Episodes

Mr Enrique Sunga gives detailed tips on performing SPECT/CT from a technical aspect, particularly in patient positioning, gained from work at Royal Free Hospital NHS Foundation Trust.

Image artefacts arise from a number of different sources. They can be an artefact arising in the CT imaging phase or they may be generated during the process of combining information from both the CT and the SPECT study.

Recent developments in radionuclide imaging, such as advanced image reconstruction and the advent of widespread hybrid imaging, have enabled accurate quantification in SPECT. However, despite numerous methodological advances towards image based quantification, the ‘culture’ to enable its use in clinical applications has only recently started to change.

John Dickson presents image reconstruction and registration methodologies. With a multitude of options available when using image registration, it is important to understand the benefits and limitations of the method chosen.

Bone SPECT/CT is a promising problem solving tool in patients with unexplained hand and wrist pain, but additional research is required.

The talk summarises the agents which can be used in infection imaging using SPECT/CT and how these can be applied in clinical practice with reference to published evidence and guidelines as appropriate. It also looks at the role of SPECT/CT compared to PET/CT.

Dr Donald P. Frush is a Professor of Radiology and Pediatrics, faculty member of the Medical Physics Graduate Program, Radiology and Chief of the Division of Pediatric Radiology at Duke University Medical Center in Durham, North Carolina. In this interview, he talked to us about the "Image Gently", the campaign to promote radiation protection for children worldwide.

Professor Nigel Thomas is a Consultant Radiologist and an Honorary Professor at the University of Salford. In this interview, he makes the case for radiographer reporting as an effective means to tackle the many unreported backlog of images in radiology departments in the UK.

Dr Nicola Strickland is the President of Royal College of Radiologists and Consultant Radiologist at Imperial College Heathcare NHS Trust. Here she talks about the challenges for trainees as they enter their career as radiologists.

Dr Nassim Parvizi is an Academic Clinical Fellow and Specialty Registrar in Radiology at Oxford University Hospitals NHS Foundation Trust. In this interview, she talked to us about her experiences as a trainee radiologist and the benefits of joining our trainee events.

Dr Joshua Shur is a Specialist Registrar at St George's Hospital London and winner of the BIR/Phillips Excellence Award for trainees in 2016. In this interview, he talks about what inspired him in his project as well as his reflections on the benefits of being a member of the BIR.

Dr Ian Francis is the Education Development Lead of Specialty Training Board at Royal College of Radiologists. He is a Consultant Radiologist and Clinical Lead for Strategy at QVH NHS Foundation Trust. In this interview, he talks about about his own experiences as a radiologist and his best piece of advice to young radiology professionals.

Dr David Wilson is a Consultant Radiologist at St Luke’s Hospital and former President of the BIR. In this interview, he talks about his experience as a radiologist and his best piece of advice to young radiology professionals.

In this podcast, we talk to Drs Denise Arthur, Peter Hiles and Helen Hughes about their recently published BIR book, "Personal Protective Equipment for Diagnostic X-ray Use".

In this podcast, Sophia Anderton, Head of Publishing at the BIR, talks to the Editors-in-Chief of BJR, Dr Simon Jackson and Professor Kevin Prise. Listen to find out more about BJR, Simon and Kevin’s plans for the journal in 2017 and the important subject of peer review, including combatting reviewer fatigue, tips on how to be a good reviewer, and ways to gain recognition through websites such as Publons.

The role of diagnostic imaging in PE is increasingly undertaken by CT Pulmonary Angiography (CTPA). The inappropriate use of CTPA has a negative impact on patients’ safety and hospital resources, along with increasing the load on the working force. This audit aims to assess the local practice against the iRefer guidelines for CTPA in suspected PE. To improve the diagnostic yield of CTPA, risk stratification criteria, involving Wells score and D-dimer have been used.

Acute flank pain due to suspected renal colic is a common clinical presentation in A&E. Urolithiasis is estimated to have a lifetime incidence of 12%. It usually presents in patients of30–60 years of age and is approximately three times more common in males. CT-KUB is the investigation of choice when investigating acute renal colic.

Neuroimaging is integral to the diagnostic workup of dementia. This is to exclude potentially treatable causes of cognitive impairment and improve the accuracy of diagnosis by identifying zonal changes and the extent of cerebrovascular disease. CT scan with coronal reformats is probably the most cost effective first line option available, though MRI is more sensitive and is required where a rare condition is suspected. This audit aims to assess the performance of reporting on CT Brain scans in p...

The RCR states that sufficient clinical details including past medical/surgical history and any relevant notes from the patient's clinical examination, should be supplied to enable the radiologist to understand the particular diagnostic or clinical problems to be resolved by the radiological investigation. The purpose of this audit was to determine whether sufficient surgical history was being given when clinicians requested CT examinations.

Absence of Nigrosome-1(N1) hyperintensity on SWI-MRI is a relatively new sign in Parkinson’s disease (PD) with a high diagnostic accuracy on 3T MRI . ➤ Pathology in PD starts in substructures in the dorsolateral substantial nigra (SN) called Nigrosomes, with N1 representing the largest cluster of dopaminergic cells in the pars compacta (SNpc). ➤ N1 appears as an ovoid hyperintensity in the SNpc ventralis, bounded medially by SNpc dorsalis, anteriorly & laterally by SN pars reticulata (SNpr), res...

MRI should be used to reduce radiation in situations where multiple imaging is required •Inflammatory disease of the small bowel, namely Crohn’s disease, is the clearest example of this •For diagnosis of small bowel pathology, there is no consensus regarding initial imaging •NICE guidance recommends US or MRI in conjunction with endoscopy if inflammatory markers are raised1 •Other literature has indicated that US, CT and MRI are comparable in imaging small bowel pathology •MRE is frequently used...

Pulmonary neuroendocrine tumours make up 20-25% of lung malignancies. They include carcinoid, large-cell, and small-cell carcinomas. These tumours often present with recurrent infections, chest pain, cough (with or without haemoptysis) and dyspnoea. They can often be asymptomatic, and picked up incidentally.

Interviews from the BIR Annual Congress by BIR

Interview With Dr Rosalind Given-Wilson by BIR