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Detection of the Renal Calculus by Twinkling Artifact in Color Doppler Ultrasonography 彩色多普勒超声闪烁伪影检测肾结石
Pub Date : 2022-11-16 DOI: 10.36349/easjrit.2022.v04i06.001
D. S. Kamal, Prof. Dr. Md. Abul Hossain, Dr. Sheikh Rabeya Akter, Dr. Afm Azizur Rahman Siddique, Dr. Mohammed Kamal Hossain
Introduction: Renal calculus is a solid mass of crystals that may block the urinary tract. Calcium and oxalate combine to create the majority of these crystals. These kidney stones pass via the urinary system to leave the body. Most stones may not certainly cause any symptoms or signs until they start moving toward the ureter. For detecting kidney stones twinkling artifact in Color Doppler Ultrasonography (CDU) is a useful sensitive instrument. The twinkling artifact's effect is highly dependent on machine settings and is probably created by phase (or clock) jitter. When illuminating specific rough reflecting surfaces during color Doppler imaging, this phenomenon is frequently seen. It appears as a distinct point of alternating colors that may or may not have a comet tail associated with it. Aim of the Study: The aim of the study was to detect renal calculous twinkling artifacts in color Doppler ultrasonography. Methods: This prospective clinical study was conducted at the Department of Radiology and Imaging in BIRDEM General Hospital, Dhaka, to detect the twinkling artifact in color Doppler ultrasonogram in the defection of renal calculus. The study period was one year, starting from 1st July 2013 to 30th June 2014. A total number of 59 clinically suspected subjects were selected by purposive sampling method. A consecutive selection method was followed for the selection of the participants. Result: This study was detected for the twinkling artifact in color Doppler ultrasonography. All the subjects were selected for the study by purposive sampling method. The findings derived from the data analysis are presented as tabular or figure format where necessary. Out of the total 54 patients, 35 (64.82%) were male and 19 (35.18%) were female. The mean age of the patients was (SD) ± 13.42 years their age ranged from 31 to 64 years. Diagnostic accuracy of Doppler twinkling artifact was found to be 95.83% with specificity, sensitivity, positive predictive value, ...........
导言:肾结石是一种固体结晶体,可阻塞尿路。这些晶体大部分是由钙和草酸盐结合形成的。这些肾结石通过泌尿系统离开身体。大多数结石可能不会引起任何症状或体征,直到它们开始向输尿管移动。彩色多普勒超声(CDU)是检测肾结石闪烁伪影的一种有用的灵敏仪器。闪烁伪影的效果高度依赖于机器设置,可能是由相位(或时钟)抖动产生的。在彩色多普勒成像中,当照亮特定的粗糙反射表面时,这种现象经常出现。它看起来像一个不同颜色的点,可能有也可能没有彗星尾巴。研究目的:研究彩色多普勒超声对肾结石闪烁伪影的检测。方法:本前瞻性临床研究在达卡BIRDEM总医院放射与影像科进行,检测肾结石病变的彩色多普勒超声图像中的闪烁伪影。研究时间为一年,从2013年7月1日至2014年6月30日。采用目的抽样的方法,选取临床疑似病例59例。采用连续选择法对参与者进行选择。结果:本研究对彩色多普勒超声中的闪烁伪影进行了检测。采用目的抽样的方法,选取所有被试进行研究。从数据分析得出的结果在必要时以表格或图表形式呈现。54例患者中男性35例(64.82%),女性19例(35.18%)。患者平均年龄(SD)±13.42岁,年龄31 ~ 64岁。多普勒闪烁伪影诊断准确率为95.83%,特异度、敏感性、阳性预测值,...........
