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Imaging findings of spontaneous thymic hemorrhage in infancy: Case report and literature review 婴儿自发性胸腺出血的影像学表现:病例报告及文献复习
Pub Date : 2020-08-30 DOI: 10.46475/aseanjr.2020.08
Chanunporn Leekumnerdthai, P. Trinavarat, D. Sosothikul, N. Leelakanok
The authors report imaging findings of spontaneous thymic hemorrhage, which is a rare entity in infancy, in a 4-month-old boy with congenital factor VII deficiency presented with acute respiratory distress and anemia. Widening of superior mediastinum and leftpleural effusion were detected on the chest radiograph. Ultrasound and computed tomography of the chest revealed diffusely enlarged thymus with heterogeneous parenchyma from poorly-defined areas of altered echogenicity or attenuation. Vascular flow was depicted within the abnormal thymus in color-mode sonography. Thespontaneous involution of thymic abnormality seen on serial ultrasonography confirmed the diagnosis of thymic hemorrhage, resulting in avoidance of further unnecessary imaging or invasive procedure.
自发性胸腺出血,这是一个罕见的实体在婴儿期,在4个月大的男婴先天性因子7缺乏症表现为急性呼吸窘迫和贫血。胸片显示上纵隔增宽及左胸腔积液。胸部超声和计算机断层扫描显示胸腺弥漫性肿大,伴有不均匀的实质,界限不清,回声改变或衰减。彩色超声显示异常胸腺内的血管流动。胸腺异常的自发性复旧在连续超声检查中证实了胸腺出血的诊断,从而避免了进一步不必要的成像或侵入性手术。
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引用次数: 0
Quality assurance in reading radiographs for pneumoconiosis: AIR Pneumo program 阅读尘肺x线片的质量保证:AIR Pneumo程序
Pub Date : 2020-03-16 DOI: 10.46475/ASEANJR.2020.17
Naw Awn Jp, N. Suganuma
Volume XXI Number I January 2020-April 2020 73 Occupational exposures to various dusts are widespread and pneumoconiosis represents one of the major occupational lung diseases worldwide. Chest radiography is extensively used in the screening for pneumoconiosis in dustexposed workers. However, recognition of early pneumoconiosis in a chest radiograph is difficult and interpretation is different among physicians. To achieve uniformity in interpretation, the International Labour Office has developed a standardized system for reading chest radiographs for the presence of pneumoconiosis (ILO Classification system) [1]. Despite the introduction of this classification system, inconsistency between readings exists among physicians as well as an individual physician. To improve consistency in readings and to Background ASEAN Movement in Radiology
21卷1 2020年1月- 2020年4月73各种粉尘的职业暴露很普遍,尘肺病是世界范围内主要的职业性肺病之一。胸部x线摄影广泛用于粉尘暴露工人尘肺病的筛查。然而,在胸片上识别早期尘肺病是困难的,医生之间的解释也不同。为了达到统一的解释,国际劳工局制定了一套标准的胸片诊断尘肺的系统(ILO分类系统)[1]。尽管引入了这种分类系统,但在医生之间以及个别医生之间存在读数不一致的情况。提高读数的一致性,并为东盟放射学运动提供背景
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引用次数: 1
Sonographer School, HRH Princess Chulabhorn College of Medical Science: The first step of the sonographer system in Thailand 泰国公主朱拉蓬医学院超声医师学校:泰国超声医师制度的第一步
Pub Date : 2020-03-16 DOI: 10.46475/ASEANJR.2020.16
S. Siripongsakun
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引用次数: 2
From The Editor 来自编辑
Pub Date : 2020-03-16 DOI: 10.46475/aseanjr.v21i1.73
W. Tanomkiat
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引用次数: 0
Value of computed tomography angiographic collateral status in prediction of malignant middle cerebral artery infarction 计算机断层血管造影侧支状态预测大脑中动脉恶性梗死的价值
Pub Date : 2020-03-16 DOI: 10.46475/ASEANJR.2020.01
Sasitorn Petcharunpaisan, W. Ngernbumrung, S. Lerdlum
