Radiology

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  • The sonographic “coffee bean” sign helps distinguish an axillary neurofibroma from a lymphadenopathy

    Journal of Clinical Ultrasound
    Sung Eun Song, Bo Kyoung Seo, Jung-Woo Choi, Gil-Soo Son, Kyu Ran Cho, Baek Hyun Kim
    21 Apr 2013 | 11:57 pm
    ABSTRACT Axillary masses may represent various soft tissue tumors or lymphadenopathy. Neurofibromas are benign peripheral nerve sheath tumors and, while they are very uncommon, it is important to remember that neurogenic tumors arising from brachial plexus can develop in the axilla. We describe an axillary neurofibroma arising from the brachial plexus that presented with a “coffee bean sign” on sonography that distinguished it from axillary lymphadenopathy. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound, 2013;
  • CT Lung Screens Catch Most Cancers (CME/CE)

    MedPage Today Radiology
    22 May 2013 | 5:08 pm
    (MedPage Today) -- The National Lung Screening Trial found that CT scans were highly sensitive in detecting lung cancer in smokers but weren't very specific in ruling out the malignancy.
  • Less Invasive Autopsy Works Nearly as Well (CME/CE)

    MedPage Today Radiology
    17 May 2013 | 6:55 am
    (MedPage Today) -- A minimally invasive approach using postmortem MRI may represent a viable alternative to a conventional autopsy in fetuses, children, and teens, researchers found.
  • X-Ray Diffraction Shows How Frog Embryos Could Help Thwart Disease

    Radiology / Nuclear Medicine News From Medical News Today
    21 May 2013 | 12:00 am
    An international team of scientists using a new X-ray method recorded the internal structure and cell movement inside a living frog embryo in greater detail than ever before. This result showcases a new method to advance biological research and the search for new treatments for genetic diseases...
  • Radiographic Alternative for Opening Joint Spaces

    Topics in Radiography
    Jeremy Enfinger
    21 Apr 2013 | 9:29 pm
    We all know the basics of opening joint spaces on our radiographs.  Keep the joint space opening perpendicular to the image receptor while aligning the central ray directly to the joint.  No problem... x-ray 101 right?  But what about those joint spaces like wrists and ankles?  You know, the ones where some of the radiologists say "you should have gotten more of the tibia (or forearm)!"  Sometimes it's good to include a little extra - especially if your radiologists prefer it when there is obvious deformity. The problem lies within x-ray beam geometry.  I was…
 
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    MedPage Today Radiology

  • CT Lung Screens Catch Most Cancers (CME/CE)

    22 May 2013 | 5:08 pm
    (MedPage Today) -- The National Lung Screening Trial found that CT scans were highly sensitive in detecting lung cancer in smokers but weren't very specific in ruling out the malignancy.
  • IMRT Benefits in Prostate Cancer Questioned (CME/CE)

    20 May 2013 | 4:35 pm
    (MedPage Today) -- Men with prostate cancer gained no obvious benefits from treatment with intensity-modulated radiation therapy (IMRT) as compared with an older, less expensive technique, an analysis of a government database suggests.
  • MRI Predicts Failing MoM Hip Implants (CME/CE)

    17 May 2013 | 2:46 pm
    (MedPage Today) -- Synovial volume as measured by MRI is highly predictive of metal-on-metal (MoM) hip implant failure in both symptomatic and asymptomatic patients, a study has found.
  • Women in 40s Still Going for Mammograms (CME/CE)

    17 May 2013 | 9:00 am
    (MedPage Today) -- The rate of breast cancer screening among women in their 40s does not appear to have declined significantly, despite national guidelines recommending otherwise, a new study found.
  • Less Invasive Autopsy Works Nearly as Well (CME/CE)

    17 May 2013 | 6:55 am
    (MedPage Today) -- A minimally invasive approach using postmortem MRI may represent a viable alternative to a conventional autopsy in fetuses, children, and teens, researchers found.
 
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    RADIOLOGY - Google News

  • Southwest England hospitals deploy joint cloud-based radiology information ... - MTBeurope

    22 May 2013 | 11:27 am
    Southwest England hospitals deploy joint cloud-based radiology information MTBeuropeAccenture has completed the deployment of a cloud-based radiology information system (RIS) for a consortium of five NHS hospitals and 23 facilities in Southwest England. Using Accenture Clinical Services, the new platform enables clinicians to store, Accenture deploys cloud platform for NHS radiology centressourcingfocus.comNHS hospitals get real-time imaging in the CloudPublicTechnology.netall 2 news articles »
  • Shady Grove Radiology-Shady Grove Breast Center Designated an ACR Breast ... - PR Web (press release)

    22 May 2013 | 12:25 am
    Shady Grove Radiology-Shady Grove Breast Center Designated an ACR Breast PR Web (press release)Shady Grove Radiology-Shady Grove Breast Center, located at 9711 Medical Center Drive, Suite 201, Rockville, Maryland, has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR). The ACR recognizes a and more »
  • St. Joseph's Imaging Associates Selects Merge's Radiology Suite - NASDAQ (press release)

    21 May 2013 | 8:57 am
    St. Joseph's Imaging Associates Selects Merge's Radiology SuiteNASDAQ (press release)The Merge Outpatient Radiology Suite provides an integrated suite of solutions for an entire radiology business. From the modality to the front office to the back office, Merge solutions deliver more efficient workflow from scheduling through report
  • Leading Radiology Into the Future: New ACR Foundation campaign to develop ... - News-Medical.net

    19 May 2013 | 10:05 pm
    Leading Radiology Into the Future: New ACR Foundation campaign to develop News-Medical.netHealth care in the U.S. is changing, and radiologists, at all career levels, need to obtain the leadership skills necessary to adapt to these changes and keep radiology as central to the delivery of high quality medical care. In response to this and more »
  • LBCC student earns radiology honor - Albany Democrat Herald

    18 May 2013 | 7:06 am
    LBCC student earns radiology honorAlbany Democrat HeraldKelly Solberg, a radiologic technology student at Linn-Benton Community College, has been selected to participate in the American Society of Radiologic Technologists 2013 Student Leadership Development Program. Solberg, a Eugene resident, was one of
 
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    News, Information, Articles, Reviews, and Blogs - radRounds Radiology Network

