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1.
Purpose
We aimed to assess potential role of strain sonoelastography in diagnosing focal testicular lesions.Patient & methods
21 patients with 23 focal testicular lesions were subjected to sonoelastography. Compression was performed manually by the transducer upon the testis and monitored on the compression graph on the machine. Diagnosis was reached either by surgical resection, or follow-up.Result
23 focal testicular lesions were included. 10 lesions were in the right and 9 in the left, and 2 lesions are bilateral. Cases included 7 focal orchitis (30.5%), two hematomas (8.7%), 7 scar tissue (30.5%), 4 seminomas (17.4%), one choriocrcinoma (4.3%), one epidermoid cyst (4.3%), and one hydatid cyst (4.3%). On strain Sonoelastography; all four seminomas and 7 scars were of low strain, also the epidermoid cyst and the two hematomas were hard, while the 7 cases of focal orchitis showed high strain. The cases of choriocarcinoma and the hydatid cyst showed mixed strain patterns. Statistical analyses showed a sensitivity of 100% in identifying neoplastic lesions, with a specificity of 40%, a negative predictive value of 100%, and a positive predictive value of 37.5%.Conclusion
Strain Sonoelastography is useful adjunct method to differentiate benign from malignant focal testicular lesions. 相似文献2.
Kunwarpal Singh C.L. Thukral Kamlesh Gupta 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(3):653-660
Background
Characterization of tendo-ligamentous pathologies of wrist remains problematic, despite advances in imaging. By using clinical history and imaging appearance, one can determine the diagnosis. USG is used as first imaging modality whereas MRI aids in making a specific diagnosis of few of the lesions.Aims
To investigate the etiological spectrum of tendo-ligamentous pathologies of wrist on USG & MRI with statistical correlation.Patients and methods
80 patients (male/female = 46/34) with complaint of swelling or pain in wrist were included and underwent USG and MRI of both the wrists.Results
The spectrum included ganglion cysts, vascular malformations, tenosynovitis, tendinopathy, ligament tears and fibrosis. The analysis was done using kappa coefficient and spearman's rho correlation coefficient. The strength of agreement between USG and MRI for the diagnosis of ganglion cysts, vascular malformations, tenosynovitis and tendinopathy was found to be very good.Conclusion
USG provides detailed depiction of superficial structures, is less expensive, and allows dynamic examinations of the wrist. It should be the first choice of investigation for majority of the cystic, tendinous, vascular, and fibrotic pathologies of the wrist. However, less promising results were observed for ligamentous pathologies on USG in our study. 相似文献3.
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4.
Haney Heneidy Waled Yosef Sheirin Badr 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):779-783
Objective
The aim of this study was to assess the ability of CT to predict the pathological nature of pancreatic cystic lesions if it is benign, malignant or premalignant.Methods
This is a retrospective study from the database of our hospital EMR (electronic medical records) for pancreatic lesions from patients who proven to be of pathological cystic nature. The diagnosis and characterization of pancreatic cysts were done by multislice 32 CT examination. We reviewed the data from the radiology, surgery and pathology departments from the period of November 2012 until January 2015. We compared between operative and pathological data and findings of MDCT using chi square test.Results
We reviewed the data from the radiology, surgery and pathology departments from the period of November 2012 until January 2015. The study was done on 66 patients. Our results showed that CT features for benign cystic lesions are lobulated shape and a thin wall (≤1?mm) while the round or oval shape or a complex cystic shape with tubular cyst and a thick wall (>1?mm) are more frequently seen in pancreatic premalignant and malignant macrocytic lesions.Conclusion
CT with thin section images allows adequate morphological characterization of macrocytic pancreatic masses that could predict its pathological nature if benign or malignant. 相似文献5.
6.
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7.
Omar A. Hassanien Usama E. Ghieda Rasha L. Younes Ekhlas A. Shaban 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):885-895
Purpose
Evaluate role of MRI and TRICKS-MR angiography in diagnosis of facial vascular anomalies.Material and methods
This study included 22 patients (mean age 9?years) with proved facial vascular anomalies on basis of interventional/surgical procedures (n?=?19) or clinical follow up (n?=?3). They underwent MRI examination with TRICKS-MRA. Images were evaluated for lesion location, size, feeding arteries and draining veins.Results
AVM was diagnosed in 15 patients (68.2%), hemangioma (5) patients (27.7%) and low flow venous malformation (2) patients (9.1%). TRICKS-MRA was accurate in diagnosis of 25 feeding arteries out of total 27 included in the study with 92.6% positive predictive value, 100% negative predictive value and 93.1% accuracy. AVMs were treated with sclerotherapy (26.7%), embolization (40%) and combined embolization and surgery (33.3%). Surgery was done in 2 hemangiomas (40%) while the other three patients (60%) underwent clinical follow up for 2?years with stationary course. The 2 patients with venous malformation underwent successful sclerotherapy.Conclusion
MRI & TRICKS-MRA provide excellent diagnostic data for assessment of facial vascular anomalies. TRICKS -MRA adds precise delineation of the vascular mapping, regarding feeding arteries and draining veins which helps in planning of therapeutic approach and reduces needing for invasive DSA. 相似文献8.
