Clinical radiology
-
Comparative Study
Fatty infiltrate in the cervical extensor muscles is not a feature of chronic, insidious-onset neck pain.
To investigate the presence of fatty infiltrate in the cervical extensor musculature in patients with insidious-onset neck pain to better understand the possible pathophysiology underlying such changes in chronic whiplash-associated disorders (WAD). ⋯ Fatty infiltrates in the cervical extensor musculature and widespread hyperalgesia were not features of the insidious-onset neck pain group in this study; whereas these features have been identified in patients with chronic WAD. This novel finding may enable a better understanding of the underlying pathophysiological processes in patients with chronic whiplash.
-
To assess local clinical knowledge of the appropriate investigation of suspected acute pulmonary embolism (PE) and this compare with the 2003 British Thoracic Society (BTS) guidelines as a national reference standard. ⋯ The recommended clinical probability score was unfamiliar to all four groups of clinicians in the present study, and the majority of doctors did not agree that a negative CTPA or isotope lung scintigraphy reliably excluded PE. However, questions based on clinical scenarios received considerably higher rates of correct responses. The results indicate that various aspects of the national guidelines on suspected acute pulmonary embolism are unfamiliar to many UK hospital clinicians. Further research is needed to identify methods to improve this situation, as both clinicians and radiologists have a duty to ensure that patients are appropriately investigated.
-
To determine the factors predicting amputation of the affected lower limb 12 months after thrombolysis for acute arterial occlusion. ⋯ Successful thrombolysis was a predictor for limb survival up to 12 months post-thrombolysis regardless of the type of vessel occlusion, presence of complications or additional surgical requirement.
-
The single best answer multiple-choice question (MCQ) format has many advantages over traditional true/false format MCQs. From 2009, the Royal College of Radiologists will be adopting this format for written examinations. ⋯ 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.
-
Case Reports Historical Article
Froin's syndrome revisited, 100 years on. Pseudo-Froin's syndrome on MRI.