Author: Trevor Cleveland FRCS FRCR, Consultant Vascular Radiologist
Carotid artery stenting (CAS) is an evolving technique, primarily directed at the carotid artery bifurcation. It is, however, also applicable to other regions of the carotid arteries, and has been utilised successfully in these regions for a number of years....
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Author: William E. Lewandowski, MS Simbionix USA Corp; PhD Candidate, School of Health Sciences, University of Liverpool, Liverpool, UK
The use of simulation devices in the acquisition, assessment and maintenance of clinical skills has been the subject of much discussion in clinical journals. The integration of high-fidelity, computer-based simulation into interventional radiology curricula, .... [Read more...]
Author: Zulfiquar Adam, MBChB, MRCP; Mark de Belder, MA, MD, FRCP James Cook University Hospital, Middlesbrough, UK
The main focus of managing patients with coronary artery disease centres on improving symptoms and/or prognosis. All patients should get advice on lifestyle and risk factor modification and be offered optimal medical therapy......
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Ruptured Aneurysms Treated by Endovascular Aneurysm Repair (EVAR)
Author: William Charles Loan MB BCh BAO FRCR
Despite advances in surgical and intensive care techniques, the mortality rates from abdominal aortic aneurysm rupture remain high, with the condition causing approximately 10,000 deaths per year in the United Kingdom[1]. Since its first description in 1994, endovascular aneurysm repair (EVAR) ..... Read more...
Radioembolisation in the treatment of colorectal liver metastases: An emerging synergy with systemic chemotherapy
Author: Dr. med. Tobias F. Jakobs
Although chemotherapy regimens combined with biological agents have improved the control of colorectal cancer (CRC) liver metastases and rendered an increasing number of patients suitable to undergo resection, the recurrent nature of liver metastases continues to present..... Read more...
Looking Outside the Box of the Heart: Non-Cardiac Findings Encountered During Coronary CT Angiography
Author: Francesca Pugliese, MD, PhD and Simon PG Padley, FRCP FRCR
Although the purpose of most cardiac gated computed tomography (CT) studies is the assessment of cardiac structures, incidental findings are common. These may be detected within the small field of view images of the heart but increase in number when larger field .... Read more...
The Role of Cardiovascular Magnetic Resonance in the Evaluation of Patients with Ischaemic Heart Disease
Author: Theodoros D. Karamitsos, MD, PhD and Stefan Neubauer, MD, FRCP, FACC, FMedSci
Cardiovascular magnetic resonance (CMR) imaging is playing an increasing role in the diagnosis of ischaemic heart disease, the assessment of prognosis and monitoring of therapy. It is considered the current gold standard technique for the evaluation of..... Read more...
Percutaneous device closure for patent foramen ovale
Author: Sam Firoozi and Stephen J Brecker
The patent foramen ovale (PFO) is a very common anatomical variant of the interatrial septum and is associated with a number of paradoxical embolism syndromes including cryptogenic stroke, decompression illness in divers and migraine with visual aura. Read more...
Population and patient risk from CT scans
Author: David Sutton
The recent rapid increase in the use of computed tomography (CT) scanning has been paralleled by increased concern about the doses of radiation involved and, in particular, about the public health consequences in terms of increased cancer induction. Read more...
Radiofrequency ablation: the new 'wave' therapy
Author: Riccardo Lencioni
Radiofrequency ablation (RFA) is a minimally invasive technique used to treat solid tumours. Following recent technological advances, RFA has gained an increasingly important role in the treatment of unresectable hepatic ... Read more...
MR Imaging of Recurrent Prostate Cancer After Radical Prostatectomy
Author: Klaus Kubin, MD
Radical prostatectomy (RPE) is the most common treatment option for prostate cancer, especially in early stage disease. Retropubic prostatectomy, transperineal prostatectomy, laparoscopic prostatectomy, and robotic prostatectomy are surgical techniques that are available as potential cures... Read more...
State of the Art in Liver Imaging - MR Diffusion/Perfusion
Author: Luis Marti-Bonmati, MD, PhD,1,2 Ángel Alberich-Bayarri, MSc,1 Roberto Sanz-Requena, MSc,1 Javier Sánchez-González3
The purpose of this review is to summarise the role of magnetic resonance (MR) diffusion-weighted (DW) and perfusion-weighted (PW) techniques in liver imaging diagnosis. Both techniques improve the capabilities of MR in the management of both diffuse and focal liver lesions..... Read more...
Radiology and the Internet
Author: Antony R. Goldstone MB, ChB (Hons) and Andrew F. Scarsbrook FRCR
There are a vast array of Web-based resources of potential use to radiologists. The quality is variable, and much time can be wasted trying to sort 'the wheat from the chaff'. This article will present a pragmatic approach for radiology professionals wishing to .... Read more...
CIN and clinical research: How should we interpret the data?
Author: Donal Reddan and Arif Mutwali
When interpreting clinical papers, it is important that a number of key principles are considered. These include internal validity (the robustness of the conclusions drawn from the study).... Read more...
Gadolinium and NSF
What is fact and what is theory?
Author: Adrian Holden
Since the publication by Grobner and colleagues in 2006 that first suggested the association between gadolinium-based contrast agents (GBCA) and nephrogenic systemic fibrosis (NSF), there have been many articles published on the subject. Read more...
Imaging update in metastatic liver disease
Author: Didier Mathieu, and Alain Luciani
The development of ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) techniques, especially with the advent of specific contrast media, has improved the detection and diagnosis of liver metastases. Read more...
How to characterise the incidental liver lesion
Author: Filipe Caseiro-Alves
The widespread use of imaging techniques for abdominal investigation has led to an increased detection of the so-called 'incidental liver lesion'. Read more...
Non-invasive coronary artery imaging - new and evolving techniques
Author: D Vijay Anand, David Lipkin,
Avijit Lahiri
The inherent limitations of invasive coronary angiography have led to the development of several non-invasive coronary artery imaging techniques. These techniques include electron beam computed tomography (EBCT)... Read more...
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Should We Perform Carotid Stenting?
Consultant Vascular Radiologist -
Medical Simulation in Radiology Training and Assessment - A New Paradigm Based on a Systems Approach
William E. Lewandowski, MS Simbionix USA Corp; PhD Candidate, School of Health Sciences, University of Liverpool, Liverpool, UK -
The COURAGE and SYNTAX trials: will they impact how we manage patients?
Zulfiquar Adam, MBChB, MRCP; Mark de Belder, MA, MD, FRCP James Cook University Hospital, Middlesbrough, UK -
Ruptured Aneurysms Treated by Endovascular Aneurysm Repair (EVAR)
William Charles Loan MB BCh BAO FRCR -
MR Imaging of Recurrent Prostate Cancer After Radical Prostatectomy
Klaus Kubin, MD
University Clinics Salzburg


The Editorial Board of Controversies and Consensus in Imaging and Intervention welcomes your comments and suggestions. Please send to: andy.brown@parexel.com
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Last updated June 2010



