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Appendico-Vaginal Fistula – A Rare Complication Of Appendicitis 阑尾阴道瘘——阑尾炎的一种罕见并发症
Pub Date : 2012-01-24 DOI: 10.5580/2aa9
P. Chatra, S. VinayakaU
Appendicitis is one of the most common conditions encountered in emergency surgical practice. Fistulous communication of appendix into adjacent organs is rare. Appendicovaginal fistula is extremely rare.
阑尾炎是急诊外科实践中最常见的疾病之一。阑尾瘘管状连接邻近器官是罕见的。阑尾阴道瘘极为罕见。
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引用次数: 3
Uniqueness Of Refractive Index As An Effective Diagnostic Parameter For Brain Lesions: A Novel Noninvasive Technique To Predict Refractive Index From CT-MR Fusion Image By Applying Feynman’s Equation 折射率作为脑病变有效诊断参数的独特性:一种应用费曼方程预测CT-MR融合图像折射率的无创新技术
Pub Date : 2012-01-24 DOI: 10.5580/2afa
T. Biswas, S. Ramadan, S. Ghosh, Rabi N. Bhattacharya
PURPOSE – The refractive index (RI) is a unique physical property of tissue. It changes in neoplastic and inflammatory condition of brain due to depletion of tissue glutathione concentration changing the electron density. The purpose of the study was to predict RI value of the brain lesions from the CT-MR fused images non invasively. MATERIALS AND METHODS –CTMR fusion image was produced by combining CT and MR images by rigid registration technique to detect the pathology accurately. Independent component analysis determines the color value and gray value of the images of the tissue. These values were then used by Neural Network software to generate a color mapping of the CT-MR fusion image. Electron density derived from CT images and optical frequency from color image were used to determine RI value by applying Feynman’s equation. RI value and glutathione levels of corresponding biopsy specimens were determined in the laboratory. RESULTS –.A colored CT-MR fusion image shows true color of the tissue. The RI values determined from images were in agreement with biopsy determined RI values. Values between 1.353 through 1.359 are benign and RI value above 1.412 were found malignant.CONCLUSIONPredicting RI value using colored CT-MR fused images will increase diagnostic accuracy.
目的-折射率(RI)是组织的一种独特的物理性质。由于组织谷胱甘肽浓度的消耗改变了电子密度,它在肿瘤和脑炎症条件下发生变化。本研究的目的是通过无创的CT-MR融合图像来预测脑病变的RI值。材料与方法:采用刚性配准技术,将CT与MR图像结合生成ctmr融合图像,准确检测病变。独立分量分析确定组织图像的颜色值和灰度值。然后神经网络软件使用这些值生成CT-MR融合图像的颜色映射。利用CT图像的电子密度和彩色图像的光学频率,应用Feynman方程确定RI值。在实验室测定相应活检标本的RI值和谷胱甘肽水平。——结果。彩色CT-MR融合图像显示组织的真实颜色。图像确定的RI值与活检确定的RI值一致。在1.353 ~ 1.359之间为良性,在1.412以上为恶性。结论彩色CT-MR融合图像预测RI值可提高诊断准确率。
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引用次数: 2
Simulation Of Contrast Enhancement Of Various Brain Lesions (Without Iv Gadolinium) By Using The Neural Network 用神经网络模拟不同脑病变(不加钆)的对比增强
Pub Date : 2012-01-24 DOI: 10.5580/2b5b
T. Biswas
PURPOSE:To produce an enhancement-like effect of the brain lesions of MRI images mathematically, without intravenous injection of contrast.INTRODUCTION:To improve the visibility of internal body structures, MRI contrast agents are used. Gadolinium (Gd), a paramagnetic substance, is the most commonly used compound for contrast enhancement. Gd is introduced into the blood stream for enhancement of brain tumors and various lesions depending upon the degradation of the blood-brain barrier. Due to their hydrophilic character, gadolinium chelates do not pass the blood-brain barrier. Contrast (Gd) mediated nephropathy (CMN) and systemic fibrosis are two notorious, irreversible complications.MATERIALS AND METHODS: A multi-slice EPI IR sequence was used to assess T1 relaxation times of various brain lesions and brain tumors before and after administration of gadolinium. T1 relaxation time and signal intensity with corresponding gray scale values (out of 256 shades) of various brain lesions before and after IV contrast were tabulated. A statistical relationship was determined for the magnitude of changes in the T1 values of brain tumors before and after the contrast material was added. Enhancement-like effects of the lesions could be reproduced mathematically with the help of neural networks without the IV contrast injection. With the help of Kmean clustering, the data were classified. A mapping function was generated that corresponded between these independent components and the cross-sectional data by using the neural network after training the network with a sample dataset. The training sample for the network was selected using K-mean clustering. A mapping of the lesion was done overlaid on the T1 weighted image.CONCLUSION: An attempt was successfully made to enhance various brain lesions statistically utilizing neural networks and without using IV contrast.
