ECR 2012 Preliminary Programme SpringEdition-Webversion

Preliminary Programme
Vienna welcomes you

Burgtheater, around 1900 Photochrom print (colour photo lithograph)
www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012
Table of Contents
General Information
4 8 92 94 95 96 Introducing the ECR 2012 Congress President Your Timeline to ECR 2012 ESR Dignitaries ESR Executive Council ECR 2012 Committees ECR 2012 Topic Coordinators
Scientific Highlights
14 18 22 26 36 40 NH 8: SA 4: SF 8b: SF 12: PC 16: MS 11: New techniques increase ablation efficiency in tumour treatment How to avoid pitfalls in imaging pregnant patients Imaging redefines CAD investigation and patient prognosis Rise of mobile technology sets the perfect stage for teleradiology ESR and ICRP preview upcoming challenges in radiation protection Multidisciplinary exchange brings added benefits to breast cancer management
Scientific Programme
12 16 20 28 38 42 44 45 46 48 49 52 53 54 56 58 59 62 63 64 65 66 67 68 69 70 71 72 73 74 75 79 82 83 87 87 87 87 87 87 87 87 88 89 91 91 ESR meets Italy, Egypt, Romania & Radiation Oncologists New Horizons Sessions State of the Art Symposia Special Focus Sessions Professional Challenges Sessions Multidisciplinary Sessions Categorical Courses: CLICK (Clinical Lessons for Imaging Core Knowledge): Common Clinical Cases Emergencies in Neuroradiology Urogenital Imaging Mini Courses: Organs from A to Z: Lung Molecular Imaging Controversies in Abdominal Imaging The Beauty of Basic Knowledge: Interpretation of the Chest Radiograph Joint Course of ESR and RSNA (Radiological Society of North America) Refresher Courses: Abdominal and Gastrointestinal Breast Cardiac Chest Computer Applications Molecular Imaging and Contrast Media Genitourinary Head and Neck Interventional Radiology Musculoskeletal Neuro Paediatric Physics in Radiology Radiographers Vascular Oncologic Imaging Emergency Radiology EFOMP Workshop E3 European Excellence in Education: Foundation Course: More About Ultrasound Interactive Teaching Sessions Accompanying Sessions: Novel technology that shapes radiology: EIBIR presents Imagine (Workshop) 5th Post Processing Face-Off Session Radiology Trainees Forum: RTF Highlighted Lectures ESOR Session Standards and Audit Session Image Interpretation Quiz Hospital Management Symposium Junior Image Interpretation Quiz Plenary Sessions Satellite Symposia Update Your Skills (Practical Courses): Image-Guided Breast Biopsy: How to do it US of the Lower Limb: Groin to Calf
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In March of this year, ECR Today, the daily congress newspaper, met ECR 2012 President, Professor Lorenzo Bonomo, Chairman of the Department of Radiology and Director of the Radiology Training Programme at the Catholic University Sacro Cuore in Rome. He talked about his plans for the next congress, e-learning and the necessity of attracting more medical students to radiology. ECR Today: What are your plans and ambitions for ECR 2012? Lorenzo Bonomo: As usual, the ECR will feature a number of innovations next year. First of all, we will add more scientific slots and the congress will start on Thursday morning. This year, following a 26% rise in abstracts, we had a rejection rate of 70%. We need to make more room for scientific presentations.
Then, we will have two new scientific subcommittees, on oncologic imaging and emergency radiology. Usually the scientific subcommittees are related to European radiological subspecialty societies, but since the European Society of Oncologic Imaging and the European Society of Emergency Radiology have only been created at ECR 2011, I decided to form these subcommittees. This means we will have Refresher Courses on these topics as well. The ECR is the annual meeting of one of the biggest scientific societies, the ESR, which accounts for more than 50,000 members, and this is an importance that should be reflected by the congress.
There will also be a subspecialty Refresher Course devoted to reporting. This years packed session (I couldnt even get in!) on standards and audits, How to write better reports, proved once again how attendees need and want to know how to report. There will also be a Mini Course on molecular imaging, with one session dedicated to theragnosis (combining imaging and treatment). A large percentage of treatment today is guided by imaging and this will only increase in the future. We need to keep our eye on this constantly evolving field. A new Mini Course will focus on controversies. Next year we will address three controversial topics in abdominal imaging. Each session will be interactive; the chairman will propose several questions, receive the opinion of the audience and invite speakers to give their talks and state their positions, ultimately trying to find a consensus.
ntroducing
By Mlisande Rouger
the eCr 2012 Congress President
Lorenzo Bonomo looks forward to presiding over the next congress
Finally, the Foundation Course will focus on ultrasound, and two of the Categorical Courses will deal with urogenital imaging and neurological emergencies. The CLICK format introduced at ECR 2011 on the most common clinical problems in a particular field will also be repeated. ECRT: What were your impressions of ECR 2011? What will be continued or changed? LB: Usually the ECR is very innovative but this year it went even further. First, abstract submission went up by 26%, which is partially due to the younger generation getting more and more involved. It will be a great challenge for me to repeat the same success next year but I am confident that with the support of everybody at the ESR I will contribute to improving the already predominant role of the ECR in the radiological world. We will increase the number of interactive sessions because it is a great way for the attendees to participate directly with the speakers. We also will organise more multidisciplinary sessions on managing patients with cancer, an innovation started in 2010. The Special Focus Session My Most Beautiful Mistakes, which proved very successful this year, will also be kept on the programme. ECRT: Being a chest radiologist, what did you think of the sessions on chest x-ray (The beauty of basic knowledge)? Is there a need for radiologists to come back to traditional modalities? LB: Chest x-ray is one of the most common and popular x-ray examinations, which can be performed in huge hospitals but also in very small practices. It is usually the first imaging modality used to assess chest conditions and lung and heart disease. I would say to the younger generations: dont forget the old things, especially in chest imaging. Young radiologists like CT and MRI, but if you want to understand the content of chest CT, you should first get to know chest x-ray very well. It is still the basic knowledge of chest imaging. We will also definitely repeat these very popular, fully booked sessions. ECRT: ECR 2011 also saw the launch of two initiatives for young radiologists, namely the Rising Stars programme, in which students can submit abstracts and participate
Professor Lorenzo Bonomo
in dedicated sessions for medical students, and the ESR Diploma, aimed at radiologists who have just finished their training. What do you think of these initiatives and do you intend to expand them? LB: Concerning the Rising Stars, we should definitely try to increase the number of Medical Student Sessions as it is a way to attract young medical students to radiology. As for the introduction of the ESR Diploma, I am very curious about the examination today since I will be one of the examiners. Actually I was one of the first radiologists to take the European diploma back in 197778, when it was organised by the European Association of Radiology (EAR), the predecessor of the ESR. At that time there were no electronic tools! I remember very famous examiners from France, Germany and Italy showing me three cases on the view boxes, and I had to make a diagnosis. Today, 35 years later, I will be on the other side. I think this diploma is an important step, and next year our goal will be to have it officially recognised by the European Commission. ECRT: What do you think of the format of the Electronic Presentation Online System (EPOS) and other e-learning platforms at ECR? LB: I visited the EPOS and ePACS areas, and we should try to enlarge these. EPOS is one of the most important learning tools for young people and we should make further innovations with this technology to increase the number of attendees at ECR. I think this year it was organised very well, but we could maybe use more monitors at EPOS. It is really crowded at lunchtime. One of the nice experiences for ECR presidents is that with every congress, they have the chance to make improvements based on the experience of their predecessors. We should try to enhance the quality in continuity with the past. ECRT: Are you a big fan of e-learning tools yourself? LB: I use them in my daily teaching activities, and I invite my residents to visit teaching files in other web universities and use other online resources. ECRT: Which will be the next countries and partner discipline invited to take part in the ESR meets programme? LB: We invited the national societies of Egypt, Italy and Romania, and one of our sister disciplines, radiation oncology. In doing so, we intend to strengthen our relationship
with this discipline, where imaging has played a growing role in defining the treatment that radiation oncologists perform. Both specialties have a very close relationship, for instance radiation oncology is part of my department. Their goal is to treat disease with radiation and the role of radiology is to give information for the best possible treatment and to control its response. ECRT: Italian radiologists have always attended the ECR in large numbers. Why do you think that is? LB: I think my appointment as ECR President is a big recognition of Italian radiologists for their huge support since the foundation of the ECR. Ever since, we have been able to work together with the Italian Society of Medical Radiology (SIRM) to encourage attendance at the ECR by writing about it and advising it in our journals. Hopefully my presidency will translate into even higher numbers! ECRT: When was your first ECR? What has improved since then? LB: I first attended the congress in 1991 and I have noticed, as have many other colleagues, a continuous improvement in its quality, not only in terms of delegates but also in the high standards of its educational and scientific activities. ECRT: How did you decide to become a radiologist? LB: In Italy, at the end of medical training, you should discuss a thesis. I was very impressed by the lessons my professor of radiology gave, so I chose to do my thesis on radiology, specifically chest imaging. It was entitled The role of chest x-ray in the evaluation of pulmonary circulation and I graduated in July 1970. I have absolutely no regrets. ECRT: How do you like to spend your time when you are not working? LB: I enjoy being a radiologist, but I also have hobbies! I was born close to the sea (in Andria, Puglia, ten minutes away from the coast), but I do like mountains. I am fond of skiing and every year I visit the Dolomite area in Italy for this. Thanks to ECR, I have met other radiologists who share my passion for trekking, and each year we try to organise a long weekend somewhere in Europe.
Lo duca e io per quel cammino ascoso intrammo a ritornar nel chiaro mondo; e sanza cura aver dalcun riposo, salimmo s, el primo e io secondo, tanto chi vidi de le cose belle che porta l ciel, per un pertugio tondo. E quindi uscimmo a riveder le stelle.
Dante Alighieri (1265 1321) Divina Commedia / The Divine Comedy Inferno / Canto XXXIV: Lines 133139
The Guide and I into that hidden road Now entered, to return to the bright world; And without care of having any rest We mounted up, he first and I the second, Till I beheld through a round aperture Some of the beauteous things that Heaven doth bear; Thence we came forth to rebehold the stars.
Castel del Monte, Apulia, Italy, commissioned by Frederick II and completed around 1240 Photograph Toti Cal
EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org
Your Timeline to ECR 2012

March 2011 December 31, 2011 March 2011 January 31, 2012 June 8 September 12, 2011 July 5 September 18, 2011 August 31, 2011 September 1, 2011 October 1, 2011 November 2011 November 2011 March 15, 2012
Congress Venue
Austria Center Vienna Bruno Kreisky Platz 1 1220 Vienna, Austria
All-year Online Abstract submission to ePOs Upload of Accepted exhibits to ePOs Invest in the Youth support Programme Application Paper Abstract submission (Oral Presentations) esr Membership Application Deadline Online registration Open Travel & Accommodation service Open Participate from Home registration Open Notification of Paper Abstract Acceptance (Oral Presentations) eCr 2012
Scientific and Educational Programme
3 1 4 2 3 3 14 3 3 3 5 75 1 14 100 5 4 1 1 1 2 1 1 1 1 1 Honorary Lectures Opening Lecture ESR meets Sessions Image Interpretation Quizzes New Horizons Sessions State of the Art Symposia Special Focus Sessions Professional Challenges Sessions Multidisciplinary Sessions: Managing Patients with Cancer Categorical Courses (18 Sessions) Mini Courses (20 Sessions) Refresher Courses Foundation Course: More About Ultrasound (6 Sessions) Interactive Teaching Sessions Scientific Sessions Medical Students Sessions Rising Stars Teaching Sessions Undergraduate Teaching Session e-Learning Centre with Self Assessment Test RTF Radiology Trainees Forum: Highlighted Lectures Update Your Skills (Practical Courses) EFOMP Workshop ESOR Session Standards and Audit Session Hospital Management Symposium Post Processing Face-Off Session Satellite Symposia & Industry Hands-on Workshops
Congress Language
English
CME Accreditation
Each ECR delegate receives a confirmation of all activities attended (CME confirmation Record of attendance). The approximate maximum number of hours of scientific activity attendance is 40 (please note that this number differs from the maximum number of UEMS/EACCME credits). ECR 2012 is expected to be designated for a maximum of 27 hours of European external CME credits.
Facts & Figures 2011

20,120 Participants 96 Countries 270 Scientific and Educational Sessions 3,000 Scientific and Educational Exhibits 870 Scientific Papers 533 Invited Lectures Fully Electronic Scientific Exhibition Industrial Exhibition 307 exhibitors 26,000 m
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ESR meets sessions
radiology without borders at the eCr

By Mlisande Rouger
The past, present and future of radiology will be examined, as well as the specialtys cooperation with radiation oncology, during the popular ESR meets programme at ECR 2012. Countries with a glorious past will show how they maintain high standards of care and review their own advances made in imaging since its introduction to medical practice. In particular, the advent of functional imaging will be discussed by renowned experts. The national societies of Egypt, Italy and Romania will follow in the footsteps of Brazil, France and Iran as guest countries in the increasingly well attended ESR meets programme. For the fifth year in a row, the ECR has also invited a partner discipline to host a session focusing on its cooperation with radiologists. This year, radiation oncologists will be the guests, providing attendees with a look at the role of imaging and tailored radiation therapy in rectal cancer. Interestingly enough, oncologic imaging will also constitute the basis of some countries own sessions. By choosing the theme From morphology to function, Italy, the home country of ECR 2012 President Professor Lorenzo Bonomo, is likely to review some of the most significant recent advances made in imaging. Italian radiologists, who always come to the ECR in high numbers, will provide clinical perspectives of MDCT coronary angiography, a noninvasive procedure that is gradually replacing classical angiography in the detection and characterisation of coronary artery disease (CAD). The Italian delegation will also present emerging MR techniques, by showing the results of an experimental study with 7T-micro MRI of intestinal infarction and introducing MR contrast agents for liver imaging. A short interlude will be dedicated to the imaging of skeletal muscle pathology after the 2006 Winter Olympic Games in Torino.
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The decision to invite radiation oncologists to the ECR reflects how entwined both disciplines have become as the possibilities of treating cancer have increased over the past few years. Radiation oncology delegates will deliver a session on imaging and tailored radiation therapy in rectal cancer, incidences of which are on the rise. Presentations such as treatment oriented staging, response evaluation by imaging, and tailored treatment according to imaging response will provide radiologists with an insight into their colleagues work while stressing the role of imaging in these procedures. Discussions will follow to further improve both specialities cooperation. Oncologic imaging is an ever expanding field within radiology and two of the ESR meets countries will dedicate their sessions to this topic. Egyptian radiologists will focus on the imaging of urinary bladder cancer and interventional management of hepatocellular carcinoma (HCC), and will also present the Egyptian womens health outreach programme, from its origins to future developments. The Egyptian delegation will also draw a link with their countrys fascinating history by showing how MDCT helps to unveil ancient secrets of royal mummies. Romania will also focus on oncologic imaging, with sessions dedicated to breast and liver cancer imaging. Hepatic nodules in cirrhosis, imaging and guided biopsy in breast malignancies and interventional procedures in liver malignancies will all be dealt with. While assessing the current state of the art of radiology in their country, the Romanian delegates will also briefly present the beginnings of the discipline in Romania, underlining the significant advances made since then.
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ESR meets sessions

Friday, March 2, 10:3012:00 ESR meets Italy EM 1 From morphology to function
Presiding: L. Bonomo; Rome/IT A. Rotondo; Naples/IT Introduction: Italian Society of Radiology (SIRM) in the third millennium A. Rotondo; Naples/IT Outlook and clinical perspectives of MDCT coronary angiography M. Galia; Palermo/IT Interlude: Imaging of the skeletal muscle pathology after the 2006 Winter Olympic Games C. Faletti; Turin/IT Experimental study with 7T-micro MRI: in vivo rat model of intestinal infarction R. Grassi; Naples/IT Interlude: Reasons to come to the 45th SIRM National Congress C. Faletti; Turin/IT MR contrast agents for liver imaging A. Giovagnoni; Ancona/IT Panel discussion
Saturday, March 3, 10:3012:00 ESR meets Egypt EM 3 Oncologic imaging and paleoradiology in Egypt: the past, present and future
Presiding: M. Abdel Wahab; Cairo/EG L. Bonomo; Rome/IT Introduction M. Abdel Wahab; Cairo/EG Imaging of urinary bladder cancer T. El-Diasty; Mansoura/EG Interlude: Imaging of urinary diversion S. Hanna; Cairo/EG MDCT of Royal Egyptian Mummies: secrets unveiled A. Selim; Cairo/EG Interlude: Ancient Egyptian medicine S. Hanna; Cairo/EG Interventional management of HCC: Egyptian experience A. El-Dorry; Cairo/EG Interlude: Discover Egypts charm S. Hanna; Cairo/EG Egyptian womens health outreach programme: yesterday, today and tomorrow D. Salem; Cairo/EG Panel discussion
Friday, March 2, 16:0017:30 ESR meets Radiation Oncologists EM 2 Imaging and tailored radiation therapy in rectal cancer
Presiding: L. Bonomo; Rome/IT V. Valentini; Rome/IT Chairmens introduction L. Bonomo; Rome/IT V. Valentini; Rome/IT Treatment-oriented staging G. Brown; Sutton/UK Treatment tailored according to staging K. Haustermans; Leuven/BE Response evaluation by imaging R.G.H. Beets-Tan; Maastricht/NL Treatment of rectum cancer tailored according to longitudinal imaging and multifactorial predictors P. Lambin; Maastricht/NL Panel discussion
Sunday, March 4, 10:3012:00 ESR meets Romania EM 4 Oncology imaging: breast and liver
Presiding: L. Bonomo; Rome/IT G. Iana; Bucharest/RO Introduction: Romanian radiology today G. Iana; Bucharest/RO Hepatic nodules in cirrhosis I.G. Lupescu; Bucharest/RO Interlude: The beginning of Romanian radiology M. Buruian; Targu-Mures/RO Interventional treatment in liver malignancies B. Popa; Bucharest/RO Interlude: Ten reasons to see Romania D. Negru; Iasi/RO Imaging and guided biopsy in breast malignancies M. Lesaru; Bucharest/RO Panel discussion
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New Horizons sessions
New techniques increase ablation efficiency in tumour treatment