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引用次数: 0
Arborescent Lipoma of the Knee (About a Case) 膝关节树状脂肪瘤(附1例报告)
Pub Date : 2022-11-16 DOI: 10.36349/easjrit.2022.v04i06.003
A. F. Achta, O. Hamdaoui, M. Banao, N. Touil, H. Tabakh, A. Siwane, C. Kacimi, N. Chikaoui
Arborescent lipoma is a rare pseudotumor of the synovium, occurring idiopathically or sometimes in association with mechanical or inflammatory arthropathy. The preferred location is the knee, particularly in the suprapatellar recess. If the diagnosis is evoked, particularly in the presence of a chronic effusion, the diagnosis is based on an MRI examination which shows hypertrophy of the synovial villi which appear to have a fatty signal on all the sequences. However, confirmation of the diagnosis is based on synovial biopsy.
树状脂肪瘤是一种罕见的滑膜假瘤,发生于特发性或有时与机械性或炎性关节病有关。首选位置是膝关节,尤其是髌上隐窝。如果引起诊断,特别是在慢性积液的情况下,诊断是基于MRI检查,显示滑膜绒毛肥大,在所有序列上似乎都有脂肪信号。然而,诊断的确认是基于滑膜活检。
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引用次数: 0
Emphysematous Pyelonephritis: Radiologic Diagnosis 肺气肿性肾盂肾炎:影像学诊断
Pub Date : 2022-11-16 DOI: 10.36349/easjrit.2022.v04i06.002
A. F. Achta, O. Hamdaoui, Nejim Saleh, N. Touil, H. Tabakh, A. Siwane, C. Kacimi, N. Chikaoui
Emphysematous pyelonephritis (EPP) is a severe and necrotizing form of acute bacterial pyelonephritis with a life-threatening outcome. It is a rare condition, occurring preferentially in diabetic patients and linked to the development of anaerobic germs. There is a predominance of women (2/1). The CT scan is the best technique, which allows the positive diagnosis by the presence of gases in the renal parenchyma, in the collecting system or in the peri- renal spaces. The evolution of the disease is the basis of its radiological classification in 4 stages. The therapeutic attitudes diverge between surgical treatment, percutaneous drainage and conservative treatment.
肺气肿性肾盂肾炎(EPP)是一种严重的坏死性急性细菌性肾盂肾炎,可危及生命。这是一种罕见的情况,优先发生在糖尿病患者,并与厌氧细菌的发展有关。女性占多数(2/1)。CT扫描是最好的技术,它可以通过肾实质、收集系统或肾周间隙中存在的气体来进行阳性诊断。疾病的演变是其放射学分为4期的基础。手术治疗、经皮引流和保守治疗的治疗态度存在分歧。
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引用次数: 0
Role of Ultrasonography in Diagnosis of Appendicitis and Its Correlation with Age 超声在阑尾炎诊断中的作用及其与年龄的关系
Pub Date : 2022-09-02 DOI: 10.36349/easjrit.2022.v04i05.001
Raisa Tariq, M. Jamil, Abid Ali, Sadia Azam
Background: Inflammation of appendix is most collective medical condition. Appendicitis can develops serious when it rupture. Perforation is additional common problem in many aged patients. Aim: The goal of study was to classify diagnosis of appendicitis on sonography and its correlation with age. Methodology: Cross-sectional study was directed on a group of patients who had appendicectomy at the same time. All data was summarised, including the patients age, sex, clinical findings, and ultrasound findings. Across-sectional assessment of 98 patients under age of 35 who required a physical exam and ultrasound findings was conducted. Individuals of various ages were divided into groups. Demography, clinical presentation, and diagnosis were compared between the groups. The diagnosis was made through clinical examination followed by ultrasonography. Different age groups are compared to ultrasonography findings. Results: During study, total number of patients were 98 under the age of 35 years with suspected appendicitis, 42males and 56 females. Appendix found in 74indiviuals, 47females and 27 males. Of all indiviualss, 74 were diagnosed by medical valuation and ultrasound findings. By performing ultrasound it has been evaluated that all patients had appendicitis. From total, 47 were females and 27 were male patients. Appendix was found in total 74 cases with associated other signs of tenderness. According to gender females were found more positive results of disease than males. Out of 98 patients 47 females with ultrasound positive results and 27males were with ultrasound positive results. To find out the relationship between age groups, gender and appendicitis results we applied chi square test. Output pf chi square test for age show that there is same relationship exist between different age groups and appendicitis result. The relationship was significant and we observed p value (0.045) which is less than (0.05) there is same relationship exist between different ......
