Dr Iain Duncan

Links for referring doctors

Glossaries including common reporting terms and current classifications used can be found here: Nuclear Medicine or Ultrasound. Below is a  list of useful links on this website. LINK CLINICAL ULTRASOUND NUCLEAR IMAGES Aortic aneurysm screening YES YES – – Back pain and bone scans YES YES YES Basic description of tendinopathy YES YES – YES Bone scans and the use […]

PRP therapy for tendinopathies and tendon tears

Iain Duncan October 2015 PRP (platelet-rich plasma) therapies have been used for over a decade for a whole number of clinical problems (see PRP wikipedia entry). PRP is blood plasma that has been enriched with platelets and contains (and releases through degranulation) several different growth factors and other cytokines that stimulate healing of bone and soft tissue. […]

Best Practice Guide to Conservative Management of Patellofemoral Pain

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 […]

Ultrasound Elastography

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 […]

Nuclear Imaging in Prosthetic Joints

NUCLEAR TRACERS used in imaging prosthetic joints The tracers discussed in this article are: Tc-MDP: bone scintigraphy Tc-sulesomab (trade name LeukoScan):  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 […]