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NoticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Source Type: journals

Medical effects of ionizing radiationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is the third edition, coming 13 years after the second. It is intended as a source book for “professionals interested in the effects of ionizing radiation on humans,” and it has been updated to reflect changes in the knowledge base concerning those effects at both a population and molecular level. It also takes into account the reports of the BEIR VII and UNSCEAR 2006 committees. Early chapters deal with basic science; sources of exposure; effects on genetic material and cancer induction; and dose–response models. The middle section of the book deals with carcinogenesis at specific sites; deterministic effects; ...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: B. Bury Tags: Book Reviews Source Type: journals

The Chest X-ray: a Survival GuideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Written by the radiologists who run the Northwick Park courses, this book is an excellent introduction to the daunting task of interpreting the chest radiograph. It starts with a logical and well-illustrated description of the anatomical structures that are projected to form the image, and then takes a systematic look at important pathological processes, such as interstitial and alveolar disease, and hilar and pleural abnormalities. Along the way it answers all the questions that arise about precisely why particular diseases have certain appearances, and points out the many pitfalls and the inevitable exceptions to the rul...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: S. Sheard Tags: Book Reviews Source Type: journals

Re: Competency-based training versus traditional experiences in radiology; how best to educate the radiologists of the future?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sir—We read with interest the recent editorial in Clinical Radiology by Harding and McCoubrie on how best to educate future radiologists. Education and training effectiveness are, indeed, one of the fundamental components of clinical governance and alongside clinical experience and research, this has also been described as one pillar of “the tripartite mission of the specialty of radiology”. As the authors in the paper reiterate, the delivery, content, and assessment structure in radiology training have undergone significant metamorphosis in recent times. The authors also rightly state the need for satisfactory bench...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: J.B. Jones, T. Watson, K. Mankad, A. Scarsbrook Tags: Correspondence Source Type: journals

Re: Flexi-Seal® continence device mimicking a pelvic collectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sir—We read with interest the article by Lee et al. We recently encountered a case of ano-vaginal fistula secondary to the use of the Flexi-Seal® faecal management system. This patient was clinically debilitated on the Intensive Care Unit (ITU). She developed an ano-vaginal fistula following Flexi-Seal placement, confirmed on pelvic magnetic resonance imaging (MRI; ) and examination under anaesthesia. In this case, the device probably caused mural ischaemia of the lower rectum and anus after prolonged use. The use of faecal management systems for dependent patients is increasing, partly in an effort to prevent hospita...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: W.W. Yap, J. Massey, M. Gatt, P.J. Finan, D.J. Tolan Tags: Correspondence Source Type: journals

Cerebellar haemangioblastoma with spontaneous subarachnoid haemorrhage: a rare presentationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Haemangioblastoma is a benign vascular neoplasm, which comprises 7–10% of posterior fossa tumours and 3% of all tumours of the central nervous system (CNS). Although documented throughout the CNS, they are the most common intra-axial tumours of the posterior fossa, second only to metastasis. Haemangioblastoma occurs either as a sporadic case or as a component of Von Hippel–Lindau disease (VHL). The peak age of presentation is 40–60 years in sporadic cases and 25–40 years in VHL. Multiple haemangioblastomas are rare in sporadic cases. Due to the highly vascular nature of the haemangioblastoma, there is a risk of spo...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: D. Kumar, R.K. Sheoran, S.K. Bansal, O.P. Arora, S. Patil Tags: Case Reports Source Type: journals

External herniation of a subareolar intraductal papilloma: a rare, yet beneficial, complication of conventional ductographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although seldom used, ductography is mainly indicated for the evaluation of spontaneous, uniductal nipple discharge. Ductography is an inexpensive procedure that is perhaps underutilized for evaluating pathological nipple discharge. When successful, ductography has a high specificity, up to 90%. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: D.T. Ginat, L.G. Sahler, K.A. Siddall Tags: Case Reports Source Type: journals

Adult cor triatriatum—the measurement of opening in the membrane using ECG-gated multidetector CTEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cor triatriatum is a rare congenital anomaly. Most reports related to cor triatriatum have not considered computed tomography (CT) helpful to diagnose this entity or to evaluate its haemodynamic significance; there is only one case report in the literature in which single-section transaxial CT was used as the initial method to diagnose cor triatriatum in an asymptomatic adult. The role of electrocardiogram (ECG)-gated multidetector CT (MDCT) to diagnose cor triatriatum or to determine therapeutic strategy has not been reported. The development of ECG-gated cardiac MDCT provides outstanding detail of the intra or extracardi...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: S.M. Yoo, H.Y. Lee, J. Jeudy, C.S. White Tags: Case Reports Source Type: journals

