Press

Who was Hakim?

Richard Gunderman*; Gloria Lopez

    Many radiologists frequently interpret skull radiographs in patients with hydrocephalus, the purpose of which is to assess the pressure setting of a Cerebrospinal Fluid (CSF) shunt catheter. One of the most commonly used types of CSF shunter catheters is the Codman Hakim programmable valve. The name is one that radiologists have included in reports many times, but few know the fascinating story of the inventor of the valve, Salomon, Hakim, MD PhD, one of the most famous physicians ever to emerge from the nation of Colombia.


Resolution, SNR, signal averaging and scan time in MRI formetastatic lesion in spine. A case report

Waseem Zafar*; Ahmed Masood; Basit Iqbal; Sohail Murad

    Background: MRI image quality is compromise between resolution, scan time, Signal Averaging (NSA/NEX.), SNR and Integrated Parallel Acquisition Technique (SENSE). Any compromise in any of these parameters can lead to poor quality images that can lead to misdiagnosis. The higher the image resolution, the better the small pathologies can be diagnosed, thus it is the goal of imaging a good quality scan by using a standardized protocols.


Dosimetry for molecular radiotherapy

Lucio Mango

    The main purpose of a radiotherapy treatment is to induce the death of all the tumor cells following the administration of a certain amount of radiation. Proper dosimetric evaluation is the basis of assessing the efficacy of treatment with ionizing radiation to evaluate the efficacy of the treatment and the side effects due to irradiation of healthy tissue. In molecular radiotherapy, made by radiopharmaceuticals administration, the dosimetric evaluation can take place either after treatment, to evaluate the real effectiveness of the treatment, or before treatment, to determine the maximum tolerated activity to limit irradiation of healthy tissue.


Cerebral fat embolism in sickle cell disease crisis

Michael I Nahhas*; Fenwick T Nichols

    A 32-year-old man with Sickle Cell Disease (SCD) Hemoglobin SS (HbSS) presented with painful crisis, developed acute chest syndrome, became unresponsive, and required mechanical ventilation. He had anemia, thrombocytopenia, and multiple nucleated red blood cells. A CT head was unremarkable. An MRI brain showed a “starfield” appearance on diffusion-weighted imaging (DWI) [1]. DWI sequence showed numerous punctate bilateral hyperintensities throughout the brain, with matching hypointensities on apparent diffusion coefficient (Figure A), consistent with microinfarcts...


A rare cause of calcified abdominopelvic masses

Hajar Hamri*; Sanae Chaoui; Meriem Menany; Nabil Moatassim Billah; Ittimad Nassar

    A 78-year-old patient, treated 30 years ago for papillary carcinoma of the thyroid and who consults for constipation and weight loss. The physical examination found multiple abdominopelvic masses solid on palpation, non-movable and painless. The abdominopelvic CT showed multiple intraperitoneal abdominal and pelvic masses, partially calcified and associated with intraperitoneal effusion...


Unexpected cause of joint contracture; melorheostosis

Cankaya Bahar

    A 30-year-old female patient complained of pain in the arm and hand, and contracture in 1st finger. Forearm radiography (Figure-1A) and Ct image (Figure-1B) of the radius, demonstrated dense cortical thickening along the lateral Radius and 1. Metacarp, that simulates dripping candle wax. Cortical hyperosteosis was present in the lateral condyle of the humerus.....


PET-CT findings of inflammatory changes related to PAAG breast injections

Chaitanya Shilagani*; David Sadowsky

    Breast augmentation was first introduced in 1964 by utilizing silicone based implants with many variety of breast augmentation techniques invented since. Polyacrylamide hydrogel (PAAG) based breast injections have been available since 1980s as a low cost means of breast augmentation.


Development of virtual reality-based radiological emergency exercise system

Dewhey Lee*; Hyungwon Lee; Byung Il Lee; Unjang Lee

    New concept for exercise technology such as virtual reality (VR)-based exercise system is introduced to alleviate the difficulties in personnel mobilization and to meet the soaring demand for target participants in exercises through an alternative approach to the exercise system. An exercise system was developed to facilitate the resident public with practical and efficient radiological emergency exercise available...


Evaluation of the sagittal spine curvatures in the supine patients

Bruno Atalic*; Antonija Ruzic Barsic; Lea Gudelj

    Objective: Providing suggestions for the evaluation of the sagittal spine curvatures in the supine patients because the sagittal spine curvatures are usually analyzed only in the erect patients...


Cutaneous mucormycosis

Shitanshu Kalani*; Chirag Shah2; Munim Tariq

    Mucormycosis, or Zygomycosis, is a rare fungal infection caused predom inantly by members of the family Mucoraceae of the order Mucorales. Fungus commonly isolated clinically belongs to the genera Absidia, Mucor or Rhizopus. They can cause devastating illness in previously well patients when compared to other filamentous fungi. We present a case of mucormycosis in a person with no predisposing factors...


Enuresis secondary to toxidermy

Omahsan Loubab; Dikhaye Siham; Zizi Nada

    An 8-year-old child with antileptic epilepsy as valproic acid. Three weeks after the start of treatment, he had bullous lesions that broke easily, giving way to erosions. Dermatological examination also revealed involvement of the oral and genital mucosa. The cutaneous area reached was estimated at 8%...


