Isabella M. Björkman-Burtscher; Lund/SE

ECR 2016

Subcommittee RADIOGRAPHERS (Topic 14)

Isabella M. Björkman-Burtscher; Lund/SE Christina Malamateniou; London/UK Paul Bezzina (Msida/MT), Shane J. Foley (Dublin/IE), Nejc Mekis (Ljubljana/SI), Helle Precht (Odense/DK), Joana Santos (Coimbra/PT), Vasilis Syrgiamiotis (Athens/GR)

No levels for this topic

Refresher course Programme

Primary Category: Radiographers; Secondary Category: Breast, Imaging Methods RC 914: Friday, March 4, 2016/08:30-10:00/Room D2 M/RT: V. Syrgiamiotis; Athens/GR; M/Rad: S. Zackrisson; Malmö/SE (New; integrated RC type) State-of-the-art breast imaging Chairmen’s introduction (5') V. Syrgiamiotis; Athens/GR, S. Zackrisson; Malmö/SE Session objectives: 1. To review current methods of screen firm mammography. 2. To present recent developments in digital mammography. 3. To explain the future of breast imaging using MRI techniques. A. Current status of screen film mammography (23') C.E. Mercer; Manchester/UK 1. To appreciate the strengths and weaknesses of film mammography in breast imaging. 2. To become familiar with the importance of optimising breast compression for improving image quality. 3. To appreciate the clinical role of film mammography in highlighting breast pathologies. B. Developments in digital mammography (23') C. Reis; Lisbon/PT 1. To understand the current developments in digital mammography. 2. To be aware of the potential of tomosynthesis in breast imaging. 3. To be familiar with the current limitations of digital mammography in breast imaging. C. Breast MRI and the future (23') G. Podobnik; Ljubljana/SI 1. To appreciate the strengths and weaknesses of MRI in breast imaging. 2. To understand the role of the radiographer in breast MRI in view of the recent developments in MR imaging technology. 3. To be aware of possible future developments in and clinical applications of breast MRI. Panel discussion: The role of multimodality imaging in breast imaging (16')

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Primary Category: Radiographers; Secondary Category: Evidence Based Radiology RC 1314: Saturday, March 5, 2016/08:30-10:00/Room D2 M/RT: C. Vandulek; Kaposvár/HU; M/Rad: I.M. Björkman-Burtscher; Lund/SE (New; integrated RC type) Enhancing research in radiography: a change of culture Chairmen’s introduction (5') C. Vandulek; Kaposvár/HU, I.M. Björkman-Burtscher; Lund/SE Session objectives: 1. To offer recent updates on radiography research initiatives in a European level. 2. To discuss the use of a formal mentoring scheme in improving radiography research capacity. 3. To propose methods to improve evidence based practice in radiography. A. Radiography research updates: new collaborations and initiatives in Europe (23') J. McNulty; Dublin/IE 1. To appreciate the importance and necessity of evidence-based practice. 2. To outline the potential for research collaborations between radiographers both nationally and at European level to broaden the evidence base and enhance the reputation of the profession. 3. To identify practical measures for developing new collaborations and initiatives, using current examples from Europe and beyond. B. FoRRM: a Formal Radiography Research Mentorship scheme as an instrument for change (23') C. Malamateniou; London/UK 1. To understand the importance of research in developing the radiography profession. 2. To become familiar with research mentorship schemes as a method of disseminating knowledge, enhancing research capacity and quality and informing evidence based practice. 3. To discuss the practicalities, challenges and opportunities emerging from a dedicated national formal radiography research mentorship scheme in the UK and its feasibility and potential in a European perspective. C. Translating research evidence into clinical practice (23') G. Paulo; Coimbra/PT 1. To learn about the barriers and enablers to translating research evidence into clinical practice. 2. To provide guidance on how radiographers can lead change and ensure best practices are in place. 3. To be aware of useful tools for collaboration and dissemination of research evidence (e.g. EFRS Radiography Research Network). Panel discussion: Research: the key to advancing the profession of radiography? (16')

