Comprehensive personalised imaging transforms cardiothoracic disease management


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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Thoracic radiologists welcome IDoR 2013 celebrations


The International Day of Radiology (IDoR) takes place in just a couple of days’ time, on November 8, and this year the focus is on lung imaging. The ESR chose to approach this theme by creating a book on the subject, with the help of the European Society of Thoracic Imaging (ESTI), which will be published to coincide with this year’s IDoR.

ESTI board members, including several contributors to the forthcoming book, gathered in Vienna recently to discuss plans for their society, so we took the opportunity to ask them why it is necessary to inform the public of the importance of radiology in healthcare.

“Doctors form a team, and in this team radiologists are a very important group, but their role is not so well known. A lot of people think that we are only photographers, but we have a crucial role in making a diagnosis. It’s important for the public to know what role we play,” said Doctor Eva CastaÑer González, a radiologist working at the Corporació Parc Taulí in Sabadell, Spain.

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