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Indian Journal of Radiology & Imaging

Ashu S Bhalla, A Das, P Naranje, A Goyal, R Guleria, Gopi C Khilnani
No abstract text is available yet for this article.
April 2018: Indian Journal of Radiology & Imaging
Agrima Mian, Animesh Ray
No abstract text is available yet for this article.
April 2018: Indian Journal of Radiology & Imaging
Upendra Kumar Joish, Hirdesh Sahni, R Harikiran Reddy, Vivek Sreekanth
Context: Clinical details help radiologists report accurately. However, the clinical aspect has taken a backseat among radiologists, who are overdependent on referral notes. This leads to inaccurate assessment, financial burden, and loss of man hours. Aims: To re-emphasize the benefits of detailed clinical evaluation and real-time monitoring of imaging in interpreting images. Settings and Design: Prospective study. Materials and Methods: A study was done in the Department of Radiodiagnosis for 10 days, including all referred patients above 18 years of age...
April 2018: Indian Journal of Radiology & Imaging
Roshan S Livingstone, Anna Varghese
Background: Protective lead or lead-equivalent (Pbeq) aprons play a key role in providing necessary shielding from secondary radiation to occupational workers. Knowledge on the integrity of these shielding apparels during purchase is necessary to maintain adequate radiation safety. Aim: The aim of the study was to evaluate the lead equivalence in aprons based on simple quality assessment tool. Materials and Methods: 0.25 mm and 0.5 mm lead and lead-free aprons from 6 manufacturers were assessed using a calibrated digital X-ray unit...
April 2018: Indian Journal of Radiology & Imaging
Binoj Varghese, Indu Kandanga, Paul Puthussery, Dhanesh Vijayan, S P Harish Babu, M K Aneesh, Muhammad Noufal, E V Binu, Arun C Babu, Sheen M James, Siva Kumar
Background: Presently, computed tomography (CT) is the most important source of medical radiation exposure. CT radiation doses vary considerably across institutions depending on the protocol and make of equipment. India does not yet have national or region-specific CT diagnostic reference levels. Aim: To evaluate radiation doses of consecutive multidetector CT (MDCT) examinations based on anatomic region, performed in 1 month, collected simultaneously from seven tertiary care hospitals in Kerala...
April 2018: Indian Journal of Radiology & Imaging
Bukunmi M Idowu, Adebayo G Tanimola
This is a case report of Wilms' tumor which presented with varicocele in an 11-month old infant. The age of the patient and the uncommon mode of presentation are the unique features of this case. This case emphasizes the need to exclude a renal tumor in children with scrotal varicoceles.
April 2018: Indian Journal of Radiology & Imaging
Bethany J Slater, Ashwin Pimpalwar, David Wesson, Oluyinka Olutoye, Sheena Pimpalwar
Management of complex esophageal problems in children is challenging. We report our experience with the use of esophageal stents in three children with esophageal strictures, leaks, or airway-esophageal fistulae refractory to conventional treatment. The stent played a key role in allowing extubation of a child with a large tracheo-esophageal-pleural fistula and in the resolution of pulmonary infection in a child with esophago-bronchial fistula, both followed by surgery. In the third child, with stricture, stents were complicated with migration, esophageal erosion, and esophago-bronchial fistula...
April 2018: Indian Journal of Radiology & Imaging
Neeraj Jain, Shashidhar Achar, Naveen K Garg, Sunil Kumar
A 68-year-old male patient presented with chief complaints of chest pain and dyspnea on exertion. On physical examination, his pulse was regular at 82 bpm and blood pressure was 140/80 mmHg. Resting electrocardiography (ECG) was within normal limit and chest X-ray also did not reveal any significant abnormality. Routine blood investigations were unremarkable; transthoracic echocardiography also did not show any significant abnormality. Catheter coronary angiography revealed severe triple vessel disease and showed possibility of coronary artery fistula...
April 2018: Indian Journal of Radiology & Imaging
Somit Mittal, Vivek Singh, R V Phadke, Zafar Neyaz
Background: Posterior inferior cerebellar artery (PICA) like other intracranial arteries is prone to aneurysm formation. Aneurysms usually arise from the vertebral artery (VA)-PICA junction and the proximal segment of the PICA. The surgical clipping of PICA aneurysms can be challenging and carries a potentially significant risk of morbidity and mortality. Experience with endovascular therapy has been limited to a few studies; however, the use of endovascular therapy as an alternative treatment to surgery has been increasing...
April 2018: Indian Journal of Radiology & Imaging
Balasubramanian Karthikumar, Shyamkumar N Keshava, Vinu Moses, George K Chiramel, Munawwar Ahmed, Suraj Mammen
Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures. Aim: This study is done to assess the technical feasibility and outcome of IR-guided percutaneous gastrostomy for patients requiring nutritional support for neuromuscular disorders or head and neck malignancies, as well as to describe simplified and newer technique for pull-type gastrostomy...
April 2018: Indian Journal of Radiology & Imaging
Karthik Shyam, Soumya Cicilet, Babu Philip
The common presentations of patient complaints regarding the musculoskeletal system, such as pain, swelling, and restriction of movement, lead to the imaging discovery of various lesions often located in, or arising from, skeletal muscle in the region of interest. Knowledge of the patients' clinical history, laboratory parameters, and various imaging characteristics of the implicated lesions would assist the radiologist in coming to a timely, reasonably accurate conclusion about the etiology of the patient's complaints, the severity of disease, and in directing patient therapy...
