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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 1)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 13, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 5)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 12, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 5, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 1)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 7)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 8, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 3)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 7, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 2)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 10)

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Journal Cover Journal of Clinical Imaging Science
  [SJR: 0.277]   [H-I: 8]   [1 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 2156-7514 - ISSN (Online) 2156-5597
   Published by Medknow Publishers Homepage  [355 journals]
  • Initial Experience with a Cone-beam Breast Computed Tomography-guided
           Biopsy System

    • Authors: Posy J Seifert, Renee C Morgan, David L Conover, Andrea L Arieno
      Pages: 1 - 1
      Abstract: Posy J Seifert, Renee C Morgan, David L Conover, Andrea L Arieno
      Journal of Clinical Imaging Science 2017 7(1):1-1
      Objective: To evaluate our initial experience with a cone-beam breast computed tomography (BCT)-guided breast biopsy system for lesion retrieval in phantom studies for use with a cone-beam BCT imaging system. Materials and Methods: Under the Institutional Review Board approval, a phantom biopsy study was performed using a dedicated BCT-guided biopsy system. Fifteen biopsies were performed on each of the small, medium, and large anthropomorphic breast phantoms with both BCT and stereotactic guidance for comparison. Each set of the 45 phantoms contained masses and calcification clusters of varying sizes. Data included mass/calcium retrieval rate and dose and length of procedure time for phantom studies. Results: Phantom mass and calcium retrieval rate were 100% for BCT and stereotactic biopsy. BCT dose for small and medium breast phantoms was found to be equivalent to or less than the corresponding stereotactic approach. Stereotactic-guided biopsy dose was 34.2 and 62.5 mGy for small and medium breast phantoms, respectively. BCT-guided biopsy dose was 15.4 and 30.0 mGy for small and medium breast phantoms, respectively. Both computed tomography biopsy and stereotactic biopsy study time ranged from 10 to 20 min. Conclusion: Initial experience with a BCT-guided biopsy system has shown to be comparable to stereotactic biopsy in phantom studies with equivalent or decreased dose.
      Citation: Journal of Clinical Imaging Science 2017 7(1):1-1
      PubDate: Fri,27 Jan 2017
      DOI: 10.4103/2156-7514.199055
      Issue No: Vol. 7, No. 1 (2017)
       
  • Bronchial Artery Aneurysm with Associated Bronchial Artery to Pulmonary
           Artery Fistula: Treatment by Embolization

    • Authors: Caleb G Hsieh, Thomas Le, Keren Fogelfeld, Nader Kamangar
      Pages: 2 - 2
      Abstract: Caleb G Hsieh, Thomas Le, Keren Fogelfeld, Nader Kamangar
      Journal of Clinical Imaging Science 2017 7(1):2-2
      Bronchial artery aneurysm (BAA) is a rare vascular phenomenon. This review highlights a case of a BAA that was complicated by the presence of a bronchial artery to pulmonary artery (BA-PA) fistula, consequently presenting a unique challenge to management. BAAs have a strongly reported risk of rupture resulting in life-threatening hemoptysis. Embolization has thus become routine for the management such severe cases. The management of incidentally found anomalies is less obvious, but prophylactic embolization is a generally accepted practice. In this report, we review some of the risks and benefits associated with BAA embolization with specific consideration of the challenges in cases of co-existing BA-PA fistula.
      Citation: Journal of Clinical Imaging Science 2017 7(1):2-2
      PubDate: Fri,27 Jan 2017
      DOI: 10.4103/2156-7514.199052
      Issue No: Vol. 7, No. 1 (2017)
       
  • Gastropericardial Fistula as a Late Complication of Laparoscopic Gastric
           Banding

    • Authors: Adam A Rudd, Chandana Lall, Ajita Deodhar, Kenneth J Chang, Brian R Smith
      Pages: 3 - 3
      Abstract: Adam A Rudd, Chandana Lall, Ajita Deodhar, Kenneth J Chang, Brian R Smith
      Journal of Clinical Imaging Science 2017 7(1):3-3
      Laparoscopic adjustable gastric banding (LAGB) is a bariatric procedure that is being performed with increasing frequency as an alternative management option for morbid obesity. Several common complications have been reported including gastric band slippage and associated pouch dilatation, intragastric erosion of the band, gastric wall perforation, and abscess formation. We present a case of gastropericardial fistula occurring nine years after an LAGB. There have been no previous documented cases of the complication after this procedure.
      Citation: Journal of Clinical Imaging Science 2017 7(1):3-3
      PubDate: Fri,27 Jan 2017
      DOI: 10.4103/2156-7514.199053
      Issue No: Vol. 7, No. 1 (2017)
       
  • Elastography-targeted Thyroid Nodule Aspiration: A Novel Approach

    • Authors: Elliot Landau, Danielle Del Re, Bina Kviatkovsky, Aryeh Rothstein, Jonathan Scheiner, Cheryl Lin
      Pages: 4 - 4
      Abstract: Elliot Landau, Danielle Del Re, Bina Kviatkovsky, Aryeh Rothstein, Jonathan Scheiner, Cheryl Lin
      Journal of Clinical Imaging Science 2017 7(1):4-4
      Objectives: Since 2009, the rate of nondiagnostic (ND) thyroid nodule fine-needle aspiration (FNA) has ranged from 2% to 20%. A ND result can cause further patient morbidity secondary to repeated procedures and delay in diagnosis. The use of real-time strain elastography (RTE) in determining nodule malignant risk has gained considerable focus recently. A less studied area where RTE may prove beneficial is its role in targeting areas for FNA. Our hypothesis is that FNA performed in concurrence with RTE will show a decreased rate of ND results leading to fewer repeated FNA. Materials and Methods: The Institutional Review Board approval was obtained. A retrospective review of all thyroid nodule FNA from January 1, 2011, to January 1, 2014, was performed with review of nodule size, presence of microcalcifications, vascularity, solid components, patient age, and gender. Cases were separated based if RTE was done before FNA or not. Pathology reports were reviewed to assess for specimen adequacy. Statistical comparison was performed using SAS analysis software. Results: A total of 221 specimens were reviewed, with RTE performed on 140 cases (63.4%). Both groups were similar in demographics and previously described nodule characteristics. The ND rate when RTE was not performed was 16% (13/68) compared to 10% when RTE was performed (14/126). The difference was not found to be statistically significant, P = 0.205. Conclusions: The presence of an elastogram failed to demonstrate a significant decrease in ND FNA rates although these results may be secondary to study design. Further evaluation with prospective trials using larger sample size may ultimately detect increased accuracy of RTE-targeted FNA.
      Citation: Journal of Clinical Imaging Science 2017 7(1):4-4
      PubDate: Fri,27 Jan 2017
      DOI: 10.4103/2156-7514.199054
      Issue No: Vol. 7, No. 1 (2017)
       
  • Infantile Hemangioendothelioma of the Parotid Gland

    • Authors: Rajas Chaubal, Om Tavri, Atul Sawant, Chitrangada Singh
      Pages: 5 - 5
      Abstract: Rajas Chaubal, Om Tavri, Atul Sawant, Chitrangada Singh
      Journal of Clinical Imaging Science 2017 7(1):5-5
      A 4-month-old infant presented with a painless swelling overlying the left angle of mandible. Ultrasound and magnetic resonance imaging (MRI) revealed a large lesion replacing the entire left parotid gland, with multiple enlarged vessels. Homogeneous enhancement of the lesion was seen on the postcontrast MRI scans. Based on the imaging features, a diagnosis of infantile hemangioendothelioma of the parotid gland was offered. This helped in avoiding any further invasive testing.
      Citation: Journal of Clinical Imaging Science 2017 7(1):5-5
      PubDate: Fri,27 Jan 2017
      DOI: 10.4103/2156-7514.199056
      Issue No: Vol. 7, No. 1 (2017)
       
  • Different Sonographic Faces of Ectopic Pregnancy

    • Authors: Charu Chanana, Nishant Gupta, Itisha Bansal, Kusum Hooda, Pranav Sharma, Mohit Gupta, Darshan Gandhi, Yogesh Kumar
      Pages: 6 - 6
      Abstract: Charu Chanana, Nishant Gupta, Itisha Bansal, Kusum Hooda, Pranav Sharma, Mohit Gupta, Darshan Gandhi, Yogesh Kumar
      Journal of Clinical Imaging Science 2017 7(1):6-6
      Vaginal bleeding in the first trimester has wide differential diagnoses, the most common being a normal early intrauterine pregnancy, with other potential causes including spontaneous abortion and ectopic pregnancy. The incidence of ectopic pregnancy is approximately 2% of all reported pregnancies and is one of the leading causes of maternal mortality worldwide. Clinical signs and symptoms of ectopic pregnancy are often nonspecific. History of pelvic pain with bleeding and positive β-human chorionic gonadotropin should raise the possibility of ectopic pregnancy. Knowledge of the different locations of ectopic pregnancy is of utmost importance, in which ultrasound imaging plays a crucial role. This pictorial essay depicts sonographic findings and essential pitfalls in diagnosing ectopic pregnancy.
      Citation: Journal of Clinical Imaging Science 2017 7(1):6-6
      PubDate: Mon,20 Feb 2017
      DOI: 10.4103/jcis.JCIS_105_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Gastropleural Fistula with Aortic Intramural Involvement

    • Authors: Akshya Gupta, Abhishek Chaturvedi, Patrick Fultz, Susan Hobbs
      Pages: 7 - 7
      Abstract: Akshya Gupta, Abhishek Chaturvedi, Patrick Fultz, Susan Hobbs
      Journal of Clinical Imaging Science 2017 7(1):7-7
      Gastropleural fistula is a relatively rare complication that can be seen as a result of traumatic, nontraumatic, benign, and neoplastic etiologies. Most commonly, these are found in patients with diaphragmatic herniation or prior thoracic surgery. Aortoenteric fistulas are rare communications typically between the abdominal aorta and bowel. We present a rare case of an 88-year-old male who developed a gastropleural fistula with erosions into the wall of the descending thoracic aorta. Computed tomography (CT) is a leading modality in evaluation of suspected gastropleural or aortoenteric fistulas given the quick scan time and widespread availability. Prompt diagnosis is essential and requires an understanding of appropriate CT protocols and CT imaging appearance.
      Citation: Journal of Clinical Imaging Science 2017 7(1):7-7
      PubDate: Mon,20 Feb 2017
      DOI: 10.4103/jcis.JCIS_110_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Computer-aided Detection Fidelity of Pulmonary Nodules in Chest Radiograph

    • Authors: Nikolaos Dellios, Ulf Teichgraeber, Robert Chelaru, Ansgar Malich, Ismini E Papageorgiou
      Pages: 8 - 8
      Abstract: Nikolaos Dellios, Ulf Teichgraeber, Robert Chelaru, Ansgar Malich, Ismini E Papageorgiou
      Journal of Clinical Imaging Science 2017 7(1):8-8
      Aim: The most ubiquitous chest diagnostic method is the chest radiograph. A common radiographic finding, quite often incidental, is the nodular pulmonary lesion. The detection of small lesions out of complex parenchymal structure is a daily clinical challenge. In this study, we investigate the efficacy of the computer-aided detection (CAD) software package SoftView™ 2.4A for bone suppression and OnGuard™ 5.2 (Riverain Technologies, Miamisburg, OH, USA) for automated detection of pulmonary nodules in chest radiographs. Subjects and Methods: We retrospectively evaluated a dataset of 100 posteroanterior chest radiographs with pulmonary nodular lesions ranging from 5 to 85 mm. All nodules were confirmed with a consecutive computed tomography scan and histologically classified as 75% malignant. The number of detected lesions by observation in unprocessed images was compared to the number and dignity of CAD-detected lesions in bone-suppressed images (BSIs). Results: SoftView™ BSI does not affect the objective lesion-to-background contrast. OnGuard™ has a stand-alone sensitivity of 62% and specificity of 58% for nodular lesion detection in chest radiographs. The false positive rate is 0.88/image and the false negative (FN) rate is 0.35/image. From the true positive lesions, 20% were proven benign and 80% were malignant. FN lesions were 47% benign and 53% malignant. Conclusion: We conclude that CAD does not qualify for a stand-alone standard of diagnosis. The use of CAD accompanied with a critical radiological assessment of the software suggested pattern appears more realistic. Accordingly, it is essential to focus on studies assessing the quality-time-cost profile of real-time (as opposed to retrospective) CAD implementation in clinical diagnostics.
      Citation: Journal of Clinical Imaging Science 2017 7(1):8-8
      PubDate: Mon,20 Feb 2017
      DOI: 10.4103/jcis.JCIS_75_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Asymptomatic Urolithiasis Complicated by Nephrocutaneous Fistula

    • Authors: Marion Hamard, Gaël Amzalag, Christoph D Becker, Pierre-Alexandre Poletti
      Pages: 9 - 9
      Abstract: Marion Hamard, Gaël Amzalag, Christoph D Becker, Pierre-Alexandre Poletti
      Journal of Clinical Imaging Science 2017 7(1):9-9
      Asymptomatic spontaneous nephrocutaneous fistula is a rare and severe complication of chronic urolithiasis. We report a case of 56-year-old woman with a nephrocutaneous fistula (NFC) which developed from a superinfected urinoma following calyceal rupture due to an obstructing calculus in the left ureter. The patient was clinically asymptomatic and came to the emergency department for a painless left flank fluctuating mass. This urinoma was superinfected, with a delayed development of renal abscesses and perirenal phlegmon found on contrast-enhanced uro-computed tomography (CT), responsible for left renal vein thrombophlebitis and left psoas abscess.. Thereafter, a 99 mTc dimercaptosuccinic acid (DMSA) scintigraphy revealed a nonfunctional left kidney, leading to the decision of left nephrectomy. Chronic urolithiasis complications are rare and only few cases are reported in medical literature. A systematic medical approach helped selecting the best imaging modality to help diagnosis and treatment. Indeed, uro-CT scan and renal scintigraphy with 99 mTc-DMSA are the most sensitive imaging modalities to investigate morphological and functional urinary tract consequences of NFC, secondary to chronic urolithiasis.
      Citation: Journal of Clinical Imaging Science 2017 7(1):9-9
      PubDate: Mon,20 Feb 2017
      DOI: 10.4103/jcis.JCIS_83_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Erratum: SYNTAX Score in Patients with High Computed Tomography Coronary
           Calcium Score

    • Pages: 10 - 10
      Abstract:
      Journal of Clinical Imaging Science 2017 7(1):10-10

      Citation: Journal of Clinical Imaging Science 2017 7(1):10-10
      PubDate: Mon,20 Feb 2017
      DOI: 10.4103/2156-7514.200569
      Issue No: Vol. 7, No. 1 (2017)
       
  • Congenital Uterine Arteriovenous Malformation Presenting as Postcoital
           bleeding: A Rare Presentation of a Rare Clinical Condition

    • Authors: Neha Agarwal, Seema Chopra, Neelam Aggarwal, Ujjwal Gorsi
      Pages: 11 - 11
      Abstract: Neha Agarwal, Seema Chopra, Neelam Aggarwal, Ujjwal Gorsi
      Journal of Clinical Imaging Science 2017 7(1):11-11
      Congenital uterine arteriovenous malformation (AVM) is an extremely rare condition with <100 cases documented in literature. We report multiparous women presenting to us with a history of postcoital bleed. Initial Doppler ultrasonography was consistent with features suggestive of AVM. Subsequently, computed tomography (CT) angiography confirmed the diagnosis. Embolization was chosen as the treatment because of the large extension of AVM and the risk of hemorrhage during hysterectomy. The patient was discharged in a stable condition with a plan of repeat embolization in the next setting. At 6 and 12 weeks of follow-up, she did not experience any further episodes of bleed. The purpose of this case report is to highlight the salient clinical features, diagnosis, and the management options available for this rare clinical condition.
      Citation: Journal of Clinical Imaging Science 2017 7(1):11-11
      PubDate: Mon,27 Feb 2017
      DOI: 10.4103/jcis.JCIS_95_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Apparent Diffusion Coefficient Measurement in Mediastinal
           Lymphadenopathies: Differentiation between Benign and Malignant Lesions

    • Authors: Fethi Emre Ustabasioglu, Cesur Samanci, Deniz Alis, Nilay Sengul Samanci, Osman Kula, Deniz Cebi Olgun
      Pages: 12 - 12
      Abstract: Fethi Emre Ustabasioglu, Cesur Samanci, Deniz Alis, Nilay Sengul Samanci, Osman Kula, Deniz Cebi Olgun
      Journal of Clinical Imaging Science 2017 7(1):12-12
      Objectives: We aimed to prospectively assess the diagnostic value of apparent diffusion coefficient (ADC) measurement in the differentiation of benign and malignant mediastinal lymphadenopathies. Materials and Methods: The study included 63 consecutive patients (28 women, 35 men; mean age 59.3 years) with 125 mediastinal lymphadenopathies. Echoplanar diffusion-weighted magnetic resonance imaging of the mediastinum was performed with b-factors of 0 and 600 mm2/s before mediastinoscopy and mediastinotomy, and ADC values were measured. The ADC values were compared with the histological results, and statistical analysis was done. P < 0.05 was considered statistically significant. Results: The mean ADC value of malignant mediastinal lymphadenopathy (1.030 ± 0.245 × 10−3 mm2/s) was significantly lower (P < 0.05) when compared to benign lymphadenopathies (1.571 ± 0.559 × 10−3 mm2/s). For differentiating malignant from benign mediastinal lymphadenopathy, the best result was obtained when an ADC value of 1.334 × 10−3 mm2/s was used as a threshold value; area under the curve 0.848, accuracy 78.4%, sensitivity 66%, specificity of 86%, positive predictive value 76.7%, and negative predictive value of 79.2%. Interobserver agreement was excellent for ADC measurements. Conclusions: ADC measurements could be considered an important supportive method in differentiating benign from malignant mediastinal lymphadenopathies.
      Citation: Journal of Clinical Imaging Science 2017 7(1):12-12
      PubDate: Mon,6 Mar 2017
      DOI: 10.4103/jcis.JCIS_84_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Radiologic-Pathologic Correlation: Acellular Dermal Matrix
           (Alloderm®) Used in Breast Reconstructive Surgery

    • Authors: Christine U Lee, Aleh Bobr, Jorge Torres-Mora
      Pages: 13 - 13
      Abstract: Christine U Lee, Aleh Bobr, Jorge Torres-Mora
      Journal of Clinical Imaging Science 2017 7(1):13-13
      Acellular dermal matrix (ADM) such as Alloderm® is sometimes used in tissue reconstruction in primary and reconstructive breast surgeries. As ADM is incorporated into the native tissues, the evolving imaging findings that would correlate with varying degrees of host migration and neoangiogenesis into the matrix can be challenging to recognize. In the setting of a palpable or clinical area of concern after breast reconstructive surgery following breast cancer, confident diagnosis of a mass representing ADM rather than recurring or developing disease can be challenging. Such diagnostic imaging uncertainties generally result in short-term imaging and clinical follow-up, but occasionally, biopsy is performed for histopathological confirmation of benignity. A case of biopsy-proven Alloderm® is described. To the best of our knowledge, this is the first radiologic-pathologic correlation of ADM in the literature.
      Citation: Journal of Clinical Imaging Science 2017 7(1):13-13
      PubDate: Tue,28 Mar 2017
      DOI: 10.4103/jcis.JCIS_7_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Anatomic Variations of the Right Portal Vein: Prevalence, Imaging
           Features, and Implications for Successful Transjugular Intrahepatic
           Portosystemic Shunt Creation

    • Authors: Senthil S Gunasekaran, Ron C Gaba
      Pages: 14 - 14
      Abstract: Senthil S Gunasekaran, Ron C Gaba
      Journal of Clinical Imaging Science 2017 7(1):14-14
      Given the widespread use of transjugular intrahepatic portosystemic shunt (TIPS) creation for the treatment of portal hypertensive complications, a working knowledge of portal venous anatomy is critical for interventional radiologists. The right portal vein – which is most commonly accessed during TIPS – is subject to various anatomic variants that may potentially impact procedure success. This pictorial essay characterizes the anatomic patterns of the right portal vein branching in terms of type and frequency based on case series review. The work also explains the potential procedural implications of the right portal vein anatomic variations as they pertain to TIPS technical success.
      Citation: Journal of Clinical Imaging Science 2017 7(1):14-14
      PubDate: Tue,28 Mar 2017
      DOI: 10.4103/jcis.JCIS_10_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Large Bowel Obstruction in the Emergency Department: Imaging Spectrum of
           Common and Uncommon Causes

    • Authors: Subramaniyan Ramanathan, Vijayanadh Ojili, Ravi Vassa, Arpit Nagar
      Pages: 15 - 15
      Abstract: Subramaniyan Ramanathan, Vijayanadh Ojili, Ravi Vassa, Arpit Nagar
      Journal of Clinical Imaging Science 2017 7(1):15-15
      Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role of MDCT in the initial diagnosis and detection of complications along with the tips to differentiate from disease which can mimic LBO.
      Citation: Journal of Clinical Imaging Science 2017 7(1):15-15
      PubDate: Wed,5 Apr 2017
      DOI: 10.4103/jcis.JCIS_6_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Lingual Foramina and Canals of the Mandible: Anatomic Variations in a
           Lebanese Population

    • Authors: Georges Aoun, Ibrahim Nasseh, Sayde Sokhn, Mohamad Rifai
      Pages: 16 - 16
      Abstract: Georges Aoun, Ibrahim Nasseh, Sayde Sokhn, Mohamad Rifai
      Journal of Clinical Imaging Science 2017 7(1):16-16
      Objective: The aim of this study was to evaluate the mandibular lingual foramina (LF) and canals and their anatomic variations using cone-beam computed tomography (CBCT) technology in a Lebanese population. Materials and Methods: In this study, we analyzed CBCT images of 90 adult Lebanese patients (41 males and 49 females). We assessed the number and location of the LF. In additional, we measured: (a) The distance from both the alveolar crest and the inferior border of the mandible to the LF and (b) the length of the lingual canals (LCs). The data obtained was analyzed statistically using Shapiro–Wilk normality test, t-test, Chi-square, and Fisher's exact tests. Statistical significance was set at 0.05. Results: In our sample, the LF and canals were present in 93.33% of the CBCT analyzed, and the majority (76.64%) was located above the genial tubercles. The distance from the foramen of the superior and the inferior LCs to the alveolar crest was 16.24 ± 2.82 mm and 25.49 ± 2.43 mm, respectively. The distance from the foramen of the superior canal to the inferior border of the mandible was 14 ± 2.32 mm. The mean length of the superior canal was 5.81 ± 1.6 mm and 4.25 ± 1.2 mm for the inferior one. There were no gender-related differences in the anatomic characteristics of the LF and canals except for the distance measured from the superior canal foramina to the alveolar crest where the measurement was significantly greater in males compared to females. Neither the number of canals nor the positions of the foramina were different between males and females. Conclusion: Within the limits of this study, we concluded that in our sample of Lebanese adults, there was substantial variability in the LF and canals anatomy and location.
      Citation: Journal of Clinical Imaging Science 2017 7(1):16-16
      PubDate: Tue,25 Apr 2017
      DOI: 10.4103/jcis.JCIS_15_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Vaginal Ewing Sarcoma: An Uncommon Clinical Entity in Pediatric Patients

    • Authors: Nathan M Cross, A Luana Stanescu, Erin R Rudzinski, Douglas S Hawkins, Marguerite T Parisi
      Pages: 17 - 17
      Abstract: Nathan M Cross, A Luana Stanescu, Erin R Rudzinski, Douglas S Hawkins, Marguerite T Parisi
      Journal of Clinical Imaging Science 2017 7(1):17-17
      Ewing sarcoma, including classical Ewing sarcoma of the bone and primitive neuroectodermal tumors arising in bone or extraosseous primary sites, is a highly aggressive childhood neoplasm. We present two cases of Ewing sarcoma arising from the vagina in young girls. Previously reported cases in literature focused on their pathologic rather than radiographic features. We describe the spectrum of multimodality imaging appearances of Ewing sarcoma at this unusual primary site. Awareness of vaginal Ewing tumors may facilitate prompt diagnosis and lead to a different surgical approach than the more commonly encountered vaginal rhabdomyosarcoma.
      Citation: Journal of Clinical Imaging Science 2017 7(1):17-17
      PubDate: Tue,25 Apr 2017
      DOI: 10.4103/jcis.JCIS_96_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Renal Epithelioid Angiomyolipoma Associated with Pulmonary
           Lymphangioleiomyomatosis: Imaging Findings

    • Authors: Athina C Tsili, Alexandra Ntorkou, Maria I Argyropoulou
      Pages: 18 - 18
      Abstract: Athina C Tsili, Alexandra Ntorkou, Maria I Argyropoulou
      Journal of Clinical Imaging Science 2017 7(1):18-18
      Renal angiomyolipomas (AMLs) and pulmonary lymphangioleiomyomatosis (LAM) are the most common tumors of the perivascular epithelioid cell (PEComa) family. Both may be associated with tuberous sclerosis (TS) complex. Epithelioid AML (EAML) is a rare variety of AMLs, with a potential aggressive behavior. There are few reports in the English literature addressing on the imaging findings of renal EAMLs, which are considered nonspecific. We present the sonographic, computed tomographic, and magnetic resonance imaging findings of a renal EAML in a pregnant woman with concomitant pulmonary lesions indicative of LAM, without stigmata of TS. We conclude the importance of considering EAML as a possible diagnosis in the presence of a large renal mass with high cellular content and small amounts of fat in the coexistence of pulmonary LAM.
      Citation: Journal of Clinical Imaging Science 2017 7(1):18-18
      PubDate: Mon,22 May 2017
      DOI: 10.4103/jcis.JCIS_14_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Extra-pituitary Cerebral Anomalies in Pediatric Patients of Ectopic
           Neurohypophysis: An Uncommon Association

    • Authors: Deb K Boruah, Shantiranjan Sanyal, Arjun Prakash, Sashidhar Achar, Rajanikant R Yadav, T Pravakaran, Dhaval D Dhingani, Barun K Sarmah
      Pages: 19 - 19
      Abstract: Deb K Boruah, Shantiranjan Sanyal, Arjun Prakash, Sashidhar Achar, Rajanikant R Yadav, T Pravakaran, Dhaval D Dhingani, Barun K Sarmah
      Journal of Clinical Imaging Science 2017 7(1):19-19
      Context: Ectopic neurohypophysis (EN) refers to an interrupted, nonvisualized, and thinned out pituitary stalk with ectopic location of the posterior pituitary gland. Concurrent extra-pituitary cerebral and extra-cranial anomalies have been rarely reported in patients of EN. Aim: The aim of this study was to evaluate the magnetic resonance imaging (MRI) findings of extra-pituitary cerebral anomalies in pediatric patients of EN. Settings and Design: A hospital-based cross-sectional study was conducted in a tertiary care center. Subjects and Methods: The study group comprised eight pediatric patients of EN associated with extra-pituitary cerebral or vascular anomalies. Clinical and biochemical assessment was done in all patients. Results: Out of the total eight patients with EN, MRI showed interrupted pituitary stalk in five patients (62.5%) and nonvisible pituitary stalk in three patients (37.5%). Ectopic posterior pituitary bright spot was demonstrated in median eminence in six patients (75%), faintly visualized in one patient (12.5%) and nonvisualized in another one patient. Statistical significant association was noted between pituitary gland height and patient's body height with the pituitary gland volume (P < 0.001). Varied extra-pituitary cerebral anomalies encountered in our patients ranged from isolated anomalies such as optic nerve hypoplasia in three patients (37.5%), corpus callosum dysplasia in four patients (50%), agyria-pachygyria complex in two patients (25%), and intracranial vascular anomalies in two patients to syndromic association of tuberous sclerosis in one patient. Conclusion: Identifying and reporting of associated extra-pituitary cerebral anomalies in patients with EN are crucial in assessing the overall neurological outcome of such patients.
      Citation: Journal of Clinical Imaging Science 2017 7(1):19-19
      PubDate: Mon,22 May 2017
      DOI: 10.4103/jcis.JCIS_23_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Fluorine-18-fluorodihydroxyphenylalanine Positron-emission Tomography
           Scans of Neuroendocrine Tumors (Carcinoids and Pheochromocytomas)

    • Authors: Italo Zanzi, Yana Studentsova, David Bjelke, Richard Warner, Barry Babchyck, Thomas Chaly
      Pages: 20 - 20
      Abstract: Italo Zanzi, Yana Studentsova, David Bjelke, Richard Warner, Barry Babchyck, Thomas Chaly
      Journal of Clinical Imaging Science 2017 7(1):20-20
      Objectives: Conventional methods of imaging neuroendocrine tumors with computed tomography, magnetic resonance imaging, indium-111-octreotide, or radiolabeled metaiodobenzilguanidine scintigraphy have limitations. This pilot study tried to improve the localization of these tumors with fluorine-18-fluorodihydroxyphenylalanine (F-DOPA) positron-emission tomography (PET) scanning. Materials and Methods: We studied 22 patients, the majority of whom were referred with clinical diagnosis or suspicion of carcinoid (n = 11), neuroendocrine tumors (n = 7) or pheochromocytoma/paraganglioma (PGL) (n = 4). The comparison was made with the prior conventional imaging. Results: The F-DOPA findings were compared with the results of subsequent surgery (2), endoscopy (1), or a long-term follow-up (mean duration, 49 months) for 17 patients. Two patients were lost to follow-up. Foci of F-DOPA deposition were detected in eight patients (final diagnosis of carcinoid in six, of neuroendocrine tumors in one, and of PGL in another). Comparison with the final diagnoses revealed concordance in 16 of the 22 patients. F-DOPA results appeared superior to those obtained with conventional imaging. Despite the small number and diagnostic heterogeneity, in a substantial fraction of patients F-DOPA PET added information relevant to clinical management. Conclusion: F-DOPA scanning added prognostic value, particularly when multiple abnormal foci versus a negative examination were considered.
      Citation: Journal of Clinical Imaging Science 2017 7(1):20-20
      PubDate: Mon,22 May 2017
      DOI: 10.4103/jcis.JCIS_107_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • Antenatal Umbilical Coiling Index and Newborn Outcomes: Cohort Study

    • Authors: Josephine Mwikali Ndolo, Sudhir Vinayak, Micah Ominde Silaba, William Stones
      Pages: 21 - 21
      Abstract: Josephine Mwikali Ndolo, Sudhir Vinayak, Micah Ominde Silaba, William Stones
      Journal of Clinical Imaging Science 2017 7(1):21-21
      Objectives: We aimed to test the predictive value of antenatal umbilical coiling index (aUCI) among a prospectively recruited cohort of antenatal women. Methods: Women with singleton pregnancies were recruited at their second-trimester scan. Images of the umbilical cord were used to calculate the aUCI. Pregnancy and birth outcomes were recorded and statistical associations between aUCI and small for gestational age (SGA) using international standard birth weight centiles and preterm birth were investigated (n = 430). Results: aUCI results were consistent with the literature and showed good reproducibility between observers. Abnormal aUCI was not associated with SGA, but there was a statistical association with preterm birth (odds ratio 3.3 (95% confidence interval 1.4–7.7,P = 0.003). The sensitivity, specificity, and positive and negative predictive values for preterm birth were 47.6%, 76.9%, 9.6%, and 96.6%, respectively. Conclusions: The coiling index is unlikely to be useful in clinical practice as a screening tool for preterm birth owing to limited predictive value. We exclude a statistically or clinically significant association between abnormal coiling and SGA.
      Citation: Journal of Clinical Imaging Science 2017 7(1):21-21
      PubDate: Mon,22 May 2017
      DOI: 10.4103/jcis.JCIS_111_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • An Integrated Interactive-Spaced Education Radiology Curriculum for
           Preclinical Students

    • Authors: Eli Tshibwabwa, Robert Mallin, Madeleine Fraser, Martin Tshibwabwa, Reza Sanii, James Rice, Jenifer Cannon
      Pages: 22 - 22
      Abstract: Eli Tshibwabwa, Robert Mallin, Madeleine Fraser, Martin Tshibwabwa, Reza Sanii, James Rice, Jenifer Cannon
      Journal of Clinical Imaging Science 2017 7(1):22-22
      Introduction: The objective of this study is to determine whether a radiology module, together with online spaced education, helps students of an integrated problem-based learning (PBL) curriculum increase their radiology knowledge and long-term retention. Materials and Methods: Second-year students at the American University of Antigua College of Medicine participated in small groups of ten students each into two 2 h of radiology laboratories. The study comprised two cohorts: winter and fall 2013 students (control group) and 2014 students (experimental group). Both groups used face-to-face PBL. The students of the experimental group received additional online-spaced education. The skills were assessed for both groups before the beginning of laboratories and 4 weeks and 7 months after laboratories. Results: There was no significant difference on pretest between the control and experimental groups. On completion of the radiology laboratories, comparison of test results before and after training showed net improvement for both groups. The corresponding difference for the experimental group was higher compared to the one for the control group (7.83 vs. 6.21, P < 0.001). The difference between the scores on delayed test and pretest showed that the students of both groups demonstrated average knowledge improvement even though their level of performance was slightly below the posttest. The corresponding difference for the experimental group did not differ much from the posttest (P > 0.05), and no significant difference of scores was observed 7 months later for either group. Further, a higher percentage of the students in the experimental group strongly agreed that their learning objectives were met (92% vs. 71%, P > 0.001), and this trend persisted throughout the study. Conclusion:Online spaced education combined to a face-to-face PBL enhances not only the student's knowledge of basic radiology along with his/her self-assessment skills but also the long-term retention of radiology material and satisfaction with the integrated interactive system-based module. Future research is needed to see if medical students in need of additional education support may benefit from spaced education in the field of remediation.
      Citation: Journal of Clinical Imaging Science 2017 7(1):22-22
      PubDate: Wed,24 May 2017
      DOI: 10.4103/jcis.JCIS_1_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Unusual Patterns of Thoracic Metastasis of Urinary Bladder Carcinoma

    • Authors: Robert Hiensch, Habtamu Belete, Mahsan Rashidfarokhi, Irene Galperin, Fouzia Shakil, Oleg Epelbaum
      Pages: 23 - 23
      Abstract: Robert Hiensch, Habtamu Belete, Mahsan Rashidfarokhi, Irene Galperin, Fouzia Shakil, Oleg Epelbaum
      Journal of Clinical Imaging Science 2017 7(1):23-23
      Urinary bladder carcinoma (UBC) is the ninth most common malignancy and the second most common urological malignancy after prostate cancer in men. Thoracic metastases occur in more than half of those with muscle-invasive disease, and these generally assume the form of multiple solid parenchymal lesions characteristic of hematogenous seeding of the lung. Unusual patterns of thoracic spread of UBC have also been described albeit sporadically in the form of case reports and series. The aim of our case series is to provide illustrations of several atypical patterns of thoracic involvement by UBC such as isolated mediastinal lymphadenopathy, cavitary lung metastases, malignant pleural effusion, endobronchial disease, and pulmonary tumor embolism. This review is meant to highlight the intersection of the fields of urological oncology and thoracic radiology in the care of patients with UBC.
      Citation: Journal of Clinical Imaging Science 2017 7(1):23-23
      PubDate: Thu,25 May 2017
      DOI: 10.4103/jcis.JCIS_9_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Rationale of Using Dynamic Imaging for Characterization of Suspicious Lung
           Masses into Benign or Malignant on Contrast Enhanced Multi Detector
           Computed Tomography

    • Authors: Sachin Khanduri, Saurav Bhagat, Parul Shokeen, Girjesh Kumar, Shobha Khanduri, Bhumika Singh
      Pages: 24 - 24
      Abstract: Sachin Khanduri, Saurav Bhagat, Parul Shokeen, Girjesh Kumar, Shobha Khanduri, Bhumika Singh
      Journal of Clinical Imaging Science 2017 7(1):24-24
      Objectives: To assess the utility of dynamic imaging namely, wash-in and wash-out characteristics through multidetector contrast-enhanced computed tomography in differentiating benign and malignant pulmonary masses. Materials and Methods: Seventy-three patients who were suspected to have malignant pulmonary mass on the basis of clinical symptoms and chest radiograph were included in the study. All the patients underwent multidetector computed tomography scanning, and three series of images were obtained for each patient-noncontrast, early enhanced, and 15 min delayed enhanced scans. Computed tomography (CT) findings were assessed in terms of washin, absolute, and relative percentage washout of contrast. Biopsy of the mass was done and sent for histopathological evaluation. Sensitivity, specificity, and area under curve for diagnosing malignancy in the lung masses were calculated by considering both the wash-in and wash-out characteristics at dynamic CT and plotting the receiver operating curve after the final diagnosis which was obtained by histopathological evaluation. Results: Threshold net enhancement (washin) value of >22.5 HU had sensitivity, specificity, and diagnostic accuracy of 88.5%, 57.1%, and 82%, respectively, in predicting malignancy. Threshold relative percentage washout of <16.235% had 98.1%, 85.7%, and 94% sensitivity, specificity, and diagnostic accuracy, respectively, and threshold absolute percentage washout of <42.72% had 98.1%, 95.2%, and 95% sensitivity, specificity, and diagnostic accuracy, respectively, in predicting malignancy. Conclusion: Threshold net enhancement (washin), absolute and relative washout percentages can be used to predict malignancy with very high diagnostic yield, and possibly obviate the need of invasive procedures for diagnosis of bronchogenic carcinoma.
      Citation: Journal of Clinical Imaging Science 2017 7(1):24-24
      PubDate: Tue,27 Jun 2017
      DOI: 10.4103/jcis.JCIS_18_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Thorax Computed Tomography Findings in Patients with Erectile Dysfunction

    • Authors: Mustafa Resorlu, Muhammet Arslan, Ozan Karatag, Gurhan Adam
      Pages: 25 - 25
      Abstract: Mustafa Resorlu, Muhammet Arslan, Ozan Karatag, Gurhan Adam
      Journal of Clinical Imaging Science 2017 7(1):25-25
      Objective: Diabetes mellitus, smoking, dyslipidemia, and obesity play an important role in the etiology of erectile dysfunction, particularly in cases with vascular insufficiency. These risk factors also target the lungs due to their systemic effects. Materials and Methods: Patients with penile vascular insufficiency determined at Doppler ultrasonography and undergoing thoracic computerized tomography for various reasons were included in this study. A history of acute thoracic trauma, pneumonic consolidation, or pelvic surgery and trauma were regarded as exclusion criteria. Results: Thirty-seven male patients with identified vascular insufficiency (age 54.48 ± 13.62 years) were enrolled. Mass lesions with a malignant morphology were present in two patients. The most common mediastinal/vascular pathology was atherosclerosis, while the most common parenchymal lesion was emphysematous aeration. Other findings included parenchymal fibrotic bands, atelectasis, interstitial thickening, bronchiectasis, air trapping, aortic aneurysm, a dilated pulmonary artery, hiatal hernia, and pericardial effusion. Conclusion: Erectile dysfunction may be an early sign of cardiovascular diseases. Care must be taken in terms of existing or potential pulmonary pathologies in these patients due to their sharing common risk factors with systemic effects.
      Citation: Journal of Clinical Imaging Science 2017 7(1):25-25
      PubDate: Wed,28 Jun 2017
      DOI: 10.4103/jcis.JCIS_32_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Uterine Lipoleiomyoma: A Report of Two Cases

    • Authors: Haji Mohammed Nazir, Sankesh Mehta, CR Seena, N Kulasekaran
      Pages: 26 - 26
      Abstract: Haji Mohammed Nazir, Sankesh Mehta, CR Seena, N Kulasekaran
      Journal of Clinical Imaging Science 2017 7(1):26-26
      We report two cases of uterine lipoleiomyoma in postmenopausal women of ages 52 and 55 years, who presented with complaints of leukorrhea and lower abdominal pain, respectively. Lipoleiomyoma is a rare benign variant of leiomyoma, having an incidence of 0.03%–0.2%. These are benign pelvic tumors which are usually asymptomatic and commonly occur in obese postmenopausal women. However, they can occasionally present with typical leiomyoma symptoms. Imaging plays a crucial role in the diagnosis of benign pelvic tumors. Ultrasonography is the first imaging modality for diagnosis of pelvic tumors in females. Computed tomography and magnetic resonance imaging are specific in demonstrating the uterine origin and fat component.
      Citation: Journal of Clinical Imaging Science 2017 7(1):26-26
      PubDate: Wed,28 Jun 2017
      DOI: 10.4103/jcis.JCIS_13_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Cerebral Microhemorrhage: A Frequent Magnetic Resonance Imaging Finding in
           Pediatric Patients after Cardiopulmonary Bypass

    • Authors: Paggie P C Kim, Benjamin W Nasman, Erica L Kinne, Udochukwu E Oyoyo, Daniel K Kido, JP Jacobson
      Pages: 27 - 27
      Abstract: Paggie P C Kim, Benjamin W Nasman, Erica L Kinne, Udochukwu E Oyoyo, Daniel K Kido, JP Jacobson
      Journal of Clinical Imaging Science 2017 7(1):27-27
      Objectives: This study was undertaken to estimate the incidence and burden of cerebral microhemorrhage (CM) in patients with heart disease who underwent cardiopulmonary bypass (CPB), as detected on susceptibility-weighted imaging (SWI), a magnetic resonance (MR) sequence that is highly sensitive to hemorrhagic products. Materials and Methods: With Institutional Review Board waiver of consent, MR imaging (MRI) of a cohort of 86 consecutive pediatric patients with heart failure who underwent heart transplantation evaluation were retrospectively reviewed for CM. A nested case–control study was performed. The CPB group consisted of 23 pediatric patients with heart failure from various cardiac conditions who underwent CPB. The control group was comprised of 13 pediatric patients with similar cardiac conditions, but without CPB history. Ten patients in the CPB group were female (age: 5 days to 16 years at the time of the CPB and 6 days to 17 years at the time of the MRI). The time interval between the CPB and MRI ranged from 11 days to 4 years and 5 months. Six patients in the control group were female, age range of 2 days to 6 years old. The number of CM on SWI was counted by three radiologists (PK, EK and DK). The differences in number of CM between groups were tested for significance using Mann–Whitney U-test, α = 0.05. Using the univariate analysis of variance model, the differences in number of CM between groups were also tested with adjustment for age at MRI. Results: There are statistically significant differences in CM on SWI between the CPB group and control group with more CM were observed in the CPB group without and with adjustment for age at MRI (P < 0.001). Conclusions: Exposure of CPB is associated with increased prevalence and burden of CM among pediatric patients with heart failure.
      Citation: Journal of Clinical Imaging Science 2017 7(1):27-27
      PubDate: Thu,6 Jul 2017
      DOI: 10.4103/jcis.JCIS_29_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Mandibular Canal Enlargement: Clinical and Radiological Characteristics

    • Authors: Chong Jun Ai, Nazimi Abd Jabar, Tan Huann Lan, Roszalina Ramli
      Pages: 28 - 28
      Abstract: Chong Jun Ai, Nazimi Abd Jabar, Tan Huann Lan, Roszalina Ramli
      Journal of Clinical Imaging Science 2017 7(1):28-28
      Enlargement of the mandibular canal is a rare radiological finding. Clinically, it may or may not be associated with sensory deficits. We report four cases of widening of the mandibular canal observed with various methods of imaging with different clinical characteristics. We describe this unique radiological finding and elaborate the importance of quality assessment of the imaging that is vital for accurate diagnosis and treatment planning. Clinicians should be mindful when assessing the imaging whenever the size of the mandibular canal is implicated. The case ranged from a benign tumor to malignancy, radiological errors, and artifacts. A more superior imaging or treatment modality was necessary to ascertain the diagnosis.
      Citation: Journal of Clinical Imaging Science 2017 7(1):28-28
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/jcis.JCIS_28_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Misaligned pCONus Device: Case Report of a Unique Complication

    • Authors: Krishna Prasad Bellam Premnath, Gigy Kuruttukulam, Anil Kumar Shivan
      Pages: 29 - 29
      Abstract: Krishna Prasad Bellam Premnath, Gigy Kuruttukulam, Anil Kumar Shivan
      Journal of Clinical Imaging Science 2017 7(1):29-29
      pCONus is a stent-like endovascular device which aids in retention of coils within wide-necked bifurcation aneurysms. It is retrievable even after complete deployment and is detached electrolytically. The pCONus aided coiling of wide-necked bifurcation aneurysms has a high technical success rate and a good safety profile. Different complications have been described in literature with the usage of pCONus. This case report describes a unreported complication of inappropriately deployed pCONus device.
      Citation: Journal of Clinical Imaging Science 2017 7(1):29-29
      PubDate: Thu,27 Jul 2017
      DOI: 10.4103/jcis.JCIS_36_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Incidental Finding of Dual Ectopic Thyroid on Computed Tomography
           Angiography

    • Authors: Antonio Pierro, Savino Cilla, Pietro Modugno, Giuseppina Sallustio
      Pages: 30 - 30
      Abstract: Antonio Pierro, Savino Cilla, Pietro Modugno, Giuseppina Sallustio
      Journal of Clinical Imaging Science 2017 7(1):30-30
      The presence of simultaneous two ectopic foci of thyroid tissue (dual ectopic thyroid) is rare, and few cases have been reported in the literature. The ectopic thyroid tissue is an extremely uncommon embryological aberration due to the alterations occurring during the embryological development with incomplete migration of thyroid precursors. Commonly ectopic thyroid tissue is a midline structures, but the lateral location is possible but very rare. Ectopic thyroid is common in women and can vary in size from a microscopic focus to a few centimeters. The normal process of migration of the thyroid can be interrupted at various levels determining a lingual ectopy, a sublingual ectopic, prelaryngeal ectopy, or mediastinic ectopy. Intrathoracic and subdiaphragmatic organs are other sites where the ectopic thyroid tissue may be present. In most of the cases, ectopic tissue is a lingual thyroid and this condition can be totally asymptomatic, discovered incidentally, or occurs with symptoms such as dysphonia, dysphagia, dyspnea, and hemoptysis. Sublingual or suprahyoid ectopia is rare and even rarer are the cases of two foci of ectopic thyroid tissue simultaneously present. On imaging, the ectopic tissue shows the same characteristics of orthotopic thyroid tissue and similarly can undergo goiterous and cancerous transformation. We report a case of incidental dual ectopic thyroid in lingual and suprahyoid level in a 72 year old female patient, asymptomatic and with normal thyroid function, who underwent computed tomography (CT) angiography before vascular surgery for the treatment of carotid stenosis. The presence of a lingual thyroid can lead to a difficult and dangerous intubation, with possible fatal consequences. For this reason, the discovery of these abnormalities has totally changed the patient management who has been subjected to endovascular treatment, instead to the classical surgery.
      Citation: Journal of Clinical Imaging Science 2017 7(1):30-30
      PubDate: Thu,3 Aug 2017
      DOI: 10.4103/jcis.JCIS_21_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • One Year Primary Patency of Infrapopliteal Angioplasty Using Drug- Eluting
           Balloons: Single Center Experience at King Hussein Medical Center