目的:在不需要静脉注射造影剂的情况下,用数学方法对脑病变MRI图像产生类似增强的效果。简介:为了提高身体内部结构的可见性,使用MRI造影剂。钆(Gd)是一种顺磁性物质,是最常用的增强对比的化合物。Gd被引入血流中,根据血脑屏障的降解增强脑肿瘤和各种病变。由于其亲水性,钆螯合物不能通过血脑屏障。造影剂(Gd)介导的肾病(CMN)和系统性纤维化是两种臭名昭著的、不可逆的并发症。材料与方法:采用多层EPI IR序列评估钆给药前后各种脑病变和脑肿瘤的T1松弛时间。将静脉造影前后各脑病变T1松弛时间及相应灰度值(256个灰度中)的信号强度制成表格。对比剂加入前后脑肿瘤T1值的变化幅度有统计学意义。无需静脉注射造影剂,在神经网络的帮助下,病灶的增强效应可以在数学上重现。利用Kmean聚类对数据进行分类。用样本数据集训练神经网络后,利用神经网络生成这些独立分量与截面数据对应的映射函数。使用k -均值聚类选择网络的训练样本。病变的映射覆盖在T1加权图像上。结论:在不使用静脉造影剂的情况下,利用神经网络对各种脑病变进行统计学增强的尝试取得了成功。
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引用次数: 2
Rural versus Urban: Tennessee Health Administrators’ Strategies on Recruitment and Retention for Radiography 农村与城市:田纳西州卫生管理人员在放射学招募和保留方面的策略
Pub Date : 2011-01-01 DOI: 10.5580/239d
Ester L. Verhovsek, D. Slagle, R. Byington
There is a growing interest in understanding recruitment, retention, and turnover of allied health professionals in consideration of employment trends and workforce mobility, an increased need to understand the healthcare delivery system and the dynamic nature of the allied health workforce, especially for rural areas. A survey was sent to allied health administrators across a variety of allied health disciplines from the state of Tennessee hospitals in order to gauge opinions on retention and recruitment strategies. Overall, successful strategies for recruitment and retention of radiography professionals were reported, as well as, differences between urban and rural areas, differences among allied health disciplines, perceptions of strategy effectiveness, and key strategies for rural allied health recruitment.
