common drivers of paediatric acute stroke and radiologists must learn to distinguish their signs as early as possible to improve prognosis, according to Béatrice Husson, a paediatric radiologist at Le Kremlin Bicêtre Hospital in Paris.

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News • Facial photo analysis

AI uses ‘selfies’ to detect heart disease

Sending a “selfie” to the doctor could be a cheap and simple way of detecting heart disease, according to the authors of a new study. The study is the first to show that it’s possible to use a deep learning computer algorithm to detect coronary artery disease (CAD) by analysing four photographs of a person’s face. Although the algorithm needs to be developed further and tested in larger…

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Sponsored • Deep Learning in Radiology

New Levels of Precision with Self-learning Imaging Software

The complex form of machine learning DLIR (Deep Learning Image Reconstruction) is based on a deep neuronal network which is similar to the human brain. The artificial neurons of this network learn according to their biological model through intensive training. For the DLIR image reconstruction, the network is fed with sample data from phantom images on the one hand and high-resolution images of…

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Article • Goodbye to grayscale

Dual Energy CT – seeing x-rays with colors

Computed tomography (CT) is one of the most important imaging options for the diagnostics of patients. For a long time, in clinical routine CT technology mostly showed the Hounsfield Units (HU) that are indicated in the grayscale. However, the Dual Energy CT (DECT) enables colored X-ray images, therefore significantly improving examination methods. “We can also do material separation and get a…

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Article • More power for interventionists

Combining image-guided diagnosis and robot-assisted treatment

Siemens Healthineers AG took a big step last October. To incorporate treatment along an entire clinical path, the firm acquired Corindus Vascular Robotics, Inc., to combine image-guided diagnosis with robot-assisted surgery. A couple of months later, the Corindus endovascular robotic system CorPath GRX was used to implant a vascular stent into an obstructed coronary artery – the first use of…

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Article • Radiology + data + AI = ?

Today and future radiomics

Radiomics is one of the most exciting topics in radiology. It involves data and artificial intelligence (AI) but very few people know or understand the details. In her lecture ‘How does Radiomics work?’, presented at the German Radiology Congress in Leipzig, Professor Ulrike Attenberger outlined how radiomics will advance radiology but also the obstacles faced along the way.

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Article • Risk stratification

Cardio-controversy: Added value through CAD imaging?

ESC Congress, Paris: Two key strands in the ‘Controversies in imaging coronary artery disease’ session at the congress will examine the pros and cons of imaging use for coronary artery disease risk stratification in asymptomatic patients; the second strand will focus on whether CT angiography should be the first choice for imaging coronary artery disease in patients with stable chest pain.…

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Article • Highlights from the 30th TCT Meeting

Advancing transcatheter cardiovascular therapies

A remarkable number of studies and innovations were presented at the 30th anniversary of Transcatheter Cardiovascular Therapeutics (TCT) meeting in San Diego, California. TCT 2019 will take place in San Francisco, CA between 25-29-Sep-2019. On the clinical side, the long-expected results from COAPT trial studying MitraClip device in patients with secondary mitral regurgitation and heart failure…

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Article • The MR-INFORM trial

Seeking a first-line ischaemia test

Findings from a comparative outcome study have highlighted the benefits of using cardiovascular magnetic resonance imaging (CMR) perfusion imaging as a first-line ischaemia test in patients with moderate risk of coronary artery disease (CAD). The MR-INFORM (Magnetic Resonance Perfusion or Fractional Flow Reserve in Coronary Disease) trial, which began in 2012 (results published in the New England…

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Article • ESC consensus statement

Intracoronary imaging advances

Interventional cardiologists have been aware of the value of intracoronary (IC) imaging in clinical practice for more than twenty years. However, recent developments and improvements in modalities and software have enabled huge strides in its range and scope for both diagnostic assessment and in percutaneous coronary interventions. Imaging options now include intravascular ultrasound (IVUS),…

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News • Interventional radiology

Safe, cheap embolisation for emerging countries

Vincent Vidal (Marseille, France) and colleagues have demonstrated the in vivo feasibility of arterial embolization with permanent and absorbable suture fragments, leading them to propose what they have termed the “FAIR-Embo” concept to the wider interventional radiology (IR) community. Writing in Cardiovascular and Interventional Radiology (CVIR), they conclude: “Embolization by absorbable…

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News • COCIR and EFOMP partner up

Training initiative on angiographic equipment

Earlier this July, 75 Medical Physics Experts gathered in Prague to attend the EFOMP and COCIR Summer School “State of the art & new trends of angiographic equipment: Image quality, Patient and Staff dosimetry”, endorsed by the European Society of Radiology (ESR). The Summer School was organised in collaboration with the Czech Association of Medical Physicists and the Department of…

