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Avulsion Fracture of the Posterior Tibiofibular Syndesmosis. 后胫腓联合撕脱骨折。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-09-21 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2881
Wouter Schroven, Peter Boone, Filip Vanhoenacker

Teaching Point: A posterior tibial lip fracture is a rare avulsion fracture at the tibial insertion of the posterior tibiofibular ligament that causes significant ankle instability and often requires surgical intervention.

教学要点:胫骨后唇骨折是一种罕见的撕脱性骨折,发生在胫腓后韧带的胫骨止点处,会导致严重的踝关节不稳定,通常需要手术干预。
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引用次数: 0
Liver Abscess Complicated with an Inflammatory Myofibroblastic Tumor. 肝脓肿合并炎性肌纤维母细胞瘤。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-09-20 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2756
Susana Rodrigues, Fábio Ferreira, Sílvia Dias

Inflammatory myofibroblastic tumors have a wide spectrum of biological behaviour and are composed of inflammatory cells and myofibroblastic spindle cells. Tumors may infrequently involve the liver. Imaging findings are non-specific. Teaching Point: Radiologists should be familiar with inflammatory myofibroblastic tumors as a diagnostic consideration to avoid unnecessary surgery.

炎症性肌成纤维细胞肿瘤具有广泛的生物学行为,由炎症细胞和肌成纤维梭形细胞组成。肿瘤很少累及肝脏。影像学表现无特异性。教学点:放射科医师应熟悉炎性肌成纤维细胞瘤作为诊断考虑,以避免不必要的手术。
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引用次数: 0
Cystic Dystrophy of the Duodenal Wall with Underlying Heterotopic Pancreas. 十二指肠壁囊性营养不良伴胰脏异位。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-09-20 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2860
Olaia Chalh, Khaoula Sibbou, Ittimad Nassar

Teaching Point: Cystic dystrophy of the duodenal wall is often associated with underlying heterotopic pancreas and easily assessed with advanced and noninvasive imaging modalities such as CT scan and MRCP.

教学要点:十二指肠壁囊性营养不良通常与潜在的异位胰腺有关,可以通过先进的无创成像方式(如CT扫描和MRCP)进行评估。
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引用次数: 0
Bacteraemia and Associated Complications on Imaging as a Clue to Colorectal Malignancy. 细菌血症及其相关并发症对结直肠恶性肿瘤的影像学提示作用。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-09-13 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2855
Jan Van Offenwert, Patrick Gillardin

Streptococcus gallolyticus (SG) - among other bacterial infections - is associated with colorectal malignancy and adenoma. It is reported that patients with SG bacteraemia have a concomitant colorectal tumour in 25-80% of cases. We present a case of a patient with complications of this septicaemia associated with a rectal adenocarcinoma, as an example of this important radiological and clinical correlation. Teaching Point: Always screen for primary colorectal malignancy in a patient with malignancy-associated bacterial infection.

除其他细菌感染外,溶胆链球菌(SG)与结直肠恶性肿瘤和腺瘤有关。据报道,患有SG菌血症的患者在25-80%的病例中伴有结直肠肿瘤。我们提出一个病例的病人与并发症的败血症与直肠腺癌,作为一个例子,这一重要的放射学和临床相关性。教学点:对伴有恶性相关细菌感染的患者,应始终筛查原发结肠恶性肿瘤。
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引用次数: 0
A Rare Case of Cemento-Ossifying Fibroma of the Maxilla. 上颌骨骨水泥骨化纤维瘤1例。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-09-13 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2863
Elyn Van Snick, Bjorn Valgaeren, Jan Hendrickx

Teaching Point: Cemento-ossifying fibromas are rare, benign tumours that are mostly found in the tooth-bearing areas of the mandible or maxilla and can be seen on cone-beam computed tomography.

