for Journals by Title or ISSN
for Articles by Keywords
help
  Subjects -> MEDICAL SCIENCES (Total: 6712 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (184 journals)
    - ANAESTHESIOLOGY (74 journals)
    - CARDIOVASCULAR DISEASES (268 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (20 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (190 journals)
    - DENTISTRY (216 journals)
    - DERMATOLOGY AND VENEREOLOGY (134 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (77 journals)
    - ENDOCRINOLOGY (122 journals)
    - EXPERIMENTAL MEDICINE, LABORATORY TECHNIQUE (80 journals)
    - FORENSIC SCIENCES (29 journals)
    - GASTROENTEROLOGY (148 journals)
    - GERONTOLOGY AND GERIATRICS (106 journals)
    - HEMATOLOGY (135 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (98 journals)
    - MEDICAL GENETICS (59 journals)
    - MEDICAL SCIENCES (1862 journals)
    - NURSES AND NURSING (261 journals)
    - OBSTETRICS AND GYNECOLOGY (160 journals)
    - ONCOLOGY (317 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (109 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (114 journals)
    - OTORHINOLARYNGOLOGY (56 journals)
    - PATHOLOGY (96 journals)
    - PEDIATRICS (209 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (116 journals)
    - PSYCHIATRY AND NEUROLOGY (665 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (161 journals)
    - RESPIRATORY DISEASES (86 journals)
    - RHEUMATOLOGY (59 journals)
    - SPORTS MEDICINE (66 journals)
    - SURGERY (304 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (127 journals)

RADIOLOGY AND NUCLEAR MEDICINE (161 journals)                  1 2     

Abdominal Imaging     Hybrid Journal   (Followers: 13)
Academic Radiology     Hybrid Journal   (Followers: 18)
Acta Cytologica     Full-text available via subscription   (Followers: 4)
Acta Radiologica     Hybrid Journal   (Followers: 3)
Acta Radiologica Short Reports     Open Access   (Followers: 2)
Advances in Computed Tomography     Open Access   (Followers: 2)
AINS - Anasthesiologie - Intensivmedizin - Notfallmedizin - Schmerztherapie     Hybrid Journal   (Followers: 1)
Alasbimn Journal     Open Access  
American Journal of Neuroradiology     Full-text available via subscription   (Followers: 12)
American Journal of Roentgenology     Full-text available via subscription   (Followers: 16)
Annals of Nuclear Medicine     Hybrid Journal   (Followers: 5)
Annals of the ICRP     Hybrid Journal   (Followers: 1)
Applied In Vitro Toxicology     Hybrid Journal  
Applied Radiology     Full-text available via subscription   (Followers: 7)
Asia Oceania Journal of Nuclear Medicine & Biology     Open Access   (Followers: 1)
Bangladesh Journal of Nuclear Medicine     Open Access  
BMC Medical Imaging     Open Access   (Followers: 7)
BMC Nuclear Medicine     Open Access   (Followers: 5)
British Institute of Radiology : case reports     Full-text available via subscription   (Followers: 1)
British Journal of Radiology     Full-text available via subscription   (Followers: 12)
Canadian Association of Radiologists Journal     Full-text available via subscription   (Followers: 3)
Cancer Biotherapy & Radiopharmaceuticals     Hybrid Journal   (Followers: 2)
Cancer Radiothérapie     Full-text available via subscription  
Case Reports in Radiology     Open Access   (Followers: 5)
Cellular Senescence and Therapy     Open Access  
Clinical and Translational Imaging     Hybrid Journal  
Clinical Imaging     Hybrid Journal   (Followers: 4)
Clinical Neuroradiology     Hybrid Journal   (Followers: 3)
Clinical Nuclear Medicine     Hybrid Journal   (Followers: 3)
Clinical Radiology     Hybrid Journal   (Followers: 7)
Computerized Medical Imaging and Graphics     Hybrid Journal   (Followers: 9)
Concepts in Magnetic Resonance Part A     Hybrid Journal  
Contemporary Diagnostic Radiology     Full-text available via subscription   (Followers: 2)
Contrast Media & Molecular Imaging     Hybrid Journal  
Critical Ultrasound Journal     Open Access   (Followers: 1)
Current Medical Imaging Reviews     Hybrid Journal   (Followers: 2)
Current Problems in Diagnostic Radiology     Hybrid Journal   (Followers: 4)
Current Radiology Reports     Hybrid Journal   (Followers: 1)
Dentomaxillofacial Radiology     Full-text available via subscription   (Followers: 6)
Der Nuklearmediziner     Hybrid Journal  
Der Radiologe     Hybrid Journal  
Diagnostic and Interventional Radiology     Free   (Followers: 3)
DNA and RNA Nanotechnology     Open Access  
Egyptian Journal of Radiology and Nuclear Medicine     Open Access   (Followers: 1)
Emergency Radiology     Hybrid Journal   (Followers: 4)
European Journal of Nanomedicine     Hybrid Journal   (Followers: 3)
European Journal of Nuclear Medicine and Molecular Imaging     Hybrid Journal   (Followers: 8)
European Journal of Radiography     Full-text available via subscription   (Followers: 4)
European Journal of Radiology     Hybrid Journal   (Followers: 10)
European Journal of Radiology Open     Open Access  
European Radiology     Hybrid Journal   (Followers: 9)
European Radiology Supplements     Hybrid Journal   (Followers: 2)
Feuillets de Radiologie     Full-text available via subscription  
Frontiers in Neurogenesis     Open Access  
IEEE Transactions on Medical Imaging     Hybrid Journal   (Followers: 8)
Imagen Diagnóstica     Full-text available via subscription  
Imaging Decisions MRI     Hybrid Journal   (Followers: 2)
Imaging in Medicine     Full-text available via subscription   (Followers: 1)
Indian Journal of Nuclear Medicine     Open Access   (Followers: 3)
Indian Journal of Radiology and Imaging     Open Access   (Followers: 1)
Insights into Imaging     Open Access   (Followers: 3)
International Journal of Medical Physics, Clinical Engineering and Radiation Oncology     Open Access   (Followers: 4)
International Journal of Radiation Biology     Hybrid Journal   (Followers: 4)
International Journal of Tomography & Simulation     Full-text available via subscription   (Followers: 2)
Interventionelle Radiologie Scan     Hybrid Journal   (Followers: 1)
Investigative Radiology     Hybrid Journal   (Followers: 3)
Iranian Journal of Nuclear Medicine     Open Access   (Followers: 1)
Iranian Journal of Radiology     Open Access   (Followers: 2)
Japanese Journal of Radiology     Hybrid Journal   (Followers: 1)
Journal de Radiologie     Full-text available via subscription  
Journal de Radiologie Diagnostique et Interventionnelle     Full-text available via subscription   (Followers: 2)
Journal of Nanomedicine & Nanotechnology     Open Access   (Followers: 5)
Journal of Clinical Imaging Science     Open Access   (Followers: 1)
Journal of Computer Assisted Tomography     Hybrid Journal   (Followers: 2)
Journal of Diagnostic Medical Sonography     Hybrid Journal   (Followers: 1)
Journal of Diagnostic Radiography and Imaging     Hybrid Journal   (Followers: 5)
Journal of Forensic Radiology and Imaging     Full-text available via subscription   (Followers: 1)
Journal of Indian Academy of Oral Medicine and Radiology     Open Access  
Journal of Innovative Optical Health Sciences     Open Access  
Journal of Liver : Disease & Transplantation     Hybrid Journal   (Followers: 2)
Journal of Magnetic Resonance Imaging     Hybrid Journal   (Followers: 8)
Journal of Medical Imaging and Radiation Oncology     Hybrid Journal   (Followers: 3)
Journal of Medical Imaging and Radiation Sciences     Hybrid Journal   (Followers: 5)
Journal of Medical Radiation Sciences     Open Access   (Followers: 2)
Journal of Neuroradiology     Full-text available via subscription   (Followers: 4)
Journal of Nuclear Medicine     Full-text available via subscription   (Followers: 17)
Journal of Nuclear Medicine & Radiation Therapy     Open Access   (Followers: 3)
Journal of Nucleic Acids Investigation     Open Access   (Followers: 2)
Journal of Radiation Research     Open Access   (Followers: 3)
Journal of Radiation Research and Applied Sciences     Open Access   (Followers: 1)
Journal of Radiological Protection     Full-text available via subscription   (Followers: 4)
Journal of Radiology Case Reports     Open Access   (Followers: 1)
Journal of Radiology Nursing     Hybrid Journal   (Followers: 2)
Journal of Radiosurgery     Hybrid Journal   (Followers: 2)
Journal of Radiotherapy     Open Access   (Followers: 1)
Journal of Radiotherapy in Practice     Hybrid Journal   (Followers: 3)
Journal of Surgical Radiology     Open Access   (Followers: 2)
Journal of the American College of Radiology     Hybrid Journal   (Followers: 3)
Journal of Thoracic Imaging     Hybrid Journal   (Followers: 3)
Journal of Vascular and Interventional Radiology     Hybrid Journal   (Followers: 4)

