Sample records for revision 3a radiological

  1. Radiological control manual. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Kloepping, R.


    This Lawrence Berkeley National Laboratory Radiological Control Manual (LBNL RCM) has been prepared to provide guidance for site-specific additions, supplements and interpretation of the DOE Radiological Control Manual. The guidance provided in this manual is one methodology to implement the requirements given in Title 10 Code of Federal Regulations Part 835 (10 CFR 835) and the DOE Radiological Control Manual. Information given in this manual is also intended to provide demonstration of compliance to specific requirements in 10 CFR 835. The LBNL RCM (Publication 3113) and LBNL Health and Safety Manual Publication-3000 form the technical basis for the LBNL RPP and will be revised as necessary to ensure that current requirements from Rules and Orders are represented. The LBNL RCM will form the standard for excellence in the implementation of the LBNL RPP.

  2. Nevada Test Site Radiological Control Manual. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    None, None


    This document supersedes DOE/NV/25946--801, “Nevada Test Site Radiological Control Manual,” Revision 0 issued in October 2009. Brief Description of Revision: A minor revision to correct oversights made during revision to incorporate the 10 CFR 835 Update; and for use as a reference document for Tenant Organization Radiological Protection Programs.

  3. Radiological Control Manual. Revision 0, January 1993

    Energy Technology Data Exchange (ETDEWEB)


    This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records.

  4. US Department of Energy radiological control manual. Revision 1

    Energy Technology Data Exchange (ETDEWEB)


    This manual establishes practices for the conduct of Department of Energy radiological control activities. The Manual states DOE`s positions and views on the best courses of action currently available in the area of radiological controls. Accordingly, the provisions in the Manual should be viewed by contractors as an acceptable technique, method or solution for fulfilling their duties and responsibilities. This Manual shall be used by DOE in evaluating the performance of its contractors. This Manual is not a substitute for Regulations; it is intended to be consistent with all relevant statutory and regulatory requirements and shall be revised whenever necessary to ensure such consistency. Some of the Manual provisions, however, challenge the user to go well beyond minimum requirements. Following the course of action delineated in the Manual will result in achieving and surpassing related statutory or regulatory requirements.

  5. NV/YMP radiological control manual, Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    Gile, A.L. [comp.


    The Nevada Test Site (NTS) and the adjacent Yucca Mountain Project (YMP) are located in Nye County, Nevada. The NTS has been the primary location for testing nuclear explosives in the continental US since 1951. Current activities include operating low-level radioactive and mixed waste disposal facilities for US defense-generated waste, assembly/disassembly of special experiments, surface cleanup and site characterization of contaminated land areas, and non-nuclear test operations such as controlled spills of hazardous materials at the hazardous Materials (HAZMAT) Spill Center (HSC). Currently, the major potential for occupational radiation exposure is associated with the burial of low-level nuclear waste and the handling of radioactive sources. Planned future remediation of contaminated land areas may also result in radiological exposures. The NV/YMP Radiological Control Manual, Revision 2, represents DOE-accepted guidelines and best practices for implementing Nevada Test Site and Yucca Mountain Project Radiation Protection Programs in accordance with the requirements of Title 10 Code of Federal Regulations Part 835, Occupational Radiation Protection. These programs provide protection for approximately 3,000 employees and visitors annually and include coverage for the on-site activities for both personnel and the environment. The personnel protection effort includes a DOE Laboratory Accreditation Program accredited dosimetry and personnel bioassay programs including in-vivo counting, routine workplace air sampling, personnel monitoring, and programmatic and job-specific As Low as Reasonably Achievable considerations.

  6. Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery

    NARCIS (Netherlands)

    Hentenaar, B.; Spoor, A. B.; Malefijt, J. de Waal; Diekerhof, C. H.; den Oudsten, B. L.


    Purpose The aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases. Methods In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic

  7. Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery


    Hentenaar, B.; Spoor, A. B.; Malefijt, J. de Waal; Diekerhof, C. H.; den Oudsten, B. L.


    Purpose The aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases. Methods In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n?=?28) and recurrent radiculopathy after herniated disc surgery (n?=?28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of lif...

  8. Revision of criteria for foodstuffs control following a nuclear or radiological emergency

    Energy Technology Data Exchange (ETDEWEB)

    Park, Sang Hyun; Lee, Young Min; Jeong, Seung Young [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)


    GAL(generic action level)s were derived using cost-benefit methods. But the factors used to derive GALs, such as Gross National Product (GNP) and cost of foodstuff, have been changed for last 10 years. Moreover the standards did not consider exposure situation change from emergency exposure to existing exposure situation. In this study, two ways to revise existing standards for foodstuff control were considered; 1st, revision of GAL, 2nd, newly derived reference level. In this study, two methods to revise food control criteria following nuclear emergency were suggested. GAL based on recent GNI and cost of foodstuff would be revised and decreased up to 30 % than existing criteria. DRLs reflecting exposure situation and consumption pattern were smaller than existing criteria for group 1 nuclides. The approach considered in the study would be applied to set up domestic criteria for food control during and following nuclear or radiological emergency.

  9. [Clinical-radiological evaluation of the impaction allografting and cemented rod technique in revision knee surgery]. (United States)

    Mateo-Negreira, J; López-Cuello, P; Pipa-Muñiz, I; Rodríguez García, N; Murcia-Mazón, A; Suárez-Suárez, M A


    Long term clinical and radiological evaluation of results, survival, and peri- operative and post-operative complications of the patients who have been operated on for revision total hip arthroplasty using the impaction allografting and cemented rod technique. An observational, analytical, prospective and non-random study was conducted on 26 patients who underwent revision total hip arthroplasty in our Hospital (1997-98). They were clinically and radiologically assessed, and a survival analysis of the implant was performed. Statistically significant differences were identified in the pre- and post-operative values, according to Harris and Merle D́Aubigne scores. The femoral components survival was considered as an endpoint of the revision replacement, which was 84% at a mean of 13 years. There were 9 intraoperative complications (6 were fractures) and they significantly affected the length of hospital stay. No post-operative complications were observed in 70% of the patients. None of the analysed variables had any influence on the radiological subsidence of the femoral component. Several techniques aim to solve the bone stock deficiency in revision total hip arthroplasty, but only impaction grafting attempts to recover it. The Ling's technique shows an improvement over the Merle D́Aubigne and Harris scores, in the medium-long term. The intraoperative complications are mainly an increase in the length of hospital stay and the number of days needed to be able to sit down. Ling's technique is a good option to consider in young patients where it is foreseeable that there is a new revision surgery in the future. Copyright © 2015 SECOT. Published by Elsevier Espana. All rights reserved.

  10. Radiological and chemical source terms for Solid Waste Operations Complex. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Boothe, G.F.


    The purpose of this document is to describe the radiological and chemical source terms for the major projects of the Solid Waste Operations Complex (SWOC), including Project W-112, Project W-133 and Project W-100 (WRAP 2A). For purposes of this document, the term ``source term`` means the design basis inventory. All of the SWOC source terms involve the estimation of the radiological and chemical contents of various waste packages from different waste streams, and the inventories of these packages within facilities or within a scope of operations. The composition of some of the waste is not known precisely; consequently, conservative assumptions were made to ensure that the source term represents a bounding case (i.e., it is expected that the source term would not be exceeded). As better information is obtained on the radiological and chemical contents of waste packages and more accurate facility specific models are developed, this document should be revised as appropriate. Radiological source terms are needed to perform shielding and external dose calculations, to estimate routine airborne releases, to perform release calculations and dose estimates for safety documentation, to calculate the maximum possible fire loss and specific source terms for individual fire areas, etc. Chemical source terms (i.e., inventories of combustible, flammable, explosive or hazardous chemicals) are used to determine combustible loading, fire protection requirements, personnel exposures to hazardous chemicals from routine and accident conditions, and a wide variety of other safety and environmental requirements.

  11. Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery. (United States)

    Hentenaar, B; Spoor, A B; de Waal Malefijt, J; Diekerhof, C H; den Oudsten, B L


    The aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases. In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF. The follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount. The MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. It was successful in both groups, but the quality of life and ODI are better in primary cases.

  12. Nevada Test Site Area 25, Radiological Survey and Cleanup Project, 1974-1983 (a revised final report). Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Miller, M.G.


    This report describes the radiological survey, decontamination and decommissioning (D and D) of the Nevada Test Site (NTS) Area 25 facilities and land areas incorporated in the Nuclear Rocket Development Station (NRDS). Buildings, facilities and support systems used after 1959 for nuclear reactor and engine testing were surveyed for the presence of radioactive contamination. The radiological survey portion of the project encompassed portable instrument surveys and removable contamination surveys (swipe) for beta plus gamma and alpha radioactive contamination of facilities, equipment and land areas. Soil sampling was also accomplished. The majority of Area 25 facilities and land areas have been returned to unrestricted use. Remaining radiologically contaminated areas are posted with warning signs and barricades. 9 references, 23 figures.

  13. U.S. Department of Energy Region 6 Radiological Assistance Program response plan. Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    Jakubowski, F.M.


    Upon request, the DOE, through the Radiological Assistance Program (RAP), makes available and will provide radiological advice, monitoring, and assessment activities during radiological incidents where the release of radioactive materials is suspected or has occurred. Assistance will end when the need for such assistance is over, or if there are other resources available to adequately address the incident. The implementation of the RAP is usually accomplished through the recommendation of the DOE Regional Coordinating Office`s (RCO) on duty Regional Response Coordinator (RRC) with the approval of the Regional Coordinating Office Director (RCOD). The DOE Idaho Operations Office (DOE-ID) is the designated RCO for DOE Region 6 RAP. The purpose of this document is: to describe the mechanism for responding to any organization or private citizen requesting assistance to radiological incidents; to coordinate radiological assistance among participating federal agencies, states, and tribes in DOE Region 6; and to describe the RAP Scaled Response concept of operations.

  14. The radiological consequences of degraded core accidents for the Sizewell PWR The impact of adopting revised frequencies of occurrence

    CERN Document Server

    Kelly, G N


    The radiological consequences of degraded core accidents postulated for the Sizewell PWR were assessed in an earlier study and the results published in NRPB-R137. Further analyses have since been made by the Central Electricity Generating Board (CEGB) of degraded core accidents which have led to a revision of their predicted frequencies of occurrence. The implications of these revised frequencies, in terms of the risk to the public from degraded core accidents, are evaluated in this report. Increases, by factors typically within the range of about 1.5 to 7, are predicted in the consequences, compared with those estimated in the earlier study. However, the predicted risk from degraded core accidents, despite these increases, remains exceedingly small.

  15. Review of the general regulation of radiological protection; Revision del reglamento general de seguridad radiologica

    Energy Technology Data Exchange (ETDEWEB)

    Cortes C, A. [Comision Nacional de Seguridad Nuclear y Salvaguardias, Area de Impacto Radiologico y Emergencias, Dr. Jose Ma. Barragan No. 779, Col. Narvarte, 03020 Mexico D. F. (Mexico)


    As a result of advances in radiation protection at the international level, the National Commission of Nuclear Safety and Safeguards has been given the task of revising the General Regulation of Radiation Safety to cover such developments, especially those contained in the safety basic standards No. 115 of the IAEA, published in 1977. In addition, the working group has considered issues that need to be regulated to avoid unnecessary dose received by the public due to exposure to ionizing radiation. Related to the public exposure believes the preliminary deal with situations of chronic exposure in homes, as well as human activities involving natural sources of ionizing radiation exposure to cause the public to levels that exceed the dose limits laid down in the Regulation. It is also envisaged that they will be subject to monitoring by the Commission, the concentration levels due to radon in homes, radon outdoor, radio and radon in drinking water, and external radiation levels due to naturally occurring radionuclides in building materials. Thus, the processes that may be subject to surveillance by the National Commission of Nuclear Safety and Safeguards include water treatment, some metallurgical processes, some of the mining industry and some industrial processes in which waste increase activity concentration of naturally occurring radionuclides. With the revision of the General Regulation of Radiation Safety, certain standards must be reviewed and further developed such as the concentration of radon levels in homes room, outdoor radon, radon and radio in drinking water, radiation levels out sourcing due to naturally occurring radionuclides in building materials, and standards governing (and identify) the radioactive material generation in the processes mentioned previously. (Author)

  16. Radiological effluents released from US continental tests, 1961 through 1992. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Schoengold, C.R.; DeMarre, M.E.; Kirkwood, E.M.


    This report documents all continental tests from September 15, 1961, through September 23, 1992, from which radioactive effluents were released. The report includes both updated information previously published in the publicly available May, 1990 report, DOE/NV-317, ``Radiological Effluents Released from Announced US Continental Tests 1961 through 1988``, and effluent release information on formerly unannounced tests. General information provided for each test includes the date, time, location, type of test, sponsoring laboratory and/or agency or other sponsor, depth of burial, purpose, yield or yield range, extent of release (onsite only or offsite), and category of release (detonation-time versus post-test operations). Where a test with simultaneous detonations is listed, location, depth of burial and yield information are given for each detonation if applicable, as well as the specific source of the release. A summary of each release incident by type of release is included. For a detonation-time release, the effluent curies are expressed at R+12 hours. For a controlled releases from tunnel-tests, the effluent curies are expressed at both time of release and at R+12 hours. All other types are listed at the time of the release. In addition, a qualitative statement of the isotopes in the effluent is included for detonation-time and controlled releases and a quantitative listing is included for all other types. Offsite release information includes the cloud direction, the maximum activity detected in the air offsite, the maximum gamma exposure rate detected offsite, the maximum iodine level detected offsite, and the maximum distance radiation was detected offsite. A release summary incudes whatever other pertinent information is available for each release incident. This document includes effluent release information for 433 tests, some of which have simultaneous detonations. However, only 52 of these are designated as having offsite releases.

  17. Revised

    DEFF Research Database (Denmark)

    Johannsen, Vivian Kvist; Nord-Larsen, Thomas; Riis-Nielsen, Torben

    This report is a revised analysis of the Danish data on CO2 emissions from forest, afforestation and deforestation for the period 1990 - 2008 and a prognosis for the period until 2020. Revision have included measurements from 2009 in the estimations. The report is funded by the Ministry of Climate...

  18. Code Conversion Impact Factor and Cash Flow Impact of International Classification of Diseases, 10th Revision, on a Large Multihospital Radiology Practice. (United States)

    Jalilvand, Aryan; Fleming, Margaret; Moreno, Courtney; MacFarlane, Dan; Duszak, Richard


    The 2015 conversion of the International Classification of Diseases (ICD) system from the ninth revision (ICD-9) to the 10th revision (ICD-10) was widely projected to adversely impact physician practices. We aimed to assess code conversion impact factor (CCIF) projections and revenue delay impact to help radiology groups better prepare for eventual conversion to ICD, 11th revision (ICD-11). Studying 673,600 claims for 179 radiologists for the first year after ICD-10's implementation, we identified primary ICD-10 codes for the top 90th percentile of all examinations for the entire enterprise and each subspecialty division. Using established methodology, we calculated CCIFs (actual ICD-10 codes ÷ prior ICD-9 codes). To assess ICD-10's impact on cash flow, average monthly days in accounts receivable status was compared for the 12 months before and after conversion. Of all 69,823 ICD-10 codes, only 7,075 were used to report primary diagnoses across the entire practice, and just 562 were used to report 90% of all claims, compared with 348 under ICD-9. This translates to an overall CCIF of 1.6 for the department (far less than the literature-predicted 6). By subspecialty division, CCIFs ranged from 0.7 (breast) to 3.5 (musculoskeletal). Monthly average days in accounts receivable for the 12 months before and after ICD-10 conversion did not increase. The operational impact of the ICD-10 transition on radiology practices appears far less than anticipated with respect to both CCIF and delays in cash flow. Predictive models should be refined to help practices better prepare for ICD-11. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  19. Emergency Doses (ED) - Revision 3: A calculator code for environmental dose computations

    Energy Technology Data Exchange (ETDEWEB)

    Rittmann, P.D.


    The calculator program ED (Emergency Doses) was developed from several HP-41CV calculator programs documented in the report Seven Health Physics Calculator Programs for the HP-41CV, RHO-HS-ST-5P (Rittman 1984). The program was developed to enable estimates of offsite impacts more rapidly and reliably than was possible with the software available for emergency response at that time. The ED - Revision 3, documented in this report, revises the inhalation dose model to match that of ICRP 30, and adds the simple estimates for air concentration downwind from a chemical release. In addition, the method for calculating the Pasquill dispersion parameters was revised to match the GENII code within the limitations of a hand-held calculator (e.g., plume rise and building wake effects are not included). The summary report generator for printed output, which had been present in the code from the original version, was eliminated in Revision 3 to make room for the dispersion model, the chemical release portion, and the methods of looping back to an input menu until there is no further no change. This program runs on the Hewlett-Packard programmable calculators known as the HP-41CV and the HP-41CX. The documentation for ED - Revision 3 includes a guide for users, sample problems, detailed verification tests and results, model descriptions, code description (with program listing), and independent peer review. This software is intended to be used by individuals with some training in the use of air transport models. There are some user inputs that require intelligent application of the model to the actual conditions of the accident. The results calculated using ED - Revision 3 are only correct to the extent allowed by the mathematical models. 9 refs., 36 tabs.

  20. Porous tantalum uncemented acetabular components in revision total hip arthroplasty: a minimum ten-year clinical, radiological and quality of life outcome study. (United States)

    Konan, S; Duncan, C P; Masri, B A; Garbuz, D S


    Reconstruction of the acetabulum after failed total hip arthroplasty (THA) can be a surgical challenge in the presence of severe bone loss. We report the long-term survival of a porous tantalum revision acetabular component, its radiological appearance and quality of life outcomes. We reviewed the results of 46 patients who had undergone revision of a failed acetabular component with a Paprosky II or III bone defect and reconstruction with a hemispherical, tantalum acetabular component, supplementary screws and a cemented polyethylene liner. After a minimum follow-up of ten years (ten to 12), the survivorship of the porous tantalum acetabular component was 96%, with further revision of the acetabular component as the end point. The ten-year survivorship, with hip revision for any reason as the end point, was 92%. We noted excellent pain relief (mean Western Ontario and McMaster Universities Arthritis Index (WOMAC) score pain 92.6, (40 to 100)) and good functional outcomes (mean WOMAC function 90.3 (30.9 to 100), mean University of California Los Angeles activity scale 5 (2 to 10)) and generic quality of life measures (mean Short Form-12 (SF-12) physical component 48.3 (18.1 to 56.8), mean SF-12 mental component 56.7 (32.9 to 70.3)). Patient satisfaction with pain relief, function and return to recreational activities were excellent. Uncemented acetabular reconstruction using a tantalum acetabular component gives excellent clinical and quality of life outcomes at a minimum follow-up of ten years. Cite this article: Bone Joint J 2016;98-B:767-71. ©2016 The British Editorial Society of Bone & Joint Surgery.

  1. Site-specific analysis of radiological and physical parameters for cobbly soils at the Gunnison, Colorado, processing site. Revision 1

    Energy Technology Data Exchange (ETDEWEB)


    The remedial action at the Gunnison, Colorado, processing site is being performed under the Uranium Mill Tailings Radiation Control Act (UMTRCA) of 1978. Under UMTRCA, the US Environmental Protection Agency (EPA) is charged with the responsibility of developing appropriate and applicable standards for the cleanup of radiologically contaminated land and buildings at 24 designated sites, including the Gunnison, Colorado, inactive processing site. Section 108 of Public Law 95-604 states that the US Department of Energy (DOE) shall ``select and perform remedial actions at the designated processing sites and disposal sites in accordance with the general standards`` prescribed by the EPA. Regulations governing the required remedial action at inactive uranium processing sites were promulgated by the EPA in 1983 and are contained in 40 CFR Part 192 (1993), Health and Environmental Protection Standards for Uranium and Thorium Mill Tailings. This document describes the radiological and physical parameters for the remedial action of the soil.

  2. Westinghouse Hanford Company ALARA year-end report, Calendar Year 1994: Revision 3A, Radiological engineering and ALARA

    Energy Technology Data Exchange (ETDEWEB)

    Berglund, O.D.


    It has long been the US Department of Energy`s (DOE`s) Policy that radiation doses should be maintained as far below the dose limits as is reasonably achievable. This policy, known as the ``ALARA Principle of radiation protection,`` maintains that radiation exposures should be maintained as low as reasonably achievable, taking into account social, technical, economic, practical, and public policy considerations. The ALARA Principle is based on the hypothesis that even very low radiation doses carry some risk. As a result, it is not enough to maintain doses at/or slightly below limits; the lower the doses, the lower the risks. Because it is not possible to reduce all doses at DOE facilities to zero, economic and social factors must be considered to determine the optimal level of radiation doses. According to the ALARA Principle, if doses are too high, resources should be well spent to reduce them. At some point, the resources being spent to maintain low doses are exactly balanced by the risks avoided. Reducing doses below this point results in a misallocation of resources; the resources could be spent elsewhere and have a greater positive impact on health and safety. The objective of the Westinghouse Hanford Company (WHC) ALARA/Contamination Control Improvement Project (CCIP) Program is to manage and control exposures (both individual and collective) to the work force, the general public, and the environment to levels as low as is reasonable using the aforementioned ALARA Principle.

  3. Historical revision of the exposure magnitude and the dosimetric magnitudes used in radiological protection; Revision historica de la magnitud exposicion y las magnitudes dosimetricas empleadas en proteccion radiologica

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez J, F. [UNAM, Facultad de Ciencias, Ciudad Universitaria, 04510 Mexico D. F. (Mexico); Alvarez R, J. T., E-mail: [ININ, Departamento de Metrologia de Radiaciones Ionizantes, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)


    In this work a historical revision of the exposure magnitude development and their roentgen unit (1905 - 2011) is made, noting that it had their origin in the electric methods for the detection of the ionizing radiation in the period of 1895 at 1937. However, the ionization is not who better characterizes the physical, chemical and biological effects of the ionizing radiations, but is the energy deposited by this radiation in the interest bodies, which led historically to the development of dosimetric magnitudes in energy terms like they are: the absorbed dose D (1950), the kerma K (1958) and the equivalent dose H (1962). These dosimetric magnitudes culminated with the definition of the effective equivalent dose or effective dose which is not measurable and should be considered with the operative magnitudes ICRU: H environmental equivalent dose and/or H directional equivalent dose, which can be determined by means of a conversion coefficient that is applied to the exposure, kerma in air, fluence, etc. (Author)

  4. Nevada Test Site Radiological Control Manual

    Energy Technology Data Exchange (ETDEWEB)

    Radiological Control Managers' Council - Nevada Test Site


    This document supersedes DOE/NV/11718--079, “NV/YMP Radiological Control Manual,” Revision 5 issued in November 2004. Brief Description of Revision: A complete revision to reflect the recent changes in compliance requirements with 10 CFR 835, and for use as a reference document for Tenant Organization Radiological Protection Programs.

  5. On the revision of control index levels on the ingestion of food and water in the guidelines for radiological emergency preparedness and countermeasures in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Suga, Shinichi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Nuclear Technology and Education Center; Ichikawa, Ryushi


    This paper describes the revised index levels of the control of food and water in the Nuclear Safety Commission guidelines, 'Off-Site Emergency Planning and Preparedness for Nuclear Power Plants, etc'. Food and water are divided into five categories, and the consumption of each has been conjectured. For this purpose, a nationwide survey for nutrition in Japan by the Welfare Ministry and a survey on the food of infants and children in the coastal area of Ibaraki Prefecture by the National Institute of Radiological Sciences are considered. These categories are drinking water, milk and dairy products, vegetables, grain, and meats, egg, fish, shellfish, and others. The radionuclides groups are then chosen in consideration of their potential importance in regard to food and water contamination. Those chosen were, radio-iodine, radioactive cesium and strontium, uranium, and plutonium and alpha-ray-emitting transuranic radionuclides. The intervention dose levels of 5 mSv of effective dose and 50 mSv of committed equivalent dose to the thyroid for radio-iodine for a period of one year were adopted. The radioactivities of {sup 131}I, {sup 132}I, {sup 133}I, {sup 134}I, {sup 135}I and {sup 132}Te are assumed to be proportional to the contents in nuclear fuel after a cooling time of 0.5 day, and the radioactivity of {sup 131}I is taken as a scale that represents the level of control on the ingestion of food and water. Based on doses to infants, whose exposure is highest, the levels of control are recommended to be 300 Bq/kg or more for drinking water and milk and other dairy products, and 2,000 Bq/kg or more for vegetables, except edible roots and potatoes. It is assumed that radio-cesium released in the environment is accompanied by strontium radio-nuclides with a {sup 90}Sr/{sup 137}Cs radioactivity ratio of 0.1, taking into account the past measurements of fallout. Radio-nuclides are assumed to contain {sup 137}Cs, {sup 134}Cs, {sup 90}Sr, and {sup 89}Sr with the

  6. Radiological English

    Energy Technology Data Exchange (ETDEWEB)

    Ribes, R. [Hospital Reina Sofia, Cordoba (Spain). Servicio de Radiologia; Ros, P.R. [Harvard Medical School, Boston, MA (United States). Div. of Radiology


    The book is an introductory book to radiological English on the basis that there are a lot of radiologists, radiology residents, radiology nurses, radiology students, and radiographers worldwide whose English level is indeterminate because their reading skills are much higher than their fluency. It is intended to help those health care professionals who need English for their work but do not speak English on a day-to-day basis. (orig.)

  7. Emergency room validation of the revised Suicide Trigger Scale (STS-3: a measure of a hypothesized suicide trigger state.

    Directory of Open Access Journals (Sweden)

    Zimri S Yaseen

    Full Text Available BACKGROUND: The Suicide Trigger Scale (STS was designed to measure the construct of an affective 'suicide trigger state.' This study aims to extend the inpatient setting validation study of the original Suicide Trigger Scale version 2 to the revised Suicide Trigger Scale version 3 (STS-3 in an acute psychiatric emergency room setting. METHODS: The 42-item STS-3 and a brief psychological test battery were administered to 183 adult psychiatric patients with suicidal ideation or attempt in the psychiatric emergency room, and re-administered to subjects at 1 year follow up. Factor analysis, linear and logistic regressions were used to examine construct structure, divergent and convergent validity, and construct validity, respectively. RESULTS: The STS-3 demonstrated strong internal consistency (Cronbach's alpha 0.94. Factor analysis yielded a three-factor solution, which explained 43.4% of the variance. Principal axis factor analysis was used to identify three reliable subscales: Frantic Hopelessness, Ruminative Flooding, and Near-Psychotic Somatization (Cronbach's alphas 0.90, 0.80, and 0.76, respectively. Significant positive associations were observed between Frantic Hopelessness and BSI depression and anxiety subscales, between Ruminative Flooding and BSI anxiety and paranoia subscales, and Near Psychotic Somatization and BSI somatization subscales. Suicidal subjects with suicide attempt history had mean scores 7 points higher than those without history of suicide attempts. Frantic hopelessness was a significant predictor of current suicide attempt when only attempts requiring at least some medical attention were considered. CONCLUSION: The STS-3 measures a distinct clinical entity, provisionally termed the 'suicide trigger state.' Scores on the STS-3 or select subscales appear to relate to degree of suicidality in terms of severity of ideation, history of attempt, and presence of substantive current attempts. Further study is required to

  8. Radiology fundamentals

    CERN Document Server

    Singh, Harjit


    ""Radiology Fundamentals"" is a concise introduction to the dynamic field of radiology for medical students, non-radiology house staff, physician assistants, nurse practitioners, radiology assistants, and other allied health professionals. The goal of the book is to provide readers with general examples and brief discussions of basic radiographic principles and to serve as a curriculum guide, supplementing a radiology education and providing a solid foundation for further learning. Introductory chapters provide readers with the fundamental scientific concepts underlying the medical use of imag

  9. Radiology illustrated. Pediatric radiology

    Energy Technology Data Exchange (ETDEWEB)

    Kim, In-One (ed.) [Seoul National Univ. College of Medicine (Korea, Republic of). Dept. of Radiology


    Depicts characteristic imaging findings of common and uncommon diseases in the pediatric age group. Will serve as an ideal diagnostic reference in daily practice. Offers an excellent teaching aid, with numerous high-quality illustrations. This case-based atlas presents images depicting the findings typically observed when imaging a variety of common and uncommon diseases in the pediatric age group. The cases are organized according to anatomic region, covering disorders of the brain, spinal cord, head and neck, chest, cardiovascular system, gastrointestinal system, genitourinary system, and musculoskeletal system. Cases are presented in a form resembling teaching files, and the images are accompanied by concise informative text. The goal is to provide a diagnostic reference suitable for use in daily routine by both practicing radiologists and radiology residents or fellows. The atlas will also serve as a teaching aide and a study resource, and will offer pediatricians and surgeons guidance on the clinical applications of pediatric imaging.

  10. Imaging and radiology (United States)

    Interventional radiology; Diagnostic radiology; X-ray imaging ... DIAGNOSTIC RADIOLOGY Diagnostic radiology helps health care professionals see structures inside your body. Doctors that specialize in the interpretation ...

  11. The revised human liver cytochrome P450 "Pie": absolute protein quantification of CYP4F and CYP3A enzymes using targeted quantitative proteomics. (United States)

    Michaels, Scott; Wang, Michael Zhuo


    The CYP4F subfamily of enzymes has been identified recently to be involved in the metabolism of endogenous compounds (arachidonic acid and leukotriene B4), nutrients (vitamins K1 and E), and xenobiotics (pafuramidine and fingolimod). CYP4F2 and CYP4F3B are reported to be expressed in the human liver. However, absolute concentrations of these enzymes in human liver microsomes (HLMs) and their interindividual variability have yet to be determined because of the lack of specific antibodies. Here, an liquid chromatography with tandem mass spectrometry (LC-MS/MS)-based targeted quantitative proteomic approach was employed to determine the absolute protein concentrations of CYP4F2 and CYP4F3B compared with CYP3A in two panels of HLMs (n = 31). As a result, the human hepatic cytochrome P450 (P450) "pie" has been revised to include the contribution of CYP4F enzymes, which amounts to 15% of the total hepatic cytochrome P450 enzymes. CYP4F3B displayed low interindividual variability (3.3-fold) in the HLM panels whereas CYP4F2 displayed large variability (21-fold). However, CYP4F2 variability decreased to 3.4-fold if the two donors with the lowest expression were excluded. In contrast, CYP3A exhibited 29-fold interindividual variability in the same HLM panels. The proposed marker reaction for CYP4F enzymes pafuramidine/DB289 M1 formation did not correlate with CYP4F protein content, suggesting alternate metabolic pathways for DB289 M1 formation in HLMs. In conclusion, CYP4F enzymes are highly expressed in the human liver and their physiologic and pharmacologic roles warrant further investigation. Copyright © 2014 by The American Society for Pharmacology and Experimental Therapeutics.

  12. Dental radiology. (United States)

    Woodward, Tony M


    Dental radiology is the core diagnostic modality of veterinary dentistry. Dental radiographs assist in detecting hidden painful pathology, estimating the severity of dental conditions, assessing treatment options, providing intraoperative guidance, and also serve to monitor success of prior treatments. Unfortunately, most professional veterinary training programs provide little or no training in veterinary dentistry in general or dental radiology in particular. Although a technical learning curve does exist, the techniques required for producing diagnostic films are not difficult to master. Regular use of dental x-rays will increase the amount of pathology detected, leading to healthier patients and happier clients who notice a difference in how their pet feels. This article covers equipment and materials needed to produce diagnostic intraoral dental films. A simplified guide for positioning will be presented, including a positioning "cheat sheet" to be placed next to the dental x-ray machine in the operatory. Additionally, digital dental radiograph systems will be described and trends for their future discussed.

  13. SA Journal of Radiology

    African Journals Online (AJOL)

    Journal Homepage Image. The SA Journal of Radiology is the official journal of the Radiological Society of South Africa and the Professional Association of Radiologists in South Africa and Namibia. The SA Journal of Radiology is a general diagnostic radiological journal which carries original research and review articles, ...

  14. Radiological Control Manual

    Energy Technology Data Exchange (ETDEWEB)


    This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records.

  15. Revising Translations

    DEFF Research Database (Denmark)

    Rasmussen, Kirsten Wølch; Schjoldager, Anne


    survey. Results clearly show that most translation companies regard both unilingual and comparative revisions as essential components of professional quality assurance. Data indicate that revision is rarely fully comparative, as the preferred procedure seems to be a unilingual revision followed by a more...... or less comparative rereading. Though questionnaire data seem to indicate that translation companies use linguistic correctness and presentation as the only revision parameters, interview data reveal that textual and communicative aspects are also considered. Generally speaking, revision is not carried...... out by specialised revisers, but by staff translators, who revise the work of colleagues and freelancers on an ad hoc basis. Corrections are mostly given in a peer-to-peer fashion, though the work of freelancers and inexperienced in-house translators is often revised in an authoritative (nonnegotiable...

  16. Educational treasures in Radiology: The Radiology Olympics - striving for gold in Radiology education


    Talanow, Roland


    This article focuses on Radiology Olympics ( - a collaboration with the international Radiology community for Radiology education, Radiolopolis ( The Radiology Olympics honour the movers and shakers in Radiology education and offer an easy to use platform for educating medical professionals based on Radiology cases.

  17. Educational treasures in Radiology: The Radiology Olympics - striving for gold in Radiology education. (United States)

    Talanow, Roland


    This article focuses on Radiology Olympics ( - a collaboration with the international Radiology community for Radiology education, Radiolopolis ( The Radiology Olympics honour the movers and shakers in Radiology education and offer an easy to use platform for educating medical professionals based on Radiology cases.

  18. Fast Flux Test Facility project plan. Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    Hulvey, R.K.


    The Fast Flux Test Facility (FFTF) Transition Project Plan, Revision 2, provides changes to the major elements and project baseline for the deactivation activities necessary to transition the FFTF to a radiologically and industrially safe shutdown condition.

  19. Pediatric radiology malpractice claims - characteristics and comparison to adult radiology claims

    Energy Technology Data Exchange (ETDEWEB)

    Breen, Micheal A.; Taylor, George A. [Boston Children' s Hospital, Department of Radiology, Boston, MA (United States); Dwyer, Kathy; Yu-Moe, Winnie [CRICO Risk Management Foundation, Boston, MA (United States)


    Medical malpractice is the primary method by which people who believe they have suffered an injury in the course of medical care seek compensation in the United States and Canada. An increasing body of research demonstrates that failure to correctly diagnose is the most common allegation made in malpractice claims against radiologists. Since the 1994 survey by the Society of Chairmen of Radiology in Children's Hospitals (SCORCH), no other published studies have specifically examined the frequency or clinical context of malpractice claims against pediatric radiologists or arising from pediatric imaging interpretation. We hypothesize that the frequency, character and outcome of malpractice claims made against pediatric radiologists differ from those seen in general radiology practice. We searched the Controlled Risk Insurance Co. (CRICO) Strategies' Comparative Benchmarking System (CBS), a private repository of approximately 350,000 open and closed medical malpractice claims in the United States, for claims related to pediatric radiology. We further queried these cases for the major allegation, the clinical environment in which the claim arose, the clinical severity of the alleged injury, indemnity paid (if payment was made), primary imaging modality involved (if applicable) and primary International Classification of Diseases, 9th revision (ICD-9) diagnosis underlying the claim. There were a total of 27,056 fully coded claims of medical malpractice in the CBS database in the 5-year period between Jan. 1, 2010, and Dec. 31, 2014. Of these, 1,472 cases (5.4%) involved patients younger than 18 years. Radiology was the primary service responsible for 71/1,472 (4.8%) pediatric cases. There were statistically significant differences in average payout for pediatric radiology claims ($314,671) compared to adult radiology claims ($174,033). The allegations were primarily diagnosis-related in 70% of pediatric radiology claims. The most common imaging modality

  20. Pediatric radiology malpractice claims - characteristics and comparison to adult radiology claims. (United States)

    Breen, Micheál A; Dwyer, Kathy; Yu-Moe, Winnie; Taylor, George A


    Medical malpractice is the primary method by which people who believe they have suffered an injury in the course of medical care seek compensation in the United States and Canada. An increasing body of research demonstrates that failure to correctly diagnose is the most common allegation made in malpractice claims against radiologists. Since the 1994 survey by the Society of Chairmen of Radiology in Children's Hospitals (SCORCH), no other published studies have specifically examined the frequency or clinical context of malpractice claims against pediatric radiologists or arising from pediatric imaging interpretation. We hypothesize that the frequency, character and outcome of malpractice claims made against pediatric radiologists differ from those seen in general radiology practice. We searched the Controlled Risk Insurance Co. (CRICO) Strategies' Comparative Benchmarking System (CBS), a private repository of approximately 350,000 open and closed medical malpractice claims in the United States, for claims related to pediatric radiology. We further queried these cases for the major allegation, the clinical environment in which the claim arose, the clinical severity of the alleged injury, indemnity paid (if payment was made), primary imaging modality involved (if applicable) and primary International Classification of Diseases, 9th revision (ICD-9) diagnosis underlying the claim. There were a total of 27,056 fully coded claims of medical malpractice in the CBS database in the 5-year period between Jan. 1, 2010, and Dec. 31, 2014. Of these, 1,472 cases (5.4%) involved patients younger than 18 years. Radiology was the primary service responsible for 71/1,472 (4.8%) pediatric cases. There were statistically significant differences in average payout for pediatric radiology claims ($314,671) compared to adult radiology claims ($174,033). The allegations were primarily diagnosis-related in 70% of pediatric radiology claims. The most common imaging modality implicated in

  1. Poul Erik Andersen's radiological work on Osteochondrodysplasias and interventional radiology

    DEFF Research Database (Denmark)

    Andersen, Poul Erik


    Hospital. His significant experience and extensive scientific work has led to many posts in the Danish Society of Interventional Radiology, the European Society of Radiology and the Cardiovascular and Interventional Radiological Society of Europe, where he is a fellow and has passed the European Board...... of Interventional Radiology - The European qualification in Interventional Radiology....

  2. Essentials of skeletal radiology

    Energy Technology Data Exchange (ETDEWEB)

    Yochum, T.R.; Rowe, L.J.


    This book discusses the following topics of skeletal radiology: Positioning of patients for diagnostic radiology and normal anatomy; congenital malformations of skeleton; measurements in radiology; spondylolisthesis; metabolic and endocrine diseases of bone and their diagnostic aspects; image processing of vertebrae, skeleton, bone fractures evaluations and epidemiological and social aspects of some bone diseases. Various modalities as CT scanning, NMR imaging, ultrasonography and biomedical radiography are briefly discussed in relation to bone pathology.

  3. Nevada National Security Site Radiological Control Manual

    Energy Technology Data Exchange (ETDEWEB)

    Radiological Control Managers’ Council


    This document supersedes DOE/NV/25946--801, 'Nevada Test Site Radiological Control Manual,' Revision 1 issued in February 2010. Brief Description of Revision: A complete revision to reflect a recent change in name for the NTS; changes in name for some tenant organizations; and to update references to current DOE policies, orders, and guidance documents. Article 237.2 was deleted. Appendix 3B was updated. Article 411.2 was modified. Article 422 was re-written to reflect the wording of DOE O 458.1. Article 431.6.d was modified. The glossary was updated. This manual contains the radiological control requirements to be used for all radiological activities conducted by programs under the purview of the U.S. Department of Energy (DOE) and the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office (NNSA/NSO). Compliance with these requirements will ensure compliance with Title 10 Code of Federal Regulations (CFR) Part 835, 'Occupational Radiation Protection.' Programs covered by this manual are located at the Nevada National Security Site (NNSS); Nellis Air Force Base and North Las Vegas, Nevada; Santa Barbara and Livermore, California; and Andrews Air Force Base, Maryland. In addition, fieldwork by NNSA/NSO at other locations is covered by this manual. Current activities at NNSS include operating low-level radioactive and mixed waste disposal facilities for United States defense-generated waste, assembly and execution of subcritical experiments, assembly/disassembly of special experiments, the storage and use of special nuclear materials, performing criticality experiments, emergency responder training, surface cleanup and site characterization of contaminated land areas, environmental activity by the University system, and nonnuclear test operations, such as controlled spills of hazardous materials at the Hazardous Materials Spill Center. Currently, the major potential for occupational radiation exposure is associated with the burial of

  4. Radiological Emergency Response Data (United States)

    U.S. Environmental Protection Agency — Quality Data Asset includes all current and historical emergency radiological response event and incident of national significance data and surveillance, monitoring,...

  5. Machine Learning and Radiology (United States)

    Wang, Shijun; Summers, Ronald M.


    In this paper, we give a short introduction to machine learning and survey its applications in radiology. We focused on six categories of applications in radiology: medical image segmentation, registration, computer aided detection and diagnosis, brain function or activity analysis and neurological disease diagnosis from fMR images, content-based image retrieval systems for CT or MRI images, and text analysis of radiology reports using natural language processing (NLP) and natural language understanding (NLU). This survey shows that machine learning plays a key role in many radiology applications. Machine learning identifies complex patterns automatically and helps radiologists make intelligent decisions on radiology data such as conventional radiographs, CT, MRI, and PET images and radiology reports. In many applications, the performance of machine learning-based automatic detection and diagnosis systems has shown to be comparable to that of a well-trained and experienced radiologist. Technology development in machine learning and radiology will benefit from each other in the long run. Key contributions and common characteristics of machine learning techniques in radiology are discussed. We also discuss the problem of translating machine learning applications to the radiology clinical setting, including advantages and potential barriers. PMID:22465077

  6. Mobile computing for radiology. (United States)

    Auffermann, William F; Chetlen, Alison L; Sharma, Arjun; Colucci, Andrew T; DeQuesada, Ivan M; Grajo, Joseph R; Kung, Justin W; Loehfelm, Thomas W; Sherry, Steven J


    The rapid advances in mobile computing technology have the potential to change the way radiology and medicine as a whole are practiced. Several mobile computing advances have not yet found application to the practice of radiology, while others have already been applied to radiology but are not in widespread clinical use. This review addresses several areas where radiology and medicine in general may benefit from adoption of the latest mobile computing technologies and speculates on potential future applications. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

  7. Revising China's Environmental Law

    NARCIS (Netherlands)

    He, G.; Zhang, L.; Mol, A.P.J.; Lu, Y.; Liu, Wenling; Liu, J.


    China's Environmental Protection Law (EPL) is the main national environmental legislative framework. Yet the environmental legal system is incomplete, and implementation and enforcement of environmental laws have shown major shortcomings (1–3). A controversial attempt to revise the EPL could have

  8. American College of Radiology (United States)

    American College of Radiology Login About Us Media Center Contact Us Follow us Shopping Cart (0) ACR Catalog Donate My ACR Join ACR ... ACR Catalog Education Center eLearning Exams & Assessments AIRP™ Radiology Leadership Institute ® Quality & Safety Accreditation Appropriateness Criteria ® Practice ...

  9. Physics of Radiology

    CERN Document Server

    Johns, Harold Elford


    Authority, comprehensivity and a consummate manner of presentation have been hallmarks of The Physics of Radiology since it first saw publication some three decades past. This Fourth Edition adheres to that tradition but again updates the context. It thoroughly integrates ideas recently advanced and practices lately effected. Students and professionals alike will continue to view it, in essence, as the bible of radiological physics.

  10. Marketing a Radiology Practice. (United States)

    Levin, David C; Rao, Vijay M; Flanders, Adam E; Sundaram, Baskaran; Colarossi, Margaret


    In addition to being a profession, the practice of radiology is a business, and marketing is an important part of that business. There are many facets to marketing a radiology practice. The authors present a number of ideas on how to go about doing this. Some marketing methods can be directed to both patients and referring physicians. Others should be directed just to patients, while still others should be directed just to referring physicians. Aside from marketing, many of them provide value to both target audiences. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  11. Laenderyggens degeneration og radiologi

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Gosvig, Kasper Kjaerulf; Sonne-Holm, Stig


    Low back pain (LBP) is one of the most common conditions, and at the same time one of the most complex nosological entities. The lifetime prevalence is approximately 80%, and radiological features of lumbar degeneration are almost universal in adults. The individual risk factors for LBP and signi......Low back pain (LBP) is one of the most common conditions, and at the same time one of the most complex nosological entities. The lifetime prevalence is approximately 80%, and radiological features of lumbar degeneration are almost universal in adults. The individual risk factors for LBP...... and significant relationships between radiological findings and subjective symptoms have both been notoriously difficult to identify. The lack of consensus on clinical criteria and radiological definitions has hampered the undertaking of properly executed epidemiological studies. The natural history of LBP...

  12. Radiology Architecture Project Primer. (United States)

    Sze, Raymond W; Hogan, Laurie; Teshima, Satoshi; Davidson, Scott


    The rapid pace of technologic advancement and increasing expectations for patient- and family-friendly environments make it common for radiology leaders to be involved in imaging remodel and construction projects. Most radiologists and business directors lack formal training in architectural and construction processes but are expected to play significant and often leading roles in all phases of an imaging construction project. Avoidable mistakes can result in significant increased costs and scheduling delays; knowledgeable participation and communication can result in a final product that enhances staff workflow and morale and improves patient care and experience. This article presents practical guidelines for preparing for and leading a new imaging architectural and construction project. We share principles derived from the radiology and nonradiology literature and our own experience over the past decade completely remodeling a large pediatric radiology department and building a full-service outpatient imaging center. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  13. Successful Transformational Radiology Leaders. (United States)

    Douget, Karen


    Transformational radiology leaders elevate subordinates, expand self-awareness, develop lasting relationships, strive to exceed expectations, and uphold the vision and goals of the organization. In order for radiology leaders to become more transformational in their leadership style there are four fundamental elements they must learn: idealized influence, individualized consideration, inspirational motivation, and intellectual stimulation. Leaders can utilize personality and self-assessments to learn more about themselves, identify areas of strengths and weaknesses, and learn to be more effective when leading employees.

  14. [Medical docimology in radiology]. (United States)

    Magnani, F; Greco, M


    The authors report the experience of computerized integrated didactics on trial at the Institute of Radiology of the University of Catania. Students majoring in Medicine undergo a propaedeutic written test, consisting in a number of multiple choice questions, before proceeding to the oral examination in radiology. The procedures preceding the test and those following it are accomplished with the aid of a computer. The authors discuss the docimological motivations, the specifications of the system and the results obtained after a trial period.

  15. Diagnostic and interventional radiology

    Energy Technology Data Exchange (ETDEWEB)

    Vogl, Thomas J. [Klinikum der Johann Wolfgang Goethe-Universitaet, Frankfurt am Main (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Reith, Wolfgang [Universitaetsklinikum des Saarlandes, Homburg/Saar (Germany). Klinik fuer Diagnostische und Interventionelle Neuroradiologie; Rummeny, Ernst J. (ed.) [Technische Univ. Muenchen Klinikum rechts der Isar, Muenchen (Germany). Inst. fuer Radiologie


    This exceptional book covers all aspects of diagnostic and interventional radiology within one volume, at a level appropriate for the specialist. From the basics through diagnosis to intervention: the reader will find a complete overview of all areas of radiology. The clear, uniform structure, with chapters organized according to organ system, facilitates the rapid retrieval of information. Features include: Presentation of the normal radiological anatomy Classification of the different imaging procedures according to their diagnostic relevance Imaging diagnosis with many reference images Precise description of the interventional options The inclusion of many instructive aids will be of particular value to novices in decision making: Important take home messages and summaries of key radiological findings smooth the path through the jungle of facts Numerous tables on differential diagnosis and typical findings in the most common diseases offer a rapid overview and orientation Diagnostic flow charts outline the sequence of diagnostic evaluation All standard procedures within the field of interventional radiology are presented in a clinically relevant and readily understandable way, with an abundance of illustrations. This is a textbook, atlas, and reference in one: with more than 2500 images for comparison with the reader's own findings. This comprehensive and totally up-to-date book provides a superb overview of everything that the radiology specialist of today needs to know.

  16. Early resident-to-resident physics education in diagnostic radiology. (United States)

    Kansagra, Akash P


    The revised ABR board certification process has updated the method by which diagnostic radiology residents are evaluated for competency in clinical radiologic physics. In this work, the author reports the successful design and implementation of a resident-taught physics course consisting of 5 weekly, hour-long lectures intended for incoming first-year radiology residents in their first month of training. To the author's knowledge, this is the first description of a course designed to provide a very early framework for ongoing physics education throughout residency without increasing the didactic burden on faculty members. Twenty-six first-year residents spanning 2 academic years took the course and reported subjective improvement in their knowledge (90%) and interest (75%) in imaging physics and a high level of satisfaction with the use of senior residents as physics educators. Based on the success of this course and the minimal resources required for implementation, this work may serve as a blueprint for other radiology residency programs seeking to develop revised physics curricula. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.


    Directory of Open Access Journals (Sweden)

    Rade R. Babić


    Full Text Available The development of information systems in health care is approaching the process of integration of various systems used in a single computer so that we witness today the omnipresent idea of merging the functions of the clinical-hospital (CHIS and radiology (RIS information system. Radiological Information System (RIS is a technology solution to complete computerization and modernization of the work of the radiology center, and transition from film to paper and ful electronic management and digital recordings. RIS creates the digital radiology center where information is always available at the right place and at the right time. Within the realisation of RIS, it is necessary to follow the standards and systems relating to the specific RIS, which are: DICOM (Digital Imaging and Communications in Medicine, PACS (Picture Archiving and Communication System, HL7 (Health Level Seven. The relevant links of modern RIS are teleradiology and mobile radiology. The authors conclude that the introduction of RIS, HIS and other information systems are reflected in the automation, reduction of possible errors, increase in diagnostic and therapeutic quality, lower costs for materials, the increase in efficiency, saving time and others.

  18. 309 Building fire protection analysis and justification for deactivation of sprinkler system. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Conner, R.P.


    Provide a `graded approach` fire evaluation in preparation for turnover to Environmental Restoration Contractor for D&D. Scope includes revising 309 Building book value and evaluating fire hazards, radiological and toxicological releases, and life safety issues.

  19. Radiology illustrated. Hepatobiliary and pancreatic radiology

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Byung Ihn (ed.) [Seoul National Univ. Hospital (Korea, Republic of). Dept. of Radiology


    Clear, practical guide to the diagnostic imaging of diseases of the liver, biliary tree, gallbladder, pancreas, and spleen. A wealth of carefully selected and categorized illustrations. Highlighted key points to facilitate rapid review. Aid to differential diagnosis. Radiology Illustrated: Hepatobiliary and Pancreatic Radiology is the first of two volumes that will serve as a clear, practical guide to the diagnostic imaging of abdominal diseases. This volume, devoted to diseases of the liver, biliary tree, gallbladder, pancreas, and spleen, covers congenital disorders, vascular diseases, benign and malignant tumors, and infectious conditions. Liver transplantation, evaluation of the therapeutic response of hepatocellular carcinoma, trauma, and post-treatment complications are also addressed. The book presents approximately 560 cases with more than 2100 carefully selected and categorized illustrations, along with key text messages and tables, that will allow the reader easily to recall the relevant images as an aid to differential diagnosis. At the end of each text message, key points are summarized to facilitate rapid review and learning. In addition, brief descriptions of each clinical problem are provided, followed by both common and uncommon case studies that illustrate the role of different imaging modalities, such as ultrasound, radiography, CT, and MRI.

  20. Radiological worker training

    Energy Technology Data Exchange (ETDEWEB)



    This Handbook describes an implementation process for core training as recommended in Implementation Guide G441.12, Radiation Safety Training, and as outlined in the DOE Radiological Control Standard (RCS). The Handbook is meant to assist those individuals within the Department of Energy, Managing and Operating contractors, and Managing and Integrating contractors identified as having responsibility for implementing core training recommended by the RCS. This training is intended for radiological workers to assist in meeting their job-specific training requirements of 10 CFR 835. While this Handbook addresses many requirements of 10 CFR 835 Subpart J, it must be supplemented with facility-specific information to achieve full compliance.

  1. Radiological sciences dictionary

    CERN Document Server

    Dowsett, David


    The Radiological Sciences Dictionary is a rapid reference guide for all hospital staff employed in diagnostic imaging, providing definitions of over 3000 keywords as applied to the technology of diagnostic radiology.Written in a concise and easy to digest form, the dictionary covers a wide variety of subject matter, including:· radiation legislation and measurement · computing and digital imaging terminology· nuclear medicine radionuclides and radiopharmaceuticals· radiographic contrast agents (x-ray, MRI and ultrasound)· definitions used in ultrasound and MRI technology· statistical exp

  2. Educational treasures in Radiology: Radiolopolis - an international Radiology community. (United States)

    Talanow, Roland; Giesel, Frederik


    THIS ARTICLE FOCUSES ON A RELATIVELY NEW CONCEPT IN THE INTERNET: "Social networking" and especially on one program that successfully found a unique way to provide a social network for Radiology: Radiolopolis. Radiolopolis ( is an international Radiology network to promote education, research and clinical practice in Radiology. What makes this Radiology community unique and special is that the founders of Radiolopolis implemented multiple educational and clinical/practical programs which have been developed over the past years.

  3. Radiological controls integrated into design

    Energy Technology Data Exchange (ETDEWEB)

    Kindred, G.W. [Cleveland Electric Illuminating Co., Perry, OH (United States)


    Radiological controls are required by law in the design of commercial nuclear power reactor facilities. These controls can be relatively minor or significant, relative to cost. To ensure that radiological controls are designed into a project, the health physicist (radiological engineer) must be involved from the beginning. This is especially true regarding keeping costs down. For every radiological engineer at a nuclear power plant there must be fifty engineers of other disciplines. The radiological engineer cannot be an expert on every discipline of engineering. However, he must be knowledgeable to the degree of how a design will impact the facility from a radiological perspective. This paper will address how to effectively perform radiological analyses with the goal of radiological controls integrated into the design package.

  4. 324 Building Baseline Radiological Characterization

    Energy Technology Data Exchange (ETDEWEB)

    R.J. Reeder, J.C. Cooper


    This report documents the analysis of radiological data collected as part of the characterization study performed in 1998. The study was performed to create a baseline of the radiological conditions in the 324 Building.

  5. Radiological Approach to Forefoot Pain

    Directory of Open Access Journals (Sweden)

    Sai Chung Ho


    Full Text Available Forefoot pain is a common clinical complaint in orthopaedic practice. In this article, we discuss the anatomy of the forefoot, clinical and radiological approaches to forefoot pain, and common painful forefoot disorders and their associated radiological features.

  6. Radiology of back pain

    Energy Technology Data Exchange (ETDEWEB)

    Wackenheim, A.; Dietemann, J.L.


    The authors give an overview of causes of back pain which may be detected by radiological examinations. They insist on practical points of view such as: main cause, accessory cause, problems arising by multiple causes, congenital malformation of the vertebral arch such as anisocoria, canalar stenosis, cheirolumbar dysostosis. They describe two new signs: the pedicular scalloping and the framed articular process.

  7. [Emergency Radiology layout]. (United States)

    Casciani, E; Bertini, L; Lanciotti, S; Campagnano, S; Valentini, C; De Cicco, M L; Polettini, E; Gualdi, G F


    The purpose of Radiologic Unit in Emergency is to reach diagnostic and therapeutic effectiveness in the best way and in less time possible. The Portable Ultrasound Device is an instrument necessary in Emergency Room and in ambulance/helicopter to evaluate the evidence of endoperitoneal bleeding. The CT is the radiologic methodic more fast that permits a complete evaluation of all body segments in traumatized patient in the famous "golden hour" after the trauma, therefore it would be placed in Emergency Area. The multislice CT brought to a reduction of morbidity and mortality, thanks to a quick acquisition, to a thin collimation, to a more spatial resolution and to an optimal vessel opacization, determining a saving of hospital global costs, therefore a reduction of percentage of not necessaries operations and permitting a more rapid diagnosis, obtaining a considerable reduction of waiting in Trauma Emergency Room with more rapid and aimed therapies and a consequent costs reduction. To satisfy a so wide question of radiologic exams necessaries devices are informatic systems completely connected between Radiology department and other departments. Main advantages of MR in Emergency are the use of non ionising radiations, the possibility to effect diffusion and perfusion studies and to evaluate spinal cord damage. Reduction of time of patient preparation and times of acquisition and elaboration of imagines by modern and performant devices is basic to make more rapid therapeutic decisions.

  8. Radiology of spinal curvature

    Energy Technology Data Exchange (ETDEWEB)

    De Smet, A.A.


