IMPACT FACTOR: 1.8
Short Name: J Radiol Med Imaging
ISSN: 2637-885X
Publisher: MedDocs Publishers LLC
Creutzfeldt-Jakob Disease (CJD) is a rare and fast-progressing neurodegenerative disorder caused by abnormal prion proteins. It can present with symptoms, such as psychiatric or neurological condition. This case report describes a middle-aged woman with Creutzfeldt-Jakob Disease (CJD), initially thought to have psychiatric disorder due to symptoms of agitation and cognitive decline.
The determination of age and sex is crucial for establishing a human identity. The mandible is an accessible and durable bone that would be very useful in this respect. It exhibits a high degree of sexual dimorphism. To find the length of the ramus of mandible and its correlation with age and sex.
Empyema thoracic is characterized by the accumulation of pus in the phrenic space,often resulting from the extension of an infection from the abdomen or thorax. This report presents a case of empyema demonstrating the pseudoliver sign.
Radiation, both natural and man-made, is ever-present in our environment and is integral to various industrial, medical, and scientific applications. Understanding its various forms, sources, and biological effects is essential for modifying potential health risks and maximizing its beneficial uses.
Introduction: Many orbito-ocular and systemic disorders have proptosis and enophthalmos as their hallmark symptoms. As visual compromise is a severe consequence if they are not recognized and treated early, the requirement for an imaging parameter that will aid in its early diagnosis is important.
The main purpose of this article is to provide an extensive review of the literature about cervico-thoracic marginal osteophytosis with pathophysiological, histological evidence and complications emerging from the reported literature (esophageal perforation, Spontaneous Intra-cranial Hypotension (SIH), dysphagia, dyspnea etc.); and to correlate the alterations present in 5 cases reported by our centre with reported images and prevalence of radiological patterns found.
Introduction: Direct Digital Radiography (DDR) is an advanced form of digital radiography which produces a digital radiographic image instantly on a computer. The wide dynamic range of digital detectors does not need precise exposure factors and the acquired images can be manipulated to make it diagnostically reportable.
A 69-year-old Filipino female presented with progressive esotropia and hypotropia for almost 20 years, accompanied by bilateral poor visual acuity. She noted previous corrective surgery however there is a recurrence of signs and symptoms.
Objectives: To determine the Computed Tomography findings in adult patients for paranasal sinuses and to determine age and gender distributions of the findings. Method: A convenience sampling was conducted, 159 CT reports of patients with the age range of 11-80 year, that underwent paranasal sinuses examinations were reviewed retrospectively.
Introduction: Seventy women with infertility had sonographic scan to ascertain relevance of doing the transabdominal and transvaginal Sonographic Scan techniques consecutively in the assessment of the women with infertility. Aim: This study is to find the relevance of doing transvaginal and transabdominal ultrasonographic technique in the assessment of women with infertility.
This study aimed to assess the anatomical variation of the styloid process of Nepalese individuals by using multi-detector computed tomography scans. It was carried out to establish the baseline for the normal length of the styloid process and to compare the variability of styloid process measurement between different age group and gender.
We report the case of a 19-year-old male patient, presenting to emergency for painful swelling of his right inferior gum, causing functional discomfort.
The availability of the consultant and or specialist in the right time and place to carry out the interpretation and reading of medical images such as Radiology, Cardiology, Pathology, Ophthalmology, Dermatology and other type of images is challenging in the world of Healthcare Information Exchange. Without a standards-based, interoperability, well-defined governance and protected privacy approach, it would be difficult to share data among clinics, referral physicians and service providers.
This manuscript does not contain the surname and first name of the patient or of any other person. Furthermore, the manuscript does not contain other identifiers (initials, place of care, profession, birth). The manuscript does not contain data of third parties (family members of the patient). Given these premises, the patient’s written consent was not required to draft the manuscript.
The purpose of the study is to evaluate the extent of involvement of spinal cord on MRI in patients with clinical diagnosis of transversemyelitis. Initial assessment of spinal cord with MRI with meticulous history is important as it provides adequate information to the clinician.