        1 2     

  Journal of Clinical Imaging Science
  [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  [297 journals]
  • In Vivo Quantification of Cerebral R2*-Response to Graded Hyperoxia at 3
           Tesla

    • Authors: Grigorios Gotzamanis, Roman Kocian, Pinar S Özbay, Manuel Redle, Spyridon Kollias, Christian Eberhardt, Andreas Boss, Daniel Nanz, Cristina Rossi
      Pages: 1 - 1
      Abstract: Grigorios Gotzamanis, Roman Kocian, Pinar S Özbay, Manuel Redle, Spyridon Kollias, Christian Eberhardt, Andreas Boss, Daniel Nanz, Cristina Rossi

      Journal of Clinical Imaging Science 2015 5(1):1-1

      Objectives: This study aims to quantify the response of the transverse relaxation rate of the magnetic resonance (MR) signal of the cerebral tissue in healthy volunteers to the administration of air with step-wise increasing percentage of oxygen. Materials and Methods: The transverse relaxation rate (R2*) of the MR signal was quantified in seven volunteers under respiratory intake of normobaric gas mixtures containing 21, 50, 75, and 100% oxygen, respectively. End-tidal breath composition, arterial blood saturation (SaO 2 ), and heart pulse rate were monitored during the challenge. R2* maps were computed from multi-echo, gradient-echo magnetic resonance imaging (MRI) data, acquired at 3.0T. The average values in the segmented white matter (WM) and gray matter (GM) were tested by the analysis of variance (ANOVA), with Bonferroni post-hoc correction. The GM R2*-reactivity to hyperoxia was modeled using the Hill's equation. Results: Graded hyperoxia resulted in a progressive and significant (P < 0.05) decrease of the R2* in GM. Under normoxia the GM-R2* was 17.2 &#177; 1.1 s -1 . At 75% O 2 supply, the R2* had reached a saturation level, with 16.4 &#177; 0.7 s -1 (P = 0.02), without a significant further decrease for 100% O 2 . The R2*-response of GM correlated positively with CO 2 partial pressure (R = 0.69 &#177; 0.19) and negatively with SaO 2 (R = -0.74 &#177; 0.17). The WM showed a similar progressive, but non-significant, decrease in the relaxation rates, with an increase in oxygen intake (P = 0.055). The Hill's model predicted a maximum R2* response of the GM, of 3.5%, with half the maximum at 68% oxygen concentration. Conclusions: The GM-R2* responds to hyperoxia in a concentration-dependent manner, suggesting that monitoring and modeling of the R2*-response may provide new oxygenation biomarkers for tumor therapy or assessment of cerebrovascular reactivity in patients.
      Citation: Journal of Clinical Imaging Science 2015 5(1):1-1
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150439
      Issue No: Vol. 5, No. 1 (2015)
       
  • Energy Limits in Second Generation High-pitch Dual Source CT - Comparison
           in an Upper Abdominal Phantom

    • Authors: Martin Beeres, Ralf W Bauer, Josef M Kerl, Thomas J Vogl, Clara Lee
      Pages: 2 - 2
      Abstract: Martin Beeres, Ralf W Bauer, Josef M Kerl, Thomas J Vogl, Clara Lee

      Journal of Clinical Imaging Science 2015 5(1):2-2

      Objectives: The aim of our study was to find out how much energy is applicable in second-generation dual source high-pitch computed tomography (CT) in imaging of the abdomen. Materials and Methods: We examined an upper abdominal phantom using a Somatom Definition Flash CT-Scanner (Siemens, Forchheim, Germany). The study protocol consisted of a scan-series at 100 kV and 120 kV. In each scan series we started with a pitch of 3.2 and reduced it in steps of 0.2, until a pitch of 1.6 was reached. The current was adjusted to the maximum the scanner could achieve. Energy values, image noise, image quality, and radiation exposure were evaluated. Results: For a pitch of 3.2 the maximum applicable current was 142 mAs at 120 kV and in 100 kV the maximum applicable current was 114 mAs. For conventional abdominal imaging, current levels of 200 to 260 mAs are generally used. To achieve similar current levels, we had to decrease the pitch to 1.8 at 100 kV - at this pitch we could perform our imaging at 204 mAs. At a pitch of 2.2 in 120 kV we could apply a current of 206 mAs. Conclusion: We conclude our study by stating that if there is a need for a higher current, we have to reduce the pitch. In a high-pitch dual source CT, we always have to remember where our main focus is, so we can adjust the pitch to the energy we need in the area of the body that has to be imaged, to find answers to the clinical question being raised.
      Citation: Journal of Clinical Imaging Science 2015 5(1):2-2
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150441
      Issue No: Vol. 5, No. 1 (2015)
       
  • Noninvasive Fractional Flow Reserve for the Diagnosis of Lesion-specific
           Ischemia: A Case Example

    • Authors: Jesper M&#248;ller Jensen, Lars Christian Gormsen, Henning M&#248;lgaard, Bjarne Linde N&#248;rgaard
      Pages: 3 - 3
      Abstract: Jesper M&#248;ller Jensen, Lars Christian Gormsen, Henning M&#248;lgaard, Bjarne Linde N&#248;rgaard

      Journal of Clinical Imaging Science 2015 5(1):3-3

      A physically active 52-year-old male with atypical chest pain was referred to our department. A coronary computed tomography angiography (CCTA) showed a stenotic plaque in the mid left anterior descending coronary artery (LAD). A rest-stress Rubidium-82 myocardial perfusion was normal. One year later the patient sustained a cardiac arrest and percutaneous coronary intervention of the mid-LAD was successfully performed. The original CCTA data were submitted for noninvasive determination of fractional flow reserve (FFR CT ) revealing an ischemia-producing lesion in the mid-LAD. This case demonstrates the inherent limitations of assessing lesion-specific ischemia. FFR CT shows promise as a new method for future selection of patients for coronary angiography.
      Citation: Journal of Clinical Imaging Science 2015 5(1):3-3
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150443
      Issue No: Vol. 5, No. 1 (2015)
       
  • Role of Imaging and Cytogenetics in Evaluation of DiGeorge Syndrome - A
           Rare Entity in Clinical Practice

    • Authors: Rajoo Ramachandran, Sellappan Rajamanickam Babu, Subramanian Ilanchezhian, Prabhu Radhan Radhakrishnan
      Pages: 4 - 4
      Abstract: Rajoo Ramachandran, Sellappan Rajamanickam Babu, Subramanian Ilanchezhian, Prabhu Radhan Radhakrishnan

      Journal of Clinical Imaging Science 2015 5(1):4-4

      DiGeorge syndrome is a congenital genetic disorder that affects the endocrine system, mainly the thymus and parathyroid glands. The syndrome produces different symptoms, which vary in severity and character between patients. It manifests with craniofacial dysmorphism and defects in the heart, parathyroid, and thymus. Patients can present with a palatal deformity and nasal speech. This rare entity is caused mainly due to deletion of chromosome 22q11.2. Radiographic evaluation of DiGeorge syndrome is necessary to define aberrant anatomy, evaluate central nervous system, craniofacial abnormalities, musculoskeletal system, and cardiothoracic contents. It also helps in planning surgical procedures and surgical reconstructions. We report a case of DiGeorge syndrome in a 4-month-old neonate and discuss the clinical, imaging, and cytogenetic findings that helped in the diagnosis of this rare entity.
      Citation: Journal of Clinical Imaging Science 2015 5(1):4-4
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150445
      Issue No: Vol. 5, No. 1 (2015)
       
