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A Technical Update Of High-intensity Focused Ultrasound Ablation For Prostate Cancer And Benign Prostatic Hyperplasia 高强度聚焦超声消融治疗前列腺癌及良性前列腺增生的技术进展
Pub Date : 2018-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000116
Nguyen Minh Duc Huynh Quang Huy
High-intensity focused ultrasound (HIFU) treatment for prostate cancer and benign prostatic hyperplasia (BPH) was utilized worldwide owing to benefits of non-invasive treatment, fast recovery time, and low rate of complications. There are many approaches of HIFU for BPH and prostate cancer under the guidance of real-time magnetic resonance imaging or ultrasound and the location of treatment transducer inside the rectum or urethra. In this article, we aimed to introduce these approaches for clinicians to consider as an alternative treatment option.
高强度聚焦超声(HIFU)治疗前列腺癌和良性前列腺增生(BPH)因其无创治疗、恢复时间快、并发症发生率低等优点而在世界范围内得到应用。在实时磁共振成像或超声的指导下,将治疗换能器放置于直肠或尿道内,HIFU治疗BPH和前列腺癌的入路多种多样。在本文中,我们旨在介绍这些方法,供临床医生考虑作为一种替代治疗方案。
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引用次数: 0
Multiple genital sebaceous cyst 多发生殖器皮脂腺囊肿
Pub Date : 2018-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000096
A. Nassiri, FatimaZahra Mernissi Omar Amrani Souhli
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引用次数: 0
Assessment Of The Correlation Between Dynamic Contrast Enhanced Computed Tomography And Histological And Vascular Biomarkers In Patients Resected For Colorectal Liver Metastases 动态增强计算机断层扫描与结直肠肝转移切除患者的组织学和血管生物标志物的相关性评估
Pub Date : 2018-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000121
C. Lauridsen, Thomas Axelsen, M. Hansen, E. Fallentin, M. Nielsen, R. Eefsen, M. Illemann, L. Engelholm, B. Vainer, G. Høyer-Hansen, I. Lund, G. Willemoe, H. Rolff, M. Osterlind
Background: Dynamic contrast-enhanced computed tomography (DCE-CT) is a promising non-invasive method that provides the functional evaluation of the vascularity in normal and malignant tissue. The objectives of this consecutive study were to investigate the possible correlation between the perfusion characteristics of colorectal cancer liver metastases as examined by (DCE-CT) and the microvessel density of resected metastases. An additional aim was to investigate the correlation between the urokinase plasminogen activation receptor (uPAR) and perfusion values. Methods and findings: Eleven patients fulfilled the criteria for comparative analyses. The microvessel density values,uPAR level and the DCE-CT values were analysed. A perfusion index (PI) based on the measurement of arterial and portal flow (AF, PF) was defined as follows: PI=AF/ (AF+PF)%. The DCE-CT measurements were compared between metastatic and normal liver tissues. A Spearman correlation test was used for statistical analysis. The perfusion index and microvessel density values were significantly correlated (r=0.75; p=0.01). Furthermore, a higher volume of metastases significantly correlated with higher plasma levels of the uPAR forms (0.72 ≤ r ≥ 0.89; p < 0.05). Conclusions: DCE-CT may have the potential to measure the vascularity of colorectal liver metastases; however, the correlation between microvessel density and the perfusion values appears vague.