By Mlisande Rouger
Saturday, March 3, 08:3010:00 New Horizons Session NH 8 Ablation beyond radiofrequency
Radiofrequency ablation has paved the way for less invasive tumour treatment. Today, more techniques have become available, with some showing strong potential for burning mid-sized tumours and tumours that have proved particularly resilient. A panel of experts will present the latest procedures and weigh pros and cons during a dedicated session next year at the ECR. Radiologists have been treating tumours with ablation for over a decade. In this time, radiofrequency (RF) has been established as the gold standard, with very good results for small tumours ranging from 2 to 3.5 cm. Ninety percent of tumours treated with ablation are located in organs such as the liver, kidneys and lungs, which have some space around them. For bigger tumours, recently introduced microwave ablation seems to achieve better results, according to Professor Thierry de Bare, head of the Department of Interventional Radiology at the Institut Gustave Roussy in Villejuif, France. Microwave ablation is still in its infancy but we believe it can destroy more voluminous tumours, he said. The reason for this is simple: microwaves create more heat than RF. While RF cannot exceed 98 degrees the temperature of ebullition of tissues microwaves can reach as high as 180 degrees, a temperature that enables more tissue to be burned faster. The waves are introduced directly into the tumour through a needle, to preserve the surrounding healthy organs and tissue. With this technique, interventional radiologists can destroy tumours ranging from 4 to 5 and sometimes even 6 cm. Microwaves also enable the burning of tumours that are located near large blood vessels. This represents significant progress as radiologists have so far struggled with RF, often requiring extra treatment to ablate these tumours. Blood vessels cool down the local temperature by acting as convectors, so when tumours are located near big vessels, it becomes harder to get rid of them, de Bare explained. Studies with microwaves on small animals have proved more effective than RF in this regard, and researchers expect to see the same results in humans soon. But as one destroys more tumour, one runs the risk of burning more healthy tissue as well. The incidence of complications increases hand-in-hand with the size of the tumour. Another emerging technique could help avoid this problem, experts believe. Irreversible electroporation, which uses electrical fields instead of heat, does not involve the risk of damaging neighbouring organs and vessels. Radiologists send electrical pulses directly into the tumour via a needle, causing irreversible defects in cell membranes. By augmenting the delivered
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electrical field, more and larger holes are created in the membrane, leading to the eventual destruction of the whole cell. Irreversible electroporation has not been tested on big tumours yet, but the potential is definitely promising, researchers think. In theory it is quite interesting because ablation doesnt depend on the temperature anymore. It sounds like an alternative to radiofrequency and probably to microwaves in the case of big tumours located too close to a vessel, said Professor Jos Ignacio Bilbao, head of interventional radiology at the Clnica Universidad de Navarra in Pamplona and chairman of the New Horizons Session. More development is necessary to determine the benefits of each technique, both of which will play major roles in the future and will probably become complementary to each other, de Bare predicted. More results are likely to be available by March 2012. Finally, experts will present two more techniques that do not involve the introduction of a needle: high intensity focused ultrasound (HIFU) and stereotactic body radiation therapy (SBRT). HIFU consists of collimating ultrasound energy through a lens in a focal region at very high intensities, resulting in cell death by coagulative necrosis. Developed in China, HIFU has been increasingly used in Asia for the past two decades for the treatment of solid tumours, haemostasis and other vascular features in human tissues. The procedure is now starting to become widespread in Western countries as well, particularly for defined applications such as prostatic neoplastic diseases and uterine myomas. SBRT enables the delivery of ultra-high doses of radiation in a single session or in a small number of treatment sessions (hypofractionation), using advanced technology that aims to minimise exposure of surrounding healthy tissues to radiation. The procedure has notably been greatly refined in the thoracic region and is becoming a standard non-invasive ablative treatment for non-metastatic primary stage I-II lung tumours that are not amenable to surgery. Studies are currently ongoing with operable patients in prospective phase II trials. ECR participants will be presented with the latest available results and taught how to make the most of both techniques. Professor Jos Ignacio Bilbao is head of interventional radiology at the Clnica Universidad de Navarra in Pamplona and chairman of the New Horizons Session on ablation.
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New Horizons sessions

Friday, March 2, 08:3010:00 NH 4 Liver imaging: reality and virtuality
Chairmans introduction C. Bartolozzi; Pisa/IT Acquisition and display of liver reality L. Mart-Bonmat; Valencia/ES Postprocessing and modelling D. Caramella; Pisa/IT Planning and simulation O. Ratib; Geneva/CH Intraoperative functional imaging: visualisation and navigation for liver surgery N. Navab; Munich/DE Panel discussion: The ultimate challenge: virtual technology for real medicine
Sunday, March 4, 14:0015:30 NH 14 New insight into vascular wall

Chairmans introduction M.F. Reiser; Munich/DE Molecular imaging of atherosclerosis: ready for prime time? M. Schfers; Mnster/DE Non-invasive imaging of the vulnerable atherosclerotic plaque J.H. Gillard; Cambridge/UK Atherosclerosis: a reversible disease? T. Saam; Munich/DE Panel discussion: Predictive values of imaging markers of atherosclerosis: where do we stand?
Saturday, March 3, 08:3010:00 NH 8 Ablation beyond radiofrequency

Chairmans introduction J.I. Bilbao; Pamplona/ES Microwave ablation T. de Bare; Villejuif/FR Irreversible electroporation T.K. Helmberger; Munich/DE High intensity focused ultrasound (HIFU) F. Orsi; Milan/IT Stereotactic body radiation therapy (SBRT) J.J. Aristu; Pamplona/ES Panel discussion: Which method should then be used for tumoural ablation?
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State of the art symposia
How to avoid pitfalls in imaging pregnant patients

By Mlisande Rouger
Friday, March 2, 08:3010:00 State of the Art Symposium SA 4 Imaging during pregnancy
Imaging pregnant women is a specific setting in which radiologists must be aware of potential pitfalls. The risks induced by radiation exposure must be weighed against diagnostic benefits, and dose reduction strategies must prevail to protect the foetus. Radiologists must also question the necessity of using contrast products, effects of which on the foetus remain unknown. Finally, even the safest modality can trigger problems if not operated properly. At ECR 2012 a panel of distinguished specialists will explain how to use all the imaging tools in this unique situation. This will come as no surprise: ultrasound (US) and magnetic resonance imaging (MRI) are the most widely used modalities for the imaging of mothers-to-be. Because they do not use ionising radiation, both are considered to be very safe. But even with US, believed to be completely risk-free, one must remember that Doppler imaging carries the risk of tissue heating, especially on the interface between bone and soft tissues. US must thus be performed by experienced hands. Except for the heat and noise it generates during the examination, MRI is also thought to present no risk. It provides accurate images of all but pulmonary pathologies and is increasingly used in acute abdominal situations instead of CT, when time allows it. MRI is excellent at evaluating the vessels and the uterus itself; it is probably the best modality for imaging pregnant women, especially in advanced pregnancy. It may even be better than US, said Professor Andrs Palk, Director of the Radiology Department at Szeged Medical School, Hungary, who will focus on polytrauma imaging in pregnancy during his presentation at the ECR. Problems may arise with MRI when the condition of the patient requires the use of contrast media. It is still unclear what effects gadolinium can have on developing life when spreading to the placenta, so doctors prefer not to use it. Only exceptions such as cancer that needs to be operated prenatally will necessitate the administration of contrast media in a pregnant patient. If we can avoid it, we always do, and there are some imaging techniques within MRI that can be applied instead, such as diffusion-weighted imaging. We give gadolinium to the mother only when necessary and when the benefit for the mother outweighs the potential risks for the foetus, said Professor Monika Bekiesiska-Figatowska, radiologist at the Institute of Mother and Child in Warsaw, Poland, who will chair the session. The problem is the same in CT applications that require the administration of contrast products that contain iodine. Fortunately these cases are very rare in mothers-to-be. With CT come more serious hazards for the foetus. Potential consequences of prenatal x-ray exposure are difficult to determine precisely and are mainly based on estimations and
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phantom studies. Ionising radiation may be responsible for mental retardation and physical malformations, but may also increase the prevalence of cancer later in life. However it is widely believed that the cancer risk is very low, especially if the examination is performed with significantly reduced doses. If we respect the threshold value, one out of 15,000 babies will have the risk of developing cancer later in life after his/her mother receives an abdominal pelvic CT examination. This is a very low ratio if you consider the benefit of CT in saving the lives of both the mother and ftus, Palk said. The risk also depends on the region where the examination is being performed, and there is a general agreement that if CT is carried out in the head, neck or thorax, there is no significant risk to the foetus. Doctors also prefer to use US and MRI in pregnant women in the emergency room. But in some acute situations, they cannot save the life of the patient without the accuracy and speed of CT. For other less urgent cases, CT might also be required to make sure the life of the baby isnt endangered by the injuries received by the mother. A ruptured artery could for instance lead to a disruption of the blood supply to the foetus. Polytrauma is not the only setting where CT is required in imaging pregnant women. When diagnosing pulmonary embolism (PE), CT angiography should only follow US of the legs. If PE is clinically suspected and a US examination shows no thrombosis, then CT pulmonary angiography is recommended. MRI cannot replace this technique. While an average adult CT pulmonary angiography usually requires a voltage of 140 kVolts, the same examination in a pregnant woman will involve doses as low as 100 or even 80 kV. Reduced voltage and smaller doses of radiation are used for imaging pregnant women, while improving contrast of pulmonary vessels. It is scientifically proven that if the radiation dose is lower than 100 mGy, there is a 95% chance that the child will have neither malformation nor childhood cancer, Bekiesiska-Figatowska said. The age of the foetus is a factor to take into consideration when imaging with CT. In the first two weeks of pregnancy, it is said that the foetus will either die or recover completely from radiation exposure. If the examination is carried out between the 3rd and the 8th week, there is a risk of organ malformations, and if performed between the 8th and 15th week, the foetus runs the risk of mental retardation. In any case, CT is rarely the first imaging tool used in pregnancy. But here as in general radiology, the actual condition of the patient determines the choice of modality.
Images of a 35-year-old woman in the 9th week of pregnancy, with a suspected ovarian tumour. MRI revealed huge uterine myomas, the suspicion of ovarian malignancy was ruled out. (Provided by M. Bekiesiska-Figatowska)
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State of the art symposia

Friday, March 2, 08:3010:00 SA 4 Imaging during pregnancy
Chairmans introduction M. Bekiesiska-Figatowska; Warsaw/PL What are the real risks of radiation and contrast media to the mother and the foetus? D. Prayer; Vienna/AT What are the real risks of US and MRI to the foetus? M. Wozniak; Lublin/PL Polytrauma A. Palk; Szeged/HU Pulmonary embolism A.R. Larici; Rome/IT Panel discussion: Pregnant women and imaging how far can we go?
Sunday, March 4, 16:0017:30 SA 15 Imaging hip joint replacement

Chairmans introduction V.N. Cassar-Pullicino; Oswestry/UK Radiography and ultrasound: how far can you go? S. James; Birmingham/UK CT: when should you do it and how? A. Blum; Nancy/FR MRI: can it replace the above? S.J. Eustace; Dublin/IE Panel discussion: Can we define an algorithm for assessment of the painful hip replacement?
Saturday, March 3, 16:0017:30 SA 11 Polytrauma in the golden hour: the key role of emergency radiologists in the ED when time makes the difference
Chairmans introduction U. Linsenmaier; Munich/DE Ultrasound: why, when, how and by whom? P.-A. Poletti; Geneva/CH Whole body MDCT for trauma: protocols and findings M. Krner; Munich/DE Interventional radiology as life-saving procedure G. Carrafiello; Varese/IT Panel discussion: Is the emergency radiologist the captain of the ship in the management of major trauma?
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Special Focus sessions
Imaging redefines CAD investigation and patient prognosis

By Mlisande Rouger
Friday, March 2, 16:0017:30 Special Focus Session SF 8b Cardiac imaging: from diagnosis to prognosis
Imaging has helped change the methodology for investigating patients with coronary artery disease (CAD), one of the most common and lethal conditions worldwide. Computed tomography (CT) has become increasingly central in the diagnosis and characterisation of CAD, gradually replacing invasive procedures such as coronary angiography. Progress has been so fast that radiologists are now able to predict the prognosis of CAD patients. Magnetic resonance imaging (MRI), with its ability to determine myocardial viability, has also proved to be useful in the treatment of medium risk patients. Now more than ever, radiologists must catch up with the latest technological advances if they are to help treat this disease earlier and more effectively, as a panel of experts will demonstrate during a session dedicated to cardiac imaging at ECR 2012. Detecting plaque deposition in the coronary arteries is key to improving patient outcome. By the time someone has a heart attack, it becomes a much more difficult disease to treat, and patients become much more difficult to support. By diagnosing CAD early, one can change the patients lifestyle, monitor cholesterol, recommend exercise or institute early physical treatment such as angioplasty. Over the past ten years, imaging has undergone tremendous improvements and gained importance in predicting the presence, severity and evolution of the disease. In the UK, the recent publication of the National Institute of Clinical Excellence (NICE) guidelines on treating patients with chest pain shows the prominent role played by imaging modalities. This is very interesting because, for the first time, it incorporates imaging tests into the patient diagnostic pathway. Previously in mainstream cardiology, most of the tests that were carried out were clinical examinations of the patients history, followed by an exercise test, then maybe coronary angiography, said Professor Michael Rees from the Betsi Cadwalladr University Health Board Wales, UK, who will chair the session. According to Professor Rees, the research going on in Europe will also soon start incorporating all of the clinical research evidence on imaging.
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CAD patients are divided into three categories: high, medium and low risk. More and more imaging modalities are available for their investigation, sparing many of them a coronary angiogram, an invasive procedure with an associated morbidity risk. In lower risk patients with chest pain, the first test now carried out is a calcium score, to predict risk and determine what the next examination should be. A calcium score is a CT examination to check for the build up of calcium in plaque in coronary arteries. It represents a big change in the way we investigate patients, Rees said. If the calcium score is high, the patient will then go on to have either a coronary CT angiogram (CCTA) or a basic coronary angiogram. If the calcium score is low, the patient may then go on to have CCTA or other tests, or be treated with medication. CCTA has become central to the management of CAD patients, due to recent technological improvements and the modalitys wide diffusion all around the world. During these years, probably all the major questions about the diagnostic power of this modality were answered, said Dr. Filippo Cademartiri, Head of Cardio-Vascular Imaging Unit at the Department of Radiology, Academic Hospital of Parma, Italy, who will also take part in the session. But while technological advances have improved the diagnostic possibilities of CCTA, they have also enabled radiologists to tell whether patients will develop a cardiovascular event or not, and if yes, which one. With the information collected during the diagnostic process (quality of the plaque, location of the block if any, etc.), radiologists are now able to provide information about the prognosis of their patients. Cademartiri will present the results of a multicentre study of 27,125 patients in Asia, Europe and North America; the CONFIRM (COronary CT Angiography EvaluatioN For Clinical Outcomes: An InteRnational Multicenter) registry. Early studies suggested a potential for prognostic risk assessment by CCTA findings but were limited to small patient cohorts or single centres. A study of this size will add incremental and important insights into CCTA findings that confer prognostic value beyond demographic and clinical characteristics, and it will provide valuable information about the optimal methods for using CCTA findings, he explained.
Figure A A 58-year-old male presented with atypical angina and underwent CT coronary angiography for the exclusion of obstructive coronary artery disease. CT showed a significant (>70%) atherosclerotic plaque obstructing the proximal left anterior descending coronary artery (arrowhead). Figure B A 64-year-old female presented with atypical angina and underwent CT coronary angiography for the exclusion of obstructive coronary artery disease. CT showed no significant coronary artery stenosis. However, there was a non-calcified, eccentric, atherosclerotic plaque in the distal right coronary artery with positive vessel remodelling (arrowhead). This type of plaque is associated with a greater risk of acute myocardial infarction. (All images provided by F. Cademartiri)
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Continued from page 23
Significant advances have been made not only in CT but also MR, which is increasingly used in determining whether a patient has enough viable myocardium to justify intervention or not. The typical case might be somebody who had a heart attack, so you do an angiogram and find out that they have a block. But you dont know whether it would benefit the patient to have a procedure to either open up the artery or graft it. If you did an MRI scan using contrast-enhanced techniques, you could tell whether there is sufficient viable myocardium on the territory of that artery to justify intervention, Rees said. Cardiac MR, whether stress MRI scan or a late contrast-enhanced scan, is thus becoming a much more current test in medium risk patients. If evidence of cardiovascular disease is found, these patients might then go on to have coronary angiography. Research into these important areas has had a significant impact on mainstream clinical practice, and it will lead to more changes in the future. As CT scanners become more sensitive and specific to CAD, they might even end up replacing invasive coronary angiography for the diagnosis and characterisation of CAD. I would foresee a point in time when the only reason we would perform coronary arteriography is to carry out therapy or when it is absolutely necessary, Rees predicted. The way in which patients are investigated will certainly change a lot in the future. Specialists, but also generalists must start refining their expertise today to match tomorrows equipment. It is a very exciting moment to be involved in this field. Developments have been so fast that we are on an alarming curve to catch up with them. There is a significant need to train more radiologists to be aware of cardiac imaging because the ability for us to detect and accurately diagnose CAD has grown significantly in the last ten years, Rees concluded.
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LUomo vitruviano (The Vitruvian Man)
Leonardo da Vinci
Leonardo da Vincis rendering of the Vitruvian Man, completed in 1490, is fundamentally different than others. The circle and square image are overlaid on top of each other to form one image; a key adjustment that others had not done, thus forcing them to make disproportionate appendages. Leonardos famous drawings of the Vitruvian proportions of a mans body first standing inscribed in a square and then with feet and arms outspread inscribed in a circle provides an excellent early example of the way in which his studies of proportion fuse artistic
and scientific objectives. It is Leonardo, not Vitruvius, who points out that If you open the legs so as to reduce the stature by one-fourteenth and open and raise your arms so that your middle fingers touch the line through the top of the head, know that the centre of the extremities of the outspread limbs will be the umbilicus, and the space between the legs will make an equilateral triangle (Accademia, Venice). This image provides the perfect example of Leonardos keen interest in proportion and represents a cornerstone of his attempts to relate man to nature.
rise of mobile technology sets the perfect stage for teleradiology

