2005-issue04

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Ultraschall 2005; 26

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European Federation of Societies for Ultrasound in Medicine and Biology

EFSUMB

Newsletter

Editorial

With the arrival of the

New Year comes a new

volume of the European

Journal of Ultrasound

and the Annual Bumper

Edition of Newsletter.

This edition of the

Newsletter brings to-

gether usual contribu-

tions from the Honorary

Secretary, the President, the Chairman of

the Publications Committee, the Secre-

tary of Education and Professional Stand-

ards Committee and several other items

of interest to members throughout Eu-

rope but writing this editorial made me

ask the question what the function of a

Newsletter really is. I hope it is to keep all

17,000 members informed about what is

happening outside their own region and

specialty and what is available in the way

of professional development in ultra-

sound. All this information should be of

interest to members of the Federation but

I suspect that relatively few will read it. I

wonder how many have read the bi-

monthly Newsletter provided last year

within the EJU and on the website. Some

will have read it in the EJU but very few on

the website. I suppose the fact that

increasing numbers of members now

have the EJU as a part of their National So-

ciety subscription means that more than

half the members of the Federation have

the opportunity to read it in its paper ver-

sion. The new updated website is more

attractive than its predecessor and

perhaps will be the gateway for many to

obtain this information. There is really no

shortage of space within the allocated pa-

ges for anything of interest to members

and I would urge anyone with anything

interesting to say to submit it to the

Newsletter. If it is interesting to you it

will probably be interesting to others in

Europe. Most should be interested in

what Lucas Greiner and Gianna Stanford

have to say about the role of EFSUMB and

its relationship to the rest of the world of

ultrasound. In these days where many of

us relate best to our own clinical subspe-

cialty it is good to hear of developments

elsewhere. It is amazing what you may be

able to apply to your own work from a de-

velopment in an entirely different one.

I hope that 2005 will see further increase

in subscriptions to the EJU perhaps with

other National Societies realising the val-

ue of the Journal and that those with ul-

trasound projects worthy of publication

will continue to submit to the EJU which

has shown substantial changes even in

the last 12 months.

David Pilling

Editor Newsletter EFSUMB

Contents

EFSUMB Officers and Committees .. 52

Report from the President.............. 52

“What does EFSUMB mean?“ ......... 53

Report from the Honorary Treasurer ....................................... 54

Report from the Education and Professional Standards Committee..56

Report of Publications Committee ..56

Activities of ECMUS (Safety Committee) 2004 ............... 56

"One year after the US Contrast Agents Guidelines Completion" ...... 57

In Memoriam François Terrier, MD . 57

17th Euroson Congress 2005, Geneve, Switzerland ...................... 59

18th Euroson Congress 2006, Bologna, Italy................................. 63

EUROSON SCHOOL:· Report from EUROSON School/IBUS in Riga, Latvia, 17 —18 September, 2004 ............... 64

· London, UK, 4—6 May 2005 .............. 65· Cluj Napoca, Romania, 26—27 May 2005 ........................... 66

· Copenhagen, Denmark, 12—14 June 2006........................... 66

British Medical Ultrasound Society- Annual Scientific Meeting December 2004 ............................. 67

MSc in Medical Ultrasound ............. 68

Diary Dates .................................... 69

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Executive Bureau

President: K Jäger (Switzerland)

President Elect: D H Evans (UK)

Past-President: M Claudon (France)

Hon Secretary: L Greiner (Germany)

Hon Treasurer: N Juul (Denmark)

ECMUS — EUROPEAN COMMITTEE FOR MEDICAL

ULTRASOUND SAFETY

Chairman: T Whittingham (UK)

Members: P Arbeille (France)

M Delius (Germany)

L Klinghammer (Germany)

R Laurini (Sweden)

K Marsál (Sweden)

M Levine (UK)

EDUCATION AND PROFESSIONAL STANDARDS COMMITTEE

Chairperson: L Valentin (Sweden)

Secretary: D Lindsell ( UK)

Members: B Cacciatore (Finland)

P Pavlica (Italy))

I Sporea (Romania)

Ex-officio: D H Evans (UK)

PUBLICATION COMMITTEE

Chairman: D W Pilling (UK)

Members: M Bachmann Nielsen (Denmark)

J-M de Bray (France)

W Mann (Germany)

Ex-officio: M Claudon (France)

L Greiner (Germany

EFSUMB NEWSLETTER

Editor: D W Pilling (UK)

SECRETARIAT

General Secretary: Gianna Stanford,

Carpenters Court, 4a Lewes Road,

Bromley, Kent BR1 2RN, UK

Tel: +44 (0)20 8402 8973

Fax: +44 (0)20 8402 9344

E-mail: [email protected]

Website: http://www.efsumb.org

Report from the President

To begin, this is an honour for me to be the Pres-

ident of a prospering Federation such as the Eu-

ropean Federation EFSUMB. Only a few high-

lights of the many activities may be covered in

this short report.

Members Societies

At the European Congress in Zagreb, in June

2004, the Latvian Society was accepted into EFSUMB. Therefore,

the total number of member societies has increased to 26, com-

prising more than 17,500 individual members. The Macedonian

Society has put forward a formal request for joining the Federa-

tion and some other National Societies, mainly from the former

Yugoslavian Republic, are in the process for closer interaction

with EFSUMB. Relationship and communication with all the

member societies is excellent and/or continuously improving.

EUROSON Congress

A very successful EUROSON Congress 2004 was held in Zagreb.

Professor Ivan Drinkovic, President of the Croatian Society and

Croatian Delegate at the EFSUMB Board of Directors, organised

this Congress and together with his team an outstanding program

has been created. He has been especially successful in recruiting

delegates from countries of the former Eastern European block.

