Glioma imaging in Europe: A survey of 220 centres and recommendations for best clinical practice

Objectives: At a European Society of Neuroradiology (ESNR) Annual Meeting 2015 workshop, commonalities in practice, current controversies and technical hurdles in glioma MRI were discussed. We aimed to formulate guidance on MRI of glioma and determine its feasibility, by seeking information on glioma imaging practices from the European Neuroradiology community. Methods: Invitations to a structured survey were emailed to ESNR members (n=1,662) and associates (n=6,400), European national radiologists’ societies and distributed via social media. Results: Responses were received from 220 institutions (59% academic). Conventional imaging protocols generally include T2w, T2-FLAIR, DWI, and pre- and post-contrast T1w. Perfusion MRI is used widely (85.5%), while spectroscopy seems reserved for specific indications. Reasons for omitting advanced imaging modalities include lack of facility/software, time constraints and no requests. Early postoperative MRI is routinely carried out by 74% within 24–72 h, but only 17% report a percent measure of resection. For follow-up, most sites (60%) issue qualitative reports, while 27% report an assessment according to the RANO criteria. A minori

Arthroscopic treatment in traumatic lesion of the wrist

The wrist has a very complex structure and alteration of its components due to trauma creates challenging scenarios for the hand and wrist surgeon. Wrist arthroscopy was developed in 1979 as a diagnostic instrument for intraarticular pathologies but in recent years due to development of technology small optics and working instruments were introduce allowing its application not only for diagnosis but also for treatment. Nowadays hand surgeons use arthroscopic method to repair intra-articular ligaments for example the triangular fibrocartilage complex, scapholunate and lunotriquetral which can emerge as a focal injury or in association to perilunate dislocation, carpal fracture or distal radius fracture. Arthroscopy is also used to assist the reduction of bone fracture like distal radius or carpal bones in order to have a precise reduction restoring articular anatomy and by this avoiding future articular degeneration changes due to the fracture. In this review article we exposed how arthroscopy of the wrist can be applied to solve traumatic lesion by itself as mini-invasive procedure or assist the open approach to get a more anatomic reconstruction and get better outcomes. This by reviewing the literature and presenting our personal experience