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2009 H1N1 Influenza Infection: Spectrum Of Chest CT Findings, With Radiologic- Pathologic Correlation 2009年H1N1流感感染:胸部CT表现谱,与放射-病理相关
Pub Date : 2009-12-31 DOI: 10.5580/198b
A. Nachiappan, E. Weihe, B. Akkanti, V. Bandi, N. Zarrin-Khameh, G. Abbott
The novel influenza A H1N1 virus resulted in the recent influenza pandemic of 2009. In this article, we describe the spectrum of thoracic computed tomography (CT) findings in 8 patients with laboratory-confirmed H1N1 infection. Peribronchovascular and subpleural groundglass opacities and consolidations, pulmonary embolism, and pleural effusions are recently reported findings. Volume loss, bronchial wall thickening, bronchiectasis, mosaic attenuation, and lymphadenopathy are not commonly reported findings. Cryptogenic organizing pneumonia developed as a complication in one of our H1N1 cases, which has not been previously reported. We also describe radiologic-pathologic correlation in an additional case, where autopsy demonstrated diffuse alveolar damage.
新型甲型H1N1流感病毒导致了最近的2009年流感大流行。在这篇文章中,我们描述了8例实验室确诊的H1N1感染患者的胸部计算机断层扫描(CT)表现。支气管血管周围和胸膜下磨玻璃混浊和实变,肺栓塞和胸膜积液是最近报道的发现。体积损失,支气管壁增厚,支气管扩张,马赛克衰减和淋巴结病不常被报道。隐源性组织性肺炎在我们的一个H1N1病例中发展为并发症,以前没有报道过。我们还描述了另一个病例的影像学病理相关性,其中尸检显示弥漫性肺泡损伤。
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引用次数: 1
The Optimal B Value In Diffusion-Weighted Magnetic Resonance Neurography Of The Brachial Plexus 臂丛弥散加权磁共振神经成像的最佳B值
Pub Date : 2009-12-31 DOI: 10.5580/8d
S. Zandieh, R. Bernt, S. Steinbach, J. Haller, A. Stadlbauer, R. Schmidhammer, H. Redl
Injuries to the brachial plexus typically result from road accidents and occur most commonly in young men involved in motorcycle accidents [1]. Brachial plexus injury is a rare entity, often resulting in lifelong motor and sensory dysfunctions. Moreover, lesions in the brachial plexus may lead to chronic pain [2]. Over the past several years diffusion-weighted imaging (DWI) has been widely applied to a variety of conditions, including infarcts, tumors, and demyelinating disease of the brain. DWI enables noninvasive characterization of biologic tissues based on their water diffusion properties. Diffusion-weighted images are obtained by acquiring T2-weighted images with the addition of a diffusion weighting gradient; the strength of the gradient is
臂丛损伤通常由交通事故引起,最常见于摩托车事故中的年轻男性[1]。臂丛神经损伤是一种罕见的疾病,通常会导致终生的运动和感觉功能障碍。此外,臂丛病变可导致慢性疼痛[2]。在过去的几年中,弥散加权成像(DWI)已被广泛应用于各种疾病,包括脑梗死、肿瘤和脱髓鞘疾病。DWI能够基于水扩散特性对生物组织进行无创表征。扩散加权图像是通过获取t2加权图像并加入扩散加权梯度得到的;梯度的强度为
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引用次数: 1
Common And External Iliac Artery Agenesis And Absence Of The Infrarenal Vena Cava Combined With Other Congenital Anomalies Incidentally Discovered During MDCT Evaluation Of Pelvic Varicocele. 在盆腔精索静脉曲张的MDCT评估中偶然发现的髂总动脉和外动脉发育不全和肾下腔静脉缺失合并其他先天性异常。
Pub Date : 2009-12-31 DOI: 10.5580/1e3a
L. A. Aquiriano, J. C. Balaguera, M. Canizares, M. Continente, L. T. Fanjul, T. Camaño
We present a case of an 18 year-old woman with previous history of congenital cardiopathy, surgically treated in the infancy, referred for multidetector-row CT (MDCT) evaluation of chronic pelvic pain. Pelvic congestion syndrome caused by pelvic varicocele was demonstrated and multiple congenital anomalies (agenesis of the left common and external iliac artery, absence of the infrarenal vena cava, septate uterus and congenital spinal malformations including a thoracic butterfly vertebra, coccygeal agenesis and sacral hypoplasia) were incidentally discovered. To our knowledge, such a combination of congenital anomalies has not previously been documented in the literature.
