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Coronary artery calcium–a review article 冠状动脉钙化——一篇综述文章
Pub Date : 2018-11-19 DOI: 10.15406/IJRRT.2018.05.00186
Aqsa Iqbal, A. Hussain, Anum Iqbal
Abbreviations: CAC, coronary artery calcium; CAD, coronary artery disease; AAC, abdominal aortic calcification; CT, computed tomography; CKD, chronic kidney disease; NE, norepinephrine; HAART, highly active antiretroviral therapy; ASCVD, atherosclerosis cardiovascular disease; NAFLD, non-alcoholic fatty liver disease; MESA, multiethnic study of atherosclerosis; LDL, low density lipoproteins; HRT, hormonal replacement therapy; ROS, reactive oxygen species; PPAR-Ɣ, peroxisome proliferator activated receptor–Ɣ; ALP, alkaline phosphatase; SMC, smooth muscle cells; SHTC, second hand tobacco smoke; TNF, tumor necrosis factor; IL, interleukin; HDL, high density lipoproteins; VCAM, vascular cell adhesion molecule-1; ICAM, intracellular cell adhesion molecule–1; DECC, dual energy coronary calcium
缩写:CAC,冠状动脉钙;冠心病,冠状动脉疾病;AAC,腹主动脉钙化;CT,计算机断层扫描;CKD,慢性肾病;不,去甲肾上腺素;高效抗逆转录病毒疗法;ASCVD,动脉粥样硬化性心血管疾病;NAFLD,非酒精性脂肪性肝病;MESA,动脉粥样硬化的多民族研究;LDL,低密度脂蛋白;HRT,激素替代疗法;ROS,活性氧;PPAR-Ɣ,过氧化物酶体增殖物激活受体-Ɣ;ALP,碱性磷酸酶;SMC,平滑肌细胞;二手烟草烟雾;肿瘤坏死因子;IL,白介素;HDL,高密度脂蛋白;VCAM,血管细胞粘附分子-1;ICAM,胞内细胞粘附分子- 1;双能冠状动脉钙
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引用次数: 1
Upper extremity monoparesis in an adololescent without obvious profound etiology 无明显病因的青少年上肢单侧
Pub Date : 2018-11-19 DOI: 10.15406/IJRRT.2018.05.00189
D. Panagopoulos
Background nbsp Spinal nbsp cord nbsp injury nbsp in nbsp children nbsp is nbsp associated nbsp with nbsp severe nbsp morbidity and nbsp immense nbsp socioeconomic nbsp burden nbsp In nbsp spinal nbsp cord nbsp injury nbsp without nbsp radiologic nbsp abnormalities nbsp nbsp SCIWORA nbsp nbsp magnetic nbsp nbsp resonance nbsp nbsp imaging nbsp nbsp MRI nbsp nbsp can nbsp nbsp detect nbsp nbsp intramedullary nbsp or nbsp extramedullary nbsp pathologies nbsp or nbsp show nbsp absence nbsp of nbsp neuroimaging abnormalities Pathogenesis of SCIWORA is based on the concept that the inherently elastic paediatric spinal column can afford significant degree of segmental dislocation resulting nbsp in nbsp damage nbsp of nbsp the nbsp spinal nbsp cord nbsp without nbsp any nbsp obvious nbsp spinal nbsp fracture nbsp or ligamentous disruption Case nbsp presentation nbsp The nbsp medical nbsp history nbsp of nbsp the nbsp patient nbsp includes nbsp only nbsp a nbsp delayed nbsp presentation of unilateral upper extremity weakness to a child after violent traction of neck and upper extremity A Guilford type brace was applied to the patient for months and the neurological outcome was eventually relatively uneventful The clinical and radiologic work up combined with the neurological findings established the nbsp diagnosis nbsp of nbsp SCIWORA nbsp and nbsp we nbsp are nbsp highlighting nbsp the nbsp clinical nbsp and nbsp radiological nbsp features Conclusion Review of the literature regarding SCIWORA cases reveals that the recognition of only edema of the spinal cord without evidence of haemorrhage as a positive predictive factor SCIWORA should be included in the differential diagnosis of cases with paresis of the extremities even though the possible traumatic event may manifest a significant time delay from the clinical sequelae as it was the case for our patient nbsp