  • Transcatheter Renal Interventions: A Review of Established and Emerging
           Procedures

    • Authors: Jeet Minocha, Ahmad Parvinian, James T Bui, Martha Grace Knuttinen, Charles E Ray, Ron C Gaba
      Pages: 5 - 5
      Abstract: Jeet Minocha, Ahmad Parvinian, James T Bui, Martha Grace Knuttinen, Charles E Ray, Ron C Gaba

      Journal of Clinical Imaging Science 2015 5(1):5-5

      Catheter-based interventions play an important role in the multidisciplinary management of renal pathology. The array of procedures available to interventional radiologists (IRs) includes established techniques such as angioplasty, stenting, embolization, thrombolysis, and thrombectomy for treatment of renovascular disease, as well as embolization of renal neoplasms and emerging therapies such as transcatheter renal artery sympathectomy for treatment of resistant hypertension. Here, we present an overview of these minimally invasive therapies, with an emphasis on interventional technique and clinical outcomes of the procedure.
      Citation: Journal of Clinical Imaging Science 2015 5(1):5-5
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150448
      Issue No: Vol. 5, No. 1 (2015)
       
  • Bilateral Renal Lymphangiectasia: Radiological Findings by Ultrasound,
           Computed Tomography, and Magnetic Resonance Imaging

    • Authors: Khaled Youssef Elbanna, Badr M Almutairi, Ahmed Touni Zidan
      Pages: 6 - 6
      Abstract: Khaled Youssef Elbanna, Badr M Almutairi, Ahmed Touni Zidan

      Journal of Clinical Imaging Science 2015 5(1):6-6

      Renal lymphangiectasia is a rare benign condition of the kidney without specific clinical presentations. Classic imaging findings are described in literature. Here, we present a case of renal lymphangiectasia with history of bilateral flank pain and abnormal renal function tests. The radiological appearance on ultrasound (US) and computed tomography (CT) showed features of bilateral renal lymphangiectasia but the patient refused invasive procedure for aspiration of the cysts. So, follow-up of the patient was done by magnetic resonance imaging (MRI). Imaging findings of our case on US, CT, and MRI are discussed along with details of the additional finding of dilated retroperitoneal lymphatic channels, cisterna chyli, as well as the thoracic duct.
      Citation: Journal of Clinical Imaging Science 2015 5(1):6-6
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150449
      Issue No: Vol. 5, No. 1 (2015)
       
  • Unilateral Agenesis of Internal Carotid Artery with Intercavernous
           Anastomosis: A Rare Case Report

    • Authors: Athiyappan Kumaresh, Praveen Kumar Vasanthraj, Anupama Chandrasekharan
      Pages: 7 - 7
      Abstract: Athiyappan Kumaresh, Praveen Kumar Vasanthraj, Anupama Chandrasekharan

      Journal of Clinical Imaging Science 2015 5(1):7-7

      Unilateral agenesis of internal carotid artery (ICA) with intercavernous anastomosis is a rare congenital anomaly. We present a case of a 25-year-old female with 2-month history of holocranial headache. Neurological examination was unremarkable. Magnetic resonance imaging (MRI) with magnetic resonance angiography (MRA) showed absence of left ICA with an abnormal intercavernous vessel in the sella. Computed tomography (CT) showed absence of the left carotid canal. Doppler ultrasonography (USG) showed high resistance flow in the left common carotid artery (CCA). Since no hemorrhage or aneurysm was seen, patient was managed conservatively and is on regular follow-up. Based on our knowledge, this is the first case to demonstrate the features of unilateral agenesis of ICA with intercavernous anastomosis in X-ray, Doppler USG, CT, and MRI scans of the brain.
      Citation: Journal of Clinical Imaging Science 2015 5(1):7-7
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150453
      Issue No: Vol. 5, No. 1 (2015)
       
  • Hypertrophic Olivary Degeneration - A Report of Two Cases

    • Authors: Radha Sarawagi, Aravind Murugesan
      Pages: 8 - 8
      Abstract: Radha Sarawagi, Aravind Murugesan

      Journal of Clinical Imaging Science 2015 5(1):8-8

      Hypertrophic olivary degeneration (HOD) is seen following lesions in the Guillain-Mollaret triangle. This is unique because the inferior olivary nucleus hypertrophies following degeneration unlike the typical atrophy seen in other structures. We report two cases of HOD in two different clinical scenarios.
      Citation: Journal of Clinical Imaging Science 2015 5(1):8-8
      PubDate: Fri,30 Jan 2015
      DOI: 10.4103/2156-7514.150454
      Issue No: Vol. 5, No. 1 (2015)
       
  • Twin Reversed Arterial Perfusion Sequence: A Rare Entity

    • Authors: Sachin Khanduri, Saakshi Chhabra, Anshul Raja, Saurav Bhagat
      Pages: 9 - 9
      Abstract: Sachin Khanduri, Saakshi Chhabra, Anshul Raja, Saurav Bhagat

      Journal of Clinical Imaging Science 2015 5(1):9-9

      Twin reversed arterial perfusion (TRAP) sequence is an extremely rare complication of monochorionic multi-fetal pregnancy, occurring once in 35,000 births. This condition is characterized by a malformed fetus without a cardiac pump being perfused by a structurally normal (pump) twin via an artery-to-artery anastomosis in a reverse direction. We report a case of a primigravida, who came for routine antenatal checkup to our hospital at 31 weeks gestational age. Ultrasound imaging and magnetic resonance imaging revealed twin monochorionic intrauterine pregnancy with a viable, normal-appearing first twin and amorphous structured second twin connected by umbilical vessels. The patient was monitored with weekly ultrasonography, echocardiography, and Doppler ultrasound examination to ascertain the well-being of the pump twin. She delivered successfully at term a normal live baby and an acardius acephalus fetus. Plain X-ray of the acardius acephalus fetus confirmed the absence of cephalic structures. The perinatal mortality of the pump twin ranges from 35 to 55%; hence, it is essential to diagnose the presence of a pump twin at an early gestational age through improved imaging techniques, so that intervention can be planned early in the pregnancy for a better outcome of the pump twin.
      Citation: Journal of Clinical Imaging Science 2015 5(1):9-9
      PubDate: Fri,27 Feb 2015
      DOI: 10.4103/2156-7514.152341
      Issue No: Vol. 5, No. 1 (2015)
       
  • Complete Currarino Syndrome Recognized in Adulthood

    • Authors: Sinan Akay, Bilal Battal, Bulent Karaman, Yalcin Bozkurt
      Pages: 10 - 10
      Abstract: Sinan Akay, Bilal Battal, Bulent Karaman, Yalcin Bozkurt

      Journal of Clinical Imaging Science 2015 5(1):10-10

      Currarino syndrome is a hereditary pathology that is characterized by sacrococcygeal bone defect, presacral mass, and anorectal malformation. Sacrococcygeal bone defect is almost always a part of the syndrome. The complete form of this entity displays all three abnormalities and is very uncommon. In this report, we present the magnetic resonance imaging findings of a case with complete form of Currarino syndrome recognized in adulthood.
      Citation: Journal of Clinical Imaging Science 2015 5(1):10-10
      PubDate: Fri,27 Feb 2015
      DOI: 10.4103/2156-7514.152339
      Issue No: Vol. 5, No. 1 (2015)
       
  • Role of Advanced MRI Brain Sequences in Diagnosing Neurological
           Complications of Scrub Typhus

    • Authors: Shikha Sood, Sanjeev Sharma, Shweta Khanna
      Pages: 11 - 11
      Abstract: Shikha Sood, Sanjeev Sharma, Shweta Khanna

