By Stephen Chapman MB BS MRCS MRCP FRCR, Richard Nakielny MA BM BCh FRCR
This publication supplies a synoptic description of the sensible info of ways to hold out the typical methods in imaging on which an exam candidate should be anticipated to be regular. It doesn't try and conceal rarer options past the scope of the examination or to teach the ensuing pictures. each approach is defined below a collection of normal headings (for instance: equipment, symptoms, apparatus, sufferer training, strategy, aftercare, problems, extra reading).
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Eur. Radiol. 9 ( s u p p l 3). 49 Gastrointestinal tract Methods of imaging the gastrointestinal tract 1. 2. 3. 4. Plain film Barium swallow Barium meal Barium follow-through 5. Small bowel enema 6. Barium enema 7. Ultrasound - Transcutaneous - Endosonography 8. CT 9. M R I 10. Angiography 11. Radionuclide imaging - Inflammatory bowel disease - Gastro-oesophageal reflux - Gastric emptying Bile reflux study - Meckel's scan Gastrointestinal bleeding. M. ) (1992) Radiology of the alimentary tract.
4. Discrimination of tumour recurrence from post-therapy fibrosis (although fibrosis may enhance even several years after therapy, particularly if due to radiation). 5. Discrimination of recurrent intervertebral disc prolapse from postoperative fibrosis. Images must be obtained within 30 min of the injection as fibrosis enhances immediately but disc material may enhance approximately 20 min after injection. 6. Cardiac/aortic imaging. Contraindications No absolute contraindications are known, but roughly they are contraindicated in similar situations to iodinated contrast media.
1. Ferromagnetic materials may undergo rotational or translational movement as a result of the field. 19 20 A GUIDE TO RADIOLOGICAL PROCEDURES Rotational movement occurs as a result of an elongated object trying to align with the field. This may result in displacement of the object, and this applies to certain types of surgical clip. Not all materials implanted are ferromagnetic and many are only weakly so. Each type should be checked individually for any such risk. In many cases, post-operative fibrosis (greater than 6 weeks) is strong enough to anchor the material so that no danger of displacement exists.
A Guide to Radiological Procedures by Stephen Chapman MB BS MRCS MRCP FRCR, Richard Nakielny MA BM BCh FRCR