By Simon Lee
Sunday, March 4, 08:3010:00 Special Focus Session SF 12 Radiology on the road: working when you are away from home
Radiologists may not yet be able to see into the future, but the scope of their vision has already conquered several other dimensions. Teleradiology has become an established practice in radiology, allowing practitioners to view and interpret images from across the globe, bringing more effective healthcare to a wider population and opening up a world of new possibilities for the discipline as a whole. But even with advances in teleradiology gathering pace, its proponents are still doing their best to break that final barrier and see what might be coming in five, ten, or even twenty years time. The Special Focus Session Radiology on the road: working when you are away from home, taking place at ECR 2012, will aim to do just that, as well as to take stock of the current state of teleradiology from practical, technological and legal perspectives. Relatively recent misconceptions, particularly within the European Commission, may have delayed its widespread use, but today teleradiology is an established reality for the majority of institutions. After a long period of debate among the radiological community about the pros and cons of the practice, session Chairman, Professor Luis Donoso, Chairman of the Diagnostic Imaging Center at University Hospital Clnic Barcelona, believes it is now time to look forward and concentrate on making the most of teleradiologys potential. Teleradiology is now part of our work and healthcare management has to take account of this fact. We have to be smart enough to fully embrace the technology that will provide the best care for our patients, said Donoso. Radiology is not just about images and reports; its also about relationships with patients and clinicians, and the goal of teleradiology is to improve them with the technology we have available. The development of new technologies is a key factor in the ongoing evolution of teleradiology, and in particular the rise of mobile computing appears to be a major influence on its current direction. Principles such as cloud computing and the use of thin clients, both of which amount to a slimming down of personal computing hardware and more reliance on remote resources, seem perfectly suited to the flexible, locationindependent nature of teleradiology.
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Portable devices such as smartphones and wireless tablets are slowly replacing traditional portable computers and workstations, as they provide the ideal solution for the growing need for immediate and distributed access to imaging data, said Professor Osman Ratib, from Geneva, Switzerland, who will address various aspects of mobile devices during the session. With the increasing capacity and computing power of such devices, users will soon be able to perform most of the processing and image manipulation functions that are today only feasible on desktop or laptop computers, he added. Handheld devices are growing in popularity among medical professionals, with software developed for referring physicians as well as on-call radiologists, and diagnostic applications for devices such as the iPad are already available. But their use does raise technical and workflow-related questions, not to mention those of data security. These are all issues that will be addressed during the session, with some practical examples of technical solutions provided by Ratib, who is also Chairman of the ESR eHealth and Informatics Subcommittee. With new devices, new technology and cloud computing, which I think in the future will be the rule rather than the exception, we can access all our tools and information through the internet. But technical aspects, especially regarding security still have to be addressed, noted Donoso. The organisational and legal aspects of teleradiology should also be subject to regular revision, not least because of such technological changes. Introducing new working methods and ways to provide services usually creates new challenges on these fronts, and as teleradiology evolves, radiologists and administrators alike will be faced with changing circumstances in which to ensure optimum quality and efficiency. It is always useful to talk about problems and try to anticipate changes in the organisation of radiology departments. This session will update on the latest developments in regulations at the European level and try to help foresee the changes expected in the next five years, added Donoso.
iPad employed in the OR to show CT images used by the surgeon during the operation. The iPad is inserted in a sterile sleeve. (Provided by O. Ratib)
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Thursday, March 1, 16:0017:30 SF 3 Neuroimaging in neonates, infants and children: when to do what
Chairmans introduction A. Rossi; Genoa/IT What is the potential and role of brain ultrasound in the MRI era? M.I. Argyropoulou; Ioannina/GR When is MRI of the brain indicated? P.D. Griffiths; Sheffield/UK What is the role of advanced postprocessing of MRI images? P.C. Maly Sundgren; Lund/SE Panel discussion: Paediatric neuroimaging: what should the general radiologist know?
Friday, March 2, 08:3010:00 SF 4b Diagnosis and management of acute vascular abdominal problems
Chairmans introduction A. Nicholson; Leeds/UK Acute arterial and venous ischaemiapresentation, management and outcome L. Boyer; Clermont-Ferrand/FR Acute non variceal upper gastrointestinal haemorrhage: the evidence base for and role of intervention S. McPherson; Leeds/UK Management of abdominal haemorrhage in the severely injured trauma patient O.M. van Delden; Amsterdam/NL Panel discussion: Is there sufficient evidence to favour image-guided intervention over open surgery in abdominal vascular emergencies and other questions?
Friday, March 2, 08:3010:00 SF 4a Controversies in breast imaging

Chairmans introduction M.G. Wallis; Cambridge/UK Should we screen women under 50? A. Evans; Dundee/UK How to image the dense breast C. Van Ongeval; Leuven/BE What to do with false positive MR imaging L. Martincich; Candiolo/IT Panel discussion: How do we manage/minimise the consequences of our uncertainties?
Friday, March 2, 16:0017:30 SF 7a My most beautiful mistakes

Chairmans introduction M. Zins; Paris/FR Breast T.H. Helbich; Vienna/AT MSK B. Vande Berg; Brussels/BE Neuro P.C. Maly Sundgren; Lund/SE Panel discussion: What have we learned from our mistakes?
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Friday, March 2, 16:0017:30 SF 7b Assessing novel technology: applications, performance and quality issues
Chairmens introduction C. Vandulek; Kaposvr/HU M. Maas; Amsterdam/NL The impact of radiographers on performance and quality issues arising with novel technology F. Girard; Pont de Roide/FR How to keep up with new technique application: a continuous education programme for radiographers in action C.A. Tipker-Vos; Amsterdam/NL The role of radiographers in respect to applications of novel technologies B. Bailey; Manchester/UK Panel discussion: How can radiographers best face the challenge of novel technologies?
Saturday, March 3, 08:3010:00 SF 8b Cardiac imaging: from diagnosis to prognosis

Chairmans introduction M.R. Rees; Gwynedd/UK Coronary calcium scoring: is it good for prognosis assessment? R. Vliegenthart; Groningen/NL Coronary CT angiography to predict future events F. Cadeartiri; Parma/IT MRI predictors in coronary artery disease J. Bogaert; Leuven/BE Panel discussion: Cardiac CT and MRI vs traditional prognostic predictors: what is the evidence?
Saturday, March 3, 16:0017:30 SF 11 How can I be sure that Im dealing with HCC?
Chairmans introduction F. Caseiro-Alves; Coimbra/PT Wash-in/wash-out: what do they represent? L. Grazioli; Brescia/IT Equivocal nodules: how to interpret and clinical implications V. Vilgrain; Clichy/FR HCC staging and patient stratification: whats new? C. Ayuso; Barcelona/ES Residual tumour and tumour recurrence: how to evaluate? D.J. Breen; Southampton/UK Panel discussion: How far can we go with non-invasive imaging for diagnosis and staging of HCC?
Saturday, March 3, 08:3010:00 SF 8a Peritoneal carcinomatosis

Chairmans introduction P.K. Prassopoulos; Alexandroupolis/GR What does the surgeon want to know? E. de Bree; Iraklion/GR MDCT vs MRI: advantages and drawbacks F. Iafrate; Rome/IT What is the added value of PET/CT? G. Antoch; Essen/DE Panel discussion: Optimised imaging algorithms in peritoneal carcinomatosis
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Sunday, March 4, 08:3010:00 SF 12 Radiology on the road: working when you are away from home
Chairmans introduction L. Donoso; Barcelona/ES Teleradiology in 2012: growing or shrinking in importance E.R. Ranschaert; s-Hertogenbosch/NL Use of PDAs and other hand held devices in radiology: beyond the head? O. Ratib; Geneva/CH Legal issues of teleradiology and portable reporting R. FitzGerald; Wolverhampton/UK Panel discussion: How will we be viewing images in 20 years time?
Sunday, March 4, 14:0015:30 SF 14 HIV/AIDS update 2012

Chairmans introduction: Living with AIDS numbers and facts M.M. Thurnher; Vienna/AT Clinical challenges in HIV and CARTera A. Rieger; Vienna/AT HIV and brain M.M. Thurnher; Vienna/AT Understanding the role of immune activation and restoration in HIV infection A.G. Osborn; Salt Lake City, UT/US Changing spectrum of HIV-related diseases in the chest: 30 years later T. Franquet; Barcelona/ES Panel discussion: How the shift in the natural history and clinical manifestation of HIV is changing my imaging diagnosis
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Monday, March 5, 08:3010:00 SF 16a The role of advanced imaging in musculoskeletal neoplasms
Chairmans introduction: J.C. Vilanova; Girona/ES Advanced MR techniques J.L. Bloem; Leiden/NL PET/CT and scintigraphy J.R. Garcia; Barcelona/ES Sonography: diagnostic developments C. Martinoli; Genoa/IT Panel discussion: The role and guidelines of the imaging techniques on the management of MSK neoplasms
Monday, March 5, 08:3010:00 SF 16c Paediatric head and neck imaging

Chairmans introduction: B. De Foer; Wilrijk-Antwerp/BE Imaging of temporal bone pathology in children B. De Foer; Wilrijk-Antwerp/BE Imaging approach for a child with a neck mass N.J.M. Freling; Amsterdam/NL Imaging of maxillofacial and sinonasal pathology in children S. Bisdas; Tbingen/DE Panel discussion: How best to image the principal head and neck abnormalities in children
Monday, March 5, 08:3010:00 SF 16b How should we image the patient with haematuria?
Chairmans introduction: A.T. Turgut; Ankara/TR Ultrasound and intravenous urography: what is the new role? S. Moussa; Edinburgh/UK CT urography M.N. zmen; Ankara/TR MR urography T. El-Diasty; Mansoura/EG Panel discussion: Which modality in which patient with haematuria?
Monday, March 5, 16:0017:30 SF 19 Spinal intervention

Chairmans introduction: T. Sabharwal; London/UK Herniated disk? X. Buy; Strasbourg/FR Vertebroplasty A.D. Kelekis; Athens/GR Treatment of neoplasm A. Gangi; Strasbourg/FR Facet pathology N. Karunanithy; London/UK Panel discussion: What are the new advances in the above fields that may change current practice?
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www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012 Bernardo Bellotto, called Canaletto 'Wien, vom Belvedere aus gesehen', 1758/1761 Kunsthistorisches Museum Wien
Share your scientific work with the radiological world.

New and unique submit your work, all year long! EPOS Abstract Submission already open for 2012!
Abstract submission for EPOS (Electronic Presentation Online System) has been re-structured to include the following new features: All-year-round submission & poster upload Quicker review process Your publication citable and available online throughout the year
Find more information at myESR.org/epos_all_year
Professional Challenges sessions
esr and ICrP preview upcoming challenges in radiation protection

By Simon Lee
Radiologists in different subspecialties all face their own unique challenges, but the issue of radiation protection is one that knows no boundaries. The possibilities made available through the technological advances of CT and hybrid imaging have vastly improved diagnostic radiology but the enormous growth in their use has also meant a sharp increase in average radiation exposure among the general population. As a result, radiation protection has become a vitally important area of focus for the whole discipline, and prospective future changes in legislation will affect the working practices of every radiologist. Predicting exactly how the legislative landscape may shift in the coming years is not easy, but a joint Professional Challenges session held by the ESR and the International Commission on Radiological Protection (ICRP) will aim to give ECR 2012 attendees a clearer view of the current horizon. This collaboration the first of its kind at any ECR will include not only experts from the ICRP, the international body responsible for recommending improvements in radiation protection, but also representatives from the International Atomic Energy Agency (IAEA), which issues the basic safety standards that are used to formulate radiation protection legislation worldwide. Aside from the significance of this formal contact with the ICRP, the opportunity to get an early insight into the current discussions within both organisations will be extremely valuable to any radiologist; enabling departments to look ahead and assess what changes may be needed in the near future. Co-Chairman Professor Peter Vock, from the Department of Diagnostic Radiology at Inselspital, Berne, Switzerland, is clear that current levels of exposure mean adapted recommendations will certainly be required. We have clearly seen an increase in exposure over recent years, which is mostly due to CT and new modalities such as PET/CT. In Switzerland for example, two-thirds of medical exposure is now from CT, having risen from 28% in 1998. The UK has the lowest radiation exposure within Europe, but they have also seen a huge increase due to CT, which now constitutes more than 68% of medical exposure, he explained. I am confident the ICRP
Monday, March 5, 08:30-10:00 Professional Challenges Session PC 16 Upcoming challenges in radiation protection Joint session of the esr and the ICrP (International Commission on radiological Protection)
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www.myesr.org| |EUROPEAN CONGRESS OF RADIOLOGY 2012 www.myesr.org EUROPEAN CONGRESS OF RADIOLOGY
will recommend changes, and there is definitely good reason to actively study what we can do to prevent further increases. Technological advances have resulted not just in increasing numbers of examinations, but also in the number of applications, with a significant area of growth being the diagnostic imaging of asymptomatic individuals. Screening mammography has become particularly widespread, while recent studies hint at the prospect of screening lung cancer with CT in the future, and there is also the case of forensic imaging, where people are forced to undergo examinations for legal purposes. All of these applications contribute to rises in average exposure and it seems likely that strict new guidelines will be recommended to govern such practices. As such, understanding hybrid systems, applications and exposure, and being aware of best practice in dose management will all be vital to stabilising medical exposure and preventing further rises, despite continued growth in the use of these modalities. As chairman of the ICRPs Committee 3, which is directly concerned with protection in medicine, session co-Chairman, Professor Eliseo Vao, Professor of Medical Physics at the Faculty of Medicine of the Complutense University, Madrid, Spain, is perfectly placed to provide an impression of the current situation. As well as explaining the current activities of the committee and its approach to new developments, he will provide a preview of upcoming recommendations. It is important for European radiologists to know what is being discussed right now by the ICRP and thats a very good reason to have this session, noted Vock. This is going to be a good opportunity to get an insight from the bodies that shape international safety standards. All radiologists will be required by national laws to adapt to these new regulations, so it is advantageous for them to know what is likely to be the case within the next few years, he said.
Figure A: Neuroradiology laboratory, San Carlos University Hospital, Madrid. Scatter dose measurements. Figure B: Interventional cardiology laboratory, San Carlos University Hospital, Madrid. (Both images provided by E. Vao)
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Professional Challenges sessions

Thursday, March 1, 16:0017:30 Joint Session of ESR and EANM (European Association of Nuclear Medicine) PC 3 Diagnosis of inflammatory conditions
Chairmens introduction P. Bourguet; Rennes/FR A. Palk; Szeged/HU Imaging inflammatory bowel disease: the nuclear medicine perspective A. Signore; Rome/IT Imaging inflammatory bowel disease: the radiology perspective F. Maccioni; Rome/IT Vascular graft infections and inflammation: the nuclear medicine perspective O. Israel; Haifa/IL Vascular graft infections and inflammation: the radiology perspective A. Romero Jaramillo; Barcelona/ES Panel discussion: What is seen in the crystal ball: the future role of nuclear medicine and radiology in the evaluation of inflammatory conditions
Saturday, March 3, 16:0017:30 PC 11 An epidemic spreading from West to East: medico-legal challenges for radiologists
Chairmans introduction . Breatnach; Dublin/IE The correct conduct when you have just made a mistake L. Berlin; Skokie, IL/US Medico-legal issues within paediatric practice: the history, the challenges, and the future C. Owens; London/UK Case-based review of medico-legal aspects in emergency radiology A. Pinto; Naples/IT Panel discussion: Specific case scenarios illustrating medico-legal pitfalls in communication skills, paediatric and emergency radiology
Monday, March 5, 08:3010:00 Joint Session of ESR and ICRP (International Commission on Radiological Protection) PC 16 Upcoming challenges in radiation protection
Chairmens introduction E. Vao; Madrid/ES P. Vock; Berne/CH Challenges in radiation protection for imaging: work in progress by ICRP E. Vao; Madrid/ES To understand new challenges, such as imaging in asymptomatic individuals K. hlstrm Riklund; Umea/SE Hybrid systems and growing challenge posed by CT M.M. Rehani; Vienna/AT Panel discussion: Optimisation vs justification: range of 1-10 mSv CT examination vs more strict selection of indications
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Multidisciplinary sessions
Multidisciplinary exchange brings added benefits to breast cancer management

