ECR

Radiology in Asia is booming. The demand for radiology services is growing, and investment made by governments and private hospitals and companies in imaging equipment and radiology departments is increasing rapidly every year. This includes investments in PACS, RIS, and teleradiology networks.

Successful pregnancies following uterine fibroid embolization are debunking the theory that the procedure should not be recommended for women who want to conceive despite having heavy fibroid volume. Among a cohort of more than 1200 embolization patients at an English hospital, 43 of 98 women who tried to conceive have been able to do so.

The majority of patients who undergo CT colonography, either with or without contrast, will produce studies that have at least one extracolonic anomaly. Most will not require further workup, however.

A study of whole-body MR and CT as possible alternatives to planar nuclear medicine bone scanning has found that whole-body MRI depicts spinal bone metastases that escape detection with 16-slice CT.

Nuclear medicine physicians have suspected since the advent of PET/CT that the hybrid technology would outperform PET or CT for staging cancer. Those suspicions were confirmed Tuesday by a study of 260 patients at the University of Essen, Germany, which showed that PET/CT is substantially more accurate for staging carcinoma than PET or CT alone and PET and CT viewed side by side.

Siemens Medical Solutions has introduced at ECR a lightweight, mobile C-arm designed as an adjunct for cardiac and abdominal interventions. The Arcadis Avantic features a 20-kW generator with a continuous digital 1K by 1K image chain and a 13-inch image intensifier. The imaging chain can deliver 30 frames per second.

The need to deliver as little radiation as possible to patients was evident during a Monday scientific session on CT imaging of the urinary tract. Researchers presented studies that ranged in dose from 20 mAs to 200 mAs. Those on the high end were sure to be grilled.

When Dr. Peter Kullnig offered patients at his imaging center in Graz, Austria access to their images, his intent was to protect their privacy. With private logins to the center’s Web-based PACS, patients controlled access to their records. They could open those records to their own physicians and doctors to whom they were referred.

Directives to decrease radiation exposure have galvanized researchers in Belgium to start a multicenter study to assess patient doses in interventional radiology. The data could lead to future auditing parameters.

Precise evaluation of cardiac and thoracic anatomy is mandatory for planning safe minimally invasive direct coronary artery bypass. Three-D images obtained with CT angiography can help avoid surgical complications, minimize the need to switch to the standard surgical approach, and help determine the best surgical access.

If Prof. W.C. Roentgen were alive today, he would recognize the need for university hospital medical managers who can eliminate bureaucratic burdens, appreciate the heterogeneity of research, and preserve the freedom that creativity requires. He would heartily approve of managers who are committed to training physicians and scientists, focusing on improving patient care, and investing in the infrastructure of medical centers.

Hormone replacement therapy is known to carry a risk of cardiovascular events. Researchers in China, however, have found that women taking HRT have significantly lower coronary calcium scores and significantly less coronary artery stenosis. They recommend cutting the standard HRT dosage by half so women can retain the positive benefits against osteoporosis, as well as reduce the risk for coronary heart disease.

Residual questions about vertebroplasty’s safety and efficacy were put to rest in Vienna Saturday. Dr. Giovanni C. Anselmetti, medical director of the Interventional Radiology Service of Candiolo, Italy, announced results at the ECR meeting of a seven-center trial covering 1580 vertebroplasty patients.

Primovist improves MR detection of liver lesions and can change the surgical management of patients in a substantial number of cases, according to the results of two studies presented at the ECR Friday. The data were part of a symposium sponsored by Schering, the developer of the liver-specific agent.

Provided cost-effectiveness issues can be resolved, whole-body imaging appears destined to enter everyday clinical practice as a comprehensive initial scanning method in oncology and other areas, according to an ECR presentation Friday.

Europe is debating the acceptance of a common legal framework, a single constitution, for all European nations. This is a challenge, as was the free circulation treaty and the introduction of the euro as a common currency. Through alternating moments of shake-up and tranquillity, Europe is advancing in stages toward unification.

Adding contrast media to high-energy digital mammography studies can generate clearer images of difficult-to-spot breast masses. The use of contrast and digital subtraction algorithms led to results similar in clarity to breast MR in a small investigational study by German researchers.

One out of five patients with breast cancer in a Spanish study had her therapeutic approach changed after undergoing contrast-enhanced MR imaging. Meanwhile, Italian researchers found CE MR valuable in detecting bilateral breast cancer.Dr. Julia

MR spectroscopy can improve specificity in breast cancer detection without losing sensitivity. And the acquisition and postprocessing of spectroscopic data are sufficiently user-friendly to become routine in a clinical setting, according to research

U.K. researchers are using contrast-enhanced MR imaging to identify the stability of carotid plaques. The technique holds potential for determining risk in atheroma patients and tracking plaque progression in response to treatment.Vulnerable

Ongoing technological improvements and sustained growth in the number of scanners worldwide are helping to fuel the rapid growth in clinical PET/CT.About 200 combined systems have been installed worldwide since the first PET/CT scanner was introduced

GE Medical Systems is using the European Congress of Radiology to introduce two new hardware options with potential benefit to cardiovascular radiology.The company is adding to its range of digital fluoroscopy offerings with an imaging system optimized