Most patients with malignant obstructive jaundice present to the hospital in an advanced unresectable stage. Percutaneous transhepatic biliary drainage (PTBD) and stenting are the established , safe and effective way of palliative treatment aiming prolongation and improving the quality of the life. We report a rare case of high output external biliary drainage leading to AKI and electrolyte imbalance following insertion of PTB drain. Patient was managed with hemodialysis and subsequent self- expandable metallic stent (SEMS) placement. We highlight the importance of awareness of this complication and need of further studies regarding role of biliary interventions, associated complications and management.
大多数恶性梗阻性黄疸患者来医院就诊时已到了无法切除的晚期。经皮经肝胆道引流术（PTBD）和支架植入术是一种成熟、安全、有效的姑息治疗方法，旨在延长患者的生命并改善其生活质量。我们报告了一例罕见的高输出胆道外引流导致 AKI 和电解质失衡的病例。患者接受了血液透析治疗，随后植入了自膨胀金属支架（SEMS）。我们强调了认识这种并发症的重要性，以及进一步研究胆道介入治疗的作用、相关并发症和处理方法的必要性。
{"title":"High Output External Biliary Drainage Leading to Acute Kidney Injury in a Patient with Malignant Obstructive Jaundice: A Rare Case Report","authors":"Sristi Singh, Prabeen Ghimire, Samriddha Basnyat","doi":"10.3126/njr.v13i2.59969","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59969","url":null,"abstract":"Most patients with malignant obstructive jaundice present to the hospital in an advanced unresectable stage. Percutaneous transhepatic biliary drainage (PTBD) and stenting are the established , safe and effective way of palliative treatment aiming prolongation and improving the quality of the life. We report a rare case of high output external biliary drainage leading to AKI and electrolyte imbalance following insertion of PTB drain. Patient was managed with hemodialysis and subsequent self- expandable metallic stent (SEMS) placement. We highlight the importance of awareness of this complication and need of further studies regarding role of biliary interventions, associated complications and management.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"6 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Bronchial artery embolization (BAE) is a minimally invasive interventional procedure, which is now considered the first-line management strategy and an alternative to surgery for massive and recurrent haemoptysis. The advances in embolic agents have led to a significant improvement in the success rates of the procedure, however, there has been no significant change in the recurrence rate of haemoptysis. Methods: This retrospective study was conducted at a tertiary care center from January 2012 to December 2020. The final analysis was performed on 123 patients [NBCA(n= 37) and PVA(n= 86)]. Technical and clinical success rates, complications and recurrence rates were compared between the two groups. Results: A total of 248 arteries were embolized. In the PVA group, clinical success was achieved in 84 out of 86 cases (97.6%) and with NBCA in 36 out of 37 patients (97.3%) (p >0.05). Of the 120 patients in whom BAE was clinically successful, recurrence was observed in 43 patients within the 12-month follow-up period. The study showed a statistically significant association between the embolizing agent used for BAE and the recurrence of hemoptysis (χ2 = 4.80, df = 1, p = 0.028). The use of PVA particles for BAE was found to have2.62 times higher odds (95% CI 1.10 - 6.81) of recurrence of hemoptysis as compared to the use of NBCA glue. Conclusions: BAE with NBCA provided higher hemoptysis-free survival rates compared with PVA particles without increasing complication rates.
