All projects

Osteolysis and Chondrolysis
Dennis K. Bielecki, MD
A variety of disorders can lead to osteolysis and chondrolysis. In some, bone resorption is especially prominent in the phalanges of the hand and foot and may be related to occupational or inherited factors. Post-traumatic osteolysis can occur at many sites, particularly the distal end of the clavicle, pubic and ischial rami, and femoral neck. Massive osteolysis of Gorham can lead to regional destruction and disappearance of bone. Idiopathic multicentric osteolysis shows a predilection for the carpal and tarsal areas and must be differentiated from juvenile chronic arthritis, Winchester’s syndrome, and Farber’s disease. Additional osteolysis syndromes include neurogenic acro-osteolysis, acro-osteolysis of Joseph or of Shinz, osteolysis with detritic synovitis, and familial expansile osteolysis. Chondrolysis of the hip can accompany a slipped capital femoral epiphysis, or it can appear on an idiopathic basis. It must be differentiated from juvenile chronic arthritis, infection, and regional osteoporosis. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Enostosis, Hyperostosis, and Periostitis
Dennis K. Bielecki, MD
Certain disorders are associated with localized or generalized cortical hyperostosis or periostitis. These include enostoses (bone islands), osteomas with or without associated Gardner’s syndrome, osteopoikilosis, osteopathia striata, melorheostosis, pachydermoperiostosis, secondary hypertrophic osteoarthropathy, vascular insufficiency, infantile cortical hyperostosis, hyperostosis frontalis interna, diffuse idiopathic skeletal hyperostosis, sternocostoclavicular hyperostosis, fluorosis, plasma cell dyscrasias, neurofibromatosis, and several rare or poorly defined syndromes. The changes must be distinguished from the periostitis that occurs as a response to an adjacent osseous process (neoplasm, infection, trauma) and from hyperostosis accompanying other congenital disorders. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Tuberous Sclerosis, Neurofibromatosis, and Fibrous Dysplasia
Dennis K. Bielecki, MD
Tuberous sclerosis is a widespread aberration that begins during embryonic life and may involve all germ layers. Its classic clinical triad consists of epileptic seizures, mental retardation, and skin lesions. Neurofibromatosis, previously characterized by the classic clinical triad of cutaneous lesions, mental deficiency, and skeletal deformities, has now been reclassified into several subtypes. Fibrous dysplasia is a disorder of unknown cause in which the skeleton is a prominent target tissue. A variety of endocrine abnormalities, including McCune-Albright syndrome, may accompany the osseous abnormalities. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Sarcoidosis
Dennis K. Bielecki, MD
Skeletal abnormalities in sarcoidosis are encountered most frequently in the hand; in this location, a coarsened trabecular pattern, cystic and marginal bone defects, and sclerosis are virtually diagnostic. Although findings can be encountered in other skeletal sites, such as the skull, facial bones, spine, and long tubular bones, as well as in various joints, these alterations are usually not specific. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Muscle Disorders
Dennis K. Bielecki, MD
This chapter reviews the fundamental elements in interpreting imaging examinations of the neuromuscular system: normal anatomy, imaging techniques, and pathologic conditions. Knowledge of anatomy and of the capabilities of the various techniques is a prerequisite for correctly interpreting the pathologic changes displayed. Imaging examinations also have an impact on patient care by providing meaningful information about the location, extent, severity, and activity of muscular disorders. Further, the muscular abnormalities detected on imaging examinations—some specific and some nonspecific—can be used to plan treatment, predict prognosis, guide invasive procedures, and assess therapeutic response. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Soft Tissue Disorders
Dennis K. Bielecki, MD
In many instances, the findings in soft tissue disorders lack specificity, although careful analysis sometimes allows a precise diagnosis. Especially important is the differentiation of myositis ossificans traumatica from various malignant tumors and the recognition that widespread skeletal abnormalities may accompany certain cutaneous syndromes. Other diagnostic techniques, including ultrasonography, computed tomography, magnetic resonance imaging, angiography, and scintigraphy, may be required to supplement the radiographic evaluation and provide more accurate information about the extent of the soft tissue process and its relationship to adjacent structures. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Additional Congenital or Heritable Anomalies and Syndromes
Dennis K. Bielecki, MD
There are many congenital and inherited disorders of the skeleton, and these disorders have varied clinical and radiographic manifestations. In some instances, the radiographic features are entirely specific, whereas in others, they must be interpreted with knowledge of the clinical abnormalities to arrive at a correct diagnosis. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Spinal Anomalies and Curvatures
Dennis K. Bielecki, MD
A variety of congenital and developmental anomalies may become evident in the spine. The causes and patterns of abnormal spinal curvature are also varied. Accurate diagnosis of these alterations relies on careful clinical evaluation supplemented by imaging examinations that include routine radiography, computed tomography, sonography, and magnetic resonance imaging. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Osteochondrodysplasias, Dysostoses, Chromosomal Aberrations, Mucopolysaccharidoses, and Mucolipidoses
Dennis K. Bielecki, MD
The number of skeletal dysplasias is large and continues to increase. Nomenclature is complex and not agreed on. Only the more important dysplasias are covered in this chapter; certain other conditions, such as fibrous dysplasia, osteogenesis imperfecta, and melorheostosis, are discussed elsewhere in this book. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Heritable Diseases of Connective Tissue, Epiphyseal Dysplasias, and Related Conditions
Dennis K. Bielecki, MD
Included in this chapter are diseases of connective tissue synthesis and disorders of epiphyses. The radiographic changes are diverse, ranging from joint incongruity with secondary degeneration to soft tissue calcification or ossification with or without osseous overgrowth. Although there are clinical and laboratory features in some of these diseases that provide important clues to the correct diagnosis, an awareness of the radiographic alterations allows early and appropriate assessment in cases in which the diagnosis is more obscure. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Developmental Dysplasia of the Hip
Dennis K. Bielecki, MD
Developmental deformity of both sides of the hip joint (dysplasia) may be present at birth or become apparent months to years later. Early diagnosis and treatment are crucial for preventing severe long-term structural abnormalities. Diagnostic methods include the Ortolani and Barlow maneuvers in newborn infants and analysis of radiographic lines drawn on anteroposterior views of the hip and pelvis. Ultrasonography has the lead role in early diagnosis, with conventional radiography becoming more effective after ossification of the femoral head has begun. Conventional tomography, contrast arthrography, computed tomography, and magnetic resonance imaging are valuable both preoperatively and postoperatively in patients with developmental dysplasia of the hip. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Skeletal Metastases
Dennis K. Bielecki, MD
Metastatic disease of the skeleton can arise from direct extension, lymphatic or hematogenous dissemination, or intraspinal spread of tumor. The osseous response to the neoplasm consists of bone resorption, bone formation, or both. Such metastases predominate in the bones of the axial skeleton, although atypical patterns of distribution are encountered. A variety of diagnostic techniques, including scintigraphy, computed tomography, magnetic resonance imaging, and positron emission tomography, can be used in addition to routine radiography in the initial detection and subsequent monitoring of metastatic foci. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Tumors and Tumor-Like Lesions of Soft Tissues
Dennis K. Bielecki, MD
The number of tumors and tumor-like lesions of soft tissues is impressive. Routine radiography is relatively insensitive in their detection, and it does not allow a specific diagnosis in most cases. Ultrasonography, computed tomography, scintigraphy, and magnetic resonance imaging are diagnostic methods with greater sensitivity for the detection of soft tissue masses, although in many instances, the specific cause of the mass remains elusive. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Tumors and Tumor-Like Lesions of Bone: Imaging and Pathology of Specific Lesions
Dennis K. Bielecki, MD
Many tumors and tumor-like lesions may involve bone. Accurate diagnosis of these lesions requires close cooperation among the orthopedic surgeon, radiologist, and pathologist. The patient’s age and the site of skeletal localization are fundamental to the proper interpretation of the abnormalities detected by routine radiography and specialized imaging techniques. In many instances, however, a single diagnosis cannot be offered on the basis of such abnormalities, and careful histologic and, more recently, immunohistochemical analyses are required. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Tumors and Tumor-Like Lesions of Bone: Radiographic Principles
Dennis K. Bielecki, MD
Conventional radiographic techniques are of fundamental importance in the analysis of bone tumors and tumor-like lesions. Morphologic characteristics provide important diagnostic information regarding the aggressive or nonaggressive behavior of the lesion. These, when combined with information related to the site or distribution of skeletal involvement, allow the formulation of a single diagnostic choice or several choices that are most likely in any patient. The addition of clinical information, including the age of the patient, information derived from other imaging techniques, and, in some cases, histologic data, is also essential. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Osteochondroses
Dennis K. Bielecki, MD
The osteochondroses are a heterogeneous group of disorders that are usually characterized by fragmentation and sclerosis of an epiphyseal or apophyseal center in an immature skeleton. Reossification and reconstitution of osseous contour may be evident in some cases. These disorders can be divided into three major categories: (1) conditions characterized by primary or secondary osteonecrosis; (2) conditions related to trauma or abnormal stress, without evidence of osteonecrosis; and (3) conditions that represent variations in normal patterns of ossification. In some cases, a definite pathogenesis cannot be identified. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Osteonecrosis: Pathogenesis, Diagnostic Techniques, Specific Situations, and Complications