By Mlisande Rouger
Multidisciplinary Session Managing Patients with Cancer Saturday, March 3, 16:0017:30 MS 11 Breast cancer
Breast cancer is one of the most common cancers worldwide and the most frequent cause of cancer-induced death in women in Europe. But Systematic early detection through screening, effective diagnostic pathways and optimal treatment, can enable substantial reductions in current breast cancer mortality rates. Education, training, but also multidisciplinary teamwork, are key elements in achieving this success. Most hospitals understand this and now offer multidisciplinary breast cancer centres, where a team of specialists including radiologists, surgeons, oncologists and pathologists cooperate closely to offer the highest quality services possible. To reflect this reality, a dedicated multidisciplinary session will invite three specialists involved in breast cancer care to talk about their work at ECR 2012. The multidisciplinary breast centre of the Medical University of Vienna General Hospital (AKH) is, with around 700 newly diagnosed breast cancer patients every year, the largest in Austria, and probably one of the largest in Europe. Specialists gather once a week in Tumour Board meetings to take fast and effective decisions and improve patient management. For a centre of this size, I consider this as close to optimal as possible for the patients as well as the doctors, said Professor Gnther Steger, Head of the Breast Cancer Programme of the Department of Oncology at the Medical University of Vienna. Steger, a medical oncologist, will present the optimal neoadjuvant and adjuvant medical treatment options at ECR 2012. Currently, adjuvant therapies consist of hormonal treatment measures for hormonesensitive tumours, HER2-directed immunotherapy for the HER2-positive subpopulation, and cytostatic chemotherapy. Indications for neoadjuvant treatment are traditionally larger tumours or locally advanced disease, when breast conserving surgery is no longer possible and the tumour must be downsized. But recently it became clear that every patient is a potential candidate for neoadjuvant treatment if post-operative, adjuvant treatment is indicated. This is true especially for certain biologic subgroups like triple-negative or HER2-positive breast cancer patients, Steger said. In any case, the decision is based on the diagnostic biopsy result of the tumour. Another advantage of the neoadjuvant approach is the possibility to judge the treatment response on an individual basis and not only on statistics, as with adjuvant therapy. One can thus schedule the right time for surgical intervention, individually, Steger said. If the neoadjuvant treatment provides suboptimal results during the neoadjuvant phase, which occurs rarely, in about 5% of patients, surgical intervention is standard. Second-line neoadjuvant treatment should be reserved for clinical trials, Steger recommended.
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Radiologists, or in this case breast imagers, also play a pivotal role in the management of breast cancer patients. They perform mammography, interpret images, report findings, select additional imaging techniques and play an important role in the selection process of any therapy. Perhaps the best example of their role in patient management is that breast imagers, together with interventional radiologists, are the only radiology subspecialists to have personal contact with their patients including informing them whether or not they have cancer. Besides mammography, other modalities such as tomography, US, MRI and imageguided needle biopsies are currently used to detect and characterise breast lesions more precisely. New imaging techniques like contrast-enhanced MRI or contrast-enhanced mammography or US are particularly helpful. Up to 90% of all breast lesions should undergo image-guided needle biopsy before surgery is planned a number suggested by EU guidelines according to Professor Thomas Helbich, Vice-Chairman of the Department of Radiology at the Medical University of Vienna and President of the European Society of Breast Imaging (EUSOBI), who will chair the multidisciplinary session at the ECR. This rate is increasing as mammography screening is becoming more and more popular even in underdeveloped countries, he said. The Medical University of Vienna General Hospital breast cancer centre is currently leading a nationwide MR screening programme for families with a high risk of developing breast cancer. In addition, researchers recently started a nationwide trial to assess the role of tomosynthesis for breast cancer screening. Pre-clinically, they are working on the development of new imaging techniques and probes that offer the opportunity to image on a cellular or sub-cellular level to diagnose, characterise and treat breast cancer more effectively, according to Helbich, who will present some of these results at ECR 2012. The session wouldnt be complete without the perspective of a breast surgeon, and Michael Gnant, Professor of Surgery at Viennas Medical University and President of the Austrian Breast and Colorectal Study Group (ABCSG), will present the different surgical options and treatment approaches. Even if it is sometimes challenging, cooperation between the various disciplines involved is generally very good at the AKH breast centre, as everyone understands that a board decision is in the best interest of the patient, Steger believes. We are confident that an interdisciplinary concept for the management of patients with breast cancer adds to the benefits each discipline has provided during the last decade, since the patient benefits not only from developments in surgical techniques like breast conservation and sentinel node biopsy, for example, but also from neoadjuvant treatment options, which make such breast conserving procedures possible in many patients, he said. Delegates will be able to assess just how efficient this approach is next March in Vienna.
Images: Multimodality breast imaging: Axial fused high field (3T) high resolution PET-MRI shows rapidly enhancing highly FDG avid lesion in the centrally in the right breast indicating malignancy. PETMRI demonstrates 3 suspicious FDG-avid lymphnodes, which were confirmed to be lymphnode metastasis by histopathology. (Provided by T. Helbich)
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Multidisciplinary sessions
Managing Patients with Cancer
Thursday, March 1, 16:0017:30 MS 3 Pancreatic tumours
Chairmans introduction R. Manfredi; Verona/IT What the surgeon needs to know C. Bassi; Verona/IT Complete or incomplete resection: the added value of the pathologist G. Zamboni; Verona/IT Imaging of pancreatic tumours R. Manfredi; Verona/IT Case presentation and discussion R. Manfredi; Verona/IT
Friday, March 2, 08:3010:00 MS 4 Lymphoma

Chairmans introduction E. de Kerviler; Paris/FR The pathologists view point on lymphomas J. Brire; Paris/FR What the haematologist needs to know P. Brice; Paris/FR How modern imaging can influence therapy in lymphomas E. de Kerviler; Paris/FR Case presentation and discussion E. de Kerviler; Paris/FR
Saturday, March 3, 16:0017:30 MS 11 Breast cancer

Chairmans introduction T.H. Helbich; Vienna/AT From the radiologists perspective T.H. Helbich; Vienna/AT From the surgeons perspective M. Gnant; Vienna/AT From the oncologists perspective G. Steger; Vienna/AT Case presentation and discussion T.H. Helbich; Vienna/AT
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Categorical Courses
Categorical Courses
Saturday, March 3, 16:0017:30 CC 1118 Palpable abdominal mass
Moderator: C. Matos; Brussels/BE A. Clinical considerations D. Akata; Ankara/TR B. Imaging techniques and typical findings M. Prokop; Nijmegen/NL C. Interactive case discussion A.H. Freeman; Cambridge/UK
CLICK (Clinical Lessons for Imaging Core Knowledge): Common Clinical Cases
Sunday, March 4, 14:0015:30 CC 1418 The vomiting infant and child
Moderator: M. Riccabona; Graz/AT A. Clinical considerations L.-S. Ording-Mller; Troms/NO B. Imaging techniques and typical findings H.-J. Mentzel; Jena/DE C. Interactive case discussion R.R. van Rijn; Amsterdam/NL
Sunday, March 4, 08:3010:00 CC 1218 Focal neurological disorders

Moderator: M. Golebiowski; Warsaw/PL A. Clinical considerations D. Balriaux; Brussels/BE B. Imaging techniques and typical findings G. Rudas; Budapest/HU C. Interactive case discussion G. Krumina; Riga/LV
Sunday, March 4, 16:0017:30 CC 1518 Fever of unknown origin

Moderator: C.J. Herold; Vienna/AT A. Clinical considerations C.P. Heussel; Heidelberg/DE B. Imaging techniques and typical findings G.R. Ferretti; Grenoble/FR C. Interactive case discussion G.H. Mostbeck; Vienna/AT
Sunday, March 4, 10:3012:00 CC 1318 Female pelvic pain

Moderator: V. Logager; Copenhagen/DK A. Clinical considerations G. Restaino; Campobasso/IT B. Imaging techniques and typical findings B. Brkljacic; Zagreb/HR C. Interactive case discussion A.G. Rockall; London/UK
Monday, March 5, 08:3010:00 CC 1618 Surprise in the liver

Moderator: M. Lewin; Villejuif/FR A. Clinical considerations A. Palk; Szeged/HU B. Imaging techniques and typical findings C.J. Zech; Munich/DE C. Interactive case discussion G. Brancatelli; Palermo/IT
= Interactive session with electronic voting/self assessment

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Categorical Courses
Emergencies in Neuroradiology
Thursday, March 1, 16:0017:30 CC 319 Ischaemic stroke (acute neurologic deficit)
Moderator: R.D. Brning; Hamburg/DE A. Early diagnosis of ischaemic stroke: CT, MRI or other? A. van der Lugt; Rotterdam/NL B. Which patients are candidates for thrombolysis? K.-O. Lvblad; Geneva/CH C. Interventional neuroradiology for the treatment of ischaemic stroke I. Szikora; Budapest/HU
Sunday, March 4, 14:0015:30 CC 1419 Oncologic emergencies in neuroradiology

Moderator: J. Walecki; Warsaw/PL A. Acute paraparesis M. Essig; Erlangen/DE B. Iatrogenic emergencies in oncology patients: PRES and radiation necrosis P.C. Maly Sundgren; Lund/SE C. Interventional techniques in oncologic patients A. Gangi; Strasbourg/FR
Saturday, March 3, 16:0017:30 CC 1119 Subarachnoid haemorrhage (the worst headache ever)
Moderator: P.H. Nakstad; Oslo/NO A. Diagnosis of subarachnoid haemorrhage (SAH) M. Sderman; Stockholm/SE B. Endovascular treatment of aneurysms M.H.J. Voormolen; Edegem/BE C. Imaging after aneurysm treatment J.-P. Pruvo; Lille/FR
Sunday, March 4, 16:0017:30 CC 1519 Acute central nervous system infections

Moderator: V. Dousset; Bordeaux/FR A. Acute infections of the brain S. Karampekios; Iraklion/GR B. Acute infections of the spine and spinal cord M.M. Thurnher; Vienna/AT C. Acute disseminating encephalomyelitis F. Barkhof; Amsterdam/NL
Sunday, March 4, 08:3010:00 CC 1219 Radiological management of traumatic emergencies

Moderator: D. Goldsher; Haifa/IL A. Maxillofacial trauma B.F. Schuknecht; Zurich/CH B. Craniocerebral trauma P.M. Parizel; Antwerp /BE C. Spine trauma A. Cianfoni; Charleston, SC/US
Monday, March 5, 08:3010:00 CC 1619 Acute onset of cranial nerve dysfunctions

Moderator: M.A. Papathanasiou; Athens/GR A. Acute loss of vision S. Pedraza; Girona/ES B. Hearing loss C. Colosimo; Rome/IT C. Facial nerve paralysis and trigeminal neuralgia A. Borges; Lisbon/PT
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Categorical Courses
Urogenital Imaging
Saturday, March 3, 08:3010:00 CC 821 Renal and adrenal tumours
Moderator: G.M. Villeirs; Gent/BE A. Imaging and staging of renal parenchymal tumours U.G. Mueller-Lisse; Munich/DE B. Tumours of the renal pelvis and ureter: the revolution of CT urography N.C. Cowan; Oxford/UK C. Adrenal tumours F.M. Danza; Rome/IT
Sunday, March 4, 14:0015:30 CC 1421 Tumours of the female pelvis

Moderator: M.M. Otero-Garca; Vigo/ES A. Imaging of the ovarian mass: is US enough? J.A. Spencer; Leeds/UK B. Imaging and staging of endometrial tumours: putting guidelines into clinical practice H. Hricak; New York, NY/US C. Imaging and staging of tumours of the uterine cervix: putting guidelines into clinical practice B. Hamm; Berlin/DE
Saturday, March 3, 16:0017:30 CC 1121 Paediatric genito-urinary imaging

Moderator: F. Papadopoulou; Ioannina/GR A. Normal findings and diseases of the male and female developing genital systems M.L. Lobo; Lisbon/PT B. Imaging urogenital tumours in children: what is different from imaging in adults? M.B. Damasio; Genoa/IT C. Hydronephrosis and urinary tract obstruction in neonates and infants M. Riccabona; Graz/AT
Sunday, March 4, 16:0017:30 CC 1521 The patient with renal impairment

Moderator: P. Aspelin; Stockholm/SE A. Iodine and Gd-based contrast media in patients with renal impairment: a tale of two evils S.K. Morcos; Sheffield/UK B. Imaging the impaired kidneys M. Claudon; Vandoeuvre-les-Nancy/FR C. The transplanted kidney I. Sjekavica; Zagreb/HR D. The AV shunts for haemodialysis: imaging and intervention N. Grenier; Bordeaux/FR
Sunday, March 4, 08:3010:00 CC 1221 The female pelvis

Moderator: V. Gazhonova; Moscow/RU A. Diagnosis of endometriosis with imaging K. Kinkel; Chne-Bougeries/CH B. The acute female pelvis E. Sala; Cambridge/UK C. Imaging and image-guided therapy of uterine leiomyomas T.J. Kroencke; Berlin/DE
Monday, March 5, 08:3010:00 CC 1621 Prostate and urinary bladder

Moderator: N. Papanicolaou; Philadelphia, PA/US A. State-of-the-art imaging of prostate cancer: which technique should I use? A.R. Padhani; Northwood/UK B. Prostate cancer: how to be successful for clinicians J.O. Barentsz; Nijmegen/NL C. Bladder cancer: state-of-the-art aiming and staging G. Heinz-Peer; Vienna/AT
46
Mini Courses
47
Mini Courses
Organs from A to Z: Lung

Thursday, March 1, 16:0017:30 MC 322 Technical and anatomical fundamentals for imaging the lung
Moderator: F. Molinari; Rome/IT A. Examination protocols for imaging the lung: CT and MRI C. Schaefer-Prokop; Amersfoort/NL B. Radiation dose in lung imaging: issues and practical solutions D. Tack; Baudour/BE C. Anatomy: the hinterland of normal on HRCT S.J. Copley; London/UK Discussion
Friday, March 2, 08:3010:00 MC 422 Anatomy-based imaging review of lung disease

Moderator: N. Sverzellati; Parma/IT A. Around and between the lungs: pleura, mediastinum, and hila A. Oikonomou; Alexandroupolis/GR B. Large airways, small airways, and alveoli M. Zompatori; Bologna/IT C. Pulmonary vessels M. Rmy-Jardin; Lille/FR Discussion
Sunday, March 4, 16:0017:30 MC 1522 Causation-based imaging review of lung disease

Moderator: C. Mueller-Mang; Vienna/AT A. Bacterial and viral pulmonary infections T. Franquet; Barcelona/ES B. Non-infectious inflammatory lung disease A.A. Bankier; Boston, MA/US C. Neoplastic lung disease H.-U. Kauczor; Heidelberg/DE Discussion
48
Mini Courses
Thursday, March 1, 12:3013:30 MC 23A Basics in molecular imaging (1)
Moderator: S. Chatziioannou; Athens/GR A. Introduction to molecular imaging: a challenge for radiologists? P. Brader; Vienna/AT B. Multiscale imaging: from in vivo to in vitro and back B. Tavitian; Orsay/FR C. PET-CT-MRI and radiotracers for MI L. Mart-Bonmat; Valencia/ES
Molecular Imaging
Saturday, March 3, 12:3013:30 MC 23C Imaging tumour biology and microenvironment

Moderator: A.E. Sundin; Stockholm/SE A. Modulation of the tumour microenvironment to optimise the response to therapies B. Gallez; Brussels/BE B. Molecular imaging of angiogenic characteristics of tumours A.R. Padhani; Northwood/UK C. Targets for tumour characterisation and treatment response F.A. Gallagher; Cambridge/UK
Friday, March 2, 12:3013:30 MC 23B Basics in molecular imaging (2)

Moderator: J. Dijkstra; Leiden/NL A. MR contrast agents for targeted MR imaging S. Aime; Turin/IT B. Sonographic and photo acoustic techniques for MI F.M.A. Kiessling; Aachen/DE C. Potential of optical imaging in vivo V. Ntziachristos; Munich/DE
Sunday, March 4, 12:3013:30 MC 23D From inflammatory to fibrotic processes

Moderator: T.F. Massoud; Cambridge/UK A. Imaging inflammation in organs and vessels X. Montet; Geneva/CH B. Molecular imaging of extracellular matrix changes M. Taupitz; Berlin/DE C. Structural and molecular imaging of fibrotic process B. Van Beers; Clichy/FR
Monday, March 5, 12:3013:30 MC 23E Theranostics: combining imaging and treatment

Moderator: H.C. Steinert; Zurich/CH A. MR and US-guided drug delivery C. Moonen; Bordeaux/FR B. Imaging-guided cell-based therapy O. Clment; Paris/FR C. Imaging-guided gene-based therapy M. Neeman; Rehovot/IL
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www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012 Hofburg, around 1900 Photochrom print (colour photo lithograph)
Mini Courses
Controversies in Abdominal Imaging

Friday, March 2, 08:3010:00 MC 424 Small bowel examination: CT vs MRI
Moderator: B. Marincek; Cleveland, OH/US Teaser: B. Gallix; Montpellier/FR A. Why I prefer CT G.A. Rollandi; Genoa/IT B. Why MRI is the best S. Gourtsoyianni; Athens/GR Discussion B. Marincek; Cleveland, OH/US B. Gallix; Montpellier/FR
Friday, March 2, 16:0017:30 MC 724 Liver imaging: always MR, or still a role for CT?
Moderator: G. Brancatelli; Palermo/IT Teaser: W. Schima; Vienna/AT A. Why CT is the work horse P. Rogalla; Toronto, ON/CA B. Why MR is the ultimate tool C. Ayuso; Barcelona/ES Discussion G. Brancatelli; Palermo/IT W. Schima; Vienna/AT
Saturday, March 3, 08:3010:00 MC 824 Abdominal emergencies: US resists CT!

Moderator: M. Laniado; Dresden/DE Teaser: P.R. Ros; Cleveland, OH/US A. Why bother with CT when US answers so many questions? J.B.C.M. Puylaert; The Hague/NL B. Why lose time with US when CT gives you all you need to know? D. Akata; Ankara/TR Discussion M. Laniado; Dresden/DE P.R. Ros; Cleveland, OH/US
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The Beauty of Basic Knowledge: Interpretation of the Chest Radiograph
Mini Courses
Thursday, March 1, 14:3015:30 MC 27A The mediastinum

J. Cceres; Barcelona/ES
Friday, March 2, 14:3015:30 MC 27B The heart

Saturday, March 3, 09:0010:00 MC 27C Major vessels

Sunday, March 4, 11:0012:00 MC 27D Pleura and chest wall

Monday, March 5, 11:0012:00 MC 27E The diaphragm

Registration: The number of participants for each session is restricted to 100. Participants need to register in advance as of October 3, 2011 (www.myESR.org).
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Mini Courses
Joint Course of ESR and RSNA (Radiological Society of North America)
Friday, March 2, 08:3010:00 MC 428 Essentials in oncologic imaging: what radiologists need to know (part 1)
Moderator: D.M. Panicek; New York, NY/US A. Principles of oncologic imaging and reporting D.M. Panicek; New York, NY/US B. Lung cancers (primary, metastases) C.J. Herold; Vienna/AT C. Colon cancer R.M. Gore; Evanston, IL/US Questions
Moderator: H.-U. Kauczor; Heidelberg/DE A. Oncologic imaging: terminology, definitions and buzzwords Y. Menu; Paris/FR B. Liver cancers (primary, metastases) R.L. Baron; Chicago, IL/US C. Prostate cancer J.O. Barentsz; Nijmegen/NL Questions
Moderator: D.M. Panicek; New York, NY/US A. Pancreatic cancer F. Caseiro-Alves; Coimbra/PT B. Kidney cancer E.K. Fishman; Baltimore, MD/US C. Ovarian cancer H. Hricak; New York, NY/US Questions
Moderator: H.-U. Kauczor; Heidelberg/DE A. Lymphoma H. Schoder; New York; NY/US B. Musculoskeletal neoplasms M.F. Reiser; Munich/DE C. Chemo- and radiation therapy-induced toxicity H.-U. Kauczor; Heidelberg/DE Questions
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Refresher Courses
55
Refresher Courses
Abdominal and Gastrointestinal
Thursday, March 1, 16:0017:30 RC 301 Abdominal tumour evaluation: from morphology to biology
Chairmans introduction D.J. Lomas; Cambridge/UK A. Morphological assessment of tumour extension I. Bargellini; Pisa/IT B. Perfusion: a reliable tool for tumour activity assessment F. Berger; Munich/DE C. Beyond vascularisation: exploring tumour biology L. Mart-Bonmat; Valencia/ES Panel discussion: How can you easily implement morphological and functional tools into your clinical practice?
Saturday, March 3, 08:3010:00 RC 801 Rectal cancer imaging: the next phase
Chairmans introduction L.C.O. Blomqvist; Stockholm/SE A. Local and distant staging S. Schmidt; Lausanne/CH B. Assessing tumour response S. Gourtsoyianni; Athens/GR C. Changes in clinical treatment paradigms: the role of radiology R.G.H. Beets-Tan; Maastricht/NL Panel discussion: What will clinicians really expect from us in 2012? How should we image our patients?
Friday, March 2, 16:0017:30 RC 701 How I report

