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Interventional radiolog

Mesrur Selcuk Silay, Lisette Hoen, Josine Quadackaers, Shabnam Undre, Guy Bogaert, Hasan Serkan Dogan, Radim Kocvara, Rien J M Nijman, Christian Radmayr, Serdar Tekgul, Raimund Stein
CONTEXT: The benefits and harms of intervention (surgical or radiological) versus observation in children and adolescents with varicocele are controversial. OBJECTIVE: To systematically evaluate the evidence regarding the short- and long-term outcomes of varicocele treatment in children and adolescents. EVIDENCE ACQUISITION: A systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement...
October 10, 2018: European Urology
Amy E Vinson, Constance S Houck
PURPOSE OF REVIEW: The purpose of this review is to summarize the current evidence regarding the impact of the exposure to anesthetic and sedative agents on neurodevelopment during the period of rapid brain growth in the first 3 years of life. Though much of the definitive data demonstrating anesthesia-induced neurotoxicity has come from studies in young animals, the focus of this review is on emerging human data. RECENT FINDINGS: In 2016, the first prospective trials investigating the neurodevelopmental impact of early anesthetic exposure (GAS and PANDA studies) were published, both showing no significant impact on IQ from a single brief anesthetic...
October 13, 2018: Current Treatment Options in Neurology
Valerie Wienerroither, Martin Sauerschnig, Christine Beham-Schmid, Erwin Mathew, Azab El-Shabrawi, Hans-Jörg Mischinger, Peter Kornprat
BACKGROUND: Diffuse large B-cell lymphoma is the most common subtype of non-Hodgkin lymphoma with or without involvement of extranodal sites. Rituximab in combination with cyclophosphamide, doxorubicin, vincristine and prednisolone (R-CHOP) therapy represents the current standard therapy, achieving a rather dissatisfying outcome in approximately 30-40% of all cases. CASE PRESENTATION: We present the case of a 43-year-old Austrian woman with an incidentally detected large pelvic mass which was diagnosed as diffuse large B-cell lymphoma...
October 13, 2018: Journal of Medical Case Reports
Mir Sepehr Pedram, Mohammad Mehdi Dehghan, Maryam Shojaee, Reza Fekrazad, Davood Sharifi, Arash Farzan, Setareh Ghasemi, Katayoun AliMohammad Kalhori
STUDY DESIGN: Application of Photobiomodulation therapy (PBMT) and meloxicam in acute spinal cord injury, functional recovery and histological evaluation. OBJECTIVE: Evaluation of the effect of simultaneous PBMT and meloxicam on treatment of acute experimental spinal cord injury and comparing it with the effect of application of each of them separately. SETTING: The study was conducted at the Department of Surgery & Radiology, Faculty of Veterinary Medicine and Institute of Biomedical Research, University of Tehran, Tehran, Iran...
September 29, 2018: Journal of Photochemistry and Photobiology. B, Biology
Jeton Shatri, Selim Cerkezi, Veton Ademi, Valvita Reci, Sadi Bexheti
BACKGROUND: The aim of this study was to investigate different anatomic variations and dimensions of anterior part of the CW and their prevalence on Kosovo's population. MATERIALS AND METHODS: This is an observative descriptive and retrospective study performed at the University Clinical Center, Clinic of Radiology. The three-dimensional time-of-flight (TOF) technique was used for MRA imaging to evaluate the anatomy of the CW in 513 adults without clinical manifestations for cerebrovascular disease...
October 12, 2018: Folia Morphologica (Warsz)
Ashraf Youssef Nasr, Mohammad El Tahlawi
This study was carried out to investigate the morphometric parameters and variations of coronary ostia in the hearts of adult human cadavers and coronary angiographs. The hearts of 60 adult human cadavers and 400 coronary angiographs were used in this study. The root of the aorta was carefully dissected to clear aortic sinuses, coronary ostia, and sinutubular junction (STJ). Number, locations, internal diameter distance between coronary ostia and their corresponding STJ, sinus bottom, and valve commissures were investigated...