      Journal of Clinical Imaging Science 2015 5(1):11-11

      Scrub typhus is a rare disease affecting many organs and causing vasculitis by affecting the endothelium of blood vessels. Review of literature shows that there are only a few case reports describing the neuroradiological manifestations of scrub typhus. This case report describes how newer and advanced MRI sequences are able to diagnose neurological complications of scrub typhus, such as hemorrhages, meningoencephalitis, infarctions, cranial nerve involvement, thrombosis, and hypoperfusion, that are not picked up on routine magnetic resonance imaging (MRI) sequences.
      Citation: Journal of Clinical Imaging Science 2015 5(1):11-11
      PubDate: Fri,27 Feb 2015
      DOI: 10.4103/2156-7514.152340
      Issue No: Vol. 5, No. 1 (2015)
       
  • Congenital Absence of the Right Pericardium: Embryology and Imaging

    • Authors: Chi Wan Koo, Adrienne Newburg
      Pages: 12 - 12
      Abstract: Chi Wan Koo, Adrienne Newburg

      Journal of Clinical Imaging Science 2015 5(1):12-12

      Though congenital pericardial absence is often asymptomatic, complications can be life threatening. To date, few short case reports, primarily from the pre-CT and MR era, describe congenital absence of the right pericardium. We present a more comprehensive discussion of the embryologic derangements causing such defects and offer an up-to-date review of characteristic radiologic findings. Recognition of characteristic imaging findings of congenital pericardial absence is crucial in guiding diagnosis and management.
      Citation: Journal of Clinical Imaging Science 2015 5(1):12-12
      PubDate: Fri,27 Feb 2015
      DOI: 10.4103/2156-7514.152338
      Issue No: Vol. 5, No. 1 (2015)
       
  • Malignant Tenosynovial Giant Cell Tumor of the Leg: A
           Radiologic-Pathologic Correlation and Review of the Literature

    • Authors: Danielle M Richman, Scott C Bresler, Michael H Rosenthal, Stephanie Anne Holler Howard
      Pages: 13 - 13
      Abstract: Danielle M Richman, Scott C Bresler, Michael H Rosenthal, Stephanie Anne Holler Howard

      Journal of Clinical Imaging Science 2015 5(1):13-13

      Malignant tenosynovial giant cell tumor (TGCT) is a rare clinical entity that can arise as a recurrent lesion or can co-exist with a benign TGCT lesion. Malignant TGCT most commonly arises in the lower extremity and tends to be clinically aggressive, with most patients developing recurrent lesions or dying. Much of the literature describes the histopathologic features and classifies this broad group of tumors, with little description of the imaging characteristics of this disease. We present the multimodality appearance of a case of malignant diffuse-type TGCT that recurred 2 months after resection with subsequent rapid clinical progression.
      Citation: Journal of Clinical Imaging Science 2015 5(1):13-13
      PubDate: Fri,27 Feb 2015
      DOI: 10.4103/2156-7514.152343
      Issue No: Vol. 5, No. 1 (2015)
       
  • Mechanical Thrombectomy with Rotarex System in Buerger's Disease

    • Authors: Ozgur Kilickesmez, Levent Oguzkurt
      Pages: 14 - 14
      Abstract: Ozgur Kilickesmez, Levent Oguzkurt

      Journal of Clinical Imaging Science 2015 5(1):14-14

      We report the case of a patient with 2-month history of chronic thromboembolism of the distal superficial femoral and popliteal arteries with diagnostic features of thromboangiitis obliterans disease. The occlusion could not be crossed by antegrade approach and was achieved retrogradely via dorsalis pedis artery puncture followed by mechanical removal of the thrombus with Rotarex system (Straub Medical AG, Wangs, Switzerland). Subsequent ballooon angioplasties achieved exclusion of the thrombus, and straight-line flow established to the foot through the anterior tibial Artery. The present case report demonstrates the success of mechanical thrombectomy in a patient with Buerger's vasculitis.
      Citation: Journal of Clinical Imaging Science 2015 5(1):14-14
      PubDate: Wed,4 Mar 2015
      DOI: 10.4103/2156-7514.152609
      Issue No: Vol. 5, No. 1 (2015)
       
  • Isolated Asymptomatic Metastasis in the Myocardium: A Rare Scenario in
           Case of Carcinoma Penis

    • Authors: Santosh Kumar, Kalpesh Mahesh Parmar, Shivanshu Singh, Jayant Kumar
      Pages: 15 - 15
      Abstract: Santosh Kumar, Kalpesh Mahesh Parmar, Shivanshu Singh, Jayant Kumar

      Journal of Clinical Imaging Science 2015 5(1):15-15

      Penile cancer is a common malignancy in developing countries. It commonly metastasizes to the lymph nodes, lung, liver, and bones. Myocardial metastasis is rare. A 40-year-old male patient presented with ulcerative growth over glans penis. Histologic evaluation of the biopsy sample diagnosed the lesion as squamous cell cancer. Assessment of the stage of the disease revealed cardiac metastasis. Patient received six cycles of chemotherapy. He partially responded, but later succumbed to cardiac failure due to pericardial and pleural effusion.
      Citation: Journal of Clinical Imaging Science 2015 5(1):15-15
      PubDate: Wed,25 Mar 2015
      DOI: 10.4103/2156-7514.153971
      Issue No: Vol. 5, No. 1 (2015)
       
  • Wassel's Type V Polydactyly with Plain Radiographic and CT Findings

    • Authors: Berna Dirim Mete, Canan Altay, Merve Gursoy, Orhan Oyar
      Pages: 16 - 16
      Abstract: Berna Dirim Mete, Canan Altay, Merve Gursoy, Orhan Oyar

      Journal of Clinical Imaging Science 2015 5(1):16-16

      Duplication of the thumb is the most common polydactyly of the hand. Wassel's classification is frequently used to classify the polydactyly of the hand. His classification was based on the level of duplication and the number of bones in the thumb, and has seven groups (Types I-VII) according to the level of the bifurcation, except for his Type VII. The most common type is the bifurcation at the metacarpophalangeal joint (Type IV). In this paper, we report a very rare case of Type V thumb polydactyly in a 42-year-old man, who presented with swan neck deformity of the radial thumb and discuss the plain radiography and computed tomography (CT) findings. Kumar recently reported plain radiography findings in a case of bifid first metacarpal in a 13-year-old girl, who presented with swan neck deformity of the left thumb. To our knowledge, our case is the second presented case that has a swan neck deformity with bifid metacarpal.
      Citation: Journal of Clinical Imaging Science 2015 5(1):16-16
      PubDate: Wed,25 Mar 2015
      DOI: 10.4103/2156-7514.153974
      Issue No: Vol. 5, No. 1 (2015)
       
  • Metaplastic Breast Cancer in a Patient with Neurofibromatosis

    • Authors: Umar Shafique Chaudhry, Limin Yang, Ryan W Askeland, Laurie L Fajardo
      Pages: 17 - 17
      Abstract: Umar Shafique Chaudhry, Limin Yang, Ryan W Askeland, Laurie L Fajardo

      Journal of Clinical Imaging Science 2015 5(1):17-17

      Metaplastic breast cancer is a rare malignancy in the breast. Neurofibromatosis Type 1 is an autosomal dominant multisystem disorder associated with multiple neoplasms such as optic gliomas and peripheral nerve sheath tumors. The association of breast cancer with neurofibromatosis is very rare. We present a case of a metaplastic breast cancer in a patient with Type 1 neurofibromatosis. The patient presented with a palpable mass in her left breast with suspicious findings on mammogram and ultrasound. Ultrasound-guided percutaneous biopsy showed metaplastic breast carcinoma with metastasis to an axillary lymph node. This is the third case report in the English literature to show metaplastic breast carcinoma in a patient with Type 1 neurofibromatosis. In this report we review recent literature and discuss the association between these two entities.
      Citation: Journal of Clinical Imaging Science 2015 5(1):17-17
      PubDate: Fri,27 Mar 2015
      DOI: 10.4103/2156-7514.154102
      Issue No: Vol. 5, No. 1 (2015)
       
  • Uterine Fibroid Embolization for Symptomatic Fibroids: Study at a Teaching
           Hospital in Kenya

