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1.
Enas A. Azab 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):948-952
Background and objective
Laparoscopic sleeve gastrectomy become widely employed and accepted operation in between Arab population as a permanent solution for morbid obesity. There are many acute complications associated with LSG such postoperative leaks or bleeding, abscess formation, splenic infarction and portal vein thrombosis. The purpose of the study is to present how multidetector CT is beneficial as a screening investigation to detect these complications.Methods
We retrospectively review CT images done in the first week post operative for280 patients subjected to LSG the center in the period between July 2017-December 2017 (average age 39.5?years old).Results
the leak was suspected in 3 patients documented by a direct leak of contrast in one of them, 2 patients active bleeding was clinically suspected, but the exact site of bleeding could not be identified by CT, 15 patients had serous fluid collection, splenic infarction was noticed in 18 patients, 3 patients developed postoperative hematoma one of them become infected, anterior abdominal wall hematoma seen in 5 patients, one patient developed portal vein thrombosis.Conclusion
CT is an important imaging tool to diagnose post LSG complications. 相似文献2.
Mohamed Saied Abdelgawad Rania A.M. Abouyoussef 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):299-303
Aim of the work
The aim of this retrospective study is to highlight the MDCT features of portal biliopathy (PB).Patients
This study included 32 patients with extra-hepatic portal vein obstruction (EHPVO) and biliary dilatation. Their age ranged from 27 to 63?years, including 21 males and 11 females.Methods
The included patients had records of complete clinical examination and laboratory data, including bilirubin levels. All patients were examined by multiphase MDCT study with good portal phase.Results
Extra-hepatic biliary dilatation without intra-hepatic dilatation seen in 5 patients (type I), intra-hepatic dilatation without extra-hepatic dilatation seen in 12 (type II) patients, unilateral intra-hepatic predominant with extra-hepatic dilatation (type IIIA) seen in 7 patients (4 right sided predominance and 3 left sided predominance). Both extra and bilateral intra-hepatic dilatation in 8 patients (type IIIB).Conclusion
MDCT is an excellent technique for the diagnosis of portal biliopathy reducing errors in diagnosis. 相似文献3.
Hala Yehia Yousef Haitham A. Dawood Nesreen Mohey 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):927-930
Aim of the work
To evaluate the role of diffusion weighted imaging (DWI) in the planning for CT guided biopsy of lung and mediastinal lesions.Subjects and methods
This cross sectional study included 23 patients with mean age was 42.7?years came with clinical and imaging suspicion of chest malignancy, referred for CT guided transthoracic biopsy. DWI and apparent diffusion coefficient (ADC) were evaluated for all patients to choose the area of maximum restriction.Results
The study showed that with DWI guidance; all the biopsy specimens were diagnostic and provide adequate material for analysis.Conclusion
DWI and measurement of ADC value has a very helpful role in the pre-procedural planning of transthoracic biopsies. 相似文献4.
Yasser I. Abd Elkhalek Ahmed Mohamed Mohamed Fahmy Bassiouny 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(3):815-818
Objectives
To assess the technical success and short term clinical efficacy of trans-catheter ovarian vein coiling in the treatment of symptomatic pelvic congestion syndrome in women.Methods
This study included 10 female patients having pelvic venous congestion treated by coiling and were followed up for 3?months between February 2016 and April 2017 at Ain Shams University hospital, Cairo, Egypt. Symptomatology of pelvic congestion syndrome that was documented either by transvaginal Doppler and/or by MRI with no response to conservative treatment.Results
Symptoms successfully disappeared in 8 patients out of 10. Partial relief of symptoms in one patient that was then disappeared after another session. Only one patient showed no improvement.Conclusion
Our study demonstrates high efficacy of ovarian vein coiling as a new technique in the treatment of symptomatic female patients with pelvic congestion syndrome. 相似文献5.
