2008-issue01

89EFSUMB Newsletter

Ultraschall in Med 2008; 29

EFSUMB NewsletterEuropean Federation of Societies for Ultrasound in Medicine and Biology

Editorial

Dear friends

Welcome to yet another year with your fa-vourite ultrasound society - EFSUMB. Asprobably known by now the 2007 EURO-SON meeting in Leipzig was very suc-cessful and we are now looking forward toanother great experience in beautiful Ti-misoara in Romania and the EUROSON-2008 meeting.Elections for all committees and the exe-cutive bureau take place every secondyear and the meeting in Leipzig broughtseveral changes to all as you can see else-where in the Newsletter. Personally I havebeen in the Publications Committee fortwo terms serving under Dr. David Pillingwho has now resigned as Editor of theNewsletter and Chairman of the Commit-tee. I would like to take this opportunity tothank David very much for all the work hehas put into the Newsletter and the com-mittee. It has always been a pleasure towork with him. Additional two membersare now leaving the committee, Juoko Pir-

honen and Francesco Drudi, I wish you allthe best. So far it looks like I will be the one whotakes over the responsibility of the News-letter. I always enjoyed reading David'sEditorials; one of the reasons was hisbeautiful English language. In compari-son I must confess right away that my vo-cabulary in English is limited, but I hopeyou will not mind too much.Because of the deadline to the publishersthe new Publications Committee has notyet met at the moment of finishing thiseditorial. However, several new ideas havealready been launched and you can seeone of them in the current issue: the startof a new series where the Newslettermeets different ultrasound societies. Ithink this is a great opportunity for themembers to learn about the other mem-bership countries and I am very gratefulthat Romania and Sweden volunteered forthe first issue. Hopefully there will be oneor two interviews in each issue in the co-ming years. The EFSUMB webpage now includes a caseof the month, so please drop in regularlyto check. If you do you will notice thatwww.efsumb.org has being completelyredesigned and thoroughly updated.

Michael Bachmann NielsenEFSUMB Newsletter Editor

Prof Francesco Drudi, Prof Lucas Greiner, Prof Christoph Dietrich,Prof M Bachmann Nielsen,Dr David Pilling

Editorial ......................... .......................89

EFSUMB Officers and

Thouts of the new President............90

EFSUMB Officers and Committees..91

Honorary Secretary's Report . ..........91

Honorary Treasurer's Report. ..........92

Introduction to the “2008 Update

of EFSUMB Contrast Agent

Guidelines“ ................................ ..........93

Education and Professional

Standards Committee Report ..........93

Minimum Training Requirements

for the Practice of Medical Ultra-

sound in Europe: ...................... ..........94

- Appendix 12:

Musculoskeletal Ultrasound...............96

Report from Publications

Committee ................................. ..........98

Report from ECMUS Safety

Committee .................. .......................98

- Clinical Safety Statement 2007........98

Report EUROSON 2007 Leipzig.... ....99

Report from Ultraschall in der

Medizin/European Journal of

Ultrasound .........................................100

Young Investigator Award 2007....100

EUROSON School ..............................102

EFSUMB Newsletter meets

Romania .............................................102

EFSUMB Newsletter meets

Sweden................................................103

EUROSON 2008 –

Timisoara, Romania.........................104

Future Congress................................104

Contents

uim-2008-01-efsumb.fm Seite 89 Montag, 4. Februar 2008 3:36 15

90 EFSUMB Newsletter


Thoughts of the new President

The annual Euroson meeting in Leipzigthat was held in conjunction with the Ger-man speaking countries saw a change inthe composition of the Executive Bureau(ExB) of EFSUMB .

Kurt Jäger, Lucas Greiner and Pietro Pavli-ca finished their term on the board. All ofthem did an excellent job over the pasttwo years. I would like to thank all of themfor their collaboration and their dedicati-on to EFSUMB. I would like to welcome thenew members of the ExB, Christian Nolsoefrom Denmark as President-elect, Chri-stoph Dietrich from Germany as HonorarySecretary and Ian Sporea from Romania asTreasurer.

David Evans is the Past-President and thecontinuing role of our General SecretaryGianna Stanford has to be highlighted.Without her efforts the work of all of usand of the committees of EFSUMB wouldbe much more difficult. As you may knowthe term of office for the ExB and all ourcommittees has been reduced from threeto two years. We have to face the fact thatGianna will retire after this next two yearterm, so we have to find a new General Se-cretary. This will not be an easy task at all,since a General Secretary has to have real-ly multitasking functions and Gianna hasdone much more that can be expectedfrom a General Secretary. Also the com-mittees of EFSUMB were newly electedand major changes happened. I want tothank all retiring members for the workthey provided to our society and want towelcome the new members.

You can have a look at the Minimal Edu-cational Requirements in several areasthat have been produced by the Educationand Professional Standards committee onour website (www.efsumb.org <http://www.efsumb.org>). The website has anew design and we will continue to im-prove this information and communicati-on medium.

The office of EFSUMB has moved fromBromley in the periphery of London to thecentre of London. We have rented an of-fice from the British Institute of Radiologyat a reasonable cost and I want to thankDavid Evans for his successful negotiati-ons with BIR.

EFSUMB today is in a healthy and stableposition. The membership of EFSUMBincreases steadily and will soon reach20.000 members, so EFSUMB is one of thebiggest interdisciplinary medical socie-ties. Also our financial condition allows usto support further educational activities.One major aim is to concentrate on the in-dividual benefits of being an EFSUMBmember.

The combined Euroson/Dreiländertreffenin Leipzig this October was really a bigsuccess; nearly two thousand participantsfrom 41 countries attended the congress.Mainly through the enormous efforts ofVolker Keim this meeting was the mostsuccessful interdisciplinary ultrasoundcongress in Europe to date. As we knowUltrasound congresses are going to have amore and more educational background.But also new science was presented espe-cially dealing with contrast agents. In thisarea ultrasound gets a giant boost. Howe-ver US machines have decreased in pricesignificantly during the past years, this isvery much appreciated by the users, butfor congress organizers it becomes moreand more difficult to obtain a balancedbudget since industry sometimes decrea-ses their support. New cooperation formswith industry have to be found.

Euroson 2008 will be held in Timisoarafrom 31th May to 3 rd of June in the we-stern part of Romania. Timisoara has goodflight connections often via Vienna. I amsure that Ioan Sporea and his team toge-

ther with our society will provide a topeducational and scientific program withmany well known international speakers.Furthermore it is really interesting to visita country at a time when many changesare happening. During our visit there lastMay we were all pleased by the hospitalityof the local organizers. I think all our con-stituent societies should support this con-gress and the science and education in aneastern country by turning up in largenumbers at this interesting congress. Boththe Romanian ultrasound society and EFS-UMB will support young authors. To en-courage young scientists to present inno-vative papers the congress fee will be wai-ved for all accepted first authors below 35years.