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News • Collaboration

The virtual patient comes to the angio-suite

Siemens Healthineers and Mentice AB announced the collaboration to fully integrate Mentice’s VIST Virtual Patient into the Artis icono angiography system from Siemens Healthineers. The VIST Virtual Patient thus becomes a fully integrated simulation solution for the angio-suite. The global partnership between the two companies will allow interventional radiologists, neuroradiologists, and…

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News • Too old

Imaging equipment: installed base needs to be replaced

Despite COCIR raising the alarm as early as 2014, the age of the installed base of medical imaging equipment in Europe continues to increase. To draw attention to this worrying trend, COCIR is presenting new data on the current situation in four modalities of medical imaging, graphically demonstrating the extent of the issue. These were launched tday at the European Congress of Radiology 2019 in…

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News • Angiography configuration

Canon debuts Alphenix 4D CT at ECR 2019

Canon Medical Systems Europe B.V. introduces a new angiography configuration featuring its Alphenix Sky+ C-arm and Hybrid Catheterization Tilt/Cradle Table for interventional procedures with its Aquilion One Genesis CT system. The new pairing, called the Alphenix 4D CT, allows clinicians to efficiently plan, treat and verify in a single clinical setting. “The all new Alphenix 4D CT was designed…

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Sponsored • User experience and the optimisation of daily workflow

At the heart of our developments

The professionals we all rely on to keep us healthy, they rely on X-Ray imaging systems empowered by flat panel detectors and software solutions provided by Thales. Our solutions offer superior accuracy and advanced image processing to help image interpretation while decreasing radiation exposure. They also include a variety of innovative features that simplify the daily workflow of healthcare…

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News • Imaging agent

PET/CT tracer offers better diagnosis of acute venous thromboembolism

A first-in-human study reports that the novel positron emission tomography/computed tomography (PET/CT) tracer 18F-GP1 showed excellent image quality and a high detection rate for the diagnosis of acute venous thromboembolism (VTE). Well-tolerated in patients, 18F-GP1 PET/CT also identified blood clots in distal veins of the leg below the knee, where conventional imaging has limitations.

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Article • Teamwork <3

7-Tesla: Multidisciplinary care is key to cardiac disease management

New 7-Tesla MR methods could potentially shed light on cardiomyopathies’ principles, according to a leading French radiologist who also stresses the importance of teamwork between radiologists, cardiologists, surgeons and anaesthesiologists. Morphologic and dynamic information of the myocardium is achieved with millimetric resolution (0.9x0.9 square mm). Strong intensity variations…

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Article • Innovation

AI helpers simplify clinical MRI scans

The new 1.5 Tesla MRI from Siemens Healthineers, Magnetom Sola, is packed with helpful algorithms and other functions. AI-supported systems monitor patients and scan parameters and ensure consistent image quality. Whilst visitors at this year’s ECR-Expo admired the new device, Prof. Ulrike Attenberger has already tested it in practice.

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Interview • Cardiac imaging on ICE

The benefits of Intracardiac echocardiography

Intracardiac echocardiography (ICE) is an increasingly important guiding tool for structural heart disease interventions – without general anaesthesia. José Ribeiro, who works in the thorax and circulation unit at Gaia Hospital Centre, Portugal, who has worked with this technology for the past two years, explained its benefits and limitations.

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Article • 3D & CHD

The changing face of imaging in cardiology

While the question is still debated as to whether MRI is the better CT, along comes a potential game changer – a new data based 3-D reconstruction method of heart anatomy and function that aims to replace diagnostic coronary angiography. In the near future not only adult patients with coronary heart disease could benefit from this new technique but also children with complex congenital heart…

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Article • MR Fingerprinting and Compressed Sensing

The impact of a radiological transformation

MR Fingerprinting and Compressed Sensing are two procedures that will facilitate much faster MR sequencing than currently possible – and more. ‘MR Fingerprinting will revolutionise MRI scanning,’ according to Dr Siegfried Trattnig, head of the Centre of Excellence for High-Field MRI at the Medical University of Vienna in Austria. ‘It will completely change the way MRI scans are currently…

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News • vFFR calculation

New software facilitates angiographiy analysis

A new software to calculate the pressure drop and vFFR value (vessel Fractional Flow Reserve) in the coronary artery non-invasively was presented to interventional cardiovascular experts at EuroPCR 2018 in Paris. The software called CAAS vFFR (Cardiovascular Angiographic Analysis Systems for vessel Fractional Flow Reserve) was developed by Pie Medical Imaging (Esaote Group). The vFFR calculation…

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Article • GCCA/GBCA safety

Gadolinium @ ECR 2018 – diverse and “disunited”?