Intussusception following transmural migration and defecation of a surgical spongeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The word gossypiboma is derived from the Latin word “gossypium” (cotton) and the Swahili word “boma” (place of concealment), and is commonly associated with cases of retained foreign bodies after surgical procedures. Gossypibomas as a result of postoperative complications have medico-legal issues and have resulted in malpractice lawsuits. The incidence of gossypibomas varies in the medical literature. Gawande et al. reported an incidence ranging from 1/18 760 to 1/8801 surgeries, while Bani-Hani et al. described an incidence of 1/5027. Retained surgical sponges are usually found in the abdomen and pelvis, but s...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: J.V. Horvat, R.C. Machado, L. Vandesteen, R.S. Moll, G.A. Oliveira Tags: Case Reports Source Type: journals

MRI and CT appearances of cardiac tumours in adultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Primary cardiac tumours are rare, and metastases to the heart are much more frequent. Myxoma is the commonest benign primary tumour and sarcomas account for the majority of malignant lesions. Clinical manifestations are diverse, non-specific, and governed by the location, size, and aggressiveness. Imaging plays a central role in their evaluation, and familiarity with characteristic features is essential to generate a meaningful differential diagnosis. Cardiac magnetic resonance imaging (MRI) has become the reference technique for evaluation of a suspected cardiac mass. Computed tomography (CT) provides complementary inform...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: E.T.D. Hoey, K. Mankad, S. Puppala, D. Gopalan, M.U. Sivananthan Tags: Pictorial Review Source Type: journals

Measurement of defect angle in superior semicircular canal dehiscenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Superior semicircular canal dehiscence (SSCD) is an abnormality of the temporal bone, which was initially described by Minor et al. in 1998. This defect in the semicircular canals, which is attributed to various causes such as erosion of the bone, trauma, or congenital absence, is thought to cause a third mobile window effect in the closed system. This is thought to disrupt the flow of endolymph resulting in clinical presentations such as vertigo and/or oscillopsia, especially if evoked by a loud noise (Tullio's phenomenon). Pressure-induced nystagmus can also be evoked by Valsalva manoeuvres and, less commonly, with trag...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: G. Lip, D.M. Nichols Tags: Technical Report Source Type: journals

Leiomyoma of the sinonasal cavity: CT and MRI findingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Well-defined, homogeneous, expansile masses without bony erosion are typical features of leiomyoma. Althrough rare, this entity should be included in the differential diagnosis of benign tumours in this region. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: B.T. Yang, Z.C. Wang, J.F. Xian, D.P. Hao, Q.H. Chen Tags: Original Articles Source Type: journals

Real-time ultrasound elastography of the normal Achilles tendon: reproducibility and pattern descriptionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: RTE of the normal Achilles tendon is a feasible method. The reproducibility of the strain index is good and higher for longitudinal elastograms. Qualitative assessment enables the discrimination of two distinct elastographic patterns. Further studies are required to assess the clinical value of this method. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: E.E. Drakonaki, G.M. Allen, D.J. Wilson Tags: Original Articles Source Type: journals

Distinguishing clinical and imaging features of nodular regenerative hyperplasia and large regenerative nodules of the liverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: NRH and LRN can have distinct clinical presentations and imaging appearances. LRN often result in enhancing liver nodules, whereas NRH usually does not. Clinical and imaging information enables the distinction of LRN and NRH in many cases. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: J.T. Ames, M.P. Federle, K. Chopra Tags: Original Articles Source Type: journals

Commentary on reliability of the bright liver echo pattern in diagnosing steatosis in patients with cryptogenic and HCV-related hypertransaminasaemiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hepatic steatosis is common, affecting about 20–30% of Western populations, but despite this the radiological literature is relatively sparse on the subject, so the article by Soresi et al. is to be welcomed. Their approach has been to determine the ultrasound finding of steatosis compared to various clinical parameters in patients with abnormal aminotransferase levels, in a large series with histology as the reference standard for the diagnosis of steatosis. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: C. Bartram Tags: Original Articles Source Type: journals