A technique to rescue a damaged and unravelled bare metal iliac artery stent from the distal aorta

Hall TC*; Shah A

    Endovascular stent placement in the iliac arteries is an effective method of treating occlusive and stenotic disease with reduced morbidity when compared to a surgical bypass however complications of stent placement can occur. We describe a technique for managing the inadvertent ‘unravelling’ of a stent where the proximal end lies within the distal aorta.


Usefulness of ultrasound in the short-term follow-up of rheumatoid arthritis activity

Saoussen Zrour Hassen*; Hamza Mouanaa; Haifa Hachfi; Sana Salah; Ismail Bejia; Mongi Touzi; Naceur Bergaoui

    Endovascular stent placement in the iliac arteries is an effective method of treating occlusive and stenotic disease with reduced morbidity when compared to a surgical bypass however complications of stent placement can occur. We describe a technique for managing the inadvertent ‘unravelling’ of a stent where the proximal end lies within the distal aorta.


Bilateral, Bi-rooted Primary Maxillary Canines: A Case Report

Adeeba Ashraf*; Akanksha Juneja; Amina Sultan; Maryam Siddiqui

    Primary teeth have fewer anomalies compared to the permanent teeth. This paper reports a rare case of bilateral bi-rooted primary maxillary canines. The purpose of this case report is to emphasize the importance of understanding variations in root morphology which requires an assiduous radiographic evaluation for diagnosis and pertinent treatment.


The Need of Head and Pelvis Radiation Protective Devices in Performing CT Chest Scan

Anson CM Chau*; Charles TP Chan; Jacob KM Cheung; Cheng He; Jinfen Wang

    Radiation protective patient devices for CT examinations should be provided but not overly done to increase radiographers’ workload, running cost and patient’s stress. This study aims to investigate using lead cap, half lead aprons and lead drape would reduce absorbed doses in CT chest scan. These devices are stipulated by law in China that should be equipped in each CT room.


Hirayama Disease: A Report of Two Cases and Review of Imaging Findings

Valentina Munera Orozco; Angela Maria Restrepo Gil; Jose Luis Ascencio Lancheros; Alejandro Londono Mesa; Yensa Rodriguez Alvarez*

    Hirayama disease is a rare self-limiting cervical myelopathy characterized by juvenile muscular atrophy of the distal upper extremities. Hirayama disease was first reported in the eastern world literature, including Asia and India. However, reports from outside of these geographic regions are increasing.


The Role of Coronary Computed Tomography Angiography in the Diagnosis of Spontaneous Coronary Artery Dissection: A Case Report

Faiza Al Kindi*

    Spontaneous Coronary Artery Dissection (SCAD) is a rare acute coronary artery disease that mostly occurs in young women. The current algorithms applied for the diagnosis and follow up of suspected cases of SCAD does not include the utility of Coronary computed Tomography Angiogram (CCTA).


Study of Common Artifacts of Myocardial Perfusion Scan in Patients with Chronic Renal Failure and Liver Cirrhosis in Nuclear Medicine Ward of Namazi Hospital in 2019

Hossein Akbarialiabad; Sepideh Hesami; Seyed Alihossein Zahrayi; Masoud Vafabin; Farshid Gheisari*

   Myocardial Perfusion Imaging (MPI) is one of the successful techniques for the diagnosis of cardiovascular disease in both developing and developed countries. In this imaging technique, like other imaging techniques, there is the possibility of error and unintended side effects such as artifacts that can be associated with the device, user, and patient factors.


Radiographic Imaging of Covid-19: Negative Chest Radiograph in Majority of Covid 19 Cases in a Dedicated Covid Care Centre of North India – A Indicator of Favourable Outcome

Sangeeta Tripathy*; Devajit Nath; Savitri Singh; Joytsna Madan; Divya Jain

   The Corona Virus disease (COVID19) is declared as pandemic by WHO on 11th march 2020. This is an infectious disease with acute respiratory and systemic illness caused by novel Corona Virus SARS- Cov-2. Definitive diagnosis of COVID19 requires a positive RT-PCR test. CT chest & X-ray chest is not used to diagnose COVID19 but helpful in assessing disease progression and complications.


Advances in Application of New Ultrasound Technologies in Prostate-Targeted Biopsy

Yinying Liang; Chuan Yang; Yumin Zhuo; Yi Li; Lingyan Zhang; Jun Huang*

   Transrectal Ultrasound (TRUS)-guided systematic biopsy of the prostate is the current “gold standard” for biopsy of the prostate gland. However, for saturated systematic biopsy, blindness and randomness are inevitable. Prostate-targeted biopsy emerged with the continuous development of precision medicine.


Radiographic Imaging of Covid-19: Paeditric Cases- Is Chest X- Ray Dependable in Diagnosing Covid – 19 in Children? An Experience of a Tertiary Care Paediatric Centre of North India

Sangeeta Tripathy*; BKS Chauhan; Umesh Shukla; Devajit Nath

   The Corona Virus disease (COVID-19) is declared as pandemic by WHO on 11th March 2020. This is an infectious disease caused by novel corona virus SARS-CoV-2. Children seems to be relatively unaffected by this virus or other closely related corona viruses. Definitive diagnosis of COVID-19 requires a positive RT-PCR test. X-Ray chest & CT-Chest is not used to diagnose COVID-19 but helpful in assessing disease progression & complications.