Gadolinium-containing/gadolinium-based contrast agents (GCCAs/GBCAs) and their usage was a major topic at ECR 2018. Fuelled by the current debate a number of presentations focused on possible impact, risks and necessities. Some were highly specific, others took a broader view. The only consensus, however, seems to be the need for more research and the focus on safety. Three ECR speakers, Joseph…

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Sponsored • World-class technologies

New cutting-edge products and clinical applications

“With Your Stories – lifetime healthcare support” is the ­future-driven approach combining the best of two worlds by using our insight and expertise in medical imaging systems and laboratory instrumentation to benefit patients through even better prevention, diagnosis, treatment and follow-up and thus help them in the pursuit of a healthy life.

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Article • MRI vs. Alzheimer's

Seeking leaks in the blood-brain barrier

‘With our new MRI method, we can finally visualise tiny leaks in the blood-brain barrier. They shed light on the vascular contribution to dementia and may indicate Alzheimer’s disease. However, the MRI scan is only a tool to diagnose cerebrovascular damage. We have not yet found a cure for Alzheimer’s,’ confirms Walter H Backes, medical physicist and professor at Maastricht University…

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Article • Local and elegant

Extending life with TIPS and TACE

Liver disease is widespread in Germany. It is, in fact, the most common cause of death in patients under the age of 40, with liver cirrhosis, which can develop into liver cancer, playing a major role here. These days, modern, comprehensive treatment concepts are unimaginable without interventional radiology, for liver cirrhosis as well as liver cancer. Prof. Dr. Christian Stroszczynski, Director…

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News • Introducing

Samsung unveils new innovative mobile CT OmniTom at RSNA

Samsung Electronics, a leader in medical imaging technology, will debut its OmniTom mobile 16-slice computed tomography (CT) scanner at the Radiological Society of North America (RSNA) 2017 Annual Meeting at McCormick Place in Chicago. OmniTom received 510(k) FDA clearance for the U.S. market on August 18 of this year, and attendees will get to see it for the first time at RSNA booth #2543 (South…

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News • Heart Attacks

Potential Breakthrough in Determining Who’s at Risk

Researchers are revisiting their views on the relative dangers soft and hard atherosclerotic plaque deposits pose to heart health. Findings of a new study by researchers at the Intermountain Medical Center Heart Institute may be a “game-changer” for determining who’s at risk of a heart attack, they say.

News • Contrast agents

MultiHance receives approval for use in MRI of the whole body

Bracco Imaging S.p.A., a global leading company in the diagnostic imaging business, today announced the approval of the use of MultiHance® (gadobenate dimeglumine) in Magnetic Resonance Imaging (MRI) of the whole body in adults and paediatric patients (> 2 years). The approval was obtained through a Mutual Recognition Procedure, with the Medicines and Healthcare products Regulatory Agency…

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Article • Transducers

3-D transducers prove their mettle in cardiology

One of the first facilities to purchase a complete set of the 3-D TEE transducer, including the equipment, was the Department of Cardiology and Angiology at University Hospital Magdeburg, as Thomas Groscheck, specialist physician for internal medicine at the echocardiography lab explains. Since July 2015 he has worked with the new Siemens transducer – and is enthusiastic.

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Article • Stroke

Imaging in intra-arterial interventions

Stroke patients will first undergo a CT scan as they enter the hospital. Before any further imaging scan is carried out, the medical team must decide whether they need to intervene intra or extra cranially. ‘Imaging enables you to see which pathology you are dealing with and helps you select patients for either recanalisation or revascularisation or, in some cases, occlusion by embolisation,’…

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Article • Predicting plaques

Exposing the secrets of the heart

Coronary interventions often rely more on art than science as the decision to treat a patient tends to be based on what clinicians can see, a subjective interpretation of cardiac imaging. Two new techniques have emerged for cardiovascular diagnostics that are enabling software to help surgeons and cardiologists measure, and thereby better manage cardiac disease.

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Article • Intervention

Hybrid ORs: not equally beneficial for all facilities

The hybrid operating room is one of the most innovative developments in the surgical sector. The combination of interventional and minimally invasive surgical procedures is exciting for many clinical disciplines. The room design, intraoperative imaging techniques as well as interdisciplinary collaboration play a pivotal role in this.

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Sponsored • Breakthrough

How Dual Source technology is revolutionizing CT

Since launching Somatom Definition in 2005, Siemens has continued to develop Dual Source technology in order to overcome the remaining challenges in computed tomography. This significant development has made it possible to produce diagnostic images of a patient’s beating heart and coronary vessels without having to artificially lower their heart rate, for example. Scanning speeds that were…

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Article • Robotic

The Swiss Army knife of radiology

Not all innovations marketed as ‘world premieres’ actually make a significant impact on the world. However, the new robotic X-ray system ‘Multitom Rax’ (Robotic Advanced X-ray) introduced by Siemens Healthcare and the University Hospital Erlangen is one innovation in the world of medicine technology that deserves this label, the manufacturer reports. ‘With the combination of robotic and…

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Article • Cardiology

Big data in cardiac CT

CT angiography (CTA) is evolving from a morphological – anatomical – to a functional imaging modality. In the past two years, cardiac CT perfusion measurement techniques were launched that predict which lesion will cause a reduction in blood flow.