Primary Category: Radiographers; Secondary Category: Radiological Education, Computer applications RC 1514: Saturday, March 5, 2016/14:00-15:30/Room D2 M/RT: P. Bezzina; Msida/MT; M/Rad: M. Bachmann Nielsen; Copenhagen/DK (New; integrated RC type) Innovative education in medical imaging Chairmen’s introduction (5') P. Bezzina; Msida/MT, M. Bachmann Nielsen; Copenhagen/DK Session objectives: 1. To understand the role of handheld devices in medical imaging education. 2. To appraise the use of simulators as an innovative educational tool in radiology. 3. To discuss the use of interactive application to teaching and learning in medical imaging. A. Is there a role for smartphones and tablets in medical imaging education? (23') F. Girard; Basel/SWI 1. To review the current educational uses of hand-held electronic devices in medical imaging 2. To discuss the potential advantages and disadvantages of technology enhanced learning in medical imaging. 3. To suggest potential future uses of smart-phones and tablets in radiography education. B. Using simulators as an innovative teaching tool in medical imaging (23') P. Cosson; Teeside/UK 1. To appraise the current methods used in health-care simulation for education. 2. To explore the benefits and disadvantages of these methods in radiography education. 3. To suggest future uses and further improvements of simulators in radiography education. C. Beyond eye candy: developing effective interactive animations to enhance MRI learning (23') D. Koumarianos; Athens/GR 1. To review the current educational uses of interactive animations in medical imaging. 2. To discuss the potential advantages and disadvantages of multimedia in medical imaging education. 3. To demonstrate the development of educationally effective interactive animations. Panel discussion: What is the value of innovation in advancing clinical practice and education in radiography? (16')

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Primary Category: Radiographers; Secondary Category: EuroSafe Imaging RC 1614: Saturday, March 5, 2016/16:00-17:30/Room D2 M/RT: J. Santos; Coimbra/PT; M/Rad: C. Leidecker; Forchheim/DE (New) Safety issues in medical imaging A. Safeguarding patients and staff in MRI (22,5') T. Owman; Lund/SE 1. To understand the patient and staff risk in MRI examinations. 2. To be familiar with guidelines and recommendations for patient and staff safety. 3. To be aware of the importance of the role of radiographer in MRI safety. B. Safety aspects in an interventional radiology setting? (22,5') D. Catania; Milan/IT 1. To be aware of patient and staff risk in an interventional radiology setting. 2. To appreciate the importance of radiation protection measures considering the nature of interventional procedures. 3. To recognise the need of education and training in interventional radiology settings as a tool to promote radiation safety. C. An introduction to mammography safety: what can be done? (22,5') D. O'Leary; Hertfordshire/UK 1. To understand the definition of safety in a mammography context. 2. To be aware of mammography best practices in radiation protection, compression and infection control. 3. To understand the radiographer’s role as safety gatekeeper in mammography. D. Safety in CT: dose minimisation and beyond (22,5') R. Booij; Rotterdam/NL 1. To be aware of international recommendations, standards and directives in order to promote safety. 2. To consolidate knowledge in dose reduction of CT examinations. 3. To enhance our understanding about the tradeoffs between dose reduction and image quality.

Primary Category: Imaging Methods; Secondary Category: Radiographers RC 1714: Sunday, March 6, 2016/08:30-10:00/Room D2 M/RT: N. Mekiš; Ljubljana/SI; M/Rad: A.P. Parkar; Bergen/NO (New; integrated RC type) The magic of excellent images Chairmen’s introduction (5') N. Mekiš; Ljubljana/SI, A.P. Parkar; Bergen/NO Session objectives: 1. To understand the contribution of the radiographers in image quality optimisation. 2. To expand on the challenges and perspectives of image quality in each field. 3. To discuss the importance of excellent images in patient care. A. Image quality optimisation in MRI: a radiographer's perspective (23') M. Kiss; Miskolc/HU 1. To understand the role of radiographers in MRI image quality optimisation. 2. To learn how to effectively and systematically modify scan parameters to optimise MRI protocols. 3. To be aware of recent developments in MRI software and hardware and how these can be used to further optimise image quality in MRI. B. Fine tuning of image quality in computed tomography, the role of the radiographer (23') D. Pekarovic; Ljubljana/SI 1. To become familiar with the recent technological advances at CT and how these can be exploited for image quality optimisation. 2. To be aware of the range of possibilities relating to image quality optimisation in CT. 3. To understand the role of the radiographer to optimise CT imaging protocols. C. X-ray radiography: tips and tricks for high quality imaging on the frontline (23') E. Konstantarogianni; Athens/GR 1. To introduce the importance of image quality optimisation in x-ray radiography. 2. To discuss the contribution of the radiographer in creating high quality x-ray images. 3. To be aware of strategies of optimal use of hardware and software to facilitate diagnosis. Panel discussion: The importance of excellent images for advancing the quality of healthcare (16')