我们报告一例18岁女性先天性心脏病病史,婴儿期手术治疗,转介多排CT (MDCT)评估慢性盆腔疼痛。证实盆腔精索静脉曲张引起盆腔充血综合征,并偶然发现多种先天性异常(左髂总动脉和髂外动脉发育不全、肾下腔静脉缺失、子宫间隔和先天性脊柱畸形,包括胸蝶椎、尾骨发育不全和骶骨发育不全)。据我们所知,这种先天性畸形的组合以前没有文献记载。
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引用次数: 2
Duodenal carcinoid - A very rare cause of gastric outlet obstruction ( Duodenography-old is gold), with review of literature. 十二指肠类癌——一种非常罕见的引起胃出口梗阻的原因(十二指肠造影为金),文献回顾。
Pub Date : 2009-12-31 DOI: 10.5580/2683
N. Nazeer
Acquired gastric outlet obstruction (GOO) by a duodenal carcinoid is a very rare condition. We report an unusual case of 21 year old female who presented with epigastric fullness and postprandial upper abdominal distention of two and a half year duration and recurrent non bilious vomiting and progressive weight loss of two months duration. Confirmatory preoperative diagnosis was not available. The case was diagnosed as carcinoid postoperatively after pathologic examination. We are reporting this case because of its rarity and with excellent outcome if diagnosed and managed properly. Even on extensive search of medical literature we are not able to find report of such a lesion causing features of gastric outlet obstruction.
摘要获得性胃出口梗阻是一种非常罕见的十二指肠类癌。我们报告一个不寻常的情况下,21岁的女性谁提出上腹部丰满和餐后上腹胀持续两年半,反复的非胆汁性呕吐和进行性体重下降持续两个月。术前没有明确的诊断。术后经病理检查诊断为类癌。我们报告这一病例,因为它罕见,如果诊断和处理得当,结果很好。即使在广泛的医学文献搜索中,我们也无法找到这种病变引起胃出口梗阻特征的报告。
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引用次数: 0
Radiological profile of a neglected case of Macrodystrophia Lipomatosa of the foot 1例被忽视的足部巨营养不良性脂肪瘤的影像学分析
Pub Date : 2009-12-31 DOI: 10.5580/1be7
A. Mittal, Rakesh K. Gupta, I. Pawar, P. Bagga
Macrodystrophia Lipomatosa is a rare disorder characterized by three-dimensional enlargement of one or more fingers or toes with predominantly fibro adipose tissue. Macrodystrophia Lipomatosa is usually diagnosed during childhood. In this case, we will discuss the radiological findings in the neglected case of a 45 year female with macrodystrophia lipomatosis.
巨营养不良性脂肪瘤是一种罕见的疾病,其特征是一个或多个手指或脚趾三维扩大,主要是纤维脂肪组织。巨大营养不良性脂肪瘤通常在儿童时期被诊断出来。在这个病例中,我们将讨论被忽视的45岁女性巨营养不良性脂肪瘤病的影像学表现。
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引用次数: 1
A Radiographic technique for differentiating enamel and dentin in odontogenic tumors 牙源性肿瘤牙釉质与牙本质鉴别的影像学技术
Pub Date : 2009-12-31 DOI: 10.5580/2890
D. Shetty, A. Urs, R. Kaur
Tumors derived from odontogenic tissues constitute an unusually diverse group of lesions. This multiformity reflects the complex nature of development of dental structures. There occurs a wide range of radiographic manifestations which may result from the fact that the jaw bones contain dental components of ectodermal and mesodermal origin enamel, dentin, cementum, and pulp tissues(1).Radiographs are foremost and the most important diagnostic techniques. In histopathologic techniques like decalcified sections, calcified structures such as enamel which are highly mineralized may be lost and thus only their empty spaces may remain. Computed Tomography (CT) provides very good spatial resolution i.e. the ability to distinguish between two separate structures that are very close together. Through this case report we highlight the use of CT technique along with a colour contrast software which uses in its principle, methods to quantify & qualitate the density to distinguish between enamel and dentin to provide an accurate diagnosis.
