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1

A Type III Dens Invaginatus with Unusual Helical CT and Histologic Findings: A Case Report  

PubMed Central

Dens Invaginatus (DI) is a rare developmental anomaly which affects the tooth, which shows an infolding of enamel and dentine which extends into the pulp chamber and sometimes into the root. The aim of this case report was to describe its radiographic findings, to emphasize the bizarre morphology and the difficulties which are encountered in the diagnosis by using conventional radiographic techniques and the importance of computed tomography as a valuable diagnostic aid. Dens Invaginatus is clinically significant due to the possibility of an early pulpal involvement and the chronic periapical lesions are often associated with this anomaly without any clinical symptoms. Difficulties are encountered during the endodontic treatment, owing to the complex root canal anatomy; therefore, a proper radiologic evaluation by using different imaging modalities, is essential for its successful treatment. PMID:23285474

Mishra, Satyaranjan; Mishra, Lora; Sahoo, Sujit Ranjan

2012-01-01

2

An Unusual Case of Ascending Pancreatitis with Mediastinal Involvement: A Case Report with CT and MRI Findings  

PubMed Central

Fluid collections are common findings of pancreatitis and spread, more often, along preferential drainage pathways in the abdomen. In some rare cases, fluid collections may spread towards extra-abdominal sites like the mediastinum leading to the formation of mediastinal collections. We present the case of a 52-years-old man with pain in the right upper quadrant of the abdomen and mid-epigastrium lasting for some hours. Laboratory tests suggested a diagnosis of pancreatitis. CT and subsequent MRI revealed changes consistent with acute exacerbation on chronic pancreatitis spreading to the mediastinum and to the greater omentum. The patient received medical treatment and reported gradual improvement in his laboratory results and CT findings. PMID:24955277

Di Cesare, Ernesto; Di Sibio, Alessandra; Gennarelli, Antonio; Felli, Valentina; Vellucci, Valentina; Casazza, Ines; Masciocchi, Carlo

2014-01-01

3

Oral tuberculosis: unusual radiographic findings  

PubMed Central

Oral tuberculosis and its radiographic findings are not commonly encountered in an oral and maxillofacial radiology practice. Literature has occasional mention of the radiographic findings of oral tuberculosis, which are still ambiguous. When affected, it is manifested majorly in the oral mucosa and rarely in the jaw bones. Here, we report certain unusual radiographic findings of oral tuberculosis which have been rarely mentioned in the literature. Four illustrative cases describe bony resorption, condylar resorption, resorption of the inferior border of the mandible and rarefaction of the alveolar bone as radiographic findings of oral tuberculosis. Follow up of the first case demonstrated regeneration of the condylar head after anti-Kochs therapy was completed, a hitherto unreported phenomenon. The importance of including tuberculosis in the differential diagnosis of some of the unusual radiographic manifestations is emphasized. PMID:21493882

Sansare, K; Gupta, A; Khanna, V; Karjodkar, F

2011-01-01

4

Inflammatory pseudotumors of the spleen: CT and MRI findings  

SciTech Connect

Our goal was to etucidate the CT and MRI findings of inflammatory pseudotumors of the spleen. The CT and MRI findings of three patients with inflammatory pseudotumors of the spleen were reviewed and compared with the pathologic findings. On the early phase of CT, the masses were hypodense to the normal spleen, and on the delayed phase, they demonstrated delayed enhancement. On T1-weighted MR images, the masses were isointense to the normal spleen, and on T2-weighted images, the masses had heterogeneous low signal intensities. After administration of Gd-DTPA, the masses showed delayed enhancement. Inflammatory pseudotumors of the spleen were characterized by low signal intensity on T2-weighted MR images and delayed enhancement after contrast material administration on CT and MRI. The fibrous stroma may contribute to these unusual findings. 23 refs., 3 figs.

Irie, Hiroyuki; Honda, Hiroshi; Kaneko, Kuniyuki; Kuroiwa, Toshiro [Kyushu Univ., Fukuoka (Japan)] [and others] [Kyushu Univ., Fukuoka (Japan); and others

1996-03-01

5

Chemical Analysis of an Epidermoid Cyst with Unusual CT and MR Characteristics  

Microsoft Academic Search

Summary: Chemical analysis of the contents of a so-called bright epidermoid of the posterior fossa with unusual CT and MR imaging characteristics suggested that a combina- tion of high protein content and high viscosity were respon- sible for the atypical imaging findings. Epidermoid tumors are rare congenital lesions of the brain that account for 0.2% to 1% of all intracra-

F. A. Timmer; M. Sluzewski; M. Treskes; W. J. J. van Rooij; J. L. J. M. Teepen; D. Wijnalda

6

Adrenal cortex dysfunction: CT findings  

SciTech Connect

The computed tomographic appearance of the adrenal gland was studied in 302 patients with possible endocrinologic disease and 107 patients undergoing CT for nonendocrinologic reasons. Measurements of adrenal size were also made in 100 adults with no known adrenal pathology. CT proved to be a sensitive diagnostic tool in combination with clinical studies. When blood hormone levels are increased, CT can differentiate among homogeneous organic hyperplasia, nodular hyperplasia, benign adenoma, and malignant cortical adenoma. When blood hormone levels are decreased, CT can demonstrate hypoplasia or metastatic tumorous destruction. Calcifications can be demonstrated earlier than on plain radiographs. When hormone elimination is increased, the morphologic substrate can be identified; tumorous changes can be localized and infiltration of surrounding organs recognized.

Huebener, K.H.; Treugut, H.

1984-01-01

7

Congenital unilateral hydrocephalus--CT findings.  

PubMed

Congenital unilateral hydrocephalus is extremely uncommon with 18 cases previously reported in the English literature. Two additional newborns with unilateral hydrocephalus are presented. The second baby also presented a mega cisterna magna. This unusual association between Dandy-Walker variant and unilateral hydrocephalus has not been previously reported. Following ventriculo-peritoneal shunt, the babies had a normal cognitive neurodevelopment. The role of cranial computed tomography (CT) in diagnosis and follow-up is emphasized. PMID:11091018

Schulman, H; Landau, D; Schulman, P; Hertzanu, Y

2000-12-01

8

CT and US findings of pancreatoblastoma  

SciTech Connect

Our goal was to evaluate US and CT findings of pancreatoblastoma. Three US and four CT scans before surgery and one follow-up CT after surgery were reviewed in four patients (two female, two male) with pathologically proven pancreatoblastoma. The mean age of the patients was 4 years (range 2-5 years). The masses were analyzed for origin, US and CT architecture, presence of calcification, enhancement pattern, and metastatic spread. In two patients, the tumors arose from the pancreatic head and in one patient from the pancreatic tail. The mean largest diameter of the masses was 10 cm, ranging from 5 to 14 cm. Sonography obtained from three cases showed mixed echogenic solid mass. On the CT scan, all tumors were huge, lobulated masses with heterogeneous attenuation. One tumor contained numerous foci of calcification. On the enhanced CT scan, three tumors showed multiloculated appearance by enhancing internal septations. There was no evidence of metastasis to distant organ or abdominal lymph node in any case. We suggest that the most common US finding of pancreatoblastoma is a mixed echogenic, solid mass inseparable from the pancreas, and the most common CT finding is a relatively well defined, lobulated, huge mass with multiloculated appearance by enhancing septae in or near the lesser sac. 9 refs., 4 figs.

Lee, Jae Young; Kim, In-One; Kim, Woo Sun [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of)] [and others] [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of); and others

1996-05-01

9

CT findings in pediatric blunt intestinal injury.  

PubMed

Trauma is the leading cause of morbidity and mortality in children. Computed tomography examinations play an important role in the management of patients with major trauma. Though abdominal trauma is less common compared to head injuries, the associated morbidity and mortality are substantial. It is easier to diagnose solid abdominal injuries than intestinal or mesenteric injuries on CT examinations. However, recognition of bowel injury is very important as a delay in diagnosis increases the morbidity and mortality. Hence, with every CT of the abdomen and pelvis, the radiologist must look for signs of bowel and mesenteric injury. This pictorial review presents various CT findings of blunt intestinal injury in children. PMID:23584795

Khasawneh, Ruba; Ramakrishnaiah, Raghu H; Singh, Sumit; Hegde, Shilpa V

2013-12-01

10

Gastric xanthelasma: an unusual endoscopic finding.  

PubMed

Gastric xanthelasma is a rarely encountered finding in upper gastrointestinal (GI) endoscopy. It is characterised by yellowish-white plaque in the stomach especially in the antrum or the pyloric region. Histologically it consists of foamy macrophages in the lamina propria. It is a benign condition but its appearance mimics malignancy and it is found to be associated with various conditions, some of which are considered premalignant so, histological confirmation is necessary. We present a case of a 44-year-old man who presented to the medicine outpatient department for intermittent pain in epigastrium for the last 2 years. His physical examination was normal. His haematological and biochemical investigations were also normal. His upper GI endoscopy revealed yellowish-white plaque in fundus of the stomach, which was diagnosed as gastric xanthelasma by histological examination with associated chronic gastritis. PMID:24165503

Dhakal, Mona; Dhakal, O P; Bhandari, Dhurba; Gupta, Amlan

2013-01-01

11

CT and MRI findings of sarcomatoid cholangiocarcinoma  

PubMed Central

Abstract Computed tomography (CT) and magnetic resonance imaging (MRI) findings for a case of intrahepatic sarcomatoid cholangiocarcinoma is presented. A 48-year-old man with upper abdominal pain underwent contrast-enhanced CT and MRI. A 13?×?10?×?7?cm mass was seen in the left liver lobe, which had hypodense internal architecture on CT and mixed signal intensities on both T1- and T2-weighted images with an overwhelmingly hypointense signal on T1-weighted images and a hyperintense signal on T2-weighted images. The lesion had heterogeneous enhancement on both CT and MRI. A satellite nodule with the same imaging features was distinctive for the lesion. PMID:23092855

Toprak, Huseyin; Sennur Bilgin, S.; Kondakci, Mustafa; Balci, Cem

2012-01-01

12

Imaging findings of complications and unusual manifestations of ovarian teratomas.  

PubMed

Ovarian teratomas can be associated with various complications and demonstrate a wide spectrum of clinical and imaging features. The complications include torsion (16% of ovarian teratomas), rupture (1%-4%), malignant transformation (1%-2%), infection (1%), and autoimmune hemolytic anemia (<1%). These complications require different therapeutic strategies; therefore, timely and accurate diagnosis of these complications is important for optimal patient treatment. In cases of complicated ovarian teratomas, the clinical manifestations provide only limited information and often overlap with those of other diseases. Furthermore, ovarian teratomas may have unusual clinical and imaging manifestations, thereby leading to misdiagnosis. These unusual manifestations include immature teratomas, monodermal teratomas (struma ovarii), combination tumors and collision tumors containing teratomas, and mature cystic teratomas without demonstrable fat or with pure fatty components. To provide adequate treatment and prevent misdiagnosis, it is necessary to be familiar with the imaging findings of both the complications and the unusual manifestations of ovarian teratomas. PMID:18635624

Park, Sung Bin; Kim, Jeong Kon; Kim, Kyu-Rae; Cho, Kyoung-Sik

2008-01-01

13

Ruptured Corpus Luteal Cyst: CT Findings  

PubMed Central

Objective To evaluate the CT findings of ruptured corpus luteal cysts. Materials and Methods Six patients with a surgically proven ruptured corpus luteal cyst were included in this series. The prospective CT findings were retrospectively analyzed in terms of the size and shape of the cyst, the thickness and enhancement pattern of its wall, the attenuation of its contents, and peritoneal fluid. Results The mean diameter of the cysts was 2.8 (range, 1.5-4.8) cm; three were round and three were oval. The mean thickness of the cyst wall was 4.7 (range, 1-10) mm; in all six cases it showed strong enhancement, and in three was discontinuous. In five of six cases, the cystic contents showed high attenuation. Peritoneal fluid was present in all cases, and its attenuation was higher, especially around the uterus and adnexa, than that of urine present in the bladder. Conclusion In a woman in whom CT reveals the presence of an ovarian cyst with an enhancing rim and highly attenuated contents, as well as highly attenuated peritoneal fluid, a ruptured corpus luteal cyst should be suspected. Other possible evidence of this is focal interruption of the cyst wall and the presence of peritoneal fluid around the adnexa. PMID:12679633

Choi, Hyuck Jae; Kim, Sun Ho; Kim, Hyo-Cheol; Park, Chang Min; Lee, Hak Jong; Moon, Min Hoan; Jeong, Jun Yong

2003-01-01

14

A case of secondary erythromelalgia with unusual histological findings.  

PubMed

Erythromelalgia clinically presents with episodic burning, erythema, and warmth of acral sites. It can be divided into primary and secondary associated with myeloproliferative and autoimmune conditions. Histology commonly shows capillary proliferation, swelling of endothelial cells, perivascular edema, and chronic inflammation with sparse lymphocytic infiltrate. We report a case of a 55-year-old man with classical secondary erythromelalgia clinically; however, he had unusual histological findings on biopsy comprising of acute perivascular infiltrate and perivascular mucin. This is the first report of such findings in the context of secondary erythromelalgia. PMID:23334520

Bakkour, Waseem; Motta, Luisa; Stewart, Elizabeth

2013-06-01

15

Unusual thoracic radiographic findings in children treated for Hodgkin's disease  

SciTech Connect

Mantle irradiation is often part of the treatment for Hodgkin's disease. Localized pneumonitis and fibrosis are well-known sequelae of this treatment. We report nine patients with unusual thoracic radiographic findings following treatment for Hodgkin's disease. All nine had mediastinal widening. Seven of these patients received combined modality therapy in which prednisone was given with their MOPP. In these seven patients, an increase in mediastinal width developed at the same time as the radiographic changes of radiation pneumonitis. Two patients developed bilateral infiltrates extending beyond the field of radiation to the lung periphery. In one of these patients, a spontaneous pneumomediastinum developed. One patient underwent mediastinal biopsy that revealed inflammatory changes similar to those seen in radiation pneumonitis. All patients either responded to steroids or had spontaneous regression of radiographic abnormalities supporting the presumed diagnosis of treatment related changes. Recognition of these unusual sequelae of mantle irradiation will aid in differentiating them from infection or tumor and lead to prompt, appropriate treatment.

Jochelson, M.S.; Tarbell, N.J.; Weinstein, H.J.

1986-06-01

16

CT imaging of intrabiliary growth of colorectal liver metastases: a comparison of pathological findings of resected specimens  

Microsoft Academic Search

The objective of this study was to assess the usefulness of CT in the pre-operative evaluation of macroscopic intrabiliary tumour growth of colorectal liver metastases. 25 metastatic nodules of 18 patients who underwent an initial hepatectomy for colorectal liver metastasis were retrospectively evaluated. The CT appearance and pathological findings of the resected specimens were correlated. A number of unusual peritumoral

K OKANO; J YAMAMOTO; T OKABAYASHI; Y SUGAWARA; K SHIMADA; T KOSUGE; S YAMASAKI; H FURUKAWA; Y MURAMATSU

17

Giant adrenal myelolipomas: CT and MRI findings  

Microsoft Academic Search

The computed tomographic (CT) and magnetic resonance imaging (MRI) features of three giant myelolipomas of the adrenal gland are presented in two patients. CT demonstrates large, fatty retroperitoneal tumors that may be confused with retroperitoneal liposarcoma or very large renal angiomyolipoma. MRI with coronal and sagittal imaging is more sensitive than CT in defining the most likely origin of these

L. R. Casey; A. J. Cohen; A. G. Wile; R. B. Dietrich

1994-01-01

18

Adrenal myelolipoma: CT and ultrasound findings  

Microsoft Academic Search

The computed tomographic (CT) and ultrasound (US) appearances of 5 adrenal myelolipomas in 4 patients are reported. The component\\u000a tissues of a myelolipoma determine its CT and US appearance. A myelolipoma consisting primarily of fat has a characteristic\\u000a CT and US appearance. A myelolipoma also containing macroscopic quantities of nonfatty material (blood, calcium, or myeloid\\u000a tissue) may have a nonspecific

C. Whitley Vick; Robert K. Zeman; Eric Mannes; John J. Cronan; James W. Walsh

1984-01-01

19

[Unusual findings in carbon monoxide-related deaths].  

PubMed

The authors present three cases of carbon monoxide poisoning (two suicides and one accident) from the autopsy material of the Institute of Legal Medicine at Basel, which are unusual with regard to the circumstances at the scene of death, the method of suicide and the post-mortem findings: Suicide of a 27-year-old male by burning charcoal in the bathroom, documentation of the suicide and previous attempted suicides on a tablet PC. Suicide of a 27-year-old male by carbon monoxide chemically, produced by dehydration of formic acid with sulphuric acid and inhalation of the gas through a breathing mask. Accidental carbon monoxide poisoning of a 34-year-old male by car exhaust fumes in an open garage. Difficult establishment of the diagnosis in the post-mortem examination due to unspecific colour of livores and varnished fingernails. PMID:25004621

Hecht, Lars; Dittmann, Volker; Dussy, Franz; Gerlach, Kathrin

2014-01-01

20

Intracranial tuberculosis in AIDS: CT and MRI findings  

Microsoft Academic Search

CT and MRI findings in 35 patients with the acquired immune deficiency syndrome (AIDS) and proven intracranial tuberculosis (TB) are presented. Over 90% of the patients were intravenous drug abusers and in two-thrids TB was the first manifestation of AIDS. CT was normal in one quarter, the most frequent findings being hydrocephalus (51%) and meningeal enhancement (41%), commonly seen together

M. F. Villoria; J. Torre; F. Fortea; L. Munoz; T. Hernandez; J. J. Alarcón

1992-01-01

21

Abdominal cystic lymphangiomas: US and CT findings.  

PubMed

We retrospectively analyzed six cases of abdominal cystic lymphangiomas (CL), who had undergone surgical resection. These cases had been evaluated by several modalities: ultrasonography (US), computed tomography (CT), angiography and fine needle aspiration. No age predilection was found. All patients were symptomatic. The most common presenting symptoms were abdominal pain (66%), palpable mass (66%), fever (50%) and vomiting (30%). US showed septations (85%) and unicameral mass (15%); in three cases (50%) echogenic material within the cyst was found, probably due to hemorrhage and infection. CT showed capsular enhancement in all cases. Capsular and septation thickness were slightly increased in cases of infection or bleeding. At CT the contents were usually of fluid attenuation (66%); in 33% the attenuation values were higher, probably because of internal bleeding and infection. US was superior to CT in the demonstration of septations and the internal nature of the cysts. The major role of imaging is to demonstrate the cystic nature of these abdominal masses, because they do not have specific signs or symptoms that could allow a clinical diagnosis. PMID:7601168

Vargas-Serrano, B; Alegre-Bernal, N; Cortina-Moreno, B; Rodriguez-Romero, R; Sanchez-Ortega, F

1995-03-01

22

Multidetector CT Findings of Bowel Transection in Blunt Abdominal Trauma  

PubMed Central

Objective Though a number of CT findings of bowel and mesenteric injuries in blunt abdominal trauma are described in literature, no studies on the specific CT signs of a transected bowel have been published. In the present study we describe the incidence and new CT signs of bowel transection in blunt abdominal trauma. Materials and Methods We investigated the incidence of bowel transection in 513 patients admitted for blunt abdominal trauma who underwent multidetector CT (MDCT). The MDCT findings of 8 patients with a surgically proven complete bowel transection were assessed retrospectively. We report novel CT signs that are unique for transection, such as complete cutoff sign (transection of bowel loop), Janus sign (abnormal dual bowel wall enhancement, both increased and decreased), and fecal spillage. Results The incidence of bowel transection in blunt abdominal trauma was 1.56%. In eight cases of bowel transection, percentage of CT signs unique for bowel transection were as follows: complete cutoff in 8 (100%), Janus sign in 6 (100%, excluding duodenal injury), and fecal spillage in 2 (25%). The combination of complete cutoff and Janus sign were highly specific findings in patients with bowel transection. Conclusion Complete cut off and Janus sign are the unique CT findings to help detect bowel transection in blunt abdominal trauma and recognition of these findings enables an accurate and prompt diagnosis for emergency laparotomy leading to reduced mortality and morbidity. PMID:23901318

Cho, Hyun Suk; Hong, Hye-Suk; Park, Mee Hyun; Ha, Hong Il; Yang, Ik; Lee, Yul; Jung, Ah Young; Hwang, Ji-Young

2013-01-01

23

Perforation of the mesenteric small bowel: etiologies and CT findings.  

PubMed

The purpose of this article is to illustrate and discuss the various etiologies of perforation of the mesenteric small bowel and associated findings on abdominal CT. Perforation of the mesenteric small bowel is an uncommon cause of an acute abdomen and can be due to various etiologies. In underdeveloped countries, infection is probably the most common cause, while in industrialized nations, perforation may be due to Crohn disease, diverticulitis, foreign body, trauma, tumor, mechanical obstruction, primary ischemic event, or iatrogenic causes. CT is usually the initial imaging examination in patients with an acute abdomen and is sensitive in diagnosing small bowel perforation. CT findings in the setting of small bowel perforation are often subtle, but when present, may help the radiologist determine a specific cause of perforation. The aims of this pictorial essay are to review the various causes of mesenteric small bowel perforation and to discuss and illustrate the CT findings that can help arrive at the diagnosis. PMID:23212537

Hines, John; Rosenblat, Juliana; Duncan, Dameon R; Friedman, Barak; Katz, Douglas S

2013-04-01

24

Membranous lipodystrophy: skeletal findings on CT and MRI.  

PubMed

Membranous lipodystrophy, also known as Nasu-Hakola disease, is a rare hereditary condition with manifestations in the nervous and skeletal systems. The radiographic appearance of skeletal lesions has been well described in the literature. However, CT and MRI findings of lesions in the bone have not been documented to date. This report describes the radiographic, CT, MRI, and histopathologic skeletal findings in a case of membranous lipodystrophy. With corroborative pathologic findings, a diagnosis of membranous lipodystrophy on imaging allows for appropriate clinical management of disease manifestations. PMID:24777445

Nwawka, O Kenechi; Schneider, Robert; Bansal, Manjula; Mintz, Douglas N; Lane, Joseph

2014-10-01

25

Sebaceous glands - unusual histological finding in the uterine cervix.  

PubMed

Sebaceous glands have been extremely rare findings in the female genital system. Excluding the vulva and recent findings, very few cases have been described. The origin of the lesions remains a topic of speculation. However, it appears that prolonged irritation induces a metaplastic response in the ectocervical epithelium. A new case of sebaceous glands in the ectocervix of a 46-year-old woman is reported. The lesions were unexpectedly found in a hysterectomy specimen. The procedure was carried out for multiple leiomyomas of the uterine corpus. Histological examination revealed three mature sebaceous glands located distally to the transformation zone, which opened directly onto the surface epithelium. It could be concluded that sebaceous glands in the ectocervix are rare lesions of unclear origin and low clinical significance. However, the glands could potentially be associated with sebaceous carcinoma of that anatomical site. PMID:19950081

Szumi?o, J; Patel, A; Patel, S; Burdan, F

2009-11-01

26

4 pregnant women with an unusual finding at delivery.  

PubMed

Pregnant women who may be at risk for experiencing a TUCK include those who are older than age 35, multiparous, carrying a boy, or have diabetes mellitus, gestational diabetes, or polyhydramnios. While it is good to be aware of these risk factors, there are no recommended changes in management based on risk or ultrasound findings unless there is additional concern for fetal compromise. PMID:25362497

Johnson, Alexandra R; Meeuwsen, Annamarie; Khodaee, Morteza; Deutchman, Mark

2014-11-01

27

Malignant Peripheral Nerve Sheath Tumour: CT and MRI Findings  

PubMed Central

Malignant peripheral nerve sheath tumour (MPNST) is extremely rare malignancy in the general population, occurring more frequently in patients with Neurofibromatosis type 1 (NF1). In the literature five cases of MPNST arising from the parapharyngeal space (PPS) in patients without neurofibromatosis have been reported. We report imaging techniques in a patient with MPNST in the PPS, who had neither a family history nor sign of NF1. Computed tomography (CT) scan and magnetic resonance imaging (MRI) were performed for a correct therapeutic planning. CT and MRI findings were correlated with hystopathological diagnosis. PMID:23970990

Sperandio, Massimiliano; Di Poce, Isabelle; Ricci, Aurora; Di Trapano, Roberta; Costanzo, Elisa; Di Cello, Pierfrancesco; Pelle, Fabio; Izzo, Luciano; Simonetti, Giovanni

2013-01-01

28

The missing foley catheter: an unusual finding in vesicouterine fistula  

PubMed Central

A 28-year-old G1P1 presented complaining of urine leakage per vaginum following caesarean delivery, accompanied by amenorrhoea, cyclic haematuria and cyclic pelvic pain. Examination findings were suggestive of vesicouterine fistula and the patient was taken for exploratory laparotomy, during which the foley catheter could not be identified within the bladder. During separation of the bladder from the uterus, the catheter was found to be traversing the fistulous tract into the uterine cavity. Vesicouterine fistula is a fairly uncommon type of urogenital fistula that is frequently associated with caesarean section. Surgical treatment remains the mainstay and successfully cured this patient. PMID:24968444

Shephard, Steven N.; Lengmang, Sunday J.

2013-01-01

29

Hyperfunctioning cystic parathyroid glands: CT and sonographic findings  

SciTech Connect

Four functioning cystic parathyroid glands were evaluated with computed tomography (CT) and sonography in four patients, only one of whom had prior surgery. Sonography demonstrated solid lesions of decreased echogenicity with fluid-filled cavities near the lower thyroid poles or in the posterosuperior mediastinum. On CT the cystic parts of the lesions were of low attenuation (1-44 H), often with a well defined wall that was better demonstrated after intravenous contrast administration. Fine-needle aspiration biopsy of two of the cystic parathyroids revealed elevated parathyroid hormone levels. These lesions probably represent degenerating adenomas rather than true parathyroid cysts. While the CT and sonographic findings are nonspecific, the diagnosis of a cystic parathyroid should be entertained when a fluid-filled lesion is encountered in the neck of a patient with or without hypercalcemia. The diagnosis may be confirmed by assay of parathyroid hormone from the fluid aspirate.

Krudy, A.G. (National Inst. of Health, Bethesda, MD); Doppman, J.L.; Shawker, T.H.; Spiegel, A.M.; Marx, S.J.; Norton, J.; Schaaf, M.; Moss, M.L.; Weiss, M.A.; Schachner, S.H.

1984-01-01

30

Diseases affecting the peribronchovascular interstitium: CT findings and pathologic correlation.  

PubMed

Central bronchi and pulmonary arteries are surrounded and enveloped by a strong connective-tissue sheath termed the peribronchovascular interstitium, extending from the level of the pulmonary hila into the peripheral lung. Thickening of the peribronchovascular interstitium can be seen in a wide variety of diseases. The CT appearance can be smooth, nodular, or irregular depending on the underlying cause. Many of the diseases affecting the peribronchovascular interstitium are entities that show a predilection for lymphatic routes, such as sarcoidosis, pulmonary lymphangitic carcinomatosis, silicosis, and lymphoproliferative disorders. There are other entities that mainly affect the peribronchovascular interstitium without a predominant perilymphatic distribution, such as hydrostatic pulmonary edema, cryptogenic organizing pneumonia, Kaposi's sarcoma, interstitial pulmonary emphysema, and interstitial hemorrhage. Although there is an overlap in radiologic features, some CT findings are useful in differentiating among these entities. When CT shows mainly peribronchovascular abnormality, the differential diagnosis is considerably reduced, and it is generally possible to reach the correct diagnosis by considering the clinical context. We illustrate the CT findings and pathologic correlation for a number of different disorders that mainly affect the peribronchovascular interstitium. PMID:15753880

Castañer, Eva; Gallardo, Xavier; Pallardó, Yolanda; Branera, Jordi; Cabezuelo, María Angeles; Mata, Josep María

2005-01-01

31

CT Findings of the Interval Form of Carbon Monoxide Poisoning Compared with Neuropathological Findings  

Microsoft Academic Search

Cerebral computed tomography findings were described in 2 clinical cases of the interval form of carbon monoxide poisoning and comparison with postmortem CT finding of an autopsy case was made. There was low density in the bilateral frontal region, centrum semiovale and pallidal parts. In the course of the disease, the degree of low density in the white matter showed

Katsuji Kobayashi; Kiminori Isaki; Yuken Fukutani; Masayoshi Kurachi; Akira Eboshida; Rokuro Matsubara; Nariyoshi Yamaguchi

1984-01-01

32

McKusick-Kaufman Syndrome: Atretic Upper Vaginal Pouch; an Unusual Urogenital MR Finding  

PubMed Central

McKusick-Kaufman syndrome is a rare autosomal recessive disease diagnosed by polydactyly, hydrometrocolpos, and congenital heart disease. We present an unusual laparotomy confirmed urogenital MRI finding (atretic vaginal pouch) in a 3-month-old girl with McKusick-Kaufman syndrome. Up to our knowledge, this MR finding has not been reported in the literature yet. PMID:22470656

Mostafavi, Seyed-Hassan; Hooman, Nakysa; Hallaji, Farideh

2009-01-01

33

Asymptomatic remote cerebellar hemorrhage: CT and MRI findings.  

PubMed

The aim of this study was to evaluate the computed tomography (CT) and magnetic resonance imaging findings (MRI) of asymptomatic remote cerebellar hemorrhage (RCH) at the preoperative, early postoperative, and postoperative period. A total of 983 consecutive adult patients who underwent supratentorial craniotomies were included in the study. The ethics committee approved the study. The patient's clinical records and radiological examinations were retrospectively analyzed. All patients had preoperative CT and MRI examinations, immediate postoperative CT, and postoperative MRI within 24 h. The patients with the radiological diagnosis of RCH were followed up to 5 years. Eight asymptomatic RCH cases were recruited. The prevalence of asymptomatic RCH was 0.8% in our series. RCH was unilateral in two patients and bilateral in six patients. The postoperative CT was positive in two cases. The hemorrhage presented on MRI as folial linear hypointensities in six cases. In three cases (including one mixed case), punctate hypointense spots were identified at the superior cerebellar folia. Diffuse hemorrhage in the cerebellar tonsil, subarachnoid hemorrhage, and hemorrhage in the cerebellar vermis and the ventricles were also seen. The MRI findings were stable up to 5 years. The prevalence of asymptomatic RCH is higher than previously reported. Immediate postoperative CT is usually unremarkable; however, MRI demonstrates various hemorrhagic patterns at the cerebellum other than classical "zebra sign". This condition is self-limiting and no further investigation or follow-up study is required. In the proper clinical setting, the awareness of different hemorrhagic patterns in patients with RCH would prevent unnecessary investigations. PMID:22249914

Dincer, Alp; Özcan, Ümit; Kaya, Dilaver; Usseli, M Imre; Erzen, Canan; Pamir, M Necmettin

2012-12-01

34

Horizontal gaze palsy with progressive scoliosis: CT and MR findings  

Microsoft Academic Search

Horizontal gaze palsy with progressive scoliosis (HGPPS) is a rare congenital disorder characterized by absence of conjugate\\u000a horizontal eye movements and progressive scoliosis developing in childhood and adolescence. We present a child with clinical\\u000a and neuroimaging findings typical of HGPPS. CT and MRI of the brain demonstrated pons hypoplasia, absence of the facial colliculi,\\u000a butterfly configuration of the medulla and

Rodrigo C. Bomfim; Daniel G. F. Távora; Mauro Nakayama; Rômulo L. Gama

2009-01-01

35

Unusual histopathological findings in appendectomy specimens from patients with suspected acute appendicitis  

PubMed Central

AIM: To investigate the prevalence and implications of unusual histopathological findings in appendectomy specimens from patients with suspected acute appendicitis. METHODS: The demographic and histopathological data of 1621 patients (? 16 years-old) who underwent appendectomy to treat an initial diagnosis of acute appendicitis between January 1999 and November 2011 were retrospectively assessed. Microscopic findings were used to classify the patients under six categories: appendix vermiformis, phlegmonous appendicitis, gangrenous appendicitis, perforated appendicitis, supurative appendicitis, and unusual histopathologic findings. The demographic and clinicopathologic characteristics of patients with unusual histopathologic findings were evaluated in detail, and re-analysis of archived resected appendix specimens was carried out. RESULTS: A total of 912 males and 709 females, from 16 to 94 years old, were included in the study and comprised 789 cases of suppurative appendicitis, 370 cases of appendix vermiformis, 243 cases of perforated gangrenous appendicitis, 53 cases of flegmaneous appendicitis, 32 cases of gangrenous appendicitis, and 134 (8.3%) cases of unusual histopathological findings. The unusual histopathological findings included fibrous obliteration (n = 62), enterobius vermicularis (n = 31), eosinophilic infiltration (n = 10), mucinous cystadenoma (n = 8), carcinoid tumor (n = 6), granulomatous inflammation (n = 5), adenocarcinoma (n = 4; one of them mucinous), and mucocele (n = 3), adenomatous polyp (n = 1), taenia sup (n = 1), ascaris lumbricoides (n = 1), appendiceal diverticula (n = 1), and B cell non-hodgkin lymphoma (n = 1). None of the 11 patients with subsequent diagnosis of tumor were suspected of cancer prior to the appendectomy. CONCLUSION: Even when the macroscopic appearance of appendectomy specimens is normal, histopathological assessment will allow early diagnosis of many unusual diseases. PMID:23840147

Yilmaz, Mehmet; Akbulut, Sami; Kutluturk, Koray; Sahin, Nurhan; Arabaci, Ebru; Ara, Cengiz; Yilmaz, Sezai

2013-01-01

36

Renal infarction: CT diagnosis and correlation between CT findings and etiologies  

SciTech Connect

The CT scans and the clinical records of 12 patients who had renal infarction were reviewed. The renal infarcts were classified as either focal or global. The CT findings were correlated with the etiologies of renal infarction. Embolism was the most common cause of renal infarcts that were multifocal with involvement of both kidneys. Trauma caused a unilateral global type of infract. A case of sickle cell anemia presented with multiple ''slit-like'' focal infarcts and enlarged kidneys. Forty-seven per cent of infarcts demonstrated the cortical rim sign, 11% were acapsular fluid collection, and 6% had an abnormally thickened renal fascia.

Wong, W.S.; Moss, A.A.; Federle, M.P.; Cochran, S.T.; London, S.S.

1984-01-01

37

CT, MRI, and PET findings of gastric schwannoma.  

PubMed

Gastric schwannoma is a rare tumor that accounts for only 0.2 % of all gastric tumors. We report a case of gastric schwannoma that underwent computed tomography (CT), magnetic resonance imaging (MRI), and [(18)F]-fluorodeoxyglucose positron emission tomography (FDG-PET), and its histological confirmation was acquired. Gastric schwannoma showed high intensity on T2-weighted and diffusion-weighted MRI and high maximum standardized uptake on [(18)F]-FDG-PET. Lymphadenopathy close to the tumor was also found. Although diffusion-weighted MRI, [(18)F]-FDG-PET, and the presence of lymphadenopathy could suggest malignant tumors, the detail interpretation of the other CT and MRI findings may give a clue for the diagnosis of gastric schwannoma. PMID:22660866

Takeda, Minako; Amano, Yasuo; Machida, Tadashi; Kato, Shunji; Naito, Zenya; Kumita, Shinichiro

2012-08-01

38

Diagnosis of an unusual finding in the primary dentition: a case report.  

PubMed

Patients may present to the dental office with unusual findings that have no obvious etiology. The purpose of this paper is to report the case of a two-year old female patient who presented with a foreign body mimicking pathosis. Diagnosis and treatment are discussed. PMID:24709434

Townsend, Janice A; Garon, Mark; McTigue, Dennis J

2014-01-01

39

Eosinophilic Otitis Media: CT and MRI Findings and Literature Review  

PubMed Central

Eosinophilic otitis media (EOM) is a relatively rare, intractable, middle ear disease with extremely viscous mucoid effusion containing eosinophils. EOM is associated with adult bronchial asthma and nasal allergies. Conventional treatments for otitis media with effusion (OME) or for chronic otitis media (COM), like tympanoplasty or mastoidectomy, when performed for the treatment of EOM, can induce severe complications such as deafness. Therefore, it should be differentiated from the usual type of OME or COM. To our knowledge, the clinical and imaging findings of EOM of temporal bone are not well-known to radiologists. We report here the CT and MRI findings of two EOM cases and review the clinical and histopathologic findings of this recently described disease entity. PMID:22563277

Chung, Won Jung; Lim, Hyun Kyung; Yoon, Tae Hyun; Cho, Kyung Ja; Baek, Jung Hwan

2012-01-01

40

Unusual imaging findings in brain and spinal cord in two siblings with maple syrup urine disease.  

PubMed

Maple syrup urine disease (MSUD) is a rare metabolic disease affecting the neural tissue. While the brain abnormalities present on MRI are well known, spinal imaging features have not been studied. We herewith report an unusual finding of enlarged Virchow Robin spaces in brain and novel spinal cord changes in two biochemically diagnosed cases of MSUD. To the best of our knowledge, spinal MRI findings in cases of MSUD have not been previously reported. Knowledge of spinal MRI findings may be useful in diagnosis of this rare disorder. PMID:23279201

Bhat, Maya; Prasad, Chandrajit; Bindu, Parayil Sankaran; Aziz, Zarina; Christopher, Rita; Saini, Jitender

2013-10-01

41

Escherichia coli 0157 enterohaemorrhagic colitis associated with pyelonephritis: CT findings.  

PubMed

Escherichia coli 0157:H7 is increasingly being recognized as a cause of infectious colitis, which typically results in bloody diarrhoea in an afebrile patient. The absence of fever often means that an infectious process is not considered in the differential diagnosis, particularly as this organism will not be detected in routine stool cultures. Inappropriate antibiotic therapy may increase the risk of development of haemolytic uraemic syndrome, a potentially fatal complication of this form of colitis, hence the importance of accurate diagnosis. On CT, it is characterized by severe diffuse colonic wall thickening, with little or no pericolic inflammatory changes. The radiologist may be the first to suspect the correct diagnosis and so should be aware of its imaging appearances. We report the case of a 19-year-old man who presented with typical radiological findings of enterohaemorrhagic colitis and whose CT also showed evidence of acute pyelonephritis; we suggest that this combination of abnormalities should further heighten radiologists' suspicions of infection due to E. coli 0157:H7, despite the absence of fever. PMID:19325040

Heffernan, E; Chatur, N; Zwirewich, C

2009-04-01

42

Peritoneal tuberculosis versus peritoneal carcinomatosis: Distinction based on CT findings  

SciTech Connect

The purpose of this study was to determine the utility of CT in distinguishing peritoneal tuberculosis (PT) from peritoneal carcinomatosis (PC). CT scans were retrospectively reviewed in 19 patients known to have PT and compared with scans in 19 patients known to have PC. CT images were evaluated for thickening (smooth versus irregular), enhancement, presence of nodules, and site of involvement on the parietal peritoneum. The existence of oriental caking, nodules, and smudged patterns in the omentum, mesentery, and gastrocolic ligament was noted. The presence, distribution, and loculation of ascites were also evaluated. Ascites was present in all cases of PT and PC, loculated in 10 cases (PT = 4, PC = 6), and located in the greater peritoneal sac (PT = 15, PC = 10) or in the greater and lesser sacs (PT = 4, PC = 9). Slight smooth thickening and pronounced enhancement of the parietal peritoneum were seen in 15 of 19 PT patients and in 5 of 19 PC patients (p < 0.001), whereas irregular thickening was found in only 9 of 19 PC patients (p < 0.001). Peritoneal nodules were present exclusively in PC (7/19) (p < 0.01). The sites of the parietal peritoneum involvement were the pelvic (PT = 9, PC 3) (p < 0.05), paracolic gutters (PT = 5, PC = 6), juxtadiaphragmatic (PT 0, PC = 9) (p < 0.001), and peri- hepatic (PT = 6, PC = 8) regions. Oriental cakes were found in 4 of 19 PT and in 7 of 19 PC patients. The smudged pattern was the most common abnormality in the omentum (PT = 9/19, PC = 11/19), gastrocolic ligament (PT = 5/19, PC = 11/19) (p < 0.01), and mesentery (PT = 7/19, PC = 11/19). Isolated and discrete well defined nodules were exclusively found in the mesentery (PT 5/19, PC = 3/19). The most useful CT findings for distinguishing PT from PC were observed in the parietal peritoneum. The presence of a smooth peritoneum with minimal thickening and pronounced enhancement suggests PT, whereas nodular implants and irregular peritoneal thickening suggest PC.

Rodriguez, E.; Pombo, F. [Hospital Juan Canalejo, La Coruna (Spain)] [Hospital Juan Canalejo, La Coruna (Spain)

1996-03-01

43

Gingival fibromatosis with multiple unusual findings: report of a rare case  

PubMed Central

Gingival fibromatosis is a rare disease, especially its syndromic form. Here, we review the literatures on gingival fibromatosis and briefly summarize some characters on clinical, etiological, genetic and histopathological aspects. We also present a rare case of gingival fibromatosis with multiple unusual findings in a 21-year-old man. And we differentiate it from some well-known syndromes including gingival fibromatosis. Maybe it implies a new syndrome within the spectrum of those including gingival fibromatosis. PMID:22955199

He, Long; Ping, Fei-Yun

2012-01-01

44

Unusual liver MR findings of Wilson's disease in an asymptomatic 2-year-old girl.  

PubMed

We describe the unusual magnetic resonance (MR) findings of a case of Wilson's disease (WD) in an asymptomatic 2-year-old girl. Preenhanced computed tomography revealed multiple hyperdense areas in the liver. These lesions were hyperintense on T1-weighted and hypointense on T2-weighted MR images, results that might be ascribed to the paramagnetism of copper deposited in liver at a relatively early stage of the disease before severe liver cirrhosis had evolved. PMID:9437064

Ko, S; Lee, T; Ng, S; Lin, J; Cheng, Y

1998-01-01

45

CT and MR imaging findings of palatal tumors.  

PubMed

Palatal tumors commonly arise from the minor salivary glands, and benign tumors account for approximately half of all minor salivary gland tumors. Minor salivary gland tumors have an affinity for the posterior hard palate and soft palate and virtually never arise in the midline, probably because of the distribution of palatal salivary glands. The majority of benign salivary gland tumors of the palate are pleomorphic adenomas, while the most common malignant salivary gland tumor is adenoid cystic carcinoma, followed by mucoepidermoid carcinoma, adenocarcinoma, and polymorphous low-grade adenocarcinoma. Epithelial tumors frequently arise from the soft palate. The majority of benign epithelial tumors of the palate are papillomas, while most malignant epithelial tumors are squamous cell carcinomas. Various types of mesenchymal tumors, including fibromas, lipomas, schwannomas, neurofibromas, hemangiomas, and lymphangiomas, also involve the palate. This article describes the CT and MR findings of benign and malignant palatal tumors. PMID:24377674

Kato, Hiroki; Kanematsu, Masayuki; Makita, Hiroki; Kato, Keizo; Hatakeyama, Daijiro; Shibata, Toshiyuki; Mizuta, Keisuke; Aoki, Mitsuhiro

2014-03-01

46

Three rounds as "tandem bullets": unusual findings in a case of a suicidal gunshot to the head.  

PubMed

We report an unusual case of suicide in which three 7.65 caliber projectiles were found in the single gunshot wound to the head of a 53-year-old man. Based on data collected at the death scene, CT scan, autopsy findings, and ballistics analysis, the events were reconstructed as follows: two 7.65 mm rounds had already been fired from the 9 mm Makarov pistol the subject was using but, being a smaller caliber, the cartridges had slipped forward and lodged within the barrel. When a third 7.65 mm cartridge was chambered and the gun fired for the third time, the nose of the last bullet hit the lodged bullets and all three rounds were propelled out of the muzzle in tandem as a single shot. Ballistic investigations confirmed that the kinetic energy of the three tandem bullets would have been sufficient to perforate the skull. In cases of gunshot wounds where the manner of death is unclear, a number of well-described circumstantial parameters, such as an atypical anatomical location of the gunshot, unusual firearm, or ammunition, as well as ambiguous autopsy findings, can raise doubts about the manner of death. In very rare cases, despite a single entrance wound, two or more bullets are recovered from the body, fired by the same weapon at the same time (the so-called "tandem bullet" phenomenon). Injuries by "tandem bullets" have crucial implications in gunshot deaths because of the mismatch between the number of entrance and exit wounds and the number of bullets found in or near the body. PMID:25091600

Tattoli, Lucia; Schmid, Simone; Tsokos, Michael

2014-12-01

47

Postoperative findings following the Whipple procedure: determination of prevalence and morphologic abdominal CT features  

Microsoft Academic Search

.   This study was conducted to determine characteristic CT findings following the Whipple procedure and to evaluate the usefulness\\u000a of CT in predicting tumor recurrence. Eighty-four postoperative abdominal CT scans and medical records of 43 patients were\\u000a retrospectively reviewed. Perioperative histopathologic examinations revealed malignancy in 32 patients (74.4 %). Time interval\\u000a between surgery and CT varied from 13 days to

K. J. Mortelé; M. Lemmerling; B. de Hemptinne; M. De Vos; G. De Bock; M. Kunnen

2000-01-01

48

Usual and unusual neuroendocrine tumor metastases on (68)Ga-DOTANOC PET/CT: a pictorial review.  

PubMed

Neuroendocrine tumors (NETs) are slow-growing indolent tumors that often present with metastatic disease at the outset. They commonly metastasize to lymph nodes, liver, bone, and lungs. However, metastasis to other rare sites may occur. It is important to have clear knowledge of unusual NET metastatic sites because their presence may lead to a more directed investigation. Also, it will be helpful in ruling out incidental second malignancies that might be encountered. The objective of this pictorial article was to provide an illustrative tutorial showing the clinical utility of Ga-labeled somatostatin analog [1, 4, 7, 10-tetraazacyclododecane-1, 4, 7, 10-tetraacetic acid]-1-NaI3-octreotide (Ga-DOTANOC) PET/CT for imaging usual and unusual metastatic sites in patients with NETs. PMID:23235484

Naswa, Niraj; Sharma, Punit; Kumar, Rakesh; Malhotra, Arun; Bal, Chandrasekhar

2013-06-01

49

Non-severe pulmonary embolism: prognostic CT findings.  

PubMed

The goal of this study was to retrospectively evaluate CT cardiovascular parameters and pulmonary artery clot load score as predictors of 3-month mortality in patients with clinically non-severe pulmonary embolism (PE). We included 226 CT positive for PE in hemodynamically stable patients (112 women; mean age 67.1 years ± 16.9). CT were independently reviewed by two observers. Results were compared with occurrence of death within 3 months using Cox regression. Twenty-four (10.6%) patients died, for whom 9 were considered to be due to PE. Interobserver agreement was moderate for the shape of interventricular septum (? = 0.41), and for the ratio between the diameters of right and left ventricle (RV/LV) (? = 0.76). Observers found no association between interventricular septum shape and death. A RV/LV diameter ratio >1 was predictive of death (OR, 3.83; p < 0.01) only when we also took into account the value of the embolic burden (< 40%). In a multivariate model, CT cardiovascular parameters were not associated with death. Concomitant lower limb DVT and comorbid conditions were important predictors of death. In clinically non-severe PE, a RV/LV diameter ratio >1 is predictive of death when the embolic burden is low (< 40%). PMID:20403673

Moroni, Anne-Line; Bosson, Jean-Luc; Hohn, Noélie; Carpentier, Françoise; Pernod, Gilles; Ferretti, Gilbert R

2011-09-01

50

Painless, atraumatic, isolated lateral compartment syndrome of the leg: an unusual triad of atypical findings.  

PubMed

Compartment syndrome can be a devastating complication with significant morbidity when not recognized or treated expediently. Among the classic pentad of signs and symptoms associated with compartment syndrome, pain that is out of proportion to the injury is often cited as the earliest and most sensitive. We present a case report of an atypical presentation of compartment syndrome of the leg in which a patient taking lithium for bipolar disorder did not report pain out of proportion to the injury mechanism. Lithium has been implicated in altering pain perception and increasing the tolerance and threshold for pain, but this has not been widely reported in the orthopedic literature. In addition to compartment syndrome that was painless, the patient presented with 2 additional atypical findings. She presented with compartment syndrome that was atraumatic and isolated to only 1 out of the 4 compartments of the leg. A compartment syndrome that is painless, atraumatic, and isolated to a single compartment represents an unusual triad of atypical findings that has not been previously reported. With unusual presentations of compartment syndrome, there is an increased risk of late or unrecognized diagnosis, consequently increasing the likelihood of significant nerve damage or muscle necrosis. Clinicians have historically applied a higher level of scrutiny to patients who were deemed "obtunded," that is, those in whom an assessment of pain cannot be reliably determined. In the past, obtunded patients have included intubated or comatose patients, infants and children, mentally disabled patients, and patients with altered mental status, nerve injury, or distracting injuries. Based on evidence from the psychiatry and anesthesia literatures, we propose that patients taking lithium should be added to this list of "obtunded" patients in whom a reliable assessment of pain may not be possible. PMID:20305839

Oh, Luke S; Lewis, Paul B; Prasarn, Mark L; Lorich, Dean G; Helfet, David L

2010-01-01

51

Spontaneous vertebral dissection: Clinical, conventional angiographic, CT, and MR findings  

SciTech Connect

The purpose of this study was to determine if typical clinical and neuroradiologic patterns exist in patients with spontaneous vertebral artery (VA) dissection. The medical records and neuroradiologic examinations of 14 patients with spontaneous VA dissection were reviewed. The medical records were examined to exclude patients with a history of trauma and to record evidence of a nontratimatic precipitating event ({open_quotes}trivial trauma{close_quotes}) and presence of possible risk factors such as hypertension. All patients under-went conventional angiography, 13 either CT or MRI (II both CT and MRI), and 3 MRA. Conventional arteriograrris were evaluated for dissection site, evidence of fibromuscular dysplasia, luminal stenosis or occlusion, and pseudoaneurysm formation, CT examinations for the presence of infarction or subarachnoid hemorrhage, MR examinations for the presence of infarction or arterial signal abnormality, and MR angiograms for abnormality of the arterial signal column. Seven patients had precipitating events within 24 h of onset of symptoms that may have been causative of dissection and five had hypertension. At catheter angiography, two patients had dissections in two arteries (both VAs in one patient, VA and internal carotid artery in one patient), giving a total of 15 VAs with dissection. Dissection sites included V1 in four patients, V2 in one patient, V3 in three patients, V4 in six patients, and both V3 and V4 in one patient. Luminal stenosis was present in 13 VAs, occlusion in 2, pseudoaneurysm in 1, and evidence of fibromuscular dysplasia in 1. Posterior circulation infarcts were found on CT or MR in five patients. Subarachnoid hemorrhage was found on CT in two patients and by lumbar puncture alone in two patients. Abnormal periarterial signal on MRI was seen in three patients. MRA demonstrated absent VA signal in one patient, pseudoaneurysm in one, and a false-negative examination in one.

Provenzale, J.M.; Morgenlander, J.C. [Duke Univ. Medical Center, Durham, NC (United States)] [Duke Univ. Medical Center, Durham, NC (United States); Gress, D. [Univ. of California, San Francisco, CA (United States)] [Univ. of California, San Francisco, CA (United States)

1996-03-01

52

Atlanto-odontoid osteoarthritis in rheumatoid arthritis: dynamic CT findings.  

PubMed

We analyzed the CT appearances of degenerative change in the atlanto-odontoid joint (AOJ) in patients with rheumatoid arthritis (RA) and evaluated the effect of these changes on atlanto-axial joint (AAJ) rotation by dynamic CT. This revealed that 9 patients (24%) treated with methotrexate had degenerative features in the AOJ. The ratio of AAJ rotation to the total rotation of the cervical spine was significantly higher in normal subjects (54 +/- 3%) than in patients (38 +/- 12%). The degree of AAJ rotation was significantly lower in the patient group with degenerative features in the AOJ (20.9 +/- 8.4 degrees ) than in patients without degenerative features (28.5 +/- 7.4 degrees ). RA patients with a history of longstanding disease and treatment with antirheumatic drugs may develop AO OA. Although secondary OA was described as healing phenomena in the joints of RA patients, it can limit rotation in the AAJ and cause suboccipital neck pain. A regular check-up of the AAJ and AOJ by means of dynamic CT in all RA patients is proposed to avoid possible antirheumatic drug complications. PMID:15459811

Baysal, Ozlem; Baysal, Tamer; Sigirci, Ahmet; Ersoy, Yuksel; Altay, Zuhal

2004-10-01

53

Crouzon syndrome associated with acanthosis nigricans: prenatal 2D and 3D ultrasound findings and postnatal 3D CT findings  

PubMed Central

Crouzon syndrome with acanthosis nigricans (CAN) is a very rare condition with an approximate prevalence of 1 per 1 million newborns. We add the first report on prenatal 2D and 3D ultrasound findings in CAN. In addition we present the postnatal 3D CT findings. The diagnosis was confirmed by molecular testing. PMID:23986840

Nørgaard, Pernille; Hagen, Casper Petri; Hove, Hanne; Dunø, Morten; Nissen, Kamilla Rothe; Kreiborg, Sven; Jørgensen, Finn Stener

2012-01-01

54

Esophageal early basaloid squamous carcinoma with unusual narrowband imaging magnified endoscopy findings.  

