MedWorm: Royal College of Radiologists

Royal colleges step up Health Bill opposition

Healthcare Republic News — Mon, 30 Jan 2012 10:33:00 +0100

The Royal College of Radiologists has joined the Royal College of Nurses (RCN) and the Royal College of Midwives (RCM) in opposing the Health and Social Care Bill. (Source: Healthcare Republic News)

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The Malthus Programme — A New Tool for Estimating Radiotherapy Demand at a Local Level

Clinical Oncology — Thu, 29 Dec 2011 00:57:32 +0100

The radiotherapy delivery service in England is emerging from a 25 year blight on strategic planning and forecasting of radiotherapy demand. Two of the most influential documents used as evidence for renovation and expansion in radiotherapy services are the Royal College of Radiologists (RCR) equipment, workload and staffing survey and the National Radiotherapy Advisory Group (NRAG) report . Where the RCR survey quantified significant variation in allocation and consumption of radiotherapy resources across England and Wales, the NRAG 2007 report generated national targets for radiotherapy service provision in terms of fraction burden (40,000 fractions per million of population by 2010 and up to 54,000 fractions per million by 2016) and the proportion of cancer patients receiving radiothera...

Breast MRI at 3.0 T in a high-risk familial breast cancer screening cohort: comparison with 1.5 T screening studies.

The British Journal of Radiology — Tue, 13 Dec 2011 05:00:00 +0100

Conclusion: Given the similar summary statistics between this work and the 1.5 T results, it would appear that screening of high-risk patients at 3.0 T has potential. Further studies should be undertaken to verify this result. PMID: 22167509 [PubMed - as supplied by publisher] (Source: The British Journal of Radiology)

Response to Comment on Yeung et al “The FRCR 2B examination: A survey of candidate perceptions and experiences.”

Clinical Radiology — Thu, 10 Nov 2011 05:00:00 +0100

Sir — We thank the authors for their interest in our paper. They raise several interesting points in their detailed letter, which also proposes changing the Fellowship of the Royal College of Radiologists (FRCR) part 2B oral examination into an objective structured clinical examination (OSCE). Whilst the authors reiterate and agree with much of our paper, we feel many of their criticisms are largely unfounded and their vehement faith in OSCEs rather ill-placed and biased. (Source: Clinical Radiology)

Quantification of the UK 5-point breast imaging classification and mapping to BI-RADS to facilitate comparison with international literature.

The British Journal of Radiology — Tue, 01 Nov 2011 04:00:00 +0100

Conclusion: This study quantifies the cancer likelihood of the UK scoring and maps them to parallel BI-RADS categories, with equivalent cancer risks. This facilitates the ability to share UK research data and clinical practice on an international scale. PMID: 22011830 [PubMed - in process] (Source: The British Journal of Radiology)

The FRCR 2B examination: A survey of candidate perceptions and experiences

Clinical Radiology — Mon, 31 Oct 2011 04:00:00 +0100

I am delighted to see this open, detailed, and vigorous debate as it accurately reflects that which occurs frequently in the Examining Board, a debate in which I have been involved personally many times in my previous role as Fellowship of the Royal College of Radiologists (FRCR) part 2B examiner. (Source: Clinical Radiology)

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Re: The FRCR 2B examination: a survey of candidate perceptions and experiences

Clinical Radiology — Mon, 19 Sep 2011 04:00:00 +0100

Sir — We read with interest the article by Yeung et al. regarding the Fellowship of the Royal College of Radiologists (FRCR) part 2B examination, and would like to comment on the survey methodology, interpretation, and conclusions. (Source: Clinical Radiology)

Role of MRI in the diagnosis and management of patients with clinical scaphoid fracture

International Orthopaedics — Tue, 06 Sep 2011 15:43:26 +0100

Conclusions MRI should be regarded as the gold standard investigation for patients in whom a scaphoid fracture is suspected clinically. It allows the diagnosis of occult bony and soft-tissue injuries that can present clinically as a scaphoid fracture; it also helps exclude patients with no fracture. We believe that there is a need to implement national guidelines for managing occult scaphoid fractures. Content Type Journal ArticleCategory Original PaperPages 1-4DOI 10.1007/s00264-011-1350-3Authors Saket Tibrewal, Department of Trauma & Orthopaedics, Barts & The London NHS Trust, 59 Elmstead Lane, Chislehurst Kent, BR7 5EQ UKPrakash Jayakumar, Barts & The London NHS Trust, Whitechapel Road, London, E1 1BB UKSujit Vaidya, Barts & The London NHS Trust, Whitechapel Roa...

Implementation of Image-guided Brachytherapy for Cervix Cancer in the UK: Progress Update

Clinical Oncology — Tue, 16 Aug 2011 04:00:00 +0100

Abstract: Aims: Image-guided brachytherapy (IGBT) is the new gold standard for cervix cancer brachytherapy. In 2009, the Royal College of Radiologists (RCR) published a guidance document to facilitate the implementation of IGBT for cervix cancer in the UK. This paper reports the progress since the publication of the RCR document.Materials and methods: Questionnaires were sent to 45 UK centres known to offer brachytherapy for cervix cancer in 2011. Replies were received from 43 (96%) centres. Details collected included brachytherapy machine, imaging technique for brachytherapy planning, applicator design and total dose to point A from external beam radiotherapy and brachytherapy. The results were compared with the 2008 survey reported in the RCR document.Results: The number of centres offer...

Airport Body Scanners Safe For Public And Aircrew

Health News from Medical News Today — Thu, 02 Jun 2011 23:00:00 +0100

Airport body scanners are safe, and the public should be informed and reassured regarding their use. Those are the findings published today, Friday 03 June 2011, in a report, Airport Security Scanners & Ionising Radiation, from a working group of The Royal College of Radiologists (RCR) and the British Institute of Radiology (BIR). The group reviewed the published literature on the two types of body scanner currently being tested in the UK and abroad: the backscatter x-ray scanner is the system currently being appraised in the UK; this emits very low levels of ionising radiation... (Source: Health News from Medical News Today)

A survey of current UK practice regarding the biopsy of clinically and radiologically benign breast masses in young women

Clinical Radiology — Thu, 21 Apr 2011 23:00:00 +0100

Aim: To determine current practice in the UK of needle sampling of clinically and radiologically benign breast masses in young women.Method: A questionnaire regarding needle sampling practice in young women with clinically and radiologically benign breast masses was sent to 481 members of the Royal College of Radiologists Breast Group. This included questions on whether a written protocol is in place to allow avoidance of biopsy, and if so, the clinical and radiological criteria used.Results: Responses were available for analysis from 80 units. Forty-two (53%) units had no written policy in place, whilst 38 (47%) adhered to a written policy. Of those with a policy, an age criterion for safe avoidance of biopsy was present in 36 out of the 38 units (95%). The age limit used ranged from (Sou...