Haglund syndrome is one of the variable causes of heel pain, of which diagnosis could be suspected clinically and confirmed on X-Ray when evident. However, MRI with its contrast resolution allows better identification of tendinosis and bursitis which are necessary with the Haglund’s deformity to set the diagnosis as well as to rule-out other differential diagnoses.
Imaging informatics collates the multitude of information into data; allowing research to occur, driving data quality, and ultimately improving patient care. Imaging informatics increases the efficiency of imaging workflows by enhancing productivity and making information accessible to multiple users simultaneously. Consistency of critical data is essential for marrying information together through the process, to save the radiologist time, for consistency, billing, and research.
Susac syndrome is a rare autoimmune endotheliopathy characterized by a classical triad of encephalopathy, partial or complete small retinal arteries occlusion, and sensory neural hearing loss. At the on-onset, commonly not all classical triad features are present, and they do not necessarily develop in all patients. Often patients present initially with one of the main features followed by others later in their lives
DRLs are considered an effective tool that can be used to optimization of patients protection in the medical exposure for diagnostic and interventional procedures. Screening mammography facilitates the early detection of breast cancer and reduces the mortality rate of women from breast cancer. The utility of giving very high detail resolution or image sharpness and the effectiveness of Digital Mammography (DM) for imaging micro-calcifications and minor abnormalities that may reveal early breast cancer are all features of DM. DM is used in screening mammography...
Purpose: The purpose of this study is to examine the influence of work life balance and job satisfaction on organizational commitment of radiologic technologist and radiologist in private sector hospital Peshawar.
Method: The study was done in private sector hospital Peshawar. The data were collected through self administrater questionare and analyzed to advance statistical software [SPSS smart PLS].
Introduction: Diagnosis of Neuroendocrine Tumours (NET) is a continuously evolving sphere in imaging science. Starting from endoscopies, ultrasounds, and other imaging modalities, discernment of a tumour is possible by combining two imaging techniques. DOTANOC is one such modality which works on the affinity of binding to somatostatin receptors present on the NET cells. This study was carried out to compare Computerized Tomography (CT) & DOTANOC scans in gastric carcinoid and analyse the significance of both...
Background: Subcarinal Angle (SCA) is an angle of divergence of the right and left main stem bronchi. Change in tracheal bifurcation angle is an indirect marker of various cardiac, pulmonary and mediastinal pathologies. Helical Computed Tomography (CT) allows acquisition of volumetric set of data of the chest and can be used for accurate measurement of subcarinal angle using reconstructed image on a workstation using minimum intensity projection (MinIP)...
Chest radiographs are routinely performed in hospitals during covid pandemic era to investigate lung changes, which will aid in clinical decision-making. As per the guidelines, COVID patients who had radiological changes in their initial Chest X- ray should have a follow-up Chest radiograph in 12 weeks. We conducted a study in our District-level NHS hospital to evaluate how many patients had their 12 weeks follow-up radiograph done and compared it with their initial chest radiograph...
Inferior Vena Cava Carries (IVC) venous return from the pelvis, abdominal viscera and lower extremities. Unidentified IVC anomalies can lead to severe bleeding during retroperitoneal surgeries if the abnormal IVC is injured. Fortunately, the widespread use of Computed Tomography (CT) during preoperative planning enables identification of the abnormal anatomy before surgery and reduces the risk of damage to the anomalous venous structure.
Objectives: CT-KUB is the investigation of choice for acute renal colic. However, its use should be monitored to ensure that CT-KUBs have a reasonable diagnostic yield and are not being requested inappropriately.
Methods: A retrospective review of CT-KUBs performed in A&E in February 2022 at our centre. The requesting information was compared to the I-Refer criteria for appropriateness with a target of 100%. According to published studies, the recommended diagnostic yield is at least 44% for calculus and at least 6% as an alternative diagnosis...
Wandering spleen or hypermobile spleen is a rare clinical finding which is the result of elongation of spleen’s suspensory ligaments. It is mainly found in children. It can be congenital or acquired. But this condition is not hereditary. The long pedicle poses a site for torsion which may lead to interruption in blood supply to the point of severe damage causing infarction. Acquired wandering spleen mainly occurs in adults due to any accident or injury, connective tissue disorders, or laxity of ligaments such as in pregnancy...