{"title":"Bronchial Artery Embolization: IS NBCA/LIPIODOL Better Than PVA?","authors":"Manish Thapa, Ashish Gupta, Ajit Thapa, Arun Gupta","doi":"10.3126/njr.v13i2.59965","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59965","url":null,"abstract":"Introduction: Bronchial artery embolization (BAE) is a minimally invasive interventional procedure, which is now considered the first-line management strategy and an alternative to surgery for massive and recurrent haemoptysis. The advances in embolic agents have led to a significant improvement in the success rates of the procedure, however, there has been no significant change in the recurrence rate of haemoptysis. Methods: This retrospective study was conducted at a tertiary care center from January 2012 to December 2020. The final analysis was performed on 123 patients [NBCA(n= 37) and PVA(n= 86)]. Technical and clinical success rates, complications and recurrence rates were compared between the two groups. Results: A total of 248 arteries were embolized. In the PVA group, clinical success was achieved in 84 out of 86 cases (97.6%) and with NBCA in 36 out of 37 patients (97.3%) (p >0.05). Of the 120 patients in whom BAE was clinically successful, recurrence was observed in 43 patients within the 12-month follow-up period. The study showed a statistically significant association between the embolizing agent used for BAE and the recurrence of hemoptysis (χ2 = 4.80, df = 1, p = 0.028). The use of PVA particles for BAE was found to have2.62 times higher odds (95% CI 1.10 - 6.81) of recurrence of hemoptysis as compared to the use of NBCA glue. Conclusions: BAE with NBCA provided higher hemoptysis-free survival rates compared with PVA particles without increasing complication rates.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In cases involving TASC A lesions of the superficial femoral artery (SFA), the conventional approach typically starts with medical therapy and supervised exercise. When these measures fail to yield the desired results, endovascular procedures may be contemplated. However, in the distinctive case of a 68-year-old male, endovascular therapy was employed to reestablish blood flow through the obstructed SFA segment. This intervention substantially improved the patient’s ability to walk. Subsequently, the patient continued with optimal medical therapy. This integrated approach, beginning with SFA stenting followed by conservative care, promptly alleviated claudication-related symptoms, ultimately resulting in an enhanced quality of life
在涉及股浅动脉（SFA）TASC A 病变的病例中，传统方法通常首先是药物治疗和指导锻炼。当这些措施无法达到预期效果时，可考虑进行血管内手术。然而，在一位 68 岁男性的独特病例中，我们采用了血管内治疗来重建阻塞的 SFA 段血流。这一干预措施大大提高了患者的行走能力。随后，患者继续接受最佳的药物治疗。这种先进行 SFA 支架植入再进行保守治疗的综合方法迅速缓解了与跛行相关的症状，最终提高了患者的生活质量。
{"title":"Improved Health-Related Quality of Life with Superficial Femoral Artery Stenting in Intermittent Claudication Done Prior to Medical Treatment: A Case Report","authors":"Sushila Gyawali, Sristi Singh, Bibek Dhital","doi":"10.3126/njr.v13i2.59970","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59970","url":null,"abstract":"In cases involving TASC A lesions of the superficial femoral artery (SFA), the conventional approach typically starts with medical therapy and supervised exercise. When these measures fail to yield the desired results, endovascular procedures may be contemplated. However, in the distinctive case of a 68-year-old male, endovascular therapy was employed to reestablish blood flow through the obstructed SFA segment. This intervention substantially improved the patient’s ability to walk. Subsequently, the patient continued with optimal medical therapy. This integrated approach, beginning with SFA stenting followed by conservative care, promptly alleviated claudication-related symptoms, ultimately resulting in an enhanced quality of life","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"101 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pioneering the Future by Respecting the Past: A Glimpse into the History of Interventional Radiology in Nepal","authors":"O. Panta","doi":"10.3126/njr.v13i2.59963","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59963","url":null,"abstract":"<jats:p>N/A</jats:p>","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139238609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Embryo implantation in a previous caesarean scar (CS) resulting in a caesarean scar pregnancy (CSP) is another rare but potentially catastrophic complication of a previous caesarean birth. CSP can be detected between days 33 and 94 of pregnancy. Methotrexate and potassium chloride (KCl) are the most common feticidal agents used. intracardiac KCl causes feticide and reduces the uteroplacental blood flow, thereby decreasing the rate of hemorrhage due to placenta previa, caesarian scar pregnancy and in cases of fibroids; it is easy to evacuate the macerated fetus. Intracardiac KCl causes feticide and reduces the uteroplacental blood flow, thereby decreasing the rate of hemorrhage and abortion time before termination of pregnancy (TOP) leading to an easy evacuation of the macerated fetus. In conclusion, feticide with intracardiac KCl is a safe procedure.