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RCR Welcomes NAO Report On High-value Equipment In The NHS In England

Health News from Medical News Today — Wed, 30 Mar 2011 16:00:00 +0100

Responding to the National Audit Office report, Managing high value capital equipment in the NHS in England, Dr Jane Barrett, President of The Royal College of Radiologists (RCR), said, "The RCR welcomes this report, highlighting as it does the need to plan for the future of this vital high-value diagnostic and treatment equipment in the fields of radiology and oncology. In the 2000s, there was an extensive and welcome period of investment in such equipment... (Source: Health News from Medical News Today)

Does Stopping the 12 Gy in Two Fractions Radiotherapy Regimen for the Palliative Treatment of Brain Metastases Improve Outcome? Audit of a Change in Practice in a Single UK Cancer Centre

Clinical Oncology — Tue, 15 Mar 2011 18:27:11 +0100

Introduction: The Royal College of Radiologists consensus statement recommends dose/fractionation regimens of 30 Gy in 10 fractions, 20 Gy in five fractions and 12 Gy in two fractions, reserving the longer fractionation for patients with a better prognosis. The Radiation Therapy Oncology Group (RTOG) recursive partitioning analysis (RPA) classifies patients with brain metastases into three prognostic groups (RPA I–III, median survival 7.1–2.3 months). An audit of patients treated in 2005 at our centre demonstrated a median survival following whole brain radiotherapy (WBRT) for brain metastases of only 54 days (6 month survival 10.9%), and patients with poor prognostic factors were more likely to receive 12 Gy in two fractions. This resulted in the cessation of this regimen at this cent...

The FRCR 2B examination: a survey of candidate perceptions and experiences

Clinical Radiology — Mon, 14 Feb 2011 00:00:00 +0100

Aim: To survey the views of recent candidates of the Fellowship of the Royal College of Radiologists (FRCR) 2B examination with reference to assessment validity, reliability, and acceptability.Materials and methods: One thousand, two hundred and four UK radiology trainees and consultants were invited to complete an automated internet questionnaire regarding their experiences and perceptions of the FRCR 2B examination. The questionnaire was informed by a review of the literature. Eligible participants were candidates who had taken the examination within the previous 3 years.Results: Four hundred and ninety-seven out of 1204 (41%) responses were received; of which 258/497 (52% of respondents) were eligible for inclusion into the study. The rapid reporting component is perceived to be signifi...

Royal College Of Radiologists Focuses On Cancer Patients On European Day Of Radiology

Health News from Medical News Today — Fri, 11 Feb 2011 08:00:00 +0100

The improvement of radiology and oncology services for patients is at the heart of the work of the Royal College of Radiologists (RCR), as it joins with radiology societies across Europe to celebrate the inaugural European Day of Radiology, Thursday 10 February 2011. Dr Jane Barrett, President of the Royal College of Radiologists, said, "We are delighted to be involved in the first European Day of Radiology. The RCR is committed to the improvement of services for patients, and covering as it does the two disciplines of Clinical Oncology and Clinical Radiology... (Source: Health News from Medical News Today)

National training scheme for the use of radioiodine in benign thyroid disease

Society for Endocrinology — Thu, 27 Jan 2011 12:00:00 +0100

Tuesday 14th June 2011, 10.00 am to 4.00 pm, Birmingham This one day course represents an essential component of the new national training scheme aiming to allow application for ARSAC certification for iodine-131 administration for the treatment of benign thyroid disease. This training programme will be appropriate for established thyroid specialists and SpRs nearing CCT. The full programme will be recognised for CPD accreditation, and has been approved by the Royal College of Physicians and the Royal College of Radiologists. For more information on the course and to obtain a registration form please contact Mrs Helen Flood, RCP West Midlands Regional Office, Birmingham Research Park, Institute of Research & Development, Vincent Drive, Birmingham, B15 2SQ. Tel: 0121 414 7020, Fax: 01...

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Royal College Of Radiologists Responds To "Improving Outcomes: A Strategy For Cancer"

Health News from Medical News Today — Thu, 13 Jan 2011 10:00:00 +0100

Dr Jane Barrett, President of the Royal College of Radiologists (RCR), said, "The RCR applauds the Strategy's emphasis on providing patients with better and quicker radiotherapy and access to cancer drugs, and faster diagnosis. We are already working with the Royal College of General Practitioners to effect better access to scans for primary care. The RCR also is keen that the new cancer drugs system will incorporate the hard work already done to ensure treatment is based on the evidence base and on value for money. "These proposals will only happen with strong national leadership... (Source: Health News from Medical News Today)

Re: Provisional reporting of polytrauma CT by on-call radiology registrars. Is it safe? A reply to Dr Orme

Clinical Radiology — Fri, 24 Dec 2010 00:00:00 +0100

We thank the writer for the interest in our paper. We cannot accept the writer’s preferred conclusion that our practice is unsafe. None of the patients in this study suffered a clinical deterioration due to under-reported findings. The writer suggests we got lucky, but the major discrepancy rate of 4% of cases in our study is similar to the 3% published by the Lyon group in their series of 105 patients. The overall discrepancy rate for registrar reporting of 24% in our study is in line with the published literature with a 21.5% error rate found by Hillier et al. in a series of 131 patients. It is clearly desirable for any discrepancy rate between provisional and final reports to be as low as possible, and whilst this should always be our aim, we must acknowledge the particular demands of...

Increased Access To Scans For Primary Care

Health News from Medical News Today — Tue, 14 Dec 2010 09:00:00 +0100

GPs and Radiologists have joined forces in a bid to make more diagnostic scans available to patients through their GP, helping improve patient care and reducing delays in diagnosis and treatment. In a joint statement, The Royal College of General Practitioners (RCGP) and the Royal College of Radiologists (RCR) announced they are working closely together to identify which scans can be most effectively provided within through GPs... (Source: Health News from Medical News Today)

Use of small bowel imaging for the diagnosis and staging of Crohn's disease -- a survey of current UK practice.