Dennis K. Bielecki, MD
Osteonecrosis can accompany many diverse disease processes, such as trauma, hemoglobinopathy, exogenous or endogenous hypercortisolism, alcoholism, pancreatitis, dysbaric conditions, and Gaucher’s disease. It may also become evident without any recognizable disease or event (primary, or spontaneous, osteonecrosis). Post-traumatic osteonecrosis is most frequent in the femoral and humeral heads, scaphoid, and talus, although other sites may be affected. Dysbaric osteonecrosis can produce widespread skeletal alterations of the epiphyseal, metaphyseal, or diaphyseal segments of tubular bones. Spontaneous osteonecrosis is most commonly recognized about the hip and knee. Possible complications of bone necrosis are secondary degenerative joint disease, formation of intra-articular osseous and cartilaginous bodies, septic arthritis, pathologic fracture, and cystic or sarcomatous transformation. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Neuropathic Osteoarthropathy
Dennis K. Bielecki, MD
The effect of the deprivation of sensory feedback on the musculoskeletal system can be profound. An anesthetized joint or bone that is subject to continuing stress deteriorates progressively, with the appearance of specific radiographic abnormalities. These changes, which include articular space narrowing, bony eburnation, osteophytosis, fragmentation, fracture, and subluxation, can accompany a variety of disorders but are most common in diabetes mellitus, tabes dorsalis, and syringomyelia. When severe, the resulting radiographic picture is diagnostic; in earlier stages, however, the findings may resemble those of osteoarthritis, calcium pyrophosphate dihydrate crystal deposition disease, calcium hydroxyapatite crystal deposition disease, osteonecrosis, or, in the spine, intervertebral (osteo)chondrosis. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Neuromuscular Disorders
Dennis K. Bielecki, MD
The musculoskeletal abnormalities accompanying neuromuscular disorders include osteoporosis, soft tissue atrophy, growth disturbances, deformities, growth plate injuries, infection, heterotopic ossification, cartilage atrophy, synovitis, clubbing, joint capsule alterations, and neuropathic osteoarthropathy. Typical radiographic changes are encountered. Although the pathogenesis of some of the findings is clear, that of heterotopic ossification and sacroiliac joint and spinal alterations is unknown. Some specific types of neuromuscular disease lead to characteristic clinical and imaging findings. Of particular importance, entrapment neuropathies occur at vulnerable sites along the course of peripheral nerves, as well as in plexuses. Hereditary neuropathies of sensory neurons produce neuropathic osteoarthropathy. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Heavy Metal Poisoning and Deficiency
Dennis K. Bielecki, MD
In some cases of heavy metal poisoning, radiodense lines or bands may appear in the metaphyses of tubular bones and within flat or irregular bones. The resulting radiographic findings, which are characteristically observed in lead, phosphorus, and bismuth poisoning, must be differentiated from normal variants, stress lines of Park or Harris, and changes in various metabolic, endocrine, and infectious disorders. Significant radiographic abnormalities are also observed in the aluminum accumulation that accompanies dialysis and in nutritional or inherited deficiencies of copper. Finally, metal debris (metallosis) may complicate joint surgery. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Hypervitaminosis and Hypovitaminosis
Dennis K. Bielecki, MD
Deficiencies and excesses of certain vitamins can have pronounced effects on the musculoskeletal system. In addition to vitamin D deficiency leading to rickets, hypervitaminosis A and D and hypovitaminosis C (scurvy) are examples of vitamin-related disorders that affect the osseous, articular, or soft tissue structures. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Disorders Due to Medications and Other Chemical Agents
Dennis K. Bielecki, MD
A survey of the musculoskeletal manifestations associated with certain medications and chemical substances indicates that in some cases the therapeutic regimen may be more detrimental than the disease. A variety of teratogenic drugs can lead to significant fetal anomalies. Corticosteroids and other anti-inflammatory agents can produce osteoporosis, osteonecrosis, and neuropathic-like alterations. Osteosclerosis, periostitis, osseous excrescences, ligamentous calcification, and dental abnormalities can accompany fluorosis. Injection of dopamine and related substances may lead to gangrene, requiring amputation, whereas soft tissue calcification may appear after calcium gluconate injection or ingestion of milk and alkali. New bone formation is seen in some patients receiving prostaglandins or isotretinoin. Quinolones may produce tendinosis and tendon rupture. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Radiation Changes
Dennis K. Bielecki, MD
The effects of radiation on bone occur as a result of accidental exposure (e.g., radium dial workers) and of diagnostic (e.g., Thorotrast) and therapeutic procedures. Radiation therapy may affect bone growth, cause osseous necrosis, and induce neoplasia. Fortunately, these complications have decreased in frequency owing to advances in the methods of providing such therapy and to the use of both radiation and chemotherapy. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Thermal and Electrical Injuries
Dennis K. Bielecki, MD
The radiographic features of the skeleton after thermal and electrical injuries are varied. In many cases, they are not specific and must be interpreted with knowledge of the mechanism of injury. Of particular interest are the appearance of epiphyseal abnormalities in frostbite, periarticular calcification and ossification after thermal burns, and pathologic fractures associated with electrocution. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Internal Derangements of Joints
Dennis K. Bielecki, MD
This chapter summarizes some of the important internal derangements and related conditions occurring in six anatomic regions. Abnormalities of articular cartilage, subchondral bone, synovial membrane, joint capsule, ligament, tendon, muscle, and nerve are emphasized, with particular attention to anatomy and concepts of pathology and pathophysiology. These abnormalities can be delineated with a variety of imaging methods, including routine radiography, arthrography, tenography, bursography, ultrasonography, bone scintigraphy, computed tomography, computed arthrotomography, and magnetic resonance imaging. Although clinical assessment is the key to correctly diagnosing many of these conditions, the contributions of these imaging methods are significant. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Physical Injury: Spine
Dennis K. Bielecki, MD
Spinal trauma is complex, involving a wide range of soft tissue and osseous injuries in a variety of spinal regions. Knowledge of the anatomic and functional characteristics of the different spinal regions allows the physician to understand the injuries that are unique to each area. This chapter emphasizes the role of diagnostic imaging in evaluating patients with acute spinal injury. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Physical Injury: Extraspinal Sites
Dennis K. Bielecki, MD
Routine radiographic findings are emphasized in this chapter, although reference is made to the assessment of such injuries with other methods such as computed tomography and magnetic resonance imaging. Both these techniques are fundamental to the evaluation of internal derangements of joints. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Physical Injury: Concepts and Terminology
Dennis K. Bielecki, MD
In addition to such complications as reflex sympathetic dystrophy, osteolysis, osteonecrosis, many of the osteochondroses, neuropathic osteoarthropathy, heterotopic bone formation, and infection, physical trauma may lead to a variety of radiographic abnormalities. The radiographic characteristics of fractures in the various skeletal sites are explained on the basis of biomechanical principles. Special types of injuries include pathologic, stress, greenstick, torus, bowing, and transchondral fractures; trabecular microfractures; and osseous infractions accompanying subluxations and dislocations. The precise cause of osteochondritis dissecans is not clear, but trauma is suspected. Trauma to synovial joints may lead to synovitis, hemarthrosis, and lipohemarthrosis; trauma to symphyses may result in intraosseous cartilaginous displacement (cartilaginous nodes); trauma to synchondroses may cause variable patterns of acute or chronic growth plate injury; and trauma to supporting structures, syndesmoses, and entheses may lead to tendinous and ligamentous laceration and disruption, avulsion, and diastasis. A variety of skeletal muscle alterations are related to physiologic stress and acute or chronic injury. Characteristic skeletal abnormalities also appear in abused children. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Osteomyelitis, Septic Arthritis, and Soft Tissue Infection: Organisms
Dennis K. Bielecki, MD
Osseous, articular, and soft tissue structures may become involved in many infectious disorders. Bacteria, mycobacteria, spirochetes, fungi, viruses, rickettsiae, protozoa, and worms are all capable of affecting the musculoskeletal system. In many instances, imaging features, though typical of an infection, do not allow the diagnosis of a specific causative agent; in some cases, the distribution and morphology of the lesions are sufficiently characteristic to suggest a single infectious process. In all cases, the imaging studies must be interpreted in conjunction with the clinical and pathologic manifestations. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Osteomyelitis, Septic Arthritis, and Soft Tissue Infection: Axial Skeleton
Dennis K. Bielecki, MD
The routes of contamination of the spine, the sacroiliac joint, and other axial skeletal sites are identical to those of the appendicular skeleton. In the spine, early loss of intervertebral disc space is characteristic of pyogenic infection and is associated with lysis and sclerosis of neighbouring bone. These findings can simulate those of other disorders, such as rheumatoid arthritis, intervertebral (osteo)chondrosis, and conditions complicated by cartilaginous node formation. Sacroiliac joint infection is typically unilateral in distribution, a feature that allows its differentiation from many other articular processes. Additional locations in the axial skeleton are not uncommonly infected in intravenous drug abusers and in patients after trauma, surgery, or diagnostic and therapeutic procedures. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Osteomyelitis, Septic Arthritis, and Soft Tissue Infection: Mechanisms and Situations