Zygomatic Arch Fracture with Coronoid Impingement and without Impingement with Coronoid Process Fracture: The Importance of the Radiologist

Sonsoles Junquera*; Joaquin Megias; Marta Ruiz; Laura Rua; David Soriano; Alba Novoa

    Fractures of the Zygomaticomaxillary Complex (ZMC) are common injuries that may lead to loss of an aesthetically pleasing appearance and functional impairment. These fractures can affect mastication through impingement by a depressed zygomatic arch on the temporalis muscle and coronoid process of the mandible. We report the cases of two patients with ZMC fractures. The first individual had zygomatic arch fracture with coronoid impingement.


Recognition of Early Covid-19 Chest X-Ray Findings Among Front-Line Physicians

Majed Aljohani; Bandar Al Mufareh; Murtaza Rashid*; Khalid H Alsalem; Mustafa Alsomali; Abdullah Almulhim; Obaid Manzil Aldhafeeri

    Objective: A novel Coronavirus disease (COVID 19) emerged from wet food markets of Wuhan China in late 2019, which caused severe respiratory symptoms. Frontline physicians face an immense task in identifying the Chest X-ray findings of this newly emerged pandemic. The purpose of this study is to evalute the competency of frontline physicians in identifying subtle COVID 19 findings in Chest X-rays.


CT-Guided Lung Biopsy: Reduction of Patient Recovery Time and Cost with Use of A Hydrogel Plug

Shimwoo Lee*; Kathleen Ruchalski; Kelsey Pomykala; Timothy Ryan; Scott Genshaft; Fereidoun Abtin; James Sayre; Robert Suh

    Purpose: To evaluate whether the use of a hydrogel plug (BioSentryTM tract sealant system, AngioDynamics, Latham, NY) after a lung biopsy can reduce costs by safely shortening post-procedure observation time.
Materials and methods: A single-center, retrospective review of percutaneous CT-guided core needle lung biopsies utilizing the hydrogel plug from May 2013-July 2016 was performed. Post-procedurally, patients were observed either for 3 hours with chest radiographs obtained at 1 and 3 hours, or for 1.5 hours with one chest radiograph.


Pilot Trial Comparing the Performance of 68Ga-PSMA-11 PET/CT to 18F-PSMA-1007 PET/CT in the Detection of Prostate Cancer Recurrence in Men with Rising PSA Following Radical Prostatectomy

Jesse Ende; Amer Amin; Gemma Sheehan-Dare; Thomas Cusick; Bao Ho; Joanne Keane; Andrew Nguyen; Victor Liu; Jonathan Lee; Lyn Chan; Peter Lin; Andrew Chen; Karen Fullard; Phillip Stricker; Louise Emmett*

    Objective: Prostate-Specific Membrane Antigen (PSMA) PET/CT is increasingly used in the staging and management of prostate cancer. The most published tracer in PSMA PET/CT is 68Ga-PSMA-11 (PSMA-11). However, 18F-PSMA-1007 (PSMA-1007) has several potential advantages over PSMA-11, including non-urinary clearance, which may improve accuracy of prostate cancer detection in the prostate fossa. The aim of this study is to prospectively compare..


Chemical, Structural, Advances and Hurdles to Clinical Translation of RNAi Therapeutics

Loutfy H Madkour

    RNAi can wipe out the disease-causing proteins from being translated. Now RNAi technique has become a powerful tool for basic research to selectively knock down gene expression in vitro and in vivo. At the same time, both scientific and industrial communities started to develop RNAi therapeutics as the next class of drugs for treating a variety of genetic disorders, such as cancer and other diseases that are particularly hard to be addressed by current treatment strategies.


Biopolymer-Lipid Hybrid Composites and their Advances in Bio-imaging and Drug Delivery

Mallesh Kurakula*; Pratap Basim

    Understanding the molecular anatomy, rationalizing the selection criteria, functionalization strategies of interrelating biopolymers with lipids are key to establish a hybrid combinatorial system owing to distinct properties and functions serving a special purpose. In recent years, many studies have been reported on developing these hybrid systems that can offer great advantages such as enhanced solubility, adhesion, and mechanical properties, site-specific delivery, better stability, and bioavailability of payload with minimal side effects.


Aortic Arch Variations among Jordanian Patients Depicted on CT-Angiogram

Nabil A Al-zoubi*; Osama Dawood

    Introduction: Variations of branches arising from Aortic Arche (AA) are well known and documented by several authors in different races [19]. However, such variations have never been studied in Jordan. The aim of this article was to determine the prevalence of AA branching pattern variations among Jordanian patients depicted on CT-Angiogram and to compare the results with other international studies.


Postnatal Imaging of the Microcephalic Pediatric Patient

Saurabh Verma; Gordon Heller*

    The purpose of this article is to review the clinical and imaging manifestations of microcephaly, with an emphasis on syndromic causes. Defined as a head circumference greater than 2 standard deviations below the mean, microcephaly can manifest from primary causes during fetal development, or can occur postnatally from postnatal injury or genetic syndromes. Imaging plays an integral role in the evaluation of microcephaly and can hint at contributory gene or external causes...


Septo-Optic Dysplasia A Case Presentation for Revisiting this Intriguing and Uncommon Condition

Alexander Reyes Lobo*; Monica Ocampo

    Septo - Optic Dysplasia (SOD) also known as De Morsier Syndrome, is an uncommon medical condition which is characterized by a triad, agenesis of the septum pellucidum and/or corpus callosum, optic nerve hypoplasia and hormonal dysfunction. Although this entity has been widely recognized, some aspects of the disease remain poorly understood. SOD has the particularity of being highly heterogeneous, both genetically and clinically, with a wide range of radiological findings...


