Pub Date : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3a.343
Gokce Annac
Aim: To evaluate the prenatal sonographic findings, prevalence, prognostic factors and postnatal outcome of congenital anomalies of the kidney and urinary tract (CAKUT).Method: This single-center retrospective study was conducted from electronic health records of pregnant women between 18-40 weeks of gestation from January 2015 to January 2022. Babies who were diagnosed as having CAKUT in utero and followed prenatally and postnatally were enrolled in the study.Results: Out of 15,460 fetuses, 417 fetuses had CAKUT with a frequency of 2.6%. The most common CAKUT was hydronephrosis/pelvis dilatation (n=476, 2.1%). Approximately 67% of CAKUT cases showed normalization or regression. A quarter of babies with CAKUT underwent surgery [75% of oligohydramnios cases, 20% of hydronephrosis/pelvis dilatation cases, 14% of megacystis cases, and 37% of multicystic dysplastic kidney disease (MCDK) cases]. The chromosomal anomaly incidence in babies with CAKUT was 1.2%. Eleven (2.7%) babies with CAKUT died in the perinatal period. All babies with bilateral renal agenesis and bilateral MCDK resulted in exitus. Conclusion: CAKUT is a very common anomaly with a prevalence of 2.6%. Most of the CAKUT in our series showed spontaneous regression, and 25% of affected babies needed surgery. Oligohydramnios and bilateral anomalies were risk factors for adverse outcomes.
{"title":"Prenatal diagnosis and postnatal outcome of congenital anomalies of the kidney and urinary tract system: A single-center retrospective study","authors":"Gokce Annac","doi":"10.33545/26644436.2023.v6.i3a.343","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3a.343","url":null,"abstract":"Aim: To evaluate the prenatal sonographic findings, prevalence, prognostic factors and postnatal outcome of congenital anomalies of the kidney and urinary tract (CAKUT).Method: This single-center retrospective study was conducted from electronic health records of pregnant women between 18-40 weeks of gestation from January 2015 to January 2022. Babies who were diagnosed as having CAKUT in utero and followed prenatally and postnatally were enrolled in the study.Results: Out of 15,460 fetuses, 417 fetuses had CAKUT with a frequency of 2.6%. The most common CAKUT was hydronephrosis/pelvis dilatation (n=476, 2.1%). Approximately 67% of CAKUT cases showed normalization or regression. A quarter of babies with CAKUT underwent surgery [75% of oligohydramnios cases, 20% of hydronephrosis/pelvis dilatation cases, 14% of megacystis cases, and 37% of multicystic dysplastic kidney disease (MCDK) cases]. The chromosomal anomaly incidence in babies with CAKUT was 1.2%. Eleven (2.7%) babies with CAKUT died in the perinatal period. All babies with bilateral renal agenesis and bilateral MCDK resulted in exitus. Conclusion: CAKUT is a very common anomaly with a prevalence of 2.6%. Most of the CAKUT in our series showed spontaneous regression, and 25% of affected babies needed surgery. Oligohydramnios and bilateral anomalies were risk factors for adverse outcomes.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"117 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":"135807013","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3b.350
Dr. Maria Mathachan, Dr. Manish Kumar Yadav
An abdominal aortic aneurysm is a life-threatening condition requiring monitoring or treatment depending upon the size and symptomatology. An abdominal aortic aneurysm may be detected incidentally or at the time of rupture. The most typical manifestation of rupture is abdominal or back pain with a pulsatile abdominal mass. Sometimes, the symptoms may be vague, and the abdominal mass may be missed. Currently, available management approaches include the traditional open laparotomy, newer minimally invasive methodologies, and the placement of endovascular stents. Endovascular aneurysm repair (EVAR) has been widely accepted and has become the preferred treatment option in several centers around the world. However challenging anatomy of aortic aneurysms such as short necks, juxta renal, thoracoabdominal, and pararenal locations are difficult to treat with conventional EVAR devices. Endograft technology and creative designs of EVAR devices have made the procedure easier and less stressful compared to open repair. Successful endovascular repair of abdominal aortic aneurysm (AAA) depends on the correct selection of patients, choice of the correct endoprosthesis, and familiarity with the technique and procedure-specific complications. Anaconda AAA Stent Graft System is the one introduced for repair of infra-renal abdominal aortic aneurysm (AAA) with complicated vascular anatomy. This case report briefs the challenging anatomy of an infrarenal abdominal aortic aneurysm in an asymptomatic patient and its successful repair.
