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2006| January-March | Volume 16 | Issue 1
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MUSCULOSKELETAL
Symptomatic vertebral hemangiomas- results of treatment with radiotherapy
HC Suparna, BM Vadhiraja, RC Apsani, T Seetharamaiah, DJ Fernandes, K Rao, K Vidyasagar
January-March 2006, 16(1):37-40
DOI
:10.4103/0971-3026.29042
Objectives
: Vertebral hemangiomas are benign vascular lesions occurring in spine. Though vertebral hemangiomas are frequently seen, they are rarely symptomatic. Pain is the commonest symptom. There is no agreement on single treatment modality for symptomatic lesions. Surgery, intralesional injection of absolute alcohol, methyl methacrylate injection are few methods used to treat them. Radiotherapy has been shown effective in many studies in terms of pain relief and at times in cord compression too. Results of radiotherapy in symptomatic vertebral hemangiomas treated in our centre are analyzed.
Materials and methods:
Six patients with symptomatic vertebral hemangiomas were treated with external radiotherapy to a dose of 36-40 Gy. Four patients had only pain as their symptom. Two patients had additional neurological deficits with paraperesis at presentation. Result in terms of pain relief was assessed at the end of RT and during follow up. Median follow up was four and half months.
Results
: Out of six patients, pain relief was seen in four patients who had only pain as their symptom. There was neither pain relief nor improvement in neurological deficits in remaining two patients.
Conclusion
: Radiotherapy is an effective and simple modality of treatment for symptomatic vertebral hemangiomas where pain is the main symptom without neurological deficits. It is non invasive and safe.
[ABSTRACT]
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36,825
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EDITORIAL
SWI, a new MRI sequence - how useful it is?
Shrinivas B Desai
January-March 2006, 16(1):13-14
DOI
:10.4103/0971-3026.29034
[FULL TEXT]
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31,437
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GYNAECOLOGY AND OBSTETRICS
Doppler prediction of adverse perinatal outcome in PIH and IUGR
BN Lakhkar, KV Rajagopal, PT Gourisankar
January-March 2006, 16(1):109-116
DOI
:10.4103/0971-3026.29064
Purpose
: To determine and compare the diagnostic performance of Dopler sonography of fetal middle cerebral artery (MCA), descending abdominal aorta (DAA), umbilical artery (UA), umbilical vein (UV) and inferior vea cava (IVC) for predictoin of adverse perinatal outcome in suspected intrauterine growth retardation (IUGR) and pre-eclampsia (PET).
Materials ad Methods
: Fifty-eight Singleton pregnancies beyond 30 weeks of gestation complicated by intrauterine growth restriction and severe pre-eclampsia or both were prospectively examined with Doppler US of the UA, MCA, DAA, UV and IVC.
Results
: Thirty-six patients of the 58 included in the study population had at least one major or minor adverse outcome. Major adverse outcome criteria included perinatal deaths - includinag intrauterine and early neonatal deaths, hypoxic ischemic encephalopathy, intraventricular hemorrhage, periventricular leukomalacia, pulmonary hemorrhage and necrotizing enterocolitis. Minor outcomes included cesarean delivery for fetal distress, APGAR score below 7 at 5 minutes, admission to neonatal intensive care unit (NICU) for treatment.
Conclusion
S/D ratio of MCA/UA is the most sensitive and specific index in predicting major perinatal adverse outcome (83% and 75%), while umbilical artery S/D ratio is the most sensitive index (66.6%) in predicting any adverse perinatal outcome i.e. including both major and minor outcome. MCA pulsatility index (P.I) is the most specific index (90.9%) for predicting in any adverse perinatal outcome. The sensitivity of the Doppler studies can be significantly increased by studying multiple vessels (91.6%). Hence we conclude that Doppler studies of multiple vessels in the fetoplacental circulation can help in the monitoring of compromised fetus and can help us predicting neonatal morbidity. This may be helpful in determining the optimal time of delivery in complicated pregnancies.
