iosr-JDMS   Volume-19 ~ Issue-3 ~ March 2020

Abstract: Background :Clinically palpable breast lump , has remained a diagnostic challenge . Multimodality comparative imaging along with histopathological correlation helps in improving accuracy and establishing evidence based characterization of lump/ lesions based on BI-RADS scoring , along with early high specificity detection protocol. Materials and Methods: In this prospective randomised controlled study, 25 patients over an study duration of 18 months were selected . Inclusion criteria being Clinically palpable breast lump and Sonologicallydemonstrated lesion . Exclusion criteria being BI-RADS category 1, 6. GE Voluson 730 expert linear Probe 12MHZ used for Sono-mammography . MRI of the breast was done on GE Signa HDxt 1.5 T MR Scanner. HD 8 channel VIBRANT breast array coil from GE is used in all patients.Finally Core biopsy of the lesion was done and the histo-pathological report assessment was done. Nature of the lesion as described by MRI and USG was compared with histo-pathological results.......

Key Word: Sonomammography , Echogenicity, Intensity , RI values , Bi-Rads category .

[1]. Iglehart JD. The breast. In: Sabiston DC. Text book of Surgery; 14th ed. Philadelphia: WB Saunders, 1991: 510-50.
[2]. National Cancer Registry Program Biennial Report: devised by Indian Council of Medical Research: August 2004.
[3]. Fleming ID, Cooper JS, Henson DE. Manual for staging of cancer: AJCC. In: Kopans DB, editor. Breast imaging. 2nd ed. Lippincott-Raven: Philadelphia.1998. p.108-10.
[4]. Arriagada R, Le MG, Rochard F, Contesso G. Conservative treatment versus mastectomy in early breast cancer: patterns of failure with 15 years of follow-up data. J ClinOncol 1996; 14: 1558-64.
[5]. Orel SG, Schnall MD, LiVolsi VA, Troupin RH. Suspicious breast lesions: MR imaging with radiologic-pathologic correlation. Radiology 1994; 190: 485-93.

Abstract: Background and Aim:Laparoscopic cholecystectomy conducted under general anaesthesia. Pain intensity remains high in initial hours. In search of analgesic technique which has minimal side effects this study was conducted to observe the effectiveness of intraperitoneal instillation of Bupivacaine (0.25%) on post-operative pain following laparoscopic cholecystectomy. Methods: This prospective longitudinal study conducted in 50 patients aged 18-60 years of ASA I-II to assess the effectiveness of post-operative analgesia with 0.25% 40 ml bupivacaine in laparoscopic cholecystectomy under general anaesthesia. Number of patients having VAS<3 at 3 hours, duration of analgesia, total number of rescue analgesic (IM Diclofenac) required in 24 hrs and incidence of any adverse events such as shoulder pain, post-operative nausea and vomiting, respiratory depression were noted.......

Keywords: Laparoscopic cholecystectomy, Intraperitoneal instillation, Bupivacaine, Post-operative analgesia

[1]. Choi JG, Kang H, Baek CW, Jung YH, Kim DR. Effect of intraperitoneal local anaesthetic on pain characteristics after laparoscopic cholecystectomy. World Journal of Gastroenterology 2015;21(47):13386-95.
[2]. Sulekha D. The effect of intraperitoneal bupivacaine for post-operative pain management in patients undergoing laparoscopic cholecystectomy: a prospective double-blind randomized control study. Journal of Dental and Medical Sciences 2013;4(5):64-9.
[3]. Bhardwaj N, Sharma V, Chari P. Intraperitoneal bupivacaine instillation for postoperative pain relief after laparoscopic cholecystectomy: a double blinded randomised controlled study. India Journal of Anaesthesia 2002;46(1):49-52.
[4]. Boddy AP, Mehta S, Rhodes M. The effect of intraperitoneal local anaesthesia in laparoscopic cholecystectomy: a systematic review and meta-analysis.International Anaesthesia Research Society 2006;103(3):682-8.
[5]. Lepner U, Goroshina J, Samarutel J. Postoperative pain relief after laparoscopic cholecystectomy: a randomized prospective double blind clinical trial. Scandinavian Journal of Surgery 2003;92:121-4..

Abstract: Introduction: Epilepsy is affecting approximately 50 million people and most of them are in developing countries. About 10 million people with epilepsy are residing in India. According to various studies the overall prevalence of epilepsy in India is 5.59-10 per 1000. A seizure is defined as a paroxysmal alteration in neurologic function resulting from abnormal excessive neuronal electrical activity and usually a symptom of focal or generalized brain abnormality. Materials and methods: This is a cross sectional study conducted at the Department of Radiology, AJ institute of Medical Sciences and Research, Mangalore.......

