EDITOR'S CHOICE

By Dr Deepa Gopalan


Introduction:
Chronic thromboembolic disease (CTEPH) is a dual vascular disorder related to incomplete resolution of pulmonary embolism (PE) and is placed under Group 4 of the revised
clinical classification of pulmonary hypertension (PH) [1]. The current definition of CTEPH is a mean pulmonary artery pressure of ≥25 mmHg, a pulmonary capillary wedge pressure of ≤15mmHg and the presence of organised thrombi in the pulmonary artery after at least 3 months of anticoagulant treatment [2].



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By Dr B.E. Dogan


Breast magnetic resonance imaging (BMRI) has been used with increasing frequency over the past 10 years because of its well-documented high sensitivity for detecting breast cancers, especially those that are occult on conventional imaging. Compared with other screening modalities, such as X-ray mammography and ultrasonography, MRI has a substantially higher diagnostic sensitivity and cancer yield and lower interval cancer rates [1-6].



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By Dr Yulei Jiang


Screening mammography remains the main imaging modality for breast cancer screening in asymptomatic and average risk women. Its effectiveness, however, is reduced in women whose breast tissue is heterogeneously dense or extremely dense, because dense breast tissue makes it more difficult, because dense breast tissue makes it more difficult for breast cancer to be detected in mammograms.



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By Dr H. Geijer & Dr M. Geijer


The optimal outcome of diagnostic imaging would of course ideally be one hundred percent accuracy in all diagnoses, but unfortunately, in practice this is not possible. Instead, the pragmatic approach that is adopted is to keep the number of discrepancies as low as possible. One way to achieve this goal is via the system ofdouble reading, namely the arrangementin which two observers review the same study before the report is finalized.



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By Dr H.Harvey, Dr E.Karpati, Dr G.Khara, Dr D. Korkinof, M.O’Neill, Dr A. Ng, Dr C.Austin, T. Rijken & Dr P. Kecskemethy


A bold vision for the future of breast cancer screening is required if programmes are to maintain double-reading standards against the backdrop of a workforce crisis across the UK, much of Europe and even Japan. Traditional Computer-Aided-Detection (CAD) for mammography decision support could not reach the level of an independent reader.



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By I.Hachette & Dr M. Warntjes


Clinically important information, such as the brain volume and degree of myelination can now be efficiently quantified through a single 6-minute acquisition MRI scan. This article summarizes the principles and applications of SyMRI, that is commercially available from the Swedish company, SyntheticMR.



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