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19,471
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ABDOMINAL
"Small bowel feces sign" - a ct sign in small bowel obstruction
J Singh, R Kumar, A Kalyanpur
January-March 2006, 16(1):71-74
DOI
:10.4103/0971-3026.29053
[FULL TEXT]
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15,681
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CHEST
Inflammatory pseudotumor of lung, a case report and review of literature
SB Patel, DM Shah, KG Goswami, SR Shah, PM Shah
January-March 2006, 16(1):117-120
DOI
:10.4103/0971-3026.29065
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13,181
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ABDOMINAL
A pictorial essay - imaging in surgical jaundice
NA Patel, H Parekh, DP Vasavada, SG Mehta, MM Porecha, J Shah
January-March 2006, 16(1):75-82
DOI
:10.4103/0971-3026.29054
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9,571
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Images: CT whirl sign - midgut volvulus
S Magu, KN Ratan, K Agrawal
January-March 2006, 16(1):83-84
DOI
:10.4103/0971-3026.29055
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9,065
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MUSCULOSKELETAL
"Imaging features of extramedullary plasmacytoma of skull base with multiple myeloma"- a rare case
A Pancholi, S Raniga, PA Vohra, V Vaidya, A Prajapati, S Mansingani
January-March 2006, 16(1):29-32
DOI
:10.4103/0971-3026.29040
Imaging features of extramedullary plasmacytoma of skull base with multiple myeloma is reported in a 65 year old woman patient presented with multiple cranial nerve palsies. Contrast Enhanced CT revealed a large homogeneously enhancing mass in the left parapharyngeal region with extension in left petrous apex, left cavernous sinus and upper two cervical vertebrae. An extramedullary plasmacytoma associated with multiple myeloma was diagnosed after biopsy from the mass and laboratory investigations.
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9,068
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Unusual presentation of shoulder joint tuberculosis: A case report
DL Lakhkar, M Yadav, A Soni, M Kumar
January-March 2006, 16(1):23-26
DOI
:10.4103/0971-3026.29038
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NEURORADIOLOGY
A case of tolosa -hunt syndrome - Mr imaging appearance
BP Sathyanathan, R Rajasundaram, ST Sankaravadivelu, K Nadhamuni
January-March 2006, 16(1):97-98
DOI
:10.4103/0971-3026.29060
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Extensive gray & white matter abnormalities in
Wilson's disease
: A case report
SB Grover, P Gupta, A Kumar, H Mahajan
January-March 2006, 16(1):91-94
DOI
:10.4103/0971-3026.29058
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7,905
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Cervico-thoracic neurenteric cyst - a case report
M Sreedhar, S Menon, G Varma, N Ghosal
January-March 2006, 16(1):99-102
DOI
:10.4103/0971-3026.29061
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7,649
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MUSCULOSKELETAL
Hypertrophic pulmonary osteoarthropathy detected by Tc-99m MDP bone scintigraphy.A case report and review of literature
A Sreekumar
January-March 2006, 16(1):17-18
DOI
:10.4103/0971-3026.29036
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7,648
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NEURORADIOLOGY
Gas geyser - a preventable cause of carbon monoxide poisoning
R Anand, R Anand, A Verma, P Jagmohan
January-March 2006, 16(1):95-96
DOI
:10.4103/0971-3026.29059
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7,520
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GENITOURINARY RADIOLOGY
Bladder exstrophy - A case report
AK Shah, MA Joshi, S Kumar
January-March 2006, 16(1):103-106
DOI
:10.4103/0971-3026.29062
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6,707
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ABDOMINAL
Acute pancreatitis due to round worm in main pancreatic duct
RD Dani, V Gandhi, G Thakkar, P Patel
January-March 2006, 16(1):85-86
DOI
:10.4103/0971-3026.29056
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6,410
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MUSCULOSKELETAL
"Giant haemangioma of the scalp - a case report
AG Hombal, KK Hegde
January-March 2006, 16(1):41-43
DOI
:10.4103/0971-3026.29043
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5,775
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ABDOMINAL
Malignant gastrointestinal stromal tumor
P Issar, MK Dwivedi, SK Issar, RK Pal, L Dewanagan
January-March 2006, 16(1):65-67
DOI
:10.4103/0971-3026.29051
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5,666
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VASCULAR AND INTERVENTIONAL RADIOLOGY
Endovascular coiling of ruptured internal iliac artery aneurysm in a leukemia patient-a case report
AK Gupta
January-March 2006, 16(1):59-61
DOI
:10.4103/0971-3026.29049
Endovascular occlusion of isolated internal iliac artery aneurysm is a safe and effective procedure. We report a case of coiling of a ruptured Internal Iliac artery aneurysm in a leukaemia patient with intramuscular haematoma achieving an excellent immediate result and no recanalisation on 6 month follow up.