  • ACR Whitepaper on Teleradiology Practice Published Online in JACR

    radRounds Radiology Network
    20 May 2013 | 6:41 pm
    Reston, Va. (May 20, 2013) – The ACR Whitepaper on Teleradiology Practice, published online May 20 in the Journal of the American College of Radiology (JACR), proposes comprehensive best-practice guidelines for the practice of teleradiology, with recommendations offered regarding future ACR actions to ensure quality patient care. “Teleradiology is now embedded in the workflow of many radiology practices throughout the United States, driven largely by an expanding corporate model of services. This brings opportunities and challenges to providers and recipients of these services and…
  • ACR Foundation Launches National Campaign to Benefit Generations of Future Radiology Leaders

    radRounds Radiology Network
    16 May 2013 | 5:12 pm
    Reston, Va. (May 16, 2013) — Health care in the U.S. is changing, and radiologists, at all career levels, need to obtain the leadership skills necessary to adapt to these changes and keep radiology as central to the delivery of high quality medical care. In response to this growing need, the American College of Radiology (ACR) Foundation recently launched a national fundraising campaign calledLeading Radiology Into the Future. All proceeds of this new initiative will be used to further develop and strengthen the Radiology Leadership Institute™ (RLI) — radiology’s first professional…
  • Radiologist Compensation Report for 2013 - How does your income stack up?

    radRounds Radiology Network
    27 Apr 2013 | 8:51 am
    If you are a radiologist, how is your income compared to your peers?  Medscape recently completed a radiologist compensation survey.   See the results here.  Over 22,000 radiologists were surveyed.   Please click the link below to view the compensation report: (SOURCE: MEDSCAPE.COM)
  • ACR Achieves Highest CME Accreditation Status

    radRounds Radiology Network
    16 Apr 2013 | 10:16 am
    Reston, Va. (April 16, 2013) — The American College of Radiology (ACR) has been awarded Accreditation with Commendation for six years as a provider of continuing medical education (CME) for physicians by the Accreditation Council for Continuing Medical Education (ACCME). Accreditation with Commendation is awarded to providers that demonstrate compliance in each of the ACCME’s 22 accreditation criteria. This honorable designation is achieved by approximately 21 percent of ACCME-accredited providers. “This achievement is a testament to the medical community that the ACR is dedicated to…
  • Can YouTube be effective in radiology education?

    Andrew Dixon
    30 Mar 2013 | 6:00 pm
    We've all heard of YouTube and chances are you have watched more than a few videos on the site over the years. But what is relatively unknown is whether YouTube is an effective and desirable location for online radiology education. Six months ago, and with the collaborative backing of Radiopaedia.org, I launched ‘Radiology Channel’ as an experimental project to try and answer this question. With 18 video tutorials under our belt, more than 26,000 video views and 1,300 subscribers, the early results seem positive. But it’s now time to dig a little deeper. As part of our planned…
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    Radiology News

  • Minimizing Hair Loss Due To Cancer Radiation Therapy

    23 May 2013 | 4:05 am
    Discovering that mouse hair has a circadian clock - a 24-hour cycle of growth followed by restorative repair - researchers suspect that hair loss in humans from toxic cancer radiotherapy and chemotherapy might be minimized if these treatments are given late in the day.
  • CT detects twice as many lung cancers as X-ray

    22 May 2013 | 11:50 pm
    "For a cancer screening to work, it's important to verify that it can in fact discover cancers early.
  • Intermountain to track radiation due to medical exams

    22 May 2013 | 5:26 pm
    Intermountain is the only health care organization in the country currently monitoring medical radiation exposure, said David Barnes, an emergency physician at Intermountain Medical Center.
  • Twin Cities Community Hospital Receives American College of Radiology Gold Seal

    22 May 2013 | 4:21 pm
    Twin Cities Community Hospital, a 122-bed acute care hospital delivering medical care for the communities in the north San Luis Obispo County region, has been awarded a three-year term of accreditation in computed tomography as the result of a recent review by the American College of Radiology and its Committee on Computed Tomography Accreditation.
  • Eagle Ridge Hospital now offering infertility test

    22 May 2013 | 10:05 am
    By Sarah Payne - The Tri-City News Published: May 22, 2013 8:00 AM Updated: May 22, 2013 8:41 AM Eagle Ridge Hospital recently became one of the few sites in the Lower Mainland to offer the hysterosalpingogram , which can identify the cause of a woman's inability to become pregnant.
 
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    Journal of Medical Imaging and Radiation Oncology

  • Initial human experience with Rubidium-82 renal PET/CT imaging

    Abdel K Tahari, Paco E Bravo, Arman Rahmim, Frank M Bengel, Zsolt Szabo
    22 May 2013 | 7:20 pm
    Abstract IntroductionPreclinical data have shown that Rubidium-82 chloride (82Rb) is a radiotracer with high first pass extraction and slow washout in the kidneys. The goal of this study was to investigate the feasibility of human kidney imaging with 82Rb positron emission tomography (PET) and obtain quantitative data of its uptake non-invasively. MethodsEight healthy volunteers underwent dynamic PET/CT imaging with 82Rb. A preprogrammed pump was used to insure reproducible injections. Tissue time activity curves were generated from the renal cortex. An input function was derived from the…
  • Computed tomographic colonography (CTC); colorectal cancer diagnosis with CTC in an Auckland population

    Helen Moore, Nicholas Dodd
    21 May 2013 | 6:23 pm
    Abstract AimTo determine the sensitivity of computed tomographic colonography (CTC) in the detection of colorectal cancer in our population and evaluate the reasons why these lesions may be missed on CTC. MethodsAll patients who underwent CTC in the 65-month period from 1 January 2004 to 1 July 2009 were included in the analysis. Demographic data and CTC findings were recorded, according to the CT Colonography Reporting and Data System. Data were cross-matched with the National Cancer Registry results for colorectal cancer cases between 1 January 2004 and 1 October 2009, 3 months longer to…
  • Can intensity-modulated radiation therapy spare the central flapped area while encompassing the target volume in radiotherapy after immediate breast reconstruction?

    Jung Ae Lee, Won Sup Yoon, Se Young Chung, Dae Sik Yang, Suk Lee, Young Je Park, Chul Yong Kim, Gil Soo Son, Eul Sik Yoon
    20 May 2013 | 12:57 am
    Abstract IntroductionRadiotherapy increases the morbidity of immediate breast reconstruction. To spare the flapped area without an adverse dose distribution of the target volume and organ at risks, various radiation techniques were assessed. MethodsTwelve breasts undergoing skin-sparing mastectomy and immediate transverse rectus abdominis myocutaneous flap reconstruction were evaluated. After a delineation of whole breast, the doughnut-like breast target volume (BTV) including the chest wall and skin and the subtracted central flapped volume (FV) were defined. The opposed wedge tangential…
  • Evaluation of clinical hypothyroidism risk due to irradiation of thyroid and pituitary glands in radiotherapy of nasopharyngeal cancer patients

