keyword
https://read.qxmd.com/read/38621303/phantom-limb-pain-traumatic-neuroma-or-nerve-sheath-tumor-illustrative-case
#21
JOURNAL ARTICLE
Patrick J Halloran, E Antonio Chiocca, Andres Santos
BACKGROUND: Phantom limb pain and traumatic neuromas are not commonly seen in neurosurgical practice. These conditions can present with similar symptoms; however, management of traumatic neuroma is often surgical, whereas phantom limb pain is treated with conservative measures. OBSERVATIONS: A 77-year-old female patient with a long-standing history of an above-the-knee amputation experienced severe pain in her right posterior buttocks area for several years' duration, attributed to phantom limb pain, which radiated down the stump of her leg and was treated with a variety of conservative measures...
April 15, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38618892/an-in-depth-study-on-the-magnetic-resonance-imaging-characteristics-of-tendon-rupture-in-sports-injuries-and-its-correlation-with-patients-clinical-symptoms
#22
JOURNAL ARTICLE
Haihua Shi, Lingjuan Jv, Jungang Xu, Xiangyu Qian
Muscle injuries, such as Achilles and quadriceps tendon ruptures, pose a significant challenge in elite sports, accounting for more than 30% of all sports-related injuries. Our primary goal is to investigate the MR imaging characteristics of tendon rupture in sports injuries and their relationship with patients' clinical symptoms. In our retrospective study at Zhejiang University of Traditional Chinese Medicine's Second Affiliated Hospital (Zhejiang Xinhua Hospital), we compared the clinical presentation and MRI results of 106 patients with isolated AT and QT ruptures...
April 12, 2024: European Journal of Translational Myology
https://read.qxmd.com/read/38618445/diagnosis-and-management-of-monostotic-fibrous-dysplasia-of-the-tibia-in-an-adolescent-patient-a-case-report
#23
Ashutosh Lohiya, Nareshkumar Dhaniwala, Sanjay V Deshpande, Vivek H Jadawala, Saksham Goyal, Suhit Naseri
A rare benign bone condition called monostotic fibrous dysplasia (MFD) is characterized by the growth of fibrous tissue in place of a normal bone. It may lead to deformity in the affected bone, pain, and a pathologic fracture due to bone weakness. Hereunder, a case report of MFD in a 17-year-old male adolescent presenting to the hospital with localized bone pain and swelling in his right tibia is presented. After clinical examination and radiographic imaging, a provisional diagnosis of benign osteolytic lesion was considered...
March 2024: Curēus
https://read.qxmd.com/read/38618410/thymoma-exhibiting-spontaneous-regression-with-cystic-change-due-to-acute-infarction-a-case-report-and-literature-review
#24
Mikito Suzuki, Reiko Shimizu, Masahiko Harada, Tsunekazu Hishima, Hirotoshi Horio
Spontaneous regression (SR) of thymoma is rare. We report a case of a surgically resected thymoma due to cystic changes owing to acute ischemic infarction with an increased anti-acetylcholine receptor antibody level. A 61-year-old male underwent a computed tomography (CT) scan, which showed a 4.9 cm anterior mediastinal tumor and slight right pleural effusion. Blood test results indicated an elevated white blood cell count of 13300/mL. One month later, an enhanced CT scan at our hospital showed spontaneous mediastinal tumor regression to 3...
March 2024: Curēus
https://read.qxmd.com/read/38618379/unveiling-the-chameleon-a-case-report-on-acute-intermittent-porphyria
#25
Manish Shrestha, Shefali Amin, Christopher Reggio, Arpan Pokhrel, Salina Munankami, Jakob Nypaver, Riju Gupta, Anthony Donato
Acute intermittent porphyria (AIP) is a rare autosomal dominant metabolic disorder with low penetrance, often presenting with a broad spectrum of clinical manifestations. Acute neurovisceral attacks commonly occur in young women, mimicking signs and symptoms of other medical and psychiatric conditions, thus delaying the diagnosis. We present the case of an 18-year-old female college student with recurrent hospitalizations for intractable abdominal pain, now again with pain and new subjective hematuria. The patient had previously undergone an endoscopy/colonoscopy with negative biopsies and serologies for acute pathology, including celiac disease...