The British Journal of Radiology — Tue, 16 Nov 2010 00:00:00 +0100

Conclusion: BaFT remains the mainstay investigation for luminal small bowel Crohn's disease, with CT dominating for suspected extraluminal complications. There has been only moderate dissemination of the use of MRI and SbUS. PMID: 21081570 [PubMed - as supplied by publisher] (Source: The British Journal of Radiology)

Chemotherapy And Radiotherapy Work Together To Increase Cervical Cancer Survival Rates

Health News from Medical News Today — Sat, 21 Aug 2010 07:00:00 +0100

A combination of radiotherapy and drug treatment can be substantially more effective in treating cervical cancer that radiotherapy alone, says an audit published by The Royal College of Radiologists (RCR). The audit, appearing in the September 2010 edition of the RCR journal, Clinical Oncology, looked at over 1200 patients treated with radiotherapy in UK cancer centres in 2001 and 2002. Patients treated with radiotherapy, and those treated with chemoradiotherapy, were compared for survival, recurrence of their condition, and complications following treatment... (Source: Health News from Medical News Today)

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Significant Advance Announced In Treatment Of Cervical Cancer

Health News from Medical News Today — Sat, 21 Aug 2010 07:00:00 +0100

A medical researcher at the University of Leicester has made a significant advance in the treatment of cervical cancer. Dr Paul Symonds from the Department of Cancer Studies and Molecular Medicine has demonstrated that the use of a particular drug in collaboration with radiotherapy gives significantly better results than radiotherapy alone. The study used the case histories of 1,412 patients from 42 different cancer treatment centres which were collected in 2001-2 as part of an audit which Dr Symonds led for the Royal College of Radiologists... (Source: Health News from Medical News Today)

UK Guidelines for the Safe Delivery of Intensity-modulated Radiotherapy

Clinical Oncology — Sun, 01 Aug 2010 23:00:00 +0100

Abstract: This paper outlines the guidelines for the development of intensity-modulated radiotherapy (IMRT) in the UK. The guidelines are designed to cover the complete implementation of IMRT, with guidelines in the following categories: commissioning, quality, clinical, audit, and training and education. These guidelines have been compiled by the Radiotherapy Development Board of the Royal College of Radiologists and will support the safe application of IMRT in the UK. (Source: Clinical Oncology)

Erect chest radiography in the setting of the acute abdomen: essential tool or an unnecessary waste of resources?

Annals of the Royal College of Surgeons of England — Tue, 20 Jul 2010 23:00:00 +0100

CONCLUSIONS The majority of CXRs performed on emergency surgical admissions with abdominal pain are unnecessary. By obtaining a clear history, performing a thorough clinical examination and following the RCR guidelines most of the CXRs could be avoided. This would lead to less radiation exposure, reduce delays to diagnosis, and provide significant financial savings. PMID: 20650038 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)

“The past is a foreign country”

Radiography — Thu, 10 Jun 2010 23:00:00 +0100

Over recent years this journal has published many articles highlighting and evidencing the development of advanced practice in Radiography. Intrinsic to many aspects of advancing practice is the responsibility of radiographers to interpret and report their examinations. This can be seen as being consistent with providing the best care for patients. Is the recent statement by the Royal College of Radiologists (RCR) yet another attempt to resurrect an outdated and quaint form of medical dominance which no longer has a place in today’s modern healthcare model? The robust response by the Society and College of Radiographers (SCoR) is in keeping with a mature profession which no longer needs to defend itself, its practice or indeed its major contribution to healthcare. (Source: Radiography)

Radiology congresses in the UK

Clinical Radiology — Thu, 03 Jun 2010 23:00:00 +0100

The Royal College of Radiologists and the British Institute of Radiology have strong historical links and are natural partners. Many members of the BIR are radiologists. Therefore, when the UK Radiological Congress started facing difficulties we hoped it could be replaced by a new, more vigorous congress, under the auspices of the BIR and the RCR, beginning in 2012. Two essential elements of the plan were that the RCR would have control of the scientific program and that the BIR would be responsible for logistics and organization. Unfortunately, in early 2010, it became obvious that the financial calculations presented to us were very uncertain indeed, and that the officers of the College could not recommend them to our council. Therefore, with the greatest regret, we decided that the part...

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Single-Centre Experience of Radiation Exposure in Acute Surgical Patients: Assessment of Therapeutic Impact and Future Recommendations

World Journal of Surgery — Tue, 25 May 2010 05:42:16 +0100

Conclusion Radiation exposure was generally low for the majority of acute surgical admissions. However, it is recommended that CT imaging requests be evaluated carefully, particularly for patients with clinically confirmed pathologies and in younger women. Content Type Journal ArticleDOI 10.1007/s00268-010-0608-zAuthors Gerard J. Fitzmaurice, Daisy Hill Hospital Department of General Surgery 5 Hospital Road Newry BT35 8DR Northern Ireland, UKRobin Brown, Daisy Hill Hospital Department of General Surgery 5 Hospital Road Newry BT35 8DR Northern Ireland, UKBrian Cranley, Daisy Hill Hospital Department of General Surgery 5 Hospital Road Newry BT35 8DR Northern Ireland, UKEnda F. Conlon, Daisy Hill Hospital Department of Radiology 5 Hospital Road Newry BT35 8DR Northern I...

Radiation fears lead to curb on CT scans

Guardian Unlimited Science — Tue, 06 Apr 2010 16:47:06 +0100

Ministers stop short of banning whole body scans for the worried wellA clampdown on clinics offering MOT health checks to the worried well – which can include whole body scans – was signalled by the government today, amid concerns over the exposure of healthy people to unnecessary radiation.The Department of Health said it accepted all nine recommendations of the government's advisory committee on medical aspects of radiation in the environment (Comare), which called for action more than two years ago.Comare warned that CT (X-ray computed tomography) scans could increase a person's cancer risk. It wanted whole body scans, which are carried out on a speculative basis to see if anything might be wrong, to be banned, on the basis that the risk from exposure to radiation exceeded the benef...