    Zhixiong Lin, Xiaoyan Wang, Wenjia Xie, Zhining Yang, Kaijun Che, Vincent WC Wu
    16 May 2013 | 4:04 am
    Abstract IntroductionRadiation-induced thyroid dysfunction after radiotherapy for nasopharyngeal cancer (NPC) has been reported. This study investigated the radiation effects of the thyroid and pituitary glands on thyroid function after radiotherapy for NPC. MethodsSixty-five NPC patients treated with radiotherapy were recruited. Baseline thyroid hormone levels comprising free triiodothyronine (fT3), free thyroxine (fT4) and thyroid-stimulating hormone (TSH) were taken before treatment and at 3, 6, 12 and 18 months. A seven-beam intensity-modulated radiotherapy plan was generated for each…
  • Clinical and imaging features of male breast disease, with pathological correlation: A pictorial essay

    Angeline Mei Lian Ng, Deepthi Dissanayake, Cecily Metcalf, Elizabeth Wylie
    16 May 2013 | 4:04 am
    Summary The majority of male breast diseases are benign. The most common is gynaecomastia. Although it is rare, the most critical diagnosis is a malignancy. Radiologists are generally less familiar with breast disease in males compared with females. This pictorial review will highlight the ultrasonographic, mammographic and pathological features of a spectrum of benign and malignant male breast diseases. This includes gynaecomastia, fat necrosis, lipoma, epidermoid cyst, subareolar abscess, chronic inflammation, melanoma and ductal carcinoma.
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    Cardiovascular Ultrasound - Latest Articles

  • A novel parasternal transthoracic echocardiographic window for detecting coronary ostial dilation after modified Bentall surgery

    Austin Ng
    19 May 2013 | 5:00 pm
    Background: During the modified Bentall surgery (aortic root replacement), a cuff of native aorta is implanted, together with the coronary ostium, into the aortic graft. Multi-detector computed tomography (MDCT) imaging can accurately assess the coronary ostial anastomosis site post-surgery. In this study, we assessed the feasibility of imaging the coronary ostial anastomosis site using transthoracic echocardiography (TTE). Methods: Patients (n = 14, mean age 65 +/- 12 years, 79% males) with previous Bentall surgery underwent TTE study, with MDCT (64-slice) as the reference standard. TTE used…
  • Non invasive evaluation of cardiomechanics in patients undergoing mitraclip procedure

    Fabio Guarracino
    3 May 2013 | 5:00 pm
    Background: In the last recent years a new percutaneous procedure, the MitraClip, has been validated for the treatment of mitral regurgitation. MitraClip procedure is a promising alternative for patients unsuitable for surgery as it reduces the risk of death related to surgery ensuring a similar result. Few data are present in literature about the variation of hemodynamic parameters and ventricular coupling after Mitraclip implantation. Methods: Hemodynamic data of 18 patients enrolled for MitraClip procedure were retrospectively reviewed and analyzed. Echocardiographic measurements were…
  • Transthoracic echocardiography reference values in juvenile and adult 129/Sv mice

    Maurícia Vinhas
    30 Apr 2013 | 5:00 pm
    Background: In the recent years, the use of Doppler-echocardiography has become a standard non-invasive technique in the analysis of cardiac malformations in genetically modified mice. Therefore, normal values have to be established for the most commonly used inbred strains in whose genetic background those mutations are generated. Here we provide reference values for transthoracic echocardiography measurements in juvenile (3 weeks) and adult (8 weeks) 129/Sv mice. Methods: Echocardiographic measurements were performed using B-mode, M-mode and Doppler-mode in 15 juvenile (3 weeks) and 15…
  • Gene therapy for cardiovascular disease mediated by ultrasound and microbubbles

    Zhi-Yi Chen
    16 Apr 2013 | 5:00 pm
    Gene therapy provides an efficient approach for treatment of cardiovascular disease. To realize the therapeutic effect, both efficient delivery to the target cells and sustained expression of transgenes are required. Ultrasound targeted microbubble destruction (UTMD) technique has become a potential strategy for target-specific gene and drug delivery. When gene-loaded microbubble is injected, the ultrasound-mediated microbubble destruction may spew the transported gene to the targeted cells or organ. Meanwhile, high amplitude oscillations of microbubbles increase the permeability of capillary…
  • The true cost of cardiovascular imaging: focusing on downstream, indirect, and environmental costs

    Larissa Braga
    16 Apr 2013 | 5:00 pm
    To develop a more realistic assessment of costs, herein named “true” costs, the extra-cancer from medical radiation, environmental damage from imaging paraphernalia and radioactive wastes must be included as long-term costs from imaging examinations. It is urgent to define the “true” costs across imaging modalities as it interferes on physicians’ decision to request an exam and on research projects such as cost-effectiveness analysis. Cardiology is the specialty that most will benefit from the outcome as cardiovascular exams represent almost 30% of the total exams acquired annually…
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    Journal of Vascular and Interventional Radiology

  • Prognostic Utility of Serum Neopterin in Obstructive Jaundice Secondary to Malignant Lesions Treated by Percutaneous Transhepatic Biliary Drainage

    Betul Yilmaz, Zuhal Parildar, Halil Bozkaya, Burcu Barutcuoglu, Celal Cinar, Gunes Basol, Mustafa Parildar, Dilek Ozmen
    31 May 2013 | 5:00 pm
    Abstract: Purpose: To perform biochemical profiles before and after percutaneous transhepatic biliary drainage (PTBD) and investigate the potential utility of measuring C-reactive protein (CRP), circulating cytokines, and neopterin, a marker of cell-mediated immunity, to predict outcomes of patients with obstructive jaundice.Materıals and Methods: In a prospective study, 47 patients with obstructive jaundice secondary to malignant lesions were evaluated before, at the fifth hour after, and on the fifth day after PTBD for neopterin, nitrate, tumor necrosis factor (TNF)-α, interleukin (IL)-6,…
  • The Use of Endovenous Laser Treatment in Toddlers

    Kendall King, Mary Landrigan-Ossar, Robert Clemens, Gulraiz Chaudry, Ahmad I. Alomari
    31 May 2013 | 5:00 pm
    Abstract: The use of endovenous laser ablation therapy in children is limited. Klippel-Trenaunay syndrome (KTS) is associated with persistent ectatic anomalous veins within the affected extremity, with increased risk of thromboembolism. The present report describes four toddlers (<20 kg) with KTS of the lower extremity who underwent a total of five endovenous laser procedures for treatment of ectatic anomalous marginal venous system, without complications.
  • Comparison of the Efficacy of Dexmedetomidine plus Fentanyl Patient-controlled Analgesia with Fentanyl Patient-controlled Analgesia for Pain Control in Uterine Artery Embolization for Symptomatic Fibroid Tumors or Adenomyosis: A Prospective, Randomized Study

