Background: Profound sensorineural hearing loss (SNHL) may be the result of major inner ear structural malformations, and cochlear implantation remains the only viable treatment option. High-resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) are indispensable for optimum preoperative implant workup and thus play a vital role in patient selection, pre-implantation counseling, and surgical management. Aim and Objectives: The aim of this study is to evaluate patients with profound SNHL for cochlear implantation preoperatively on both HRCT and MRI and to compare imaging findings in both modalities. Materials and Methods: This longitudinal prospective study was conducted in the Department of Radiology of a tertiary care-based hospital in North India. A total of 45 patients (90 temporal bones) with clinically diagnosed bilateral profound SNHL were included in the study. Patients with a previous history of temporal bone injury were excluded from the study. All cases were evaluated on both 128 slice Philips computed tomography (CT) machine and 1.5 Tesla Siemens Magnetom MRI scanner. Each temporal bone was systematically analyzed for anatomical and structural abnormalities. Results: Both high-resolution CT and MRI played vital roles in the workup of patients with profound SNHL for cochlear implantation and allowed accurate assessment of critical inner ear abnormalities. Cochlear malformations (30%) were responsible for the majority of structural abnormalities in this study with Type II incomplete partition (8.9%) being the most common. Cochlear nerve deficiency was seen in 20 cases (22.2%) and was diagnosed only on MRI. Similarly, early fibrosis and abnormal signal intensity were also detected only on MRI, which were missed on CT. Conclusions: Both high-resolution CT and high magnet MRI complement each other and reduce the chances of missing critical findings, which are crucial for surgical management and planning. Thus, it is advisable to perform dual imaging with both modalities wherever and whenever possible, to offer maximum information to treating surgeon preoperatively.
{"title":"Preoperative dual imaging evaluation of profound sensorineural hearing loss in patients for cochlear implantation","authors":"A. Malhotra, L. Kumar, R. Rastogi, Vijai Pratap","doi":"10.4103/wajr.wajr_14_19","DOIUrl":"https://doi.org/10.4103/wajr.wajr_14_19","url":null,"abstract":"Background: Profound sensorineural hearing loss (SNHL) may be the result of major inner ear structural malformations, and cochlear implantation remains the only viable treatment option. High-resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) are indispensable for optimum preoperative implant workup and thus play a vital role in patient selection, pre-implantation counseling, and surgical management. Aim and Objectives: The aim of this study is to evaluate patients with profound SNHL for cochlear implantation preoperatively on both HRCT and MRI and to compare imaging findings in both modalities. Materials and Methods: This longitudinal prospective study was conducted in the Department of Radiology of a tertiary care-based hospital in North India. A total of 45 patients (90 temporal bones) with clinically diagnosed bilateral profound SNHL were included in the study. Patients with a previous history of temporal bone injury were excluded from the study. All cases were evaluated on both 128 slice Philips computed tomography (CT) machine and 1.5 Tesla Siemens Magnetom MRI scanner. Each temporal bone was systematically analyzed for anatomical and structural abnormalities. Results: Both high-resolution CT and MRI played vital roles in the workup of patients with profound SNHL for cochlear implantation and allowed accurate assessment of critical inner ear abnormalities. Cochlear malformations (30%) were responsible for the majority of structural abnormalities in this study with Type II incomplete partition (8.9%) being the most common. Cochlear nerve deficiency was seen in 20 cases (22.2%) and was diagnosed only on MRI. Similarly, early fibrosis and abnormal signal intensity were also detected only on MRI, which were missed on CT. Conclusions: Both high-resolution CT and high magnet MRI complement each other and reduce the chances of missing critical findings, which are crucial for surgical management and planning. Thus, it is advisable to perform dual imaging with both modalities wherever and whenever possible, to offer maximum information to treating surgeon preoperatively.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43997659","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}
Central neurocytomas (CNs) are rare benign neuroepithelial neoplasms occurring in young- and middle-aged adults. They most commonly arise within the body of the lateral ventricle, adjacent to the septum pellucidum and foramen of Monro. Patients may be asymptomatic or may present with headache and signs of raised intracranial pressure due to hydrocephalus. Preoperative diagnosis of CN by neuroimaging, electron microscopy, and immunohistochemical methods helps in planning therapy. This case describes CN in a 42-year-old female with signs and symptoms of raised intracranial pressure, neuroimaging (magnetic resonance imaging) findings, and the management.
