Since 2006 Luis Donoso-Bach has been chairman of the diagnostic imaging department at the Hospital Clínic of Barcelona and Professor of radiology at the University of Barcelona. He has received numerous honours for his contributions to radiology and since 2000, has served the European Society of Radiology (ESR) in various capacities, including as President in 2015–2016.
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Head of Diagnostic Imaging Hospital Clínic of Barcelona, University of Barcelona, Spain
Imaging is entering a more demanding chapter of digital transformation. AI is no longer a distant promise or a standalone pilot sitting at the edge of the workflow. It is increasingly expected to function like any other clinical capability: dependable, auditable and aligned with patient outcomes, service performance and professional accountability. That shift changes the questions leaders ne1
READ MOREClient-centred care has moved from aspiration to expectation. People increasingly judge health services not only by clinical outcomes, but by how well systems respect individual needs, preferences and lived realities across the care journey. Meeting those expectations demands more than better bedside interactions. It depends on how organisations design pathways, govern digital change, pur1
READ MOREHealthcare systems around the world are increasingly pressured to reduce costs while maintaining high-quality patient care. Rising operational expenses, changing regulations and workforce challenges require a more strategic approach to financial management. Cost efficiency now extends beyond simply cutting expenses; it involves optimising processes, improving resource allocation and leveragi1
READ MOREThis issue focuses on the transformative power of talent in reshaping healthcare. In an industry driven by innovation and evolving patient needs, the role of visionary leaders and skilled professionals has never been more critical. Our contributors explore how talent-driven strategies can empower organisations to navigate complex challenges, embrace emerging technologies, and foster a cult1
READ MORERadiologists can significantly improve their professional effectiveness and team dynamics by avoiding common mistakes such as ineffective communication, improper delegation, avoiding difficult conversations, failing to adapt, and neglecting work-life balance. By addressing these issues head-on, radiologists can foster a more innovative, cohesive, and supportive work environment, ensuring l1
READ MOREPrecision medicine, also called personalised medicine, involves tailoring medical treatment and interventions to the individual characteristics of each patient. These characteristics may include genetic makeup, molecular profiles, environmental factors, lifestyle choices, and personal preferences. The goal of precision medicine is to optimise the effectiveness of healthcare by providing trea1
READ MOREThe COVID-19 pandemic accelerated the digital transformation of health systems, prompting a shift in focus towards improving patient experiences and innovative forms of care delivery. Healthcare leaders are responsible for delivering improved, more effective care, but they face challenges in navigating the complexities of digitalisation. In this context, effective leadership is crucial for ensuri1
READ MOREArtificial Intelligence and Robotics are now being used everywhere in healthcare, whether its robotic surgery, genetic testing, data collection, cancer research or more. However, healthcare is still in an evolutionary stage when it comes to AI and Robotics and is in the process of testing and experimentation to assess whether and how this technology can become an integral part of the future of he1
READ MOREThere is no doubt that Artificial Intelligence (AI) can transform how we deliver care. It can increase clinician productivity and improve efficiency and enable existing healthcare systems to provide care to more people than before. AI can also improve data analysis and utilisation, facilitate better decision-making and promote early diagnosis and treatment. In addition, the application of AI in 1
READ MOREThe COVID-19 pandemic has made it abundantly clear that healthcare systems worldwide need significant transformation and change. There is an urgent need for new models of care to improve patient outcomes and be better prepared for future health crises similar to the recent pandemic. With the increasing prevalence of chronic disease and a consistent increase in urban population worldwid1
READ MOREHealthcare is known for its slow pace of change, but the pandemic has its own, much faster one. Leaders are compelled to deal with novel solutions, processes and skills. However, numerous gaps and discrepancies still exist and must be addressed. HealthManagement.org asked healthcare experts what has been the most challenging experience of introducing something new in their practice and why. 1
READ MOREThe debate about Artificial Intelligence (AI) versus healthcare personnel shows no sign of abating. While we can safely say that the role of physicians is not under any serious threat from technology, AI will be critical in managing data for more efficient diagnosis, workflow and patient care. ‘The Future is Digital’ offers exciting views on data curation and clarifies other ‘grey’ areas that1