    So Yeon Kim, Chul Ho Chang, Jong Seok Lee, Yoon Jae Kim, Man Deuk Kim, Dong Woo Han
    31 May 2013 | 5:00 pm
    Abstract: Purpose: To investigate whether dexmedetomidine infusion could reduce opioid consumption and opioid-related side effects after uterine artery embolization (UAE).Materials and Methods: Fifty patients undergoing UAE for symptomatic leiomyomas or adenomyosis were randomized into two groups. In 25 patients, dexmedetomidine infusion was started at 0.2 μg/kg/h at 30 minutes before the procedure, followed by 0.4 μg/kg/h for 6 hours after the procedure. In another 25 patients (control group), volume-matched normal saline solution was administered. Both groups received fentanyl-based…
  • Re: Transcatheter Arterial Embolization of Acute Arterial Bleeding in the Upper and Lower Gastrointestinal Tract with N-Butyl-2-Cyanoacrylate

    Romaric Loffroy
    31 May 2013 | 5:00 pm
    We read with great interest the article by Yata et al () reporting the effectiveness of transcatheter arterial embolization with n-butyl-2-cyanoacrylate (NBCA) in patients with acute arterial bleeding from the upper or lower gastrointestinal tract. We have several comments. First, we would like to congratulate the authors for their study (), which represents one of the most important series to date reporting results of transcatheter arterial embolization with NBCA glue as an embolic agent in such a setting.
  • Transcatheter Arterial Embolization Using Imipenem/Cilastatin Sodium for Tendinopathy and Enthesopathy Refractory to Nonsurgical Management

    Yuji Okuno, Noboru Matsumura, Sota Oguro
    31 May 2013 | 5:00 pm
    Abstract: Purpose: To evaluate the feasibility and effects of transcatheter arterial embolization with imipenem/cilastatin sodium (CS) to treat tendinopathy and enthesopathy that are refractory to traditional nonsurgical management.Materials and Methods: Transcatheter arterial embolization with imipenem/CS as an embolic agent was performed in seven patients (five men; mean age, 51.7 y) with tendinopathy and enthesopathy (patellar tendinopathy, n = 1; rotator cuff tendinopathy, n = 2; plantar fasciitis, n = 1; lateral epicondylitis, n = 1; iliotibial band syndrome, n = 1; and Achilles…
 
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    Journal of Vascular and Interventional Radiology - Articles in Press

  • Uterine Artery Embolization and Its Effect on Fertility - Corrected Proof

    Prasoon P. Mohan, Michael H. Hamblin, Robert L. Vogelzang
    20 May 2013 | 5:00 pm
    Abstract: A systematic review of literature analyzing fertility following uterine artery embolization (UAE) is presented. Twenty-one studies describing pregnancy and complications of pregnancy following UAE were included. Low-level evidence from these studies suggests that pregnancy rates following UAE are comparable to the age-adjusted rates in the general population. Although pregnancy complication rates were similar to those in patients with untreated fibroid tumors, a few studies have reported higher miscarriage rates following UAE. Further randomized controlled trials comparing UAE…
  • Adjuvant Liposomal Doxorubicin Markedly Affects Radiofrequency Ablation–induced Effects on Periablational Microvasculature - Corrected Proof

    Marwan Moussa, S. Nahum Goldberg, Beenish Tasawwar, Rupa R. Sawant, Tatyana Levchenko, Gaurav Kumar, Vladimir P. Torchilin, Muneeb Ahmed
    9 May 2013 | 5:00 pm
    Abstract: Purpose: To evaluate the effects of radiofrequency (RF) ablation without and with adjuvant intravenous (IV) liposomal doxorubicin (Doxil) on microvessel morphology and patency and intratumoral drug delivery and retention.Materials and Methods: There were 133 tumors/animals used in this experiment. First, single subcutaneous tumors (R3230 in Fischer rats and 786-0 in nude mice) were randomly assigned to receive RF ablation alone or no treatment and sacrificed 0–72hours after treatment. Next, combined RF ablation and liposomal doxorubicin (1mg given 15min after RF ablation) was…
  • Translumbar Hemodialysis Catheters in Patients with Limited Central Venous Access: Does Patient Size Matter? - Corrected Proof

    Gregory J. Nadolski, Scott O. Trerotola, S. William Stavropoulos, Richard D. Shlansky-Goldberg, Michael C. Soulen, Cormac Farrelly
    9 May 2013 | 5:00 pm
    ABSTRACT: Purpose: To describe a single institutional experience with translumbar tunneled dialysis catheters (TDC) and compare outcomes between patients with normal and abnormal body mass index (BMI).Materials and methods: Translumbar TDCs placed between January 2002 and July 2011 were reviewed retrospectively. There were 33 patients; 18 had a normal BMI<25, and 15 had an abnormal BMI>25. Technical outcome, complications, indications for exchange or removal, and BMI were recorded. Catheter dwell time, catheter occlusion rate, frequency of malposition, and infection rates were…
  • Trends in Epistaxis Embolization in the United States: A Study of the Nationwide Inpatient Sample 2003–2010 - Corrected Proof

    Waleed Brinjikji, David F. Kallmes, Harry J. Cloft
    5 May 2013 | 5:00 pm
    Abstract: Purpose: Endovascular embolization has emerged as a viable adjunct and alternative to surgical ligation in selected cases of epistaxis refractory to nasal packing. A large administrative database was used to study outcomes, complications, and trends in utilization of surgical and endovascular treatments for epistaxis.Materials and Methods: With the Nationwide Inpatient Sample from 2003 to 2010, patients with a primary diagnosis of epistaxis undergoing surgical ligation and/or endovascular embolization were identified. Trends in the use of these procedures from 2003 to 2010 were…
  • Are Cuffed Peripherally Inserted Central Catheters Superior to Uncuffed Peripherally Inserted Central Catheters? A Retrospective Review in a Tertiary Pediatric Center - Corrected Proof

    Luke M.H.W. Toh, Ertugrul Mavili, Rahim Moineddin, Joao Amaral, Philip R. John, Michael J. Temple, Dimitri Parra, Bairbre L. Connolly
    5 May 2013 | 5:00 pm
    Abstract: Purpose: To assess the use of cuffed peripherally inserted central catheters (PICCs) compared with uncuffed PICCs in children with respect to their ability to provide access until the end of therapy.Materials And Methods: A retrospective review of PICCs inserted between January 2007 and December 2008 was conducted. Data collected from electronic records included patient age, referring service, clinical diagnosis, inserting team (pediatric interventional radiologists or neonatal intensive care unit [NICU] nurse–led PICC team), insertion site, dates of insertion and removal, reasons…
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    Human Brain Mapping

  • The functional neuroanatomy of male psychosexual and physiosexual arousal: A quantitative meta-analysis