    • Authors: Sizeph Edward Haddad, Jan Mohammad Shishani, Izzeddin Qtaish, Mohammad Abdelmajeed Rawashdeh, Belal Saleh Qtaishat
      Pages: 31 - 31
      Abstract: Sizeph Edward Haddad, Jan Mohammad Shishani, Izzeddin Qtaish, Mohammad Abdelmajeed Rawashdeh, Belal Saleh Qtaishat
      Journal of Clinical Imaging Science 2017 7(1):31-31
      Objective: Conventional percutaneous transluminal angioplasty (PTA) for long lesions in the below the knee (BTK) arteries in patients presenting with critical limb ischemia (CLI) has high restenosis rates at 1 year. Our goal is to evaluate whether paclitaxel drug eluting balloons (DEB) have higher 1 year primary patency rates compared to conventional PTA. Methods: This is a single center, prospective, randomized trial that was conducted from June 2013 to December 2015. The aim of the study was to compare 1 year primary patency rates of DEB and PTA in BTK arteries in CLI patients. Inclusion criteria were patients presenting with CLI (Rutherford class 4 or greater), stenosis or occlusion ≥30 mm of at least one tibial artery, and agreement to 12 month evaluation. Exclusion criteria were life expectancy <1 year, allergy to paclitaxel, and contraindication to combined antiplatelet treatment. Follow up was performed by clinical assessment, ankle brachial pressure index, Doppler ultrasound imaging, and conventional angiogram if indicated. Primary end point was 1 year primary patency, and secondary end points were target lesion revascularization (TLR) and major amputation. Statistical analysis was performed using Fischer's exact test. Results: Ninety three patients with 106 lesions in the BTK arteries were enrolled in this study. One year primary patency was achieved in 26 (65%) and seven (17%) in the DEB and PTA groups (P = 0.006), respectively. TLR was performed in nine lesions (23%) and 29 lesions (71%) in DEB and PTA groups (P = 0.009), respectively. Major amputations occurred in one limb (2%) and two limbs (4%) in DEB and PTA groups (P = 0.6), respectively. Conclusion: Paclitaxel DEB has significantly higher 1 year primary patency rate associated with significantly less TLR than conventional PTA, following endovascular recanalization of BTK arteries in patients presenting with CLI.
      Citation: Journal of Clinical Imaging Science 2017 7(1):31-31
      PubDate: Thu,3 Aug 2017
      DOI: 10.4103/jcis.JCIS_34_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Treatment of Partial Rotator Cuff Tear with Ultrasound-guided
           Platelet-rich Plasma

    • Authors: Vetrivel Chezian Sengodan, Sajith Kurian, Raghupathy Ramasamy
      Pages: 32 - 32
      Abstract: Vetrivel Chezian Sengodan, Sajith Kurian, Raghupathy Ramasamy
      Journal of Clinical Imaging Science 2017 7(1):32-32
      Background: The treatment of symptomatic partial rotator cuff tear has presented substantial challenge to orthopaedic surgeons as it can vary from conservative to surgical repair. Researches have established the influence of platelet rich plasma in healing damaged tissue. Currently very few data are available regarding the evidence of clinical and radiological outcome of partial rotator cuff tear treated with ultrasound guided platelet rich plasma injection in English literature. Materials and Methods: 20 patients with symptomatic partial rotator cuff tears were treated with ultrasound guided platelet rich plasma injection. Before and after the injection of platelet rich plasma scoring was done with visual analogue score, Constant shoulder score, and UCLA shoulder score at 8 weeks and third month. A review ultrasound was performed 8 weeks after platelet rich plasma injection to assess the rotator cuff status. Results: Our study showed statistically significant improvements in 17 patients in VAS pain score, constant shoulder score and UCLA shoulder score. No significant changes in ROM were noted when matched to the contra-lateral side (P < 0.001) at the 3 month follow-up. The study also showed good healing on radiological evaluation with ultrasonogram 8 weeks after platelet rich plasma injection. Conclusion: Ultrasound guided platelet rich plasma injection for partial rotator cuff tears is an effective procedure that leads to significant decrease in pain, improvement in shoulder functions, much cost-effective and less problematic compared to a surgical treatment.
      Citation: Journal of Clinical Imaging Science 2017 7(1):32-32
      PubDate: Mon,14 Aug 2017
      DOI: 10.4103/jcis.JCIS_26_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Primary Epithelioid Angiosarcoma of Lung: Radiologic and Clinicopathologic
           Correlation

    • Authors: Fung Him Ng, San Ming Yu, Ophelia Ka Heng Wai, James Chi Sang Chan
      Pages: 33 - 33
      Abstract: Fung Him Ng, San Ming Yu, Ophelia Ka Heng Wai, James Chi Sang Chan
      Journal of Clinical Imaging Science 2017 7(1):33-33
      Primary pulmonary angiosarcoma is extremely rare. It is often characterized by a clinically indolent course and delayed diagnosis. To date, there have been <20 cases reported. By far, little article correlates the clinical presentation, the imaging findings with the pathology. The authors present a case of middle-aged gentleman with primary pulmonary epithelioid angiosacroma which we initially thought as tuberculosis (TB) infection. A 60-year-old gentleman, with a history of 6 months on and off blood stained sputum, was admitted for an episode of massive hemoptysis. Urgent computed tomography (CT) bronchial arteriogram excluded any dilated bronchial artery. Patchy consolidation with multiple small centrilobular ground-glass nodules was noted at left upper lobe. The bronchoscopy was negative for malignancy and infection. Autoimmune workup was negative. Despite negative bronchoscopy, fungal, acid-fast bacilli culture and cytology, and anti-TB treatment were empirically given. However, his hemoptysis was unresolved. He was followed up with high-resolution CT after a month showed an enlarging left upper lobe mass surrounding by a ground glass halo. Left thoracotomy and left upper lobe lobectomy were performed. Epithelioid angiosacroma was found in histology. Radiologic and clinical-pathological findings were correlated in this paper.
      Citation: Journal of Clinical Imaging Science 2017 7(1):33-33
      PubDate: Thu,24 Aug 2017
      DOI: 10.4103/jcis.JCIS_71_16
      Issue No: Vol. 7, No. 1 (2017)
       
  • The Utility of Dual Energy Computed Tomography in Musculoskeletal Imaging

    • Authors: Sachin Khanduri, Aakshit Goyal, Bhumika Singh, Mriganki Chaudhary, Tushar Sabharwal, Shreshtha Jain, Hritik Sharma
      Pages: 34 - 34
      Abstract: Sachin Khanduri, Aakshit Goyal, Bhumika Singh, Mriganki Chaudhary, Tushar Sabharwal, Shreshtha Jain, Hritik Sharma
      Journal of Clinical Imaging Science 2017 7(1):34-34
      The objective of this article is to review the mechanisms, advantages and disadvantages of dual energy computed tomography (DECT) over conventional tomography (CT) in musculoskeletal imaging as DECT provides additional information about tissue composition and artifact reduction. This provides clinical utility in detection of urate crystals, bone marrow edema, reduction of beam hardening metallic artifact, and ligament and tendon analysis.
      Citation: Journal of Clinical Imaging Science 2017 7(1):34-34
      PubDate: Thu,24 Aug 2017
      DOI: 10.4103/jcis.JCIS_46_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Sagittal Normal Limits of Lumbosacral Spine in a Large Adult Population: A
           Quantitative Magnetic Resonance Imaging Analysis

    • Authors: Antonio Pierro, Savino Cilla, Giuseppina Maselli, Eleonora Cucci, Matteo Ciuffreda, Giuseppina Sallustio
      Pages: 35 - 35
      Abstract: Antonio Pierro, Savino Cilla, Giuseppina Maselli, Eleonora Cucci, Matteo Ciuffreda, Giuseppina Sallustio
      Journal of Clinical Imaging Science 2017 7(1):35-35
      Objectives: The objective of this study was to determine, using magnetic resonance imaging (MRI) of the lumbosacral spine from L1 to S1, the values of the normal sagittal diameter of the spinal canal (SCD), sagittal diameter of the dural sac (DSD), and the normal values of dural sac ratio (DSR) in a large nonsymptomatic adult population and to discriminate whether a vertebral canal is pathological or nonpathological for dural ectasia and/or stenosis. Materials and Methods: Six hundred and four patients were prospectively enrolled. All measurements were performed on MRI sagittal T1- and T2-weighted images. The 95% confidence interval (95% CI), defined as mean ± 1.96 standard deviation, was determined for each metric. The upper limit of 95% CI was considered the cutoff value for the normal DSR; the lower limit of 95% CI was considered the cutoff value for the normal SCD. Results: SCD cutoff values from L1 to S1 ranged from 14.5–10.1 mm (males) to 15.0–9.9 mm (females). DSD ratios at S1 and L4 level show a significant difference in male and female groups: 11% of S1/L4 values exceeded 1 in male group while only 4% of S1/L4 values exceeded 1 in female group. Mean DSR at each level was significantly higher in female patients than in male patients (P < 0.001), ranging from 0.70 to 0.56 (male) and from 0.82 to 0.63 (female). Conclusions: We determined the cutoff values for the normal DSR and for the normal SCD. Our findings show the relevant discrepancies with respect to literature data for diagnosis of lumbar stenosis and/or dural ectasia.
      Citation: Journal of Clinical Imaging Science 2017 7(1):35-35
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/jcis.JCIS_24_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Liver Perivascular Epithelioid Cell Tumor with an Unusual Location:
           Diagnostic Characteristics with Multidetector Computed Tomography and
           Magnetic Resonance Imaging

    • Authors: Koray Hekimoglu, Murat Haberal
      Pages: 36 - 36
      Abstract: Koray Hekimoglu, Murat Haberal
      Journal of Clinical Imaging Science 2017 7(1):36-36
      Primary perivascular epithelioid cell tumor (PEComa) of the liver is a very rare tumor that originates from mesenchyma. Gastrointestinal tract with perivascular distribution is the most common anatomic sites of these tumors. Only few cases of hepatic PEComa have been described so far. Malignant PEComas exhibit aggressive behavior with poor prognosis, making early diagnosis crucial. Hereby, we report a 79-year-old female with unusually located mass in the liver. A partial curative hepatectomy has been done, and PEComa was diagnosed histopathologically. No evidence of recurrence was observed during the 6-month follow-up.
      Citation: Journal of Clinical Imaging Science 2017 7(1):36-36
      PubDate: Mon,18 Sep 2017
      DOI: 10.4103/jcis.JCIS_43_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Bedside Ultrasound in the Diagnosis and Treatment of Children with
           Respiratory Difficulty Following Cardiac Surgery

    • Authors: Hussam Kanaan Hamadah, Mohamed Salim Kabbani
      Pages: 37 - 37
      Abstract: Hussam Kanaan Hamadah, Mohamed Salim Kabbani
      Journal of Clinical Imaging Science 2017 7(1):37-37
      Many children frequently fail extubation or require a prolonged period of positive pressure ventilation support after cardiac surgery. Pediatric cardiac Intensive Care Unit (PCICU) ultrasound (US) stands as a simple, basic bedside tool that can be performed by trained intensivists for the diagnosis with immediate implication on therapeutic decisions in multiple scenarios that physicians may face in PCICU. Bedside US is widely available, convenient, and inexpensive. This educational article based mainly on our own experience is highlighting the role of US in detecting the most common causes of respiratory weaning difficulties and extubation failure in postoperative cardiac children through proposed illustration and algorithm.
      Citation: Journal of Clinical Imaging Science 2017 7(1):37-37
      PubDate: Fri,22 Sep 2017
      DOI: 10.4103/jcis.JCIS_42_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Magnetic Resonance Imaging Appearance of Schwannomas from Head to Toe: A
           Pictorial Review

    • Authors: Jamie Crist, Jacob R Hodge, Matthew Frick, Fiona P Leung, Eugene Hsu, Ming Tye Gi, Sudhakar K Venkatesh
      Pages: 38 - 38
      Abstract: Jamie Crist, Jacob R Hodge, Matthew Frick, Fiona P Leung, Eugene Hsu, Ming Tye Gi, Sudhakar K Venkatesh
      Journal of Clinical Imaging Science 2017 7(1):38-38
      Schwannomas are benign soft-tissue tumors that arise from peripheral nerve sheaths throughout the body and are commonly encountered in patients with neurofibromatosis Type 2. The vast majority of schwannomas are benign, with rare cases of malignant transformation reported. In this pictorial review, we discuss the magnetic resonance imaging (MRI) appearance of schwannomas by demonstrating a collection of tumors from different parts of the body that exhibit similar MRI characteristics. We review strategies to distinguish schwannomas from malignant soft-tissue tumors while exploring the anatomic and histologic origins of these tumors to discuss how this correlates with their imaging findings. Familiarity with the MRI appearance of schwannomas can help aid in the differential diagnosis of soft-tissue masses, especially in unexpected locations.
      Citation: Journal of Clinical Imaging Science 2017 7(1):38-38
      PubDate: Tue,3 Oct 2017
      DOI: 10.4103/jcis.JCIS_40_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Snapping Pes Anserinus and the Diagnostic Utility of Dynamic Ultrasound

    • Authors: Shane A Shapiro, Lorenzo O Hernandez, Daniel P Montero
      Pages: 39 - 39
      Abstract: Shane A Shapiro, Lorenzo O Hernandez, Daniel P Montero
      Journal of Clinical Imaging Science 2017 7(1):39-39
      Snapping pes anserinus syndrome is an often encountered cause of medial knee snapping. It results from impingement and translation of the gracilis tendon or semitendinosus tendon over the osseous structures of the knee during active flexion and extension. Ultrasonography is often the diagnostic imaging test of choice in cases of mechanical snapping. We report 2 cases of painful snapping pes anserinus and highlight the value of dynamic ultrasound in making an accurate diagnosis so as to direct care.
      Citation: Journal of Clinical Imaging Science 2017 7(1):39-39
      PubDate: Tue,17 Oct 2017
      DOI: 10.4103/jcis.JCIS_45_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Massive Left-sided Congestive Colitis Due to Idiopathic Inferior
           Mesenteric Arteriovenous Malformation

    • Authors: Laura Mart&#237; Gelonch, Jose Maria Enr&#237;quez-Navascu&#233;s, Tania Pastor Bonel, Yolanda Saralegui Ansorena
      Pages: 40 - 40
      Abstract: Laura Martí Gelonch, Jose Maria Enríquez-Navascués, Tania Pastor Bonel, Yolanda Saralegui Ansorena
      Journal of Clinical Imaging Science 2017 7(1):40-40
      Arteriovenous malformations (AVM) of the inferior mesenteric artery are rare. They may be primary (congenital or idiopathic) or secondary (acquired) after trauma or of iatrogenic origin. Of the abdominal AVM, the inferior mesenteric trunk is the least commonly involved. Most reported cases are of iatrogenic origin, resulting from colon surgery. Only 17 cases have been described and published in the literature. The objective of this work is to make known a case treated in our center. We present a case of 73-year old male, who came to the emergency service with symptoms of abdominal distension, pain lasting 48 hours along with months of diarrhoea. CT scan and an abdominal CT angiography showed a massive left-sided congestive colitis due to idiopathic inferior mesenteric arteriovenous malformation. In our case, the decision was to carry out the treatment in two stages. Embolisation was performed in the first stage in order to decrease the blood flow and the risk of intraoperative bleeding, followed by resective surgery of the affected colon.
      Citation: Journal of Clinical Imaging Science 2017 7(1):40-40
      PubDate: Tue,17 Oct 2017
      DOI: 10.4103/jcis.JCIS_57_17
      Issue No: Vol. 7, No. 1 (2017)
       
  • Imaging in the diagnosis of juvenile nasopharyngeal angiofibroma

    • Authors: Satyaranjan Mishra, NM Praveena, Rajat Golakh Panigrahi, Y Mogit Gupta
      Pages: 1 - 1
      Abstract: Satyaranjan Mishra, NM Praveena, Rajat Golakh Panigrahi, Y Mogit Gupta
      Journal of Clinical Imaging Science 2013 3(2):1-1
      Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign, highly vascular, and locally aggressive tumor that predominantly occurs in adolescent males. Usually, the presenting symptom is a painless nasal obstruction or epistaxis; however, other symptoms may develop depending on the size and extent of the tumor mass. Owing to the vascularity of the tumor, incisional biopsy is not attempted. The diagnosis is dependent on multiplanar imaging modalities like Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and Angiography. These imaging modalities help in assessing the tumor mass, pre-operative embolization of the feeder vessel, and treatment planning. Usually, patients with JNA are diagnosed by otorhinolaryngologists, but here, we present a rare case of JNA reporting to the dental hospital due to a tender palatal swelling.
      Citation: Journal of Clinical Imaging Science 2013 3(2):1-1
      PubDate: Fri,22 Mar 2013
      DOI: 10.4103/2156-7514.109469
      Issue No: Vol. 3, No. 2 (2013)
       
  • Non-syndromic non-familial agenesis of major salivary glands: A report of
           two cases with review of literature

    • Authors: Ravi Prakash Sasankoti Mohan, Sankalp Verma, Venkateswara Rao Chawa, Kuber Tyagi, Ravi Prakash Sasankoti Mohan, Sankalp Verma, Venkateswara Rao Chawa, Kuber Tyagi
      Pages: 2 - 2
      Abstract: Ravi Prakash Sasankoti Mohan, Sankalp Verma, Venkateswara Rao Chawa, Kuber Tyagi, Ravi Prakash Sasankoti Mohan, Sankalp Verma, Venkateswara Rao Chawa, Kuber Tyagi
      Journal of Clinical Imaging Science 2013 3(2):2-2
      Agenesis of the major salivary glands is a rare and unusual condition, with only a few cases documented in the literature. The anomaly can be total or partial, unilateral or bilateral, and involve the parotid, submandibular, and sublingual glands. The resultant xerostomia leads to extensive dental demineralization. The authors report two cases with decreased saliva volume, impaired dental condition with extensive loss of tooth structure, and an astonishing pattern of dental destruction most notable on the facial and lingual surfaces of incisors and canines that can be best described as "chipping." After detailed review of patient history, clinical examination, ultrasonography, contrast enhanced computed tomography, and magnetic resonance imaging a diagnosis of congenital absence of major salivary glands in both the patients was made. Dentists should be aware that salivary gland aplasia is an uncommon cause of dental deterioration. It may manifest itself not by extensive caries but as dental chipping effect. Early recognition and a therapeutic strategy can prevent further dental damage.
      Citation: Journal of Clinical Imaging Science 2013 3(2):2-2
      PubDate: Fri,22 Mar 2013
      DOI: 10.4103/2156-7514.109474
      Issue No: Vol. 3, No. 2 (2013)
       
  • Salivary Duct Cyst: Histo-pathologic Correlation

    • Authors: Divya Vinayachandran, Sathasivasubramanian Sankarapandian
      Pages: 3 - 3
      Abstract: Divya Vinayachandran, Sathasivasubramanian Sankarapandian
      Journal of Clinical Imaging Science 2013 3(2):3-3
      Non-neoplastic cysts of the salivary glands are uncommon and represent 2-5% of all salivary gland lesions. They are mainly mucoceles or salivary duct cysts. Unlike a mucocele, which is surrounded by granulation tissue, the salivary duct cyst is lined by epithelium. Salivary duct cysts are more common in the oral minor salivary glands and rarely occur in the major salivary glands, show a marked predilection for the superficial lobe of the parotid, and represent 10% of all salivary gland cysts. Neoplastic differentiation of the lining of the salivary duct cyst has been reported. We report a case of a salivary duct cyst of the left parotid gland, with a review of radiographic and histopathologic features.
      Citation: Journal of Clinical Imaging Science 2013 3(2):3-3
      PubDate: Tue,30 Apr 2013
      DOI: 10.4103/2156-7514.111236
      Issue No: Vol. 3, No. 2 (2013)
       
  • Basal Cell Adenocarcinoma of the Minor Salivary Glands Involving Palate
           and Maxillary Sinus

    • Authors: Prathi Venkata Sarath, N Kannan, Rajendra Patil, Rakesh Kumar Manne, Beeraka Swapna, KV Suneel Kumar
      Pages: 4 - 4
      Abstract: Prathi Venkata Sarath, N Kannan, Rajendra Patil, Rakesh Kumar Manne, Beeraka Swapna, KV Suneel Kumar
      Journal of Clinical Imaging Science 2013 3(2):4-4
      Basal cell adenocarcinoma (BCAC) is a rare neoplasm accounting for only 2.9% of all salivary gland neoplasms. BCAC involving palatal minor salivary glands are exceedingly rare, and only 10 cases have been reported in the literature. The treatment of choice is surgical excision. Here, we report a case of a 55-year-old male patient with massive BCAC of palatal minor salivary gland extending into the maxillary sinus. This is the first case of BCAC treated by radiotherapy followed by chemotherapy. A follow-up check conducted after 14-months showed good prognosis.
      Citation: Journal of Clinical Imaging Science 2013 3(2):4-4
      PubDate: Fri,31 May 2013
      DOI: 10.4103/2156-7514.112799
      Issue No: Vol. 3, No. 2 (2013)
       
  • Hemimandibular Hypertrophy - Hybrid Variants: Report of Two Cases

    • Authors: Ravi Prakash Sasankoti Mohan, Sankalp Verma, Udita Singh, Neha Agarwal
      Pages: 5 - 5
      Abstract: Ravi Prakash Sasankoti Mohan, Sankalp Verma, Udita Singh, Neha Agarwal
      Journal of Clinical Imaging Science 2013 3(2):5-5
      Hemimandibular hypertrophy and its variants result from unilateral excessive growth of the mandible and involve both the body and ramus of mandible. This causes facial asymmetry and in turn accompanying psychological problems. In this report we discuss use of imaging in diagnosis of these lesions and investigate the different variants.
      Citation: Journal of Clinical Imaging Science 2013 3(2):5-5
      PubDate: Sat,31 Aug 2013
      DOI: 10.4103/2156-7514.116199
      Issue No: Vol. 3, No. 2 (2013)
       
  • Multiple Osteolytic Lesions

    • Authors: Divya Vinayachandran, Sathasivasubramanian Sankarapandian
      Pages: 6 - 6
      Abstract: Divya Vinayachandran, Sathasivasubramanian Sankarapandian
      Journal of Clinical Imaging Science 2013 3(2):6-6
      Several systemic diseases initially present with various oral manifestations. Investigation of these oral symptoms may at times lead to the diagnosis of grave underlying life-threatening conditions. We present one such case, where the patient manifested with gross enlargement of the mandible, along with lesions in the lower limbs. These lesions were the initial manifestation and on further investigations the patient was diagnosed with multiple myeloma.
      Citation: Journal of Clinical Imaging Science 2013 3(2):6-6
      PubDate: Sat,31 Aug 2013
      DOI: 10.4103/2156-7514.117460
      Issue No: Vol. 3, No. 2 (2013)
       
  • Infected Dentigerous Cyst of Maxillary Sinus Arising from an Ectopic Third
           Molar

    • Authors: Yadavalli Guruprasad, Dinesh Singh Chauhan, Umashankar Kura
      Pages: 7 - 7
      Abstract: Yadavalli Guruprasad, Dinesh Singh Chauhan, Umashankar Kura
      Journal of Clinical Imaging Science 2013 3(2):7-7
      A dentigerous cyst or follicular cyst is a form of odontogenic cyst. It is believed that it forms during the development of the tooth and is associated with pressure exerted by the crown of an unerupted (or partially erupted) tooth on the fluid within the follicular space. Typically, dentigerous cysts are painless and discovered during routine radiographic examination. However, they may be large and result in a palpable mass. Additionally, as they grow they displace adjacent teeth. They almost exclusively occur in permanent dentition. The cyst is lined by stratified squamous non-keratinizing epithelium. About 70% of dentigerous cysts occur in the mandible and 30% in the maxilla. Dentigerous cysts associated with ectopic teeth within the maxillary sinus are very rare. We report radiologic and pathologic features in a rare case of infected dentigerous cyst of maxillary sinus arising from an ectopic third molar in a 21-year-old female patient.
      Citation: Journal of Clinical Imaging Science 2013 3(2):7-7
      PubDate: Sat,31 Aug 2013
      Issue No: Vol. 3, No. 2 (2013)
       
  • A Rare Presentation of Bilateral Maxillary Dens Invaginatus Diagnosed
           Using Cone Beam Computed Tomography

    • Authors: Sainath Dinapadu, Swathi Aravelli, Srikanth Pasari, Narender Reddy Marukala
      Pages: 8 - 8
      Abstract: Sainath Dinapadu, Swathi Aravelli, Srikanth Pasari, Narender Reddy Marukala
      Journal of Clinical Imaging Science 2013 3(2):8-8
      Dens invaginatus is a developmental variation in the formation of a tooth that causes changes in the internal anatomy of the tooth. The presence of double dens invaginatus is extremely rare. Understanding the type, extension, and complex morphology of dens invaginatus is essential. Diagnosis of this condition using conventional radiographic techniques is not easy. Advanced imaging techniques, such as cone beam computed tomography (CBCT) are very helpful in diagnosis of these complex anatomic variations. In the present case report, we demonstrate the use of CBCT in the evaluation and treatment planning of bilateral maxillary dens invaginatus, of which one presented as a case of double dens.
      Citation: Journal of Clinical Imaging Science 2013 3(2):8-8
      PubDate: Mon,30 Sep 2013
      DOI: 10.4103/2156-7514.119126
      Issue No: Vol. 3, No. 2 (2013)
       
  • Unicystic Ameloblastoma Masquerading as Huge Periapical Lesion, both
           Clinically and Histopathologically: Two Case Reports with Review of
           Literature

    • Authors: N. V. V. Satyabhusan, Samapika Routray, Lavanya Bendi, B Venkat Suresh, Sumit Majumdar, Neeta Mohanty
      Pages: 9 - 9
      Abstract: N. V. V. Satyabhusan, Samapika Routray, Lavanya Bendi, B Venkat Suresh, Sumit Majumdar, Neeta Mohanty
      Journal of Clinical Imaging Science 2013 3(2):9-9
      Unicystic ameloblastoma (UA) is one of the variants of ameloblastoma. It manifests as unilocular radiolucency in the mandible or maxilla on X-ray scans. In very rare cases, it can appear as a localized periradicular radiolucent area, imitating a periapical lesion. In this article, we present two cases of UA that were initially misdiagnosed as periapical lesions. Subsequently, surgical enucleation was performed and the diagnosis of UA was confirmed histopathologically.
      Citation: Journal of Clinical Imaging Science 2013 3(2):9-9
      PubDate: Mon,30 Sep 2013
      DOI: 10.4103/2156-7514.119156
      Issue No: Vol. 3, No. 2 (2013)
       
  • Adenoid Cystic Carcinoma of Sublingual Salivary Gland Obstructing the
           Submandibular Salivary Gland Duct

    • Authors: Venkata Suneel Kumar, Venkata Sarath Prathi, Rakesh Kumar Manne, Swapna Beeraka, Kannan Natarajan
      Pages: 10 - 10
      Abstract: Venkata Suneel Kumar, Venkata Sarath Prathi, Rakesh Kumar Manne, Swapna Beeraka, Kannan Natarajan
      Journal of Clinical Imaging Science 2013 3(2):10-10
      Sublingual salivary gland malignancies are extremely rare and account for only 0.3-1% of all epithelial salivary gland tumors. Here, we report a case of adenoid cystic carcinoma (ACC) of the sublingual salivary gland that presented as a swelling in the right anterior floor of the mouth obstructing the submandibular duct. Sublingual salivary gland ACC obstructing the submandibular duct is rare and only three cases have been reported in the literature until date. We discuss the different patterns of ACC seen during the pathologic investigations and its radiologic features.
      Citation: Journal of Clinical Imaging Science 2013 3(2):10-10
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120793
      Issue No: Vol. 3, No. 2 (2013)
       
  • Giant Pindborg Tumor (Calcifying Epithelial Odontogenic Tumor): An Unusual
           Case Report with Radiologic-Pathologic Correlation

    • Authors: Satya Ranjan Misra, Sthitaprajna Lenka, Sujit Ranjan Sahoo, Sobhan Mishra
      Pages: 11 - 11
      Abstract: Satya Ranjan Misra, Sthitaprajna Lenka, Sujit Ranjan Sahoo, Sobhan Mishra
      Journal of Clinical Imaging Science 2013 3(2):11-11
      Odontogenic tumors develop in the jaws from odontogenic tissues such as enamel organ, Hertwig epithelial root sheath, dental lamina, and so on. A variety of tumors unique to the maxilla and mandible are therefore seen. Calcifying epithelial odontogenic tumor (CEOT) is a rare, aggressive, benign odontogenic tumor of epithelial origin accounting for only about 1% of all odontogenic tumors. It is eponymously called ''Pindborg tumor'', as it was first described by Pindborg in 1955. The origin of this locally invasive tumor remains unknown. It is thought to arise from stratum intermedium. It commonly affects the posterior mandible manifesting as a slow-growing asymptomatic swelling often associated with an impacted tooth. We report a case of CEOT, for which, owing to its huge size we have proposed the term ''giant'' Pindborg tumor (CEOT). This is probably the largest case of this tumor reported so far in the English literature. The present case also has the classic yet rare ''driven snow'' appearance of the tumor on radiographs.
      Citation: Journal of Clinical Imaging Science 2013 3(2):11-11
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124056
      Issue No: Vol. 3, No. 2 (2013)
       
  • Ultrasonographic Evaluation of Oral Submucous Fibrosis and Masseteric
           Hypertrophy

    • Authors: Jones Raja Devathambi, Nalini Aswath
      Pages: 12 - 12
      Abstract: Jones Raja Devathambi, Nalini Aswath
      Journal of Clinical Imaging Science 2013 3(2):12-12
      Objectives: To evaluate the efficacy of ultrasonography (USG) as a non-invasive tool in assessing the severity of oral submucous fibrosis (OSMF) and also to assess the relationship between OSMF and hypertrophy of the masseter muscle. Materials and Methods: The submucosal thickness in buccal mucosa and masseteric muscle hypertrophy were measured using ultrasound (10-15 MHz) in 60 patients comprising 30 OSMF patients and 30 controls. Results: Results were analyzed by one way analysis of variance, Chi-square test and t-test. As the stages of OSMF advanced there was an increase in submucosal thickness of the buccal mucosa as well as masseter muscle thickness in both relaxed and contracted state in the study group when compared with controls (P < 0.005). Conclusion: USG is an effective non-invasive zero radiation tool for assessing the progression of OSMF.
      Citation: Journal of Clinical Imaging Science 2013 3(2):12-12
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124057
      Issue No: Vol. 3, No. 2 (2013)
       
  • Multiple Venous Malformations with Phleboliths: Radiological-Pathological
           Correlation

    • Authors: Venkateswara Rao Chava, Ashwini Naveen Shankar, Naveen Shankar Vemanna, Sudheer Kumar Cholleti
      Pages: 13 - 13
      Abstract: Venkateswara Rao Chava, Ashwini Naveen Shankar, Naveen Shankar Vemanna, Sudheer Kumar Cholleti
      Journal of Clinical Imaging Science 2013 3(2):13-13
      Vascular malformations are congenital lesions that are present at birth and do not regress. However, they often present later in life. They are subdivided into two categories: (1) slow- or low-flow and (2) fast- or high-flow malformations. Low-flow malformations contain combinations of capillary, venous, and lymphatic components. Venous malformations can occur anywhere in the body, but are most frequently seen in the head and neck (40%). These lesions present in a variety of ways, from a vague blue patch to a soft blue mass, which may be single isolated or may occur in multiple areas. Treatment depends on the type of lesion, the location, degree of involvement, and the clinical symptoms. Here we are report the imaging and histopathologic findings in a patient with multiple venous malformations affecting the left side of the face and trunk.
      Citation: Journal of Clinical Imaging Science 2013 3(2):13-13
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124058
      Issue No: Vol. 3, No. 2 (2013)
       
  • Bilateral Multiple Level Lateral Meningocoele

    • Authors: BE Panil Kumar, Kishor V Hegde, G Lalitha Kumari, Amit Agrawal
      Pages: 1 - 1
      Abstract: BE Panil Kumar, Kishor V Hegde, G Lalitha Kumari, Amit Agrawal
      Journal of Clinical Imaging Science 2013 3(1):1-1
      Lateral meningocoele is a very rare disorder characterized by extensions of the dura and arachnoid through an enlarged neural foramen. We report a case of a 23-year-old female with deformity of spine who presented with low back pain and no neurological deficits. A whole spine magnetic resonance imaging showed multiple well-defined cystic masses involving dorsal, lumbar, and sacral spinal levels bilaterally, with dural ectasia and neural foraminal widening suggestive of bilateral multiple level lateral meningocoele. The patient is being managed conservatively and is on regular follow-up.
      Citation: Journal of Clinical Imaging Science 2013 3(1):1-1
      PubDate: Wed,30 Jan 2013
      DOI: 10.4103/2156-7514.106613
      Issue No: Vol. 3, No. 1 (2013)
       
  • Relationship Between Ultrasound Estimated Amniotic Fluid Index and Fetal
           Weight in Healthy Pregnant African Women

    • Authors: Ademola A Adeyekun, Gbolahan G Awosanya
      Pages: 2 - 2
      Abstract: Ademola A Adeyekun, Gbolahan G Awosanya
      Journal of Clinical Imaging Science 2013 3(1):2-2
      Introduction: Fetal weight (FW) estimation in late pregnancy is an important guide in obstetric care. Amniotic fluid protects the fetus against traumatic and infective insults. There possibly exists a relationship between FW and amniotic fluid index (AFI) that can be estimated by ultrasonography. Materials and Methods: Two hundred and fifty-eight low-risk pregnancies were prospectively studied by means of ultrasound over a 12-month period. FW was estimated using a combination of fetal parameters; bi-parietal diameter, fetal trunk cross sectional area, and femur length. AFI was assessed using the 4-quadrant method. Spearman's correlation was used to test possible relationship between amniotic fluid indices and estimated FW pairs. The level of statistical significance was set at P ≤ 0.05. Results: The mean AF1 and estimated fetal weight (EFW) pairs were as follows: at 27-29 weeks the values were 172.1 mm and 1,250.2 g; at 30-32 weeks AF1 and EFW values were 170.3 mm and 1,648.0 g; at 33-35 weeks values were 162.3 mm and 2,273.5 g; at 36-38 weeks values were 144.09 mm and 2,906.1 g; at 39-40 weeks AF1 and EFW values were 125.0 mm and 3,222.6 g. Overall, there was no statistically significant relationship between AFI and EFW ( P > 0.05; r = 0.241). Conclusion: While FW calculations and amniotic index showed variations in value in late pregnancy, there does not appear to be a linear relationship between ultrasound estimate of FW and amniotic index. The implication of this is that fetal size need not be taken into cognizance when alterations in amniotic fluid values are noted.
      Citation: Journal of Clinical Imaging Science 2013 3(1):2-2
      PubDate: Wed,30 Jan 2013
      DOI: 10.4103/2156-7514.106614
      Issue No: Vol. 3, No. 1 (2013)
       
  • Are All Odontogenic Keratocysts Keratocystic Odontogenic Tumors?
           Correlation between Imaging Features and Epithelial Cell Proliferation

    • Authors: Harkanwal Preet Singh, Amit Nayar, Asha Raj, Prince Kumar
      Pages: 3 - 3
      Abstract: Harkanwal Preet Singh, Amit Nayar, Asha Raj, Prince Kumar
      Journal of Clinical Imaging Science 2013 3(1):3-3
      This study was to correlate and analyze the imaging features and epithelial cell proliferation pattern in different cases of keratocystic odontogenic tumors (KCOT) and study the role of inflammation using proliferative markers and different radiographic patterns of KCOT to determine its biological behavior. One hundred and eighty-six cases of KCOT were taken together and grouped based on radiographic patterns. Forty cases were randomly selected and stained using a proliferating cellular nuclear antigen marker. The correlation between imaging and epithelial proliferation with and without inflammation was determined. Unilocular variety is the most common type of KCOT, showing least epithelial proliferation of all the patterns. More than 50% of the multilocular KCOTs were associated with inflammation, showing an enhanced rate of epithelial proliferation. Results were subjected to statistical analysis. Different rates of epithelial proliferation of the different patterns suggested that all odontogenic keratocysts do not behave like tumors and that aggressive treatment should be reserved for selective cases only depending on radiographic and other histopathological parameters such as inflammation.
      Citation: Journal of Clinical Imaging Science 2013 3(1):3-3
      PubDate: Wed,30 Jan 2013
      DOI: 10.4103/2156-7514.106616
      Issue No: Vol. 3, No. 1 (2013)
       
  • Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery:
           Diagnosis with CT Angiography

    • Authors: Guray Oncel, Dilek Oncel
      Pages: 4 - 4
      Abstract: Guray Oncel, Dilek Oncel
      Journal of Clinical Imaging Science 2013 3(1):4-4
      Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. It is associated with early infant mortality and sudden death in adults. Traditionally, ALCAPA has been diagnosed by angiography or autopsy; however, the development of cardiac computed tomography (CT) and magnetic resonance imaging (MRI) has allowed noninvasive evaluation of the coronary anatomy by direct visualization of the origin of the left coronary artery (LCA) from the pulmonary artery. We report a case of 10-year-old girl who has been on follow up for dilated cardiomyopathy for 4 years. The definitive diagnosis of ALCAPA is reached by multislice computed tomography (MSCT). The MSCT scan showed an anomalous origin of LCA from the pulmonary trunk, with a tortuous and dilated right coronary artery and right-to-left collateralization. Consequently, the patient was successfully treated with surgery.
      Citation: Journal of Clinical Imaging Science 2013 3(1):4-4
      PubDate: Wed,30 Jan 2013
      DOI: 10.4103/2156-7514.106618
      Issue No: Vol. 3, No. 1 (2013)
       
  • Congenital Cystic Lung Diseases

    • Authors: Aditi Jain, K Anand, Saurabh Singla, Ashok Kumar
      Pages: 5 - 5
      Abstract: Aditi Jain, K Anand, Saurabh Singla, Ashok Kumar
      Journal of Clinical Imaging Science 2013 3(1):5-5
      Congenital cystic diseases of the lung are a rare but significant cause of morbidity in children and young adults presenting with respiratory distress and repeated chest infections. They consist of cystic adenomatoid malformation, bronchogenic cyst, pulmonary sequestration, and congenital lobar emphysema. Surgical treatment is a safe and an effective method of treatment. Chest X-ray and computed tomography are the key imaging modalities used for diagnosis.
      Citation: Journal of Clinical Imaging Science 2013 3(1):5-5
      PubDate: Wed,30 Jan 2013
      DOI: 10.4103/2156-7514.106620
      Issue No: Vol. 3, No. 1 (2013)
       
  • Non-Invasive Diagnosis of Abdomino-Pelvic Masses: Role of Multimodality
           Imaging

    • Authors: Vijayanadh Ojili, Sree Harsha Tirumani, Kedar N Chintapalli, Gowthaman Gunabushanam
      Pages: 6 - 6
      Abstract: Vijayanadh Ojili, Sree Harsha Tirumani, Kedar N Chintapalli, Gowthaman Gunabushanam
      Journal of Clinical Imaging Science 2013 3(1):6-6
      Recent advances in radiology have greatly increased the ability to make highly accurate diagnosis. Biopsy of many commonly seen lesions is no longer performed as the radiological findings are pathognomonic. This gives rise to the concept of 'virtual biopsy', a term coined on the lines of other imaging techniques such as virtual colonoscopy. Virtual biopsy is not a new imaging technique but a new concept which refers to the use of existing imaging modalities to evaluate the morphological features of tumors and arriving at a non-invasive diagnosis with a high degree of confidence obviating the need for true biopsy. Elements of virtual biopsy have already been incorporated into some evidence-based guidelines, and it is expected that with further technological advancements, an increasing number of tumors may be diagnosed and managed accordingly. A wider acceptance of virtual biopsy could further reduce the need for invasive biopsies and its attendant costs and risks. In this review article, we use index cases to further emphasize this concept.
      Citation: Journal of Clinical Imaging Science 2013 3(1):6-6
      PubDate: Wed,30 Jan 2013
      DOI: 10.4103/2156-7514.106621
      Issue No: Vol. 3, No. 1 (2013)
       
  • Role of secretin-enhanced magnetic resonance cholangiopancreatography in
           the evaluation of patients following pancreatojejunostomy

    • Authors: Munazza Anis, Koenraad Mortele
      Pages: 7 - 7
      Abstract: Munazza Anis, Koenraad Mortele
      Journal of Clinical Imaging Science 2013 3(1):7-7
      Objective: This study was conducted to assess the role of secretin-enhanced magnetic resonance cholangiopancreatography (S-MRCP) in the evaluation of patients following pancreatico-jejunal anatomosis. Materials and Methods: S-MRCP studies ( n = 83) performed at Brigham and Women's Hospital between 1/2005 and 7/2005 were retrospectively reviewed. Among these, there were 13 patients (10 females, 3 males; mean age = 45 years, range = 18-74 years) who were evaluated with S-MRCP following pancreatojejunal anatomosis. Single-shot fast spin-echo T2-weighted thick slab dynamic MRCP images obtained before and every minute (for 10 min) after IV injection of secretin (2 mcg/kg body weight of SecreFloTM IV over 1 min) were reviewed retrospectively and independently by 3 readers. Image analysis included measurement of the main pancreatic duct (MPD) diameter and subjective assessment of the grade of visualization of the MPD remnant. The amount of jejunal fluid and visualization of the pancreatico-jejunal anatomosis pre-and post-secretin were also documented. Direct correlation with endoscopic retrograde cholangiopancreatography (ERCP) finding was available in six of the 13 cases. Results: The MPD diameter and MPD remnant visualization improved post-secretin for 1/3 readers. The number of pancreatico-jejunal anastomoses and the amount of jejunal fillings pre-and post-secretin was seen to improve significantly for 1 of the 3 readers. For Reader 1, the mean MPD diameter in the body of the pancreas, on the pre-and post-secretin image, was 3.2 ± 1.3 mm and 3.8 ± 1.9 mm, respectively. There was no statistical difference in the values pre- and post-secretin in the MPD diameter ( P = 0.07), MPD visualization ( P = 0.16) and the number of pancreatico-jejunal anastomoses seen ( P = 0.125 5/13 pre- and 9/13 post-secretin). Statistical significance was seen in the amount of jejunal filling ( P = 0.01) after secretin. For Reader 2, the MPD diameter pre-and post-secretin was 4 ± 2 and 3.9 ± 2.1 mm, respectively ( P = 0.89). The MPD visualization ( P = 0.19) and degree of jejunal filling ( P = 0.7) did not improve significantly. There were 3/13 pancreatico-jejunostomy anastomoses seen pre- and 8/13 seen post-secretin ( P = 0.06). The values for Reader 3 reached a statistical significance for the measurement of MPD ( P = 0.032). In addition, MPD visualization ( P = 0.038), the number of anastomoses seen ( P = 0.016) and jejunal filling ( P = 0.006) were also significantly improved. Conclusion: The addition of intravenous secretin to an MRCP study in the evaluation of patients following pancreatojejunal anastomosis does not significantly impact the visualization of the pancreatic duct. However, secretin may improve the assessment of the pancreatico-jejunal anastomosis.
      Citation: Journal of Clinical Imaging Science 2013 3(1):7-7
      PubDate: Thu,28 Feb 2013
      Issue No: Vol. 3, No. 1 (2013)
       
  • Broad ligament fibroid mimicking as ovarian tumor on ultrasonography and
           computed tomography scan

    • Authors: Dayananda Kumar Rajanna, Vaibhav Pandey, Sujit Janardhan, Sujatha N Datti
      Pages: 8 - 8
      Abstract: Dayananda Kumar Rajanna, Vaibhav Pandey, Sujit Janardhan, Sujatha N Datti
      Journal of Clinical Imaging Science 2013 3(1):8-8
      Giant fibroids are known to arise from the uterus, and very rarely from the broad ligament. Large fibroids often undergo hyaline, cystic, and at times, red degeneration. In the present case, cystic degeneration with intervening septations in an adnexal mass raised the suspicion of ovarian neoplasm as the ovaries were not seen as separate from the lesion. The ultrasonographic and contrast-enhanced computed tomographic findings of this case were characteristic of ovarian neoplasm. The differential diagnosis included rare possibility of giant fibroid with cystic degeneration. The diagnosis was confirmed on histopathological examination. The patient underwent excision of the broad ligament fibroid, hysterectomy, and bilateral salpingo-oophorectomy. Magnetic resonance imaging has a role in the diagnosis of such lesions.
      Citation: Journal of Clinical Imaging Science 2013 3(1):8-8
      PubDate: Thu,28 Feb 2013
      Issue No: Vol. 3, No. 1 (2013)
       
  • Limited utility of plain abdominal radiographs in evaluating
           intussusceptions secondary to long indwelling feeding tubes

    • Authors: Albert Yang, Chandana Lall, Puneet Bhargava, David Imagawa
      Pages: 9 - 9
      Abstract: Albert Yang, Chandana Lall, Puneet Bhargava, David Imagawa
      Journal of Clinical Imaging Science 2013 3(1):9-9
      Adult intussusception (AI) is relatively rare and can be a difficult clinical diagnosis, often requiring cross-sectional imaging for confirmation. Unfortunately, intussusceptions in the setting of indwelling long enteral feeding tubes have been predominantly characterized in the pediatric population with minimal investigation in adults. We report three cases of AI in patients with long feeding catheters serving as anatomic lead points leading to intussusception diagnosed on cross-sectional imaging. We highlight the limited utility of the supine plain films for detection of AI, and it behooves the radiologist to hold a high index of suspicion if the patient has a long enteral catheter. Since the majority of these patients tend to be fairly ill and unable to stand for upright abdominal radiographs, in the setting of percutaneous feeding tubes, decubitus abdominal radiographs should always be obtained. These cases also highlight the importance of having a high clinical suspicion of intussusceptions in a patient presenting with abdominal pain in the setting of an enteral feeding tube. In post-operative patients, other factors can predispose the patient to intussusception, including adhesions. Another interesting feature in tube related AI is the reverse intussusception that may be seen with indwelling enteral tubes. Reverse intussusception is where the distal bowel telescopes into the proximal segment over the tube.
      Citation: Journal of Clinical Imaging Science 2013 3(1):9-9
      PubDate: Thu,28 Feb 2013
      DOI: 10.4103/2156-7514.107994
      Issue No: Vol. 3, No. 1 (2013)
       