Reliability of the bright liver echo pattern in diagnosing steatosis in patients with cryptogenic and HCV-related hypertransaminasaemiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In CCH the BL echo pattern has excellent reliability in diagnosing steatosis, better than in HCV hypertransaminasaemia because of the higher prevalence and extent of steatosis. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: M. Soresi, L. Giannitrapani, A.M. Florena, E. La Spada, V. Di Gesaro, F. Rappa, A. Alessandri, S. Tripi, M. Romano, G. Montalto Tags: Original Articles Source Type: journals

Diagnosis of breast cancer at dynamic MRI in patients with breast augmentation by paraffin or silicone injectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In patients with breasts injected with foreign material, MRI was used to successfully diagnose malignant breast lesions and could be the diagnostic method of choice. Analysis of the morphological and kinetic features at MRI in conjunction with clinical findings is essential. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: J.H. Youk, E.J. Son, E.-K. Kim, J.-A. Kim, M.J. Kim, J.Y. Kwak, S.M. Lee Tags: Original Articles Source Type: journals

Can breast MRI computer-aided detection (CAD) improve radiologist accuracy for lesions detected at MRI screening and recommended for biopsy in a high-risk population?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The breast MRI CAD system used could not improve the radiologists' accuracy for distinguishing all malignant from benign lesions, due to the poor sensitivity for DCIS detection. (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: T. Arazi-Kleinman, P.A. Causer, R.A. Jong, K. Hill, E. Warner Tags: Original Articles Source Type: journals

Targeted testicular excision biopsy: when and how should we try to avoid radical orchidectomy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Small, incidental testicular lesions are often benign, but in the past have usually been treated by orchidectomy. An alternative is an operative excision biopsy, with localization by ultrasound if necessary, and characterization of the lesion by frozen section analysis. The present review summarizes the indications for the procedure, lists the likely diagnoses, and describes the technique. Frozen section is accurate for distinguishing benign from malignant lesions, testicular function is usually preserved, and there is no evidence that oncological safety is impaired. Such testis-preserving surgery is a rewarding ground for...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: A.P.S. Kirkham, P. Kumar, S. Minhas, A.A. Freeman, D.J. Ralph, A. Muneer, C. Allen Tags: Reviews Source Type: journals

Imaging assessment of penetrating craniocerebral and spinal traumaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Craniocerebral and spinal penetrating trauma, which may be either missile (most typically gun-related) or non-missile (most typically knife-related), is becoming an increasingly common presentation to the urban general and specialized radiology service in the UK. These injuries carry significant morbidity and mortality with a number of criteria for prognosis identifiable on cross-sectional imaging. Potential complications can also be pre-empted by awareness of certain neuroradiological features. Not all of these injuries are criminal in origin, however, a significant proportion will be, requiring, on occasion, provision of...
Source: Clinical Radiology - November 12, 2009 Category: Radiology Authors: C. Offiah, S. Twigg Tags: Reviews Source Type: journals

We would like to thank the following, who completed reviews for Clinical Radiology during the period of 1st Oct 2008 – 30th Sept 2009:Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. Mark Ablett, Ayr Hospital, UK Dr. Elizabeth Adam, St George's, UK (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Source Type: journals

Prizes for Clinical Radiology Volume 63, 2008Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Ellis Barnett Prize for the best ultrasound paper Enhancement characteristics of benign and malignant focal peripheral nodules in the peripheral zone of the prostate gland studied using contrast-enhanced transrectal ultrasound (Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Radiology)
Source: Clinical Radiology - November 12, 2009 Category: Radiology Source Type: journals

NoticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Source Type: journals

Corrigendum to: Are pancreatic calcifications specific for the diagnosis of chronic pancreatitis? A multidetector-row CT analysis. [64 (9) 903–911]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the above article the Author name Ruszniewski was spelt incorrectly as Ruzniewski. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: A. Campisi, G. Brancatelli, M.-P. Vullierme, P. Levy, P. Ruszniewski, V. Vilgrain Tags: Corrigendum Source Type: journals

Essential medical imagingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The content of this softback textbook and CD ROM has been adapted by its Australian authors and editors from an integrated undergraduate medical imaging curriculum at the University of Melbourne. It is aimed at a broad range of health workers, including junior hospital doctors, trainee radiologists, general practitioners (GPs), nurses, and allied health professionals. Its stated aim is “to provide a comprehensive but manageable coverage of medical imaging”, in clinical context, and with advice on how best to use imaging, rather like an expanded “Making the Best use of a Radiology Department”. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: J. Hawnaur Tags: Book Review Source Type: journals