    Timm B. Poeppl, Berthold Langguth, Angela R. Laird, Simon B. Eickhoff
    14 May 2013 | 4:50 am
    Abstract Reproductive behavior is mandatory for conservation of species and mediated by a state of sexual arousal (SA), involving both complex mental processes and bodily reactions. An early neurobehavioral model of SA proposes cognitive, emotional, motivational, and autonomic components. In a comprehensive quantitative meta-analysis on previous neuroimaging findings, we provide here evidence for distinct brain networks underlying psychosexual and physiosexual arousal. Psychosexual (i.e., mental sexual) arousal recruits brain areas crucial for cognitive evaluation, top-down modulation of…
  • Functional MRI of cerebellar activity during eyeblink classical conditioning in children and adults

    Dominic T. Cheng, Ernesta M. Meintjes, Mark E. Stanton, John E. Desmond, Mariska Pienaar, Neil C. Dodge, John M. Power, Christopher D. Molteno, John F. Disterhoft, Joseph L. Jacobson, Sandra W. Jacobson
    14 May 2013 | 4:50 am
    Abstract This study characterized human cerebellar activity during eyeblink classical conditioning (EBC) in children and adults using functional magnetic resonance imaging (fMRI). During fMRI, participants were administered delay conditioning trials, in which the conditioned stimulus (a tone) precedes, overlaps, and coterminates with the unconditioned stimulus (a corneal airpuff). Behavioral eyeblink responses and brain activation were measured concurrently during two phases: pseudoconditioning, involving presentations of tone alone and airpuff alone, and conditioning, during which the tone…
  • Top-down and bottom-up influences on the left ventral occipito-temporal cortex during visual word recognition: An analysis of effective connectivity

    Matthias Schurz, Martin Kronbichler, Julia Crone, Fabio Richlan, Johannes Klackl, Heinz Wimmer
    14 May 2013 | 4:34 am
    Abstract The functional role of the left ventral occipito-temporal cortex (vOT) in visual word processing has been studied extensively. A prominent observation is higher activation for unfamiliar but pronounceable letter strings compared to regular words in this region. Some functional accounts have interpreted this finding as driven by top-down influences (e.g., Dehaene and Cohen [ 2011]: Trends Cogn Sci 15:254–262; Price and Devlin [ 2011]: Trends Cogn Sci 15:246–253), while others have suggested a difference in bottom-up processing (e.g., Glezer et al. [ 2009]: Neuron 62:199–204;…
  • Surprisingly correct: Unexpectedness of observed actions activates the medial prefrontal cortex

    Anne-Marike Schiffer, Kim H. Krause, Ricarda I. Schubotz
    14 May 2013 | 4:34 am
    Abstract Not only committing errors, but also observing errors has been shown to activate the dorsal medial prefrontal cortex, particularly BA 8 and adjacent rostral cingulate zone (RCZ). Currently, there is a debate on whether this activity reflects a response to the incorrectness of the committed action or to its unexpectedness. This article reports two studies investigating whether activity in BA 8/RCZ is due to the unexpectedness of observed errors or the incorrectness of the specific observed action. Both studies employed an action observation paradigm reliant on the observation of an…
  • The spontaneous fluctuation of the excitability of a single node modulates the internodes connectivity: A TMS-EEG study

    Federica Giambattistelli, Leo Tomasevic, Giovanni Pellegrino, Camillo Porcaro, Jean Marc Melgari, Paolo Maria Rossini, Franca Tecchio
    14 May 2013 | 4:34 am
    Abstract Brain effective connectivity can be tracked by cerebral recruitments evoked by transcranial magnetic stimulation (TMS), as measured by simultaneous electroencephalography (TMS-EEG). When TMS is targeting the primary motor area, motor evoked potentials (MEPs) can be collected from the “target” muscles. The aim of this study was to measure whether or not effective brain connectivity changes with the excitability level of the corticospinal motor pathway (CSMP) as parameterized by MEP amplitude. After averaging two subgroups of EEG-evoked responses corresponding to high and low MEP…
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    International Journal of Radiation Oncology * Biology * Physics - Articles in Press

  • Radiation Dose and Subsequent Risk for Stomach Cancer in Long-term Survivors of Cervical Cancer - Corrected Proof

    Ruth A. Kleinerman, Susan A. Smith, Eric Holowaty, Per Hall, Eero Pukkala, Leila Vaalavirta, Marilyn Stovall, Rita Weathers, Ethel Gilbert, Berthe M.P. Aleman, Magnus Kaijser, Michael Andersson, Hans Storm, Heikki Joensuu, Charles F. Lynch, Graça M. Dores, Lois B. Travis, Lindsay M. Morton, Rochelle E. Curtis
    22 May 2013 | 5:00 pm
    Purpose: To assess the dose–response relationship for stomach cancer after radiation therapy for cervical cancer.Methods and Materials: We conducted a nested, matched case–control study of 201 cases and 378 controls among 53,547 5-year survivors of cervical cancer diagnosed from 1943 to 1995, from 5 international, population-based cancer registries. We estimated individual radiation doses to the site of the stomach cancer for all cases and to corresponding sites for the matched controls (overall mean stomach tumor dose, 2.56 Gy, range 0.03-46.1 and after parallel opposed pelvic fields,…
  • Management of Respiration-Induced Motion With 4-Dimensional Computed Tomography (4DCT) for Pancreas Irradiation - Corrected Proof

    An Tai, Zhiwen Liang, Beth Erickson, X. Allen Li
    19 May 2013 | 5:00 pm
    Purpose: The purposes of this study were to quantify respiration-induced organ motions for pancreatic cancer patients and to explore strategies to account for these motions.Methods and Materials: Both 3-dimensional computed tomography (3DCT) and 4-dimensional computed tomography (4DCT) scans were acquired sequentially for 15 pancreatic cancer patients, including 10 randomly selected patients and 5 patients selected from a subgroup of patients with large tumor respiratory motions. 3DCTs were fused with 2 sets of 4DCT data at the end of exhale phase (50%) and the end of inhale phase (0%). The…
  • Phase 1 Study of Dose Escalation in Hypofractionated Proton Beam Therapy for Non-Small Cell Lung Cancer - Corrected Proof

    Daniel R. Gomez, Michael Gillin, Zhongxing Liao, Caimiao Wei, Steven H. Lin, Cameron Swanick, Tina Alvarado, Ritsuko Komaki, James D. Cox, Joe Y. Chang
    19 May 2013 | 5:00 pm
    Background: Many patients with locally advanced non-small cell lung cancer (NSCLC) cannot undergo concurrent chemotherapy because of comorbidities or poor performance status. Hypofractionated radiation regimens, if tolerable, may provide an option to these patients for effective local control.Methods and Materials: Twenty-five patients were enrolled in a phase 1 dose-escalation trial of proton beam therapy (PBT) from September 2010 through July 2012. Eligible patients had histologically documented lung cancer, thymic tumors, carcinoid tumors, or metastatic thyroid tumors. Concurrent…
  • Statistical Assessment of Proton Treatment Plans Under Setup and Range Uncertainties - Corrected Proof

