MRI

Is MR cholangiopancreatography more effective than endoscopic ultrasound in diagnosing choledocholithiasis?

Choledocholithiasis, or common bile duct stones (CBDS), is a recurrent gallstone disease requiring accurate diagnosis to prevent potential severe complications such as pancreatitis or cholangitis. This systematic review evaluates the diagnostic performance of MR cholangiopancreatography (MRCP) versus endoscopic ultrasound (EUS) in detecting CBDS. MRCP, a non-invasive imaging modality recommended by NICE for initial evaluation, offers […]

Sara Samhat

Sara Samhat, Imogen Diggens

University of Suffolk

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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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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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MRI in the evaluation of epilepsy in adults – a pictorial review of common epileptogenic pathologies

Epilepsy affects approximately 1% of the UK population, with drug-resistant cases posing significant therapeutic challenges. MRI plays a pivotal role in diagnosing and managing epilepsy, particularly for presurgical evaluation, as up to 80% of drug-resistant patients may have surgically treatable lesions. The International League Against Epilepsy recommends the HARNESS-MRI protocol, incorporating high resolution 3D T1, […]

khoren Abelian

Dr Khoren Abelian, Dr Shubhabrata Biswas

The Walton Centre

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Best practice MRI for penile malignancies

Penile cancer is a rare malignancy in the UK, with approximately 760 cases annually. Early symptoms often mimic benign conditions, leading to delayed diagnosis and misdirected referrals. While international guidelines emphasise physical examination for staging, MRI has emerged as a critical tool for accurate assessment and surgical planning, particularly in organ-preserving approaches. Nodal involvement remains […]

Sarah O'Connell

Sarah O'Connell, Dr Rohit Kochhar

The Christie NHS Foundation Trust

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Next generation imaging in advanced prostate cancer

Next generation imaging (NGI) techniques, particularly PSMA-PETCT and whole body MRI (WB-MRI), are transforming the diagnosis and management of advanced prostate cancer (APC). Traditional imaging methods like bone scans and CT often fall short due to low sensitivity, high false-positive rates and limited ability to detect soft tissue or marrow-based metastases. NGI addresses these limitations […]

Prof Anwar Padhani

Professor Anwar Padhani, Marie Fennessy, Will McGuire

Paul Strickland Scanner Centre

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The use of pre-existing imaging for routine MRI safety screening

Thorough MRI safety screening, to identify any internal implants or foreign bodies (FB), is essential for anyone entering the MRI environment. Screening is used to determine the presence of any MRI contraindications and allow the MRI status of any medical implants to be investigated so they can be scanned under the correct conditions. In 2018, […]

Hannah Barnsley

The Royal Marsden, Chelsea

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Clinical implementation of an MR-Sim in radiotherapy

MRI has had an emerging role in radiotherapy (RT) for a number of years, providing improved visualisation of the tumour and organs at risk (OAR) when compared with CT to improve contouring accuracy. A project team was established in 2016 to procure an MRI scanner designed specifically for RT planning to improve treatment accuracy. MRI […]

Sarah Whittle, Chris Forrest, Dr Richard Speight

Sarah Whittle, Chris Forrest, Dr Richard Speight

Leeds Teaching Hospital NHS Trust

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