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Investing in Interventional Imaging >> Prof T HE O FFICIAL V OICE OF THE E UROPEAN I MAGING I NITIATIVE V OLUME 6ISSUE 4 S EPTEMBER -OCTOBER 2006 ISSN=1377-7629 RADIOLOGY ■ CARDIOLOGY ■ INTERVENTION ■ SURGERY ■ IT MANAGEMENT ■ EUROPE ■ ECONOMY ■ TRENDS ■ TECHNOLOGY MIRMIR CCongrongressess 20062006 LLiivvee33DEDEcchoho PPoowwerer IInjenjeccttorsors THE FUTURE OF INTERVENTIONAL IMAGING www.imagingmanagement.org Content 3 Editorial 11 EU News 4 Association News 15 Industry News EDITOR-IN-CHIEF Prof. Iain McCall (UK) EDITORIAL BOARD Prof. Hans Blickman (The Netherlands) COVER STORY: INTERVENTIONAL RADIOLOGY Prof. Georg Bongartz (Switzerland) Prof. Nevra Elmas (Turkey) 18 Investing in Interventional Imaging >> Prof. Thomas Vogl, Dr. Mohamed Nabil Prof. Guy Frija (France) Prof. Paolo Inchingolo (Italy) 22 Organisational Aspects of an Active IR Group Prof. Lars Lonn (Sweden) >> Hervé Rousseau, Francis Joffre, Octavio Cosin Prof. Heinz U. Lemke (Germany) 24 Clinical Care in Interventional Radiology Prof. Jarl A. Jakobsen (Norway) >> Prof. Jose Ignacio Bilbao Prof. Mieczyslaw Pasowicz (Poland) 26 Leading Interventional Radiology Across Europe Prof. Udo Sechtem (Germany) >> Interview with Prof. Johannes Lammer Prof. Rainer Seibel (Germany) Dr Nicola H. Strickland (UK) Prof. Henrik S. Thomsen (Denmark) FEATURES Prof. Vlastimil Valek (Czech Republic) Prof Berthold Wein (Germany) 30 Increasing Operational Effectiveness >> Prof. J. L. Bloem CORRESPONDENTS 31 Live 3D Echo Brings Real-time Benefits Prof. Frank Boudghene (France) in Paediatric Cardiac Care Prof. Davide Caramella (Italy) >> Prof. Ivan Salgo Nicole Denjoy (France) 34 Power Injectors in Computed Tomography Johan De Sutter (Belgium) >> Frank Ellwood, Dr. Nathan Manghat Prof. Adam Mester (Hungary) Sergei Nazarenko (Estonia) Dr. Hanna Pohjonen (Finland) 36 ECRI Healthcare Product Comparison Chart GUEST AUTHORS Dr. Istvan Battyani (Hungary) Prof. Jose Ignacio Bilbao (Spain) Prof. J.L. Bloem (The Netherlands) COUNTRY FOCUS: IMAGING IN HUNGARY Prof. Octavio Cosin (France) 39 Overview of Healthcare in Hungary Prof. Frank Ellwood (UK) >> Dr. Ivan Golub Dr. Ivan Golub (Hungary) 42 Dealing With Organisational Conflicts Prof. Francis Joffre (France) >> Prof. Dr. András Palko Prof. johannes lammer (Austria) 43 Management Issues in a National Reasearch Programme Dr. nathan manghat (UK) >> Prof. István Battyáni Dr. Mohamed Nabil (Germany) Prof. Andras Palko (Hungary) 44 Developing the Science of Radiology in Hungary >> Dr. Gyongyi Nagy Prof. Gyongi Nagy (Hungary) Prof. Herve Rousseau (France) Dr Ivan Salgo (USA) Prof. Thomas Vogl (Germany) HOW TO... MY OPINION 46 How to Assess a Bid 47 Interview >> Prof. Hans Blickman >> Prof. Georg Bongartz The European Imaging Initiative (EII) is an informal network of related associa- tions, professionals and leading 48 Key Seminars & Conferences European stakeholders concerned with good management practices in the imaging industry. Editorial EditorialThe Future of Interventional Radiology The term ‘Interventional Radiology’ represents diagnostic and therapeutic procedures that are minimally invasive and PROF. IAIN MCCALL guided by an imaging method be it fluoroscopy, ultrasound, EDITOR-IN-CHIEF CT or MRI. These procedures, developed over many years by [email protected] radiologists, have become core components of the services offered by radiology departments and an essential part of management of many disorders. The success of these tech- niques has required many adaptations in the way patients are treated and the roles and responsibilities of the clinicians involved. There is increasing strain on radiology departments due to insufficient radiologists and an inadequate allocation of financial resources for consumables and staff time necessary for treating often complex conditions. While this is recognised by radiologists it is not always appreciated by managers and rarely by pur- chasers. In order to change this situation a number of points need to be addressed. It must be recognised that radiologists are responsible for the care of the patient while they are providing treatment in the same manner as any other clinician and this must be recognised in their job plan and the facilities available to them. They need outpatient facilities to review patients prior to treatment and for follow-up and they also require access to beds which may be in day care facili- ties or for longer term treatment. The patients may be the sole clinical responsibility of the radiolo- gist or in conjunction with other clinicians and radiologists must have sufficient clinical training and knowledge to manage those cases for which they are taking responsibility. The radiologist involved in interventional procedures must be given the appropriate time in their work plan to undertake the