背景脊线损伤在帮孩子盼盼盼盼随着严重盼就是盼相关发病率和巨大的社会经济负担盼盼盼盼,盼脊髓盼绳盼受伤没有盼放射盼异常盼SCIWORA盼盼盼盼磁性共振成像MRI盼盼盼盼盼盼能盼盼盼盼检测髓内盼盼盼或骨髓病态盼盼或盼显示没有盼盼盼神经影像学异常SCIWORA的发病机制是基于这样的概念:固有弹性的儿童脊柱可承受严重程度的节段脱位,导致nbsp损伤nbsp脊髓nbsp无任何nbsp明显的nbsp脊柱nbsp骨折nbsp或韧带断裂病例nbsp表现nbsp病史nbsp患者nbsp包括nbsp仅nbsp和nbsp延迟nbsp表现1例儿童颈部及上肢剧烈牵引后单侧上肢无力,患者使用Guilford型支具数月,神经学预后相对平稳。临床及影像学检查结合神经学表现,确定了nbsp诊断nbsp, SCIWORA nbsp, nbsp,我们nbsp是nbsp,突出nbsp的临床和放射学特征关于SCIWORA病例的研究表明,仅仅识别脊髓水肿而没有出血的证据是一个积极的预测因素,SCIWORA应该被包括在四肢麻痹病例的鉴别诊断中,即使可能的创伤事件可能从临床后遗症中表现出明显的时间延迟,就像我们的患者nbsp一样
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引用次数: 0
Lipiodol in the turkish sea 土耳其海的利皮奥多尔
Pub Date : 2018-11-19 DOI: 10.15406/ijrrt.2018.05.00190
L. Sonia, Benjamin Rowstron
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引用次数: 0
Primary renal lymphoma: CT findings of a rare case 原发性肾淋巴瘤:罕见病例的CT表现
Pub Date : 2018-11-16 DOI: 10.15406/IJRRT.2018.05.00185
I. K. Yirgin
Primary renal lymphoma PRL is an extremely rare disease Due to the relative rarity of PRL few studies have classified the imaging patterns of the disease We describe computed tomography CT findings of a patient with PRL and discuss the differential imaging features PRL is typically large hypovascular infiltrative solid mass that does not invade the vessels Having an understanding of typical imaging findings is very important for accurate diagnosis differentiation from other renal malignancies and a correct decision to biopsy
原发性肾淋巴瘤(PRL)是一种极为罕见的疾病,由于其相对罕见,很少有研究对该病的影像学模式进行分类。本文描述了一例原发性肾淋巴瘤患者的计算机断层CT表现,并讨论了其鉴别影像学特征。原发性肾淋巴瘤是一种典型的不侵犯血管的大的低血管浸润性固体肿块,了解其典型的影像学表现对于准确诊断和鉴别其他肾脏恶性肿瘤非常重要以及活检的正确决定
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引用次数: 1
Development of a treatment technique for the AeroForm™ tissue expander breast implant system–a single department experience 为AeroForm™组织扩张乳房植入系统开发一种治疗技术-单部门经验
Pub Date : 2018-10-01 DOI: 10.15406/IJRRT.2018.05.00182
Y. Zissiadis, Jennie Gilliman, Inanda Shaw B Rad, P. Mcloone
Purpose Air tissue expander systems offer breast cancer patients a number of advantages but present an unusual challenge when treating patients post mastectomy with external beam radiation therapy The primary aim of this study was to describe the planning protocol developed for external beam locoregional radiation therapy RT in post mastectomy patients with in situ air expanders and to quantify the effect of the AeroForm trade AirXpanders reg Palo Alto California implant on target volumes and treatment factors Secondary aims included an evaluation of clinical outcomes including acute side effects Methods and materials This is a single institution review of eight female patients treated between March and August All patients received a prescription of cGy in treatments delivered five times per week Specific density overrides were applied to critical structures in order to achieve the most accurate dose distribution Acute side effects were assessed at weeks two four and six during radiation therapy and followed up at week six after the final treatment Results A three dimensional D conformal radiation therapy CRT tangential wedged pair technique with additional contouring and density overrides applied to critical structures is suitable for patients with breast air tissue expanders mm ndash mm of