The next Congress, EUROSON 2005 in Geneva, will be held in con-

junction with the Dreiländertreffen, the annual meeting of the

three societies from Switzerland, Germany and Austria. The city

of Geneva is situated next to the French border in French speaking

part of Switzerland. It is an international crossing-point and is fa-

mous for its humanitarian organisations. Dr. J.-Y. Meuwly has ta-

ken over the Chairmanship of the Congress. The organisation is

very well advanced and we are looking forward to meeting all of

you in Geneva. Remember the dates: 25–28 September, 2005. EU-

ROSON 2005 in Geneva will be a decisive meeting, not only from

a scientific and educational point of view, but also for the Fed-

eration. The 3-year-cycle of the Executive Bureau and of the dif-

ferent Committees will end in September 2005 and the General

Assembly will appoint new members of the Executive Bureau and

the Committees.

Journal

A Scientific merger was reached. Beginning with the first issue of

last year the well established Journal "Ultraschall in der Medizin"

and "The European Journal of Ultrasound" were joined. Up to now

the Journal was reaching more than 11,500 readers and we be-

lieve that this number will increase due to the co-operation with

EFSUMB. The Danish and Norwegian Societies have already

agreed to a bulk subscription for their members and along with

some individual subscribers more than a thousand additional


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readers rejoice in receiving six issues per year. Negotiations

with THIEME Publishers resulted in an extremely low subscrip-

tion rate of EUR 29, in case of bulk subscription by national so-

cieties or EUR 35 for individual subscription (EFSUMB members

only). The scientific reputation is still increasing (impact factor

1.47) and the formerly German-speaking "Ultraschall" is in the

process of rapid transition to an English-speaking truly Euro-

pean journal. More than 50% of the submitted papers are now in

English as compared to less than 10% a year ago.

Contrast Agent Guidelines

EFSUMB initiated an expert meeting on the use of contrast agent

in liver disease. Guidelines were written and published in our

Journal (Ultraschall in Med 2004; 25: 249–256). This initiative

has shown the importance of EFSUMB being the catalyst for

co-ordinating exchange of information between experts and in-

dustry.

Kurt Jäger

President EFSUMB

What does EFSUMB mean?

This rather long acronym – EFSUMB –

stands for The European Federation of So-

cieties for Ultrasound in Medicine and

Biology.

As it stands, this Federation is an impor-

tant part of the success story of ultra-

sonography. This technology – arising as

a new and so to say shooting star in the

70's – quickly became indispensable,

especially in human and in veterinary medicine as well as in

other biological fields.

Ultrasonography for diagnostic and for interventional purposes

needed formal structures for prosperous and professional

development. To this end, national societies of ultrasound in

medicine and biology were founded. The European societies

were among the first worldwide to be created. All these socie-

ties eagerly and successfully took up the challenge of spreading

and developing the use of ultrasonography. This holds true for

the scientific as well as for the practical-clinical aspects, which

in addition had to compete with other imaging modalities such

as computed tomography and magnetic resonance imaging.

The national societies and their active members – as a rule, by

the early 70's young men and women – organized congresses,

scientific workshops, ultrasound journals (one of which is today

our official EFSUMB publication journal: The European Journal

of Ultrasound/Ultraschall in der Medizin), and maintained fruit-

ful cooperation with our equipment manufacturers, physicists

and other ingenious people with technical skills who really pro-

vided us for the sake of our patients with excellent ultrasound

machines and systems.

All these national societies focused on the technology of ultra-

sound and its application – which was a new feature, since most

of the other medical scientific societies are related to clinical

subspecialties.

The common use of ultrasound, however, made these national

societies in the latter part of the last century into something ex-

traordinary: They became real multidisciplinary societies from

the very beginning. Each subspecialty in medicine had to un-

derstand and to apply the specific

tool of ultrasound in its own area of

interest, and the parallels and simi-

larities of the early questions were

strong interdisciplinary links.

These questions are nowadays an-

swered and understood to a great ex-

tent, such as the questions related to how ultrasound works,

where to use it, when to use it, who should use it, the advantages

and disadvantages etc – although new questions and challenges

are arising (e. g., contrast enhancing substances) so the need for

new answers will not end.

All had a strong international approach, too. The reasons are ob-

vious – learning from one another across the borders has been

one of the best teaching and learning instruments since the

times of the Persian Ibn Sina whom we in Europe call Avicenna

(980–1037). Language barriers were overlooked (as for example

the German speaking countries gathering in their famous yearly

"Dreiländertreffen"-congresses for Austria, Germany, and the

Swiss), or the international congresses held in English.

Consequently, the national societies of ultrasound formed five

continental international federations, among them EFSUMB –

co-operating within WFUMB, (World Federation of societies for

Ultrasound in Medicine and Biology.

The EFSUMB constitution was signed on February 11th, 1972, in

Basle,Switzerland (the home town of our current President, Kurt

Jäger), by the founding members:

Austria, Belgium, Finland, France, Germany BDR, Germany DDR,

Holland, Hungary, Spain, Sweden, Switzerland, United Kingdom

and Yugoslavia.

The Federation with its headquarters in London is under the law

of England and Wales, and our constitution consists of 11 chap-

ters such as objectives, purposes, and membership. EFSUMB

government consists of the General assembly, the Board of Di-

rectors (Delegates), and an Executive Bureau. It is worth while

having a look at our constitution and the amendments, see our

web site www.efsumb.org

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Today, EFSUMB is an active umbrella-federation, representing

26 national European societies with more than 17000 members,

mostly medical doctors from all fields of ultrasound application

who are active in ultrasonography on their own but including

Physicists and Sonographers amongst others.