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Interview • Cardiology

Rethinking acute aortic syndromes

Technological advances in CT imaging have sparked a veritable explosion of imaging data. Pushing against the rush of novel imaging findings there is, what Dr Geoffrey Rubin calls, the slow wave of adoption in medicine, the acceptance and agreement of the clinical community for new diagnostic assessments.

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News • Trinias MiX-Package

Shorter treatment times and less contrast media

In the year of its 140th anniversary, Shimadzu has released the new Trinias MiX package (Minimally invasive eXperience) to support less invasive treatments through a variety of applications. The Trinias MiX package is an exten¬sion of the Trinias angiography system, which facilitates high-level interventions through proprietary image processing technology. Shimadzu provides functional…

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News • Simulation

Treating aortic aneurysms through virtual reality

Virtual models can be created in the angiography room thanks to an approach developed by researchers at the University of Montreal Hospital Research Centre (CRCHUM) and the university’s departments of radiology, radiation oncology, and nuclear medicine. The latest advances were presented by Dr. Gilles Soulez at the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) conference…

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News • DISCHARGE

Less unnecessary cardiac catheterisations in the future

Cardiac catheterisation is the gold standard for diagnosing coronary artery disease (CAD), the main cause of death worldwide. More than 3.5 million invasive coronary angiographies (ICAs) are performed in the European Union each year, tendency rising. Nearly 60 percent of these minimal invasive examinations do not result in further treatment, since the patients do not have obstructive epicardial…

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Interview • CAD

Seeking CT’s role

Coronary artery disease (CAD) is the major killer worldwide. Its early detection can save the lives of many. Computed tomography (CT) has shown tremendous results in this area, but its advantage over more invasive techniques remains to be demonstrated, especially in patients with low to moderate risk.

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Article • Stroke treatment

Six international studies endorse thrombectomy

Results from six international randomised controlled studies conclusively and uniformly confirm, for the very first time, the effectiveness of thrombectomy in patients with acute, severe ischaemic strokes caused by a blood clot in one of the proximal cerebral arteries. The endovascular procedure is an add-on to conventional thrombolysis. EH reports from a German Stroke Society (DSG) press…

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News • Blindness

OCT technology detects blood vessel in the eye

Research published in the Proceedings of the National Academy of Sciences (PNAS) demonstrates that technology invented by researchers at Oregon Health & Science University’s Casey Eye Institute can improve the clinical management of the leading causes of blindness. Optical coherence tomography (OCT) angiography could largely replace current dye-based angiography in the management of these…

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Article • Cardiology I

Chest pain units in Germany

The German care system for patients with acute and unspecific chest pain is unique in Europe. The closely knit and countrywide network of accredited Chest Pain Units (CPUs) ensures fast and targeted diagnosis of acute cardiac events. The German CPUs may soon serve as a blueprint for other European countries. The German Cardiac Society (DGK) has already accredited the first institutions – others…

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Article • Influential innovations

Unfolding new vistas for MRI, PET and PET/CT

The importance of cardiac imaging is increasing, but nuclear medicine procedures are by no means obsolete, observes Okan Ekinci, during our EH interview with the Siemens Vice President for Healthcare Consulting & Clinical Affairs about the latest innovations for cardiology.

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Sponsored • Celebration

Japanese firm celebrates 140 successful years

The son of a craftsman making Buddhist altars, he was driven to create instruments for physics and chemistry. Attending the Physics and Chemistry Research Institute he gained experience with a variety of technologies and fields of expertise. He was convinced that Japan, as a should work towards becoming a leader in science. At the dawn of the industrial revolution and scientific age in 1875 he…

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Sponsored • Passion for details

Discover new clinical values in X-ray imaging

Premieres in Europe: The new RADspeed fit (DR ready) with its best-in-class features for general radiography as well as the new MobileDaRt Evolution EFX for mobile X-ray applications are the most recent developments provided by Shimadzu. Together with angiographic, R/F and C-arm systems, they make the main attractions on Shimadzu’s stand at ECR 2015 in Vienna, Austria – 4-8 March, Expo C,…

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Article • Vulnerable plaque imaging

Looking for the perfect modality

What's the ideal solution for vulnerable plaque imaging? 'A non-invasive imaging procedure with high spatial and temporal resolution, and without radiation exposure, and which provides information on coronary plaque composition precisely and in series.' Report: Axel Viola

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News • Cardiology

Previewing the impact of new technology

As well as this year’s programme being the biggest yet, with 76 plenary sessions, there are also sponsored symposia from Janssen and CamNutra. Additionally, the USA’s Mayo Clinic will provide the Cardiology Review Course, with representatives from Rochester, Minnesota, delivering some sessions.

