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Update: To update a piece of software is to convert it to a newer version. This should be done every couple months or so in order to take advantage of new features in the simulator. To update in X-Plane, a user first downloads and then installs a newer version. The updater program (available for free at X-Plane.com) does both of these things for you very easily.
Radiology reports may be provided in a structured computer assisted report or on a free text basis. Regardless of the format the following central elements have to be addressed: Lesion size, using diameters at least assessed in two planes, size of the uterus in two orthogonal planes and distension of the uterine cavity; characteristics of the tumour (e.g. heterogeneity, haemorrhage, necrosis, hypervascularization). Further, extension of the tumour within the uterus (less or more than half of the myometrium and cervical stroma) and extension to uterine surface or ovaries have to be notified. Bladder and particularly rectosigmoid colon invasion should be addressed. The status of lymph nodes should be assessed. This includes allocation and size of suspicious lymph nodes in the pelvis and retroperitoneum. Other tumour-related findings to mention include distant metastases (e.g. peritoneal spread liver metastases and lymph nodes) and urinary obstruction. Finally, findings relevant for surgery, e.g. vascular variations of pelvic and retroperitoneal vessels and other findings including incidentalomas should be reported. Although a matter of debate among radiologists, at our institution we add the MRI stage as indicated by the findings in the end of the report . 2b1af7f3a8