  • Mixed adenoneuroendocrine carcinoma of cecum: A rare entity

    • Authors: Aditi Jain, Saurabh Singla, KS Jagdeesh, HY Vishnumurthy
      Pages: 10 - 10
      Abstract: Aditi Jain, Saurabh Singla, KS Jagdeesh, HY Vishnumurthy
      Journal of Clinical Imaging Science 2013 3(1):10-10
      Mixed adenoneuroendocrine carcinoma of cecum (MANEC) was first reported by Cardier in 1924. These tumors are thought to arise from multi-potential stem cells, which have differentiated bidirectionally. Location of the tumor influences the treatment and outcome. We report a rare case of MANEC where the patient presented with abdominal pain and distension. Imaging revealed an ileo colic intussusception with the lead point being a MANEC.
      Citation: Journal of Clinical Imaging Science 2013 3(1):10-10
      PubDate: Thu,28 Feb 2013
      DOI: 10.4103/2156-7514.107995
      Issue No: Vol. 3, No. 1 (2013)
       
  • Gossypiboma, varied presentations: A report of two cases

    • Authors: Supreethi Kohli, Anu Singhal, Bishwanath Tiwari, Sanjeev Singhal
      Pages: 11 - 11
      Abstract: Supreethi Kohli, Anu Singhal, Bishwanath Tiwari, Sanjeev Singhal
      Journal of Clinical Imaging Science 2013 3(1):11-11
      A mass formed around a cotton matrix left within the body is termed as textiloma or gossypiboma. It is a rare complication of surgery most commonly seen after abdominal operations. The time of presentation may range from early post-operative period to several decades later. A correct diagnosis can be made in only one-third of the cases. The most common differential diagnosis is a new-onset or recurrent tumor. This may lead to a lot of patient anxiety as well as several unnecessary attempts at biopsy or surgery. Gossypiboma may present as either of the following syndromes - pseudotumoral, occlusive, or septic entity and the risk of fistulization increases with time. We present two diverse cases, the first case being of a patient with gastro-cutaneous fistula due to retained sponge presenting within 2 months of open cholecystectomy, while the second case presented 13 years after a hysterectomy, with abdominal lump and obstruction caused by a retained sponge.
      Citation: Journal of Clinical Imaging Science 2013 3(1):11-11
      PubDate: Thu,28 Feb 2013
      DOI: 10.4103/2156-7514.107998
      Issue No: Vol. 3, No. 1 (2013)
       
  • Renal Cell Carcinoma in a Horseshoe Kidney: Radiology and Pathology
           Correlation

    • Authors: Ali Alamer
      Pages: 12 - 12
      Abstract: Ali Alamer
      Journal of Clinical Imaging Science 2013 3(1):12-12
      Renal cell carcinoma (RCC) is encountered in about 3% of all adult neoplasms. Presence of any kidney malformation can change the plan for surgical treatment of RCC with organ preserving surgery. We report a case of clear cell RCC in a horseshoe kidney. Computed tomography scan revealed a horseshoe kidney anomaly with a large mass in the left side. The diagnosis of RCC was confirmed by pathology and histology findings.
      Citation: Journal of Clinical Imaging Science 2013 3(1):12-12
      PubDate: Fri,29 Mar 2013
      DOI: 10.4103/2156-7514.109725
      Issue No: Vol. 3, No. 1 (2013)
       
  • Autosomal Recessive Polycystic Kidney Disease: Antenatal Diagnosis and
           Histopathological Correlation

    • Authors: Dayananda Kumar Rajanna, Anjani Reddy, Naren Satya Srinivas, Ankur Aneja
      Pages: 13 - 13
      Abstract: Dayananda Kumar Rajanna, Anjani Reddy, Naren Satya Srinivas, Ankur Aneja
      Journal of Clinical Imaging Science 2013 3(1):13-13
      Autosomal recessive polycystic kidney disease (ARPKD) is one of the most common inheritable disease manifesting in infancy and childhood with a frequency of 1:6,000 to 1:55,000 births. The patient in her second trimester presented with a history of amenorrhea. Ultrasound examination revealed bilateral, enlarged, hyperechogenic kidneys, placentomegaly, and severe oligohydramnios. The pregnancy was terminated. An autopsy was performed on the fetus. Both the kidneys were found to be enlarged and the cut surface showed numerous cysts. The liver sections showed changes due to fibrosis. The final diagnosis of autosomal recessive polycystic kidney disease was made based on these findings. In this article, we correlate the ante-natal ultrasound and histopathological findings in autosomal recessive polycystic kidney disease.
      Citation: Journal of Clinical Imaging Science 2013 3(1):13-13
      PubDate: Fri,29 Mar 2013
      DOI: 10.4103/2156-7514.109733
      Issue No: Vol. 3, No. 1 (2013)
       
  • Squamous Cell Carcinoma of the Renal Pelvis Associated with Kidney Stones:
           Radiologic Imaging Features with Gross and Histopathological Correlation

    • Authors: Ozlem Tugce Kalayci, Zehra Bozdag, Fitnet Sonmezgoz, Nurhan Sahin
      Pages: 14 - 14
      Abstract: Ozlem Tugce Kalayci, Zehra Bozdag, Fitnet Sonmezgoz, Nurhan Sahin
      Journal of Clinical Imaging Science 2013 3(1):14-14
      Squamous cell carcinoma (SCC) of the renal pelvis is a rare neoplasm and is usually associated with long standing renal stone disease. This tumor is aggressive in nature and usually has a poor prognosis. We report a case who presented with sudden significant weight loss. During the radiologic investigation, a renal mass and staghorn calculi were detected in the right kidney. The patient subsequently underwent right radical nephrectomy. Pathological diagnosis was SCC of renal pelvis with extensive infiltration in to the renal parenchyma. The radiologic imaging features and histopathologic findings of this rare tumor are discussed in this report.
      Citation: Journal of Clinical Imaging Science 2013 3(1):14-14
      PubDate: Fri,29 Mar 2013
      DOI: 10.4103/2156-7514.109741
      Issue No: Vol. 3, No. 1 (2013)
       
  • Losing Your Voice: Etiologies and Imaging Features of Vocal Fold Paralysis

    • Authors: Behroze Vachha, Mary Beth Cunnane, Pavan Mallur, Gul Moonis
      Pages: 15 - 15
      Abstract: Behroze Vachha, Mary Beth Cunnane, Pavan Mallur, Gul Moonis
      Journal of Clinical Imaging Science 2013 3(1):15-15
      Neurogenic compromise of vocal fold function exists along a continuum encompassing vocal cord hypomobility (paresis) to vocal fold immobility (paralysis) with varying degrees and patterns of reinnervation. Vocal fold paralysis (VFP) may result from injury to the vagus or the recurrent laryngeal nerves anywhere along their course from the brainstem to the larynx. In this article, we review the anatomy of the vagus and recurrent laryngeal nerves and examine the various etiologies of VFP. Selected cases are presented with discussion of key imaging features of VFP including radiologic findings specific to central vagal neuropathy and peripheral recurrent nerve paralysis.
      Citation: Journal of Clinical Imaging Science 2013 3(1):15-15
      PubDate: Fri,29 Mar 2013
      DOI: 10.4103/2156-7514.109751
      Issue No: Vol. 3, No. 1 (2013)
       
  • Magnetic Resonance Imaging as an Adjunct to Ultrasound in Evaluating
           Cesarean Scar Ectopic Pregnancy

    • Authors: Rebecca Wu, Michelle A Klein, Sabrina Mahboob, Mala Gupta, Douglas S Katz
      Pages: 16 - 16
      Abstract: Rebecca Wu, Michelle A Klein, Sabrina Mahboob, Mala Gupta, Douglas S Katz
      Journal of Clinical Imaging Science 2013 3(1):16-16
      Cesarean scar pregnancies (CSPs) are a relatively rare form of ectopic pregnancy in which the embryo is implanted within the fibrous scar of a previous cesarean section. A greater number of cases of CSPs are currently being reported as the rates of cesarean section are increasing globally and as detection of scar pregnancy has improved with use of transvaginal ultrasound (TVUS) with color Doppler imaging. Delayed diagnosis and management of this potentially life-threatening condition may result in complications, predominantly uterine rupture and hemorrhage with significant potential maternal morbidity. Diagnosis of a cesarean scar pregnancy (CSP) requires a high index of clinical suspicion, as up to 40% of patients may be asymptomatic. TVUS has a reported sensitivity of 84.6% and has become the imaging examination of choice for diagnosis of a CSP. Magnetic resonance imaging (MRI) has been used in a small number of patients as an adjunct to TVUS. In the present report, MRI is highlighted as a problem-solving tool capable of more precisely identifying the relationship of a CSP to adjacent structures, thereby providing additional information critical to directing appropriate patient management and therapy.
      Citation: Journal of Clinical Imaging Science 2013 3(1):16-16
      PubDate: Fri,29 Mar 2013
      DOI: 10.4103/2156-7514.109758
      Issue No: Vol. 3, No. 1 (2013)
       
  • Imaging of Tuberculosis of the Abdominal Viscera: Beyond the Intestines

    • Authors: Sree Harsha Tirumani, Vijayanadh Ojili, Alampady Krishna Prasad Shanbhogue, Arpit Nagar, Najla Fasih, Kedar N Chintapalli, Gowthaman Gunabushanam
      Pages: 17 - 17
      Abstract: Sree Harsha Tirumani, Vijayanadh Ojili, Alampady Krishna Prasad Shanbhogue, Arpit Nagar, Najla Fasih, Kedar N Chintapalli, Gowthaman Gunabushanam
      Journal of Clinical Imaging Science 2013 3(1):17-17
      There is an increasing incidence of both intra- and extra-thoracic manifestations of tuberculosis, in part due to the AIDS epidemic. Isolated tubercular involvement of the solid abdominal viscera is relatively unusual. Cross-sectional imaging with ultrasound, multidetector computed tomography (CT), and magnetic resonance imaging (MRI) plays an important role in the diagnosis and post treatment follow-up of tuberculosis. Specific imaging features of tuberculosis are frequently related to caseous necrosis, which is the hallmark of this disease. However, depending on the type of solid organ involvement, tubercular lesions can mimic a variety of neoplastic and nonneoplastic conditions. Often, cross-sectional imaging alone is insufficient in reaching a conclusive diagnosis, and image-guided tissue sampling is needed. In this article, we review the pathology and cross-sectional imaging features of tubercular involvement of solid abdominopelvic organs with a special emphasis on appropriate differential diagnoses.
      Citation: Journal of Clinical Imaging Science 2013 3(1):17-17
      PubDate: Tue,30 Apr 2013
      DOI: 10.4103/2156-7514.111234
      Issue No: Vol. 3, No. 1 (2013)
       
  • Occurrence of Polymelia in a Female Child

    • Authors: Satyajeet Verma, Manish Khanna, VN Tripathi, NC Yadav
      Pages: 18 - 18
      Abstract: Satyajeet Verma, Manish Khanna, VN Tripathi, NC Yadav
      Journal of Clinical Imaging Science 2013 3(1):18-18
      We report a rare case of polymelia in a 6-month-old female child who presented with developed lower limbs and an additional underdeveloped left lower limb.
      Citation: Journal of Clinical Imaging Science 2013 3(1):18-18
      PubDate: Tue,30 Apr 2013
      DOI: 10.4103/2156-7514.111235
      Issue No: Vol. 3, No. 1 (2013)
       
  • Angiographic Patterns of Transjugular Intrahepatic Portosystemic Shunt
           Dysfunction and Interventional Approaches to Shunt Revision

    • Authors: Ahmad Parvinian, Benedictta O Omene, James T Bui, Martha Grace Knuttinen, Jeet Minocha, Ron C Gaba
      Pages: 19 - 19
      Abstract: Ahmad Parvinian, Benedictta O Omene, James T Bui, Martha Grace Knuttinen, Jeet Minocha, Ron C Gaba
      Journal of Clinical Imaging Science 2013 3(1):19-19
      Transjugular intrahepatic portosystemic shunt (TIPS) is an established and effective treatment for the complications of portal hypertension. The non-trivial rates of shunt dysfunction inherent to TIPS mandate familiarity with the imaging diagnosis and endovascular management of this phenomenon. Herein, we present a pictorial review of the various angiographic patterns of TIPS dysfunction and illustrate traditional and innovative technical approaches to shunt revision.
      Citation: Journal of Clinical Imaging Science 2013 3(1):19-19
      PubDate: Tue,30 Apr 2013
      DOI: 10.4103/2156-7514.111237
      Issue No: Vol. 3, No. 1 (2013)
       
  • An Unusual Radiological Presentation of a Pulmonary Hydatid Cyst in a
           Child

    • Authors: Servet Kayhan, Unal Sahin, Hasan Turut, Cuneyt Yurdakul
      Pages: 20 - 20
      Abstract: Servet Kayhan, Unal Sahin, Hasan Turut, Cuneyt Yurdakul
      Journal of Clinical Imaging Science 2013 3(1):20-20
      Giant pulmonary hydatid cyst is usually encountered in adolescents and children who are older than 10 years. A relatively higher elasticity of the lung tissue allows rapid growth of cysts. We present a case of a 15-year-old male who was admitted with complaint of frequent and persistent dry cough for over a month. Computed tomographic scan revealed a giant cyst with thick enhancing rim and an "air bubble" sign. Diagnosis of giant hydatid cyst was confirmed by surgery and histopathological examination.
      Citation: Journal of Clinical Imaging Science 2013 3(1):20-20
      PubDate: Tue,30 Apr 2013
      DOI: 10.4103/2156-7514.111238
      Issue No: Vol. 3, No. 1 (2013)
       
  • An Uncommon Case of Neurofibromatosis Type 2: A Tribute to the
           Intracranial Calcifications

    • Authors: Anil Ozgür, Yasemin Karaman, Feramuz Demir Apaydin, Meltem Nass Duce
      Pages: 21 - 21
      Abstract: Anil Ozgür, Yasemin Karaman, Feramuz Demir Apaydin, Meltem Nass Duce
      Journal of Clinical Imaging Science 2013 3(1):21-21
      Neurofibromatosis Type 2 (NF2) is a genetic disorder associated with schwannomas, meningiomas, and ependymomas. Intracranial calcifications, either tumoral or non-tumoral, are relatively lesser known features of NF2. Here, we present a case of NF2, in which the diagnosis was suspected due to the presence of choroid plexus and subependymal calcifications, although no obvious schwannoma or meningioma was detected initially on standard computed tomography or magnetic resonance imaging. This case highlights the importance of further evaluation with appropriate imaging techniques.
      Citation: Journal of Clinical Imaging Science 2013 3(1):21-21
      PubDate: Fri,31 May 2013
      DOI: 10.4103/2156-7514.112802
      Issue No: Vol. 3, No. 1 (2013)
       
  • Appearances of von Meyenburg Complex on Cross Sectional Imaging

    • Authors: Phillip F.C Lung, Ounali S Jaffer, Nuzhat Akbar, Paul S Sidhu, Suzanne M Ryan
      Pages: 22 - 22
      Abstract: Phillip F.C Lung, Ounali S Jaffer, Nuzhat Akbar, Paul S Sidhu, Suzanne M Ryan
      Journal of Clinical Imaging Science 2013 3(1):22-22
      The von Meyenburg complex (VMC) is an uncommon congenital malformation and is characterized by benign bile duct hamartomas. These are usually discovered incidentally and may represent a diagnostic dilemma when liver metastases are suspected. MRI of VMC shows distinct imaging characteristics, but reporting of lesional contrast enhancement has been inconsistent, whilst microbubble contrast enhanced ultrasound provides 'real-time' evaluation of soft tissue vascularity. Given the diagnostic uncertainty over imaging in VMC, biopsy is often recommended as the definitive diagnosis. We report a biopsy proven case of VMC on a background of primary colonic malignancy investigated with ultrasound, contrast enhanced ultrasound, computed tomography CT, and magnetic resonance imaging MRI, and review the key imaging features.
      Citation: Journal of Clinical Imaging Science 2013 3(1):22-22
      PubDate: Fri,31 May 2013
      DOI: 10.4103/2156-7514.112804
      Issue No: Vol. 3, No. 1 (2013)
       
  • Diagnostic Efficacy of Panoramic Radiography in Detection of Osteoporosis
           in Post-Menopausal Women with Low Bone Mineral Density

    • Authors: Sunanda Bhatnagar, Vasavi Krishnamurthy, Sandeep S Pagare
      Pages: 23 - 23
      Abstract: Sunanda Bhatnagar, Vasavi Krishnamurthy, Sandeep S Pagare
      Journal of Clinical Imaging Science 2013 3(1):23-23
      Objective: The aim of the study was to evaluate panoramic radiograph, a commonly taken dental radiograph as a screening tool to detect early osseous changes (normal, mildly or severely eroded) of the mandibular inferior cortex and measure the mandibular cortical width (CW) in post-menopausal women and correlate it with the bone mineral density (BMD) measured by the ultrasound bone sonometer at the mid-shaft tibia region. Materials and Methods: The study included females between 45 years and 65 years of age in their post-menopausal stage (no menstruation for at least 6-12 months). Mandibular indices (mandibular CW and mandibular cortical shape) were evaluated from panoramic radiographs. The BMD assessment was carried out at the mid-shaft tibia region, exactly half-way between the heel and the knee joint perpendicular to the direction of the bone, using an ultrasound bone sonometer. It is a non-invasive device designed for quantitative measurement of the velocity of ultrasound waves as "speed of sound" in m/s, capable of measuring bone density at one or more skeletal sites. Using 1994 WHO criteria the study subjects were categorized as Group 1: Normal, Group 2: Osteopenia, Group 3: Osteoporosis. (WHO T score for tibia BMD can be used as a standard). Results: The diagnostic efficacy of the panoramic radiograph in detecting osseous changes in post-menopausal women with low BMD was shown to have 96% specificity and 60% sensitivity with mandibular cortical shape and 58% specificity and 73% sensitivity with mandibular CW measurement. Factorial ANOVA analysis carried out indicated a significant correlation of BMD classification with mandibular cortical shape (F = 29.0, P < 0.001, partial eta squared [η2 ] =0.85), a non-significant correlation with mandibular CW, (F = 1.6, P = 0.23, η2 = 0.86), and a more significant correlation with combined cortical shape and width (F = 3.3, P < 0.05, η2 = 0.70). Conclusion: The study concludes that the combined mandibular cortical findings (P < 0.05) and mandibular cortical shape erosion alone (P < 0.001) on panoramic radiograph are effective indicators of osteoporosis in post-menopausal women.
      Citation: Journal of Clinical Imaging Science 2013 3(1):23-23
      PubDate: Thu,6 Jun 2013
      DOI: 10.4103/2156-7514.113140
      Issue No: Vol. 3, No. 1 (2013)
       
  • Camptodactyly-Arthropathy-Coxa Vara-Pericarditis Syndrome: Important
           Differential for Juvenile Idiopathic Arthritis

    • Authors: Ritu Manoj Kakkar, Sameer Soneji, Rashmi R Badhe, Shrinivas B Desai
      Pages: 24 - 24
      Abstract: Ritu Manoj Kakkar, Sameer Soneji, Rashmi R Badhe, Shrinivas B Desai
      Journal of Clinical Imaging Science 2013 3(1):24-24
      Camptodactyly-arthropathy-coxa vara-pericarditis (CACP) syndrome is an inherited disorder characterized by congenital or early-onset flexion camptodactyly, childhood-onset of non-inflammatory arthropathy, often associated with non-inflammatory pericarditis or pericardial effusion and progressive coxa vara. The causative gene is located on chromosome band 1q25-31. This gene encodes for "proteoglycan-4" (PRG-4), which is a surface lubricant for joints and tendons. This syndrome has distinct radiological and histological features, which are important to recognize since it may clinically mimic juvenile idiopathic arthritis and mutation studies may not be easily available. We describe a case of a 3-year 3-month-old female with features of CACP syndrome.
      Citation: Journal of Clinical Imaging Science 2013 3(1):24-24
      PubDate: Sat,29 Jun 2013
      DOI: 10.4103/2156-7514.114211
      Issue No: Vol. 3, No. 1 (2013)
       
  • Spontaneous Biliary Peritonitis in Children

    • Authors: Supreethi Kohli, Anu Singhal, Anita Arora, Sanjeev Singhal
      Pages: 25 - 25
      Abstract: Supreethi Kohli, Anu Singhal, Anita Arora, Sanjeev Singhal
      Journal of Clinical Imaging Science 2013 3(1):25-25
      Pediatric Spontaneous Bile duct perforation is a rare clinical condition with only around 150 cases reported worldwide. Early management gives excellent prognosis but the condition often presents a diagnostic dilemma. Hepato-biliary Technetium-99m-iminodiacetic acid scintiscan is the diagnostic investigation of choice but its availability in third world countries is limited. We present two cases of spontaneous biliary peritonitis in children, which were diagnosed without scintiscanning. The first case was a one-and -a half-year-old child, who was diagnosed with biliary peritonitis without pneumoperitoneum by a combination of Ultrasound (USG), Contrast enhanced computed tomography (CECT), and Magnetic Resonance Imaging (MRI). The child underwent USG-guided drainage and subsequent cholecystectomy with hepatico-jejunostomy. The second child also had biliary peritonitis without pneumoperitoneum, which was initially suspected on USG. CECT revealed dilated gall bladder and fluid collection in sub-hepatic space and pelvis. Abdominal paracentesis revealed presence of bile. The child responded to conservative therapy. Both are doing well on two-year follow-up. In a patient with jaundice, biliary tract abnormalities and/or free fluid, either generalized or localized to peri-cholecystic/sub-hepatic space on USG/CT/MRI, in the absence of pneumoperitoneum, suggest a diagnosis of biliary perforation even in the absence of scintiscanning.
      Citation: Journal of Clinical Imaging Science 2013 3(1):25-25
      PubDate: Sat,29 Jun 2013
      DOI: 10.4103/2156-7514.114213
      Issue No: Vol. 3, No. 1 (2013)
       
  • Clinico-radiologic Findings in Group II Caudal Regression Syndrome

    • Authors: Pankaj Sharma, Sheo Kumar, Awdesh Jaiswal
      Pages: 26 - 26
      Abstract: Pankaj Sharma, Sheo Kumar, Awdesh Jaiswal
      Journal of Clinical Imaging Science 2013 3(1):26-26
      Caudal regression syndrome (CRS) is a rare congenital abnormality in which a segment of the lumbo-sacral spine and spinal cord fails to develop. The severity of the morphologic derangement inversely correlates with residual spinal cord function. We present a case report of a 10-year-old girl with Group 2 CRS, to emphasize clinical and radiologic findings in this rare abnormality.
      Citation: Journal of Clinical Imaging Science 2013 3(1):26-26
      PubDate: Sat,29 Jun 2013
      DOI: 10.4103/2156-7514.114214
      Issue No: Vol. 3, No. 1 (2013)
       
  • Association of Progesterone, Pessary, and Antibiotic for Treating Pregnant
           Woman with Short Cervix Syndrome: Importance of Magnetic Resonance Imaging
           in the Assessment of Pessary Position

    • Authors: Edward Araujo Júnior, Eduardo Félix Martins Santana, Luciano Marcondes Machado Nardozza, Antonio Fernandes Moron
      Pages: 27 - 27
      Abstract: Edward Araujo Júnior, Eduardo Félix Martins Santana, Luciano Marcondes Machado Nardozza, Antonio Fernandes Moron
      Journal of Clinical Imaging Science 2013 3(1):27-27
      Preterm delivery (PD) is the most important cause of neonatal mortality, particularly before the 32 nd week of pregnancy. A short cervix is the most important quantitative marker for predicting PD. However, there are other qualitative markers such as cervical gland area, cervical funneling, and sludge. We present the case of a pregnant woman who was diagnosed with a short cervix at 14-weeks and demonstrate the use of triple therapy, which helped to achieve a good perinatal result. A 37-year-old pregnant woman (G3P0) was referred to our service at 14-weeks of pregnancy presenting with a short cervix (20 mm) and a positive sludge sign. She was hospitalized; a pessary was inserted, and started on antibiotic therapy (clindamycin and cefalotin for 10 days). At 20 weeks, she was again admitted to the hospital, and this time presented with a further shortened cervix (9 mm), cervical funneling, and a positive sludge sign, with the pessary in position. The following procedures were performed: Amniocentesis on the sludge (negative bacterioscopy), another cycle of antibiotics, administration of oral progesterone, and imaging to determine retention of pessary position. The patient was placed in the Trendelenburg position and remained hospitalized for 82 days. At 32 + 1 weeks, the fetus presented distress (tachycardia). C-section was performed, producing a live female newborn weighing 2,180 g and presenting Apgar indexes of 8/8. This case report demonstrates the importance of magnetic resonance imaging to assess the position of pessary in a pregnant woman with short cervix.
      Citation: Journal of Clinical Imaging Science 2013 3(1):27-27
      PubDate: Tue,9 Jul 2013
      DOI: 10.4103/2156-7514.114802
      Issue No: Vol. 3, No. 1 (2013)
       
  • Correlation of Ultrasonographic Parameters with Serum Creatinine in
           Chronic Kidney Disease

    • Authors: Jagdeesh K Siddappa, Saurabh Singla, Mohammed Al Ameen, SC Rakshith, Naveen Kumar
      Pages: 28 - 28
      Abstract: Jagdeesh K Siddappa, Saurabh Singla, Mohammed Al Ameen, SC Rakshith, Naveen Kumar
      Journal of Clinical Imaging Science 2013 3(1):28-28
      Objective: The purpose of our study is to correlate renal echogenicity with serum creatinine in order to determine the significance of renal echogenicity when it comes to identifying the progression of chronic kidney disease (CKD) and for the sonographic grading of CKD. Materials and Methods: Sixty patients above 30 years of age who had been diagnosed with CKD according to the guidelines of the National Kidney Foundation were included in the study. Patients on kidney replacement therapy or with fatty liver findings on ultrasonography were excluded. Ultrasounds of kidneys were performed by two radiologists who were blind to the patients' serum creatinine levels. Renal cortical echogenicity was compared with serum creatinine. Statistical analysis was performed using one-way ANOVA followed by Scheffe's test. The relationship between serum creatinine and sonographic features was assessed by correlation coefficient analysis. A P value less than 0.05 was considered statistically significant. Results: Mean serum creatinine was 2.80 mg/dl for Grade 1 (range: 0.9-9.2 mg/dl), 3.69 mg/dl for Grade 2 (range: 1.2-10.3 mg/dl), 3.86 mg/dl for Grade 3 (range: 1.1-6.5 mg/dl), and 7.90 mg/dl for Grade 4 (range: 3.1-11.4 mg/dl). The grades being determined by cortical echogenicity on imaging A statistically significant, positive correlation was observed between serum creatinine and grading based on cortical echogenicity (P = 0.004). Conclusion: Renal echogenicity and its grading correlates better with serum creatinine in CKD than other sonographic parameters such as longitudinal size, parenchymal thickness, and cortical thickness. Hence, renal echogenicity is a better parameter than serum creatinine for estimating renal function in CKD, and has the added advantage of irreversibility.
      Citation: Journal of Clinical Imaging Science 2013 3(1):28-28
      PubDate: Tue,9 Jul 2013
      DOI: 10.4103/2156-7514.114809
      Issue No: Vol. 3, No. 1 (2013)
       
  • Transjugular Intrahepatic Portosystemic Shunt for Maintenance of Portal
           Venous Patency in Liver Transplant Candidates

    • Authors: Ron Charles Gaba, Ahmad Parvinian
      Pages: 29 - 29
      Abstract: Ron Charles Gaba, Ahmad Parvinian
      Journal of Clinical Imaging Science 2013 3(1):29-29
      Maintenance of portal venous patency is vital to liver transplant candidates, as the presence of portal vein thrombosis (PVT) adversely impacts clinical outcomes by increasing surgical complexity and decreasing postoperative survival. By enhancing portal venous blood flow, transjugular intrahepatic portosystemic shunt (TIPS) creation may enable clearance of PVT and preservation of portal venous patency in cirrhotic patients. Herein, we describe four cases in which TIPS produced and sustained an open portal venous system in liver transplant candidates with partial PVT. All patients demonstrated rapid and effective flow-enabled clearance of clot and intermediate to long-term preservation of portal venous flow. On this basis, we propose that maintenance of portal venous patency in liver transplant candidates with partial PVT represents a developing indication for TIPS.
      Citation: Journal of Clinical Imaging Science 2013 3(1):29-29
      PubDate: Mon,29 Jul 2013
      DOI: 10.4103/2156-7514.115761
      Issue No: Vol. 3, No. 1 (2013)
       
  • A Rare Cause of Crazy-Paving and Mediastinal Lymphadenopathy: Congestive
           Heart Failure

    • Authors: Aysegul Senturk, Aysegul Karalezli, Ayse Nur Soyturk, H Canan Hasanoglu
      Pages: 30 - 30
      Abstract: Aysegul Senturk, Aysegul Karalezli, Ayse Nur Soyturk, H Canan Hasanoglu
      Journal of Clinical Imaging Science 2013 3(1):30-30
      Crazy-paving sign is a pattern seen on multislice computed tomography images of the lungs. It is characterized by a reticular pattern superimposed on ground-glass opacity. It was first described in the late 1980s in patients with pulmonary alveolar proteinosis, but has now been described in some other diseases of the lung. Enlarged mediastinal lymph nodes can be seen in infectious and specific inflammatory diseases and malignancies. The present report describes a case of a 44-year-old man in whom congestive heart failure presented with a crazy-paving appearance and enlarged lymph nodes of the lungs on the chest computed tomography scan.
      Citation: Journal of Clinical Imaging Science 2013 3(1):30-30
      PubDate: Mon,29 Jul 2013
      DOI: 10.4103/2156-7514.115762
      Issue No: Vol. 3, No. 1 (2013)
       
  • A Rare Cause of Acute Abdomen: Jejunal Diverticulosis with Perforation

    • Authors: Ibrahim Aydin, Ahmet Pergel, Ahmet Fikret Yucel, Dursun Ali Sahin
      Pages: 31 - 31
      Abstract: Ibrahim Aydin, Ahmet Pergel, Ahmet Fikret Yucel, Dursun Ali Sahin
      Journal of Clinical Imaging Science 2013 3(1):31-31
      Jejunal diverticulosis is generally asymptomatic and is associated with high morbidity and mortality secondary to complications, especially in elderly patients. We present a case report of a 74-year-old female patient with jejunal diverticulosis and perforation due to diverticulitis.
      Citation: Journal of Clinical Imaging Science 2013 3(1):31-31
      PubDate: Mon,29 Jul 2013
      DOI: 10.4103/2156-7514.115763
      Issue No: Vol. 3, No. 1 (2013)
       
  • Functioning Adrenocortical Carcinoma with Extension upto the Right Atrium
           Producing Cushing's Syndrome

    • Authors: Santosh Kumar, Gautam R Choudhary, Arawat Pushkarna
      Pages: 32 - 32
      Abstract: Santosh Kumar, Gautam R Choudhary, Arawat Pushkarna
      Journal of Clinical Imaging Science 2013 3(1):32-32
      Adrenocortical carcinoma (ACC) is a rare malignancy with poor prognosis. Surgery is the only curative therapy available and overall 5-year survival for patients who undergo a complete resection is 32% to 48%. They are known to produce intravascular invasion and into the inferior vena cava (IVC) and in rare cases they may reach the right atrium. We report a case of functioning ACC extending into the inferior vena cava and right atrium in a female with Cushing's syndrome.
      Citation: Journal of Clinical Imaging Science 2013 3(1):32-32
      PubDate: Sat,31 Aug 2013
      DOI: 10.4103/2156-7514.116186
      Issue No: Vol. 3, No. 1 (2013)
       
  • Localized Cystic Disease of the Kidney: A Rare Cause of Hypertension in a
           Young Adult

    • Authors: Aynur Solak, Mehmet Serkan Gür, Berhan Genç, Neslin Sahin
      Pages: 33 - 33
      Abstract: Aynur Solak, Mehmet Serkan Gür, Berhan Genç, Neslin Sahin
      Journal of Clinical Imaging Science 2013 3(1):33-33
      Localized cystic disease of kidney (LCDK) is a rare, non-familial, non-progressive renal disorder that is not associated with cysts or disorders in other organs. Only a few cases have been reported in the literature. While this condition is morphologically identical to the autosomal dominant form of polycystic kidney disease, it is not inherited and is not associated with significant deterioration of renal function. We present a case of a 16-year-old male patient who suffered from hypertension for over two years. On imaging we found several, variable-sized cysts in the upper half of the right kidney. The left kidney and lower segment of the right kidney were normal. Selective renal vein catheterization and sampling showed markedly elevated renin level in the right upper segmental vein (92 pg/ml, normal value: 11-33 pg/ml). The patient underwent a right upper heminephrectomy and histopathology was suggestive of LCDK. After surgery, the patient's blood pressure returned to normal levels without any need of antihypertensive medication and he is under follow-up on outpatient basis for the past two years.
      Citation: Journal of Clinical Imaging Science 2013 3(1):33-33
      PubDate: Sat,31 Aug 2013
      DOI: 10.4103/2156-7514.116191
      Issue No: Vol. 3, No. 1 (2013)
       
  • Magnetic Resonance Imaging of Benign Cardiac Masses: A Pictorial Essay

    • Authors: Thomas J Ward, Michael A Kadoch, Adam H Jacobi, Jacobi P Lopez, Javier Sanz Salvo, Matthew D Cham
      Pages: 34 - 34
      Abstract: Thomas J Ward, Michael A Kadoch, Adam H Jacobi, Jacobi P Lopez, Javier Sanz Salvo, Matthew D Cham
      Journal of Clinical Imaging Science 2013 3(1):34-34
      The differential diagnosis for a cardiac mass includes primary and metastatic neoplasms. While primary cardiac tumors are rare, metastatic disease to the heart is a common finding in cancer patients. Several "tumor-like" processes can mimic a true cardiac neoplasm with accurate diagnosis critical at guiding appropriate management. We present a pictorial essay of the most common benign cardiac masses and "mass-like" lesions with an emphasis on magnetic resonance imaging features.
      Citation: Journal of Clinical Imaging Science 2013 3(1):34-34
      PubDate: Sat,31 Aug 2013
      DOI: 10.4103/2156-7514.117458
      Issue No: Vol. 3, No. 1 (2013)
       
  • Semantic Dementia Diagnosed by F-18 FDG PET/MRI: Co-registered Images

    • Authors: Prashant Jolepalem, Dafang Wu
      Pages: 35 - 35
      Abstract: Prashant Jolepalem, Dafang Wu
      Journal of Clinical Imaging Science 2013 3(1):35-35
      We report a case of a 61-year-old male who presented with a sudden change in mental status. From a psychiatric standpoint, his symptoms were consistent with a bipolar disorder. A neurology consult raised suspicion for vascular dementia, given the sudden onset of symptoms; however, the magnetic resonance angiography (MRA) was unremarkable. The magnetic resonance imaging (MRI) had findings that were suggestive of both vascular and frontotemporal lobe dementia based on parenchymal atrophy and a lacunar infarct near the thalamus. However, by co-registering the magnetic resonance images with a subsequent fluorine-18 Fluorodeoxyglucose positron emission tomography (F-18 FDG PET), and combining the functional data with the anatomic appearance, the diagnosis was narrowed to semantic dementia, which is one of the lesser known subtypes of frontotemporal lobe dementia (FTD).
      Citation: Journal of Clinical Imaging Science 2013 3(1):35-35
      PubDate: Sat,31 Aug 2013
      DOI: 10.4103/2156-7514.117459
      Issue No: Vol. 3, No. 1 (2013)
       
  • Prevalence and Degree of Breast Arterial Calcifications on Mammography: A
           Cross-sectional Analysis

    • Authors: Norman Loberant, Vera Salamon, Nurit Carmi, Anna Chernihovsky
      Pages: 36 - 36
      Abstract: Norman Loberant, Vera Salamon, Nurit Carmi, Anna Chernihovsky
      Journal of Clinical Imaging Science 2013 3(1):36-36
      Objectives: The purpose of this study is to establish a database including prevalence and degree of breast arterial calcifications (BAC) in our population of women presenting for mammography. Materials and Methods: The mammograms of 1786 women over the age of 40 years were examined for the presence and degree of BAC. Statistical analysis was performed to correlate patient's age and ethnic origin with the presence and degree of BAC. Results: There was statistically significant and strong correlation between the patient's age and presence of BAC. There was also a less strong yet statistically significant correlation between patient age and degree of BAC. Regression analysis showed the likelihood of BAC at various ages. The prevalence of BAC is only 2% of women under 50 years of age; the prevalence of Grade 2-3 BAC is only 1% in women under 60 years of age. Conclusion: There is a predictable increase with age in both prevalence and degree of BAC in women. The presence of high degree BAC in women under 60 years of age or any BAC in women under 50 years of age is unusual.
      Citation: Journal of Clinical Imaging Science 2013 3(1):36-36
      PubDate: Fri,27 Sep 2013
      DOI: 10.4103/2156-7514.119013
      Issue No: Vol. 3, No. 1 (2013)
       
  • Isolated Tuberculous Tenosynovitis of the Anterior Tibial and Extensor
           Digitorum Longus Tendons

    • Authors: Berhan Genç, Aynur Solak, Aslan Mayda, Nazime &#350;en
      Pages: 37 - 37
      Abstract: Berhan Genç, Aynur Solak, Aslan Mayda, Nazime Şen
      Journal of Clinical Imaging Science 2013 3(1):37-37
      Musculoskeletal system is involved in 1-5% of extrapulmonary cases of tuberculosis. Tuberculous tenosynovitis is a rare form of musculoskeletal tuberculosis. Tuberculosis of the tendon sheath in the hand has been seen in a few cases. Involvement of the tendons of the leg is less common. Diagnosis is not easy as there are no specific clinical symptoms or signs. A 33-year-old male presented with painful swelling in the distal right lower limb that caused restriction of movement. Imaging studies showed inflammation and infection of the extensor digitorium longus and tibialis anterior tendons. Histopathological studies showed a necrotizing granulomatous inflammation in the synovial tissue. A diagnosis of tuberculosis was made and medical treatment was initiated that proved successful. Patient remained infection-free at 26-month follow-up examination.
      Citation: Journal of Clinical Imaging Science 2013 3(1):37-37
      PubDate: Fri,27 Sep 2013
      DOI: 10.4103/2156-7514.119015
      Issue No: Vol. 3, No. 1 (2013)
       
  • Acquired Arteriovenous Fistula of the Breast Following Ultrasound Guided
           Biopsy of Invasive Ductal Carcinoma

    • Authors: Adam Gregg, Rebecca Leddy, Madelene Lewis, Abid Irshad
      Pages: 38 - 38
      Abstract: Adam Gregg, Rebecca Leddy, Madelene Lewis, Abid Irshad
      Journal of Clinical Imaging Science 2013 3(1):38-38
      Image guided large-core breast biopsies are commonly performed procedures with relatively rare complications. The majority of these complications are minor, though at times more significant vascular injuries can occur with these biopsies as demonstrated by this case. Patient developed a pulsatile vascular breast mass after an ultrasound guided breast biopsy of invasive ductal carcinoma. Sonographic evaluation of this new breast mass demonstrated this mass to represent an arteriovenous fistula (AVF). Though multiple therapies are available for an iatrogenic fistula within the breast, the AVF was surgically excised in this case as it was immediately adjacent to a known cancer.
      Citation: Journal of Clinical Imaging Science 2013 3(1):38-38
      PubDate: Fri,27 Sep 2013
      DOI: 10.4103/2156-7514.119019
      Issue No: Vol. 3, No. 1 (2013)
       
  • Adenoid Cystic Carcinoma of the Upper Trachea: A Rare Neoplasm

    • Authors: Binoy Kumar Choudhury, Geetanjali Barman, Shobhit Singh, Kuddush Ahmed
      Pages: 39 - 39
      Abstract: Binoy Kumar Choudhury, Geetanjali Barman, Shobhit Singh, Kuddush Ahmed
      Journal of Clinical Imaging Science 2013 3(1):39-39
      Primary malignant tracheal tumors are not common and adenoid cystic carcinoma (ACC) of trachea is rare. We report an extremely rare case of ACC of proximal trachea, which was diagnosed in a 42-year-old male who presents with 6-month history of dyspnea. Lateral skiagram of neck, computed tomography, and magnetic resonance imaging revealed a broad-based polypoidal soft tissue mass arising from posterior wall of the proximal trachea. Biopsy confirmed the diagnosis of ACC. The patient was treated by surgical resection followed by radiotherapy and is on regular follow-up. Follow-up at 18 months post-treatment showed no local recurrence or distant metastases. The literature on tracheal ACC is reviewed. Image findings are briefly discussed.
      Citation: Journal of Clinical Imaging Science 2013 3(1):39-39
      PubDate: Fri,27 Sep 2013
      DOI: 10.4103/2156-7514.119021
      Issue No: Vol. 3, No. 1 (2013)
       
  • Nasal Lobular Capillary Hemangioma

    • Authors: Prashant Patil, Saurabh Singla, Ranoji Mane, KS Jagdeesh
      Pages: 40 - 40
      Abstract: Prashant Patil, Saurabh Singla, Ranoji Mane, KS Jagdeesh
      Journal of Clinical Imaging Science 2013 3(1):40-40
      Nasal lobular capillary hemangioma is a rare benign tumor of the paranasal sinuses. This lesion is believed to grow rapidly in size over time. The exact etiopathogenesis is still a dilemma. We discuss a case of nasal lobular capillary hemangioma presenting with a history of epistaxis. Contrast enhanced computed tomography of paranasal sinuses revealed an intensely enhancing soft-tissue mass in the left nasal cavity and left middle and inferior meati with no obvious bony remodeling or destruction. We present imaging and pathologic features of nasal lobular capillary hemangioma and differentiate it from other entities like nasal angiofibroma.
      Citation: Journal of Clinical Imaging Science 2013 3(1):40-40
      PubDate: Mon,30 Sep 2013
      DOI: 10.4103/2156-7514.119134
      Issue No: Vol. 3, No. 1 (2013)
       
  • Multispectral Photoacoustic Imaging of Prostate Cancer: Preliminary
           Ex-vivo Results

    • Authors: Vikram S Dogra, Bhargava K Chinni, Keerthi S Valluru, Jean V Joseph, Ahmed Ghazi, Jorge L Yao, Katie Evans, Edward M Messing, Navalgund A Rao
      Pages: 41 - 41
      Abstract: Vikram S Dogra, Bhargava K Chinni, Keerthi S Valluru, Jean V Joseph, Ahmed Ghazi, Jorge L Yao, Katie Evans, Edward M Messing, Navalgund A Rao
      Journal of Clinical Imaging Science 2013 3(1):41-41
      Objective: The objective of this study is to validate if ex-vivo multispectral photoacoustic (PA) imaging can differentiate between malignant prostate tissue, benign prostatic hyperplasia (BPH), and normal human prostate tissue. Materials and Methods: Institutional Review Board's approval was obtained for this study. A total of 30 patients undergoing prostatectomy for biopsy-confirmed prostate cancer were included in this study with informed consent. Multispectral PA imaging was performed on surgically excised prostate tissue and chromophore images that represent optical absorption of deoxyhemoglobin (dHb), oxyhemoglobin (HbO 2 ), lipid, and water were reconstructed. After the imaging procedure is completed, malignant prostate, BPH and normal prostate regions were marked by the genitourinary pathologist on histopathology slides and digital images of marked histopathology slides were obtained. The histopathology images were co-registered with chromophore images. Region of interest (ROI) corresponding to malignant prostate, BPH and normal prostate were defined on the chromophore images. Pixel values within each ROI were then averaged to determine mean intensities of dHb, HbO 2 , lipid, and water. Results: Our preliminary results show that there is statistically significant difference in mean intensity of dHb (P < 0.0001) and lipid (P = 0.0251) between malignant prostate and normal prostate tissue. There was difference in mean intensity of dHb (P < 0.0001) between malignant prostate and BPH. Sensitivity, specificity, positive predictive value, and negative predictive value of our imaging system were found to be 81.3%, 96.2%, 92.9% and 89.3% respectively. Conclusion: Our preliminary results of ex-vivo human prostate study suggest that multispectral PA imaging can differentiate between malignant prostate, BPH and normal prostate tissue.
      Citation: Journal of Clinical Imaging Science 2013 3(1):41-41
      PubDate: Mon,30 Sep 2013
      DOI: 10.4103/2156-7514.119139
      Issue No: Vol. 3, No. 1 (2013)
       
  • Imaging of Tuberculosis of the Abdominal Viscera: Beyond the Intestines

    • Authors: Saurabh Karmakar, Alok Nath, Hira Lal
      Pages: 42 - 42
      Abstract: Saurabh Karmakar, Alok Nath, Hira Lal
      Journal of Clinical Imaging Science 2013 3(1):42-42

      Citation: Journal of Clinical Imaging Science 2013 3(1):42-42
      PubDate: Mon,30 Sep 2013
      DOI: 10.4103/2156-7514.119149
      Issue No: Vol. 3, No. 1 (2013)
       
  • Benign Medullary Fibroma of the Kidney: A Rare Diagnostic Dilemma

    • Authors: Santosh Kumar, Gautam Ram Choudhary, Bhuvanesh Nanjappa, Amanjit Bal
      Pages: 43 - 43
      Abstract: Santosh Kumar, Gautam Ram Choudhary, Bhuvanesh Nanjappa, Amanjit Bal
      Journal of Clinical Imaging Science 2013 3(1):43-43
      Renomedullary interstitial cell tumor or medullary fibroma, is a small tumor that commonly presents as an incidental finding, but in rare cases maybe large and symptomatic. Although it is a benign tumor, it is difficult to differentiate this lesion from other malignancies of the kidney on radiological basis and hence many patients undergo radical nephrectomy. We present a case of renal medullary fibroma and various nuances associated with radiological identification of this lesion and its management related dilemmas.
      Citation: Journal of Clinical Imaging Science 2013 3(1):43-43
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120776
      Issue No: Vol. 3, No. 1 (2013)
       
  • Lymphangioma Circumscriptum in an Adult: An Unusual Oral Presentation

    • Authors: C Ganesh, GS Sangeetha, Vivek Narayanan, TN Umamaheswari
      Pages: 44 - 44
      Abstract: C Ganesh, GS Sangeetha, Vivek Narayanan, TN Umamaheswari
      Journal of Clinical Imaging Science 2013 3(1):44-44
      Lymphangioma is a benign hamartomatous tumor of lymphatic vessels. This lymphatic malformation is characterized by an abnormal proliferation of lymphatic vessels. Extra-oral lymphangiomas occur more frequently in the neck region predominantly in the posterior triangle, while intra-oral lymphangiomas are commonly seen in the tongue mainly on the dorsum surface. Various imaging modalities such as ultrasound and color Doppler are very useful in viewing the extent of the lesion. In most of the cases, surgical excision is the treatment of choice. The prognosis is good for most patients, but recurrence has also been reported in some cases, presumably because the lesion is interwoven between muscle fibers, preventing complete removal. This case report discusses the clinical features, color Doppler imaging, histopathology, and treatment of lymphangioma.
      Citation: Journal of Clinical Imaging Science 2013 3(1):44-44
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120779
      Issue No: Vol. 3, No. 1 (2013)
       