Re: CT “invisible” lesion of the major salivary glands–a diagnostic pitfall of contrast-enhanced CTEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sir—We read with interest the recent correspondence regarding the failure of computer tomography (CT) to demonstrate a histologically confirmed parotid lesion in a series of patients. We note that the authors acknowledge the use of magnetic resonance imaging (MRI) or ultrasound as first-line investigations for parotid swelling, but they maintain that CT will “remain the workhorse for imaging the major salivary glands for the foreseeable future.” (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: R. Thomas, C. Burke, D. Howlett Tags: Correspondence Source Type: journals

Re: A CT reconstruction artefact that mimics acute subdural haemorrhageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sir—We write to bring to your attention an interesting artefact on computed tomography (CT) imaging of the head that could easily be misinterpreted as a disease entity, and ask whether readers have seen a similar appearance or can offer an explanation for it. An intoxicated patient was examined using CT after a head injury, but was uncooperative and so was examined in the left lateral position. A 16-section multidetector row CT system was used. An automatic reconstruction algorithm corrected the rotation of the image before it was viewed on a GE Advantage workstation. A high attenuation line paralleled the inner table of...
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: I.T. Wells, N. Manghat Tags: Correspondence Source Type: journals

A gossypiboma-induced pathological fracture of the proximal femurEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we present a gossypiboma-induced pathological fracture that was located in the proximal femur, extending into the femoral neck, and needed a strut allograft and total hip arthroplasty. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: D.-H. Suh, J.-R. Yoon, K.-B. Kang, S.-B. Han, H.J. Kim, S.-J. Lee Tags: Case Reports Source Type: journals

Rupture of an aneurysm of Vieussens' arterial ring presenting as acute cardiac tamponadeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of rupture of an aneurysm of Vieussens' arterial ring that presented as acute cardiac tamponade. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: A.R. Owen, S.C. Moten, M.P. Molan Tags: Case Reports Source Type: journals

Imaging and staging of haemophilic arthropathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arthropathy is one of the most disabling consequences of haemophilia. The management of this condition has been revolutionized by the introduction of prophylactic treatment with clotting factor replacements. In order for benefits of this treatment to be monitored, the severity of any joint disease needs to be accurately assessed. Diagnostic imaging is used to objectively evaluate haemophilic arthropathy (HA). There are several established scoring systems for grading HA based on conventional radiography and magnetic resonance imaging (MRI). In this review the role of the different imaging methods in the evaluation of HA are...
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: A. Jelbert, S. Vaidya, N. Fotiadis Tags: Pictorial Review Source Type: journals

Visualization of normal intra-parotid facial nerve on MR: BTFE or GRASS?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The facial nerve is an important surgical landmark in parotid surgery and must be preserved in superficial conservative parotidectomy. Therefore, accurate preoperative localization of the facial nerve is essential. Among all available imaging modes, magnetic resonance imaging (MRI) offers the best visualization of the facial nerve. However, the role of traditional T1 and T2-weighed MRI in the identification of the facial nerve is controversial and various sequences, such as gradient recalled acquisition at the steady state (GRASS) and balanced turbo field echo (BTFE) have been developed. These sequences demonstrate the fac...
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: J.C.H. Tsang, W.H. Yip, C.S.L. Lau, K.M. Li, Y.Y.P. Lee, J.K.T. Wong, A.T. Ahuja Tags: Technical Report Source Type: journals

Lymphoplasmacytic sclerosing cholangitis: assessment of clinical, CT, and pathological findingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Lymphoplasmacytic sclerosing cholangitis exhibits relatively characteristic clinical and CT findings, although they are not sufficiently specific for differentiation from other biliary diseases. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: S. Itoh, T. Nagasaka, K. Suzuki, H. Satake, T. Ota, S. Naganawa Tags: Original Articles Source Type: journals

Factors associated with gender difference in the intima–media thickness of the common carotid arteryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aim: To investigate the gender differences associated with a thinner intima–media thickness (IMT) of the common carotid artery (CCA) in women.Materials and methods: In a sample of 218 consecutive healthy volunteers comprising 110 men and 108 women, the IMT of the CCA was measured using B-mode ultrasonography. Blood pressure, fasting blood sugar, body mass index (BMI), blood lipid profile, homocysteine, folic acid, uric acid, high sensitive C-reactive protein, and thiobarbituric acid reactive substances (TBARS) levels were measured and compared with each other in both genders.Results: The IMT of the CCA was significantly ...
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: T.-Y. Tan, C.-H. Lu, T.-K. Lin, C.-W. Liou, Y.-C. Chuang, U. Schminke Tags: Original Articles Source Type: journals