背景:阑尾炎症是最常见的疾病。阑尾炎破裂后会发展得很严重。穿孔是许多老年患者的另一个常见问题。目的:探讨阑尾炎的超声分类诊断及其与年龄的关系。方法:横断面研究针对一组同时行阑尾切除术的患者。总结所有资料,包括患者的年龄、性别、临床表现和超声检查结果。对98名年龄在35岁以下的患者进行了横断面评估,这些患者需要进行身体检查和超声检查。不同年龄的人被分成几组。比较两组患者的人口学、临床表现和诊断。通过临床检查和超声检查进行诊断。不同年龄组的超声检查结果进行比较。结果:本组35岁以下疑似阑尾炎患者98例,其中男性42例,女性56例。在74个个体中发现,47个女性和27个男性。在所有个体中,74例通过医学评估和超声检查诊断。经超声检查,所有患者均为阑尾炎。其中女性47例,男性27例。阑尾共发现74例,并伴有其他压痛体征。从性别上看,女性的阳性结果多于男性。98例患者中超声结果阳性的女性47例,阳性的男性27例。为了找出年龄、性别与阑尾炎结果的关系,我们采用卡方检验。年龄卡方检验结果显示,不同年龄组与阑尾炎结果的关系相同。我们观察到p值(0.045)小于(0.05),不同......之间存在相同的关系
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引用次数: 0
Hemiballism Revealing Hyperglycemia without Ketosis, Complicated by Cortical Laminar Necrosis 半偏瘫表现为高血糖,无酮症,并发皮质层状坏死
Pub Date : 2022-08-26 DOI: 10.36349/easjrit.2022.v04i04.011
M. Albakaye, S. Diallo, N. Kissani, Y. Maiga
Hyperglycemia without ketosis is a rare cause of hemiballism. The secondary complication of this entity of Cortical Laminar Necrosis is rare. Brain MRI is of major help to detect basal ganglia involvement and gyriform hyper signals that are the signature of laminar cortical necrosis. We report a case of hemiballism associated with hyperglycemia without ketosis, which was secondarily complicated by cortical laminar necrosis with a fatal outcome.
无酮症的高血糖症是偏瘫的罕见病因。皮质层状坏死的继发并发症是罕见的。脑MRI对基底节区受累和回状高信号的检测有重要帮助,这是层状皮质坏死的特征。我们报告一例伴有高血糖而无酮症的偏瘫患者,继发并发皮质层状坏死,结果致命。
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引用次数: 0
Role of X-ray in the Detection of Structural Changes Related to COPD in Smoker and Non-Smoker x线在吸烟者和非吸烟者COPD相关结构变化检测中的作用
Pub Date : 2022-08-24 DOI: 10.36349/easjrit.2022.v04i04.010
Azka Jabeen, M. Jameel, Abid Ali, Rehan Afsar, Jannat Aslam
Background: A entire of 10% of Chronic Obstructive pulmonary disease (COPD) are never Smokers because of occupational history positive like biogas and air pollution. And 90% of patients are Smokers. Smoking is main cause of COPD in worldwide. Aim: To determine the role of X-Rays in the Detection of Structural Changes Related to COPD in smokers and nonsmokers. Material and Method: This cross-sectional study was conceded out in Radiological department DHQ Medical institution Gujranwala. The duration of study was 4 months i.e. January 2022 to May 2022. Total no of patients was conduct in Radiology department with COPD are 100. Exclusion criteria included all patients who are not with COPD. Results: Total number of participants are 100 in out of which 10% are non-Smokers and 90% are Smokers. In which we evaluate the structural changes related to COPD. The Result shows hyper- inflated lungs (100%) occupy in smokers and never-smokers. And focal bullae are not occupying in smokers and never-smokers and Flattening of diaphragm are (8%) in non-smokers and (92%) in smokers Increase chest size in never-smokers are (1%) and in smokers are (99%) present. Tubular heart is (63%) in smokers and (37%) in non-smokers. Conclusion: In this prospective study 100 patients of COPD are involved of both genders. In which males are more common than females. The overall study rate of COPD in this study is 10/90 with higher occurrence in males in smokers.
