The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning Christian John Barton, Simon Lack, Steph Hemmings, Saad Tufail, and Dylan Morrissey. Br J Sports Med 2015;49:923-934. Patellofemoral pain is a chronic and prevalent condition that has complex aetiology and multiple treatment options.T his is a well thought out review […]
A mobile friendly slideshow of this post can be found here. I have noted elsewhere about the dramatic transformation between “the old” and “the new” nuclear medicine that has taken place over the last decade (see my post Nuclear Medicine = New Clear Medicine). The fusion between nuclear medicine and CT was given the description SPECT-CT -the SPECT […]
June 2015 It is hard not to right an essay when it comes to thyroid scanning. Thyroids can bedevil us all and no rule is absolute when it comes to thyroid nodules. For a more in depth discussion about which nodules need biopsy see here. Nevertheless here are a few common pitfalls. Not everything abnormal […]
Ebonie Rio, Dawson Kidgell, Craig Purdam, Jamie Gaida1, G Lorimer Moseley, Alan J Pearce, Jill Cook. see original abstract BJSports Med online. This single-blinded, randomised cross-over study compared immediate and 45 min effects following a bout of isometric and isotonic muscle contractions. Outcome measures were PT pain during the single-leg decline squat (SLDS, 0–10), quadriceps strength on […]
Basic principles Recent advances in ultrasound technology have led over several years to the development of elastography. This is the ultrasound equivalent of clinical palpation. There are different types of shear elastic properties which can be assessed by ultrasound. Several types have developed using different deformation forces and different ways of measuring the force. A […]
A recent review by Janne A. Peters and colleagues in the Journal of Science and Medicine in Sport looked at the available evidence for tendon injury prevention. They conducted a systematic literature review to identify articles that assessed prevention systematically. They found ten articles with a wide variety of preventive interventions, which they divided into categories: stretch and exercise […]
Svahn, T.M. et al. The Breast 2014, Dec 29. We examined how radiation dose levels in digital breast tomosynthesis (DBT) differ from those used in 2-view full-field digital mammography (FFDM). Acquisition parameter settings and information on the average absorbed dose to the glandular tissues within the breasts were reviewed based on clinical studies that evaluated […]
The tracers discussed in this article are:
Tc-MDP: bone scintigraphy
Tc-sulesomab: in vivo labelled Fab fragment of IgG1. While this also binds to neutrophils (5%) and therefore should mimic WBC labelled scans it has a non-specific accumulation at infected sites. 35% of activity at 24hrs is in the bone marrow.
WBC labelled scans: in vitro labelled patient WBC with either Tc or In-111
FDG (Fludeoxyglucose 18F): is also used for infection imaging but PET scanning is not discussed in this article.
WORKFLOW for prosthetic joint complications
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