Pub Date : 2022-12-29DOI: 10.21776/ub.ijri.2022.001.02.5
Jauza Atsil Lathifa, Y. Yueniwati, Agwin Fahmi Fahanani
Breast cancer is a major global public health problem and the most common type of cancer. The incidence of cases in Indonesia are about 42.1 per 100.000 population in 2019. There are multiple risk factors that underlie breast cancer malignancy. However, breast volume has not been yet included as a risk factor for breast cancer. The aim of this study is to analyze the association between breast volume and breast malignancy. This study is a cross-sectional study obtaining breast volume and BI-RADS score by performing mammography assessment at dr. Saiful Anwar General Hospital, Malang. The inclusion criteria were women aged > 40 years and excluded those who have mammography contraindications such as pregnancy and breast-feeding. The parameters for calculating breast volume were the width, height, and compression thickness, and the BI-RADS category (0 – 6) was used to determine the malignancy. There is no significant association using the non-parametric analytic test Kruskal Wallis analytic test (p = 0.273 , p < 0.05) and a very weak negative correlation based on the correlation test Spearmanis correlation test (-0.127). There is no association between breast volume and the risk of malignancy based on BI-RADS mammography.
{"title":"THE RELATIONSHIP BETWEEN BREAST VOLUME AND BREAST MALIGNANCY IN MAMMOGRAPHY","authors":"Jauza Atsil Lathifa, Y. Yueniwati, Agwin Fahmi Fahanani","doi":"10.21776/ub.ijri.2022.001.02.5","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.02.5","url":null,"abstract":"Breast cancer is a major global public health problem and the most common type of cancer. The incidence of cases in Indonesia are about 42.1 per 100.000 population in 2019. There are multiple risk factors that underlie breast cancer malignancy. However, breast volume has not been yet included as a risk factor for breast cancer. The aim of this study is to analyze the association between breast volume and breast malignancy. This study is a cross-sectional study obtaining breast volume and BI-RADS score by performing mammography assessment at dr. Saiful Anwar General Hospital, Malang.\u0000The inclusion criteria were women aged > 40 years and excluded those who have mammography contraindications such as pregnancy and breast-feeding. The parameters for calculating breast volume were the width, height, and compression thickness, and the BI-RADS category (0 – 6) was used to determine the malignancy. \u0000There is no significant association using the non-parametric analytic test Kruskal Wallis analytic test (p = 0.273 , p < 0.05) and a very weak negative correlation based on the correlation test Spearmanis correlation test (-0.127). There is no association between breast volume and the risk of malignancy based on BI-RADS mammography.","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133513109","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 : 2022-12-29DOI: 10.21776/ub.ijri.2022.001.02.2
A. Arifah, D. Erawati
Background : Mediastinal teratoma and other mediastinal tumors are very challenging to be distinguished from other mediastinal tumors. Mediastinal tumors can be optimally evaluated with computed tomography (CT). In this paper we present three young male patients with similar symptom of chronic chest pain and chronic cough. Materials and Methods: Conducting a literature review and medical records. Results : All patients in this case are young age male, below two decades. All chest CT shows giant mass, but they have different enhancing pattern, different amount of solid, cystic, calcification component. To make correct diagnosis of the mediastinal mass is important because of treatment planning difference, surgery or chemoteraphy. The first case shows benign teratoma with characteristic of heterogenous mass with large amount of fat, with presence of solid and calcification component. The second case shows malignant germ cell tumor with feature of heterogenous mass with predominantly solid component and small amount of fat. It also shows metastatic process in lung and bone. The third case shows Hodgkin lymphoma with slight enhanced mass that narrowed pulmonary artery and caused pericardial effusion. Conclusion: Various features of mediatinal tumors can be distinguished with CT modality.