{"title":"Intracardiac KCl Injection in Cesarean Scar Pregnancy: A Review Article","authors":"Ashish Gupta, Manish Thapa","doi":"10.3126/njr.v13i2.59964","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59964","url":null,"abstract":"Embryo implantation in a previous caesarean scar (CS) resulting in a caesarean scar pregnancy (CSP) is another rare but potentially catastrophic complication of a previous caesarean birth. CSP can be detected between days 33 and 94 of pregnancy. Methotrexate and potassium chloride (KCl) are the most common feticidal agents used. intracardiac KCl causes feticide and reduces the uteroplacental blood flow, thereby decreasing the rate of hemorrhage due to placenta previa, caesarian scar pregnancy and in cases of fibroids; it is easy to evacuate the macerated fetus. Intracardiac KCl causes feticide and reduces the uteroplacental blood flow, thereby decreasing the rate of hemorrhage and abortion time before termination of pregnancy (TOP) leading to an easy evacuation of the macerated fetus. In conclusion, feticide with intracardiac KCl is a safe procedure.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Panta, Abhishek Adhikari, Babin Basnet, B. Pantha, Ram Kumar Ghimire
Introduction:Sclerotherapy, a minimally invasive approach, has gained prominence as a therapeutic modality for the treatment of these lesions. The objective of this article is to assess clinical success, complications and periprocedural pain score of sclerotherapy and their variation with the nature of the lesion and choice of sclerosants. Methods: This was a hospital record-based retrospective study in a tertiary care centre in Kathmandu. Sclerotherapy done in the institute from January 2019 to December 2022 was evaluated for the nature of the lesion, clinical success, number of sessions, periprocedural pain score and complications. All sclerotherapy was performed under combined USG and fluoroscopic guidance by an interventional radiologist. Data was entered in predesigned proforma and data analysis was done using SPSS 25.0. Results: A total of 33 patients underwent 61 sessions of sclerotherapy during the study period. Venous malformation (72.2%) was the most common vascular lesion followed by hemangioma. There was significant resolution of symptoms post sclerotherapy pain relief in 95% complete resolution of swelling in 65.38 % and partial resolution with acceptable cosmetic results in 26.92% of cases. Only minor complications were seen in 6.5% of cases. The median periprocedural pain score was 5 with an interquartile range of 2. Periprocedural pain was significantly less with sodium tetradecyl sulphate than with alcohol(P-0.002). The resolution of swelling was less in hemangiomas than in other lesions, while pain relief was similar for all lesions. Complications were seen only in the alcohol group. Conclusions: Sclerotherapy is a safe and effective procedure for benign vascular lesions. Complications and periprocedural pain are less with sodium tetradecyl sulphate as compared to alcohol.
{"title":"Percutaneous Sclerotherapy as Therapeutic Option in Benign Vascular Lesions: A Retrospective Study","authors":"O. Panta, Abhishek Adhikari, Babin Basnet, B. Pantha, Ram Kumar Ghimire","doi":"10.3126/njr.v13i2.59967","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59967","url":null,"abstract":"Introduction:Sclerotherapy, a minimally invasive approach, has gained prominence as a therapeutic modality for the treatment of these lesions. The objective of this article is to assess clinical success, complications and periprocedural pain score of sclerotherapy and their variation with the nature of the lesion and choice of sclerosants. Methods: This was a hospital record-based retrospective study in a tertiary care centre in Kathmandu. Sclerotherapy done in the institute from January 2019 to December 2022 was evaluated for the nature of the lesion, clinical success, number of sessions, periprocedural pain score and complications. All sclerotherapy was performed under combined USG and fluoroscopic guidance by an interventional radiologist. Data was entered in predesigned proforma and data analysis was done using SPSS 25.0. Results: A total of 33 patients underwent 61 sessions of sclerotherapy during the study period. Venous malformation (72.2%) was the most common vascular lesion followed by hemangioma. There was significant resolution of symptoms post sclerotherapy pain relief in 95% complete resolution of swelling in 65.38 % and partial resolution with acceptable cosmetic results in 26.92% of cases. Only minor complications were seen in 6.5% of cases. The median periprocedural pain score was 5 with an interquartile range of 2. Periprocedural pain was significantly less with sodium tetradecyl sulphate than with alcohol(P-0.002). The resolution of swelling was less in hemangiomas than in other lesions, while pain relief was similar for all lesions. Complications were seen only in the alcohol group. Conclusions: Sclerotherapy is a safe and effective procedure for benign vascular lesions. Complications and periprocedural pain are less with sodium tetradecyl sulphate as compared to alcohol.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Umesh Khanal, Shailendra Katwal, Sunita Shrestha, Ram Swarth Shah
Introduction: Hysterosalpingography (HSG) is a commonly used diagnostic procedure to investigate the causes of female subfertility. This study aimed to evaluate the range of findings observed in HSG examinations conducted for this purpose. Methods: A prospective cross-sectional study was conducted at the Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, from December 2022 to April 2023. The study included 196 female participants who underwent HSG and met the inclusion criteria. Results: Out of the 196 participants, 127 (64.8%) were categorized as having primary subfertility, while 69 (35.2%) had secondary subfertility. The mean age of the participants was 30.61±5.623 years, with an age range of 20 to 45 years. Among the participants, 142 (72.4%) exhibited a normal uterus, 23 (11.7%) displayed left tubal occlusion, 17 (8.7%) showed right tubal occlusion, 13 (6.6%) had other findings, and 1 (0.5%) was diagnosed with uterine fibroids. Conclusions: This study demonstrated that approximately one out of every five HSG examinations performed to evaluate subfertility revealed tubal occlusion. Consequently, the high detection rate of uterine and tubal pathologies using HSG underscores its critical role as a diagnostic tool for assessing women with subfertility.
