Diagnostic Value of Dynamic Contrast-Enhanced MRI Combined with Molybdenum Target X-ray in Non Mass Enhanced Lesions of Breast
Issue:
Volume 10, Issue 4, December 2022
Pages:
44-48
Received:
25 September 2022
Accepted:
12 October 2022
Published:
24 October 2022
DOI:
10.11648/j.ijmi.20221004.11
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Abstract: Background: Breast cancer occupies the first place in the incidence of female malignant tumors, and has a tendency of becoming younger, and the proportion of non-mass breast cancer in young people is higher. In non-mass like breast lesions (NMLE), which lack typical imaging and are rich in pathological forms, there is often misdiagnosed. It has become an urgent problem to select the correct imaging method, improve the diagnostic accuracy, increase the probability of breast preservation, and improve the quality of life and life span of patients. Objective: To investigate the differential value of the combination of dynamic contrast-enhanced (DCE) MRI and X-ray mammography in diagnosing benign and malignant breast lesions presented as non-mass-like enhancement (NMLE). Methods: A retrospective analysis was carried out on DCE-MRI and X-ray mammography data of 82 patients with NMLE confirmed by surgical pathology. Results: 1) Among the 82 cases of NMLE, 35 cases were benign masses and 47 cases were malignant tumors. 2) There were statistically significant differences between patients with NMLE in distribution, enhanced characteristics of lesions and ADC values; while there were no statistically significant differences in types of TIC. 3) The sensitivity, positive predictive value and negative predictive value of the combination of DCE- MRI and X-ray mammography to NMLE was increased. Conclusions: There are great values of the combination of DCE-MRI and X-ray mammography in diagnosing benign and malignant breast lesions presented as NMLE.
Abstract: Background: Breast cancer occupies the first place in the incidence of female malignant tumors, and has a tendency of becoming younger, and the proportion of non-mass breast cancer in young people is higher. In non-mass like breast lesions (NMLE), which lack typical imaging and are rich in pathological forms, there is often misdiagnosed. It has bec...
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Arthroscopy-Assisted Pinning of Tibial Spine Avulsion Fracture: A Simple Technique
Kamal Lahrach,
Saeed Abdulrazak,
Soumare Boubacar,
Fawzi Boutayeb
Issue:
Volume 10, Issue 4, December 2022
Pages:
49-52
Received:
2 June 2022
Accepted:
7 July 2022
Published:
29 October 2022
DOI:
10.11648/j.ijmi.20221004.12
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Abstract: Introduction: tibial spine avulsion fractures, also known as intercondylar eminence fractures, are uncommon knee injuries that predominantly affect in children and young adults. Material and methods: a 22-year-old-male no relevant medical history went to the emergency department after sports injury, in the performed X-ray was identified a displaced type III tibial eminence fracture. The tibial spine avulsion is identified and inspected. An incision is made medial and distal to the tibial tubercle, an ACL guide is inserted anteromedially and an 18 mm Kirshner wire is placed closed to the stump of the ACL with its end curved intraarticularly. The bone fragment is then pulled with gentle traction and a near anatomic reduction is verified on fluoroscopy. Results: the score function of Lysholm at decasting at last follow-up was 98. Radiographs were obtained at 1, 3, and 6 months postoperatively. At final follow-up, the Lachman test was used to evaluate the stability of the knee. Patient did not show any signs of laxity and returned to his preinjury activity level 8 months after surgery. Conclusion: the treatment of the displaced fractures requires surgical reduction and fixation in order to achieve adequate tension in the anterior cruciate ligament and to reduce the risk of laxity. The aim of our study is to evaluate the clinical and radiological results of the arthroscopically assisted pinning of ACL avulsion fractures and to show that it is a very simple and effective technique.
Abstract: Introduction: tibial spine avulsion fractures, also known as intercondylar eminence fractures, are uncommon knee injuries that predominantly affect in children and young adults. Material and methods: a 22-year-old-male no relevant medical history went to the emergency department after sports injury, in the performed X-ray was identified a displaced...
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