Dr Iain Duncan

Muscle Injury Classification

This is the muscle injury classification that I generally refer to with expected return to sporting activity:     GRADE DESCRIPTION RETURN TO SPORT 0 Oedema/fluid around tendon/epimysium <2 weeks 1 Myofibril disruption without epimysial or myofascial changes 1-4 weeks 2 plus epimysial/myofascial interuption or delamination 3-6 weeks 3 intramusculat tendon or epimysial failure/tear 6+ […]

Prostate carcinoma spread in pelvis and para-aortic lymph nodes

Tc-PSMA at Garran Medical Imaging

An update December 2019 We started doing Tc-PSMA SPECT/CT scans at GMI in 2016 and have now done about 300. Initially there was a steep learning curve as we worked on improving the technical parameters and image reconstruction, but over time I have become confident that we are producing a high quality clinically important scan. […]

Shearwave elastography selection box

Liver SW Elastography 2019

Liver SW elastography has become increasingly available and more frequently performed over the last 5 years. We were one of the first and all GMI sonographers and I have gained significant experience performing and interpreting the test. Having a good relationship and getting valuable feedback from our local hepatologists has been very helpful. The test/scan […]

hip osteoarthritis

Prognostic Factors for Progression of Osteoarthritis of the Hip

C. H. Teirlinck; D. M. J. Dorleijn; P. K. Bos; J. B. M. Rijkels-Otters; S. M. A. Bierma-Zeinstra; P. A. J. Luijsterburg Arthritis Res Ther. 2019;21(192) [Open Access] Background: Predicting which patients with hip osteoarthritis are more likely to show disease progression is important for healthcare professionals. Therefore, the aim of this review was to assess which factors […]

INJECTION SHOULDER

PRP and Visco-supplementation for rotator-cuff tears

I am seeing a growing interest and noting more research in both PRP (platelet rich plasma) and hyaluronate/viscosupplementation therapies for the treatment of both arthritis and tendon pathologies. In many of the earlier studies  there was no control patients, but this has been improved in several recent studies. In particular I draw your attention to […]

Osteoporosis screening

LINKS Editorial JAMA, June 26, 2018: Screening for Osteoporosis. Jane A. Cauley, DrPHJAMA. 2018;319(24):2483-2485. doi:10.1001/jama.2018.5722 Screening to Prevent Osteoporotic Fractures: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force 2018.JAMA. 2018;319(24):2532-2551. doi:10.1001/jama.2018.6537 ToolsFracture Risk Assessment Tool Osteoporosis Risk SCORE (Simple Calculated Osteoporosis Risk Estimation)