Another success story is our scientificjournal „European Journal Ultrasound /Ul-traschall in der Medizin“. Due to the ef-forts of Editors, the Review Board andmainly due to the publishing scientists,the impact factor of the journal continuesto rise and is now 2.1, the highest figure fora multidisciplinary ultrasound journal. Ireally hope that we can continue with thissuccess and EFSUMB will support thejournal whenever possible. Also thenewsletter of UiM will be in new hands;Michael Bachmann from Denmark willtake care of this publication and commu-nication medium. The style of the news-letter of EFSUMB will change and a case ofthe month will be introduced in the ho-mepage of the EFSUMB website.

One important goal will be to optimize thecommunication with our members, so theNational Societies are asked to provideemail addresses of all their members. EFS-UMB offer a membership certificate to allthe member of the National Societies eachyear.

On demand each national society can ob-tain a bulk supply of personalized certifi-cates for all their members.

I am open for every new constructive ideaand can be easily reached.

Norbert GritzmannPresident EFSUMBemail:[email protected]


91EFSUMB Newsletter


EFSUMB Officers and Committees

Executive Bureau 2007-2009

3President: N Gritzmann (Austria)3President Elect: C Nolsøe (Denmark)3Past-President: D H Evans (UK)3Honorary Secretary: C F Dietrich

(Germany)3Honorary Treasurer: I Sporea

(Romania)

ECMUS - European Committee For Medical Ultrasound Safety 3Chairman: G ter Haar (UK)Members:3M Delius (Germany)3L Doležal (Czech Republic)3C Kollmann (Austria)3K Salvesen (Norway)3L Valentin (Sweden)3Co-opted: A van Wamel

(The Netherlands)3Ex-officio: D H Evans (UK)

Education and Professional Stan-dards Committee

3Chairman: O H Gilja (Norway) 3Secretary: H Strunk (Germany)Members: 3F Drudi (Italy)3G Mathis (Austria)3J Tuma (Switzerland)3Co-opted: B Brkljacic (Croatia)3Ex-officio: C Nolsøe (Denmark)

Publication Committee

3Chairman: M Bachmann Nielsen(Denmark)

Members: 3J Bamber (UK)3L Greiner (Germany)3J Y Meuwly (Switzerland)3Ex officio: C Dietrich (Germany)

EFSUMB Newsletter

3Editor: M Bachmann Nielsen (Denmark)

Secretariat

3Mrs Gianna Stanford, EFSUMB General Secretary36 Portland Place, London W1B 1LS, U K Email: [email protected]: www.efsumb.org

Honorary Secretary’s Report

This letter is to introduce the new Hono-rary Secretary in harmony with the re-ports and letters of our President Prof. N.Gritzmann and the other (new) membersof the EFSUMB Executive Bureau. This is,therefore, also to announce the XXth Con-gress of European Federation of Societiesfor Ultrasound in Medicine and Biology, inconjunction with the XIth Romanian Con-ference of Ultrasound in Medicine andBiology and to refer to the letter of JoanSporea in the same issue.

First of all I like to thank Lucas Greiner, thepast Honorary Secretary, for all his excel-lent contributions and activities for EFS-UMB and personally even more for his fri-endship.

The warm welcome by the EFSUMB Exe-cutive Bureau and by the brilliant andcharming Gianna Stanford was outstan-ding. In the past few years the identity ofEFSUMB was strengthened by the effica-cious work of all the national societies ofEFSUMB. The importance of our multina-tional watchdog group on ultrasoundsafety and important role of our educationand publications committees have beenpreviously highlighted.

The publication of the EFSUMB-guidelinesfor the use of ultrasonic contrast agents inthe liver in the August 2004 edition of Ul-traschall in der Medizin / European Jour-nal of Ultrasound was one of the corner-stones of EFSUMB activities. The 2008 re-visited and expanded new version includerecommendations for other applicationsas well, e.g., kidney, vesico-ureteric reflux,pancreas, trauma and cerebral circulation.These guidelines are based on compre-hensive literature surveys including resul-ts from prospective clinical trials and ex-perience of many active members of the

EFSUMB to improve the management ofpatients. They are also other ultrasoundapplications to reflect future advances inscientific knowledge and the rapidly evol-ving field of ultrasound technology whichcould be harmonised in a similar Euro-pean way.

The new Honorary Secretary of our feder-ation presents, therefore, with aims forthe next two years including an EFSUMBcourse book written by contributors of allover Europe to strengthen the identity ofour federation. The initiation and mana-ging of European multicenter trials alsowith respect to effectiveness of patientscare and costs are other goals for the nexttwo years. The good relationship to the in-dustry should be also strengthened aspartners for improved patients care andtechnology.

In collaboration with Michael BachmannNielsen we initiated the "Monthly case re-ports" which is actually displayed on theEFSUMB website including videos (http://www.efsumb.org/). Please participate ac-tively and submit your cases of the monthto [email protected].

Please also note the website announce-ments for actual and future activitiesincluding EUROSON School and do not he-sitate to contact EFSUMB for comments,considerations and improvements.

Yours sincerely,Christoph F. DietrichEFSUMB Honorary Secretary

5

EFSUMB is moving Offices to

EFSUMB36 Portland PlaceLondon W1B 1LS, UK

E-Mail: [email protected] numbers will change thereforePlease check the EFSUMB websitewww.efsumb.org




Honorary Treasurer’s Report

In my position as new Honorary Treasurer,I like to inform you on the financial balan-ce of 2006 (year ended on the 31 Decem-ber 2006), which was accounted and

shows a positive balance as in the last fewyears. We are happy to have this positivebalance because the organization needssupplementary founds for the relocationof the EFSUMB office in the central Londonand also for educational projects.

Concerning the balance of 2007, the finalreport shall be done in the future and pu-blished in another Newsletter, becausethe accounting year ended on the 31st De-cember 2007, before publishing this ma-terial. But the preliminary data showagain a positive balance.

Looking to the structure of the recent pastbudgets and also to the budget of 2008, wecan see that the most important financialsupport arrived from membership, and Ibelieve that is very important to try tokeep or to improve the number of themembers of EFSUMB.

Like a conclusion of the financial balanceof the last years we must know that EFS-UMB has a healthy financial status.

More precise information about the ac-counts, 2008 budget can be found on theEFSUMB web-site, www.efsumb.org.

Ioan SporeaEFSUMB Honorary Treasurer

MEMBERSHIP STATUS AT 31 DECEMBER 2007

Country Number of members

AUSTRIA 853

BELGIUM 241

BULGARIA 135

CROATIA 65

CZECH REP 37

DENMARK 573

FINLAND 332

FRANCE 291

GERMANY 6798

GREECE 285

HUNGARY 48

ISRAEL 111

ITALY 1873

LATVIA 158

MACEDONIA 11

NETHERLANDS 65

NORWAY 242

POLAND 340

PORTUGAL 70

ROMANIA 546

RUSSIA 163

SLOVAK REP 30

SLOVENIA 128

SPAIN 177

SWEDEN 115

SWITZERLAND 2649

TURKEY 252

UK 2517

TOTAL 19105

EFSUMB BUDGET FOR 2008 IN EURO

Membership fee (20000 x 8 €) € 160,000.00

Euroson School € 1,000.00

Euroson Congress € 1,000.00

Bank deposit interests € 2,000.00

TOTAL INCOME € 164,000.00

EXPENDITURE

WFUMB fee (20000 x 1.5 $) €1.30 € 26,000.00

Newsletter € 28,700.00

Meetings, Executive Bureau € 15,000.00

EFSUMB Expenditure on EUROSON Congress € 10,000.00

Educational Projects € 5,000.00

Meetings, Committees € 20,000.00

Prizes etc € 1,000.00

Website € 2,000.00

Wages € 30,000.00

Printing, postage, stationery € 1,200.00

Auditors € 2,600.00

Office expenses € 17,500.00

Computer equipment € 1,000.00

Bank charges € 1,000.00

Depreciation € 1,000.00

Printing ID certificates € 2,000.00

TOTAL EXPENDITURE € 164,000.00

BALANCE € 0.00


93EFSUMB Newsletter


EFSUMB Contrast Agent Guidelines published in this edition of Ultraschall!