Rupture of A Large Splenic Artery Aneurysm

perfuRosana-Mihaela Manea; Lavinia Danuta Raicu*

    Background: Splenic artery aneurysm is the most frequent aneurysm of the visceral arteries (60 percent of cases) with an incidence of 10.4 percent of cases. There is a higher prevalence in women (4:1) associated frequently with pregnancy. The incidence of splenic artery aneurysm is increasing, with reported third most frequent after aorta and iliac arteries....


Novel Intracranial Imaging Findings in A Patient with Gorlin Goltz Syndrome

Gordon Heller*; Patricia E McGoldrick NP; Steven M Wolf

    Gorlin Goltz syndrome, also known as Nevoid Basal cell Carcinoma Syndrome, is a rare entity with clinical neurologic manifestations of seizures. Imaging findings include falcine calcification, although there are recent reports of intracranial neoplasms, such as Meningioma.


Unilateral Agenesis of Pulmonary Artery: A Rare Entity to be Known

Shah Omair*; Nazir Umar; Musaddiq Rafiq; Wani Maria; Gojwari Tariq

    Unilateral Agenesis of Pulmonary Artery (UAPA) is rare, with a prevalence of 1: 200,000 in young adults and usually occurs in conjunction with cardiovascular anomalies. We present a case of a 31 year old man with no underlying comorbidity who presented with a 7 month history of dyspnea and recurrent chest infections and was later diagnosed with isolated unilateral agenesis of pulmonary artery. Our case alerts the physicians and radiologists about this rare entity as a cause of recurrent infections in young adults.


Incidental Finding of an Oestrogen-Secreting Calcified Stromal Luteoma in a Post-Menopausal with Vaginal Bleeding: An Unusual Case Report

Chukwuemeka Igwe*; Chika Igwe; Saqib Mehmood; Akaolisa Anyogu; Collins Opara; Susan Geary

    Luteomas are a rare non-neoplastic tumour, which usually occur during pregnancy under the influence of human Chorionic Gonadotropin (hCG) [1]. Most cases resolve completely postpartum [2]. Patients are usually asymptomatic with the ovarian enlargement being incidentally discovered during examination, imaging or surgery. Androgen secretion by these tumours cause symptoms of hyperandrogenism in the female and virilization of female foetuses during pregnancy.


Frequency of Kidney Stone in Population of Peshawar Coming to Northwest General Hospital Peshawar for Computed Tomography Scan (KUB)

Sadia khattak; Spogmay Gulalae*; Hoosae Pakhtoonkhwa

    Objective: The aim of this analysis was to find the frequency of kidney stone in population of Peshawar coming to northwest general hospital.
Method: This was Cross sectional examination done in North west General Hospital and Research center Peshawar during March to June 2019. Data were collected on a self-administer Questionnaire and analyzed using SPSS version 22.


Rare Cause of Acute Paraplegia: Post-Tuberculosis Syrinx

Lamyae Kallouch*; Meriem Fikri; Nejwa Kettani; Mohammed Jiddane

    A 36-year-old patient, treated for tuberculous spondylodiscitis 7 years ago, has presented to the neurological emergency room for a tetraplegia with progressive development for two months, a cerebral-medullary MRI was performed urgently revealed the presence of an hypersignal T2 and diffuse contrast enhancement of the cervico-dorsal cord, with development of syringomyelic cavities downstream in the dorso-lumbar cord. He was treated with prednisolone but no improvement.


Accessory Spleen in Pelvic Area

Neha Dubey*; Hristina Hristova

    19 Years old female presented to rapid access Gynaecology clinic with complaints of right sided pelvic pain. She had no significant medical or surgical history.


Multi-Modal Brain and Ventricle Segmentation Using Weakly Supervised Transfer Learning

Jorge Barrios Ginart*; Benjamin P Ziemer*; Tomi Nano; Kerem Can Turgutlu; Abdalla Ibrahim; Yannet Interian; Anish Dalal; Robert Sandor; Julie Leseur; Martin Vallières; Taman Upadhaya; Steve Braunstein; Gilmer Valdes; MichaelMcDermott; Javier Villanueva-Meyer; Olivier Morin

    Purpose: To quantify performance of brain and ventricle segmentation using weakly supervised Transfer Learning (TL) and cross-modality CT-to-MR deep learning models trained with coarse-grained versus fine-grained data to enable accurate segmentation using small datasets.


Restrictive Approach to Chest Radiography in the Covid Era and Efficacy in Clinical Decision Making in Critical Care: Observations from a Clinical Audit

Lekshmi Suresh Babu

    Chest X-Rays are routinely performed in Critical Care to aid clinical decision making. Many patients in Critical Care lack capacity for consenting radiological examinations, e.g., invasively ventilated or sedated patients and doctors take decisions to perform these investigations in their patient’s ‘best interests [1]. We conducted a study in our Critical Care, to assess how many of the chest X-Rays performed effectively produced a change in patient management...


Radiological Diagnosis of Hydatidosis - A Case Report with Discussion

Awab Hassan*; Abdullah Alvi; Kamran Azom

    Introduction: Hydatid disease involves mainly the liver (66% of the cases) and the lungs (22%), recurrence rate is around 10 percent. CT and sonography remain the best modality for initial diagnosis and long-term follow-up [1]. Radiological diagnosis is more sensitive compared to serology [5].
Case report: Here we report a case of hydatidosis of lungs and pelvis with a follow-up of 7 years.