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News • ECR

Innovations continue to flow at ECR

The European Congress of Radiology (ECR), the biggest radiology meeting in Europe, was held March 6–10 in Vienna, Austria. Over 20,000 delegates from more than 110 countries attended the annual meeting of the European Society of Radiology (ESR), which took place for the 20th time at the Austria Center Vienna.

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Smart Fusion of modalities enhances clinical output

Adding high quality, dynamic ultrasound for hybrid imaging enables clinicians to improve detection of a range of lesions or to intervene better for improved clinical outcomes. ‘We can no longer be fascinated with pictures; what we need is proof of the clinical benefit from tools and techniques,’ said Professor Jose Zamorano MD, Director of Cardiology at Ramón y Cajal University Hospital in…

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Polytrauma imaging

Professor Ulrich Linsenmaier, a leading expert in emergency radiology, has highlighted the need for clinicians to read image data rapidly in an emergency department if they are to help improve clinical outcomes for polytrauma patients.

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40 years of CT scanning

Forty years ago an article was published that would change medical practice. In the British Journal of Radiology, English electrical engineer Godfrey N Hounsfield described how he had made a patient’s brain visible non-invasively by evaluating a large number of X-ray images of the skull taken from different directions.

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Toshiba presents advances in Cardiac Imaging at ESC 2012

Cardiology is playing an increasingly important role in today’s healthcare environment and, as a direct result, cardiologists are facing new challenges almost every day. Addressing the need of improving clinician confidence and diagnostic accuracy, Toshiba Medical Systems Europe presented two symposia on the first day of the European Congress of Cardiology, to be held in Munich, Germany, 25-28…

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A women's heart too often kills her

The biggest cause of death for most adult women in industrialised nations is coronary heart disease (CHD). Why the disease affects the genders differently is still not fully understood. European Hospital Editor Brigitte Dinkloh asked Professor Rafaelle Bugiardini MD FESC, from the Department of Internal Medicine Department, University of Bologna, whether he could explain the reasons and what…

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Article • cTCA vs. cardiovascular diseases

CT coronary angiography

Cardiovascular diseases, the most common cause of death in the West, includes diseases for which early detection is an important objective in cardiac imaging – particularly for coronary artery stenosis. Diagnosis is often made in the cardiac catheter laboratory. Now, however, CT scanning advances provide a lower impact alternative to that invasive exam. PD Dr Thomas Schlosser, Consultant at the…

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CT angiography best for low-risk patients

Incorporating coronary CT angiography (CCTA) into the initial evaluation of low-risk patients coming to hospital emergency departments (EDs) with chest pain appears to reduce the time patients spend in the hospital without incurring additional costs or exposing patients to significant risks. The report of a study conducted at nine U.S. hospitals appears in the New England Journal of Medicine.

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Predicting the future of neuroradiological imaging

As this decade ends we’ll be watching the brain think. Although anticipating very important technical developments, Professor Olav Jansen MD (right), President of the German Society for Neuroradiology (DGNR) and Director of the Institute for Neuroradiology at Schlewwig-Hostein University Hospital in Kiel, Germany, foresees even more important crucial advances in stroke therapy

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The future of thoracic imaging

Will MRI become routine modality? Today, thoracic MRI is rarely performed in Europe. But this will change over the next decade, predicts Professor Hans-Ulrich Kauczor, Medical Director of the Radiology Clinic at University Hospital Heidelberg. He expects Germany to be at the forefront of this development because MRI technology, despite the high costs, is already widely used here and because CT…

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Diabetes and CAD

Anja Behringer reports on a neglected risk factor. With an aging population multimorbidity is increasingly a major challenge for hospital care. Diabetes is one of the medical conditions frequently encountered in multimorbid patients since cardiac and vascular diseases are often accompanied by dysfunctions of the blood sugar metabolism.

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ECR 2013: Cardiac imaging is picking up speed

They examine the structure of the heart muscle with magnetic resonance imaging (MRI) or evaluate the status of the coronary vessels with computed tomography (CT): radiologists increasingly use imaging methods to prevent or to assess cardiac diseases.

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Successful PACS integration in Mauritius

Cardiovascular surgeon Dr Miodrag Todorovic explains how an island hospital – which is a medical centre of excellence and regional reference centre – is further improving medical care for patients there and in six neighbouring states with the help of a new picture archiving system from Visus

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New generation drug-eluting stents

A registry -which includes every patient in Sweden having percutaneous coronary intervention (PCI) for the treatment of acute and stable coronary artery disease- has found that PCI implantations using a new generation of drug-eluting stents is associated with lower rates of relapse (restenosis), stent thrombosis and subsequent mortality than older generation drug-eluting stents and bare-metal…

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The BRANSIST alexa

The multipurpose BRANSIST alexa, which aims to provide total support for advanced catheterisation procedures, features a 12 x 12-inch flat panel detector (FPD) – an ideal size, the manufacturer Shimadzu points out, for covering interventions from head-to-toe, from brain blood vessels, cardiac and abdomen to peripheral blood vessels in the upper and lower extremities.