{"title":"Spectrum of Radiological Findings in Hysterosalpingography for Female Subfertility: A Retrospective Cross-Sectional Study in a Tertiary Care Center of Nepal","authors":"Umesh Khanal, Shailendra Katwal, Sunita Shrestha, Ram Swarth Shah","doi":"10.3126/njr.v13i2.59968","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59968","url":null,"abstract":"Introduction: Hysterosalpingography (HSG) is a commonly used diagnostic procedure to investigate the causes of female subfertility. This study aimed to evaluate the range of findings observed in HSG examinations conducted for this purpose. Methods: A prospective cross-sectional study was conducted at the Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, from December 2022 to April 2023. The study included 196 female participants who underwent HSG and met the inclusion criteria. Results: Out of the 196 participants, 127 (64.8%) were categorized as having primary subfertility, while 69 (35.2%) had secondary subfertility. The mean age of the participants was 30.61±5.623 years, with an age range of 20 to 45 years. Among the participants, 142 (72.4%) exhibited a normal uterus, 23 (11.7%) displayed left tubal occlusion, 17 (8.7%) showed right tubal occlusion, 13 (6.6%) had other findings, and 1 (0.5%) was diagnosed with uterine fibroids. Conclusions: This study demonstrated that approximately one out of every five HSG examinations performed to evaluate subfertility revealed tubal occlusion. Consequently, the high detection rate of uterine and tubal pathologies using HSG underscores its critical role as a diagnostic tool for assessing women with subfertility.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Human epidermal growth factor receptor-2 (HER 2) positive breast cancers represent a highly aggressive breast cancer subtype and are associated witha worse prognosis. They tend to be more aggressive with lower survival rates but with a better prognosis than the triple-negative subtype.
{"title":"A Case Report on Aggressive Breast Cancer","authors":"Kundana Rayamajhi, R. Ghimire, B. Kayastha","doi":"10.3126/njr.v13i1.57833","DOIUrl":"https://doi.org/10.3126/njr.v13i1.57833","url":null,"abstract":"Human epidermal growth factor receptor-2 (HER 2) positive breast cancers represent a highly aggressive breast cancer subtype and are associated witha worse prognosis. They tend to be more aggressive with lower survival rates but with a better prognosis than the triple-negative subtype.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122748037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction:Endoscopic sinus surgery is a widely utilized surgical method for addressing chronic sinonasal diseases. To prevent major postoperative problems, an anatomical understanding of its variants is necessary. Our study aims to determine the occurrence and classification of different Keros types by analyzing paranasal sinus CT scans and retrospectively evaluating the depth of the olfactory fossa in our population.Methods:This is a retrospective single-centre analytical study on 254 patients who had undergone a non-enhanced paranasal sinus CT scan for 1 year after ethical approval from the Institutional Review Committee of Nobel Medical College Teaching Hospital. The statistical program SPSS version 25 was used to conduct the statistical analysis.Results:The average depth of the right olfactory fossa (OF) was 4.4±1.44 mm on the right side and 4.5±1.5 mm on the left side. According to the Keros classification, out of a total of 254 patients, 38 patients (15%) were classified as Keros I, 193 patients (76%) as Keros II, and 23 patients (9%) as Keros III for the right lateral lamella. 44 (17.3%), 180 (70.9%), and 30 (11.8%) patients were classified as Keros I, II, and III respectively, for the left lateral lamella..Conclusions:A preoperative CT scan of the paranasal sinus is useful in assessing the architecture of the anterior skull base and making sure the surgical approach is properly planned.