  • Giant Choledochal Cyst Mimicking Massive Gallbladder Hydrops in an Adult
           Patient: Multi Detector Computed Tomography and Magnetic Resonance Imaging
           Findings Correlated to Gross and Histopathological Findings

    • Authors: Joon-Il Choi, Chandana Lall, Puneet Bhargava, David K Imagawa
      Pages: 45 - 45
      Abstract: Joon-Il Choi, Chandana Lall, Puneet Bhargava, David K Imagawa
      Journal of Clinical Imaging Science 2013 3(1):45-45
      Choledochal cysts are uncommon congenital anomalies of the biliary tree, commonly presenting in infancy, generally in the 1 st year of life. Presentation in adult life is less common, accounting for 20% of cases. A 19-year-old female patient presented to the Emergency Department with severe abdominal distension, a palpable abdominal mass, mild jaundice and low grade fever. Ultrasound, computed tomography (CT) and magnetic resonance imaging of the abdomen showed a massive septated cystic lesion filling the entire abdomen with a significant mass effect on surrounding structures. Origin of the lesion was unclear and diagnosis included a giant mesenteric or duplication cyst, massive gallbladder with hydrops, biliary cystadenoma and giant choledochal cyst, among others. Final diagnosis was a Type IA choledochal cyst with massive asymmetric cystic dilatation of the extra-hepatic segments of the left hepatic duct with asymmetric dilatation of the right hepatic duct. Patient had an uneventful recovery after resection of the entire extrahepatic cyst and Roux-en-Y hepaticojejunostomy at the level of the hilum. In this article, we correlate CT and MRI findings to gross and histopathological findings of this giant Todani's Type IA choledochal cyst.
      Citation: Journal of Clinical Imaging Science 2013 3(1):45-45
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120785
      Issue No: Vol. 3, No. 1 (2013)
       
  • Radiographically Occult Latent Radiogenic Osteosarcoma Uncovered on Tc-99m
           Methylene-diphosphonate Bone Scintigraphy

    • Authors: Prashant Jolepalem, Raymond Y Yeow, Diane Cosner, John P Seitz
      Pages: 46 - 46
      Abstract: Prashant Jolepalem, Raymond Y Yeow, Diane Cosner, John P Seitz
      Journal of Clinical Imaging Science 2013 3(1):46-46
      We present a case of a 70-year-old male who was referred for a technetium-99m methylene-diphosphonate bone scan for mild left hip pain and an elevated alkaline phosphatase level of 770 units/L. No additional information was provided and the patient's history was limited due to a language barrier. We were able to ascertain that the patient had a remote history of prostate cancer, which had been treated with radiation. Originally, we felt the bone scan was compatible with Paget's disease; however, further work-up revealed the presence of osteosarcoma, which was potentially radiation-induced.
      Citation: Journal of Clinical Imaging Science 2013 3(1):46-46
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120786
      Issue No: Vol. 3, No. 1 (2013)
       
  • Truncus Arteriosus with Persistent Left Superior Vena Cava: Cardiac
           Computed Tomography Findings in an Unrepaired Adult Patient

    • Authors: Berhan Genç, Faik Fevzi Okur, Vedide Tavl&#305;, Aynur Solak
      Pages: 47 - 47
      Abstract: Berhan Genç, Faik Fevzi Okur, Vedide Tavlı, Aynur Solak
      Journal of Clinical Imaging Science 2013 3(1):47-47
      Truncus arteriosus (TA), a rare complex congenital cardiac disease in which systemic pulmonary and coronary circulations originate from a common vessel, develops due to failure of separation of the common trunk during embryonic life. In this case report, we discuss a 24-year-old patient with TA in whom a computed tomography angiography was performed. To the best of our knowledge, no case has been reported so far where an adult had combined left superior vena cava and pulmonary vein anomaly.
      Citation: Journal of Clinical Imaging Science 2013 3(1):47-47
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120787
      Issue No: Vol. 3, No. 1 (2013)
       
  • Concepts for Liver Segment Classification: Neither Old Ones nor New Ones,
           but a Comprehensive One

    • Authors: Jean H. D. Fasel, Andrea Schenk
      Pages: 48 - 48
      Abstract: Jean H. D. Fasel, Andrea Schenk
      Journal of Clinical Imaging Science 2013 3(1):48-48
      Concepts dealing with the subdivision of the human liver into independent vascular and biliary territories are applied routinely in radiological, surgical, and gastroenterological practice. Despite Couinaud's widely used eight-segments scheme, opinions on the issue differ considerably between authors. The aim of this article is to illustrate the scientific basis for understanding and harmonizing inconsistencies between seemingly contradictory observations. Possible clinical implications are addressed.
      Citation: Journal of Clinical Imaging Science 2013 3(1):48-48
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120803
      Issue No: Vol. 3, No. 1 (2013)
       
  • Superior Gluteal Artery Pseudoaneurysm Presenting as a Gluteal Mass: Case
           Report and Review of Literature

    • Authors: Sawsan Taif, Asim Derweesh, Maali Talib
      Pages: 49 - 49
      Abstract: Sawsan Taif, Asim Derweesh, Maali Talib
      Journal of Clinical Imaging Science 2013 3(1):49-49
      Aneurysms of the gluteal arteries are very rare with the majority being post-trauma pseudoaneurysms. Generally, management of these aneurysms could be surgical or through endovascular techniques. We present a case of a superior gluteal artery pseudoaneurysm complicating a pelvic fracture that presented as a gluteal mass. It was successfully treated by transcatheter coil embolization. We review the presentation, imaging, and treatment options. Aneurysms have to be considered in the differential diagnosis of soft tissue masses, therefore lesion intervention by aspiration or needle biopsy should not be tried before ruling out a possible vascular nature which will easily be revealed by ultrasound Doppler or computed tomography scans.
      Citation: Journal of Clinical Imaging Science 2013 3(1):49-49
      PubDate: Tue,29 Oct 2013
      DOI: 10.4103/2156-7514.120805
      Issue No: Vol. 3, No. 1 (2013)
       
  • Intrauterine Volvulus of Terminal Ileum Without Malrotation

    • Authors: Suheil Artul, George Habib, Amin Adawi, Bishara Mansour, William Nseir
      Pages: 50 - 50
      Abstract: Suheil Artul, George Habib, Amin Adawi, Bishara Mansour, William Nseir
      Journal of Clinical Imaging Science 2013 3(1):50-50
      Neonatal terminal ileum volvulus in the absence of malrotation has never been reported before in English literature. However, another similar rare entity known as neonatal primary segmental volvulus without malrotation has been reported before. Volvulus, in general, is an extreme emergency and cases not diagnosed in time lead to death. The main diagnosis is based on radiological features seen on imaging. We present a case of volvulus of terminal ileum that was diagnosed and surgically treated at age of 15 h ensuring the newborn survived. The definitive diagnosis was based mainly on ultrasonographic findings.
      Citation: Journal of Clinical Imaging Science 2013 3(1):50-50
      PubDate: Thu,28 Nov 2013
      DOI: 10.4103/2156-7514.122317
      Issue No: Vol. 3, No. 1 (2013)
       
  • Vena Caval Anomalies

    • Authors: Ramyah Rajakulasingam, Rohin Francis, Ramanan Rajakulasingam
      Pages: 51 - 51
      Abstract: Ramyah Rajakulasingam, Rohin Francis, Ramanan Rajakulasingam
      Journal of Clinical Imaging Science 2013 3(1):51-51
      Anomalous vena cavae can have significant implications for procedures on the right side of the heart. We report a rare anatomical configuration in a 44-year-old female, which to the best of our knowledge, is the first report of such an association. She had a bicuspid aortic valve in conjunction with a persistent left superior vena cava (PLSVC) draining into the coronary sinus, and a left-sided inferior vena cava (IVC) draining into a left superior vena cava via the hemiazygos vein. Comprehensive assessment of these anomalies is crucial given the widespread use of invasive cardiac procedures.
      Citation: Journal of Clinical Imaging Science 2013 3(1):51-51
      PubDate: Thu,28 Nov 2013
      DOI: 10.4103/2156-7514.122319
      Issue No: Vol. 3, No. 1 (2013)
       
  • Malignant Mesenchymal Renal Tumor: A Rare Case of Primary Renal
           Fibrosarcoma

    • Authors: Madanmohan Gupta, Nandini U Bahri, Pankaj Watal, Shilpa L Chudasama, Swetang G Brahmbhatt, Harinder Yant
      Pages: 52 - 52
      Abstract: Madanmohan Gupta, Nandini U Bahri, Pankaj Watal, Shilpa L Chudasama, Swetang G Brahmbhatt, Harinder Yant
      Journal of Clinical Imaging Science 2013 3(1):52-52
      Malignant mesenchymal neoplasms of kidney constitute a rare group of tumors. Primary fibrosarcoma of kidney is an extremely rare subtype of primary malignant mesenchymal renal neoplasms. An elderly female presented with a gradually increasing abdominal lump and mild abdominal discomfort. On cross-sectional imaging, the lesion showed features suggestive of an atypical renal mass not conforming to either ball or bean type growth pattern. The mass was surgically removed and on histopathological and immunohistological investigations diagnosed to be primary renal fibrosarcoma.
      Citation: Journal of Clinical Imaging Science 2013 3(1):52-52
      PubDate: Thu,28 Nov 2013
      DOI: 10.4103/2156-7514.122322
      Issue No: Vol. 3, No. 1 (2013)
       
  • Diffusion Tensor Imaging of the Kidneys: Influence of b-Value and Number
           of Encoding Directions on Image Quality and Diffusion Tensor Parameters

    • Authors: Natalie C Chuck, Günther Steidle, Iris Blume, Michael A Fischer, Daniel Nanz, Andreas Boss
      Pages: 53 - 53
      Abstract: Natalie C Chuck, Günther Steidle, Iris Blume, Michael A Fischer, Daniel Nanz, Andreas Boss
      Journal of Clinical Imaging Science 2013 3(1):53-53
      Objectives: The purpose of this study was to evaluate to which degree investment of acquisition time in more encoding directions leads to better image quality (IQ) and what influence the number of encoding directions and the choice of b-values have on renal diffusion tensor imaging (DTI) parameters. Material and Methods: Eight healthy volunteers (32.3 y ± 5.1 y) consented to an examination in a 1.5T whole-body MR scanner. Coronal DTI data sets of the kidneys were acquired with systematic variation of b-values (50, 150, 300, 500, and 700 s/mm 2 ) and number of diffusion-encoding directions (6, 15, and 32) using a respiratory-triggered echo-planar sequence (TR/TE 1500 ms/67 ms, matrix size 128 × 128). Additionally, two data sets with more than two b-values were acquired (0, 150, and 300 s/mm 2 and all six b-values). Parametrical maps were calculated on a pixel-by-pixel basis. Image quality was determined with a reader score. Results: Best IQ was visually assessed for images acquired with 15 and 32 encoding directions, whereas images acquired with six directions had significantly lower IQ ratings. Image quality, fractional anisotropy, and mean diffusivity only varied insignificantly for b-values between 300 and 500 s/mm 2 . In the renal medulla fractional anisotropy (FA) values between 0.43 and 0.46 and mean diffusivity (MD) values between 1.8-2.1 × 10 -3 mm 2 /s were observed. In the renal cortex, the corresponding ranges were 0.24-0.25 (FA) and 2.2-2.8 × 10 -3 mm 2 /s (MD). Including b-values below 300 s/mm 2 , notably higher MD values were observed, while FA remained constant. Susceptibility artifacts were more prominent in FA maps than in MD maps. Conclusion: In DTI of the kidneys at 1.5T, the best compromise between acquisition time and resulting image quality seems the application of 15 encoding directions with b-values between 300 and 500 s/mm 2 . Including lower b-values allows for assessment of fast diffusing spin components.
      Citation: Journal of Clinical Imaging Science 2013 3(1):53-53
      PubDate: Thu,28 Nov 2013
      DOI: 10.4103/2156-7514.122323
      Issue No: Vol. 3, No. 1 (2013)
       
  • Radiological Imaging Findings of a Case with Vertebral Osteoid Osteoma
           Leading to Brachial Neuralgia

    • Authors: Erkan Gokce, Erdogan Ayan, Fatih Çelikyay, Berat Acu
      Pages: 54 - 54
      Abstract: Erkan Gokce, Erdogan Ayan, Fatih Çelikyay, Berat Acu
      Journal of Clinical Imaging Science 2013 3(1):54-54
      Osteoid osteoma is a small, benign osteoblastic tumor consisting of a highly vascularized nidus of connective tissue surrounded by sclerotic bone. Three-quarters of osteoid osteomas are located in the long bones, and only 7-12% in the vertebral column. The classical clinical presentation of spinal osteoid osteoma is that of painful scoliosis. Other clinical features include nerve root irritation and night pain. Osteoid osteoma has characteristic computed tomography (CT) findings. Because magnetic resonance imaging (MRI) findings of the osteoid osteomas causing intense perinidal edema can be confusing, these patients should be evaluated with clinical findings and other imaging techniques. In this study, we present X-ray, CT, and MRI findings of a case with osteoid osteoma located in thoracic 1 vertebra left lamina and transverse process junction leading to brachial neuralgia symptoms.
      Citation: Journal of Clinical Imaging Science 2013 3(1):54-54
      PubDate: Thu,28 Nov 2013
      DOI: 10.4103/2156-7514.122324
      Issue No: Vol. 3, No. 1 (2013)
       
  • Computed Tomography Findings of an Unusual Maxillary Sinus Mass: Brown
           Tumor Due to Tertiary Hyperparathyroidism

    • Authors: Canan Altay, Nezahat Erdogan, Erdem Eren, Sedat Altay, Sebnem Karasu, Engin Uluç
      Pages: 55 - 55
      Abstract: Canan Altay, Nezahat Erdogan, Erdem Eren, Sedat Altay, Sebnem Karasu, Engin Uluç
      Journal of Clinical Imaging Science 2013 3(1):55-55
      Brown tumor is a non-neoplastic bone lesion that develops secondary to hyperparathyroidism and it is very rare in the maxillofacial region. We report the case of a 59-year-old man who presented with pain and a swelling in the left cheek. Computed tomography (CT) demonstrated an expansile and radioluscent lesion in the left maxillary sinus. Incisional biopsy was performed, and the diagnosis was Brown tumor. Brown tumor must be considered in the differential diagnosis of expansile lesions of maxillary sinus.
      Citation: Journal of Clinical Imaging Science 2013 3(1):55-55
      PubDate: Thu,28 Nov 2013
      DOI: 10.4103/2156-7514.122325
      Issue No: Vol. 3, No. 1 (2013)
       
  • Giant Renal Angiomyolipoma: Unusual Cause of Huge Abdominal Mass

    • Authors: Rajesh Taneja, Dig Vijay Singh
      Pages: 56 - 56
      Abstract: Rajesh Taneja, Dig Vijay Singh
      Journal of Clinical Imaging Science 2013 3(1):56-56
      We present the imaging and histopathological characteristics of a giant renal angiomyolipoma (AML) in a 49-year-old female patient, who presented with bloating sensation in the abdomen and a steadily increasing abdominal girth for about 3 years. Contrast enhanced computed tomography (CECT) scan films of abdomen revealed that a large fat containing tumor had replaced the left kidney while displacing the rest of the abdominal contents toward the other side of the midline. Intraoperatively the left kidney was completely replaced by a fat containing tumor. The recovered surgical specimen measured 39 cm × 25 cm × 9 cm and weighed 7500 g. Histopathological investigation with immuno-histochemical staining of the specimen with hydroxy beta-methylbutyric acid-45 confirmed this lesion as AML. CECT scan of the head did not show any lesion suggestive of tuberous sclerosis. The giant tumor of the present case is the heaviest AML in both syndromic and sporadic categories and largest by dimensions as sporadic AML ever reported in the literature.
      Citation: Journal of Clinical Imaging Science 2013 3(1):56-56
      PubDate: Thu,28 Nov 2013
      DOI: 10.4103/2156-7514.122326
      Issue No: Vol. 3, No. 1 (2013)
       
  • Endobronchial Ultrasound: A Useful Tool in the Diagnosis of Bronchogenic
           Cyst

    • Authors: Stamatis Katsenos, Jose Rojas-Solano, Heinrich D Becker
      Pages: 57 - 57
      Abstract: Stamatis Katsenos, Jose Rojas-Solano, Heinrich D Becker
      Journal of Clinical Imaging Science 2013 3(1):57-57
      Diagnosis of bronchogenic cysts is possible with computed tomography, where the cysts are seen usually as well-circumscribed lesions of water density. However, many of the cysts have a soft-tissue density thus rendering them indistinguishable from neoplasms. In this article, we describe a case of bronchogenic cyst presenting as soft-tissue mass that was evaluated and diagnosed by endobronchial ultrasound (EBUS). We discuss the ultrasound image characteristics of the cyst and its histopathology findings. EBUS seems to be a valuable tool in the diagnosis of bronchogenic cysts and also enables their complete aspiration.
      Citation: Journal of Clinical Imaging Science 2013 3(1):57-57
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124078
      Issue No: Vol. 3, No. 1 (2013)
       
  • Imaging Diagnosis of Neonatal Anemia: Report of Two Unusual Etiologies

    • Authors: Shabnam Bhandari Grover, G Rajalakshmi Preethi, Sumita Saluja, Ankit Bhargava
      Pages: 58 - 58
      Abstract: Shabnam Bhandari Grover, G Rajalakshmi Preethi, Sumita Saluja, Ankit Bhargava
      Journal of Clinical Imaging Science 2013 3(1):58-58
      Anemia in neonatal period is rare, with the common causes being Rh and ABO blood group incompatibility, hemorrhagic disease of newborn, congenital hemolytic anemia, hemoglobinopathies, and TORCH (toxoplasmosis, rubella, cytomegalovirus, herpes virus) infections. Congenital leukemia and infantile osteopetrosis (OP) are among the rare causes of neonatal anemia. A review of the literature shows approximately 200 reported cases of congenital leukemia. Articles describing the imaging features of congenital leukemia are still rarer. Infantile OP, another rare disorder with a reported incidence of 1 in 250,000 has characteristic imaging features, which are diagnostic of the disease. We report a case each, of two rare diseases: Congenital leukemia and infantile osteopetrosis. Additionally, our report highlights the radiological and imaging features of congenital leukemia and infantile OP and their crucial role in arriving at an early diagnosis.
      Citation: Journal of Clinical Imaging Science 2013 3(1):58-58
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124079
      Issue No: Vol. 3, No. 1 (2013)
       
  • Visualization of a Small Ventricular Septal Defect at First-pass
           Contrast-enhanced Cardiac Magnetic Resonance Imaging

    • Authors: Francesco Secchi, Antonello Giardino, Salvatore Fabiano, Vlasta Fesslova, Francesco Sardanelli
      Pages: 59 - 59
      Abstract: Francesco Secchi, Antonello Giardino, Salvatore Fabiano, Vlasta Fesslova, Francesco Sardanelli
      Journal of Clinical Imaging Science 2013 3(1):59-59
      Ventricular septal defect (VSD) is a congenital heart disease that accounts for up to 40% of all congenital cardiac malformations. VSD is a connection between right and left ventricle, through the ventricular septum. Echocardiography and magnetic resonance imaging (MRI) help identify this entity. This case presents a 12-year-old male diagnosed with a small muscular apical VSD of 3 mm in diameter, at echocardiography. Cardiac MRI using first-pass perfusion sequence, combining the right plane of acquisition with a short bolus of contrast material, clearly confirmed the presence of VSD.
      Citation: Journal of Clinical Imaging Science 2013 3(1):59-59
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124083
      Issue No: Vol. 3, No. 1 (2013)
       
  • Cystic and Cavitary Lung Lesions in Children: Radiologic Findings with
           Pathologic Correlation

    • Authors: Kemal Odev, Ibrahim Guler, Tamer Altinok, Sevgi Pekcan, Abdussamed Batur, Hüseyin Ozbiner
      Pages: 60 - 60
      Abstract: Kemal Odev, Ibrahim Guler, Tamer Altinok, Sevgi Pekcan, Abdussamed Batur, Hüseyin Ozbiner
      Journal of Clinical Imaging Science 2013 3(1):60-60
      A number of diseases produce focal or multiple thin-walled or thick-walled air- or fluid-containing cysts or cavitary lung lesions in both infants and children. In infants and children, there is a spectrum of focal or multifocal cystic and cavitary lung lesions including congenital lobar emphysema, congenital cystic adenomatoid malformation, pleuropulmonary blastoma, bronchogenic cyst, pulmonary sequestration, Langerhans cell histiocytosis, airway diseases, infectious diseases (bacterial infection, fungal infection, etc.), hydatid cysts, destroid lung, and traumatic pseudocyst. For the evaluation of cystic or cavitary lung lesion in infants and children, imaging plays an important role in accurate early diagnosis and optimal patient management. Therefore, a practical imaging approach based on the most sensitive and least invasive imaging modality in an efficient and cost-effective manner is paramount. We reviewed the conventional radiographs and computed tomography findings of the most common cystic and cavitary lung lesions in infants and children.
      Citation: Journal of Clinical Imaging Science 2013 3(1):60-60
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124087
      Issue No: Vol. 3, No. 1 (2013)
       
  • Adrenal Lesions: Spectrum of Imaging Findings with Emphasis on
           Multi-Detector Computed Tomography and Magnetic Resonance Imaging

    • Authors: Antonino Guerrisi, Daniele Marin, Mahbubeh Baski, Pietro Guerrisi, Federica Capozza, Carlo Catalano
      Pages: 61 - 61
      Abstract: Antonino Guerrisi, Daniele Marin, Mahbubeh Baski, Pietro Guerrisi, Federica Capozza, Carlo Catalano
      Journal of Clinical Imaging Science 2013 3(1):61-61
      The adrenal gland is a common site of a large spectrum of abnormalities like primary tumors, hemorrhage, metastases, and enlargement of the gland from external hormonal stimulation. Most of these lesions represent nonfunctioning adrenal adenomas and thus warrant a conservative management. Multi-detector computed tomography (CT) and magnetic resonance (MR) imaging are still considered highly specific and complementary techniques for the detection and characterization of adrenal abnormalities. Radiologist can establish a definitive diagnosis for most adrenal masses (i.e., carcinoma, hemorrhage) based on imaging alone. Imaging therefore can differentiate malignant lesions from those benign and avoid unnecessary aggressive management of benign lesions. The article gives an overview of the adrenal lesions and their imaging characteristics seen on CT and MR imaging.
      Citation: Journal of Clinical Imaging Science 2013 3(1):61-61
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124088
      Issue No: Vol. 3, No. 1 (2013)
       
  • Effect of Tube Voltage (100 vs. 120 kVp) on Radiation Dose and Image
           Quality using Prospective Gating 320 Row Multi-detector Computed
           Tomography Angiography

    • Authors: Atif N Khan, Faisal Khosa, Waqas Shuaib, Khurram Nasir, Ron Blankstein, Melvin Clouse
      Pages: 62 - 62
      Abstract: Atif N Khan, Faisal Khosa, Waqas Shuaib, Khurram Nasir, Ron Blankstein, Melvin Clouse
      Journal of Clinical Imaging Science 2013 3(1):62-62
      Objectives : The objective of the following study is to evaluate the effect of reducing tube voltage from 120 to 100 kVp using prospective gating 320 row multi-detector computed tomography angiography on image quality and reduction in radiation dose. Materials and Methods : A total of 78 sequential patients were scanned with prospective electrocardiogram gating. A total of 45 patients (Group 1) with mean body mass index (BMI) 29 ± 2 and heart rate (HR) 57 ± 7 beats per minute (BPM) were scanned at 120 kVp. 33 patients (Group 2) with mean BMI 23 ± 3 and HR 58 ± 6 bpm were scanned at 100 kVp. Effective dose was calculated using dose length product and factor (k = 0.014). Quantitative assessment of image quality was calculated by measuring signal to noise ratio (SNR) and contrast to noise ratio (CNR) in the left ventricle and left main coronary artery. Two experienced cardiac radiologists using a three-point ordinal scale assessed subjectively image quality. Results: In Group 1, the median radiation dose was 5.31 mSv (95% confidence interval [CI]: 4.86-6.09) and for Group 2 (P = 0.009) the mean radiation dose was 3.71 mSv (95% CI: 2.76-4.87), representing 30% decrease in radiation dose. In multivariate analyses, adjusting for age, gender, HR, BMI, tube current and scan length, an absolute median reduction of 2.21 mSv (1.13-3.29 mSv) was noted in patients scanned with 100 kVp (P < 0.0001). The quantitative image quality (SNR and CNR) was not statistically significant between the groups. Subjective image quality was rated as good or excellent in 99% of coronary segments for both groups (P value was considered as non-significant). Conclusion: Our study suggests that radiation dose may be lowered from 120 to 100 kVp with preservation of image quality in patient's whose BMI is ≤27.
      Citation: Journal of Clinical Imaging Science 2013 3(1):62-62
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124092
      Issue No: Vol. 3, No. 1 (2013)
       
  • Diffusion-weighted Magnetic Resonance Imaging in the Diagnosis of Bone
           Tumors: Preliminary Results

    • Authors: Yeliz Pekcevik, Mehmet Onur Kahya, Ahmet Kaya
      Pages: 63 - 63
      Abstract: Yeliz Pekcevik, Mehmet Onur Kahya, Ahmet Kaya
      Journal of Clinical Imaging Science 2013 3(1):63-63
      Objective: The study aims to determine whether apparent diffusion coefficient (ADC) can help differentiate benign and malignant bone tumors. Materials and Methods: From January 2012 to February 2013, we prospectively included 26 patients. Of these 15 patients were male and 11 were female; ranging in age from 8 to 76 years (mean age, 34.5 years). Diffusion-weighted magnetic resonance (MR) imaging was obtained with a single-shot echo-planar imaging sequence using a 1.5T MR scanner. We grouped malignant lesions as primary, secondary, and primary tumor with chondroid matrix. The minimum ADC was measured in the tumors and mean minimum ADC values were selected for statistical analysis. ADC values were compared between malignant and benign tumors using the Mann-Whitney U-test and receiver operating curve analysis were done to determine optimal cut-off values. Results: The mean ADC values from the area with lowest ADC values of benign and malignant tumors were 1.99 ± 0.57 × 10−3 mm 2 /s and 1.02 ± 1.0 × 10−3 mm 2 /s, respectively. The mean minimum ADC values of benign and malignant tumors were statistically different (P = 0.029). With cut-off value of 1.37 (10−3 mm 2 /s), sensitivity was 77.8% and specificity was 82.4%, for distinguishing benign and malignant lesion. Benign and secondary malignant tumors showed statistically significant difference (P = 0.002). There was some overlap in ADC values between benign and malignant tumors. The mean minimum ADC values of benign and malignant chondroid tumors were high. Giant cell tumor, non-ossifying fibroma and fibrous dysplasia showed lower ADC values. Conclusion: Although there is some overlap, ADC values of benign and malignant bone tumors seem to be different. Further studies with larger patient groups are needed to find an optimal cut-off ADC value.
      Citation: Journal of Clinical Imaging Science 2013 3(1):63-63
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124094
      Issue No: Vol. 3, No. 1 (2013)
       
  • Spectrum of High Resolution Computed Tomography Findings in Occupational
           Lung Disease: Experience in a Tertiary Care Institute

    • Authors: Satija Bhawna, UC Ojha, Sanyal Kumar, Rajiv Gupta, Dipti Gothi, RS Pal
      Pages: 64 - 64
      Abstract: Satija Bhawna, UC Ojha, Sanyal Kumar, Rajiv Gupta, Dipti Gothi, RS Pal
      Journal of Clinical Imaging Science 2013 3(1):64-64
      Objective: To study the spectrum of high resolution computed tomography (HRCT) findings in occupational lung disease in industrial workers and to assess the utility of International classification of HRCT for occupational and environmental respiratory diseases (ICHOERD). Materials and Methods: Retrospective analysis of radiological data (radiographs and computed tomography chest scans) gathered over a period of 3 years (January 2010- December 2012) of industrial workers in an organised sector who presented with respiratory complaints. The HRCT findings were evaluated using ICHOERD. Results: There were 5 females and 114 males in the study, with a mean age of 49 years. These workers were exposed to different harmful agents including silica, asbestos, cotton dust, metal dust, iron oxide, organic dust, rubber fumes, plastic fumes, acid fumes, and oil fumes. There were 10 smokers in the study. The radiograph of chest was normal in 53 patients. 46% of these normal patients (21.8% of total) demonstrated positive findings on HRCT. When the radiograph was abnormal, HRCT provided more accurate information and excluded the other diagnosis. The HRCT findings were appropriately described using the ICHOERD. Bronchiectasis was the most common finding (44.5%) with mild central cylindrical bronchiectasis as the most common pattern. Pleural thickening was seen in 41 patients (34.5%). Enlarged hilar or mediastinal lymphnodes were seen in 10 patients (8.4%) with egg-shell calcification in 1 patient exposed to silica. Bronchogenic carcinoma was seen in 1 patient exposed to asbestos. Conclusions: Occupational lung disease is a common work related condition in industrial workers even in the organized sector. Though chest radiograph is the primary diagnostic tool, HRCT is the undisputed Gold Standard for evaluation of these patients. Despite the disadvantage of radiation exposure, low dose CT may serve as an important tool for screening and surveillance. The ICHOERD is a powerful and reliable tool not only for diagnosis, but also for quantitative and analytical measurement of disease, thereby contributing to assessing the medical epidemiology of lung disease. It should always be used while evaluating HRCT of a patient with occupational lung disease.
      Citation: Journal of Clinical Imaging Science 2013 3(1):64-64
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124097
      Issue No: Vol. 3, No. 1 (2013)
       
  • Preliminary Clinical Experience with Digital Breast Tomosynthesis in the
           Visualization of Breast Microcalcifications

    • Authors: Stamatia V Destounis, Andrea L Arieno, Renee C Morgan
      Pages: 65 - 65
      Abstract: Stamatia V Destounis, Andrea L Arieno, Renee C Morgan
      Journal of Clinical Imaging Science 2013 3(1):65-65
      Objectives: To compare the visualization and image quality of microcalcifications imaged with digital breast tomosynthesis (DBT) versus conventional digital mammography. Materials and Methods: Patients with microcalcifications detected on full field digital mammography (FFDM) recommended for needle core biopsy were enrolled in the study after obtaining patient's consent and institutional review board approval (n = 177 patients, 179 lesions). All had a bilateral combination DBT exam, after undergoing routine digital mammography, prior to biopsy. The study radiologist reviewed the FFDM and DBT images in a non-blinded comparison and assessed the visibility of the microcalcifications with both methods, including image quality and clarity with which the calcifications were seen. Data recorded included patient demographics, lesion size on FFDM, DBT, and surgical excision (when applicable), biopsy, and surgical pathology, if any. Results: Average lesion size on DBT was 1.5 cm; average lesion size on FFDM was 1.4 cm. The image quality of DBT was assessed as equivalent or superior in 92.2% of cases. In 7.8% of the cases, the FFDM image quality was assessed as equivalent or superior. Conclusion: In our review, DBT image quality appears to be comparable to or better than conventional FFDM in terms of demonstrating microcalcifications, as shown in 92.2% of cases.
      Citation: Journal of Clinical Imaging Science 2013 3(1):65-65
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124099
      Issue No: Vol. 3, No. 1 (2013)
       
  • Contrast Enhanced Computed Tomography Characterization of
           Fluorodeoxygluocose-Avid Regional and Non-Regional Lymph Nodes in Patients
           with Suspicion of Metastatic Bladder Cancer

    • Authors: Muhammad A Chaudhry, Richard Wahl, Lujaien Al-Rubaiey Kadhim, Atif Zaheer
      Pages: 66 - 66
      Abstract: Muhammad A Chaudhry, Richard Wahl, Lujaien Al-Rubaiey Kadhim, Atif Zaheer
      Journal of Clinical Imaging Science 2013 3(1):66-66
      Objective: The objective of this study is to assess if size alone can predict the presence of metastatic disease within lymph nodes seen on contrast enhanced-computed tomography (CE-CT) in patients with suspicion of metastatic bladder cancer and also to evaluate the nodal distribution and morphological characteristics of fluorodeoxygluocose (FDG) avid lymph nodes on CE-CT. Materials and Methods: A retrospective analysis from 2002 to 2009 was performed on patients with suspicion of recurrent disease undergoing restaging FDG-positron emission tomography (PET)/CT. Standardized uptake value (SUVmax) adjusted for lean body mass was recorded in abnormal lymph nodes in the abdominopelvic region. Distribution, size, shape, presence of necrosis and clustering of the FDG-avid lymph nodes was assessed on CE-CT obtained within 4 weeks of the PET/CT. The abnormal nodes were then compared with non-FDG avid lymph nodes on the contralateral side serving as control. Results: A total of 103 lymph nodes were found to be FDG-avid in 14 patients on 17 PET/CT examinations. Overall, mean SULmax was 4.7 (range: 1.6-10.7), which is significantly higher than background of 1.5 (P < 0.05). Regional pelvic lymph nodes were FDG-avid in 93% of patients and metastatic extra-pelvic in 100% of patients. The overall average size of the FDG avid lymph nodes on CE-CT was 11 mm with a third of these measuring 3-8 mm. The average size of FDG-avid lymph nodes was 11 mm in the paraaortic region 13 mm in the common iliac 9 mm in the internal iliac and 13 mm in the external iliac regions. Nearly 88.4% of lymph nodes were round in shape, clustering was present in 68% and necrosis in 7% and average size of lymph nodes that served as controls was 6 mm with reniform morphology in 92% and absence of clustering and necrosis. Conclusion: Overlap in size exists between FDG-avid pathological and non-pathological lymph nodes seen on CE-CT in patients with metastatic bladder cancer. Other characteristic such as abnormal morphology and clustering are useful adjuncts in the evaluation of nodal metastatic disease.
      Citation: Journal of Clinical Imaging Science 2013 3(1):66-66
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124104
      Issue No: Vol. 3, No. 1 (2013)
       
  • Venous Intravasation as a Complication and Potential Pitfall During
           Hysterosalpingography: Re-Emerging Study with a Novel Classification

    • Authors: Abdurrahim Dusak, Hatice E Soydinc, Hakan Onder, Faysal Ekinci, Neval Y Görük, Cihat Hamidi, Aslan Bilici
      Pages: 67 - 67
      Abstract: Abdurrahim Dusak, Hatice E Soydinc, Hakan Onder, Faysal Ekinci, Neval Y Görük, Cihat Hamidi, Aslan Bilici
      Journal of Clinical Imaging Science 2013 3(1):67-67
      Objectives: Presently, hysterosalpingography (HSG) is used as a means to evaluate women with infertility and repetitive pregnancy loss. Venous intravasation is a complication and potential pitfall during HSG and analogous procedures including hysteroscopy. The aim of our study was to assess the venous intravasation and to obtain critical information for more secure and more accurate procedures. In particular, the primary goal of the present study was to compare HSG without and with intravasation to identify differences seen on HSG and to assess the predisposing factors of intravasation. The secondary goal was to describe clinical- and imaging-based novel classification of intravasation. Materials and Methods: This study included a patient cohort of 569 patients who underwent HSG between 2008 and 2011 at our center in the absence (control group) or presence (study group) of intravasation. Intravasation classified from level 0 (no intravasation) to level 3 (severe intravasation) was compared with preprocedural (demographic and clinical) and procedural (HSG) data. Data were analyzed using Statistical Package for Social Sciences (SPSS) statistical software. Results: Of the 569 patients undergoing HSG, 528 showed no intravasation and 41 (7.2%) patients showed intravasation when associated with preprocedural (leukocytes, menometrorrhagia, secondary infertility, ectopic pregnancy, abortus, polycystic ovaries, endometriosis, and interventions) and procedural (pain, scheduling, endometrial-uterine nature, and spillage) parameters. Moreover, intravasation was lower in women with smooth endometrium, triangular uterus, and homogeneous peritoneal spillage. No association was found between age, tubal patency, increased pressure, and intravasation. Conclusions: Using a novel classification method, intravasation can be observed in women during HSG and associates with preprocedural and procedural predisposing factors in subsumed conditions. This classification method will be useful for improving the efficiency and accuracy of HSG and related procedures by minimization of severe complications caused by intravasation.
      Citation: Journal of Clinical Imaging Science 2013 3(1):67-67
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124105
      Issue No: Vol. 3, No. 1 (2013)
       
  • Double Coronary Artery Anomaly in an Elderly Asymptomatic Patient with
           Positive Electrocardiogram Stress Test

    • Authors: Giuseppe Cannavale, Fabiana Trulli, Marco Colotto
      Pages: 68 - 68
      Abstract: Giuseppe Cannavale, Fabiana Trulli, Marco Colotto
      Journal of Clinical Imaging Science 2013 3(1):68-68
      Malignant coronary artery anomalies and myocardial bridging are more common findings in young patients with cardiac symptoms, but these two associated yet different types of anomalies in an elderly patient has been rarely described. The following case describes the diagnostic use of 128-slice coronary-computed tomography images of an 82-year-old male, former professional soccer player, who reached the age of 82 years without any symptoms of coronary heart disease. In this patient, an association of a malignant coronary artery anomaly of origin and course (left descending coronary artery originating from the right sinus of valsalva running between the aorta and the right ventricular outflow tract), together with a long myocardial bridging over the obtuse marginal branch was diagnosed by multi-slice computed tomography thanks to an initial positive electrocardiogram screening stress test.
      Citation: Journal of Clinical Imaging Science 2013 3(1):68-68
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124106
      Issue No: Vol. 3, No. 1 (2013)
       
  • A Rare Case of Pericallosal Lipoma Associated with Bilaterally Symmetrical
           Lateral Ventricular Choroid Plexus Lipomas without Corpus Callosal
           Anomalies

    • Authors: Parag Suresh Mahajan, Nawal M Al Moosawi, Islam Ali Hasan
      Pages: 69 - 69
      Abstract: Parag Suresh Mahajan, Nawal M Al Moosawi, Islam Ali Hasan
      Journal of Clinical Imaging Science 2013 3(1):69-69
      Lipomas constitute less than 5% of primary brain tumors. Pericallosal lipomas (PCLp) constitute almost half of all intracranial lipomas. Corpus callosal anomalies commonly occur in cases with PCLps. Although PCLp is often described as corpus callosal lipoma, it is most often pericallosal in location. PCLps may have calcification in the periphery and may continue into lateral ventricles, which is a very rare presentation. We observed a case of PCLp with peripheral calcifications associated with PCLp continuing as bilaterally symmetrical lateral ventricular choroid plexus lipomas (CPLp) without any corpus callosal or other central nervous system anomalies, and as this is not been previously reported, we are presenting it. The appearance of PCLp in this case does not correspond to the descriptions of any of the existing morphological types (anterior and posterior) of classification of PCLps; it is rather mixed, where PCLp occupies both anterior and posterior locations around the corpus callosum.
      Citation: Journal of Clinical Imaging Science 2013 3(1):69-69
      PubDate: Tue,31 Dec 2013
      DOI: 10.4103/2156-7514.124109
      Issue No: Vol. 3, No. 1 (2013)
       
  • Arachnoid Pit and Extensive Sinus Pnematization as the Cause of
           Spontaneous Lateral Intrasphenoidal Encephalocele

    • Authors: Ali AlMontasheri, Bandar Al-Qahtani, Nader Aldajani
      Pages: 1 - 1
      Abstract: Ali AlMontasheri, Bandar Al-Qahtani, Nader Aldajani
      Journal of Clinical Imaging Science 2012 2(1):1-1
      Lateral sphenoid encephalocele, especially within the lateral aspect of the sphenoid sinus, when the sphenoid sinus has pneumatized extensively into the pterygoid recess, are considered exceedingly rare. We report a rare case of lateral intrasphenoidal encephalocele with spontaneous cerebral spinal fluid (CSF) rhinorrhea. Computed tomography demonstrated bilateral arachnoid pit, extensive sphenoid sinus pneumatization, and a defect in the superior wall of the left lateral recess of the sphenoid sinus. Magnetic resonance imaging demonstrated anteromedial temporal lobe herniating through the bony defect.
      Citation: Journal of Clinical Imaging Science 2012 2(1):1-1
      PubDate: Fri,27 Jan 2012
      DOI: 10.4103/2156-7514.92363
      Issue No: Vol. 2, No. 1 (2012)
       
  • Radiological Imaging Features of Fasciola hepatica Infection
           &#8722; A Pictorial Review

    • Authors: Abdurrahim Dusak, Mehmet R Onur, Mutalip Cicek, Ugur Firat, Tianbo Ren, Vikram S Dogra
      Pages: 2 - 2
      Abstract: Abdurrahim Dusak, Mehmet R Onur, Mutalip Cicek, Ugur Firat, Tianbo Ren, Vikram S Dogra
      Journal of Clinical Imaging Science 2012 2(1):2-2
      Fascioliasis refers to a zoonosis caused by Fasciola hepatica, a trematode infecting herbivores, but also occurs in humans who ingest the metacercaria found in fresh water plants. Infection in humans is common in developing countries and is also not uncommon in Europe. Diagnosis of this infection is difficult, as the history and symptoms are nonspecific and stool analysis for eggs is negative until the disease is in an advanced state by when the parasite has reached the biliary system. The clinical course consists of two phases; first a hepatic parenchymal phase in which immature larvae invade the liver parenchyma, followed by a ductal phase characterized by the excretion of larvae into the bile ducts. Parenchymal Phase: Ultrasonography (US) findings are nonspecific in this early phase. Computerized tomography (CT) may demonstrate subcapsular low attenuation regions in the liver. Magnetic Resonance imaging (MRI) can also be utilized to establish liver parenchymal involvement, and is better than CT in characterizing hemorrhagic lesions, as well as identifying more lesions relative to CT. Ductal Phase: US examination is most useful at this stage, with its ability to demonstrate the live movement of the worms within the dilated ducts. A CT demonstrates dilated central biliary ducts with periportal tracking, whereas, mild ductal dilatation is poorly appreciated under MRI. Therefore, familiarity with the multimodality imaging features of fascioliasis, in combination with an available confirmatory enzyme-linked immunoassay, would be most helpful for early diagnosis.
      Citation: Journal of Clinical Imaging Science 2012 2(1):2-2
      PubDate: Fri,27 Jan 2012
      DOI: 10.4103/2156-7514.92372
      Issue No: Vol. 2, No. 1 (2012)
       
  • Acute Concomitant Anterior Cruciate Ligament and Patellar Tendon Tears in
           a Non-dislocated Knee

    • Authors: Robert D Wissman, Nathaniel Vonfischer, Kari Kempf
      Pages: 3 - 3
      Abstract: Robert D Wissman, Nathaniel Vonfischer, Kari Kempf
      Journal of Clinical Imaging Science 2012 2(1):3-3
      Anterior cruciate ligament (ACL) tears are common and may occur in isolation or with other internal derangements of the joint. Tears of the patellar tendon (PT) occur less frequently and are rarely associated with intra-articular pathology. Acute combined tears of both the ACL and PT are known complications of high-energy traumatic knee dislocations. We present a case of an acute concomitant ACL and PT tears in a low-energy non-dislocated knee. To our knowledge, this injury has only been described in a limited number of case reports in the orthopedic literature. We present the imaging findings of this combined injury and discuss the importance of magnetic resonance (MR) in diagnosis.
      Citation: Journal of Clinical Imaging Science 2012 2(1):3-3
      PubDate: Sat,18 Feb 2012
      DOI: 10.4103/2156-7514.93035
      Issue No: Vol. 2, No. 1 (2012)
       
  • An unusual case of extraosseous accumulation of bone scan tracer in a
           renal calculus - demonstration by SPECT-CT

    • Authors: Prathamesh Vijay Joshi, Vikram Lele, Rozil Gandhi
      Pages: 4 - 4
      Abstract: Prathamesh Vijay Joshi, Vikram Lele, Rozil Gandhi
      Journal of Clinical Imaging Science 2012 2(1):4-4
      Extraosseous localization of radioisotope, used in bone scan, in a variety of physiological and pathological conditions is a well-known phenomenon. The causes of extraosseous accumulation of bone-seeking radiotracers should be kept in mind when bone-imaging studies are reviewed to avoid incorrect interpretations. We report an extremely rare occurrence of extraosseous accumulation of bone scintigraphy tracer in a renal calculus, in a patient with adenocarcinoma of prostate, that was demonstrated by Single Photon Emission Computed Tomography and Computed Tomography (SPECT-CT) fusion imaging.
      Citation: Journal of Clinical Imaging Science 2012 2(1):4-4
      PubDate: Sat,18 Feb 2012
      DOI: 10.4103/2156-7514.93036
      Issue No: Vol. 2, No. 1 (2012)
       
  • Fibrochondrogenesis, an Antenatal and Postnatal Correlation

    • Authors: Nischal G Kundaragi, Kishor Taori, Chetan Jathar, Amit Disawal
      Pages: 5 - 5
      Abstract: Nischal G Kundaragi, Kishor Taori, Chetan Jathar, Amit Disawal
      Journal of Clinical Imaging Science 2012 2(1):5-5
      Fibrochondrogenesis is a rare, neonatally lethal osteochondrodysplasia, with autosomal recessive inheritance. It differs from other lethal dwarfisms in that it leads to broad, long-bone metaphyses (dumb-bell shaped) and pear-shaped vertebral bodies. We report a case of fibrochondrogenesis with severe pear-shaped platyspondyly, suspected antenatally, and give a comprehensive pictorial review of the antenatal ultrasound and postnatal radiographic findings. Only few cases of fibrochondrogenesis are diagnosed before the termination of pregnancy.
      Citation: Journal of Clinical Imaging Science 2012 2(1):5-5
      PubDate: Sat,18 Feb 2012
      DOI: 10.4103/2156-7514.93037
      Issue No: Vol. 2, No. 1 (2012)
       
  • Krukenberg Tumor: A Rare Cause of Ovarian Torsion

    • Authors: Sameer Sandhu, Omar Arafat, Harshad Patel, Chandana Lall
      Pages: 6 - 6
      Abstract: Sameer Sandhu, Omar Arafat, Harshad Patel, Chandana Lall
      Journal of Clinical Imaging Science 2012 2(1):6-6
      Ovarian torsion is the fifth most common gynecological surgical emergency. Ovarian torsion is usually associated with a cyst or a tumor, which is typically benign. The most common is mature cystic teratoma. We report the case of a 43-year-old woman who came to the Emergency Department with rare acute presentation of bilateral Krukenberg tumors, due to unilateral ovarian torsion. In this case report, we highlight the specific computed tomography (CT) features of ovarian torsion and demonstrate the unique radiological findings on CT imaging. Metastasis to the ovary is not rare and 5 to 10% of all ovarian malignancies are metastatic. The stomach is the common primary site in most Krukenberg tumors (70%); an acute presentation of metastatic Krukenberg tumors with ovarian torsion is rare and not previously reported in radiology literature.
      Citation: Journal of Clinical Imaging Science 2012 2(1):6-6
      PubDate: Sat,18 Feb 2012
      DOI: 10.4103/2156-7514.93038
      Issue No: Vol. 2, No. 1 (2012)
       
