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Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows
Ahmed Mohammed Abumossalam,
Taha Taha Abdelgawad,
Amro Abdelhamid Moawd,
Abdelhadi Mohammed Shebl
Issue:
Volume 3, Issue 3, May 2015
Pages:
41-48
Received:
7 March 2015
Accepted:
19 March 2015
Published:
23 March 2015
Abstract: Background: Transbronchial lung biopsy (TBLB) is one of the most imperative applications of flexible bronchoscopy that may preclude the need for an open lung biopsy. A real-time ultrasonographic guidance may increase the diagnostic yield of TBLB. Purpose: The aim of this study is to evaluate the diagnostic yield of a real-time transthoracic ultrasound-guided transbronchial lung biopsy (TTUS-TBLB) in different pulmonary shadows. Patients and methods: One hundred and seventeen patients with radiological pulmonary shadows were submitted for fiberoptic bronchscopy and underwent either conventional TBLB (cTBLB) that only supported by prior localization with chest computed tomography (CT) in 84 patients (group 1) or under a real-time TTUS-TBLB in 33 patients (group 2). Results: The overall diagnostic yield of TBLB was 74.4% (87 cases out of 117; 79 cases by the first TBLB and 8 cases by second TBLB). The final diagnosis of the enrolled patients was; fifty two cases proved to be malignant (42 cases diagnosed by TBLB) and sixty five cases proved to be nonmalignant (45 cases diagnosed by TBLB). TTUS-TBLB achieved diagnosis in 81.81% of cases and cTBLB achieved diagnosis in 71.43%. Conclusion: The results of real-time TTUS-TBLB were promising and may improve the overall diagnostic yield of TBLB in either benign or malignant pulmonary shadows.
Abstract: Background: Transbronchial lung biopsy (TBLB) is one of the most imperative applications of flexible bronchoscopy that may preclude the need for an open lung biopsy. A real-time ultrasonographic guidance may increase the diagnostic yield of TBLB. Purpose: The aim of this study is to evaluate the diagnostic yield of a real-time transthoracic ultraso...
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Developmental Dysplasia of the Hip: Optimal Ultrasound Screening Strategy Among High Risk Newborns
Mohammed Shawky Abdullah,
Ashraf Anas Zytoon
Issue:
Volume 3, Issue 3, May 2015
Pages:
49-58
Received:
21 January 2015
Accepted:
11 February 2015
Published:
23 April 2015
Abstract: Musculoskeletal ultrasonography is becoming an attractive imaging modality for screening of high risk infants for DDH because of its advantages such as accessibility, low cost, rapid examination and ability to detect the soft tissues & cartilage which cannot be seen by conventional radiography. Hip ultrasonography has the ability not only to visualise the unossified parts of the newborn hip but also to show movement of the femoral head within the socket. Ultrsonographic screening of all newborns can identify cases at an earlier age and lead to earlier treatment and prevent complication. So we conclude that the hip ultrasound screening of high risk infants for developmental dysplasia of the hip is important for early diagnosis & treatment. The current study included 270 cases of high risk infants for DDH. Their ages ranged from 4weeks to 6 months. We found that the most prevalent risk factor for hip dislocation in our study was ceaserean section delivery followed by breech presentation and oligohydraminos. The mean value of Alpha angle of the right hip was high than that of the left hip, where mean values of Beta angle of left hip was high than that of right hip. Graf type degree Ia was the most frequent degree in the right & left hips followed by IIa in right hip and IIb in left hip. Caesarean section delivery was the most prevalent risk factor in Graf type degree Ia, IIa & Ib in the right hip and in Graf type degree Ia, IIa & IIb in the left hip. Clinical suspicion was more frequent in Graf type degree IIc. Positive family history & oligohydramnios were the most frequent risk factors in Graf type IIb in the right hip. Graf type Ia was the most frequent degree among both males & females in the studied group in the right and left hips. Among risk factors breech presentation and oligohydramnios were significantly higher in female infants than male infants while caesarean section was significantly higher in male infants than female infants. Normal degree of hip stability is the most frequent degree in the right and left hips by Harche dynamic technique.