    • Authors: John Kiprop Mutai, Sudhir Vinayak, William Stones, Nigel Hacking, Charles Mariara
      Pages: 18 - 18
      Abstract: John Kiprop Mutai, Sudhir Vinayak, William Stones, Nigel Hacking, Charles Mariara

      Journal of Clinical Imaging Science 2015 5(1):18-18

      Objective: Characterization of magnetic (MRI) features in women undergoing uterine fibroid embolization (UFE) and identification of clinical correlates in an African population. Materials and Methods: Patients with symptomatic fibroids who are selected to undergo UFE at the hospital formed the study population. The baseline MRI features, baseline symptom score, short-term imaging outcome, and mid-term symptom scores were analyzed for interval changes. Assessment of potential associations between short-term imaging features and mid-term symptom scores was also done. Results: UFE resulted in statistically significant reduction (P < 0.001) of dominant fibroid, uterine volumes, and reduction of symptom severity scores, which were 43.7%, 40.1%, and 37.8%, respectively. Also, 59% of respondents had more than 10 fibroids. The predominant location of the dominant fibroid was intramural. No statistically significant association was found between clinical and radiological outcome. Conclusion: The response of uterine fibroids to embolization in the African population is not different from the findings reported in other studies from the west. The presence of multiple and large fibroids in this study is consistent with the case mix described in other studies of African-American populations. Patient counseling should emphasize the independence of volume reduction and symptom improvement. Though volume changes are of relevance for the radiologist in understanding the evolution of the condition and identifying potential technical treatment failures, it should not be the main basis of evaluation of treatment success.
      Citation: Journal of Clinical Imaging Science 2015 5(1):18-18
      PubDate: Tue,31 Mar 2015
      DOI: 10.4103/2156-7514.154351
      Issue No: Vol. 5, No. 1 (2015)
       
  • Incidentally Detected Mediastinal Vascular Anatomical Variants on PET-CT:
           A Pictorial Essay

    • Authors: Kathyayini Paidipati Gopalkrishna Murthy, Raghava Kashyap, Hima Tadimeti, Mahidhar Peyyeti
      Pages: 19 - 19
      Abstract: Kathyayini Paidipati Gopalkrishna Murthy, Raghava Kashyap, Hima Tadimeti, Mahidhar Peyyeti

      Journal of Clinical Imaging Science 2015 5(1):19-19

      Positron emission tomography with computed tomography (PET-CT) is an integral part of oncology practice in the current-day scenario. The hybrid anatomical and metabolic imaging information in this imaging modality provides access to a wealth of incidental findings which can have implications in the management of the patient, especially when surgical options are being considered. In this pictorial essay, we present incidentally detected mediastinal vascular anomalies on PET-CT, along with a review of associated literature.
      Citation: Journal of Clinical Imaging Science 2015 5(1):19-19
      PubDate: Tue,31 Mar 2015
      DOI: 10.4103/2156-7514.154353
      Issue No: Vol. 5, No. 1 (2015)
       
  • Acute Necrotizing Encephalopathy in an Adult

    • Authors: Ramakrishna Narra, Adinarayana Mandapalli, Suseel Kumar Kamaraju
      Pages: 20 - 20
      Abstract: Ramakrishna Narra, Adinarayana Mandapalli, Suseel Kumar Kamaraju

      Journal of Clinical Imaging Science 2015 5(1):20-20

      Acute necrotizing encephalopathy (ANE) is a rapidly progressing neurologic disorder that occurs in children after common viral infections of the respiratory or gastrointestinal systems. This disease is commonly seen in East Asia. Normal healthy infants and children can get affected. The condition carries a poor prognosis with high morbidity and mortality rates. We report here a case of a 23-year-old female with ANE and describe its neuroimaging findings. Magnetic resonance imaging examination performed showed symmetric lesions involving the thalami, brainstem, and cerebellum.
      Citation: Journal of Clinical Imaging Science 2015 5(1):20-20
      PubDate: Thu,30 Apr 2015
      DOI: 10.4103/2156-7514.156117
      Issue No: Vol. 5, No. 1 (2015)
       
  • Hydronephrosis as an Unusual Cause of Acute Pancreatitis

    • Authors: Nata Pratama Hardjo Lugito, Edy Gunawan, Margaret Chandra, Andree Kurniawan
      Pages: 21 - 21
      Abstract: Nata Pratama Hardjo Lugito, Edy Gunawan, Margaret Chandra, Andree Kurniawan

      Journal of Clinical Imaging Science 2015 5(1):21-21

      Acute pancreatitis is an inflammatory disease of the pancreas. The most common cause of acute pancreatitis is gallstone impacting the distal common bile-pancreatic duct (38%) and alcoholism (36%). There have been a few reports in the literature of acute pancreatitis associated with an obstructed urinary system. This case describes a 38-year-old male with acute pancreatitis occurring in the setting of hydronephrosis. A magnetic resonance cholangiopancreaticography (MRCP) showed right-sided severe hydronephrosis pushing the duodenum and head of pancreas anteriorly, thus obliterating distal segment of the common bile duct. There were also multiple right renal stones causing ureteral obstruction and hydronephrosis. Right nephrostomy was performed to release bile duct obstruction. However, sepsis and disseminated intravascular coagulation developed as a complication of acute pancreatitis, and the patient passed away. Although gallstone and alcoholism are the most common causes of acute pancreatitis, other causes should always be considered. Physicians should be aware of right hydronephrosis as one of the possible causes of acute pancreatitis in their workup of patients.
      Citation: Journal of Clinical Imaging Science 2015 5(1):21-21
      PubDate: Thu,30 Apr 2015
      DOI: 10.4103/2156-7514.156123
      Issue No: Vol. 5, No. 1 (2015)
       
  • A Case of Metastatic Rectal Squamous Cell Carcinoma Initially Diagnosed as
           Lung Cancer

    • Authors: Aung Zaw Win, Carina Mari Aparici
      Pages: 22 - 22
      Abstract: Aung Zaw Win, Carina Mari Aparici

      Journal of Clinical Imaging Science 2015 5(1):22-22

      Squamous cell carcinoma (SCC) of the rectum is extremely rare with a reported incidence of only 0.025-0.1% of all colorectal tumors. The patient was a 68-year-old man who presented with fatigue, dry cough, shortness of breath, and unintentional weight loss. A chest CT revealed a left suprahilar mass suspected to be lung cancer and an initial diagnosis of primary lung cancer was made. However, fluorodeoxyglucose positron emission tomography and computed tomography (FDG-PET/CT) exam revealed an intensely hypermetabolic rectal mass which turned out to be rectal squamous cell carcinoma. This is the first report that shows FDG-PET/CT images of rectal squamous cell carcinoma metastasis to the skin, muscle, bone, and lung. Use of PET/CT in the initial diagnosis of non-resectable rectal cancers may avoid unnecessary surgery.
      Citation: Journal of Clinical Imaging Science 2015 5(1):22-22
      PubDate: Thu,30 Apr 2015
      DOI: 10.4103/2156-7514.156125
      Issue No: Vol. 5, No. 1 (2015)
       
  • Synovial Hemangioma in the Knee: MRI Findings

    • Authors: Harun Arslan, Necat Islamoglu, Zülküf Akdemir, Cihan Adanas
      Pages: 23 - 23
      Abstract: Harun Arslan, Necat Islamoglu, Zülküf Akdemir, Cihan Adanas

      Journal of Clinical Imaging Science 2015 5(1):23-23

      Synovial hemangiomas are rare benign tumors of vascular origin. A 23-year-old boy presented with knee pain and swelling. The boy had developed symptoms 18-months earlier. He was diagnosed with synovial hemangioma based on magnetic resonnance imaging examination and histopathologic findings of the arthroscopic biopsy tissue. We present the magnetic resonance imaging and histopathologic findings of synovial hemangioma of the knee.
      Citation: Journal of Clinical Imaging Science 2015 5(1):23-23
      PubDate: Thu,30 Apr 2015
      DOI: 10.4103/2156-7514.156129
      Issue No: Vol. 5, No. 1 (2015)
       
  • Cross-sectional Imaging Features of Primary Retroperitoneal Tumors and
           Their Subsequent Treatment

