It is a great honor for Timişoara and for Romania to host the WFUMB Congress 2022.
The 18th World Federation for Medicine and Biology Congress in conjunction with the 2022 SRUMB Annual Conference and the EUROSON 2022, will be the most important event of the year for all of us using ultrasound as a medical tool.
It is also an opportunity to visit our beautiful town, “The Little Vienna” or “The City of Flowers”, as Timişoara is called, and to discover the Romanian hospitality.
The congress will be held in the new Convention Center from the center of the town. More details can be found on the congress website www.wfumb2022.com
WFUMB called a meeting to consider the issues raised in the Strategic Business Review undertaken by Association Laboratory at the request of WFUMB. This followed the letter from AIUM withholding membership dues until changes were made in WFUMB governance. Collaboration of all the Federations was invited to achieve the objectives of addressing the concerns raised which will be an ongoing process. For each issue the following was observed:
D. CultureRecommend a WFUMB policy statement that includes the following
E. Member Diversity and Engagement
F. Strategic Planning
Our WFUMB president instructed a Facebook poll was set up and conducted over a three week period. After assessing the results the large majority chose the name: WFUMB Ultrasound Open.
I am a Professor of Radiology at the University of Washington, Seattle, USA. I have been a faculty member in this institution since 2004. My primary interest both in research and clinically is ultrasound. I am also a Fellow in the American Institute of Ultrasound in Medicine and Society of Radiologists in Ultrasound.
I have considerable experience in writing and reviewing for multiple journals. I am currently an Associate Editor for the Ultrasound section of Abdominal Imaging journal. I was also the recipient of Figely Fellowship award from the American Roentgen Ray Society in 2009 and was able to work with the then Editor for American Journal of Roentgenology, Dr Thomas H. Berquist. He introduced me to the editorial process and guided me through a publication titled “Education in authorship: should it be compulsory?”. Learning the editorial process under his guidance helped me understand important issues that journals face including plagiarism which is a serious offence.
I believe that the some of the important issues that journals face at present are an increase in overall number of publications submitted however with questionable research and poor quality writing in some which would require a keen mind to investigate the authenticity of the research and also an ability to help the younger generation and upcoming radiologists and researchers from developing countries get the knowledge and access to an international forum. An example with one of my publications was a student from Thailand working with me on a paper – both I and the editor of the journal worked tirelessly with her to get the publication up to speed. The editor essentially made the changes himself and inspired me to think about the reviews that I write now. I started giving very specific instructions in my reviews in the hopes that it will help the non-English speakers and novices in research get better with writing articles. Secondly, an increasing demand to have instant gratification in the younger generation which means that they expect the articles to be accepted fast and also available online fast. This can be an advantage to get important research out quickly, however it also means that the review process needs to be strong.
Reviewers need to be diligent and available to help with the process quickly. This can be a problem with the increasing demands on the physicians in their own practice. Providing incentives is one way of increasing the availability of reviewers. In addition, innovative methods like asking reviewers to provide editorials on articles that they review can be a way to interest them and be able to have their viewpoint (since they are usually experts in the topic) be available for the readers. This also brings in an important issue of Print versus Online reading.
Increasingly readers are more likely to read or view articles online and print the articles if need be. This can help reduce the journal printing cost by decreasing the number of journals printed. I believe having increasing availability online can also increase the number of subscriptions.
Journals need to increase their social media presence. This can be done by leveraging sites like Facebook and YouTube. Giving the authors an opportunity to provide a short video on their topic for publication to YouTube can be a way to increase the exposure that they receive. Even creating a standard template for YouTube videos and giving the salient points of the article online can be a way to increase interest and readership. This can be paired up with Editorial articles that are available online or on social media as a teaser for the readers to get interested in the original articles. Instagram is another method to increase exposure for the articles. Most of the younger generation and even some large institutions have their own Instagram page and these articles can be highlighted through these various venues. It would be imperative that the journal invests in IT personnel who can manage these social media sites.
I believe that ultrasound is expanding its reach into the clinic with Point of Care ultrasound, however these clinicians and students are not as familiar with the basic fundamentals as a Radiologist or Sonologist maybe. Their interest and involvement can be increased with “Educational articles” targeted towards residents and “How to articles”. In my experience though some of the clinicians are better at the focused ultrasound that they perform and can be content experts in these educational articles.
With all these innovations, it is important to remember that High Impact research articles are valuable as well. Reaching out to researchers in society meetings, especially the World Federation of Ultrasound in Medicine and Biology and other ultrasound-based conferences is important. This should increase the impact factor of the journal and help increase the value of the journal in the eye of the readers.
With my experience and drive to work hard to improve the journal and its readership, I believe I am up to the task. I am looking forward to help create this wonderful journal from the infancy stage and mold it to be the best educational, informative and innovative journal in the field of ultrasound.
