In this first edition for 2023 Cristina Chammas reflects on her term as WFUMB president and our luminary interview is with Jacques Abramowicz, who gives us an insight on his time in the world of ultrasound.
The WFUMB Centres of Education have been very active these last few months and we share reports and photos from Bangladesh, Vietnam and Ethiopia as well as future courses to be run. There are also updates on WFUMB 2023 in Oman and the forthcoming EUROSON congress in Riga, including details for the WFUMB General Assembly, as well as reviews from Arab Health, the International Congress of Radiology (ICR) and International Federation of Medical Students Associations (IFMSA).
We also introduce WFUMB Open and encourage researchers and authors to consider submitting your work.
WFUMB ECHOES - Spread the word
It is a pleasure to address you in this special report in Echoes.
As we all move away from adverse and uncertain times, we have been re-starting in person events, which provides an opportunity for hope and optimism, indeed bringing a sense of beginning and renewal.
Since my term is finishing, I would like to summarize some challenges and successes as well. First of all, I must thank all my board (from ExB and AC), co-opted members, Lynne, and Suzanne, as well as all the Committee members and friends, for working together, supporting and helping me to make this a great job and for guiding me in making difficult decisions, most of which I think have been the correct ones.
We improved our working practices and updated the Constitution and bylaws in order to ensure that we were working effectively as a democratic, not for profit organisation for the benefit of our participating federations. Many issues were improved. AIUM made some suggestions for improvements in governance and that we have done. Despite listening to their concerns and acting on them regrettably AIUM did not rejoin WFUMB.
Not only is AIUM absence at WFUMB leaving a gap in North American representation (we have been encouraging other partnerships in that continent), the situation has led to other consequences . Deeply impacting (and on all of us on the board) the irreparable loss of being accompanied by our great collaborator and friend, Prof Jacques Abramowicz, who was involved in the Executive Board and WFUMB activities for many years. He held the president-elect position as the AIUM representative. As we no longer have AIUM as part of the WFUMB, the federations understood that it made no sense to have an AIUM representative as president. Therefore, unfortunately, our dear friend and president-elect had to leave the WFUMB Council and was not able to take on the role of President. I do think that was the worst and most difficult part of my term.
Apart from that there have been very positive changes. First, the UMB Editor-in-chief has been appointed and has already done great work improving the impact factor. We have launched the UMB open-access journal, meaning that we have appointed an Editor in Chief for both journals during my term. There was a fabulous World Congress in Timisoara in 2022 and we have worked hard to ensure that the next conference will be as great a success. We made great partnerships with other bodies such as ISR, ICUS, WFPI, RAD-AID, WMC, ITW and IFMSA among others, and have extended our relationship with existing partners. We created a new kind of Centre of Education: WFUMB Mobile CoE, giving further possibilities for developing CoE's in parts of the world where there is no option for a conventional Centre.
Nowadays, we keep our Committees as much as possible balanced among federations, giving all opportunities to collaborate, work, improve and be part of this great federation, which has a mission to spread the best practice of ultrasound.
Thank you all, for supporting me and making this challenging term a success and enabling us to look forward to better times.
EUROSON 2023 Pre - Congress School, 24 May, 2023, RIGA, LATVIA
President of WFUMB Prof. Christina Chammas has said: “The EURSON 2023 program is fantastic! I’m sure it will be a rewarding exchange of experiences and it’s a great opportunity to meet colleagues and to be updated on ultrasound. It’s my pleasure to invite you to participate in EUROSON 2023. It will be held in Riga, Latvia from May 25 to 27.“
Prof. C. Chammas will be in Riga, Latvia and this is the opportunity to hear her lectures focused on head-and-neck topics and contrast-enhanced ultrasound.
The highlight is Pre-Congress School on Elastography dedicated to the Liver and superficial organs - featuring world-renowned expert Richard G. Barr.
This exclusive event will provide a unique opportunity to participate in hands-on training on elastography with limited number of participants.
You'll learn the latest techniques and best practices for using elastography in your practice.
Don't miss your chance to learn from one of the best in the field - register now for our Practical Pre-Congress School on Elastography and take your skills to the next level!
APC is waived until May 31, 2023
WFUMB Ultrasound Open is a new journal dedicated to the advancement of ultrasound research and clinical practice. As an official, international, peer-reviewed Open Access journal of the World Federation for Ultrasound in Medicine and Biology (WFUMB), the journal will 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.
WFUMB Ultrasound Open is a sister journal to Ultrasound in Medicine and Biology (UMB).
