ESUI18: Critically assessing modern imaging techniques

04 October 2018

The role and impact of new imaging technologies will take centre-stage in Amsterdam where the EAU Section of Urological Imaging (ESUI) will hold its 7th annual meeting (ESUI18), gathering specialists and expert opinion leaders for a critical assessment of the practical clinical use and anticipated effects of new techniques on current diagnostic and treatment strategies.

To be held on 8 November, and preceding the 10th European Multidisciplinary Congress on Urological Cancers (EMUC18), ESUI18 will anchor its day-long Scientific Programme on the over-arching theme “Getting it right: Indications for modern urological imaging.”

With the emergence of precision imaging, oncourology specialists face the question as to which situations current imaging methods are most effective. Additionally, new methods of imaging require standardised reporting processes to enable physicians to deliver optimal patient care.

“The 7th ESUI meeting will address these issues in detail and critically assess the role, performance and limits of emerging technologies in relation to image-guided approaches. Moreover, the meeting will provide detailed clinical knowledge regarding the application and use of these technologies,” said ESUI Chairman Prof. Georg Salomon (DE).

‘Must-know’ issues

The meeting’s agenda is a checklist of key and ‘must know’ issues covering not only essential topics in urological imaging but also their links to other areas of urology. Six core topics will be taken up starting with the role of biopsies in prostate cancer, with the initial session titled “From finger-guided to imaging targeted biopsy.” Pros and cons of the PRECISION study will be discussed alongside issues such as transperineal biopsies, quality mpMRI and antibiotic prophylaxis in the setting of transrectal biopsies and sepsis.

The next session “Is innovative ultrasound sensitive enough?,” will feature four lectures which will take up the clinical implications of radiomics- C-TRUS Anna, micro-ultrasound, an update on elastography/shearwave, and the features of contrast enhanced ultrasound– CUDI.

A follow-up session provides an exciting look into imminent technologies. Aptly titled “Back to the future part I: What to expect in the next decade?”, resource speakers will discuss issues such as whether so-called intelligent machines will be more precise in image reading compared to their human counterparts, key points regarding image-related toxicities, how to speed up MR time, and the mpUS study and its potential challenge to MRI.

The halfway session will focus on mpMRI, tackling topics in reading, reporting and biopsy-related issues such as comparing PIRADS and Likert scoring, lessons from fusion biopsies, future trends in PIRADS v3.0, and the differences in MR fusion systems.

Punctuating the sessions are six best abstract oral presentations with the best presentation awarded on the same day. Immediately following the abstract presentations is the session titled “What´s up with that?” a thorough examination of technologies such as dual energy analysis, fluorescence diagnostics in cystoscopy, contrast enhanced ultrasound for the kidney, and mpCystoscopy for bladder cancer. As in previous sessions, a Q&A segment will follow the lectures.

Back to the future

As finale to the compact and comprehensive programme the closing segment “Back to the future part II: A must-know session,” will present insights on the anticipated impact of emerging technologies.

A top item in this session is a lecture on multiparametric MRI for the detection and staging of bladder cancer, focusing on the development of VI-RADS 1.0. Which tracers are essential in PSMA PET CT is the central point in another lecture, while the query on whether radio-guided surgery will become standard of care will be taken up in a follow-up lecture. Finally, the topics “3-D Modelling in prostate and kidney,” and “Will radiomics change MRI reading?” will round up the concluding session.

Salomon said the annual ESUI meeting aims to provide a complete update to both members and participating specialists. He expressed his appreciation to the speakers, faculty and organising committee members for their thorough preparations. “Examining these issues will close the gap between preliminary experiences in selected centres, and the early and broad application of these technologies in daily practice,” he said.