Articles

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.

535 results found
Article

Lateral humeral line

The lateral humeral line is used to confirm the alignment of the pediatric radiocapitellar joint in the coronal plane 1. This is particularly important in injuries such as a Monteggia fracture-dislocation or in a radial neck fracture. Measurement The lateral humeral line is drawn on a pediatri...
Article

Uterine artery embolization MRI (an approach)

Uterine artery embolization (UAE) is used as an alternative to hysterectomy in selected patients and MRI assessment is key in allowing not only pre-procedure assessment but also assessing post-procedural outcome. For a general discussion of the underlying condition refer to the article on uteri...
Article

Videofluoroscopic swallow study

Videofluoroscopic swallow studies (also often called modified barium swallow studies) are a variation on traditional barium swallow studies. Although typical barium swallow studies / esophagrams evaluate the pharynx, the goal in these studies is to even more closely evaluate the oral cavity, pha...
Article

Cotrel-Dubousset instrumentation

Cotrel-Dubousset instrumentation is a scoliosis restorative method employed since 1983. Principally this procedure is used in any situation requiring posterior spinal instrumentation with rigid fixation like fractures and retrolisthesis. Contrary to Harrington rods, this procedure is much better...
Article

Urethrography

Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Terminology When the urethra is studied with instillation of contrast into the distal/anterior urethra it has been referred to as: retrograde urethrography (RUG)...
Article

Assessment of bones and soft tissue on chest x-ray

Described below are points to consider on assessment of bones and soft tissue on chest x-ray.  ribs rib fractures lesions (most commonly metastases): may appear as lucent and/or sclerotic; inverting contrast may help in identification previous surgery, e.g. thoracotomy with rib resection ve...
Article

Assessment of lungs, pleura and airways on chest x-ray (approach)

Described below is one approach to the assessment of airways, lungs and pleura on chest x-ray. Start by assessing the tracheal air column, followed by the lungs and finally the pleural spaces.  Tracheobronchial tree assess position, should be central and deviation can be due to positive mass ...
Article

Assessment of pulmonary hila on chest x-ray (approach)

The assessment of the pulmonary hila on chest x-ray is important for detecting potential mediastinal and lung pathology. Several features of the hilum and hilar point can be assessed: shape normally appear as K or C-shapes on either side contents: pulmonary arteries and veins, bronchi, lymph...
Article

Assessment of cardiomediastinal contours on chest x-ray (approach)

Described below is one approach to systematic assessment and associated pathology of the cardiomediastinal contours on chest x-ray. Mediastinum size: widened mediastinum can be seen in aortic dissection, traumatic aortic injury, vascular ectasia abnormal contour, e.g. lymphadenopathy, anterio...
Article

Lines and tubes (radiograph)

Lines and tubes are important components in chest radiographic evaluation. Nasogastric tube (NGT) See: nasogastric tube positioning.  Correct position NG tube tip ≥10 cm distal to the gastro-esophageal junction i.e. below the left hemidiaphragm Complications insertion into trachea or bron...
Article

Assessment of chest x-ray technical adequacy (approach)

Described below are some points on an approach to the assessment of the chest x-ray technical adequacy. Rarely, a technically inadequate chest x-ray will prohibit diagnostic interpretation but knowledge of the limitations will impact on diagnostic confidence.  Exposure/penetration assessed by ...
Article

Fleischner Society pulmonary nodule recommendations

The Fleischner Society pulmonary nodule recommendations pertain to the follow-up and management of indeterminate pulmonary nodules detected incidentally on CT and are published by the Fleischner Society. The guideline does not apply to lung cancer screening, patients younger than 35 years, or pa...
Article

Ovarian-Adnexal Reporting and Data System Magnetic Resonance Imaging (O-RADS MRI)

The Ovarian-Adnexal Reporting and Data System Magnetic Resonance Imaging (O-RADS MRI) forms the MRI component of the Ovarian-Adnexal Reporting and Data System (O-RADS). This system aims to ensure that there is a uniform, unambiguous MRI evaluation of ovarian or other adnexal lesions, accurately ...
Article

Deep endometriosis (transvaginal ultrasound)

Transvaginal ultrasound (TV) for deep endometriosis is a specialized ultrasound technique used for the detection of deep endometriosis (DE). It differs from a traditional pelvic ultrasound in that the scan is extended beyond the uterus and ovaries to assess the anterior and posterior pelvic comp...
Article

Abdominal pain in pregnancy protocol (MRI)

The abdominal pain in pregnancy MRI protocol encompasses a set of MRI sequences for assessment of causes of non-traumatic abdominal pain in pregnancy. Note: This article aims to frame a general concept of an MRI protocol for the assessment of the abdomen in pregnancy. Protocol specifics will va...
Article

Acute non-traumatic abdominal pain in pregnancy

Acute non-traumatic abdominal pain in pregnancy requires a considered imaging approach due to the increased risks of fetal demise associated with undiagnosed diseases such as perforated acute appendicitis. Ultrasound is the first-line modality due to its wide availability and ability to diagnose...
Article

Adrenal washout

Adrenal washout can be calculated using the density value of an adrenal mass on non-enhanced, portal venous phase and 15-minute delayed CT scans (density measured in Hounsfield units (HU)). It is primarily used to diagnose adrenal adenoma. absolute washout [(HUportal venous phase) - (HUdelayed...
Article

ACR Thyroid Imaging Reporting and Data System (ACR TI-RADS)

ACR TI-RADS is a reporting system for thyroid nodules on ultrasound proposed by the American College of Radiology (ACR) 1. This uses a standardized scoring system for reports providing users with recommendations for when to use fine needle aspiration (FNA) or ultrasound follow-up of suspicious ...
Article

Brock model for pulmonary nodules

The Brock model, also known as the PanCan model, is a multivariable model that estimates the risk that a pulmonary nodule on CT scan is lung cancer. The model was developed from participants enrolled in the Pan-Canadian Early Detection of Lung Cancer Study 1, has been validated in lung cancer s...
Article

Code stroke CT (an approach)

A code stroke CT can be daunting to interpret as not only does it involve many sequences but it also includes CT perfusion with which many radiologists and clinicians alike are relatively unfamiliar. If that wasn’t challenging enough, there is usually the added pressure to make the diagnosis rap...

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