Facial genetics and forensics take centre stage at ECR

Watch this session on ECR Live: Friday, March 3, 10:30–12:00, Room B
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Forensics and facial genetics will be in the spotlight at ECR 2017 as the ‘ESR meets Belgium’ session offer a look at medical imaging’s most original contributions to healthcare and crime investigation.

Advanced decomposition of brain MRI or facial 3D surface images into modules, tailored for associations with underlying genetic variations.

Dr. Peter Claes from Leuven, Belgium, will present his work in facial genetics in a session titled ‘Imaging genetics and beyond: facial reconstruction and identification’.

Claes is a senior research expert in the Medical Image Computing research group of the Processing of Speech and Images division of the Electrical Engineering department at Leuven Catholic University.

He uses CT, MRI and 3D surface imaging modalities to grasp the link between people’s appearance and underlying genetic variations.

“Your appearance is genetically driven. In families there’s a strong link, even more so between identical twins, who share the same DNA profile and almost the same face. Physical features also influence your brain, the way you think. A lot of facial characteristics are shared, for example in Down’s syndrome patients, who present with the same features whether they are European or Asian,” he explained.

The link between genetic disorders and facial genes has been of interest to scientists for a while, but research is slow and tedious.

Claes became interested in facial genetics after working in craniofacial morphometrics to help correct morphological abnormalities and anomalies, and in craniofacial reconstruction to identify victims.

To help decipher facial genetics, Claes uses the computer-based craniofacial reconstruction programme he developed for victim identification, and combines 3D surface processing, statistical modelling, analysis, mapping and prediction techniques. He has also created an array of algorithms and software for investigators who plan to use 3D facial datasets. Last year, he also co-organised the first international workshop on facial genetics in London.

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Celebrating Ten Years of ESOR

Guest article by ESOR Director, Prof. Nicholas Gourtsoyiannis

Nicholas Gourtsoyiannis

Nicholas Gourtsoyiannis is the Educational & Scientific Director of the European School of Radiology (ESOR) and chairman of the ESR’s ESOR Committee.

The European School of Radiology (ESOR) has completed ten years in action. Ten challenging and rewarding years of unfailing commitment and continuous investment in radiological education in Europe. Ten years of envisioning, engaging, delivering, teaching, tutoring, nurturing, and adding value to radiology.

The three main goals of ESOR are still to assist in harmonising radiological education throughout Europe, by supporting the implementation of the European Training Curricula (ETC); to build a genuine and firm interest in subspecialisation in radiology; and to raise the scientific profile of radiological education in Europe and worldwide.

The past ten years of ESOR have been marked by an outstanding growth in a wide range of modular activities, including foundation and advanced courses, teach-the-teachers and visiting professorship programmes, visiting schools, seminars, tutorials, preparatory courses for the European Diploma in Radiology (EDiR), scholarships, exchange programmes for fellowships and full one-year fellowships. So far, ESOR has delivered structured continuing education to almost 17,000 residents and board-certified radiologists worldwide, through 800 programmes.

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02
Mar 2017
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Education central to improving imaging data quality in oncology clinical trials

Watch this session on ECR Live: Thursday, March 2, 16:00–17:30, Room X
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Imaging data is key in multicentre clinical trials for cancer research but quality control is currently a major impediment, bringing the validity of the trials into question and potentially impacting on the quality of drugs put on the market, a panel of experts will argue today in a session held by the ESR and the European Organisation for Research and Treatment of Cancer (EORTC) at the ECR.

Imaging is increasingly contributing to cancer research thanks to the development of innovative techniques that depict functional and molecular processes. In most oncological clinical trials, imaging is now the primary criteria used to evaluate progression of disease or efficiency of the drug being tested.

The best way to obtain valuable imaging measurements is to involve the imagers who take part in these trials and educate the clinician investigators, experts will explain in the session.

When it comes to imaging in cancer research, a number of issues take centre stage. Difficulties associated with integrating imaging biomarkers into trials have been neglected compared with those relating to the inclusion of tissue and blood biomarkers, largely because of the complexity of imaging technologies, safety issues related to new contrast media, standardisation of image acquisition across multivendor platforms and various post-processing options available with advanced software, as reported recently in The Lancet by the EORTC and leading researchers.

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01
Mar 2017
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Eminent neuroradiologist to give honorary lecture at ECR 2017

Watch this session on ECR Live: Thursday, March 2, 12:15–12:45, Room A
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In recognition of his significant impact on the field of neuroimaging and his service to organised radiology, Professor Mauricio Castillo from Chapel Hill, NC, United States, has been invited to deliver the Wilhelm Conrad Röntgen Honorary Lecture ‘Dissatisfaction, burnout and inequality: three major challenges in radiology’ at ECR 2017.