Dennis K. Bielecki, MD
A thorough understanding of regional anatomy is fundamental to the accurate interpretation of clinical, radiographic, and pathologic characteristics of infections of bone, joint, and soft tissue. In most persons with such infections, a specific mechanism of contamination can be recognized; infection may be derived from hematogenous seeding, spread from a contiguous source, direct implantation, or operative contamination. The radiographic findings of osteomyelitis (including abscess, involucrum, and sequestration), septic arthritis (including joint space loss and marginal and central osseous erosions), and soft tissue suppuration (including swelling, radiolucent streaks, and periostitis) are generally delayed for a variable period after the clinical onset of infection. Other diagnostic techniques, including scintigraphy and magnetic resonance imaging, allow an accurate diagnosis at an earlier stage of the process. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Bleeding Disorders
Dennis K. Bielecki, MD
The skeletal abnormalities associated with hemophilia and other bleeding diatheses are characteristic. They result from hemorrhage in soft tissue, muscle, and subperiosteal, intraosseous, and intra-articular locations. In involved joints, typical findings are radiodense effusions, regional or periarticular osteoporosis, subchondral bony erosions and cysts, and joint space narrowing. Hyperemia may lead to epiphyseal overgrowth in a child affected by these disorders. Tumor-like lesions are occasionally encountered that are due to massive subperiosteal, osseous, or soft tissue hemorrhage, with erosion and distortion of adjacent bone. Hemosiderin deposition in any of these disorders leads to characteristic findings on magnetic resonance imaging. The differential diagnosis is usually not difficult when both clinical and imaging features are studied. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Lymphoproliferative and Myeloproliferative Disorders
Dennis K. Bielecki, MD
Musculoskeletal abnormalities accompany a variety of myeloproliferative disorders. In leukemias, such abnormalities are particularly frequent in children. Osseous involvement from the primary disease leads to local symptoms and signs. Synovial involvement from leukemic infiltration and hemorrhage can result in articular findings. Hyperuricemia and secondary gout can complicate this disease. Bone destruction and secondary gout may also be observed in the lymphomas. Sjögren’s syndrome is associated with an arthritis that usually appears identical to rheumatoid arthritis. In systemic mastocytosis, characteristic skeletal abnormalities include focal or diffuse lytic or sclerotic lesions. In polycythemia vera, osteonecrosis, osteopenia, and hyperuricemia may appear. Myelofibrosis may be accompanied by osteosclerosis, particularly in the axial skeleton. In addition, hyperuricemia and secondary gout are relatively common in this disorder. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Lipidoses, Histiocytoses, and Hyperlipoproteinemias
Dennis K. Bielecki, MD
Musculoskeletal findings are a significant part of the lipidoses, histiocytoses, and hyperlipoproteinemias. In Gaucher’s disease, cellular accumulation in the bone marrow leads to replacement of trabeculae, endosteal erosion of the cortex, cortical thinning, lytic defects, and fractures. Osteonecrosis and modelling deformities of the long bones are characteristic. The findings in Niemann-Pick disease may resemble those of Gaucher’s disease, although osteonecrosis is not encountered. This latter abnormality is detected in Fabry’s disease. Multicentric reticulohistiocytosis is characterized by the proliferation of histiocytes in various tissues. Skeletal involvement can lead to a symmetrical destructive polyarthritis with a predilection for the interphalangeal joints of the hands and feet, early and severe abnormalities of the atlantoaxial joints, and changes in other articulations of the appendicular skeleton. The Langerhans cell histiocytoses consist of three disorders: eosinophilic granuloma, Hand-Schüller-Christian disease, and Letterer-Siwe disease. Although these disorders share numerous radiographic and pathologic features, their classic clinical characteristics allow their separation into discrete entities. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Plasma Cell Dyscrasias and Dysgammaglobulinemias
Dennis K. Bielecki, MD
Musculoskeletal findings occur in various plasma cell dyscrasias and dysgammaglobulinemias. In plasma cell myeloma, such findings are a predominant manifestation of the disease and lead to characteristic pathologic and radiographic abnormalities. Widespread or localized osteolysis can be attributed, in large part, to plasma cell infiltration in the bone marrow. Accompanying amyloid deposition in some patients may manifest as articular and periarticular alterations. The skeletal and articular manifestations of Waldenström’s macroglobulinemia, though less frequent and less well known, resemble those of plasma cell myeloma. Amyloidosis, which can occur in both plasma cell myeloma and Waldenström’s macroglobulinemia, can also appear in a primary form without antecedent cause or in a secondary form in various other conditions. In both primary and secondary types, amyloid deposition can lead to significant bone and joint changes, including osteoporosis, osseous lytic lesions, and tumorous foci in both articular and extra-articular locations. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Hemoglobinopathies and Other Anaemias
Dennis K. Bielecki, MD
The hemoglobinopathies are associated with characteristic abnormalities of the skeleton. In general, the abnormalities are related to marrow hyperplasia, vascular occlusion, and several additional problems, including fracture and infection. Although these features are apparent in almost all the haemoglobin disorders, their severity varies, which in some cases allows differentiation among these disorders. The articular manifestations in the hemoglobinopathies can be attributed to epiphyseal osteonecrosis, growth disturbances, osseous weakening, infection, crystal deposition, hemarthrosis, and synovial membrane microvascular obstruction. In some patients, these articular abnormalities overshadow other clinical manifestations of the disease. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Disorders of Other Endocrine Glands and of Pregnancy
Dennis K. Bielecki, MD
Various musculoskeletal manifestations may accompany endocrine disorders. Further, certain complications are apparent in women during and after pregnancy. In Cushing’s disease, osteoporosis is most typical, and although osteonecrosis is seen occasionally, it is not as frequent as in cases of exogenous hypercortisolism. The list of disorders that may be associated with diabetes mellitus includes crystal-induced arthropathy (gout and calcium pyrophosphate dihydrate crystal deposition disease), osteoarthritis, diffuse idiopathic skeletal hyperostosis, soft tissue contractures, osteomyelitis, septic arthritis, and neuropathic osteoarthropathy. Musculoskeletal anomalies are identified in some infants born to diabetic mothers. After a normal pregnancy, osteitis condensans ilii and osteitis pubis may be apparent, and a similar-appearing abnormality of the clavicle has been described. Other conditions associated with pregnancy include osteonecrosis, transient osteoporosis of the hip, disseminated intravascular coagulation, symphyseal diastasis and rupture, and stress fractures. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Parathyroid Disorders and Renal Osteodystrophy
Dennis K. Bielecki, MD
Elevated levels of parathyroid hormone occurring in primary and secondary hyperparathyroidism produce considerable osseous erosion involving subperiosteal, intracortical, endosteal, trabecular, subchondral, subphyseal, and subtendinous and subligamentous foci. In renal osteodystrophy, the changes of secondary hyperparathyroidism are combined with additional radiographic and histologic features, including osteomalacia, osteoporosis, and soft tissue and vascular calcification, findings that may become exaggerated or arrested after haemodialysis and renal transplantation. A peculiar variety of amyloidosis occurs in dialyzed patients, whereas osteonecrosis is an important complication of renal transplantation. Depressed levels of parathyroid hormone may be associated with osteosclerosis, subcutaneous and basal ganglion calcification, and spinal abnormalities simulating diffuse idiopathic skeletal hyperostosis or ankylosing spondylitis. Pseudohypoparathyroidism and pseudo-pseudohypoparathyroidism may be associated with abnormalities in skeletal maturation and development, peculiar exostoses, and soft tissue calcification and ossification. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Thyroid Disorders
Dennis K. Bielecki, MD
Distinctive osseous, articular, and soft tissue alterations may accompany hyperthyroid and hypothyroid states. These alterations underscore the importance of thyroid hormone in regulating normal growth, development, and maturation of tissue. Radiographs may provide an important clue to the proper diagnosis when clinical findings are not specific and may serve as a useful parameter for assessing the adequacy of therapy. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Pituitary Disorders
Dennis K. Bielecki, MD
The osseous manifestations of acromegaly are the result of the effects of elevated levels of serum growth hormone on the adult skeleton. Reactivation of endochondral bone formation and stimulation of periosteal bone formation in association with connective tissue proliferation are apparent, leading to characteristic radiographic findings, including increased soft tissue thickness and bony overgrowth. Joint abnormalities result from chondrocyte proliferation in articular cartilage. The excessively stimulated cartilage is vulnerable to fissuring, fragmentation, and ulceration, which are followed by a brisk reparative response. These histologic alterations have their radiographic counterparts. Initial joint space widening is followed by joint space narrowing, bony sclerosis, cyst formation, and osteophytosis. The latter radiographic abnormalities simulate those of osteoarthritis. In contradistinction, articular abnormalities in hypopituitarism are infrequent; the dominant osseous abnormalities related to skeletal development are manifested by a delay in the appearance and growth of ossification centers and a similar delay in their fusion and disappearance The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Paget’s Disease
Dennis K. Bielecki, MD