Following on from the success of the 2004EFSUMB Guidelines for the use of contrastagents in ultrasound, EFSUMB has produ-ced a new updated and expanded versionwhich is published in this edition of Ultra-schall. Once again these guidelines weredrawn up by a group of experts from manyEuropean countries, with much of the in-itial work being done at two special con-sensus meetings held in Bologna in Sep-

tember 2006 and Rotterdam in January2007. The section dealing with contrastagents in the liver has been updated andexpanded, and new sections have been in-troduced for applications in the kidney, invesico-ureteric reflux, in the pancreas, intrauma, and in the cerebral circulation.We are very grateful to the many contri-butors to this document and especially toMichel Claudon and David Cosgrove fortheir excellent work in editing the finaldocument. We are also grateful to the se-veral manufacturers (acknowledged inthe document) who kindly provided edu-cational grants to make the consensusmeetings possible. We do hope membersof EFSUMB will find the new guidelines tobe of value.

David H EvansEFSUMB Past-President

2008 Update

Report From The Education & Professional Standards Committee

Dear ultrasound friends,

In the last meeting in the Education & Pro-fessional Standards Committee (EPSC) inDecember, I was elected as new chairmanof the committee. I feel greatly honouredto be selected for this important task andwill work to promote European educationin the field of ultrasonography. I will alsotake the opportunity to extend my grati-tude to Dr. David Lindsell, the previouschairman of the EPSC, for his inspiring lea-

dership of the Committee and for thework he has done for the best of EFSUMBand ultrasound education.

Ultrasound is the safest imaging modalitythere is in medicine. There is only onedanger: Incompetence. The pitfall of igno-ring obvious pathology or making thewrong diagnosis is much closer to the in-competent poorly educated. Accordingly,it is of great importance to ensure qualityin education and sustain high professionalstandards in ultrasound scanning.

One way of working towards this aim hasbeen over the last years to establish gui-delines in ultrasound education for thedifferent medical disciplines. The presentEPSC will continue this work by comple-ting already undertaken guidelines andstimulate new guidelines to be produced.

The EPS Committee has agreed to focus onthe following tasks for the coming period:

1. Promote more Euroson Schools to be arranged throughout Europe. The first Euroson School of EFSUMB was arran-ged in 1992 and since then 39 courses have been held. We encourage all the National Societies and ultrasound groups all over Europe to consider establishing a post-graduate course under the umbrella of a Euroson School. The EFSUMB secretariat and EPSC will do their best to support the new initiatives of Euroson Schools. A dedicated "start package" is being established to help the organisers of Euroson Schools. For more specific in-formation look at www.efsumb.org., where the by-laws (these are under continuous improvement) of the Euro-son School can be found. Do not hesi-tate to consider a Euroson School in your area of expertise or to take con-tact with EFSUMB or EPSC for a discus-sion.

2. Promote production of educational material on the Web. An initiative to publish a case-of-the-month is already launched on our web-site. Furthermo-re, we will try to convert some of the educational CD-ROMs and DVDs to a suitable web format to increase its availability. Moreover, EPSC has the ambition to make the EFSUMB web-site an educational portal for ultra-sound imaging. The idea is to establish an index of links to relevant web-sites which contain good and relevant edu-cational material (text, images, vide-os). To be able to fulfil this task, EFSUMB will need dedicated people to search for and organise these links. As a start, we encourage our members to e-mail relevant ultrasound web-links and information about educational material that can be published to our General Secretary, Gianna Stanford ([email protected]).

3. Explore the possibility of a common European course in basic ultrasound (level 1), where the course curriculum and content are made ready and stan-dardised by EFSUMB. By providing a total course package, National Socie-ties or local groups are enabled to run the courses.

We all need to keep in mind that if wethink we have finished our education, weare not educated, but finished.

Wish you all a happy new year!Prof. Odd Helge GiljaChairman EPSC




Minimum Training Requirements For The Practice Of Medical Ultrasound In EuropeThis curriculum is intended for clinicians who perform Musculo-skeletal Ultrasound and it includes standards for theoretical knowledge and practical skills. EFSUMB purpose in preparing these recommendations is to achieve some level of training especially for level 1 but each country will need to follow their own regulations.

Musculoskeletal ultrasound comprises awide range of different examinationsincreasingly performed by practitionerswith different background (e.g. radiology,orthopaedic surgery, rheumatology or pa-ediatric). This curriculum is intended formedical doctors who perform musculos-keletal ultrasound scans. It includes stan-dards for theoretical knowledge and prac-tical skills.

Training should be integrated in a 3-levelsystem and modular, as some practitio-ners may need to be proficient in somespecific areas of the musculoskeletal pa-thology according to their daily practice(e.g. shoulder surgery, hand surgery, pa-ediatrics or rheumatic diseases). At leastlevel 1 competence should be obtained byanyone performing routine unsupervisedmusculoskeletal ultrasound.

Appendix 125

Level 1

Level 1: Theoretical ModuleAttendance in a basic course of at least 3days (18 hours) including:3 Ultrasound physics and instrumentati-

on, ultrasound techniques and admini-stration (see Appendix 2).3 Normal musculoskeletal anatomy, nor-

mal musculoskeletal ultrasound fin-dings, common pathological ultra-sound findings in the musculoskeletal system.

Level 1: Practical Trainingcompetence requires:3 To obtain level 1 status it is recommen-

ded that the trainee should perform a minimum of 300 examinations under supervision within a year.3 Examinations should encompass the

full range of conditions listed in the competency assessment sheet - level 1.


95EFSUMB Newsletter


3 A log book (or an illustrated log book) should be kept by the trainee, listing the number and type of examinations. Su-pervision of half of the 300 examinati-ons can be achieved with approval of examinations in an illustrated log book.3 The trainee should be supervised by a

level 2 or 3 practitioner.3 During the course of training a compet-

ency assessment sheet should be com-pleted and signed by the supervisor, as this will determine in which area(s) the trainee can practise independently.3 To maintain level 1 status the practitio-

ner should perform at least 300 exami-nations each year.