Background: Cerebral collateral circulation is necessary to maintain cerebral blood flow and penumbra when arterial insufficiency occurred. Only a few studies about collateral status on development of malignant middle cerebral artery infarction (mMCAi) have been documented. Objective: To determine whether collateral status evaluated by single phase computed tomographic angiography (CTA) help prediction of mMCAi in patients with large arterial occlusion whom not received endovascular treatment. Material and Methods: We retrospectively reviewed patients with acute ischemic stroke in anterior circulation in our institute during January 2015 to December 2015. We analyzed clinical data, baseline National Institutes of Health Stroke Scale (NIHSS), Alberta Stroke Program Early CT Score (ASPECTS) on baseline nonenhanced computed tomography of the brain (NECT brain), and CTA collateral status. Malignant MCA infarction was defined according to clinical criteria. Results: Thirty-five patients were included. Mean age was 68.8±15.56 years. Mean baseline NIHSS and baseline ASPECTS were 17(±5) and 6(±3), respectively. All patients received intravenous thrombolysis. CTA collateral status and baseline NECT ASPECTS significantly correlated with development of mMCAi (P-value = 0.007 and 0.001). Only baseline NECT ASPECTS was an independent predictive factor for mMCAi (OR 0.63, 95%CI 0.46-0.86, P-value =0.004). Patients with baseline NECT ASPECTS ? 7 were more likely develop mMCAi (OR 14.29 95%CI 1.57-129.94, P-value 0.018). Conclusion: In acute stroke patients with proximal MCA or ICA occlusion received intravenous thrombolysis alone, baseline NECT ASPECTS and CTA collateral status were significantly correlate with development of mMCAi. However, only baseline ASPECTS ? 7 was an independent predictor for mMCAi.
背景:当动脉供血不足时,脑侧支循环是维持脑血流和半暗区的必要条件。关于侧支状态与恶性大脑中动脉梗死(mMCAi)发展关系的研究文献很少。目的:探讨在未接受血管内治疗的大动脉闭塞患者中,单期计算机断层血管造影(CTA)评估侧支状态是否有助于预测mMCAi。材料与方法:回顾性分析我院2015年1月至2015年12月急性缺血性脑卒中前循环患者。我们分析了临床数据、基线美国国立卫生研究院卒中量表(NIHSS)、阿尔伯塔卒中计划早期CT评分(ASPECTS)的基线非增强脑CT (NECT脑)和CTA侧支状态。根据临床标准确定恶性MCA梗死。结果:纳入35例患者。平均年龄68.8±15.56岁。平均基线NIHSS和基线ASPECTS分别为17(±5)和6(±3)。所有患者均接受静脉溶栓治疗。CTA侧支状态和基线NECT方面与mMCAi的发展显著相关(p值分别为0.007和0.001)。只有基线NECT方面是mMCAi的独立预测因素(OR 0.63, 95%CI 0.46-0.86, p值=0.004)。基线NECT方面的患者?7例患者更容易发生mMCAi (OR 14.29 95%CI 1.57 ~ 129.94, p值0.018)。结论:单纯接受静脉溶栓治疗的急性脑卒中近端MCA或ICA闭塞患者,基线NECT方面和CTA侧支状态与mMCAi的发展显著相关。然而,只有基线方面?7是mMCAi的独立预测因子。
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引用次数: 0
From The Editor: Vol. 21 No. 1 (2020) 编辑:第21卷第1期(2020)
Pub Date : 2020-03-16 DOI: 10.46475/aseanjr.2020.15
W. Tanomkiat
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引用次数: 0
Multiple pulmonary nodules mimicking metastasis in a case of systemic amyloidosis. 系统性淀粉样变性的多发肺结节模拟转移。
Pub Date : 2020-03-16 DOI: 10.46475/aseanjr.v21i1.55
Warath Chantaksinopas, Papon Prettiwitayakul, Kaewkamol Srichai, Kanet Kanjanapradit
Amyloidosis is a disorder resulting from the abnormal accumulation of amyloid, a fibrillary protein, in various tissues and organs. Pulmonary amyloidosis can be a part of a systemic process and can mimic other lung diseases which present with multiple pulmonary masses or nodules, such as metastasis.We reported a case of systemic amyloidosis, which is histopathologically confirmed from the nasal lesion, initially presented with multiple lung nodules mimicking pulmonary metastasis but had been stable for years. Pathological study of tissues obtained from three times of percutaneous transthoracic needle biopsy (PTNB) failed to show specific features. The findings on chest radiographs, contrast enhanced thoracic computed tomography (CT) and histology were reviewed and discussed.