Ahmed M. Abdrabou Mennatallah H. Shalaby 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):977-981
Purpose
To highlight the relationship between coraco-humeral distance and subscapularis tendon tear.Material and methods
Sixty-two shoulder MRI studies were examined. Twenty-two patients had partial or complete tear of subscapularis tendon and forty shoulder as a control group. Axial and oblique sagittal MR images were examined to measure the coraco-humeral distance followed by statistical analysis to correlate the distance with tendon tear.Results
A cut-off value of 8.25?mm for the coraco-humeral distance gave a sensitivity of 77.5% and specificity of 72.7% for subscapularis tendon tear.Conclusion
There is a well-known relationship between the coraco-humeral distance and the subscapularis tendon tear and its meticulous assessment in subjects with pain in the anterior shoulder region increases the diagnosis of subcoracoid impingement. 相似文献6.
Reem Hassan Bassiouny Rasha Tolba Khattab 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):934-947
Purpose
To analyze the diagnostic value of multi-detector CT enterography (MDCTE) in identifying small bowel causes of acute non traumatic abdominal pain and in determining the extent of bowel lesion.Patients and methods
A total of 73 patients (42 males and 31 females aged from 12 to 85?years) who presented with acute non traumatic abdominal pain and were evaluated with computed tomography enterography (MDCTE) between August 2014 and July 2017 were enrolled in the study. The diagnostic value of MDCTE was analyzed by using the results of other imaging modalities, endoscopy, surgery, pathology and clinical follow-up as the reference standards.Results
MDCTE correctly made the diagnosis in 66 of 73 patients (true positive), 7 cases were missed by CTE findings (false negative cases) and one case of ileus was falsely diagnosed as small bowel obstruction with an overall sensitivity of 90%, specificity?=?93%, PPV?=?98%, NPV?=?71%. The diagnostic accuracy of each CT sign was calculated independently for each underlying etiology.Conclusion
The use of MDCTE may be of significant value in identifying the cause of acute abdominal pain of small bowel etiology, in determining disease activity in inflammatory causes and identifying the level and cause of obstruction in SBO. 相似文献7.
R.A. Elshafey N. Daabes S. Galal 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):1076-1082
Aim
Assessment of the clinical benefit of [18F]-FDG PET/CT examinations in restaging of patients with non Hodgkin lymphoma (NHL) in Egypt.Patients, methods
This study was performed on 45 patients with NHL. PET-CT and CECT were analyzed after end of chemotherapy regimen, using 12?months follow-up as standard of reference.Results
Follow-up of patients with NHL after 12?months of treatment revealed significant differences between staging by CT versus PET/CT (P?=?0.0001). Disease was upstaged by PET/CT in 36% (mostly in stages I and II) and downstaged in only 2% of patients. Agreement between PET-CT & CECT were usually in stage III and IV. Evaluation showed a sensitivity of 77% for CT alone, 95% for FDG-PET-CT.Conclusion
FDG PET-CT significantly improved sensitivity and specificity in restaging of NHL and therefore should be used routinely in follow up of patients with lymphoma. 相似文献8.
Susan Adil Ali Mohamed Gamal El-Din Mansour Omar Farouk Walid E. Mohammed 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(3):892-898
Purpose
to evaluate the role of three dimentional power doppler ultrasonography (3D PDUS) of the uteroplacental circulation in early pregnancy as a screening tool for prediction of preeclampsia.Patients and methods
50 pregnant women who came to do routine ultrasound scan between 11 and 13.6?weeks of pregnancy during the period from February 2016 to April 2016. Placental volume and vascularization indices were obtained, and vascular index (VI), flow index (FI), blood vessels and blood flow index (VFI) were calculated by three-dimensional Doppler histogram.Results
Of the included 50 pregnant women, 22% developed preeclampsia and 78% did not develop preeclampsia. The placental blood flow perfusion in patients with pre-eclampsia had a lower VI, FI and VFI compared to non preeclamptic women with highly significant statistical difference (P?<?0.001)Conclusion
3D PDUS can be used as an effective screening tool to predict preeclampsia in early pregnancy. 相似文献9.