{"title":"Successful endovascular repair of challenging abdominal aortic aneurysm with anaconda LoPro 90 stent graft system: Case report","authors":"Dr. Maria Mathachan, Dr. Manish Kumar Yadav","doi":"10.33545/26644436.2023.v6.i3b.350","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3b.350","url":null,"abstract":"An abdominal aortic aneurysm is a life-threatening condition requiring monitoring or treatment depending upon the size and symptomatology. An abdominal aortic aneurysm may be detected incidentally or at the time of rupture. The most typical manifestation of rupture is abdominal or back pain with a pulsatile abdominal mass. Sometimes, the symptoms may be vague, and the abdominal mass may be missed. Currently, available management approaches include the traditional open laparotomy, newer minimally invasive methodologies, and the placement of endovascular stents. Endovascular aneurysm repair (EVAR) has been widely accepted and has become the preferred treatment option in several centers around the world. However challenging anatomy of aortic aneurysms such as short necks, juxta renal, thoracoabdominal, and pararenal locations are difficult to treat with conventional EVAR devices. Endograft technology and creative designs of EVAR devices have made the procedure easier and less stressful compared to open repair. Successful endovascular repair of abdominal aortic aneurysm (AAA) depends on the correct selection of patients, choice of the correct endoprosthesis, and familiarity with the technique and procedure-specific complications. Anaconda AAA Stent Graft System is the one introduced for repair of infra-renal abdominal aortic aneurysm (AAA) with complicated vascular anatomy. This case report briefs the challenging anatomy of an infrarenal abdominal aortic aneurysm in an asymptomatic patient and its successful repair.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"20 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":"135857502","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3a.341
Dr. Trupthi Das, Dr. Divya D Suryavanshi, Dr. Doddamani Diwakar
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital anomaly of female genital tract where there is hypoplasia of uterus and upper two- thirds of vagina. Patients with MRHK syndrome present with normal development of secondary sexual characteristics due to normal ovarian function. We report 2 cases of MRHK syndrome who presented with absent secondary sexual characteristics due to absent ovaries confirmed on imaging. Both our cases with MRKH had short stature with underdeveloped secondary sexual characteristics. It is extremely rare for gonadal dysgenesis and Mullerian tract abnormalities to coexist.
{"title":"Mayer-Rokitansky-Küster-Hauser syndrome presenting with short stature and gonadal Dysgenesis","authors":"Dr. Trupthi Das, Dr. Divya D Suryavanshi, Dr. Doddamani Diwakar","doi":"10.33545/26644436.2023.v6.i3a.341","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3a.341","url":null,"abstract":"Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital anomaly of female genital tract where there is hypoplasia of uterus and upper two- thirds of vagina. Patients with MRHK syndrome present with normal development of secondary sexual characteristics due to normal ovarian function. We report 2 cases of MRHK syndrome who presented with absent secondary sexual characteristics due to absent ovaries confirmed on imaging. Both our cases with MRKH had short stature with underdeveloped secondary sexual characteristics. It is extremely rare for gonadal dysgenesis and Mullerian tract abnormalities to coexist.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"59 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":"135804974","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3b.346
Danil Hulmansyah, Bedjo Santoso, Tri Asih Budiarti
Background: Hospitals as health service providers have an obligation to always improve the quality of service at every service installation, including radiology room. Meanwhile, radiology services for checking MRI at Arifin Achmad General Hospital are still recording and registering manually and there is a lack of education for patients about MRI examinations so that examination failures occur. This affects the quality of radiology services, while the indicators of service quality are reliability, assurance, appearance, responsiveness, and empathy. Objective: To produce an appropriate and effective MRI information system that can be applied in improving the quality of service at the radiology room of Arifin Achmad General Hospital. Research Methods: This study used a pre-experimental research design with a one group pre-post test design. The population is all patients and staff in the radiology room. The sample was divided into three subjects, namely the first subject for data and information collection, the second subject for expert validation, the third subject for product users, namely MRI examination patients. The independent variable in this study is the MRI information system, the dependent variable is the quality of the information system and service quality. Data were tested using normality test and Wilcoxon test. Results: The application of the MRI information system in an effort to improve service quality at the radiology room at Arifin Achmad General Hospital is feasible, it is proven that the average measures value is 0.416 (moderate agreement) and its application is effective in improving service quality, as evidenced by the p-value of 0.000. Conclusion: The application of the MRI information system in the radiology installation of Arifin Achmad Hospital is feasible and effective in improving the quality of radiology service.