Meningeal Tuberculosis Masquerading as Meningioma: A Case Report

Luwei Jiang; Shilin Liu; Tao Jiang*; Chuanbo Weng; Mengru Gao; Chengyu Xia

    A 61-year-old patient was suspected of having meningioma, and surgery was subsequently performed on the patient. It was found that the diseased tissue was closely adhered to the normal brain tissue, and extracted to determine the pathological type. Brain biopsy suggested a diagnosis of tuberculous meningitis. The patient subsequently received regular anti-tuberculosis treatment, ultimately, the myodynamia of the patient's left limbs gradually improved, and her mental symptoms also improved.


Idiopathic Intracranial Hypertension

Seeratafshan Kazi*; Shafiulla Khaji

    Idiopathic intracranial hypertension or pseudotumour cerebri, is a neurological disorder characterized by symptoms and signs of raised intracranial pressure with no other cause of intracranial hypertension demonstrated on neuroimaging or other investigations. It is commonly seen in obese females. We are presenting a case of idiopathic intracranial hypertension in a female who was on steroid and immunosuppressants for eosinophilic granulomatosis and had gained weight possibly due to long term use of steroids.


CT Appearance of Duodenum Inversum - Clinical Images & Discussion Findings from a CT Image Series

Ismail Alvi; Awab Hassan*; Kamran Azom

    Duodenum Inversum (DI), also known as inverted duodenum or duodenum reflexum, is an exceedingly rare congenital malformation
in which the terminal part of the duodenum, instead of continuing left to the ligament of Treitz, reverses direction and travels in a superior, posterior track prior to crossing the midline above the pancreas. Duodenum Inversum (DI) was first described in 1940 by Feldman and Morrison who described 14 such cases in 20,000 gastrointestinal X-ray examinations, with an incidence of 0.07 per cent.


Brodie Abscess

Abdishakur Mohamed*; Vinay Gangadharan*; Sukhdeep Jutla

    Brodie abscess is a relatively rare subacute form of osteomyelitis that is difficult to diagnose due to its insidious onset and limited initial systemic response. We present a case of Brodie abscess in a person with knee pain, swelling and antalgic gait. Diagnosis was made initially using plain radiography, this was supported by magnetic resonance imaging and confirmed on bacterial culture of the surgical samples.


Treatment of Calcific Tendinitis of the Rotator Cuff with Barbotage - A Case Study

Sneha Murthy*; Sagar Maheshwari; Harish Nagraj; Sofia Vrizidou

    Calcific tendinitis is one of the commonest pathologies of the rotator cuff. This condition is most often seen in Caucasian women. The pathophysiology involves deposition of hydroxyapatite (form of calcium) crystals within the tendons of the rotator cuff. It can be a highly painful condition affecting the quality of life significantly. Sonography is increasingly becoming the investigation of choice for calcific tendinitis as it has a sensitivity of nearly 90%...


Quality and Readability of Online Resources for Prostate Artery Embolisation to Support Shared Decision Making

Nimra Ali*; Zeb Unnisa

    Background: Online searching for health-related information is becoming increasingly popular when it comes to patient selecting and deciding their treatment options. Therefore, it is essential that internet-based information should be of high quality to aid in decision making.
Objective: The aim of this study was to assess the readability and quality of online resources about Prostate Artery Embolisation (PAE) to help patients considering it as a treatment option for Benign Prostatic Hypertrophy (BPH).


Bone Marrow Tuberculosis

Rameesha Hussain; Muhammad Fahad*; Ayesha Zahid

    Mycobacterium Tuberculosis (MTB) is common in South Asian subcontinent; affects the lungs mostly but can affect any organ of the body. It is from the family Mycobacteriaceae that can cause devastating illness in an immune-compromised patient but can be equally harmful in immune-competent individuals. It spreads through droplets.


Evaluation of Hot Reporting of X-Rays in Emergency Department of Milton Keynes University Hospital UK

Anique Ahmed Choudhary*; Hafiz Rehan Ahmad Latif; Aabid Sanaullah

    It is widely recognized that the demand for health and social care services is increasing day by day. This is exerting pressure on all areas of the system, including radiology services, which plays a major role in the diagnosis and treatment of majority of conditions. The current study raised serious concerns about the time it takes for emergency department at Milton Keynes University Hospital to report plain films and the potential risks this poses to patients...


Chest CT Findings of COVID-19 Delta Variant in A Hospital Cluster

Nicole Kessa Wee*; Jordan Zheng Ting Sim; Kenneth Eng Ling Kwan; Lim Wei-Yen; Angela Chow; Cher Heng Tan

    The B.1.617.2 (Delta) variant of the SARS-CoV-2 virus has been the cause of surging COVID-19 cases in many countries in recent months. We present a review of the CT chest imaging findings of eight patients from a hospital cluster, where the SARS-CoV-2 virus was diagnosed with Real-Time Polymerase Chain Reaction (RT-PCR) testing and confirmed by whole genome sequencing to be of the same Delta (B.1.617) variant strain...


