Search for: "radiation" - 1000 articles found

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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. Currently, 300 million CT exams are conducted across the world every year, with 40% contrast-enhanced exam. While playing a crucial role in diagnosis and treatment of disease, CT expert Efthimios Agadakos believes the medical profession…

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Article • Point-of-care ultrasound in trauma

Returning e-FAST ‘to its roots’

Stagnation, under-use, unfulfilled potential: At the EUSEM congress in Barcelona, leading emergency physician Dr Joseph Osterwalder describes how e-FAST (Extended Focused Assessment with Sonography for Trauma) – a key point-of-care ultrasound technique for trauma – has changed over the last two decades, and not necessarily for the better.

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Oncology

Magnetom Free.Max RT Edition

HighlightsBreak barriers in MRI for radiation therapy with MAGNETOM Free.Max RT EditionAchieve reproducible patient positioning and easy access to MR imaging for radiation therapy with a low table height and large 80 cm boreBypass conventional infrastructure requirements and minimize installation costs through the system’s small footprint and quench-pipe-free designAchieve fast scans while…

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SPECT/CT

Symbia Intevo Bold

HighlightsInterative Metal Artifact Reduction (iMAR) reveals more details by reducing metal artifacts. iMAR lets you overcome the effects of metal artifacts in challenging examsSinogram Affirmed Iterative Reconstruction (SAFIRE) reduces radiation dose while maintaining image qualityInterleaved Volume Reconstruction (IVR) reconstructs up to 32 slices to evaluate small structuresDual Energy Scan…

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SPECT/CT

Symbia Intevo

Highlights:Higher image resolution enables physicians to distinguish between degenerative disease and cancerThe first system offering accurate and reproducible SPECT ­quantificationUp to 68 percent lower CT dose¹ with CARE Dose4D and up to 75 percent lower injected dose¹ with IQ•SPECT to reduce patient radiation riskProductivity tools and IQ•SPECT save time and can double…

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Flatpanel Fluoro

Luminos Impulse

HighlightsTrust your results – excellent image quality and low radiation doseOptimize your capabilities – high-value all around through clinical versatilityWorld-class service and support – for continuous operationsHigh level of cybersecurityDetector sizes:43 × 43 cm (MAX dynamic detector)35 × 43 cm (MAX wi-D)

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Cone Beam CT

NewTom VGi evo

Highlights:VGi evo ensures a broad range of FOVs for acquisitions up to 24 × 19 cm. Volumetric, panoramic and teleradiographic exams as well as dynamic X-rays are available. Excellent image quality with very low radiated doses safeguards the patient’s health. A single scan generates HiRes images of airways, both TMJs, maxillary and nasal sinuses. Clear, precise scans reveal greater…

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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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Accessories/ Complementary Systems

Dose&Care

HighlightsDose&Care is a state-of-the-art vendor-neutral radiation dose monitoring solution, which allows documenting patient dose history, understanding the reasons for excessive exposure and monitoring dose data at center level. It provides the means to remain compliant with an ever-evolving regulation while supporting good professional practices and ensuring patient safety.

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Dose Management Systems

Dose&Care

HighlightsDose&Care is a state-of-the-art vendor-neutral radiation dose monitoring solution, which allows documenting patient dose history, understanding the reasons for excessive exposure and monitoring dose data at center level. It provides the means to remain compliant with an ever-evolving regulation while supporting good professional practices and ensuring patient safety.

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Dose Management Systems

Synapse Dose

HighlightsSYNAPSE Dose is a comprehensive software system for monitoring and managing patient radiation exposure across different imaging modalities. It supports the optimization of radiological procedures and acquisition protocols. It is a tool for clinical audit support, and a comprehensive patient dosimetric history. General and specific dashboards track key performance indicators (KPI) to…

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Dose Management Systems

RadCentre Dose View

HighlightsRadCentre Dose View is a stand-alone and RIS-independent dose management system to assess patient exposures due to ionizing radiation. The system is able to meet legal requirements (i.e. EU-Directive EURATOM 2013/59 and related national regulations for radiation protection) by offering consistent standards to increase the quality of radiological examinations.

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Business Intelligence

RadCentre Analytics

HighlightsRadCentre Analytics offers an integrated solution for specific data analysis and interactive reporting to increase performance in radiology.Predefined and high performant processing of operating figuresUnlimited analysis options for optimisation of business outcomesIntegrated data warehouse solutionVisualization of radiation exposure extracted from PACS

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Testing Devices

didoEASY Diagnostic X-Ray Meters

HighlightsThe Quart didoEASY meters are designed for quick measurements of dose, dose rate and exposure time in X-ray QA / QC and service.didoEASY meters automatically compensate all radiation qualities in their area of application. Three meter versions are available: for R/F and dental (50 – 150 kV), for mammography (25 – 40 kV), and one for the full diagnostic range (25 – 150…

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Testing Devices

didoNEO R Diagnostic X-Ray Dosemeter

HighlightsThe Quart didoNEO introduces a new approach to diagnostic X-ray meters: it features the most compact base unit and most compact detector in the X-ray meter industry. The didoNEO R is used for QA and service in Radiography, (Pulsed) Fluoroscopy, DSA, Dental, 3D (CBCT).Compact multi-functional state-of-the-art solid state detectorEnables measurements in spots with limited spaceMeasures…

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Testing Devices

RFP150 R/F IQ Phantom

HighlightsThe Quart RFP150 phantom enables assessment of digital X-ray equipment according to the German DIN 6868-150 and DIN 6868-4.A small phantom version (the QUART SPdl) is available for fluoroscopy.The phantom can be ordered with a unique kV test object to routinely evaluate radiation quality and generator performance.Optional accessories include a suspension system for use on wall-mounted…

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Testing Devices

QRM Customized Phantoms

HighlightsOur core competence is the development and production of customized phantoms in cooperation with our customers.We successfully collaborate with manufacturers in medical and industrial X-ray markets as well as with scientists and physicians working on research projects and studies.All standard phantoms can be modified according to your needs.We also offer customized phantoms for: PET,…

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MRI Coils

MANDIBULA 15-Ch Dental Coil

HighlightsWith the MANDIBULA 15-Ch Dental Coil you benefit from improved diagnostic possibilities in dental area thanks to high-resolution 3D MR imaging of the jaw, teeth, temporomandibular joint, nerves and more. The coil is easy to position, adjustable for each patient and offers you reduced scan times with higher image quality. An optional mirror ensures more comfort for claustrophobic…

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Dose Management Systems

teamplay Dose

Highlights teamplay Dose* simplifies radiation dose management for your entire imaging fleet by providing you with easy access to radiation dose data in order to reduce dose and facilitate compliance to dose management requirements. Simple monitoring and managing of dose values on various levels, ranging from all modalities to a single patient Find the outliers and understand the…

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Testing Devices

Ocean Next software

HighlightsOcean Next software is the most powerful software in X-ray Quality Control. With its three different license levels Quick, Advantage, and Professional, you can handle any testing situation with ease from a quick check for radiation to any application for routine controls, PMs, etc. This essential application can be customized to suit your needs - workflow, automatic tests, reports, and…

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Accessories / Complementary Systems

Scatter Correction

HighlightsExcellent image contrast without a grid. Canon’s new image processing software Scatter Correction could reduce radiation dose by up to 60 percent on your radiographic examinations. Where a grid physically reduces scatter and thereby increases the image contrast, the software mimics this process virtually. The software works by creating a scatter model, which is subsequently…

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Article • Portable imaging

Going mobile: advances in point-of-care ultrasound

Ultrasound technology now plays a vital role in clinical diagnosis and management. Significant advances in point-of-care ultrasound (POCUS) have made it a versatile tool for assessment, diagnosis, and follow-up across various fields. New developments continue to expand its applications, improving patient care and outcomes.

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Article • RFA, MWA, CRYO and IRE under scrutiny

Thoracic interventions: new tools in the arsenal

Experts presented state-of-the-art and emerging techniques to treat chest tumours and discussed common issues in the management of pneumothorax at RSNA 2022. Current ablation methods in the thorax include radiofrequency ablation (RFA), microwave ablation (MWA), cryoablation (CRYO), irreversible electroporation (IRE) and pulsed electric field.

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Article • Supplemental imaging

The next breast screening advancement: Contrast-enhanced mammography

With the recent recommendation changes from the European Council in 2022, how radiologists screen for breast cancer is changing. Mammography has long been an essential technology in screening for breast cancer, and in the recommendations the Council formally recognized the advantages of digital breast tomosynthesis (DBT). This landmark acknowledges the research on and benefits of DBT, advocating…

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Article • Radiation protection debate

Patient shielding: a relic from the past of radiology?

Against a backdrop of changing technology and reduced patient dose, a new momentum is emerging within radiology to eradicate patient shielding. The subject has been extensively debated and researched in recent years but there is now a growing consensus to end the practice, apart from with a few exceptions. The topic was the focus of a session at ECR 2023 in Vienna where different perspectives…

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Article • Project EU-JUST-CT

CT scans: systematic evaluation of benefits and risks

When is a CT scan justified, i.e. when do the benefits of a CT scan for the patient outweigh possible risks associated with radiation? Justification has been a major issue among radiologists ever since CT has become widely available and widely used. With regard to dose the answer is the well-known ALARA principle: “As low as reasonable achievable“. Now, the European coordinated action on…

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Interview • Interview with President Adrian Brady

ECR 2023: Going back to normal – with a few twists

ECR 2023 returns to its traditional date in March, but delegates can expect novelties with sessions touching not just cutting-edge science, but also archaeology and palaeontology, and putting trainees in the spotlight, Congress President Professor Adrian Brady told Healthcare in Europe in an exclusive interview.

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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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Dose *

HighlightsDose allows a comprehensive overview of radiation dose and provides important insights about daily dose management, clinical image quality and staff performance. It automatically monitors, evaluates, and optimizes the radiation dose patients receive across multiple facilities and modalities from different providers. *Dose is a product developed by our partner Qaelum N.V.

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Article • Mid-treatment scans can reduce treatment sessions

De-escalating radiation therapy for oropharynx cancer with FDG-PET

Using fluorodeoxyglucose positron emission tomography (FDG-PET) imaging may give insights into possible dose reductions in ongoing radiation therapy of head and neck cancer. A promising study to explore this option was presented at the 2022 ASTRO/ASCO Multidisciplinary Head and Cancer Symposium held in Phoenix, Arizona.

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Article • AI provides prognostic information

Next-generation deep learning models predict cancer survival

Deaths from cancer are currently estimated at 10 million each year worldwide. Conventional cancer staging systems aim to categorize patients into different groups with distinct outcomes. ‘However, even within a specific stage, there is often substantial variation in patient outcomes,’ Markus Plass, academic researcher from the Medical University of Graz, Austria, explained to Healthcare in…

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Article • Alternative to open surgical procedures gains traction

The future of minimally invasive interventions

In the future, many types of open surgeries will be replaced with minimally invasive interventions, predicts Kevin Cleary, PhD, engineering lead at the Sheikh Zayed Institute for Pediatric Surgical Innovation at Children’s National Hospital, and Professor of Pediatrics and Radiology at George Washington University, both in Washington, D.C. Surgeons and interventional radiologists will be able…

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News • miR-634 vs. OSCC

Anti-cancer "dream cream" to shrink oral tumors

Modern medicine offers “peel and stick” solutions like nicotine or contraceptive patches to put right on the skin without needing to visit a doctor for an injection or procedure. Now, researchers have found that applying a topical ointment containing anti-tumor factor can increase the effectiveness of cancer treatment.

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News • Conducting diagnostics

Detecting breast cancer via electrical currents in the skin

Mammograms are a safe, effective way to detect the presence of breast cancer in women. But doctors recommend most females should start getting mammograms after the age of 40 in part because the procedure involves small doses of ionizing radiation. While the risk of getting breast cancer is higher for older people, it can strike at any age. Studies show that 5% to 7% of females with breast cancer…

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Article • Radiology approach

Watch your back! Spinal imaging in trauma

At the BIR virtual congress, spinal imaging specialist Professor Elizabeth Dick focused on approaches and protocols for a range of spinal injuries and discussed assessment and imaging strategies, choice of modalities, and other key factors.

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Article • Focused ultrasound

Histotripsy: fighting tumors with microbubbles

Focused ultrasound waves create microbubbles in a fluid – a phenomenon called cavitation. In a current study, this process is used to destroy liver tumors and metastases. In this Medica-tradefair.com interview, Prof. Maciej Pech talks about testing cavitation events generated during histotripsy, explains the process, and reveals its advantages.

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News • World record

Thinnest X-ray detector ever created

Scientists have used tin mono-sulfide (SnS) nanosheets to create the thinnest X-ray detector ever made, potentially enabling real-time imaging of cellular biology.

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Article • Neuro- and spine surgery

Perfection in the networked OR: robot, neuro-navigation and VR headsets

At their workplace, neurosurgeons often have to make compromises since most ORs were not designed with the specific needs of their discipline in mind. To address this issue the University Hospital in Essen, Germany, equipped an OR especially for neuro- and spine surgery. The aim is nothing less than revolutionizing the field with the help of digitalisation and cutting-edge technology.

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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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News • Photon counting

Major CT advancement receives FDA clearance

The U.S. Food and Drug Administration (FDA) cleared the first new major technological improvement for Computed Tomography (CT) imaging in nearly a decade. “Computed tomography is an important medical imaging tool that can aid in diagnosing disease, trauma or abnormality; planning and guiding interventional or therapeutic procedures; and monitoring the effectiveness of certain therapies,” said…

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Article • Pregnancy imaging

Machine learning predicts placenta health from MRI scans

Machine learning methods are being used to predict the health of the placenta from a 30-second MRI scan. Researchers hope the approach will offer an insight into the health of expectant mothers and unborn babies by detecting the early signs of dangerous conditions such as pre-eclampsia. Researchers from the School of Biomedical Engineering & Imaging Sciences at King’s College London (KCL)…

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Sponsored • X-ray QA

Triple celebrations in Sweden

The Swedish RTI Group reports three notable milestones in 2021, including its 40th year in specialised X-ray safety manufacturing. In 1981, the DIGI-X model – the first commercially available multimeter to measure non-invasive kV – was launched. ‘Subsequent developments have included world firsts, in both quality assurance (QA) hard- and software, of the Mini-X, PMX-II, Barracuda and…

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News • Promising algorithm

AI tool improves breast cancer imaging accuracy

A computer program trained to see patterns among thousands of breast ultrasound images can aid physicians in accurately diagnosing breast cancer, a new study shows. When tested separately on 44,755 already completed ultrasound exams, the artificial intelligence (AI) tool improved radiologists’ ability to correctly identify the disease by 37 percent and reduced the number of tissue samples, or…

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Article • SPECT/CT, MPI and more

The value of hybrid imaging in the cardiac arena

Combining imaging modalities is helping to achieve better diagnostic and therapeutic outcomes for heart patients. The topic, discussed in detail by experts at the ICNC-CT online International Conference on Nuclear Cardiology and Cardiac CT, examined hybrid/fusion imaging as the standard in cardiovascular imaging, and its value in clinical practice. Professor Terrence Ruddy spoke about the role of…

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News • Reducing collateral damage

A shield to protect patients during prostate cancer radiotherapy

Prostate cancer specialists from the Radiotherapy Department at Norfolk and Norwich University Hospitals Foundation Trust have become the first in the world to use an innovative technique to help patients receiving treatment for prostate cancer. Some patients receiving radiotherapy for prostate cancer will have their treatment split into two portions. The first stage of killing the cancerous…

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News • Brain cancer research

Researchers 3D-print entire active tumor

Researchers at Tel Aviv University have 3D-printed a first-of-its-kind glioblastoma tumor that mimics a living cancer malignancy, powering new methods to improve treatment and accelerate the development of new drugs for the most lethal type of brain cancer. Glioblastoma is notoriously fatal as it accounts for the majority of brain tumors and is highly aggressive. The average survival time of…

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News • Personalizing treatment

AI can help improve precision radiotherapy

The Netherlands Cancer Institute, University of Amsterdam (UvA), and Elekta will collaborate on the development of new AI strategies for the further improvement of precision radiotherapy. This concerns the personalization of treatment by improving the quality of imaging used during treatment, predicting and accounting for changes in the patient’s anatomy over time, and automatically adapting…

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Article • Screening, early detection, treatment optimisation

AI techniques advancing oncology care

Cancer care and the treatment clinicians can offer patients is being increasingly enhanced by Artificial Intelligence (AI). The technology has a role in diagnosis, with algorithms trained to design and deliver patient care, can match patients to clinical trials they may benefit from, and even help predict outcomes and those at greatest risk.

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Article • Oncology

Pancreatic cancer - current challenges and future direction

Pancreatic cancer is one of the deadliest cancers in the world, and one of the most difficult to treat. In 2020, an estimated 495,000 individuals worldwide were diagnosed with pancreatic cancer and an estimated 466,000 died, according to statistics from the World Health Organization’s International Agency for Research on Cancer. Most patients with advanced disease die within a year of…

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Article • Women in medical R&D

Innovation depends on more than just technical skills

Cécile Geneviève is one of the few women who lead research and development (R&D) at a major company and her increasingly female team reflects women’s growing interest in the field. But while gender balance is an important criterion, it takes a broad palette of skills to innovate to alleviate pain for millions of patients, she explained in an interview with Healthcare in Europe.

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News • Mammacarcinoma study

Breast cancer: finishing treatment soon after diagnosis increases survival

Research from Cleveland Clinic in the U.S. and Cleveland Clinic Abu Dhabi in the U.A.E. has found a decrease in patient survival rates when treatment options – surgery, chemotherapy and radiation – are completed more than 38 weeks from the time of diagnosis. The observational study, which included more than 28,000 breast cancer patients registered in the American National Cancer Database, is…

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News • Sonothermogenetics

Tool activates deep brain neurons by combining ultrasound, genetics

Neurological disorders such as Parkinson’s disease and epilepsy have had some treatment success with deep brain stimulation, but those require surgical device implantation. A multidisciplinary team at Washington University in St. Louis has developed a new brain stimulation technique using focused ultrasound that is able to turn specific types of neurons in the brain on and off and precisely…

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News • Patient safety

Reducing radiation exposure through better CT justification

A new project for radiation exposure reduction aims to improve justification of computed tomography (CT) in Europe through co-ordinated action. For this, the European Society of Radiology has been awarded the European Commission Tender ‘European co-ordinated action on improving justification of computed tomography’ (acronym: EU-JUST-CT). The project started on 7 April 2021 and will last until…

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News • Combining common risk factors

Deep learning enables dual screening for cancer and CVD

Heart disease and cancer are the leading causes of death in the United States, and it’s increasingly understood that they share common risk factors, including tobacco use, diet, blood pressure, and obesity. Thus, a diagnostic tool that could screen for cardiovascular disease while a patient is already being screened for cancer has the potential to expedite a diagnosis, accelerate treatment, and…

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News • AI-based technology

Image improvement with smart noise cancellation

Carestream Health has released Smart Noise Cancellation (SNC), a groundbreaking artificial intelligence (AI)-based technology that greatly improves image quality — producing images that are significantly clearer than with standard processing.

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News • Safe sonography

Medical societies support safety and benefits of ultrasound contrast agents

The American Institute of Ultrasound in Medicine (AIUM) and the American Society of Echocardiography (ASE) have joined the International Contrast Ultrasound Society (ICUS) in recognizing the relatively low risk and important clinical benefits of ultrasound contrast agents (UCAs), which are used routinely around the world to help detect heart disease, stratify the risk of heart attack or stroke,…

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News • Esophagitis

Lung cancer: Tailoring radiation therapy to reduce complications

For many patients with localized lung cancer (non-small-cell lung carcinoma and small cell lung carcinoma), high-dose radiation with concurrent chemotherapy is a potential cure. Yet this treatment can cause severe, acute inflammation of the esophagus (esophagitis) in about one in five patients, requiring hospitalization and placement of a feeding tube. A team of radiation oncologists at Mass…

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News • Combining MRI with particle beams

An important step towards live imaging in proton therapy

Researchers at the Helmholtz-Zentrum Dresden-Rossendorf (HZDR) want to build the world’s first prototype that tracks moving tumors with magnetic resonance imaging (MRI) in real time during proton therapy. They are combining a rotating open MRI device, designed for the LINAC-MR system from Alberta Health Services, with an actively scanned clinical-akin proton beam at OncoRay, the Dresden-based…

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Sponsored • Mammography

Advancing the Breast Continuum of Care

The pandemic has presented healthcare systems with new challenges, resulting in backlogs of routine screenings and delayed procedures which threaten the health and wellbeing of patients, as well as the ability of facilities to serve their communities. In order to address these widespread issues, we need to ensure that healthcare professionals are able to operate with precision, confidence and…

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News • Innovative protein analysis

Cooking an egg in an X-ray beam

A team of scientists has been using the X-ray source PETRA III at the German Electron Synchrotron (DESY) to analyse the structural changes that take place in an egg when you cook it. The work reveals how the proteins in the white of a chicken egg unfold and cross-link with each other to form a solid structure when heated. Their innovative method can be of interest to the food industry as well as…

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News • 3D imaging

New portable gamma ray camera to speed up cancer diagnosis

Scientists have designed a portable 3D imaging device which will improve the treatment and diagnosis of cancer. Current handheld gamma imaging tools are small and easy to use, but are limited to providing 2D information, giving doctors and surgeons only part of the overall picture. Much larger systems are able to give three-dimensional images, however, they are bulky and complex – often…

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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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Article • Imaging tumour metabolism

Hyperpolarised MRI boosts cancer diagnosis

Tumour metabolism can be imaged with MRI as a technique to help determine cancer aggressiveness and response to therapy. The work by a UK-based group, on probing cancer metabolism non-invasively with clinical hyperpolarised carbon-13 MRI, can detect metabolic changes in the tumour. As metabolic changes occur much earlier than change in tumour size, this could have implications for quicker…

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News • Software solution

New solutions for breast image reading and mammography workflow optimization

Siemens Healthineers has introduced a new software solution that speeds up the entire reading workflow for breast imaging: Mammovista B.smart. Also new is the Teamplay Mammo Dashboard, a tool for dashboard-based visualization of key performance indicators (KPIs) in the breast imaging process that serves to optimize workflows. With these two new solutions, the company is extending its digital…

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Article • The QuADRANT project

Clinical audits in radiology to promote high quality medical care

Clinical audit within radiology departments can help promote high quality medical care and improve patient experience, as well as provide educational and teaching opportunities. Aiming to see consistent delivery across Europe, clinical audit is currently under the initiative ‘Diagnostic and Interventional Radiology, Radiotherapy, and Nuclear medicine including Therapies’. The latest project…

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Article • Aiming for the stars

Radiation protection in Africa: focus on progression, not performance

Building capacity, quality and safety awareness in Africa has been high on the agenda of the International Atomic Energy Agency (IAEA) and the European Society of Radiology. Transferring and adapting those concepts to African realities has been the focus of Boudjema Mansouri, a professor of radiology in Algiers, Algeria, who will explain the challenges that this task entails in a session…

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News • Radiology congress in Vienna

Carestream showcases new detector, digital radiography solutions at Virtual ECR 2021

Carestream Health will highlight cutting-edge medical imaging technologies at the largest radiology meeting in Europe—the virtual European Congress of Radiology (ECR) in Vienna, Austria, beginning on March 3. The company will feature a wide range of products that demonstrates its leadership in digital medical imaging capture and processing, and improved user and workflow experiences.

