Background: Multiparametric magnetic resonance imaging (mpMRI) of prostate is the radiological in... more Background: Multiparametric magnetic resonance imaging (mpMRI) of prostate is the radiological investigation of choice for the evaluation of prostatic tumors. Aims and Objectives: The aim of the present study was to evaluate the efficacy of mpMRI using PIRADS 2.1 grading and apparent diffusion coefficient (ADC) values as a non-invasive investigation in the detection of prostatic tumors and to correlate PIRADS grade and ADC values with Gleason score of prostate cancer (prostate Ca). Materials and Methods: Fifty patients above the age of 50 years presenting with signs and symptoms of prostate Ca were enrolled for the study. All patients were subjected to the mpMRI including ADC values and then all underwent transrectal ultrasound-guided biopsies. The post-biopsy Gleason score was correlated with PIRADS grading and ADC values followed by statistical correlation. Results: There was a positive linear association between PIRADS score and serum prostate-specific antigen levels (+0.433) and...
International Journal of Medical Reviews and Case Reports
INTRODUCTION- To determine the optimal time to safely deliver a baby prematurely due to various c... more INTRODUCTION- To determine the optimal time to safely deliver a baby prematurely due to various clinical situations, it is crucial to accurately assess fetal lung maturity. Sonography which is a non-invasive technique for evaluating fetal lung maturity can be useful in predicting risk for developing neonatal respiratory distress as compared to amniocentesis which is an invasive procedure with associated risks. AIM - Purpose of this study was to determine if fetal main pulmonary artery doppler can play a role in predicting the risk of developing respiratory distress syndrome in neonates. MATERIAL AND METHODS – The participants in this prospective cross-sectional study were 75 pregnant women with gestational ages ranging from 34weeks to 36 weeks +6 days. Ultrasound doppler examination was conducted and peak systolic velocity (PSV), Systolic /Diastolic ratio, pulsatility index, resistive index were measured and acceleration time/ejection time ratio was calculated for the fetal main pul...
<p style="text-align: left;" align="center">Role of MRI in Differentiating Benign from Malignant Breast Lesions Using Dynamic Contrast Enhanced MRI and Diffusion Weighted MRI</p>, Oct 5, 2021
Aim: To study the profile of MRI findings in patients with chronic spinal cord injury and correla... more Aim: To study the profile of MRI findings in patients with chronic spinal cord injury and correlate the MR imaging features to categorize chronic injuries into different types so as to allow appropriate treatment and prognostication which differs in different entities. Materials and methods: This was a prospective study where twenty patients presenting with new/worsening neurological symptom in chronic phase (>6 months) of prior spinal cord injury (which had resulted in variable degree of neurological deficit), were evaluated with magnetic resonance imaging (MRI) Result: Cord myelomalacia was the most common MRI finding and was typically present focally at the site of impact of trauma. Atrophy of the cord was seen distal to the initial cord injury. Cord transection evolved into cystic changes at the site of initial injury. Post traumatic cysts were more common in the thoracic cord. Wallerian degeneration was recognized as hyperintense signal seen in dorsal columns above the lev...
Aims: To find out the accuracy,diagnostic efficacy and complications of CT guided FNAC of chest l... more Aims: To find out the accuracy,diagnostic efficacy and complications of CT guided FNAC of chest lesions. Material and method: This was a prospective study performed on 50 patients (38 males and 12 females) who presented with respiratory complaints, were found to have lesions on CT chest andunderwent a CT guided FNAC. Results: In this study 74% of the lesions were malignant and 26% benign, with30 cases of lung carcinoma,2metastatic nodal deposits, one germcell tumor, 3 cases of mediastinal lymphoma, one Pleural malignancy, seven Bacterial pneumonia, five tuberculosis,and one Fungal infection. CT proved to be an effective tool to select and guide FNAC proceduresandthus give acytological correlation. Sensitivity and Specificity of malignant and benign diagnosis made on CT was high and came out to be (92%) and (85%) respectively. Conclusion: In addition to characterizing the type of thoracic lesion, CT is an important tool in guiding FNAC. CT guided FNAC is relatively safe procedure,...
Dual left anterior descending artery is a rare coronary artery anomaly showing two left anterior ... more Dual left anterior descending artery is a rare coronary artery anomaly showing two left anterior descending arteries. Short anterior descending artery usually arises from the left coronary artery, while long anterior descending artery has anomalous origin and course. Dual left anterior descending artery with origin of long anterior descending artery from the pulmonary artery (ALCAPA) is a very rare coronary artery anomaly which has not been reported previously in the literature. We present the computed tomography coronary angiographic findings of this rare case in a young female patient who presented with atypical chest pain.
International journal of scientific research, 2017
BACKGROUND - Coronary artery disease is a major cause of morbidity and mortality. CT Coronary ang... more BACKGROUND - Coronary artery disease is a major cause of morbidity and mortality. CT Coronary angiography is a useful tool in evaluation of patients with suspected coronary artery disease with excellent temporal as well as spatial resolution. AIMS& OBJECTIVES -1. Quantification of coronary calcium by MDCT and it’s implication for determining risk of cardiovascular events. 2. Detection of significant coronary stenosis (>50percent narrowing of it’s lumen). MATERIAL AND METHODS - This study was hospital based prospective study and was performed on 30 patients with clinical features suggestive of coronary artery disease. CT Coronary angiography was performed on 64-MDCT scanner Ingenuity (Philips Medical Systems). 80 ml of non ionic contrast iohexol with concentration of 300 mg iodine/ml was given followed by 50 ml saline flush at injection rate of 5.5ml/sec into antecubital vein. RESULTS - Out of 30 patients, 21were males and 9 were females. Sixteen patients had calcium score of 0, e...