{"title":"Rare case of central neurocytoma in a middle-aged Nigerian woman presenting with chronic headache and visual impairment","authors":"A. Osawe, A. Junaid, A. Aliyu, M. Saleh","doi":"10.4103/wajr.wajr_32_19","DOIUrl":"https://doi.org/10.4103/wajr.wajr_32_19","url":null,"abstract":"Central neurocytomas (CNs) are rare benign neuroepithelial neoplasms occurring in young- and middle-aged adults. They most commonly arise within the body of the lateral ventricle, adjacent to the septum pellucidum and foramen of Monro. Patients may be asymptomatic or may present with headache and signs of raised intracranial pressure due to hydrocephalus. Preoperative diagnosis of CN by neuroimaging, electron microscopy, and immunohistochemical methods helps in planning therapy. This case describes CN in a 42-year-old female with signs and symptoms of raised intracranial pressure, neuroimaging (magnetic resonance imaging) findings, and the management.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48722155","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}
Background: Ultrasound (US) is the first choice of imaging in neonates presenting with persistent jaundice to exclude surgically correctable causes and differentiate obstructive from nonobstructive causes. Previous studies on normal dimensions of gallbladder (GB) and common bile duct (CBD) recruited adults and children spread across a wide age group. Aims: This study aimed to determine GB and CBD normal dimensions in a large homogeneous neonatal population as well as guide decision regarding pre-US fasting in neonates who require GB evaluation. Materials and Methods: Five hundred and twenty-eight healthy newborns were recruited between May 2009 and May 2011. The widest intraluminal anterior-posterior diameters of GB and CBD were measured. Neonatal age in days, sex, birth weight, weight and height, gestational age at delivery, and time interval since last feed recorded. Results: The mean age was 9.56 ± 7.66 days, and 50.6% were males. The mean CBD diameter was 1.16 ± 1.61 mm while the mean GB diameter was 4.42 ± 2.16 mm. GB and CBD were clearly seen and measurable in 297 (55.8%) neonates and 237 (44.38%) neonates, respectively. There was a significant correlation between CBD diameter and GB diameter (P = 0.04) but no correlation with any demographic parameter. GB visualization was not dependent on time interval from last feed. Conclusion: Mean neonatal values for CBD and GB were established, but neonates have a wider range of GB diameters compared with older children, so GB diameter may not be a reliable parameter for neonatal GB pathologies. GB visualization was not dependent on time interval from last feed; hence, a recent feed should not delay emergency scans, especially in ill neonates
{"title":"Normal ultrasonographic dimensions of the gallbladder and common bile duct in neonates","authors":"A. Ayede, R. Olatunji, A. Agunloye","doi":"10.4103/wajr.wajr_22_20","DOIUrl":"https://doi.org/10.4103/wajr.wajr_22_20","url":null,"abstract":"Background: Ultrasound (US) is the first choice of imaging in neonates presenting with persistent jaundice to exclude surgically correctable causes and differentiate obstructive from nonobstructive causes. Previous studies on normal dimensions of gallbladder (GB) and common bile duct (CBD) recruited adults and children spread across a wide age group. Aims: This study aimed to determine GB and CBD normal dimensions in a large homogeneous neonatal population as well as guide decision regarding pre-US fasting in neonates who require GB evaluation. Materials and Methods: Five hundred and twenty-eight healthy newborns were recruited between May 2009 and May 2011. The widest intraluminal anterior-posterior diameters of GB and CBD were measured. Neonatal age in days, sex, birth weight, weight and height, gestational age at delivery, and time interval since last feed recorded. Results: The mean age was 9.56 ± 7.66 days, and 50.6% were males. The mean CBD diameter was 1.16 ± 1.61 mm while the mean GB diameter was 4.42 ± 2.16 mm. GB and CBD were clearly seen and measurable in 297 (55.8%) neonates and 237 (44.38%) neonates, respectively. There was a significant correlation between CBD diameter and GB diameter (P = 0.04) but no correlation with any demographic parameter. GB visualization was not dependent on time interval from last feed. Conclusion: Mean neonatal values for CBD and GB were established, but neonates have a wider range of GB diameters compared with older children, so GB diameter may not be a reliable parameter for neonatal GB pathologies. GB visualization was not dependent on time interval from last feed; hence, a recent feed should not delay emergency scans, especially in ill neonates","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42573760","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}
Lewis Bundi, G. Mwango, Vincent Oliver, Beatrice Mulama