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Article • Gender and medical career

Neurosurgeon, wife and mother of three: breaking social bias against women

Running a neurosurgery department when you’re a woman is rare enough, but if on top of that you’re a mother of three, you’re an exception. You’re also living proof that it is possible to combine a demanding profession with the challenging task of bearing and raising children. A leading Spanish neurosurgeon shared her experience to raise awareness during the recent EANS meeting.

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News • Curbing collaterals

High energy radiotherapy ‘paints’ tumours, avoids healthy tissue

A radiotherapy technique which ‘paints’ tumours by targeting them precisely, and avoiding healthy tissue, has been devised in research led by the University of Strathclyde. Researchers used a magnetic lens to focus a Very High Electron Energy (VHEE) beam to a zone of a few millimetres. Concentrating the radiation into a small volume of high dose will enable it to be rapidly scanned across a…

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News • From science fiction to reality

Researchers develop powerful pocket-sized imaging device

Before Wilhelm Röntgen, a mechanical engineer, discovered a new type of electromagnetic radiation in 1895, physicians could only dream of being able to see inside the body. Within a year of Röntgen’s discovery, X-rays were being used to identify tumors. Within 10 years, hospitals were using X-rays to help diagnose and treat patients. In 1972, computed tomography (CT) scans were developed. In…

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Oncology and imaging

EC approval for Siemens Healthineers/Varian merger

The European Commission (EC) has concluded its review of the planned merger between Siemens Healthineers AG and Varian Medical Systems, Inc. and approved the transaction subject to certain conditions. In accordance with its commitments, the company will continue to keep its imaging and oncology software solutions interoperable with third-party offerings in the future. This concerns the connection…

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News • Higher range, lower energy absorption

New high-frequency MRI coil to advance imaging

Anyone needing a tomography gets the clearest possible images of an organ or other body structure slice by slice. But the further inside the potential problem lies, the more difficult it is to obtain high-resolution images in magnetic resonance imaging (MRI). An international team of scientists led by the University of Duisburg-Essen (UDE) has developed a high-frequency coil that allows for much…

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News • Detect lingering disease

Liquid biopsy for colorectal cancer could guide therapy for tumors

A new study from Washington University School of Medicine in St. Louis demonstrates that a liquid biopsy examining blood or urine can help gauge the effectiveness of therapy for colorectal cancer that has just begun to spread beyond the original tumor. Such a biopsy can detect lingering disease and could serve as a guide for deciding whether a patient should undergo further treatments due to some…

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News • Nuclear medicine

Targeted cancer therapy: Researchers speed up astatine-211 purification

In a recent study, researchers at the Texas A&M University have described a new process to purify astatine-211, a promising radioactive isotope for targeted cancer treatment. Unlike other elaborate purification methods, their technique can extract astatine-211 from bismuth in minutes rather than hours, which can greatly reduce the time between production and delivery to the patient.

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Article • Covid-19, cybersecurity, AI

Top 10 technology hazards for hospitals (according to experts)

Coronavirus-associated concerns dominate the Top 10 list of important technology hazard risks for hospitals, in an annual report published by ECRI, a nonprofit technology Pennsylvania research firm. The list is derived from ECRI’s team of technology experts who monitor hospital and healthcare organizations, and published to inform healthcare facilities about important safety issues involving…

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Article • Advancing diagnostic accuracy

PSMA PET/CT in prostate cancer evaluation

Hybrid PET/CT imaging can fully play to its strengths and steer treatment towards more effective procedures for diagnosing prostate cancer. The examination of the specific antigen PSMA with hybrid PET imaging enables treatment monitoring with significantly higher diagnostic accuracy than conventional imaging and therefore, Professor Clemens Cyran believes, will soon become the standard diagnostic…

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News • Flu & other aerosolized viruses

Microwaves used to deactivate coronavirus

As the pandemic has continued to spread globally, studies indicate the COVID-19 virus may be contained in aerosols that can be generated and spread through breathing, coughing, sneezing, or talking by infected individuals. Researchers are increasingly focused on developing tools and methods to assist in decontaminating surfaces and spaces.

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News • An unexpected and novel target

How our biological clock could save us from prostate cancer

Our biological or circadian clock synchronizes all our bodily processes to the natural rhythms of light and dark. It’s no wonder then that disrupting the clock can wreak havoc on our body. In fact, studies have shown that when circadian rhythms are disturbed through sleep deprivation, jet lag, or shift work, there is an increased incidence of some cancers including prostate cancer, which is the…

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News • RadClip

AI tool for MRI could transform prostate cancer surgery, treatment

Researchers at the Center for Computational Imaging and Personalized Diagnostics (CCIPD) at Case Western Reserve University have preliminarily validated an artificial intelligence (AI) tool to predict how likely the disease is to recur following surgical treatment for prostate cancer. The tool, called RadClip, uses AI algorithms to examine a variety of data, from MRI scans to molecular…

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Article • Machine learning advances diagnostics and prognostics

Computerized image analysis can predict cancer outcomes

The advent of digital pathology is offering a unique opportunity to develop computerized image analysis methods to diagnose disease and predict outcomes for cancer patients from histopathology tissue sections. Such advances can help predict risk of recurrence, disease aggressiveness and long-term survival, according to a leading expert in the field, Professor Anant Madabhushi from Case Western…

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News • Toxins in the gut

Connecting our microbiome to breast cancer development

A microbe found in the colon and commonly associated with the development of colitis and colon cancer also may play a role in the development of some breast cancers, according to new research from investigators with the Johns Hopkins Kimmel Cancer Center and its Bloomberg~Kimmel Institute for Cancer Immunotherapy. Breast tissue cells exposed to this toxin retain a long-term memory, increasing the…

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News • Scattering suppression for imaging

'Autocorrect' feature to make X-rays safer for children

Clinicians will be able to take a low radiation, digital X-ray image - without the need for an anti-scatter grid - thanks to new innovative ‘scattering suppression software’. Developed by photonics scientists at the Warsaw University of Technology (WUT), working in collaboration with innovation incubator ACTPHAST 4.0 and medical imaging company Italray SRL, the new algorithm ‘auto…

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News • HPV vaccines and pap smear tests

Keys to prevent many cervical cancer cases

Hundreds of thousands of cervical cancer cases per year could be prevented through widespread vaccinations for human papillomavirus (HPV) and annual pap smear tests, says an expert at a top American hospital, Cleveland Clinic, marking Cervical Cancer Awareness Month in January. Dr. Robert DeBernardo, Section Head of Gynecologic Oncology and Vice Chair Subspecialty Care for Women’s Health at…

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Video • "InnerEye" Artificial Intelligence

AI could help cut waiting times for cancer radiotherapy

Doctors at Addenbrooke’s Hospital in Cambridge aim to drastically cut cancer waiting times by using artificial intelligence (AI) to automate lengthy radiotherapy preparations. The AI technology, known as InnerEye, is the result of an eight-year collaboration between researchers at Cambridge-based Microsoft Research, Addenbrooke’s Hospital and the University of Cambridge.

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News • Wearable sensor

Covid sensor ring detects even subtle symptoms

A smart ring that generates continuous temperature data may foreshadow Covid-19, even in cases when infection is not suspected. The device, which may be a better illness indicator than a thermometer, could lead to earlier isolation and testing, curbing the spread of infectious diseases, according to a preliminary study led by UC San Francisco and UC San Diego.

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Article • Sonography challenges

Abdominal ultrasound: promising for imaging of obese patients

Imagers need special scenarios, skills and tools to examine larger patients, who present more challenges when it comes to radiological procedures. New ultrasound devices could help reduce dose exposure in these patients, who are more likely to undergo x-ray based examinations and receive a higher dose during those, experts explained in a dedicated session during ECR 2020.

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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 • Imaging in tandem

MRE plus Fib-4 jointly detect liver fibrosis

Rather than using techniques separately, researchers have determined that coupling image-based and serum-based biomarkers achieves a higher diagnostic accuracy in detecting stage two liver fibrosis, or above. The study team, from the NAFLD Research Center, University of California at San Diego (UCSD), and colleagues at Yokohama City University in Japan, used magnetic resonance elastography (MRE)…

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Article • Resecting brain tumours

Benefits of ultrasound in neurosurgical oncology

Italian neurosurgeon Professor Francesco Di Meco, explored the current and potential role of intra-operative ultrasound in neurosurgical oncology during the annual meeting of the European Association of Neurosurgical Societies (EANS) this October. The extent of resection is considered a prognostic factor in operative neuro oncology surgery and image-guided surgery is being regarded as one of the…

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Article • AI-assisted MRI segmentation

Deep learning boost for prostate cancer workflow

Prostate cancer radiotherapy treatments guided by MRI are increasingly being explored to help improve patient outcomes and reduce toxicities after treatment. However, this development is being held back as the MRI approach is labour intensive and requires daily adaptive treatment planning, placing significant additional demands on clinician time and oncology services. To address this, a team of…

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Article • Anatomy meets astronomy

French radiologists set their eyes on the stars

About 2,200 satellites are currently orbiting the Earth and soon space stations may be equipped with the latest medical imaging technology, including interventional radiology devices. In France, radiologists and astronauts are putting their heads together to make this vision materialise in a unique partnership between the French Society of Radiology (SFR) and the French Space Agency (CNES).

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Article • Finding therapeutic targets

Pancreatic cancer: Seeking viable treatment strategies

Pancreatic cancer has the worst survival rate of any cancers, with immunotherapies currently offering negligible treatment benefits for patients. To help identify new therapeutic approaches, researchers from the University of Oxford have been focusing on leukocyte infiltration as a prognostic marker of the disease. Their study and findings were outlined by Dr Shivan Sivakumar during a session…

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Article • Algorithms must meet quality criteria

Deep Learning in breast cancer detection

A French expert in breast imaging looked at the latest Deep Learning (DL) applications in her field, screening their strengths and weaknesses in improving breast cancer detection. It is really important to understand which types of data sets need to be checked when evaluating an AI model for image interpretation, according to Isabelle Thomassin-Naggara, Professor of Radiology at Sorbonne…

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News • Dosimetry solution for radiotherapy

Automating patient QA with advanced 3D EPID dosimetry

Dosimetry specialist PTW Freiburg GmbH signed a collaboration agreement with The Netherlands Cancer Institute – Antoni van Leeuwenhoek Hospital (NKI-AVL, Amsterdam) to jointly develop an advanced EPID-based dosimetry solution for automated patient-specific quality assurance in radiotherapy. The new software module RT EPID, which will become part of PTW’s patient QA platform Veriqa, builds on…

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News • Technologies combined

New fluoroscopy system combines fluoroscopy and radiography

Siemens Healthineers is debuting its new fluoroscopy system, the Luminos Lotus Max, at the annual French JFR 2020 (Journées Francophones de Radiologie Diagnostique & Interventionnelle). The system offers industry-leading technology in radiography and fluoroscopy. “Combining these state-of-the-art technologies poses one major challenge: ensuring efficient workflows and high system…

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News • Dose calculation

Cooperation to improve patient-specific QA in radiotherapy

The dosimetry specialist PTW Freiburg GmbH has entered into a collaboration with the US-based bioinformatics company Radialogica LLC to integrate their advanced SciMoCa Monte Carlo dose calculation algorithm into PTW’s patient QA platform Veriqa. The new Veriqa module RT MonteCarlo 3D, which uses the SciMoCa dose engine for calculation-based radiotherapy plan verification, has received CE mark…

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News • Gels for drug delivery systems

'Soft' 3D printing could jump-start creation of tiny medical devices

Researchers at the U.S. National Institute of Standards and Technology (NIST) have developed a new method of 3D-printing gels and other soft materials. Published in a new paper, it has the potential to create complex structures with nanometer-scale precision. Because many gels are compatible with living cells, the new method could jump-start the production of soft tiny medical devices such as…

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News • TARGIT-IORT vs. EBRT

Breast cancer radiotherapy: A single dose is often enough

For most women with early breast cancer, a single dose of targeted radiotherapy during surgery is just as effective as conventional radiotherapy, which requires several visits to hospital after surgery. This combination of targeted radiotherapy (restricted to the area around the tumour) given immediately after surgery is called targeted intraoperative radiotherapy. Conventional radiotherapy…

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Article • Improving the role of radiology

Value-based healthcare: AI reveals the bigger picture

Value-based healthcare is gaining momentum and radiologists must increasingly show their contribution in improving patient care. Artificial intelligence (AI) can help them to do so and brings a series of new opportunities, according to Charles E Kahn, Professor and Vice Chairman of Radiology at the University of Pennsylvania, speaking at a meeting in Madrid in January. AI can do a lot to improve…

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News • Joint study shows

Endoprothetic risk: Metals from implants can accumulate in bone tissue

Using highly complex analytical techniques, a group of researchers from Charité – Universitätsmedizin Berlin were able to observe in detail how different metals are released from joint implants and accumulate in the surrounding bone tissue. Findings showed a steady release of metals from various implant components. In contrast to previous assumptions, this was not related to the degree of…

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Article • Imaging informatics meeting

SIIM 2020: Glancing back at 40 years and ahead to the future

40 years ago, anticipating the huge impact of computers in radiology, a group of visionaries formed the Radiology Information System Consortium (RISC). In 1989, RISC created the Society for Computer Applications (SCAR) to promote computer applications in digital imaging. Those organisations became the Society for Imaging Informatics in Medicine (SIIM). At SIIM 2020, a virtual meeting, experts…

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News • Brain tumor treatment network

'Federated learning' AI approach allows hospitals to share patient data privately

To answer medical questions that can be applied to a wide patient population, machine learning models rely on large, diverse datasets from a variety of institutions. However, health systems and hospitals are often resistant to sharing patient data, due to legal, privacy, and cultural challenges. An emerging technique called federated learning is a solution to this dilemma, according to a study…

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Article • Algorithmic challenges

Radiographers urge caution when working with AI

The Artificial Intelligence (AI) landscape confronting the radiographer profession will be outlined in sessions at ECR 2020, with leading practitioners urging the need for an evidence-based approach in order to deliver a safe and effective service for patients. The session, under the broad heading of “Artificial intelligence and the radiographer profession”, aims to discuss AI within the…

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Article • Coronavirus in radiology

Why we need a global view of COVID-19

There are major complications from COVID-19 – ARDS, pulmonary embolism and neurological – that imaging can help detect, manage and/or follow up in the long term, radiologists from France and the UK explained during a recent ESR Connect session. ARDS is the most dreaded complication and the number one morbidity in COVID-19 patients. The incidence was up to 30% of patients in initial reports.…

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News • Rad Companion

Siemens expands AI portfolio in clinical decision-making

The AI-Rad Companion family supports radiologists, radiation oncologists, radiotherapists and medical physicists through automated post processing of MRI, CT and X-ray datasets. It saves the clinicians' time and helps them to increase their diagnostic precision.

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Article • Preparing for the unpredictable

The role of radiology in mass casualty incidents

CT has a critical role to play in management of mass casualty incidents with the ability to image patients from head to toe, offering a rapid overview for clinicians. The benefits of CT were outlined by Dr Elizabeth Dick during an ECR session examining the role of radiology in the management of mass casualty incidents, terror attacks and assaults.

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Video • Smart surface

Artificial skin heals wounds and makes robots sweat

Imagine a dressing that releases antibiotics on demand and absorbs excessive wound exudate at the same time. Researchers at Eindhoven University of Technology (TU/e) hope to achieve just that, by developing a smart coating that actively releases and absorbs multiple fluids, triggered by a radio signal. This material is not only beneficial for the healthcare industry, it is also very promising in…

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News • Lesion segregation

Explaining the extreme complexity of mutations in tumor genomes

Scientists from the German Cancer Research Center (DKFZ) and the Universities of Cambridge and Edinburgh have been studying the evolution of tumors following chemical damage. They discovered that the DNA lesions caused by the chemical are not eliminated immediately, but are passed on unrepaired over several rounds of cell division. This "lesion segregation" can drive unexpectedly…

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News • Infrared imaging

New imaging method to detect and monitor liver disease

It’s currently difficult to screen for certain liver diseases and to monitor these conditions once they’re discovered. A team led by investigators at Massachusetts General Hospital (MGH) and the Massachusetts Institute of Technology (MIT) recently developed a non-invasive imaging method that has promising clinical potential to accomplish both goals. The technique is described in a study…

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News • HNSCC diagnostics

Head and neck cancer: Novel prognostic biomarker could double survival

A recent study conducted by the Faculty of Medicine at The Chinese University of Hong Kong (CU Medicine) discovered a novel genetic biomarker which can predict the survival of head and neck cancer patients. There are over 0.7 million new head and neck squamous cell carcinoma (HNSCC) cases globally each year. However, currently there is no clinical implementation of any genetic biomarker to…

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Video • Coronavirus imaging

AI enhanced lung ultrasound for COVID-19 testing

Establishing whether a patient is suffering from severe lung disease, possibly COVID-19, within a few minutes: this is possible using fairly simple ultrasound machines that are enhanced with artificial intelligence. A research team at Eindhoven University of Technology (TU/e) and the University of Trento in Italy has been able to translate the expertise of top lung specialists into a software…

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News • Better tissue discrimination, lower radioation dose

Improving image quality of CT scans

Computed tomography (CT) is one of the most effective medical tests for analysing the effects of many illnesses, including COVID-19, on the lungs. An international team led by the Universitat Oberta de Catalunya (UOC) has developed a new method that improves the quality of the images obtained from CT scans. The algorithm, which has been tested on simulated data, enables them to distinguish…

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Video • Solution for pediatric assessment

Ultrasound: A gentler approach to imaging children

Royal Philips announced the ultimate ultrasound solution for pediatric assessment, the latest addition for its Philips Ultrasound System (EPIQ Elite). The new ultrasound solution provides clinicians with exceptionally detailed images and the performance they need to make a definitive diagnosis for pediatric patients, reducing the need for additional diagnostic imaging steps, such as X-ray imaging.

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News • Diabetic damage

3D imaging shows how diabetes twists nerve fibers

In an international collaboration led by Lund University in Sweden, researchers have used synchrotron light to study what happens to the nerves in diabetes. The technique shows the 3D-structure of nerve fibers in very high resolution. “This knowledge can be used to map mechanisms for how nerve fibers atrophy and grow back. It means that we can better understand how diabetes affects the nerves…

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News • Pediatric cancer imaging

DW MRI measures tumor chemotherapy response with less radiation

Whole body diffusion-weighted magnetic resonance imaging (DW MRI) may aid in the assessment of cancer treatment response in children and youth at much lower levels of radiation than current approaches, suggests a small study funded by the National Institutes of Health. The results appear in Radiology. Researchers compared DW MRI, which measures the density of tumors by tracking the movement of…

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News • Silicon-based technology

Self-powered X-ray detector to revolutionize imaging

A new X-ray detector prototype is on the brink of revolutionizing medical imaging, with dramatic reduction in radiation exposure and the associated health risks, while also boosting resolution in security scanners and research applications.

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News • Ultrasound monitoring

'Smart bra' to detect early-stage breast cancer

Students from EPFL in Switzerland teamed up with startup IcosaMed to develop the SmartBra – the first piece of smart clothing that can be used for cancer prevention. “Our smart-clothing technology is designed to detect cancer at the earliest stages. It uses a non-invasive, painless method based on frequent ultrasound monitoring,” says Hugo Vuillet, one of the students on the development…

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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 • Radiographers in Spain report

Equipment hygiene: taking back center stage during the COVID-19 pandemic

The COVID-19 pandemic is putting extra pressure on radiology services. Radiographers are particularly at risk of catching and spreading the disease. This is why they must follow strict cleaning and disinfection protocols, according to Pablo Valdés Solís, President of the Spanish Society of Radiology (SERAM), who has just published new guidelines on how to protect staff and patients, as the…

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News • Improving coronavirus diagnosis

COVID-19 detection tool launched

The world’s only online image-based COVID-19 diagnosis improvement tool for healthcare workers is launched by University of Sydney spinoff DetectED-X, drawing on its global experience and outcomes in breast cancer detection and patient cases from the coronavirus pandemic. The cloud-based technology will help doctors and radiologists diagnose cases faster and more accurately. Computed tomography…

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News • Imaging basics

3 steps to creating better X-ray images

Like most technologies, X-ray imaging software is evolving, delivering more automation and improved image quality. However, the fundamental imaging basics for radiologic technologists remain unchanged. In this article, manufacturer Carestream provides a helpful review of the imaging basics for rad techs. In today’s digital world, basic functions once performed by the operator are now…

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News • Glioblastoma

New imaging technique to study 3D printed brain tumors

Glioblastomas are complex, fast-growing malignant brain tumors that are made up of various types of cells. Even with aggressive treatment — which often includes surgery, radiation, and chemotherapy — glioblastomas are difficult to treat, leading to an average survival of 11-15 months. In research published in Science Advances, Xavier Intes, a professor of biomedical engineering at Rensselaer,…

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News • Radiation protection

Is contact shielding during X-rays, CT scans obsolete?