考虑到就业趋势和劳动力流动性,人们对了解联合医疗专业人员的招聘、保留和流动越来越感兴趣,越来越需要了解医疗保健服务系统和联合医疗工作人员的动态性质,特别是在农村地区。一份调查被发送到联盟健康管理人员在各种联盟健康学科从田纳西州的医院,以评估意见的保留和招聘策略。总体而言,报告了成功的招聘和留住放射专业人员的策略,以及城市和农村地区之间的差异、联合卫生学科之间的差异、对战略有效性的看法以及农村联合卫生招聘的关键策略。
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引用次数: 2
Characterisation of Central Nervous System, Liver, and Abdomino-Pelvic Tumours using Meglumine Gadoterate: Pooled Phase III Studies. 中枢神经系统、肝脏和腹部-盆腔肿瘤的特征:汇总III期研究。
Pub Date : 2010-12-31 DOI: 10.5580/3ee
J. Pruvo, V. Vilgrain, C. Roy, P. Peretti, P. Halimi, O. Ernst, P. Valette, C. Matos, C. El-Khoury
Aim: To compare the diagnostic performance of Gd-DOTA-enhanced MRI with non-enhanced MRI in the characterization of tumoral lesions with histological (or other) corroboration.Materials and Methods: Pooled data included 381 patients from three comparable Phase III trials of patients with abdomino-pelvic, hepatic and cerebro-spinal lesions. Each patient underwent MRI with appropriate unenhanced sequences (pre), followed by an injection of Gd-DOTA (0.1 mmol/kg) and corresponding enhanced sequences (post). Histology was used as the gold standard or, in the hepatic study, a corroborative diagnosis. Qualitative and quantitative assessments of images were done by one on-site and two independent off-site blinded readers.Results: Technical failures were at least five times more frequent on the unenhanced sequences compared with the GdDOTA-enhanced sequences. Delineation of lesion borders was superior with enhanced MRI compared with unenhanced MRI, irrespective of evaluation off-site (‘post’-injection/‘pre+post’-injection: 60.9%/65.3% versus ‘pre’-injection: 35.5%, p<.0001) or onsite (post: 75.8%, versus pre: 39.9%, p<.0001). Gd-DOTA sequences improved diagnostic confidence both off-site (76.2%/83.2% versus pre: 57.6%, p<.0001) and on-site (88.7%/93.9% versus pre: 43.9%, p<.0001). Sensitivity and specificity were statistically significantly improved with Gd-DOTA for off-site (pre+post/post: 90.3%/88.8% versus pre 84.3%; and 71.1%/76.2% versus 65.3%) and on-site (95.2%/94.7% versus 71.2% and 81.9%/81.0% versus 60.8%) readings, respectively. There were no unexpected adverse events.Conclusion: Gd-DOTA-enhanced MRI resulted in fewer technical failures, better image quality and better diagnostic performance compared with unenhanced MRI, confirming that Gd-DOTA adds clinical value and greater diagnostic confidence to the characterization of tumoral lesions.
目的:比较gd - dota增强MRI与非增强MRI在组织学(或其他)证实的肿瘤病变特征中的诊断性能。材料和方法:汇集的数据包括381例来自3个可比较的III期临床试验的患者,这些患者分别患有腹部-骨盆、肝脏和脑脊髓病变。每例患者均行MRI扫描,扫描前为适当的未增强序列,注射Gd-DOTA (0.1 mmol/kg),扫描后为相应的增强序列。组织学被用作金标准,或者在肝脏研究中作为确证诊断。图像的定性和定量评估由一名现场和两名独立的非现场盲读器完成。结果:与gddota增强序列相比,未增强序列的技术故障发生率至少高出5倍。与未增强MRI相比,增强MRI对病变边界的描绘优于未增强MRI,无论非现场评估(“注射后”/“注射前+注射后”:60.9%/65.3% vs“注射前”:35.5%,p< 0.0001)或现场评估(后:75.8%,vs前:39.9%,p< 0.0001)。Gd-DOTA序列提高了非现场诊断的可信度(76.2%/83.2%,而pre: 57.6%, p< 0.0001)和现场诊断的可信度(88.7%/93.9%,而pre: 43.9%, p< 0.0001)。Gd-DOTA对非现场患者的敏感性和特异性均有统计学显著提高(术前+术后/术后:90.3%/88.8% vs术前84.3%;71.1%/76.2%对65.3%)和现场(95.2%/94.7%对71.2%和81.9%/81.0%对60.8%)的读数。没有意外的不良事件。结论:Gd-DOTA增强MRI与未增强MRI相比,技术故障更少,图像质量更好,诊断性能更好,证实Gd-DOTA对肿瘤病变的表征具有临床价值和更大的诊断可信度。
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引用次数: 0
A Classic Case Of Polysplenia Syndrome With A Pancreatic Mass And SOLs In Liver 多脾综合征伴胰腺肿块及肝内SOLs 1例
Pub Date : 2010-12-31 DOI: 10.5580/1046
Vishal Gupta, Neema Agarwal
The ultrasound and CT appearance of a classic case of polysplenia syndrome is presented with an overview of associated anomalies. Note was made of a pancreatic mass in the same patient with multiple space occupying lesions (SOLs) in the liver.