Introduction: Birth asphyxia causes significant neurologic injury and neurodevelopmental delay in children. Cranial ultrasound (CUS) can be used for the diagnosis, early intervention, and prognostication of birth asphyxia. We determined the CUS findings among term neonates with clinical birth asphyxia and correlated sonographic findings with the modified Sarnat clinical grade. Materials and Methods: We conducted a prospective cross-sectional analytical study in Kenyatta National Hospital New Born Unit (KNH NBU) between June 2018 and October 2018. Term babies, older than 24 h with clinical birth asphyxia, were recruited and CUS was performed. Statistical analysis was done using proportions, means, and frequencies. Chi-square tests were used to assess correlation between imaging findings and the clinical Sarnat grading of asphyxia. Results: Periventricular deep white matter echogenicity and thalamus and/or basal ganglia deep gray matter was reported in 56.4% and 31.1%, respectively. Only 4.4% had cortical gray matter. Normal CUS findings were reported in 40.0% of the neonates. Prolonged labor and meconium-stained liquor were the predominant risk factors for perinatal asphyxia, seen in 58% of the neonates. Prolonged labor was independently reported in 43% of the neonates. Moderate and severe Sarnat grades correlated with abnormal sonographic changes of hypoxic ischemic encephalopathy (HIE) (Grades 2–8) (P = 0.038). There was a trend toward HIE severity with worsening Sarnat stages (trend test P= 0.039). Abnormal resistive indices (<0.5 and >0.8) were strongly associated with the presence of HIE brain changes (P = 0.003). Conclusion: The correlation between birth asphyxia severity and CUS was more robust in Doppler evaluation of the deep cerebral arteries.
{"title":"Clinical neonatal hypoxic ischemic injury: Cranial ultrasound spectrum of findings in neonates admitted to a Newborn Unit in Nairobi, Kenya","authors":"Lewis Bundi, G. Mwango, Vincent Oliver, Beatrice Mulama","doi":"10.4103/wajr.wajr_17_19","DOIUrl":"https://doi.org/10.4103/wajr.wajr_17_19","url":null,"abstract":"Introduction: Birth asphyxia causes significant neurologic injury and neurodevelopmental delay in children. Cranial ultrasound (CUS) can be used for the diagnosis, early intervention, and prognostication of birth asphyxia. We determined the CUS findings among term neonates with clinical birth asphyxia and correlated sonographic findings with the modified Sarnat clinical grade. Materials and Methods: We conducted a prospective cross-sectional analytical study in Kenyatta National Hospital New Born Unit (KNH NBU) between June 2018 and October 2018. Term babies, older than 24 h with clinical birth asphyxia, were recruited and CUS was performed. Statistical analysis was done using proportions, means, and frequencies. Chi-square tests were used to assess correlation between imaging findings and the clinical Sarnat grading of asphyxia. Results: Periventricular deep white matter echogenicity and thalamus and/or basal ganglia deep gray matter was reported in 56.4% and 31.1%, respectively. Only 4.4% had cortical gray matter. Normal CUS findings were reported in 40.0% of the neonates. Prolonged labor and meconium-stained liquor were the predominant risk factors for perinatal asphyxia, seen in 58% of the neonates. Prolonged labor was independently reported in 43% of the neonates. Moderate and severe Sarnat grades correlated with abnormal sonographic changes of hypoxic ischemic encephalopathy (HIE) (Grades 2–8) (P = 0.038). There was a trend toward HIE severity with worsening Sarnat stages (trend test P= 0.039). Abnormal resistive indices (<0.5 and >0.8) were strongly associated with the presence of HIE brain changes (P = 0.003). Conclusion: The correlation between birth asphyxia severity and CUS was more robust in Doppler evaluation of the deep cerebral arteries.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42506935","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}
F. Jinadu, A. Agunloye, A. Adeyomoye, Abiola O. Adekoya, G. Obajimi
Background: Public–private partnership (PPP) has become a popular model used by public sector organizations that are usually under-funded by their respective governments to render services in fulfillment of their egalitarian responsibilities and goals. Lately, the health sector has been a recipient of such initiatives and the trend is growing. However, the successful delivery of services to patients is sometimes hampered because of difficulties encountered in both the development and interpretation of clauses contained in agreements including Memoranda of Understanding between the parties. The anticipated outcomes and impact often remain elusive due to the tensions encountered during implementation. Aim and Objective: The aim of this study was to determine the current operational status as well as explore potential benefits and challenges of the use of the PPP model in radiology departments of selected teaching hospitals within three South-Western States of Nigeria (Lagos, Ogun, and Oyo). It is hoped that the study findings would provide useful data needed for improvement of the PPP model as it is being currently practiced. Materials and Methods: This was a qualitative study in which 138 closed- and open-ended questionnaires were administered to all cadres of staff in radiology departments of the selected hospitals teaching hospitals within three South-Western States of Nigeria (Lagos, Ogun, and Oyo). Results: There was a 100% response from the participants. The age range of the participants was 25–65 years. Study findings showed that almost all radiological equipment can be acquired through PPP. There was improved service delivery and residency training with PPP. Jurisdictional conflict was the greatest challenge. Conclusion: PPP is a viable option that should be encouraged by government for the purchase of equipment in hospitals.