{"title":"CT FINDINGS OF THREE GIANT MEDIASTINAL TUMORS IN YOUNG AGE","authors":"A. Arifah, D. Erawati","doi":"10.21776/ub.ijri.2022.001.02.2","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.02.2","url":null,"abstract":"Background : Mediastinal teratoma and other mediastinal tumors are very challenging to be distinguished from other mediastinal tumors. Mediastinal tumors can be optimally evaluated with computed tomography (CT). In this paper we present three young male patients with similar symptom of chronic chest pain and chronic cough.\u0000Materials and Methods: Conducting a literature review and medical records.\u0000Results : All patients in this case are young age male, below two decades. All chest CT shows giant mass, but they have different enhancing pattern, different amount of solid, cystic, calcification component. To make correct diagnosis of the mediastinal mass is important because of treatment planning difference, surgery or chemoteraphy. The first case shows benign teratoma with characteristic of heterogenous mass with large amount of fat, with presence of solid and calcification component. The second case shows malignant germ cell tumor with feature of heterogenous mass with predominantly solid component and small amount of fat. It also shows metastatic process in lung and bone. The third case shows Hodgkin lymphoma with slight enhanced mass that narrowed pulmonary artery and caused pericardial effusion.\u0000Conclusion: Various features of mediatinal tumors can be distinguished with CT modality.","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123002182","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 : 2022-12-29DOI: 10.21776/ub.ijri.2022.001.02.1
Dewangga Yudisthira, A. Setyawan, Yuyun Yueniwati Prabowowati Wadjib
Breast cancer is a type of cancer that has the highest incidence and mortality rate in the world and in Indonesia among other cancers. One of the causes of death due to breast cancer is influenced by poor prognosis due to cancer’s late detection. One method of early detection is mammography. Mammography is an examination method to detect cancer cells and assess breast density, which is a risk factor for breast cancer. Reporting the results of breast density types uses the BI-RADS grading, which is divided into 4 categories. Breast density is influenced by various factors, one of which is the lipid profile (triglycerides, total cholesterol, LDL, and HDL). This study used an analytic observational method with a cross-sectional study design. The samples were members of Dharma Wanita group of Universitas Brawijaya and female members of the Indonesian Radiographers Association in Malang from October 2021 to January 2022. The data was analyzed using the non-parametric chi-square test. The results of each component of the lipid profile showed p-values (p < 0.05) = 0.172, 0.619, 0.226, 0.829, for triglycerides, total cholesterol, LDL, and HDL, respectively. This means all lipid profile components do not have a significant relationship with the density of the breast parenchyma.
{"title":"The Relationship between Lipid Profile and Breast Parenchymal Density From Mammography Examination","authors":"Dewangga Yudisthira, A. Setyawan, Yuyun Yueniwati Prabowowati Wadjib","doi":"10.21776/ub.ijri.2022.001.02.1","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.02.1","url":null,"abstract":"Breast cancer is a type of cancer that has the highest incidence and mortality rate in the world and in Indonesia among other cancers. One of the causes of death due to breast cancer is influenced by poor prognosis due to cancer’s late detection. One method of early detection is mammography. Mammography is an examination method to detect cancer cells and assess breast density, which is a risk factor for breast cancer. Reporting the results of breast density types uses the BI-RADS grading, which is divided into 4 categories. Breast density is influenced by various factors, one of which is the lipid profile (triglycerides, total cholesterol, LDL, and HDL). This study used an analytic observational method with a cross-sectional study design. The samples were members of Dharma Wanita group of Universitas Brawijaya and female members of the Indonesian Radiographers Association in Malang from October 2021 to January 2022. The data was analyzed using the non-parametric chi-square test. The results of each component of the lipid profile showed p-values (p < 0.05) = 0.172, 0.619, 0.226, 0.829, for triglycerides, total cholesterol, LDL, and HDL, respectively. This means all lipid profile components do not have a significant relationship with the density of the breast parenchyma.","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121121453","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 : 2022-12-29DOI: 10.21776/ub.ijri.2022.001.02.3
Aisya Puspasari, Rafiq Sulistyo
Radiotherapy is one of the modern cancer treatment modalities. Advances in medical technology have revolutionized external radiotherapy with CT scanning, allowing for the visualization and grouping of tumors and at-risk organs in a three-dimensional view. However, CT has some limitations, especially in assessing the character and delineation of tumors. PET and MRI go beyond CT in terms of functional and anatomical images. PET/CT/MRI multimodality combines the strengths of each technique without conflating their respective weaknesses, thereby strengthening the role of imaging for radiation therapy management. On account of this, it can become the primary technique in radiotherapy modalities. This review aims to describe multimodality of the PET/CT/MRI process for radiotherapy and its potential clinical applications.
