The Lateral Gastric X-ray Examination in Malignant Lymphomas.

1973 ◽  
Vol 59 (1) ◽  
pp. 33-43
Author(s):  
Adalgiso Guzzon ◽  
Franco Milani ◽  
Giovanni Viganotti ◽  
Emilio Bajetta
Keyword(s):  
Lower Limb ◽  
Posterior Wall ◽  
Nodal Involvement ◽  
Radiological Findings ◽  
Malignant Lymphomas ◽  
Extensive Experience ◽  
Radiological Parameter ◽  
X Ray ◽  
Splenic Vessels ◽  
Lesser Curvature

The authors studied the radiological findings of compression on the posterior wall of the stomach due to nodal involvement by malignant lymphomas. Compression is nearly always seen when the pathological node are peripancreatic and around the splenic vessels and perigastric (near the lesser curvature on the posterior wall). The para-aortic lumbar nodes do not usually cause compression, because they He nearer the midline. They are usually shown by means of lower limb lymphangiography. The present study describes the most characteristic aspects of these lesions and it outlines the radiological findings in numerous cases of biopsy proven malignant lymphomas. The radiological diagnosis of nodal involvement was confirmed by the clinical evolution of the disease, by repeated X-ray examinations after chemotherapy and cobalt therapy and by exploratory laparotomies in the last two years. Because of the above data and their extensive experience in this field, the authors suggest that lateral gastric X-ray examinations could indicate in a high numer of involved cases the presence of lymphoma in this area. These data supply a new radiological parameter to help classify and plan the treatment of these systemic diseases more correctly.

Chest X-ray in Sarcoidosis: The Association of Age, Gender, and Ethnicity with Different Radiological Findings

2018 ◽  
Vol 13 (4) ◽  
pp. 241-246 ◽  
Author(s):  
Saif Aldeen AlRyalat ◽  
Mohammad Al-Essa ◽  
Rawan Ghazal ◽  
Enas Abusalim ◽  
Dia Mobaideen ◽  
...  
Keyword(s):  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray

Limitations of body mass index for counseling individuals with unilateral lower extremity amputation

2016 ◽  
Vol 41 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Alexandra P Frost ◽  
Tracy Norman Giest ◽  
Allison A Ruta ◽  
Teresa K Snow ◽  
Mindy Millard-Stafford
Keyword(s):  
Body Mass Index ◽  
Lower Extremity ◽  
Health Risk ◽  
Body Mass ◽  
Body Fat ◽  
Lower Limb ◽  
Dual Energy ◽  
Limb Loss ◽  
Percent Body Fat ◽  
X Ray

Background: Body composition is important for health screening, but appropriate methods for unilateral lower extremity amputees have not been validated. Objectives: To compare body mass index adjusted using Amputee Coalition equations (body mass index–Amputee Coalition) to dual-energy X-ray absorptiometry in unilateral lower limb amputees. Study design: Cross-sectional, experimental. Methods: Thirty-eight men and women with lower limb amputations (transfemoral, transtibial, hip disarticulation, Symes) participated. Body mass index (mass/height2) was compared to body mass index corrected for limb loss (body mass index–Amputee Coalition). Accuracy of classification and extrapolation of percent body fat with body mass index was compared to dual-energy X-ray absorptiometry. Results: Body mass index–Amputee Coalition increased body mass index (by ~ 1.1 kg/m2) but underestimated and mis-classified 60% of obese and overestimated 100% of lean individuals according to dual-energy X-ray absorptiometry. Estimated mean percent body fat (95% confidence interval) from body mass index–Amputee Coalition (28.3% (24.9%, 31.7%)) was similar to dual-energy X-ray absorptiometry percent body fat (29.5% (25.2%, 33.7%)) but both were significantly higher ( p < 0.05) than percent body fat estimated from uncorrected body mass index (23.6% (20.4%, 26.8%)). However, total errors for body mass index and body mass index–Amputee Coalition converted to percent body fat were unacceptably large (standard error of the estimate = 6.8%, 6.2% body fat) and the discrepancy between both methods and dual-energy X-ray absorptiometry was inversely related ( r = −0.59 and r = −0.66, p < 0.05) to the individual’s level of body fatness. Conclusions: Body mass index (despite correction) underestimates health risk for obese patients and overestimates lean, muscular individuals with lower limb amputation. Clinical relevance Clinical recommendations for an ideal body mass based on body mass index–Amputee Coalition should not be relied upon in lower extremity amputees. This is of particular concern for obese lower extremity amputees whose health risk might be significantly underestimated based on body mass index despite a “correction” formula for limb loss.

