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.

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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Dear Friends, dear Colleagues

I hope you are looking forward to the European Congress of Radiology (ECR) 2016 as much as I am. Every year I love being at this wonderful event and it is a great privilege to be taking part as the Congress President this year. The task of putting together the programme for this year’s congress has been long, but very enjoyable, and I would now like to introduce a few of the highlights to you.

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

First of all, the ‘ESR meets’ sessions are always among the most anticipated every year and are a great example of how our congress brings people together from throughout the world. This year you will have the chance to learn about some fascinating topics, such as breast radiology in the Nordic countries, state-of-the-art radiology in Japan, and the transition from practice to reality in Colombia. It is important to note that these sessions are not aimed just at attendees from the guest countries, but at everyone, with the idea that you can discover something new. The same can be said of our guest discipline, nuclear medicine, which will feature in a joint session on hybrid imaging. You can also witness the launch of the new European Society for Hybrid Medical Imaging (ESHI) at the congress, and I encourage you to visit the ESHI booth in the entrance hall, where you can pick plenty of information about the new society.

The new formats introduced to the educational programme last year, under the European Excellence in Education E3 heading, will remain this year, which means you will find sessions with the right level of complexity, wherever you are in your professional development. From the Rising Stars Programme to the ECR Master Classes, there is something to suit everyone, and the sessions are marked with the knowledge level they are intended for. I strongly suggest seeking out your level and making the most of these sessions.

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An interview with Joanna Fairhurst, consultant paediatric radiologist at the children’s radiology department of the University Hospitals of Southampton.

European Society of Radiology: What is paediatric imaging? What age are the patients, and how is it different from regular imaging?
Joanna Fairhurst: Paediatric imaging covers all imaging modalities – plain films, ultrasound, fluoroscopy, computed tomography (CT), nuclear medicine, magnetic resonance (MRI) – undertaken in children ranging from new-born infants to those who are sixteen, or in some centres eighteen, years old. Imaging patients in this age range poses some very specific challenges. First, coming to the hospital can be a very frightening experience for young children, and we need to adapt our techniques to help children feel as secure and comfortable as possible, and we often employ distraction and play therapy to reduce their anxiety and help them cooperate with their examinations. We also try to create a child-friendly environment, by decorating our department and providing toys, but the best way to make our young patients feel at ease is to have radiographers and radiologists who are experienced in, and enjoy working with children.

Joanna Fairhurst is a consultant paediatric radiologist at the children’s radiology department of the University Hospitals of Southampton

The next main difference between paediatric and adult radiology is that we have to be familiar with the imaging appearances of the developing patient – from pre-term infant to adolescent – including many normal developmental variants. We also have to deal with many diseases and pathologies that are specific to children. Unlike other subspecialties within imaging, although some do specialise, most paediatric radiologists are involved with all modalities and all body systems.
Finally, when we image children, we not only have to communicate with young people: very often we also have to interact with their parents and carers, so we must learn to respond to their concerns and needs as well.

ESR: Since when has paediatric imaging been a specialty in its own right?
JF: It could be argued that paediatric radiology is the oldest imaging specialty, dating back to the use of x-rays and the interpretation of the images produced in children’s hospitals in the early 1900s. Many people, however, consider Dr. John Caffey (1985–1978) as the ‘founder’ of paediatric radiology after he published his book Pediatric X-Ray Diagnosis in 1945. Paediatric imaging gained broader recognition in the United States with the founding of the Society for Pediatric Radiology in 1958, and came of age in Europe with the creation of the European Society of Paediatric Radiology in 1963.

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For this month’s ESR News interview, we spoke to Prof. Laura Oleaga, from Barcelona, Spain, who serves on the ESR Executive Council as chair of the ESR Education Committee. She gave us an insight into the workings and recent achievements of her committee, as well as her own background within the ESR.

ESR News: What is the overall purpose of the ESR Education Committee and how does it operate?
Prof. Laura Oleaga: The purpose of the ESR Education Committee and its subcommittees is to promote education in radiology to achieve homogeneity in radiology education throughout Europe. To achieve this, the committee acts as a consultative body for all educational activities within the ESR and works closely with the European School of Radiology (ESOR), the European Board of Radiology (EBR), which organises the European Diploma in Radiology (EDiR), and the ESR’s e-Learning platform. The main objective of the committee is to achieve maximum quality in radiology training across Europe.

Prof. Laura Oleaga, chair of the ESR Education Committee

ESR: The committee interacts with a number of other groups and subcommittees. What roles do the European Training Assessment Programme Subcommittee (ETAP) and the Undergraduate Education Subcommittee play?
LO: Following the aim of harmonising the standards of radiology training in Europe, ETAP gives radiological institutions the opportunity to have their training programmes objectively assessed by external assessors nominated by the ESR, to guide their training in radiology according to the standards of the ESR European Training Curriculum for Radiology (ETC).

Moreover, it is important to promote the specialty of radiology in universities. In this regard the ESR Undergraduate Education Subcommittee is responsible for all activities aimed at the promotion of radiological education among medical students. The subcommittee has developed the paper Becoming a radiologist and is currently working on a guidance paper for all those interested or engaged in teaching radiology to medical undergraduates.
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For this month’s ESR News interview, we spoke to Prof. Michael Fuchsjäger, from Graz, Austria, who serves on the ESR Executive Council as chair of the ESR Finance & Internal Affairs Committee. He gave us an insight into the workings and recent achievements of his committee, as well as his own background within the ESR.