    • Authors: Turker Acar, Mustafa Harman, Serkan Guneyli, Kazim Gemici, Duran Efe, Ibrahim Guler, Melda Yildiz
      Pages: 24 - 24
      Abstract: Turker Acar, Mustafa Harman, Serkan Guneyli, Kazim Gemici, Duran Efe, Ibrahim Guler, Melda Yildiz

      Journal of Clinical Imaging Science 2015 5(1):24-24

      Basically malignant tumors in the retroperitoneal region arise from a heterogeneous group of tissues: mesodermal, neurogenic, germ cell, and lymphoid. Although rare, benign tumors and cystic masses can be also encountered in retroperitoneal space. Developments in computed tomography (CT) and magnetic resonance imaging (MRI) have contributed to both diagnosis and staging of the retroperitoneal tumors. High spatial resolution and superiority in calcification make CT indispensable; on the other hand, MRI has a better soft-tissue contrast resolution which is essential for the assessment of vascular invasion and tissue characterization. The aim of this article is to review the CT and MRI features of retroperitoneal tumors and their subsequent management.
      Citation: Journal of Clinical Imaging Science 2015 5(1):24-24
      PubDate: Thu,30 Apr 2015
      DOI: 10.4103/2156-7514.156135
      Issue No: Vol. 5, No. 1 (2015)
       
  • A Rare Coronary Artery Anomaly: Origin of All Three Coronary Arteries from
           the Right Sinus of Valsalva

    • Authors: Lale Pasaoglu, Ugur Toprak, Emre Nalbant, Gokhan Yagiz
      Pages: 25 - 25
      Abstract: Lale Pasaoglu, Ugur Toprak, Emre Nalbant, Gokhan Yagiz

      Journal of Clinical Imaging Science 2015 5(1):25-25

      Left anterior descending (LAD) artery and left circumflex (LCx) coronary artery originating separately from the right sinus of valsalva is exceptionally rare and very few cases have been reported in the literature. Congenital coronary artery anomalies are generally incidental, uncommon, and asymptomatic. Some can cause severe potentially life-threatening symptoms such as myocardial ischemia and sudden cardiac death. The aberrant vessels that pass between the aorta and the pulmonary trunk pose a risk of sudden cardiac death, particularly if the vessel supplies the left coronary artery network. The electrocardiographically gated multi-detector computed tomography (MDCT) allows accurate and non-invasive depiction of coronary artery anomalies including origin, course, and termination. We report here a rare case of all three coronary arteries separately originating from the right coronary sinus, which was detected with MDCT.
      Citation: Journal of Clinical Imaging Science 2015 5(1):25-25
      PubDate: Thu,30 Apr 2015
      DOI: 10.4103/2156-7514.156137
      Issue No: Vol. 5, No. 1 (2015)
       
  • Myths about Publishing in an Open Access Journal

    • Authors: Vikram Dogra
      Pages: 26 - 26
      Abstract: Vikram Dogra

      Journal of Clinical Imaging Science 2015 5(1):26-26


      Citation: Journal of Clinical Imaging Science 2015 5(1):26-26
      PubDate: Thu,30 Apr 2015
      DOI: 10.4103/2156-7514.156140
      Issue No: Vol. 5, No. 1 (2015)
       
  • Unusual benign tumors of the breast

    • Authors: Beatriz E Adrada, Savitri Krishnamurthy, Selin Carkaci, Flavia E Posleman-Monetto, Adesuwa Ewere, Gary J Whitman
      Pages: 27 - 27
      Abstract: Beatriz E Adrada, Savitri Krishnamurthy, Selin Carkaci, Flavia E Posleman-Monetto, Adesuwa Ewere, Gary J Whitman

      Journal of Clinical Imaging Science 2015 5(1):27-27

      The purpose of this article is to describe the imaging characteristics of a variety of benign breast tumors that may be encountered in daily practice, in order to formulate an appropriate differential diagnosis and to establish concordance between the imaging and the pathologic findings, and to assist the clinician with appropriate management.
      Citation: Journal of Clinical Imaging Science 2015 5(1):27-27
      PubDate: Fri,22 May 2015
      DOI: 10.4103/2156-7514.157603
      Issue No: Vol. 5, No. 1 (2015)
       
  • Assessment of Ischemic Cardiomyopathy Using Cardiovascular Magnetic
           Resonance Imaging: A Pictorial Review

    • Authors: Cristina Ivette Olivas-Chacon, Carola Mullins, Agnieszka Solberg, Nassim Akle, Jesus E Calleros, Luis R Ramos-Duran
      Pages: 28 - 28
      Abstract: Cristina Ivette Olivas-Chacon, Carola Mullins, Agnieszka Solberg, Nassim Akle, Jesus E Calleros, Luis R Ramos-Duran

      Journal of Clinical Imaging Science 2015 5(1):28-28

      Ischemic heart disease is the leading cause of death worldwide. In the last two decades, cardiovascular magnetic resonance imaging (CMRI) has emerged as the primary imaging tool in the detection and prognostic assessment of ischemic heart disease. In a single study, CMRI allows evaluation of not only myocardial wall perfusion, but also the presence, acuity, and extent of myocardial ischemia and infarction complications. Also, rest and stress perfusion imaging can accurately depict inducible ischemia secondary to significant coronary artery stenosis. We present a pictorial review of the assessment of ischemic cardiomyopathy with an emphasis on CMRI features.
      Citation: Journal of Clinical Imaging Science 2015 5(1):28-28
      PubDate: Fri,22 May 2015
      DOI: 10.4103/2156-7514.157604
      Issue No: Vol. 5, No. 1 (2015)
       
  • Magnetic Resonance Imaging Determination of Normal Pituitary Gland
           Dimensions in Zaria, Northwest Nigerian Population

    • Authors: Philip Oluleke Ibinaiye, Sefia Olarinoye-Akorede, Olugbenga Kajogbola, Adamu Girei Bakari
      Pages: 29 - 29
      Abstract: Philip Oluleke Ibinaiye, Sefia Olarinoye-Akorede, Olugbenga Kajogbola, Adamu Girei Bakari

      Journal of Clinical Imaging Science 2015 5(1):29-29

      Objectives: To determine the dimensions of normal pituitary gland using T1-weighted magnetic resonance images (MRI) and to determine their relationship with age and sex. Materials and Methods: Cranial MRI scans of 100 individuals with clinically normal pituitary function (58 males and 42 females) and in the age range 14-82 years were reviewed in order to obtain volumetric measurements of the pituitary gland. The height, width, and depth of the pituitary were obtained from mid-sagittal and coronal planes, while the volume was calculated from these measured parameters. The data obtained were stratified based on age and sex for analysis. Statistical tests applied included Student's t-test and Pearson correlation. A minimum level of statistical significance was set at P < 0.05. Results: The mean pituitary volumes were 334.1 &#177; 145.8 mm 3 and 328.1 &#177; 129.2 mm 3 while the mean pituitary heights were 6.45 &#177; 1.7 mm and 6.46 &#177; 1.57 mm in males and females, respectively. Although there was no statistically significant difference between pituitary height and pituitary volume in both sexes, they correlated negatively with increasing age (r = &#8722;202, P = 0.04 and r = &#8722;410, P = 0.000, respectively). Both parameters were highest in pubertal subjects and declined steadily with age, with a second peak occurring only for pituitary height in the sixth decade. The mean pituitary widths (9.08 &#177; 2.59 mm and 9.21 &#177; 1.86 mm) and depths (10.59 &#177; 1.71 mm and 10.49 &#177; 1.57 mm) in males and females, respectively, did not show remarkable changes with age and sex in the individuals studied. Conclusion: With this study, we have provided reference values in Nigerian population for the dimensions of normal pituitary gland, in order to facilitate assessment and diagnosis in patients with abnormalities of the hypothalamic-pituitary axis.
      Citation: Journal of Clinical Imaging Science 2015 5(1):29-29
      PubDate: Fri,29 May 2015
      DOI: 10.4103/2156-7514.157853
      Issue No: Vol. 5, No. 1 (2015)
       
  • Cerebral Blastomycosis: Radiologic-Pathologic Correlation of Solitary CNS
           Blastomycosis Mass-Like Infection