    This book offers the only comprehensive, concise summary of both the clinical and radiologic features of thoracic and lumbar spine deformity. Emphasis is placed on idiopathic scoliosis, which represents 85% of all patients with scoliosis, but less common areas of secondary scoliosis, kyphosis and lordosis are also covered.

  9. Dosimetry in diagnostic radiology. (United States)

    Meghzifene, Ahmed; Dance, David R; McLean, Donald; Kramer, Hans-Michael


    Dosimetry is an area of increasing importance in diagnostic radiology. There is a realisation amongst health professionals that the radiation dose received by patients from modern X-ray examinations and procedures can be at a level of significance for the induction of cancer across a population, and in some unfortunate instances, in the acute damage to particular body organs such as skin and eyes. The formulation and measurement procedures for diagnostic radiology dosimetry have recently been standardised through an international code of practice which describes the methodologies necessary to address the diverging imaging modalities used in diagnostic radiology. Common to all dosimetry methodologies is the measurement of the air kerma from the X-ray device under defined conditions. To ensure the accuracy of the dosimetric determination, such measurements need to be made with appropriate instrumentation that has a calibration that is traceable to a standards laboratory. Dosimetric methods are used in radiology departments for a variety of purposes including the determination of patient dose levels to allow examinations to be optimized and to assist in decisions on the justification of examination choices. Patient dosimetry is important for special cases such as for X-ray examinations of children and pregnant patients. It is also a key component of the quality control of X-ray equipment and procedures. Copyright © 2010. Published by Elsevier Ireland Ltd.

  10. Ethical problems in radiology: radiological consumerism. (United States)

    Magnavita, N; Bergamaschi, A


    One of the causes of the increasing request for radiological examinations occurring in all economically developed countries is the active role played by the patient-consumer. Consumerism places the radiologist in an ethical dilemma, between the principle of autonomy on the one hand and the ethical principles of beneficence, nonmaleficence and justice on the other. The choice made by radiologists in moral dilemmas is inspired by an adherence to moral principles, which in Italy and elsewhere refer to the Judaeo-Christian tradition or to neo-Darwinian relativism. Whatever the choice, the radiologist is bound to adhere to that choice and to provide the patient with all the relevant information regarding his or her state of health.

  11. Radiological performance assessment for the E-Area Vaults Disposal Facility

    Energy Technology Data Exchange (ETDEWEB)

    Cook, J.R.


    This report is the first revision to ``Radiological Performance Assessment for the E-Area Vaults Disposal Facility, Revision 0'', which was issued in April 1994 and received conditional DOE approval in September 1994. The title of this report has been changed to conform to the current name of the facility. The revision incorporates improved groundwater modeling methodology, which includes a large data base of site specific geotechnical data, and special Analyses on disposal of cement-based wasteforms and naval wastes, issued after publication of Revision 0.

  12. Radiological Sciences Department: Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Mickelson, M.L.


    This document summarizes the accomplishments of the Radiological Sciences Department for the year 1952. Topics included radiological engineering, radiological standards, personal dosimetry, radiation exposure, research meterology, radiochemical standards, and soil science. Two diagrams reflect changes in the organizational structure of the department. 2 figs., 1 tab. (TEM)

  13. Offsite Radiological Consequence Analysis for the Bounding Flammable Gas Accident

    CERN Document Server

    Carro, C A


    This document quantifies the offsite radiological consequences of the bounding flammable gas accident for comparison with the 25 rem Evaluation Guideline established in DOE-STD-3009, Appendix A. The bounding flammable gas accident is a detonation in a single-shell tank The calculation applies reasonably conservation input parameters in accordance with DOE-STD-3009, Appendix A, guidance. Revision 1 incorporates comments received from Office of River Protection.

  14. Data mining in radiology. (United States)

    Kharat, Amit T; Singh, Amarjit; Kulkarni, Vilas M; Shah, Digish


    Data mining facilitates the study of radiology data in various dimensions. It converts large patient image and text datasets into useful information that helps in improving patient care and provides informative reports. Data mining technology analyzes data within the Radiology Information System and Hospital Information System using specialized software which assesses relationships and agreement in available information. By using similar data analysis tools, radiologists can make informed decisions and predict the future outcome of a particular imaging finding. Data, information and knowledge are the components of data mining. Classes, Clusters, Associations, Sequential patterns, Classification, Prediction and Decision tree are the various types of data mining. Data mining has the potential to make delivery of health care affordable and ensure that the best imaging practices are followed. It is a tool for academic research. Data mining is considered to be ethically neutral, however concerns regarding privacy and legality exists which need to be addressed to ensure success of data mining.

  15. Radiology and Ethics Education. (United States)

    Camargo, Aline; Liu, Li; Yousem, David M


    The purpose of this study is to assess medical ethics knowledge among trainees and practicing radiologists through an online survey that included questions about the American College of Radiology Code of Ethics and the American Medical Association Code of Medical Ethics. Most survey respondents reported that they had never read the American Medical Association Code of Medical Ethics or the American College of Radiology Code of Ethics (77.2% and 67.4% of respondents, respectively). With regard to ethics education during medical school and residency, 57.3% and 70.0% of respondents, respectively, found such education to be insufficient. Medical ethics training should be highlighted during residency, at specialty society meetings, and in journals and online resources for radiologists.

  16. "Patient care in radiology"

    DEFF Research Database (Denmark)

    Bro Brask, Kirsten; Birkelund, Regner


    The aim of this study was to research how the staff experience care expressed during the brief encounter with the patients in a diagnostic imaging department. This was a qualitative study with a phenomenological and hermeneutical frame of reference. The data were collected using field observations...... was electronically forwarded. And, care expressed in between was perceived as care in the traditional sense and termed as “patient care in radiology.”...

  17. Disabling Radiological Dispersal Terror

    Energy Technology Data Exchange (ETDEWEB)

    Hart, M


    Terror resulting from the use of a radiological dispersal device (RDD) relies upon an individual's lack of knowledge and understanding regarding its significance. Disabling this terror will depend upon realistic reviews of the current conservative radiation protection regulatory standards. It will also depend upon individuals being able to make their own informed decisions merging perceived risks with reality. Preparation in these areas will reduce the effectiveness of the RDD and may even reduce the possibility of its use.

  18. Microcephaly: a radiological review

    Energy Technology Data Exchange (ETDEWEB)

    Tarrant, Ailbhe; Garel, Catherine; Germanaud, David; Lenoir, Marion; Pointe, Hubert Ducou le [Universite Paris VI Pierre et Marie Curie, Radiology Department, Hopital d' Enfants Armand-Trousseau, Paris (France); Villemeur, Thierry Billette de; Mignot, Cyril [Universite Paris V Rene Descartes, CNRS (UMR 8104), Inserm, U567, Institut Cochin, Paris (France); Universite Paris VI Pierre et Marie Curie, Paediatric Neurology Department, Hopital d' Enfants Armand-Trousseau, Paris (France)


    Microcephaly results from inadequate brain growth during development. It may develop in utero, and therefore be present at birth, or may develop later as a result of perinatal events or postnatal conditions. The aetiology of microcephaly may be congenital (secondary to cerebral malformations or metabolic abnormalities) or acquired, most frequently following an ischaemic insult. This distinct radiological and pathological entity is reviewed with a specific focus on aetiology. (orig.)

  19. Pitfalls in diagnostic radiology

    Energy Technology Data Exchange (ETDEWEB)

    Peh, Wilfred C.G. (ed.) [Khoo Teck Puat Hospital (Singapore). Dept. of Diagnostic Radiology


    Only textbook to focus primarily on the topic of pitfalls in diagnostic radiology. Highlights the pitfalls in a comprehensive and systematic manner. Written by experts in different imaging modalities and subspecialties from reputable centers across the world. The practice of diagnostic radiology has become increasingly complex, with the use of numerous imaging modalities and division into many subspecialty areas. It is becoming ever more difficult for subspecialist radiologists, general radiologists, and residents to keep up with the advances that are occurring year on year, and this is particularly true for less familiar topics. Failure to appreciate imaging pitfalls often leads to diagnostic error and misinterpretation, and potential medicolegal problems. Diagnostic errors may be due to various factors such as inadequate imaging technique, imaging artifacts, failure to recognize normal structures or variants, lack of correlation with clinical and other imaging findings, and poor training or inexperience. Many, if not most, of these factors are potentially recognizable, preventable, or correctable. This textbook, written by experts from reputable centers across the world, systematically and comprehensively highlights the pitfalls that may occur in diagnostic radiology. Both pitfalls specific to different modalities and techniques and those specific to particular organ systems are described with the help of numerous high-quality illustrations. Recognition of these pitfalls is crucial in helping the practicing radiologist to achieve a more accurate diagnosis.

  20. Radiological manifestations of melioidosis

    Energy Technology Data Exchange (ETDEWEB)

    Lim, K.S., E-mail: [Department of Radiology, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Bandar Seri Begawan BA 1710 (Brunei Darussalam); Chong, V.H. [Department of Medicine, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Bandar Seri Begawan BA 1710 (Brunei Darussalam)


    Melioidosis is a serious infection that is associated with high mortality. It is due to a Gram-negative bacterium, Burkholderia pseudomallei which is an environmental saprophyte found in wet soils. Melioidosis is endemic to northern Australia and the Southeast Asia. However, there is now increasing number of reports of imported cases to regions where this infection has not been previously encountered. Almost any organ can be affected. Like many other conditions, radiological imaging is an integral part of the diagnostic workup of melioidosis. Awareness of the various radiological manifestations can help direct appropriate investigations to achieve early diagnosis and the initiation of appropriate treatment. Generally, there are no known characteristic features on imaging that can specifically differentiate melioidosis from other infections. However, the 'honeycomb' appearance has been described to be characteristic for large melioidosis liver abscesses. Simultaneous involvement of various organs is also characteristics. To date, there are few data available on the radiological manifestations of melioidosis. The present pictorial essay describes melioidosis affecting the various organs.

  1. Radiology and the mobile device: Radiology in motion


    Panughpath, Sridhar G; Arjun Kalyanpur


    The use of mobile devices is revolutionizing the way we communicate, interact, are entertained, and organize our lives. With healthcare in general and radiology in particular becoming increasingly digital, the use of such devices in radiologic practice is inevitable. This article reviews the current status of the use of mobile devices in the clinical practice of radiology, namely in emergency teleradiology. Technical parameters such as luminance and resolution are discussed. The article also ...

  2. Educational treasures in Radiology: Radiolopolis – an international Radiology community (United States)

    Talanow, Roland; Giesel, Frederik


    This article focuses on a relatively new concept in the Internet: “Social networking” and especially on one program that successfully found a unique way to provide a social network for Radiology: Radiolopolis. Radiolopolis ( is an international Radiology network to promote education, research and clinical practice in Radiology. What makes this Radiology community unique and special is that the founders of Radiolopolis implemented multiple educational and clinical/practical programs which have been developed over the past years. PMID:22470687

  3. Renewal of radiological equipment. (United States)


    In this century, medical imaging is at the heart of medical practice. Besides providing fast and accurate diagnosis, advances in radiology equipment offer new and previously non-existing options for treatment guidance with quite low morbidity, resulting in the improvement of health outcomes and quality of life for the patients. Although rapid technological development created new medical imaging modalities and methods, the same progress speed resulted in accelerated technical and functional obsolescence of the same medical imaging equipment, consequently creating a need for renewal. Older equipment has a high risk of failures and breakdowns, which might cause delays in diagnosis and treatment of the patient, and safety problems both for the patient and the medical staff. The European Society of Radiology is promoting the use of up-to-date equipment, especially in the context of the EuroSafe Imaging Campaign, as the use of up-to-date equipment will improve quality and safety in medical imaging. Every healthcare institution or authority should have a plan for medical imaging equipment upgrade or renewal. This plan should look forward a minimum of 5 years, with annual updates. Teaching points • Radiological equipment has a definite life cycle span, resulting in unavoidable breakdown and decrease or loss of image quality which renders equipment useless after a certain time period.• Equipment older than 10 years is no longer state-of-the art equipment and replacement is essential. Operating costs of older equipment will be high when compared with new equipment, and sometimes maintenance will be impossible if no spare parts are available.• Older equipment has a high risk of failure and breakdown, causing delays in diagnosis and treatment of the patient and safety problems both for the patient and the medical staff.• Every healthcare institution or authority should have a plan for medical imaging equipment upgrade or replacement. This plan should look forward a

  4. Radiological safety and control

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Kyeong Won; You, Young Soo; Chang, Sea Young; Yoon, Yeo Chang; Yoon, Suk Chul; Kim, Jang Yeol; Lee, Tae Young; Lee, Bong Jae; Kim, Bong Hwan; Lee, Jong Il; Jeong, Juk Yeon; Lee, Sang Yeol; Jeong, Kyung Ki; Jeong, Rae Ik; Kim, Jong Su; Han, Young Dae; Lee, Hyung Sub; Kim, Chang Kyung [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)


    This report describes the annual results of radiological safety and control program. This program includes working area monitoring (WAM), personnel radiation monitoring (PRM), education for radiation protection (ERP), preparing for KMRR operation and developing QA program on personal dose evaluation. As a result, the objectives of radiation protection have been achieved satisfactorily through the WAM, PRM and ERP. The QA program on personal dose evaluation has been approved by the MOST according to the Ministerial Ordinance (No. 1992-15). KAERI has also been authorized as a specialized processor for personal dose evaluation. 32 tabs., 20 figs. (Author) .new.

  5. Characterization of radiological emergencies

    Energy Technology Data Exchange (ETDEWEB)

    Chester, C.V.


    Several severe radiological emergencies were reviewed to determine the likely range of conditions which must be coped with by a mobile teleoperator designed for emergencies. The events reviewed included accidents at TMI (1978), SL-1 (1961), Y-12 (1958), Bethesda (1982), Chalk River (1952 and 1958), Lucens (1969). The important conditions were: radiation fields over 10,000 R/h, severe contamination, possible critical excursion, possible inert atmosphere, temperatures from 50/sup 0/C to -20/sup 0/C, 100% relative humidity, 60-cm-high obstacles, stairs, airlocks, darkness, and lack of electric power.

  6. Smart Radiological Dosimeter

    Energy Technology Data Exchange (ETDEWEB)

    Kosslow, William J.; Bandzuch, Gregory S.


    A radiation dosimeter providing an indication of the dose of radiation to which the radiation sensor has been exposed. The dosimeter contains features enabling the monitoring and evaluating of radiological risks so that a user can concentrate on the task at hand. The dosimeter provides an audible alarm indication that a predetermined time period has elapsed, an audible alarm indication reminding the user to check the dosimeter indication periodically, an audible alarm indicating that a predetermined accumulated dose has been prematurely reached, and an audible alarm indication prior or to reaching the 3/4 scale point.

  7. Radiological Calibration and Standards Facility (United States)

    Federal Laboratory Consortium — PNNL maintains a state-of-the-art Radiological Calibration and Standards Laboratory on the Hanford Site at Richland, Washington. Laboratory staff provide expertise...

  8. Influence of the cause of the revision on the outcome after revision knee arthroplasty with condylar constrained implant. (United States)

    Gil-Martínez, P; Sanz, P; López-Torres, I; Arnal-Burró, J; Chana, F; Vaquero, J


    Revision total knee arthroplasty (TKA) is a common procedure with varying results depending on the cause. Our objective was to compare the clinical and radiological outcomes in patients undergoing aseptic revision versus revision due to prosthetic infection. The study included 41 patients who underwent TKA revision with the same varus-valgus constrained implant. In all cases a clinical evaluation was performed including pain, range of motion (ROM), Knee Society Score (KSS), complications, as well as radiological study. A comparative analysis was performed on the pre- and postoperative results between septic and aseptic groups. The mean follow-up was 6 years. ROM had a mean increase of 17 degrees (p<.01). KSS and functional KSS improved significantly postoperatively. In the radiological study, joint interline and limb alignment were restored in all cases. Radiolucencies were found in 36.5% of cases; however they were unrelated to the appearance of loosening of the implant. There were complications in 29.2% of cases, mostly related to the surgical wound. Mobility, KSS, KSS functional and satisfaction at follow-up were better in the septic group. Implant survival was 95% at follow-up. Revision arthroplasty with constrained varus-valgus implant is safe, and has successful mid-term results despite the cause of the replacement procedure. Copyright © 2016 SECOT. Published by Elsevier Espana. All rights reserved.

  9. [Ergonomically designed radiology workplace]. (United States)

    Knogler, T; Ringl, H


    An ergonomically designed radiology workplace is a key factor for concentrated work during the whole day and is essential in preventing negative long-term effects due to inappropriate physical strain. To avoid such negative effects it is of paramount importance to know the factors that might cause strain on the radiologist, the appropriate application for workplace design to address these factors and how work-related disorders emerge. To minimize physical strain due to long-lasting and repetitive movements, the workspace must be adapted to the physical needs of the radiologist. Adjustable settings for the work desk and seat, together with correct screen positioning and distance from the screen, are examples of such important factors in an ergonomic workplace design. In addition, adjustable ambient light, an adjustable conditioned climate, an appropriate color design for the environment and a reduction of unnecessary noise are also crucial factors for an ergonomic workplace. This review gives an overview about the factors that influence the radiology workspace and summarizes the current literature on this topic.

  10. Radiology illustrated. Spine

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Heung Sik; Lee, Joon Woo [Seoul National Univ. Bundang Hospital, Seongnam, Kyonggi-do (Korea, Republic of). Dept. of Radiology; Kwon, Jong Won [Samsung Medical Center, Seoul (Korea, Republic of). Dept. of Radiology


    Offers a practical approach to image interpretation for spinal disorders. Includes numerous high-quality radiographic images and schematic illustrations. Will serve as a self-learning book covering daily routine cases from the basic to the advanced. Radiology Illustrated: Spine is an up-to-date, superbly illustrated reference in the style of a teaching file that has been designed specifically to be of value in clinical practice. Common, critical, and rare but distinctive spinal disorders are described succinctly with the aid of images highlighting important features and informative schematic illustrations. The first part of the book, on common spinal disorders, is for radiology residents and other clinicians who are embarking on the interpretation of spinal images. A range of key disorders are then presented, including infectious spondylitis, cervical trauma, spinal cord disorders, spinal tumors, congenital disorders, uncommon degenerative disorders, inflammatory arthritides, and vascular malformations. The third part is devoted to rare but clinically significant spinal disorders with characteristic imaging features, and the book closes by presenting practical tips that will assist in the interpretation of confusing cases.

  11. Archives: SA Journal of Radiology

    African Journals Online (AJOL)

    Items 1 - 46 of 46 ... Archives: SA Journal of Radiology. Journal Home > Archives: SA Journal of Radiology. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives. 1 - 46 of 46 Items. 2017 ...

  12. Building Relations with Radiology Administrators

    Directory of Open Access Journals (Sweden)

    Megan Kalambo


    Full Text Available In some radiology departments, the lack of alignment between administrators and radiologists can pose significant challenges. This article describes how differences in background and priorities between administrators and radiologists can contribute to conflict and presents strategies on how to manage the conflict in a way that can leverage positive change. Strategies to build relations between radiologists and radiology administrators are described.

  13. Building Relations with Radiology Administrators. (United States)

    Kalambo, Megan; Parikh, Jay R


    In some radiology departments, the lack of alignment between administrators and radiologists can pose significant challenges. This article describes how differences in background and priorities between administrators and radiologists can contribute to conflict and presents strategies on how to manage the conflict in a way that can leverage positive change. Strategies to build relations between radiologists and radiology administrators are described.


    Energy Technology Data Exchange (ETDEWEB)



    This report presents the atmospheric dispersion coefficients used in Tank Farms safety analysis. The basis equations for calculating radiological and toxicological exposures are also included. In this revision, the time averaging for toxicological consequence evaluations is clarified based on a review of DOE complex guidance and a review of tank farm chemicals.


    Energy Technology Data Exchange (ETDEWEB)



    This report presents the atmospheric dispersion coefficients used in Tank Farm safety analyses. The current revision also includes atmospheric dispersion coefficients used for analyses of the Demonstration Bulk Vitrification System. The basic equations for calculating radiological and toxicological exposures are also included.

  16. Radiological Work Planning and Procedures

    CERN Document Server

    Kurtz, J E


    Each facility is tasked with maintaining personnel radiation exposure as low as reasonably achievable (ALARA). A continued effort is required to meet this goal by developing and implementing improvements to technical work documents (TWDs) and work performance. A review of selected TWDs from most facilities shows there is a need to incorporate more radiological control requirements into the TWD. The Radioactive Work Permit (RWP) provides a mechanism to place some of the requirements but does not provide all the information needed by the worker as he/she is accomplishing the steps of the TWD. Requiring the engineers, planners and procedure writers to put the radiological control requirements in the work steps would be very easy if all personnel had a strong background in radiological work planning and radiological controls. Unfortunately, many of these personnel do not have the background necessary to include these requirements without assistance by the Radiological Control organization at each facility. In add...

  17. Interpretive Error in Radiology. (United States)

    Waite, Stephen; Scott, Jinel; Gale, Brian; Fuchs, Travis; Kolla, Srinivas; Reede, Deborah


    Although imaging technology has advanced significantly since the work of Garland in 1949, interpretive error rates remain unchanged. In addition to patient harm, interpretive errors are a major cause of litigation and distress to radiologists. In this article, we discuss the mechanics involved in searching an image, categorize omission errors, and discuss factors influencing diagnostic accuracy. Potential individual- and system-based solutions to mitigate or eliminate errors are also discussed. Radiologists use visual detection, pattern recognition, memory, and cognitive reasoning to synthesize final interpretations of radiologic studies. This synthesis is performed in an environment in which there are numerous extrinsic distractors, increasing workloads and fatigue. Given the ultimately human task of perception, some degree of error is likely inevitable even with experienced observers. However, an understanding of the causes of interpretive errors can help in the development of tools to mitigate errors and improve patient safety.

  18. Obesitiy and Diagnostic Radiology

    Directory of Open Access Journals (Sweden)

    Erkan Gokce


    Full Text Available Use of medical imaging depending upon the comorbidity diseases and bariatric diseased for obese people has increased along with the increase at obesity prevalence. Due to large body structure and increased fatty tissue in obese patients, it is hard to carry out radiological studies and obtain images on diagnostic quality. Moreover, obese patients and #8217; subjecting to more radiation dose in examinations including ionizing radiation is another disadvantage. In order to perform diagnostic imaging process in obese patients, imaging equipment in accordance with the patient weight and diameter and examination rooms should be provided; and examination parameters should be organized according to the patient in a way that can be obtained the best imaging quality. [J Contemp Med 2013; 3(3.000: 218-226

  19. Radiology illustrated. Gastrointestinal tract

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Byung Ihn (ed.) [Seoul National University Hospital (Korea, Republic of). Dept. of Radiology


    Radiology Illustrated: Gastrointestinal Tract is the second of two volumes designed to provide clear and practical guidance on the diagnostic imaging of abdominal diseases. The book presents approximately 300 cases with 1500 carefully selected and categorized illustrations of gastrointestinal tract diseases, along with key text messages and tables that will help the reader easily to recall the relevant images as an aid to differential diagnosis., Essential points are summarized at the end of each text message to facilitate rapid review and learning. Additionally, brief descriptions of each clinical problem are provided, followed by case studies of both common and uncommon pathologies that illustrate the roles of the different imaging modalities, including ultrasound, radiography, computed tomography, and magnetic resonance imaging.

  20. Abdominal hernias: Radiological features (United States)

    Lassandro, Francesco; Iasiello, Francesca; Pizza, Nunzia Luisa; Valente, Tullio; Stefano, Maria Luisa Mangoni di Santo; Grassi, Roberto; Muto, Roberto


    Abdominal wall hernias are common diseases of the abdomen with a global incidence approximately 4%-5%. They are distinguished in external, diaphragmatic and internal hernias on the basis of their localisation. Groin hernias are the most common with a prevalence of 75%, followed by femoral (15%) and umbilical (8%). There is a higher prevalence in males (M:F, 8:1). Diagnosis is usually made on physical examination. However, clinical diagnosis may be difficult, especially in patients with obesity, pain or abdominal wall scarring. In these cases, abdominal imaging may be the first clue to the correct diagnosis and to confirm suspected complications. Different imaging modalities are used: conventional radiographs or barium studies, ultrasonography and Computed Tomography. Imaging modalities can aid in the differential diagnosis of palpable abdominal wall masses and can help to define hernial contents such as fatty tissue, bowel, other organs or fluid. This work focuses on the main radiological findings of abdominal herniations. PMID:21860678

  1. Radiology of bacterial pneumonia

    Energy Technology Data Exchange (ETDEWEB)

    Vilar, Jose E-mail:; Domingo, Maria Luisa; Soto, Cristina; Cogollos, Jonathan


    Bacterial pneumonia is commonly encountered in clinical practice. Radiology plays a prominent role in the evaluation of pneumonia. Chest radiography is the most commonly used imaging tool in pneumonias due to its availability and excellent cost benefit ratio. CT should be used in unresolved cases or when complications of pneumonia are suspected. The main applications of radiology in pneumonia are oriented to detection, characterisation and follow-up, especially regarding complications. The classical classification of pneumonias into lobar and bronchial pneumonia has been abandoned for a more clinical classification. Thus, bacterial pneumonias are typified into three main groups: Community acquired pneumonia (CAD), Aspiration pneumonia and Nosocomial pneumonia (NP).The usual pattern of CAD is that of the previously called lobar pneumonia; an air-space consolidation limited to one lobe or segment. Nevertheless, the radiographic patterns of CAD may be variable and are often related to the causative agent. Aspiration pneumonia generally involves the lower lobes with bilateral multicentric opacities. Nosocomial Pneumonia (NP) occurs in hospitalised patients. The importance of NP is related to its high mortality and, thus, the need to obtain a prompt diagnosis. The role of imaging in NP is limited but decisive. The most valuable information is when the chest radiographs are negative and rule out pneumonia. The radiographic patterns of NP are very variable, most commonly showing diffuse multifocal involvement and pleural effusion. Imaging plays also an important role in the detection and evaluation of complications of bacterial pneumonias. In many of these cases, especially in hospitalised patients, chest CT must be obtained in order to better depict these associate findings.

  2. Sexual Harassment in Radiology. (United States)

    Camargo, Aline; Liu, Li; Yousem, David M


    To gauge the prevalence of sexual harassment (SH) and to understand the issues regarding its disclosure among radiologists. A questionnaire on ethics and SH was sent by e-mail to 1,569 radiologists and radiology trainees in an institutional database maintained for continuing medical education purposes on three separate occasions between September 17 and October 31, 2016. The link to the survey was also posted on social media sites via the authors' divisional and institutional accounts on Facebook, Twitter, Instagram, and Aunt Minnie, as well as on ACR and RSNA web blogs. Overall, 9.75% (39 of 400) respondents stated they had suffered SH, with more female (22 of 90 = 24.4%) than male victims (11 of 249 = 4.4%) (P < .001). Only 29.4% of SH victims said they would likely report SH (P < .001). Women (46 of 90 = 51.1%) said they were less likely to report SH than men (150 of 242 = 62.0%) (P = .03), and American medical school graduates (119 of 220 = 54.1%) were less likely than graduates from outside the United States (37 of 48 = 77.1%). Of 401 respondents to questions on SH, 28.7% (n = 115), including more women (38 of 91 = 41.8%) than men (61 of 249 = 24.5%) (P = .002), said they had witnessed SH. By percentage responding, female radiologists are more frequently victims and witnesses of sexual harassment but are less likely to report such cases. Steps need to be taken to eliminate a culture that leads radiologists to tolerate SH without addressing it. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  3. Radiological anatomy - evaluation of integrative education in radiology. (United States)

    Dettmer, S; Schmiedl, A; Meyer, S; Giesemann, A; Pabst, R; Weidemann, J; Wacker, F K; Kirchhoff, T


    Evaluation and analysis of the integrative course "Radiological Anatomy" established since 2007 at the Medical School Hannover (MHH) in comparison with conventional education. Anatomy and radiology are usually taught separately with a considerable time lag. Interdisciplinary teaching of these associated subjects seems logical for several reasons. Therefore, the integrative course "Radiological Anatomy" was established in the second year of medical education, combining these two closely related subjects. This interdisciplinary course was retrospectively evaluated by consideration of a student questionnaire and staff observations. The advantages and disadvantages of integrative teaching in medical education are discussed. The course ratings were excellent (median 1; mean 1.3 on a scale of 1 to 6). This is significantly (p radiology increased during the course (88 %). According to the students' suggestions the course was enhanced by a visitation in the Department of Radiology and the additional topic central nervous system. Integrative teaching of anatomy and radiology was well received by the students. Both, anatomical and radiological comprehension and the motivation to learn were improved. However, it should be considered, that the amount of work and time required by the teaching staff is considerably increased compared to traditional teaching. © Georg Thieme Verlag KG Stuttgart · New York.

  4. Analysis of the Radiology Reports from Radiology Clinics

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Eun Jin; Kwack, Kyu Sung; Cho, Jae Hyun; Jang, Eun Ho [Ajou University Medical Center, Suwon (Korea, Republic of)


    The purpose of this study was to investigate the form and content of the radiology reports from radiology clinics in Korea. One hundred and sixty six radiology reports from 49 radiology clinics were collected, and these reports were referred to the academic tertiary medical center from March 2008 to February 2009. These included reports for CT (n = 18), MRI (n = 146) and examinations not specified (n = 2). Each report was evaluated for the presence of required contents (demographics, technical information, findings, conclusion, the name, license number and signature of the radiologist and the referring facility). These requirements were based on the guideline of the American College of Radiology and the previous research. The name of the patient, the gender, the body part, the type of examination, the time of examination and the conclusion, the name of the radiologist and the name of facility were well recorded in over 90% of the radiology reports. However, the identification number of the patient, the referring facility, the referring physician, the use of contrast material, the clinical information, the time of dictation, the signature of the radiologist and the license number of the radiologist were poorly recorded (less than 50%). The optimal format of a radiology report should be established for reliable and valid communication with clinicians

  5. American Board of Radiology diagnostic radiology initial qualifying (written) examinations. (United States)

    Yang, June C; Gerdeman, Anthony M; Becker, Gary J; Bosma, Jennifer L


    The purpose of this article is to inform radiology residents, program directors, and other interested parties of the processes involved in developing, administering, and scoring the American Board of Radiology (ABR) diagnostic radiology qualifying (written) examinations. The residents, once certified, will have a lifelong professional relationship with the ABR. It is important for the ABR to be transparent about the processes it uses to ensure that its examinations are fair, valid, and reliable so that residents and their program directors have accurate information about these high-stakes examinations.

  6. The Padua Inventory: Do Revisions Need Revision? (United States)

    Gonner, Sascha; Ecker, Willi; Leonhart, Rainer


    The purpose of the present study was to examine the psychometric properties, factorial structure, and validity of the Padua Inventory-Washington State University Revision and of the Padua Inventory-Revised in a large sample of patients with obsessive-compulsive disorder (n = 228) and with anxiety disorders and/or depression (n = 213). The…

  7. Health effects models for off-site radiological consequence analysis on nuclear reactor accidents (II)

    Energy Technology Data Exchange (ETDEWEB)

    Homma, Toshimitsu [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Takahashi, Tomoyuki [Kyoto Univ., Kumatori, Osaka (Japan). Research Reactor Inst; Yonehara, Hidenori [National Inst. of Radiological Sciences, Chiba (Japan)] [eds.


    This report is a revision of JAERI-M 91-005, 'Health Effects Models for Off-Site Radiological Consequence Analysis of Nuclear Reactor Accidents'. This revision provides a review of two revisions of NUREG/CR-4214 reports by the U.S. Nuclear Regulatory Commission which is the basis of the JAERI health effects models and other several recent reports that may impact the health effects models by international organizations. The major changes to the first version of the JAERI health effects models and the recommended parameters in this report are for late somatic effects. These changes reflect recent changes in cancer risk factors that have come from longer followup and revised dosimetry in major studies on the Japanese A-bomb survivors. This report also provides suggestions about future revisions of computational aspects on health effects models. (author)

  8. Evaluation of radiological versus chemical toxicity limits for varying enrichments of uranium for Department of Energy facilities. (United States)

    O'Connell, Peter; Rabovsky, Joel; Foulke, Judith


    On 8 June 2007, the Department of Energy amended its occupational radiation protection rule Title 10 Code of Federal Regulations Part 835, Occupational Radiation Protection. The Department of Energy revised the radiation weighting factors, tissue weighting factors, and most of the dosimetric terms used in Title 10 Code of Federal Regulations Part 835 to reflect the recommendations for assessing dose and associated terminology from ICRP Publication 60, 1990 Recommendations of the ICRP on Radiological Protection. In support of the amendment, the Department of Energy is revising its guidance documents on evaluation of radiological vs. chemical toxicity limits for varying enrichments of uranium. The revised guidance is based on the updated dosimetric models and provides a useful tool for evaluating when either radiological or chemical toxicity concerns are more limiting.

  9. Pilot Study of a Patient-Centered Radiology Process Model. (United States)

    Swan, J Shannon; Furtado, Vanessa F; Keller, Lisa A; Lotti, Judith Borsody; Saltalamacchia, Catherine A; Lennes, Inga T; Salazar, Gloria M


    The Radiology Process Model (RPM) was previously described in terms of its conceptual basis and proposed survey items. The current study describes the first pilot application of the RPM in the field and the results of initial psychometric analysis. We used an Institutional Review Board-approved pilot RPM survey in 100 patients having outpatient interventional radiology procedures. The 24 survey items had 4 or 5 levels of severity. We assessed for missing data, items that patients found confusing, any suggestions by patients for additional items and clarity of items from patient feedback. Factor analysis was performed and internal consistency measured. Construct validity was assessed by correlation of patient responses to the items as a summated scale with a visual analog scale (VAS) they completed indicating their interventional radiology experience. The visual analog scale and the RPM summated scale were strongly correlated (r = 0.7). Factor analysis showed four factors: interactions with facility and doctors/staff, time-sensitive aspects, pain, and anxiety. The items showed high internal consistency (alpha: 0.86) as a group and approximately 0.7 to 0.9 by the factors. Analysis shows that two items could be deleted (cost and communication between radiologist and referrers). Revision of two items and potential addition of others are discussed. The RPM shows initial evidence of psychometric validity and internal consistency reliability. Minor changes are anticipated before wider use. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  10. Loosening After Acetabular Revision

    DEFF Research Database (Denmark)

    Beckmann, Nicholas A.; Weiss, Stefan; Klotz, Matthias C.M.


    The best method of revision acetabular arthroplasty remains unclear. Consequently, we reviewed the literature on the treatment of revision acetabular arthroplasty using revision rings (1541 cases; mean follow-up (FU) 5.7 years) and Trabecular Metal, or TM, implants (1959 cases; mean FU 3.7 years)...

  11. Dose Evaluation and Quality Criteria in Dental Radiology

    Energy Technology Data Exchange (ETDEWEB)

    Gori, C.; Rossi, F.; Stecco, A.; Villari, N.; Zatelli, G


    Radioprotection in dental radiology is of particular interest in the framework of the Revised Medical Exposure Directive for the great number of examinations involving the adult as well as the paediatric population (Article 9: Special Practice). The present study is intended to find the quality criteria of orthodontic imaging and for evaluating the dose absorbed within the dental and maxillary volume in connection with radiological examinations performed with either spiral CT, dental panoramic tomography or teleradiography. The X ray dose to organs sited in the body, neck, ocular and intracranial area was measured using lithium fluoride dosemeters, positioned in a Rando phantom. Quality criteria have been established by an expert radiologist considering the diagnostic information obtained in the images. The dosimetric data obtained were comparable with other authors', although with some differences due to technical characteristics. These result data are useful for choosing the patient's diagnostic path, considering the radiobiological risk associated with increasing orthodontic imaging. (author)

  12. Radiology in dentistry. Zahnaerztliche Radiologie

    Energy Technology Data Exchange (ETDEWEB)

    Pasler, F.A.


    Dental radiology as a special field with all the necessary basic knowledge is slowly gaining the importance it deserves within the dental medicine and as one of the branches of human medicine. The author makes an attempt to find a way to combine the medical knowledge with the knowledge in the field of dental radiology, to compile the basic knowledge in the sense of a dento-maxillo-fascial radiology without letting the ideas of any of the branches get too dominant. The using of special literature remains necessary despite the creation of this booklet.

  13. Cardiac radiology: centenary review. (United States)

    de Roos, Albert; Higgins, Charles B


    During the past century, cardiac imaging technologies have revolutionized the diagnosis and treatment of acquired and congenital heart disease. Many important contributions to the field of cardiac imaging were initially reported in Radiology. The field developed from the early stages of cardiac imaging, including the use of coronary x-ray angiography and roentgen kymography, to nowadays the widely used echocardiographic, nuclear medicine, cardiac computed tomographic (CT), and magnetic resonance (MR) applications. It is surprising how many of these techniques were not recognized for their potential during their early inception. Some techniques were described in the literature but required many years to enter the clinical arena and presently continue to expand in terms of clinical application. The application of various CT and MR contrast agents for the diagnosis of myocardial ischemia is a case in point, as the utility of contrast agents continues to expand the noninvasive characterization of myocardium. The history of cardiac imaging has included a continuous process of advances in our understanding of the anatomy and physiology of the cardiovascular system, along with advances in imaging technology that continue to the present day.

  14. Radiological design guide

    Energy Technology Data Exchange (ETDEWEB)

    Evans, R.A.


    The purpose of this design guide is to provide radiological safety requirements, standards, and information necessary for designing facilities that will operate without unacceptable risk to personnel, the public, or the environment as required by the US Department of Energy (DOE). This design guide, together with WHC-CM-4-29, Nuclear Criticality Safety, WHC-CM-4-46, Nonreactor Facility Safety Analysis, and WHC-CM-7-5, Environmental Compliance, covers the radiation safety design requirements at Westinghouse Hanford Company (WHC). This design guide applies to the design of all new facilities. The WHC organization with line responsibility for design shall determine to what extent this design guide shall apply to the modifications to existing facilities. In making this determination, consideration shall include a cost versus benefit study. Specifically, facilities that store, handle, or process radioactive materials will be covered. This design guide replaces WHC-CM-4-9 and is designated a living document. This design guide is intended for design purposes only. Design criteria are different from operational criteria and often more stringent. Criteria that might be acceptable for operations might not be adequate for design.

  15. Granulomatous mastitis: radiological findings

    Energy Technology Data Exchange (ETDEWEB)

    Ozturk, M.; Mavili, E.; Kahriman, G.; Akcan, A.C.; Ozturk, F. [Depts. of Radiology, Surgery, and Pathology, Erciyes Univ. Medical Faculty, Kayseri (Turkey)


    Purpose: To evaluate the radiological, ultrasonographic, and magnetic resonance imaging (MRI) findings of idiopathic granulomatous mastitis. Material and Methods: Between April 2002 and June 2005, the mammography, ultrasound, color Doppler ultrasound, non enhanced MR, and dynamic MR findings of nine patients with the preliminary clinical diagnosis of malignancy and the final diagnosis of granulomatous mastitis were evaluated. Results: On mammography, asymmetrical focal densities with no distinct margins, ill-defined masses with spiculated contours, and bilateral multiple ill-defined nodules were seen. On ultrasound, in four patients a discrete, heterogenous hypoechoic mass, in two patients multiple abscesses, in one patient bilateral multiple central hypo peripheral hyperechoic lesions, in two patients heterogeneous hypo- and hyperechoic areas together with parenchymal distortion, and in one patient irregular hypoechoic masses with tubular extensions and abscess cavities were seen. Five of the lesions were vascular on color Doppler ultrasound. On MR mammography, the most frequent finding was focal or diffuse asymmetrical signal intensity changes that were hypointense on T1W images and hyperintense on T2W images, without significant mass effect. Nodular lesions were also seen. On dynamic contrast-enhanced mammography, mass-like enhancement, ring-like enhancement, and nodular enhancement were seen. The time-intensity curves differed from patient to patient and from lesion to lesion. Conclusion: The imaging findings of idiopathic granulomatous mastitis have a wide spectrum, and they are inconclusive for differentiating malignant and benign lesions.

  16. National Radiological Fixed Lab Data (United States)

    U.S. Environmental Protection Agency — The National Radiological Fixed Laboratory Data Asset includes data produced in support of various clients such as other EPA offices, EPA Regional programs, DOE,...

  17. A review of pediatric radiology

    National Research Council Canada - National Science Library

    Sabbadini, Gary D


    .... The goal of this article is to review some basic concepts in pediatric radiology to help general practitioners have a better understanding of when to take radiographs on children, which radiographs...

  18. Radiological Assistance Program (RAP) Regions (United States)

    Department of Homeland Security — The U.S. Department of Energy (DOE) created the Radiological Assistance Program (RAP) in the 1950s to make DOE resources and expertise available to organizations...

  19. Radiological training for tritium facilities

    Energy Technology Data Exchange (ETDEWEB)



    This program management guide describes a recommended implementation standard for core training as outlined in the DOE Radiological Control Manual (RCM). The standard is to assist those individuals, both within DOE and Managing and Operating contractors, identified as having responsibility for implementing the core training recommended by the RCM. This training may also be given to radiological workers using tritium to assist in meeting their job specific training requirements of 10 CFR 835.

  20. FDH radiological design review guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Millsap, W.J.


    These guidelines discuss in more detail the radiological design review process used by the Project Hanford Management Contractors as described in HNF-PRO-1622, Radiological Design Review Process. They are intended to supplement the procedure by providing background information on the design review process and providing a ready source of information to design reviewers. The guidelines are not intended to contain all the information in the procedure, but at points, in order to maintain continuity, they contain some of the same information.

  1. Financial accounting for radiology executives. (United States)

    Seidmann, Abraham; Mehta, Tushar


    The authors review the role of financial accounting information from the perspective of a radiology executive. They begin by introducing the role of pro forma statements. They discuss the fundamental concepts of accounting, including the matching principle and accrual accounting. The authors then explore the use of financial accounting information in making investment decisions in diagnostic medical imaging. The paper focuses on critically evaluating the benefits and limitations of financial accounting for decision making in a radiology practice.


    Directory of Open Access Journals (Sweden)

    Sendhilvelan Rajagopalan


    Full Text Available BACKGROUND Syndesmotic disruptions are often seen in ankle fractures. Malreduction of these fractures can result in arthritis and instability. A proportion of these patients with malreduction require revision fixation. This study presents the results of revision fixation in such patients, using the Ankle TightRope ® (Arthrex system. METHODS Between January 2000 to December 2009, 124 patients who underwent ankle fracture fixations with syndesmotic stabilisation were analysed. Out of 124 patients, 8 patients were diagnosed with failure of primary stabilisation (based on radiological and clinical criteria and subjected to revision fixation using the Ankle TightRope ® (Arthrex system. Followup was done at periodic time intervals of 3, 6 and 12 months. Both clinical and radiological assessment was performed. Complications and duration of hospital stay was recorded. Functional evaluation was performed using the American Orthopaedic Foot and Ankle Society (AOFAS scoring system. RESULTS Five patients had good results, one satisfactory and two had poor outcomes. CONCLUSIONS Ankle TightRope ® fixation is an alternative method of stabilisation in patients who require revision syndesmosis fixation. Further studies are required to evaluate this method of revision stabilisation as compared to screws.

  3. Radiologic analysis of amebiasis

    Energy Technology Data Exchange (ETDEWEB)

    Kim, S. Y.; Lee, Y. H.; Park, C. Y. [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    The amebiasis is a common diseases in Korea as well as worldwide especially frequent in tropical area such as India, Africa and South America. The diagnosis of amebiasis remain difficult and complex, despite of many diagnostic method, for example, direct stool test for ameba, many immunologic studies and biopsy. Authors analyzed radiologically the patient who have had confirmed as a amebiasis from June, 1976 to September, 1979 at Yonsei University, College of Medicine, Severance Hospital. The results as follows: 1. The amebic liver abscess was a most common from of the amebiasis in Korea, which were 40 cases among 56 cases. Plain abdomen showed huge hepatomegaly, compression and displacement in hepatic flexure of colon, and reflex gas distension in almost cases. Chest P-A showed nonspecific right lower lung findings from secondary to right upper abdominal pathology, such as elevated right diaphragm (61.3%), pleural effusion (60.0%), right lower lung consolidation (37.5%) and abscess cavities (5.0%). Liver scan showed large space occupying lesion, most commonly situated in right lobe of liver (68.6%). 2. Among total 15 cases of the amebic colitis, positive findings on barium enema were 80%. Barium enama showed spas and irritability (89.2%), narrowing of lumen and lack of distensibility (71.4%) and deformity of cecum (20.0%). Involved site was cecum, ascending colon, rectosigmoid, transeverse and descending colon in order of frequency. Unusual involvement of terminal ileum was 2 cases. 3. Combined cases of amebic liver abscess and colitis were 4 cases (27.7%)

  4. DOE standard: Radiological control

    Energy Technology Data Exchange (ETDEWEB)


    The Department of Energy (DOE) has developed this Standard to assist line managers in meeting their responsibilities for implementing occupational radiological control programs. DOE has established regulatory requirements for occupational radiation protection in Title 10 of the Code of Federal Regulations, Part 835 (10 CFR 835), ``Occupational Radiation Protection``. Failure to comply with these requirements may lead to appropriate enforcement actions as authorized under the Price Anderson Act Amendments (PAAA). While this Standard does not establish requirements, it does restate, paraphrase, or cite many (but not all) of the requirements of 10 CFR 835 and related documents (e.g., occupational safety and health, hazardous materials transportation, and environmental protection standards). Because of the wide range of activities undertaken by DOE and the varying requirements affecting these activities, DOE does not believe that it would be practical or useful to identify and reproduce the entire range of health and safety requirements in this Standard and therefore has not done so. In all cases, DOE cautions the user to review any underlying regulatory and contractual requirements and the primary guidance documents in their original context to ensure that the site program is adequate to ensure continuing compliance with the applicable requirements. To assist its operating entities in achieving and maintaining compliance with the requirements of 10 CFR 835, DOE has established its primary regulatory guidance in the DOE G 441.1 series of Guides. This Standard supplements the DOE G 441.1 series of Guides and serves as a secondary source of guidance for achieving compliance with 10 CFR 835.

  5. Characteristics and trends of radiology research: a survey of original articles published in AJR and Radiology between 2001 and 2010. (United States)

    Lim, Kyoung Ja; Yoon, Dae Young; Yun, Eun Joo; Seo, Young Lan; Baek, Sora; Gu, Dong Hyeon; Yoon, Soo Jeong; Han, Ari; Ku, You Jin; Kim, Sam Soo


    To determine the characteristics and trends of the original articles published in two major American radiology journals, AJR American Journal of Roentgenology (AJR) and Radiology, between 2001 and 2010. This was a retrospective bibliometric analysis that did not involve human subjects and was exempt from institutional review board approval. All 6542 original articles published in AJR and Radiology between 2001 and 2010 were evaluated. The following information was abstracted from each article: radiologic subspecialty, radiologic technique used, type of research, sample size, study design, statistical analysis, study outcome, declared funding, number of authors, affiliation of the first author, and country of the first author. In addition, all the variables examined were presented along with the trend over time. The most common subspecialty of study was abdominal (1219 of 6542, 18.6%), followed by vascular/interventional (804 of 6542, 12.3%). A total of 3744 (57.2%) original articles used magnetic resonance (MR) imaging or computed tomography (CT), 5495 (84.1%) were clinical research articles, 3060 (46.8%) had sample size of more than 50, 4087 (62.5%) were retrospective, 4714 (72.1%) performed statistical analysis, 6225 (95.2%) showed positive study outcome, 4784 (73.1%) were not funded, 3942 (60.3%) had four to seven authors, and 5731 (87.6%) were written by the primary author who was from a department of radiology or radiology-related specialties. The United States published 45.5% (2975 of 6542) of the articles, followed by Japan (n = 525, 8.0%), Germany (n = 485, 7.4%), and South Korea (n = 455, 7.0%). In the time trend analysis, the following variables showed a significantly positive trend: cardiac subspecialty, CT and MR imaging as the radiologic techniques, type of research as other (nonbasic, nonclinical), sample size of more than 50, four to seven as the number of authors, medicine-related department of the first author, and South Korea and Italy as

  6. Data Quality Objectives Supporting Radiological Air Emissions Monitoring for the PNNL Richland Campus

    Energy Technology Data Exchange (ETDEWEB)

    Snyder, Sandra F. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Moleta, Donna Grace L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Meier, Kirsten M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Barnett, John M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    This is the second revision of the DQO Supporting Radiological Air Emissions Monitoring for the Pacific Northwest National Laboratory Richland Campus. In January 2017, the PNNL Richland Campus expanded to the north by 0.35 km2 (85.6 acres). Under the requirements of Washington State Department of Health Radioactive Air Emissions License (RAEL)-005, the PNNL Campus operates and maintains a radiological air monitoring program. This revision documents and evaluates the newly acquired acreage while also removing recreational land at the southwest, and also re-examines all active radioactive emission units on the PNNL Campus. No buildings are located on this new Campus land, which was transferred from the U.S. DOE Hanford Site. Additionally, this revision includes information regarding the background monitoring station PNL-5 in Benton City, Washington, which became active in October 2016. The key purpose of this revision is to determine the adequacy of the existing environmental surveillance stations to monitor radiological air emissions in light of this northern boundary change.

  7. Radiological findings in NAO syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Al-Otaibi, Leftan; Hugosson, Claes O. [Department of Radiology, King Faisal Specialist Hospital and Research Center, Riyadh (Saudi Arabia); Al-Mayouf, Sulalman M.; Majeed, Mahmoud; Al-Eid, Wea' am; Bahabri, Sultan [Department of Paediatrics, King Faisal Specialist Hospital and Research Center, Riyadh (Saudi Arabia)


    Background: Diseases exhibiting osteolysis in children are rare hereditary conditions. Several types have been recognised with different clinical manifestations. One type includes subcutaneous nodules, arthropathy and osteolysis and has been termed NAO syndrome. Previous radiological reports have described the affected bones, usually the carpal and tarsal regions, but a detailed analysis of the radiological findings of both the axial as well as the appendicular skeleton has not been reported. Objectives: To describe the radiological findings in a large group of children with an autosomal recessive disease characterized by nodules, familial arthropathy and osteolysis. Materials and methods: The study comprises 14 patients from 9 families and all patients had the triad of nodulosis, arthropathy and osteolysis (NAO). Results: The most common radiological manifestations were osteopenia, undertubulation of long bones, arthritic changes, sclerotic sutures of the calvaria, osteolysis and muscle contractures. Other common findings were squared vertebrae, broad medial clavicles and brachycephaly. Progress of disease was documented in more than half of the patients. Conclusions: Our study is the first report of the detailed radiological findings of NAO syndrome. In NAO syndrome, both the axial and appendicular skeleton are involved (orig.)

  8. Workflow management systems in radiology (United States)

    Wendler, Thomas; Meetz, Kirsten; Schmidt, Joachim


    In a situation of shrinking health care budgets, increasing cost pressure and growing demands to increase the efficiency and the quality of medical services, health care enterprises are forced to optimize or complete re-design their processes. Although information technology is agreed to potentially contribute to cost reduction and efficiency improvement, the real success factors are the re-definition and automation of processes: Business Process Re-engineering and Workflow Management. In this paper we discuss architectures for the use of workflow management systems in radiology. We propose to move forward from information systems in radiology (RIS, PACS) to Radiology Management Systems, in which workflow functionality (process definitions and process automation) is implemented through autonomous workflow management systems (WfMS). In a workflow oriented architecture, an autonomous workflow enactment service communicates with workflow client applications via standardized interfaces. In this paper, we discuss the need for and the benefits of such an approach. The separation of workflow management system and application systems is emphasized, and the consequences that arise for the architecture of workflow oriented information systems. This includes an appropriate workflow terminology, and the definition of standard interfaces for workflow aware application systems. Workflow studies in various institutions have shown that most of the processes in radiology are well structured and suited for a workflow management approach. Numerous commercially available Workflow Management Systems (WfMS) were investigated, and some of them, which are process- oriented and application independent, appear suitable for use in radiology.

  9. White Paper: Curriculum in Interventional Radiology. (United States)

    Mahnken, Andreas H; Bücker, Arno; Hohl, Christian; Berlis, Ansgar


    Purpose Scope and clinical importance of interventional radiology markedly evolved over the last decades. Consequently it was acknowledged as independent subspecialty by the "European Union of Medical Specialists" (UEMS). Based on radiological imaging techniques Interventional Radiology is an integral part of Radiology. Materials und Methods In 2009 the German Society for Interventional Radiology and minimally-invasive therapy (DeGIR) developed a structured training in Interventional Radiology. In cooperation with the German Society of Neuroradiology (DGNR) this training was extended to also cover Interventional Neuroradiology in 2012. Tailored for this training in Interventional Radiology a structured curriculum was developed, covering the scope of this modular training. Results The curriculum is based on the DeGIR/DGNR modular training concept in Interventional Radiology. There is also an European Curriculum and Syllabus for Interventional Radiology developed by the "Cardiovascular and Interventional Radiological Society of Europe" (CIRSE). The presented curriculum in Interventional Radiology is designed to provide a uniform base for the training in Interventional Radiology in Germany, based on the competencies obtained during residency. Conclusion This curriculum can be used as a basis for training in Interventional Radiology by all training sites. Key Points: · Interventional Radiology is an integral part of clinical radiology. · The German Society for Interventional Radiology and minimally-invasive therapy (DeGIR) developed a curriculum in Interventional Radiology. · This curriculum is an integrative basis for the training in interventional. Citation Format · Mahnken AH, Bücker A, Hohl C et al. White Paper: Curriculum in Interventional Radiology. Fortschr Röntgenstr 2017; 189: 309 - 311. © Georg Thieme Verlag KG Stuttgart · New York.

  10. Mobile autonomous robotic apparatus for radiologic characterization (United States)

    Dudar, Aed M.; Ward, Clyde R.; Jones, Joel D.; Mallet, William R.; Harpring, Larry J.; Collins, Montenius X.; Anderson, Erin K.


    A mobile robotic system that conducts radiological surveys to map alpha, beta, and gamma radiation on surfaces in relatively level open areas or areas containing obstacles such as stored containers or hallways, equipment, walls and support columns. The invention incorporates improved radiation monitoring methods using multiple scintillation detectors, the use of laser scanners for maneuvering in open areas, ultrasound pulse generators and receptors for collision avoidance in limited space areas or hallways, methods to trigger visible alarms when radiation is detected, and methods to transmit location data for real-time reporting and mapping of radiation locations on computer monitors at a host station. A multitude of high performance scintillation detectors detect radiation while the on-board system controls the direction and speed of the robot due to pre-programmed paths. The operators may revise the preselected movements of the robotic system by ethernet communications to remonitor areas of radiation or to avoid walls, columns, equipment, or containers. The robotic system is capable of floor survey speeds of from 1/2-inch per second up to about 30 inches per second, while the on-board processor collects, stores, and transmits information for real-time mapping of radiation intensity and the locations of the radiation for real-time display on computer monitors at a central command console.

  11. ["Activity based costing" in radiology]. (United States)

    Klose, K J; Böttcher, J


    The introduction of diagnosis related groups for reimbursement of hospital services in Germany (g-drg) demands for a reconsideration of utilization of radiological products and costs related to them. Traditional cost accounting as approach to internal, department related budgets are compared with the accounting method of activity based costing (ABC). The steps, which are necessary to implement ABC in radiology are developed. The introduction of a process-oriented cost analysis is feasible for radiology departments. ABC plays a central role in the set-up of decentralized controlling functions within this institutions. The implementation seems to be a strategic challenge for department managers to get more appropriate data for adequate enterprise decisions. The necessary steps of process analysis can be used for other purposes (Certification, digital migration) as well.

  12. Teaching physics to radiology residents. (United States)

    Hendee, William R


    The complexity of diagnostic imaging has expanded dramatically over the past two decades. Over the same period, the time and effort devoted to teaching physics (the science and technology of the discipline) have diminished. This paradox compromises the ability of future radiologists to master imaging technologies so that they are used in an efficient, safe, and cost-effective manner. This article addresses these issues. Efforts involving many professional organizations are under way to resolve the paradox of the expanding complexity of medical imaging contrasted with the declining emphasis on physics in radiology residency programs. These efforts should help to reestablish physics education as a core value in radiology residency programs.