{"title":"THE IMPORTANCE OF IMAGING IN RADIATION THERAPY: A REVIEW ARTICLE","authors":"Aisya Puspasari, Rafiq Sulistyo","doi":"10.21776/ub.ijri.2022.001.02.3","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.02.3","url":null,"abstract":"Radiotherapy is one of the modern cancer treatment modalities. Advances in medical technology have revolutionized external radiotherapy with CT scanning, allowing for the visualization and grouping of tumors and at-risk organs in a three-dimensional view. However, CT has some limitations, especially in assessing the character and delineation of tumors. PET and MRI go beyond CT in terms of functional and anatomical images. PET/CT/MRI multimodality combines the strengths of each technique without conflating their respective weaknesses, thereby strengthening the role of imaging for radiation therapy management. On account of this, it can become the primary technique in radiotherapy modalities. This review aims to describe multimodality of the PET/CT/MRI process for radiotherapy and its potential clinical applications.","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121623334","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 : 2022-06-29DOI: 10.21776/ub.ijri.2022.001.01.6
Habiba Aurora, Y. Yueniwati
Breast cancer in the most common malignancy in woman. Screening is very important to identify precancerous lesions. The use of diagnostic imaging is one of the first steps in cancer diagnosis. Mammography is one of detection tool, which able to detect breast abnormality in early stage, while breast sonography is more helpful in cases with dense breast. In this study we compared the finding on mammography and ultrasonography among woman 40 to 60 years undergoing breast cancer screening. This study included 30 asymptomatic woman aged over 40 years, which have no history of reast cancer. All were assigned to undergo screening by either mammography and ultrasonography. The diagnoses were scored due to ultrasound BI-RADS, the finding from mammography and breast ultrasound were compared to analyze the difference between both examination. From the result of mammography and ultrasound were shown that at the same BIRADS scale, different images could be obtained. Further studies are needed to demonstrate the significance of the differences in examination findings on the same BIRADS scale. Keywords: Breast Cancer, Mammography, Screening, Sonography
{"title":"Mammographic and Sonographic Findings in Breast Cancer Screening","authors":"Habiba Aurora, Y. Yueniwati","doi":"10.21776/ub.ijri.2022.001.01.6","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.01.6","url":null,"abstract":"Breast cancer in the most common malignancy in woman. Screening is very important to identify precancerous lesions. The use of diagnostic imaging is one of the first steps in cancer diagnosis. Mammography is one of detection tool, which able to detect breast abnormality in early stage, while breast sonography is more helpful in cases with dense breast. In this study we compared the finding on mammography and ultrasonography among woman 40 to 60 years undergoing breast cancer screening. \u0000This study included 30 asymptomatic woman aged over 40 years, which have no history of reast cancer. All were assigned to undergo screening by either mammography and ultrasonography. The diagnoses were scored due to ultrasound BI-RADS, the finding from mammography and breast ultrasound were compared to analyze the difference between both examination. \u0000 From the result of mammography and ultrasound were shown that at the same BIRADS scale, different images could be obtained. Further studies are needed to demonstrate the significance of the differences in examination findings on the same BIRADS scale. \u0000 \u0000Keywords: Breast Cancer, Mammography, Screening, Sonography","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124812377","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 : 2022-06-29DOI: 10.21776/ub.ijri.2022.001.01.3
Ricardo Tjakraatmadja, D. Erawati
An abnormal free gas collection in the thorax and abdomen is a condition which is present of abnormal air in the thorax and abdominal cavity that normally not found. Radiological examination plays very important role to detect the presence of abnormal gas, the volume, the location, and the complication. Some of these conditions can represent classic radiological appearance that we can find in everyday practice.
{"title":"ABNORMAL FREE GAS COLLECTION IN RADIOGRAPHY: A PICTORIAL REVIEW","authors":"Ricardo Tjakraatmadja, D. Erawati","doi":"10.21776/ub.ijri.2022.001.01.3","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.01.3","url":null,"abstract":"An abnormal free gas collection in the thorax and abdomen is a condition which is present of abnormal air in the thorax and abdominal cavity that normally not found. Radiological examination plays very important role to detect the presence of abnormal gas, the volume, the location, and the complication. Some of these conditions can represent classic radiological appearance that we can find in everyday practice.","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133987261","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 : 2022-06-29DOI: 10.21776/ub.ijri.2022.001.01.1
Wisniardhy Pradana, Y. Yueniwati
Background: Trigeminal neuralgia is a facial pain syndrome that generally occur unilateral following the sensory distribution of the trigeminal nerve. It is classified into trigeminal neuralgia with no apparent cause, classic trigeminal neuralgia, which is caused by vascular compression of the trigeminal nerve root, and secondary trigeminal neuralgia caused by major neurological diseases such as cerebellopontine angle tumour or multiple sclerosis.Case: A 60 years old male, complained of pain in the right face since >4 years ago, intermittent, radiating from around the upper right molars to the right face, like an electric shock, and appeared mainly when chewing. MRI and MRA examination of the patient revealed vertebrobasilar dolichoectasia causing displacement of the pons and right trigeminal nerve.Discussion: Vascular compression of the trigeminal nerve root is the most common cause of trigeminal neuralgia, which is commonly caused by small arteries such as the superior cerebellar artery. Vascular compression due to large arteries such as the basilar and vertebral arteries may occur in a minority of cases. MRI is an examination that plays an important role in cases of trigeminal neuralgia, because it can assess the pathology of cerebellopontine angle area, as well as assess the presence of neurovascular compression and morphological changes of the trigeminal nerve roots.