Professor Mauricio Castillo from Chapel Hill, United States

Professor Mauricio Castillo from Chapel Hill, United States, will deliver the Wilhelm Conrad Röntgen Honorary Lecture today at 12:15 in Room A.

Mauricio Castillo is the James H. Scatliff distinguished professor of radiology, chief and programme director of neuroradiology at the University of North Carolina in Chapel Hill. He is currently president of the American Roentgen Ray Society.

Originally from Guatemala, Prof. Castillo completed his radiology and neuroradiology training at the University of Miami School of Medicine, Jackson Memorial Medical Center, and Emory University School of Medicine, Affiliated Hospitals in Atlanta respectively.

His specialty and subspecialty choice was in large part motivated by his mentors.

“When I was a medical student, I was fortunate to work in the only teaching hospital that had a CT scanner and two board-certified radiologists. I was very impressed by the impact of imaging in patient care and by the way these two professionals used their large base of knowledge of medicine to generate a differential diagnosis based on imaging findings. Later on, while I was a resident, I developed a close relationship with Dr. Robert Quencer, which led me to become a neuroradiologist. One should never underestimate the influence we may have on our trainees and the influence our mentors have had on us,” he said.

Prof. Castillo’s research interests include paediatric neuroimaging, application of new imaging techniques and medical literature editing. Read more…

Image-guided interventions: a key pillar in cancer care

Watch this session on ECR Live: Wednesday, March 1, 16:00–17:30, Room F2
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 There is hardly any area of hospital medicine where interventional radiology (IR) has not had some impact on patient management. The range of conditions that can be treated using interventional radiology techniques is continually expanding.

In today’s session, experts will provide an insight into image-guided interventions in oncology with a particular focus on illustrating the importance of quality assurance in image-guided oncological interventions and their effect on treatment outcomes.

In recent years, IR has played a vital role in the field of oncology, and alongside medical, surgical and radiation oncology it constitutes a key pillar in cancer care. Vascular and non-vascular procedures such as transarterial chemoembolisation, radiofrequency ablation (RFA), microwave ablation, radioembolisation, cryoablation and high-intensity focused ultrasound (HIFU) are delivered locally, minimise damage to nearby tissue and avoid the systemic side effects of chemotherapy.

Colorectal lung metastasis before CT – guided microwave ablation.

For the interventional radiologist providing oncologic therapies it is essential to understand the rapidly changing field of oncology and to have a broad knowledge of oncologic diseases and available therapies to treat them. Radiologists providing image-guided interventions in oncology have an outstanding understanding of imaging as well as a diversity of interventional skills. However, they lack formal training in oncology and an understanding of chemotherapy and radiotherapy, according to Prof. Andy Adam from the Department of Radiology at Guy’s and St. Thomas’ Hospital in London. Read more…

Prominent Brazilian radiologist to shed light on Zika virus imaging at ECR 2017

In recognition of her major achievements in neuroimaging and advancement of the field, Professor Maria de Fátima Viana Vasco Aragão from Recife, Pernambuco, Brazil, will present the Guest Lecture ‘Breaking News from Latin America: How to recognise Zika virus infections on imaging studies’ at ECR 2017.

Maria de Fátima Viana Vasco Aragão is professor of radiology at the Maurício de Nassau University and Scientific Director of the Multimagem Diagnostic Centre in Recife, Brazil. She is also financial director of the Diagnostika Endoscopy and Radiology Clinic in Recife.

Prof. Vasco Aragão received her medical degree from Pernambuco Federal University in 1987 and completed her residency in radiology at Ribeirão Preto Faculty of Medicine, University of São Paulo. She did fellowships in CT and MRI and in neuroradiology at the Med Imagem Beneficencia Portuguesa, São Paulo, and later completed a research fellowship at Mount Sinai Hospital Center in New York, US.

She always knew she would become a doctor and chose radiology because she recognised early on the field’s value in diagnosis and treatment.

Maria de Fátima Viana Vasco Aragão is professor of radiology at the Maurício de Nassau University and Scientific Director of the Multimagem Diagnostic Centre in Recife, Brazil.

Maria de Fátima Viana Vasco Aragão is professor of radiology at the Maurício de Nassau University and Scientific Director of the Multimagem Diagnostic Centre in Recife, Brazil.