内镜鼻窦手术是治疗慢性鼻窦疾病的一种广泛应用的手术方法。为了防止重大的术后问题，对其变异的解剖学理解是必要的。我们的研究旨在通过分析我们人群的鼻窦CT扫描和回顾性评估嗅窝深度来确定不同Keros类型的发生和分类。方法:本研究是一项回顾性单中心分析研究，经诺贝尔医学院教学医院机构审查委员会伦理批准，接受1年非增强鼻窦CT扫描的254例患者。采用SPSS version 25统计软件进行统计分析。结果:右侧嗅窝平均深度为4.4±1.44 mm，左侧平均深度为4.5±1.5 mm。根据Keros分级，254例患者中38例(15%)为Keros I型，193例(76%)为Keros II型，23例(9%)为Keros III型。左外侧板Keros I、II、III级分别为44例(17.3%)、180例(70.9%)、30例(11.8%)。结论:鼻副窦的术前CT扫描有助于评估前颅底的结构，并确保手术入路计划得当。
{"title":"Evaluation of Olfactory Fossa Depth Using Computed Tomography in A Tertiary Center: A Retrospective Study","authors":"R. Shrestha, M. Gautam, Nischal Shrestha","doi":"10.3126/njr.v13i1.57822","DOIUrl":"https://doi.org/10.3126/njr.v13i1.57822","url":null,"abstract":"Introduction:Endoscopic sinus surgery is a widely utilized surgical method for addressing chronic sinonasal diseases. To prevent major postoperative problems, an anatomical understanding of its variants is necessary. Our study aims to determine the occurrence and classification of different Keros types by analyzing paranasal sinus CT scans and retrospectively evaluating the depth of the olfactory fossa in our population.Methods:This is a retrospective single-centre analytical study on 254 patients who had undergone a non-enhanced paranasal sinus CT scan for 1 year after ethical approval from the Institutional Review Committee of Nobel Medical College Teaching Hospital. The statistical program SPSS version 25 was used to conduct the statistical analysis.Results:The average depth of the right olfactory fossa (OF) was 4.4±1.44 mm on the right side and 4.5±1.5 mm on the left side. According to the Keros classification, out of a total of 254 patients, 38 patients (15%) were classified as Keros I, 193 patients (76%) as Keros II, and 23 patients (9%) as Keros III for the right lateral lamella. 44 (17.3%), 180 (70.9%), and 30 (11.8%) patients were classified as Keros I, II, and III respectively, for the left lateral lamella..Conclusions:A preoperative CT scan of the paranasal sinus is useful in assessing the architecture of the anterior skull base and making sure the surgical approach is properly planned.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115731385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction:Low back pain is the most commonly encountered symptom, with approximately 80% of individuals experiencing at least one instance of back pain throughout their lifetime. Magnetic resonance imaging is widely regarded as a highly effective diagnostic tool for assessing different factors contributing to back pain.Methods:The study included all patients who had a history of chronic low back pain and were referred for Magnetic resonance imaging at the Radiology Department of Nobel Medical College between September 1, 2020, and September 1, 2021. These patients were suspected to have degenerative diseases of the lumbar spine.Results:A total of 120 patients were included in the study, with ages ranging from 28 to 81 years (mean: 53.38 ± 11.5 years). Among these patients, 64 individuals (53.3%) were females. The most common finding observed was disc desiccation, which was present in 115 patients (95.8%). The prevalence of degenerative findings increased with age, indicating a correlation between age and degenerative changes in the lumbar spine.Conclusions:The study's conclusion states that Magnetic resonance imaging is the most sensitive imaging technique for evaluating low back pain related to degenerative changes. The use of Magnetic resonance imaging is recommended due to its lack of known side effects, absence of radiation exposure, and noninvasive nature. It was found that various types of degenerative changes can be present in symptomatic patients aged over40.
{"title":"MRI Evaluation of Degenerative Lumbar Spine in Population Of Eastern Nepal","authors":"N. Ranabhat, Rakshya Bhattarai, Prasansa Basnet, Udaya Raj Banjade, Shreebridhi Pande, Suhail Sapkota, Diki Sherpa","doi":"10.3126/njr.v13i1.57823","DOIUrl":"https://doi.org/10.3126/njr.v13i1.57823","url":null,"abstract":"Introduction:Low back pain is the most commonly encountered symptom, with approximately 80% of individuals experiencing at least one instance of back pain throughout their lifetime. Magnetic resonance imaging is widely regarded as a highly effective diagnostic tool for assessing different factors contributing to back pain.Methods:The study included all patients who had a history of chronic low back pain and were referred for Magnetic resonance imaging at the Radiology Department of Nobel Medical College between September 1, 2020, and September 1, 2021. These patients were suspected to have degenerative diseases of the lumbar spine.Results:A total of 120 patients were included in the study, with ages ranging from 28 to 81 years (mean: 53.38 ± 11.5 years). Among these patients, 64 individuals (53.3%) were females. The most common finding observed was disc desiccation, which was present in 115 patients (95.8%). The prevalence of degenerative findings increased with age, indicating a correlation between age and degenerative changes in the lumbar spine.Conclusions:The study's conclusion states that Magnetic resonance imaging is the most sensitive imaging technique for evaluating low back pain related to degenerative changes. The use of Magnetic resonance imaging is recommended due to its lack of known side effects, absence of radiation exposure, and noninvasive nature. It was found that various types of degenerative changes can be present in symptomatic patients aged over40.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126153919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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