We invite you to submit your manuscripts to WFUMB Ultrasound Open, and join us in advancing the science and practice of ultrasound. To submit your work, please visit our website. We look forward to your contributions.
1,300 participants attended this meeting with topics on Ob/Gyn, MSK, Gastrointestinal, Vascular, Interventional, CEUS, PoCUS, Paediatrics, Dermatology, Elastography and Echocardiology.
WFUMB speakers were invited to cover topics such as interventional ultrasound, TRUS implication in anal and rectal diseases (Christian Nolsoe), CEUS, Multiparametric US in Hepatology, US Screening of NFALD (Ioan Sporea) plus biliary US, GI and PoCUS in palliative medicine (Dieter Nuernberg).
Ob/gyn sessions attracted large audiences with lectures by ISUOG President Laurent Salomon on NIPT and first trimester scanning and ISUOG Practice Guidelines: diagnosis and management of small for gestational age fetus and fetal growth restriction as well as lectures from Lorna Poon from the China University of Hong Kong on ISUOG Guidelines Performance of the routine first trimester fetal ultrasound scan.
All this was expertly organised by Nguyễn Phước Bảo Quân with industry supporting the congress. After a long day of sessions, the attendees were treated to excellent Vietnamese cuisine and hospitality.
The fourteenth Ethiopian CoE educational event took place at Tikku Enbessa aka Black Lion Hospital in Addis Ababa 20th through 22nd March entitled “Post-graduate Course in Abdominal Ultrasound”
Following an involuntary and unwanted 3-years-absence of ultrasound courses at Ethiopia CoE due to both COVID-19 and civil war, there was a rising need and demand for medical ultrasound education directed towards MDs and other health care providers.
Against this background it was decided to arrange the next course once again in Addis Ababa , the only Ethiopian city currently recognized by most western countries to be fairly safe, and take a pause from continuing previous years strategy of bringing ultrasound to the other larger cities of Ethiopia.
As with previous courses this was a three-party-collaboration involving Ethiopian CoE, Haukeland University Hospital and WFUMB, with WFUMB CoE Task Force Chair, Odd Helge Gilja in the role as main organizer and lecturer.
Faculty included Geir Folvik (Haukeland), Christian Pállson Nolsøe, (WFUMB Education Co-Chair) Abdulsemed Mohammed (Ethiopian CoE Director) plus other Black Lion Hospital MDs, delivering a total of 24 lectures.
It may be appreciated that the 3-days-content spanned a wide range of ultrasound applications in various medical specialties and included both lectures and practical training.
The course was well-attended with a total of 35 participants at audience peak, and highly successful when judged by the written evaluation forms.
Attendees came from several clinical specialties including abdominal surgery, internal medicine, gastroenterology, hepatology and OB-GYN but also from pre-specialist internship programs.
Over 90 % had ticked off lectures and hands-on training as very useful and of great relevance with the greatest remark being a note that more hands-on would be appreciated.
The latter being a never failing opinion that perhaps ought inspire to rethinking course format and challenge course organizers to build the core theoretical education directly into hands-on sessions even perhaps at the expense of much less traditional lecture-time?
Just a suggestion for potential consideration for future course providers.
On behalf of the visiting faculty I am happy to congratulate Ethiopian CoE with this successful arrangement.
We strongly hope this may mark the beginning of a fruitful and positive development for medical ultrasound all over Ethiopia.
Christian Pállson Nolsøe MD PhD
Centre for Surgical Ultrasound, Dep of Surgery, Zealand University Hospital, Køge
Asc Prof, Copenhagen Academy for Medical Education and Simulation (CAMES)
University of Copenhagen, Denmark
Chairman WFUMB Education Committee & WFUMB Outreach & COE Director
Past-President, World Federation for Ultrasound in Medicine and Biology (WFUMB)
Pictures from clinical hands-on sessions
30 January – 2 February 2023
Cristina Chammas, Sudhir Vinayak, Ioan Sporea and Lynne Rudd visited the Arab Health Exhibition for the first time and joined over 105,000 attendees in the bast exhibition halls. We had planned meetings with various ultrasound companies – Canon, GE, Samsung, Fujifilm, Siemens, Philips and Mindray. Our main objective was to encourage industry to sponsor the next congress WFUMB 2023 Muscat, Oman and as the focus is Africa and the Middle East we were in discussion with the representatives from this region and came away with a positive impression that support will be forthcoming.
We contacted other companies we have not previously met at RSNA – Esaote, Chison and Zoncare and will find out if this produces any sponsorship. Dr Saqar Altai, WFUMB Congress Co-President joined us for some of the meetings.