{"title":"Public–private partnerships in Nigerian teaching hospitals: Potential and challenges","authors":"F. Jinadu, A. Agunloye, A. Adeyomoye, Abiola O. Adekoya, G. Obajimi","doi":"10.4103/wajr.wajr_28_19","DOIUrl":"https://doi.org/10.4103/wajr.wajr_28_19","url":null,"abstract":"Background: Public–private partnership (PPP) has become a popular model used by public sector organizations that are usually under-funded by their respective governments to render services in fulfillment of their egalitarian responsibilities and goals. Lately, the health sector has been a recipient of such initiatives and the trend is growing. However, the successful delivery of services to patients is sometimes hampered because of difficulties encountered in both the development and interpretation of clauses contained in agreements including Memoranda of Understanding between the parties. The anticipated outcomes and impact often remain elusive due to the tensions encountered during implementation. Aim and Objective: The aim of this study was to determine the current operational status as well as explore potential benefits and challenges of the use of the PPP model in radiology departments of selected teaching hospitals within three South-Western States of Nigeria (Lagos, Ogun, and Oyo). It is hoped that the study findings would provide useful data needed for improvement of the PPP model as it is being currently practiced. Materials and Methods: This was a qualitative study in which 138 closed- and open-ended questionnaires were administered to all cadres of staff in radiology departments of the selected hospitals teaching hospitals within three South-Western States of Nigeria (Lagos, Ogun, and Oyo). Results: There was a 100% response from the participants. The age range of the participants was 25–65 years. Study findings showed that almost all radiological equipment can be acquired through PPP. There was improved service delivery and residency training with PPP. Jurisdictional conflict was the greatest challenge. Conclusion: PPP is a viable option that should be encouraged by government for the purchase of equipment in hospitals.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41519527","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}
Nirav Thaker, R. Gosavi, Sunila T. Jaggi, Inder A Talwar
Congenital absence of the left circumflex artery is a rare coronary anomaly with few reported cases in literature. These patients are usually diagnosed incidentally when they undergo either a conventional or a computed tomography (CT) coronary angiography to rule out an underlying coronary artery disease. Coronary CT angiography is a useful noninvasive imaging modality which can be used to diagnose and confirm coronary anomalies reliably. In this article, we report a case of a 55-year-old female who was incidentally found to have a congenitally absent left circumflex artery after a workup was initiated for nonspecific chest pain.
