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Journal of Medical Imaging and Radiation Oncology

Nabita Singh, Kellie Knight, Caroline Wright, Marilyn Baird, Duane Akroyd, Robert D Adams, Michal E Schneider
INTRODUCTION: Evidence demonstrates that health care professionals are more prone to burnout than other professionals due to the emotionally taxing interactions they have with their patients on a daily basis. The aims of this study were to measure occupational burnout levels among sonographers, radiographers and radiologists and to examine predictors of burnout according to demographic characteristics. METHODS: A cross-sectional online survey was administered in 2010 to radiographers, sonographers and radiologists who were members of the following professional bodies: Australian Institute of Radiography, Australian Sonographers Association and The Royal Australian and New Zealand College of Radiologists...
October 18, 2016: Journal of Medical Imaging and Radiation Oncology
Nelson Trieu, Ryan Xia, Robert Loneragan, Lloyd Ridley, Joseph Trieu
INTRODUCTION: We report a series of patients who had computed tomography (CT) of their brains which showed an uncommon artefact caused by excess air bubbles in the cooling oil around the X-ray tube. METHODS: In November and December 2015, it was recognised that artefacts appearing on CT brain images acquired at our department were caused by a scanner fault. The test images were reviewed and the service engineer for the CT scanner was questioned about the artefact cause...
October 18, 2016: Journal of Medical Imaging and Radiation Oncology
Tony Ht Sung, Annie Cw Tam, Jennifer Ls Khoo
Dermatofibrosarcoma Protuberans (DFSP) is a rare malignant soft-tissue neoplasm which is often misdiagnosed due to its indolent clinical course and non-specific radiological appearances. An observation case series was conducted with retrospective review of clinical and radiological data of DFSP patients presenting to a major tertiary hospital in Hong Kong for radiological assessment between November 2006 and February 2016. Seven patients with confirmed histological diagnosis of DFSP were included. Tumour sizes at presentation ranged from 1 to 5 cm, most commonly (n = 6) occurred over chest wall and abdominal wall...
October 18, 2016: Journal of Medical Imaging and Radiation Oncology
Kevin P Murphy, Patrick D McLaughlin, Maria Twomey, Vincent E Chan, Fiachra Moloney, Adrian J Fung, Faimee E Chan, Tafline Kao, Siobhan B O'Neill, Benjamin Watson, Owen J O'Connor, Michael M Maher
INTRODUCTION: We assess the ability of low-dose hybrid iterative reconstruction (IR) and 'pure' model-based IR (MBIR) images to maintain accurate Hounsfield unit (HU)-determined tissue characterization. METHODS: Standard-protocol (SP) and low-dose modified-protocol (MP) CTs were contemporaneously acquired in 34 Crohn's disease patients referred for CT. SP image reconstruction was via the manufacturer's recommendations (60% FBP, filtered back projection; 40% ASiR, Adaptive Statistical iterative Reconstruction; SP-ASiR40)...
October 13, 2016: Journal of Medical Imaging and Radiation Oncology
Moayyad E Suleiman, Mark F McEntee, Lucy Cartwright, Jennifer Diffey, Patrick C Brennan
INTRODUCTION: This work aims to explore radiation doses delivered in screening mammography in Australia, with a focus on whether compressed breast thickness should be used as a guide when determining patient derived diagnostic reference levels (DRLs). METHODS: Anonymized mammograms (52,405) were retrieved from a central database, and DICOM headers were extracted using third party software. Women with breast implants, breast thicknesses outside 20-110 mm and images with incomplete exposure or quality assurance (QA) data were excluded...
October 6, 2016: Journal of Medical Imaging and Radiation Oncology
Tara Rosewall, Jing Yan, Hamideh Alasti, Carla Cerase, Andrew Bayley
INTRODUCTION: Inclusion of multiple independently moving clinical target volumes (CTVs) in the irradiated volume causes an image guidance conundrum. The purpose of this research was to use high risk prostate cancer as a clinical example to evaluate a 'compromise' image alignment strategy. METHODS: The daily pre-treatment orthogonal EPI for 14 consecutive patients were included in this analysis. Image matching was performed by aligning to the prostate only, the bony pelvis only and using the 'compromise' strategy...
October 5, 2016: Journal of Medical Imaging and Radiation Oncology
Seung Wook Ryu, Ken Ho, Sandra A O'Toole, Alison Green, Hae Won Kim
Male breast cancers (MBC) are rare, accounting for <1% of all breast cancers. The use of magnetic resonance imaging (MRI) for male breast cancer is not generally indicated. We present an unusual case where conventional imaging for a suspected MBC was equivocal and MRI was required to assist in diagnosis.