March 2024: Curēus
https://read.qxmd.com/read/38618216/psychological-factors-can-affect-the-clinical-outcome-of-chemonucleolysis-with-condoliase-in-patients-with-lumbar-disk-herniation
#26
JOURNAL ARTICLE
Tomohiro Banno, Tomohiko Hasegawa, Yu Yamato, Go Yoshida, Hideyuki Arima, Shin Oe, Koichiro Ide, Tomohiro Yamada, Kenta Kurosu, Yukihiro Matsuyama
INTRODUCTION: Condoliase-based chemonucleolysis is a minimally invasive intermediate treatment option between conservative approaches and surgical interventions for lumbar disk herniation (LDH). In this study, the effects of psychological factors on the clinical outcomes of condoliase therapy for LDH were assessed. METHODS: This study involved patients with LDH who received condoliase injections over a 1-year follow-up period. Data from the visual analog scale (VAS) scores for leg and back pain, Oswestry Disability Index, and Hospital Anxiety and Depression Scale (HADS), which was utilized for the psychological assessment, were collected...
March 27, 2024: Spine surgery and related research
https://read.qxmd.com/read/38617525/segmentation-method-of-magnetic-resonance-imaging-brain-tumor-images-based-on-improved-unet-network
#27
JOURNAL ARTICLE
Yang Yang, Peng Wang, Zhenyu Yang, Yuecheng Zeng, Feng Chen, Zhiyong Wang, Stefania Rizzo
BACKGROUND: Glioma is a primary malignant craniocerebral tumor commonly found in the central nervous system. According to research, preoperative diagnosis of glioma and a full understanding of its imaging features are very significant. Still, the traditional segmentation methods of image dispensation and machine wisdom are not acceptable in glioma segmentation. This analysis explores the potential of magnetic resonance imaging (MRI) brain tumor images as an effective segmentation method of glioma...
March 31, 2024: Translational Cancer Research
https://read.qxmd.com/read/38617180/accuracy-of-3-0t-magnetic-resonance-angiography-for-the-detection-of-arteriovenous-fistula-dysfunction-in-hemodialysis-patients-requiring-interventional-therapy-a-prospective-study
#28
JOURNAL ARTICLE
Li-Ming Wei, Gang Yu, Hong-Wei Bao, Hai-Tao Lu, Xiao-Hua Sheng, Yue-Qi Zhu
BACKGROUND: Color Doppler ultrasonography (CDUS) is feasible to detect arteriovenous fistula (AVF) dysfunction in hemodialysis patients but is not sufficient to map the structure of fistula required for interventions. This study is designed to evaluate the diagnostic accuracy of three-dimensional time-of-flight magnetic resonance angiography (TOF-MRA) at 3.0T versus CDUS for AVF dysfunction, by using digital subtraction angiography (DSA) as reference. METHODS: This prospective study enrolled 68 consecutive patients with dysfunctional AVF who underwent both CDUS and TOF-MRA at Shanghai Sixth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine...
April 3, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38617157/semiquantitative-assessment-of-preganglionic-nerves-for-chronic-immune-mediated-neuropathies-using-brachial-plexus-magnetic-resonance-imaging
#29
JOURNAL ARTICLE
Yucheng Lu, Yanjia Wang, Jianian Hu, Chen Wang, Jiayu Yang, Jie Lin, Yifang Bao
BACKGROUND: Brachial plexus magnetic resonance imaging (MRI) is an important noninvasive supplementary diagnostic method of chronic immune peripheral neuropathies, but few MRI studies on the preganglionic nerves have been conducted. This retrospective cross-sectional study aimed to establish a reliable assessment for brachial plexus preganglionic nerve thickness and to use this method to assess and compare nerve characteristics in various types of peripheral neuropathies. METHODS: Hospitalized patients diagnosed as positive for anti-neurofascin-155 (NF155)-positive autoimmune nodopathy (AN) (NF155+ ), chronic inflammatory demyelinating polyneuropathy (CIDP), or multifocal motor neuropathy (MMN) at Huashan Hospital of Fudan University in Shanghai, China, who underwent brachial plexus MRI between October 2011 and August 2023 were consecutively recruited for this study...