{"title":"Implementation of MRI (Magnetic resonance imaging) information system to improve service quality in radiology room Arifin Achmad general hospital","authors":"Danil Hulmansyah, Bedjo Santoso, Tri Asih Budiarti","doi":"10.33545/26644436.2023.v6.i3b.346","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3b.346","url":null,"abstract":"Background: Hospitals as health service providers have an obligation to always improve the quality of service at every service installation, including radiology room. Meanwhile, radiology services for checking MRI at Arifin Achmad General Hospital are still recording and registering manually and there is a lack of education for patients about MRI examinations so that examination failures occur. This affects the quality of radiology services, while the indicators of service quality are reliability, assurance, appearance, responsiveness, and empathy. Objective: To produce an appropriate and effective MRI information system that can be applied in improving the quality of service at the radiology room of Arifin Achmad General Hospital. Research Methods: This study used a pre-experimental research design with a one group pre-post test design. The population is all patients and staff in the radiology room. The sample was divided into three subjects, namely the first subject for data and information collection, the second subject for expert validation, the third subject for product users, namely MRI examination patients. The independent variable in this study is the MRI information system, the dependent variable is the quality of the information system and service quality. Data were tested using normality test and Wilcoxon test. Results: The application of the MRI information system in an effort to improve service quality at the radiology room at Arifin Achmad General Hospital is feasible, it is proven that the average measures value is 0.416 (moderate agreement) and its application is effective in improving service quality, as evidenced by the p-value of 0.000. Conclusion: The application of the MRI information system in the radiology installation of Arifin Achmad Hospital is feasible and effective in improving the quality of radiology service.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"2 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":"135855718","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3b.351
Dr. Aayush Arora, Dr. Deeksha Singh, Dr. Jeevika MU, Dr. Kiran Kumar
Background: Cerebrospinal fluid (CSF) leak occurs when there is a bony and dural defect at the skull base, with direct communication of the subarachnoid space to the extra cranial space, usually a paranasal sinus. Recognition of the leak site and source and appropriate treatment are necessary to avoid rhinorrhea or otorrhea, low-pressure headaches, and meningitis, known complications of CSF leak.Aims & Objectives: To Evaluate the role of MR Cisternography in detecting CSF Rhinorrhea with correlation to CT Cisternography. To aid in identifying defects for timely management of a treatable disorder.Materials & Methodology: The study was conducted for eight months in patients referred to the Department of Radiology at Bapuji Hospital, Davangere. MR and CT Cisternography were performed on patients presenting with persistent clear nasal discharge, and head trauma with symptoms of postural headache.MRI brain protocol was performed T23D, – Axial & Coronal, FLAIR axial, DWI, contrast-enhanced sequence with CISS and T2 fat suppression using fast spin-echo sequences. 64 Slice GE CT Scanner was used allowing Trendelenburg position.Results: We observed objective CSF leakage in 20 patients (80%). 11 cases revealed a defect in the cribriform plate with an active leak along the lamina papyracea (44%). 6 cases revealed a defect in the sphenoid bone; 2 in the greater wing of the sphenoid bone with downward herniation of meninges and adjacent brain parenchyma (24%). 2 cases revealed a defect in the temporal region (8%). 1 case revealed a defect in the bilateral cribriform plate and the sphenoid bone (4%). 5 patients did not reveal any defect.Conclusion: Intrathecal Iohexol-enhanced MR Cisternography is a promising technique that may permit direct, sensitive visualization of the site of spontaneous, posttraumatic, or postsurgical CSF leakage. It is also apparent that thin-section CT is complementary to gadolinium-enhanced MR Cisternography and therefore should be performed in all cases.
