Radiologist Perspective Research Articles

Successful Endovascular Treatment of a Splenic Artery Aneurysm in a Patient with Ehlers-Danlos Syndrome

Successful Endovascular Treatment of a Splenic Artery Aneurysm in a Patient with Ehlers-Danlos Syndrome

NightHawk Teleradiology Services: A Template for Pathology?

NightHawk Teleradiology Services: A Template for Pathology?

CT-Guided Biopsy of Bone: A Radiologist's Perspective

We present an overview of approaches for bone biopsy used to minimize potential tumor seeding of adjacent soft-tissue structures and compartments. We discuss a variety of approaches related to specific anatomic parts and review pertinent anatomy. We provide important guidelines and key examples that will help readers perform percutaneous needle bone biopsy safely.

High-Intensity Focused Ultrasound Therapy: an Overview for Radiologists

High-intensity focused ultrasound therapy is a novel, emerging, therapeutic modality that uses ultrasound waves, propagated through tissue media, as carriers of energy. This completely non-invasive technology has great potential for tumor ablation as well as hemostasis, thrombolysis and targeted drug/gene delivery. However, the application of this technology still has many drawbacks. It is expected that current obstacles to implementation will be resolved in the near future. In this review, we provide an overview of high-intensity focused ultrasound therapy from the basic physics to recent clinical studies with an interventional radiologist's perspective for the purpose of improving the general understanding of this cutting-edge technology as well as speculating on future developments.

Arguments for Universal Health Access in the United States: A Radiologist's Perspective

Arguments for Universal Health Access in the United States: A Radiologist's Perspective

Symptomatic breast clinics: the radiologist's perspective

Breast radiology, encompassing high-quality mammography, ultrasound and image-guided biopsy, is central to the aims of the modern breast clinic – to address the concerns of patients presenting with symptoms of breast disease and to make an accurate and timely diagnosis. There has recently been increased pressure on clinics due to improved public awareness of breast disease leading to earlier patient presentation, often with subtle clinical signs. The diagnosis of breast cancer at an earlier stage, contributing to the improved outcome for breast cancer patients, has been accompanied by increased numbers of women presenting to clinics with benign conditions, increasing the workload for radiology services. Further pressure on services has come from increasing expectations from the public who would welcome rapid access to diagnostic clinics regardless of the nature of symptoms and an assurance that all necessary tests would be performed during the same session. Some services have had difficulty with meeting the challenge of both maintaining accuracy and quality at the same time as increasing capacity to meet Health Service waiting time targets. In this presentation, different models of care for breast clinics will be presented with data from the 2006 UK Breast Clinic Survey, and methods for ensuring the most effective and efficient use of radiology resources will be discussed.

Workforce issues in breast imaging: the consultant radiologist's perspective

Consultant radiologists are still deeply divided in their opinions about advanced practice, many still having concerns about clinical governance and the training and supervision needed. I have used a small questionnaire to obtain a 'snapshot' of breast screening units who use radiographer advanced practitioners, what they do, whether they replace or just augment the functions of a consultant radiologist, and the opinions of the radiologists working alongside them. Advanced practice means more than just a means to enable second reading of films. Without continuous feedback, involvement in assessment and support, this can become a boring task, with skill levels and motivation difficult to sustain. Increasingly, in many units practitioners are replacing other aspects of the traditional role of the consultant radiologist. Almost all advanced practitioners are film readers, but many have extended their roles further and now also do stereo tactic biopsy, ultrasound and ultrasound-guided biopsy, clinical examination, and localisation of impalpable tumours. We need to encourage the many eligible units who could participate in the current trial of radiographer-only screen film reading to join, in order to provide concrete evidence that radiographers are as good as radiologists in real-life practice. With consultant radiologist posts becoming a little easier to fill than previously, we need to examine this role more carefully and decide what benefits practitioners can bring to a unit, and how to make this role a fulfilling and secure one for our radiographers in the future.

