SINAPSE experts from around Scotland have developed ten online modules designed to explain medical imaging. They are freely available and are intended for non-specialists. **Unfortunately these do not currently work in browsers**

Edinburgh Imaging Academy at the University of Edinburgh offers the following online programmes through a virtual learning environment:

Neuroimaging for Research MSc/Dip/Cert

Imaging MSc/Dip/Cert

PET-MR Principles & Applications Cert

Applied Medical Image Analysis Cert

Online Short Courses

Suspected malignant cord compression - improving time to diagnosis via a 'hotline': a prospective audit

Author(s): L. Allan, L. Baker, J. Dewar, S. Eljamel, R. M. Grant, J. G. Houston, T. McLeay, A. J. Munro, P. Levack

The aim of the study was to achieve earlier diagnosis of malignant cord compression (MCC) using urgent magnetic resonance imaging (MRI) for selected patients. A comparison was carried out of the current prospective audit of 100 patients referred by a general practitioner or a consultant over 32 months with both a previous national Clinical Research and Audit Group (CRAG) prospective audit (324 cases of MCC) and an earlier retrospective audit of 104 patients referred with suspected MCC. A telephone hotline rapid-referral process for patients with known malignancy and new symptoms (severe nerve root pain +/- severe back pain) was designed. Patients were considered for urgent MRI after discussion with a senior clinician responsible for the hotline. Appropriate referrals were discussed with radiology and oncology ensuring timely MRI reporting and intervention. The main outcome measures are as follows: time from referral to diagnosis; time from the onset of symptoms to diagnosis; and mobility at diagnosis. A total of 50 patients (52%) of those scanned had either MCC (44) or malignant nerve root compression (6) compared with the earlier rate of 23 out of 104 patients (22%). Ten out of 44 MCC patients (23%) were paralysed at diagnosis, compared with 149 out of 324 (46%) in the CRAG audit. Time from reporting pain to diagnosis was 32 days compared with 89 days in the CRAG audit. Median time from referral to diagnosis was 1 day, again considerably shorter than the CRAG audit time of 15 days (interquartile (IQ) range: 3-66). In patients at risk of MCC, fast-track referral with rapid access to MRI reduces time between symptom onset and diagnosis, improves mobility at diagnosis and reduces the number of negative MRI scans. British Journal of Cancer (2009) 100, 1867-1872. doi: 10.1038/sj.bjc.6605079 www.bjcancer.com Published online 26 May 2009 (C) 2009 Cancer Research UK

Full version: Available here

Click the link to go to an external website with the full version of the paper

ISBN: 0007-0920
Publication Year: 2009
Periodical: British Journal of Cancer
Periodical Number: 12
Volume: 100
Pages: 1867-1872
Author Address: Levack, P Ninewells Hosp, Dept Palliat Med, Dundee DD1 9SY, Scotland Ninewells Hosp, Dept Palliat Med, Dundee DD1 9SY, Scotland Univ Dundee, Dept Stat, Dundee DD1 4HN, Scotland Ninewells Hosp, Dept Oncol, Dundee DD1 9SY, Scotland Ninewells Hosp, Dept Neurosurg, Dundee DD1 9SY, Scotland St Brycedale Surg, Kirkcaldy, Scotland Ninewells Hosp, Dept Radiol, Dundee DD1 9SY, Scotland Univ Dundee, Dept Radiat Oncol, Dundee DD1 9SY, Scotland