WEMJ Volume 110 No. 3 - September 2011
West of England Medical Journal (online) ISSN 2050-8530
West of England Medical Journal
Guest Editorial
It is my privilege to be the guest Editor for this special Radiology edition of the West of England Medical Journal, which as you know, has been established as a medical journal for over 100 years.
In this special issue we bring you the state of the art developments in the field of Radiology including virtual CT colonography, endobronchial ultrasound, CT pulmonary angiogram, breast ultrasound and a number of other modalities, which have had a significant impact on the medical and surgical practice in the recent years. There is a special ‘Career Choice’ section by Dr Parekh et al. on ‘Radiology-Opportunities and Challenges’. Medical students and foundation trainees/House Officers may find this useful before considering their career pathway.
These articles and excellent illustrations in our radiology special editions are yet another confirmation that the South West of England has always been at the forefront of medical imaging and innovation. Unique references to our local patient sub groups, and prevalence of cancers in the South West is another highlight of this Special Edition. We had an excellent response from the South West, and had a large number of submissions for publication. In order to accommodate these articles we have decided to split them among two successive editions. Therefore, some of the submitted articles will be published in the next volume of the WEMJ.
I am thankful to the committee of the Bristol Medico Chirurgical Society and the President Professor Paul Goddard for giving me this opportunity to bring you these special editions. On behalf of the Journal Committee I am also thankful to Dr Richard Clarkson, Consultant Radiologist from Yeovil District Hospital and Mr Hugh Turvey for providing us with excellent art work for the cover of our Journal. This unique X-ray art work of different types of helmets is a reminder that the role of imaging is also vital to modern forensics and sports medicine, and archaeological work.
Finally, I would like to thank all the authors and my colleagues for their invaluable contribution and sincerely hope that you find these articles both informative and thought provoking.
Best regards
Sanjay
Dr Sanjay Gandhi MBBS, MD, DNB, FRCR, FHEA
Guest Editor, The West of England Medical Journal
Consultant Radiologist, Frenchay Hospital, North Bristol NHS Trust
Honorary Senior Lecturer, University of Bristol
1. CT pulmonary angiographic imaging manifestations of chronic pulmonary thromboembolic disease
West of England Medical Journal Volume 110, Number 3, Article 1 September 2011
Shetty D, Rogers PJN, Williams MP Plymouth Hospitals NHS Trust
Abstract:
As a result of the growing number of chest CT examinations being undertaken worldwide, incompletely resolved emboli are an increasingly common finding. Radiologists must be aware of the imaging findings associated with chronic thromboembolic disease as it remains a potentially treatable cause of pulmonary hypertension.
2. Virtual Colonoscopy – Current and Future Practice
West of England Medical Journal Volume 110, Number 3, Article 2 September 2011
Sequeiros I, Pollentine A & McCoubrie P, Department of Radiology Southmead Hospital, Bristol, BS10 5NB
Abstract:
In the search for an accurate and safe, less invasive and cost-effective method for examining the large bowel, computed tomography (CT) of the colon or virtual colonoscopy is a rapidly evolving diagnostic method for the detection of colorectal polyps and cancer with similar accuracy to conventional colonoscopy in high-risk groups and for screening in low-prevalence populations.
3. A Break in Tradition
West of England Medical Journal Volume 110, Number 3, Article 3 September 2011
Jeffrey Lim, Michael Shere, Breast Care Centre, Frenchay Hospital, Frenchay Park Road, Bristol, BS16 1LE
Case Report Abstract:
The patient was sent in by her GP as a suspected breast cancer due to the finding of a new knotty, irregular, lump in her right breast.
4. Radiology: Opportunities and Challenges
West of England Medical Journal Volume 110, Number 3, Article 4 September 2011
Parekh, A and Gandhi, S Frenchay Hospital, Bristol, BS16 1LE
Abstract:
Since Wilhelm Conrad Röntgen’s discovery of X-Rays in 1895, radiology has made significant advances with the use of digital X-Rays, Ultrasound, Computer Tomography (CT), Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET). The development of interventional radiology as a specialty in its own right illustrates this too. In this review, we will discuss the exciting opportunities and new challenges that radiology faces in the modern era.
5. Quiz Case: A challenging case on the evening acute weekend take
West of England Medical Journal Volume 110, Number 3, Article 5 September 2011
Medford ARL , Edey AJ , Southmead Hospital, North Bristol Hospitals NHS Trust, Westbury-on-Trym, Bristol BS10 5NB, UK.
Abstract:
A 55 year old man presented on the evening weekend acute medical take with a 10 day history of coryzal symptoms, purulent sputum and dyspnoea. He had taken a 9 hour trans-Atlantic flight 27 days previously and had a 20 pack year smoking history. Past history was also significant for type 2 diabetes, hypertension, ischaemic heart disease, previous ureteric stones, left hydronephrosis, and recurrent urinary tract infection
6. From the Archives: The New "Photography"
From the Bristol Medico Chirurgical Journal 1896 Page 112
Editor’s note: This is an example of the very early of X-rays just six weeks after the publication of Roentgen’s first paper on his discovery. The clinical value of X-rays was extremely quickly established.