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   2005| January-March  | Volume 15 | Issue 1  
 
 
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MUSCULOSKELETAL
Well circumscribed breast carcinoma : Mammographic and sonographic finding report of fine cases
N Shah, SB Patel, KG Goswami, YM Gohil, DM Shah
January-March 2005, 15(1):77-80
DOI:10.4103/0971-3026.28752  
  53,308 664 2
Different radiological presentations of congenital syphilis : four cases.
M Sharma, RN Solanki, A Gupta, AK Shah
January-March 2005, 15(1):53-57
DOI:10.4103/0971-3026.28745  
  17,093 1,137 -
HEAD AND NECK
Pictorial assay - parapharyngeal space lession
S Biswas, S Saha, A Sadhu
January-March 2005, 15(1):41-46
DOI:10.4103/0971-3026.28742  
  12,237 1,847 2
VASCULAR IMAGING
Color and duplex doppler imaging evaluation of extracranial carotid artery in patients presenting with transient ischaemic attack and stroke : a clinical and radiological correlation.
SK Sethi, RS Solanki, H Gupta
January-March 2005, 15(1):91-98
DOI:10.4103/0971-3026.28756  
OBJECTIVES -Present study was done to evaluate carotid artery disease by color and duplex imaging in 63 patients (126 vessels) presenting with transient ischaemic attack and stroke. METHODS Vessel wall thickness and plaque characterization were done by gray scale ultrasound and site and severity of stenosis was assessed on color and duplex Doppler. Doppler finding were correlated with clinical presentation, risk factors, CT and echocardiographic findings. RESULTS-Male sex (p<0.01), post menopausal state (p<0.05) Presence of hypertension (p<0.01), systolic blood pressure, smoking (p<0.05), diabetes mellitus (p<0.05), history suggestive of peripheral arterial disease (p<0.01), previous CVA (p<0.01) were determined to be statistically significant risk factors. All the patients with a carotid bruit had abnormal carotid Doppler. Mean cholesterol levels in patients with normal carotid arteries was 186.52 ( 36.88) mg% and mean cholesterol level in patients with carotid lesion was 219.11( 35.13) All patients with >40% stenosis had a cortical infarct, none of patients with >40% stenosis had a subcortical infarct. All 22 patients with sub cortical infarcts had either normal extra-cranial carotids or had <40% stenosis. . Majority of plaques (50%) in the present study were located at the bifurcation. Color Flow imaging showed a definite advantage over B-mode scanning in identification of the hypoechoic plaques and in identification of plaque ulcerations. The overall perfect agreement between Color Doppler Flow Imaging and Conventional Duplex scanning was 96.8%. In patients with complete occlusion findings of color flow imaging and spectral analysis were confirmed on power Doppler imaging. Mean IM thickness of patients with normal echocardiography was 0.9250 ( 0.2863) and IM thickness of patients with echocardiographic evidence of IHD was 1.3455 ( 0.2734). CONCLUSION-As progression of the atherosclerotic disease can be stopped by reducing the risk factors and critical (>70%) stenosis treated surgically present study highlights the importance of doppler imaging in stroke prevention through surveillance for atherosclerosis that predisposes a person to cerebral ischaemia.
  10,849 926 3
GASTROINTESTINAL RADIOLOGY
Comparative study of plain abdomen and ultrasound in non-traumatic acute abdomen
K Gupta, RK Bhandari, R Chander
January-March 2005, 15(1):109-115
DOI:10.4103/0971-3026.28760  
The comparative study of plain x-ray film abdomen and ultrasound in non-traumatic acute abdomen was done in 50 patients with acute abdominal pain seen in the Department of Radiodiagnosis and Imaging of Govt. Medical College, Amritsar during the year 2000-2001. Ultrasound was highly accurate in diagnosing the exact cause of acute abdomen with high overall predictive accuracy of 98.3% and sensitivity of 90%. Plain x-ray abdomen was 100% diagnostic in GIT perforation, GIT obstruction, psoas abscess (caries spine) and renal colic with overall predictive accuracy of 4.1% and sensitivity of 60%.