Objectives: To ascertain the effectiveness of ultrasound guided cluneal nerve block in management of low back pain and its complications.
Methods: We present the results of our first 24 patients, who underwent ultrasound guided cluneal nerve injection, for low back pain due to possible cluneal nerve entrapment neuropathy. All patients selected for the injection had clinical examination suggestive of cluneal nerve entrapment and had normal MRI scan of the lumbar spine...
The drug delivery application of Porous Metal-Organic Frameworks (MOFs) have been investigated due to their unique structures which are built of inorganic nodes and organic ligands. In present study, zsm-5-doxorubicin was successfully prepared by applied for delivery of 5-fluorouracil (doxorubicin). Using variety of analytical methods including FTIR, FESEM, EDS, and the prepared nanostructure was characterized.
In this work, γ-Al2O3 nanoparticles were fabricated on the ZSM-5 zeolite via ultrasonic-assisted hydrothermal method. The morphology and structure of the as-fabricated γ-Al2O3/ZSM-5 nanocomposite adsorbent was fully characterized by SEM, EDAX and XRD, and FTIR analyses. Applying XRD analysis, the average particle size of γ-Al2O3/ZSM-5 was obtained to be 13.8 nm. The removal reactions of O, S-dimethyl phosphoramidithioate (methamidophos) organophophorus insecticide have been evaluated via γ-Al2O3/ZSM-5 adsorbent at room temperature.
Retroperitoneal fibrosis is a rare pathology and often its etiology is unknown. The retroperitoneal fibrosis secondary to infectious diseases are infrequent. A delay in diagnosis can lead to irreversible complications, as renal failure and renovascular arterial hypertension. We describe a case of retroperitoneal fibrosis diagnosed two years after an Escherichia coli spondylodiscitis.
Introduction: The Covid -19 pandemic has affected planned physical healthcare conferences around the globe. To ensure adequate continuing professional development, virtual conference organization is the solution for healthcare professionals and the radiography community. This review article aims to document strategies for converting a physical conference to a virtual conference.
Background: Due to the use of immunosuppressants and immune modulator property of the corona virus, co-infections are proportionately increased in the second wave of Covid-19 infection. Aspergillosis is an air-borne opportunistic fungal pathogen that primarily affects immunocompromised hosts...
A 28-year-old woman presented with slowly progressive weakness of the right upper limb since 14 years of age. This was purely motor, distally located and progressive in nature. It did not involve any other limbs. She also had a history of hypothyroidism and gestational diabetes. On examination, hypothenar muscle wasting and complete claw hand was noted (Figure 1) Power was reduced in muscles of the hand, while reflexes were bilaterally absent on both upper limbs...
Objective: Here we analyze trends in breast cancer imaging over the past decade to evaluate the impact of changes in access to care and the COVID-19 pandemic on breast imaging utilization.
Methods: We queried our radiology record system to identify numbers of specific breast imaging studies from 01/01/2010 to 03/31/21. We retrospectively assessed yearly numbers of exams since 2010 and weekly numbers during the COVID-19 pandemic in the greater New York City region...
The B.1.617.2 (Delta) variant of the SARS-CoV-2 virus has been the cause of surging COVID-19 cases in many countries in recent months. We present a review of the CT chest imaging findings of eight patients from a hospital cluster, where the SARS-CoV-2 virus was diagnosed with Real-Time Polymerase Chain Reaction (RT-PCR) testing and confirmed by whole genome sequencing to be of the same Delta (B.1.617) variant strain...
It is widely recognized that the demand for health and social care services is increasing day by day. This is exerting pressure on all areas of the system, including radiology services, which plays a major role in the diagnosis and treatment of majority of conditions. The current study raised serious concerns about the time it takes for emergency department at Milton Keynes University Hospital to report plain films and the potential risks this poses to patients...
Mycobacterium Tuberculosis (MTB) is common in South Asian subcontinent; affects the lungs mostly but can affect any organ of the body. It is from the family Mycobacteriaceae that can cause devastating illness in an immune-compromised patient but can be equally harmful in immune-competent individuals. It spreads through droplets.