背景:动态对比增强计算机断层扫描(DCE-CT)是一种很有前途的无创方法,可以对正常和恶性组织的血管功能进行评估。本连续研究的目的是探讨(DCE-CT)检查的结直肠癌肝转移灶灌注特征与切除转移灶微血管密度之间可能的相关性。另一个目的是研究尿激酶纤溶酶原激活受体(uPAR)与灌注值之间的相关性。方法和结果:11例患者符合对照分析标准。分析微血管密度值、uPAR水平及DCE-CT值。基于动脉和门静脉血流(AF, PF)测量的灌注指数(PI)定义如下:PI=AF/ (AF+PF)%。比较转移性和正常肝组织的DCE-CT测量结果。采用Spearman相关检验进行统计分析。灌注指数与微血管密度值显著相关(r=0.75;p = 0.01)。此外,更高的转移量与更高的血浆uPAR形式水平显著相关(0.72≤r≥0.89;P < 0.05)。结论:DCE-CT有可能测量结直肠肝转移瘤的血管状况;然而,微血管密度与灌注值之间的相关性并不明显。
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引用次数: 0
Imaging characteristics of mature cystic teratoma 成熟囊性畸胎瘤的影像学特征
Pub Date : 2018-01-01 DOI: 10.14303/imaging-medicine.1000125
Sindhu P Kumar
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引用次数: 0
A rare complication of acute cholecystitis leading to perihepatic abscess: gall bladder perforation 急性胆囊炎导致肝周脓肿的罕见并发症:胆囊穿孔
Pub Date : 2018-01-01 DOI: 10.14303/imaging-medicine.1000100
Yavuz Yuksel, O. Gok
Background: Gallbladder perforation secondary to cholecystitis are rarely seen. Gallbladder perforation is associated with intra or extra-hepatic abscesses and peritonitis and is high mortality rates. We report a case of gallbladder perforation. Case presentation: An 80 year old male patient was admitted to our hospital with abdominal pain. The aspartate aminotransferase, alanine aminotransferase and C-reactive protein values of the patient were high. The patient underwent intravenous contrast-enhanced abdominal computed tomography. Abdominal computed tomography showed a hydropic gallbladder, loculated fluid collections surrounding the liver and an increase in the gallbladder wall thickness. There was also defect in fundus of the gallbladder. The patient was operated based on clinical and radiological findings. Operative findings confirmed preoperative radiological findings. Conclusion: Gallbladder perforation is rare but in such cases early diagnosis is of vital importance. Ultrasonography and computed tomography are the imaging modalities for the diagnosis of gallbladder perforation.
背景:胆囊穿孔继发于胆囊炎是罕见的。胆囊穿孔与肝内或肝外脓肿和腹膜炎有关,死亡率很高。我们报告一例胆囊穿孔。病例介绍:一名80岁男性患者因腹痛入院。患者的天冬氨酸转氨酶、丙氨酸转氨酶和c反应蛋白值较高。患者接受了静脉增强腹部计算机断层扫描。腹部计算机断层扫描显示胆囊积液,肝脏周围积液集中,胆囊壁厚度增加。胆囊底也有缺损。根据临床和放射学表现对患者进行手术治疗。手术结果证实了术前的影像学表现。结论:胆囊穿孔虽罕见,但早期诊断至关重要。超声和计算机断层扫描是诊断胆囊穿孔的主要影像学手段。
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引用次数: 0
High-intensity focused ultrasound of uterine fibroids and adenomyosis: maneuver technique for bowel loops located inside the treatment window 子宫肌瘤和子宫腺肌病的高强度聚焦超声:位于治疗窗口内肠袢的操作技术
Pub Date : 2018-01-01 DOI: 10.14303/imaging-medicine.1000097
Nguyen Huy
Appearance of bowel loops in the sonication beam path during high-intensity focused ultrasound (HIFU) ablation therapy is a problematic condition. Filling bladder, filling rectum and, emptying bladder (BRB) maneuver technique might be helpful in producing a non-bowel treatment window for HIFU ablation of uterine fibroids and adenomyosis and ensuring the safety profile for patients.
