NIA Diagnostic Imaging – Improved diagnosis for life

13th April 2024, NIA Diagnostic Imaging

At NIA Diagnostic Imaging, we are proudly the only Medical Imaging Provider in Southwest Sydney that has continued to Bulk-Bill ALL Medicare eligible examinations including:
• ALL Obstetric Ultrasounds
• ALL Interventional Procedures performed under Ultrasound or CT guidance
• Biopsy, FNA, Aspiration, Hook Wire Localisation, Pain Management Injections

At NIA Diagnostic Imaging we always aim to prioritise the health of our patients and are compassionate and diligent in our delivery of premium care.…

Should older T2D continue their metformin?

13th April 2024, A/Prof Chee L Khoo


We are all used to metformin being the first line glucose lowering agent when type 2 diabetes (T2D) is diagnosed. (Well, I know some you also use metformin before diabetes is diagnosed but that’s a different story). Glucose lowering efficacy of metformin is not that terrific as we now have much stronger glucose lowering agents available.…

South West Radiology is expanding…

13th April 2024, South West Radiology

By the time you read this post, South West Radiology Wetherill Park, Stocklands will have opened. This is South West Radiology’s 5th branch in Southwest Sydney in addition to their convenient branches in Campbelltown, Minto, Liverpool and Moorebank.

In addition to the friendly staff, South West Radiology pride themselves in:

1) Providing patients in South West Sydney with enhanced healthcare outcomes via early diagnosis & delivery of personalised radiology services

2) Providing referring physicians with seamless access to high quality diagnostic medical images and reports

3) Providing a supportive and collaborative work culture that promotes staff empowerment and professional development

Now, we have more convenient centres for our patients to go to.…

Intermittent fasting – can it be harmful?

31st March 2024, A/Prof Chee L Khoo

Time restricted eating

In case you have not noticed, there was some disquiet in the cardiovascular community this week on the potential harm intermittent fasting can cause. The headline presentation says “8-hour time-restricted eating linked to a 91% higher risk of cardiovascular death”. Well, any study regarding “diets” are always going to be sus.…

Lipid lowering in T2D – what happens if you don’t treat to guidelines?

28th March 2024, A/Prof Chee L Khoo

We all know that high LDL-C is absolutely and adversely associated with cardiovascular mortality and morbidity. It’s been “proven” again and again in large clinical trials and meta-analyses after meta-analyses. Reducing lipids levels have also been shown to reduce cardiovascular (CV) events in secondary as well as in primary prevention. This is particularly the case in those with intermediate to high CV risks.…

Young T2D – do they get more cancers?

28th March 2024, A/Prof Chee L Khoo

Young T2D

We all know that when type 2 diabetes (T2D) presents at a younger age, they tend to be more aggressive in its progression as well as in the complications it causes. The complications also emerge earlier as well more aggressive. There are more cardiovascular events, more renal events and now, increasingly recognised, more liver complications.…

CTPA – the key to diagnosing pulmonary emboli

11th March 2024, NIA Diagnostic Imaging

It is actually not that difficult to diagnose pulmonary embolism. Patients with chest pains, shortness of breath, tachycardia and perhaps, light headedness might suggest pulmonary embolism. However, on their own, those symptoms may be from a number of medical conditions. Only with a high index of suspicion would you consider ordering more investigations looking for pulmonary emboli.…

MINOCA – an increasing cause of MI

10th March 2024, A/Prof Chee L Khoo

Acute MI

Myocardial infarction in a patient with minimal coronary artery disease (stenosis <50%) is increasingly being recognised in patients with myocardial injury but no significant coronary obstruction is demonstrated. Myocardial Infarction in Non-Obstructive Coronary Arteries (MINOCA) accounts for approximately 5-10% of all myocardial infarction. The precise pathogenesis is poorly understood. Diagnosing MINOCA is not straightforward and identifying the aetiologies and ongoing management can be challenging.…

Lean body mass loss – can we prevent it?

7th March 2024, A/Prof Chee L Khoo

Total body weight loss

There was some kerfuffle recently in the lay press about muscle loss with semaglutide. Great horror? Well, it doesn’t matter how you lose the weight. Any significant body weight loss will incur lean body mass loss (LBM). It’s not unique to GLP1-RA injections. Weight loss from bariatric surgery, dietary restrictions or just healthier eating will do the same.…

Obstetric ultrasound – the importance of consistent quality

29th February 2024, South West Radiology

We all know how important quality and consistency is when we choose where our patients go to for their ultrasound scans. It is even more important when we choose where they go to for their follow up scans to compare with the last scan. This is particularly important when we look at serial ultrasounds during pregnancy.…

BP control – a novel way to address medication adherence?

24th February 2024, A/Prof Chee L Khoo

BP Control

We all know how important it is for BP control in prevention cardiovascular, cerebrovascular and renal complications. We are also aware of the difficulty is improving medication adherence. We have a broad range of effective BP lowering medications covering diverse classes of medications. Anti-hypertensives work only if our patients take them regularly.…

Patients with high lipoprotein a – should they be on aspirin?

24th February 2024, A/Prof Chee L Khoo

Primary CVD prevention

In May 2022, the US Preventative Services Task Force (USPSTF) recommended that we avoid routine aspirin for primary prevention of CVD for anyone at all (1). In particular, for those between 40–59-year-old with a 10-year CVD risk 10%, the decision to initiate aspirin for the primary prevention should be an individual one as the evidence of the net benefit of aspirin use in this group is small.…