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Bedridden Woman With SMA SyndromeA 34-yr-old bed-bound woman with mental delay, cerebral palsy, and lower extremity paraplegia presented to the emergency department after 10 to 15 episodes of greenish-tinged vomit. Her caregivers reported that the she had been vomiting for the entire day. On physical exam, the patient’s abdomen was non-tender, non-distended, and had normal bowel sounds.
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Progressive Lower Limb WeaknessCase History: 56-year-old man presents with progressive weakness in lower limbs for four to five years
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CR and DR triumph over conventional techniquesDigital radiography is now the standard technology for X-ray imaging. Computed radiography and solid-state (flat-panel) digital radiography are digital X-rays main detector systems.
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MR imaging confirms early promise in bladder cancerUrinary bladder carcinoma is the second most common malignant tumor in the urogenital tract. This cancer causes 5000 deaths each year in Germany and 10,400 in the U.S., affecting men more often than women.
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Primary Peritoneal MesotheliomaA 56-year-old Vietnam veteran man was admitted with a three-day history of worsening abdominal pain progressing into an acute abdomen. He had past medical history of Hepatitis C, diabetes mellitus, high blood pressure and chronic abdominal pain of unknown etiology. There was no gross bowel pathology by upper endoscopy or colonoscopy early the year of admission.
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Tomographic tactic conquers planar imaging limitationsImaging in medicine dates its origin to 1895, when Roentgen discovered the x-ray. This exciting and novel technology opened an unprecedented era in medicine, which continued through the 20th century and remains a major element of the day-to-day practice of radiology. Limited, modest efforts made during the mid-20th century to employ tomographic methodologies eventually led to the introduction of x-ray CT by Sir Godfrey Hounsfield in 1973.
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Kidney MassCase History: 90-year-old male had a mass on his right kidney seen on previous ultrasound that was being followed for growth.
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Ultrasound leads conservative treatment of calvarial dermoidsCalvarial dermoids and epidermoids in young pediatric patients can be monitored using ultrasound alone instead of x-ray based imaging, according to German researchers. Besides being safer and cheaper, sonography could rule out unnecessary surgeries.
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FDG-PET imaging tackles large arteries with atherosclerosisA noninvasive technique to detect vulnerable atherosclerotic plaque is critically needed. Formation of atherosclerotic plaque is a dynamic inflammatory process that involves interactions between atherogenic lipoproteins and macrophages. As vulnerable plaques are usually numerous, extending beyond the culprit plaque and involving multiple vessels, targeting a single plaque underestimates the complexity and extent of disease. Thus, an ideal imaging modality should be able to identify the vulnerable arterial bed and, therefore, the vulnerable patient, to prevent the serious complications of atherosclerosis.
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Chest X-Ray Algorithm on Par with Radiologists for Tuberculosis DetectionTool outperformed pulmonologists for detection of the infection.
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Consolidation: What's Continuing To Push The Trend?The move toward greater consolidation in radiology is still going strong, and several drivers are behind it.
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ECR brings best of Europe to ViennaVienna in early March is not unlike Chicago during RSNA week. One needs to be thoroughly wrapped up to survive the wintery conditions. Like the RSNA meeting, the ECR is well organized and deserving of high marks for efficiency and professionalism.
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Three-D postprocessing shines in abdomen, pelvisMoviegoers may relegate those red- and green-lensed cardboard glasses worn while watching 3D movies to a bygone era. But the release of a spate of animated movies in true digital 3D format over the past several years proclaims the comeback of this exciting genre. In an unlikely comparison, 3D diagnostic imaging, buoyed by recent technological advances, is also beginning to hit its stride and could herald a new imaging paradigm in multislice CT.
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CT perfusion for stroke: Should you use it?CT perfusion for stroke leaped from clinical discussion forums to the front pages in the last 13 months.
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Faster temporal resolution takes on all heart ratesCoronary CT angiography is one of the most promising new applications of CT technology. Despite the increasing number of detectors in CT scanners, however, coronary CT imaging had not solved the key issue: dealing with a structure that is in almost constant motion. That is, until the advent of dual source CT.
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Intervention widens breast disease optionsOptions for image-guided procedures in the breast have expanded considerably over the past 20 years. A variety of modalities are now being used to perform diagnostic, localization, and therapeutic interventional procedures for breast disease.
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Three-T evolves to meet speed vs. quality balanceThe feasibility of 3T MR as a general-purpose clinical imaging modality is an ongoing controversy. Although whole-body 3T MRI has been available for several years, most systems to date have been sold to university hospitals and research facilities.
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Image-guided ablation eases bone tumor painTumor ablation is defined as the direct application of chemical or thermal therapies to achieve substantial tumor destruction. Modalities such as ethanol ablation, radiofrequency ablation, laser ablation, and cryoablation have been used widely, primarily for the management of hepatic neoplasms.
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Taipei hosts 2010 Asian Oceanian Congress of RadiologyThe Executive Committee of the Asian Oceanian Society of Radiology (AOSR) has chosen Taipei, Taiwan, as the site of the 2010 Asian Oceanian Congress of Radiology. This 13th AOCR will be held at the Taipei International Convention Center March 20-23, and all individuals with common interests in the most current research and discoveries in radiology are invited to attend. The 2010 AOCR will offer a rich scientific program featuring the most current and noteworthy research results accompanied by a variety of social events, abstract presentations, and sponsor exhibitions. It is surely an event not to be missed.
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Imaging makes advances in pancreatic diseasesUltrasound, CT, and MRI are less effective that believe when reviewing pediatric pancreatic disorders.
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Assistants take on additionaltasks, inch toward paymentDuring 18 years as a radiologic technologist, JeffCrowley acknowledged he sometimes thought,"Oh, I can do that," while assisting withprocedures.
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Hepatobiliary, pancreatic MRimaging progresses at 3TThe spatial resolution of 1.5T MRI has beenimproved by parallel imaging and 3D gradient-echo sequences.
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Imaging Centers: Where Have All the Patients Gone?Changes in the market have more of the effect of 1,000 paper cuts on your imaging business, rather than one giant crashing anvil that is easy to see coming. However, without an effective plan of action, death by paper cuts or by anvil is inevitable.
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24th CARS: A congress to rememberI had the pleasure to attend the CARS 2010 24th International Congress and Exhibition, which was held in Geneva, Switzerland, June 23-26, 2010. This is the first time the congress has been staged in Switzerland since its debut in 1985.
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Epigastric Fullness, Burning UrinationCase History: 40-year-old female presented with history of epigastric fullness associated with epigastric and left flank pain and burning micturition.
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Epigastric Fullness, Burning UrinationCase History: 40-year-old female presented with history of epigastric fullness associated with epigastric and left flank pain and burning micturition.
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Envisioning the Ideal Radiology Reading Room: Keys to Optimizing Form and FunctionEmphasizing core concepts of sound ergonomics, accessibility, inclusivity, personalization, and convenient storage can help foster reading room environments with minimal distraction and optimal productivity.
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Tax Break Benefits with Year-End Imaging Equipment FinancingWhy the fourth quarter might be the best time to finance imaging equipment.