{"title":"Congenital absence of the left circumflex artery","authors":"Nirav Thaker, R. Gosavi, Sunila T. Jaggi, Inder A Talwar","doi":"10.4103/wajr.wajr_34_19","DOIUrl":"https://doi.org/10.4103/wajr.wajr_34_19","url":null,"abstract":"Congenital absence of the left circumflex artery is a rare coronary anomaly with few reported cases in literature. These patients are usually diagnosed incidentally when they undergo either a conventional or a computed tomography (CT) coronary angiography to rule out an underlying coronary artery disease. Coronary CT angiography is a useful noninvasive imaging modality which can be used to diagnose and confirm coronary anomalies reliably. In this article, we report a case of a 55-year-old female who was incidentally found to have a congenitally absent left circumflex artery after a workup was initiated for nonspecific chest pain.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46200871","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}
Background: Measurement of optic nerve sheath diameter (ONSD) and anterior chamber depth (ACD) by ultrasound is increasingly used as a marker to detect raised intracranial pressure and other eye pathologies. Knowledge of normal ONSD and ACD in a healthy population is essential in the interpretation of pathological conditions. Aim: The study aimed at evaluating the ONSD and ACD of the eye in apparently healthy adults in Kano State. Materials and Methods: This was a prospective and cross-sectional study conducted among apparently healthy adults in Kano State from April 2019 to October 2019. Using convenience sampling method, 384 adults participated in the study. An ethical approval was obtained from the Human Research and Ethics Committee of the Kano State Ministry of Health, and informed consent was obtained from all the selected participants. A portable digital ultrasound machine, Nortek CS 3 with a 7.5 MHz linear transducer, was used to obtain ACD and ONSD at 3 mm behind the globe, and the values were recorded in data capture sheet. The obtained data were analyzed using SPSS version 23.0. Results: The mean and standard deviation of the right and left ONSDs for males was 4.42 ± 1.38 mm and 4.44 ± 1.41 mm and for the females was 4.39 ± 1.31 mm and 4.41 ± 1.31, respectively. The mean and standard deviation of the right and left ACDs for males was 3.16 ± 0.37 mm and 3.14 ± 0.35 mm and for females was 3.12 ± 0.40 mm and 3.11 ± 1.39 mm, respectively. Conclusion: The study has established normative values for the ONSD and ACD of the eye in Kano State, Nigeria.
{"title":"Sonographic evaluation of the optic nerve sheath diameter and anterior chamber depth of the eye among apparently healthy adults in Kano, Nigeria","authors":"M. Sidi, M. Aminu","doi":"10.4103/wajr.wajr_3_20","DOIUrl":"https://doi.org/10.4103/wajr.wajr_3_20","url":null,"abstract":"Background: Measurement of optic nerve sheath diameter (ONSD) and anterior chamber depth (ACD) by ultrasound is increasingly used as a marker to detect raised intracranial pressure and other eye pathologies. Knowledge of normal ONSD and ACD in a healthy population is essential in the interpretation of pathological conditions. Aim: The study aimed at evaluating the ONSD and ACD of the eye in apparently healthy adults in Kano State. Materials and Methods: This was a prospective and cross-sectional study conducted among apparently healthy adults in Kano State from April 2019 to October 2019. Using convenience sampling method, 384 adults participated in the study. An ethical approval was obtained from the Human Research and Ethics Committee of the Kano State Ministry of Health, and informed consent was obtained from all the selected participants. A portable digital ultrasound machine, Nortek CS 3 with a 7.5 MHz linear transducer, was used to obtain ACD and ONSD at 3 mm behind the globe, and the values were recorded in data capture sheet. The obtained data were analyzed using SPSS version 23.0. Results: The mean and standard deviation of the right and left ONSDs for males was 4.42 ± 1.38 mm and 4.44 ± 1.41 mm and for the females was 4.39 ± 1.31 mm and 4.41 ± 1.31, respectively. The mean and standard deviation of the right and left ACDs for males was 3.16 ± 0.37 mm and 3.14 ± 0.35 mm and for females was 3.12 ± 0.40 mm and 3.11 ± 1.39 mm, respectively. Conclusion: The study has established normative values for the ONSD and ACD of the eye in Kano State, Nigeria.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719234","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}
O. Aisuodionoe-Shadrach, H. kolade-Yunusa, Abu Sadiq
Introduction: Benign prostatic hyperplasia (BPH) is common in men over 50 years and causes lower urinary tract (LUT) symptoms. There is an emerging need to explore the value of utilizing ultrasound (US)-derived parameters of the LUT as noninvasive predictors of the degree of bladder outlet obstruction (BOO) from BPH and determine if they correlate with the symptom severity observed in these patients. This study aimed to determine the utility of US-derived parameters of the LUT (prostate volume [PV], bladder wall thickness [BWT], and postvoid residual volume [PVR]) in predicting severity of BOO and correlating them with the symptom severity scores – International Prostate Symptom Score (IPSS) and quality of life (QoL) – in patients with BPH in our practice. Methodology: We prospectively studied 100 newly diagnosed patients with symptomatic BPH who presented to the urology outpatient clinic and were referred to the radiology department for transabdominal scan of the urinary bladder and prostate. The patients' age, IPSS, and QoL and their BWT1 (full bladder), BWT2 (empty bladder), PV, and PVR were measured using transabdominal US scan. Correlation was done using Pearson's correlation coefficient, and P < 0.05 was considered statistically significant. Results: The mean age of the participants was 60 years. The mean BTW1 and BTW2 were 4.66 mm and 25.80 mm, respectively. The mean IPSS was 16, with a majority (42%) having severe symptoms. There is a negative insignificant correlation between PVR and BTW2 (r = −0.053, P = 0.603). There is a weak but statistically insignificant correlation between QoL and BWT. There is a weak but insignificant correlation between PV and IPSS (r = 0.193, P = 0.055). There is a weak but insignificant correlation between IPSS and BWT. There is a moderate and statistically significant correlation between IPSS and PVR (r = 0.350, P < 0.001). Conclusion: In our patients, we found that BWT had an insignificant correlation with QoL and a negative correlation with PVR, respectively. We could show, however, that in them, PVR and IPSS were significantly correlated.