  • Dedicated Cone-beam Breast Computed Tomography and Diagnostic Mammography:
           Comparison of Radiation Dose, Patient Comfort, And Qualitative Review of
           Imaging Findings in BI-RADS 4 and 5 Lesions

    • Authors: Avice M O'Connell, Daniel Kawakyu-O'Connor
      Pages: 7 - 7
      Abstract: Avice M O'Connell, Daniel Kawakyu-O'Connor
      Journal of Clinical Imaging Science 2012 2(1):7-7
      Objective: This pilot study was undertaken to compare radiation dose, relative visibility/conspicuity of biopsy-proven lesions, and relative patient comfort in diagnostic mammography and dedicated cone-beam breast computed tomography (CBBCT) in Breast Imaging-Reporting and Data System (BI-RADS)® 4 or 5 lesions. Materials and Methods: Thirty-six consecutive patients (37 breasts) with abnormal mammographic and/or ultrasound categorized as BI-RADS® 4 or 5 lesions were evaluated with CBBCT prior to biopsy. Administered radiation dose was calculated for each modality. Mammograms and CBBCT images were compared side-by-side and lesion visibility/conspicuity was qualitatively scored. Histopathology of lesions was reviewed. Patients were administered a survey for qualitative evaluation of comfort between the two modalities. Results: CBBCT dose was similar to or less than diagnostic mammography, with a mean dose of 9.4 mGy (±3.1 SD) for CBBCT vs. 16.9 mGy (±6.9 SD) for diagnostic mammography in a total of 37 imaged breasts (P
      Citation: Journal of Clinical Imaging Science 2012 2(1):7-7
      PubDate: Sat,25 Feb 2012
      DOI: 10.4103/2156-7514.93274
      Issue No: Vol. 2, No. 1 (2012)
       
  • Aggressive Form of Cherubism

    • Authors: GV Reddy, G Siva Prasad Reddy, NVS Sekhar Reddy, Raj Kumar Badam
      Pages: 8 - 8
      Abstract: GV Reddy, G Siva Prasad Reddy, NVS Sekhar Reddy, Raj Kumar Badam
      Journal of Clinical Imaging Science 2012 2(1):8-8
      Cherubism is a rare non-neoplastic hereditary disease related to genetic mutations characterized by symmetrically swollen cheeks, particularly over the angles of the mandible, and an upward turning of the eyes. The affected mandible and maxilla begin to swell in early childhood, and gradually increase until the age of puberty. Apparently, surgical intervention is unnecessary unless significant functional, esthetic, or emotional disturbances develop. In the present paper, we report a case of cherubism, with classic features that was classified as grade 3, managed with surgery and followed up for 2-years after treatment.
      Citation: Journal of Clinical Imaging Science 2012 2(1):8-8
      PubDate: Sat,25 Feb 2012
      DOI: 10.4103/2156-7514.93275
      Issue No: Vol. 2, No. 1 (2012)
       
  • Asymptomatic Incidental Ductal Carcinoma in situ in a Male Breast
           Presenting with Contralateral Gynecomastia

    • Authors: Laura M Isley, Rebecca J Leddy, Tihana Rumboldt, Jacqueline M Bernard
      Pages: 9 - 9
      Abstract: Laura M Isley, Rebecca J Leddy, Tihana Rumboldt, Jacqueline M Bernard
      Journal of Clinical Imaging Science 2012 2(1):9-9
      Ductal carcinoma in situ (DCIS) in males is rare and usually presents with symptoms on the affected side, such as, palpable mass or bloody nipple discharge. Even as DCIS has been reported in conjunction with gynecomastia in the same breast, we report an unusual case of a 62-year-old Caucasian male, with no family history of breast cancer, who presented with symptomatic side gynecomastia, and was incidentally found to have DCIS in a completely asymptomatic left breast. To the best of our knowledge, this case is the first report in literature of asymptomatic, incidentally discovered DCIS in a male patient.
      Citation: Journal of Clinical Imaging Science 2012 2(1):9-9
      PubDate: Mon,19 Mar 2012
      DOI: 10.4103/2156-7514.94021
      Issue No: Vol. 2, No. 1 (2012)
       
  • Deep Circumflex Iliac Artery Pseudoaneurysm as a Complication of
           Paracentesis

    • Authors: Bhawna Satija, Sanyal Kumar, Ramnik K Duggal, Supreethi Kohli
      Pages: 10 - 10
      Abstract: Bhawna Satija, Sanyal Kumar, Ramnik K Duggal, Supreethi Kohli
      Journal of Clinical Imaging Science 2012 2(1):10-10
      We report a case of a pseudoaneurysm arising from the deep circumflex iliac artery, in an end-stage renal disease patient with gross ascitis, presenting with an anterior abdominal wall hematoma following paracentesis. Duplex Doppler sonography confirmed the presence of the pseudoaneurysm and multidetector computed tomography angiography delineated the detailed arterial anatomy.
      Citation: Journal of Clinical Imaging Science 2012 2(1):10-10
      PubDate: Mon,19 Mar 2012
      DOI: 10.4103/2156-7514.94022
      Issue No: Vol. 2, No. 1 (2012)
       
  • Asymptomatic Thymic Cyst Appearing in the Neck on Valsalva: Unusual
           Presentation of a Rare Disease

    • Authors: Kishor V Hegde, P Suneetha, PV Pradeep, Panil Kumar
      Pages: 11 - 11
      Abstract: Kishor V Hegde, P Suneetha, PV Pradeep, Panil Kumar
      Journal of Clinical Imaging Science 2012 2(1):11-11
      Thymic cysts are usually diagnosed accidentally during radiological evaluation of the chest for unrelated conditions. Symptoms appear late when the mass compresses on adjoining tissues. We report an unusual case of asymptomatic mediastinal thymic cyst which was seen in the neck whenever the patient was asked to perform Valsalva maneuver. This case is being reported for the unusual clinical presentation of a rare disease. The role of imaging in the diagnosis and common differential diagnoses are also discussed.
      Citation: Journal of Clinical Imaging Science 2012 2(1):11-11
      PubDate: Mon,19 Mar 2012
      DOI: 10.4103/2156-7514.94026
      Issue No: Vol. 2, No. 1 (2012)
       
  • Assessing the Performance of Imaging Health Systems in Five Selected
           Hospitals in Uganda

    • Authors: Michael G Kawooya, George Pariyo, Elsie Kiguli Malwadde, Rosemary Byanyima, Harriet Kisembo
      Pages: 12 - 12
      Abstract: Michael G Kawooya, George Pariyo, Elsie Kiguli Malwadde, Rosemary Byanyima, Harriet Kisembo
      Journal of Clinical Imaging Science 2012 2(1):12-12
      Objectives : The first objective of the study was to develop an index termed as the 'Imaging Coverage' (IC), for measuring the performance of the imaging health systems. This index together with the Hospital-Based Utilization (HBU) would then be calculated for five Ugandan hospitals. Second, was to relate the financial resources and existing health policy to the performance of the imaging systems. Materials and Methods: This was a cross-sectional survey employing the triangulation methodology, conducted in Mulago National Referral Hospital. The qualitative study used cluster sampling, in-depth interviews, focus group discussions, and self-administered questionnaires to explore the non-measurable aspects of the imaging systems' performances. Results: The IC developed and tested as an index for the imaging system's performance was 36%. General X-rays had the best IC followed by ultrasound. The Hospital-Based Utilization for the five selected hospitals was 186 per thousand and was the highest for general radiography followed by ultrasound. Conclusion: The IC for the five selected hospitals was 36% and the HBU was 186 per thousand, reflecting low performance levels, largely attributable to inadequate funding. There were shortfalls in imaging requisitions and inefficiencies in the imaging systems, financing, and health policy. Although the proportion of inappropriate imaging was small, reducing this inappropriateness even further would lead to a significant total saving, which could be channeled into investigating more patients. Financial resources stood out as the major limitation in attaining the desired performance and there is a need to increase budget funding so as to improve the performance of the imaging health systems.
      Citation: Journal of Clinical Imaging Science 2012 2(1):12-12
      PubDate: Thu,22 Mar 2012
      DOI: 10.4103/2156-7514.94225
      Issue No: Vol. 2, No. 1 (2012)
       
  • Imaging Techniques in Endodontics: An Overview

    • Authors: BS Deepak, TS Subash, VJ Narmatha, T Anamika, TK Snehil, DB Nandini
      Pages: 13 - 13
      Abstract: BS Deepak, TS Subash, VJ Narmatha, T Anamika, TK Snehil, DB Nandini
      Journal of Clinical Imaging Science 2012 2(1):13-13
      This review provides an overview of the relevance of imaging techniques such as, computed tomography, cone beam computed tomography, and ultrasound, to endodontic practice. Many limitations of the conventional radiographic techniques have been overcome by the newer methods. Advantages and disadvantages of various imaging techniques in endodontic practice are also discussed.
      Citation: Journal of Clinical Imaging Science 2012 2(1):13-13
      PubDate: Thu,22 Mar 2012
      DOI: 10.4103/2156-7514.94227
      Issue No: Vol. 2, No. 1 (2012)
       
  • Focal Lipoatrophy of Face: A Rare Esthetic Complaint

    • Authors: K Anbarasi, S Sathasivasubramanian, CL Krithika, PM VenkataSai
      Pages: 14 - 14
      Abstract: K Anbarasi, S Sathasivasubramanian, CL Krithika, PM VenkataSai
      Journal of Clinical Imaging Science 2012 2(1):14-14
      A well-proportioned face combines features that are balanced and symmetrical. Any structural alteration that leads to facial asymmetry causes esthetical and psychological disturbances. Lipoatrophy is one such condition, which results in loss of subcutaneous fat layer and manifests as a depression. Although many subtypes with varying clinical and etiological backgrounds exist, the idiopathic form is rare and facial involvement is the rarest. Computed tomography is one of the accepted diagnostic tools to determine the atrophic layer of facial anatomy. This report presents the clinical types, diagnosis, and management of a case of facial lipoatrophy.
      Citation: Journal of Clinical Imaging Science 2012 2(1):14-14
      PubDate: Thu,22 Mar 2012
      DOI: 10.4103/2156-7514.94229
      Issue No: Vol. 2, No. 1 (2012)
       
  • Post-traumatic Cavernosal Artery Pseudoaneurysm Presenting as Right Hip
           Pain: An Imaging Evaluation

    • Authors: Aarthi Govindarajan, PM Venkata Sai, C Anupama, S Santhosh Joseph
      Pages: 15 - 15
      Abstract: Aarthi Govindarajan, PM Venkata Sai, C Anupama, S Santhosh Joseph
      Journal of Clinical Imaging Science 2012 2(1):15-15
      Pseudoaneurysm of the cavernosal artery is quite rare. Herein, we describe color Doppler findings of post-traumatic pseudoaneurysm of the right cavernosal artery in a 19-year-old adolescent boy who presented with right hip pain. Doppler showed turbulence of flow with arterial inflow and outflow from the Pseudoaneurysm of the cavernosal artery is quite rare. Herein, we describe color Doppler findings of post-traumatic pseudoaneurysm of the right cavernosal artery in a 19-year-old adolescent boy who presented with right hip pain. Doppler showed turbulence of flow with arterial inflow and outflow from the aneurysm. Selective transarterial catheterization of the internal iliac and internal pudental artery with microcatheter and embolization of pseudoaneurysm using histocryl resulted in alleviation of symptoms.aneurysm. Selective transarterial catheterization of the internal iliac and internal pudental artery with microcatheter and embolization of pseudoaneurysm using histocryl resulted in alleviation of symptoms.
      Citation: Journal of Clinical Imaging Science 2012 2(1):15-15
      PubDate: Thu,22 Mar 2012
      Issue No: Vol. 2, No. 1 (2012)
       
  • An Unusual Case of Gallium Scan Mimicking a Bone Scan

    • Authors: Ameya Puranik, Karuna Luthra, RD Lele
      Pages: 16 - 16
      Abstract: Ameya Puranik, Karuna Luthra, RD Lele
      Journal of Clinical Imaging Science 2012 2(1):16-16
      Gallium-67 localization is based on the fact that it binds to plasma proteins like transferrin and lactoferrin, which have iron-binding sites. Abnormal biodistribution of gallium-67 citrate can occur in iron-overload states. We report one such case of gallium scan mimicking a bone scan due to skeletal uptake of gallium.
      Citation: Journal of Clinical Imaging Science 2012 2(1):16-16
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95430
      Issue No: Vol. 2, No. 1 (2012)
       
  • Agenesis of the Gallbladder with the Presence of a Small Dysmorphic Cyst:
           Role of Magnetic Resonance Cholangiopancreatography

    • Authors: Antonio Pierro, Matia Martucci, Giuseppina Maselli, Alessandra Farchione
      Pages: 17 - 17
      Abstract: Antonio Pierro, Matia Martucci, Giuseppina Maselli, Alessandra Farchione
      Journal of Clinical Imaging Science 2012 2(1):17-17
      We report a case of agenesis of the gallbladder with the presence of a small dysmorphic cyst, along the bed of the gallbladder and cystic duct. The patient presented to us with a suspected diagnosis of atrophic and sclerotic gallbladder that was not seen on ultrasound examination, indicating the need for cholecystectomy. The patient's medical history report mentioned agenesis of the left kidney. The existence of a congenital abnormality led us to suspect the inability to visualize the gallbladder was probably due to a possible agenesis of the gallbladder. The patient was investigated with magnetic resonance cholangiopancreatography (MRCP), that confirmed the suspected diagnosis and avoided unnecessary surgery. The hypothesis of anomalous development or agenesis of the gallbladder should always be suspected when the gallbladder is not visible on ultrasound imaging, especially in patients with other congenital anomalies. We believe that in all these patients, MRCP must always be performed to help make decisions on the treatment protocol.
      Citation: Journal of Clinical Imaging Science 2012 2(1):17-17
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95431
      Issue No: Vol. 2, No. 1 (2012)
       
  • Report of Two Siblings with Overlapping Features of Ellis-van Creveld and
           Weyers Acrodental Dysostosis

    • Authors: Devi C Shetty, Harkanwal P Singh, Prince Kumar, Chanchal Verma
      Pages: 18 - 18
      Abstract: Devi C Shetty, Harkanwal P Singh, Prince Kumar, Chanchal Verma
      Journal of Clinical Imaging Science 2012 2(1):18-18
      Skeletal dysplasias are a heterogenous group of disorders combining abnormalities in the skull and other skeletal bones. Weyers acrofacial dysostosis also known as Weyers acrodental dysostosis was first described in 1952, by Weyers, as a postaxial polydactyly, which had features distinct from, yet some in common with the Ellis-van Creveld Syndrome (EvC). Both the syndromes have been mapped to the same chromosome, 4p16. The cases reported here highlight the overlapping features of both syndromes, which are dissimilar in mode of inheritance and phenotypic severity, emphasizing the need for genetic analysis, to categorize these conditions.
      Citation: Journal of Clinical Imaging Science 2012 2(1):18-18
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95432
      Issue No: Vol. 2, No. 1 (2012)
       
  • Rupture of Plantaris Muscle - A Mimic: MRI Findings

    • Authors: TN Gopinath, J Jagdish, K Krishnakiran, PC Shaji
      Pages: 19 - 19
      Abstract: TN Gopinath, J Jagdish, K Krishnakiran, PC Shaji
      Journal of Clinical Imaging Science 2012 2(1):19-19
      Calf muscle trauma commonly involves the gastrocnemius and soleus muscles. Plantaris muscle is a vestigial muscle coursing through the calf. Similar clinical features may be seen with injury to the plantaris muscle. It can also mimic other conditions like deep vein thrombosis, rupture of Baker's cyst, and tumors. MRI is helpful in identifying and characterizing it. We report two cases of ruptured plantaris muscle seen on MRI.
      Citation: Journal of Clinical Imaging Science 2012 2(1):19-19
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95433
      Issue No: Vol. 2, No. 1 (2012)
       
  • Idiopathic Thrombus in the Common Carotid Artery on Digital Subtraction
           Angiography

    • Authors: Anand Alurkar, Lakshmi Sudha Prasanna Karanam, Suresh Nayak, Sagar Oak
      Pages: 20 - 20
      Abstract: Anand Alurkar, Lakshmi Sudha Prasanna Karanam, Suresh Nayak, Sagar Oak
      Journal of Clinical Imaging Science 2012 2(1):20-20
      In the present study, we discuss the accuracy of digital subtraction angiography (DSA) in diagnosis of thrombus in the common carotid artery and its role in the medical management of this disorder. Between 2006 and 2011, four patients (age group ranging from 26 to 48 years) presented to our institution with symptoms of stroke. DSA in all these patients showed cigar-shaped filling defect in the common carotid artery. All the patients were managed successfully with anticoagulation treatment. Follow-up Duplex scan was done in all the patients. DSA is the gold standard to diagnose free floating thrombus in the common carotid artery. Medical management can be effective in these patients but a multidisciplinary team approach is needed for appropriate management.
      Citation: Journal of Clinical Imaging Science 2012 2(1):20-20
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95434
      Issue No: Vol. 2, No. 1 (2012)
       
  • Review of Metaplastic Carcinoma of the Breast: Imaging Findings and
           Pathologic Features

    • Authors: Rebecca Leddy, Abid Irshad, Tihana Rumboldt, Abbie Cluver, Amy Campbell, Susan Ackerman
      Pages: 21 - 21
      Abstract: Rebecca Leddy, Abid Irshad, Tihana Rumboldt, Abbie Cluver, Amy Campbell, Susan Ackerman
      Journal of Clinical Imaging Science 2012 2(1):21-21
      Metaplastic carcinoma (MPC), an uncommon but often aggressive breast cancer, can be challenging to differentiate from other types of breast cancer and even benign lesions based on the imaging appearance. It has a variable pathology classification system. These types of tumors are generally rapidly growing palpable masses. MPCs on imaging can present with imaging features similar to invasive ductal carcinoma and probably even benign lesions. The purpose of this article is to review MPC of the breast including the pathology subtypes, imaging features, and imaging pathology correlations. By understanding the clinical picture, pathology, and overlap in imaging characteristics of MPC with invasive ductal carcinoma and probably benign lesions can assist in diagnosing these difficult malignancies.
      Citation: Journal of Clinical Imaging Science 2012 2(1):21-21
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95435
      Issue No: Vol. 2, No. 1 (2012)
       
  • Prenatal Diagnosis of Amniotic Band Syndrome in the Third Trimester of
           Pregnancy using 3D Ultrasound

    • Authors: Luciano Marcondes Machado Nardozza, Edward Araujo, Ana Carolina Rabachini Caetano, Antonio Fernandes Moron
      Pages: 22 - 22
      Abstract: Luciano Marcondes Machado Nardozza, Edward Araujo, Ana Carolina Rabachini Caetano, Antonio Fernandes Moron
      Journal of Clinical Imaging Science 2012 2(1):22-22
      Amniotic band syndrome is characterized by a build-up of bands and strings of fibrous tissue that adhere to the fetus and can compress parts of the fetus, thus causing malformations and even limb amputation while the fetus is still in the uterus. The clinical manifestations are extremely variable and their extent may range from a single abnormality, like a constriction ring, to multiple abnormalities. Such abnormalities are generally diagnosed at the end of the first or the beginning of the second trimester using two-dimensional ultrasonography (2DUS). Three-dimensional ultrasonography (3DUS) in rendering mode allows spatial analysis of the fetus and amniotic band, thus enabling better comprehension of this pathological condition and better counseling for the parents. There has not previously been any evidence to show that 3DUS would be useful in cases of late diagnosis (third trimester) of amniotic band syndrome. In the present case, a primigravid woman underwent her second obstetric ultrasound scan in the 34 th week, from which we observed two bands in contact with the right forearm, but with normal movement of this limb and its fingers. 3DUS made it possible to see the spatial relationship of these bands to the fetal body, thereby confirming their adherence to the limb. After the birth, the prenatal diagnosis of amniotic band syndrome without limb constriction was confirmed. A surgical procedure was carried out on the third day after birth to excise the bands, and the newborn was then discharged in a good general condition.
      Citation: Journal of Clinical Imaging Science 2012 2(1):22-22
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95436
      Issue No: Vol. 2, No. 1 (2012)
       
  • Avoiding Unnecessary Fine-Needle Aspiration Cytology by Accuractely
           Predicting the Benign Nature of Thyroid Nodules Using Ultrasound

    • Authors: Sudhir Vinayak, Joyce A Sande
      Pages: 23 - 23
      Abstract: Sudhir Vinayak, Joyce A Sande
      Journal of Clinical Imaging Science 2012 2(1):23-23
      Objective: The objective of this study was to describe a reliable ultrasound based index scoring system based on ultraound characteristics to identify benign thyroid nodules and avoid unnecessary fine needle aspiration cytology. Materials and Methods: Patients undergoing ultrasound-guided fine-needle aspiration cytology (FNAC) for thyroid nodules were evaluated prospectively. A total of 284 patients were evaluated from November 2005 to November 2011. There were 284 nodules. Any solid or partly solid focal nodule in the thyroid gland was included in the study. Cysts with no solid component were excluded. We used LOGIQ 9 (GE Healthcare) scanner equipped with a 10--14 MHz linear matrix transducer with color and power Doppler capability. Four US characteristics were evaluated, i.e., nodule margins, echo texture, vascularity, and calcification. Fine needle aspiration (FNA) was performed on all nodules. The nodules were labeled benign or suspicious using an ultrasound index score and the results compared with FNAC. Follicular neoplasms on fine-needle aspiration cytology were further assessed by excision biopsy and histology. Cytology/histology was used as the final diagnosis. Results: In total 284 nodules were analyzed. All the 234 nodules in US labeled benign category were proven to be benign on cytology/histology. Therefore the specificity of ultrasound in labeling a nodule benign was 100%. Twenty of the 50 nodules that were suspicious on US were malignant. The most significant US differentiating characteristics were nodule margins, vascularity, and microcalcification. Conclusion: Our results show that US can accurately characterize benign thyroid nodules using an index scoring system and therefore preclude FNAC in these patients.
      Citation: Journal of Clinical Imaging Science 2012 2(1):23-23
      PubDate: Sat,28 Apr 2012
      DOI: 10.4103/2156-7514.95446
      Issue No: Vol. 2, No. 1 (2012)
       
  • Arthroscopic and Low-Field MRI (0.25 T) Evaluation of Meniscus and
           Ligaments of Painful Knee

    • Authors: Harish S Lokannavar, Xiaochun Yang, Harsha Guduru
      Pages: 24 - 24
      Abstract: Harish S Lokannavar, Xiaochun Yang, Harsha Guduru
      Journal of Clinical Imaging Science 2012 2(1):24-24
      Objective: Magnetic resonance imaging (MRI) is an accurate, non-invasive, cost-effective technique for examination of the soft tissue and osseous structures of the knee. The purpose of this study was to evaluate the accuracy of low-field MRI by comparing the results with subsequent arthroscopy. Materials and Methods: MR imaging study of 146 patients was done using 0.25 T ESTOATE G-SCAN and the sequence used were SE, FSE and GRE in all the three planes. The comparison was based on five parameters: accuracy, sensitivity, specificity, positive predictive value, and negative predictive value. Result: Our study showed high accuracy (98.08%) and negative predictive value (98.62%) for MRI in comparison with arthroscopy. Conclusion: Low-field MRI alleviates the need of arthroscopy for detection of meniscus tears and ligament tears.
      Citation: Journal of Clinical Imaging Science 2012 2(1):24-24
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96539
      Issue No: Vol. 2, No. 1 (2012)
       
  • Routine Chest X-ray: Still Valuable for the Assessment of Left Ventricular
           Size and Function in the Era of Super Machines?

    • Authors: Maria-Aurora Morales, Renato Prediletto, Giuseppe Rossi, Giosuè Catapano, Massimo Lombardi, Daniele Rovai
      Pages: 25 - 25
      Abstract: Maria-Aurora Morales, Renato Prediletto, Giuseppe Rossi, Giosuè Catapano, Massimo Lombardi, Daniele Rovai
      Journal of Clinical Imaging Science 2012 2(1):25-25
      Objectives: The development of technologically advanced, expensive techniques has progressively reduced the value of chest X-ray in clinical practice for the assessment of left ventricular (LV) dilatation and dysfunction. Although controversial data are reported on the role of this widely available technique in cardiac assessment, it is known that the cardio-thoracic ratio is predictive of risk of progression in the NYHA Class, hospitalization, and outcome in patients with LV dysfunction. This study aimed to evaluate the reliability of the transverse diameter of heart shadow [TDH] by chest X-ray for detecting LV dilatation and dysfunction as compared to Magnetic Resonance Imaging (MRI) performed for different clinical reasons. Materials and Methods: In 101 patients, TDH was measured in digital chest X-ray and LV volumes and ejection fraction (EF) by MRI, both exams performed within 2 days. Results: A direct correlation between TDH and end-diastolic volumes (r = .75, P150 mL (sensitivity: 82%, specificity: 69%); in males a cut-off value of 15.5 mm identified LV end-diastolic volumes >210 mL (sensitivity: 84%; specificity: 72%). A negative relation was found between TDH and LVEF (r = -.54, P
      Citation: Journal of Clinical Imaging Science 2012 2(1):25-25
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96540
      Issue No: Vol. 2, No. 1 (2012)
       
  • CT Manifestations of Osler-Weber-Rendu Syndrome in Liver: Report of Three
           Cases

    • Authors: Qu Chuan-Qiang, Guo Shou-Gang, He Yan, Chen Yu-Xin
      Pages: 26 - 26
      Abstract: Qu Chuan-Qiang, Guo Shou-Gang, He Yan, Chen Yu-Xin
      Journal of Clinical Imaging Science 2012 2(1):26-26
      Osler-Weber-Rendu syndrome is characterized by widespread telangiectasias. Its clinical manifestations depend on position and scope of the abnormal vessels. The clinical and CT data of 3 patients with Osler-Weber-Rendu syndrome were retrospectively analyzed. CT features reviewed include the change of volume and configuration of liver, presence of tortuous and irregular vessels, opacified vessel mass, arteriovenous shunt, and splenomegaly. CT is helpful for diagnosis, treatment, and follow-up of Osler-Weber-Rendu syndrome.
      Citation: Journal of Clinical Imaging Science 2012 2(1):26-26
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96541
      Issue No: Vol. 2, No. 1 (2012)
       
  • Fahr's disease Presenting with Aneurysmal Subarachnoid Hemorrhage

    • Authors: Hosam Al-Jehani, Abdulrazag Ajlan, David Sinclair
      Pages: 27 - 27
      Abstract: Hosam Al-Jehani, Abdulrazag Ajlan, David Sinclair
      Journal of Clinical Imaging Science 2012 2(1):27-27
      Fahr's disease is a rare disorder of slowly progressive cognitive, psychiatric, and motor decline associated with idiopathic basal ganglia calcification (IBGC) and widespread calcification in the brain and cerebellum. Acute presentation of IBGC is most often as a seizure disorder; however, we present a case of an acute IBCG presentation in which the cause of the deterioration was an aneurysmal subarachnoid hemorrhage.
      Citation: Journal of Clinical Imaging Science 2012 2(1):27-27
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96542
      Issue No: Vol. 2, No. 1 (2012)
       
  • Surgical Management of Aggressive Central Giant Cell Granuloma of Maxilla
           through Le Fort I Access Osteotomy

    • Authors: GV Reddy, G Siva Prasad Reddy, N. V. S. Sekhar Reddy, Aswin Kumar
      Pages: 28 - 28
      Abstract: GV Reddy, G Siva Prasad Reddy, N. V. S. Sekhar Reddy, Aswin Kumar
      Journal of Clinical Imaging Science 2012 2(1):28-28
      Giant cell granuloma (GCG) is an uncommon bony lesion in the head and neck region, most commonly affecting the maxilla and mandible and has a female predilection. The clinical behavior of central GCG ranges from a slowly growing asymptomatic swelling to an aggressive lesion. The clinical, radiological, histological features and management of an aggressive GCG of maxilla in an 18-year-old female patient are described and discussed. It is emphasized that surgery is the traditional and still the most accepted treatment for GCG. Le Fort I osteotomy has been advocated as one of the access osteotomy for the surgical management of aggressive and extensive GCG involving the maxilla. The postoperative morbidity and recurrence have been discussed.
      Citation: Journal of Clinical Imaging Science 2012 2(1):28-28
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96543
      Issue No: Vol. 2, No. 1 (2012)
       
  • Honda Sign On 18-FDG PET/CT in a Case of Lymphoma Leading to Incidental
           Detection of Sacral Insufficiency Fracture

    • Authors: Prathamesh Joshi, Vikram Lele, Rozil Gandhi, Anil Parab
      Pages: 29 - 29
      Abstract: Prathamesh Joshi, Vikram Lele, Rozil Gandhi, Anil Parab
      Journal of Clinical Imaging Science 2012 2(1):29-29
      Sacral insufficiency fracture (SIF) is an important and treatable cause of low back pain in at-risk groups and the elderly. We report rare demonstration of 'Honda sign' in fluoro-deoxy-glucose positron emission tomography-computed tomography (FDG PET-CT) in a case of lymphoma, which led to incidental diagnosis of SIF. Honda sign, which is classically described in bone scans in cases of SIF, was found in FDG PET-CT in our case. This suggests SIF should be suspected when similar FDG uptake pattern is encountered and may help in early detection and management of SIF.
      Citation: Journal of Clinical Imaging Science 2012 2(1):29-29
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96544
      Issue No: Vol. 2, No. 1 (2012)
       
  • Prenatal and Postnatal Schizencephaly Findings by 2D and 3D Ultrasound:
           Pictorial Essay

    • Authors: Lívia Teresa Moreira Rios, Edward Araujo, Luciano Marcondes Machado Nardozza, Ana Carolina Rabachini Caetano, Antonio Fernandes Moron, Marília da Glória Martins
      Pages: 30 - 30
      Abstract: Lívia Teresa Moreira Rios, Edward Araujo, Luciano Marcondes Machado Nardozza, Ana Carolina Rabachini Caetano, Antonio Fernandes Moron, Marília da Glória Martins
      Journal of Clinical Imaging Science 2012 2(1):30-30
      Schizencephaly is a brain-destructive lesion relating to clefts in the fetal brain that usually communicate with the ventricular system, subarachnoid space, or both. It presents as two types: Type I (closed) and Type II (open). During pregnancy, it may be suspected in the course of ultrasonography, which highlights ventricular dilatation and brain abnormalities. Usually, the diagnosis is confirmed postnatally using trans-fontanel ultrasonography. The etiology of schizencephaly is still unknown, but it may be derived from a primary disorder of brain development or from bilateral middle cerebral artery occlusion. Many causative agents including vascular insult, infections, toxins, and medications have been associated with this malformation. We present a pictorial essay of six cases of schizencephaly that were suspected on prenatal ultrasound scans and confirmed postnatally by trans-fontanel, two-dimensional and three-dimensional ultrasonography.
      Citation: Journal of Clinical Imaging Science 2012 2(1):30-30
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96546
      Issue No: Vol. 2, No. 1 (2012)
       
  • Echo Planar Diffusion-Weighted Imaging: Possibilities and Considerations
           with 12- and 32-Channel Head Coils

    • Authors: John N Morelli, Megan R Saettele, Rajesh A Rangaswamy, Lan Vu, Clint M Gerdes, Wei Zhang, Fei Ai
      Pages: 31 - 31
      Abstract: John N Morelli, Megan R Saettele, Rajesh A Rangaswamy, Lan Vu, Clint M Gerdes, Wei Zhang, Fei Ai
      Journal of Clinical Imaging Science 2012 2(1):31-31
      Interest in clinical brain magnetic resonance imaging using 32-channel head coils for signal reception continues to increase. The present investigation assesses possibilities for improving diffusion-weighted image quality using a 32-channel in comparison to a conventional 12-channel coil. The utility of single-shot (ss) and an approach to readout-segmented (rs) echo planar imaging (EPI) are examined using both head coils. Substantial image quality improvements are found with rs-EPI. Imaging with a 32-channel head coil allows for implementation of greater parallel imaging acceleration factors or acquisition of scans at a higher resolution. Specifically, higher resolution imaging with rs-EPI can be achieved by increasing the number of readout segments without increasing echo-spacing or echo time to the degree necessary with ss-EPI - a factor resulting in increased susceptibility artifact and reduced signal-to-noise with the latter.
      Citation: Journal of Clinical Imaging Science 2012 2(1):31-31
      PubDate: Wed,23 May 2012
      DOI: 10.4103/2156-7514.96548
      Issue No: Vol. 2, No. 1 (2012)
       
  • Seizure Mimicking Stroke: Role of CT Perfusion

    • Authors: Vishnumurthy Shushrutha Hedna, Prerak P Shukla, Michael F Waters
      Pages: 32 - 32
      Abstract: Vishnumurthy Shushrutha Hedna, Prerak P Shukla, Michael F Waters
      Journal of Clinical Imaging Science 2012 2(1):32-32
      Stroke mimics constitute 15--20% of all cases presenting to the emergency department, prominent among them being seizures, hypoglycemia, tumors, migraines, and posterior reversible leucoencephalopathy. They have also abnormal computerized tomography perfusion (CTP) findings. We report a case where CTP helped us to diagnose and treat a seizure when initial presentation was that of a stroke.
      Citation: Journal of Clinical Imaging Science 2012 2(1):32-32
      PubDate: Fri,29 Jun 2012
      DOI: 10.4103/2156-7514.97728
      Issue No: Vol. 2, No. 1 (2012)
       
  • Imaging of Cystic and Cyst-like Lesions of the Mediastinum with Pathologic
           Correlation

    • Authors: Kemal Odev, Bilgin K Aribas, Alaaddin Nayman, Olgun K Aribas, Tamer Altinok, Ahmet Küçükapan
      Pages: 33 - 33
      Abstract: Kemal Odev, Bilgin K Aribas, Alaaddin Nayman, Olgun K Aribas, Tamer Altinok, Ahmet Küçükapan
      Journal of Clinical Imaging Science 2012 2(1):33-33
      Cystic masses of the mediastinum are a heterogenous group of asymptomatic or symptomatic, congenital, infectious, or neoplastic lesions. For early and correct diagnosis, evaluation, and optimal patient management of cystic mediastinal masses in infants, children, or adults imaging plays an important role. A non-invasive and sensitive imaging modality is an efficient and cost-effective tool. Multidetector computed tomography (MDTC) with volumetric acquisition provides fast acquisition of high resolution images and muitiplanar reconstruction. Both 2D and 3D imaging in mediastinal imaging help in surgical planning and assessing resectability of mediastinal lesions. MR imaging has many advantages over other modalities for detecting and identifying cystic, or fluid-filled mediastinal masses, because of its intrinsic high soft tissue contrast and direct multiplanar imaging capabilities. However, histological tissue analysis may be required to differentiate a cystic lesion from other cyst-like or low-attenuation lesions.
      Citation: Journal of Clinical Imaging Science 2012 2(1):33-33
      PubDate: Fri,29 Jun 2012
      DOI: 10.4103/2156-7514.97750
      Issue No: Vol. 2, No. 1 (2012)
       
  • Radiographic Study of the Prevalence of Dens Invaginatus in a Sample Set
           of Turkish Dental Patients

    • Authors: Hakan Çolak, Enes Tan, Bahadir Ugur Aylikçi, Recep Uzgur, Mustafa Turkal, Mehmet Mustafa Hamidi
      Pages: 34 - 34
      Abstract: Hakan Çolak, Enes Tan, Bahadir Ugur Aylikçi, Recep Uzgur, Mustafa Turkal, Mehmet Mustafa Hamidi
      Journal of Clinical Imaging Science 2012 2(1):34-34
      Aim: The aim of this study was to determine the prevalence of dens invaginatus in a sample of Turkish dental patients. Materials and Methods: The sample included 6, 912 panoramic radiographs from different Turkish dental patients. The ages of the patients ranged from 18 to 50 years. A tooth was considered having dens invaginatus if an infolding of a radiopaque ribbon-like structure equal in density to enamel was seen extending from the cingulum into the root canal. Maxillary and mandibular teeth were evaluated on panoramic radiographs to determine the type of dens invaginatus using Oehlers' classification. Results: The overall incidence of patients with dens invaginatus was 0.17%. Dens invaginatus were detected in 15 teeth of a total of 192 150 teeth to give a tooth prevalence of 0.008%. Maxillary lateral incisors were most commonly affected teeth in the mouth (80% of cases), followed by maxillary canine teeth (20% of cases). The bilateral incidence of a symmetrical distribution was 25%. Conclusion: The occurrence of dens invaginatus among this Turkish population was rare. Attention should be paid to the presence of dens invaginatus and the treatment problems associated with it.
      Citation: Journal of Clinical Imaging Science 2012 2(1):34-34
      PubDate: Fri,29 Jun 2012
      DOI: 10.4103/2156-7514.97755
      Issue No: Vol. 2, No. 1 (2012)
       
  • Primary Endobronchial Leiomyosarcoma of the Lung: Clinical, Gross and
           Microscopic Findings of Two Cases

    • Authors: Hafsa Elouazzani, Fouad Zouaidia, Ahmed Jahid, Zakiya Bernoussi, Najat Mahassini
      Pages: 35 - 35
      Abstract: Hafsa Elouazzani, Fouad Zouaidia, Ahmed Jahid, Zakiya Bernoussi, Najat Mahassini
      Journal of Clinical Imaging Science 2012 2(1):35-35
      Primary leiomyosarcoma of the lung is an unusual malignant tumor. Among this entity, the endobronchial form is very rare and the preoperative diagnosis is extremely difficult. We present two different presentations and outcomes of primary endobronchial leiomyosarcoma of the lung. In both cases, the histological study and the immunohistochemical stain, of the surgical resection, provided the final diagnosis. Through those cases we present the diagnostic and therapeutic difficulties encountered.
      Citation: Journal of Clinical Imaging Science 2012 2(1):35-35
      PubDate: Fri,29 Jun 2012
      DOI: 10.4103/2156-7514.97757
      Issue No: Vol. 2, No. 1 (2012)
       
  • "Knot Stent": An Unusual Cause of Acute Renal Failure in
           Solitary Kidney

    • Authors: Kamal Moufid, Driss Touiti, Lezrek Mohamed
      Pages: 36 - 36
      Abstract: Kamal Moufid, Driss Touiti, Lezrek Mohamed
      Journal of Clinical Imaging Science 2012 2(1):36-36
      The insertion of indwelling ureteric stents is a routine procedure in urology practice. Complications secondary to the insertion of these stents have also increased, such as stent encrustation, stent fragmentation, stone formation, and recurrent urinary tract infections. Knot formation within the renal pelvis or in the coiled portion of the ureteral stent is an extremely rare condition, with less than 15 cases reported in literature. The authors report a rare case of knotted stent, complicated by an obstructive acute renal failure and urosepsis, in a patient with a solitary functioning kidney.
      Citation: Journal of Clinical Imaging Science 2012 2(1):36-36
      PubDate: Fri,29 Jun 2012
      DOI: 10.4103/2156-7514.97758
      Issue No: Vol. 2, No. 1 (2012)
       
  • Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing
           the Mismatch Between Services and Population

    • Authors: Michael G Kawooya
      Pages: 37 - 37
      Abstract: Michael G Kawooya
      Journal of Clinical Imaging Science 2012 2(1):37-37
      The objectives of this review are to outline the needs, challenges, and training interventions for rural radiology (RR) training in Sub-Saharan Africa (SSA). Rural radiology may be defined as imaging requirements of the rural communities. In SSA, over 80% of the population is rural. The literature was reviewed to determine the need for imaging in rural Africa, the challenges, and training interventions. Up to 50% of the patients in the rural health facilities in Uganda may require imaging, largely ultrasound and plain radiography. In Uganda, imaging is performed, on an average, in 50% of the deserving patients in the urban areas, compared to 10-13 % in the rural areas. Imaging has been shown to increase the utilization of facility-based rural health services and to impact management decisions. The challenges in the rural areas are different from those in the urban areas. These are related to disease spectrum, human resource, and socio-economic, socio-cultural, infrastructural, and academic disparities. Countries in Sub-Saharan Africa, for which information on training intervention was available, included: Uganda, Kenya, Tanzania, Rwanda, Zambia, Ghana, Malawi, and Sudan. Favorable national policies had been instrumental in implementing these interventions. The interventions had been made by public, private-for-profit (PFP), private-not-for profit (PNFP), local, and international academic institutions, personal initiatives, and professional societies. Ultrasound and plain radiography were the main focus. Despite these efforts, there were still gross disparities in the RR services for SSA. In conclusion, there have been training interventions targeted toward RR in Africa. However, gross disparities in RR provision persist, requiring an effective policy, plus a more organized, focused, and sustainable approach, by the stakeholders.
      Citation: Journal of Clinical Imaging Science 2012 2(1):37-37
      PubDate: Fri,29 Jun 2012
      DOI: 10.4103/2156-7514.97747
      Issue No: Vol. 2, No. 1 (2012)
       
  • Shoulder Ultrasonography: Performance and Common Findings

    • Authors: Diana Gaitini
      Pages: 38 - 38
      Abstract: Diana Gaitini
      Journal of Clinical Imaging Science 2012 2(1):38-38
      Ultrasound (US) of the shoulder is the most commonly requested examination in musculoskeletal US diagnosis. Sports injuries and degenerative and inflammatory processes are the main sources of shoulder pain and functional limitations. Because of its availability, low cost, dynamic examination process, absence of radiation exposure, and ease of patient compliance, US is the preferred mode for shoulder imaging over other, more sophisticated, and expensive methods. Operator dependence is the main disadvantage of US examinations. Use of high range equipment with high resolution transducers, adhering to a strict examination protocol, good knowledge of normal anatomy and pathological processes and an awareness of common pitfalls are essential for the optimal performance and interpretation of shoulder US. This article addresses examination techniques, the normal sonographic appearance of tendons, bursae and joints, and the main pathological conditions found in shoulder ultrasonography.
      Citation: Journal of Clinical Imaging Science 2012 2(1):38-38
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99146
      Issue No: Vol. 2, No. 1 (2012)
       
  • Musculoskeletal Disorders in the Elderly

    • Authors: Ramon Gheno, Juan M Cepparo, Cristina E Rosca, Anne Cotten
      Pages: 39 - 39
      Abstract: Ramon Gheno, Juan M Cepparo, Cristina E Rosca, Anne Cotten
      Journal of Clinical Imaging Science 2012 2(1):39-39
      Musculoskeletal disorders are among the most common problems affecting the elderly. The resulting loss of mobility and physical independence can be particularly devastating in this population. The aim of this article is to present some of the most frequent musculoskeletal disorders of the elderly, such as fractures, osteoporosis, osteoarthritis, microcrystal disorders, infections, and tumors.
      Citation: Journal of Clinical Imaging Science 2012 2(1):39-39
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99151
      Issue No: Vol. 2, No. 1 (2012)
       
  • Prenatal Diagnosis of EEC Syndrome with "Lobster Claw" Anomaly
           by 3D Ultrasound

    • Authors: Livia T Rios, Edward Araujo, Ana C. R. Caetano, Luciano M Nardozza, Antonio F Moron, Marília G Martins
      Pages: 40 - 40
      Abstract: Livia T Rios, Edward Araujo, Ana C. R. Caetano, Luciano M Nardozza, Antonio F Moron, Marília G Martins
      Journal of Clinical Imaging Science 2012 2(1):40-40
      The EEC syndrome is a genetic anomaly characterized by the triad: ectodermal dysplasia (development of anomalies of the structures derived from the embryonic ectodermal layer), ectrodactyly (extremities, hands and feet malformations) and cleft lip and/or palate; these malformations can be seen together or in isolation. The prenatal diagnosis can be made by two-dimensional ultrasonography (2DUS) that identifies the facial and/or limb anomalies, most characteristic being the "lobster-claw" hands. The three-dimensional ultrasonography (3DUS) provides a better analysis of the malformations than the 2DUS. A 25-year-old primigravida, had her first transvaginal ultrasonography that showed an unique fetus with crow-rump length of 47 mm with poorly defined hands and feet,. She was suspected of having sporadic form of EEC syndrome. The 2DUS performed at 19 weeks confirmed the EEC syndrome, showing a fetus with lobster-claw hands (absence of the 2 nd and 3 rd fingers), left foot with the absence of the 3rd toe and the right foot with syndactyly, and presence of cleft lip/palate. The 3DUS defined the anomalies much better than 2DUS including the lobster-claw hands.
      Citation: Journal of Clinical Imaging Science 2012 2(1):40-40
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99153
      Issue No: Vol. 2, No. 1 (2012)
       
  • Cerebral Blood and CSF Flow Patterns in Patients Diagnosed for Cerebral
           Venous Thrombosis - An Observational Study

    • Authors: Souraya ElSankari, Marek Czosnyka, Pierre Lehmann, Marc-Etienne Meyer, Hervé Deramond, Olivier Balédent
      Pages: 41 - 41
      Abstract: Souraya ElSankari, Marek Czosnyka, Pierre Lehmann, Marc-Etienne Meyer, Hervé Deramond, Olivier Balédent
      Journal of Clinical Imaging Science 2012 2(1):41-41
      Background and Purpose: Recent studies of the organization of the cerebral venous system in healthy subjects using phase contrast magnetic resonance imaging (PC-MRI) show its structural complexity and inter-individual variations. Our objective was to study the venous blood and CSF flows in cerebral venous thrombosis (CVT). Materials and Methods: PC-MRI sequences were added to brain MRI conventional protocol in 19 patients suspected of CVT, among whom 6 patients had CVT diagnosis confirmed by MR venography. Results were compared with 18 healthy age-matched volunteers (HV). Results: In patients without CVT (NoCVT) confirmed by venography, we found heterogeneous individual venous flows, and variable side dominance in paired veins and sinuses, comparable to those in healthy volunteers. In CVT patients, PC-MRI detected no venous flow in the veins and/or sinuses with thrombosis. Arterial flows were preserved. CSF aqueductal and cervical stroke volumes were increased in a patient with secondary cerebral infarction, and decreased in 4 patients with extended thrombosis in the superior sagittal and transverse sinuses. These results suggest the main role of the venous system in the regulation of the dynamic intracranial equilibrium. Conclusions: CVT produces highly individualized pattern of disturbance in venous blood drainage. Complementary to MRI venography, PC-MRI provides non-invasive data about venous blockage consequences on CSF flow disturbances.
      Citation: Journal of Clinical Imaging Science 2012 2(1):41-41
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99158
      Issue No: Vol. 2, No. 1 (2012)
       