scholarly journals Effects of the acetabular fracture index and other factors of posterior wall acetabular fracture on functional outcome

2017 ◽  
Vol 45 (4) ◽  
pp. 1394-1405 ◽  
Author(s):  
Hai-Tao Long ◽  
Zhen-Han Deng ◽  
Min Zou ◽  
Zhang-Yuan Lin ◽  
Jian-Xi Zhu ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Femoral Head ◽  
Functional Outcome ◽  
Avascular Necrosis ◽  
Lower Limb ◽  
Acetabular Fracture ◽  
Posterior Wall ◽  
Functional Score ◽  
Related Data ◽  
Limb Fracture

Objective To analyze the effects of the acetabular fracture index (AFI) and other factors on the functional outcome of patients with acetabular fractures involving the posterior wall. Methods Forty-eight patients who underwent surgery in our department were reviewed. According to the AFI, which indicates the percentage of remaining intact posterior acetabular arc, the patients were divided into Group A (AFI ≤ 25%, 11 patients), Group B (25% < AFI ≤ 50%, 23 patients), Group C (50% < AFI ≤ 75%, 7 patients), and Group D (75% < AFI ≤ 100%, 7 patients). The AFI was measured with a computed tomography picture archiving and communication system or calculated with the cosine theorem. A nonparametric test and ordinal regression were used to determine the role of the AFI and other factors on the functional outcome. Perioperative information, including demographic and fracture-related data, reduction quality, physical therapy duration, association with a lower limb fracture and avascular necrosis of the femoral head were prospectively gathered. Results The mean AFIs of A, B, C, and D groups were 14.3%, 35.9%, 59.5%, and 81.2%, respectively. No statistically significant differences were observed among the groups for demographic and fracture-related data. A better reduction quality (OR = 4.21, 95%CI 1.42 ∼ 12.43, χ2 = 6.781, P = 0.009) and a larger value of AFI (OR = 2.56, 95%CI 1.18 ∼ 5.55, χ2 = 5.648, P = 0.017) result in a higher functional score. The functional outcome of a physical therapy duration of more than 12 months (OR = 0.15, 95%CI 0.02 ∼ 0.90, χ2 = 4.324, P = 0.038) was better than that of less than 12 months. Lower limb fracture (OR = 0.13, 95%CI 0.02 ∼ 0.74, χ2 = 5.235, P = 0.022) and avascular necrosis of femoral head (OR = 0.02, 95%CI 0.00 ∼ 0.87, χ2 = 4.127, P = 0.042) were found to correlate with a lower functional score. Conclusion With a greater of AFI, the functional outcome score would be better. Other factors, including reduction quality, physical therapy duration, association with a lower limb fracture, and avascular necrosis of the femoral head, most likely also affect hip functional recovery.

scholarly journals NEXT AND LONG-TERM RESULTS OF X-RAY ENDOVASCULAR INTERVENTIONS IN TREATMENT OF CHRONIC CRITICAL ATHERODIABETIC ISCHEMIA OF LOWER EXTREMITIES

2020 ◽  
Vol 18 (6) ◽  
pp. 710-715
Author(s):  
N. N. Ioskevich ◽  
◽  
L. F. Vasilchuk ◽  
P. E. Vankovich ◽  
S. P. Antonenko ◽  
...  
Keyword(s):  
Lower Limb ◽  
Type I Diabetes ◽  
Lower Extremities ◽  
Limb Ischemia ◽  
Type I ◽  
Critical Ischemia ◽  
Lower Limb Ischemia ◽  
X Ray ◽  
Endovascular Interventions

