The winners of the ECR 2015 Cases of the Day Quiz are as follows:
Michael Camerlinck; Antwerp/BE
Ricardo Correia; Porto/PT
David Durany; Lleida/ES
Yasuyuki Onishi; Kurashiki/JP
Filip Vanhoenacker; Antwerp/BE
Rikiya Yamashita; Kyoto/JP
Phey Yeap; Dundee/UK
To view the cases please click here.
Congratulations to all winners!
Today we are showing PA radiographs of a 55-year-old woman, asymptomatic. The image presented is a reconstruction of a CT examination (no radiograph available). Muppet believes it is worth showing because it is an unusual disease and has teaching value. What do you see?
Check the image below, leave your thoughts in the comments section and come back on Friday for the answer.
Today I am presenting radiographs of a 51-year-old man with low-grade fever and malaise. Previous history of car accident.
Do you see any abnormalities?
Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.
After the ECR, we all deserve an easy case. Showing routine control radiographs of a 51-year-old man operated on for synovial sarcoma of his right leg fourteen years ago.
Do you see any abnormality?
Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.
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 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.
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.
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.
Watch this session on ECR Live: Sunday, March 8, 8:30–10:00, Room E1
Tweet #ECR2015E1 #NH17
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.
“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.
Every Scientific Session at ECR 2015 includes a vote for the best paper of the session. Below are all of the winners for Saturday, March 7. Congratulations to all of the winners!
Winner: SS 1402 – B-0920 Paola Clauser
Joint Winner: SS 1406 – B-0930 Jamal Guenoun
Joint Winner: SS 1406 – B-0938 Philipp M. Kazmierczak
Joint Winner: SS 1410 – B-0941 Freek de Bruin
Joint Winner: SS 1410 – B-0947 Guillaume Lefebvre
Winner: SS 1411 – B-0958 & B-0959 Hanne Christensen
Winner: SS 1416 – B-0967 Francesco Giganti
Winner: SS 1401 – B-0978 Francesco Carbonetti
Joint Winner: SS 1404 – B-0987 Elodie Gyssels
Joint Winner: SS 1404 – B-0990 Ilaria Merli
Joint Winner: SS 1404 – B-0991 Maria T.A. Buzan
Winner: SS 1409 – B-0993 Pierleone Lucatelli
Winner: SS 1407 – B-1009 Andreas M. Hötker
Winner: SS 1414 – B-1015 Martin W. Kusk
Since the discovery of the x-ray, radiology and radiation oncology have been sister disciplines. Recent progress has brought increasing points of interaction between the two and this is no better exemplified than by the close relationship between the ESR and the European Society for Radiotherapy and Oncology (ESTRO). The two societies will host a joint session at ECR 2015 focusing on this partnership and opportunities for future collaboration. To find out more about the session, ECR Today spoke to session co-chairman and ESTRO president, Prof. Philip Poortmans, of the Radboud University Medical Center, Nijmegen, Netherlands.
ECR Today: How was this joint session between the ESR and ESTRO first initiated?
Philip Poortmans: The time of medical specialties working on their own is over. It is now all about cooperation and multidisciplinarity. Often when we talk about multidisciplinarity, people think only about doctors who are directly involved in treating the patient. In the case of breast cancer, for example, this would then be the surgeon, the radiation oncologist, the medical oncologist and in several countries also the gynaecologist. People often forget about diagnostic specialists like the pathologist and the radiologist. Radiation oncology is very closely linked to imaging in general; both to radiology and to nuclear medicine. So it is a field that is very important for us and a specialty with which it is essential for us to cooperate closely. For many years, ESTRO has run courses with contributions from radiologists and nuclear medicine specialists to teach our young colleagues, or colleagues who want CME, about the contribution of the diagnostic specialties. So this is not new at all. ESTRO and the ESR have an especially close relationship, with the former president of ESTRO, Prof. Vincenzo Valentini, and the ESR president, Prof. Lorenzo Bonomo, working in the same hospital. People in such positions who know each other very well can facilitate this process of close collaboration which then benefits us all. Of course, this means that last year we already had a joint session at the ECR. This collaboration is based on a Memorandum of Understanding signed by both societies, which includes agreements about education, guidelines, and scientific dissemination. A congress is of course always a mixture of both scientific dissemination, bringing new findings to the community, and education, so this nicely fits our mutual commitment.