Dr. Paul McCoubrie

CT
The intractable problem of the low incidence scan
Faced with a low-incidence but serious condition, clinicians and radiologists must discuss the case and experienced doctors should assess the patient before a scan, says Dr. Paul McCoubrie.
January 12, 2026
Cta Abdominal Aorta Femoral Run Off Findings Adobe Samunella
Medical, Legal, and Practice
Take charge of work patterns and look after each other
In the absence of a magical fairy godmother, we need to take charge of our own work patterns and look after each other, writes Dr. Paul McCoubrie.
December 16, 2025
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Digital X-Ray
McCoubrie: It’s time for a rethink on MDTs
Large multidisciplinary team meetings (MDTs) are expensive and time-consuming, and they don’t advance patient care and should be replaced by protocol-driven care and smaller meetings for complex patients, says Dr. Paul McCoubrie.
November 25, 2025
Dr. Paul McCoubrie. Image courtesy of the ESR and Sebastian Kreuzberger.
CT
The epidemic of decision paralysis
Decision-making is central to successful clinical practice, but no one seems to make decisions these days, writes Dr. Paul McCoubrie in the second part of his series about interactions between surgeons and radiologists.
October 21, 2025
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CT
Are clinical examinations really dead?
A clinical examination lacks sensitivity, but to omit it entirely is short-sighted, writes Dr. Paul McCoubrie in a new series of articles about interactions between radiology and surgery.
September 30, 2025
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Clinical News
McCoubrie on the mangling of medical English
Radiologists should employ simplicity of phrase, avoid arcane jargon, and ensure reports are not Joycean, writes Dr. Paul McCoubrie.
June 19, 2025
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Radiology Education
Britain vs. America: A centuries-old grammatical battle
Should we spell it “foetus” or “fetus”? “Haematuria” or “hematuria”? “Oesophagus” or “esophagus”? Dr. Paul McCoubrie investigates in a new column.
April 22, 2025
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MRI
The challenges of dysrhythmic radiologists
Do you want to work for an outfit that induces tachycardias, flogging its radiologists half to death? Or would you prefer somewhere with a fair workload? Dr. Paul McCoubrie investigates.
January 13, 2025
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CT
McCoubrie: An epidemic of burnout has hit radiology
Today’s radiologist has to shift work at an eye-watering rate, Dr. Paul McCoubrie writes. The ever growing workload is ripping the heart out of the specialty, he says.
November 27, 2024
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MRI
Why are the juniors revolting?
The mood among the younger generation of radiologists in the U.K. is one of marked disgruntlement, writes Dr. Paul McCoubrie. A new survey suggests nearly 8 out of 10 trainees may leave the profession due to the extended roles of nonradiologists.
April 30, 2024
Dr. Paul McCoubrie.
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Top Stories
Skier
Digital X-Ray
Do young athletes with low back pain need advanced imaging?
Many young athletes with low back pain don't need to undergo imaging beyond initial x-ray, according to survey results.
2026 02 03 Structured Reporting Thumbnail
Digital X-Ray
Structured reporting, AI improve chest x-ray workflows
Scales Justice Blind Adobe Drex Design
Medical, Legal, and Practice
Radiologist outrages public decency
Brain Stroke
CT
'Hub-and-spoke' model and telemedicine can boost stroke care
Gavel 400
Medicolegal issues
Radiologist faces censure over prescribing habits
More in Home
Do young athletes with low back pain need advanced imaging?
By Kate Madden Yee
Many young athletes with low back pain don't need to undergo imaging beyond initial x-ray, according to survey results.
February 12, 2026
Skier
Structured reporting, AI improve chest x-ray workflows
By Will Morton
Structured reporting and AI tools have the potential to transform workflows, German researchers have emphasized.
February 11, 2026
2026 02 03 Structured Reporting Thumbnail
Radiologist outrages public decency
By Philip Ward
A tribunal has issued a six-month suspension to a consultant clinical radiologist from a top U.K. cancer hospital who committed sex acts repeatedly in full view of other passengers during an hour-long train journey.
February 10, 2026
Scales Justice Blind Adobe Drex Design
'Hub-and-spoke' model and telemedicine can boost stroke care
By Kate Madden Yee
Telemedicine-assisted CT can improve patient access to imaging and thrombolysis for stroke patients, German researchers have reported in Lancet Regional Health.
February 9, 2026
Brain Stroke
Radiologist faces censure over prescribing habits
By Maryam Payne
A radiologist has been disciplined by a New Zealand tribunal for inappropriately prescribing medications for herself and others.
February 9, 2026
Gavel 400
German team unveils dose findings on breast MRI
By Kate Madden Yee
Breast MRI using gadopiclenol with a half gadolinium dose offers equivalent to superior contrast enhancement compared to gadobutrol-enhanced MRI with full gadolinium dose.
February 9, 2026
Mri Breast Cancer
Microwave ablation safe for tumors close to heart
By Will Morton
Percutaneous microwave ablation can be a safe and effective treatment for lung tumors close to the heart and aorta, according to a recent U.K. study.
February 9, 2026
Cancer Lung 3 D Black
Audit puts spotlight on breast density in women under 50
By Philip Ward
A 12-year audit conducted at a women’s imaging facility has provided new data on the link between mammographic breast density and cancer detection in younger patients.
February 5, 2026
Right breast, 10 o’clock position, same patient: A 15 mm irregular hypoechoic solid lesion with suspicious morphology, situated approximately 6 mm from the index lesion. Biopsy confirmed invasive ductal carcinoma, Grade 2, ER positive, PR positive, HER2 positive, concordant with ultrasound features. Findings are in keeping with multifocal invasive ductal carcinoma in a heterogeneously dense breast. The patient was referred for surgical management.
Italian team seeks to optimize imaging of pelvic floor dysfunction
By Maryam Payne
MRI defecography can provide more complete information and limit challenges that make pelvic floor dysfunction difficult to diagnose, researchers from Palermo have found.
February 4, 2026
Sagittal T2-weighted MRD image at maximal pelvic floor contraction (squeeze). The pubococcygeal line (PCL) serves as a reference line extending from the inferior border of the pubic symphysis to the last coccygeal joint. The H line represents the anteroposterior dimension of the levator hiatus, while the M line measures the perpendicular descent of the levator plate relative to the PCL. The midpubic line (MPL) provides an additional reference for anterior-posterior alignment. Identifiable pelvic structures include the pubic symphysis (Ps), rectum (R), and bladder (B).
DBT shows advantages over mammography in TMIST Lead-in analysis
By Amerigo Allegretto
DBT could improve screening performance over conventional mammography in age groups not eligible for the TMIST study.
February 4, 2026
Breast Tomosynthesis Digital Social
European survey sheds light on imaging of sepsis
By Maryam Payne
A new European survey on sepsis has highlighted divergence among radiologists and clinicians on the contraindications and acceptable time windows for imaging.
February 3, 2026
Sepsis
PSMA-PET predicts patient response to therapy
By Will Morton
The finding is an important step for further development of new treatment for advanced metastatic prostate cancer.
February 3, 2026
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