{"title":"Vertebrobasilar Dolichoectasia, An Unusual Cause of Trigeminal Neuralgia: A Case Report","authors":"Wisniardhy Pradana, Y. Yueniwati","doi":"10.21776/ub.ijri.2022.001.01.1","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.01.1","url":null,"abstract":"Background: Trigeminal neuralgia is a facial pain syndrome that generally occur unilateral following the sensory distribution of the trigeminal nerve. It is classified into trigeminal neuralgia with no apparent cause, classic trigeminal neuralgia, which is caused by vascular compression of the trigeminal nerve root, and secondary trigeminal neuralgia caused by major neurological diseases such as cerebellopontine angle tumour or multiple sclerosis.Case: A 60 years old male, complained of pain in the right face since >4 years ago, intermittent, radiating from around the upper right molars to the right face, like an electric shock, and appeared mainly when chewing. MRI and MRA examination of the patient revealed vertebrobasilar dolichoectasia causing displacement of the pons and right trigeminal nerve.Discussion: Vascular compression of the trigeminal nerve root is the most common cause of trigeminal neuralgia, which is commonly caused by small arteries such as the superior cerebellar artery. Vascular compression due to large arteries such as the basilar and vertebral arteries may occur in a minority of cases. MRI is an examination that plays an important role in cases of trigeminal neuralgia, because it can assess the pathology of cerebellopontine angle area, as well as assess the presence of neurovascular compression and morphological changes of the trigeminal nerve roots.","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123700200","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 : 2022-06-29DOI: 10.21776/ub.ijri.2022.001.01.2
Ti Winarni, D. Erawati
Aspergilloma is a mass-like fungus ball consisting of Aspergillus fumigatus. Aspergilloma occurs in patients with pulmonary structural abnormalities in which the presence of a previous cavity is the predisposing factor that most often results in Aspergillus colonization, especially in tuberculosis endemic countries. 28 y.o and 33 y.o female , complained of hemoptysis, chest pain, weight loss, and a history of TB treatment. The chest X-ray and CT scan revealed a solid lesion with an “Air-crescent sign†indicating Aspergilloma lesion. Patients were given symptomatic, anti-fungal drugs, and supported by embolization procedure to reduce hemoptysis. The patient's condition began to improve after treatment. Imaging findings in x-rays and CT scans that point to Aspergilloma will help doctors in further management to provide a better prognosis for the patient.
{"title":"Aspergilloma: Clinical Manifestation After Tuberculosis Infection","authors":"Ti Winarni, D. Erawati","doi":"10.21776/ub.ijri.2022.001.01.2","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.01.2","url":null,"abstract":"Aspergilloma is a mass-like fungus ball consisting of Aspergillus fumigatus. Aspergilloma occurs in patients with pulmonary structural abnormalities in which the presence of a previous cavity is the predisposing factor that most often results in Aspergillus colonization, especially in tuberculosis endemic countries. 28 y.o and 33 y.o female , complained of hemoptysis, chest pain, weight loss, and a history of TB treatment. The chest X-ray and CT scan revealed a solid lesion with an “Air-crescent sign†indicating Aspergilloma lesion. Patients were given symptomatic, anti-fungal drugs, and supported by embolization procedure to reduce hemoptysis. The patient's condition began to improve after treatment. Imaging findings in x-rays and CT scans that point to Aspergilloma will help doctors in further management to provide a better prognosis for the patient.","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126454082","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}
Introduction: Bilateral pneumothorax is a rare case which happens in 1.3 to 1.9 percent of all cases of pneumothorax.1 In breast carcinoma patients, it is due to lung metastasis and first selected conservative therapy.2 Lung metastasis can be found in the appearance of pulmonary nodules called cannon-ball metastases in chest X-Ray (CXR).3 Method: Case report based on findings in chest X-Ray. Result: A 42 year-old female came to ER with sudden shortness of breath and pleuritic pain. She was diagnosed with breast carcinoma 3 years prior the ER visit and had undergone mastectomy on breasts and chemotherapy. Physical examination showed bilaterally decreased breath sounds. CXR AP postion showed bilateral pneumothorax and multiple nodules varied in size indicated lung metastases. Chest tubes with water-sealed drainage were inserted in both side of the lungs. CXR after the insertion showed reduction of the volume of pneumothorax in both side of the lungs and cannon-ball metastases in both sides of the lungs. CXR was performed serially until hospital discharge. Discussion: Bilateral pneumothorax which develops in patients who have history of breast carcinoma is considered very rare.It is caused by the metastatic process and treatment.2 CXR can be used to detect the metastasis and its complications such as pneumothorax.4 Conclusion: Bilateral pneumothorax is rarely seen in patients with breast carcinoma. Early detection of lung metastasis and appropriate therapy of tumor can prevent complications such as pneumothorax.Keywords: bilateral pneumothorax; lung metastases; breast carcinoma; chest X-Ray
