Does software that flags malignancies on medical images help, hinder, or make no difference to patient management? That question has dogged radiology for years. Automated detection systems are undoubtedly becoming smarter, strengthening arguments for their use. But no system is perfect, and doubts remain, leading to a widespread policy of wait and see.

Around 10% to 15% of patients in the developed world die following acute stroke, 30% to 60% survive with long-term disabilities, and 20% to 25% require a hospital stay. These frightening statistics could be improved if radically different strategies were adopted for managing stroke patients, according to speakers at an overflowing state-of-the-art symposium.

MR imaging has great value in guiding treatment of breast cancer patients and is well worth the extra expense when used appropriately, according to radiologists speaking at an ECR session on Sunday.

Radiology must learn from the automotive and aviation industries to eliminate errors and improve patient safety. That is the view of Dr. William R. Brody, president of Johns Hopkins University in Baltimore, who delivered Saturday’s W.C. Roentgen Honorary Lecture.

Patients with compressive or entrapment neuropathies of the elbow, forearm, wrist, or hand may go straight to sonographic examination. In skilled hands, ultrasound can produce images that reveal pathology as well as MR images can. But while the diagnosis of a tendon rupture is a relatively simple matter with ultrasound, to assess specific neurological injuries, such as nerve entrapment and compression, the technique requires considerable experience, expertise, and patience, said Dr. Javier Beltran of the Maimonides Medical Center in Brooklyn, NY.

“I predict that lung radiofrequency ablation is going to be very big indeed,” said Dr. Alice Gillams at the beginning of her two presentations on Saturday examining factors influencing tumor recurrence and incidence of pneumothoraces.

State-of-the-art 64-slice CT is proving its worth as a potent noninvasive tool for imaging coronary arteries, but it has some noteworthy limitations, according to research presented at the ECR on Tuesday.

A whole-body PET/CT scan can be used to stage and further pinpoint cancers spotted on optical colonoscopy, a research team for Essen University reported Monday. The team also reported that PET/CT scans may be useful in restaging recurrent breast cancer.

Philips Medical Systems chose opening day of the ECR to release the world’s first commercial time-of-flight PET/CT system. The system, scheduled to begin shipping to sites in Europe and the U.S. in June, will more than double image sensitivity, according to the company, allowing users to either markedly improve image quality or cut scan time by a third or more.

Agfa HealthCare plans to distinguish itself in a crowded IT market by providing meaningful integration of different sources of clinical data and bringing the results into clinical workflow, company officials said at the ECR.

CT and MR angiography both provided more clinically useful information than duplex ultrasound in screening peripheral vascular disease. But when costs are factored in, CT emerged as the clear leader, according to a four-hospital study conducted in the Netherlands and described Saturday.

MR offers decided advantages as a tool for image guidance in radiofrequency ablation of liver tumors, but it also presents significant problems that must be overcome before its use becomes widespread, according to a pair of presentations March 5 at the European Congress of Radiology.

New computer-aided detection programs help less experienced readers find clinically significant polyps with CT colonography, but they prove less useful for experts, according to three studies presented at the ECR on Saturday.

MR colonography has yet to capture radiologists’ imagination to the same extent as CT. But the radiation-free exam has a bright future, especially if stool tagging techniques can avoid the need for bowel cleansing, according to speakers from the U.S. and Greece at ECR on Friday.

Low-dose CT can effectively replace plain film in cases of acute abdominal pain, with benefits for clinical diagnosis, according to a study by Swedish researchers presented at the ECR Friday afternoon.

Radiology in Asia is booming. The demand for radiology services is growing, and investment made by governments and private hospitals and companies in imaging equipment and radiology departments is increasing rapidly every year. This includes investments in PACS, RIS, and teleradiology networks.

MR imaging diagnoses endometriosis so reliably that it outperformed the surgical gold standard for confirming its presence, according to an Oxford University study.

Successful pregnancies following uterine fibroid embolization are debunking the theory that the procedure should not be recommended for women who want to conceive despite having heavy fibroid volume. Among a cohort of more than 1200 embolization patients at an English hospital, 43 of 98 women who tried to conceive have been able to do so.

The majority of patients who undergo CT colonography, either with or without contrast, will produce studies that have at least one extracolonic anomaly. Most will not require further workup, however.

A study of whole-body MR and CT as possible alternatives to planar nuclear medicine bone scanning has found that whole-body MRI depicts spinal bone metastases that escape detection with 16-slice CT.