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Fibrolipoma of the Filum Terminale: A Rare Incidental Lesion 终末纤维脂肪瘤:一种罕见的偶发病变
Pub Date : 2022-04-10 DOI: 10.36349/easjrit.2022.v04i02.002
S. Bellasri, B. Slioui, N. Hammoune, E. Atmane, A. Mouhsine
A 29-year-old woman presented with low backache of 6 months duration. Systemic and neurological findings were unremarkable. Sphincter dysfunction was absent. CT scan (Figure: (a) sagittal view; (b) coronal reconstruction; (c) axial image) revealed a linear fat density area of thikness 3 mm decreasing in diameter caudally within the filum terminale extending from L2 to L5 vertebral level, suggesting fibrolipoma of filum terminale. The position of the conus medullaris was seen at normal level. There was no other abnormality. Fibrolipomas of the filum terminale are embryonic in origin and frequently asymptomatic. They are seen on CT and MR images as areas of fatty tissue along the filum terminale. These lipomas may result from developmental malformation that occurs during the formation of the neural tube and leads to inclusion of embryonic crests of fat cells. A fibrolipoma “infiltrates” the filum and tends to be tubular. Fibrolipoma affecting the filum terminale are rare benign tumours usually discovered at imaging and rarely symptomatic, sometimes associated with radicular pain. Low position of the conus medullaris (below L2 vertebra) is a spectrum of associated congenital abnormality that may lead to neurological, musculoskeletal, urological, or gastrointestinal abnormalities. Split cord malformation (diastematomyelia) and a dermal sinus are also possible findings.
29岁女性,腰痛6个月。全身性和神经学方面的发现并不显著。未见括约肌功能障碍。CT扫描(图:(a)矢状位;(b)冠状面重建;(c)轴向图像)显示终末丝内一个线状脂肪密度区,厚度为3mm,直径逐渐减小,从L2椎体延伸至L5椎体水平,提示终末丝纤维脂肪瘤。髓圆锥的位置在正常水平。没有其他异常。终末纤维脂肪瘤起源于胚胎,通常无症状。它们在CT和MR图像上表现为沿终丝的脂肪组织区域。这些脂肪瘤可能是由神经管形成过程中的发育畸形引起的,并导致脂肪细胞的胚胎嵴包涵。纤维脂肪瘤浸润纤维丝,呈管状。纤维脂肪瘤是一种罕见的良性肿瘤,通常在影像学上发现,很少有症状,有时伴有神经根痛。髓圆锥低位(L2椎体以下)是一系列相关的先天性异常,可导致神经、肌肉骨骼、泌尿或胃肠道异常。裂索畸形(脊髓纵裂)和真皮窦也是可能的表现。
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引用次数: 0
Imaging-guided Percutaneous Core-Needle Biopsy of Central Pulmonary Masses with Atelectasis: Comparison of The CT Versus the Ultrasound-Guided Procedures 影像引导下经皮肺中心肿块不张穿刺活检:CT与超声引导下的比较
Pub Date : 2022-03-12 DOI: 10.36349/easjrit.2022.v04i02.001
S. Bellasri, B. Slioui, N. Hammoune, H. Janah, A. Benjelloun, R. Benchanna, I. Samri, A. Azami, A. Zidane, E. Atmane, A. Mouhsine
Aim: To compare the safety and efficacy of percutaneous computed tomography (CT)-guided core-needle biopsy (CNB) of pulmonary central masses versus ultrasound (US)-guided procedure. Materials and Methods: CT-guided and US-guided CNB of central lung lesions performed between May 2014 and January 2022 were retrospectively analysed at our hospital. Biopsies were performed using 18-G needles with a coaxial system. CT images, histopathology reports, medical records, and procedural details for all patients were reviewed to evaluate the biopsy route, complications, and diagnostic accuracy. According to the imaging equipment used, biopsies were divided into US-guided and CT-guided approaches for comparison. Results: A total of 65 patients, who had undergone 65 CNBs for central lung masses were reviewed. Ultrasound guided biopsies of central lung masses (n=22) were performed safely via a direct pathway. In this group, the sensitivity, specificity, and accuracy were 94.4%, 75% and 90.9%, respectively. In the CT guided biopsy group, there were 43 patients and we observed a sensitivity, specificity and accuracy of 86.1%, 85.7% and 86%. There were statistically significant differences in the diagnostic accuracy and lesion visibility rate among the different biopsy techniques. There was no difference in complication rates between groups. Conclusion: Percutaneous US-guided CNB using a18-G catheter with axial is more efficient technique than CT-guided procedure in the cases of central lung biopsies with atelectasis; however, as this series was small, more data is required.