“My mother is a retired biologist and biology teacher. I have never forgotten the moment she taught me what a cell was. In my family, educators predominated and my great aunt was the first woman in Pernambuco, my home state, to graduate from medical school, in 1935. Perhaps on account of this family background I made up my mind to become a doctor. As an intern student of medicine, I was very impressed when I took my patients to be examined by CT and US. Even though there was only one CT scanner in my city, I succeeded in having all my intern patients examined, when indicated. My tutors were impressed by the swiftness with which cases were resolved. Thus I learned that radiology not only helps to quickly define diagnosis in most patients, but also provides a clear prognosis for the most adequate treatment. At the end of the course I began considering the possibility of specialising in radiology, even though 29 years ago, for most people, a radiologist was not a doctor. Shortly after graduation, I sat for a test and won a place in radiology at the first attempt, and radiology has been my passion ever since. I would like to say that I am grateful for having had great mentors, including the neuroradiologist Dr. Sérgio Santos Lima, who was my director during my fellowship in the Med Imagem Beneficencia Portuguesa, and the head and neck radiologist, Dr. Peter Som, who was one of my directors during my research fellowship at Mount Sinai Hospital Center New York,” she said.

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New ESR/ECR president to make youth a central theme at ECR 2017

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ECR Today spoke with the new ESR/ECR President, Prof. Paul M. Parizel, from Antwerp, Belgium, to learn about this new position, his visions for the society and his ideas for next year’s congress.

Prof. Paul M. Parizel, chairman of Antwerp University Hospital’s department of radiology and full professor of radiology at the University of Antwerp’s faculty of medicine, is the incoming ESR/ECR President.

Prof. Paul M. Parizel, chairman of Antwerp University Hospital’s department of radiology and full professor of radiology at the University of Antwerp’s faculty of medicine, is the incoming ESR/ECR President.

ECR Today: You are the first officer of the European Society of Radiology to take on the new position of combined ESR/ECR President. Could you please briefly explain to our readers how this change came about and what it means? What are your main tasks and responsibilities in this position?
Paul M. Parizel: It is a great honour, and also a huge responsibility, to assume this new position of combined ESR/ECR President. The ESR is one of the most important and prestigious international scientific societies, with more than 63,000 members throughout the world. The ECR is well established as the foremost congress in radiology in Europe. Until a few years ago, nominations and elections for the ‘cursus honorum’ of the ECR and ESR were made independently of each other. This implies that we have had brilliant presidents of our society, who never became president of the congress, and vice versa. As both the society and the congress were getting bigger, and more mature, it was decided to re-evaluate and retune the strategic plan and to change the statutes so that appointments were fully integrated, instead of running on parallel tracks, as was previously the case. Bringing the congress and the society under one and the same leadership umbrella is an efficient way to better utilise our resources (human, political and financial). I am convinced that this will improve communication with our members, enhance our international standing and facilitate relationships with other societies and with the industry.
This combined ESR/ECR presidency is certainly a daunting task, and I admit that I am a little bit nervous. On the other hand, I can rely on the work of my predecessors and especially on the creative input and unflagging energy of my friends and colleagues of the Board of Directors, the Executive Council, the statutory committees, subcommittees, working groups, and, last but not least, the experience, professionalism and efficiency of the ESR staff. Our society is healthy, both politically and financially, and we are steering a stable and steady course.

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Hybrid imaging contents to heighten delegates’ interest at ECR 2016

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ECR Today spoke with ECR 2016 Congress President, Prof. Katrine Åhlström Riklund, deputy head of the department of radiation sciences and director of the medical school at Umeå University, Sweden, to find out a little bit about next year’s annual meeting.

ECR 2016 Congress President, Prof. Katrine Åhlström Riklund, from Umeå, Sweden.

ECR 2016 Congress President, Prof. Katrine Åhlström Riklund, from Umeå, Sweden.

ECR Today: What will be the highlights of ECR 2016?
Katrine Åhlström Riklund: It is hard to tell what the specific highlights will be more than one year ahead, due to the rapid development of imaging. The highlights will be the entire congress through its well-developed programme, which covers the whole range of education from student level to advanced subspecialists. I should say the added content of hybrid imaging in several sessions would make the programme even more attractive. Besides the educational and scientific programme, the grand opening ceremony and social activities will also be memorable events.

ECRT: Will there be any new additions to the programme?
KAR: As always, there will be innovations at the ECR. The content of hybrid imaging will be spread across several sessions and not in one single session. The new session formats introduced at ECR 2015, with the European Excellence in Education (E3) programme – divided into five levels (the Rising Stars programme, European Diploma Prep Sessions and Beauty of Basic Knowledge programme, ECR Academies and ECR Master Classes) will be continued. These levels cover the entire span from undergraduate medical education to subspecialised continuing professional development. Getting involved in the sessions is important for retaining knowledge.