Paget’s disease is a common disorder of middle-aged and elderly patients that is characterized by excessive and abnormal remodelling of bone. Its radiographic features are virtually diagnostic and include an initial osteolytic phase, most common in the skull and tubular bones, and a subsequent osteosclerotic phase, particularly in the axial skeleton. An enlarged bone with increased radiodensity and an accentuated trabecular pattern is typical. Involvement of specific sites leads to characteristic radiographic signs, including the “cotton-wool” cranial vault and the “picture-frame” vertebral body. Complications associated with Paget’s disease are insufficiency fractures, neurologic symptoms and signs, skeletal deformities, neoplasms, and articular alterations. The most important articular abnormality associated with this disorder is degenerative joint disease, particularly in the hip and knee. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Rickets and Osteomalacia
Dennis K. Bielecki, MD
The terms rickets and osteomalacia encompass a group of disorders with similar gross pathologic, histologic, and radiographic findings. Causative factors include abnormalities of vitamin D metabolism and syndromes resulting primarily from renal tubular phosphate loss. Significant advances in the understanding of vitamin D metabolism have yielded new insights into these syndromes. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Osteoporosis
Dennis K. Bielecki, MD
Osteoporosis is an extremely common metabolic disorder that can accompany a variety of disease processes. It can be conveniently divided into generalized, regional, and localized types. Localized osteoporosis is commonly associated with focal skeletal lesions, such as neoplasm and infection. Generalized osteoporosis accompanies senile and postmenopausal states; endocrine disorders such as acromegaly, hyperthyroidism, hyperparathyroidism, and Cushing’s disease; pregnancy; heparin administration; and alcoholism. This type of osteoporosis, which must be distinguished from other metabolic disorders such as osteomalacia and osteitis fibrosa cystica, predominates in the axial skeleton, with major effects on the vertebrae; abnormalities of the appendicular skeleton are mild and consist of uniform loss of osseous density (osteopenia). In the vertebral bodies, characteristic changes in radiolucency, trabecular pattern, and osseous contour are encountered. Regional osteoporosis accompanies disuse or immobilization, reflex sympathetic dystrophy, and transient regional osteoporosis. Changes predominate in the appendicular skeleton. A more aggressive type of bone resorption in these conditions can lead to cortical bone changes at the endosteal, intracortical, and subperiosteal bony envelopes and to spongy bone changes at subchondral and metaphyseal locations. Additional manifestations of osteoporosis include acute and insufficiency stress fractures and bone bars (reinforcement lines). Magnetic resonance (MR) imaging shows promise in the assessment of some forms of regional osteoporosis and in the detection or further evaluation of complications associated with generalized osteoporosis. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Target Area Approach to Articular Disorders: A Synopsis
Dennis K. Bielecki, MD
The target area approach is a useful concept in the radiographic evaluation of articular diseases. The pattern of distribution of the lesions in each of the diseases is remarkably constant. Further, because this pattern varies from one disorder to the next, it may be used for accurate differential diagnosis in many cases. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Temporomandibular Joint
Dennis K. Bielecki, MD
Temporomandibular joint (TMJ) pain and dysfunction are important clinical problems. Many of these disorders have long been misunderstood or ignored by physicians, who for years had little interest in or opportunity to learn about them. In the past 15 or 20 years, however, radiologists have had a major role in the diagnosis of TMJ disorders because of the explosion of new imaging methods. Foremost among these methods are arthrography, computed tomography (CT), and, more recently, magnetic resonance (MR) imaging. The impact of these imaging techniques on the diagnosis of TMJ disorders is undeniable. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Other Crystal-Induced Diseases
Dennis K. Bielecki, MD
Other crystals besides monosodium urate, calcium pyrophosphate dihydrate (CPPD), and calcium hydroxyapatite crystals can lead to soft tissue, articular, and osseous abnormalities. Cholesterol crystals are identified in patients with rheumatoid arthritis, as well as osteoarthritis; they appear to reflect local rather than systemic alterations and may be responsible for low-grade synovial inflammation. When corticosteroid preparations are injected into joints, there is a mild synovial inflammatory response. Accumulation of calcium oxalate crystals is seen in both primary and secondary oxalosis, the latter most typically occurring as a complication of chronic renal disease. Destructive lesions of the metaphyseal regions of tubular bones, discovertebral regions, and sometimes joints become apparent. Cystine, haemoglobin, and Charcot-Leyden crystals can also accumulate in bones or joints, although the precise relationship between such accumulation and structural abnormality is not known. Xanthine and hypoxanthine crystals may be deposited in muscles. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Alkaptonuria
Dennis K. Bielecki, MD
Alkaptonuria is a rare hereditary disorder resulting from an inability to metabolize homogentisic acid. Clinical and radiographic findings relate to homogentisic aciduria and ochronosis. The latter feature is accompanied by typical radiographic and pathologic findings in both spinal and extraspinal sites. The most characteristic manifestations of ochronosis are widespread disc calcification, with loss of intervertebral disc height, and a distinctive arthropathy of the axial and extra-axial articulations. Careful evaluation of the radiographs usually allows an accurate diagnosis by differentiating this condition from degenerative joint disease and ankylosing spondylitis, the two disorders with which it is most likely to be confused. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Hemochromatosis and Wilson’s Disease
Dennis K. Bielecki, MD
The skeletal manifestations of hemochromatosis include osteoporosis, chondrocalcinosis, and a distinctive arthropathy characterized by joint space narrowing, subchondral cyst formation, and osteophyte formation. These abnormalities resemble the findings of calcium pyrophosphate dihydrate (CPPD) crystal deposition disease but are associated with more uniform loss of joint space and a less progressive course. Wilson’s disease is associated with distinctive skeletal abnormalities, including osteopenia, bone fragmentation and cyst formation, ossicles, poorly defined subchondral bone, and osteochondritis dissecans. These findings superficially resemble the changes in hemochromatosis and idiopathic CPPD crystal deposition disease. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Calcium Hydroxyapatite Crystal Deposition Disease
Dennis K. Bielecki, MD
Calcium hydroxyapatite (HA) crystal deposition can lead to periarticular accumulations that are associated with typical clinical and radiographic findings. The radiographic manifestations are observed most frequently in the shoulder, although similar abnormalities may be apparent at other articular sites. Intra-articular alterations have also been documented as a consequence of calcium HA crystal deposition disease, and the combination of calcium HA and calcium pyrophosphate dihydrate (CPPD) crystal accumulation (mixed calcium phosphate crystal deposition disease) is being identified with greater frequency. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Calcium Pyrophosphate Dihydrate Crystal Deposition Disease
Dennis K. Bielecki, MD
Until recently, calcium pyrophosphate dihydrate (CPPD) crystal deposition disease was a commonly overlooked condition. In the past 3 decades, considerable attention to its various clinical and radiographic manifestations has increased physicians’ awareness of this disorder. Chondrocalcinosis can no longer be considered the only significant radiographic feature of CPPD crystal deposition disease. An equally characteristic radiographic finding is the presence of other intra-articular and periarticular calcifications and structural joint damage. The pattern and distribution of structural joint damage (pyrophosphate arthropathy) are especially distinctive and can be differentiated from the features of degenerative joint disease to allow an accurate diagnosis of CPPD crystal deposition disease even in the absence of chondrocalcinosis. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Gouty Arthritis
Dennis K. Bielecki, MD
Gouty arthritis is characterized by asymmetrical polyarticular involvement, predominantly affecting the feet, hands, wrists, elbows, and knees. Radiographic manifestations occur late in the course of the disease and include lobulated eccentric soft tissue masses, intra-articular and juxta-articular bone erosions, relative preservation of the joint space, subperiosteal apposition of bone, intraosseous calcification, and secondary degenerative alterations. Osteoporosis is generally lacking. In most cases, these radiographic features readily differentiate gouty arthritis from other articular disorders. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Calcification and Ossification of the Posterior Spinal Ligaments and Tissues
Dennis K. Bielecki, MD
Calcification and ossification affect a variety of posterior spinal ligaments and tissues. Ossification of the posterior longitudinal ligament is a characteristic disorder of the spine that may be associated with significant neurologic findings. Its radiographic appearance is diagnostic and consists of a linear band of ossification along the posterior margin of the vertebral bodies and intervertebral discs, particularly in the cervical spine. Arachnoiditis ossificans is a rare condition that leads to extensive ossification in the arachnoid membrane, especially in the thoracic spine, and it produces significant symptoms and signs. Osseous proliferation at the cephalad and caudad attachments of the ligamentum flavum is a frequent finding that is generally of no significance. When extensive, however, such ossification in the thoracic spine leads to neurologic manifestations and is accompanied by involvement of nearby tissues and ligaments and, in some cases, diffuse idiopathic skeletal hyperostosis. Calcification in the ligamentum flavum is usually observed in the cervical spine and is associated with calcium hydroxyapatite crystal deposition or, more infrequently, calcium pyrophosphate dihydrate crystal accumulation. A nodular radiodense collection is the typical radiographic abnormality. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Diffuse Idiopathic Skeletal Hyperostosis
Dennis K. Bielecki, MD