Background: Online searching for health-related information is becoming increasingly popular when it comes to patient selecting and deciding their treatment options. Therefore, it is essential that internet-based information should be of high quality to aid in decision making.
Objective: The aim of this study was to assess the readability and quality of online resources about Prostate Artery Embolisation (PAE) to help patients considering it as a treatment option for Benign Prostatic Hypertrophy (BPH).
Calcific tendinitis is one of the commonest pathologies of the rotator cuff. This condition is most often seen in Caucasian women. The pathophysiology involves deposition of hydroxyapatite (form of calcium) crystals within the tendons of the rotator cuff. It can be a highly painful condition affecting the quality of life significantly. Sonography is increasingly becoming the investigation of choice for calcific tendinitis as it has a sensitivity of nearly 90%...
Brodie abscess is a relatively rare subacute form of osteomyelitis that is difficult to diagnose due to its insidious onset and limited initial systemic response. We present a case of Brodie abscess in a person with knee pain, swelling and antalgic gait. Diagnosis was made initially using plain radiography, this was supported by magnetic resonance imaging and confirmed on bacterial culture of the surgical samples.
Duodenum Inversum (DI), also known as inverted duodenum or duodenum reflexum, is an exceedingly rare congenital malformation
in which the terminal part of the duodenum, instead of continuing left to the ligament of Treitz, reverses direction and travels in a superior, posterior track prior to crossing the midline above the pancreas. Duodenum Inversum (DI) was first described in 1940 by Feldman and Morrison who described 14 such cases in 20,000 gastrointestinal X-ray examinations, with an incidence of 0.07 per cent.
Idiopathic intracranial hypertension or pseudotumour cerebri, is a neurological disorder characterized by symptoms and signs of raised intracranial pressure with no other cause of intracranial hypertension demonstrated on neuroimaging or other investigations. It is commonly seen in obese females. We are presenting a case of idiopathic intracranial hypertension in a female who was on steroid and immunosuppressants for eosinophilic granulomatosis and had gained weight possibly due to long term use of steroids.
A 61-year-old patient was suspected of having meningioma, and surgery was subsequently performed on the patient. It was found that the diseased tissue was closely adhered to the normal brain tissue, and extracted to determine the pathological type. Brain biopsy suggested a diagnosis of tuberculous meningitis. The patient subsequently received regular anti-tuberculosis treatment, ultimately, the myodynamia of the patient's left limbs gradually improved, and her mental symptoms also improved.
Introduction: Hydatid disease involves mainly the liver (66% of the cases) and the lungs (22%), recurrence rate is around 10 percent. CT and sonography remain the best modality for initial diagnosis and long-term follow-up [1]. Radiological diagnosis is more sensitive compared to serology [5].
Case report: Here we report a case of hydatidosis of lungs and pelvis with a follow-up of 7 years.
Chest X-Rays are routinely performed in Critical Care to aid clinical decision making. Many patients in Critical Care lack capacity for consenting radiological examinations, e.g., invasively ventilated or sedated patients and doctors take decisions to perform these investigations in their patient’s ‘best interests [1]. We conducted a study in our Critical Care, to assess how many of the chest X-Rays performed effectively produced a change in patient management...
Purpose: To quantify performance of brain and ventricle segmentation using weakly supervised Transfer Learning (TL) and cross-modality CT-to-MR deep learning models trained with coarse-grained versus fine-grained data to enable accurate segmentation using small datasets.
19 Years old female presented to rapid access Gynaecology clinic with complaints of right sided pelvic pain. She had no significant medical or surgical history.
A 36-year-old patient, treated for tuberculous spondylodiscitis 7 years ago, has presented to the neurological emergency room for a tetraplegia with progressive development for two months, a cerebral-medullary MRI was performed urgently revealed the presence of an hypersignal T2 and diffuse contrast enhancement of the cervico-dorsal cord, with development of syringomyelic cavities downstream in the dorso-lumbar cord. He was treated with prednisolone but no improvement.
Objective: The aim of this analysis was to find the frequency of kidney stone in population of Peshawar coming to northwest general hospital.