超声和CT表现的一个经典案例的多脾综合征提出了相关异常的概述。在同一例患者中,胰腺肿块伴肝脏多发占位性病变(SOLs)。
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引用次数: 0
Intrahepatic Pancreatic Pseudocyst Complicating Chronic Calcific Pancreatitis - a rare cause for a cystic liver lesion 肝内胰腺假性囊肿并发慢性钙化性胰腺炎-一种罕见的肝囊性病变
Pub Date : 2009-12-31 DOI: 10.5580/1135
N. Mahmood, H. Suresh
Intrahepatic pancreatic pseudocyst is a very rare differential for a hepatic space occupying cystic lesion. Though pseudocysts complicating chronic calcific pancreatitis are well described , an isolated intrahepatic location is extremely rare. Moreover , Intrahepatic pancreatic pseudocysts are usually described following acute pancreatitis. In this case report we describe the case of a 60 year old male presenting with epigastric pain and abdominal distension, in whom computed tomography showed features of an intrahepatic pancreatic pseudocyst complicating chronic calcific pancreatitis, which was subsequently confirmed on surgery. The etiopathogenesis and the types of intrahepatic pancreatic pseudocysts are discussed in addition to describing the imaging differentials.
肝内胰腺假性囊肿是一种非常罕见的肝脏占位性囊性病变。虽然假性囊肿合并慢性钙化性胰腺炎有很好的描述,但孤立的肝内位置是极其罕见的。此外,肝内胰腺假性囊肿通常在急性胰腺炎后出现。在这个病例报告中,我们描述了一个60岁的男性,表现为胃脘痛和腹胀,计算机断层扫描显示肝内胰腺假性囊肿合并慢性钙化性胰腺炎的特征,随后在手术中得到证实。本文讨论了肝内胰腺假性囊肿的发病机制和类型,并描述了其影像学特征。
{"title":"Intrahepatic Pancreatic Pseudocyst Complicating Chronic Calcific Pancreatitis - a rare cause for a cystic liver lesion","authors":"N. Mahmood, H. Suresh","doi":"10.5580/1135","DOIUrl":"https://doi.org/10.5580/1135","url":null,"abstract":"Intrahepatic pancreatic pseudocyst is a very rare differential for a hepatic space occupying cystic lesion. Though pseudocysts complicating chronic calcific pancreatitis are well described , an isolated intrahepatic location is extremely rare. Moreover , Intrahepatic pancreatic pseudocysts are usually described following acute pancreatitis. In this case report we describe the case of a 60 year old male presenting with epigastric pain and abdominal distension, in whom computed tomography showed features of an intrahepatic pancreatic pseudocyst complicating chronic calcific pancreatitis, which was subsequently confirmed on surgery. The etiopathogenesis and the types of intrahepatic pancreatic pseudocysts are discussed in addition to describing the imaging differentials.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75279811","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}
引用次数: 0
Bilateral Proximal Femoral Focal Deficiency with fracture shaft of femur – A case report and review of literature. 双侧股骨近端局灶性缺损伴股骨骨干骨折1例报告并文献复习。
Pub Date : 2009-12-31 DOI: 10.5580/1cab
A. Qayum, A. Koka, Quibtiya Khursheed, A. Vakil, N. Shah
Proximal Femoral Focal Deficiency (PFFD) is a rare congenital deformity with femoral deficiency varying from hypoplasia with or without acetabular dysplasia to complete absence of the femur. It is bilateral in 15%. We report a case of congenital bilateral PFFD with fracture of shaft of femur.