There are many new ways of reaching readers and the journal needs someone to think about them and also create innovative new methods to do the same. The world is now very closely connected, and the new journal should connect even the most underserved students, radiologists and researchers to the field of ultrasound through it.
WFUMB Ultrasound Open is the official international peer-reviewed Open Access journal of the World Federation for Ultrasound in Medicine and Biology (WFUMB). As the "sister journal" of Ultrasound in Medicine & Biology, it shall focus particularly on the clinical applications of ultrasound. In addition, it aims to publish and disseminate novel research in basic and applied science. It will also welcome papers on advances in diagnostic and therapeutic applications of ultrasound, guidelines, pictorial reviews, clinical cases, letters and opinion pieces.
To complement WFUMB’s multidisciplinary organisation the journal invites topics on all organs of medical imaging such as gastrointestinal, genitourinary, obstetric and gynecology, musculoskeletal, cardiovascular, head and neck, nervous system, breast. The journal aims to advance our understanding of the applications of ultrasound in medicine and science. The journal is not restricted with inclusion of images and videos in the proposed format.
Student Ultrasound Congress (STUC) endorsed by the World and European Societies of Ultrasound in Medicine and Biology (WFUMB & EFSUMB) is a scientific manifestation dedicated for medical students. The goal of the event is to familiarize medical students with the advantages and applicability of ultrasound as a diagnostic and interventional procedure.
STUC congress will have the scientific support of senior lecturers from European and World ultrasound Societies; however, the congress layout will be student friendly with hands on sessions and interactive activities conducted by ultrasound enthusiastic students that were involved in ultrasound activities. Lectures form basic to advance, hands on stations, quizzes and meet the experts session will play the part of the program.
Registration fee for medical students is 50 euro (regular fee until 10.05) or 100 euro (on site) for 27.05 and 28.05, covering the participation at the student’s congress.
For students who are also interested in participating in the first day of WFUMB congress in 26.05 in connection with the student congress in 27.05 and 28.05 the fee is 80 euro (regular fee until 10.05) or 100 euro (on site).
A proof of being a medical student is required upon registration.
Currently in development, we will shortly be inviting our friends and colleagues from across the world to join us at Ultrasound Connections. A new community for all ultrasound related livestream, online courses, events, groups and chat.WFUMB wants to bring all of our skills and knowledge together so we can create a platform to meet digitally, share and achieve common goals.
I have been actively involved in ultrasound research for the past 57 years. In 1965, as a Research Associate in Diagnostic Ultrasound at Hahnemann Medical College in Philadelphia, Pennsylvania, I pioneered in the establishment of two-dimensional ultrasonography as a valuable diagnostic modality.
At that time, diagnostic ultrasound was in its infancy, and image quality was very limited. In fact, the bi-stable static images were so poor that it was difficult convincing my clinical colleagues that the anatomical structures they were looking at were not pictures of craters on the moon. Nevertheless, this new form of imaging drew much attention. In September 1965, a photograph of my lab appeared on the cover of LIFE magazine (the most popular magazine in the USA at that time) showing the ultrasonic image of a fetal head in the uterus of a pregnant wife of a medical student (Fig. 1). Since that time, the technology of ultrasound in medicine has continually improved throughout the years. Today, the imaging of anatomical detail is exquisite and diagnostic ultrasound has become indispensable to medical practice.
In 1968, I returned to my alma mater, Temple University School of Medicine, in Philadelphia where I have remained to the present day, and where I am now Emeritus Professor of Radiology and Medical Physics. My earliest work at Temple involved studying the physiological meaningfulness of the Doppler signal. While performing blood flow studies in dogs, I noticed a dramatic amplification of the Doppler signal several seconds following the intravenous injections of fluids at distant sites. This, along with the work of Ray Gramiak and Robert Waag, ultimately led to the development of contrast agents for diagnostic ultrasonography.
In 1972, because of concern for the safety of clinical ultrasound, I conducted an international survey of 68 clinical users, and found that in over 121,000 patient examinations there were no reported adverse effects from the ultrasound.
In 1974, the safety of ophthalmological ultrasonography was investigated using ultrasound exposures to the eyes of rabbits at levels used clinically. Even with exposures lasting four hours, no histological abnormalities could be detected by a skilled ophthalmological pathologist.