背景:10%的慢性阻塞性肺疾病(COPD)患者因职业史阳性如沼气和空气污染而从不吸烟。90%的病人都是吸烟者。在世界范围内,吸烟是慢性阻塞性肺病的主要病因。目的:确定x射线在吸烟者和非吸烟者COPD相关结构变化检测中的作用。材料与方法:本横断面研究发表于古格兰瓦拉DHQ医疗机构放射科。学习时间为4个月,即2022年1月至2022年5月。慢性阻塞性肺病(COPD)患者在放射科就诊的总人数为100例。排除标准包括所有非COPD患者。结果:参与者总数为100人,其中10%为非吸烟者,90%为吸烟者。我们评估了与COPD相关的结构变化。结果显示,在吸烟者和不吸烟者中,肺充盈率为100%。吸烟者和不吸烟者均未出现局灶性大泡,不吸烟者和吸烟者分别有8%和92%的膈肌扁平,不吸烟者和吸烟者分别有1%和99%的胸部增大。管状心脏在吸烟者中为63%,在非吸烟者中为37%。结论:在这项前瞻性研究中,100例COPD患者包括男女。男性比女性更常见。在本研究中,COPD的总体发病率为10/90,男性吸烟者的发病率更高。
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引用次数: 0
Sonographic Size of Normal Uterus in Pre and Post-Menopausal Women and its Correlation with BMI 绝经前后妇女正常子宫超声大小及其与BMI的关系
Pub Date : 2022-08-10 DOI: 10.36349/easjrit.2022.v04i04.009
Iqra Khalil, Sadia Azam, Abid Ali, Rehan Afsar, U. Asghar
Background: Uterus is a pear shaped muscular retroperitoneal organ. It has three layers Endometrium, myometrium and perimetrium. Aim: To determine the sonographic size of normal uterus in pre and post-menopausal women and its correlation with BMI. Material And Method: This study consists of 150 women (115 parous &35 nulliparous) had sonography with abdominal and /or pelvic problem non-relating to uterus in both parous and nulliparous women. Uterine measurements are assessed and associated with age, height, and weight and correlated with pre and post-menopausal women. Results: The result showed that the size of uterus (length×width×height) from 11to 30 years is (7 ×3 ×4), from 31 to 40 is (7× 4 × 5), from 41 to 50 years is (7×4 × 5), and from 50 to 6o years is (7 × 3 ×4). From 60 to 90 year’s uterus length decreases. In 60 to 70 years is (6.1 × 2 ×2), from 71 to 80 years is (4 ×3×2) from 81 to 90 years is (5 × 2 × 3). In my study there was insignificant correlation of uterus dimensions with BMI. Conclusion: On the beginning of the current work next inference was strained. The uterine length rises with rise in age in from 11 to 60 years and reduction in 61 to 90 years’ age. Negative correlation between uterine length and BMI. There is insignificant correlation of uterus dimensions with BMI.
