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The Role of Coronary Ct Angiography in Suspected DI EUROPE Diagnosis • Technology • Therapy • prevenTion APRIL/MAY 2019 MSK IMAGING Dual energy Cone beam CT arthrography of the knee joint acquired using Carestream’s On Sight extremity CBCT system. Images courtesy of W. Zbijewski, W Stayman and J. Siewerdsen. Johns Hopkins University, USA. EUROPE CARDIAC IMAGING SPECIAL CTCA and the SCOT-HEART trial. A management strategy based on an imaging test for patients with suspected coronary heart disease can improve clinical outcomes Are coronary CT angiography and CT-Based FFR set to become a game-changer in coronary artery disease ? An interview with Prof. PW Serruys Coronary CTA enhanced with CTAbased FFR analysis provides higher diagnostic value than invasive coronary angiography Efficacy study of CT-FFR software using 3D printed patient-specific coronary phantoms CAD-RADS: a new era in THE ROLE OF CORONARY coronary CTA reporting Cardiovascular Imaging. 3D imaging of the human carotid artery with volumetric CT ANGIOGRAPHY IN multispectral optoacoustic tomography (vMSOT) Cardiac Imaging News SUSPECTED CORONARY MRI. Utilizing DICOM metadata to improve radiology workflows HEART DISEASE Imaging News Industry News Technology Update Book Review DIEUROPE.COM European Diploma October 3-5, 2019 | Budapest, HU Annual Scientific Meeting in Breast Imaging European Society of Breast Imaging » is a common European qualification for breast imagers, helping to Early bird fees standardise training and expertise in until June 30 breast imaging across Europe. » confirms specific competence of radiologists to perform, interpret and report mammography, ultrasound, MRI and breast intervention. » will assist breast imagers in promoting their skills and experience in breast imaging when dealing with other clinical colleagues and the general public. EXAMINATION DATE: October 3, 2019 APPLICATION DEADLINE: July 15, 2019 In cooperation with the Breast Diagnostics Section of the Hungarian Society of Radiologists NEW Eligibility criteria! www.eusobi.org Please find all details, the NEW eligibility criteria and the application form at www.eusobi.org or email to [email protected] for any questions. DI EUROPE BY ALAN BARCLAY, PH.D. VOLUME 35, NUMBER 2 FROM THE EDITOR eDiTorial aDvisory BoarD Andreas Adam, London Richard P. Baum, Bad Berka Frits H. Barneveld Binkhuysen, Elias Brountzos, Athens Filipe Caseiro Alves, Coimbra Carlo Catalano, Rome Machine Learning: the need Maksim Cela, Tirana Patrick Cozzone, Marseille Katarzyna Gruszczynska, Anne Grethe Jurik, Arhus Andrea Klauser, Innsbruck Gabriel Krestin, Rotterdam to equip radiologists with sufficient Gabriele Krombach, Giessen Christiane Kuhl, Bonn Philippe Lefere, Roeselare Heinz U. Lemke, Kuessaberg Thoralf Niendorf, Berlin Anne Paterson, Belfast knowledge of the future Anders Persson, Linköping Hans Ringertz,Stockholm Gustav von Schulthess, Zurich Valentin E.Sinitsyn,Moscow Patrick Veit-Haibach, Lucerne Thomas J.Vogl,Frankfurt his year, there was no prob- The question that radiologists lem in determining what was should pose is how best to prepare for eDiTorial sTaFF the hot topic at the recent this brave new world. Such prepara- Editor Alan Barclay, Ph.D. ECR meeting. The big sub- tion is complicated by the fact that E-mail: [email protected] ject on everybody’s lips this year is the many people are still not sure of the Tel. +32 479 370 364 T US Consulting Editor Greg Freiherr continued, exponential growth of arti- differences between the terms AI E-mail: [email protected] ficial Intelligence (AI). As the current and machine learning (ML) that are Publishers David Lansdowne October 3-5, 2019 | Budapest, HU E-mail: [email protected] president of the European Society of sometimes bandied about and used European Diploma Bob Warren Radiology, Professor Lorenzo Derchi, (in error) interchangeably. (ML is the E-mail: [email protected] Annual Scientific Meeting pointed out, one of the promises of subset of AI whose aim is to enable European Society of Breast Imaging AI is the possibility to make sense systems to learn by themselves using in Breast Imaging of the huge amounts of data that are provided data and to make accurate sUBscriBer services generated by a typical modern hospi- predictions). The use of ML in radiol- » is a common European qualification Telephone: +44 1442 877777 tal, which generates approximately 50 ogy is perhaps the most active area petabytes , or 50 million gigabytes per and it is important for radiologists to for breast imagers, helping to sUBscripTion anD arTicle reprinTs: Early bird fees E: [email protected] annum, not just because of radiological understand its implications, since there standardise training and expertise in images but also from clinical notes, lab is a clear role for radiologists to play. sUBscripTion raTes per annUm: until June 30 images and results and genomics. The breast imaging across Europe. Within Europe €60.00 As a group from Mass Gen Hospital ROW €110.00 amount of such data is so huge that in in the USA have pointed out, although » confirms specific competence of inTernaTional