Method: This was Cross sectional examination done in North west General Hospital and Research center Peshawar during March to June 2019. Data were collected on a self-administer Questionnaire and analyzed using SPSS version 22.
Luteomas are a rare non-neoplastic tumour, which usually occur during pregnancy under the influence of human Chorionic Gonadotropin (hCG) [1]. Most cases resolve completely postpartum [2]. Patients are usually asymptomatic with the ovarian enlargement being incidentally discovered during examination, imaging or surgery. Androgen secretion by these tumours cause symptoms of hyperandrogenism in the female and virilization of female foetuses during pregnancy.
Unilateral Agenesis of Pulmonary Artery (UAPA) is rare, with a prevalence of 1: 200,000 in young adults and usually occurs in conjunction with cardiovascular anomalies. We present a case of a 31 year old man with no underlying comorbidity who presented with a 7 month history of dyspnea and recurrent chest infections and was later diagnosed with isolated unilateral agenesis of pulmonary artery. Our case alerts the physicians and radiologists about this rare entity as a cause of recurrent infections in young adults.
Gorlin Goltz syndrome, also known as Nevoid Basal cell Carcinoma Syndrome, is a rare entity with clinical neurologic manifestations of seizures. Imaging findings include falcine calcification, although there are recent reports of intracranial neoplasms, such as Meningioma.
Background: Splenic artery aneurysm is the most frequent aneurysm of the visceral arteries (60 percent of cases) with an incidence of 10.4 percent of cases. There is a higher prevalence in women (4:1) associated frequently with pregnancy. The incidence of splenic artery aneurysm is increasing, with reported third most frequent after aorta and iliac arteries....
Septo - Optic Dysplasia (SOD) also known as De Morsier Syndrome, is an uncommon medical condition which is characterized by a triad, agenesis of the septum pellucidum and/or corpus callosum, optic nerve hypoplasia and hormonal dysfunction. Although this entity has been widely recognized, some aspects of the disease remain poorly understood. SOD has the particularity of being highly heterogeneous, both genetically and clinically, with a wide range of radiological findings...
The purpose of this article is to review the clinical and imaging manifestations of microcephaly, with an emphasis on syndromic causes. Defined as a head circumference greater than 2 standard deviations below the mean, microcephaly can manifest from primary causes during fetal development, or can occur postnatally from postnatal injury or genetic syndromes. Imaging plays an integral role in the evaluation of microcephaly and can hint at contributory gene or external causes...
Introduction: Variations of branches arising from Aortic Arche (AA) are well known and documented by several authors in different races [19]. However, such variations have never been studied in Jordan. The aim of this article was to determine the prevalence of AA branching pattern variations among Jordanian patients depicted on CT-Angiogram and to compare the results with other international studies.
Understanding the molecular anatomy, rationalizing the selection criteria, functionalization strategies of interrelating biopolymers with lipids are key to establish a hybrid combinatorial system owing to distinct properties and functions serving a special purpose. In recent years, many studies have been reported on developing these hybrid systems that can offer great advantages such as enhanced solubility, adhesion, and mechanical properties, site-specific delivery, better stability, and bioavailability of payload with minimal side effects.
RNAi can wipe out the disease-causing proteins from being translated. Now RNAi technique has become a powerful tool for basic research to selectively knock down gene expression in vitro and in vivo. At the same time, both scientific and industrial communities started to develop RNAi therapeutics as the next class of drugs for treating a variety of genetic disorders, such as cancer and other diseases that are particularly hard to be addressed by current treatment strategies.
Objective: Prostate-Specific Membrane Antigen (PSMA) PET/CT is increasingly used in the staging and management of prostate cancer. The most published tracer in PSMA PET/CT is 68Ga-PSMA-11 (PSMA-11). However, 18F-PSMA-1007 (PSMA-1007) has several potential advantages over PSMA-11, including non-urinary clearance, which may improve accuracy of prostate cancer detection in the prostate fossa. The aim of this study is to prospectively compare..
Purpose: To evaluate whether the use of a hydrogel plug (BioSentryTM tract sealant system, AngioDynamics, Latham, NY) after a lung biopsy can reduce costs by safely shortening post-procedure observation time.