clinical part of their work and the recording of work undertaken by radi- ology departments must be weighted accordingly to reflect this. A major reallocation of funding must also be made to radiology, which is often disadvantaged by payment systems. It is often the case that the same procedure undertaken by a radiologist and a non-radiological cli- nician receive widely differing payments, as within radiology they are classed as a test compared to a full clinical episode in other hospital departments for exactly the same process. The DRG system covers the whole clinical episode and is usually allocated to the clinical department not to radiolo- gy which receives considerably less than is commensurate for the work undertaken. When interven- tional radiology techniques become the main therapeutic modality for a clinical condition the resource allocations are often not transferred and the original clinical area reduced to allow for the change in the treatment algorithm. It is therefore essential that radiologists undertaking interventional procedures and minimally inva- sive treatments are enabled to perform these tasks safely and with adequate resources. This edition of the journal focuses on a number of these areas and should increase the understanding of radiol- ogy and hospital managers and also purchasers of the requirements of a successful interventional radiology service. Prof. Iain McCall IMAGING MANAGEMENT: THE O FFICIAL VOICE OF THE E UROPEAN I MAGING I NITIATIVE 3 AssociationAssociation News News Hungary have long been affiliated with and pres- ent at MIR meetings Annual ‘Management since it was first initiat- ed. This clearly demon- in Radiology’ (MIR) strates our support and belief in the essential role this annual meeting plays in Congress underpinning proper management practices. The great advantages of organising such a meeting in one of Join Europe’s Most Prominent Experts, the “freshmen” countries of the EU, are twofold: on the one October 5 – 7 2006 hand it brings cutting-edge, hot topics of radiological man- agement closer to the specialists of these countries; and on the other hand it provides an opportunity for members of the MIR community to collect first-hand experiences from an Dear colleagues and environment differing in many aspects from their own tradi- friends, tions. The synergism of these two factors may result in better understanding of this rapidly developing region and more On behalf of the extensive involvement of experts from these countries in the Local Organising activities of MIR. Committee, it gives me great Expert Scientific and Educational Programme pleasure to Thanks to the invaluable contributions of many experts from invite you to all over Europe, the scientific and educational programme of attend the 9th this year’s meeting promises to be both intellectually edition of provocative, and at the same time very useful from practical ‘Management in points of view, both for radiology and management special- Radiology’ (MIR) 2006 ists. Alongside a constructive and current programme, the Congress in Budapest. planned social events give you at least a small sample of the This unique platform, initiated taste and feeling of Budapest and Hungary. We kindly to address significant managerial issues that affect encourage you to take the opportunity to get acquainted the imaging industry from a scientific point of view, with the great historical monuments and exciting 21st century offers a wealth of opportunities to exchange expe- developments of this city. rience, introduce new tools and concepts and draw together a wide range of leading professionals, both speakers and delegates. Once again we look forward to meeting delegates, both old and new, and to welcoming you to the banks of the Danube for a successful and hopefully memorable scientific event. An Auspicious Background Although this marks the first occasion on which the annual MIR meeting will be held in Budapest, our beautiful and hos- Prof. Dr. András Palkó pitable capital city, representatives of the field of imaging in President of the Local Organizing Committee of MIR 2006 4 P ROMOTING TEAMWORK ACROSS DIFFERENT DISCIPLINES tional city centre on the plains of Pest, and its famous Welcome to bridges. Budapest is also famous for its historical heritage, architec- Budapest tural grandeur, art collections and thermal spas. The city mer- its international attention this year, as it commemorates the Cultural and Historic Attractions 50th anniversary of the heroic struggle against the Red Army and Soviet colonisation. Dear colleagues, Cultural Attractions It is with great pleasure that I cordially invite you to The Hungarian State Opera was Budapest to participate in the 9th Annual Meeting of built between 1875 and 1884 in ‘Management in Radiology’
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