来源于牙源性组织的肿瘤构成了一组不同寻常的病变。这种多样性反映了牙齿结构发育的复杂性。由于颌骨含有外胚层和中胚层源牙釉质、牙本质、牙骨质和牙髓组织等牙齿成分,因此会出现广泛的x线表现(1)。x光片是最重要的诊断技术。在组织病理学技术中,如脱钙切片,钙化结构,如高度矿化的牙釉质可能会丢失,因此只剩下它们的空腔。计算机断层扫描(CT)提供了非常好的空间分辨率,即区分两个非常接近的独立结构的能力。通过本病例报告,我们强调使用CT技术以及色彩对比软件,该软件使用其原理,方法来量化和定性密度,以区分牙釉质和牙本质,以提供准确的诊断。
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引用次数: 0
Hydatid Cyst Of Rib - A Case Report 肋骨包虫病1例报告
Pub Date : 2009-12-31 DOI: 10.5580/1d52
S. Pandhi, Yogesh Gohil, K. Vaishnav, Kirti G. Goswami, Vijay Kumar
Osseous hydatid disease is caused by the parasitic tapeworm Genus Echinococcus. Patients usually present with pain, swelling, or pathological fracture.
骨包虫病是由棘球绦虫属寄生虫引起的。患者通常表现为疼痛、肿胀或病理性骨折。
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引用次数: 0
Detectability of subsegmental pulmonary vessels in 64 MDCT-pulmonary angiography. 64例mdct肺血管造影中肺亚段血管的可检出性。
Pub Date : 2009-12-31 DOI: 10.5580/c4
T. Niemann, G. Bongartz
Objective: Identification of subsegmental pulmonary vessels is the basis for identifying subsegmental embolism. In the past studies have been performed to evaluate the depiction rate of spiral CT scanners. In this study the detection rate of subsegmental vessels using 64 MDCT (Sensation 64, Siemens, Germany) has been analyzed.Materials and Methods: Study population consisted of 55 consecutive patients with suspected pulmonary embolism. Standard acquisition parameters were applied using 1.2 mm collimation. An overall of 3127 segmental and subsegmental vessels was counted.Results: An overall depiction rate of 98% for the subsegmental vessels could be demonstrated.Conclusion: In times of increasing slice numbers and faster acquisition techniques, recent technical equipment allows better depiction of subsegmental pulmonary vessels. Anatomic regions of the subsegmental pulmonary vasculary that proved to be difficult to depict in the past can now be visualized more exactly.
目的:鉴别肺亚段血管是鉴别肺亚段栓塞的基础。在过去的研究中,已经进行了评估螺旋CT扫描仪的描绘率。本研究分析了64位MDCT (Sensation 64, Siemens, Germany)对亚节段血管的检出率。材料和方法:研究人群包括55例疑似肺栓塞的连续患者。采用1.2 mm准直的标准采集参数。总共统计了3127条节段和亚节段血管。结果:亚节段血管的总体描绘率为98%。结论:随着切片数量的增加和获取技术的快速发展,最新的技术设备可以更好地描绘肺段下血管。亚节段性肺血管的解剖区域在过去被证明是难以描绘的,现在可以更准确地可视化。
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引用次数: 2
Giant Vesical Calculus 巨大膀胱结石
Pub Date : 2008-12-31 DOI: 10.5580/1c7b
M. E. Fortia, M. Bendaoud, S. Sethi
Massive or giant vesical calculus is a rare entity in the recent urological practice. Vesical calculi are usually secondary to bladder outlet obstruction. These patients present with recurrent urinary tract infection, haematuria or with retention of urine.
在近期泌尿外科的实践中,块状或巨型膀胱结石是一种罕见的实体。膀胱结石通常继发于膀胱出口梗阻。这些患者表现为反复尿路感染、血尿或尿潴留。
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引用次数: 0
Pneumatosis intestinalis with superior mesenteric and hepatic portal venous gas in sigmoid colonic cancer: CT findings. 乙状结肠癌肠系膜上腔及肝门静脉气伴肠性肺肿的CT表现。
Pub Date : 2008-12-31 DOI: 10.5580/196e
G. Salvo, Gianmaria Dal Zotto, P. Spillare, Giuseppe Schittullo, A. Bruscagnin
In this article we present a case of colonic cancer with pericolonic abscess, complicated by pneumatosis of the small bowel with gas in inferior and superior mesenteric veins and hepatic portal veins, with emphasis on CT scanning and its diagnostic accuracy.
本文报告一例结肠癌合并结肠周围脓肿,并合并肠系膜上下静脉及肝门静脉内气体的小肠肺肿,并着重讨论CT扫描及其诊断的准确性。
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The Internet Journal of Radiology
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