Fascia lata attachment at the iliac crest: refining our diagnostic criteria of injury on magnetic resonance imaging

Objective: The objective of this study was to determine the prevalence and spectrum of pathology of the fascia lata attachment at the iliac crest (FLAIC) on MRI in asymptomatic patients in order to refine our diagnostic criteria for clinically relevant FLAIC injury. Methods and material: Two readers retrospectively evaluated the FLAIC on each side on coronal large field-of-view short tau inversion recovery images on 100 musculoskeletal pelvic MRI exams performed in patients without hip pain (total n = 200). Pathology of the FLAIC was graded using a 3-point Likert scale and discrepancies were resolved by consensus. Results: Of the 200 FLAIC included in the study, 72.5% demonstrated normal size and signal intensity. Low to moderate grade pathology of the FLAIC was identified in 27% and high-grade partial thickness pathology was seen in 0.5%. No cases of complete FLAIC rupture were identified. Inter rater agreement between the two readers was good (k=0.660, p < 0.001). There was no statistical difference in FLAIC scores according to gender or age. FLAIC score was positively correlated with higher body mass index. Conclusion: Incidental low to moderate grade FLAIC pathology is commonly seen on MRI in asymptomatic patients. Abnormal MRI findings of the FLAIC should hence be correlated with explicit clinical symptoms and physical exam findings. Advances in knowledge: The Fascia lata is a complex anatomic structure. Its attachment to the iliac crest is an under recognized pathology and sometimes overlooked during evaluation for pelvis and lateral hip pain. Evaluation of the FLAIC is easily done with MRI and abnormality should be correlated to the clinical symptomatology as low grade abnormality is frequently seen in asymptomatic population.

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INCIDENCE AND CLINICAL SIGNIFICANCE OF HIGH GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA IN TURP SPECIFIMENS

10.36106/gjra/1012856 ◽

2020 ◽

pp. 1-5

Author(s):

B. Pavan Kumar ◽

Imran Ali ◽

Anwar Miya ◽

Kishan Kishan

Keyword(s):

Diagnostic Criteria ◽

Prostatic Carcinoma ◽

Invasive Carcinoma ◽

Clinical Presentation ◽

Intraepithelial Neoplasia ◽

Diagnostic Techniques ◽

Transurethral Resection Of Prostate ◽

Low Grade ◽

High Grade ◽

Precancerous Condition

BACKGROUND : PIN is a well known precancerous condition of prostatic carcinoma. Transurethral resection of prostate has become the most prominent and the easiest way, to morphologically evaluate lesions of PIN. But clinicians are sometimes confused by the grading that is given in the report. So there is a need to define the diagnostic criteria and differential diagnosis of PIN using newer diagnostic techniques to assist in the better diagnosis and grading. AIMS AND OBJECTIVES: To evaluate whether the diagnostic criteria can be defined PIN and using newer techniques for PIN grading to improve the clinical management of patients with prostatic lesions. MATERIALS AND METHODS: This study will be done in the Department of Pathology MGM Hospitals, Warangal for a period of 2 years and includes consecutive cases of TURP specimens from the patients who present with obstructive symptoms as a major clinical presentation and correlated with PSA levels. INCLULSION CRITERIA: Patients who present with obstructive symptoms as a major clinical presentation. RESULTS: 1.160 cases of TURP specimens were studied out of which 53 (33.12%) cases are PIN. BPH -78 (48/74%), PC-15 (9.37%), SM-14 (8.75%) 2. Majority cases are low grade PIN 34 out of 53 cases (21.25%) High Grade PIN 19 out of 53cases. (11.87%) 3. High Grade PIN and prostatic Carcinoma shared increased incidence and severity with advancing age in the study. Majority of HG PIN cases in our study noted in (70-79 years of age) 4. The risk of carcinoma is more in cases of High Grade PIN (68.42%) than in low grade PIN (17.64%) 5. This warrants are need for repeat prostatic biopsies to diagnose the invasive carcinoma in patient with High grade PIN.