在高强度聚焦超声(HIFU)消融治疗过程中,肠袢在超声束路径上的出现是一个有问题的情况。充膀胱、充直肠和排空膀胱(BRB)操作技术可能有助于为HIFU消融子宫肌瘤和子宫腺肌症提供一个非肠治疗窗口,并确保患者的安全性。
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引用次数: 1
Tumor syndrome, hepatic and hematological features revealing undiagnosed early rheumatoid arthritis 肿瘤综合征,肝脏和血液学特征显示未确诊的早期类风湿关节炎
Pub Date : 2018-01-01 DOI: 10.14303/Imaging-Medicine.1000091
Z. Alaya, Mouna Braham, E. Bouajina
Background: Extra-articular manifestations in rheumatoid arthritis (RA) are rare and generally occur in an advanced stage of the disease. We report a case of an unusual onset of early RA. Case presentation: A 21 year old male complains of polyathritis involving small and large joints, associated with fever, asthenia, anorexia and weight loss. The temperature was up to 38.8°. There was a left cervical adenopathies, hepato-splenomegaly and there were synovitis in all joints sparing distal interphalangial joints. The erythrocyte sedimentation rate was accelerated; the C-reactive protein was up to 222 mg/l. The number of white blood cells were 9000/mm3 with monocytosis, lymphocytosis and thrombocytosis at 986000/mm3 . There was cholestasis with cytolysis. Rheumatoid factor (RF) and anti-cyclic citrullinated peptide antibodies (ACCP) were positive. The hands X-ray didn’t show any RA specific signs. The chest X-Ray showed a left pleurisy. The CT scan showed multiple axillar and mediastinal lymphadenopathies, hepato-splenomegaly with multiple coelio-mesenteric and retroperitoneal lymph nodes. The pleural biopsy as well as the biopsy of the adenopathy and the salivary glands didn’t show any specific abnormalities or signs of lymphoma. The hepatic biopsy revealed an inflammatory lymphohistiocytic infiltrate with rare foci of necrosis and a dilatation of the hepatic sinusoids. The diagnosis of RA was suspected and confirmed by the MRI of the hands. Conclusion: RA may have an unusual onset such as hematologic, hepatic, pleuropulmonary features or tumor syndrome, but it is rarely reported. The diagnosis in this case is difficult
背景:类风湿性关节炎(RA)的关节外表现是罕见的,通常发生在疾病的晚期。我们报告一个不寻常的早期RA发作的病例。病例介绍:一名21岁男性,主诉小关节和大关节多关节炎,伴有发热、乏力、厌食和体重下降。气温高达38.8度。左颈椎腺病变,肝脾肿大,所有关节均有滑膜炎,保留远端指间关节。红细胞沉降速度加快;c反应蛋白最高可达222 mg/l。白细胞9000个/mm3,单核细胞增多,淋巴细胞增多,血小板增多986000个/mm3。胆汁淤积伴细胞溶解。类风湿因子(RF)和抗环瓜氨酸肽抗体(ACCP)阳性。手部x光没有显示任何风湿性关节炎的症状。胸部x光片显示左胸膜炎。CT扫描显示多发腋窝及纵隔淋巴结病变,肝脾肿大伴多发腹腔-肠系膜及腹膜后淋巴结。胸膜活检以及腺病和唾液腺活检均未显示任何特异性异常或淋巴瘤征象。肝活检显示炎性淋巴组织细胞浸润伴罕见坏死灶及肝窦扩张。怀疑RA的诊断并通过手部MRI证实。结论:类风湿关节炎可能有不寻常的发病,如血液学、肝脏、胸膜肺特征或肿瘤综合征,但很少报道。在这种情况下诊断是困难的
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引用次数: 0
Efficacy Of ultrasonography and computed tomography in differentiating transudate from exudate in patients with pleural effusion 超声和计算机断层扫描在鉴别胸腔积液渗出物和渗出物中的作用
Pub Date : 2018-01-01 DOI: 10.14303/imaging-medicine.1000109
Ramya Ch, B. Ra, aru N Rachegowda
Purpose: To evaluate USG and CT imaging findings in differentiating transudative and exudative pleural effusion. Materials and methods: A prospective observational study was performed over a period of eighteen months between January 2016 and June 2017. Eighty patients with pleural effusion were included and were evaluated with USG and CT along with diagnostic thoracocentesis. USG appearances and CT attenuation values along with additional findings like presence of pleural thickening, pleural nodules and loculation were evaluated. Results: 24 (30%) were transudates and 56 (70%) were exudates. Transudative were always anechoic. Exudates were complex septated (62.5%), echogenic (25%) or complex non-septated (8.9%) on USG with very few being anechoic (3.5%). Loculations were better appreciated on ultrasound while pleural thickening and nodules were better seen on CT. Mean attenuation values were significantly higher in exudates (14.65 ± 6.07; mean ± SD, range: 4.5 to 34) than transudates (4.66 ± 2.29; mean ± SD, range: 1.3 to 8.2) with a P value <0.01. Effusions can be considered as transudative if the CT attenuation value is <8, with a sensitivity of 91.6% and specificity of 82.7% with a significant P value <0.01. Pleural thickening, nodules and loculations were seen commonly in exudates than transudates with a high specificity (91.6 %, 95.8% and 100% respectively). Conclusion: USG is a helpful non-invasive and bedside tool in determining the nature of pleural effusion. CT attenuation values play a useful role in differentiating the nature of pleural effusion. Transudative effusions can be considered when HU values are <8.
目的:探讨超声心动图和CT在鉴别渗出性和渗出性胸腔积液中的表现。材料和方法:在2016年1月至2017年6月期间进行了为期18个月的前瞻性观察性研究。我们对80例胸腔积液患者进行了超声心动图、CT和诊断性胸腔穿刺术的评估。对USG表现和CT衰减值以及胸膜增厚、胸膜结节和定位等附加表现进行评估。结果:渗漏24例(30%),渗出56例(70%)。变性人总是无回声的。USG上渗出物为复杂分隔(62.5%)、回声(25%)或复杂无分隔(8.9%),极少数为无回声(3.5%)。超声表现为病灶,CT表现为胸膜增厚及结节。渗出液的平均衰减值明显更高(14.65±6.07;平均值±SD,范围:4.5 ~ 34)高于平均值(4.66±2.29;平均值±SD,范围:1.3 ~ 8.2),P值<0.01。CT衰减值<8可视为积液,敏感性为91.6%,特异性为82.7%,P值显著<0.01。渗出液中胸膜增厚、结节和定位较渗出液多见,特异性高(分别为91.6%、95.8%和100%)。结论:超声心动图是诊断胸腔积液的一种有效的无创床边工具。CT衰减值对鉴别胸腔积液的性质有重要作用。当HU值<8时可考虑换行性积液。
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引用次数: 4
The cases treated with lung cancer in the hospital center xhaferr kongoli in the period time of 2013-2015 2013-2015年在孔卓尔医院中心接受肺癌治疗的病例
Pub Date : 2018-01-01 DOI: 10.14303/imaging-medicine.1000101
Ina Zhika
Introduction: Lung cancer is one of the most common and serious types of cancer. Cancer that begins in the lungs is called primary lung cancer. Cancer that spreads to the lungs from another place in the body is known as secondary lung cancer. There are two main types of primary lung cancer. These are classified by the type of cells in which the cancer starts. They are: 1. Non-small-cell lung cancer – the most common type, accounting for more than 80% of cases; can be squamous cell carcinoma, adenocarcinoma or large-cell carcinoma. 2. Small-cell lung cancer – a less common type that usually spreads faster than non-small-cell lung cancer. Imaging techniques used for the detection, characterisation, staging and follow-up of lung cancer are: • Conventional chest radiography, • Computed tomography (CT), • Magnetic resonance (MR), • Positron emission tomography (PET). Methods: This research is descriptive with retrospective components and the data are taken from the book of protocol of the people with Lung Cancer treated in the hospital Center “Xhaferr Kongoli” in the period time of 2013-2015. This study involved 47 patients. Results: From 47 patients 45 are males (96 %) and 2 are females (4%). From these 26 patients or 55% are from the city and 21 patients or 45% are from village. The most affected age is 55-64 years old with 26 patients (55%), over 65 years old with 14 patients (30%), 45-54 years old with 7 patients (15%). From 47 patients 30 are smokers (64%) and 17 patients are non-smokers (36%). Conclusion: Based on the date obtained from patients treated for lung cancer we conclude that: 1. The most frequently affected age group is 55-64 years old. 2. The most affected sex is male. 3. It is more spread in urban areas than rural ones. Lung cancer mainly affects smokers versus non-smokers.