PubMed

Basaloid squamous carcinoma (BSC) is a rare variant of esophageal cancer. There are very few reports of "early" BSC. Here we report a case of early BSC with unusual findings by narrowband imaging magnified endoscopy (NBI-ME). A 70-year-old man with a middle thoracic esophageal tumor was referred to our hospital. White-light endoscopy revealed a reddish depressed lesion 5 mm in diameter having a subepithelial tumor-like prominence with a gentle rising slope. NBI-ME revealed irregular loop-shaped microvessels coexistent with thick irregularly branched non-looped vessels. Iodine staining revealed a pale brown lesion. We performed endoscopic submucosal dissection for diagnostic treatment. Histologic examination showed the proliferation of basal cell-like hyperchromatic tumor cells in the lamina propria and with slight invasion into the submucosa at a depth of 320 ?m. The tumor cells formed solid nests and microcystic structures, containing an Alcian blue-positive mucoid matrix. The surface was covered with squamous epithelium without cellular atypia. Thin vessels were observed in the intra-epithelial papilla and thick vessels were observed around the solid nests beneath the epithelium. Based on these findings together, we diagnosed the lesion as BSC. In this case, the NBI-ME findings differed from those of typical squamous cell carcinoma in that both non-invasive cancer-like irregular loop-shaped microvessels coexisted with massively invasive cancer-like thick non-looped vessels. We speculate that the looped and non-looped vessels observed by NBI-ME histologically corresponded to thin vessels in the intra-epithelial papilla and thick vessels around the tumor nests, respectively. These NBI-ME findings might be a feature of early esophageal BSC. PMID:25253974

Kai, Yugo; Kato, Motohiko; Hayashi, Yoshito; Akasaka, Tomofumi; Shinzaki, Shinichiro; Nishida, Tsutomu; Tsujii, Masahiko; Morii, Eiichi; Takehara, Tetsuo

2014-09-21

55

Congenital Cholesteatoma of the Temporal Bone: MR Findings and Comparison with CT  

Microsoft Academic Search

PURPOSE: To describe the MR findings of temporal bone congenital cholesteatoma and MR usefulness in preoperative diagnosis and follow-up, in comparison with CT. METHODS: Seven patients underwent CT and MR studies for facial palsy (n 5 3), deafness (n 5 3), vertigo (n 5 1), tinnitus (n 5 1), and otalgia (n 5 1). Three patients had for congenital cholesteatoma

Y. Robert; S. Carcasset; N. Rocourt; C. Hennequin; F. Dubrulle; L. Lemaitre

56

CT Findings of Colonic Complications Associated with Colon Cancer  

PubMed Central

A broad spectrum of colonic complications can occur in patients with colon cancer. Clinically, some of these complications can obscure the presence of underlying malignancies in the colon and these complications may require emergency surgical management. The complications of the colon that can be associated with colon cancer include obstruction, perforation, abscess formation, acute appendicitis, ischemic colitis and intussusception. Although the majority of these complications only rarely occur, familiarity with the various manifestations of colon cancer complications will facilitate making an accurate diagnosis and administering prompt management in these situations. The purpose of this pictorial essay is to review the CT appearance of the colonic complications associated with colon cancer. PMID:20191069

Shin, Hyeong Cheol; Kim, Il Young; Kim, Young Tong; Kim, Chang-Jin

2010-01-01

57

[Neuroborreliosis: CT and MRI findings in 14 cases. Preliminary communication].  

PubMed

Since 1987 when Januszkiewicz and Kieda first described borreliosis, it is commonly recognized as infection of the nervous system in Poland, especially in north-east region. The diagnosis of the disease is mainly based on typical clinical signs, supported by serological testing. In 14 patients with clinical symptoms of neuroborreliosis CT and MR were performed to evaluate CNS changes. MR examinations were abnormal in 36%. Most patients (60%) presented cerebral atrophy. In 2 cases areas of abnormal signal were identified within cerebral white matter as well as within the brain stem. In the first case it was, recognized as demyelination focus, in second one MR showed evidence of or were suggestive of vascular involvement. In one case symmetrical calcifications were also found in internal capsules. Neuroradiological signs in Lyme disease are not specific. Neuroborreliosis has to be considered when patients present foci of hyperintense signal (T2-weighted images) in white matter and brain stem. PMID:11873593

Tarasów, E; Ustymowicz, A; Zajkowska, J; Hermanowska-Szpakowicz, T

2001-01-01

58

Nonconcordance between Clinical and Head CT Findings: The Specter of Overdiagnosis.  

PubMed

Background. It is unclear whether history and physical examination findings can predict abnormalities on head computed tomography (CT) believed to indicate increased risk of lumbar-puncture- (LP-) induced brain herniation. The objectives of this study were to (1) identify head CT findings felt to be associated with increased risk of brain herniation and (2) to assess the ability of history and physical examination to predict those findings. Methods. Using a modified Delphi survey technique, an expert panel defined CT abnormalities felt to predict increased risk of LP-induced brain herniation. Presence of such findings on CT was compared with history and physical examination (H&P) variables in 47 patients. Results. No H&P variable predicted "high-risk" CT; combining H&P variables to improve sensitivity led to extremely low specificity and still failed to identify all patients with high-risk CT. Conclusions. "High-risk" CT is not uncommon in patients with clinical characteristics known to predict an absence of actual risk from LP, and thus it may not be clinically relevant. "Overdiagnosis" will be increasingly problematic as technological advances identify increasingly subtle deviations from "normal." PMID:24222854

O'Laughlin, Kelli N; Hoffman, Jerome R; Go, Steven; Gabayan, Gelareh Z; Iqbal, Erum; Merchant, Guy; Lopez-Freeman, Roberto A; Zucker, Michael I; Mower, William R

2013-01-01

59

Nonconcordance between Clinical and Head CT Findings: The Specter of Overdiagnosis  

PubMed Central

Background. It is unclear whether history and physical examination findings can predict abnormalities on head computed tomography (CT) believed to indicate increased risk of lumbar-puncture- (LP-) induced brain herniation. The objectives of this study were to (1) identify head CT findings felt to be associated with increased risk of brain herniation and (2) to assess the ability of history and physical examination to predict those findings. Methods. Using a modified Delphi survey technique, an expert panel defined CT abnormalities felt to predict increased risk of LP-induced brain herniation. Presence of such findings on CT was compared with history and physical examination (H&P) variables in 47 patients. Results. No H&P variable predicted “high-risk” CT; combining H&P variables to improve sensitivity led to extremely low specificity and still failed to identify all patients with high-risk CT. Conclusions. “High-risk” CT is not uncommon in patients with clinical characteristics known to predict an absence of actual risk from LP, and thus it may not be clinically relevant. “Overdiagnosis” will be increasingly problematic as technological advances identify increasingly subtle deviations from “normal.” PMID:24222854

O'Laughlin, Kelli N.; Hoffman, Jerome R.; Go, Steven; Gabayan, Gelareh Z.; Iqbal, Erum; Merchant, Guy; Lopez-Freeman, Roberto A.; Zucker, Michael I.; Mower, William R.

2013-01-01

60

The use of CT findings to predict extent of tumor at primary surgery for ovarian cancer  

PubMed Central

Background High tumor dissemination (HTD) is a major risk factor for serious morbidity after primary ovarian cancer (OC) surgery, particularly in medically compromised patients. We performed a pilot study of whether CT findings could predict extent of disease and surgical complexity necessary in advanced OC. Methods Preoperative CT images for patients with advanced OC from 1997–2003 were evaluated for rigorously defined disease-related findings and compared to both the findings at exploration and the required surgical procedures. Associations were assessed by the chi-square test. Results Forty-six cases met inclusion criteria. Mean age was 66.4 y, and 76% had residual disease (RD) 1cm or less. CT and surgical findings correlated (sensitivity/specificity) as follows: diaphragm disease (48%/100%); surface liver (100%/93%); omental cake (72%/65%); any sigmoid involvement (54%/100%); ascites (44%/100%); extra-pelvic large bowel involvement (29%/91%). When diaphragm disease and omental cake were present, HTD was found in all cases (positive predictive value and specificity=100%, sensitivity 48%). For CT findings of liver, large bowel and spleen involvement there was a strong trend toward resection (p=0.001, p=0.06 and p=0.06, respectively). Conclusions The findings of diaphragm disease and omental cake on CT scan are highly predictive for high tumor dissemination (HTD) and thus likelihood of extensive surgery required to achieve low residual disease. In addition, multiple CT findings correlate strongly with the need for higher surgical complexity which should facilitate preoperative planning and/or triage to specialized centers. These preliminary data suggest specific CT findings can be used to optimize treatment planning. PMID:23672930

Glaser, Gretchen; Torres, Michelle; Kim, Bohyun; Aletti, Giovanni; Weaver, Amy; Mariani, Andrea; Hartmann, Lynn; Cliby, William

2013-01-01

61

Enhanced CT and FDG PET/CT Findings of Splenic Hamartoma.  

PubMed

Splenic hamartomas are very rare benign vascular tumors. A 67-year-old man was referred after an incidental detection of a splenic lesion. Abdominal-enhanced CT showed a splenic lesion with progressive enhancement. This lesion showed intense FDG uptake with an SUVmax of 9.2. The patient underwent splenectomy. Splenic hamartoma was confirmed by pathologic evaluation. In this tumor, the disorganized splenic sinus contained a large amount of lymphocytes and plasma cells, which may contribute to the intense FDG uptake. This case indicates that splenic hamartoma should be included in the differential diagnosis of focal FDG accumulation along with tumor and nontumor conditions. PMID:24152626

Dong, Aisheng; Wang, Yang; Lu, Jianping; Zuo, Changjing

2014-11-01

62

CT Findings in Acute, Subacute, and Chronic Ischemic Colitis: Suggestions for Diagnosis  

PubMed Central

Purpose. This paper aims at evaluating CT findings of occlusive and nonocclusive ischemic colitis (IC), in correlation with the etiology and the different phases of the disease. Materials and Methods. CT examination and clinical history of 32 patients with proven IC were retrospectively reviewed. The CT findings were analyzed according to the different phases of the disease (acute, subacute, and chronic). Results. Among the 32?CT examinations performed in the acute phase, 62.5% did not present signs of occlusion of the superior mesenteric artery (SMA) or inferior mesenteric artery (IMA), whereas IMA occlusion was detected in 37.5% of CT examinations. In the acute phase, the presence of pericolic fluid was found in 100% of patients undergoing progressive resorption from acute to subacute phase if an effective reperfusion occurred; the bowel wall thickening was observed in 28.1% patients in acute phase and in 86.4% patients evaluated in subacute phase. The unthickened colonic wall was found in all conditions where ischemia was not followed by effective reperfusion (71.9% of cases), and it was never found in chronic phase, when the colon appeared irregularly thickened. Conclusion. CT allows determining the morphofunctional alterations associated with the IC discriminating the occlusive forms from the nonocclusive forms. CT, furthermore, allows estimating the timing of ischemic damage.

Iacobellis, Francesca; Berritto, Daniela; Fleischmann, Dominik; Gagliardi, Giuliano; Brillantino, Antonio; Mazzei, Maria Antonietta; Grassi, Roberto

2014-01-01

63

CT and MR findings in a neuroforaminal extraskeletal Ewing sarcoma mimicking benign nerve sheath tumor  

Microsoft Academic Search

Introduction  We report the CT and MR findings in a 30-year-old man with extraskeletal Ewing sarcoma (EES) involving the left neural foramen\\u000a at L5–S1 level.\\u000a \\u000a \\u000a \\u000a \\u000a Materials and methods  The patient was evaluated with preoperative lumbosacral CT and MR imaging and postoperative lumbosacral MR imaging.\\u000a \\u000a \\u000a \\u000a Results   The lesion was hyperdense on CT, isointense on T1- and T2-weighted MR images, and enhanced homogeneously after

S. Avcu; H. N. Özcan; M. ?zmirli; M. Lemmerling

64

Unrequested imaging findings on routine chest CT : results from the PROVIDI study  

Microsoft Academic Search

Prognostic research is of growing importance. However, rarely are results from imaging techniques considered for medical prognostication, whilst prognostically promising unrequested imaging findings are increasingly being detected in daily routine care. Therefore this thesis aimed to contribute to the general knowledge of prognostic research and specifically to determine the prognostic relevance of unrequested imaging findings, detected on routine chest CT,

M. J. A. Gondrie

2011-01-01

65

Comparison of CT scan and MRI findings in the diagnosis of Japanese encephalitis  

Microsoft Academic Search

Japanese encephalitis (JE) is the commonest endemic encephalitis but there are very few studies on the radiological changes and these are based on relatively small number of patients. The present study aims at comparing the CT scan and MRI findings in JE and correlate these with the reported histopathological findings. Forty two patients with JE were subjected to detailed neurological

J Kalita; U. K Misra

2000-01-01

66

Unusual Laboratory Findings in a Case of Norwegian Scabies Provided a Clue to Diagnosis  

PubMed Central

The diagnosis of Norwegian scabies was missed for a year for an elderly long-term-care facility resident. Serpiginous tracks were noted on the surface of Sabouraud dextrose agar used for fungal culture of the skin scrapings. This unusual laboratory manifestation must alert clinical microbiologists to the possible diagnosis of scabies. PMID:15872307

Wong, Samson S. Y.; Woo, Patrick C. Y.; Yuen, Kwok-yung

2005-01-01

67

Oligodendroglioma with neurocytic differentiation versus atypical extraventricular neurocytoma: a case report of unusual pathologic findings of a spinal cord tumor  

Microsoft Academic Search

Differentiating oligodendroglioma from extraventricular neurocytoma by conventional light microscopy alone can present a diagnostic\\u000a challenge. We report pathologic findings of an unusual spinal cord tumor from a 33-year-old male patient which showed hybrid\\u000a features of oligodendroglioma and extraventricular neurocytoma. Magnetic resonance imaging (MRI) showed an enhancing intramedullary\\u000a mass in the cervicothoracic region (C7 through T6). Histologic examination revealed a clear

Addisalem T. Makuria; Fraser C. Henderson; Elisabeth J. Rushing; Dan-Paul Hartmann; Norio Azumi; Metin Ozdemirli

2007-01-01

68

Comparison of Preoperative Temporal Bone CT with Intraoperative Findings in Patients with Cholesteatoma  

PubMed Central

Introduction: Cholesteatoma is traditionally diagnosed by otoscopic examination and treated by surgery. The necessity for imaging in an uncomplicated case is controversial. This study was planned to investigate the usefulness of a preoperative high-resolution computed tomography (HRCT) scan in depicting the status of middle ear structures in the presence of cholesteatoma and also to compare the correspondence between pre- and intraoperative CT findings in patients with cholesteatoma. Materials and Methods: This prospective descriptive study was performed from January 2009 to May 2011 in 36 patients with cholesteatoma who were referred to the Kashani and Al-Zahra Clinics of Otolaryngology. Preoperative high-resolution temporal bone CT scans (axial and coronal views) were carried out and compared with intraoperative findings. Results: Evaluation of 36 patients and their CT scans revealed excellent correlation for sigmoid plate erosion, widening of aditus, and erosion of scutum; good correlation for erosion of malleus and tegmen; moderate correlation for lateral canal fistula (LCF) and erosion of mastoid air cells; and poor correlation for facial nerve dehiscence (FND), incus, and stapes erosion. Conclusion: A preoperative CT scan may be helpful in relation to diagnosis and decision making for surgery in cases of cholesteatoma and ossicular erosion. The CT scan can accurately predict the extent of disease and is helpful for detection of lateral canal fistula, erosions of dural plate, and ossicular erosions. However it is not able to distinguish between cholesteatoma and mucosal disease, facial nerve dehiscency, incus, and stapes erosion. PMID:24505568

Rogha, Mehrdad; Hashemi, Sayyed Mostafa; Mokhtarinejad, Farhad; Eshaghian, Afrooz; Dadgostar, Alireza

2014-01-01

69

Non-specific interstitial pneumonia: findings on sequential CT scans of nine patients  

PubMed Central

BACKGROUND—The purpose of this study was to describe findings on sequential high resolution computed tomographic (CT) scans of nine patients with non-specific interstitial pneumonia.?METHODS—Thin section CT scans of nine patients with pathologically proven non-specific interstitial pneumonia were evaluated retrospectively. All patients underwent sequential CT scanning (mean follow up 3.1 years (range 1-8)).?RESULTS—The predominant finding on the initial CT scans in seven patients was patchy areas of ground glass opacity in both the central and peripheral lung, with (n = 5) or without (n = 2) irregular areas of consolidation. In another two patients areas of consolidation in both the central and peripheral lung were seen as the predominant abnormality. The initial parenchymal abnormalities had resolved completely in four patients with predominant ground glass opacity without bronchiolectasis. Some of the bronchiectasis and bronchiolectasis resolved. In two patients bronchiectasis and bronchiolectasis occurred at one year and two years of follow up, respectively. In two patients with predominant consolidation the consolidation decreased but persisted, and in one patient the consolidation evolved into honeycombing. In the other patient bronchiectasis progressed over the course of seven years, forming varicoid bronchiectasis.?CONCLUSION—Patients with non-specific interstitial pneumonia may recover completely after treatment with corticosteroids, but as many as half of these patients will have persistent pulmonary abnormalities on CT scans including bronchiectasis and honeycomb lung.?? PMID:10992538

Akira, M.; Inoue, G.; Yamamoto, S.; Sakatani, M.

2000-01-01

70

Japanese encephalitis in the Kurume region of Japan: CT and MRI findings  

Microsoft Academic Search

Neurological, computed tomography (CT) and magnetic resonance imaging (MRI) findings were recorded from 13 patients with Japanese encephalitis (JE) in the Kurume region diagnosed by serological criteria. The patients averaged 63 years of age, and 5 were older than 70 years. The serological data mostly indicated a primary response. Hemiplegia and tetraplegia were common, together with extrapyramidal signs. A few

H. Shoji; Y. Hiraki; N. Kuwasaki; T. Toyomasu; M. Kaji; T. Okudera

1989-01-01

71

Benign Fibrous Histiocytoma of the Nasal Cavity in a Newborn: MR and CT Findings  

Microsoft Academic Search

Summary: Benign fibrous histiocytoma of the nasal cavity in a newborn is rare, and the MR imaging appearance of this entity has not been reported. We present the MR and CT findings in such a case and review the differential diagnosis for intranasal masses in the neonate. Congenital intranasal mass lesions represent one subtype of several possible causes of respiratory

David A. Shrier; Alun R. Wang; Uresh Patel; Ahmad Monajati; Patricia Chess; Yuji Numaguchi

72

Delayed presentation of splenic rupture following colonoscopy: clinical and CT findings.  

PubMed

The purpose of this study is to investigate the clinical and CT findings in patients with symptomatic colonoscopy-induced splenic rupture, and to assess for common features among this cohort. Multi-center search yielded 11 adults with symptomatic splenic injury related to colonoscopy. Workup included abdominal CT in 10 (91%) cases and abdominal radiography in two patients (one patient had both). Colonoscopy findings, post-procedural course, and CT findings were systematically reviewed. Mean patient age was 62.2 years (range, 51-84 years); 8 (73%) of 11 were female. The majority (64%) of colonoscopies were for screening. No immediate complications were reported at optical colonoscopy; tortuosity/redundancy was noted in five cases. Except for a small (8 mm) polyp in one case and a large (10 mm) polyp in another, the remaining nine patients had either diminutive or no polyps. Only one patient presented with hemodynamic instability during post-colonoscopy recovery; the other ten had a delayed presentation ranging from 8 h to 8 days (mean, 2.1 days). All 11 patients presented with abdominal pain. CT was diagnostic for splenic injury with subcaspular and/or perisplenic hematoma in all ten CT cases. Hemoperitoneum was present in eight, visible splenic laceration in three cases, and splenic artery pseudoaneurysm in one case. Five patients underwent splenectomy (four emergent) and six patients were treated conservatively. Average hospital stay was 5.5 days (range, 3-10 days). Colonoscopy-induced splenic rupture characteristically presents as a delayed and often serious complication. In cases of apparent non-traumatic splenic hematoma or rupture at CT, eliciting a history of recent colonoscopy may identify the etiology. PMID:21887533

Fishback, Shelby J; Pickhardt, Perry J; Bhalla, Sanjeev; Menias, Christine O; Congdon, Robert G; Macari, Michael

2011-12-01

73

Limitations in the CT Diagnosis of Acute Diverticulitis: Comparison of CT, Contrast Enema, and Pathologic Findings in 16 Patients  

Microsoft Academic Search

Pitfalls in CT diagnosis of acute diverticuhitis were investigated in 16 patients with the disease who had misleading or equivocal CT features. The CT appearance was corre- hated with contrast enemas (13 cases) and with surgical assessment and pathologic evaluation of resected specimens (12 cases). Limitations in the CT diagnosis were related to (1) marked thickening of the colonic wall,

Emil J. Balthazar; Alec Megibow; Roger A. Schinella; Richard Gordon

74

Unusual late pulmonary complication in a child after umbilical cord blood transplantation: high-resolution CT-pathologic correlation.  

PubMed

We encountered a late pulmonary complication after umbilical cord blood transplantation (UCBT) that has not been previously reported. High-resolution CT (HRCT) findings of this disease were compared with the pathology. HRCT obtained on inspiration showed dilated thick-walled bronchioli, and innumerable centrilobular linear and branching structures in the bilateral middle and lower lobes. Neither mosaic perfusion nor air-trapping was seen in HRCT on inspiration and expiration. These HRCT findings were atypical compared with those of former bronchiolitis obliterans (BO) after bone marrow transplant (BMT). Pathologic specimens obtained by open lung biopsy showed thickening of the wall from the distal bronchioli to the alveolar ducts due to submucosal and intraepithelial infiltration of lymphocytes, histiocytes and foamy macrophages, which was not accompanied by organizing changes. These changes resemble lymphocytic bronchiolitis in lung transplant recipients, which was well correlated with HRCT findings. We think that our case was a new late pulmonary complication after UCBT. PMID:15818209

Endo, Masahiro; Furukawa, Hiroyoshi; Aramaki, Takeshi; Morimoto, Naoki; Uematsu, Takayoshi; Yukisawa, Seigo; Yuen, Sachiko; Yamamoto, Nobuyuki; Ohde, Yasuhisa; Kondo, Haruhiko; Amano, Koji

2005-05-01

75

Synchronous mucinous tumors of the ovary and the appendix associated with pseudomyxoma peritonei: CT findings  

Microsoft Academic Search

Background: To present the computed tomographic (CT) findings of synchronous mucinous tumors of the ovary and the appendix associated\\u000a with pseudomyxoma peritonei (PMP).\\u000a \\u000a \\u000a \\u000a \\u000a Methods: Imaging studies, mainly abdominal CT scans, of three women aged 49–75 years were reviewed. Attention was directed to the\\u000a ovarian masses, peritoneal seeding, and the presence of an appendiceal mucocele.\\u000a \\u000a \\u000a \\u000a \\u000a Results: The ovarian tumors and the

R. Zissin; G. Gayer; A. Fishman; E. Edelstein; M. Shapiro-Feinberg

2000-01-01

76

Computed Tomography Findings of an Unusual Maxillary Sinus Mass: Brown Tumor Due to Tertiary Hyperparathyroidism  

PubMed Central

Brown tumor is a non-neoplastic bone lesion that develops secondary to hyperparathyroidism and it is very rare in the maxillofacial region. We report the case of a 59-year-old man who presented with pain and a swelling in the left cheek. Computed tomography (CT) demonstrated an expansile and radioluscent lesion in the left maxillary sinus. Incisional biopsy was performed, and the diagnosis was Brown tumor. Brown tumor must be considered in the differential diagnosis of expansile lesions of maxillary sinus. PMID:24404414

Altay, Canan; Erdo?an, Nezahat; Eren, Erdem; Altay, Sedat; Karasu, ?ebnem; Uluç, Engin

2013-01-01

77

Extrarenal manifestations of severe acute pyelonephritis: CT findings in 21 cases.  

PubMed

The aim of this study is to report the extrarenal computerized tomography (CT) findings in patients with acute pyelonephritis (APN). Twenty-one CT examinations of 20 patients [19 women and one man, with ages ranging from 18 to 57 years (mean -35.2 years)], presenting either with a clinical diagnosis of APN (n=17) or with a suspected acute appendicitis, fever of unknown origin, and adult respiratory distress syndrome, one in each, were retrospectively reviewed. None had a known preexisting systemic disease. Results showed that renal abnormalities were seen on CT in all patients. In addition, ascites was detected in all women patients associated with subcutaneous edema in five of them. A thickened gallbladder wall was found in 19 cases, all were women, and periportal tracking and a dilated inferior vena cava in 17 CTs. Pleural effusion and thickened interlobular septa were present in 16 and 15 studies, respectively. Relevant laboratory findings included hypoalbuminemia in 14, elevated liver enzymes in 11, hypocholesterolemia in nine, and elevated LDH levels in six cases. In conclusion, radiologists should be familiar with the extrarenal imaging features of APN that may be seen on CT, and on ultrasonography as well, and should look for renal abnormalities to diagnose a clinically unsuspected APN. Alternatively, APN should be included in the differential diagnosis of systemic diseases that cause gallbladder wall thickening to avoid misdiagnosing it as acute cholecystitis. PMID:16941112

Zissin, Rivka; Osadchy, Alexandra; Gayer, Gabriela; Kitay-Cohen, Yona

2006-11-01

78

Correlation between dynamic CT findings and pathological prognostic factors of small lung adenocarcinoma  

PubMed Central

Abstract Abstract Purpose: To compare pathological prognostic factors of small lung adenocarcinomas with findings of contrast-enhanced dynamic computed tomography (CT) scans. Materials and methods: We evaluated 108 patients with lung adenocarcinomas???30?mm in diameter who underwent dynamic CT scans (80–96?ml of contrast material, 2.5–3?ml/s injection) and tumor resections. Attenuation values of both the early phase (20–36?s after injection) and delayed phase (91–95?s) of enhanced CT minus baseline plain CT attenuation were defined as ?Early and ?Delay. The early enhancement ratio was defined as ?Early/?Delay×100 (%). We statistically compared the early enhancement ratios between the presence and absence of each pathological finding (lymph node metastasis, lymphatic permeation, vascular invasion, and pleural involvement). Patients were divided into 2 groups based on early enhancement ratios: ratio ?50% (n?=?41) and ratio <50% (n?=?67) and we statistically compared these 2 groups. Results: The early enhancement ratios in the group with lymph node metastasis, lymphatic permeation, and vascular invasion were significantly lower than in the group without these findings (24.9% vs 48.6%; P?CT and the pathological prognostic factors in small lung adenocarcinomas. PMID:22752199

Koike, Wataru; Matsuo, Keiji; Kitano, Mariko; Kawakami, Kenichi; Okada, Tohru; Naganawa, Shinji

2012-01-01

79

Orbital positron emission tomography/computed tomography (PET/CT) imaging findings in graves ophthalmopathy  

PubMed Central

Background We aimed to describe orbital positron emission tomography/computed tomography (PET/CT) imaging findings, both structural and metabolic, in different clinical stages of Graves ophthalmopathy (GO). This prospective, observational, cross-sectional study examined 32 eyes of 16 patients with GO. Methods Patients were assessed with a complete ophthalmological evaluation and assigned a VISA classification for GO. All patients underwent serum thyroid hormone measurement, antibody profile, and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18-FDG PET/CT) of the orbits. The 18-FDG uptake on PET images was expressed in terms of maximum standard uptake value (SUVmax). CT images were analyzed, and orbital structures were measured in millimeters. Vision, inflammation, strabismus, and overall appearance were assessed according to the VISA classification system, thyroid hormone levels, antibody values, 18-FDG uptake, and thickness of orbital structures. Results Altogether, 32 eyes of 16 patients (10 women, 6 men; mean age 44.31?±?13 years, range 20–71 years) were included. Three patients were hypothyroid, seven were euthyroid, and six were hyperthyroid. CT measurements of extraocular muscle diameter were elevated (P?CT (R2?=?0.0755, P?>?0.05). Conclusions We demonstrated a lack of correlation between 18-FDG extraocular muscle uptake and either clinical inflammation score or muscle diameter. Although 18-FDG uptake has been used as an inflammation marker in other pathologies, inflammation in GO may be clinically detected in PET/CT-negative cases, and cases with negative clinical findings may show inflammation on PET/CT. Clinical evaluation is mandatory but may be insufficient and inaccurate for classifying GO. A larger and homogeneous sample size and further research is needed to define the role of PET/CT in detecting, grading, and follow-up of GO to optimize treatment of the inflammatory stage respect clinical methods currently used. PMID:24007404

2013-01-01

80

Pseudolesions of left liver lobe during helical CT examinations: prevalence and comparison between unenhanced and biphasic CT findings  

Microsoft Academic Search

Objective:Localized low attenuated areas (pseudolesions) in the medial segment of left liver lobe are not rarely seen in the screening of abdomen using helical CT. The purpose of this study was to determine the prevalence of pseudolesions in the routine helical CT of abdomen and to evaluate the morphologic and enhancement features of pseudolesions in the unenhanced and enhanced CT

Kutsi Koseoglu; Yelda Ozsunar; Fusun Taskin; Can Karaman

2005-01-01

81

Small bowel obstruction due to phytobezoar formation within meckel diverticulum: CT findings  

SciTech Connect

Intestinal obstruction due to a phytobezoar within a Meckel diverticulum is exceedingly rare, with only seven reported cases in the surgical literature. The most important precipitating factor is the ingestion of agents high in fiber and cellulose. Small bowel obstruction in all but one case was due to retrograde propagation of the bezoar into the small bowel lumen. We report the clinical and CT findings in such a patient following a vegetarian diet. 14 refs., 2 figs.

Frazzini, V.I. Jr.; English, W.J.; Bashist, B.; Moore, E. [Columbia Univ. College of Physicians and Surgeons, New York, NY (United States)] [Columbia Univ. College of Physicians and Surgeons, New York, NY (United States)

1996-05-01

82

Radiation-induced sarcoma of bone: CT findings in 19 cases  

SciTech Connect

We reviewed the CT findings in 19 cases of radiation-induced sarcoma of bone. The latent period before development of the sarcoma ranged from 5 to 50 years (mean, 17 years). In all 19 lesions, a soft-tissue extraosseous component was seen on CT, and 18 of them had associated bone destruction. Expansion of the affected bone and tumor-matrix mineralization each were present in 10 patients, but occurred together in only five patients. Periosteal reaction was seen in five patients, one of whom had an associated fracture. Radiation osteitis could not be identified on CT scans in the affected bone of any of the patients when tumor was present, but it was present in contiguous bone in two patients and had been shown 6 years before tumor became apparent in the affected bone in one other patient. Radiation-induced sarcoma of bone should be considered when bone destruction and an associated soft-tissue mass are shown on CT, or when changes occur in the appearance of previously stable irradiated bone.

Lorigan, J.G.; Libshitz, H.I.; Peuchot, M. (Univ. of Texas M.D. Anderson Cancer Center, Houston (USA))

1989-10-01

83

Calcified plaque: measurement of area at thin-section flat-panel CT and 64-section multidetector CT and comparison with histopathologic findings.  

PubMed

The purpose of this study was to assess the blooming artifacts in ex vivo coronary arteries at multidetector computed tomography (CT) and flat-panel-volume CT by comparing measured areas of calcified plaque with respect to the reference standard of histopathologic findings. Three ex vivo hearts were scanned with multidetector CT and flat-panel-volume CT after institutional review board approval. The area of calcified plaque was measured at histopathologic examination, multidetector CT, and flat-panel-volume CT. The plaque area was overestimated at multidetector CT by 400% (4.61/1.15) on average, and the predicted difference between the measurements was significant (3.46 mm(2), P = .018). The average overestimation of plaque area at flat-panel-volume CT was twofold (214% [2.18/1.02]), and the predicted difference was smaller (1.16 mm(2), P = .08). The extent of the blooming artifact in visualizing calcified coronary plaque is reduced by using flat-panel-volume CT. PMID:18710960

Sarwar, Ammar; Rieber, Johannes; Mooyaart, Eline A Q; Seneviratne, Sujith K; Houser, Stuart L; Bamberg, Fabian; Raffel, O Christopher; Gupta, Rajiv; Kalra, Mannudeep K; Pien, Homer; Lee, Hang; Brady, Thomas J; Hoffmann, Udo

2008-10-01

84

CT Findings of Gallbladder Metastases: Emphasis on Differences According to Primary Tumors  

PubMed Central

Objective To describe computed tomography (CT) features of metastatic gallbladder (GB) tumors (MGTs) from various primary tumors and to determine whether there are differential imaging features of MGTs according to different primary tumors. Materials and Methods Twenty-one patients who had pathologically confirmed MGTs and underwent CT were retrospectively enrolled. Clinical findings including presenting symptoms, type of surgery, and interval between primary and metastatic tumors were recorded. Histologic features of primary tumor and MGTs including depth of invasion were also reviewed. Imaging findings were analyzed for the location and morphology of MGTs, pattern and degree of enhancement, depth of invasion, presence of intact overlying mucosa, and concordance between imaging features of primary and metastatic tumors. Significant differences between the histologies of MGTs and imaging features were determined. Results The most common primary tumor metastasized to the GB was gastric cancer (n = 8), followed by renal cell carcinoma (n = 4) and hepatocellular carcinoma (n = 3). All MGTs (n = 21) manifested as infiltrative wall thickenings (n = 15) or as polypoid lesions (n = 6) on CT, similar to the features of primary GB cancers. There were significant differences in the morphology of MGTs, enhancement pattern, enhancement degree, and depth of invasion according to the histology of primary tumors (p < 0.05). Metastatic adenocarcinomas of the GB manifested as infiltrative and persistently enhancing wall thickenings, while non-adenocarcinomatous metastases usually manifested as polypoid lesions with early wash-in and wash-out. Conclusion Although CT findings of MGTs are similar to those of primary GB cancer, they are significantly different between the various histologies of primary tumors. PMID:24843238

Choi, Won Seok; Lee, Eun Sun; Lee, Kyoung-Bun; Yoon, Won Jae; Shin, Cheong-Il; Han, Joon Koo

2014-01-01

85

A rare syndrome with unusual dental findings: Oculo-facio-cardio-dental syndrome  

PubMed Central

Radiculomegaly of a tooth is a rare condition. When it is associated with other dental abnormalities, facial dysmorphism and congenital cataracts, the condition is named as oculofaciocardiodental (OFCD) syndrome. This is an X-linked dominant trait, reported only in women, suggesting that it is lethal in males. The most consistent and pathognomic dental finding of OFCD is radiculomegaly (extremely long roots), particularly of the canines and occasionally of other teeth including premolars and incisors, which can easily be diagnosed on dental panoramic radiographs by a dentist or an orthodontist. Till date, 21 cases have been reported worldwide. The aim of this report is to present a new case of a 24 year old female affected by this syndrome and to evaluate it from a dental perspective to call the attention of dentists to this rare anomaly.

Verma, Geeta; Singh, Gulshan Kumar; Tandon, Pradeep; Verma, Sneh Late

2014-01-01

86

Unusual MRI findings of dural arteriovenous fistula: Isolated perfusion lesions mimicking TIA  

PubMed Central

Background The diagnosis of transient ischemic attack (TIA) based on clinical history and objective findings, even including multiparametric MRI, can be misleading. We report two patients who presented with TIA-like deficits with isolated perfusion lesions in corresponding areas but were finally diagnosed as transient neurological symptoms associated with dural arteriovenous fistula (dAVF). Case presentation Two patients presented with transient focal neurological symptoms lasting less than one hour. An isolated perfusion deficit with no diffusion change in the clinically relevant area was shown on brain MRI, indicating transient ischemia as the most plausible cause of neurological symptoms. However, cerebral angiography let to diagnosis of dAVF in both cases. Intracerebral hemorrhage occurred after the initial diagnosis of TIA in one patient, and the small area of perfusion abnormality accompanied by the enlarged cortical vein in the other case helped to identify the dAVF through the further investigation. The pattern of perfusion-weighted imaging in both cases revealed increase of mean transit time and relative cerebral blood volume denoting the venous congestion in a clinically corresponding area. Conclusion Reported cases are uncommon clinical presentation of a dAVF, which can be misdiagnosed as TIA on clinical grounds. In rare cases, the isolated perfusion deficits could be attributable to venous congestion, despite the similar pattern of clinical presentation, such as with TIA. PMID:22905952

2012-01-01

87

High-Resolution CT Findings of Bronchiolitis Obliterans Syndrome after Hematopoietic Stem Cell Transplantation  

PubMed Central

PURPOSE To describe the HRCT findings occurring in bronchiolitis obliterans syndrome following hematopoietic stem cell transplantation and to determine the relationship between pulmonary function tests and air-trapping detected on expiratory CT. MATERIALS AND METHODS The HRCT scans of 33 patients who underwent hematopoietic stem cell transplantation and subsequently developed bronchiolitis obliterans syndrome were evaluated by two observers blinded to pulmonary function test results. Scans were ranked for degree of air-trapping and scored for findings of bronchial wall thickening, bronchiectasis, and centrilobular opacities. Air-trapping rank was correlated with the degree of airflow obstruction as determined by pulmonary function tests. RESULTS The ranking of air-trapping correlated significantly with FEV1 (p=0.001), FEV1/FVC (p<0.001), RV (p<0.001), DLCO (p=0.023), but not FVC (p=0.14) or TLC (p=0.07). Bronchial wall thickening occurred in 73.0%, predominantly in lower lobes (p=0.007), but was mild. Bronchiectasis occurred in 42.4% and centrilobular opacities in 39.4%. CONCLUSION In bronchiolitis obliterans syndrome developing after hematopoietic stem cell transplantation, air-trapping is the principal finding on CT, and its severity correlates with pulmonary function tests. Bronchial wall thickening is common, but almost always mild; bronchiectasis and centrilobular opacities occur in less than half of cases and are also mild. PMID:19204468

Gunn, Martin L. D.; Godwin, J. David; Kanne, Jeffrey P.; Flowers, Mary E.; Chien, Jason W.

2008-01-01

88

Electrocardiography in conscious releasable Andean condors (Vultur gryphus): reference panel and unusual findings.  

PubMed

Electrocardiography is a useful tool when included in healthcare protocols and is increasingly utilized for monitoring wild birds. However, the lack of reference data for many species is limiting the clinical value of this technique. In this study 26 Andean condors (Vultur gryphus) coming from rehabilitation and captive breeding programs were examined to determine electrocardiographic references prior to being released. Standard bipolar (I, II, and III) and augmented unipolar limb (aVR, aVL, and aVF) leads were recorded with birds under physical restraint. Five beats were analyzed on Lead II at 50?mm/sec and 1?cm?=?1?mV to determine QRS complex morphology, cardiac rhythm, heart rate, P, PR, R, S, QRS, T, QT, and ST amplitude and/or duration. P and T wave configuration was determined for all leads, and Mean Electrical Axis (MEA) in the frontal plane was determined using leads I and III. Cardiac rhythm corresponded to regular sinus rhythm in 42% of the birds, with a relevant rate of sinus arrhythmia in 58%, and rS as the most common pattern (42%) for QRS complex in lead II. We found an influence of age and heart rate but not of sex on several ECG waves and intervals. Relevant ECG findings for studied Andean condors include a high rate of T(a), R', and U wave detection. Waves T(a) and R' were considered non-pathological, while the significance of U waves remains unclear. Our results provide a useful reference to improve clinical interpretation of full electrocardiographic examination in Andean condors. PMID:23386535

Wiemeyer, Guillermo M; Lambertucci, Sergio A; Bianchini, Laura Torres; Belerenian, Guillermo

2013-01-01

89

Different histological subtypes of parotid gland tumors: CT findings and diagnostic strategy  

PubMed Central

AIM: To present computed tomography (CT) findings of different histological subtypes of parotid gland masses in detail and to establish diagnostic strategy. METHODS: From January 2009 to November 2011, 56 patients were collected through the histopathology and Picture Archiving and Communication Systems records, which revealed 5 basal cell adenoma (BCA), 16 pleomorphic adenoma (PA), 25 Warthin’s tumor (War-T), 3 Kimura’s disease (KD) and 7 parotid carcinoma (PCa) cases. All the CT images were retrospectively analyzed by two radiologists in consensus, based on their description of morphology (location, number, size, margin and fibrous capsule) and enhancement patterns of masses. In addition, the diagnostic efficiency of diagnostic strategy is tested. RESULTS: War-T and BCA patients’ mean age was 59.9 ± 12.6 years and 58.4 ± 18.2 years; the significant difference was seen in War-T vs PA and BCA vs PA. About 40% of War-Ts presented with bilateral multifocal lesions, a higher ratio than others. Seventy two percent of War-Ts were limited to the superficial lobe, followed by BCA 60% and PA 40%. Vessel facing sign and enlarged lymph nodes were both frequent in War-T, which respectively accounts for 84% and 76% of cases. Rapid contrast enhancement and decreases were unique for War-T. BCA and PA showed obvious delayed enhancement. The diagnostic strategy of parotid gland tumor had a good diagnostic efficiency, with high accuracy, sensitivity and specificity. CONCLUSION: Determination of the histological subtypes of parotid gland masses might be possible based on CT findings and clinical data. A diagnostic strategy with high diagnostic efficiency was established. PMID:24003357

Xu, Zhi-Feng; Yong, Fang; Yu, Tian; Chen, Ying-Yu; Gao, Qiang; Zhou, Tao; Pan, Ai-Zhen; Wu, Ren-Hua

2013-01-01

90

Tuberculous spondylodiscitis in a patient with a sickle-cell disease: CT findings  

PubMed Central

Summary Background: Although sickle-cell anemia (SCA) is common in black Americans, Sub-Saharan Africa and in the Mediterranean area, the disease is rare in the temperate climate zone. The manifestations of the disease are related mainly to the production of abnormal hemoglobin that leads to organ ischemia and increased susceptibility to infection caused by functional asplenia. Case Report: The authors present CT findings in a 39-year-old black woman diagnosed due to abdominal pain, lymphadenopathy and fever. CT of the thorax and abdomen demonstrated changes in the liver, spleen, and skeletal system suggestive of SCA complicated with spondylodiscitis in the thoracic spine. Discussion: Hepatomegaly and small calcified spleen are typical findings in older homozygotic patients with SCA. The lesions in the skeleton may be related either to intramedullary hematopoiesis or osteonecrosis and osteomyelitis. In the latter case, diffuse osteosclerosis and H-shaped vertebrae are most typical. Tuberculous spondylodiscitis is characterized by the location in the thoracic region, preferential involvement of anterior elements, relative sparing of intervertebral discs, and cold abscesses. PMID:22802871

Krupniewski, Leszek; Palczewski, Piotr; Golebiowski, Marek; Kosinska-Kaczynska, Katarzyna

2012-01-01

91

Contrast enhanced multi-detector CT and MR findings of a well-differentiated pancreatic vipoma  

PubMed Central

Pancreatic vipoma is an extremely rare tumor accounting for less than 2% of endocrine pancreatic neoplasms with a reported incidence of 0.1-0.6 per million. While cross-sectional imaging findings are usually not specific, exact localization of the tumor by means of either computed tomography (CT) or magnetic resonance (MR) is pivotal for surgical planning. However, cross-sectional imaging findings are usually not specific and further characterization of the tumor may only be achieved by somatostatin-receptor scintigraphy (SRS). We report the case of a 70 years old female with a two years history of watery diarrhoea who was found to have a solid, inhomogeneously enhancing lesion at the level of the pancreatic tail at Gadolinium-enhanced MR (Somatom Trio 3T, Siemens, Germany). The tumor had been prospectively overlooked at a contrast-enhanced multi-detector CT (Aquilion 64, Toshiba, Japan) performed after i.v. bolus injection of only 100 cc of iodinated non ionic contrast media because of a chronic renal failure (3.4 mg/mL) but it was subsequently confirmed by SRS. The patient first underwent a successful symptomatic treatment with somatostatin analogues and was then submitted to a distal pancreasectomy with splenectomy to remove a capsulated whitish tumor which turned out to be a well-differentiated vipoma at histological and immuno-histochemical analysis.

Camera, Luigi; Severino, Rosa; Faggiano, Antongiulio; Masone, Stefania; Mansueto, Gelsomina; Maurea, Simone; Fonti, Rosa; Salvatore, Marco

2014-01-01

92

Contrast enhanced multi-detector CT and MR findings of a well-differentiated pancreatic vipoma.  

PubMed

Pancreatic vipoma is an extremely rare tumor accounting for less than 2% of endocrine pancreatic neoplasms with a reported incidence of 0.1-0.6 per million. While cross-sectional imaging findings are usually not specific, exact localization of the tumor by means of either computed tomography (CT) or magnetic resonance (MR) is pivotal for surgical planning. However, cross-sectional imaging findings are usually not specific and further characterization of the tumor may only be achieved by somatostatin-receptor scintigraphy (SRS). We report the case of a 70 years old female with a two years history of watery diarrhoea who was found to have a solid, inhomogeneously enhancing lesion at the level of the pancreatic tail at Gadolinium-enhanced MR (Somatom Trio 3T, Siemens, Germany). The tumor had been prospectively overlooked at a contrast-enhanced multi-detector CT (Aquilion 64, Toshiba, Japan) performed after i.v. bolus injection of only 100 cc of iodinated non ionic contrast media because of a chronic renal failure (3.4 mg/mL) but it was subsequently confirmed by SRS. The patient first underwent a successful symptomatic treatment with somatostatin analogues and was then submitted to a distal pancreasectomy with splenectomy to remove a capsulated whitish tumor which turned out to be a well-differentiated vipoma at histological and immuno-histochemical analysis. PMID:25349667

Camera, Luigi; Severino, Rosa; Faggiano, Antongiulio; Masone, Stefania; Mansueto, Gelsomina; Maurea, Simone; Fonti, Rosa; Salvatore, Marco

2014-10-28

93

High-resolution CT findings of pulmonary infections after orthotopic liver transplantation in 453 patients  

PubMed Central

Objectives The objective of this study was to review the high-resolution CT (HRCT) findings in patients with pulmonary infection after orthotopic liver transplantation (OLT) and to determine distinguishing findings among the various types of infection. Methods This study included 453 consecutive liver transplant recipients with pulmonary infection, on whom HRCT of the chest was performed within 24 h of the beginning of symptoms and for whom proven diagnosis had taken place within 1 week of the onset of symptoms. Two radiologists analysed the CT images; final decisions regarding the findings were reached by consensus. Results Bacterial and viral pneumonia made up the bulk of infections (63.4% and 29.4%, respectively), followed by fungal infiltrates (24.5%). Large nodules were most common in patients with fungal pneumonia, having been seen in 38 (54%) of the 70 patients with fungal pneumonia, 22 (10%) of 220 with bacterial pneumonia (p=0.0059) and 6 (8%) of 78 with viral pneumonia (p=0.0011). The halo sign was also more frequent in patients with fungal pneumonia, having been seen in 38 (54%) of the 70 patients with fungal pneumonia, 17 (8%) of 220 with bacterial pneumonia (p=0.0026) and 7 (9%) of 78 with viral pneumonia (p=0.0015). There was no statistically significant difference in the prevalence of the other HRCT patterns including air-space consolidation, ground-glass attenuation and small nodules among bacterial, viral and fungal infections (all p>0.05). Conclusion The presence of large nodules with the halo sign is most suggestive of fungal infection after OLT. Other HRCT patterns are not helpful in distinguishing among the various types of infection seen in liver transplant recipients. PMID:22993384

Qin, J; Xu, J; Dong, Y; Tang, W; Wu, B; An, Y; Shan, H

2012-01-01

94

CT detection of facial canal dehiscence and semicircular canal fistula: Comparison with surgical findings  

SciTech Connect

The purpose of this study was to determine the accuracy of high resolution CT (HRCT) in the detection of facial canal dehiscence and semicircular canal fistula, the preoperative evaluation of both of which is clinically very important for ear surgery. We retrospectively reviewed the HRCT findings in 61 patients who underwent mastoidectomy at Yamagata University between 1989 and 1993. The HRCT images were obtained in the axial and semicoronal planes using 1 mm slice thickness and 1 mm intersection gap. In 46 (75%) of the 61 patients, the HRCT image-based assessment of the facial canal dehiscence coincided with the surgical findings. The data for the facial canal revealed sensitivity of 66% and specificity of 84%. For semicircular canal fistula. in 59 (97%) of the 61 patients, the HRCT image-based assessment and the surgical findings coincided. The image-based assessment in the remaining two patients, who both had massive cholesteatoma, was false-positive. HRCT is useful in the diagnosis of facial canal dehiscence and labyrinthine fistula, but its limitations should also be recognized. 12 refs., 3 figs., 6 tabs.

Fuse, Takeo; Tada, Yuichiro; Aoyagi, Masaru; Sugai, Yukio [Yamagata Univ. School of Medicine (Japan)] [Yamagata Univ. School of Medicine (Japan)

1996-03-01

95

Chest CT findings in patients with inflammatory myopathy and Jo1 antibodies.  

PubMed

Thoracic high-resolution computed tomography scans (HRCT) of 17 patients with inflammatory muscle disorders (IMD) and positive Jo1 antibodies were retrospectively reviewed regarding presence, extension, and distribution of pathological findings. Abnormal findings were found in 14 (82.3%) patients. The predominant CT abnormality was ground glass attenuation, which was present in seven patients (41.1%), having a bilateral and diffuse distribution. In general, lesions tended to appear in the lower lobes and more specifically in the lung bases. Interlobular septal thickening was found in six patients (35.3%); it was seen in the upper and lower lobes with peripheral distribution and bilateral localization in five out of six patients. Bronchiectases, reticular opacities, and honeycombing were found in six patients (35.3%). Air space consolidation was seen in about 17% of the patients. Lung involvement is a frequent feature of IMD patients with positive Jo1 antibodies and its most common radiological pattern is that of nonspecific interstitial pneumonia. PMID:17604929

Karadimitrakis, Stylianos; Plastiras, Sotiris C; Zormpala, Alexandra; Chatzikonstantinou, Konstantinos; Boki, Kyriaki A; Tzelepis, George E; Moutsopoulos, Haralampos M

2008-04-01

96

UNUSUAL FINDINGS IN ZEBRAFISH, DANIO RERIO, FROM TOXICOLOGICAL STUDIES AND THE ZEBRAFISH INTERNATIONAL RESOURCE CENTER DIAGNOSTIC SERVICE  

EPA Science Inventory

A number of interesting and unusual lesions have been diagnosed in zebrafish that have been evaluated from toxicological studies or submitted as cases to the Diagnostic Service at Oregon State University. Lesions were observed in various wild-type and mutant lines of zebrafish an...

97

Post-pancreaticoduodenectomy hemorrhage of unusual origin: treatment with endovascular embolization and the value of preoperative CT angiography.  

PubMed

Post-pancreaticoduodenectomy hemorrhage is a life threatening complication reported to occur in 2-7% of patients. Historically, treatment required an exploratory laparotomy. Introduction of endovascular embolization has broadened the available treatment options. The most common location for a post-pancreaticoduodenectomy hemorrhage is the gastroduodenal artery stump. Nonetheless, unusual sources of hemorrhage exist and are hard to localize, thus they are often treated with open surgery. Here we report two cases of CTA proven hemorrhage from the dorsal pancreatic arcade and transverse pancreatic artery, which were successfully located with conventional angiography and treated with endovascular arterial coil embolization. Both patients were status post-pancreaticoduodenectomy (Whipple procedure) and presented with a sentinel bleed and a drop in hematocrit levels. PMID:23705050

Robinson, Kortney; Rajebi, Mohammad Reza; Zimmerman, Nicole; Zeinati, Chadi

2013-04-01

98

Post-Pancreaticoduodenectomy Hemorrhage of Unusual Origin: Treatment with Endovascular Embolization and the value of preoperative CT Angiography  

PubMed Central

Post-pancreaticoduodenectomy hemorrhage is a life threatening complication reported to occur in 2–7% of patients. Historically, treatment required an exploratory laparotomy. Introduction of endovascular embolization has broadened the available treatment options. The most common location for a post-pancreaticoduodenectomy hemorrhage is the gastroduodenal artery stump. Nonetheless, unusual sources of hemorrhage exist and are hard to localize, thus they are often treated with open surgery. Here we report two cases of CTA proven hemorrhage from the dorsal pancreatic arcade and transverse pancreatic artery, which were successfully located with conventional angiography and treated with endovascular arterial coil embolization. Both patients were status post-pancreaticoduodenectomy (Whipple procedure) and presented with a sentinel bleed and a drop in hematocrit levels. PMID:23705050

Robinson, Kortney; Rajebi, Mohammad Reza; Zimmerman, Nicole; Zeinati, Chadi

2013-01-01

99

Comparison of CT and DWI findings in ischemic stroke patients within 3 hours of onset.  

PubMed

This study compared the detection rate of ischemic lesions within 3 hours of onset by computed tomography (CT) and diffusion-weighted magnetic resonance imaging (DWI). The study group comprised 130 patients (71 men; median age, 75 years) with an anterior territory stroke who underwent CT and DWI within 3 hours of onset. The lesions revealed on CT and DWI were assessed using the CT-Alberta Stroke Program Early CT Score (ASPECTS) and DWI-ASPECTS, and detection rates were compared for each ASPECTS region. The detection rate of ischemic lesions was higher on DWI than on CT (76.9% v 30.0%; P < .001). The DWI-ASPECTS score was not correlated with the CT-ASPECTS score (r = 0.51; P < .001). Ischemic lesions were detected in the insula (59.2% for DWI vs 15.4% for CT; P < .001), lentiform nucleus (43.8% v 20.0%; P < .001), and the M1 (30.8% v 6.9%, P < .001), M2 (50.8% v 6.2%; P = .006), M3 (28.5% v 3.1%; P = .006), M4 (32.3% v 6.9%; P < .001), M5 (48.5% v 10.8%; P < .001), and M6 (31.5% v 4.6%, P = .012) areas of the middle cerebral artery. DWI detected ischemic lesions significantly more frequently than CT in all ASPECTS regions except the caudate head and internal capsule. PMID:23040956

Mitomi, Mutsumi; Kimura, Kazumi; Aoki, Junya; Iguchi, Yasuyuki

2014-01-01

100

Gallbladder torsion resulting in gangrenous cholecystitis within a parastomal hernia: Findings on unenhanced CT  

PubMed Central

Gallbladder torsion is a rare cause of acute gangrenous cholecystitis; its occurrence within an abdominal hernia has not been previously reported. We present such a case occurring within a parastomal hernia and imaged with unenhanced CT. PMID:24421934

Rosenblum, Jessica K.; Dym, R. Joshua; Sas, Norman; Rozenblit, Alla M.