目的:比较经皮计算机断层扫描(CT)引导下的肺中心肿块穿刺活检(CNB)与超声引导下的肺中心肿块穿刺活检(CNB)的安全性和有效性。材料与方法:回顾性分析2014年5月至2022年1月在我院行ct引导和us引导下的中心性肺病变CNB。使用同轴系统的18g针进行活检。回顾所有患者的CT图像、组织病理学报告、医疗记录和手术细节,以评估活检路线、并发症和诊断准确性。根据使用的成像设备,活检分为us引导和ct引导两种方法进行比较。结果:本组共纳入65例因中心性肺肿块行CNBs的患者。超声引导下的中央肺肿块活检(n=22)通过直接路径安全进行。本组的敏感性、特异性和准确性分别为94.4%、75%和90.9%。CT引导下活检组43例,其敏感性、特异性和准确性分别为86.1%、85.7%和86%。不同活检技术在诊断准确率和病变可见率上存在统计学差异。两组间并发症发生率无差异。结论:在中枢性肺组织活检合并肺不张的病例中,经皮穿刺引导下采用a18-G轴向导管行CNB比ct引导下更有效;然而,由于这个系列很小,需要更多的数据。
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引用次数: 0
Role of Magnetic Resonance Imaging in Perimenopausal Bleeding and Its Correlation to Transvaginal Ultrasound 磁共振成像在围绝经期出血中的作用及其与经阴道超声的相关性
Pub Date : 2022-02-24 DOI: 10.36349/easjrit.2022.v04i01.002
Dr. (Prof.) Alka Agrawal, Dr.Prachi Shukla, Dr. Roshani Rathore
Background and purpose: Abnormal uterine bleeding is a common presenting symptom of most of the benign and malignant uterine lesions among perimenopausal women. Although age-related, systemic, iatrogenic, and hormonal causes are more common and can be diagnosed by readily available lab tests, structural causes (either benign or malignant) are of concern to the patients in perimenopausal age women, when imaging (TVS, and MRI) comes into play. This study aims to compare the role of TVS and MRI in the characterization of uterine lesions presented as perimenopausal bleeding. Results: This observational prospective study was performed at a single tertiary care centre, comprising 52 consecutive patients of perimenopausal bleeding. All patients were subjected to TVS and MRI examination and correlation with histopathology was done. Most of the patients (44.2%) in our study belonged to age group of 40 to 49 years, with mean age for benign and malignant lesions was 46.81±8.5 and 52.10 ±7.05 respectively (p = 0.025). For evaluation of malignant lesions, sensitivity and specificity of MRI (100% and 96.87% respectively) was found to be higher than TVS (60% and 93.75% respectively with false negative rate of 40%) when both were compared with histopathology. Conclusion: Although TVS continues to remain the mainstay imaging modality, MRI because of excellent tissue delineation has demonstrated its superiority to TVS, for depicting and characterizing the unique features of various uterine lesions.