The objectives and aims of EFSUMB may be summed up as fol-

lows:

1. Quality management in US-practice

2. Development of guidelines and regulations for

· The US-systems/machines,

· The basic/initial and the continuous education of those

working with US

3. Organization of congresses, workshops, and seminars

· in conjunction with the yearly congress of one of the mem-

bers or

· as a self-organized EUROSON School

· in cooperation with industrial partners

4. Monitoring of US safety by

· a team of specialists named by the EFSUMB, the so-called

watchdog-group ECMUS arranging meetings at regular in-

tervals

· routinely reporting to the Board of Directors of the EFSUMB

5. Informing all members on developments in ultrasound

· By sending the EFSUMB Newsletter

· Education during the ongoing US-congresses

6. Co-operation with WFUMB

7. Co-operation with other European scientific societies

8. Promotion of scientific work of younger US researchers, by

conferring awards for special scientific achievements and

by donating grants.

This means, that EFSUMB supports and promotes the common

as well as the national and European issues of US with respect to

its scientific role and its practical application in medicine (and

elsewhere in biology).

Apart from our official journal, one of the main activities is the

yearly EUROSON congress. The next to be held in cooperation

with the national societies will take place on 25–28 September

2005 in Geneva, Switzerland, on 15–19 September 2006 in Bo-

logna, Italy, in Leipzig, Germany in 2007, and in Timisoara, Ro-

mania in 2008 (for details, please see our website). The meetings

of the delegates – the Board of Directors Meeting – is always one

of the highlights of an EFSUMB year during the EUROSON-con-

gresses, and it is really a good occasion to meet again our dele-

gate friends and to discuss the topics of US organization, educa-

tion, and safety matters.

The more these challenging tasks are understood by all our in-

ternational and multidisciplinary members, the better it will be

for a continuous prosperous and fruitful future for the use of ul-

trasonography in medicine and biology.

Lucas Greiner, MD EFSUMB Honorary Secretary

Gianna Stanford, EFSUMB General Secretary

Report from the HonoraryTreasurer

For the fourth year in a row the profit and

loss account shows a significant surplus.

The surplus for the year 2003 was £ 8.448

(app. €12.000 ). Also the end of the year

status for 2004 is very positive and can be

seen in the next issue of the newsletter.

Together with the surpluses of the pre-

vious years this more than balances pre-

vious losses. Our federation is healthy

from an economical point of view.

Country Number Of Members In Database

31 December 2004

AUSTRIA 872

BELGIUM 211

BULGARIA 90

CROATIA 67

CZECH REP 41

DENMARK 537

FINLAND 270

FRANCE 193

GERMANY 5856

GREECE 100

HUNGARY 48

ISRAEL 101

ITALY 1951

LATVIA (NEW MEMBER) 129

NETHERLANDS 47

NORWAY 225

POLAND 1200

PORTUGAL 63

ROMANIA 247

RUSSIA 68

SLOVAK REP 40

SLOVENIA 108

SPAIN 177

SWEDEN 115

SWITZERLAND 2593

UK 2218

TOTAL 17567


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Our main income arises from EUROSON Schools, EUROSON Con-

gresses and from the subscriptions from our member societies.

Our single highest expenditure has been publishing and mailing

of the EFSUMB newsletter. This expenditure is, however, declin-

ing since the newsletter is now integrated within the journal:

European Journal of Ultrasound/ Ultraschall in der Medizin. The

rate of the US dollar and the pound sterling against the euro has

also positively influenced our finances.

The profit and loss account for the year 2003 and the budget for

the year 2005 are shown elsewhere together with the member-

ship status at the end of 2004. The Hon. Treasurer is grateful for

the member subscriptions paid on time and encourages those

Societies who have not yet paid on behalf of their members to do

so immediately.

Niels Juul

Honorary Treasurer EFSUMB

EFSUMB budget for the year 2005 (in Pounds Sterling)

Membership fee (17,162*8 €) 91,530.00

EUROSON SCHOOLS and CONGRESSES 3,000.00

Bank deposit interests 400.00

TOTAL INCOME 94,930.00

EXPENDITURE

WFUMB (17162 at$1.50 per member) 14,710.00

Newsletter 14,666.00

Meetings, Executive Bureau 12,000.00

Meetings, Committees 16,000.00

Prizes etc 567.00

WFUMB Bid 2,500.00

Wages 16,414.00

Printing, postage, stationery 825.00

Auditors 1,123.00

Office expenses 7,480.00

Computer equipment 1,000.00

Bank charges 426.00

Depreciation 962.00

TOTAL EXPENDITURE 88,673.00

BALANCE 6,257.00

EFSUMB Trading and profit and loss account (in Pounds Sterling)

Year ended 31 December 2003

INCOME

Subscriptions £85,626

Newsletter sponsorship £600

EUROSON school £2,384

Deposit account interest £500

£89,110

EXPENDITURE

Subscription WFUMB £13,695

Publishing and mailing costs of

Newsletter

£30,524

Meeting and Travelling expenses

of all committees

£16,032

Prizes £3,204

WFUMB bid £1,094

AIUM mailing costs £1,364

Wages £14,644

Printing, postage and stationery £1,204

Auditors remuneration £911

Office services £6,327

Bank charges £549

Depreciation:

Plant and machinery £51

Fixtures and fitting £132

Computer equipment £505

£90,236

Operating profit/-loss -£1,126

Gain on exchange *** -£9,574

Excess of income over expenditure £8,448

The exchange gain has arisen due to movements in the exchange rate over the

2003 accounting year and as such, when euro account balances are translated

into sterling (EFSUMB being required to state their finances in sterling as they are

a UK charity), there is a "paper" gain on those balances.

