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CURRENT PATHOLOGY IMAGING GUIDELINES Version en français CONTENTS Neck and thorax | Upper abdomen| Genitourinary ystem | Vascular system | Central nervous system | Spine | Extremities | Nuclear Medicine A. Neck and thorax Imaging resources Problem management: a. Neck diseases Lateral cervical mass Median or paramedian cervical mass Hyperparathyroidism Tumors of the larynx Tumors of the pharynx b. Thoracic diseases Infections Bronchial diseases Interstitial diseases Hemoptysis Acute thoracic pain breath-dependant with/without cough Acute thoracic pain not breath-dependant Thoracic pain, dyspnea or chronic cough Cardiac diseases B. Upper abdomen Imaging resources Problem management Trauma Painful syndrome with fever Painful syndrome without fever Anorexia, weight loss, nausea, emesis Liver function tests disturbance Upper digestive tract haemorrhage Upper intestinal occlusion C. Genitourinary System Imaging resources Problem management urinary lithiasis nephretic pain or mass recurrent infections of the superior urinary tract hematuria renovascular hypertension renal failure lower urinary tract obstruction urinary incontinence pelvic mass and pain menstrual disorders infertility (female) pregnancy mass or scrotal pain infertility (male) hernia of the abdominal wall Breast nodule D. Vascular System Imaging resources Problem management deep venous thrombosis arterial obstruction arterial ischemia aneurysm of the abdominal aorta dilatation of a peripheral artery lower extremities edema abdominal vessels gastrointestinal and posttraumatic haemorrhage E. Central nervous System Imaging resources Problem management New appearing headache, non migrainous, particularly in older or HIV+ patients; headache with neurologic signs Headache, sudden severe or suspicion of acute intracranial vascular event (first hours) Neurological syndrome, inaugural or non responding epilepsy Senile or presenile dementia Acute non postural vertigo, ataxia Vertigo +/- sensorineural deafness, non pulsatile tinnitus Conductive deafness Pulsatile tinnitus Nose and sinuses Orbits Pituitary gland F. Spine Imaging resources Problem management Trauma Infection Tumor Degenerative diseases Malformations, scoliosis G. Extremities Imaging resources Problem management Trauma Infection Tumor Degenerative, inflammatory and et metabolic diseases Malformations Prostheses and implants H. Imaging Resources in Nuclear Medicine Musculoskeletal system Respiratory system Cardiovascular system Urogenital system Gastrointestinal tract Central nervous system Varied scintigraphic techniques Targeted studies - Oncology PET-CT imaging Radioactive source treatment Neck and thorax | Upper abdomen| Genitourinary ystem | Vascular system | Central nervous system | Spine | Extremities | Nuclear Medicine Pierre Bénédict, MD, FMH radiologist, Lausanne, 1997-2008 References: Eisenberg R.L., Margulis A.R.: "Radiology Pocket Reference: what to order when", Lippincott, 2nd ed., 1999 ACR (American College of Radiology) guidelines Radiation protection 118: Referral guidelines for imaging (Office for official publications of the European Communities) Paul Rodriguez "MRI Indications for the Referring Physician", Aurora, 1997