Savvas Nicolaou, M.D.

Associate professor – Expert in trauma, emergency and musculoskelatal radiology

Curriculum vitae

All posts of Savvas Nicolaou, M.D.

Case: RIPIT to the Rescue – Fast CT Examination for Trauma Patients

posted by Savvas Nicolaou, M.D. | Oct 31, 2011
Savvas Nicolaou, M.D.
  • Table Case - RIPIT to the Rescue
  • 1, 2. Volume Rendered (VRT) view showing vascular status of this trauma patient.
  • 3, 4. Fast pitch of 1.8 allows long range scanning from head to pelvis. The sagittal view (Fig. 4) shows artifact free aortic angiogram.
  • 5. Subarachnoid hemorrhage delineated with a fused MPR (Multi Planar Reformation) and VRT visualization technique (arrow). <br>6. Coronal MPR of the brain (calculated out of the full body scan) shows the extension of the bleeding (arrow).

In the trauma setting, the “golden hour” is critical. The FLASH RIPIT scan can provide critical, life-saving information in a matter of seconds. Read more

Ultra High pitch imaging in pulmonary embolism in the ER – are we nearer to a complete triple rule out

posted by Savvas Nicolaou, M.D. | Oct 15, 2010
Savvas Nicolaou, M.D.

The abstract was presented at the ASER meeting in Seattle August 2010 and awarded the prize for the best resident scientific presentation. Read more

Dual-Energy CT as a Potential New Diagnostic Tool in the Management of Gout in the Acute Setting

posted by Savvas Nicolaou, M.D. | Aug 31, 2010
Savvas Nicolaou, M.D.

Dual-energy CT is a promising new imaging technique offering potential new applications in a number of clinical areas. Read more

Which scanner: GE CT750 or the Siemens Flash?

posted by Savvas Nicolaou, M.D. | Jul 7, 2010
Savvas Nicolaou, M.D.

The following question has been sent by John Phillips: Which scanner: Which is the more advanced and best all around scanner….the GE CT750 or the Siemens Flash? If you could only buy one as your only scanner which would you buy? Are there any “must have” options? Savvas Nicolaou,  MD, Vancouver General … Read more

Short review: DSCT beats other methods for noninvasive gout diagnosis

posted by Savvas Nicolaou, M.D. | Apr 27, 2010
Savvas Nicolaou, M.D.

DSCT is an accurate a noninvasive method to diagnose gout in its preclinical stages. This may lead to an early treatment and help to avoid associated diseases. Read more

Case: Trauma – AOD

posted by Savvas Nicolaou, M.D. | Apr 12, 2010
Savvas Nicolaou, M.D.

Case history: 20 year old female involved in a MVC had CT scan in the acute setting. Diagnosis: The CT scan revealed marked atlanto occipital dissociation (ie seperation of the skull from the neck), with the presence of a traumatic arterio venous fistula at the base of the neck. Read more

Case: Dual energy Gout – Foot

posted by Savvas Nicolaou, M.D. | Mar 22, 2010
Savvas Nicolaou, M.D.
  • Case: Dual energy Gout – Foot
  • Case: Dual energy Gout – Foot

Case history: 60 year old male with a history of gout . However patient was not tolerating uric acid lowering medication and thus DECT scan was performed to identify whether the patient was compliant with medications and for the presence of tophi (i.e. disease burden and associated joint destruction). Read more

Case: Dual Energy Gout – Knee

posted by Savvas Nicolaou, M.D. | Mar 5, 2010
Savvas Nicolaou, M.D.
  • Case: Dual Energy Gout  – Knee
  • Case: Dual Energy Gout  – Knee
  • Case: Dual Energy Gout  – Knee

Case history: DECT images of patients with known gout. Images of the right knee reveals uric acid (UA) deposits along the collateral & cruciate ligaments and in the prepatellar region. It is evident that with the material decomposition algorithm, UA can be clearly depicted in red thereby confirming the diagnosis … Read more

Dual Energy CT – Renal Stone Composition

posted by Savvas Nicolaou, M.D. | Sep 26, 2008
Savvas Nicolaou, M.D.

The following question has been sent by Dr. Ravi Mahal, Radiologist, Boca Radiology Group, USA: We have been using the DECT for Urinary stone composition for the past 6 months.  Recently I had a case where a patient had 2 stones of different compositions; a right uric acid stone and a … Read more

Utilization of Dual Energy CT to Characterize Renal Stones and Effects on Patient Management

posted by Savvas Nicolaou, M.D. | Sep 15, 2008
Savvas Nicolaou, M.D.

The following study was presented at the UBC Radiology Scientific Day, June 2008 & Stanford Radiology’s 10 th Annual International Symposium on Multidetector CT In May 2008. Purpose: To investigate whether DECT can accurately determine composition of renal calculi at acceptable dose. To observe how this information changes patient management in the … Read more

Utilization of the Dual Source CT for Musculoskeletal Applications: Confirming the Pattern of Distribution of Gout

posted by Savvas Nicolaou, M.D. | Jul 17, 2008
Savvas Nicolaou, M.D.

The following abstract summarizes a talk held during the 10th Annual International Symposium Multidetector Row CT, Stanford Department of Radiology, Las Vegas, Tuesday, May 13th 2008 (Session V: Trauma/ Musculoskeletal) BACKGROUND The dual energy application designed to identify uric acid deposition within kidneys (kidney stones) has been proven both in vitro and … Read more

Fellowship at Vancouver General Hospital

posted by Savvas Nicolaou, M.D. | Apr 1, 2008

There is a unique opportunity that has arisen and we are offering variable 3-6 months, up to a one year period Trauma / ER imaging fellowship which can begin as early as May 2008. The individual will be exposed to all aspects of DSCT imaging in acute and trauma … Read more

Resolution of Definition Axial Datasets

posted by Savvas Nicolaou, M.D. | Apr 1, 2008
Savvas Nicolaou, M.D.

The following question has been sent by Judy Oltmann, CTA Technologist, USA: My question may have appeared vaque before. My radiology group has had a consistent complaint concerning the mottle or graininess, both terms applied, to the axial datasets acquired during our coronary scans with the Definition scanner. We have applied … Read more

Grainy axial datasets

posted by Savvas Nicolaou, M.D. | Mar 3, 2008
Savvas Nicolaou, M.D.

The following question has been sent by Judy Oltmann, CTA Technologist, USA: Grainy axial datasets: In trial patients using the Definition, the clarity of the axial datasets has been a constant complaint. Using an ROI to measure the pixel density, the 64 slice has a marked improvement … Read more

Dual energy provides new insight in the distribution of disease of gout

posted by Savvas Nicolaou, M.D. | Feb 10, 2008
Savvas Nicolaou, M.D.
  • gout-disease-1.jpg
  • gout-disease-2.jpg
  • gout-disease-3.jpg
  • gout-disease-4.jpg

History A 53 year old patient presented to the rheumatologist with right knee pain that was associated with … Read more


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