The clinical, radiographic, and pathologic features of diffuse idiopathic skeletal hyperostosis (DISH) distinguish it from ankylosing spondylitis, spondylitic variants, acromegaly, hypoparathyroidism, hypervitaminosis A, Ochronosis, and fluorosis. Although there is a general tendency to attribute the peculiar pattern of spinal abnormality in DISH to “degenerative” or “discogenic” alterations, this is misleading. DISH differs considerably from intervertebral (osteo)chondrosis, which is the typical degenerative disease of the nucleus pulposus. DISH most resembles spondylosis deformans, although both qualitative and quantitative differences exist between the two entities. Spondylosis deformans is associated with spinal osteophytosis, and the pathogenesis of these outgrowths probably relates to changes in the anulus fibrosus. Disc protrusion followed by traction osteophytes appears to be the sequence of events in spondylosis deformans. These findings are identical to those occurring as part of the spinal abnormalities of DISH (type II). Spinal ligament calcification and ossification occur in DISH but are not a prominent feature of spondylosis deformans, and an enthesopathy is observed where the anterior longitudinal ligament attaches to the periosteal surface of the vertebral body. These findings could represent true qualitative differences between the two disorders. DISH may represent an ossifying diathesis that causes excessive bone formation at skeletal sites subject to normal or abnormal stress. These sites are generally found at points of tendon and ligament attachment to bone, in both the axial and extra-axial skeletons. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Degenerative Disease of the Spine
Dennis K. Bielecki, MD
A variety of degenerative processes involve the spine, each of which is characterized by distinctive radiographic manifestations. Intervertebral (osteo)chondrosis is associated with vacuum phenomena, disc space narrowing, and reactive sclerosis of the vertebral body; spondylosis deformans is associated with osteophytosis; osteoarthritis leads to joint space narrowing, bone sclerosis and hypertrophy, and, infrequently, osseous fusion; and ligamentous degeneration can be associated with calcification and ossification. Although any one degenerative process may predominate in a patient, frequently, all occur together. Several complications may appear during the course of degenerative disorders of the spine, including abnormalities of vertebral alignment (segmental instability, degenerative anterior spondylolisthesis, degenerative retrolisthesis, senile thoracic kyphosis, and degenerative lumbar scoliosis and kyphosis), intervertebral disc displacement (cartilaginous nodes, intraspinal displacement), disc calcification and ossification, and spinal stenosis. Plain-film radiographic examination in patients with such complications may be supplemented with conventional tomography, myelography, discography, computed tomography, and magnetic resonance imaging. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Degenerative Diseases of Extraspinal Locations
Dennis K. Bielecki, MD
Degenerative joint disease is widespread and common. In synovial joints, the process is termed osteoarthritis. At these sites, abnormalities predominate in the cartilaginous and osseous tissues, whereas alterations in the synovial membrane generally are mild. Typical findings include joint space loss, eburnation, cyst formation, and osteophytosis. Subluxation, malalignment, fibrous ankylosis, and intra-articular osseous and cartilaginous bodies may complicate osteoarthritis. The most common sites of extraspinal osteoarthritis are the interphalangeal and metacarpophalangeal joints of the hand, first carpometacarpal and trapezioscaphoid areas of the wrist, acromioclavicular and sternoclavicular articulations, hip, knee, and tarsometatarsal and metatarsophalangeal joints of the great toe. At each of these sites, radiographic features of the disease are sufficiently characteristic to allow their differentiation from the features of other articular disorders. Two special varieties of osteoarthritis have been described, although their existence as discrete entities is not universally accepted. Generalized osteoarthritis may be a particular form of degenerative joint disease in which multiple articulations are affected. Inflammatory (erosive) osteoarthritis is associated with clinical and pathologic features of joint inflammation. Although its distribution is virtually identical to that of noninflammatory digital osteoarthritis, certain radiographic features, such as erosions and intra-articular bony ankylosis, appear to be more typical of inflammatory osteoarthritis. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Rheumatic Fever
Dennis K. Bielecki, MD
Articular involvement in rheumatic fever typically appears as polyarthritis, particularly in large joints, and as Jaccoud’s arthropathy. Jaccoud’s arthropathy is associated with deforming nonerosive articular changes. It shows a predilection for the ulnar digits of the hand and leads to deviation and subluxation at the metacarpophalangeal joints, which may be accompanied by deformities of the interphalangeal joints of the fingers and the metatarsophalangeal joints of the feet. The hand abnormalities, which resemble the changes in systemic lupus erythematosus and other collagen vascular diseases, can usually be differentiated from rheumatoid arthritis, in which early and significant cartilaginous and osseous destruction is apparent. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Mixed Connective Tissue Disease and Collagen Vascular Overlap Syndromes
Dennis K. Bielecki, MD
Mixed connective tissue disease (MCTD) is an overlap syndrome defined serologically by the presence of a ribonuclease-sensitive extractable nuclear antigen. It demonstrates clinical features of several collagen vascular diseases. The radiographic characteristics of MCTD also underscore the mixed character of the disease. Changes compatible with rheumatoid arthritis (articular erosion, joint space narrowing, periarticular osteoporosis), scleroderma (tuft resorption, soft tissue calcification), and systemic lupus erythematosus (deforming nonerosive arthropathy) may be observed. Radiographic detection of skeletal abnormalities characteristic of more than one collagen vascular disease should raise the possibility of MCTD, although other overlap syndromes may result in similar findings. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Polyarteritis Nodosa and Other Vasculitides
Dennis K. Bielecki, MD
Vasculitis occurs in a number of disorders and may be associated with musculoskeletal manifestations. Although arteriography can reveal characteristic alterations in these disorders, radiographic abnormalities are unimpressive. In polyarteritis nodosa, periosteal bone formation may be seen, particularly in the lower extremity. Articular abnormalities in giant cell (temporal) arteritis relate to its association with polymyalgia rheumatica and include soft tissue swelling and osteoporosis. In Henoch-Schönlein purpura and erythema nodosum, joint effusions are the only characteristic radiographic abnormality. Cryoglobulinemia is occasionally accompanied by cystic and erosive lesions of bone in both the axial and the appendicular skeletons. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Dermatomyositis, Polymyositis, and Other Inflammatory Myopathies
Dennis K. Bielecki, MD
Dermatomyositis and polymyositis are disorders of unknown cause characterized by inflammation and degeneration of muscle. A variety of clinical patterns may be observed in both children and adults affected by these disorders. The radiographic features of musculoskeletal involvement consist of soft tissue edema, atrophy, contracture, and calcification; bone resorption (phalangeal tufts); and, possibly, articular erosion and subluxation. These features most resemble the abnormalities accompanying other collagen vascular diseases, including scleroderma and systemic lupus erythematosus. Magnetic resonance (MR) imaging is an effective method of studying the muscular abnormalities that characterize these diseases. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Scleroderma (Progressive Systemic Sclerosis)
Dennis K. Bielecki, MD
Scleroderma (progressive systemic sclerosis) leads to characteristic musculoskeletal abnormalities caused by the involvement of skin, subcutaneous tissues, muscles, bones, and joints. Many of the diverse clinical manifestations of this disease are represented on radiographs as soft tissue atrophy and calcification and bone resorption. Changes frequently predominate in the phalanges of the hand, although diffuse subcutaneous calcification, widespread periarticular calcification, and bone resorption are encountered at other sites such as the mandible, ribs, and clavicles. Major articular alterations consist of an erosive arthritis, particularly in the distal interphalangeal, proximal interphalangeal, metacarpophalangeal, first carpometacarpal, and inferior radioulnar joints, which may terminate as bony ankylosis and intra-articular calcific collections. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Systemic Lupus Erythematosus
Dennis K. Bielecki, MD
Musculoskeletal abnormalities represent a significant part of the clinical and radiographic picture of systemic lupus erythematosus. These abnormalities include myositis, symmetrical polyarthritis, deforming nonerosive arthropathy, spontaneous rupture of tendons, osteonecrosis, soft tissue calcification, osteomyelitis and septic arthritis, and terminal phalangeal sclerosis and erosion. Many of these abnormalities resemble the changes that occur in other collagen vascular disorders and rheumatoid arthritis. In addition, findings of systemic lupus erythematosus may be combined with those of other collagen vascular diseases in various overlap syndromes and in mixed connective tissue disease, and they may also be evident The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Imaging of Joint Replacement
Dennis K. Bielecki, MD
As advances and improvements are made in joint replacement technology and surgical technique, imaging remains an important means of monitoring the patient’s postoperative progress and identifying complications. Radiographs provide a permanent record of the procedure and can document success or failure of the operation. This chapter presents the information required for accurate interpretation of radiographs after various fixation devices and cement materials have been used. It also reviews the expected findings, both normal and abnormal, of total hip replacement, as well as replacement of the knee and shoulder. Complications of each operation are discussed, as are the uses of various imaging methods. The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format. This will be an official peer-reviewed publication. The publication will be a favorable addition to the candidate's CV. The candidate will be the first author, and I am the second author. A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about) The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
View more...