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EXPRESS: Time Periods Feel Longer When They Span More Category Boundaries: Evidence From the Lab and the Field

Journal of Marketing Research ◽

10.1177/00222437211073810 ◽

2021 ◽

pp. 002224372110738

Author(s):

Kristin Donnelly ◽

Giovanni Compiani ◽

Ellen R. K. Evers

Keyword(s):

Large Field ◽

Purchasing Decisions ◽

Total N ◽

Equal Duration ◽

Equivalent Boundary ◽

Time Periods

Seven experiments (total N = 3,509) and a large field dataset (N = 1,820,671) demonstrate that time periods of equal duration are not always perceived as equivalent. We find that periods feel longer when they span more time categories (e.g., hour, month). For example, periods like 1:45pm – 3:15pm and March 31st – April 6th (boundary-expanded) feel longer than, say, 1:15pm – 2:45pm and April 2nd – April 8th (boundary-compressed). Reflecting this, participants anticipated completing more work during boundary-expanded periods than equivalent boundary-compressed periods. This effect appears to result from the salience and placement of time boundaries. As a consequence, participants preferred scheduling pleasant activities for boundary-expanded and unpleasant activities for boundary-compressed periods. Moreover, participants were willing to pay more to avoid—and required more money to endure—a long wait when it was presented as boundary-expanded. Finally, data from over 1.8 million rideshare trips suggest that consumers are more likely to choose independent rides (e.g., UberX) when they are boundary-compressed when the alternative shared option (e.g., UberPool) is boundary-expanded. Together, our studies reveal that time periods feel longer when they span more boundaries, and that this phenomenon shapes consumers’ scheduling and purchasing decisions.

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Case 10.2

Mayo Clinic Body MRI Case Review ◽

10.1093/med/9780199915705.003.0253 ◽

2014 ◽

pp. 481-481

Author(s):

Christine U. Lee ◽

James F. Glockner

Keyword(s):

Y Chromosome ◽

Pubic Symphysis ◽

Anterior Wall ◽

Field Of View ◽

Large Field ◽

Cystic Lesions ◽

Pelvic Mri ◽

Imperforate Hymen ◽

Simple Fluid ◽

Anterolateral Wall

15-year-old girl with imperforate hymen Sagittal oblique (Figure 10.2.1) and axial (Figure 10.2.2) FSE T2-weighted images demonstrate cystic lesions along the anterior wall of the mid-distal vagina. Gartner duct cysts Gartner duct cysts represent remnants of the mesonephric or wolffian ducts that involute in the absence of a Y chromosome. These cysts arise from the anterolateral wall of the vagina above the level of the pubic symphysis and usually contain simple fluid. There is a small increased incidence of developmental anomalies of the genitourinary tract associated with the presence of Gartner duct cysts, and some authors have advocated large field-of-view coronal acquisitions to include the kidneys when a cyst is discovered on pelvic MRI. Logistically, this is often difficult to manage unless you simply include a large field-of-view 3-plane localizer in your routine female pelvis protocol....

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Association between Neutrophil-Lymphocyte and Platelet-Lymphocyte Ratios and Coronary Artery Calcification Score among Asymptomatic Patients: Data from a Cross-Sectional Study

Mediators of Inflammation ◽

10.1155/2019/6513847 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 9

Author(s):

Carlos V. Serrano ◽

Fernando R. de Mattos ◽

Fábio G. Pitta ◽

Cesar H. Nomura ◽

James de Lemos ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Coronary Artery ◽