Key Words: Epilepsy, MRI, brain abnormality, focal seizures

[1]. Narayanan.JT, murthy.J, New onset acute symptomatic seizure in a neurological ICU. Neurol india 2007; 55:136-140.
[2]. Brodie MJ, Zuberi SM, Scheffer IEet al. The 2017 ILAE classification of seizure types and the epilepsies: what do people with epilepsy and their caregivers need to know? Epileptic Disord. 2018 Apr 1;20(2):77-87.
[3]. Triulzi F, Franceschi M, Fazio F, et al. Nonrefractory temporal lobe epilepsy: 1.5-T MR imaging. Radiology 1988;166:181–5.
[4]. Kimura-Hayama ET, Higuera JA, Corona-Cedillo R, et al. Neurocysticercosis: radiologic-pathologic correlation. RadioGraphics2010; 30:1705–1719.
[5]. Gulati P, Jena A, Tripathi RP, Gupta AK. Magnetic resonance imaging in childhood epilepsy. Indian Pediatr.1991; 28(7):761-65.

Abstract: Introduction: The omentum is a common site for neoplastic disease: ovarian, gastrointestinal, pancreatic, and non-neoplastic processes including granulomatous disease. Conventional management of advanced ovarian cancer involves aggressive debulking surgery followed by chemotherapy. More recently, there has been a move towards neoadjuvant chemotherapy prior to debulking surgery. The EORTC 55971 trial results illustrate, in patients with bulky stage IIIC or IV ovarian cancer, that neoadjuvant chemotherapy followed by interval debulking surgery is not inferior to primary debulking surgery followed by chemotherapy. The main aim of this study was to demonstrate the outcome and safety of image guided omental biopsy.......

Key Words: Omentum, granulomatous disease, Image guided biopsy

[1]. Vergote I, Tropé G, Amant GB et al. Neoadjuvant Chemotherapy or Primary Surgery in Stage IIIC or IV Ovarian Cancer. New England Journal of Medicine. 2010; 363:943-953.
[2]. Ovarian cancer: The recognition and initial management of ovarian cancer. CG122. NICE clinical guidelines. Issued: April 2011
[3]. MD, Vansonnenberg E, Shankar S, Silverman SG. Omental cakes: unusual aetiologies and CT appearances. Insights Imaging. 2011 Aug; 2(4):399-40.

Abstract: Introduction: Acute pyelonephritis is define as a renal inflammation, most commonly occurs in female population age group between 15-40 years. Most of times, the diagnosis of APN is made by clinical and laboratory tests. Various imaging technique are available to diagnose the renal inflammation cases. Computed tomography imaging provides better management of such cases because of its high sensitivity and specificity. Materials and Methods: This is a prospective study over a period of 1 year from January 2019 to December 2019. A total of 30 patients were analysed retrospectively at the Department of Radiology, AJ Institute of Medical Sciences, and Mangalore. All patients who are referred to the department of Radiodiagnosis for Computed Tomography (CT) scan with clinical suspicion/ diagnosis of acute pyelonephritis were consecutively inducted into the study after receiving informed consent......

Key Words: Acute pyelonephritis, CT, nephrostomy, sensitivity, specificity.

[1]. Gold RP, McClennan BL. Acute infections of renal parenchyma. In: Pollack HM, editor. Clinical urography. 2nd ed. Philadelphia, PA: Saunders, 1990 (5);799–821.
[2]. Papanicolaou N, Pfister RC. Acute renal infections. Radiol Clin North Am 1996; 34 (2):965–995.
[3]. D'Ippolito G, Abreu Jr L, Borri ML, Galvão Filho MM, Hartmann LGC, Wolosker AMB. Pielonefrite aguda: classificação, nomenclatura e diagnóstico por imagem. Rev Imagem 2005;27 (4): 183–194.
[4]. Stunell H, Buckley O, Feeney J, Geoghegan T, Browne RF, Torreggiani WC. Imaging of acute pyelonephritis in the adult. Eur Radiol 2007;17 (6): 1820–1828.
[5]. Ramakrishnan K, Scheid DC. Diagnosis and management of acute pyelonephritis in adults. Am Fam Physician 2005;71(1):933-42.

Abstract: Introduction: The neck has a complex anatomy and contains small anatomic structures that are closely spaced. This necessitates a thorough understanding of normal spatial relationships and anatomical variants for the diagnosis of lesions. Cross sectional imaging remains the corner stone for elucidation of anatomy and detection of pathology. This study compares CT with MR, to find modality best suited for various pathologies of the region. Better visualization with the appropriate modality can provide the clinician with key information for best possible management of the patient. Materials and Methods: The prospective hospital-based study was carried out on hundred cases in Department of Radiology, AJ Institute of Medical Sciences and Research, Mangalore, Karnataka from January 2018 to December 2019. Informed consent......