教学要点:骨水泥骨化纤维瘤是一种罕见的良性肿瘤,多见于下颌或上颌骨的含牙区域,在锥形束计算机断层扫描上可见。
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引用次数: 0
The Application of Contrast-Enhanced 3D-STIR-VISTA MR Imaging of the Brachial Plexus. 对比增强3D-STIR-VISTA在臂丛磁共振成像中的应用。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-09-05 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2803
Dingsheng Han, Yanru Zhou, Lan Zhang, Jiajia Zhang

Objective: To introduce contrast-enhanced 3D-STIR-VISTA sequence that would improve the image quality for the brachial plexus imaging and enhance the contrast between the brachial plexus and surrounding tissues.

Methods: Thirty subjects (average age, 47.33 ± 15.15 years; 22 males and 8 females) were enrolled, including 7 patients with brachial plexus injuries, 4 patients with schwannomas, 1 patient with neurofibroma, 1 patient with thoracic outlet syndrome, 1 patient with metastasis, 1 patient with brachial plexus neuritis, and 15 patients without abnormal findings. Scores of unenhanced and contrast-enhanced 3D-STIR-VISTA images using a 5-point scale were compared by Wilcoxon's signed-rank test. The signal intensity (SI), signal to noise ratio (SNR), contrast to noise ratio (CNR) and contrast ratio (CR) between 3D-STIR-VISTA images without and with contrast agent were compared by the paired Student t-test.

Results: The SNRs of the brachial plexus between 3D-STIR-VISTA without and with contrast agent were not significantly different, while SNRs of surrounding tissues were significantly decreased with contrast agent. The CNRs of 3D-STIR-VISTA images with contrast agent were significantly higher than that without contrast agent. The 3D-STIR-VISTA sequence with contrast agent exhibited a statistically higher CR than that without contrast agent. The average score for 3D-STIR-VISTA images with contrast agent was significantly higher than that without contrast agent.

Conclusion: The 3D-STIR-VISTA sequence with contrast agent is qualitatively and quantitatively superior to that without a contrast agent. The contrast-enhanced 3D-STIR-VISTA sequence can provide distinct visualization of the brachial plexus and enhance the contrast between the brachial plexus and surrounding tissues.

目的:介绍增强3D-STIR-VISTA序列,提高臂丛成像的图像质量,增强臂丛与周围组织的对比度。方法:30例受试者,平均年龄47.33±15.15岁;其中臂丛神经损伤患者7例,神经鞘瘤患者4例,神经纤维瘤患者1例,胸廓出口综合征患者1例,转移患者1例,臂丛神经炎患者1例,无异常患者15例。使用5分制比较未增强和对比度增强的3D-STIR-VISTA图像的分数,采用Wilcoxon's signed-rank检验。采用配对学生t检验比较未添加和添加造影剂的3D-STIR-VISTA图像的信号强度(SI)、信噪比(SNR)、噪比(CNR)和对比度(CR)。结果:3D-STIR-VISTA未加对比剂与加对比剂前后臂丛的信噪比无显著差异,而加对比剂后臂丛周围组织的信噪比明显降低。添加造影剂后3D-STIR-VISTA图像的cnr明显高于未添加造影剂的图像。有造影剂的3D-STIR-VISTA序列比没有造影剂的CR有统计学意义上更高。使用造影剂的3D-STIR-VISTA图像的平均评分明显高于未使用造影剂的3D-STIR-VISTA图像。结论:有造影剂的3D-STIR-VISTA序列在定性和定量上均优于未加造影剂的3D-STIR-VISTA序列。增强3D-STIR-VISTA序列能清晰显示臂丛,增强臂丛与周围组织的对比。
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引用次数: 0
COVID-19 Pneumonia Presenting with Multiple Nodules Mimicking Metastases: An Atypical Case. COVID-19肺炎表现为多个结节模拟转移:一个不典型病例。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-08-11 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2681
Seyma Babaoglu, Necdet Poyraz, Ozlem Sahin

Coronavirus disease 2019 (COVID-19) is an outbreak causing pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and computed tomography (CT) images are a significant part of the diagnosis of COVID-19 related pneumonia. Typical chest CT findings are bilateral peripheral ground-glass opacities (GGO) with or without consolidation. Although rare, atypical CT findings have been described, no case of COVID-19 causing multiple solid pulmonary nodules has been reported. In this article, atypical CT findings of a 45-year-old female patient with multiple solid pulmonary nodules mimicking metastasis diagnosed with COVID-19 confirmed by reverse transcription polymerase chain reaction (RT-PCR). Teaching point: COVID-19 pneumonia may mimic multiple metastatic nodules radiologically.

