Dr. Paul McCoubrie

Clinical News
Two misconceptions threaten future of radiology training
We must recognize and fight professionally demeaning regulation, writes columnist Dr. Paul McCoubrie. Radiology's training system should be flexible enough to take account of different motivations and personalities. Also, simple repetition alone may be harmful.
March 4, 2014
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Organized Radiology Issues
Heterodoxy and hegemony: Part 1
Micromanagement by individuals in gray suits is reaching new heights -- or lows, depending on how you look at it, writes Dr. Paul McCoubrie. He's concerned about the hegemonic assumptions that more structure in training and education is better, and counting numbers of cases is a valid way of assuming competency.
February 18, 2014
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Equipment
Some practical tips on buying a new scanner
Buying a new CT or MRI system can be devilishly difficult, and requires careful planning and considerable thought. To simplify this daunting task and help you avoid the pitfalls, our regular columnist Dr. Paul McCoubrie has some advice and suggestions.
January 21, 2014
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Clinical News
Multidisciplinary team meetings and the bourgeois
The Joker, the Git, the Dylan Thomas, the Blatherer, the (Ex-)Surgeon ... everybody probably has met these types of people during multidisciplinary team meetings, writes Dr. Paul McCoubrie in his latest column.
November 26, 2013
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Clinical News
Why expert speakers so often disappoint us
Disappointing lectures by noted experts abound. The reasons vary, but a mild anticlimax is commonplace. Dr. Paul McCoubrie shares in his latest column the reason that is the case: Often the speaker doesn't know how to simplify his or her presentation.
October 15, 2013
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Digital X-Ray
Why we should preserve eponyms
Classic signs such as "bat's wing appearance" or "mushroom sign" are well-accepted in radiology, but eponyms tend to be less widely used. Dr. Paul McCoubrie thinks this is a real shame and is leading the campaign to save the eponym.
September 17, 2013
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Clinical News
In celebration of our meticulous attention to detail
The innate pedantry or fastidiousness in radiology comes from our training, writes Dr. Paul McCoubrie. Our tests are ranked by their ability to be specific and sensitive, and learning curves, receiver operating characteristic curves, operator dependencies, etc. are part of our working culture. But is this a bad thing?
August 20, 2013
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Clinical News
Why we are not in the business of exclusion
It seems almost every other radiology request now bears the poisonous words, "Rule out x" or "exclude y," Dr. Paul McCoubrie writes in his latest column. He explains why he can't accept such sloppiness from clinicians. As usual, he doesn't hold back.
July 23, 2013
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Residents/Fellows
A practical guide to radiology trainee recruitment
As Oscar Wilde once so neatly didn't put it, "There are lies, damned lies, and radiology trainee applications." To shortlist effectively requires an ability to read between the lines. Columnist Dr. Paul McCoubrie provides a key to what commonly used phrases actually mean.
July 2, 2013
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Clinical News
How to spot troublesome patients
Detecting awkward and noncompliant patients is a valuable skill mainly derived from years of experience and a sixth sense. Dr. Paul McCoubrie reveals his "evidence-free" clinical tips and hints to assist readers in picking out potential troublemakers.
June 18, 2013
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Radiology Education
Radiology societies demand retraction of 'flawed' interventional guideline
The American College of Radiology and 33 other societies have urged the BMJ to retract guidelines on injections for back and neck pain.
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MRI identifies parts of the brain that remember words
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Artificial Intelligence
ML-based system predicts x-ray service times
Johannes Wörsdörfer (left) and Fadi Matar gained firsthand experience in the world of radiology at ECR 2025. Courtesy of Johannes Wörsdörfer and DRG.
CT
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Artificial Intelligence
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Brussels summit highlights AI's role in precision medicine
By Maryam Payne
The European Commission, ESR, and EUCAIM have held a meeting in Brussels about how to use health data and AI to advance cancer detection and treatment.
February 19, 2025
From the right: Lorena Boix-Alonso, deputy director general of EC DG SANTE; Prof. Luis Martí-Bonmatí; and Christiane Kirketerp de Viron, acting director, Digital Society, Trust and Cybersecurity, EC DG CNECT. Photo courtesy of EUCAIM.
CDSS fails to reduce inappropriate imaging orders
By Will Morton
Implementing a clinical decision support system (CDSS) had little effect on reducing inappropriate imaging orders by referrers in three German university hospitals.
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Using AI with mammography can help select women for breast MRI
By Amerigo Allegretto
Dutch researchers have found that using AI with mammography can help select women at high risk of breast cancer for supplemental MRI.
February 7, 2025
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Nordic journal posts tribute to Henrik Thomsen
By AuntMinnieEurope.com staff writers
Prof. Henrik Thomsen has stepped down as chief editor of Acta Radiologica. The journal has posted a tribute to him.
February 6, 2025
Prof. Henrik Thomsen. Courtesy of Acta Radiologica.
How can we improve evaluation of benign breast lesions?
By Amerigo Allegretto
Sonographic imaging descriptors and histopathological diagnoses are essential for more accurate assessment of benign breast lesions.
February 5, 2025
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Is herpes infection protective in early Alzheimer’s disease patients?
By Will Morton
In a recent French study with “unexpected” results, patients infected with herpes had fewer signs of brain deposits associated with Alzheimer’s disease than uninfected patients.
February 3, 2025
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Ultrafast MRI proves value for classifying breast cancers
By Amerigo Allegretto
An ultrafast MRI-based radiomics examination performs just as well as standard MRI and is not dependent on radiologist experience, new research has found.
February 3, 2025
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ESR announces 2025 election results
By AuntMinnieEurope.com staff writers
The European Society of Radiology (ESR) has released its leadership results following completion of the January 2025 election process. Voter turnout was less than 9%.
January 30, 2025
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What brain mechanisms drive depression in older adults?
By Will Morton
A Belgian PET study has shown that mechanisms other than amyloid brain deposits may underlie depressive symptoms in people later in life.
January 24, 2025
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German team supports use of endovascular thrombectomy
By Will Morton
Researchers from Hamburg say endovascular thrombectomy is a safe and effective option in cases of acute extracranial internal carotid artery occlusions.
January 23, 2025
Images in a 74-year-old male patient who presented at the hospital with acute symptoms of a right hemispheric ischemic stroke and a National Institutes of Health Stroke Scale (NIHSS) score of 24. (A) Nonenhanced CT image shows no signs of early infarction, whereas (B) CT perfusion image shows a large perfusion deficit in the territory of the middle cerebral artery and anterior cerebral artery caused by an extracranial occlusion in the right internal carotid artery. (C) Digital subtraction angiography shows the occlusion in the C1 segment. The extracranial occlusion was passed, reperfused, and subsequently stented (D, E). The final contrast injection did not reveal any intracranial occlusions within the territory of the internal carotid artery (F). At the 24-hour follow-up, there was no infarction on (G) the nonenhanced CT image, and the NIHSS score had decreased to 3 points. Image courtesy of RSNA.
DEXA receives major boost for osteoporosis screening
By Will Morton
Greater emphasis looks set to be put on the use of dual-energy x-ray absorptiometry (DEXA) for osteoporosis screening.
January 22, 2025
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ML model using CCTA, MRI data predicts MACE in cardiac patients
By Amerigo Allegretto
A machine-learning (ML) model that includes both CCTA and stress cardiac MRI data can accurately predict major adverse cardiovascular events (MACE).
January 20, 2025
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