  10,011 1,084 4
MUSCULOSKELETAL
Mesiodens presenting as a dentigerous cyst : Case report
SB Grover, P Singh, VP Venkatachalam, N Hekha
January-March 2005, 15(1):69-72
DOI:10.4103/0971-3026.28749  
  8,668 658 5
GENITOURINARY
Spectrum of US and CT findings in renal neoplasms with pathologic correlation
P Hatimota, S Vashist, K Aggarwal, A Kapoor, NP Gupta
January-March 2005, 15(1):117-125
DOI:10.4103/0971-3026.28761  
Objective: The purpose of this study was to characterize the image morphology of renal neoplasms on US (including CDFI) and CT and to stage these tumors and correlate the imaging findings with operative and/or histopathological findings. Materials and methods: a total of 50 patients were studied. These included renal cell carcinoma (n=38), angiomyolipoma (n=5), renal metastases (n=3), oncocytoma (n=1), transitional cell carcinoma (n=1), multilocular cystic nephroma (n=1) and nephroblastomatosis with Wilms tumour (n=1). All patients were evaluated by US and CT. Imaging finding were correlated with both operative and histopathological findings in 31 patients. Diagnosis was confirmed by percutaneous biopsy in 14 patients. In 5 patients final diagnosis was made on classical imaging features. Results : Most renal cell carcinomas had a solid appearance. On US, the most common appearance of RCC was predominantly isoechoic to normal renal parenchyma (78%) followed by hypo & hyperechoic lesions. Only 1 patient had cystic RCC. Solid renal cell carcinomas showed presence of peripheral and intralesional vascularity. The peak systolic Doppler frequency shift ranged from 0.5 KHz to 3.6 KHz. On CT, most of the lesions of RCC were heterogeneous in attenuation with inhomogeneous contrast enhancement less than that of normal renal parenchyma. Calcification was seen in 51%, necrosis in 94%, and haemorrhage in 20% lesions of RCC. Cystic RCC had thick walls, internal septations and solid components, all showing enhancement. Most of the angiomyolipomas (n=4) were homogenously hyperechoic on US, showed peripheral vascularity with peak systolic Doppler frequency shift less than 2.5 kHz. On CT, AML most commonly appeared as well defined, heterogeneous mass lesions showing internal fat density and variable contrast enhancement. Metastatic renal lesions were seen as small, homogenously hypoechoic on US, hypo to isodense on CT and showed minimal or no contrast enhancement. One case of oncocytoma showed a well defined, homogenous mass with central echogenic stellate scar and calcification on US. CT showed homogenous contrast enhancement with central hypodense stellate scar. TCC appeared as an intermediate echogenic mass on US, located in the dilated renal pelvis and extending into the upper ureter. On CT the mass was located centrally having density greater than that of urine, showing minimal contrast enhancement with centrifugal extension and invasion of renal parenchyma. Multilocular cystic nephroma was seen as a well-defined lesion with multiple cystic spaces, separated by septae which were echogenic on US and showed mild to moderate enhancement on CT. Conclusion: US and CT show many of the key imaging features used to characterize most of the renal neoplasms. However, some lesions remain indeterminate and require percutaneous biopsy to confirm the diagnosis.
  8,728 589 -
NEURORADIOLOGY
Compensated aqueduct of sylvius obstruction by web-a case report.
N Flora, N Kulasekaran, SK Mudali, TS Swaminathan
January-March 2005, 15(1):19-20
DOI:10.4103/0971-3026.28736  
  7,975 588 1
ABDOMINAL
Radiological features of rare pancreatic tumors.
R Subbaraidiu, S Patnaik
January-March 2005, 15(1):35-40
DOI:10.4103/0971-3026.28741  
Ductal adenocarcinomas and its variants comprise 90 percent of all tumors of pancreas. The rest are rare. The radiological features of five such cases of rare pancreatic tumors are described and the relevant literature is reviewed.
  7,424 458 -
GASTROINTESTINAL RADIOLOGY
Ultrasound diagnosis of intestinal ascariasis
K Balakumar
January-March 2005, 15(1):107-108
DOI:10.4103/0971-3026.28759  
  7,190 507 2
MRI PHYSICS
Evaluation of slice thickness and inter slice distance in MR scanning using designed test tool
P Narayan, S Suri, SR Choudhary, N Kalra
January-March 2005, 15(1):103-106
DOI:10.4103/0971-3026.28758  
Materials & Methods : A Test Tool Phantom was designed and kept in Heat RF coil to be studied under sequences to evaluate the concerned parameter. An imaging sequence with specified slice thickness and inter slice distance was programmed for imaging purpose. After acquisition of the sequence, the obtained image was evaluated for FW (Full width at half maxima) using the image intensity profile measurement. The evaluated FWHM was correlated with the slice thickness and compared it with set value. To evaluate the interslice distance same test tool was used with three more image slices and the slice position with respect to the origin was evaluated with distance measurement protocol in the system. The difference between tow consecutive slice positions corresponds the interslice distance. The whole measurement was performed on Siemens magnetom Vision Plus MRI System using the designed test tool. Results : Evaluated Slice Thickness and interslice distance were compare with the set valued in the programmed sequences and the variation found were under 1 mm. Conclusion : The designed tool can serve the purpose of routine Quality Assurance in MRI and the slice thickness parameter can be evaluated very easily. The designed test toll fulfills the criteria of task group of AAPM.
