scholarly journals Decision Making Processes for a Patient with Cardiac Pacemaker Admitted to the Accident and Emergency Undergoing Magnetic Resonance Imaging – A Case Study

2017 ◽  
Vol 32 (2) ◽  
pp. 133
Author(s):  
F. P. Raditya
Keyword(s):  
Magnetic Resonance Imaging ◽  
Decision Making ◽  
Magnetic Resonance ◽  
Cardiac Pacemaker ◽  
Resonance Imaging ◽  
Processing Theory ◽  
Prescriptive Model ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

This case study aims to apply the processes of decision-making for magnetic resonance imaging (MRI) as a diagnostic examination for a patient with cardiac pacemaker admitted to a private hospital in the capital of Indonesia. It also aims to examine and evaluate the case of a 53-year-old mother who had a heart abnormality that has a pacemaker for one year and was diagnosed to do an MRI examination because of a suspected tumor on the wrist area.The three basic models of decision-making — the descriptive, prescriptive and normative — were applied. The prescriptive used the information processing theory, while the normative used decision trees as decision options and lastly, the descriptive used intuition and pattern recognition.Dominantly, the prescriptive model for decision-making is more appropriate for this case.  The descriptive decision-making model, using intuition however, helped in supporting the intuitive hypothesis.  Lastly, the normative model of decision-making played an important role but was not likely effective.

Case Study of a Rare Incidence of a Leiomyosarcoma Mass Occluding the Distal Femoral Vein

2021 ◽  
pp. 875647932110440
Author(s):  
Tammy Perkins ◽  
Kelly McDonald ◽  
Douglas Clem
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Lower Extremity ◽  
Femoral Artery ◽  
Femoral Vein ◽  
Lower Leg ◽  
Resonance Imaging ◽  
Computed Tomographic ◽  
Magnetic Resonance Imaging Mri

This is a case study of a 47-year-old Caucasian male whose chief concern was left lower leg swelling for 1 month. A unilateral lower extremity venous duplex examination was performed. The results concluded that the distal femoral vein was occluded to the distal popliteal vein. Incidentally, a hypoechoic region in the distal thigh near the distal femoral artery was noted by the technologist. The patient was placed on anticoagulation and was told to return for further examination if there was no relief. Three months later, the patient continued to experience lower left leg swelling and returned for another sonogram. The hypoechoic region was seen again in the distal thigh and remained occluded. A computed tomographic arterial (CT-A) and magnetic resonance imaging (MRI) were ordered for further investigation of the hypoechoic area. The CT-A and the MRI revealed the presence of a mass in the distal thigh. The mass was biopsied and diagnosed as a leiomyosarcoma, grade 1. The mass caused the compression and occlusion of the distal femoral vein. The mass was removed, along with a portion of the distal femoral artery due to involvement of the artery within the mass. The artery was repaired with a graft.

Diagnostic Use of Magnetic Resonance Imaging and Magnetic Resonance Arthrography for Intra-Articular Pathologies of the Hip Joint

2019 ◽  
Vol 158 (06) ◽  
pp. 586-596
Author(s):  
Solveig Lerch ◽  
Janne Lorenz ◽  
Andreas Kasperczyk ◽  
Oliver Rühmann
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Hip Joint ◽  
German Population ◽  
Resonance Imaging ◽  
Diagnostic Use ◽  
Medical Referrals ◽  
Precise Diagnosis ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

Abstract Introduction In no other country magnetic resonance imaging (MRI) is as frequently used as in Germany. The studyʼs aim is to analyse a daily referral procedure for hip MRI in German healthcare and to estimate ineffective costs for the healthcare system. Material and Methods Over one year 203 consecutive MRIs of the hip joint were analysed retrospectively. Referrals were reviewed for their indications, e.g. prevalence of MRIs to detect intra-articular pathologies in the German population was estimated with data of three health insurances. Results No indication was noted on 21% of the referrals to MRI. On 66% of the referrals a reasonable indications could be identified. There were more uncertainties of the indications for arthrographies. Collecting data concerning the prevalence of MRI for intra-articular hip pathologies is difficult due to the lack of precise diagnosis and procedure coding. The expendable costs caused by MRI of the hip joint amount from 800,000 to 2.4 million € during a one year period. Discussion Medical referrals should be used thoroughly for communication between referrers and radiologists. Contribution of the letter of referral to health economics is underestimated. To improve estimation of prevalences in the diagnostics of intra-articular hip pathologies, precise diagnosis and procedure codings are needed.