Integrated 3-D Imaging Facilitates Human Face Transplantation

By combining conventional medical imaging with some of the same 3-D modeling techniques used in Hollywood blockbusters, researchers are offering new hope to victims of serious facial injuries. Results of a new study on human face transplantation, led by Darren M. Smith, M.D., plastic surgery resident at the University of Pittsburgh Medical Center (UPMC), were presented today at the annual meeting…

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The 1.2-Tesla workhorse

St. Joseph Mercy Hospital, a 537-bed teaching hospital in Ann Arbor, Michigan, is part of Saint Joseph Mercy Health System, which leverages the resources of seven hospitals, five out-patient health centres and further care provider organisations across five counties in southeast Michigan. In August 2008, the large hospital, with a high volume of patients, became one of the first sites to operate…

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Cardiac Disease: Coronary or not?

Acute myocardial Infarction (AMI) is a major cause of death and disability. Worldwide, one in eight patients die of an ischemic heart disease. Its rapid and accurate diagnosis is critical for the initiation of effective evidence based medical management, including early revascularization, but is still an unmet clinical need. The gradual implementation of high-sensitive cardiac troponins (hs-cTnT)…

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When the heart gives up

This April the 77th Annual Meeting of the German Cardiac Society (DGK) presented over 300 events with 1,800 speakers, covering the entire spectrum of cardiovascular diseases, from fundamental research to clinical routine. Professor Gerd Hasenfuss, Director of the Department of Cardiology and Pulmonology and Chair of the Heart Research Centre in Gottingen, particularly requested a focus on …

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CT is set for a vital role in cardiology

Computed tomography (CT) is emerging as an imaging modality set to play an important role in cardiac intervention or surgery. Not only can it be used to plan complex revascularisation procedures and assess the outcome for the patient, but also might help to identify the more dangerous lesions -- so-called ‘culprits’ -- in the future.

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Imaging and stroke

USA - Although it is well know that the speed of diagnosis and treatment for stroke victims is of paramount importance (4.5 hours), not all US hospitals have stroke expertise. The Joint Commission, the organisation responsible for accrediting US non-government hospitals, has certified only about 500 out of several thousand hospitals as primary stroke centres.

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Old technology in new outfit

Looking at the 5th dimension of a CT image is old hat. Back in the 1980s there were many installations with rapid kV switching, a dual energy procedure, which were mainly used for bone density measurements. Basically, the 5th dimension is the ability to determine the atomic number as well as density of materials, which facilitates tissue differentiation even when there is the same attenuation.

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Imaging for diabetes and vascular occlusive disease

Metabolic syndrome, diabetes and vascular disease: What do we need to know? During ECR session this important question is addressed by vascular specialist Professor Erich Minar, Assistant Head of the Department of Angiology at the Vienna General Hospital (AKH), President of the Austrian Society of Angiology, and scientific researcher working closely with research centres in the USA.

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Compressing without compromise

Whether it’s functional imaging via MRI or CT, dynamic angiography examinations or volume tomography -- new examination procedures deliver more, but also require more. The annual data increase in hospitals is 20-30% and the resulting requirements for the necessary storage capacity, or for digital data transfer, present a serious challenge. Accordingly, there is considerable interest in…

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The multi-window monitor for interventional imaging

Necessity is the mother of invention, an old saying but particularly true in interventional radiology. Whenever minimally invasive procedures need monitoring from different angles and by different modalities, physicians and technicians in angio labs muster all their DIY skills and build huge monitor towers often with eight screens. Now, however, the new Large Display jointly developed by Siemens…

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Hybrid operating theatres

In technical terms ‘hybrid’ is a system that connects two technologies so they may benefit from each other. This also applies to the newest generation of operating theatre*: hybrid OTs combine diagnostic and surgical facilities that are usually found in separate locations. Thus procedures can be carried out in less time and involve less discomfort and risk for the patient.