{"title":"To evaluate the role of Intrathecal Iohexol-enhanced Mr Cisternography in detecting CSF Rhinorrhea with correlation to Ct Cisternography","authors":"Dr. Aayush Arora, Dr. Deeksha Singh, Dr. Jeevika MU, Dr. Kiran Kumar","doi":"10.33545/26644436.2023.v6.i3b.351","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3b.351","url":null,"abstract":"Background: Cerebrospinal fluid (CSF) leak occurs when there is a bony and dural defect at the skull base, with direct communication of the subarachnoid space to the extra cranial space, usually a paranasal sinus. Recognition of the leak site and source and appropriate treatment are necessary to avoid rhinorrhea or otorrhea, low-pressure headaches, and meningitis, known complications of CSF leak.Aims & Objectives: To Evaluate the role of MR Cisternography in detecting CSF Rhinorrhea with correlation to CT Cisternography. To aid in identifying defects for timely management of a treatable disorder.Materials & Methodology: The study was conducted for eight months in patients referred to the Department of Radiology at Bapuji Hospital, Davangere. MR and CT Cisternography were performed on patients presenting with persistent clear nasal discharge, and head trauma with symptoms of postural headache.MRI brain protocol was performed T23D, – Axial & Coronal, FLAIR axial, DWI, contrast-enhanced sequence with CISS and T2 fat suppression using fast spin-echo sequences. 64 Slice GE CT Scanner was used allowing Trendelenburg position.Results: We observed objective CSF leakage in 20 patients (80%). 11 cases revealed a defect in the cribriform plate with an active leak along the lamina papyracea (44%). 6 cases revealed a defect in the sphenoid bone; 2 in the greater wing of the sphenoid bone with downward herniation of meninges and adjacent brain parenchyma (24%). 2 cases revealed a defect in the temporal region (8%). 1 case revealed a defect in the bilateral cribriform plate and the sphenoid bone (4%). 5 patients did not reveal any defect.Conclusion: Intrathecal Iohexol-enhanced MR Cisternography is a promising technique that may permit direct, sensitive visualization of the site of spontaneous, posttraumatic, or postsurgical CSF leakage. It is also apparent that thin-section CT is complementary to gadolinium-enhanced MR Cisternography and therefore should be performed in all cases.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"3 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":"135857780","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3b.347
Mohamed Ayman Sherif, Hanan Mohamed El-Ahwal, Manal Fathy Hamesa, Amr Ahmed Mubarak
Background: Primary brain tumors refer to a diversified group of benign as well as malignant neoplasms that arise from the parenchymal tissue of the brain or the nearby components. Neoplasms are a crucial cause of morbidity & mortality in adults as well as children, usually result in marked disabilities and causing high burden in the patient’s family along with the health care system. This work aimed to determine the importance of MR Diffusion kurtosis and Intravoxel incoherent motion related perfusion imaging in assessment and grading of brain tumors.Methods: This prospective study was carried out on 50 cases with histopathologically proven, clinically and or MRI manifested with brain tumors and with no comorbidities. Routine MRI, diffusion kurtosis, PWI and IVIM were performed to all patients.Results: Regarding assessment of the brain tumors, the estimated conventional diffusion weighted image (DWI) values with 95.22% sensitivity, 80.67% specificity, 96.5% PPV and 40% NPV, the estimated conventional apparent diffusion coefficient (ADC) values with 87.8% sensitivity, 59.56% specificity, 90% PPV and 50% NPV, conventional T1 with contrast enhancement pattern of the brain tumors with 94.24% sensitivity, 70.44% specificity, 90.1% PPV and 50% NPV, the estimated relative cerebral blood volume (RCBV) values with 96.24% sensitivity, 92.89% specificity, 97.4% PPV and 66.7% NPV, the estimated diffusion kurtosis imaging (DKI) with 97.30% sensitivity, 94.1% specificity, 90.23% PPV and 50% NPV, the estimated advanced diffusion weighted image (IVIM parameter) values with 98.22% sensitivity, 99.23% specificity, 97.5% PPV and 50% NPV, the estimated advanced apparent diffusion coefficient (IVIM parameter) values with 97.83% sensitivity, 91.24% specificity, 90% PPV and 50% NPV, the estimated Diffusion coefficient (D*) (IVIM parameter) values with 89.17% sensitivity, 55.56% specificity, 91.1% PPV and 55% NPV, the estimated perfusion fraction (F%) (IVIM parameter) values with 99.12% sensitivity, 100% specificity, 98% PPV and 79.8% NPV. The estimated DWI values couldn’t predict high grade tumors in our study (P=0.357and AUC=0.650) at cut-off > 0.83 with 90.24% sensitivity, 66.67% specificity, 92.5% PPV and 60% NPV. ADC couldn't predict high grade tumors (P=0.836 and AUC=0.535). (D*) couldn't predict high grade tumors (P=0.752 and AUC=0.556). (F%) predicted high grade brain tumors at cut-off >7.3 with 95.12% sensitivity,100% specificity,100% PPV and 81.8% NPV. RCBV significantly predicted high grade tumors at cut-off >6.2 with 90.24% sensitivity, 88.89% specificity, 97.4% PPV and 66.7% NPV. DKI significantly predicted high grade tumors at cut-off >286 with 90.24% sensitivity, 44.44% specificity, 88.1% PPV and 50% NPV.Conclusions: DKI at cut-off >286, Perfusion fraction at cutoff >7.3, RCBV at cutoff > 6.2 and diffusion enhancement can significantly predict high grades of BTs (p< 0.05). However, DWI, ADC, and diffusion coefficient D* can’t predict high grade of BTs (p