The British Institute of Radiology (BIR) and a working party of UK radiological professional bodies and agencies have published evidence-based guidance which shows that patient contact shielding (such as aprons, thyroid or gonad shields) provides minimal or no benefit. It concludes that there are other areas of radiation protection which are more effective in optimising radiation exposure such as…

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News • Myths around SARS-CoV-2 busted

Coronavirus FAQ to dispel fake and harmful advice

The current outbreak of the novel coronavirus disease (COVID-19) is making headlines by the minute. However, some less-than-trustworthy advice can be found among the information. Understandably, many people are concerned and confused. To prevent unnecessary panic, the World Health Organisation (WHO) has assembled advice for the public. Is it safe to receive parcels from China? Will sesame oil…

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News • Cancer radiotherapy monitoring

Novel hydrogel turns pink to indicate radiation dose sweet spot

More than half of all cancer patients undergo radiation therapy and the dose is critical. Too much and the surrounding tissue gets damaged, too little and the cancer cells survive. Subhadeep Dutta and Karthik Pushpavanam, graduate students working in the lab of Kaushal Rege, Professor at Arizona State University in Tempe, and collaborators at Banner-M.D. Anderson in Gilbert, Arizona, developed a…

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News • False appendicitis alarm

Study reveals many unnecessary appendix surgeries in children

Surgery for appendicitis is the most common emergency operation in children. A new study has found that the UK has the highest reported national rate of ‘normal appendicectomy,’ where children undergo surgery for suspected appendicitis but laboratory examination of the removed appendix finds it to be normal. Although most children who are misdiagnosed as having appendicitis improve without…

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News • Carbon-13 hyperpolarised imaging

Using magnetised molecules to monitor breast cancer

A new type of scan that involves magnetising molecules allows doctors to see in real-time which regions of a breast tumour are active, according to research at the University of Cambridge. The research was now published in Proceedings of the National Academy of Sciences. This is the first time researchers have demonstrated that this scanning technique, called carbon-13 hyperpolarised imaging, can…

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News • Hyperventilation vs cardiac arrhythmia

Hold your breath – save your heart?

A technique that enables patients suffering from heart conditions to hold their breath safely for over 5 minutes could have potential as part of a new treatment for cardiac arrhythmias, say researchers at the University of Birmingham. In a new study, published in Frontiers in Physiology, researchers initially proposed the technique as a new means for earlier diagnosis of ischaemic heart disease.…

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News • Finding the frequency

Ultrasound selectively damages cancer cells (with the right settings)

Doctors have used focused ultrasound to destroy tumors in the body without invasive surgery for some time. However, the therapeutic ultrasound used in clinics today indiscriminately damages cancer and healthy cells alike. Most forms of ultrasound-based therapies either use high-intensity beams to heat and destroy cells or special contrast agents that are injected prior to ultrasound, which can…

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Sponsored • Percutaneous coronary intervention (PCI)

Robotic angioplasty: The future of endovascular interventions

An exciting development from an innovative French company is poised for a major breakthrough in European markets. As is now well-known, coronary angioplasty is a procedure that widens and/or unblocks the arteries to the heart by the insertion and inflation of a balloon and/or stent into the vessel lumen. In modern practice, a stent is normally left in place to ensure the blood flow remains…

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Sponsored • POCUS in Basque Country

Spreading point-of-care ultrasound across northern Spain

The rapid scanning and dynamic imaging capabilities offered by point-of-care ultrasound make it an invaluable tool for emergency medicine. Dr Enrique Ortiz Villacian (from Emergency Services at Donostia University Hospital in San Sebastián) and Dr Juanjo Zafra Sanchez (from the Emergency Unit at San Eloy Hospital in Barakaldo) discussed the role ultrasound plays in their respective emergency…

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Article • The future has begun

Cancer care 2035: multi-disciplinarity is key

An enthralling insight into the care that could be offered to cancer patients of the future was presented by cancer imaging expert Professor Regina Beets-Tan during her a keynote presentation at the recent British Institute of Radiology congress. In the session ‘Oncologic imaging: Future perspectives’, the professor outlined what a Multi-Disciplinary Team (MDT) of the future – a team in…

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News • Acoustofluidics

Saliva test to detect mouth and throat cancer earlier and easier

Unfortunately, cancers that occur in the back of the mouth and upper throat are often not diagnosed until they become advanced, partly because their location makes them difficult to see during routine clinical exams. A report in The Journal of Molecular Diagnostics describes the use of acoustofluidics, a new non-invasive method that analyzes saliva for the presence of human papilloma virus…

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News • Advancements in CT and MR

Canon expands the power of AI across imaging modalities

Bringing the power of AI to routine imaging, Advanced intelligent Clear-IQ Engine (AiCE), Canon Medical’s Deep Learning Reconstruction (DLR) technology, is now being integrated across a broader portfolio of scanners with a wider range of clinical applications across modalities. Advanced intelligent Clear-IQ Engine (AiCE) was trained using vast amounts of high-quality image data, and features a…

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News • DR 100s at RSNA 2019

Agfa launches a new force in mobile DR

Agfa announces that it will launch the DR 100s high-productivity, ergonomic, mobile DR imaging solution, at RSNA 2019. With a customer-driven design that meets the needs of today’s healthcare environments, the DR 100s delivers a new force in mobile imaging. It combines agility, excellent DR image quality, fast image preview and a broad range of applications, including Chest, Abdomen, Skeletal…

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News • Promising lab tests

Using photoacoustics for breast imaging

A new, portable breast imaging system under development in Buffalo has the potential to better identify breast cancer in women with dense breast tissue. That is among the findings of a study published in the journal IEEE Transactions on Biomedical Engineering. The study was led by University at Buffalo researchers in collaboration with Roswell Park Comprehensive Cancer Center and Windsong…

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Article • Mammacarcinoma screening

Breast cancer: Simply monitoring might be best

Breast cancer screening is a well-designed and scientifically proven, evidence-based procedure, but has pitfalls such as under-detection and over-diagnosis. Surgery or radiotherapy may have serious consequences on health and must therefore be administered in carefully selected patients.

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Interview • The search is on

MRI contrast agents: Aiming to work without radioactivity

MRI is now indispensable for diagnosing diseases and monitoring therapies. However, the ongoing discussion on gadolinium deposits in the brain has intensified the search for alternatives. Dr Daniel Paech of the German Cancer Research Centre in Heidelberg, Germany, discussed potential solutions to acquire high-quality images without contrast agents.

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News • Malignant infantile brain tumours

​Epilepsy drug inhibits brain tumour development

Medication prescribed for a certain type of epilepsy may offer a new method for treating malignant infantile brain tumours. A specific mTOR inhibitor has the ability to cross the blood–brain barrier to both reach and attack the tumour at source. This has been demonstrated by researchers from Uppsala University, in collaboration with US and UK colleagues, whose research has now been published in…

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News • New research

Cancer patients at higher risk of dying from heart disease and stroke

More than one in ten cancer patients do not die from their cancer but from heart and blood vessel problems instead, according to new research published in the European Heart Journal. For some cancers, like breast, prostate, endometrial, and thyroid cancer, around half will die from cardiovascular disease (CVD). Dr Nicholas Zaorsky, a radiation oncologist, and Dr Kathleen Sturgeon, an assistant…

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Article • Healthcare 2.0 by NVIDIA

Deploying AI in healthcare

With the right tools, physicians could transform the lives of patients and scientists. For Kimberly Powell, Vice President of Healthcare at NVIDIA, artificial intelligence is such a tool, and could meet the increasing demand for personalised medicine and next-generation clinics. ‘AI is the biggest technological breakthrough of our lifetime.’

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Sponsored • A country encouraging intelligent medical innovations

Taiwan innovators shine at Medica

Health tech Made in Taiwan is among the mainstays of every MEDICA; this year’s fair is no exception. In co-operation with the Bureau of Foreign Trade (BOFT) of the Taiwanese Ministry of Economics and the Taiwan External Trade Development Council (TAITRA), 20 world-class healthcare companies are demonstrating innovative medical solutions based on national advances in Artificial Intelligence…

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Article • Ultrasound in intracranial injuries

A future gold standard tool

Whilst researchers acknowledge ultrasound, when used as a tool to assess intracranial pressure in an emergency, is not a replacement for current gold standard invasive approaches, they believe it has enormous potential as a non-invasive and fast, cost-effective, and patient-friendly way to assess possible brain injury at a patient’s bedside. Consultant anaesthetist Dr Chiara Robba, a specialist…

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Sponsored • Workflow automation

Loop-X: Imaging robot for spinal surgery

Brainlab recently unveiled its flagship Loop-X mobile intraoperative imaging robot that is specifically designed for spinal surgical procedures. Developed by medPhoton, an Austrian company, the device is now the core of Brainlab’s imaging offerings. The Loop-X robotic architecture introduces a new standard in flexibility, adding additional degrees of freedom to any surgical procedure: By…

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Article • Transferring research into daily routine

AI possibilities and probabilities

Although some people foresee artificial intelligence (AI) easing medical workloads, many challenges arise before that dream can begin. Dr Felix Nensa and Dr Bram Stieltjes described such hurdles in a session held during a SITEM School Symposium in Bern, Switzerland. Whilst AI has potential, actually delivering that asset in to routine medical practice remains a major challenge.

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Article • Positive findings in PD-1 inhibitor immunotherapy

Hope increases for HIV cancer patients

Advances in antiretroviral therapy mean that today, people infected with the human immunodeficiency virus (HIV) can expect a healthy and long life. However, living with HIV does increase the risk of cancer. The reasons for this are multiple and include behavioural risk factors (smoking etc.) but many cancers can be attributed to the effects the virus has on the immune system, specifically its…

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Article • Today’s improved lower leg treatments

Peripheral vascular therapies

Interventional radiotherapy for tibial arteries has increased in recent years. Why? People are getting older and better techniques and materials now permit treatment even of very thin vessels. Professor Dierk Vorwerk, Director of the Institute for Radiology at Ingolstadt Hospital, where almost a third of all interventions in his department are performed on the lower leg, described the most…

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Article • Good for some, not all

Robotic surgery: Myths and misconceptions

The first use of a robot-supported surgical intervention was reported in 1985, when the robot arm PUMA 560 placed a needle for a cerebral biopsy using CT guidance. Since then, strong growth in the market for robotic surgery has occurred, due to an increasing automation demand in the healthcare as a whole and greater concentration on minimally invasive surgery (MIS) for faster recovery.…

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News • Thyroid cancer and meningioma

Dental X-rays may increase cancer risk

Research by team at Brighton and Sussex Medical School (BSMS) showed that repeated exposures to dental X-rays may be associated with an increased risk of thyroid cancer and meningioma. About 3,500 new cases of thyroid cancer and 1,850 cases of meningiomas are diagnosed each year in the UK, and the incidence of both cancers has increased in many countries during the past three decades.

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News • Non-invasive testing

Laser sensor to analyse blood without needles

A photonics tech company from Vilnius are on their path to solve the 50-year-old task of making non-invasive blood analysis possible. With the help of a unique broadband laser-based sensor, the scientists and engineers at Brolis Sensor Technology are able to remotely sense concentration level of main critical blood constituents such as lactate, glucose, urea, ketones or ethanol without drawing…

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Article • Lung cancer early diagnosis

Can we afford not to offer lung screening?

For lung cancer patients, life expectancy has hardly improved since 1970. A ten-year survival is 5%, making this the leading cause of death among all cancers. One reason is that, in most cases, the disease is diagnosed far too late. Professor Mathias Prokop is among leading advocates of low-dose CT screening for lung cancer for high risk patients.

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News • Targeted therapy for pancreatic carcinoma

Hitting cancer with 'homing' radioactive molecules

Pancreatic cancer is one of the leading causes of cancer‑related deaths worldwide. Patients with pancreatic cancer often receive chemotherapy or radiation therapy, which are not always effective and can have toxic side effects. In a collaborative research between Osaka University and the University of Heidelberg, researchers are exploring a new method of treatment that brings powerful yet…

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News • Radiology research

Tuned X-rays for safer, more precise cancer radiation therapy

X-rays could be tuned to deliver a more effective punch that destroys cancer cells and not harm the body, researches from Kyoto University find. Gadolinium delivered into cancer cells releases killer electrons when hit by specially tuned X-rays. The approach, published in the journal Scientific Reports, could pave the way towards a new cancer radiation therapy. “Our method opens up the…

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News • Difficult decisions

5 things women under 40 should know about breast cancer

Breast cancer is rare for women under 40. So, a breast cancer diagnosis can be shocking news for a young woman to hear. “Breast cancer in young women can have its own risk factors and traits, and young women have their own considerations when deciding on a treatment,” says Nadine Tung, MD, head of breast medical oncology and cancer genetics at Beth Israel Deaconess Medical Center (BIDMC).…

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News • New transfection approach

Immunotherapy: The 'FedEx and UPS equivalent of DNA delivery'

Immunotherapy is a promising cancer treatment that uses genetically modified immune cells to fight cancer. It can be used as a primary treatment or in combination with other treatments such as radiation and chemotherapy to slow down or stop the growth of cancer cells and prevent them from spreading to other parts of the body. Chimeric Antigen Receptor (CAR)-T cell therapy, for instance, is a…

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Article • The Estonian Genome Project

Everyone’s DNA recorded for disease risks

When it comes to genetics, Estonia is considered a trailblazer, as the ambitious Estonian Genome Project (Eesti Geenivaramu) shows. Its objective is to test the genome of every citizen for the risk of diseases. Dr Jaanus Pikani talks about the initial difficulties which the genome project encountered and about its potential for Estonian – and possibly worldwide – healthcare.

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Article • High tissue contrast, spatial detail, complete tissue characterisation

MRI shows cardiac diagnostic value

Cardiovascular magnetic resonance (CMR) imaging has become faster, simpler and more widely available in recent years because it has evolved to deliver effective assessment and diagnosis of a range of heart conditions with expanding guideline indications.

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Article • 100th birthday of Sir Godfrey Newbold Hounsfield

The legacy of the man who pioneered computed tomography

On the centenary of his birth, Mark Nicholls reflects on the life and legacy of Nobel laureate Sir Godfrey Newbold Hounsfield, the man who pioneered computed tomography. It was a discovery that came from a moment of inspiration during a country walking holiday; the idea that one could determine what was inside a box by taking X-ray readings at all angles around the object. From that, Sir Godfrey…

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News • Stem cell regeneration

Drug accelerates recovery after chemo, radiation

A drug developed by US physician-scientists and chemists speeds up the regeneration of mouse and human blood stem cells after exposure to radiation. If the results can be replicated in humans, the compound could help people recover quicker from chemotherapy, radiation and bone marrow transplants. The study, published in Nature Communications, also sheds light on the basic biology behind blood…

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News • Watching the change

Predicting cancer risk with computational electrodynamics

Researchers from Northwestern University are using Argonne supercomputers to advance the development of an optical microscopy technique that can predict and quantify cancer risks at extremely early stages. The basic principle driving Allen Taflove’s computational electrodynamics research — which bears the potential to transform how we diagnose, and possibly treat, various forms of cancer —…

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Video • Collagen unter the microscope

Seeing the pattern beneath the skin

As the largest organ of the human body, our skin is astounding. It protects us from infection, endures radiation, senses temperature, and is flexible enough to withstand our everyday activities. What holds this all together is the protein we all know and love: collagen. In a paper published in Scientific Reports a team from Japan found for the first time that collagen in the skin is organized in…

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News • Dose reduction

Increasing precision for radiotherapy

A new way of concentrating radiotherapy dose in tumours, while minimising damage to healthy cells, has been proposed in research led by scientists at the University of Strathclyde. The study proposes that focusing high-energy particle beams on a small spot deep inside the body could potentially enable clinicians to target cancerous tumours precisely, while reducing the dose to surrounding tissue.…

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News • UV exposure

Spike in female skin cancer rates reveals alarming tanning trends

Skin cancer is the most common cancer in the U.S., affecting one in five Americans in their lifetime. Limiting exposure to ultraviolet radiation is the number one way individuals can reduce their risk of skin cancer, though new data suggests that UV exposure is on the rise, particularly among Caucasian girls and young women. Research presented at the 2019 American Academy of Dermatology Summer…

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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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Article • Travel medicine

Parasites & company – the radiologists' view

Sunburn and happy memories are not the only things we can bring home from a holiday. Sometimes parasites, fungi, viruses or bacteria from distant countries accompany our return, later to become noticeable in unpleasant ways, often to pose a real health threat. At the German Radiology Congress in Leipzig, Dr André Lollert and colleagues ventured into the world of tropical and travel medicine.

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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 • Radiation meter

A powerful tool to measure radiation

Radiation measurement often requires different devices for varying applications adding to the cost and complexity of data collection. The new RaySafe 452 Survey Meter is a versatile, powerful tool that can be used for multiple situations, reducing the number of devices technicians need to carry, learn, and calibrate. The 452 Survey Meter is the ideal tool to measure radiation in a wide variety of…

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News • Quality Assurance

A unique environment for cancer patient QA in proton therapy

IBA (Ion Beam Applications S.A.) announces the launch of myQA iON at the 2019 PTCOG conference. myQA iON significantly reduces the time needed for patient QA: The use of PT machine log files, process automation, task-based workflows, and the latest web technologies significantly increase QA efficiency while ensuring patient treatment safety. Compared to conventional detector measurements (at…

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Interview • Neurology

On-going malignant astrocytoma vaccine tests

A new vaccination for malignant astrocytoma brings such patients hope. However, research is still in its infancy. We spoke with Professor Michael Platten, Medical Director of the Neurological Clinic at Medical University Mannheim, about the present state of research and the serious opportunities this presents. During the interview, he also revealed how cooperation with the pharmaceutical industry…

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News • Advanced imaging

First CT scanner with AI installed in Belgium

Canon Medical has installed the Aquilion One Genesis, one of the first CT scanners with AI functionality in Europe, in Aalst’s General City Hospital, making it the first hospital in Belgium to boast AiCE technology. Canon Medical has named its AI application in the Aquilion One Genesis ‘AiCE’, which stands for ‘Advanced Intelligent Clear-IQ Engine’. AiCE is the first Deep Learning…

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News • Quality assurance

1,500 radiation therapy centers choose myQA

IBA (Ion Beam Applications S.A.), the world’s leading provider of proton therapy solutions and radiation therapy integrated quality assurance (QA) for the treatment of cancer, announced at the ESTRO 38 congress, that it has reached the milestone of 1,500 myQA customers worldwide. Since the first release of myQA in 2015, IBA has rapidly expanded its customer base across the global radiation…

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News • Brachytherapy

Single dose of targeted radiotherapy: safe and effective for prostate cancer

A single high dose of radiation that can be delivered directly to the tumour within a few minutes is a safe and effective technique for treating men with low risk prostate cancer, according to a study presented at the ESTRO 38 conference. Radiotherapy traditionally involves a series of lower dose treatments that take place over several days or week. The new treatment is called high dose-rate…

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News • Ten-year trial results

Radiotherapy reduces recurrence of early, hormone-driven breast cancer

Women with early, low risk, hormone-driven breast cancer are less likely to have a recurrence of their disease if they have radiotherapy after surgery, as well as anti-hormone treatment, according to results from a trial that has followed 869 women for ten years. New findings from the 8 A trial of the Austrian Breast and Colorectal Cancer Study Group (ABCSG), presented at the ESTRO 38 conference,…

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News • Radiation oncology

Successful testing at the Medstar Southern Maryland Hospital

IBA (Ion Beam Applications S.A.), the world’s leading provider of proton therapy solutions and radiation therapy integrated quality assurance (QA) for the treatment of cancer, announces the successful commissioning of the Varian Halcyon at the Radiation Oncology Center at MedStar Southern Maryland Hospital Center, based on IBA Dosimetry independent beam scanning solution. IBA has designed myQA…

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Article • ECR 2019

The impact of 3D printing in radiology

With increased precision, speed of service and reduced cost, 3D printing presents an opportunity to transform traditional healthcare and its delivery, and radiology is at the center of this new technology. In the ECR 2019 Special Focus Session “The 3D printing lab from bench to bedside”, the speakers emphasized that 3D printing does not only enable a new and innovative way to display imaging,…

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News • Seeing red

Will nanotechnology give us infrared vision?