Test project - Kevin
Kevin
Haematology case-control observational study at Guy's and St Thomas' Hospital
Ben_Zuckerman
Haematology Project at Guy’s Hospital This is an observational case-control study looking at the demographic and clinical characteristics of a sub-population of patients that have myeloid malignancy. This project will require 3 students to collect data on our cohort of patients starting as soon as possible. The students involved will understand how to analyse the data and discuss it within the context of current literature. Students must be from King’s College London and preferably be pre-clinical (years 2 or 3), or intercalating students. Additionally, it will be looked favourably if you have access to electronic patient records at Guy’s and St Thomas’ trust (please mention explicitly whether you have this or not as we will need to help you gain access). Students will be mentored by two 4th year medical students that have been working on this project for the last two academic years, as well as Dr Kordasti, a senior lecturer at King’s College London and honorary Haematologist at Guy’s Hospital. The aim of this project is to analyse the data to publish as a paper and/or present in an international conference. The overarching output will be a publishable paper; all students involved will be credited as an author of this work. The time commitment required is a few days of work a week, this can be tailored to suit your schedule and something we can discuss. We would like passionate and enthusiastic students to be involved, this will be a great CV opportunity. We look forwards to your application.
View more...
Scoping review to identify remote rehabilitation interventions that would be appropriate to use in COVID rehabilitation
Julie_Whitney
Many people who have been unwell with COVID-19 are suffering long-term problems with their fitness and ability to participate in usual activities of daily life. Symptoms include muscle weakness, breathlessness, changes in sensation, pain and fatigue. There are also effects on psychological and mental health. Rehabilitation could help with these issues. However, there are challenges in providing this rehabilitation because so many patients need to access these services and because face to face treatment is not always possible due to social distancing. There has been increasing interest in remote rehabilitation interventions from researchers and App. developers in recent years. Remote interventions use technology such as video, smartphone applications and interactive conferencing (i.e. Zoom) to deliver rehabilitation programmes. We will search for evidence about remote rehabilitation interventions and application stores to identify existing remote interventions that might meet the needs of COVID-19 survivors. This information will allow rehabilitation teams to direct patients to suitable remote interventions. This may be needed to replace or to enhance their rehabilitation programme. We require 4-6 medical students to help with abstract screening and data extraction. No experience is necessary. Students required ASAP!
View more...
Cardiothoracic Surgery Research
Muhammed
Calling all St. George’s students! Join a group chat where opportunities to write up systemic reviews and literature reviews in cardiothoracic surgery with Mr Amer Harky are offered frequently! We're looking for dedicated and committed students who want to get involved in multiple projects.
View more...
Personal viewpoint of medical students
Brian Wang
Viewpoint publication in Medical Teacher journal. Can be on your own experiences. Possible examples of topics: Viewpoint on Remote learning during lockdown Viewpoint on returning to clinical teaching Viewpoint on remote examination during lockdown. Viewpoint on how medical students are perceived due to COVID19. Guidelines here: http://www.medicalteacher.org/MEDTEACH_wip/supp%20files/Guidelines/MT%20Personal%20View%20Guidelines.pdf
View more...
Letter to editor
Brian Wang
Letter to editor in response to ‘Medical education from the point of view of medical students‘. https://www.tandfonline.com/doi/full/10.1080/0142159X.2020.1792865 Publication submission by 20th August.
View more...
Factors predicting resection margin status in laparoscopic liver resection in HCC
Crispin
Single centre, retrospective cohort study analysing factors that predict incomplete resection in hepatocellular carcinoma patients. Patients undergoing non-anatomical laparoscopic liver resection will be matched to patients undergoing open resection. Propensity score matching will be employed to decrease bias between groups. Main focus will be on data collection. Basic skills in MS Excel are desirable. If they wish participants will be taught basic skills in SPSS and SAS. Contribution will be recognised as co-authorship.
View more...
Surg-PDAC-UK collaborative Study
Crispin
Multicentre, national, retrospective cohort study assessing the impact of the introduction of CT-PET into the NICE guidelines for preoperative workup in pancreatic cancer resections. Data collection for 6 months before the introduction of the guideline, then for 12months after (with a gap of 6 months to ensure there was time for system change). We have tried to ensure the CRF as streamlined as possible and not too cumbersome. Main focus would be on data collection with basic to intermediate skills in MS Excel being desirable. Contribution will be recognised as collaborative authors as per the NRCM consensus guideline. The project may also be suitable to conduct a spin-off audit on the subject.
View more...
University of Cambridge Remarxs Committee
Sharon Ho
Looking for students at the University of Cambridge to join the University of Cambridge Remarxs committee What is Remarxs? • Online secure platform to connect university academics and students through research • Advertise research/audit projects, review papers and students can register their interest, apply and get accepted • Connected to social media sites and everyone has a professional Remarxs 'profile' • Secure platform - messaging, uploading documents for students to communicate with academics • Functions: ○ Group message ○ Individual message ○ Assign tasks ○ Assign task status Why? • Free to use • Everything in one place instead of lots of emails back and forwards • Increases opportunities for students and academic benefits by getting students • Industry level data protection - like Microsoft Teams ○ Hosted on Microsoft Azure ○ Only need to opt in to email communication Who is involved? • Universities throughout the UK including KCL, Glasgow, Edinburgh, Aberdeen, Imperial, St George's (and growing!) • Idea cofounded by Dr Deeban Ratneswaran, PhD student at KCL and junior doctor at Guy's and St Thomas' → founder of Osler's Room
View more...
systematic review
DA
Systematic review in Orthopaedics with a view to publishing in 1-2 months. Looking for an individual with free time in the next few weeks to deliver this project with guidance.
View more...
Assessing adherence to CPAP using the COM-B Framework
Dr Deeban Ratneswaran
This is a long term involvement (1 year) which requires a student who is interested in developing research skills from the off-set: hypothesis generation, proposal formulation, item design and development and implementation. Once ready our research will have ethical approval ready to go, and I will support statistical analysis. This will form part of my PhD work, of which we will be publishing various aspects in parts; however, the focus of this work will be on developing long term research skills and not a quick turn over publication. Learning about these various aspects will be useful for an academic interview. The team support this work will included: Dr Deeban Ratneswaran Professor Joerg Steier (KCL lecturer, Respiratory consultant) Professor John Weinman (Clinical director, Institute of Psychiatry) If you are interested in joining my team on this project, please apply here.
View more...
Development of an online decision aid for Medical Students seeking aid for mental health
L_Mirza97
You are invited to take part in a research study to test an online decision aid to facilitate decisions surrounding disclosure and help seeking for medical students with mental or physical health conditions or disabilities. In order to be eligible you must have a mental health concern (self or clinically diagnosed) and it can be as little as increased stress you're worried about. The study will be conducted through Microsoft Teams and consists of a questionnaire, a decisional conflict scale, and a decision making scale. Then I’ll ask you to complete an online self-help tool for finding resources to assist in mental health concerns. Opportunities to find out more about online tool development, and enhance your CV through assisting the development of digital tools!
View more...
NHS Check: Academic Psychiatry - Dr Rupa Bhundia
L_Mirza97
We have launched the NHS CHECK project across the KHP Trusts and a further 9 Trusts nationally - www.nhscheck.org To summarise, NHS CHECK is an independent research study, supported by the NHS looking at how this pandemic is impacting on the health and wellbeing of staff. We invite all participating sites NHS employees and contractors to join this study along with volunteers, fast tracked / early qualified medical students, nursing students and other allied health profession students. The findings will directly inform what additional support services are made available in the coming months. Importantly, this research will help us to prepare and support our staff in the anticipation of the second wave of COVID-19 in winter 2020. There are a range of tasks available for students to get involved in.
View more...
Review - Update on the role of exosomes in cardiac repair after myocardial infarction
Brian Wang
Review article for submission to Cardiovascular Research journal (Impact factor = 7.014). The review will focus on the role that exosomes have in the native repair process following cardiac injury and the current efforts to utilise exogenous exosomes to promote and modulate the remodelling process. Requires critical analysis of prominent studies of original research and key review papers.
View more...
Obesity webinar/ module creation
L_Mirza97
To students interested in obesity and endocrinology; this is an opportunity to collaborate with the world obesity federation to create a set of webinars/ design a module for students at King's.
View more...
Professor Tim Jackson KCH: Ophthalmology research
Ben_Zuckerman
Professor Jackson has expressed the frustration of being an ophthalmologist with projects available for students but not able to find students for his projects. He will be uploading projects imminently and throughout the term. Individuals who apply to this project will be notified of the research opportunities Professor Jackson has available.
View more...
Silver Linings Handbook - Online Blogs which have been featured on ITV news!