2013-01-01

101

Chest CT screening of asbestos-exposed workers: lung lesions and incidental findings  

Microsoft Academic Search

The objective of the present study is to determine the feasibility of chest computed tomography (CT) in screening for lung cancer among asbestos-exposed workers. In total, 633 workers were included in the present study and were examined with chest radiography and high-resolution CT (HRCT). A total of 180 current and ex-smokers (cessation within the previous 10 yrs) were also screened

T. Vierikko; R. Jarvenpaa; T. Autti; P. Oksa; M. Huuskonen; S. Kaleva; J. Laurikka; S. Kajander; K. Paakkola; S. Saarelainen; A. Tossavainen; P. Tukiainene; J. Uitti; T. Vehmas

2007-01-01

102

Exercise-induced acute renal failure and patchy renal vasoconstriction: CT and MR findings.  

PubMed

Contrast-enhanced CT and MR imaging of the kidney were performed in two patients with acute renal failure and severe loin pain following a track race. Prior to the exercise both patients had had flu-like symptoms and took oral medications. There was no evidence of myoglobinuria. Immediate postcontrast CT of the kidney showed multiple patchy areas of poor contrast enhancement; after 24 h, there were multiple patchy enhancing cortical areas on CT without further use of intravenous contrast media. Magnetic resonance imaging of the kidney showed patchy areas of high signal intensity with obliteration of the corticomedullary contrast on T1-weighted images. On T2-weighted images the signal intensity of the lesion was high in one patient and low in the other. PMID:1939778

Kim, S H; Han, M C; Han, J S; Kim, S; Lee, J S

1991-01-01

103

An 18FDG-PET/CT finding of a mediastinal abscess.  

PubMed

A 66-year-old man with left pyriform fossa squamous cell carcinoma (T2N0) was treated with chemoradiation. Nine months later, an emergency tracheostomy was performed for respiratory distress. Contrast-enhanced neck and thorax CT demonstrated a right pyriform mass. FDG-PET/CT showed linear increased uptake extending superiorly from the tracheostomy to the right Eustachian tube and inferiorly to the posterior mediastinum. Postmortem examination confirmed a 7 × 2.2 cm abscess extending from the right parapharyngeal, peritracheal, and prevertebral structures to the mediastinum. PMID:23334149

Purcell, Yvonne Marie; Hegarty, Chris; Sharaf, Osama; Fabre, Aurélie; Skehan, Stephen J

2013-02-01

104

Northwestern researchers find lower dosage CT-guided lung biopsy protocol maintains quality, minimizes exposure  

Cancer.gov

New guidelines for CT-guided biopsies of lung nodules significantly reduce radiation exposure allowing individuals the benefit of the procedure, which may cut down on overall lung cancer deaths. This research is being presented at the Society of Interventional Radiology's 37th Annual Scientific Meeting in San Francisco, Calif.

105

Study Finds Small Increase in Cancer Risk after Childhood CT Scans  

Cancer.gov

A study published in the June 6, 2012, issue of The Lancet shows that radiation exposure from computed tomography (CT) scans in childhood results in very small but increased risks of leukemia and brain tumors in the first decade after exposure.

106

Massive hemoperitoneum due to ruptured ectopic gestation: Postmortem CT findings in a deeply frozen deceased person  

Microsoft Academic Search

A deceased 23year old female was repatriated from a 3rd world country in a deeply frozen state as no conventional mortuary refrigeration was available. Prior to her death the deceased had complained of abdominal pain, nausea and vomiting followed by collapse. She was unable to be resuscitated. Postmortem CT scanning on arrival at our mortuary (105h after death) revealed a

C. O’Donnell; P. Bedford; M. Burke

2011-01-01

107

Non-Hodgkin lymphoma involving the parotid gland: CT and MR imaging findings  

PubMed Central

Objectives: As an uncommon neoplasm, parotid non-Hodgkin lymphoma (NHL) comprises mucosa-associated lymphoid tissue (MALT) and non-MALT lymphomas. Both types of lymphoma vary in prognosis and treatment. The aim of this study was to explore CT and MRI characteristics of these two types of lymphoma. Methods: 61 cases of parotid NHL, 34 MALT and 27 non-MALT lymphomas with histopathological confirmation were examined with routine CT and MR scans prior to treatment, and retrospectively reviewed. Results: On CT and MRI, 34 MALT lymphomas presented with 11 solid and 23 solid-cystic forms, whereas 27 non-MALT lymphomas presented with 25 solid and 2 solid-cystic forms (p?CT and MRI can offer helpful information for differentiation of both types of parotid NHL. PMID:23975113

Zhu, L; Wang, P; Yang, J; Yu, Q

2013-01-01

108

Perforated tumours in the gastrointestinal tract: CT findings and clinical implications  

PubMed Central

Perforation usually requires emergency surgery and may affect the prognosis of patients with gastrointestinal tumours. Accurate pre-operative diagnosis of these conditions is important because proper management such as curative surgical treatment may be needed. The aims of this article are to illustrate CT appearances of perforated tumours of the gastrointestinal tract and to discuss their impact on clinical management. PMID:22496070

Kim, S W; Kim, H C; Yang, D M

2012-01-01

109

The double flipped meniscus sign: unusual MRI findings in bucket-handle tear of the lateral meniscus.  

PubMed

Bucket-handle meniscal tears are either longitudinal, vertical, or oblique in direction with an attached tear fragment displaced from the meniscus. Magnetic resonance imaging (MRI) signs are widely used in the diagnosis of these tears, including the 'fragment within the intercondylar notch sign', 'flipped meniscus sign', 'double anterior horn sign', 'absence of the bow tie sign', 'double posterior cruciate ligament (PCL) sign', 'posterior double PCL sign', and 'triple PCL sign'. We report an unusual case, not yet described in previous studies, of a bucket-handle tear presenting as a double longitudinal tear of the lateral meniscus (LM). Two longitudinal tears were observed in the white-white zone and the red-white zone of the LM, where both fragments were shown to be displaced and locked within the intercondylar notch. Partial menisectomy was performed for the central fragment and a repair with modified all-inside sutures was performed for the peripheral fragment. PMID:24156924

Ahn, Jin Hwan; Yim, Soo Jae; Seo, Yu Seok; Ko, Taeg Su; Lee, Joon Hee

2014-01-01

110

Tumor thrombus in the renal vein from an adrenal metastasis of lung cancer: 18FDG PET/CT findings.  

PubMed

Tumor thrombus is a rare complication of solid cancer. The authors report a case of a 76-year-old woman presenting a thick walled cystic mass in the lower lobe of the left lung. 18FDG positron emission tomography (PET)/computed tomography (CT) was performed, showing tracer accumulation in the wall of the pulmonary lesion and in the mediastinal and hilar lymph nodes. Moreover, PET/CT depicted a gross mass in the left adrenal gland and a hypermetabolic focus corresponding to the anatomic location of the left renal vein. Contrast-enhanced CT, subsequently performed, confirmed PET findings in the lung, lymph nodes, and adrenal glands, also demonstrating marginal enhancement and intraluminal filling defect in the left renal vein, which was interpreted as tumor thrombus due to the 18FDG uptake at PET scan. CT-guided biopsy of the mass was positive for poorly differentiated carcinoma. 18FDG PET can be useful to diagnose tumor thrombus in oncological patients. PMID:24852381

Filippi, Luca; Sardella, Barbara; Ciorra, Alida; Scopinaro, Francesco; Bagni, Oreste

2014-06-01

111

PET CT Thresholds for Radiotherapy Target Definition in Non-Small-Cell Lung Cancer: How Close are we to the Pathologic Findings?  

SciTech Connect

Purpose: Optimal target delineation threshold values for positron emission tomography (PET) and computed tomography (CT) radiotherapy planning is controversial. In this present study, different PET CT threshold values were used for target delineation and then compared pathologically. Methods and Materials: A total of 31 non-small-cell lung cancer patients underwent PET CT before surgery. The maximal diameter (MD) of the pathologic primary tumor was obtained. The CT-based gross tumor volumes (GTV{sub CT}) were delineated for CT window-level thresholds at 1,600 and -300 Hounsfield units (HU) (GTV{sub CT1}); 1,600 and -400 (GTV{sub CT2}); 1,600 and -450 HU (GTV{sub CT3}); 1,600 and -600 HU (GTV{sub CT4}); 1,200 and -700 HU (GTV{sub CT5}); 900 and -450 HU (GTV{sub CT6}); and 700 and -450 HU (GTV{sub CT7}). The PET-based GTVs (GTV{sub PET}) were autocontoured at 20% (GTV{sub 20}), 30% (GTV{sub 30}), 40% (GTV{sub 40}), 45% (GTV{sub 45}), 50% (GTV{sub 50}), and 55% (GTV{sub 55}) of the maximal intensity level. The MD of each image-based GTV in three-dimensional orientation was determined. The MD of the GTV{sub PET} and GTV{sub CT} were compared with the pathologically determined MD. Results: The median MD of the GTV{sub CT} changed from 2.89 (GTV{sub CT2}) to 4.46 (GTV{sub CT7}) as the CT thresholds were varied. The correlation coefficient of the GTV{sub CT} compared with the pathologically determined MD ranged from 0.76 to 0.87. The correlation coefficient of the GTV{sub CT1} was the best (r = 0.87). The median MD of GTV{sub PET} changed from 5.72cm to 2.67cm as the PET thresholds increased. The correlation coefficient of the GTV{sub PET} compared with the pathologic finding ranged from 0.51 to 0.77. The correlation coefficient of GTV{sub 50} was the best (r = 0.77). Conclusion: Compared with the MD of GTV{sub PET}, the MD of GTV{sub CT} had better correlation with the pathologic MD. The GTV{sub CT1} and GTV{sub 50} had the best correlation with the pathologic results.

Wu Kailiang [Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON (Canada); Department of Radiotherapy, Cancer Hospital, Fudan University, Shanghai (China); Ung, Yee C., E-mail: yee.ung@sunnybrook.c [Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON (Canada); Hornby, Jennifer [Department of Thoracic Surgery, University of Toronto, Toronto, ON (Canada)

2010-07-01

112

Nutcracker Syndrome Accompanying Pelvic Congestion Syndrome; Color Doppler Sonography and Multislice CT Findings: A Case Report  

PubMed Central

Nutcracker syndrome (NCS) is a rare pathology, caused by compression of the left renal vein (LRV) between the abdominal aorta (AA) and the superior mesenteric artery (SMA), due to reduction of the angle between AA and SMA. This leads to LRV varices, left gonadal vein varices and therefore, the pelvic congestion syndrome. For this reason, coexistence of NCS and pelvic congestion syndrome has been described. It manifests by hematuria, proteinuria, and nonspecific pelvic pain secondary to pelvic congestion, dyspareunia and persistent genital arousal. We report a 27-year-old woman who experienced hematuria and left flank pain. The diagnosis of NCS accompanied by pelvic congestion syndrome was missed initially, but later on the diagnosis was made by color Doppler ultrasound, abdominal computed tomography (CT) and CT angiography that were later performed. She refused interventional and surgical treatments, and was lost to follow up. PMID:25035694

Inal, Mikail; Karadeniz Bilgili, Mihrace Yasemin; Sahin, Safa

2014-01-01

113

The kidney in children with tyrosinemia: sonographic, CT and biochemical findings  

Microsoft Academic Search

Background. Tyrosinemia relates to a deficiency of fumarylacetoacetate hydrolase and presents early in life with central nervous system\\u000a and liver abnormalities. Renal function is often impaired. Little is known about the architecture and function of the kidneys.\\u000a Objective. Imaging changes on US and CT are compared to the function of the kidneys in children with tyrosinemia, and followed after\\u000a liver

Sylviane Forget; Heidi B. Patriquin; Josée Dubois; Maud Lafortune; Aicha Merouani; Khazal Paradis; Pierre Russo

1999-01-01

114

Unusual histological findings after partial pancreaticoduodenectomy including benign multicystic mesothelioma, adenomyoma of the ampulla of Vater, and undifferentiated carcinoma, sarcomatoid variant: a case series  

PubMed Central

Introduction The standard operation for carcinoma of the pancreatic head is a partial pancreaticoduodenectomy. Unusual histological findings may occasionally occur in the surgical specimen. We present three unusual histologic diagnoses after pancreaticoduodenectomy. Case presentations In the first case, an 86-year-old Caucasian woman was admitted with abdominal pain and nausea. Preoperative evaluation showed a 3 cm cystic lesion in the head of the pancreas. Pathology revealed a benign multicystic mesothelioma. In the second case, a 45-year-old Caucasian man complained of nausea, vomiting and general malaise for several months. Endoscopic retrograde cholangiopancreatographic examination and a computed tomography scan showed a stenosis of the distal bile duct secondary to a mass in the head of the pancreas and duodenum. Histology showed an adenomyoma of the ampulla. In the third case, a 59-year-old Caucasian man presented with chronic alcoholic pancreatitis. A computed tomography scan revealed a 3.5 cm lesion in the head of the pancreas with cystic and solid components. Pathology showed an undifferentiated carcinoma, sarcomatoid variant. Conclusion Partial pancreaticoduodenectomy is usually performed for ductal adenocarcinomas, neuroendocrine tumors or chronic pancreatitis. Compared to the majority of the above diagnoses, the three cases in our study are very rare. Benign multicystic mesothelioma is a very rare tumor that originates from the peritoneum. Although it demonstrates a benign clinical behaviour, it frequently recurs after resection. Adenomyoma of the bile duct or ampullary region is a very unusual, benign, localized lesion characterized by adenomyomatous hyperplasia. Undifferentiated carcinoma, sarcomatoid variant, is an aggressive tumor and is characterized by spindle cells. As the lesions were suspicious for carcinoma, partial pancreaticoduodenectomy was justified in all three patients. The histologic diagnosis after partial pancreaticoduodenectomy may differ from the preoperative and intraoperative findings. These cases demonstrate that a definitive diagnosis may only be obtained by a pathologic examination of the surgical specimen. PMID:21143956

2010-01-01

115

A Quantitative Study of Airway Changes on Micro-CT in a Mouse Asthma Model: Comparison With Histopathological Findings  

PubMed Central

Purpose To evaluate airway changes in ovalbumin-induced asthmatic mice in terms of postmortem micro-CT images and pathological findings. Methods Asthma was induced in mice by intraperitoneal injection and nasal instillation of ovalbumin aluminium hydroxide into mice (experimental group, n=6), and another group of mice received intraperitoneal injection and nasal instillation of distilled phosphate-buffered saline (control group, n=6). Bronchial lumen area was measured in the main bronchial lumen of the distal third bronchial branch level (6 parts per each mouse) on axial scans of Micro-CT, using a Lucion's smart pen (semi-automated) and a curve pen (manual). Bronchial wall thickness was obtained in 4 sections (2 levels on either side) after the third bronchial branch by measuring the diameter which was perpendicular to the longitudinal axis of the main bronchus on curved Multi-planar reconstruction (MPR) images. Histologic slides were obtained from the lesion that was matched with its CT images, and bronchial wall thicknesses were determined. Results The mean bronchial lumen area was 0.196±0.072 mm2 in the experimental group and 0.243±0.116 mm2 in the control group; the difference was significant. Bronchial wall thickness on micro-CT images (mean, 0.119±0.01 vs. 0.108±0.013 mm) and in pathological specimens (mean, 0.066±0.011 vs. 0.041±0.009 mm) were thicker in the experimental group than in the control group; bronchial wall thickness on micro-CT images correlated well with pathological thickness (for the experimental group, r=0.712; for the control group, r=0.46). The thick bronchial wall in the experimental group demonstrated submucosal hypertrophy along with goblet cell hyperplasia and smooth muscle hyperplasia. Conclusions The results of this study suggest that asthma may induce thickening of bronchial wall and narrowing of the lumen area on micro-CT images and that these results may significantly correlate with pathological findings. PMID:24404397

Kim, Won-Kyung; Park, Jai-Soung; Park, Choon-Sik; Jin, Gong-Yong

2014-01-01

116

Diagnosis of colonic volvulus: findings on multidetector CT with three-dimensional reconstructions  

PubMed Central

Large bowel volvulus is a rare condition that can occur in patients who present with acute abdominal pain. Radiologists should be able to recognise its appearance on multidetector CT (MDCT) images so that the correct diagnosis can be made and catastrophic consequences can be avoided. In this article, we discuss and illustrate the MDCT and three-dimensional appearance of the various forms of large bowel volvulus. As MDCT allows the precise diagnosis of topography, mechanism and severity, this technique can provide an accurate assessment of large bowel volvulus. PMID:20965909

Vandendries, C; C Jullès, M; Boulay-Coletta, I; Loriau, J; Zins, M

2010-01-01

117

CT-Guided Transthoracic Core Biopsy for Pulmonary Tuberculosis: Diagnostic Value of the Histopathological Findings in the Specimen  

SciTech Connect

We evaluated the value of CT-guided transthoracic core biopsy for the diagnosis of mycobacterial pulmonary nodules. The 30 subjects in this study had pulmonary nodules that had been either diagnosed histopathologically as tuberculosis or were suspected as tuberculosis based on a specimen obtained by CT-guided transthoracic core biopsy. The histopathological findings, the existence of acid-fast bacilli in the biopsy specimens, and the clinical course of the patients after the biopsy were reviewed retrospectively. Two of the three histological findings for tuberculosis that included epithelioid cells, multinucleated giant cells and caseous necrosis were observed in 21 of the nodules which were therefore diagnosed as histological tuberculosis. Six of these 21 nodules were positive for acid-fast bacilli, confirming the diagnosis of tuberculosis. Thirteen of the 21 nodules did not contain acid-fast bacilli but decreased in size in response to antituberculous treatment and were therefore diagnosed as clinical tuberculosis. Seven nodules with only caseous necrosis were diagnosed as suspected tuberculosis, with a final diagnosis of tuberculosis being made in 4 of the nodules and a diagnosis of old tuberculosis in 2 nodules. Two nodules with only multinucleated giant cells were diagnosed as suspected tuberculosis with 1 of these nodules being diagnosed finally as tuberculosis and the other nodule as a nonspecific granuloma. When any two of the three following histopathological findings - epithelioid cells, multinucleated giant cells or caseous necrosis - are observed in a specimen obtained by CT-guided transthoracic core biopsy, the diagnosis of tuberculosis can be established without the detection of acid-fast bacilli or Mycobacterium tuberculosis.

Fukuda, Hozumi, E-mail: fkdhzmrad@mitsuihosp.or.jp; Ibukuro, Kenji; Tsukiyama, Toshitaka; Ishii, Rei [Mitsui Memorial Hospital, Department of Radiology (Japan)

2004-09-15

118

Ceramic liner fatigue fracture: 3-D CT findings in a late recurrent THA dislocation.  

PubMed

Dislocation is one of the most common complications of total hip arthroplasty (THA). To the authors' knowledge, late recurrent dislocation of a THA with a ceramic-on-ceramic coupling secondary to fatigue fracture of the ceramic liner has never been described. A 76-year-old woman with right hip osteoarthritis underwent cementless modular THA with a ceramic-on-ceramic coupling. Approximately 10 years postoperatively, she experienced right hip pain with no trauma, which resolved in 14 days. Family members reported that the patient had shown a progressive cognitive and muscular decline in the previous months. Six months later, the patient was admitted for THA dislocation, which was immediately reduced. Computed tomography revealed that the right acetabular component had a retroversion of 4° and an inclination angle of 45°. An orthopedic brace was applied, but dislocation recurred 2 days after discharge. A 3-dimensional CT reconstruction showed a fracture of the ceramic liner in the posterolateral region. The patient underwent revision surgery, and the ceramic liner breakage was confirmed. After removal of the acetabular components, a cemented polyethylene cup was implanted. The stability of the stem was verified. The existing modular neck was replaced with a chromium-cobalt neck, and a new ceramic head was applied. At 7-month follow-up, the patient had good functional recovery with no hip instability. Fatigue failure of a ceramic liner should be considered as responsible for late dislocation after ceramic-on-ceramic THA. As part of the diagnostic strategy, 3-dimensional CT reconstruction should be used to evaluate ceramic liner breakage. PMID:23276339

Trivellin, Giacomo; Sandri, Andrea; Bizzotto, Nicola; Marino, Marco Andrea; Mezzari, Silvio; Sambugaro, Elena; Regis, Dario

2013-01-01

119

Primary malignant fibrous histiocytoma of the abdominal cavity: CT findings and pathological correlation  

PubMed Central

AIM: To study computed tomography (CT) features of abdominal malignant fibrous histiocytoma (MFH) in various rare locations. METHODS: We retroprospectively identified cases of MFH involving the abdominal cavity. Particular attention was paid to details regarding imaging features and histological types. RESULTS: The study population consisted of seven men and one woman, with a mean age of 52.5 years. Seven patients had some physical symptoms, while one was incidentally detected. The sites of origin were liver (n = 3), greater omentum (n = 1), superior mesentery (n = 1), ileum (n = 1), right psoas muscle (n = 1) and right kidney (n = 1). With the exception of the ileum lesion, all were of huge size. The contour of the lesions was more or less clear. Foci of necrosis were present in six lesions (n = 6). On plain CT scan, all lesions were hypo to iso dense. The lesion in the greater omentum was cystic. One lesion (n = 1) showed significant enhancement and the cystic lesion showed mild peripheral enhancement. An abundance of blood vessels surrounding the mass was seen in two lesions (n = 2) and both were of the inflammatory variety. Pathological examination revealed storiform-pleomorphic variety (n = 4), inflammatory variety (n = 3) and myxoid variety (n = 1). Two of the patients with inflammatory MFH had a clinical presentation of fever and one was afebrile, however, blood investigations in all three showed leukocytosis. CONCLUSION: Primary MFHs of the abdominal viscera and gastrointestinal tract are generally huge soft tissue masses containing areas of low attenuation and mild to moderate contrast enhancement. PMID:22590669

Karki, Bivek; Xu, Yi-Kai; Wu, Yuan-Kui; Zhang, Wei-Wei

2012-01-01

120

Incidental findings detection using low tube potential for CT pulmonary angiography.  

PubMed

While lowering the radiation dose using a reduced tube potential (kVp) strategy for CT pulmonary angiography (CTPA) maintains accuracy for pulmonary embolism detection, there is no data regarding the effect of increased noise from lower kVp on both the accuracy of lung and mediastinum lesion detection in the same patient cohort. This study compares the accuracy and diagnostic confidence of lung nodules and enlarged mediastinal lymph nodes detection between low and standard kVp CTPA. The study cohort included 272 CTPA studies acquired at low kVp and 274 studies at standard kVp. Each patient had a routine chest CT acquired within 60 days of the CTPA that served as a reference standard for lung and mediastinum lesions. In additional to the evaluation of image quality, two radiologists independently interpreted lung nodules and mediastinal lymph nodes on CTPA and recorded confidence level for each interpretation. Multivariate models assessed effect of kVp settings on diagnostic accuracy and confidence level in interpretation. Low kVp CTPAs had higher image noise. A significant decrease in the confidence levels for evaluation of mediastinal lymph nodes was observed at low kVp by one of two readers, although there was no significant correlation between accuracy of interpretation and kVp settings for lung and mediastinum lesion detection (adjusted odds ratios = 0.67-1.22, p values >0.2). While increased image noise may decrease the diagnostic confidence of the radiologist, the detection of lung nodules and enlarged mediastinal lymph nodes was not compromised. Referring clinicians can expect that lower radiation dose CTPA answers questions related to lungs and mediastinum. PMID:25082644

Kumamaru, Kanako K; Rybicki, Frank J; Madan, Rachna; Gill, Ritu; Wake, Nicole; Hunsaker, Andetta R

2014-12-01

121

Adhesive Small-Bowel Obstruction: Value of CT in Identifying Findings Associated with the Effectiveness of Nonsurgical Treatment.  

PubMed

Purpose To identify computed tomographic (CT) findings that are associated with the effectiveness of nonsurgical treatment in patients with adhesive small-bowel obstruction ( SBO small-bowel obstruction ) that was initially treated medically. Materials and Methods The local institutional review board approved this retrospective study; the informed consent requirement was waived. Multi-detector row CT studies in 159 patients (64 women, 95 men; median age, 69 years) with adhesive SBO small-bowel obstruction that was initially treated medically were reviewed retrospectively and independently by two emergency radiologists to identify numerous CT findings that could be associated with the effectiveness of nonsurgical treatment. Results were compared according to the success or failure of nonsurgical treatment. Univariate statistical analyses were performed for qualitative and quantitative data, as appropriate, and each significant parameter was entered in a multivariate logistic regression analysis. The ? statistic and correlation coefficients were used to assess interobserver agreement, as appropriate. Results Nonsurgical treatment succeeded in 113 patients (71%) and failed in 46 patients (29%). At univariate analysis, an anterior parietal adhesion, a feces sign, and the lack of a beak sign were associated with successful nonsurgical treatment, whereas two beak signs or more, a whirl sign, a C- or U-shaped appearance of the bowel loop, and a high degree of obstruction were associated with nonsurgical treatment failure. At multivariate analysis, fewer than two beak signs and the presence of an anterior parietal adhesion were independent predictors of the effectiveness of nonsurgical treatment, with odds ratios of 0.27 and 0.11, respectively. Conclusion The number of beak signs and the location of the transition zone in relation to the anterior peritoneal layer are independent signs associated with the success or failure of nonsurgical treatment. © RSNA, 2014. PMID:24991990

Millet, Ingrid; Ruyer, Alban; Alili, Chakib; Curros Doyon, Fernanda; Molinari, Nicolas; Pages, Emmanuelle; Zins, Marc; Taourel, Patrice

2014-11-01

122

Sinus CT scan findings in patients with chronic cough following sulfur mustard inhalation: a case-control study.  

PubMed

Sinusitis is one of the most common causes of chronic cough, which is the most common manifestation among patients exposed to sulfur mustard (SM). We conducted our study on exposed victims to SM with chronic cough for evaluation of probable sinus abnormality. In a case-control study, among referred patients for evaluation of persistent chronic cough, 39 patients with previous and 35 patients without previous history of exposure to SM underwent paranasal sinus computed tomography (CT) scans (Somatom CR CT scanner) in coronal planes. A well-designed standard pro forma was used for reporting sinus CT abnormalities. Data was analyzed with chi-square and Fisher exact test. Except one, all obtained CT scans findings showed some abnormalities. Mucosal abnormality was detected in 30 chemical-exposed cases (CEs) (76.9%), and 8 cases were categorized as severe types. In general, mucosal thickening in right (left) frontal, sphenoid, and maxillary sinus were observed in 12.8% (7.7), 5.1% (7.7), and 25.6% (30.8) of CEs, respectively; these proportions were 11.4% (11.4), 2.9% (2.9), and 45.6% (60) in non-chemical-exposed cases (NEs), respectively. Air fluid level in the right (left) frontal sinus was 10.3% (7.7) and in the right (left) maxillary sinus was 10.3% (15.4) in CEs; it was 2.9%(0) and 20%(20) in NEs for these locations, respectively. There were no statistically significant differences between findings of two groups (p > .05). Also, comparison of related data to osteomeatal complex obstruction, bulla ethmoidalis, haller cell, agger nasi, and pneumatized crista galli were not significant (p > .05). Thus; various types of sinus abnormalities were highly prevalent in both CEs and NEs with chronic cough and there was no specific pattern. Consequently, current approaches to chronic cough just based on conventional etiologies in this setting can lead to delay in diagnosis and mismanagement. PMID:17050348

Ghanei, Mostafa; Harandi, Ali Amini; Rezaei, Fatemeh; Vasei, Afsaneh

2006-12-01

123

Multidetector CT findings of complications of surgical and endovascular treatment of aortic aneurysms.  

PubMed

Aortic aneurysms remain a significant problem in the population, and there is a concerted effort to identify, define, image, and treat these conditions to ultimately improve outcomes. The rapid development of diagnostic modalities, operative strategies, and endovascular techniques within the realm of this aortic disease has transformed the field and broadened the spectrum of patients that can be treated with minimally invasive techniques. This investigation has a broad spectrum of normal expected findings that must be differentiated from early or late complications in which intervention is required. In this article, normal and abnormal postoperative and post-TEVAR/EVAR MDCT findings are described. PMID:25173654

Valente, Tullio; Rossi, Giovanni; Rea, Gaetano; Pinto, Antonio; Romano, Luigia; Davies, Joseph; Scaglione, Mariano

2014-09-01

124

Unusual MRI finding of multiple adenomas in the pituitary gland: a case report and review of the literature.  

PubMed

The simultaneous occurrence of multiple adenomas in the pituitary gland is a rare event. We report the coexistence of three non functioning pituitary microadenomas in a 37-year-old woman, referred to us for oligomenorrhea and headache. Biochemical evaluation revealed prolactin (131 U/liters), follicle-stimulating hormone (4.1 U/liters), luteinizing hormone (3.9 U/liters), 17beta-estradiol (74 pg/mL), free (2.0 pg/mL) and total testosterone (0.5 ng/mL), dehydroepiandrosterone-sulfate (3.5 microg/mL), 17OH-progesterone (0.8 ng/mL), cortisol (13.1 microg/dL), free triiodothyronine (4.8 pmol/L), free thyroxine (18.5 pmol/liters), thyrotropin (1.6 mU/L), and growth hormone (0.2 ng/mL) levels in the normal range, as for as the response to dynamic endocrine tests. MRI showed an enlarged sella turcica, occupied by three distinct hypointense areas that measured less than 5 mm in diameter in the left, medium and right side of the pituitary, respectively. This finding was confirmed 6 months later by a second MRI that revealed also a light increase in microadenomas dimensions. The patient, therefore, underwent neurosurgery by transfenoidal approach. Histologic examination showed no morphologic differences between the specimens obtained from the different microadenomas. Immunohistochemistry evaluation revealed a positive staining for the common alpha-subunit of glycoproteic hormones and negative for the other pituitary hormones tested, while electron microscopy showed cells with a poor secretory apparatus and a variable grade of cell differentiation. In conclusion, we report the fifth case described with multiple pituitary adenomas diagnosed in vivo and the first with three coexisting tumors revealed by MRI before neurosurgery. The occurrence of multiple pituitary tumors emphasizes the role of pituitary and extrahypophiseal factors in the clonal expansion of genetically altered cells. PMID:10231191

Cannavò, S; Curtò, L; Lania, A; Saccomanno, K; Salpietro, F M; Trimarchi, F

1999-05-01

125

Synovial chondromatosis simulating neoplastic degeneration of osteochondroma: findings on MRI and CT  

Microsoft Academic Search

A case is presented of synovial chondromatosis within a bursal sac overlying an osteochondroma in a patient with osteochondromatosis. This condition presented with a symptomatic soft tissue mass containing calcified bodies. It can be mistaken clinically and radiographically for malignant degeneration of an osteocondroma with development of chondrosarcoma. Magnetic resonance findings have not previously been described in this entity and

T. D. Schofield; J. D. Pitcher; R. Youngberg

1994-01-01

126

Naeglaeria infection of the central nervous system, CT scan findings: a case series.  

PubMed

The imaging findings in four cases of a rare infection of the central nervous system caused by amoebae, Naeglaeria fowleri are presented. Naeglaeria fowleri are pathogenic free-living amoebae. They cause primary amoebic meningoencephalitis (PAM), a rapidly fatal disease of the central nervous system. The computed tomography brain findings in 3 (75%) of our cases of pan amoebic meningoencephalitis showed non-specific brain oedema; 2 (66%) of these cases also had moderate hydrocephalus and among that 1 (50%) case showed an old lacunar infarction in peri-ventricular region. In the remaining 1 (25%) case the scan was normal with no evidence of oedema or abnormal lesion. Out of three cases with diffuse brain oedema, postcontrast images showed abnormal meningeal enhancement throughout the brain parenchyma in 1 (33%) case. However, no definite focal enhancing lesion was noted. In the rest of the cases, no abnormal parenchymal or meningeal enhancement was seen on post-contrast images. PMID:23914650

Naqi, Rohana; Azeemuddin, Muhammad

2013-03-01

127

Mesenteric involvement in neurofibromatosis type 1: CT and MRI findings in two cases  

Microsoft Academic Search

We report computerized tomographic and magnetic resonance imaging findings of neurofibromatosis type 1 with mesenteric involvement in two patients. The first patient was a 13-year-old female with a panmesenteric plexiform neurofibroma with segmental involvement of the bowel wall; she had a 3-year history of abdominal pain. The second patient was a 60-year-old female who presented with malignant transformation of multiple

P. Ko?ucu; A. Ahmeto?lu; Ü. Çobano?lu; H. Dinç; O. Özdemir; H. R. Gümele

2003-01-01

128

[Diagnostic strategy of incidental findings of focal thyroid FDG uptake identified on PET/CT].  

PubMed

Incidental findings of focal fluorodeoxyglucose (FDG) uptake in the thyroid occurs more frequently with increased use of positron emission tomography (PET) with a frequency of 1-4% and a risk of cancer in the thyroid of > 30%. This article reviews the existing literature and recommends a diagnostic strategy to identify patients with high risk of thyroid malignancy. The diagnostic process should include measurement of thyroid function, thyroid scintigraphy and in patients with cold nodules detected by scintigraphy additional ultrasound guided fine-needle aspiration biopsy. PMID:21849133

Nielsen, Maria Holst; Nygaard, Birte; Søndergaard, Susanne Bonnichsen; Bennedbæk, Finn Noe

2011-08-15

129

Actinomycosis of the gallbladder mimicking carcinoma: a case report with US and CT findings.  

PubMed

We describe a case of actinomycosis of the gallbladder mimicking carcinoma. Sonography showed a hypoechoic mass replacing gallbladder lumen and engulfing a stone; contrast-enhanced computed tomography showed a heterogeneously enhanced thickened gallbladder wall with subtle, disrupted luminal surface enhancement, which formed a mass. As a result of the clinical and radiologic presentation, our impression was of gallbladder carcinoma. Actinomycosis should be included in the differential diagnosis when sonography and computed tomography findings show a mass engulfing the stone in the gallbladder and extensive pericholecystic infiltration with extension to neighboring abdominal wall muscle. PMID:17420635

Lee, Young Han; Kim, Seong Hyun; Cho, Mee-Yon; Rhoe, Byoung Seon; Kim, Myung Soon

2007-01-01

130

75 FR 38148 - Finding of No Significant Impact Related to Approval of the Mallinckrodt C-T Phase 2...  

Federal Register 2010, 2011, 2012, 2013

...Related to Approval of the Mallinckrodt C-T Phase 2 Decommissioning Plan; Mallinckrodt...the licensee) columbium-tantalum (C-T) Phase 2 Decommissioning Plan (DP), Revision...subsurface materials affected by former C-T operations, at its St. Louis site....

2010-07-01

131

Hepatic schwannoma: Imaging findings on CT, MRI and contrast-enhanced ultrasonography  

PubMed Central

A primary benign schwannoma of the liver is extremely rare and is difficult to preoperatively discriminate from a malignant tumor. We compared the imaging and pathological findings, and examined the possibility of preoperatively diagnosing a benign liver schwannoma. A 72-year-old woman was admitted to our hospital because of a 4.6-cm mass in the liver. A malignant tumor was suspected, and a right hepatectomy was performed. After this, the diagnosis of a primary benign schwannoma of the liver was made through pathological examination. Contrast-enhanced ultrasonography (CEUS) with Sonazoid showed minute blood flows into the septum and solid areas of the tumor in the vascular phase; most likely due to increased arterial flow associated with infiltration of chronic inflammatory cells. In the postvascular phase, CEUS showed contrast defect of cystic areas and delayed enhancement of solid areas; most likely due to aggregation of siderophores. Because discriminating between a benign and malignant schwannoma of the liver is difficult, surgery is generally recommended. However, the two key findings from CEUS may be useful in discriminating ancient schwannoma by recognizing the hemorrhage involved in the secondary degeneration and aggregation of siderophores. PMID:23002371

Ota, Yu; Aso, Kazunobu; Watanabe, Kenji; Einama, Takahiro; Imai, Koji; Karasaki, Hidenori; Sudo, Ryuji; Tamaki, Yosui; Okada, Mituyoshi; Tokusashi, Yosihiko; Kono, Toru; Miyokawa, Naoyuki; Haneda, Masakazu; Taniguchi, Masahiko; Furukawa, Hiroyuki

2012-01-01

132

Hepatic schwannoma: imaging findings on CT, MRI and contrast-enhanced ultrasonography.  

PubMed

A primary benign schwannoma of the liver is extremely rare and is difficult to preoperatively discriminate from a malignant tumor. We compared the imaging and pathological findings, and examined the possibility of preoperatively diagnosing a benign liver schwannoma. A 72-year-old woman was admitted to our hospital because of a 4.6-cm mass in the liver. A malignant tumor was suspected, and a right hepatectomy was performed. After this, the diagnosis of a primary benign schwannoma of the liver was made through pathological examination. Contrast-enhanced ultrasonography (CEUS) with Sonazoid showed minute blood flows into the septum and solid areas of the tumor in the vascular phase; most likely due to increased arterial flow associated with infiltration of chronic inflammatory cells. In the postvascular phase, CEUS showed contrast defect of cystic areas and delayed enhancement of solid areas; most likely due to aggregation of siderophores. Because discriminating between a benign and malignant schwannoma of the liver is difficult, surgery is generally recommended. However, the two key findings from CEUS may be useful in discriminating ancient schwannoma by recognizing the hemorrhage involved in the secondary degeneration and aggregation of siderophores. PMID:23002371

Ota, Yu; Aso, Kazunobu; Watanabe, Kenji; Einama, Takahiro; Imai, Koji; Karasaki, Hidenori; Sudo, Ryuji; Tamaki, Yosui; Okada, Mituyoshi; Tokusashi, Yosihiko; Kono, Toru; Miyokawa, Naoyuki; Haneda, Masakazu; Taniguchi, Masahiko; Furukawa, Hiroyuki

2012-09-21

133

Syncope as a Sign of Occult Malignant Recurrence in the Retropharyngeal and Parapharyngeal Space: CT and MR Imaging Findings in Four Cases  

Microsoft Academic Search

Summary: Although rare, syncope may result from metas- tasis to the retropharyngeal or parapharyngeal space and involve or invade the glossopharyngeal nerve or internal carotid artery. We report the CT and MR imaging findings in four patients with syncope that preceded the diagnosis of recurrent squamous cell carcinoma in the pericarotid re- gion. These findings suggest that recurrent carcinoma should

Mitsuhiko Nakahira; Hiroaki Nakatani; Taizo Takeda

134

Unusual imaging characteristics of complicated hydatid disease.  

PubMed

Hydatid disease, a worldwide zoonosis, is caused by the larval stage of the Echinococcus tapeworm. Although the liver and the lungs are the most frequently involved organs in the body, hydatid cysts of other organs are unusual. Radiologically, they usually demonstrate typical imaging findings, but unusual imaging characteristics of complicated cyst of hydatid disease, associated with high morbidity and mortality, are rarely described in the literature. The purpose of this study is to review the general features of hydatidosis and to discuss atypical imaging characteristics of the complicated hydatid disease in the human, with an emphasis on structure and rupture of the cystic lesion as well as ultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI) features of the disease. In our study, the available literature and images of the cases with complicated hydatidosis involving liver, lung, brain, spine and orbit were reviewed retrospectively. In hydatid disease, there are many potential local and systemic complications due to secondary involvement in almost any anatomic location in humans. Radiologically, in addition to the presence of atypical findings such as perifocal edema, non-homogenous contrast enhancement, multiplicity or septations and calcification, various unusual manifestations due to rupture or infection of the cyst have been observed in our cases with complicated hydatid disease. To prevent subsequent acute catastrophic results and the development of recurrences in various organs, it should be kept in mind that complicated hydatid cysts can cause unusual USG, CT, and MRI findings, in addition to typical ones, in endemic areas. Therefore, familiarity with atypical radiological appearances of complicated hydatid disease may be valuable in making a correct diagnosis and treatment. PMID:17275238

Turgut, Ahmet Tuncay; Altin, Levent; Topçu, Salih; Kiliço?lu, Bülent; Aliinok, Tamer; Kaptano?lu, Erkan; Karademir, Alp; Ko?ar, U?ur

2007-07-01

135

Findings  

NSDL National Science Digital Library

Starting in February 2001, the National Institute of General Medical Sciences (NIGMS) began publishing "Findings" magazine. The publication features research and findings from scholars doing work with funding from the NIGMS. Visitors can browse the archive of the publication by topic or date, and they can also check out the sample articles from the latest edition on the homepage. Recent pieces have included "Drugs from Deep Down", "Mesmerized by Metals", and "Just Found", which talks about potential sunburn treatments. The site also has the "Find More" area, which contains an image gallery, school resources, free slide kits, and interactive games. Also, the "Watch" area contains interviews with scientists like Dr. Kevin Tracey talking about his investigations into sepsis. Finally, visitors can also sign up to receive Findings via email.

136

Malignant Pleural Mesothelioma Caused by Environmental Exposure to Asbestos in the Southeast of Turkey: CT Findings in 117 Patients  

Microsoft Academic Search

Background and Objectives: Malignant pleural mesothelioma (MPM) is reported to be common in the southeast of Turkey, as a result of environmental asbestos exposure. The aim of this study was to evaluate the computed tomography (CT) features of MPM in patients with a history of asbestos exposure. Methods: The CT scans of 117 patients who had a diagnosis of MPM

H. Bayram; F. Topçu; A. Bilici; i. H. Leblebici

2000-01-01

137

Primary central nervous system lymphoma with lymphomatosis cerebri in an immunocompetent child: MRI and 18F-FDG PET-CT findings.  

PubMed

Primary central nervous system lymphoma (PCNSL) is extremely rare in immunocompetent children. We present the magnetic resonance imaging (MRI) and (18)F-fluorodeoxyglucose ((18)F-FDG) positron emission tomography-computed tomography (PET-CT) findings of such a case in a 14-year old immunocompetent boy. In this patient, PCNSL was associated with lymphomatosis cerebri. Familiarity with the findings of this rare condition will improve the diagnostic confidence of the nuclear radiologist and avoid misdiagnosis. PMID:23743243

Jain, Tarun K; Sharma, Punit; Suman, Sudhir K C; Faizi, Nauroze A; Bal, Chandrasekhar; Kumar, Rakesh

2013-01-01

138

Whole-Organ CT Perfusion of the Pancreas: Impact of Iterative Reconstruction on Image Quality, Perfusion Parameters and Radiation Dose in 256-Slice CT-Preliminary Findings  

PubMed Central

Background This study was performed to assess whether iterative reconstruction can reduce radiation dose while maintaining acceptable image quality, and to investigate whether perfusion parameters vary from conventional filtered back projection (FBP) at the low-tube-voltage (80-kVp) during whole-pancreas perfusion examination using a 256-slice CT. Methods 76 patients with known or suspected pancreatic mass underwent whole-pancreas perfusion by a 256-slice CT. High- and low-tube-voltage CT images were acquired. 120-kVp image data (protocol A) and 80-kVp image data (protocol B) were reconstructed with conventional FBP, and 80-kVp image data were reconstructed with iDose4 (protocol C) iterative reconstruction. The image noise; contrast-to-noise ratio (CNR) relative to muscle for the pancreas, liver, and aorta; and radiation dose of each protocol were assessed quantitatively. Overall image quality was assessed qualitatively. Among 76 patients, 23 were eventually proven to have a normal pancreas. Perfusion parameters of normal pancreas in each protocol including blood volume, blood flow, and permeability-surface area product were measured. Results In the quantitative study, protocol C reduced image noise by 36.8% compared to protocol B (P<0.001). Protocol C yielded significantly higher CNR relative to muscle for the aorta, pancreas and liver compared to protocol B (P<0.001), and offered no significant difference compared to protocol A. In the qualitative study, protocols C and A gained similar scores and protocol B gained the lowest score for overall image quality (P<0.001). Mean effective doses were 23.37 mSv for protocol A and 10.81 mSv for protocols B and C. There were no significant differences in the normal pancreas perfusion values among three different protocols. Conclusion Low-tube-voltage and iDose4 iterative reconstruction can dramatically decrease the radiation dose with acceptable image quality during whole-pancreas CT perfusion and have no significant impact on the perfusion parameters of normal pancreas compared to the conventional FBP reconstruction using a 256-slice CT scanner. PMID:24303017

Xie, Qian; Wu, Juan; Tang, Ying; Dou, Yafang; Hao, Sijie; Xu, Feijia; Feng, Xiaoyuan; Liang, Zonghui

2013-01-01

139

CT Findings of Risk Factors for Persistent Type II Endoleak from Inferior Mesenteric Artery to Determine Indicators of Preoperative IMA Embolization  

PubMed Central

Purpose: To identify the computed tomography (CT) findings of persistent type II endoleak from the inferior mesenteric artery (IMA) which indicate the need for preoperative IMA embolization. Materials and Methods: Included were 120 patients (96 males, 49–93 years old, mean: 77.7) who underwent endovascular aortic aneurysm repair (EVAR) between June 2007 and October 2010. The relationship between persistent type II endoleak and CT findings of IMA orifice was examined. Results: CT showed no type II endoleak from IMA in 106 patients (89%; Group N), and transient type II endoleak from IMA in 10 patients (8.3%; Group T). CT showed persistent type II endoleak from IMA in 4 patients (3.3%; Group P) and three of them underwent reintervention. Univariate Cox-Mantel test analysis indicated that stenosis (p = 0.0003) and thrombus (p = 0.043) in IMA orifice were significant factors for persistent type II endoleak. The ratios of patients with proximal IMA more than 2.5 mm diameter in Groups N, Y, and P were 26/106 (24%), 5/10 (50%) and 4/4 (100%), respectively. Conclusion: Indicators for embolization of IMA prior to EVAR for the prevention of type II endoleak appear to be: (1) more than 2.5 mm in diameter and (2) no stenosis due to calcification or mural thrombus in IMA orifice. PMID:25298829

Matsuda, Hitoshi; Sanda, Yoshihiro; Morita, Yoshiaki; Minatoya, Kenji; Kobayashi, Junjiro; Naito, Hiroaki

2014-01-01

140

CT findings of pulmonary non-tuberculous mycobacterial infection in non-AIDS immunocompromised patients: a case-controlled comparison with immunocompetent patients  

PubMed Central

Objective: To describe CT findings of non-tuberculous mycobacteria (NTM) pulmonary infection in non-AIDS immunocompromised patients (ICPs) and to compare these findings with those in immunocompetent patients. Methods: From July 2000 to August 2007, 369 patients (mean age 58.3 years; 169 males and 200 females) with pulmonary NTM infection were retrospectively reviewed. Of these 369 patients, 24 ICPs (mean age 64.8 years; 15 males and 9 females) were identified. 16 patients had diabetes mellitus, and 6 patients had received long-term steroid therapy. One had received solid organ transplantation and one had received high-dose chemotherapy for haematological disease. 24 age- and sex-matched immunocompetent patients (mean age 64.6 years; 15 males and 9 females) were selected as the control group from the same registry. CT images were reviewed in consensus by three chest radiologists, who were blinded to immune status. Each lung lobe was evaluated in terms of extent of the lesion, bronchiectasis, parenchymal opacity and the presence of ancillary findings. Results: A total of 287 lobes were evaluated in ICPs and the control group. The ICPs showed a higher prevalence of ill-defined nodules, with cavities and large opacity >2?cm with/without cavity (p=0.03, 0.04 and 0.02, respectively). Regardless of the immune status, the most common CT findings were bronchiectasis and ill-defined nodules without cavity. Conclusion: The most common CT findings of pulmonary NTM infection in ICPs were bronchiectasis and ill-defined nodules, similar to those in the control group. Ill-defined nodules with cavity and large opacity >2?cm with/without cavity were more frequently found in ICPs. Advances in knowledge: In patients affected by NTM infection, large opacities and cavitation in pulmonary nodules are more frequent in ICPs than in immunocompetent patients. PMID:23440166

Lee, Y; Chae, E J; Lee, H J; Lee, C-W; Do, K-H; Seo, J B; Kim, M-Y; Lee, J S; Song, K-S; Shim, T S

2013-01-01

141

Meticillin-resistant Staphylococcus aureus and meticillin-susceptible S. aureus pneumonia: comparison of clinical and thin-section CT findings  

PubMed Central

Objectives The purpose of this study was to compare the clinical and thin-section CT findings in patients with meticillin-resistant Staphylococcus aureus (MRSA) and meticillin-susceptible S. aureus (MSSA). Methods We retrospectively identified 201 patients with acute MRSA pneumonia and 164 patients with acute MSSA pneumonia who had undergone chest thin-section CT examinations between January 2004 and March 2009. Patients with concurrent infectious disease were excluded from our study. Consequently, our study group comprised 68 patients with MRSA pneumonia (37 male, 31 female) and 83 patients with MSSA pneumonia (32 male, 51 female). Clinical findings in the patients were assessed. Parenchymal abnormalities, lymph node enlargement and pleural effusion were assessed. Results Underlying diseases such as cardiovascular were significantly more frequent in the patients with MRSA pneumonia than in those with MSSA pneumonia. CT findings of centrilobular nodules, centrilobular nodules with a tree-in-bud pattern, and bronchial wall thickening were significantly more frequent in the patients with MSSA pneumonia than those with MRSA pneumonia (p=0.038, p=0.007 and p=0.039, respectively). In the group with MRSA, parenchymal abnormalities were observed to be mainly peripherally distributed and the frequency was significantly higher than in the MSSA group (p=0.028). Pleural effusion was significantly more frequent in the patients with MRSA pneumonia than those with MSSA pneumonia (p=0.002). Conclusions Findings from the evaluation of thin-section CT manifestations of pneumonia may be useful to distinguish between patients with acute MRSA pneumonia and those with MSSA pneumonia. PMID:21750126

Morikawa, K; Okada, F; Ando, Y; Ishii, R; Matsushita, S; Ono, A; Maeda, T; Mori, H; Yamashita, S; Kawahara, K

2012-01-01

142

Correlation of histological findings from a large ciliochoroidal melanoma with CT perfusion and 3T MRI dynamic enhancement studies  

PubMed Central

Background The initial use of a 64-slice computed tomography (CT) scanner for obtaining quantitative perfusion data from a large ciliochoroidal melanoma, and correlation with 3T magnetic resonance imaging (MRI) dynamic enhancement and tumor histology. Methods The CT perfusion scan was performed using 80 kVp, 250 mA and 1-sec rotation time for 40 sec. The analysis was performed using commercial perfusion analysis software with a prototype 3-dimensional motion correction tool. Dynamic contrast-enhanced 3-Tesla MRI measured the kinetics of enhancement to estimate the vascular permeability. The time-dependent enhancement patterns were obtained using the average signal intensity using Functool analysis software. The involved globe was enucleated and microscopic evaluation of the tumor was performed. Results The perfusion parameters blood flow, blood volume and permeability surface area product in the affected eye determined by CT perfusion analysis were 118 ml/100 ml/min, 11.3 ml/100 ml and 48 ml/100 ml/min. Dynamic MRI enhancement showed maximal intensity increase of 111%. The neoplasm was a ciliochoroidal spindle cell melanoma which was mitotically active (13 mitoses/40 hpf). Vascular loops and arcades were present throughout the tumor. The patient developed metastases within 9 months of presentation. Conclusion Quantitative CT perfusion analysis of ocular tumors is feasible with motion correction software. PMID:19668716

Pulido, Jose S; Campeau, Norbert G; Klotz, Ernst; Primak, Andrew N; Saba, Osama; Gunduz, Kaan; Cantrill, Herbert; Salomão, Diva; McCollough, Cynthia H

2008-01-01

143

Thin-Section CT Findings of Nontuberculous Mycobacterial Pulmonary Diseases: Comparison Between Mycobacterium avium-intracellulare Complex and Mycobacterium abscessus Infection  

PubMed Central

We aimed to compare the CT findings of nontuberculous mycobacterial pulmonary diseases caused by Mycobacterium avium-intracellulare complex (MAC) and Mycobacterium abscessus. Two chest radiologists analyzed retrospectively the thin-section CT findings of 51 patients with MAC and 36 with M. abscessus infection in terms of patterns and forms of lung lesions. No significant difference was found between MAC and M. abscessus infection in the presence of small nodules, tree-in-bud pattern, and bronchiectasis. However, lobar volume decrease (p=0.001), nodule (p=0.018), airspace consolidation (p=0.047) and thin-walled cavity (p=0.009) were more frequently observed in MAC infection. The upper lobe cavitary form was more frequent in the MAC (19 of 51 patients, 37%) group than M. abscessus (5 of 36, 14%) (p=0.029), whereas the nodular bronchiectatic form was more frequent in the M. abscessus group ([29 of 36, 81%] vs. [27 of 51, 53%] in MAC) (p=0.012). In conclusion, there is considerable overlap in common CT findings of MAC and M. abscessus pulmonary infection; however, lobar volume loss, nodule, airspace consolidation, and thin-walled cavity are more frequently seen in MAC than M. abscessus infection. PMID:16224151

Chung, Myung Jin; Koh, Won-Jung; Lee, Ju Hyun; Kim, Tae Sung; Kwon, O Jung; Kim, Seonwoo

2005-01-01

144

Thin-section CT findings of nontuberculous mycobacterial pulmonary diseases: comparison between Mycobacterium avium-intracellulare complex and Mycobacterium abscessus infection.  

