DVT – how does duplex US look for it?

11th October, 2023, NIA

DVT?

Deep vein thrombosis (DVT) is a medical condition associated with significant morbidity and mortality. It is vital that a rapid diagnosis can be acquired since DVT can result in severe complications including the development of pulmonary embolism (PE). The consequences of PE can be life-threatening. About 10% of PEs are fatal and 5% will cause death later despite diagnosis and treatment.…

Early breast cancer – close collaboration between GP and radiologist.

13th August 2023, NIA Diagnostic Imaging

A 49-year-old lady presented with pain in her right breast. There is a strong family history of breast cancer. Breast examination was difficult because of “lumpiness” of the breasts. She was referred for a breast ultrasound at NIA. Ultrasound showed two lesions in the right breast – one at 3 o’clock, 2cm from the nipple and another at 7 o’clock, 2cm from the nipple.…

CT Coronary Angiogram – what is the prognostic value?

13th April 2023, NIA Diagnostic Imaging

CAD

A few months ago, we explored the role of coronary artery calcium score (CAC) as a cardiovascular risk assessment tool, and its importance in the prediction of future cardiovascular heart disease events and atherosclerotic cardiovascular disease (9). However, limited by the inability to assess the burden of non-calcified plaque which has low radiological attenuation, CT coronary angiography (CTCA) can be performed in conjunction with a CAC (6).…

Bloody nipple discharge – a cause for concern?

14th January 2023, NIA Diagnostic Imaging

Despite the availability of modalities such as mammography, MRI and galactography, ultrasound still has a role in breast imaging. Ultrasound provides high resolution portrayal of normal and abnormal breast parenchyma as well as clear depiction of lactiferous ducts and the terminal duct-lobular unit where masses can form (4). This is particularly useful when investigating women presenting with a bloody nipple discharge.…

Pelvic pain in first trimester – differential diagnosis

13th Decemer 2022, NIA Diagnostic Imaging

Pelvic pain

Pelvic pain is a common presentation in general practice. It becomes a little bit more complicated if that occurs during the first trimester of pregnancy. To the usual gynaecological and non-gynaecological causes, we have to add the other obstetric causes of pelvic pain. The obstetric causes during the 1st trimester can be a serious concern and should be treated as an urgent matter.…

EARLY BREAST CANCER DETECTION – NO COMPROMISE WITH 3D MAMMOGRAPHY

13rd September 2022, NIA Diagnostic Imaging

Mammography remains the gold standard imaging technique in early-stage breast cancer diagnosis. It forms part of the triple test approach to the investigation of new breast symptoms. (Cancer Australia 2021). In the past, there used to be limitations with conventional mammography’s sensitivity and specificity in detecting abnormalities in young female breasts due to the patients’ mostly dense breast tissues.…

Arterial Doppler in Diabetes Management

13th August 2022, NIA Diagnostic Imaging

In a 2020 study, 1 in 20 Australians have diabetes mellitus (excludes gestational diabetes), and the primary complications associated with this disease are foot ulcerations and claudication (Australian Institute of Health and Welfare, 2022). Diabetic foot ulcerations can develop due to a number of factors including poor glycaemic control, poor foot care, dry skin, calluses, and foot deformities (Oliver & Mutluoglu, 2022).…