April 3, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38617138/assessment-of-aortic-hemodynamics-in-patients-with-thoracoabdominal-aortic-aneurysm-using-four-dimensional-magnetic-resonance-imaging-a-cross-sectional-study
#30
JOURNAL ARTICLE
Wen Zeng, Jiarong Wang, Chengxin Weng, Wanlin Peng, Tiehao Wang, Ding Yuan, Bin Huang, Jichun Zhao, Chunchao Xia, Zhenlin Li, Yingkun Guo
BACKGROUND: Thoracoabdominal aortic aneurysms (TAAAs) are rare but complicated aortic pathologies that can result in high morbidity and mortality. The whole-aorta hemodynamic characteristics of TAAA survivors remains unknown. This study sought to obtain a comprehensive view of flow hemodynamics of the whole aorta in patients with TAAA using four-dimensional flow (4D flow) magnetic resonance imaging (MRI). METHODS: This study included patients who had experienced TAAA or abdominal aortic aneurysm (AAA) and age- and sex-matched volunteers who had attended China Hospital from December 2021 to December 2022 in West...
April 3, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38616474/convolutional-neural-network-for-identifying-common-bile-duct-stones-based-on-magnetic-resonance-cholangiopancreatography
#31
JOURNAL ARTICLE
K Sun, M Li, Y Shi, H He, Y Li, L Sun, H Wang, C Jin, M Chen, L Li
AIMS: To develop an auto-categorization system based on machine learning for three-dimensional magnetic resonance cholangiopancreatography (3D MRCP) to detect choledocholithiasis from healthy and symptomatic individuals. MATERIALS AND METHODS: 3D MRCP sequences from 254 cases with common bile duct (CBD) stones and 251 cases with normal CBD were enrolled to train the 3D Convolutional Neural Network (3D-CNN) model. Then 184 patients from three different hospitals (91 with positive CBD stone and 93 with normal CBD) were prospectively included to test the performance of 3D-CNN...
March 24, 2024: Clinical Radiology
https://read.qxmd.com/read/38616023/impact-of-previous-surgery-on-success-of-magnetic-resonance-guided-laser-interstitial-thermal-therapy-mrglitt-to-treat-pediatric-epilepsy-an-institutional-experience
#32
JOURNAL ARTICLE
Victor M Lu, Shelly Wang, John R Ragheb
BACKGROUND: There is an emerging role for minimally invasive magnetic resonance-guided laser interstitial thermal therapy (MRgLITT) in the treatment of pediatric epilepsy refractory to medication. To date, predictors of MRgLITT success have not been established in a sizeable singular experience. Correspondingly the aim of this study was to elucidate if previous surgical history predicts MRgLITT success in this setting. METHODS: A retrospective review was conducted of our MRgLITT procedures for pediatric (aged <19 years) epilepsy from 2011-2020 with documented seizure outcomes at 1- and 2-years after procedure...
April 12, 2024: World Neurosurgery
https://read.qxmd.com/read/38615794/magnetization-and-zif-67-modification-of-aspergillus-flavus-biomass-for-tetracycline-removal-from-aqueous-solutions-a-stable-and-efficient-composite
#33
JOURNAL ARTICLE
Akram Kiani Kori, Bahman Ramavandi, Seyed Mohammad Mehdi Mahmoodi, Farahnaz Javanmardi
In the present work, the biomass of Aspergillus flavus (AF) was modified using magnetic nanoparticles MnFe2 O4 and metal-organic framework of ZIF-67, and its ability to remove tetracycline antibiotic (TCH) was investigated. With the help of physicochemical tests, AF biomass modification with ZIF-67 and MnFe2 O4 magnetic nanoparticles was confirmed. Based on the BET value, AF-MnFe2 O4 -ZIF-67 (139.83 m2 /g) has a higher surface value than AF (0.786 m2 /g) and AF/MnFe2 O4 (17.504 m2 /g). Also, the magnetic saturation value revealed that the modified biomass can be isolated from the treated solution using a simple magnetic field...
