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Right Heart Thrombus in-Transit in Patient with Acute Pulmonary Embolism Treated by Thrombolytic Therapy with Tenectplase
Warkaa Al Shamkhani,
Nagham Saeed Jafar,
Sunil Roy Narayanan,
Krishna Ramanagaram Gowda,
Anil Kumar Rajappan
Issue:
Volume 3, Issue 2, March 2015
Pages:
11-15
Received:
30 January 2015
Accepted:
13 February 2015
Published:
2 March 2015
Abstract: A thrombus in transit is an uncommon life threatening condition with high morbidity and mortality. Thrombectomy, thrombolytic therapy and anticoagulation are the treatment options in patients with acute pulmonary embolism and thrombus in transit. A 30-year old male presented with acute submassive pulmonary embolism. Echocardiography showed features of acute pulmonary embolism with right ventricular dysfunction and large fresh mobile thrombus in the right ventricular cavity. He was treated by thrombolytic therapy with Tenecteplase. He made an uneventful recovery with normalisation of the ECG, CXR and Echocardiography on subsequent follow up. This case demonstrates the efficacy of thrombolytic therapy in patients with right ventricular thrombus in transit.
Abstract: A thrombus in transit is an uncommon life threatening condition with high morbidity and mortality. Thrombectomy, thrombolytic therapy and anticoagulation are the treatment options in patients with acute pulmonary embolism and thrombus in transit. A 30-year old male presented with acute submassive pulmonary embolism. Echocardiography showed features...
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The Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography
Naglaa M. Elsayed,
Lujain F. Abdalaal
Issue:
Volume 3, Issue 2, March 2015
Pages:
16-20
Received:
2 February 2015
Accepted:
19 February 2015
Published:
8 March 2015
Abstract: Background: The anatomy of the nose and paranasal sinuses is complex, and many anatomical variations have been thoroughly studied. There is debate about the effect of these variations on the occurrence and severity of sinusitis. Computed Tomography (CT) scan is the modality of choice for evaluation of variable anatomical variations and different forms of sinusitis. Aim: The aim of this research was to study the relation between recurrent sinusitis and anatomical variations of the osteomeatal complex and nasal structures by CT. Patients and Methods: A cross section observation study was performed. We collected data of 89 patients subjected to CT of the paranasal sinuses. CT was performed using SIEMENS SOMATOM SENSATION dual source machine. Data analysis was performed using SPSS program, version (19.0.0): Results: All patients in the study population showed one or more anatomical variations and only 85.3% of them had sinusitis. Infundibular pattern of sinusitis had the highest incidence and the lowest patterns were sphenoethmoid recess and sporadic unclassified patterns. Anatomical variations found by CT, nasal septal deviation represented the most common variation (50%). Conclusion: There was a statistically significant correlation between nasal septal deviation, uncinate process anomalies and some patterns of sinusitis with the p value = <0.05.
Abstract: Background: The anatomy of the nose and paranasal sinuses is complex, and many anatomical variations have been thoroughly studied. There is debate about the effect of these variations on the occurrence and severity of sinusitis. Computed Tomography (CT) scan is the modality of choice for evaluation of variable anatomical variations and different fo...
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The Role of Ultrasonography and Computerized Tomography in the Diagnosis of Pediatric Cystic Neck Swellings
Mohamed Mohamed Abomosllam,
Rehab Mohamed Habib,
Hala Hafez Mohamed
Issue:
Volume 3, Issue 2, March 2015
Pages:
21-27
Received:
11 February 2015
Accepted:
26 February 2015
Published:
8 March 2015
Abstract: Objectives: This study aimed to evaluate the role of US and CT in the diagnosis of pediatric cystic neck swellings. Background: Pediatric cystic neck swellings represent a major group of lesions that have long been a challenge to both clinicians and radiologists. US is an inexpensive, bedside and noninvasive technique while CT is the imaging modality of choice in characterization and staging of deep neck spaces cystic swellings. Methods: This prospective study included 72 children suffering from neck swellings. Forty two patients were found to have solid neck swellings while 30 patients represent this study population. US examination of the neck was performed for all patients in order to determine the nature of the swelling (cystic or solid), identify its origin, morphologic features & size in contrast to CT neck examination. Results: Male to female was 17 to 13, their ages ranged from 2 days and 18 years with a mean age of 8.5 years. Salivary gland abscess was the most common cause of neck swellings (20%) & thyroglossal cyst (16.6%) & cystic hygroma, retropharyngeal abscess, 2nd branchial cyst (10%) for each & parapharyngeal abscess, non tuberculus lymphadenitis with cystic degeneration, colloid goiter (6.6%) for each. Thirteen patients out of thirty had cystic neck swellings of congenital origin including cystic hygroma, branchial cyst, dermoid cyst, ranula & thyroglossal cyst. Conclusion: US is the prime investigation for patients suspected of having cystic neck swellings and was the first step in the diagnosis while CT scan was a sensitive tool for imaging and we recommend it as a confirmative imaging method.
