Dr. Paul McCoubrie

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.
Clinical News
On your bike: A day in the life of Paul McCoubrie
Ranting about the iniquities of clinicians and laboriously detailing your burnout helps no one, writes Dr. Paul McCoubrie in a new column. He's a passionate believer in decent coffee, black pudding for breakfast, cycling to work, and being a good colleague.
April 24, 2023
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MRI safety and radiation-induced cancer risks dominate in 2025
MRI safety topics, along with the risk of cancer caused by overuse of CT, remain central themes for the European medical imaging community, according to our list of top 10 articles.
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Organized Radiology Issues
Who's bidding for glory at the ESR's 2026 election?
Dysplastic glenoid tubercle predisposing patient to recurrent dislocations.
Digital X-Ray
Is imaging always needed for recurring shoulder dislocations?
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Medical, Legal, and Practice
Take charge of work patterns and look after each other
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Imaging Informatics
12 key points to remember for AI deployment
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MRI safety and radiation-induced cancer risks dominate in 2025
By Philip Ward
MRI safety topics, along with the risk of cancer caused by overuse of CT, remain central themes for the European medical imaging community, according to our list of top 10 articles.
December 18, 2025
Top 10 Adobe Hobbitfoot
Who's bidding for glory at the ESR's 2026 election?
By Maryam Payne
The European Society of Radiology (ESR) has revealed the candidates for next year's election for Executive Council positions. Voting will last from 8 to 21 January.
December 17, 2025
Eu Ballot Box 400
Is imaging always needed for recurring shoulder dislocations?
By Maryam Payne
A comprehensive audit has shed light on the optimum use of imaging in patients with recurrent dislocations.
December 17, 2025
Dysplastic glenoid tubercle predisposing patient to recurrent dislocations.
Take charge of work patterns and look after each other
By Dr. Paul McCoubrie
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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12 key points to remember for AI deployment
By Liz Carey
The AI Working Group of the ESR has released a consensus paper about the chain of responsibility for AI as a medical device regulatory compliance issue.
December 15, 2025
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Patients support AI in radiology, but not as standalone reader
By Will Morton
Most patients support the use of AI in radiology, but they’re not ready for it to act as a standalone reader, an Irish survey has found.
December 15, 2025
Artificial Intelligence Ai Data Social
Marathon training seems to have no negative impact on heart
By Amerigo Allegretto
Imaging has confirmed that endurance training by marathon runners does not appear to have long-term negative effects on the heart.
December 15, 2025
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MRI casts light on patient outcome after heart attack
By Maryam Payne
Increased volume of fat tissue around the heart tends can be associated with greater myocardial damage after a heart attack, German researchers have reported.
December 12, 2025
Cardiac MRI analysis can provide useful information on epicardial adipose tissue, infarct size, microvascular obstruction, and myocardial edema.
3D-printed prostheses bring hope in conflict zones
By Philip Ward
3D-printing allows for faster, lighter, more affordable, and highly customized prosthetic production, and the technology can help patients regain mobility.
December 11, 2025
A smartphone is used to take an image for a 3D-printed prosthesis.
MRI proves effective for tracking results of obesity interventions
By Kate Madden Yee
MRI is a powerful tool to monitor skeletal muscle adaptations during lifestyle interventions for obesity, researchers noted.
December 10, 2025
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Lung cancer screening: How Croatia does it
By Maryam Payne
The Croatian lung cancer screening program, integrated into the national system and designed for equitable access, could serve as a model for other countries.
December 10, 2025
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AI comes under scrutiny in Swedish prostate MRI study
By Philip Ward
An AI system trained in a screening population has lower specificity than radiologists using PI-RADS v2, but considerable care is vital, researchers from Gothenburg reported in European Radiology on 8 December.
December 9, 2025
Example case from test set with biparametric MRI data, reference segmentation, and output from AI system. The primary MRI assessment resulted in a PI-RADS 5 lesion in the left dorsal part of the peripheral zone and a PI-RADS 4 lesion in the right dorsal part of the peripheral zone (PSA of 11.6 μg/L). Targeted biopsies from both areas showed ISUP-grade 3. All images are from the same slice location, showing a part of both lesions. A T2-weighted (T2W) image. B Diffusion-weighted image with a b-value of 1,500 s/mm2. (C) Apparent diffusion coefficient map. (D) Reference segmentation with white areas representing tumor. (E) Softmax output from AI system. Inset in the lower left corner shows the detection map (cropped around the prostate) with red voxels representing softmax values of 0.99 and yellow voxels representing softmax values of 0.59. (F) T2W image with reference (D) and detection map (inset in E) overlayed, green represents areas in which both the reference and the AI output are positive (true positive voxels for AI), red only positive in reference (false-negative voxels for AI) and blue only segmented by AI (false-positive voxels for AI).
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