Abstract: Musculoskeletal ultrasonography is becoming an attractive imaging modality for screening of high risk infants for DDH because of its advantages such as accessibility, low cost, rapid examination and ability to detect the soft tissues & cartilage which cannot be seen by conventional radiography. Hip ultrasonography has the ability not only to visual...
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Role of MRI for Evaluation of Uterine Giant Myoma: Case Report
Trapuzzano Orazio,
Caputo Nicoletta,
Marchese Stefano,
Lacamera Ugo,
Tamburrini Stefania,
Smiraglio Claudia
Issue:
Volume 3, Issue 3, May 2015
Pages:
59-62
Received:
29 January 2015
Accepted:
13 March 2015
Published:
19 May 2015
Abstract: Uterine leiomyomas are common, benign, smooth muscle tumors of the uterus, occurring in 20-30% of women over age 35. A giant uterine leiomyoma is a tumor whose weight exceeds the arbitrary limit of approximately 11.4 kg (25 lb). Commonly multiple, leiomyomas can be described submucosal, intramural, subserosal. Large leiomyomas can cause various types of degeneration. The interest of the case lies in the difficulty of placing a differential diagnosis for the morphological characteristics of the large mass, due to non-characteristic aspect to the US and the MDCT. So MRI allowed to establish the relationship of the tumor with the uterus through the recognition of the vascular peduncle that connects the leiomyoma with fundus of the uterus. The application of MRI in the large pelvic masses goes beyond lesion detection, allowing in this case the typing, which is confirmed by the surgical findings.
Abstract: Uterine leiomyomas are common, benign, smooth muscle tumors of the uterus, occurring in 20-30% of women over age 35. A giant uterine leiomyoma is a tumor whose weight exceeds the arbitrary limit of approximately 11.4 kg (25 lb). Commonly multiple, leiomyomas can be described submucosal, intramural, subserosal. Large leiomyomas can cause various typ...
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Correlation Between Brain Imaging and Glasgow Coma Scale in Traumatic Head Injury in Pediatrics
Mohamed Labib Ahmed El Moghier
Issue:
Volume 3, Issue 3, May 2015
Pages:
63-68
Received:
8 May 2015
Accepted:
17 May 2015
Published:
28 May 2015
Abstract: Objectives: The aim of this work is to study the relationship between the initial GCS and admission brain CT findings and MRI brain findings if indicated in head trauma patients at pediatric age group. Background: Trauma is a leading cause of death in children older than 1 year, with head trauma representing 80% or more of the injuries. In approximately 5% of head trauma cases, patients die at the site of the accident. Head trauma has a high emotional, psychosocial and economic impact because these patients often have comparatively long hospital stays. Methods: This prospective study included 100 patients with head trauma at pediatric age group; the patients were evaluated with respect to their initial GCS and admission brain CT findings and correlated with clinical data. Some patients were further evaluated with MRI of brain when needed. Results: Male to female ratio was 73:27, their ages ranged from 1 day to 18 years with a mean age of 9.1 years. Of the 100 cases included in this study 21 cases were with normal CT examination and 79 were with abnormal imaging findings. 54% of the cases classified as mild TBI, 8% of the cases classified as moderate TBI and 38% of the cases classified as severe TBI. Imaging findings such as subgaleal hematoma, skull fractures, subarachnoid hemorrhage, cerebral contusion, intracerebral hemorrhage, extra-axial blood collection and diffuse cerebral edema were observed in 79% of the patients. Conclusion: Statistical significance was observed between GCS and the imaging findings, the lower the GCS score, the more severe were the TBI and imaging findings. MRI has been shown to be superior to CT in the detection of non-hemorrhagic brain injury and cases of diffuse axonal injury.
Abstract: Objectives: The aim of this work is to study the relationship between the initial GCS and admission brain CT findings and MRI brain findings if indicated in head trauma patients at pediatric age group. Background: Trauma is a leading cause of death in children older than 1 year, with head trauma representing 80% or more of the injuries. In approxim...
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