    • Authors: Costas Stavrakis, Ananth Narayan, Olga Voronel
      Pages: 30 - 30
      Abstract: Costas Stavrakis, Ananth Narayan, Olga Voronel

      Journal of Clinical Imaging Science 2015 5(1):30-30

      Blastomycosis is a fungal infection rarely seen in clinical practice. Endemic to the Midwestern United States as well as the Canadian provinces of Manitoba and Ontario, Blastomyces dermatitidis characteristically involves the skin and lungs. Central nervous system (CNS) involvement, although a rare complication of this disease, can be fatal. The current literature on CNS blastomycosis primarily centers on the spectrum of traditional imaging features of T1- and T2-weighted imaging with which this entity can present. However, here we present the direct histopathologic correlation of the imaging findings of solitary mass like CNS blastomycosis, with an emphasis on the association of diffusion restriction within the lesion with a granulomatous immune response.
      Citation: Journal of Clinical Imaging Science 2015 5(1):30-30
      PubDate: Fri,29 May 2015
      DOI: 10.4103/2156-7514.157854
      Issue No: Vol. 5, No. 1 (2015)
       
  • Vascular Access for Placement of Tunneled Dialysis Catheters for
           Hemodialysis: A Systematic Approach and Clinical Practice Algorithm

    • Authors: Keith Pereira, Adam Osiason, Jason Salsamendi, Keith Pereira, Adam Osiason, Jason Salsamendi
      Pages: 31 - 31
      Abstract: Keith Pereira, Adam Osiason, Jason Salsamendi, Keith Pereira, Adam Osiason, Jason Salsamendi

      Journal of Clinical Imaging Science 2015 5(1):31-31

      The role of interventional radiology in the overall management of patients on dialysis continues to expand. In patients with end-stage renal disease (ESRD), the use of tunneled dialysis catheters (TDCs) for hemodialysis has become an integral component of treatment plans. Unfortunately, long-term use of TDCs often leads to infections, acute occlusions, and chronic venous stenosis, depletion of the patient's conventional access routes, and prevention of their recanalization. In such situations, the progressive loss of venous access sites prompts a systematic approach to alternative sites to maximize patient survival and minimize complications. In this review, we discuss the advantages and disadvantages of each vascular access option. We illustrate the procedures with case histories and images from our own experience at a highly active dialysis and transplant center. We rank each vascular access option and classify them into tiers based on their relative degrees of effectiveness. The conventional approaches are the most preferred, followed by alternative approaches and finally the salvage approaches. It is our intent to have this review serve as a concise and informative reference for physicians managing patients who need vascular access for hemodialysis.
      Citation: Journal of Clinical Imaging Science 2015 5(1):31-31
      PubDate: Fri,29 May 2015
      DOI: 10.4103/2156-7514.157858
      Issue No: Vol. 5, No. 1 (2015)
       
  • The Global Nonalcoholic Fatty Liver Disease Epidemic: What a Radiologist
           Needs to Know

    • Authors: Keith Pereira, Jason Salsamendi, Javier Casillas, Keith Pereira, Jason Salsamendi, Javier Casillas
      Pages: 32 - 32
      Abstract: Keith Pereira, Jason Salsamendi, Javier Casillas, Keith Pereira, Jason Salsamendi, Javier Casillas

      Journal of Clinical Imaging Science 2015 5(1):32-32

      Nonalcoholic fatty liver disease (NAFLD) represents a spectrum of disorders from a benign steatosis to hepatocellular carcinoma (HCC). Metabolic syndrome, mainly obesity, plays an important role, both as an independent risk factor and in the pathogenesis of NAFLD. With the progressive epidemics of obesity and diabetes mellitus, the prevalence of NAFLD and its associated complications is expected to increase dramatically. Therapeutic strategies for treating NAFLD and metabolic syndrome, particularly obesity, are continuously being refined. Their goal is the prevention of NAFLD by the management of risk factors, prevention of progression of the disease, as well as management of complications, ultimately preventing morbidity and mortality. Optimal management of NAFLD and metabolic syndrome requires a multidisciplinary collaboration between the government as well as the health system including the nutritionist, primary care physician, radiologist, hepatologist, oncologist, and transplant surgeon. An awareness of the clinical presentation, risk factors, pathogenesis, diagnosis, and management is of paramount importance to a radiologist, both from the clinical perspective as well as from the imaging standpoint. With expertise in imaging modalities as well as minimally invasive percutaneous endovascular therapies, radiologists play an essential role in the comprehensive management, which is highlighted in this article, with cases from our practice. We also briefly discuss transarterial embolization of the left gastric artery (LGA), a novel method that promises to have an enormous potential in the minimally invasive management of obesity, with details of a case from our practice.
      Citation: Journal of Clinical Imaging Science 2015 5(1):32-32
      PubDate: Fri,29 May 2015
      DOI: 10.4103/2156-7514.157860
      Issue No: Vol. 5, No. 1 (2015)
       
  • Obstructive Uropathy Secondary to Uretero-inguinal Hernia

    • Authors: Lih En Hong, Chrismin Tan, Jordan Li
      Pages: 33 - 33
      Abstract: Lih En Hong, Chrismin Tan, Jordan Li

      Journal of Clinical Imaging Science 2015 5(1):33-33

      Uretero-inguinal hernia in patients with native kidneys is rare. We report a case of an 84-year-old man who was diagnosed with obstructive uropathy secondary to uretero-inguinal hernia, with no past history of herniorrhaphy or congenital genitourinary malformation. Uretero-inguinal hernias are predominantly indirect inguinal hernias and may be paraperitoneal or extraperitoneal. Computed tomography (CT) is a non-invasive diagnostic tool for uretero-inguinal hernia. Herniorrhaphy is indicated in all cases of uretero-inguinal hernia to prevent obstructive uropathy.
      Citation: Journal of Clinical Imaging Science 2015 5(1):33-33
      PubDate: Mon,29 Jun 2015
      DOI: 10.4103/2156-7514.159448
      Issue No: Vol. 5, No. 1 (2015)
       
  • Infantile Fibromatosis: A Rare Cause of Anterior Mediastinal Mass in a
           Child

    • Authors: Venkatraman Bhat, Praveen Raju, Sanjay Rao, Srinivas Ramaiah
      Pages: 34 - 34
      Abstract: Venkatraman Bhat, Praveen Raju, Sanjay Rao, Srinivas Ramaiah

      Journal of Clinical Imaging Science 2015 5(1):34-34

      Fibromatosis also known as desmoid tumor is an uncommon cause of a mediastinal mass in patients of all ages. Imaging appearance of fibromatosis is generally nonspecific and demands special attention to subtle details to be correctly identified as a possibility. Management of the patient is often complicated by failure to obtain precise pre-operative diagnosis. Location of a mass in the anterior mediastinum with encasement of vital structures is not favourable for complete cure. Although histologically benign, biological behaviour of the lesion varies between benign fibrous proliferation and low-grade fibrosarcoma. We present imaging appearances, surgical management dilemma, and the histopathological details of a case of fibromatosis in the anterior mediastinum in a child.
      Citation: Journal of Clinical Imaging Science 2015 5(1):34-34
      PubDate: Mon,29 Jun 2015
      DOI: 10.4103/2156-7514.159452
      Issue No: Vol. 5, No. 1 (2015)
       
  • Carcinoma en Cuirasse from Recurrent Breast Cancer seen on FDG-PET/CT

    • Authors: Aung Zaw Win, Carina Mari Aparici
      Pages: 35 - 35
      Abstract: Aung Zaw Win, Carina Mari Aparici

      Journal of Clinical Imaging Science 2015 5(1):35-35

      Our patient was a 36-year-old female diagnosed with Grade II ER+/PR&#8722;/Her-2 &#8722; ductal carcinoma in situ (DCIS) in the left breast. She underwent left lumpectomy and received treatment with tamoxifen and radiotherapy. Three years later, she presented with multiple diffused skin nodules on the chest and upper left arm. 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) exam showed widespread metastasis in the chest, upper left arm, left axillary lymph nodes, and left suprascapular muscle. FDG-PET/CT imaging of breast carcinoma en cuirasse is very rare. FDG-PET/CT is useful in detecting recurrent breast cancer.
      Citation: Journal of Clinical Imaging Science 2015 5(1):35-35
      PubDate: Mon,29 Jun 2015
      DOI: 10.4103/2156-7514.159456
      Issue No: Vol. 5, No. 1 (2015)
       