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5,775
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MUSCULOSKELETAL
An aneurysmal bone cyst arising from fibrous dysplasia in frontal bone
RD Dani, VS Gandhi, GN Thakkar, HJ Prajapati, GD Rathod
January-March 2006, 16(1):49-52
DOI
:10.4103/0971-3026.29045
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5,144
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HEAD NECK AND FACE
Post traumatic epidermoid inclusion cyst of the orbit
CM Shetty, PK Rai, VK Jain
January-March 2006, 16(1):135-137
DOI
:10.4103/0971-3026.29070
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5,109
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MUSCULOSKELETAL
Aneurysmal bone cyst of sacrum - a case report
A Shah, P Luthra, AR Mahale, A Kumar, A Venugopal, V Poornima
January-March 2006, 16(1):19-21
DOI
:10.4103/0971-3026.29037
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5,055
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CHEST
Doppler findings In castleman disease - A rare case
S Raniga, C Shah, A Shrivastava, P Amin, P Patel
January-March 2006, 16(1):127-130
DOI
:10.4103/0971-3026.29068
Castleman's disease is a rare, benign disease of unknown cause that induces reactive lymph node hyperplasia. It has two histologic subtypes: hyaline vascular and plasma cellular. A definitive diagnosis necessitates tissue biopsy. A specimen may be even misdiagnosed as lymphoma in frozen section. Surgery is the treatment of choice for the solitary form, whereas chemotherapy, radiotherapy, and steroids are proposed for the multicentric type. When this condition affects the neck, it usually presents as a solitary neck mass. Multiple neck masses are an uncommon presentation of Castleman disease affecting the neck. Most Castleman's disease lesions appear as nonspecific, well-defined hypoechoic masses on sonography. Sonography remains useful for the evaluation of cervical and axillary Castleman's diseases, in which the depiction of prominent peripheral vessels and penetrating feeding vessels on Doppler sonograms can suggest the diagnosis of this uncommon disease. Castleman's disease of the neck on CT and MRI scan has been described as well-circumscribed homogeneous mass lesion with moderate to intense enhancement.
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MUSCULOSKELETAL
Langerhans cell histiocytosis: Multifocal eosinophilic granuloma - a case report
HVK Nagendra, KK Hegde
January-March 2006, 16(1):33-35
DOI
:10.4103/0971-3026.29041
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4,624
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CARDIAC RADIOLOGY
Arrhyyhmogenic right ventricular dysplasia; radiologic findings of the left ventricle: A case report and review of the literature
K Arda, N Ciledag, F Kacmaz, O Tufekcioglu, Y Sereflisan
January-March 2006, 16(1):131-134
DOI
:10.4103/0971-3026.29069
Arrhythmogenic right ventricular dysplasia (ARVD) is characterized by progressive fibro fatty replacement of the right ventricular myocardium which constitutes a substrate for electrical instability and a focus of ventricular arrhythmias. Most of the patients have some degree of left ventricular involvement which also affects the right ventricle by the same disease process. From thirty percent to 50% of patients with ARVD have a family history of the disease. The most common pattern of inheritance is autosomal dominant. Clinically, ARVD usually presents with ventricular arrhythmias, and there is approving evidence that this is the underlying disease in a substantial number of sudden deaths among young, especially healthy individuals. The diagnosis of ARVD relies on the presence of structural and functional abnormalities of the right ventricle, electrophysiological abnormalities, and family history. The imaging modalities are conventional angiography, echocardiography (ECO), radionuclide angiography, ultra fast computed tomography, and magnetic resonance imaging. (MRI). We are presenting a case of ARVD with ECO, computed tomography (CT), and MRI findings.
