echo cbdDecember 15, 2021
Results: Eighteen of the 45 patients (40%) had CBD stones. MRC correctly evaluated 16 out of 18 stones, with a resulting sensitivity of 88.9%, specificity 100%, positive predictive value 100%, negative predictive value 90%, and accuracy 95.6%.
Methods: MRC was performed as a unique preoperative imaging modality in 45 selected patients (16 male; 29 female; age range: 28-72; mean age: 54.4) before laparoscopic cholecystectomy. MRC imaging was obtained with a 3D Turbo Spin-Echo sequence (TR = 3000 ms, TE = 700 ms, Echo Train Length–128) with an acquisition time of 5 min 48 s. Diagnostic confirmation was obtained in all the cases at i.o. cholangiography. When a stone was detected it was removed by transcystic or transcholedochal approach.
Background: The aim of our work was to evaluate the predictive value of MR cholangiography (MRC) in detecting CBD stones before laparoscopic surgical treatment.
Conclusions: Despite the good results of MRC, it cannot be proposed as a screening technique to be performed in all patients submitted to laparoscopic cholecystectomy due to high cost and the limited amount of MR equipment. In conclusion, only selected patients should be submitted to MRC before laparoscopic cholecystectomy.
On Tuesday 30 November, at a Special Council Meeting, Council selected proponents from the EOI process to develop site-specific, detailed proposals for the development of the CBD.
With a population that is expected to reach 132,000 by 2036, a revitalised CBD is needed to meet the demands of the city’s rapidly growing community. It also responds to growth in areas beyond Playford, such as Gawler, Light and the Barossa, with the CBD acting as a centre that services regional communities to the north.
South Australia’s first satellite city, Elizabeth promised a full family life in a modern city. It attracted largely British migrants, providing a ready workforce for local industry, namely the Weapons Research Establishment and GM Holden factory.
CBD Project Site.
Council’s plans to revitalise the CBD echo the original sentiment for the centre of Elizabeth, when it was originally designed in the early 1950s.
Importantly, developing a vibrant CBD fulfils a key community aspiration from the Playford Community Vision 2043, with the community expressing their desire for a vibrant and cosmopolitan city centre, with services and offerings all in the one place.
Promotional material of the day spruiked the Elizabeth town centre as the “focal point for trading, professional and civic activity, offering unique professional and business opportunities.” It lived up to its promise with incredible growth in the town centre in the years that followed.
The City of Playford has a vision to transform the Elizabeth CBD into a thriving mix of retail and commercial activity along with services, entertainment and experiences, cultural pursuits, public spaces and a more attractive and green entrance corridor.
If development proceeds at the northern and southern ends of Main North Road, a master planning process will take place that will refresh and enhance the windbreaks for community use, and include things like shared use paths for cycling and walking, open space amenities and enhanced landscaping. The master planning process will include appropriate community engagement.
It’s an exciting stage for the project, as ideas will now be refined with proponents providing detailed concept designs. It moves the project a step closer to considering what new buildings, features and experiences will form part of the renewed city centre.
Why a reshaped CBD?
The project also includes two potential sites along the western side of Main North Road at Elizabeth to allow for development that supports community needs:
The primary CBD site is located adjacent to Playford Boulevard, Elizabeth.
Council renewed its focus on reshaping the CBD in mid-2021, when it went to market for development partners. The Expression of Interest (EOI) process was an important step in the project, with Council seeking to work with partners to develop the vision.
Located in the geographical heart of the community, the Elizabeth town centre – our CBD – boasted all the conveniences of modern living. Picture theatres, a hotel, shopping centre and civic and commercial buildings became the centre of life for a busy, thriving community.
Our city's heart.
As part of assessing which proposals will move to the next stage of the project, Council also considered the relationship of the Main North Road windbreaks to the CBD project. You can read more about that decision here.
The City of Playford’s focus on enhancing Elizabeth as the region’s CBD draws on this historical sentiment, while responding to current demand in rapid growth within Playford as well as in fast growing regional areas such as Gawler, Light, the Barossa and beyond.