EIBIR 1 - EIBIR Stage Bonus Session 1

Author Block: E. Nischwitz¹, A. Kerpel-Fronius², J. Chorostowska-Wynimko³, M-P. Revel⁴, I. Horvath², M. K. Vasakova⁵, T. Gerriet Blum⁶, H. Prosch⁷, H-U. Kauczor¹; ¹Heidelberg/DE, ²Budapest/HU, ³Warsaw/PL, ⁴Paris/FR, ⁵Prague/CZ, ⁶Berlin/DE, ⁷Vienna/AT
Purpose: With strong evidence from clinical trials demonstrating that lung cancer screening (LCS) improves patient outcomes, it is now critical to reinforce these findings by evaluating LCS participant data from newly implemented pilots and programs. A central objective of the Strengthening the Screening of Lung Cancer in Europe (SOLACE) initiative is the systematic collection of real-world data (RWD) across its 19 data-providing sites.
Methods or Background: The SOLACE consortium unites 37 partners from 15 EU Member States across a variety of medical specialties. This multidisciplinary team focuses on supporting the implementation of equitable LCS. The three SOLACE pilots focused on the engagement of previously underrepresented groups in LCS, including women, hard-to-reach individuals, and individuals with co-morbidities linked to lung cancer risk.
Results or Findings: With multidisciplinary input, a core common data model was developed to capture key LCS findings and harmonize the heterogeneous results across the 19 data-providing sites. Both individualized and aggregated data were centrally collected within the SOLACE Database. These data span the entire screening pathway, including demographic and recruitment information, smoking history, screening results, radiation dose, and follow-up and treatment information, when applicable.
The SOLACE Database will contain 25,000 total participant records, including 18,000 individualized records. Previously underrepresented groups in LCS will account for over 90% of the individualized dataset.
Conclusion: The SOLACE Database will enable the systematic evaluation of the benefits and risks of LCS, efficacy of recruitment methods, as well as facilitate the in-depth analysis of sub-populations. This rich resource of RWD will provide critical evidence to guide the equitable implementation of LCS across Europe.
Limitations: Data sharing is limited to the SOLACE consortium; however, the consortium is committed to ensuring the wide dissemination of the findings and insights derived from this dataset.
Funding for this study: This project is co-funded under the EU4Health Programme 2021–2027 under grant agreement no. 101101187.
Has your study been approved by an ethics committee? Not applicable
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Author Block: M. Zapparoli, C. Barbosa de Souza, R. Guimarães, L. A. Brolini Delle Urban, A. Tachibana; São Paulo/BR
Purpose: The implementation of socio-environmental practices in diagnostic imaging services is still a challenge in
Brazil. Certification through the CBR Socio-Environmental Seal allows for the assessment and encouragement of
advances in sustainability, considering three certification levels: Bronze, Silver and Gold. This study evaluates nine diagnostic imaging institutions to identify the level of certification they would achieve if they were assessed by the seal, highlighting challenges and opportunities for improvement
Methods or Background: A survey was conducted based on the 73 criteria of the CBR Socio-Environmental Seal, distributed across six
pillars: environmental management, human rights, suppliers, infrastructure, labor practices and society. The institutions
classified their practices as compliant, partially compliant or non-compliant.
Results or Findings: Of the nine services assessed, seven would achieve Bronze level, one institution would achieve Silver level and
one would not achieve certification. The main obstacle to advancing towards certification is low compliance with
environmental and social criteria. The average compliance with Bronze level criteria was 78%, while at Silver level it was
35% and at Gold level, 12%.
Conclusion: Most imaging services are still in the early stages of socio-environmental maturity. The CBR Socio-
Environmental Seal represents a structured path to boost sustainability in radiology, encouraging continuous
improvements and strengthening sustainable practices.
Limitations: There is no limitation.
Funding for this study: There is no financing.
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Author Block: M. Zapparoli, L. A. Brolini Delle Urban, C. Barbosa de Souza, R. Guimarães, A. Tachibana, H. Carrete Jr, A. M. C. DE SOUZA; Curitiba/BR
Purpose: The CBR Socio-Environmental Seal was created to certify imaging services that adopt sustainable
practices, considering three maturity levels: Bronze, Silver and Gold. The certification process encourages continuous
improvement and strengthens socio-environmental governance in the sector. This paper presents the methodology of the CBR Socio-Environmental Seal, detailing the criteria evaluated and their
application in radiology.
Methods or Background: The certification is based on 73 criteria distributed across six pillars, structured into three levels: 27 criteria for
Bronze, 24 for Silver and 22 for Gold. The assessment is carried out through self-assessment, document audit and
evidence analysis.
Results or Findings: The most demanding pillars at the Gold level are environmental management (7 criteria) and human rights (5 criteria). At the Silver level, there is greater demand in infrastructure (6 criteria) and suppliers (4 criteria). The Bronze level mainly requires labor practices and operational safety.
Conclusion: The CBR Socio-Environmental Seal structure allows for a comprehensive assessment of the socioenvironmental
practices of diagnostic imaging services. Adopting this certification can raise quality and sustainability
standards in the sector.
Limitations: There is no limitation.
Funding for this study: There is no financing.
Has your study been approved by an ethics committee? Not applicable
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Author Block: P. Serrano¹, C. Soler-Pons¹, S. Flor¹, J. Soto², V. Sóñora³, F. J. Medina Álvarez⁴, A. Orduña Galán⁴, L. Marti-Bonmati⁴; ¹Valencia, Spain/ES, ²Madrid/ES, ³La Coruña/ES, ⁴Valencia/ES
Purpose: To assess the maturity of European hospital Data Warehouses (DWHs) within the EUCAIM consortium, focusing on their ability to generate high-quality datasets for secondary use, aligned with the federation’s requirements for Real World Data Holders.
Methods or Background: A descriptive cross-sectional study was conducted using a structured self-assessment questionnaire distributed to participating hospitals. Respondents included data scientists, IT specialists, and data protection officers. The questionnaire explored technical characteristics, data domains, standards and vocabularies, accessibility, governance, privacy and legal frameworks, and hardware capacity. Responses were scored on a 0–3 scale to create comparable maturity profiles. Aggregated scores were analyzed visually and statistically, and hospitals were grouped using k-means clustering and expert review.
Results or Findings: The survey revealed a diverse DWH maturity landscape. Most hospitals reported having a DWH with varied capabilities, including ETL processes, backup policies and imaging data integration. Use of common data models and standardized vocabularies was widespread but uneven. Governance and de-identification procedures were present in several institutions, while others lacked formal documentation. Three clusters emerged: entry-level, intermediate and/or transitioning, and advanced hospitals.
Conclusion: DWH maturity varies across European hospitals due to institutional and national challenges. EUCAIM can guide improvement by providing feedback, fostering collaboration, and connecting less mature institutions with advanced ones, enhancing their ability to generate on-demand datasets for research and supporting observational studies in the European Health Data Space.
Limitations: Results are based on 24 hospitals; analyses will evolve as more join. Hospitals face financial, technical, and legal challenges, including limited funding, lack of skilled staff, resistance to change, complex data integration, and regulatory uncertainty around data protection and anonymization. Investment in education, governance, and pilot projects show promising progress, highlighting the need for coordinated strategies.
Funding for this study: Funding was provided by EUCAIM, a project co-funded by the European Union under Grant Agreement 101100633.
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