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Paraumbilical Pain, Nausea, VomitingCase History: 35-year-old female presented with pain in the left paraumbilical region for two days, nausea and vomiting.
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Multidetector CT reveals diverse variety of abdominal herniasAlthough most hernias involving the anterior abdominal wall or groin can be diagnosed easily by inspection and palpation, imaging is the principal means of detecting internal, diaphragmatic, and other nonpalpable or unsuspected hernias.1,2
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Image IQ: 20-year-old Male, Left Neck Pain20-year-old male with no medical history presents with left-sided neck pain for 5 days.
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Patient-centered care gains from process managementAll medical procedures, including imaging and image interpretation, are relatively risky. But the fact that we make mistakes doesn't mean that we can't control and minimize them.
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The ISR presidential pen writes, and having writ, moves onAfter 12 years on the board of the International Society of Radiology (ISR), it is with complex feelings I have entered the last stage as the organization’s immediate past president. On one hand, it is relaxing to know that new and powerful forces have taken over. On the other, it is a little bit sad to know that there was a lot left to do, issues that I should have fixed-or at least tackled to start a resolving process.
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MRI proves clinical value in lung cancerNon-small cell lung cancer is the leading cause of cancer-related deaths in women and men in the Western Hemisphere. Surgical resection remains the mainstay of therapy in disease at stages I and II, and this treatment has an acceptable morbidity and mortality rate. Imaging is needed for effective treatment planning and accurate diagnosis, including preoperative assessment of resectability.
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Absence of VisionCase History: 22-year-old male with absence of vision since birth, nasal blockage for three years, and headache for one month.
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Back to basics: imaging in countries with limited resourcesIn countries where resources are limited, only a few wealthy individuals have access to well-equipped, properly staffed private healthcare institutions.
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Varicose veins may be setting of next turf warIt's quick, safe, and relatively painless, and if interventional radiologists want to own it, they'd better step up quickly: Endovenous laser treatment of varicose veins is poised to take off, according to researchers at Cornell University. A two-year follow-up of 97 treated limbs showed a 6% recurrence rate, compared with 10% or higher recurrence that was reported for surgery, radio-frequency ablation, and transcatheter sclerotherapy.
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Patient with Complaints of Cough and Weight LossCase History: 39-year-old male patient with h/o chronic cough and weight loss. Patient was advised CT.
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CT and MRI provide impetus in heart imaging revolutionCoronary heart disease is one of the leading causes of morbidity and mortality in developed countries.1 Accurate detection of early cardiac disease is of utmost importance for the delivery of appropriate treatment.
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Hepatobiliary, pancreatic MRimaging progresses at 3TThe spatial resolution of 1.5T MRI has beenimproved by parallel imaging and 3D gradient-echo sequences.
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Brain MRI stands up to polygraph testTraditional polygraph tests to determine whether someone is lying may take a back seat to fMRI, according to a study in the February issue of Radiology. Researchers from Temple University Hospital used fMRI to show how specific areas of the brain light up when a person tells a lie.
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Techs need advanced postprocessing skillsPostprocessing software vendors sell their software based on the "push of a button" fantasy: Simply by pressing several buttons, the user completes the entire case. Although software interfaces are becoming increasingly more user-friendly, postprocessing volumetric data still requires an advanced skill set.
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CAD for pulmonary evaluation approaches mainstay statusCAD no longer stands merely for computer-aided detection. Today's robust software programs make it possible to help characterize, or diagnose, nodules, particularly in the lungs. Current computer-aided technology favors detection, but the ability to diagnose lung nodules based on certain characteristics continues to develop rapidly. It's only a matter of time before computer-aided detection and computer-aided diagnosis become mainstay tools for pulmonary evaluation.
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Swollen CheekCase History: 20-year-old male with originally painless swelling of right cheek that has become painful.
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Paraumbilical Pain, Nausea, VomitingCase History: 35-year-old female presented with pain in the left paraumbilical region for two days, nausea and vomiting.
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Workload measurement comes under scrutinyIncreasing workload is a common trend in radiology departments throughout Europe. The question is, How can we measure it effectively?
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CT report that includes all data boosts benefitsAccurate and reproducible assessment of left ventricular function is crucial for differential diagnosis, risk stratification, treatment planning, and predicting prognosis in patients with heart disease. Evaluation of global and regional LV wall motion, valvular function, myocardial mass, and, in some cases, right ventricular function produces valuable ancillary pieces of clinical information that can be obtained from a contrast-enhanced multislice CT scan.
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X-ray remains mainstay, but advanced imaging gained ground at IRIA-2010The annual meeting of the Indian Radiological and Imaging Association was held at the end of January in Ahmedabad, a historic city in the state of Gujarat. The theme of IRIA-2010 was “Research to Reality.”
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Jaw Pain While ChewingCase History: 24-year-old female with pain while chewing and locking of jaw.
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Increasing Lower Limb WeaknessCase History: 22-year-old female with bilateral lower limb weakness for 25 days.
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Primary Peritoneal MesotheliomaA 56-year-old Vietnam veteran man was admitted with a three-day history of worsening abdominal pain progressing into an acute abdomen. He had past medical history of Hepatitis C, diabetes mellitus, high blood pressure and chronic abdominal pain of unknown etiology. There was no gross bowel pathology by upper endoscopy or colonoscopy early the year of admission.
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Interventional Methods Transform TherapyInterventional radiology has developed tremendously since the term was first coined some 30 years ago.1,2 Its minimally invasive nature has made it suitable for use in emergencies and in cases when even the surgeons do not know where to begin. Radiological procedures rival surgical operations in the treatment of aneurysms (Figure 1).
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Digital imaging makes inroads in orthopedicsThe Oakland Athletics medical and training staff, preparing for spring training prior to the 2004 baseball season, considered the options for obtaining and reviewing radiographic studies. In past seasons, players went by van, five or so at a time, to local imaging facilities and offices in Phoenix and then returned to training. The process was repeated daily until examinations for the 80 or so players were completed. The films were interpreted, filed, or retained at the spring training site for later review by the orthopedists and medical staff and then traveled with the A's to California for the start of the season.
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Imaging provides answersin parasitic infectionsParasitic infections are endemic in developing countries located in tropical and subtropical regions.
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Radiologists brace for fallout from crisis of uninsuredA problem of enormous proportions in the U.S. has grown even larger during the past two years. The ranks of the uninsured have increased every year, recently passing the 20% threshold, representing 45 million nonelderly persons. Even though no dramatic annual changes have occurred, the trend is not favorable (Figure 1). The problem has persisted and steadily worsened despite expansions of Medicaid and the introduction of the State Children's Health Insurance Program (SCHIP) in the late 1990s and early 2000s.