In 1977, I was a visiting scientist at the world renown Acoustics Laboratory in Sydney, Australia. Using equipment from the lab, and working with M.J. Edwards at the University of Sydney, I exposed pregnant guinea pigs to ultrasound at levels sufficient to raise the intrauterine temperature several degrees. In carefully controlled studies I was able to show that the fetal abnormalities caused by intrauterine temperatures greater than 2 ⁰C were the same if caused by ultrasound or by any other means of raising the intrauterine temperature to the same degree. Furthermore, it was shown that the most sensitive effect of intrauterine hyperthermia is microcephaly occurring at temperature elevations of 2 ⁰C for over 1 hour. By studying the world’s literature on the generation of fetal abnormalities by hyperthermia, I was able to establish how to avoid exposing the human fetus to potentially dangerous ultrasound intensities in clinical examinations. Working with other scientists, such as Wes Nyborg, Mort Miller, Ed Carstensen, Charlie Church, and truly excellent international colleagues from many countries, such as Australia and the UK, this work ultimately led to the development of the Thermal index (TI) and the Mechanical index (MI), which appear on the screens of present day diagnostic ultrasound scanners to help sonographers maintain the extraordinary safety record of diagnostic ultrasound. In fact, I don’t know of any other medical modality or procedure with a record as safe as ultrasound.
In 1982, I investigated the nature of image artifacts appearing in clinical ultrasonograms. I showed that an artifact with a tapering appearance seen distal to a highly reflecting object was due to ultrasonic reverberations between the transducer and object. Because of its shape, I coined the name “comet tail artifact”, which is a commonly used term in clinical ultrasonography today.
In 1993, I co-edited a book with Peter Lewin entitled ‘‘Ultrasonic Exposimetry’’ that included my chapter on Measurement Uncertainty in Ultrasound Exposimetry. The material contained in this chapter was adopted as the standard for expressing uncertainty in ultrasound measurements by the AIUM and the US FDA.
In 2010, I developed the concept of the Thermal Dose Index (TDI). The TDI incorporates the duration of an ultrasound examination and the Thermal Index to provide an improved index for the risk of a thermally induced adverse effect. This index, displayed on an ultrasound scanner, increases with the duration of an exam and will let the sonographer know that the risk of a thermally induced adverse effect is unlikely as long as its value remains below 1.
As a member of the National Council on Radiation Protection and Measurements (NCRP) Scientific Committee 66, under the Chairmanship of Dr. Wes Nyborg, I participated in the writing of a three-volume treatise entitled ‘‘Biological Effects of Ultrasound: Mechanisms, Clinical Implications, and Exposure Criteria Based on All Known Mechanisms’’. This opus provided the most comprehensive and authoritative presentation of what was known at that time about ultrasound bioeffects.
I have been a member of the AIUM Bioeffects Committee and the AIUM Technical Standards Committee since 1973, and involved in the writing of many safety-related and technical documents. I was a member of the committee that wrote ‘‘Acoustic Output Labeling Standard for Diagnostic Ultrasound Equipment: A Standard for How Manufacturers Should Specify Acoustic Output Data’’. I chaired the committee that wrote the AIUM Recommended Terminology, which is currently in its Fourth edition. I also chaired the committee that wrote the manual entitled ‘‘Medical Ultrasound Safety’’ which is currently required by the FDA to accompany all diagnostic ultrasound scanners sold in the United States. From 1982 to 1984, I served as President of AIUM.
I have been a member of WFUMB since 1975. I have been the Chairman of the WFUMB Committee on Ultrasound Safety from 1985 – 2006, and the WFUMB Treasurer from 1994- 2000, and from 2003 to 2006 I had the honor of serving as President of WFUMB. I feel so lucky to have been in the company of so many wonderful friends in this field.
I have been very fortunate to have seen so many exciting technological advancements, but for me the most significant have been the change from bistable images to gray scale and the change from static imaging to real time imaging, both occurring in ~1974. In bistable images, echoes were displayed as all white or all black and lacked the ability to display varying echo amplitudes that we now refer to as gray scale. A static image typically took several minutes to obtain and was not able to show the tissue motion that is so helpful diagnostically with present day real time imaging.
I am still active in the AIUM Bioeffects Committee and the AIUM Technical Standards Committee, and I stay interested in ultrasound terminology and the safety of clinical ultrasound.
In addition to ultrasound, I am now involved with the safety of electromagnetic exposures. I co- chair the International Committee on Electromagnetic Safety (ICES) SC4, the committee that writes the international standards for human exposure to 0 Hz to 300 GHz electromagnetic fields. In 2011, I received the D’Arsonval Award, the highest award given by the Bioelectromagnetics Society.
WFUMB (World Federation for Ultrasound in Medicine and Biology) ExB have signed off on a new concept for delivering ultrasound education in areas of need.
A mobile Centre of Education (CoE) will allow a Federation to run courses anywhere within their region. The initial mobile CoEs will be trialled by MASU & ASUM. A perfect example of where ASUM could make a significant difference is training for the detection of rheumatic heart disease in the Australian aboriginal population in outback communities & a variety of PoCUS training for health professionals working remotely. Combined with current outreach programs, a mobile COE would ensure ASUM can extend their reach and make a positive difference to patient care.
National Centre for Ultrasound in Gastroenterology (NCUG) hosted a webinar in 2021 for their 20th Anniversary celebrations.
The webinar entitled Advances in Interventional Ultrasound, presentation is now online at: