Pub Date : 2024-07-01DOI: 10.33545/26644436.2024.v7.i3a.390
Ashraf Mohammed Fathy Dawoud, Hossam Mohammed Zayton, El Atafy El Metwaly El Atafy, Reda Abdelsame Elarabawy, Yosra Fouad Mohammed Rashad
Background: In addition to providing real-time needle imaging during a breath-hold, ultrasound (US) has the benefits of mobility, affordability, and possible time savings without posing a risk to patients' or healthcare professionals' radiation doses. This research set out to assess the safety and effectiveness of both CT and US-guided biopsies in the management of peripheral thoracic tumors. Methods: This current study was carried out on 50 patients aged from 3 to 79 years old, both sexes, with one or multiple thoracic lesions detected in CT chest, at least one of these lesions has pleural contact, with accessible acoustic window. All cases were biopsied under local anesthesia, except two cases who needed general anesthesia. Results: Pleural contact-complication incidence correlation is insignificant. Only the US group showed a significant relationship between pleural contact and operation schedule. US-guided biopsies needed fewer passes than CT-guided (P=0.04). US-guided biopsies yielded similar soft tissue cores to CT-guided biopsies despite fewer passes. Conclusions: It is recommended to prioritize US advice for biopsies of peripheral lung and pleural lesions that have pleural contact between 10 to 50 mm, regardless of the size or location of the lesion. This is because US guidance is more effective than CT guidance.
背景:超声波(US)除了能在屏气时提供实时针刺成像外,还具有移动性强、经济实惠、可节省时间等优点,而且不会对患者或医护人员的辐射剂量造成风险。本研究旨在评估 CT 和 US 引导活检在治疗胸部外周肿瘤中的安全性和有效性。研究方法本次研究的对象是 50 名年龄在 3 至 79 岁之间的患者,男女不限,均在胸部 CT 中发现一个或多个胸部病灶,其中至少一个病灶与胸膜有接触,且可进入声窗。除两例需要全身麻醉外,所有病例均在局部麻醉下进行活检。结果胸膜接触与并发症发生率的相关性不明显。只有美国组显示胸膜接触与手术时间有明显关系。US 引导活检所需的次数比 CT 引导少(P=0.04)。尽管检查次数较少,但 US 引导活检与 CT 引导活检获得的软组织核心相似。结论:无论病变的大小或位置如何,建议优先在 US 引导下对与胸膜接触面在 10 至 50 毫米之间的外周肺和胸膜病变进行活检。这是因为 US 引导比 CT 引导更有效。
{"title":"Ultrasound guided biopsy in peripheral thoracic lesions versus to CT guided biopsy: A comparative study","authors":"Ashraf Mohammed Fathy Dawoud, Hossam Mohammed Zayton, El Atafy El Metwaly El Atafy, Reda Abdelsame Elarabawy, Yosra Fouad Mohammed Rashad","doi":"10.33545/26644436.2024.v7.i3a.390","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i3a.390","url":null,"abstract":"Background: In addition to providing real-time needle imaging during a breath-hold, ultrasound (US) has the benefits of mobility, affordability, and possible time savings without posing a risk to patients' or healthcare professionals' radiation doses. This research set out to assess the safety and effectiveness of both CT and US-guided biopsies in the management of peripheral thoracic tumors. Methods: This current study was carried out on 50 patients aged from 3 to 79 years old, both sexes, with one or multiple thoracic lesions detected in CT chest, at least one of these lesions has pleural contact, with accessible acoustic window. All cases were biopsied under local anesthesia, except two cases who needed general anesthesia. Results: Pleural contact-complication incidence correlation is insignificant. Only the US group showed a significant relationship between pleural contact and operation schedule. US-guided biopsies needed fewer passes than CT-guided (P=0.04). US-guided biopsies yielded similar soft tissue cores to CT-guided biopsies despite fewer passes. Conclusions: It is recommended to prioritize US advice for biopsies of peripheral lung and pleural lesions that have pleural contact between 10 to 50 mm, regardless of the size or location of the lesion. This is because US guidance is more effective than CT guidance.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"4 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853557","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 : 2024-07-01DOI: 10.33545/26644436.2024.v7.i3a.392
Mohamed A El Barbary, Samir A El Gamal, Mohammed E Hegazy, A. Teima
{"title":"Ultrasound and color Doppler in assessment of acute scrotal lesions","authors":"Mohamed A El Barbary, Samir A El Gamal, Mohammed E Hegazy, A. Teima","doi":"10.33545/26644436.2024.v7.i3a.392","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i3a.392","url":null,"abstract":"","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"70 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840712","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 : 2024-07-01DOI: 10.33545/26644436.2024.v7.i3a.391
Mervatt Abd Elfattah Yousof, Essam Abd ElHai Mokbel, Mohammed M. Dawoud, Rasha Lotfy Younes
Background: Electromyography (EMG) and nerve conduction studies can assist in identifying the source of dysfunction. Computed tomography (CT) or magnetic resonance imaging (MRI) can identify pelvic masses and visualize the major nerves of the plexus. The objective of this study was to assess the significance of MRI and magnetic resonance neurography (MRN) in diagnosing lumbosacral (LS) radiculopathy and to establish a correlation between the findings of these imaging techniques and the patient's medical history, physical examination, and nerve conduction study results. Methods: The present study was conducted on a sample of 30 individuals experiencing radicular pain in the lower extremities. Every patient underwent both MRI and MRN. Results: There were insignificant associations between MRI findings and clinical manifestations and electrophysiological studies. There were insignificant associations between MRN findings and clinical manifestations and electrophysiological studies. All the 6 cases with root abnormalities in MRN had a non-disc etiology. All the 6 cases with root abnormalities in MRN had a non-disc etiology. MRN showed no abnormalities in LS plexus in 24 cases. The remaining 6 cases showed root abnormalities. Nerve root compression and thickening was seen in all the six cases. Perineural edema was seen in 5 cases, and altered signal intensity was seen in 3 cases. Conclusion: MRN appears to detect LS nerve root abnormalities in a portion of patients with clinical symptoms of lower extremity radiculopathy and radiculopathy on EMG. Our finding may support the growing evidence on the utility of MRN as a useful adjunct to electrodiagnostic testing for the diagnosis of LS radiculopathy.
背景:肌电图(EMG)和神经传导检查有助于确定功能障碍的来源。计算机断层扫描(CT)或磁共振成像(MRI)可确定骨盆肿块并观察神经丛的主要神经。本研究的目的是评估核磁共振成像和磁共振神经成像(MRN)在诊断腰骶部(LS)神经根病方面的意义,并建立这些成像技术的结果与患者病史、体格检查和神经传导研究结果之间的相关性。研究方法本研究对 30 名下肢根性疼痛患者进行了抽样调查。每位患者都接受了 MRI 和 MRN 检查。结果核磁共振成像结果与临床表现和电生理学研究之间的关联不明显。核磁共振成像结果与临床表现和电生理检查之间的关联不明显。所有6例磁共振成像根部异常病例的病因均与椎间盘无关。所有6例MRN根部异常病例的病因均与盘无关。24 例 MRN 显示 LS 丛无异常。其余 6 例出现神经根异常。所有 6 例病例均出现神经根受压和增厚。5 例出现神经周围水肿,3 例出现信号强度改变。结论:MRN 似乎能检测出部分临床症状为下肢根性神经病和肌电图显示为根性神经病的患者的 LS 神经根异常。越来越多的证据表明,MRN 是诊断 LS 根性病变的电诊断测试的有效辅助手段。
{"title":"MRI and MR neurography of lumbosacral plexus in diagnosis of lower extremity radiculopathy","authors":"Mervatt Abd Elfattah Yousof, Essam Abd ElHai Mokbel, Mohammed M. Dawoud, Rasha Lotfy Younes","doi":"10.33545/26644436.2024.v7.i3a.391","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i3a.391","url":null,"abstract":"Background: Electromyography (EMG) and nerve conduction studies can assist in identifying the source of dysfunction. Computed tomography (CT) or magnetic resonance imaging (MRI) can identify pelvic masses and visualize the major nerves of the plexus. The objective of this study was to assess the significance of MRI and magnetic resonance neurography (MRN) in diagnosing lumbosacral (LS) radiculopathy and to establish a correlation between the findings of these imaging techniques and the patient's medical history, physical examination, and nerve conduction study results. Methods: The present study was conducted on a sample of 30 individuals experiencing radicular pain in the lower extremities. Every patient underwent both MRI and MRN. Results: There were insignificant associations between MRI findings and clinical