Smoking Status ◽

Statistical Tests ◽

Low Grade ◽

Neutrophil Lymphocyte Ratio ◽

Lymphocyte Ratio ◽

Markers Of Inflammation ◽

Asymptomatic Patients

Introduction. Atherosclerosis is a low-grade inflammatory disease. Among markers of inflammation, importance has been given to the neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR). The objective of this study was to examine the association between these hematological indices of inflammation and coronary atherosclerotic calcification in clinically asymptomatic patients. Methods. This study had clinical and laboratorial data collected from consecutive asymptomatic patients that underwent computed tomography coronary artery calcium (CAC) scoring. Risk factors, NLR, and PLR were evaluated at different categories of CAC scoring. Statistical tests included chi-square, linear regression, and logistic regression. Patients (N=247; age 60.4±8.0 years and 60.7% men) were allocated into four categories according to the CAC score. Results. Respective age, sex (male), NLR, and PLR distribution within groups were as follows: CAC=0 (n=98; 52.5±13.6 years, 55%, 2.0±1.0, and 121.5±41.5), CAC 1-100 (N=64; 61.3±11.0 years, 60%, 2.2±1.2, and 125.6 ± 45.6), CAC 101-400 (N=37; 64.2±11.6 years, 67%,2.6±1.3, and 125.4±55.9), and CAC>400 (N=48; 69.3±11.1 years, 66%, 3.3±2.0, and 430.1±1787.4). The association between risk factors and CAC score was assessed. Hypertension status and smoking status were similar within groups, while the presence of diabetes (P=0.02) and older age (P≤0.001) was more prevalent in the CAC>400 group. LDL cholesterol was greater in the higher CAC score groups (P=0.002). Multivariate logistic regression of the quartile analysis showed that age and NLR were independently associated with CAC>100 (OR (CI), P value): 2.06 (1.55-2.73, P=0.00001) and 1.82 (1.33-2.49, P=0.0002), respectively. Conclusion. Within asymptomatic patients, NLR provides additional risk stratification, as an independent association between NLR extent and CAD extent was identified. Moreover, PLR was not an inflammation marker for CAD severity.

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Anterolateral hip pain: Sonographic evaluation of the proximal iliotibial band and tensor fascia lata

Journal of Clinical Ultrasound ◽

10.1002/jcu.22822 ◽

2020 ◽

Vol 48 (4) ◽

pp. 193-197

Author(s):

Suzanne Long ◽

Hannah Leahy ◽

Chelsea Bush ◽

David Surrey ◽

Levon Nazarian

Keyword(s):

Fascia Lata ◽

Hip Pain ◽

Iliotibial Band ◽

Tensor Fascia Lata ◽

Sonographic Evaluation

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Tensor fascia lata-iliac crest-internal oblique free flap for composite orbito-maxillary defect with orbital exenteration

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2012.11.035 ◽

2013 ◽

Vol 66 (4) ◽

pp. e116-e118 ◽

Cited By ~ 6

Author(s):

Subramania Iyer ◽

Krishnakumar Thankappan ◽

Moni A. Kuriakose ◽

Leela Mohan C.S.R. Sampathirao ◽

Jimmy Mathew ◽

...

Keyword(s):

Free Flap ◽

Iliac Crest ◽

Fascia Lata ◽

Orbital Exenteration ◽

Tensor Fascia Lata ◽

Maxillary Defect ◽

Internal Oblique

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Poster 197-E Hip Pain Secondary to Intramuscular Lipoma of Tensor Fascia Lata: A Case Report

PM&R ◽

10.1016/j.pmrj.2016.08.018 ◽

2016 ◽

Vol 8 (9) ◽

pp. S329-S330

Author(s):

Alexander Feng ◽

Ilya Igolnikov ◽

Cora H. Brown ◽

Michael M. Weinik

Keyword(s):

Case Report ◽

Fascia Lata ◽

Hip Pain ◽

Tensor Fascia Lata ◽

Intramuscular Lipoma

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Is watch and wait still acceptable for patients with low-grade follicular lymphoma?

Blood ◽

10.1182/blood-2015-11-632745 ◽

2016 ◽

Vol 127 (23) ◽

pp. 2804-2808 ◽

Cited By ~ 17

Author(s):

James O. Armitage ◽

Dan L. Longo

Keyword(s):

Follicular Lymphoma ◽

The United States ◽

Initial Therapy ◽

Treatment Recommendation ◽

Low Grade ◽

Watch And Wait ◽

New Agents ◽

Initial Report ◽

Asymptomatic Patients ◽

Disseminated Disease

Abstract Follicular lymphoma (FL) represents more than 20% of all non-Hodgkin lymphomas worldwide and approximately 30% of the non-Hodgkin lymphomas diagnosed in the United States. Although occasionally localized at the time of diagnosis, most patients have disseminated disease. However, patients are frequently asymptomatic, and this, in combination with a long median survival, led to the initial studies of observing asymptomatic patients without initial therapy, ie, “watch and wait.” Since the initial report of watch and wait as a treatment strategy for patients with low-grade FL, our understanding of the biology of the disease has advanced; multiple active new agents have been introduced into practice, and the survival of patients with low-grade FL has improved. Given these changes, is watch and wait still an acceptable treatment recommendation for a newly diagnosed patient with low-grade FL?

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