Background. The treatment of chronic critical ischemia of the lower extremities with their combined atherodiabetic lesion is one of the far from the resolved problems of modern surgery. Aim of the study. Analysis of the results of X-ray endovascular interventions in patients with critical lower limb ischemia due to atherodiabetic lesions of the femoral-popliteal-tibial segment. Material and methods. We analyzed the results of REVS in 60 patients with diabetes mellitus with critical ischemia of the lower extremities due to infra-anginal atherosclerotic occlusions with a follow-up period of up to 5 years from the moment of the manipulation. Results. The total shelf life of the lower limb after REVV was 492.4 ± 10.1 days. Out of 26 amputations performed, balloon angioplasty was performed in 18 cases and stenting in 8 cases. In individuals with type I diabetes, the duration of painless period was 415.4 ± 5.1 days, and the total shelf life of the leg was 465.4 ± 4.3 days. In type II diabetes, these indicators were, respectively, 181.4 ± 4.4 days and 317.8 ± 6.7 days. In the group of patients with type I diabetes, the lower limb was saved in 55.6% of cases (in 20 out of 36 patients), and in type II diabetes - in 58.3% (in 14 out of 24 people). Conclusions. The presence of simultaneously obliterating atherosclerosis and diabetes mellitus in patients leads to a combined atherodiabetic lesion of the arterial bed, including infra-anginal arteries. X-ray endovascular interventions (balloon angioplasty and stenting) on the arterial femoral-popliteal-tibial segment are a rather effective method of eliminating chronic critical lower limb ischemia, which allows preserving the lower limb in 56.7% patients with a follow-up period of up to 5 years from the date of surgery. Improving the results of X-ray endovascular interventions in case of chronic critical atherodiabetic lower limb ischemia requires a comprehensive study of the possible causes of occlusions of reconstructed arterial segments (blood coagulation potential, non-optimal processes in the intervention zone).

scholarly journals Sub-Acute Intestinal Obstruction – A Rare Complication in a patient with Autosomal Dominant Polycystic Kidney Disease

2021 ◽  
Vol 4 (03) ◽  
Author(s):  
Nazish Naseer ◽  
Sonia Yaqub
Keyword(s):  
Intestinal Obstruction ◽  
Rare Complication ◽  
Acute Intestinal Obstruction ◽  
Polycystic Kidney ◽  
Radiological Findings ◽  
X Ray ◽  
Distended Abdomen ◽  
X Ray Computed ◽  
Autosomal Dominant Polycystic Kidney ◽  
Tomography Scan

associated with vomiting and constipation. On examination he was an obese, ill looking male with a distended abdomen and bilateral palpable flank masses. Gut sounds were sluggish. Small and large bowel loops were found to be dilated on abdominal x-ray. Computed tomography scan of the abdomen showed grossly enlarged kidneys occupying almost whole of the abdomen pushing small bowel loops anteriorly. Based on clinical and radiological findings a diagnosis of sub-acute intestinal obstruction was made. Patient was managed conservatively (i.e. with NG tube and rectal decompression). This case highlights intestinal obstruction as a rare complication of ADPKD.

Retrospective Review of Clinical and Chest X-Ray Findings in Children Admitted to a Community Hospital for Respiratory Syncytial Virus Infection

2018 ◽  
Vol 57 (14) ◽  
pp. 1686-1692 ◽  
Author(s):  
Denver Niles ◽  
Brett Larsen ◽  
Arvind Balaji ◽  
Dana Delaney ◽  
Elizabeth Campos ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Pediatric Intensive Care ◽  
Clinical Findings ◽  
X Rays ◽  
Radiological Findings ◽  
X Ray ◽  
Severe Group ◽  
Rsv Infection ◽  
Chest X Ray ◽  
Syncytial Virus