sales oFFices practice no human can extract all the radiologists are currently expected to europe, north america & Japan information — it is estimated that only understand the imaging process from radiologists to perform, interpret and DI Europe Ltd 3% of the data generated in the hospi- the production of ionizing radiation report mammography, ultrasound, Tel: + 44 (0)1442 877777 tal is actually used. Of course, data by in a CT scanner to the visualization of Marika Cooper themselves are useless. To be useful the a pixel on their monitor, there is cur- MRI and breast intervention. E-mail: [email protected] data must be analyzed interpreted and rently no such standard for ML. (Wood » will assist breast imagers in promoting acted upon. AI systems could help in et al. The need for an ML curriculum for this and thus open up the possibilities radiologists JACR 2018 doi.org/10.1016/ their skills and experience in breast of improved efficiency and, diagnos- j.jacr.2018.10.008). The group argue imaging when dealing with other china Korea tic accuracy and ultimately improved that if radiologists are expected to uti- Adept Marketing Young Media Inc patient outcomes. Prof Derchi also lize ML models safely and effectively clinical colleagues and the general 13F Por Yen Bldg 407 Jinyang Sangga 478 Castle Peak Road 120-3 Chungmuro 4 ga made allusion to the fear felt by many for imaging interpretation, education public. Cheung Sha Wan, Kowloon Chung-Ku, Seoul, Korea 100-863 radiologists that AI is an existential for all levels of background and expe- Hong Kong E-mail: [email protected] threat to the very profession of radiol- rience will be required, and a formal- E-mail: [email protected] Telephone: +82 2 2273 4819 Telephone: +852 2891 7117 Fax: +82 2 2273 4866 ogy. However whatever the threat the ized ML curriculum targeted toward Fax: +852 2893 2101 Contact: Young J. Baek reality is that AI is coming and in fact early career radiologists and trainees is EXAMINATION DATE: Contact: Adonis Mak is already here. And although radiol- urgently needed. October 3, 2019 ogy and image analysis are fields that The group concludes that the are particularly amenable to the appli- emergence of ML technology in APPLICATION DEADLINE: cation of AI, it should be noted that radiology cannot be denied. Rather DIAGNOSTIC IMAGING EUROPE is published six times a year by DI Europe Ltd many other healthcare disciplines (e.g. than succumbing to fear and scep- Printed by Manson, St-Albans, UK. Annual subscriptions are available for €60 July 15, 2019 within Europe where it is also sent free of charge to physicians and radiology department heads. Outside of Europe, there is an annual subscription charge robot-assisted surgery or even hospi- ticism, future radiologists must be of €110 for air mail. Single copy price is €10. Editorial Advisory Board members suggest topics for coverage and answer questions for the editors. They do tal administrative workflows) are also equipped with a working knowledge In cooperation with the Breast Diagnostics Section not conduct a formal peer-review of all manuscripts submitted to DI Europe. set to undergo changes caused by the of ML to leverage the tools as they are of the Hungarian Society of Radiologists Copyright © 2019 DI Europe Ltd. All rights reserved. Reproduction in any form is forbidden without express permission of copyright owner. arrival of A . If only because of the deployed. To truly advance the stan- NEW Eligibility criteria! financial imperatives behind the imple- dard of patient care, radiologists will www.eusobi.org mentation of AI in healthcare there not only be required to appropriately DI Europe Ltd is no doubt that it is here to stay, and consume ML model output but also 2 Claridge Court Lower Kings Road grow. An analysis carried out by the participate in its development and Berkhamsted, Herts HP4 2AF UK consulting company Accenture esti- implementation to ensure that the Telephone: +44 1442 877777 Please find all details, Fax: +44 1442 70617 mated that the health AI market (not most critical challenges in the profes- the NEW eligibility criteria and the just radiology) would undergo 40% (!) sion are addressed. application form at www.eusobi.org compounded annual growth rate over Via such participation, a continuing, or email to [email protected] the next years although exactly when important role for the radiologist is the full impact of AI in radiology will assured, albeit somewhat changed from for any questions. DIEUROPE.COM be felt is still not sure. today’s role. n APRIL/MAY 2019 DI EUROPE 3 ® APRIL/MAY 2019 EUROPE COVER STORY COMPUTED TOMOGRAPHY CORONARY ANGIOGRAPHY AND THE SCOT-HEART TRIAL. FRONT COVER IMAGE results of the SCOT-HEART (Scottish Computed Tomography of the HEART) CT image from a 56 year old female with a his- randomised controlled trial, whose 5-year follow-up data have recently tory of atypical chest pain who particpated in the been published, have established the role of CT CoronaryAngiography for SCOT-HEART trial which showed that a signifi- patients with symptoms of suspected coronary artery disease ...
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