PubMed

We aimed to compare the CT findings of nontuberculous mycobacterial pulmonary diseases caused by Mycobacterium avium-intracellulare complex (MAC) and Mycobacterium abscessus. Two chest radiologists analyzed retrospectively the thin-section CT findings of 51 patients with MAC and 36 with M. abscessus infection in terms of patterns and forms of lung lesions. No significant difference was found between MAC and M. abscessus infection in the presence of small nodules, tree-in-bud pattern, and bronchiectasis. However, lobar volume decrease (p=0.001), nodule (p=0.018), airspace consolidation (p=0.047) and thin-walled cavity (p=0.009) were more frequently observed in MAC infection. The upper lobe cavitary form was more frequent in the MAC (19 of 51 patients, 37%) group than M. abscessus (5 of 36, 14%) (p=0.029), whereas the nodular bronchiectatic form was more frequent in the M. abscessus group ([29 of 36, 81%] vs. [27 of 51, 53%] in MAC) (p=0.012). In conclusion, there is considerable overlap in common CT findings of MAC and M. abscessus pulmonary infection; however, lobar volume loss, nodule, airspace consolidation, and thin-walled cavity are more frequently seen in MAC than M. abscessus infection. PMID:16224151

Chung, Myung Jin; Lee, Kyung Soo; Koh, Won-Jung; Lee, Ju Hyun; Kim, Tae Sung; Kwon, O Jung; Kim, Seonwoo

2005-10-01

145

[Findings of the (18)F-FDG PET-CT in a cardiac angiosarcoma complicated by a cardiac rupture].  

PubMed

Primary malignant tumors of the heart are a rare condition. The most common type is the cardiac angiosarcoma. The symptoms of this disease are very nonspecific and can be very difficult to diagnose by conventional imaging techniques. We report the case of a male patient with cardiac angiosarcoma who also had a rare complication, this being cardiac rupture, which required the use of (18)F-FDG PET-CT to demonstrate the mass malignancy and to reach a definitive diagnosis. PMID:23810660

Santiago-Chinchilla, Alicia; Ruiz-Carazo, Eduardo; Moral-Ruiz, Antonio; Testart Dardel, Nathalie; Martínez-Martínez, Alberto; López-Fernández, Silvia

2014-01-01

146

Quantitative assessment of left ventricular function with dual-source CT in comparison to cardiac magnetic resonance imaging: initial findings.  

PubMed

Cardiac magnetic resonance imaging and echocardiography are currently regarded as standard modalities for the quantification of left ventricular volumes and ejection fraction. With the recent introduction of dual-source computedtomography (DSCT), the increased temporal resolution of 83 ms should also improve the assessment of cardiac function in CT. The aim of this study was to evaluate the accuracy of DSCT in the assessment of left ventricular functional parameters with cardiac magnetic resonance imaging (MRI) as standard of reference. Fifteen patients (two female, 13 male; mean age 50.8 +/- 19.2 years) underwent CT and MRI examinations on a DSCT (Somatom Definition; Siemens Medical Solutions, Forchheim, Germany) and a 3.0-Tesla MR scanner (Magnetom Trio; Siemens Medical Solutions), respectively. Multiphase axial CT images were analysed with a semiautomatic region growing algorithms (Syngo Circulation; Siemens Medical Solutions) by two independent blinded observers. In MRI, dynamic cine loops of short axis slices were evaluated with semiautomatic contour detection software (ARGUS; Siemens Medical Solutions) independently by two readers. End-systolic volume (ESV), end-diastolic volume (EDV), ejection fraction (EF) and stroke volume (SV) were determined for both modalities, and correlation coefficient, systematic error, limits of agreement and inter-observer variability were assessed. In DSCT, EDV and ESV were 135.8 +/- 41.9 ml and 54.9 +/- 29.6 ml, respectively, compared with 132.1 +/- 40.8 ml EDV and 57.6 +/- 27.3 ml ESV in MRI. Thus, EDV was overestimated by 3.7 ml (limits of agreement -46.1/+53.6), while ESV was underestimated by 2.6 ml (-36.6/+31.4). Mean EF was 61.6 +/- 12.4% in DSCT and 57.9 +/- 9.0% in MRI, resulting in an overestimation of EF by 3.8% with limits of agreement at -14.7 and +22.2%. Rank correlation rho values were 0.81 for EDV (P = 0.0024), 0.79 for ESV (P = 0.0031) and 0.64 for EF (P = 0.0168). The kappa value of inter-observer variability were amounted to 0.85 for EDV, ESV and EF. DSCT offers the possibility to quantify left ventricular function from coronary CT angiography datasets with sufficient diagnostic accuracy, adding to the value of the modality in a comprehensive cardiac assessment. The observed differences in the measured values may be due to different post-processing methods and physiological reactions to contrast material injection without beta-blocker medication. PMID:17909817

Busch, S; Johnson, T R C; Wintersperger, B J; Minaifar, N; Bhargava, A; Rist, C; Reiser, M F; Becker, C; Nikolaou, K

2008-03-01

147

Mass General study finds laxative-free CT colonography may be as accurate as colonoscopy in detecting high-risk polyps  

Cancer.gov

A CT-scan-based form of virtual colonoscopy that does not require laxative preparation appears to be as effective as standard colonoscopy in identifying the intestinal polyps most likely to become cancerous. In the May 15 issue of Annals of Internal Medicine, a Massachusetts General Hospital-based research team reports finding that the new technique, which uses computer-aided systems both to virtually cleanse and to analyze the images acquired, was able to identify more than 90 percent of the common polyps called adenomas that were 10 mm or larger.

148

Multifocal nodular fatty infiltration of the liver mimicking metastatic disease on CT: imaging findings and diagnosis using MR imaging.  

PubMed

The aim of this study was to describe the MR appearance of multifocal nodular fatty infiltration of the liver (MNFIL) using T1-weighted in-phase (IP) and opposed-phase (OP) gradient-echo as well as T2-weighted turbo-spin-echo sequences with fat suppression (FSTSE) and without (HASTE). Magnetic resonance imaging examinations at 1.5 T using T1-weighted IP and OP-GRE with fast low angle shot (FLASH) technique, and T2-weighted FSTSE, T2-weighted HASTE of 137 patients undergoing evaluation for focal liver lesions were reviewed. Five patients were identified in whom CT indicated metastatic disease; however, no liver malignancy was finally proven. Diagnosis was confirmed by biopsy (n = 3), additional wedge resection (n = 1) or follow-up MRI 6-12 months later (n = 5). Regarding the identified five patients, the number of focal liver lesions was 2 (n = 2) and more than 20 (n = 3). The MR imaging characteristics were as follows: OP-image: markedly hypointense (n = 5); IP image: isointense (n = 2) or slightly hyperintense (n = 3); T2-weighted FSTSE-image: isointense (n = 5); T2-weighted HASTE image isointense (n = 1); slightly hyperintense (n = 4). On OP images all lesions were sharply demarcated and of almost spherical configuration (n = 5). Further evaluation by histology or follow-up MR imaging did not give evidence of malignancy in any case. Histology revealed fatty infiltration of the liver parenchyma in three patients. Magnetic resonance follow-up showed complete resolution in two patients and no change in three patients. Multifocal nodular fatty infiltration can simulate metastatic disease on both CT and MR imaging. The combination of in-phase (IP) and opposed-phase (OP) gradient-echo imaging can reliably differentiate MNFIL from metastatic disease. PMID:11003404

Kröncke, T J; Taupitz, M; Kivelitz, D; Scheer, I; Daberkow, U; Rudolph, B; Hamm, B

2000-01-01

149

Inhibition of fibrosis and inflammation by triple therapy with pirfenidone, edaravone and erythropoietin in rabbits with drug-induced lung injury: comparison of CT imaging and pathological findings  

PubMed Central

In a rabbit model of bleomycin-induced lung injury, computed tomography (CT) and pathological studies were conducted to investigate whether the progression of this injury is inhibited by pirfenidone and by triple therapy with pirfenidone, edaravone and erythropoietin. We divided nine rabbits with bleomycin-induced lung injury into three equally sized groups. Group 1 served as the control, group 2 received pirfenidone alone and group 3 was treated with pirfenidone, edaravone and erythropoietin. Multidetector CT (MDCT) scans were acquired immediately after the administration of bleomycin, and further scans were performed on days 14 and 28. The area of abnormal opacity was calculated. The rabbit lungs were removed and the size of abnormal areas in macroscopic specimens was calculated and the degree of fibrosis and inflammation in microscopic specimens was scored. In order, the average size of the area of abnormal opacity on CT scans was largest in group 1, followed by groups 2 and 3. On day 28, the area of opacity was significantly smaller in group 3 than in group 1 (P=0.071). The average size of the area of abnormal opacity on macroscopic findings was largest in group 1, followed in order by groups 2 and 3; the difference between group 1 and 3 was significant (P<0.05). The average fibrosis score was highest in group 3 followed by groups 2 and 1. By contrast, the average inflammation score was highest in group 2 followed by groups 1 and 3. Although the administration of pirfenidone alone slowed the progression of bleomycin-induced lung injury, the triple-drug combination was more effective. PMID:24223628

WATANABE, SHOBU; NITTA, NORIHISA; SONODA, AKINAGA; NITTA-SEKO, AYUMI; OHTA, SHINICHI; TSUCHIYA, KEIKO; OTANI, HIDEJI; TOMOZAWA, YUKI; NAGATANI, YUKIHIRO; MUKAISHO, KENICHI; TAKAHASHI, MASASHI; MURATA, KIYOSHI

2013-01-01

150

CT Imaging Findings and Their Relevance to the Clinical Outcomes After Stent Graft Repair of Penetrating Aortic Ulcers: Six-year, Single-center Experience  

SciTech Connect

Purpose: To present the computed tomographic (CT) imaging findings and their relevance to clinical outcomes related to stent graft placement in patients with penetrating aortic ulcers (PAUs). Methods: Medical and imaging records and imaging studies were reviewed for consecutive patients who underwent stent graft repair of a PAU. The distribution and characteristics of the PAU, technical success of stent graft repair, procedure-related complications, associated aortic wall abnormalities, and outcomes of the PAUs at follow-up CT scans were evaluated. Results: Fifteen patients underwent endovascular treatment for PAU. A total of 87% of the PAUs were in the proximal (n = 8) or distal (n = 5) descending thoracic aorta. There was a broad spectrum of PAU depth (mean, 7.9 {+-} 5.6 mm; range 1.5-25.0 mm) and diameter (mean, 13.5 {+-} 9.7 mm; range 2.2-41.0 mm). Atherosclerosis of the thoracic aorta and intramural hematoma were associated in 53 and 93% of the patients, respectively. Technical success was achieved in 100%. Two or more stent grafts were used in five patients. Endoleaks were observed in two patients within 2 weeks of the procedure, both of which resolved spontaneously. At follow-up CT scanning, regression and thrombosis of the PAUs were observed in all patients. The average patient survival was 61.8 months, with an overall mortality of 13% (2 of 15) at follow-up. Neither death was related to the endograft device or the PAU. Conclusion: Endovascular stent graft placement was safe and effective in causing regression and thrombosis of PAUs in this small series of patients. Two or more stent grafts were used in five patients (33%) with associated long-segmental atherosclerotic changes of the thoracic aorta or intramural hematoma.

Shin, Ji Hoon [University of Ulsan College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology (Korea, Republic of); Angle, John F.; Park, Auh Whan; Anderson, Curtis; Sabri, Saher S.; Turba, Ulku C. [University of Virginia Health System, Division of Angiography, Interventional Radiology and Special Procedures, Department of Radiology (United States); Kern, John A.; Cherry, Kenneth J. [University of Virginia Health System, Department of Surgery (United States); Matsumoto, Alan H., E-mail: ahm4d@virginia.edu [University of Virginia Health System, Division of Angiography, Interventional Radiology and Special Procedures, Department of Radiology (United States)

2012-12-15

151

Clinically-Important Brain Injury and CT Findings in Pediatric Mild Traumatic Brain Injuries: A Prospective Study in a Chinese Reference Hospital  

PubMed Central

This study investigated injury patterns and the use of computed tomography (CT) among Chinese children with mild traumatic brain injury (MTBI). We enrolled children with MTBI who were treated within 24 hours of head trauma in the emergency department of Wuhan Medical Care Center for Women and Children in Wuhan, China. Characteristics of MTBIs were analyzed by age and gender. Results of cranial CT scan and clinically-important brain injury (ciTBI) for children were obtained. The definition of ciTBI was: death from TBI, intubation for more than 24 h for TBI, neurosurgery, or hospital admission of 2 nights or more. Of 455 eligible patients with MTBI, ciTBI occurred in two, and no one underwent neurosurgical intervention. CT scans were performed for 441 TBI patients (96.9%), and abnormal findings were reported for 147 patients (33.3%, 95% CI 29.0–37.8). Falls were the leading cause of MTBI (61.5%), followed by blows (18.9%) and traffic collisions (14.1%) for children in the 0–2 group and 10–14 group. For children aged between 3 and 9, the top three causes of TBI were falls, traffic collisions and blows. Leisure activity was the most reported activity when injuries occurred for all age groups. Sleeping/resting and walking ranked in the second and third place for children between 0 and 2 years of age, and walking and riding for the other two groups. The places where the majority injuries occurred were the home for the 0–2 and 3–9 years of age groups, and school for the 10–14 years of age group. There was no statistical difference between boys and girls with regard to the activity that caused the MTBI. This study highlights the important roles that parents and school administrators in the development of preventive measures to reduce the risk of traumatic brain injury in children. Also, identifying children who had a head trauma at very low risk of clinically important TBI for whom CT might be unnecessary is a priority area of research in China. PMID:24675642

Zhu, Huiping; Gao, Qi; Xia, Xin; Xiang, Joe; Yao, Hongli; Shao, Jianbo

2014-01-01

152

Clinically-important brain injury and CT findings in pediatric mild traumatic brain injuries: a prospective study in a Chinese reference hospital.  

PubMed

This study investigated injury patterns and the use of computed tomography (CT) among Chinese children with mild traumatic brain injury (MTBI). We enrolled children with MTBI who were treated within 24 hours of head trauma in the emergency department of Wuhan Medical Care Center for Women and Children in Wuhan, China. Characteristics of MTBIs were analyzed by age and gender. Results of cranial CT scan and clinically-important brain injury (ciTBI) for children were obtained. The definition of ciTBI was: death from TBI, intubation for more than 24 h for TBI, neurosurgery, or hospital admission of 2 nights or more. Of 455 eligible patients with MTBI, ciTBI occurred in two, and no one underwent neurosurgical intervention. CT scans were performed for 441 TBI patients (96.9%), and abnormal findings were reported for 147 patients (33.3%, 95% CI 29.0-37.8). Falls were the leading cause of MTBI (61.5%), followed by blows (18.9%) and traffic collisions (14.1%) for children in the 0-2 group and 10-14 group. For children aged between 3 and 9, the top three causes of TBI were falls, traffic collisions and blows. Leisure activity was the most reported activity when injuries occurred for all age groups. Sleeping/resting and walking ranked in the second and third place for children between 0 and 2 years of age, and walking and riding for the other two groups. The places where the majority injuries occurred were the home for the 0-2 and 3-9 years of age groups, and school for the 10-14 years of age group. There was no statistical difference between boys and girls with regard to the activity that caused the MTBI. This study highlights the important roles that parents and school administrators in the development of preventive measures to reduce the risk of traumatic brain injury in children. Also, identifying children who had a head trauma at very low risk of clinically important TBI for whom CT might be unnecessary is a priority area of research in China. PMID:24675642

Zhu, Huiping; Gao, Qi; Xia, Xin; Xiang, Joe; Yao, Hongli; Shao, Jianbo

2014-04-01

153

Dirofilaria immitis infection in dogs: unusually located and unusual findings  

Microsoft Academic Search

Clinical, blood, serum biochemistry, and parasitological assessments were performed on four hospitalized dogs, not in good\\u000a general condition, in a study carried out to determine the prevalence of general parasitic infections. Hematological and biochemical\\u000a parameters and electrocardiographic recording of the animals were determined during the general clinical examinations. Four\\u000a dogs were indicated to have been infected with Dirofilaria immitis by

Feride Kircali Sevimli; Esma Kozan; Aziz Bülbül; Fatih Mehmet Birdane; Mustafa Köse; Alper Sevimli

2007-01-01

154

An unusual unifocal presentation of Castleman's disease in a young woman with a detailed description of sonographic findings to reduce diagnostic uncertainty: a case report  

PubMed Central

Background Castleman’s disease is a rare lymphoproliferative disorder. It typically presents as mediastinal masses and causes a wide range of clinical symptoms. Histologically, Castleman’s disease is classified as either a hyalinic vascular or plasma cell variant. The prognosis mainly depends on the histological type and broadly varies. We herein report our sonographic findings in a patient with Castleman’s disease, including gray-scale ultrasonography, color Doppler ultrasonography, and sonoelastography ultrasonography, which have not been previously reported in the literature. These findings allowed for a preoperative diagnosis and avoidance of overly aggressive therapy. Case presentation A 28-year-old European female patient with unicentric Castleman’s disease of hyalinic vascular type (HV) restricted to the axilla was referred to us because of a 4-month history of a painless, solitary mass located in the left axilla. The patient’s medical history was unremarkable. Conclusion Castleman’s disease is a pathologic entity of unknown etiology and pathogenesis. In this case report of unicentric HV-type CD, we demonstrate that typical sonographic findings can lead to a preoperative diagnosis of Castleman’s disease. Core needle biopsy usually allows for a final diagnosis and helps to avoid unnecessary operations and overtreatment. PMID:23497665

2013-01-01

155

Vascular thrombosis as a cause of abdominal pain in a patient with neuroendocrine carcinoma of pancreas: Findings on (68)Ga-DOTANOC PET/CT.  

PubMed

Neuroendocrine tumors of pancreas are relatively rare neoplasms and are classified as either functioning or non-functioning tumors. A 55-year-old female diagnosed with a large, well-differentiated, non-functional neuroendocrine carcinoma of pancreas, presented with abdominal pain of increasing severity. A contrast-enhanced examination of the abdomen was performed to reveal a large, diffuse, enhancing pancreatic mass with multiple filling defects within the mesenteric vasculature. We present findings on (68)Ga-labeled [1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid]-1-NaI(3)-Octreotide, positron emission tomography-computed tomography ((68)Ga-DOTANOC PET/CT) and the importance of somatostatin receptor-based PET imaging in such patients. PMID:23599597

Naswa, Niraj; Kumar, Rakesh; Bal, Chandrasekhar; Malhotra, Arun

2012-01-01

156

Vascular thrombosis as a cause of abdominal pain in a patient with neuroendocrine carcinoma of pancreas: Findings on 68Ga-DOTANOC PET/CT  

PubMed Central

Neuroendocrine tumors of pancreas are relatively rare neoplasms and are classified as either functioning or non-functioning tumors. A 55-year-old female diagnosed with a large, well-differentiated, non-functional neuroendocrine carcinoma of pancreas, presented with abdominal pain of increasing severity. A contrast-enhanced examination of the abdomen was performed to reveal a large, diffuse, enhancing pancreatic mass with multiple filling defects within the mesenteric vasculature. We present findings on 68Ga-labeled [1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid]-1-NaI3-Octreotide, positron emission tomography-computed tomography (68Ga-DOTANOC PET/CT) and the importance of somatostatin receptor-based PET imaging in such patients. PMID:23599597

Naswa, Niraj; Kumar, Rakesh; Bal, Chandrasekhar; Malhotra, Arun

2012-01-01

157

Focal nodular hyperplasia: findings at state-of-the-art MR imaging, US, CT, and pathologic analysis.  

PubMed

Focal nodular hyperplasia (FNH) is the second most common benign liver tumor after hemangioma. FNH is classified into two types: classic (80% of cases) and nonclassic (20%). Distinction between FNH and other hypervascular liver lesions such as hepatocellular adenoma, hepatocellular carcinoma, and hypervascular metastases is critical to ensure proper treatment. An asymptomatic patient with FNH does not require biopsy or surgery. Magnetic resonance (MR) imaging has higher sensitivity and specificity for FNH than does ultrasonography or computed tomography. Typically, FNH is iso- or hypointense on T1-weighted images, is slightly hyper- or isointense on T2-weighted images, and has a hyperintense central scar on T2-weighted images. FNH demonstrates intense homogeneous enhancement during the arterial phase of gadolinium-enhanced imaging and enhancement of the central scar during later phases. Familiarity with the proper MR imaging technique and the spectrum of MR imaging findings is essential for correct diagnosis of FNH. PMID:14730031

Hussain, Shahid M; Terkivatan, Türkan; Zondervan, Pieter E; Lanjouw, Esmée; de Rave, Sjoerd; Ijzermans, Jan N M; de Man, Rob A

2004-01-01

158

Evaluation of the relationship between smear positivity and high-resolution CT findings in children with pulmonary tuberculosis  

PubMed Central

Summary Background The aim of this study is to find a relationship between the radiological manifestations of childhood tuberculosis on a high-resolution computed tomography (HRCT) and the results of sputum smear. This study aims to propose an alternative indicator of infectivity in terms of prevention of disease transmission through selective isolation policy in children whose clinical condition is highly suggestive of tuberculosis. Material/Methods This retrospective comparative study was performed on 95 children under 15 years of age diagnosed with tuberculosis based on both WHO criteria and positive sputum culture for mycobacterium Tuberculosis. The children were admitted for TB screening in the pediatric department of national research institute of tuberculosis and lung disease (NRITLD) between 2008–2012. Direct smear collected from sputum or gastric lavage, as well as HRCT were performed in all children prior to administration of medical therapy. Children were divided into 2 groups based on positive and negative smear results. HRCT abnormalities, as well as their anatomical distribution were compared between these 2 groups using multivariate analytic model. Results The most prevalent abnormalities in the positive smear group were consolidation, tree-in-bud pattern, upper lobe nodular infiltration and cavitation. The negative smear group featured lymphadenopathy, consolidation, collapse and nodular infiltration in the upper lobe. Cavity, tree- in-bud pattern and upper lobe nodular infiltration were highly associated with smear positivity in children. Conversely, lymphadenopathy and collapse had significant association with a negative smear. Conclusions This study revealed that cavity, tree-in-bud and upper lobe nodular infiltration has significant association with smear positivity in childhood tuberculosis. On the other hand, lymphadenopathy and collapse were closely associated with smear negativity in this age group. It was also demonstrated that children with a positive smear most likely presented with radiological features of post primary tuberculosis, while the negative smear group most often manifested with primary tuberculosis. PMID:24883144

Bolursaz, Mohammad Reza; Mehrian, Payam; Aghahosseini, Farahnaz; Lotfian, Ferial; Khalilzadeh, Soheila; Baghaie, Nooshin; Hassanzad, Maryam; Velayati, Ali Akbar

2014-01-01

159

Lung cancer mimicking lung abscess formation on CT images  

PubMed Central

Patient: Male, 64 Final Diagnosis: Lung pleomorphic carcinoma Symptoms: Cough • fever Medication: — Clinical Procedure: — Specialty: Oncology Objective: Unusual clinical course Background: The diagnosis of lung cancer is often made based on computed tomography (CT) image findings if it cannot be confirmed on pathological examinations, such as bronchoscopy. However, the CT image findings of cancerous lesions are similar to those of abscesses.We herein report a case of lung cancer that resembled a lung abscess on CT. Case Report: We herein describe the case of 64-year-old male who was diagnosed with lung cancer using surgery. In this case, it was quite difficult to distinguish between the lung cancer and a lung abscess on CT images, and a lung abscess was initially suspected due to symptoms, such as fever and coughing, contrast-enhanced CT image findings showing a ring-enhancing mass in the right upper lobe and the patient’s laboratory test results. However, a pathological diagnosis of lung cancer was confirmed according to the results of a rapid frozen section biopsy of the lesion. Conclusions: This case suggests that physicians should not suspect both a lung abscesses and malignancy in cases involving masses presenting as ring-enhancing lesions on contrast-enhanced CT. PMID:24949114

Taira, Naohiro; Kawabata, Tsutomu; Gabe, Atsushi; Ichi, Takaharu; Kushi, Kazuaki; Yohena, Tomofumi; Kawasaki, Hidenori; Yamashiro, Toshimitsu; Ishikawa, Kiyoshi

2014-01-01

160

Unusual colonoscopy finding: Taenia saginata proglottid  

PubMed Central

Infection with tapeworms is a major problem in many parts of the world. Patients may be asymptomatic or have a significant morbidity depending on the species. Infection with Taenia species is sometimes found by expulsion of eggs or proglottids in stool. Species specific diagnosis of Taenia is difficult, but possible. We present a case of Taenia saginata incidentally discovered, and risk factors for transmission, diagnosis, symptoms, and treatment. PMID:17907306

Patel, Nayan M; Tatar, Eric L

2007-01-01

161

Focal hepatic fatty infiltration in the posterior edge of the medial segment associated with aberrant gastric venous drainage: CT, US, and MR findings  

SciTech Connect

The purpose of this study is to demonstrate the relation between focal hepatic fatty infiltration and aberrant gastric venous drainage (AGVD) in the posterior edge of the medial segment (PEMS) of the liver and we present two cases of focal hepatic fatty infiltration with AGVD in the PEMS and discuss their imaging features. In both cases the focal fatty infiltration areas were hyperechoic on sonography, hypodense on CT, and hyperintense on T1-weighted MRI. Computed tomography during arterial portography (CTAP) showed nodular perfusion defects corresponding to the areas in both cases, and early enhancement of the area was observed with dynamic MRI in one case. Although the findings on CTAP and dynamic MRI suggested a neoplastic nature for the lesions, focal fatty infiltration was confirmed with surgical resection in one case and with imaging follow-up in the other. Aberrant gastric venous drainage into the area was demonstrated on arteriography in both cases. The variation in blood supply caused by AGVD may play an important role in fatty metabolism in the PENIS of the liver and may influence imaging features. 9 refs., 2 figs.

Kawamori, Yashuiro; Matsui, Osamu; Takahashi, S. [Kanazawa Univ. (Japan)] [and others] [Kanazawa Univ. (Japan); and others

1996-05-01

162

The more you look, the more you find: challenging results on FDG-PET CT in a patient with neurofibromatosis type I  

PubMed Central

Background FDG-PET/CT is part of the standard diagnostic management of a patients with a large variety of common and less common malignant tumors, based on the increased glucose metabolism within tumors. Case presentation A hybrid fluorodeoxyglucose positron emission tomography and computed tomography (FDG-PET/CT) was performed in a neurofibromatosis patient to rule out relapse of malignant peripheral nerve sheet tumor. The scan revealed non-malignant neurofibromas, a testis seminoma and hypermetabolic syphilitic granulomata. Conclusion This case stresses the need to rule out infectious diseases when atypical hypermetabolic lesions are present. PMID:24885974

2014-01-01

163

Intraspinal synovial cyst: diagnosis by CT  

Microsoft Academic Search

We report a case of intraspinal synovial cyst with sciatic pain diagnosed by CT, that showed spontaneous resolution and clinical improvement with medical treatment and comment on another two cases of this unusual entity discovered among over 1500 spinal CT explorations.

J. Mercader; J. Mufioz Gomez; C. Cardenal

1985-01-01

164

Radiographic plain film and CT findings in lipoid pneumonia in infants following aspiration of mineral oil used in the treatment of partial small bowel obstruction by Ascaris lumbricoides  

Microsoft Academic Search

Four children developed lipoid pneumonia following ingestion of mineral oil for the treatment of partial small bowel obstruction\\u000a byAscaris lumbricoides whorl. CT of the chest showed negative Hounsfield numbers which may prove useful in diagnosis.

G. A. de Oliveira; S. R. Del Caro; C. M. Bender Lamego; P. R. Merçon Vargas; V. E. C. Vervloet

1985-01-01

165

Embryonal Rhabdomyosarcoma Arising from a Mediastinal Teratoma: An Unusual Case Report  

PubMed Central

We report an unusual case of 9.5-cm-sized embryonal rhabdomyosarcoma arose from a mediastinal mature teratoma in a 46-yr-old man. A man presented with chest trauma as a result of an accident at 10 September 2011. On chest X-ray, an anterior mediastinal mass was detected. To obtain further information, chest computed tomography (CT) with contrast enhancement was performed, revealing an anterior mediastinal mass. Complete surgical excision was performed and entire specimen was evaluated. Pathologic diagnosis was embryonal rhabdomyosarcoma arising in mature cystic teratoma. After surgical excision, two cycles of dactinomycin-based chemotherapy were performed. Lung metastasis was detected on follow up CT in September 2012, and wedge resection was performed. Pathological finding of the lung lesion showed same feature with that of primary rhabdomyosarcoma. PMID:23487585

Yoo, Su Hyun; Jung, Min Jung; Jang, Sejin; Cho, Kyung-Ja

2013-01-01

166

Sarcoidosis of the pineal gland: an unusual presentation of neurosarcoidosis  

PubMed Central

Introduction Sarcoidosis is an inflammatory disease characterized by noncaseating granulomas that is rarely found as primary CNS pathology. We report an unusual case of sarcoidosis involving the pineal gland with radiographic, histopathology, and clinical data. Case report A 45-year-old man without evidence of systemic sarcoidosis presented with a history of gradual onset of blurry vision and diplopia that progressed over 3 months. MR imaging demonstrated an enhancing mass in the pineal region. A suboccipital craniotomy was performed with resection of the mass through a supra-cerebellar infratentorial approach. Histopathologic analysis did not reveal a pineoblastoma but instead revealed noncaseating granulomas within the pineal gland. Extensive hematologic laboratory examinations, cerebral spinal fluid studies, and cultures for infection were all negative. This mass lesion was diagnosed as solitary neurosarcoidosis of the pineal gland, without dissemination. The patient was treated with steroids and at 4-year follow-up is asymptomatic with an unremarkable MRI scan. Conclusion This is an unusual case of pineal sarcoidosis mimicking a tumor with associated MRI, CT and histopathologic findings reported together. Although rare, sarcoidosis of the pineal gland should not be excluded from a comprehensive differential diagnosis of an enhancing pineal region mass. PMID:18759061

Yang, Isaac; Delpolyi, Amy; Sughrue, Michael E.; Rubenstein, James; Bollen, Andrew W.

2014-01-01

167

Exogenous lipoid pneumonia secondary to Vaseline application to the tracheostomy in a laryngectomy patient: PET/CT and MR imaging findings.  

PubMed

A 67-year-old female ex-smoker was referred to our hospital after chest radiographs revealed a nonresolving opacity in the right lower lung. Her past medical history was significant for laryngeal cancer. A whole-body positron emission tomography/computed tomography (CT) confirmed an ill-defined fluorodeoxyglucose-avid peribronchial opacity in the right middle and inferior lobes. The CT component of the study showed focal areas of low attenuation within the lung opacity; these focal areas followed fat signal intensity on a magnetic resonance study, confirming the suspicion of exogenous lipoid pneumonia. The patient admitted to applying petroleum jelly (Vaseline) to her tracheostomy in order to moisturize the area around the stoma. PMID:23206626

Gorospe, Luis; Gallego-Rivera, José Ignacio; Hervás-Morón, Asunción

2013-01-01

168

Cystic Meningioma Simulating Arachnoid Cyst: Report of an Unusual Case  

PubMed Central

The purpose of this paper is to show an unusual case of meningioma simulating arachnoid cyst on CT scan and MRI, diagnosed in a 63-year-old woman evaluated for headache and vision disorders. The meningioma shown is predominantly cystic with a small mural nodule enhancing after gadolinium and exhibiting diffusion restriction. Cystic portion of the tumor is hypodense on CT, and evidences fluid signal intensity on T1- and T2-weighted MR imaging. PMID:25057425

Jorge, Docampo; Nadia, Gonzalez; Claudio, Vazquez; Carlos, Morales; Eduardo, Gonzalez-Toledo

2014-01-01

169

Lung in Dengue: Computed Tomography Findings  

PubMed Central

Background Dengue is the most important mosquito-borne viral disease in the world. Dengue virus infection may be asymptomatic or lead to undifferentiated fever, dengue fever with or without warning signs, or severe dengue. Lower respiratory symptoms are unusual and lung-imaging data in patients with dengue are scarce. Methodology/Principal Findings To evaluate lung changes associated with dengue infection, we retrospectively analyzed 2,020 confirmed cases of dengue. Twenty-nine of these patients (11 females and 18 males aged 16–90 years) underwent chest computed tomography (CT), which yielded abnormal findings in 17 patients: 16 patients had pleural effusion (the sole finding in six patients) and 11 patients had pulmonary abnormalities. Lung parenchyma involvement ranged from subtle to moderate unilateral and bilateral abnormalities. The most common finding was ground-glass opacity in eight patients, followed by consolidation in six patients. Less common findings were airspace nodules (two patients), interlobular septal thickening (two patients), and peribronchovascular interstitial thickening (one patient). Lung histopathological findings in four fatal cases showed thickening of the alveolar septa, hemorrhage, and interstitial edema. Conclusions/Significance In this largest series involving the use of chest CT to evaluate lung involvement in patients with dengue, CT findings of lower respiratory tract involvement were uncommon. When abnormalities were present, pleural effusion was the most frequent finding and lung involvement was often mild or moderate and bilateral. Extensive lung abnormalities are infrequent even in severe disease and when present should lead physicians to consider other diagnostic possibilities. PMID:24836605

Rodrigues, Rosana Souza; Brum, Ana Livia Garcia; Paes, Marciano Viana; Povoa, Tiago Fajardo; Basilio-de-Oliveira, Carlos Alberto; Marchiori, Edson; Borghi, Danielle Provencano; Ramos, Grazielle Viana; Bozza, Fernando Augusto

2014-01-01

170

[Unusual carbon monoxide poisoning].  

PubMed

Despite of indicative death scenes or characteristic findings of the external examination, about 40% of the accidental fatal intoxications due to carbon monoxide are not recognized before the performance of the autopsy. Six cases are reported which illustrate possible reasons for the delayed establishment of the diagnosis: unusual circumstances of the intoxication or sources of carbon monoxide, only subtle degree or lack of external signs of the intoxication or a competing cause of death at autopsy.--Cases 1 and 2: 53, respectively 54-year-old couple, found dead in a caravan, extreme putrefaction of the bodies, spectrophotometric detection of the fatal carboxyhaemoglobin level in oedema fluid of the scalp.--Case 3: 23-year-old lorry driver, found dead in the tightly closed cab of his lorry, operation of a source of electricity with "environmentally friendly" fuel, carboxyhaemoglobin level 83%.--Case 4: 19-year-old man, found dead in the flat of friends, removal of the CO-source before alerting the police forces, lack of the bright pink coloration of livor mortis, haemopericardium due to atrial rupture at postmortem examination, carboxyhaemoglobin level 65%.--Case 5: 27-year-old man, found dead in his flat, advanced decomposition of the body, residues of a charcoal fire in a metal bucket in the sink, carboxyhaemoglobin level 80%.--Case 6: 42-year-old woman, lying dead in the garage beside her car, engine switched-off, ignition key next to the body on the floor under the car, carboxyhaemoglobin level 46%. PMID:11591055

Schmidt, P; Musshoff, F; Dettmeyer, R; Madea, B

2001-01-01

171

An Unusual Lunar Halo  

ERIC Educational Resources Information Center

Discusses a photograph of an unusual combination of lunar halos: the 22-degree refraction halo, the circumscribed halo, and a reflection halo. Deduces the form and orientations of the ice crystals responsible for the observed halo features. (MLH)

Cardon, Bartley L.

1977-01-01

172

CT Enterography  

MedlinePLUS

... resulting in more detail and additional view capabilities. Modern CT scanners are so fast that they can ... to ensure that you are properly positioned. With modern CT scanners, you will hear only slight buzzing, ...

173

CT -- Body  

MedlinePLUS

... resulting in more detail and additional view capabilities. Modern CT scanners are so fast that they can ... to ensure that you are properly positioned. With modern CT scanners, you will hear only slight buzzing, ...

174

Unusual Spinal Dysraphic Lesions  

PubMed Central

Human tail and multiple spinal dysraphism are unusual congenital malformations. Human tail appeared as a prominent lesion from the lumbosacrococcygeal region, generally without connection between the tail and the neurospinal axis. Spinal dysraphisms are usually isolated, reaching 0.038% of incidence of multiple spinal dysraphisms in the same child. There were three cases described of unusual spinal dysraphic lesions: two cases of human tail and a case of a multiple thoracic myelomeningocele. The literature about diagnosis and treatment was reviewed. Microsurgical technique was performed to provide better exploration of the lesions, and resection could be done in those congenital malformations, without morbidity. PMID:24194997

Pacheco, Pollyana; Wanderley, Luiz Eduardo

2013-01-01

175

Pictorial review CT of duodenal pathology  

Microsoft Academic Search

This pictorial review presents the CT findings in different pathological entities of the duodenum. The aim of the article is to demonstrate the contribution of a common imaging modality, i.e. abdominal CT, in the diagnosis of various duodenal disorders. The current widespread use of abdominal CT has resulted in the detection, sometimes as an incidental finding, of various duodenal abnorm-

R ZISSIN; A OSADCHY; G GAYER; M SHAPIRO-FEINBERG

176

Rare and challenging extra-axial brain lesions: CT and MRI findings with clinico-radiological differential diagnosis and pathological correlation.  

PubMed

There are many kinds of extra-axial brain tumors and tumor-like lesions, and definitive diagnosis is complicated in some cases. In this pictorial essay, we present rare and challenging extra-axial brain lesions including neuroenteric cyst, primary leptomeningeal melanomatosis, isolated dural neurosarcoidosis, intradiploic epidermoid cyst, ruptured dermoid cyst, intraventricular cavernoma, and cavernous hemangioma of the skull with imaging findings and clinico-radiological differential diagnosis, including the pathologic correlation. Familiarity with these entities may improve diagnostic accuracy and patient management. PMID:25010368

Demir, Mustafa Kemal; Yap?c?er, Ozlem; Onat, Elif; Tokta?, Zafer Orkun; Akak?n, Ak?n; Urgun, Kamran; K?l?ç, Türker

2014-01-01

177

Unusual causes of pneumothorax  

PubMed Central

Pneumothorax is divided to primary and secondary. It is a situation that requires immediate treatment, otherwise it could have severe health consequences. Pneumothorax can be treated either by thoracic surgeons, or pulmonary physicians. In our current work, we will focus on unusual cases of pneumothorax. We will provide the etiology and treatment for each case, also a discussion will be made for each situation. PMID:25337394

Ouellette, Daniel R.; Parrish, Scott; Browning, Robert F.; Turner, J. Francis; Zarogoulidis, Konstantinos; Kougioumtzi, Ioanna; Dryllis, Georgios; Kioumis, Ioannis; Pitsiou, Georgia; Machairiotis, Nikolaos; Katsikogiannis, Nikolaos; Tsiouda, Theodora; Madesis, Athanasios; Karaiskos, Theodoros

2014-01-01

178

Leiomyosarcoma: computed tomographic findings  

SciTech Connect

The computed tomographic (CT) findings in 118 patients with the diagnosis of leiomyosarcoma were reviewed. The tumor masses visualized in these patients were often quite large; extensive necrotic or cystic change was a frequent finding. Calcification was not observed in these tumors. The liver was the most common site of metastasis in these patients, with marked necrosis of the liver lesions a common finding. Other manifestations of tumor spread included pulmonary metastases, mesenteric or omental metastases, retroperitoneal lymphadenopathy, soft-tissue metastases, bone metastases, splenic metastases, and ascites. Although the CT appearance of leiomyosarcoma is not specific, these findings, when present, suggest consideration of this diagnosis.

McLeod, A.J.; Zornoza, J.; Shirkhoda, A.

1984-07-01

179

Unusual radiological behaviour after cryoablation of renal cell carcinoma.  

PubMed

Cryoablation has evolved into an effective treatment option in patients with renal tumours. The procedure is minimally invasive, and patients are often spared the morbidity and hospital stay that is often associated with open or partial nephrectomy. We present an unusual case of a 62-year-old male patient who underwent cryoablation of a renal cell carcinoma. He subsequently developed apparent exuberant local disease progression, which spontaneously regressed on follow-up CT imaging. PMID:24798132

Purohit, Neeraj B; Theaker, Jeff; Breen, David J

2014-12-01

180

Extracolonic Findings on Computed Tomography (CT) Colonography  

ClinicalTrials.gov

Solitary Pulmonary Nodules; Multiple Pulmonary Nodules; Renal Neoplasms; Adrenal Gland Neoplasms; Aortic Aneurysm, Abdominal; Liver Neoplasms; Adnexal and Skin Appendage Neoplasms; Lymphadenopathy; Pancreatic Neoplasms

2013-01-25

181

Unusual ISS Rate Signature  

NASA Technical Reports Server (NTRS)

On November 23, 2011 International Space Station Guidance, Navigation, and Control reported unusual pitch rate disturbance. These disturbances were an order of magnitude greater than nominal rates. The Loads and Dynamics team was asked to review and analyze current accelerometer data to investigate this disturbance. This paper will cover the investigation process under taken by the Loads and Dynamics group. It will detail the accelerometers used and analysis performed. The analysis included performing Frequency Fourier Transform of the data to identify the mode of interest. This frequency data is then reviewed with modal analysis of the ISS system model. Once this analysis is complete and the disturbance quantified, a forcing function was produced to replicate the disturbance. This allows the Loads and Dynamics team to report the load limit values for the 100's of interfaces on the ISS.

Laible, Michael R.

2011-01-01

182

CT of AIDS-related lymphoma.  

PubMed

A spectrum of CT findings in patients with AIDS-related lymphoma (ARL) is illustrated herein. When a solid mass anywhere in the body is encountered in a patient with AIDS, lymphoma must be considered in the differential diagnosis. Although the CT findings alone generally are not enough for a specific diagnosis of lymphoma, this frequently will be suggested as the most likely diagnosis, facilitating further workup. CT-guided biopsy is useful in providing tissue diagnosis in many cases. PMID:2017962

Townsend, R R

1991-05-01

183

Unusual complications of preperitoneal mesh implantation in the treatment of inguinal hernia.  

PubMed

More and more prosthetic materials are being used in the treatment of inguinal hernia. This report deals with some unusual but devastating complications, occurring after preperitoneal mesh implantation. A 56-year old male patient underwent a Stoppa-repair for a bilateral inguinal hernia. Two years postoperatively, a localized abdominal wall abscess was treated with antibiotics and drainage. A barium enema and a CT-scan of the abdomen were performed to rule out an enteric fistula; the CT-scan unexpectedly revealed a tumoral mass involving the sigmoid colon, and an explorative laparotomy was done. Peroperatively, part of the mesh was found to penetrate the bowel wall and a sigmoidectomy with removal of the mesh was performed. Two years later, ingrowth of the urinary bladder by the remains of the mesh was the unfortunate peroperative finding when the patient was operated on for an inflammatory mass, involving the bladder wall. The patient needed two more interventions for persisting wound fistulas. All the remains of the mesh have been removed and all fistulas have been widely excised. Nowadays, the patient is recovering well with complete healing of all wounds. Although infection of prostheses used in the treatment of hernias has been described, late and serious complications related to mesh implantation, such as perforation of the colon and the bladder, have seldom been reported. PMID:14653040

Lauwers, P; Bracke, B; Hubens, G; Vaneerdeweg, W

2003-10-01

184

Computed tomography findings of a solitary extramedullary plasmacytoma of the spleen: A case report and literature review  

PubMed Central

Solitary extramedullary plasmacytoma (EMP) of the spleen is a rare condition. The present study describes the case of a 23-year-old female with an extremely rare solitary EMP of the spleen. Upon examination, the tumor demonstrated unusual and notable multiple-phase spiral computed tomography (CT) findings. The lesion was a solitary, well-defined mass, with areas of variable splenic necrosis and cystic degeneration. Contrast-enhanced CT revealed progressive enhancement of the lesion in the cystic wall, internal septa and solid portion, a finding that has not previously been described. The patient underwent a splenectomy and recovered without complications. No evidence of tumor recurrence has occurred during the past two years of follow-up. To the best of our knowledge, this is the first study to examine the CT findings of a solitary EMP of the spleen. The study aimed to investigate the imaging features of solitary EMP, in particular the multiple-phase spiral CT findings, and raise awareness of the disease to reduce misdiagnoses.

WANG, YING; YANG, LI; QIAN, ZI-HUA; ZHU, XIU-LIANG; YU, RI-SHENG

2015-01-01

185

Neuroaxonal dystrophy of neonatal onset with unusual clinicopathological findings.  

PubMed

A male infant with neuroaxonal dystrophy of neonatal onset is described. He was hypertonic, and exhibited horizontal nystagmus, occasional tremulous movements of the head and extremities, and an absence of waves III through V on auditory brain stem response examination. An autopsy at age 11 months revealed spheroid formation that was predominant in the cerebellum and brain stem, and dysmyelination that was mainly seen in the white matter of the cerebellum. This is in contrast with most of the previously reported patients of infantile neuroaxonal dystrophy in which these changes were evenly distributed throughout the central, peripheral and autonomic nervous systems. PMID:3826552

Tachibana, H; Hayashi, T; Kajii, T; Takashima, S; Sasaki, K

1986-01-01

186

Ochronosis: an unusual finding at aortic valve replacement.  

PubMed

The condition known as ochronosis refers to the accumulation of oxidized homogentisic acid in the connective tissues of alkaptonuric patients. The diagnosis is usually made from the triad of degenerative arthritis, ochronotic connective tissue pigmentation and urine that turns dark brown or black on alkalinization. Cardiovascular disease is a less well appreciated aspect of this disorder. A patient with ochronosis of his stenotic aortic valve is reported. The role of the pigment in the genesis of the valve degeneration is discussed. PMID:10504183

Helou, J; Masters, R G; Keon, W J; Veinot, J P

1999-09-01

187

An unusual finding in a body recovered from the sea.  

PubMed

Post-mortem injuries caused by terrestrial and aquatic animals are commonly encountered in forensic practice. We present a case where an autopsy of a body recovered from the sea showed post-mortem injuries and numerous crustaceans in the heart and lungs. They have gained access to these organs via oro-nasal route and subsequent penetration through mediastinal soft tissues and migration down the trachea. PMID:20569960

Colombage, Senarath M; Telisinghe, P U

2010-07-01

188

Schwannoma of the nasal septum: an unusual finding.  

PubMed

Schwannomas of the nasal cavity are rare benign tumors, and those that arise from the nasal septum are even rarer. When they do occur, they usually become symptomatic early because of the close confines of the nasal cavity. We describe a case of nasal septal schwannoma that was noteworthy in that the patient-a 28-year-old woman-waited 8 months after the onset of symptoms to seek medical care. Her symptoms included complete right-sided nasal obstruction, occasional epistaxis, and hemifacial pain. The tumor was completely removed via an endoscopic approach. We discuss the clinical presentation, differential diagnosis, and treatment of this rarely encountered neoplasm. PMID:24652570

Dhingra, Shruti; Bakshi, Jaimanti; Mohindra, Satyawati

2014-03-01

189

NASA Reveals Most Unusual Planet  

NASA Video Gallery

In exploring the universe, NASA has uncovered one planet more unusual than all others. This 30 second video shows you which planet that is, and explains that NASA science helps us better understand...

190

Experiments with Unusual Oxidation States  

ERIC Educational Resources Information Center

Describes four synthesis experiments, adapted for the general chemistry laboratory, in which compounds in unusual oxidation are prepared. The abnormal oxidation states involved in the synthesis products are: silver (II), chromium (II), lead (IV), and bromine (I). (MLH)

Kauffman, G. B.

1975-01-01

191

Unusual variants of malignant melanoma  

Microsoft Academic Search

A potential diagnostic pitfall in the histologic assessment of melanoma is the inability to recognize unusual melanoma variants. Of these, the more treacherous examples include the desmoplastic melanoma, the nevoid melanoma, the so-called ‘minimal-deviation melanoma,’ melanoma with prominent pigment synthesis or ‘animal-type melanoma,’ and the malignant blue nevus. Also problematic are the unusual phenotypic profiles seen in vertical growth phase

Cynthia M Magro; A Neil Crowson; Martin C Mihm

2006-01-01

192

Understanding the Unusual Properties of Water  

E-print Network

Water is commonly associated to the existence of life. However, there is no clear reason why water should be the only liquid in which life could form and survive. Since the seminal work of L. J. Henderson in 1913, scientists are trying to answer the question about the relation between the unusual properties of water and the existence of life. Here we follow the first steps along the challenging path to this answer, trying to understand (i) what is unusual about water; (ii) why water has anomalies; (iii) which are the full implications of these unusual properties; and (iv) if these anomalies are exclusive properties of water. By identifying some interesting clues, then by formulating a working hypothesis and, next, by testing it, we find the surprising results that some properties of water, such as the anomalous behavior of density, are very sensitive to small changes of the microscopic interactions, while others, such as the presence of more than one crystal or a possible phase transition between two liquids with different local structures, are predicted not only in water, but also in other liquids. Since the change of local liquid structure could be relevant in biological processes, the possibility of a wide class of liquids with this property could help in understanding if water is essential for life.

Giancarlo Franzese; H. Eugene Stanley

2006-03-23

193

CT Scans  

Cancer.gov

An arm or chest radiograph looks all the way through a body without being able to tell how deep anything is. A CT scan is three-dimensional. By imaging and looking at several three-dimensional slices of a body (like slices of bread) a doctor could not only tell if a tumor is present, but roughly how deep it is in the body.

194

Aortocaval fistula: CT appearance with angiographic correlation.  

PubMed

As CT is often the initial imaging method in the evaluation of suspected complications of abdominal aortic aneurysm, especially rupture of the aneurysm, it is important to be aware of other less common complications that can be detected by CT. A patient with an aortocaval fistula and renal venous hypertension is discussed. The constellation of CT findings that suggest this diagnosis is described as is the angiographic correlation. Awareness of these CT findings, including early equivalent enhancement of the inferior vena cava and aorta; enlarged, poorly functioning kidney; and perirenal "cobwebs," will lead to the appropriate confirmatory angiographic studies. PMID:3819141

Koslin, D B; Kenney, P J; Stanley, R J; Van Dyke, J A

1987-01-01

195

An unusual case of rapidly progressive hyperbilirubinemia.  

PubMed

We present an unusual case of hyperbilirubinemia with rapid early progression leading to bilirubin encephalopathy in a term neonate. Despite early recognition and intervention, the total serum bilirubin reached a maximum level of 39?mg/dL at 32 hours of life. Prior to an emergent exchange transfusion, the patient's diagnostic evaluation was significant for Coombs-negative microangiopathic hemolytic anemia and thrombocytopenia. Further testing revealed a deficiency of ADAMTS13 protein, or von Willebrand factor-cleaving protease, a finding diagnostic of congenital thrombotic thrombocytopenic purpura, or Upshaw-Schulman syndrome. This rare disease is often misdiagnosed, especially in the newborn period. PMID:24288641

Thornton, Kimberly M; Nyp, Michael F; Music Aplenc, Lejla; Jones, Gary L; Carpenter, Shannon L; Guest, Erin M; Shapiro, Steven M; Manimtim, Winston M

2013-01-01

196

Mastocytosis: unusual manifestation; clinical and radiologic changes.  

PubMed Central

Two patients with mast cell disease presented with unusual features. In one the absence of skin lesions made the diagnositic problem a challenging one. Certain of the laboratory findings, especially those related to the serum cholesterol concentration and platelet function tests, were particularyl interesting. Chemotherapy induced partial remission. The second patient had a long, relatively benign course complicated by two episodes of herpes zoster, the last being associated with the Landry-Guillain-Barre syndrome. In both patients the skeletal abnormalities were radiologically similar. When these are present they should be considereed sufficiently characteristic to indicate strongly a diagnosis of mastocytosis. Images FIG. 1 FIG. 2 FIG. 3 FIG. 4 PMID:804988

Gagnon, J. H.; Kalz, F.; Kadri, A. M.; Graefe, I. V.

1975-01-01

197

Adenoid cystic carcinoma: An unusual presentation  

PubMed Central

The adenoid cystic carcinoma is a relatively rare epithelial tumor of the major and minor salivary glands, accounting for about 1% of all malignant tumor of the oral and maxillofacial regions. Peak incidence occurs between the 5th and 6th decades of life. The clinical and pathological findings typical of this tumor include slow growth, peri-neural invasion, multiple local recurrences and distant metastasis. Herein, we report a case of adenoid cystic carcinoma of oropharynx with unusual clinical presentation. The diagnosis of this case and importance of cytology in diagnosing such cases is discussed.

Pushpanjali, M; Sujata, D Naga; Subramanyam, S Bala; Jyothsna, M

2014-01-01

198

Unusual circular annulate lamellae in hepatocytes of Torpedo marmorata.  