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ESR to address issues on all fronts in 2015

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ECR Today spoke with the incoming ESR President, Prof. Lluís Donoso Bach, Director of the Diagnostic Imaging Department of the Hospital Clínic of the University of Barcelona and Executive Director of the UDIAT Diagnostic Centre at the Health Corporation Parc Taulí, to find out about his plans for the ESR over the coming year.

New ESR President, Prof. Lluís Donoso Bach

New ESR President, Prof. Lluís Donoso Bach

ECR Today: What will be your priorities as ESR President?
Lluís Donoso Bach: The ESR has a good track record in education and we will continue to innovate through the ECR. We will also open new learning centres in Vienna and Bogotá and are planning a further centre in Moscow.
Because of the financial crisis, it is more important than ever that we develop efficient systems, so we will increasingly rely on electronic, web-based services for our members. This is why we decided to launch the ESR eLearning Platform. This represents a big challenge, and we will see how it works as a business model and how our members use the platform throughout the year. We will also try to offer an examination for the European Diploma in Radiology online. There are a lot of experiences and successful models to draw inspiration from.
We will also continue our efforts in research through the European Institute for Biomedical Imaging Research (EIBIR). The ESR Research Committee has been working a lot on the quantification of data using biomarkers and biobanks, focusing in particular on oncology and trying to have more influence in that area. Quality and safety is another very important issue for us. During ECR 2015, we launched ESR iGuide, a clinical decision support system for European imaging referral guidelines, following the example set by the American College of Radiology with ACR Select.
We also want to offer our members tools to improve quality in their departments. The ESR Quality, Safety and Standards Committee has thus created Level 1 clinical audit templates based on safety. We should also explore the possibility of performing quality controls at the level of department management.
Lobbying with European institutions has been an important field of battle for us in the past few years, and we will consolidate our action in this field keeping the momentum and relying on the personal contacts and networks established over the past years. We launched a Call for a European Action Plan for Medical Imaging in the European Parliament on November 4, to highlight existing heterogeneities in medical imaging in Europe in the areas of quality and safety, education and training, research, and eHealth, and to call for joint targeted actions to improve harmonisation in these areas.

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08
Mar 2015
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Comprehensive personalised imaging transforms cardiothoracic disease management

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Watch this session on ECR Live: Sunday, March 8, 8:30–10:00, Room E1
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Besides personalised imaging, a new paradigm is emerging in radiology that should re-shape clinical practice and benefit the patient immensely. Supported by new technologies that enable radiologists to image the body faster and better, radiologists are now trying to broaden their focus during examinations.

If there is a field where these advances make a tremendous difference, it is cardiothoracic imaging, an area where diseases are more often than not intertwined. Cardiovascular and chest radiologists will explain how the comprehensive personalised approach impacts their work and try to convince radiologists on both sides to take an interest in the other, in a New Horizons session on Sunday at the ECR.

For years, the trend was for radiologists to subspecialise as much as they could. Cardiovascular radiologists and chest radiologists would focus on their own area with little or no interest beyond that. But among these subspecialists, an increasing number are now changing their approach, as mounting evidence shows that diseases of the heart and chest are very often related, according to Dr. Christian Loewe, deputy head of the section of cardiovascular and interventional radiology at the Medical University of Vienna, Austria.

Dr. Christian Loewe is deputy head of the cardiovascular and interventional radiology section at the Medical University of Vienna, Austria.

Dr. Christian Loewe is deputy head of the cardiovascular and interventional radiology section at the Medical University of Vienna, Austria.

“In the past patients were investigated by either focusing on chest or cardiac diseases. This choice was mainly driven by their first clinical examination. However, there are a lot of situations and diseases where chest problems are caused by cardiac diseases and vice versa. There’s a huge interaction between heart and chest, and that’s why it’s interesting and important to look at this relationship in more detail today,” he said.

To prove his point, Loewe, a cardiovascular radiologist, will talk about acute and chronic chest pain during the session. Some of the most severe causes of chest pain are due to cardiovascular diseases, including myocardial infarction or acute aortic diseases. However, acute chest pain can also be caused by a number of pulmonary diseases, including pulmonary embolism, pneumonia and others. Therefore, radiologists must learn the different life-threatening disorders that cause chest pain, whether they are respiratory or cardiovascular.

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