The Opening Keynote of CARS 2012
“The quest for patient friendly surgery” presented by Professor Sir Alfred Cuschieri, Scuola Superiore Sant’Anna Pisa and Institute for Medical Science and Technology, University of Dundee.
The keynote lecture will trace the origin, subsequent development and diffusion of minimal access surgery (MAS), the underpinning disruptive technologies which enabled the clinical translation of this surgical approach which is primarily designed to reduce the traumatic insult to the patient and thus enable rapid recovery from surgical intervention. It will demonstrate how MAS changed surgical practice across the surgical specialities and how it has stimulated further technological progress resulting in a new era of technologically-dependent surgical interventions, and how the quest for further reduction in the traumatic insult to the patient and efforts to improve cosmesis by reduction of visible scars has continued since the introduction of MAS in the mid 1980s.
The problems which were encountered during the clinical introduction of MAS which impact of safe use by surgeons together with realization of its ergonomic restrictions and how these have been overcome by progress in enabling technologies will also be reviewed. MAS has had a profound impact on surgical training programmes and has been the major stimulus to the development of surgical simulation in the form of physical and virtual reality simulators which have become embedded in most surgical training curricula to supplement the clinical apprenticeship system. The lessons learned from the MAS should help us in ensuring that future medical disruptive technologies will be introduced more efficiently and without any compromise to patient safety.
Alfred Cuschieri is Professor of Surgery at the Scuola Superiore Sant’Anna in Pisa and Chief Scientific Advisor to the Institute of Medical Science and Technology (IMSaT). Previously he was Professor and Head of Department of Surgery and Molecular Oncology at Ninewells Hospital and Medical School, University of Dundee. His research interests include minimal access therapy, endoscopic surgery, technology and micro-robotics, ergonomics, nanotechnology and nanoscience and virtual/augmented reality systems for skills training. Alfred Cuschieri is the European Editor-in-Chief of Surgical Endoscopy and serves on the Editorial Board of 10 other peer review journals.
The Takahiro-Kozuka Honorary Lecture
“Biomedical imaging research, today and tomorrow” presented by Professor Hans Ringertz MD, PhD, Department of Radiology, Stanford University, CA, USA and Centre for Imaging Science and Visualization, Linköping, Sweden.
The role of imaging in biomedical research has changed drastically during the last 10 years. There is a trend around the world to change the research organization of medical schools in order to stimulate cooperative efforts and increase external funding. On top of the conventional medical university departments, more or less virtual institutes are formed around the major diseases e.g. neuroscience, oncology, regenerative medicine, and cardiovascular diseases. One additional layer is the technology oriented centers for such areas as information technology in medicine, genetics/genomics and biomedical imaging, the latter based on imaging modalities applied on all scales from atom to individuals.
This not only means functional and morphologic imaging from a molecular and cellular level to clinical radiology with all modalities like optical-, positron- and other nuclear-, computed tomography-, and magnetic resonance imaging, but also the translation of these results from “bench to bench” and “bench to bedside”. In a second phase there is also need for a “bedside to society” transition of the biomedical and/or imaging technology.
The development can be seen as a change into personalized or precision medicine. The role of clinical imaging (radiology, pathology, molecular) in its interaction with laboratory and clinical findings will be to make the overall set of individual patient findings available for modeling and data-mining. With this type of approach the different parts oft he patient files could be goldmines when feeding and refining the individualized clinical modeling. The present attempts to analyze and use the conventional clinical approach are failing due to the limits of human capacity to handle the overwhelming data load.
Dr. Ringertz was professor and chairman of the Department of Radiology at the Karolinska Institute in Stockholm. Dr. Ringertz has a long history with the Karolinska Institute where he obtained his medical degree and a doctorate in biophysics five years later. In 1978, he became chair of the Department of Radiology at the Sachs' Pediatric Hospital in Stockholm. Dr. Ringertz now serves Professor & Chairman of the Board at the Center for Medical Image Science and Visualization at the Linköping University Hospital and as visiting professor in the Department of Radiology at the Lucile Packard Children's Hospital, Stanford University Hospital. He has received numerous awards, including honorary memberships in 19 radiological societies such as Honorary Fellow of the American College of Radiology (FACR); Honorary Fellow of the Royal College of Radiologists, London, England, (FRCR); and Honorary Fellow Faculty for Radiologists of the Royal College of Surgeons in Ireland (FFRRCSI). In 2003, he was chair of the Nobel Assembly at the Karolinska Institute. Dr. Ringertz serves as editor or ad hoc referee on the editorial board of a dozen medical publications worldwide. He was president of the European Association of Radiology from 1997 to 1999 and the International Society of Radiology 2008 to 2010 and was awarded the Gold Medal of the European Congress of Radiology and the European Association of Radiology.
We look forward to seeing you in Pisa.
Davide Caramella, MD, CARS 2012 President
Heinz U. Lemke, PhD, CARS Organizer
Stanley Baum, MD, Chairman, Computer Assisted Radiology (CAR)
Kevin Cleary, PhD, President of the International Society for Computer Aided Surgery (ISCAS)
Emanuele Neri, MD, President of EuroPACS
Kunio Doi, PhD, Chairman of Computer-Aided Diagnosis (CAD)
Allan G. Farman, PhD, Chairman of the Computed Maxillofacial Imaging Congress (CMI)
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