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LEADERSHIP • CROSS-COLLABORATION • WINNING PRACTICES VOLUME 19 • ISSUE 2 • 2019 • € 22 ISSN = 1377-7629 GE HEALTHCARE Artificial Hype SPECIAL SUPPLEMENT ARTIFICIAL HYPE, L. DONOSO-BACH AI IS THE NEW REALITY: THE 4TH HEALTHCARE REVOLUTION IN MEDICINE, NYC GO RED FOR WOMEN MOVEMENT: THE “ONE STICK STANDARD” FOR I. A. WEISSMAN STEM GOES RED, C. BEECHER VASCULAR ACCESS, N. NIKHANI ARTIFICIAL INTELLIGENCE IN HEALTHCARE: WHAT IS VERSUS WHAT WILL BE, TRUST-ABUNDANT TEAM PRINCIPLES, CRITICAL ANALYSIS OF MRI-BASED R. PEARL E. E. SULLIVAN CLASSIFICATION SYSTEMS FOR SPORT WILL AI LEAD TO JOB CUTS OR WILL THE TECH IMPROVE WORKING LIVES? MUSCLE INJURIES, L. FLORIDI ET AL. UNDERSTANDING BAD J. ISERN-KEBSCHULL ET AL. AI OPPORTUNITIES FOR HEALTHCARE MUST NOT BE WASTED, L. FLORIDI COMMUNICATION, M. KEEN REVITALISING THE AGED HEART AI-BASED PREDICTION IN CLINICAL SETTINGS: CAN WE TRUST IT? VALUE-BASED HEALTHCARE AND THROUGH SPERMIDINE-RICH DIET, W. LEODOLTER THE DOCTOR-PATIENT RELATIONSHIP, M. ABDELLATIF & S. SEDEJ ARTIFICIAL INTELLIGENCE: A NEXT WAY FORWARD FOR HEALTHCARE, M. GAFANOVICH R. CORBRIDGE THE ROLE OF SOCIAL MEDIA IN AI IN MEDICAL IMAGING MAY MAKE THE BIGGEST IMPACT IN HEALTHCARE, CARDIOLOGY, V. VASSILIOU M. COLANGELO & D. KAMINSKIY NURSING ON THE MOVE: CROSS BORDER HIRING, ACHIEVING ZERO AVOIDABLE PATIENT FUTURE OF ULTRASOUND: WHERE ARE WE GOING? P. SIDHU I. MEYENBURG-ALTWARG DEATHS BY 2020, K. MCQUEEN THE AI-POWERED RADIOLOGIST, M. J. D. CANDAMIO CLINICAL ULTRASOUND IN THE AGE OF ARTIFICIAL INTELLIGENCE, HOW FOLLOWING STEPS FOR QUALITY INNOVATION IN PAEDIATRIC D. A. LICHTENSTEIN IMPACT HEALTHCARE CONSUMERISM, REHABILITATION, M. BEERI & E. BE’ERI P. FAGBENRO AI APPLICATIONS IN BREAST IMAGING, J. TEUWEN ET AL. ©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to [email protected]. must be permitted use only. Reproduction and private ©For personal EDITORIAL Artificial hype adiologists, more than any other medical specialty, feel the AI implementation, however, is no simple matter. Ultimately it professional and emotional ‘whiplash’ that began five or so needs infrastructure, significant financial commitments, extensive years ago. Vanishing jobs (transforming radiologists into research and clinical trials to replace the tangible practice we’re called R production units) for cost over quality for our patients, to upon to provide every day. the current shortage and need for more radiologists. AI introduced In this issue, HealthManagement.org ventures beyond the AI the threat that automation would take what few positions remained; ‘hype.’ We discuss digital ethics, can machines be moral, and how now we know it can be a powerful tool. AI may impact imaging. Experts in the field analyse AI - the 4th Of the most aggressive debates in medicine is AI vs. physician healthcare revolution, how to become an AI-powered radiologist, and vs. job. AI, VR, AR, deep/machine learning, 3D printing, developed present state of the art applications in breast imaging. Furthermore, faster than we imagined. Nevertheless, they are here. While for the we look into using gamification and VR for ultrasound training and most part, massive clinical implementation is still another five or clinical ultrasound in the age of AI. How far are we really from the more years away, it is coming. This month, the U.S. launched the vast power of AI to act in conjunction with- or instead of- the medical Lluís Donoso-Bach American Artificial Intelligence Initiative and other countries will have professional? Editor-in-Chief IMAGING to follow, sooner or later. In our Management and Winning Practices we highlight how Head of Diagnostic Imaging Will AI automatically extract information and present it without trust in teams leads to better healthcare, innovations in paediatric Hospital Clínic of Barcelona, University of Barcelona the presence of a physician? Yes, this may be quite threatening. rehabilitation, cardioprotection and lifespan extension by caloric Barcelona, Spain Radiologists must justify every examination we perform. Imagine restriction. We host a critical review of muscle injuries in professional linkedin.com/in/ a department, like ours, reaches 400.000 examinations per year- FCB players, and present the ‘one stick standard’ for vascular access. llu%C3%ADs-donoso-bach-161a7581/ it is impossible! Add to this, we know that about 20 to 30% of We talk about value-based healthcare and the doctor-patient @ldonosobach examinations we perform are useless. We need to diminish this waste relationship and the role of social media in healthcare. in our healthcare systems and the harm it causes our patients. If you are a radiologist in a dark reading room, dealing with This is the renaissance of radiology. AI can empower, raise hundreds of exams, images, creating reports, with limited exposure and place the radiologist in the centre of healthcare. All physicians to your clinical colleagues, you may feel the pressure that AI equals must take an active role, radiologists especially, to seize this unique 'danger.' My impression is to embrace the vast potential of AI to opportunity to lead innovation and drive the changes in our field. We open medical departments, go out into the clinical wards, be active can actively be part of the inception and development of new tools, in multi-disciplinary teams and be more ‘clinical.’ and help shape them to fulfill our needs and expectations rather So will AI replace physicians? Absolutely not. than be forced to adapt. ©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to [email protected]. must be permitted use only. Reproduction and private ©For personal Volume 19 • Issue 2 • 2019 8181 It has been more than one year since Canon welcomed Canon Medical into the Canon Group. One thing hasn’t changed. The patient is always at the heart of everything we do. Canon Medical’s philosophy, “Made for Life,” embodies our mission in healthcare to Canon — a bright future in healthcare. improve the lives of people wherever they are in the world. Our cutting-edge solutions in medical imaging and in-vitro diagnostics are built around delivering the best possible care. Driven by a commitment to data science research and collaboration, we continue to develop intelligent IT platforms to transform the healthcare problems of today into the solutions of tomorrow. Caring for life — now and into the future. Healthcare IT In-vitro Diagnostic Systems Diagnostic Imaging Systems Offering leading-edge Supporting examination Meeting clinical needs with diagnostic support systems workflows with high resolution high resolution imaging and network solutions and rapid analysis of blood from CT, MRI, X-ray and utilizing ICT. and other specimens Ultrasound systems. taken from patients. ©2019 Canon Inc. global.canon HEALTHMANAGEMENT.ORG EDITORIAL BOARD Promoting Management and Leadership in Healthcare IMAGING HEALTHCARE IT CARDIOLOGY EDITOR-IN-CHIEF EDITOR-IN-CHIEF EDITOR-IN-CHIEF Prof. Wolfram Knapp Prof. Lluís Donoso Bach Prof. Christian Lovis Prof. Tienush Rassaf Hannover Medical School, Germany Hospital Clinic – University of Barcelona, Spain University Hospitals of Geneva Westgerman Heart- and Vascular Center, University [email protected] Prof. David Koff [email protected] of Essen, Germany Hamilton Health Sciences; McMaster University, [email protected] EDITORIAL BOARD MEMBERS Canada EDITORIAL BOARD MEMBERS EDITORIAL BOARD MEMBERS Prof. Stephen Baker Prof. Elmar Kotter João Bocas Rutgers New Jersey Medical School, U.S. University Hospital Freiburg, Germany Digital Salutem, UK Prof. Gunter Breithardt University of Munster, Germany Prof. Hans Blickman Prof. Heinz U. Lemke Miguel Cabrer University of Rochester Medical Center, U.S. IFCARS - International Foundation for Computer University Hospital Son Espases, University of the Prof. Hugo Ector Prof. Edward I. Bluth Assisted Radiology and Surgery; University of Balearic Islands, Palma, Spain University Hospital Leuven, Belgium Ochsner Healthcare, U.S. Leipzig, Germany Richard Corbridge Prof. Michael Glikson Prof. Georg Bongartz Prof. Lars Lönn Health Service Executive, Ireland Leviev Heart Center, Israel University of Basel, Switzerland National Hospital, Denmark Dr. Marc Cuggia Priv.-Doz. Philipp Kahlert Prof. Davide Caramella Prof. Elisabeth Schouman-Claeys Pontchaillou Hospital, France Universitätsklinikum Essen, Germany University of Pisa, Italy APHP Medical Organisation Directorate; University Prof. Georges de Moor Prof. Peter Kearney Dr. Ai-Lee Chang of Paris 7, France State University of Ghent, Belgium Cork University Hospital, Ireland City Hospitals Sunderland NHS Trust, UK Prof. Valentin Sinitsyn Prof. Jacob Hofdijk Prof. Alexandras Laucevicius Prof. Michel Claudon Federal Center of Medicine and Rehabilitation, European Federation for Medical Informatics, Vilnius University Hospital, Lithuania Russia University Hospital of Nancy, France The Netherlands Prof. Fausto J. Pinto Prof. Alberto Cuocolo Dr. Nicola H. Strickland Dr. Peter Gocke Lisbon University, Portugal Imperial College Healthcare NHS Trust, UK University of Naples Federico II , Italy Amedes Medizinische Dienstleistungen, Germany Prof. Piotr Ponikowski Prof. Nevra Elmas Prof. Henrik S. Thomsen Prof. Werner Leodolter Clinical Military Hospital, Poland Copenhagen University Hospital; University of Ege University, Turkey University of Graz, Austria Prof. Silvia G. Priori Copenhagen, Denmark Prof. Johan de Mey Prof.