The group took time to explore new machines, such as the Mindray TE Air wireless handheld ultrasound system.
Tuesday 4th to Thursday 6th April 2023. For medical doctors with minimal ultrasound skills.
EOI must be submitted online through the link below no later than 16th March 2023.
The International Federation of Medical Students Associations (IFMSA), founded in 1951, is one of the world’s oldest and largest student-run organisations. It represents, connects and engages every day with an inspiring and engaging network of 1.5 million medical students from 139 National Member Organisations in 130 countries around the globe. Core activities of IFMSA focus on several main areas, such as public health, human rights, medical education, sexual and reproductive health and rights, including HIV and AIDS. In addition to this, IFMSA, together with national member organisation, organise worldwide professional and research exchanges for medical students. Their motto is ‘Think globally, act locally’.
Lucia Pérez Gómez is the IFMSA Liaison Officer to Medical Sciences and Research issues and the person in discussion with externals, such as WFUMB. Lucia is a 5th year medical student in Madrid and despite having final exams in May has been heavily involved in the March Meeting in Tallinn, Estonia and hosting WFUMB attending their General Assembly.
Other externals present at the meeting were the World Federation of Medical Education (WFME) President, Professor Ricardo León-Bórquez and from the Council for International Organisation of Medical Sciences (CIOMS), Dr Lembit Rago who talked about responsible research, ethics and innovation. He referred to the pandemic clinical trials of which 95% were wasted being based on too small groups of patients and of poor quality in an effort to repurpose drugs for potential use in Covid treatment.
One of the first impressions of this biannual meeting is the enthusiasm of the 1,000 worldwide student delegates present and their willingness to actively participate in the sessions. Maybe the team building exercises really work.
The students were interested to learn about WFUMB and the free material available on the WFUMB website such as the Ultrasound Book and webinars. There is a clear interest and impatience to learn about ultrasound. Only a handful of students indicated that ultrasound teaching is included in their medical school curriculum. The organisation will provide a valuable forum for student input to future WFUMB publications on ultrasound education.
The students asked for webinars initially focused on trauma and basic ultrasound. I would propose we consider podcasts (audio and audio visual) which can be based on the WFUMB Ultrasound Book but delivered in short bite size chunks for eager but busy students. To collect feedback and further topics they recommend using wooclap.com at the end of the webinar.
The number of medical schools worldwide (Aug 2017 from www.wdoms.org) is:
Americas – 825 (350 in Brazil)
Europe – 587
Mediterranean – 354
South-East Asia – 590 (392 in India)
Western Pacific 408
27th Workshop of the Center of Education Bangladesh of the World Federation for Ultrasound in Medicine and Biology [WFUMB] was held on 3 & 4 March 2023, Friday & Saturday at BIAM Multipurpose Hall, 63 New Eskaton, Dhaka 1000. Prof. Byung-Ihn Choi-South Korea, Advisor of the WFUMB COE Bangladesh; Prof. Kanu Bala-Bangladesh: Director of the WFUMB COE Bangladesh; Prof. Nihal Al Riyami-Oman: Chairman of the Scientific Committee of WFUMB Congress 2023 in Muscat; Prof. Nitin Chaubal-India, Former President of IFUMB; Prof. Manjula Virmani-India: President of IFUMB; Prof. TLN Praveen-India: Former President of IFUMB; Prof. Jyoti Chaubal-India: Women’s Health Researcher joined as WFUMB Faculty.
BSU’s President Prof. Mizanul Hasan formally inaugurated and concluded the program. Former Advisor to the Government of Bangladesh Prof. Syed Modasser Ali was the Chief Guest while Bangladesh Atomic Energy Commission Chairman Prof. Ashoke Kumar Paul was the Special Guest. A Product Exhibition was there for the participants.
It was an “Ultrasonography First Ultrasonography Last in Obstetrics and Gynecology” program with many new useful topics. There were “Patient and Probe Sessions”. 300 Participants from India, Pakistan, Oman, Korea, and Bangladesh joined and enjoyed the programs. The organizers would like to thank the Guests, Resource Personnel, and Participants for successful completion of the workshop.
Prof. Kanu Bala MBBS, PhD, FRCP
Director, WFUMB COE Bangladesh
Bangladesh Society of Ultrasonography
10/26 Eastern Plaza, Hatirpool, Dhaka 1205
Tel: 9668739, 01720699755, E-mail: email@example.com
Facebook Group: www.facebook.com/groups/wfumb.coe.bd/
15 – 17 March 2023
Organised by The Egyptian Society of Radiology and Nuclear Medicine with 400 participants.