    Peter C. Park, Joey P. Cheung, X. Ronald Zhu, Andrew K. Lee, Narayan Sahoo, Susan L. Tucker, Wei Liu, Heng Li, Radhe Mohan, Laurence E. Court, Lei Dong
    19 May 2013 | 5:00 pm
    Purpose: To evaluate a method for quantifying the effect of setup errors and range uncertainties on dose distribution and dose–volume histogram using statistical parameters; and to assess existing planning practice in selected treatment sites under setup and range uncertainties.Methods and Materials: Twenty passively scattered proton lung cancer plans, 10 prostate, and 1 brain cancer scanning-beam proton plan(s) were analyzed. To account for the dose under uncertainties, we performed a comprehensive simulation in which the dose was recalculated 600 times per given plan under the influence…
  • Predictive Models for Regional Hepatic Function Based on 99mTc-IDA SPECT and Local Radiation Dose for Physiologic Adaptive Radiation Therapy - Corrected Proof

    Hesheng Wang, Mary Feng, Kirk A. Frey, Randall K. Ten Haken, Theodore S. Lawrence, Yue Cao
    19 May 2013 | 5:00 pm
    Purpose: High-dose radiation therapy (RT) for intrahepatic cancer is limited by the development of liver injury. This study investigated whether regional hepatic function assessed before and during the course of RT using 99mTc-labeled iminodiacetic acid (IDA) single photon emission computed tomography (SPECT) could predict regional liver function reserve after RT.Methods and Materials: Fourteen patients treated with RT for intrahepatic cancers underwent dynamic 99mTc-IDA SPECT scans before RT, during, and 1 month after completion of RT. Indocyanine green (ICG) tests, a measure of overall…
 
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    Journal of Clinical Ultrasound

  • Prenatal diagnosis of infantile myofibromatosis of the lung: A case report and review of the literature

    Ahmet Ozgur Yeniel, Ahmet Mete Ergenoglu, Burak Zeybek, Mert Kazandi, Fuat Akercan, Coşkun Ozcan, Ali Veral
    20 May 2013 | 1:37 am
    ABSTRACT We present a case of infantile myofibromatosis of the lung detected at 32 weeks' gestation. The fetus was monitored with weekly ultrasound examinations measuring the mass size and amniotic fluid index. On day 2 after delivery, due to respiratory distress, an exploratory thoracotomy was undertaken and the mass was resected. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound, 2013;
  • Renal artery stenosis due to fibromuscular dysplasia in a transplanted kidney from a deceased donor: A difficult diagnosis at color doppler ultrasonography

    M. Venturini, G. Querques, S. Margari, G. Agostini, M. Colombo, R. Caldara, C. Socci, F. De Cobelli, A. Del Maschio
    9 May 2013 | 3:36 am
    ABSTRACT Atherosclerotic renal artery stenosis is a frequent cause of arterial hypertension and/or allograft dysfunction after kidney transplantation and is usually located at the iliac artery anastomosis. Fibromuscular dysplasia is a less frequent, nonatherosclerotic, vascular disease, inducing stenosis at the proximal/mid-distal part of the renal artery. We report the case of a 44-year-old woman, in whom serum creatinine concentration increased and arterial hypertension developed 3 months after renal transplantation. Color Doppler ultrasonography showed a low arterial resistance index and…
  • Sonographic diagnosis of bilateral pneumothorax following an acupuncture session

    Allison Harriott, Ninfa Mehta, Michael Secko, Marie-Laure S. Romney
    9 May 2013 | 3:36 am
    ABSTRACT We present the case of a 57-year-old woman who presented with the acute onset of chest pain and dyspnea, which started while undergoing acupuncture for neck pain. A bedside ultrasound revealed bilateral pneumothoraces, which were confirmed radiographically. We discuss the details of the case, the sonographic features of pneumothorax, and the role of bedside ultrasonography in the assessment of an acutely dyspneic patient. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound, 2013;
  • Monitoring of central retinal artery and vein with color doppler ultrasound during heart surgery as an alternative to transcranial doppler ultrasonography: A case report

    Massimo Venturini, Massimo Zambon, Giulia Cristel, Giulia Agostini, Giulia Querques, Michele Colombo, Stefano Benussi, Giovanni Landoni, Alberto Zangrillo, Alessandro Maschio
    21 Apr 2013 | 11:57 pm
    ABSTRACT Cardiac surgery can have severe neurologic complications. The noninvasive monitoring of intracranial circulation during heart surgery is usually performed with transcranial Doppler ultrasonography. We present the case of a 66-year-old man who underwent elective cardiac surgery for aortic valve replacement and coronary artery bypass graft, in whom monitoring was performed by simultaneously assessing blood flow velocity in the central retinal artery and vein. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound, 2013;
  • The sonographic “coffee bean” sign helps distinguish an axillary neurofibroma from a lymphadenopathy

    Sung Eun Song, Bo Kyoung Seo, Jung-Woo Choi, Gil-Soo Son, Kyu Ran Cho, Baek Hyun Kim
    21 Apr 2013 | 11:57 pm
    ABSTRACT Axillary masses may represent various soft tissue tumors or lymphadenopathy. Neurofibromas are benign peripheral nerve sheath tumors and, while they are very uncommon, it is important to remember that neurogenic tumors arising from brachial plexus can develop in the axilla. We describe an axillary neurofibroma arising from the brachial plexus that presented with a “coffee bean sign” on sonography that distinguished it from axillary lymphadenopathy. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound, 2013;
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    Radiation Oncology - Latest Articles

  • SNPs in genes implicated in radiation response are associated with radiotoxicity and evoke roles as predictive and prognostic biomarkers

    Ghazi Alsbeih
    21 May 2013 | 5:00 pm
    Background: Biomarkers are needed to individualize cancer radiation treatment. Therefore, we have investigated the association between various risk factors, including single nucleotide polymorphisms (SNPs) in candidate genes and late complications to radiotherapy in our nasopharyngeal cancer patients. Methods: A cohort of 155 patients was included. Normal tissue fibrosis was scored using RTOG/EORTC grading system. A total of 45 SNPs in 11 candidate genes (ATM, XRCC1, XRCC3, XRCC4, XRCC5, PRKDC, LIG4, TP53, HDM2, CDKN1A, TGFB1) were genotyped by direct genomic DNA sequencing. Patients with…
  • Accuracy of robotic patient positioners used in ion beam therapy