简介:良性前列腺增生(BPH)常见于50岁以上男性，可引起下尿路(LUT)症状。目前需要探索利用超声(US)衍生的LUT参数作为BPH引起的膀胱出口梗阻(BOO)程度的无创预测指标的价值，并确定它们是否与这些患者观察到的症状严重程度相关。本研究旨在确定美国衍生的LUT参数(前列腺体积[PV]，膀胱壁厚度[BWT]和膀胱后残留体积[PVR])在预测BOO严重程度中的效用，并将它们与我们实践中BPH患者的症状严重程度评分-国际前列腺症状评分(IPSS)和生活质量(QoL)相关联。方法:我们前瞻性研究了100例新诊断的有症状的前列腺增生患者，这些患者来到泌尿科门诊，并被转介到放射科进行膀胱和前列腺经腹扫描。采用经腹超声扫描测量患者年龄、IPSS、生活质量及BWT1(满膀胱)、BWT2(空膀胱)、PV、PVR。采用Pearson相关系数进行相关分析，P < 0.05为差异有统计学意义。结果:参与者平均年龄60岁。平均BTW1和BTW2分别为4.66 mm和25.80 mm。平均IPSS为16，大多数(42%)有严重症状。PVR与BTW2呈负不显著相关(r = - 0.053, P = 0.603)。QoL与BWT之间存在微弱但统计学上不显著的相关性。PV与IPSS的相关性不显著(r = 0.193, P = 0.055)。IPSS与BWT之间存在微弱但不显著的相关性。IPSS与PVR有中度且有统计学意义的相关性(r = 0.350, P < 0.001)。结论:在我们的患者中，我们发现BWT与QoL的相关性不显著，与PVR的相关性为负。然而，我们可以证明，在他们中，PVR和IPSS显著相关。
{"title":"Ultrasound derived-parameters and symptom severity scores as noninvasive predictors of bladder outlet obstruction in patients with benign prostatic enlargement","authors":"O. Aisuodionoe-Shadrach, H. kolade-Yunusa, Abu Sadiq","doi":"10.4103/wajr.wajr_25_19","DOIUrl":"https://doi.org/10.4103/wajr.wajr_25_19","url":null,"abstract":"Introduction: Benign prostatic hyperplasia (BPH) is common in men over 50 years and causes lower urinary tract (LUT) symptoms. There is an emerging need to explore the value of utilizing ultrasound (US)-derived parameters of the LUT as noninvasive predictors of the degree of bladder outlet obstruction (BOO) from BPH and determine if they correlate with the symptom severity observed in these patients. This study aimed to determine the utility of US-derived parameters of the LUT (prostate volume [PV], bladder wall thickness [BWT], and postvoid residual volume [PVR]) in predicting severity of BOO and correlating them with the symptom severity scores – International Prostate Symptom Score (IPSS) and quality of life (QoL) – in patients with BPH in our practice. Methodology: We prospectively studied 100 newly diagnosed patients with symptomatic BPH who presented to the urology outpatient clinic and were referred to the radiology department for transabdominal scan of the urinary bladder and prostate. The patients' age, IPSS, and QoL and their BWT1 (full bladder), BWT2 (empty bladder), PV, and PVR were measured using transabdominal US scan. Correlation was done using Pearson's correlation coefficient, and P < 0.05 was considered statistically significant. Results: The mean age of the participants was 60 years. The mean BTW1 and BTW2 were 4.66 mm and 25.80 mm, respectively. The mean IPSS was 16, with a majority (42%) having severe symptoms. There is a negative insignificant correlation between PVR and BTW2 (r = −0.053, P = 0.603). There is a weak but statistically insignificant correlation between QoL and BWT. There is a weak but insignificant correlation between PV and IPSS (r = 0.193, P = 0.055). There is a weak but insignificant correlation between IPSS and BWT. There is a moderate and statistically significant correlation between IPSS and PVR (r = 0.350, P < 0.001). Conclusion: In our patients, we found that BWT had an insignificant correlation with QoL and a negative correlation with PVR, respectively. We could show, however, that in them, PVR and IPSS were significantly correlated.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42000991","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}
O. Omidiji, N. Irurhe, A. Adeyomoye, O. Olowoyeye, O. Toyobo, E. Idowu, Aderemi Ishola, Sidikat A. Ayodele, M. Onuwaje, K. Eze, N. Dim, A. Ilo, F. Daji, Kamaldeen O. Jimoh, Abdulsalam M Yidi, O. Ajiboye, I. Anas, MS Ahmadu, O. Ihekuna, R. Akinola, R. Arogundade, O. Atalabi
The novel human coronavirus (COVID-19) began in Wuhan China as an interstitial pneumonia of unidentifiable origin in December 2019 and thereafter spread its tentacles all over the world. There is a need for radiology departments in both government and private facilities to be prepared to meet this crisis. Their efforts should be geared not only toward diagnosis, but also to preventing patient-to-patient, staff-to-patient, and staff-to-staff transmission of infection by utilizing social distancing measures and personal protective equipment (PPE). Aim: To evaluate the preparedness of radiologic departments of government hospitals and private centers, by assessing the outlay of the facility and likelihood to attend to