Moderator: M.M. Maher; Cork/IE A. MRI in a patient with rectal cancer D.J.M. Tolan; Leeds/UK B. CT in a patient with bowel obstruction P. Taourel; Montpellier/FR C. CT in a patient with a solid mass of the pancreas C. Valls; Barcelona/ES
Sunday, March 4, 08:3010:00 RC 1201 CT colonography: three steps to success

Chairmans introduction S.A. Taylor; London/UK A. Step 1: bowel prep and distension A. Laghi; Latina/IT B. Step 2: analysis and how to avoid pitfalls T. Mang; Vienna/AT C. Step 3: setting up your service A. Graser; Munich/DE Panel discussion: What exactly do I need to do?
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Refresher Courses
Sunday, March 4, 16:0017:30 RC 1501 Abdominal MRI: standard and advanced protocols in clinical settings
Moderator: I. Vivas; Pamplona/ES A. Liver: how to study a cirrhotic patient A. Filippone; Chieti/IT B. Small bowel and colon: how to study a patient with suspected inflammatory bowel disease N. Papanikolaou; Iraklion/GR C. Pancreas and bile ducts: how to study a patient with suspected chronic pancreatitis M.A. Bali; Brussels/BE
Abdominal and Gastrointestinal
Monday, March 5, 08:3010:00 RC 1601 The cystic lesions of the pancreas

Moderator: D.J. Breen; Southampton/UK A. How can we differentiate cystic neoplasms from pseudocysts? H.-J. Brambs; Ulm/DE B. IPMN: diagnostic and staging criteria R. Manfredi; Verona/IT C. How to manage incidental findings C. Triantopoulou; Athens/GR
Monday, March 5, 16:0017:30 RC 1901 Crohns disease of the small bowel: which test when?
Chairmans introduction J. Rimola; Barcelona/ES A. Detection and classification M.A. Patak; Zurich/CH B. Disease activity assessment F. Maccioni; Rome/IT C. Complications and follow-up L. Curvo-Semedo; Coimbra/PT Panel discussion: How can imaging change patient management in Crohns disease?
57
Refresher Courses
Breast
Thursday, March 1, 16:0017:30 RC 302 Functional imaging of the breast
Moderator: K. Pinker; Vienna/AT A. Contrast-enhanced mammography C.S. Balleyguier; Villejuif/FR B. Ultrasound elastography A. Athanasiou; Paris/FR C. MRI diffusion, perfusion and spectroscopy P.A.T. Baltzer; Jena/DE
Sunday, March 4, 14:0015:30 RC 1402 How I report

Moderator: I. Leconte; Brussels/BE A. Mammography F.J. Gilbert; Aberdeen/UK B. Breast US G. Rizzatto; Gorizia/IT C. Breast MRI M.H. Fuchsjger; Vienna/AT
Friday, March 2, 16:0017:30 RC 702 Breast MRI today

Chairmans introduction C.K. Kuhl; Aachen/DE A. How to set up a high quality breast MRI unit M.L.A. Van Goethem; Edegem/BE B. Beyond differential diagnosis and local staging: prognosis and distant staging J. Veltman; Almelo/NL C. Evidence-based controversies F. Sardanelli; Milan/IT Panel discussion: Do we find too many cancers with MRI?
Sunday, March 4, 16:0017:30 RC 1502 Evaluation of the treated breast and follow-up
Chairmans introduction M. Sents; Sabadell/ES A. Evaluation of residual disease after excisional biopsy K.A. Frei; Chur/CH B. Evaluation of response to neoadjuvant chemotherapy L.J. Martincich; Candiolo/IT C. Surveillance for and detection of recurrent disease after therapy I. Schreer; Kiel/DE Panel discussion: The new challenge in breast cancer: evaluation of response
Sunday, March 4, 08:3010:00 RC 1202 Breast interventions: from diagnosis to treatment

Moderator: S.H. Heywang-Kbrunner; Munich/DE A. Practical tips for a successful needle biopsy procedure L.J. Pina Insausti; Pamplona/ES B. Underestimation of disease in needle biopsies M.A.A.J. van den Bosch; Utrecht/NL C. New developments: therapeutic interventional procedures G. Manenti; Rome/IT
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Refresher Courses
Cardiac
Thursday, March 1, 16:0017:30 RC 303 Cardiac imaging: the cutting edge
Moderator: J. Vymazal; Prague/CZ A. Cardiac MRI: high fields vs 1.5T B.J. Wintersperger; Toronto, ON/CA B. Cardiac CT: tubes, rows and what else? K. Nikolaou; Munich/DE C. Cardiac hybrid imaging P.A. Kaufmann; Zurich/CH
Friday, March 2, 16:0017:30 RC 703 Imaging of ischaemic heart disease

Moderator: K. Gruszczynska; Katowice/PL A. CT: angiography, function and perfusion G. Feuchtner; Innsbruck/AT B. MR perfusion imaging: how much quantification do we need? A. de Roos; Leiden/NL C. Imaging patients after bypass surgery K.-F. Kreitner; Mainz/DE

Moderator: E. Mershina; Moscow/RU A. Chest x-ray in cardiac disease L. Natale; Sesto Fiorentino/IT B. Coronary CTA H. Alkadhi; Zurich/CH C. Cardiac MRI in ischaemic heart disease J. Bogaert; Leuven/BE
Sunday, March 4, 16:0017:30 RC 1503 MRI and CT before cardiac interventions or surgery
Chairmans introduction G.P. Krestin; Rotterdam/NL A. Can CT predict the outcome of percutaneous intervention? C. Loewe; Vienna/AT B. Can MRI predict the outcome of coronary revascularisation? M. Francone; Rome/IT C. The value of CT before percutaneous aortic valve replacement R. Salgado; Antwerp/BE Panel discussion: Improve your interaction with your colleagues
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Rudolf von Alt 'Blick auf die Karlskirche und das Polytechnische Institut', 1831 Dorotheum Wien
Refresher Courses
Chest
Saturday, March 3, 08:3010:00 RC 804 How I report
Moderator: M. Escobar; Barcelona/ES A. Bedside chest radiography E.E.J.G. Coche; Brussels/BE B. CT angiography J.E. Wildberger; Maastricht/NL C. PET/CT E.J.R. van Beek; Edinburgh/UK
Monday, March 5, 08:3010:00 RC 1604 Patterns in chest radiology: diffuse lung diseases what the radiologist should know
Chairmans introduction D.M. Hansell; London/UK A. The glossary of terms for thoracic imaging: old and new definitions J.A. Verschakelen; Leuven/BE B. From pattern recognition to disease diagnosis: a practical approach (part 1) A. Devaraj; London/UK C. From pattern recognition to disease diagnosis: a practical approach (part 2) N. Howarth; Chne-Bougeries/CH Panel discussion: How do we report CT of diffuse lung disease?
Saturday, March 3, 16:0017:30 RC 1104 Patterns in chest radiology: are there subtype patterns of ground glass opacity (GGO)?
Chairmans introduction A. Oikonomou; Alexandroupolis/GR A. Ground glass opacification: why do we see it and what can it mean? S.R. Desai; London/UK B. Inflammatory and infectious GGO K. Marten-Engelke; Gttingen/DE C. GGO in dysplasia and neoplasia J.M. Goo; Seoul/KR Panel discussion: How do we report and manage ground glass opacity?
Monday, March 5, 16:0017:30 RC 1904 Phenotypes in obstructive airway disease: how do I image, analyse and report?
Moderator: P.A. Grenier; Paris/FR A. sthma and associated conditions A P.-Y. Brillet; Bobigny/FR B. Chronic obstructive pulmonary disease (COPD) N. Sverzellati; Parma/IT C. Cystic fibrosis and other bronchiectatic diseases M.U. Puderbach; Heidelberg/DE
Sunday, March 4, 08:3010:00 RC 1204 When CT sees both the heart and the lungs
Chairmans introduction M. Rmy-Jardin; Lille/FR A. Anatomic cardiac details that every radiologist should know J. Bremerich; Basel/CH B. Incidental findings and their clinical relevance J.D. Dodd; Dublin/IE C. Pulmonary hypertension and right ventricle function K.-F. Kreitner; Mainz/DE Panel discussion: Ready for routine reporting of cardiovascular findings on CT scans of the chest?
62
Refresher Courses
Computer Applications
Thursday, March 1, 16:0017:30 RC 305 Image processing and computer-aided diagnosis (CAD)
Chairmans introduction O. Ratib; Geneva /CH A. The link between image reconstruction and image analysis A. Todd-Pokropek; London/UK B. Semantic web technologies for sharing and reuse of imaging-related information B. Gibaud; Rennes/FR C. Image processing and CAD: workflow in clinical practice E. Neri; Pisa/IT Panel discussion: How do image processing and CAD impact radiological daily practice?
Monday, March 5, 08:3010:00 RC 1605 New PACS architecture: decoupling image management from image navigation
Chairmans introduction H.U. Lemke; Berlin/DE A. Image navigation and new PACS architecture J. Reponen; Raahe/FI B. Intraoperative imaging for surgeons A. Pietrabissa; Pisa/IT C. Dismantling PACS: separating the image viewing from the data storage and sharing L.N. Sutton; Halifax/UK Panel discussion: How should we manage our images today?
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Refresher Courses
Chairmans introduction S.K. Morcos; Sheffield/UK
Molecular Imaging and Contrast Media

Friday, March 2, 08:3010:00 RC 406 Contrast media and tracers: always as safe as we wish?
A. Iodinated CM: whether CIN is a SIN, and how to avoid it R.W.F. Geenen; Alkmaar/NL B. MR contrast agents: rumble in the jungle G. Heinz-Peer; Vienna/AT C. PET tracers: established tracers and those on the horizon B. Tavitian; Orsay/FR Panel discussion: What specific precautions are mandatory in order to guarantee contrast media safety to patients and healthcare professionals?
Monday, March 5, 16:0017:30 RC 1906 How I optimise contrast media administration

Moderator: A.J. van der Molen; Leiden/NL A. CT P. Leander; Malm/SE B. MRI G.M. Bongartz; Basle/CH C. PET/CT X. Montet; Geneva/CH
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Refresher Courses
Genitourinary
Thursday, March 1, 16:0017:30 RC 307 Imaging the female pelvis
Moderator: M. Secil; Izmir/TR A. Imaging for pelvic pain in pregnancy G. Masselli; Rome/IT B. Imaging gynaecological emergencies A.G. Rockall; London/UK C. Imaging for non-gynaecological emergencies R.F. El Sayed; Cairo/EG
Friday, March 2, 16:0017:30 RC 707 Diagnosis and management of GU tract trauma

Moderator: A. Magnusson; Uppsala/SE A. Imaging the kidney and ureter M.-F. Bellin; Le Kremlin-Bictre/FR B. Imaging the bladder and urethra U.G. Mueller-Lisse; Munich/DE C. Interventional radiology for GU trauma B. Peynircioglu; Ankara/TR
Sunday, March 4, 08:3010:00 RC 1207 How I report

Moderator: D. Negru; Iasi/RO A. Female pelvis MRI C. Del Frate; San Daniele del Friuli/IT B. Prostate MRI J.J. Ftterer; Nijmegen/NL C. CT urography N.C. Cowan; Oxford/UK
Sunday, March 4, 14:0015:30 RC 1407 MRI in prostate cancer

Chairmans introduction J. Venancio; Lisbon/PT A. MRI in detection of prostate cancer F. Cornud; Paris/FR B. MRI in post-treatment follow-up A.T. Turgut; Ankara/TR C. New frontiers in imaging of the prostate J.O. Barentsz; Nijmegen/NL Panel discussion: What is the most appropriate radiological approach in patients with rising PSA levels and when should it be taken?
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Refresher Courses
Head and Neck
Thursday, March 1, 16:0017:30 RC 308 Temporal bone imaging
Moderator: C. Czerny; Vienna/AT A. Normal anatomy and congenital malformations of the ear S. Ksling; Halle a.d. Saale/DE B. Cholesteatoma and chronic infection F. Veillon; Strasbourg/FR C. Enhancing inner ear structures J.W. Casselman; Bruges/BE
Sunday, March 4, 16:0017:30 RC 1508 Post-treatment head and neck management: the diagnostic dilemma
Chairmans introduction R. Maroldi; Brescia/IT A. Expected changes after treatment A.S. McQueen; Newcastle upon Tyne/UK B. Surveillance imaging, tumour recurrence and treatment complications F.A. Pameijer; Utrecht/NL C. Predicting outcome of radiation therapy in head and neck cancer: clinical reality? V. Vandecaveye; Leuven/BE Panel discussion: Recurrence, inflammation, necrosis or scar: is imaging useful?
Friday, March 2, 16:0017:30 RC 708 Paranasal sinus imaging

Chairmans introduction M.G. Mack; Frankfurt a. Main/DE A. Anatomy and anatomic variants T. Beale; London/UK B. Sinusitis: imaging findings before and after treatment D. Farina; Brescia/IT C. Sinonasal tumours B. Verbist; Leiden/NL Panel discussion: How do we recognise important findings?
Monday, March 5, 16:0017:30 RC 1908 Differentiating skull base lesions

Moderator: C.R. Habermann; Hamburg/DE A. Olfactory apparatus lesions T.P.J. Duprez; Brussels/BE B. Cavernous sinus and pterygopalatine fossa lesions A. Borges; Lisbon/PT C. Jugular fossa lesions: how to differentiate? H. Tanghe; Rotterdam/NL
Sunday, March 4, 14:0015:30 RC 1408 Performing and reporting head and neck examinations: how do I do it?
Moderator: P.-Y. Marcy; Nice/FR A. Sinonasal CT scans M. Becker; Geneva/CH B. Temporal bone CT and MRI scans M.M. Lemmerling; Gent/BE C. CT scans of the head and neck A. Trojanowska; Lublin/PL
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Refresher Courses
Interventional Radiology
Thursday, March 1, 16:0017:30 RC 309 The trauma patient
Chairmans introduction A. Watkinson; Exeter/UK A. Imaging modalities and logistics D.O. Kessel; Leeds/UK B. Management of arterial trauma J. Urbano; Madrid/ES C. Solid organ trauma L. Lonn; Copenhagen/DK Panel discussion: Do we need IR in the ER?
Saturday, March 3, 08:3010:00 RC 809 Percutaneous drainage for general radiologists

Moderator: J.L. del Cura; Bilbao/ES A. Pleural drainage A. Keeling; Dublin/IE B. Abdominal abscess T.G. Vrachliotis; Athens/GR C. Nephrostomy R.H. Portugaller; Graz/AT
Friday, March 2, 16:0017:30 RC 709 Evaluation and treatment of common venous disorders
Moderator: D. Ettles; Hull/UK A. Pelvic congestion A. Basile; Catania/IT B. Varicose veins in the extremities C. Binkert; Winterthur/CH C. Varicocele M. Mansour; Wuppertal/DE
Saturday, March 3, 16:0017:30 RC 1109 Biliary interventions

Chairmans introduction A.A. Hatzidakis; Heraklion/GR A. Fistula and benign stenosis M. Krokidis; London/UK B. Interventions after liver transplantation P. Goffette; Brussels/BE C. In tandem with endoscopy D.F. Martin; Manchester/UK Panel discussion: What are the new possibilities in this classic topic?
Sunday, March 4, 08:3010:00 RC 1209 Expanding the role of interventional radiology in hepatocellular carcinoma
Chairmans introduction G. Maleux; Leuven/BE A. RF ablation V. Vlek; Brno/CZ B. Intra-arterial procedures F. Orsi; Milan/IT C. Portal vein embolisation before surgery T.J. Cleveland; Sheffield/UK Panel discussion: How to select the ideal treatment in a patient with HCC
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Refresher Courses
Musculoskeletal
Moderator: C. Glaser; Munich/DE A. Soft tissue mass: US/MR C. van Rijswijk; Leiden/NL B. MR of vertebral body collapse R. Lalam; Oswestry/UK C. MR of the unstable shoulder M. Zanetti; Zurich/CH
Sunday, March 4, 08:3010:00 RC 1210 Sports injuries: US or MRI?