bolus over the entire chest wall throughout treatment enhances treatment delivery accuracy to the superficial skin layers without increasing early acute skin reactions Conclusion It is feasible to plan radiation therapy in patients with air tissue expanders requiring chest wall with or without nodes irradiation using an appropriate planning technique and density overrides to critical structures The addition of bolus to the entire chest wall increases dose distribution accuracy Early clinical results show that this treatment method is reproducible has acceptable early toxicity and results in similar acute toxicity to those seen in patients without air expanders Our air expander protocol will continue to be adapted as additional prospective data is collected
目的:空气组织扩张系统为乳腺癌患者提供了许多优势,但在对乳房切除术后患者进行外部束放射治疗时,提出了一个不寻常的挑战。本研究的主要目的是描述为乳房切除术后患者使用原位空气扩张器进行外部束局部放射治疗RT制定的计划方案,并量化AeroForm贸易AirXpanders reg加州帕洛阿尔托植入物对靶体积和目标体积的影响治疗因素次要目的包括评估临床结果包括急性副作用方法和材料这是一项针对3月至8月期间接受治疗的8名女性患者的单一机构综述,所有患者在每周5次的治疗中接受cGy处方,为了获得最准确的剂量分布,在关键结构上应用了特定密度覆盖,以获得最准确的剂量分布结果三维三维适形放射治疗CRT切向楔形对技术,附加轮廓和密度覆盖应用于关键结构,适用于乳房空气组织扩张器mm和mm在整个胸壁上的整个治疗过程中,提高了对浅表皮肤层的治疗传递准确性,而不增加早期急性皮肤反应结论对于需要胸壁有或没有淋巴结照射的患者,使用适当的计划技术和密度覆盖关键结构的胸壁是可行的,在整个胸壁添加丸增加了剂量分布的准确性,早期临床结果表明这种治疗方法是可重复的,具有可接受的早期毒性,结果与未使用空气扩张器的患者相似随着收集到更多的预期数据,将继续调整扩展器方案
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引用次数: 1
Combined positron emission and computed tomography in study of the metabolism of chronic nephrouropathic diseases 联合正电子发射和计算机断层扫描在慢性肾病代谢研究中的应用
Pub Date : 2018-09-27 DOI: 10.15406/IJRRT.2018.05.00181
Berdichevskyy Vb, Berdichevskyy Ba
Combined positron emission and computed tomography in study of the metabolism of chronic nephrouropathic diseases
联合正电子发射和计算机断层扫描在慢性肾病代谢研究中的应用
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引用次数: 2
All forefoot’s pain are not morton’s neuroma-a pictorial review of the forefoot musculoskeletal conditions mimicking mortons neuroma 并不是所有的前足疼痛都是莫顿神经瘤——一个模拟莫顿神经瘤的前足肌肉骨骼疾病的图片综述
Pub Date : 2018-09-25 DOI: 10.15406/IJRRT.2018.05.00179
A. Mehta, A. Chourasia, C. Urigo, A. Sahu
Introduction Ultrasound US and Magnetic resonance imaging MRI of the foot are often requested by foot and ankle specialists or general physicians GPs and the reason for these referral requests to Musculoskeletal Radiologists is usually forefoot and midfoot pain The request card for these patients usually states Morton rsquo s neuroma as a working suspected diagnosis However there are many other conditions that can mimic Morton rsquo s neuroma Materials and methods This article demonstrates multiple conditions that we have come across in our practice Between July and February we received consecutive patients from GP and specialists for ultrasound of foot with various clinical suspicions Standard ultrasonography of the foot was performed using high frequency probes by consultant muskuloskeltal radiologists Results Various differential diagnoses included intermetatarsal bursitis stress frature degenerative changes of the metatarsophalangeal and tarsometatarsal joints inflammatory arthropathy causing synovitis and joint effusions turf toe sesamoiditis freiberg rsquo s disease plantar plate disruption tenosynovitis of flexor or extensor tendons Additionally benign conditions have been detected at such as soft tissue disorders ganglions