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Aortic valve replacement in the third dimension

No white lab coats anywhere; instead men in hard hats, equipped with hammers and drills. The Düsseldorf University Hospital’s Cardiology Pneumology and Angiology Clinic is a construction site, but once the workmen have packed up their tools and removed the scaffolding the view to the human heart will be unobstructed and clearer than ever before. Here, innovative patient care and a highly…

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New perspectives in coronary plaque imaging using dual source CT

Ongoing technical developments in computed tomography (CT) such as dual source CT have established coronary CT angiography (cCTA) as a robust non-invasive imaging test for the assessment of coronary artery disease. The most important advantage of cCTA over conventional catheter-based coronary angiography is that not only the coronary lumen but also the entire coronary artery wall is visualized…

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Arteries seen in a new light

New imaging technologies are opening a new chapter in interventional cardiology by offering something this widely practiced procedure has been missing -- vivid clinical evidence to assess effectiveness. Interventional cardiology has moved rapidly from opening blocked arteries by crushing plaque with inflatable balloons to reinforcing the walls of the re-opened arteries with flexible metal stents…

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Multi-modality imaging in coronary artery disease

The focus on Coronary artery disease – from genes to outcomes at ESC 2010 underlines the importance of CAD diagnosis on the scientific agenda. During the session ‘Multi modality imaging to detect coronary artery disease’, chaired by Professor JJ Bax, of the Cardiology Department at Leiden University Medical Centre, the Netherlands, experts will discuss, for example, the advantages of the…

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Getting to the heart of things

Not only is heart failure one of the single biggest causes of morbidity and mortality in man, but the incidence of the condition is steadily increasing. Rising to this challenge, innovative medical diagnostic techniques with ever greater performance are constantly being introduced so that early, unambiguous detection of the underlying condition is now possible, enabling the prompt initiation of…

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Instead of the “Tube” – An Innovative MRI is open for all Patients

Modern magnetic resonance (MR) tomographs with very strong magnetic fields produce images of steadily increasing precision and are currently gaining more and more importance in radiological diagnostics. In conventional MRI the patient lies in a tunnel, which many people find difficult or even impossible to do, given a scan time of approximately 20 minutes. Physicians of the Joint Radiology…

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Dutch cardiology network enables real-time consultations

Physicians connected with the Friesland Regional Cardiology Network can now consult in real- time with specialists at the regional medical centre to determine the best course of treatment for their patients. The cardiology network not only speeds up the referral process and improves both diagnosis and the clinical decision process, but also is credited with reducing the length of stay for…

Molecular imaging

Molecular imaging, the discipline that unites molecular biology and in vivo imaging technologies to assess biological activity in the body, promises to open up ‘…an entire new universe,’ declared Dr Ralph Weissleder, of the Centre for Molecular Imaging Research at Massachusetts General Hospital, USA, in the journal Radiology. That was just one decade ago. And he was right. It has indeed…

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Hybrid operating theatres

Basically, a hybrid operating theatre (OT) is a combined operating room containing large imaging equipment, such as MRT and CT, which enables intra-operative diagnostics. If provided for in the hygiene and theatre concept, the hybrid OT can also be used purely as a diagnostics room, or as a classic operating room.

Exploring a new universe

Molecular imaging, the discipline that unites molecular biology and in vivo imaging technologies to assess biological activity in the body, promises to open up ‘…an entire new universe,’ declared Dr Ralph Weissleder, of the Centre for Molecular Imaging Research at Massachusetts General Hospital, USA, in the journal Radiology. That was just one decade ago. And he was right. It has indeed…

Visage 7 – true efficiency for your workflow

At RSNA 2009 Visage Imaging will present Visage 7 a single thin client based application that delivers true efficiency for reading everything from plain film to cardiac CT, as well as for state-of-the-art 3D post-processing. Due to its server-based streaming technology all functionality can be accessed efficiently from inside a LAN/WAN and via Internet, on Windows and Mac OS clients. The…

Imaging and computing power leading to breakthroughs for cardiac surgery

Two members of the Heart Center at the University of Leipzig teamed up during Medica for a tour de force presentation on Future Trends in Cardiac Surgery. "The aim of the game is opening the chest through little keyholes to operate in the most minimally invasive way possible and avoid sternotomy," said Prof. Friedrich Mohr, Program Director at the Leipzig Heart Center, who review new surgical…

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OASIS setting high standards in MRI

OASIS is a powerful 1.2 Tesla high-field open MRI system which combines unparalleled patient comfort with superior imaging quality. High speed gradients and multi channel RF technology allow exceptionally fast image reconstruction and ensure high diagnostic throughput in the only truly open architecture high performance MRI system ever brought to the medical field.

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Ultrasound most cost effective

In comparing ultrasound with other medical imaging methods such as MRI and CT scans, a literature review of published studies in the May/June issue of Journal of Diagnostic Medical Sonography (JDMS) describes the use of ultrasound to provide an accurate diagnosis more cost effectively than the alternatives.

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Röntgen Prize for Marc Dewey

Berlin-based radiologist Marc Dewey will be awarded this year's Röntgen Prize for his work on the diagnosis of coronary heart diseases (CHD), one of most common and most dangerous heart conditions in the industrialized countries.