The Impact of External Events on Trends in Breast Imaging

Kathleen M Capaccione*; Sophia Huang; Elizabeth West; Aileen Deng; Mary M Salvatore; Elise Desperito

    Objective: Here we analyze trends in breast cancer imaging over the past decade to evaluate the impact of changes in access to care and the COVID-19 pandemic on breast imaging utilization.
Methods: We queried our radiology record system to identify numbers of specific breast imaging studies from 01/01/2010 to 03/31/21. We retrospectively assessed yearly numbers of exams since 2010 and weekly numbers during the COVID-19 pandemic in the greater New York City region...


A Rare Case of Hirayama Disease Diagnosed by Dynamic MR Imaging

Hannah Mathew*; KP Ashwin

    A 28-year-old woman presented with slowly progressive weakness of the right upper limb since 14 years of age. This was purely motor, distally located and progressive in nature. It did not involve any other limbs. She also had a history of hypothyroidism and gestational diabetes. On examination, hypothenar muscle wasting and complete claw hand was noted (Figure 1) Power was reduced in muscles of the hand, while reflexes were bilaterally absent on both upper limbs...


A Case Series of Reactivation of Fungal Ball in the Patients with Covid-19 Pneumonia: Awakening of A Titan

Rajaram Sharma*; Tapendra Nath Tiwari; Saurabh Goyal; Rinkey Baisoya

    Background: Due to the use of immunosuppressants and immune modulator property of the corona virus, co-infections are proportionately increased in the second wave of Covid-19 infection. Aspergillosis is an air-borne opportunistic fungal pathogen that primarily affects immunocompromised hosts...


Organizing a Virtual Radiography Conference during Covid-19 Pandemic

A Mohamed Afif*; H Abdul Razak; XK Ang; AWD Choong

    Introduction: The Covid -19 pandemic has affected planned physical healthcare conferences around the globe. To ensure adequate continuing professional development, virtual conference organization is the solution for healthcare professionals and the radiography community. This review article aims to document strategies for converting a physical conference to a virtual conference.


Extensive Retroperitoneal Fibrosis Secondary to Spondylodiscitis: A Case Report

Massaro MG; Borriello R; Contegiacomo A; Cianci R*; Gambassi G

    Retroperitoneal fibrosis is a rare pathology and often its etiology is unknown. The retroperitoneal fibrosis secondary to infectious diseases are infrequent. A delay in diagnosis can lead to irreversible complications, as renal failure and renovascular arterial hypertension. We describe a case of retroperitoneal fibrosis diagnosed two years after an Escherichia coli spondylodiscitis.


Nucleophilic Chemistry of γ-Al2O3/ZSM-5 Zeolite Binary Nanocomposite Adsorbent for the Removal of Methamidophos Insecticide

Meysam Sadeghi*; Pourya Zarshenas

    In this work, γ-Al2O3 nanoparticles were fabricated on the ZSM-5 zeolite via ultrasonic-assisted hydrothermal method. The morphology and structure of the as-fabricated γ-Al2O3/ZSM-5 nanocomposite adsorbent was fully characterized by SEM, EDAX and XRD, and FTIR analyses. Applying XRD analysis, the average particle size of γ-Al2O3/ZSM-5 was obtained to be 13.8 nm. The removal reactions of O, S-dimethyl phosphoramidithioate (methamidophos) organophophorus insecticide have been evaluated via γ-Al2O3/ZSM-5 adsorbent at room temperature.


ZSM-5-Doxorubicin as a Drug Delivery Platform for Doxorubicin

Pourya Zarshenas

    The drug delivery application of Porous Metal-Organic Frameworks (MOFs) have been investigated due to their unique structures which are built of inorganic nodes and organic ligands. In present study, zsm-5-doxorubicin was successfully prepared by applied for delivery of 5-fluorouracil (doxorubicin). Using variety of analytical methods including FTIR, FESEM, EDS, and the prepared nanostructure was characterized.


Ultrasound Guided Cluneal Nerve Block in Management of Low Back Pain

Muhammad Mansha*; Syed Intakhab Alam

    Objectives: To ascertain the effectiveness of ultrasound guided cluneal nerve block in management of low back pain and its complications.
Methods: We present the results of our first 24 patients, who underwent ultrasound guided cluneal nerve injection, for low back pain due to possible cluneal nerve entrapment neuropathy. All patients selected for the injection had clinical examination suggestive of cluneal nerve entrapment and had normal MRI scan of the lumbar spine...


Wandering Spleen - A Case Report

Sanjeet Kumar*; Shinepreet Kaur

    Wandering spleen or hypermobile spleen is a rare clinical finding which is the result of elongation of spleen’s suspensory ligaments. It is mainly found in children. It can be congenital or acquired. But this condition is not hereditary. The long pedicle poses a site for torsion which may lead to interruption in blood supply to the point of severe damage causing infarction. Acquired wandering spleen mainly occurs in adults due to any accident or injury, connective tissue disorders, or laxity of ligaments such as in pregnancy...


Radiological Investigation in Acute Renal Colic

Nawar Hasan*; Nicolae Culis; Ken-Win TO; Iain Au-Yong

    Objectives: CT-KUB is the investigation of choice for acute renal colic. However, its use should be monitored to ensure that CT-KUBs have a reasonable diagnostic yield and are not being requested inappropriately.
Methods: A retrospective review of CT-KUBs performed in A&E in February 2022 at our centre. The requesting information was compared to the I-Refer criteria for appropriateness with a target of 100%. According to published studies, the recommended diagnostic yield is at least 44% for calculus and at least 6% as an alternative diagnosis...