背景:子宫是一个梨形腹膜后肌肉器官。它有三层子宫内膜,肌层和外周膜。目的:探讨绝经前、绝经后妇女正常子宫的超声大小及其与BMI的关系。材料和方法:本研究包括150名妇女(115名已产妇女和35名未产妇女),在已产妇女和未产妇女中都有与子宫无关的腹部和/或盆腔问题。子宫测量被评估并与年龄、身高和体重相关,并与绝经前和绝经后妇女相关。结果:11 ~ 30岁子宫大小length×width×height为(7 ×3 ×4), 31 ~ 40岁子宫大小为(7×4 × 5), 41 ~ 50岁子宫大小为(7×4 × 5), 50 ~ 60岁子宫大小为(7× 3 ×4)。从60岁到90岁,子宫长度减少。60 ~ 70岁为(6.1 ×2 ×2), 71 ~ 80岁为(4 ×3×2), 81 ~ 90岁为(5 ×2 ×3)。在我的研究中,子宫尺寸与BMI的相关性不显著。结论:对当前工作的开始进行了下一步的推断。子宫长度在11 ~ 60岁随年龄增加而增加,61 ~ 90岁随年龄减少。子宫长度与BMI呈负相关。子宫尺寸与BMI的相关性不显著。
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引用次数: 0
Contribution of MRI in the Management of Neuro-Behçet, Retrospective Study: About 16 Cases MRI在神经行为障碍治疗中的贡献:16例回顾性研究
Pub Date : 2022-08-03 DOI: 10.36349/easjrit.2022.v04i04.007
O. Hamdaoui, A. Fadoul, Hmada Sanaa, H. Tabakh, N. Touil, O. Kacimi, N. Chikhaoui
Neurological damage from Behçet's disease is considered to be a severe neurological manifestation. We have collected 16 cases from the internal medicine, neurology and radiology department of Ibnou Rochd hospital in Casalanca. Our patients have a mean age of 39 years, with male predominance and an average delay of 6.18 years. Headache and central motor impairment were the first telltale signs of neuro-Behçet in 62.5%. The brain scan was carried out in 15 patients, it objectified an ischemic stroke in a single case, poorly systematized hypodensities raising suspicion of thrombophlebitis in 5 cases and an image of venous thrombosis concerning the upper longitudinal sinus in a single case. Brain MRI showed demyelination lesions, of infra-centimeter sizes and variable shapes; in hypo signal T1, hyper signal T2 and T2 FLAIR in 9 patients, of supratentorial seat in 5 cases and lesions in under tentorial in 4 cases with uptake of nodular contrast in 2 cases and annular contrast in only one case. The MRI also highlighted 3 cases of cortical subcortical atrophy on the upper tentorial level, one case of atrophy of the brainstem, 7 cases of venous thrombosis objectified on angio MRI and 2 cases of stroke ischemic. Thus, a pseudo-tumor aspect was reported in only one case. And only one case benefited from a spinal MRI and objectified cervical lesions. These lesions are often associated. The preferred location found in our patients is the brainstem, essentially ponto- mesencephalic. This distribution makes it possible to make the differential diagnosis with other vasculitides and inflammatory diseases.
behaperet病引起的神经损伤被认为是一种严重的神经学表现。我们从卡萨兰卡Ibnou Rochd医院内科、神经内科和放射科收集了16例病例。我们的患者平均年龄39岁,男性为主,平均延迟6.18年。62.5%的患者头痛和中枢运动障碍是神经行为紊乱的首要迹象。15例患者进行了脑部扫描,其中1例为缺血性脑卒中,5例为血栓性静脉炎,1例为上纵窦静脉血栓形成。脑MRI示脱髓鞘病变,大小近厘米,形状各异;低信号T1、高信号T2、T2 FLAIR 9例,幕上位病变5例,幕下病变4例,结节性造影剂2例,环形造影剂1例。MRI表现为脑幕上皮层下萎缩3例,脑干萎缩1例,血管MRI表现为静脉血栓形成7例,脑卒中缺血性2例。因此,假性肿瘤方面的报道只有一个病例。只有一个病例受益于脊柱MRI和客观的颈椎病变。这些病变常伴有。在我们的病人中,首选的位置是脑干,主要是脑桥-中脑。这种分布使得与其他血管和炎症性疾病的鉴别诊断成为可能。
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引用次数: 0
Sturge-Weber Syndrome: About A Case 斯特奇-韦伯综合征:关于一个案例
Pub Date : 2022-08-03 DOI: 10.36349/easjrit.2022.v04i04.008
O. Hamdaoui, A. Fadoul, El Mahfoudi Salwa, H. Tabakh, N. Touil, O. Kacimi, N. Chikhaoui
Sturge-Weber syndrome (SWS) or encephalo-facial angiomatosis, is a syndrome rare congenital neurocutaneous and ocular. He has two types of malformations: capillary congenital facial with flat angioma type and capillaro-venous lepto-meningeal location the more often ipsilateral parieto-occipital. The Neuroimaging, essentially imaging by magnetic resonance (MRI), plays a role important in establishing the diagnosis, ideally before the onset of complications neuro-ocular. We report the case of a patient with motor impairment in whom SWS is suspected based on facial angioma and pharmaco-resistant epilepsy.