PubMed

This report describes an unusual morphology of annulate lamellae (AL) in the hepatocytes of Torpedo marmorata Risso. These Als and fragments are detected amidst the main glycogen and lipid deposits. AL cisterns are circumscribed by parts of the smooth endoplasmic reticulum. Based on the finding of these unusual annular ALs, accompanied by other subcellular lesions such as a number of membranous whorls and altered mitochondria. These findings can concur and support other authors' observations suggesting that these adult hepatocytes transient changes reflect that this species could be exposed to local, natural or likely human coastal seabed pollutants. PMID:15944927

Haggag, A; Gilloteaux, J

2005-07-01

199

An Unusual Exponential Graph  

ERIC Educational Resources Information Center

This paper is an addition to the series of papers on the exponential function begun by Albert Bartlett. In particular, we ask how the graph of the exponential function y = e[superscript -t/t] would appear if y were plotted versus ln t rather than the normal practice of plotting ln y versus t. In answering this question, we find a new way to…

Syed, M. Qasim; Lovatt, Ian

2014-01-01

200

An unusual hyperplastic hepatocellular nodule in a patient with hepatitis C virus-related liver cirrhosis.  

PubMed

Recent advances in diagnostic imaging techniques have increased the likelihood of detecting novel nodular lesions of the liver. We report here a case of unusual hyperplastic hepatocellular tumor found in a 70-yr-old woman with hepatitis C virus-related cirrhosis. A mass was incidentally detected in the right lobe by abdominal ultrasonography and confirmed by computed axial tomography (CT). Magnetic resonance imaging demonstrated that the tumor had hyperintense signal with a small hypointense region in the center and a thin, hypointense rim on T1-weighted image and a hypointense signal on T2-weighted image. CT during hepatic arteriography showed that the tumor was hypodense with a central hyperdense region, whereas CT during arterial portography revealed that the tumor was isodense and surrounded by a thin circular hypodense band with a central hypodense region. These radiographic findings suggested a diagnosis of dysplastic nodule with malignant foci of hepatocellular carcinoma. The patient underwent tumor resection. Macroscopically, the tumor, 45 x 45 x 30 mm in size, was encapsulated and had a central stellate-like scar with radiating septa. Histological examination showed a hyperplastic hepatocellular tumor without cellular, nuclear or structural atypia. The central fibrous scar contained abundant small, artery-like and vein-like vessels, whereas there were no normal portal triads but rather several portal tract-like structures lacking bile ducts in the parenchyma of the tumor. Some of the portal tract-like structures were composed of artery-like and vein-like vessels, and the others possessed vein-like vessels only. There were no bile ducts in the tumor. The nontumorous liver tissue had evidence of macronodular cirrhosis. Finally, this tumor was regarded as an unusual type of hyperplastic hepatocellular nodule encountered in cirrhotic liver, characterized by the presence of central stellate-like fibrosis and the lack of bile ducts. Although the pathogenesis of the hyperplastic lesion is unclear, it may represent a focal regenerative hepatocellular response to localized circulatory disorder. PMID:9860435

Kageyama, F; Kobayashi, Y; Kawasaki, T; Nakamura, H; Baba, S; Nakamura, S; Nakashima, O; Kojiro, M

1998-12-01

201

Preoperative CT Voiding Cystourethrography Using 16-Multidetector CT in Female Urethral Diverticulum  

PubMed Central

Purpose To evaluate the clinical usefulness of preoperative CT voiding cystourethrography (CT-VCUG) using 16-multidetector computed tomography for female urethral diverticula. Materials and Methods Preoperative CT-VCUG was performed in 15 consecutive patients who underwent urethral diverticulectomy from May 2004 to December 2012. The result of preoperative cystourethroscopy and surgical findings were recorded by a single surgeon and CT-VCUG findings including the location of osita were retrospectively reviewed by another urologist who was blinded to the surgical finding. The location of the ostium detected on CT-VCUG was compared descriptively with the intraoperative surgical and preoperative cystourethroscopic findings. Results A total of 14 consecutive patients who underwent preoperative CT-VCUG and urethral diverticulectomy were included in the analysis. Ostia were detected on CT-VCUG in all cases, whereas ostia were identified in 10 patients (71.4%) by cystourethroscopy. Ostia were located between the 4 and 8 o’clock direction. Mean distance from the bladder neck to the ostium was 24.2 mm. Circumferential and horseshoe shaped diverticula were observed in 6 and 4 patients, respectively. The surgical findings correlated well with the CT findings. Conclusions Preoperative CT-VCUG can be useful in identifying the ostia of urethral diverticula in patients scheduled for urethral diverticulectomy and can provide structural information, useful to establish surgical strategy. PMID:25216189

Lee, Young Ju; Son, Seung Jun; Paick, Jae-Seung; Kim, Soo Woong

2014-01-01

202

Properties of unusually luminous supernovae  

NASA Astrophysics Data System (ADS)

This thesis is a theoretical study of the progenitors, event rates, and observational properties of unusually luminous supernova (SN), and aims to identify promising directions for future observations. In Chapter 2, we present model light curves and spectra of pair-instability supernovae (PISNe) over a range of progenitor masses and envelope structures for Pop III stars. We calculate the rates and detectability of PISNe, core-collapse supernovae (CCSNe), and Type Ia SNe at the Epoch of Reionization with the James Webb Space Telescope (JWST), which can be used to determine the contribution of Pop III versus Pop II stars toward ionizing the universe. Although CCSNe are the least intrinsically luminous supernovae, Chapter 5 shows that a JWST survey targeting known galaxy clusters with Einstein radii > 35" should discover gravitationally lensed CCSNe at redshifts exceeding z = 7--8. In Chapter 3, we explain the Pop II/I progenitors of observed PISNe in the local universe can be created via mergers in runaway collisions in young, dense star clusters, despite copious mass loss via line-driven winds. The PISN rate from this mechanism is consistent with the observed volumetric rate, and the Large Synoptic Survey Telescope could discover ~102 such PISNe per year. In Chapter 4, we identify 10 star clusters which may host PISN progenitors with masses up to 600 solar masses formed via runaway collisions. We estimate the probabilities of these very massive stars being in eclipsing binaries to be ? 30%, and find that their transits can be detected even under the contamination of the background cluster light, due to mean transit depths of ~10 6 solar luminosities. In Chapter 6, we show that there could be X-ray analogues of optically super-luminous SNe that are powered by the conversion of the kinetic energy of SN ejecta into radiation upon its collision with a dense but optically-thin circumstellar shell. We find shell configurations that can convert a large fraction of the SN explosion energies into X-ray emission, producing unabsorbed X-ray luminosities of 1044 erg/s in events lasting a few months, or even 1045 erg/s flashes lasting days.

Pan, Tony Shih Arng

203

Use of ICT and its Relationship with Performance in Examinations: A Comparison of the ImpaCT2 Project's Research Findings Using Pupil-Level, School-Level and Multilevel Modelling Data  

ERIC Educational Resources Information Center

This paper reports a previously unpublished comparative analysis of data from the ImpaCT2 study investigating the relationship between students' performance in England on national tests and their reported use of information technology (particularly networked technology) for school work, at three age levels (11, 14 and 16), in English, Maths and…

Harrison, Colin; Lunzer, Eric A.; Tymms, Peter; Fitz-Gibbon, Carol Taylor; Restorick, Jane

2004-01-01

204

Optimizing craniofacial CT technique.  

PubMed

Over the last two decades, there has been a marked increase in the number of computed tomography (CT) studies performed in the United States, with a resultant increase in the radiation dose delivered to patients. Hence there is an urgent need to optimize CT protocols and to get familiar with the factors affecting the CT radiation dose and with available dose reduction options. This article discusses the basic physics related to CT technique and describes current and future methods of dose reduction. Also briefly described are other CT techniques applicable in the maxillofacial region, such as three-dimensional CT, cone beam CT, and dual-energy CT. PMID:25086803

Parmar, Hemant A; Ibrahim, Mohannad; Mukherji, Suresh K

2014-08-01

205

[Papillary thyroid carcinoma synchronous with breast cancer: an incidental finding in an (18)F-FDG PET-CT study carried out in a search for occult breast cancer].  

PubMed

The most common cause of metastatic involvement of axillary lymph nodes in women is ipsilateral breast cancer. The definition of occult breast malignancy has changed over time. Nowadays, it is considered to exist when it coincides with an isolated metastatic axillary abnormal lymph node in the absence of a palpable tumor in the ipsilateral breast, non-diagnostic breast tumor mammography and no detection of other malignancies outside the breast which could potentially affect the axillary nodes. The value of (18)F-FDG PET/CT scan in these patients has not been established, but it could be useful in those patients with a non-diagnostic MRI. It is not uncommon in (18)F-FDG PET/CT studies to identify incidental hypermetabolic focal image in the thyroid. The high prevalence of cancer in these lesions makes it recommendable to perform a US study and/or FNAP biopsy. PMID:23067689

Banzo, J; Ubieto, M A; González, C; Razola, P; Tardín, L; Andrés, A; Santapau, A; Parra, A; Rambalde, E F; Prats, E

2012-01-01

206

An Unusual Cause of Coma  

PubMed Central

This case report is an unusual presentation of fibroid uterus as coma. The patient developed a recurrent hypoglycemia possibly secondary to the insulin-like growth factor secreted from the fibroid. The hypoglycemic symptoms disappeared on removal of the fibroid. The histopathological examination revealed no evidence of malignancy. PMID:23056056

Ovallath, Sujith; Raj, R. S.; Rahman, Abdu; Girija, A. S.

2012-01-01

207

[Meckel's syndrome: an unusual pedigree].  

PubMed

The authors report the case, in the same family, of two children with the Meckel's syndrome, of two mis-arriages (one foetus with anencephalia, the other one with occipital meningocele), and of two still-born children (one with anencephalia, the other one with occipital meningocele). The genetic problems raised by this unusual genealogy are discussed. PMID:541680

Malpuech, G; Palcoux, J B; Desbordes, A M; Dalens, B

1979-06-01

208

Gastric interposition following transhiatal esophagectomy: CT evaluation  

SciTech Connect

Transhiatal esophagectomy without thoracotomy (THE) but with gastric interposition results in less morbidity and mortality than standard transpleural esophagectomy with thoracotomy. Barium examination has been the primary radiographic study following THE for detecting postoperative complications. The authors reviewed computed tomography (CT) scans of 21 patients who had undergone THE and correlated CT appearance with clinical status and with findings of the barium studies. Local mediastinal recurrent neoplasm was detected by CT in seven patients; barium study within 2 weeks of the CT scan failed to detect tumor recurrence in three of these patients. CT is the modality of choice for detecting locally recurrent neoplasm and distant metastases following THE and may also be helpful in patients with postoperative mediastinal abscess. Normal mediastinal CT anatomy after esophagectomy is reviewed in order to warn against pitfalls in scan interpretation.

Gross, B.H.; Agha, F.P.; Glazer, G.M.; Orringer, M.B.

1985-04-01

209

Evolution of IPv6 Internet topology with unusual sudden changes  

NASA Astrophysics Data System (ADS)

The evolution of Internet topology is not always smooth but sometimes with unusual sudden changes. Consequently, identifying patterns of unusual topology evolution is critical for Internet topology modeling and simulation. We analyze IPv6 Internet topology evolution in IP-level graph to demonstrate how it changes in uncommon ways to restructure the Internet. After evaluating the changes of average degree, average path length, and some other metrics over time, we find that in the case of a large-scale growing the Internet becomes more robust; whereas in a top—bottom connection enhancement the Internet maintains its efficiency with links largely decreased.

Ai, Jun; Zhao, Hai; Kathleen, M. Carley; Su, Zhan; Li, Hui

2013-07-01

210

An alternative approach to Computerized Tomography (CT) in forensic pathology  

Microsoft Academic Search

Computerized Tomography (CT) is used by some forensic pathology departments as a supplement to the forensic autopsy. Departments with a limited number of autopsies may find it relatively expensive to acquire and operate a CT-scanner. Furthermore, it requires a great deal of training and experience to interpret the radiological data. We are currently evaluating CT in order to decide whether

Asser H. Thomsen; Anne Grethe Jurik; Lars Uhrenholt; Annie Vesterby

2009-01-01

211

Pulmonary capillary haemangiomatosis - An unusual cause of hypoxia  

PubMed Central

We describe the case of a 58-year-old man who presented with progressive dyspnoea on exertion and severe exertional hypoxia. There was a paucity of radiological findings, mild pulmonary hypertension, and no demonstrable anatomical shunt. Post mortem examination of lung tissue suggested a diagnosis of pulmonary capillary haemangiomatosis. The case is unusual in displaying few radiological findings. We postulate that the severe hypoxia was due to shunting through the abnormal capillary proliferations.

Aston, Kerry; Riddell, Gareth J.; Sheppard, Mary N.; Wells, Athol U.; Riley, Marshall S.

2012-01-01

212

An initial experience with screening for colon polyps using spiral CT with and without CT colography (virtual colonoscopy)  

Microsoft Academic Search

Background: Computed tomographic (CT) colography (virtual colonoscopy) is a new imaging method for detection of colon polyps and cancer. Objective: To evaluate the sensitivity of CT colography for polyp detection in a population without symptoms that included persons without colon neoplasia and with radiologists blinded to colonoscopic findings. Methods: Forty-six persons without symptoms underwent spiral CT followed by same-day colonoscopy

Douglas K. Rex; David Vining; Kenyon K. Kopecky

1999-01-01

213

Identifying and distinguishing treatment effects and complications from malignancy at FDG PET/CT.  

PubMed

Fluorine 18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) is increasingly used in the initial staging, evaluation of treatment response, and surveillance of many malignancies. Uptake of FDG is substantially increased in most malignancies, compared with its uptake in normal tissues, and the finding of FDG avidity often leads to cancer detection earlier than abnormalities can be seen at anatomic imaging. However, FDG is not a cancer-specific agent, and FDG avidity can be seen in many benign processes. It can be particularly challenging to discriminate malignancy from benign FDG-avid changes caused by surgery and procedures, radiation therapy, and chemotherapy. FDG-avid abnormalities caused by surgery and procedures include inflammation at sites of incision or dissection, inflammation from vascular compromise or surgical retraction, surgical transposition of structures with physiologic FDG avidity (such as ovaries or testes), and pleurodesis inflammation. Radiation therapy may induce FDG-avid pneumonitis, esophagitis, or hepatitis, as well as osteoradionecrosis or fractures. FDG-avid chemotherapy complications include pneumonitis, osteonecrosis, enterocolitis, and pancreatitis. Use of granulocyte colony stimulating factor for treatment of bone marrow suppression after chemotherapy induces temporary increases of FDG avidity in the bone marrow and spleen. Familiarity with common and unusual iatrogenic causes of FDG avidity that can confound interpretation of FDG PET/CT results will improve the accuracy of distinguishing treatment effects and complications from residual or recurrent malignancy at FDG PET/CT examinations. PMID:24108564

Ulaner, Gary A; Lyall, Ashima

2013-10-01

214

Brown tumor as an unusual but preventable cause of spinal cord compression: Case report and review of the literature  

PubMed Central

Brown tumor (BT), also known as osteoclastoma, may appear in the context of primary and secondary hyperparathyroidism. Spinal cord compression due to the BT is extremely rare. We present here an unusual case of BT involving thoracal spine and mandible. A 26-year-old woman, who had been on hemodialysis for chronic renal failure for over 6 years, got admitted with dorsal pain and progressive weakness in her lower extremities and gait disturbances. Neurological examination revealed spastic paraparesis and symmetrically hyperactive tendon reflex in the lower extremities. She had hypoesthesia under T10 level. On physical examination, a swelling on the left side of her jaw was also detected. Magnetic resonance imaging (MRI) showed cord compression due to an extradural mass lesion at T8 level. A computerized tomography (CT) scan showed that this expansile lytic lesion was caused by the collapse of vertebra corpus (T8) at that level. CT of the mandible revealed an expansile lytic lesion on left arm of the mandible. Laboratory findings were nearly normal except parathormone level elevation to 1289 pg/mL (normal 30-70 pg/mL). Ultrasound examination showed enlargement of the parathyroid glands. The patient underwent an emergency decompression and stabilization surgery. The lesion was fragile and reddish in appearance and was easy to aspirate. The tumor was reported as “BT.” Her weakness in the lower extremities improved in the early postoperative period. Following surgical intervention, the patient was transferred to nephrology clinic for additional medical treatment. PMID:24891890

Tayfun, Hakan; Metin, Orakdogen; Hakan, Somay; Zafer, Berkman; Vardar, Aker Fugen

2014-01-01

215

An unusual case of pneumocephalus  

PubMed Central

The authors present an unusual cause of pneumocephalus in a previously fit and well female octogenarian who presented with acute onset altered level of consciousness and generalised weakness. Radiological imaging demonstrated widespread cerebritis with pneumocephalus and gas within the superior sagittal sinus. Blood culture grew Clostridium septicum, a virulent but rare organism that can infect normal tissues. The close association between C septicum and both haematological and bowel malignancies must be considered if this organism is cultured. PMID:22673713

Bhogal, P; Bhatnagar, G; Manieson, J; Booth, T; Prendergast, C

2011-01-01

216

An unusual clinical presentation of gingival melanoacanthoma  

PubMed Central

Gingival melanoacanthoma is a rare, benign pigmented lesion characterized clinically by sudden onset and rapid growth of a macular brown black lesion and histologically by acanthosis of superficial epithelium and proliferation of dendritic melanocytes. This article reports a previously undescribed case of pigmented unilateral diffuse gingival enlargement, which on histopathological examination proved to be melanoacanthoma. Intraoral examination revealed pigmented unilateral diffuse gingival enlargement in relation to second and third quadrants buccally, palatally/lingually. Based on these clinical findings, gingivectomy was performed and the excised tissue was sent for biopsy. Microscopic examination revealed acanthotic and parakeratotic surface epithelium with dendritic melanocytes distributed in basal and suprabasal layers of the epithelium. 1 year follow-up recall revealed no recurrence of lesion at the surgical sites. Our patient exhibits an unusual clinical presentation of melanoacanthoma of gingiva. Pigmented gingival overgrowth of recent origin and without any etiologic factors warrants histopathologic examination. PMID:24174763

Babu, S. P. K. Kennedy; Agila, S.; Sivaranjani, P.; Kashyap, Vineet

2013-01-01

217

Inhomogeneous Systems with Unusual Critical Behaviour  

E-print Network

The phase transitions and critical properties of two types of inhomogeneous systems are reviewed. In one case, the local critical behaviour results from the particular shape of the system. Here scale-invariant forms like wedges or cones are considered as well as general parabolic shapes. In the other case the system contains defects, either narrow ones in the form of lines or stars, or extended ones where the couplings deviate from their bulk values according to power laws. In each case the perturbation may be irrelevant, marginal or relevant. In the marginal case one finds local exponents which depend on a parameter. In the relevant case unusual stretched exponential behaviour and/or local first order transitions appear. The discussion combines mean field theory, scaling considerations, conformal transformations and perturbation theory. A number of examples are Ising models for which exact results can be obtained. Some walks and polymer problems are considered, too.

F. Iglói; I. Peschel; L. Turban

1993-12-20

218

Imaging Findings of Gastric Diverticula  

PubMed Central

Introduction. Gastric diverticula (GD) are very rare. Computer tomographic findings in GD have been reported only as case reports previously. The aim of this study was to estimate the prevalence of GD on computed tomography (CT) and to analyze their radiological appearances. Materials and Methods. From 2006 to 2013, a total of 14,428 patients were examined by abdominal/thoracic CT at our institution. GD were diagnosed in 18 (0.12%) patients (13 women and 5 men, median age, 64 years). In 9 patients, additional endoscopy and in 7 patients upper gastrointestinal investigation with contrast medium were performed. Magnetic resonance imaging (MRI) was available for 3 cases. Results. In all patients GD were diagnosed incidentally during CT examination. The diverticula were located at the posterior wall of the gastric fundus below the esophagogastric junction. On CT, GD presented as cystic lesions with a thin wall and an air fluid level, located behind the stomach between spleen, adrenal gland, and crus of the left diaphragm. Conclusion. The prevalence of GD encountered in our CT series is 0.12%. GD demonstrate typical CT appearances, namely, cystic lesions located in the left paravertebral region. The radiologist should be familiar with this finding to avoid possible misinterpretations.

Schramm, Dominik; Bach, Andreas Gunter; Zipprich, Alexander; Surov, Alexey

2014-01-01

219

Computed tomographic findings in penetrating peptic ulcer  

SciTech Connect

Four cases of peptic ulcer penetrating the head of the pancreas were diagnosed by computed tomography (CT). Findings common to 3 cases included (a) an ulcer crater, (b) a sinus tract, and (c) enlargement of the head of the pancreas. Unlike other modalities, the inherent spatial resolution of CT allows a convenient diagnosis of this important complication of peptic ulcer disease.

Madrazo, B.L.; Halpert, R.D.; Sandler, M.A.; Pearlberg, J.L.

1984-12-01

220

NETL CT Imaging Facility  

ScienceCinema

NETL's CT Scanner laboratory is equipped with three CT scanners and a mobile core logging unit that work together to provide characteristic geologic and geophysical information at different scales, non-destructively.

None

2014-05-21

221

CT -- Abdomen and Pelvis  

MedlinePLUS

... resulting in more detail and additional view capabilities. Modern CT scanners are so fast that they can ... to ensure that you are properly positioned. With modern CT scanners, you will hear only slight buzzing, ...

222

CT Colonography (Virtual Colonoscopy)  

MedlinePLUS

... resulting in more detail and additional view capabilities. Modern CT scanners are so fast that they can ... to ensure that you are properly positioned. With modern CT scanners, you will hear only slight buzzing, ...

223

Computed Tomography (CT) - Spine  

MedlinePLUS

... resulting in more detail and additional view capabilities. Modern CT scanners are so fast that they can ... to ensure that you are properly positioned. With modern CT scanners, you will hear only slight buzzing, ...

224

Dual Layer CT  

Microsoft Academic Search

\\u000a Dual-energy CT enables improvement of material and possibly tissue separation when compared to regular CT. Philips Healthcare\\u000a has been successfully operating a dual-layer detector system in a modified Brilliance 64 CT scanner installed since 2005 in\\u000a Hadassah University Medical Center, Israel. The dual-layer detector acquires single x-ray source CT data using two scintillation\\u000a layers on top of each other with

Alain Vlassenbroek

225

An unusual case of childhood sarcoidosis: an unusual clinical case.  

PubMed

Sarcoidosis is a systemic granulomatous disease of unknown etiology that may affect many systems, mainly lungs. Most of the patients present at stages I and II lung involvement. Pulmonary infltrates without hilar lymphadenopathy (state III) rarely occurs. Extrapulmonary organ involvement is common in pediatric sarcoidosis. The aim of this report is to present an unusual case of childhood sarcoidosis with stage III lung involvement without any extrapulmonary organ involvement. A 7-year-old girl presented with the complaints of malaise, fatigue, weight loss and dyspnea. There was patchy, bilateral ground glass view at high resolution computer tomography. Video assisted thoracoscopic lung biopsy was performed and histopathological examination showed nonnecrotising epitheloid-cell granulomas with giant cells. She did not have any hilar or extrapulmonary organ involvement and pulmonary sarcoidosis at stage III was diagnosed. Sarcoidosis should be considered in the differential diagnosis of children with interstitial lung disease. PMID:24092034

Gokdemir, Yasemin; Ersu, Refka; Karadag, Bulent; Karakoc, Fazilet; Kiyan, Gursu; Kaya, Handan; Kasapcopur, Ozgur; Erdem, Ela; Dagli, Elif

2013-10-01

226

Unexplained Brightening of Unusual Star  

NASA Astrophysics Data System (ADS)

Recent observations with the Hubble Space Telescope (HST) have documented an unexpected and rapid, seven-fold brightening of an unusual double star at the centre of the impressive 47 Tucanae globular cluster in the southern sky. This is the first HST observation of such a rare phenomenon. The astronomers [1] who are involved in this observational program find that this event cannot be explained by any of the common processes known to occur in such stars. The cores of globular clusters Globular clusters are like huge swarms of stars, containing about one million suns, which move around in their common gravitational field. Most galaxies contain globular clusters; around 150 are known within the confines of our Galaxy, the Milky Way. Globular clusters change with time. In particular, at some stage in the life of a globular cluster, its central region will contract whereby the stars there move closer to each other. This phenomenon is referred to as core collapse [2]. Observations with the Hubble Space Telescope (HST) have revealed enormous central densities of the order of 30,000 stars per cubic light-year in clusters with fully collapsed cores; this is to be compared with the stellar density in the solar neighborhood of only 0.003 stars per cubic light-year [3]. Binary stars in globular clusters Binary (i.e., double) stars play an important role in the evolution of globular clusters: they can delay, halt, or even reverse the process of core collapse. In this dense stellar environment, close encounters between passing stars and binaries are relatively frequent. Such events may leave the binary stars more tightly bound, and at the same time speed up the motion of the stars involved, thereby counteracting the contraction of the core. The same close stellar encounters may also produce a diverse progeny of exotic objects. The centers of globular clusters contain blue stragglers (stars that ``look'' younger than they really are), millisecond pulsars (rapidly rotating, very compact objects), both high- and low-luminosity X-ray sources , and cataclysmic variables (double stars whose light `flickers'). The kinds and numbers of these objects in cluster cores constrain the complex and as yet incompletely understood formation channels, most of which involve encounters with binaries. Many of the above exotic objects are strong emitters of ultraviolet light. The globular cluster 47 Tucanae 47 Tucanae is an impressive globular cluster that is visible with the naked eye from the southern hemisphere. It is one of the closest (distance 15,000 lightyears) and heaviest (total mass about 1 million solar masses) in our Galaxy. It contains about 1 million stars and the member stars have been intensively studied for decades. The observed structure of 47 Tucanae indicates that it is now approaching its ultimate fate during a core collapse phase. There are five known low-luminosity X-ray sources in the core of this cluster, eleven millisecond pulsars, many blue stragglers, and a centrally concentrated population of eclipsing binary stars. The observations support the idea that the population of primordial binaries in this cluster has been heavily modified by stellar encounters. The HST observations In late 1996, the group of astronomers obtained time to observe the central area of 47 Tucanae with the Hubble Space Telescope and the second Wide Field and Planetary Camera (WFPC2). During a period of more than 4 hours, a total of 15 CCD exposures were obtained through an ultraviolet filter (transmission near 3000 A), showing the thousands of individual stars in this densely populated region. Caption to ESO PR Photo 03/97 [GIF, 57k] When inspecting this material, it immediately became clear that one of the stars had undergone a substantial brightening in the course of these observations. In fact, its brightness increased by as much as 2.1 magnitudes, that is a factor of seven, in less than one hour; see the photos that accompany this Press Release. By the end of the observations, it had become the brightest star in the core of the cluster. Caption to ESO

1997-01-01

227

CT evaluation of thickened esophageal walls  

SciTech Connect

A study of 200 consecutive chest computed tomographic (CT) examinations revealed thickened esophageal walls (over 3 mm) in 35%. While this is the earliest finding of carcinoma of the esophagus on CT, only half of the cases of thickened walls were due to esophageal carcinoma. Other mediastinal malignancies as well as benign inflammatory, vascular, and fibrotic conditions such as reflux and monilial esophagitis, esophageal varices, and postirradiation scarring were found to cause thickened esophageal walls. Distension with air and intravenous enhancement aid in the optimal evaluation of the esophagus by CT. The thickened esophageal wall is always abnormal, but it is nonspecific, seen in both malignant and nonmalignant conditions.

Reinig, J.W.; Stanley, J.H.; Schabel, S.I.

1983-05-01

228

An unusual radiographic manifestation of bronchiolitis obliterans organizing pneumonia.  

PubMed

The typical radiographic manifestation of bronchiolitis obliterans organizing pneumonia (BOOP) is bilateral patchy airspace opacities. We present a case of a 52-year-old man with unusual radiographic manifestation of BOOP-diffuse nodularity. We present the x-ray and computed tomography figures with pathologic findings of this case to stress the notion that BOOP should not be omitted by the differential-diagnosis of patients presenting with diffuse nodular pattern on chest imaging. PMID:17721338

Fruchter, Oren; Solomonov, Anna; Guralnik, Ludmila; Naroditsky, Inna; Yigla, Mordechai

2007-08-01

229

An unusual presentation of a retroperitoneal cyst.  

PubMed

A 34-year-old woman presented to the surgical assessment unit with severe right loin to groin pain. An ultrasound scan of the abdomen revealed a complex cyst in the right iliac fossa and a subsequent CT scan revealed a 7.5?cm retroperitoneal cystic lesion below the lower pole of the right kidney. The patient also had MRI of the kidneys, which confirmed the finding. The image showed the cyst was not attached to the kidneys and was clearly separate. She underwent a laparoscopic excision of the cyst. Histopathology revealed a cyst lined by a single layer of mucinous epithelium of endocervical type with foci of calcification and hyalinisation on the wall. The cyst was thought to be a benign cyst of Mullerian origin. PMID:25368127

Sarkar, Debashis; Gulur, Dev; Patel, Snehal; Nambirajan, Thiagarajan

2014-01-01

230

HOW UNUSUAL IS XRF 060218?  

SciTech Connect

Light curves are calculated for an off-axis observer due to the scattering of primary radiation by extended baryonic material. The unusually long duration and the chromaticity of the light curves above several KeV of XRF 060218 can be explained as a result of the acceleration of the baryonic scattering material by the primary radiation. The observed light curves by our model and detailed fits to the data are presented. The model predicts that {approx} 4 x 10{sup 48} erg are put into accelerated, mildly relativistic baryons by the radiation pressure at large radii from the central engine. It is suggested that the emission below 3 KeV, which lies below the Amati relation, is a baryon contaminated fireball.

Mandal, Samir; Eichler, David [Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva 84105 (Israel)], E-mail: eichler@bgu.ac.il, E-mail: mandals@bgu.ac.il

2010-04-10

231

UNUSUAL FILAMENTS INSIDE THE UMBRA  

SciTech Connect

We analyze several unusual filamentary structures which appeared in the umbra of one of the sunspots in AR 11302. They do not resemble typical light bridges in morphology or in evolution. We analyze data from SDO/HMI to investigate their temporal evolution, Hinode/SP for photospheric inversions, IBIS for chromospheric imaging, and SDO/AIA for the overlying corona. Photospheric inversions reveal a horizontal, inverse Evershed flow along these structures, which we call umbral filaments. Chromospheric images show brightenings and energy dissipation, while coronal images indicate that bright coronal loops seem to end in these umbral filaments. These rapidly evolving features do not seem to be common, and are possibly related to the high flare-productivity of the active region. Their analysis could help to understand the complex evolution of active regions.

Kleint, L. [High Altitude Observatory/NCAR, P.O. Box 3000, Boulder, CO 80307 (United States); Sainz Dalda, A., E-mail: kleintl@ucar.edu [Stanford-Lockheed Institute for Space Research, Stanford University, HEPL, 466 Via Ortega, Stanford, CA 94305 (United States)

2013-06-10

232

High level cross of the esophagus with the descending aorta in scoliosis: CT study  

SciTech Connect

The esophagus occasionally crosses the descending aorta at an unusually high level (3-5 cm inferior to the carina) in right-sided scoliosis. The purpose of this study was to analyze the mechanism of this finding. We prospectively evaluated thoracic CT scans in 30 patients with right-sided scoliosis. We assessed the alterations in the positions of the esophagus and the descending aorta by the thoracic deformity. The descending aorta followed the scoliotic curve of the spine in 26 (87%) patients. The esophagus followed the scoliotic curve of the spine in 14 (47%) patients and did not in 16 (53%). The anteroposterior diameter of the thorax in the former group was significantly smaller than that in the latter (p < 0.01). High level cross of both structures was identified in 14 (47%) patients, and all of them belonged to the group in which the esophagus did not follow the scoliotic curve of the spine. The unusual high level cross of the esophagus with the descending aorta occasionally seen in scoliosis is due to a difference in the positional alterations of the two structures resulting from the scoliosis. 6 refs., 3 figs.

Takahashi, Koji; Kikuno, Motoyuki; Hyodoh, Hideki [Jichi Medical School Hospital, Minamikawachi-machi, Tochigi-ken (Japan)] [and others] [Jichi Medical School Hospital, Minamikawachi-machi, Tochigi-ken (Japan); and others

1996-05-01

233

UNUSUAL SONGS IN PASSERINE BIRDS1  

Microsoft Academic Search

Unusual songs of passerine birds fall into five categories: (1) special songs, sung only under certain circumstances, and considered unusual only because they are seldom heard; (2) developmental stages of primary song; (3) songs resembling those of another species (mimicry); (4) song types outside their usual geographic range, and rare or accidental where heard; and (5) atypical songs. Songs of

DONALD J. BORROR

234

CT evaluation of gastric lymphoma.  

PubMed

The purpose of our study was to determine the value of computed tomography (CT) with a drug-induced hypotonia and water filling in the diagnosis and preoperative staging of 27 patients with gastric lymphoma (GLy) confirmed by endoscopic biopsy. CT scans were performed in a supine and prone position with drug-induced hypotonia and water-filling of stomach with 500-700 ml., and intravenous administration of a non-ionic contrast agent. the prone position and drug-induced hypotonia allowed visualization of the whole gastric wall and prevented gas artifacts, commonly present during supine imaging. CT scans were analysed with respect to the thickness of the stomach wall, rugal thickening, presence of wall infiltration, mucosal nodularity, ulcerations and tumour masses, regional tumour spread, lymph node deposits and presence of distant metastases. The most common findings in GLy were ulcers of variable size, depth and number in 43% of cases, a mass with or without an ulcer in 36% of cases, and rugal thickening in 21% of cases. According to CT results, GLy was staged in four groups: I, II1, II2, III and IV. Precise preoperative staging was achieved in 73%, overstaging in 18% and understaging in 9% of patients. The sensitivity and specificity of the technique was 93% and 85% respectively. There was low grade MALT lymphoma in 69% and high grade MALT lymphoma in 31% of cases. We believe that CT performed ussing this method is a useful non-invasive method for preoperative evaluation and staging of gastric lymphoma and should be used before surgery is planned. PMID:20087255

Gligorievski, A

2009-12-01

235

Multidetector CT of blunt abdominal trauma.  

PubMed

The morbidity, mortality, and economic costs resulting from trauma in general, and blunt abdominal trauma in particular, are substantial. The "panscan" (computed tomographic [CT] examination of the head, neck, chest, abdomen, and pelvis) has become an essential element in the early evaluation and decision-making algorithm for hemodynamically stable patients who sustained abdominal trauma. CT has virtually replaced diagnostic peritoneal lavage for the detection of important injuries. Over the past decade, substantial hardware and software developments in CT technology, especially the introduction and refinement of multidetector scanners, have expanded the versatility of CT for examination of the polytrauma patient in multiple facets: higher spatial resolution, faster image acquisition and reconstruction, and improved patient safety (optimization of radiation delivery methods). In this article, the authors review the elements of multidetector CT technique that are currently relevant for evaluating blunt abdominal trauma and describe the most important CT signs of trauma in the various organs. Because conservative nonsurgical therapy is preferred for all but the most severe injuries affecting the solid viscera, the authors emphasize the CT findings that are indications for direct therapeutic intervention. PMID:23175542

Soto, Jorge A; Anderson, Stephan W

2012-12-01

236

Nanoexposure, Unusual Diseases, and New Health and Safety Concerns  

PubMed Central

Accumulating studies in animals have shown that nanoparticles could cause unusual rapid lung injury and extrapulmonary toxicity. Whether exposure of workers to nanoparticles may result in some unexpected damage as seen in animals is still a big concern. We previously reported findings regarding a group of patients exposed to nanoparticles and presenting with an unusual disease. The reported disease was characterized by bilateral chest fluid, pulmonary fibrosis, pleural granuloma, and multiorgan damage and was highly associated with the nanoparticle exposure. To strengthen this association, further information on exposure and the disease was collected and discussed. Our studies show that some kinds of nanomaterials, such as silica nanoparticles and nanosilicates, may be very toxic and even fatal to occupational workers exposed to them without any effective personal protective equipment. More research and collaborative efforts on nanosafety are required in order to prevent and minimize the potential hazards of nanomaterials to humans and the environment. PMID:22125440

Song, Yuguo; Tang, Shichuan

2011-01-01

237

Multislice CT angiography  

Microsoft Academic Search

.  The introduction of multislice CT into clinical radiology constitutes a quantum leap that significantly widens the scope of\\u000a vascular CT imaging. The advances over conventional spiral CT have been quantitative, mainly in terms of increased image acquisition\\u000a speed which provides unprecedented volume coverage and spatial resolution. Moreover, significant technical innovations, such\\u000a as cardiac scanning capabilities, have brought about a qualitative

U. Joseph Schoepf; Christoph R. Becker; Lars K. Hofmann; Marco Das; Thomas Flohr; Bernd M. Ohnesorge; Bernhard Baumert; Joshua Rolnick; Jean M. Allen; Vassilios Raptopoulos

2003-01-01

238

The unusual state of Mrk 590  

NASA Astrophysics Data System (ADS)

Seyfert 1 galaxy Mrk 590 is presently in an unusual state. Its X-ray soft-excess has disappeared, its optical continuum has practically vanished, its optical broad emission lines have disappeared, and it shows the presence of a relativistic outflow. Even the narrow emission lines have changed. All these observations could be related to each other, but were taken years apart. We have an approved DDT on HST to check if the UV continuum and UV broad emission lines have also vanished and we request contemporaneous Chandra DDT to look for the presence/ absence of the soft-excess. Together they will help understand the common underlying cause which could be low accretion rate relative to Eddington. They will also answer some long-standing questions in AGN physics such as: What is the origin of the soft-excess? What is the origin of the broad emission line region? Mrk 590 provides us with an unique opportunity find the underlying physics related to these apparently disparate phenomena.

Mathur, Smita

2012-09-01

239

Unusual foreign bodies in the orofacial region.  

PubMed

Foreign bodies may be deposited in the oral cavity either by traumatic injury or iatrogenically. Among the commonly encountered iatrogenic foreign bodies are restorative materials like amalgam, obturation materials, broken instruments, needles, and so forth. The discovery of foreign bodies in the teeth is a special situation, which is often diagnosed accidentally. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, location of the foreign body, and the difficulty involved in its retrieval. It is more common to find this situation in children as it is a well-known fact that children often tend to have the habit of placing foreign objects in the mouth. Sometimes the foreign objects get stuck in the root canals of the teeth, which the children do not reveal to their parents due to fear. These foreign objects may act as a potential source of infection and may later lead to a painful condition. This paper discusses the presence of unusual foreign bodies-a tip of the metallic compass, stapler pin, copper strip, and a broken sewing needle impregnated in the gingiva and their management. PMID:22830058

Passi, Sidhi; Sharma, Neeraj

2012-01-01

240

Unusual Doppler effect in He II  

NASA Astrophysics Data System (ADS)

Many years ago Khalatnikov described unusual properties of the Doppler shift for the second sound in He II, first of all the ``back-entrainment'' effect: at some temperatures (at the beginning of the roton region) the center of the spreading sound moves in the direction opposite to the normal-component velocity vn [?u2=?(T)vn, ?(T~0.6 K)<0]. However, the existing theory describes Doppler shift of the first and fourth sounds as a trivial, ``kinematic'' effect: the center of the spreading sound moves with the velocity of the liquid as a whole [?u1,4~=j/p=(1-?n/?)vs]. We show that the real situation is quite different. We find (1) the coefficient K in the Doppler-shift expression, ?u1,4=(1-K1,4?n/?)vs, substantially differs from the kinematic value K=1:||K||max reaches some tens. (2) K1(T) and K4(T) have different (qualitatively opposite) nontrivial temperature dependences, in particular a high peak (modulo) at the beginning of the roton region. (3) K1,4(T) can be negative: K1<0 in the region of the peak, K4<0 in the phonon region. This implies an ``outstripping'' effect: the center of the spreading sound moves faster than the flowing superfluid part of the liquid itself.

Nepomnyashchy, Y. A.

1993-01-01

241

Chronic contained rupture of abdominal aortic aneurysm (CCR-AAA) with massive vertebral bone erosion: computed tomography (CT), magnetic resonance imaging (MRI) and fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) findings.  

PubMed

A 62-year-old male presented with sudden onset of low back and right leg pain. Contrast-enhanced computed tomography demonstrated an abdominal aortic aneurysm (AAA), along with a large mass lesion causing vertebral body erosion. Magnetic resonance imaging (MRI) suggested that the mass lesion consisted of a chronic hematoma. Fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) demonstrated increased uptake around the mass lesion, but not around the AAA. Surgical intervention was performed, and the subsequent histological diagnosis was chronic contained rupture of AAA. The mass lesion consisted of chronic hematoma and necrosis with inflammatory cell infiltration and hemosiderin deposition. This condition mimics some neoplastic diseases, but MRI and FDG-PET findings may help establish the correct diagnosis. PMID:24368511

Nakano, Sachiko; Okauchi, Kenzo; Tsushima, Yoshito

2014-02-01

242

Pneumoconiosis: Comparison of imaging and pathologic findings  

SciTech Connect

Pneumoconiosis may be classified as either fibrotic or nonfibrotic, according to the presence or absence of fibrosis. Silicosis, coal worker pneumoconiosis, asbestosis, berylliosis, and talcosis are examples of fibrotic pneumoconiosis. Siderosis, stannosis, and baritosis are nonfibrotic forms of pneumoconiosis that result from inhalation of iron oxide, tin oxide, and barium sulfate particles, respectively. In an individual who has a history of exposure to silica or coal dust, a finding of nodular or reticulonodular lesions at chest radiography or small nodules with a perilymphatic distribution at thin-section computed tomography (CT), with or without eggshell calcifications, is suggestive of silicosis or coal worker pneumoconiosis. Magnetic resonance imaging is helpful for distinguishing between progressive massive fibrosis and lung cancer. CT and histopathologic findings in asbestosis are similar to those in idiopathic pulmonary fibrosis, but the presence of asbestos bodies in histopathologic specimens is specific for the diagnosis of asbestosis. Giant cell interstitial pneumonia due to exposure to hard metals is classified as a fibrotic form of pneumoconiosis and appears on CT images as mixed ground-glass opacities and reticulation. Berylliosis simulates pulmonary sarcoidosis on CT images. CT findings in talcosis include small centrilobular and subpleural nodules or heterogeneous conglomerate masses that contain foci of high attenuation indicating talc deposition. Siderosis is nonfibrotic and is indicated by a CT finding of poorly defined centrilobular nodules or ground-glass opacities.

Chong, S.; Lee, K.S.; Chung, M.J.; Han, J.H.; Kwon, O.J.; Kim, T.S. [Sungkyunkwan University School of Medicine, Seoul (Republic of Korea). Samsung Medical Center

2006-01-15

243

Pneumoconiosis: comparison of imaging and pathologic findings  

SciTech Connect

Pneumoconiosis may be classified as either fibrotic or nonfibrotic, according to the presence or absence of fibrosis. Silicosis, coal worker pneumoconiosis, asbestosis, berylliosis, and talcosis are examples of fibrotic pneumoconiosis. Siderosis, stannosis, and baritosis are nonfibrotic forms of pneumoconiosis that result from inhalation of iron oxide, tin oxide, and barium sulfate particles, respectively. In an individual who has a history of exposure to silica or coal dust, a finding of nodular or reticulonodular lesions at chest radiography or small nodules with a perilymphatic distribution at thin-section computed tomography (CT), with or without eggshell calcifications, is suggestive of silicosis or coal worker pneumoconiosis. Magnetic resonance imaging is helpful for distinguishing between progressive massive fibrosis and lung cancer. CT and histopathologic findings in asbestosis are similar to those in idiopathic pulmonary fibrosis, but the presence of asbestos bodies in histopathologic specimens is specific for the diagnosis of asbestosis. Giant cell interstitial pneumonia due to exposure to hard metals is classified as a fibrotic form of pneumoconiosis and appears on CT images as mixed ground-glass opacities and reticulation. Berylliosis simulates pulmonary sarcoidosis on CT images. CT findings in talcosis include small centrilobular and subpleural nodules or heterogeneous conglomerate masses that contain foci of high attenuation indicating talc deposition. Siderosis is nonfibrotic and is indicated by a CT finding of poorly defined centrilobular nodules or ground-glass opacities.

Semin Chong; Kyung Soo Lee; Myung Jin Chung; Joungho Han; O. Jung Kwon; d Tae Sung Kim [Sungkyunkwan University School of Medicine, Seoul (Republic of Korea). Department of Radiology and Center for Imaging Science

2006-01-15

244

Diaphragmatic hernia: an unusual presentation.  

PubMed

A 53-year-old lady presented to A&E with a 3-day history of severe epigastric pain and vomiting. This was preceded by a 3-month history of generalised abdominal discomfort, early satiety and increasing shortness of breath. A CT scan showed a left-sided posterior diaphragmatic defect. Urgent repair of the hernia showed herniation of three-quarter of the stomach, half of the transverse colon, the 13 cm spleen and the pancreas in the chest. There were no postoperative complications. Traumatic diaphragmatic hernias are known to be a complication of major trauma. However, the patient in this case report presented acutely, after mild physical trauma related to using a rowing machine. This exercise, when not performed correctly can raise intra-abdominal pressure. It is plausible that this trauma, although mild, was sufficient in causing the lady's diaphragmatic hernia. This case would suggest that the trauma required to cause a diaphragmatic hernia need not be as severe as originally thought. PMID:23616319

Shah, Neha; Fernandes, Roland; Thakrar, Amit; Rozati, Hamoun

2013-01-01

245

CT features of nonfunctioning islet cell carcinoma  

SciTech Connect

To determine the computed tomographic (CT) characteristics of nonfunctioning islet cell carcinoma of the pancreas, the CT scans of 27 patients with that disease were reviewed. The pancreatic tumor was identified as a mass in 26 patients (96%) Of the 25 tumors evaluated with contrast enhancement, 20 became partially diffusely hyperdense relative to nearby normal pancreatic tissue. Hepatic metastases were identified in 15 patients (56%), regional lymphadenopathy in 10 (37%), atrophy of the gland proximal to the tumor in six (22%), dilatation of the biliary ducts in five (19%), and dilatation of the pancreatic duct in four (15%). The CT appearances of the nonfunctioning islet cell tumors were compared with those of 100 ordinary (ductal) pancreatic adenocarcinomas. Although the two types of tumors were sometimes indistinguishable, features found to be more characteristic of islet cell carcinoma included a pancreatic mass of unusually large size, calcification within the tumor, and contrast enhancement of either the primary tumor or hepatic metastases. Involvement of the celiac axis or proximal superior mesenteric artery was limited to ductal carcinoma.

Eelkema, E.A.; Stephens, D.H.; Ward, E.M.; Sheedy, P.F. II

1984-11-01

246

PAULING CT. ACADEMY WAY  

E-print Network

Admissions: School of Medicine (F3) 821 Graduate (D5) 111 Undergraduate (D5) 111 Air Pollution Labs APL (B2 DEL CAMPO HOUSING SCHU BERT CT. GIBBS CT. CALIFORNIA AVE . INNOVATION THEORY ACADEMY WAY HARVEYC T. JAMBOREERD. ADOBECIRCLE RD. CALIFORNIA AVE. CORNELL UNIVERSITY CENTER TO I-405 BISONAVE. MEDICAL PLAZADR

Rose, Michael R.

247

Rheological Characterization of Unusual DWPF Slurry Samples (U)  

SciTech Connect

A study was undertaken to identify and clarify examples of unusual rheological behavior in Defense Waste Processing Facility (DWPF) simulant slurry samples. Identification was accomplished by reviewing sludge, Sludge Receipt and Adjustment Tank (SRAT) product, and Slurry Mix Evaporator (SME) product simulant rheological results from the prior year. Clarification of unusual rheological behavior was achieved by developing and implementing new measurement techniques. Development of these new methods is covered in a separate report, WSRC-TR-2004-00334. This report includes a review of recent literature on unusual rheological behavior, followed by a summary of the rheological measurement results obtained on a set of unusual simulant samples. Shifts in rheological behavior of slurries as the wt. % total solids changed have been observed in numerous systems. The main finding of the experimental work was that the various unusual DWPF simulant slurry samples exhibit some degree of time dependent behavior. When a given shear rate is applied to a sample, the apparent viscosity of the slurry changes with time rather than remaining constant. These unusual simulant samples are more rheologically complex than Newtonian liquids or more simple slurries, neither of which shows significant time dependence. The study concludes that the unusual rheological behavior that has been observed is being caused by time dependent rheological properties in the slurries being measured. Most of the changes are due to the effect of time under shear, but SB3 SME products were also changing properties while stored in sample bottles. The most likely source of this shear-related time dependence for sludge is in the simulant preparation. More than a single source of time dependence was inferred for the simulant SME product slurries based on the range of phenomena observed. Rheological property changes were observed on the time-scale of a single measurement (minutes) as well as on a time scale of hours to weeks. The unusual shape of the slurry flow curves was not an artifact of the rheometric measurement. Adjusting the user-specified parameters in the rheometer measurement jobs can alter the shape of the flow curve of these time dependent samples, but this was not causing the unusual behavior. Variations in the measurement parameters caused the time dependence of a given slurry to manifest at different rates. The premise of the controlled shear rate flow curve measurement is that the dynamic response of the sample to a change in shear rate is nearly instantaneous. When this is the case, the data can be fitted to a time independent rheological equation, such as the Bingham plastic model. In those cases where this does not happen, interpretation of the data is difficult. Fitting time dependent data to time independent rheological equations, such as the Bingham plastic model, is also not appropriate.

Koopman, D. C.

2005-09-01

248

Computed Tomography (CT) Standards  

SciTech Connect

There is currently no standardized method to check the measurement capabilities of computed tomography (CT) systems within industry. The current method to determine the functionality of CT systems is by use of a test phantom to represent the actual part to be tested. A standard method to check the software algorithms when measuring such parameters as density of a material and the size of an object is not readily available. Many different materials are evaluated by CT systems. A set of standards necessitates the inclusion of materials that cover the gambit of materials encountered. The Federal Manufacturing and Technologies (FM and T) CT standards are designed to accommodate a variety of materials and several different sizes. This provides a method to check the CT system for size measurement capabilities and material density measurement as well as aid in optimizing the geometric parameters of the machine configuration.

Hubert, R.R.; Beach, J.M.

2000-02-02

249

An Unusual Bone Loss Around Implants  

PubMed Central

Pre-implant disease is an inflammatory process that affects the surrounding tissues of a functional osseointegrated implant. It is usually the result of a disequilibrium between the micro-flora and the defense system. This case reports a 57-year-old man with unusual bone loss around dental implants. This was an unusual case of peri-implantitis that occurred only in the implants on one side of the mouth although they were all unloaded implants. PMID:24396359

Rokn, Amir Reza; Sajedinejad, Neda; Yousefyfakhr, Hosnieh; Badri, Samare

2013-01-01

250

FDG-PET/CT in lymphoma  

PubMed Central

Lymphomas are a heterogeneous group of diseases that arise from the constituent cells of the immune system or from their precursors. 18F-fludeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) is now the cornerstone of staging procedures in the state-of-the-art management of Hodgkin's disease and aggressive non-Hodgkin's lymphoma. It plays an important role in staging, restaging, prognostication, planning appropriate treatment strategies, monitoring therapy, and detecting recurrence. However, its role in indolent lymphomas is still unclear and calls for further investigational trials. The protean PET/CT manifestations of lymphoma necessitate a familiarity with the spectrum of imaging findings to enable accurate diagnosis. A meticulous evaluation of PET/CT findings, an understanding of its role in the management of lymphomas, and knowledge of its limitations are mandatory for the optimal utilization of this technique. PMID:24604942

D'souza, Maria M; Jaimini, Abhinav; Bansal, Abhishek; Tripathi, Madhavi; Sharma, Rajnish; Mondal, Anupam; Tripathi, Rajendra Prashad

2013-01-01

251

A rare presentation of myocardial plasmacytoma assessed by FDG PET/CT.  

PubMed

We describe a rare case of myocardial plasmacytoma staged and followed up with FDG PET/CT. A 72-year-old man was incidentally identified with a right ventricular apical mass, which was pathologically confirmed to be a plasmacytoma. A pre-treatment FDG PET/CT scan subsequently showed lesions not only in the right ventricle but also in the bones and mediastinal lymph nodes, which led to the change in treatment plan. Post-therapy PET scan revealed good response. This case demonstrates the value of FDG PET/CT in accurately staging unusually presented plasmacytoma and in monitoring response to treatment. PMID:24662655

Tong, Aaron Kian Ti; Mann, Karen P; Schuster, David M; Yan, Xuexian

2014-07-01

252

Finding Perimeter  

NSDL National Science Digital Library

In this lesson, students will explore a real world problem based on the Marilyn Burns book Spaghetti and Meatballs for All!. The problem and further practice finding the distance around rectangles will lead them to discover efficient strategies and formulas for solving perimeter.

Strickland, Susanna

2012-07-27

253

Orodental findings in postaxial acrofacial dysostosis  

PubMed Central

We report a new case of postaxial acrofacial dysostosis (Miller) syndrome with expanded profile. The patient presented with unusual orofacial and digital anomalies along with mental retardation. This report emphasizes the recognized features of the syndrome as well as describes intraoral findings that could aid in the diagnosis and management of these patients. PMID:24959059

Urs, Aadithya B; Kumar, Priya; Nunia, Kalpana

2014-01-01

254

[Silicosis: computed tomography findings].  