Introduction. We performed a retrospective study to evaluate demographics, clinical course, outcome, and radiological findings of children with respiratory syncytial virus (RSV) infection. Methods. Four hundred patients admitted between October 2013 and May 2016 were enrolled. Clinical and radiographic trends were evaluated for association with severity of RSV presentation. Severity was defined as hospitalization >2 days, pediatric intensive care unit admission, or need for mechanical ventilation. Results. Common clinical findings included fever (78.5%), coughing (97%), rhinorrhea/congestion (93%), and hypoxia (44.8%). Hypoxia was seen in 64.7% of the severe group compared with 32.0% in the nonsevere group ( P < .001). Airspace opacification was seen in 49.2% of chest X-rays of the severe group compared with 26.4% in the nonsevere group ( P < .001). Conclusion. Higher incidence of hypoxia or airspace opacification on chest X-ray may be predictors of poorer outcomes for patients with RSV infection.

Chromosome 3 Duplication q/Deletion p Syndrome

PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 611-618
Author(s):  
Robert M. Fineman ◽  
Frederick Hecht ◽  
Ronald C. Ablow ◽  
Rufus O. Howard ◽  
W. Roy Breg
Keyword(s):  
Spina Bifida ◽  
Extra Chromosome ◽  
Psychomotor Retardation ◽  
Chromosome 3 ◽  
Cardiovascular Disorders ◽  
Radiological Findings ◽  
Recombinant Chromosome ◽  
X Ray ◽  
Digital Impressions ◽  
Ocular Hypertelorism

This report describes the clinical, chromosomal, and radiological findings in four unrelated families with different recombinant chromosome 3 abnormalities. On the basis of the phenotypic and cytogenetic findings seen in our six patients and those noted in two recent reports, we concur with Allderdice et al. that the syndrome in which the long arm (q) of chromosome 3 is duplicated and the short arm (p) is deleted is a distinct clinical entity. The psychomotor retardation found in this syndrome appears to be caused mostly by monosomy of the region 3pter→3p25, while severity of the physical malformations (and hence the lethality) is apparently proportional to the amount of extra chromosome 3q material present. That is, patients who are trisomic for larger segments are physically more affected than patients who are trisomic for smaller amounts of the long arm of chromosome 3. Features common to the chromosome 3 duplication q/deletion p syndrome are mental and growth retardation, microcephaly, seizures, prominent and/or asymmetric frontal bossing, ocular hypertelorism, ptosis, upward-slanting palpebral fissures, and low-set and/or malformed ears. Other anomalies frequently seen are short webbed neck, various types of congenital cardiovascular disorders, omphalocele, cryptorchidism, spina bifida, short digits, hypotonia, and digital impressions on skull x-ray examination which are presumably caused by trisomy for the distal band (3q28) of the long arm of chromosome 3. In addition, the importance of doing chromosome studies in persons who are mildly affected, both mentally and physically, is illustrated by the study of one of these families.

scholarly journals Anatomical axis validation of lower extremity for different deformities: A radiological study

2020 ◽  
Vol 8 ◽  
pp. 205031212092382
Author(s):  
Meric Unal ◽  
Sabriye Ercan ◽  
Aydin Budeyri ◽  
Uğur Toprak ◽  
Abdülkerim Şalkaci
Keyword(s):  
Lower Limb ◽  
Mechanical Axis ◽  
Correlation Coefficients ◽  
Strong Positive Correlation ◽  
Knee Alignment ◽  
Intra Class Correlation ◽  
X Ray ◽  
The Past ◽  
Radiology Assistant ◽  
Anatomical Axis

