I am pleased to have been invited to serve as guest editor for this special issue of JAOCR dedicated to body imaging, an encore to our department’s July 2015 issue on neuroimaging. Those of us on the body imaging side of the department share with our neuroradiology colleagues the enthusiasm generated from exposure to a great variety of interesting cases and the latest therapeutic and diagnostic developments inherent in our role as the primary teaching hospital of a large medical school centered in a major American city. Once again, faculty and residents from the Department of Radiological Sciences from Hahnemann University Hospital/Drexel University College of Medicine in Philadelphia welcome you to read an eclectic mix of articles that we hope you will enjoy and find informative.
We begin with two review articles on relatively recent topics in the scope of body imaging. The first of these, by resident James Montgomery and two attendings from our interventional radiology section (Drs. Bianco and Trebelev), discusses the latest developments in intra-arterial embolotherapy (bland, chemotherapeutic, and radioablation) in the treatment of hepatocellular carcinoma. The article describes these procedures and discusses indications, advantages and differences, emphasizing post-therapy findings on CT and MRI for assessing treatment response, recurrence and residual disease.
Following this, resident Chris Brown and MRI section head Nancy Mohsen examine MRI of pelvic maneuvers/MR defecography in assessing female pelvic floor insufficiencies, such as cystocele, uterine prolapse, rectocele, and the like.
Our differential diagnosis cases include interesting and unusual examples of gastric disease and a pelvic mass, for which I will not divulge the answers (I wouldn’t want to spoil them!). We wrap things up with two great At the Viewbox cases involving the gallbladder and pancreas (again, no spoilers).
I was also asked to share my favorite quote, and an adage relating to radiology education immediately sprang to mind. I learned it when I was a resident in the mid-1980s and it’s a great rule of thumb for generating a reasonable differential diagnosis. I don’t know who coined it, but always remember: “Uncommon manifestations of common diseases are more common than common manifestations of uncommon diseases.”
I want to thank all my resident and faculty colleagues who contributed to these articles. Special thanks also go out to Jason Shames, M.D., who spearheaded this project, got me involved, and talked me through my baby boomer shortcomings on the technology front. We hope you enjoy reading this issue.Back To Top
Herman SD. In this Issue: July 2017. J Am Osteopath Coll Radiol. 2017;6(3):4.
Dr. Herman is Assistant Professor of Radiology, Drexel College of Medicine, Philadelphia, PA.