共查询到20条相似文献，搜索用时 46 毫秒
1.
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
Objective
To assess the efficacy and safety of fluoroscopic–guided versus ultrasound (US)-guided techniques for pulsed radiofrequency (RF) therapy of stellate ganglion for refractory neuropathic pain syndromes.Methods
40 patients with severe chronic neuropathic pain syndromes, Visual Analogue Scale (VAS) score?>?7, with poor response to medical treatment were randomly integrated into 2 groups: Group (F): (20 patients) in whom pulsed R.F. therapy is done under fluoroscopy, group (U): (20 patients) in whom pulsed R.F. therapy is done under US guidance.Results
The current study revealed that there is significant reduction of VAS, and of the medical treatment consumption after the block as compared with pre block values, there is no statistically significant difference between the guidance techniques of RF treatment in pain relief. However, the procedure time was significantly lower in U group.Conclusion
Pulsed R.F. blockade of the stellate ganglion in patients with refractory neuropathic pain syndromes can be done safely and efficiently under the guidance of either ultrasound or fluoroscopy. Both radiological techniques provide similar satisfactory guidance without significant complications. 相似文献2.
Mohammad Fouad Abdel-Baki Allam Mostafa Mohamed Mostafa Elian Ahmad Fouad Abdel-Baki Allam 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):394-399
The wrist joint is a complex joint containing several intrinsic and extrinsic ligaments that contribute to carpal stability. There is increased incidence of ligamentous/capsular injury following trauma.
Objective
The aim of this study was to assess the value of high resolution MDCT arthrography in detection of various ligamentous and capsular injuries of the wrist in post-traumatic writ pain.Patients and methods
From August 2016 to February 2017 Seventeen patients with posttraumatic wrist pain underwent MDCT arthrography primarily through radiocarpal injection and using high resolution study, all patients have negative MRI study of the wrist.Results
59% of cases had ligamentous/capsular tear. The most frequent was the capsular tears. Incomplete intrinsic ligament tears were observed, the dorsal scaphotrapezio-trapezoid ligament was the commonest to be affected. Class IA traumatic TFC tear was found in 12%. There was significant high positive correlation between the VAS score for wrist pain and the presence of ligamentous/capsular tear in absence of bone fracture.Conclusion
MDCT arthrography of the wrist is an excellent imaging method that can detect MRI occult ligamentous tear in unexplained post traumatic pain. 相似文献3.
Mohammed H. Abdelbary Ahmed Bassiouny 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):1159-1162
Objectives
To assess the efficacy of ultrasound guided injection of platelet rich plasma versus high volume injection in treatment of patellar tendinopathy, in patients not responding to conservative treatment.Methods
Twenty patients between January 2016 and January 2017, were divided in to two equal groups one performed high volume image guided injection (HVIGI), and another group performed platelet rich plasma (PRP) injection, the two groups were submitted to follow up to assess the response to therapy over a period of 12 months by assessment of pain relief through visual analogue scale (VAS).Results
All of the 20 patients suffered from knee pain during their normal daily activity or after sports, pretreatment VAS average was 6. Follow up of the patients was done after injection and physiotherapy protocol at 2 month, 6 months and 12 months. After injection of (HVIGI), pain disappeared in 6 cases (60%), 3 had mild pain (30%), 1 still had moderate pain (10%). In second group injected by (PRP), pain disappeared in 7 cases (70%), 3 had mild pain (30%).Conclusion
HVIGI and PRP are effective techniques in treatment of patellar tendinopathy not responding to conservative treatment, however in our study PRP proved to be more effective. 相似文献4.
Ahmed M. Bassiouny 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(2):374-377
Objectives
To assess the efficacy of radiofrequency ablation of Morton's neuroma (MN) as a substitute to surgery, in patients not responding to conservative treatment.Methods
15 patients, who performed radiofrequency ablation (RFA) of Morton's neuroma between November 2015 and December 2016, were submitted to follow up to assess the response to therapy over a period of 6?months by assessment of pain relief through visual analogue scale (VAS) scale from 1 to 10 from least to severe pain.Results
All of the 15 patients suffered from intense pain during their normal daily activity prior to RF ablation, pretreatment VAS average was 7.Follow up of the patients was done after 1?week, 1?month, 3?months and 6?months.After RF ablation, pain disappeared in 9 cases (60%), 3 had mild pain (20%), 2 moderate pain (13.3%) and 1 with severe pain (6.6%) and proceeded to surgery. Complete resolution of pain was encountered in the patients with mild and moderate pain with conservative or second session of RFA.Conclusion
Radiofrequency ablation of Morton's neuroma, is an effective technique in treatment of symptomatic patient's after failure of conservative treatment and prior to surgical intervention. 相似文献5.
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6.
7.
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8.
