By Julia Patuzzi

It is a well-established tradition that on the final day of the congress, ECR Today looks ahead to next year’s ECR. We therefore spoke with Professor Boris Brkljačić from Zagreb, Croatia, the incoming ESR President, who is in charge of ECR 2020. He shared with us some of his ideas and plans for the next European Congress of Radiology.

ECR Today: Professor Brkljačić, the first visual impression of the next congress is always the congress poster. For ECR 2020 you chose artwork by the award-winning Canadian illustrator Peter Diamond, depicting a young woman looking at a small object floating just above her cupped hand. Can you tell us a little about how this particular design came about?

Incoming ESR President Boris Brkljačić is professor of radiology and vice-dean at University of Zagreb School of Medicine, Zagreb, Croatia, and chair of the Department of Diagnostic and Interventional Radiology of University Hospital ‘Dubrava’ in Zagreb.

Boris Brkljačić: The ESR Office provides several options for the congress poster, created by professional designers, and the Congress President and PPC members select one. The selected solution was the best among the proposed options. It resembles Rembrandt’s artwork, with sharp light and dark contrast, and is in good accordance with the slogan for ECR 2020: ‘A Clear Vision for Radiology’. The small floating object represents artificial intelligence, which will be an important topic at the congress, and the names of the ECR 2020 ‘ESR meets’ countries are visible at the bottom of the poster. The 2020 poster contains fewer colours and illustrations compared to the 2019 poster, and is concordant with the visual style of the ESR’s main scientific publication, the journal European Radiology.

ECRT: As the new ESR President, you are also chairperson of the Programme Planning Committee for ECR 2020, which has already been working on preparing the scientific programme for a few months. Can you tell us something about the highlights of the 2020 programme or any specific focus we can expect?

BB: I am very fortunate to have selected excellent Programme Planning Committee members, who are hard-working and dedicated experts in their fields. Planning has already been running at full speed for a few months in order to create a well-balanced programme of very high-quality professional, educational and scientific content. New Horizons Sessions, State of the Art Symposia and Special Focus Sessions have already been selected and mostly created; they are very relevant and balanced, so that young radiologists and experts in particular radiological fields will have interesting sessions to choose from in all areas of radiology. Emerging and hot topics will be covered, like lung cancer screening, artificial intelligence, stroke diagnosis and treatment, and many others. I expect that the plenary/honorary sessions should be the highlight of the congress, as they are interesting for all participants, regardless of their age and expertise. Read more…

by Katharina Miedzinska

Each country has its own special healthcare challenges to shoulder. In Pakistan, a densely populated country located in South Asia, with an estimated population of more than 200 million, major healthcare challenges include exceptionally high prevalence rates for certain diseases. During today’s ‘ESR meets Pakistan’ session, some of the country’s top radiologists will discuss the role radiology plays in managing three of the most common ones: oral cancer, chronic hepatitis and tuberculosis.

Many diseases are common in Pakistan, among them endemic and epidemic infectious diseases, emerging infections, and an increasing burden of non-communicable diseases. The actual burden of infections with the hepatitis B and C virus (HBV, HCV) is approximately seven percent, making Pakistan a country with one of the highest prevalence rates for viral hepatitis in the world. Approximately ten million people in Pakistan are infected with HCV alone. Following the acquisition of the virus, acute HCV infection can progress to chronic infection, which in turn is associated with several morbidities, such as liver cirrhosis and cancer. Besides hepatitis, also malaria, the polio virus (which still circulates in core-reservoirs across Pakistan, although with lesser intensity), dengue outbreaks, and other infectious diseases pose a serious threat to public health security. Over the past few decades, Pakistan has suffered a great deal from these and other infectious diseases. Global warming, changing climate conditions, environmental degradation, and other ecological determinants have a direct effect on these diseases and result in the emergence or re-emergence of infectious entities. The causes of such disease outbreaks are complex and often not well understood.

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African radiologists will share their knowledge and experience of medical imaging practice in their respective countries, today during the ‘ESR meets Africa’ session. Examples of cooperation with the European Society of Radiology will be presented, notably in radiation protection, a field where efforts between Europe and Africa are starting to pay off.

Africa is big, diverse and full of possibilities. Its myriad of countries (54), languages, cultures and economic scenarios offers unmatched potential, but it can also complicate the organisation of radiology.

Prof. Dina Husseiny Salama and Prof. Hassen Gharbi, together with ESR President Prof. Lorenzo E. Derchi and Prof. Guy Frija, Chair of EuroSafe Imaging, surrounded by delegates at the 5th African Society of Radiology conference in January 2019, in Cairo, Egypt.

Equipment and workforce tend to vary considerably from one country to another. For example, the radiologists’ ratio ranges from 1 to 80 per million population, depending on the country.

“Our main challenges are in training and the implementation of national legislation that can help organise the field, especially regarding radiation protection,” said Prof. Hassen Gharbi from Tunis, Tunisia, who will co-chair the session with ESR President Lorenzo Derchi from Genoa, Italy.