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9.
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10.
Amr Farouk Ibrahim Moustafa Eman Faker Kamal Maher M. Hassan Mona Sakr Mohammed Mohammed Mohammed Gomaa 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):259-264
Objective
To evaluate the additive value of Contrast Enhanced Spectral Mammography (CESM) in the preoperative assessment of malignant lesions in dense breast parenchyma regarding multiplicity.Material and methods
The study included 160 women having heterogeneous dense breast parenchyma (ACR c and d) with suspicious lesions identified on sono mammography examination. All patients performed contrast enhanced spectral mammography to confirm or exclude lesion multiplicity. The number of lesions was calculated in the contrast high energy subtraction images with the reference standard being histopathological analysis.Results
Adding CESM to sono-mammography the accuracy in identifying multiple malignant lesion increased from 81.8% accuracy of sono-mammography up to 100% accuracy after adding CESM.Conclusion
Contrast enhanced spectral mammogram showed an added value in the preoperative assessment of breast masses increasing the accuracy of detection of lesions and multiplicity (multifocality and multi-centricity). 相似文献11.
Mohamed M. Radwan Khaled M. Moghazi Nevine M.F. ElDeeb Mohamed E. Ibrahim Mohamed A. Sharaan Doaa M. Emara 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):771-778
Introduction
Cystic pancreatic lesions are currently discovered at higher rate, hence adequate characterization of these lesions by the radiologist is important in guiding management.Aim of the work
Was to identify the role of MRI in characterization of cystic pancreatic lesions.Patients and methods
Thirty patients with suspected cystic lesions of the pancreas were examined by MRI using 1.5?T machines including conventional MRI sequences, dynamic contrast enhanced imaging, DWI and IP/OP sequence.Results
The study included 30 patients (12 males and 18 females) with their age ranging from 16 to 88?years (mean age 55?years), MRI analysis of the cyst contents and communication with ductal system were used to characterize different cyst types, among these patients we found serous cystadenoma in five patients, mucinous cystadenoma in seven patients, mucinous cystadenocarcinoma in one patient, branch type Intraductal papillary mucinous neoplasms (IPMN) in seven patients, Mixed IPMN in two patients. Cystic neuroendocrine tumors (CNET) in three patients. Solid cystic pancreatic neoplasm (SPN) in two patients. Pseudocyst in one patient and walled off necrosis (WON) in two patients. Pathological assessment of the lesions was done whenever indicated.Conclusions
MRI with its superior soft tissue resolution is of value in characterization of different cystic pancreatic lesions helping to reach the correct diagnosis. 相似文献12.
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13.
Ahmed Elsammak 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):1073-1081
Objectives
To assess the clinical utility of PET-CT in assessment of thoracic involvement in lymphoma patients prior to, during and after finishing treatment and comparing it to contrast enhanced CT (CECT).Patients and methods
PET-CT was performed for 30 patients with lymphoma. Thoracic nodal and extranodal involvement was assessed and compared to contrast enhanced CT.Results
Comparison of CECT and PET-CT in staging and assessment of treatment response reveals significant statistical difference (P?=?.0001 & .04 respectively). CECT shows sensitivity?=?83.3% and specificity?=?75% in evaluation of patients after finishing chemotherapy.Conclusion
PET-CT plays an important role in staging, detection of response to treatment and restaging of lymphoma after finishing chemotherapy. 相似文献14.
Saika Amreen Manjeet Singh Naseer Ahmad Choh Cimona Saldanha Tariq A. Gojwari 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(3):850-853
Introduction
Endometrial polyps are a common cause of abnormal uterine bleeding. Ultrasound is the most accepted investigation to evaluate them. However, the diagnosis can be difficult and even missed on transabdominal and grayscale imaging. Our study aims to assess the evaluation of endometrial polyps on transvaginal color Doppler.Patients and methods
A prospective study with performance of transvaginal Doppler and saline infusion sonohysterography with histopathological correlation.Results
The pedicle artery sign on transvaginal color Doppler sonography was found to have sensitivity of 86.67%, accuracy of 86.67% and positive predictive value of 100%.Conclusion
Addition of Doppler to transvaginal sonography and Saline infusion Sonohysterography improves characterization and diagnosis of endometrial lesions. 相似文献15.