April 12, 2024: Environmental Research
https://read.qxmd.com/read/38614990/trajectory-of-cardiac-troponin-t-following-moderate-to-severe-covid-19-and-the-association-with-cardiac-abnormalities
#34
JOURNAL ARTICLE
Tarjei Øvrebotten, Albulena Mecinaj, Knut Stavem, Waleed Ghanima, Eivind Brønstad, Michael T Durheim, Tøri V Lerum, Tony Josefsen, Jostein Grimsmo, Siri L Heck, Torbjørn Omland, Charlotte B Ingul, Gunnar Einvik, Peder L Myhre
BACKGROUND: COVID-19 has been associated with cardiac troponin T (cTnT) elevations and changes in cardiac structure and function, but the link between cardiac dysfunction and high-sensitive cardiac troponin T (hs-cTnT) in the acute and convalescent phase is unclear. OBJECTIVE: To assess whether hs-cTnT concentrations are associated with cardiac dysfunction and structural abnormalities after hospitalization for COVID-19, and to evaluate the performance of hs-cTnT to rule out cardiac pathology...
April 13, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38614438/negative-association-between-basal-oxytocin-and-oxytocin-changes-after-repetitive-transcranial-magnetic-stimulation-in-patients-with-treatment-resistant-depression
#35
JOURNAL ARTICLE
Ryohei Kojima, Hiroshi Tateishi, Hiroko Kunitake, Yoshiomi Imamura, Yutaka Kunitake, Toru Murakawa, Chika Nagahama, Takumi Shiraishi, Ken Takada, Masataka Hirano, Airi Fukai, Akira Tomonari, Akira Monji, Yoshito Mizoguchi
Repetitive transcranial magnetic stimulation (rTMS) is a neuromodulator effective for treating depressive symptoms in patients with treatment-resistant depression (TRD). One of the multiple mechanisms for its antidepressant effects proposed is related to the hypothalamus. Oxytocin is a neuropeptide synthesized in the hypothalamus that affects human behavior and psychology, including social and affiliative behaviors, stress regulation, and fear and emotion processing. There have been no reports on the relationship between rTMS and oxytocin for the treatment of TRD...
April 13, 2024: Peptides
https://read.qxmd.com/read/38611082/transperineal-laser-ablation-tpla-treatment-of-focal-low-intermediate-risk-prostate-cancer
#36
JOURNAL ARTICLE
Gugliemo Manenti, Tommaso Perretta, Marco Nezzo, Federico Romeo Fraioli, Beatrice Carreri, Paola Elda Gigliotti, Andrea Micillo, Andrea Malizia, Daniele Di Giovanni, Colleen Patricia Ryan, Francesco Giuseppe Garaci
Background: This interventional pilot study aimed to evaluate the short-term (3 years) efficacy of focal laser ablation (FLA) in treating the index lesion of low-intermediate-risk prostate cancer, along with assessing the safety of the procedure (ClinicalTrials.gov ID NCT04045756). Methods: Forty patients aged between 46 and 86 with histologically proven organ-confined prostate cancer and low-to-intermediate progression risk were included. FLA was performed under percutaneous fusion magnetic resonance/ultrasound guidance in a Day Hospital setting under local anesthesia...