背景与目的:子宫异常出血是围绝经期妇女良性和恶性子宫病变的常见表现。虽然年龄相关的、全身的、医源性的和激素的原因更常见,并且可以通过现成的实验室检查来诊断,但当影像学(TVS和MRI)发挥作用时,结构性原因(良性或恶性)是围绝经期妇女患者关注的问题。本研究旨在比较TVS和MRI在围绝经期出血子宫病变特征中的作用。结果:这项观察性前瞻性研究是在一个三级保健中心进行的,包括52名绝经期出血的连续患者。所有患者均行TVS和MRI检查,并与组织病理学进行对比。本组患者年龄以40 ~ 49岁为主(44.2%),良、恶性病变平均年龄分别为46.81±8.5岁和52.10±7.05岁(p = 0.025)。与组织病理学比较,MRI对恶性病变的敏感性和特异性(分别为100%和96.87%)高于TVS(分别为60%和93.75%,假阴性率为40%)。结论:虽然TVS仍然是主要的成像方式,但MRI由于其出色的组织描绘,在描绘和表征各种子宫病变的独特特征方面显示出其优势。
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引用次数: 0
MRI Aspects of Prenatal Brain Malformations about Three Cases and Literature Review 3例产前脑畸形的MRI表现及文献复习
Pub Date : 2022-01-08 DOI: 10.36349/easjrit.2022.v04i01.001
Touré Aboulaye, A. Judicael, Ndja Ange P, Ledion Anicet, G. Casimir
We report three cases of fetal malformations diagnosed by MRI in Abidjan. Patients were referred for suspicion of fetal malformations on ultrasound. They were young (average age of 29 years), primipares, without any particular antecedent. We used a 1.5 T MRI, T2 coronal, T2 axial, BTFE coronal, BTFE sagittal, BTFE axial, diffusion and ADC cartography were realised. MRI diagnosed an arachnoid cyst, posterior fossa kystique tumor, hydranencephaly. MRI is an excellent diagnostic tool for fetal malformations. Its use should be routine in management of fetal malformations.
我们报告三例胎儿畸形诊断的MRI在阿比让。对怀疑胎儿畸形的患者进行超声检查。她们很年轻(平均年龄29岁),初产,没有任何特殊的先例。我们使用1.5 T MRI,对T2冠状、T2轴状、BTFE冠状、BTFE矢状、BTFE轴状、弥散和ADC进行了成像。MRI诊断为蛛网膜囊肿,后窝膀胱肿瘤,无脑畸形。MRI是胎儿畸形的一种极好的诊断工具。它的使用应该是常规的管理胎儿畸形。
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引用次数: 0
Sonographic Evaluation of Hydronephrosis and the Prevalence of Leading Causes in Adults 成人肾积水的超声评价及主要病因的流行
Pub Date : 2021-04-30 DOI: 10.36349/easjrit.2021.v03i02.013
M. Kaleem, A. John, Muhammad Naeem, Fatima Akbar, Abid Ali
Medical Imaging Doctor (MID), Department of Radiology Sciences and Medical Imaging, the University of Lahore, Gujrat, Pakistan Lecturer, Department of Radiology Sciences and Medical Imaging, the University of Lahore, Gujrat, Pakistan Lecturer, Department of Radiology Sciences and Medical Imaging, the University of Lahore, Gujrat, Pakistan Medical Imaging Doctor (MID), Department of Radiology Sciences and Medical Imaging, the University of Lahore, Gujrat, Pakistan Associate Professor, Department of Allied Health Sciences, University of Lahore, Gujrat, Pakistan
巴基斯坦古吉拉特拉合尔大学放射科学和医学成像系医学成像博士(MID),巴基斯坦古吉拉特拉合尔大学放射科学和医学成像系讲师,巴基斯坦古吉拉特拉合尔大学放射科学和医学成像系讲师,巴基斯坦古吉拉特拉合尔大学放射科学和医学成像系医学成像博士(MID),巴基斯坦古吉拉特拉合尔大学放射科学和医学成像系副教授,巴基斯坦古吉拉特邦拉合尔大学联合健康科学系
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引用次数: 1
Prevalence of Traumatic Brain Injuries and Comparison of Its Clinical Findings from Mild to Severe Grade on Computed Tomography 外伤性脑损伤的发生率及轻、重度ct临床表现的比较
Pub Date : 2021-04-30 DOI: 10.36349/easjrit.2021.v03i02.014
 Ayesha Umar, A. John, Muhammad Ahmad Naeem, Hussnain Rashid Butt, Abid Ali