Materials and methods: A single-center, retrospective review of percutaneous CT-guided core needle lung biopsies utilizing the hydrogel plug from May 2013-July 2016 was performed. Post-procedurally, patients were observed either for 3 hours with chest radiographs obtained at 1 and 3 hours, or for 1.5 hours with one chest radiograph.
Objective: A novel Coronavirus disease (COVID 19) emerged from wet food markets of Wuhan China in late 2019, which caused severe respiratory symptoms. Frontline physicians face an immense task in identifying the Chest X-ray findings of this newly emerged pandemic. The purpose of this study is to evalute the competency of frontline physicians in identifying subtle COVID 19 findings in Chest X-rays.
Fractures of the Zygomaticomaxillary Complex (ZMC) are common injuries that may lead to loss of an aesthetically pleasing appearance and functional impairment. These fractures can affect mastication through impingement by a depressed zygomatic arch on the temporalis muscle and coronoid process of the mandible. We report the cases of two patients with ZMC fractures. The first individual had zygomatic arch fracture with coronoid impingement.
The Corona Virus disease (COVID-19) is declared as pandemic by WHO on 11th March 2020. This is an infectious disease caused by novel corona virus SARS-CoV-2. Children seems to be relatively unaffected by this virus or other closely related corona viruses. Definitive diagnosis of COVID-19 requires a positive RT-PCR test. X-Ray chest & CT-Chest is not used to diagnose COVID-19 but helpful in assessing disease progression & complications.
Transrectal Ultrasound (TRUS)-guided systematic biopsy of the prostate is the current “gold standard” for biopsy of the prostate gland. However, for saturated systematic biopsy, blindness and randomness are inevitable. Prostate-targeted biopsy emerged with the continuous development of precision medicine.
The Corona Virus disease (COVID19) is declared as pandemic by WHO on 11th march 2020. This is an infectious disease with acute respiratory and systemic illness caused by novel Corona Virus SARS- Cov-2. Definitive diagnosis of COVID19 requires a positive RT-PCR test. CT chest & X-ray chest is not used to diagnose COVID19 but helpful in assessing disease progression and complications.
Myocardial Perfusion Imaging (MPI) is one of the successful techniques for the diagnosis of cardiovascular disease in both developing and developed countries. In this imaging technique, like other imaging techniques, there is the possibility of error and unintended side effects such as artifacts that can be associated with the device, user, and patient factors.
Spontaneous Coronary Artery Dissection (SCAD) is a rare acute coronary artery disease that mostly occurs in young women. The current algorithms applied for the diagnosis and follow up of suspected cases of SCAD does not include the utility of Coronary computed Tomography Angiogram (CCTA).
Hirayama disease is a rare self-limiting cervical myelopathy characterized by juvenile muscular atrophy of the distal upper extremities. Hirayama disease was first reported in the eastern world literature, including Asia and India. However, reports from outside of these geographic regions are increasing.
Radiation protective patient devices for CT examinations should be provided but not overly done to increase radiographers’ workload, running cost and patient’s stress. This study aims to investigate using lead cap, half lead aprons and lead drape would reduce absorbed doses in CT chest scan. These devices are stipulated by law in China that should be equipped in each CT room.
Primary teeth have fewer anomalies compared to the permanent teeth. This paper reports a rare case of bilateral bi-rooted primary maxillary canines. The purpose of this case report is to emphasize the importance of understanding variations in root morphology which requires an assiduous radiographic evaluation for diagnosis and pertinent treatment.
Endovascular stent placement in the iliac arteries is an effective method of treating occlusive and stenotic disease with reduced morbidity when compared to a surgical bypass however complications of stent placement can occur. We describe a technique for managing the inadvertent ‘unravelling’ of a stent where the proximal end lies within the distal aorta.
Endovascular stent placement in the iliac arteries is an effective method of treating occlusive and stenotic disease with reduced morbidity when compared to a surgical bypass however complications of stent placement can occur. We describe a technique for managing the inadvertent ‘unravelling’ of a stent where the proximal end lies within the distal aorta.
