The voice of medical imaging and clinical oncology

CT

Posterior fossa tumours in children

Posterior fossa tumours account for a significant proportion of paediatric brain neoplasms, representing up to 60% of solid brain tumours in children. These tumours arise in the infratentorial compartment, encompassing the cerebellum and brainstem, and commonly present with complications such as hydrocephalus. Importantly, the differential diagnosis of posterior fossa tumours in children differs markedly from […]

Eilidh Houghton

Dr Eilidh Houghton, Dr Bilal Sethi

Royal Aberdeen Children’s Hospital

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Imaging appearances in natural death

This article explores the increasing role of post‑mortem CT (PMCT) as an alternative or adjunct to traditional autopsy in cases of suspected natural death. The article explains that while coroners typically request post‑mortem investigations when the medical cause of death is unknown, imaging can often provide sufficient information with less invasiveness, reduced cost and improved […]

Bruno Morgan

Professor Bruno Morgan, Dr Claire Robinson

University of Leicester; University Hospitals of Leicester NHS Trust

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A guide to cross-sectional head and neck cancer imaging

This multidisciplinary guide provides a comprehensive overview of cross-sectional imaging techniques used in the diagnosis, staging, and management of head and neck cancer (HNC). As the eighth most common cancer in the UK, HNC presents significant diagnostic challenges due to its complex anatomy, diverse tumour sub-types, and frequent late stage presentation. The article outlines the […]

Amy Barnes

Amy Barnes, Dr Ram Vaidhyanath

University Hospitals of Leicester NHS Trust

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The use and technique of CT colonography in identifying colonic lesions

CT colonography (CTC) is a valuable diagnostic tool for detecting colorectal cancer (CRC), particularly when traditional colonoscopy is contraindicated or incomplete. This article outlines the clinical application and technical execution of CTC, emphasising its role in bowel cancer screening and symptomatic patient evaluation. The accuracy of CTC is highly dependent on proper bowel preparation, which […]

Anita Wale

Michael Sydee, Dr Nirav Patel, Rachel Baldwin, Dr Anita Wale

St George's University Hospitals NHS Foundation Trust, National CT Colonography Academy, City, St George's University of London

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Imaging of abdominal congenital vascular anomalies in dogs and cats

This article provides a comprehensive overview of congenital vascular anomalies in the abdomen of dogs and cats, focusing primarily on portosystemic shunts (PSS) and arterioportal communications. These anomalies, though uncommon, are clinically significant and often present in young animals with symptoms such as poor growth, gastrointestinal issues and neurological signs due to toxins bypassing the […]

Dr Mark Plested

Dr Mark Plested

Lumbry Park Veterinary Hospital

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Comparing Bastion protocols with single bolus multi-phase protocols in trauma patients receiving whole body CT

Major trauma typically causes serious harm to a person, often involving catastrophic haemorrhages and complex fractures, and is the leading cause of death in people under the age of 45. While penetrating trauma requires faster intervention, blunt force trauma is most commonly associated with diagnostic imaging. Major trauma causes life-threatening injuries, with 15,000 deaths annually. […]

Mia Waddington and Nancy Sims

Mia Waddington, Nancy Sims

University of Exeter; University of Suffolk

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Top tips for imaging in hyperacute stroke

Acute ischaemic stroke (AIS) is the second leading cause of death and the third cause of death and disability worldwide. The estimated global cost of stroke is over $720 billion. In the UK, the incidence of stroke is over 110,000 and the prevalence of stroke is predicted to increase by 120% by 2035. Hyperacute stroke […]

Dr Liam Flynn, Dr Wazim Izzath

Queen Elizabeth University Hospital

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Imaging in cancer of unknown primary

Cancer of unknown primary (CUP) is an oncological diagnosis encompassing whole body disease sites. The term is used in the context of histologically confirmed epithelial malignancy where comprehensive clinical, radiological and pathological investigations fail to identify the organ of origin. CUP accounts for 1-2% of cancers worldwide with 8,100 new cases per year in the […]

Dr Dimitra Christodoulou, Dr Christian Kelly-Moreland

Guy's and St Thomas' NHS Foundation Trust; The Royal Marsden Hospital NHS Foundation Trust

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