股骨近端局灶性缺乏症(PFFD)是一种罕见的先天性股骨缺乏症,从伴或不伴髋臼发育不良到股骨完全缺失不等。15%是双侧的。我们报告一例先天性双侧PFFD伴股骨骨干骨折。
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引用次数: 1
Bilateral sterile gluteal abscesses following intramuscular injection of Penicillin: CT appearance 肌肉注射青霉素后的双侧无菌臀脓肿:CT表现
Pub Date : 2009-12-31 DOI: 10.5580/22d9
Silanath Peungjesada, P. Gupta, G. Rice, Vidisha Ghole, M. Ketkar
We report a case of sterile bilateral gluteal abscesses from intramuscular injection of penicillin with computed tomographic (CT) features, rarely described.
我们报告一例无菌双侧臀脓肿从肌肉注射青霉素与计算机断层扫描(CT)特征,很少描述。
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引用次数: 7
In vivo MR Measurement of Refractive Index, Relative Water Content and T2 Relaxation time of Various Brain lesions With Clinical Application to Discriminate Brain Lesions 不同脑病变折射率、相对含水量和T2弛豫时间的体内MR测量及其在脑病变鉴别中的临床应用
Pub Date : 2009-12-31 DOI: 10.5580/1483
T. Biswas, T. Luu
PURPOSE: Refractive index (RI) is unique in discriminating various tissues. It is dependent on water and solid components such as protein and phospholipid of brain tissue resembling hydrogel. Our purpose was to determine RI of normal and pathological tissues of brain from the MR T2 relaxation time (T2 value) to determine relative water and solid contents of a tissue and discriminate various pathological lesions by the help of RI in T2 weighted MR images.METHODS: In a 0.3 Tesla permanent and 3 Tesla superconductor magnets T2 maps were created along with T2 shades to get T2 value of various brain tissue homogenates prepared from biopsy samples of known RI using multi-echo datasets by a read out train. T2 value of CSF, gray/white matter and various pathological lesions were determined.From the relationship of RI and T2, a RI map of brain and RI shade were produced. Computer generated RI and color coded map of T2 weighted images of various lesions were created. RESULTS: Analyzing various RI of pathological lesions it was noted that, RI of malignant lesions were more than 1.421 whereas RI of benign lesions were less than 1.395CONCLUSION: RI and color coded map may discriminate between benign and malignant lesions of brain.
目的:折射率(RI)是鉴别不同组织的独特方法。它依赖于水和固体成分,如蛋白质和类似水凝胶的脑组织磷脂。我们的目的是通过磁共振T2弛豫时间(T2值)来确定正常脑组织和病理脑组织的RI,以确定组织的相对水和固体含量,并通过T2加权磁共振图像的RI来区分各种病理病变。方法:在0.3特斯拉永久磁体和3特斯拉超导体磁体中,使用读出序列的多回波数据集,创建T2图和T2阴影,以获得从已知RI的活检样本制备的各种脑组织匀浆的T2值。测定脑脊液、灰质/白质T2值及各病理病变。根据RI与T2的关系,绘制脑内RI图和RI阴影。计算机生成各病变T2加权图像的RI和彩色编码图。结果:分析各种病理病变的mri,发现恶性病变的mri > 1.421,良性病变的mri < 1.395。结论:mri和彩色编码图可以区分脑良、恶性病变。
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引用次数: 30
期刊
The Internet Journal of Radiology
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