PubMed

Silicosis is an occupational lung disease, which is caused by the inhalation of silica and affects a wide range of jobs. There are many clinical forms of silicosis: acute silicosis, results from exposure to very large amounts of silica dust over a period of less than 2 years. Simple chronic silicosis, the most common type that we see today, results from exposure to low amounts of silica between 2 and 10 years. Chronic silicosis complicated, with silicotic conglomerates. In many cases the diagnosis of silicosis is made according to epidemiological and radiological data, without a histological confirmation. It is important to know the various radiological manifestations of silicosis to differentiate it from other lung diseases and to recognize their complications. The objective of this work is to describe typical and atypical radiological findings of silicosis and their complications in helical and high resolution (HRCT) thorax CT. PMID:22884889

González Vázquez, M; Trinidad López, C; Castellón Plaza, D; Calatayud Moscoso Del Prado, J; Tardáguila Montero, F

2013-01-01

255

Computational investigation of unusual behavior in certain capillary tubes  

SciTech Connect

We investigate computationally two recent mathematical findings involving unusual behavior of solutions of the Young-Laplace capillary equation in cylindrical tubes of particular sections. The first concerns a configuration for which smoothing of the boundary curve at a sharp corner leads from existence to non-existence of a solution over the container section in zero gravity. The second describes a discontinuous behavior of relative rise height in nesting tubes placed vertically in an infinite reservoir. The numerical results support and quantify the mathematical predictions.

Brady, Victor; Concus, Paul; Finn, Robert

2004-03-12

256

Disseminated pneumocephalus secondary to an unusual facial trauma.  

PubMed

Pneumocephalus can be secondary to a postintrathecal procedure, sinus fracture, basilar skull fracture, congenital skull defect, neoplasm, gas producing organism, barotrauma, neurosurgery, paranasal sinus surgery, mask or nasal continuous positive-airway pressure. Unusual facial traumas can also be rare causes of pneumocephalus. Here, we present such a case in whom an air compressor tip injury to both eyes led to the disseminated pneumocephalus. We report this rare case with the computed tomography findings and try to explain the possible mechanism of the pnemocephalus. PMID:12039023

Yildiz, Altan; Duce, Meltem Nass; Ozer, Caner; Apaydin, F Demir; E?ilmez, Hulusi; Kara, Engin

2002-04-01

257

The cruel and unusual phenomenology of solitary confinement.  

PubMed

What happens when subjects are deprived of intersubjective contact? This paper looks closely at the phenomenology and psychology of one example of that deprivation: solitary confinement. It also puts the phenomenology and psychology of solitary confinement to use in the legal context. Not only is there no consensus on whether solitary confinement is a "cruel and unusual punishment," there is no consensus on the definition of the term "cruel" in the use of that legal phrase. I argue that we can find a moral consensus on the meaning of "cruelty" by looking specifically at the phenomenology and psychology of solitary confinement. PMID:24971072

Gallagher, Shaun

2014-01-01

258

The cruel and unusual phenomenology of solitary confinement  

PubMed Central

What happens when subjects are deprived of intersubjective contact? This paper looks closely at the phenomenology and psychology of one example of that deprivation: solitary confinement. It also puts the phenomenology and psychology of solitary confinement to use in the legal context. Not only is there no consensus on whether solitary confinement is a “cruel and unusual punishment,” there is no consensus on the definition of the term “cruel” in the use of that legal phrase. I argue that we can find a moral consensus on the meaning of “cruelty” by looking specifically at the phenomenology and psychology of solitary confinement. PMID:24971072

Gallagher, Shaun

2014-01-01

259

Cystic teratoma of the ovary: CT detection.  

PubMed

Computed tomography (CT) was performed in 38 patients with 41 benign cystic teratomas of the ovary and two patients with malignant transformation. CT depicted all tumors. The presence of fat in 40 of 43 cases (93%), tooth or calcification in 24 of 43 (56%), Rokitansky protuberance in 35 of 43 (81%), tufts of hair in 28 of 43 (65%), and a fat-fluid level in five of 43 (12%) allowed a definite diagnosis of ovarian cystic teratoma in 42 of 43 cases (98%). In the two cases of malignancy, single large (greater than 10 cm) plugs (with uptake of contrast medium in one) with a cauliflower appearance and an irregular border forming an obtuse angle with the inner wall of the cyst suggested malignant transformation. In three cases of benign cystic teratoma, a mucinous tumor (one benign, one borderline, one malignant) arising in the same ovary was seen at pathologic examination but was only diagnosed with the help of CT in two of three cases. Thickening of the tube was noted in two cases of torsion of the adnexa. CT findings were compared with findings at radiography of the abdomen and hysterosalpingography in 30 cases, ultrasound in 31, and magnetic resonance imaging in three. This study demonstrated that CT was the best procedure for imaging cystic teratomas of the ovary. PMID:2717741

Buy, J N; Ghossain, M A; Moss, A A; Bazot, M; Doucet, M; Hugol, D; Truc, J B; Poitout, P; Ecoiffier, J

1989-06-01

260

Concerted evolution of the tandemly repeated genes encoding primate U2 small nuclear RNA (the RNU2 locus) does not prevent rapid diversification of the (CT){sub n} {center_dot} (GA){sub n} microsatellite embedded within the U2 repeat unit  

SciTech Connect

The RNU2 locus encoding human U2 small nuclear RNA (snRNA) is organized as a nearly perfect tandem array containing 5 to 22 copies of a 5.8-kb repeat unit. Just downstream of the U2 snRNA gene in each 5.8-kb repeat unit lies a large (CT){sub n}{center_dot}(GA){sub n} dinucleotide repeat (n {approx} 70). This form of genomic organization, in which one repeat is embedded within another, provides an unusual opportunity to study the balance of forces maintaining the homogeneity of both kinds of repeats. Using a combination of field inversion gel electrophoresis and polymerase chain reaction, we have been able to study the CT microsatellites within individual U2 tandem arrays. We find that the CT microsatellites within an RNU2 allele exhibit significant length polymorphism, despite the remarkable homogeneity of the surrounding U2 repeat units. Length polymorphism is due primarily to loss or gain of CT dinucleotide repeats, but other types of deletions, insertions, and substitutions are also frequent. Polymorphism is greatly reduced in regions where pure (CT){sub n} tracts are interrupted by occasional G residues, suggesting that irregularities stabilize both the length and the sequence of the dinucleotide repeat. We further show that the RNU2 loci of other catarrhine primates (gorilla, chimpanzee, ogangutan, and baboon) contain orthologous CT microsatellites; these also exhibit length polymorphism, but are highly divergent from each other. Thus, although the CT microsatellite is evolving far more rapidly than the rest of the U2 repeat unit, it has persisted through multiple speciation events spanning >35 Myr. The persistence of the CT microsatellite, despite polymorphism and rapid evolution, suggests that it might play a functional role in concerted evolution of the RNU2 loci, perhaps as an initiation site for recombination and/or gene conversion. 70 refs., 5 figs.

Liao, D.; Weiner, A.M. [Yale Univ., New Haven, CT (United States)] [Yale Univ., New Haven, CT (United States)

1995-12-10

261

Main Findings  

Cancer.gov

This study looked at the ALTS patients with ASCUS who were found to have a precancerous lesion when they underwent colposcopy and biopsy. Its purpose was to find out how sensitive HPV testing was at identifying these women compared to repeat Pap testing. The study found that HPV testing was 96-percent sensitive - that is, identified 96% of the women with ASCUS who had a precancerous lesion. The authors concluded that HPV testing is a viable option for the management of ASCUS.

262

Factor Findings  

NSDL National Science Digital Library

In this lesson, students first create factor posters for a variety of different numbers that will be displayed in the classroom to be utilized as a resource throughout the school year. They make discoveries about factors using color tiles, represent their discoveries using graph paper, and display their information on poster board as find factors of an assigned number. The plan includes a list of materials, questions, assessment options, and extensions.

Piecora, Jamie

2000-01-01

263

Fossil Find  

NSDL National Science Digital Library

In this classroom activity, middle school students simulate a "dinosaur dig." The activity opens with background information for teachers about fossils. Working in groups, students excavate fossil sites created in advance by the teacher, or other group of students, and try to reconstruct a chicken skeleton. The activity closes with a two-page student worksheet that directs students to diagram the fossil site and includes probing questions to help them decode their findings.

264

UNUSUAL CAUSES OF CUTANEOUS ULCERATION  

PubMed Central

Synopsis Skin ulceration is a major source of morbidity and is often difficult to manage. Ulcers due to an inflammatory etiology or microvascular occlusion are particularly challenging in terms of diagnosis and treatment. The management of such ulcers requires careful assessment of associated systemic conditions and a thorough analysis of the ulcer's clinical and histologic findings. In this report, we discuss several examples of inflammatory ulcers and the approach to their diagnosis and treatment. PMID:21074034

Panuncialman, Jaymie; Falanga, Vincent

2010-01-01

265

Clinical Performance of PET\\/CT in Evaluation of Cancer: Additional Value for Diagnostic Imaging and Patient Management  

Microsoft Academic Search

This study assessed the clinical performance of a combined PET\\/CT system using 18F-FDG in oncologic patients. Methods: 18F-FDG PET\\/CT was used to evaluate 204 patients with 586 suspicious lesions. All patients had available follow-up data, enabling assessment of the clinical significance of hybrid PET\\/CT findings. Differences in interpretation between PET, CT, and fused PET\\/CT data were prospectively documented for detection,

Rachel Bar-Shalom; Nikolai Yefremov; Ludmila Guralnik; Diana Gaitini; Alex Frenkel; Abraham Kuten; Hernan Altman; Zohar Keidar; Ora Israel

2003-01-01

266

Sinus CT scan  

MedlinePLUS

CAT scan - sinus; Computed axial tomography scan - sinus; Computed tomography scan - sinus; CT scan - sinus ... 2008:chap 2. Shaw AS, Dixon AK. Multidetector computed tomography. In: Adam A, Dixon AK, eds. Grainger & Allison's ...

267

Pelvic CT scan  

MedlinePLUS

CAT scan - pelvis; Computed axial tomography scan - pelvis; Computed tomography scan - pelvis; CT scan - pelvis ... 361-90, vii. Shaw AS, Dixon AK. Multidetector computed tomography. In: Grainger RC, Allison D, Adam, Dixon AK, ...

268

Shoulder CT scan  

MedlinePLUS

CAT scan - shoulder; Computed axial tomography scan - shoulder; Computed tomography scan - shoulder; CT scan - shoulder ... 2008:chap 2. Shaw AS, Dixon AK. Multidetector computed tomography. In: Adam A, Dixon AK, eds. Grainger & Allison's ...

269

Arm CT scan  

MedlinePLUS

CAT scan - arm; Computed axial tomography scan - arm; Computed tomography scan - arm; CT scan - arm ... 2008:chap 2. Shaw AS, Dixon AK. Multidetector computed tomography. In: Adam A, Dixon AK, eds. Grainger & Allison's ...

270

Lumbar spine CT scan  

MedlinePLUS

... lumbar spine; Computed axial tomography scan - lumbar spine; Computed tomography scan - lumbar spine; CT - lower back ... 2008:chap 2. Shaw AS, Dixon AK. Multidetector computed tomography. In: Adam A, Dixon AK, eds. Grainger & Allison's ...

271

Normal Chest CT  

NSDL National Science Digital Library

Set of normal chest CT images with various important anatomic structures outlined, for cine viewing to gain a 3D view of the structure and its relationship to adjacent organs.Annotated: trueDisease diagnosis: Normal

Shaffer, Kitt

2010-02-05

272

Thoracic spine CT scan  

MedlinePLUS

CAT scan - thoracic spine; Computed axial tomography scan - thoracic spine; Computed tomography scan - thoracic spine; CT scan - ... remove iodine out of the body. Those with kidney disease or diabetes may need to receive extra fluids ...

273

CT-appearance of intraluminal duodenal diverticulum. The "halo" sign.  

PubMed

The barium appearance of intraluminal duodenal diverticulum has been classically described as a "windsock" appearance. However, the CT-scan appearance of this abnormality has not been well documented. A case report of a patient with intraluminal duodenal diverticulum is presented. The authors believe the CT-scan findings in the patient are virtually pathognomonic for this lesion and propose the term "halo" sign be applied to this previously undescribed finding. PMID:9745949

Tu, A S; Tran, M H; Larsen, C R

1998-01-01

274

CT colonography: examination prerequisites.  

PubMed

CT colonography is likely to play an important role in colorectal cancer screening. The ability of this new technique to detect colorectal polyps and cancer is predicated on an optimally cleansed and distended colon. Whereas the most common reported colonic cleansing regimen employed for CT colonography is polyethylene glycol lavage solution, saline cathartics such as sodium phosphate and magnesium citrate offer the advantage of a drier cleansed colon. Positive labeling of residual stool and fluid combined with electronic substraction of tagged material is under investigation. This new technique would eliminate purgative bowel cleansing and increase patient acceptance of CT colonography. Colonic distention is easily and reliably achieved with atmospheric air, although carbon dioxide is being evaluated as a more comfortable alternative. The use of antispasmodics for CT colonography is controversial. Glucagon is no longer used at centers where a clear benefit has not been found. Intravenous contrast may be useful in a specific subset of patients undergoing CT colonography, although it is doubtful that it will be used routinely for CT colonography. PMID:12173354

Yee, J

2002-01-01

275

Large vessel vasculitis in elderly patients: early diagnosis and steroid-response evaluation with FDG-PET/CT and contrast-enhanced CT.  

PubMed

Large vessel vasculitis (LVV) is an often-reported cause of inflammation of unknown origin (IUO) in elderly people. The objective of this study was to describe the usefulness of fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) and contrast-enhanced CT in early diagnosis and treatment follow-up of patients with LVV presenting as elderly onset IUO. We retrospectively compared contrast-enhanced CT findings and FDG-PET/CT findings of the patients diagnosed with LVV and 11 controls; all subjects were 50 years of age or older. We evaluated maximum standardised uptake value (SUVmax) and PET score of the aortic wall for quantitative comparison of FDG-PET/CT findings. We measured the aortic wall thickness (W) and its ratio against the radius (W/R) for quantitative comparison of aortic wall thickening by contrast-enhanced CT. After steroid treatment, we compared these values with those pre-treatment. Of 124 patients who were hospitalised due to advanced age and IUO, 88 underwent FDG-PET/CT and contrast-enhanced CT. Abnormal findings were observed on images from 78 patients. The findings were indicative of LVV in 13 patients (10.5 %), of whom more than half had only non-specific symptoms. Patients with LVV had significantly higher aortic wall SUVmax (3.85 vs. 1.95), PET scores by FDG-PET/CT, and aortic wall thicknesses by contrast-enhanced CT (3.8 vs. 2.6 mm) than controls. Significant improvement in aortic wall thickening was evidenced by reduced PET scores and by contrast-enhanced CT findings in patients who were followed up after treatment. LVV is an important cause of IUO with non-specific symptoms in elderly patients. Imaging examination comprising contrast-enhanced CT and FDG-PET/CT is useful for early diagnosis and early treatment evaluation of LVV, allowing for amelioration of reversible aortic wall thickening. PMID:24643395

Muto, Go; Yamashita, Hiroyuki; Takahashi, Yuko; Miyata, Yoko; Morooka, Miyako; Minamimoto, Ryogo; Kubota, Kazuo; Kaneko, Hiroshi; Kano, Toshikazu; Mimori, Akio

2014-11-01

276

Finding food  

PubMed Central

A significant amount of travel is undertaken to find food. This paper examines challenges in measuring access to food using Geographic Information Systems (GIS), important in studies of both travel and eating behavior. It compares different sources of data available including fieldwork, land use and parcel data, licensing information, commercial listings, taxation data, and online street-level photographs. It proposes methods to classify different kinds of food sales places in a way that says something about their potential for delivering healthy food options. In assessing the relationship between food access and travel behavior, analysts must clearly conceptualize key variables, document measurement processes, and be clear about the strengths and weaknesses of data. PMID:21837264

Forsyth, Ann; Lytle, Leslie; Riper, David Van

2011-01-01

277

Finding Fossils  

NSDL National Science Digital Library

This OLogy activity serves as a kid-friendly how-to manual about searching for fossils. In Not Just Any Rock Will Do, kids learn that fossils "hide out" in sedimentary rock and see examples of shale and sandstone. Do's and Don'ts for Fossil Hunters gives kids practical tips and a list of fossil-hunting supplies. In Fossils You May Find, there are photos of common invertebrate, vertebrate, and plant fossils to guide kids. Paleontology Clubs and Web Sites lists resources to help kids determine where to hunt for fossils. In Keeping a Field Journal, kids are shown a sample journal entry that points out the types of information they should record.

278

Multithreaded cardiac CT  

SciTech Connect

Phase-correlated CT, as it is used for cardiac imaging, is the most popular and the most important but also the most demanding special CT application in the clinical routine, today. Basically, it fulfills the four-dimensional imaging task of depicting a quasiperiodically moving object at any desired motion phase with significantly reduced motion artifacts. Although image quality with phase-correlated reconstruction is far better than with standard reconstruction, there are motion artifacts remaining and improvements of temporal resolution are required. As a well-known alternative to simply decreasing rotation time, we consider a spiral cone-beam CT scanner that has G x-ray guns and detectors mounted. We call this a multisource or a multithreaded CT scanner. Aiming for improved temporal resolution the relative temporal resolution {tau}, which measures the fraction of a motion period that enters the image, is studied as a function of the motion rate (heart rate) and the degree of scan overlap (pitch value) for various configurations. The parameters to optimize are the number of threads G and the interthread parameters {delta}{alpha} and {delta}z, which are the angular and the longitudinal separation between adjacent threads, respectively. To demonstrate the improvements approximate image reconstruction of multithreaded raw data is performed by using a generalization of the extended parallel back projection cone-beam reconstruction algorithm [Med. Phys. 31(6), 1623-1641 (2004)] to the case of multithreaded CT. Reconstructions of a simulated cardiac motion phantom and of simulated semi-antropomorphic phantoms are presented for two and three threads and compared to the single-threaded case to demonstrate the potential of multithreaded cardiac CT. Patient data were acquired using a clinical double-threaded CT scanner to validate the theoretical results. The optimum angle {delta}{alpha} between the tubes is 90 deg.for a double-threaded system, and for triple-threaded scanners it is 60 deg.or 120 deg.. In all cases, {delta}z=0 results as an optimum, which means that the threads should be mounted in the same transversal plane. However, the dependency of the temporal resolution on {delta}z is very weak and a longitudinal separation {delta}z{ne}0 would not deteriorate image quality. The mean temporal resolution achievable with an optimized multithreaded CT scanner is a factor of G better than the mean temporal resolution obtained with a single-threaded scanner. The standard reconstructions showed decreased cone-beam artifacts with multithreaded CT compared to the single-threaded case. Our phase-correlated reconstructions demonstrate that temporal resolution is significantly improved with multithreaded CT. The clinical patient data confirm our results.

Kachelriess, Marc; Knaup, Michael; Kalender, Willi A. [Institute of Medical Physics, University of Erlangen, Nuernberg (Germany)

2006-07-15

279

Coccidioidal spondylitis: usual and unusual radiographic manifestations.  

PubMed

A review of four cases of disseminated coccidioidomycosis involving the spine shows a variety of radiographic manifestations. Classic features of coccidioidal spondylitis include multiple spinal foci with preservation of disk spaces and indiscriminate involvement of the vertebral bodies and appendages. There are often associated paraspinous soft-tissue masses without gibbous deformity of the spine. In this series, the unusual manifestations of coccidioidal spondylitis include gibbous deformity, cystic lesions of the vertebral bodies, and sclerosis. An unusual pattern of healing of coccidioidomycosis is shown in one case. PMID:7384522

McGahan, J P; Graves, D S; Palmer, P E

1980-07-01

280

Unusual Presentation of Cystic Lymphangioma of the Gallbladder  

PubMed Central

Cystic lymphangioma of the gallbladder is quite a rare tumor with only a few cases having been reported in the literature. We describe here a rare case of cystic lymphangioma of the gallbladder, which was unusual in that the patient presented with biliary pain and an abnormal liver test. Ultrasonography and computed tomography of the abdomen showed a multi-septated cystic mass in the gallbladder fossa and an adjacent compressed gallbladder. Endoscopic retrograde cholangiography showed there was no communication between the bile tract and the lesion, and there were no other abnormal findings with the exception of a laterally compressed gallbladder. After performing endoscopic sphincterotomy, a small amount of sludge was released from the bile duct. The histological findings were consistent with a cystic lymphangioma originating from the subserosal layer of the gallbladder. This unusual clinical presentation of a gallbladder cystic lymphangioma was attributed to biliary sludge, and this was induced by gallbladder dysfunction that was possibly from compression of the gallbladder due to the mass. PMID:17939338

Woo, Yong Sik; Kim, Kyung-Yup; Oh, Won Taek; Kim, Youn Hwa

2007-01-01

281

An unusual cluster of circumscribed juvenile pityriasis rubra pilaris cases.  

PubMed

Circumscribed juvenile pityriasis rubra pilaris (PRP) is an uncommon dermatosis. We describe the unusual clustering of circumscribed juvenile PRP cases in our pediatric dermatology clinic in 2011. A retrospective chart review was done of patients presenting during the summer of 2011 with classic findings of circumscribed juvenile PRP. Clinical data including past medical and family history, presenting symptoms, infectious disease history and evaluation, biopsy results, and management were recorded. Seven patients, ages 5 to 19 years, all had strikingly similar skin findings of pink to hyperpigmented, well-defined, scaly papules and plaques on their elbows, knees, dorsal hands, ankles, and Achilles tendons. Four of the seven also had palmoplantar involvement. Four were sibling pairs and the other three were unrelated. Streptococcus pyogenes infection was suspected as a trigger in four of the patients. The unusual clustering of this uncommon disease, along with the occurrence in two sibling pairs, suggests that a genetic susceptibility unmasked by an infectious agent may play a role in its pathogenesis. PMID:24456130

Martin, Kari L; Holland, Kristen E; Lyon, Valerie; Chiu, Yvonne E

2014-01-01

282

Computed tomographic findings in septo-optic dysplasia: discordance between clinical and radiological findings.  

PubMed

The clinical and radiological findings in four children with septo-optic dysplasia are reported. All four had growth retardation associated with growth hormone deficiency, as well as varying degrees of ophthalmologic dysfunction. The CT scan findings spanned a spectrum from normal to the expected abnormalities involving the ventricular system and orbits. Only two of the four had an absent septum pellucidum. A third patient had normal CT scans except for optic nerve hypoplasia, while the fourth had entirely normal CT scans of both the brain and orbits. Because the anatomic defects of septo-optic dysplasia may be subtle, an apparently normal CT scan does not invalidate the clinical diagnosis of septo-optic dysplasia. PMID:6462434

Wilson, D M; Enzmann, D R; Hintz, R L; Rosenfeld, G

1984-01-01

283

An unusual case of complicated temporal lobe abscess following tympanomastoidectomy  

PubMed Central

We report a unusual case of complicated temporal lobe abscess following tympanomastoidectomy in a 26-year-old Chinese man here. The patient complained of binaural recurrent purulent discharge accompanied by hearing loss more than 10 years, then he received a right tympanomastoidectomy three months ago, but 3 weeks after surgery, he started to experience fierce headache and nausea and so on. The CT and MRI suggested the diagnosis of right temporal lobe abscess and then right temporal lobe abscess was excised. The patient was successfully treated with a right temporal lobe abscess resection and a radical right mastoidectomy. Although the cerebral abscess following radical tympanomastoidectomy are extremely rare, we should pay attention to it. we suggest the main reasons was still suffering from purulent discharge in the ear after the first tympanomastoidectomy, the granulation and cholesteatoma failed to completely remove during the first operation. and even resulted in substantial bone defect. It is well-known that good drainage is a key to reduce intra-cranial complications. PMID:23826430

Yin, Tuanfang; Ren, Jihao; Lu, Yongde; Chen, Xing; Wang, Yaowen; Huang, Fengying

2013-01-01

284

Unusual calcium deposition in cartilage associated with short stature and peculiar facial features: A case report  

Microsoft Academic Search

A 7-year-old girl with unusual facial features, punctate calcifications of the cartilage and congenital conductive deafness is presented. It is suggested that this case may represent a hitherto undescribed syndrome since the findings in this patient do not fit into any of the well described disorders such as Conradi's disease, oto-palato-digital syndrome or cerebro-hepato-renal syndrome.

Burhan Say; Sevim Balci; Tugrul Pirnar; Richard Israel; Metin Atasu

1973-01-01

285

Testing Peer Effects among College Students: Evidence from an Unusual Admission Policy Change in China  

ERIC Educational Resources Information Center

This paper studies a natural experiment due to an unusual change in the college admission policy at a Chinese university, which brought a large number of low-score students into several academic departments in the university. Exploiting large variations in peer characteristics and strong interactions among peer groups, the analysis finds that…

Lu, Fangwen

2014-01-01

286

Unusual presentation of an infected primary hydatid cyst of biceps femoris muscle  

Microsoft Academic Search

Hydatid cysts of the musculoskeletal system are rare. Unusual magnetic resonance imaging (MRI) findings of an infected primary hydatid cyst of the biceps femoris muscle are presented in a 40-year-old man on hemodialysis for chronic renal failure. No daughter cysts were present within the mother cyst cavity, but there was a fatty nodule which has not previously been described in

N. Tarhan; I. Tuncay; O. Barutcu; H. Demirors; A. Agildere

2002-01-01

287

Arteriocholedochal fistula: an unusual cause of hemobilia.  

PubMed

We report an unusual cause of hemobilia in a patient with a transhepatic biliary catheter. Hemobilia was due to an extrahepatic fistula between the gastroduodenal artery and the common bile duct and was responsible for significant blood loss. The fistula was successfully treated with transarterial embolization that resulted in no further episodes of hemobilia during the following 12 months. PMID:8672968

Orons, P D; McAllister, J F; Zajko, A B

1996-01-01

288

Unusual causes of intrahepatic cholestatic liver disease  

PubMed Central

We report five cases with unusual causes of intrahepatic cholestasis, including consumption of Teucrium polium (family Lamiaceae) in the form of tea, Stauffer’s syndrome, treatment with tamoxifen citrate for breast cancer, infection with Coxiella Burnetii (acute Q fever), and infection with Brucella melitensis (acute brucellosis). PMID:17465487

Mazokopakis, Elias E; Papadakis, John A; Kofteridis, Diamantis P

2007-01-01

289

CORRESPONDENCE Unusual Features of Thyroid Carcinomas in  

E-print Network

CORRESPONDENCE Unusual Features of Thyroid Carcinomas in Japanese Patients with Werner Syndrome genetic instability, and an elevated risk of se- lected neoplasms including thyroid carcinoma.1) in Japanese WS patients may confer a higher risk of thyroid carcinoma, and that N­ and C-terminal WRN

Monnat, Ray

290

An Unusual Case Report of Erupted Odontoma  

PubMed Central

Odontomas are the most common of the odontogenic tumors of the jaws, which are benign, slow growing, and nonaggressive. They are usually asymptomatic and found in routine dental radiographic examination. Odontomas are usually associated with tooth eruption disturbances. Eruption of odontoma in oral cavity is rare entity. Here we report a case of an unusual erupted compound odontoma. PMID:23476816

Mehta, Dhaval; Raval, Nilesh; Udhani, Sneha; Parekh, Viral; Modi, Chintan

2013-01-01

291

An unusual oviraptorosaurian dinosaur from China  

Microsoft Academic Search

Oviraptorosaurians are an unusual group of theropod dinosaurs, with highly specialized skulls. Here we report a new oviraptorosaurian, Incisivosaurus gauthieri, gen. et sp. nov., from the lowest part of the Lower Cretaceous Yixian Formation of China. This oviraptorosaurian displays a number of characters closer to more typical theropods, such as a low skull and toothed jaws, thus greatly reducing the

Xing Xu; Yen-Nien Cheng; Xiao-Lin Wang; Chun-Hsiang Chang

2002-01-01

292

Dental anesthetic death. An unusual autoerotic episode.  

PubMed

The details of an unusual autoerotic death are presented; the postulated method of induction of cerebral hypoxia was inhalation of nitrous oxide from a dental anesthetic machine; the theme of dental anesthesia, presumably an elaborate bondage fetish, recurred in documentary material found at the scene. PMID:3354528

Leadbeatter, S

1988-03-01

293

An unusual complication of peritoneal dialysis  

Microsoft Academic Search

Abdominal pain during peritoneal dialysis can be due to an inflow pain or most frequently be associated with peritonitis. However, other unusual pathologies can also occur in patients with peritoneal dialysis. Herein, pelvic inflammatory disease in a pediatric peritoneal dialysis patient is presented. After exclusion of the most common causes, abdominal ultrasonography and laparoscopy will guide clinicians for the diagnosis

Z. Birsin Özçakar; Fato? Yalç?nkaya; Aydin Yagmurlu; Selçuk Yüksel; Banu Acar; Suat Fitoz; Yeti? Uçar; Mesiha Ekim

2006-01-01

294

Unusual rupture of a flexor profundus tendon.  

PubMed

An unusual rupture of a flexor profundus tendon, previously unreported in the literature, is presented. There was avulsion and proximal displacement of a large bone fragment from the palmar base of the distal phalanx and further retraction of the tendon unattached to the bone fragment. PMID:3958452

Langa, V; Posner, M A

1986-03-01

295

An unusual combination: lipedema with myiasis  

Microsoft Academic Search

Lipedema refers to the abnormal deposition of subcutaneous fat causing a striking enlargement of the lower extremities that is out of proportion to the upper body. Most clinicians are unaware of this disease and thus it is seldom diagnosed correctly. Cutaneous myiasis is the infestation of skin by fly larvae. We describe an unusual case of a woman with lipedema

Tamara Koss; Nicole Lanatra; Mathew J Stiller; Marc E Grossman

2004-01-01

296

On the unusual characteristics of the diamonds from Letšeng-la-Terae kimberlites, Lesotho  

NASA Astrophysics Data System (ADS)

The Letšeng-la-Terae kimberlites are situated 3100 m above sea level in the Maloti Mountains of Lesotho, southern Africa. The principal economic bodies are two Late Cretaceous, low grade, 1-3.5 carats/hundred ton (cpht), kimberlite pipes that host high-value diamonds realising US 2000-2500/carat (/ct) in 2008 terms. Locally, the larger kimberlite body is referred to as the Main Pipe (17.2 ha) and the smaller one is called the Satellite Pipe (5.2 ha). These pipes, and their associated eluvial and proximal alluvial deposits, are renowned for yielding large, "D" colour, gem quality diamonds, including + 100 carat (ct) stones. Earlier artisanal effort (1959-1977) and formal mining (1977-1982) produced 335,000 carats (cts), including the 601 ct Lesotho Brown in 1968. In 2003, Letšeng Diamonds Limited re-commenced mining operations and had produced 265,000 cts by the end of July 2008, including 24 + 100 ct diamonds, the largest of which was the 603 ct Lesotho Promise. We report here on the unusual characteristics of the Letšeng diamond population that include: 75% gem quality that is more commonly associated with alluvial diamond deposits, large average stone size of ca. 1 carat/stone (ct/stn) that is also more typical of certain alluvial diamond placers, high-yielding, rounded to flattened irregular, resorbed dodecahedral shapes (Main Pipe 67% and Satellite Pipe 87%) with subordinate dodecahedral macle (Main Pipe 32% and Satellite Pipe 12%) and broken (ca. 1%) forms. In both pipes the octahedral component is virtually absent (< 0.1%), economically favourable colour mix (ca. 33% white colour diamonds in both pipes), abundance of nitrogen-free, "D" colour, Type IIa diamonds that dominate the internationally recognised "special" stone size fraction which covers all diamonds larger than + 10.8 cts (Main Pipe 32% and Satellite Pipe 51%). During 2008, these larger, "special" diamonds commanded prices in excess of US 15,000/ct, contributing ca. 75% of the revenue generated by the Letšeng mine. Furthermore, of the 24 + 100 ct diamonds recovered between November 2003 and July 2008, 18 (75%) were Type IIa "D" colour diamonds that also fetched prices mostly in excess of US 25,000/ct. Therefore the Type IIa diamonds boost significantly the revenue per unit measure (in this case, the US$/ton) of the Letšeng-la-Terae pipes, making these low grade kimberlites economic to mine.

Bowen, Debbie C.; Ferraris, Ray D.; Palmer, Claire E.; Ward, John D.

2009-11-01

297

The need for skull radiography in patients presenting for CT  

SciTech Connect

One thousand patients had both CT of the head and a conventional skull series of radiographs. Radiographic findings were abnormal in 250 patients (25%), but only 64 patients (6.4%) had diagnostically significant abnormalities at radiography that were not detected by CT. If the 163 patients who presented after acute trauma were excluded from the series, only 39 (4.7%) of the remaining patients had radiographically significant abnormal findings that were not seen at CT, and only two (0.2%) of these abnormalities could not be diagnosed by a lateral skull radiograph alone. In only five patients (0.5%) was the management actively changed because an abnormaltiy that was detected at skull radiography was not detected at CT. Thus, in nontrauma patients who have stroke, epilepsy, dementia, or non-specific symptoms without focal signs, or have recently undergone craniotomy, and who have been referred for CT, skull radiographs are not justified. In the patient with a history and findings that are strongly suggestive of a pathological disorder anywhere other than in the sella turcica, cerebello-pontine angle, and paranasal sinuses, only the lateral skull radiograph should be obtained after CT, and only if CT is equivocal.

Tress, B.M.

1983-01-01

298

Pericardiacophrenic shunt: imaging finding of rare splenosystemic collateral. Case report.  

PubMed

Portosystemic collaterals are the natural consequence of portal hypertension. These collaterals can occur anywhere in the gastrointestinal tract. Apart from the usual sites, they can develop in some unusual and rare locations. In this report, imaging findings of an unusual venous collateral pathway between spleen and left subclavian vein in a 30-year-old female patient with cirrhosis and portal hypertension are presented. PMID:16628381

Kutlu, Ramazan; Alkan, Alpay; Sigirci, Ahmet

2006-08-01

299

Appropriateness of selection criteria for CT examinations performed at an emergency department.  

PubMed

In the diagnosis of traumatic and nontraumatic emergencies, computed tomography (CT) is the most frequently performed procedure. The aims of this study were to find out whether CT report results can be used as a reliable tool for the diagnosis and management of patients at an emergency department and to evaluate the appropriateness of the selection criteria for CT examinations. For this reason, we analysed the emergency CT procedures according to the diagnostic hypothesis written on CT request forms, the results of the CT reports and the final diagnosis of the patients. One thousand consecutive CT procedures in the emergency department of a research hospital were retrospectively analysed. When the CT reports and the final diagnosis were evaluated, the sensitivity and specifity of the CT were found to be 0.81 and 0.85. According to the analysis of the CT reports, 55.8 % of all the patients were reported to be normal. When the patient files were examined for the final diagnosis of the patients, 55.7 % of the patients did not receive a final diagnosis related to the diagnostic hypothesis. The lowest correlation was found between the diagnostic hypothesis, the CT reports and the final diagnosis of the patients who underwent cranial CT procedure for trauma. The results of the CT reports can be used as a reliable parameter for the diagnosis and management of the patients at emergency departments. On the other hand, a high negative rate of CT reports was noted especially for the cranial CT examinations. CT selection criteria for the head trauma patients should be reconsidered. Since CT is a procedure involving ionising radiation, it is important that it is performed with the correct indications and the relevant clinical information is specified on the CT request forms. PMID:24848298

Gunes Tatar, Idil; Aydin, Hasan; Kizilgoz, Volkan; Yilmaz, Kerim Bora; Hekimoglu, Baki

2014-12-01

300

Computed tomographic findings in septo-optic dysplasia: Discordance between clinical and radiological findings  

Microsoft Academic Search

The clinical and radiological findings in four children with septo-optic dysplasia are reported. All four had growth retardation associated with growth hormone deficiency, as well as varying degrees of ophthalmologic dysfunction. The CT scan findings spanned a spectrum from normal to the expected abnormalities involving the ventricular system and orbits. Only two of the four had an absent septum pellucidum.

D. M. Wilson; D. R. Enzmann; R. L. Hintz; GI Rosenfeld

1984-01-01

301

CT of the fixed vocal cord.  

PubMed

The presence or absence of mobility of the vocal cords is one of the major clinical criteria used in staging laryngeal cancer. Decisions regarding radical laryngectomy may be made on the basis of vocal cord mobility rather than an appraisal of the actual tumor extension. Seventy-one patients in whom the status of vocal cord mobility was clinically proven was studied by computed tomographic (CT) scanning. CT showed two cancers to be more advanced than estimated by normal vocal cord motion due to involvement of the preepiglottic or subglottic space. In three patients with suspected laryngeal tumor presenting with neck pain and hoarseness, CT showed that the sequelae of "occult" trauma had limited vocal cord mobility and had given a false clinical impression of possible tumor. CT correctly predicted vocal cord fixation in 16 of 19 patients with tumor and in eight of nine patients after trauma. In both groups, most patients had multiple findings which could explain fixation. In the tumor group, cricoarytenoid involvement (12 instances) and paralaryngeal space spread (10 instances) were the most frequent. In the trauma group, injuries to the laryngeal skeleton (nine instances) and a variety of soft tissue changes (seven instances) were the most frequent findings, related to fixation. PMID:6773399

Mancuso, A A; Tamakawa, Y; Hanafee, W N

1980-09-01

302

Computed tomography findings in 15 cases of Creutzfeldt-Jakob disease with histological verification  

Microsoft Academic Search

Computed tomography (CT) was normal in twelve of fifteen patients with definite Creutzfeldt-Jakob disease. In two patients CT showed mild sulcal widening, while marked ventricular enlargement and moderate cortical atrophy were seen in a patient who had both Creutzfeldt-Jakob disease and normal pressure hydrocephalus. No correspondence was observed between CT findings, severity of the clinical picture and postmorten gross brain

S Gálvez; L Cartier

1984-01-01

303

Call for Observations: Unusual Opportunity for 185 Eunike  

NASA Astrophysics Data System (ADS)

The main-belt asteroid 185 Eunike will reach an unusually favorable opposition in 2014 February and March. This will provide an unusual opportunity for observers to resolve its rotation period ambiguity.

Warner, Brian D.; Harris, Alan W.

2014-01-01

304

48 CFR 1332.501-2 - Unusual progress payments.  

Code of Federal Regulations, 2012 CFR

... CONTRACT FINANCING Progress Payments Based on Costs 1332.501-2 Unusual progress payments. The designee authorized to approve a contractor's request for unusual progress payments is set forth in CAM...

2012-10-01

305

48 CFR 1332.114 - Unusual contract financing.  

Code of Federal Regulations, 2012 CFR

...REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 1332.114 Unusual contract financing. The designee authorized to approve unusual contract financing arrangements is set forth in CAM...

2012-10-01

306

48 CFR 1332.114 - Unusual contract financing.  

Code of Federal Regulations, 2013 CFR

...REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 1332.114 Unusual contract financing. The designee authorized to approve unusual contract financing arrangements is set forth in CAM...

2013-10-01

307

48 CFR 1332.501-2 - Unusual progress payments.  

Code of Federal Regulations, 2010 CFR

... CONTRACT FINANCING Progress Payments Based on Costs 1332.501-2 Unusual progress payments. The designee authorized to approve a contractor's request for unusual progress payments is set forth in CAM...

2010-10-01

308

48 CFR 1332.114 - Unusual contract financing.  

Code of Federal Regulations, 2010 CFR

...REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 1332.114 Unusual contract financing. The designee authorized to approve unusual contract financing arrangements is set forth in CAM...

2010-10-01

309

48 CFR 1332.114 - Unusual contract financing.  

Code of Federal Regulations, 2011 CFR

...REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 1332.114 Unusual contract financing. The designee authorized to approve unusual contract financing arrangements is set forth in CAM...

2011-10-01

310

48 CFR 632.114 - Unusual contract financing.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Unusual contract financing. 632.114 Section 632.114 Federal Acquisition Regulations System DEPARTMENT...FINANCING Non-Commercial Item Purchase Financing 632.114 Unusual contract financing. The Procurement...

2010-10-01

311

48 CFR 2432.114 - Unusual contract financing.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 true Unusual contract financing. 2432.114 Section 2432.114 Federal Acquisition Regulations System DEPARTMENT... Non-Commercial Item Purchase Financing 2432.114 Unusual contract financing. The Senior...

2010-10-01

312

48 CFR 2832.114 - Unusual contract financing.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 true Unusual contract financing. 2832.114 Section 2832.114 Federal Acquisition Regulations System DEPARTMENT... Non-Commercial Item Purchase Financing 2832.114 Unusual contract financing. The HCA, or...

2010-10-01

313

The colchicine derivative CT20126 shows a novel microtubule-modulating activity with apoptosis  

PubMed Central

New colchicine analogs have been synthesized with the aim of developing stronger potential anticancer activities. Among the analogs, CT20126 has been previously reported to show immunosuppressive activities. Here, we report that CT20126 also shows potential anticancer effects via an unusual mechanism: the modulation of microtubule integrity and cell cycle arrest at the G2/M phase before apoptosis. When we treated COS-7 cells with CT20126 (5???), the normal thread-like microtubules were disrupted into tubulin dimers within 10?min and thereafter repolymerized into short, thick filaments. In contrast, cells treated with the same concentration of colchicine exhibited microtubule depolymerization after 20?min and never underwent repolymerization. Furthermore, optical density (OD) analysis (350?nm) with purified tubulin showed that CT20126 had a higher repolymerizing activity than that of Taxol, a potent microtubule-polymerizing agent. These results suggest that the effects of CT20126 on microtubule integrity differ from those of colchicine: the analog first destabilizes microtubules and then stabilizes the disrupted tubulins into short, thick polymers. Furthermore, CT20126 induced a greater level of apoptotic activity in Jurkat T cells than colchicine (assessed by G2/M arrest, caspase-3 activation and cell sorting). At 20?n?, CT20126 induced 47% apoptosis among Jurkat T cells, whereas colchicine induced only 33% apoptosis. Our results suggest that the colchicine analog CT20126 can potently induce apoptosis by disrupting microtubule integrity in a manner that differs from that of colchicine or Taxol. PMID:23598593

Kim, Sung-Kuk; Cho, Sang-Min; Kim, Ho; Seok, Heon; Kim, Soon-Ok; Kyu Kwon, Taeg; Chang, Jong-Soo

2013-01-01

314

CT Perfusion of the Head  

MedlinePLUS

... resulting in more detail and additional view capabilities. Modern CT scanners are so fast that they can ... procedure. However, the very open design of a modern CT scanner rarely causes a claustrophobic sensation. When ...

315

Low serum C3, leukopenia, and thrombocytopenia: unusual features of Henoch-Schonlein purpura  

Microsoft Academic Search

Henoch-Schonlein purpura (HSP) affects predominantly the skin, joints, gastrointestinal tract and kidney. Although the pathogenesis\\u000a is probably of immune origin and complement activation is thought to play a role, laboratory findings including the serum\\u000a level of the complement components are usually normal. We present a patient with a severe form of HSP nephritis who had unusual\\u000a laboratory findings of a

I. Krause; B. Z. Garty; M. Davidovits; R. Cleper; H. Tamary; E. Rosenmann; B. Eisenstein

1999-01-01

316

Fetus-in-Fetu: An Unusual Cause for Abdominal Mass in Infancy  

PubMed Central

Fetus-in-fetu is an unusual cause of retroperitoneal abdominal mass in infants, which most likely arises from inclusion of a monozygotic, diamniotic twin. This entity is distinguished from teratoma by its embryological origin, its unusual location in the retroperitoneal space, its invariable benignity, and by the presence of vertebral organization with limb buds and well-developed organ systems. Diagnosis is made radiographically by the finding of a diminutive vertebral column on a plain abdominal film. The treatment of choice is total excision with special attention being given to the fetus' blood supply which may be directly from the host's superior mesenteric vessels. A well-documented example of this unusual entity that occurred in a six-week old infant male is presented. ImagesFig. 1.Fig. 2.Fig. 3. PMID:4471720

Grosfeld, Jay L.; Stepita, Donald S.; Nance, Walter E.; Palmer, Catherine G.

1974-01-01

317

FDG-PET/CT Imaging for Staging and Target Volume Delineation in Preoperative Conformal Radiotherapy of Rectal Cancer  

SciTech Connect

Purpose: To investigate the potential impact of using {sup 18}F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) on staging and target volume delineation for patients affected by rectal cancer and candidates for preoperative conformal radiotherapy. Methods and Materials: Twenty-five patients diagnosed with rectal cancer T3-4 N0-1 M0-1 and candidates for preoperative radiotherapy underwent PET/CT simulation after injection of 5.18 MBq/kg of FDG. Clinical stage was reassessed on the basis of FDG-PET/CT findings. The gross tumor volume (GTV) and the clinical target volume (CTV) were delineated first on CT and then on PET/CT images. The PET/CT-GTV and PET/CT-CTV were analyzed and compared with CT-GTV and CT-CTV, respectively. Results: In 4 of 25 cases (24%), PET/CT affected tumor staging or the treatment purpose. In 3 of 25 cases (12%) staged N0 M0, PET/CT showed FDG uptake in regional lymph nodes and in a case also in the liver. In a patient with a single liver metastasis PET/CT detected multiple lesions, changing the treatment intent from curative to palliative. The PET/CT-GTV and PET/CT-CTV were significantly greater than the CT-GTV (p = 0.00013) and CT-CTV (p = 0.00002), respectively. The mean difference between PET/CT-GTV and CT-GTV was 25.4% and between PET/CT-CTV and CT-CTV was 4.1%. Conclusions: Imaging with PET/CT for preoperative radiotherapy of rectal cancer may lead to a change in staging and target volume delineation. Stage variation was observed in 12% of cases and a change of treatment intent in 4%. The GTV and CTV changed significantly, with a mean increase in size of 25% and 4%, respectively.

Bassi, Maria Chiara; Turri, Lucia [Department of Radiotherapy, University of Piemonte Orientale, Novara (Italy); Sacchetti, Gianmauro [Department of Nuclear Medicine, University of Piemonte Orientale, Novara (Italy); Loi, Gianfranco; Cannillo, Barbara [Department of Medical Physics, Hospital Maggiore della Carita, Novara (Italy); La Mattina, Pierdaniele [Department of Radiotherapy, University of Piemonte Orientale, Novara (Italy); Brambilla, Marco [Department of Medical Physics, Hospital Maggiore della Carita, Novara (Italy); Inglese, Eugenio [Department of Nuclear Medicine, University of Piemonte Orientale, Novara (Italy); Krengli, Marco [Department of Radiotherapy, University of Piemonte Orientale, Novara (Italy)], E-mail: krengli@med.unipmn.it

2008-04-01

318

Gastrointestinal Tract Perforation: MDCT Findings according to the Perforation Sites  

PubMed Central

Our objective is to describe the characteristic CT findings of gastrointestinal (GI) tract perforations at various levels of the gastrointestinal system. It is beneficial to localize the perforation site as well as to diagnose the presence of bowel perforation for planning the correct surgery. CT has been established as the most valuable imaging technique for identifying the presence, site and cause of the GI tract perforation. The amount and location of extraluminal free air usually differ among various perforation sites. Further, CT findings such as discontinuity of the bowel wall and concentrated free air bubbles in close proximity to the bowel wall can help predict the perforation site. Multidetector CT with the multiplanar reformation images has improved the accuracy of CT for predicting the perforation sites. PMID:19182505

Kim, Sung Hwan; Jeong, Yong Yeon; Heo, Suk Hee; Kim, Jin Woong; Kang, Heoung Keun

2009-01-01

319

Clinical application of CT and CT-guided percutaneous transthoracic needle biopsy in patients with indeterminate pulmonary nodules*  

PubMed Central

OBJECTIVE: To investigate the clinical application of CT and CT-guided percutaneous transthoracic needle biopsy (CT-PTNB) in patients with indeterminate pulmonary nodules (IPNs). METHODS: We retrospectively studied 113 patients with PNs undergoing CT and CT-PTNB. Variables such as gender, age at diagnosis, smoking status, CT findings, and CT-PTNB techniques were analyzed. Data analysis was performed with the Student's t-test for independent samples the chi-square test, and normal approximation test for comparison of two proportions. RESULTS: Of the 113 patients studied, 68 (60.2%) were male and 78 (69%) were smokers. The diameter of malignant lesions ranged from 2.6 cm to 10.0 cm. Most of the IPNs (85%) were located in the peripheral region. The biopsied IPNs were found to be malignant in 88 patients (77.8%) and benign in 25 (22.2%). Adenocarcinoma was the most common malignant tumor, affecting older patients. The IPN diameter was significantly greater in patients with malignant PNs than in those with benign IPNs (p < 0.001). Having regular contour correlated significantly with an IPN being benign (p = 0.022), whereas spiculated IPNs and bosselated IPNs were more often malignant (in 50.7% and 28.7%, respectively). Homogeneous attenuation and necrosis were more common in patients with malignant lesions (51.9% and 26.9%, respectively) CONCLUSIONS: In our sample, CT and CT-PTNB were useful in distinguishing between malignant and benign IPNs. Advanced age and smoking were significantly associated with malignancy. Certain CT findings related to IPNs (larger diameter, spiculated borders, homogeneous attenuation, and necrosis) were associated with malignancy. PMID:25210960

Cardoso, Luciana Vargas; Souza, Arthur Soares

2014-01-01

320

Physics in Action: CT Scans  

NSDL National Science Digital Library

This article explains how Computed Tomography (CT) scans have been recently developed and improved. The site contrasts the CT scan to X-rays to show CT scan's ability to take pictures of the body's soft tissue like the brain or organs. It also presents some recent advances, such as 3D scans and time-dependent imaging. Links to resources are included.

Central, Physics

2004-04-08

321

Unusually large sialolith of Wharton's duct.  

PubMed

The formation of calcific concretions in the salivary duct or glands is a common disorder, especially in the submandibular glands. Most of the salivary calculi are small in size, in contrast to those that reach several centimeters, which are reported as megaliths or giant calculi in the literature. They may occur in any of the salivary gland ducts but are most common in Wharton's duct and the submandibular gland. This report presents clinical and radiographical sign of an unusually large sialolith. There was painless swelling on the floor of the edentulous mouth and patient was unaware of it. Radiographical examination revealed large irregular radio-opaque mass superimposed on right canine and premolar areas. This case report describes a patient presenting with an unusually large submandibular gland duct sialolith, the subsequent patient management, the aetiology, diagnosis and its treatment. PMID:23483770

Iqbal, Ali; Gupta, Anup K; Natu, Subodh S; Gupta, Atul K

2012-01-01

322

Unusually large sialolith of Wharton's duct  

PubMed Central

The formation of calcific concretions in the salivary duct or glands is a common disorder, especially in the submandibular glands. Most of the salivary calculi are small in size, in contrast to those that reach several centimeters, which are reported as megaliths or giant calculi in the literature. They may occur in any of the salivary gland ducts but are most common in Wharton's duct and the submandibular gland. This report presents clinical and radiographical sign of an unusually large sialolith. There was painless swelling on the floor of the edentulous mouth and patient was unaware of it. Radiographical examination revealed large irregular radio-opaque mass superimposed on right canine and premolar areas. This case report describes a patient presenting with an unusually large submandibular gland duct sialolith, the subsequent patient management, the aetiology, diagnosis and its treatment. PMID:23483770

Iqbal, Ali; Gupta, Anup K.; Natu, Subodh S.; Gupta, Atul K.

2012-01-01

323

A prospective evaluation of CT in acutely paraparetic chondrodystrophic dogs.  

PubMed

The clinical usefulness of computed tomography (CT) as a sole diagnostic modality in identifying disc lesion(s) in chondrodystrophic breeds presenting with acute signs of intervertebral disc disease (IVDD) is incompletely characterized. CT was used prospectively to determine the validity of this tool. Neurologic examinations and CT scans were performed on all dogs at presentation. Surgical decompression was based on those findings. Clinical follow-up examinations were performed on days 1 and 14 postsurgically. CT detected a lesion consistent with clinical findings in 63 of 69 cases (91%). All 63 dogs with Hansen type I IVDD lesions were identified on CT alone. The surgeon and radiologist agreed on lesion level in 72 of 78 lesions (92%) and lateralization in 71 of 78 lesions (91%). Improvement in neurologic grade was documented in 60 of 69 dogs (87%) by 14 days. CT imaging can be used as a single imaging modality in chondrodystrophic dogs presenting with acute paresis. CT used in this manner is a reliable and noninvasive tool for detecting spinal compression secondary to IVDD in chondrodystrophic dogs. PMID:24051258

Bibevski, Jennifer Deck; Daye, R Mark; Henrickson, Todd D; Axlund, Todd W

2013-01-01

324

An unusual case of pleural chordoma.  