Quick Response Code Abstract: Background: Traumatic brain injury and its implications lead to huge public health issues. Annually, TBI affects approximately 50 million individuals all around the world. Head injury is the leading neurological reason for despondency and fatality, particularly influencing the youngsters. 85% to 90% are mild or moderate TBI. Objective: To find prevalence of traumatic brain injuries on computed tomography and that of severity classification from mild to severe grade. Material and Methods: 100 patients with history of head trauma were evaluated in this study, which came to emergency department of Public sector. GCS was taken and all were referred to CT. Noncontrast CT of brain was performed with slice thickness of 3mm from skull base to vertex. And analysis was done using (SPSS) Statistical Package for the Social Sciences version 21. Results: Of 100 TBI patients, men composed 66% and women 34%. Falls (38%), violence (2%) and other causes (5%) all collectively cause fewer traumas than RTA (55%) specifically in patients of age group 16-26 years. Different traumatic brain injuries were noted including EDH (22%), IPH (23%), SAH (9%), SDH (27%), Contusion (4%) and infarction (15%). Noteworthy, most of the brain injuries were observed as mild TBI in 65% of cases accounting for more than moderate (21%) and severe TBI (14%). Conclusion: The study concludes that 65% of patients who acquired head trauma had mild TBI while remaining 21% and 14% consumed moderate and severe TBI respectively. Subdural and intraparenchymal hemorrhages are most frequent type of diagnosis in TBI.
摘要:背景:外伤性脑损伤及其影响是一个巨大的公共卫生问题。每年,全世界大约有5000万人受到脑外伤的影响。头部损伤是导致沮丧和死亡的主要神经学原因,尤其影响青少年。85%到90%是轻度或中度脑外伤。目的:了解外伤性脑损伤的ct表现及轻、重度分级情况。材料与方法:本研究对100例就诊于公立医院急诊科的有头部外伤史的患者进行评估。均行GCS检查,并行CT检查。颅脑非对比CT,自颅底至顶点厚度为3mm。分析使用SPSS (Statistical Package for Social Sciences version 21)。结果:100例TBI患者中,男性占66%,女性占34%。跌落(38%)、暴力(2%)和其他原因(5%)造成的创伤总体上都少于RTA(55%),特别是在16-26岁年龄组的患者中。不同的外伤性脑损伤包括EDH(22%)、IPH(23%)、SAH(9%)、SDH(27%)、挫伤(4%)和梗死(15%)。值得注意的是,65%的病例观察到大多数脑损伤为轻度TBI,超过中度(21%)和重度TBI(14%)。结论:该研究得出65%的获得性头部创伤患者为轻度TBI,其余21%和14%分别为中度和重度TBI。硬膜下和实质内出血是TBI中最常见的诊断类型。
{"title":"Prevalence of Traumatic Brain Injuries and Comparison of Its Clinical Findings from Mild to Severe Grade on Computed Tomography","authors":" Ayesha Umar, A. John, Muhammad Ahmad Naeem, Hussnain Rashid Butt, Abid Ali","doi":"10.36349/easjrit.2021.v03i02.014","DOIUrl":"https://doi.org/10.36349/easjrit.2021.v03i02.014","url":null,"abstract":"Quick Response Code Abstract: Background: Traumatic brain injury and its implications lead to huge public health issues. Annually, TBI affects approximately 50 million individuals all around the world. Head injury is the leading neurological reason for despondency and fatality, particularly influencing the youngsters. 