Dual-energy CT angiography of pelvic and lower extremity arteries: dual-energy bone subtraction versus manual bone subtractionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aim: To analyse the effect of dual-energy bone subtraction (DEBS) on the image quality of peripheral computed tomography (CT) angiograms.Materials and methods: Twenty patients underwent dual-energy CT angiography of the pelvic and lower extremity arteries using commercially available equipment. Two different methods of image processing were employed for each CT angiographic dataset: (1) DEBS, and (2) manual bone subtraction (MBS). Effects on vessel visibility and artificial vessel alterations were compared.Results: Bone removal, and the resultant visibility of vessel segments, were significantly better with DEBS than with ...
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: S. Yamamoto, J. McWilliams, C. Arellano, W. Marfori, W. Cheng, T. Mcnamara, W.J. Quinones-Baldrich, S.G. Ruehm Tags: Original Articles Source Type: journals

Ultrasonic microbubble contrast agents and the transplant kidneyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, this is the first study to confirm reproducibility of the Sonovue TIC data in transplant patients and to quantify regional variation and perfusion. The statistically significant estimates of transplant perfusion may be of future benefit to transplant recipients and potentially utilized as a prognostic tool. However, a more in depth study will be required to support or refute these early study findings. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: D.H. Kay, M. Mazonakis, C. Geddes, G. Baxter Tags: Original Articles Source Type: journals

Contrast-to-noise ratios of liver lesions using subtraction imaging on multiphase 64-detector row CTEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was approved by our hospital internal review board (IRB) and all collected data were evaluated in a Health Insurance Portability and Accountability Act (HIPAA)-compliant manner. Subtracted datasets, using pixel-by-pixel subtraction of the post-contrast images from the pre-contrast images, were created from the 64 detector-row CT of patients undergoing three-phase examination of the liver (unenhanced, arterial phase, and portal venous phase). Regions of interest were used to calculate the contrast-to-noise ratios between the lesions and the background liver parenchyma on both the post-contrast and subtracted data...
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: D.J. Grand, M. Beland, D. Dupuy, W.W. Mayo-Smith Tags: Original Articles Source Type: journals

Diffusion-weighted imaging in predicting and monitoring the response of uterine cervical cancer to combined chemoradiationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: ADCs may have the potential to be used to predict and monitor the response of uterine cervical cancer to therapy. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: Y. Liu, R. Bai, H. Sun, H. Liu, X. Zhao, Y. Li Tags: Original Articles Source Type: journals

Non-invasive evaluation of liver cirrhosis using ultrasoundEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ultrasound (US) is essential in both assessment of the potentially cirrhotic liver and surveillance of selected patients with chronic hepatitis as liver biopsy can be misleading or inaccurate in up to 25% of cases. Various techniques are already in routine use, such as grey-scale imaging, Doppler US, and contrast-enhanced US (CEUS), while newer techniques such as elastography and hepatic vein transit time (HVTT) have the potential to exclude patients without significant fibrosis or cirrhosis; however, they are operator dependent and require specific software. Grey-scale imaging may demonstrate changes, such as volume redis...
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: N. Goyal, N. Jain, V. Rachapalli, D.L. Cochlin, M. Robinson Tags: Reviews Source Type: journals

Imaging the lungs in patients treated for lymphomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a comprehensive review of these conditions, focussing on their radiological appearances, in order that radiologists may better engage their colleagues in haemato-oncology. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: H.A. Vargas, F.A. Hampson, J.L. Babar, A.S. Shaw Tags: Reviews Source Type: journals

Will MRI screening deliver the expected survival advantage in BRCA 1 carriers?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Magnetic resonance imaging (MRI) screening for breast cancer has greater sensitivity than conventional mammographic screening. Digital mammography gives maximum sensitivity in younger women with denser breasts. Combining MRI with digital mammography is likely to give maximum sensitivity. This additional sensitivity offered by MRI has the potential to identify breast cancer at an earlier stage, when the tumours are smaller in size and are not associated with metastases to regional lymph nodes. (Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Authors: L.J. Hamilton, A.J. Evans, E.J. Cornford, E.A. Rakha, I.O. Ellis, W.D. Foulkes Tags: Editorial Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Radiology)
Source: Clinical Radiology - October 12, 2009 Category: Radiology Source Type: journals