    Olaf Nairz
    20 May 2013 | 5:00 pm
    Background: In this study we investigate the accuracy of industrial six axes robots employed for patient positioning at the Heidelberg Ion Beam Therapy Center. Methods: In total 1018 patient setups were monitored with a laser tracker and subsequently analyzed. The measurements were performed in the two rooms with a fixed horizontal beam line. Both, the 3d translational errors and the rotational errors around the three table axes were determined. Results: For the first room the 3d error was smaller than 0.72 mm in 95 percent of all setups. The standard deviation of the rotational errors was at…
  • Impact of very long time output variation in the treatment of total marrow irradiation with helical tomotherapy

    Yutaka Takahashi
    19 May 2013 | 5:00 pm
    Background: Beam-on time in Total Marrow Irradiation (TMI) delivery with helical tomotherapy is more than 30 minutes. The purpose of this study was to investigate extended time output variation in tomotherapy machine without dose servo system and its impact on the dosimetry of TMI planning.Materials and methods: The calibration procedures with 1800 seconds delivery were conducted. The slab and cylindrical phantoms were used for static and rotational output variation measurements, respectively. All measurements were performed in 0.1 second interval with an Exradin A1SL ionization chamber…
  • Dose-volumetric parameters and prediction of severe acute esophagitis in patients with locally-advanced non small-cell lung cancer treated with neoadjuvant concurrent hyperfractionated-accelerated chemoradiotherapy

    Farkhad Manapov
    16 May 2013 | 5:00 pm
    Background: To identify dose-volume parameters predictive for severity of acute esophagitis (CTC > grade 2) in locally-advanced non small-cell lung cancer (LA-NSCLC) patients treated with neoadjuvant concurrent hyperfractionated-accelerated chemoradiotherapy (HA-CRT) a retrospective analysis was performed. 88 patients were treated with HA-CRT followed by radical surgery. Predictive power of absolute oesophageal length, absolute and relative oesophageal volume included in the 95%-isodose, patient- and tumor-related factors for severity of acute esophagitis was assessed.FindingsA total of 82…
  • Plasma uric acid and tumor volume are highly predictive of outcome in nasopharyngeal carcinoma patients receiving intensity modulated radiotherapy

    Hui Lin
    14 May 2013 | 5:00 pm
    Background: The combined predictive value of plasma uric acid and primary tumor volume in nasopharyngeal carcinoma (NPC) patients receiving intensity modulated radiation therapy (IMRT) has not yet been determined. Methods: In this retrospective study, plasma uric acid level was measured after treatment in 130 histologically-proven NPC patients treated with IMRT. Tumor volume was calculated from treatment planning CT scans. Overall (OS), progression-free (PFS) and distant metastasis-free (DMFS) survival were compared using Kaplan-Meier analysis and the log rank test, and Cox multivariate and…
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    radiology « WordPress.com Tag Feed

  • My plan

    endangeredqueen
    11 May 2013 | 7:31 pm
    So I’ve broken up with my bf…and I don’t feel sad. I actually feel relieved, I now understand the definition of a rebound relationship. Now I have an idea, it sounds slighty crazy but ultimately I feel that it’s a good idea. There’s a guy that I’ve liked for a while. We’ve had long convo’s about random things, and there is definitely a connection between us. I don’t want to ruin our connection by starting a relationship right now or with sex (whether its just talking about it or doing it). I dont really have to worry about doing it because…
 
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    x-ray « WordPress.com Tag Feed

  • Breast Screening: hardly a pleasure trip but the consequences of not having it could be far more unpleasant

    Sophia Moseley
    29 Apr 2013 | 5:46 am
    When I received a letter from the Somerset Breast Screening Centre, the alarm bells started to ring. Why had they contacted me? What did they know that I didn’t? Having had the X-ray, would I go through days of mentally debilitating torture whilst I waited to hear the worst? I cannot deny I do have a tendency for the dramatics – it goes with the territory of being a writer – and when I calmed down I realised it was probably part of the Government’s drive toward preventative health care as the letter said they are now ’inviting’ women under the usual…
  • Dentist

    Blender Fox
    28 Apr 2013 | 11:31 pm
    Interesting fact I found out on Saturday. Even though I’m into my fourth decade, a visit to my local dentist for a checkup revealed that I still had two wisdom teeth that hadn’t come through, and based on the angle of them, if they do come out, they will cause problems with my other teeth. And here I was, thinking all my teeth had come through already….
  • A-Z Challenge: X is for…

    Miriam
    27 Apr 2013 | 10:00 pm
    …X-ray This post is one of 26 I am writing for the A-Z Challenge on the subject of writing a memoir. I’m not an expert in writing memoirs, but I’m exploring the topic with thoughts about writing one, and am happy to share the fruits of my exploration. —-0—- An x-ray machine enables a radiologist to see inside you. Your memoir enables your readers to see inside you. Are you ready for the exposure that publishing a memoir will cause? Am I? Unfortunately, but excitingly, I probably won’t be able to respond to your comments before the beginning of May. But do please keep…
  • Control freak

    relationshipxray
    27 Apr 2013 | 4:53 pm
    All the events in my life led to me wanting to control the outcome of every action I ever do or is being done around me. Though I have to say I’m kind of a hectic, last minute control freak, because I like doing everything myself and the workload is for at least 4 people, even if I work for two and three, I never get things done till the deadline. So I set earlier deadlines. Crazy right? The true wrong part is that life gave me traumas, so I ended up defending myself against it more and more, but my many sides let me miss the important parts. Every time I’ve let my guard down I…
  • Confused

    relationshipxray
    27 Apr 2013 | 3:39 pm
    I don’t know what is wrong with me. Right now I have two sides living inside myself, at the same time, thinking at the same time. I have two sets of thoughts on every subject and two set of actions that i can do and they are always at the opposite sides. So today I wanted to go out with people, but I hated people and I wanted to be alone, but resented my loneliness  I wanted someone to pick me up, but I told him not to because I wanted, but also didn’t wanted to go out. I thought it would be too hard to leave my house and that it would be comfortable to stay in, but it…
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    Health Imaging Hub | All Countries News

  • EHR Mastery Proves Elusive for Many

    23 May 2013 | 2:48 pm
    They never said navigating the electronic medical record landscape would be easy — at least not at first. And as new regulations from both federal and state spheres begin to tighten their hold around the industry, the valleys of ...
  • U.S. Interventional X-Ray Equipment Market Rebounding

    22 May 2013 | 2:36 pm
    After three years of contraction, the U.S. interventional X-ray equipment market has, as of the end of 2012, begun to veer back into positive growth, according to a report from the market research firm Frost & Sullivan. The change ...
  • White Paper to Support Teleradiology

    21 May 2013 | 2:45 pm
    A white paper on teleradiology is due to be issued by the European Society of Radiology in December this year, to coincide with the Radiological Society of North America conference in Chicago. A task force made up of 13 ...
  • Whittington Picks Set of Sectra Systems

    21 May 2013 | 2:21 pm
    The Whittington Hospital in North London has signed a ten-year contract with Sectra to provide a PACS, RIS and vendor neutral archive. The Sectra system will replace a PACS from Siemens Healthcare, originally procured in 2001, well before the ...
  • Barking Digitises Breast Screening

    21 May 2013 | 1:45 pm
    Barking, Havering and Redbridge University Hospitals NHS Trust has signed a five-year contract with Sectra to implement a new breast imaging PACS, replacing its existing film-based system. Sectra was chosen in part because it was able to meet the ...
 