Technological advances have opened new horizons for the application of ionising radiation in healthcare all around the world and this has led to an increase in medical imaging procedures using radiation, also in Africa.

Unlike most of the continent, Tunisia, Algeria and Morocco have dedicated guidelines on ionising radiation use. But even there, rules must be implemented to help healthcare professionals prescribe examinations adequately.

“There is a growing need for structured strategies and a holistic approach towards the full integration of radiation safety and clinical imaging guidelines in Africa,” said Prof. Dina Husseiny Salama from Cairo, Egypt. Read more…

By Becky McCall

The future status and development of the radiological profession look set to come under the microscope today during the eagerly anticipated ‘ESR meets Italy’ session. The major challenges ahead, including artificial intelligence (AI) and machine learning, are to be addressed by expert speakers.

“We feel that we have to be able to drive AI and not be driven by it. The Italian way of thinking may help our community to fight to ensure that AI does not supersede the human elements of care,” Dr. Corrado Bibbolino, head of the Forensic and Ethical Section of the Italian Society of Medical Radiology (SIRM), told ECR Today ahead of ECR 2019.

Dr. Corrado Bibbolino is a board member of the Italian branch of Choosing Wisely.

He fears AI may take over the role of the radiologist, and the personal aspects and skills may be lost.

“Patients may think that they are satisfied with AI, but it is not the same as dealing with a real person – it’s not like an automatic ticket machine in a railway station,” Bibbolino said. “Human characteristics like empathy and intuition are not there. A computer might resolve a problem, but it cannot ask the patient questions, feel the reaction, look into the patient’s eyes and think what the patient is thinking – these are things AI cannot do. This is the difference between a human and a robot. AI is important but it is not a substitute for a real radiologist.”

Bibbolino is a long-standing member of the Italian radiology community, having been active in healthcare policy and education for around 40 years. He contributed to the development of national guidelines for radiology practice, including the regulation of teleradiology, and his influence and leadership have led to the establishment of recent Italian laws on healthcare security, professional liability, and insurance reimbursement.

In today’s presentation, ‘Radiology in Italy’, of particular note and relevance will be his work with ‘Choosing Wisely’, which aims to promote dialogue around avoiding unnecessary medical tests and treatments. The initiative is involved with the so-called slow medicine movement, and focuses on a thoughtful, deliberate approach to patient care. Read more…

Welcome to the 25th ECR in Vienna!

Thanks for coming to be a part of ‘the bigger picture’!

By Lorenzo E. Derchi, ESR President

ECR 2019 marks an important anniversary. This will be the 25^th ECR congress held in Vienna since 1991: a great achievement! Those who have been coming here since the beginning will find a meeting that has become bigger over the years, now including not only the Austria Center, but also many of the buildings surrounding it.

It is a true ‘congress city’, which has grown to accommodate the increasing numbers of delegates from all over the world. Those who are here for the first time will discover a congress with a wide range of opportunities to learn about the different aspects of our specialty, with sessions suited to all, from beginners to advanced professionals.

ESR President Prof. Lorenzo E. Derchi is Head of the Department of Radiology at the University of Genoa, Italy.

Over the years, the ECR has provided radiologists with a European platform for the presentation of research and debate and has been the key to the creation of a community of people working together and advancing in science and education together. This has been the result of the efforts of 24 Congress Presidents and Programme Planning Committees who, with the help of the well-structured and dedicated efforts of the ESR Scientific Programme Department, have worked as in a relay team, passing the baton from one to the next and ensuring continuity of aims and good results over the years.

The ECR has always been a creative meeting. It started with a ‘classical’ structure, made up of refresher courses, scientific presentations and posters, and, over the years, has incorporated various new ways for contributors to present scientific work. The first big innovation was in 2003, with the introduction of the electronic posters of EPOS. Then, in 2016, came the new session format ‘the Voice of Epos’ in which the scientific message of selected posters could be explained in person by their authors. Last year, the ‘MyT3’ presentations, the lounge meetings of ‘Coffee & Talk’ and the hands-on approach to interventional radiology of ‘the Cube’ were introduced. All these session formats have proven successful and will be continued, and even expanded, this year. Furthermore, an additional new session type will be launched, not only for ECR delegates, but also open to anyone who is interested in joining in. The ‘Women in Focus’ initiative will explore the challenges encountered by women in our field and in other medical and medical-related professions. It will open a debate over gender parity in our profession and will try to present role models to whom the ever-increasing number of women entering into radiology can relate. Read more…

by Katharina Miedzinska

Saturday’s ‘ESR meets Portugal’ session is a successful combination of science, culture and entertainment, offering the opportunity to discover how Portugal has contributed to the practice of radiology over the years and foresee the future of Portuguese radiology.