Hanan A. Hassan 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):152-157
Purpose
To assess the ability of MDCT to predict ligamentous and meniscal injuries in acute tibial plateau fractures compared to MR images.Patients and methods
Forty patients with acute tibial plateau fracture and 15 control subjects were subjected to MDCT and MR images. Lateral plateau depression (LPD) and lateral plateau widening (LPW) were measured in coronal MDCT images. Meniscal, cruciate, and collateral ligaments injuries were evaluated in MR images.Results
Soft tissue injuries incidence was not related to Schatzker type (P?>?0.05). LBD and LBW were different significantly between patients and control subjects ((P value?<?0.0011). LPD was correlated to meniscal, cruciate, and collateral ligaments injuries (P?<?0.05). LPW was correlated to cruciate and collateral ligaments tears (P?<?0.05) but not meniscal lesions (P?>?0.05). LPD?>?6?mm or LPW?>?7?mm increased possibility of Soft tissue injuries. Multiple soft tissue injuries were not related to Schatzker types (P?>?0.05). LPD and LPW were correlated with number of soft tissue injuries.Conclusion
MDCT measurements of LPD and LPW are correlated with incidence and number of ligamentous and meniscal injuries. MDCT can predict ligamentous and meniscal injuries without waiting for MRI in acute tibial plateau fractures. 相似文献10.
Rehab Abdel Rahman El Bakry 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):529-535
Objectives
Comparison between digital mammography alone and with adding digital breast tomosynthesis in breast cancer screening.Patients & methods
143 females underwent digital mammography, digital breast tomosynthesis and breast ultrasound.Results
DBT+DM decreased recall rate by 38% in BI-RADS 0. From BI-RADS I till BI-RADS V DBT+DM showed more accuracy than DM. In BI-RADS IV DBT+DM decreased false positive results by 33%.Conclusion
Adding digital breast tomosynthesis to digital mammography improves the diagnostic accuracy in breast cancer screening. 相似文献11.
Ahmed H. Soliman Ahmed M. Osman 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):1163-1168
Objective
To evaluate the outcome and the cost value of surgical clips use as guidance for breast cancer localization in patients prepared for neoadjuvant chemotherapy (NAC).Methods
A prospective study of 43 patients confirmed histopathologically to have breast cancer and prepared to receive pre-operative NAC. Surgical clips were inserted via US guidance. The patients were followed up by mammography and US before surgery to evaluate the treatment response meanwhile, assessment of clips location, migration and complications. The overall cost of clips was also calculated.Results
Only 32 patients completed the study; the mean time interval was 32?weeks?±?2?weeks between the clip insertion date and the surgery. The number of the inserted clips was 34 surgical clips. Only two cases showed positive migration yet with no evidence of other complications occurred in our study patients. The average cost of the surgical clips was 145?±?20 Egyptian pounds (average 8–9 US$).Conclusion
Surgical clips can be used safely to replace the usual commercial markers in the localization of breast cancer before NAC. They showed effective results with no complications, don't interfere with the patients' imaging and of the significant low cost compared to the commercial ones. 相似文献12.
Rabab Yasin Sherif Shebl Kotkata Walaa Goda 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):953-958
Background
Crohn's disease (CD) is an autoimmune disease affecting young, adult with relapsing course. MRI is now considered a safe alternative for, diagnosing complication of Crohn s disease.Purpose
To evaluate the value of the MR enterography in acute and chronic stages, of Crohn's disease and compared it to endoscopy.Patients and Methods
Fifty patients of known Crohn's disease aged between 15 and 41?years old, were retrospectively included in this study. Our inclusion criteria were, the following: (1) Crohn's disease proven by tissue diagnosis from the, terminal ileum, (2) complete colonoscopy including examination of the, terminal ileum, (3) no surgical procedure related to Crohn's disease, and, (4) MRE examination done within 20?days from endoscopy.Results
This retrospective study was done on 50 patients; using a 1.5?T MRI. Images were reviewed by two consultant radiologists. We used the endoscopic results of involved small bowel loops as a gold standard reference. MRE as compared to endoscopic finding revealed 97.1% sensitivity, 81.3%, specificity, 91.7% positive predictive value, 92.9% negative predictive, value and 92% accuracy.Conclusion
MR enterography has high significant sensitivity and specificity in, imaging of Crohn‘s disease as compared to endoscopy. 相似文献13.