  13. Managing Generational Differences in Radiology. (United States)

    Eastland, Robin; Clark, Kevin R


    Diversity can take many forms. One type of recent focus is generational differences and intergenerational issues. Much research exists regarding generational differences in the workplace and in healthcare as a whole. Very little has been done on generational differences within the field of radiology. An analysis of current research of generational differences within radiology, nursing, and healthcart in general was performed to identify current trends and establish similarities and discordance in available studies. An emphasis was placed on how generational differences influence education, teamwork, and patient care, along with what challenges and opportunities exist for managers, leaders, and organizations.

  14. Paediatric interventional radiology | Chaudry | SA Journal of Radiology

    African Journals Online (AJOL)

    Paediatric interventional radiology (IR) is a rapidly developing subspecialty, seeking to meet the increasing demand for image-guided minimally invasive procedures. The wide range of procedures performed and the conditions treated reflect the varying ages and complexity of the patient population. This article reviews the ...

  15. Radiological placement of chest ports in pediatric oncology patients

    Energy Technology Data Exchange (ETDEWEB)

    Cil, Barbaros E. [Hacettepe University School of Medicine, Department of Radiology, Ankara (Turkey)


    A single center's procedural and follow-up results of radiological chest port placement in pediatric oncology patients are presented. Between July 2002 and December 2003, 37 children (20 boys, 17 girls; age range, 4 months to 16 years; mean 6.7 years) underwent chest port placement. All patients received only one port through the internal jugular vein access, and all of the implantations were performed in the interventional radiology suite. Our database and electronic charts were retrospectively reviewed to obtain follow-up data. All chest ports were successfully implanted. The mean catheter life was 223 days (range: 15-450 days), with a total of 8,258 catheter days. Twenty-eight ports are still in use, four patient deceased, one port was prematurely removed because of a late infection, and four patients were lost to follow-up. Infection rate was 2.7% (0.12/1,000 catheter days). Malfunction due to partial catheter thrombosis and fibrin sheath formation was observed in three patients (8.1% or 0.36/1,000 catheter days), and all were relieved with rt-TPA dwell. None of the ports were revised or removed because of blockage, malposition or difficulty accessing the port. The peri-procedural complication rate was 0%. Chest ports in children can be inserted in interventional radiology suites under imaging guidance with high rates of technical success. The rates of infection and complications are comparable to that of surgically placed ports. (orig.)

  16. Radiology in Medical Education: A Pediatric Radiology Elective as a Template for Other Radiology Courses. (United States)

    Hilmes, Melissa A; Hyatt, Eddie; Penrod, Cody H; Fleming, Amy E; Singh, Sudha P


    Traditionally, the pediatric radiology elective for medical students and pediatric residents constituted a morning teaching session focused mainly on radiography and fluoroscopy. A more structured elective was desired to broaden the exposure to more imaging modalities, create a more uniform educational experience, and include assessment tools. In 2012, an introductory e-mail and formal syllabus, including required reading assignments, were sent to participants before the start date. A rotating weekly schedule was expanded to include cross-sectional imaging (ultrasound, CT, MR) and nuclear medicine. The schedule could accommodate specific goals of the pediatric resident or medical student, as requested. Starting in 2013, an online pre-test and post-test were developed, as well as an online end-of-rotation survey specific to the pediatric radiology elective. Taking the Image Gently pledge was required. A scavenger hunt tool, cue cards, and electronic modules were added. Pre-test and post-test scores, averaged over 2 years, showed improvement in radiology knowledge, with scores increasing by 27% for medical students and 21% for pediatric residents. Surveys at the end of the elective were overwhelmingly positive, with constructive criticism and complimentary comments. We have successfully created an elective experience in radiology that dedicates time to education while preserving the workflow of radiologists. We have developed tools to provide a customized experience with many self-directed learning opportunities. Our tools and techniques are easily translatable to a general or adult radiology elective. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  17. Critical review of the reactor-safety study radiological health effects model. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, D.W.; Evans, J.S.; Jacob, N.; Kase, K.R.; Maletskos, C.J.; Robertson, J.B.; Smith, D.G.


    This review of the radiological health effects models originally presented in the Reactor Safety Study (RSS) and currently used by the US Nuclear Regulatory Commission (NRC) was undertaken to assist the NRC in determining whether or not to revise the models and to aid in the revision, if undertaken. The models as presented in the RSS and as implemented in the CRAC (Calculations of Reactor Accident Consequences) Code are described and critiqued. The major elements analyzed are those concerning dosimetry, early effects, and late effects. The published comments on the models are summarized, as are the important findings since the publication of the RSS.

  18. West African Journal of Radiology: Journal Sponsorship

    African Journals Online (AJOL)

    West African Journal of Radiology: Journal Sponsorship. Journal Home > About the Journal > West African Journal of Radiology: Journal Sponsorship. Log in or Register to get access to full text downloads.

  19. Applications of decision analysis in diagnostic radiology

    NARCIS (Netherlands)

    M.G.M. Hunink (Myriam)


    textabstractThe subjects of this thesis are decision analysis and receiver operating characteristic (ROC) methodology applied to radiological problems. This thesis is intended for those interested in applying decision analytical techniques in diagnostic radiology, and in medicine in

  20. How to Read Your Radiology Report (United States)

    ... Index A-Z How to Read Your Radiology Report Imaging studies such as magnetic resonance imaging (MRI), ... report. top of page Sections of the Radiology Report Type of exam The type of exam section ...

  1. Radiology in the management of pleural disease

    Energy Technology Data Exchange (ETDEWEB)

    Patel, M.C.; Flower, C.D.R. [Department of Radiology, Addenbrookes Hospital, Hills Road, Cambridge CB 2 2QQ (United Kingdom)


    This is a review of the role of radiological intervention in the pleural space. It discusses the radiological management of effusions, empyemas (including the use of fibrinolytic agents), pneumothoraces and pleural thickening. (orig.) With 10 figs., 101 refs.

  2. West African Journal of Radiology

    African Journals Online (AJOL)

    The West African Journal of Radiology is an annual publication and the official organ of the Association of Radiologists of West Africa. ... clinical case reports, discoveries and engineering design/fabrication reports related to any branch of imaging modalities, Radiotherapy and allied subjects. ... Table of Contents. Articles ...

  3. Radiological evaluation of retrocaval ureter

    Energy Technology Data Exchange (ETDEWEB)

    Imai, Yutaka; Sone, Shusuke; Watanabe, Toshikazu; Okazaki, Yoichi; Yamashita, Kunihiko; Yamaguchi, Kenji; Oguchi, Masahiko; Wako, Tadashi.


    Radiological findings of three cases with retrocaval ureter are reviewed. CT images provide a precise anatomical interrelations between the right ureter and the vena cava or psoas muscle. CT scans performed following intravenous pyelography add a confirmative information to make a diagnosis of retrocaval ureter.

  4. Suspected clinical-radiological discord

    African Journals Online (AJOL)

    Abstract. 17-year male student presented with vague constitutional symptoms and jaundice. His clinical chest findings initially suggested a discord with radiological findings. It turned out that the patient had a rare congenital disorder in addition to a seemingly common condition that brought him to the hospital. The purpose ...

  5. 10 CFR 835.501 - Radiological areas. (United States)


    ... 10 Energy 4 2010-01-01 2010-01-01 false Radiological areas. 835.501 Section 835.501 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Entry Control Program § 835.501 Radiological areas. (a) Personnel entry control shall be maintained for each radiological area. (b) The degree of control shall be...

  6. The nuclear and radiological regulation in Mexico; La regulacion nuclear y radiologica en Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Carreno P, A. L.; Cuecuecha J, M. E., E-mail: [Comision Nacional de Seguridad Nuclear y Salvaguardias, Dr. Barragan No. 779, Col. Narvarte, 03020 Mexico D. F. (Mexico)


    The regulation in nuclear and radiological safety matter in Mexico is in constant development, attended the workers necessities, the society and the environment. The present work exposes and gives to know the process to emit a Mexican Official Standard of the Nucl series, also enunciates the dependences and institutions that participate in the process, the main identified challenges for its elaboration, emission and revision, and finally are mentioned the topics that in the present are in this process. (Author)

  7. Pediatric radiology for medical-technical radiology assistants/radiologists; Paediatrische Radiologie fuer MTRA/RT

    Energy Technology Data Exchange (ETDEWEB)

    Oppelt, Birgit


    The book on pediatric radiology includes the following chapter: differences between adults and children; psycho-social aspects concerning the patient child in radiology; relevant radiation doses in radiology; help for self-help: simple phantoms for image quality estimation in pediatric radiology; general information; immobilization of the patient; pediatric features for radiological settings; traumatology; contrast agents; biomedical radiography; computerized tomography; NMR imaging; diagnostic ultrasonography; handling of stress practical recommendations; medical displays.

  8. Radiology and social media: are private practice radiology groups more social than academic radiology departments? (United States)

    Glover, McKinley; Choy, Garry; Boland, Giles W; Saini, Sanjay; Prabhakar, Anand M


    This study assesses the prevalence of use of the most commonly used social media sites among private radiology groups (PRGs) and academic radiology departments (ARDs). The 50 largest PRGs and the 50 ARDs with the highest level of funding from the National Institutes of Health were assessed for presence of a radiology-specific social media account on Facebook, Twitter, Instagram, Pinterest, YouTube, and LinkedIn. Measures of organizational activity and end-user activity were collected, including the number of posts and followers, as appropriate; between-group comparisons were performed. PRGs adopted Facebook 12 months earlier (P = .02) and Twitter 18 months earlier (P = .02) than did ARDs. A total of 76% of PRGs maintained ≥1 account on the social media sites included in the study, compared with 28% of ARDs (P Instagram, 2%. The prevalence of radiology-specific social media accounts for ARDs was: Facebook, 18%; LinkedIn, 0%; Twitter, 24%; YouTube, 6%; Pinterest, 0%; and Instagram, 0%. There was no significant difference between ARDs and PRGs in measures of end-user or organizational activity on Facebook or Twitter. Use of social media in health care is emerging as mainstream, with PRGs being early adopters of Facebook and Twitter in comparison with ARDs. Competitive environments and institutional policies may be strong factors that influence how social media is used by radiologists at the group and department levels. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  9. Book Review: Radiology in Global Health

    Directory of Open Access Journals (Sweden)

    Yogesh Jha


    Full Text Available This book review examines Mollura and Lungren’s (eds. Radiology in Global Health: Strategies, Implementation, and Applications (2014. The contributors have attempted to investigate root causes for radiological service-related disparity that exists between prosperous economies and low- and middle-income countries. The book is clearly geared towards manufacturing consent among stakeholders through research-based evidence to amplify the role of radiology in global healthcare through initiation, implementation, amelioration, and developing sustainable solutions for rollout of essential diagnostic/therapeutic radiology services at population levels. This includes reducing access gaps for radiology/imaging services within industrialized countries as well.

  10. Publishing and Revising Content (United States)

    Editors and Webmasters can publish content without going through a workflow. Publishing times and dates can be set, and multiple pages can be published in bulk. Making an edit to published content created a revision.

  11. Scar revision - slideshow (United States)

    ... this page: // Scar revision - series—Normal anatomy To use the sharing ... entire body, and acts as a protective barrier. Scar tissue forms as skin heals after an injury ( ...

  12. Revised Total Coliform Rule (United States)

    The Revised Total Coliform Rule (RTCR) aims to increase public health protection through the reduction of potential pathways for fecal contamination in the distribution system of a public water system (PWS).

  13. Katz's revisability paradox dissolved

    NARCIS (Netherlands)

    Tamminga, Allard; Verhaegh, Sander


    Quine's holistic empiricist account of scientific inquiry can be characterized by three constitutive principles: noncontradiction, universal revisability and pragmatic ordering. We show that these constitutive principles cannot be regarded as statements within a holistic empiricist's scientific

  14. Letter of Map Revision (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  15. Radiology education: a glimpse into the future

    Energy Technology Data Exchange (ETDEWEB)

    Scarsbrook, A.F. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)]. E-mail:; Graham, R.N.J. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom); Perriss, R.W. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)


    The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training.

  16. Computational radiology for orthopaedic interventions

    CERN Document Server

    Li, Shuo


    This book provides a cohesive overview of the current technological advances in computational radiology, and their applications in orthopaedic interventions. Contributed by the leading researchers in the field, this volume covers not only basic computational radiology techniques such as statistical shape modeling, CT/MRI segmentation, augmented reality and micro-CT image processing, but also the applications of these techniques to various orthopaedic interventional tasks. Details about following important state-of-the-art development are featured: 3D preoperative planning and patient-specific instrumentation for surgical treatment of long-bone deformities, computer assisted diagnosis and planning of periacetabular osteotomy and femoroacetabular impingement, 2D-3D reconstruction-based planning of total hip arthroplasty, image fusion for  computer-assisted bone tumor surgery, intra-operative three-dimensional imaging in fracture treatment, augmented reality based orthopaedic interventions and education, medica...

  17. [Radiation protection in interventional radiology]. (United States)

    Adamus, R; Loose, R; Wucherer, M; Uder, M; Galster, M


    The application of ionizing radiation in medicine seems to be a safe procedure for patients as well as for occupational exposition to personnel. The developments in interventional radiology with fluoroscopy and dose-intensive interventions require intensified radiation protection. It is recommended that all available tools should be used for this purpose. Besides the options for instruments, x‑ray protection at the intervention table must be intensively practiced with lead aprons and mounted lead glass. A special focus on eye protection to prevent cataracts is also recommended. The development of cataracts might no longer be deterministic, as confirmed by new data; therefore, the International Commission on Radiological Protection (ICRP) has lowered the threshold dose value for eyes from 150 mSv/year to 20 mSv/year. Measurements show that the new values can be achieved by applying all X‑ray protection measures plus lead-containing eyeglasses.

  18. Radiologic findings of neonatal sepsis

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sam Soo; Han, Dae Hee; Choi, Guk Myeong; Jung, Hye Won [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of); Yoon, Hye Kyung; Han, Bokyung Kim; Lee, Nam Yong [Sansung Medical Center, Seoul (Korea, Republic of)


    To review the simple radiographic and sonographic findings in infants with neonatal sepsis. We retrospectively analyzed simple chest and abdominal radiographs, and brain sonograms in 36 newborn infants (preterm : term=23 :13). With neonatal sepsis diagnosed by blood culture and clinical manifestations. Pulmonary parenchymal infiltrate excluding respiratory distress syndrome and pulmonary edema or atelectasis was found in 22 infants (61%). Paralytic ileus, hepatosplenomegaly, and necrotizing enterocolitis were present in 18(50%), 9(25%), and 1(3%) infants, respectively, while skeletal changes suggesting osteomyelitis were found in three. Brain sonography was performed in 29 infants and in four, abnormalities were seen ; these comprised three germinal matrix hemorrhages and one intraparenchymal hemorrhage. In six patients(17%) radiologic examinations revealed no abnormality. In patients with neonatal sepsis, pulmonary infiltrates and paralytic ileus were common abnormalities. Although these were nonspecific, radiologic findings may be used to supplement clinical and laboratory findings in diagnosing neonatal sepsis and planning its treatment.

  19. Thalamic Lesions: A Radiological Review

    Directory of Open Access Journals (Sweden)

    Dimitri Renard


    Full Text Available Background. Thalamic lesions are seen in a multitude of disorders including vascular diseases, metabolic disorders, inflammatory diseases, trauma, tumours, and infections. In some diseases, thalamic involvement is typical and sometimes isolated, while in other diseases thalamic lesions are observed only occasionally (often in the presence of other typical extrathalamic lesions. Summary. In this review, we will mainly discuss the MRI characteristics of thalamic lesions. Identification of the origin of the thalamic lesion depends on the exact localisation inside the thalamus, the presence of extrathalamic lesions, the signal changes on different MRI sequences, the evolution of the radiological abnormalities over time, the history and clinical state of the patient, and other radiological and nonradiological examinations.

  20. Radiology applications of financial accounting. (United States)

    Leibenhaut, Mark H


    A basic knowledge of financial accounting can help radiologists analyze business opportunities and examine the potential impacts of new technology or predict the adverse consequences of new competitors entering their service area. The income statement, balance sheet, and cash flow statement are the three basic financial statements that document the current financial position of the radiology practice and allow managers to monitor the ongoing financial operations of the enterprise. Pro forma, or hypothetical, financial statements can be generated to predict the financial impact of specific business decisions or investments on the profitability of the practice. Sensitivity analysis, or what-if scenarios, can be performed to determine the potential impact of changing key revenue, investment, operating cost or financial assumptions. By viewing radiology as both a profession and a business, radiologists can optimize their use of scarce economic resources and maximize the return on their financial investments.

  1. A review of pediatric radiology. (United States)

    Sabbadini, Gary D


    In most dental schools, the focus is on teaching students how to treat adults, with little emphasis placed on treating children. The goal of this article is to review some basic concepts in pediatric radiology to help general practitioners have a better understanding of when to take radiographs on children, which radiographs should be taken, what to look for when examining the radiographs and possible ways to treat the problems diagnosed from the radiographs.

  2. Radiation Protection Research: Radiological Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Zeevaert, T


    The objectives of SCK-CEN's research in the field of radiological impact assessment are (1) to elaborate and to improve methods and guidelines for the evaluation of restoration options for contaminated sites; (2) to develop, test and improve biosphere models for the performance assessment of radioactive waste disposal in near-surface or geological repositories; (3) to asses the impact of releases from nuclear or industrial installations. Main achievements in these areas for 2000 are summarised.

  3. Subcutaneous granuloma annulare: radiologic appearance

    Energy Technology Data Exchange (ETDEWEB)

    Kransdorf, M.J. [Saint Mary`s Hospital, Richmond, VA (United States). Dept. of Radiol.]|[Department of Radiologic Pathology, Armed Forces Institute of Pathology, Washington, DC (United States); Murphey, M.D. [Department of Radiologic Pathology, Armed Forces Institute of Pathology, Washington, DC (United States)]|[Department of Radiology and Nuclear Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland (United States)]|[Department of Radiology, School of Medicine, University of Maryland, Baltimore, Maryland (United States); Temple, H.T. [Department of Orthopedic Surgery, University of Virginia Health Sciences Center, Charlottesville, Virginia (United States)]|[Department of Orthopedic Pathology, Armed Forces Institute of Pathology, Washington, DC (United States)


    Objective. Granuloma annulare is an uncommon benign inflammatory dermatosis characterized by the formation of dermal papules with a tendency to form rings. There are several clinically distinct forms. The subcutaneous form is the most frequently encountered by radiologists, with the lesion presenting as a superficial mass. There are only a few scattered reports of the imaging appearance of this entity in the literature. We report the radiologic appearance of five cases of subcutaneous granuloma annulare. Design and patients. The radiologic images of five patients (three male, two female) with subcutaneous granuloma annulare were retrospectively studied. Mean patient age was 6.4 years (range, 2-13 years). The lesions occurred in the lower leg (two), foot, forearm, and hand. MR images were available for all lesions, gadolinium-enhanced imaging in three cases, radiographs in four, and bone scintigraphy in one. Results. Radiographs showed unmineralized nodular masses localized to the subcutaneous adipose tissue. The size range, in greatest dimension on imaging studies, was 1-4 cm. MR images show a mass with relatively decreased signal intensity on all pulse sequences, with variable but generally relatively well defined margins. There was extensive diffuse enhancement following gadolinium administration. Conclusion. The radiologic appearance of subcutaneous granuloma annulare is characteristic, typically demonstrating a nodular soft-tissue mass involving the subcutaneous adipose tissue. MR images show a mass with relatively decreased signal intensity on all pulse sequences and variable but generally well defined margins. There is extensive diffuse enhancement following gadolinium administration. Radiographs show a soft-tissue mass or soft-tissue swelling without evidence of bone involvement or mineralization. This radiologic appearance in a young individual is highly suggestive of subcutaneous granuloma annulare. (orig.) With 3 figs., 17 refs.

  4. Radiological evaluation of familial osteopetrosis

    Energy Technology Data Exchange (ETDEWEB)

    Moon, Moo Chang; Kang, Shin Wha; Won, Jong Jin; Rhee, Song Joo; Choi, Ki Chul [School of Medicine, Jeonbug National University, Jeonju (Korea, Republic of)


    Authors found 16 patients with benign osteopetrosis out of 62 members of 4 families and analysed these patients clinically, radiologically, hematologically and biochemically at the Department of Radiology, Jeonbug National University Hospital from October 1977 to June 1980. The results are as follows; 1. We obtained that there is evidence of familial tendency in developing osteopetrosis because of the fact that 15 patients (94%) developed in 3 families and more than 2 patients in each family. In genetical point of view we suspected dominant trait of inheritance and could rule out recessive trait because patients were found in successive generations except for one family. There were no consangulneous marriages among the parents of these patients. 2. The majority of patients were adolescent or adult above 10 years of age when the disease was diagnosed. The incidence was identical in both sex. 3. No clinical symptoms and historical abnormalities were found in 11 patients (69%) and 5 patients (31%) showed only mild symptoms. Among 5 patients with clinical symptoms 3 patients showed pathologic fractures. In all 3 patients, fractures occurred only by mild trauma and affected sites were tubular bones and they were transverse type. 4. There were no specific relationship between ABO types and Rh reactions in developing osteopetrosis and no specific findings in hematological, biochemical and routine urinalysis. 5. The only diagnostic finding in most patients were the typical and specific radiological findings.

  5. Design requirements for radiology workstations. (United States)

    Moise, Adrian; Atkins, M Stella


    This article stresses the importance of capturing feedback from representative users in the early stages of product development. We present our solution to producing quality requirement specifications for radiology workstations, specifications that remain valid over time because we successfully anticipated the industry trends and the user's needs. We present the results from a user study performed in December 1999 in a radiology clinic equipped with state-of-the-art Picture Archiving and Communications Systems (PACS) and imaging scanners. The study involved eight radiologists who answered questions and provided comments on three complementary research topics. First, we asked our subjects to enumerate the advantages and the disadvantages for both softcopy and hardcopy reading. We identified the two major factors for productivity improvement through the use of PACS workstations: workflow re-engineering and process automation. Second, we collected radiologist feedback on the use of hanging protocols (HPs). The results indicated the high importance of automatic image organization through HPs, with the potential effect of reducing the interpretation time by 10-20%. Our subjects estimated that 10-15 HPs would cover about 85%-95% of the regular radiological examinations. Third, we investigated the impact of the display devices on the radiologist's workflow. Our results indicated that the number and the properties of the monitors is a modality-specific requirement. The main results from this study on key functional requirements for softcopy interpretation only recently were incorporated in most of the current, successful PACS workstations.

  6. Understanding Mechanisms of Radiological Contamination

    Energy Technology Data Exchange (ETDEWEB)

    Rick Demmer; John Drake; Ryan James, PhD


    Over the last 50 years, the study of radiological contamination and decontamination has expanded significantly. This paper addresses the mechanisms of radiological contamination that have been reported and then discusses which methods have recently been used during performance testing of several different decontamination technologies. About twenty years ago the Idaho Nuclear Technology Engineering Center (INTEC) at the INL began a search for decontamination processes which could minimize secondary waste. In order to test the effectiveness of these decontamination technologies, a new simulated contamination, termed SIMCON, was developed. SIMCON was designed to replicate the types of contamination found on stainless steel, spent fuel processing equipment. Ten years later, the INL began research into methods for simulating urban contamination resulting from a radiological dispersal device (RDD). This work was sponsored by the Defense Advanced Research Projects Agency (DARPA) and included the initial development an aqueous application of contaminant to substrate. Since 2007, research sponsored by the US Environmental Protection Agency (EPA) has advanced that effort and led to the development of a contamination method that simulates particulate fallout from an Improvised Nuclear Device (IND). The IND method diverges from previous efforts to create tenacious contamination by simulating a reproducible “loose” contamination. Examining these different types of contamination (and subsequent decontamination processes), which have included several different radionuclides and substrates, sheds light on contamination processes that occur throughout the nuclear industry and in the urban environment.

  7. Radiological Evaluation of Bowel Ischemia (United States)

    Dhatt, Harpreet S.; Behr, Spencer C; Miracle, Aaron; Wang, Zhen Jane; Yeh, Benjamin M.


    Intestinal ischemia, which refers to insufficient blood flow to the bowel, is a potentially catastrophic entity that may require emergent intervention or surgery in the acute setting. Although the clinical signs and symptoms of intestinal ischemia are nonspecific, CT findings can be highly suggestive in the correct clinical setting. In this chapter we review the CT diagnosis of arterial, venous, and non-occlusive intestinal ischemia. We discuss the vascular anatomy, pathophysiology of intestinal ischemia, CT techniques for optimal imaging, key and ancillary radiological findings, and differential diagnosis. In the setting of an acute abdomen, rapid evaluation is necessary to identify intraabdominal processes that require emergent surgical intervention (1). While a wide-range of intraabdominal diseases may be present from trauma to inflammation, one of the most feared disorders is mesenteric ischemia, also known as intestinal ischemia, which refers to insufficient blood flow to the bowel (2). Initial imaging evaluation for intestinal ischemia is typically obtained with CT. Close attention to technique and search for key radiologic features with relation to the CT technique is required. Accurate diagnosis depends on understanding the vascular anatomy, epidemiology, and pathophysiology of various forms of mesenteric ischemia and their corresponding radiological findings on MDCT. At imaging, not only is inspection of the bowel itself important, but evaluation of the mesenteric fat, vasculature, and surrounding peritoneal cavity also helps improves accuracy in the diagnosis of bowel ischemia. PMID:26526436

  8. Quality management systems in radiology

    Directory of Open Access Journals (Sweden)

    Geoffrey K. Korir


    Full Text Available Background: The use of X-ray imaging is ever increasing in proportion to the need for radiological services and technological capabilities. Quality management that includes patient radiation dose monitoring is fundamental to safety and quality improvement of radiological services.Objective: To assess the level of quality management systems in X-ray medical facilities in Kenya.Methods: Quality management inspection, quality control performance tests and patient radiation exposure were assessed in 54 representative X-ray medical facilities. Additionally, a survey of X-ray examination frequency was conducted in 140 hospitals across the country.Results: The overall findings placed the country’s X-ray imaging quality management systems at 61±3% out of a possible 100%. The most and the least quality assurance performance indicators were general radiography X-ray equipment quality control tests at 88±4%, and the interventional cardiology adult examinations below diagnostic reference level at 25±1%, respectively.Conclusions: The study used a systematic evidence-based approach for the assessment of national quality management systems in radiological practice in clinical application, technical conduct of the procedure, image quality criteria, and patient characteristics as part of the quality management programme.

  9. Radiological safety and risk assessment

    Energy Technology Data Exchange (ETDEWEB)

    Hunter, P.H.; Barg, D.C.; Baird, R.D.; Card, D.H.; de Souza, F.; Elder, J.; Felthauser, K.; Jensen, C.; Winkler, V.


    A brief radiological safety and risk assessment of a nuclear power generation center with an adjacent on-site waste disposal facility at a specific site in the State of Utah is presented. The assessment was conducted to assist in determining the feasibility and practicality of developing a nuclear energy center (NEC) in Utah consisting of nine 1250 MWe nuclear pressurized water reactor (PWR) electrical generating units arranged in 3 clusters of 3 units each known as triads. The site selected for this conceptual study is in the Horse Bench area about 15 miles directly south of the town of Green River, Utah. The radiological issues included direct radiation exposures to on-site workers and the off-site population, release of radioactive material, and effects of these releases for both normal operations and accidental occurrences. The basic finding of this study is that the concept of an NEC in the Green River area, specifically at the Horse Bench site, is radiologically feasible.

  10. Seguimiento radiológico en paciente con fibroma condromixoide del seno frontal: Diagnóstico diferencial, alternativas terapéuticas y revisión de la literatura Radiological follow-up of a patient with chondromyxoid fibroma of the frontal sinus: Differential diagnosis, therapeutic alternatives and a revision of the literature

    Directory of Open Access Journals (Sweden)

    I. Zubillaga Rodriguez


    Full Text Available Introducción. El fibroma condromixoide es un tumor benigno de crecimiento lento y poco frecuente. Su incidencia en la región craneofacial es rara, especialmente en el seno frontal. Objetivos. Presentamos el seguimiento a largo plazo de un paciente intervenido en relación a un fibroma condromixoide del seno frontal. Se discuten los distintos diagnósticos diferenciales y las alternativas terapéuticas. Discusión. Desde el punto de vista de anatomía patológica es necesario hacer el diagnóstico diferencial con condrosarcoma, mixosarcoma, mixoma y cordoma. Desde el punto de vista radiológico, el diagnóstico de fibroma condromixoide ha de ser considerado en toda lesión ósea aislada con expansión u osteolisis, márgenes lobulados y septos intralesionales. El tratamiento del fibroma condromixoide incluye principalmente curetaje o resección en bloque, mientras que la radioterapia aislada no se considera de primera elección. Conclusiones. La naturaleza benigna del fibroma condromixoide implica la importancia de evitar tratamientos radicales. El abordaje subcraneal se presenta como una alternativa válida para el tratamiento de lesiones localizadas en el seno frontal. Es fundamental un seguimiento clínico-radiológico adecuado para identificar precozmente posibles recidivas.Introduction. Chondromyxoid fibroma is a slow growing and rare benign bone tumor. Its location in the craniofacial skeleton is not common, especially in the frontal sinus. Objectives. We present a long-term follow-up of a patient with a frontal chondromyxoid fibroma who was operated four years ago. We discuss the various differential diagnoses and possible treatments. Discussion. The differential diagnosis includes chondrosarcoma, myxosarcoma, myxoma and chordoma. From the radiological point of view, chondromyxoid fibroma must be always considered as a diagnostic possibility when a solitary bone lesion appears with expansion or cortical osteolysis, lobulated margins and

  11. Study of criteria for foodstuffs control following a radiological emergency

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Min; Park, Sang Hyun; Jeong, Seung Young; Kim, Dong Il [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)


    The foodstuff control standards on APPRE should be applied to emergency situation only, while the Korean Food Stands Codex standards of the Korea Food and Drug Administration (KFDA) should be applied in normal situation. To reflect the lessons learned form the Fukushima accident, the standards of foodstuff control has been studied by surveying newly recommended systems of radiological protection based on reference level commensurated with exposure situations and international trends. Existing standards for restriction on ingestion of foodstuff is based on simple cost-benefit approach and it is confirmed that the projected doses is contributed excessively on the specific food categories. In future, the standards will be revised considering domestic diet feature, nuclide analysis procedure, international standard and the latest recommendation of radiation protection. Also, modification of provisions and standards for foodstuff control of related departments are needed for well integrated national EPR framework.

  12. Integrating IT into the radiology environment. (United States)

    McDonald, Andrea


    Rather than perpetuating the struggle, "who controls the PACS, Radiology or Information Technology (IT)," Community Hospital of the Monterey Peninsula (CHOMP) took the approach of incorporating IT support within the Radiology Department. CHOMP faced the challenge of staffing Radiology computer systems and networks by using a two-pronged approach; promoting and training clinical staff in IT functions and transferring an experienced IT person into the Radiology Department. Roles and responsibilities are divided. CHOMP's IT Department supports the Radiology Department's desktop devices, PCs, printers, and standard peripherals; while the department's DICOM print and archive network, specialized hardware (e.g., Merge DICOM interface computers), and applications are supported by the Radiology Department. The IT Department provides operating system support for multi-user VMS, Unix, and NT-based systems, e.g. Sun Solaris for the DICOM archive, and Windows NT for Mitra PACS Broker, the HL7/DICOM interface engine. IT also supports network communications, i.e., network electronics (routers, switches, etc.), TCP/IP communications, and network traffic analysis; and OS operations support for major Radiology systems, e.g. back-ups and off-site tape storage. Radiology staff provides applications support and troubleshooting, including analyst functions for RIS; and are the first point of contact with the Radiology systems vendors, e.g., GE Medical, or Siemens. The Radiology Department's senior IT person, the Clinical Technology Coordinator, transferred from CHOMP's IT Department after 7 years in that department. She performs analysis and design associated with Radiology's computer systems, coordinates development of the department's strategic plan, evaluates vendor proposals, and assists the department with product and application selection. Her IT experience and growing knowledge of Radiology's clinical tasks enhances communications between the Radiology and IT departments. Formal

  13. [European curriculum for further education in radiology]. (United States)

    Ertl-Wagner, B


    The European training curriculum for radiology of the European Society of Radiology (ESR) aims to harmonize training in radiology in Europe. Levels I and II constitute the centerpiece of the curriculum. The ESR recommends a 5-year training period in radiology with 3 years of level I and 2 years of level II training. The undergraduate (U) level curriculum is conceived as a basis for teaching radiology in medical schools and consists of a modality-oriented U1 level and an organ-based U2 level. Level III curricula provide contents for subspecialty and fellowship training after board certification in radiology. The curricular contents of all parts of the European Training Curriculum are divided into the sections knowledge, skills as well as competences and attitudes. The European training curriculum is meant to be a recommendation and a basis for the development of national curricula, but is not meant to replace existing national regulations.

  14. A design protocol to develop radiology dashboards. (United States)

    Karami, Mahtab


    The main objective of this descriptive and development research was to introduce a design protocol to develop radiology dashboards. The first step was to determine key performance indicators for radiology department. The second step was to determine required infrastructure for implementation of radiology dashboards. Infrastructure was extracted from both data and technology perspectives. The third step was to determine main features of the radiology dashboards. The fourth step was to determine the key criteria for evaluating the dashboards. In all these steps, non-probability sampling methods including convenience and purposive were employed and sample size determined based on a persuasion model. Results showed that there are 92 KPIs, 10 main features for designing dashboards and 53 key criteria for dashboards evaluation. As well as, a Prototype of radiology management dashboards in four aspects including services, clients, personnel and cost-income were implemented and evaluated. Applying such dashboards could help managers to enhance performance, productivity and quality of services in radiology department.

  15. PACS support: the radiology approach. (United States)

    Hasley, Tom


    In 1999, Rex Healthcare, a 394-bed facility located in Raleigh, N.C., faced a growing problem. The radiology department was performing a total of 130,000 procedures a year, running out of space to store the film, and having trouble managing the file room. While the IT department was focused on the Y2K scare, radiology forged ahead with a plan to implement PACS on its own at Rex Hospital. Rex had installed a mini-PACS system for ultrasound in 1996, but there was no internal support for the system's hardware or software. Being the first in the area to implement PACS, Rex wasn't able to recruit anyone locally to support the system, so they decided to take two areas that PACS had a great impact on and use their own people. The director of radiology asked the RIS analyst and the Film Library manager, both of whom were registered technologists, to implement and support the PAC system. The key to PACS support is not computer knowledge, although it helps. The key is to understand the radiology department as a whole and the workflow from within, which makes it hard to fully support from an IT perspective. The current PACS team at Rex is composed of a PACS analyst, system support specialist and an electronic imaging center manager. When we went live with PACS, it was obvious that not all of the existing file room personnel would make the technology leap, which they realized themselves. We didn't push anybody out, but we did raise the bar of expectations. By redefining job descriptions and having the EITs (electronic imaging technologists) become more involved, increased respect was quite evident among the hospital staff. The clerks that once only hung and filed films are now troubleshooting CD burners, teaching physicians the PACS, and filming necessary exams. The final key to success is to take ownership of your system. By taking ownership, I mean that a PACS team should be established to do troubleshooting and first-line support, know the servers and application, and feel


    African Journals Online (AJOL)

    This is a report of 2 males aged 48 years and 50 years respectively presenting with persistent cough. Computed tomography showed posterior and anterior mediastinai masses respectively. Needle aspiration and cytology confirmed teratorna, with sarcomatous change in the first patient. Due to advanced disease only ...

  17. Benign breast diseases. Radiology, pathology, risk assessment. 2. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Chinyama, Catherine N. [Princess Elizabeth Hospital, Le Vauquiedor, St. Martin' s Guernsey, Channel Islands (United Kingdom); Brighton and Sussex Medical School, Brighton (United Kingdom)


    Radiological and pathological correlation of the full range of benign breast lesions, with emphasis on screen-detected lesions. Detailed discussion of risk assessment. Revised and updated edition, with a new chapter on gynaecomastia. Ideal aid to the management of patients with benign or indeterminate breast lesions in a multidisciplinary setting. The second edition of this book has been extensively revised and updated. There have been numerous scientific advances in the radiology, pathology and risk assessment of benign breast lesions since the publication of the first edition. The first edition concentrated on screen-detected lesions, which has since been rectified; new symptomatic and screen-detected lesions are discussed in the second edition and include: mastitis and breast abscesses, idiopathic granulomatous mastitis, diabetic mastopathy, phyllodes tumours, gynaecomastia and pseudoangiomatous stromal hyperplasia. The chapters on columnar cell lesions and mucocele-like lesions have been extensively updated. Where applicable, genetic analysis of the benign lesions, which is becoming part of personalised medicine in the field of breast cancer, has been included. The book also presents detailed analyses of the main models, such as the Gail Model, used to assess the subsequent risk of breast cancer in individuals. The current trend in the management of all cancers is preventative. Screening mammography detects early curable cancers as well as indeterminate lesions, the latter of which are invariably pathologically benign. The author has collated important benign lesions and, based on peer-reviewed publications, has documented the relative risk of subsequent cancer to allow the patient and the clinician to implement preventative measures where possible. This book will therefore serve as an essential component of multidisciplinary management of patients with symptomatic and screen-detected benign breast lesions.

  18. Industry and radiology in Singapore. (United States)

    Tan, L K


    Singapore is an ideal educational and commercial hub because of its its central location within Asia, its excellent communication and transportation network, and its ability to remain in the forefront of technology where medical equipment and radiology are concerned. Technologists well trained and fluent in more than one language with an excellent command of English ensures that they benefit from their training stints overseas. From the manufacturer's vantage point, the training center at NUH remains a highly developed center of excellence in Asia, functioning as a shop window for potential clients. Catering to both technologists and radiologists, the center represents the manufacturer's contribution to growth and continued up-grading of the standards in Southeast Asia. We hope that this experiment, the only concrete attempt by any manufacturer in contributing to the radiologic community in Singapore and Southeast Asia, will continue to grow and to develop and become a channel for industry to continue such contributions. One important question that must be addressed is whether all equipment must be purchased from this one manufacturer. There is no such arrangement, and whatever equipment is needed is purchased from any source, depending on budgetary constraints and other restrictions. We believe that training and contributing to the growth, understanding, and application of all modalities in radiology should be worldwide, but organized regionally. In planning training programs, companies must look beyond their countries of origin and rely more heavily on input from their local, regional, and national offices. We hope that the program we have established will serve as a model that can be used elsewhere.

  19. Importance of mentoring in Australian radiology training. (United States)

    Rhodes, Alexander


    Mentoring is widely accepted as a fundamental component of a number of professions; however, mentoring is underutilized, and its practice is poorly instituted in most Australian radiology training programmes. This article highlights the benefits of mentoring within the radiology training context. Potential barriers to successful mentoring are elucidated, and future pathways for improved implementation and application of mentor programmes with radiology training programmes are presented. © 2013 The Royal Australian and New Zealand College of Radiologists.

  20. Consequences of outsourcing referrals for radiological examinations


    Tavakol Olofsson, Parvin


    Background: Demands for ever more effective healthcare and care accessibility for all patients continue to increase the workload in diagnostic radiology departments. Along with rapid developments in imaging technology which affect its day-to-day clinical use, these are three important factors for which outsourcing might be a potential solution. Outsourcing radiological examinations increases the need for cooperation between different healthcare units. Outsourcing a radiologi...

  1. Ebola virus disease: radiology preparedness. (United States)

    Bluemke, David A; Meltzer, Carolyn C


    At present, there is a major emphasis on Ebola virus disease (EVD) preparedness training at medical facilities throughout the United States. Failure to have proper EVD procedures in place was cited as a major reason for infection of medical personnel in the United States. Medical imaging does not provide diagnosis of EVD, but patient assessment in the emergency department and treatment isolation care unit is likely to require imaging services. The purpose of this article is to present an overview of relevant aspects of EVD disease and preparedness relevant to the radiologic community. © RSNA, 2014.

  2. Nuclear and radiological Security: Introduction.

    Energy Technology Data Exchange (ETDEWEB)

    Miller, James Christopher [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    Nuclear security includes the prevention and detection of, and response to, theft, sabotage, unauthorized access, illegal transfer, or other malicious acts involving nuclear or other radioactive substances or their associated facilities. The presentation begins by discussing the concept and its importance, then moves on to consider threats--insider threat, sabotage, diversion of materials--with considerable emphasis on the former. The intrusion at Pelindaba, South Africa, is described as a case study. The distinction between nuclear security and security of radiological and portable sources is clarified, and the international legal framework is touched upon. The paper concludes by discussing the responsibilities of the various entities involved in nuclear security.

  3. Radiological hazards of narghile smoking

    Energy Technology Data Exchange (ETDEWEB)

    Khater, A.E.M.; Abd El-Aziz, N.S.; Al-Sewaidan, H.A.; Chaouachi, K.


    Narghile smoking pastes, known as jurak and moassel, are not standardized manufacture. This study aims at drawing the first conclusions on the potential hazards of radioactivity in relation to moassel-narghile smoking. The results indicate the existence of a wide range of variations in the natural radioactivity. The distribution pattern of these natural radio-nuclides, during smoking, between smoke, ash and water filter is unknown, except for 210Po. Radiological dose assessment due to intake of 210Po was calculated and the possible radio-toxicity of the measured radio-nuclides is discussed. Further research in this direction is needed. (author)(tk)

  4. Computational radiology in skeletal radiography

    Energy Technology Data Exchange (ETDEWEB)

    Peloschek, Ph.; Nemec, S. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Widhalm, P. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Pattern Recognition and Image Processing Group, Department of Computer Aided Automation, Vienna University of Technology, Wiedner Hauptstrasse 8-10/020, A-1040 Vienna (Austria); Donner, R. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Pattern Recognition and Image Processing Group, Department of Computer Aided Automation, Vienna University of Technology, Wiedner Hauptstrasse 8-10/020, A-1040 Vienna (Austria); Institute for Computer Graphics and Vision, Graz University of Technology, Inffeldgasse 16, A-8010 Graz (Austria); Birngruber, E. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Thodberg, H.H. [Visiana Aps, Sollerodvej 57C, DK-2840 Holte (Denmark); Kainberger, F. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Langs, G. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria)], E-mail:


    Recent years have brought rapid developments in computational image analysis in musculo-skeletal radiology. Meanwhile the algorithms have reached a maturity that makes initial clinical use feasible. Applications range from joint space measurement to erosion quantification, and from fracture detection to the assessment of alignment angles. Current results of computational image analysis in radiography are very promising, but some fundamental issues remain to be clarified, among which the definition of the optimal trade off between automatization and operator-dependency, the integration of these tools into clinical work flow and last not least the proof of incremental clinical benefit of these methods.

  5. Online social networking for radiology. (United States)

    Auffermann, William F; Chetlen, Alison L; Colucci, Andrew T; DeQuesada, Ivan M; Grajo, Joseph R; Heller, Matthew T; Nowitzki, Kristina M; Sherry, Steven J; Tillack, Allison A


    Online social networking services have changed the way we interact as a society and offer many opportunities to improve the way we practice radiology and medicine in general. This article begins with an introduction to social networking. Next, the latest advances in online social networking are reviewed, and areas where radiologists and clinicians may benefit from these new tools are discussed. This article concludes with several steps that the interested reader can take to become more involved in online social networking. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

  6. Potential risks in radiology departments

    Energy Technology Data Exchange (ETDEWEB)

    Hernanz-Schulman, Marta [Vanderbilt University Medical Center, Department of Radiology and Radiological Sciences, Monroe Carell Jr. Children' s Hospital at Vanderbilt, Nashville, TN (United States)


    Pediatric patients in the Emergency Department (ED) often need diagnostic imaging examinations. These range from radiographs to fluoroscopic procedures to CT and MRI. Each of these examinations requires transportation and hand-offs (transfer of patient to different health care workers), and each carries inherent risks of the procedure itself. The following material will examine a variety of common situations that involve interaction between patients from the ED and the radiology department and describe potential risks and methods through which these risks can be minimized. (orig.)

  7. Environmental radiology assessment in Lahad Datu, Sabah (United States)

    Siti Fharhana, Yusof; Wan Muhamad Saridan, Wan Hassan; Ahmad Termizi, Ramli; Mohd Hilmi, Sahini; Mohammad Syazwan, Mohd Sanusi; Nor Afifah, Basri; Nor Zati Hani, Abu Hanifah


    Monitoring terrestial gamma radiation is crucial to prepare a baseline data for environmental radiological protection. Radiological research was carried out in Lahad Datu, Sabah to obtain the radioactivity status and terrestrial gamma radiation level in the area. We measure the terrestrial gamma radiation dose rates and analyse the radioactivity concentration of primordial radionuclides for radiological risk assessment. We identified that the annual estimation of dose effective for public is below the public dose limit, 1 mSv per year. Public and environment safety and health are remain secure. The obtained data and results can be used as reference for environmental radiology protection.

  8. The role of radiology in Campylobacter enterocolitis

    Energy Technology Data Exchange (ETDEWEB)

    Demaerel, P.; Ponette, E.; Baert, A.L. (Leuven Univ. (Belgium). Dept. of Radiology); Lacquet, F.; Verbist, L. (Leuven Univ. (Belgium). Dept. of Microbiology); Rutgeerts, A.L. (Leuven Univ. (Belgium). Dept. of Internal Medicine)


    A series of 18 patients with diarrhoea and positive stool cultures for Campylobacter jejuni is presented. The most important radiological features were thickening of ileal mucosal folds, of interhaustral indentations and of the ileocaecal valve, lymphoid hyperplasia and microulcerations. Radiology, as well as endoscopy, are both non-specific in Campylobacter jejuni enterocolitis. The importance of radiology is to exclude more typical features of other causes of inflammatory bowel diseases. Moreover, before the result of the stool culture is available, the radiological features should suggest the suspicion of an acute infectious enterocolitis by Campylobacter jejuni as possible diagnosis. (orig.).

  9. The role of radiology in Campylobacter enterocolitis. (United States)

    Demaerel, P; Ponette, E; Lacquet, F; Verbist, L; Rutgeerts, P; Baert, A L


    A series of 18 patients with diarrhoea and positive stool cultures for Campylobacter jejuni is presented. The most important radiological features were thickening of ileal mucosal folds, of interhaustral indentations and of the ileocaecal valve, lymphoid hyperplasia and microulcerations. Radiology, as well as endoscopy, are both nonspecific in Campylobacter jejuni enterocolitis. The importance of radiology is to exclude more typical features of other causes of inflammatory bowel diseases. Moreover, before the result of the stool culture is available, the radiological features should suggest the suspicion of an acute infectious enterocolitis by Campylobacter jejuni as possible diagnosis.

  10. Environmental radiology assessment in Lahad Datu, Sabah

    Directory of Open Access Journals (Sweden)

    Siti Fharhana. Yusof


    Full Text Available Monitoring terrestial gamma radiation is crucial to prepare a baseline data for environmental radiological protection. Radiological research was carried out in Lahad Datu, Sabah to obtain the radioactivity status and terrestrial gamma radiation level in the area. We measure the terrestrial gamma radiation dose rates and analyse the radioactivity concentration of primordial radionuclides for radiological risk assessment. We identified that the annual estimation of dose effective for public is below the public dose limit, 1 mSv per year. Public and environment safety and health are remain secure. The obtained data and results can be used as reference for environmental radiology protection.

  11. [Osteosynthesis and cup revision in periprosthetic acetabulum fractures using a Kocher-Langenbeck approach]. (United States)

    Schwabe, P; Märdian, S; Perka, C; Schaser, K-D


    Reconstruction/stable fixation of the acetabular columns to create an adequate periacetabular requirement for the implantation of a revision cup. Displaced/nondisplaced fractures with involvement of the posterior column. Resulting instability of the cup in an adequate bone stock situation. Periprosthetic acetabulum fractures with inadequate bone stock. Extended periacetabular defects with loss of anchorage options. Isolated periprosthetic fractures of the anterior column. Septic loosening. Dorsal approach. Dislocation of hip. Mechanical testing of inlaying acetabular cup. With unstable cup situation explantation of the cup, fracture fixation of acetabulum with dorsal double plate osteosynthesis along the posterior column. Cup revision. Hip joint reposition. Early mobilization; partial weight bearing for 12 weeks. Thrombosis prophylaxis. Clinical and radiological follow-ups. Periprosthetic acetabular fracture in 17 patients with 9 fractures after primary total hip replacement (THR), 8 after revision THR. Fractures: 12 due to trauma, 5 spontaneously; 7 anterior column fractures, 5 transverse fractures, 4 posterior column fractures, 1 two column fracture after hemiendoprosthesis. 5 type 1 fractures and 12 type 2 fractures. Operatively treated cases (10/17) received 3 reinforcement ring, 2 pedestal cup, 1 standard revision cup, cup-1 cage construct, 1 ventral plate osteosynthesis, 1 dorsal plate osteosynthesis, and 1 dorsal plate osteosynthesis plus cup revision (10-month Harris Hip Score 78 points). Radiological follow-up for 10 patients: consolidation of fractures without dislocation and a fixed acetabular cup. No revision surgeries during follow-up; 2 hip dislocations, 1 transient sciatic nerve palsy.

  12. The radiologic findings of neurofibromatosis

    Energy Technology Data Exchange (ETDEWEB)

    Kim, So Sun; Park, Yeon Won; Kim, No Joon; Chun, Byung Hee; Joh, Young Duk [Kosin Medical College, Pusan (Korea, Republic of); Suh, Soo Jhi [Keimyung University Medical College, Taegu (Korea, Republic of)


    Neurofibromatosis, or von Recklinghausen's disease, is a hereditary, harmartomatous disorder that primarily involves neuro ectoderm and mesoderm. The estimated incidence is 1 in 2,500 to 3,000 births. The clinical features are skin manifestations such as cafe-au-lait spots, skeletal manifestations primarily involving vertebrae, central and peripheral nervous manifestations, and other associated abnormalities with increased risk of malignancy. The authors analysed the radiologic findings of 18 cases of patients with neurofibromatosis who visited Pusan Kosin Medical Center and Taegu Dongsan Medical Center during the last five years. All were proven by surgery, biopsy and other diagnostic criteria. The results obtained were as follows: 1. The male to female ratio was 11:7 and the age ranged from 11 months to 51 years. 2. All the cases fulfilled the diagnostic criteria of Crowe and associates. 3. Bone manifestations were present in 44% of the cases. The other radiologic findings were intrathoracic meningocele, bilateral acoustic neurinomas, mediastinal or chest wall mass shadows, and peripheral soft tissue masses. 4. One of the soft tissue masses was proved to be malignant.

  13. Forensic aspects of maxillofacial radiology. (United States)

    Wood, R E


    Radiology has been used extensively in conventional dental identification, anatomically based identification and identification using maxillofacial skeletal landmarks such as the frontal sinus. Examples of these are well documented in the literature. The purpose of this paper was to revisit the methods where radiographic methods may be used to determine identity using the teeth, the root structures and the frontal sinuses. Additionally suggestions are offered for management of radiography in mass disasters and cases where age determination is required. Computer assisted tomography can be used in the assessment of the degree of fit of a weapon to a wound in cases of blunt force skull injury and plane films can assist in depicting the pattern of post mortem skull fractures. Micro-computed tomography has been used in matching weapons to wounds in sharp-force injury cases. The radiologist's role in cases of civil litigation and fraud is discussed and case examples are given. There are gaps in the science where radiological methods are used. The author offers several suggestions for possible research projects to close some of these gaps.

  14. Radiological imaging of the kidney

    Energy Technology Data Exchange (ETDEWEB)

    Quaia, Emilio (ed.) [Trieste Univ. Ospedale di Cattinara (Italy). Ist. Radiologia


    This book provides a unique and comprehensive analysis of the normal anatomy and pathology of the kidney and upper urinary tract from the modern diagnostic imaging point of view. The first part is dedicated to the embryology and normal radiological anatomy of the kidney and anatomic variants. The second part presents in detail all of the imaging modalities which can be employed to assess the kidney and the upper urinary tract, including ultrasound, computed tomography, magnetic resonance imaging, and positron emission tomography. Patient preparation and investigation protocols are accurately described, and the principal fields of application of each imaging modality are clearly highlighted. The entire spectrum of kidney pathologies is then presented in a series of detailed chapters. Each pathology is illustrated by high-quality images obtained with state of the art equipment and the most advanced imaging modalities, as well as by figures showing macroscopic and microscopic specimens. The latest innovations in interventional radiology, biopsy procedures, and parametric and molecular imaging are also described, as is the relationship between contrast media and kidney function. This book will be of great interest to all radiologists, oncologists, and urologists who are involved in the management of kidney pathologies in their daily clinical practice. (orig.)

  15. Bony sequestrum: A radiologic review

    Energy Technology Data Exchange (ETDEWEB)

    Jennin, Felicie; Bousson, Valerie; Parlier, Caroline; Jomaah, Nabil; Khanine, Vanessa; Laredo, Jean-Denis [Lariboisiere Hospital, Department of Radiology, Paris (France)


    According to a pathological definition, a bony sequestrum is defined as a piece of devitalized bone that has been separated from the surrounding bone during the process of necrosis. However, the radiological definition of a sequestrum is different and refers to an image of calcification visible within a lucent lesion, completely separated from the surrounding bone, without referring to the vascular status and histological nature of the calcified tissue. The term ''button sequestrum'' has been used in calvarial lesions. The prototype conditions that may present with a bony sequestrum are osteomyelitis and skeletal tuberculosis. Other conditions such as radiation necrosis, eosinophilic granuloma, metastatic carcinoma, primary lymphoma of bone, aggressive fibrous tumors may also manifest as osteolytic lesions containing a sequestrum. In addition, some primary bone tumors produce a matrix that may mineralize and sometimes simulate a bone sequestrum. These include osteoid tumors (osteoid osteoma, osteoblastoma), cartilaginous tumors (chondroma and chondroblastoma), lipomatous tumors (lipoma), and benign fibrous tumors (fibromyxoma, myxoma, and desmoplastic fibroma). Therefore, various conditions may present at imaging as a small area of osteolysis containing central calcifications. However, a careful analysis of the sequestrum as well as the associated clinical and radiological findings often enables to point toward a limited number of conditions. (orig.)

  16. Revising and editing for translators

    CERN Document Server

    Mossop, Brian


    Revising and Editing for Translators provides guidance and learning materials for translation students learning to edit texts written by others, and professional translators wishing to improve their self-revision ability or learning to revise the work of others. Editing is understood as making corrections and improvements to texts, with particular attention to tailoring them to the given readership. Revising is this same task applied to draft translations. The linguistic work of editors and revisers is related to the professional situations in which they work. Mossop offers in-depth coverage of a wide range of topics, including copyediting, style editing, structural editing, checking for consistency, revising procedures and principles, and translation quality assessment. This third edition provides extended coverage of computer aids for revisers, and of the different degrees of revision suited to different texts. The inclusion of suggested activities and exercises, numerous real-world examples, a proposed gra...

  17. Revision without ordinals

    NARCIS (Netherlands)

    Rivello, Edoardo


    We show that Herzberger’s and Gupta’s revision theories of truth can be recast in purely inductive terms, without any appeal neither to the transfinite ordinal numbers nor to the axiom of Choice. The result is presented in an abstract and general setting, emphasising both its validity for a wide

  18. Revision of Meiogyne (Annonaceae)

    NARCIS (Netherlands)

    Heusden, van E.C.H.


    In the present revision of Meiogyne (Annonaceae) nine species are recognized, of which one is new, M. glabra; five new combinations are made; M. hainanensis is re-established. Meiogyne in its new sense includes the former genera Ancana, Chieniodendron, Guamia, Meiogyne, Oncodostigma, and Polyaulax.