calluses adventitial bursitis plantar fibromatosis and haemangioma Furthermore malignant conditions such as giant cell tomour of tendon sheath and schwannomas were also detected Conclusion To improve the diagnosis of forefoot non specific foot pain healthcare professionals need to collect a complete and careful history perform thorough physical examinations and to be more aware about the possible conditions that lead to foorfoot foot pain This will avoid unnecessary visits to GPs orthopaedic surgeons and radiologists
足部和踝关节专家或全科医生经常要求进行足部超声和磁共振成像MRI检查,这些要求转介给肌肉骨骼放射科医生的原因通常是前足和中足疼痛,这些患者的请求卡通常将莫顿氏神经瘤作为工作疑似诊断,然而还有许多其他情况可以模拟莫顿氏神经瘤在7月至2月期间,我们连续接待了GP和专家的足部超声患者,他们有各种临床怀疑,由肌肉骨骼放射科医师使用高频探头对足部进行标准超声检查。结果各种鉴别诊断包括跖间滑囊炎、应力性骨折、跖趾退行性改变和跗跖关节炎症关节病变引起的滑膜炎和关节积液草皮趾性腱鞘炎freiberg氏病足底板断裂屈、伸肌腱腱鞘炎此外,软组织病变如神经节、老茧、外膜滑囊炎、足底纤维瘤病、血管瘤等均可检出良性病变,腱鞘巨细胞瘤、神经鞘瘤等恶性病变也可检出足部疼痛保健专业人员需要收集完整和仔细的病史,进行彻底的身体检查,并更多地了解可能导致足部疼痛的情况,这将避免不必要的全科医生、骨科医生和放射科医生的就诊
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引用次数: 1
Giant sacral tarlov cyst and renal insufficiency 巨大的骶塔洛夫囊肿和肾功能不全
Pub Date : 2018-09-18 DOI: 10.15406/IJRRT.2018.05.00178
Vagner Clayton de Paiva, Guilherme Augusto Foizer, I. D. Vasconcelos, A. C. Junior, Carlos Gorios
Perineural sacral cysts also called Tarlov cysts are pathologic collections of cerebrospinal fluid CSF They are typically located at the junction of the dorsal ganglion and the posterior nerve root and use to develop between the endoneurium and perineurium of the nerve root Tarlov cysts were described in as an incidental finding during an autopsy in fillum terminale They occur around of the general population and generally are most commonly small asymptomatic and discovered as an incidental finding on lumbosacral imaging studies obtained for evaluation of degenerative spine disease However in a symptomatic population the prevalence was reported at They are more comom at female patients The most common location in the spine is the sacral region with the S S nerve roots most commonly affected The patient may complain low back pain sciatica coccydinia or cauda equina syndrome The cysts are usually diagnosed on Magnetic Ressonance Image MRI which shows the lesion arising from sacral nerve roots Ten years after his original description Tarlov advised extensive surgery with sacral laminectomy and excision of the cyst along with the nerve root Paulsen reported CT guided percutaneous aspiration of Tarlov cysts for relief of sciatica Recently microsurgical excision of the cyst has been described as well as clipping technique Also closure of the communication between arachnoid and cyst sacrificing near neural roots has been reported
骶神经周围囊肿也称为Tarlov囊肿,是脑脊液CSF的病理集合,它们通常位于背神经节和后神经根的交界处,并在神经根的神经内膜和神经周围膜之间发展,Tarlov囊肿被描述为在终末填充的尸检中偶然发现的,它们发生在一般人群中,通常是最常见的无症状的小的,是偶然发现的然而,在有症状的人群中,发病率在女性患者中更为常见,脊柱中最常见的部位是骶椎区,S神经根最常受影响,患者可能主诉腰痛,坐骨神经痛,尾骨痛或马尾综合征,囊肿通常在磁共振成像MRI上诊断,显示病变来自骶骨在他最初描述Tarlov的十年后,他建议进行广泛的手术,包括骶椎板切除术和囊肿连同神经根切除。Paulsen报道了CT引导下经皮穿刺Tarlov囊肿以缓解坐骨神经痛。最近,显微手术切除囊肿和夹闭技术也有报道,蛛网膜和囊肿之间的联系关闭,牺牲了神经根附近
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引用次数: 0
Ultrasound diagnosis of traumatic hemothorax 外伤性血胸的超声诊断
Pub Date : 2018-09-06 DOI: 10.15406/IJRRT.2018.05.00177
A. Hilendarov, K. Velkova, Aleksandar Georgiev, N. Siracov, L. Tchervenkov