2019冠状病毒病(COVID-19)是一种由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的肺炎暴发,计算机断层扫描(CT)图像是诊断COVID-19相关肺炎的重要组成部分。典型的胸部CT表现为双侧周围磨玻璃影(GGO)伴或不伴实变。尽管罕见的非典型CT表现已被描述,但尚未报道COVID-19引起多发性实性肺结节的病例。本文报告1例45岁女性患者,多发实性肺结节模拟转移,经逆转录聚合酶链反应(RT-PCR)确诊为COVID-19。教学点:COVID-19肺炎在影像学上可能类似多发性转移性结节。
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引用次数: 0
MR Imaging of Migrated Nucleus Pulposus after Collagenase Injection of Lumbar Disc Herniation: A Case Report. 注射胶原酶治疗腰椎间盘突出症后髓核移位的MR成像1例。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-08-11 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2777
Bai Jin Tao Sun, Bing Li, Xu Feng, Han Feng Yang

Magnetic resonance images (MRI) of migrated nucleus pulposus after collagenase treatment of lumbar disc herniation are rarely published. Here, we describe a 65-year-old woman with L5-S1 intervertebral disc herniation on the rear left. The patient was treated with a lumbar disc collagenase injection, and the pain was relieved. Two weeks later, the patient suddenly developed pain again after engaging in weight-bearing activity. Lumbar MRI showed a nodule in the spinal canal at the L5-S1 level. The patient underwent surgical treatment two days later. Pathology showed that the nodule was nucleus pulposus tissue. Teaching point: It is important to understanding the MR manifestations of migrated nucleus pulposus after collagenase treatment to prevent such misdiagnosis.

胶原酶治疗腰椎间盘突出症后髓核移位的磁共振图像(MRI)很少发表。在这里,我们描述了一位65岁的女性左后侧L5-S1椎间盘突出。患者接受腰椎间盘胶原酶注射治疗,疼痛得到缓解。两周后,患者在负重活动后又突然出现疼痛。腰椎MRI显示在L5-S1水平的椎管中有一个结节。两天后,患者接受了手术治疗。病理显示结节为髓核组织。教学点:了解髓核移位经胶原酶治疗后的MR表现,对预防此类误诊十分重要。
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引用次数: 0
Splenic Injury Following Endoscopic Retrograde Cholangiopancreatography - A Role for Angioembolization. 内窥镜逆行胆管造影后脾损伤-血管栓塞的作用。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-08-11 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2843
Divyansh Agarwal, Philicia Moonsamy, Carlos Fernandez-Del Castillo

Teaching Point: Splenic injury is an uncommon complication after endoscopic retrograde cholangiopancreatography (ERCP), requiring a high degree of suspicion in a patient who develops abdominal pain and/or hypotension after ERCP; in the appropriately selected patient splenic angioembolization can be the first-line treatment option.

教学要点:脾脏损伤是内镜逆行胆管造影(ERCP)后罕见的并发症,在ERCP后出现腹痛和/或低血压的患者需要高度怀疑;在适当选择的患者中,脾血管栓塞可以作为一线治疗方案。
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引用次数: 0
Mazabraud's Syndrome. 马扎布劳德综合症。
IF 2 4区 医学 Q4 Medicine Pub Date : 2022-07-29 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2698
Masset Adrien, Bottosso Nadège, Kurth William

Teaching point: Mazabraud's Syndrome defines the association of bone fibrous dysplasia and intramuscular myxoma, sometimes with pathological fractures or deformities in the lower limbs.

教学要点:马扎布罗氏综合征定义了骨纤维发育不良和肌肉内黏液瘤的关联,有时伴有下肢病理性骨折或畸形。
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引用次数: 0
期刊
Journal of the Belgian Society of Radiology
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