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Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.

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Myocardial area at risk

The myocardial area at risk (AAR) is defined by the ischemic proportion of the myocardium after coronary occlusion and reflects the potential size of the myocardial infarction 1-9. Usage The assessment of the myocardial area at risk is an important measure in the evaluation of the potentially ...

MRI in patients with pacemaker systems

MRI in patients with cardiac implantable electronic devices (CIED) has increasingly become a requirement in radiological departments 1-8. Especially in the setting of patients with MR conditional pacemaker systems, where all the manufacturer's instructions are followed and a standardized institu...

Unilateral hypertransradiant hemithorax

Unilateral hypertransradiancy is the correct term for the chest radiograph appearance of decreased attenuation affecting one lung. Hyperlucency is a commonly used alternative but is inaccurate; the chest is not penetrated by light! An outside-in approach is helpful to identify the cause: techn...

Radiographic evaluation of anterior cruciate ligament reconstruction

Radiographic evaluation of anterior cruciate ligament (ACL) reconstruction involves: femoral component a line is drawn along the posterior cortex of the femur a second line is drawn along the roof of the intercondylar notch of the femur (Blumensaat line) the point of intersection of these tw...

Rectal MRI (an approach)

Rectal MRI is a key imaging investigation in the diagnosis, staging and follow up of rectal cancer. An increase in the utility of rectal MRI as been driven by the recognition of the mesorectum as a distinct anatomic compartment containing and limiting the margins of the rectum, and forming a sur...

Volume doubling time

The volume doubling time (VDT) is an important volumetric parameter primarily used in lung cancer screening and follow-up by chest CT. Volume doubling time is defined as the time required for a growing nodule to double its volume. A longer VDT suggests a more benign course, whilst a short VDT is...

Prostate MRI (an approach)

Prostate MRI has become an increasingly frequent examination faced in daily radiological practice and is mainly conducted for the detection, active surveillance and staging of prostate cancer. This approach is an example of how to create a radiological report of a prostate MRI (usually mpMRI) wi...

Cardiac strain imaging

Strain imaging is a cardiac imaging technique that detects ventricular deformation patterns and functional abnormalities before they become obvious as regional wall motion abnormalities on conventional cine imaging or echo. It has become more popular lately due to several technological improveme...

Sagittal vertical axis

Sagittal vertical axis/alignment (SVA) is one of the simplest and most widely used methods to assess sagittal balance 1-3. Measurement This measurement is performed on lateral standing full-length spine x-rays. A plumb line is drawn vertically from the middle of the C7 vertebral body 1,2 or th...

Red and yellow flags for guiding imaging of lower back pain

Lower back pain (also known as lumbago) is very common and is often referred for imaging. However, the vast majority of cases are due to benign self-limiting causes which do not require imaging and resolve with conservative measures. Numerous authors have described various methods for supporting...

Idiopathic interstitial pneumonias: HRCT chest approach

The approach to HRCT chest in patients with suspected idiopathic interstitial pneumonia (IIP) is with the aim to: make sure an appropriate study requested i.e. HRCT chest with optimal individually adjusted protocol and ensure adequacy of the HRCT chest quality (see imaging protocol below) meti...

Revised PIOPED criteria for diagnosis of pulmonary embolus

The revised PIOPED criteria for the diagnosis of pulmonary embolus indicate the probability of pulmonary emboli based on findings on V/Q scan (ventilation-perfusion scintigraphy). The following article reflects the revised interpretation criteria promulgated in 1993 1 based on retrospective anal...

Hysterosalpingogram

A hysterosalpingogram (HSG) is a fluoroscopic examination of the uterus and the fallopian tubes, most commonly used in the investigation of infertility or recurrent spontaneous abortions. Indications infertility: to assess uterine morphology and tubal patency Contraindications pregnancy act...

Pneumothorax

Pneumothorax, commonly abbreviated to PTX, (plural: pneumothoraces) refers to the presence of gas (often air) in the pleural space. When this collection of gas constantly enlarges with resulting compression of mediastinal structures, it can be life-threatening and is known as a tension pneumotho...

Reporting and Data Systems (disambiguation)

There has been a proliferation of Reporting and Data Systems (RADS), which have been proposed - and in many cases widely adopted - as standardized systems for the reporting of imaging of various body organs, often, but certainly not always, with a focus on oncological disease 2. These systems al...

Lateral trochlear inclination

Lateral trochlear inclination (LTI) is the inclination angle between the femoral trochlea and a posterior condylar tangential line 1. Usage The lateral trochlear inclination angle is used in the assessment of trochlear dysplasia, a dysplastic deformity of the distal femur, which is a known ris...

CT cystography

CT cystography is a variation of the traditional fluoroscopic cystogram. Instead of anterograde opacification of the urinary collecting system (as with CT urography), contrast is instilled retrograde into the patient's bladder, and then the pelvis is imaged with CT. Indications suspected bladd...

Cardiac CT

Computed tomography of the heart or cardiac CT is routinely performed to gain knowledge about cardiac or coronary anatomy, to detect or diagnose coronary artery disease (CAD), to evaluate patency of coronary artery bypass grafts or implanted coronary stents or to evaluate volumetry and cardiac f...

Alpha angle (cam morphology)

The alpha angle is a radiological measurement proposed for the detection of cam morphology, which is sometimes associated with femoroacetabular impingement (FAI). Terminology The term alpha angle is also used in a separate and unrelated context in the evaluation of developmental dysplasia of ...

Rule of Spence

The Rule of Spence is a radiologic method to evaluate the likelihood of injury to the transverse atlantal ligament (TAL) on an open mouth AP (“peg”) radiograph. As originally framed, if the combined projection of the lateral masses of the atlas is more than 6.9 mm beyond the lateral masses of th...

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