Provision of out-of-hours interventional radiology services in the London Strategic Health Authority

Clinical Radiology — Thu, 25 Mar 2010 15:46:00 +0100

Conclusion: Strategic planning for out-of-hours IR across London is recommended. This is likely to be welcomed by the hospitals involved, allowing informal arrangements to be formalized, and collaboration to provide comprehensive regional networks, provided appropriate funding is made available. A national audit is recommended; it is unlikely these findings are unique to London. (Source: Clinical Radiology)

Late Effects in Cancer Survivors conference

Society for Endocrinology — Fri, 15 Jan 2010 12:00:00 +0100

Endorsed by the Society for Endocrinology, the conference on "Late Effects in Cancer Survivors" is taking place on 3-4 March 2010 at Cutler's Hall, Sheffield, UK. This conference is aimed at consultants, nurses, associate specialists and training grades, and has been awarded CPD credits by the Royal College of Radiologists. For more information on this conference, please contact the conference secretariat at lateeffects@sheffield.ac.uk, or visit the conference website here where one can also register by downloading an application form. The deadline for registration is 12 February 2010. (Source: Society for Endocrinology)

Protection of pregnancy patients during diagnostic medical exposures to ionising radiation

Thu, 07 Jan 2010 00:00:01 +0100

This 24-page advisory document was jointly produced by the Health Protection Agency, The Royal College of Radiologists and the College of Radiographers in March 2009, and aims to reflect current scientific understanding and evidence for the protection of pregnant patients during diagnostic medical exposures to ionising radiation. The document gives a summary of advice before detailing the scientific evidence of the health effects of ionising radiation on the growing embryo, and outlines practical guidance on how to reduce or prevent unnecessary fetal exposure for pregnant patients. Tabular data is used to convey the typical fetal dose of radiation and the associated risks of childhood cancer. This document is aimed at operators and practitioners of diagnostic radiology and is available in ...

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National Training Scheme for the use of thyroid ultrasound by endocrinologists

Society for Endocrinology — Mon, 14 Dec 2009 12:00:00 +0100

Owing to continuing demand, The British Thyroid Association and Royal College of Radiologists are running another course in ultrasound techniques in April 2010. This is a one-day-long course and is an essential part of the national training scheme for certification for the use of ultrasound in the management of thyroid diseases by non-radiologists. The curriculum for training and certification for neck ultrasound by non-radiologists has been drawn up jointly by the British Thyroid Association and the Royal College of Radiologists. The programme is also supported by the Society for Endocrinology and approved by the Royal College of Physicians. The training programme will be appropriate for established clinicians who manage thyroid diseases and thyroid cancer, and senior SpRs. The course ...

Consensus guidelines for the prescription and administration of oral bowel-cleansing agents published

NeLM - Surgery — Wed, 11 Nov 2009 00:00:00 +0100

Source: Royal College of Radiologists Area: News The British Society of Gastroenterology, the British Society of Gastrointestinal and Abdominal Radiology, the Renal Association, the Royal College of Radiologists, and the Royal College of Surgeons have issued consensus guidelines for the prescription and administration of oral bowel-cleansing agents. The guidelines discuss the following: . absolute contra-indications to the use of oral bowel cleansing preparations . the choice of oral bowel cleansing agent . the administration of oral bowel cleansing agent . relative contra-indications, and circumstances in which the choice of a particular bowel cleansing agent or administration protocol may confer significant benefit (Source: NeLM - Surgery)

Royal College Of Radiologists Highlights Cutting Edge UK Research At RSNA 2009

Health News from Medical News Today — Thu, 05 Nov 2009 09:00:00 +0100

Emergency radiology, high resolution computed tomography (HRCT) and magnetic resonance (MR) fluoroscopy will be highlighted as fields of imaging in which the UK is playing a key role, at a special session, "UK Presents" at the Radiological Society of North America's Annual Meeting in Chicago on Monday 30 November 2009. (Source: Health News from Medical News Today)

Is mammogram indicated in patients presenting with breast pain alone in the presence of a normal clinical examination?

European Journal of Surgical Oncology — Fri, 16 Oct 2009 12:47:00 +0100

Introduction: Patients with breast pain are commonly seen in one stop breast clinics. Breast pain alone, however, is rarely associated with an underlying malignancy. The Royal College of Radiologists do not recommend routine mammography or ultrasound when examination is normal. We analysed the outcomes of referrals to breast clinic over one year. (Source: European Journal of Surgical Oncology)

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A review of the safety implications of magnetic resonance imaging at field strengths of 3Tesla and above

Radiography — Mon, 28 Sep 2009 17:34:41 +0100

Conclusion: According to the literature retrieved, the current body of knowledge has allowed safety guidelines to be established for patient safety and these are both appropriate and valid at field strengths of 3T. (Source: Radiography)

Radiology accreditation—towards a safer quality service

Clinical Radiology — Fri, 07 Aug 2009 11:40:06 +0100

All imaging departments strive to deliver a safe, high-quality service. Until now, there has been no benchmark against which an individual department can assess itself. The Radiology Accreditation Programme (RAP), developed as a joint initiative by the The Royal College of Radiologists (RCR) and the Society and College of Radiographers (SCoR), has produced a comprehensive set of patient-centred quality and safety standards that focus, as much as possible, on outcomes. The programme, underpinned by peer review and delivered by an internationally recognized UK accrediting body will meet international standards of accreditation. The programmed opened for registration in June 2009 and will be applicable to all imaging services across the UK, whether they are delivered in NHS or private setting...

Does This Sacral Dimple Need to be Evaluated?

PediatricEducation.org — Mon, 20 Jul 2009 00:01:53 +0100

Discussion Skin dimples over the spine commonly referred to as sacral dimples are common minor congenital anomalies, estimated to occur in 3-8% of children. When a clinician sees a skin dimple, the possibility of occult spinal dysraphism (OSD) usually crosses the mind. OSD is a wide-range of skin-colored spinal column and neuraxis abnormalities that are caused by abnormal neurulation. OSD lesions include dermal sinuses, tethered cord, lipomyelomeningocoele, and diastematomyelia. OSD can present with a variety of abnormalities, but is also frequently asymptomatic and can present at any age. Skin abnormalities accompany 50-80% of OSD. Other presentations of OSD include: Skin Dimples/pits Dermal sinuses Hypertrichosis Lipoma or other mass Pigmented lesions Skin tags or tail-like appendages...

