Investigation of choice

By | April 26, 2017
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  • Single Bone Metastasis – CT
  • Multiple Bone Metastasis – Bone scan
  • Spine Metastasis – MRI • Avascular necrosis- MRI
  • Bone Density/Osteoporosis- DEXA (Dual energy x ray absorptiometry)
  • Aneurysm/ AV Fistula- Angiography
  • Dissecting Aneurysm (Stable) – MRI (Unstable)-Trans oesophageal USG
  • Pericardial Effusion- Echocardiography
  • Lobulated pericardial effusion- MRI > CT

 

  • Minimum Pericardial Effusion- Echocardiography
  • Ventricular Function- Echocardiography
  • Radiotherapy/Chemotherapy induced cardiotoxicity- Endomyocardial Biopsy
  • Pulmonary Embolism- CECT> Pulmonary Angiography > V/Q Scan
  • Interstitial lung disease(Sarcoidosis)- HRCT
  • Bronchiectasis- HRCT scan
  • Solitary Pulmonary Nodule- High resolution CT (HRCT)
  • Posterior Mediastinal Tumor- MRI
  • Pancoast Tumor (Superior Sulcus Tumor) – MRI
  • Minimum Ascites/Pericardial effusion/Pleural effusion – USG
  • Traumatic Paraplegia- MRI

 

  • Posterior Cranial Fossa – MRI
  • Acute Haemorrhage- CT
  • Chronic Haemorrhage- MRI
  • Intracranial Space Occupying Lesion- MRI
  • Primary brain tumour- contrast MRI (Gold standard however remains to be biopsy)
  • Metastatic brain tumor- (Gadolinium) contrast enhanced MRI
  • Temporal Bone-CT
  • SAH Diagnosis- unenhanced CT
  • SAH aetiology- 4 vessel MR Angiography > CT Angiography > DSA
  • Nasopharyngeal angiofibroma- CECT scan

 

  • Acoustic neuroma- Gadolinium DTPA enhanced MRI
  • Obstetrics- USG
  • Calcifications- CT
  • Blunt abdominal Trauma- CT
  • Acute Pancreatitis- CT
  • GERD- pH manometer > endoscopy
  • Dysphagia- Endoscopy
  • Congenital hypertrophic pyloric stenosis- USG
  • Extrahepatic biliary atresia- perioperative cholangiogram
  • Obstructive Jaundice/GB Stones- USG
  • Diverticulosis – barium enema
  • Diverticulitis – CT scan

 

  • Renal TB (early) – IVP (Late)- CT
  • Posterior Urethral Valve- MCU
  • Ureteric stone- non contrast CT
  • Renal Artery Stenosis- Percutaneous Angiography
  • Extraintestinal Amoebiasis- ELISA
  • Discrete swelling(solitary nodule) of thyroid- FNAC

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