Dr Silas Webb
I'm Silas Webb, a junior doctor at St George's Hospital, and I have been writing blogs about COVID which have gained a lot of traction. I would like to invite fellow medics and medical students to collaborate on the blog that I have been writing - 'Silver Linings Handbook: Tips for the Covid Cohort' (https://www.remarxs.com/Blog/Blog/Silver_Linings_Handbook_Tips_for_the_Covid_Cohort_-_Chapter_1_-_Dr_Silas_Webb). Posts can focus on learning points and reflections from working in the pandemic - I can provide advice on ideas and help in the editing process. Looking forward to hearing from you and collaborating! Best wishes Silas
View more...
An update on nano-medicine as a treatment for Wet Age-related Macular Degeneration
Ben_Zuckerman
I am looking for students interested in medical innovations, particularly material science, who have an interest in Ophthalmology. Additionally, I would like students who are committed, motivated and interested in medical research. The aim is to conduct a literature review on nano-medicine as a treatment for Wet AMD. This review will be looking at in vitro, in vivo and clinical trials that have been conducted giving students an understanding of the bench to bedside journey treatments follow. The plan: 1. Update the search strategy, the question may become broader or narrower. 2. Create an inclusion and exclusion criteria. 3. Create a proposal for several journals. 4. Review the literature. 5. Write up the work. 6. Submit to journals and conferences. All students that get involved will be recognised as co-authors as long as they contribute and remain committed. Regarding publication: The plan is to have a proposal ready by the end of July and a paper submitted once approval has been given.
View more...
Dr Imran Ahmad- GSTT: Anaesthetics & Peri-operative medicine
L_Mirza97
Upcoming research projects in the team of Consultant Anaesthesist and honorary senior Lecturer at KCL
View more...
Dr Lim paediatric neuropsychiatrist - research projects
L_Mirza97
I am recruiting projects on behalf of Dr Lim who is looking for a list of motivated students. Kindly upload a blurb and CV and you will be contacted first
View more...
University of St Andrews Remarxs Committee
Jun Yu Chen
Looking for students at the University of St Andrews to join a University of St Andrews Remarxs committee What is it? • Online secure platform to connect university academics and students through research • Advertise research/audit projects, review papers and students can register their interest, apply and get accepted • Connected to social media sites and everyone has a professional Remarxs 'profile' • Secure platform - messaging, uploading documents • Functions: ○ Group message ○ Individual message ○ Assign tasks ○ Assign task status Why? • Free to use • Everything in one place instead of lots of emails back and forwards • Increases opportunities for students and academic benefits by getting students • Industry level data protection - like Microsoft Teams ○ Hosted on Microsoft Azure ○ Only need to opt in to email communication Who is involved? • Universities throughout the UK including KCL, Glasgow, Edinburgh, Aberdeen, Imperial, St George's (and growing!) • Idea cofounded by Dr Deeban Ratneswaren, PhD student at KCL and junior doctor at Guy's and St Thomas' → founder of Osler's Room Roles available: 1. Project collection a. Spread to word to your academic supervisors, tutors and university 2. Blogger a. Write blogs on anything research or medical related b. Write blogs on applying to medical school Please fill in this form: https://docs.google.com/forms/d/e/1FAIpQLSc6sZvIXvJczTUt-hT7DQx7hoRQVIVHLeMVfZLfyV5swnHTsQ/viewform?usp=sf_link
View more...
University of Dundee Remarxs Committee
Jun Yu Chen
Looking for students at the University of Dundee to join the University of Dundee Remarxs committee What is it? • Online secure platform to connect university academics and students through research • Advertise research/audit projects, review papers and students can register their interest, apply and get accepted • Connected to social media sites and everyone has a professional Remarxs 'profile' • Secure platform - messaging, uploading documents • Functions: ○ Group message ○ Individual message ○ Assign tasks ○ Assign task status Why? • Free to use • Everything in one place instead of lots of emails back and forwards • Increases opportunities for students and academic benefits by getting students • Industry level data protection - like Microsoft Teams ○ Hosted on Microsoft Azure ○ Only need to opt in to email communication Who is involved? • Universities throughout the UK including KCL, Glasgow, Edinburgh, Aberdeen, Imperial, St George's (and growing!) • Idea cofounded by Dr Deeban Ratneswaren, PhD student at KCL and junior doctor at Guy's and St Thomas' → founder of Osler's Room Roles available: 1. Project collection a. Spread to word to your academic supervisors, tutors and university 2. Blogger a. Write blogs on anything research or medical related b. Write blogs on applying to medical school Please fill in this form: https://docs.google.com/forms/d/e/1FAIpQLSc6sZvIXvJczTUt-hT7DQx7hoRQVIVHLeMVfZLfyV5swnHTsQ/viewform?usp=sf_link
View more...
COVIDCollab: a panspecialty international collaborative project to determine point of care predictors of outcomes of COVID-19 infection
Rose Penfold
This is the local arm of a panspecialty international collaborative project led by the Geriatric Medicine Research Collaborative. This project utilises routinely collected data in order to understand how to best treat and care for those infected with Covid-19 of all ages. This project aims to assess the following: • Predictive data modelling using routine laboratory data and patient factors • Medication utilisation and discontinuation • Antibiotic prescribing processes • Specific management of Covid-19 in frail older adults We are collecting data on all patients admitted to Guy's and St Thomas' Hospital with COVID-19. We have so far collected data on approx. 700 patients. We are looking for further collaborators to collect new data on patients admitted in the past 2 months and to help with collection of outstanding data and data cleaning for patients admitted before this period. All those contributing to study will receive a certificate of recognition. All publications arising from study will be published under a corporate authorship model
View more...
Medical Humanities: the role of humanities in medical education
Amber Corrigan
You will be part of the 'Becoming A Doctor' project team. This project aims to learn from current medical students, doctors and healthcare professionals about medical humanities application, importance across medicine and how career development can be reached in this field. Joining the team as a medical student will primarily involve reaching out to medical professionals in the medical humanities, creating online blog content as well as developing an online e-learning module. A great opportunity to make a tangible difference to medical education across your university.
View more...
The effect of slow, deep breathing on gastrointestinal pain: a systematic review and meta-analysis
Mohsin Butt
Slow, deep breathing has been shown to activate the vagus nerve - the longest of the cranial nerves which courses from the brainstem to the gastrointestinal tract, innervating multiple viscerae en-route. In a preliminary study, deep breathing has been shown to prevent the development of acid-induced oesophageal hypersensitivity in comparison with sham breathing. This effect was pharmacologically blocked with atropine, thus providing evidence that the parasympathetic nervous system (i.e. vagus nerve) influences the development of oesophageal pain hypersensitivity. In general, vagus nerve stimulation has been shown as a promising therapeutic tool in the management of pain, and is NICE approved for the management of cluster headache. The overall aim of this systematic review and meta-analysis would be to provide an overview of studies that have been published hitherto which look at the relationship between slow, deep breathing and gastrointestinal pain. Further reading / references: https://gut.bmj.com/content/64/4/611.abstract https://onlinelibrary.wiley.com/doi/full/10.1111/joa.13122 Update **Thank you to the very many people who signed up this project. We have been overwhelmed by the response and it is so encouraging to see medical students interested in neurogastroenterology. Unfortunately, the project aims have changed as I have been made aware that another group is already looking at the deep breathing and visceral pain landscape. Apparently, more papers addressing this field will be released later this year, so it wouldn't be worthwhile to pursue a systematic review at this particular time. However, I am liaising with our PI and we are thinking of other visceral pain systematic reviews, which will most likely be related to the relationship between personality / psychopathology and pain perception in functional gastrointestinal diseases, like IBS. If neuro/psychogastroenterology is a field you are interested to learn more about, please still sign up to this particular project and I will update you as soon as we have the new project aims. Keep safe during this period. My e-mail address is m.butt@qmul.ac.uk if you would like to get in touch directly. All the best.**
View more...
KCL Remarxs committee
Ben_Zuckerman
Remarxs is a national research database which stores and distributes active research projects to student cohorts around the country. Currently we are working with 60+ students to develop this initiative and have 3000+ student subscribers (which is rapidly growing). The vision is to give any medical student, no matter their background, an accessible way into medical research during their studies. As a student you can apply to active academic opportunities (and much more in the not so distant future)! We are looking for a core committee to support our GKT medical school community in the following positions: Academic liaison: This involves sourcing projects, networking with leading clinicians and academics. Social media representative: This involves handling the KCL Remarxs social media (Twitter, Instagram and Facebook), raising awareness about this initiative and the projects available. Content Producer: This involves blogging, providing teaching opportunities and developing the Remarxs by providing feedback from an ethical and technological point of view. If you're interested in joining the team Apply below. Limited places for the time being.
View more...
Join KCL CARS Committee for 2020 to 2021
Hari Pai
KCL CARS is a branch of King's Health Partners; a large research institution with millions of pounds of funding. KCL CARS is the student body which helps lead on student educational and research activity. We need the following positions filled out below:
View more...