{"title":"BILATERAL PNEUMOTHORAX IN LUNG METASTASES OF BREAST CARCINOMA: A CASE REPORT","authors":"Amanda Yuanita Kusdjianto, Samsuri, Andri, Wijayanto Andi, Subiyantoro Agus, Habibie Adi","doi":"10.21776/ub.ijri.2022.001.01.4","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.01.4","url":null,"abstract":"Introduction: Bilateral pneumothorax is a rare case which happens in 1.3 to 1.9 percent of all cases of pneumothorax.1 In breast carcinoma patients, it is due to lung metastasis and first selected conservative therapy.2 Lung metastasis can be found in the appearance of pulmonary nodules called cannon-ball metastases in chest X-Ray (CXR).3 Method: Case report based on findings in chest X-Ray. Result: A 42 year-old female came to ER with sudden shortness of breath and pleuritic pain. She was diagnosed with breast carcinoma 3 years prior the ER visit and had undergone mastectomy on breasts and chemotherapy. Physical examination showed bilaterally decreased breath sounds. CXR AP postion showed bilateral pneumothorax and multiple nodules varied in size indicated lung metastases. Chest tubes with water-sealed drainage were inserted in both side of the lungs. CXR after the insertion showed reduction of the volume of pneumothorax in both side of the lungs and cannon-ball metastases in both sides of the lungs. CXR was performed serially until hospital discharge. Discussion: Bilateral pneumothorax which develops in patients who have history of breast carcinoma is considered very rare.It is caused by the metastatic process and treatment.2 CXR can be used to detect the metastasis and its complications such as pneumothorax.4 Conclusion: Bilateral pneumothorax is rarely seen in patients with breast carcinoma. Early detection of lung metastasis and appropriate therapy of tumor can prevent complications such as pneumothorax.Keywords: bilateral pneumothorax; lung metastases; breast carcinoma; chest X-Ray","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133005905","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 : 2022-06-28DOI: 10.21776/ub.ijri.2022.001.01.5
Thareq Barasabha, Y. Hardiyanti
Inequality of health care facilities, especially radiology resources, occurs in West Java Province. There are many class A hospitals in provincial capitals, while in areas far from the provincial capital and from DKI Jakarta Province, the quantity and quality of hospitals are still lacking. Likewise with the quantity of radio diagnostic instruments and human resources. 12 radiology specialists and an additional 192 radiographers are needed in West Java Province. Archiving and image communication systems (PACS) can be used as a solution so that health workers in hospitals located far from the city or district centers can consult, and expert conclusions can be obtained from radiology specialists at referral centers. Keywords: PACS, radio diagnostic, radiology specialist, radiographer, West Java
{"title":"Picture Archiving and Communication Systems (PACS) as a Solution to Inequality in the Number of Radiological Resources in West Java","authors":"Thareq Barasabha, Y. Hardiyanti","doi":"10.21776/ub.ijri.2022.001.01.5","DOIUrl":"https://doi.org/10.21776/ub.ijri.2022.001.01.5","url":null,"abstract":"Inequality of health care facilities, especially radiology resources, occurs in West Java Province. There are many class A hospitals in provincial capitals, while in areas far from the provincial capital and from DKI Jakarta Province, the quantity and quality of hospitals are still lacking. Likewise with the quantity of radio diagnostic instruments and human resources. 12 radiology specialists and an additional 192 radiographers are needed in West Java Province. Archiving and image communication systems (PACS) can be used as a solution so that health workers in hospitals located far from the city or district centers can consult, and expert conclusions can be obtained from radiology specialists at referral centers. \u0000Keywords: PACS, radio diagnostic, radiology specialist, radiographer, West Java","PeriodicalId":306203,"journal":{"name":"International Journal of Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124422139","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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