Interventional radiology (IR) has a central role in the management of certain injuries arising from both blunt and penetrating thoracic trauma. In this article we focus on blunt thoracic aortic injury (BTAI) and the role of IR in the treatment of this patient cohort. BTAI is rare, accounting for approximately 1.5% of all thoracic trauma; […]
Dr Leyla Mohamed, Dr Jimmy Kyaw Tun
Barts Health NHS Trust
X-rays are one of the most commonly used and cost-effective imaging modalities performed, and account for the highest proportion of radiological examinations undertaken in the UK compared to other imaging tests such as CT and MRI. Of the 33 million such imaging tests reported in England, x-rays accounted for more than ~70%, with 23 million […]
Dr Neelanjan Das
East Kent Hospitals University NHS Foundation Trust
Diagnostic radiographic images obtained from medical radiation play an important part in modern medicine and have substantially improved healthcare services and patient outcomes over recent years. The Ionising Radiation (Medical Exposure) Regulations 2018 require ionising radiation exposure to the patient to be kept as low as reasonably practicable (ALARP). Radiographers are using automatic exposure control […]
Sayed Wafa Rostamzada
Salford Royal Hospital
The Herder model was first proposed by Herder et al in 2005 as a method of assessing nodule risk. The authors intended for this to be an improved, more accurate version of the Mayo model, which was used commonly to assess the malignancy risk of lung nodules. Herder et al proposed that they could accurately […]
Dawn Assaf, David Little, Stewart Redman, Matthew Jaring, Richard Graham
Royal United Hospitals Bath NHS Foundation Trust
Major trauma is commonly defined as serious or multiple injuries where there is a strong possibility of death or disability. For the purpose of quantification, volume analysis, international comparison and research, major trauma is often defined as an Injury Severity Score (ISS) greater than or equal to 16. In 2010, the National Audit Office estimated […]
Dr Maryann Hardy
University of Bradford
It is a familiar request on call: A pregnant woman presenting with chest pain and tachycardia – a pulmonary embolism (PE) needs to be excluded. Increasing requests for imaging in this context are unavoidable as PE remains a leading cause of mortality in pregnancy and the post-partum period in the developed world, with an approximate […]
Dr Lynne Armstrong, Dr Andrew Beale
United Hospitals Bristol, Great Western Hospital
It has been well documented that trauma is the most common cause of death in developed countries in those under the age of 45. In England, in 2013 this accounted for an estimated 5,400 deaths. Chest trauma is the third most common type of injury in polytrauma patients, however it is the second most common […]
Dr Colum O'Hare, Dr Chris Hay
Royal Infirmary of Edinburgh
Shortness of breath and chest pain are two of the most common symptoms accounting for acute presentations to hospital. Pulmonary embolism (PE) is part of the differential diagnosis for both symptoms and due to increasing clinical concern about missing venous thromboembolic disease (VTE) and greater access to imaging, there has been a progressive year-on-year increase […]
Dr Marko Berovic
Whittington Hospital