
Article • Emergency care
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Emergency medicine requires smooth, patient-oriented and perfectly timed cooperation of several clinical disciplines.

Emergency medicine requires smooth, patient-oriented and perfectly timed cooperation of several clinical disciplines.

The prostate remains the only organ where random biopsies are performed to find cancer, notes Jean-Michel Correas MD PhD, from the Necker University Hospital in Paris. If we proposed this approach to a woman to search for breast cancer, it would be outrageous, he said.

Andrea G. Rockall, Consultant Radiologist at the Royal Marsden Hospital and Visiting Professor of Radiology at Imperial College in London, delivered the prestigious Wilhelm Conrad Röntgen Honorary Lecture at ECR 2016 on ‘Imaging the invisible killer: towards personalisation of ovarian cancer care’.

Personalised medicine relies strongly on biobanking in which medical data are collected on a large scale. Large scale refers both to the amount of data collected per patient as well as to the large number of patients included in the data collection. Although most attention in biobanking has been given to genetic data, proteomics, metabolomics and other –omics technologies, imaging is also being…

‘In imaging there is a trend towards quantification,’ said Professor Siegfried Trattnig, Medical Director of the High-Field MR Centre (HFMRC) at the Medical University Vienna, Austria. Whilst before, radiologists’ findings were subjective, qualitative results, based on signal intensity and grey scale, he pointed out. ‘Today imaging can draw on quantifiable and comparable parameters with…

The current political framework changes healthcare structures and competitive dynamics for medical services providers. These issues were raised at the 11th Management and Strategy Congress MARA (Management in Radiology) in Bonn, in autumn 2015. Dr. Martin Maurer, one of the congress organisers, explained: ‘The objective of the MARA Congress is not to hold pretty lectures but primarily to…

Paediatric imaging is a subspecialty that uses a diverse range of imaging systems, from classical X-ray to ultrasound, CT and MR.

Living in a small Mediterranean island has its own advantages; nevertheless there are certain limitations. In healthcare, for example, resources may be somewhat more limited in such a small country and some of the latest technologies may not always be available to patients.

‘Already used in adults for several years, elastography is a promising tool in paediatric imaging,’ according to radiologist Dr Mehrak Anooshiravani-Dumont, from Geneva University Hospital. ‘It allows detection of changes in the mechanical properties of tissues, such as fibrosis, based on viscoelastic characteristics.‘

Seattle-based medical ultrasound systems manufacturer SonoSite has aimed to take ultrasound to the point of care (POC) since it was owned by ATL. The parent company had gained a contract from the Defence Advanced Research Projects Agency (DARPA) to develop a lightweight ultrasound device for military use.

The trend in radiology is towards an increasing split into subspecialties such as interventional radiology, paediatric radiology or neuroradiology, which, with the growing complexity of this field, are becoming more independent of each other.

If you are taking note of any breakthrough in ultrasound, here are two names you will want to put at the top of your ECR 2016 notebook: Resona7 and ZONE Sonography Technology.

Radiology is going beyond assessing body fat, bringing a notable contribution in weight loss therapy. Clifford Weiss from Johns Hopkins University is one of the pioneers of a new procedure, bariatric arterial embolisation, details of which he will unveil at the ECR 2016.

With precision imaging playing a greater role in daily radiology practice as patients receive ever more personalised care, the detail and extent of that shift is outlined in the ECR session ‘Personalised radiology: myth or reality?’, which includes a presentation from renowned radiologist Professor Gabriel Krestin, chairman of the radiology and nuclear medicine department at Erasmus MC,…

Last year, the DMS Group acquired 100% of the capital of AXS Medical, a French start-up specialized in developing diagnostic tools used for spinal pathologies.

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.

The annual congress of the ESR is a great showcase for the latest advances in the imaging sciences and an important platform to see where the industry is heading.

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

A pioneer in cone beam computed tomography (CBCT) imaging, NewTom recently introduced the only CBCT system with an open gantry and supine positioning, which the firm reports is ‘…ideal for a host of diagnostic needs. Exceeding the limits posed by CT systems, the NewTom 5G XL combines high diagnostic resolution with minimum patient exposure.’

Results from recent trials are promising: an almost 40% increased breast cancer detection rate from digital breast tomosynthesis (DBT) screening compared to conventional mammography.

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.

Tomosynthesis is an advanced application that allows a multi-slice acquisition and provides a reconstruction of a volume. Several acquisitions at low dose are acquired with a single sweep of the X-Ray tube around the region of interest.

Vendor Neutral Archives (VNA) will become an integral part of every hospital in the near future. So what’s a VNA?

Big data has the potential to offer a better understanding of how to aggregate clinically relevant data on a large scale and deliver better computer aided diagnosis algorithms and tools.

Interstitial lung diseases (ILD) are rare – yet they are far more difficult to diagnose and highly variable. Professor Julien Dinkel, consultant at the Institute of Clinical Radiology, Ludwig Maximilian University Hospital in Munich, deals with these rarities.