Pub Date : 2018-06-14DOI: 10.15406/IJRRT.2018.05.00163
D KarthikYadav, Patil Bharati
X rays form the ionizing type of radiation which is used widely in medical and dental practices for detection of disease and other abnormalities as well as to observe disease progression Radiation is a double edged sword with therapeutic and detrimental effects Dose reduction can be achieved by good decision making optimizing radiologic procedures and limitation of dose Atomic Energy Regulatory Board AERB is the Indian regulatory board for protection against radiation
{"title":"Radiation fortification: a clinical scenario in India","authors":"D KarthikYadav, Patil Bharati","doi":"10.15406/IJRRT.2018.05.00163","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00163","url":null,"abstract":"X rays form the ionizing type of radiation which is used widely in medical and dental practices for detection of disease and other abnormalities as well as to observe disease progression Radiation is a double edged sword with therapeutic and detrimental effects Dose reduction can be achieved by good decision making optimizing radiologic procedures and limitation of dose Atomic Energy Regulatory Board AERB is the Indian regulatory board for protection against radiation","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134455563","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}
Pub Date : 2018-06-12DOI: 10.15406/IJRRT.2018.05.00161
E. Fleury, B. Maragno, V. Ayres, L. C. Ramalho, Decio Roveda Junior, C. A. Ferreira
Background Magnetic resonance imaging MRI is the most sensitive imaging method for breast cancer detection Its introduction in breast cancer screening programs has been discussed in the last decade Currently in combination with mammography the gold standard screening method MRI is recommended to screen women at high genetic risk for developing breast cancer Despite its high sensitivity to detect breast cancer few articles discuss the presence of false negative results obtained by the MRI exam and the reasons for these results False negative results associated with an inadequate study method the histological lesion type and the background breast parenchymal enhancement pattern are reported in the literature For example concerning the histological type low grade ductal carcinoma in situ DCIS is considered to be related to the lack of lesion enhancement in the dynamic phases which is a determinant for the negative result Regarding the background enhancement pattern it is believed that moderate and intense patterns have a higher correlation with false negative results Main body This study aims to discuss the reasons for false negative MRI results using cases studied in our department The discussion is based on cases of breast carcinoma diagnosis that were negative on MRI studies The enhancement patterns of breast masses were correlated with the background enhancement pattern and the histological tumor type The cases included DCIS invasive ductal carcinoma invasive lobular carcinoma and interval carcinoma Conclusion False negative MRI results can occur in all three types of kinetic curves All carcinomas show enhancement after the injection of contrast however if the enhancement is identical to the parenchyma its presence is not noticeable It is always important to consider the assessment of the spatial morphology of the lesion by MRI
{"title":"False negative carcinomas on breast magnetic resonance imaging: histological types, enhancement pattern and background parenchymal enhancement","authors":"E. Fleury, B. Maragno, V. Ayres, L. C. Ramalho, Decio Roveda Junior, C. A. Ferreira","doi":"10.15406/IJRRT.2018.05.00161","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00161","url":null,"abstract":"Background Magnetic resonance imaging MRI is the most sensitive imaging method for breast cancer detection Its introduction in breast cancer screening programs has been discussed in the last decade Currently in combination with mammography the gold standard screening method MRI is recommended to screen women at high genetic risk for developing breast cancer Despite its high sensitivity to detect breast cancer few articles discuss the presence of false negative results obtained by the MRI exam and the reasons for these results False negative results associated with an inadequate study method the histological lesion type and the background breast parenchymal enhancement pattern are reported in the literature For example concerning the histological type low grade ductal carcinoma in situ DCIS is considered to be related to the lack of lesion enhancement in the dynamic phases which is a determinant for the negative result Regarding the background enhancement pattern it is believed that moderate and intense patterns have a higher correlation with false negative results Main body This study aims to discuss the reasons for false negative MRI results using cases studied in our department The discussion is based on cases of breast carcinoma diagnosis that were negative on MRI studies The enhancement patterns of breast masses were correlated with the background enhancement pattern and the histological tumor type The cases included DCIS invasive ductal carcinoma invasive lobular carcinoma and interval carcinoma Conclusion False negative MRI results can occur in all three types of kinetic curves All carcinomas show enhancement after the injection of contrast however if the enhancement is identical to the parenchyma its presence is not noticeable It is always important to consider the assessment of the spatial morphology of the lesion by MRI","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129769487","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}
Pub Date : 2018-06-06DOI: 10.15406/IJRRT.2018.05.00160
V. L. Abud, Fern, O. León, M. Jamel, R. Martinez
Acute appendicitis represents one of the most common causes of abdominal pain and is among the leading causes of general surgery emergencies,1,2 affecting around 6 to 7% of western world countries’ population.1 Aiming at reducing its morbimortality, prompt diagnosis and surgical intervention should be employed, and therefore it is recommended that physicians adopt a low threshold for suspecting appendicitis, almost always including it in the differential diagnosis of abdominal pain.