  • Uterine Cervical Malignancy: Diagnostic Accuracy of MRI with
           Histopathologic Correlation

    • Authors: Mohammed A Shweel, Enas A Abdel-Gawad, Ehab Ali Abdel-Gawad, Hosny S Abdelghany, Alshimaa M Abdel-Rahman, Emad M Ibrahim
      Pages: 42 - 42
      Abstract: Mohammed A Shweel, Enas A Abdel-Gawad, Ehab Ali Abdel-Gawad, Hosny S Abdelghany, Alshimaa M Abdel-Rahman, Emad M Ibrahim
      Journal of Clinical Imaging Science 2012 2(1):42-42
      Objective: Cervical cancer is the third most common malignancy in women worldwide. Accurate staging of the disease is crucial in planning the optimal treatment strategy. The aim of this study was to evaluate the role of magnetic resonance imaging (MRI) in the assessment of extension and staging of cervical malignancy in correlation with histopathologic examination. Materials and Methods: Thirty females with untreated pathologically proven uterine cervical carcinoma were included in this prospective study. The patients were 40 - 65 years of age and their average age was 45 years. All patients were subjected to routine clinical staging workup and underwent MRI for preoperative staging. Preoperative MRI findings were reviewed and compared with the final pathological staging that is the Gold Standard of reference. Results: Histopathologic examination established that of the 30 tumors, 22 (73.3%) were squamous cell carcinoma. According to the International Federation of Gynecology and Obstetrics (FIGO) staging criteria, 2/30 patients (6.6%) were stage IB, 12/30 (40.3%) were IIA, 8/30 were IIB (26.6%), and 8/30 (26.6%) were IVA. MRI had a sensitivity of 100% and specificity 85.7% in the detection of parametrial infiltration, and a sensitivity of 100% and specificity of 90% in the detection of vaginal infiltration. It was sensitive (100%) and specific (100%) in detecting tumor extension to the stroma, urinary bladder, and rectum. Pathological examination demonstrated stage IB cervical carcinoma in 2/30 patients (6.6%), stage IIA disease in 10/30 patients (33.3%), stage IIB in 6/30 patients (20%), and stage IV disease in 8/30 patients (26.6%). MRI features demonstrated stage IB in 2/30 patients (6.6%), stage IIA disease in 12/30 patients (40%), stage IIB in 8/30 patients (26.6%), and stage IV disease in 8/30 patients (26.6%). MRI staging of cervical carcinoma was in concordance with histopathologic staging in stages IB and IVA and over-staging in IIA and IIB stages. Conclusion: MRI is an optimal non-invasive modality for preoperative staging of uterine cervical malignancy, and crucial in subsequent more accurate treatment planning.
      Citation: Journal of Clinical Imaging Science 2012 2(1):42-42
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99175
      Issue No: Vol. 2, No. 1 (2012)
       
  • Radiological Features of Metastatic Gastrointestinal Stromal Tumors

    • Authors: Sujata Patnaik, Yarlagadda Jyotsnarani, Susarla Rammurti
      Pages: 43 - 43
      Abstract: Sujata Patnaik, Yarlagadda Jyotsnarani, Susarla Rammurti
      Journal of Clinical Imaging Science 2012 2(1):43-43
      The imaging features of 42 histopathologically confirmed cases of Gastrointestinal Stromal Tumors (GIST) were analyzed, to observe the pattern of metastasis. At presentation 22 of 42 patients (52.3%) showed metastasis. During follow-up, three more cases developed metastasis, within one year of resection. Mesentery, omentum, and liver were the most frequent sites for metastasis. Other sites that were rarely reported to be involved were increasingly recognized to show metastasis due to longer survival. The metastasis often showed attenuation and enhancement characteristics, similar to primary GIST, and frequently showed necrosis, hemorrhage, and calcification.
      Citation: Journal of Clinical Imaging Science 2012 2(1):43-43
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99177
      Issue No: Vol. 2, No. 1 (2012)
       
  • Penile Metastases of Recurrent Prostatic Adenocarcinoma without PSA Level
           Increase: A Case Report

    • Authors: Antonio Pierro, Savino Cilla, Cinzia Digesù, Alessio G Morganti
      Pages: 44 - 44
      Abstract: Antonio Pierro, Savino Cilla, Cinzia Digesù, Alessio G Morganti
      Journal of Clinical Imaging Science 2012 2(1):44-44
      We report a case of penile metastases from recurrent prostatic adenocarcinoma that was the first sign of a widespread metastatic disease in the absence of any increase in prostate-specific antigen (PSA) level. In April 2011, an 80-year-old man presented to our Radiotherapy Unit with multiple palpable hard nodules in the penis, dysuria, and moderate perineal pain, 7 years after he had received radiotherapy for prostate cancer. Nodules in the penis had appeared in February 2011. The ultrasound and magnetic resonance (MR) imaging suggested the diagnosis of multiple penile metastases. A total body computed tomography scan revealed a systemic spread of the disease, with multiple metastases in the liver, bones, and lungs. PSA level was 0.126 ng/ml. A fine needle aspiration biopsy of the liver lesion was undertaken, and the histopathologic examination revealed the prostatic origin of the metastases, so androgen deprivation therapy was started. The diagnosis of metastases should be considered in a patient with prior history of prostate malignancies presenting with solid nodules in the penis, even if the PSA level is low.
      Citation: Journal of Clinical Imaging Science 2012 2(1):44-44
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99178
      Issue No: Vol. 2, No. 1 (2012)
       
  • CAD May Not be Necessary for Microcalcifications in the Digital era, CAD
           May Benefit Radiologists for Masses

    • Authors: Stamatia V Destounis, Andrea L Arieno, Renee C Morgan
      Pages: 45 - 45
      Abstract: Stamatia V Destounis, Andrea L Arieno, Renee C Morgan
      Journal of Clinical Imaging Science 2012 2(1):45-45
      Objective: The aim of this study was to evaluate the effectiveness of computer-aided detection (CAD) to mark the cancer on digital mammograms at the time of breast cancer diagnosis and also review retrospectively whether CAD marked the cancer if visible on any available prior mammograms, thus potentially identifying breast cancer at an earlier stage. We sought to determine why breast lesions may or may not be marked by CAD. In particular, we analyzed factors such as breast density, mammographic views, and lesion characteristics. Materials and Methods: Retrospective review from 2004 to 2008 revealed 3445 diagnosed breast cancers in both symptomatic and asymptomatic patients; 1293 of these were imaged with full field digital mammography (FFDM). After cancer diagnosis, in a retrospective review held by the radiologist staff, 43 of these cancers were found to be visible on prior-year mammograms (false-negative cases); these breast cancer cases are the basis of this analysis. All cases had CAD evaluation available at the time of cancer diagnosis and on prior mammography studies. Data collected included patient demographics, breast density, palpability, lesion type, mammographic size, CAD marks on current- and prior-year mammograms, needle biopsy method, pathology results (core needle and/or surgical), surgery type, and lesion size. Results: On retrospective review of the mammograms by the staff radiologists, 43 cancers were discovered to be visible on prior-year mammograms. All 43 cancers were masses (mass classification included mass, mass with calcification, and mass with architectural distortion); no pure microcalcifications were identified in this cohort. Mammograms with CAD applied at the time of breast cancer diagnosis were able to detect 79% (34/43) of the cases and 56% (24/43) from mammograms with CAD applied during prior year(s). In heterogeneously dense/extremely dense tissue, CAD marked 79% (27/34) on mammograms taken at the time of diagnosis and 56% (19/34) on mammograms with CAD applied during the prior year(s). At time of diagnosis, CAD marked lesions in 32% (11/34) on the craniocaudal (CC) view, 21% (7/34) on the mediolateral oblique (MLO) view. Lesion size of those marked by CAD or not marked were similar, the average being 15 and 12 mm, respectively. Conclusion: CAD marked cancers on mammograms at the time of diagnosis in 79% of the cases and in 56% of the cases from the mammograms with CAD applied in the prior year(s). Our review demonstrated that CAD can mark invasive breast carcinomas in even dense breast tissue. CAD marked a significant portion on the CC view only, which may be an indicator to radiologists to be especially vigilant when a lesion is marked on this view.
      Citation: Journal of Clinical Imaging Science 2012 2(1):45-45
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99179
      Issue No: Vol. 2, No. 1 (2012)
       
  • Primary Sarcoid of the Breast with Incidental Malignancy

    • Authors: Laura M Isley, Abbie R Cluver, Rebecca J Leddy, Megan K Baker
      Pages: 46 - 46
      Abstract: Laura M Isley, Abbie R Cluver, Rebecca J Leddy, Megan K Baker
      Journal of Clinical Imaging Science 2012 2(1):46-46
      Breast sarcoidosis is rare and usually presents in patients with known sarcoid involving other organ systems. In the breast, sarcoidosis may mimic malignancy which must be excluded by core biopsy. We report a very unusual case of primary breast sarcoidosis with incidentally discovered breast carcinoma. The roles of mammography, ultrasound, and MRI in the diagnosis as well as other potential differential diagnosis are discussed.
      Citation: Journal of Clinical Imaging Science 2012 2(1):46-46
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99180
      Issue No: Vol. 2, No. 1 (2012)
       
  • Endovascular Management of Fusiform Superior Cerebellar Artery Aneurysms:
           A Series of Three Cases with Review of Literature

    • Authors: Anand Alurkar, Lakshmi Sudha P Karanam, Suresh Nayak, Sagar Oak
      Pages: 47 - 47
      Abstract: Anand Alurkar, Lakshmi Sudha P Karanam, Suresh Nayak, Sagar Oak
      Journal of Clinical Imaging Science 2012 2(1):47-47
      Distal superior cerebellar artery (SCA) aneurysms are rare. Fusiform aneurysms of SCA are rarer and more challenging to treat. Parent artery occlusion by endovascular coiling is the treatment option for these cases. Presence of good collateral circulation and paucity of perforators from S1 and S2 segments makes this a feasible option. From 2007 to 2010, we treated three patients (two men and one woman between the ages of 42 to 64 years) with distal fusiform SCA aneurysms using endovascular coiling. All the patients presented with symptoms of rupture and were treated in the acute phase. Informed and written high-risk consent was given by all patients prior to the procedure. Successful angiographic and clinical outcome was achieved in all three patients. Endovascular treatment of fusiform SCA aneurysms with coils is a safe and feasible option in the management of this rare entity.
      Citation: Journal of Clinical Imaging Science 2012 2(1):47-47
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99181
      Issue No: Vol. 2, No. 1 (2012)
       
  • Computed Tomographic Features of Congenital Left Ventricular Diverticulum

    • Authors: Amit N. D Dwivedi, Arun G Thangiah, Madhukar Rai, Suchi Tripathi
      Pages: 48 - 48
      Abstract: Amit N. D Dwivedi, Arun G Thangiah, Madhukar Rai, Suchi Tripathi
      Journal of Clinical Imaging Science 2012 2(1):48-48
      Congenital left ventricular diverticulum is a rare cardiac malformation characterized by a localized out-pouching from the cardiac chamber. They are most often found in the left ventricle (LV) but have been reported to occur in all chambers of the heart. The patient is usually asymptomatic. However, complications like embolism, infective endocarditis, arrhythmia and, rarely, rupture may be the initial presentation. Diagnosis can be established by echocardiography (EKG), computed tomographic (CT) angiography, and magnetic resonance imaging (MRI). We report a case of congenital left ventricular diverticulum in an adult with no valvular abnormality as an incidental finding in an uncommon location.
      Citation: Journal of Clinical Imaging Science 2012 2(1):48-48
      PubDate: Sat,28 Jul 2012
      DOI: 10.4103/2156-7514.99182
      Issue No: Vol. 2, No. 1 (2012)
       
  • Tension Gastrothorax Complicating Third Trimester of Pregnancy: Suspicion
           is the Key

    • Authors: Rakesh Sharma, Deepak Rosha, Sananta K Dash, Trilok Chand
      Pages: 49 - 49
      Abstract: Rakesh Sharma, Deepak Rosha, Sananta K Dash, Trilok Chand
      Journal of Clinical Imaging Science 2012 2(1):49-49
      Gastrothorax is characterized by herniation of the stomach and other abdominal contents into the thoracic cavity either through the oesophageal hiatus or ruptured diaphragm. When gastrothorax causes pulmonary and hemodynamic compromise, due to compression of lungs and mediastinal structures, it is named as tension gastrothorax. Diagnosis of tension gastrothorax is often complicated during late pregnancy, because of unusual presentation, altered physiology, absence of trauma, hesitation about radiation exposure, and rarity of the condition. We report a case of a patient, in her 32nd week of pregnancy, who presented with left tension gastrothorax. Lower segment caesarean section was planned after steroid therapy, with all the preparations for thoracotomy. Intra-operatively, stomach, spleen, and colon were found herniated in the left hemithorax, through a ruptured left hemidiaphragm. Thoracotomy was done immediately after caesarean section, with reduction of herniated contents and repair of the defect in the diaphragm. The patient and her baby were discharged in stable condition 2 weeks after thoracotomy.
      Citation: Journal of Clinical Imaging Science 2012 2(1):49-49
      PubDate: Thu,30 Aug 2012
      DOI: 10.4103/2156-7514.100367
      Issue No: Vol. 2, No. 1 (2012)
       
  • Use of CBCT in the Successful Management of Endodontic Cases

    • Authors: Dax Abraham, Nikhil Bahuguna, Rishi Manan
      Pages: 50 - 50
      Abstract: Dax Abraham, Nikhil Bahuguna, Rishi Manan
      Journal of Clinical Imaging Science 2012 2(1):50-50
      The purpose of this article is to emphasize the use of Cone Beam Computed Tomography (CBCT) for root canal treatment. Two case reports are presented where CBCT has been used to locate and eventually treat extra canals in maxillary first molars. Dental clinicians should be aware of the anatomical variations in maxillary molars. CBCT should be an essential part of the diagnosis prior to initiating root canal treatment.
      Citation: Journal of Clinical Imaging Science 2012 2(1):50-50
      PubDate: Thu,30 Aug 2012
      DOI: 10.4103/2156-7514.100370
      Issue No: Vol. 2, No. 1 (2012)
       
  • Conservative Management of Type III Dens in Dente Using Cone Beam Computed
           Tomography

    • Authors: K Pradeep, M Charlie, MA Kuttappa, Prasana Kumar Rao
      Pages: 51 - 51
      Abstract: K Pradeep, M Charlie, MA Kuttappa, Prasana Kumar Rao
      Journal of Clinical Imaging Science 2012 2(1):51-51
      Dens in dente, also known as dens invaginatus, dilated composite odontoma, or deep foramen caecum, is a developmental malformation that usually affects maxillary incisor teeth, particularly lateral incisors. It may occur in teeth anywhere within the jaws, other locations are comparatively rare. It can occur within both the crown and the root, although crown invaginations are more common. The use of cone beam computed tomography (CBCT) is very helpful in endodontic diagnosis of complex anatomic variations. In this case we demonstrate the use of CBCT in the evaluation and endodontic management of a Type III dens in dente (Oehler's Type III).
      Citation: Journal of Clinical Imaging Science 2012 2(1):51-51
      PubDate: Thu,30 Aug 2012
      DOI: 10.4103/2156-7514.100372
      Issue No: Vol. 2, No. 1 (2012)
       
  • Imaging in the Diagnosis of Cemento-Ossifying Fibroma: A Case Series

    • Authors: R Mithra, Pavitra Baskaran, M Sathyakumar
      Pages: 52 - 52
      Abstract: R Mithra, Pavitra Baskaran, M Sathyakumar
      Journal of Clinical Imaging Science 2012 2(1):52-52
      Cemento-ossifying fibroma is a benign fibro-osseous lesion belonging to the same category as fibrous dysplasia and cementifying dysplasia. These are slow-growing lesions that are seen in the third and fourth decades of life. Both the ossifying fibroma and cemento-ossifying fibroma represent two extremes of the same disease process since histologically both contain bone and cementum. However, the term cemento-ossifying fibroma is justified on the basis of clinical and radiological correlation. Radiographs have become an essential tool in the diagnosis of lesions in the jaw, where the anatomy is complex. Nowadays, CT provides information for diagnosis as well as treatment planning. In this case series, we report three cases of cemento-ossifying fibroma that were histologically confirmed and discuss the imaging findings.
      Citation: Journal of Clinical Imaging Science 2012 2(1):52-52
      PubDate: Thu,30 Aug 2012
      DOI: 10.4103/2156-7514.100373
      Issue No: Vol. 2, No. 1 (2012)
       
  • Breast Hemangioma: MR Appearance with Histopathological Correlation

    • Authors: Rasha Ameen, Uday Mandalia, Amanda (Anne) Marr, Paula Mckensie
      Pages: 53 - 53
      Abstract: Rasha Ameen, Uday Mandalia, Amanda (Anne) Marr, Paula Mckensie
      Journal of Clinical Imaging Science 2012 2(1):53-53
      Breast hemangioma is a rare tumor and when small, it may be difficult to diagnose using conventional imaging techniques. In this report the MR appearance is described with histopathological correlation.
      Citation: Journal of Clinical Imaging Science 2012 2(1):53-53
      PubDate: Thu,30 Aug 2012
      DOI: 10.4103/2156-7514.100376
      Issue No: Vol. 2, No. 1 (2012)
       
  • Portal Vein Aneurysm Presenting with Obstructive Jaundice

    • Authors: Chandana Lall, Sadhna Verma, Rajesh Gulati, Puneet Bhargava
      Pages: 54 - 54
      Abstract: Chandana Lall, Sadhna Verma, Rajesh Gulati, Puneet Bhargava
      Journal of Clinical Imaging Science 2012 2(1):54-54
      To the best of our knowledge, a portal vein aneurysm presenting with obstructive jaundice has not been reported in the literature. The preferred treatment for these aneurysms is surgical and a shunting procedure should be considered in cases with portal hypertension to preserve portal vein flow when portal hypertension is present or is secondary to the aneurysm itself. In our case, due to patient's advanced age and co-morbidities, an endoscopic biliary stent was placed which led to successful resolution of symptoms of obstructive jaundice.
      Citation: Journal of Clinical Imaging Science 2012 2(1):54-54
      PubDate: Thu,30 Aug 2012
      DOI: 10.4103/2156-7514.100377
      Issue No: Vol. 2, No. 1 (2012)
       
  • Large Multilocular Thymic Cyst: A Rare Finding in an HIV Positive Adult
           Female

    • Authors: Xiao Shi, Farbod Nasseri, David M Berger, Arun C Nachiappan
      Pages: 55 - 55
      Abstract: Xiao Shi, Farbod Nasseri, David M Berger, Arun C Nachiappan
      Journal of Clinical Imaging Science 2012 2(1):55-55
      Multilocular thymic cysts with follicular hyperplasia are uncommon masses that occur in Human Immunodeficiency Virus (HIV) positive individuals. These cysts mostly present in HIV positive children. Here we report a rare case of multilocular thymic cyst in an HIV positive adult female. In this case report, the radiologic findings of multilocular thymic cyst, management and prognosis are discussed.
      Citation: Journal of Clinical Imaging Science 2012 2(1):55-55
      PubDate: Thu,30 Aug 2012
      DOI: 10.4103/2156-7514.100379
      Issue No: Vol. 2, No. 1 (2012)
       
  • TRAP Sequence - An Interesting Entity in Twins

    • Authors: RH Srinivas Prasad, T Ramachandra Prasad, K Dayananda Kumar
      Pages: 56 - 56
      Abstract: RH Srinivas Prasad, T Ramachandra Prasad, K Dayananda Kumar
      Journal of Clinical Imaging Science 2012 2(1):56-56
      Twin reversed arterial perfusion (TRAP) sequence, is a rare malformation occurring in monozygotic multiple gestations. One well-developed normal (pump) twin and the other twin with absent cardiac structure (acardiac), who is hemodynamically dependent on the normal (pump) twin are characteristic of this syndrome. The acardiac twin develops multiple anomalies that make survival difficult. The prognosis of the pump twin is variable with mortality rate ranging from 50% to 70%. Complications that affect the prognosis of the pump twin include complications of congestive cardiac failure due to increased cardiac demand, prematurity secondary to preterm delivery, and polyhydramnios. Because of these complications prompt detection, follow-up, and treatment of this condition is very important. We report two cases of TRAP sequence that emphasizes the importance of gray-scale and color Doppler imaging in diagnosis, detection of poor prognostic features, follow-up, and management of TRAP sequence.
      Citation: Journal of Clinical Imaging Science 2012 2(1):56-56
      PubDate: Tue,25 Sep 2012
      DOI: 10.4103/2156-7514.100997
      Issue No: Vol. 2, No. 1 (2012)
       
  • Feasibility of Computed Tomography Pulmonary Angiography with Low Flow
           Rates

    • Authors: J Gossner
      Pages: 57 - 57
      Abstract: J Gossner
      Journal of Clinical Imaging Science 2012 2(1):57-57
      Computed tomography pulmonary angiography (CTPA) is the imaging test of choice in suspected pulmonary embolism. High flow rates for the administration of contrast medium are recommended, but these cannot be achieved in a number of patients due to poor peripheral venous access or when using certain central venous catheters. This small feasibility study has examined the CTPA data in a set of 22 patients in whom contrast medium was given at low flow rates (2.0 or 2.5 mL/s). Subjectively, all but one of the patients was judged to be diagnostic. Objectively, enhancement values ≥200 HU were reached in 92% of the examined central vessels (pulmonary trunk, main pulmonary arteries, and lobar arteries). In conclusion, even with a low injection rate CTPA is of diagnostic value in most patients.
      Citation: Journal of Clinical Imaging Science 2012 2(1):57-57
      PubDate: Tue,25 Sep 2012
      DOI: 10.4103/2156-7514.100999
      Issue No: Vol. 2, No. 1 (2012)
       
  • Accuracy of Routine Clinical Ultrasound for Staging of Liver Fibrosis

    • Authors: Chih-Ching Choong, Sudhakar K Venkatesh, Edwin P. Y. Siew
      Pages: 58 - 58
      Abstract: Chih-Ching Choong, Sudhakar K Venkatesh, Edwin P. Y. Siew
      Journal of Clinical Imaging Science 2012 2(1):58-58
      Objective: To determine the diagnostic accuracy of routine clinical ultrasound in the staging of liver fibrosis in chronic viral hepatitis. Materials and Methods: A retrospective evaluation of the ultrasound images of 156 patients with chronic viral hepatitis who underwent liver biopsy was performed. Two radiologists in consensus, blind to the biopsy results and clinical details, evaluated the ultrasound images for liver fibrosis. The readers specifically assessed three features - surface nodularity, liver edge, and parenchymal echotexture - with scores of 0 to 3 (0 = normal, 1 = mild, 2 = moderate, 3 = severe). Accuracies of each sonographic feature for the detection of mild fibrosis and above (≥F1), significant fibrosis (≥F2), severe fibrosis (≥F3), and cirrhosis (F4) were determined with histopathology as the reference standard. Results: Fibrosis was present in 99 patients (F1=34, F2=20, F3=22, and F4=23) and absent in 57 patients. The sensitivities for the detection of significant fibrosis with surface nodularity, liver edge, and parenchymal echotexture were 57%, 15%, and 41%, respectively. The accuracies for the detection of ≥F1, ≥F2, ≥F3, and F4 stages were 50.5%, 59%, 59%, and 65% for liver surface, 51%, 53%, 54%, and 55% for liver edge, and 58%, 59%, 63%, and 63% for parenchyma echotexture, respectively. The combined scores from all three features had accuracies of 56%, 59%, 62%, and 66% for the detection of ≥F1, ≥F2, ≥F3, and F4, respectively. Conclusion: Routine clinical ultrasound is a not a sensitive predictor of early fibrosis in chronic viral hepatitis. Surface nodularity is the most sensitive sonographic feature for the detection of significant fibrosis and routine clinical ultrasound is the most useful technique for the detection of cirrhosis.
      Citation: Journal of Clinical Imaging Science 2012 2(1):58-58
      PubDate: Tue,25 Sep 2012
      DOI: 10.4103/2156-7514.101000
      Issue No: Vol. 2, No. 1 (2012)
       
  • Primary Hyperparathyroidism: Imaging to Pathology

    • Authors: Sara Piciucchi, Domenico Barone, Giampaolo Gavelli, Alessandra Dubini, Devil Oboldi, Federica Matteuci
      Pages: 59 - 59
      Abstract: Sara Piciucchi, Domenico Barone, Giampaolo Gavelli, Alessandra Dubini, Devil Oboldi, Federica Matteuci
      Journal of Clinical Imaging Science 2012 2(1):59-59
      The aim of this review is to describe the multimodal imaging (ultrasound, magnetic resonance, computed tomography, and nuclear medicine) of primary hyperparathyroidism and its correlation to the pathological findings. In the last decades, imaging science has progressed a great deal. Accurate preoperative localization of the involved glands is essential for surgical success.
      Citation: Journal of Clinical Imaging Science 2012 2(1):59-59
      PubDate: Sat,6 Oct 2012
      DOI: 10.4103/2156-7514.102053
      Issue No: Vol. 2, No. 1 (2012)
       
  • A Rare Case of Dysembryoplastic Neuroepithelial Tumor

    • Authors: Harsha Guduru, Jun K Shen, Harish S Lokannavar
      Pages: 60 - 60
      Abstract: Harsha Guduru, Jun K Shen, Harish S Lokannavar
      Journal of Clinical Imaging Science 2012 2(1):60-60
      We present a rare case of dysembryoplastic neuroepithelial tumor, a rare benign glioneuronal tumor of the central nervous system. It generally occurs in the supratentorial region and the temporal cerebral cortex in children and young adults. The most common presentation is epilepsy. The supratentorial tumor without any signs of mass effect or peritumoral edema is the conventionally accepted diagnostic criteria. In this case of a 19-year-old male with intractable epilepsy, atypical features such as the location of the tumor and the presence of mass effect and peritumoral edema made imaging diagnosis difficult. Diagnosis was confirmed through histopathology. Due to its recent discovery and relatively rare occurrence it is important for radiologists to recognize this disease entity.
      Citation: Journal of Clinical Imaging Science 2012 2(1):60-60
      PubDate: Sat,6 Oct 2012
      DOI: 10.4103/2156-7514.102057
      Issue No: Vol. 2, No. 1 (2012)
       
  • Assessing the Performance of Medical Personnel Involved in the Diagnostic
           Imaging Processes in Mulago Hospital, Kampala, Uganda

    • Authors: Michael G Kawooya, George Pariyo, Elsie Kiguli Malwadde, Rosemary Byanyima, Harrient Kisembo
      Pages: 61 - 61
      Abstract: Michael G Kawooya, George Pariyo, Elsie Kiguli Malwadde, Rosemary Byanyima, Harrient Kisembo
      Journal of Clinical Imaging Science 2012 2(1):61-61
      Objectives: Uganda, has limited health resources and improving performance of personnel involved in imaging is necessary for efficiency. The objectives of the study were to develop and pilot imaging user performance indices, document non-tangible aspects of performance, and propose ways of improving performance. Materials and Methods: This was a cross-sectional survey employing triangulation methodology, conducted in Mulago National Referral Hospital over a period of 3 years from 2005 to 2008. The qualitative study used in-depth interviews, focus group discussions, and self-administered questionnaires, to explore clinicians' and radiologists' performancerelated views. Results: The study came up with following indices: appropriate service utilization (ASU), appropriateness of clinician's nonimaging decisions (ANID), and clinical utilization of imaging results (CUI). The ASU, ANID, and CUI were: 94%, 80%, and 97%, respectively. The clinician's requisitioning validity was high (positive likelihood ratio of 10.6) contrasting with a poor validity for detecting those patients not needing imaging (negative likelihood ratio of 0.16). Some requisitions were inappropriate and some requisition and reports lacked detail, clarity, and precision. Conclusion: Clinicians perform well at imaging requisition-decisions but there are issues in imaging requisitioning and reporting that need to be addressed to improve performance.
      Citation: Journal of Clinical Imaging Science 2012 2(1):61-61
      PubDate: Sat,6 Oct 2012
      DOI: 10.4103/2156-7514.102060
      Issue No: Vol. 2, No. 1 (2012)
       
  • Autoimmune Polyglandular Syndrome Type 1

    • Authors: Vedeswari C Ponranjini, S Jayachandran, L Kayal, K Bakyalakshmi
      Pages: 62 - 62
      Abstract: Vedeswari C Ponranjini, S Jayachandran, L Kayal, K Bakyalakshmi
      Journal of Clinical Imaging Science 2012 2(1):62-62
      Autoimmune Polyglandular Syndrome (APS) Type 1 is a rare hereditary disorder that damages organs in the body. This disease entity is the result of a mutation in the AIRE gene. It is characterized by three classic clinical features - hypoparathyroidism, Addison's disease, and chronic mucocutaneous candidiasis. For a patient to be diagnosed as having APS Type 1 syndrome at least two of these features needs to be present. The third entity may develop as the disease progresses. We report a case of a 35-year-old female patient with a history of seizure from the age of 11 years, who was managed with anticonvulsant drugs. With worsening of the seizure episodes, patient was diagnosed to have hypoparathyroidism together with the manifestations of oral candidiasis, nails dystrophy, enamel hypoplasia, and hypogonadism. A diagnosis of APS-1 was considered. The facility for genetic analysis of the AIRE gene mutation was not accessible, as the test costs were prohibitive and not affordable for the patient. Patient management was directed to treating individual disease components. However, cerebral and dental changes were irreversible.
      Citation: Journal of Clinical Imaging Science 2012 2(1):62-62
      PubDate: Wed,31 Oct 2012
      DOI: 10.4103/2156-7514.103018
      Issue No: Vol. 2, No. 1 (2012)
       
  • US Imaging in Peyronie's Disease

    • Authors: Kiriaki Kalokairinou, Charalampos Konstantinidis, Marilena Domazou, Theodoros Kalogeropoulos, Prodromos Kosmidis, Aristomenis Gekas
      Pages: 63 - 63
      Abstract: Kiriaki Kalokairinou, Charalampos Konstantinidis, Marilena Domazou, Theodoros Kalogeropoulos, Prodromos Kosmidis, Aristomenis Gekas
      Journal of Clinical Imaging Science 2012 2(1):63-63
      The aim of this study is to assess the role of ultrasound (US) in Peyronie's Disease (PD). PD is a psychologically and physically devastating disorder that manifests in middle-aged men. Fibrous inelastic plaques in the tunica albuginea, result in palpable penile scar in the flaccid condition and cause painful erections and penile deformity, including penile curvature, hinging, narrowing, and shortening of penis. Penile deformity is the most common (52%) first symptom of PD and is present in 94% of affected men. US is the primary imaging modality of choice due to its easy availability, low risk, and ability to image and quantify both calcified and soft tissue elements of PD. US provides identification of smaller and non-palpable lesions and shows the extent of fibrosis. Detection of calcifications within the plaque suggests stabilization of the disease and provides information useful to select patients for appropriate treatment.
      Citation: Journal of Clinical Imaging Science 2012 2(1):63-63
      PubDate: Wed,31 Oct 2012
      DOI: 10.4103/2156-7514.103053
      Issue No: Vol. 2, No. 1 (2012)
       
  • Does Contrast-Enhanced Cervical Ultrasonography Improve Preoperative
           Localization Results in Patients With Sporadic Primary
           Hyperparathyroidism?

    • Authors: Elias Karakas, Susanne Kann, Helmut Höffken, Detlef Klaus Bartsch, Ilhan Celik, Christian Görg, Andreas Pfestroff
      Pages: 64 - 64
      Abstract: Elias Karakas, Susanne Kann, Helmut Höffken, Detlef Klaus Bartsch, Ilhan Celik, Christian Görg, Andreas Pfestroff
      Journal of Clinical Imaging Science 2012 2(1):64-64
      Objective: Pre-operative localization studies are inevitable in patients with primary hyperparathyroidism (pHPT), who are eligible for focused or minimally invasive parathyroidectomy (MIP). High-resolution ultrasonography (US) in combination with planar 99m Tc-Sestamibi-scintigraphy (MIBI) and additional single-photon emission computed tomography (SPECT) are the standard procedures to localize enlarged parathyroid glands. Our aim was to evaluate the practicability and significance of contrast-enhanced ultrasonography (CEUS) in patients with pHPT. Materials and Methods: All investigations were performed at the University Hospital Marburg. Totally, 25 patients with biochemical proven pHPT underwent preoperative US, MIBI/SPECT, and CEUS. For CEUS, a suspension of phospholipid-stabilized sulfur-hexafluoride (SF6) microbubbles in combination with a special 12 MHz linear US probe was used. All patients were investigated by two sonographers, who did not get to view the findings noted by the other. Finally, surgery was performed and histopathological results were obtained from 24 patients. Results: In 17 (68%) patients, US and MIBI/SPECT already raised suspicion of parathyroid lesions and all suspected lesions were reassessed by CEUS. However, no additional information was obtained using CEUS. Especially in eight patients with negative or inconsistent US and MIBI/SPECT results, CEUS did not provide additional information regarding the site of the suspected parathyroid adenoma. Overall, no side effects were observed using CEUS. Surgical cure was achieved in all patients. Conclusion: In this limited cohort of patients, no additional information could be obtained using the costly CEUS compared to results of US and MIBI/SPECT.
      Citation: Journal of Clinical Imaging Science 2012 2(1):64-64
      PubDate: Wed,31 Oct 2012
      DOI: 10.4103/2156-7514.103054
      Issue No: Vol. 2, No. 1 (2012)
       
  • Prenatal Diagnosis of Lethal Multiple Pterygium Syndrome Using Two-and
           Three- Dimensional Ultrasonography

    • Authors: Fernanda Silveira Barros, Edward Araujo, Liliam Cristine Rolo, Luciano Marcondes Machado Nardozza
      Pages: 65 - 65
      Abstract: Fernanda Silveira Barros, Edward Araujo, Liliam Cristine Rolo, Luciano Marcondes Machado Nardozza
      Journal of Clinical Imaging Science 2012 2(1):65-65
      Lethal multiple pterygium (LMP) is a series of disorders of fetal formation with a heterogeneous range of manifestations that generally include cystic hygroma, pulmonary hypoplasia, cleft palate, cryptorchidism, joint contractures, fetal akinesia, heart defects, growth restriction, and intestinal malrotation. The prenatal diagnosis of this syndrome is suspected when two-dimensional ultrasound (2DUS) scan shows several malformations.. The three-dimensional ultrasound (3DUS) in rendering mode permits the spatial visualization of these malformations, allowing better understanding of this anomaly by parents. We report a case of a fetus in the second trimester with multiple abnormalities suggestive of LMP that were identified using 2DUS, and emphasize the importance of 3DUS in counseling the parents.
      Citation: Journal of Clinical Imaging Science 2012 2(1):65-65
      PubDate: Wed,31 Oct 2012
      DOI: 10.4103/2156-7514.103055
      Issue No: Vol. 2, No. 1 (2012)
       
  • The "Dot in Circle" Sign on MRI in Maduramycosis: A
           Characteristic Finding

    • Authors: Vikash Jain, Gopee E Makwana, Nandini Bahri, Manish K Mathur
      Pages: 66 - 66
      Abstract: Vikash Jain, Gopee E Makwana, Nandini Bahri, Manish K Mathur
      Journal of Clinical Imaging Science 2012 2(1):66-66
      Mycetoma or Maduramycosis is a localized chronic suppurative infection characterized by exuberant granulation tissue, discharging sinuses, and bone involvement later in the course of the disease. Early clinical diagnosis before the appearance of sinuses and grains (aggregates of organism surrounded by granulation tissue, which are discharged from the draining sinuses) is difficult. Delay in diagnosis may lead to amputation of the affected part. Definitive diagnosis is through biopsy and microbiological examination. However, at times diagnosis may still be difficult. The recently described "dot in circle" sign on magnetic resonance imaging (MRI) is easy to recognize and highly specific. We present a case of mycetoma foot with characteristic MRI features.
      Citation: Journal of Clinical Imaging Science 2012 2(1):66-66
      PubDate: Wed,31 Oct 2012
      DOI: 10.4103/2156-7514.103056
      Issue No: Vol. 2, No. 1 (2012)
       
  • Unusual Mediastinal Dumbbell Tumor Mimicking an Aggressive Malignancy

    • Authors: Sanyal Kumar, Bhawna Satija, Mahesh K Mittal, Brij B Thukral
      Pages: 67 - 67
      Abstract: Sanyal Kumar, Bhawna Satija, Mahesh K Mittal, Brij B Thukral
      Journal of Clinical Imaging Science 2012 2(1):67-67
      Hydatid cyst is known to affect all possible anatomical locations of the human body. However, the mediastinal localization is extremely rare. This benign, commonly asymptomatic and incidentally detected disease, at times may simulate an aggressive malignancy by its potential to cause osseous destruction and intraspinal extension. A young female, farmer by occupation, presented with complaints of left chest pain and monoparesis of the left lower limb. Radiograph followed by computed tomography (CT) of the chest demonstrated a cystic mass within the posterior mediastinum, eroding and scalloping overlying ribs and extending into the spinal canal by causing destruction of adjoining vertebra, and assuming a dumbbell shape. The serology was positive for echinococcosis. The patient underwent surgery and the postoperative histopathology confirmed the diagnosis of hydatid cyst. The patient recovered with no complications or recurrence. Hydatid cyst should always be considered in the differential diagnosis of mediastinal cystic lesions, however aggressive the lessions may appear.
      Citation: Journal of Clinical Imaging Science 2012 2(1):67-67
      PubDate: Wed,31 Oct 2012
      DOI: 10.4103/2156-7514.103057
      Issue No: Vol. 2, No. 1 (2012)
       
  • A Case of Mitral Valve Tophus in a Patient with Severe Gout Tophaceous
           Arthritis

    • Authors: Atooshe Rohani, Soheila Chamanian, Peiman Hosseinzade, Javad Ramezani
      Pages: 68 - 68
      Abstract: Atooshe Rohani, Soheila Chamanian, Peiman Hosseinzade, Javad Ramezani
      Journal of Clinical Imaging Science 2012 2(1):68-68
      A few cases of cardiac valve tophi have been reported in literature. In this case report, the echocardiographic characteristics of the hyperechoic mass in the posterior leaflet mitral valve, intact mitral valve ring, and the occurrence of severe tophaceous gout arthritis suggested the diagnosis of a gout tophus on the mitral valve.
      Citation: Journal of Clinical Imaging Science 2012 2(1):68-68
      PubDate: Wed,31 Oct 2012
      DOI: 10.4103/2156-7514.103058
      Issue No: Vol. 2, No. 1 (2012)
       
  • Littoral Cell Angioma of Spleen: An Uncommon Presentation of a Rare
           Neoplasm

    • Authors: Pramod Gupta, Silanath Peungjesada, Soume Foshee, Robin H Amirkhan
      Pages: 69 - 69
      Abstract: Pramod Gupta, Silanath Peungjesada, Soume Foshee, Robin H Amirkhan
      Journal of Clinical Imaging Science 2012 2(1):69-69
      Littoral cell angioma (LCA) is a rare primary splenic tumor that is difficult to differentiate preoperatively from other benign and malignant splenic lesions. Most of the cases present as multiple nodules in the spleen. We report a case of large solitary LCA of the spleen, an uncommon presentation. LCA should be considered in the differential diagnosis of multiple and solitary splenic lesions.
      Citation: Journal of Clinical Imaging Science 2012 2(1):69-69
      PubDate: Fri,30 Nov 2012
      DOI: 10.4103/2156-7514.104302
      Issue No: Vol. 2, No. 1 (2012)
       
  • Crouzon Syndrome: Clinico-Radiological Illustration of a Case

    • Authors: Raviprakash Sasankoti Mohan, Naveen Shanker Vemanna, Sankalp Verma, Neha Agarwal
      Pages: 70 - 70
      Abstract: Raviprakash Sasankoti Mohan, Naveen Shanker Vemanna, Sankalp Verma, Neha Agarwal
      Journal of Clinical Imaging Science 2012 2(1):70-70
      Crouzon syndrome, also called craniofacial dysostosis, is an autosomal dominant disorder with complete penetrance and variable expressivity. Described by a French neurosurgeon in 1912, it is a rare genetic disorder characterized by premature closure of cranial sutures, midfacial hypoplasia, and orbital defects. Here, we report a case of this rare entity. The patient presented with brachycephaly, maxillary hypoplasia, exophthalmos, mandibular prognathism, along with dental and orbital abnormalities.
      Citation: Journal of Clinical Imaging Science 2012 2(1):70-70
      PubDate: Fri,30 Nov 2012
      DOI: 10.4103/2156-7514.104303
      Issue No: Vol. 2, No. 1 (2012)
       
  • Intralobar Pulmonary Sequestrat&#305;on as an Unusual Cause of
           Recurrent Hemoptysis

    • Authors: Servet Kayhan, Burçin Çelik, Umit Belet, Oguz Aydin
      Pages: 71 - 71
      Abstract: Servet Kayhan, Burçin Çelik, Umit Belet, Oguz Aydin
      Journal of Clinical Imaging Science 2012 2(1):71-71
      Pulmonary sequestration is an embryonic, cystic lung tissue that is supplied by systemic blood circulation. It is a nonfunctional lung parenchyma unconnected to normal tracheobronchial system. In cases of pulmonary sequestration, surgical interventions should be performed in order to prevent possible complications such as massive hemoptysis and infections. Preoperative imaging and treatment planning should be done carefully. We present an uncommon case of recurrent hemoptysis caused by intralobar pulmonary sequestration located in the left lower lobe.
      Citation: Journal of Clinical Imaging Science 2012 2(1):71-71
      PubDate: Fri,30 Nov 2012
      DOI: 10.4103/2156-7514.104304
      Issue No: Vol. 2, No. 1 (2012)
       
  • Simultaneous Bilateral Carotid Stenting in a Series of 9 Patients: A
           Single-Center Experience with Review of Literature

    • Authors: Anand Alurkar, Lakshmi Sudha Prasanna Karanam, Suresh Nayak, Sagar Oak
      Pages: 72 - 72
      Abstract: Anand Alurkar, Lakshmi Sudha Prasanna Karanam, Suresh Nayak, Sagar Oak
      Journal of Clinical Imaging Science 2012 2(1):72-72
      Objectives : Simultaneous bilateral carotid artery stenting (SBCAS) is a challenging procedure, and selection criteria play an important role in determining the final outcome. The aim of the present study was to determine the efficacy and safety of the SBCAS in a series of 9 patients with significant bilateral carotid artery disease (>50% on the symptomatic side and >60% on the asymptomatic side). Materials and Methods: The present study is a retrospective study of 9 patients from January 2005 to December 2012 in a tertiary care center. There were 8 males and 1 female in the age range 50 to 75 years and an average mean age of 63 years. Inclusion criteria of the present study were patients with bilateral internal carotid artery stenosis >50% (50 - 99%) in the symptomatic side and >60% in the asymptomatic side as seen on digital subtraction angiography (DSA). SBCAS with use of distal protection device (Spider device, ev3), to prevent intra-procedural embolic migration, was done in all the patients. Results: Technical success was achieved in all patients (100%). Post-procedural events in the form of hypotension and bradycardia occurred in 3 patients after the placement of stent on both the sides, in 2 patients after the placement of the first stent, and in 1 patient after the placement of the second stent. We did not encounter any cases of hyperperfusion, which was a concern in these patients. There were no deaths, major or minor strokes, or myocardial infarction either in the post-procedural period (up to 1 month) or on clinical follow-up 3 and 6 months post-treatment. Conclusion: SBCAS was an effective and safe alternative treatment method in a select group of patients with bilateral carotid artery disease. It can be considered as a feasible treatment option with acceptable risks.
      Citation: Journal of Clinical Imaging Science 2012 2(1):72-72
      PubDate: Tue,4 Dec 2012
      DOI: 10.4103/2156-7514.104305
      Issue No: Vol. 2, No. 1 (2012)
       
  • Computed Tomography Mimics of Acute Appendicitis: Predictors of
           Appendiceal Disease Confirmed at Pathology

    • Authors: Jeremy B Duda, Miranda L Lynch, Shweta Bhatt, Vikram S Dogra
      Pages: 73 - 73
      Abstract: Jeremy B Duda, Miranda L Lynch, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2012 2(1):73-73
      Purpose: Imaging and pathology findings are used to analyze the capability of computed tomography (CT) to distinguish between acute appendicitis and radiological mimickers. Materials and Methods: A retrospective review of 5861 patients undergoing abdominopelvic CT from 2000 to 2008 for suspicion of acute appendicitis was performed. Appendix diameter, surrounding inflammation, appendicolith, and location were assessed. Only those cases were included where patients underwent surgery for acute appendicitis on CT findings. Pathology specimens were examined and those indicative of acute appendicitis were identified. Statistical analysis was performed to correlate pathology and CT signs. Results: A total of 969 of the 5681 patients were included in the study. Acute appendicitis was verified in 870/969 (89%) cases, while 99/969 (11%) demonstrated either chronic findings (i.e., fibrosis [32%], granulomatous disease [16%], lymphoid hyperplasia [11%]) or no abnormality. In regression models, appendiceal diameter >7 mm (odds ratio [OR] = 3.98, P < 0.0001) and mesenteric fat stranding (OR = 6.04, P < 0.0001) were associated with acute appendicitis. Nearly 87% (754/870) of acute appendicitis cases showed both signs on CT, compared with 53% (52/99) of those with other pathologic finding (P < 0.0001). In cases with non-appendicitis findings, 39% (39/99) had only one of these signs compared with 13% (112/870) of those with acute appendicitis (P < 0.0001). Conclusion: Diseases of the appendix other than acute appendicitis may manifest with isolated radiological findings and should be considered as part of the differential diagnosis in cases of borderline acute appendicitis.
      Citation: Journal of Clinical Imaging Science 2012 2(1):73-73
      PubDate: Tue,4 Dec 2012
      DOI: 10.4103/2156-7514.104306
      Issue No: Vol. 2, No. 1 (2012)
       
  • Magnetic Resonance-guided Focused Ultrasound Treatment for Uterine
           Fibroids: First Study in Indian Women