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4,504
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CHEST
Calcified bronchocele
F Haque, SZ Abbas, H Pandey, HSP Babu, S Wahab
January-March 2006, 16(1):123-125
DOI
:10.4103/0971-3026.29067
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VASCULAR AND INTERVENTIONAL RADIOLOGY
Images: Contrast enhanced MR angiography in AV malformation of thenar eminence hand
A Sharma, SV Singh, S Puri, NIkhil
January-March 2006, 16(1):57-58
DOI
:10.4103/0971-3026.29048
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4,048
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MUSCULOSKELETAL
"Aggressive infantile fibromatosis
SN Kumar, RK Vahesan, J Praveena
January-March 2006, 16(1):45-47
DOI
:10.4103/0971-3026.29044
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3,768
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VASCULAR AND INTERVENTIONAL RADIOLOGY
Demonstration of entrapment in a totally occluded popliteal artery-a case report
NK Bodhey, AK Gupta, M Unnikrishnan
January-March 2006, 16(1):63-64
DOI
:10.4103/0971-3026.29050
A case of intermittent claudication in a young male patient with short segment occlusion of popliteal artery is presented. Entrapment of the artery was recognised during attempted angioplasty by demonstration of extrinsic impression on the inflated balloon during forced plantar flexion. The importance of identifying this condition for definitive surgical management is stressed.
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3,769
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NEURORADIOLOGY
Holoprosencephaly:A feature of
Patau syndrome
R Malik, VK Pandya, S Malik, P Awasthi, A Sharma
January-March 2006, 16(1):87-89
DOI
:10.4103/0971-3026.29057
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3,651
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ABDOMINAL
Extra-adrenal pheochromocytoma presenting as pre-ecclampsia: A case report
CM Shetty, PK Rai
January-March 2006, 16(1):69-70
DOI
:10.4103/0971-3026.29052
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3,463
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MUSCULOSKELETAL
Secondary aneurysmal bone cyst developing in fibrous dysplasia
R Malik, VK Pandya, P Awasthi
January-March 2006, 16(1):27-28
DOI
:10.4103/0971-3026.29039
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3,447
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GYNAECOLOGY AND OBSTETRICS
Antenatal ultrasound diagnosis of dicephalus dipus dibrachius - and its correlation with autopsy
K Balakumar
January-March 2006, 16(1):107-108
DOI
:10.4103/0971-3026.29063
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3,345
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MUSCULOSKELETAL
Case report : Proteus syndrome - an unusual hamartomatous disorder
SB Patel, SR Shah, KG Goswami, S Jain, D Shah, A Katti
January-March 2006, 16(1):55-56
DOI
:10.4103/0971-3026.29047
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3,169
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Multifocal osteoid osteoma - a case report
RM Chandak, SV Phatak, L Jain, PK Kolwadkar
January-March 2006, 16(1):53-54
DOI
:10.4103/0971-3026.29046
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2,938
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LETTER TO EDITOR
MR images of the wrist
VS Patil
January-March 2006, 16(1):147-147
DOI
:10.4103/0971-3026.29074
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QUIZ
Radiological quiz - neuroradiology
P Jagmohan, S Sangwan, SK Sethi, RS Solanki, BKS Chauhan
January-March 2006, 16(1):139-141
DOI
:10.4103/0971-3026.29071
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2,834
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PRESIDENTIAL ADDRESS
Presidential address
SS Doda
January-March 2006, 16(1):15-16
DOI
:10.4103/0971-3026.29035
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2,727
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QUIZ
Radiological quiz - genitourinary
A Rao, BS Viswaroop, A Devasia
January-March 2006, 16(1):143-144
DOI
:10.4103/0971-3026.29072
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2,608
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Radiological quiz - obstetric
R Anand, MK Narulla- R Madan, G Kapoor
January-March 2006, 16(1):145-146
DOI
:10.4103/0971-3026.29073
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2,565
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CHEST
Invasive thymoma in a child under 4 years: A rare occurance
R Malik, VK Pandya, S Malik, P Awasthi
January-March 2006, 16(1):121-122
DOI
:10.4103/0971-3026.29066
[FULL TEXT]
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2,542
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© 2007 - Indian Journal of Radiology and Imaging | Published by Wolters Kluwer -
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