  19. Belief and Its Revision

    NARCIS (Netherlands)

    Bewersdorf, Benjamin


    The role of experience for belief revision is seldom explicitly discussed. This is surprising as it seems obvious that experiences play a major role for most of our belief changes. In this work, the two most plausible views on the role of experience for belief change are investigated: the view that

  20. Radiology Aide. Instructor Key [and] Student Manual. (United States)

    Hartwein, Jon; Dunham, John

    This manual can be used independently by students in secondary health occupations programs or by persons receiving on-the-job training in a radiology department. The manual includes an instructor's key that provides answers to the activity sheets and unit evaluations. The manual consists of the following five units: (1) orientation to radiology;…

  1. Radiology in the Study of Bone Physiology. (United States)

    Kushdilian, Michael V; Ladd, Lauren M; Gunderman, Richard B


    In this article, we review the core principles of bone physiology alongside imaging examples that demonstrate such principles. The core principles of bone physiology are reviewed and further solidified with a corresponding abnormal pathophysiologic example. The key principles of bone physiology to be reviewed include the following: (1) formation and growth, (2) maintenance and repair, (3) metabolism and regulation, and (4) neoplastic disease. Lastly, a collection of secondary bone diseases is presented to demonstrate the skeletal manifestations of numerous systemic diseases. With this integrative method, we hope to emphasize the value of using radiology to teach physiology within a clinical context. This is especially relevant now, as many US medical schools undergo curricular reform with more emphasis on integrative interdisciplinary learning. Ultimately, we intend to provide a paradigm for incorporating radiology into the pre-clinical medical curriculum through a review of basic science physiology that underlies key radiographic findings of the skeletal system. Radiology is known for its role in helping make diagnoses and clinical decisions. However, radiology is also well suited to enhance medical education by offering the ability to visualize physiology in action. This is especially true in skeletal radiology, where radiographic osseous changes represent a wide range of physiological processes. Therefore, skeletal radiology can be a useful tool for illustrating concepts of physiology that underlie the normal and abnormal radiologic appearances of bone. Radiology is an important but underutilized tool for demonstrating concepts in bone physiology. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  2. Clay as Thermoluminescence Dosemeter in diagnostic Radiology ...

    African Journals Online (AJOL)

    This paper reports the investigation of the basic thermoluminescence properties of clay at x-rays in the diagnostic radiology range, including dose monitoring in abdominal radiography. Clay sourced from Calabar, Nigeria, was tested for thermoluminescence response after irradiation at diagnostic radiology doses, including ...

  3. Radiological health aspects of uranium milling

    Energy Technology Data Exchange (ETDEWEB)

    Fisher, D.R.; Stoetzel, G.A.


    This report describes the operation of conventional and unconventional uranium milling processes, the potential for occupational exposure to ionizing radiation at the mill, methods for radiological safety, methods of evaluating occupational radiation exposures, and current government regulations for protecting workers and ensuring that standards for radiation protection are adhered to. In addition, a survey of current radiological health practices is summarized.

  4. 10 CFR 835.4 - Radiological units. (United States)


    ... 10 Energy 4 2010-01-01 2010-01-01 false Radiological units. 835.4 Section 835.4 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION General Provisions § 835.4 Radiological units. Unless... special units of curie, rad, roentgen, or rem, including multiples and subdivisions of these units, or...

  5. Radiologic features of ameloblastoma in Nigerians. (United States)

    Lagundoye, S B; Akinosi, J O; Obisesan, A A; Oluwasanmi, O


    Radiology plays an important role in preoperative diagnosis and postoperative assessment of ameloblastoma. The postoperative appearances, including complications as well as radiologic features of recurrence, are discussed. The differential diagnosis of the unilocular lesion is difficult, and particularly noteworthy are the five cases of histologically proven adamantinoma whose radiographic appearance closely mimicked dentigerous cyst.

  6. Curricular Guidelines for Dental Auxiliary Radiology. (United States)

    Journal of Dental Education, 1981


    AADS curricular guidelines suggest objectives for these areas of dental auxiliary radiology: physical principles of X-radiation in dentistry, related radiobiological concepts, principles of radiologic health, radiographic technique, x-ray films and intensifying screens, factors contributing to film quality, darkroom, and normal variations in…

  7. Monitor displays in radiology: Part 2


    INDRAJIT, IK; Verma, BS


    Monitor displays play an important role in modern radiology practice. Practicing radiologists need to be familiar with the various performance parameters of medical-grade displays. A certain amount of technical knowledge is useful when making purchasing decisions since the right choice of equipment can have a great impact on the accuracy, efficiency, and speed in the radiology department.

  8. History and Organizations for Radiological Protection


    Kang, Keon Wook


    International Commission on Radiological Protection (ICRP), an independent international organization established in 1925, develops, maintains, and elaborates radiological protection standards, legislation, and guidelines. United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) provides scientific evidence. World Health Organization (WHO) and International Atomic Energy Agency (IAEA) utilise the ICRP recommendations to implement radiation protection in practice. Final...

  9. Caroli's disease: radiologic spectrum with pathologic correlation. (United States)

    Levy, Angela D; Rohrmann, Charles A; Murakata, Linda A; Lonergan, Gael J


    The purpose of our study was to describe the spectrum of radiologic and pathologic features of Caroli's disease. Caroli's disease and its complications have overlapping radiologic appearances that reflect the underlying pathology of fibrosis, ductal dilatation, cholangitis, stone formation, and malignancy.

  10. Use of porous tantalum components in Paprosky two and three acetabular revision. A minimum five-year follow-up of fifty one hips. (United States)

    Flecher, Xavier; Appy, Benjamin; Parratte, Sébastien; Ollivier, Matthieu; Argenson, Jean-Noel


    Recent studies have reported short-term favourable results of tantalum-made components in acetabular revisions with bone loss. However, there is a lack of information regarding the mid to long-term results of such components. The objective of this study was to analyse the outcome and survivorship of acetabular revision hip arthroplasty using tantalum components for loosening associated with bone loss at a minimum of five-year follow-up. We retrospectively reviewed 51 consecutive patients (51 hips) who had an acetabular revision using porous tantalum components at a minimum follow-up of five years. The mean age was 64 years (range, 31-87). There were 27 males and 24 females, 47 right hips and four left hips. Twenty-five (49 %) included a femoral revision. According to Paprosky's classification 18 hips were classified type 2A, 11 type 2B, ten type 2C, seven type 3A and five type 3B. No bone grafting was performed. Sixteen hips (31.3 %) required the use of additional tantalum-made augments stabilized by screws and cement at the cup-augment interface. At a mean followup of 6.8 years (range, 5.1-10 years), the Harris hip score improved from 44 pre- operatively (range, 23-72) to 84 post-operatively (range, 33-98). The mean post-operative hip centre position in relation to the teardrop was 29 mm (range, 20-43 mm) horizontally and 21 mm (range, 8-36 mm) vertically. The mean acetabular inclination was 42° (range, 17-60°). Six hips (11.7 %) required a re-operation without component revision (two for chronic instability, one ossification removal, one haematoma, one deep infection and one periprosthetic femoral fracture). One patient required a cup re-revision for septic loosening. No aseptic loosening occurred. At last followup the radiological analysis showed one evolutive osteolysis and one screw breakage. The global survivorship was 92.3 % at 64 months. If only aseptic loosening was defined as the end-point the survivorship was 100 % at 64 months. When

  11. Radiologic features in histiocytosis syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Sung Mo; Cho, Byung Jae; Yeon, Kyung Mo [College of Medicine, Seoul National University, Seoul (Korea, Republic of)


    Histiocytosis syndrome is not rare disease of unknown etiology, characterized by development of granulomatous lesions with histiocytic proliferation. Authors analyzed 22 cases, which had been confirmed as histiocytosis syndrome from 1971 to Feb. 1980 with special attention to 15 cases showing positive findings on radiological examinations. The results are as follows. 1. Overall male to female ratio was about 2:1. The majority were between 1 and 7 years of age. 2. Skeletal system was involved in orders as follows: skull, pelvis, femur, rib, spine. 3. Four cases of pulmonary involvement were experienced. All cases had interstitial involvement with reticulonodular densities on roentgenograms. 4. We had experienced a pituitary tumor, presumably localized histiocytic mass, in a patient with diabetes insipidus. 5. In long bone involvement, diaphysis or metaphysis was usually involved, but in one patient, lesion were extended into epiphysis. 6. One case of platyspondyly was found, with symmetrical compression.

  12. Radiology of gestational trophoblastic neoplasia

    Energy Technology Data Exchange (ETDEWEB)

    Allen, S.D. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Lim, A.K. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Seckl, M.J. [Department of Medical Oncology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Blunt, D.M. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Mitchell, A.W. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom)]. E-mail:


    Gestational trophoblastic neoplasia (GTN) encompasses a broad spectrum of placental lesions from the pre-malignant hydatidiform mole (complete and partial) through to the malignant invasive mole, choriocarcinoma and rare placental site trophoblastic tumour (PSTT). Ultrasound remains the radiological investigation of choice for initial diagnosis, and it can also predict invasive and recurrent disease. Magnetic resonance imaging is of invaluable use in assessing extra-uterine tumour spread, tumour vascularity, and overall staging. Positron emission tomography and computed tomography undoubtedly have a role in recurrent and metastatic disease, while angiography has a place in disease and complication management. This review will describe the relevant pathophysiology and natural history of GTN, and the use of imaging techniques in the diagnosis and management of these conditions.

  13. Radiologic findings of rib tumor

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Seok; Choi, Byung Ihn; Im, Jung Gi [Seoul National University College of Medicine, Seoul (Korea, Republic of)


    Authors reviewed 21 cases of histologically confirmed rib tumor except metastasis and myeloma from November 1973 to December 1982 at Seoul National University Hospital. The results are as follows: 1. Major clinical findings are pain and mass. 2. Pathologic diagnosis of rib tumors are 5 cases of fibrous dysplasia, 3 chondroma, 2 osteochondroma, 2 desmoplastic fibroma, 3 chondroma, 2 osteochondroma, 2 desmoplastic fibroma, 5 osteosarcoma, 1 aneurysmal bone cyst, 1 eosinophilic granuloma, 1 cavernous hemangioma, 1 chondrosarcoma. 3. Radiologic findings are osteolytic change and cortical expansion without marginal sclerosis in fibrous dysplasia, central location, well-defined osteolytic change with marginal sclerosis and no cortical destruction in desmoplastic fibroma, cortical destruction, soft tissure mass and pleural effusion in malignant tumors.

  14. Radiologic sciences. Faculty needs assessment. (United States)

    Powers, Kevin J


    A total of 326 programs are represented in the data collected. Based on the average number of full- and part-time faculty members reported per program, this survey represents more than 1500 faculty positions. Based on the forecast of retirement and career change for all faculty members, there will be a turnover of 700 to 800 positions over the next 5 to 10 years. Part-time/adjunct faculty vacancies are expected to create the greatest number of opportunities for technologists to make the transition to education, with approximately one third of current part-time/adjunct educators planning on leaving radiologic sciences education within 5 years. To encourage retention of part-time/adjunct educators, annual evaluations should be modified to recognize the important educational role these instructors play. There is a need to create enthusiasm and interest in education as a career pathway for radiologic technologists. Resources are needed that help radiologic technologists make the transition to teaching. Finally, the retention of educators must be emphasized. Program applicant trends indicate radiologic technology students are older, have prior postsecondary education experience or are making a career change. This data emphasizes the need for educators, both full time and part time, to understand the characteristics and needs of the adult learner. Adult learners bring a wealth of education, experience and life skills that create both opportunities and challenges in the classroom and clinical setting. All categories of respondents indicated that their current salaries were greater than those of program graduates in their firstjob. Of interest is that 1 in 5 (20%) of part-time/adjunct educators indicated the opposite--that program graduates earn more in their firstjob than educators earn. When asked about salaries if working full time in clinical practice, the majority of all groups indicated their salary would be about the same or would decrease. Only 20% of program

  15. Radiologic appearance of pancreatic cystadenocarcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Yamamoto, Shinichiro; Nagano, Hideki; Kimoto, Masatoshi and others


    We report the radiologic appearance of pancreatic cystadenoma and cystadenocarcinoma by various imaging methods. US demonstrated predominantly cystic mass containing internal septations. Highly echogenic solid components are often noted within cysts. CT revealed an encapsulated and lobulated cystic mass and most of the cysts contained thin and curvilinear septa within multilocular mass. Calcifications were often noted in the thick wall of the cysts. ERP showed extension of the pancreatic duct and no communication between cysts and pancreatic duct seemed to be characteristic findings. By angiography displacement of pancreatic vessels without encasement were common features and abnormal staining were noted in some cases. Seven cases experienced in our laboratory were analyzed clinically and one case of 90 year old female might be the oldest case ever reported.

  16. Radiologic Imaging of Diaphragmatic Pathologies

    Directory of Open Access Journals (Sweden)

    Hatice Öztürkmen Akay


    Full Text Available We researched the images methods in the evaluation of diaphragmaticpathologies. The study was done with 30 patients (21 males, 9 females. Themedian age of the patients was 36.1 years (Range 1-74 years. Firstly,lateraly and posteroanterior chest X-Ray were done in all patients the otherradiological images were the Barium examination, ultrasonography,computerized tomography and magnetic rezonans imaging. We determineddiaphragmatic pseudotumour in 4 patients, congenital diaphragmatichernia in 6 patients, diaphragmatic paralysis in 2 patients, diaphragmaticelevation in 8 patients, hiatal hernia in 5 patients, and diaphragmaticrupture in 5 patients.Although radiological images were developed all, we believe that thediaphragmatic pathologies should be evaluated with both clinically andradiologically in all patients.

  17. The interventional radiology business plan. (United States)

    Beheshti, Michael V; Meek, Mary E; Kaufman, John A


    Strategic planning and business planning are processes commonly employed by organizations that exist in competitive environments. Although it is difficult to prove a causal relationship between formal strategic/business planning and positive organizational performance, there is broad agreement that formal strategic and business plans are components of successful organizations. The various elements of strategic plans and business plans are not common in the vernacular of practicing physicians. As health care becomes more competitive, familiarity with these tools may grow in importance. Herein we provide an overview of formal strategic and business planning, and offer a roadmap for an interventional radiology-specific plan that may be useful for organizations confronting competitive and financial threats. Copyright © 2012 SIR. Published by Elsevier Inc. All rights reserved.

  18. Radiological protection in veterinary practice

    Energy Technology Data Exchange (ETDEWEB)

    Konishi, Emiko; Tabara, Takashi (Tokyo Univ. (Japan). Research Center for Nuclear Engineering and Technology); Kusama, Tomoko


    To propose measures for radiological protection of veterinary workers in Japan, X-ray exposure of workers in typical conditions in veterinary clinics was assessed. Dose rates of useful beam and scattered radiation, worker exposure doses at different stations, and effectiveness of protective clothing were determined using TLD and ion chambers. As precausions against radiation, the following practices are important: (1) use of suitable and properly maintained X-ray equipment, (2) proper selection of safe working stations, (3) use of protective clothing. Regulations are necessary to restrict the use of X-rays in the veterinary field. Because the use of X-rays in the veterinary field is not currently controlled by law, the above precautions are essential for minimizing exposure of veterinary staff. (author).

  19. Radiological maps for Trabzon, Turkey

    Energy Technology Data Exchange (ETDEWEB)

    Kurnaz, A., E-mail: [Karadeniz Technical University, Department of Physics, 61080 Trabzon (Turkey); Kucukomeroglu, B. [Karadeniz Technical University, Department of Physics, 61080 Trabzon (Turkey); Damla, N. [Batman University, Department of Physics, 72060 Batman (Turkey); Cevik, U. [Karadeniz Technical University, Department of Physics, 61080 Trabzon (Turkey)


    The activity concentrations and absorbed gamma dose rates due to primordial radionuclides and {sup 137}Cs have been ascertained in 222 soil samples in 18 counties of the Trabzon province of Turkey using a HPGe detector. The mean activity concentrations of {sup 238}U, {sup 232}Th, {sup 40}K and {sup 137}Cs in soil samples were 41, 35, 437 and 21 Bq kg{sup -1}, respectively. Based on the measured concentrations of these radionuclides, the mean absorbed gamma dose in air was calculated as 59 nGy h{sup -1} and hence, the mean annual effective dose due to terrestrial gamma radiation was calculated as 72 {mu}Sv y{sup -1}. In addition, outdoor in situ gamma dose rate (D) measurements were performed in the same 222 locations using a portable NaI detector and the annual effective dose was calculated to be 66 {mu}Sv y{sup -1} from these results. The results presented in this study are compared with other parts of Turkey. Radiological maps of the Trabzon province were composed using the results obtained from the study. - Highlights: {yields} {yields}The study highlights activity concentrations of {sup 238}U, {sup 232}Th, {sup 40}K and {sup 137}Cs in soil. {yields} The absorbed gamma dose in air and the mean annual effective dose were calculated. {yields} The calculated results compared with outdoor in situ gamma dose measurements. {yields} Radiological maps of the Trabzon province were created using ArcGIS applications. {yields} The results will be valuable data for future estimations of radioactive pollution.

  20. Radiologic findings of ovarian fibrothecoma

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Dong Cheol; Im, Ju Hyeon; Kim, Sun Su; Kim, Jong An; Park, Byung Ran [Kwangju Christian Hospital, Kwangju, (Korea, Republic of); Kang, In Young [Kwangju Green Cross Hospital, Kwangju (Korea, Republic of); Ko, Kang Seok [College of Medicine, Chosun University, Kwangju (Korea, Republic of)


    To evaluate the radiologic features of fibrothecoma of the ovary, which is a rare solid tumor originating from the ovarian sex cord-stroma. The radiologic findings of 29 patients with pathologically-proven fibrothecoma of the ovary were retrospectively evaluated for bilaterality, size, shape, margin, echogenecity, CT attenuation, signal intensity on magnetic resonance imaging, calcification, and amount of ascites. All fibrothecomas were unilateral, and had well defined margins. The diameter of the mass was 4-18 (mean, 9.6) cms. Eighteen of 29 tumors were round or oval with a smooth margin, and eleven were lobulated. The internal architecture of the tumor was purely solid in 21 patients, predominantly solid in six, and pre-dominantly cystic in two. A broad spectrum of sonographic features was apparent, including a homogeneously hypoechoic mass (with posterior shadowing in four cases, and without posterior shadowing in ten), a homogeneously hyperechoic mass in seven cases, an anechoic mass with septatations in two, and a mixed echoic mass in six. On precontrast CT scans, the mass was isodense to the uterine myomettrium in seven cases and isodense in one. On T1-weighted MR images, nine of ten cases showed a relatively homogeneous low signal intensity, while on T2-weighted images, signal intensity was homogeneously low in two patients and predominantly low with focal high intensity in seven of the other eight. On gadolinium-enhanced T1-weighted images, most tumors showed slight heterogeneous enhancement. Calcifications were present in two cases, and in two others there was a large amount of ascites. The characteristic findings of ovarian fibrothecomas is a well-defined, oval or lobulated homogeneously solid mass, which on CT scans enhances less than uterine myometrium and demonstrates a predominantly low signal intensity on both T1-and T2-weighted images, However, a predominantly solid mass with cystic components or a predominantly cystic mass may also be presented

  1. Instructions for Radiological Case Reports. (United States)

    Bannas, Peter


    Purpose  This paper explains the purpose and structure of a radiological case report and provides guidance for radiologists with respect to the writing of a well-structured patient case report. Materials and Methods  The current literature and the author's experience as a writer were used to create a manual that describes steps for preparing a radiological case report containing all of the important ingredients for effective communication. Results  Case reports are the first line of evidence in documenting clinical observations in the literature. A case report should be written succinctly and consists of four structured main sections: introduction, description of the case, discussion and conclusion. Its structure follows the structure of an original research article, whereby the description of the case of the case report corresponds to the materials and methods section of the research article. The introduction provides the subject and merit of the case report with respect to the published literature. The case description presents the case in detail and chronological order to allow for plausibility. The discussion compares the case with the published literature and summarizes the essential features. A case report, like an original article, must provide a justified conclusion. The conclusion should be brief and be applicable to clinical practice. Conclusion  The unique quality of the case, proper preparation and a clear conclusion are essential for a case report to be published. Key Points: · Case reports are the first line of evidence in documenting clinical observations in the literature. · The structure of a case report structure follows the structure of an original research article. · The unique quality of the case, proper preparation and a clear conclusion are essential for a case report to be published.. Citation Format · Bannas P. Anleitung zum Schreiben eines radiologischen Fallberichts. Fortschr Röntgenstr 2017; 189: 333 - 337.

  2. [TKA revision of semiconstraint components using the 3-step technique]. (United States)

    Hube, R; Matziolis, G; Kalteis, T; Mayr, H O


    The surgical goal is to achieve a pain free and stable knee joint after revision total knee arthroplasty in three steps. An important component of the technique is the reproducible restoration of the joint line. Revision total knee arthroplasty. Complete bone loss at the knee joint (epicondyles and tibia plateau), persistent joint infection, loss of the extension apparatus, and neurological disease with progressive ligament instability. Implantation of revision components is performed in three steps. The first step is the positioning of the tibia component at the correct height and rotation. As the position of the tibial articular surface is independent of the knee position, the tibia serves as a reference both in extension and in flexion. The second step consists of balancing the knee joint in flexion and, thereby, definition of the flexion gap and the rotation of the femoral component. In the third step, the reconstruction and balancing of the knee joint in extension is performed. Mobilization with weight bearing and range of motion as tolerated depending on osseous and soft tissue condition at surgery. The surgical technique does not influence the further treatment. In a prospective study, 168 consecutive knee revisions operated by the first author were examined clinically and radiologically preoperatively and at a mean follow-up of 38 months (range 22-61 months). There were 96 knees from women and 72 were from men with an average age of 74.6 years (range 51-92 years). Clinical results were based on the American Knee Society score. The score showed 47.6 (range 32-63) preoperatively and 81.5 (range 62-95) at follow-up. Radiologically, 92.7% of the knees showed a malposition <3°. The joint line was correctly reconstructed in 86.3% based on the preoperative plan; 89% of the patella showed correct tracking in the patella tangential view.

  3. Bacteriological Monitoring of Radiology Room Apparatus in the Department of Radiological Technology and Contamination on Hands of Radiological Technologists

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seon Chil [Dept. of Radiologic Technology, Daegu Health College, Daegu (Korea, Republic of)


    Distribution of microorganisms were examined for the bucky tables in the radiology rooms of the department of radiological technology, the aprons, handles of various apparatus, handles of mobile radiological apparatus, and hands of the radiological technologists. As a result, relatively larger amounts of bacteria were found on the handles of the mobile radiological apparatus and the aprons. Among the isolated bacteria, Acinetobacter baumanni (7.3%), Klebsiella pneumoniae (6.7%), Staphylococcus aureus (3.9%), Serratia liquefaciens (1.7%), Enterobacter cloaceae (0.6%), Providenica rettgeri (0.6%) are known as the cause of nosocomial infection (hospital acquired infection). In addition, similar colonies were also found on the hands of the radiological technologists such as microorganisms of Klebsiella pneumoniae (8.4%), Staphylococcus aureus (6.6%), Yersinia enterocolotica (5.4%), Acinetobacter baumanni (4.2%), Enterobacter cloaceae (2.4%), Serratia liquefaciens (1.8%), Yersinia pseuotuberculosis (18%), Enterobacter sakazakii (1.2%), and Escherichia coli (0.6%). In particular, this result indicates clinical significance since Staphylococcus aureus and Escherichia coli show strong pathogenicity. Therefore, a continuous education is essential for the radiological technologists to prevent the nosocomial infection.

  4. (Radiological assessments of radionuclide releases)

    Energy Technology Data Exchange (ETDEWEB)

    Hoffman, F.O.


    As a consequence of the Chernobyl accident, data have been obtained throughout the Northern Hemisphere on the concentrations of radionuclides in air, vegetation, soil, water, and foodstuffs that could be important means of human exposure. At the IAEA's invitation, the traveler reviewed recently published data and handbook summaries. The traveler evaluated the need for revising the default values recommended in Chapter 5, Terrestrial and Aquatic Food Chain Transport,'' of IAEA Safety Series No. 57. All attempts at revision were made to keep the mathematical complexity of the models to a minimum without substantial underestimation of dose to critical population subgroups. The traveler also served as chairman of the Multiple Pathways Working Group of the Coordinated Research Program on VAMP. This group has been established to test predictions of models assessing multiple exposure pathways potentially leading to human exposure to {sup 137}Cs. Testing is carried out for major components of assessment models that predict deposition, environmental transport, food chain bioaccumulation, and subsequent uptake and retention in the human body and dose due to exposure to external gamma radiation.

  5. A critical review of the readability of online patient education resources from RadiologyInfo.Org. (United States)

    Hansberry, David R; John, Ann; John, Elizabeth; Agarwal, Nitin; Gonzales, Sharon F; Baker, Stephen R


    Health consumers and their families rely on the Internet as a source of authoritative information regarding the procedures used to reach a diagnosis, effect treatment, and influence prognosis. In radiology, online materials can be a means by which to offer patients comprehensible explanations of the capabilities, the risks and rewards, and the techniques under our purview. Consequently, estimations of health literacy should take into account the reading level of the average American when composing and transmitting such information to the lay public without the mediation of a referring physician. In December 2012, patient education reports from the files of, a jointly sponsored website of the American College of Radiology and the Radiological Society of North America, were downloaded to assess their textual sophistication. All 138 patient education articles including the glossary were analyzed for their respective level of "readability" using the following 10 evaluative scales: Flesch Reading Ease, Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook Grading, Coleman-Liau Index, Gunning Fog Index, New Dale-Chall scale, FORCAST, Fry graph, Raygor Readability Estimate, and New Fog Count. The 138 online patient education articles were written, on average, between the 10th and 14th grade levels, which exceeds both the American Medical Association and the National Institutes of Health recommendations that patient education resources be comprehensible to those who read no higher than the seventh grade level. Patients may accrue a greater benefit from written articles available on if the texts were revised to be in compliance with the National Institutes of Health and American Medical Association grade level recommendations. This could lead to a broadened appreciation of the capabilities of radiology's role in general and enhanced understanding of imaging techniques and their application to clinical practice.

  6. Cumulative Revision Map


    Kim, Seungyeon; Dillon, Joshua V.; Lebanon, Guy


    Unlike static documents, version-controlled documents are edited by one or more authors over a certain period of time. Examples include large scale computer code, papers authored by a team of scientists, and online discussion boards. Such collaborative revision process makes traditional document modeling and visualization techniques inappropriate. In this paper we propose a new visualization technique for version-controlled documents that reveals interesting authoring patterns in papers, comp...

  7. The French responses organisation for dealing with radiological emergencies; L'organisation francaise de gestion des crises radiologiques

    Energy Technology Data Exchange (ETDEWEB)

    Boude, B. [Secretariat General de la Defense Nationale, 31 - Toulouse (France)


    To meet the goal of population protection, the response that the authorities will have to implement in the event of a radiological emergency has to be organised. In a context of significant change at the beginning of this century, the response organisation was revised in depth. This article aims to describe the roles, structures and methods of action of the various parties involved in the current emergency response system. (author)

  8. Student Perceptions of Online Radiologic Science Courses. (United States)

    Papillion, Erika; Aaron, Laura


    To evaluate student perceptions of the effectiveness of online radiologic science courses by examining various learning activities and course characteristics experienced in the online learning environment. A researcher-designed electronic survey was used to obtain results from students enrolled in the clinical portion of a radiologic science program that offers online courses. The survey consisted of elements associated with demographics, experience, and perceptions related to online radiologic science courses. Surveys were sent to 35 program directors of Joint Review Committee on Education in Radiologic Technology-accredited associate and bachelor's degree programs with requests to share the survey with students. The 38 students who participated in the survey identified 4 course characteristics most important for effective online radiologic science courses: a well-organized course, timely instructor feedback, a variety of learning activities, and informative documents, such as course syllabus, calendar, and rubrics. Learner satisfaction is a successful indicator of engagement in online courses. Descriptive statistical analysis indicated that elements related to the instructor's role is one of the most important components of effectiveness in online radiologic science courses. This role includes providing an organized course with informative documents, a variety of learning activities, and timely feedback and communication. Although online courses should provide many meaningful learning activities that appeal to a wide range of learning styles, the nature of the course affects the types of learning activities used and therefore could decrease the ability to vary learning activities. ©2017 American Society of Radiologic Technologists.

  9. Radiology research in mainland China in the past 10 years: a survey of original articles published in Radiology and European Radiology. (United States)

    Zhang, Long Jiang; Wang, Yun Fei; Yang, Zhen Lu; Schoepf, U Joseph; Xu, Jiaqian; Lu, Guang Ming; Li, Enzhong


    To evaluate the features and trends of Radiology research in Mainland China through bibliometric analysis of the original articles published in Radiology and European Radiology (ER) between 2006 and 2015. We reviewed the original articles published in Radiology and ER between 2006 and 2015. The following information was abstracted: imaging subspecialty, imaging technique(s) used, research type, sample size, study design, statistical analysis, study results, funding declarations, international collaborations, number of authors, department and province of the first author. All variables were examined longitudinally over time. Radiology research in Mainland China saw a substantial increase in original research articles published, especially in the last 5 years (P research, neuroradiology, vascular/interventional Radiology, and abdominal Radiology were the most productive fields; MR imaging was the most used modality, and a distinct geographic provenience was observed for articles published in Radiology and ER. Radiology research in Mainland China has seen substantial growth in the past 5 years with neuroradiology, vascular/interventional Radiology, and abdominal Radiology as the most productive fields. MR imaging is the most used modality. Article provenience shows a distinct geographical pattern. • Radiology research in Mainland China saw a substantial increase. • Neuroradiology, vascular/interventional Radiology, and abdominal Radiology are the most productive fields. • MRI is the most used modality in Mainland China's Radiology research. • Guangdong, Shanghai, and Beijing are the most productive provinces.

  10. TSD-DOSE : a radiological dose assessment model for treatment, storage, and disposal facilities.

    Energy Technology Data Exchange (ETDEWEB)

    Pfingston, M.


    In May 1991, the U.S. Department of Energy (DOE), Office of Waste Operations, issued a nationwide moratorium on shipping slightly radioactive mixed waste from DOE facilities to commercial treatment, storage, and disposal (TSD) facilities. Studies were subsequently conducted to evaluate the radiological impacts associated with DOE's prior shipments through DOE's authorized release process under DOE Order 5400.5. To support this endeavor, a radiological assessment computer code--TSD-DOSE (Version 1.1)--was developed and issued by DOE in 1997. The code was developed on the basis of detailed radiological assessments performed for eight commercial hazardous waste TSD facilities. It was designed to utilize waste-specific and site-specific data to estimate potential radiological doses to on-site workers and the off-site public from waste handling operations at a TSD facility. The code has since been released for use by DOE field offices and was recently used by DOE to evaluate the release of septic waste containing residual radioactive material to a TSD facility licensed under the Resource Conservation and Recovery Act. Revisions to the code were initiated in 1997 to incorporate comments received from users and to increase TSD-DOSE's capability, accuracy, and flexibility. These updates included incorporation of the method used to estimate external radiation doses from DOE's RESRAD model and expansion of the source term to include 85 radionuclides. In addition, a detailed verification and benchmarking analysis was performed.

  11. Justification and radiology: some ethical considerations. (United States)

    Sia, Santiago


    This paper, which seeks to address the issue of justification in radiology, intends firstly to comment on the current discussion of the ethical foundation of radiological practice that focuses on the move from utilitarianism to the rights-centred criterion. Secondly, and this constitutes the bulk of the paper, it aims to offer a philosophical perspective, which is hoped will lead to a consideration of certain specific areas in ethical decision-making in the attempts here to deal with the main issue of justification in radiology.

  12. Current radiologic interventions in hepatocellular carcinoma. (United States)

    Qasmi, Imran Masoud; Naeem, Tahir; Farrukh, Saeed; Mirza, Shakeel Ahmed; Khan, Muhammad Asad; Bhatti, Muhammad Asghar


    With the rising incidence of chronic liver disease caused by viral hepatitis, hepatocellular carcinoma is showing a corresponding rise worldwide. Surgery remains the mainstay of treatment, but patients unfit for surgery or liver transplantation form the bulk of those presenting with this disease. Palliative treatments are being used to treat those and radiological modalities form the mainstay of the treatment. Radiology plays a major role in the diagnosis, treatment and follow-up of hepatocellular carcinoma. Current radiological treatment modalities include percutaneous ethanol ablation, radiofrequency ablation and trans-arterial chemoembolization. This update highlights the recent advancements in the field and compares their relative merits and demerits.

  13. Problem-based learning and radiology

    Energy Technology Data Exchange (ETDEWEB)

    Thurley, P. [Department of Radiology, Nottingham University Hospitals, Queens Medical Centre, Nottingham (United Kingdom)], E-mail:; Dennick, R. [Medical Education Unit, Medical School, University of Nottingham, Nottingham (United Kingdom)


    The Royal College of Radiologists recently published documents setting out guidelines to improve the teaching of radiology to medical students. These included recommendations that clinicians who teach radiology should be aware of newer educational techniques, such as problem-based learning, and should be involved in the development of curricula and assessment in medical schools. This review aims to introduce the educational theories behind problem-based learning and describe how a problem-based learning tutorial is run. The relevance of problem-based learning to radiology and the potential advantages and disadvantages are discussed.

  14. Mandibular Canal Enlargement: Clinical and Radiological Characteristics

    Directory of Open Access Journals (Sweden)

    Chong Jun Ai


    Full Text Available Enlargement of the mandibular canal is a rare radiological finding. Clinically, it may or may not be associated with sensory deficits. We report four cases of widening of the mandibular canal observed with various methods of imaging with different clinical characteristics. We describe this unique radiological finding and elaborate the importance of quality assessment of the imaging that is vital for accurate diagnosis and treatment planning. Clinicians should be mindful when assessing the imaging whenever the size of the mandibular canal is implicated. The case ranged from a benign tumor to malignancy, radiological errors, and artifacts. A more superior imaging or treatment modality was necessary to ascertain the diagnosis.

  15. [Interventional radiology: current problems and new directions]. (United States)

    Santos Martín, E; Crespo Vallejo, E


    In recent years, vascular and interventional radiology has become one of the fastest growing diagnostic and therapeutic specialties. This growth has been based on a fundamental concept: performing minimally invasive procedures under imaging guidance. This attractive combination has led to the interest of professionals from other clinical specialties outside radiology in performing this type of intervention. The future of vascular and interventional radiology, although uncertain, must be linked to clinical practice and multidisciplinary teamwork. Copyright © 2011 SERAM. Published by Elsevier Espana. All rights reserved.

  16. Radiologic findings of thoracic trauma

    Directory of Open Access Journals (Sweden)

    Akgul Ozmen C


    Full Text Available Cihan Akgul Ozmen,1 Serdar Onat,2 Delal Aycicek3 1Department of Radiology, 2Department of Chest Surgery, Dicle University School of Medicine, Diyarbakir, 3Radiology Unit, Siirt State Hospital, Siirt, Turkey Introduction: Chest trauma may be blunt or penetrating and the chest is the third most common trauma region. It is a significant cause of mortality. Multidetector computed tomography (MDCT has been an increasingly used method to evaluate chest trauma because of its high success in detecting tissue and organ injuries. Herein, we aimed to present MDCT findings in patients with blunt and penetrating chest trauma admitted to our department. Methods: A total of 240 patients admitted to the emergency department of our hospital between April 2012 and July 2013 with a diagnosis of chest trauma who underwent MDCT evaluations were included. Most of the patients were male (83.3% and victims of a blunt chest trauma. The images were analyzed with respect to the presence of fractures of bony structures, hemothorax, pneumothorax, mediastinal organ injury, and pulmonary and vascular injuries. Results: MDCT images of the 240 patients yielded a prevalence of 41.7% rib fractures, 11.2% scapular fractures, and 7.5% clavicle fractures. The prevalence of thoracic vertebral fracture was 13.8% and that of sternal fracture was 3.8%. The prevalence of hemothorax, pneumothorax, pneumomediastinum, and subcutaneous emphysema was 34.6%, 62.1%, 9.6%, and 35.4%, respectively. The prevalence of rib, clavicle, and thoracic vertebral fractures and pulmonary contusion was higher in the blunt trauma group, whereas the prevalence of hemothorax, subcutaneous emphysema, diaphragmatic injury, and other vascular lacerations was significantly higher in the penetrating trauma group than in the blunt trauma group (p<0.05. Conclusion: MDCT images may yield a high prevalence of fracture of bony structures, soft tissue lacerations, and vascular lesions, which should be well understood by

  17. Addressing the Coming Radiology Crisis—The Society for Computer Applications in Radiology Transforming the Radiological Interpretation Process (TRIP™) Initiative


    Andriole, Katherine P.


    The Society for Computer Applications in Radiology (SCAR) Transforming the Radiological Interpretation Process (TRIP™) Initiative aims to spearhead research, education, and discovery of innovative solutions to address the problem of information and image data overload. The initiative will foster interdisciplinary research on technological, environmental and human factors to better manage and exploit the massive amounts of data. TRIP™ will focus on the following basic objectives: improving the...

  18. Rumors and gossip in radiology. (United States)

    Dowd, S B; Davidhizar, R


    Rumors and gossip have long been popular topics in literature. Social scientists have even studied the topic and defined four main types of rumor: wish rumors; fear or bogey rumors; wedge-driving or aggressive rumors; and anticipatory rumors. In general, people believe rumor and gossip are synonymous. Rumormongering--the spreading of rumors--occurs among all cultures and types of people. Both men and women gossip and women's gossip is not more vindicative than men's, as is often thought. With such new means of communication as the Internet, transmitting rumor is possible beyond the traditional oral and written forms. Rumor is spread in both the higher and lower levels of an organization. Typically, disproving a rumor is more difficult than proving a rumor. The financial impact of a rumor must be considered also. If people believe, for example, that a radiology department does not have its act together or offers poor customer service, the department may lose revenue because people have lost confidence in it. Originally, the word gossip had positive implications. It referred to a family friend or the woman who delivered a child and announced the event to the community. Because well-intentioned gossip often turns into a damaging story, various approaches for stopping rumors have been identified. They include analyzing the grapevine, identifying the habitual spreaders of rumor and keeping employees informed. In most cases, a person of authority who provides facts can stop or at least slow down rumors spreading at the employee level.

  19. Complications of pneumoconiosis: Radiologic overview

    Energy Technology Data Exchange (ETDEWEB)

    Jun, Jae Sup [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Jung, Jung Im, E-mail: [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Kim, Hyo Rim [Department of Radiology, Yeouido St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Ahn, Myeong Im; Han, Dae Hee [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Ko, Jeong Min [Department of Radiology, St. Vincent Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Park, Seog Hee; Lee, Hae Giu [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Arakawa, Hiroaki [Department of Radiology, Dokkyo University School of Medicine (Japan); Koo, Jung-Wan [Department of Occupational and Environmental Medicine, Seoul St. Mary' s Hospital, The Catholic University of Korea (Korea, Republic of)


    A wide spectrum of pulmonary complications occurs in patients with pneumoconiosis. Those complications include chronic obstructive pulmonary disease, hemoptysis, pneumothorax, pleural disease, tuberculosis, autoimmune disease, anthracofibrosis, chronic interstitial pneumonia, and malignancy. Generally, imaging workup starts with plain chest radiography. However, sometimes, plain radiography has limited role in the diagnosis of pulmonary complications of pneumoconiosis because of overlapping pneumoconiotic infiltration. Computed tomography (CT), ultrasonography (US), and magnetic resonance imaging (MRI) are potentially helpful for the detection of pulmonary complications in patients with pneumoconiosis. CT, with its excellent contrast resolution, is more sensitive and specific method than plain radiograph in the evaluation of pulmonary abnormalities. CT is useful in detecting lung parenchymal abnormalities caused by infection, anthracofibrosis, and chronic interstitial pneumonia. Also, CT is valuable in distinguishing localized pneumothorax from bullae and aiding the identification of multiloculated effusions. US can be used in detection of complicated pleural effusions and guidance of the thoracentesis procedure. MRI is useful for differentiating between progressive massive fibrosis and lung cancer. Radiologists need to be familiar with the radiologic and clinical manifestations of, as well as diagnostic approaches to, complications associated with pneumoconiosis. Knowledge of the various imaging features of pulmonary complications of pneumoconiosis can enhance early diagnosis and improve the chance to cure.

  20. Patient dosimetry in diagnostic radiology

    Directory of Open Access Journals (Sweden)

    Ciraj-Bjelac Olivera F.


    Full Text Available The objective of this work is to assess patient organ doses, effective doses and entrance surface doses in conventional diagnostic radiology procedures for standard adult patient. The survey consists of measurements of doses delivered to 239 patients in nine types of X-ray examinations. Three types of data were collected: X-ray machine data, patient data, and output measurements. Entrance surface dose was assessed based on the survey data and subsequently, using conversion coefficients, the organ doses and effective doses were calculated. Values of the entrance surface dose and the effective dose were estimated to be 0.4 to 5.8 mGy and 0.03 to 3.00 mSv for different examinations. Derived doses were compared with recommended general diagnostic reference levels. The impact of examination parameters on dose values was discussed. Except for posterior-anterior chest examination, all estimated doses are lower than stated reference levels. Survey data are aimed at helping development of national quality control and radiation protection programmed for medical exposures.

  1. Multilingual retrieval of radiology images. (United States)

    Kahn, Charles E


    The multilingual search engine ARRS GoldMiner Global was created to facilitate broad international access to a richly indexed collection of more than 200,000 radiologic images. Images are indexed according to key-words and medical concepts that appear in the unstructured text of their English-language image captions. GoldMiner Global exploits the Unicode standard, which allows the accurate representation of characters and ideographs from virtually any language and which supports both left-to-right and right-to-left text directions. The user interface supports queries in Arabic, Chinese, French, German, Italian, Japanese, Korean, Portuguese, Russian, or Spanish. GoldMiner Global incorporates an interface to the United States National Library of Medicine that translates queries into English-language Medical Subject Headings (MeSH) terms. The translated MeSH terms are then used to search the image index and retrieve relevant images. Explanatory text, pull-down menu choices, and navigational guides are displayed in the selected language; search results are displayed in English. GoldMiner Global is freely available on the World Wide Web. (c) RSNA, 2008.

  2. Radiologic findings of granulomatous mastitis

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Tae Gyu; Kim, Ji Young; Jeong, Myeong Ja; Kim, Jae Hyung; Kim, Soung Hee; Kim, Soo Hyun; Jun, Woo Sun; Park, Kyeong Mee; Han, Se Hwan [Paik Hospital, Inje University College of Medicine, Seoul (Korea, Republic of)


    The describe the radiologic findings of granulomatous mastitis of the breast. This study included 19 patients (age range: 22 to 56 years; mean 37 years) with 22 lesions that were pathologically confirmed as having granulomatous mastitis. All the patients underwent a breast ultrasonography and 13 patients underwent a mammography. The results of the mammography revealed focal asymmetry (n = 9), multiple ill-defined isodense nodules (n 2), ill-defined nodular density on craniocaudal view (n = 1), and unremarkable finding (n = 1). The sonographic findings included continuous or discontinuous multiple tubular and nodular low echoic lesions (n = 7), ill-defined heterogeneously low echoic lesion (n = 5), irregular-shaped, ill-defined low echoic mass (n = 4), fluid collection with internal floating materials suggesting the presence of an abscess (n = 4), ill-defined heterogeneously low echoic lesion and abscess (n = 1), and multiple ill-defined nodules (n = 1). In the case of granulomatous mastitis, the mammography results indicate a lack of specificity between normal findings and focal asymmetry. The sonographic findings indicate that ill-defined heterogeneously low echoic lesions or irregular shaped, ill-defined low echoic masses are difficult to differentiate from breast cancer. The sonographic findings of abscesses indicate a difficulty in differentiating them from cases of pyogenic mastitis. However, multiple tubular and nodular low echoic lesions, especially with a continuous appearance, should point to granulomatous mastitis, and is helpful in its differential diagnosis and treatment.

  3. Contained radiological analytical chemistry module (United States)

    Barney, David M.


    A system which provides analytical determination of a plurality of water chemistry parameters with respect to water samples subject to radiological contamination. The system includes a water sample analyzer disposed within a containment and comprising a sampling section for providing predetermined volumes of samples for analysis; a flow control section for controlling the flow through the system; and a gas analysis section for analyzing samples provided by the sampling system. The sampling section includes a controllable multiple port valve for, in one position, metering out sample of a predetermined volume and for, in a second position, delivering the material sample for analysis. The flow control section includes a regulator valve for reducing the pressure in a portion of the system to provide a low pressure region, and measurement devices located in the low pressure region for measuring sample parameters such as pH and conductivity, at low pressure. The gas analysis section which is of independent utility provides for isolating a small water sample and extracting the dissolved gases therefrom into a small expansion volume wherein the gas pressure and thermoconductivity of the extracted gas are measured.

  4. Association between medical school radiology curricula and application rates to US radiology residency programs. (United States)

    Kapoor, Neena; Smith, Stacy E


    Data are limited on how radiology curricula vary across US medical schools and the association between characteristics of these curricula and application rates to radiology residency programs. The purpose of this study was to gather more information about medical school radiology curricula and to determine the association between radiology education and application rates to radiology residency programs. An anonymous web-based survey was e-mailed to residency program directors affiliated with 129 accredited US medical schools. Residency program directors were instructed to forward the survey to a radiology clerkship director or complete the survey themselves. Electronic Residency Application Service data were also obtained for 122 participating medical schools. Fifty-five of 122 schools responded, a response rate of 45%. The majority of medical schools (76%) had a dedicated radiology curriculum, which was most often offered in the third and fourth years. The majority (87%) of schools integrated radiology education into other courses throughout all 4 years. The application data revealed that application rates were similar across schools, ranging from 6% to 8%. Applications rates did not significantly vary across several characteristics of educational curricula. Although schools vary in the characteristics of radiology education, application rates to radiology residency programs are similar across schools and are not associated with specific characteristics of these educational programs. This lack of an association may be explained by universal exposure of medical students to radiology curricula and the fact that a career choice is a complex process that involves multiple factors. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  5. Radiological dose assessment for vault storage concepts

    Energy Technology Data Exchange (ETDEWEB)

    Richard, R.F.


    This radiological dose assessment presents neutron and photon dose rates in support of project W-460. Dose rates are provided for a single 3013 container, the ``infloor`` storage vault concept, and the ``cubicle`` storage vault concept.

  6. Corporate social responsibility of future radiology professionals. (United States)

    Collins, Sandra K; Collins, Kevin S


    Plagued by difficult economic times, many radiology managers may find themselves faced with ethical dilemmas surrounding ongoing organizational pressures to maintain high levels of productivity with restricted resources. This often times tests the level of moral resilience and corporate social consciousness of even the most experienced radiology professionals. A study was conducted to determine what Corporate Social Responsibility (CSR) orientation and viewpoint future radiology professionals may have. The results of the study indicate that these study participants may initially consider patient care more important than profit maximization. Study results indicate that these specific future radiology professionals will not need laws, legal sanctions, and intensified rules to force them to act ethically. However,they may need ongoing training as to the necessity of profit maximization if they seek the highest quality of care possible for their patients.

  7. Diagnostic radiology in paediatric palliative care

    Energy Technology Data Exchange (ETDEWEB)

    Patel, Preena; Koh, Michelle; Carr, Lucinda; McHugh, Kieran [Great Ormond Street Hospital, Radiology Department, London (United Kingdom)


    Palliative care is an expanding specialty within paediatrics, which has attracted little attention in the paediatric radiological literature. Paediatric patients under a palliative care team will have numerous radiological tests which we traditionally categorise under organ systems rather than under the umbrella of palliative medicine. The prevalence of children with life-limiting illness is significant. It has been estimated to be one per thousand, and this may be an underestimate. In this review, we will focus on our experience at one institution, where radiology has proven to be an invaluable partner to palliative care. We will discuss examples of conditions commonly referred to our palliative care team and delineate the crucial role of diagnostic radiology in determining treatment options. (orig.)

  8. Improving efficiency in the radiology department

    Energy Technology Data Exchange (ETDEWEB)

    Towbin, Alexander J.; Perry, Laurie A. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Larson, David B. [Stanford University School of Medicine, Department of Radiology, Stanford, CA (United States)


    The modern radiology department is built around the flow of information. Ordering providers request imaging studies to be performed, technologists complete the work required to perform the imaging studies, and radiologists interpret and report on the imaging findings. As each of these steps is performed, data flow between multiple information systems, most notably the radiology information system (RIS), the picture archiving and communication system (PACS) and the voice dictation system. Even though data flow relatively seamlessly, the majority of our systems and processes are inefficient. The purpose of this article is to describe the radiology value stream and describe how radiology informaticists in one department have worked to improve the efficiency of the value stream at each step. Through these examples, we identify and describe several themes that we believe have been crucial to our success. (orig.)

  9. Radiological safety training for uranium facilities

    Energy Technology Data Exchange (ETDEWEB)



    This handbook contains recommended training materials consistent with DOE standardized core radiological training material. These materials consist of a program management guide, instructor`s guide, student guide, and overhead transparencies.

  10. Role of Radiology in Forensic Dentistry

    Directory of Open Access Journals (Sweden)

    T Chandrasekhar


    Full Text Available Forensic radiology is a specialized area of medical imaging utilizing radiological techniques to assist physicians and pathologists in matter pertaining to the law. Postmortem dental radiographs are the most consistent part of the antemortem records that can be transmitted during the forensic examination procedures. Pathologists regularly use radiographic images during the course of autopsy to assist them in identification of foreign bodies or determination of death. Forensic radiology can be used in suspicious death or murder, in analysis of adverse medical events, solving legal matters, to detect child abuse, drug trafficking, body identification and disease identification. Using the possibilities of radiology, special characteristics of the internal structures of the dentomaxillofacial region can be revealed. We can also detect endodontic treatments, healing extraction sockets, implants or even tooth colored restoration. Therefore, we can give answers to problems dealing with identification procedures, mass disaster and dental age estimation.

  11. Leadership and management in quality radiology (United States)


    The practice of medical imaging and interventional radiology are undergoing rapid change in recent years due to technological advances, workload escalation, workforce shortage, globalisation, corporatisation, commercialisation and commoditisation of healthcare. These professional and economical changes are challenging the established norm but may bring new opportunities. There is an increasing awareness of and interest in the quality of care and patient safety in medical imaging and interventional radiology. Among the professional organisations, a range of quality systems are available to address individual, facility and system needs. To manage the limited resources successfully, radiologists and professional organisations must be leaders and champion for the cause of quality care and patient safety. Close collaboration with other stakeholders towards the development and management of proactive, long-term, system-based strategies and infrastructures will underpin a sustainable future in quality radiology. The International Radiology Quality Network can play a useful facilitating role in this worthwhile but challenging endeavour. PMID:21614284

  12. Radiology Teaching Files on the Internet

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Eun Chung; Kim, Eun Kyung [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, DonKook University, Seoul (Korea, Republic of)


    There is increasing attention about radiology teaching files on the Internet in the field of diagnostic radiology. The purpose of this study was to aid in the creation of new radiology teaching file by analysing the present radiology teaching file sites on the Internet with many aspects and evaluating images on those sites, using Macintosh II ci compute r, 28.8kbps TelePort Fax/Modem, Netscape Navigator 2.0 software. The results were as follow : 1. Analysis of radiology teaching file sites (1) Country distribution was the highest in USA (57.5%). (2) Average number of cases was 186 cases and radiology teaching file sites with search engine were 9 sites (22.5%). (3) At the method of case arrangement, anatomic area type and diagnosis type were found at the 10 sites (25%) each, question and answer type was found at the 9 sites (22.5%). (4) Radiology teaching file sites with oro-maxillofacial disorder were 9 sites (22.5%). (5) At the image format, GIF format was found at the 14 sites (35%), and JPEG format found at the 14 sites (35%). (6) Created year was the highest in 1995 (43.7%). (7) Continuing case upload was found at the 35 sites (87.5%). 2. Evaluation of images on the radiology teaching files (1) Average file size of GIF format (71 Kbyte) was greater than that of JPEG format (24 Kbyte). (P<0.001) (2) Image quality of GIF format was better than that of JPEG format. (P<0.001)

  13. Applications of decision analysis in diagnostic radiology


    Hunink, Myriam


    textabstractThe subjects of this thesis are decision analysis and receiver operating characteristic (ROC) methodology applied to radiological problems. This thesis is intended for those interested in applying decision analytical techniques in diagnostic radiology, and in medicine in general. Chapter II deals with the theory of decision trees and Markov processes. The basic concepts are briefly explained and a few selected topics are discussed in more detaiL Chapter III describes a decision mo...

  14. Radiological rickets in extremely low birthweight infants

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, A.J.; McIntosh, N.; Wheeler, K.; Williams, J.E.


    Forty-eight infants of birthweight less than 1000 grams who survived for more than 28 days, had wrist X-rays to prospectively determine the incidence of radiological rickets. Twelve infants (25%) had normal X-rays throughout, 10 infants (21%) showed osteopoenia and 26 infants (54%) had classical changes or rickets of which 8 (17% of the total) had spontaneous fractures. There was poor correlation between peak values of serum alkaline phosphatase and the radiological changes.

  15. A digital library of radiology images. (United States)

    Kahn, Charles E


    A web-based virtual library of peer-reviewed radiological images was created for use in education and clinical decision support. Images were obtained from open-access content of five online radiology journals and one e-learning web site. Figure captions were indexed by Medical Subject Heading (MeSH) codes, imaging modality, and patient age and sex. This digital library provides a new, valuable online resource.

  16. Stress management for the radiologic technologist. (United States)

    Romano, Jeannine M


    Changes in technology in the radiology department and an emphasis on multitasking can lead to stress and burnout, along with the potential for medical errors. A shift in viewpoint and exercises in self-evaluation can help radiologic technologists learn to manage change in a positive manner. Learning to approach change through a series of transitions and positive steps can reduce stress at work and at home.

  17. 21 CFR 892.1940 - Radiologic quality assurance instrument. (United States)


    ... (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1940 Radiologic quality assurance instrument. (a) Identification. A radiologic quality assurance instrument is a device intended for medical purposes to measure a physical characteristic associated with another radiologic device. (b) Classification...

  18. Spectrum of diagnostic errors in radiology. (United States)

    Pinto, Antonio; Brunese, Luca


    Diagnostic errors are important in all branches of medicine because they are an indication of poor patient care. Since the early 1970s, physicians have been subjected to an increasing number of medical malpractice claims. Radiology is one of the specialties most liable to claims of medical negligence. Most often, a plaintiff's complaint against a radiologist will focus on a failure to diagnose. The etiology of radiological error is multi-factorial. Errors fall into recurrent patterns. Errors arise from poor technique, failures of perception, lack of knowledge and misjudgments. The work of diagnostic radiology consists of the complete detection of all abnormalities in an imaging examination and their accurate diagnosis. Every radiologist should understand the sources of error in diagnostic radiology as well as the elements of negligence that form the basis of malpractice litigation. Error traps need to be uncovered and highlighted, in order to prevent repetition of the same mistakes. This article focuses on the spectrum of diagnostic errors in radiology, including a classification of the errors, and stresses the malpractice issues in mammography, chest radiology and obstetric sonography. Missed fractures in emergency and communication issues between radiologists and physicians are also discussed.

  19. Radiological Worker II Training, Course 20301 (Live), Course 12909 (Test)

    Energy Technology Data Exchange (ETDEWEB)

    Harris, Jimmy D. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    Radiological worker training is the basic building block for any additional radiological training you may receive. Upon completing radiological worker training, you will have the basic knowledge needed to work safely, using proper radiological practices, in areas where radiological hazards exist. You will also have a better understanding of the hazards and responsibilities associated with radiological work to help prevent the carelessness that can occur when working continually with or around radioactive material. This course does not qualify you for any specific radiological work. You may be required to take additional training at individual facilities to address facility- and job-specific hazards and procedures.

  20. Interventional radiology. 2. tot. rev. and enl. ed.; Interventionelle Radiologie

    Energy Technology Data Exchange (ETDEWEB)

    Guenther, R.W.; Thelen, M. (eds.)