Mice with vision enhanced by nanotechnology were able to see infrared light as well as visible light, reports a study published in the journal Cell. A single injection of nanoparticles in the mice’s eyes bestowed infrared vision for up to 10 weeks with minimal side effects, allowing them to see infrared light even during the day and with enough specificity to distinguish between different…

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News • Glioblastoma

Researchers block protein to stop brain tumors' self-repair

Researchers at the San Diego branch of the Ludwig Institute for Cancer Research at University of California San Diego, with colleagues around the country, report that inhibiting activity of a specific protein in glioblastomas (GBM) boosts their sensitivity to radiation, thus improving treatment prospects for one of the most common and aggressive forms of brain cancer. The findings are published…

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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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Article • Fusion of CT and ultrasound

Merging the benefits of two imaging worlds

Radiologist Alexis Kelekis, Associate Professor of Interventional and Musculoskeletal Radiology at Attikon University Hospital, Athens, speaks about his work and developments in merging scans and techniques to gain greater accuracy in diagnosis and planning. The benefits of fusion imaging are widely acknowledged. Favoured in clinical practice by radiologist Alexis Kelekis, he explained: ‘The…

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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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Sponsored • Web-based PACS

An ever-advancing portfolio

This is a 20th anniversary year for Fujifilm’s Synapse, the world’s first web- based PACS. Today, Synapse 3-D offers advanced 3-D rendering in the Synapse PACS Viewer to perform fast, accurate extractions, stenosis measurements, brain perfusion CT, MRI, and more, the company reports. The Fujifilm Healthcare IT platform includes a comprehensive medical informatics and enterprise-imaging…

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Article • Distributed learning

Radiomics on tap in 5-10 years

Keeping data within the hospital by sending the learning modules to each hospital database might prove a game-changer in radiomics, a leading Dutch researcher will show at ECR 2019. Radiomics, a field that aims to extract large amounts of quantitative features from medical images using data-characterisation algorithms, is a major advance for healthcare, according to Philippe Lambin, a radiation…

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Article • Kickstarted imaging

First total body PET/CT scanner cleared for clinical use

The first total-body positron emission tomography/computed tomography (PET/CT) that can acquire a 3D image of the human body in a single position received 510(k) clearance from the U.S. Food and Drug Administration (FDA) in January 2019. Its forthcoming commercial availability for clinical use in the United States later this year is the milestone achievement of a multi-institutional consortium…

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Sponsored • Stand-alone MRI

lntercube means flexibility

Imagine being able to install a new MRI anywhere with almost no external restrictions. Based in Ulm, Germany, lnterflex Medizintechnik GmbH has supplied systems for Faraday cages and exclusive MRI interiors since 2005. In addition, all MRI-providers have relied on the international experience of this firm. “The Intercabin shielding room ensures the operating reliability of modern MRI-systems.…

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News • Aggressive brain tumors

Progress in the treatment of glioblastoma

Cancer researchers at the University of Bonn have reported significant progress in the treatment of glioblastoma. About one third of all patients suffer from a particular variant of this most common and aggressive brain tumor. Survival of these patients treated with the new combination therapy increased on average by nearly half compared to patients who received the standard therapy.

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News • Cone beam CT

Korean Olympian team benefits from OnSight 3D Extremity System

Jincheon National Training Center installed a Carestream OnSight 3D Extremity System. They are the most comprehensive training center for national athletes and have a total of 166,330 square meters of indoor and outdoor training facilities and support facilities capable of accommodating about 1,150 people for a total of 37 sports events including athletics, baseball, and swimming. They created an…

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News • High-dose radiation therapy

Stereotactic radiation improves long-term survival in stage IV cancer patients

The first report from a phase II, multi-center clinical trial indicates that a newer, more aggressive form of radiation therapy — stereotactic radiation — can extend long-term survival for some patients with stage-IV cancers while maintaining their quality of life. The study is published in the January issue of International Journal of Radiation Oncology • Biology • Physics (Red Journal),…

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News • Endoscopy RFA

New tool opens doors for pancreatic cancer treatment

A significantly more effective, minimally invasive treatment for pancreatic tumors may be on the horizon, thanks to a new endoscopy tool created in the Penn State Department of Mechanical Engineering. On average, only about 20 percent of pancreatic cancer patients are eligible for a surgical removal of the tumor, which is currently the most-effective treatment option. The location of the pancreas…

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News • Radiotherapy side-effects

Skin fibrosis: new treatment for cancer patients

A clinical-scientific team specializing in head-and-neck cancer has identified a way to manipulate metabolism to potentially curb skin fibrosis – a common side effect of radiotherapy affecting quality of life of cancer survivors. The study findings from the laboratory of principal investigator Dr. Fei-Fei Liu, Chief, Radiation Oncology, Princess Margaret Cancer Centre, University Health…

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News • Kidney cancer

Brain metastases: Multidisciplinary care improves outcomes

New data reveals the life expectancy of patients with kidney cancer that’s traveled to the brain has now stretched from months to years. UT Southwestern Kidney Cancer Program investigators report survival rates beyond 2.5 years for some patients with specialized multidisciplinary care. Historically, patients whose kidney cancer had spread to the brain were believed to have only about six months…

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Video • Fighting cancer

'Zapping' tumors might be the future of radiation therapy

New accelerator-based technology being developed by the Department of Energy’s SLAC National Accelerator Laboratory and Stanford University aims to reduce the side effects of cancer radiation therapy by shrinking its duration from minutes to under a second. Built into future compact medical devices, technology developed for high-energy physics could also help make radiation therapy more…

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Article • 'Is it safe?'

Effective communication on radiation risks

Communicating radiation risks is not only a legal requirement, it is also a moral obligation, asserts Dr Shane J Foley, radiographer and assistant professor at the UCD School of Medicine in Dublin, Ireland. Passing on radiation information has its pitfalls, but several helpful tools can improve communication, some of which the expert highlighted during ECR 2018.

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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 • New Italian study results

Pre-operative MRI endorsed for breast cancer

MRI offers unequalled sensitivity and specificity in breast cancer detection. Yet, it is poorly accepted preoperatively. Recently, eminent radiologist Francesco Sardanelli, professor for radiology at Milan University and Chief of Radiology at the IRCCS Policlinico San Donato in Italy, unveiled preliminary results that could further MRI acceptance among multidisciplinary teams.

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Article • Digital PET imaging

Digital Photon Counting improves diagnostic accuracy

Built as the first commercially available scanner to deliver truly digital PET, the Vereos PET/CT, from Philips, offers revolutionary Digital Photon Counting technology. The science behind this scanner evolution is ‘quite complicated’, agrees Piotr Maniawski, Director of Clinical Science Nuclear Medicine at Philips Healthcare, yet the improved performance is significant, particularly when…

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Article • CEUS & the kidneys

Contrast-enhanced ultrasound for renal masses

Contrast enhanced ultrasound (CEUS) has proved in trials to be more accurate than computed tomography and MRI and can help eliminate the need for unnecessary biopsies and surgery. Dr Richard Barr, Professor of Radiology at Northeast Ohio Medical University, explains the benefits of the modality.

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Article • Innovations

Aiding radiologists to stride forward

Growth! New hardware, new software, richer imaging, enhanced communication and image transfer plus artificial intelligence (AI) are all pushing the pace that medical organisations, radiologists and device manufacturers must run to keep up. We spoke with Dr Erik Ranschaert, President of EuSOMII, about today’s changing face of radiology.

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Sponsored • Point-of-care

Improving the safety and quality of pediatric emergency care with POC ultrasound

Point-of-care ultrasound (POCUS) has become an important adjunct to clinical diagnosis and procedural guidance in the Pediatric Emergency Department (PED), supported by literature demonstrating that its use can improve patient safety and expedite life-saving care. POCUS further helps to reduce costs and children’s exposure to ionizing radiation. Not only is POCUS ideally suited for…

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News • Nanoparticle therapy

Putting a target on breast cancer

The complex structure of breast tumours makes treatment a medical challenge. A promising, novel selenium-based breast cancer nanoparticle therapy by the Austrian Centre of Industrial Biotechnology (acib) together with other partners in the EU-project Neosetac could change that: It has proved to boost the active agent delivery and assure it's active only in the target tissue while also bringing…

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News • Glioblastoma

Building a better model for brain tumours

A research team led by the University of Alabama at Birmingham is launching a study to find a better model for glioblastoma, a particularly devastating type of brain tumour, to help determine the most appropriate treatment modality. The $3.6 million, five-year U01 grant award is funded by the National Cancer Institute, one of the National Institutes of Health. The UAB team will join four other…

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News • Radiation protection

Using skin creams during radiation therapy: Is it safe?

Nearly two-thirds of all cancer patients in the United States will undergo radiation therapy as part of their treatment, and as many as 90 percent of those patients will experience radiation dermatitis – a rash or burn on the skin. Topical treatments commonly such as silver sulfadiazine cream contain heavy metals. Therefore, patients have historically been advised to avoid using these…

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News • Radiation therapy QA

IBA steps forward in online treatment monitoring

IBA (Ion Beam Applications S.A.), the world’s leading provider of proton therapy solutions and radiation therapy integrated quality assurance (QA) for the treatment of cancer, announces that it has entered into an agreement with Varian with the goal of validating the Dolphin transmission detector for online monitoring of patient treatment. With the health, security and safety of patients in…

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News • Myelodysplastic syndrome

Genetic testing helps predict disease recurrence

A DNA-based analysis of blood cells soon after a stem cell transplant can predict likelihood of disease recurrence in patients with myelodysplastic syndrome (MDS), a group of cancerous disorders characterized by dysfunctional blood cells. Such a practice could help doctors identify patients at high risk of disease recurrence early after a transplant and help guide treatment decisions.

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Sponsored • Testing technology

Vitamin D testing: LC-MS outperforms immunoassays

In recent years, clinicians have increasingly focused on vitamin D deficiency. Studies show that previous reference values – particularly for Vitamin D3 – were most probably set too high. Liquid chromatography with mass spectrometry (LC-MS) can help achieve more precise measurements of vitamin D levels than previously established immunoassay procedures, explains Dr Torsten Binscheck-Domass,…

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Sponsored • Point-of-care ultrasound

POCUS: Nothing gives so much info so quickly

Doctors working in the eight-bed Paediatric Intensive Care Unit (PICU) at the Ramón y Cajal University Hospital in Madrid extensively use point-of-care ultrasound to evaluate the condition of critically ill children, and they find it essential in their work, as Dr José Luis Vázquez Martínez, Head of PICU at Hospital Ramón y Cajal, with over 25 years’ experience in paediatric intensive care…

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Article • A challenger arrives

AI – just a tool or the future of healthcare?

Neuroscientist Lynda Chin MD, Founder and CEO of Real-world Education Detection and Intervention, has little doubt: ‘Artificial intelligence to the rescue,’ she proclaimed in her keynote address at the Artificial Intelligence and Machine Learning Summit, held in Las Vegas this spring. ‘We need a system and analytics to interpret data!’ she urged, despite being well aware that building a…

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Article • Going digital

DBT could boost breast screening

Tomosynthesis is under international review, with a surprising number of enticing studies carried out in Northern European countries, among them one headed by Professor Sophia Zackrisson at Lund University, Sweden. In our interview, she not only revealed surprising trial results, but also shared her thoughts on practical implementation and unusual speed-reading methods. ‘Our institute’s…

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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 • Going nuclear

Ischaemia: Advances in nuclear imaging

Experts outlined approaches to ischaemia imaging during the recent British Cardiovascular Society conference. In a ‘Detection of ischaemia by cardiac imaging in 2018’ session, comparisons were made between solid state SPECT cameras, whether spatial resolution or visual assessment was of the greater importance, if CT-FFR offered advantages over CT perfusion, and the challenges in defining a…

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News • Tech from Taiwan

Augmented reality is the future of surgery

Physicians have been performing surgery with the assistance of x-ray technology for almost half a century. While this technology has been progressing steadily, its limitations continue to be a major challenge. Thus, many professionals agree: it's time for our method to be changed. Taiwan Main Orthopaedics Biotechnology introduced the worldwide first smart surgical glasses.

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News • Brain tumors

Researchers find missing immune cells that could fight glioblastoma

Glioblastoma brain tumors can have an unusual effect on the body's immune system, often causing a dramatic drop in the number of circulating T-cells that help drive the body's defenses. Where the T-cells go has been unclear, even as immunotherapies are increasingly employed to stimulate the body's natural ability to fight invasive tumors. Now researchers have tracked the missing T-cells in…

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News • Reinforced learning

AI masters tightrope walk of cancer treatment dosage

Using a new approach called 'reinforced learning', researchers have taught an artificial intelligence (AI) to responsibly choose the right amount of chemo- and radiotherapy for glioblastoma patients. The technique, which is insprired by behavioural psychology, has given the AI the ability to master the tightrope walk between effective tumor shrinkage and the medications' severe side effects.

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News • Interventional radiology in oncology

Augmented reality sees right through the patient

A new augmented reality system to guide procedures in interventional oncology is currently taking its first steps. A three-step experiment proves this system to be precise and reliable enough to facilitate image guidance critical to the success of interventional oncology procedures. Using a back-face camera and a tablet PC to visualise the patient, the system projects 3D images of body structures…

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News • Enhancing protocols

Bracco and Duke team up to improve CT imaging

Bracco Imaging S.p.A. has entered into a research collaboration with the Duke University School of Medicine (Durham, North Carolina, U.S.) to improve patient care in Computed Tomography imaging. As part of the collaboration, Bracco will work with Duke on a research program aimed at developing a viable software tool to automatically and predictively estimate iodine enhancement, radiation dose, and…

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News • Quality assurance

Applying Monte Carlo accuracy with clinical workflow simplicity

IBA (Ion Beam Applications S.A.) announces the launch of SciMoCa, a new Monte Carlo-powered secondary dose check and plan verification software, at the 60th annual AAPM meeting. Monte Carlo is generally accepted as the gold standard for dose calculation accuracy in treatment planning. With SciMoCa, Monte Carlo accuracy is now available for secondary independent dose calculation and verification,…

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Article • Patient blood management

Blood transfusions: Patient groups should be precisely defined

Although blood transfusion today is a well-established and safe procedure, the medical science community has not yet arrived at a consensus regarding appropriate patient blood management (PBM) methods. ‘Many PBM approaches have not yet been scientifically validated; consequently over- as well as under-transfusion might be associated with adverse events and complications for the patient,’…

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Article • To-Be for tomo

Two-part trial studies tomosynthesis benefits

The UNESCO World Heritage City Bergen is seen as the gateway to the fiords of Norway. However, for radiologists the city offers an even more interesting attraction than Scandinavian landscapes. Bergen features one of the largest randomised control trials to compare digital breast tomosynthesis (DBT) with digital mammography (DM): the To-Be trial. Professor Solveig Hofvind, head of BreastScreen…

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News • MedTech

Concerning fall in UK radiology equipment spend

The overall UK radiology equipment market spend for the six months to the end of March 2018 is down by around 30% compared to the same period in the previous year. This is according to latest figures from AXREM (the Association of Healthcare Technology Providers for Imaging, Radiotherapy and Care), which represents all the major medical imaging manufacturers active in the UK. Commenting on the…

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News • Hematopoietic Stem Cells

What keeps our blood in balance

Blood is the juice of life, as while circulating through the body it delivers vital substances such as oxygen and nutrients to cells and tissues. Chemotherapy, radiotherapy and blood loss in general impoverish the system. A special kind of cells in the bone marrow, called hematopoietic stem cells (HSCs) is able to replenish the impoverished system by giving rise not only to red blood cells, but…

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Sponsored • Radiation garment

Zero-Gravity suspended radiation protection

In today’s operating rooms, increasing fluoroscopic procedures keep interventionists at work longer, wearing the hugely heavy lead aprons necessary for protection against radiation. Chronic back pain is often accepted as something that simply comes with the job. Relief has arrived at last in the form of Zero-Gravity, a suspended radiation protection system designed to increase radiation…

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News • Bone health

Osteoporosis defined: causes, symptoms and treatments

Weak, easily broken bones are an epidemic in the United States. They’re often tied to osteoporosis, a disease that causes bones to degenerate over time. This makes them less flexible, more brittle, and easier to break. According to the International Osteoporosis Foundation, more than 44 million Americans aged 50 and older either have or face the threat of developing osteoporosis due to low bone…

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Sponsored • Exhibition

Progress in medicine presented at Bulmedica/Buldental 2018

New products and technologies in medical practice expect the specialists of the leading international exhibition Bulmedica/Buldental from 16 to 18 May at Inter Expo Center. This year, the medical profile of the exhibition will focus on the progress in imaging, physiotherapy, aesthetic medicine. Once again Bulmedica/Buldental will be a platform to keep an eye on the tendencies, a meeting point of…

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News • Groundbreaking technique

Noninvasive brain tumor biopsy on the horizon

Taking a biopsy of a brain tumor is a complicated and invasive surgical process, but a team of researchers at Washington University in St. Louis is developing a way that allows them to detect tumor biomarkers through a simple blood test. Hong Chen, a biomedical engineer, and Eric C. Leuthardt, MD, a neurosurgeon, led a team of engineers, physicians and researchers who have developed a…

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News • Otolaryngology

Treating head and neck cancer — the patient's perspective

Jan Walker, a retired administrative assistant to the superintendent of Boaz City Schools, was getting ready for her regular doctor visit and noticed a lump on her neck. Her primary care physician examined it and determined it was a simple swollen lymph node. Two months later, she began to lose feeling on the right side of her throat and noticed the lump had increased in size. After seeing other…

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News • External and brachytherapy

Prostate cancer: Combination of radiation therapies key to success

Prostate cancer is one of the most common cancers diagnosed nationally among men. The National Cancer Institute estimates 161,000 were diagnosed in 2017. While there are many treatment options for men with prostate cancer, a recent national study published in the Journal of the American Medical Association compared the effectiveness of treatments for high-risk prostate cancer. Said Daniel Krauss,…

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Article • Predictive biomarkers

Immunotherapy follow-up with MRI: the search is on

Immunotherapy is taking center stage in imaging, but patient follow-up with CT is no cookie and may fall short in the peripheral limbs, brain and bone marrow. MRI offers specific benefits in these situations, and, combined with PET, it may bring even more results. Research must be carried out on quantitative techniques and tracers developed to fully exploit that potential, Prof. Dow-Mu Koh…

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Sponsored • Innovation

A unique imaging platform for dynamic X-ray applications

Over the last 60 years, medicine has made major advances in diagnosis, treatment and surgery. Radiography and Fluoroscopy imaging are essential to medical science. As a result, Original Equipment Manufacturers (OEM’s) need to deliver ever more sophisticated turnkey platforms for their systems which are dedicated to end-users. Thales has designed a platform that meets all of these needs. ArtPix…

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Article • Tomosynthesis

Catching more invasive cancers earlier

What beats digital mammography to detect breast cancer in asymptomatic women? Digital breast tomosynthesis (DBT) – was a big discussion at RSNA 2017. Sarah M Friedewald MD, medical director of the Lynn Sage Comprehensive Breast Center of Northwestern Memorial Hospital in Chicago and its division chief of breast and women’s imaging, discussed the clinical implications of DBT for routine…

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Article • MobileDaRt Evolution MX8 Digital Mobile X-Ray System

Superior functionality and drivability

‘With Your Stories – lifetime healthcare support’: this future-driven approach combines the best of two worlds, using Shimadzu’s insights and expertise in medical imaging systems and laboratory instrumentation to benefit patients through ever improving prevention, diagnosis, treatment and follow-up.

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Article • The InnerEye Project

AI drives analysis of medical images

Some time in the distant future artificial intelligence (AI) systems may displace radiologists and many other medical specialists. However, in a far more realistic future AI tools will assist radiologists by performing very complex functions with medical imaging data that are impossible or unfeasible today, according to a presentation at the RSNA/AAPM Symposium during the Radiological Society of…

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News • Follow-ups

Early countermeasures against ineffective cancer therapies

What effect does a particular cancer medicine or radiation therapy have on patients? To find out, physicians use CT images to determine whether a tumor’s size changes during the course of treatment. In the PANTHER project, a joint team of experts aims at gaining further valuable information from these images. In the future, doctors will be able to find out at an early stage whether a cancer…

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News • Histology in 3D

New staining method enables Nano-CT imaging of tissue samples

To date, examining patient tissue samples has meant cutting them into thin slices for histological analysis. This might now be set to change – thanks to a new staining method devised by an interdisciplinary team from the Technical University of Munich (TUM). This allows specialists to investigate three-dimensional tissue samples using the Nano-CT system also recently developed at TUM. Tissue…

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News • Beyond PSA monitoring

New prostate cancer risk model could better guide treatment

One of the biggest challenges in treating prostate cancer is distinguishing men who have aggressive and potentially lethal disease from men whose cancer is slow-growing and unlikely to metastasize. For years, prostate-specific antigen (PSA) level, cancer grade and tumor stage have been used to sort prostate cancer patients into risk groups established by the National Comprehensive Cancer Network.…

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News • Responsive or not?

Breast cancer: Near-infrared light shows chemo beneficiaries

A new optical imaging system developed at Columbia University uses red and near-infrared light to identify breast cancer patients who will respond to chemotherapy. The imaging system may be able to predict response to chemotherapy as early as two weeks after beginning treatment. Findings from a first pilot study of the new imaging system—a noninvasive method of measuring blood flow dynamics in…

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News • Cooperation

Training initiative on CT technology and dose optimization

For two-and-half day, 16 high skilled lecturers from Europe and USA, gave presentations at the 2018 special EFOMP/COCIR joint edition of the ESMPE School (European School for Medical Physics Experts) on “Computed Tomography. Technology, Dosimetry, Optimization”, that took place at the end of January 2018. With 80 participants of 24 nationalities, the school accredited by EBAMP (European Board…

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Article • European diploma

Levelling EU qualifications for radiographers

Radiographers are increasingly central to patient care, but the heterogeneous education and skills across Europe remain challenging. Dr Jonathan McNulty and Håkon Hjemly, of the European Federation of Radiographers Societies (EFRS), explained how they plan to improve radiographers’ visibility and work towards homogenising training across Europe, notably by launching a European Diploma in…

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Article • Old technique & new technology

Optoacoustics: the sound of cells

For centuries, hands, eyes and ears were the physicians’ most important instruments when it came to detecting and diagnosing disease. Today, one of the traditional techniques, percussion, is being revived, supported by state-of-the-art technology and dressed in a new name: optoacoustics. In one of the most exciting visionary ideas in modern healthcare short laser pulses (optics) are transmitted…

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News • Microbubbles

Bracco Imaging to innovate ultrasound for new personalized gene therapy

Bracco Imaging S.p.A., a global leader in diagnostic imaging, announced that it has initiated new experimental activities in its R&D Center in Geneva, Switzerland, to explore a new application for gas-filled microbubbles in the development of personalized gene therapy for treatment of chronic dysfunctional diseases related to lipid metabolism. Microbubbles have already revolutionized medical…

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News • Radiation therapy

New gel reduces side effects of prostate cancer treatment

Radiation therapy is a popular and effective treatment for many men with prostate cancer, and now a temporary gel offers greater protection for organs at risk during treatments. “Treating prostate cancer with radiation therapy can cause unintended injury to adjacent, healthy tissue, which can lead to bowel and urinary problems, as well as erectile dysfunction,” said Daniel Krauss, M.D., a…

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News • Delivery options

Radiosurgery vs. whole-brain radiation in lung cancer patients with multiple brain metastases

Although targeted therapies have produced dramatic advances in our ability to control some types of advanced lung cancer, growth of the disease in the brain remains a major problem. Radiation is often used to treat deposits in the brain, but the best technique to deliver radiation can be controversial. Whole-brain radiation therapy, as its name suggest, treats the entire brain but can be…

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Article • Recognition in new recommendations

MRI’s role in prostate cancer diagnosis

Lars Schimmöller MD, associate professor of radiology at Düsseldorf University Hospital, tackled current diagnosis of prostate cancer (PCa) and addressed tumour detection, staging, active surveillance and recurrence during the Medica Academy session on Imaging Update. He also highlighted how MRI helps improve biopsies and avoid unnecessary surgery in PCa.