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Toshiba invits experts to discuss the advantages of state-of-the-art technology

Toshiba's pre-opening ECR event on Wednesday evening attracted around 120 radiological experts who wanted to learn more about the company's technology in daily practice. Toshiba invited several highly-regarded radiologists and cardiologists from Austria and Germany who not only presented the diagnostic possibilities of the firm's products offers, but answered critical questions asked by the…

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Biograph mCT

At Medica 2008, Siemens introduced its latest generation PET-CT, the Biograph mCT. During a European Hospital interview, Markus Lusser (ML), worldwide Head of Distribution and Marketing for Molecular Imaging at Siemens, outlined the advantages of the new hybrid system, which aims to extend the spectrum of medical imaging to 'molecular computed tomography'

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Recession fears penetrate RSNA 2008

Chicago, November - At first glance, the 94th Scientific Assembly and Annual Meeting of the Radiological Society of North America appeared to be bigger than ever and impervious to the massive economic recession of its host country. RSNA 2008 ate into every inch of Chicago's McCormick Place trade centre. To reduce crowd congestion, technical exhibitions had been expanded to include a third massive…

Portable real-time 3-D ultrasound for brain scans

USA - 3-D ultrasound technology developed at Duke University provides images of the brain vessels in real-time, which could be miniaturised in coming years for use in ambulances. In an initial pilot study, the system has passed the proof-of-principle.

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New concepts for dose reduction in the diagnosis of coronary heart disease with CT

Professor Stefan Schönberg of the Institute of Clinical Radiology and Nuclear Medicine (IKRN), University Hospital Mannheim, Medical Faculty of Mannheim, University of Heidelberg, invited colleagues from Mannheim and the Federal Office for Radiation Protection (BFS) in Neuherberg for a round-table discussion on: Non-invasive multidetector coronary CT angiography (CTA) has become an established…

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Article • Radiation management

'Dose hysteria' and the 320-slice CT scanner

Sometimes radiation dose is a topic discussed hysterically. Dose discussion is necessary, but should be carried out based on the highest levels of knowledge and seriousness. For the last few months, Dr Patrik Rogalla, Senior Consultant at the Charité, Berlin, specialist in diagnostic radiology and Head of the Computed Tomography Department at Campus Mitte, University Medicine Berlin, has been…

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CT: Optimising dosage

AquilionONE is the first CT scanner capable of imaging whole organ regions up to a width of 16 cm in one rotation and within a split second. Based on the raw volume data, rapid dynamic processes within an entire organ (e. g. heart, pancreas, kidney or brain) may be diagnosed with a time interval of 50 ms, i.e. with a rate of 20 volumes per second.

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Article • Stroke prevention

Ultrasound brings many advantages, but trained sonographers are too few

What is the role of vascular ultrasound in stroke prevention? Asked by Karoline Laarmann of European Hospital, Professor Christian Arning MD, Medical Director of the Neurology Department at Asklepios Klinik Wandsbek, Germany, and Deputy Chairman of the German Society of Ultrasound in Medicine (DEGUM), gave an unequivocal answer: crucial - but only if the sonographer is properly qualified.

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Hot topic cardiovascular imaging

Every summer the European Society of Cardiology (ESC) holds Europe's biggest annual meeting of specialists in cardiovascular medicine, inviting and drawing in top international medical professionals. Karoline Laarmann asked Professor Kim Fox, President of the European Society of Cardiology and Consultant Cardiologist at the Royal Brompton Hospital, and professor of clinical cardiology at Imperial…

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Hypertension worldwide

Countries vary widely in their capacity to manage hypertension, but globally the majority of diagnosed hypertensives is inadequately controlled. Not treated it can cause cardiovascular disease (CVD), myocardial infarction and stroke. According to the WHO, hypertension is estimated to cause 4.5% of the current global disease burden and is as prevalent in many developing countries as in the…

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The brain in three dimensions

Stroke treatment is a question of time. The faster the cerebral infarct can be diagnosed, the less the brain will be damaged. But unfortunately it is not always easy to get the patient to a brain scanner within the required three-hour window. Real-time 3D ultrasound might bring the solution, according to researchers from the Duke University in Durham, NC.

Further reports from the ACC 57th Scientific Session

A five-year study of 516 participants with coronary artery disease showed that patients who reduced their anxiety levels or kept them steady were 60% less likely to have a heart attack or die compared with those who had increased anxiety levels.

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German Radiology Congress 2008

Along with paediatric radiology, interventional radiology will have a high profile at the 89th German Radiology Congress and 5th Joint Congress with the Austrian Radiology Society. Congress presidents Professor Dierk Vorwerk and Professor Richard Fotter outlined what's on the agenda for the expected 6,900 visitors. Training, they pointed out, will aim at those preparing to specialise in…

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