    The book is an authoritative and comprehensive source of reference and a textbook for 'interventionalists', and even a systematic toolbook for physicians who are beginners in this field or wish to enlarge their spectrum. For the new edition, existing contributions have been completely revised and updated, and many new contributions have been added covering the front-edge state-of-the art in the following subject areas: accession techniques in interventional radiology - interventional radiology in the out-patient department - accompanying drug treatment and control - angioscopy and intravascular US - stents (endovascular, in the gastro-intestinal tract and the tracheobronchial system) - TIPPS - embolisation of spinal and peripheral a.-v. malformations - embolisation in cases of venous impotence - ballooning and stenting of the prostate - percutaneous tubal recanalisation - percutaneous pain therapy. Step-by-step explanations and textual information enhanced by various types of illustrations confer the required technical know-how. Indications, contraindications and specific risks are explained in full, and materials and supply sources are given. (orig./CB) [German] Dieses Buch ist das umfassende Grundlagen- und Nachschlagewerk fuer den 'Interventionalisten' und die systematische Anleitung fuer alle, die interventionelle Eingriffe erlernen oder ihr Spektrum erweitern wollen. Um diesem Anspruch gerecht zu werden, wurden alle Beitraege fuer die Neuauflage komplett neu bearbeitet und ergaenzt und zugleich wurde eine grosse Zahl neuer Beitraege aufgenommen, u.a. zu diesen Themen: - Zugangswege in der interventionellen Radiologie - ambulante Eingriffe - medikamentoese Begleittherapie und Ueberwachung - Angioskopie und intravaskulaere Sonografie - Stents (endovaskulaer, im GI-Trakt und im Tracheobronchialsystem) - TIPPS - Embolisation von spinalen und peripheren a.-v. Malformationen - Embolisation bei venoeser Impotenz - Ballondilatation und Stentung der

  1. Computer assisted tutoring in radiology

    Energy Technology Data Exchange (ETDEWEB)

    Jeffery, N


    The computer-based tutoring of visual concepts such as radiological images is a largely unexplored area. A review of the literature highlights limited use of computers as a means of radiological education, with the majority of systems being little more than hypermedia prototypes, on-line teaching files, and passive CD-Roms. Very few of the systems discussed in the research literature draw on the work from cognitive science and educational psychology for tutoring visual concepts. This thesis details and evaluates a method for indexing and retrieving images from large image databases via a cognitively informed graphical representation of visual concepts. This representation is derived using Multiple Correspondence Analysis from a statistical analysis of features present in the images. It is intended that this representation be used to assist in the computer based teaching of any discipline that requires the tutoring of visual concepts. The domain used as a test bed for this research is Magnetic Resonance Imaging in neuroradiology. Tutoring the interpretation of MR scans of the head represents a real practical problem due to the inherent complexity of the brain and variations in tissue contrast within image sequence and disease/pathology. The literature of concept categorisation and representation is critically reviewed to inform the design of a graphical representation of a concept (a pathology in the application domain). A specification for the design of an explicit representation of visual concepts is drawn from this literature review, together with methods of tutoring based around this model. A methodology for producing this representation is described, and implemented in the development of an overview plot for the concept of a disease of the brain, with associated statistical measures derived and operationalised for typicality and similarity of cases within a disease. These measures are precursors to the development of computer based tutoring strategies for image

  2. Radiological findings of congenital megacolon

    Energy Technology Data Exchange (ETDEWEB)

    Yeon, Kyung Mo; Chung, Sung Hoon; Park, Jae Hyung [College of Medicine, Seoul National University, Seoul (Korea, Republic of)


    Congenital megacolon, known as Hirschsprung's disease, is potentially lethal cogenital anomaly due to dangerous complications if diagnosis and treatment are delayed. Early diagnosis is important because immediate successful surgical control reduces mortality and morbidity of this infantile disease and barium enema study is the most important diagnostic tool. Authors analyzed clinical and radiological findings of 41 cases of confirmed congenital megacolon during December 1978 to July 1980 at Seoul National University Hospital. Majority of the cases are male and below one year old. Majority of the cases represent abdominal distension, chronic constipation relieved by enema, no passage of meconium within 24hrs, after birth, vomitting, defication difficulty and emaciation. Cases of showing exudative enteropathy complaints diarrhea, dehydration and melena. In simple abdomen film, 25 cases show moderate degree of abdominal distention and 10 cases show markedly distended abdomen. Most frequent segmental pattern is type C (26.8%) and type B is the next (24.4%), and type A occupy 14.6%. There are one case of jejunal aganglionosis and two cases of total colonic aganglionosis. Most frequent shape of transition zone is type II (34%), and type VI is the next (24%) and type IV occupy 17%. In 82% of the cases show hypertrophy of bowel wall of dilated segment, and 85% of above cases show findings of exudative enteropathy. In 73% of the cases show exudative enteropathy. Almost of cases showing markedly distended abdomen, also have moderate to marked degree of hypertrophy of bowel wall and findings of exudative enteropathy. Three cases were taken 24hrs. delay film, show retention of the main bulk of barium.

  3. Assessment of radiological protection systems among diagnostic radiology facilities in North East India. (United States)

    Singh, Thokchom Dewan; Jayaraman, T; Arunkumar Sharma, B


    This study aims to assess the adequacy level of radiological protection systems available in the diagnostic radiology facilities located in three capital cities of North East (NE) India. It further attempts to understand, using a multi-disciplinary approach, how the safety codes/standards in diagnostic radiology framed by the Atomic Energy Regulatory Board (AERB) and the International Atomic Energy Agency (IAEA) to achieve adequate radiological protection in facilities, have been perceived, conceptualized, and applied accordingly in these facilities. About 30 diagnostic radiology facilities were randomly selected from three capitals of states in NE India; namely Imphal (Manipur), Shillong (Meghalaya) and Guwahati (Assam). A semi-structured questionnaire developed based on a multi-disciplinary approach was used for this study. It was observed that radiological practices undertaken in these facilities were not exactly in line with safety codes/standards in diagnostic radiology of the AERB and the IAEA. About 50% of the facilities had registered/licensed x-ray equipment with the AERB. More than 80% of the workers did not use radiation protective devices, although these devices were available in the facilities. About 85% of facilities had no institutional risk management system. About 70% of the facilities did not carry out periodic quality assurance testing of their x-ray equipment or surveys of radiation leakage around the x-ray room, and did not display radiation safety indicators in the x-ray rooms. Workers in these facilities exhibited low risk perception about the risks associated with these practices. The majority of diagnostic radiology facilities in NE India did not comply with the radiological safety codes/standards framed by the AERB and IAEA. The study found inadequate levels of radiological protection systems in the majority of facilities. This study suggests a need to establish firm measures that comply with the radiological safety codes/standards of the

  4. Radiological interpretation of images displayed on tablet computers: a systematic review. (United States)

    Caffery, L J; Armfield, N R; Smith, A C


    To review the published evidence and to determine if radiological diagnostic accuracy is compromised when images are displayed on a tablet computer and thereby inform practice on using tablet computers for radiological interpretation by on-call radiologists. We searched the PubMed and EMBASE databases for studies on the diagnostic accuracy or diagnostic reliability of images interpreted on tablet computers. Studies were screened for inclusion based on pre-determined inclusion and exclusion criteria. Studies were assessed for quality and risk of bias using Quality Appraisal of Diagnostic Reliability Studies or the revised Quality Assessment of Diagnostic Accuracy Studies tool. Treatment of studies was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). 11 studies met the inclusion criteria. 10 of these studies tested the Apple iPad(®) (Apple, Cupertino, CA). The included studies reported high sensitivity (84-98%), specificity (74-100%) and accuracy rates (98-100%) for radiological diagnosis. There was no statistically significant difference in accuracy between a tablet computer and a digital imaging and communication in medicine-calibrated control display. There was a near complete consensus from authors on the non-inferiority of diagnostic accuracy of images displayed on a tablet computer. All of the included studies were judged to be at risk of bias. Our findings suggest that the diagnostic accuracy of radiological interpretation is not compromised by using a tablet computer. This result is only relevant to the Apple iPad and to the modalities of CT, MRI and plain radiography. The iPad may be appropriate for an on-call radiologist to use for radiological interpretation.

  5. Radiological features of bilateral hereditary micro-epiphyseal dysplasia - a distinct entity in the skeletal dysplasias

    Energy Technology Data Exchange (ETDEWEB)

    Mostert, A.K. [Isala Clinics, Location Weezenlanden, Dept. of Orthopaedic Surgery, Zwolle (Netherlands); Dijkstra, P.F. [Jan van Breemen Inst., Dept. of Radiology, Amsterdam (Netherlands); Horn, J.R. van [Univ. Hospital Groningen, Dept. of Orthopaedic Surgery, Groningen (Netherlands); Jansen, B.R.H. [Reinier de Graaf Hospital, Dept. of Orthopaedic Surgery, Delft (Netherlands); Heutink, P. [Erasmus MCRotterdam, Dept. of Clinical Genetics, Rotterdam (Netherlands); Lindhout, D. [Univ. Medical Centre Utrecht, Dept. of Medical Genetics, Utrecht (Netherlands)


    Aim: To prove that bilateral hereditary micro-epiphyseal dysplasia (BHMED), first described by Elsbach in 1959, is a distinct disorder radiologically as well as clinically, compared with multiple epiphyseal dysplasia (MED). Material and Methods: We used the data of the revised pedigree with 84 family members, performed a medical history, physical examination and made a radiological evaluation for defining a clinical and radiological phenotype of BHMED family members. We used blood samples for genetic analysis. Results: Although there is a clear clinical picture of the dysplasia, the radiological signs are more reliable for making the diagnosis. Especially the typical deformity of the hip and knee joint are diagnostic for BHMED. By linkage analysis we excluded linkage with the three known MED-loci (EDM1, EDM2 and EDM3). Conclusion: BHMED is indeed an entity that is distinct from common multiple epiphyseal dysplasia (MED), clinically, as well as radiologically and genetically. (orig.) [German] Ziel: Es sollte dargelegt werden, dass sich eine vererbliche, laterale Mikro-Epiphysendysplasie (BHMED), Erstbeschreibung durch Elsbach 1959, klinisch, radiologisch und genetisch von einer mutiplen Epiphysendysplasie (MED) unterscheidet. Material und Methode: Anhand der Daten eines ueberarbeiteten Stammbaumes mit 84 Familienmitgliedern wurde der medizinische Werdegang rekonstruiert. Es erfolgte eine physische Untersuchung der Familienmitglieder. Schliesslich wurde eine radiologische Auswertung durchgefuehrt, um einen klinischen und radiologischen Phaenotyp der von BHMED betroffenen Familienmitglieder zu definieren. Fuer eine genetische Analyse wurden Blutproben entnommen. Ergebnisse: Obwohl es ein deutliches klinisches Bild einer Dysplasie gibt, sind die radiologischen Kennzeichen fuer die Diagnose zuverlaessiger. Insbesondere die typische Deformation der Huefte und des Kniegelenks ist diagnostisch fuer BHMED. Durch Linkage-Analyse konnte eine Verbindung zu den drei bekannten

  6. Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem. (United States)

    Fink, B; Oremek, D


    To evaluate the hypothesis that failed osteosynthesis of periprosthetic Vancouver type B1 fractures can be treated successfully with stem revision using a transfemoral approach and a cementless, modular, tapered revision stem with reproducible rates of fracture healing, stability of the revision stem, and clinically good results. A total of 14 patients (11 women, three men) with a mean age of 72.4 years (65 to 90) undergoing revision hip arthroplasty after failed osteosynthesis of periprosthetic fractures of Vancouver type B1 were treated using a transfemoral approach to remove the well-fixed stem before insertion of a modular, fluted titanium stem which obtained distal fixation. These patients were clinically and radiologically followed up for a mean 52.2 months (24 to 144). After a mean of 15.5 weeks (standard deviation (sd) 5.7) all fractures had healed. No stems subsided and bony-ingrowth fixation had occurred according to the classification of Engh et al. The mean Harris Hip Score increased from a pre-operative score of 22.2 points (sd 9.7) to 81.5 points (sd 16.8) 24 months post-operatively. All hips had obtained an excellent result according to the classification of Beals and Tower. The technique described here for stem revision provides reproducibly good results in the treatment of failed osteosynthesis for Vancouver types B1 periprosthetic fractures of the hip. Cite this article: Bone Joint J 2017;99-B(4 Supple B):11-16. ©2017 Fink et al.

  7. Evidence-based radiology: why and how?

    Energy Technology Data Exchange (ETDEWEB)

    Sardanelli, Francesco; Di Leo, Giovanni [Universita degli Studi di Milano, Dipartimento di Scienze Medico-Chirurgiche, Unita di Radiologia, IRCCS Policlinico San Donato, Via Morandi 30, San Donato Milanese, Milan (Italy); Hunink, Myriam G. [Erasmus University Medical Center, Department of Radiology, Rotterdam (Netherlands); Erasmus University Medical Center, Department of Epidemiology, Rotterdam (Netherlands); Harvard School of Public Health, Program for Health Decision Science, Boston, MA (United States); Gilbert, Fiona J. [University of Aberdeen, Aberdeen Biomedical Imaging Centre, Aberdeen (United Kingdom); Krestin, Gabriel P. [Erasmus University Medical Center, Department of Radiology, Rotterdam (Netherlands)


    To provide an overview of evidence-based medicine (EBM) in relation to radiology and to define a policy for adoption of this principle in the European radiological community. Starting from Sackett's definition of EBM we illustrate the top-down and bottom-up approaches to EBM as well as EBM's limitations. Delayed diffusion and peculiar features of evidence-based radiology (EBR) are defined with emphasis on the need to shift from the demonstration of the increasing ability to see more and better, to the demonstration of a significant change in treatment planning or, at best, of a significant gain in patient outcome. The ''as low as reasonably achievable'' (ALARA) principle is thought as a dimension of EBR while EBR is proposed as part of the core curriculum of radiology residency. Moreover, we describe the process of health technology assessment in radiology with reference to the six-level scale of hierarchy of studies on diagnostic tests, the main sources of bias in studies on diagnostic performance, and levels of evidence and degrees of recommendations according to the Centre for Evidence-Based Medicine (Oxford, UK) as well as the approach proposed by the GRADE working group. Problems and opportunities offered by evidence-based guidelines in radiology are considered. Finally, we suggest nine points to be actioned by the ESR in order to promote EBR. Radiology will benefit greatly from the improvement in practice that will result from adopting this more rigorous approach to all aspects of our work. (orig.)

  8. Undergraduate radiology teaching from the student's perspective. (United States)

    Nyhsen, Christiane M; Steinberg, Laura J; O'Connell, Janice E


    To obtain medical students' evaluation of the quality of undergraduate radiology teaching received, preferred teaching methods and resources. This is a follow-up project to an earlier study of junior doctors who felt that radiology teaching left them ill prepared for medical practice. A questionnaire to third and fifth year medical students undertaking clinical rotations at Newcastle University, UK. The questionnaire was completed by 57/60 (95 %) of third and 37/40 (93 %) of final year medical students. Students received minimal radiology teaching in pre-clinical years, feeling this was insufficient. The majority of students rated interactive case-based teaching as effective. Self-directed learning resources such as textbooks, journals and even online learning modules were perceived as less effective. Other types of web resources rated higher. Motivation for most students when studying radiology was to achieve learning objectives needed to pass their next exams and/or to improve as a doctor. Medical students criticise the lack of radiology teaching in pre-clinical undergraduate years. Radiology teaching should be represented in all undergraduate years, preferably delivered via interactive teaching sessions. Currently available e-learning modules do not meet the students' learning needs and there is a call for reliable, up-to-date open access electronic resources. • Radiology teaching should be represented in all pre-clinical and clinical undergraduate years. • Medical students rate interactive case-based teaching sessions as very effective. • There is a call for reliable, up-to-date open access electronic resources for medical students.

  9. Intelligent image retrieval based on radiology reports. (United States)

    Gerstmair, Axel; Daumke, Philipp; Simon, Kai; Langer, Mathias; Kotter, Elmar


    To create an advanced image retrieval and data-mining system based on in-house radiology reports. Radiology reports are semantically analysed using natural language processing (NLP) techniques and stored in a state-of-the-art search engine. Images referenced by sequence and image number in the reports are retrieved from the picture archiving and communication system (PACS) and stored for later viewing. A web-based front end is used as an interface to query for images and show the results with the retrieved images and report text. Using a comprehensive radiological lexicon for the underlying terminology, the search algorithm also finds results for synonyms, abbreviations and related topics. The test set was 108 manually annotated reports analysed by different system configurations. Best results were achieved using full syntactic and semantic analysis with a precision of 0.929 and recall of 0.952. Operating successfully since October 2010, 258,824 reports have been indexed and a total of 405,146 preview images are stored in the database. Data-mining and NLP techniques provide quick access to a vast repository of images and radiology reports with both high precision and recall values. Consequently, the system has become a valuable tool in daily clinical routine, education and research. Radiology reports can now be analysed using sophisticated natural language-processing techniques. Semantic text analysis is backed by terminology of a radiological lexicon. The search engine includes results for synonyms, abbreviations and compositions. Key images are automatically extracted from radiology reports and fetched from PACS. Such systems help to find diagnoses, improve report quality and save time.

  10. Multimodal Revision Techniques in Webtexts (United States)

    Ball, Cheryl E.


    This article examines how an online scholarly journal, "Kairos: Rhetoric, Technology, Pedagogy," mentors authors to revise their webtexts (interactive, digital media scholarship) for publication. Using an editorial pedagogy in which multimodal and rhetorical genre theories are merged with revision techniques found in process-based…

  11. Revised Rules for Concrete Bridges

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle; Jensen, F. M.; Middleton, C.

    This paper is based on research performed for the Highway Agency, London, UK under the project DPU/9/44 "Revision of Bridge Assessment Rules Based on Whole Life Performance: Concrete Bridges" It contains details of a methodology which can be used to generate Whole Life (WL) reliability profiles....... These WL reliability profiles may be used to establish revised rules for Concrete Bridges....

  12. Emotion Processes in Knowledge Revision (United States)

    Trevors, Gregory J.; Kendeou, Panayiota; Butterfuss, Reese


    In recent years, a number of insights have been gained into the cognitive processes that explain how individuals overcome misconceptions and revise their previously acquired incorrect knowledge. The current study complements this line of research by investigating the moment-by-moment emotion processes that occur during knowledge revision using a…

  13. Surgical scar revision: An overview

    Directory of Open Access Journals (Sweden)

    Shilpa Garg


    Full Text Available Scar formation is an inevitable consequence of wound healing from either a traumatic or a surgical intervention. The aesthetic appearance of a scar is the most important criteria to judge the surgical outcome. An understanding of the anatomy and wound healing along with experience, meticulous planning and technique can reduce complications and improve the surgical outcome. Scar revision does not erase a scar but helps to make it less noticeable and more acceptable. Both surgical and non-surgical techniques, used either alone or in combination can be used for revising a scar. In planning a scar revision surgeon should decide on when to act and the type of technique to use for scar revision to get an aesthetically pleasing outcome. This review article provides overview of methods applied for facial scar revision. This predominantly covers surgical methods.

  14. Recent Revisions to PVWATTS

    Energy Technology Data Exchange (ETDEWEB)

    Marion, B.; Anderberg, M.; Gray-Hann, P.


    PVWATTS is an Internet-accessible software program that allows the user to easily calculate the energy production and cost savings for grid-connected photovoltaic (PV) systems located throughout the United States. To ensure that PVWATTS continues to meet its users' needs, an online survey form was provided to users to identify areas for improvement. The results of the survey were used to prioritize improvements to PVWATTS in FY2005. PVWATTS was revised by changing the PV system specification input for system size from an AC power rating to a nameplate DC power rating; adding an input for an overall DC to AC derate factor; updating the residential electric rates; adding monthly and yearly solar radiation values for the PV array; and simplifying the user interface for Version 2.

  15. Philippines revises power plans

    Energy Technology Data Exchange (ETDEWEB)

    Hayes, D.


    Following an unexpected surge in electricity demand the Philippines has revised its medium term power development programme. The sharp increase in electricity consumption follows three years of slack demand due to civil disturbances before the end of the Macros administration and the election of Corazon Aquino as President in 1986. Originally, the Aquino government's medium term power development plans called for about 500MW of generating capacity to be installed between 1986 and 1992. The three proposed plants were scheduled for commissioning in 1991 and 1992. However, a spurt in power demand growth during the past nine months has caused concern among industrialists that power shortages could occur by the end of the decade. So additional capacity will be installed to prevent an anticipated shortfall in electricity supplies by the early 1990s.

  16. The Development of Radiology among Slovenes

    Directory of Open Access Journals (Sweden)

    Zvonka Zupanič Slavec


    Full Text Available Few discoveries in the history of science brought such significant progress as did the discovery of X-rays by the German physicist Wilhelm Conrad Röntgen in 1895. The finding did not only bring a revolution to the field of medicine but also to many other technical branches. With technological progress in the 20th century, medical roentgenology swiftly developed. The first significant step forward was the introduction of contrast media followed by others including computerised image data management and digital techniques. Medical diagnostics embraced other imaging methods based on other types of energy such as ultrasound and magnetic resonance imaging. The beginnings of roentgenology in the Slovene Lands go back to the year 1900. Bone fractures were the first to be imaged, followed by thoracic imaging and contrast imaging of the gastrointestinal tract. The use of roentgenology spread significantly after World War I, with the implementation in the following years of X-ray machines in all Slovenian hospitals, some spas and sanatoria. Gradually the need for an independent scientific institution emerged, which led to the establishment of the Roentgenological Institute for Slovenia and Istria in Ljubljana in 1923. At the same time radiology was developing also by other Slovenian hospitals.In the 1950s, Slovenian roentgenology increasingly stayed in touch with contemporary international development, updated its equipment and introduced new methods. The modern concept of centralised radiological management, comparable with that of modern European institutions, was realised in Ljubljana in 1973 after the relocation of the Radiological Institute to the new facilities at the Ljubljana University Medical Centre. The first computer tomography machine was installed in 1980, the first ultrasound machine was acquired in 1981, the first digital subtraction angiography (DSA machine was introduced in 1986 and the first magnetic resonance machine was installed in

  17. Eponyms in cardiothoracic radiology: Part I. Neoplasms. (United States)

    Mohammed, Tan-Lucien H; Saettele, Megan R; Saettele, Timothy; Patel, Vikas; Kanne, Jeffrey P


    Eponyms serve the purpose of honoring individuals who have made important observations and discoveries. As with other fields of medicine, eponyms are frequently encountered in radiology, particularly in chest radiology. However, inappropriate use of an eponym may lead to potentially dangerous miscommunication. Moreover, an eponym may honor the incorrect person or a person who falls into disrepute. Despite their limitations, eponyms are still widespread in medical literature. Furthermore, in some circumstances, more than one individual may have contributed to the description or discovery of a particular anatomical structure or disease, whereas in others, an eponym may have been incorrectly applied initially and propagated for years in medical literature. Nevertheless, radiologic eponyms are a means of honoring those who have made lasting contributions to the field of radiology, and familiarity with these eponyms is critical for proper reporting and accurate communication. In addition, the acquisition of some historical knowledge about those whose names are associated with various structures or pathologic conditions conveys a sense of humanity in the field of medicine. In this article, the first of a multipart series, the authors discuss a number of chest radiology eponyms as they relate to neoplasms, including relevant clinical and imaging features, as well biographic information of the respective eponym׳s namesake. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Resources planning for radiological incidents management (United States)

    Hamid, Amy Hamijah binti Ab.; Rozan, Mohd Zaidi Abd; Ibrahim, Roliana; Deris, Safaai; Yunus, Muhd. Noor Muhd.


    Disastrous radiation and nuclear meltdown require an intricate scale of emergency health and social care capacity planning framework. In Malaysia, multiple agencies are responsible for implementing radiological and nuclear safety and security. This research project focused on the Radiological Trauma Triage (RTT) System. This system applies patient's classification based on their injury and level of radiation sickness. This classification prioritizes on the diagnostic and treatment of the casualties which include resources estimation of the medical delivery system supply and demand. Also, this system consists of the leading rescue agency organization and disaster coordinator, as well as the technical support and radiological medical response teams. This research implemented and developed the resources planning simulator for radiological incidents management. The objective of the simulator is to assist the authorities in planning their resources while managing the radiological incidents within the Internal Treatment Area (ITA), Reception Area Treatment (RAT) and Hospital Care Treatment (HCT) phases. The majority (75%) of the stakeholders and experts, who had been interviewed, witnessed and accepted that the simulator would be effective to resolve various types of disaster and resources management issues.

  19. E-learning and education in radiology. (United States)

    Pinto, Antonio; Brunese, Luca; Pinto, Fabio; Acampora, Ciro; Romano, Luigia


    To evaluate current applications of e-learning in radiology. A Medline search was performed using PubMed (National Library of Medicine, Bethesda, MD) for publications discussing the applications of e-learning in radiology. The search strategy employed a single combination of the following terms: (1) e-learning, and (2) education and (3) radiology. This review was limited to human studies and to English-language literature. We reviewed all the titles and subsequent the abstract of 29 articles that appeared pertinent. Additional articles were identified by reviewing the reference lists of relevant papers. Finally, the full text of 38 selected articles was reviewed. Literature data shows that with the constant development of technology and global spread of computer networks, in particular of the Internet, the integration of multimedia and interactivity introduced into electronic publishing has allowed the creation of multimedia applications that provide valuable support for medical teaching and continuing medical education, specifically for radiology. Such technologies are valuable tools for collaboration, interactivity, simulation, and self-testing. However, not everything on the World Wide Web is useful, accurate, or beneficial: the quality and veracity of medical information on the World Wide Web is variable and much time can be wasted as many websites do not meet basic publication standards. E-learning will become an important source of education in radiology. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  20. E-learning and education in radiology

    Energy Technology Data Exchange (ETDEWEB)

    Pinto, Antonio, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy); Brunese, Luca, E-mail: [Department of Health Science, Faculty of Medicine and Surgery, University of Molise, I-86100 Campobasso (Italy); Pinto, Fabio, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy); Acampora, Ciro, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy); Romano, Luigia, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy)


    Purpose: To evaluate current applications of e-learning in radiology. Material and methods: A Medline search was performed using PubMed (National Library of Medicine, Bethesda, MD) for publications discussing the applications of e-learning in radiology. The search strategy employed a single combination of the following terms: (1) e-learning, and (2) education and (3) radiology. This review was limited to human studies and to English-language literature. We reviewed all the titles and subsequent the abstract of 29 articles that appeared pertinent. Additional articles were identified by reviewing the reference lists of relevant papers. Finally, the full text of 38 selected articles was reviewed. Results: Literature data shows that with the constant development of technology and global spread of computer networks, in particular of the Internet, the integration of multimedia and interactivity introduced into electronic publishing has allowed the creation of multimedia applications that provide valuable support for medical teaching and continuing medical education, specifically for radiology. Such technologies are valuable tools for collaboration, interactivity, simulation, and self-testing. However, not everything on the World Wide Web is useful, accurate, or beneficial: the quality and veracity of medical information on the World Wide Web is variable and much time can be wasted as many websites do not meet basic publication standards. Conclusion: E-learning will become an important source of education in radiology.

  1. Welcome to the Journal of Global Radiology

    Directory of Open Access Journals (Sweden)

    Sarwat Hussain


    Full Text Available ‘Global radiology’ is a new concept – a subspecialty of radiology that includes much more than diagnosticians and interventionists. It consists of an international community of individuals, groups and organizations working to improve access to and quality of medical imaging around the globe, and address universal shortages of equipment, infrastructure, trained personnel, education, and research opportunities in underdeveloped countries. Currently, articles on global radiology are scattered throughout various radiology journals. The Journal of Global Radiology (JGR, an open-access, peer-reviewed journal, seeks to counteract this fragmentation of information by publishing content pertaining exclusively to improving access to medical imaging on an international scale and addressing global health disparities. In addition to original research articles, JGR will invite book and literature reviews, commentary, state of radiology reports, technical notes, editorials and other articles that fit with the publication's mission of encouraging communication, collaboration, education and advocacy. Additionally, JGR will facilitate collaboration on publications between researchers in developed and underdeveloped programs through a Scholar Twinning program.

  2. Conventional dental radiology; Konventionelle Dentalradiologie und Zukunftsperspektiven

    Energy Technology Data Exchange (ETDEWEB)

    Youssefzadeh, S.; Gahleitner, A. [Universitaetsklinik fuer Radiodiagnostik, Wien (Austria); Bernhart, D.; Bernhart, T. [Universitaetsklinik fuer Zahnheilkunde, Wien (Austria)


    Until recently, conventional dental radiology was performed by dentists and orofacial surgeons. Due to the rapid development of radiological technique, the demand of radiological advice is increasing. The radiologists see more and more dental patients in their daily routine. The aim of this article is to give an overview on established dental radiology and a glimpse into the future. Conventional dental radiology and digital radiography are presently in use. Intraoral technique comprises dental films, bite-wing views and occlusal radiographs. Panoramic views and cephalometric radiographs are done with extraoral technique. Digital radiography lacks all processes in behalf of film development. It leads to dose reduction and enables image manipulation. (orig.) [German] Die konventionelle Radiologie in der Zahnheilkunde (Dentalradiologie) wurde hauptsaechlich von den niedergelassenen Zahnaerzten und Mund-, Kiefer- und Gesichtschirurgen betrieben. Aufgrund der rasanten Entwicklung in der radiologischen Methodik wird die fachaerztliche Unterstuetzung durch den Radiologen immer notwendiger, und die raschen Fortschritte erfordern eine zunehmende Zusammenarbeit dieser medizinischen Faecher. Die fachspezifische Anforderung an den Radiologen tritt immer haeufiger im Routinebetrieb auf. Ziel dieses Artikels ist die Aufstellung der derzeit eingesetzten Technik sowie ein Ausblick in die nahe Zukunft. Prinzipiell wird zwischen der konventionellen Dentalradiologie und der digitalen Radiographie unterschieden. Die Dentalradiologie setzt sich aus der intraoralen Technik (Zahnfilme, Bissfluegelaufnahmen, Aufbissaufnahme) und der extraoralen Technik (Panoramaaufnahmen, Panoramaschichtaufnahmen, Fernroentgen) zusammen. Die digitale Radiographie ermoeglicht die Umgehung der konventionellen Entwicklungsverfahren, eine Strahlendosisreduktion und bietet die Moeglichkeit der Bildverarbeitung. (orig.)

  3. Radiologic science students' perceptions of parental involvement. (United States)

    DuBose, Cheryl; Barymon, Deanna; Vanderford, Virginia; Hensley, Chad; Shaver, Gary


    A new generation of students is in the classroom, and they are not always alone. Helicopter parents, those who hover around the student and attempt to ease life's challenges, are accompanying the students to radiologic science programs across the nation. To determine radiologic science students' perception regarding their parents' level of involvement in their lives. A survey focused on student perceptions of parental involvement inside and outside of the academic setting was completed by 121 radiologic science students at 4 institutional settings. The analysis demonstrates statistically significant relationships between student sex, age, marital status, and perceived level of parental involvement. In addition, as financial support increases, students' perception of the level of parental involvement also increases. Radiologic science students want their parents to be involved in their higher education decisions. Research indicates that students with involved parents are more successful, and faculty should be prepared for increased parental involvement in the future. Radiologic science students perceive their parents to be involved in their academic careers. Ninety-five percent of respondents believe that the financial support of their parent or parents contributes to their academic success. Sixty-five percent of participants are content with their parents' current level of involvement, while 11% wish their parents were more involved in their academic careers.

  4. Radiology research in mainland China in the past 10 years: a survey of original articles published in Radiology and European Radiology

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Long Jiang; Wang, Yun Fei; Yang, Zhen Lu; Lu, Guang Ming [Medical School of Nanjing University, Department of Medical Imaging, Jinling Hospital, Nanjing, Jiangsu (China); Schoepf, U.J. [Medical School of Nanjing University, Department of Medical Imaging, Jinling Hospital, Nanjing, Jiangsu (China); Medical University of South Carolina, Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Charleston, SC (United States); Xu, Jiaqian [Medical University of South Carolina, Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Charleston, SC (United States); Li, Enzhong [National Natural Science Foundation of China, Department of Medical Science, Beijing (China)


    To evaluate the features and trends of Radiology research in Mainland China through bibliometric analysis of the original articles published in Radiology and European Radiology (ER) between 2006 and 2015. We reviewed the original articles published in Radiology and ER between 2006 and 2015. The following information was abstracted: imaging subspecialty, imaging technique(s) used, research type, sample size, study design, statistical analysis, study results, funding declarations, international collaborations, number of authors, department and province of the first author. All variables were examined longitudinally over time. Radiology research in Mainland China saw a substantial increase in original research articles published, especially in the last 5 years (P < 0.001). Within Mainland China's Radiology research, neuroradiology, vascular/interventional Radiology, and abdominal Radiology were the most productive fields; MR imaging was the most used modality, and a distinct geographic provenience was observed for articles published in Radiology and ER. Radiology research in Mainland China has seen substantial growth in the past 5 years with neuroradiology, vascular/interventional Radiology, and abdominal Radiology as the most productive fields. MR imaging is the most used modality. Article provenience shows a distinct geographical pattern. (orig.)

  5. A training syllabus for radiation protection in dental radiology. (United States)

    Gallagher, A; Dowling, A; Renehan, J; Clarke, D; Malone, J F


    The EU Council Directive 97/43/EURATOM (MED) states that Member States shall ensure that adequate theoretical and practical training is provided for dental practitioners working with ionising radiation; this also includes the provision of continuing education and training programmes, post-qualification. The area of dental radiology is specifically mentioned in this legally binding document. The Department of Medical Physics and Bioengineering, St James's Hospital, Dublin, is particularly interested in the area of radiation protection training and routinely provides educational courses both at national and international levels. A recent review of their dental radiation protection course was undertaken in conjunction with a number of Principal Dental Surgeons within the Health Service Executive in Ireland. The revised course was delivered to over 200 dental staff members at two separate meetings during 2006. The response from attendees was very positive. It is proposed to extend this course to other dental professionals, working both in the Irish private and public health sectors in the future.

  6. A training syllabus for radiation protection in dental radiology.

    LENUS (Irish Health Repository)

    Gallagher, A


    The EU Council Directive 97\\/43\\/EURATOM (MED) states that Member States shall ensure that adequate theoretical and practical training is provided for dental practitioners working with ionising radiation; this also includes the provision of continuing education and training programmes, post-qualification. The area of dental radiology is specifically mentioned in this legally binding document. The Department of Medical Physics and Bioengineering, St James\\'s Hospital, Dublin, is particularly interested in the area of radiation protection training and routinely provides educational courses both at national and international levels. A recent review of their dental radiation protection course was undertaken in conjunction with a number of Principal Dental Surgeons within the Health Service Executive in Ireland. The revised course was delivered to over 200 dental staff members at two separate meetings during 2006. The response from attendees was very positive. It is proposed to extend this course to other dental professionals, working both in the Irish private and public health sectors in the future.

  7. Conversion from Radiologically Isolated Syndrome to Multiple Sclerosis (United States)

    Etemadifar, Masoud; Janghorbani, Mohsen; Koushki, Mohammad Mehdi; Etemadifar, Fatemeh; Esfahani, Mahboobeh Fereidan


    Background: The aim of this study was to estimate the conversion rate from radiologically isolated syndrome (RIS) to definite multiple sclerosis (MS). Methods: During a mean (standard deviation [SD]) follow-up period of 17.4 (5.4) (range 8-29) months, 25 subjects with RIS and without neurological symptom aged 22-45 year from a single-center have been examined for the occurrence of definite MS. The mean (SD) age of participants was 35.1 (6.2) years at first brain magnetic resonance imaging (MRI). The definite MS were assessed using the revised McDonald's criteria (2010). Results: Six of 25 patients developed clinical symptom consistent with criteria for definite MS. The conversion rate from RIS to definite MS was 1.5 (95% confidence interval [CI] 0.54, 3.17) per 100 person-months based on 480 person-months of follow-up. Multivariate analysis revealed that presence of contrast-enhancing lesions on the initial MRI was marginally significantly associated with MS (hazard ratio 1.83, 95% CI 0.98, 3.45, P = 0.060). Conclusions: This is the first estimate of conversion rate from RIS to definite MS in Iran. The conversion rates from RIS to definite MS in these participants are high and intensive follow-up and intervention strategies are recommended for these high-risk individuals. A larger study is warranted to assess this risk in greater detail. PMID:25538833

  8. Collaborative learning in radiologic science education. (United States)

    Yates, Jennifer L


    Radiologic science is a complex health profession, requiring the competent use of technology as well as the ability to function as part of a team, think critically, exercise independent judgment, solve problems creatively and communicate effectively. This article presents a review of literature in support of the relevance of collaborative learning to radiologic science education. In addition, strategies for effective design, facilitation and authentic assessment of activities are provided for educators wishing to incorporate collaborative techniques into their program curriculum. The connection between the benefits of collaborative learning and necessary workplace skills, particularly in the areas of critical thinking, creative problem solving and communication skills, suggests that collaborative learning techniques may be particularly useful in the education of future radiologic technologists. This article summarizes research identifying the benefits of collaborative learning for adult education and identifying the link between these benefits and the necessary characteristics of medical imaging technologists.

  9. Radiology: "killer app" for next generation networks? (United States)

    McNeill, Kevin M


    The core principles of digital radiology were well developed by the end of the 1980 s. During the following decade tremendous improvements in computer technology enabled realization of those principles at an affordable cost. In this decade work can focus on highly distributed radiology in the context of the integrated health care enterprise. Over the same period computer networking has evolved from a relatively obscure field used by a small number of researchers across low-speed serial links to a pervasive technology that affects nearly all facets of society. Development directions in network technology will ultimately provide end-to-end data paths with speeds that match or exceed the speeds of data paths within the local network and even within workstations. This article describes key developments in Next Generation Networks, potential obstacles, and scenarios in which digital radiology can become a "killer app" that helps to drive deployment of new network infrastructure.

  10. Routine Radiological Environmental Monitoring Plan. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Bechtel Nevada


    The U.S. Department of Energy manages the Nevada Test Site in a manner that meets evolving DOE Missions and responds to the concerns of affected and interested individuals and agencies. This Routine Radiological Monitoring Plan addressess complicance with DOE Orders 5400.1 and 5400.5 and other drivers requiring routine effluent monitoring and environmental surveillance on the Nevada Test Site. This monitoring plan, prepared in 1998, addresses the activities conducted onsite NTS under the Final Environmental Impact Statement and Record of Decision. This radiological monitoring plan, prepared on behalf of the Nevada Test Site Landlord, brings together sitewide environmental surveillance; site-specific effluent monitoring; and operational monitoring conducted by various missions, programs, and projects on the NTS. The plan provides an approach to identifying and conducting routine radiological monitoring at the NTS, based on integrated technical, scientific, and regulatory complicance data needs.

  11. The quantum X-ray radiology apparatus

    CERN Document Server

    Hilt, B; Prevot, G


    The paper entitled 'New Quantum Detection System for Very Low Dose X-ray Radiology', presented at the talk session, discusses the preliminary data obtained using a new quantum X-ray radiology system with a high-efficiency solid-state detector and highly sensitive electronics, making it possible to reduce significantly the dose administered to a patient in X-ray radiology examinations. The present paper focuses more on the technological aspects of the apparatus, such as the integration of the detector with the two Asics, and the computer system. Namely, it is shown how the computer system calibrates the detection system, acquires the data in real time, and controls the scan parameters and image filtering process.

  12. Radiology: An interdisciplinary profession more than ever

    Energy Technology Data Exchange (ETDEWEB)

    Lissner, J.; Fenzl, G.; Gebauer, A.; Ingrisch, H.; Willich, N.


    The interdisciplinary character of Radiology emerges especially in those areas which are known as interventional Radiology. The most important methods are Percutaneous Transluminal Angioplasty, Percutaneous Transhepatic Cholangiography, puncture and drainage of abscesses, extraction of intraluminal foreign bodies as well as therapeutical occlusion of vessels. Furthermore Nuclear Medicine emphasizes the interdisciplinary position e.g. the application of SPECT in the diagnoses and localization of disturbances of regional myocardial perfusion in coronary heart disease. Radiotherapy as a clinical discipline has an interdisciplinary character by the field of its application. In particular the new interstitial ways of therapy e.g. the insertion of J-125 Seeds into the prostate gland require a close cooperation between the urologic surgeon and the radiologists. The methods presented have increased the interdisciplinary position of radiology more than ever.

  13. Radiologic investigation after laparoscopic inguinal hernia repair

    Energy Technology Data Exchange (ETDEWEB)

    Larmark, Martin; Ekberg, Olle [Department of Diagnostic Radiology, Malmoe University Hospital, 205 02, Malmoe (Sweden); Montgomery, Agneta [Department of Surgery, Malmoe University Hospital, 205 02, Malmoe (Sweden)


    Laparoscopic instead of open surgical repair of inguinal hernias is becoming more frequent. Radiologists may expect different postoperative findings depending on the technique used. We studied how radiology had been used postoperatively and what findings were encountered after laparoscopic herniorraphy. Postoperative radiologic examinations related to hernia repair of all consecutive patients that had had laparoscopic herniorraphy in Malmoe University hospital between 1992 and 1998 were retrospectively evaluated. A total of 538 groins were included, 3.9% (n=21) of these were postoperatively examined with ultrasound (n=10), herniography (n=7), plain abdominal films (n=2), CT (n=1), or fistulography (n=1). Significant findings were found in five groins, namely, one sinus tract, two hematomas, one small bowel obstruction, and one recurrence of hernia. Four insignificant seromas were found. The characteristics of the findings and pitfalls are described. Symptoms resulting in radiologic examination are rare after laparoscopic herniorraphy. The radiologist must be familiar with the spectrum of such findings. (orig.)

  14. Research in forensic radiology and imaging

    DEFF Research Database (Denmark)

    Aalders, M. C.; Adolphi, N. L.; Daly, B.


    of America, and the Netherlands Forensic Institute. During this meeting, an international and multidisciplinary panel of forensic scientists discussed the current state of science in forensic radiology, and drafted a research agenda to further advance the field. Four groups for further research focus were...... identified: big data and statistics, identification and biological profiling, multimodal imaging, and visualization and presentation. This paper describes each of these research topics and thereby hopes to contribute to the development of this exciting new field of forensic medical science.......This paper presents the outcome of the first international forensic radiology and imaging research summit, organized by the International Society of Forensic Radiology and Imaging, the International Association of Forensic Radiographers, the National Institute of Justice of the United States...

  15. Integrating technology into radiologic science education. (United States)

    Wertz, Christopher Ira; Hobbs, Dan L; Mickelsen, Wendy


    To review the existing literature pertaining to the current learning technologies available in radiologic science education and how to implement those technologies. Only articles from peer-reviewed journals and scholarly reports were used in the research for this review. The material was further restricted to those articles that emphasized using new learning technologies in education, with a focus on radiologic science education. Teaching in higher education is shifting from a traditional classroom-based lecture format to one that incorporates new technologies that allow for more varied and diverse educational models. Radiologic technology educators must adapt traditional education delivery methods to incorporate current technologies. Doing so will help engage the modern student in education in ways in which they are already familiar. As students' learning methods change, so must the methods of educational delivery. The use of new technologies has profound implications for education. If implemented properly, these technologies can be effective tools to help educators.

  16. Interventional Radiology of Male Varicocele: Current Status

    Energy Technology Data Exchange (ETDEWEB)

    Iaccarino, Vittorio, E-mail:; Venetucci, Pietro [University of Naples ' Federico II' , Diagnostic Imaging Department-Cardiovascular and Interventional Radiology, School of Medicine (Italy)


    Varicocele is a fairly common condition in male individuals. Although a minor disease, it may cause infertility and testicular pain. Consequently, it has high health and social impact. Here we review the current status of interventional radiology of male varicocele. We describe the radiological anatomy of gonadal veins and the clinical aspects of male varicocele, particularly the physical examination, which includes a new clinical and ultrasound Doppler maneuver. The surgical and radiological treatment options are also described with the focus on retrograde and antegrade sclerotherapy, together with our long experience with these procedures. Last, we compare the outcomes, recurrence and persistence rates, complications, procedure time and cost-effectiveness of each method. It clearly emerges from this analysis that there is a need for randomized multicentre trials designed to compare the various surgical and percutaneous techniques, all of which are aimed at occlusion of the anterior pampiniform plexus.

  17. Portrayal of radiology in a major medical television series: How does it influence the perception of radiology among patients and radiology professionals? (United States)

    Heye, T; Merkle, E M; Leyendecker, J R; Boll, D T; Gupta, R T


    To assess how the portrayal of Radiology on medical TV shows is perceived by patients and radiology professionals. In this IRB-approved study with patient consent waived, surveys were conducted among adult patients scheduled for radiological examinations and radiology professionals. The questionnaire investigated medical TV watching habits including interest in medical TV shows, appearance of radiological examination/staff, radiology's role in diagnosis-making, and rating of the shows' accuracy in portraying radiology relative to reality. One hundred and twenty-six patients and 240 professionals (133 technologists, 107 radiologists) participated. 63.5 % patients and 63.2 % technologists rated interest in medical TV shows ≥5 (scale 1-10) versus 38.3 % of radiologists. All groups noted regular (every 2nd/3rd show) to >1/show appearance of radiological examinations in 58.5-88.2 % compared to 21.0-46.2 % for radiological staff appearance. Radiology played a role in diagnosis-making regularly to >1/show in 45.3-52.6 %. There is a positive correlation for interest in medical TV and the perception that radiology is accurately portrayed for patients (r = 0.49; P = 0.001) and technologists (r = 0.38; P = 0.001) but not for radiologists (r = 0.01). The majority of patients perceive the portrayed content as accurate. Radiologists should be aware of this cultivation effect to understand their patients' behaviour which may create false expectations towards radiological examinations and potential safety hazards. • Radiology in medical TV shows is conveyed as important in diagnosis making • Presence of radiological staff is less frequent compared to examinations shown • Positive correlation for interest in medical TV and radiology perceived as accurate • TV experience may create false expectations and potential safety hazards.

  18. Federal Radiological Monitoring and Assessment Center Overview of FRMAC Operations

    Energy Technology Data Exchange (ETDEWEB)



    In the event of a major radiological emergency, 17 federal agencies with various statutory responsibilities have agreed to coordinate their efforts at the emergency scene under the umbrella of the Federal Radiological Emergency Response Plan. This cooperative effort will ensure that all federal radiological assistance fully supports their efforts to protect the public. the mandated federal cooperation ensures that each agency can obtain the data critical to its specific responsibilities. This Overview of Federal Radiological Monitoring and Assessment Center (FRMAC) describes the FRMAC response activities to a major radiological emergency. It also describes the federal assets and subsequent operational activities which provide federal radiological monitoring and assessment of the off-site areas.

  19. Advanced Neutron Source radiological design criteria

    Energy Technology Data Exchange (ETDEWEB)

    Westbrook, J.L.


    The operation of the proposed Advanced Neutron Source (ANS) facility will present a variety of radiological protection problems. Because it is desired to design and operate the ANS according to the applicable licensing standards of the Nuclear Regulatory Commission (NRC), it must be demonstrated that the ANS radiological design basis is consistent not only with state and Department of Energy (DOE) and other usual federal regulations, but also, so far as is practicable, with NRC regulations and with recommendations of such organizations as the Institute of Nuclear Power Operations (INPO) and the Electric Power Research Institute (EPRI). Also, the ANS radiological design basis is in general to be consistent with the recommendations of authoritative professional and scientific organizations, specifically the National Council on Radiation Protection and Measurements (NCRP) and the International Commission on Radiological Protection (ICRP). As regards radiological protection, the principal goals of DOE regulations and guidance are to keep occupational doses ALARA [as low as (is) reasonably achievable], given the current state of technology, costs, and operations requirements; to control and monitor contained and released radioactivity during normal operation to keep public doses and releases to the environment ALARA; and to limit doses to workers and the public during accident conditions. Meeting these general design objectives requires that principles of dose reduction and of radioactivity control by employed in the design, operation, modification, and decommissioning of the ANS. The purpose of this document is to provide basic radiological criteria for incorporating these principles into the design of the ANS. Operations, modification, and decommissioning will be covered only as they are affected by design.

  20. How Secure Is Your Radiology Department? Mapping Digital Radiology Adoption and Security Worldwide. (United States)

    Stites, Mark; Pianykh, Oleg S


    Despite the long history of digital radiology, one of its most critical aspects--information security--still remains extremely underdeveloped and poorly standardized. To study the current state of radiology security, we explored the worldwide security of medical image archives. Using the DICOM data-transmitting standard, we implemented a highly parallel application to scan the entire World Wide Web of networked computers and devices, locating open and unprotected radiology servers. We used only legal and radiology-compliant tools. Our security-probing application initiated a standard DICOM handshake to remote computer or device addresses, and then assessed their security posture on the basis of handshake replies. The scan discovered a total of 2774 unprotected radiology or DICOM servers worldwide. Of those, 719 were fully open to patient data communications. Geolocation was used to analyze and rank our findings according to country utilization. As a result, we built maps and world ranking of clinical security, suggesting that even the most radiology-advanced countries have hospitals with serious security gaps. Despite more than two decades of active development and implementation, our radiology data still remains insecure. The results provided should be applied to raise awareness and begin an earnest dialogue toward elimination of the problem. The application we designed and the novel scanning approach we developed can be used to identify security breaches and to eliminate them before they are compromised.

  1. Medical Ethics and Law in Radiologic Technology. (United States)

    Matthews, Eric P; Matthews, Tracy M


    At every stage of their careers, radiologic technologists and student technologists must adhere to high ethical standards, obey the law, and consistently conduct themselves with professionalism. This article explains how modern health care ethics evolved, focusing on 8 important theorists. It also describes the ethical responsibilities of health care providers and the rights of patients. Important civil rights laws are discussed, focusing on the rights of health care workers as employees. A brief overview of the U.S. legal system follows, including the causes of action that most commonly involve health care professionals. Finally, this article discusses professionalism and its implications for radiologic technologists.

  2. Central venous catheters: the role of radiology

    Energy Technology Data Exchange (ETDEWEB)

    Tan, P.L. [Department of Radiology, John Radcliffe Hospital, Oxford (United Kingdom)]. E-mail:; Gibson, M. [Department of Radiology, Royal Berkshire Hospital, Reading, Berkshire (United Kingdom)


    The insertion and management of long-term venous catheters have long been the province of anaesthetists, intensive care physicians and surgeons. Radiologists are taking an increasing role in the insertion of central venous catheters (CVCs) because of their familiarity with the imaging equipment and their ability to manipulate catheters and guide-wires. The radiological management of the complications of CVCs has also expanded as a result. This article reviews the role of radiology in central venous access, covering the detection and management of their complications.

  3. Radiological NESHAP ANNUAL REPORT CY 2016.

    Energy Technology Data Exchange (ETDEWEB)

    Evelo, Stacie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)


    This report provides a summary of the radionuclide releases from the United States (U.S.) Department of Energy (DOE) National Nuclear Security Administration facilities at Sandia National Laboratories, New Mexico (SNL/NM) during Calendar Year (CY) 2016, including the data, calculations, and supporting documentation for demonstrating compliance with 40 Code of Federal Regulation (CFR) 61, Subpart H--NATIONAL EMISSION STANDARDS FOR EMISSIONS OF RADIONUCLIDES OTHER THAN RADON FROM DEPARTMENT OF ENERGY FACILITIES (Radiological NESHAP). A description is given of the sources and their contributions to the overall dose assessment. In addition, the maximally exposed individual (MEI) radiological dose calculation and the population dose to local and regional residents are discussed.

  4. Review on radiation protection in diagnostic radiology

    Directory of Open Access Journals (Sweden)

    Vahid Karami


    Full Text Available Discovery of x-ray and using of it for medical imaging have produced tremendous outcomes for diagnosis and treatment of diseases. More than 10 million diagnostic radiological procedures and 100,000 nuclear medicine exams are being performed daily around the world. According to the national commission on radiological protection and measurements (NCRP-report 160, medical x-ray is contribute to approximately 95% of all radiological examinations that is responsible for 74% of the collective dose to the US population. Despite of unique benefits of ionizing radiations, in the field of radiation protection, they are associated with potential risks such as cancer and genetically abnormalities. The cancer risk attributable to diagnostic radiology is estimated about 0.6% to 3%. It is estimated that the radiation dose from diagnostic x-ray procedures are annually responsible for 7,587 and 5,695 cases of radiation induced cancer in the population of Japan and US, respectively. Although the radiation dose associated with most radiological procedures are very low, but rapid increasing use of radiography procedures during two past decades have been concerned due to the cancer risk associated with ionizing radiations. On the base of linear no-threshold (LNT model of dose-response curve, any level of exposure is dangerous. Deoxyribonucleic acid (DNA is the main target of ionizing radiation. For radiological exposure with low dose, the stochastic effects such as genetic damages and leukemia are concerned. According to the recommendations of the radiation protection regulatory organizations, radiological procedure must be done with respect to social and economic factors in which exposure of patient and population kept as low as reasonable and achievable. Hence, prescription of a radiological test is acceptable only when its advantages are higher than its damages. Optimizing the different parameters such as: collimating the primary beam field to the area of

  5. Communicating Uncertainty in the Radiology Report. (United States)

    Bruno, Michael A; Petscavage-Thomas, Jonelle; Abujudeh, Hani H


    The purposes of this article are to explore the issue of diagnostic uncertainty in radiology and how the radiology report has often fallen short in this regard and to suggest approaches that can be helpful in addressing this challenge. The practice of medicine involves a great deal of uncertainty, which is an uncomfortable reality for most physicians. Radiologists are more often than not faced with considerable diagnostic uncertainty and in their written reports are challenged to effectively communicate that uncertainty to referring physicians and others.

  6. A Lean Six Sigma journey in radiology. (United States)

    Bucci, Ronald V; Musitano, Anne


    The department of radiology at Akron Children's Hospital embarked on a Lean Six Sigma mission as part of a hospital wide initiative to show increased customer satisfaction, reduce employee dissatisfaction and frustration, and decrease costs. Three processes that were addressed were reducing the MRI scheduling back-log, reconciling discrepancies in billing radiology procedures, and implementing a daily management system. Keys to success is that managers provide opportunities to openly communicate between department sections to break down barriers. Executive leaders must be engaged in Lean Six Sigma for the company to be successful.

  7. Arthritis: Conventional and Advanced Radiological Imaging

    Directory of Open Access Journals (Sweden)

    Adviye Ergun


    Full Text Available Arthritides are acute or chronic inflammation of one or more joints. The most common types of arthritis are osteoarthritis and rheumatoid arthritis, but there are more than 100 different forms. Right and early diagnosis is extremely important for the prevention of eventual structural and functional disability of the affected joint. Imaging findings, especially those of advanced level imaging, play a major role in diagnosis and monitor the progression of arthritis or its response to therapy. The objective of the review is to discuss the findings of conventional and advanced radiological imaging of most common arthritides and to present a simplified approach for their radiological evaluation.

  8. Virtual radiology rounds: adding value in the digital era

    Energy Technology Data Exchange (ETDEWEB)

    Fefferman, Nancy R.; Strubel, Naomi A.; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P. [New York University School of Medicine, Department of Radiology, New York, NY (United States)


    To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

  9. Business of radiology 101: the state of radiology business practice and health care policy curricula at US radiology residency programs. (United States)

    Medverd, Jonathan R; Dicks, Demetrius L; Tang, Joseph; Kohr, Jennifer R; Stratil, Peter G; Cinelli, Christina M; Monroe, Eric J


    The aim of this study was to assess the prevalence, content, and perceptions of curricula focused on radiology business practice and health care policy at US radiology residency training programs. The desired survey population was trainees and faculty members of radiology residency programs in the United States. Three anonymous survey instruments were distributed, including an e-mail survey to the membership of the ACR RFS, a paper survey to ACR RFS delegates attending the 2010 AMCLC, and an e-mail survey to the membership of the Association of Program Directors in Radiology (APDR). Response rates for the surveys were 12%, 25%, and 21%, respectively. Members of the APDR and RFS agreed that understanding and competency in business practice and health care policy topics are important to the future careers of residents (total favorable sentiment >86% for APDR members and >96% for RFS members). Most survey respondents' home institutions offer some form of a noninterpretive curriculum (91% of APDR respondents, 74% of RFS respondents), but the breadth of topics addressed and educational time devoted to these curricula were quite variable. Subjective effectiveness of curricula was infrequently rated as very effective by 12% of APDR respondents and 6% of RFS respondents. Despite the perceived importance of radiology business practice and health care policy education, and residency training requirements in competencies related to these subjects that have been in place for more than a decade, curricula addressing these items still seem to be in a stage of acceptance and development. Further commitment to and innovation within these curricula are requisite in educating our future radiologists. Published by Elsevier Inc.

  10. Circumcision revision in male children

    Directory of Open Access Journals (Sweden)

    Mohammed A. Al-Ghazo


    Full Text Available OBJECTIVE: To determine indications for circumcision revision and to identify the specialty of the person who performed unsatisfactory primary circumcision. MATERIALS AND METHODS: The authors reviewed medical records of 52 cases that underwent circumcision revision over a 6-year period (1998 to 2004. Sleeve surgical technique was used for revision in patients with redundant foreskin or concealed penis, penoplasty for partial or complete degloving of the penis and meatotomy for external meatal stenosis. The mean age of children was 32 months (range 6 months to 9 years. RESULTS: Most of unsatisfactory primary circumcisions (86.7% were performed by laymen. All patients who underwent circumcision revision had good to excellent cosmetic results. CONCLUSION: Primary circumcision performed by laymen carry a high complication rate and serious complications may occur. A period of training and direct supervision by physicians is required before allowing laymen to perform circumcision independently.

