Fame 2 rates FFR as a new gold standard
John Brosky reports on a ground-breaking trial and how CT-FFR may change the practice of invasive cardiology and cardiac surgery.
CT
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.
Future radiology infrastructures
When asked about his vision of imaging in the year 2020, Professor Bernd Hamm MD, director of the three radiology clinics at the Charité University Hospital in Berlin, qualified his focus: ‘Technology is always only a vehicle. When we talk about road traffic, we don’t talk about the design of cars but about structural issues’
Liver Imaging
For his Wilhelm Conrad Röntgen Honorary Lecture at ECR 2011, Professor Richard Baron MD, from the Radiology Department at the University of Chicago, USA, focused on Detecting liver tumours: the search for the Holy Grail. Why does he compare this aim with that of the medieval knights?
The dose stops here
Low doses are a major issue among radiologists – but dose management for every single patient, every single system and across modalities is a quite different issue
COPD: screening, comorbidity, mortality
Despite some decline in cigarette consumption during the last decades, chronic obstructive pulmonary disease (COPD) remains a major public health concern. COPD is among the top five leading causes of chronic morbidity and mortality in the US and in Europe. Nevertheless, COPD is substantially underdiagnosed.
Dose reduction for pregnant patients with thromboembolic disease
Suspicion of venous thromboembolism (VTE) in a pregnant patient will quickly bring a radiologist to a choice, where the next step holds potentially significant consequences for both the mother and unborn child.
Strategies for radiation dose reduction in vascular CT
Radiation dose reduction in CT angiography can be achieved by reducing the kV settings, reducing the tube voltage, the tube current and by using iterative reconstruction algorithms.
Looking beyond the lungs: don’t forget the cardiac structures!
So close yet so far away! A fitting description of many diagnostic examinations of heart and lungs. Modern imaging modalities allow these two neighbouring organs to be evaluated together, nevertheless it is rarely done.
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…
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…
Demystifying pulmonary thromboembolism can change patient management
“With all that has been published in the past year on this subject, we will not lack interesting things to highlight and discuss during this session,” said Martine Remy-Jardin, MD, Head of Cardio-Thoracic Imaging at the University Centre of Lille, who will present an update on CT Imaging for thromboembolic disease on Friday afternoon at ESTI 2012.
Technology meets philosophy: dose optimisation
Imaging of the chest is the most common radiological examination worldwide. With the incidence of respiratory problems and lung cancer growing, all radiologists should be familiar with the appropriate imaging protocols. In a field dominated by chest x-ray (CXR) and CT, controlling radiation dose is mandatory.
Early detection of fungal infection critical for immunocompromised patients
Despite the increasing capabilities of CT to detect or identify disease, fungal infections continue to elude diagnosis by imaging. Paradoxically, a CT examination has been demonstrated to be a powerful tool, helping to identify a probability of infection among immuno-compromised patients early enough to effectively treat the condition.
CT use increases for CAD diagnosis
Computed tomography (CT) has become central to the diagnosis and characterisation of coronary artery disease (CAD) and, in the future, could even supplant invasive coronary angiography as the technology increases sensitivity.
Imaging hip joint replacement
Ultrasound and radiography are helping to identify causes of failures and patient pain from hip joint replacements.
Working at the heart of Arizona Heart
Among the area’s top cardiac and vascular disease specialist hospitals, Arizona Heart has invested in several technological advancements over the past year, including Ziehm Imaging’s digital flat panel C-arms for its three advanced technology suites.
Radiologists reassert role in assessing blunt trauma
This year the European Society of Radiology formally recognized Emergency Radiology (ESR) as a sub-specialty putting its full support behind this critical practice area with a scientific subcommittee to encourage specialized research.
Strategies for radiation dose reduction in contrast enhanced CT
Recent years have seen growing awareness among radiologists about the radiation burden delivered by computed tomography. And the amount of exposure is continuing to grow, despite the ability of modern CT scanners to provide good image quality at lower dose.
Agfa unveils new table-top CR
New CR 10-X is a cost-effective entry into computed radiography, without compromising on image quality. Robust yet easy-to-install and maintain solution, offering streamlined and integrated workflow.
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…
Traumatic brain injury: The silent epidemic
Traumatic brain injury (TBI) is one of the world’s biggest public health problems. In the USA, for example, about 1.7 million people sustain TBI every year, costing healthcare $76.5 billion. Yet, the public knows little of the significance of TBI and also it once received the nickname ‘silent epidemic’ by the American Centres for Disease Control and Prevention (CDC).
What´s new in breast MRI, tomosynthesis and elastography?
MRI: Although an area of constant debate, this is becoming a widely accepted clinical modality in Europe. However, researchers in The Netherlands have shown that performing pre-operative breast MRI in all women with invasive lobular carcinoma (ILC) can reduce the need for re-excision.
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.
What´s new in neuroradiology and interventional radiology?
When scanning seizures, Dr Walter Kucharczyk, director of MRI at Toronto General Hospital, believes that MRI still remains the best imaging test to discover if there is an anatomic or structural abnormality that might account for a seizure.