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Article • CyberKnife technology training

Stereotactic radiotherapy spreads

In Rennes, France, more than 850 patients have already been treated with a top accelerator equipped with a multileaf collimator, the first of its kind in the country. Brittany’s capital Rennes is leading stereotactic radiotherapy practice as Eugène Marquis Cancer Centre gears up to welcome worldwide technicians to train on the latest CyberKnife system, Accuray’s powerful robotic radiosurgery…

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Article • TAITRA presentation

Taipei hits highs in Medica 2017

3-D visualisation, augmented reality, automated tumour classification – today, the Republic of China produces cutting-edge medical technology and it’s a long time since ‘Made in Taiwan’ stood for inferior, copied products. Over recent years, this island state has successfully morphed into a productive and, above all, innovative manufacturer of medical technology available on the world…

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News • Ventricular tachycardia

Deadly heart rhythm halted by noninvasive radiation therapy

Radiation therapy often is used to treat cancer patients. Now, doctors at Washington University School of Medicine in St. Louis have shown that radiation therapy — aimed directly at the heart — can be used to treat patients with a life-threatening heart rhythm. They treated five patients who had irregular heart rhythms, called ventricular tachycardia, at the School of Medicine. The patients…

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News • Natural system

Papillomaviruses promote skin cancer

UV radiation has been known for a long time to be a risk factor for the development of skin cancer. Simultaneous infection with human papillomaviruses (HPV) has also been suspected to promote skin cancer, particularly in organ transplant recipients. Scientists from the German Cancer Research Center (DKFZ) have now been able to show for the first time in a natural system that papillomaviruses…

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News • Collaboration

Blue Phantom system used for acceptance of the first Varian Halcyon machine in Europe

IBA (Ion Beam Applications S.A.), the world’s leading provider of proton therapy solutions and radiation therapy integrated quality assurance (QA) for the treatment of cancer, announces the acceptance and beam model validation of the first Varian Halcyon machine in Europe to go clinical, at the hospital UZ Leuven in Belgium, using IBA Dosimetry’s Blue Phantom water phantom system.

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News • A double-edged sword

Killing cancer cells can also drive tumor growth

Cancer therapies including radiation and chemotherapy seek to treat the disease by killing tumor cells. Now a team including researchers at Beth Israel Deaconess Medical Center (BIDMC) have shown that the dead and dying cancer cells generated by chemotherapy and targeted cancer therapy paradoxically trigger inflammation that promotes aggressive tumor growth. In a study published today in the…

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News • Cooperation

GE and NVIDIA join forces to accelerate AI adoption in healthcare

GE Healthcare and NVIDIA announced they will deepen their 10-year partnership to bring the most sophisticated artificial intelligence (AI) to GE Healthcare’s 500,000 imaging devices globally and accelerate the speed at which healthcare data can be processed. The scope of the partnership, detailed at the 103rd annual meeting of the Radiological Society of North America (RSNA), includes the…

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Article • Beyond palliative care

Perspectives of SIRT – who benefits and why?

Selective internal radiotherapy (SIRT) is often only looked at from a palliative perspective. However, the procedure is now also increasingly moving into the curative field, as Prof. Dr. Jens Ricke, Chair of Radiology at the Ludwig-Maximilian University Munich and Director of the Clinic and Polyclinic for Radiology at the University Hospital of the LMU reports. “As a locoregionally used…

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Article • Combined techniques

Raising the bar higher in CRC imaging

Combining molecular information and high contrast resolution may well improve current performance in colorectal cancer (CRC) cases, according to Vicky Goh, who presented the latest results on PET/MRI during the last European Society of Medical Oncology (ESMO) meeting in Madrid PET/MRI brings the best of both modalities together: high contrast to noise and high spatial resolution combined with…

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Article • Bubble business

A transducer halts abdominal bleeding

Stopping abdominal wall bleeding with contrast-enhanced ultrasound was just one of the exciting developments in CEUS presented at the Bubble Conference 2017 in Chicago. When you cut your finger you apply pressure to the wound until the bleeding stops. Professor Dirk-André Clevert from the Institute for Clinical Radiology at the Ludwig Maximilian University Hospital, Munich, Germany, remembered…

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News • Bleak prediction

Breast cancer treatment costs to strain medicare in the near future

With cancer care costs projected to increase 32% from 2010 to 2020, researchers are working to determine the main drivers of costs for treating breast cancer. Breast cancer accounted for the highest proportion (13%) of the $124.6 billion in Medicare money spent on cancer care in 2010. In a study led by Ami Vyas, PhD, MS, MBA (currently at the University of Rhode Island) and published in the…

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News • Radiation protection

Effective collaboration between authorities and industry

HERCA and COCIR are pleased to announce the outcome of their collaboration on optimising Computed Tomography (CT) dose. The collaboration has set out to minimise patient radiation exposure and to improve patient care. HERCA has published a report on the outcomes of the collaboration between HERCA and COCIR and with other stakeholders. This report and all relevant information can be found on the…

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News • Cooperation

ESR and IAEA join forces on justification and appropriate use of imaging

The ESR co-organised an IAEA regional workshop on justification and appropriate use of imaging in Zagreb from October 26-28. Part of an ongoing collaboration on issues of common interest with IAEA, the workshop, led by the IAEA’s Radiation Protection of Patients Unit (RPOP), allowed the ESR to present its work on justification, imaging referral guidelines and clinical decision support to…

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Article • Augmented Reality in the operating theatre

Virtual data merges with a real body

Medical Augmented Reality (AR) assistance systems overlay information onto a surgeon’s field of view. This technology is complex and expensive. Therefore, the procedure must offer a big advantage compared to conventional treatment and diagnostic methods to qualify for standard use. The objective is a system that shows a surgeon a 3-D image of inside the body plus instruments used during surgery…

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News • Innovation

Novel Nano-CT magnifies tiny velvet worm legs

Computer Tomography (CT) is a standard procedure in hospitals, but so far, the technology has not been suitable for imaging extremely small objects. In PNAS, a team from the Technical University of Munich (TUM) describes a Nano-CT device that creates three-dimensional x-ray images at resolutions up to 100 nanometers. The first test application: Together with colleagues from the University of…

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Article • Value-based radiology

We have impact on value!

The movement to Value-Based Healthcare gives no value to diagnostic processes, including Radiology. ESR aims to establish a more holistic approach to help Europe’s single-payer systems shift to a new economic model. The organisers behind Value-Based Healthcare (VBH) are gaining ground in an effort to transition public and private payers toward value-based reimbursement.To date, the…

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Article • Ultrasound

Controversies and practices in breast cancer screening

A controversy regarding the benefit of early screening programmes for breast cancer continues. Germany, Austria and Switzerland have developed individual strategies. European Hospital asked three experts from these countries to outline each chosen system. Markus Hahn MD, senior consultant at the University Breast Centre in Tübingen, Martin Daniaux, MD, Head of Breast Diagnostics at the Breast…

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Article • Multimodality

Risk profiling in breast diagnostics

Breast diagnostics are undergoing considerable change, with new technology facilitating alternative procedures. Genetics and nuclear medicine also enhance diagnostic possibilities. During our EH interview, Professor Rüdiger Schulz-Wendtland described current changes in breast diagnostics. ‘To date, complementary breast diagnostics has comprised clinical, sonographic and mammographic…

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News • EANM 2017

Siemens Healthineers Debuts Biograph Vision PET/CT System

At the 30th Annual Congress of the European Association of Nuclear Medicine (EANM), Octobre 21-25 at the Austria Center Vienna, Siemens Healthineers debuts the Biograph Vision, a positron emission tomography/computed tomography system designed to deliver a new level of precision in PET/CT imaging.

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News • Dose management

Enhancing radiation protection

A new EC-funded project will bring together medical and radiation scientists, physicists and clinicians to enhance the radiation protection of patients and medical professionals. The four-year MEDIRAD project, which kicked off in June 2017, is led by the European Institute for Biomedical Imaging Research – EIBIR (AT) and comprises a consortium of 33 partners from 14 European countries.

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News • Celebration & demonstration

Agfa HealthCare anniversary at RSNA 2017

Agfa HealthCare celebrates 150 years of expertise and innovation at RSNA 2017, showcasing its contemporary solutions' direct impact on productivity and costs. Demonstrations of "Care You Can See" include highlighting the company's signature integrated platform approach to elevate medical imaging as network-wide assets throughout the continuum of care.

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News • Study

Zika virus could be used to treat brain cancer

Recent outbreaks of Zika virus have revealed that the virus causes brain defects in unborn children. But researchers from Washington University School of Medicine in St. Louis and the University of California, San Diego report that the virus could eventually be used to target and kill cancer cells in the brain.

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News • Combination approach

Radiation treatment extends life expectancy for patients with inoperable lung cancer

Patients with unresectable, or inoperable, lung cancer are often given a dismal prognosis, with low rates of survival beyond a few years. Researchers exploring combination therapies have recently discovered improved survival rates by up to one year when patients treated with a newly formulated chemotherapy regimen are also given radiation therapy.

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Article • Backlog

Ten percent of radiology scanners should be scrapped

One in ten CT scanners and one in five MRI scanners are technically obsolete. Radiologists are sounding the alarm. In 2008, around 60% of all CT scanners and 55% of all MRI scanners were up to five years old; 31% of all CT scanners and 32% of all MRI scanners were between five and ten years old; 9% of all CT scanners and 16% of all MRI scanners were over ten years old.

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Article • Increase confidence in the operating theatre

Adapting to image guided surgery

In more than 21% of complex anatomical osteosynthesis procedures, an intraoperative improvement of the implant position or a revision of reduction has to be performed (Recum von, J. et al., Unfallchirurg 2012, 115:196-201, Die intraoperative 3D-C-Bogen-Anwendung. State of the art).

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Article • EUSOBI 2016 Annual Scientific Meeting breast imaging session

‘The best way to screen’

The European Society of Breast Imaging (ESOBI) promotes high quality breast imaging across Europe by developing education and training, encouraging research and promoting guidelines and standards. This year’s meeting (23-24 September) was held in collaboration with the French Society La Société d’Imagerie de la Femme (SIFEM) and drew around 600 radiologists. The event included a two-day…

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Article • Breast cancer screening

Benefits must outweigh risks

Biannual mammography can help to reduce breast cancer mortality by 40% in women aged 50-69, but the benefits for women under 35 years old are questionable, eminent Spanish radiologists highlighted during a session held by SERAM, their national society of radiology, last November, during the International Radiology Day.

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Surgery for early prostate cancer often harmful

A major 20-year study provides further evidence that prostate cancer surgery offers negligible benefits to many men with early-stage disease. In such men, who account for most cases of newly diagnosed prostate cancer, surgery did not prolong life and often caused serious complications such as infection, urinary incontinence and erectile dysfunction.

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News • Contrast agents

SonoVue receives EU approval for detection of vesicoureteral reflux

Bracco Imaging S.p.A., a company in the diagnostic imaging business, announced today that its contrast agent SonoVue (sulphur hexafluoride microbubbles) is the first ultrasound contrast agent to obtain approval in the European Union for its use in ultrasonography of the urinary tract for the evaluation of suspected or known vesicoureteral reflux in pediatric patients.

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News • Artificial nerve response

Computer model simulates sense of touch from the entire hand

Neuroscientists from the University of Chicago have developed a computer model that can simulate the response of nerves in the hand to any pattern of touch stimulation on the skin. The tool reconstructs the response of more than 12,500 nerve fibers with millisecond precision, taking into account the mechanics of the skin as it presses up against and moves across objects.

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News • Integrated quality assurance

IBA releases the newest version of myQA global platform

IBA (Ion Beam Applications S.A.), the world’s leading provider of proton therapy solutions and radiation therapy integrated quality assurance (QA) for the treatment of cancer, announces the release of myQA version 2017-001. This new version further enhances the integration of quality assurance across all QA applications, departments and people.

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News • Clinical trial

A simple breath test could evolve breast cancer diagnostics

The University of Southern California (USC) Norris Comprehensive Cancer Center is actively recruiting for a clinical trial that is researching the effectiveness of a breath test for breast cancer diagnostics. The BreathLink device, manufactured by Menssana Research, Inc., captures a two-minute sample of a patient’s breath and provides immediate results on whether there are indications of breast…

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Article • Professional standards

The role of sonographers: future professionals across Europe?

Ultrasound is often the first line of imaging used in the diagnostic pathway of a patient’s journey into hospital. Additionally, the increased prevalence of chronic conditions and changes in the demographics of the general population has led to an increased demand for ultrasound. Fast-growing advances in technology also shift ultrasound into a more prominent role in patient diagnosis and…

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News • Hybrid imaging

Siemens Healthineers debuts Symbia Intevo Bold SPECT/CT

At the 2017 annual meeting of the Society of Nuclear Medicine & Molecular Imaging (SNMMI), June 10-14 at Denver’s Colorado Convention Center, Siemens Healthineers debuts Symbia Intevo Bold, a system that combines the company’s proven single-photon emission computed tomography (SPECT) technologies with new, high-performance CT capabilities to enable a wide range of clinical applications.

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News • Under the skin

Handheld scanner reveals vascularization in psoriasis patients

A newly developed tissue scanner allows looking under the skin of psoriasis patients. This provides clinically relevant information, such as the structure of skin layers and blood vessels, without the need for contrast agents or radiation exposure. A team of researchers from Helmholtz Zentrum München and the Technical University of Munich (TUM) recently introduced the technology in ‘Nature…

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Sponsored • Mammography

Evolving breast imaging with MARIA™

Breast cancer continues to be one of the biggest killers of women globally. Worldwide it is estimated that around 522,000 women died from breast cancer in 2012. This is despite the fact that if a cancer is detected at less than 1cm in size with no lymph involvement survival rates at 5 years are comparable with someone who has not had cancer.

News • Treatment availability

Project GIRO aims to save one million lives in under twenty years

Although radiation therapy is an essential part of modern cancer treatment, and is indicated for about half of all new cancer patients, facilities for its provision are sadly lacking in many countries worldwide. Indeed, 29 out of 52 African nations have no radiotherapy facilities whatsoever. At the ESTRO 36 conference leaders of the European Society for Radiotherapy and Oncology (ESTRO) will…

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News • Breast Cancer

Biomarker Identified for Likely Aggressive, Early Stage Breast Cancer

The one-size-fits-all approach to early stage breast cancer creates a paradox: Millions of dollars are spent on unnecessary surgeries and radiation to treat women with low-risk ‘in situ’ lesions, an estimated 85% of which would never progress to invasive cancers. Meanwhile, the standard conservative treatment is insufficient for many early-stage tumors that have progressed past the in situ…

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Article • Patient Safety

Obsolescent Medical Imaging Technology Is Undermining Patient Safety

The age of the installed base of medical imaging equipment is continuing to decline dramatically, placing patients at avoidable risk. To draw attention to this deterioration in equipment and the potentially serious consequences, COCIR is launching a new infographic at the 3rd edition of the EuroSafe Imaging presence at the European Congress of Radiology (ECR).

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Article • Imaging Infections

Zika birth defects decrease, but…

ECR 2017 Guest Lecturer Maria de Fatima Vasco Aragao, a radiologist from Pernambuco state, Brazil, has been tracking the Zika virus ever since it broke out in her country in 2015. She will highlight how CT and MRI can help reach diagnosis, especially in the absence of microcephaly. In an exclusive interview with European Hospital correspondent Mélisande Rouger, the radiologist warned there might…

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News • Digital Ecosystem

Siemens Healthineers establishes global Digital Ecosystem to drive digitalization of healthcare

At the Health IT Conference (HIMSS) 2017 in Orlando, Siemens Healthineers has announced a digital platform for healthcare providers as well as for providers of solutions and services, aimed at covering the entire spectrum of healthcare. The platform is to foster the growth of a digital ecosystem linking healthcare providers and solution providers with one another as well as bringing together…

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Sponsored • Innovation

New radiographic energy management in X-ray tubes

It is well known that, due to the inherently low efficiency of the X-ray generation physical process, operating an x-ray equipment involves sending significant amounts of electrical energy to the X-ray generating element, the X-ray tube. While a small fraction of this energy is converted to X-rays, the remaining turns into heat that must be removed from the unit to allow further operation…

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Article • Emergency

Resuscitation: E-FAST or CT?

Ultrasound examinations are considered cost-efficient, fast and effective. The E-FAST (Extended-Focused Assessment with Sonography for Trauma) is a standardised examination used in accident & emergency medicine worldwide. The procedure helps to diagnose internal bleeding and organ damage in severely injured patients in the resuscitation room and, in some regions, even during emergency…

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News • International Day of Radiology

Obsolescent Technology undermining efforts to enhance Patient Safety

Obsolescent imaging technology, which is too old to benefit from the latest radiation dosage reduction, is undermining efforts to enhance patient safety. This is the main finding of the 2016 COCIR Medical Imaging Equipment Age Profile and Density. The Opens external link in new windowreport, launched today to coincide with International Day of Radiology, shows that the installed base of medical…

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News • low radiation

High resolution detectors to create safer X-ray diagnosis

A European health consortium is developing a set of low radiation, low cost, flat panel X-ray detectors that use novel photonics technology to make diagnosis safer for patients, hospital and dental staff, generating some of the highest resolution images ever seen in rapid moving body functions, such as malicious growths or the beating heart of a baby.

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Imaging community to celebrate International Day of Radiology

Radiologists and radiographers all over the world will once again celebrate the International Day of Radiology (IDoR) on November 8, which this year takes breast imaging as its main theme. The IDoR is an initiative of the European Society of Radiology (ESR), the American College of Radiology (ACR) and the Radiological Society of North America (RSNA).

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Article • Tomosynthesis

Additional cancer screening for women with dense breasts

Italian-led research has highlighted the value of utilising additional screening technologies to help diagnose breast cancer in some women. Interim analysis from the Adjunct Screening with Tomosynthesis or Ultrasound in Women with Mammography-Negative Dense Breasts (ASTOUND) study has delivered evidence of the potential benefit of adding either ultrasound or tomosynthesis to standard mammograms…

News • Proton Adaptive Therapy

IBA to open the path towards adaptive proton therapy

IBA (Ion Beam Applications) today unveils its unique platform, 'Leading the PATh', which gathers the leading experts in the field of proton therapy all in one place. It is anticipated that 'Leading the PATh' will enable the worldwide medical community to shape the most efficient Proton Adaptive Therapy (PATh), a proton therapy process which improves the accuracy of what is considered to be the…

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News • Oncology

Nanovaccine could enhance cancer immunotherapy

NIBIB researchers have created a nanovaccine that could make a current approach to cancer immunotherapy more effective while also reducing side effects. The nanovaccine helps to efficiently deliver a unique DNA sequence to immune cells – a sequence derived from bacterial DNA and used to trigger an immune reaction. The nanovaccine also protects the DNA from being destroyed inside the body, where…

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Article • Neurosurgery

Their parts are simply too big

‘An autonomously working robot in the operating theatre will continue to be a vision of the future for a long time to come,’ according to Professor Uwe Spetzger, Clinical Director and Neurosurgery Specialist at Karlsruhe City Hospital. At the same time, he is calling for political support for the development and promotion of these innovative technologies and asking funding bodies to rethink…

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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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Article • Hybrid OR

Thumbs up for new C-arm system

3D imaging is continuously improving, with devices simultaneously becoming more manageable and mobile. The new C-arm system Ziehm Vision RFD 3D is opening up a new dimension. The device was tested by Dr Jan-Sven Jarvers, orthopaedic and trauma surgery specialist at the University Hospital Leipzig, and was introduced last September during the Eurospine Congress in Copenhagen. ‘In the future,…

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News • Breast cancer

Device allows 3D imaging with less radiation

Preliminary tests have demonstrated that a new device may enable existing breast cancer imagers to provide up to six times better contrast of tumors in the breast, while maintaining the same or better image quality and halving the radiation dose to patients. The advance is made possible by a new device developed for 3D imaging of the breast by researchers at the Department of Energy's Thomas…

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News • vitiligo

Natural killer cells have a memory

Researchers at the University of Bonn and the Ludwig-Maximilians-Universität of Munich have decoded a new mechanism of how the immune system can specifically attack pigmented cells of the skin. It was previously believed that natural killer cells did not have an immunological memory for the body's own tissues. However, the scientists have now showed that these immune cells can indeed…

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News • GLINT project

Using sugar to detect cancer: a game changer for cancer screening

Cancer accounts for 13 percent of all deaths worldwide and despite recent medical improvements remains one of the most deadly diseases in the world. Early detection, usually through advanced medical imaging, is crucial as it increases the chances of survival and the potential for full recovery. The EU-funded project GlucoCEST Imaging of Neoplastic Tumours (GLINT) will develop an innovative…

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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 • Molecular profile

Revealing cancer at a minuscule level

Since the introduction of targeted therapies in oncology the task of the pathologist has expanded beyond histological diagnostics: today, the pathologist analyses tumour tissue samples to establish a molecular profile with tumour cell characteristics – which in turn become the targets of medication.

