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EH 1_2015

A powerful new level of performance to meet all your ultrasound needs Discover the Aixplorer® ultrasound system • An UltraFast™ Platform to bring you true technological advancement • Real-time, quantitative, ShearWave™ Elastography on all transducers and across a variety of clinical applications • The 60 second exam - fast, reproducible, cost effective Visit us during ECR 2015 at Booth N°4, Expo A FR: +33 4 42 99 24 32 / DE: +49 89 36036 844 ECR 2015 SYMPOSIUM Wednesday, March 4th 12:30 - 1:30pm Room M EUROPEAN HOSPITAL  Vol 24 Issue 1/15 22 EH @ ECR Mobile IT in radiology Getting a grip on today’s management in radiology How secure are your data? MIR@ECR Report: Mélisande Rouger The appetite for mobile information technology (IT) seems insatiable. Boosted by the sales of the iPhone 6 Plus, Apple generated a record $18 billion profit in 2015’s first quarter alone. Social media use is explod- ing, and dedicated professional plat- forms, such as Figure 1, a sort of Instagram for doctors, increasingly emerge. These changes are affecting our daily lives, and this is also true for radiologists. While tablets and smart phones create unprecedented opportu- nities for radiologists to connect with their colleagues and patients, mobile IT also raises a number of questions, especially regarding its safety. A panel of experts are tackling these issues in a dedi- cated refresher course during the European Congress of Radiology. More and more radiologists suc- cumb to the charms of mobile devices. Apps like Osirix enable cases to be reviewed at home, pre- pare slides, give a conference, and, increasingly, to communicate with other physicians. Mobile tools may also improve communication with the patient, and a number of institu- tions are already enabling patients to access their images online, or to The fourth Management in Radiology (MIR) Symposium to be held during the ECR will focus on key issues in the profession, including quality and safety. The Chairman of the MIR Subcommittee Professor Peter Mildenberger introduces the first MIR@ECR session, covering profes- sional issues and top innovative developments. Professor Erika Denton (UK) is then presenting the ‘Update on radi- ology: a strategy for the future’. Professor Emanuele Neri (IT) is to report on Imaging Biobanks, based on his lengthy experience in this field and as Chairman of the ESR Working Group on this subject. An ‘Update on decision support for radiology’ comes from Professor Keith Dreyer from Boston, USA, a radiologist with leading exper- tise in actual implementation and usage of decision support. Professor Sergey Morozov (RU) follows with his update on social media in radi- ology, a topic already discussed with great interest at the 2014 MIR Annual Meeting in Italy. Closing the first session, Professor Boris Brklja i focuses on economics. 2nd session: Improving qual- ity and safety Dr Adrian Brady (IE) is presenting ‘First experiences from a nation- wide peer review in radiology’. Dr Peter Cavanagh will describe ‘How to organise meaningful audits in radiology’. Finally, Professor David Koff will speak on ‘Errors in radiology: how to learn from a systematic approach’. A Panel Discussion ‘Learning from critical situations or errors’ will round off the session, and renowned international speakers will present their personal experi- ences and share expertise when meeting participants. Both sessions have time reserved for discussion, including participa- tion from the floor, and a break in between will provide the opportuni- ty to discuss topics individually or in groups with the speakers or others. Details: discuss their record with physicians during teleconferences. However, in the absence of a clear regulation on the topic, a hefty question has been on everyone’s lips for some time: with mobile IT, how safe is our data? Hospitals are increasingly a tar- get for hackers. A large number of cases were reported in which cardiac devices, or parameters of a CT examination, had been manipu- lated at a distance (ref: http://www. ment-vulnerable/). Data security is simply insuffi- cient in healthcare facilities, accord- ing to Erik Ranschaert, radiologist at the Jeroen Bosch Ziekenhuis teach- ing Hospital in ‘s-Hertogenbosch, the Netherlands, a speaker during the course. ‘Hospitals will have to change their security protection. Hackers are targeting systems that store personal information in electron- ic medical records,’ he said. ‘In the United States alone, there has been a 600% increase in attacks on hospitals in 2014, according to a report published by security firm Websense (ref: http://www.cnbc. com/id/102030232).’ With mobile devices, patient data are being transported outside the hospital, so the risk of leaking data is multiplied exponentially. There is currently no firewall to protect data on a tablet – just a login and a pass- word. One can certainly remotely cancel access to an iPad, but there is no 100% certified protection for data. What happens if they are stolen? ‘Imagine you are treating Barack Obama and you have, on your tab- let, the images of his colonoscopy that you performed a day earlier. Now, suppose the results show he has cancer, and suppose you lose your tablet during a flight. What happens next? You risk having these images exposed to the whole world before even discussing them with your patient,’ said Emmanuele Neri, associate professor of radiology at the University of Pisa, Italy, and Chair of the ECR course. To make matters worse, most hos- pital managers are still unaware of those risks. They also do not realise that data can be lost or damaged during their transmission from one device to another, according to Neri. Stakes are high because valuable personal information can be used for commercial purposes; know- ing which medication a patient uses offers a unique opportunity to advertise products – just like Facebook already does using your own data. The medico legal loop- hole concerning the issue only exacerbates the risks. ‘I suspect there will be a great business around data selling. It may even be the biggest business of our century. I expect there will soon be a policy to protect data security. However, I don’t think there will be one regarding privacy so soon. How we will manage these issues in the future is a big issue, because our data are already everywhere,’ Neri pointed out. The European Union is address- ing the issue but its resolutions may come too late. The Horizon 2020 research programme plans to offer solutions to security and privacy… by 2020. In the meantime, hospitals can defend their systems by making sure tablets and smartphones are used in a protected environment. Raising the level of protection of an IT system against hackers is of course mandatory, but it is not the only way, Ranschaert explained. ‘One could also develop solutions to deliver access only after identifica- tion, or force data to remain within safe containers and make sure it cannot be downloaded or accessible by private apps – e.g. for image or photo sharing. ‘Furthermore, one should be able to remotely wipe the data, and the hospital’s policy should be adapted to usage of social media within the facilities. For instance, Breda hospi- tal in the Netherlands forbids every- one to take pictures in the hospital with mobile devices,’ he said. Training personnel and radiolo- gists on how to use mobile devices and social media safely is key to improving safety. Part of healthcare will soon become mHealth, so phy- sicians and providers should get ready for the switch. ‘We shouldn’t try to avoid it; the ostrich strategy will not pay off. We have to think how can we use mobile IT for the mutual ben- efit of our patients and ourselves. There are advantages in using these tools to facilitate our services and improve education but,’ Ranschaert concluded, ‘we have to be aware of the risks, too.’ Emmanuele Neri, associate professor of radiology, University of Pisa, Italy The chairman of the MIR sessions, Peter Mildenberger, is professor of radiology and leads the IT-group in the radiology department at Mainz University Clinic, Germany Friday, 6 March 13:00–15:00. Room D2. Session 1: Best of professio­nal issues in radiology Moderators: S. Morozov (Moscow); E. Schouman-Claeys (Paris) 15:30–17:30. Room D2. Session 2: Improving quality and safety in radiology Moderators: J. A. Brink (Boston); R. FitzGerald (Shropshire, UK) FR: +33442992432 / DE: +498936036844

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