{"title":"MR diffusion kurtosis and intravoxel incoherent motion related perfusion imagings in assessment and grading of brain tumors","authors":"Mohamed Ayman Sherif, Hanan Mohamed El-Ahwal, Manal Fathy Hamesa, Amr Ahmed Mubarak","doi":"10.33545/26644436.2023.v6.i3b.347","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3b.347","url":null,"abstract":"Background: Primary brain tumors refer to a diversified group of benign as well as malignant neoplasms that arise from the parenchymal tissue of the brain or the nearby components. Neoplasms are a crucial cause of morbidity & mortality in adults as well as children, usually result in marked disabilities and causing high burden in the patient’s family along with the health care system. This work aimed to determine the importance of MR Diffusion kurtosis and Intravoxel incoherent motion related perfusion imaging in assessment and grading of brain tumors.Methods: This prospective study was carried out on 50 cases with histopathologically proven, clinically and or MRI manifested with brain tumors and with no comorbidities. Routine MRI, diffusion kurtosis, PWI and IVIM were performed to all patients.Results: Regarding assessment of the brain tumors, the estimated conventional diffusion weighted image (DWI) values with 95.22% sensitivity, 80.67% specificity, 96.5% PPV and 40% NPV, the estimated conventional apparent diffusion coefficient (ADC) values with 87.8% sensitivity, 59.56% specificity, 90% PPV and 50% NPV, conventional T1 with contrast enhancement pattern of the brain tumors with 94.24% sensitivity, 70.44% specificity, 90.1% PPV and 50% NPV, the estimated relative cerebral blood volume (RCBV) values with 96.24% sensitivity, 92.89% specificity, 97.4% PPV and 66.7% NPV, the estimated diffusion kurtosis imaging (DKI) with 97.30% sensitivity, 94.1% specificity, 90.23% PPV and 50% NPV, the estimated advanced diffusion weighted image (IVIM parameter) values with 98.22% sensitivity, 99.23% specificity, 97.5% PPV and 50% NPV, the estimated advanced apparent diffusion coefficient (IVIM parameter) values with 97.83% sensitivity, 91.24% specificity, 90% PPV and 50% NPV, the estimated Diffusion coefficient (D*) (IVIM parameter) values with 89.17% sensitivity, 55.56% specificity, 91.1% PPV and 55% NPV, the estimated perfusion fraction (F%) (IVIM parameter) values with 99.12% sensitivity, 100% specificity, 98% PPV and 79.8% NPV. The estimated DWI values couldn’t predict high grade tumors in our study (P=0.357and AUC=0.650) at cut-off > 0.83 with 90.24% sensitivity, 66.67% specificity, 92.5% PPV and 60% NPV. ADC couldn't predict high grade tumors (P=0.836 and AUC=0.535). (D*) couldn't predict high grade tumors (P=0.752 and AUC=0.556). (F%) predicted high grade brain tumors at cut-off >7.3 with 95.12% sensitivity,100% specificity,100% PPV and 81.8% NPV. RCBV significantly predicted high grade tumors at cut-off >6.2 with 90.24% sensitivity, 88.89% specificity, 97.4% PPV and 66.7% NPV. DKI significantly predicted high grade tumors at cut-off >286 with 90.24% sensitivity, 44.44% specificity, 88.1% PPV and 50% NPV.Conclusions: DKI at cut-off >286, Perfusion fraction at cutoff >7.3, RCBV at cutoff > 6.2 and diffusion enhancement can significantly predict high grades of BTs (p< 0.05). However, DWI, ADC, and diffusion coefficient D* can’t predict high grade of BTs (p","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"10 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":"135856632","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3a.344
Dr. Maria Mathachan, Dr. Madhavan Unni, Dr. Manish Kumar Yadav, Dr. Zunimol PKM
Background: Multisystem manifestations of hypercalcemia include stones, painful bones, psychic groans, and abdominal moans. All manifestations in a single patient are extremely rare. Hypercalcemia is often diagnosed incidentally when a high calcium level is detected in blood samples. Case illustration: Here we present a very rare case of hypercalcemia which presented as supra-refractory status epilepticus and other manifestations in the later phase. A young man’s journey through neurological, pancreatic, and renal manifestations of hypercalcemia, the role of diagnostic imaging in revealing parathyroid adenoma, and interventional radiology in providing the definitive cure and management of complications are explained here. Conclusion: Careful history and physical examination focusing on the clinical features of hypercalcemia, possible causative diseases, and medication is important. The laboratory workup and correct interpretation help the physician narrow down the differentials. Increased screening of calcium levels and the wide availability of reliable assays for intact parathyroid hormone (PTH) levels have led to more frequent and earlier diagnoses of primary hyperparathyroidism. The role of radiology in hypercalcemia is not limited to diagnosis, but it involves managing complications in each phase and in providing a definitive cure.
{"title":"An unusual presentation of hypercalcemia-imaging and interventions: A case report","authors":"Dr. Maria Mathachan, Dr. Madhavan Unni, Dr. Manish Kumar Yadav, Dr. Zunimol PKM","doi":"10.33545/26644436.2023.v6.i3a.344","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3a.344","url":null,"abstract":"Background: Multisystem manifestations of hypercalcemia include stones, painful bones, psychic groans, and abdominal moans. All manifestations in a single patient are extremely rare. Hypercalcemia is often diagnosed incidentally when a high calcium level is detected in blood samples. Case illustration: Here we present a very rare case of hypercalcemia which presented as supra-refractory status epilepticus and other manifestations in the later phase. A young man’s journey through neurological, pancreatic, and renal manifestations of hypercalcemia, the role of diagnostic imaging in revealing parathyroid adenoma, and interventional radiology in providing the definitive cure and management of complications are explained here. Conclusion: Careful history and physical examination focusing on the clinical features of hypercalcemia, possible causative diseases, and medication is important. The laboratory workup and correct interpretation help the physician narrow down the differentials. Increased screening of calcium levels and the wide availability of reliable assays for intact parathyroid hormone (PTH) levels have led to more frequent and earlier diagnoses of primary hyperparathyroidism. The role of radiology in hypercalcemia is not limited to diagnosis, but it involves managing complications in each phase and in providing a definitive cure.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"28 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":"135812562","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3b.345
Dr. Dhanush Amin, Dr. Suraj Kumar Sama, Dr. N Vishnuvardhan Reddy, Dr. Sankeerth Kendyala, Dr. Rajani, Dr. Dheeraj SSS, Dr. Bhargavi Paladi, Dr. Megha Uppin
Echinococcosis, a zoonotic disease of global significance, primarily affects the liver and lungs. While hepatic involvement is the most common presentation of echinococcosis, isolated renal hydatid cysts are a rare entity with limited reported cases in the literature. We report a case of isolated renal hydatid cyst in a 34-year-old female patient who presented with pain in the right flank for 2 years, which was insidious in onset, intermittent in nature with aggravation of pain over the last 3 months. The abdominal examination revealed mild tenderness in right hypochondrium. After ultrasonography and contrast-enhanced CT scan of the abdomen, the differential diagnoses of complex renal cyst, renal hydatid cyst, cystic neoplastic lesion and resolving renal abscess were considered. Partial nephrectomy was performed. Histopathological examination revealed features consistent with Hydatid Cyst with xanthogranulomatous reaction. Therefore, isolated renal hydatid cysts, though rare, necessitate a high index of suspicion and comprehensive radiological evaluation for accurate diagnosis and optimal management.
{"title":"Isolated intricacy: Exploring a solitary renal hydatid cyst-a case report on rare presentation of echinococcosis","authors":"Dr. Dhanush Amin, Dr. Suraj Kumar Sama, Dr. N Vishnuvardhan Reddy, Dr. Sankeerth Kendyala, Dr. Rajani, Dr. Dheeraj SSS, Dr. Bhargavi Paladi, Dr. Megha Uppin","doi":"10.33545/26644436.2023.v6.i3b.345","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3b.345","url":null,"abstract":"Echinococcosis, a zoonotic disease of global significance, primarily affects the liver and lungs. While hepatic involvement is the most common presentation of echinococcosis, isolated renal hydatid cysts are a rare entity with limited reported cases in the literature. We report a case of isolated renal hydatid cyst in a 34-year-old female patient who presented with pain in the right flank for 2 years, which was insidious in onset, intermittent in nature with aggravation of pain over the last 3 months. The abdominal examination revealed mild tenderness in right hypochondrium. After ultrasonography and contrast-enhanced CT scan of the abdomen, the differential diagnoses of complex renal cyst, renal hydatid cyst, cystic neoplastic lesion and resolving renal abscess were considered. Partial nephrectomy was performed. Histopathological examination revealed features consistent with Hydatid Cyst with xanthogranulomatous reaction. Therefore, isolated renal hydatid cysts, though rare, necessitate a high index of suspicion and comprehensive radiological evaluation for accurate diagnosis and optimal management.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"66 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":"135812854","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 : 2023-07-01DOI: 10.33545/26644436.2023.v6.i3b.349
Dr. Maria Mathachan, Dr. Harikrishnan T, Dr. Ragitha Binu Krishnan
Schwannoma or neurilemmoma is a benign peripheral nerve sheath tumor that comes under the broad category of neurogenic tumors. Schwannoma is a relatively uncommon slow-growing, solitary, smooth, painless tumor and its intraoral location makes it even rarer. Occurrence of intraoral Schwannoma goes in the order -tongue followed by the palate, floor of the mouth, buccal mucosa, lips, and jaws comprising 1% of all head and neck tumors. Here we discuss a case of Schwannoma base of tongue in a young female who presented with complaints of facial asymmetry, snoring, mouth breathing, and occasional sleep apnea for a year. Clinical and imaging findings were suggestive of a Schwannoma. Complete transoral resection and histopathological examination proved the same.
