iRADiX

In our practice of Radiology, and especially in another country where the radiology services are quite not at par, we are under pressure to teach the fellow colleagues.

A ‘consultant’ is seen as a source of ‘new’ information and fellow medical colleagues are attracted like ‘bees’.

Often the situation becomes difficult to handle as in the case of my friend JS, who was travelling for the first time out of country to work in a new place. The pressure to teach on him was so overbearing that he succumbed to it and resigned from his job.

How should we deal with ‘pressure at work’?

Pressure can come from different quarters. It could just be ‘work pressure’, ‘peer pressure’ or pressure from the boss!

Focal liver lesions pose a diagnostic challenge to radiologist and clinician alike. Many focal liver lesions remain undiscovered throughout the patients’ life only to be discovered on autopsy.

Most focal liver lesions are incidental findings, especially at ultrasound examinations performed as part of the follow-up of tumor patients or in screening programs for liver cirrhosis.

How many of our colleagues in India use contrast-enhanced ultrasound or diffusion weighted MRI for characterization of liver lesions? And what about the cost?

What comes after ultrasound?

The quality of ultrasound findings varies with the experience of the examiner and the quality of equipment. Contrast-enhanced ultrasound is generally the preserve of specialized centres. In this situation, according to the EASL Barcelona guidelines, a triphasic CT scan or contrast-enhanced dynamic MRI scan should also be performed before the lesion can be characterized.