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Report of EFSUMB Educationaland Professional Standards

Committee

The main work of the committee contin-

ues to be the development of curricula for

minimum ultrasound training standards.

It is hoped to have final drafts of curricula

for ultrasound training in the fields of

obstetrics, gynaecology, gastroenterol-

ogy, urology, vascular and breast imaging

ready by the end of January 2005. These

will then be circulated more widely for

further comment and amendment. Each

curriculum will have a competency assessment sheet attached

which a 'trainee' will have to have signed off before they are de-

emed to be competent. An assessment of competence can only

be a statement of competence at that moment in time and it will

always be up to the individual to maintain those skills at an ac-

ceptable level by ensuring that they regularly carry out ultra-

sound scans and that their practice encompasses enough

pathology to ensure that they continue to recognise common

and less common abnormalities. Not everyone will wish to

practice ultrasound in all areas covered by a particular curricu-

lum. The competency assessment sheets will define those areas

in which an individual is considered to be adequately trained to

practice independently and those areas in which they should

either not practice or only practice under supervision.

Further work of the committee has included working with other

authors to produce papers and guidelines for publication in fu-

ture editions of the EFSUMB newsletter. These include 'Guide-

lines for Ultrasound Guided Breast Biopsy', 'Guidelines and In-

dications for Ultrasound Guided Chest Interventions' as well as

a commentary from a paediatric perspective on the previously

published 'Complications of Interventional Ultrasound'.

Other issues considered have been the attempts to obtain for-

mal endorsement of the EFSUMB 'Minimum Training Standards'

from specialist societies. Attempts to pursue this through the

European Union of Medical Specialties (UEMS) had so far not

been successful but this continues to be pursued.

The UEMS website indicates that it is possible to register meet-

ings to try and standardise the number of 'continued medical

education' (CME) or 'continued professional development'

(CPD) points that they attract and meetings organisers are en-

couraged to try and do this so that attendees at meetings across

Europe are able to produce evidence of their continued profes-

sional development.

David RM Lindsell

Education and Professional Standards Committee Secretary

Report of Publications Committee

The Publications Committee met once last

year during the Congress in Zagreb and dis-

cussed the progress of the EJU since its re-

launch and was much encouraged by the

Journal itself and by the increase in personal

and National Society subscriptions. The

Web site has made much slower progress

but has been revamped and should be more

user friendly in future. We need to make

further progress with this during the com-

ing year as this is the shop window for the Federation and the

only contact many will have with us is through the web.

We intend to meet in Copenhagen in April to take all these areas

forward and look for further ways of the Federation being of

relevance to all those with an interest in ultrasound in Europe.

The elected members of the Committee come to the end of their

terms of office this year. I would like to thank all for their sup-

port and hope that others will come forward with new ideas to

raise the profile of the Federation particularly amongst those

clinicians who use ultrasound as part of their work but who

don't seem to be involved in exchanging ideas with others. That

should be quite a challenge for the next year or two!

David Pilling

Chairman Publications Committee EFSUMB

Activities of ECMUS(Safety Committee) 2004

The 30th meeting of ECMUS was held in January 2004 in Swe-

den. It was the last meeting to be chaired by Professor Salvesen

and it was agreed to nominate Professor Malcolm Levene from

UK as his successor on the committee which will be chaired by

Tony Whittingham.

Unfortunately the running of the Committee has been more ex-

pensive than planned in the budget 04. In order to guarantee

this important work new resource need to be tapped.

The most important work of ECMUS, that of rewriting the safety

statement has been undertaken, a very time consuming piece of

work and this will be presented to the Executive Bureau at its

meeting in Geneva.

David Pilling

Editor Newsletter


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One Year After the US Contrast Agents Guidelines Completion

Almost a year has passed since the meeting

organized by EFSUMB in Rotterdam, with the

participation of clinical experts from various

European countries, from EFSUMB Safety

and Education committees, and from 10 ma-

jor Industrial companies. The contrast

agents guidelines have been published both

on the EFSUMB website and in the August is-

sue of Ultraschall in der Medizin/European

Journal of Ultrasound.

From the many comments that we have received, it has to be

said that the guidelines have been accepted very positively. This

is a significant contribution from EFSUMB improving and reg-

ulating the use of ultrasound in an emerging diagnostic area,

mainly focused on liver lesion detection, characterization and

follow-up after treatment.

During its meeting held in November in Geneva, the EFSUMB

Executive Bureau agreed the principle of a complementary pub-

lication in European Radiology, and in an appropriate European

clinical journal, to be defined. This was decided in order to dis-

seminate the guidelines more widely. We also agreed that it

should be translated into Italian, German, and French as has re-

cently been done for Chinese.

As not much has changed since the Guidelines were written ex-

cept the new restrictions imposed by the EMEA i.e. avoiding pa-

tients with unstable coronary artery disease and keeping all pa-

tients in the department for 30 mins, it has been agreed not to

update these guidelines immediately, and wait until the next

EUROSON meeting, to be held in Geneva in September 2005.

As this Guideline has proved so useful for the liver, guidelines on

other applications would be welcome for other organs. Kidney,

abdominal trauma, spleen, pancreas, vascular applications,

breast and prostate have been considered. However the selec-

tion will take into consideration if published data are valid

enough to bring out guidelines, or they would be still considered

as research topics and then would not need guidelines.

Michel Claudon

Past President EFSUMB

François Terrier, MD, 1952-2004

On August 10, 2004, medical imaging lost a

special friend and colleague, a pioneer in

imaging and medical informatics, and an

enthusiastic teacher.

