What’s New

May 2018

Non-Small Cell Lung Cancer (Staging)

UPDATE: This pathway has been significantly revised and simplified. The AJCC Cancer Staging System guidelines are now included and there is new information on the role of PET/CT. View the pathway

April 2018

Phaeochromocytoma

UPDATE: This pathway has been simplified with an update of teaching points following review of the current literature. Adrenal gland CT is recommended to evaluate biochemically confirmed phaeochromocytoma, with information on complimentary functional tests. View the pathway

Cushing’s Syndrome

UPDATE: The revised pathway now focusses on the importance of biochemical diagnosis prior to imaging, including considering ectopic ACTH production when very high levels are present. The algorithm also includes information on IPSS. View the pathway

March 2018

Goitre (Investigation)

UPDATE: Following a review of the current literature, thyroid ultrasound is no longer routinely indicated in the investigation of goitre. View the pathway

February 2018

Hyperaldosteronism (Primary Suspected)

UPDATE: Now includes information on adrenal vein sampling and confirmatory testing. View the pathway

Pulmonary Embolism (Haemodynamically Stable)

UPDATE: Low-dose CT now removed from the pathway and the use of lower limb ultrasound has been revised. This update now includes information on the Pulmonary Embolism Rule-Out Criteria (PERC). There is a new ‘What do I need to know’ box with quick questions to help clinicians decide on appropriate investigations. View the pathway

December 2017

Deep Venous Thrombosis (Arm)

UPDATE: More details now included in teaching points. An updated search and review of the literature further supported recommendations and there are no major changes to the pathway. View the pathway

Deep Venous Thrombosis (Leg)

UPDATE: More details now included in teaching points. An updated search and review of the literature further supported recommendations and there are no major changes to the pathway. View the pathway

Solid Pulmonary Nodules

UPDATE: Now revised to incorporate the 2017 Fleishner Society Guidelines for management of pulmonary nodules detected on CT scans, with management now divided according to the CT attenuation of the nodule. There is a new ‘What do I need to know’ box with quick questions to help clinicians decide on appropriate follow-up. View the pathway

Paediatric: Scoliosis (Adolescent)

UPDATE: This algorithm has been simplified and no longer includes ‘lateral bending views’ and ‘pre-operative MRI’. Indications for CT have been revised and specialist orthopaedic opinion is now also advised. View the pathway

Paediatric: Magnetic Resonance Imaging

UPDATE: This pathway has now been simplified with updated references and a revision of the teaching points. View the pathway

November 2017

NEW: Subsolid Pulmonary Nodules

This new pathway provides guidance on the imaging surveillance of adult patients with subsolid pulmonary nodules. This pathway is based on guidelines that do not apply to patients younger than 35 years, immunocompromised patients or patients with cancer. View the pathway

Paediatric: Knee Pain

UPDATE: Now includes more information on the use of MRI. An updated search and review of the literature further supported recommendations there are no major changes to the pathway. View the pathway

October 2017

Paediatric: Headache (Recurrent)

UPDATE: Now includes more information is on the use of MRI versus CT, with expansion of teaching points and further details on ‘Red flags’. An updated search and review of the literature further supported recommendations and there are no major changes to the pathway. View the pathway

Paediatric: Head Trauma

UPDATE: Algorithm now changed to incorporate the PECARN decision rules along with the CATCH rules. There are now more details on the role of MRI in the sub-acute setting. View the pathway