斯特奇-韦伯综合征(SWS)或脑面部血管瘤病,是一种罕见的先天性神经皮肤和眼部综合征。他有两种类型的畸形:毛细血管先天性面部扁平血管瘤型和毛细血管静脉轻脑膜位置,更常见的是同侧顶枕。神经影像学,主要是通过磁共振成像(MRI),在建立诊断中起重要作用,理想的是在神经-眼并发症发生之前。我们报告一例患者的运动障碍,其中SWS是基于面部血管瘤和药物抵抗性癫痫怀疑。
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引用次数: 0
Narrow Lumbar Canal by Epidural Lipomatosis: About A Case and Review of the Literature 硬膜外脂肪增生致腰管狭窄1例及文献复习
Pub Date : 2022-08-03 DOI: 10.36349/easjrit.2022.v04i04.005
O. Hamdaoui, A. Fadoul, Hmada Sanaa, H. Tabakh, N. Touil, O. Kacimi, N. Chikhaoui
Neurological damage from Behçet's disease is considered to be a severe neurological manifestation. We have collected 16 cases from the internal medicine, neurology and radiology department of Ibnou Rochd hospital in Casalanca. Our patients have a mean age of 39 years, with male predominance and an average delay of 6.18 years. Headache and central motor impairment were the first telltale signs of neuro-Behçet in 62.5%. The brain scan was carried out in 15 patients, it objectified an ischemic stroke in a single case, poorly systematized hypodensities raising suspicion of thrombophlebitis in 5 cases and an image of venous thrombosis concerning the upper longitudinal sinus in a single case. Brain MRI showed demyelination lesions, of infra-centimeter sizes and variable shapes; in hypo signal T1, hyper signal T2 and T2 FLAIR in 9 patients, of supratentorial seat in 5 cases and lesions in under tentorial in 4 cases with uptake of nodular contrast in 2 cases and annular contrast in only one case. The MRI also highlighted 3 cases of cortical subcortical atrophy on the upper tentorial level, one case of atrophy of the brainstem, 7 cases of venous thrombosis objectified on angio MRI and 2 cases of stroke ischemic. Thus, a pseudo-tumor aspect was reported in only one case. And only one case benefited from a spinal MRI and objectified cervical lesions. These lesions are often associated. The preferred location found in our patients is the brainstem, essentially ponto- mesencephalic. This distribution makes it possible to make the differential diagnosis with other vasculitides and inflammatory diseases.
behaperet病引起的神经损伤被认为是一种严重的神经学表现。我们从卡萨兰卡Ibnou Rochd医院内科、神经内科和放射科收集了16例病例。我们的患者平均年龄39岁,男性为主,平均延迟6.18年。62.5%的患者头痛和中枢运动障碍是神经行为紊乱的首要迹象。15例患者进行了脑部扫描,其中1例为缺血性脑卒中,5例为血栓性静脉炎,1例为上纵窦静脉血栓形成。脑MRI示脱髓鞘病变,大小近厘米,形状各异;低信号T1、高信号T2、T2 FLAIR 9例,幕上位病变5例,幕下病变4例,结节性造影剂2例,环形造影剂1例。MRI表现为脑幕上皮层下萎缩3例,脑干萎缩1例,血管MRI表现为静脉血栓形成7例,脑卒中缺血性2例。因此,假性肿瘤方面的报道只有一个病例。只有一个病例受益于脊柱MRI和客观的颈椎病变。这些病变常伴有。在我们的病人中,首选的位置是脑干,主要是脑桥-中脑。这种分布使得与其他血管和炎症性疾病的鉴别诊断成为可能。
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引用次数: 0
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EAS Journal of Radiology and Imaging Technology
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