Abstract: Objectives: This study aimed to evaluate the role of US and CT in the diagnosis of pediatric cystic neck swellings. Background: Pediatric cystic neck swellings represent a major group of lesions that have long been a challenge to both clinicians and radiologists. US is an inexpensive, bedside and noninvasive technique while CT is the imaging modali...
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PET/CT Versus CT In Post-Operative Follow Up Of Breast Cancer Patients
Hala H. Mohamed,
Osama M. Ebied,
Mohamed A. Hussein
Issue:
Volume 3, Issue 2, March 2015
Pages:
28-33
Received:
23 February 2015
Accepted:
9 March 2015
Published:
13 March 2015
Abstract: Objectives: The aim of this work is to compare the sensitivity and specificity of CT alone versus PET/CT in post-operative follow up of breast cancer patients. Background: Positron emission tomography (PET), using 18F-fluorodeoxyglucose (FDG) is based on the principle of increased glucose metabolism in malignant tumors and has been frequently investigated in breast cancer. Materials & Methods: Thirty female patients with breast cancer have been investigated. All patients had positive operative history. PET/CT studies were performed for post-operative follow up. The inclusion criteria in this study are histologically proved breast cancer, positive operative history and normal blood urea and creatinine levels. Exclusion criteria is pregnancy and renal impairment. Patients were divided into three groups, first group FDG PET/CT was requested for non-conclusive CT findings, second group patients referred for FDG PET/CT for elevated tumor markers, while in third group FDG PET/CT was requested for follow up after chemotherapy and/or radiotherapy. Results: A comparison of the sensitivity and specificity for CT alone versus PET/CT in each group, in the first group CT alone had sensitivity and specificity of 90% and 12.5% respectively, while PET/CT had sensitivity and specificity 100%. In the second group CT alone had sensitivity and specificity of 57% and 100% respectively, while PET/CT had sensitivity and specificity of 100%. In group three, CT alone had sensitivity and specificity of 83.3% and 84.25%, respectively and PET/CT had sensitivity of 83.3% and specificity of 100%.Conclusions: PET/CT is more sensitive and specific than CT alone for post-operative follow up of breast cancer patients.
Abstract: Objectives: The aim of this work is to compare the sensitivity and specificity of CT alone versus PET/CT in post-operative follow up of breast cancer patients. Background: Positron emission tomography (PET), using 18F-fluorodeoxyglucose (FDG) is based on the principle of increased glucose metabolism in malignant tumors and has been frequently inves...
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Categorization of Non-Melanoma Skin Lesion Diseases Using Support Vector Machine and Its Variants
Immagulate I.,
Vijaya M. S.
Issue:
Volume 3, Issue 2, March 2015
Pages:
34-40
Received:
25 February 2015
Accepted:
12 March 2015
Published:
18 March 2015
Abstract: Skin cancer is the growth of uncontrolled abnormal skin cells. There are two main types of skin cancers such as Melanoma and Non-Melanoma. The main objective of this research work is to focus on Non-Melanoma skin cancers and classify the types of it.The classification of non melanoma skin cancers is automated using machine learning approach and the model is built to predict the type of disease accurately using support vector machine and its variants. Various experiments have been carried out with skin lesion images and the results are analyzed.
Abstract: Skin cancer is the growth of uncontrolled abnormal skin cells. There are two main types of skin cancers such as Melanoma and Non-Melanoma. The main objective of this research work is to focus on Non-Melanoma skin cancers and classify the types of it.The classification of non melanoma skin cancers is automated using machine learning approach and the...
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