肺癌是最常见和最严重的癌症类型之一。从肺部开始的癌症被称为原发性肺癌。从身体其他部位扩散到肺部的癌症被称为继发性肺癌。原发性肺癌主要有两种类型。这些是根据癌症发生的细胞类型进行分类的。它们是:1;非小细胞肺癌——最常见的类型,占病例的80%以上;可为鳞状细胞癌、腺癌或大细胞癌。2. 小细胞肺癌——一种不太常见的类型,通常比非小细胞肺癌扩散得更快。用于肺癌检测、表征、分期和随访的成像技术有:•常规胸部x线摄影、•计算机断层扫描(CT)、•磁共振(MR)、•正电子发射断层扫描(PET)。方法:本研究采用回顾性描述方法,数据来源于2013-2015年在孔果里沙弗医院中心接受治疗的肺癌患者治疗方案手册。这项研究涉及47名患者。结果:47例患者中,男性45例(96%),女性2例(4%)。其中26例(55%)来自城市,21例(45%)来自农村。发病年龄以55 ~ 64岁26例(55%)、65岁以上14例(30%)、45 ~ 54岁7例(15%)居多。47例患者中有30例吸烟者(64%),17例不吸烟者(36%)。结论:根据肺癌患者的数据,我们得出以下结论:1。最常受影响的年龄组是55-64岁。2. 受影响最大的性别是男性。3.它在城市地区比农村地区更为普遍。肺癌主要影响吸烟者和非吸烟者。
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引用次数: 0
Case report: optical biopsy in HPV6 lesion 1例报告:HPV6病变的光学活检
Pub Date : 2018-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000106
A. Corti, H. Poteca, M. Garavaglia
The optical biopsy is a noninvasive diagnostic procedure that performs an analysis of the tissue with an optical system that allows reaching a result without extracting the sample (excisional biopsy) from the body tissue. Particularly, we are making spectrofluorometry (SFM) observations in loci lesions and healthy surrounding areas. The tissue is accessed through the body surface, including the analysis of the skin itself or mucosal surface, or by endoscope into any cavity. We have found spectral similarities in the detection of infectious diseases of their natural spectral fluorescence. Specifically, in the analyzed cases of DNA-HPV+ patients, we observed in all of their fluorescence spectra the same type of relevant peaks. So, we present here the SFM observation of HPV6 infected hard palate case. In addition, we show in this case the positive reaction images after the topication with 3-5% acetic acid as it occurs in the cervix uterine lesion.
光学活检是一种非侵入性诊断程序,它使用光学系统对组织进行分析,从而无需从身体组织中提取样本(切除活检)即可获得结果。特别是,我们正在用荧光光谱法(SFM)观察病变位点和健康的周围区域。组织通过体表进入,包括分析皮肤本身或粘膜表面,或通过内窥镜进入任何腔体。我们在传染病的自然光谱荧光检测中发现了光谱相似性。具体而言,在分析的DNA-HPV+患者病例中,我们在其所有荧光光谱中观察到相同类型的相关峰。因此,我们在此对HPV6感染的硬腭病例进行SFM观察。此外,我们在本病例中展示了3-5%醋酸敷敷后的阳性反应图像,因为它发生在子宫颈病变。
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引用次数: 0
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Imaging in Medicine
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