Chairmans introduction G.M. Allen; Oxford/UK A. Muscle and US C. Martinoli; Genoa/IT B. Tendon and US A. Klauser; Innsbruck/AT C. Muscle and tendon by MRI U. Aydingoz; Ankara/TR Panel discussion: What is the best imaging modality for diagnosing sports injuries?
Saturday, March 3, 08:3010:00 RC 810 Bone marrow oedema and bone marrow oedema-like lesions
Chairmans introduction B. Vande Berg; Brussels/BE A. BME and osteoarthritis F.W. Roemer; Augsburg/DE B. BME and early inflammatory disease A.J. Grainger; Leeds/UK C. BME and trauma S. Dzelzite; Riga/LV Panel discussion: Can we still use the term BME or should we be more specific?
Sunday, March 4, 14:0015:30 RC 1410 Postoperative joint imaging

Moderator: G. Mantzikopoulos; Athens/GR A. Shoulder K. Wrtler; Munich/DE B. Knee K. Verstraete; Gent/BE C. Ankle C. Masciocchi; LAquila/IT
Saturday, March 3, 16:0017:30 RC 1110 Intra-articular imaging

Chairmans introduction A.H. Karantanas; Iraklion/GR A. Standard MR techniques C. Faletti; Turin/IT B. CT arthrography C.W.A. Pfirrmann; Zurich/CH C. MR arthrography J. Kramer; Linz/AT Panel discussion: Which imaging technique in which clinical scenario?
Monday, March 5, 16:0017:30 RC 1910 The knee

Chairmans introduction F.M.H.M. Vanhoenacker; Antwerp/BE A. Patterns of injury P. Van Dyck; Antwerp/BE B. Inflammatory disease A. Cotten; Lille/FR C. Soft tissue tumours/tumour-like lesions J.C. Vilanova; Girona/ES Panel discussion: What are the remaining clinical questions that imaging currently cannot answer and how will we answer them in the future?
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Refresher Courses
Neuro
Friday, March 2, 08:3010:00 RC 411 General neuroradiology: introduction to the brain
Moderator: E.-M.B. Larsson; Uppsala/SE A. Brain anatomy made easy: the language system T.A. Yousry; London/UK B. Brain haemorrhage: from microbleeds to lobar haematomas M. van Buchem; Leiden/NL C. Differential diagnosis of multiple brain lesions: tumour and tumour-like lesions A. Rovira-Caellas; Barcelona/ES
Sunday, March 4, 16:0017:30 RC 1511 Advanced techniques: diffusion tensor imaging (DTI) in clinical practice
Moderator: P.C. Maly Sundgren; Lund/SE A. DTI technique, sequences, software and post processing W. Van Hecke; Antwerp/BE B. DTI in brain tumours M. Essig; Erlangen/DE C. DTI in paediatric diseases P.E. Grant; Boston, MA/US
Saturday, March 3, 16:0017:30 RC 1111 Neuro paediatrics: imaging of the paediatric brain
Moderator: N. Girard; Marseille/FR A. Systemised approach to inherited white matter disease in children A. Rossi; Genoa/IT B. Malformation of the posterior fossa C. Hoffmann; Tel Hashomer/IL C. Phakomatosis P.D. Griffiths; Sheffield/UK
Monday, March 5, 08:3010:00 RC 1611 Spine: update on spinal disorders

Moderator: M. Sasiadek; Wroclaw/PL A. Imaging algorithm for degenerative spinal disease and spondyloarthropathies in 2012 J. Van Goethem; Antwerp/BE B. Myelitis, myelopathy and spinal cord tumours M.M. Thurnher; Vienna/AT C. Percutaneous treatment of spinal diseases M. Muto; Naples/IT
Sunday, March 4, 14:0015:30 RC 1411 Angioplasty and stenting of extra and intracranial arteries
Chairmans introduction P. Vilela; Almada/PT A. Critical appraisal of the literature J. Fiehler; Hamburg/DE B. PTA and stenting of extracranial arteries T. Andersson; Stockholm/SE C. PTA and stenting of intracranial arteries V. Pereira; Geneva/CH Panel discussion: What will be the fate of extracranial and intracranial angioplasty and stenting procedures?
Monday, March 5, 16:0017:30 RC 1911 How I report

Moderator: M. Mechl; Brno/CZ A. MRI in microvascular and inflammatory diseases P. Vilela; Almada/PT B. MRI in common neurodegenerative diseases F. Barkhof; Amsterdam/NL C. Neuroimaging in the acutely ill/ICU patient M. Gallucci; LAquila/IT
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Refresher Courses
Paediatric
Saturday, March 3, 08:3010:00 RC 812 Imaging the paediatric spine
Moderator: E. Vzquez; Barcelona/ES A. Congenital malformations and neonatal spinal imaging I. Gassner; Innsbruck/AT B. Inflammation, infection and tumours: the role of imaging M.I. Argyropoulou; Ioannina/GR C. Imaging spinal trauma in childhood M. Maas; Amsterdam/NL
Sunday, March 4, 16:0017:30 RC 1512 Abdominal emergencies in children

Moderator: P. Petit; Marseille/FR A. Non-traumatic abdominal emergencies in childhood P. Tom; Rome/IT B. GU emergencies in children: kidney, ovary, testis M. Riccabona; Graz/AT C. Abdominal trauma in children M.P. Garca-Pea; Barcelona/ES
Sunday, March 4, 08:3010:00 RC 1212 Oncologic imaging: how to image, follow up and report
Chairmans introduction R.R. van Rijn; Amsterdam/NL A. Renal and adrenal tumours in children A.M.J.B. Smets; Amsterdam/NL B. Paediatric liver malignancies D. Roebuck; London/UK C. Oncologic imaging in the paediatric brain G. Hahn; Dresden/DE Panel discussion: How far the radiologist can go in suggesting tumour recurrence or post-treatment complications
Monday, March 5, 16:0017:30 RC 1912 Chest imaging: what to use and when to use it
Moderator: W. Hirsch; Leipzig/DE A. Thoracic trauma and foreign body inhalation M.L. Lobo; Lisbon/PT B. Infiltrative diseases of the chest G. Staatz; Mainz/DE C. Imaging of neonatal chest emergencies A. Paterson; Belfast/UK
Sunday, March 4, 14:0015:30 RC 1412 Childrens bones and joints

Moderator: O.E. Olsen; London/UK A. Imaging of sports injuries M. Alison; Paris/FR B. Hip dysplasia: US techniques and recommendations K. Rosendahl; Bergen/NO C. Imaging of juvenile idiopathic arthritis M. Valle; Genoa/IT
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Refresher Courses
Physics in Radiology
Saturday, March 3, 16:0017:30 RC 1113 High field MRI: beyond 3T
Moderators: F. Schick; Tbingen/DE S. Trattnig; Vienna/AT A. Challenges of high field MR M. Bock; Heidelberg/DE B. A complicated solution to a complicated problem: transmit array M.E. Ladd; Essen/DE C. Is 7T ready for clinical use? S. Francis; Nottingham/UK
Sunday, March 4, 14:0015:30 RC 1413 Hybrid imaging systems

Moderators: A.A. Lammertsma; Amsterdam/NL J. Votrubov; Prague/CZ A. Clinical SPECT/CT and PET/CT T. Beyer; Zurich/CH B. Clinical PET/MRI G. Antoch; Essen/DE C. Pre-clinical hybrid imaging N. Belcari; Pisa/IT
Sunday, March 4, 08:3010:00 RC 1213 Diagnostic radiology and pregnancy

Moderator: H. Ringertz; Linkping/SE W.J.M. van der Putten; Galway/IE A. Conceptus doses and risks from maternal diagnostic x-ray examinations J. Damilakis; Iraklion/GR B. X-ray imaging and pregnancy: justification and optimisation of exposure P. Vock; Berne/CH C. Pregnancy and MRI: risks to the unborn child J. De Wilde; Edinburgh/UK
Sunday, March 4, 16:0017:30 RC 1513 Novel developments in CT and impact on dose

Moderators: M. Kachelrie; Heidelberg/DE J. Vlahos; London/UK A. Patient dose assessment in CT P.C. Shrimpton; Didcot/UK B. New frontiers in CT: functional and spectral imaging N. Pelc; Stanford, CA/US C. New image reconstruction techniques J. Nuyts; Leuven/BE
Monday, March 5, 08:3010:00 RC 1613 Simulations help us understand x-ray imaging

Moderators: H. Bosmans; Leuven/BE A. Persson; Linkping/SE A. Monte Carlo simulations of x-ray tubes and x-ray spectra M. Koutalonis; London/UK B. Monte Carlo simulations of virtual patients (anthropomorphic phantoms) M. Zankl; Neuherberg/DE C. Monte Carlo simulations of x-ray detectors and x-ray images N. Marshall; Leuven/BE
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Refresher Courses
Radiographers
Saturday, March 3, 08:3010:00 RC 814 Challenges and solutions for radiographers in MRI: high field and imaging under patient motion
Moderator: L. Abernethy; Liverpool/UK C. Malamateniou; London/UK A. Advantages of high field MRI: a radiographers perspective E. Lavdas; Athens/GR B. Artefacts at high field MRI: clinical applications and technical solutions S. Brandao; Porto/PT C. Reducing motion artefacts in foetal MRI: the contribution of the radiographer C. Malamateniou; London/UK
Sunday, March 4, 08:3010:00 RC 1214 Changing era of radiography education in Europe: new perspectives for students and staff
Moderators: N.J.M. Freling; Amsterdam/NL G. Paulo; Coimbra/PT A. The change from diploma to bachelors degree: new perspectives for students and staff M. Rosenblattl; Wiener Neustadt/AT B. Strengthening radiography education through European networks V. Challen; Lancaster/UK C. Exploring the benefits of European radiography networks: a personal and professional perspective of the Erasmus radiography group J. Portelli; Msida/MT
Saturday, March 3, 16:0017:30 RC 1114 Radiographers impact on dose optimisation and radiation protection: the essential link in the chain
Moderators: A.B. Aslaksen; Bergen/NO A. Henner; Oulu/FI A. Dose optimisation - what more is there to be done? The role of the radiographer P.C. Brennan; Sydney, NSW/AU B. From screen-film to digital systems: how to implement an optimisation process J. Santos; Coimbra/PT C. The importance of education and training in the development of the role of the radiographer in quality assurance and radiation protection H.-L. Butler; Dublin/IE
Sunday, March 4, 14:0015:30 RC 1414 Promoting best practice in forensic imaging

Moderators: C. Vandulek; Kaposvr/HU P. Vock; Berne/CH A. Forensic imaging: another important growing field P. Vock; Berne/CH B. The role of radiographers in forensic imaging J. McNulty; Dublin/IE C. The importance of standards in education and training in forensic imaging E. Faircloth; Devon/UK
Sunday, March 4, 16:0017:30 RC 1514 Breast screening programmes: roles and issues for radiographers
Moderator: G. Forrai; Budapest/HU K. Haller; Wiener Neustadt/AT A. Establishing competencies of radiographers in national screening programmes J. Hammond; Dublin/IE B. Quality control and quality assurance of breast screening programmes from the radiographers viewpoint A. Kostiov; Ljubljana/SI C. The radiographers role in optimisation of dose and image quality in mammography D. OLeary; Dublin/IE
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Refresher Courses
Vascular
Thursday, March 1, 16:0017:30 RC 315 How I report
Moderator: C. Loewe; Vienna/AT A. CTA and MRA of supra-aortic arteries J.H. Gillard; Cambridge/UK B. CTA and MRA of thoracic and abdominal aorta H.J. Michaely; Mannheim/DE C. CTA and MRA of peripheral arteries T. Leiner; Utrecht/NL
Saturday, March 3, 08:3010:00 RC 815 Vascular imaging in ischaemic stroke

Moderator: J. Barkhausen; Lbeck/DE A. Extracranial and intracranial atherosclerotic disease of carotid arteries C. Catalano; Rome/IT B. Vertebrobasilar atherosclerotic arterial disease L. Valvassori; Milan/IT C. Dissection and vasculitis of intracranial and extracranial arteries H.R. Jger; London/UK
Friday, March 2, 16:0017:30 RC 715 Vascular imaging: diabetes and vascular occlusive disease
Moderator: M.W. de Haan; Maastricht/NL A. Metabolic syndrome, diabetes and vascular disease: what do we need to know? E. Minar; Vienna/AT B. Imaging strategies in diabetic foot syndrome R. Iezzi; Rome/IT C. Imaging prior to revascularisation: US, CTA, MRA or DSA? S.O. Schnberg; Mannheim/DE
Monday, March 5, 16:0017:30 RC 1915 Non-traumatic acute aortic dissection

Chairmans introduction A.-M. Belli; London/UK A. Etiology, clinical signs and prognosis of acute non-traumatic aortic dissection V. Brczi; Budapest/HU B. Acute aortic dissections: imaging and image-based classification J. Lammer; Vienna/AT C. Acute aortic dissections: imaging of complications M.H.K. Hoffmann; Ulm/DE Panel discussion: Which imaging modality is best for planning of endovascular management?
73
Refresher Courses
Oncologic Imaging
Sunday, March 4, 08:3010:00 RC 1216 Lymph node imaging: where are we now?
Chairmans introduction R.G.H. Beets-Tan; Maastricht/NL A. The current criteria for nodal involvement on CT/MRI W. Schima; Vienna/AT B. MRI techniques: what do they contribute? H.C. Thoeny; Berne/CH C. Nuclear medicine: PET and other techniques W. Weber; Freiburg/DE Panel discussion: When and how will imaging make diagnostic biopsy unnecessary?
Monday, March 5, 08:3010:00 RC 1616 Imaging the complications of cancer treatment

Moderator: P. Brader; Vienna/AT Chairmans introduction A. Pulmonary complications of the treatment of malignancy S. Diederich; Dsseldorf/DE B. Imaging the effects of cancer treatment in the abdomen and pelvis J.A. Spencer; Leeds/UK C. Complications of treatment in the CNS P. Demaerel; Leuven/BE Panel discussion: How can the radiologist make sure not to miss complications of cancer treatment?
Sunday, March 4, 14:0015:30 RC 1416 Monitoring response: the essential guide for all radiologists
Chairmans introduction H.-P. Schlemmer; Heidelberg/DE A. RECIST made easy A.G. Rockall; London/UK B. Response measurement in difficult tumours L. Ollivier; Paris/FR C. Assessment of response using functional imaging: the essentials A.E. Sundin; Stockholm/SE Panel discussion: When and how will functional imaging overcome morphological assessment?
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Refresher Courses
Emergency Radiology
Friday, March 2, 08:3010:00 RC 417 ER: basic principles
Moderator: O. Chan; London/UK A. Logistics, ergonomics and organisation of an emergency radiology department I. Arkhipova; Moscow/RU B. Advanced trauma life support: ABCDE from a radiological point of view D.R. Kool; Nijmegen/NL C. Mechanism of injury and MDCT protocols: choosing the right protocol for the patient M. Stajgis; Poznan/PL
Sunday, March 4, 16:0017:30 RC 1517 Polytrauma: redefining imaging issues for management priorities
Moderator: P.-A. Poletti; Geneva/CH A. Vascular trauma G. Schueller; Vienna/AT B. Chest and abdomen M. Scaglione; Castel Volturno/IT C. Extremities U. Linsenmaier; Munich/DE
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Vienna State Opera, around 1900 Photochrom print (colour photo lithograph)
78
EFOMP Workshop
New technology in diagnostic radiology: frontiers in interventional radiological imaging
Organising Committee:
Chairman: Members: P. Sharp; Aberdeen/UK A. Torresin; Milan/IT W.J.M. van der Putten; Galway/IE C. Leidecker; Forchheim/DE
Saturday, March 3, 08:3010:00 EF 1 Advances in technology for interventional radiology: general overview
Moderator: R. Padovani; Udine/IT P. Sharp; Aberdeen/UK Welcome address L. Bonomo; Rome/IT P. Sharp; Aberdeen/UK Radiologists point of view: physician required for the new technology J.A. Reekers; Amsterdam/NL Rotational angiography and cone beam CT M. Kachelrie; Heidelberg/DE MR interventional techniques J. De Wilde; Edinburgh/UK US interventional techniques L. Solbiati; Busto Arsizio/IT
Saturday, March 3, 10:3012:00 EF 2 Advances in technology for interventional radiology: technology assessment
Moderators: A. Torresin; Milan/IT W.J.M. van der Putten; Galway/IE Angiographic equipment performance assessment A. Trianni; Udine/IT P.E. Colombo; Milan/IT Patient and staff radiation issues in angiography E. Vao; Madrid/ES Panel discussion with angiographic equipment manufacturers L. Desponds; Buc/FR B. Hoornaert; Eindhoven/NL M. Lendl; Ottensoos/DE Final discussion
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3

3
Foundation Course: More About Ultrasound
Friday, March 2, 08:3010:00 E 420b Understand recent issues in US technology
Moderator: M. Bachmann Nielsen; Copenhagen/DK A. Recent advances in US technology M. Claudon; Vandoeuvre-les-Nancy/FR B. Portable machines: the future of US? G.H. Mostbeck; Vienna/AT C. How to choose your equipment J.-M. Correas; Paris/FR
Saturday, March 3, 08:3010:00 E 820b Volumetric imaging: where are we, where are we going to?
Moderator: P. Mildenberger; Mainz/DE A. Volume imaging in obstetrics and gynaecology C.B. Benson; Boston, MA/US B. Volume US: a plus or a new approach to body imaging S.T. Elliott; Newcastle upon Tyne/UK C. Why volume imaging and fusion are important for diagnosis and treatment E. Leen; London/UK
Friday, March 2, 10:3012:00 E 520b Vascular imaging: Doppler and contrast-enhanced US

Moderator: L. Steyaert; Bruges/BE A. Imaging superficial vessels P. Landwehr; Hannover/DE B. Imaging deep vessels D.K. Tsetis; Iraklion/GR C. The role of contrast US D.-A. Clevert; Munich/DE
Saturday, March 3, 10:3012:00 E 920b Elastography and high frequency US

Moderator: A.V. Zubarev; Moscow/RU A. Breast: when elastography adds to conventional US G. Rizzatto; Gorizia/IT B. US of the thyroid gland and the neck S.M. Dudea; Cluj-Napoca/RO C. US in musculoskeletal diseases S. Bianchi; Geneva/CH
Friday, March 2, 14:0015:30 E 620 US and contrast-enhanced US for focal lesions

Moderator: D.O. Cosgrove; London/UK A. Evaluation of focal liver lesions T. Albrecht; Berlin/DE B. Evaluation of kidney lesions C. Nicolau; Barcelona/ES C. Intraoperative and therapeutic applications L. Solbiati; Busto Arsizio/IT
Saturday, March 3, 12:1513:15 Self assessment test

Moderator: M. Claudon; Vandoeuvre-les-Nancy/FR Interactive computer evaluation of course learning
Friday, March 2, 16:0017:30 E 720b Emergency radiology: where does US fit in?
Moderator: Y. Menu; Paris/FR A. Acute abdomen in adults: US vs CT L.E. Derchi; Genoa/IT B. Acute abdomen in children: US vs CT R.R. van Rijn; Amsterdam/NL C. Abdominal trauma: US or not US? M. Valentino; Parma/IT
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3
Interactive Teaching Sessions
Thursday, March 1, 14:0015:30 E 220 Acute abdominal inflammatory disorders
A. Colitis and enterocolitis C. Hohl; Siegburg/DE B. Liver and bile ducts C.D. Becker; Geneva/CH
Friday, March 2, 16:0017:30 E 720a Neurological emergencies

A. Non-traumatic G. Schroth; Berne/CH B. Traumatic M. Stajgis; Poznan/PL
Thursday, March 1, 16:0017:30 E 320 Musculoskeletal emergencies