François Terrier was born in Strasbourg, France and grew up in

La Chaux-de-Fonds, Switzerland. In 1970, he entered the Medi-

cal School at the University of Bern. He pursued his medical

training at the University Hospital of Bern where he chose radi-

ology as his career. During his stay at the University Hospital of

Bern, François became interested in all fields of medical imag-

ing and participated to many scientific works on musculo-

skeletal and abdominal sonography.

After his fellowship, he moved to University of California. in

San Francisco. François became a pioneer of Magnetic Reso-

nance Imaging (MRI) and concentrated his activity on the

imaging of the kidney. He remained at the Department of Radi-

ology of UCSF for two years before leaving to take on the man-

agement of the MRI centre of the Department of Radiology in

Bern. In 1990, he was appointed to the chairmanship of the Di-

vision of Diagnostic and Interventional Radiology at the Uni-

versity Hospital in Geneva at the age of 38. Since his appoint-

ment as professor and chairman he was leader of numerous

clinical and basic research developments in medical imaging

and medical informatics.

François was fluent in French, English and German and enjoy-

ed travelling internationally and lecturing on kidney imaging.

He was also very active inside Switzerland. He developed

wide-ranging friendship with physicians and computer scien-

tists on five continents. His curriculum vitae was impressive

with more than 100 articles. François was involved in a number

of medical societies, including the European Federation of So-

cieties of Ultrasound in Medicine and Biology (EFSUMB). In

2000, he enthusiastically accepted the responsibility for

organising EUROSON 2005 in Geneva, the annual congress of

the EFSUMB in conjunction with the Swiss Society of Ultra-

sound in Medicine (SSUM-SGUM).

He leaves behind him his wife and two daughters. He also

leaves behind many devoted colleagues and friends and hun-

dreds of grateful patients.

François was diagnosed with metastatic melanoma. The

prognosis was poor, but with determination and courage he

pursued the latest treatment and was able to manage his de-

partment and research projects until the final days.

François was known as a competent, compassionate and

phenomenally talented man, with great tolerance and pro-

found belief in human dignity. His optimism and energy in

dealing with his disease set an example to all those who knew

of his illness.

The SSUM-SGUM, the board of the EFSUMB and the organ-

izing committee of EUROSON 2005, Geneva, have been privi-

leged to collaborate with him for all that time. Knowing him

has been a true pleasure for those of us privileged to call him

colleague and friend.

Jean-Yves Meuwly, MD

University Hospital, Lausanne, Switzerland

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Report on EUROSON School

International Breast Ultrasound School in conjunction with the

Latvian Association of Roantgenologists and Radiologists

Advanced Breast Imaging Seminar, Riga, Latvia, September 17–18,

2004

The two-day seminar was held at the Reval Hotel Latvia in Riga un-

der auspices of the European School on Breast Imaging (adminis-

tered by the European Federation of Societies for Ultrasound in

Medicine and Biology) in conjunction with the Latvian Association

of Roentgenologists and Radiologists, and the Latvian Society of Ul-

trasound in Medicine. More than 150 participants attended with the

majority from Latvia and the other Baltic countries; there were a

number of registrants from other countries within Europe with clin-

icians representing Denmark, Germany, Greece, Italy and Poland.

The International Breast Ultrasound School together with the local

organizing committee created a stimulating programme which met

the high standards for continuing medical education. The lectures

were complemented by interactive workshops, panel discussions

and case presentations. Many years of expertise gained by the local

and particularly, the international faculty members helped to en-

sure knowledge transfer in an efficient and fast manner. So it was in

part predictable that comments from the participants were enthu-

siastic; ranging from "most useful, too much information in too

short a time, more mammography, more workshops" with an over-

all rating of 5: that is, good, very good, and excellent.

This seminar covered the whole scope of current breast imaging mo-

dalities (Prof. A. Mundinger, Germany) and many detailed questions

were presented and discussed such as intraductal cancer spread and

its documentation, screening options (Prof. E. Azavedo, Sweden; Dr.

S. Ulp, Estonia) mammographical criteria of different breast diseases

(Dr. S. Pankl-Huber, Austria), use of colour-Doppler for the improve-

ment of diagnostic accuracy (Dr. W. E. Svensson, Great Britain) and

a number of other topics were also included.

Quality assurance, guidelines, accreditation processes and historical

perspectives (Dr. Jack. Jellins, Australia) were presented in detail for

breast ultrasound. These topics described the developments in dif-

ferent countries, and are important in improving the clinical

practice of this imaging modality.

An important point to learn was cell- and tissue-harvesting (Prof. E.

Azavedo, Sweden; Prof. R. Otto, Switzerland) as well as the identi-

fication and documentation of benign and malignant diagnostic cri-

teria in breast diseases. The whole spectrum of pathological lumps

was presented (Dr. D. Baltina, Latvia) and different panel discussions

were included in this meeting. The participants followed all papers

with much enthusiasm, and discussions were comprehensive.

In Latvia as in previously-held seminars in different countries

around the world, the IBUS programme brought together breast

imaging and breast disease experts who were able to provide a bet-

ter understanding of the recent developments in breast imaging

modalities, and their role in recognising breast pathology. The topics

for this programme were selected to provide a broad information

base from which benign and malignant disease could be assessed,

and to demonstrate the value of high quality breast imaging. The ob-

jectives of this seminar were to improve the detection and diagnosis

of breast disease by understanding the diversity of appearances, and

to provide a reliable diagnosis by correlating the imaging results

with pathology, i.e. mammography, sonography, and MRI.