scholarly journals A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Tuan Phung ◽  
Thach Nguyen ◽  
Dung Tran ◽  
Nga Phan ◽  
Hung Nguyen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Chemical Shift ◽  
Thoracoscopic Surgery ◽  
Tumor Resection ◽  
Lymphoid Hyperplasia ◽  
Resonance Imaging ◽  
Chemical Shift Mri ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

A 22-year-old woman with myasthenia gravis (MG) presented with ptosis and mild muscle weakness symptoms for one year. Computed tomography (CT) presented a diffuse bilobulate enlargement gland with a high density of soft tissue. Magnetic resonance imaging (MRI) showed the gland with no suppression on the opposed-phase chemical shift. After the thymic tumor diagnosis, she underwent thoracoscopic surgery for tumor resection. The postoperative histopathological finding was thymic lymphoid hyperplasia. This case suggests chemical shift MRI is not enough in distinguishing, and supplementary examination is essential to avoid unnecessary thymic biopsy and surgery.

scholarly journals A case study: Multiple Lacunar Infarct using Magnetic Resonance Imaging

2021 ◽  
Vol 5 (S1) ◽  
pp. 17-21
Author(s):  
Nur Nazifah Mohd Hashim ◽  
Fairuz Mohd Nasir ◽  
Nor Azimah Othman
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Blood Circulation ◽  
Ct Scanning ◽  
Resonance Imaging ◽  
Hyperintense Lesion ◽  
Basilar Artery Stenosis ◽  
Magnetic Resonance Imaging Mri ◽  
The Brain

Background: An ischemic stroke takes place when a blood vessel supplying the brain is blocked and blood circulation to a part of the brain is damaged. A lacunar stroke occurs due to one of the arteries that provide blood to the brain's deep structures is blocked. Case Study: A 55-year-old male patient have right cerebrovascular accident (CVA) with left hemiparesis on 16th of August 2019. Normal result was seen by brain Computed Tomography (CT) scanning. Magnetic Resonance Imaging (MRI) brain was done resulted in hyperintense lesion in right pons and foci and Magnetic Resonance Angiography (MRA) was done and resulted in severe basilar artery stenosis.

scholarly journals The Use of Magnetic Resonance Imaging in Managing Intra-Abdominal Pregnancy

2021 ◽  
Vol 5 ◽  
pp. 16
Author(s):  
Zainul Ikhwan Ahmad Khusairi ◽  
Tan Ling Sze
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Perinatal Death ◽  
Epigastric Pain ◽  
Normal Pregnancy ◽  
Abdominal Pregnancy ◽  
Resonance Imaging ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Introduction: Most pregnant women will experience a normal pregnancy process. However, there are some complications that may occur during pregnancy, including intra-abdominal pregnancy. Intra-abdominal pregnancy, or pregnancy outside of the uterus, are commonly reported besides abortion, pregnancy-induced hypertension (PIH) and gestational diabetes mellitus (GDM). Thesecomplications are believed to be the main cause of maternal and perinatal death. Therefore, the use of appropriate diagnostic imaging inthe management of obstetric cases should be focused.Objective: This case study intended to evaluate the use of magnetic resonance imaging (MRI) in managing intra-abdominal pregnancy.Case Presentation: The study focused on one case with intra-abdominal pregnancy which continued into the second trimester. A 30-year-old woman, G2 P0+1 at 12-13 weeks’ gestation was presented to a public hospital complaining of recurrent epigastric pain with no history of vaginal bleeding. An MRI was performed and the mother was identified as having an intraabdominal pregnancy. Urgent laparotomy was done. Intraoperative finding noted hematoperitoneum with active bleeding seen from the placenta that adhered to the omentum. Partial omentectomy was done. The foetus in about 14 week’s gestation was seen and removed. Case studies have proven that the option to perform an MRI on a suspected intra-abdominal pregnancy can help provide information to establish an accurate diagnosis and appropriate patient care management.Conclusion: The use of MRI is highly recommended for all cases that are expected to experience intra-abdominal pregnancy as it will save the patient as well as avoiding obstetric complications.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S16

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