Radiotherapy access uneven in U.K.

Health Imaging News — Fri, 10 Jul 2009 17:15:02 +0100

There are marked geographical variations in patients' access to radiotherapy across England, as well as important differences in treatment capacity, according to a Royal College of Radiologists (RCR) survey published in the July edition of Clinical Oncology. (Source: Health Imaging News)

Radiotherapy Services In England: Good Progress But Still Work To Do

Health News from Medical News Today — Tue, 30 Jun 2009 10:00:00 +0100

A survey by The Royal College of Radiologists (RCR) has confirmed that there are marked geographical variations in patients' access to radiotherapy, and also important differences in treatment capacity, across England. The survey is presented by Dr Michael Williams, in a paper appearing in the July 2009 edition of the journal Clinical Oncology. (Source: Health News from Medical News Today)

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Are UK radiologists satisfied with the training and support received in suspected child abuse?

Clinical Radiology — Wed, 17 Jun 2009 08:13:16 +0100

Conclusion: The survey shows significant dissatisfaction amongst consultant radiologists with the current service, confirms a low number of paediatric radiologists taking on this work, and suggests the potential to increase numbers of radiology child abuse experts by 27% if given improved training and support. Appropriate service and education strategies should be implemented. (Source: Clinical Radiology)

The Royal College of Radiologists Breast Group breast imaging classification

Clinical Radiology — Fri, 15 May 2009 19:45:49 +0100

Standardisation of the classification of breast imaging reports will improve communication between the referrer and the radiologist and avoid ambiguity, which may otherwise lead to mismanagement of patients. Following wide consultation, the Royal College of Radiologists Breast Group has produced a scoring system for the classification of breast imaging. This will facilitate audit and the development of nationally agreed standards for the investigation of women with breast disease. This five-point system is as follows: 1, normal; 2, benign findings; 3, indeterminate/probably benign findings; 4, findings suspicious of malignancy; 5, findings highly suspicious of malignancy. It is recommended that this be used in the reporting of all breast imaging examinations in the UK. (Source: Clinical Ra...

Prevention of supine hypotensive syndrome in pregnant women undergoing computed tomography – A national survey of current practice

Radiography — Fri, 01 May 2009 04:00:00 +0100

Conclusion: Current awareness and practices for preventing this easily avoidable but potentially harmful condition are inadequate. Central guidance would be welcomed by a large majority of respondents. (Source: Radiography)

Commentary on eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT

Clinical Radiology — Mon, 20 Apr 2009 18:41:24 +0100

“Discrepancy meetings are a sign of a well functioning department,” (Maskell, pers. comm.) In 2007, the Standards Committee of The Royal College of Radiologists (RCR) produced guidance on how these meetings should be conducted because, although there is probably no absolutely right way to run them, there are plenty of wrong ways, which at worst can involve bullying, harassment, and blame. The whole benefit of these meetings lies in their educational value, and the individual and departmental knowledge gained about how and when things go wrong in order that error can be minimized, because we know that it will never be eliminated. What can we learn in general from such meetings? Well, humility about our own errors for a start, together with the relief of finding that everyone else makes ...

Medical Radiation Examinations On Women Of Child Bearing Age - Health Protection Agency, UK

Radiology / Nuclear Medicine News From Medical News Today — Wed, 01 Apr 2009 12:00:00 +0100

Pregnant women should not undergo some types of medical examination that involve high doses of radiation to the foetus because of the small increased risk of causing childhood cancer, according to guidance developed by the Health Protection Agency, The Royal College of Radiologists and the College of Radiographers. (Source: Radiology / Nuclear Medicine News From Medical News Today)

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Medical radiation examinations on women of child bearing age

Health Protection Agency — Tue, 31 Mar 2009 08:51:00 +0100

[Review] The use of plain abdominal x rays in the emergency department

Emergency Medicine Journal — Fri, 20 Feb 2009 05:00:00 +0100

Abdominal x rays expose patients to significant doses of radiation and have limited use in emergency medicine. This review explores the evidence supporting the use of abdominal x rays in the emergency department, with particular reference to recent guidelines published by the Royal College of Radiologists. The authors' recommendations for the use of abdominal x rays in the emergency department are given. (Source: Emergency Medicine Journal)

National audit of provision of MRI services 2006/07.

Cancer Control — Wed, 04 Feb 2009 05:02:33 +0100

Authors: Barter S, Drinkwater K, Remedios D In 2003 the Royal College of Radiologists Clinical Radiology Audit Sub-Committee began an audit process evaluating the standards of provision of magnetic resonance imaging (MRI) services. This was prompted by the publication of the 2002 Audit Commission Report, which had identified that lack of MRI provision was responsible for more than half of the total waiting times for diagnostic imaging investigations. The audit found that the time from request to report did not meet the standard for cancer staging examinations, but nationally, was within the target set for routine orthopaedic examinations. However, national mean waiting times were longer than recommended for both cancer and orthopaedic MRI. Since then, there has been massive investment ...

National Training Scheme for the use of Thyroid Ultrasound by Endocrinologists and other Specialists in Thyroid Diseases

Society for Endocrinology — Thu, 27 Nov 2008 12:00:00 +0100

The Society for Endocrinology is supporting this one day training session which will take place on Friday 24 April 2009 from 10.00 am to 5.00 pm at the Postgraduate Medical Centre, Mayday University Hospital, Croydon, UK. Organised by the British Thyroid Association and Royal College of Radiologists, the programme has been approved by the Royal College of Physicians from whom CPD has been requested. This one-day course is an essential part of the national training scheme for certification for the use of ultrasound in the management of thyroid diseases by non-radiologists. The other essential components of the scheme, upon which guidance will be given, will be locally arranged. The training programme will be appropriate for established clinicians who manage thyroid diseases and thyroid can...

Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical UltraSound (WINFOCUS)

BioMed Central — Mon, 06 Oct 2008 04:00:00 +0100

Echocardiography is increasingly used in the management of the critically ill patient as a non-invasive diagnostic and monitoring tool. Whilst in few countries specialized national training schemes for intensive care unit (ICU) echocardiography have been developed, specific guidelines for ICU physicians wishing to incorporate echocardiography into their clinical practice are lacking. Further, existing echocardiography accreditation does not reflect the requirements of the ICU practitioner. The WINFOCUS (World Interactive Network Focused On Critical UltraSound) ECHO-ICU Group drew up a document aimed at providing guidance to individual physicians, trainers and the relevant societies of the requirements for the development of skills in echocardiography in the ICU setting. The document is bas...