  11. Book Review: Radiology where there are no radiologists ...

    African Journals Online (AJOL)

    Abstract. "Radiology Where There Are no Radiologists" "Manual of Radiographic interpretation for General Practitioners" Palmer, ps., Cockshott, WP., Hegedus v., Samuel, E.: WHO Basic Radiological System WHO, Geneva, 1985 (SFr. 23) ...

  12. Childhood hydrocephalus – is radiological morphology associated with etiology

    DEFF Research Database (Denmark)

    Foss-Skiftesvik, Jon; Andresen, Morten; Juhler, Marianne


    Clinicians use a non-standardized, intuitive approach when correlating radiological morphology and etiology of hydrocephalus.......Clinicians use a non-standardized, intuitive approach when correlating radiological morphology and etiology of hydrocephalus....

  13. Radiological Characterization and Final Facility Status Report Tritium Research Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, T.B.; Gorman, T.P.


    This document contains the specific radiological characterization information on Building 968, the Tritium Research Laboratory (TRL) Complex and Facility. We performed the characterization as outlined in its Radiological Characterization Plan. The Radiological Characterization and Final Facility Status Report (RC&FFSR) provides historic background information on each laboratory within the TRL complex as related to its original and present radiological condition. Along with the work outlined in the Radiological Characterization Plan (RCP), we performed a Radiological Soils Characterization, Radiological and Chemical Characterization of the Waste Water Hold-up System including all drains, and a Radiological Characterization of the Building 968 roof ventilation system. These characterizations will provide the basis for the Sandia National Laboratory, California (SNL/CA) Site Termination Survey .Plan, when appropriate.

  14. Acute Radiological Abnormalities after Bronchial Thermoplasty: A Prospective Cohort Trial

    NARCIS (Netherlands)

    d'Hooghe, Julia N. S.; van den Berk, Inge A. H.; Annema, Jouke T.; Bonta, Peter I.


    Background: Bronchial thermoplasty (BT) is a novel treatment for severe asthma based on radiofrequency energy delivery to the larger airways. Although impressive radiological abnormalities have been reported, the incidence, pattern, and behavior over time of acute radiological abnormalities

  15. Diana Reference Manual. Revision 3, (United States)


    private -To be filled in... ead Diana ; External Representation of DIANA Page 145 CHAPTER 5 EXTERNAL REPRESENTATION OF DIANA This chapter describes how a...1 1 mml L.~ 2 .i i .- . .... c7- 0/0 04 TARTAN LABORATOR4IES *dOORPORATED 00 N DIANA REFERENCE MANUAL Revision 3 Arthur Evans Jr. MCC Kenneth J...Butler Tartan Laboratories Incorporated Editors. Revised Diana Reference Manual G0. GOOD Inatitut fuer Informatik 11. Universitmet Karlsruhe Win. A. Wuif

  16. Trust Revision for Conflicting Sources (United States)


    analyst wants to include the realistic possibility that there can be rain and sunshine simultaneously, then the domain would need to include a...tative and idempotent; but it is not associative. IV. TRUST DISCOUNTING The general idea behind trust discounting is to express degrees of trust in an...A:C X is revised. Trust revision consists of increasing distrust at the cost of trust and uncertainty. The idea is that sources found to be unreliable

  17. ORIGINAL ARTICLE Clinical, anthropometric, radiological and ...

    African Journals Online (AJOL)


    Aim of the Work: Evaluation of the cardinal phenotypic features in achondro- plasia, the body physique using anthropometric measurements, the character- istic radiological signs in the patients as a main ... and detailed skeletal survey are the key for accurate diagnosis, genetic counseling and avoidance of over diagnosis.

  18. SA Journal of Radiology: Site Map

    African Journals Online (AJOL)

    Journal Home · Journals · SA Journal of Radiology · About · Log In · Register · Advanced Search · By Author · By Title. Issues. Current Issue · Archives · Open Journal Systems · Help. ISSN: 2078-6778. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL ...

  19. Curriculum Guidelines for Predoctoral Oral Radiology. (United States)

    Journal of Dental Education, 1987


    The American Association of Dental Schools' guidelines for oral radiology curricula give an overview of the field and its interrelationships with other fields and outline the primary educational objectives, prerequisites, core content, specific behavioral objectives, sequencing, faculty, facilities, and occupational hazards to be considered in…

  20. Torus palatinus | Naidoo | SA Journal of Radiology

    African Journals Online (AJOL)

    Kupffer and Bessel-Hagen coined the term torus palatinus in 1879 for a benign osseous protuberance arising from the midline of the hard palate. Tori are present in approximately 20% of the population and are occult until adulthood. Recent advances in modern radiology have led to improved evaluation and diagnosis of ...

  1. Radiology residents' experience with intussusception reduction. (United States)

    Bateni, Cyrus; Stein-Wexler, Rebecca; Wootton-Gorges, Sandra L; Li, Chin-Shang


    Residents should be exposed to adequate procedural volume to act independently upon completion of training. Informal inquiry led us to question whether residents encounter enough intussusception reductions to become comfortable with the procedure. We sought to determine radiology residents' exposure to intussusception reductions, and whether their experiences vary by region or institution. U.S. radiology residency program directors were asked to encourage their residents to complete a 12-question online survey describing characteristics of their pediatric radiology department, experiences with intussusception reduction, and confidence in their own ability to perform the procedure. Six hundred sixty-four residents responded during the study period. Of those, 308 (46.4%) had not experienced an intussusception reduction, and 228 (34%) had experienced only one or two. Twenty-two percent of fourth-year residents had never experienced an intussusception reduction, and 21% had experienced only one. Among second- through fourth-year residents, only 99 (18.3%) felt confident that they could competently reduce an intussusception (P Radiology residents have limited opportunity to learn intussusception reduction and therefore lack confidence. Most think they would benefit from additional training with a computer-simulation model.

  2. Pseudomyxoma peritonei | Sureka | SA Journal of Radiology

    African Journals Online (AJOL)

    Pseudomyxoma peritonei is a rare complication of mucinous tumours of appendiceal or ovarian origin. Other associations are malignancies of the colon, urachus and biliary tree. Large amounts of extracellular and peritoneal mucin result in distortion and loss of function of visceral organs. Currently, radiology plays a critical ...

  3. Computer assisted radiology and surgery. CARS 2010

    Energy Technology Data Exchange (ETDEWEB)



    The conference proceedings include contributions to the following topics: (1) CARS Clinical Day: minimally invasive spiral surgery, interventional radiology; (2) CARS - computer assisted radiology and surgery: ophthalmology, stimulation methods, new approaches to diagnosis and therapy; (3) Computer assisted radiology 24th International congress and exhibition: computer tomography and magnetic resonance, digital angiographic imaging, digital radiography, ultrasound, computer assisted radiation therapy, medical workstations, image processing and display; (4) 14th Annual conference of the International Society for computer aided surgery; ENT-CMF head and neck surgery computer-assisted neurosurgery, cardiovascular surgery, image guided liver surgery, abdominal and laparoscopic surgery, computer-assisted orthopedic surgery, image processing and visualization, surgical robotics and instrumentation, surgical modeling, simulation and education; (5) 28th International EuroPACS meeting: image distribution and integration strategies, planning and evaluation, telemedicine and standards, workflow and data flow in radiology; (6) 11th CARS/SPIE/EuroPACS joint workshop on surgical PACS and the digital operating, management and assessment of OR systems and integration; (7) 12th International workshop on computer-aided diagnosis: special session on breast CAD, special session on thoracic CAD, special session on abdominal brain, lumbar spine CAD; (8) 16th computed Maxillofacial imaging congress: computed maxillofacial imaging in dental implantology, orthodontics and dentofacial orthopedics; approaches to 3D maxillofacial imaging; surgical navigation; (9) 2nd EuroNOTES/CARS workshop on NOTES: an interdisciplinary challenge; (10) 2nd EPMA/CARS workshop on personalized medicine and ICT.; (11)poster sessions.

  4. Interventional neuroradiology techniques in interventional radiology

    CERN Document Server

    Murphy, Kieran; Robertson, Fergus; Watkinson, Anthony


    This book provides accessible technique-specific information on interventional radiology procedures, in a format suitable for reference in the IR treatment room or as a carry-around guide. Offers step-by-step points, key point summaries and illustrations.

  5. A new radiologic sign of subpulmonic effusion. (United States)

    Schwarz, M I; Marmorstein, B L


    A new radiologic sign of subpulmonic effusion is described. That is obliteration of the intrapulmonary blood vessels which are seen below the level of the diaphragmatic dome. One hundred normal chest films are reviewed as well as nine patients with subpulmonic effusions. In three of the patients with subpulmonic effusions, this sign was the first evidence of pleural effusion.

  6. Workplace Bullying in Radiology and Radiation Oncology. (United States)

    Parikh, Jay R; Harolds, Jay A; Bluth, Edward I


    Workplace bullying is common in health care and has recently been reported in both radiology and radiation oncology. The purpose of this article is to increase awareness of bullying and its potential consequences in radiology and radiation oncology. Bullying behavior may involve abuse, humiliation, intimidation, or insults; is usually repetitive; and causes distress in victims. Workplace bullying is more common in health care than in other industries. Surveys of radiation therapists in the United States, student radiographers in England, and physicians-in-training showed that substantial proportions of respondents had been subjected to workplace bullying. No studies were found that addressed workplace bullying specifically in diagnostic radiology or radiation oncology residents. Potential consequences of workplace bullying in health care include anxiety, depression, and health problems in victims; harm to patients as a result of victims' reduced ability to concentrate; and reduced morale and high turnover in the workplace. The Joint Commission has established leadership standards addressing inappropriate behavior, including bullying, in the workplace. The ACR Commission on Human Resources recommends that organizations take steps to prevent bullying. Those steps include education, including education to ensure that the line between the Socratic method and bullying is not crossed, and the establishment of policies to facilitate reporting of bullying and support victims of bullying. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  7. Poland's syndrome: radiologic findings

    Energy Technology Data Exchange (ETDEWEB)

    Bazzi Junior, Joao Lourenco, E-mail: [Clinica Via Imagem, Xanxere, SC (Brazil); Matta, Eduardo Simoes da [Pro Circulacao - Clinica de Angiologia, Cirurgia Vascular e Ecografia Vascular, Xanxere, SC (Brazil); De Bortoli, Luciano [Materclinica Materno Infantil, Xanxere, SC (Brazil); De Bortoli, Felipe Raasch [Universidade Catolica de Pelotas (UCPel), Pelotas, RS (Brazil). Fac. of Medicine


    Poland's syndrome is a rare non-inherited congenital anomaly. The authors describe the classic radiologic findings of Poland's syndrome by reporting the case of a male four-year old patient with asymmetry of hands and chest, illustrating the fundamental imaging criteria for a conclusive diagnosis. (author)

  8. ORIGINAL ARTICLE Quality management systems in radiology

    African Journals Online (AJOL)

    few studies on quality management in radiology have been reported,[4] despite the need for in-depth studies to develop effective, efficient and sustainable programmes commensurate with the socio-economic status of the country. The broad legal requirements for quality assurance (QA) and quality control (QC) of medical ...

  9. Radiological Findings of Primary Retroperitoneal Ewing Sarcoma

    Energy Technology Data Exchange (ETDEWEB)

    Ulusan, S.; Koc, Z.; Tuba Canpolat, E.; Colakoglu, T. [Depts. of Radiology, Pathology, and General Surgery, Baskent Univ. Faculty of Medicine, Adana (Turkey)


    Ewing sarcomas are most commonly located in bone, while extra skeletal involvement of the retroperitoneum is extremely rare. We describe the radiologic and pathological findings in an adult patient with retroperitoneal extra skeletal Ewing sarcoma. Keywords: Color Doppler ultrasound; computed tomography; extra skeletal Ewing sarcoma; magnetic resonance imaging; ultrasound.

  10. PICTORIAL ESSAY Thymic masses: A radiological review

    African Journals Online (AJOL)

    pericardium, aortic arch, left innominate vein, and trachea. ... Thymic masses: A radiological review. M K Mittal, MD, FICR; B Sureka, MD, DNB; M Sinha, MD; A Mittal, MD, DNB; B B Thukral, MD, FICR. Department of Radiodiagnosis and Imaging, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

  11. Acute radiologic intervention in gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Lesak, F.


    A case of embolization of the gastroduodenal artery in a 38-year old man with chronic pancreatitis and uncontrollable bleeding is presented. The advantage of this interventional radiologic procedure is discussed and in selective cases it seems to be the choice of treatment.

  12. Radiological aspects of sprained ankle syndrome

    NARCIS (Netherlands)

    Sijbrandij, E.S.


    This thesis addresses several problems related to sprained ankle syndrome. The purpose of this thesis is to evaluate the imaging features of sprained ankles, found on new radiological modalities, and to assess the additional diagnostic understanding and treatment planning of helical CT as well as

  13. CASE REPORT Radiological chest manifestations in diffuse ...

    African Journals Online (AJOL)

    like syndrome and associated cervical and generalised lymphadenopathy.1. Unilateral parotid gland enlargement in an HIV-positive patient should alert the clinician to suspected DILS.3 Radiological manifestations of this disease should be first sought in the lungs, which is the most common extra-glandular site of infection.

  14. Internal medicine. An illustrated radiological guide

    Energy Technology Data Exchange (ETDEWEB)

    Al-Tubaikh, Jarrah Ali [Universitaetsklinikum Muenchen, Klinikum Grosshadern (Germany). Inst. fuer Klinische Radiologie; Sabah Hospital, Kuwait (Kuwait). Dept. of Diagnostic Radiology


    This book explains how radiology can be a powerful tool for establishing the diagnosis of many internal medicine diseases that are usually diagnosed on the basis of their laboratory or clinical presentation. It is organized in the classic fashion for internal medicine books, with eleven chapters covering the different internal medicine specialties. Within these chapters, more than 450 diseases are considered, some of which are rarely encountered but are nonetheless significant. For each disease, radiological and clinical features are displayed in images and high-quality digital medical illustrations, and those differential diagnoses are identified that can be ruled out by imaging alone. In addition, the pathophysiology underlying the radiological features is described, enabling the reader to understand why a particular sign is seen on MR images, CT scans, or plain radiographs. The book will serve as an excellent radiological atlas for internal medicine practitioners and family physicians, showing disease presentations that may be hard to find in standard medical textbooks and explaining which imaging modalities are likely to be most informative in particular patients. (orig.)

  15. Radiological/biological/aerosol removal system (United States)

    Haslam, Jeffery J


    An air filter replacement system for existing buildings, vehicles, arenas, and other enclosed airspaces includes a replacement air filter for replacing a standard air filter. The replacement air filter has dimensions and air flow specifications that allow it to replace the standard air filter. The replacement air filter includes a filter material that removes radiological or biological or aerosol particles.

  16. Radiological changes and complications associated with nasal ...

    African Journals Online (AJOL)

    The most worrying complications of sinusitis in- volve the orbit and intracranial cavity". Complications and local extension of paranasal sinus infections most often involve the orbit and periorbital”. In conclusion the nasal polyposis has been found in this study to cause the radiological changes mainly in the mxillary sinus and ...

  17. Communication skills for the radiologic technologist. (United States)

    Statkiewicz, M A


    Total patient care during radiologic procedures necessitates treating the whole person rather than just the area of concern. A holistic approach begins with effective communication between the patient and the technologist. This article clarifies the impact of different types of conscious and unconscious communication. Holistic patient care is facilitated by examining congruent verbal and nonverbal messages.


    Watson, Elizabeth; Heng, Hock Gan


    Imaging studies are often of evidentiary value in medicolegal investigations involving animals and the role of the veterinary radiologist is to interpret those images for courts as an expert or opinion witness. With progressing interest in prosecuting animal crimes and strengthening of penalties for crimes against animals, the participation of veterinary radiologists in medicolegal investigations is expected to increase. Veterinary radiologists who are aware of radiographic and imaging signs that result in animal suffering, abuse, or neglect; knowledgeable in ways radiology and imaging may support cause of death determinations; conversant in postmortem imaging; comfortable discussing mechanisms and timing of blunt or sharp force and projectile trauma in imaging; and prepared to identify mimics of abuse can assist court participants in understanding imaging evidence. The goal of this commentary review is to familiarize veterinary radiologists with the forensic radiology and imaging literature and with the advantages and disadvantages of various imaging modalities utilized in forensic investigations. Another goal is to provide background information for future research studies in veterinary forensic radiology and imaging. © 2017 American College of Veterinary Radiology.

  19. Soft tissue Burkitt's lymphoma: radiological findings. (United States)

    García-Barredo, R; Fernández Echevarría, M A; del Riego, M; Canga, A


    An unusual case is reported of a soft tissue mass in the lower extremity, without bone involvement, in an 85-year-old woman; the histopathological diagnosis was Burkitt's lymphoma. Pertinent clinical history, histological examination, and imaging procedures allowed early diagnosis. To our knowledge, the radiological findings in Burkitt's lymphoma with this unusual clinical presentation have not been described previously.

  20. 2K radiological image display station (United States)

    Lou, Shyhliang A.; Huang, H. K.; Taira, Ricky K.; Breant, Claudine M.


    We intend to design a 2K display station which can be used in most of the radiology sections. This paper describes how we collected the basic viewing requirements and defined the criteria for designing the 2K display station. Based on the design criteria, hardware components are selected and software modules are implemented. The hardware components in the display station consist of a SUN 470 computer, two 21' diagonal 2K MegaScan monitors, and a 2.6- Gbyte formatted storage concepts parallel transfer disk. The software modules include a communication software module, a local database module, a local storage management module, and an image display module. The station provides features such as dual-cine, region- of-interest, caliper measurement, image retrieval, and diagnostic report. Four stations have been used in genitourinary radiology, pediatric radiology in-patient and out-patient, and neuroradiology since January 1992. The stations are used for morning and afternoon radiology rounds and frequently for consultations between radiologists and clinicians.

  1. West African Journal of Radiology: Editorial Policies

    African Journals Online (AJOL)

    . Iloanusi N.I.. Okere P.C.N.. Aderibigbe A.S.O.. Business/Publication Manager. Nkwonta Chinelo. Editorial Correspondence: Prof. I.J. Okoye. Department of Radiology. University of Nigeria Teaching Hospital. Ituku/Ozalla, P.M.B. 01129 Enugu, ...

  2. Diagnostic radiology dosimetry: status and trends

    Energy Technology Data Exchange (ETDEWEB)

    Rivera M, T., E-mail: [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, 11500 Mexico D. F. (Mexico)


    Full text: Medical radiation is by far the largest man-made source of public exposure to ionizing radiation. Since 1970 the expression of protection standards shifted from a dose- to a risk-based approach, with dose limits established to yield risks to radiation workers comparable with those for workers in other safe industries. Another hand, worldwide interest in patient dose measurement was stimulated by the publication of Patient Dose Reduction in Diagnostic Radiology by the UK National Radiological Protection Board (NRPB). In response to heightened awareness of the importance of patient dose contributed by radiology procedures, there has been a general trend to effect control of patient doses by applying the principles of optimization coupled with an increase in regulatory enforcement. In this sense, thermoluminescent dosimetry (TLD) has been actively proposed in the last 3 decades thanks to their successful applications in diagnostic radiology. At the same time, it is emerged as the best radiation dosimetry method. The present work presents advantages of thermoluminescent dosimetry for X-ray beams measurements and its optimization. (Author)

  3. Intelligent image retrieval based on radiology reports

    Energy Technology Data Exchange (ETDEWEB)

    Gerstmair, Axel; Langer, Mathias; Kotter, Elmar [University Medical Center Freiburg, Department of Diagnostic Radiology, Freiburg (Germany); Daumke, Philipp; Simon, Kai [Averbis GmbH, Freiburg (Germany)


    To create an advanced image retrieval and data-mining system based on in-house radiology reports. Radiology reports are semantically analysed using natural language processing (NLP) techniques and stored in a state-of-the-art search engine. Images referenced by sequence and image number in the reports are retrieved from the picture archiving and communication system (PACS) and stored for later viewing. A web-based front end is used as an interface to query for images and show the results with the retrieved images and report text. Using a comprehensive radiological lexicon for the underlying terminology, the search algorithm also finds results for synonyms, abbreviations and related topics. The test set was 108 manually annotated reports analysed by different system configurations. Best results were achieved using full syntactic and semantic analysis with a precision of 0.929 and recall of 0.952. Operating successfully since October 2010, 258,824 reports have been indexed and a total of 405,146 preview images are stored in the database. Data-mining and NLP techniques provide quick access to a vast repository of images and radiology reports with both high precision and recall values. Consequently, the system has become a valuable tool in daily clinical routine, education and research. (orig.)

  4. West African Journal of Radiology: Submissions

    African Journals Online (AJOL)

    The Journal accepts for publication, original work in the science and technology of radiology, radiotherapy allied subjects, clinical case reports, discoveries and engineering design/fabrication reports related to any branch of imaging modalities. ... Each component should begin on a new page in the sequence given above.

  5. Comparison of Quality Metrics for Pediatric Shunt Surgery and Proposal of the Negative Shunt Revision Rate. (United States)

    Beez, Thomas; Steiger, Hans-Jakob


    Shunt surgery is common in pediatric neurosurgery and is associated with relevant complication rates. We aimed to compare previously published metrics in a single data set and propose the Negative Shunt Revision Rate (NSRR), defined as proportion of shunt explorations revealing a properly working system, as a new quality metric. Retrospective analysis of our shunt surgery activity in 2015 was performed. Demographic, clinical, and radiologic variables were extracted from electronic medical notes. Surgical Activity Rate, Revision Quotient, 30-day shunt malfunction rate, 90-day global shunt revision rate, Preventable Shunt Revision Rate, and novel NSRR were calculated. Of 60 shunt operations analyzed, 18 (39%) were new shunt insertions, and 42 (70%) were revisions. Median age was 18 months (range, 0.03-204 months), and main etiologies were posthemorrhagic (n = 16; 41%), congenital (n = 11; 28%), and tumor-associated (n = 8; 21%) hydrocephalus. Within 90 days after index surgery, 13 shunt failures occurred, predominantly owing to proximal failure (n = 6; 46%). Surgical Activity Rate was 0.127, Revision Quotient was 2.333, 30-day shunt malfunction rate was 0.166, 90-day global shunt revision rate was 21.7%, and Preventable Shunt Revision Rate was 38.5%. NSRR was 7.1%. Our results correlate with published values and offer measurement of quality that can be compared across studies and considered patient-oriented, easily measurable, and potentially modifiable. We propose NSRR as a new quality metric, covering an aspect of shunt surgery that was not addressed previously. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Educational treasures in radiology: a free online program for Radiology Boards preparation. (United States)

    Talanow, Roland


    An objective tool is desired, which optimally prepares for Radiology boards examination. Such program should prepare examinees with pertinent radiological contents and simulations as expected in the real examination. Many countries require written boards examinations for Radiology certification eligibility. No objective measure exists to tell if the examinee is ready to pass the exam or not. Time pressure and computer environment might be unfamiliar to examinees. Traditional preparation lectures don't simulate the "real" Radiology exam because they don't provide the special environment with multiple choice questions and timing. This online program consists of 4 parts. The entry section allows to create questions with additional fields for comprehensive information. Sections include Pediatrics/Mammography/GI/IR/Nucs/Thoracic/Musculoskeletal/GU/Neuro/Ultrasound/Cardiac/OB/GYN and Miscellaneous. Experienced radiologists and educators evaluate and release/delete these entries in the administrator section. In the exam section users can create (un)timed customized exams for individual needs and learning pace. Exams can either include all sections or only specific sections to gear learning towards areas with weaker performance. Comprehensive statistics unveil the user's strengths and weaknesses to help focussing on "weak" areas. In the search section a comprehensive search and review can be performed by searching the entire database for keywords/topics or only searching within specific sections. is a new working concept of Radiology boards preparation to detect and improve the examinee's weaknesses and finally to increase the examinee's confidence level for the final exam. It is beneficial for Radiology residents and also board certified radiologists to refresh/maintain radiological knowledge.

  7. Should radiology residents be taught evidence-based radiology? An experiment with "the EBR Journal Club". (United States)

    Heilbrun, Marta E


    Introduce radiology residents to evidence-based radiology (EBR) using a journal club format based on the Radiology Alliance for Health Services Research/American Alliance of Academic Chief Residents in Radiology (RAHSR/A3CR2) Critical Thinking Skills sessions and EBR series of articles published in Radiology in 2007. The club began with a presentation outlining the process that would occur in an alternating format, with topics and articles chosen by residents. In session A, questions were rephrased in a Patient/Population, Intervention, Comparison, Outcome format, and a literature search was performed. Articles were discussed in session B, with residents assigned by year to the tasks of article summary, technology assessment, and comparison to checklists (Standards for Reporting of Diagnostic Accuracy, Consolidated Standards of Reporting Trials, or Quality of Reporting of Meta-analysis). The residents collectively assigned a level of evidence to each article, and a scribe provided a summary. Twenty-two residents participated, with 12/22 (55%) of residents submitting any question, 6/22 (27.3%) submitting more than one question, and 4 residents submitting questions in more than one session. Topics included radiation risk, emergency radiology, screening examinations, modality comparisons, and technology assessment. Of the 31 articles submitted for review, 15 were in radiology journals and 5 were published before 2000. For 2/9 topics searched, no single article that the residents selected was available through our library's subscription service. The maximum level of evidence assigned by residents was level III, "limited evidence." In each session, the residents concluded that they became less confident in the "right answer." They proposed that future reading recommendations come from attendings rather than literature searches. A journal club format is an effective tool to teach radiology residents EBR principles. Resistance comes from the difficulty in accessing good

  8. Medical student radiology externs: increasing exposure to radiology, improving education, and influencing career choices. (United States)

    Dobre, Mircea C; Maley, Joan


    The radiology externship program at the authors' institution introduces medical students to radiology using a hands-on approach and is tailored to interested third-year medical students. There are currently limited data available on whether the program increases exposure to radiology in a positive fashion and how it influences medical students' education and career choices. In September 2010, current and former externs between 2007 and 2010 were surveyed using an anonymous, Web-based survey. The response rates were 100% (11 of 11) for current externs and 52% (15 of 29) for former externs, for an overall response rate of 65% (26 of 40). The respondents included 20 men and 5 women. The average age of respondents was 27.3 ± 2.5 years. Forty-six percent of former externs (6 of 13) had matched to radiology residencies, whereas the remainder had matched to various surgical and nonsurgical subspecialties. Eighty-four percent (21 of 25) had overall positive ratings of the program. Ninety-two percent (23 of 25) felt they had a better understanding of which test was most appropriate to order for common indications, and 88% (22 of 25) felt that they had a better understanding of imaging contraindications. Sixty-eight percent (17 of 25) felt that they had a better understanding of risk-benefit analysis involving imaging using ionizing radiation, and 56% (14 of 25) felt more confident in discussing these matters with their patients. This radiology externship program increases exposure to radiology in a positive fashion, increases understanding of the appropriate use of imaging modalities and their associated clinical benefits and risks, and influences medical students' career choices. These results add to the evidence that this type of program is mutually beneficial to medical students, residents, and clinical colleagues and suggest that more medical schools and radiology departments should evaluate the feasibility of starting radiology externship programs. Published by

  9. [Legal aspects of post-mortem radiology in the Netherlands

    NARCIS (Netherlands)

    Venderink, W.; Dute, J.C.


    In the Netherlands, the application of post-mortem radiology (virtual autopsy) is on the rise. Contrary to conventional autopsy, with post-mortem radiology the body remains intact. There is uncertainty concerning the legal admissibility of post-mortem radiology, since the Dutch Corpse Disposal Act

  10. An Overview of Dental Radiology. NCHCT Monograph Series. (United States)

    Manny, Edward F.; And Others

    This overview of dental radiology contains sections on demographics, equipment, dental radiology quality assurance, efficacy, dental radiology education curricula, professional organizations' guidelines for training and use, and state activities. In section 1 dental personnel, population of dental personnel, employment and earning prospects,…

  11. 42 CFR 415.120 - Conditions for payment: Radiology services. (United States)


    ... 42 Public Health 3 2010-10-01 2010-10-01 false Conditions for payment: Radiology services. 415.120... Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to a beneficiary...

  12. Medical Student Perceptions of Radiology Use in Anatomy Teaching (United States)

    Murphy, Kevin P.; Crush, Lee; O'Malley, Eoin; Daly, Fergus E.; Twomey, Maria; O'Tuathaigh, Colm M. P.; Maher, Michael M.; Cryan, John F.; O'Connor, Owen J.


    The use of radiology in the teaching of anatomy to medical students is gaining in popularity; however, there is wide variation in how and when radiology is introduced into the curriculum. The authors sought to investigate students' perceptions regarding methods used to depict and teach anatomy and effects of integrated radiology instruction on…

  13. Post-deployment usability evaluation of a radiology workstation

    NARCIS (Netherlands)

    Jorritsma, Wiard; Cnossen, Fokie; Dierckx, Rudi; Oudkerk, Matthijs; van Ooijen, Peter


    Objective To evaluate the usability of a radiology workstation after deployment in a hospital. Significance In radiology, it is difficult to perform valid pre-deployment usability evaluations due to the heterogeneity of the user group, the complexity of the radiological workflow, and the complexity

  14. A checklist to improve patient safety in interventional radiology

    NARCIS (Netherlands)

    Koetser, Inge C. J.; de Vries, Eefje N.; van Delden, Otto M.; Smorenburg, Susanne M.; Boermeester, Marja A.; van Lienden, Krijn P.


    To develop a specific RADiological Patient Safety System (RADPASS) checklist for interventional radiology and to assess the effect of this checklist on health care processes of radiological interventions. On the basis of available literature and expert opinion, a prototype checklist was developed.

  15. Chance findings in skeletal radiology; Zufallsbefunde in der Skelettradiologie

    Energy Technology Data Exchange (ETDEWEB)

    Freyschmidt, Juergen [Beratungsstelle und Referenzzentrum fuer Osteoradiologie, Bremen (Germany)


    The book on chance findings in skeletal radiology covers the following issues: Part (I): Introduction - what are chance findings? Part (II); change findings under different radiological modalities: most frequent skeletal radiological change findings: scintiscanning, radiography and CT, MRT, PET and PET/CT. Part (III): case studies: skull; spinal cord; shoulder/pectoral girdle, chest; pelvis and hip joints; upper extremities; lower extremities.

  16. Tantalum cones and bone defects in revision total knee arthroplasty. (United States)

    Boureau, F; Putman, S; Arnould, A; Dereudre, G; Migaud, H; Pasquier, G


    Management of bone loss is a major challenge in revision total knee arthroplasty (TKA). The development of preformed porous tantalum cones offers new possibilities, because they seem to have biological and mechanical qualities that facilitate osseointegration. Compared to the original procedure, when metaphyseal bone defects are too severe, a single tantalum cone may not be enough and we have developed a technique that could extend the indications for this cone in these cases. We used 2 cones to fill femoral bone defects in 7 patients. There were no complications due to wear of the tantalum cones. Radiological follow-up did show any migration or loosening. The short-term results confirm the interest of porous tantalum cones and suggest that they can be an alternative to allografts or megaprostheses in case of massive bone defects. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  17. Revision by comparison as a unifying framework: Severe withdrawal, irrevocable revision and irrefutable revision

    National Research Council Canada - National Science Library

    Rott, Hans


    ... has both characteristics of belief contraction (with respect to the ‘reference sentence’) and characteristics of belief revision (with respect to the ‘input sentence’). Using...

  18. Overview of FRMAC Operations. Revision 2

    Energy Technology Data Exchange (ETDEWEB)


    The purpose of this overview of the Federal Radiological Monitoring and Assessment Center (FRMAC) operations is to describe the FRMAC response to a major radiological emergency and to describe the subsequent response activities which provide radiological monitoring and assessment outside the immediate boundaries of the radiological emergency site. In the event of a major radiological emergency, Federal agencies with various statutory responsibilities have agreed to coordinate their efforts at the emergency scene under the umbrella of the Federal Radiological emergency Response Plan (FRERP). This cooperative effort will assure the State(s) and a designed Lead Federal Agency (LFA) that all Federal radiological assistance is fully supporting their efforts to protect the public and will provide monitoring and assessment results for their immediate use in decision making. The Federal agencies do not relinquish their statutory responsibilities. However, the mandated Federal cooperation ensures that each agency can obtain the data critical to its specific responsibilities.

  19. Comparison of the clinical and radiological outcomes of open reduction via medial and anterior approach in devleopmental dysplasia of the hip. (United States)

    Yorgancıgil, Hüseyin; Aslan, Ahmet


    This study aims to investigate the effects of surgical approach on the clinical and radiological outcomes, the incidence of avascular necrosis (AVN), and the need for revision surgery in children undergoing open reduction via medial or anterior approach for developmental dysplasia of the hip (DDH). Forty-three hips of 36 patients (9 males, 27 females; mean age 13.8 month; range 6 to 18 months) treated for DDH, followed-up regularly for at least four years between January 1997 and December 2010, and who were aged five or above in the final control were included in this retrospective study. Patients were divided into two groups according to surgical approaches. Group 1 consisted of 21 hips of 19 patients who underwent open reduction through medial approach. Group 2 consisted of 22 hips of 17 patients who underwent open reduction through anterior approach. Groups were compared in terms of clinical and radiological outcomes as well as the incidence of AVN and the need for revision surgery. There was no statistically significant difference between the groups with respect to clinical and radiological outcomes (p=0.407 and p=0.661, respectively). Similarly, there was no statistically significant difference between the groups in terms of AVN incidence and need for revision surgery (p=0.993 and p=0.170, respectively). On the other hand, acetabular index improved significantly in both groups at follow-up. This study showed that open reduction via medial or anterior approach in DDH has similar clinical and radiological results, significant improvement was achieved in the acetabular index with both approaches, and no significant difference was present in the incidence of AVN and the need for revision surgery between the groups.

  20. Ube3a (United States)

    Wallace, Michael L; van Woerden, Geeske M; Elgersma, Ype; Smith, Spencer L; Philpot, Benjamin D


    Angelman syndrome (AS) is a neurodevelopmental disorder caused by loss of the maternally inherited allele of UBE3A Ube3a STOP/p+ mice recapitulate major features of AS in humans and allow conditional reinstatement of maternal Ube3a with the expression of Cre recombinase. We have recently shown that AS model mice exhibit reduced inhibitory drive onto layer (L)2/3 pyramidal neurons of visual cortex, which contributes to a synaptic excitatory/inhibitory imbalance. However, it remains unclear how this loss of inhibitory drive affects neural circuits in vivo. Here we examined visual cortical response properties in individual neurons to explore the consequences of Ube3a loss on intact cortical circuits and processing. Using in vivo patch-clamp electrophysiology, we measured the visually evoked responses to square-wave drifting gratings in L2/3 regular-spiking (RS) neurons in control mice, Ube3a -deficient mice, and mice in which Ube3a was conditionally reinstated in GABAergic neurons. We found that Ube3a -deficient mice exhibited enhanced pyramidal neuron excitability in vivo as well as weaker orientation tuning. These observations are the first to show alterations in cortical computation in an AS model, and they suggest a basis for cortical dysfunction in AS. NEW & NOTEWORTHY Angelman syndrome (AS) is a severe neurodevelopmental disorder caused by the loss of the gene UBE3A Using electrophysiological recording in vivo, we describe visual cortical dysfunctions in a mouse model of AS. Aberrant cellular properties in AS model mice could be improved by reinstating Ube3a in inhibitory neurons. These findings suggest that inhibitory neurons play a substantial role in the pathogenesis of AS. Copyright © 2017 the American Physiological Society.

  1. Radiology – Changing Role in Healthcare

    Directory of Open Access Journals (Sweden)

    Md Khalilur Rahman


    Full Text Available In November 1895, X-rays were inadvertently discovered by the German physicist Wilhelm Conrad Roentgen. Roentgen provisionally named the new rays as X-rays using the mathematical label for something unidentified. Roentgen's initial manuscript, "On A New Kind of Rays" (άber eine neue Art von Strahlen, was published two months later and in 1901, he received the first ever Nobel Prize in Physics “in recognition of the extraordinary services he has rendered by the discovery of the remarkable rays" subsequently named after him. He himself refused to take out patents, intending to the free use of X-rays for the benefit of mankind. Today, Wilhelm Conrad Roentgen is honoured as the father of diagnostic radiology.1,2 Since the inadvertent discovery of X-rays, conventional radiography has developed greatly and mostly has been replaced by digital radiography equipments which convert X-ray images to electronic data that can be studied using a monitor and archived on a computer disk. Digital techniques permit the radiographs to be viewed instantaneously, additionally allow specific areas of the image to be enlarged, and the contrast of the images can be manipulated to provide greater visibility of the abnormality.1 The anatomical details and sensitivity of the newer modalities is now of a high order and the use of imaging for ultrastructural diagnostics nanotechnology, functional and quantitative diagnostics and molecular medicine is steadily increasing. Most recently the improved imaging clarity and tissue differentiation in a number of clinical situations has dramatically increased the spectrum of the diagnostic information and even in many cases revealing the pathology without the requirement of invasive tissue sampling.3 Eventually radiology is now the prime diagnostic aid for many diseases and also has a vital role in monitoring treatment and predicting outcome. Recent advancements in this field bring a number of imaging modalities which have

  2. [Midterm results and revisions of the thrust plate prosthesis (TPP)]. (United States)

    Ishaque, B A; Wienbeck, S; Stürz, H


    Although already in use for 20 years, the concept of the metaphyseal anchored thrust plate prosthesis has not yet gained general acceptance. Clinical and radiological follow-up examinations were carried out 5 to 8 years after implantation of a TPP. We tried to answer the question if the metaphyseal anchorage of the cement-less TPP is equal to a diaphyseal anchorage of a cement-less stem prosthesis and to define the advantages of the TPP. We included 170 of the patients from our clinic with an implanted TPP in this study. Furthermore we reviewed the results of 30 revision hip arthroplasties of the TPP. The clinical examination were carried out using the Harris hip score while the radiological examinations were performed on the basis of predefined criteria. We found good clinical results. The preoperative Harris score of 48.7 increased to 93.7 at 24 months postoperatively. Radiolucencies were detected and were of varying relevance in dependence on their localization. The Kaplan-Meier survival analysis at 8 years was 90.5 %. The clinical results after changing the TPP were also good to excellent. The mean Harris hip score was 87.3. Our study suggests that in spite of a slightly higher aseptic loosening rate in comparison to the cement-less stem prosthesis, the thrust plate prosthesis proved to be worthwhile. On the basis of previous experience we assume that the TPP is a good alternative implant especially for young patients.

  3. Addressing the coming radiology crisis-the Society for Computer Applications in Radiology transforming the radiological interpretation process (TRIP) initiative. (United States)

    Andriole, Katherine P; Morin, Richard L; Arenson, Ronald L; Carrino, John A; Erickson, Bradley J; Horii, Steven C; Piraino, David W; Reiner, Bruce I; Seibert, J Anthony; Siegel, Eliot


    The Society for Computer Applications in Radiology (SCAR) Transforming the Radiological Interpretation Process (TRIP) Initiative aims to spearhead research, education, and discovery of innovative solutions to address the problem of information and image data overload. The initiative will foster interdisciplinary research on technological, environmental and human factors to better manage and exploit the massive amounts of data. TRIP will focus on the following basic objectives: improving the efficiency of interpretation of large data sets, improving the timeliness and effectiveness of communication, and decreasing medical errors. The ultimate goal of the initiative is to improve the quality and safety of patient care. Interdisciplinary research into several broad areas will be necessary to make progress in managing the ever-increasing volume of data. The six concepts involved are human perception, image processing and computer-aided detection (CAD), visualization, navigation and usability, databases and integration, and evaluation and validation of methods and performance. The result of this transformation will affect several key processes in radiology, including image interpretation; communication of imaging results; workflow and efficiency within the health care enterprise; diagnostic accuracy and a reduction in medical errors; and, ultimately, the overall quality of care.

  4. Machine Learning in Radiology: Applications Beyond Image Interpretation. (United States)

    Lakhani, Paras; Prater, Adam B; Hutson, R Kent; Andriole, Kathy P; Dreyer, Keith J; Morey, Jose; Prevedello, Luciano M; Clark, Toshi J; Geis, J Raymond; Itri, Jason N; Hawkins, C Matthew


    Much attention has been given to machine learning and its perceived impact in radiology, particularly in light of recent success with image classification in international competitions. However, machine learning is likely to impact radiology outside of image interpretation long before a fully functional "machine radiologist" is implemented in practice. Here, we describe an overview of machine learning, its application to radiology and other domains, and many cases of use that do not involve image interpretation. We hope that better understanding of these potential applications will help radiology practices prepare for the future and realize performance improvement and efficiency gains. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  5. Paint for detection of radiological or chemical agents (United States)

    Farmer, Joseph C [Tracy, CA; Brunk, James L [Martinez, CA; Day, Sumner Daniel [Danville, CA


    A paint that warns of radiological or chemical substances comprising a paint operatively connected to the surface, an indicator material carried by the paint that provides an indication of the radiological or chemical substances, and a thermo-activation material carried by the paint. In one embodiment, a method of warning of radiological or chemical substances comprising the steps of painting a surface with an indicator material, and monitoring the surface for indications of the radiological or chemical substances. In another embodiment, a paint is operatively connected to a vehicle and an indicator material is carried by the paint that provides an indication of the radiological or chemical substances.

  6. Rayleigh's Scattering Revised (United States)

    Kolomiets, Sergey; Gorelik, Andrey

    Mie’s waves while sounding within coincident volumes. Being sensitive to the size of scatters, Mie’s waves can give us additional information about particle size distribution. But how about using several wavelengths corresponding to Rayleigh’s diffraction on scatters only? Can any effects be detected in such a case and what performance characteristics of the equipment are required to detect them? The deceptive simplicity of the negative answer to the first part of the question posed will disappear if one collects different definitions of Rayleigh's scattering and consider them more closely than usually. Several definitions borrowed from the introductory texts and most popular textbooks and articles can be seen as one of the reasons for the research presented in the report. Hopefully, based on the comparison of them all, anyone could easily conclude that Rayleigh's scattering has been analyzed extensively, but despite this extensive analysis made fundamental ambiguities in introductory texts are not eliminated completely to date. Moreover, there may be found unreasonably many examples on how these ambiguities have already caused an error to be foreseen, published on the one article, amplified in another one, then cited with approval in the third one, before being finally corrected. Everything indicated that in the light of all the lesions learned and based on modern experimental data, it is time to address these issues again. After the discussion of ambiguities of Rayleigh's scattering concepts, the development of the corrections to original ideas looks relatively easy. In particular, there may be distinguished at least three characteristic regions of the revised models application from the point of view of the scattered field statistical averaging. The authors of the report suggest naming them Rayleigh’s region, Einstein’s region and the region with compensations of the scattering intensity. The most important fact is that the limits of applicability of all

  7. 2016 New Horizons Lecture: Beyond Imaging-Radiology of Tomorrow. (United States)

    Hricak, Hedvig


    This article is based on the New Horizons lecture delivered at the 2016 Radiological Society of North America Annual Meeting. It addresses looming changes for radiology, many of which stem from the disruptive effects of the Fourth Industrial Revolution. This is an emerging era of unprecedented rapid innovation marked by the integration of diverse disciplines and technologies, including data science, machine learning, and artificial intelligence-technologies that narrow the gap between man and machine. Technologic advances and the convergence of life sciences, physical sciences, and bioengineering are creating extraordinary opportunities in diagnostic radiology, image-guided therapy, targeted radionuclide therapy, and radiology informatics, including radiologic image analysis. This article uses the example of oncology to make the case that, if members in the field of radiology continue to be innovative and continuously reinvent themselves, radiology can play an ever-increasing role in both precision medicine and value-driven health care. © RSNA, 2018.

  8. [Ergonomics of the workplace in radiology]. (United States)

    García-Lallana, A; Viteri-Ramírez, G; Saiz-Mendiguren, R; Broncano, J; Dámaso Aquerreta, J


    The replacement of conventional films and view boxes with digital images and computer monitors managed by PACS has clearly improved the diagnostic imaging workplace. The new setup has many advantages, including increased productivity brought about by decreased overall time required for image interpretation. On the other hand, the implementation of the digital workplace has increased the importance of factors like background lighting and the position of the chair, work table, mouse, keyboard, and monitor to prevent lesions that can disable the radiologist. The influence of these factors is often undervalued in the design and implementation of the radiological workplace. This article provides recommendations for the design of the radiological workplace based on ergonomics, which is the science that studies interactions among humans and other elements of a system. Copyright © 2011 SERAM. Published by Elsevier Espana. All rights reserved.

  9. Entrepreneurship in the academic radiology environment. (United States)

    Itri, Jason N; Ballard, David H; Kantartzis, Stamatis; Sullivan, Joseph C; Weisman, Jeffery A; Durand, Daniel J; Ali, Sayed; Kansagra, Akash P


    Innovation and entrepreneurship in health care can help solve the current health care crisis by creating products and services that improve quality and convenience while reducing costs. To effectively drive innovation and entrepreneurship within the current health care delivery environment, academic institutions will need to provide education, promote networking across disciplines, align incentives, and adapt institutional cultures. This article provides a general review of entrepreneurship and commercialization from the perspective of academic radiology departments, drawing on information sources in several disciplines including radiology, medicine, law, and business. Our review will discuss the role of universities in supporting academic entrepreneurship, identify drivers of entrepreneurship, detail opportunities for academic radiologists, and outline key strategies that foster greater involvement of radiologists in entrepreneurial efforts and encourage leadership to embrace and support entrepreneurship. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

  10. Radiological Dispersion Devices and Basic Radiation Science (United States)

    Bevelacqua, Joseph John


    Introductory physics courses present the basic concepts of radioactivity and an overview of nuclear physics that emphasizes the basic decay relationship and the various types of emitted radiation. Although this presentation provides insight into radiological science, it often fails to interest students to explore these concepts in a more rigorous manner. One reason for limited student interest is the failure to link the discussion to topics of current interest. The author has found that presenting this material with a link to radiological dispersion devices (RDDs), or dirty bombs, and their associated health effects provides added motivation for students. The events of Sept. 11, 2001, and periodic media focus on RDDs heighten student interest from both a scientific curiosity as well as a personal protection perspective. This article presents a framework for a more interesting discussion of the basics of radiation science and their associated health effects. The presentation can be integrated with existing radioactivity lectures or added as a supplementary or enrichment activity.

  11. Radiological intervention of the hand and wrist (United States)

    Chopra, Annu; Rowbotham, Emma L


    The role of radiological guided intervention is integral in the management of patients with musculoskeletal pathologies. The key to image-guided procedures is to achieve an accurately placed intervention with minimal invasion. This review article specifically concentrates on radiological procedures of the hand and wrist using ultrasound and fluoroscopic guidance. A systematic literature review of the most recent publications relevant to image-guided intervention of the hand and wrist was conducted. During this search, it became clear that there is little consensus regarding all aspects of image-guided intervention, from the technique adopted to the dosage of injectate and the specific drugs used. The aim of this article is to formulate an evidence-based reference point which can be utilized by radiologists and to describe the most commonly employed techniques. PMID:26313500


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    This manual contains the radiological control requirements to be used for all radiological activities conducted by programs under the purview of the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) and the Yucca Mountain Office of Repository Development (YMORD). Compliance with these requirements will ensure compliance with Title 10 Code of Federal Regulations Part 835 (10 CFR 835), Occupational Radiation Protection. Programs covered by this manual are located at the Nevada Test Site (NTS); Nellis Air Force Base and North Las Vegas, Nevada; Santa Barbara and Pleasanton, California; and at Andrews Air Force Base, Maryland. In addition, field work by NNSA/NSO at other locations is also covered by this manual.

  13. [Radiological diagnostics of cervical rheumatoid arthritis]. (United States)

    Göttsche, T; Kothe, R; Adam, G; Rüther, W


    Rheumatoid arthritis leads to characteristic findings at the synovial joints, the intervertebral discs and the processes of the cervical spine. Isolated findings are not specific for rheumatoid arthritis. In fact, due to common underlying pathophysiologic changes they also develop in other inflammatory diseases affecting the cervical spine. Therefore, each radiological examination is to be understood and used as a piece in the diagnostic puzzle. Only in conjunction with clinical information does it add to a conclusive diagnosis. Nevertheless certain patterns of findings help in narrowing the list of differential diagnosis. Besides their role in initial diagnosis, radiological examinations are crucial tools in the peri- and post-operative work-up and in the detection of typical complications of rheumatoid arthritis with cervical manifestations, i. e. various instabilities and their consequences, as those have an impact on the therapeutic approach and prognosis.

  14. Gestalt theory: implications for radiology education. (United States)

    Koontz, Nicholas A; Gunderman, Richard B


    The Gestalt theory of modern psychology is grounded in the ideas that holistic rather than atomistic approaches are necessary to understand the mind, and that the mental whole is greater than the sum of its component parts. Although the Gestalt school fell out of favor due to its descriptive rather than explanatory nature, it permanently changed our understanding of perception. For the radiologist, such fundamental Gestalt concepts as figure-ground relationships and a variety of "grouping principles" (the laws of closure, proximity, similarity, common region, continuity, and symmetry) are ubiquitous in daily work, not to mention in art and personal life. By considering the applications of these principles and the stereotypical ways in which humans perceive visual stimuli, a radiology learner may incur fewer errors of diagnosis. This article serves to introduce several important principles of Gestalt theory, identify examples of these principles in widely recognizable fine art, and highlight their implications for radiology education.

  15. Radiologic aspects of epiphysial dysplasia in adults

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    Andreeva, V.F. (Leningradskij Inst. Usovershenstvovaniya Vrachej (USSR))

    The results of radiologic examination of 40 patients aged 15 to 64 years with epiphysial (spondyloepiphysial) displasia, adequate in manifestness to developmental anomaly are analyzed. The radiologic examination involved standard radiographs in standard and atypical projections, radiography with direct enlargement of X-ray appearance, and tomography. Various types of epiphysial deformation have been distinguished as a manifest feature of the above-mentioned dysplastic process. Possible combinations of the tubular bones epiphysial hypoplasia with the damage of other articular components are pointed out. Concomitant degenerative-dystrophic processes are characterized as deforming arthrosis, degenerative-dystrophic lesions with cystoid reconstruction of the articulating bones, and aseptic epiphysial necrosis. X-ray picture of the degenerative-dystrophic lesion with cystoid reconstruction of the hinging bones is disclosed most comprehensively.

  16. Motivation and compensation in academic radiology. (United States)

    Bhagwat, Jui G; Ondategui-Parra, Silvia; Zou, Kelly H; Gogate, Adheet; Intriere, Lisa A; Kelly, Pauline; Seltzer, Steven E; Ros, Pablo R


    As radiologists are increasingly faced with the challenges of rising demand for imaging services and staff shortages, the implementation of incentive plans in radiology is gaining importance. A key factor to be considered while developing an incentive plan is the strategic goal of the department. In academic radiology, management should decide whether it will reward research and teaching productivity in addition to clinical productivity. Various models have been suggested for incentive plans based on (1) clinical productivity, (2) multifactor productivity, (3) individual productivity, (4) section productivity, and (5) chair's discretion. Although fiscal rewards are most common, managers should consider other incentives, such as research time, resources for research, vacation time, and recognition awards, because academic radiologists may be motivated by factors other than financial gains.

  17. Radiological protection report 2007; Strahlenschutzbericht 2007

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    This annual report issued by the Swiss Federal Nuclear Inspectorate (HSK) reports on the work carried out by the Inspectorate in 2007. It provides comprehensive data on radiation protection activities in Switzerland during 2007. This is the fourth annual summary report on the radiological protection issues regulated by the Inspectorate. It provides comprehensive data on doses for the staff and for individual jobs. It also includes year-to-year comparisons and comments on the continuing decline in collective and average doses for persons exposed to radiation in the course of their work. Radiation doses are commented on. Radiation in the four Swiss nuclear power stations and in four further nuclear installations in various Swiss research facilities is commented on. The Swiss radiation measurement network is commented on and the results obtained are discussed. The Inspectorate concludes that radiological protection in Swiss nuclear facilities is carried out consistently and in compliance with existing legislation.

  18. The long-term clinical and radiological outcomes in patients who suffer recurrent injuries to the anterior cruciate ligament after reconstruction. (United States)

    Ahmed, I; Salmon, L; Roe, J; Pinczewski, L


    The aim of this study was to investigate the long-term clinical and radiological outcome of patients who suffer recurrent injuries to the anterior cruciate ligament (ACL) after reconstruction and require revision surgery. From a consecutive series of 200 patients who underwent primary reconstruction following rupture of the ACL, we identified 36 who sustained a further rupture, 29 of whom underwent revision surgery. Patients were reviewed prospectively at one, two, seven, 15 and about 20 years after their original surgery. Primary outcome measures were the number of further ruptures, the posterior tibial slope (PTS), and functional and radiological outcomes. These were compared with a gender and age matched cohort of patients who underwent primary ACL reconstruction only. At a mean follow-up of 18.3 years (14.3 to 20.2), 29 patients had undergone revision surgery and within this revision group 11 had sustained more than three ruptures of the ACL (3 to 6). The mean age at the time of revision reconstruction was 26.4 years (14 to 54). The mean PTS was significantly higher in those patients who suffered a further injury to the ACL (11°) compared with the control group (9°) (p reconstruction have poorer functional and radiological outcomes than those who suffer a single injury. The causes of further injury are likely to be multifactorial but an increased PTS appears to have a significant association with recurrent ACL injuries. Cite this article: Bone Joint J 2017;99-B:337-43. ©2017 The British Editorial Society of Bone & Joint Surgery.

  19. The health physics and radiological health handbook

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    Shleien, B. [ed.


    This handbook was conceived in order to fill the need of health physics practitioners, technicians, and students for an easy to use, practical handbook containing health physics and radiological health data. While briefer and more specific data sources are sources are available on single subject areas, as are multi-volume compendia, there is no current up-to-date compilation of information useful on a daily basis by the health physicist. Separate abstracts have been prepared for 16 chapters in this book.

  20. Academic musculoskeletal radiology: influences for gender disparity. (United States)

    Qamar, Sadia R; Khurshid, Kiran; Jalal, Sabeena; Bancroft, Laura; Munk, Peter L; Nicolaou, Savvas; Khosa, Faisal


    Research productivity is one of the few quintessential gauges that North American academic radiology departments implement to determine career progression. The rationale of this study is to quantify the relationship of gender, research productivity, and academic advancements in the musculoskeletal (MSK) radiology to account for emerging trends in workforce diversity. Radiology residency programs enlisted in the Fellowship and Residency Electronic Interactive Database (FREIDA), Canadian Resident Matching Service (CaRMS) and International Skeletal Society (ISS) were searched for academic faculty to generate the database for gender and academic profiles of MSK radiologists. Bibliometric data was collected using Elsevier's SCOPUS archives, and analyzed using Stata version 14.2. Among 274 MSK radiologists in North America, 190 (69.34%) were men and 84 (30.66%) were women, indicating a statistically significant difference (χ2 = 6.34; p value = 0.042). The available number of female assistant professors (n = 50) was more than half of the male assistant professors (n = 88), this ratio however, plummeted at higher academic ranks, with only one-fourth of women (n = 11) professors compared to men (n = 45). The male MSK radiologist had 1.31 times the odds of having a higher h-index, keeping all other variables constant. The trend of gender disparity exists in MSK radiology with significant underrepresentation of women in top tiers of academic hierarchy. Even with comparable h-indices, at the lower academic ranks, a lesser number of women are promoted relative to their male colleagues. Further studies are needed to investigate the degree of influence research productivity has, in determining academic advancement of MSK radiologists.

  1. Project Management for Quality Improvement in Radiology. (United States)

    Larson, David B; Mickelsen, L Jake


    This article outlines a structured approach for applying project management principles to quality improvement in radiology. We highlight the framework we use for managing improvement projects in our department and review basic project management principles. Project management involves techniques for executing projects effectively and efficiently. We recognize the following phases for managing improvement projects: idea, project evaluation and selection, role assignment, planning, improvement, and sustaining improvement.

