A hospital-based intracranial tumour registry (ITR) was established at the University Hospital of the West Indies in March 2010. This paper reports on the challenges encountered in establishing the ITR as well as the initial findings. Recommendations have also been put forward which may be useful to other researchers planning to implement a registry.

The study sought to assess the test performance characteristics of clinical judgement in the evaluation of stable blunt chest trauma patients compared with chest radiography in the determination of significant intra-thoracic injury. The study revealed that physicians in the local emergency department may be over-utilizing chest radiographs for patients who had stable blunt chest trauma.

Fetal magnetic resonance imaging improved prenatal diagnosis, was a valuable contributor to patient counselling and led to changes in perinatal management.

Early detection of breast cancer has been shown to decrease death rate. In Jamaica, there is a low screening rate. The authors review the various imaging modalities and their roles, particularly the continued importance of mammographic screening.

Mammographic screening has been shown to reduce death rates from breast cancer, the leading cause of cancer deaths in Jamaican women. This paper explores differences in screening referral patterns in a rural versus urban setting in Jamaica.