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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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Chemical shift artifact

Chemical shift artifact or misregistration is a type of MRI artifact. It is a common finding on some MRI sequences and used in magnetic resonance spectroscopy (MRS). This artifact occurs in the frequency-encoding direction and is due to spatial misregistration of fat and water molecules. Chemi...

MR enterography

MR enterography (MRE), also known as MRI small bowel study, is a non-invasive technique for the diagnosis of small bowel disorders. Note: This article is intended to outline some general principles of protocol design. The specifics will vary depending on MRI hardware and software, radiologist's...

Timed barium esophagogram

The timed barium esophagogram (TBO) is a simple physiologic assessment and objective method for assessing the esophageal emptying used in patients with suspected achalasia and to evaluate and follow up patients who have been treated with myotomy or pneumatic dilatation1,3. Technique Several te...

Twinkling artifact

Twinkling artifact is seen with color flow Doppler ultrasound 1. It occurs as a focus of alternating colors on Doppler signal behind a reflective object (such as a calculus or air), which gives the appearance of turbulent blood flow 2. It appears with or without an associated color comet tail ar...

Fluoroscopy

Fluoroscopy is an imaging modality that allows real-time x-ray viewing of a patient with high temporal resolution. It is based on an x-ray image intensifier coupled to a still/video camera. In recent years flat panel detectors (like those used in direct digital radiography) have been replacing t...

Tc-99m sulfur colloid

Technetium-99m sulfur colloid is one of the technetium radiopharmaceuticals. Characteristics photon energy: 140 keV physical half-life: 6 hours biological half-life: 2 to 3 minutes normal distribution: liver: 85% spleen: 10% bone marrow: 5% excretion: hepatic target organ: liver, splee...

CT abdomen-pelvis (protocol)

The CT abdomen-pelvis protocol serves as an outline for an examination of the whole abdomen including the pelvis. It is one of the most common CT protocols for any clinical questions related to the abdomen and/or in routine and emergencies. It forms also an integral part of trauma and oncologic ...

Scintigraphy performed with Tc-99m labeled RBCs

Tc-99m labeled RBCs - with radiolabelling technique in vivo or in vitro of red cells 3 - is one of the technetium radiopharmaceuticals used in the non-invasive assessment of gastrointestinal (GI) bleeding 2, characterized by high sensitivity (93%) and specificity (95%) 4. It is capable, in fact,...

CT colonography (protocol)

Computed tomographic (CT) colonography, also called CTC, virtual colonoscopy (VC) or CT pneumocolon, is a powerful minimally invasive technique for colorectal cancer screening. Indications screening test for colorectal carcinoma colon evaluation after incomplete or unsuccessful optical (conv...

Ultrasound elastography

Ultrasound elastography, also called as sono-elastography, is a modern evolutionary method of sonographic imaging. Techniques include shear wave elastography (also known as transient elastography) and strain elastography (also known as static or compression elastography). These techniques utiliz...

Octreotide scintigraphy

Octreotide scintigraphy uses 111In-labeled octreotide, which is a somatostatin analog; it is also known as Octreoscan, a brand name for 111In-labeled pentetreotide. Pentetreotide is a DTPA-conjugated form of octreotide, originally manufactured by Mallinckrodt Nuclear Medicine LLC, which now form...

Rectal cancer protocol (MRI)

MRI protocol for rectal cancer is a group of MRI sequences put together for imaging staging of primary tumors of the rectum and assessment of response following neoadjuvant therapy. Modified versions of the protocol may also be used for the assessment of local recurrence. Note: This article is ...

CT gastrointenstinal bleed (protocol)

A CT gastro-intestinal bleed protocol utilizes a multiphasic technique to detect active gastrointestinal bleeding (as well as other potential non-bleeding bowel disease 1. Note: This article is a general guideline for evaluating CT gastrointestinal bleeds. Protocol factors are variable as they...

Tc-99m pertechnetate

Tc-99m pertechnetate (Na+ 99mTc O4-) is one of the technetium radiopharmaceuticals used in imaging of thyroid, colon, bladder and stomach. Technetium (99mTc) has eight oxidation states 6, from -1 to +7; specifically, the oxidation state of technetium in the pertechnetate anion (99mTcO4-) is +7....

CT pancreas (protocol)

The CT pancreas protocol serves as an outline for a dedicated examination of the pancreas. As a separate examination, it is usually conducted as a biphasic contrast study and might be conducted as a part of other scans such as CT abdomen-pelvis, CT chest-abdomen-pelvis. Note: This article aims...

CT enteroclysis (protocol)

Computed tomographic (CT) enteroclysis refers to a hybrid technique that combines the methods of fluoroscopic intubation-infusion small bowel examinations with that of abdominal CT. Indications CT enteroclysis is complementary to capsule endoscopy in the elective investigation of small-bowel d...

CT chest abdomen-pelvis (protocol)

The CT chest-abdomen-pelvis protocol serves as an outline for an examination of the trunk covering the chest, abdomen and pelvis. It is one of the most common CT examinations conducted in routine and emergencies. It can be combined with a CT angiogram. Note: This article aims to frame a genera...

Vicarious contrast media excretion

Vicarious contrast media excretion (VCME) refers to the excretion of intravascularly-administered water-soluble iodinated contrast media in a way other than via normal renal excretion. More rarely it may occur following oral contrast medium administration 6. Epidemiology The most common vicari...

Gastrointestinal MRI contrast agents

Gastrointestinal MRI contrast agents may be helpful in certain clinical scenarios in distinguishing bowel from intra-abdominal masses and normal organs. The contrast agents can be divided into positive agents (appearing bright on MRI) or negative agents (appearing dark on MRI). Positive contras...

Enteric contrast medium (CT)

Enteric contrast media can be given to patients before their CT exam to improve its diagnostic accuracy. Historically, a combination of oral and intravenous contrast media were always given prior to a CT abdomen. Contemporaneously, improved CT scanners mean that oral contrast agents are no longe...

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