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    Sumer's Radiology Site

  • Retained Broken Injection Needle-MRI

    Sumer Sethi
    21 May 2013 | 12:24 pm
    17 years old girl with history of injection at the site 5 years ago with pain presently. MR shows susceptibility artifacts at the deltoid insertional site with no significant fluid collection or abscess formation or osteomyelitis with X-ray suggesting 3 mm needle tip possibly from the injection needle within the granulomatous response.  Differential would include foreign bodies of other varieties. Case Submitted by Dr MGK Murthy & Mr Abdul Hamid. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at…
  • Ruptured Sinus of Valsalva:CT

    Sumer Sethi
    21 May 2013 | 11:03 am
    Cardiac CT images reveal Ruptured sinus of valsalva aneurysm into right atrium just above septal tricuspid leaflet with left to right shunt.  Contributed by Dr Rakesh Gopal , Apollo hospital Chennai  (Consultant Interventional Cardiologist) Studied Interventional Cardiology at Sree Chitra Tirunal Institute for Medical Sciences and Technology From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com
  • OBOW Exams in Medical Universities in India

    Sumer Sethi
    19 May 2013 | 12:12 pm
    It may take ages to reach to this point in India, but if i was ever made an examiner in a Radiology exam, i would rather look to pass a candidate with more day to day skills than the one who has mugged up all the data.  The kind of exam i would to conduct would be an Open Book, Open Web format, which would be more in line with our actual day to practise. Candidate i believe should have fair search skills and should know where to look for. Of course time limits should be strict so that the radiologists understand the value of turn around times and more marks would on the reporting…
  • Patellar instability-CT

    Sumer Sethi
    19 May 2013 | 11:35 am
    Patellar Instability (TT - TG measurement)  Case Submitted by Dr Ayush Goel Risk factors for patellar instability :1. Trochlear dysplasia, 2. High positioning of the patella (aka patella alta)3. Lateralization of the tibial tuberosity (measured as distance between the tibial tubercle and the trochlear groove or the TT-TG distance )Normal TT-TG is less than 15mm Borderline 15 - 20Abnormal > 20mmThe images show measurement of TT-TG distance.Method : A tangential is drawn joining the posterior margins of femoral condyles. A line is drawn passing through the deepest point…
  • Should I Opt for DNB Radiology?

    Sumer Sethi
    12 May 2013 | 12:52 pm
    Well this is an often asked question and answer to this is YES, if you are interested in the branch and are unable to get MD Radiology , DNB is a fair bet, slight catch being somewhat lesser passing rate in DNB, although this has improved in last few years.  DNB today for all practical purposes is equivalent to MD even for academic centres. Pay-package wise there is hardly any difference in the private sector.  Usually, in the first go, people prefer: Delhi, Mumbai and Hyderabad for DNB and also, Bangalore & Pune. Usual places preferred in Delhi are Saftardjung, Gangaram,…
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    Topics in Radiography

  • CR Quality Control Summary

    Jeremy Enfinger
    11 May 2013 | 10:11 am
    A consistent quality control program goes a long way toward maintaining a high standard of image quality within your radiology department.  The tests posted within this series are not all-inclusive for every CR system, but may provide as a good start for the beginning stages of any QC program.  Variations may occur if your department utilizes a hard-copy laser printer and/or measurement tools at the QC station (or to include the radiologists' work station). As a general rule of thumb, most CR vendors recommend designating one person as the quality control technologist.  Other…
  • CR Quality Control #10 – Residual Image Testing

    Jeremy Enfinger
    9 May 2013 | 6:16 pm
    This test evaluates the CR reader’s erasure function and should be performed semi-annually.  Each exposed image plate should be adequately erased during the processing cycle to prevent a residual image on the next image. Procedure: Erase your dedicated test IP Place a lead apron on the floor of your x-ray room (use same room that baseline image was performed in) Place test IP on lead apron Place phantom on cassette (same orientation as baseline image) Raise the x-ray tube to maximum height, center, and open collimation about 1" past edges of test IP Expose the phantom at using twice…
  • Shape Distortion

    Jeremy Enfinger
    7 May 2013 | 7:08 pm
    One of the most fun courses I have taken and taught is exposure principles.  This course typically introduces students to different types of distortion that can occur on the radiograph.  Size distortion, otherwise known as simple distortion or magnification, occurs when OID is increased.  The other type of distortion, shape distortion, can be broken down into two main categories; foreshortening and elongation. Foreshortening is when the radiographic image measures shorter in one dimension than the actual object being radiographed.  The only way this can happen is if the…
  • CR Quality Control #9 - Exposure Linearity

    Jeremy Enfinger
    6 May 2013 | 8:47 pm
    This test should be done semi-annually and tests for the CR system's ability to properly rescale images that are over or under exposed.  It also measures accuracy of the exposure indicator and its ability to increase/decrease in relationship to the exposure value. Procedure: Erase your dedicated test IP Place a lead apron on the floor of your x-ray room (use same room that baseline image was performed in) Place test IP on lead apron Place phantom on cassette (same orientation as baseline image) Raise the x-ray tube to maximum height, center, and open collimation about 1" past edges of…
  • Radiographic Alternative for Opening Joint Spaces

    Jeremy Enfinger
    21 Apr 2013 | 9:29 pm
    We all know the basics of opening joint spaces on our radiographs.  Keep the joint space opening perpendicular to the image receptor while aligning the central ray directly to the joint.  No problem... x-ray 101 right?  But what about those joint spaces like wrists and ankles?  You know, the ones where some of the radiologists say "you should have gotten more of the tibia (or forearm)!"  Sometimes it's good to include a little extra - especially if your radiologists prefer it when there is obvious deformity. The problem lies within x-ray beam geometry.  I was…
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