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   2004| October-December  | Volume 14 | Issue 4  
 
 
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ABDOMINAL
Colo-vesical and colo-enteric fistulae in sigmoid diverticular disease - a case report
DD Chinchure, BRS Rayudu, VRK Prasad
October-December 2004, 14(4):409-412
  12,767 4 -
NEURORADIOLOGY
Primary cutaneous non-Hodgkin lymphoma of the scalp : A case report
R Madan, MK Narula, R Anand, A Gurtoo
October-December 2004, 14(4):385-387
  10,665 5 -
FAHR disease : A rare neurodegenerative disorder
R Malik, VK Pandya, D Naik
October-December 2004, 14(4):383-384
  9,134 5 10
GENITOURINARY IMAGING
Sonomorphological and color doppler flow imaging evaluation of adnexal masses
R Madan, MK Narula, R Chitra, P Bajaj
October-December 2004, 14(4):365-372
Objective: Evaluation of adnexal masses with conventional gray scale and Color Doppler flow imaging to assess the diagnostic reliability of sonographic and Doppler findings to differentiate malignant and benign ovarian masses. Materials and Methods: Sonomorphologic indexing of 74 adnexal masses in 52 patients was done to designate a mass as benign or malignant .The findings of color flow imaging and spectral Doppler were further added to differentiate malignant from benign lesions. The results were correlated with surgery/laparoscopy/FNAC/ follow up scans. Results: Sonomorphology has the highest sensitivity (92.5 percent) and negative predictive value (92.8 percent). Evaluation of vessel morphology and arrangement has the highest specificity (96.8 percent) with a positive predictive value of 95.2 percent. Peak systolic velocity is a better discriminator of malignant versus benign adnexal masses showing lesser degree of overlap as compared to resistive and pulsatility indices. Combined sonomorphologic and vascular scoring increased both the positive predictive value (54.36 percent to 76.6 percent) and diagnostic accuracy (68.9 percent to 80.4 percent) in predicting malignancy. Conclusion: There is considerable overlap in the morphologic patternsof various adnexal masses and hence a multiparameter analysis incorporating morphologic scoring, vessel location, vessel arrangement and spectral waveform analysis is helpful in determining those patients in whom early intervention is necessary.
  8,954 8 -
CNS
Images : Moya moya disease
AS Jain, VG Goswami, MA Joshi, JM Patel, A Shah, A Gupta
October-December 2004, 14(4):427-429
  8,385 8 1
CHEST
Computed tomography (Ct) guided transthoracic needle aspiration cytology in difficult thoracic mass lesions-not approachable by USG
JP Singh, L Garg, V Setia
October-December 2004, 14(4):395-400
Objectives : To evaluate the diagnostic accuracy and complications of Computed tomography (CT) guided aspiration cytology in thoracic masses and to know the pathological spectrum of thoracic masses along with the correlation of CT findings with cytopathological reports. Material and Methods : 34 patients underwent CT-guided FNAC of thoracic lesions using a 20-gauge spinal needle. The diagnostic accuracy, sensitivity, specificity, positive and negative predictive values of the FNAC procedure were calculated. Results : Of these 34 patients 22 presented with pulmonary parenchymal lesions, 6 with mediastinal lesions and 3 each with hilar and pleural lesions. Conclusive cytodiagnosis was possible in 29 out of 34 patients (diagnostic accuracy 85.3%). Four cases (11.8%) developed pneumothorax and pulmonary hemorrhage, which did not require any treatment. The sensitivity and specificity for a diagnosis of malignancy was 92.6 & 100% respectively. Conclusion : CT-guided FNAC using a 20-gauge spinal needle is a highly sensitive and specific technique with a good diagnostic accuracy and can be used safely as an outdoor procedure in the diagnosis of thoracic masses that are not approachable by ultrasound.
  7,720 5 5
NEURORADIOLOGY
Fronto ethmoidal meningocele
R Malik, VK Pandya, S Parteki
October-December 2004, 14(4):379-381
  7,259 1 -
CHEST
High atennuation bronchogenic cyst in the posterior mediastinum
S Smitha, P Raghuram
October-December 2004, 14(4):391-394
We are reporting a case of intussusception of pyloric antrum into the first part of duodenum, which was dilated because of a localized ileus occurring as a sequel to acute cholecystitis. No other precipitating cause, such as a lead point, was foundon laparotomy. The intussusception yielded to manual reduction.