COVID patients, type of equipment in the centers, and plans in place for protection of staff and the public. Materials and Methods: The radiology departments of government and private facilities in each geopolitical zone of the country were randomly selected to discuss radiology preparedness in Nigeria using preset guidelines which were sent to radiologists at the facilities. Written informed consent was obtained from the radiologists at the participating centers. Ethical approval was also obtained from the Lagos University Teaching Hospital Health Research Ethics Committee. Results: A total of twelve centers were included in the study, comprising eight government and four private centers. All had plans in place to attend to COVID patients; majority were in the process of developing standard operating procedures (SOPs). Majority of the government facilities lacked mobile equipment and adequate PPEs, with only one computed tomography machine and no holding area in some of the facilities for symptomatic patients unlike the private facilities. They, however, had infection control teams in place. Conclusion: Private radiological centers appear better prepared and more equipped to cope with the crisis than government hospitals. Adequate PPEs, mobile equipment, and isolation rooms need to be provided for the government facilities. Radiology information systems should be installed for remote viewing. Training and retraining on COVID management and decontamination should be conducted periodically. SOPs should be drafted universally and modified for each facility.
{"title":"COVID radiology preparedness in Nigeria: How ready are we?","authors":"O. Omidiji, N. Irurhe, A. Adeyomoye, O. Olowoyeye, O. Toyobo, E. Idowu, Aderemi Ishola, Sidikat A. Ayodele, M. Onuwaje, K. Eze, N. Dim, A. Ilo, F. Daji, Kamaldeen O. Jimoh, Abdulsalam M Yidi, O. Ajiboye, I. Anas, MS Ahmadu, O. Ihekuna, R. Akinola, R. Arogundade, O. Atalabi","doi":"10.4103/wajr.wajr_19_20","DOIUrl":"https://doi.org/10.4103/wajr.wajr_19_20","url":null,"abstract":"The novel human coronavirus (COVID-19) began in Wuhan China as an interstitial pneumonia of unidentifiable origin in December 2019 and thereafter spread its tentacles all over the world. There is a need for radiology departments in both government and private facilities to be prepared to meet this crisis. Their efforts should be geared not only toward diagnosis, but also to preventing patient-to-patient, staff-to-patient, and staff-to-staff transmission of infection by utilizing social distancing measures and personal protective equipment (PPE). Aim: To evaluate the preparedness of radiologic departments of government hospitals and private centers, by assessing the outlay of the facility and likelihood to attend to COVID patients, type of equipment in the centers, and plans in place for protection of staff and the public. Materials and Methods: The radiology departments of government and private facilities in each geopolitical zone of the country were randomly selected to discuss radiology preparedness in Nigeria using preset guidelines which were sent to radiologists at the facilities. Written informed consent was obtained from the radiologists at the participating centers. Ethical approval was also obtained from the Lagos University Teaching Hospital Health Research Ethics Committee. Results: A total of twelve centers were included in the study, comprising eight government and four private centers. All had plans in place to attend to COVID patients; majority were in the process of developing standard operating procedures (SOPs). Majority of the government facilities lacked mobile equipment and adequate PPEs, with only one computed tomography machine and no holding area in some of the facilities for symptomatic patients unlike the private facilities. They, however, had infection control teams in place. Conclusion: Private radiological centers appear better prepared and more equipped to cope with the crisis than government hospitals. Adequate PPEs, mobile equipment, and isolation rooms need to be provided for the government facilities. Radiology information systems should be installed for remote viewing. Training and retraining on COVID management and decontamination should be conducted periodically. SOPs should be drafted universally and modified for each facility.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42300522","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}