An 8-year-old child with antileptic epilepsy as valproic acid. Three weeks after the start of treatment, he had bullous lesions that broke easily, giving way to erosions. Dermatological examination also revealed involvement of the oral and genital mucosa. The cutaneous area reached was estimated at 8%...
Mucormycosis, or Zygomycosis, is a rare fungal infection caused predom inantly by members of the family Mucoraceae of the order Mucorales. Fungus commonly isolated clinically belongs to the genera Absidia, Mucor or Rhizopus. They can cause devastating illness in previously well patients when compared to other filamentous fungi. We present a case of mucormycosis in a person with no predisposing factors...
Objective: Providing suggestions for the evaluation of the sagittal spine curvatures in the supine patients because the sagittal spine curvatures are usually analyzed only in the erect patients...
New concept for exercise technology such as virtual reality (VR)-based exercise system is introduced to alleviate the difficulties in personnel mobilization and to meet the soaring demand for target participants in exercises through an alternative approach to the exercise system. An exercise system was developed to facilitate the resident public with practical and efficient radiological emergency exercise available...
Breast augmentation was first introduced in 1964 by utilizing silicone based implants with many variety of breast augmentation techniques invented since. Polyacrylamide hydrogel (PAAG) based breast injections have been available since 1980s as a low cost means of breast augmentation.
A 30-year-old female patient complained of pain in the arm and hand, and contracture in 1st finger. Forearm radiography (Figure-1A) and Ct image (Figure-1B) of the radius, demonstrated dense cortical thickening along the lateral Radius and 1. Metacarp, that simulates dripping candle wax. Cortical hyperosteosis was present in the lateral condyle of the humerus...
A 78-year-old patient, treated 30 years ago for papillary carcinoma of the thyroid and who consults for constipation and weight loss. The physical examination found multiple abdominopelvic masses solid on palpation, non-movable and painless. The abdominopelvic CT showed multiple intraperitoneal abdominal and pelvic masses, partially calcified and associated with intraperitoneal effusion...
A 32-year-old man with Sickle Cell Disease (SCD) Hemoglobin SS (HbSS) presented with painful crisis, developed acute chest syndrome, became unresponsive, and required mechanical ventilation. He had anemia, thrombocytopenia, and multiple nucleated red blood cells. A CT head was unremarkable. An MRI brain showed a “starfield” appearance on diffusion-weighted imaging (DWI) [1]. DWI sequence showed numerous punctate bilateral hyperintensities throughout the brain, with matching hypointensities on apparent diffusion coefficient (Figure A), consistent with microinfarcts...
The main purpose of a radiotherapy treatment is to induce the death of all the tumor cells following the administration of a certain amount of radiation. Proper dosimetric evaluation is the basis of assessing the efficacy of treatment with ionizing radiation to evaluate the efficacy of the treatment and the side effects due to irradiation of healthy tissue. In molecular radiotherapy, made by radiopharmaceuticals administration, the dosimetric evaluation can take place either after treatment, to evaluate the real effectiveness of the treatment, or before treatment, to determine the maximum tolerated activity to limit irradiation of healthy tissue.
Background: MRI image quality is compromise between resolution, scan time, Signal Averaging (NSA/NEX.), SNR and Integrated Parallel Acquisition Technique (SENSE). Any compromise in any of these parameters can lead to poor quality images that can lead to misdiagnosis. The higher the image resolution, the better the small pathologies can be diagnosed, thus it is the goal of imaging a good quality scan by using a standardized protocols.
Many radiologists frequently interpret skull radiographs in patients with hydrocephalus, the purpose of which is to assess the pressure setting of a Cerebrospinal Fluid (CSF) shunt catheter. One of the most commonly used types of CSF shunter catheters is the Codman Hakim programmable valve. The name is one that radiologists have included in reports many times, but few know the fascinating story of the inventor of the valve, Salomon, Hakim, MD PhD, one of the most famous physicians ever to emerge from the nation of Colombia.
Objective: To assess the diagnostic accuracy of biphasic & triphasic spiral CT in differentiating benign from malignant focal tumoral liver lesions in the patients of Gujranwala region.
