HCC shows nodular enhancement in arterial phase, washout in portal venous phase and hypointensity in hepatobiliary phase as malignant cells of HCC cannot retain hepatobiliary contrast agents. But what about the nodules that are hypointense in hepatobiliary phase but show no arterial phase hyperenhancement? How many of them are HCCs? Is there a way we …
Category: Journal watch
N95 Extended Use, Re-use, and Decontamination
When should you discard your N95 mask? Is it safe to re-use it? Can you decontaminate it? Learn about how to safely extend the lifespan of your precious N95 mask in this Journal Watch video. https://youtu.be/kbgfcu8RyRM Disclaimer: The information on this video is accurate to the best of my understanding; however data keeps changing …
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Should we do a screening CT for COVID patients? Indian data gives the answer!
A prospective study on 147 symptomatic Indian COVID patients demonstrates a sensitivity of merely 35% for CT. What are its implications for using CT for screening for COVID or for diagnosing COVID? Our latest Journal Watch video gives the answers. Also look at the photo below for reference. https://youtu.be/MuoxMQFth34 You can read the …
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Screening mammography: A new Swedish study makes a powerful case for it
The role of screening mammography for truly reducing breast cancer mortality has always been under a cloud due to the various factors. Comprehensively understand the background behind the aye vs the nay-sayers of screening mammography as Journal Watch discusses a new study published in Cancer which makes a strong case for universal mammography screening. A …
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Meta-analysis on using CT for Screening COVID-19
Many hospitals in India have started using CT to screen all emergency patients or patients due for admission for COVID-19. Is this valid, given that organizations like ACR and STR have advised against CT screening? We review a meta-analysis published recently in Radiology comparing CT with RT-PCR to explain how CT screening doesn't help in …
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Fleishner Society Guidelines for Imaging COVID-19 Patients
In the next Cafe Roentgen Journal Watch video, we discuss the Fleishner Society Guidelines for imaging COVID-19 patients. Understand that the use of imaging (especially x-rays) is bound to increase for COVID patients. Understand when to image COVID patients, and when to prefer CT vs chest x-ray in these comprehensive set of guidelines.https://youtu.be/6J7P4QiDZvQ PS : …
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How to Prepare the Radiology Dept or Center for the Post Lockdown Stage?
Preparedness is the key for reopening our radiology departments or imaging centers after the lockdown is over. We need to be prepared for things to do during lockdown, things to do in the post-lockdown high volumes which are expected, and things to do if India faces a New York or Italy like surge of patients. …
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COVID-19 and radiology: Who needs masks? Which one to use? When to quarantine?
Who needs to wear masks in the radiology department? Should you wear a surgical mask or an N95 mask or a cloth mask? When should someone be quarantined? What to do if there is a shortage of PPE? Learn the answers to these commonly encountered questions in our Cafe Roentgen Journal Watch video. https://youtu.be/RcR5Ed6OXJs …
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COVID-19: What the Practicing Radiologist should know
1. When to image a suspect coronavirus patient? (Answer: Very very rarely) 2. What are the imaging features of COVID-19? 3. How to manage suspect COVID-19 patients in the dept? 4. How to keep disinfect the dept/center after imaging a COVID-19 patient? How soon can we re-use the CT or Xray machine after imaging a …
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Lung cancer screening: It saves lives! Period.
Lung cancer screening saves lives. Period. Proven for the first time in the mammoth 2011 National Lung Cancer Screening Trial, a recent study published earlier this year in NEJM reemphasizes its benefits and also clarifies some grey areas. As radiologists, this is one area where we must work proactively and spread awareness about its life-saving …
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