85% to 90% are mild or moderate TBI. Objective: To find prevalence of traumatic brain injuries on computed tomography and that of severity classification from mild to severe grade. Material and Methods: 100 patients with history of head trauma were evaluated in this study, which came to emergency department of Public sector. GCS was taken and all were referred to CT. Noncontrast CT of brain was performed with slice thickness of 3mm from skull base to vertex. And analysis was done using (SPSS) Statistical Package for the Social Sciences version 21. Results: Of 100 TBI patients, men composed 66% and women 34%. Falls (38%), violence (2%) and other causes (5%) all collectively cause fewer traumas than RTA (55%) specifically in patients of age group 16-26 years. Different traumatic brain injuries were noted including EDH (22%), IPH (23%), SAH (9%), SDH (27%), Contusion (4%) and infarction (15%). Noteworthy, most of the brain injuries were observed as mild TBI in 65% of cases accounting for more than moderate (21%) and severe TBI (14%). Conclusion: The study concludes that 65% of patients who acquired head trauma had mild TBI while remaining 21% and 14% consumed moderate and severe TBI respectively. Subdural and intraparenchymal hemorrhages are most frequent type of diagnosis in TBI.","PeriodicalId":429686,"journal":{"name":"EAS Journal of Radiology and Imaging Technology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126899090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging of Thoracic Hydatid Cysts, Point of view of the Radiologist 胸部包虫病的影像学,放射科医生的观点
Pub Date : 2021-04-30 DOI: 10.36349/easjrit.2021.v03i02.010
 F. Baadi, C. Gakosso, M. Badraoui, B. Boutakioute, M. Ouali Idrissi, N. Cherif Idrissi El Ganouni
Quick Response Code Abstract: Hydatidosis is a parasitic disease endemic, and represents a real public health problem in our country. In adult, thoracic hydatidosis represents the second localization where pulmonary localization is largely predominant. Imaging in particular CT has a fundamental role in the positive diagnosis and the search for complications. The aim of our work is to illustrate the radiological aspects of thoracic hydatid cyst, through a retrospective study of 40 cases, collected over a period of 2 years (from January 2017 to December 2018) at Radiology Service of the Mohammed VI University Hospital Center in Marrakech, Morocco.
摘要:包虫病是一种地方性寄生虫病,是我国现实存在的公共卫生问题。在成人中,胸包虫病是第二种定位,其中肺定位主要占主导地位。影像学,特别是CT在阳性诊断和寻找并发症方面具有重要作用。我们的工作目的是通过对摩洛哥马拉喀什穆罕默德六世大学医院中心放射科2年(2017年1月至2018年12月)收集的40例病例进行回顾性研究,阐明胸部包虫囊肿的放射学方面。
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引用次数: 1
Lhermitte-Duclos Disease is a Component of Cowden Syndrome: Typical MRI Findings Lhermitte-Duclos病是考登综合征的一个组成部分:典型的MRI表现
Pub Date : 2021-04-30 DOI: 10.36349/easjrit.2021.v03i02.009
 . F, Z. K, Gakosso C, B. B, O. M, C. N
Quick Response Code Abstract: Lhermitte-Duclos disease or dysplastic cerebellar gangliocytoma is a rare entity characterized by a hamartomatous lesion in the posterior fossa. Cowden’s syndrome or hamartoma-neoplasia syndrome is a rare underdiagnosed autosomal dominant genodermatosis with high incidence of malignant tumors. Lhermitte-Duclos disease may be a component of Cowden’s syndrome.