  • Testicular Ischemia Due to a Band Around the Spermatic Cord

    • Authors: Suheil Artul, Basel Fahoum, William Nseir, George Habib
      Pages: 36 - 36
      Abstract: Suheil Artul, Basel Fahoum, William Nseir, George Habib

      Journal of Clinical Imaging Science 2015 5(1):36-36

      We present a case of an 18-year-old boy who was admitted to our hospital with a 2-day history of pain in the right scrotum. Ultrasound examination showed signs of ischemia, with dampened testicular arterial flow and bell-clapper deformity. Surgery revealed a constricting fibrous band around the distal spermatic cord resembling the bell-clapper deformity.
      Citation: Journal of Clinical Imaging Science 2015 5(1):36-36
      PubDate: Mon,29 Jun 2015
      DOI: 10.4103/2156-7514.157856
      Issue No: Vol. 5, No. 1 (2015)
       
  • Magnetic Resonance Imaging of Non-ischemic Cardiomyopathies: A Pictorial
           Essay

    • Authors: Cristina I Olivas-Chacon, Carola Mullins, Kevan Stewart, Nassim Akle, Jesus E Calleros, Luis R Ramos-Duran
      Pages: 37 - 37
      Abstract: Cristina I Olivas-Chacon, Carola Mullins, Kevan Stewart, Nassim Akle, Jesus E Calleros, Luis R Ramos-Duran

      Journal of Clinical Imaging Science 2015 5(1):37-37

      Non-ischemic cardiomyopathies are defined as either primary or secondary diseases of the myocardium resulting in cardiac dysfunction. While primary cardiomyopathies are confined to the heart and can be genetic or acquired, secondary cardiomyopathies show involvement of the heart as a manifestation of an underlying systemic disease including metabolic, inflammatory, granulomatous, infectious, or autoimmune entities. Non-ischemic cardiomyopathies are currently classified as hypertrophic, dilated, restrictive, or unclassifiable, including left ventricular non-compaction. Cardiovascular Magnetic Resonance Imaging (CMRI) not only has the capability to assess cardiac morphology and function, but also the ability to detect edema, hemorrhage, fibrosis, and intramyocardial deposits, providing a valuable imaging tool in the characterization of non-ischemic cardiomyopathies. This pictorial essay shows some of the most important non-ischemic cardiomyopathies with an emphasis on magnetic resonance imaging features.
      Citation: Journal of Clinical Imaging Science 2015 5(1):37-37
      PubDate: Tue,30 Jun 2015
      DOI: 10.4103/2156-7514.159564
      Issue No: Vol. 5, No. 1 (2015)
       
  • The Dens: Normal Development, Developmental Variants and Anomalies, and
           Traumatic Injuries

    • Authors: William T O'Brien, Peter Shen, Paul Lee
      Pages: 38 - 38
      Abstract: William T O'Brien, Peter Shen, Paul Lee

      Journal of Clinical Imaging Science 2015 5(1):38-38

      Accurate interpretation of cervical spine imagining can be challenging, especially in children and the elderly. The biomechanics of the developing pediatric spine and age-related degenerative changes predispose these patient populations to injuries centered at the craniocervical junction. In addition, congenital anomalies are common in this region, especially those associated with the axis/dens, due to its complexity in terms of development compared to other vertebral levels. The most common congenital variations of the dens include the os odontoideum and a persistent ossiculum terminale. At times, it is necessary to distinguish normal development, developmental variants, and developmental anomalies from traumatic injuries in the setting of acute traumatic injury. Key imaging features are useful to differentiate between traumatic fractures and normal or variant anatomy acutely; however, the radiologist must first have a basic understanding of the spectrum of normal developmental anatomy and its anatomic variations in order to make an accurate assessment. This review article attempts to provide the basic framework required for accurate interpretation of cervical spine imaging with a focus on the dens, specifically covering the normal development and ossification of the dens, common congenital variants and their various imaging appearances, fracture classifications, imaging appearances, and treatment options.
      Citation: Journal of Clinical Imaging Science 2015 5(1):38-38
      PubDate: Tue,30 Jun 2015
      DOI: 10.4103/2156-7514.159565
      Issue No: Vol. 5, No. 1 (2015)
       
  • 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 &#215; 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)
       
  • Sonography in the Diagnosis and Assessment of Dengue Fever

    • Authors: VR Santhosh, Prashanth G Patil, MG Srinath, Ashok Kumar, Aditi Jain, M Archana
      Pages: 14 - 14
      Abstract: VR Santhosh, Prashanth G Patil, MG Srinath, Ashok Kumar, Aditi Jain, M Archana

      Journal of Clinical Imaging Science 2014 4(1):14-14

      Objective: The objective of the following study is to determine the use of ultrasound as an important adjunct to clinical and laboratory profile in diagnosing dengue fever and in predicting the severity of the disease by correlating imaging features with platelet count. The variation in sonographic features seen in patients from different age groups was also studied. Materials and Methods: This is a retrospective study. 96 patients who were serologically diagnosed as having dengue fever between April and August 2012 were referred for ultrasound scanning of the abdomen and thorax and the imaging findings were analyzed. Results: Out of 96 sero-positive dengue cases, 64 (66.7%) patients showed edematous gallbladder (GB) wall thickening, 62 (64.5%) patients showed ascites, 48 (50%) patients had pleural effusion, 17 (17.7%) patients had hepatomegaly, 16 (16.7%) patients had splenomegaly and in 17 (17.7%) patients ultrasound findings were normal. Edematous GB wall thickening, ascites and pleural effusion were the most common combination of findings in all age groups. Edematous GB wall thickening was seen in 97.8% of patients with platelet count of less than 40,000 along with ascites (86.9%) and pleural effusion (58.6%). In patients with platelet count between 40,000 and 80,000 ascites was more common than edematous GB wall thickening. Significantly no abnormal sonographic finding was detected in patient with platelet count more than 150,000. Conclusion: Sonographic features of thickened GB wall, pleural effusion (bilateral or right side), ascites, hepatomegaly and splenomegaly should strongly favor the diagnosis of dengue fever in patients presenting with fever and associated symptoms, particularly during an epidemic. The degree of thrombocytopenia showed a significant direct relationship to abnormal ultrasound features.
      Citation: Journal of Clinical Imaging Science 2014 4(1):14-14
      PubDate: Mon,1 Jan 1900
      DOI: 10.4103/2156-7514.129260
      Issue No: Vol. 4, No. 1 (1900)
       
  • A Rare Case of Oropharyngeal Teratoma Diagnosed Antenatally with MRI

    • Authors: Murali Mohan Manchali, Chandrahasa Sharabu, Meher Latha, Leela Kumar
      Pages: 15 - 15
      Abstract: Murali Mohan Manchali, Chandrahasa Sharabu, Meher Latha, Leela Kumar

      Journal of Clinical Imaging Science 2014 4(1):15-15

      Oropharyngeal teratomas are extremely rare congenital tumors and have an incidence rate of one in 35,000-200,000 newborn babies/neonates. Oropharyngeal teratomas may cause life threatening airway obstruction to a newborn. Early diagnosis with ultrasound and magnetic resonance imaging (MRI) is essential to plan management. Here, we present a rare case of oropharyngeal true teratoma diagnosed with MRI antenatally in a fetus at 34 weeks of gestation in a 25-year-old female who was being evaluated for polyhydraminos. We found MRI to be more helpful for antenatal diagnosis, counseling, and management than ultrasonography and computed tomography (CT).
      Citation: Journal of Clinical Imaging Science 2014 4(1):15-15
      PubDate: Mon,1 Jan 1900
      DOI: 10.4103/2156-7514.129261
      Issue No: Vol. 4, No. 1 (1900)
       
 
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
 
About JournalTOCs
API
Help
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2015