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Article • OnSight 3D Extremity System

Carestream Submits Application for FDA 510(k) Clearance

Carestream Health has filed a 510(k) application with the FDA for clearance of its CARESTREAM OnSight 3D Extremity System that uses cone beam CT (CBCT) technology to capture weight-bearing and other types of patient extremity images. This affordable system is designed to offer high-quality, low-dose 3D imaging for use by orthopaedic and sports medicine practices, hospitals, imaging centers,…

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News • Skin Cancer

The Netherlands' first user of Elekta's Esteya Electronic Brachytherapy

On March 3, Radiotherapy Group clinicians at Ziekenhuis Gelderse Vallei (Ede, the Netherlands) used their Esteya electronic brachytherapy system for the first time to treat a 73-year-old male patient with a nodular basal cell carcinoma on his nose. Esteya is a form of high dose rate (HDR) brachytherapy that applies high-precision radiotherapy directly to the cancer site, minimizing radiation to…

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News • Research

A pill could improve breast cancer diagnoses

The ongoing debate about breast cancer diagnostics has left many women confused — particularly over what age they should get mammograms and who needs treatment. An issue with current methods is that they often identify lumps but cannot conclusively pinpoint which ones are cancerous. To help resolve this uncertainty, researchers have developed a pill that could improve imaging techniques so that…

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Article • New

The ESR iGuide

Electronic radiology clinical decision support (CDS) systems, designed to help doctors order the most appropriate imaging examinations for patients, offer a way to practice better medicine, to reduce the costs of radiology and help increase patient safety by preventing radiation exposure from inappropriate or unnecessary exams.

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News • heat-shock

HSF1 – in case of emergency

When there is an accident or a house fire, we call the police or the fire services. A control room quickly coordinates emergency operations. The cells in our bodies also have helpers in a crisis; the heat-shock proteins. These are triggered in response to cellular stress, such as high temperature, UV radiation or cancer. Heat-shock proteins help other proteins maintain their functional structure…

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Article • Hybrid imaging

Placing a foot in two disciplines

Congress president Professor Katrine Åhlström Riklund, Deputy Head of the Department of Radiation Sciences and Director of the Medical School at Umeå University, Sweden, as a representative of two professions – radiologist and nuclear physician – has shaped the face of the congress.

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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 • Patient portal

‘It is happening now!’

Two years ago European Hospital spoke with Hans Vandewyngaerde, President for Europe, the Middle East and Africa (EMEA) for Agfa HealthCare, about a sweeping vision the company called ‘Images without Boundaries’. The idea was to build a capability to share images from anywhere to anyone involved in a patient’s care.

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News • Glioblastoma

Imaging 'toolkit' to help identify new brain tumor drug targets

Stopping the growth of blood vessels in tumours is a key target for glioblastoma therapies, and imaging methods are essential for initial diagnosis and monitoring the effects of treatments. While mapping vessels in tumours has proven a challenge, researchers have now developed a combined magnetic resonance imaging (MRI) and ultramicroscopy 'toolkit' to study vessel growth in glioma models in more…

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News • Nuclear medicine

Eckert & Ziegler expands cooperation program with drug developers

Eckert & Ziegler AG, a specialist for isotope-based applications in medicine, science and industry, is expanding its cooperation program with promising drug developers in the field of nuclear medicine and will support Curasight, a spin-off based on research by the group of Professor Andreas Kjaer at the National University Hospital (Rigshospitalet) and University of Copenhagen, in obtaining…

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News • Accuray

First radiation therapy systems installed in Latvia and Bulgaria

Accuray Incorporated announced today that the first centers in Qatar, Latvia, and Bulgaria are now equipped with its radiation therapy technology, demonstrating continued momentum in adoption of its devices in Europe, India, the Middle East and Africa (EIMEA). The CyberKnife® and TomoTherapy® Systems are now used in more than 40 countries to treat patients across the full spectrum of radiation…

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News • MRI

Metamaterials boost sensitivity

A group of researchers from Russia, Australia and the Netherlands have developed a technology that can reduce Magnetic Resonance Imaging (MRI) scanning times by more than 50 percent, meaning hospitals can drastically increase the number of scans without changing equipment. This extraordinary leap in efficiency is achieved by placing a layer of metamaterials onto the bed of the scanner, which…

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News • Mammography

Making a safe procedure even safer

In a comprehensive modeling study, researchers from UC Davis and other institutions have found that breast cancer screening with digital mammography poses only a small risk of radiation-induced breast cancer for most women. However, the research showed increased risk for women with large breasts or breast implants, who must often receive extra screening views, increasing their radiation exposure.

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News • Fluorescent agent

Injectable agent illuminates cancer during surgery

Doctors at the Duke University School of Medicine have tested a new injectable agent that causes cancer cells in a tumor to fluoresce, potentially increasing a surgeon’s ability to locate and remove all of a cancerous tumor on the first attempt. The imaging technology was developed through collaboration with scientists at Duke, the Massachusetts Institute of Technology (MIT) and Lumicell Inc.

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News • Hands-free technology

Xbox gaming technology may improve X-Ray precision

With the aim of producing high-quality X-rays with minimal radiation exposure, particularly in children, researchers have developed a new approach to imaging patients. Surprisingly, the new technology isn’t a high-tech, high-dollar piece of machinery. Rather, it’s based on the Xbox gaming system.

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Article • Scanner

Cone beam CT sharpens focus for MSK imaging

Expanding on core technologies, Carestream re-engineers cone-beam CT for targeted orthopaedic exams. For a focused look at bone joints or sports injuries, there are a few 3D mini-scanners, yet adoption has been slow, according to Andrew Hartmann, Vice President and General Manager at Carestream for Ultrasound & CT Solutions. For difficult cases, he said, a physician might turn to full-body…

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Article • Digital

Convincing overall package

The joint practice of Drs. Ulrike and Dieter von der Burg in Münster, Germany, decided on the GU60 digital X-ray system by Samsung Health Medical Equipment (HME) and is very pleased with the image quality and workflow. The strong Samsung support and comprehensive expanded training program which allows the exploitation of the full potential was also a factor in choosing Samsung HME.

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Interview • Evolution

On the cusp of Medicine 4.0

In the world of technology, the term Industry 4.0 is already well known. Univ-Prof. Dr. rer. nat. Bernhard Wolf has reveals a comparable development in medicine. Smart systems and personalisation have enormous potential, the Professor for Medical Electronics at the Technical University of Munich is convinced.

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Article • Event

International Day of Radiology 2015 focuses on children

This year, the worldwide International Day of Radiology (IDoR) on 8 November is dedicated to paediatric radiology. Professor Erich Sorantin, Head of Paediatric Radiology at the University Hospital Graz (Austria) and IDoR coordinator for Austria is particularly pleased: “Only very few countries recognize paediatric radiology as a radiological sub-speciality. Now we have the opportunity to…

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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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What is the cost of lung cancer in Germany?

With more than 50,000 newly diagnosed cases each year, lung cancer is one of the most common types of cancer in Germany. As yet, however, very few statistics are available on the care situation of lung cancer sufferers and the associated costs. Scientists at the Helmholtz Zentrum München have now analyzed comprehensive health insurance data in order to discover the cost of the disease and which…

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New clinical segments revitalize the mature ultrasound market

Ultrasound is finding relatively new applications across various clinical specialties and points of care, from image-guiding interventions, biopsies and non-invasive diagnosis to imaging in war and sports fields. Cost effectiveness, safety, high accessibility and clinical value in preliminary diagnosis are strengthening the technology’s value proposition. It is seen as the definitive diagnostic…

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News • Cancer Treatments

The DNA damage response goes viral

Every organism—from a seedling to a president—must protect its DNA at all costs, but precisely how a cell distinguishes between damage to its own DNA and the foreign DNA of an invading virus has remained a mystery. Now, scientists at the Salk Institute have discovered critical details of how a cell’s response system tells the difference between these two perpetual threats. The discovery…

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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 • Tissue definition

PET/MR is promising

PET/MR has long been studied for oncology but the technique also holds promise in cardiovascular applications, according to a panel of experts at the recent International Conference on Nuclear Cardiology and Cardiac CT (ICNCT).

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Real-time data for cancer therapy

In the battle against cancer, which kills nearly 8 million people worldwide each year, doctors have in their arsenal many powerful weapons, including various forms of chemotherapy and radiation. What they lack, however, is good reconnaissance — a reliable way to obtain real-time data about how well a particular therapy is working for any given patient.

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News • Siemens Computed Tomography

40 Years at the cutting edge of technological development

40 years after the launch of its first series model, Siretom, Siemens Healthcare is looking back on the successful development of its computed tomography division. With innovations such as Spiral, Multislice, and most recently Dual Source technology, Siemens has been driving the CT market and clinical diagnostics for decades. Today, three patients are scanned with a Siemens CT system every…

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News • Investment

Carestream showcases new technologies

Carestream is expanding into new imaging modalities: cone beam CT and ultrasound. Key advances in these areas will be demonstrated at the upcoming Association for Medical Imaging Management (AHRA) conference on July 19-22. For cone beam CT which is currently undergoing patient studies, a conceptual scale model will be on display.

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News • Optical Coherence Tomography

Removing brain tumor safer

Brain surgery is famously difficult for good reason: When removing a tumor, for example, neurosurgeons walk a tightrope as they try to take out as much of the cancer as possible while keeping crucial brain tissue intact — and visually distinguishing the two is often impossible. Now Johns Hopkins researchers report they have developed an imaging technology that could provide surgeons with a…

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Article • Radiotherapy

Prostate: Free of cancer after five years

Results from a randomised controlled trial to compare the use of permanent radioactive implants (brachytherapy) with dose-escalated external beam radiotherapy in patients with prostate cancer show that the men who received brachytherapy were twice as likely to be cancer-free five years later. These results presented Professor James Morris, from the Department of Radiation Oncology, Vancouver…

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Interview • Easing ultrasound operation

Touch system customises to user needs

Carestream Health, the medical imaging and healthcare IT specialist, presented its latest innovation, the Touch Ultrasound System at this year’s ECR. This system offers a configurable all-touch control panel, a powerful processor, plus other innovative tools. European Hospital interviewed Andrew J Hartmann, the firm’s General Manager of the Global X-ray & Ultrasound Solutions division, to…

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Sponsored • Liver Cancer

New Treatment Approved for EU

A new treatment for liver cancer developed by the University Medical Center (UMC) Utrecht has received the European CE mark for quality and safety. This implies that hospitals throughout Europe can now start using this innovative treatment that uses radioactive holmium microspheres to attack liver tumors. The treatment is being marketed by Quirem Medical, a spin-off company of the UMC Utrecht.

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News • Research

Influence of magnetic fields on neurodegenerative diseases

Low-frequency alternating magnetic fields such as those generated by overhead power lines are considered a potential health risk because epidemiological studies indicate that they may aggravate, among other things, neurodegenerative disorders such as Alzheimer's disease and amyotrophic lateral sclerosis (ALS). However, a recent study by researchers at the Institute of Pathobiochemistry at the…

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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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Interview • Nuclear Medicine in Practice

Defining a role and routine differences

Before 2013, when Professor Dietmar Dinter became partner of Radiologie Schwetzingen, a multi-discipline group practice specialised in radiology and nuclear medicine, he was senior resident at the Institute of Clinical Radiology and Nuclear Medicine at University Hospital Mannheim (2003-2012) and head of its Nuclear Medicine Department (2009-2012). Was his work in nuclear medicine altered by the…

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Article • Breast Cancer

Decision-making based on personalized data

No alcohol, but exercise and a healthy diet – that’s what women can do to help prevent breast cancer recommends Prof. Thomas Helbich (Director of Molecular and Gender Imaging at the Medical University of Vienna) who hosted the European Institute for Biomedical Imaging Research (EIBIR) session ‘The complexity of personalized breast care’ at ECR 2015. Report: Chrissanthi Nikolakudi

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Article • Assessing chemotherapy

Ultrasound presents an alternative to radiation

Injecting toxic chemicals into the body to kill cancer cells is a physically and mentally brutal experience for patients. The treatment cost is equally brutal for healthcare systems. Yet, often after six months of difficult treatment, patients may hear that the chemotherapy did not stop or kill the cancer. There is now a way to find out, in just 30 days and at a cost of just €183, whether the…

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Article • Screening

AB-MRI could be the ideal screening tool

MRI is increasingly relevant to cancer management, especially to detect breast carcinoma. Professor Christiane K Kuhl from the department of diagnostic and interventional radiology at the University of Aachen, Germany, strongly advocated in favour of MRI in breast cancer screening during a dedicated Satellite Symposium organised by Bracco at ECR 2015. Report: Mélisande Rouger

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Article • Molecular Imaging

Xe-MRI advances body exploration

Clinical routine would be inconceivable without MR Imaging. Without exposure to radiation, doctors can make a patient’s organs and tissue structures clearly visible. However, pathological changes in the early stages, degenerated cells or small areas of inflammation, have so far remained almost invisible on these images. In 2014, for the first time, a team of cell biologists, chemists and…

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Interview • Perspectives in Radiology

Future ESR President defines the goals

During an exclusive European Hospital interview, in the run up to ECR 2015, Professor Lluís Donoso-Bach MD PhD, incoming President of the European Society of Radiology (ESR), outlines his plans to tackle challenges facing radiology in Europe – and anticipates a brighter future in Spain.

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Sponsored • Easy Access

High-tech R/F solutions

Launching in March, Optima is the latest offering from the French R/F specialist Apelem. Based on the firm’s Platinum technology, Optima is reported to provide nearly all the benefits of the Platinum in a cost efficient, robust mechanical package, the firm points out, adding that Optima ‘…is the ideal choice for centres looking for the advantages of digital in an easily accessible price…

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Sponsored • Volume CT

Toshiba - New technology allows scanning everyone

An independent survey conducted by the British Society of Cardiac Imaging (BSCI) yielded surprising results: Not only does Toshibas’ Aquilion ONE scanner deliver ultra-low radiation doses for ­cardiac CT, its next-generation PUREViSION detector also widens the scope of diagnostic cardiac CT. Radiologists agree that this innovative technology allows scanning of patients who previously would…

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Sponsored • Shimadzu

Seeking the best systems

When the Medical Radiological Institute (MRI) at the private Bethanien Hospital in Zurich and the local hospital in Ærø, Denmark, needed new fluoroscopy and radiography equipment, they investigated quality, functionality, service quality and cost. Among systems examined was Shimadzu’s Sonialvision G4, which has been completely revised, with innovations in all areas, including dose reduction…

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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 • Technology

ProMRI Technology allows 3T scanning

Cardiovascular technology specialist Biotronik has launched a new series of single and dual chamber implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy defibrillators (CRT-Ds). ‘The Iperia/Itrevia/Inventra series gained CE approval in July 2014 and marked its first implantations worldwide in mid-July,’ the multinational biomedical technology firm reports.

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Article • Tackling mobile tumours

Precision radiotherapy with 4D imaging

Radiotherapy always encounters particular challenges when a tumour is ‘mobile’. This is when radiotherapy must be carried out over several weeks. Within that period the tumour position, shape and expansion typically will keep changing. Thus radiotherapy needs continuous adaptation to maintain continuously precise radiation. Report: Chrissanthi Nikolakudi

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Delivering on dose reduction promises

With more than 60 years in radiology, Zwanger-Pesiri is one of the largest non-hospital-based radiology practices in the USA. Among its 60 radiologists the number of specialties include interventional, neuro, abdominal and cardiovascular radiology as well as musculoskeletal, breast and vascular imaging.

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Radiology around the world

In a 'travelogue' of clinical practices, Carestream turns up some unique solutions to shared challenges. Responsible on a global scale for sales and marketing development with Carestream, Todd Minnigh does a good bit of travelling around the world. Report: John Brosky

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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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Article • Trauma Imaging

From head to toe, not forgetting the face

The number of radiological accident and emergency examinations had doubled within five years because many accident and emergency (A&E) patients are given CT scans even before having a comprehensive clinical examination. Report: Michael Krassnitzer

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Article • Paediatric imaging

MRI in paediatric cardiology

'In paediatric cardiology, echocardiography is the method of choice for preoperative diagnostic purposes,' explains Professor Dr Emanuela Valsangiacomo-Büchel, senior cardiologist and director of cardiovascular imaging at the University Children’s Hospital Zurich, Switzerland. Report: Axel Viola

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Article • Cardiac CT

Aquilion ONE delivers ultra-low dose for cardiac CT

An independent survey by the British Society of Cardiac Imaging finds Toshiba Aquilion scanner delivering ultra-low radiation doses for cardiac CT. "This data is possibly the most powerful thing I can show about the Aquilion ONE with the PUREViSION detector," said Russell Bull, M.D., Consultant Radiologist at the Royal Bournemouth Hospital in Dorset, the United Kingdom.

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Navigated Augmented Reality enhances medical applications

The digital world is being enriched by augmented reality (AR), which refers to any type of information offering the user additional help. Mostly, we don’t even notice it; the only external sign being Smart glasses. When new cars are launched we are always surprised by the constantly developing assistance systems they offer – and it’s the same for the growing number of smartphone…

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A little revolution in sonography

Until recently liver biopsies were performed to stage hepatic fibrosis in order to identify the suitable therapy. ‘Since any intervention in the human body is associated with risks – haemorrhage and infection for example – we have long been looking for an alternative method to determine liver tissue elasticity. Today shear wave elastography is exactly such a method,’ says Professor…

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A pathologist in your pocket

We live in a connected world, a very different world than it was a decade ago, said Eric Topol MD. Mobile devices, wearable devices are driving a creative revolution, reducing costs of healthcare, increasing patient access to health information.

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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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Dual energy brings more to meet the eye

How does spectral – or dual energy – imaging work? Very similar to red and green light used in black-and-white photography. A black-and-white camera provides information on the colours of the photographed objects: an object that is black under red light is actually green.

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CT developments far excel those for MRI

For the sixth time, Alain Blum MD has invited the French CT community to Nancy to attend a symposium on multi-detector CT. The last invitations, two years back, drew several hundred radiologists and every CT manufacturer to Nancy for two days of debate, discussion and demonstrations.

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Gender medicine

The insight that psychological, social and environmental conditions affect a person’s health is insufficiently considered in medical training and in the every-day diagnosis and treatment of patients.

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Digital tomosynthesis for lung cancer screening

Screening for lung cancer saves lives. This fact has been documented by outcomes of the U.S. National Lung Screening Trial (NLST) which showed a 20% reduction in lung cancer-specific deaths in patients who had a chest CT screening. What is controversial is how to establish the radiology resources needed to perform exams for all the people who need it and then how to pay for the exams.

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Collaborate – or face oblivion

Partnerships are at the top of the agenda for RSNA 2013. To meet current and emerging challenges, “we need internal partnerships within radiology and external ones with our clinical peers as well as with our patients,” outlined Sarah S. Donaldson, MD in her opening address of the 99th RSNA Scientific Assembly and Annual Meeting.

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Philips gives spectral CT an IQ with detector-based approach

For Pablo Ros, MD, the decision to use the new IQon Spectral CT system from Philips Healthcare is a no-brainer. The head of the radiology department at the prestigious University Hospitals Case Medical Center in Cleveland, Ohio, and the co-director of Case Center for Imaging Research, introduced the new technology on the first day at the congress of the Radiological Society of North America…

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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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The ESPOIR Study

Professor Axel Haverich and team at the Clinic for Cardiothoracic, Transplant and Vascular Surgery in Hanover Medical School (MHH) have been carrying out research into decellularised heart valves for over 15 years. They trialled a procedure – initially in the laboratory and in animal experiments – which does not cause tissue rejection, is hoped to last a lifetime and, in the case of children,…

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Life is precious. Take CARE.

Protecting patients and staff from unnecessary radiation is of major concern. Today, thanks to advanced technologies and applications, outcomes for diagnosis and intervention can be optimized at the same time as reducing radiation.

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PET/MR: The opportunities are almost unlimited

MRI has become the gold standard for many indications in cardiac imaging, apart from imaging the coronary arteries. For function and morphology assessment, MRI is the leading technology. A further advance into as yet unknown territory is myocardial imaging aided by one of the first integrated 3-Tesla PET/MR systems currently used at the Institute of Radiology, Essen University Hospital,…

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New cancer research targets

‘We aim to develop an understanding of which novel research activities could bring benefits for patients,’ explained Professor Christof von Kalle, Director of the Department of Translational Oncology, NCT (German National Centre for Tumour Diseases) and the German Cancer Research Centre (DKFZ), speaking on translational activities during the New Cancer Targets gathering in Heidelberg this…

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Transforming Care Together

Philips is showcasing the company’s mission of “Transforming Care Together” by featuring several of its latest solutions developed with customer insights in mind, demonstrating the company’s commitment to keeping pace with the changing needs of radiologists at RSNA.

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MIR – Making Imaging relevant

MIR is a subcommittee of the European Society of Radiology (ESR), focused on all aspects of management, which help to “Make Imaging Relevant” in today´s healthcare. Join our conference, which will take place in the exciting and busy city of Milan (Italy) and will last two full days from Thursday, October 11 to Friday, October 12.

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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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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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Gene Therapy in the EU

For the first time, a EU agency recommends a gene therapy drug for commercial release in Europe. The European Medicine's Agency announced in late July 2012 that its Committee for Medicinal Products for Human Use (CHMP) recommends Glybera for commercial release in the European Union

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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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Article • The future of radiology

Viewing the lung in 2022

To avoid any misunderstanding, ten years from today CT and MRI will still be the pillars of lung imaging. However, Hans-Ulrich Kauczor, Professor of Radiology and Medical Director of the radiology clinic at Heidelberg University Hospital, is convinced the emphasis will have changed.