Level 1: Competencies to be acquired At the end of training the trainee shouldbe able to:3 Perform common musculoskeletal ul-

trasound examinations (shoulder, el-bow, wrist/hand, hip, knee, ankle/foot and common muscles) systematically, accurately, safely and with proper re-port and documentation.3 Differentiate normal and pathological

findings.3 Perform dynamic examinations.3 Recognise when referral for a second

opinion is indicated (e.g. any diagnostic doubt, soft tissue tumours).3 Acquire knowledge about advantages,

disadvantages and indications of alter-native imaging modalities (e.g. MRI).3 Diagnose common abnormal ultra-

sound findings in shoulder, elbow, wrist/hand, hip, knee, ankle/foot and common muscles (e.g. effusion and sy-novitis, bursitis and cysts, tendon tears and tendinopathy, entesopathy, com-mon muscle and bone pathology) (see competency assessment sheet - level 1).

5

Level 2

Level 2: Theoretical ModuleAttendance in one or more relevant ad-vanced courses or congresses with a totalof at least 3 days (18 hours).

Level 2: Practical Training competence requires:3 To have achieved level 1 competence.3 To have regular ultrasound clinics at le-

vel 1 and perform at least 500 examina-tions under supervision within a year. 3 Supervised by a level 3 practitioner or

someone who has achieved level 2 com-petence and has at least 2 years of expe-rience at that level.3 To be able to recognise and correctly

diagnose almost all musculoskeletal pathological conditions (or all conditi-ons within a specific area of a musculo-skeletal pathology).3 To maintain level 2 status the practitio-

ner should perform at least 500 exami-nations each year.

Level 2: Competencies to be acquired 3 To accept and manage referrals from le-

vel 1 practitioners.3 To have knowledge of new ultrasound

modalities.3 To teach ultrasound to trainees and to

level 1 practitioners.3 To conduct some research (clinical or

fundamental) in musculoskeletal ultra-sound.3 To recognize and correctly diagnose al-

most all pathology in the shoulder, el-bow, wrist/hand, hip, knee, ankle/foot, muscles, bones and nerves (see com-petency assessment sheet - level 2).3 To perform basic, non-complex muscu-

loskeletal US-guided interventions (e.g. aspirations, injections, drainages, biop-sies).

5

Level 3

Level 3: Theoretical ModuleAttendance in at least two advanced rele-vant courses or congresses with a total ofat least 6 days during 2 calendar years.

Level 3: Practical Training competence requires:3 To have achieved level 2 competence.

3 To have regular ultrasound clinics at le-vel 2 for at least two years (at least 500 examinations per year).3 To be occupied mainly with musculos-

keletal ultrasound.3 To perform (or have knowledge about)

specialised musculoskeletal ultrasound examinations3 To perform advanced US-guided inter-

ventional procedures.

competencies to be acquired 3 To accept and manage tertiary referrals

from level 1 and 2 practitioners.3 To perform specialised musculoskeletal

ultrasound.3 To perform all sorts of musculoskeletal

US-guided interventions.3 To conduct substantial research (clini-

cal or fundamental) in the field of mus-culoskeletal ultrasound.3 To teach musculoskeletal ultrasound to

trainees and practitioners at all levels.3 To be aware of and to pursue develop-

ments in musculoskeletal ultrasound.

5

Maintainance of Skills

Having been assessed as competent topractice there will be a need for continuedmedical education and maintenance ofpractical skills. Recommended numbersof examinations to be performed annuallyto maintain skills at each level are given inthe text. Practitioners should:3 Include musculoskeletal ultrasound in

their ongoing continued medical edu-cation (CME) and continued professio-nal development (CPD).3 Audit their practice.3 Participate in multidisciplinary mee-

tings.3 Keep up to date with relevant literature.

Appendix 12: Musculoskeletal Ultrasound Training Competency Assessment




App

endi

x 12

: Mus

culo

skel

etal

Ultr

asou

nd T

rain

ing

Com

pete

ncy

Ass

essm

ent S

heet

Trai

nee

: _

____

____

____

____

____

____

____

____

____

____

_Tr

ain

er: _

____

____

____

____

____

____

____

____

____

____

____

___

Co

re K

now

led

ge

Bas

e - L

evel

1

Trai

ner S

igna

ture

Dat

e

·Phy

sics

and

tech

nolo

gy__

____

____

____

___

____

____

____

_

·Pra

ctic

al in

stru

men

tati

on /

Use

of u

ltra

soun

d co

ntro

ls__

____

____

____

___

____

____

____

_

··Nor

mal

mus

culo

skel

etal

ana

tom

y__

____

____

____

___

____

____

____

_

·US

exam

inat

ion

of n

orm

al jo

ints

and

mus

cles

____

____

____

____

___

____

____

___

Co

mp

eten

cies

/Ski

lls t

o b

e ac

qu

ired

- Le

vel 1

To b

e co

mp

eten

t to

per

form

/dia

gn

ose

the

follo

win

g:

Trai

ner

Sig

nat

ure

Dat

eTr

ain

er S

ign

atu

reD

ate

Sho

uld

erH

ip

·Ful

l-thi

ckne

ss ro

tato

r cuf

f tea

r__

____

____

____

___

____

____

____

_·H

ip jo

int e

ffus

ion

and

syno

viti

s__

____

____

____

___

____

____

____

_

·Rot

ator

cuf

f cal

cific

atio

ns (d

iffer

ent t

ypes

)__

____

____

____

___

____

____

____

_·T

roch

ante

ric b

ursi

tis

____

____

____

____

___

____

____

___

·Sho

ulde

r joi

nt e

ffus

ion

and

syno

viti

s__

____

____

____

___

____

____

____

_·(

Rheu

mat

oid

eros

ions

)__

____

____

____

___

____

____

____

_

·Sub

acro

mia

l-sub

delt

oid

burs

itis

____

____

____

____

___

____

____

___

·Bic

eps

tend

on (t

endi

nopa

thy,

luxa

tion

, rup

ture

)__

____

____

____

___

____

____

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_K

nee

·Hill

-Sac

hs le

sion

____

____

____

____

___

____

____

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·Kne

e jo

int e

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and

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____

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____

____

____

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·Acr

omio

clav

icul

ar jo

int p

atho

logy

____

____

____

____

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____

____

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·Bak

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cys

t (an

d ru

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e)__

____

____

____

___

____

____

____

_

·(Rh

eum

atoi

d er

osio

ns)

____

____

____

____

___

____

____

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·Pat

ella

r lig

amen

t ten

dino

path

y__

____

____

____

___

____

____

____

_

·Qua

dric

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Elb

ow·Id

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of th

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____

____

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eral

and

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ial e

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itis

____

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____

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____

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uscl

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emat

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____

____

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er__

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cess

____

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tific

atio

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ogy

____

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siti

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_


97EFSUMB Newsletter


App

endi

x : M

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Report from EFSUMB Publications Committee

The Publications Committee has mettwice during 2007. The first meeting washeld in Copenhagen in April during theannual postgraduate course of the DanishSociety. The second meeting was in Octo-ber at the beginning of the EUROSONmeeting in Leipzig. The next day a com-pletely new committee was elected at theBoard of Directors meeting, and they didnot have a chance to meet until January2008. The meeting in Leipzig was also Da-vid Pilling's last as he resigned from beingthe Editor of the Newsletter and chairmanof the committee. He was thoroughlythanked for all his hard work and commit-ment.