NOTICES (Blue pages)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Radiology)
Source: Clinical Radiology - September 11, 2009 Category: Radiology Source Type: journals

A–Z of musculoskeletal and trauma radiologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This clinically oriented book is divided into two sections: Musculoskeletal Radiology and Trauma Radiology, the latter subdivided into upper and lower limb. Each condition is discussed under the headings “Characteristics,” “Clinical Features,” “Radiological Features,” and “Management” in keeping with the format of the A–Z series and its multidisciplinary UK authorship. It complements other body part and joint-based radiological texts that are available, albeit in a less systematic fashion. It does provide the reader with imaging from all modalities rather than sticking to plain film. (Source: Clinical Radiology)
Source: Clinical Radiology - September 11, 2009 Category: Radiology Authors: K. Haran. Jogeesvaran Tags: Book Review Source Type: journals

RE: Magnetic resonance spectroscopy of the brain: review of metabolites and clinical applicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sir—The article by Soares states that it is useful to note that creatine itself does not originate in the brain, quoting evidence that brain creatine levels are altered by renal disease, and that creatine has been noted to be absent in some inborn errors of creatine synthesis, which are subsequently corrected by creatine supplementation. (Source: Clinical Radiology)
Source: Clinical Radiology - September 11, 2009 Category: Radiology Authors: C. Rae Tags: Correspondence Source Type: journals

RE: Incidental breast masses detected by computed tomography: are any imaging features predictive of malignancy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sir—We read with great interest the recent article by Porter et al. as we recently completed similar work at our institution, which produced similar results. We undertook a retrospective analysis of results for patients referred to the Breast Clinic after a breast mass or related lesion had been identified on computed tomography (CT). Patients known to have breast cancer and those in whom a palpable breast lump or abnormality had been detected by the referring clinician prior to CT were excluded. (Source: Clinical Radiology)
Source: Clinical Radiology - September 11, 2009 Category: Radiology Authors: G. Jakanani, M. Al-Attar Tags: Correspondence Source Type: journals

CT-guided sacroplasty for the treatment of zone II sacral insufficiency fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sacral insufficiency fractures are a relatively common cause of low back pain in the elderly. Osteoporosis is the leading cause, most commonly affecting elderly women. Other causes include chronic steroid use, radiation exposure, and arthritis. Patients typically present with severe low back pain, which in some cases results in immobility with its associated complications. However, sacral insufficiency fractures are commonly underdiagnosed due to difficulty in visualizing the fracture line on radiographs. However, other imaging methods, such as computed tomography (CT), magnetic resonance imaging (MRI), and bone scintigrap...
Source: Clinical Radiology - September 11, 2009 Category: Radiology Authors: H. Douis, S.L.J. James Tags: Case Reports Source Type: journals

Invasive uraemic calcinosis of the hipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Soft-tissue calcinosis is a well-known complication of many systemic disorders, the most common of which is chronic renal failure. Dense calcifications tend to be deposited around the hips, shoulders, and elbows; typically following a benign clinical course. The authors could not find any documented cases of such a mass invading the adjacent bone; however, we report exactly such a case. (Source: Clinical Radiology)
Source: Clinical Radiology - September 11, 2009 Category: Radiology Authors: C. Gibson, P. Robbins, S. Guy Tags: Case Reports Source Type: journals

MR enterography in the evaluation of small bowel dilationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Magnetic reasonance (MR) enterography enables high contrast resolution depiction of the location and cause of bowel obstruction through a combination of predictable luminal distension and multiplanar imaging capabilities. Furthermore, because the patient is not exposed to ionizing radiation, sequential “dynamic” MR imaging can be performed repeatedly over time further facilitating depiction of the site and/or the cause of obstruction. With increasing availability of MR imaging and standardization of the oral contrast medium regimens, it is likely that this technique will assume an ever-increasing role in the ...
Source: Clinical Radiology - September 11, 2009 Category: Radiology Authors: C.G. Cronin, D.G. Lohan, A.M. Browne, A.N. Alhajeri, C. Roche, J.M. Murphy Tags: Pictorial Reviews Source Type: journals

Imaging of paediatric liver tumours with pathological correlationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the characteristic radiological and pathological features of the most common paediatric liver tumours. (Source: Clinical Radiology)
Source: Clinical Radiology - September 11, 2009 Category: Radiology Authors: C.J. Das, S. Dhingra, A.K. Gupta, V. Iyer, S. Agarwala Tags: Pictorial Reviews Source Type: journals