摘要Lhermitte-Duclos病或发育不良的小脑神经节细胞瘤是一种罕见的后颅窝错构瘤病变。考登氏综合征或错构瘤-瘤变综合征是一种罕见的常染色体显性遗传病,常染色体显性遗传病伴高发病率的恶性肿瘤。Lhermitte-Duclos病可能是考登综合征的一个组成部分。
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引用次数: 0
Clinical Diagnosis of Stroke Related to Brain Atrophy on Computed Tomography 脑萎缩相关脑卒中的ct临床诊断
Pub Date : 2021-04-30 DOI: 10.36349/easjrit.2021.v03i02.012
 . R. Naeem, A. John, Muhammad Ahmad Naeem, S. Y. Farooq, N. Arshad, Muhammad Hashaam
Quick Response Code Abstract: Background: Brain Atrophy refers to the continuous loss of brain cells with the time and loss of connections between these neurons of brain tissues. Brain atrophy can be considered as the ultimate organ effect of cardiovascular risk factors. Advanced brain atrophy is described following hemorrhagic and ischemic stroke. Objective: To evaluate the frequency of brain atrophy and risk factors in stroke patients. Materials and Methods: This cross-sectional study was conducted on 150 patients having ischemic and hemorrhagic stroke between the periods of March 2020 to February 2021. The data was collected from the emergency department of Tertiary care Government hospital. The patients included were 68 males & 82 females examined on Computed Tomography. Changes of Evans Index were taken as a marker of brain atrophy on Computed Tomography. Results: Out of 150 stroke patients, 79 patients (49=males and 30= females) had brain atrophy with a mean age of 55.51. In Atrophic patients, 49 had hypertension, 30 had diabetes mellitus, 67 had ventriculomegaly, 39 had seizures, 42 had infarction, 66 had cognitive impairment, 18 had Depression, 66 had ischemic, and 13 had a hemorrhagic stroke. Conclusion: In conclusion, post-stroke consequences lead to brain atrophy and are also associated with various risk factors. In Ischemic stroke, brain atrophy is more prevalent than in hemorrhagic stroke.
摘要:背景:脑萎缩是指随着时间的推移,脑细胞不断减少,脑组织神经元之间的连接丧失。脑萎缩可被认为是心血管危险因素的最终器官效应。出血性和缺血性中风后出现晚期脑萎缩。目的:探讨脑卒中患者脑萎缩发生率及危险因素。材料与方法:本横断面研究在2020年3月至2021年2月期间对150例缺血性和出血性卒中患者进行了研究。数据来自三级政府医院急诊科。其中男性68例,女性82例。以Evans指数变化作为脑萎缩的计算机断层扫描指标。结果:150例脑卒中患者中,男49例,女30例,脑萎缩79例,平均年龄55.51岁。萎缩患者中高血压49例,糖尿病30例,脑室肿大67例,癫痫39例,梗死42例,认知障碍66例,抑郁症18例,缺血性66例,出血性中风13例。结论:脑卒中后后果可导致脑萎缩,并与多种危险因素有关。在缺血性中风中,脑萎缩比出血性中风更为普遍。
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引用次数: 0
Prevalence of Multiple Aetiologies of Abnormal Uterine Bleeding in Perimenopausal Women Using Ultrasound 超声诊断围绝经期妇女子宫异常出血的多病因患病率
Pub Date : 2021-04-30 DOI: 10.36349/easjrit.2021.v03i02.011
 Fatima Akbar, A. John, Muhammad Ahmad Naeem, M. Kaleem, Abid Ali
Medical Imaging Doctor (MID), Department of Radiology Sciences and Medical Imaging, the University of Lahore, Gujrat, Pakistan ,Lecturer, Department of Radiology Sciences and Medical Imaging, the University of Lahore, Gujrat, Pakistan Medical Imaging Doctor (MID), Department of Radiology Sciences and Medical Imaging, the University of Lahore, Gujrat, Pakistan Associate Professor, Department of Allied Health Sciences, University of Lahore, Gujrat, Pakistan
巴基斯坦古吉拉特邦拉合尔大学放射科学和医学成像系医学成像博士(MID),巴基斯坦古吉拉特邦拉合尔大学放射科学和医学成像系讲师,巴基斯坦古吉拉特邦拉合尔大学放射科学和医学成像系医学成像博士(MID),巴基斯坦古吉拉特邦拉合尔大学联合健康科学系副教授
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引用次数: 0
期刊
EAS Journal of Radiology and Imaging Technology
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