{"title":"Clinical and radiological approach to neurogenic tumor base of tongue: A case report","authors":"Dr. Maria Mathachan, Dr. Harikrishnan T, Dr. Ragitha Binu Krishnan","doi":"10.33545/26644436.2023.v6.i3b.349","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3b.349","url":null,"abstract":"Schwannoma or neurilemmoma is a benign peripheral nerve sheath tumor that comes under the broad category of neurogenic tumors. Schwannoma is a relatively uncommon slow-growing, solitary, smooth, painless tumor and its intraoral location makes it even rarer. Occurrence of intraoral Schwannoma goes in the order -tongue followed by the palate, floor of the mouth, buccal mucosa, lips, and jaws comprising 1% of all head and neck tumors. Here we discuss a case of Schwannoma base of tongue in a young female who presented with complaints of facial asymmetry, snoring, mouth breathing, and occasional sleep apnea for a year. Clinical and imaging findings were suggestive of a Schwannoma. Complete transoral resection and histopathological examination proved the same.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"159 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":"135855944","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: Colorectal carcinoma (CRC) ranked as the second most prevalent form of cancer among individuals. Diagnostic imaging helps in planning before surgery by establishing a relationship between the carcinoma's mass and the surrounding anatomy, which consequently helps in selecting the optimal surgical approach and limiting the probability of injury to the neighboring structures. It could additionally help in estimating and predicting the therapeutic response and detecting the recurrence of the tumor. MR imaging has proven to be the most prevalent cross-sectional imaging technique for post-rectal cancer patients' follow-up, it's mainly used to diagnose pelvic cancer recurrence and assess the extent of recurrence, which enables early resection and prolonged survival.Aim of the work: In the current study, we have attempted to evaluate the role of both functional and dynamic MRI in the staging of patients having cancer in their rectum before surgical operation and following up after it.Material and Methods: After signing a written consent, thirty patients were enrolled in this prospective clinical trial at Tanta University Hospitals - the Department of Radio Diagnosis and Medical Imaging. Duration from November 2018 to March 2022. All patients had a full patient history, medical examination, lab investigations (CBC, carbohydrate antigen 19-9 (CA 19-9), Renal function test, and carcinoembryonic antigen(CEA)), and dynamic and functional MRI which include: Weighted fast spin echo sequences, pre-contrast three-dimensional T, pre-contrast two-dimensional T, weighted fast gradient echo sequences, pre-contrast two-dimensional proton density-weighted sequences (saturation recovery turbo fast gradient echo, SRTF, or fast gradient echo, FLASH); and Pre- and post-dynamic contrast-enhanced T Weighted SRTF or FLASH sequences MRI examination included: Pre contrast (2D T2 weighted images, 2D T1 weighted images, Diffusion-weighted images. And Post-contrast (T1 weighted images after IV administration of contrast).Results: The most common location of the tumor found by MRI was in the Middle rectum. MRI findings after chemoradiotherapy of 12 cases revealed a downstaging of cases, 9 of them became eligible for surgery. MRI findings of our studied cases after surgery revealed: 21 studied cases were free-restricted and 4 cases were restricted diffusion, 21(84%) cases had clear operative beds, and 4 (16%) cases had unclear operative beds.Conclusion: We conclude that post-operative MRI has a golden standard value not only for follow-up post-operative complication and detection of recurrent rectal carcinoma but furthermore for predicting the appropriateness of curative surgery and facilitating decisions on palliative resection, which have a significant impact on survival rate.
