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A Survey of Magnetic Resonance Imaging Protocols for the Investigation of Epilepsy in Canadian Academic Referral Centres
Nearly 140,000 Canadians live with epilepsy, and many suffer social stigma and economic disadvantage as a result [1]. For patients with medically refractory focal epilepsy, surgical resection of epileptogenic tissue improves seizure control and offers the possibility of seizure freedom [2]. The presurgical workup of these patients involves a triangulation of seizure semiology, electroencephalographic data and neuroimaging data [3]. Magnetic resonance imaging (MRI) plays a critical role in the identification, localization, and characterization of epileptogenic lesions [4]. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - July 31, 2018 Category: Radiology Authors: Usman G. Khan, Matthias H. Schmidt Tags: Neuroradiology / Neuroradiologie Source Type: research

Choosing Wisely Canada and Diagnostic Imaging: What Level of Evidence Supports the Recommendations?
We were disappointed to see the Canadian Association of Radiologists Journal (CARJ) published the recent article, “Choosing Wisely Canada and Diagnostic Imaging: What Level of Evidence Supports the Recommendations?” [1], without reviewing the wording of the current guidelines. The current wording of the Choosing Wisely Canada (CWC) Family Medicine guideline on screening mammography is actually, “Don't rou tinely do screening mammography for average risk women aged 40–49. Individual assessment of each woman's preferences and risk should guide the discussion and decision regarding mammography screening in this age gr...
Source: Canadian Association of Radiologists Journal - July 31, 2018 Category: Radiology Authors: Jean M. Seely, Shusheila Appavoo, Nancy Wadden, Yves Loisel, Anabel Scaranelo Tags: Letter to the Editor / Lettre à la rédaction Source Type: research

The Canadian Association of Radiologists Referral Guidelines
A number of challenges face the Canadian Association of Radiologists (CAR) if it is to continue to maintain a set of diagnostic imaging referral guidelines relevant to the Canadian health care system. To provide context for the future direction of the CAR Referral Guidelines, this essay provides a brief history of the CAR guidelines. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - July 31, 2018 Category: Radiology Authors: Martin H. Reed Tags: Health Policy and Practice / Sant é : politique et pratique médicale Source Type: research

Editors in Chief —What Do They Do Anyway?
There was part of me that always wanted to be an editor.David Grann, American author and journalist (b. 1967)An editor is someone who separates the wheat from the chaff —and then prints the chaff.Adlai E. Stevenson, American Vice-President (1835-1914) (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - July 31, 2018 Category: Radiology Authors: Peter L. Munk Tags: Editorial / Éditorial Source Type: research

Classified Advertising
(Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - July 31, 2018 Category: Radiology Source Type: research

Imaging of Benign Fibular Tumours and Their Mimics
The fibula is a non –weight bearing, gracile bone that contributes to stability of the ankle and knee by acting as a site for tendon and ligament attachments. The fibula accounts for 2.5% of primary bone tumours [1]. Benign tumours may have an atypical, aggressive appearance in the fibula. A brief discussion of the w orkup and management of fibular lesions is provided, followed by a discussion of individual primary benign fibular tumours and their mimics, both benign and malignant. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - July 2, 2018 Category: Radiology Authors: Barry Glenn Hansford, Zachary C. Smith, Gregory Scott Stacy Tags: Musculoskeletal Radiology / Radiologies musculo-squelettique Source Type: research

Imaging of Pulmonary Embolus: Thrombotic, Nonthrombotic, and Mimickers
Pulmonary embolism is a common and potentially fatal pathological condition. Imaging plays a crucial role in the diagnosis and differentiation of the causes of pulmonary embolus. Here we present typical imaging findings associated with both thrombotic and nonthrombotic pulmonary emboli, as well as their potential mimickers. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - June 28, 2018 Category: Radiology Authors: Jaramie Thomas-Gittens, Alexandre Semionov, Josephine Pressacco Tags: Thoracic and Cardiac Imaging / Imagerie cardiaque et imagerie thoracique Source Type: research

Barriers to Resident Research in Radiology: A Canadian Perspective
The study sought to identify and characterise barriers to research for Canadian diagnostic radiology residents and suggest potential solutions to enhance future research success. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - June 28, 2018 Category: Radiology Authors: Kate Hames, Michael Patlas, Richard Duszak Tags: Education and Training / Formation et perfectionnement professionnel Source Type: research