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Suboptimal use of intravenous contrast during radiotherapy planning in the UK.

The British Journal of Radiology — Mon, 01 Sep 2008 04:00:00 +0100

Authors: Kim S, Russell W, Price P, Saleem A We aimed to evaluate the use of intravenous (IV) contrast during acquisition of radiotherapy planning (RTP) scans and to compare current usage with the Royal College of Radiologists' (RCR) recommendations. Questionnaires were circulated via the Academic Clinical Oncology and Radiobiology Research Network (ACORRN) website, email and post to 60 UK radiotherapy centre managers. Questions asked regarding the (i) tumour sites where IV contrast was used, (ii) person administering the contrast, (iii) availability of dynamic pump, (iv) tumour sites that centres wished to use contrast, (v) reasons for not using contrast and (vi) awareness of RCR recommendations. 50 (83%) centres responded to the questionnaire, of which 27 responded via the ACCORN web...

The UK nephrostomy audit. Can a voluntary registry produce robust performance data?

Clinical Radiology — Thu, 17 Jul 2008 09:53:35 +0100

CONCLUSIONS: Some weaknesses of the registry are discussed. In view of the low response rate, the possibility of significant bias cannot be excluded. In addition, there is no objective verification of the data; therefore, the results have limited credibility. However, individual centres that accurately completed a representative sample of cases can have confidence that their performance achieves an acceptable standard. PMID: 18625353 [PubMed - in process] (Source: Clinical Radiology)

The Royal College Of Radiologists Welcomes Lord Darzi's Next Stage Review Of The NHS

Radiology / Nuclear Medicine News From Medical News Today — Tue, 01 Jul 2008 11:00:00 +0100

Speaking on the publication of Lord Darzi's Next Stage Review of the NHS, Professor Andy Adam, the President of The Royal College of Radiologists, said, "Lord Darzi has produced an outstanding set of recommendations that promise to revolutionise the way health care is delivered in this country. His report is visionary, ambitious and substantial. For the first time in the sixty-year history of the NHS the quality of care delivered to patients assumes certain stage. (Source: Radiology / Nuclear Medicine News From Medical News Today)

The Introduction of Single Best Answer Questions as a Test of Knowledge in the Final Examination for the Fellowship of the Royal College of Radiologists in Clinical Oncology.

Clinical Oncology — Wed, 25 Jun 2008 04:00:00 +0100

CONCLUSION: The new format SBA questions are more reliable than the previous true/false MCQ in discriminating between knowledgeable and unknowledgeable candidates in the Final FRCR Examination in Clinical Oncology. PMID: 18585017 [PubMed - as supplied by publisher] (Source: Clinical Oncology)

Problem-based learning and radiology.

Clinical Radiology — Tue, 06 May 2008 20:16:06 +0100

Authors: Thurley P, Dennick R The Royal College of Radiologists recently published documents setting out guidelines to improve the teaching of radiology to medical students. These included recommendations that clinicians who teach radiology should be aware of newer educational techniques, such as problem-based learning, and should be involved in the development of curricula and assessment in medical schools. This review aims to introduce the educational theories behind problem-based learning and describe how a problem-based learning tutorial is run. The relevance of problem-based learning to radiology and the potential advantages and disadvantages are discussed. PMID: 18455552 [PubMed - in process] (Source: Clinical Radiology)

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Royal Colleges Publish Guidelines On Working With Children With Suspected Nonaccidental Injury

Radiology / Nuclear Medicine News From Medical News Today — Fri, 25 Apr 2008 10:00:00 +0100

The Royal College of Paediatrics and Child Health (RCPCH) and the Royal College of Radiologists (RCR) have jointly published a document that sets out important guidance on investigating suspected non-accidental injury (NAI) in children. (Source: Radiology / Nuclear Medicine News From Medical News Today)

Royal College Of Radiologists Publishes Latest Audit On Radiotherapy Waiting Times

Radiology / Nuclear Medicine News From Medical News Today — Tue, 15 Apr 2008 09:00:00 +0100

The Royal College of Radiologists' (RCR) latest audit on radiotherapy waiting times shows a significant improvement on the results obtained two years ago. Now a third of patients receiving curative radiotherapy wait longer than the recommended maximum of four weeks; previously the figure was 50% of patients. The 2007 survey of radiotherapy waiting times in the United Kingdom is published yesterday, Monday 14 April 2008. (Source: Radiology / Nuclear Medicine News From Medical News Today)

Single best answer MCQs: a new format for the FRCR part 2a exam.

Clinical Radiology — Tue, 01 Apr 2008 13:38:55 +0100

This article describes the background of this decision and the evidence behind it. There are numerous benefits to examiners and candidates alike from adopting this format. Using examples, the usual structure of the format of this type of questions is explained, how they are written, and tips provided on how to prepare for and answer them. PMID: 18374712 [PubMed - in process] (Source: Clinical Radiology)

RCR Welcomes START, Showing That Fewer Fractions Of Radiotherapy Work For Breast Cancer Treatment, UK

Radiology / Nuclear Medicine News From Medical News Today — Mon, 24 Mar 2008 11:00:00 +0100

The Royal College of Radiologists welcomes the latest results from the Standardisation of Breast Radiotherapy Trial (START), which has found that radiotherapy treatment for breast cancer can now be given in fewer treatments than the international standard of 25 fractions. Local recurrence in the breast has reduced markedly over the last 10 years and now only affects one woman in 25. This is due to improved cancer care and quality assurance. (Source: Radiology / Nuclear Medicine News From Medical News Today)

The use of a commercial remote desktop program in the delineation of target volumes in radiotherapy.

The British Journal of Radiology — Mon, 17 Mar 2008 04:00:00 +0100

Authors: Langmack K, Thomas A, Morgan DA Recent guidance from the Royal College of Radiologists suggests that there should be close collaboration between oncologists and radiologists in target volume determination. However, the guidance also states that there may be practical difficulties in achieving this. To ameliorate some of these difficulties, we have implemented a readily available remote desktop package, Microsoft NetMeeting, in conjunction with a commercial virtual simulation package, ProSoma. This allows radiologists to conference easily with oncologists on a particular patient, as the full functionality of the virtual simulator is available simultaneously to both parties. We have found this solution to be eminently practical and to increase the amount of interaction between o...