    • Authors: Shrinivas B Desai, Abhijit A Patil, Rahul Nikam, Ajinkya S Desai, Vrushali Bachhav
      Pages: 74 - 74
      Abstract: Shrinivas B Desai, Abhijit A Patil, Rahul Nikam, Ajinkya S Desai, Vrushali Bachhav
      Journal of Clinical Imaging Science 2012 2(1):74-74
      Objectives: To study the results of magnetic resonance-guided focused ultrasound surgery (MRgFUS) treatment carried out on Indian patients in our Hospital. Materials and Methods: Fifty Indian women (mean age = 36.2 ± 8.3 years) were treated for fibroids as outpatients using the ExAblate MRgFUS system (InSightec). Non-perfused volumes (NPVs) were measured immediately after treatment to calculate the treatment outcomes. A validated symptom-specific questionnaire to record their symptoms prior to treatment and six months following treatment was completed by patients. The size of the fibroids was measured on the day of the treatment and during the 6-month checkup to calculate shrinkage. Adverse events during and following treatment were recorded and monitored. Results: The average NPV ratio measured after the treatment was 88% ± 6%, indicative of high ablated fibroid tissue. Prior to treatment, the mean Symptoms Severity Score was 56.9 ± 4.8 (n = 50), which is indicative of highly symptomatic patients. Six months following treatment, there was an average fibroid shrinkage of 30% ± 11%, and a significant decrease in the mean score to 28.6 ± 6.0 (n = 50) (P < 0.001). There were no reports of serious or unexpected adverse events at any point during treatment or during the follow-up period from any of the 50 women treated in the current study. Conclusions: The current results obtained after 6 months of treatment corroborated previous data on the safety and efficacy of MRgFUS for treating uterine fibroids. This is the first publication that provides such data for a large cohort of Indian women.
      Citation: Journal of Clinical Imaging Science 2012 2(1):74-74
      PubDate: Tue,4 Dec 2012
      DOI: 10.4103/2156-7514.104307
      Issue No: Vol. 2, No. 1 (2012)
       
  • Role of Endovascular Treatment in Pediatric Cerebral Aneurysms: A Series
           of Two Case Reports

    • Authors: Anand Alurkar, Lakshmi Sudha Prasanna Karanamm, Sagar Oak
      Pages: 75 - 75
      Abstract: Anand Alurkar, Lakshmi Sudha Prasanna Karanamm, Sagar Oak
      Journal of Clinical Imaging Science 2012 2(1):75-75
      Aneurysms in the pediatric age group are rare and have preponderance for the posterior circulation. These aneurysms are more commonly large, giant, and complex. We present two case reports of saccular aneurysms in pediatric patients who were treated successfully by endovascular technique.
      Citation: Journal of Clinical Imaging Science 2012 2(1):75-75
      PubDate: Tue,4 Dec 2012
      DOI: 10.4103/2156-7514.104308
      Issue No: Vol. 2, No. 1 (2012)
       
  • Virilizing Adrenal Oncocytoma

    • Authors: Dinesh Sharma, Sanjiv Sharma, Anupam Jhobta, RG Sood
      Pages: 76 - 76
      Abstract: Dinesh Sharma, Sanjiv Sharma, Anupam Jhobta, RG Sood
      Journal of Clinical Imaging Science 2012 2(1):76-76
      Adrenal oncocytoma is a rare adrenal neoplasm with only 57 cases reported in literature. Adrenal oncocytomas can achieve large sizes and are usually nonfunctioning. They are detected accidentally during abdominal scans. Most of these adrenal neoplasms are benign. A functioning adrenal oncocytoma manifested with virilization in a 16-year-old female child. There seems to be little benefit in biopsying these tumors and surgery remains the optimum management.
      Citation: Journal of Clinical Imaging Science 2012 2(1):76-76
      PubDate: Tue,4 Dec 2012
      DOI: 10.4103/2156-7514.104309
      Issue No: Vol. 2, No. 1 (2012)
       
  • Bohler's and Gissane Angles in the Indian Population

    • Authors: Vetrivel C Sengodan, KH Amruth, Karthikeyan
      Pages: 77 - 77
      Abstract: Vetrivel C Sengodan, KH Amruth, Karthikeyan
      Journal of Clinical Imaging Science 2012 2(1):77-77
      Objective: The aim of our study is to determine the normal ranges of the calcaneal parameters in the Indian population, and to compare the results with the data in the literature. Materials and Methods: The study was conducted at Coimbatore Medical College Hospital, Coimbatore on the feet (324 in number) of male and female Indian adults. Lateral view of the ankle was taken using a digital X-ray machine. Two parameters namely Bohler`s and Gissane angles were measured, independently by two radiologists to prevent inter-observer variation. Results: The Bohler`s and Gissane angles for the Indian population are statistically different from those seen in the published data for other population groups, as evidenced by the P value ( P < 0.05). Conclusion: Calcaneal parameters specific to the Indian population have to be taken into consideration by the orthopedic surgeon to improve the standard of calcaneal fracture treatment in India.
      Citation: Journal of Clinical Imaging Science 2012 2(1):77-77
      PubDate: Tue,4 Dec 2012
      DOI: 10.4103/2156-7514.104310
      Issue No: Vol. 2, No. 1 (2012)
       
  • Intestinal Obstruction from Congenital Bands at the Proximal Jejunum: A
           Case Report and Literature Review

    • Authors: Debkumar Sarkar, Preetam Gongidi, Thomas Presenza, Emily Scattergood
      Pages: 78 - 78
      Abstract: Debkumar Sarkar, Preetam Gongidi, Thomas Presenza, Emily Scattergood
      Journal of Clinical Imaging Science 2012 2(1):78-78
      Congenital anomalous bands at the proximal jejunum resulting in obstruction have been described sporadically in the literature and are otherwise rare. We present a case of an 8 year-old girl with a nine-month history of intermittent vomiting and no history of prior surgery. The imaging workup includes an abdominal ultrasound, a single contrast upper gastrointestinal series, and a dual contrast computed tomography of the abdomen and pelvis. Surgical intervention revealed the presence of dense bands at the proximal jejunum without evidence of malrotation. Our report reviews the embryology and radiologic findings of this entity using different imaging modalities.
      Citation: Journal of Clinical Imaging Science 2012 2(1):78-78
      PubDate: Thu,27 Dec 2012
      DOI: 10.4103/2156-7514.105130
      Issue No: Vol. 2, No. 1 (2012)
       
  • Non‑Azygos Accessory Fissure in Right Upper Lobe Associated with
           Superior and Inferior Accessory Fissures in Right Lower Lobe

    • Authors: Thomas Jose Eluvathingal Muttikkal, Chunli Deng
      Pages: 79 - 79
      Abstract: Thomas Jose Eluvathingal Muttikkal, Chunli Deng
      Journal of Clinical Imaging Science 2012 2(1):79-79
      Accessory fissures in the lungs are common congenital variations, usually detected as incidental findings in radiographs or CT scan. Accessory fissures can act as an anatomic barrier to the spread of inflammatory or neoplastic disease, as well as due to the variant anatomy, mimic lesions. It is important to recognize the presence of accessory fissures, as they affect surgical planning of pulmonary lobectomy and segmentectomy. Accessory fissure in the right upper lobe other than due to the anomalous course of azygos vein is very rare. We report a case of non-azygos accessory fissure, between the apical and the anterior segments of right upper lobe, along with superior and inferior accessory fissures in the right lower lobe.
      Citation: Journal of Clinical Imaging Science 2012 2(1):79-79
      PubDate: Thu,27 Dec 2012
      DOI: 10.4103/2156-7514.105133
      Issue No: Vol. 2, No. 1 (2012)
       
  • Isolated Humeral Metastasis in Uterine Cervical Cancer: A Rare Entity

    • Authors: Mahrooz Malek, Alireza Rajabzadeh Kanafi, Ramin Pourghorbeh, Reza Nafisi-Moghadam
      Pages: 80 - 80
      Abstract: Mahrooz Malek, Alireza Rajabzadeh Kanafi, Ramin Pourghorbeh, Reza Nafisi-Moghadam
      Journal of Clinical Imaging Science 2012 2(1):80-80
      Bone metastasis in cancer of uterine cervix, especially in the form of isolated bone involvement is a rare manifestation. Herein, we report the first case of isolated humeral metastasis in a known case of locally advanced cervical cancer. A fifty-six-year old female presented with International Federation of Gynecology and Obstetrics (FIGO) Stage IV A squamous cell carcinoma of uterine cervix. She was treated with a combination of radiation and chemotherapy and then total abdominal hysterectomy with bilateral salpingo-oophorectomy. Seven months later, she developed an isolated lytic lesion in the left humerus, which turned out to be a bone metastatic lesion.
      Citation: Journal of Clinical Imaging Science 2012 2(1):80-80
      PubDate: Thu,27 Dec 2012
      DOI: 10.4103/2156-7514.105137
      Issue No: Vol. 2, No. 1 (2012)
       
  • Complete Right Lung Agenesis with Dextrocardia: An Unusual Cause of
           Respiratory Distress

    • Authors: Devki Nandan, Girish Chandra Bhatt, Vivek Dewan, Imkongkumzuk Pongener
      Pages: 81 - 81
      Abstract: Devki Nandan, Girish Chandra Bhatt, Vivek Dewan, Imkongkumzuk Pongener
      Journal of Clinical Imaging Science 2012 2(1):81-81
      Pulmonary agenesis, defined as complete absence of bronchus, parenchyma, and vessels is a very rare condition. Herein, we report a 4-month-old infant who presented with fever, cough, and respiratory distress and was misdiagnosed in a peripheral hospital as a case of pneumonia. The child was, later diagnosed as having right lung agenesis with dextrocardia.
      Citation: Journal of Clinical Imaging Science 2012 2(1):81-81
      PubDate: Thu,27 Dec 2012
      DOI: 10.4103/2156-7514.105140
      Issue No: Vol. 2, No. 1 (2012)
       
  • A Rare Case of Primary osteosarcoma of urinary bladder

    • Authors: Jagdeesh Kenthanahalli Siddappa, Saurabh Singla, Aditi Jain, Ashok Kumar
      Pages: 82 - 82
      Abstract: Jagdeesh Kenthanahalli Siddappa, Saurabh Singla, Aditi Jain, Ashok Kumar
      Journal of Clinical Imaging Science 2012 2(1):82-82
      Extraskeletal osteosarcoma is a malignant mesenchymal soft tissue tumor without attachment to the bone, and is able to produce osteoid or cartilaginous matrix. This entity accounts for 1% of all soft tissue sarcomas. Thus far, less than 35 cases of bladder osteosarcomas have been reported in the literature. These tumors are associated with very poor prognosis. We report a case of primary osteosarcoma of the urinary bladder presenting with intermittent hematuria, dysuria, and right flank pain. Contrast-enhanced computed tomography scan of the abdomen, pelvis, and chest revealed a bladder mass and pulmonary metastases with specks of calcification.
      Citation: Journal of Clinical Imaging Science 2012 2(1):82-82
      PubDate: Thu,27 Dec 2012
      DOI: 10.4103/2156-7514.105145
      Issue No: Vol. 2, No. 1 (2012)
       
  • A Rare Coronary Artery Anomaly: Double Left Anterior Descending Artery

    • Authors: Guray Oncel, Dilek Oncel
      Pages: 83 - 83
      Abstract: Guray Oncel, Dilek Oncel
      Journal of Clinical Imaging Science 2012 2(1):83-83
      Double left anterior descending coronary artery arising from the left and right coronary arteries is one of the rarest of coronary anomalies. In this report, we present a case of double left anterior descending coronary artery with one originating from the left main stem and the second one originating from the same ostium with the right coronary artery, passing to the left side following an inter-arterial course between aorta and right ventricular outflow tract and spreading to the anterior wall of the left ventricle. The diagnosis was made with multislice computed tomography angiography. To our knowledge, only a few such cases have been published in the literature so far.
      Citation: Journal of Clinical Imaging Science 2012 2(1):83-83
      PubDate: Thu,27 Dec 2012
      DOI: 10.4103/2156-7514.105150
      Issue No: Vol. 2, No. 1 (2012)
       
  • Additional Merits of Two-dimensional Single Thick-slice Magnetic Resonance
           Myelography in Spinal Imaging

    • Authors: Abhishek Aggarwal, Rajiv Azad, Armeen Ahmad, Pankaj Arora, Puneet Gupta
      Pages: 84 - 84
      Abstract: Abhishek Aggarwal, Rajiv Azad, Armeen Ahmad, Pankaj Arora, Puneet Gupta
      Journal of Clinical Imaging Science 2012 2(1):84-84
      Objective: To validate the additional merits of two-dimensional (2D) single thick-slice Magnetic Resonance Myelography (MRM) in spinal imaging. Materials and Methods: 2D single thick-slice MRM was performed using T2 half-Fourier acquisition single-shot turbo spin-echo (HASTE) sequence in addition to routine Magnetic resonance (MR) sequences for spine in 220 patients. The images were evaluated for additional diagnostic information in spinal and extra-spinal regions. A three-point grading system was adopted depending upon the utility of MRM in contributing to the detection of spinal or extra-spinal findings. Grade 1 represented no contribution of MRM while grade 3 would indicate that it was essential to detection of findings. Results: Utility of MRM in spine was categorized as grade 3 in 10.9% cases (24/220), grade 2 in 21.8% (48/220) cases and grade 1 in 67.3% cases (148/220). Thus, the overall additional merit of MRM in spine was seen in 32.7% (72/220) of cases. Besides in 14.1% cases (31/220) extra-spinal pathologies were identified. Conclusion: 2D single thick-slice MRM could have additional merits in spinal imaging when used as an adjunct to routine MR sequences.
      Citation: Journal of Clinical Imaging Science 2012 2(1):84-84
      PubDate: Mon,31 Dec 2012
      DOI: 10.4103/2156-7514.105268
      Issue No: Vol. 2, No. 1 (2012)
       
  • Effect of Magnesium Sulfate on Doppler Parameters of Fetal Umbilical and
           Middle Cerebral Arteries in Women with Severe Preeclampsia

    • Authors: Nazanin Farshchian, Negin Rezavand, Saeed Mohammadi
      Pages: 85 - 85
      Abstract: Nazanin Farshchian, Negin Rezavand, Saeed Mohammadi
      Journal of Clinical Imaging Science 2012 2(1):85-85
      Objective: To assess the effect of injecting magnesium sulfate on Doppler parameters of fetal umbilical and middle cerebral arteries (MCA) in women with severe preeclampsia. Materials and Methods: A total of 21 patients with severe preeclampsia admitted to Imam Reza Hospital, Kermanshah (Iran), were evaluated. Before and after administration of magnesium sulfate, Doppler ultrasound scan was carried out to measure fetal middle cerebral artery and umbilical artery blood flow. Paired t-test was used for statistical analysis. Results: After injection of magnesium sulfate, the mean resistivity index (RI)-umbilical, and pulsatility index (PI)-cerebral showed a statistically significant reduction ( P < 0.001). The cerebroumbilical C/U ratio increased after the intervention ( P < 0.001). The PI-umbilical ( P = 0.1) and pre- and post-RI-cerebral ( P = 0.96) did not have statistically significant changes. Conclusions: Infusion of magnesium sulfate significantly decreases the flow in the fetus RI-umbilical and PI-MCA, and it increases C/U ratio indices in color Doppler ultrasound.
      Citation: Journal of Clinical Imaging Science 2012 2(1):85-85
      PubDate: Mon,31 Dec 2012
      DOI: 10.4103/2156-7514.105269
      Issue No: Vol. 2, No. 1 (2012)
       
  • Mesenteric Air Embolism Following Enteroscopic Small Bowel Tattooing
           Procedure

    • Authors: Natalie Chen, Ramit Lamba, John Lee, Chandana Lall
      Pages: 86 - 86
      Abstract: Natalie Chen, Ramit Lamba, John Lee, Chandana Lall
      Journal of Clinical Imaging Science 2012 2(1):86-86
      Double balloon enteroscopy (DBE) is a revolutionary procedure in which the entire small bowel can be visualized endoscopically. DBE has the advantage of both diagnostic and therapeutic capabilities in the setting of small bowel neoplasms and vascular malformations. We present a unique case of a 76-year-old female who underwent small bowel DBE tattoo marking of a distal small bowel tumor complicated by development of severe abdominal pain postprocedure secondary to bowel air embolism into the mesenteric veins. Mesenteric air can be seen after other endoscopic procedures such as biopsy, mucosal clip placement and polypectomy, or following a colonoscopy. Mesenteric air embolism following small bowel tattooing procedure has not been previously reported in the literature. Mesenteric air when present may be attributed to mesenteric ischemia and can subject the patient to unnecessary surgical intervention if misdiagnosed. Thus, this report holds significance for the radiologist as computed tomography (CT) findings of mesenteric air embolism must be evaluated in the context of appropriate clinical history before treatment decisions are made.
      Citation: Journal of Clinical Imaging Science 2012 2(1):86-86
      PubDate: Mon,31 Dec 2012
      DOI: 10.4103/2156-7514.105270
      Issue No: Vol. 2, No. 1 (2012)
       
  • Coming of Age

    • Authors: Vikram Dogra
      Pages: 87 - 87
      Abstract: Vikram Dogra
      Journal of Clinical Imaging Science 2012 2(1):87-87

      Citation: Journal of Clinical Imaging Science 2012 2(1):87-87
      PubDate: Mon,31 Dec 2012
      DOI: 10.4103/2156-7514.105272
      Issue No: Vol. 2, No. 1 (2012)
       
  • Complications of Denver Shunt

    • Authors: Eranga Perera, Shweta Bhatt, Vikram S Dogra
      Pages: 6 - 6
      Abstract: Eranga Perera, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):6-6
      Hepatic hydrothorax secondary to transdiaphragmatic spread of peritoneal fluid can cause respiratory discomfort to the patient. Draining of hydrothorax helps relieve these symptoms. Pleurovenous shunt (Denver shunt) is a relatively non-invasive method of shunting the pleural fluid to the central venous system. Reported complications of pleurovenous shunts are shunt failure, pulmonary edema, post shunt coagulopathy, deep vein thrombosis, and infection. We report a rare case of a leak at the venous end of the catheter that was placed within the right internal jugular vein, resulting in a large collection in the neck.
      Citation: Journal of Clinical Imaging Science 2011 1(1):6-6
      PubDate: Sat,8 Jan 2011
      DOI: 10.4103/2156-7514.75247
      Issue No: Vol. 1, No. 1 (2011)
       
  • Inflammatory Pseudotumor of the Kidney

    • Authors: Mehmet Ruhi Onur, Fatih Firdolas, Ercan Kocakoç, Irfan Orhan
      Pages: 7 - 7
      Abstract: Mehmet Ruhi Onur, Fatih Firdolas, Ercan Kocakoç, Irfan Orhan
      Journal of Clinical Imaging Science 2011 1(1):7-7
      Inflammatory pseudotumor of the kidney is a rare benign condition with unknown etiology that can mimic malignancy. We report a case of inflammatory pseudotumor of the kidney. A 59-year-old male patient was admitted with a complaint of right flank pain and hematuria. Ultrasonography and magnetic resonance imaging of the patient revealed a 9 cm × 10 cm mass originating from the renal parenchyma with posterior extension. Operative findings revealed a mass adhering to the psoas muscle. Histopathologic examination demonstrated spindle-shaped fibroblast cells accompanying inflammatory cells. The pathological diagnosis was renal inflammatory pseudotumor. Repeated US and computed tomography revealed complete remission.
      Citation: Journal of Clinical Imaging Science 2011 1(1):7-7
      PubDate: Sat,8 Jan 2011
      DOI: 10.4103/2156-7514.75252
      Issue No: Vol. 1, No. 1 (2011)
       
  • Median Arcuate Ligament Compression of the Celiomesenteric Trunk

    • Authors: Victor Lee, Mauricio Daniel Alvarez, Shweta Bhatt, Vikram S Dogra
      Pages: 8 - 8
      Abstract: Victor Lee, Mauricio Daniel Alvarez, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):8-8
      Median arcuate ligament (MAL) syndrome is a controversial condition characterized by compression of the celiac trunk and symptoms of intestinal angina. We present a case of MAL compressing the celiomesenteric trunk, a rare variation. We report computed tomography (CT) angiography and three-dimensional reconstructions of this rare phenomenon.
      Citation: Journal of Clinical Imaging Science 2011 1(1):8-8
      PubDate: Sat,8 Jan 2011
      DOI: 10.4103/2156-7514.75260
      Issue No: Vol. 1, No. 1 (2011)
       
  • Renal Collision Tumor in Association with Xanthogranulomatous
           Pyelonephritis

    • Authors: Jennifer Rothschild, Shweta Bhatt, Vikram S Dogra
      Pages: 9 - 9
      Abstract: Jennifer Rothschild, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):9-9
      Collision tumor is a rare condition in which two neoplasms (usually benign and malignant), both growing in the same general area, collide with each other and become intermingled. We present histopathology and imaging correlation of xanthogranulomatous pyelonephritis coexistent with squamous cell carcinoma and osteogenic sarcoma of the kidney.
      Citation: Journal of Clinical Imaging Science 2011 1(1):9-9
      PubDate: Sat,8 Jan 2011
      DOI: 10.4103/2156-7514.75263
      Issue No: Vol. 1, No. 1 (2011)
       
  • Fibro-osseous Lesions of the Jaw: A Report of Two Cases

    • Authors: Guruprasad Yadavalli
      Pages: 10 - 10
      Abstract: Guruprasad Yadavalli
      Journal of Clinical Imaging Science 2011 1(1):10-10
      Fibro-osseous lesions of the maxillofacial bones comprise a diverse group of pathologic conditions that include developmental lesions, reactive or dysplastic diseases, and neoplasms. The concept of fibro-osseous lesions has evolved over the last several decades and now includes two major entities: fibrous dysplasia and ossifying fibroma. The less common lesions include florid osseous dysplasia, periapical dysplasia, focal sclerosing osteomyelitis, proliferative periostitis of Garre, and osteitis deformans. We report two cases, the first, a craniofacial polyostotic fibrous dysplasia, and the second, a juvenile ossifying fibroma of maxilla.
      Citation: Journal of Clinical Imaging Science 2011 1(1):10-10
      PubDate: Fri,11 Feb 2011
      DOI: 10.4103/2156-7514.76688
      Issue No: Vol. 1, No. 1 (2011)
       
  • Acute Renal Artery Occlusion with Prolonged Renal Ischemia: A Case of
           Successful Treatment with Stent Placement and Catheter-directed
           Thrombolysis

    • Authors: Mohammad Arabi, Ranjith Vellody, Kyung Cho
      Pages: 11 - 11
      Abstract: Mohammad Arabi, Ranjith Vellody, Kyung Cho
      Journal of Clinical Imaging Science 2011 1(1):11-11
      We present a case of acute renal artery occlusion caused by a high-grade stenosis associated with in-situ thrombosis. Endovascular renal artery stent placement combined with catheter-directed thrombolysis reversed the renal ischemia with restoration of renal function despite the prolonged ischemia.
      Citation: Journal of Clinical Imaging Science 2011 1(1):11-11
      PubDate: Fri,11 Feb 2011
      DOI: 10.4103/2156-7514.76689
      Issue No: Vol. 1, No. 1 (2011)
       
  • Pilomatrixoma of the Adult Male Breast: A Rare Tumor with Typical
           Ultrasound Features

    • Authors: Charles M Hubeny, Jeremy B Sykes, Avice O'Connell, Vikram S Dogra
      Pages: 12 - 12
      Abstract: Charles M Hubeny, Jeremy B Sykes, Avice O'Connell, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):12-12
      Pilomatrixomas are uncommon benign skin neoplasms arising from the hair follicle matrix. They occur more commonly in children than adults. Most originate on the head, neck, or upper extremities, less commonly on the trunk or lower extremities, and very infrequently in the breast. We present a rare case of pilomatrixoma of the breast in an adult male. As the patient had a strong family history of breast cancer, a full work-up of the breast mass was performed. Ultimately, an excisional biopsy was carried out for patient reassurance.
      Citation: Journal of Clinical Imaging Science 2011 1(1):12-12
      PubDate: Fri,11 Feb 2011
      DOI: 10.4103/2156-7514.76690
      Issue No: Vol. 1, No. 1 (2011)
       
  • Sprengel Deformity: Magnetic Resonance Imaging Findings in Two Pediatric
           Cases

    • Authors: Alper Dilli, Umit Yasar Ayaz, Çagri Damar, Önder Ersan, Baki Hekimoglu
      Pages: 13 - 13
      Abstract: Alper Dilli, Umit Yasar Ayaz, Çagri Damar, Önder Ersan, Baki Hekimoglu
      Journal of Clinical Imaging Science 2011 1(1):13-13
      The characteristics of Sprengel deformity, which is also called congenital high scapula, are malposition and dysplasia of the affected scapula, with possible omovertebral connection. The aim of the present study was mainly to present the magnetic resonance imaging (MRI) findings of two pediatric cases of Sprengel deformity. A 7-year-old girl and a 9-year-old boy with deformities in their right shoulder were studied. Plain radiographs were obtained. MRI was performed for both children. The fibrous omovertebral connection is depicted in its longest form in one plane. Omovertebral band is best screened in coronal and axial cross sections. We are introducing a new MRI sign which we named as "Ra's eye" to define the appearance of omovertebral band within the surrounding fat tissue.
      Citation: Journal of Clinical Imaging Science 2011 1(1):13-13
      PubDate: Fri,11 Feb 2011
      DOI: 10.4103/2156-7514.76691
      Issue No: Vol. 1, No. 1 (2011)
       
  • Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum
           Hemorrhage, Managed with Uterine Artery Embolisation

    • Authors: Pramya Nanjundan, Meenakshi Rohilla, Ainharan Raveendran, Vanita Jain, Niranjan Khandelwal
      Pages: 14 - 14
      Abstract: Pramya Nanjundan, Meenakshi Rohilla, Ainharan Raveendran, Vanita Jain, Niranjan Khandelwal
      Journal of Clinical Imaging Science 2011 1(1):14-14
      Uterine artery pseudoaneurysm is a rare cause of secondary postpartum hemorrhage but is potentially life-threatening and can occur after caesarean section (c-section) or a hysterectomy. A 28-year-old woman who developed secondary postpartum hemorrhage after c-section was diagnosed to have pseudoaneurysm from the left uterine artery on ultrasound (US) and computed tomography (CT) scan. She was treated with coiling of the pseudoaneurysm with stainless steel coil via selective catheterization of the uterine artery. The procedure was uneventful and the pseudoaneurysm was successfully obliterated. Angiographic embolization is a safe and effective method for treating postpartum hemorrhage due to pseudoaneurysm in hemodynamically stable patients. Therefore, it should be considered as a treatment option before resorting to surgery, in appropriately selected cases.
      Citation: Journal of Clinical Imaging Science 2011 1(1):14-14
      PubDate: Fri,11 Feb 2011
      DOI: 10.4103/2156-7514.76692
      Issue No: Vol. 1, No. 1 (2011)
       
  • Magnetic Resonance Imaging of Neurosarcoidosis

    • Authors: Daniel T Ginat, Gurpreet Dhillon, Jeevak Almast
      Pages: 15 - 15
      Abstract: Daniel T Ginat, Gurpreet Dhillon, Jeevak Almast
      Journal of Clinical Imaging Science 2011 1(1):15-15
      Neurosarcoidosis is an uncommon condition with protean manifestations. Magnetic resonance imaging (MRI) is often used in the diagnostic evaluation and follow-up of patients with neurosarcoidosis. Therefore, familiarity with the variety of MRI appearances is important. In this pictorial essay, the range of possible patterns of involvement in neurosarcoidosis are depicted and discussed. These include intracranial and spine leptomeningeal involvement, cortical and cerebral white matter lesions, corpus callosum involvement, sellar and suprasellar involvement, periventricular involvement, cranial nerve involvement, cavernous sinus involvement, hydrocephalus, dural involvement, ischemic lesions, perivascular involvement, orbit lesions, osseous involvement, nerve root involvement, and spinal cord intramedullary involvement. Differential diagnoses for each pattern of involvement of neurosarcoidosis are also provided.
      Citation: Journal of Clinical Imaging Science 2011 1(1):15-15
      PubDate: Fri,11 Feb 2011
      DOI: 10.4103/2156-7514.76693
      Issue No: Vol. 1, No. 1 (2011)
       
  • X-ray Digital Linear Tomosynthesis Imaging for Artificial Pulmonary Nodule
           Detection

    • Authors: Tsutomu Gomi
      Pages: 16 - 16
      Abstract: Tsutomu Gomi
      Journal of Clinical Imaging Science 2011 1(1):16-16
      The purpose of this paper is to identify indications for volumetric X-ray digital linear tomosynthesis (DLT) with single- and dual-energy subtraction techniques for artificial pulmonary nodule detection and compare X-ray DLT, X-ray digital radiography, and computed tomography.
      Citation: Journal of Clinical Imaging Science 2011 1(1):16-16
      PubDate: Fri,11 Feb 2011
      DOI: 10.4103/2156-7514.76694
      Issue No: Vol. 1, No. 1 (2011)
       
  • Traumatic Ectopic Dislocation of Testis

    • Authors: Eranga Perera, Shweta Bhatt, Vikram S Dogra
      Pages: 17 - 17
      Abstract: Eranga Perera, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):17-17
      Traumatic ectopic dislocation of testis is a rare occurrence and usually occurs following a motorcycle collision, in what is referred to as "fuel tank injury". Early identification and subsequent surgical management is of utmost importance to maintain normal spermatogenesis in the dislocated testis. In appropriate clinical setting, scrotal ultrasound examination with gray-scale and color flow Doppler imaging is the method of choice for diagnosis. Computed tomography of the abdomen is a useful adjunct procedure. We report a case of traumatic testicular dislocation with partial testicular torsion following a motorcycle collision, diagnosed with imaging, and subsequently confirmed on surgery.
      Citation: Journal of Clinical Imaging Science 2011 1(1):17-17
      PubDate: Thu,24 Feb 2011
      DOI: 10.4103/2156-7514.77124
      Issue No: Vol. 1, No. 1 (2011)
       
  • Macrodystrophia Lipomatosa: Radiologic-Pathologic Correlation

    • Authors: Deepika Upadhyay, Umesh C Parashari, Sachin Khanduri, Samarjit Bhadury
      Pages: 18 - 18
      Abstract: Deepika Upadhyay, Umesh C Parashari, Sachin Khanduri, Samarjit Bhadury
      Journal of Clinical Imaging Science 2011 1(1):18-18
      Macrodystrophia lipomatosa (MDL) is a rare cause of congenital macrodactyly, characterised by progressive proliferation of all mesenchymal elements, with disproportionate increase in fibro-adipose tissue. It occurs most frequently in lower limbs along the distribution of the medial plantar nerve. MDL presents as localised gigantism of the hand or foot and comes to clinical attention for cosmetic reasons, mechanical problems secondary to degenerative joint disease, or development of neurovascular compression. Here, we report a case of MDL, with altered soft tissue growth due to an earlier surgery, making clinical diagnosis difficult. However, with a complete radio-clinical work-up and review of the history, a provisional diagnosis of MDL was made, which was confirmed by histopathology and during surgery.
      Citation: Journal of Clinical Imaging Science 2011 1(1):18-18
      PubDate: Tue,22 Mar 2011
      DOI: 10.4103/2156-7514.78264
      Issue No: Vol. 1, No. 1 (2011)
       
  • Sonographic Upper Gastrointestinal Series in the Vomiting Infant: How We
           Do It

    • Authors: Thaddeus W Herliczek, Deepak Raghavan, Kathleen McCarten, Michael Wallach
      Pages: 19 - 19
      Abstract: Thaddeus W Herliczek, Deepak Raghavan, Kathleen McCarten, Michael Wallach
      Journal of Clinical Imaging Science 2011 1(1):19-19
      Sonography (ultrasound) is used routinely to assess an infant with nonbilious projectile emesis. Fluoroscopic upper gastrointestinal (UGI) series has been the standard method to evaluate infants with bilious emesis. We use sonographic UGI routinely to assess infants with nonbilious emesis as well as infants with bilious emesis. This essay illustrates our technique, the results obtained using this technique for normal anatomy, and the commonly encountered pathology.
      Citation: Journal of Clinical Imaging Science 2011 1(1):19-19
      PubDate: Thu,31 Mar 2011
      DOI: 10.4103/2156-7514.78528
      Issue No: Vol. 1, No. 1 (2011)
       
  • Diffusion-weighted Magnetic Resonance Imaging in the Early Diagnosis of
           Neonatal Adrenoleukodystrophy

    • Authors: R Nuri Sener, Mehmet H Atalar
      Pages: 20 - 20
      Abstract: R Nuri Sener, Mehmet H Atalar
      Journal of Clinical Imaging Science 2011 1(1):20-20
      A newborn baby girl developed seizures right after birth. On the fourth day, the baby was examined using diffusion sequence magnetic resonance imaging (MRI) and diagnosed to have neonatal adrenoleukodystrophy. Laboratory findings confirmed the diagnosis. This is the first case of neonatal adrenoleukodystrophy (NALD) where diffusion MRI sequence helped in the diagnosis. We find association of NALD with seizures at birth is an extremely rare occurrence, and so far, only one case has been mentioned in the literature.
      Citation: Journal of Clinical Imaging Science 2011 1(1):20-20
      PubDate: Thu,31 Mar 2011
      DOI: 10.4103/2156-7514.78530
      Issue No: Vol. 1, No. 1 (2011)
       
  • Imaging of Mechanical Cardiac Assist Devices

    • Authors: Daniel Ginat, Howard Todd Massey, Shweta Bhatt, Vikram S Dogra
      Pages: 21 - 21
      Abstract: Daniel Ginat, Howard Todd Massey, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):21-21
      Diagnostic imaging plays an important role in the assessment of patients with mechanical cardiac assist devices. Therefore, it is important for radiologists to be familiar with the basic components, function, and radiographic appearances of these devices in order to appropriately diagnose complications. The purpose of this pictorial essay is to review indications, components, normal imaging appearances, and complications of surgically and percutaneously implanted ventricular assist devices, intra-aortic balloon pumps, and cardiac meshes.
      Citation: Journal of Clinical Imaging Science 2011 1(1):21-21
      PubDate: Sat,30 Apr 2011
      DOI: 10.4103/2156-7514.80373
      Issue No: Vol. 1, No. 1 (2011)
       
  • Imaging of the Bursae

    • Authors: Zameer Hirji, Jaspal S Hunjun, Hema N Choudur
      Pages: 22 - 22
      Abstract: Zameer Hirji, Jaspal S Hunjun, Hema N Choudur
      Journal of Clinical Imaging Science 2011 1(1):22-22
      When assessing joints with various imaging modalities, it is important to focus on the extraarticular soft tissues that may clinically mimic joint pathology. One such extraarticular structure is the bursa. Bursitis can clinically be misdiagnosed as joint-, tendon- or muscle-related pain. Pathological processes are often a result of inflammation that is secondary to excessive local friction, infection, arthritides or direct trauma. It is therefore important to understand the anatomy and pathology of the common bursae in the appendicular skeleton. The purpose of this pictorial essay is to characterize the clinically relevant bursae in the appendicular skeleton using diagrams and corresponding multimodality images, focusing on normal anatomy and common pathological processes that affect them. The aim is to familiarize radiologists with the radiological features of bursitis.
      Citation: Journal of Clinical Imaging Science 2011 1(1):22-22
      PubDate: Sat,30 Apr 2011
      DOI: 10.4103/2156-7514.80374
      Issue No: Vol. 1, No. 1 (2011)
       
  • Ureteritis Cystica: A Radiologic Pathologic Correlation

    • Authors: Jennifer G Rothschild, Guan Wu
      Pages: 23 - 23
      Abstract: Jennifer G Rothschild, Guan Wu
      Journal of Clinical Imaging Science 2011 1(1):23-23
      Ureteritis cystica (UC) is a benign condition that commonly affects the ureter and can mimic other conditions such as transitional cell carcinoma, blood clots, air bubbles, radiolucent stones, fibroepithelial polyps, and sloughed renal papillae. Radiographically, UC is characterized by multiple small, round, lucent defects, which cause scalloping of the ureteral margins when seen in profile. The scalloping is produced by the projection of the submucosal cysts into the lumen and represents an important differential feature of this disease. We present a case of UC with a radiological pathological correlation.
      Citation: Journal of Clinical Imaging Science 2011 1(1):23-23
      PubDate: Sat,30 Apr 2011
      DOI: 10.4103/2156-7514.80375
      Issue No: Vol. 1, No. 1 (2011)
       
  • Photoacoustic Imaging: Opening New Frontiers in Medical Imaging

    • Authors: Keerthi S Valluru, Bhargava K Chinni, Navalgund A Rao
      Pages: 24 - 24
      Abstract: Keerthi S Valluru, Bhargava K Chinni, Navalgund A Rao
      Journal of Clinical Imaging Science 2011 1(1):24-24
      In today's world, technology is advancing at an exponential rate and medical imaging is no exception. During the last hundred years, the field of medical imaging has seen a tremendous technological growth with the invention of imaging modalities including but not limited to X-ray, ultrasound, computed tomography, magnetic resonance imaging, positron emission tomography, and single-photon emission computed tomography. These tools have led to better diagnosis and improved patient care. However, each of these modalities has its advantages as well as disadvantages and none of them can reveal all the information a physician would like to have. In the last decade, a new diagnostic technology called photoacoustic imaging has evolved which is moving rapidly from the research phase to the clinical trial phase. This article outlines the basics of photoacoustic imaging and describes our hands-on experience in developing a comprehensive photoacoustic imaging system to detect tissue abnormalities.
      Citation: Journal of Clinical Imaging Science 2011 1(1):24-24
      PubDate: Fri,6 May 2011
      DOI: 10.4103/2156-7514.80522
      Issue No: Vol. 1, No. 1 (2011)
       
  • The Beginning

    • Authors: Vikram Dogra
      Pages: 25 - 25
      Abstract: Vikram Dogra
      Journal of Clinical Imaging Science 2011 1(1):25-25

      Citation: Journal of Clinical Imaging Science 2011 1(1):25-25
      PubDate: Fri,6 May 2011
      DOI: 10.4103/2156-7514.80523
      Issue No: Vol. 1, No. 1 (2011)
       
  • Bronchial Artery Aneurysm due to Pulmonary Tuberculosis: Detection with
           Multidetector Computed Tomographic Angiography

    • Authors: Saurabh Karmakar, Alok Nath, Zafar Neyaz, Hira Lal, Rajendra V Phadke
      Pages: 26 - 26
      Abstract: Saurabh Karmakar, Alok Nath, Zafar Neyaz, Hira Lal, Rajendra V Phadke
      Journal of Clinical Imaging Science 2011 1(1):26-26
      A case of bronchial artery aneurysm due to pulmonary tuberculosis is reported. The patient presented with massive hemoptysis and the diagnosis was made using multidetector computed tomographic (MDCT) angiography. Selective bronchial arteriogram confirmed the MDCT findings and bronchial artery embolization was successfully performed with cessation of hemoptysis. Our article emphasizes the value of MDCT angiography in the diagnosis and management of such cases.
      Citation: Journal of Clinical Imaging Science 2011 1(1):26-26
      PubDate: Thu,19 May 2011
      DOI: 10.4103/2156-7514.81293
      Issue No: Vol. 1, No. 1 (2011)
       
  • Diffusion-weighted Magnetic Resonance Imaging: What Makes Water Run Fast
           or Slow?

    • Authors: Francesca Fornasa
      Pages: 27 - 27
      Abstract: Francesca Fornasa
      Journal of Clinical Imaging Science 2011 1(1):27-27
      Diffusion-Weighted Magnetic Resonance Imaging (DWI) obtains information useful in diagnosing several diseases through the measurement of random, Brownian diffusion of water molecules in tissues. This pictorial essay illustrates the main factors, i.e., ratio between the volume occupied by cells and the extracellular space, composition of the extracellular space, and temperature, that determine the rate of the water diffusion. The mechanism through which these influencing factors affect water diffusion is explained. Clinical and experimental examples, derived both from physiology and from non-human models, are described.
      Citation: Journal of Clinical Imaging Science 2011 1(1):27-27
      PubDate: Thu,19 May 2011
      DOI: 10.4103/2156-7514.81294
      Issue No: Vol. 1, No. 1 (2011)
       
  • Enforcing Quality Metrics over Equipment Utilization Rates as Means to
           Reduce Centers for Medicare and Medicaid Services Imaging Costs and
           Improve Quality of Care

    • Authors: Amit Sura, Alexander Ho
      Pages: 28 - 28
      Abstract: Amit Sura, Alexander Ho
      Journal of Clinical Imaging Science 2011 1(1):28-28
      Radiology has been the focus of efforts to reduce inefficiencies while attempting to lower medical costs. The 2010 Medicare Physician Fee Schedule has reduced Centers for Medicare and Medicaid Services' (CMS) reimbursements related to the technical component of imaging services. By increasing the utilization rate, the cost of equipment spreads over more studies, thus lowering the payments per procedure. Is it beneficial for CMS to focus on equipment utilization as a cost-cutting measure? Can greater financial and quality of care rewards be made by improving metrics like appropriateness criteria and pre-authorization?On examining quality metrics, such as appropriateness criteria and pre-authorization, promising results have ensued. The development and enforcement of appropriateness criteria lowers overutilization of studies without requiring unattainable fixed rates. Pre-authorization educates ordering physicians as to when imaging is indicated.
      Citation: Journal of Clinical Imaging Science 2011 1(1):28-28
      PubDate: Tue,31 May 2011
      DOI: 10.4103/2156-7514.81771
      Issue No: Vol. 1, No. 1 (2011)
       
  • The Fetal Magnetic Resonance Imaging Experience in a Large Community
           Medical Center

    • Authors: Peter M Ghobrial, Rebecca A Levy, Stephen C O'Connor
      Pages: 29 - 29
      Abstract: Peter M Ghobrial, Rebecca A Levy, Stephen C O'Connor
      Journal of Clinical Imaging Science 2011 1(1):29-29
      Fetal magnetic resonance imaging (MRI) continues to prove a useful problem solving tool for diagnostic and management decision making issues encountered in the antenatal period. In this paper, we attempt to review basic fetal MRI protocol considerations and demonstrate key imaging findings through multiple modalities, with pathologic correlation in several cases. A study of five fetal MRI cases, from our institution, were selected in order to highlight both the indications for, and benefits obtained from this advanced imaging technique. Fetal MRI proved useful in each case in better defining fetal anomalies, especially where ultrasound (due to drawbacks such as shadowing by pelvic bones) was unable to be completely diagnostic. The more in-depth study made possible by MRI also helped with formulation of disease prognosis and estimation of survival chances of the fetus. Further, MRI as a diagnostic and prognostic tool has become more ubiquitous across the medical community. This imparts tangible benefit to patients, who are now able to find this service within arm's reach. Whereas previously these patients were obligatorily referred up to 90 miles away from our centre for further medical work-up, now a large percentage can obtain their prenatal imaging and perinatal care locally. In addition, medical education benefits as new types of cases, those with pathology of the antenatal period, are retained for work-up and management in these large community settings. Cases from our institution exemplify these types of pathologies, from fetal chest masses to a syndromic presentation of bilateral renal agenesis.
      Citation: Journal of Clinical Imaging Science 2011 1(1):29-29
      PubDate: Tue,31 May 2011
      DOI: 10.4103/2156-7514.81772
      Issue No: Vol. 1, No. 1 (2011)
       
  • Imaging-guided Parenchymal Liver Biopsy: How We Do It

    • Authors: Gopal R Vijayaraghavan, Sheehan David, Myriam Bermudez-Allende, Hussain Sarwat
      Pages: 30 - 30
      Abstract: Gopal R Vijayaraghavan, Sheehan David, Myriam Bermudez-Allende, Hussain Sarwat
      Journal of Clinical Imaging Science 2011 1(1):30-30
      Liver biopsies are performed for both focal and nonfocal lesions (parenchymal). In our center, majority of liver biopsies are performed for parenchymal liver disease. Parenchymal liver biopsy plays a key role in the diagnosis of various diffuse liver dysfunctions. Results of the biopsy help grade the disease, facilitating prognostication, which helps in planning specific treatment strategies. Imaging guidance is gaining wide acceptance as the standard procedure. Ultrasound (US) guidance is currently considered the most cost-effective and safe way to perform parenchymal liver biopsies. Radiologists worldwide and particularly in the United States are increasingly performing this procedure. Radiologists performing biopsies generally use the cutting needle. Different needle sizes, techniques and preference for biopsy of the right or left lobe have been described. We attribute these preferences to prior training and individual radiologist's comfort level. We describe the algorithm followed at our institution for performing percutaneous US-guided parenchymal liver biopsy. While clinical societies have recommended a minimum of 40 liver biopsies as a requirement for proficiency of clinicians, specific to radiology trainees/fellows interested in pursuing a career in intervention, we feel a total of 20 liver biopsies (includes assisted and independently performed biopsies under supervision) should be adequate training.
      Citation: Journal of Clinical Imaging Science 2011 1(1):30-30
      PubDate: Wed,15 Jun 2011
      DOI: 10.4103/2156-7514.82082
      Issue No: Vol. 1, No. 1 (2011)
       
  • Image-guided Percutaneous Drainage in the Pediatric Population: A Primer
           for Radiologists

    • Authors: Keerthi Arani, Kiran Nandalur, Christina M Tucker, David A Bloom
      Pages: 31 - 31
      Abstract: Keerthi Arani, Kiran Nandalur, Christina M Tucker, David A Bloom
      Journal of Clinical Imaging Science 2011 1(1):31-31
      Image-guided percutaneous drainage is an excellent minimally invasive method for dealing with infectious complications in the pediatric population. A thorough understanding of drainage procedures in children can often lead to improved patient outcomes. Indications for percutaneous drainage will be reviewed, including abscesses related to appendicitis, post-surgical abscess formation, and abscesses related to Crohn's disease. This pictorial essay will help the radiologist better understand the common etiologies of abscesses in children that may require percutaneous drainage, the special considerations for catheter placement, patient preparation, and anesthesia or sedation issues unique to the pediatric population.
      Citation: Journal of Clinical Imaging Science 2011 1(1):31-31
      PubDate: Tue,21 Jun 2011
      DOI: 10.4103/2156-7514.82243
      Issue No: Vol. 1, No. 1 (2011)
       
  • Imaging Features of the Pleuropulmonary Manifestations of Rheumatoid
           Arthritis: Pearls and Pitfalls

    • Authors: Harbir S Sidhu, Gauraang Bhatnagar, Pervinder Bhogal, Richard Riordan
      Pages: 32 - 32
      Abstract: Harbir S Sidhu, Gauraang Bhatnagar, Pervinder Bhogal, Richard Riordan
      Journal of Clinical Imaging Science 2011 1(1):32-32
      Rheumatoid arthritis (RA) is a common disorder that affects the joints. RA is a systemic disease associated with relatively frequent and variable pleuropulmonary manifestations. This article reviews the common and potentially serious thoracic sequelae in terms of pleural disease, pulmonary nodules, airways disorders, and interstitial disease, as well as pulmonary side effects of antirheumatic medication. An imaging-guided approach to classification of RA-associated lung disease is outlined and the comparative values of different imaging modalities are discussed. An appreciation of current knowledge of epidemiology, pathological correlation, and prognostic implications of different RA-associated lung disease is provided. We highlight importance of considering pertinent differential diagnoses to avoid misdiagnosis, and outline common pitfalls in dealing with pleuropulmonary rheumatoid disease.
      Citation: Journal of Clinical Imaging Science 2011 1(1):32-32
      PubDate: Tue,21 Jun 2011
      DOI: 10.4103/2156-7514.82244
      Issue No: Vol. 1, No. 1 (2011)
       
