medicalgen

Hi Dr Corenman, I havent spoken to you for a while, hope you are keeping well. I would like to know more about the clivo-axial angle if possible. My sinuses have been shot through since my fall. You know the saying ‘to every action there is an equal and opposite reaction’ well the clivo axial angle has to drop somewhere doesn’t it? And if it pulls away steeper from the brainstem causing deformative stress, then could it be putting pressure on other structures when the angle drops. I say this because my turbinates (I’m pretty sure its my turbinates) which have throbbed ever since my fall. It feels like something is pushing into them from further back in my head. Sometimes I have watery and bloody discharge coming down my nose. Its just a theory. Would love to hear your comments.

Dr Corenman do you do any fusion operations of the top cervical vertebrae to help with this type of damage?

Professor Francis W. Smith M.D, FFRRCSI, FRCR, FRSC(Ed), FRCP(Ed), FFSEM. Dip Sp Med, DMRD.

He obtained his medical training at the University of Aberdeen. After residencies in medicine & orthopaedic surgery, he completed his radiological training at the Hospital for Sick Children in Toronto Canada. In Aberdeen, starting in1980, he pioneered the clinical application of MRI performing the world’s first clinical trial of MRI in 1980 and the world’s first diagnostic MRI service at Aberdeen Royal Infirmary in 1981. He published the first clinical applications of MRI to musculoskeletal radiology, head and neck malignancy, liver and pancreatic disease, pelvic malignancy and pregnancy. He has over 250 publications in peer reviewed Journals, 32 book chapters. 

In 1982 he was the inaugural President of the SMRI and in 1990 he received the Gold medal from the ISMRM. Between 1984 – 91 he was Editor in Chief of Magnetic Resonance Imaging. In 1999 he was the recipient of the Barclay Medal and in 2009 The Sir Godfrey Hounsfield Memorial lecturer from The British Institute of Radiology. Currently uses upright MRI for the diagnosis of spinal complaints. He specialises in Upright MRI imaging of the cervical spine and cranio-cervical junction in patients following whiplash injury and also those suffering from the hypermobility syndrome, demonstrating ligamentous damage or laxity not readily visualised by conventional MRI of the cervical spine. He also provides an MRI imaging service examining all weight bearing joints in the upright position.

Between 1980-97 working as a Consultant in Nuclear Medicine he pioneered the use of SPECT for the measurement of regional cerebral blood flow performing the preclinical evaluation of the technetium labelled blood flow agent HMPAO, as well as publishing the earliest papers on its value in the assessment of patients with dementia. He performed some of the earliest work on the use of PET for the diagnosis and staging of malignant disease.

Hi Doctor Corenman, I think it would be good for you to discuss your opinions about the fonar upright MRI with Professor Francis Smith