manifestations and electrophysiological studies. There were insignificant associations between MRN findings and clinical manifestations and electrophysiological studies. All the 6 cases with root abnormalities in MRN had a non-disc etiology. All the 6 cases with root abnormalities in MRN had a non-disc etiology. MRN showed no abnormalities in LS plexus in 24 cases. The remaining 6 cases showed root abnormalities. Nerve root compression and thickening was seen in all the six cases. Perineural edema was seen in 5 cases, and altered signal intensity was seen in 3 cases. Conclusion: MRN appears to detect LS nerve root abnormalities in a portion of patients with clinical symptoms of lower extremity radiculopathy and radiculopathy on EMG. Our finding may support the growing evidence on the utility of MRN as a useful adjunct to electrodiagnostic testing for the diagnosis of LS radiculopathy.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"68 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838722","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 : 2024-04-01DOI: 10.33545/26644436.2024.v7.i2a.374
Abayomi Oa, Bello To, Ayoola Oo, Oderanti Oc, Kayode Ov, Abayomi Ta, Adeyeri Aa, Adegoke Bo, Adewumi Oa, Olofinbiyi Ba
{"title":"Transcranial Doppler imaging of the middle and anterior cerebral arteries in pediatric patients with sickle cell anemia in Osun State, Nigeria","authors":"Abayomi Oa, Bello To, Ayoola Oo, Oderanti Oc, Kayode Ov, Abayomi Ta, Adeyeri Aa, Adegoke Bo, Adewumi Oa, Olofinbiyi Ba","doi":"10.33545/26644436.2024.v7.i2a.374","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i2a.374","url":null,"abstract":"","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"127 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777688","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 : 2024-01-01DOI: 10.33545/26644436.2024.v7.i1a.362
Seidou Guidah, I. Bako, Mahamat Hissène Tijani, Souna Seyni Badio
{"title":"Imaging of osteonecrosis of the femoral head in sickle cell patients: About 36 cases","authors":"Seidou Guidah, I. Bako, Mahamat Hissène Tijani, Souna Seyni Badio","doi":"10.33545/26644436.2024.v7.i1a.362","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i1a.362","url":null,"abstract":"","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518562","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}
{"title":"Transcranial doppler echo in children with sickle cell SS in Niger: Velocimetric study","authors":"Bako Daouda Inoussa, Sako Moumouni Matallah, Tijani Mahamat Hissene, Ousseini Marie, Lohinto Enock, Adehossi Eric Omar","doi":"10.33545/26644436.2024.v7.i1a.361","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i1a.361","url":null,"abstract":"","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540457","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 : 2024-01-01DOI: 10.33545/26644436.2024.v7.i1a.369
Dr. Vaibhavi Chavda, Dr. Dipti A Shah
{"title":"A study of role of magnetic resonance imaging in evaluation of traumatic knee joint injuries","authors":"Dr. Vaibhavi Chavda, Dr. Dipti A Shah","doi":"10.33545/26644436.2024.v7.i1a.369","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i1a.369","url":null,"abstract":"","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"214 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140521712","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 : 2024-01-01DOI: 10.33545/26644436.2024.v7.i1a.360
Petra Pratama Wellyam, Kusworo Adi, Siti Masrochah
{"title":"Implementation of a quality control system for radiation waiting time services in radiotherapy based on web applications using notification reminder WhatsApp gateway","authors":"Petra Pratama Wellyam, Kusworo Adi, Siti Masrochah","doi":"10.33545/26644436.2024.v7.i1a.360","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i1a.360","url":null,"abstract":"","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"54 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540147","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}