08.05.2018 Friday, March 4, 2016/14:00-15:30/Room D2 MIR @ ECR Session MIR 2: Improving quality and safety in radiology

Moderators: David A. Koff; Hamilton, ON/CA, E. Jane Adam; London/UK A. How to run a safe department? (18') Peter Cavanagh; Taunton/UK 1. To understand the key drivers for developing a safe radiology service. 2. To learn about a framework that helps to implement a safe system within a radiology department. 3. To learn about approaches that can be used in your department. B. Patient satisfaction with radiology departments: are we doing our best? (18') Graciano Paulo; Coimbra/PT 1. To learn about the importance of a harmonised and structured communication process with patients. 2. To be aware of patients' needs and fragilities at the point of care. 3. To understand the importance of health professionals teamwork as a tool to develop a patient safety culture. C. Is there any evidence for decision support? (18') Giles Boland; Boston, MA/US 1. To understand the goals of clinical decision support tools. 2. To discuss and evaluate the emerging tools available. 3. To discuss the evidence for improving clinical outcome. D. Dose monitoring and benchmarking: opportunities to improve radiation protection (18') Davide Caramella; Pisa/IT 1. To demonstrate the importance of systematic dose monitoring in radiology. 2. To understand how dose monitoring may reduce clinically unjustified variations within and between hospitals. 3. To propose a paradigm shift from risk communication to safety reassurance. Discussion (18')

EM 4: Friday, March 4, 14:00-15:30, room B "EFRS meets Sweden" (European Federation of Radiographer Societies) The professional role of Swedish radiographers in medical imaging

Presiding: Csaba Vandulek; Kaposvár/HU President of EFRS President of the Swedish Society of Radiographers

Introduction (5') Csaba Vandulek; Kaposvár/HU

The aim is to give an overview of Swedish radiographers and the radiographer profession in Sweden

The Swedish radiographer as a professional (18') Bodil T. Andersson; Lund/SE 1. To gain knowledge about the Swedish radiographer as a professional. 2. To become familiar with knowledge, skills and attitudes needed for competent Swedish radiographers. 3. To consolidate knowledge about core competences and its relation to education and profession. 4. To appreciate the impact of person centred-care in the area of radiography. Implementation of a caring approach within the Swedish radiography programme (18') Maud Lundén; Gothenburg/SE 1. To gain knowledge about the Swedish radiography programme. 2. To consolidate the importance of combining patient care and technical matters in the Swedish radiography programme. 3. To become familiar with and acknowledge the patient´s perspective in the radiography programme. 4. To understand how a caring approach can be accomplished in a radiography programme. Implementation of a research process and quality improvement within the Swedish radiography programme (18') Kent Fridell; Stockholm/SE 1. To learn about different aspects of the research process in a Swedish radiography programme. 2. To become familiar with different methods for quality improvement and how these can be integrated in a Swedish radiography programme. 3. To understand the research as a process for learning in a Swedish radiography programme. Cultural highlights (18') Gunnela Örnberg; Umeå/SE Panel discussion (13')

08.05.2018 Sunday, March 6, 2016/10:30-12:00/Room O PC 18:

Monitoring safety and quality This session is part of the EuroSafe Imaging campaign

Chairmen: Guy Frija; Paris/FR, Alberto Torresin; Milan/IT

Chairmen's introduction (5') Guy Frija; Paris/FR, Alberto Torresin; Milan/IT Session objectives: 1. To introduce experiences of safety and quality management. 2. To focus on the specific aspects of dose management. 3. To highlight the need of a strong IT support. Experience of total management of quality and safety (20') Laura Oleaga Zufiría; Barcelona/ES 1. To introduce the concept of overall quality and safety in a radiology department. 2. To define the distinct aspects of quality and safety to be monitored. 3. To indicate several tools that can be used or implemented for quality control. Dose monitoring systems in CT (20') Davide Caramella; Pisa/IT 1. To highlight the importance of systematic dose monitoring in CT. 2. To demonstrate that dose monitoring may reduce clinically unjustified variations. 3. To propose a paradigm shift from risk communication to safety assurance. Experience from a group of imaging centers (15') András Palkó; Szeged/HU 1. To explain how quality and safety management principles may be realised in the everyday practice of radiology service providers. 2. To discuss the significance of standardising various aspects of quality and safety in workflow management, image and report quality and patient comfort. 3. To emphasise the importance of uniform attitude and networking in a multi-centre service-providing system. Dose monitoring systems in interventional radiology (15') Andrew England; Liverpool/UK 1. To introduce the concept of dose monitoring systems within interventional radiology. 2. To focus on the different dose monitoring solutions available within clinical practice. 3. To highlight the benefit of real-time dose monitoring for patients and staff. Panel discussion: What are the bottlenecks in safety and quality management? (15')