The EFSUMB website is once again goingto be updated both regarding the designand the contents. The design was presen-ted at the BoD meeting in Leipzig. The newwebsite should be up and running whenyou read this. The Committee will be loo-king into things to make the website moreattractive and so far a case of the monthhas been introduced.

The Committee was very happy with theincrease in Impact Factor for the UiM/EJU.The matter of inclusion of subscription tothe UiM/EJU in the registration for EURO-SON Congresses has been discussed andthere was no information regarding the2008 and 2009 meetings, but it could takeplace in 2010 in Copenhagen.

In 2008 the committee will meet in Janu-ary in Copenhagen as well as in Timisoaraduring the EUROSON meeting. A meetingin November is also under consideration.

Michael Bachmann Nielsen

Report from the European Committee for Ultrasound Radiation Safety (ECMUS)

The membership of the European Com-mittee for Ultrasound Radiation Safety(ECMUS) has changed during the last year.At the Board of Directors meeting in Leip-zig, Ladislav Doležal (physicist, Czech re-public), Kjell Salvesen (OB/GYN, Norwayand Lil Valentin (OB/GYN, Sweden) wereelected on to the Committee to join exi-sting members Michael Delius (biologist,Germany), Christian Kollmann (physicist,Austria) and Gail ter Haar (physicist, UK).Annemieke van Wamel (biologist, the Ne-therlands) has also been co-opted intoECMUS to provide much needed andtimely expertise on contrast agent safety.

Current ECMUS activities, apart from theannual re-affirmation of the clinical safetystatements, include drawing up reviews of

safety related publications relevant to cli-nical usage, drafting of tutorial articles onsafety aspects of souvenir scanning andcontrast agents, and consideration of thegeneration of EFSUMB's own guidelinesfor safe use of diagnostic equipment. Thereports and statements will be publishedon the EFSUMB web site and in the Euro-pean Journal of Ultrasound. It is also in-tended to introduce a "safety corner" inthe EFSUMB newsletter - so Watch ThisSpace!

There is currently very little informationon the exposure levels used during ultra-sound scanning in the clinic. ECMUS istherefore circulating a questionnaireabout scanner settings in daily use to cli-nics in Europe, and asking them to com-plete one for every scan on one day. Thisfollows a pilot study undertaken by BMUSin 2007. Once the results are in and ana-lysed, they will be brought to the attentionof the EFSUMB community. If you receivea request to fill in such a questionnaireplease give serious consideration to com-pleting it, or if feel able to participate plea-se contact a member of ECMUS.

Gail ter Haar

European Committee of Medical Ultrasound Safety (ECMUS)

This document is the 2006 EFSUMB Clini-cal Safety Statement and it has been re-confirmed with no changes applicable du-ring the EFSUMB Board of Directors mee-ting in Leipzig on 24th October 2007. ASafety Statement has been published byEFSUMB annually since 1994.

Clinical Safety Statement For Dia-

5

gnostic Ultrasound

Diagnostic ultrasound has been widelyused in clinical medicine for many yearswith no proven deleterious effects. However, if used imprudently, diagnostic ul-trasound could be capable of producing

harmful effects. The range of clinical ap-plications is becoming wider, the numberof patients undergoing ultrasound exami-nations is increasing and new techniqueswith higher acoustic output levels arebeing introduced. It is therefore essentialto maintain vigilance to ensure the conti-nued safe use of ultrasound.

Ultrasound examinations should only beperformed by competent personnel whoare trained and updated in safety matters.

Ultrasound produces heating, pressurechanges and mechanical disturbances intissue. Diagnostic levels of ultrasound canproduce temperature rises that are hazar-


99EFSUMB Newsletter


dous to sensitive organs and the embryo/fetus. Biological effects of non-thermalorigin have been reported in animals but,to date, no such effects have been demon-strated in humans, except when a micro-bubble contrast agent is present.

The Thermal index (TI) is an on-screenguide to the user of the potential for tissueheating. The Mechanical index (MI) is anon-screen guide of the likelihood and ma-gnitude of nonthermal effects. Usersshould regularly check both indices whilescanning and should adjust the machinecontrols to keep them as low as reasonab-ly achievable (ALARA principle) withoutcompromising the diagnostic value of theexamination. Where low values cannot beachieved, examination times should keptas short as possible. Guidelines issued byseveral ultrasound societies are available.

Some modes are more likely than othersto produce significant acoustic outputsand, when using these modes, particularcare should be taken to regularly checkthe TI and MI indices. Spectral pulse waveDoppler and Doppler imaging modes (co-lour flow imaging and power Dopplerimaging) in particular can produce moretissue heating and hence higher TI values,as can B-mode techniques involving co-ded transmissions. Tissue harmonic ima-ging mode can sometimes involve higherMI values.

3D (three dimensional) imaging does notintroduce any additional safety conside-rations, particularly if there are significantpauses during scanning to study or mani-pulate the reconstructed images. Howe-ver, 4D scanning (real-time 3D) involvescontinuous exposure and users shouldguard against the temptation to prolongexamination times unduly in an effort toimprove the recorded image sequencebeyond that which is necessary for dia-gnostic purposes.

Ultrasound exposure during

5

pregnancy

The embryo/fetus in early pregnancy isknown to be particularly sensitive. In viewof this and the fact that there is very littleinformation currently available regardingpossible subtle biological effects of dia-gnostic levels of ultrasound on the de-veloping human embryo or fetus, careshould be taken to limit the exposure timeand the Thermal and Mechanical Indicesto the minimum commensurate with anacceptable clinical assessment.

Temperature rises are likely to be greatestat bone surfaces and adjacent soft tissues.With increasing mineralisation of fetalbones, the possibility of heating sensitivetissues such as brain and spinal cordincreases. Extra vigilance is advised whenscanning such critical fetal structures, atany stage in pregnancy.

Based on scientific evidence of ultra-sound-induced biological effects to date,there is no reason to withhold diagnosticscanning during pregnancy, provided it ismedically indicated and is used prudentlyby fully trained operators. This includesroutine scanning of pregnant women.

The power levels used for fetal heart ratemonitoring (cardiotocography - CTG) aresufficiently low that the use of this moda-lity is not contra-indicated on safetygrounds, even when it is to be used for ex-tended periods.

Safety considerations for other

5

sensitive organs

Particular care should be taken to reducethe risk of thermal and non-thermal ef-fects during investigations of the eye andwhen carrying out neonatal cardiac andcranial investigations.

Ultrasound contrast agents

5

(UCA)

These usually take the form of stable gasfilled microbubbles, which can potentiallyproduce cavitation or microstreaming, therisk of which increases with MI value.Data from small animal models suggestthat microvascular damage or rupture ispossible. Caution should be considered forthe use of UCA in tissues where damage tomicrovasculature could have serious clini-cal implications, such as in the brain, theeye, and the neonate. As in all diagnosticultrasound procedures, the MI and TI va-lues should be continually checked andkept as low as possible.