PubMed

Chordoma is a rare slow-growing neoplasm arising from notochordal remnants. In the United States, the annual incidence of chordoma is 0.08 per 100,000 and is more common in men than in women. The most common locations of chordoma are the cranial (32%), spinal (32.8%), and sacral (29.2%) regions [1]. We report an unusual case of pleural chordoma in a 45-year-old man. PMID:24694418

Ni, Mingwei; Paul, Subroto; Lee, Paul C

2014-04-01

325

Unusual complications of ventriculo peritoneal shunt surgery  

PubMed Central

Ventriculo peritoneal (VP) shunt surgery is one of the common neurosurgical procedures employed in the management of hydrocephalus. Numerous complications related to this procedure are reported in the literature. Peritoneal catheter-related complications are the usual causes of the shunt malfunction. We report three unusual cases of peritoneal shunt catheter migration in children. Two cases are of anal and one vaginal extrusion. Possible mechanisms of migration and management strategies were discussed. PMID:23189000

Teegala, Ramesh; Kota, Laxmi Prasanna

2012-01-01

326

Segmental lichen planus pigmentosus: An unusual presentation  

PubMed Central

Lichen planus pigmentosus (LPP) is a distinct clinical entity commonly encountered in the Indian population. It is considered a variant of lichen planus (LP). A 40-year-old male presented with asymptomatic hyperpigmented macules in a segmental distribution since 10 years that were clinically and histopathologically suggestive of LPP. We propose the terminology “segmental lichen planus pigmentosus” and report this unusual presentation. PMID:24860750

Kumar, Y Hari Kishan; Babu, Anagha Ramesh

2014-01-01

327

Tropical plants with unusual taste properties  

Microsoft Academic Search

A screening program of tropical plants for unusual taste properties gave some leads that suggested the need for further laboratory\\u000a evaluation and exploration to determine their economic importance. Taste–modifying substances were of interest for applications\\u000a in some food and pharmaceutical uses. Intensely sweet substances of superior taste quality were sought for applications in\\u000a dietetic foods. Plants that were selected for

G. E. INGLETT; JOANN F. MAY

1968-01-01

328

Adult Hepatic Mesenchymal Hamartoma: An Unusual Case  

PubMed Central

Mesenchymal hamartoma is a benign hamartomatous lesion with unknown histogenesis. It generally occurs in pediatric population and has been rarely reported in adults. We report an unusual case of a cystic mesenchymal hamartoma of liver in an 81-year-old elderly male. A provisional diagnosis of liver abscess was made and definitive histopathology confirmed the diagnosis. This case has been reported because of its rarity.

Sharma, Madhawi; Bansal, Preeti; Goyal, Neeraj Krishna

2014-01-01

329

Imaging findings of pulmonary carcinosarcoma: A case report  

PubMed Central

Pulmonary carcinosarcoma is a rare lung tumor, which contains both malignant carcinomatous and heterotopic sarcomatous components. There are only few case reports on the imaging diagnosis of this rare tumor. Herein, we present the radiological findings of this rare tumor, which was suspected on computed tomography (CT) scan due to atypical CT findings of malignant lung mass (not usually seen in bronchogenic carcinoma) and was finally confirmed histologically. PMID:24778484

Vohra, Aditi; Narula, Harneet

2014-01-01

330

Role of computed tomography (CT) scan in staging of cervical carcinoma  

PubMed Central

Background & objectives: Staging of cervical carcinoma is done clinically using International Federation of Obstetrics and Gynecology (FIGO) guidelines. It is based on physical examination findings and also includes results of biopsy, endoscopy and conventional radiological tests like chest radiograph, intravenous urography and barium enema. These conventional radiological investigations have largely been replaced by computed tomography (CT) and magnetic resonance imaging (MRI) at present. FIGO staging system does not consider CT and MRI mandatory; however, use of these modalities are encouraged. This prospective study was conducted to determine the role of CT in staging work up in women diagnosed with cervical carcinoma. Methods: Fifty three women diagnosed with cervical carcinoma were evaluated with contrast enhanced CT scan of abdomen and pelvis. CT scan images were especially evaluated to determine tumour size, invasion of parmetrium, pelvic walls, rectum, urinary bladder and ureters, pelvic or retroperitoneal lymphadenopathy and distant metastases. CT findings were associated with clinical findings and staging, including findings from cystoscopy and sigmoidoscopy. Results: There was a poor agreement between clinical and CT staging of cervical carcinoma. Primary tumour was demonstrated on CT in 36 (70%) of 53 patients. CT underestimated the parametrial, vaginal and pelvic wall invasion when compared with physical examination. CT overestimated the urinary bladder and rectal invasion when compared with cysto-sigmoidoscopy, however, CT had 100 per cent negative predictive value (NPV) to exclude bladder and rectal involvement. CT detection of lymph node enlargement and lung metastases influenced the management. Interpretation & conclusions: Our findings show that CT scan does not reliably correlate with clinical FIGO staging of cervical cancer. However, it can detect urinary obstruction as well as nodal or distant metastases and thus improves the clinical FIGO staging PMID:25027081

Prasad, T.V.; Thulkar, S.; Hari, S.; Sharma, D.N.; Kumar, S.

2014-01-01

331

Unusual lung tumours: an illustrated review of CT features suggestive of this diagnosis  

PubMed Central

This review presents an imaging-centred approach to the diagnostic challenge of uncommon lung tumours in adults. Emphasis is placed on features that may be used to differentiate these tumours including fat content, tumour site, multifocality, calcification and predominant pattern of involvement. PMID:16829468

Bhatia, K; Ellis, S

2006-01-01

332

Pitfalls in PET/CT imaging  

NASA Astrophysics Data System (ADS)

PET with 2-[fluorine 18] fluoro-2-deoxy-d-glucose (FDG), has been a clinical tool for the evaluation of various cancers providing valuable metabolic information clinically helpful in the diagnosis, initial staging, therapy monitoring and restaging. However, FDG is not specific for neoplastic processes. Unless anatomic correlation is available to delineate normal structures, pathologic sites of FDG accumulation can easily be confused with normal physiological uptake, leading to false-positive or false-negative findings. Coregistration of PET scans (functional and morphologic information) with computed tomographic (CT) scans (anatomic information) using a combined PET-CT scanner improves the overall sensitivity and specificity of information provided by PET or CT alone. In this paper, we discuss the probable causes of false negative images and pitfalls due to technical reasons, inflammatory processes or benign lesions as well as the utility of PET-CT in differentiating malignant from inflammatory and benign processes, since in some cases such differentiation cannot be made, with certainty, using FDG PET alone.

Rondogianni, Ph; Papathanasiou, N.; Giannopoulou, Ch

2011-09-01

333

CT Teaching Files  

NSDL National Science Digital Library

CTisus is a project of the Advanced Medical Imaging Laboratory, and on this site they present their teaching files. The files are divided by organ or body systems (such as Stomach and Neuro), and each division contains from one to forty-two individual files. Each file contains 100 cases, which allow students to see CT scans, courtesy of Dr. Elliot K. Fishman, and diagnose the illness based on what the scan reveals. By clicking the âÂÂDiagnosisâ on/off buttons, they can see the correct diagnosis. This site will be helpful for students in the fields of diagnostic radiographic imaging or radiology to have an understanding of what diseases look like in CT scans, and for teachers who instruct those students to supplement their classroom lectures and activities with these ready-to-use teaching files.

Fishman, Elliot K.

2007-03-09

334

Hyperphosphatasemia: CT assessment.  

PubMed

Hyperphosphatasemia is a rare disorder of uncertain cause. A 39-year-old male exhibiting striking skeletal deformities consisting of enlargement of the skull, enlargement and bowing of the long bones, neurosensorial symptoms and elevated alkaline phosphatase is the subject of this report. In the past, the radiological workup has been limited to plain films. We advocate CT in the assessment of neurological signs and symptoms which may complicate this disease. PMID:9000402

Muntaner, L; Herrera, M; Saus, C; Salas, R; Ribas, A

1997-01-01

335

Evaluation of unusual neuroendocrine tumours by means of 68Ga-DOTA-NOC PET.  

PubMed

(18)F-FDG PET value for the assessment of neuroendocrine tumours (NET) is limited. Preliminary studies indicate that somatostatin receptor PET using (68)Ga-DOTA-peptides is more accurate for disease assessment and provide additional data on receptor status, that are crucial for targeted radionuclide therapy. At present, however, few papers investigated the role of (68)Ga-DOTA-NOC PET in NET, especially in unusual situations. The purpose of the present study was to evaluate (68)Ga-DOTA-NOC for the evaluation of NET of uncommon presentation. Patients with biopsy-proven NET were scheduled for (68)Ga-DOTA-NOC PET; we excluded from further evaluation cases with most common NET tumours (gastro-entero-pancreatic and pulmonary localization of primary lesion, MEN syndromes, medullary thyroid carcinoma, pheochromocytomas). PET results were compared with findings of conventional imaging, including CT, ultrasonography, MR and somatostatin receptor scintigraphy; finally PET results were compared with follow-up data with respect to the impact on patient management. Fourteen patients were finally enrolled; primary tumours were located at uterine level (3 cases), prostate (3 cases), ovary (1 case), kidney (1 case), breast (1 case), ear (1 case); also 3 cases of paraganglioma (at neck, abdominal and mediastinum level) and 1 case of lymphoma were included. (68)Ga-DOTA-NOC PET was positive, showing at least 1 lesion, in 6/14 cases while 5 cases turned out negative and 2 inconclusive. On a clinical basis, (68)Ga-DOTA-NOC provided additional information in comparison to conventional imaging procedures in 7/14 cases, and was considered useful in 12/14 patients, with 8 patients in which (68)Ga-DOTA-NOC PET was determinant for patient's management. Although the number of patients studied is limited, our data show that (68)Ga-DOTA-NOC can be usefully applied for the evaluation of NET of uncommon presentation; in particular very promising results were obtained in paraganglioma. On the other hand, care has to be paid when studying lesions localized at sites of physiological concentration of the tracer, and in presence of inflammation. PMID:18358680

Fanti, Stefano; Ambrosini, Valentina; Tomassetti, Paola; Castellucci, Paolo; Montini, Giancarlo; Allegri, Vincenzo; Grassetto, Gaia; Rubello, Domenico; Nanni, Cristina; Franchi, Roberto

2008-12-01

336

Renal malignant solitary fibrous tumor with single lymph node involvement: report of unusual metastasis and review of the literature  

PubMed Central

Solitary fibrous tumors are rare mesenchymal spindle cell neoplasms that are usually found in the pleura. The kidneys are an uncommon site and only few cases of renal solitary fibrous tumor exhibit malignant behavior metastasizing to the liver, lung, and bone through the hematogenous pathway. Purpose To describe the first case of lymph node metastasis from renal solitary fibrous tumor in order to increase the knowledge about the malignant behavior of these tumors. Patients and methods A 19-year-old female patient had intermittent hematuria for several months without flank pain or other symptoms. A chest and abdomen CT scan was performed and showed a multi-lobed bulky solid mass of 170 × 98 × 120 mm in the left kidney. One day before the surgery, the left renal artery was catheterized and the kidney embolization was performed using a Haemostatic Absorbable Gelatin Sponge and polyvinyl alcohol. We then performed a radical nephrectomy with hilar, para-aortic, and inter-aortocaval lymphadenectomy. Results Estimated intraoperative blood loss was 200 mL and the operative time was 100 minutes. No postoperative complications occurred. The hospital stay was 7 days long. The histological examination was malignant solitary fibrous tumor of the kidney. Cancerous tissue showed cellular atypia, with an increased mitotic index (up to 7 × 10 hpf). Immunohistochemical analysis showed positive results for CD34, BCL2, partial expression of HBME1, and occasionally of synaptophysin. Histological evaluation confirmed the presence of metastasis in one hilar node. The patient did not receive any other therapy. At 30-month follow-up, the patient was in good health and no local recurrence or metastases had occurred. Conclusion This is the first case of lymph node metastasis from a renal solitary fibrous tumor showing unusual malignant behavior; this finding adds new information about the biology and progression of these tumors, which remain unclear. PMID:24855378

Mearini, Ettore; Cochetti, Giovanni; Barillaro, Francesco; Fatigoni, Sonia; Roila, Fausto

2014-01-01

337

Parapharyngeal Neck Schwannomas with Unusual Vascular Displacement  

PubMed Central

This case report illustrates two unusual cases of parapharyngeal schwannomas mimicking carotid body tumors in terms of characteristic vascular displacement. Carotid body tumors classically cause splaying of internal and external carotid arteries demonstrating the Lyre sign on imaging. Also interestingly, both of these cases were seen in younger ages and include cervical sympathetic chain schwannoma and vagal schwannoma. However, these schwannomas revealed hypovascularity on imaging studies allowing differentiation from hypervascular carotid body tumors. Preoperative distinction between carotid body tumors and schwannomas is very important. PMID:24065994

Sargar, Kiran

2013-01-01

338

Pleural effusion: An unusual cause and association  

PubMed Central

Filaria has a wide spectrum of presentation. We hereby present a case of Filarial pleural effusion that is a rarity in itself. Filarial lung involvement is usually in the form of tropical pulmonary eosinophilia with pulmonary infiltrates and peripheral eosinophilia, unlike our case where isolated pleural effusion of Filarial etiology was detected. Microfilaria has been isolated from Pleural fluid in very few cases, and ours was one such. Of late, there have been many incidental detections of Filarial parasites from varied anatomical sites in association with malignancy. Even in our case, we had one such unusual association. PMID:23741100

Navaz, Alam K.; Raikar, Madhusudan P.; Acharya, Vishak; Shetty, Sanmath K.

2013-01-01

339

Amyloidoma, an Unusual Cause of Fracture  

PubMed Central

We report a case of a spontaneous hip fracture in a context of dysglobulinemia. The bone histologic examination found amyloidoma. Amyloidoma is an overload pathology and an unusual cause of fracture. In most of the cases, it is associated with myeloma and the difference between bone invasion of myeloma and amyloidoma in an osteolytic radiographic picture is not easy but is of importance because prognosis and treatment may be totally different. Thus, in the context of dysglobulinemia, one must keep in mind that spontaneous bone fracture may be due to amyloidoma with another prognosis. PMID:24744947

Prati, Clement; Wendling, Daniel

2014-01-01

340

Magnetic monopoles and unusual dynamics of magnetoelectrics  

NASA Astrophysics Data System (ADS)

The modelling of magnetic monopoles in solids is a hot topic nowadays. Here, I propose that in solids with the linear magnetoelectric effect there should exist, close to electric charges, magnetic textures of magnetic monopole type. Their existence can lead to rather striking consequences, such as (magneto)electric Hall effect, magnetophotovoltaic effect and so on, which can be observed experimentally. In addition, in ordinary magnetoelectric materials not only magnetic monopoles can accompany the charge, but also more complicated local magnetic objects can be created, for example, local toroics, which can also lead to unusual effects in transport and other properties of such systems.

Khomskii, D. I.

2014-09-01

341

Unusual Wrist Tremor: Unilateral Isometric Tremor?  

PubMed Central

Background Tremors may be difficult to classify. Case Report An 83-year-old male presented with an unusual left wrist tremor. The tremor could be reproducibly elicited by making a fist or carrying a weighted object (e.g., a shopping bag, bottle of water) of approximately 1?lb or more, and it intensified with heavier weights. The tremor was difficult to classify, although it shared features with isometric tremor. Discussion This specific presentation of tremor has not been reported previously. We hope that the detailed description we provide will aid other neurologists who encounter this or similar tremors in their clinics. PMID:24455450

Zesiewicz, Theresa; Vu, Tuan; Carranza, Michael A.; Appelbaum, Rachel; Snyder, Madeline; Staffetti, Joseph S.; Allison, Kevin G.; Shimberg, William R.; Louis, Elan D.

2014-01-01

342

An unusual cause of lower gastrointestinal haemorrhage.  

PubMed

A previously unreported cause of lower gastrointestinal haemorrhage in a 63-year-old female patient on clopidogrel for cardiac comorbidities is presented. Endoscopy suggested a small bowel or colonic aetiology but failed to accurately localise the source. The patient became haemodynamically unstable despite conservative management and temporary cessation of clopidogrel. CT angiography demonstrated a pseudoaneurysm arising from the superior rectal artery. Percutaneous embolisation using coils was performed to successfully occlude the pseudoaneurysm, prevent further haemorrhage and avoid emergency colonic resection. PMID:22669967

Janmohamed, Azara; Noronha, Lizanne; Saini, Ashish; Elton, Colin

2011-01-01

343

An Unusual Case of Hepatic Tumor  

PubMed Central

A case is reported of a large hepatic tumor in a patient aged 71. Preoperative diagnostic techniques, including echography, CT and angiography, did not provide sufficient criteria for a precise diagnosis. The mass was removed with an extended right hepatectomy with no particular physiopathological consequences. Histological analysis revealed that this was a metastasis from a melonoma of the choroid, operated on 17 years previously. PMID:1859802

Frena, Antonio; Zanetti, Gianfranco; Gozzetti, Giuseppe

1991-01-01

344

Variation in Diagnostic Performance among Radiologists at Screening CT Colonography  

PubMed Central

Purpose: To assess the variation in diagnostic performance among radiologists at screening computed tomographic (CT) colonography. Materials and Methods: In this HIPAA-compliant, institutional review board–approved study, 6866 asymptomatic adults underwent first-time CT colonographic screening at a single center between January 2005 and November 2011. Results of examinations were interpreted by one of eight board-certified abdominal radiologists (mean number of CT colonographic studies per reader, 858; range, 131–2202). Findings at CT colonography and subsequent colonoscopy were recorded, and key measures of diagnostic performance, including adenoma and advanced neoplasia detection rate, were compared among the radiologists. Results: The overall prevalence of histopathologically confirmed advanced neoplasia was 3.6% and did not differ significantly among radiologists (range, 2.4%–4.4%; P = .067; P = .395 when one outlier was excluded). Overall, 19.5% of polyps detected at CT colonography proved to be advanced neoplasia and did not differ significantly among radiologists (range, 14.4%–23.2%; P = .223). The overall per-polyp endoscopic confirmation rate was 93.5%, ranging from 80.0% to 97.6% among radiologists (P = .585). The overall percentage of nondiagnostic CT colonographic examinations was 0.7% and was consistent among radiologists (range, 0.3%–1.1%; P = .509). Conclusion: Consistent performance for adenoma and advanced neoplasia detection, as well as other clinically relevant end points, were observed among radiologists at CT colonographic screening. © RSNA, 2013 PMID:23449954

Pooler, B. Dustin; Kim, David H.; Hassan, Cesare; Rinaldi, Antonio; Burnside, Elizabeth S.

2013-01-01

345

Chest CT Features of North American Paragonimiasis  

PubMed Central

OBJECTIVE The purpose of this study was to characterize the chest CT findings of North American paragonimiasis due to Paragonimus kellicotti in the largest (to our knowledge) case series reported to date and to compare the findings with those reported for paragonimiasis infections in other regions. MATERIALS AND METHODS A retrospective review was performed of chest CT examinations of eight patients with North American paragonimiasis treated at our institution between 2006 and 2010. Findings were characterized by site of involvement, including lungs and pleura, heart and pericardium, lymph nodes, and upper abdomen. RESULTS The most common chest CT findings in this case series were pleural effusions and internal mammary and cardiophrenic lymphadenopathy. Pulmonary parenchymal findings included peripheral lung nodules of 1–3.5 cm in size with surrounding ground-glass opacity; many nodules had a linear track to the pleural surface that may correspond to the worm’s burrow tunnel. Pericardial involvement (5/8 patients) and omental inflammation (5/7 patients), which are uncommon in Asian paragonimiasis, were common in this series. CONCLUSION Pleural and pulmonary features of North American paragonimiasis are generally similar to those reported from Asia. The presence of a track between a pulmonary nodule and the pleura may help distinguish paragonimiasis from mimickers, including chronic eosinophilic pneumonia, tuberculosis, fungal infection, or malignancy. Pericarditis, lymphadenopathy, and omental inflammation were more common in our series than in reports on paragonimiasis from other regions. These differences may be related to the infecting parasite species or to the fact that radiologic examinations in the present series were performed relatively early in the course of infection. PMID:22528896

Henry, Travis S.; Lane, Michael A.; Weil, Gary J.; Bailey, Thomas C.; Bhalla, Sanjeev

2013-01-01

346

An unusual case of hydranencephaly presenting with an anterior midline cyst, a posterior calcified mass, cerebellar hypoplasia and occlusion of the posterior cerebral arteries  

Microsoft Academic Search

We present an unusual case of severe hydranencephaly in a term infant who presented with the following additional unique features,\\u000a which were discovered on CT, MRI and MR angiography examinations: (1) occlusion of the bilateral posterior cerebral arteries,\\u000a (2) absence of the occipital lobes, (3) an ovoid calcified mass sitting on the inner table of the occipital bone, (4) severe

Teresa G. Kelly; Uzma M. Sharif; Kaushik Gururajan; Hervey D. Segall

2011-01-01

347

CT evaluation of intracholecystic bile  

SciTech Connect

Computed tomography (CT) has been used to detect a variety of gallbladder abnormalities, but the accuracy of routine abdominal CT in evaluating intracholecystic bile has not been established. Forty-six patients were identified in whom abdominal CT and sonography were performed within 1 week of each other. Using sonographic results as the standard, sensitivity specificity, and accuracy of CT gallbladder evaluation were calculated; both initial CT interpretations and retrospective review of scans were used for this analysis. In the retrospective review, visual interpretation of gallbladder images and measurement of intracholecystic bile attenuation were analyzed. The most common cause of high-attenuation bile in the series was sludge, a cause not previously reported. It was concluded that intracholecystic bile is poorly evaluated on routine abdominal CT, particularly because of low sensitivity in disease detection.

Rebner, M.; Ruggieri, P.M.; Gross, B.H.; Glazer, G.M.

1985-08-01

348

Gorlin Syndrome: Unusual Manifestations in the Sella Turcica and the Sphenoidal Sinus  

Microsoft Academic Search

Summary: We report a case of Gorlin syndrome in a 20- year-old woman in whom CT and MR images showed un- usual findings of the pituitary gland and the sphenoidal sinus, suggesting previously unrecognized lesions associ- ated with this disease. Nevoid basal cell carcinoma (Gorlin syndrome) classically consists of multiple basal cell carcinomas of the skin, odontogenic keratocysts of the

Soji Iwanaga; Hisayoshi Shimoura; Michio Shimizu; Yuji Numaguchi

1998-01-01

349

Unusual Dermoid Cyst in Oral Cavity  

PubMed Central

Dermoid cysts in oral cavity are unusual lesions. Their etiology is not yet clear and can be associated with trapped cells as a result of the inclusion error resulting in the development into the ectoderm, mesoderm, and endoderm tissues. The aim of this case report is to evidence the presence of a dermoid cyst in the floor of mouth surgically removed. In the present case, the lesion showed soft consistency, floating, regular borders, smooth surface, and the same color as the adjacent mucosa, asymptomatic and measuring 4.5?×?5.5?cm in its greatest diameter. The initial diagnostic was ranula in consequence of the similarity with clinical characteristics and localization. After surgical removal lesion, a fibrotic capsule was identified with a friable material with intensive yellow color. The microscopic exam showed cystic lesion with cavity lined by squamous stratified epithelium hyperorthokeratinized. Cutaneous attachments, such as sebaceous glands and hair follicles, were present in connective adjacent tissue. Surgical intervention is elective in these situations. All dentists must have a thorough knowledge of this unusual lesion. PMID:24818032

Vieira, Evanice Menezes Marcal; Volpato, Luis Evaristo Ricci; Porto, Alessandra Nogueira; Carvalhosa, Artur Aburad; Botelho, Gilberto de Almeida; Bandeca, Matheus Coelho

2014-01-01

350

MS-CT coronary imaging.  

PubMed

Magnetic resonance imaging and computed tomography (CT) have recently emerged as two techniques that can noninvasively visualize the coronary arteries. The latest generation 16-row detector multislice CT scanner is now considered the most reliable technique to visualize the coronaries. The sensitivity and specificity to detect a significant (>50% diameter stenosis) coronary stenosis is +/-94% and +/-90%, respectively. Further technical improvements are necessary to make CT a clinically reliable diagnostic tool. PMID:14632942

de Feyter, Pim; Mollet, Nico R A; Cadermartiri, Filippo; Nieman, Koen; Pattynama, Peter

2003-12-01

351

Rhinolith: a radiographic finding in a dental clinic.  

PubMed

Rhinolith is a calcified mass found within the nasal cavity. This article is a case report of a 51-year-old woman with an unusual radiopaque lesion located in the nasal maxillary antrum cavity. It was asymptomatic and found accidentally on a routine panoramic radiograph. The rhinolith is presented along with the description of its clinical, radiographic (conventional and CT images), and histopathologic aspects. The objective of this report is to describe and discuss the differential diagnosis of the rhinolith with other oral injuries or conditions and to show how important it is for dental practitioners to be aware of their existence. PMID:16182170

Barros, Cinthia A; Martins, Rafael R; Silva, Janaína B; Souza, João B; Ribeiro-Rotta, Rejane F; Batista, Aline Carvalho; Mendonça, Elismauro F

2005-10-01

352

CT dose reduction in practice.  

PubMed

Greater than 10% of diagnostic imaging studies performed in developed countries are CT examinations. In the United States, as many as 60 million CT studies are performed each year, up to 7 million of which are performed in pediatric patients. In the spirit of the ALARA principle, both adult and pediatric radiologists should strive to decrease pediatric radiation exposure whenever possible. This can be achieved by utilizing imaging studies that do not require the use of ionizing radiation, thus decreasing the number of CT studies performed. If a CT study is indicated, the delivered dose should be optimized to use the lowest possible dose level while still answering the clinical question. PMID:21847727

Callahan, Michael J

2011-09-01

353

Deceptions in localizing extrahepatic right-upper-quadrant abdominal masses by CT  

SciTech Connect

Eleven patients with various extrahepatic right-upper-quadrant lesions had findings on computed tomography (CT) that strongly suggested intrahepatic location. Diagnostic uncertainties on CT were caused by the large size of these masses (5-12 cm in diameter) and sparsity of retroperitoneal fat planes. Sonography depicted the true location of these lesions more clearly than CT. The complementary role of sonography is stressed.

Frick, M.P.; Feinberg, S.B.

1982-09-01

354

Pictorial essay: CT scan of appendicitis and its mimics causing right lower quadrant pain  

PubMed Central

CT scanning is widely used in the diagnostic workup of right lower quadrant pain. While appendicitis remains the most frequent cause, a majority of patients referred for suspected appendicitis turn out to have alternative diagnoses or a normal CT study. The purpose of our pictorial essay is to present an overview of the CT findings of appendicitis and its common mimics and to highlight the features that provide clues to alternative diagnoses.

Sharma, Monika; Agrawal, Anjali

2008-01-01

355

Unusual ocular findings in an infant with cri-du-chat syndrome.  

PubMed Central

A newborn male with cri-du-chat syndrome, congenital nuclear cataracts, microspherophakia, and probably ectopic lenses is reported. Microspherophakia in cri-du-chat syndrome has not been previously described. The congenital cataracts were inherited from his mother who had a balanced 5;13 translocation; the two events are considered to be coincidental and a possible 'position effect' was excluded, since the other members of her family with congenital cataracts, were chromosomally normal. This is the fourth case reported where familial cri-du-chat syndrome involves chromosomes 5p and 13q. Images PMID:6620332

Kitsiou-Tzeli, S; Dellagrammaticas, H D; Papas, C B; Ladas, I D; Bartsocas, C S

1983-01-01

356

Severe dilated cardiomyopathy as an unusual finding in a young infant with mucolipidosis type 2  

PubMed Central

A neonate presented with mucopolysaccharidosis-like phenotypic expression and typical signs of dysostosis multiplex but without urinary excretion of glycosaminoglycans. Investigations of lysosomal enzymes in cultured fibroblasts revealed a mucolipidosis type 2, known as I-cell disease. We describe the fatal course of the patient due to complications of an uncommon dilated cardiomyopathy in this rare disease and discuss the pathogenesis. PMID:22368665

Mueller, P; Moeckel, A; Daehnert, I

2006-01-01

357

Pituitary involvement in Wegener’s granulomatosis: unusual biochemical findings and severe malnutrition  

PubMed Central

Wegener’s granulomatosis (WG) is a systemic disease with a complex genetic background. It is characterised by inflammation of the small blood vessels leading to damage in any number of organs. The common features include granulomatous inflammation of the respiratory tract and kidneys. Most patients have measurable autoantibodies against neutrophil proteinase-3 (Antineutrophil Cytoplasmic Antibody, ANCA). Pituitary involvement is a rare complication of this disease and, when it occurs, diabetes insipidus is the most common manifestation. We describe a 38-year-old female with known long-term WG who presented with partial hypopituitarism, severe malnutrition and ANCA negative status, with a favourable response to steroid pulse therapy. PMID:22673710

Jimenez, Carmen Tenorio; Valdivieso, Amparo Montalvo; Gallardo, Gema López; Mcgowan, Barbara

2011-01-01

358

An unusual source for postmortem findings of methyl ethyl ketone and methanol in two homicide victims.  

PubMed

Contamination from methyl ethyl ketone and methanol utilized in a new technique to visualize fingerprints on human skin was detected postmortem in blood and vitreous humor by toxicological analysis. Two cases which represent the first field trials of the fingerprinting technique in Canada are presented. Details of the toxicological analyses and the nature of the contamination are discussed. PMID:8082857

Caughlin, J D

1994-06-28

359

t's not unusual to find VUSE gradu-ates heading up engineering or  

E-print Network

, and understanding the big picture allows them to address issues with a more strategic vision," she says. Books sheet--naturally translate to management roles. Seeing the Big Picture "Engineering is ultimately about gener- ating alternatives and analyzing options. We evaluate the whole picture, we don't jump

Simaan, Nabil

360

An unusual case of lead snowstorm caused by fragmentation of buckshot.  

PubMed

This article reports the unusual radiographic findings of 2 cases of a shotgun shooting incident involving the homicide of a plant manager and the subsequent suicide of the assailant. Radiologic examination of wounds produced by the no. 00 copper-plated buckshot used in the incident revealed images with striking similarity to the lead snowstorm appearance generally associated with high-velocity, soft-point rifle bullets. PMID:21817870

Pavelites, Joseph J; Prahlow, Joseph A; Landrum, Jeffry E; Zollinger, David; Vermillion, Daniel

2011-09-01

361

An Unusual Case of Bilateral Maxillary and Mandibular Para Premolar: A Case Report  

PubMed Central

The presence of supernumerary teeth is not uncommon in the general population. They occur more frequently in patients with a family history of such teeth. It is rare to find multiple supernumeraries in individuals with no other associated disease or syndrome. There have been very few documented cases of bilateral maxillary and mandibular supernumeraries in the premolar region. An unusual case of a 35-year-old man with six para premolars and complete dentition is presented. PMID:24396358

Chanagay, Sunil Kumar Vishwanath; Singh, Vikram; Bantwal, Sunil Rao; Muniyappa, Manjunatha

2013-01-01

362

Computed tomographic (CT) scans in cerebral palsy (CP)  

Microsoft Academic Search

The CT findings in 120 cerebral palsied children are analysed. The 72.5% positive findings are correlated with the clinical types, as well as the aetiological basis for the cerebral palsy. The spastic type, 83.3% of the total number of children, had the highest positive findings. The yield was increased in children with seizures (91.3%) and those in the postnatal group

T. M. Kolawole; P. J. Patel; A. H. Mahdi

1989-01-01

363

An Unusual Association between Unilateral Intracranial Vessels Occlusion with Iron Deficiency Anaemia and Alpha-Thalassemia Trait: A Case Report  

PubMed Central

We report a 33-year-old Malay woman presented with acute left dense hemiparesis and an NIHSS score of 11/15. Computed tomography (CT) scan brain showed a massive right middle cerebral artery (MCA) territory infarct. The right internal carotid artery (ICA) and right proximal MCA were shown occluded from digital substraction angiography (DSA). Carotid dissection, carotid canal anomaly, and intercavernous communication were systematically ruled out. She had no risk factors for atherosclerosis. The connective tissue screening and thrombophilic markers were negative. However, she was anaemic on admission and subsequent investigations revealed that she had alpha-thalassemia and iron deficiency anaemia. The right ICA remained occluded from a repeat CT cerebral angiogram after one year, but otherwise she was neurologically stable. This case illustrates an unusual association between intracranial vessel occlusion with iron deficiency anaemia and alpha-thalassemia trait. PMID:22229036

Lee, Yeong Yeh; Bhaskar, Shalini

2011-01-01

364

An Unusual Association between Unilateral Intracranial Vessels Occlusion with Iron Deficiency Anaemia and Alpha-Thalassemia Trait: A Case Report.  

PubMed

We report a 33-year-old Malay woman presented with acute left dense hemiparesis and an NIHSS score of 11/15. Computed tomography (CT) scan brain showed a massive right middle cerebral artery (MCA) territory infarct. The right internal carotid artery (ICA) and right proximal MCA were shown occluded from digital substraction angiography (DSA). Carotid dissection, carotid canal anomaly, and intercavernous communication were systematically ruled out. She had no risk factors for atherosclerosis. The connective tissue screening and thrombophilic markers were negative. However, she was anaemic on admission and subsequent investigations revealed that she had alpha-thalassemia and iron deficiency anaemia. The right ICA remained occluded from a repeat CT cerebral angiogram after one year, but otherwise she was neurologically stable. This case illustrates an unusual association between intracranial vessel occlusion with iron deficiency anaemia and alpha-thalassemia trait. PMID:22229036

Lee, Yeong Yeh; Bhaskar, Shalini

2011-01-01

365

Lymphangioleiomyomatosis: pulmonary and abdominal findings with pathologic correlation.  

PubMed

Lymphangioleiomyomatosis (LAM) is a rare disease characterized by pulmonary cysts at computed tomography (CT) and proliferation of abnormal smooth muscle cells at lung biopsy. Almost all patients are female, and all have pulmonary cysts at high-resolution CT. Although the presence of cysts may be suggested at conventional CT or chest radiography, high-resolution CT is superior for cyst detection and is essential for diagnosis. The cysts are typically round; in most cases, the cyst wall is barely seen at thin-section CT. They are typically diffusely distributed throughout the central and peripheral lung parenchyma. The lung bases are affected in all patients. Some patients also have increased lung attenuation or a reticular pattern. Expiratory CT shows no air trapping between the cysts, and most of the cysts decrease in size. Pneumothorax, pleural effusion, and chylothorax are complications of LAM. Certain abdominal findings may provide additional corroborative evidence of the diagnosis. Renal angiomyolipomas, the most frequent abdominal lesions, usually manifest as asymptomatic, small, bilateral tumors of fat attenuation in the renal cortex. Lymphangiomas are cystic retroperitoneal masses that occur in up to 20% of patients. Other CT findings are hypo- or hyperattenuating lymph nodes, a dilated thoracic duct, and ascites. PMID:12376610

Pallisa, Esther; Sanz, Pilar; Roman, Antonio; Majó, Joaquim; Andreu, Jordi; Cáceres, José

2002-10-01

366

Prediction of outcome in patients with suspected acute ischaemic stroke with CT perfusion and CT angiography: the Dutch acute stroke trial (DUST) study protocol  

PubMed Central

Background Prediction of clinical outcome in the acute stage of ischaemic stroke can be difficult when based on patient characteristics, clinical findings and on non-contrast CT. CT perfusion and CT angiography may provide additional prognostic information and guide treatment in the early stage. We present the study protocol of the Dutch acute Stroke Trial (DUST). The DUST aims to assess the prognostic value of CT perfusion and CT angiography in predicting stroke outcome, in addition to patient characteristics and non-contrast CT. For this purpose, individualised prediction models for clinical outcome after stroke based on the best predictors from patient characteristics and CT imaging will be developed and validated. Methods/design The DUST is a prospective multi-centre cohort study in 1500 patients with suspected acute ischaemic stroke. All patients undergo non-contrast CT, CT perfusion and CT angiography within 9 hours after onset of the neurological deficits, and, if possible, follow-up imaging after 3 days. The primary outcome is a dichotomised score on the modified Rankin Scale, assessed at 90 days. A score of 0–2 represents good outcome, and a score of 3–6 represents poor outcome. Three logistic regression models will be developed, including patient characteristics and non-contrast CT (model A), with addition of CT angiography (model B), and CT perfusion parameters (model C). Model derivation will be performed in 60% of the study population, and model validation in the remaining 40% of the patients. Additional prognostic value of the models will be determined with the area under the curve (AUC) from the receiver operating characteristic (ROC) curve, calibration plots, assessment of goodness-of-fit, and likelihood ratio tests. Discussion This study will provide insight in the added prognostic value of CTP and CTA parameters in outcome prediction of acute stroke patients. The prediction models that will be developed in this study may help guide future treatment decisions in the acute stage of ischaemic stroke. PMID:24568540

2014-01-01

367

Unusual case of acute tracheal injury complicated by application of positive end expiratory pressure (PEEP).  

PubMed

Blunt neck trauma can be caused by a variety of injuries such as deceleration, road traffic accidents and crush injuries. The worst scenario is airway rupture. We report an unusual case of acute tracheal injury in a 34-year-old Irish man who presented with a history of strangulation while working with a tractor. On arrival, he had one episode of mild haemoptysis and reported pain around the base of the neck and voice hoarseness. His chest X-ray revealed pneumopericardium and CT of thorax showed airway oedema. After elective intubation, positive end-expiratory pressure (PEEP) of 5?cm?H2O caused deterioration in his clinical condition with increasing surgical emphysema and rise of carbon dioxide partial pressure (PaCO2), which was completely reversed after stopping PEEP. This case shows how PEEP and intermittent positive pressure ventilation can worsen air leak and compromise stability in patients with acute tracheal injury. PMID:25398917

Farooqui, Asif Masroor; Mbarushimana, Simon; Faheem, Mohammad

2014-01-01

368

Unusual Cytochrome P450 Enzymes and Reactions*  

PubMed Central

Cytochrome P450 enzymes primarily catalyze mixed-function oxidation reactions, plus some reductions and rearrangements of oxygenated species, e.g. prostaglandins. Most of these reactions can be rationalized in a paradigm involving Compound I, a high-valent iron-oxygen complex (FeO3+), to explain seemingly unusual reactions, including ring couplings, ring expansion and contraction, and fusion of substrates. Most P450s interact with flavoenzymes or iron-sulfur proteins to receive electrons from NAD(P)H. In some cases, P450s are fused to protein partners. Other P450s catalyze non-redox isomerization reactions. A number of permutations on the P450 theme reveal the diversity of cytochrome P450 form and function. PMID:23632016

Guengerich, F. Peter; Munro, Andrew W.

2013-01-01

369

Unusual Microbial Xylanases from Insect Guts  

PubMed Central

Recombinant DNA technologies enable the direct isolation and expression of novel genes from biotopes containing complex consortia of uncultured microorganisms. In this study, genomic libraries were constructed from microbial DNA isolated from insect intestinal tracts from the orders Isoptera (termites) and Lepidoptera (moths). Using a targeted functional assay, these environmental DNA libraries were screened for genes that encode proteins with xylanase activity. Several novel xylanase enzymes with unusual primary sequences and novel domains of unknown function were discovered. Phylogenetic analysis demonstrated remarkable distance between the sequences of these enzymes and other known xylanases. Biochemical analysis confirmed that these enzymes are true xylanases, which catalyze the hydrolysis of a variety of substituted ?-1,4-linked xylose oligomeric and polymeric substrates and produce unique hydrolysis products. From detailed polyacrylamide carbohydrate electrophoresis analysis of substrate cleavage patterns, the xylan polymer binding sites of these enzymes are proposed. PMID:15184164

Brennan, YaLi; Callen, Walter N.; Christoffersen, Leif; Dupree, Paul; Goubet, Florence; Healey, Shaun; Hernandez, Myrian; Keller, Martin; Li, Ke; Palackal, Nisha; Sittenfeld, Ana; Tamayo, Giselle; Wells, Steve; Hazlewood, Geoffrey P.; Mathur, Eric J.; Short, Jay M.; Robertson, Dan E.; Steer, Brian A.

2004-01-01

370

Unusual winding of helices under tension  

NASA Astrophysics Data System (ADS)

An unusual overwinding and a subsequently unwinding behavior of helix of filament with twisted microstructures under stretch is analyzed from the nonlinear variation of material chirality (i.e., chirality in material properties), motivated by recent single-molecule experiments for B-DNA. We establish a refined Cosserat rod model, which reproduces the deformation behaviors of filament incorporating its microscopic chirality. The helix of filament with twisted microstructures is found to exhibit a DNA-like nonlinear variation of material chirality under large elongation. The multiscale interactions between microscopic chirality of twisted microstructures and macroscopic chirality of helix determine the nonlinear coupling behaviors of hierarchically chiral structured materials. These results provide a fundamental principle for understanding the functions and mechanisms of chiral materials.

Wang, Jian-Shan; Cui, Yu-Hong; Shimada, Takahiro; Wu, Hua-Ping; Kitamura, Takayuki

2014-07-01

371

Unusual Liénard-type nonlinear oscillator.  

PubMed

A Liénard type nonlinear oscillator of the form x+kxx+(k2/9)x3+lambda1x=0, which may also be considered as a generalized Emden-type equation, is shown to possess unusual nonlinear dynamical properties. It is shown to admit explicit nonisolated periodic orbits of conservative Hamiltonian type for lambda1>0. These periodic orbits exhibit the unexpected property that the frequency of oscillations is completely independent of amplitude and continues to remain as that of the linear harmonic oscillator. This is completely contrary to the standard characteristic property of nonlinear oscillators. Interestingly, the system though appears deceptively a dissipative type for lambda1< or =0 does admit a conserved Hamiltonian description, where the characteristic decay time is also independent of the amplitude. The results also show that the criterion for conservative Hamiltonian system in terms of divergence of flow function needs to be generalized. PMID:16486036

Chandrasekar, V K; Senthilvelan, M; Lakshmanan, M

2005-12-01

372

Birth of an Unusual Planetary System  

NASA Technical Reports Server (NTRS)

This artist's animation shows a brown dwarf surrounded by a swirling disc of planet-building dust. NASA's Spitzer Space Telescope spotted such a disc around a surprisingly low-mass brown dwarf, or 'failed star.' The brown dwarf, called OTS 44, is only 15 times the size of Jupiter, making it the smallest brown dwarf known to host a planet-forming, or protoplanetary disc.

Astronomers believe that this unusual system will eventually spawn planets. If so, they speculate that OTS 44's disc has enough mass to make one small gas giant and a few Earth-sized rocky planets.

OTS 44 is about 2 million years old. At this relatively young age, brown dwarfs are warm and appear reddish in color. With age, they grow cooler and darker.

2005-01-01

373

Unusual bilateral traumatic maculopathy following whiplash injury.  

PubMed

An unusual extensive bilateral macular oedema (MO) with spontaneous resolution occurred following a car crash accident. Qualitative and quantitative analysis of the macular region using spectral domain optical coherence tomography (SD-OCT) and multifocal electroretinogram (mfERG) was performed daily during the first 7?days, as well as at 3 and 6?months following the accident. SD-OCT examination demonstrated extensive MO accompanied by neurosensory detachment and subretinal fluid. During the 7?days following the accident there was gradual resolution of the oedema accompanied by visual recovery. One year later no anatomical changes were observed, the mfERG showed complete recovery and visual acuity returned to normal level. Although whiplash is a common injury in motor vehicle accidents, whiplash maculopathy (WMP) is rarely reported, most likely due to underdiagnosis. Here we describe the spontaneous resolution of a severe MO after whiplash injury in a car crash accident. PMID:25414232

Chronopoulos, Argyrios; Lipski, Andreas; Jonescu-Cuypers, Christian-Paul; Thumann, Gabriele

2014-01-01

374

CT of the chest can hinder the management of seminoma of the testis; it detects irrelevant abnormalities  

PubMed Central

To evaluate the role of chest CT in the initial staging of testicular seminomatous germ cell tumours. All patients referred to Addenbrooke's Hospital with testicular seminoma from 1 January 2000 to 31 December 2005 were included and case notes retrospectively reviewed. One hundred and eighty-two patients with testicular seminoma were identified, with a median age of 37 years (range 19–74). Most patients had stage I disease (86%). Twenty-four patients had abnormal abdominal CT findings. One hundred and fifty-eight had normal abdominal CT findings but, on initial staging, chest CT reported abnormalities in 13 patients, which, on further follow-up CT were deemed to be irrelevant to the diagnosis of seminoma. There was a further patient with a normal CT abdomen in whom chest CT detected obvious metastatic disease, which was seen on chest x-ray. Overall 18 cases required additional investigations and follow-up for abnormalities subsequently found to be benign. There was a false-positive rate of 10% for initial staging with chest CT. This is the largest reported series of staging CT chest in testicular seminoma. In all patients with normal abdominal CT, normal chest x-ray and abnormal chest CT, subsequent follow-up investigations demonstrated that the lung lesions were incidental findings. PMID:17375035

Horan, G; Rafique, A; Robson, J; Dixon, A K; Williams, M V

2007-01-01

375

Quantifying tumour heterogeneity with CT  

PubMed Central

Abstract Heterogeneity is a key feature of malignancy associated with adverse tumour biology. Quantifying heterogeneity could provide a useful non-invasive imaging biomarker. Heterogeneity on computed tomography (CT) can be quantified using texture analysis which extracts spatial information from CT images (unenhanced, contrast-enhanced and derived images such as CT perfusion) that may not be perceptible to the naked eye. The main components of texture analysis can be categorized into image transformation and quantification. Image transformation filters the conventional image into its basic components (spatial, frequency, etc.) to produce derived subimages. Texture quantification techniques include structural-, model- (fractal dimensions), statistical- and frequency-based methods. The underlying tumour biology that CT texture analysis may reflect includes (but is not limited to) tumour hypoxia and angiogenesis. Emerging studies show that CT texture analysis has the potential to be a useful adjunct in clinical oncologic imaging, providing important information about tumour characterization, prognosis and treatment prediction and response. PMID:23545171

Miles, Kenneth A.

2013-01-01

376

Multislice CT scans in patients on extracorporeal membrane oxygenation: emphasis on hemodynamic changes and imaging pitfalls.  

PubMed

This pictorial review provides the principles of extracorporeal membrane oxygenation (ECMO) support and associated CT imaging features with emphasis on the hemodynamic changes and possible imaging pitfalls encountered. It is important that radiologists in ECMO centers apply well-designed imaging protocols and familiarize themselves with post-contrast CT imaging findings in patients on ECMO. PMID:24843236

Liu, Kao-Lang; Wang, Yu-Feng; Chang, Yeun-Chung; Huang, Shu-Chien; Chen, Shyh-Jye; Tsang, Yuk-Ming; Chang, Chin-Chen

2014-05-01

377

Multislice CT Scans in Patients on Extracorporeal Membrane Oxygenation: Emphasis on Hemodynamic Changes and Imaging Pitfalls  

PubMed Central

This pictorial review provides the principles of extracorporeal membrane oxygenation (ECMO) support and associated CT imaging features with emphasis on the hemodynamic changes and possible imaging pitfalls encountered. It is important that radiologists in ECMO centers apply well-designed imaging protocols and familiarize themselves with post-contrast CT imaging findings in patients on ECMO. PMID:24843236

Liu, Kao-Lang; Wang, Yu-Feng; Chang, Yeun-Chung; Huang, Shu-Chien; Chen, Shyh-Jye; Tsang, Yuk-Ming

2014-01-01

378

Functional CT imaging of prostate cancer  

NASA Astrophysics Data System (ADS)

The purpose of this paper is to investigate the distribution of blood flow (F), mean capillary transit time (Tc), capillary permeability (PS) and blood volume (vb) in prostate cancer using contrast-enhanced CT. Nine stage T2-T3 prostate cancer patients were enrolled in the study. Following bolus injection of a contrast agent, a time series of CT images of the prostate was acquired. Functional maps showing the distribution of F, Tc, PS and vb within the prostate were generated using a distributed parameter tracer kinetic model, the adiabatic approximation to the tissue homogeneity model. The precision of the maps was assessed using covariance matrix analysis. Finally, maps were compared to the findings of standard clinical investigations. Eight of the functional maps demonstrated regions of increased F, PS and vb, the locations of which were consistent with the results of standard clinical investigations. However, model parameters other than F could only be measured precisely within regions of high F. In conclusion functional CT images of cancer-containing prostate glands demonstrate regions of elevated F, PS and vb. However, caution should be used when applying a complex tracer kinetic model to the study of prostate cancer since not all parameters can be measured precisely in all areas.

Henderson, Elizabeth; Milosevic, Michael F.; Haider, Masoom A.; Yeung, Ivan W. T.

2003-09-01

379

EKG Findings in Female Aviators in the US Air Force.  

National Technical Information Service (NTIS)

The initial EKGs from 309 female aviators and 309 age-matched male aviators were read to compare the prevalence of findings. Abnormal readings were unusual, as would be expected in this selected group. About 1.3 percent of the males and none of the female...

R. A. Munson

1990-01-01

380

Vietnamese manicurists: Displacing natives or finding new nails to polish?  

Microsoft Academic Search

Although many people believe that immigrants displace native workers, most economic research finds that immigration has little or no adverse effect on natives' employment outcomes. An unusual opportunity to explore this question in the context of a narrowly defined labor market is afforded by the influx of Vietnamese immigrants into California's market for manicurists. Over the years 1987-2002, the number

Maya N. Federman; David E. Harrington; Kathy J. Krynski

2006-01-01

381

Dynamic volume CT: the next revolution in clinical CT  

NASA Astrophysics Data System (ADS)

The need for table motion in multi-detector CT causes image volumes acquired for whole organ motion and perfusion studies to lack temporal uniformity. The next revolution in clinical CT, dynamic volume CT, mitigates this limitation by providing the ability to acquire an entire organ with isotropic resolution in a single gantry rotation with no table movement. The first dynamic volume CT scanner has recently been introduced and comprises 320 detector rows of 0.5mm channel thickness, covering 16cm of anatomy in one rotation of 0.35sec. This scanner offers many advancements in terms of temporal uniformity, reconstruction, and radiation dose. This system significantly reduces motion artifact and eliminates contrast phase differences within the volume. Because this scanner does not require helical acquisition for volumetric imaging, it delivers significantly less dose for applications such as CT coronary angiography exams as well as reduced dose in most other applications. Furthermore, by eliminating table motion, the need for complex interpolation methods that can distort cardiac images is removed. Image quality is not sacrificed compared with standard 64-row CT scanners, as demonstrated via low contrast, resolution, and accuracy measurements presented in this work. By capturing the entire brain in one rotation, brain perfusion, bone subtraction, and quantitative perfusion analysis are now possible with a single low dose exam. Dynamic volume CT offers to change the way medicine approaches stroke patients, myocardial perfusion studies, and imaging of other moving body parts such as the lung and joints.

Boedeker, Kirsten; Mather, Rich

2008-08-01

382

Unusual diagnosis of a persistent third-degree atrioventricular block during anesthesia in a "healthy" pediatric patient  

PubMed Central

We present an unusual diagnosis of a permanent third-degree atrioventricular block under general anesthesia in an otherwise healthy and asymptomatic child. This diagnosis of unclear causality represented a serious rare finding, requiring judicious management and resulting in the placement of a permanent pacemaker. PMID:22412781

Alsayegh, Yasser; Abdallah, Claude

2012-01-01

383

¹¹C-choline and F-18 FDG PET/CT images of hemangioblastoma.  

PubMed

We present the F-18 FDG and ¹¹C-choline PET/CT images obtained in 2 cases of hemangioblastoma. Hemangioblastoma is a highly vascular benign tumor that typically arises in the cerebellum or spine. The characteristic findings of a hemangioblastoma on both CT and MR include a peripherally located cerebellar lesion with a central cystic region and a peripherally enhanced nodule. In both patients, the uptake in the lesion was relatively low on the F-18 FDG PET/CT images and relatively high on the ¹¹C-choline PET/CT images. PMID:21220983

Morooka, Miyako; Ito, Kimiteru; Kubota, Kazuo; Hasuo, Kanehiro; Okamoto, Koichiro; Hara, Tetsuo

2011-02-01

384

46 CFR 153.1020 - Unusually toxic cargoes.  

Code of Federal Regulations, 2010 CFR

...Shipping 5 2010-10-01 2010-10-01 false Unusually toxic cargoes. 153.1020 Section 153.1020 Shipping COAST...Operations Special Cargo Procedures § 153.1020 Unusually toxic cargoes. (a) No person may load or carry a cargo...

2010-10-01

385

Classic and unusual appearances of hydatid disease in children  

Microsoft Academic Search

Background. In endemic regions, hydatid disease is commoner in children than in adults. The hydatid cysts may have classic appearances, but unusual sites and appearances may cause diagnostic difficulties. Objective. To assess the classic and unusual appearances of hydatid disease in children. Materials and methods. A 3-year retrospective review of available imaging of proven hydatid disease at a tertiary paediatric

Savvas Andronikou; Chris J. Welman; Ebrahim Kader

2002-01-01

386

Characterization of Highly Unusual NH+ -O Hydrogen Bonding to  

E-print Network

Characterization of Highly Unusual NH+ -O Hydrogen Bonding to Ester Ether Oxygen Atoms through characterize a highly unusual, charged NH- O hydrogen bond formed within esters of 8-(dimethylamino)- naphthalen-1-ol in which an ammonium ion serves as an intramolecular hydrogen bond donor to spatially

Lectka, Thomas

387

Dual-source CT for chest pain assessment.  

PubMed

Comprehensive CT angiography protocols offering a simultaneous evaluation of pulmonary embolism, coronary stenoses and aortic disease are gaining attractiveness with recent CT technology. The aim of this study was to assess the diagnostic accuracy of a specific dual-source CT protocol for chest pain assessment. One hundred nine patients suffering from acute chest pain were examined on a dual-source CT scanner with ECG gating at a temporal resolution of 83 ms using a body-weight-adapted contrast material injection regimen. The images were evaluated for the cause of chest pain, and the coronary findings were correlated to invasive coronary angiography in 29 patients (27%). The files of patients with negative CT examinations were reviewed for further diagnoses. Technical limitations were insufficient contrast opacification in six and artifacts from respiration in three patients. The most frequent diagnoses were coronary stenoses, valvular and myocardial disease, pulmonary embolism, aortic aneurysm and dissection. Overall sensitivity for the identification of the cause of chest pain was 98%. Correlation to invasive coronary angiography showed 100% sensitivity and negative predictive value for coronary stenoses. Dual-source CT offers a comprehensive, robust and fast chest pain assessment. PMID:18034246

Johnson, Thorsten R C; Nikolaou, Konstantin; Becker, Alexander; Leber, Alexander W; Rist, Carsten; Wintersperger, Bernd J; Reiser, Maximilian F; Becker, Christoph R

2008-04-01

388

An unusual case of dermatitis herpetiformis.  