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RCR Responds To Healthcare Commission Report On Patients' Exposure To Ionising Radiation

Radiology / Nuclear Medicine News From Medical News Today — Fri, 14 Mar 2008 11:00:00 +0100

The Royal College of Radiologists (RCR) welcomes this report from the Healthcare Commission (HCC), the first report since it took on the responsibility for monitoring compliance with the Ionising Radiation (Medical Exposures) Regulations. The College is pleased to see the adoption of a risk-based approach to regulation, with targeting of those incidents most likely to result in harm to patients. (Source: Radiology / Nuclear Medicine News From Medical News Today)

Royal College Of Radiologists Disappointed By Government Response To Tooke Report, Aspiring To Excellence

Radiology / Nuclear Medicine News From Medical News Today — Tue, 04 Mar 2008 11:00:00 +0100

Responding to the news that the Department of Health has decided to accept some of the recommendations of Sir John Tooke's report into medical training, Professor Andy Adam, President of the Royal College of Radiologists (RCR), said, "We share the Academy of Medical Royal Colleges' 'reserve (Source: Radiology / Nuclear Medicine News From Medical News Today)

Royal College Of Radiologists Welcomes Report, Behind The Screen: Breast Screening Uptake And Radiotherapy Waiting Times In London

Radiology / Nuclear Medicine News From Medical News Today — Wed, 27 Feb 2008 12:00:00 +0100

The Royal College of Radiologists welcomes this report, which highlights the specific problems faced by radiotherapy and breast screening services in London. (Source: Radiology / Nuclear Medicine News From Medical News Today)

The Royal College Of Radiologists Needs YOU! UK

Radiology / Nuclear Medicine News From Medical News Today — Fri, 15 Feb 2008 09:00:00 +0100

The Royal College of Radiologists wants to ensure that the voices of patients and lay people from across the full length and breadth of England, Scotland, Wales and Northern Ireland are heard to improve the UK's cancer and radiology services. Patients and carers from all ethnic and social backgrounds who have experience of radiotherapy, chemotherapy, and radiology services are invited to apply to join the Royal College's patients' liaison groups (PLGs). (Source: Radiology / Nuclear Medicine News From Medical News Today)

Making the best use of clinical radiology services

HealthcareRepublic Clinical Articles — Fri, 25 Jan 2008 00:00:00 +0100

Dr Gwen Lewis reviews some helpful guidelines from the Royal College of Radiologists. (Source: HealthcareRepublic Clinical Articles)

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New guidance on the effects of cancer treatment on reproductive functions

Society for Endocrinology — Mon, 21 Jan 2008 12:00:00 +0100

The Royal College of Physicians, The Royal College of Radiologists and the Royal College of Obstetricians and Gynaecologists in the UK have published new guidance on the effects of cancer treatment on reproductive functions. Approximately 11,000 patients in the 15–40 age group are diagnosed with cancer each year, and for many of these younger cancer patients fertility is or will become extremely important. The report aims to improve standards of management of fertility for these patients, calling for nationwide provision and funding, and for a scientific approach to future developments. More information is available via the link below. RCP website (Source: Society for Endocrinology)

Guidance issued on the effects of cancer treatment on reproductive functions

NeLM Headline News — Fri, 18 Jan 2008 00:00:00 +0100

NHS networks reports that new guidance produced by the Royal College of Physicians, the Royal College of Radiologists and the Royal College of Obstetricians and Gynaecologists provides the latest information on the effects of cancer treatment on reproductive functions. The report aims to improve standards of management of fertility for these patients, calling for nationwide provision and funding, and for a scientific approach to future developments. The guidance can be purchased from the RCP for £18 – see guidance link above. (Source: NeLM Headline News)

The effects of cancer treatment on reproductive functions

NHS Networks — Thu, 17 Jan 2008 15:19:06 +0100

New guidance produced by the Royal College of Physicians, the Royal College of Radiologists and the Royal College of Obstetricians and Gynaecologists provides the latest information on the effects of cancer treatment on reproductive functions. Approximately 11,000 patients in the 15–40 age group are diagnosed with cancer each year, and for many of these younger cancer patients fertility is or will become extremely important. The report aims to improve standards of management of fertility for these patients, calling for nationwide provision and funding, and for a scientific approach to future developments. This guidance is essential reading for all clinicians and health professionals involved in cancer care. For more information and to purchase a copy, call 0207 935 1174 ext.358 or...

The Service Review Committee: Royal College of Radiologists. Philosophy, role, and lessons to be learned.

Clinical Radiology — Wed, 16 Jan 2008 22:05:27 +0100

Authors: Thind R, Barter S The Service Review Committee (SRC) was established by the Board of the Faculty of Clinical Radiology in 2000. At the time, the RCR identified a clear need to respond appropriately and swiftly to requests for review of service provision in clinical radiology departments where trusts were concerned about standards or performance issues. It was recognized by the College that the poorly performing radiologist is often part of a department that is itself dysfunctional, and that sub-optimal performance may often reflect inadequate management, lack of support, overwhelming workload, or inadequate facilities. Following the completion of a range of service reviews during its first 6 years, the SRC recognized that among the reviews there were recurring themes and cause...

National Training Scheme for the use of Thyroid Ultrasound by Endocrinologists and other Specialists in Thyroid Diseases

Society for Endocrinology — Wed, 09 Jan 2008 12:00:00 +0100

A one-day course on the National Training Scheme for the use of Thyroid Ultrasound by Endocrinologists and other Specialists in Thyroid Diseases is being held on Tuesday 24th June 2008 at Mayday University Hospital, Croydon, UK. This course forms an essential part of the national training scheme for certification for the use of ultrasound in the management of thyroid disease by non-radiologists. The new curriculum for training and certification has been drawn up jointly by the British Thyroid Association and the Royal College of Radiologists. The programme is also supported by the Society for Endocrinology and approved by the Royal College of Physicians from whom CPD has been requested. If you would like an application form or more information, please contact Joan Munt at joan.munt@mayday....