The WFUMB Ultrasound Session was originally planned to take place at ICR in 2020 in Muscat, Oman but because of the pandemic this was cancelled. A full morning of ultrasound sessions was provided by the WFUMB Executive Board. President, Prof Cristina Chammas, talking about US appearances of thyroid nodules and evaluation of cervical lymph nodes, Prof Leandro Fernandez on renal US and transcranial colour Doppler use in Sickle Cell Disease as well as testicular US for male infertility. Prof Seung H Kim spoke about Doppler US and CT diagnosis of the nutcracker phenomenon and syndrome. Prof Christoph F Dietrich entertained the room talking about KISS in LiRADS, the language of the bowel and the differential diagnosis of small solid pancreatic regions. Prof Sudhir Vinayak reported on the impact of Artificial Intelligence in breast imaging. All the lectures provoked questions from the audience. Following the success of the ultrasound sessions it was agreed that this should be a regular event and that ISR would send speakers to WFUMB’s congresses.
WFUMB met with the International Society of Radiology (ISR) and the 203 Memorandum of Understanding is under review as it was agreed that the combined forces of ISR and WFUMB when discussing with organisations such as the WHO and IAEA would be stronger if we presented together.
The Opening Ceremony saw the handover to the new ISR President, Bibb Allen and we learnt that Prof Sudhir Vinayak is the new ISR President Elect.
The named lectures covered topics such as farming in Australia and how automation and scientific advances have changed the nature of macadamia farming! Eric Stern chose to talk on success and failure; that CVs only contain the successes but that everyone has faced rejection for example not getting the job they wanted or a paper rejected for publication.
His take home message was to stop dwelling on failure
Definitely worth sharing!
The following WFUMB Workshop "Multiparametric ultrasound of the thyroid gland", took place onsite and online on Friday, 24 March, Repromed plus multidisciplinary hospital.
Lecturers included Sergiu Puiu (Chisinau), Cristina Rizov (Chisinau), Dana Stoian (Timisoara), Xenia Bondareva (Chisinau), Victor Iatisin (Chisinau) and Stepan Suparski (Chisinau).
The course was well attended with 102 on-site and 137 on-line participants.
How & when did you begin your ultrasound career?
When I was an obgyn resident, every morning we had a staff meeting to summarize the events of the previous 24 hours and plan the day. One morning, in 1978, the chair of the department announced that a “new machine” had arrived, called “ultrasound” and asked who wanted to “play” with it. I had read some articles on this new technology and raised my hand. I was told: “It’s in room 300”. I went there after lunch and found a blanket-covered machine: a small sign indicated “ADR 2130”. As I was holding the long and heavy linear transducer and looking for the on-off switch, there was a knock on the door. A nurse was pushing a patient on a wheelchair. “Is this ultrasound?” I hesitantly had to answer “Yes”. “She has toxemia (that’s what it was called at the time), they think the baby is small and they want you to estimate the weight”. She helped the patient onto a bed and left. From my readings, I knew you need to measure the fetal BPD and AC and proceeded to find what I hoped was the cephalic presentation (we still performed Leopold maneuvers!), took measurements and, consulting one of the articles came up with an estimated weight (which turned out not to be too far from the BW). From that day on, I performed scans every day, until I went to the chair and suggested I go somewhere to actually learn ultrasound. I ended up in London, at King’s College Hospital with Professor Stuart Campbell where I spent almost a year, working with an Emisonic 42W (formerly Nuclear Enterprises Diasonqgraph 4200) static scanner as well as a new GE “real-time” instrument. “Prof” as Stuart Campbell was called, suggested I work in the antenatal ultrasound clinic to replace (not exactly replace!) one of the technicians who was going on maternity leave. I did, first supervised and then quite independently. It’s at King’s that I wrote my first ever article: Rodeck CH, Mibashan RS, Abramowicz J, Campbell S. Selective feticide of the affected twin by fetoscopic air embolism. Prenat Diagn. 1982 Jul;2(3):189-94. To have my name associated with these giants was extraordinary for me. And the rest is history. During that time (1980), a young attending joined the department at King’s. His name was Kypros Nicolaides. And the rest is also history!
What were your ultrasound career highlights?
I had the great fortune of meeting or working with wonderful individuals. Many of them are not only colleagues but friends. They are (in alphabetical order): Alfred Abuhamad, Lindsey Allan, Philipe Arbeille, Beryl Benaceraff, Katia Bilardo, Stuart Campbell, Josh Copel, Francis Duck, Arthur Fleischer, Hassen Gharbi, John Hobbins, Philippe Jeanty, George Kossoff, Fred Kremkau, Karel Marsal, Dev Maulik, Eberhard Merz, Larry Platt, Dolores Pretorius, Charles Rodeck, Roberto Romero, Gail ter Haar, Ilan Timor-Tritch, Yves Ville, Steven Warsof and Marvin Ziskin and all the sonographers I worked with and who taught me so much. I know there were more and apologize for not mentioning them.