It is possible to induce premature ventri-cular contractions in contrast enhancedechocardiography when using high MIand end-systolic triggering. Users shouldtake appropriate precautions in these cir-cumstances.

The use of contrast agents should be avo-ided 24 hours prior to extra-corporealshock wave therapy.

Report EUROSON 2007 Leipzig

The joint meting of 19th EUROSON Con-gress and the 31st Dreiländertreffen tookplace between 24th and 27th October2007 in the Congress Centre of the City ofLeipzig. More than 2050 participants from43 countries attended.

There we more than 800 lectures duringthe 4 days. The rented area in the industri-al exhibition was over 1000 squaremetres.

The festive evening was attended by morethan 650 people.

Prof. Dr. med. Volker KeimJoint President EUROSON CONGRESS 2007

Prof David H Evans, Mrs GiannaStanford, Prof Volker Keim,Prof Norbert Gritzmann




Report on Ultraschall in der Medizin/European Journal of Ultrasound in 2007

Just like when I wrote the report one yearago I will have only nice things to say. Theyear 2007 was another good year for ourjournal. The Impact Factor increased onceagain, from 1.708 to´2.103. The journal isnow ranked 32nd out of 85 journals in the

category "Radiology, Nuclear Medicine &Medical Imaging". This is good news notonly for those directly involved in thejournal and for the contributors but alsofor EFSUMB.

We also continue to see an increase in sub-mitted manuscripts and this of course me-ans greater competition for the journalpages. In the Editorial in issue 5-2007some general tips and tricks can be foundto make sure that your manuscript is theonly that moves on to publication.

In 2007 Professor Gerhard Mostbeck fromVienna joined us as co-editor in the jour-nal and I would like to thank him and myother co-editors Karlheinz Seitz, Kurt Jä-

ger and Eberhard Merz for all the workthat is put into making the journal what itis today. I would also like to thank everyo-ne else involved in the process, the contri-butors, the reviewers, and the Thiemegroup.

The Ultraschall in der Medizin/EuropeanJournal of Ultrasound – the official journalof EFSUMB – is also the official journal of9 national ultrasound societies (the Ger-man, Swiss, Austrian, Norwegian, Danish,Latvian, Flemish, Macedonian and Croati-an).

Michael Bachmann NielsenCo-editor of the Ultraschall in der Medizin/European Journal of Ultrasound

EFSUMB Young Investigator's Award 2007

Each year, each member society of EFS-UMB is invited to nominate a member oftheir society to present a paper in theYoung Investigator's Award session of theEUROSON Congress. Applicants must beunder 35 years of age at the opening dateof the Congress, and must be a paid upmember of the nominating society. Themember society must agree to sponsortheir candidate for the cost of their traveland accommodation expenses, and theorganising committee of the conferenceoffer the candidates free registration atthe meeting. One or two prizes of €1,000are awarded to the candidates, judged byan ad-hoc committee to be best in termsof scientific content and quality of presen-tation. This year entries were receivedfrom 5 national societies (Germany, Italy,Norway, Poland, United Kingdom), and asalways the quality of the presentationswas excellent.

Two First Prizes were awarded on thisoccasion. Emma Chung, from Leicester,United Kingdom and Vito Cantisani fromRome, Italy. Their CVs and abstract are tobe found here below. I would like to en-courage all societies to consider nomina-

ting one of their outstanding young mem-bers for the 2007 competition to be held inLeipzig in October of this year. I would alsocommend attendance at the Young Inve-stigators session to the membership in ge-neral; for me it is one of the highlights ofthe meeting.

5

CV Emma Chung

Dr Emma Chung was born in Tasmania in1975 and moved to the England in 1980.She received her Master of Physics(MPhys, 1st Class, Hons.) degree and Sims-Portex prize for best undergraduate rese-arch project from the University of Kent in1998. Emma gained her PhD from the Su-perconductivity and Magnetism Group ofthe Department of Physics at the Univer-sity of Warwick in 2002. Following herPhD, Emma continued her research whileliving in Germany and the USA. She per-formed neutron scattering experiments atthe Institut Laue-Langevin in Grenoble(France), where she was the first to obser-ve two-dimensional magnetic scatteringusing neutron Laue diffraction.

Since 2004, Emma has been working as aMedical Physicist at the University Hospi-tals of Leicester NHS Trust where shecoordinates clinical and laboratory rese-arch aimed at improving Doppler ultra-sound detection of cerebral emboli duringcarotid and cardiac surgery. She is cur-rently Assistant Editor of 'Ultrasound'- the

Emma Chung


101EFSUMB Newsletter


journal of the British Medical UltrasoundSociety. In 2007 she was one of eightshort-listed nominees for a L'Oreal UKWoman in Science Award. Emma alsoholds a Wellcome Trust Value in People(VIP) Award and a David Watkin Award foroverseas study leave.

Emma has a talent for identifying novelapplications of Physics to problems in theCardiovascular Sciences. Her latest rese-arch pioneers targeted microbubbles forenhanced detection of thrombus (Stroke2007; 38:10:2726-32), and 'virtual pati-ent' computer simulations for an impro-ved understanding of stroke (Phys. Med.Biol. 2007; 52:7153-66). Internet website:http://www.le.ac.uk/cv/research/Ultra-sound/Emma Emma_home.html

AbstractTitle: Detection of small vessel occlusionusing Doppler ultrasound; an in vitro stu-dy

Authors: Chung E.1, Ramnarine K.V.1, Long C.V.1, Udommongkol C.2, Chambers B.R.2,

1University Hospitals of Leicester NHS Trust, Medical Physics Group, Leicester, Uni-ted Kingdom, 2,Austin Hospital, Depart-ment of Neurology, Melbourne, Australia

Aims: ̀ Small vessel knock´ is a recently re-ported Doppler ultrasound finding detec-ted in patients with acute ischemic stroke.Knock signals are periodic, of short-dura-tion (<100 ms), and localised within thehead. Typically, signals have a unidirectio-nal component in systole and a reflectedcomponent during diastole. Currently it isnot known whether this signal arises dueto occluded blood-flow, wall motion, orsome other mechanism. The potentialuses of Doppler ultrasound for location ofsmall-vessel occlusion in stroke patientstherefore remains controversial. The aimof this study was to determine the originsof knock-type signals by reproducing con-ditions for small-vessel occlusion in vitro.

Method: Synthetic bifurcations weremoulded from latex and glass, artificiallyoccluded, and placed in a closed-loopflow-rig mimicking physiologically reali-stic blood-flow conditions. Doppler si-gnals associated with blood-flow andwall-motion were examined under con-trolled conditions using Doppler, B-modeand Colour Doppler Duplex imaging.

Results: Complete occlusion of the peri-pheral branch of the glass model revealeddiscrete knock-type signals caused byfluid flow in the occluded vessel. Imagingof the occluded vessel using Colour Dopp-ler revealed forward and reflected com-ponents and two types of flow pattern.Wall motion was investigated using a la-tex model and found to produce periodicbidirectional signals typically =100 ms induration occurring during systole.