April 3, 2024: Cancers
https://read.qxmd.com/read/38608518/extrahepatic-biliary-tract-tuberculosis-a-case-report-and-literature-review
#37
Anh The Pham, Quoc Hoang Dang, Khue Kim Dang, An Thi My Nguyen, Cuong Manh Truong, Khuyen Thi Nguyen
INTRODUCTION: Tuberculosis is a chronic infectious disease that often has a latent period after the initial infection. Tuberculosis most often affects the lungs but it can also affect other parts of the body. Vietnam is in pandemic area of tuberculosis. CASE REPORT: We present a rare case of a 42-year-old male patient admitted to the hospital with a history of progressive jaundice. Magnetic resonance imaging (MRI) revealed a 26 × 33 mm tuberculous mass located at the intersection between the cystic duct and the common hepatic duct, leading to dilation of the intrahepatic biliary ducts on both sides...
April 3, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38605419/cancer-therapy-related-cardiac-dysfunction-as-a-result-of-panitumumab
#38
JOURNAL ARTICLE
Isabelle Senechal, Nikolaos Vogiatzakis, Maria Sol Andres, Jieli Tong, Sivatharshini Ramalingam, Stuart D Rosen, Alexander R Lyon, Muhummad Sohaib Nazir
Panitumumab is a human immunoglobulin monoclonal antibody designed to target the epidermal growth factor receptor (EGFR) which is used in the treatment of metastatic colorectal cancer alone or in combination with chemotherapy. In this report, we present a case of new onset heart failure with reduced ejection fraction in a patient following panitumumab therapy. A 73-year-old gentleman with metastatic rectal adenocarcinoma presented to his local hospital with increased shortness of breath, two months after his first and only dose of panitumumab...
April 11, 2024: Cardio-Oncology
https://read.qxmd.com/read/38604630/effect-of-transcranial-direct-current-stimulation-combined-with-transcutaneous-auricular-vagus-nerve-stimulation-on-poststroke-cognitive-impairment-a-study-protocol-for-a-randomised-controlled-trial
#39
JOURNAL ARTICLE
Wulong Liu, Xianglin Cheng, Yao Zhang, Weijing Liao
INTRODUCTION: Poststroke cognitive impairment is a common complication in stroke survivors, seriously affecting their quality of life. Therefore, it is crucial to improve cognitive function of patients who had a stroke. Transcranial direct current stimulation (tDCS) and transcutaneous auricular vagus nerve stimulation (taVNS) are non-invasive, safe treatments with great potential to improve cognitive function in poststroke patients. However, further improvements are needed in the effectiveness of a single non-invasive brain stimulation technique for cognitive rehabilitation...
April 10, 2024: BMJ Open
https://read.qxmd.com/read/38604209/coronary-sinus-reducer-for-the-treatment-of-refractory-angina-orbita-cosmic-a-randomised-placebo-controlled-trial
#40
JOURNAL ARTICLE
Michael J Foley, Christopher A Rajkumar, Fiyyaz Ahmed-Jushuf, Florentina A Simader, Shayna Chotai, Rachel H Pathimagaraj, Muhammad Mohsin, Ahmed Salih, Danqi Wang, Prithvi Dixit, John R Davies, Tom R Keeble, Claudia Cosgrove, James C Spratt, Peter D O'Kane, Ranil De Silva, Jonathan M Hill, Sukhjinder S Nijjer, Sayan Sen, Ricardo Petraco, Ghada W Mikhail, Ramzi Khamis, Tushar Kotecha, Frank E Harrell, Peter Kellman, Darrel P Francis, James P Howard, Graham D Cole, Matthew J Shun-Shin, Rasha K Al-Lamee
BACKGROUND: The coronary sinus reducer (CSR) is proposed to reduce angina in patients with stable coronary artery disease by improving myocardial perfusion. We aimed to measure its efficacy, compared with placebo, on myocardial ischaemia reduction and symptom improvement. METHODS: ORBITA-COSMIC was a double-blind, randomised, placebo-controlled trial conducted at six UK hospitals. Patients aged 18 years or older with angina, stable coronary artery disease, ischaemia, and no further options for treatment were eligible...
April 4, 2024: Lancet
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