  2. The radiological manifestations of sickle cell disease

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    Madani, G. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom)]. E-mail:; Papadopoulou, A.M. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Holloway, B. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Robins, A. [Department of Paediatrics, Whittington Hospital NHS Trust, London (United Kingdom); Davis, J. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom); Murray, D. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom)


    Sickle cell disease (SCD) is an inherited abnormality of the ss-globin chain, which causes a spectrum of haemolytic anaemias. Clinical manifestations in SCD include anaemia, jaundice, recurrent vaso-occlusive crises, and infections (particularly by encapsulated bacteria) due to functional asplenia and cerebrovascular accidents. Radiological investigations play a critical role both in the diagnosis and in the primary prevention of the complications of SCD.

  3. Outcome of radiologically placed tunneled haemodialysis catheters. (United States)

    Sayani, Raza; Anwar, Muhammad; Tanveer-ul-Haq; Al-Qamari, Nauman; Bilal, Muhammad Asif


    To study the outcome of radiologically placed double lumen tunneled haemodialysis catheters for the management of renal failure. Case series. Interventional Suite of Radiology Department at the Aga Khan University Hospital, Karachi, from April 2010 to June 2011. All consecutive patients who were referred to the department of radiology by the nephrologists for double lumen tunneled haemodialysis catheter (Permacath) placement during the study period were included. Patients with septicemia, those for whom follow-up was not available, those coming for catheter exchange or who died due to a noncatheter related condition were excluded. A radio-opaque, soft silicone double lumen catheter was inserted through a subcutaneous tunnel created over the anterior chest wall. The catheter tip was placed in the right atrium via the internal jugular vein. Ultrasound guidance was used for initial venous puncture. The rest of the procedure was carried out under fluoroscopic guidance. Technical success, catheter related bacteremia rates, adequacy of dialysis, patency, and adverse events were analyzed. Overall 88 tunneled haemodialysis catheters were placed in 87 patients. Patients were followed-up for duration of 1 - 307 days with mean follow-up period of 4 months. Immediate technical success was 100%. The procedural complication rate was 5.6% (5 catheters). Eight patients died during the study period, seven from causes unrelated to the procedure. One patient died due to septicemia secondary to catheter related infection. Of the remaining 69 patients, 50 (72.4%) predominantly had uneventful course during the study period. Twelve patients developed infection (17.3%); two were successfully treated conservatively while in 10 patients catheter had to be removed. Seven catheters (10.1%) failed due to mechanical problems. In 3 patients the internal jugular veins got partially thrombosed. One catheter was accidentally damaged in the ward and had to be removed. Radiological guided tunneled

  4. Radon and the system of radiological protection. (United States)

    Lecomte, J F


    At its meeting in Porto, Portugal, in November 2009, the Main Commission of the International Commission on Radiological Protection (ICRP) approved the formation of a new Task Group, reporting to Committee 4, to develop guidance on radiological protection against radon exposure. This article describes the Task Group's draft report entitled "Radiological Protection against Radon Exposure" which has been posted on the ICRP website for public consultation between January and June 2012. In this report, the Commission provides updated guidance on radiological protection against radon exposure. The report was developed considering the recently consolidated ICRP general recommendations, the new scientific knowledge about radon risk, and the experience gained by many organisations and countries in the control of radon exposure. The report describes the characteristics of radon exposure, covering sources and transfer mechanisms, nature of the risk, exposure conditions, similarities with other existing exposure situations, and challenges to manage radon exposure. In order to control radon exposure, the Commission recommends an integrated approach that is focused as much as possible on the management of the building or location in which radon exposure occurs, regardless of the purpose of the building and the category of the occupants. This approach is based on the optimisation principle, and a graded approach according to the degree of responsibilities at stake, notably in workplaces, and the level of ambition of the national authorities. The report emphasises the importance of preventive actions, and provides recommendations on how to control radon exposure in workplaces when workers' exposure can reasonably be regarded as being the responsibility of the operating management. In such a case, workers' exposures are considered to be occupational, and are controlled using the corresponding requirements on the basis of the optimisation principle, and application, as appropriate

  5. Fixation of Radiological Contamination; International Collaborative Development

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    Rick Demmer


    A cooperative international project was conducted by the Idaho National Laboratory (INL) and the United Kingdom’s National Nuclear Laboratory (NNL) to integrate a capture coating with a high performance atomizing process. The initial results were promising, and lead to further trials. The somewhat longer testing and optimization process has resulted in a product that could be demonstrated in the field to reduce airborne radiological dust and contamination.

  6. Radiological aspects of sprained ankle syndrome


    Sijbrandij, E.S.


    This thesis addresses several problems related to sprained ankle syndrome. The purpose of this thesis is to evaluate the imaging features of sprained ankles, found on new radiological modalities, and to assess the additional diagnostic understanding and treatment planning of helical CT as well as MR imaging compared with conventional radiographic imaging in patients with ankle and hindfoot problems. In addition recommendations for prudent / optimal use of both new modalities are proposed. The...

  7. Radiology in cutaneous sinuses and fistulae

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    Sundgren-Borgstroem, P.; Ekberg, O.; Lasson, A.


    In patients with cutaneous openings, sinograph and fistulography an usually performed. Fistulae in the head/neck region and perineum are seldom life-threatening while enterocutaneous fistulae involving the small bowel can be a serious threat due to loss of fluid. Radiology contributes to the preoperative examination of these patients. Fistulography outlines communications to the gastrointestinal tract, pleura, joints and other underlying crucial structures. Involved bowel segments are further demonstrated with barium examination.

  8. Hepatoid adenocarcinoma of the stomach : radiologic findings

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    Koo, Ja Hong; Rhim, Hyun Chul; Song, Soon Young; Baek, Jeong Hwan; Kim, Yong Soo; Koh, Byung Hee; Cho, On Koo; Park, Choong Ki; Park, Moon Hyang [Hanyang Univ. College of Medicine, Seoul (Korea, Republic of)


    Hepatoid adenocarcinoma of the stomach is a variant of gastric carcinoma with both adenocarcinoma and hepatocellular carcinomatous differentiations. Until recently, few reports had been published. The purpose of this study was to evaluate the radiologic characteristics of eleven hepatoid adenocarcinomas of the stomach as well as patterns of metastasis. Eleven pathologically proven cases of hepatoid adenocarcinoma of the stomach were retrospectively reviewed. Radiologic studies available were CT in eight patients, abdominal ultrasonography in ten, upper GI series in seven, and hepatic angiography in two. Pathologic and radiologic characteristics of these lesions, patterns of metastasis, if present, and labolatory data(AFP and CEA) were evaluated. Tumors were seen in the antrum and body in five patients, in the antrum in five, and in the body of the stomach in one. Six tumors were classified as Borrmann type 3, four as Borrmann type 2, and one as Borrmann type 4. Nine cases showed hepatic metastasis. Portal vein thrombosis was present in three cases;two were accompanied by multiple liver metastasis and the other had portal venous thrombosis. Lymph node metastasis was identified in 11 cases;N1 in five, N2 in five, and extensive retroperitoneal paraaortic and left supraclavicular lymphadenopathy in one. Angiography showed hypervascular metastatic liver masses in two cases. There was no evidence of metastasis to the mesentery, omentum, and peritoneum. Serum AFP was elevated in ten cases(mean:24752.2;median:4230ng/ml). Radiologic findings of hepatoid adenocarcinoma of the stomach appear similar to those of non-hepatoid adenocarcinoma. However, elevation of AFP and early liver metastasis without peritoneal metastasis is suggestive of hepatoid adenocarcinoma of the stomach.

  9. Radiology and Global Health: The Case for a New Subspecialty

    Directory of Open Access Journals (Sweden)

    Matthew P. Lungren


    Full Text Available In high- and medium-income countries, the use of radiology has grown substantially in the last several decades. But in the developing world, access to medical imaging remains a critical problem. Unlike more structured efforts in the field of global health, interventions in global radiology have been largely unplanned, fragmented and sometimes irrelevant to the needs of the recipient society, and have not resulted in any significant progress. Access to medical imaging around the world remains dismal. There is a therefore a clear and urgent need for the radiology community to develop a vision for global radiology, beginning with defining the scope of the subject and establishing measurable goals. Agreement must be reached to declare global radiology as a bona fide subspecialty of radiology. This should soon be followed by the establishment of divisions of Global Radiology in academic radiology departments. Resident and medical students should be taught how physicians in low -income countries practice medicine without access to adequate radiology. As part of training and electives, residents and medical students should accompany global health teams to countries where the need for radiology services is great. Global scholar exchange and sabbatical opportunities should be offered to staff radiologists. Successful implementation of a unified vision of global radiology has the potential to improve access to medical imaging on a large scale. Radiology journals dedicated to the promotion of global radiology can play an important role in providing forums of discussion, analyses and sharing of field experiences. In this discussion we have attempted to make a case for assigning global radiology a subspecialty status.

  10. Bronchiolar disease: spectrum and radiological findings

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    Takahashi, Masashi; Murata, Kiyoshi; Takazakura, Ryutaro; Nakahara, Tetsuro; Shimizu, Kentaro; Minese, Mariko; Itoh, Harumi


    Two types of bronchiole, the terminal bronchiole and the respiratory bronchiole, have structural and functional differences. The former is characterized as a conducting airway and the latter is closely related to a gas-exchange function as it has numerous alveoli on the wall. Therefore, the diseases occurring at bronchiole demonstrate different pathological, radiological and clinical pictures depending on which bronchiole is mainly involved. The disease that mainly involves the conducting airway is appreciated as a small airway disease. Constrictive bronchiolitis is a well-recognized entity classified in this category. Whereas the disease mainly involves the respiratory bronchiole and distal alveolar space, it is recognized as an interstitial and parenchymal disease. BOOP or RB-ILD is classified in this category. These two types of bronchiolar diseases reveal the contrast clinical pictures, including incidence, causative disease, response to the treatment, prognosis, respiratory function test as well as the radiological findings. This pictorial essay will illustrate the radiological features of the varieties of bronchiolitis.

  11. Anesthesia Practices for Interventional Radiology in Europe

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    Vari, Alessandra, E-mail: [University La Sapienza, Department of Anesthesiology, Intensive Care and Pain Medicine (Italy); Gangi, Afshin, E-mail: [Les Hôpitaux Universitaires de Strasbourg, Chef de Pôle, Imagerie (France)


    PurposeThe Cardiovascular and Interventional Radiological Society of Europe (CIRSE) prompted an initiative to frame the current European status of anesthetic practices for interventional radiology, in consideration of the current variability of IR suite settings, staffing and anesthetic practices reported in the literature and of the growing debate on sedation administered by non-anesthesiologists, in Europe.MethodsAnonymous online survey available to all European CIRSE members to assess IR setting, demographics, peri-procedural care, anesthetic management, resources and staffing, pain management, data collection, safety, management of emergencies and personal opinions on the role CIRSE should have in promoting anesthetic care for interventional radiology.ResultsPredictable differences between countries and national regulations were confirmed, showing how significantly many “local” factors (type and size of centers, the availability of dedicated inpatient bed, availability of anesthesia staff) can affect the routine practice and the expansion of IR as a subspecialty. In addition, the perception of the need for IR to acquire more sedation-related skills is definitely stronger for those who practice with the lowest availability of anesthesia care.ConclusionSignificant country variations and regulations along with a controversial position of the anesthesia community on the issue of sedation administered by non-anesthesiologists substantially represent the biggest drawbacks for the expansion of peri-procedural anesthetic care for IR and for potential initiatives at an European level.

  12. Training in Radiation Protection for Interventional Radiology

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    Vano, E.; Guibelalde, E.


    Several potential problems have been detected in the safety aspects for the practice of interventional radiology procedures: a) An important increase in the number cases and their complexity and the corresponding increase of installations and specialists involved; b) New X ray systems more sophisticated, with advanced operational possibilities, requiring special skills in the operators to obtain the expected benefits;c) New medical specialists arriving to the interventional arena to profit the benefits of the interventional techniques without previous experience in radiation protection. For that reason, education and training is one of the basic areas in any optimisation programme in radiation protection (RP). the medical field and especially interventional radiology requires actions to promote and to profit the benefit of the new emerging technologies for training (Internet, electronic books, etc). The EC has recently sponsored the MARTIR programme (Multimedia and Audio-visual Radiation Protection Training in Interventional Radiology) with the production of two videos on basic aspects of RP and quality control and one interactive CD-ROM to allow tailored individual training programmes. those educational tools are being distributed cost free in the main European languages. To go ahead with these actions, the EC has decided to promote during 2002, a forum with the main Medical European Societies involved in these interventional procedures. (Author)

  13. Iliopsoas compartment lesions: a radiologic evaluation

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    Leao, Alberto Ribeiro de Souza; Amaral, Raquel Portugal Guimaraes; Abud, Thiago Giansante; Demarchi, Guilherme Tadeu Sauaia; Freire Filho, Edison de Oliveira; Novack, Paulo Rogerio; Campos, Flavio do Amaral; Shigueoka, David Carlos; Fernandes, Artur da Rocha Correa; Szejnfeld, Jacob; D' Ippolito, Giuseppe [Universidade Federal de Sao Paulo (UNIFESP-EPM), Sao Paulo, SP (Brazil). Dept. de Diagnostico por Imagem]. E-mail:; Santos, Jose Eduardo Mourao [Universidade Federal de Sao Paulo (UNIFESP-EPM), Sao Paulo, SP (Brazil)


    The iliopsoas compartment, a posterior boundary of the retroperitoneum, is comprised of the psoas major, psoas minor and iliac muscles. The symptoms picture in patients presenting with pathological involvement of this compartment may show a wide range of nonspecific clinical presentations that may lead to delayed diagnosis. However, in the search of an etiological diagnosis, it is already known that inflammation, tumors, and hemorrhages account for almost all the lesions affecting the iliopsoas compartment. By means of a retrospective analysis of radiological studies in patients with iliopsoas compartment lesions whose diagnosis was confirmed by anatomopathological evaluation or clinical follow-up, we have reviewed its anatomy as well as the main forms of involvement, with the purpose of identifying radiological signs that may help to narrow down the potential differential diagnoses. As each lesion is approached we will discuss the main radiological findings such as presence of gas in pyogenic abscesses, bone destruction and other bone changes of vertebral bodies in lesions secondary to tuberculosis, involvement of fascial planes in cases of neoplasms, and differences in signal density and intensity of hematomas secondary to hemoglobin degradation, among others. So, we have tried to present cases depicting the most frequent lesions involving the iliopsoas compartment, with emphasis on those signs that can lead us to a more specific etiological diagnosis. (author)

  14. Osteopoikilosis: A radiological and pathological study

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    Lagier, R.; Mbakop, A.; Bigler, A.


    Anatomico-pathological and radiological studies of osteopoikilosis were performed in two cases, one involving a femoral head, excised after a fracture of a femoral neck, in an elderly man and the other following biopsy of an iliac crest in a young woman. In both patients widespread radiological evidence of the disorder was present as an incidental finding. The radiological appearance of rounded and linear densities corresponded to old and inactive remodelling of spongy trabeculae in epiphyseal and metaphyseal locations. The distribution and appearance of these osteopoikilotic densities suggested them to have been related intimately to mechanical strain on spongy bone trabeculae. The diffuse nature of the lesions, their hereditary character, and their possible association with abnormalities of the skin suggest the existence of a particular terrain in which general metabolic conditions of connective tissue may interact with mechanical stresses in bone. Careful analysis of the findings in osteopoikilosis is desirable in order to provide data concerning the physiopathology of the skeleton and to permit more definitive interpretation of localised areas of bone condensation, including those observed not only in solitary bone islands and such conditions as osteopathia striata, but also those associated with infections and tumours.

  15. Hypervascular liver lesions in radiologically normal liver

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    Amico, Enio Campos; Alves, Jose Roberto; Souza, Dyego Leandro Bezerra de; Salviano, Fellipe Alexandre Macena; Joao, Samir Assi; Liguori, Adriano de Araujo Lima, E-mail: [Hospital Universitario Onofre Lopes (HUOL/UFRN), Natal, RN (Brazil). Clinica Gastrocentro e Ambulatorios de Cirurgia do Aparelho Digestivo e de Cirurgia Hepatobiliopancreatica


    Background: The hypervascular liver lesions represent a diagnostic challenge. Aim: To identify risk factors for cancer in patients with non-hemangiomatous hypervascular hepatic lesions in radiologically normal liver. Method: This prospective study included patients with hypervascular liver lesions in radiologically normal liver. The diagnosis was made by biopsy or was presumed on the basis of radiologic stability in follow-up period of one year. Cirrhosis or patients with typical imaging characteristics of haemangioma were excluded. Results: Eighty eight patients were included. The average age was 42.4. The lesions were unique and were between 2-5 cm in size in most cases. Liver biopsy was performed in approximately 1/3 of cases. The lesions were benign or most likely benign in 81.8%, while cancer was diagnosed in 12.5% of cases. Univariate analysis showed that age >45 years (p< 0.001), personal history of cancer (p=0.020), presence of >3 nodules (p=0.003) and elevated alkaline phosphatase (p=0.013) were significant risk factors for cancer. Conclusion: It is safe to observe hypervascular liver lesions in normal liver in patients up to 45 years, normal alanine amino transaminase, up to three nodules and no personal history of cancer. Lesion biopsies are safe in patients with atypical lesions and define the treatment to be established for most of these patients. (author)

  16. Radiological diagnostics of birth trauma in newborns

    Directory of Open Access Journals (Sweden)

    Юрій Анатолійович Коломійченко


    Full Text Available Aim of the work. To analyze indices of the different radiological methods and to compare it.Materials and methods. The newborns with spinal trauma (n=33 were analyzed, the children who have been excluded this diagnosis (n=27 formed the control group. All children underwent the radiography of cervical spine, the part of them – MRT and USG. There was carried out the visual assessment and analysis of metrical indices.Results. Patients were separated into groups of heaviness, 16 patients with slight degree, 10 with middle one and 7 with heavy degree of injury. At all methods the width of the Cruveilhier joint fissure in children with an injury of upper cervical spine reliably (р<0,001 differs from the one in the control group, and was detected the moderate correlation (r>0,4.When using radiology and MRT in children with traumatic injures the width of prevertebral soft tissues was reliably more and the degree of reliability was higher at radiology (р<0,001, than at MRT (р<0,01. The correlations between the width of soft tissues and the degree of heaviness were detected at all levels at radiography and only at the level C1 at MRT.Conclusions. An analysis demonstrated the different degree of importance of some indices for detecting injuries of the upper cervical spine in newborns. There was also proved that the metrical data of the different methods not reliably differ

  17. Radiology employees' quality of work life. (United States)

    Dargahi, Hussein; Changizi, Vahid; Jazayeri Gharabagh, Elaheh


    Quality of work Life (QWL) originates from interactions between employees' needs and relative organizational resources. QWL is aimed to improve and retain employees' satisfaction, productivity and effectiveness of all organizations. A cross-sectional descriptive study was conducted among 15 Tehran University of Medical Sciences. A Cross-Sectional, descriptive study was conducted among 15 Tehran University of Medical Sciences' Hospitals' Radiology Departments' Employees by QWL questionnaire. Respondents were asked to express their attitudes about a range of key factors as the most important issues impacting their QWL. The data was collected and analyzed by SPSS version 15 software. Most of the respondents indicated that they were unsatisfied and very unsatisfied with key factors of their QWL. Comparison of QWL key factors of TUMS radiology employees with the other countries indicated that most of the employees are unsatisfied with their poor QWL factors. We hope, the implications of these findings deliberate to improve QWL within each of TUMS hospitals radiology departments and also be relevant and value to policymakers of healthcare organizations in Iran. © 2012 Tehran University of Medical Sciences. All rights reserved.

  18. Informatics in radiology: radiology gamuts ontology: differential diagnosis for the Semantic Web. (United States)

    Budovec, Joseph J; Lam, Cesar A; Kahn, Charles E


    The Semantic Web is an effort to add semantics, or "meaning," to empower automated searching and processing of Web-based information. The overarching goal of the Semantic Web is to enable users to more easily find, share, and combine information. Critical to this vision are knowledge models called ontologies, which define a set of concepts and formalize the relations between them. Ontologies have been developed to manage and exploit the large and rapidly growing volume of information in biomedical domains. In diagnostic radiology, lists of differential diagnoses of imaging observations, called gamuts, provide an important source of knowledge. The Radiology Gamuts Ontology (RGO) is a formal knowledge model of differential diagnoses in radiology that includes 1674 differential diagnoses, 19,017 terms, and 52,976 links between terms. Its knowledge is used to provide an interactive, freely available online reference of radiology gamuts ( ). A Web service allows its content to be discovered and consumed by other information systems. The RGO integrates radiologic knowledge with other biomedical ontologies as part of the Semantic Web. © RSNA, 2014.

  19. MATLAB 3A

    DEFF Research Database (Denmark)

    Freil, Ole; Kristiansen, Heidi; Kaas, Thomas

    MATLAB 3a – Matematiklaboratoriet er en elevbog til første halvdel af 3. klasse. Bogen indeholder fire kapitler: 'Store tal og regnemåder', 'Kan du tegne det?', 'Gange og division', 'Undersøg data og chance'.......MATLAB 3a – Matematiklaboratoriet er en elevbog til første halvdel af 3. klasse. Bogen indeholder fire kapitler: 'Store tal og regnemåder', 'Kan du tegne det?', 'Gange og division', 'Undersøg data og chance'....

  20. Quantum interaction. Revised selected papers

    Energy Technology Data Exchange (ETDEWEB)

    Song, Dawei; Zhang, Peng; Wang, Lei [Aberdeen Univ. (United Kingdom). School of Computing; Melucci, Massimo [Padua Univ., Padova (Italy). Dept. of Information Engineering; Frommholz, Ingo [Bedfordshire Univ. (United Kingdom); Arafat, Sachi (eds.) [Glasgow Univ. (United Kingdom). School of Computing Science


    This book constitutes the thoroughly refereed post-conference proceedings of the 5th International Symposium on Quantum Interaction, QI 2011, held in Aberdeen, UK, in June 2011. The 26 revised full papers and 6 revised poster papers, presented together with 1 tutorial and 1 invited talk were carefully reviewed and selected from numerous submissions during two rounds of reviewing and improvement. The papers show the cross-disciplinary nature of quantum interaction covering topics such as computation, cognition, mechanics, social interaction, semantic space and information representation and retrieval. (orig.)

  1. HEDR modeling approach: Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Shipler, D.B.; Napier, B.A.


    This report is a revision of the previous Hanford Environmental Dose Reconstruction (HEDR) Project modeling approach report. This revised report describes the methods used in performing scoping studies and estimating final radiation doses to real and representative individuals who lived in the vicinity of the Hanford Site. The scoping studies and dose estimates pertain to various environmental pathways during various periods of time. The original report discussed the concepts under consideration in 1991. The methods for estimating dose have been refined as understanding of existing data, the scope of pathways, and the magnitudes of dose estimates were evaluated through scoping studies.

  2. Radiology Malpractice Claims in the United States From 2008 to 2012: Characteristics and Implications. (United States)

    Harvey, H Benjamin; Tomov, Elena; Babayan, Astrid; Dwyer, Kathy; Boland, Sam; Pandharipande, Pari V; Halpern, Elkan F; Alkasab, Tarik K; Hirsch, Joshua A; Schaefer, Pamela W; Boland, Giles W; Choy, Garry


    The aim of this study was to compare the frequency and liability costs associated with radiology malpractice claims relative to other medical services and to evaluate the clinical context and case disposition associated with radiology malpractice claims. This HIPAA-compliant study was exempted from institutional review board approval. The Comparative Benchmarking System database, a repository of more than 300,000 medical malpractice cases in the United States, was queried for closed claims over a five-year period (2008-2012). Claims were categorized by the medical service primarily responsible for the claim and the paid total loss. For all cases in which radiology was the primary responsible service, the case abstracts were evaluated to determine injury severity, claimant type by setting, claim allegation, process of care involved, case disposition, modality involved, and body section. Intracategory comparisons were made on the basis of the frequency of indemnity payment and total indemnity payment for paid cases, using χ(2) and Wilcoxon rank-sum tests. Radiology was the eighth most likely responsible service to be implicated in a medical malpractice claim, with a median total paid loss (indemnity payment plus defense cost plus administrative expense) per closed case of $30,091 (mean, $205,619 ± $508,883). Radiology claims were most commonly associated with high- and medium-severity injuries (93.3% [820 of 879]; 95% confidence interval [CI], 91.7%-94.95%), the outpatient setting (66.3% [581 of 876]; 95% CI, 63.0%-69.2%), and diagnosis-related allegations (ie, failure to diagnose or delayed diagnosis) (57.3% [504 of 879]; 95% CI, 54.0%-60.6%). A high proportion of claims pertained to cancer diagnoses (44.0% [222 of 504]; 95% CI, 39.7%-48.3%). A total of 62.3% (548 of 879; 95% CI, 59.1%-65.5%) of radiology claims were closed without indemnity payments; 37.7% (331 of 879; 95% CI, 34.5%-40.9%) were closed with a median indemnity payment of $175,000 (range, $112

  3. [Radiology as seen by medical students]. (United States)

    Vidal, V; Jacquier, A; Giorgi, R; Pineau, S; Moulin, G; Petit, P; Girard, N; Bartoli, J-M; Gorincour, G


    To determine the impact of exposing medical students to medical imaging during the first year of the second cycle of medical school (DCEM1) on their perception of this medical specialty and the acquisition of its basic concepts. All students in the 2007-2008 graduation class entering into the first year of the second cycle of medical school were anonymously enrolled into this project that included pre-rotation and post-rotation questionnaires, theory classes followed by clinical rotations with clearly predetermined objectives. A total of 108 students were enrolled, with 70% being females. The parents of the students had a medical or paramedical profession in 46.3% of cases. Before the rotation, 61.6% of students perceived a difference between a hospital-based practice and private practice. Fifty-two percent of students had a clear idea of their professional future prior to the rotation. Five students (4.7%) believed prior to the rotation that it might have an impact on their professional future, versus 63% after the rotation (Pradiology (73.6% with high or very high interest versus 52.8%, P=0.03). After the rotation, there was a significant increase in the number of students with high or very high interest for radiology (77.8% versus 66.7%, P=0.023). A student noted that he would redirect his career to radiology. There was also a significant increase in the number of students perceiving a difference between a hospital-based practice and private practice (82.2% versus 61.6%, P=0.003). With regards to radiology knowledge before and after the rotation, there was a significant increase of mean scores (Pradiology rotation. Overall, the students believe that 70% of the objectives were achieved. The only criticism from the students was that the clinical instructors were overworked. Early exposure of medical students to radiology increases their level of interest for the specialty and increases the perception of differences between a hospital-based practice and private

  4. Data Quality Objectives Supporting Radiological Air Emissions Monitoring for the PNNL Site

    Energy Technology Data Exchange (ETDEWEB)

    Barnett, J. Matthew; Meier, Kirsten M.; Snyder, Sandra F.; Fritz, Brad G.; Poston, Theodore M.; Antonio, Ernest J.


    Pacific Northwest National Laboratory (PNNL) is in the process of developing a radiological air monitoring program for the PNNL Site that is distinct from that of the nearby Hanford Site. The original DQO (PNNL-19427) considered radiological emissions at the PNNL Site from Physical Sciences Facility (PSF) major emissions units. This first revision considers PNNL Site changes subsequent to the implementation of the original DQO. A team was established to determine how the PNNL Site changes would continue to meet federal regulations and address guidelines developed to monitor air emissions and estimate offsite impacts of radioactive material operations. The result is an updated program to monitor the impact to the public from the PNNL Site. The team used the emission unit operation parameters and local meteorological data as well as information from the PSF Potential-to-Emit documentation and Notices of Construction submitted to the Washington State Department of Health (WDOH). The locations where environmental monitoring stations would most successfully characterize the maximum offsite impacts of PNNL Site emissions from the three PSF buildings with major emission units were determined from these data. Three monitoring station locations were determined during the original revision of this document. This first revision considers expanded Department of Energy operations south of the PNNL Site and relocation of the two offsite, northern monitoring stations to sites near the PNNL Site fenceline. Inclusion of the southern facilities resulted in the proposal for a fourth monitoring station in the southern region. The southern expansion added two minor emission unit facilities and one diffuse emission unit facility. Relocation of the two northern stations was possible due to the use of solar power, rather than the previous limitation of the need for access to AC power, at these more remote locations. Addendum A contains all the changes brought about by the revision 1

  5. Revised Human Health Risk Assessment on Chlorpyrifos (United States)

    We have revised our human health risk assessment and drinking water exposure assessment for chlorpyrifos that supported our October 2015 proposal to revoke all food residue tolerances for chlorpyrifos. Learn about the revised analysis.

  6. Special Consolidated Checklists for Toxicity Characteristics Revisions (United States)

    This checklist consolidates the changes to the Federal code addressed by the Toxicity Characteristic (TC) Rule [55 FR 11798; March 29, 1990; Revision Checklist 74] and subsequent revisions which have occurred through December 31, 2002.

  7. [Revised practice guideline 'Anaemia in midwifery practice'

    NARCIS (Netherlands)

    Beentjes, M.; Jans, S.M.P.J.


    The practice guideline of the Royal Dutch Organization of Midwives 'Anaemia in primary care midwifery practice' published in 2000, has recently been revised. The revised guideline takes physiological haemodilution during pregnancy into consideration and provides gestation specific reference values

  8. Diet History Questionnaire: Database Revision History (United States)

    The following details all additions and revisions made to the DHQ nutrient and food database. This revision history is provided as a reference for investigators who may have performed analyses with a previous release of the database.

  9. Air Pollution Primer. Revised Education. (United States)

    Corman, Rena

    This revised and updated book is written to inform the citizens on the nature, causes, and effects of air pollution. It is written in terms familiar to the layman with the purpose of providing knowledge and motivation to spur community action on clean air policies. Numerous charts and drawings are provided to support discussion of air pollution…

  10. Psychological considerations in revision rhinoplasty. (United States)

    Ambro, Bryan T; Wright, Richard J


    Revision rhinoplasty is a unique challenge. In addition to the technical considerations that are inherently more difficult than those of primary cases, the surgeon must also be mindful of the psychological considerations that revision rhinoplasty presents. These patients are by definition unhappy with their prior rhinoplasty experience, and this perception of a suboptimal result is both legitimate and real, even if the surgeon is not in agreement. Tantamount to any intraoperative technique, the preoperative ability of the surgeon to sift through the myriad psychological and psychosocial issues is critical to achieving satisfactory outcomes for both patient and surgeon. Reasons for dissatisfaction with a primary surgery, reasons for seeking revision surgery, and the psychological profiles of revision rhinoplasty patients can differ from those related to other facial cosmetic procedures. This article attempts to provide the reader with a better understanding of the complex interplay of these issues and with this understanding help the reader to distinguish one who is a favorable surgical candidate from one who is best left unrevised.




  12. A revision of Ichnocarpus (Apocynaceae)

    NARCIS (Netherlands)

    Middleton, D.J.


    The genus Ichnocarpus is revised. A total of 12 species are recognised, of which one new species is described. Three new combinations in Ichnocarpus and one in Anodendron are made. Micrechites and Lamechites are treated as synonyms of Ichnocarpus. Nomina nuda and species exclusae have been given as

  13. Revised Industry Projections to 1985 (United States)

    Mooney, Thomas J.; Tschetter, John H.


    Revised Bureau of Labor Statistics projections, which reflect assumptions about unemployment, labor productivity, and government taxes and spending, provide information about long-term trends of industry output and employment. One projection made is that health services and computer-related industries will continue to be the leaders in job growth.…

  14. Concise revision of the Sarcospermataceae

    NARCIS (Netherlands)

    Lam, H.J.; Royen, van P.


    After the senior writer, together with W. W. Varossieau, had published a revision of this monogeneric family (Blumea III, 1938—’39 and IV, 1941), some more material has been examined by us and, moreover, some new species have been described. Thanks to the courtesy of Prof. F. Gagnepain of Paris, and

  15. Medical writing, revising and editing

    DEFF Research Database (Denmark)

    Pilegaard, Morten


    The globalization of science makes medical writing, editing and revision a rapidly growing field of linguistic study and practice. Medical science texts are written according to uniform, general guidelines and medical genres have become highly conventionalized in terms of structure and linguistic...

  16. Molecular dynamics simulation methods revised

    NARCIS (Netherlands)

    Bekker, Hendrik


    Korte beschrijving: In this thesis, all the subjects mentioned in the previous section are revised, except neighbor searching and integration. So, the following subjects are discussed: non-bonded force calculations, bonded force calculations, constraint dynamics, and box shapes. Moreover, mapping

  17. National examination of Brazilian residents and specialization trainees in radiology and diagnostic imaging: a tool for evaluating the qualifications of future radiologists. (United States)

    Moreira, Fernando Alves; Baptista, Luciana de Pádua Silva; Soares, Aldemir Humberto; Lederman, Henrique Manuel; Ajzen, Sergio Aron; Szejnfeld, Jacob


    This is a study of performance based on an In-training Examination for Radiology and Diagnostic Imaging targeting residents (R) and specialization trainees (ST) in Radiology. The radiological training may differ between R and ST in some centers. The authors present their experience and thoughts regarding the first three years of application of the In-training Examination administered by The Brazilian College of Radiology. Three hundred and eight-six tests were analyzed in 1999, 715 in 2000, and 731 in 2001. The yearly tests consisted of multiple-choice answers, some with interpretation of digital images, and were divided into 9 specialties: neurology, thorax, physics, pediatrics, digestive system, urinary system, musculoskeletal system, mammography, and gynecology-obstetrics. Each specialty was analyzed separately. The tests were given simultaneously in 12 Brazilian cities. The subspecialty scores of examinees at different stages of training were compared (1st, 2nd, and 3rd year residents and specialization trainees), by the Kruskal-Wallis test (P0.05). Generally, in 2000 and 2001, R achieved higher scores than ST (P<0.001). The performance in physics was poor for both groups for the 3 years covered by the study. The performance of residents was better than that of the specialization trainees in the majority of the subspecialties, mainly in the last two years. The In-training Examination provides a system for evaluating future specialists and identifying the centers that need to revise their teaching methods and the regional differences in radiological training.

  18. Soft tissue trauma and scar revision. (United States)

    Mobley, Steven R; Sjogren, Phayvanh P


    Numerous techniques and treatments have been described for scar revision, with most studies focusing on the adult population. A comprehensive review of the literature reveals a paucity of references related specifically to scar revision in children. This review describes the available modalities in pediatric facial scar revision. The authors have integrated current practices in soft tissue trauma and scar revision, including closure techniques and materials, topical therapy, steroid injection, cutaneous laser therapy, and tissue expanders. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Comparable Results With Porous Metal Augments in Combination With Either Cemented or Uncemented Cups in Revision Hip Arthroplasty: An Analysis of One Hundred Forty-Seven Revisions at a Mean of Five Years. (United States)

    Mahmoud, Ahmed Nageeb; Sundberg, Martin; Flivik, Gunnar


    Porous metal augments have been used successfully for management of large acetabular defects during revision hip arthroplasty. The purpose of this study was to retrospectively review and compare the clinical and radiographic outcomes of porous metal augments in cemented and uncemented acetabular revisions, all performed at the same institution. Using our institutional clinical databases, the clinical and radiological outcomes of 104 cemented and 43 uncemented acetabular revisions with metal augments, performed between 2006 and 2015, were studied and compared. Acetabular augments were used when preoperative and intraoperative findings indicated the presence of large acetabular defects that can hinder the stability of the revision implants. At a mean follow-up of 60.1 months (range 12.7-112.1), a total of 5 cups (3.4%), being 3 cemented (2.8%) and 2 uncemented (4.6%), had shown signs of aseptic loosening with cup and augment migration and 4 of these have been re-revised (2.7%). At final follow-up, the European Quality of Life-5 Dimensions for generic health, and the Hip disability and Osteoarthritis Outcome Score (HOOS) parameters had improved substantially without any significant difference between fixation techniques. Porous metal augments show comparable excellent radiographic and clinical mid-term outcomes when combined with cemented or uncemented cups in revision hip arthroplasty. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Pacific Northwest National Laboratory Potential Impact Categories for Radiological Air Emission Monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Ballinger, Marcel Y.; Gervais, Todd L.; Barnett, J. Matthew


    In 2002, the EPA amended 40 CFR 61 Subpart H and 40 CFR 61 Appendix B Method 114 to include requirements from ANSI/HPS N13.1-1999 Sampling and Monitoring Releases of Airborne Radioactive Substances from the Stack and Ducts of Nuclear Facilities for major emission points. Additionally, the WDOH amended the Washington Administrative Code (WAC) 246-247 Radiation protection-air emissions to include ANSI/HPS N13.1-1999 requirements for major and minor emission points when new permitting actions are approved. A result of the amended regulations is the requirement to prepare a written technical basis for the radiological air emission sampling and monitoring program. A key component of the technical basis is the Potential Impact Category (PIC) assigned to an emission point. This paper discusses the PIC assignments for the Pacific Northwest National Laboratory (PNNL) Integrated Laboratory emission units; this revision includes five PIC categories.

  1. Revision Anterior Cruciate Ligament Reconstruction (United States)

    Wilde, Jeffrey; Bedi, Asheesh; Altchek, David W.


    Context: Reconstruction of the anterior cruciate ligament (ACL) is one of the most common surgical procedures, with more than 200,000 ACL tears occurring annually. Although primary ACL reconstruction is a successful operation, success rates still range from 75% to 97%. Consequently, several thousand revision ACL reconstructions are performed annually and are unfortunately associated with inferior clinical outcomes when compared with primary reconstructions. Evidence Acquisition: Data were obtained from peer-reviewed literature through a search of the PubMed database (1988-2013) as well as from textbook chapters and surgical technique papers. Study Design: Clinical review. Level of Evidence: Level 4. Results: The clinical outcomes after revision ACL reconstruction are largely based on level IV case series. Much of the existing literature is heterogenous with regard to patient populations, primary and revision surgical techniques, concomitant ligamentous injuries, and additional procedures performed at the time of the revision, which limits generalizability. Nevertheless, there is a general consensus that the outcomes for revision ACL reconstruction are inferior to primary reconstruction. Conclusion: Excellent results can be achieved with regard to graft stability, return to play, and functional knee instability but are generally inferior to primary ACL reconstruction. A staged approach with autograft reconstruction is recommended in any circumstance in which a single-stage approach results in suboptimal graft selection, tunnel position, graft fixation, or biological milieu for tendon-bone healing. Strength-of-Recommendation Taxonomy (SORT): Good results may still be achieved with regard to graft stability, return to play, and functional knee instability, but results are generally inferior to primary ACL reconstruction: Level B. PMID:25364483

  2. [Hip revision arthroplasty (long-term results)]. (United States)

    Tarasevicius, Sarūnas; Zegunis, Vidmantas; Tarasevicius, Rimantas; Kalesinskas, Romas Jonas; Janusonis, Vinsas


    To evaluate the risk factors after total hip replacement arthroplasty for rerevision and to analyze complications after hip revision surgery. We obtained data from 117 hip revisions and 12 hip rerevision arthroplasties performed in 1992-2001 in the Department of Orthopedics of Klaipeda Hospital. Special forms were filled in for every patient who participated in the study. Name, operation date, type of implants, operative technique, revision diagnosis, intraoperative and postoperative complications were recorded. All patients were checked for death until 2003. Hip revisions were performed for 77 (66%) women and 50 (44%) men in 1992-2001. We revised 22 (19%) cups, 6 (5%) stems, 86 (74%) total hip revisions; femoral head was exchanged for 3 patients. Revision diagnoses were: aseptic loosening in 106 (90%) cases, recurrent dislocations in 7 (6%) cases, and periprosthetic fractures in 4 (4%) cases. Patients' age varied from 26-82 years, average 63.5 years. In revision group only 8% of patients were less than 50 years old, compared to 33% in rerevision group. Morselized allografts and bone impaction technique for reconstruction of bone defects were used in 70 (60%) of cases. We rerevised one cup only for which revision morselized allografts were used. Eight (67%) rerevisions were performed after first 28 (24%) hip revisions. Patients, who underwent revision surgery being younger than 50 years old, were at higher risk for rerevision surgery. Revision with morselized bone allografts and bone impaction technique decreases number of rerevisions. Learning curve was steep and had great influence to our results.

  3. Ireland's recent contribution to the radiological literature; a bibliometric analysis

    LENUS (Irish Health Repository)

    Redmond, CE


    The aim of this study was to identify and analyse all articles published by Irish radiology departments in the medical literature since the year 2000. The PubMed database was searched to identify and review all articles published by radiologists based in the Republic of Ireland or Northern Ireland. Citation counts were then obtained and the top ten most cited articles were identified. There were 781 articles published during the study period. Of these, 558 (71%) were published in radiology journals and the remaining 223 (29%) were published in general medical journals. Abdominal radiology was the most represented sub-specialty (33% of all articles). There was a general trend of increased publications per year. Only 75 (9.6%) of articles were collaborative efforts by more than one radiology department. Irish radiology departments have a considerable research output and this has increased since the year 2000. More collaborative research between Irish radiology departments is encouraged

  4. [The editorial process for Radiología]. (United States)

    Corral de la Calle, M A


    Radiología is the official journal of the Spanish Society of Diagnostic Imaging. It aims to contribute to the education of Spanish-speaking radiologists and to disseminate radiological research and knowledge in Spanish. The journal has an Editorial Board organized into areas or sections, and material published in the journal is chosen and improved through peer review. This article discusses the model of the scientific journal Radiología and the characteristics of its Editorial Board, comparing Radiología with official general radiology journals of other scientific societies. Moreover, the details of the journal's editorial process are revealed, including the editorial circuit, the reviewers' work, and the technical aspects of the final edition process. Finally, the article lists qualitative and quantitative data about the material that Radiología receives and publishes. Copyright © 2011 SERAM. Published by Elsevier Espana. All rights reserved.

  5. Radiological protection report 2012; Strahlenschutzbericht 2012

    Energy Technology Data Exchange (ETDEWEB)



    Two years after the massive release of radiation from the nuclear power plants at Fukushima Dai-ichi, the repercussions continue to preoccupy the radiological and emergency protection community, both in Switzerland and internationally. In Switzerland the Swiss Federal Nuclear Safety Inspectorate (ENSI) has initiated measures as part of the European Union Stress Tests and has its own Fukushima Action Plan. In this Annual Report, ENSI focuses on radiological protection in Swiss nuclear facilities. The average individual dose has changed little compared with previous years. At 0.7 mSv, it is significantly below the limit both for persons exposed to radiation during their work (20 mSv) and the annual average rate of exposure for the population in Switzerland as a whole (5.5 mSv). In terms of collective doses, the extensive maintenance work at the Leibstadt power plant (KKL) resulted in a doubling of rates compared with recent years. However, in the remaining nuclear facilities the rates have not changed significantly. The highest individual dose during the year under review was 13 mSv. Exposure rates in 2012 for all those exposed to radiation during work in facilities subject to ENSI surveillance were below the maximum limit. Greater attention is now being given to work in high and variable radiation fields and in difficult conditions. Swiss nuclear facilities continue to operate a consistent radiological protection approach. Measuring equipment plays an important role in radiological protection. Having conducted a range of inspections and comparative measurements of aerosol-iodine filters and waste water sampling together with measurements in the field of personal dosimetry, ENSI has concluded that the required measuring equipment for radiological protection exists, that this equipment is correctly used and provides reliable data. ENSI maintains a test laboratory that analyses samples from nuclear facilities and their immediate vicinity and also conducts field

  6. Radiological properties of normoxic polymer gel dosimeters. (United States)

    Venning, A J; Nitschke, K N; Keall, P J; Baldock, C


    The radiological properties of the normoxic polymer gel dosimeters MAGIC, MAGAS, and MAGAT [methacrylic and ascorbic acid in gelatin initiated by copper; methacrylic acid gelatine gel with ascorbic acid; and methacrylic acid gelatine and tetrakis (hydroxymethyl) phosphonium chloride, respectively] have been investigated. The radiological water equivalence was determined by comparing the polymer gel macroscopic photon and electron interaction cross sections over the energy range from 10 keV to 20 MeV and by Monte Carlo modeling of depth doses. Normoxic polymer gel dosimeters have a high gelatine and monomer concentration and therefore mass density (kg m(-3)) up to 3.8% higher than water. This results in differences between the cross-section ratios of the normoxic polymer gels and water of up to 3% for the attenuation, energy absorption, and collision stopping power coefficient ratios through the Compton dominant energy range. The mass cross-section ratios were within 2% of water except for the mass attenuation and energy absorption coefficients ratios, which showed differences with water of up to 6% for energies less than 100 keV. Monte Carlo modeling was undertaken for the polymer gel dosimeters to model the electron and photon transport resulting from a 6 MV photon beam. The absolute percentage differences between gel and water were within 1% and the relative percentage differences were within 3.5%. The results show that the MAGAT gel formulation is the most radiological water equivalent of the normoxic polymer gel dosimeters investigated due to its lower mass density measurement compared with MAGAS and MAGIC gels.

  7. International Perspectives on Radiology in Preventive Screening. (United States)

    Brus-Ramer, Marcel; Lexa, Frank J; Kassing, Pamela; McGinty, Geraldine


    Several years ago, the International Economics Committee of the ACR began a study of comparisons among nations regarding the practice of radiology. This article is the second in a series. The purpose here is to compare the use across countries of imaging modalities in the screening algorithms of a variety of common diseases. In conjunction with the initial study, this will allow radiologists to understand in greater detail how health system practices differ among a selected set of nations. In this study, a standardized survey was administered to committee members from 10 countries in the developed and developing world. As with the prior study, there were both striking differences and similarities, even among a small cohort of nations that are all (except India) members of the Organisation for Economic Co-operation and Development. For example, breast cancer screening with mammography involves similar radiographic techniques for screening evaluations and has similarly high levels of insurance coverage, but the recommended ages at initial screening and end of screening differ. Other diseases, such as lung cancer and abdominal aortic aneurysm, have variable, but overall lower, levels of estimated participation among surveyed countries and significantly lower insurance coverage. Although this data set relies on survey data from individual practitioners, it provides an important perspective of the role of radiology in screening programs. Given the increasing pressure from domestic and foreign governments to reign in health care costs, the comparative differences in screening programs, and especially their use of (often costly) imaging techniques, may be a harbinger for future health policy decisions in the United States and abroad. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  8. Radiological Weapons: How Great Is The Danger?

    Energy Technology Data Exchange (ETDEWEB)

    Moore, G M


    One of the underlying purposes of this paper is to provoke thinking about the interplay between the regulation of radioactive materials and the risk of their use in an radiological weapon (RW). Also considered in this paper are the types of RWs that a terrorist might use, the nature of the threat and danger posed by the various types of RWs, the essential elements that must be considered in responding to the terrorist use of an RW, and what steps may need to be taken a priori to minimize the consequences of the inevitable use of an RW. Because radiological dispersal devices (RDDs) have been the focus of so much recent concern and because RDDs are arguably the most likely of RWs to be used by a terrorist group, a major focus of this paper will be on RDDs. Radiological weapons are going to be used by some individual or group, if not this year then next year, or at some time in the foreseeable future. A policy of focusing resources solely on prevention of their use would leave any government open to significant economic disruption when the inevitable use occurs. Preplanning can limit the injuries, property damage, and economic losses that might result from the use of an RW. Moreover, a combination of efforts to prevent and to minimize the impact of RWs may significantly discourage potential users. The dangers from RWs can be dealt with while society continues to enjoy the benefits of nuclear technology that were promised under Atoms for Peace. However, some restructuring of our use of radioactive materials is necessary to ensure that the current and future uses of radioactive materials outweigh the potential disruption caused by misuse of the materials in RWs.

  9. Malignant Mesothelioma: Clinical, Pathological and Radiological Findings

    Directory of Open Access Journals (Sweden)

    Yeşim Yıldırım


    Full Text Available Aim: Malignant pleural mesothelioma is a tumor of locally invasive character and of fatal course, frequently arising following asbest exposure. In the present study we attempted to retrospectively evaluate the clinical, pathological, and radiological findings of 27 cases diagnosed with MPM. Material and Method: 27 cases diagnosed with MPM in our medical facility have been included into the study, 14 females, and 13 males. Of the cases, 4 have been diagnosed based on transthoracic pleural biopsy, and 23 %u2013 using surgical methods (VYTC, thoracotomy. Result: Radiological evaluation revealed pleural thickening in 23 (85.2%, pleural effusion in 20 (74.1%, volume loss in 15 (55.6%, pleural nodulation in 14 (51.9%, mediastinal shift in 4 (14.8%, pneumothorax in 1 (3.7%, and hydropneumothorax in 1 (3.7% of the cases, respectively. Histopathological examination failed to reveal any typing in 17 (63% of the cases. On the other hand, 5 (18.5% of the remainder cases were of the epitheloid type, 4 (14.8% were of the sarcomatoid type, and 1 (3.7% was of the biphasic MPM type. Mean survival rate of the 3 (11.1% Stage I cases was 1449 days, of the 6 (22.2% Stage II cases was 480 days, of the 18 (66.7% Stage III cases was 214 days. We had no Stage IV cases at the time of diagnosis. A statistically significant difference has been established between the Stage and the mean survival rate of the cases. Discussion: In diagnosing MPM, proper histopathological exam followed by proper radiological staging should be carried out. A multimodality approach comprises the present MPM treatment, but total cure cannot be provided.

  10. Re-revision of a patellar tendon rupture in a young professional martial arts athlete. (United States)

    Vadalà, A; Iorio, R; Bonifazi, A M; Bolle, G; Ferretti, A


    A 27-year-old professional martial arts athlete experienced recurrent right knee patellar tendon rupture on three occasions. He underwent two operations for complete patellar tendon rupture: an end-to-end tenorrhaphy the first time, and revision with a bone-patellar-tendon (BPT) allograft. After the third episode, he was referred to our department, where we performed a surgical reconstruction with the use of hamstring pro-patellar tendon, in a figure-of-eight configuration, followed by a careful rehabilitation protocol. Clinical and radiological follow-ups were realized at 1, 3, and 6 months and 1 and 2 years postop, with an accurate physical examination, the use of recognized international outcome scores, and radiograph and MRI studies. As far as we know, this is the first paper to report a re-revision of a patellar tendon rupture.

  11. Takao Hiraki’s work on interventional radiology


    Hiraki, Takao


    Dr. Takao Hiraki is a scientist carrying out interventional radiology research in the Department of Radiology at Okayama University Medical School, Japan. He has conducted animal and human clinical studies on interventional radiology for various conditions. For example, he clarified the hepatic hemodynamic changes caused by hepatic venous occlusion. He also developed new devices, such as hydrogel coils for the occlusion of the aneurismal sac after an endovascular stent-graft of an aortic aneu...

  12. Communication in diagnostic radiology: meeting the challenges of complexity. (United States)

    Larson, David B; Froehle, Craig M; Johnson, Neil D; Towbin, Alexander J


    As patients and information flow through the imaging process, value is added step-by-step when information is acquired, interpreted, and communicated back to the referring clinician. However, radiology information systems are often plagued with communication errors and delays. This article presents theories and recommends strategies to continuously improve communication in the complex environment of modern radiology. Communication theories, methods, and systems that have proven their effectiveness in other environments can serve as models for radiology.

  13. Radiological Toolbox User's Manual

    Energy Technology Data Exchange (ETDEWEB)

    Eckerman, KF


    A toolbox of radiological data has been assembled to provide users access to the physical, chemical, anatomical, physiological and mathematical data relevant to the radiation protection of workers and member of the public. The software runs on a PC and provides users, through a single graphical interface, quick access to contemporary data and the means to extract these data for further computations and analysis. The numerical data, for the most part, are stored within databases in SI units. However, the user can display and extract values using non-SI units. This is the first release of the toolbox which was developed for the U.S. Nuclear Regulatory Commission.

  14. Systemic lupus erythematosus : abdominal radiologic findings

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Jae Cheon; Cho, On Koo; Lee, Yong Joo; Bae, Jae Ik; Kim, Yong Soo; Rhim, Hyun Chul; Ko, Byung Hee [Hanyang Univ. College of Medicine, Seoul (Korea, Republic of)


    Systemic lupus erythematosus(SLE) is a systemic disease of unknown etiology. Its main pathology is vasculitis and serositis, due to deposition of the immune complex or antibodies. Most findings are nonspecific ; abdominal manifestations include enteritis, hepatomegaly, pancreatic enlargement, serositis, lymphadenopathy, splenomegaly, nephritis, interstitial cystitis, and thrombophlebitis. We described radiologic findings of various organ involvement of SLE; digestive system, serosa, reticuloendothelial system, urinary system, and venous system. Diagnosis of SLE was done according to the criteria of American Rheumatism Association. Understanding of the variable imaging findings in SLE may be helpful for the early detection of abdominal involvement and complications.

  15. Radiologic findings in the Proteus syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Azouz, E.M.; Costa, T.; Fitch, N.


    The radiological findings in two patients with the Proteus syndrome are described. Features in our two cases not previously mentioned or stressed include vertebral dysplasia and enlargement (megaspondylodysplasia), bilateral genu valgum, recurrent after surgery and intraabdominal and mesenteric lipomatosis. Emergency laparotomy was performed on the first patient who had a twisted necrotic portion of mesenteric fat. Macrodactyly, skeletal muscle atrophy and subcutaneous fat accumulation in the abdominal wall were present in both. In addition the second patient was mentally retarded and had frontal bony prominence of skull. Computed tomography was used for the specific diagnosis of the lipomatous tissues in both patients.

  16. Radiologic diagnosis of asbestosis in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Cha, Yoon Ki; Kim, Jeung Sook [Dept. of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang (Korea, Republic of); Kim, Yook Kyung [Dept. of Radiology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul (Korea, Republic of); Kim, Yoon Kyung [Dept. of Radiology, Gachon University Gil Medical Center, Gachon University, Incheon (Korea, Republic of)


    Asbestosis is the most important change noted in the lung parenchyma after environmental and occupational exposure to asbestos fibers. It is characterized by diffuse interstitial pulmonary fibrosis. In Korea, the incidence of asbestosis will continue to increase for many years to come and the government enacted the Asbestos Damage Relief Law in 2011 to provide compensation to those suffering from asbestos-related diseases. Radiologic evaluation is necessary for diagnosis of asbestosis, and radiologists play a key role in this process. Therefore, it is important for radiologists to be aware of the various imaging features of asbestosis.

  17. Radiologic Diagnosis of Asbestosis in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Cha, Yoon Ki; Kim, Jeung Sook [Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang 10326 (Korea, Republic of); Kim, Yookyung [Department of Radiology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul 07985 (Korea, Republic of); Kim, Yoon Kyung [Department of Radiology, Gachon University Gil Medical Center, Gachon University, Incheon 21565 (Korea, Republic of)


    Asbestosis is the most important change noted in the lung parenchyma after environmental and occupational exposure to asbestos fibers. It is characterized by diffuse interstitial pulmonary fibrosis. In Korea, the incidence of asbestosis will continue to increase for many years to come and the government enacted the Asbestos Damage Relief Law in 2011 to provide compensation to those suffering from asbestos-related diseases. Radiologic evaluation is necessary for diagnosis of asbestosis, and radiologists play a key role in this process. Therefore, it is important for radiologists to be aware of the various imaging features of asbestosis.

  18. Application of MM wave therapy in radiology

    Energy Technology Data Exchange (ETDEWEB)

    Avakian, R.S. [Inst. of Radio Physics & Electronics, Ashtarack (Argentina); Gasparyan, L.V. [Republican Medical Centre Armenia, Yerevan (Argentina)


    The authors studied the effects of MM wave electromagnetic radiation influence on patients, affected by X-ray radiation during the reparation works after Chernobyl nuclear power plant exposure. They compared results of treatment of two groups of patients: (1) control group patients received only basis therapy; (2) testing group, 10 patients received basis therapy and MM wave influence. The authors used the wide band noise generator `Artsakh - 2` for local irradiation on the acupuncture points. Their data proved that low intensity MM waves have immunocorrective, antioxidant effects, and MM wave therapy is a perspective method for treatment of patients with radiological pathology.