Role of fine needle aspiration and tru cut biopsy in diagnosis of mucinous carcinoma of breast—from a radiologist's perspective

This study was to assess whether fine needle aspiration (FNA) or core biopsy would allow diagnosis of mucinous carcinoma of breast. In 37 mucinous carcinoma in 34 patients, 20 lesions had FNA and 24 lesions with core biopsy. FNA achieved a sensitivity of 66.7% in diagnosis of malignant lesions and 56% sensitivity in diagnosis of mucinous carcinoma. Core biopsy achieved 100% sensitivity and accuracy in the diagnosis of malignant lesions and mucinous carcinoma.

BMUS 2-Day Summer School: A Radiologist's Perspective

BMUS 2-Day Summer School: A Radiologist's Perspective

How much CT do we need for PET/CT?

In clinical practice different CT imaging protocols are implemented within combined PET/CT acquisition protocols. From a radiologist's perspective the full potential of PET/ CT for oncology imaging can be used only by exploring the full capacity of the CT. This mandates the use of oral and intravenous contrast material as well as a CT image quality which proves diagnostically sufficient by radiology standards. The integration of a fully-diagnostic CT exam portion into combined PET/CT is demanding and requires adjustments of CT acquisition protocols. Given the use of the CT for CT-based attenuation correction potential PET/CT image artifacts have to be considered as well. In this paper we review radiological perspectives on PET/CT imaging.

Reflections on the Past 10 Years:An Interventional Radiologist's Perspective

<b>Reflections on the Past 10 Years:</b>An Interventional Radiologist's Perspective

Reflections on the past 10 Years: An Interventional Radiologist's Perspective

Reflections on the past 10 Years: An Interventional Radiologist's Perspective

Evolution of the digital revolution: a radiologist perspective.

The transformation from film-based to filmless operation has become more and more challenging, as imaging studies expand in size and complexity. To adapt to these changes, radiologists must proactively develop new workflow strategies to compensate for increasing work demands and the existing workforce shortage. This article addresses the evolutionary changes underway in the radiology interpretation process and reviews changes that have occurred in the past decade. These include a number of developments in soft-copy interpretation, which is migrating from a relatively static process, duplicating film-based interpretation, to a dynamic process, using multi-planar reconstructions, volumetric navigation, and electronic decision support tools. The result is optimization of the human-computer interface with improved productivity, diagnostic confidence, and interpretation accuracy.

Is your interventional radiology service ready for SARS?: The Singapore experience.

The recent epidemic of severe acute respiratory syndrome caught many by surprise. Hitherto, infection control has not been in the forefront of radiological practice. Many interventional radiology (IR) services are therefore not equipped to deal with such a disease. In this review, we share our experience from the interventional radiologist’s perspective, report on the acute measures instituted within our departments and explore the long-term effects of such a disease on the practice of IR.

Progress report on integrating skill mix: the radiologist's perspective

The 4-tier model for new ways of working in breast radiography has now been in place for 2 years. The role of the assistant practitioner is established and eight practitioners are in post. Advanced practitioners remain diverse, with differences in role extension appropriate to the departments where they work. The role of the lead practitioner has yet to be clearly defined. I will explore the experiences of the four pilot sites, particularly with regard to their differing needs for advanced practitioners. I will discuss the training and continuing professional development for radiographers undertaking this role extension.

Uterine artery embolization for uterine fibroids: a radiologist's perspective.

Uterine artery embolization for uterine fibroids: a radiologist's perspective.

Principles, Imaging and Complications of Spinal Instrumentation: Radiologist's Perspective

Principles, Imaging and Complications of Spinal Instrumentation: Radiologist's Perspective

Liver Tumours- Diagnosis, Staging and Management: A Radiologist's Perspective

Liver Tumours- Diagnosis, Staging and Management: A Radiologist's Perspective

Functional constipation: a radiologist's perspective.

Functional constipation: a radiologist's perspective.

BMUS 1998 — A Radiologist's Perspective

BMUS 1998 — A Radiologist's Perspective