Conclusions: Our in vitro experimentssuggest that transcranial Doppler ultra-sound is capable of detecting blood-flowwithin an occluded side vessel. However,as similar knock-type signals are also pro-duced by wall motion, careful interpreta-tion of data for detection and classificati-on of knock signals is required.

Acknowledgement: this project was fun-ded by the Australian Society for Ultra-sound in Medicine (ASUM) and BritishMedical Ultrasound Society (BMUS) aspart of a British-Australian exchange visitto the National Stroke Research Institutein Melbourne, Australia.

5

CV Vito Cantisani

Department of Radiology, University "LaSapienza", Rome *Department of Radiolo-gy,University Campus Biomedico,Rome.Born on August 20, 1974 in Lagonegro, Ita-ly. Graduated in Medicine at University LaSapienza of Rome in 1999 cum Laude. 3 Visiting Fellow the Johns Hopkins Hos-

pital in Baltimore and AFIP in Walter Reed in Washington. 2002 Fellowship in Abdominal Radiology at BWH, Bo-ston, Medical University.3 Chief Resident and completed in 2004

the Residency in Radiology at Universi-ty La Sapienza cum Laude.3 In 2002 and 2003 awarded at ECR with

the EURORAD prizes.3 From 2004 employed in the Depart-

ment of Radiology, II Chair, University La Sapienza, as Full-Time Staff Radiolo-gist and Instructor in Radiology. 3 From 2005 attending the PhD in Cardio-

vascular and Thoracic Fisiopathology and Imaging and Surgery at University La Sapienza.3 From 2004 coordinator oF Color-Dopp-

ler sonography didactic Courses at the Department of Radiological Sciences at Policlinico Umberto I.

3 From 2005 Professor at School of Resi-dency in Diagnostic Radiology and at School for Radiological Technicians at University La Sapienza. 3 Co-coordinator of the TEMPUS project

"US School in Tirana". 3 Research interest is mainly focused on

US contrast media in abdominal and non-abdominal applications in correla-tion with multislice-CT and enhanced-MRI.3 2007 nominated secretary of Contrast

media Group of SIUMB and SIRM. 3 Wrote as first author or co-author more

than 40 papers published on Italian or International peer-reviewed Journals. Co-author of more than 10 chapters of International Books. He presented more 60 oral presentations, 10 scientific exhi-bits, 5 invited lectures and 2 chairman-ships. He took part to the organization commettee of more than 10 Italian or international Meetings.3 Member of SIRM (Società Italiana di Ra-

diologia Medica) from 2000, SIUMB (Società Italiana di Ultrasonografia in Medicina e Biologia) from 2004, ESR (European Society Radiology) from 2007, ESGAR (European Society of Ga-stointestinal Radiology) from 2007. Member of the Editorial Board of Jour-nal Ultrasound from 2006.

Abstract:Title: Detection of hepatic metastasesfrom colorectal tumours: prospective eva-luation of US versus sonoVue low mecha-nical index (MI) real time-enhanced US ascompared with 64 slice-CT or BOPTA-MRI

Vito Cantisani




Authors: V Cantisani, P Ricci, E Pagliara, M Erturk, U D'Ambrosio, G Alfano, C Catalano, FM Drudi, R Passariello. Department of Ra-diological Sciences, Policlinico Umberto I, University La Sapienza, Rome, Italy

Purpose: To compare low-mechanical in-dex(MI) contrast enhanced US, US and 64-slice CT for the detection of hepatic meta-stases from colorectal tumors assumingthe combination of 6 months follow-upwith 64 slice CT and/or BOPTA-MRI and/orintraoperative US (IOUS) as referring ima-ging modalit

Methods and Materials: From Februaryto June 2006, 110 patients with colorectaltumors (55 males, 35 females; mean age62 years; range 39-78) with suspected he-patic lesions were evaluated with US,CEUS and 64-slice-CT by two independentreaders. Intraoperative ultrasonography(n=45) or a follow-up up for at least 6months by using CT or BOPTA-enhancedMRI (n=50) was considered the gold stan-dard. To compare the sensitivity and spe-cificity of US, CEUS, and CT, McNemar testwas employed.

Results: No side effects were observed.Reference standards revealed 430 meta-stases in 110 patients. At patient-by-pati-ents analysis CEUS improved US sensitivi-ty from 74% to 95% (p<0.05). At lesion-by-lesion analysis, CEUS improved the sensi-tivity of US for the detection of individualmetastases, from 60.4% to 92.8%, respec-tively (p <.001). The specificity increasedfrom 60% and to 84%, respectively; therewere no significant differences betweenCEUS and CT. Contrast-enhanced US wassignificantly more accurate than baselineUS, especially for small metastases(p<0.001) with an increase of sensitivityfrom 35% to 76.6% with no statistical dif-ference if compared with 64-slice spiralCT (73.3%–75.8%).

Conclusions: CEUS is significantly moreaccurate than US and highly comparablewith 64-slice spiral CT and BOPTA-MRI inthe detection of liver metastases from co-lorectal cancer. Therefore, in the evaluati-on of patients with suspected hepatic me-tastases from colorectal tumour, US ex-amination must be performed after con-trast administration

Euroson School

5

Future Euroson Schools

4–5 April 2008 Advanced Abdominal Ultrasound Course -University Hospital Košice

24–25 October 2008 Gastroenterologic Ultrasound - UniversityHospital Košice

Information/Contact

PD Dr. med. Jan TumaPD Dr. Milan KuchtaSeilerweg 1LF UPJŠ v KošiciachCH 8610 Ustertrieda snp c. 1SwitzerlandKošice, [email protected] [email protected] Internet-Homepage:www.sgum.chwww.ultrasono.sk

EFSUMB Newsletter Meets Romania

5

Facts

Area: 238.392 km2.Population: 22 million.Capital: Bucharest.Largest cities: Bucharest 1,9 million, Iasi,Cluj-Napoca, Timisoara, Constanta, Craio-va, each 300-340.000.EFSUMB members: 422

President of Romanian society of Ultrasonography in Medicine and Biology, Professor Ioan Spo-rea (IS) interviewed by Michael Bachmann Nielsen (MBN) No-

5

vember 2007.

The Romanian society during the past 6years the Romanian society has organisedsuccessful European schools each year, in2008 the Romanian society organizes theEUROSON congress in Timisoara. Per-

sonally I have known Ioan Sporea for thelast 6 years serving at the Board of Direc-tors and as a personal friend.

3 MBN: First of all congratulations for the election as honorary treasurer in the executive bureau. And also for joining this interview series in the Newsletter. You have a very busy year ahead, don't you?3 IS: Yes, the EUROSON congress in 2008

will take place in Timisoara. A lot of col-leagues as well as myself have already been working hard with the preparati-on for a long time and we are sure it will be a very successful meeting. 3 MBN: Could you start by telling us your

medical profession and were you work?3 IS: I am a medical gastroentorologist

and Head of the Department of Gastro-enterology in the university hospital in Timisoara.