An Incidental Finding of Double Inferior Vena Cava A Rare Vascular Anomaly

Abdalla Suliman*; Danny Carbin

    Inferior Vena Cava Carries (IVC) venous return from the pelvis, abdominal viscera and lower extremities. Unidentified IVC anomalies can lead to severe bleeding during retroperitoneal surgeries if the abnormal IVC is injured. Fortunately, the widespread use of Computed Tomography (CT) during preoperative planning enables identification of the abnormal anatomy before surgery and reduces the risk of damage to the anomalous venous structure.


Study of Covid-19 Pneumonia 12 Weeks Follow-up Chest Radiograph and Clinical Resolution: Observation from a Clinical Audit in District Hospital in UK

Shamnad Shakeer

    Chest radiographs are routinely performed in hospitals during covid pandemic era to investigate lung changes, which will aid in clinical decision-making. As per the guidelines, COVID patients who had radiological changes in their initial Chest X- ray should have a follow-up Chest radiograph in 12 weeks. We conducted a study in our District-level NHS hospital to evaluate how many patients had their 12 weeks follow-up radiograph done and compared it with their initial chest radiograph...


Measurement of Normal Subcarinal Angle using Computed Tomography

Sudil Paudyal

    Background: Subcarinal Angle (SCA) is an angle of divergence of the right and left main stem bronchi. Change in tracheal bifurcation angle is an indirect marker of various cardiac, pulmonary and mediastinal pathologies. Helical Computed Tomography (CT) allows acquisition of volumetric set of data of the chest and can be used for accurate measurement of subcarinal angle using reconstructed image on a workstation using minimum intensity projection (MinIP)...


Comparative Analysis between DOTANOC Versus Computed Tomography in Assessment of Neuroendocrine Tumors

Aishwarya Madhugiri Sharma*; SM Chandramohan; Abhijith Mohan Rajamohan; Rajiv Raj; Kanagavel M; K Balaji Singh

    Introduction: Diagnosis of Neuroendocrine Tumours (NET) is a continuously evolving sphere in imaging science. Starting from endoscopies, ultrasounds, and other imaging modalities, discernment of a tumour is possible by combining two imaging techniques. DOTANOC is one such modality which works on the affinity of binding to somatostatin receptors present on the NET cells. This study was carried out to compare Computerized Tomography (CT) & DOTANOC scans in gastric carcinoid and analyse the significance of both...


Influence of Work life Balance and Job Satisfaction on Organizational Commitement of Radiologic Technologist and Radiologist in Private Sector Hospital Peshawar

Hoosae Pakhtoonkhwa; Muhammad Sarmad*

    Purpose: The purpose of this study is to examine the influence of work life balance and job satisfaction on organizational commitment of radiologic technologist and radiologist in private sector hospital Peshawar.
Method: The study was done in private sector hospital Peshawar. The data were collected through self administrater questionare and analyzed to advance statistical software [SPSS smart PLS].


Diagnostic Reference Levels (DRLs) in Digital Mammography: A Systematic Review

UGDS Hemamala*; BS Weerakoon

    DRLs are considered an effective tool that can be used to optimization of patients protection in the medical exposure for diagnostic and interventional procedures. Screening mammography facilitates the early detection of breast cancer and reduces the mortality rate of women from breast cancer. The utility of giving very high detail resolution or image sharpness and the effectiveness of Digital Mammography (DM) for imaging micro-calcifications and minor abnormalities that may reveal early breast cancer are all features of DM. DM is used in screening mammography...


Susac Syndrome - A Case Report

Shinepreet Kaur*; Sanjeet Kumar

    Susac syndrome is a rare autoimmune endotheliopathy characterized by a classical triad of encephalopathy, partial or complete small retinal arteries occlusion, and sensory neural hearing loss. At the on-onset, commonly not all classical triad features are present, and they do not necessarily develop in all patients. Often patients present initially with one of the main features followed by others later in their lives.


Integrating Imaging Bioinformatics in Ophthalmology

Hadi Khazaei*; Danesh Khazaei; Kaneez Abbas; Davin Ashraf; John D Ng

    Imaging informatics collates the multitude of information into data; allowing research to occur, driving data quality, and ultimately improving patient care. Imaging informatics increases the efficiency of imaging workflows by enhancing productivity and making information accessible to multiple users simultaneously. Consistency of critical data is essential for marrying information together through the process, to save the radiologist time, for consistency, billing, and research.


Haglund Syndrome or Pump-Bump: A Confusing Diagnosis of a Swelling Painful Hind Foot

Andour H*; Zaizi A; Abide Z; En-Nafa A; Fenni J; Lahkim M

    Haglund syndrome is one of the variable causes of heel pain, of which diagnosis could be suspected clinically and confirmed on X-Ray when evident. However, MRI with its contrast resolution allows better identification of tendinosis and bursitis which are necessary with the Haglund’s deformity to set the diagnosis as well as to rule-out other differential diagnoses.


Imaging Spectrum of Transverse Myelitis

Balaji Vara Prasad M, Srinadh Boppana, Kamlesh Chawda, Gajavelli Venkat Narsaiah Sushanth*, K Sai Nimilitha

    The purpose of the study is to evaluate the extent of involvement of spinal cord on MRI in patients with clinical diagnosis of transversemyelitis. Initial assessment of spinal cord with MRI with meticulous history is important as it provides adequate information to the clinician.


