Archive: 5 September 2021

What do Orthopedic surgeons seek in a quality radiology report?

Orthopedic surgeons at NHS, UK highlighted a list of what they believe to be essential elements of a clear and concise musculoskeletal radiology report. Those include a structured format, consistent nature, and clarification in confirming a diagnosis or recommendations for further diagnostic tests.

They advised radiologists to provide a summary of key findings at the end of their reports.

The analysis also outlines surgeons’ tips for reporting orthopedic pathologies, trauma, tumors and post-operative imaging.

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Are X-rays after knee replacement unnecessary?

More than 99% of X-rays after total knee replacement surgery appear to be unnecessary, costing the healthcare system millions, according to a new analysis.

Gathering radiographs following this operation is common practice, but there is little data on the usefulness of these exams, experts wrote in The Knee. Wanting to better understand this practice, Brigham and Women’s scientists analyzed postoperative data across two level 1 trauma centers.

Their results were eye opening: Almost 100% of scans after total knee arthroplasty had no impact on clinical management after the procedure. Yet, these routine radiographs cost some $1 million while administering 22.92 mSV of radiation to patients who didn’t require such imaging.

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Portable MRI device offers key data for stroke treatment

Yale University has found in a study that a portable magnetic resonance imaging (MRI) device could aid in detecting intracranial hemorrhages associated with stroke.

The Portable Point-of-Care MRI system provides potentially life-saving data, especially in areas or cases where access to advanced brain imaging scans is limited.

The team is currently examining the ability of portable MRI technologies in detecting and monitoring head trauma and brain tumors. They will also investigate the use of such devices in evaluating brain health in individuals with risk factors, including high blood pressure.

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Cancer radiation treatment at high-volume centers associated with improved survival

Treatment at high-volume radiation therapy facilities correlated with improved survival among select patients with common malignancies, according to study results published in Cancer.
Patients who receive radiation therapy in the definitive setting without surgery may benefit most from treatment at high-volume centers, researchers wrote.

The researchers called for further research into why patients treated at high-volume radiation centers have better outcomes.

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The future of vascular imaging technology

Researchers from Kyoto University Hospital a describe the future of vascular imaging technology, including how photoacoustic imaging targets tumour vessels in breast cancer.

By visualizing the state of blood vessels within a disease, it may be possible to detect the disease at an early stage and monitor the effects of treatment.

Photoacoustic imaging may be a breakthrough technology to solve these issues. It enables us to depict fine vessels without radiation exposure and the use of contrast media. Furthermore, photoacoustic imaging is also capable of visualizing intravascular oxygen saturation in the 3D view as well. The photoacoustic imaging technology will contribute widely to the diagnosis of disease.

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