PubMed

An adolescent boy whose initial presentation consisted of an asymmetric, nonvesicular rash was eventually diagnosed with dermatitis herpetiformis (DH). Certain factors, including lesions limited to the genitals, an initial biopsy revealing nonspecific findings on microscopy studies, and the absence of characteristic direct immunofluorescence findings lessened initial clinical suspicions of DH over that of scabies infestation. Classic microscopic findings of DH were identified on repeat biopsy. Serologic studies revealed immunoglobulin A (IgA) endomysial and IgA tissue transglutaminase positivity. Response to dapsone proved dramatic. Histopathologic findings, serology, and response to treatment rather than classical clinical findings and direct immunofluorescence supported the diagnosis of DH in this case. PMID:23406540

Clark, Kara; Powers, Roxann; Kovach, Rodney

2014-01-01

389

Porcelain gallbladder: ultrasound and CT appearance  

SciTech Connect

Nine patients with calcification of the gallbladder wall (porcelain gallbladder) were analyzed by ultrasound and the appearance correlated with the CT, radiographic, clinical, and surgical findings. Three distinct patterns were identified: (a) a hyperechoic similunar structure with acoustic shadowing posteriorly, simulating a stone-filled gallbladder devoid of bile, which was seen in 5 patients; (b) a biconvex, curvilinear echogenic structure with variable acoustic shadowing, seen in all 3 patients with carcinoma of the gallbladder; and (c) an irregular clump of echoes with posterior acoustic shadowing, seen in 1 patient. Potential pitfalls in the diagnosis of gallbladder calcification are presented, and the association between calcification and cancer is emphasized.

Kane, R.A.; Jacobs, R.; Katz, J.; Costello, P.

1984-07-01

390

Bilateral adrenal gland haemorrhage: an unusual cause  

PubMed Central

Summary Our patient had drainage of a large amoebic liver abscess. This got complicated by a severe degree of hypotension, which required aggressive fluid resuscitation and hydrocortisone support. Computerised tomography (CT) of the abdomen revealed bilateral adrenal gland haemorrhage (BAH) resulting in primary adrenal gland failure, which was the cause for hypotension. Patient was on long-term warfarin for provoked deep vein thrombosis of lower limb, which was discontinued before the procedure. Thrombophilia profile indicated the presence of lupus anticoagulant factor with prolonged activated partial thromboplastin time (aPTT). Patient was discharged on lifelong warfarin. This case emphasises the need for strong clinical suspicion for diagnosing BAH, rare but life-threatening condition, and its association with amoebic liver abscess and anti-phospholipid antibody syndrome (APLS). Learning points Recognition of BAH as a rare complication of sepsis.APLS can rarely cause BAH. PMID:25276353

Shenoy, Vasant; Malabu, Usman; Cameron, Donald; Sangla, Kunwarjit

2014-01-01

391

An unusual diagnosis of splenic rupture.  

PubMed

A 22-year-old woman presented with a 3-day history of worsening epigastric pain, non-productive cough and vomiting. On examination she was pale and had abdominal tenderness predominant in the right upper quadrant. Abdominal ultrasound excluded the presence of gall stones, but was unable to rule out free fluid in the abdomen. CT demonstrated extensive high-density ascites; however, no source of bleeding could be demonstrated. Clinically the patient's condition deteriorated, and an exploratory laparotomy was performed. In theatre the splenic capsule was found to have detached from the splenic body and emergency splenectomy was performed. Virology serology later demonstrated acute cytomegalovirus (CMV) infection, although tissue microscopy and CMV staining were negative. No other cause of rupture was found. The interesting aspects of this case include the poor correlation between initial presenting symptoms and subsequent diagnosis, the difficulty encountered in making a firm diagnosis and the atypical cause of rupture. PMID:25293683

Roche, Matthew; Maloku, Fatmir; Abdel-Aziz, Tarek Ezzat

2014-01-01

392

[Series CT of hormone-active pancreatic tumors].  

PubMed

Localisation of hormonally active pancreatic tumours with serial CT has gained practical significance, although these tumours are rare. Its sensitivity was approximately 80%. The methodologic details and problems of image analysis and interpretation are discussed. The analysis of pathologic findings, normal vessel topography and artefacts is shown to improve the diagnosis of hormonally active pancreatic tumours. PMID:2558395

Klöppel, R

1989-01-01

393

Gradenigo Syndrome: Unusual Consequence of Otitis Media  

PubMed Central

Introduction In 1904, Giuseppe Gradenigo published his case series on the triad of ipsilateral abducens nerve palsy, facial pain in the trigeminal nerve distribution, and suppurative otitis media, which would subsequently be referred to as Gradenigo syndrome. Case Report Our patient was a 36-year-old female, 23 weeks pregnant, with a 6-day history of right-sided otalgia and hearing loss and a 4-day history of purulent otorrhea, who presented with severe, holocephalic headache, meningeal signs, fever, photophobia, and mental status decline. Lumbar puncture yielded a white blood cell count of 1,559 cells/mm3 with 95% polymorphonuclear leukocytes, a red blood cell count of 111 cells/mm3, a protein level of 61 mg/dl, and a glucose level of <40 mg/dl. Cerebrospinal fluid Gram stain showed Gram-positive diplococci, which were subsequently identified as Streptococcus pneumoniae and treated with ceftriaxone. On the second hospital day, she developed horizontal diplopia due to right abducens nerve palsy and right mydriasis. Both symptoms resolved on the third hospital day. Erosion of temporal bone and opacification of mastoid air cells was shown on CT scan. A CT venogram showed an irregularity of the left transverse and superior sagittal sinuses. She was treated with enoxaparin for possible sinus thrombosis. Discussion This case demonstrates rare but serious sequelae of otitis media and Gradenigo syndrome. Holocephalic headache from meningitis masked trigeminal pain. Involvement of the ipsilateral petrous apex and surrounding structures on imaging and clinical improvement with antibiotic treatment supports Gradenigo syndrome over intracranial hypertension due to venous sinus thrombosis as the cause of the abducens nerve palsy. PMID:25232331

Valles, Jennie M.; Fekete, Robert

2014-01-01

394

Etiology of Children's Diarrhea in Montevideo, Uruguay: Associated Pathogens and Unusual Isolates  

PubMed Central

We studied microorganisms associated with infant diarrhea in a group of 256 children admitted to a public pediatric hospital in Montevideo, Uruguay. Diagnostic procedures were updated to optimize detection of potential pathogens, which were found in 63.8% of cases, and to be able to define their characteristics down to molecular or antigenic type. Coinfection with two or more agents was detected in more than one-third of positive studies. Escherichia coli enteric virotypes, especially enteropathogenic E. coli (EPEC), were shown to be prevalent. Rotavirus, Cryptosporidium, Campylobacter (mainly Campylobacter jejuni), and Shigella flexneri were also often identified. Enterotoxigenic E. coli, Salmonella, and Giardia lamblia were sporadically recognized. Unusual findings included two enteroinvasive E. coli strains, one Shigella dysenteriae 2 isolate, and a non-O:1 Vibrio cholerae culture. EPEC bacteria and S. flexneri (but not Salmonella) showed unusually frequent antimicrobial resistance, especially towards beta-lactam antibiotics, which is the subject of ongoing work. PMID:11376047

Torres, M. E.; Pirez, M. C.; Schelotto, F.; Varela, G.; Parodi, V.; Allende, F.; Falconi, E.; Dell'Acqua, L.; Gaione, P.; Mendez, M. V.; Ferrari, A. M.; Montano, A.; Zanetta, E.; Acuna, A. M.; Chiparelli, H.; Ingold, E.

2001-01-01

395

THE UNUSUALLY LUMINOUS EXTRAGALACTIC NOVA SN 2010U  

SciTech Connect

We present observations of the unusual optical transient SN 2010U, including spectra taken 1.03 days to 15.3 days after maximum light that identify it as a fast and luminous Fe II type nova. Our multi-band light curve traces the fast decline (t {sub 2} = 3.5 {+-} 0.3 days) from maximum light (M{sub V} = -10.2 {+-} 0.1 mag), placing SN 2010U in the top 0.5% of the most luminous novae ever observed. We find typical ejecta velocities of Almost-Equal-To 1100 km s{sup -1} and that SN 2010U shares many spectral and photometric characteristics with two other fast and luminous Fe II type novae, including Nova LMC 1991 and M31N-2007-11d. For the extreme luminosity of this nova, the maximum magnitude versus rate of decline relationship indicates a massive white dwarf (WD) progenitor with a low pre-outburst accretion rate. However, this prediction is in conflict with emerging theories of nova populations, which predict that luminous novae from massive WDs should preferentially exhibit an alternate spectral type (He/N) near maximum light.

Czekala, Ian; Berger, E.; Chornock, R.; Marion, G. H.; Margutti, R.; Challis, P. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street MS 10, Cambridge, MA 02138 (United States)] [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street MS 10, Cambridge, MA 02138 (United States); Pastorello, A. [INAF-Osservatorio Astronomico di Padova, Vicolo dellOsservatorio 5, I-35122 Padova (Italy)] [INAF-Osservatorio Astronomico di Padova, Vicolo dellOsservatorio 5, I-35122 Padova (Italy); Botticella, M. T. [INAF-Osservatorio Astronomico di Capodimonte Salita Moiariello 16, I-80131 Napoli (Italy)] [INAF-Osservatorio Astronomico di Capodimonte Salita Moiariello 16, I-80131 Napoli (Italy); Ergon, M.; Sollerman, J. [The Oskar Klein Centre, Department of Astronomy, AlbaNova, Stockholm University, SE-10691 Stockholm (Sweden)] [The Oskar Klein Centre, Department of Astronomy, AlbaNova, Stockholm University, SE-10691 Stockholm (Sweden); Smartt, S. [Astrophysics Research Centre, School of Mathematics and Physics, Queen's University Belfast, Belfast BT7 1NN (United Kingdom)] [Astrophysics Research Centre, School of Mathematics and Physics, Queen's University Belfast, Belfast BT7 1NN (United Kingdom); Vinko, J. [Department of Optics and Quantumelectronics, University of Szeged, Szeged (Hungary)] [Department of Optics and Quantumelectronics, University of Szeged, Szeged (Hungary); Wheeler, J. C., E-mail: iczekala@cfa.harvard.edu [Department of Astronomy, The University of Texas at Austin, RLM 5.208, Austin, TX 78712-1081 (United States)

2013-03-01

396

The Role of Pubic Symphyseal CT Arthrography in the Imaging of Athletic Pubalgia.  

PubMed

OBJECTIVE. The purpose of this article is to describe the results of pubic symphyseal CT arthrography compared with MRI in patients with suspected athletic pubalgia. MATERIALS AND METHODS. In this study, two musculoskeletal radiologists retrospectively searched our department's PACS to identify patients who had undergone CT-guided injection with concurrent pubic symphyseal CT arthrography for evaluation and treatment of groin pain, sports hernia, or athletic pubalgia over a 5.5-year period (January 1, 2007-July 1, 2012). The MR and CT arthrography images and reports, clinical findings at presentation, pain response to injection, and operative findings were reviewed using the electronic medical record. RESULTS. Twelve patients underwent CT-guided injection and pubic symphyseal CT arthrography at our institution during the 5.5-year study period. Nine of the 12 patients had undergone MRI before the procedure. In two of the three patients who had not undergone MRI, CT arthrography revealed secondary clefts. Three of four patients who had secondary clefts on MRI had contrast extravasation reproducing the cleft at CT. Three patients had MRI findings suggestive of athletic pubalgia without MRI evidence of a secondary cleft; in all three of these patients, CT arthrography showed a secondary cleft. In four patients, CT arthrography revealed tendon tears at the adductor origin that were not apparent on MRI. All 12 patients reported decreased groin pain after injection. CONCLUSION. Pubic symphyseal CT arthrography is a useful technique for the diagnosis and short-term pain relief of athletic pubalgia. It can be used to identify secondary clefts and to detect tendon tears that can potentially be overlooked on MRI. PMID:25341146

McArthur, Tatum A; Narducci, Carl A; Lopez-Ben, Robert R

2014-11-01

397

Serum tumor markers and PET/CT imaging for tumor recurrence detection.  

PubMed

When confronted with a suspicious rise in CA 15.3 in asymptomatic breast cancer patients following primary treatment and negative or equivocal conventional imaging findings, FDG PET/CT allows assessment of the site and extent of the recurring disease with an accuracy of 83%. Both FDG PET and FDG PET/CT are superior when compared to CT alone for the purpose of recurrence detection in patients suffering from ovarian carcinoma who have completed primary therapy but demonstrate a rising serum CA-125 level. As the global accuracy of CT alone for detection of recurrence of ovarian cancer approximates 80%, CT scan should be performed upfront to identify the site of recurrence. When confronted with negative or equivocal CT findings, FDG PET alone or FDG PET/CT should be added. In patients with rising serum CEA levels that have undergone primary treatment for a colorectal carcinoma, both FDG PET and FDG PET/CT allow detection of tumor recurrence with an accuracy of 95%, well above that of CT and MRI. Available studies further suggest that FDG/PET findings will affect treatment management in 28-50% of these patients. The detection rate of both 11C-choline and 18F-choline PET and PET/CT for local, regional, and distant recurrence in prostate carcinoma patients with a biochemical recurrence increases with rising PSA value at the time of imaging and reaches about 75% in patients with PSA > 3 ng/mL. Furthermore, PET and PET/CT with [11C]- and [18F]-choline derivates may be helpful in the clinical setting for optimization of individualized treatment. PMID:23420146

Kruse, Vibeke; Cocquyt, Veronique; Borms, Marleen; Maes, Alex; Van de Wiele, Christophe

2013-02-01

398

Generation of unusually low frequency plasmaspheric hiss  

NASA Astrophysics Data System (ADS)

It has been reported from Van Allen Probe observations that plasmaspheric hiss intensification in the outer plasmasphere, associated with a substorm injection on 30 September 2012, occurred with a peak frequency near 100 Hz, well below the typical plasmaspheric hiss frequency range, extending down to ˜20 Hz. We examine this event of unusually low frequency plasmaspheric hiss to understand its generation mechanism. Quantitative analysis is performed by simulating wave raypaths via the HOTRAY ray tracing code with measured plasma density and calculating raypath-integrated wave gain evaluated using the measured energetic electron distribution. We demonstrate that the growth rate due to substorm-injected electrons is positive but rather weak, leading to small wave gain (˜10 dB) during a single equatorial crossing. Propagation characteristics aided by the sharp density gradient associated with the plasmapause, however, can enable these low-frequency waves to undergo cyclic raypaths, which return to the unstable region leading to repeated amplification to yield sufficient net wave gain (>40 dB) to allow waves to grow from the thermal noise.

Chen, Lunjin; Thorne, Richard M.; Bortnik, Jacob; Li, Wen; Horne, Richard B.; Reeves, G. D.; Kletzing, C. A.; Kurth, W. S.; Hospodarsky, G. B.; Spence, H. E.; Blake, J. B.; Fennell, J. F.

2014-08-01

399

Unusual Inorganic Biradicals: A Theoretical Analysis  

SciTech Connect

Triatomic ions in the series FX2+, where X = O, S, Se, Te and Po are the terminal atoms, exhibit unusually high biradical characters (0.76 < B < 0.92), as measured from the analysis of Multi-Reference Configuration Interaction (MRCI) wavefunctions. Candidates in this series have the largest biradical character among the homologous, 18 valence electron CX22-, NX2?, X3 and OX2 (X = O, S, Se, Te and Po) systems. In the same scale the biradical character of ozone (O3) is just 0.19, whereas that of trimethylenemethane [C(CH2)3] is 0.97 (B=1 for an "ideal" biradical). For the 24 electron XO2 series, consisting of molecules with two oxygen atoms and a moiety X that is isoelectronic to oxygen, i.e. X= CH2, NH, O, F+, the singlet (S) state is lower than the triplet (T) one and the S-T splitting as well the barrier between their "open" and "ring" configurations was found to depend linearly with the inverse of the biradical character.

Miliordos, Evangelos; Ruedenberg, Klaus; Xantheas, Sotiris S.

2013-05-27

400

Very unusual ethanol distribution in a fatality.  

PubMed

A 48-year-old man with an extensive history of alcoholism was found dead at home. He was lying face down on a carpet. There was evidence of gastric aspiration at autopsy and histologic examination. The distribution of ethanol was very unusual (concentrations in mg/100 mL or mg/100 g): femoral blood, 257 and 273 (two samples); heart blood, 643; vitreous humor, 763; urine, 84; bile, 616; liver, 250; and gastric, 4660 (2470 mg/53 g). In addition, this man ingested isopropanol, and, according to the history, may also have ingested acetone in the form of nail polish remover. The distribution of both isopropanol and acetone was as expected, which was approximately in proportion to the aqueous content of the respective tissues. It is proposed that agonal or postmortem aspiration of the ethanol-rich vomitus and postmortem fermentation could account for the apparently elevated concentrations of ethanol in heart blood and bile. The elevated vitreous ethanol could be explained if ethanol diffused across the eye in the agonal phase or postmortem from gastric aspirate in the carpet. The relatively low urinary ethanol concentration would be consistent with a recent binge-drinking episode, which allowed only a limited time period for excretion into an already partially full, but relatively ethanol-free, bladder. PMID:9323534

Singer, P P; Jones, G R

1997-10-01

401

An Unusual Stellar Death on Christmas Day  

NASA Technical Reports Server (NTRS)

Long Gamma-Ray Bursts (GRBs) are the most dramatic examples of massive stellar deaths, usually associated with supernovae. They release ultra-relativistic jets producing non-thermal emission through synchrotron radiation as they interact with the surrounding medium. Here we report observations of the peculiar GRB 101225A (the "Christmas burst"). Its gamma-ray emission was exceptionally long and followed by a bright X-ray transient with a hot thermal component and an unusual optical couuterpart. During the first 10 days, the optical emission evolved as an expanding, cooling blackbody after which an additional component, consistent with a faint supernova, emerged. We determine its distance to 1.6 Gpc by fitting the spectral-energy distribution and light curve of the optical emission with a GRB-supernova template. Deep optical observations may have revealed a faint, unresolved host galaxy. Our proposed progenitor is a helium star-neutron star merger that underwent a common envelope phase expelling its hydrogen envelope. The resulting explosion created a GRB-like jet which gets thermalized by interacting with the dense, previously ejected material and thus creating the observed black-body, until finally the emission from the supernova dominated. An alternative explanation is a minor body falling onto a neutron star io the Galaxy

Thone, C. C.; de Ugarte Postigo, A.; Fryer, C. L.; Page, K. L.; Gorosabel, J.; Aloy, M. A.; Perley, D. A.; Kouveliotou, C.; Janka, H. T.; Mimica, P.; Racusin, J. L.; Krimm, H.; Cummings, J.; Oates, S. R.; Holland, S. T.; Siegel, M. H.; De Pasquale, M.; Sonbas, E.; Im, M.; Park, W. K.; Kann, D. A.; Guziy, S.; Hernandez Garcia, L.; Llorente, A.; Bundy, K.

2011-01-01

402

Scoring of chest CT in children with cystic fibrosis: state of the art.  

PubMed

Chest CT has been proposed as a surrogate outcome measure in the evaluation of cystic fibrosis lung disease. Quantitative evaluation of chest CT findings requires application of a scoring system to derive numerical values. Several scoring systems are in use. These mostly rely on a subjective judgement of the severity and extent of various features of cystic fibrosis lung disease, including bronchiectasis, bronchial wall thickening, mucous plugging and air-trapping. Scores can subsequently be added to produce a total score. The precision or reproducibility of scoring systems has been assessed but with heterogeneous statistical approaches. Total scores appear to have high levels of reproducibility, but this might mask poorer levels of agreement for individual observations and component scores. It can also be questioned whether total scores are biologically meaningful, as compared to assessments of individual features. Various studies suggest that CT scores give an accurate indicator of the severity of disease, and CT scores might be the best predictors of long-term outcome, but data in this area are limited. CT scores are more sensitive than traditional lung-function indices such as FEV; however the lung clearance index, by multiple breath washout, appears to offer comparable sensitivity to CT. It is not clear whether CT scores are adequately responsive to changes in disease severity in the short to medium term; this is a challenge to the use of CT as a surrogate outcome measure for clinical trials of therapies specific to cystic fibrosis. Cystic fibrosis scoring would benefit from greater levels of standardisation in terms of CT techniques, scoring system, training of observers and measures of reproducibility. Automated approaches to quantifying CT parameters might also offer improved precision. The benefits of chest CT must be weighed against the principal drawback of radiation exposure. The case for more widespread use of chest CT would be strengthened if precision of CT scoring were improved. PMID:25164326

Calder, Alistair D; Bush, Andrew; Brody, Alan S; Owens, Catherine M

2014-12-01

403

Computed Tomography (CT) Scans and Cancer  

MedlinePLUS

... slices of the body, as the original CT machines did. Helical CT has several advantages over older CT techniques: it is faster, produces better 3-D pictures of areas inside the body, and may detect small abnormalities better. The newest CT scanners, called multislice ...

404

Multiplanar CT of the spine  

SciTech Connect

This is an illustrated text on computed tomography (CT) of the lumbar spine with an emphasis on the role and value of multiplanar imaging for helping determine diagnoses. The book has adequate discussion of scanning techniques for the different regions, interpretations of various abnormalities, degenerative disk disease, and different diagnoses. There is a 50-page chapter on detailed sectional anatomy of the spine and useful chapters on the postoperative spine and the planning and performing of spinal surgery with CT multiplanar reconstruction. There are comprehensive chapters on spinal tumors and trauma. The final two chapters of the book are devoted to CT image processing using digital networks and CT applications of medical computer graphics.

Rothman, S.L.G.; Glenn, W.V. Jr.

1986-01-01

405

Children, CT Scan and Radiation.  

PubMed

Children are more sensitive to radiation than adults. Computerized tomography (CT) consists of 25 % of all medical imaging. It was estimated that more than 2% of all carcinomas in the USA are due to CT scans. There is an ongoing focus on the reduction of CT scan radiation dose. Awareness about risk-benefits of CT has increased. Reduction of radiological exam is an important issue because the accumulation effects of radiation can be hazardous. In addition, proper protocol should be followed for diagnostic procedures of ionization radiation and computerized tomography. Effective radiation dose should range from 0.8 to 10.5 millisievert. The same protocol should be followed in different hospitals as well. Basic principles of radiation protection should be monitored. As much as possible, both technician and radiologist must be present during computerized tomography for children, and MRI and ultrasound should be replaced if possible. PMID:21566776

Bajoghli, Morteza; Bajoghli, Farshad; Tayari, Nazila; Rouzbahani, Reza

2010-01-01

406

CT of the neonatal head.  

PubMed

Computed tomography (CT) is used less often than other techniques on neonatal units. However, in the acute setting, CT can be invaluable in diagnosing or excluding potentially life-threatening conditions and guiding initial management in neonates. Common indications for scanning include trauma, suspected non-accidental injury, infection, or an acute hypoxic or metabolic event. The aim of this review is to provide an overview of the normal neonatal head at CT and compare this to the common pathological abnormalities. Several key features of each condition will be highlighted. It is important to note that some pathological conditions can have overlapping features at CT and, therefore, the clinical history and additional investigations are also of key importance in determining the diagnosis. PMID:23937824

Mohan, S; Rogan, E A; Batty, R; Raghavan, A; Whitby, E H; Hart, A R; Connolly, D J A

2013-11-01

407

Seronegative spondyloarthropathy-related sacroiliitis: CT, MRI features and differentials.  

PubMed

Seronegative spondyloarthropathy is a group of chronic inflammatory rheumatic diseases that predominantly affect the axial skeleton. Involvement of sacroiliac joint is considered a hallmark for diagnosis of seronegative spondyloarthropathy and is usually the first manifestation of this condition. It is essential for the radiologist to know the computed tomography (CT) and magnetic resonance imaging (MRI) features of spondyloarthropathy-related sacroiliitis as imaging plays an important role in diagnosis and evaluation of response to treatment. We present a pictorial essay of CT and MRI imaging findings in seronegative spondyloarthropathy-related sacroiliitis in various stages and highlight common differentials that need to be considered. PMID:25114391

Prakash, Daya; Prabhu, Shailesh M; Irodi, Aparna

2014-07-01

408

Seronegative spondyloarthropathy-related sacroiliitis: CT, MRI features and differentials  

PubMed Central

Seronegative spondyloarthropathy is a group of chronic inflammatory rheumatic diseases that predominantly affect the axial skeleton. Involvement of sacroiliac joint is considered a hallmark for diagnosis of seronegative spondyloarthropathy and is usually the first manifestation of this condition. It is essential for the radiologist to know the computed tomography (CT) and magnetic resonance imaging (MRI) features of spondyloarthropathy-related sacroiliitis as imaging plays an important role in diagnosis and evaluation of response to treatment. We present a pictorial essay of CT and MRI imaging findings in seronegative spondyloarthropathy-related sacroiliitis in various stages and highlight common differentials that need to be considered. PMID:25114391

Prakash, Daya; Prabhu, Shailesh M; Irodi, Aparna

2014-01-01

409

Intramural Dissection of the Renal Collecting System During Percutaneous Nephrostomy: Computed Tomography Findings of a Rare Complication  

SciTech Connect

Intramural dissection of the renal collecting system during percutaneous nephrostomy (PCN) is a rare complication that can be challenging to diagnose. In this report, we describe the computed tomography (CT) and fluoroscopic findings of urothelial dissection during CT-guided PCN in a 65-year old patient with an obstructed congenital solitary left kidney due to an urinary bladder carcinoma. To our knowledge, CT findings of urothelial dissection have not yet been described.

Michaelides, Michael, E-mail: michaelidesm@yahoo.com; Dimarelos, Vasileios, E-mail: ivassilis@gmail.com; Stratilati, Sofia, E-mail: sstratilati@yahoo.com; Tsitouridis, Ioannis, E-mail: mihalismihailidis@gmail.com [Papageorgiou General Hospital, Department of Diagnostic and Interventional Radiology (Greece)

2011-02-15

410

An unusual long-lived relativistic electron enhancement event  

NASA Astrophysics Data System (ADS)

An unusual long-lived intense relativistic electron enhancement event from July to August 2004 is examined using data from Fengyun-1, POES, GOES, ACE, Cluster Mission and geomagnetic indices. In this event, the flux of relativistic electrons (>1.6MeV) in the outer zone increased up to more than 10 (4) cm (-2) •sr (-1) •s (-1) and this flux fashion has persisted over a month. Investigating the interplanetary and geomagnetic conditions, we find that sequential Coronal Mass Ejections (CMEs) stimulated interplanetary magnetic field (IMF) abrupt changes, extra high speed solar wind and strong geomagnetic storms and substorms during 22-27 July. Analyzing the geomagnetic oscillations by a bandpass filter, we find that the high-speed solar wind and frequent impulses of solar wind dynamic pressure induced strong durable ULF waves. In conjunction with the examination of the energetic electron evolutions in the magnetosphere, we suggest that the drift-resonant between ULF waves and energetic electrons injected by substorms is an important acceleration mechanism in this enhancement event. The intensification of chorus in the same period implies that the local acceleration by chorus could be another mechanism contributing to this event. The investigation of the plasmaspheric responses to the interplanetary disturbances reveals that the enhanced outer zone is divided into two portions by the plasmapause. The slow loss rate in the plasmasphere due to hiss primarily contributed to the long-lived characteristic of this event. This individual event reveals that the outer zone population behaviors are dominated by the interplanetary context variations together with the responses of geomagnetic field and plasmasphere to these variations.

Yang, XiaoChao; Zhu, Guangwu; Zhang, Xiaoxin

411

Breast Cancer Research Finding Answers. Finding Cures.  

E-print Network

Breast Cancer Research Finding Answers. Finding Cures. Thanks to improvements in treatment and early detection, more and more women are surviving breast cancer. In fact, the five-year survival rate for women with breast cancer today is 90%, up from only 63% in the 1960s. While progress has clearly been

Kowalczykowski, Stephen C.

412

CT-Based Interstitial HDR Brachytherapy  

Microsoft Academic Search

Purpose: Development, application and evaluation of a CT-guided implantation technique and a fully CT-based treatment planning procedure for brachytherapy. Methods and Materials: A brachytherapy procedure based on CT-guided implantation technique and CT-based treatment planning has been developed and clinical evaluated. For this purpose a software system (PROMETHEUS) for the 3D reconstruction of brachytherapy catheters and patient anatomy using only CT

Christos Kolotas; Dimos Baltas; Nikolaos Zamboglou

1999-01-01

413

Unusually severe case of dermatosis neglecta.  

PubMed

An 18-year-old black woman with cerebral palsy was admitted for evaluation of an intrathecal baclofen pump site infection. The dermatology service was consulted for treatment suggestions of a presumed diagnosis of chronic tinea capitis. Three courses of oral griseofulvin during the past 2 years failed to resolve the patient's chronic scalp dermatosis. Scalp lesions first began about 2 years earlier after hospitalization for placement of an intrathecal baclofen pump. The patient was unable to care for her scalp due to her cerebral palsy, and her mother interpreted the scalp condition as infectious. No routine shampoo care, scalp care, or topical treatment was performed for more than 1 1/2 years. The mother felt that touching the patient's scalp might cause pain and noted that the majority of her time was spent concentrating on more critical medical issues. Physical examination revealed coalescing hyperkeratotic plaques extending dorsally from the anterior hairline to the occipital scalp with small flecks of keratinous debris throughout the remaining hair (Figure 1). The plate-like plaques were devoid of hair, except at a few fissures where a few tufts of hair emerged. No cervical lymph nodes were appreciated on palpation. Treatment was initiated with compresses consisting of large warm water-soaked towels 4 times daily. Three times a day, a nursing staff applied 5% salicylic acid in olive oil to the scalp under a shower cap for approximately 1 hour. Over the following 2 days, a significant reduction in keratinous debris was appreciated. Within 2 weeks, the bulk of the plaques had been removed (Figure 2). At 6-week follow-up, the underlying scalp showed areas of fibrosis and possible scarring with a few emerging tufts of hair. On the basis of history and response to treatment with salicylic acid and routine scalp care, the patient was diagnosed with an unusually severe case of dermatosis neglecta. PMID:22324178

Turrentine, Jake E; Blalock, Travis W; Davis, Loretta S

2012-01-01

414

The usefulness of F-18 FDG PET/CT-mammography for preoperative staging of breast cancer: comparison with conventional PET/CT and MR-mammography  

PubMed Central

Background The objective of the study was to compare the diagnostic efficacy of an integrated Fluorine-18 fluorodeoxyglucose (F-18 FDG) PET/CT-mammography (mammo-PET/CT) with conventional torso PET/CT (supine-PET/CT) and MR-mammography for initial assessment of breast cancer patients. Patients and methods Forty women (52.0 ± 12.0 years) with breast cancer who underwent supine-PET/CT, mammo-PET/CT, and MR-mammography from April 2009 to August 2009 were enrolled in the study. We compared the size of the tumour, tumour to chest wall distance, tumour to skin distance, volume of axillary fossa, and number of meta-static axillary lymph nodes between supine-PET/CT and mammo-PET/CT. Next, we assessed the difference of focality of primary breast tumour and tumour size in mammo-PET/CT and MR-mammography. Histopathologic findings served as the standard of reference. Results In the comparison between supine-PET/CT and mammo-PET/CT, significant differences were found in the tumour size (supine-PET/CT: 1.3 ± 0.6 cm, mammo-PET/CT: 1.5 ± 0.6 cm, p < 0.001), tumour to thoracic wall distance (1.8 ± 0.9 cm, 2.2 ± 2.1 cm, p < 0.001), and tumour to skin distance (1.5 ± 0.8 cm, 2.1 ± 1.4 cm, p < 0.001). The volume of axillary fossa was significantly wider in mammo-PET/CT than supine-PET/CT (21.7 ± 8.7 cm3 vs. 23.4 ± 10.4 cm3, p = 0.03). Mammo-PET/CT provided more correct definition of the T-stage of the primary tumour than did supine-PET/CT (72.5% vs. 67.5%). No significant difference was found in the number of metastatic axillary lymph nodes. Compared with MR-mammography, mammo-PET/CT provided more correct classification of the focality of lesion than did MR-mammography (95% vs. 90%). In the T-stage, 72.5% of cases with mammo-PET/CT and 70% of cases with MR-mammography showed correspondence with pathologic results. Conclusions Mammo-PET/CT provided more correct definition of the T-stage and evaluation of axillary fossa may also be delineated more clearly than with supine-PET/CT. The initial assessment of mammo-PET/CT would be more useful than MR-mammography because the mammo-PET/CT indicates similar accuracy with MR-mammography for decision of T-stage of primary breast tumour and more correct than MR-mammography for defining focality of lesion. PMID:24294185

Moon, Eun-Ha; Lim, Seok Tae; Han, Yeon-Hee; Jeong, Young Jin; Kang, Yun-Hee; Jeong, Hwan-Jeong; Sohn, Myung-Hee

2013-01-01

415

Unusual karyotype in the Malagasy colubrid snake Mimophis mahfalensis  

E-print Network

Unusual karyotype in the Malagasy colubrid snake Mimophis mahfalensis Gennaro Aprea1 , Gaetano.glaw@zsm.mwn.de 4 Institute for Biodiversity and Ecosystem Dynamics, Zoological Museum, Mauritskade 61, 1090 GT

Andreone, Franco

416

Neutron scattering investigations on the unusual phase behavior of water  

E-print Network

Water is the most ubiquitous substance on earth, and is essential to sustain all known forms of life. However, despite centuries of research, a coherent picture of the unusual phase behavior of water is so far lacking. The ...

Zhang, Yang, Ph. D. Massachusetts Institute of Technology, Dept. of Nuclear Science and Engineering

2010-01-01

417

Unusual actions do not always trigger the mentalizing network.  

PubMed

Past fMRI research has demonstrated that to understand other people's behavior shown visually, the mirror network is strongly involved. However, the mentalizing network is also recruited when a visually presented action is unusual and/or when perceivers think explicitly about the intention. To further explore the conditions that trigger mentalizing activity, we replicated one of such studies (de Lange, Spronk, Willems, Toni, & Bekkering, 2008, Current Biology, 18, 454) under the minimal instruction to "view" pictures of unusual actions, without giving any "intention" instruction as in the original study. Contrary to earlier research, merely viewing unusual actions did not activate mentalizing areas. Instead, the dorsal anterior cingulate cortex was activated. We conclude that unusual actions are not sufficient by themselves to trigger mentalizing. In order to activate the mentalizing network without an intention instruction, a richer action context informative of the implausibility of the action might be a prerequisite. PMID:23186258

Ampe, Lisa; Ma, Ning; Van Hoeck, Nicole; Vandekerckhove, Marie; Van Overwalle, Frank

2014-04-01

418

14 CFR 1206.608 - Time extensions in unusual circumstances.  

14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Time extensions in unusual...608 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION AVAILABILITY...Procedures § 1206.608 Time extensions in...

2014-01-01

419

14 CFR 1206.608 - Time extensions in unusual circumstances.  

Code of Federal Regulations, 2011 CFR

14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Time extensions in unusual...608 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION AVAILABILITY...Procedures § 1206.608 Time extensions in...

2011-01-01

420

14 CFR 1206.608 - Time extensions in unusual circumstances.  

Code of Federal Regulations, 2013 CFR

14 Aeronautics and Space 5 2013-01-01 2013-01-01 false Time extensions in unusual...608 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION AVAILABILITY...Procedures § 1206.608 Time extensions in...

2013-01-01

421

14 CFR 1206.608 - Time extensions in unusual circumstances.  

Code of Federal Regulations, 2010 CFR

14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Time extensions in unusual...608 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION AVAILABILITY...Procedures § 1206.608 Time extensions in...

2010-01-01

422

14 CFR 1206.608 - Time extensions in unusual circumstances.  

Code of Federal Regulations, 2012 CFR

14 Aeronautics and Space 5 2012-01-01 2012-01-01 false Time extensions in unusual...608 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION AVAILABILITY...Procedures § 1206.608 Time extensions in...

2012-01-01

423

Severe and Unusual Weather METR 2603, Sec 001  

E-print Network

descriptive account of the physical processes important in the formation of various severe and unusual weather phenomena including: thunderstorms, tornadoes, hail and conditions. 3. Develop an understanding of the causes, formation, evolution and impacts

Droegemeier, Kelvin K.

424

Unusual structure and magnetism in manganese oxide nanoclusters  

E-print Network

We report an unusual evolution of structure and magnetism in stoichiometric MnO clusters based on an extensive and unbiased search through the potential-energy surface within density functional theory. The smaller clusters, ...

Ganguly, Shreemoyee

425

Unusual molecular architectures in liquid crystal and polymer chemistry  

E-print Network

This dissertation details the synthesis and characterization of materials that consist of molecules with unusual shapes. We have pursued this goal into the regimes of both small molecules (liquid crystals) and polymeric ...

Paraskos, Alexander John, 1969-

2004-01-01

426

Cardiac cone-beam CT  

SciTech Connect

This doctoral thesis addresses imaging of the heart with retrospectively gated helical cone-beam computed tomography (CT). A thorough review of the CT reconstruction literature is presented in combination with a historic overview of cardiac CT imaging and a brief introduction to other cardiac imaging modalities. The thesis includes a comprehensive chapter about the theory of CT reconstruction, familiarizing the reader with the problem of cone-beam reconstruction. The anatomic and dynamic properties of the heart are outlined and techniques to derive the gating information are reviewed. With the extended cardiac reconstruction (ECR) framework, a new approach is presented for the heart-rate-adaptive gated helical cardiac cone-beam CT reconstruction. Reconstruction assessment criteria such as the temporal resolution, the homogeneity in terms of the cardiac phase, and the smoothness at cycle-to-cycle transitions are developed. Several reconstruction optimization approaches are described: An approach for the heart-rate-adaptive optimization of the temporal resolution is presented. Streak artifacts at cycle-to-cycle transitions can be minimized by using an improved cardiac weighting scheme. The optimal quiescent cardiac phase for the reconstruction can be determined automatically with the motion map technique. Results for all optimization procedures applied to ECR are presented and discussed based on patient and phantom data. The ECR algorithm is analyzed for larger detector arrays of future cone-beam systems throughout an extensive simulation study based on a four-dimensional cardiac CT phantom. The results of the scientific work are summarized and an outlook proposing future directions is given. The presented thesis is available for public download at www.cardiac-ct.net.

Manzke, Robert [University of London (King's College) (United Kingdom)]. E-mail: robert.manzke@philips.com

2005-10-15

427

Unusual Clinical Presentations of Cervical or Lumbar Dorsal Ramus Syndrome  

PubMed Central

Objective Patients with cervical (CDRS) or lumbar dorsal ramus syndrome (LDRS) are characterized by neck or low back pain with referred pain to upper or lower extremities. However, we experienced some CDRS or LDRS patients with unusual motor or bladder symptoms. We analyzed and reviewed literatures on the unusual symptoms identified in patients with CDRS or LDRS. Methods This study included patients with unusual symptoms and no disorders of spine and central nervous system, a total of 206 CDRS/LDRS patients over the past 3 years. We diagnosed by using double diagnostic blocks for medial branches of dorsal rami of cervical or lumbar spine with 1% lidocaine or 0.5% bupivacaine for each block with an interval of more than 1 week between the blocks. Greater than 80% reduction of the symptoms, including unusual symptoms, was considered as a positive response. The patients with a positive response were treated with radiofrequencyneurotomy. Results The number of patients diagnosed with CDRS and LDRS was 86 and 120, respectively. Nine patients (10.5%) in the CDRS group had unusual symptoms, including 4 patients with motor weakness of the arm, 3 patients with tremors, and rotatory torticollis in 2 patients. Ten patients (8.3%) in the LDRS group showed unusual symptoms, including 7 patients with motor weakness of leg, 2 patients with leg tremor, and urinary incontinence in 1 patient. All the unusual symptoms combined with CDRS or LDRS were resolved after treatment. Conclusion It seems that the clinical presentationssuch as motor weakness, tremor, urinary incontinence without any other etiologic origin need to be checked for unusual symptoms of CDRS or LDRS. PMID:25110484

Kim, Shin Jae; Ko, Myeong Jin; Lee, Young Seok; Kim, Young Baeg; Chung, Chan

2014-01-01

428

Incremental Anomaly Detection Approach for Characterizing Unusual Profiles  

Microsoft Academic Search

\\u000a The detection of unusual profiles or anomalous behavioral characteristics from sensor data is especially complicated in security\\u000a applications where the threat indicators may or may not be known in advance. Predictive modeling of massive volumes of historical\\u000a data can yield insights on usual or baseline profiles, which in turn can be utilized to isolate unusual profiles when new\\u000a data are observed in

Yi Fang; Olufemi A. Omitaomu; Auroop R. Ganguly

2008-01-01

429

Endometriosis in the canal of Nuck hydrocele: An unusual presentation  

PubMed Central

The authors describe an unusual rare presentation of endometriosis in a hydrocoele of the canal of Nuck. A 43-year-old lady presented with a swelling in her right groin associated with mild discomfort. Examination revealed a cystic swelling in the groin for which she underwent an exploration and excision of the swelling. Surgery revealed a hydrocele of the canal of Nuck which was confirmed histologically. The unusual presentation of endometriosis in the sac was confirmed immunocytochemically. PMID:22096756

Bagul, A.; Jones, S.; Dundas, S.; Aly, Emad H.

2011-01-01

430

[Application of digital pathology tools. An unusual case of non-Hodgkin lymphoma].  

PubMed

Currently, lymphoma diagnosis is based on a combination of morphology, immunophenotyping, and molecular testing. Using the example of an unusual case of malignant non-Hodgkin lymphoma, we show that improved visualization using digital pathology contributes to the convergence of these complementary diagnostic modalities. A 45-year-old woman presented with skin rash and cervical lymphadenopathy. Histological workup of an excised lymph node showed loss of normal architecture with diffuse infiltration and increased mitotic activity. Immunohistochemistry for CD3/CD5 showed atypical arrangement and infiltration of a T-cell population that dominated over regionally dense, MUM1-positive plasmacellular infiltrates. Expanded CD21/CD23-positive meshworks of follicular dendritic cells were present within and between regressed follicles and the T-cell infiltrate; staining for CD56 and cyclin-D1 was negative. Quantification of Ki-67 staining within the T-, B- and plasmacellular compartments was achieved by digital image conversion, overlay and subsequent quantification algorithms that revealed proliferation within more than 60% of T-cells, over 50% of plasma cells and only 20% of B-cells. Clonality analysis by PCR revealed monoclonal rearrangement for both T-cell receptor gamma chains and immunoglobulin heavy chains. Taken together, we present an unusual combination of an angioimmunoblastic T-cell lymphoma (AITL) and simultaneous plasmacellular lymphoma. This report demonstrates how application of modern tools of digital pathology can visually integrate unusual morphological and molecular findings. PMID:23011022

Meyer, A-S K; Dallenbach, F E; Lienert, G; Möller, P; Lennerz, J K

2012-11-01

431

CT Angiography in the Diagnosis of Brain Death  

PubMed Central

Summary Brain death is defined as the irreversible cessation of functioning of the entire brain, including the brainstem. Brain death is principally established using clinical criteria including coma, absence of brainstem reflexes and loss of central drive to breathe assessed with apnea test. In situations in which clinical testing cannot be performed or when uncertainty exists about the reliability of its parts due to confounding conditions ancillary tests (i.a. imaging studies) may be useful. The objective of ancillary tests in the diagnosis of brain death is to demonstrate the absence of cerebral electrical activity (EEG and evoked potentials) or cerebral circulatory arrest. In clinical practice catheter cerebral angiography, perfusion scintigraphy, transcranial Doppler sonography, CT angiography and MR angiography are used. Other methods, like perfusion CT, xenon CT, MR spectroscopy, diffusion weighted MRI and functional MRI are being studied as potentially useful in the diagnosis of brain death. CT angiography has recently attracted attention as a promising alternative to catheter angiography – a reference test in the diagnosis of brain death. Since 1998 several major studies were published and national guidelines were introduced in several countries (e.g. in France, Austria, Switzerland, the Netherlands and Canada). This paper reviews technique, characteristic findings and criteria for the diagnosis of cerebral circulatory arrest in CT angiography.

Sawicki, Marcin; Bohatyrewicz, Romuald; Walecka, Anna; So?ek-Pastuszka, Joanna; Rowi?ski, Olgierd; Walecki, Jerzy

2014-01-01

432

4D PET/CT as a Strategy to Reduce Respiratory Motion Artifacts in FDG-PET/CT  

PubMed Central

The improved accuracy in tumor identification with FDG-PET has led to its increased utilization in target volume delineation for radiotherapy treatment planning in the treatment of lung cancer. However, PET/CT has constantly been influenced by respiratory motion-related image degradation, which is especially prominent for small lung tumors in the peri-diaphragmatic regions of the thorax. Here, we describe the current findings on respiratory motion-related image degradation in PET/CT, which may bring uncertainties to target volume delineation for image guided radiotherapy (IGRT) for lung cancer. Furthermore, we describe the evidence suggesting 4D PET/CT to be one strategy to minimize the impact of respiratory motion-related image degradation on tumor target delineation for thoracic IGRT. This, in our opinion, warrants further investigation in future IGRT-based lung cancer trials. PMID:25136514

Chi, Alexander; Nguyen, Nam P.

2014-01-01

433

Radiologic and surgical findings in chronic suppurative otitis media.  

PubMed

Our aim in this study was to evaluate the efficiency of preoperative temporal bone computed tomography (CT) in detecting pathologic conditions in patients with chronic suppurative otitis media (CSOM). The intraoperative findings and temporal bone CT results of 350 patients who were diagnosed with CSOM between September 1, 2010, and June 1, 2013, were compared. Comparison parameters were as follows: the presence of cholesteatoma, erosion of the outer ear bone canal, erosion of the middle ear chain, erosion of the dural plate, erosion of the lateral semicircular canal, erosion of the sigmoid sinus wall, and dehiscence of the facial canal. The contribution of CT was limited in showing the outer ear canal destruction, dural plate destruction, facial canal destruction, lateral semicircular canal destruction, and destruction of the sigmoid sinus wall. However, CT was more sensitive in detecting cholesteatoma and erosion of the ossicular chain. These results indicate that preoperative CT of patients with CSOM serves as an important guide for otolaryngologists, although there are limitations in the evaluation of the CT results. PMID:25377960

Gül, Aylin; Akda?, Mehmet; Kini?, Vefa; Yilmaz, Beyhan; Sengül, Engin; Teke, Memik; Meriç, Faruk

2014-11-01

434

Chest computed tomography findings in bronchopulmonary dysplasia and correlation with lung function  

PubMed Central

Objective With changes in the predominant pathogenic factors in the new form of bronchopulmonary dysplasia (BPD), a different pattern of CT findings may be expected. This study aimed to (1) describe CT findings in infants with BPD and (2) correlate the CT findings with lung function abnormalities. Study design and method Retrospective review of 41 very low birthweight infants with BPD, who were referred for pulmonary investigations at between 10 and 20?months after birth because of persistent respiratory symptoms, and underwent CT and lung function tests. Results None of the infants had normal CT findings. The most frequent abnormalities were hyperlucent areas (n?=?36; 88%), linear opacities (n?=?39; 95%), and triangular subpleural opacities (n?=?26; 63%). Bronchiectasis was not seen. None of the CT abnormalities correlated with the maximum expiratory flow at functional residual capacity (VmaxFRC). In contrast, increased number of subpleural opacities and limited linear opacities were associated with low FRC and longer duration of neonatal oxygen exposure. The numbers of triangular subpleural opacities also correlated with duration of mechanical ventilation. Conclusions Despite advances in neonatal care, many CT findings in infants with BPD are similar to those observed in the pre?surfactant era, and are still associated with duration of supplemental oxygen and mechanical ventilation. The absence of bronchial involvement in the present study was the most striking difference from previous studies. PMID:17379740

Mahut, Bruno; De Blic, Jacques; Emond, Sophie; Benoist, Marie-Rose; Jarreau, Pierre-Henri; Lacaze-Masmonteil, Thierry; Magny, Jean-Francois; Delacourt, Christophe

2007-01-01

435

Unusual magneto-optical behavior induced by local dielectric variations under localized surface plasmon excitations.  

PubMed

We study the effect of global and local dielectric variations on the polarization conversion rps response of ordered nickel nanowires embedded in an alumina matrix. When considering local changes, we observe a non-monotonous behavior of the rps, its intensity unusually modified far beyond to what it is expected for a monotonous change of the whole refractive index of the embedding medium. This is related to the local redistribution of the electromagnetic field when a localized surface plasmon is excited. This finding may be employed to develop and improve new biosensing magnetoplasmonic devices. PMID:21711939

González-Díaz, Juan B; García-Martín, Antonio; Reig, Gaspar Armelles

2011-01-01

436

The 2008 US beef scare episode in South Korea: Analysis of an unusual public reaction.  

PubMed

We investigated major factors underlying an unusual 2008 public 'candlelight protest' in South Korea about US beef imports related to concerns about bovine spongiform encephalopathy. Using a survey we explored determinants of consumer responses to negative publicity in mass media. Respondents (80.7 per cent) reduced consumption of imported beef during the scare; of those 62.5 per cent decreased consumption of US beef only. We explain the determinants in order of their importance and define the relevant terms from a theory of consumer behavior in economics. Our findings suggest that several effects worked jointly in their influence on most respondents who reduced beef consumption. PMID:25164598

Jin, Hyun J

2014-11-01

437

Unusual thyroid scintigrams in Plummer's disease during methimazole therapy. Conversion of hot to hypofunctional nodules  

SciTech Connect

Thyroid scintigrams of two women (aged 48 and 58) with Plummer's disease showed unusual radioiodine accumulation during treatment with methimazole (MMI). Before MMI therapy, the scintigrams revealed most of the radioiodine uptake only in the nodules of the patients and very little uptake in the non-nodular portions of the thyroid. After initiation of MMI therapy, scintigrams performed at three and eight months revealed that the hot nodules had become hypofunctional and that the surrounding tissues had normal radioiodine accumulation. The findings indicate that the nodules in Plummer's disease continue to concentrate MMI selectively compared with normal surrounding thyroid tissue during therapy.

Tamai, H.; Nagai, K.; Ishimoto, J.; Matsubayashi, S.; Matsuzuka, F.; Miyauchi, A.; Kuma, K.; Nagataki, S. (Kyushu Univ., Fukuoka (Japan))

1990-07-01

438

Unusual spin Hall effect of a light beam in chiral metamaterials  

SciTech Connect

We present a solution to the problem of reflection and refraction of a polarized Gaussian beam at the interface between the transparent medium and the chiral metamaterials. Some unusual spin Hall effects of reflected and transmitted light have been found. It is shown that the spin-dependent displacements of the reflected beam centroid can not only reach several tens of wavelengths at certain incident angles; the reversed effect for the transmitted beams can also be realized by tuning the chiral parameters. These findings provide an alternative pathway for controlling the spin Hall effects of light and thereby open up the possibility for developing new nanophotonic devices.

Wang Hailei; Zhang Xiangdong [Department of Physics, Applied Optics Beijing Area Major Laboratory, Beijing Normal University, Beijing 100875 (China)

2011-05-15

439

Evaluation of perforated and nonperforated appendicitis with CT.  

PubMed

Fifty-three patients with 38 cases of perforated appendicitis and 15 cases of appendicitis without perforation were evaluated based on the computed tomography (CT) appearances of appendiceal diameter, phlegmon, abscess, extraluminal air, appendiceal wall enhancement, lateroconal fascial thickening, appendicolith, bowel wall thickening, ascites, ileal wall enhancement, peritoneal enhancement, periappendiceal fluid, omental haziness, retrocecal appendix, intraluminal air, and the combination of intraluminal air and appendicolith. The result of appendiceal diameter was compared using two-sample Student's t test, and the other CT findings were analyzed by Fisher's Exact Test. Our results showed that appendix was larger in caliber in perforated appendix (P< .05). Direct CT signs (i.e., phlegmon, abscess, and extraluminal air) were more specific for perforated appendicitis (P< .05). Indirect signs (bowel wall thickening, ascites, ileal wall enhancement, intraluminal air, and combined intraluminal air and appendicolith) were also found in higher incidence in appendiceal perforation (P< .05). Appendiceal enlargement and ileal wall enhancement were the two predominant findings in one case of perforation. We concluded that direct and indirect CT appearances can differentiate appendicitis with and without perforation. Indirect signs may be helpful in difficult case. PMID:15531143

Yeung, Kwok-Wan; Chang, Ming-Sung; Hsiao, Chao-Peng

2004-01-01

440

Unusual Tc-99m MDP and I-123 MIBG images in focal pyelonephritis  

SciTech Connect

A 6-year-old boy presented with an inflammatory syndrome. Because Tc-99m MDP bone scintigraphy revealed increased tracer uptake at the upper pole of the right kidney, further studies were oriented towards a diagnosis of renal or adrenal pathology. I-123 metaiodobenzylguanidine (MIBG) accumulated at the site of the abnormal MDP uptake. The diagnosis of neuroblastoma or allied disorder was excluded on the basis of other investigations and further evaluation, suggesting that the MIBG uptake was a false-positive. Findings on clinical imaging, laboratory findings, Tc-99m DMSA imaging, sonography, and CT scanning were highly suggesti