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Paediatric CT: the effects of increasing image noise on pulmonary nodule detection

Pediatric Radiology — Sat, 08 Dec 2007 19:02:11 +0100

Conclusion Reducing medical radiation doses in children is of paramount importance. For chest CT examinations this may be counterbalanced by reduced sensitivity and specificity combined with an increased uncertainty of pulmonary nodule detection. This study demonstrates that pulmonary nodules of 4 mm and greater in diameter can be detected with 100% sensitivity provided that the perceived image SNR is greater than 1.5. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00247-007-0694-8Authors Shonit Punwani, University College Hospital Department of Specialist Radiology, Podium Level 2 235 Euston Road London NW1 2BU UKJie Zhang, Capital Medical University Department of Radiology, Beijing Friendship Hospital Beijing ChinaWarren Davies, University C...

The Cancer Reform Strategy; Response From The Royal College Of Radiologists

Radiology / Nuclear Medicine News From Medical News Today — Tue, 04 Dec 2007 10:00:00 +0100

Dr Michael Williams, Vice-President of the Royal College of Radiologists, said, "The news that the government's Cancer Reform Strategy allocates substantial funds for radiotherapy staff, equipment and training, is excellent for radiotherapy patients. [click link for full article] (Source: Radiology / Nuclear Medicine News From Medical News Today)

Royal College of Radiologists

RDFunding RSS feed — Tue, 23 Oct 2007 13:44:50 +0100

Rohan Williams Travelling Professorship Amount: Unspecified Closing Date : 11 December 2007 (Source: RDFunding RSS feed)

Appeal panel asks NICE appraisal committee to review draft guidance on use of cetuximab in head and neck cancer

NeLM news - Cancer — Fri, 19 Oct 2007 00:00:00 +0100

An appeal panel has met to consider an appeal against the Final Appraisal Determination (FAD) published by NICE on the use of cetuximab for the treatment of locally advanced squamous cell cancer of the head and neck in which NICE rejected this use of the drug. The FAD also noted that the evidence submitted by the manufacturer was insufficient to enable a recommendation to be made on the use of cetuximab in combination with radiotherapy, as an alternative in patients for whom chemo-radiotherapy is inappropriate. The following conclusions were reached by the appeal panel (taken directly from the appeal document): The Appeal Panel has upheld the appeal under Ground 2 on two points: the Mouth Cancer Foundation's point 3 and the Royal College of Radiologists' point (A). Appeals under Ground 2 ...

Royal College Of Radiologists Responds To NCEPOD Report, Emergency Admissions: A Journey In The Right Direction? UK

Radiology / Nuclear Medicine News From Medical News Today — Thu, 18 Oct 2007 08:00:00 +0100

The Royal College of Radiologists has read this excellent report with interest. The College is surprised by the finding that a small number of Trusts are accepting emergency admissions without 24 hour access to general radiography. The lack of immediate access for some patients to CT scanning is recognised and is of equal concern. The College strongly supports the recommendation that any hospital admitting acute emergencies should have 24 hour access to CT. [click link for full article] (Source: Radiology / Nuclear Medicine News From Medical News Today)

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Making the best use of clinical radiology services: A new approach to referral guidelines.

Clinical Radiology — Tue, 04 Sep 2007 13:01:08 +0100

Authors: Remedios D, McCoubrie P, On Behalf Of The Royal College Of Radiologists Guidelines Working Party PMID: 17765455 [PubMed - as supplied by publisher] (Source: Clinical Radiology)

Royal College Of Radiologists Welcomes Report "Radiotherapy: Developing A World Class Service For England"

Radiology / Nuclear Medicine News From Medical News Today — Mon, 28 May 2007 19:00:00 +0100

This report will be extremely valuable in determining future development and in building on the substantial investment in modern equipment achieved as part of the Cancer Plan. [click link for full article] (Source: Radiology / Nuclear Medicine News From Medical News Today)

Radiotherapy Dose Fractionation, Access and Waiting Times in the Countries of the UK in 2005.

Clinical Oncology — Wed, 23 May 2007 20:11:15 +0100

CONCLUSIONS: To secure adequate access to treatment and optimal dose fractionation, substantial increases in radiotherapy activity of 92% in England, 61% in Scotland and 97% in Wales are required. Achieving this will require a planned programme of investment in staff, training and equipment. PMID: 17517327 [PubMed - in process] (Source: Clinical Oncology)

Advice on exposure to ionising radiation during pregnancy in children

Wed, 25 Apr 2007 03:30:00 +0100

This document, published in April 2007, presents the current advice of The Royal College of Radiologists on reasonably excluding the possibility of pregnancy in girls under 16. The advice aims to clarify guidance on pregnancy in childhood as set out in the document "Diagnostic medical exposures: advice on exposure to ionising radiation during pregnancy", which was published jointly by the Health Protection Agency and The Royal College of Radiologists. (Source: Latest Internet resources added to Intute: Health and LifenSciences nursing gateway)

Adherence to the multiprofessional guidelines for the management of primary cutaneous squamous cell carcinoma: a re-audit of UK plastic surgeons

European Journal of Plastic Surgery — Sat, 07 Oct 2006 07:18:43 +0100

Abstract In January 2002 multiprofessional guidelines for the treatment of squamous cell carcinoma were published by the British Association of Dermatology in conjunction with the British Association of Plastic Surgery and members of the Faculty of Clinical Oncology of the Royal College of Radiologists. In July 2002 a survey was undertaken which demonstrated that despite the availability of these guidelines, there was no consensus of opinion regarding the treatment of squamous cell carcinoma amongst UK plastic surgeons [Staiano JJ, Juma A, Dhital SK, McGeorge DD Eur J Plast Surg 27:1352004]. It is now 3 years since the guidelines were published, and we have re-audited UK plastic surgeons to determine whether the published guidelines have affected the treatment of this common cutaneous ...

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Volume definition in radiotherapy planning for lung cancer: how the radiologist can help.

Cancer Imaging — Sun, 01 Jan 2006 05:00:00 +0100

This article aims to briefly explain the planning process involved in irradiating lung cancers, highlight problematic areas and suggest ways in which co-operation with radiologists may improve the delivery of radiotherapy and therefore the treatment outcomes for this group of patients. PMID: 16966067 [PubMed - indexed for MEDLINE] (Source: Cancer Imaging)