  • Communicating Tubular Duplication of Upper Esophagus-A Rare Occurrence

    • Authors: Jawahar Rathod, Amit Disawal, Kishor Taori, Meenakshi Agrawal, Prajwaleet P Gaur, Vijay Jadhav, Krishna Prasad, Kanchan Wankhede
      Pages: 33 - 33
      Abstract: Jawahar Rathod, Amit Disawal, Kishor Taori, Meenakshi Agrawal, Prajwaleet P Gaur, Vijay Jadhav, Krishna Prasad, Kanchan Wankhede
      Journal of Clinical Imaging Science 2011 1(1):33-33
      Duplications of esophagus are commonly classified into two types, tubular and cystic. Tubular duplication of esophagus is a rare occurrence and is much less common than cystic duplication of foregut. Most esophageal duplications are located in the lower third of the esophagus. A cervical esophageal duplication is extremely rare. Esophageal duplications have been reported twice as commonly on the right as on the left. We report a case of incidental finding identified on computed tomography of communicating tubular esophageal duplication involving the left side of the upper esophagus in a tuberculosis patient that was subsequently confirmed on barium swallow test.
      Citation: Journal of Clinical Imaging Science 2011 1(1):33-33
      PubDate: Tue,21 Jun 2011
      DOI: 10.4103/2156-7514.82245
      Issue No: Vol. 1, No. 1 (2011)
       
  • Sonographic Findings of Additional Malignant Lesions in Breast Carcinoma
           Seen by Second Look Ultrasound

    • Authors: Ana Delgado Laguna, S Jimenez Arranz, V Quintana Checa, S Alonso Roca, D Expósito Jiménez, J Oliver-Goldaracena
      Pages: 34 - 34
      Abstract: Ana Delgado Laguna, S Jimenez Arranz, V Quintana Checa, S Alonso Roca, D Expósito Jiménez, J Oliver-Goldaracena
      Journal of Clinical Imaging Science 2011 1(1):34-34
      Objective: The aim is to show ultrasound (US) findings of additional malignant lesions of breast carcinoma visualized on targeted second-look US that were not identified by mammography or US prior to the time of diagnosis. Materials and Methods: A double-blind retrospective review of the US results from January 2008 through August 2010 of 228 patients with known breast cancer was conducted by two expert radiologists. The focus of the review was on the second-look US characteristics (following BI-RADS criteria) of 26 documented additional malignant lesions of the 76 with successful sonographic correlation from the 123 lesions detected by magnetic resonance imaging (MRI). All of them, before the MRI, had an initial mammography and a US with a histopathological biopsy of the primary lesion. Results: Approximately 60 to 70% of the findings were classified as BI-RADS 2 and BI-RADS 3, while assessing the final US category. The review of the second-look US showed the size of the second malignant additional lesion ranged from 3 to 22 mm, of which 90% were smaller than 10 mm and 66% were smaller than 7 mm. Conclusions: Most additional malignant lesions, nonpalpable carcinomas, which were previously not detected by mammography and US at first-look diagnosis, were detected by a targeted second-look US examination. These lesions were of category BI-RADS 2 and BI-RADS 3 and smaller than 7 mm.
      Citation: Journal of Clinical Imaging Science 2011 1(1):34-34
      PubDate: Sat,25 Jun 2011
      DOI: 10.4103/2156-7514.82338
      Issue No: Vol. 1, No. 1 (2011)
       
  • Role of Magnetic Resonance Enterography in Differentiating between
           Fibrotic and Active Inflammatory Small Bowel Stenosis in Patients with
           Crohn's disease

    • Authors: Francesca Fornasa, Chiara Benassuti, Luca Benazzato
      Pages: 35 - 35
      Abstract: Francesca Fornasa, Chiara Benassuti, Luca Benazzato
      Journal of Clinical Imaging Science 2011 1(1):35-35
      Objective: To assess the diagnostic accuracy of magnetic resonance imaging (MRI) in prospectively differentiating between fibrotic and active inflammatory small bowel stenosis in patients with Crohn's disease (CD). Materials and Methods: A total of 111 patients with histologically proven CD presenting with clinical and plain radiographic signs of small bowel obstruction underwent coronal and axial MRI scans after oral administration of polyethylene glycol solution. A stenosis was judged present if a small bowel segment had >80% lumen reduction as compared to an adjacent normal loop and mural thickening of >3 mm. At the level of the stenosis, both T2 signal intensity and post-gadolinium T1 enhancement were quantified using a 5-point scale (0: very low; 1: low; 2: moderate; 3: high; and 4: very high). A stenosis was considered fibrotic if the sum of the two values (activity score: AS) did not exceed 1. Results: A small bowel stenosis was identified in 48 out of 111 patients. Fibrosis was confirmed at histology in all of the 23 patients with AS of 0 or 1, who underwent surgery within 3 days of the MRI examination. In the remaining 25 patients (AS: 2-8), an active inflammatory stenosis was suspected and remission of the obstructive symptoms was obtained by means of medical treatment. One of these patients (AS: 2), however, underwent surgery after 14 days, due to recurrence. MRI had 95.8% sensitivity, 100% specificity, and 97.9% accuracy in the diagnosis of fibrotic stenosis. Conclusion: MRI is reliable in differentiating fibrotic from inflammatory small bowel stenosis in CD.
      Citation: Journal of Clinical Imaging Science 2011 1(1):35-35
      PubDate: Sat,25 Jun 2011
      DOI: 10.4103/2156-7514.82339
      Issue No: Vol. 1, No. 1 (2011)
       
  • A Very Rapid Visual Recovery of Posterior Reversible Encephalopathy
           Syndrome

    • Authors: Harpreet S Walia, F Lawson Grumbine, Neal V Palejwala, Gagan K Sawhney, David S Risner, Sandeep S Walia
      Pages: 36 - 36
      Abstract: Harpreet S Walia, F Lawson Grumbine, Neal V Palejwala, Gagan K Sawhney, David S Risner, Sandeep S Walia
      Journal of Clinical Imaging Science 2011 1(1):36-36

      Citation: Journal of Clinical Imaging Science 2011 1(1):36-36
      PubDate: Sat,25 Jun 2011
      DOI: 10.4103/2156-7514.82341
      Issue No: Vol. 1, No. 1 (2011)
       
  • Crohn's disease: Multimodality Imaging of Surgical Indications,
           Operative Procedures, and Complications

    • Authors: B Kolar, J Speranza, S Bhatt, V Dogra
      Pages: 37 - 37
      Abstract: B Kolar, J Speranza, S Bhatt, V Dogra
      Journal of Clinical Imaging Science 2011 1(1):37-37
      Surgical management is considered for specific indications in Crohn's disease and a wide variety of surgeries is performed. The purpose of this pictorial essay is to depict manifestations of Crohn's disease that indicates surgery, various surgical procedures that are performed, and the complications arising from these surgical procedures. Surgical indications including obstruction due to strictures or adhesions, fistulae and abscesses, and surgeries for these conditions, such as, ileocecectomy, stricturoplasty, small bowel resection, fecal diversion, segmental colectomy, and lysis of adhesions and their complications will be discussed and their imaging will also be illustrated.
      Citation: Journal of Clinical Imaging Science 2011 1(1):37-37
      PubDate: Thu,14 Jul 2011
      DOI: 10.4103/2156-7514.82966
      Issue No: Vol. 1, No. 1 (2011)
       
  • Angiogenesis Imaging in Neoplasia

    • Authors: David J Bowden, Tristan Barrett
      Pages: 38 - 38
      Abstract: David J Bowden, Tristan Barrett
      Journal of Clinical Imaging Science 2011 1(1):38-38
      Angiogenesis plays a key role in physiological and pathophysiological processes and is recognized as being essential for tumor growth and metastases. The recent oncological development of anti-angiogenic drugs brings with it a need for angiogenesis quantification and monitoring of response. The nature of these agents means that traditional anatomical methods of assessing morphologic change are outmoded and functional imaging techniques and/or agents are necessary. Herein, we describe the various imaging techniques that can be employed to assess angiogenesis, along with their inherent advantages and disadvantages and discuss the current and future developments in the field.
      Citation: Journal of Clinical Imaging Science 2011 1(1):38-38
      PubDate: Wed,27 Jul 2011
      DOI: 10.4103/2156-7514.83229
      Issue No: Vol. 1, No. 1 (2011)
       
  • Clinically Relevant Imaging in Tuberous Sclerosis

    • Authors: Rupa Radhakrishnan, Sadhna Verma
      Pages: 39 - 39
      Abstract: Rupa Radhakrishnan, Sadhna Verma
      Journal of Clinical Imaging Science 2011 1(1):39-39
      Tuberous sclerosis (TS), also known as Bourneville disease or Bourneville-Pringle disease, is an autosomal dominant genetic disorder classically characterized by the presence of hamartomatous growths in multiple organs. TS and tuberous sclerosis complex (TSC) are different terms for the same genetic condition. Both terms describe clinical changes due to mutations involving either of the two genes named TSC1 and TSC2, which regulate cell growth. The diagnosis of TSC is established using diagnostic criteria based on clinical and imaging findings. Routine screening and surveillance of patients with TSC is needed to determine the presence and extent of organ involvement, especially the brain, kidneys, and lungs, and identify the development of associated complications. As the treatment is organ specific, imaging plays a crucial role in the management of patients with TSC.
      Citation: Journal of Clinical Imaging Science 2011 1(1):39-39
      PubDate: Wed,27 Jul 2011
      DOI: 10.4103/2156-7514.83230
      Issue No: Vol. 1, No. 1 (2011)
       
  • The Forgotten Guide Wire: A Rare Complication of Hemodialysis Catheter
           Insertion

    • Authors: Said Abuhasna, Dirar Abdallah, Masood ur Rahman
      Pages: 40 - 40
      Abstract: Said Abuhasna, Dirar Abdallah, Masood ur Rahman
      Journal of Clinical Imaging Science 2011 1(1):40-40
      A rare complication of a hemodialysis catheter insertion is the loss of the complete guide wire into the circulation. A complete guide wire in the circulation may not necessarily produce symptoms, and it may remain unnoticed for a significant period of time. We present a rare case where a complete guide wire was lost into the circulation during insertion of a hemodialysis catheter into the right femoral vein in a 19-year-old female with systemic lupus erythromatosis. The patient remained asymptomatic through two plasmapheresis treatments over a period of 2 days. The guide wire was eventually retrieved without complications. The factors leading to the wire being forgotten will be reviewed, and the measures initiated to prevent any future occurrence will be addressed.
      Citation: Journal of Clinical Imaging Science 2011 1(1):40-40
      PubDate: Sat,30 Jul 2011
      DOI: 10.4103/2156-7514.83397
      Issue No: Vol. 1, No. 1 (2011)
       
  • Magnetic Resonance Enterography Findings in Crohn's disease in the
           Pediatric Population and Correlation with Fluoroscopic and Multidetector
           Computed Tomographic Techniques

    • Authors: Parul Patel, Margaret Ormanoski, Kim M Hoadley
      Pages: 41 - 41
      Abstract: Parul Patel, Margaret Ormanoski, Kim M Hoadley
      Journal of Clinical Imaging Science 2011 1(1):41-41
      Traditionally, fluoroscopic examinations such as enteroclysis, upper GI studies, and small bowel follow through exams have been the procedures of choice in evaluating inflammatory bowel disease (IBD) in pediatric populations. With the advent of multidetector computed tomography (MDCT), it has subsequently become a complementary examination in imaging inflammatory bowel disease. A major advantage of MDCT over fluoroscopic examination is its ability to directly visualize bowel mucosa, as well as demonstrate extra-enteric complications of IBD such as abscesses, fistulae, and sinus tracts. The major disadvantage of CT however is exposure to ionizing radiation, especially in IBD patients of the pediatric age group who maybe repeatedly imaged due to exacerbations. As a result, magnetic resonance enterography (MRE) is becoming increasingly important in the evaluation and follow-up of pediatric patients with IBD. This pictorial essay will summarize the multi-modality imaging findings of IBD with emphasis on MRE including the imaging protocol and procedure. For the purposes of this article, patients less than 17 years of age have been considered to represent the pediatric population.
      Citation: Journal of Clinical Imaging Science 2011 1(1):41-41
      PubDate: Sat,30 Jul 2011
      DOI: 10.4103/2156-7514.83399
      Issue No: Vol. 1, No. 1 (2011)
       
  • Angiographic-CT-FDG-Pathologic Correlations of the Incidentally Discovered
           Adrenal Mass

    • Authors: Bi-Fang Lee, Nan-Tsing Chiu, Hong-Ming Tsai, Hung-Wen Tsai, Chung-Jye Hung
      Pages: 42 - 42
      Abstract: Bi-Fang Lee, Nan-Tsing Chiu, Hong-Ming Tsai, Hung-Wen Tsai, Chung-Jye Hung
      Journal of Clinical Imaging Science 2011 1(1):42-42
      During abdominal ultrasonography of a 37-year-old man a 3.2 cm hypoechoic mass in the right hepatic lobe was found incidentally. This prompted an abdominal CT, an FDG PET/CT, and an angiography to evaluate the nature of the mass. Laboratory data showed positive anti-HBs/anti-HBe, and negative HCV antibody. The alfa-fetoprotein and liver function tests were within normal limits. Contrast-enhanced CT found an enhanced hepatic tumor and primary hepatocellular carcinoma was suspected. PET/CT revealed no abnormal FDG accumulation in the right hepatic mass. The digital subtraction angiographies of the right inferior phrenic artery and right renal artery revealed a hypervascular tumor in the right adrenal gland. Therefore, a diagnosis of a right adrenal tumor was made. Serum aldosterone, serum cortisol, and urine vanillylmandelic acid, and catecholamine were all within normal limits. Laparoscopic right adrenalectomy was performed and adrenal cortical adenoma was diagnosed on a histological study.
      Citation: Journal of Clinical Imaging Science 2011 1(1):42-42
      PubDate: Wed,17 Aug 2011
      DOI: 10.4103/2156-7514.83928
      Issue No: Vol. 1, No. 1 (2011)
       
  • Temporal and Pontine Involvement in a Case of Herpes Simplex Encephalitis,
           Presenting as Kluver Bucy Syndrome - A Case Report

    • Authors: Suresh Thirunavukarasu
      Pages: 43 - 43
      Abstract: Suresh Thirunavukarasu
      Journal of Clinical Imaging Science 2011 1(1):43-43
      Bilateral temporal and frontal lobe involvement is a common characteristic of herpes simplex encephalitis (HSE). Clinical sequelae of herpes simplex encephalitis may manifest sometimes as Kluver Bucy syndrome (KBS). In herpes simplex encephalitis, apart from frontal lobe, extra temporal involvement is rare and uncommon. We report a case of HSE manifesting clinically as KBS with a rare radiological finding of temporal and extratemporal involvement of pons.
      Citation: Journal of Clinical Imaging Science 2011 1(1):43-43
      PubDate: Sat,27 Aug 2011
      DOI: 10.4103/2156-7514.84318
      Issue No: Vol. 1, No. 1 (2011)
       
  • Struma Ovarii with Papillary Thyroid Carcinoma

    • Authors: Daniel M Alvarez, Victor Lee, Shweta Bhatt, Vikram S Dogra
      Pages: 44 - 44
      Abstract: Daniel M Alvarez, Victor Lee, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):44-44
      Struma ovarii is an uncommon condition, in which thyroid tissue is the predominant or exclusive element in an ovarian teratoma. Thyroid tissue may demonstrate the same spectrum of pathological features as in the normal thyroid including benign and malignant changes. We present a case of papillary thyroid carcinoma arising in a struma ovarii of the left ovary in a 21-year-old female.
      Citation: Journal of Clinical Imaging Science 2011 1(1):44-44
      PubDate: Sat,27 Aug 2011
      DOI: 10.4103/2156-7514.84322
      Issue No: Vol. 1, No. 1 (2011)
       
  • Computed Tomography Findings in Xanthogranulomatous Pyelonephritis

    • Authors: Arumugam Rajesh, George Jakanani, Nick Mayer, Kevin Mulcahy
      Pages: 45 - 45
      Abstract: Arumugam Rajesh, George Jakanani, Nick Mayer, Kevin Mulcahy
      Journal of Clinical Imaging Science 2011 1(1):45-45
      Background: Xanthogranulomatous pyelonephritis (XGN) is an uncommon condition characterized by chronic suppurative renal inflammation that leads to progressive parenchymal destruction. Purpose: To review the computed tomography (CT) findings of patients diagnosed with XGN. Materials and Methods: A retrospective review of CT findings in patients with histologically proven XGN was carried out. Results: Thirteen CT examinations of 11 patients were analyzed. Renal enlargement was demonstrable on the affected side in all patients. Nine patients (82%) had multiple dilated calyces and abnormal parenchyma. Six patients (55%) had a renal pelvis or upper ureteric calculus causing obstruction. Three patients (27%) had focal fat deposits identifiable within the inflamed renal parenchyma. Two patients had renal abscesses. Ten patients (91%) had extrarenal extension of the inflammatory changes. Three patients (27%) demonstrated extensive retroperitoneal inflammation. Conclusion: Unilateral renal enlargement and inflammation were the most consistent findings of XGN on CT. Perinephric inflammation and collections or abscess should also alert the radiologist to the possibility of this diagnosis.
      Citation: Journal of Clinical Imaging Science 2011 1(1):45-45
      PubDate: Sat,27 Aug 2011
      DOI: 10.4103/2156-7514.84323
      Issue No: Vol. 1, No. 1 (2011)
       
  • Imaging Findings in Chiari I Malformation with Syringomyelia in a Case of
           Charcot Shoulder

    • Authors: Shantanu Kumar, Vineet Sharma, Santosh Kumar, Sonal Jain
      Pages: 46 - 46
      Abstract: Shantanu Kumar, Vineet Sharma, Santosh Kumar, Sonal Jain
      Journal of Clinical Imaging Science 2011 1(1):46-46
      Neuropathic arthropathy of the shoulder is reported in only 5% of cases. Here, we report a rare case of neuropathic arthropathy of the shoulder, secondary to Chiari malformation Type I with associated syringomyelia, that remained undetected for four years. A 38-year-old female presented to our Department with a swelling over the right shoulder that had persisted for four years. X-ray of the joint showed destruction of the head of the right humerus, with typical blunt amputated appearance of the bone and increased joint space. Magnetic resonance imaging showed destruction and lateral dislocation of the head of the humerus. Large amount of fluid collection was seen in and around the right shoulder joint. Neuropathic osteoarthropathy can be defined as bone and joint changes that occurs secondary to loss of sensation. In our case, neuropathic shoulder joint was secondary to syringomyelia associated with Chiari I malformation.
      Citation: Journal of Clinical Imaging Science 2011 1(1):46-46
      PubDate: Wed,21 Sep 2011
      DOI: 10.4103/2156-7514.85173
      Issue No: Vol. 1, No. 1 (2011)
       
  • Congenital Agenesis of the Left Lung: A Rare Case

    • Authors: Tülin Durgun Yetim, Hanifi Bayarogullari, Hülya Polat Yalçin, Vefik Arica, Seçil Gunher Arica
      Pages: 47 - 47
      Abstract: Tülin Durgun Yetim, Hanifi Bayarogullari, Hülya Polat Yalçin, Vefik Arica, Seçil Gunher Arica
      Journal of Clinical Imaging Science 2011 1(1):47-47
      Pulmonary agenesis is a rare congenital anomaly, the etiology of which is not clearly known. Other systemic comorbidities such as cardiovascular, gastrointestinal, musculoskeletal, and urogenital system anomalies can be observed in more than half of the patients. It is usually diagnosed during childhood. Diagnosis in adulthood is very rare. We present a case of pulmonary agenesis diagnosed in an adult.
      Citation: Journal of Clinical Imaging Science 2011 1(1):47-47
      PubDate: Wed,21 Sep 2011
      DOI: 10.4103/2156-7514.85175
      Issue No: Vol. 1, No. 1 (2011)
       
  • Breast MR Imaging: What the Radiologist Needs to Know

    • Authors: Gurpreet S Dhillon, Nick Bell, Daniel T Ginat, Alena Levit, Stamatia Destounis, Avice O'Connell
      Pages: 48 - 48
      Abstract: Gurpreet S Dhillon, Nick Bell, Daniel T Ginat, Alena Levit, Stamatia Destounis, Avice O'Connell
      Journal of Clinical Imaging Science 2011 1(1):48-48
      Magnetic resonance imaging (MRI) of the breast is being performed more frequently to improve primary and recurrent tumor detection, characterization, and response to therapy. Sensitivity of this test approaches 90% and the specificity ranges from 37% to 100%. We present a concise tutorial for the general radiologist with a pictorial review of common lesions identified with breast MRI.
      Citation: Journal of Clinical Imaging Science 2011 1(1):48-48
      PubDate: Mon,3 Oct 2011
      DOI: 10.4103/2156-7514.85655
      Issue No: Vol. 1, No. 1 (2011)
       
  • Imaging Acute Appendicitis: State of the Art

    • Authors: Diana Gaitini
      Pages: 49 - 49
      Abstract: Diana Gaitini
      Journal of Clinical Imaging Science 2011 1(1):49-49
      The goal of this review is to present the state of the art in imaging tests for the diagnosis of acute appendicitis. Relevant publications regarding performance and advantages/disadvantages of imaging modalities for the diagnosis of appendicitis in different clinical situations were reviewed. Articles were extracted from a computerized database (MEDLINE) with the following activated limits: Humans, English, core clinical journals, and published in the last five years. Reference lists of relevant studies were checked manually to identify additional, related articles. Ultrasound (US) examination should be the first imaging test performed, particularly among the pediatric and young adult populations, who represent the main targets for appendicitis, as well as in pregnant patients. A positive US examination for appendicitis or an alternative diagnosis of possible gastrointestinal or urological origin, or a negative US, either showing a normal appendix or presenting low clinical suspicion of appendicitis, should lead to a final diagnosis. A negative or indeterminate examination with a strong clinical suspicion of appendicitis should be followed by a computed tomography (CT) scan or alternatively, a magnetic resonanace imaging (MRI) scan in a pregnant patient. A second US examination in a patient with persistent symptoms, especially if the first one was performed by a less experienced imaging professional, is a valid alternative to a CT.
      Citation: Journal of Clinical Imaging Science 2011 1(1):49-49
      PubDate: Fri,7 Oct 2011
      DOI: 10.4103/2156-7514.85778
      Issue No: Vol. 1, No. 1 (2011)
       
  • Multimodality Imaging of Normal Hepatic Transplant Vasculature and Graft
           Vascular Complications

    • Authors: Jeffrey H Roberts, Fernanda S Mazzariol, Susan J Frank, Sarah K Oh, Mordecai Koenigsberg, Marjorie W Stein
      Pages: 50 - 50
      Abstract: Jeffrey H Roberts, Fernanda S Mazzariol, Susan J Frank, Sarah K Oh, Mordecai Koenigsberg, Marjorie W Stein
      Journal of Clinical Imaging Science 2011 1(1):50-50
      Orthotopic liver transplantation is an important treatment option for patients with end-stage liver disease. Advances in surgical technique, along with improvements in organ preservation and immunosuppression have improved patient outcomes. Post-operative complications, however, can limit this success. Ultrasound is the primary imaging modality for evaluation of hepatic transplants, providing real-time information about vascular flow in the graft. Graft vascular complications are not uncommon, and their prompt recognition is crucial to allow for timely graft salvage. A multimodality approach including CT angiography, MRI, or conventional angiography may be necessary in cases of complex transplant vascular anatomy or when sonography and Doppler are inconclusive to diagnose the etiologies of these complications. The purpose of this article is to familiarize radiologists with the normal post-transplant vascular anatomy and the imaging appearances of the major vascular complications that may occur within the hepatic artery, portal vein, and venous outflow tract, with an emphasis on ultrasound.
      Citation: Journal of Clinical Imaging Science 2011 1(1):50-50
      PubDate: Tue,25 Oct 2011
      DOI: 10.4103/2156-7514.86665
      Issue No: Vol. 1, No. 1 (2011)
       
  • Non-Coronary Cardiac Findings and Pitfalls in Coronary Computed Tomography
           Angiography

    • Authors: Noriko Oyama-Manabe, Teppei Sugaya, Takayoshi Yamaguchi, Satoshi Terae
      Pages: 51 - 51
      Abstract: Noriko Oyama-Manabe, Teppei Sugaya, Takayoshi Yamaguchi, Satoshi Terae
      Journal of Clinical Imaging Science 2011 1(1):51-51
      Non-coronary incidental findings are not rare. Kirsch et al found 67% non-coronary abnormalities with coronary computed tomography angiography (CCTA). Radiologists are expected to identify the extracoronary, intra- and para-cardiac anatomical structures and distinguish them from pathologic processes in CCTA. We have reviewed 2000 CCTA studies done at our institution with 64-MDCT. This pictorial essay presents case studies of non-atherosclerotic cardiovascular findings to recognize cardiac anatomic structures and how to distinguish them from pathologic processes. Correct interpretation of benign, clinically insignificant findings is crucial to avoid unnecessary additional imaging tests.
      Citation: Journal of Clinical Imaging Science 2011 1(1):51-51
      PubDate: Tue,25 Oct 2011
      DOI: 10.4103/2156-7514.86666
      Issue No: Vol. 1, No. 1 (2011)
       
  • Paratesticular Solitary Plasmacytoma

    • Authors: Mehmet Ruhi Onur, Ben Wandtke, Jorge L Yao, Vikram S Dogra
      Pages: 52 - 52
      Abstract: Mehmet Ruhi Onur, Ben Wandtke, Jorge L Yao, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):52-52
      Primary solid neoplasms of the extratesticular tissues are rare. The reported prevalence rate of paratesticular neoplasms is between 3% and 16% of all patients referred for scrotal ultrasonography. A plasmacytoma is a discrete, solitary mass of malignant monoclonal plasma cells that can arise in any part of the body. In this report, we present a case of a paratesticular solid mass detected in an 80-year-old patient that proved to be primary extraosseous plasmacytoma on surgery, and discuss its sonographic features.
      Citation: Journal of Clinical Imaging Science 2011 1(1):52-52
      PubDate: Tue,25 Oct 2011
      DOI: 10.4103/2156-7514.86667
      Issue No: Vol. 1, No. 1 (2011)
       
  • Assessing the Diagnostic Imaging needs for Five Selected Hospitals in
           Uganda

    • Authors: Michael G Kawooya, George Pariyo, Elsie Kiguli Malwadde, Rosemary Byanyima, Harrient Kisembo
      Pages: 53 - 53
      Abstract: Michael G Kawooya, George Pariyo, Elsie Kiguli Malwadde, Rosemary Byanyima, Harrient Kisembo
      Journal of Clinical Imaging Science 2011 1(1):53-53
      Introduction: Uganda has limited health resources. It is important to measure the need for imaging in order to set policy and plan for imaging services. Objectives: The first specific objective was to develop and apply four imaging needs indices on a case study basis, in five selected Ugandan hospitals. The indices were: Imaging Load (IL), Imaging Burden (IB), Type Specific Imaging Burden (TSIB), and Disease Specific Imaging Burden (DSIB). The second objective was to explore the perceptions of the patient, referring clinician, and radiologist regarding the values, meaning, and objective of imaging in patient care. Materials and Methods: This was a cross-sectional survey employing triangulation methodology, conducted in 5 Ugandan hospitals over a period of 3 years during 2005 - 2008. The subjects were divided into four clusters: Obstetrics and gynecology (obs/gynae), surgery, internal medicine, and pediatrics. For the quantitative component of the study, data from case notes was used to calculate the indices. The qualitative component explored the non-measurable aspects of imaging needs from the clinician's, radiologist's, and patient's perspective. Results: A total of 1961 patient case notes were studied. The IB was 460 per 1000 hospital patients per year. The highest TSIB was for ultrasound at 232 per 1000 hospital patients per year, followed by 191 patients for general X-ray. The majority of the patients interviewed had special desires, expectations, and misconceptions. Conclusions: There is a high IB of 460 per thousand patient populations per year, mainly due to ultrasound. The majority of the patients have perceptions, misconceptions, beliefs, and values which influence the need for imaging. There is a need to address the medical and non-tangible imaging needs of the patient and to counteract imaging-related misconceptions and over-expectations. Public awareness of the value, capabilities, limitations, and adverse effects of various imaging modalities need to be addressed to ensure that the patients make informed imaging choices and readily avail themselves of interventions in situations when imaging is crucial, for example in suspected high-risk pregnancy.
      Citation: Journal of Clinical Imaging Science 2011 1(1):53-53
      PubDate: Sat,19 Nov 2011
      DOI: 10.4103/2156-7514.90035
      Issue No: Vol. 1, No. 1 (2011)
       
  • Glandular Odontogenic Cyst of Maxilla

    • Authors: Yadavalli Guruprasad, Dinesh Singh Chauhan
      Pages: 54 - 54
      Abstract: Yadavalli Guruprasad, Dinesh Singh Chauhan
      Journal of Clinical Imaging Science 2011 1(1):54-54
      Glandular odontogenic cyst (GOC) is a rare developmental lesion that is considered a distinct entity because of its uncommon histopathological characteristics. It has morphological similarities to other lesions, which makes its diagnosis challenging for pathologists. It strikes distinct age groups, with an average patient age being 50 years. This lesion can involve either jaw, but the anterior region of the mandible is the most commonly affected area. It exhibits a tendency toward recurrence when conservative treatment is administered. It is believed that the low prevalence of GOC in the literature is due not only to its rarity, but also to the fact that its main characteristics are also found in other pathological entities. We report here radiologic-pathologic features of GOC of the maxilla in a 17-year-old female patient.
      Citation: Journal of Clinical Imaging Science 2011 1(1):54-54
      PubDate: Mon,21 Nov 2011
      DOI: 10.4103/2156-7514.90074
      Issue No: Vol. 1, No. 1 (2011)
       
  • Dermatofibrosarcoma Protuberans of the Scalp with Fibrosarcomatous
           Degeneration and Pulmonary Metastasis

    • Authors: Joseph L Gatlin, Richard Hosch, Majid Khan
      Pages: 55 - 55
      Abstract: Joseph L Gatlin, Richard Hosch, Majid Khan
      Journal of Clinical Imaging Science 2011 1(1):55-55
      Dermatofibrosarcoma protuberans is a rare locally aggressive cutaneous tumor of intermediate malignancy. It is a slow-growing neoplasm with a marked propensity to recur after resection. Head and neck involvement is unusual and distant metastases are quite rare but tend to be more frequent in tumors that undergo fibrosarcomatous degeneration. We present the imaging and corresponding histopathology in a case of dermatofibrosarcoma protuberans of the scalp demonstrating fibrosarcomatous degeneration and lung metastasis.
      Citation: Journal of Clinical Imaging Science 2011 1(1):55-55
      PubDate: Fri,2 Dec 2011
      DOI: 10.4103/2156-7514.90482
      Issue No: Vol. 1, No. 1 (2011)
       
  • Peripheral Osteoma of the Mandible

    • Authors: Hemant Shakya
      Pages: 56 - 56
      Abstract: Hemant Shakya
      Journal of Clinical Imaging Science 2011 1(1):56-56
      Osteomas of the facial bones are a rare entity and very few cases have been reported in the literature. Osteomas are benign neoplasms, often asymptomatic and consist of well-differentiated matured bone. There are three varieties of osteomas- the central type arising from the endosteum, the peripheral type arising from the periosteum, and the extra-skeletal soft tissue osteomas which usually develops within the muscle. In the facial bones, both central and peripheral osteomas have been described. Peripheral osteomas have been described to occur in the frontal, ethmoid, and maxillary sinuses, but are not common in jawbones. We describe a rare case of symptomatic peripheral osteoma of mandible in a middle-aged female patient.
      Citation: Journal of Clinical Imaging Science 2011 1(1):56-56
      PubDate: Fri,2 Dec 2011
      DOI: 10.4103/2156-7514.90483
      Issue No: Vol. 1, No. 1 (2011)
       
  • Paratesticular Liposarcoma: A Radiologic Pathologic Correlation

    • Authors: Ahmet Pergel, Ahmet Fikret Yucel, Ibrahim Aydin, Dursun Ali Sahin, Hasan Gucer, Ahmet Kocakusak
      Pages: 57 - 57
      Abstract: Ahmet Pergel, Ahmet Fikret Yucel, Ibrahim Aydin, Dursun Ali Sahin, Hasan Gucer, Ahmet Kocakusak
      Journal of Clinical Imaging Science 2011 1(1):57-57
      Spermatic cord liposarcoma is an uncommon paratesticular tumor. Patients usually present with a painless scrotal or inguinal mass, mimicking inguinal hernia. Clinical examination suggested an inguinal hernia. Computed tomography demonstrated a fat-containing mass in the right inguinal region. The mass was surgically removed, along with the right testis and spermatic cord. Histopathological examination revealed a well-differentiated liposarcoma. No evidence of recurrence or metastases has been noted during the two-year follow-up with postoperative adjuvant therapy.
      Citation: Journal of Clinical Imaging Science 2011 1(1):57-57
      PubDate: Sat,17 Dec 2011
      DOI: 10.4103/2156-7514.90952
      Issue No: Vol. 1, No. 1 (2011)
       
  • F-18 Fluorodeoxy Glucose Positron Emission Tomography/Computed Tomography
           Findings in a Rare Case of Penile Leiomyosarcoma

    • Authors: Kuruva Manohar, Bhagwant Rai Mittal, Raghava Kashyap, Anish Bhattacharya, Nandita Kakkar, Uttam Kumar Mete
      Pages: 58 - 58
      Abstract: Kuruva Manohar, Bhagwant Rai Mittal, Raghava Kashyap, Anish Bhattacharya, Nandita Kakkar, Uttam Kumar Mete
      Journal of Clinical Imaging Science 2011 1(1):58-58
      Penile cancer is a rare entity accounting for only 0.4% all male malignancies. Penile leiomyosarcomas are even rarer with only around 35 cases reported in literature. We report a rare case of penile leiomyosarcoma illustrating F-18 Fluorodeoxy glucose (FDG) positron emission tomography/computed tomography (PET/CT) features and histopathology correlation.
      Citation: Journal of Clinical Imaging Science 2011 1(1):58-58
      PubDate: Sat,17 Dec 2011
      DOI: 10.4103/2156-7514.90955
      Issue No: Vol. 1, No. 1 (2011)
       
  • Ellis Van Creveld Syndrome with Synpolydactyly, an Antenatal Diagnosis
           with Postnatal Correlation

    • Authors: Nischal G Kundaragi, Kishor Taori, Ritesh Kumawat, Jawahar Rathod, Atul E Sawant
      Pages: 59 - 59
      Abstract: Nischal G Kundaragi, Kishor Taori, Ritesh Kumawat, Jawahar Rathod, Atul E Sawant
      Journal of Clinical Imaging Science 2011 1(1):59-59
      Ellis Van Creveld syndrome (EVC), also known as chondroectodermal dysplasia, presents at birth with short limbs accompanied by postaxial polydactyly, nail dysplasia, and dental anomalies. Other manifestations of EVC include atrial septum defects and other congenital heart diseases. We report a case of the EVC syndrome with postaxial polydactyly (Synpolydactyly with seven fingers on the right side and hexadactyly on the left side) and a partial atrioventricular canal defect diagnosed antenatally. This variation of EVS has not been reported in English literature till date.
      Citation: Journal of Clinical Imaging Science 2011 1(1):59-59
      PubDate: Sat,24 Dec 2011
      DOI: 10.4103/2156-7514.91132
      Issue No: Vol. 1, No. 1 (2011)
       
  • Left Internal Carotid Artery Agenesis Associated with Basilar and Left
           Vertebral Artery Aneurysm

    • Authors: Lale Pasaoglu, Murat Vural, Ipek Ziraman, Sadik Ahmet Uyanik
      Pages: 60 - 60
      Abstract: Lale Pasaoglu, Murat Vural, Ipek Ziraman, Sadik Ahmet Uyanik
      Journal of Clinical Imaging Science 2011 1(1):60-60
      Agenesis of the internal carotid artery (ICA) is a rare congenital anomaly. Most of the patients are asymptomatic and it is usually discovered incidentally by computed tomography (CT) or magnetic resonance imaging (MRI). There is close association of the cranial aneurysms and subarachnoid hemorrhage with ICA agenesis. We present a case of a 61-year-old male with left ICA agenesis associated with basilar artery and left vertebral artery aneurysms. The patient complained of headaches and numbness on the right-side of the face. Physical examination showed high blood pressure (210/90 mmHg). Neurological examination revealed nystagmus and decreased sensation on the right-side of the face. Agenesis of left ICA, left carotid canal with basilar and left vertebral artery aneurysms were demonstrated incidentally using CT, MRI, and digital subtraction angiography, as a part of an evaluation for suspected cerebrovascular accident.
      Citation: Journal of Clinical Imaging Science 2011 1(1):60-60
      PubDate: Sat,24 Dec 2011
      DOI: 10.4103/2156-7514.91133
      Issue No: Vol. 1, No. 1 (2011)
       
  • Plexiform Ameloblastoma of the Mandible

    • Authors: Dinesh Singh Chauhan, Yadavalli Guruprasad
      Pages: 61 - 61
      Abstract: Dinesh Singh Chauhan, Yadavalli Guruprasad
      Journal of Clinical Imaging Science 2011 1(1):61-61
      Ameloblastoma is a common and aggressive odontogenic epithelial tumor. It has an aggressive behavior and recurrent course, and is rarely metastatic. Ameloblastoma represents 1% of all tumors and cysts that involve the maxillomandibular area and about 10% of the odontogenic tumors. It is primarily seen in adults in the third to fifth decade of life, with equal sex predilection. Radiographically, it appears as an expansile radiolucent, with thinned and perforated cortices, and is known to cause root resorption. As it shares common radiographic features with other lesions such as the giant cell tumor, aneurismal bone cyst, and renal cell carcinoma metastasis, a definitive diagnosis can only be made with histopathology. We present an extensive case of plexiform ameloblastoma of the mandible in a 42-year-old female patient.
      Citation: Journal of Clinical Imaging Science 2011 1(1):61-61
      PubDate: Sat,24 Dec 2011
      DOI: 10.4103/2156-7514.91134
      Issue No: Vol. 1, No. 1 (2011)
       
  • Bronchial Artery Arising from the Left Vertebral Artery: Case Report and
           Review of the Literature

    • Authors: Timothy J Amrhein, Charles Kim, Tony P Smith, L Washington
      Pages: 62 - 62
      Abstract: Timothy J Amrhein, Charles Kim, Tony P Smith, L Washington
      Journal of Clinical Imaging Science 2011 1(1):62-62
      Knowledge of bronchial artery anatomy, including the possible locations of anomalous origin, is essential for complete catheter directed embolization for massive hemoptysis. Undetected anomalous bronchial arteries can be a source of failed bronchial artery embolization. We report a case of a common trunk bronchial artery arising from the left vertebral artery and review standard and variant bronchial artery anatomy.
      Citation: Journal of Clinical Imaging Science 2011 1(1):62-62
      PubDate: Sat,24 Dec 2011
      DOI: 10.4103/2156-7514.91135
      Issue No: Vol. 1, No. 1 (2011)
       
  • New Aspirations

    • Authors: Vikram Dogra
      Pages: 63 - 63
      Abstract: Vikram Dogra
      Journal of Clinical Imaging Science 2011 1(1):63-63

      Citation: Journal of Clinical Imaging Science 2011 1(1):63-63
      PubDate: Sat,24 Dec 2011
      DOI: 10.4103/2156-7514.91136
      Issue No: Vol. 1, No. 1 (2011)
       
  • Adenomatoid Odontogenic Tumor &#8722; A Report of Two Cases with
           Histopathology Correlation

    • Authors: Pavitra Baskaran, Satyaranjan Misra, M Sathya Kumar, R Mithra
      Pages: 64 - 64
      Abstract: Pavitra Baskaran, Satyaranjan Misra, M Sathya Kumar, R Mithra
      Journal of Clinical Imaging Science 2011 1(1):64-64
      Adenomatoid odontogenic tumor (AOT) is an uncommon, hamartomatous, benign, epithelial lesion of odontogenic origin that was first described by Driebaldt in 1907, as a pseudo-adenoameloblastoma. The current World Health Organisation (WHO) classification of odontogenic tumors defines AOT as being composed of the odontogenic epithelium in a variety of histoarchitectural patterns, embedded in mature connective tissue stroma, and characterized by slow, but progressive growth. The current article reports two cases with different presentations; first in a young female patient and the second in a middle-aged male patient. The importance of biopsy, which is the gold standard for diagnosis, and its use in planning of the treatment is discussed.
      Citation: Journal of Clinical Imaging Science 2011 1(1):64-64
      PubDate: Sat,31 Dec 2011
      DOI: 10.4103/2156-7514.92186
      Issue No: Vol. 1, No. 1 (2011)
       
  • Gardner's Syndrome

    • Authors: Sapna Panjwani, Anjana Bagewadi, Vaishali Keluskar, Saurabh Arora
      Pages: 65 - 65
      Abstract: Sapna Panjwani, Anjana Bagewadi, Vaishali Keluskar, Saurabh Arora
      Journal of Clinical Imaging Science 2011 1(1):65-65
      Gardner's syndrome is an autosomal dominant disease and is a subtype of familial adenomatous polyposis. It is characterized by adenomatous intestinal polyps, multiple osteomas in the skull, maxillae, mandible, and multiple cutaneous and subcutaneous masses (epidermoids and desmoid). Intestinal polyps, if not treated, have 100% chance of becoming malignant. We report a case of a 25-year-old female patient with Gardner's syndrome, with clinical manifestations including impacted supernumerary teeth, odontomes, sebaceous cyst on the scalp, and osteomas. It is important for the general dental practitioners to be aware of the clinical and radiological characteristics of Gardner's syndrome.
      Citation: Journal of Clinical Imaging Science 2011 1(1):65-65
      PubDate: Sat,31 Dec 2011
      DOI: 10.4103/2156-7514.92187
      Issue No: Vol. 1, No. 1 (2011)
       
  • New Horizons

    • Authors: Vikram Dogra
      Pages: 1 - 1
      Abstract: Vikram Dogra
      Journal of Clinical Imaging Science 2011 1(1):1-1

      Citation: Journal of Clinical Imaging Science 2011 1(1):1-1
      PubDate: Fri,3 Dec 2010
      DOI: 10.4103/2156-7514.73499
      Issue No: Vol. 1, No. 1 (2010)
       
  • Cystic Duct Remnant Syndrome

    • Authors: Eranga Perera, Shweta Bhatt, Vikram S Dogra
      Pages: 2 - 2
      Abstract: Eranga Perera, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):2-2
      Post-cholecystectomy syndrome (PCS) is a common manifestation in patients with cholecystectomy. The patients exhibit a heterogeneous group of symptoms, such as upper abdominal pain, vomiting, gastrointestinal disorders, jaundice, and dyspepsia. Choledocholithiasis, biliary dyskinesia, and dilation of cystic duct remnants are common causes of these symptoms. The symptoms can recur after a symptom-free period following cholecystectomy or they can persist after surgery. Ultrasonography, computed tomography (CT), and magnetic resonance imaging scan, which are non-invasive methods of imaging, have a high sensitivity in detecting the causes of PCS. We report a case of an 84-year-old lady who came to the Ultrasound Department with recurrent episodes of abdominal pain following cholecystectomy. The gray-scale sonography showed a dilated cystic structure, which was confirmed as the duct remnant in follow-up contrast-enhanced CT.
      Citation: Journal of Clinical Imaging Science 2011 1(1):2-2
      PubDate: Fri,3 Dec 2010
      DOI: 10.4103/2156-7514.73500
      Issue No: Vol. 1, No. 1 (2010)
       
  • Unusual Case of Gunshot Injury to the Face

    • Authors: Yadavalli Guruprasad, Girish Giraddi
      Pages: 3 - 3
      Abstract: Yadavalli Guruprasad, Girish Giraddi
      Journal of Clinical Imaging Science 2011 1(1):3-3
      An unusual case of facial gunshot injury with the missile lodged in the cervical spine region, but without any neurological impairment, is reported. The extent of tissue damage and missile track termination in a male patient who sustained gunshot trauma to the face was assessed by plain radiography and by computed tomography scans. The patient was treated conservatively and observed for clinical manifestations of neurological deficit for one year. We present a case of gunshot injury to the face with the missile lodged in the cervical spine region and atypical absence of clinical manifestation that may occur even when a bullet remains in the vicinity of the cervical spine.
      Citation: Journal of Clinical Imaging Science 2011 1(1):3-3
      PubDate: Fri,3 Dec 2010
      DOI: 10.4103/2156-7514.73501
      Issue No: Vol. 1, No. 1 (2010)
       
  • Bilateral Testicular Epidermoid Cysts

    • Authors: Norman Loberant, Shweta Bhatt, Edward Messing, Vikram S Dogra
      Pages: 4 - 4
      Abstract: Norman Loberant, Shweta Bhatt, Edward Messing, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):4-4
      Testicular epidermoid cysts are the most common benign tumors of the testes, but account for only 1-2% of all testicular tumors. In a young man presenting with a testicular mass, a high index of suspicion must be maintained for the malignant testicular germ cell tumor, which is 50-times more common than testicular epidermoid cyst. Bilateral testicular epidermoid cysts are a very rare condition, with only a few reports in the literature. It is extremely important in this condition to make a correct pre-operative diagnosis on imaging to enable a testis-sparing surgery.
      Citation: Journal of Clinical Imaging Science 2011 1(1):4-4
      PubDate: Fri,3 Dec 2010
      DOI: 10.4103/2156-7514.73502
      Issue No: Vol. 1, No. 1 (2010)
       
  • Sonographic Spectrum of Tunica Albuginea Cyst

    • Authors: Daniel M Alvarez, Shweta Bhatt, Vikram S Dogra
      Pages: 5 - 5
      Abstract: Daniel M Alvarez, Shweta Bhatt, Vikram S Dogra
      Journal of Clinical Imaging Science 2011 1(1):5-5
      Tunica albuginea (TA) cyst is the most common extratesticular benign mass, which is usually palpable. Ultrasound examination is the imaging modality of choice to characterize palpable testicular lesions. This pictorial essay presents the spectrum of sonographic features of TA cysts in order to assist radiologists in making the correct diagnosis and avoid unnecessary surgeries.
      Citation: Journal of Clinical Imaging Science 2011 1(1):5-5
      PubDate: Fri,3 Dec 2010
      DOI: 10.4103/2156-7514.73503
      Issue No: Vol. 1, No. 1 (2010)
       
 
 
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