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What constitutes a perfect case

So what should the perfect case be like? Over time the quality of contributions to Radiopaedia.org is ever growing and a consensus is emerging as to the make up of a perfect case. 

For a general set if instructions refer to our case publishing guidelines.

Below are some points to consider when uploading a case, and to the right are examples of various cases that are close to perfect. 

  1. patient's presenting complaint and demographics
    • a one line sentence encompassing patient demographics and presentation should be provided. 
    • e.g. "Sudden onset headache"
    • include demographic fields
    • maintain patient confidentiality
  2. study findings
    • very important : a short 'report like' description of the images provided. something like: "non contrast CT scan of the head demonstrates a large area of reduced attenuation with loss of grey-white matter differentiation, involving almost the whole left middle cerebral artery territory. There is some moderate positive mass effect with effacement of the overlying sulci and early midline shift. Features are consistent with an established MCA territory infarct"
  3. case discussion
    • links to relevant articles including the diagnosis (under a bold subheading of "related articles"
    • comment on how (if) the diagnosis was confirmed
    • include a differential for this case (not a generic list)
  4. histology
    • ideally the diagnosis is confirmed histologically (not always possible)
    • ideally macroscopic and microscopic images from the same patient are also available (NB.... histology from another patient should be a separate case)
    • histology report should be included in a free text section
  5. images
    • good quality, well prepared multi-modality images
    • stacks where appropriate
    • no text on the image (see patient confidentiality)
  6. modality and sequences 
    • each image / series should have a modality and where appropriate a sequence / contrast phase
  7. tags
    • each case should have tags pertaining to the specific organ or region (e.g. "knee", or "stomach")
  8. system
    • each case should have one or more appropriate systems
    • sometimes a number are required (e.g vesicoureteic reflux should have both Paediatrics and Urogenital systems)

Of course not all cases can hope to reach such lofty height, but at least you now know what the perfect case would be like, and in most cases can tick off most boxes.

Examples

Standard required from a good case


Related articles

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