Nuchal translucency or Non-invasive prenatal screening

30th April 2022, Spectrum Medical Imaging

Women who are in their first trimester of pregnancy have two options for screening for structural abnormalities and chromosomal abnormalities such as Down’s, Edwards or Patau syndrome. While it not necessary to perform both, we need to know which test exclude what abnormalities. Spectrum offers both and we need to understand both tests for that we can discuss them with our patients.…

The tale of two cysts

24th February 2022, Spectrum Medical Imaging

Case 1

7-year-old girl has 3-week history of headache, lethargy and vomiting.Woke up in the morning with headache and vomiting, presented to hospital casualty. Urgent CT brain showed acute hydrocephalus with raised intracranial pressure requiring urgent operative insertion of ventricular drain to reduce ventricular pressure. What is the cause of the obstruction?

Case 2

6 ½ year old girl.…

Image guided injections – what goes where for which condition?

29th November 2021, Spectrum Medical Imaging

image guided injections

If you are like me, you will be confused as which joints or joint can be injected for which clinical condition. Then you need to know whether they are ultrasound guided procedures or CT scan guided procedures. There just a myriad of musculoskeletal conditions that can improve with corticosteroid injections. Spectrum Medical Imaging has assembled a team of subspecialist interventional and musculoskeletal expert radiologists to assist us in managing our patients with these conditions.…

CT Angiogram – who does Medicare cover?

23rd September, Spectrum Medical Imaging

CT angiogram

We all know the restrictions we all have in who we can order an ECG, stress test or stress echocardiogram for since the change in Medicare rebates some months ago. I am confused about the various eligibility criteria. You know what happens when are all confused? We stop ordering them to the detriment to patient care.…

Pregnancy and Pelvic Imaging – who can you trust?

18th August 2021, Spectrum Medical Imaging

We were all taught that we should always see it for ourselves and trust no one when it comes to history and examination. We cannot rely on third party information but sometimes, we have to. When we have to refer patient for imaging, we need to ensure that we can trust the provider and have faith in their experience and quality of reporting.…

Medical imaging referral during lock down

28th July 2021, Spectrum Medical Imaging


With much of southwest Sydney under a pretty hard lock down, many of us are increasingly utlising tele-health to reduce face to face contact with patients. I note that many practices in the area have had to close for deep cleaning because of exposure to covid-19 positive patients. Trying to organise medical imaging can be a bit tricky when working online.…

Invasive ductal carcinoma – a case study

27th June 2021, Spectrum Medical Imaging

Invasive ductal carcinoma (IDC), which is also known as infiltrating ductal carcinoma, is the most common type of breast cancer. Although invasive ductal carcinoma can affect women at any age, it is more common as women grow older and can also affect men.

A 29-year-old female presented with a palpable lump in the left breast.…

Paediatric Radiology – is it that simple?

30th May 2021, Spectrum Medical Imaging

Medical Imaging

Children are not little adults. Paediatric imaging can be challenging in two ways: 1) The whole process can be particularly daunting to the child and requires understanding, support and patience from the staff at the imaging centre 2) The expertise and experience in interpreting the images cannot be taken for granted. It requires the skills of radiographers and radiologists who are both experienced and have special interests in the field.…

Knee MRI – how reliable is it?

27th April, Spectrum Medical Imaging

Acute knee pain is a pretty common presentation in general practice. In experienced hands, a thorough physical examination can narrow the differential diagnosis to a few common injuries. Often we have to resort to an MRI to confirm our suspicion. How reliable is the MRI diagnosis?

In a novel study to evaluate the reproducibility, repeatability, and agreement of MRI evaluation with the gross pathology examination at operation, in 23 patients undergoing total knee arthroplasty, MRIs were performed just before the surgery (1).…

Image guided injections – who gets what where and how?

30th March 2021, Spectrum Medical Imaging

image guided injections

We know that interventional radiologist can inject into practically anyway these days but sometimes it’s helpful to know what injections are for what conditions. Some injections are targeted at joints or near joints while others are injected into soft tissues like tendons or bursas. Sometimes we need ultrasound to guide the injections to the right place while other times, a CT scan required because we have bones in the way.…

In interventional radiology, sometimes you block vessels, other times you unblock them.

27th December, 2020, Spectrum Radiology

Interventional radiology

This month Dr Yehia El Hgar from Spectrum Interventional Radiology discuss two interesting cases: one a 39-year-old female with constant heaviness in the pelvis associated with urinary frequency and severe disabling menorrhagia and the other a 29-year-old female with a past history of left lower limb DVT and underwent a left iliac vein thrombectomy and venoplasty.…

Taking the hassles out of workers comp referrals

28th November 2020, Spectrum Radiology

paperwork galore

Don’t we hate it? Paperwork, approvals, waiting for more forms, more tick boxes, scan and fax and more waiting. That is what happens frequently with workers comp cases when patients need more investigations. What if you can get someone else to do it? Someone else other than you practice staff.

You now have a choice.…