PAUSE: A protocol to standardize radiology reporting of peritoneal malignancy
Diagnostic imaging is critical to the staging of patients with peritoneal malignancy. Radiological findings help physicians determine patients who may benefit from cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). A team of British radiologists and surgeons have developed a method of reporting of key imaging features that could potentially alter the treatment of patients with peritoneal malignancy. The “PAUSE” protocol is described in detail in an article published in Clinical Radiology.

Benefits of a web-based radiology resident feedback system
The training of on-call radiology residents requires timely, relevant feedback by attending radiologists. The Department of Radiology at MedStar Georgetown University Hospital in Washington, D.C. has developed a web-based feedback system for this purpose. They describe how effective it has been in a Journal of Digital Imaging article.

Routine follow-up X-rays for distal radius fractures unnecessary
Radiographs to access or confirm the healing process of distal radius fractures are unnecessary because they seldom affect treatment, a multi-institutional team of orthopedic surgeons from The Netherlands advise. The findings of a study they conducted, published in the Archives of Orthopedic Trauma Surgery, add to existing research that this common practice wastes healthcare resources and exposes patients to unnecessary radiation.

Intussusception: Ultrasound for diagnosis and real-time monitoring
Intussusception is the most common cause of intestinal obstruction in very young children. Ultrasound imaging is the diagnostic imaging examination of choice due to its high sensitivity, specificity, pathologic characterization, and lack of ionizing radiation. Pediatric radiologists at Benioff Children’s Hospital at the University of California San Francisco also recommend its use to monitor intussusception reduction.

HIFU as an alternative treatment for symptomatic benign thyroid nodules
High-intensity focused ultrasound (HIFU) is a minimally invasive, high precision technique for the treatment of benign thyroid lesions in patients who either are not appropriate candidates for surgery or radioiodine therapy or who decline these treatments. Radiologists at University Hospital Frankfurt in Germany report that HIFU is an appropriate alternative treatment for benign nodules less than 3 milliliters (mL) in volume in an article published in Academic Radiology.

Simple checklist to help identify soft tissue sarcomas
The identification of soft tissue sarcomas (STS) can be challenging. Radiologists at the Medical University of Innsbruck have developed an eight item checklist of features shown on radiography, ultrasound and magnetic resonance imaging (MRI) that are associated the most with malignancy in soft tissue masses and also patient demographics. This simple checklist is intended to aid radiologists when evaluating tumors in soft tissue.

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