Latest updates first Update Late 2021 The PRP literature expands constantly, which is good because we all need more precise data. An important paper published in Arthroscopy July 2021 did a network meta analysis. Zhao et al. from Guangzhou University of Chinese Medicine included 43 randomized controlled trials in patients with knee osteoarthritis (level II evidence […]
There are extensive recommendations from the American Academy of Orthopaedic Surgeons about Management of Rotator Cuff Injuries Clinical Practice Guidelines, Published in March 2019. Some strong and moderate recommendations are listed below. Weaker recommendations have not been listed. STRONG = Evidence from two or more “High” quality studies with consistent findings for recommending for or […]
Yanhong Han, MD, Hetao Huang, PhD, Jianke Pan, PhD, Jiongtong Lin, MD, Lingfeng Zeng, PhD, Guihong Liang, MD, Weiyi Yang, PhD, Jun Liu, PhDAuthor Notes Source document: Pain Medicine, Volume 20, Issue 7, July 2019, Pages 1418–1429, link: https://doi.org/10.1093/pm/pnz011 Purpose The purpose of this meta-analysis was to compare platelet-rich plasma (PRP) and hyaluronic acid (HA) in patients with knee osteoarthritis (KOA). Methods Randomized […]
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 […]
More recent updates about PRP here Iain Duncan last updated 2018 We have now successfully undertaken a series of platelet rich plasma (PRP) and hyaluronic acid injections for OA knee and many have had more advanced disease than is ideal (the best responders have the least radiological changes), but ~80% have had longer and better […]
Background Definition: Lateral epicondylitis is a common, painful condition characterized by pain at the lateral side of the elbow, that increases during gripping or squeezing. Though sometimes referred to as “tennis elbow” it occurs mostly in middle aged adults regardless of sporting activity. Light microscopy reveals both an excess of fibroblasts and blood vessels that […]
xSPECT bone v SPECT bone in hybrid imaging A head to head comparison of 200 cases* ” template=”/nas/content/live/driainduncan/wp-content/plugins/nextgen-gallery/products/photocrati_nextgen/modules/ngglegacy/view/gallery-caption.php” order_by=”filename” order_direction=”ASC” returns=”included” maximum_entity_count=”500″] xSPECT bone is a new reconstruction algorithm** which integrates information from the CT scan with the raw data from the bone SPECT acquisition to produce a higher resolution SPECT image, known as […]
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 […]