Ioan Sporea, President ofSRUMB, and Viorela Enaches-cu, Honorary Secretary ofSRUMB, in Craiova May 2007


103EFSUMB Newsletter


3 MBN: According to the EFSUMB web page the society has 422 members. Is that a true mirror of the number of ul-trasound users in Romania?3 IS: The last count was actually 573 and

we have increased in membership number each year during the last 5 years. I will estimate that between two and three thousand use ultrasound in Romania, so we still have a way to go. We are trying to teach ultrasound in se-veral centres in Romania.3 MBN: Could you tell a little more about

your training programme?3 IS: Ultrasound in Romania like in the

rest of Europe is multidisciplinary. In Romania we have 7 university centres for ultrasound providing post-graduate courses several times a year. They all have basic courses and each of them also have different specialised courses. In average all trainees have a 3-month stay at the department with a curricu-lum, theoretical courses, hands-on trai-ning and supervised patient examinati-ons.3 MBN: I know you are also involved in

FAST.3 IS: Yes we now have a special course for

emergency ultrasound and FAST where trainees are trained during 2 weeks. This is something that has been made mandatory by the Health Ministry for everyone involved with emergency and FAST ultrasound.3 MBN: I have had the pleasure of being

invited for the EUROSON School 2 times and attended the national meetings. How many people do you think attend these meetings?3 IS: At least 400 participants took place

in the European schools, which is held entirely in English. The annual national conferences are in the Romanian lan-guage and 5–600 people attend3 MBN: Do you have a newsletter you

send to your members or do you have a national ultrasound journal?3 IS: A newsletter is printed in our natio-

nal journal. We have had a Romanian journal for ultrasound for the last ap-proximately 10 years; there are 4 issues each year. The journal is in the Romani-an language but we intend to change this entirely into English language in 2008.3 MBN: Is there any change of the Roma-

nian society will join bulk subscription for Ultraschall in der Medizin?3 IS: We are currently looking into it and

we will have to discuss it in the Roma-nian board. Also your offer of including

subscription of Ultraschall in der Medi-zin for everyone attending the EURO-SON congress (except for those who al-ready have bulk subscription) is some-thing we will have to look into. Current-ly we have already decided on the con-gress fee, so your offer will to some ex-tent depend on the size of a surplus from the congress. 3 MBN: I read about Timisoara in Wikipe-

dia, could you tell me about the city.

3 IS: It is a beautiful baroque city, often named little Vienna because it belon-ged for a long time to the Hapsburg em-pire. The city is more than 700 years old and it has a beautiful historical centre and many charming places.3 MBN: Thank you Ioan for agreeing to

this interview. We will publish the in-terview in the EFSUMB web page and also in the newsletter in 2008. I am con-fident that you will make a very suc-cessful EUROSON meeting and I am loo-king forward to attend it myself.

EFSUMB Newsletter meets Sweden

5

Facts:

Area: 449,964 km²Population 9.1 millionCapital: StockholmLargest cities: Stockholm 1 200 000, Go-thenburg 510 000, Malmö 258 000EFSUMB: members 115

President of the Swedish Society for Ultrasound in Medicine, An-ders Nilsson(AN ) interviewed by Michael Bachmann Nielsen

5

(MBN) November 2007.

The Swedish Society co-organized the EU-ROSON 2003 meeting in Copenhagen. Tomany EFSUMB delegates and committeemembers the past-president Lil Valentinas well as the current president AndersNilsson will be well know. Personally Ihave know Anders Nilsson for 15 years, of-ten attending or lecturing at the samemeetings or inviting each other to lectureat courses and meetings.

3 MBN: Anders, first of all thank you for volunteering for this interview. Can you start by telling us about your medical profession and where you work?3 AN: I am a chief-radiologist in charge of

the ultrasound section in Uppsala.3 MBN: Considering the size of Sweden,

the number of members of the Swedish Society for Ultrasound in Medicine seems very small.3 AN: Yes this is correct. In the past the

Swedish society held an annual sympo-sium and that was what connected the members. This has not happened for some years. Today, the radiologists, the gynaecologists and surgeons each have separate meetings, in the Swedish form these are 5-day meetings covering all aspects within the radiology, gynaeco-logy/obstetrics and surgery, respective-ly. The Swedish "Radiology Week" is a huge meeting with up to 2,000 partici-pants.3 MBN: Do you host any courses in ultra-

sound?3 AN: Well we used to, but to be honest it

has been a while since we had any. We are currently planning some courses for

Michael Bachmann Nielsen(left) and Anders Nilsson (right).




2008 and also ultrasound symposia for the next radiology Week in August 2008. Currently we do not even have a Newsletter.3 MBN: Sweden is a large country measu-

red in square kilometres, but compared to other European countries it has a low population density (20/km2). Does that have anything to do with the problems3 AN: Probably yes. Until a few years ago

it was cheaper to buy a return flight to New York than going from Malmö to Stockholm. 3 MBN: How do you consider the current

status of the society? 3 AN: We will in the coming months try to

reorganize the Society and look for some ideas as to how we can re-launch the Society as the interdisciplinary so-ciety we should be. This means we will need too have symposia and courses that can attract people.3 MBN: I had some problems finding your

correct telephone number and society details on the internet, how can that be?3 AN: The Swedish homepage unfortuna-

tely has not been updated for several years, since we did not have any mee-tings or course to promote. Also we have had problems finding a webma-ster. The information about the board members should have been sent to EFS-UMB, but we will certainly check it again.3 MBN: Thank you Anders for agreeing to

this interview, which will be published on the EFSUMB webpage and in the Newsletter. Let's hope you will succeed in your plans for the Swedish ultra-sound community.

EUROSON 2008Important Dates

3 15 February 2008 -

Abstracts deadline

3 1 April 2008

Early registration deadline

3 15 April 2008

Hotel reservation deadline

3 10 May 2008

Final registration deadline

Why to come to EUROSON 2008

3 More than 100 international invited

speakers

3 All sessions of the Congress in

English

3 Participants <35 years old with pa-

per accepted for oral presentation at

Euroson 2008 can register to the con-

gress without payment of registrati-

on fee.

3 Meet the expert workshops

3 6 Postgraduate Courses

3 7 parallel sessions each day

3 All the information about the con-

gress are available on the official

website

w w w . e u r o s o n 2 0 0 8 . r o

31 May - 3 June 2008, Timisoara, Romania

Future Euroson Congresses

3 XXIst EUROSON 2009 Congress in con-

junction with BMUS (British Medical

Ultrasound Society) - Edinburgh -

December 2008 (Date to be decided)

3 XXIInd EUROSON 2010 Congress in

conjunction with DSDU (Danish So-

ciety of diagnostic Ultrasound) -

Copenhagen - 22–25 August 2010

3 XXIIIrd EUROSON 2011 Congress -

Dreiländertreffen -

WFUMB 201–2011

August 2011 (Date to be decided)


2008-issue01

Documents

efsumb officers

report euroson

efsumb newsletterultraschall

efsumb webpage

honorary secretarys

honorary treasurers

musculoskeletal ultrasound

ecmus safety committee