  6,163 2 -
A face of scimitar syndrome
AM Patel, R Joshi, D Vaghela, HR Shah, U Shah, B Talsania
October-December 2004, 14(4):401-404
  5,201 3 1
CNS
Case report : Tuberous sclerosis - it's varied presentation
SB Patel, SS Shah, K Goswami, N Shah, S Pandhi
October-December 2004, 14(4):423-425
  4,954 3 -
ABDOMINAL
Primary nonhodgkins lymphoma of ileum
D Chegu, D Karthikeyan
October-December 2004, 14(4):415-417
  4,599 4 1
GENITOURINARY IMAGING
Renal vasculature evaluation using a multidetector CT scanner : A brief study of 20 cases
AR Joshi, S Nalavde, S Merchant, S Gujare
October-December 2004, 14(4):373-378
Purpose : To evaluate renal vasculature using a multidetector CT scanner (Multidetector CT Angiography). Materials & Methods : Twenty patients were evaluated using a multislice CT scanner (Siemens, Volume Zoom, Siemens Corp., Siemenstrasse, Forchheim, Germany), out of which twelve had complaints of hypertension, abdominal pain and eight were renal donors. The spiral CT acquisition was done by rapid intravenous injection of 100 cc of water-soluble iodinated contrast medium via a pressure injector at the rate of 2.5ml/sec via a 20G angiocath in the antecubital vein. Images of 1.25 mm slice thickness with 1mm slice collimation were taken from the twelfth dorsal or the first lumbar vertebral level upto the pubic symphysis. No oral contrast was given in these patients. Post processing of the reconstructed axial data was done using Maximum Intensity Projection {MIP}, Surface Shaded Display (SSD) and the Volume Rendering (VR) technique. Results : Out of the twenty subjects studied: six had renal artery stenosis (RAS), eight were donors, three had renal malignancies (RCC), one had an ectopic kidney and two were cases of aortoarteritis with renal involvement. Conclusion : CT angiography is a good, cost effective and non-invasive modality as it gives vascular, anatomic and functional depiction of the kidneys in one sitting
  4,556 6 1
CNS
Choroid plexus carcinoma : A rare case
RD Dani, V Gandhi, G Thakkar, P Patel, P Kiran
October-December 2004, 14(4):419-422
  4,163 2 1
ABDOMINAL
Retroperitoneal cystic lymphangioma
IBS Nijjar, JP Singh, V Arora, R Abrol, KS Gill, R Chopra, Roopa
October-December 2004, 14(4):413-414
  4,149 3 -
OBSTETRIC IMAGING
Case report - antepartum diagnosis of placenta accreta
DJ Thakrar, KM Shah, D Parikh, FA Shah, AN Dave, VB Patel
October-December 2004, 14(4):431-432
  3,672 2 -
GENITOURINARY IMAGING
Mobile calculi In retrocavalureter presenting as dietl's crisis - A case report
P Gowrishankar, S Varadharajan, AC Mani
October-December 2004, 14(4):355-360
Obstructive Hydroureteronephrosis due to impacted calculus is a common urological entity in our clinical practice. A congenital malformation presenting with dietl's crisis makes this case report interesting. The classical reverse 'J' /fish hook sign on intravenous urography helps in the diagnosis.
  3,425 6 -
LETTER TO EDITOR
Left ventricular tumor presenting with systemic embolization
AY Lakshmi
October-December 2004, 14(4):439-440
  3,318 2 -
CHEST
Pulmonary artery sling - a case report
AN Hedge, JA Halankar, SB Desai
October-December 2004, 14(4):405-407
  3,126 0 2
QUIZ
Radiological quiz - gastrointestinal radiology
P Jagmohan, MK Mittal, A Varshney, BB Thukral
October-December 2004, 14(4):435-436
  3,088 5 -
EDITORIAL
Primary headache and radiologist
Shrinivas B Desai
October-December 2004, 14(4):353-354
  2,928 3 -
LETTER TO EDITOR
Multicentric skeletal Hemangioendothelioma with pulmonary metastasis
SB Grover, SK Mahato, P Gupta
October-December 2004, 14(4):440-442
  2,749 4 1
QUIZ
Radiological quiz - musculoskeletal
AS Jain, MA Joshi, VG Goswami, RD Agrawal, R Jethwani
October-December 2004, 14(4):437-438
  2,674 2 -
GENITOURINARY IMAGING
3D contrast enhanced Mr Angiography in paod with Mr Findings in horse-shoe kidney-a case report
A Sharma, S Baweja, S Chibber, S Puri
October-December 2004, 14(4):361-363
  2,536 2 -
OBSTETRIC IMAGING
Gravid uterus : A rare case
AG Kumar, S Sharma, H Singh, S Singh
October-December 2004, 14(4):433-434
  2,354 3 -
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