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
Ultrasound guided breast biopsy
Ultrasound-guided percutaneous breast biopsy is a widely used technique for an accurate histopathological assessment of suspected breast pathology. It is a fast, safe and economical procedure.
Indications
Ultrasound guidance is limited to lesions visible on ultrasound study. The biopsy is gene...
Article
Stieda fracture
Stieda fractures refer to a bony avulsion injury of the medial collateral ligament (MCL) at the medial femoral condyle. When it fails to unite, it is known as a Pellegrini Stieda lesion.
It should not be confused with a Stieda process fracture of the talus.
Clinical presentation
Avulsion of t...
Article
Tibial torsion
Tibial torsion refers to the rotation or twist along the longitudinal axis of the lower leg or more specifically the tibia.
Usage
Internal tibial torsion is a cause of in-toeing gait a common rotational variant in toddlers, usually resolving spontaneously by the age of 5 years 1. External tibi...
Article
Pediatric urinary tract infection (NICE guideline)
The British National Institute for Health and Care Excellence (NICE) published the “Urinary tract infection in under 16s: diagnosis and management” in 2007 as a guideline for pediatric urinary tract infection (UTI) management, including imaging, prophylaxis and follow-up 1.
This article intend...
Article
Taphonomy
Taphonomy is the study of death, decay and fossilization. A subdiscipline of paleontology essentially examining the train of events and processes of fossilization. It includes the study of soft tissue decay/degradation, skeletal separation and chemical changes post burial.
Whilst encompassing ...
Article
Tracheal bifurcation angle
The tracheal bifurcation angle can have a wide range of normal values in patients and can vary significantly in serial radiographs. It is of poor diagnostic value due to the lack of sensitivity and specificity in identifying the underlying pathology.
Terminology
The interbronchial angle is th...
Article
Describing a bone lesion
Describing a bone lesion is an essential skill for the radiologist, used to form an accurate differential diagnosis for neoplastic entities, and occasionally non-neoplastic. In addition to patient demographics, the radiographic features of a bone lesion are often the primary determinant of non-h...
Article
Cardiac CT (prospective acquisition)
A prospective ECG-gated cardiac CT angiogram, also known as the step and shoot method, is considered the default or ‘bread and butter’ protocol for coronary CTA and combines a reasonably low radiation dose with diagnostic results in most situations. Nowadays, this protocol is available on most C...
Article
Mitral leaflet separation index
The mitral leaflet separation (MLS) index is a semi-quantitative and complementary approach for assessing the degree of mitral stenosis by using two-dimensional echocardiography. It strongly correlates with the mitral valve area using planimetry and pressure half-time techniques 1-3.
Measuremen...
Article
Pituitary MRI (an approach)
A systematic approach to the pituitary region is crucial as small lesions can have a profound impact on the patient, and can be subtle even on high-quality dedicated MRI imaging. Successful assessment of the pituitary region relies not only on a clear understanding of the local anatomy but also ...
Article
CT colonography - pitfalls
The interpretation of CT colonography can sometimes be difficult because of pitfalls, which may be a source of false negative and false positive findings. When suboptimal CT colonography techniques are applied, the number and severity of interpretive pitfalls can rapidly multiply. However, when ...
Article
Reactive vs malignant lymph nodes (ultrasound features)
A number of sonographic features are helpful in distinguishing reactive versus malignant lymph nodes.
Grey scale features
Features that favor reactive/infective nodes over malignancy include:
nodal matting
surrounding soft tissue edema
Doppler features
Doppler examination is particu...
Article
Artifacts that mimic breast calcification
Artifacts that mimic breast calcification can arise from a number of external sources of radiopaque material that leave particulate residue on or within the skin. These include:
deodorants/antiperspirants, particularly solid applicator products 1
powders, such as those containing talc 2...
Article
Cardiac tissue characterization
Cardiac tissue characterization is a term for an approach in cardiac imaging used for the evaluation of the myocardial tissue in respect to its inherent properties as opposed to cardiac function e.g. in cine or strain imaging.
In cardiac magnetic resonance imaging tissue characterization typica...
Article
Female pelvic ultrasound
Pelvic ultrasound is usually the initial modality for imaging gynecologic pathology, including acute pelvic pain and chronic pelvic pain. The exam normally involves two components: a transabdominal (TA) evaluation and a transvaginal (TV) / endovaginal (EV) evaluation.
Normal ultrasound anatomy
...
Article
Focused Assessment with Sonography for Trauma (FAST) scan
Focused Assessment with Sonography for Trauma (FAST) scan is a point-of-care ultrasound (POCUS) examination performed at the time of presentation of a trauma patient.
It is invariably performed by a clinician, who should be formally trained, and is considered as an 'extension' of the trauma cl...
Article
Radiological image artifact
Most artifacts in radiology refer to something seen on an image that are not present in reality but appear due to a quirk of the modality itself. Artifact is also used to describe findings that are due to things outside the patient that may obscure or distort the image, e.g. clothing, external c...
Article
Pancreatic ultrasound
Pancreatic ultrasound can be used to assess for pancreatic malignancy, pancreatitis and its complications, as well as for other pancreatic pathology.
Preparation
Fast the patient to reduce interference from overlying bowel gas, which may otherwise make visualization difficult.
Scanning techni...
Article
Renal transplant ultrasound
The central approach of renal transplant ultrasound is to evaluate for possibly treatable surgical or medical complications arising in the transplanted kidney.
Institutions vary in the exact schedule of renal transplant ultrasound assessment, but it is common to obtain an initial ultrasound 24-...
Article
Coxa magna
Coxa magna is the asymmetrical, circumferential enlargement and deformation of the femoral head and neck. Definitions in the literature vary but enlargement with asymmetry >10% in size is a reasonable cut-off for diagnosis 1.
Pathology
Etiology
Legg-Calve-Perthes disease
transient syno...
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