The ability to hold this seminar was made possible by the special ef-

forts of Dr. Peteris Prieditis, the Founding President of the Latvian

Society of Ultrasound in Medicine who was instrumental in arrang-

ing for IBUS to be invited to Latvia. In addition, Dr. Ilze Sedleniece,

the President of the Latvian Society of Ultrasound in Medicine was

the key person in bringing this educational seminar to fruition as a

result of her devotion and commitment in ensuring that all aspects

of the scientific and social programme were perfectly arranged.

Encouragement and support for this IBUS seminar was provided by

the European Federation of Societies for Ultrasound in Medicine and

Biology (EFSUMB) through Professor Kurt Jäger, the EFSUMB Presi-

dent, and Professor Lucas Greiner, the EFSUMB Honorary Secretary,

and it is the aim of EFSUMB to foster high quality teaching program-

mes on breast imaging as part of the continuing educational activi-

ties of the EUROSON School on Breast Imaging.

A number of medical equipment companies and distributors parti-

cipated with an exhibition of current technology, and provided

equipment for the workshop sessions. The companies included B-K

Medical, NMS Diagnostika, GE Healthcare, Philips, Digiteks, Sche-

ring, and Tamro. The collaboration of these companies is gratefully

acknowledged, and was an essential component in the interactive

workshop sessions.

This seminar was successful due to the contributions of the faculty

members, and the excellent planning and arrangements provided

by the local organizing committee. There is a continuing need for

high quality teaching programmes, and IBUS is planning further

breast imaging seminars in the near future.

Professor Rainer Otto

IBUS Honorary Secretary

EUROSON

[email protected]


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Wolfson Conference Centre, Imperial College School of Medicine,Hammersmith Hospital, London, United Kingdom.The British Medical Ultrasound Society and Imperial College Faculty

of Medicine, Hammersmith Hospital are jointly running a three-day

EUROSON School on 3D Ultrasound Imaging, May 4th-6th 2005,

under the auspices of the European Federation of Societies of Ul-trasound in Medicine and Biology (EFSUMB). The course is a com-

bination of lectures, demonstrations and practical sessions and is

designed to cover both the basic principles of these techniques and

a review of the current state of 3D & 4D applications and develop-

ments in Echocardiography, Abdominal/Small Parts, Obstetrics &

Gynaecology and Vascular Ultrasound.

Scientific Programme

Wednesday, May 4th

Basic Theory and Practice

08.45 Welcome and Introduction

08.50 Fundamentals of 3D imaging

09.30 Position sensing devices

- Electromagnetic sensors

- Mechanically driven arrays

- Correlation techniques

10.30 Coffee/Exhibition

10.45 3D Surface and volume rendering techniques

11.15 The Stradx 3D imaging system

11.40 Volume measurements

12.00 Practical Session I: System Demonstrations

13.00 Lunch/Exhibition

Cardiovascular Applications

14.00 3- and 4D cardiovascular imaging techniques

14.45 Transoesophageal imaging

15.10 3D vascular ultrasound imaging

15.50 Tea/Exhibition

16.10 3D ultrasound in the Evaluation of Fetal malformations.

16.35 3D/4D Obstetric Imaging: Case studies

17.00 Practical Session II: Cardiovascular

19.00 Course Dinner

Thursday May 5th

General

09.00 3D surgical applications

09.45 3D applications in Gastroenterology

10.30 3D oral-maxillary imaging


11.30 Practical Session III: Abdominal and small parts


Small Parts

14.00 3D endoanal sonography

14.30 Prostate


15.30 Breast tumour neovascularization

16.15 Breast Imaging

16.45 Practical Session IV: Abdominal and small parts

Friday May 6th

Obstetrics

09.00 3D/4D Obstetric imaging

10.00 4D Fetal Echocardiography


11.00 Volume sonography of fetoplacental vessels

11.30 Volume sonography of the pelvic floor after childbirth.

12.00 Practical Session V: General


Gynaecology

14.00 3D Gynaecological Imaging: Uterus & Fallopian tubes.

14.30 Gynaecological malignancies: Diagnosis and Therapy

Planning.


15.15 Multiple Choice Examination

16.00 Course closes

For further details and registration forms please contact:

Secretariat: HITEC (Hammersmith Hospital), Du Cane Road, London

W12 OHS, UK. Tel: +44 (0)20 8383 1601 Fax: +44 (0)20 8383 1610


School

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EUROSON School - Digestive TumoursRomania, Cluj Napoca, 26-27 May 2005

Scientific Committee

Presidents: Radu Badea - [email protected]

Ioan Sporea - [email protected]

Preliminary Programme

Thursday, 26 May 2005

8.30—9.00 Opening ceremony

9.00—11.00 Scientific programme:

Introduction (technical characteristics of echoendoscopy, harmonics

and contrast's physics) — 30 minutes

Diagnosis and staging of esophageal and gastric tumours using ultraso-

nography — 1 hour

Pitfalls in B-mode ultrasound diagnostic of hepatic tumours — 30 minu-

tes

11.00—11.30 Coffee break


Doppler examination in the diagnosis of hepatic tumours — 30 minutes

Contrast agents — 1 hour

13.00—15.00 Lunch


Intraoperative ultrasonography in the patology of hepatic tumours

— 30 min

Echo-guided therapeutical techniques in hepatic tumours — 1 hour



Tumours of gallbladder — 30 minutes

Ultrasound in the biliary tract tumours — 30 minutes

Pitfalls in ultrasound diagnosis of pancreatic head masses — 30 minutes

20.00—22.00 Reception

Friday, 27 May 2005


Tumours of the pancreatic head and body— ultrasound diagnosis and

correlations — 30 minutes

Echoendoscopy in staging pancreatic tumours — 30 minutes

Ultrasound diagnostic of the intestinal tumours — 30 minutes



Endorectal ultrasonography in staging rectal neoplasmas — 30 minutes

Ultrasound contribution in digestive tumours of children

12.30—14.00 Lunch

14.00—16.00 Interactive workshops

16.00—17.00 Final test

Registration

Registration fees Payment will be made to

Presenting authors free of charge Bank Transfer to: Banca

Romana de Dezvoltare,

sucursala Cluj Napoca

IBAN Account (euro):