{"title":"Scanographic aspects of the origin of supra-aortic trunks at the general reference hospital of Niamey","authors":"Bako Daouda Inoussa, S. Rabiou, Guidah Seydou, Moussa Habou Ibrahim, Oumarou Sidikou Sory, Abdou Sadi Cheffou","doi":"10.33545/26644436.2024.v7.i1a.363","DOIUrl":"https://doi.org/10.33545/26644436.2024.v7.i1a.363","url":null,"abstract":"","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140524601","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: Hypertension (HTN) is a major risk factor for coronary heart diseases (CHDs) and stroke. Coronary computed tomography (CT) enables physicians to visualize the coronary vascular system with high specificity and sensitivity. Aim of the work: To evaluate the role of CT coronary angiography as a diagnostic tool in the assessment of chest pain in patients suffering from HTN. Patients and Methods: This prospective study was carried out on 30 patients with HTN presented with acute chest pain. Heart rate should be < 70 beat/min bpm spontaneously or beta-blocker induced then the patients subjected to multi slice CT angiography of coronary arteries. Results: 17 patients presented with typical chest pain (56.7%). The rest of were suffering from atypical chest pain (43.3%). The distribution of coronary lesions was: the most affected artery is the left anterior descending coronary artery followed by the right coronary artery. Sixty percent of patients had left anterior descending coronary lesion while 35 % had right coronary lesion. The left main coronary was affected in 20 % of patients. The left circumflex coronary was affected in 15 % of these patients. The ramus, D1, and D2 were the least affected. The non-coronary lesions were: aortic aneurysm (1 patient), pulmonary embolism (1 patient), and aortic dissection (1 patient).Conclusions: Computed tomography angiography (CTA) is a good fast reliable non-invasive diagnostic aid for hypertensive patients with acute chest pain.
{"title":"Cardiac multi-slice computed tomography in evaluation of chest pain in hypertensive patients","authors":"Marwa Hesham Ellaboudy, Mohamed Ahmed Youssef, Rasha Mahmoud Dawoud, Ekhlas Abdelmonem Shaban","doi":"10.33545/26644436.2023.v6.i3a.342","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3a.342","url":null,"abstract":"Background: Hypertension (HTN) is a major risk factor for coronary heart diseases (CHDs) and stroke. Coronary computed tomography (CT) enables physicians to visualize the coronary vascular system with high specificity and sensitivity. Aim of the work: To evaluate the role of CT coronary angiography as a diagnostic tool in the assessment of chest pain in patients suffering from HTN. Patients and Methods: This prospective study was carried out on 30 patients with HTN presented with acute chest pain. Heart rate should be < 70 beat/min bpm spontaneously or beta-blocker induced then the patients subjected to multi slice CT angiography of coronary arteries. Results: 17 patients presented with typical chest pain (56.7%). The rest of were suffering from atypical chest pain (43.3%). The distribution of coronary lesions was: the most affected artery is the left anterior descending coronary artery followed by the right coronary artery. Sixty percent of patients had left anterior descending coronary lesion while 35 % had right coronary lesion. The left main coronary was affected in 20 % of patients. The left circumflex coronary was affected in 15 % of these patients. The ramus, D1, and D2 were the least affected. The non-coronary lesions were: aortic aneurysm (1 patient), pulmonary embolism (1 patient), and aortic dissection (1 patient).Conclusions: Computed tomography angiography (CTA) is a good fast reliable non-invasive diagnostic aid for hypertensive patients with acute chest pain.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135806103","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}