Imaging

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.

ESTI previews updated ATS / ERS classification for IIPs

“This is breaking news, which just happens to coincide with the ESTI meeting,” said David Hansell MD, who will present a preview of the as-yet unpublished update to the ATS/ERS classification for idiopathic interstitial pneumonias (IIP).

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…

A Plethora of Techniques‘ emerging for thoracic intervention

“On a day-to-day basis, each of us in thoracic imaging is dealing with a large number of patients with pulmonary metastasis or lung cancer,” said Christoph Engelke, MD. “These patients have been targeted by different chemotherapies and surgical therapies. Yet the prognosis in advanced lung cancer stages has not been changed.”

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.

Learning to ‚eyeball‘ where diagnosis is more art than science

If you are new to the ESTI meeting, a resident or a junior in the radiology group, then this is the course you do not want to miss,” says Katharina Marten-Engelke. On Saturday morning, she will moderate a course on HRCT basics from some of the leading experts in the field to provide an overview. The second half of the two-hour course promises to be challenging, even for very experienced…

Tumor ablation brings promise

More and more patients with lung cancer are being treated with thermo-ablation techniques, and radiologists are increasingly being confronted with images from these patients that may be difficult to interpret.

Celebrating 20 Years of ESTI

This congress was a celebration, marking 20 years since the founding of ESTI, which began as a small group of founding members and has grown to become thriving society contributing to the education in Europe and encouraging worldwide.

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.

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.

New TMN descriptors linked to outcomes to improve patient care

When Lorenzo Bonomo, MD, first highlighted the growing importance of imaging for the staging of lung cancers, as the leading author of a highly regarded paper published in European Radiology, it was 1996. At that time the TMN system of descriptors for classification of lung cancers was in its 4th Edition, endorsed by professional societies worldwide, based exclusively though on a single database.

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.

Optimised imaging challenges biopsy, but remains ‚ silver´ standard

“The powerful capabilities for thoracic imaging can often be sufficient to make a diagnosis to treat the patient,” notes Philippe Grenier, MD. If CT findings, for example, are typical for idiopathic pulmonary fibrosis, there should no longer a need for a biopsy, which is good for the patient.

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.

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…

Teleradiology use in Europe

A new survey brings fresh insight into radiologists’ thoughts on teleradiology in Europe. Conducted by radiologist Dr Erik Ranschaert from the Jeroen Bosch Hospital, Den Bosch, The Netherlands, the findings were presented in March to a Special Focus Session at the European Congress of Radiology in Vienna. Mark Nicholls reports.

New network could lower accidents mortality

Surgeons and radiologists unite to ease image transfers. Around 30-35,000 people a year are severely injured in accidents and need urgent, appropriate and competent care within minutes. The TeleCooperation TNW project, a new development in Germany’s medical care for severely injured patients, links with several hundred hospitals to ensure the rapid transfer of image data across the country.

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).

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.