背景:结直肠癌(CRC)是个体中第二常见的癌症。诊断成像通过建立癌块与周围解剖结构之间的关系，有助于在手术前制定计划，从而有助于选择最佳手术入路并限制对邻近结构损伤的可能性。此外，它还有助于估计和预测治疗反应和检测肿瘤的复发。磁共振成像已被证明是直肠癌后患者随访中最常用的横断面成像技术，主要用于盆腔癌复发诊断和复发程度评估，可早期切除，延长生存期。工作目的:在目前的研究中，我们试图评估功能和动态MRI在直肠癌患者术前和术后随访分期中的作用。材料和方法:在签署书面同意书后，30名患者被纳入坦塔大学医院放射诊断和医学影像学部门的前瞻性临床试验。期限为2018年11月至2022年3月。所有患者均有完整的病史、医学检查、实验室检查(CBC、碳水化合物抗原19-9 (CA 19-9)、肾功能检查和癌胚抗原(CEA))，以及动态和功能性MRI检查，包括:加权快速自旋回波序列，预对比三维T，预对比二维T，加权快速梯度回波序列，预对比二维质子密度加权序列(饱和恢复涡轮快速梯度回波，SRTF，或快速梯度回波，FLASH);动态前后对比增强的T加权SRTF或FLASH序列MRI检查包括:预对比(2D T2加权图像，2D T1加权图像，弥散加权图像)。对比后(静脉注射对比剂后T1加权图像)。结果:MRI发现的肿瘤以直肠中部最常见。12例放化疗后MRI显示分期降低，其中9例符合手术条件。本研究病例术后MRI表现:21例自由受限，4例扩散受限，手术床清晰21例(84%)，手术床不清晰4例(16%)。结论:术后MRI不仅对直肠癌术后并发症的随访和复发的检测具有金标准价值，而且对预测根治性手术的适宜性和辅助姑息性切除的决策具有金标准价值，对生存率有重要影响。
{"title":"Pre and postoperative magnetic resonance imaging for evaluation of cancer rectum","authors":"Asmaa Mahmoud Anter, Rasha Mahmoud Dawoud, Hamdy Sedky Abd Allah, Mohamad Fouad Sherif","doi":"10.33545/26644436.2023.v6.i3b.348","DOIUrl":"https://doi.org/10.33545/26644436.2023.v6.i3b.348","url":null,"abstract":"Background: Colorectal carcinoma (CRC) ranked as the second most prevalent form of cancer among individuals. Diagnostic imaging helps in planning before surgery by establishing a relationship between the carcinoma's mass and the surrounding anatomy, which consequently helps in selecting the optimal surgical approach and limiting the probability of injury to the neighboring structures. It could additionally help in estimating and predicting the therapeutic response and detecting the recurrence of the tumor. MR imaging has proven to be the most prevalent cross-sectional imaging technique for post-rectal cancer patients' follow-up, it's mainly used to diagnose pelvic cancer recurrence and assess the extent of recurrence, which enables early resection and prolonged survival.Aim of the work: In the current study, we have attempted to evaluate the role of both functional and dynamic MRI in the staging of patients having cancer in their rectum before surgical operation and following up after it.Material and Methods: After signing a written consent, thirty patients were enrolled in this prospective clinical trial at Tanta University Hospitals - the Department of Radio Diagnosis and Medical Imaging. Duration from November 2018 to March 2022. All patients had a full patient history, medical examination, lab investigations (CBC, carbohydrate antigen 19-9 (CA 19-9), Renal function test, and carcinoembryonic antigen(CEA)), and dynamic and functional MRI which include: Weighted fast spin echo sequences, pre-contrast three-dimensional T, pre-contrast two-dimensional T, weighted fast gradient echo sequences, pre-contrast two-dimensional proton density-weighted sequences (saturation recovery turbo fast gradient echo, SRTF, or fast gradient echo, FLASH); and Pre- and post-dynamic contrast-enhanced T Weighted SRTF or FLASH sequences MRI examination included: Pre contrast (2D T2 weighted images, 2D T1 weighted images, Diffusion-weighted images. And Post-contrast (T1 weighted images after IV administration of contrast).Results: The most common location of the tumor found by MRI was in the Middle rectum. MRI findings after chemoradiotherapy of 12 cases revealed a downstaging of cases, 9 of them became eligible for surgery. MRI findings of our studied cases after surgery revealed: 21 studied cases were free-restricted and 4 cases were restricted diffusion, 21(84%) cases had clear operative beds, and 4 (16%) cases had unclear operative beds.Conclusion: We conclude that post-operative MRI has a golden standard value not only for follow-up post-operative complication and detection of recurrent rectal carcinoma but furthermore for predicting the appropriateness of curative surgery and facilitating decisions on palliative resection, which have a significant impact on survival rate.","PeriodicalId":470702,"journal":{"name":"International journal of radiology and diagnostic imaging","volume":"159 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":"135856631","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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