ESR Office: What is the overall purpose of the ESR FIA Committee and how does it operate?
Prof. Michael Fuchsjäger: The Finance and Internal Affairs Committee is responsible for monitoring the ESR’s investments and preparing the society’s annual budget. It presents regular updates to the Executive Council for discussion and final approval. To set a good example and save both time and resources, most of the committee’s meetings are held as part of the Executive Council meetings rather than on separate occasions. Aside from budgetary questions, the committee is also responsible for membership issues. The ESR reached a record of 60,000 members in June last year, finally peaking at 62,934 individual members from 156 countries. Despite this huge number, which makes the ESR the world’s biggest radiological society, the ESR attaches great importance to maintaining a high professional standard of its member community. The FIA Committee receives reports from the ESR Office’s Membership Department at regular intervals, which is part of the mechanism to ensure that the application criteria for the various membership categories are met. Membership subscription for 2015 is still open until August 27, 2015. Before this deadline, there will be increased promotion especially among those who have not yet seized the opportunity to benefit from the numerous related benefits. I invite all of you to visit the ESR website for more information.

Prof. Michael Fuchsjäger, chair of the ESR Finance & Internal Affairs Committee

ESR: What are the main issues currently on the committee’s agenda, and how are they being tackled?
MF: The ESR’s budget is constantly monitored with the ultimate goal of achieving the best possible efficiency for the benefit of the society’s members. Each project proposed by any of the ESR’s numerous committees, subcommittees and other entities has an impact on the budget. When evaluating potential new activities in terms of cost efficiency, the ESR focuses on meeting the demands of its membership and the radiological scientific community. The evaluation is of course a constant process and continues for all established activities. The ESR committees and their sub-entities are structured in such a way as to create and permanently monitor synergies, for example by cross-representation of their members. The committee chairs, who attend all meetings of their sub-entities and coordinate their activities, regularly report to the Executive Council. This allows for quick decision making processes, also in terms of potential budgetary implications.
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For this month’s ESR News interview we spoke to Prof. Hans-Ulrich Kauczor, from Heidelberg, Germany, who serves on the ESR Executive Council as chair of the ESR Research Committee. He gave us an insight into the workings and recent achievements of his committee, as well as his own background within the ESR.

ESR Office: What is the main purpose of the ESR Research Committee (RC) and how does it work in practice?
Hans-Ulrich Kauczor: The main purpose of the RC is strategic. The RC provides strategic recommendations to the ESR Executive Council. To do this properly, the RC surveys and supports the need of researchers in radiology. Also, the RC leverages the research-focused collaboration with other disciplines and their respective European societies.

One recent major achievement in this regard was the collaboration with the European Respiratory Society (ERS), where we agreed on joint recommendations on lung cancer screening in Europe, which we published in May 2015 simultaneously in European Radiology and the European Respiratory Journal.

Other major collaborations are in the field of imaging biomarkers together with the European Organisation for Research and Treatment of Cancer (EORTC) and the RSNA’s Quantitative Imaging Biomarkers Alliance (QIBA), as well as imaging biobanks with the Biobanking and BioMolecular Resources Research Infrastructure (BBMRI-ERIC).

Prof. Hans-Ulrich Kauczor, chair of the ESR Research Committee

ESR: Can you explain the role of the Research Committee’s subcommittees and the recent structural changes that have taken place?
HUK: Just over two years ago, three additional working groups were established under the umbrella of the RC. Working groups exist temporarily to accomplish a certain goal for the ESR. The main goal of each of these working groups was to write and publish an opinion or white paper in their field. The outcomes in each of these fields were as follows:
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The Europen Society of Radiology works hard to represent radiologists throughout the continent. But Europe is a diverse place, and the support of European national radiological societies, most of which are institutional members of the ESR, is essential. The ESR National Societies Committee is our primary forum for communication and cooperation with those national societies. We spoke to the committee chairperson, Prof. Deniz Akata, to find out a little about the committee’s functions and her own role.

ESR Office: What is the main purpose of the National Societies Committee (NSC) and how is the committee composed?
Deniz Akata: The main purpose and continuous task of the NSC is to consolidate and strengthen relations with the ESR’s national institutional member societies. Regular communication between them and the ESR is very important, especially on matters regarding the ESR’s educational, research and professional policies. In a way, the ESR provides guidance and benefits to member countries in many professional issues. On the other hand, we need national societies to maximize the promotion of these activities. The presidents of the ESR’s 44 national Institutional Member Societies are ex-officio members of the committee.

Prof. Deniz Akata, chair of the ESR National Societies Committee

ESR: How does the committee work in practice? Where, when, and how do meetings take place?
DA: The ESR National Societies Committee officially meets in Vienna once a year, during the European Congress of Radiology, where the chairperson of the committee gives a brief report regarding the ESR’s annual activities and answers delegates’ questions and gets their feedback. On the other hand, we have continuous relationships with the national societies through mailings, surveys and newsletters throughout the year. The ESR Annual Leadership Meeting, usually held in November, is also an excellent official get-together with our institutional members. At the last meeting, which took place in Florence in November 2014, representatives of the institutional member societies actively enrolled and presented their points of view regarding some of the most common and challenging topics in our profession. All day long, the meeting was very well attended and very fruitful discussions were held.

We also try to get into personal contact with each national society during their national congresses or meetings. To this end, we started the initiative to hold “National Society meets ESR” sessions, which has been very welcomed by the national societies

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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!

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

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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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