MOLECULAR IMAGING RC 906: Friday, March 4, 2016/08:30-10:00/Room M 1 M: J. Hodler ; Zurich/ CH Preclinical imaging as a driver for translational research: how I do it Chairman's introduction (5') J. Hodler; Zurich/CH Session objectives: 1. To learn the translational potential of preclinical research. 2. To understand the needs of preclinical research. 3. To know the physiological differences between small animals and humans. A. Molecular imaging of cancer (18') A. Kjaer; Copenhagen/DK 1. To learn the different target for molecular imaging of cancer. 2. To understand the concept of smart probe. 3. To recognise specific binding of a probe. B. What about nano-technology? (18') F.M.A. Kiessling; Aachen/DE 1. To understand nano-technology used in imaging. 2. To learn the potential utility and toxicity of nano probes. 3. To understand elimination route of nano probes. C. View of the young researcher (18') D. Berritto; Acerra/IT 1. To learn the benefice of preclinical imaging for clinical activities. 2. To learn how to translate the knowledge from pre-clinical to clinical applications. 3. To understand the limitations of translation. D. View of the radiographer (18') R. Harris; London/UK) 1. To understand the role of the radiographer as partner 2. To consolidate knowledge about prerequisites for imaging phantoms and animals

08.05.2018 3. To appreciate the benefits for translational and clinical research Panel discussion: How to set-up an attractive programme (13')

PAEDIATRIC RC 1212: Friday, March 4, 2016/16:00-17:30/Room O M: J. Portelli ; Msida/ MT Key issues in paediatric imaging Chairman's introduction (5') J. Portelli; Msida/MT 1. To understand the importance of dose reduction parameters. 2. To learn how to improve image quality in paediatric patients when performing studies with ionizing radiation. 3. To learn about requisites for a safe and successful paediatric MRI scan. A. Key issues in the x-ray department (23') E. Sorantin; Graz/AT 1. To learn about the image quality and patient dose. 2. To become familiar with standards of acceptable image quality. 3. To familiarise with ways to reduce dose, especially in daily fluoroscopy. B. Dose reduction and image quality in paediatric CT (23') R.A.J. Nievelstein; Utrecht/NL 1. To discuss simple steps for dose reduction in paediatric CT. 2. To learn about the image quality and patient dose. 3. To understand common errors when performing paediatric CT. C. Patient compliance and motion-free protocols in general paediatric MRI (23') J.F. Schneider; Basle/CH 1. To understand the cost of time versus quality images in paediatric MRI. 2. To learn about the importance of safety and pre-designed protocols in paediatric MRI. 3. To discuss options and technology available for free-breathing children. Panel discussion: What are the essentials in education and training for paediatric imaging? (16')

Thursday, March 3, 2016/16:00-17:30/Room D2 SF 8d:

CT radiation dose optimisation: are we doing enough?

Chairmen: Isabella M. Björkman-Burtscher; Lund/SE Christina Malamateniou; London/UK

Learning outcomes of the session To review currently used dose optimisation techniques in adult and paediatric CT. To understand the validity, applicability and usefulness of these techniques. To familiarise the audience with the need of standardisation and optimisation of these techniques across Europe and beyond. To suggest current priorities and highlight an action plan to resolve challenges in CT dose optimisation.

Chairmen's introduction (5') Isabella M. Björkman-Burtscher; Lund/SE Christina Malamateniou; London/UK Session objectives: 1. To introduce the concept of radiation dose levels and dose optimisation techniques used in CT. 2. To outline the main aim of the talks of the session and how they connect to each other. 3. To refer to the main radiation protection initiatives in Europe lead by ESR. CT radiation dose optimisation: what has been achieved so far? (25') Joana Santos; Coimbra/PT 1. To consolidate knowledge regarding current radiation dose levels used in CT. 2. To become familiar with recent advances in dose optimisation using scanner design features and their impact on patient dose. 3. To understand how Radiographers can optimise CT radiation doses on an individual basis. 4. To enhance understanding of international optimisation campaigns such as Image Wisely. Dose reduction techniques in paediatric CT: from A to Z (25') Erich Sorantin; Graz/AT 1. To consolidate knowledge of trends in paediatic CT use and the importance of optimisation in this cohort. 2. To understand how paediatric CT protocols should be 'child sized' to ensure dose optimisation in line with the Image Gently initiative. 3. To become familiar with the availability and use of paediatric referral guidelines and diagnostic reference levels and their impact on CT use and justification. 08.05.2018 4. To consider the role of superficial shielding during CT scanning. Challenges and opportunities in CT dose optimisation: what can we do in the future? (25') Shane J. Foley; Dublin/IE 1. To understand difficulties in dose estimation in CT using current metrics of CTDI and DLP and the potential role for newer metrics such as size specific dose estimate (SSDE). 2. To become familiar with the lack of standardisation between scanners and protocols across centres and the role of diagnostic reference levels. 3. To gain an understanding of future developments in scanner design that will aid radiation dose optimisation. Panel discussion: What are the suggested priorities and actions for CT dose optimisation? (10')

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