September 2018: Anatomy & Cell Biology
Celiac trunk is the artery of foregut, arising from the abdominal aorta at the level of T12/L1 vertebral body. It extends approximately 1.5 to 2 cm horizontally forwards before dividing into three branches: left gastric, common hepatic, and splenic arteries. Out of the three ventral branches of abdominal aorta, celiac trunk is more prone to have variations. During routine dissection of abdomen for undergraduate students we found some rare variations in the branching pattern of the celiac trunk. Absence of celiac trunk with hepatomesenteric trunk, quadrifurcation with dorsal pancreatic artery arising from it, quadrifurcation with middle colic artery arising from it, left inferior phrenic artery arising from celiac trunk, highly tortuous splenic artery supplying distal 1/3rd of transverse colon and hepatosplenic trunk...
September 2018: Anatomy & Cell Biology
Tariq Jawadi, Feras AlShomer, Muhammed Al-Motairi, Abdullah Al-Qahtani, Mohammad Alfowzan, Obaid Almeshal
Background: Fibro-osseous pseudotumor (FOPD) of the digit is a rare benign lesion of subcutaneous tissue characterized by fibroblastic proliferation and osteoid formation. Herein, we present a case of massive FOPD lesion in the base of ring finger with extensive involvement of the neurovascular bundles with challenging surgical approach. Case description: A 27-year old female patient, presented with 7-months history of a progressively enlarging mass on her left hand...
November 2018: Annals of Medicine and Surgery
Kei Takase
Recent introduction of multidetector-row computed tomography(MDCT) with more than 64 scanners enabled high-speed scanning in wide range of the body. Electrocardiogram (ECG) gated scanning and 4-dimensional imaging provides precise evaluation of cardiac and vascular diseases. Fine vascular structures such as the artery of Adamkiewicz can be visualized due to improved spatial and temporal resolution of CT and magnetic resonance imaging(MRI). Interventional radiology also plays important roles in combination with surgical treatment...
September 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Joseph A Sujka, Brian Dalton, Katherine Gonzalez, Celeste Tarantino, Lisa Schroeder, Joan Giovanni, Tolulope A Oyetunji, Shawn D St Peter
PURPOSE: Pediatric intussusception's first line treatment consists of fluoroscopic guided air enema reduction. Postprocedure, these patients are usually admitted overnight for observation. The purpose of our study was to document the results of emergency department (ED) observation and discharge protocol after successful reduction of ileocolic intussusception. METHODS: A prospective observational study was conducted after implementation of an ED protocol for ileocolic intussusception from 10/2014 to 7/2017 and compared these patients to a historical cohort immediately prior to protocol initiation (10/2011-9/2014)...
September 25, 2018: Journal of Pediatric Surgery
Jia Lin Ng, Musfirah Marican, Ronnie Mathew
BACKGROUND: Although most diverticular bleeding resolve spontaneously, up to 30% can bleed torrentially, necessitating angioembolization, endoscopic or surgical intervention. Non-contact endoscopic therapies, such as topical haemostatic powders, do not require precise targeting and are attractive because identification of specific culprit diverticulum is difficult. While their use in non-variceal upper gastrointestinal bleeding is well established, its role in lower gastrointestinal bleeding remains unclear...
October 10, 2018: ANZ Journal of Surgery
Yohei Inaba, Masaaki Nakamura, Koichi Chida, Masayuki Zuguchi
Radiation dose management is important in interventional radiology (IR) procedures, such as percutaneous coronary intervention, to prevent radiation-induced injuries. Therefore, radiation dose should be monitored in real time during IR. This study evaluated the fundamental characteristics of a novel real-time skin dosimeter (RTSD) developed at our institution. In addition, we compared the performance of our new and old radiation sensors and that of a skin dose monitor (SDM), with ion chamber reference values...
October 10, 2018: Radiological Physics and Technology
Viola Vultaggio, Luigi Mansi
No abstract text is available yet for this article.
November 2018: European Journal of Nuclear Medicine and Molecular Imaging
A Schaible, T Schmidt, M Diener, U Hinz, P Sauer, D Wichmann, A Königsrainer
BACKGROUND: Anastomotic leakage is still the most frequent cause of postoperative mortality following esophageal and cardial surgery. The German Advanced Surgical Study Group recommended that endoscopy should be the first diagnostic method if leakage is suspected. The German Surgical Endoscopy Association developed and validated a definition and severity classification of anastomotic leakage following esophageal and cardial resection. MATERIAL AND METHODS: In 2010 the international study group on insufficiency published a definition and severity grading of anastomotic leakage following anterior resection of the rectum, which was validated in 2013...