Each could be the subject of a WFUMB Luminary article, and I learned from all of them. Giving the William Fry lecture and receiving the Presidential award at the AIUM annual meeting, the Rudy Sabaggha lecture at Northwestern University or the Jinsan Lecture at the Korean Society of Ultrasound annual meeting were great honors but my major accomplishment are the many students, residents, sonographers and midwifes I had the honor of teaching ultrasound to, whose eyes I was able to open to this wonderful technology and in whom I was able to instill the love of the field. One significant highlight was to be elected by my peers as WFUMB president-elect, a fitting pinnacle, I thought, to my ultrasound career. Unfortunately, this was not followed by me becoming President, after AIUM decided not to renew its membership in WFUMB.
What has been the most significant change you have seen in ultrasound technology?
In my opinion, the most significant innovation was the introduction of real-time gray scale. I saw the gamut: from static B-scan, to real-time gray scale, Doppler (continuous at first at King’s College Hospital with David Griffin, then pulsed), color Doppler and, naturally 3D/4D. All of these and many others (harmonic imaging, ultrasound contrast agents, elastography) have advanced our clinical diagnostic (and, in some cases, therapeutic) capabilities but real-time gray-scale is what we still use nowadays, every day, everywhere and is really the basis of what we do, clinically.
What has been your most recent involvement with ultrasound?
I must distinguish clinical and research involvement.
Clinical: I’ve been performing diagnostic ultrasound in obstetrics and gynecology since arriving in the United States in 1987, first as a fellow at the Eastern Virginia Medical School in Norfolk VA, then Rochester NY, Chicago, and Detroit. I returned to the University of Chicago in 2016 as director of Ultrasound and the Fetal and Neonatal care Center which I was instrumental in establishing. In fact I had wanted to create such an entity at the University of Chicago since 2000 but various factors prevented the creation. When I joined Rush University Medical Center in Chicago in 2005, very quickly such a center was founded and I was its first co-director. More recently, with the arrival of the Covid-19 epidemic, I became involved with infection control, particularly practice of infection control within the frame of the epidemic. Finally, I am now dedicated to ultrasound quality assurance which is a topic that is, unfortunately, too often neglected.
Research: This has taken me from the use of ultrasound contrast agents (UCA) in the placental circulation (I published the first review on the use of UCA in ObGyn in 1997) to the use of targeted agents in early diagnosis of ovarian cancer in egg-laying chicken, the only animal which develops ovarian cancer identical in every aspect to the human cancer. The model was mostly conceived by Animesh Barua, PhD with whom we have been collaborating for almost 15 years. We were the first group to publish in peer-reviewed journals images of chicken ovarian cancer, first with gray-scale, with transvaginal or, rather transcloacal ultrasound (yes, a regular vaginal probe and don’t go “OMG, this is huge for a small chicken” because if the egg can come out, the probe can go in!)), then pulsed and color Doppler and, finally, with UCA.
Safety: This has been my passion since becoming involved with ob ultrasound. I had the good fortune of becoming part of a select group involved with bioeffects and safety, mostly basic scientists with very few physicians and have been involved in bioeffects and safety education and the writing of many safety-related documents and guidelines. I chaired the committee that revised/wrote the 4th edition of the manual entitled ‘‘Medical Ultrasound Safety’’ which accompanies all ultrasound instruments sold in the United States, as required by the FDA.
Committees: I’ve been involved with committees work for AIUM, ISUOG, WFUMB and others from the beginning of my career. I have been part of AIUM’s Bioeffects Committee since 1997, elected its Chair twice, Chair of AIUM’s Subcommittee on Epidemiology of Bioeffects Committee for 10 years, Chair of the ISUOG Safety Committee for 9 years and Chair of the WFUMB Safety Committee for 10 years. I’m also on the WHO Task Force on Non-ionizing Radiation and member of the ultrasound expert group of the International Commission on Non-Ionizing Radiation Protection (ICNIRP).
I was a member of WFUMB for 12 years, Chair of the WFUMB Safety committee for 10 years, treasurer for 6 years and President-elect from 2021-2022. I had the pleasure, privilege and honor to work with many wonderful people and be involved in spreading ultrasound to the underserved world.