Doaa M. Emara Khaled M. Moghazy Galal M. Abo Elnagah Doaa A. Mohamed 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):310-322
Objective
To assess the role of multislice computed tomography (MSCT) in the diagnosis of mesenteric vascular occlusion.Patients and methods
This study was performed on 30 patients clinically suspected and radiologically confirmed to have mesenteric vascular occlusion, they were examined with 64 row MSCT and were evaluated for evidence of bowel wall changes and abnormal mesenteric vascular changes.Results
We found that the most prevalent MSCT findings were bowel wall thickening followed by diminished wall enhancement. MSCT gave an accurate diagnosis of the cause of mesenteric vascular occlusion as proved by the final diagnosis based on surgical exploration, laboratory investigations and clinical follow-up.Conclusion
MSCT is accurate, fast and non invasive technique which should be used in clinically suspected patients with MVO in order to confirm the diagnosis, identify the aetiology and in addition assessing the bowel loop status for adequate management with good prognosis. 相似文献16.
Waleed M. Hetta Gamal Niazi 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):131-137
Purpose
To estimate the accuracy of ultrasonography in detection of tendinous and ligamentous injuries around the ankle in comparison to MRI.Materials and methods
60 patients referred with unilateral painful ankles are subjected to ankle ultrasonography and the results are compared with ankle MRI between December 2015 and September 2016.Results
132 pathologies including 62 tendon lesions, 46 ligamentous lesions, 10 bursitis and 14 joint effusion were diagnosed by MRI. Ultrasonography detected 59 tendinous lesions (missed 3 partial tears) with allover accuracy of 96%, 41 ligamentous lesions (missed 1 stretching lesion, 2 partial tears and 1complete tear) with allover accuracy of 94.3%, all bursal lesions detected and 2 cases with joint effusion were missed by ultrasonography.Conclusion
Ultrasonography is an accurate and sensitive modality in detecting tendinous and ligamentous lesions around the ankle and represent with MRI complementary tool for diagnosis and can be used alone is some conditions 相似文献17.
Lamiaa A. Abd ElGawad Shahenaz H. Elshorbagy Amr M. Elbadry Manal E. Badawy 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):590-596
Aim of work
To assess the role of color Doppler ultrasonography and multidetector computed tomography angiography (MDCTA) in diagnosis of uterine arteriovenous malformations (AVMs).Methodology
Twenty patients were referred to the radiodiagnosis and imaging department, faculty of medicine, Tanta University from obstetric and gynecology department. All patients were suspected clinically to have uterine arteriovenous malformations. All were subjected to history taking regarding clinical state, laboratory investigation and color Doppler ultrasonography and multidetector computed tomography angiography of the pelvis.Results
Color Doppler ultrasound sensitivity was 100% in detecting a uterine hypervascular lesion and highly suggesting the diagnosis of uterine AVM and the sensitivity of MDCT angiography was 100% in diagnosing and evaluating uterine AVM.Conclusion
Doppler US can strongly suggest the presence of AVM but patient should undergo CT angiography for definitive diagnosis and possible embolization, as CTA helps in providing valuable cross sectional anatomical details about the lesion, its extent and its surroundings. 相似文献18.
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19.
Mohammed M. Dawoud Alsiagy A. Salama Tarek Abdelmoneim El-Diasty Mohamed Alhefnawy 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):232-238
Objectives
To evaluate accuracy of computed tomography angiography (CTA) in evaluation of post traumatic renal vascular injury.Patients and methods
38 patients were presented with post traumatic intermittent or persistent hematuria. Renal CTA and digital subtraction angiography (DSA) were done for all patients.Results
CTA demonstrated pseudoaneurysm (PA) in 30 patients (78.9%) and no vascular lesions in 8 patient (21.1%). CTA had 86.11% sensitivity and 50% specificity in detection of post traumatic renal pseudoaneurysms, CTA missed diagnosis of renal arteriovenous fistula (RAVF) in 10 patients which discovered later by DSA.Conclusion
CTA with MIP as non invasive technique widely replaced renal DSA in detection of posttraumatic renal pseudoaneurysm. Renal DSA is still best modality in detection of RAVF and also has the upper hand in planning of selective renal artery embolization for the management of persistent or delayed hemorrhage from renal vessels. 相似文献20.
Deb Kumar Boruah Rajanikant R. Yadav Kangkana Mahanta Antony Augustine Manoj Gogoi Lithingo Lotha 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(4):1187-1196