ECR

Final results of the prospective French CIRTACI trial are in: contrast media for diagnostic imaging are very safe in general, as long as radiologists are vigilant for patients with allergies, asthma, or previous reactions to contrast agents. The vast majority are more itchy than serious.

Just this month, cardiovascular surgeons and diagnostic radiologists collaborated to publish an article showing that CT is much better than ultrasound at measuring the diameter of the aortic annulus - an important matter when deciding which size of valve to implant transcutaneously. This could both dishearten and encourage radiologist Rodrigo Salgado of Antwerp University Hospital, who says CT is best for measuring the annulus, and that isn't circular, doesn’t have a radius, and in fact actually doesn't exist.

Last week, exactly 25 years after the first "high-field" (1.5 T) MRI scanner was introduced, radiologists gathered at an ECR 2011 session in Vienna, Austria, to ponder what its chairman called "higher and higher field magnets."

For spotting the tiniest metastases inside the liver, MRI with the liver-specific gadolinium-based contrast agent Primovist (gadoxetic acid) was far and away the top choice of surgeons in an eight-country multicenter study. The surgeons were given a chance to use various imaging methods for colorectal center patients and judge their value. The same contrast agent is also proving adept at visualizing obstructions in biliary vasculature, compared to non-contrast-enhanced MRI.

Refinements in MRI technique continue to show promise in clarifying the nature and extent of damage of myocardial infarction. Take for example teams from Munich, Germany presenting this week at ECR 2011, who have been finding ways around the problem of adapting inversion time to the individual patient when using delayed enhancement to detect tissue damage.

In anticipation of the European Congress of Radiology 2011, which will be held March 3 to 7 in Vienna, Austria, Diagnostic Imaging caught up with Professor Yves Menu, chairman of the department of radiology at Saint Antoine Hospital in Paris and the ECR 2011 Congress President.

Radiologists should be clinically focused when handling HIV cases, according to a leading chest expert. They must know if patients are drug-naïve or whether they are already on antiretroviral therapy. It is also important to determine how they acquired their HIV, whether onset is acute or more gradual, and how profoundly unwell the patients feel.

Rheumatoid arthritis, which affects approximately 2.9 million people in Europe, can be difficult to differentiate from other forms of arthritis. Without an early diagnosis, however, it is impossible to assess the true effect of promising early intervention strategies. Could an alternative diagnostic imaging strategy be the answer?

It wasn’t too long ago that ultrasound was a roiling sea of innovation and new product releases, spurred by a rivalry among Diasonics, ATL, Hewlett-Packard (Agilent Technologies), and Acuson. Since these companies’ acquisition by GE, Philips, and Siemens, the waters have calmed. Supersonic Imagine plans to begin making some waves -- and soon.

If radiologists could design the perfect modality for guiding interventional procedures, the resulting technology would undoubtedly produce high-quality images without exposing patients to any ionizing radiation. So given the widespread availability of MRI, why are so many interventions still performed in the angiography suite?

Focusing on company technologies aimed at early stage diagnosis, GE Healthcare is advocating disease prevention and presymptomatic detection at the ECR this week. In the context of this “Early Health” model of care, GE addressed an issue Europeans were the first to be concerned about: patient radiation dose.