October 5, 2016: Journal of Medical Imaging and Radiation Oncology
Bosheng He, Jinhua Gu, Sheng Huang, Xuesong Gao, Jinhe Fan, Meihong Sheng, Lin Wang, Shenchu Gong
INTRODUCTION: This study was performed to evaluate the diagnostic performance of multi-slice CT angiography combined with enterography in determining the cause and location of obstruction as well as intestinal ischaemia in patients with small bowel obstruction (SBO). METHODS: This study retrospectively summarized the image data of 57 SBO patients who received both multi-slice CT angiography and enterography examination between December 2012 and May 2013. The CT diagnoses of SBO and intestinal ischaemia were correlated with the findings at surgery or digital subtraction angiography, which were set as standard references...
October 5, 2016: Journal of Medical Imaging and Radiation Oncology
Ying Hou, Stephanie Lee, Vishesh Agrawal, John Romano, Elizabeth H Baldini, Aileen B Chen, David E Kozono, Joseph H Killoran, Matthew Wagar, Fred L Hacker, Hugo Jwl Aerts, John H Lewis, Raymond H Mak
INTRODUCTION: Quantification of volume changes on cone beam computed tomography (CBCT) during lung stereotactic body radiation therapy (SBRT) for non-small cell lung cancer (NSCLC) may provide a useful radiological marker for radiation response and for adaptive treatment planning. This study quantifies inter-scan and inter-observer variability in tumour volume delineation on CBCT. METHODS: Three clinicians independently contoured the primary gross tumour volume (GTV) manually on CBCTs taken immediately before SBRT treatment (pre) and after the same SBRT treatment (post) for 19 NSCLC patients...
October 5, 2016: Journal of Medical Imaging and Radiation Oncology
Lorna G Keenan, Siobhra O'Sullivan, Aisling Glynn, Martin Higgins, Aileen Flavin, Sinead Brennan
INTRODUCTION: Adjuvant radiotherapy is proven to prevent lymph node field relapse after therapeutic lymphadenectomy for melanoma, but does not improve overall survival based on current data. There remains a high rate of distant relapse. This study reports patterns of failure in patients treated with adjuvant radiotherapy, looking at factors associated with distant metastasis and comparing this to recent literature. METHODS: This retrospective study included patients treated with adjuvant nodal irradiation after lymphadenectomy between June 2012 and March 2015...
September 25, 2016: Journal of Medical Imaging and Radiation Oncology
Manar Khashram, Li Ching Tiong, Gregory T Jones, Justin A Roake
INTRODUCTION: Computed tomography colonography (CTC) for the detection of colorectal disease is gaining popularity as an alternative to colonoscopy. This has been associated with an increase in incidental extra-colonic findings such as abdominal aortic aneurysms. However, due to the patient selection process of obtaining a CTC, it was hypothesised that this patient cohort might represent a high-risk group. The primary aim of this study was to determine the impact that CTC had on small aneurysm referrals...
September 21, 2016: Journal of Medical Imaging and Radiation Oncology
Raphael Jumeau, Nicolas Peguret, Berardino de Bari, Raphael Moeckli, Joao-Luis Soares-Rodrigues, Andrea Dante Durham, Sophie Hojnowski, Jean Bourhis, Mahmut Ozsahin, Catherine Beigelman-Aubry
INTRODUCTION: Currently, routine radiotherapy (RT) planning for locally advanced lung cancer (LC) does not take into consideration the functional state of the lung. The goal of this study was to determine if it is technically feasible to integrate the sites of pulmonary emphysema (PE) into the RT planning process. METHODS: Ten patients with LC and PE treated with helical Tomotherapy© were retrospectively included. After extraction by Myrian© software based on diagnostic CT (DCT), the PE data were transferred to the treatment planning system (TPS)...
September 21, 2016: Journal of Medical Imaging and Radiation Oncology
Kevin Cheng, Adam Doyle, Dean C Spilias, Kenneth K Lau
The median arcuate ligament syndrome is a rare disorder characterised by postprandial intestinal angina caused by compression of the coeliac artery by the median arcuate ligament. To date, the diagnosis and treatment of median arcuate ligament syndrome has remained controversial. To our knowledge, this is the first reported case of coeliac artery compression demonstrated on the four-dimensional wide-area detector CT angiogram.
September 7, 2016: Journal of Medical Imaging and Radiation Oncology
Jonathan Dillon, Andrea Dart, Tom Sutherland
Immunoglobulin G4-related disease (IgG4-RD) is a fibroinflammatory condition that was first recognised as a systemic disease in 2003, when patients with autoimmune pancreatitis were found to have extrapancreatic manifestations. Since 2003, IgG4-RD has been described in a diverse range of other organs including the biliary tree, orbits, lacrimal glands, salivary glands, lungs, kidneys, aorta, retroperitoneum, lymph nodes, pachymeninges, prostate and pituitary gland. The disease frequently occurs in the absence of pancreatic involvement...