In an interview with ECR Today, Dr. Filipe Caseiro Alves, professor at the University Clinic of Radiology, Coimbra University Hospitals, Portugal, outlined some central themes and highlights of Saturday’s highly anticipated session.

One of the first reports and image of cerebral angiography. From, Moniz E, de Carvalho L, Lima A. La radioartériographie et la topo-graphie cranioencephalique. J Radiol Electrol Med Nucl 1928;12:72. (Provided by Prof. Filipe Caseiro Alves)

At the beginning, Caseiro Alves plans to go on a short time travel through the history of Portuguese radiology. “Portugal’s greatest contributions to radiology are closely interwoven with the Portuguese School of Angiography, which began with the work of Egas Moniz, who was the first to perform a cerebral arteriography in 1927,” he explained.

Since then, Portugal has yielded many outstanding pioneers in the field of vascular radiology, among them Reynaldo dos Santos, a professor of surgery in Lisbon, who, among others, is known for the invention of aortography in 1929. Others include Lopo de Carvalho, who successfully introduced pulmonary angiography in 1931, Álvaro Rodrigues, Sousa Pereira and Roberto de Carvalho, who are known for their innovative work on lymphography (1933), Reynaldo’s son, João Cid dos Santos, who successfully introduced direct phlebography of the limbs in 1938, and Ayres de Sousa, whose name will always be closely associated with microangiography. “All these pioneer works were at the forefront of one of the most important achievements in healthcare and proved instrumental in shaping today’s medical practice,” Caseiro Alves said. Read more…

With its slogan ‘radiology without borders’ ECR 2015 embodies the spirit of European cooperation: bringing together imaging experts from all around the world to exchange and discuss the latest trends in their discipline. One of the best examples of ECR’s commitment to international collaboration is the ‘ESR meets’ programme, which invites three national radiological societies to present facts about imaging in their country, and a partner discipline to focus on its cooperation with radiology.

Germany, home to ECR President Prof. Bernd Hamm from Berlin, will kick off the programme on Friday with a session organised by the German Radiological Society (DRG) and entitled ‘Tradition goes digital: getting ready for the future’.

“This session will deal with changes facing radiologists as their world becomes digital; this does not refer to digital imaging modalities but rather to aspects of new options for radiologist training, population-based imaging and hybrid imaging techniques,” Prof. Hamm said.

“Today, in many areas of life, digitisation is the most important trend. Radiology, due to its everyday use of technology, is at the forefront of medical specialties in this respect. Digitisation, as we all know, needs a conscious effort on the part of the user: as radiologists, we do not want to be led but to lead. So we should stop a moment and think how digitisation impacts our profession. Some examples will be given in the session,” said DRG President Prof. Norbert Hosten from Greifswald, who will co-moderate the session.

Read more…

Watch this session on ECR Live: Saturday, March 8, 16:00–17:30, Room B
Tweet #ECR2014B #EM3

At each ECR Since 2007, the ‘ESR meets’ programme has included a partner discipline along with the three guest countries, as a way to build formal bridges between the European Society of Radiology (ESR) and other branches of medicine, and to give congress participants an opportunity to learn about something a little different. At ECR 2014, the programme includes a visit from undoubtedly the largest medical discipline to take part in the initiative so far: cardiology, represented by one of the biggest medical societies in Europe, the European Society of Cardiology (ESC). Cardiology has much in common with radiology, but this is the first time that the two European societies have come together for an official joint session at a major meeting.

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At each ECR since 2008, the ‘ESR meets’ programme has included a partner discipline along with the three guest countries, as a way to build formal bridges between the European Society of Radiology (ESR) and other branches of medicine, and to give congress participants an opportunity to learn about something a little different. At ECR 2014 the programme includes a visit from undoubtedly the largest medical discipline to take part in the initiative so far: cardiology, represented by one of the biggest medical societies in Europe, the European Society of Cardiology (ESC). Cardiology has much in common with radiology, but this is the first time that the two European societies have come together for an official joint session at a major meeting.

Despite some well-known points of controversy between the two disciplines, concerning professional ‘turf’, the overriding message during this afternoon’s ‘ESR meets ESC’ session will be one of cooperation and mutual understanding. Prof. Panos Vardas, president of the European Society of Cardiology, who will co-preside at the session, believes that the blurring of borders between subspecialties makes this kind of exchange of knowledge a must.

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This year the European Society of Radiology (ESR) will again invite three national radiological societies and a partner discipline to take part in the popular ‘ESR meets’ programme during its annual meeting, the European Congress of Radiology (ECR). Delegations from Russia, home country of ECR 2014 President, Professor Valentin Sinitsyn, Mexico and Serbia will present their latest achievements in imaging. The European Society of Cardiology (ESC) will focus on the cooperation between cardiologists and radiologists in the field of cardiac imaging. The European Federation of Radiographers Societies (EFRS) will also take part in joint sessions with Russian radiographers, to stress the role of this important partner discipline.

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