A. Axial skeleton E. Llopis; Valencia/ES B. Peripheral skeleton V.N. Cassar-Pullicino; Oswestry/UK
Saturday, March 3, 08:3010:00 E 820a Infections of the central nervous system: what the radiologist must report
A. Dangerous viral and prion infections G. Wilms; Leuven/BE B. Bacterial and parasitic infections E.T. Tali; Ankara/TR
Friday, March 2, 08:3010:00 E 420a Thoracic infections: what the radiologist must report
A. Pulmonary infections L.R. Goodman; Milwaukee, WI/US B. Non-pulmonary chest infections C. Schaefer-Prokop; Amersfoort/NL
Saturday, March 3, 10:3012:00 E 920a Common radiological problems: incidental chest lesions
A. Solitary pulmonary nodule E. Castaer; Sabadell/ES B. Mediastinal mass J. Vilar; Valencia/ES
Friday, March 2, 10:3012:00 E 520a Abdominal emergencies

A. Non-traumatic (acute abdomen) R. Basilico; Chieti/IT B. Traumatic D.R. Kool; Nijmegen/NL
Saturday, March 3, 16:0017:30 E 1120 Malignant pancreatic tumours

A. Solid tumours W. Schima; Vienna/AT B. Cystic tumours G. Morana; Treviso/IT
Belvedere Castle & Garden, Vienna
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3
Interactive Teaching Sessions
Sunday, March 4, 08:3010:00 E 1220 Common radiological problems: incidental abdominal masses
A. The incidental adrenal mass R.H. Reznek; London/UK B. Renal mass M. Prokop; Nijmegen/NL
Monday, March 5, 10:3012:00 E 1720a Common radiological problems: cardiovascular

A. Looking at the heart in chest x-rays J. Andreu; Barcelona/ES B. Looking at the heart in chest CT F. Laurent; Pessac/FR
Sunday, March 4, 14:0015:30 E 1420 Lung cancer

A. Detection S. Diederich; Dsseldorf/DE B. Follow-up F. Gleeson; Oxford/UK
Monday, March 5, 10:3012:00 E 1720b Common radiological problems: palpable lower neck mass thyroid or not?
A. Thyroid nodule H. van Overhagen; Den Haag/NL B. Outside the thyroid N.J.M. Freling; Amsterdam/NL
Sunday, March 4, 16:0017:30 E 1520 Female pelvic infections: what the radiologist must report
J.A. Spencer; Leeds/UK R. Forstner; Salzburg/AT
Monday, March 5, 08:3010:00 E 1620 Breast cancer

A. Detection C.S. Balleyguier; Villejuif/FR B. Follow-up G. Forrai; Budapest/HU
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Accompanying sessions
House of Parliament, Vienna, around 1900 Photochrom print (colour photo lithograph)
Accompanying sessions
Thursday, March 1 to Sunday, March 4 Novel technology that shapes radiology: EIBIR presents Imagine (Workshop)
Coordinator: W. Niessen; Rotterdam/NL
Saturday, March 3, 10:3012:00 Undergraduate teaching: the future of radiology

Moderator: D.E. Malone; Dublin/IE Why teach undergraduates radiology? S.J. Golding; Oxford/UK The European scene: lessons from the 2010 survey K. Verstraete; Gent/BE What and how should we teach undergraduates? S. Pedraza; Girona/ES
Friday, March 2, 12:1513:30 5th Post Processing Face-Off Session

Coordinators: H.-C. Becker; Munich/DE A. Graser; Munich/DE
Friday, March 2, 14:0015:30 Radiology Trainees Forum RTF Highlighted Lectures

Moderators: D. Bulja; Sarajevo/BA M. Edjlali-Goujon; Paris/FR Molecular imaging: principles and potential applications N. Grenier; Bordeaux/FR Vascular ultrasound: technique and clinical applications B. Brkljai; Zagreb/HR Chest x-ray in children S. Ryan; Dublin/IE
Saturday, March 3, 14:0015:30 Image Interpretation Quiz: Lets interpret with the experts
Moderator: R. Manfredi; Verona/IT Panellists: Team 1: S. Bisdas; Tbingen/DE C. Dromain; Villejuif/FR M. Maas; Amsterdam/NL E.J. Stern; Seattle, WA/US Team 2: B. Gmez-Ansn; Barcelona/ES H. Prosch; Vienna/AT F.M.H.M. Vanhoenacker; Antwerp/BE J. Votrubov; Prague/CZ
Friday, March 2, 16:0017:30 ESOR Session Saturday, March 3, 10:3012:00 Standards and Audit Session The future of radiological reporting: by whom, where, and how will it be done?
Moderator: E.J. Adam; London/UK Structured reporting: the benefits of uniformity of reporting world-wide C.E. Kahn; Milwaukee, WI/US Teleradiology: more disadvantages than advantages R. FitzGerald; Wolverhampton/UK Teleradiology: more advantages than disadvantages L. Donoso; Barcelona/ES
Saturday, March 3 Hospital Management Symposium
(organised in cooperation with European Hospital)
Sunday, March 4, 13:0014:00 Junior Image Interpretation Quiz: Mediterranean Sun vs Northern Lights
Moderator: A.P. Parkar; Bergen/NO Panellists: Mediterranean Sun: B. Akpinar; Ankara/TR A. Moscariello; Rome/IT C. Ruivo; Coimbra/PT Northern Lights: T. Hulkko; Rovaniemi/FI M. Mejlnder-Larsen; Oslo/NO J. Sharkey; Edinburgh/UK B. Marincek; Cleveland, OH/US M. Szczerbo-Trojanowska; Lublin/PL
Referees:
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Plenary sessions
Thursday, March 1, 17:4519:15 Opening Ceremony Presentation of Honorary Members Opening Lecture
Sylvia Ferino-Pagden; Vienna/AT
Friday, March 2, 12:1513:15 Gold Medal Awards HL 1 Josef Lissner Honorary Lecture The pulmonary nodule: old and new challenges
Cornelia Schaefer-Prokop; Amersfoort/NL
Saturday, March 3, 12:1512:45 HL 2 Antonio Chiesa Honorary Lecture

Roberto Maroldi; Brescia/IT
Sunday, March 4, 12:1512:45 HL 3 Wilhelm Conrad Rntgen Honorary Lecture
Lawrence R. Goodman; Milwaukee, WI/US
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Satellite symposia
Thursday, March 1, 12:30-13:30 SY 1 Satellite Symposium organised by SuperSonic Imagine
Programme to be announced
Friday, March 2, 12:30-13:30 SY 4 Satellite Symposium organised by Bayer Healthcare

Leading the path in contrast enhanced MR imaging
Liver-cell specific imaging with Primovist: an health economic perspective J.M. Lee; Seoul/KR More than 10 years experience with Gadovist F. Sardanelli; San Donato/IT New perspectives in neuro-imaging with macrocyclic contrast agents N. Anzalone; Milan/IT
Thursday, March 1, 12:00-13:30 SY 2 Satellite Symposium organised by Siemens Healthcare

Imaging for breast cancer therapy planning, execution and control
Moderator: J. Barkhausen; Lbeck/DE Introduction J. Barkhausen; Lbeck/DE 3D breast ultrasound: a poor mans MRI? M.J.C.M. Rutten; s-Hertogenbosch/NL Potential role of digital breast tomosynthesis (DBT) in breast cancer diagnosis N. Uchiyama; Tokyo/JP Impact of imaging on staging, planning and treatment delivery in curative breast cancer radiotherapy S. Bodis; Aarau/CH From control to prediction, moving forward in the field of neoadjuvant chemotherapy R.M. Mann; Nijmegen/NL Panel discussion
Friday, March 2, 12:30-13:30 SY 5 Satellite Symposium organised by GE Healthcare

Innovations in MRI imaging
Friday, March 2, 12:30-13:30 SY 6 Satellite Symposium organised by Bracco

Thursday, March 1, 14:30-15:30 SY 3 Satellite Symposium organised by Siemens Healthcare

3D tomosynthesis: opportunities for breast cancer imaging
Moderator: T. Mertelmeier; Erlangen/DE Introduction T. Mertelmeier; Erlangen/DE 3D breast tomosynthesis established role in breast cancer diagnosis: a user report J. Barkhausen; Lbeck/DE 3D breast tomosynthesis emerging role in breast cancer screening: first study results I. Andersson; Malm/SE 3D breast tomosynthesis and contrast enhanced dual energy: a prototype report T.H. Helbich; Vienna/AT Panel discussion
Friday, March 2, 12:30-13:30 SY 7 Satellite Symposium organised by Philips Healthcare

Saturday, March 3, 12:30-13:30 SY 8 Satellite Symposium jointly organised by Siemens Healthcare and Bayer Healthcare
Synergies in CT for better patient care
Moderator: J.E. Wildberger; Maastricht/NL Programme to be announced
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Satellite symposia
Saturday, March 3, 12:30-13:30 SY 9 Satellite Symposium organised by Guerbet
Vessel and muscle in coronary heart disease
Moderator: S. Plein; Leeds/UK Introduction S. Plein; Leeds/UK Updated developments in coronary MSCT in patients with atrial fibrillation M. Dewey; Berlin/DE Detection of occult myocardial infarcts and coronary stenosis in asymptomatic diabetic patients T.-H. Lim; Seoul/KR Why not having both with cardiac hybrid imaging? O. Gmperli; Zurich/CH Questions and answers S. Plein; Leeds/UK
Saturday, March 3, 12:30-13:30 SY 14 Satellite Symposium organised by Philips Healthcare

Shaping the future of breast cancer screening
Moderators: M. Danielsson; Solna/SE H. Ringertz; Linkping/SE Single-shot spectral mammography in clinical practice M.G. Wallis; Cambridge/UK Breast density measurement risk assessment in screening S. Molloi; Irvine, CA/US Benefits of dose reduction in mammography E. Pisano; Charleston, SC/US
Saturday, March 3, 14:00-15:30 SY 15 Satellite Symposium organised by Hologic

Saturday, March 3, 12:30-13:30 SY 10 Satellite Symposium organised by Hitachi

Saturday, March 3, 14:00-15:30 SY 16 Satellite Symposium organised by Siemens Healthcare

Creating the future of MRI
Moderator: C.D. Claussen; Tbingen/DE 3T MRI between a luxury good and clinical necessity A. McKenna-Kttner; Frankfurt/DE How to address workflow challenges in a broad spectrum MRI-service: first experiences with Dot C. Bremer; Mnster/DE Biograph mMR clinical reality of simultaneous MR-PET and future realm of possibilities C.D. Claussen; Tbingen/DE

Saturday, March 3, 12:30-13:30 SY 12 Satellite Symposium organised by Bracco


90
Satellite symposia
Saturday, March 3, 14:00-15:30 SY 17 Satellite Symposium organised by Toshiba
Sunday, March 4, 12:30-13:30 SY 20 Satellite Symposium organised by Toshiba

Saturday, March 3, 14:00-15:30 SY 18 Satellite Symposium organised by GE Healthcare

From in-vivo to in-vitro, enabling personalised cancer care
Is there any advantage of volume navigation and needle tracking techniques in the management of oncology patients? T. Albrecht; Berlin/DE
Sunday, March 4, 12:30-13:30 SY 21 Satellite Symposium organised by Philips Healthcare

Sunday, March 4, 12:30-13:30 SY 22 Satellite Symposium organised by Bracco

Sunday, March 4, 12:30-13:30 SY 19 Satellite Symposium organised by GE Healthcare

New paradigm in CT imaging capabilities and patient care
Moderator: J. de Mey; Brussels/BE Introduction J. de Mey; Brussels/BE Preserving diagnostic image quality with new CT reconstruction techniques and low concentration Iso-osmolar contrast media J.-L. Sablayrolles; St. Denis/FR Dose in paediatric imaging: how low can we go? C. Ernst; Brussels/BE New advances in cardiovascular CT to lower dose and improve diagnosis G. Pontone; Milan/IT Questions and answers
Sunday, March 4, 12:30-13:30 SY 23 Satellite Symposium organised by Siemens Healthcare

Pioneering the future of ultrasound
Sunday, March 4, 12:30-13:30 SY 24 Satellite Symposium organised by Philips Healthcare

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Update Your Skills Practical Courses

Image-Guided Breast Biopsy: How to do it
Coordinator: M.H. Fuchsjger; Vienna/AT Speakers: M.H. Fuchsjger; Vienna/AT I. Schreer; Kiel/DE T.H. Helbich; Vienna/AT Instructors: C.S. Balleyguier; Villejuif/FR L. Ceugnart; Lille/FR C. Dromain; Villejuif/FR R. Gruber; Vienna/AT M. Locatelli; Gorizia/IT A. Malich; Nordhausen/DE K. Pinker; Vienna/AT L. Rotenberg; Neuilly-sur-Seine/FR B. Szabo; Szeged/HU C.F. Weismann; Salzburg/AT M.N. Wiesmayr; Vienna/AT Registration: The number of participants for each course is restricted. Participants need to register in advance for the practical training courses (www.myESR.org) as of October 3, 2011, and must pay a fee of 50. Important details, including the schedule for the subscribed courses, are indicated on the confirmation/invoice. Attendance at the lecture session is mandatory to participate in the pre-registered practical training courses. Schedule: Thursday, March 1 SK 225 14:00-15:30 Friday, March 2 SK 525 10:30-12:00 SK 625 14:00-15:30 SK 725 16:00-17:30 Saturday, March 3 SK 925 10:30-12:00 SK 1025 14:00-15:30 SK 1125 16:00-17:30 Sunday, March 4 SK 1325 10:30-12:00 SK 1425 14:00-15:30 SK 1525 16:00-17:30
US of the Lower Limb: Groin to Calf

Coordinator: E.G. McNally; Oxford/UK Speakers: A. Klauser; Innsbruck/AT C. Martinoli; Genoa/IT E.G. McNally; Oxford/UK P. Peetrons; Brussels/BE Instructors: t.b.a. Registration: The number of participants for each course is restricted. Participants need to register in advance for the practical training courses (www.myESR.org) as of October 3, 2011, and must pay a fee of 50. Important details, including the schedule for the subscribed courses, are indicated on the confirmation/invoice. It is recommended that non-experienced users follow the introductory lectures before entering the practical training courses. Schedule: Friday, March 2 SK 426 08:30-10:00 SK 526 10:30-12:30 SK 626 14:00-16:00 Saturday, March 3 SK 926 10:30-12:30
Introductory lectures Practical training course Practical training course Practical training course
Introductory Lectures MR imaging guidance US guidance Stereotactic guidance MR imaging guidance US guidance Stereotactic guidance MR imaging guidance US guidance Stereotactic guidance
93
ESR Dignitaries
Giovanni Guido Cerri
Sao Paulo/BR, Honorary Member
to be honoured at eCr 2012

Christian J. Herold
Vienna/AT, Gold Medallist
Burton P. Drayer Moshe Graif

Tel Aviv/IL, Honorary Member
New York, NY/US, Honorary Member
Hedvig Hricak
New York, NY/US, Gold Medallist
Iain W. McCall
Lublin/PL, Gold Medallist
Oswestry/UK, Gold Medallist
Magorzata Szczerbo-Trojanowska
Sylvia Ferino-Pagden
Vienna/AT, Opening Lecturer
Lawrence R. Goodman
Milwaukee, WI/US, Honorary Lecturer
Roberto Maroldi
Brescia/IT, Honorary Lecturer
Cornelia Schaefer-Prokop
Amersfoort/NL, Honorary Lecturer
95
esr Executive Council

(March 2011 March 2012)
Andrs Palk; Szeged/HU President Gabriel P. Krestin; Rotterdam/NL 1st Vice-President Guy Frija; Paris/FR 2nd Vice-President Maximilian F. Reiser; Munich/DE Past-President Lorenzo E. Derchi; Genoa/IT Communication & International Relations Committee Chairman Lorenzo Bonomo; Rome/IT Congress Committee Chairman Jos I. Bilbao; Pamplona/ES 1st Vice-Chairman of the Congress Committee Valentin E. Sinitsyn; Moscow/RU 2nd Vice-Chairman of the Congress Committee amann Breatnach; Dublin/IE Education Committee Chairman Boris Brkljai; Zagreb/HR Finance Committee Chairman Luis Donoso; Barcelona/ES National Societies Committee Chairman Yves Menu; Paris/FR Professional Organisation Committee Chairman Adrian K. Dixon; Cambridge/UK Publications Committee Chairman Luis Mart-Bonmat; Valencia/ES Research Committee Chairman Jim A. Reekers; Amsterdam/NL Subspecialties Committee Chairman Peter Baierl; Vienna/AT Executive Director Nicholas Gourtsoyiannis; Iraklion/GR ESOR Scientific/Educational Director
96
eCr 2012 Committees

CONGRESS COMMITTEE
Chairperson (Congress President) L. Bonomo; Rome/IT 1st Vice-Chairperson (1st Congress Vice-President) J.I. Bilbao; Pamplona/ES 2nd Vice-Chairperson (2nd Congress Vice-President) V.E. Sinitsyn; Moscow/RU Ordinary Members B. Hamm; Berlin/DE F. Caseiro-Alves; Coimbra/PT K. hlstrm Riklund; Umea/SE ESR President A. Palk; Szeged/HU ESR Executive Director P. Baierl; Vienna/AT Ex-officio Members: Chairperson of the Finance Committee B. Brkljai; Zagreb/HR Chairperson of the Publications Committee A.K. Dixon; Cambridge/UK
PROGRAMME PLANNING COMMITTEE

Postgraduate Educational Programme Chairman: V.E. Sinitsyn; Moscow/RU Members: D. Akata; Ankara/TR M.I. Argyropoulou; Ioannina/GR V.N. Cassar-Pullicino; Oswestry/UK M.H. Fuchsjger; Vienna/AT G.A. Krombach; Giessen/DE P.C. Maly Sundgren; Lund/SE M. Onu; Bucharest/RO A. van der Lugt; Rotterdam/NL V. Vilgrain; Clichy/FR Scientific Papers Chairman: B. Hamm; Berlin/DE Members: M. Epermane; Riga/LV D. Tack; Baudour/FR A. Trojanowska; Lublin/PL Scientific Exhibition (EPOS) Chairman: F. Caseiro-Alves; Coimbra/PT Members: M. Mechl; Brno/CZ M. Bachmann Nielsen; Copenhagen/DK Categorical Courses L.E. Derchi; Genoa/IT A. Palk; Szeged/HU P.M. Parizel; Antwerp/BE E European Excellence in Education: Interactive Teaching Sessions J. Vilar; Valencia/ES Foundation Course M. Claudon; Vandoeuvre-les-Nancy/FR e-Learning D. Caramella; Pisa/IT P. Pokieser; Vienna/AT Cases of the Day H. Fenlon; Dublin/IE Physics Programme W.J.M. van der Putten; Galway/IE Image Interpretation Quiz R. Manfredi; Verona/IT Junior Image Interpretation Quiz A.P. Parkar; Bergen/NO Evaluation D. Weishaupt; Zurich/CH Publications Committee Chairman A.K. Dixon; Cambridge/UK ESR Subspecialties Committee Chairman F.E. Avni; Brussels/BE ESR Education Committee Chairman . Breatnach; Dublin/IE ESR Professional Organisation Committee Chairman L. Donoso; Barcelona/ES
97
eCr 2012 Committees

