Plantar fasciitis – management in general practice

14th March 2025, NIA Diagnostic Imaging

Plantar fasciitiis

Plantar Fasciitis is the most common cause of heel pain in adults affecting about 10% of the adult population. It is most common in women aged between 40-60 years. It stems from the degenerative irritation of the plantar fascia origin at the medial calcaneal tuberosity of the heel and its surrounding perifascial structures.…

DEXA – the key to osteoporosis diagnosis

14th January 2025, NIA Diagnostic Imaging

It is usually not difficult to diagnose osteoporosis once a patient has fractured a bone or two. The key in primary care is to try to diagnose those at risk of osteoporosis and prevent a fracture, especially neck of femur fracture. The consequence of a neck of femur fracture is quite significant especially in elder patients.…

3D Mammography – when should we order them?

12th December, NIA Diagnostic Imaging

Breast lump

We know that screening mammography is not perfect. This is particularly the case in breasts that are dense. Breast tissue density is a predictor of breast cancer (BC) risk (1-3). Pooled analyses have shown a fourfold to fivefold increase in BC risk for women with the highest breast tissue density compared with those classified in the lowest density category, independently of other risk factors for BC that may be present in women with high breast density (1,3).…

Shoulder bursitis – diagnosis and management

9th November 2024, NIA Diagnostic Imaging

What is shoulder bursitis?

Shoulder bursitis is one of the most common causes of shoulder pain and is referred as an inflammatory disorder affecting the subacromial-subdeltoid bursa (Faruqi & Rizvi, 2023). The subacromial-subdeltoid bursa is a fluid-filled sac lined with synovium which separates the supraspinatus tendon from the acromion, coracoacromial ligament and deltoid and helps ease movement between the rotator cuff and other structures of the shoulder joint (MacMahon & Yablon, 2017).…

Understanding radiation dose in CT scans

8th September 2024, NIA Diagnostic Imaging

CT

Computed tomography (CT) is widely recognised as the gold standard for detecting and diagnosing a broad range of pathologies due to its ability to provide detailed cross-sectional imaging. However, concerns about radiation exposure continue to be raised by both patients and clinicians. As a result, it is crucial to understand the impact of technological advancements in ensuring that radiation exposure is kept as low as reasonably achievable (ALARA) while still maintaining diagnostic accuracy.…

Role of CT Enterography in Crohn’s Disease Mx

11th August 2024, NIA Diagnostic Imaging

CT enterography (CTE) plays a vital role in the management of Crohn’s disease, a chronic inflammatory bowel disease (IBD). Crohn’s disease is the most common indication for a CTE, primarily used to determine diagnosis and complications (5) to guide effective treatment, and for monitoring disease progression and response to treatment.

WHAT IS CROHN’S DISEASE?

DEXA – The key to diagnosing osteoporosis

6th June 2024, NIA Diagnostic Imaging

DEXA (Dual-Energy X-ray Absorptiometry), is a non-invasive, quick and simple medical imaging modality used to measure bone mineral density (BMD). It is highly effective in diagnosing osteoporosis or osteopenia, hence enabling managing clinicians to assess the extent of bone loss for their patients. It is considered the “gold standard” by the World Health Organisation (WHO) and is the most accurate and inexpensive test to diagnose osteoporosis.…

Paediatric ultrasound – developmental hip dysplasia

12th May 2024, NIA Diagnostic Imaging

Developmental dysplasia of the hip (DDH) stands out as one of the most prevalent musculoskeletal disorders manifesting in neonates and infants (Charlton et al., 2017). Owing to the dynamic potential for hip remodelling, hip dysplasia at birth may either resolve spontaneously or progress as the child grows (Loh & Wollett, 2021). DDH encompasses a spectrum of hip conditions, including abnormal acetabular development and hip dislocation causing disruption to the typical alignment of the femoral head and acetabulum as a stable ball-and-socket joint (Landes, 2011).…

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.…

Renal artery stenosis – how do we confirm the diagnosis?

12th December 2023, NIA Diagnostic Imaging

Renal artery stenosis

One of the standout diagnoses I remember from medical school is renal artery stenosis. In practice, it is usually someone else that makes that diagnosis. It is not that uncommon. We may hear an abdominal bruit in our general vascular screen. We might struggle to get our patient’s BP to target despite the 4th or 5th agent.…

CT cholangiogram – when should we order one?

12th November 2023, NIA Diagnostic Imaging

epigastric pain

Epigastric pain has to be one of the most common presenting symptoms in primary care. The differential diagnoses include cholelithiasis and cholecystitis. With increasing prevalence of obesity and type 2 diabetes, the prevalence of gallbladder disease is also increasing. Often, abdominal ultrasound can confirm or exclude gallbladder disease but sometimes, the results are inconclusive or we suspect additional bile duct obstruction.…

CT-guided spinal injections – what to order?

12th September 2023, NIA Diagnostic Imaging

Back pain has to be one of the most common ailments we see in general practice. Pain may originate from nerve root irritation, facet joint dysfunction, degenerative disc disease or poor muscle function or even osteoporotic fractures. There has been numerous systematic reviews and meta-analyses and most have highlighted how ineffective cortisone injections are in relieving the symptoms in the medium and long term.…