Background: Multiparametric magnetic resonance imaging (mpMRI) of prostate is the radiological in... more Background: Multiparametric magnetic resonance imaging (mpMRI) of prostate is the radiological investigation of choice for the evaluation of prostatic tumors. Aims and Objectives: The aim of the present study was to evaluate the efficacy of mpMRI using PIRADS 2.1 grading and apparent diffusion coefficient (ADC) values as a non-invasive investigation in the detection of prostatic tumors and to correlate PIRADS grade and ADC values with Gleason score of prostate cancer (prostate Ca). Materials and Methods: Fifty patients above the age of 50 years presenting with signs and symptoms of prostate Ca were enrolled for the study. All patients were subjected to the mpMRI including ADC values and then all underwent transrectal ultrasound-guided biopsies. The post-biopsy Gleason score was correlated with PIRADS grading and ADC values followed by statistical correlation. Results: There was a positive linear association between PIRADS score and serum prostate-specific antigen levels (+0.433) and...
International Journal of Medical Reviews and Case Reports
INTRODUCTION- To determine the optimal time to safely deliver a baby prematurely due to various c... more INTRODUCTION- To determine the optimal time to safely deliver a baby prematurely due to various clinical situations, it is crucial to accurately assess fetal lung maturity. Sonography which is a non-invasive technique for evaluating fetal lung maturity can be useful in predicting risk for developing neonatal respiratory distress as compared to amniocentesis which is an invasive procedure with associated risks. AIM - Purpose of this study was to determine if fetal main pulmonary artery doppler can play a role in predicting the risk of developing respiratory distress syndrome in neonates. MATERIAL AND METHODS – The participants in this prospective cross-sectional study were 75 pregnant women with gestational ages ranging from 34weeks to 36 weeks +6 days. Ultrasound doppler examination was conducted and peak systolic velocity (PSV), Systolic /Diastolic ratio, pulsatility index, resistive index were measured and acceleration time/ejection time ratio was calculated for the fetal main pul...
<p style="text-align: left;" align="center">Role of MRI in Differentiating Benign from Malignant Breast Lesions Using Dynamic Contrast Enhanced MRI and Diffusion Weighted MRI</p>, Oct 5, 2021
Aim: To study the profile of MRI findings in patients with chronic spinal cord injury and correla... more Aim: To study the profile of MRI findings in patients with chronic spinal cord injury and correlate the MR imaging features to categorize chronic injuries into different types so as to allow appropriate treatment and prognostication which differs in different entities. Materials and methods: This was a prospective study where twenty patients presenting with new/worsening neurological symptom in chronic phase (>6 months) of prior spinal cord injury (which had resulted in variable degree of neurological deficit), were evaluated with magnetic resonance imaging (MRI) Result: Cord myelomalacia was the most common MRI finding and was typically present focally at the site of impact of trauma. Atrophy of the cord was seen distal to the initial cord injury. Cord transection evolved into cystic changes at the site of initial injury. Post traumatic cysts were more common in the thoracic cord. Wallerian degeneration was recognized as hyperintense signal seen in dorsal columns above the lev...
Aims: To find out the accuracy,diagnostic efficacy and complications of CT guided FNAC of chest l... more Aims: To find out the accuracy,diagnostic efficacy and complications of CT guided FNAC of chest lesions. Material and method: This was a prospective study performed on 50 patients (38 males and 12 females) who presented with respiratory complaints, were found to have lesions on CT chest andunderwent a CT guided FNAC. Results: In this study 74% of the lesions were malignant and 26% benign, with30 cases of lung carcinoma,2metastatic nodal deposits, one germcell tumor, 3 cases of mediastinal lymphoma, one Pleural malignancy, seven Bacterial pneumonia, five tuberculosis,and one Fungal infection. CT proved to be an effective tool to select and guide FNAC proceduresandthus give acytological correlation. Sensitivity and Specificity of malignant and benign diagnosis made on CT was high and came out to be (92%) and (85%) respectively. Conclusion: In addition to characterizing the type of thoracic lesion, CT is an important tool in guiding FNAC. CT guided FNAC is relatively safe procedure,...
Dual left anterior descending artery is a rare coronary artery anomaly showing two left anterior ... more Dual left anterior descending artery is a rare coronary artery anomaly showing two left anterior descending arteries. Short anterior descending artery usually arises from the left coronary artery, while long anterior descending artery has anomalous origin and course. Dual left anterior descending artery with origin of long anterior descending artery from the pulmonary artery (ALCAPA) is a very rare coronary artery anomaly which has not been reported previously in the literature. We present the computed tomography coronary angiographic findings of this rare case in a young female patient who presented with atypical chest pain.
International journal of scientific research, 2017
BACKGROUND - Coronary artery disease is a major cause of morbidity and mortality. CT Coronary ang... more BACKGROUND - Coronary artery disease is a major cause of morbidity and mortality. CT Coronary angiography is a useful tool in evaluation of patients with suspected coronary artery disease with excellent temporal as well as spatial resolution. AIMS& OBJECTIVES -1. Quantification of coronary calcium by MDCT and it’s implication for determining risk of cardiovascular events. 2. Detection of significant coronary stenosis (>50percent narrowing of it’s lumen). MATERIAL AND METHODS - This study was hospital based prospective study and was performed on 30 patients with clinical features suggestive of coronary artery disease. CT Coronary angiography was performed on 64-MDCT scanner Ingenuity (Philips Medical Systems). 80 ml of non ionic contrast iohexol with concentration of 300 mg iodine/ml was given followed by 50 ml saline flush at injection rate of 5.5ml/sec into antecubital vein. RESULTS - Out of 30 patients, 21were males and 9 were females. Sixteen patients had calcium score of 0, e...
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