  6,381 341 1
NEURORADIOLOGY
Chiari III malformation - a case report
M Joshi, V Goswami, A Jain, R Agarawal, A Gupta
January-March 2005, 15(1):17-18
DOI:10.4103/0971-3026.28735  
  5,352 420 3
Creutzfeldt-Jakob disease - a case report
AK Gupta, JK Shah
January-March 2005, 15(1):21-25
DOI:10.4103/0971-3026.28737  
  5,297 315 -
GYNAECOLOGY AND OBSTETRICS
A case report of foetus having combined features of LBWC + OEIS Complex
HR Shah, PC Patwa, AV Tannk, JB Pandya, C Nayak, R Garasia
January-March 2005, 15(1):85-88
DOI:10.4103/0971-3026.28754  
  5,289 281 -
HEAD AND NECK
Case report : Neurofibroma of dental pulp" first report from Iran
MM Fani, SH Shahidi, B Zamiri, KH Daneshbod
January-March 2005, 15(1):47-48
DOI:10.4103/0971-3026.28743  
  5,148 366 1
MUSCULOSKELETAL
Ultrasound diagnosis of lateral meniscus cyst
DH Thakkar
January-March 2005, 15(1):75-76
DOI:10.4103/0971-3026.28751  
  5,122 374 -
GYNAECOLOGY AND OBSTETRICS
Pentalogy of cantrell
P Alagappan, A Chellathurai, TS Swaminathan, S Mudali, N Kulasekaran
January-March 2005, 15(1):81-84
DOI:10.4103/0971-3026.28753  
  4,631 386 3
NEURORADIOLOGY
Rhomboencephalosynapsis with associated supratentorial anomalies - a case report.
S Kundu, SK Sharma, S Roy, B Kundu, S Chatterjee
January-March 2005, 15(1):27-28
DOI:10.4103/0971-3026.28738  
  4,746 264 1
ABDOMINAL
Tuberculosis of pancreas: A case report
K Uma, J JM Reddy, A Kumar, A Prayag
January-March 2005, 15(1):29-30
DOI:10.4103/0971-3026.28280  
  4,347 496 1
MUSCULOSKELETAL
Extraosseous osteogenic sarcoma of forearm
A Krishnan, CJ Bhatt, S Lagvankar, PR Patel
January-March 2005, 15(1):63-66
DOI:10.4103/0971-3026.28747  
  4,431 214 -
PRESIDENTIAL ADDRESS
Indian radiological & imaging association
Satish K Bhargava
January-March 2005, 15(1):15-16
DOI:10.4103/0971-3026.29183  
  4,193 320 -
MUSCULOSKELETAL
A rare case of lead poisoning - a case report
BR Nagaraj, Eshwarappa , PM Kumar
January-March 2005, 15(1):67-68
DOI:10.4103/0971-3026.28748  
  4,150 327 -
Extraskeletal retroperitoneal osteosarcoma-a case report
R Rastogi, SK Bhargava
January-March 2005, 15(1):59-61
DOI:10.4103/0971-3026.28746  
The incidence of extraskeletal osteosarcomas located in the soft tissues without attachment to the bone or periosteum in only 1 percent. The most common location of these tumors is the lower extremity (42-47 percent); especially the thigh followed by the upper extremity (12-1 percent) and the retroperitoneum (8-17 percent). Hence, we report an extremely rare case of extraskeletal retroperitoneal osteosarcoma.