Introduction The use of ultrasonography US for accurately identifying of free pleural fluid in the emergency patients sustaining blunt and penetrating trauma has been well established over the past years Aim To present our experience concerning the place of ultrasonography in the diagnosis follow up and therapy of free and encapsulated haemorrhagic collections in polytrauma patients Material and methods Thoracic US supine chest radiography and CT were performed to assess for haemothorax in patients female and male who sustained acute trauma of the chest US findings were compared with CT findings the reference standard for haemothorax detection All examinationsand invasive manipulations were performed with the informed consent of patients Results In female and male thoracic trauma patients in the conditions of emergency from August to September year were performed conventional examinations and interventional procedures under US and CT control All of the conventional ultrasound examinations were performed immediately after the primary clinical survey in the emergency department with the patient supine In of them a sufficient amount of liquid collections was obtained favoring the diagnosis and planning following therapy Only in cases of patients with performed invasive manipulations we failed to obtain pleural fluid due to thickened pleura All FNAs were continued with evacuation of fluid Conclusion Our experience and literature reports support the opinion that US should be used as a primery method in diagnosis and monitoring of haemothorax in major trauma patients
前言在急诊钝性和穿透性创伤患者中,超声对游离胸膜液的准确鉴别已经建立了多年的经验目的介绍超声在多发创伤患者游离性和囊性积血的诊断、随访和治疗中的地位在患者知情同意的情况下,将急性胸部创伤患者的超声检查结果与血胸检测参考标准CT检查结果进行比较。结果8 - 9月急诊情况下的男女胸部创伤患者均在超声检查和CT对照下行常规检查和介入手术在急诊科进行初步临床调查后立即进行检查,患者仰卧位,其中有足够的液体收集有利于诊断和计划后续治疗,只有在进行有创操作的患者中,由于胸膜增厚,我们未能获得胸膜液,所有的FNAs继续进行,并排出液体。结论我们的经验和文献报道支持US应该的观点可作为重大创伤患者血胸诊断和监测的主要方法
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引用次数: 0
Current possibilities of liver volume estimation in diagnostic ultrasound (ex vivo study) 诊断超声中肝体积估计的可行性(离体研究)
Pub Date : 2018-09-02 DOI: 10.15406/IJRRT.2018.05.00180
V. A. Izranov, A. Ermakov, M. Martinovich, Kazantseva Nv, I. Stepanyan
Ultrasound evaluation of the liver volume can be useful for clinicians to aid in objective quantitative assessment of the liver size For some organs for example thyroid gland testicles ovaries in diagnostic radiology the volume is the most objective criterion for estimation its size Today CT and MRI imaging modalities use an objective techniques for volume calculation of the liver MRI and CT based liver volumetry are regarded as gold standard for evaluation of the liver volume ndash Nevertheless currently the ultrasonic linear measurements being used clinically as an indicator of overall liver size Up to date in clinical sonography the ultrasound report contains only the linear measurements of the liver Surely this fact significantly reduces the diagnostic value of the clinical estimation of the liver size
对于某些器官,如甲状腺、睾丸、卵巢,在放射诊断学中,体积是估计其大小的最客观标准。今天,CT和MRI成像模式使用客观的技术来计算肝脏的体积。然而,基于MRI和CT的肝脏体积测量被认为是评估肝脏体积的金标准目前临床上使用超声线性测量作为肝脏总体大小的指标,目前在临床超声检查中,超声报告仅包含肝脏的线性测量,这一事实明显降低了临床估计肝脏大小的诊断价值
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引用次数: 5
期刊
International Journal of Radiology & Radiation Therapy
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