Scientific papers on musculoskeletal radiology presented at ECR 2020
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EDITORIAL
Scientific papers on musculoskeletal radiology presented at ECR 2020 Anagha P Parkar 1,2 Received: 2 March 2020 / Accepted: 5 May 2020 # European Society of Radiology 2020
The number and rate of musculoskeletal examinations performed at an institution vary depending on where or which type of hospital or institution one works at. Musculoskeletal radiology makes up a large portion of all imaging, as reflected in the number of abstracts and scientific sessions at this years’ ECR. Nine scientific sessions with musculoskeletal imaging abstracts will be presented in the upcoming ECR. As in previous years, the knee and lower extremities are the largest areas of research, comprising a third of the sessions, and only one session on upper extremities. However, there is a clear shift in the areas of research. In previous years, the MRI was the main modality of research. This year, many abstracts include US, reflecting the general shift in radiology practice where musculoskeletal radiologists are more “hands on” and actively involved in patient communication and treatment. The cutting-edge research is the emerging field of artificial intelligence (AI), which includes deep learning and machine learning. AI is moving steadily from “techno-optimism” towards “techno-reality”. One interesting paper investigated the efficacy of deep learning to differentiate between benign and malignant soft tissue masses in US [1]. US is often considered not as reliable as other modalities, due to inter-operator variability. The capability of AI assisting in US and reducing this variability holds great promise for the future. Further presentations focus on AIs improvement in assessing femoroacetabular impingement on MRI, detection of pediatric tibial fractures, bone age assessment and detection of anterior cruciate ligament ruptures. The ability of AI to aid and improve a radiologists performance should not be considered a threat to radiology, but rather an assistant, as workloads
* Anagha P Parkar [email protected] 1
Department of Radiology, Haraldsplass Deaconess Hospital, Ulriksdal 8, 5009 Bergen, Norway
2
Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway
do not seem to decrease and complexity of examinations and radiology reports are ever increasing. An area which has been around for some time, but has not been extensively implemented in daily practice yet, is dualenergy CT in musculoskeletal applications [2]. Gout assessment is well known, however, the other possibilities such as perfusion quantification, lag, perhaps because the clinical usefulness of such an evaluation is not there yet. The gold standard for assessing bone marrow edema (BME) is by far MRI. Dual-energy CT assessment of BME shows promise in aiding insufficiency fracture diagnosis, where it is may be notoriously difficult to depict actual fracture lines on CT. However, as another research paper showed that BME on dual-energy CT was also observed in non-traumatic hip pain cases, the same can be observed on
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