  19. [Orbital emphysema: radiologic and ophthalmologic findings]. (United States)

    Solanas-Álava, Susana; Rodríguez-Marco, Nelson Arturo; Artigas-Martín, José María; Fernández-Larripa, Sonia


    Orbital emphysema, or the presence of air in orbital tissues, is normally associated with an injury although it can arise when a Valsalva maneuver causes an increase in upper airway pressure. This potential complication of an orbital wall fracture, usually in the ethmoid bone, occurs in 50% of such cases. On fracture, air passes from the nasal fossa, sinuses, or subcutaneous tissue. The condition is benign and transient in most cases, and loss of vision is rare. No protocol for treating orbital emphysema with serious complications in which vision is affected has been established. We report 9 cases of orbital emphysema, describing events leading to the fractures, radiologic findings, and treatments.

  20. Introduction to radiological physics and radiation dosimetry

    CERN Document Server

    Attix, Frank Herbert


    A straightforward presentation of the broad concepts underlying radiological physics and radiation dosimetry for the graduate-level student. Covers photon and neutron attenuation, radiation and charged particle equilibrium, interactions of photons and charged particles with matter, radiotherapy dosimetry, as well as photographic, calorimetric, chemical, and thermoluminescence dosimetry. Includes many new derivations, such as Kramers X-ray spectrum, as well as topics that have not been thoroughly analyzed in other texts, such as broad-beam attenuation and geometrics, and the reciprocity theorem

  1. Small bowel imaging - still a radiologic approach? (United States)

    Markova, Ingrid; Kluchova, Katerina; Zboril, Radek; Mashlan, Miroslav; Herman, Miroslav


    In recent years, there has been renewed interest in small bowel imaging using a variety of radiologic or endoscopic techniques. This article gives an overview and comparison of old and new techniques used in small bowel imaging. New imaging methods as computed tomography (CT), CT enteroclysis (CTEc), CT enterography (CTEg), ultrasound (US), contrast-enhanced ultrasound (CEUS), US enteroclysis, US enterography, magnetic resonance imaging (MRI), MR enteroclysis (MREc) and MR enterography (MREg) are compared with the older techniques such as small- bowel follow- through (SBFT), conventional enteroclysis (CE) and endoscopic techniques including push enteroscopy, ezofagogastroduodenoscopy (EGD), sonde enteroscopy, ileocolonoscopy, double-balloon enteroscopy, intraoperative enteroscopy and wireless capsule enteroscopy (WCE). Systematic scan of Pubmed, Medline, Ovid, Elsevier search engines was used.. Additional information was found through the bibliographical review of relevant articles. SBFT has only secondary role in small bowel imaging. US is still the method of choice in imaging for pediatric populations. US and CEUS are also accepted as a method of choice especially in inflammatory cases. CE has been replaced by new cross - sectional imaging techniques (CTEc/CTEg or MREc/MREg). CTEc combines the advantages of CT and CE. MREc combines the advantages of MRI and CE. Some authors prefer CTEg or MREg with peroral bowel preparation and they strictly avoid nasojejunal intubation under fluoroscopic control. MREc has better soft tissue contrast, showing it to be more sensitive in detecting mucosal lesions than CTEc in inflammatory diseases. CTEg/MREg are techniques preferred for patients in follow-up of the inflammatory diseases. The radiologic community is not unanimous however about their role in the imaging process. CTEc/MREc as well as CTEg/MREg are superior to endoscopic methods in the investigation of small-bowel tumors. WCE gives unparalleled imaging of the mucosal

  2. RCT: Module 2.11, Radiological Work Coverage, Course 8777

    Energy Technology Data Exchange (ETDEWEB)

    Hillmer, Kurt T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    Radiological work is usually approved and controlled by radiation protection personnel by using administrative and procedural controls, such as radiological work permits (RWPs). In addition, some jobs will require working in, or will have the potential for creating, very high radiation, contamination, or airborne radioactivity areas. Radiological control technicians (RCTs) providing job coverage have an integral role in controlling radiological hazards. This course will prepare the student with the skills necessary for RCT qualification by passing quizzes, tests, and the RCT Comprehensive Phase 1, Unit 2 Examination (TEST 27566) and will provide in-the-field skills.

  3. Radiology PRICER 2. 0 subroutines for RADMAIN and RADPRICE. Software

    Energy Technology Data Exchange (ETDEWEB)

    Kowaleski, R.


    RADMAIN is a driver program provided for installation testing of PRICER 2.0. The format of the tape accompanying the form is 6250-BPI, 9-track, standard-label multifile tape. The six files contained on the tape are: RADMAIN - Driver program - COBOL vs source code; RADPRICE - Radiology Pricing subroutine; RADPROV - COBOL vs source code - Providers with carriers and localities; RADHCPCS - Radiology HCPCS codes; RADPREV - Prevailing charges and Fee Schedule amounts for Radiology; BILL - Radiology Bill Test File. Software Description: The software is written in the COBOL language for use on IBM 3090-500E using XA operating system.

  4. Imaging and radiological interventions in extra-hepatic portal vein obstruction. (United States)

    Pargewar, Sudheer S; Desai, Saloni N; Rajesh, S; Singh, Vaibhav P; Arora, Ankur; Mukund, Amar


    Extrahepatic portal vein obstruction (EHPVO) is a primary vascular condition characterized by chronic long standing blockage and cavernous transformation of portal vein with or without additional involvement of intrahepatic branches, splenic or superior mesenteric vein. Patients generally present in childhood with multiple episodes of variceal bleed and EHPVO is the predominant cause of paediatric portal hypertension (PHT) in developing countries. It is a pre-hepatic type of PHT in which liver functions and morphology are preserved till late. Characteristic imaging findings include multiple parabiliary venous collaterals which form to bypass the obstructed portal vein with resultant changes in biliary tree termed portal biliopathy or portal cavernoma cholangiopathy. Ultrasound with Doppler, computed tomography, magnetic resonance cholangiography and magnetic resonance portovenography are non-invasive techniques which can provide a comprehensive analysis of degree and extent of EHPVO, collaterals and bile duct abnormalities. These can also be used to assess in surgical planning as well screening for shunt patency in post-operative patients. The multitude of changes and complications seen in EHPVO can be addressed by various radiological interventional procedures. The myriad of symptoms arising secondary to vascular, biliary, visceral and neurocognitive changes in EHPVO can be managed by various radiological interventions like transjugular intra-hepatic portosystemic shunt, percutaneous transhepatic biliary drainage, partial splenic embolization, balloon occluded retrograde obliteration of portosystemic shunt (PSS) and revision of PSS.

  5. Transitive closure of subsumption and causal relations in a large ontology of radiological diagnosis. (United States)

    Kahn, Charles E


    The Radiology Gamuts Ontology (RGO)-an ontology of diseases, interventions, and imaging findings-was developed to aid in decision support, education, and translational research in diagnostic radiology. The ontology defines a subsumption (is_a) relation between more general and more specific terms, and a causal relation (may_cause) to express the relationship between disorders and their possible imaging manifestations. RGO incorporated 19,745 terms with their synonyms and abbreviations, 1768 subsumption relations, and 55,558 causal relations. Transitive closure was computed iteratively; it yielded 2154 relations over subsumption and 1,594,896 relations over causality. Five causal cycles were discovered, all with path length of no more than 5. The graph-theoretic metrics of in-degree and out-degree were explored; the most useful metric to prioritize modification of the ontology was found to be the product of the in-degree of transitive closure over subsumption and the out-degree of transitive closure over causality. Two general types of error were identified: (1) causal assertions that used overly general terms because they implicitly assumed an organ-specific context and (2) subsumption relations where a site-specific disorder was asserted to be a subclass of the general disorder. Transitive closure helped identify incorrect assertions, prioritized and guided ontology revision, and aided resources that applied the ontology's knowledge. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Interventional radiological imaging and treatment of port catheter dysfunctions; Angiografische Diagnostik und interventionelle Therapie von Portdysfunktionen

    Energy Technology Data Exchange (ETDEWEB)

    Kausche, S.; Nagel, S.N.; Teichgraeber, Ulf [Charite Universitaetsmedizin Berlin (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie


    To evaluate the impact of interventional radiological imaging and treatment of central venous port catheter complications. Materials and Methods: In this retrospective analysis 429 port catheter dysfunctions were evaluated in 393 port catheter systems for a total of 389 patients over a period of 10 years. The study included 193 (49.1 %) patients with radiologically implanted port catheter systems and 200 (50.9 %) referred patients with surgically implanted port systems. Port catheter dysfunctions were subdivided into early and late complications as well as into non-thrombotic and thrombotic events. After administration of contrast medium, the port system was visualized using digital subtraction angiography. Data were retrospectively collected from the in-house databases and then analyzed descriptively. Results: 429 contrast media injections via port catheters were performed in 393 port catheter systems. There were 359 (83.7 %) late complications and 70 (16.3 %) early complications. In 299 (69.7 %) cases thrombotic events occurred and 130 (30.3 %) non-thrombotic events were recorded. The most common reason for contrast media injection via port catheter system was port catheter-related thrombosis in 269 (62.7 %) cases. 70 (16.3 %) catheter migrations and 30 (7.0 %) fibrin sheath formations were detected. 18 (4.2 %) port needle malfunctions could be resolved through needle exchange. All 15 (3.5 %) catheter disconnections had to be revised in all cases. Also six port explantations were performed in 6 (1.4 %) catheter fractures. Conclusion: The possibilities of angiographic imaging and interventional radiological correction of port catheter dysfunctions must be exploited fully in order to avoid premature port explantation. (orig.)

  7. [RadLex - German version: a radiological lexicon for indexing image and report information]. (United States)

    Marwede, D; Daumke, P; Marko, K; Lobsien, D; Schulz, S; Kahn, T


    Since 2003 the Radiological Society of North America (RSNA) has been developing a lexicon of standardized radiological terms (RadLex) intended to support the structured reporting of imaging observations and the indexing of teaching cases. The aim of this study was to translate the first version of the lexicon (1 - 2007) into German and to implement a language-independent online term browser. RadLex version 1 - 2007 contains 6303 terms in nine main categories. Two radiologists independently translated the lexicon using medical dictionaries. Terms translated differently were revised and translated by consensus. For the development of an online term browser, a text processing algorithm called morphosemantic indexing was used which splits up words into small semantic units and compares those units to language-specific subword thesauri. In total 6240 of 6303 terms (99 %) were translated. Of those terms 3965 were German, 1893 were Latin, 359 were multilingual, and 23 were English terms that are also used in German and were therefore maintained. The online term browser supports a language-independent term search in RadLex (German/English) and other common medical terminology (e. g., ICD 10). The term browser displays term hierarchies and translations in different frames and the complexity of the result lists can be adapted by the user. RadLex version 1 - 2007 developed by the RSNA is now available in German and can be accessed online through a term browser with an efficient search function. This is an important precondition for the future comparison of national and international indexed radiological examination results and the interoperability between digital teaching resources.

  8. Revision shoulder arthroplasty from resurfacing to non-cemented short-stem reverse prosthesis. (United States)

    Natera, L; Bruguera, J; Atoun, E; Levy, O


    To assess the surgical parameters and the clinical and radiological outcomes of revisions of resurfacing shoulder arthroplasty to non-cemented short-stem reverse total shoulder arthroplasty. A total of 23 revisions from resurfacing shoulder arthroplasty to reverse total shoulder arthroplasty were performed. The mean age was 70.3±11.95 years. The patients included 82.6% (19/23) revised for cuff failure; 13.04% (3/23) cuff failure and aseptic loosening, and 4.35% (1/23) peri-prosthetic fracture. The need for humeral osteotomy or structural allograft, operation length, blood loss, blood transfusions and intraoperative fractures were recorded. Minimum follow-up 25 months. No humeral osteotomy or humeral structural allograft was required, and 2/23 (8.69%) required allograft for glenoid reconstruction. The mean operation time was 113.35±21.30minutes. Intra-operative blood loss was 374±245.09 mls. Blood transfusion was required in one case. Intra-operative fracture occurred in 1 case. The Constant score improved from 17.32 to 59.78 (age/sex adjusted, 84). Overall satisfaction improved from 1.37 to 8.04. The range of motion increased 79.57° in forward elevation; 72.88° in abduction; 38.06° in internal rotation; and 13.57° in external rotation. There was no evidence of radiolucency, subsidence, or bone resorption. Revisions of resurfacing implants to non-cemented short-stem reverse prosthesis show good clinical and radiological outcomes, with minimal intra-operative complexities. IV, case series. Copyright © 2016 SECOT. Published by Elsevier Espana. All rights reserved.

  9. [Comparison of the scientific quality of spanish radiologists that publish in international radiology journals and in spanish radiology journals]. (United States)

    Martí-Bonmatí, L; Catalá-Gregori, A I; Miguel-Dasit, A


    To determine that the quality, measured by the Hirsch index, of Spanish authors who publish in international radiology journals with an impact factor (AJR, European Radiology, Investigative Radiology, Radiographics, and Radiology) is higher of those who publish only in Spanish journals or in both types of journals. We analyzed a total of 6 radiology journals, including 5 international journals and one national (Radiología). We selected Spanish authors of original articles published in 2008 and 2009 who were working at Spanish centers when their articles were written. We classified the authors into three categories: a) those who published only in international journals; b) those who published only in Radiología, and c) those who published in Radiología and in an international journal. We calculated the Hirsch index score for each author and analyzed the groups using the Kolmogorov-Smirnov goodness-of-fit test, the Kruskal-Wallis nonparametric test, and the median test to evaluate the differences. Of the 440 identified Spanish authors as having published in the two-year period, 248 (56%) published only in Radiología, 172 (39%) only in international journals, and 20 (5%) in both. The mean Hirsch index score for the group of authors who published only in Radiología (1.15±2.35) was lower than for those who published only in international journals (2.59±3.39). Authors who published in both international journals and Radiología had the highest score on the Hirsch index (4.1±3.89) (P<.001). The Spanish authors with the highest prestige and quality publish both in international journals and in Radiología. Copyright © 2010 SERAM. Published by Elsevier Espana. All rights reserved.

  10. Incorporating intelligence into structured radiology reports (United States)

    Kahn, Charles E.


    The new standard for radiology reporting templates being developed through the Integrating the Healthcare Enterprise (IHE) and DICOM organizations defines the storage and exchange of reporting templates as Hypertext Markup Language version 5 (HTML5) documents. The use of HTML5 enables the incorporation of "dynamic HTML," in which documents can be altered in response to their content. HTML5 documents can employ JavaScript, the HTML Document Object Model (DOM), and external web services to create intelligent reporting templates. Several reporting templates were created to demonstrate the use of scripts to perform in-template calculations and decision support. For example, a template for adrenal CT was created to compute contrast washout percentage from input values of precontrast, dynamic postcontrast, and delayed adrenal nodule attenuation values; the washout value can used to classify an adrenal nodule as a benign cortical adenoma. Dynamic templates were developed to compute volumes and apply diagnostic criteria, such as those for determination of internal carotid artery stenosis. Although reporting systems need not use a web browser to render the templates or their contents, the use of JavaScript creates innumerable opportunities to construct highly sophisticated HTML5 reporting templates. This report demonstrates the ability to incorporate dynamic content to enhance the use of radiology reporting templates.

  11. Feline dental radiography and radiology: A primer. (United States)

    Niemiec, Brook A


    Information crucial to the diagnosis and treatment of feline oral diseases can be ascertained using dental radiography and the inclusion of this technology has been shown to be the best way to improve a dental practice. Becoming familar with the techniques required for dental radiology and radiography can, therefore, be greatly beneficial. Novices to dental radiography may need some time to adjust and become comfortable with the techniques. If using dental radiographic film, the generally recommended 'E' or 'F' speeds may be frustrating at first, due to their more specific exposure and image development requirements. Although interpreting dental radiographs is similar to interpreting a standard bony radiograph, there are pathologic states that are unique to the oral cavity and several normal anatomic structures that may mimic pathologic changes. Determining which teeth have been imaged also requires a firm knowledge of oral anatomy as well as the architecture of dental films/digital systems. This article draws on a range of dental radiography and radiology resources, and the benefit of the author's own experience, to review the basics of taking and interpreting intraoral dental radiographs. A simplified method for positioning the tubehead is explained and classic examples of some common oral pathologies are provided. © ISFM and AAFP 2014.

  12. Consensus paper: radiological biomarkers of cerebellar diseases. (United States)

    Baldarçara, Leonardo; Currie, Stuart; Hadjivassiliou, M; Hoggard, Nigel; Jack, Allison; Jackowski, Andrea P; Mascalchi, Mario; Parazzini, Cecilia; Reetz, Kathrin; Righini, Andrea; Schulz, Jörg B; Vella, Alessandra; Webb, Sara Jane; Habas, Christophe


    Hereditary and sporadic cerebellar ataxias represent a vast and still growing group of diseases whose diagnosis and differentiation cannot only rely on clinical evaluation. Brain imaging including magnetic resonance (MR) and nuclear medicine techniques allows for characterization of structural and functional abnormalities underlying symptomatic ataxias. These methods thus constitute a potential source of radiological biomarkers, which could be used to identify these diseases and differentiate subgroups of them, and to assess their severity and their evolution. Such biomarkers mainly comprise qualitative and quantitative data obtained from MR including proton spectroscopy, diffusion imaging, tractography, voxel-based morphometry, functional imaging during task execution or in a resting state, and from SPETC and PET with several radiotracers. In the current article, we aim to illustrate briefly some applications of these neuroimaging tools to evaluation of cerebellar disorders such as inherited cerebellar ataxia, fetal developmental malformations, and immune-mediated cerebellar diseases and of neurodegenerative or early-developing diseases, such as dementia and autism in which cerebellar involvement is an emerging feature. Although these radiological biomarkers appear promising and helpful to better understand ataxia-related anatomical and physiological impairments, to date, very few of them have turned out to be specific for a given ataxia with atrophy of the cerebellar system being the main and the most usual alteration being observed. Consequently, much remains to be done to establish sensitivity, specificity, and reproducibility of available MR and nuclear medicine features as diagnostic, progression and surrogate biomarkers in clinical routine.

  13. [Vocal recognition in dental and oral radiology]. (United States)

    La Fianza, A; Giorgetti, S; Marelli, P; Campani, R


    Speech reporting benefits by units which can recognize sentences in any natural language in real time. The use of this method in the everyday practice of radiology departments shows its possible application fields. We used the speech recognition method to report orthopantomographic exams in order to evaluate the advantages the method offers to the management and quality of reporting the exams which are difficult to fit in other closed computed reporting systems. Both speech recognition and the conventional reporting method (tape recording and typewriting) were used to report 760 orthopantomographs. The average time needed to make the report, the legibility (or Flesch) index, as adapted for the Italian language, and finally a clinical index (the subjective opinion of 4 odontostomatologists) were evaluated for each exam, with both techniques. Moreover, errors in speech reporting (crude, human and overall errors) were also evaluated. The advantages of speech reporting consisted in the shorter time needed for the report to become available (2.24 vs 2.99 minutes) (p < 0.0005), in the improved Flesch index (30.62 vs 28.9) and in the clinical index. The data obtained from speech reporting in odontostomatologic radiology were useful not only to reduce the mean reporting time of orthopantomographic exams but also to improve report quality by reducing both grammar and transmission mistakes. However, the basic condition for such results to be obtained is the speaker's skills to make a good report.

  14. Critical issues in radiology requests and reports. (United States)

    De Filippo, M; Corsi, A; Evaristi, L; Bertoldi, C; Sverzellati, N; Averna, R; Crotti, P; Bini, G; Tamburrini, O; Zompatori, M; Rossi, C


    This study evaluated the appropriateness and accuracy of 500 radiology requests and their matched reports in order to identify recurring errors in both areas. A randomly chosen sample consisting of 167 computed tomography (CT), 166 ultrasonography (US) and 167 radiographic examinations were collected and analysed according to national referral guidelines and to the principles of justification and optimisation (Law no. 187/2000). We identified a high rate of inappropriate requests (27.6%) and requests lacking a clinical question (22%). There was good precision in the anamnestic data (80.6%) and in the formulation of the diagnostic question (76.8%). Almost all requests were handwritten, and 12.5% lacked the referring physician's stamp and/or signature. No report mentioned the clinical information received or the equipment used. The use of contrast medium was always reported. Conclusions were reported in 9.8% of these reports. When further investigation would have been necessary, the radiologist omitted to report this in 60% of cases. Some important weaknesses emerged, especially regarding requests for radiological examinations (22% lacked the clinical question, 27.6% were inappropriate), potentially limiting the effectiveness of the diagnostic process and leading to negative effects on the correct risk management process. There emerges a need for better collaboration between clinicians and radiologists.

  15. Appropriateness: analysis of outpatient radiology requests. (United States)

    Cristofaro, M; Busi Rizzi, E; Schininà, V; Chiappetta, D; Angeletti, C; Bibbolino, C


    This study assessed radiology requests and the influence of previous radiological procedures on their specificity and appropriateness, evaluated diagnostic outcomes and recorded the economic impact of inappropriate examinations. We prospectively analysed 4,018 outpatient requests, the appropriateness of which was assessed using an evaluation form. Economic analysis was based on costs listed in the Italian National Health Services (NHS) national tariff as established by the Ministerial Decree of 22 July 1996. Statistical analysis was carried out using Pearson's test and univariate and multivariate logistic regression models. Of 4,018 outpatient requests, 57% were not included in a follow-up protocol and 56% were found to be appropriate. The diagnostic question was confirmed in 66% of cases considered appropriate (prequests was 257,317 euro, with inappropriate requests accounting for 94,012 euro (36.5%). We found a 56% rate of appropriate requests and demonstrated that appropriate prescriptions provided with a specific clinical question led to significantly higher confirmation rates of the diagnostic hypothesis. In addition, inappropriate requests had a major negative economic impact.

  16. Integrated interdisciplinary training in the radiological sciences. (United States)

    Brenner, D J; Vazquez, M; Buonanno, M; Amundson, S A; Bigelow, A W; Garty, G; Harken, A D; Hei, T K; Marino, S A; Ponnaiya, B; Randers-Pehrson, G; Xu, Y


    The radiation sciences are increasingly interdisciplinary, both from the research and the clinical perspectives. Beyond clinical and research issues, there are very real issues of communication between scientists from different disciplines. It follows that there is an increasing need for interdisciplinary training courses in the radiological sciences. Training courses are common in biomedical academic and clinical environments, but are typically targeted to scientists in specific technical fields. In the era of multidisciplinary biomedical science, there is a need for highly integrated multidisciplinary training courses that are designed for, and are useful to, scientists who are from a mix of very different academic fields and backgrounds. We briefly describe our experiences running such an integrated training course for researchers in the field of biomedical radiation microbeams, and draw some conclusions about how such interdisciplinary training courses can best function. These conclusions should be applicable to many other areas of the radiological sciences. In summary, we found that it is highly beneficial to keep the scientists from the different disciplines together. In practice, this means not segregating the training course into sections specifically for biologists and sections specifically for physicists and engineers, but rather keeping the students together to attend the same lectures and hands-on studies throughout the course. This structure added value to the learning experience not only in terms of the cross fertilization of information and ideas between scientists from the different disciplines, but also in terms of reinforcing some basic concepts for scientists in their own discipline.

  17. Consensus Paper: Radiological Biomarkers of Cerebellar Diseases (United States)

    Baldarçara, Leonardo; Currie, Stuart; Hadjivassiliou, M.; Hoggard, Nigel; Jack, Allison; Jackowski, Andrea P.; Mascalchi, Mario; Parazzini, Cecilia; Reetz, Kathrin; Righini, Andrea; Schulz, Jörg B.; Vella, Alessandra; Webb, Sara Jane; Habas, Christophe


    Hereditary and sporadic cerebellar ataxias represent a vast and still growing group of diseases whose diagnosis and differentiation cannot only rely on clinical evaluation. Brain imaging including magnetic resonance (MR) and nuclear medicine techniques allows for characterization of structural and functional abnormalities underlying symptomatic ataxias. These methods thus constitute a potential source of radiological biomarkers, which could be used to identify these diseases and differentiate subgroups of them, and to assess their severity and their evolution. Such biomarkers mainly comprise qualitative and quantitative data obtained from MR including proton spectroscopy, diffusion imaging, tractography, voxel-based morphometry, functional imaging during task execution or in a resting state, and from SPETC and PET with several radiotracers. In the current article, we aim to illustrate briefly some applications of these neuroimaging tools to evaluation of cerebellar disorders such as inherited cerebellar ataxia, fetal developmental malformations, and immune-mediated cerebellar diseases and of neurodegenerative or early-developing diseases, such as dementia and autism in which cerebellar involvement is an emerging feature. Although these radiological biomarkers appear promising and helpful to better understand ataxia-related anatomical and physiological impairments, to date, very few of them have turned out to be specific for a given ataxia with atrophy of the cerebellar system being the main and the most usual alteration being observed. Consequently, much remains to be done to establish sensitivity, specificity, and reproducibility of available MR and nuclear medicine features as diagnostic, progression and surrogate biomarkers in clinical routine. PMID:25382714

  18. Recent advances in radiology and medical imaging

    Energy Technology Data Exchange (ETDEWEB)

    Steiner, R.E.; Sherwood, T.


    The first chapter, on the radiology of arthritis, is an overview. The second and seventh chapters are on the chest the former, on adult respiratory distress syndrome, is a brief summary, and the latter, on digital radiography of the chest with the prototype slit-scanning technique. The third chapter reviews computed tomography of the lumbar spine. The following two chapters are on MR imaging, one on the central nervous system (covering demyelinating diseases, cardiovascular disease, infections, and tumors), with excellent illustrations; and one on MR imaging of the body. The illustrations are good. The following chapter is on extracardiac digital subtraction angiography (DSA), with an interesting table comparing and contrasting conventional angiography with both intraveneous and intraarterial DSA. The eighth chapter on pediatric imaging fits a world of experience. Chapter 9 is an update on contrast media, while the next chapter is on barium infusion examination of the small intestine. The final three chapters are concerned with the present state of angioplasty, interventional radiology in the urinary tract.

  19. Radiology illustrated. Gynecologic imaging. 2. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seung Hyup (ed.) [Seoul National Univ. Hospital (Korea, Republic of). Dept. of Radiology


    Up-to-date and image-oriented for use in clinical practice. Chapters are organized by disease entity for quick reference. Includes high-quality images and schematic drawings. Radiology Illustrated: Gynecologic Imaging is an up-to-date, image-oriented reference in the style of a teaching file that has been designed specifically to be of value in clinical practice. Individual chapters focus on the various imaging techniques, normal variants and congenital anomalies, and the full range of pathology. Each chapter starts with a concise overview, and abundant examples of the imaging findings are then presented. In this second edition, the range and quality of the illustrations have been enhanced, and image quality is excellent throughout. Many schematic drawings have been added to help readers memorize characteristic imaging findings through pattern recognition. The organization of chapters by disease entity will enable readers quickly to find the information they seek. Besides serving as an outstanding aid to differential diagnosis, this book will provide a user-friendly review tool for certification or recertification in radiology.

  20. Radiologic findings of osteoarticular infection in paracoccidioidomycosis

    Energy Technology Data Exchange (ETDEWEB)

    Monsignore, Lucas Moretti; Simao, Marcelo Novelino; Reis Teixeira, Sara; Elias, Jorge Jr.; Nogueira-Barbosa, Marcello Henrique [Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Division of Radiology of the Internal Medicine Department, Ribeirao Preto (Brazil); Martinez, Roberto [Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Division of Infectious Diseases of the Internal Medicine Department, Ribeirao Preto (Brazil)


    To report the radiological abnormalities of osteoarticular involvement in paracoccidioidomycosis (PCM). After institutional board approval, the medical records and conventional radiology findings of 19 patients with osseous PCM were retrospectively reviewed. Number, distribution, and lesion characteristics were evaluated in consensus by two experienced musculoskeletal radiologists. The mean age of patients was 16.1 years (range 4-49 years), 11 male and eight female. MSK involvement was the only or the primary presentation of the disease in eight of 19 patients (42.1%). In total, 51 focal bone lesions were detected, being 41 in long bones. In long bones lesions, 19 of 41 (46.4%) were metaphyseal, 12 of 41 (29.3%) meta-epiphyseal, and 12 of 41 (29.3%) diaphyseal. The most common presentation was a geographic osteolytic bone lesion (62.7%), without marginal sclerosis (82.4%) and without periosteal reaction (90.2%). Articular involvement was present in six of 19 patients (31.6%), being two cases of primary arthritis. All encountered bone lesions were osteolytic. Metaphyseal or meta-epiphyseal osteomyelitis of a long bone was the most prevalent osteoarticular manifestation of paracoccidioidomycosis. PCM osteoarticular involvement could be solitary or multifocal, occurs almost exclusively in the acute/subacute clinical form, and it is more common in children and in juvenile patients. Axial skeleton involvement, arthritis, or a disseminated osseous pattern of infection may occasionally occur in this fungal disease. (orig.)

  1. Teaching Communication Skills to Radiology Residents. (United States)

    Itri, Jason N; Yacob, Sammy; Mithqal, Ayman

    The transition of health care in the United States from volume to value requires a systems-based approach aligning clinical services across the continuum of care. The ability to communicate effectively and resolve conflict is a critical skill within the systems-based model. Recognizing the essential role of communication in medicine, the Accreditation Council of Graduate Medical Education has designated interpersonal and communication skills a core competency for all residents regardless of specialty. Yet, communication skills are often developed through on-the-job training or not at all. Traditional educational curricula use a predominantly didactic approach without opportunities for trainees to observe, actively experiment, or reflect on what is learned as a part of the learning process. In this article, we describe a 1-day experiential communication skills workshop customized for radiology residents that consists of Myers-Briggs Type Indicator and conflict management sessions designed to develop interpersonal, communication, and conflict management skills through group discussion, role-play, and simulation. The purpose of this educational initiative was to determine the perceived value of an experiential communication skills workshop designed for radiology trainees. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. The aplication of teleradiology in dentomaxillofacial radiology

    Directory of Open Access Journals (Sweden)

    Fahmi Oscandar


    Full Text Available Radiograph interpretation which is conducted by dentomaxillofacial radiologist has a problem with distance, time and limited number of dental radiologist in Indonesia that it becomes an obstacles to provided expansive and be spread evently radiograph interpretation services. The objective of this review to provide information to general dentist and other dental specialist about teleradiology advantage in dentomaxillofacial radiology as comunication media between dental radiologist and other dental specialist using teleradiology system. Radiographs imaging can be easily sent from dental radiologist to other dental spesialist not only in the sections of the hospital but also other locations throughout the world. The teleradiology system need adequate internet capacity, internet speed and bandwith. Benefits of using teleradiology is able to achieve efectivity dentomaxillofacial radiology services. As conclusion, teleradiology can be used as communication media between dentomaxillofacial radiologist with other dental specialists, especially in providing services radiograph interpretation thus can provide patient services effectively and efficiently, without problem of human resources, time, distance and location.

  3. Ethics in radiology: wait lists queue jumping. (United States)

    Cunningham, Natalie; Reid, Lynette; MacSwain, Sarah; Clarke, James R


    Education in ethics is a requirement for all Royal College residency training programs as laid out in the General Standards of Accreditation for residency programs in Canada. The ethical challenges that face radiologists in clinical practice are often different from those that face other physicians, because the nature of the physician-patient interaction is unlike that of many other specialties. Ethics education for radiologists and radiology residents will benefit from the development of teaching materials and resources that focus on the issues that are specific to the specialty. This article is intended to serve as an educational resource for radiology training programs to facilitate teaching ethics to residents and also as a continuing medical education resource for practicing radiologists. In an environment of limited health care resources, radiologists are frequently asked to expedite imaging studies for patients and, in some respects, act as gatekeepers for specialty care. The issues of wait lists, queue jumping, and balancing the needs of individuals and society are explored from the perspective of a radiologist. Copyright © 2013 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

  4. [Business intelligence in radiology. Challenges and opportunities]. (United States)

    Escher, A; Boll, D


    Due to economic pressures and need for higher transparency, a ubiquitous availability of administrative information is needed. Therefore radiology managers should consider implementing business intelligence (BI) solutions. BI is defined as a systemic approach to support decision-making in business administration. It is an important part of the overall strategy of an organization. Implementation and operation is initially associated with costs and for a successful launch important prerequisites must be fulfilled. First, a suitable product must be selected, followed by the technical and organizational implementation. After consideration of the type of data to be collected and a system of key performance indicators must be established. BI replaces classic retrospective business reporting with multidimensional and multifactorial analyses, real-time monitoring, and predictive analyses. The benefits of BI include the rapid availability of important information and the depth of possible data analysis. The simple and intuitive use of modern BI applications by the users themselves (!) combined with a continuous availability of information is the key to success. Professional BI will be an important part of management in radiology in the future.

  5. Belief Revision and Argumentation Theory (United States)

    Falappa, Marcelo Alejandro; Kern-Isberner, Gabriele; Simari, Guillermo Ricardo

    Belief revision is the process of changing beliefs to adapt the epistemic state of an agent to a new piece of information. The logical formalization of belief revision is a topic of research in philosophy, logic, and in computer science, in areas such as databases or artificial intelligence. On the other hand, argumentation is concerned primarily with the evaluation of claims based on premises in order to reach conclusions. Both provide basic and substantial techniques for the art of reasoning, as it is performed by human beings in everyday life situations and which goes far beyond logical deduction. Reasoning, in this sense, makes possible to deal successfully with problems in uncertain, dynamic environments and has been promoting the development of human societies.

  6. Revising Academic Library Governance Handbooks

    Directory of Open Access Journals (Sweden)

    Jen Stevens


    Full Text Available Regardless of our status (tenure track, non-tenure track, staff, and/or union, academic librarians at colleges and universities may use a handbook or similar document as a framework for self-governance. These handbooks typically cover rank descriptions, promotion requirements, and grievance rights, among other topics. Unlike employee handbooks used in the corporate world, these documents may be written and maintained by academic librarians themselves1. In 2010, a group of academic librarians at George Mason University was charged with revising our Librarians’ Handbook. Given the dearth of literature about academic librarians’ handbooks and their revision, we anticipate our library colleagues in similar situations will benefit from our experience and recommendations.

  7. Radiological research in Europe: a bibliometric study

    Energy Technology Data Exchange (ETDEWEB)

    Mela, G.S. [Department of Internal Medicine, DIMI, University of Genoa, Largo R. Benzi, 8, 16132 Genova (Italy); Martinoli, C.; Poggi, E.; Derchi, L.E. [Department of Radiology, DICMI, University of Genoa, Largo R. Benzi, 8, 16132 Genova (Italy)


    We performed a bibliometric search to evaluate number and scientific ''weight'' of papers written by European radiologists, as compared with colleagues from other countries, to measure the contribution of European researchers to radiology journals, and to correlate bibliometric parameters with some socio-economic factors of the different European nations. We considered all peer-reviewed articles published by radiologists in biomedical journals quoted by ISI over the 1995-2000 period. To identify authors as radiologists, the string ''radiol'' had to appear in the address of the corresponding author, and his country was considered as the country of origin of the paper. The definition of Europe included the 15 countries of the European Union, plus Norway and Switzerland. The scientific ''weight'' of the paper was assumed to be the impact factor of the journal of the publication in that given year. Then, we considered the annual indexes number of papers/population and number of papers/Gross Domestic Product (GDP) in each country. Data were retrieved from the Eurostat annual statistic reviews. From these bases, we obtained a comparison of the scientific production among European radiologists, those from the U.S. and those from the rest of the world. European radiological research is responsible of almost 40% of the world scientific production in our field, and Germany, UK and France are the leading publishers in Europe. An increase of the number of papers written by European radiologists was noted in the 1995-2000 period, whereas the production from the U.S. had a slight decrease. The mean concentration indexes papers/inhabitants and papers/GDP were significantly lower in Europe than in the U.S., even if some small European countries had higher values than the U.S. As a mean, European research received a lower impact factor than that from the U.S. The assessment of research output has progressively developed as

  8. Implementation of procedures of radiological protection in the section of Radiology of the emergency Hospital of Porto Alegre-Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Lorenzini, F.; Rizzati, M.R. [Emergency Hospital of Porto Alegre, HPS (Brazil)


    The Emergency Hospital of Porto Alegre (HPS) is one of the main reference centers for the population in the attendance of medical emergencies/urgencies. The Section of Radiology, which informs the patients clinical conditions based on radiological images, is the most demanded section of the hospital (81.43 % of the medical cases request radiological exams) in the aid of the diagnosis, in which excels for the search of the quality in the health branch. In this work are presented the procedures to have been implemented about radiological protection according to effective norm, methods, ways and conditions to satisfy the radiation workers and the internal and external patients. (Author)

  9. Clean Air Act. Revision 5

    Energy Technology Data Exchange (ETDEWEB)


    This Reference Book contains a current copy of the Clean Air Act, as amended, and those regulations that implement the statute and appear to be most relevant to DOE activities. The document is provided to DOE and contractor staff for informational purposes only and should not be interpreted as legal guidance. This Reference Book has been completely revised and is current through February 15, 1994.

  10. A data warehouse for integrating radiologic and pathologic data. (United States)

    Rubin, Daniel L; Desser, Terry S


    Much of the information needed for radiology teaching and research is not in the picture archiving and communication system but distributed in hospital information systems throughout the medical enterprise. Our objective is to describe the design, methodology, and implementation of a data warehouse to integrate and make accessible the types of medical data pertinent to radiology research and teaching, and to encourage implementation of similar approaches throughout the radiologic community. We identified desiderata of radiology data warehouses and designed and implemented a prototype system (RadBank) to meet these needs. RadBank was built with open-source software tools on a Linux platform with a relational database. We created a text report parsing module that recognizes the structure of radiology reports and makes individual sections available for indexing and search. A database schema was designed to link radiology and pathology reports and to enable users to retrieve cases using flexible queries. Our system contains more than 2 million radiology and pathology reports, and allows full text search by patient history, findings, and diagnosis by radiology and pathology. RadBank has helped radiologists at our institution find teaching cases and identify research cohorts. Data warehouses can provide radiologists access to important clinical information contained in radiology and pathology reports, and supplement the image information in picture archiving and communication system workstations. We believe that data warehouses similar to our system can be implemented in other radiology departments within a reasonable budget to make their vast radiologic-pathologic case material accessible for education and research.

  11. Revised dietary guidelines for Koreans. (United States)

    Jang, Young Ai; Lee, Haeng Shin; Kim, Bok Hee; Lee, Yoonna; Lee, Hae Jeung; Moon, Jae Jin; Kim, Cho-il


    With rapidly changing dietary environment, dietary guidelines for Koreans were revised and relevant action guides were developed. First, the Dietary Guidelines Advisory Committee was established with experts and government officials from the fields of nutrition, preventive medicine, health promotion, agriculture, education and environment. The Committee set dietary goals for Koreans aiming for a better nutrition state of all after a thorough review and analysis of recent information related to nutritional status and/or problems of Korean population, changes in food production/supply, disease pattern, health policy and agricultural policy. Then, the revised dietary guidelines were proposed to accomplish these goals in addition to 6 different sets of dietary action guides to accommodate specific nutrition and health problems of respective age groups. Subsequently, these guidelines and guides were subjected to the focus group review, consumer perception surveys, and a public hearing for general and professional comments. Lastly, the language was clarified in terms of public understanding and phraseology. The revised Dietary guidelines for Koreans are as follows: eat a variety of grains, vegetables, fruits, fish, meat, poultry and dairy products; choose salt-preserved foods less, and use less salt when you prepare foods; increase physical activity for a healthy weight, and balance what you eat with your activity; enjoy every meal, and do not skip breakfast; if you drink alcoholic beverages, do so in moderation; prepare foods properly, and order sensible amounts; enjoy our rice-based diet.

  12. A metastatic castration resistant prostate cancer patient with multiple bone metastases has durable biochemical and radiological response to docetaxel chemotherapy (United States)

    Daimon, Tatsuaki; Kosaka, Takeo; Oya, Mototsugu


    Docetaxel chemotherapy for metastatic castration resistant prostate cancer patients has been thought palliative because the radiological response rate is low and durable response is rare. The patient was a 64-year-old man who was diagnosed with cT3aN0M0 prostate cancer and underwent external beam radiation therapy as the initial treatment. He underwent androgen deprivation therapy and 8 cycles of docetaxel chemotherapy. His PSA level decreased and became undetectable and the disease was confirmed to be stable by radiological examination. We report a rare case that a metastatic castration resistant prostate cancer patient with multiple bone metastases has durable radiological and biochemical response. PMID:27766278

  13. American Association of Dental Schools Curricular Guidelines for Oral Radiology. (United States)

    Journal of Dental Education, 1980


    Oral radiology curricular guidelines developed by the American Association of Dental Schools are provided. The guidelines describe minimal conditions under which a satisfactory educational experience can be offered. Principles of x-radiation, radiobiological concepts, radiological health, radiographic technique, radiographic quality, and darkroom…

  14. Clinicians completion rate of radiology request card in a Nigerian ...

    African Journals Online (AJOL)

    The importance of adequately completing the radiology request card by the clinicians, in management of patient cannot be overemphasized. Omission of information on the request card may lead to reporting error. This study investigated the compliance rate of filling the radiology request card by clinicians received in a ...

  15. Multicentre Assessment of Radiology Request Form Completion in ...

    African Journals Online (AJOL)

    An important element in the multidisciplinary approach to patient management is communications among clinicians. As most of the patients attending any hospital have to go through the department of radiology, the pattern and attitude of clinicians to the completion of radiology request forms was assessed in three teaching ...

  16. Radiological contribution to skeletal changes in systemic mastocytosis - urticaria pigmentosa

    Energy Technology Data Exchange (ETDEWEB)

    Schratter, M.; Canigiani, G.; Schoenbauer, C.; Mach, K.


    Three patients are demonstrated suffering from systemic mastocytosis with skin and skeletal involvement. History, clinical and radiological results are reported. After a brief analysis of the pathogenetic mechanism, the radiological findings on the skeletal system in systemic mastocytosis are discussed. Finally, roentgenological differential diagnosis of the osseous lesions is explained.

  17. Current Trends in Gamma Ray Detection for Radiological Emergency Response

    Energy Technology Data Exchange (ETDEWEB)

    Mukhopadhyay, S., Guss, P., Maurer, R.


    Passive and active detection of gamma rays from shielded radioactive materials, including special nuclear materials, is an important task for any radiological emergency response organization. This article reports on the current trends and status of gamma radiation detection objectives and measurement techniques as applied to nonproliferation and radiological emergencies.

  18. The sandwich sign | Mahomed | SA Journal of Radiology

    African Journals Online (AJOL)

    The sandwich sign refers to the sandwiching of mesenteric vessels and fat by enlarged mesenteric nodes on cross-sectional imaging, commonly occurring in lymphoma, but not specific to lymphoma. The sign is radiologically indistinguishable from post-transplant lymphoproliferative disorders. The radiological significance ...


    African Journals Online (AJOL)


    WHAT. IS. INTERVENTIONAL. RADIOLOGY (IR)? This is a sub- specialty in diagnostic Radiology, which involves the use of minimally invasive targeted treatment options to manage various medical conditions, under imaging guidance. This treatment method is less invasive compared with surgery and most times does not ...

  20. Fractures around child's elbow-radiological patterns | Biruk | East ...

    African Journals Online (AJOL)

    Background: This was a one-year prospective study aimed at evaluating the clinical and radiological patterns of the paediatric elbow fractures and determining the magnitude of the problem. The clinical and radiological pitfalls in managing such fractures were also studied and addressed. The setting was in Addis Ababa ...

  1. Osteosarcoma of limb bones: a clinical, radiological and ...

    African Journals Online (AJOL)

    this study (Radiology, Pathology and Orthopedics) receive referred patients from all over the country. Methods: All bone tumor patients, presenting to the three departments at BLH between the study period, December,. 2003 – March, 2008 were recruited for the study. 51 patients with radiological diagnosis of osteosarcoma ...

  2. Osteosarcoma of limb bones: a clinical, radiological and ...

    African Journals Online (AJOL)

    The departments involved in this study (Radiology, Pathology and Orthopedics) receive referred patients from all over the country. Methods: All bone tumor patients, presenting to the three departments at BLH between the study period, December, 2003 – March, 2008 were recruited for the study. 51 patients with radiological ...

  3. 42 CFR 482.26 - Condition of participation: Radiologic services. (United States)


    ... have available, diagnostic radiologic services. If therapeutic services are also provided, they, as... badge tests, for amount of radiation exposure. (4) Radiologic services must be provided only on the order of practitioners with clinical privileges or, consistent with State law, of other practitioners...

  4. Region 8 radiological assistance program team response manual

    Energy Technology Data Exchange (ETDEWEB)

    Webb, D.E.


    The purpose of this manual is to provide guidance so that a request for radiological assistance is responded to in an effective and consistent manner. These procedures are specific to the trained and qualified members of the Region 8 Radiological Assistance Program (RAP) team. Procedures provide steps for responding to the request, notification and activation of the team members, position descriptions, and checklists.

  5. Chemical, Biological, Radiological, and Nuclear Response Enterprise: A Way Ahead (United States)


    Chernobyl accident . By overlaying the current CRE on these situations and through his analysis, he found that DOD response was appropriate to each of...Chemical, Biological, Radiological, & Nuclear Response Enterprise: A Way Ahead by Colonel Bret Van Camp United States Army...From - To) 4. TITLE AND SUBTITLE Chemical, Biological, Radiological, & Nuclear Response Enterprise: A Way Ahead 5a. CONTRACT NUMBER

  6. Radiological findings in the diagnosis of genitourinary candidiasis

    Energy Technology Data Exchange (ETDEWEB)

    Erden, A. [Dept. of Radiology, Univ. of Ankara (Turkey); Hafta Sokak, Ankara (Turkey); Fitoz, S.; Karaguelle, T.; Tuekel, S.; Akyar, S. [Dept. of Radiology, Univ. of Ankara (Turkey)


    The presence of fungus balls within the collecting system is an important clue to the radiological diagnosis of genitourinary candidiasis. In this report, an 8-month-old infant with this opportunistic infection is described. Emphasis is placed on the radiological findings of renal candidiasis, including previously unreported MR appearances. Sonographic and Doppler findings of accompanying Candida epididymitis are also described. (orig.)

  7. Radiological Interpretation of Osteosarcoma of the Jaw: its ...

    African Journals Online (AJOL)

    We have experienced several cases of Osteosarcoma wrongly diagnosed as periodontal disease or dentoaveolar abscess due to wrong radiological interpretations and extraction done with dire consequences. The purpose of this article is to emphasize the need for proper radiological interpretation in the diagnosis of ...

  8. A Survey of Preoperative Radiological Investigation Among Dental ...

    African Journals Online (AJOL)

    Twenty-nine (60.4%) respondents do not bother about radiological investigation before surgical procedure while 19 (:39.6%) insisted on preoperative radiological investigations before surgery. Out ofthese 19 respondents, all recommend periapical x-ray while 5 (26.3%) had a cause to recommend .oblique lateral of the jaw ...

  9. Quality management systems in radiology | Korir | SA Journal of ...

    African Journals Online (AJOL)

    Background. The use of X-ray imaging is ever increasing in proportion to the need for radiological services and the latest technology. Quality management of patient radiation dose monitoring is fundamental to safety and quality improvement of radiological services. Objective. To assess the level of quality management ...

  10. The Pathology of Infection in the Department of Radiology

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Seong Gyu [Dept. of Radiology, Dong a University Medical Center, Pusan (Korea, Republic of); Lee, Hyo Yeong [Dept. of Nuclear Medicine, Pusan National University Hospital, Pusan (Korea, Republic of)


    This study was performed to understand the bacteriologic contamination level of radiological equipment which have frequent contacts with patients in the Department of Radiology of an university hospital in Busan area. Before sterilizing in-patient of the radiology rooms, MRSA, VRE, acinetobacter baumannii, candida albicans, and enterococcus sp. were detected. After sterilization, all the bacteria were not found. As examine times become longer, more bacteria were detected and after 7 hours, bacillus sp.(GPR), CNS, acinetobacter baumannii, and Enterococcus sp. were detected. After examining infected patients, bacillus sp.(GPR), VRE, enterococcus sp. CNS, and micrococcus sp. were detected and on the hands of radiological technologists, CNS, enterococcus sp. escherichia coli, and enterobacter sp. were detected. Similar species of bacteria were detected from each radiology room, but pseudomonas aeruginosa was detected on the handles of portable radiological equipment and the chair in the waiting room. Therefore, it is the most important to regularly sterilize radiological equipment and devices which have frequent contacts with patients and to sterilize them right after the use of infected patients in order to prevent the spread of infection. Also, thorough hand washing, education on infection and management for the characteristics of Department of Radiology should be performed for the systematic prevention of infection.

  11. Forensic pediatric radiology: studies in living and deceased children

    NARCIS (Netherlands)

    Hoogendoorn, T.


    Radiology is an important tool in establishing the diagnosis of physical abuse, as one can objectively depict fractures or internal injuries. In this thesis we have tried to provide some insight into the possibilities and impossibilities of (forensic) pediatric radiology in establishing a diagnosis

  12. Residents' Perception of Postgraduate Radiology Training in Nigeria ...

    African Journals Online (AJOL)

    BACKGROUND: Literature on radiology residency in Nigeria is sparse, even for decades after its commencement. There is therefore the need to inquire into the problems and prospects of the programme, at least from the perspectives of the residents. OBJECTIVE: To determine residents' perception of the radiology ...

  13. Digital Workload In A Large Radiology Department (United States)

    Goodsitt, Mitchell M.; Bauman, Roger A.; Lodwick, Gwilym S.


    As Radiology becomes more invested in direct digital imaging techniques, the potential for moving these images throughout the department, interpreting them directly in digital mode and archiving them in computer form is a topic of high current interest. A fundamental consideration is the amount of digital data to be handled. Even the low and medium resolution images now handled in digital mode require immense amounts of digital storage space. The first quantification of the amount of digital data was by Dwyer, et al, in a report concerning the workload in a 614-bed hospital. Their assumptions and calculations are reviewed and applied to the workload data from a 1082-bed hospital. Storage requirements for PET and MRI workload are calculated, and an estimate of digital radiography data is presented. The digitization of plain film radiographs will virtually increase the storage requirements by a factor of 10.

  14. Forensic radiology: An emerging tool in identification

    Directory of Open Access Journals (Sweden)

    Raghav Kumar


    Full Text Available In any mass disaster condition, identification of the person is most important. For this purpose, the forensic investigators use different methods for identifying the dead. They consider skeletal remains of the dead as the initial step in identification. Radiographs carry great evidence to act as antemortem records and also assist in identifying the person, age, gender, race, etc. Forensic dentistry is also emerging as a new branch in forensics. So, the forensic dentist must be aware of different techniques, developments, and resources to incorporate the technology in order to achieve success in human identification. So, our aim of the present review is to focus on different radiological techniques and new developments available for successful identification of the dead.

  15. Atypical Radiological Manifestation of Pulmonary Metastatic Calcification

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Eun Hae; Kim, Eun Sun; Kim, Chul Hwan; Ham, Soo Youn; Oh, Yu Whan [Korea University College of Medicine, Seoul (Korea, Republic of)


    Metastatic pulmonary calcification is a condition of calcium deposition in the normal pulmonary parenchyma, and this is secondary to abnormal calcium metabolism without any prior soft tissue damage. The predisposing factors for this condition include chronic renal failure, hypercalcemia and increased tissue alkalinity. The most common radiologic manifestation consists of poorly defined nodular opacities in the upper lung zone. These opacities reflect the deposition of calcium salts in the pulmonary interstitium. We present here a case of metastatic pulmonary calcification in a patient who recovered from pneumonia with sepsis and whose high-resolution CT (HRCT) images demonstrated localized parenchymal airspace calcification that was limited to the bilateral lower lobes. These lower lobes had been involved with pneumonic consolidation without calcification, as seen on the previous CT scan. In summary, we report here on an atypical presentation of metastatic pulmonary calcification that showed dense airspace consolidation localized to the bilateral lower lobes in a patient with primary hyperparathyroidism and pneumonia.

  16. Clinical and radiological findings in chlorfenapyr poisoning. (United States)

    Tharaknath, Vemuri Rama; Prabhakar, Y V S; Kumar, K Suseel; Babu, Noorthi Kalyan


    This is a case report of suicidal ingestion of chlorfenapyr, presenting with neurological complications after a latent period of more than a week, and rapidly progressing to death within days of symptoms. Chlorfenapyr is a moderately hazardous pesticide according to World Health Organization toxicity classification, and kills target organism by depriving it of energy through interference with oxidative phosphorylation at mitochondrial level. A pro-pesticide, chlorfenapyr takes time to convert to its active form and either this active form or a toxic metabolite causes delayed neurological symptoms. It causes significant neurotoxicity in rat models. This case report provides for the first time from India (second worldwide), clinical and "radiological evidence" (magnetic resonance imaging showing demyelinating/oedematous changes) of "chlorfenapyr neurotoxicity in humans." It also highlights the "latent period" between ingestion and onset of fatal manifestations. Earlier, similar case reports of human deaths with delayed onset neurological symptoms, due to chlorfenapyr poisoning have been reported, from Japan, Columbia, and Korea.

  17. Use of Social Media in Radiology Education. (United States)

    Ranginwala, Saad; Towbin, Alexander J


    Social media has become the dominant method of mass digital communication over the past decade. Public figures and corporations have learned how to use this new approach to deliver their messages directly to their followers. Recently, medical educators have begun to use social media as a means to deliver educational content directly to learners. The purpose of this article is to describe the benefits of using social media for medical education. Because each social media platform has different platform-specific constraints, several different popular social media networks are discussed. For each network, the authors discuss the basics of the platform and its benefits and disadvantages for users and provide examples of how they have used each platform to target a unique audience. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  18. Tinnitus and its radiological diagnosis and therpy

    Energy Technology Data Exchange (ETDEWEB)

    Nadjmi, M.; Hofmann, E.; Ratzka, M.; Schuknecht, B.


    Tinnitus is a familiar symptom in diseases of the central nervous system. Its aetiology being of a varied nature, the type of tinnitus is a pointer to the pathoanatomic findings that are responsible for the disease. The causes of tinnitus are often found in the borderline areas between various neighbouring disciplines, such as otology, neurology and neurosurgery, whereas the final identification of the real causes is mainly within the scope of radiological diagnosis, in which computed tomography and superselective angiography play an essential role. In addition to arteriovenous fistulas near the petrous bone and glomus tumours, which are well known, there are a few other aetiologies of pulse-synchronous tinnitus that are being discussed in this paper. In recent years there has been substantial therapeutical progress owing to the introduction of new techniques and the development of improved materials for embolisation in international neuroradiology. Their application is discussed in connection with various patient groups.

  19. Human performance in radiological survey scanning

    Energy Technology Data Exchange (ETDEWEB)

    Brown, W.S. [Brookhaven National Lab., Upton, NY (United States); Abelquist, E.W. [Oak Ridge Inst. for Science and Education, TN (United States)


    The probability of detecting residual contamination in the field using portable radiological survey instruments depends not only on the sensitivity of the instrumentation used in scanning, but also on the surveyor`s performance. This report provides a basis for taking human performance into account in determining the minimum level of activity detectable by scanning. A theoretical framework was developed (based on signal detection theory) which allows influences on surveyors to be anticipated and understood, and supports a quantitative assessment of performance. The performance of surveyors under controlled yet realistic field conditions was examined to gain insight into the task and to develop means of quantifying performance. Then, their performance was assessed under laboratory conditions to quantify more precisely their ability to make the required discriminations. The information was used to characterize surveyors` performance in the scanning task and to provide a basis for predicting levels of radioactivity that are likely to be detectable under various conditions by surveyors using portable survey instruments.

  20. Radiological residua of healed diabetic arthropathies

    Energy Technology Data Exchange (ETDEWEB)

    Reinhardt, K.


    Diabetic arthropathy is a relatively rare manifestation of neuropathic disease, occurring in fewer than 5% of cases. Abnormalities of this type are confined largely to the small joints of the feet, although the larger joints of the lower limbs and the spine occasionally are affected. Some lesions, particularly in the feet, repair spontaneously, leaving radiological residua sufficiently characteristic to prompt suspicion of an unrecognised diabetic state. These include deformity of the head of the second metatarsal (akin to a Freiberg lesion), shortening of the great toe, painless deforming arthrosis of the knee, and ankylosis of interphalangeal joints. In the presence of these signs the patient should be interrogated concerning diabetes and blood sugar estimates, with provocation if necessary, obtained. Should such a diagnosis be sustained, appropriate protective measures may be undertaken to avoid a relapse of the arthropathy.