READ MORERadiologists, more than any other medical specialty, feel the professional and emotional ‘whiplash’ that began five or so years ago. Vanishing jobs (transforming radiologists into production units) for cost over quality for our patients, to the current shortage and need for more radiologists. AI introduced the threat that automation would take what few positions remained; now we know it can be a1
READ MORENew book to provide a roadmap for optimisation In a soon-to-be released book, experts offer their knowledge and guidance for optimising quality and safety in radiological practice. Summer 2018 will see the release of a monograph edited by Prof. Lluis Donoso Bach and Prof. Giles Boland. Quality and Safety in Imaging provides a roadmap for optimising quality and safety within radiology p1
READ MORETaking control of your reputation has become far more complex in recent decades, with advanced technology presenting widespread opportunities. If well choreographed, use of the many tools, platforms and channels on hand can lead to significant strength, propelling your reputation; but if orchestrated badly, your online and offline involvement could actually present damage. Absence or presence fro1
READ MOREWithout risk there is no progress or development. But risk, as with any professional action, needs to be identified and managed if its potential is to be harnessed optimally. A strong position on risk management is essential in today’s rapidly-changing healthcare world to avoid danger; danger in cyber security, danger in staff care and, critically, danger in patient outcomes. In this issue of Hea1
READ MOREEditor-in-Chief Imaging, HealthManagement.org Professor of Radiology , University of Barcelona Try not to become a man of success, but rather try to become a man of value Management Tip: Delegation! It is always worth investing time and resources in helping members of the department to be able to resolve issues as much as possible in their posit
READ MOREAs HealthManagement.org The Journal ’s imaging Editor-in-Chief, Professor Lluís Donoso, comes to the end of his term as president of the European Society of Radiology (ESR) , we took the opportunity to speak to him about developments at the ESR, the state of radiology, and the role of management and leadership. How have you enjoyed your term as President of the ESR? I was quite sure t
READ MOREThe care continuum is well upon us and has become a rapidly evolving concept as the medical profession tries to move forward while keeping abreast of developments in and around the health sector Radiology’s role in the care continuum is a matter I have witnessed and personally dealt with during my experiences at Hospital Clinic Barcelona when piloting the ESR iGuide imaging referral guidelines. 1
READ MORERADIATION DOSE - THE RESPONSIBILITY OF ALL The demand for medical imaging examinations is constantly growing, making safety and quality in radiological practice and the risk of unnecessary radiation more important than ever. Public awareness and concern have grown across a wide range of media. People are worried, they receive conflicting, sometimes confusing information, and they come to the 1
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Prof. Lluís Donoso is Editor-in-Chief - Imaging, HealthManagement.org The Journal . He became President of the European Society of Radiology in 2015. Prof. Donoso is Director of Diagnostic Im1
READ MOREDear readers, I am honoured to introduce myself as the new Editor-in-Chief for IMAGING Management, with the inspiring challenge ahead of continuing in the established footsteps of my predecessor, Prof. Iain McCall. I would like to take this opportunity to thank Prof. Iain McCall for his long commitment and hard work for IMAGING Management, and extend my promise of continuing to develop the h1
READ MOREDear readers, Our cover story this issue is on building the imaging service. Prof. Alan Dilani sets the scene by looking at the influence of design and architecture on health. He sheds light on research into the factors in the physical environment that can promote health, well-being and increase productivity and profitability. Anil Shastri then considers the factors involved in designin1
READ MOREDear readers, As radiologists we chose our vocation for many individual reasons – a love of medicine, radiology’s key role in diagnosis, the ever-developing technology, the chance to make a difference. Qualifying as a radiologist takes many years, but what if there is not a job at the end? Planning the radiology workforce is a complex issue for any country. Factors affecting demand include n1
READ MOREAuthor Section Editor-in-Chief - IMAGING Prof. Lluís Donoso Bach Worldwide, emergency and trauma cases account for a large proportion of patients presenting at hospital. The World Health Organization estimates that injuries account for 9% of deaths. Clearly there is still much that can be done to improve outcomes in emergency and trauma, and our cover story considers some o1
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