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The new Alder Hey Children’s Hospital

Britain’s many new hospitals are more than brave architectural statements – they consistently win awards, inspire others and, above all, improve life for all who use them. Now another stunning creation is about to rise. Despite beginning life as a workhouse for the poor, and having to grow in bleak, outdated buildings, in its near 100- year history Alder Hey Children’s Hospital in Liverpool…

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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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Targeting several tumours simultaneously

]‘We are very pleased to be able to offer our patients top quality and, most importantly, very precise radiotherapy,’ said Professor Wolfgang Mohnike, Medical Director of the Diagnostic and Therapeutic Centre (DTZ) in Berlin – one of the leading outpatient cancer centres in the city. The newly equipped Radiotherapy Centre at the DTZ was inaugurated at the beginning of June and the new…

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German breast screening

Germany’s mammography screening programme, introduced in 2005, was rolled out across the country in 2009 for women between the ages of 50 and 69 years. The mammo screening coordination office, which heads up and monitors the country’s 94 screening units, has published for the first time an evaluation report with follow-up examinations after a twoyear period.

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Against all odds: MRI does well in lung imaging

At first sight magnetic resonance imaging (MRI) does not seem to be particularly well suited for lung diagnostics: too much air, too much movement and too little water make image acquisition a real challenge. Nevertheless, MRI is useful and in certain cases even superior to CT say the members of HTIP (Heidelberg Thorax Imaging Plattform), an association of the radiology departments of the…

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Lung screening will come – maybe even with MRI?

After breast screening and prostate screening there is currently a lively discussion around the introduction of a lung cancer screening programme in Europe. Study results from the US appear to back up the supporters of this early detection of cancer for smokers. Prof. Dr Jürgen Biederer, Consultant and head of the Division of Pulmonary Radiology at the Department of Diagnostic and Interventional…

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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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Shared standards critical in lung cancer screening

Findings from the landmark National Lung screening Trial (NLST) continue to make waves in the United States, and increasingly around the world. The principal investigator for the component of the NLST sponsored by the American College of Radiology Imaging Network (ACRIN), Denise Aberle, MD, said the NLST can provide a road map for public policy regarding lung cancer screening, though she cautions…

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Hypofractionation

Making prostate cancer therapy more effective, more comfortable for patients and less expensive for society? Dose escalation, up to 80 Gy and above, may be necessary to successfully treat localised prostate cancer with radiotherapy (RT).

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The 129th Congress of the German Society of Surgery

Meeting with EH editor Brigitte Dinkloh, Congress Secretary Professor Alexis Ulrich MD (left), Assistant Medical Director at the Clinic for General, Visceral and Transplant Surgery at the University of Heidelberg, outlined the scientific programme, discussed some impressive advances in surgical procedures, and explained why the gathering bears the slogan Surgery in Partnership.

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Multi-disciplinary efforts for rectal cancer patients

Speaking at the ESR meets Radiation Oncologists session, Dr Gina Brown (Royal Marsden NHS Foundation Trust, London) emphasised that radiologists’ input is critical in treatment and surgical decisions and that radiologists, oncologists and surgeons should work more closely in the planning and delivery of treatment and surgery for the overall benefit and long-term well-being of rectal cancer…

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Unfors introduces personal dosimetry system

During the European Congress of Radiology in Vienna 2012 Unfors RaySafe launched the RaySafe i2. By using RaySafe i2 during imaging procedures, medical personnel are able to get instant information on their current exposure to X-ray, giving them prerequisites to adjust their behavior to minimize unnecessary exposure.

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Here we go… It’s ECR 2012

20,000 participants attended ECR 2011 – a record its organising body, the European Society of Radiology (ESR), which represents more than 56,000 radiologists worldwide, is keen to surpass. Thus, for 2012, it set out to create an even more attractive, versatile programme, which is led by Congress President Lorenzo Bonomo, Professor of Radiology and Chairman of the Department of Radiological…

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Europe’s first Positron Emission Mammography

Early this year the radiology and nuclear medicine practice of Doctors Andreas Blynow, Frank Muller, Jorg Kowalski in Ludwigshafen, Germany, began to offer breast examinations using Europe’s first Positron Emission Mammography (PEM) scanner. With 15 years experience with Positron Emission Tomography (PET), Dr Muller introduced the new PEM scanner to the partners’ practice to detect and assess…

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MRI will improve the treatment of wake-up strokes

Neurointensivists need to act quickly and carefully – as well as consider later complications or the psychological impact on stroke victims. This potentially debilitating disease was a central discussion among 1,400 participants from 10 countries during the three-day 29th Annual Conference of Neurointensive Medicine (ANIM), an event hosted in January by The German Society for Neuro-Intensive…

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Drug smugglers in the gantry

Security checks – the necessary evil for air and land travellers. While luggage scans and body pat-downs are ubiquitous, drug smugglers have increasingly used their own bodies as a vessel to conceal and transport their goods.

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What’ s new in the world of radiology?

Radiology constantly evolves. There are technical advances in terms of the capabilities of various modalities, greater clarity from contrast agents that are also safer for patients, and innovation in techniques that gains even greater performance from existing equipment, or enables further development.

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Phase-contrast imaging will revolutionise X-rays

This may sound like science fiction, but computed tomography with reduced radiation exposure and the highest soft tissue contrast is likely to be a reality -- very soon. Named phase-contrast imaging, the method is an invention of Professor Franz Pfeiffer, Chair of Biomedical Physics at Munich Technical University, Germany. We asked him to explain the implications this development has for…

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Mathematical wizardry

Having previously presented the CT D’OR (CT with Double Optimal Reading) and ‘Oped’ (Orthogonal Polynomial Expansion on the Disc), a detector mask and a reconstruction algorithm that improve image quality whilst simultaneously lowering the radiation dose, Professor Christoph Hoeschen, at the Department of Medical Radiation Physics and Diagnostics (AMSD) at the Helmholtz Centre Munich, is…

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Iterative reconstruction

About two years ago iterative image reconstruction was officially introduced for CT imaging. Since then, no other technological innovation has raised more hope that the dose of X-ray based, cross sectional imaging can be significantly lowered. The possibilities of this procedure have not yet been exhausted.

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Regulators Work With Medical Industry on Radiation Protection

Putting patient safety first is a priority for both HERCA, the association of the Heads of European Radiological Protection Competent Authorities and COCIR, the European trade association representing the medical imaging, electromedical and healthcare IT industry, who are working together to address concerns related to radiation exposure in computed tomography (CT).

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Siemens Unveils Acuson S3000 in Chicago

Siemens Healthcare launched the ACUSON S3000, its latest ultra-premium ultrasound platform, at the 97th Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA) in Chicago, USA. The new system includes advanced automated ultrasound fusion imaging as well as multi-modality review capabilities to provide additional clinical and spatial information in the analysis…

For U.S. Adults, Medical Imaging Awareness Brings Clarity to Critical Healthcare Decision-Making

Amid increased scrutiny over medical imaging scans and the use of radiation, a new survey reveals that awareness and familiarity with medical imaging tests lead to clearer decisions for U.S. adults about their healthcare. The survey, released by the Siemens Radiation Reduction Alliance (SIERRA) – an expert panel established to advance the cause of dose reduction in medical imaging – evaluated…

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How information is turned into knowledge

If you look at the current – not to mention the future – challenges in the hospital environment the term information technology seems misleading. Surely there is no dearth of information. The foremost task of technology however is to turn information into knowledge. EH@Medica talked to Bernhard Calmer, Head of IT Sales, Siemens Healthcare, Germany, about the new knowledge technology and its…

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The Acuson S2000 ultrasound system

Siemens Healthcare reports that the firm’s new Acuson S2000 system includes the new multifunctional transducer 6C1 HD (high density) specifically designed for abdominal examinations, displaying even the smallest lesions at greater depths. At Medica, the company is also demonstrating its Virtual Touch Tissue Analytics technology, a proprietary implementation of Acoustic Radiation Force Impulse…

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ALPINION Medical Systems

The goals are ambitious: Although in the market merely four years, the start-up firm Alpinion Medical Systems states its intention to become one of the prime providers in the ultrasound segment with superior imaging and unique transducer technologies. In an interview with Daniela Zimmermann of European Hospital, Thomas Roth, Alpinion’s Managing Director, explains his corporate strategy and…

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Web-based education in dose reduction in radiology and nuclear medicine

Siemens Healthcare is the first medical engineering company to offer a Low Dose Information Center on the Web. This English-language platform for continuing education and information around the topic of dose reduction is aimed at doctors and clinical personnel. The range of topics covered includes basic information on X-ray radiation, technical innovations relating to dose reduction and sample…

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Image guided radiation therapy

Following the acquisition of an Elekta Axesse system, which provides 3-D image guidance technology for conventional and stereotactic radiation therapy techniques, Helsinki University Central Hospital (HUCH) in Finland reports that, after eight months its image guided radiation therapy (IGRT) of lung, brain, pelvis, head and neck tumours has increased by up to 30 patients daily.

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Diagnosing brain tumours - stick to the standards!

As a referral neuroradiologist for paediatric tumour studies, Professor Monika Warmuth-Metz, Consultant at the Neuroradiology Department at University Hospital Würzburg, daily evaluates MRI images of different origin and colour. Her resume states: ‘All too often the standard protocols set out in the guidelines are not adhered to, which makes evaluation and follow-up significantly more…

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Contrast-enhanced ultrasound - the benefits for children

For the paediatric radiologist an ultrasound system is as essential as a wrench for the mechanic, for three reasons, says Professor Michel Claudon, Head of the Department of Radiology at the Children's Hospital of Brabois, University of Nancy, France: ‘High image quality due to the low weight of children, which allows medium frequency, the absence of radiation and the possibility of performing…

PACS improves care in Italy’s largest children’s hospital

Located in Vatican City in the heart of Rome, the Ospedale Pediatrico Bambino Gesù not only profits from a literally blessed base but also from an advanced IT-infrastructure in the radiology department. For over a year and a half, the largest children’s hospital in Italy has worked with the Carestream PACS, connecting the institution with two cooperating sites, one in Palidoro, one in St.…

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Increased International cooperation between COCIR, JIRA and MITA

Last week, DITTA, the organization of medical trade associations COCIR (Europe), JIRA (Japan) and MITA (United States) held a two-day international regulatory meeting. The associations discussed ways to improve the global regulatory environment for the medical imaging, radiation therapy and health IT industries to ensure that member companies remain at the forefront of technological innovation…

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OrthoMIT

More than 30 clinicians, researchers and industry partners (including Siemens, Aesculap and SurgiTAIX, an RWTH spin-off) are working on OrthoMIT, Germany’s largest collaborative orthopaedic research project that aims to develop future strategies for knees, hip and spinal surgery. Anja Behringer reports

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MRI and plaque imaging

Cardiovascular disease is the leading cause of death in industrial nations. More than 50 percent of those deaths are associated with pathologies of the coronary arteries, despite the fact that luminal obstructions that lead to myocardial infarction or ischemia do not occur out of the blue. The initial symptoms are preceded by a whole slew of arteriosclerosis stages and the early detection of…

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Welcome to Vienna’s ‘international summit of sonography’

Extending a welcoming greeting to international delegates to the 13th World Congress of the World Federation for Ultrasound in Medicine and Biology (WFUMB), Congress Presidents Michel Claudon (WFUMB President), Gerhard Mostbeck (Chairman of the Organising Committee) and Christian Nolsøe (EFSUMB President), pointed out that this year’s congress in Vienna ‘…is a unique cooperation with the…

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‘Our products are competitive’

In recent years the ultrasound division of Siemens Healthcare appeared to be a Sleeping Beauty slumbering on in the shadow of large slice imaging equipment such as PET/CT and MR/PET, the medical technology giant’s favourite daughters. With many of the world’s wealthy princes, particularly from India, Brazil, China, and so on, knocking on Siemens’ doors, the giant has at last decided to wake…

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51 live scanning sessions at WFUMB

Although space limitations have reduced the number of live scanning sessions at past World Ultrasound Congresses, this year greater space at the Vienna venue has enabled the organisation of 51 live scanning sessions by Dr Christian Aiginger, consultant internist at the St. Josef Hospital Vienna Auhof, with Dr Helmut Prosch, Consultant at the Department of General Radiology and Paediatric…

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Fusion and Fly Thru - the new Aplio 500

Catastrophes draw people closer, as demonstrated by the development of the new high-end ultrasound scanner Aplio 500 from Toshiba. The clinical evaluation period took place during the tsunami and the nuclear catastrophe in Fukusima. Professor Thomas Fischer at the Radiological Institute, Charité Clinic in Berlin, was impressed by the enormous commitment shown by the Japanese firm’s engineers…

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Sectra and Philips sign mammography acquisition deal

Sectra and Royal Philips Electronics have signed an agreement under which Philips will acquire Sectra’s mammography modality operations. The cash purchase consideration amounts to EUR 57.5 million on cash and debt-free basis. The agreement also includes an additional possible earn-out EUR 12.5 million in accordance with specially agreed terms and conditions.

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31st German Senology Congress - More opportunities in breast diagnostics

Yes, it’s in beautiful Dresden again and -- as in 2006 when the city last hosted the Congress of the German Society for Senology -- this year’s Congress President is Professor Rüdiger Schulz-Wendtland (Department of Radiology, University of Erlangen). However, the repetition ends there; the congress topics will be anything but repeated. Report: Meike Lerner

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Single shot spectral mammography

No imaging modality is infallible -- not even mammography, the golden standard for early detection of breast cancer. Particularly in women with dense breast tissue, the diagnostic quality of conventional mammography frequently suffers in terms of sensitivity and specificity. However, the evolution of digital systems has produced technologies that optimise sensitivity as well as specificity and…

High hopes for elastography

Dr Bill Svensson believes that elastography has the potential to improve diagnosis of breast cancer, reduce the number of false positives in the detection of the condition and also lead to fewer biopsies performed as accuracy of imaging improves further. This June he highlighted the potential of elastography and the developments in the imaging modality at two sessions at the United Kingdom…

Hybrid PET and MRI Imaging on the Horizon

Preliminary research presented at SNM’s 58th Annual Meeting is breaking new ground for the development of a brand new hybrid molecular imaging system. Simultaneous positron emission tomography (PET) and magnetic resonance imaging (MRI) is providing important diagnostic information about soft tissues and physiological functions throughout the body. Scans focused on screening suspicious lesions…

Teheran - Emerging as a regional centre for diagnostic and interventional expertise

It was difficult to sing along in Farsi with the Iranian musical group at the Austria Centre Vienna, a first-ever event for the European Congress of Radiology. European radiologists were far more familiar with the work of their colleagues from Teheran, who have increased their participation in the ECR yearly and who have published their works in English for seven years in the Iranian Journal of…

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Maxi value in a mini machine

At first glance you think it’s a futuristic washing machine, or maybe an oversized designer amplifier. Actually, you are looking at GE’s Optima* MR430s. This is not only a real eye-catcher because of its exceptionally compact design (ever, for an MR scanner) but also due to the system’s truly smart function and performance.

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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 …

Contrast enhanced tumour studies

Medical imaging has recently advanced so rapidly that it should halt. Applying more power to computed tomography (CT) and magnetic resonance imaging (MRI) scanners is becoming too dangerous for patients and healthcare workers. Magnets for the next-generation MRIs are so powerful that they must be moved to a separate building on hospital campuses, while CT radiation levels have risen to alarming…

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Hologic Selenia receives EUREF certification

Hologic announced today that its Selenia Dimensions digital mammography system in two dimensional (2D) mode has been awarded “EUREF Type Test” certification by the European Reference Organization (EUREF) Council for Quality Assured Breast Screening and Diagnostic Services.

Lower Dose Without Compromising Image Quality

As the use of interventional procedures to diagnose and treat diseases increase worldwide, and the procedures grow in complexity and length, exposure to radiation is a growing concern for both clinicians and patients. GE’s Innova imaging systems help clinicians reduce radiation exposure without compromising the image quality they need to help them make confident decisions during interventional…

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Siemens presents its latest mobile X-ray system with a wireless detector

2011 Siemens launches Mobilett Mira, its first mobile digital X-ray system with a wireless detector. The detector sends image data via W-LAN to an integrated imaging unit and particularly facilitates examinations of patients that are critically ill and have only limited mobility. Moreover, a new, rotating swivel arm increases ease of use for the clinical staff. Mobilett Mira will be introduced…

ContextVision introduces new mammography and interventional radiology solutions at ECR 2011

ContextVision, the software imaging partner for the most recognized medical imaging manufacturers worldwide, today introduced two innovative solutions at the 2011 European Congress of Radiology (ECR). A mammography solution addresses current limitations of x-ray image diagnosis for the detection of breast cancer, while the interventional radiology solution helps achieve superior, real-time images…

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ECR 2011 - Cutting to the chase and priming radiologists to become clinicians

A major gathering of medical specialists presents not only a perfect time to summarise the status-quo but also to assess the role of the specialty in the future. This year’s European Society of Radiology Congress aims to reach far into radiological horizons by launching attendees into a radiological setting in the year 2025. ECR 2011 will also enter the 5th dimension of CT.

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PET-MRI - The right system at the right time

Thinking of the future of imaging, inevitably PET-MRI springs to mind. The fascination of this novel hybrid technology is great, seeing how it combines the best from three imaging areas: anatomy, function and metabolism. The further development of functional procedures in oncology is raising particularly high expectations. However, how extensive the use of this potentiated image information will…

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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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Sectra - Confident and able to count on its photon counting technology

SECure TRAnsmission, the main aim of a spin-off from the Linköping Institute of Technology, was established in 1978. From this beginning, the Swedish firm Sectra has evolved into one of the world’s leading players in PACS and mammography solutions. Although secure communication systems remains a core business, the medical section has constantly grown since 1988, when Dr Torbjörn Kronander…

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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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Proton therapy

As one of the most advanced forms of precision radiotherapy, proton therapy enables the irradiation of tumours located deep within the body, in the proximity of critical organs, such as the optic nerve or some brain areas. The Institut Curie has renovated its proton therapy centre in Orsay near Paris. Since 1991, when the original centre opened, it has treated over 5,000 patients (4,000 for eye…

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New healthcare products for the environmental portfolio

Siemens has incorporated three further healthcare products into its environmental portfolio: The Somatom Definition Flash computer tomograph, the Axiom Luminos dRF fluoroscopy system and the Ysio X-ray system have successfully completed both internal evaluation and an external audit. Backing up their clinical performance and energy efficiency, the devices present a convincing case thanks to their…

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A survey of dose levels in mammography in Swedish clinical practice

Breast cancer screening programmes are helping to reduce the mortality rates of women by finding cancer in its early stages when it is easier to treat. Sweden was one of the first countries in the world to introduce a screening program after succesful clinical trials in the 1980s. However x-ray radiation is also a risk factor for inducing breast cancer, meaning that a low radiation dose is…

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PET/MR receives CE Mark

Royal Philips Electronics is announcing CE marking for the industry’s first commercially available whole body PET/MR imaging system, the Ingenuity TF PET/MR*. This new system, being launched as the first new Philips modality in ten years, integrates the molecular imaging capabilities of PET with the superior soft tissue contrast of MR to image disease cells as they proliferate in soft tissue.…

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Celebrate the Power of Imaging: the European Day of Radiology

Imaging is an indispensable tool in modern medicine, yet very few patients know just how important it is. From cancer detection and therapy to diagnosing stroke or serious trauma in time, radiologists contribute to saving lives by covering every field of medicine. To raise public awareness, the European Society of Radiology will launch the 1st European Day of Radiology on February 10, in memory…

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Biomarkers - the hallmark of personalised medicine

"One size fits all" – the phrase is a fact of life in terms of the drugs available to treat cancer patients today. This solution can bear tragic results. Only 25% of cancer patients currently respond to this ‘one size’ drugs administration. In addition, 100,000 patients die annually, in the USA alone, from the side effects of those drugs. Personalised therapies that are devised to suit…

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Meaningful Innovations: Ingenuity CT and Ingenuity TF PET/CT

During RSNA, Philips announced the new Philips Ingenuity CT platform, an innovative technology that will help redefine low dose imaging. The Ingenuity CT features iDose4, Philips’ next-generation iterative reconstruction technique, designed to provide equivalent diagnostic image quality at up to 80 percent less dose; improve spatial resolution by up to 35 percent with up to 50 percent less…

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Article • Sonography

The future of radiology in the modern ultrasound lab

Sonography is a jack-of-all-medical-trades. Unlike magnetic resonance imaging or computed tomography it does not require radiation and it is not performed by a radiologist but by the experts in the individual clinical disciplines. Technical progress has turned sonography into much more than the “stethoscope of the 21st century” – a sophisticated imaging modality that requires special…

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RSNA 2010

A double-edged sword would be a good analogy for diagnostic imaging in 2010. New ways to utilise imaging technologies are being developed, imaging equipment is doing more, faster than ever, and image processing software is increasingly innovative. Today's radiology exams are ‘slicing’ through the body to reveal anatomy with increasing clarity for better diagnoses and therapeutic treatment…

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CT and PET - Improving radiation therapy planning

When planning radiotherapy the combination of positron emission tomography (PET) and Computed tomography (CT) can provide a better outcome than CT alone. Michael Krassnitzer asked Terri Bresenham MSc BSc, Vice President for Molecular Imaging at GE Healthcare, for her views on the value of PET/CT, the new EANM guidelines, novel tracers and the future of other hybrid imaging technologies.

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The potentiated value of MR-PET imaging

Even more precise diagnoses, even better process controls -- the future of MR-PET technology has dawned. The first commercial, full-body hybrid scanners are either waiting in the wings or already installed. But what does the introduction of the MR-PET really mean for clinical practice? Professor Heinz-Peter Schlemmer MD, Head of the Radiology Department at the German Cancer Research Centre in…

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Diffusion weighted whole body MRI

Malignant diseases rank second in mortality rates in Germany. These patients thus receive a major proportion of ambulant and hospital care, with apparent socioeconomic consequences. To optimise treatment planning, for all solid tumour entities it is mandatory to delineate or stage the primary extent of tumour invasion and spread prior to therapy as precisely as possible.