Key Words: MRI, CT, T2WI axial

[1]. King AD, Tse GMK, Yuen EHY, To EWH, Vlantis AC, Zee B et al. Comparison of CT and MR imaging for the detection of extranodal neoplastic spread in metastatic neck nodes. Eur J Radiol. 2004;52:264–2.
[2]. Lee YY, Van Tassel P, Nauert C, North LB, Jing BS. Lymphomas of the head and neck: CT findings at initial presentation. Am. J. Roentgenol. 1987;149:575-558.
[3]. Vaid S, Lee YY, Rawat S, Luthra A, Shah D, Ahuja AT. Tuberculosis in the head and neck — a forgotten differential diagnosis. Clin Radiol. 2010;65:769-770.
[4]. Yousem DM, Kraut MA, Chalian AA. Major Salivary Gland Imaging. Radiology. 2000;216:19-29.
[5]. Koral K, Sayre J, Bhuta S, Abemayor E, Lufkin R. Recurrent Pleomorphic Adenoma of the Parotid Gland in Pediatric and Adult Patients:Value of Multiple Lesions as a Diagnostic Indicator. AJR Am J Radiol. 2003;180:1171-1174.

Abstract: Introduction:Acute cholecystitis is an acute inflammatory condition of the gall bladder; 95% of cases of acute cholecystitis are due to an obstructing calculus in the gall bladder neck orcystic duct.1The pathophysiology of acute cholecystitis is complex and not completely understood. In 96% of cases there are gallstones, and typically, a calculus causes cystic duct obstruction.The trapped concentrated bile has an irritative effect onthe gallbladder wall, causing increased secretions leading to distention, wall edema, and hypervascularity of the wall. Materials and Methods:The study was a Cross Sectional study conducted at Department of Radiology, AJ Institute of Medical Sciences and Research, Mangalore, Karnataka for a period of 12 months between January 2019 to December 2019.All patients with clinical suspicion/Diagnosis of Acute cholecystitis referred for CT were consecutively inducted into the study.......

Key Words: CT, IOP, SAP, acute cholecystitis

[1]. Redman HC. Standard Radiological Diagnosis and CT scanning in pancreatic cancer. Cancer. 1981;47:1656-61.
[2]. Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis: value of CT in establishing prognosis. Radiology. 1990;174(2):331-36.
[3]. Shankar S, van Sonnenberg E, Silverman SG, et al. Imaging and percutaneous management of acute complicated pancreatitis. Cardio vasc Intervent Radiol. 2004;27(6):567-80.
[4]. Banks PA, Freeman ML. Practice guidelines in acute pancreatitis. Am J Gastroenterol. 2006;101(10):2379-400.

Abstract: Intraspinal tumor are not uncommon lesion that may result in serious morbidity. Their clinical symptoms are often non-specific and include back pain, radicular symptom and slowly progressive neurological deficits such as limb weakness, paresthesia, gait problem, impotence bowel and bladder dysfunctions are the most common. Less common are acute headache, skeletal deformity such as kyphoscoliosis.The study was carried out in the department of Radiology and imaging, Dhaka Medical College Hospital, Dhaka (DMCH) in the collaboration with Neurosurgery department of DMCH. A total number of 50 patients from 11-70 years of age were evaluated by detailed history and clinical Examination with special emphasis on nervous system who subsequently underwent for MR Scan of spine........

Key Words: Intraspinal, Histopathological, Sensitivity, Specificity, Accuracy

[1]. Verdelhan OD, Haegelen C, Carsin-Nicol B, Riffaud L, Amlashi SFA, Brassier G, Carsin M, Morandi X 2005, "MR Imaging features of spinal schwannomas and meningiomas, JNR vol. 32, no. 1, pp. 42-49.
[2]. Friedman DP, Tartaglino LM, Flanders AE 1992, "IntraduralSchwannomas of the spine: MR findings with contrast Enhancement characteristics‟, AJR, vol. 158, pp. 1347-1350. [3]. Dillon WP, Norman D, Newton TH, Bolla K, Mark A 1989, Intradural spinal cord lesions: Gd-DTPA-enhanced MR Imaging, Radiology, vol. 170, pp. 229-237. [4]. Takemoto K, Matsuma Y, Hashimoto H, Inone Y, Fukuda T, Shakudo M et al. 1988, "MR Imaging of Intraspinal Tumors Capability in Histological Differentiation and Compartmentalization of Extramedullary Tumors‟, Neuroradiology; vol. 30, pp. 303-309. [5]. Parizal PM, Baleriux D, Rodesh G, Segebarth C, Lalmand B, Christophe C et al. 1989, "Gd-DTPA Enhanced MR Imaging of Spinal Tumors‟, AJR, vol. 152, pp. 1087-1096.