Systematic Review and Meta-Analysis in Urology
Oliver Brunckhorst
Dedicated student or junior doctor required to help with the update of a systematic review and meta-analysis surrounding Peyronie's disease management. Will involve conducting literature review, writing of manuscript and potentially some statistical analysis depending on ability with recognition as first or second author on publication dependent on contribution. Guidance provided throughout from department used to producing numerous student led systematic review publications.
View more...
Systematic review in paediatric infectious diseases
Emily Beales
Estimated start date July 2020. Need motivated student to perform data collection and 2nd review of papers.
View more...
South London Respiratory QI Collaboration
Sam
Trainees are often involved in QI projects and may help data collection for national clinical audit. Respiratory registrars in South London rotate in April or October and sometimes will leave behind a project that requires more work. If trainees could share their projects on an online portal ideas would be shared, promoting good practice, and projects could be handed over to incoming trainees. The project started with a scoping phase. An online survey was sent to all respiratory registrars in South London. 100% (13/13) showed interest in a platform to enable QI project collaboration. Platforms may exist in the Midlands and North London however no further details have been found. A platform exists for sharing research opportunities for anaesthetic trainees. Remarxs is a platform for sharing academic projects, predominantly used in South London, and was chosen as the platform for this project. The implementation phase will include communication with all trainees in South London.
View more...
Create an online interactive Q&A forum for COVID-19 questions addressed by Medical professionals
Kevin
During the COVID pandemic there is a second sinister pandemic beneath the surface. The pandemic of fear and misinformation. As a Doctor, I have been inundated with questions from friends and relatives about COVID. This includes its origins, its impact and the management. I felt the duty to answer these questions and dispel any myths and misinformation. That's why I created a COVID Q&A page on Remarxs. The general public can ask questions anonymously and have these answered by doctors; that's were you come in. I am assembling a team of doctors that are willing to answer these questions in a well-researched manner, including references, with the name of the doctor, serving as an additional layer of trust and accountability. Once a member of the public has created a question, it will appear on a dashboard that you will have access to. You can then "pick up" the question and answer it. It will allow you to add references, external links and accompanying graphics. Once you "mark as answered" it will be made viewable to the public. If this project interests you, then join me in the fight against misinformation! Given our value in society, I feel it is noble for us to take the mantle and provide up-to-date and accurate information to the public.
View more...
A systematic review on the outcomes of elective hand procedures in a general practise setting
Dr Murtaza Kadhum
Looking at carpal tunnel, steroid injections, trigger finger thumb releases. These are being done more and more in a general practise setting, and we would like to investigate the outcomes and benefits through a systematic review.
View more...
TEP in major trauma patients - audit
Dr Murtaza Kadhum
Major trauma patients are at risk of deterioration compared to ordinary in patients, however are neglected in terms of not having treatment escalation plans. I am looking for students interested in collaborating on this audit through data collection. You will learn skills in undertaking service improvement projects, implementing new pathways, and analytical skills.
View more...
Cauda Equina Pathway
Dr Ahmed Mahdi
Review of MRI imaging for patients presenting with suspected cauda equina syndrome
View more...
Medical education research projects 2020
Dr Deeban Ratneswaran
*** UPDATE *** Dear students, I have had an overwhelming response to this project. Many of these papers still need to be published. I promise to respond to as many of you as possible by Mid-July, where I will be looking to resume activity on this again. *** Medical students must have experience in publication and manuscript submission. If not, other academic opportunities exist, not limited to the projects below. 1 - Using lecture based simulation to educate pharmacists on clinical roles they can play -> data completion complete needs, submission. (Letter to editor) 2 - Incorporating red flag ideology into pharmacy curriculum (Letter to editor) -. Draft complete, needs revision and submission 3 - Interprofessional education improves multi-disciplinary team work (original manuscript) - --> Draft completed, needs re-working and submission 4 - "Missing the point" - the role of interprofessional education in today's NHS --> Draft complete, needs revision and submission 5 - Posterior circulation stroke - clinical examination and education --> Data collection complete, needs revision and submission 6 - Screening for adverse psychological ill health in medical students --> Data complete, needs revision and submission *** UPDATE: NOW PUBLISHED *** 7 - A model for medical application courses: widening access to student participation --> Needs revision and submission 8 - Incentives to increase medical student ECG interpretation (original manuscript) --> Paper complete, needs revision and submission 9 - "Do as I say, not as a I sleep" --> Needs data collection, draft manuscript complete, will need revision and submission 10 - Impact of waiting times on perception of care --> Data collection completed, needs manuscript preparation, revision and submission
View more...
Remarxs.com educational blogger and content producer
Dr Deeban Ratneswaran
We are looking for bloggers to produce featured educational content on our website remarxs.com. You will be supported by the Remarxs team, educationalists and video production where relevant. More info: https://www.remarxs.com/Blog/Blog/Remarxs_Getting_the_most_out_of_your_blogs What you gain: Writing opportunity to publish content online, which will be edited by another reviewer. Certificate of contribution; further opportunities to become an editor yourself on our site. Royalty from each published blog. What we need We are looking for bloggers who are looking to develop their own online presence by curating content related to the current themed priorities: Topic thread 1 - Medical School Life Bi-monthly publication (200-400 words each blog) New interesting experience in the last month e.g. blogs about new placements, topics, learning points Topic thread 2 - New research Bi-monthly publication (500 word blog) Summarising new interesting research articles that have been published in high impact journal e.g. Nature, NEJM, etc. Topic thread 3 - Life hacks/ Productivity Bi-monthly publication (200-400 word blog) Description of one or more 'life hack' to support productivity Topic thread 4 - A tribute to... Bi-monthly publication (200-400 word blog) Summaries of important individuals in medicine and their achievements e.g. William Osler, Cushing, Pasteur, Crick etc. Topic thread 5 Personal experiences/ individual blogs e.g: please see: https://www.remarxs.com/u/p/Vitasta.Raina/ Topic thread 6: Blogs of educational value e.g. please see: https://www.remarxs.com/u/p/Silas.Webb/ We want to build a repository people can delve into to access
View more...
Glaucoma and Obstructive sleep apnoea - Short review
Dr Saeed Azizi
Student who is keen in research, able to write in a scientifiically coherent manner and has the time to commit.
View more...
Review papers in respiratory and sleep medicine
Dr Deeban Ratneswaran
Invited reviews into the Journal of Thoracic Disease (Impact Factor 2). High chance of publication provided the time commitments are met, and appropriate quality and attention to detail. Each individual will also be sharing 2 short blogs on www.remarxs.com.
View more...
Medicine 4 The Masses 2020
Dr Deeban Ratneswaran
Medicine for the Masses - personal and interview support 2020. This project is only available for students who are looking for support on their application to medical school. Feel free to connect with us here.
View more...
Electrical Stimulation in Obstructive Sleep Apnoea - randomised controlled trials, meta-analyses and sub-studies
Dr Deeban Ratneswaran
LOOKING FOR Medical students, clinicians and academics from the UK and abroad, to support a large body of work related to developing a new treatment for patients with Obstructive Sleep Apnoea (OSA). You must be a student based in King's College London. PROJECT I am currently undertaking a significant body of work related to the field of respiratory and sleep medicine. Our team at St Thomas' Hospital, London, are investigating the use of electrical stimulation as an alternative treatment to CPAP in patients with OSA. Our research centre is based in the Lane Fox Respiratory Unit/ Sleep Disorder's Centre, working collaboratively with King's College London. We are looking for students, doctors and co-collaborators who are keen to develop skills in research and academia, but contributing to the aforementioned studies. Please note, the role will require EVENING studies from 6pm to 10pm on a Monday to Wednesday.. LEARNING You will learn a vast array of skills related to research, analysis, physiological data interpretation and ultrasonography skills of the upper airway; as well as being involved in a key randomised controlled trial. AREA St Thomas' Hospital in London is based in Waterloo, and a 10 minute walk from waterloo station. This is close to many famous landmarks, the houses of parliament, big ben, the London eye, with lots of nice places to eat and drink. KEY RESEARCHERS Are number of researchers from across the world are involved in our research group including, China, Switzerland, Australia and Egypt. Key researchers include: Dr Deeban Ratneswaran Research: https://www.researchgate.net/profile/Culadeeban_Ratneswaran LinkedIn: https://uk.linkedin.com/in/deeban-ratneswaran-6b735384 Remarxs: https://www.remarxs.com/u/p/Deeban.Ratneswaran/ Professor Joerg Steier KCL Profile: http://tiny.cc/0z8sdz
View more...
This is a test project - do not select
Kevin
Remarxs will test new features from time to time and create new projects to do so. This is one such project. Please do not select this project . Regards Kevin
View more...
Disseminate information on harmful use of NSAIDs in chicken pox.
Kevin
Anecdotal evidence exists that doctors are ill informed of the harmful effects of administering Non steroidal anti-inflammatory drugs in patients with chickenpox. We are establishing working group with an aim to ascertain the full scope of this gap in medical professionals and aim to devise strategies to educate and train doctors on the adverse effect of NSAID use in chicken pox disease.
View more...
style="height: 200px; background-color: transparent;"