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The Oslo Tomosynthesis Screening Trial

Digital breast tomosynthesis (DBT) is a promising new technology that acquires 3-D breast images. The individual images are presented as thin, high-resolution slices, which can be displayed individually or in a dynamic cine mode. Preliminary studies in a clinical setting have demonstrated that this new technology has the potential to improve not only the breast cancer detection but also to reduce…

The Oslo Tomosynthesis Screening Trial

Digital breast tomosynthesis (DBT) is a promising new technology that acquires 3-dimensional images of the breast. The individual images are presented as thin high-resolution slices that can be displayed individually or in a dynamic cine mode. Preliminary studies in a clinical setting have demonstrated that this new technology has the potential to improve not only the detection of breast cancers…

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The Heinz Nixdorf Recall Study

Initiated in 1999, the Heinz Nixdorf Recall Study involved 4,814 European participants. The results proved, for the first time, the connection between coronary calcifications and the risk of heart attack, according to scientists at the University Hospital in Essen. The finding by no means exhausted the potential inherent in the surveys. Subsidised until 2013, researchers are examining coronary…

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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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Rethink breast cancer surgery

Italian surgeon and oncologist Prof. Dr. Umberto Veronesi, Founder and Scientific Director of the European Institute of Oncology in Milan and former National Health Minister (2000 – 2001), is considered to be one of the biggest authorities on breast cancer research of our time. Many breakthrough changings in cancer medicine sustainably go back on his researches, which once earned him also a…

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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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Ethianum in Heidelberg with future proof infrastructure

The Ethianum in Heidelberg is one of the first clinics in Germany to align itself consistently according to sustainability criteria, thus making it a hospital in keeping with the spirit of Siemens' Green+ Hospital Program. Working in partnership with the Ethianum, Siemens has developed and implemented comprehensive solutions: These include energy management, patient care, and the communications…

Ultraviolet light - an invisible weapon against MRSA

A few years ago, Dr Peder Bo Nielsen MD FRCPath, Consultant medical microbiologist at Northwick Park Hospital, London, UK, launched a research programme on airborne transmission of nosocomial infections. Until then, so called air-biology held no high priority in infection prevention and control. The prevailing perception was that colonisation and contamination mainly happens due to direct contact…

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The ultra-high-field MRI symposium

Early problems of ultra-high field Magnetic Resonance Imaging (MRI) have been overcome by successful development of adequate hardware. In consequence big efforts have been achieved in structural imaging, as well in functional imaging. Basic scientists and physicians who work in ultra-high-field MRI in Europe and the USA, met at the Berlin Ultra-high-field Facility (BUFF), in the Max Dehlbrück…

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EUREF certification for Selenia

Hologic announced that the Hologic Selenia® digital mammography system with a tungsten tube has received “Mammographic Type Test” certification by the European Reference Organization (EUREF) Council for Quality Assured Breast Screening and Diagnostic Services. The Hologic system is the first mammography system of any type to receive this certification.

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The value of tomosynthesis in breast diagnostics

The MVZ RNR Leverkusen Am Gesundheitspark (Germany), part of the RNR MVZ GmbH Association, is one of the most important breast diagnostics centres in the region, treating tens of thousands of patients annually. In line with this full capacity utilisation, the equipment at the practice is of the highest standard. Recently, tomosynthesis was installed, enabling the centre to offer patients the…

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Launch of Optima CT660 at German Congress of Radiology

GE Healthcare has now announced the sales launch of the Optima CT660*. The new system is a modular, all-round computer tomography (CT) product for all applications that uses extremely low doses of radiation, is economical with electricity and is extremely cost-effective. It is especially suitable for use in clinics and general hospitals. GE Healthcare is unveiling the groundbreaking 64-slice CT…

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Breast Care Solutions from Siemens at the German Radiology Congress

Siemens Healthcare was presenting its latest solutions for the early detection and treatment of breast cancer at the German Radiology Congress in Berlin. These Breast Care Solutions include a variety of imaging procedures, such as ultrasound, mammography, and magnetic resonance imaging (MRI), supplemented by IT and laboratory diagnostic solutions. Siemens places special focus on the third…

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Re-inventing mammography

The overall success of MRI in diagnosing breast cancer and the exploding demand for breast MRI, in particular, have caused a scanner shortage in much of Europe. Dr Jean-Pierre Pruvo, Chairman of the French Society of Radiology, recently raised the alarm: ‘We have hundreds of thousands of women in France at risk for breast cancer, yet we do not have the means to provide a breast examination by…

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Single Shot Spectral Imaging

The limitations of mammography are well documented, yet it is still the gold standard in breast cancer detection - particularly due to the positive cost-benefit ratio. Due to prohibitive costs, MRI exams are performed only in well-defined cases. The HIGHREX project (www.highrex.eu) aims to evaluate Single Shot Spectral Imaging (SSSI) technology for use in mamma diagnostics.

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iPhones and healthcare

January saw the release of a German language version of Radiation Passport, an iPhone application that enables patients to calculate estimated radiation exposure from diagnostic imaging procedures and keep a personal record of their examinations. Radiation Passport costs US$3.99; by the end of 2009 over 1,000 English language versions were sold.

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Radiology and Management

Professor Jörg F. Debatin, MD MBA, Medical Director and Chairman of the Board of University Hospital Hamburg-Eppendorf (UKE) opened the session with his presentation “The role of radiology in the strategic planning of medical centres”. He discussed possibilities to effectively explore the hidden potential of diagnostic radiology services.

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IT and Networking

The key to implementing PACS installations networked to multiple hospitals is fully to establish in advance exactly what clinical scenario needs to be satisfied. In her lecture, Dr Nicola H Strickland BM BCh, at Imperial College Healthcare NHS Trust, London, UK, spoke about the several possibilities, as well as the requirement and challenges which have to be considered in each scenario.

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Radiology and the Law

The threat of litigation is becoming an increasing area of concern in radiology circles. The changing role of the radiologist with a growing workload and more information now available in imaging examinations, have combined with an expectation of greater accuracy from patients to raise the threat of radiologists being sued. This threat has reached such a level that for the first time, radiology…

Nuclear medicine fuses with radiology in joint session

A special feature of this year’s scientific program at ECR 2010 was a joint session organized by the European Association for Nuclear Medicine with the European Society of Radiology. Two speakers representing the EANM took the podium to review developments in nuclear medicine and to challenge colleagues on specific applications.

New approach to reduce dose

GE Healthcare is highlighting advanced solutions that drive the efficiency of diagnostic imaging at the European Congress of Radiology (ECR), 2010. Complementing the company’s ‘healthymagination’ initiative of reducing healthcare costs through timely care, GE Healthcare is highlighting a range of Computed Tomography (CT) imaging solutions including Adaptive Statistical Iterative…

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Meeting women halfway

Within Germany’s mammography screening programme, more than 10 million women, aged between 50 and 69 years, are entitled to a breast examination. It’s taken just over a year for all 94 of the country’s screening units to open their doors to meet this demand comprehensively.

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Philips' Imaging Highlights at ECR 2010

At ECR 2010, Philips launches the GEMINI LXL, the newest PET/CT scanner, offering many of the features available on premium systems for those working in the clinical areas of both radiology and oncology. Also making its European debut is DoseAware, a new dose-saving solution for interventional procedures. Furthermore, Philips presents its new Sonalleve MR-HIFU Fibroid Therapy system, which offers…

US radiologists wake up to risks from high radiation doses

An estimated 70 million CT scans are performed annually in the USA, a threefold increase since 1993. US physicians rely on CT scans and other diagnostic imaging procedures to make accurate and speedy diagnoses and, until recently, they have not questioned the radiation dose exposure the patient receives. However, this attitude is changing, as physicians and other medical professionals realise…

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Siemens showcases advanced ultrasound solutions

At the European Congress of Radiology (ECR) 2010 in Vienna, Siemens Healthcare presented its innovative ultrasound solutions. The highlight this year was the new release of its premium Acuson S2000 ultrasound system featuring significant advancements in ARFI technology (Acoustic Radiation Force Imaging) for the detection and quantification of tissue. Combined with a 3D breast volume scanner…

Sectra to show latest advancements in wide area radiology

At ECR 2010 in Vienna, Sectra focus on solutions for increased productivity. Sectra RIS/PACS is a performance solution for wide area radiology. Built on the latest Sectra RapidConnectTM technology, it allows radiologists to work from any location that offers reasonable Internet access and to share images and information between multiple locations with ease.

Mammography with lower dose

Digital mammograms deliver an average of 22% less radiation than film mammograms, according to a study partially funded by the National Cancer Institute and published in the American Journal of Roentgenology, Reuters reports. For the study, researchers analyzed the results of the 2005 Digital Mammographic Imaging Screening Trial involving 49,528 women. That trial found that digital mammograms…

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Screening and colorectal cancer

Colorectal cancer is a suitable target for screening when it has a relatively high incidence – the second highest cancer incidence among women and third among men in Europe – and has a high mortality (~50% are expected to die of the disease), but can be cured if detected at an early stage.

Italy’s first proton therapy centre

Agenzia Provinciale Per la Protonterapia (ATreP) has signed a contract with Ion Beam Applications S.A. (IBA), based in Luvain-La-Neuve, Belgium, for the installation of a proton therapy centre in a new hospital planned for Trento. Over the next 15 years, IBA will provide the construction, installation and technical operation of this the first gantry-equipped proton therapy-dedicated centre in…

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The future of MRI in Europe - Safetey yes, exposure limits no

The Alliance for MRI aims to ensure that the threat posed by the EU Physical Agents 2004/40/EC (EMF) to the future of MR is averted and that patients in Europe will not be precluded from state-of-the-art healthcare services. In early 2010 the European Parliament and Council will be sent a proposal from the European Commission to amend Directive 2004/40/EC on electromagnetic fields. This revision…

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Tumors under fire

Oncologists have a dream: they want to use highly energetic ion beams in good quality and accurately defined dose for a pin-sharp and cost-effective radiation treatment of tumors. Modern techniques based on intense laser pulses may in the future replace expensive conventional particle accelerators. A team of physicists of the Cluster of Excellence "Munich-Centre for Advanced Photonics" (MAP) lead…

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RSNA 2009

Quality counts. That's the theme of RSNA 2009, the global annual assembly of radiologists, medical physicists, diagnostic imaging clinical and IT professionals, and more than 700 companies that provide products and services. For six days, over 200 scientific sessions with more than 1,500 presentations, 1,500 educational exhibits, and more than 500 posters, many interactive, can be attended and…

Sweden in Chicago

At RSNA 2009 in Chicago, Sectra focus on solutions for increased productivity. Sectra RIS/PACS is a performance solution for wide area radiology. Built on the Sectra RapidConnect technology it enables efficient workload sharing across multiple sites, even for large image stacks over strained networks. This way, Sectra RIS/PACS provides the opportunity to cope with ever-expanding challenges such…

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The first whole-body MRI-PET system

The technological integration of positron emission tomography (PET) and magnetic resonance imaging (MRI) has been the dream of molecular imaging experts and engineers for some time. Now, the German Science Council has agreed to provide 6.56 million funding to install a whole-body MRI-PET prototype in the centre of excellence for imaging procedures at the radiology clinic in Eberhard-Karls…

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Hepatocellular carcinoma

Cases of hepatocellular carcinoma (HCC), one of the most frequently occurring cancers throughout the world, are expected to increase dramatically in the next 10-15 years in Germany alone. The main reason is the increased occurrence of fatty hepatitis. Thus, in the future, interventional radiologists will also be increasingly involved in HCC patients treatment.

Safeguarding the future of MRI

Europe holds a leading position in the research and development of MRI, which has been used for over 25 years, imaging up to 500 million patients without evidence of harm to workers due to EMF exposure. It is also well known that MRI is free from health risks associated with ionising radiation such as X-rays, in many situations the alternative to MRI

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40 years of MEDICA

When we organised the first Diagnostic Week in Karlsruhe, in 1969, no one could have known that this event would one day turn into the annual highlight in the world of medicine, reflected Dr Wolfgang Albath, laboratory medicine pioneer and one of the founding fathers of MEDICA the world`s largest medical trade show. Initially planned as a moving exhibition, the show has been based in…

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PET-CT vs. whole-body MRI

For many indications, because PET-CT produces a very high accuracy for many tumours, this modality is the gold standard, Prof. Reiser confirmed. It also enables good observation of the course of the disease. After an injection of radioactive tracers we can visualise increased metabolic activity in great detail and with high sensitivity. This is an increasingly important issue not only in primary…

Eröffnung des Heidelberger Ionenstrahl-Therapiezentrums (HIT)

Am 2. November wurde das Heidelberger Ionenstrahl-Therapiezentrum (HIT) feierlich eröffnet. Die am GSI Helmholtzzentrum für Schwerionenforschung in Darmstadt entwickelte Krebstherapie steht nun erstmals im Routinebetrieb einer großen Patientenzahl zur Verfügung. Bislang wurden Patienten ausschließlich am Therapieplatz bei GSI behandelt. Die Therapie mit Ionenstrahlen…

Benefits of surgery for prostate cancer

According to a major recent study, appearing in the July 27 issue of the "Journal of Clinical Oncology," there is a definite downstaging trend for prostate cancer. The study, which surveyed almost 13,000 American men who had a radical prostatectomy (surgical removal of a cancerous prostate gland) between 1987 and 2005, found that only 12% of them died of the cancer. This is great news, according…

Role of New Software and Technology

In the last fifteen years, myocardial perfusion SPECT imaging (MPI) has been performed most commonly by dual-head conventional scintillation cameras with parallel-hole collimators, configured in a 90ºdetector geometry and image reconstruction based on standard filtered back projection (FBP) algorithms. Such arrangement, although clinically well established suffers from important limitations…

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Siemens Biograph mCT PET/CT

Siemens Healthcare reported at the annual meeting of the European Association of Nuclear medicine (EANM) in Barcelona, Spain, that leading hospitals in England, France, Germany and Monaco have shown strong interest and adoption of the Biograph mCT, the worlds first molecular CT, to fuel advanced diagnostic capabilities and to drive greater workflow efficiencies.

New European Academy of Cancer Sciences founded

A new initiative designed to inform and educate policymakers at national, European, and global level about the needs of the oncology community was launched at Europe's largest cancer congress, ECCO 15 — ESMO 34, in Berlin. The European Academy of Cancer Sciences will help to keep the interests of cancer patients at the forefront of the policy agenda, and avoid policy decisions that had a…

Validation of the value of cardiovascular MR

After two years of intensive work the results from the German pilot phase of the EuroCMR Register are due to be published in the forthcoming issue of the Journal of the American College of Cardiology*, and also presented and discussed in detail at this year's ECR in Barcelona.

Berlin's treatment centres

Founded and managed by Prof Peter Schlag, the Charité Comprehensive Cancer Centre (CCCC) co-ordinates cancer diagnostics and therapies across all medical disciplines. Interdisciplinary tumour boards decide on therapies/strategies; cooperation is close with general practitioners, regional hospitals and clinics.

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New Skin Cancer Patch: Possible Alternative to Surgery

A new study shows that a radioactive skin patch can safely and successfully treat basal cell carcinoma, one of the most common types of skin cancers, according to researchers from India. The skin patch, which delivers the radioactive phosphorus-32, is nontoxic and could be an excellent alternative to surgery or radiotherapy in cases where carrying out these treatments is difficult.

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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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29th Annual Congress of the German Society for Senology

Every year the German Society for Senology congress facilitates interdisciplinary breast cancer discussion between gynaecologists, radiologists, surgeons, pathologists, internists, radio-oncologists and plastic surgeons. In an interview with Karoline Laarmann, of European Hospital, radiologist Professor Ingrid Schreer (right), head of the Breast Centre at the University Women's Hospital in Kiel,…

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20 years of hospital-based proton therapy

Although the potential of proton therapy was recognised over half a century ago, and since its development is now known to deliver a radiation beam accurately into a tumour without damaging surrounding tissue, high equipment costs limit its general introduction. Mark Nicholls reports on a British hospital with two decades of experience in its use - and value

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Austria's ground-breaking ion-therapy and research centre

Not long after the first earth was moved on a site in Wiener Neustadt (Vienna's Newtown), in the County of Lower Austria, and tests were carried out to ensure the long-term stability of a particle accelerator and weighty equipment in treatment and research facilities, we spoke with Professor Ramona Mayer, Medical Director at EBG MedAustron GmbH, about the firm's planning and future operation of…

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Breast screening in the Netherlands

The Dutch screening programme, which began in 1990, invites women aged 50-75 years for mammography screening every two years. Today, the national programme is undergoing considerable regional re-organisation. As one of a team of 12 radiologists at the Alkmaar Medical Centre, Dr Shirley Go is responsible for Mammography and Screening in a large Dutch region. Daniela Zimmermann, asked Dr Go about…

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MR Breast Care with Open Bore — and it's Pink!

On this years ECR Siemens Healthcare presents its dedicated MRI breast scanner. With it's pink design it immediately catches the eye on the company's booth. In an interview with EH, Boris Tolkien, Vice President Marketing Magnetic Resonance, Siemens Healthcare pointed out the highlights of the 1.5 Tesla system beyond its colour.

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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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Cardiovascular MRI

The role of magnetic resonance imaging (MRI) to assess the effect of therapy in patients with acute myocardial infarction was demonstrated in a series of papers during the 12th Annual Scientific Sessions of the Society for Cardiovascular Magnetic Resonance (SCMR), held in Orlando, Fla. USA (29 Jan - 1 Feb).

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Open MRI systems

In Europe, when you think of medical imaging technology the obvious names spring to mind: Siemens, GE, Toshiba and Philips. However, Hitachi, already a world leader in permanent magnet MRI, and with a reputation in open MRI systems, has a keen eye on the European market. According to Jan Reijnen, the firm´s Product Manager for MRI/CT in Europe, Hitachi has already installed more than 5,000 open…

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MR-guided radiotherapy

Real-time image guidance during radiation therapy could prove the ultimate means to ramp tumour targeting accuracy and enable real-time tracking of moving targets. MR imaging enables precise soft-tissue visualization with no additional ionizing radiation exposure. Unfortunately, MR systems and linear accelerators are inherently incompatible and some innovative design work is required for them to…

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A free-to-download spectrum generator

The Institute of Cancer Research in London, UK, offers a new research tool for calculating emission spectra from X-ray systems on their website. The SpekCalc computer programm is made available free of charge to medical physicists who need to describe the spectrum generated by an X-ray set used in radiotherapy and diagnostic radiology.

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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…

Tele-oncology proves successful in Canada

An estimated 6.7 million people in developed countries were diagnosed with cancer in 2007. Delivering their care is no easy matter. Tele-oncology, the remote provision of oncology services, could not only reduce the costs of consultations for cancer departments, but also for patients. Kerry Heacox, of i.t. Communications, reports on the success of remote consultations in Labrador and Newfoundland.…

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GE Healthcare Launches Discovery PET/CT 600

GE Healthcare showcases its intelligence in PET/CT technology by introducing the latest addition to its PET/CT family, the Discovery PET/CT 600 at the 94th annual Radiological Society of North America annual in Chicago.

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Live 3-D trans-oesophageal echocardiography

In 2007, Professor Andreas Franke, of Aachen University Medical Center, Germany, was the first cardiologist in Europe to perform minimally invasive cardiac catheterisation procedures under live 3-D ultrasound guidance.

The impact of laser technology on medicine

The construction of the first fully functional laser in 1960 was not just an important milestone in physics; it paved the way for numerous innovations in various medical applications. Recent technologic developments and the latest results from research and application in laser driven therapy, diagnostics, and production, were presented and discussed in the context of a workshop,

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The power of cardiac imaging and the invasive cardiologist

Progress in cardiac imaging diagnostics has made cardiac catheterisation less common. What may sound like 'fishing in foreign territory' is in reality the chance for interventional cardiologists to concentrate on, and specialise in, more innovative invasive procedures.

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Scanning children

A growing number of Dutch hospital doctors now favour ultrasound (US) over CT scans to detect appendicitis in children. This trend has re-opened the US v. CT debate over which diagnostic method is more effective, cost-effective and safest for a child's longer-term health needs.

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ACUSON S2000 with Virtual Touch improves liver diagnosis

Siemens Healthcare is showing a very innovative application on the new ACUSON S2000 ultrasound system. “The software packages Virtual Touch tissue imaging and Virtual Touch tissue quantification represent the clinical realisation of a method, previously known as Acoustic Radiation Force Impulse (ARFI) technology”, the firm explains.

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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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C-Arm technology in daily use

Last year, orthopaedics and sports medicine specialist Dr Rainer Burgkart (left), who is also a musculoskeletal researcher, selected a new C-Arm for use at the Technical University of Munich (Klinikum rechts der Isar). Recently, we asked him for the reasons behind this choice and his subsequent experience with this device.

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The whole diversity of breast cancer diagnostics

'Diagnostics is not diagnostics, not even when it relates to a specific indication such as breast cancer,' says Professor Walter Heindel MD (right), who heads the Munster Mammography and Breast Centre Reference Centre at Munster University Hospital, focusing on the dissimilarities among patient groups and their peculiarities.

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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.

UK: Rosie's energy-saving programme saves £-thousands

In May 2006 the Rosie Hospital, in Cambridge, UK, launched a competition challenging staff to suggest ways to save energy or time. Many came up with energy saving ideas. This resulted in the creation of the Rosie Energy Awareness programme. Monitoring energy usage of various items of medical equipment within hospital, for example ultrasound machines, the energy statistics provided staff with a…

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EVINCI

The European multi-centre, multi-modality cardiac imaging project that could lead to a more intelligent and less costly use of today's technology in cardiac care.

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