Doaa M. Emara Amr M. El Abd Amr M. El Fatatry 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):181-189
Aim of the work
The aim of this study was to assess the rule of delayed T1 post contrast sequence in detection of active lesions in multiple sclerosis patients by comparing the early and delayed T1 post contrast images.Materials
This was a prospective study and included 30 known multiple sclerosis patients with clinically suspected activity referred form neurology department to radiology department for MRI examination.Methods
All patients were subjected to the followings: –?Conventional routine MRI of the brain using 1.5?T machine. –?T1 delayed post contrast sequence (about 10?min after contrast injection).Results
The included MS cases showed 162 lesions of variable distribution as 113 lesions were supratentorial while 49 lesions were infratentorial. Among 162 lesions in the current cases 58 lesions showed post contrast enhancement while the remaining 104 lesions were non enhancing. From the total of enhancing lesions (58), 16 lesions showed early enhancement while 42 lesions showed delayed enhancement.Conclusion
Delayed T1 post contrast is an important sequence for detection of active MS plaques as it increases the sensitivity of MRI. 相似文献14.
Faten Fawzy Mohammed Mohamed Hamdy Ismail 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):1103-1109
Background
Multiple sclerosis (MS) is a chronic disease with a wide range of pathologic changes that modify the apparent diffusion coefficient (ADC) value.Patients & methods
A prospective study included Forty two MS patients, underwent conventional and diffusion weighted MR imaging with ADC measurement in plaques and normally appearing white matter (NAWM), compared with normal white matter (NWM) of a control group (n?=?21). They were followed-up six months later.Results
Significantly higher ADC values were found in acute and secondary progressive cases than relapsing remitting (RR) cases and all values were higher than in normal white matter. A higher ADC values was found in NAWM than control cases and in the newly developed plaques relative to old plaques in all types. A cut off ADC value 1.02?±?0.20?×?10?3?mm2/sec was detected for MS diagnosis, a value 1.41?±?0.10?×?10?3?mm2/sec to separate between acute and chronic RR cases and 1.2?±?0.10?×?10?3?mm2/sec to differentiate chronic sub-types.Conclusion
ADC value has the validity in diagnosis and follow-up of MS patients with different clinical sub-types. 相似文献15.
Nashwa M. Adel Ehab Ali Abd-ElGawad Ahmed K.A. Abdel Hakeem 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):1141-1147
Purpose
To evaluate the role of 3-dimensional (3DUS) and 4-dimensional ultrasound (4DUS) in detection of fetal causes of oligohydraminos.Patients and methods
250 pregnant females (Age range from 19 to 45?years, mean age 33?years) were referred from the Obstetrics and Gynecology Department with oligohydraminos for fetal anomaly scan and Doppler study.Results
111 of the 250 patients were primi- gravida and 139 were multigravida. Consanguinity was positive in 106 females. In 100 patients, the examined fetuses were abnormal, TORCH infection was +ve in 25 patients. In 150 cases no fetal cause was detected for oligohydraminos. Autosomal recessive polycystic kidney disease (ARPKD, Potter type I) was the commonest fetal cause in our group detected in 24 of 100 patients followed by bilateral multicystic dysplastic kidney (Potter type II) in 19 patients, unilateral renal aplasia was the least cause in our study.Conclusion
3-dimensional and 4-imensional ultrasound and anomaly scan are effective in detecting fetal causes of oligohydraminos and early determination of lethal causes. 相似文献16.
Doaa M. Emara Mohamed M. El Shafei Hoda M. Abdel Naby 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):408-414
Objective
The aim of this study was to assess the accuracy of ultrasound elastography as a recent imaging technique in diagnosis of CTS and evaluation of its severity in patients suffering clinically compared to the results of the gold standard electrophysiological tests.Materials and methods
This was a prospective cross sectional study included 100 patients clinically diagnosed as having unilateral idiopathic CTS (90% of the dominant hand), referred to radiology department from physical medicine department at Alexandria main university hospital from June 2015 till May 2016 after being evaluated electrophysiologically for correlation with the data of the ultrasound and ultrasound elastography of the median nerve. A control group of 100 patients with no wrist or hand complain were included in the study.Results
As diagnosed electrophysiologically, there were 44 (44%), 35 (35%) and 21 (21%) patients with mild, moderate and severe degree of CTS respectively. The mean cross sectional area of the median nerve among the studied cases was 12.19?±?1.59?mm2 while the mean strain ratio of the median nerve by ultrasound elastography was 2.20 (1.0–5.0).Conclusion
In addition to electrophysiological study, ultrasound and ultrasound elastography are valuable tools for the diagnosis and classification of CTS. 相似文献17.