{"title":"Laparoscopic approach for the treatment of left-sided acute appendicitis associated with malrotation","authors":"V. L. Abud, Fern, O. León, M. Jamel, R. Martinez","doi":"10.15406/IJRRT.2018.05.00160","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00160","url":null,"abstract":"Acute appendicitis represents one of the most common causes of abdominal pain and is among the leading causes of general surgery emergencies,1,2 affecting around 6 to 7% of western world countries’ population.1 Aiming at reducing its morbimortality, prompt diagnosis and surgical intervention should be employed, and therefore it is recommended that physicians adopt a low threshold for suspecting appendicitis, almost always including it in the differential diagnosis of abdominal pain.","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124505232","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}
Pub Date : 1900-01-01DOI: 10.15406/ijrrt.2021.08.00295
J. Oumerzouk
Introduction: The posterior reversible encephalopathy (PRE) is a clinico-radiologic syndrom characterized by seizures, consciousness’s disorder, visual loss, and headache associated with cerebral posterior abnormalities on imaging. It raises often a problem of differential diagnosis with cerebral infarction. Case reports: We report the case of five patients, the first followed for systemic lupus erythematosus, the second is hypertensive poorly follow-up, the 3 other patients were in postpartum after cesarean delivery. All our patients had generalized tonic-clonic seizures associated with an hypertensive peak without edema syndrome. Laboratory tests were unremarkable. The EEG showed epileptic abnormalities and brain MRI was in favor of a reversible posterior leukoencephalopathy. Evolution under treatment was favorable without recurrence with a decline of 20 months. Conclusion: Rapid regression clinical and radiolologic abnormalities suggest cerebral vosogenic oedema as mechanism of this disease and confirm its mildness. Nevertheless, PRE may not be reversible without an early control of causes.
{"title":"A case series of posterior reversible encephalopathy syndrome","authors":"J. Oumerzouk","doi":"10.15406/ijrrt.2021.08.00295","DOIUrl":"https://doi.org/10.15406/ijrrt.2021.08.00295","url":null,"abstract":"Introduction: The posterior reversible encephalopathy (PRE) is a clinico-radiologic syndrom characterized by seizures, consciousness’s disorder, visual loss, and headache associated with cerebral posterior abnormalities on imaging. It raises often a problem of differential diagnosis with cerebral infarction. Case reports: We report the case of five patients, the first followed for systemic lupus erythematosus, the second is hypertensive poorly follow-up, the 3 other patients were in postpartum after cesarean delivery. All our patients had generalized tonic-clonic seizures associated with an hypertensive peak without edema syndrome. Laboratory tests were unremarkable. The EEG showed epileptic abnormalities and brain MRI was in favor of a reversible posterior leukoencephalopathy. Evolution under treatment was favorable without recurrence with a decline of 20 months. Conclusion: Rapid regression clinical and radiolologic abnormalities suggest cerebral vosogenic oedema as mechanism of this disease and confirm its mildness. Nevertheless, PRE may not be reversible without an early control of causes.","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130753561","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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