April 2018: Indian Journal of Radiology & Imaging
C Amarnath, Priya Muthaiyan, T Helen Mary, Shilpa Mohanan, K Gopinathan
Purpose: Our objective was to evaluate the radiological appearances in different stages of idiopathic chondrolysis of hip (ICH) which will be helpful in the early diagnosis and guiding appropriate treatment for this condition to prevent progression of disease. Materials and Methods: We evaluated 14 patients of ICH in varying stages: Stage 1 ( n = 9), Stage 2 ( n = 3), Stage 3 ( n = 2). Average age at presentation was 10-11 years. Plain radiograph and magnetic resonance imaging (MRI) was done in all these patients...
April 2018: Indian Journal of Radiology & Imaging
Binit Sureka, Archana Rastogi, Amar Mukund, Shiv Kumar Sarin
We report a case of 18 F fluorodeoxyglucose (FDG) positron emission tomography (PET)-computed tomography-avid histologically confirmed inflammatory hepatic adenoma in a 77-year-old male patient without any history of steroid, alcohol use. This is the first case report of inflammatory hepatic adenoma in a male patient documented in the published literature showing uptake on 18 F-FDG PET. Previous single case report of 18 F-FDG PET-avid hepatic adenoma in a male patient was of hepatocyte nuclear factor-1-α subtype...
April 2018: Indian Journal of Radiology & Imaging
Giancarlo Schiappacasse, Pablo Soffia, Claudio Silva, Fabian Villacrés
Acute cholecystitis (AC) is a frequent complication of biliary cholelithiasis. Although ultrasound is the first diagnostic imaging procedure, frequently the initial imaging modality is computed tomography (CT). Therefore, familiarization of CT findings in AC and potential related complications are extremely important. This pictorial essay reviews a broad spectrum of complications related to AC and its key findings in CT.
April 2018: Indian Journal of Radiology & Imaging
Madhusmita, Rohini G Ghasi, M K Mittal, Deepak Bagga
Purpose: To evaluate the spectrum of magnetic resonance imaging (MRI) findings in pediatric patients with anorectal malformation (ARM) and compare the accuracy of MRI and distal cologram (DC) findings using surgery as reference standard. Materials and Methods: Thirty pediatric patients of age less than 14 years (19 boys and 11 girls) with ARM underwent preoperative MRI. MRI images were evaluated for the level of rectal pouch in relation to the pelvic floor, fistula, and development of sphincter muscle complex (SMC)...
April 2018: Indian Journal of Radiology & Imaging
Aruna R Patil, Shrivalli Nandikoor, Ramya Padilu
Extensive hydropic degeneration in uterine leiomyoma is a rare occurrence and is commonly reported in association with pregnancy. It is a close mimicker of malignancy due to rapid growth and atypical imaging appearances. Awareness of the imaging features helps in diagnosis, avoids unnecessary patient anxiety, and hence reassurance especially when encountered in pregnancy. We report two cases of extensive hydropic degeneration of leiomyoma in nonpregnant females with imaging and histopathology correlation. We also propose the "split fiber" sign as a useful magnetic resonance imaging feature for diagnosing this condition...
April 2018: Indian Journal of Radiology & Imaging
Shimona Saini, Vikas Kumar, Prakashini Koteshwara
Context: Diffusion Tensor Imaging (DTI) is a reliable noninvasive tool to assess renal function with medullary Fractional Anisotropy (FA) values showing the most consistent results. Aims: Evaluation of FA, Apparent Diffusion Coefficient (ADC) for detecting diabetic nephropathy (DN) using 1.5-Tesla magnetic resonance imaging (MRI). To determine FA and ADC values in chronic kidney disease (CKD) patients and controls, and comparing these with estimated glomerular filtiration rate (eGFR) and categorizing the stage of CKD...
April 2018: Indian Journal of Radiology & Imaging
Gayatri Satpathy, Ishan Kumar, Manjari Matah, Ashish Verma
Objective: To compare the diagnostic accuracy of magnetic resonance imaging (MRI) with that of ultrasonography (USG) for the measurement of lower segment cesarean scar during trial of labor after cesarean (TOLAC). Materials and Methods: This was a prospective case-control observational study conducted with a cohort of 30 participants being considered for TOLAC but eventually proceeding to lower segment cesarean section (LSCS) at a university-based teaching institute over a period of 2 years...
April 2018: Indian Journal of Radiology & Imaging
Janardhana Ponnatapura
Morning glory disc anomaly (MGDA) is a congenital optic nerve anomaly characterized by a funnel-shaped excavation of the posterior globe that incorporates the optic disc. Most cases are isolated and not associated with systemic anomalies. Systemic anomalies include midline cranial facial defects, hypertelorism, agenesis of the corpus callosum, cleft lip and palate, basal encephalocele, congenital forebrain abnormalities, and renal anomalies. We report a case of 4-year-old male child who presented with reduced visual acuity on left eye with poor fixation...
April 2018: Indian Journal of Radiology & Imaging
Pui Kwan Joyce Chan, Kin Sun Tse, Wing Shan Elaine Fok, Wai Lun Poon
Posterior reversible encephalopathy syndrome (PRES) is a well-documented pathology of the brain in systemic upsets. Majority of PRES cases present with edema in the cerebrum, most commonly in the territory of posterior circulation. It has been reported to show spinal cord involvement in a rare subgroup known as PRES with spinal cord involvement (PRES-SCI), with very limited existing literature even in adult patients. Our institution recently encountered a pediatric case with neurofibromatosis type I (NF 1) showing PRES with extensive reversible spinal cord changes...
April 2018: Indian Journal of Radiology & Imaging
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