RO 65 BRDE 130 SV 065

1225 1300

Participants 100 €

Resident doctors 50 €

Accompanying

persons

50 €

EUROSON School


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British Medical Ultrasound Society — Annual Scientific Meeting December 2004

Whilst most people in Europe are thinking of running down to

Christmas traditionally the hard working Brits hold their Annu-

al Scientific meeting in early December.

This year was no different in that respect but returning to Man-

chester after only a couple of years we were on familiar territory

for the scientific sessions. As usual we had three parallel ses-

sions for two and a half days covering all the usual areas of in-

terest. The proffered papers now make up a much smaller part

of the meeting and this year we had a record number of invited

presentations. Mike Bradley and his team had decided to put on

a programme with many short presentations rather than tradi-

tional long presentations on a wide range of areas of special in-

terest and it worked extremely well although it became quite a

challenge to chairmen to keep speakers to time but most man-

aged admirably.

It is perhaps invidious to pick out individual sessions but this re-

porter particularly enjoyed the several short presentations on

embryology relating to fetal ultrasound. A subject which is dif-

ficult to understand and even more difficult to teach was made

not only understandable but enjoyable by Marjorie England

with her exquisite illustrations and even more helpful paper

models.

The poster exhibition was of a high standard but considering the

value of the prizes on offer it is perhaps a bit difficult to under-

stand why even more people don't put in a poster of their work.

It is a lot of work but good to share your interests with others.

I certainly always find much of interest in areas even not of pri-

mary interest in day to day work.

The programme always leaves a little

time to catch up on Christmas shopping

and with the Manchester International

Conerence Centre only being a few mi-

nutes walk from the shops there is no excuse for not having fi-

nished (or in my case started) your shopping before going ho-

me.

The Annual General Meeting is always held during the Annual

Scientific Meeting and saw the retirement from office of several

Council members as well as the Past President who had been

coming to Council meetings for more than 10 years and most

were quite glad to see the back of him. Jane Bates is to be con-

gratulated on two most successful years as President and is suc-

ceeded by Grant Baxter to whom we all wish great success.

The Social Programme has always been a highlight of the meet-

ing and this year was no exception. Following a Civic Reception

on the first evening was a Chinese Banquet on the second eve-

ning and on the final night a Gala Dinner in the magnificent sur-

roundings of the Manchester Town Hall which will be remem-

bered by many as one of the most atmospheric Annual Dinners

– so good that it has been booked for next year.

We occasionally have visitors from Europe who always enjoy

the meeting but to anyone who hasn't tried it why not next

year- same time same place. Even if the thought of Manchester

has not attracted you before perhaps the science or social or one

of the biggest exhibitions of equipment from the whole ultra-

sound industry should. David Evans, President Elect of EFSUMB

has been coming for about 30 years so there must be something

worth seeing!

David Pilling

Editor Newsletter EFSUMB

Mrs Jane Bates

Past-President BMUS

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MSc in Medical Ultrasound Full-time/Part-time(specialising in echocardiography, general ultrasound,

obstetric and gynaecological ultrasound physics orvascular ultrasound) Imperial College Faculty of Medicine,

Hammersmith Campus, London

Applications are invited for a full-time one year, or part-time

two year course in diagnostic medical ultrasound, specialising

in echocardiography, general ultrasound, obstetric and gynae-

cological ultrasound, physics or vascular ultrasound, and lead-

ing to the University of London MSc degree in Medical Ultra-

sound. The course will commence in October 2005, and will

provide clinicians and medical scientists with intensive training

in both the theoretical basis of the subject and the required

scanning and diagnostic skills. The faculty will include many in-

ternationally recognised experts in medical ultrasound.

The aim of the course is to provide a solid basis in the subject for

a range of careers in medical ultrasound including research, in-

vestigative services or teaching.

The course comprises lectures, seminars, practical demonstra-

tions and training and includes a research project, which will be

designed to allow the student to make an original contribution

in the chosen area of research. Current research studies are in

the uses of contrast agents, three and four-dimensional imaging

and image and signal processing.

The course will be suitable for applicants with first degree or

equivalent in medicine, biological, engineering or physical

science or other appropriate subject. Previous experience in

medical ultrasound would be an advantage.

Informal enquiries to

– Mr. K. Humphries (Tel. +44 (0)20 8383 2210; e-mail: k.hum-

[email protected];

– Professor D. Cosgrove ([email protected] ) (General ultra-

sound),

– Dr. P. Nihoyannopoulos ([email protected] ) (Echocardiogra-

phy);

– Mr. S. Kumar ([email protected]) Obstetric and Gynae-

cological Ultrasound;

– Dr. M. Aslam ([email protected] ) (Vascular ultrasound).

Applications for admission to the course should be made as soon

as possible.