Estimating Ocular Hypertension and Glaucoma With Optic Nerve Tortuosity on Conventional Orbital Magnetic Resonance Imaging
Glaucoma is the second leading cause of blindness worldwide. Additionally, in contrast to cataract, which is the number one cause, blindness from glaucoma is irreversible. Because the progression of glaucoma is prolonged and may remain silent even for decades, this disease has been referred to as the “sneaky thief of sight” [1]. It is estimated there are greater than 60 million people worldwide with glaucoma-related optic neuropathy and that 8.4 million are likely to become blind [2]. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - June 28, 2018 Category: Radiology Authors: Deniz Özel, Mehmet Cemal Erşan, Betül Duran Özel Source Type: research

What Are the Expected Findings on Follow-up Computed Tomography Angiogram in Post-traumatic Patients With Blunt Cerebrovascular Injury?
Blunt cerebrovascular injury (BCVI) is a rare but potentially devastating diagnosis. Our study establishes the temporal changes and findings on follow-up imaging. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - June 26, 2018 Category: Radiology Authors: Khaled Y. Elbanna, Mohammed F. Mohammed, Jung-In Choi, J. Philip Dawe, Emilie Joos, Saleh Baawain, Ismail Tawakol Ali, Savvas Nicolaou Tags: Education and Training / Formation et perfectionnement professionnel Source Type: research

Imaging Approach to the Diagnosis of Acute Appendicitis in a Group of Teaching Hospitals With 24/7 In-house Availability of Ultrasound Technologist: Effect of Timing of Request on Imaging Modality
The study sought determine effect of requisition timing on the initial-choice imaging modality in appendicitis evaluation. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - June 26, 2018 Category: Radiology Authors: Hassan Alzahrani, Babak Maghdoori, Shadman Islam, Sara Maghdoori, Mostafa Atri Tags: Abdominal Imaging / Imagerie abdominale Source Type: research

Use of Breast Magnetic Resonance Imaging in Women Diagnosed With Atypical Ductal Hyperplasia at Core Needle Biopsy Helps Select Women for Surgical Excision
The study sought to investigate the role of breast magnetic resonance imaging (MRI) in patients diagnosed with atypical ductal hyperplasia (ADH) at core needle biopsy (CNB). (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - June 26, 2018 Category: Radiology Authors: Yoav Amitai, Tehillah Menes, Orit Golan Tags: Magnetic Resonance Imaging / Formation image de r ésonance magnétique Source Type: research

Outcomes of Magnetic Resonance Imaging –Ultrasound Fusion Prostate Biopsy of PI-RADS 3, 4, and 5 Lesions
Prostate cancer is the second most common cancer in men worldwide [1], and is the fifth leading cause of cancer death in men with 307,500 deaths in 2012 [1]. Approximately two-thirds of prostate cancer cases are disproportionately diagnosed in the developed world, largely due to prostate cancer screening practices [1]. However, some detected cancers are so low grade and slow growing that they are unlikely to affect the individual in his lifetime [2]. Treatment with radical prostatectomy, brachytherapy, or external bean radiotherapy carries risks including erectile dysfunction and urinary incontinence [2]. (Source: Canadian...
Source: Canadian Association of Radiologists Journal - June 9, 2018 Category: Radiology Authors: Maria Gosein, Emily Pang, Silvia Chang, Peter Black, Larry Goldenberg, Alison Harris, Jason Yasenjiang, Masoud Yousefi Tags: Abdominal Imaging / Imagerie abdominale Source Type: research

Reducing Wait Time for Lung Cancer Diagnosis and Treatment: Impact of a Multidisciplinary, Centralized Referral Program
A multidisciplinary, centralized referral program was established at our institution in 2014 to reduce delays in lung cancer diagnosis and treatment following diagnostic imaging observed with the traditional, primary care provider –led referral process. The main objectives of this retrospective cohort study were to determine if referral to a Thoracic Triage Panel (TTP): 1) expedites lung cancer diagnosis and treatment initiation; and 2) leads to more appropriate specialist consultation. (Source: Canadian Association of Radiologists Journal)
Source: Canadian Association of Radiologists Journal - June 4, 2018 Category: Radiology Authors: Jessica L. Common, Hensley H. Mariathas, Kaylah Parsons, Jonathan D. Greenland, Scott Harris, Rick Bhatia, SuzanneC. Byrne Tags: Thoracic and Cardiac Imaging / Imagerie cardiaque et imagerie thoracique Source Type: research