淀粉样变性是一种由淀粉样蛋白(一种纤维蛋白)在各种组织和器官中异常堆积引起的疾病。肺淀粉样变可能是全身性疾病的一部分,可以模仿其他肺部疾病,表现为多发性肺肿块或结节,如转移。我们报告一例系统性淀粉样变,经组织病理学证实为鼻腔病变,最初表现为多发性肺结节,类似肺转移,但多年来一直稳定。三次经皮经胸穿刺活检(PTNB)获得的组织病理研究未能显示特异性特征。我们回顾并讨论了胸部x线片、胸部增强CT和组织学的表现。
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引用次数: 0
Renal complication of crizotinib: Crizotinib-associated complex renal cyst 克唑替尼的肾脏并发症:克唑替尼相关的复杂肾囊肿
Pub Date : 2020-03-16 DOI: 10.46475/ASEANJR.2020.04
Warissara Jutidamrongphan, Pimporn Puttawibul
Crizotinib is one of the first generations of tyrosine kinase inhibitors targeting anaplastic lymphoma kinase(ALK) and is recently found to be associated with the development of complex renal cysts with inconclusive explanation up to this time. Hereby, we discuss the hypothesis of Crizotinib-associated complex renal cyst development and coexisting renal impairment after initiation of the treatment in a 75-year-old man with ALK-positive non-small cell lung cancer whose complex renal cysts evolved after initiation and cessation of Crizotinib treatment. The coexistence as renal impairment persisted even after switching from Crizotinib to Ceritinib.
克唑替尼是第一代针对间变性淋巴瘤激酶(ALK)的酪氨酸激酶抑制剂之一,最近发现与复杂肾囊肿的发展有关,但目前尚无明确的解释。在此,我们讨论了一名75岁男性alk阳性非小细胞肺癌患者在开始和停止克唑替尼治疗后出现复杂肾囊肿的假设,即克唑替尼相关的复杂肾囊肿的发展和治疗开始后并存的肾脏损害。即使在从克唑替尼切换到西瑞替尼后,作为肾脏损害的共存仍然存在。
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引用次数: 1
Four pulse sequences necessary for liver MRI interpretation 四个脉冲序列必需的肝脏MRI解释
Pub Date : 2020-03-16 DOI: 10.46475/aseanjr.2020.05
L. Brown
MRI is the best imaging modality for detection and characterization of liver masses. There are multiple pulse sequences used in MRI and they can be confusing and difficult to understand. Therefore, four important pulse sequences are introduced in this article in order to simplify the seemingly complex pulse sequences, and allow general radiologists and clinicians of all specialties to approach MRI of liver masses with ease.
MRI是检测和表征肝脏肿块的最佳成像方式。MRI中使用了多个脉冲序列,它们可能令人困惑且难以理解。因此,本文介绍了四种重要的脉冲序列,以简化看似复杂的脉冲序列,使普通放射科医生和所有专业的临床医生能够轻松地处理肝脏肿块的MRI。
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引用次数: 0
Hepatic hemangioma in cirrhosis: Two case reports 肝硬化肝血管瘤2例报告
Pub Date : 2020-03-16 DOI: 10.46475/ASEANJR.2020.02
K. Dorji, Sunpob Cheewadhanaraks
Hepatic hemangioma is the most common primary liver tumor with a reported prevalence of 0.4-20%. However, the prevalence of hepatic hemangioma in cirrhosis is considered to be very low ranging from 1.2-1.7%. Also, the morphology and hemodynamics of the hemangioma are different from those found in non-cirrhotic liver. We report two cases of hepatic hemangioma in cirrhosis and their natural progression on follow-up.
肝血管瘤是最常见的原发性肝脏肿瘤,据报道患病率为0.4-20%。然而,肝硬化中肝血管瘤的患病率被认为很低,在1.2-1.7%之间。此外,血管瘤的形态和血流动力学与非肝硬化肝的血管瘤不同。我们报告两例肝硬化肝血管瘤和他们的自然进展的随访。
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引用次数: 0
期刊
The ASEAN Journal of Radiology
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