Rania E. Mohamed Mohamed A. Amin Hazem M. Omar 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(3):627-637
Aim of this study
To appraise the value of CT-guided celiac plexus neurolysis (CPN) as an effective method for alleviating intractable pain in patients with unresectable pancreatic cancer.Patients and methods
22 patients (their ages ranged between 45 and 73 years) with severe pain due to unresectable pancreatic cancer were subjected to CT-guided CPN by 25–30 mL of 97% ethanol via anterior approach and single puncture technique. The pain intensity scoring, both before and after the procedure, was done using the Visual Analogue Scale (VAS).Results
All patients showed a significant pain reduction after CPN (P < 0.001), with peak reduction in the first day after CPN. Also, the mean ranks of analgesic requirements showed significant reduction (P < 0.001) and this reduction in analgesic requirements was maintained up to 3 months after the CPN. Less than half of the study population (45.5%) had some post-procedural adverse events, which were minimal and transient.Conclusion
The CT-guided CPN via using anterior median approach and single puncture technique with injection of 25–30 mL of 97% of ethanol is an ideal palliative treatment for controlling severe pain caused by unresectable pancreatic cancer, with a significant reduction in the analgesic requirements. 相似文献9.
Mennatallah Hatem Shalaby Sherin M. Sharara Mohammed H. Abdelbary 《The Egyptian Journal of Radiology and Nuclear Medicine》2017,48(3):645-652
Background
The ankle is frequently injured in trauma, overuse syndrome and inflammatory processes. Different imaging modalities assess the ankle, including plain radiography, computed tomography (CT), magnetic resonance imaging (MRI), and ultrasonography (US).Purpose
Our objective is to assess the role of high resolution US as a valuable tool in the depiction of causes of ankle joint pain.Patients and methods
The study included 28 patients presented with ankle pain ranging in age from 17 to 60 years. They were examined by US and findings were correlated with MRI.Results
US was capable to detect various lesions (synovitis, arthritis, plantar fasciitis, tendon and ligamentous lesions). It had a sensitivity of 95.4%, a specificity of 83.3% and an overall accuracy of 92.8%. US had a limited value in detection of avascular necrosis (AVN), bone marrow oedema and fractures.Conclusion
US can be used as a first step diagnostic tool in cases of ankle pain. MRI should be spared to cases with negative or equivocal US findings. 相似文献10.
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11.
Magdy Mohammed EL Rakhawy Nehad Mahmoud Fouda Nahed Abd El-Gaber EL Toukhy Amr Fathy Abo EL Ftouh Dina harb Mohamed Mahmoud 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):1145-1154
Back ground
In some patients suffering from chest pain, we must start by non-invasive coronary CT angiography (CCTA) to protect these patients from unnecessary invasive coronary catheter angiography (CCA).Objective
Value of CCTA as the first diagnostic imaging modality in patient suffering from chest pain.Patients and methods
A total number of 100 patients were included in this study with mean age of 53.51?±?11.6 years. Our patients were divided into two groups, group (A) included 60 patients underwent both CCTA and CCA and group (B) included 40 patients underwent CCTA only. Then Framingham Risk Score was applied for 68 cases (68%) after exclusion of cases with previous coronary artery intervention as CABG or stent (32 cases).Results
We were calculated a cutoff point of Framingham Risk Score at which p value <0.001, sensitivity 85.7%, specificity 51.5%, PPV 65.2%, NPV 77.3% and accuracy 69.1%, it was 7.5%. The diagnostic statistics of MDCT for CABG with sensitivity (100%) and specificity (100%).Conclusion
It is reasonable to start with CCTA in patients with Ferminghaim Risk Score less than 7.5%, filtering the patients to avoid unnecessary CCA. CCTA should be the first imaging modality in patients with CABG suffering from chest pain. 相似文献12.
Ahmed M. Abd El-Khalek Nehal Tharwat Mohammed El-Sayed Hatem Elalfy Tarek Besheer Khaled Farid Mohamed ElAgezy Wagdi Elkashef Ahmed Alhawarey Mahmoud El-Bendary Ali Hasan Elmokadem 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(3):797-803
Introduction
Percutaneous treatment of simple or hydatid liver cysts is widely used in clinical practice and ethanol is the commonest sclerosant used. Abdominal discomfort and pain commonly occurs after ethanol injection which increase with increased ethanol volume.Purpose
To evaluate the safety and efficacy of the combination of tetracycline and ethanol for percutaneous sclerotherapy of either symptomatic simple hepatic cysts or unilocular hepatic hydatid cysts.Patients and methods
A total of 34 adult patients with symptomatic simple cyst and 36 unilocular hydatid cysts underwent clinical, laboratory and radiological evaluations followed by diagnostic cyst aspiration. Each was divided into 2 arms. The first arm was treated by ethanol sclerotherapy and the second was treated by combined ethanol and tetracycline sclerotherapy.Results
Combined ethanol and tetracycline sclerotherapy was associated with fewer sessions than ethanol sclerotherapy (P?=?≤0.001) and higher rate of sustained cyst size reduction on follow up (P?=?≤0.001). Also second arm was associated with less pain than alcohol alone due to the beneficial effect of tetracycline. Conclusion: combined ethanol and tetracycline seems to be more effective, non expensive, more sustained action and more comfortable to our patients than single ethanol use. 相似文献13.
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14.
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.
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17.
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18.
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19.
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20.
Amr Mahmoud Abdel Samad Abeer Abdelzaher Ibrahim Yosra Abdelzaher Ibrahim 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(4):1155-1158