  4,007 291 -
QUIZ
Radiological quiz - paediatrics parotid hemangioma
V Karla, R Anand, MK Narula
January-March 2005, 15(1):131-132
DOI:10.4103/0971-3026.29186  
  3,835 314 1
ABDOMINAL
Adenocarcinoma oesophagus with solitary, unilateral calcified adrenal metastases
N Bhargava, SK Bhargava
January-March 2005, 15(1):33-34
DOI:10.4103/0971-3026.28740  
  3,741 222 -
QUIZ
Radiological quiz - head & neck radiology
C Raychaudhari, HB Roy, G Agrawal, K Vijay
January-March 2005, 15(1):133-135
DOI:10.4103/0971-3026.29187  
  3,641 287 -
GYNAECOLOGY AND OBSTETRICS
Signs : "Halo sign" in early angioinvasive aspergillus's
S Mahajan, P Nagtode, RR Khandelwal, S Ingole
January-March 2005, 15(1):89-90
DOI:10.4103/0971-3026.28755  
  3,462 255 -
VASCULAR IMAGING
Plan radiographic anticipation of adequacy of left ventricular size in patients with tetralogy of fallot by studying the level of diaphragmatic domes a new sign. A catheter correlated study of hundred patients.
PC Rajaram, Lakshmikanthan , S Thanikachalam, S Vaidyanathan, N Subramanian
January-March 2005, 15(1):99-102
DOI:10.4103/0971-3026.28757  
A simple plain Radiographic method for anticipating the adequacy of left ventricular size in Tetralogy of Fallot (T.O.F.) by studying the level of cardiac dome (i.e.) the dome in contact with cardiaic apex is described. Out of eighty one patients with good sized left ventricle, seventy had low placed cardiac dome and eleven had equal domes. In nineteen patients with small left ventricle, the cardiac dome was high placed. In Tetralogy of Fallot, equal domes and low placed cardiac dome suggest good sized left ventricle. A high placed cardiac dome indicates small sized left ventricle. This information is useful to anticipate adequacy of left ventricular size to cope up with systemic circulation post-operatively. While the plain Radiographic indication of adequate sized left ventricle in Tetralogy migh obviate the need for left ventriculogram, a small sized left ventricle anticipated on plain radiograph will, in fact, indicate left ventricular angiographic corroboration and evaluation.
  3,474 211 1
ABDOMINAL
Radionuclide detection of accessory reticuloendothelial thoracic masses, coupled with congenital hepatic abnormality
P Bhatnagar, H Rawat, S Kishan, A Bhatnagar, R Kashyap
January-March 2005, 15(1):31-32
DOI:10.4103/0971-3026.28739  
Congenital hepatic abnormality is quite rare while congenital thoracic reticulo-endothelial masses have been rarely reported. Further, an association between accessory reticulo-endothelial (RES) masses and congenital hepatic abnormality is extremely rare. We report a case with both these unusual features.
  3,474 190 -
MUSCULOSKELETAL
Extra-nodal manifestations of Hodgkin's disease
PV Shekar, R Pal, MK Diwedi, S Hiren, V Agarwal, R Aind
January-March 2005, 15(1):73-74
DOI:10.4103/0971-3026.28750  
  3,225 231 -
QUIZ
Radiological quiz - musculoskeletal
AY Lakshmi, M Venkataramanappa
January-March 2005, 15(1):143-144
DOI:10.4103/0971-3026.29192  
  3,168 244 -
HEAD AND NECK
Imaging findings in a case of recurrent malignant melanoma of the eyelid
A Kharat, A Singh, N Naphade, N Raka
January-March 2005, 15(1):49-51
DOI:10.4103/0971-3026.28744  
  2,857 219 -
QUIZ
Radiological quiz - abdomen
H Singh, M Maurya
January-March 2005, 15(1):141-142
DOI:10.4103/0971-3026.29191  
  2,880 190 -
Radiological quiz - chest
R Harikumar, AP Chettupuzha, V Thomas, RV Raman, Vasuchembukkara
January-March 2005, 15(1):137-138
DOI:10.4103/0971-3026.29189  
  2,762 198 -
EDITORIAL
Total body MR Screening a new concept and protocol
Shrinivas B Desai
January-March 2005, 15(1):11-12
DOI:10.4103/0971-3026.28734  
  2,561 308 -
QUIZ
Radiological quiz - abdominal imaging
AN Hegde, JA Halankar, SB Desai
January-March 2005, 15(1):129-130
DOI:10.4103/0971-3026.29185  
  2,286 201 -
Radiological quiz - neuroradiology
DA Shah, GD Rathod
January-March 2005, 15(1):127-128
DOI:10.4103/0971-3026.29184  
  2,265 219 1
Radiological quiz - chest
SK Sethi, RS Solanki
January-March 2005, 15(1):139-140
DOI:10.4103/0971-3026.29190  
  2,196 195 -
Radiological quiz - chest
S Khanduri
January-March 2005, 15(1):135-136
DOI:10.4103/0971-3026.29188  
  1,934 187 -
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