Mohamad F. Sherif Mohammed M. Dawoud Hanan A. Nagy Amr Abdelaziz Ghannam 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):453-460
Aim and objectives
The aim of this study was to assess the role of 18-F FDG-PET/CT in evaluating the peripheral malignant neuronal affection as well as perineural tumoral spread that occurs in patients with cancers.Methodology
50 patients with clinical symptoms of neurological deficits (34 male and 16 female) were included, their ages ranged from 17 to 74 with a mean of 45?years. PET/CT was done for all patients followed by clinical correlation after anti-inflammatory drugs and chemotherapy.Results
Interpretation of the PET/CT studies and clinical correlation revealed 10 true positive cases with malignant neuronal involvement, 4 false positive cases diagnosed clinically as radiotherapy-induced neuropathy, 34 true negative cases and 2 false negative cases with negative PET/CT study and clinical evidence of nerve affection with sensitivity 83.33%, specificity 89.47%, PPV 71.43%, NPV 94.44% and diagnostic accuracy 88%. P-value?>?0.05 was considered statistically significant.Conclusion
PET/CT has a significant role in detection of neuronal involvement by malignancy in cancer patients. Correlation between PET/CT and clinical outcome after chemotherapy improves the accuracy of diagnosis. 相似文献18.
Shehab M. Sami Sara K. Elfawal Mohamed S. Abdelgawad Mamdouh A. Zidan Amr M. Zaki Alaa F. Mowaki 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):29-41
Introduction
Data assimilated for coronary arteries angiography by MDCT with retrospective (ECG) gating could be used for LV function without the need to repeat examination.Aim of the work
Is to study left ventricular segmental motility and global function using MDCT compared to MRI.Patients and methods
Fifty patients had cardiac MDCT and MRI studies within the same hour. LVEDV and LVESV volumes were measured. Consequently, the (EF) was calculated, for wall motion analysis, cine loops evaluated by two radiologists.Results
Excellent correlation between MDCT and MRI for the measurement of EDV (r2?=?0.962; p?<?0.001), and ESV (r2?=?0.988; p?<?0.001). Evaluation of EF revealed a good correlation between MDCT and MRI (r2?=?0.984; p?<?0.001) all by linear regression analysis. All the cardiac segments that shows dyskinesia or akinesia showed agreement between MDCT and MRI in cine images, the only disagreement in cases of mild hypokinesia detected only by MRI.Conclusions
High agreement between MDCT and MRI in the study of left ventricular segmental motility and global function. 相似文献19.
Heba M. Soliman Ahmed A. ElBeheiry Amr A. Abdel-Kerim Ahmed H. Farhoud M. Ihab Reda 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(3):719-726
Background
Assessment of treatment response in patients with a brain tumor is paramount, as true tumor recurrence and radiation necrosis are similar looking on conventional MRI.Purpose
To evaluate the role of dynamic susceptibility contrast (DSC) perfusion magnetic resonance imaging in the differentiation between recurrent brain tumors and radiation necrosis.Material and Methods
Twenty patients with a history of operated primary brain tumors and postoperative radiotherapy with or without chemotherapy were enrolled in this prospective study having conventional MRI findings of enhancing lesion suspicious of being recurrence or radiation necrosis. All patients were examined by DSC-perfusion MRI. Definitive diagnosis was reached through either subsequent surgical biopsy or follow up over 6-12 months.Results
Fifteen patients (75%) were diagnosed as tumor recurrence and 5 patients as radiation necrosis (25%). The relative cerebral blood volume (rCBV) and relative peak height (rPH) were significantly higher (P?<?0.05) in recurrent tumors than in radiation necrosis lesions. The rCBV and rPH thresholds in differentiating between them were 1.8 and 1.22 respectively with 87%, 93% sensitivity and 100% specificity for each respectively.Conclusions
DSC-perfusion MRI is a valuable non-invasive tool besides conventional MRI whenever available to differentiate between radiation injury changes and tumor recurrence. 相似文献20.
Mohamed H. Shaaban Raafat M. Reyad Hossam Z. Ghobrial Rania H. Hashem 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):71-75