Application packs and further details are available from:

Imperial College of Science, Technology & Medicine, Registry,

South Kensington Campus, Level 3, Sherfield Building, Exhibi-

tion Road, London, SW7 2AZ, Tel:+44 (0)207 594 8089,

Fax: +44 (0)207 594 8004, E-mail:[email protected]

Further information on postgraduate study can be found on the

ICSM web site at http://www.med.ic.ac.uk. Application forms

can also be downloaded from

http://www.ad.ic.ac.uk/registry/pgapp

WORLD FEDERATION FOR

ULTRASOUND

IN MEDICINE AND BIOLOGYECHOES NO 5 (WFUMB NEWSLETTER) IS ACCESSIBLE AT www.wfumb.org

WFUMB 2006 SE0UL - The 11th Congress of the World Federation for Ultra-sound in Medicine And Biology -- MAY 28 - JUNE 1, 2006, COEX CONVENTI-ON CENTER, SEOUL, KOREA - WEB SITE: www.wfumb2006.com


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Diary Dates

2005

March 4–8, 2005, 17th European Congress of Radiology (ECR) at Vi-

enna, Austria. Contact: Tel: + 43 1 533 4064, Fax: +41 1 533 40649,


March 29 - 2 April 2005, Short Course on Abdominal Ultrasound in In-

fectious Diseases and Tropical Medicine Division of Infectious and Tro-

pical Diseases IRCSS S.Matteo - Pavia University

Contact: Dr.Enrico Brunetti, Division of Infectious and Tropical Diseases,

Pavia University , IRCCS S.Matteo, Italy


Details about the Course can be obtained at: www.beiweb.net/ultra-

sound

May 3–7, 2005, 48th Annual Meeting of the Society for Paediatric Ra-

diology 9SPR) at New Orleans, USA. Contact: Tel:+1 713 965 0566, Fax:

+1 713 960 0488,


May 11–14, 2005, Ninth International symposium on Interventional

Radiology and New Vascular Imaging with the 34th Annual Meeting of

the Japanese Society of Angiography and Interventional Radiology (ISIR

and JSAIR 2005) at Away, Japan. Contact: Organising Secretariat, De-

partment of Radiology, Osaka University Graduate School of Medicine,

2-2 Yanada-oka Suita, Osaka 565-0817, Japan. Tel: +81 6 6879 3430,

Fax: +81 6 6879 3431,


May 28–31, 2005, ESGAR 2005 – 16th annual Meeting and Post-

graduate course of the European Society of Gastrointestinal and Ab-

dominal Radiolgy at Florence, Italy: Contact: Tel: +43 1 535 8927, Fax:

+43 1 535 7037,


June 6–8, 2005, UKRC 2005 at Manchester, UK. Contact: Secretariat

Office, PO Box 2895, London W1A 5RS. Tel: + 44 20 7307 1410/20, Fax:

+44 20 7307 1414,


May 30–June 3, 2005, European Society of Paediatric Radiology, 28th

Post Graduate course and 42nd Congress, at Dublin, Ireland. Contact:

Conference Secretariat, abbey Conference Services, 22 Bridge Street lo-

wer Dublin 8, Ireland. Tel: + 353 1 67 99144, Fax: + 353 1 67 98 194,


June 19–21, 2005 AIUM Annual Convention.Venue: Walt Disney

World Swan and Dolphin, Orlando, FL USA. Contact: Brenda Kinney, AI-

UM, Tel:+ 1-301-498-4100,

E-mail: [email protected]; Website: www.aium.org

July 7–9, 2005 BSSR/ESSR Congress 2005 (British and European So-

cieties of Skeletal Radiology combined refresher course and scientific

meeting) at Oxford, UK.


September 25–28, 2005 EUROSON 2005, 17th EFSUMB Congress, Ge-

neva, Switzerland, in conjunction with the Dreiländertreffen at the Palex-

po Geneva. Contact: MCI Suisse, Rue de Lyon 75. P.O. Box 502, 1211 Ge-

neva 13, Switzerland. Tel : +41 22 33 99 598, Fax : +41 22 33 99 621,

E-mail: [email protected].

Website: www.euroson2005.org

September 29–October 2, 2005 ASUM 2005. 35th Annual Scientific

Meeting of the Australasian Society for Ultrasound in Medicine, Adel-

aide Convention Centre, Adelaide. Contact: ASUM, 2/181 High Street,

Willoughby, NSW, 2068. Tel: +61 2 9958 7655; Fax: +61 2 9958 8002;


2006

March 23–25, 2006, AIUM 2006 Annual Conference at Washington

DC. Contact: Brenda Kinney, 14750 Sweitzerl Lane, Suite 100, Laurel,

MD 20707, USA. Tel: + 1 301 498 4100, Fax: + 1 301 498 4450,


May 18, 2006 – X World Congress of Echocardiography and Vascular

Ultrasound. Marrakesh, Morocco. Contact: N C. Narida, MD, President

ISCU, PO Box 323, Gardendale, AL 35071, USA. Tel:+ 1 205 934 8256;

Fax:+ 1 205 934 6747;


May 28–June 1, 2006 – 11th Triennial Congress World Federation for

Ultrasound in Medicine and Biology.Venue: Seoul, Korea. Contact:

WFUMB'2006 Congress Secretariat, Insession International Convention

Services, Inc.3rd Fl. 672-35 Yeoksam-dong, Gangnam-gu, Seoul

135-915 Korea / Phone: +82-2-3471-8555 / Fax: +82-2-521-8683 /

E-mail: [email protected] ;

Website: www.wfumb2006.com

September 15–19, 2006 – EUROSON 2006, 18th Congress of the Eu-

ropean Federation of Societies for Ultrasound in Medicine and Biology,

Bologna, Italy. Contact: Pyramide s.r.l. Via S.Godenzo, 164 – 00189 Ro-

ma, Tel: +39 06 3314114, Fax: +39 06 3314113,


2005-issue04

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eju whichhas

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