Background: Lately, there has been an increased utilization of computed tomography angiography (CTA) as the preferred first-line modality for the evaluation and diagnosis of most cerebral vascular lesions. Objective: The objective of this study was to evaluate suspected intracranial vascular cases, using CTA at a major referral tertiary hospital in South West Nigeria. Materials and Methods: This was a hospital-based retrospective study of suspected intracranial vascular cases in all ages and both sexes that had CTA from January 2011 to December 2018. Data were analyzed with IBM SPSS version 23.0, and P < 0.005 was considered statistically significant. Results: A total of 128 patients were studied, the mean age was 44.1 ± 17.7 years, and male: female ratio was 1:1.06. The leading clinical diagnoses were as follows: intracranial aneurysms (34/128), subarachnoid hemorrhage (27/128), intracranial vascular tumors (26/128), brain hemorrhage from vascular abnormality (19/128), and arteriovenous malformations (AVMs) (10/128). At CTA, 61 patients had vascular abnormalities: intracranial aneurysm was seen in 63.9% with a peak age range of 41–60 years, and the leading location of aneurysms was posterior cerebral artery (18.8%), followed by posterior communicating artery (16.7%) and the cavernous segment of the internal carotid artery (16.7%). AVMs were more common in patients aged 40 years and below (91.7%) in males (66.7%) and in the parietal lobe. Intracranial aneurysms were 3.25 times as common as brain AVMs. Conclusion: Intracranial aneurysms are the predominant vascular lesions, occurring mostly in the older age group. AVMs occurred mostly in younger people, more in males, and predominantly in the parietal lobes. The hospital incidence of aneurysms to AVMs was 3.25:1.
{"title":"Cranial tomographic angiographic evaluation of suspected intracranial vascular abnormalities among a Nigerian cohort","authors":"A. Adekanmi, J. Balogun, P. Adenigba","doi":"10.4103/wajr.wajr_10_20","DOIUrl":"https://doi.org/10.4103/wajr.wajr_10_20","url":null,"abstract":"Background: Lately, there has been an increased utilization of computed tomography angiography (CTA) as the preferred first-line modality for the evaluation and diagnosis of most cerebral vascular lesions. Objective: The objective of this study was to evaluate suspected intracranial vascular cases, using CTA at a major referral tertiary hospital in South West Nigeria. Materials and Methods: This was a hospital-based retrospective study of suspected intracranial vascular cases in all ages and both sexes that had CTA from January 2011 to December 2018. Data were analyzed with IBM SPSS version 23.0, and P < 0.005 was considered statistically significant. Results: A total of 128 patients were studied, the mean age was 44.1 ± 17.7 years, and male: female ratio was 1:1.06. The leading clinical diagnoses were as follows: intracranial aneurysms (34/128), subarachnoid hemorrhage (27/128), intracranial vascular tumors (26/128), brain hemorrhage from vascular abnormality (19/128), and arteriovenous malformations (AVMs) (10/128). At CTA, 61 patients had vascular abnormalities: intracranial aneurysm was seen in 63.9% with a peak age range of 41–60 years, and the leading location of aneurysms was posterior cerebral artery (18.8%), followed by posterior communicating artery (16.7%) and the cavernous segment of the internal carotid artery (16.7%). AVMs were more common in patients aged 40 years and below (91.7%) in males (66.7%) and in the parietal lobe. Intracranial aneurysms were 3.25 times as common as brain AVMs. Conclusion: Intracranial aneurysms are the predominant vascular lesions, occurring mostly in the older age group. AVMs occurred mostly in younger people, more in males, and predominantly in the parietal lobes. The hospital incidence of aneurysms to AVMs was 3.25:1.","PeriodicalId":29875,"journal":{"name":"West African Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45466235","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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