August 26, 2016: Journal of Medical Imaging and Radiation Oncology
Tom Sutherland, Jane Watts, Marno Ryan, Angela Galvin, Faye Temple, Jason Vuong, Andrew Francis Little
INTRODUCTION: Ultrasound is a widely utilized method of screening patients with chronic liver disease for hepatocellular carcinoma (HCC). However, the sensitivity of ultrasound for small tumours is limited. We have prospectively compared ultrasound screening with diffusion-weighted (DWI) MRI for detecting HCC. METHODS: Patients with chronic liver disease referred for ultrasound screening underwent a liver ultrasound and a liver MRI comprising free breathing DWI...
August 25, 2016: Journal of Medical Imaging and Radiation Oncology
Maryna Krawczuk-Rybak, Monika Tomczuk-Ostapczuk, Anna Panasiuk, Elzbieta Goscik
INTRODUCTION: Radiotherapy (RT) and some chemotherapy regimens are known risk factors predisposing to the development of premature arterial disease. Vascular ultrasound measurement of carotid intima-media thickness (IMT) is a non-invasive technique, useful to detect early subclinical symptoms of atherosclerosis that can appear in the paediatric population. We analysed the influence of chemotherapy and moderate doses of head or neck irradiation in childhood cancer survivors on the possibility of premature carotid artery disease...
August 23, 2016: Journal of Medical Imaging and Radiation Oncology
Peter Caswell-Smith, Madeleine Wall
INTRODUCTION: This study investigates the rate of histological underestimation of invasive breast carcinoma following diagnosis of ductal carcinoma in situ (DCIS) on a radiologically guided core needle biopsy, and factors that may influence this upgrade rate. METHODS: A retrospective review of the results of breast core biopsies performed between 1st January, 2005 and 2nd July, 2014 was conducted, and those with a diagnosis of DCIS were identified. Data including final excision pathology, lesion size, performing radiologist, core biopsy system and guidance method used were collected and included in the analysis...
August 23, 2016: Journal of Medical Imaging and Radiation Oncology
Thomas P Shakespeare, Stephen Chin, Lucy Manuel, Shelly Wen, Matthew Hoffman, Shea W Wilcox, Noel J Aherne
INTRODUCTION: Decision regret (DR) may occur when a patient believes their outcome would have been better if they had decided differently about their management. Although some studies investigate DR after treatment for localised prostate cancer, none report DR in patients undergoing surgery and post-prostatectomy radiotherapy. We evaluated DR in this group of patients overall, and for specific components of therapy. METHODS: We surveyed 83 patients, with minimum 5 years follow-up, treated with radical prostatectomy (RP) and post-prostatectomy image-guided intensity-modulated radiotherapy (IG-IMRT) to 64-66 Gy following www...
August 16, 2016: Journal of Medical Imaging and Radiation Oncology
Shalini K Vinod, Karen Lim, Lauren Bell, Jacqueline Veera, Lucy Ohanessian, Ewa Juresic, Nira Borok, Phillip Chan, Raphael Chee, Viet Do, Geetha Govindarajulu, Swetha Sridharan, Carol Johnson, Daniel Moses, Sylvia Van Dyk, Lois Holloway
INTRODUCTION: Image-based brachytherapy for cervical cancer using MRI has been implemented in Australia and New Zealand. The aims of this study were to measure variability in High-risk CTV (HR-CTV) delineation and evaluate dosimetric consequences of this. METHODS: Nine radiation oncologists, one radiation therapist and two radiologists contoured HR-CTV on 3T MRI datasets from ten consecutive patients undergoing cervical brachytherapy at a single institution. Contour comparisons were performed using the Dice Similarity Coefficient (DSC) and Mean Absolute Surface Distance (MASD)...
August 16, 2016: Journal of Medical Imaging and Radiation Oncology
Dieter Berwouts, Katrien De Wolf, Wilfried De Neve, Luiza Am Olteanu, Bieke Lambert, Bruno Speleers, Ingeborg Goethals, Indira Madani, Piet Ost
INTRODUCTION: To report the impact on target volume delineation and dose to normal tissue using anatomic versus biological imaging ((18) F-FDG-PET) for bone metastases. METHODS: Patients with uncomplicated painful bone metastases were randomized (1:1:1) and blinded to receive either 8 Gy in a single fraction with conventionally planned radiotherapy (ConvRT-8 Gy) or 8 Gy in a single fraction with dose-painting-by-numbers (DPBN) dose range between 6 and 10 Gy) (DPBN-8 Gy) or 16 Gy in a single fraction with DPBN (dose range between 14 and 18 Gy) (DPBN-16 Gy)...
August 16, 2016: Journal of Medical Imaging and Radiation Oncology
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