Pacemaker Electro-Catheter Endocarditis: A Case Report

Valerio Massimo Magro*; Michele Caturano

    This manuscript does not contain the surname and first name of the patient or of any other person. Furthermore, the manuscript does not contain other identifiers (initials, place of care, profession, birth). The manuscript does not contain data of third parties (family members of the patient). Given these premises, the patient’s written consent was not required to draft the manuscript.


Healthcare Information Exchange (HIE) in Relation to Diagnostic and Medical Images Sharing/Exchange: A Study across the Globe Focus on Challenges Such as Interoperability, Infrastructure, Security, Privacy and Benefits

Monief Eid*; Stephen Burrows; Fritz Barionette

    The availability of the consultant and or specialist in the right time and place to carry out the interpretation and reading of medical images such as Radiology, Cardiology, Pathology, Ophthalmology, Dermatology and other type of images is challenging in the world of Healthcare Information Exchange. Without a standards-based, interoperability, well-defined governance and protected privacy approach, it would be difficult to share data among clinics, referral physicians and service providers.


A Gingival Post-Traumatic Neuroma

Eya Chaouch*; Dr. BOCCHIO Anna Paola

    We report the case of a 19-year-old male patient, presenting to emergency for painful swelling of his right inferior gum, causing functional discomfort.


Assessment of Anatomical Variation of Styloid Process in Multidetector Computed Tomography

Damodar Rokka*; Ajay Kumar Chaudhary

   This study aimed to assess the anatomical variation of the styloid process of Nepalese individuals by using multi-detector computed tomography scans. It was carried out to establish the baseline for the normal length of the styloid process and to compare the variability of styloid process measurement between different age group and gender.


Relevance of Doing Transvaginal (TVS) and Transabdominal Scan (TAS) Consecutively in the Assessment of Women with Infertility

Kalu O; Abubakar U*; Luntsi G

    Introduction: Seventy women with infertility had sonographic scan to ascertain relevance of doing the transabdominal and transvaginal Sonographic Scan techniques consecutively in the assessment of the women with infertility. Aim: This study is to find the relevance of doing transvaginal and transabdominal ultrasonographic technique in the assessment of women with infertility.


Computed Tomography Findings Amongst Adult Patients for Paranasal Sinuses in a Teaching Hospital in North West Nigeria

Abubakar Umar*; Yaroko A Ango; Kalu Ochie; Ishaq Muhammad Nura; Sadiq Abubakar Audu; Mohammed Abacha; Mohammed Dahiru; Ilyas Izge Yusuf; Aminu Dahiru Guram

    Objectives: To determine the Computed Tomography findings in adult patients for paranasal sinuses and to determine age and gender distributions of the findings. Method: A convenience sampling was conducted, 159 CT reports of patients with the age range of 11-80 year, that underwent paranasal sinuses examinations were reviewed retrospectively.


Heavy Eye Syndrome as a Cause of Recurrent Strabismus

David Cyruz Jan*; Cayetano Clarisse Dianne; Elizardo Reymarc; Elivazo Jonathan; Galsim Romelito Jose

    A 69-year-old Filipino female presented with progressive esotropia and hypotropia for almost 20 years, accompanied by bilateral poor visual acuity. She noted previous corrective surgery however there is a recurrence of signs and symptoms.


Evaluation of Exposure Indices on PA Chest X-Ray in Direct Digital Radiography

Swastik Sagar Poudel*; Sandesh Gharti Magar; Bijaya Bhattarai; Ajay Kumar Chaudhary; Dipak Kumar Oli

    Introduction: Direct Digital Radiography (DDR) is an advanced form of digital radiography which produces a digital radiographic image instantly on a computer. The wide dynamic range of digital detectors does not need precise exposure factors and the acquired images can be manipulated to make it diagnostically reportable.


Radiological Correlation between Interstitial Lung Disease and Thoracic Osteophytosis: A Review of the Evidence in Literature

Marco Umberto Scaramozzino*; Ubaldo Romeo Plastina; Angelo Coppola; Serena D'Avelli; Krisstopher Richard Flores; Lino Antonio Valente Di Vincenzo

    The main purpose of this article is to provide an extensive review of the literature about cervico-thoracic marginal osteophytosis with pathophysiological, histological evidence and complications emerging from the reported literature (esophageal perforation, Spontaneous Intra-cranial Hypotension (SIH), dysphagia, dyspnea etc.); and to correlate the alterations present in 5 cases reported by our centre with reported images and prevalence of radiological patterns found.


MRI-Based Normative Measurement of the Ocular Globe Position in Relation to Inter-Zygomatic Line among Nepalese Subjects

Prajjwal Upadhayaya; Swastik Sagar Poudel*; Ajay Kumar Chaudhary; Akash Babu Shrestha

    Introduction: Many orbito-ocular and systemic disorders have proptosis and enophthalmos as their hallmark symptoms. As visual compromise is a severe consequence if they are not recognized and treated early, the requirement for an imaging parameter that will aid in its early diagnosis is important.


Impacts of Radiation on Human Health: A Narrative Review

K Sathiya*; Kalpana Ramachandran

    Radiation, both natural and man-made, is ever-present in our environment and is integral to various industrial, medical, and scientific applications. Understanding its various forms, sources, and biological effects is essential for modifying potential health risks and maximizing its beneficial uses.


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