October 10, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Steven P Daniels, Darryl B Sneag, Jennifer L Berkowitz, David Trost, Yoshimi Endo
OBJECTIVE: To describe the clinical presentation of arterial pseudoaneurysms following total knee arthroplasty (TKA) and their diagnostic imaging features on ultrasound and magnetic resonance angiography (MRA) in 7 patients. MATERIALS AND METHODS: A search of our radiology report database from 2007 to 2017 yielded 7 patients with a pseudoaneurysm diagnosed by imaging after TKA. Clinical notes and imaging were reviewed. RESULTS: All 7 patients were male and ranged in age from 53 to 68 (mean 61) years...
October 10, 2018: Skeletal Radiology
Moustafa Abou Areda, Christopher R Bailey, Daniel O'Mara, Clifford R Weiss
Uretero-inguinal hernias are rare and can be difficult to diagnose. We present a case of a rare transplant kidney uretero-inguinal hernia. An 81-year-old male presented with urosepsis and was found to have an obstructed transplanted kidney secondary to herniation of the ureter into an inguinal hernia. The patient required interventional radiology decompression of the urinary system with a percutaneous nephrostomy tube. In this case, the patient's uretero-inguinal hernia was the extraperitoneal subtype allowing the diagnosis to be made easily on computed tomography imaging of the abdomen and pelvis which facilitated rapid treatment...
January 2019: Radiology Case Reports
Kavita Hotwani, Krishna Sharma, Arpan Jaiswal
OBJECTIVE: The present study was an attempt to investigate tongue/mandible volume ratio in children, using volumetric magnetic resonance imaging (MRI) for early screening and to aid in treatment planning. METHODS: Volumetric evaluation of tongue volume/mandible volume ratio (TV/MV ratio) in children with obstructive sleep apnea (OSA) using MRI was carried out retrospectively on available DICOM MR images of children in the age group of 10-14 years. MRI image records of patients diagnosed with OSA were obtained from interventional radiology department records, at Sharad Pawar Dental College and Hospital (Datta Meghe Institute of Medical Sciences, Nagpur/India)...
August 1, 2018: Dental Press Journal of Orthodontics
Jason N Itri, Rafel R Tappouni, Rachel O McEachern, Arthur J Pesch, Sohil H Patel
Imaging plays a pivotal role in the diagnostic process for many patients. With estimates of average diagnostic error rates ranging from 3% to 5%, there are approximately 40 million diagnostic errors involving imaging annually worldwide. The potential to improve diagnostic performance and reduce patient harm by identifying and learning from these errors is substantial. Yet these relatively high diagnostic error rates have persisted in our field despite decades of research and interventions. It may often seem as if diagnostic errors in radiology occur in a haphazard fashion...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
David S Sarkany, Anuradha S Shenoy-Bhangle, Tara M Catanzano, Tabitha A Fineberg, Ronald L Eisenberg, Priscilla J Slanetz
Running a successful radiology residency program requires departments to navigate the evolving educational landscape at the departmental, institutional, and national levels. To attract the best applicants, departments must invest time and money to support the leadership of the program and its faculty to provide innovative educational opportunities in a positive learning environment while simultaneously complying with all of the requirements of the Accreditation Council for Graduate Medical Education. The key administrative requirements of a successful radiology residency program are described and can be grouped into (a) essential administrative components, (b) the clinical learning environment review and self-study process, and (c) resident recruitment...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Sarah E R Oest, Maia Hightower, Matthew D Krasowski
The advent of the online electronic health record patient portal has provided an efficient and practical means for patients to become more involved in their health care. In this report, we analyze how demographic variables such as age, gender, race, and geographic location affect patient portal activation and usage at the University of Iowa Hospitals and Clinics, the sole academic medical center in the state of Iowa, a predominantly rural state. Our primary end points were activation of the patient portal (MyChart, Epic, Inc) and access of outpatient laboratory and radiology results, among the most commonly accessed and popular features of the patient portal...
January 2018: Academic Pathology
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