Aim: The aim of this study was to derive a pure, unbiased, reliable and accurate objective relationship between the local knee axis measurements through a short knee anteroposterior roentgenogram and the lower limb axis measurement through an orthoroentgenogram. Patients and Methods: Radiographs of 114 patients (114 knees) were evaluated by two independent raters for measurement of lower limb axis on an orthoroentgenogram and the local knee axis on short knee anteroposterior X-ray, which was derived by cropping the orthoroentgenogram by a blinded radiology assistant. The raters measured at two different time-points separated by an interval of 30-day period. Intra-rater and inter-rater reliabilities were calculated by intra-class correlation coefficients and three models were built to establish the relationships of X-ray anatomical axis with orthoroentgenogram anatomical axis, orthoroentgenogram anatomical axis with orthoroentgenogram mechanical axis and X-ray anatomical axis with orthoroentgenogram mechanical axis. Results: For three different measurements, intra-class correlation coefficients of Rater 2 were higher than 0.90 which shows perfect reliability, while that for Rater 1 was low. Furthermore, first measurements were more consistent than the second measurement. There was a strong positive correlation in all the three models except for varus cases in the last. Conclusion: The standardized correlation derived between the two different techniques for measuring knee alignment is fairly comparable with the studies in the past and would serve as a reliable template for future studies concerning relationships between the two, in addition to helping knee surgeons make more reliable and accurate interpretations through local knee axis measurements.

scholarly journals Opacity in orbital X-ray

2020 ◽  
pp. 102490792094550
Author(s):  
Sunny Chi Lik Au ◽  
Simon Tak Chuen Ko
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Traumatic Event ◽  
History Taking ◽  
Radiological Findings ◽  
X Ray ◽  
Post Traumatic ◽  
Orbital Imaging

X-ray interpretation is a fundamental skill in emergency practice. Post-operative eyes with implants may sometimes pose clinical challenges on post-traumatic event diagnosis and differentiation from organ wasting. Recommended by authorities and guidelines, computed tomography is indicated for evaluation of head injury cases, yet incidental abnormal findings such as radiopacity in the eyeball might create dilemma to diagnosis. History taking and clinical examinations are essential for the interpretation of the radiopacity in orbital imaging. Subtle and uncommon radiological findings of the eye will be discussed.

scholarly journals Imaging of COVID-19 pneumonia in children

2020 ◽  
Vol 93 (1113) ◽  
pp. 20200647 ◽  
Author(s):  
Figen Palabiyik ◽  
Suna Ors Kokurcan ◽  
Nevin Hatipoglu ◽  
Sinem Oral Cebeci ◽  
Ercan Inci
Keyword(s):  
Pediatric Patients ◽  
Pediatric Population ◽  
Chest Ct ◽  
Ground Glass ◽  
Pathologic Finding ◽  
Radiological Findings ◽  
X Ray ◽  
Ct Findings ◽  
Chest X Ray ◽  
Single Lesion

Objective: Literature related to the imaging of COVID-19 pneumonia, its findings and contribution to diagnosis and its differences from adults are limited in pediatric patients. The aim of this study was to evaluate chest X-ray and chest CT findings in children with COVID-19 pneumonia. Methods: Chest X-ray findings of 59 pediatric patients and chest CT findings of 22 patients with a confirmed diagnosis of COVID-19 pneumonia were evaluated retrospectively. Results: COVID-19 pneumonia was most commonly observed unilaterally and in lower zones of lungs in chest X-ray examinations. Bilateral and multifocal involvement (55%) was the most observed involvement in the CT examinations, as well as, single lesion and single lobe (27%) involvement were also detected. Pure ground-glass appearance was observed in 41%, ground-glass appearance and consolidation together was in 36%. While peripheral and central co-distribution of the lesions (55%) were frequently observed, the involvement of the lower lobes (69%) was significant. In four cases,the coexistence of multiple rounded multifocal ground-glass appearance and rounded consolidation were observed. Conclusion: COVID-19 pneumonia imaging findings may differ in the pediatric population from adults. In diagnosis, chest X-ray should be preferred, CT should be requested if there is a pathologic finding on radiography that merits further evaluation and if clinically indicated. Advances in knowledge: Radiological findings of COVID-19 observed in children may differ from adults. Chest X-ray should often be sufficient in children avoiding additional irradiation, chest CT needs only be done in cases of clinical necessity.

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