Methods: The study was conducted in Department of Radiology of Medcare International Hospital and GINUM cancer hospital, Gujranwala from 11 March 2015 to December 2015.
In a recent article, Koene et al. reported about a study of 30 carriers of the m.3243A>G mutation who were retrospectively evaluated for their findings on 2D speckle tracking echocardiography [1]. Global Longitudinal Strain (GLS) was reduced in 56-70% of the patients. We have the following comments and concerns.
Orbital metastases are rarely the first and sole presenting feature of distant carcinoma and extremely rare as the presenting sign of Cancer of Unknown Primary (CUP). We report the case of a previously healthy woman who presented with diplopia and left orbital pain and underwent contrast enhanced orbit MRI: Imaging findings were interpreted as left orbital pseudotumor, so she began a treatment with steroids.
Torticollis is a common complaint of childhood. Trauma should always be considered and carefully excluded. All children with torticollis should be examined with plain radiographs to rule out a fracture or bony abnormality. Atlantoaxial rotatory subluxation has been defined as a cause of temporary, self-resolving torticollis in children.
Kasabach-Merritt syndrome [KMS] is a rare but potentially life threatening condition characterized by consumptive coagulopathy caused by hemangiomas. A 64 year old lady was referred to CT scan with history of fever, pain abdomen, respiratory distress, anemia, raised bilirubin levels and altered coagulation profile with clinical diagnosis of disseminated intravascular coagulation.
Background: The role of bedside Ultrasonography (US) in detection of pneumothorax in the acute care setting is well established. However, its role in the diagnosis of pneumothorax following chest tube removal post-lung resection has yet to be elucidated. Our aim was to assess the efficacy of portable ultrasound in the detection of pneumothorax following chest tube removal post-lung resection.
Misunderstandings of the risks of contrast agents have led to the persistence of outdated, non-evidence based policies that are often overly restrictive. This review presents a series of questions that arise in practice concerning such topics of controversy and confusion in regard to contrast media. For each case, we review the current evidence-based best practices for contrast media administration, based largely on the most recent American College of Radiology Manual on Contrast Media.
Controversy exists regarding the risks of cancer from imaging radiation exposure, especially from CT scans. We will argue that claims that imaging radiation causes cancer have not been scientifically proven, remain hypothesis and cause unnecessary patient fear. As a consequence medical imaging organization should move away from continued emphasis on such claims and recognize that attempts to educate patients that risks are small does itself create fear, A review of the history of radiation risks helps understand the evolution of the current position and develop a strategy for the future.
Extracranial Cervical Arterial Dissection (CAD) affects 10-25% of young onset Acute Ischaemic Stroke (AIS) patients. We report three cases of CAD in young AIS patients (ages 14, 18 and 49) associated with prior vomiting. All three cases presented within five weeks of each other at a single centre, lived in a specific region in North-east Scotland suffering an outbreak of winter vomiting and were treated with IV thrombolysis.
Placement of a subdural-peritoneal shunt is a common procedure in the treatment of external hydrocephalus. Abdominal complications such as bowel perforation are uncommon, and brain abscess formation following this event is even rarer. We describe the seventh case of spontaneous bowel perforation by a shunt catheter leading to brain abscess formation in a patient who presented with anal protrusion of the catheter. To our knowledge, this is the first case of delayed brain abscess formation occurring one month after catheter externalization. We discuss diagnosis, radiologic findings, and emphasize complete removal of the catheter, regardless of symptomatology, to avoid future brain abscess formation.
The goals of this study were to follow a cohort of patients with breast and colon malignancies to determine the frequency of follow-up Computed Tomography (CT) and arm port power injection for CT imaging over a one-year period. Power injection capability of a venous access device is a desired feature for patients who require intravenous contrast agents for CT.
Hepatic portal venous gas (HPVG) and pneumatosis intestinal is (PI) are worrisome signs when seen on imaging as they are associated with intestinal ischemia. However, they have multiple etiologies, some benign and some not. It is important for the clinician to be able to differentiate which patient requires operative intervention and which does not.
We always work towards offering the best to you. For any queries, please feel free to get in touch with us. Also you may post your valuable feedback after reading our journals, ebooks and after visiting our conferences.