SCIENTIFIC SUBCOMMITTEES
Abdominal and Gastrointestinal The ESR would like to thank ESGAR for their cooperation on this subcommittee Chairmen: C. Bartolozzi; Pisa/IT S.A. Taylor; London/UK Members: D. Akata; Ankara/TR C. Ayuso; Barcelona/ES M.A. Bali; Brussels/BE D.J. Breen; Southampton/UK D. Cano; Pamplona/ES L. Curvo-Semedo; Coimbra/PT S. Gourtsoyianni; Athens/GR A. Graser; Munich/DE F. Iafrate; Rome/IT G.G. Karmazanovsky; Moscow/RU U. Korman; Istanbul/TR T.C. Lauenstein; Essen/DE O. Lucidarme; Paris/FR M.M. Maher; Cork/IE A. Maier; Vienna/AT T. Mang; Vienna/AT C.Y. Nio; Amsterdam/NL A.H.H. Piironen; Tampere/FI F. Pilleul; Lyon/FR S. Rafaelsen; Vejle/DK H. Scheffel; Zurich/CH S. Schmidt; Lausanne/CH S. Stojanovic; Novi Sad/RS J. Votrubov; Prague/CZ Breast The ESR would like to thank EUSOBI for their cooperation on this subcommittee Chairman: J. Camps Herrero; Valencia/ES Members: C. S. Balleyguier; Villejuif/FR P.A.T. Baltzer; Jena/DE F.J. Gilbert; Aberdeen/UK M. Lesaru; Bucharest/RO R.M. Mann; Nijmegen/NL F. Pediconi; Rome/IT K. Pinker; Vienna/AT L. Steyaert; Bruges/BE Cardiac The ESR would like to thank ESCR for their cooperation on this subcommittee Chairman: L. Natale; Sesto Fiorentino/IT Members: H. Alkadhi; Zurich/CH M. Gardarsdottir; Reykjavik/IS B. Graca; Coimbra/PT K. Gruszczynska; Katowice/PL S. Katsilouli; Athens/GR K.-F. Kreitner; Mainz/DE T. Leiner; Utrecht/NL E. Mershina; Moscow/RU A.P. Parkar; Bergen/NO P.K. Vanhoenacker; Aalst/BE J. Vymazal; Prague/CZ E. Woo; Aylesbury/UK Chest The ESR would like to thank ESTI for their cooperation on this subcommittee Chairman: H.-U. Kauczor; Heidelberg/DE Members: E. Castaer; Sabadell/ES E.E.J.G. Coche; Brussels/BE J.D. Dodd; Dublin/IE N. Karabulut; Denizli/TR A. Oikonomou; Alexandroupolis/GR H. Prosch; Vienna/AT M.-P. Revel; Paris/FR E. Rizzo; Genolier/CH N. Sverzellati; Parma/IT E.J.R. van Beek; Edinburgh/UK K. Vidmar Kocijancic; Ljubljana/SI J.E. Wildberger; Maastricht/NL Computer Applications The ESR would like to thank EuroPACS for their cooperation on this subcommittee Chairman: O. Ratib; Geneva/CH Members: U.W. Engelmann; Heidelberg/DE B. Gibaud; Rennes/FR T.G. Maris; Iraklion/GR M. Onu; Bucharest/RO P. Sgner; Gtzens/AT L.N. Sutton; Halifax/UK Molecular Imaging and Contrast Media Chairman: B. Van Beers; Clichy/FR I. Carri; Barcelona/ES S. Chatziioannou; Athens/GR B. Elmsthl; Malm/SE S. Fanti; Bologna/IT X. Montet; Geneva/CH Y.W. Nielsen; Gentofte/DK A.J. van der Molen; Leiden/NL M. Wozniak; Lublin/PL Genitourinary The ESR would like to thank ESUR for their cooperation on this subcommittee Chairman: N.C. Cowan; Oxford/UK Members: M.-F. Bellin; Le Kremlin-Bictre/FR M. Bertolotto; Trieste/IT R. Forstner; Salzburg/AT T. Franiel; Berlin/DE J.J. Ftterer; Nijmegen/NL P. Leonardou; Athens/GR P. Liss; Uppsala/SE D. Negru; Iasi/RO M.M. Otero-Garca; Vigo/ES H.C. Thoeny; Berne/CH A.T. Turgut; Ankara/TR G.M. Villeirs; Gent/BE Head and Neck The ESR would like to thank ESHNR for their cooperation on this subcommittee Chairman: M.M. Lemmerling; Gent/BE Members: E. Arana; Valencia/ES S. Bisdas; Tbingen/DE C.Z. Karaman; Aydin/TR R. Kohler; Geneva/CH R. Ljumanovic; Amsterdam/NL J. Olliff; Birmingham/UK L. Preda; Milan/IT A. Vasilyev; Moscow/RU
98
eCr 2012 Committees

Interventional Radiology The ESR would like to thank CIRSE for their cooperation on this subcommittee Chairman: E. Brountzos; Athens/GR Members: C. Binkert; Winterthur/CH J.L. del Cura; Bilbao/ES A. Dimopoulou; Uppsala/SE P. Haage; Wuppertal/DE T. Jargiello; Lublin/PL D.O. Kessel; Leeds/UK L. Lonn; Copenhagen/DK F. Orsi; Milan/IT T. Rand; Vienna/AT A.G. Ryan; Waterford City/IE V. Vlek; Brno/CZ O.M. van Delden; Amsterdam/NL Musculoskeletal The ESR would like to thank ESSR for their cooperation on this subcommittee Chairman: M. Epermane; Riga/LV Members: G.M. Allen; Oxford/UK N. Boutry; Lille/FR P.M. Cunningham; Navan/IE C. Glaser; Munich/DE A. Klauser; Innsbruck/AT G. Mantzikopoulos; Athens/GR A. Oktay; Izmir/TR C.W.A. Pfirrmann; Zurich/CH M. Reijnierse; Leiden/NL A. Tagliafico; Genoa/IT P. Van Dyck; Edegem/BE J.C. Vilanova; Girona/ES Neuro The ESR would like to thank ESNR for their cooperation on this subcommittee Chairman: P. Vilela; Almada/PT Members: N. Bargall; Barcelona/ES P. Demaerel; Leuven/BE V. Dousset; Bordeaux/FR J. Fiehler; Hamburg/DE Z. Merhemic; Sarajevo/BA M. Muto; Naples/IT I. Saatci; Ankara/TR M. Sasiadek; Wroclaw/PL T. Stosic-Opincal; Belgrade/RS M.M. Thurnher; Vienna/AT M.P. Wattjes; Amsterdam/NL T.A. Yousry; London/UK Paediatric The ESR would like to thank ESPR for their cooperation on this subcommittee Chairman: M. Riccabona; Graz/AT Members: A. Borthne; Lrenskog/NO M.B. Damasio; Genoa/IT W. Hirsch; Leipzig/DE O.E. Olsen; London/UK F. Papadopoulou; Ioannina/GR P. Petit; Marseille/FR R.R. van Rijn; Amsterdam/NL E. Vzquez; Barcelona/ES Physics in Radiology The ESR would like to thank EFOMP for their cooperation on this subcommittee Chairman: C. Leidecker; Forchheim/DE Members: T. Beyer; Zurich/CH O. Ciraj-Bjelac; Belgrade/RS H. Jarvinen; Helsinki/FI R. Padovani; Udine/IT D.G. Sutton; Dundee/UK V. Tsapaki; Athens/GR J.N. Vassileva; Sofia/BG Radiographers The ESR would like to thank ISRRT for their cooperation on this subcommittee Chairmen: N.J.M. Freling; Amsterdam/NL C. Vandulek; Kaposvr/HU Members: A. Beux; Turin/IT K. Haller; Wiener Neustadt/AT A. Henner; Oulu/FI C. Malamateniou; London/UK J. McNulty; Dublin/IE G. Paulo; Coimbra/PT Vascular The ESR would like to thank CIRSE for their cooperation on this subcommittee Chairman: F. Fanelli; Rome/IT Members: H.K. hlstrm; Uppsala/SE E. Esteban; Alzira/ES L.P. Lawler; Dublin/IE K. Malagari; Athens/GR J.-P. Pelage; Caen/FR R. Uberoi; Oxford/UK P. Vilares Morgado; Porto/PT Oncologic Imaging Chairman: R.H. Reznek; London/UK Members: R.G.H. Beets-Tan; Maastricht/NL M. Bellomi; Milan/IT P. Brader; Vienna/AT G. Forrai; Budapest/HU R. Hermans; Leuven/BE S. Neuenschwander; Paris/FR A.G. Rockall; London/UK H.-P. Schlemmer; Heidelberg/DE Emergency Radiology Chairman: M. Scaglione; Castel Volturno/IT Members: I. Arkhipova; Moscow/RU O. Chan; London/UK D.R. Kool; Nijmegen/NL U. Linsenmaier; Munich/DE P.-A. Poletti; Geneva/CH G. Schueller; Vienna/AT M. Stajgis; Poznan/PL M. Zins; Paris/FR
99
eCr 2012 Topic Coordinators

Categorical Courses
Urogenital Imaging L.E. Derchi; Genoa/IT CLICK (Clinical Lessons for Imaging Core Knowledge): Common Clinical Cases A. Palk; Szeged/HU Emergencies in Neuroradiology P.M. Parizel; Antwerp/BE
Multidisciplinary Sessions
Managing Patients with Cancer T.H. Helbich; Vienna/AT E. de Kerviler; Paris/FR R. Manfredi; Verona/IT
E European Excellence in Education

Foundation Course: More About Ultrasound M. Claudon; Vandoeuvre-les-Nancy/FR
Mini Courses
Organs from A to Z: Lung A.A. Bankier; Boston, MA/US The Beauty of Basic Knowledge: Interpretation of the Chest Radiograph J. Cceres; Barcelona/ES Molecular Imaging N. Grenier; Bordeaux/FR Joint Course of the ESR and RSNA (Radiological Society of North America): Essentials in Oncologic Imaging: What Radiologists Need to Know R.L. Baron; Chicago, IL/US C.J. Herold; Vienna/AT H. Hricak; New York, NY/US Y. Menu; Paris/FR D.M. Panicek; New York, NY/US M.F. Reiser; Munich/DE Controversies in Abdominal Imaging Y. Menu; Paris/FR
Interactive Teaching Sessions J. Vilar; Valencia/ES
Update Your Skills (Practical Courses)

Image Guided Breast Biopsy: How to do it M.H. Fuchsjger; Vienna/AT US of the Lower Limb: Groin to Calf E.G. McNally; Oxford/UK
5th Post Processing Face-Off Session

H.-C. Becker; Munich/DE A. Graser; Munich/DE
100
X-ray of a black pearl pepper seed pod

scott Andersen and Bridget Harrington (KUBTeC), Milford, CT/Us eCr 2011 Photocompetition
Giuseppe Arcimboldo
(15261593)
Anyone looking at Arcimboldos composite heads for the first time feels surprised, startled, and bewildered; our gaze moves back and forth between the overall human form and the richness of individual details until we get the joke and find ourselves amused, delighted, or perhaps even repelled. Any transformation or manipulation of the human face attracts attention, but the effect is accentuated when we are confronted with monsters where, instead of eyes, mouths, noses, and cheeks, we find flowers or cherries, peas, cucumbers, peaches, broken branches, and much else. Arcimboldos paintings stimulate opposing, irreconcilable interpretations of what we are seeing and thus are paradoxical in the truest sense of the word. Soon forgotten after his death, Arcimboldo was rediscovered in the 1930s when the director of the Museum of Modern Art in New York, Alfred H. Barr, included the artists paintings in the exhibition Fantastic Art, Dada, Surrealism. Ever since, Arcimboldo has been considered a source of inspiration for the surrealists and their successors. Art historians have also seen him as a typical representative of mannerism, a term used to describe an artistic style fashionable at European courts in the sixteenth and early seventeenth centuries. Mannerist painters rejected the rational, harmonious approach of much Renaissance art in favour of ambiguity, virtuosity, and elegance. Along with their patrons, they prized artifice, cleverness, obscure symbolism, and intellectual puzzles all qualities found in Arcimboldos paintings. Arcimboldos composite heads were already celebrated as scherzi (jokes) by his contemporaries, but they also reflect the serious scientific study of nature that was characteristic of the
sixteenth century. The precision with which Arcimboldo rendered flora and fauna typifies contemporary botanical illustrations, such as those by Jacques Le Moyne and Domenico Buonvicini. In their quest for scientific accuracy, sculptors and ceramicists even incorporated casts of reptiles and fish made from actual specimens in their works.
Biography
Giuseppe Arcimboldo was born in Milan in 1526, the son of the painter Biagio, and was active there and in the nearby cities of Como and Monza before moving to Vienna, the seat of the Holy Roman Empire, in 1562. He was appointed court painter and portraitist to Maximilian II, who became emperor in 1564, and continued to work for the emperors son and successor, Rudolf II. When the imperial residence was moved from Vienna to Prague in 1583, the artist emigrated there as well. In 1587, at the age of sixty-one, Arcimboldo returned to Milan, where he continued working on paintings for the emperor as well as on other commissions, and in 1592 Rudolf II appointed him a Palatine count. Arcimboldo died the following year from kidney failure.
eye is created by a crack in the bark, and a tree fungus forms the lips. The bristly hair is a tangle of boughs entwined with ivy. A twig with a dangling lemon and orange protrudes from the figures chest. Woven into the straw mantle are fire strikers, symbols of the chivalric Order of the Golden Fleece, which was under Habsburg leadership. The large M, partially visible at the back of the cloak, alludes to Maximilian II, whose tomb was recently found to contain a mantle with a similar M woven into it. In the case of Spring, blossoms make up the head, and leaves form the shoulder and chest. The lips and teeth are delicately rendered; special accents include the lily as a hat feather and the iris as a chest medallion. In all, eighty different varieties of flowering plants have been identified in the work. Because they do not all bloom at the same time of year, Arcimboldo must have prepared studies of the individual species when each one blossomed, and then put them together in the painting. Summer, with its luxuriant display of fruit, vegetables, nuts, and grains, can be viewed almost as a guide to what foods would have then been locally available. The artist also included rare varieties imported from the New World, such as corn (not cultivated in Europe until 1525) and eggplant, first cultivated in Andalusia, but which came from Africa and Arabia and was unusual in northern Europe. The artists signature and date are artfully woven into the figures straw coat, probably an allusion to the ancient Roman author Pliny the Elders reference to the classical Greek painter Zeuxis, who became so wealthy that he had his name woven into his outer garments in golden letters.
The Four Seasons

Arcimboldo created for Maximilian II a series of allegorical paintings of the Four Seasons, all depicted as profile busts. Winter and Summer date to 1563, the year after he arrived in Vienna, and the same is probably true of Spring. Autumn is lost but known from a copy by Arcimboldo himself. Winter, one of the most expressive heads, is reminiscent of Leonardos grotesques: out of an ancient, gnarled tree trunk, the nose and ear emerge as remnants of broken branches, the narrowed
Excerpts from the catalogue for an exhibition on Arcimboldos work at the National Gallery of Art, Washington, U.S. The ECR 2012 Poster uses parts of Arcimboldos Spring.
102
Abstract Submission Scientific Papers (Oral Presentations): July 5 september 18, 2011 Poster Abstract Submission for EPOSTM: all year long! Online Registration: starts september 1, 2011
myESR.org
Coordination: esr Office, Neutorgasse 9, 1010 Vienna, Austria Phone: (+ 43 1) 533 40 64-0 Fax: (+ 43 1) 533 40 64-441 e-mail: communications@myesr.org www.myesr.org Managing Editor: Julia Patuzzi Art Direction: robert Punz Layout: Tine Ulbing Printed by Holzhausen Druck, 2011 All data as per date of printing: May 2011 Photo Credits: Unless otherwise indicated all pictures esr european society of radiology.

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Preliminary Programme

Vienna welcomes you

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

the eCr 2012 Congress President

Lorenzo Bonomo looks forward to presiding over the next congress

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

Professor Lorenzo Bonomo

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

Your Timeline to ECR 2012

Facts & Figures 2011

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

ESR meets sessions

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

radiology without borders at the eCr

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

ESR meets sessions

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

New Horizons sessions

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

New techniques increase ablation efficiency in tumour treatment

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

New Horizons sessions

Sunday, March 4, 14:0015:30 NH 14 New insight into vascular wall

Saturday, March 3, 08:3010:00 NH 8 Ablation beyond radiofrequency

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

State of the art symposia

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

How to avoid pitfalls in imaging pregnant patients

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

State of the art symposia

Sunday, March 4, 16:0017:30 SA 15 Imaging hip joint replacement

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

Special Focus sessions

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

Imaging redefines CAD investigation and patient prognosis

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

Continued from page 23

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

LUomo vitruviano (The Vitruvian Man)

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

rise of mobile technology sets the perfect stage for teleradiology

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

Special Focus sessions

Friday, March 2, 08:3010:00 SF 4a Controversies in breast imaging

Friday, March 2, 16:0017:30 SF 7a My most beautiful mistakes

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

Special Focus sessions

Saturday, March 3, 08:3010:00 SF 8b Cardiac imaging: from diagnosis to prognosis

Saturday, March 3, 08:3010:00 SF 8a Peritoneal carcinomatosis

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

Special Focus sessions

Sunday, March 4, 14:0015:30 SF 14 HIV/AIDS update 2012

www.myesr.org | EUROPEAN CONGRESS OF RADIOLOGY 2012

Special Focus sessions

Monday, March 5, 08:3010:00 SF 16c Paediatric head and neck imaging

Monday, March 5, 16:0017:30 SF 19 Spinal intervention

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

EUROPEAN CONGRESS OF RADIOLOGY 2012 | www.myesr.org

Share your scientific work with the radiological world.

Find more information at myESR.org/epos_all_year